H79SM083290

Strong Memorial Hospital CCBHC Expansion - Strong Memorial Hospital CCBHC Expansion

This project expands the Strong Memorial Hospital Certified Community Behavioral Health Clinic's ability to provide the full range of 24/7 behavioral health phone crisis services provided by master's prepared crisis clinicians and provide accessibility to direct clinical substance use disorder treatment in community-based primary care settings throughout the region.

The focus of this project is to provide immediately available crisis support for persons who are most motivated to seek help when in active crisis. Through 24/7 phone access to master's prepared clinicians trained in evidence-based screening and assessment tools including motivational interviewing for mental health and substance use disorders, and ability to connect directly to the appropriate level of follow-up based on a clinical assessment, including dispatch of a mobile clinical team or appointments.

In community-based primary care settings as well as other health system-based settings, the project will engage an additional 200 patients a year for each of two years into treatment who have never been or not been in treatment in the past 12 months.

The project proposes to use the CCBHC expansion grant to fund positions that are not reimbursable, such as the crisis call center staff, but who could be supported through an increase in clinic enrollment and receiving the full range of CCBHC required services under the PPS reimbursement model. It also proposes to use the funds to support the infrastructure required to develop this expansion to truly meet patients, not readily amenable to 'standard treatment models', where they are to facilitate timely assessment, intervention, engagement in treatment to build resilience and ability to recover their full potential.

The integration of mental health, substance use disorder, and physical health screening, monitoring, and intervention is at the core of our Strong Memorial Hospital CCBHC, and this expansion proposal brings this range outside of the 'bricks and mortar' of the physical clinic into the community and region we serve.

The project is designed to be a comprehensive, centralized, deployable resource to support the treatment of co-occurring substance use and mental health disorders in the health system throughout the Finger Lakes and Southern Tier regions of New York State where behavioral health services are limited.

The CCBHC expansion project will deliver care through the following service delivery models:

1) Centralized triage and telemedicine from the current CCBHC site location,
2) A mobile clinic model dispatching clinicians directly to patients to deliver care (e.g. at their PCP, in the hospital, at a community agency or center, etc.), and
3) A 24-hour crisis hotline.

The clinical teams of the CCBHC expansion project will use telemedicine to deliver care when appropriate. The 24/7 crisis hotline would be available to CCBHC patients and respond to and/or triage any substance use and/or mental health crisis.

University Of Rochester

NOT APPLICABLE

93.829 - Section 223 Demonstration Programs to Improve Community Mental Health Services

Division of Grants Management [HHS - SAMHSA]

New York United States

State-Wide

Certified Community Behavioral Health Clinic Expansion Grants (SM-20-012)

Amendment Since initial award the End Date has been extended from 02/14/23 to 06/30/23.