H79SM085156

Eliot CCBHC - Eliot CCBHC Abstract - Final

Eliot Community Human Services (Eliot) proposes to utilize CCBHC expansion funding to create an Eliot CCBHC based in our Lynn and Everett outpatient clinics. The CCBHC will better serve immigrant and refugee communities by expanding culturally and linguistically appropriate clinical and peer services, shortening time to care, and addressing social determinants of health. Our goal is to prevent the COVID pandemic from resulting in long-term trauma to our underserved communities.

Eliot's densely populated catchment area northeast of Boston is home to one of the largest refugee populations in Massachusetts. One in four residents identify as Latino. Close to half (46%) of the population report speaking a language other than English at home. The overall rate of poverty in this region is 13%. This area has also been hit hard by the COVID pandemic, with several of its towns being classified as high risk and remaining so throughout the pandemic.

This area experiences a number of behavioral health problems, often at an elevated rate. Two Eliot communities dramatically exceeded the 2019 MA all-cause opioid death rate, and another three are above the state average. Between 2015 and 2018, middle and high school youth rates of feeling sad or hopeless for two weeks were higher than state rates. This area's Cambodian, Iraqi, African refugees, and people displaced from Middle East conflicts have considerable trauma history.

Due to limited direct service staff who can provide linguistically and culturally appropriate services, non-English-speaking clients experience a lag between presenting with issues and getting the proper targeted supports in their own language, which often means they don't engage in services.

Eliot served approximately 30,000 individuals and families in our behavioral health continuum in 2020. We provide high-quality integrated services in a person/family-centered recovery-oriented environment. The Eliot CCBHC will hire prescribing, clinical, case management, and peer staff, all of whom will be bilingual in one of the languages needed to serve our target population.

The CCBHC will provide the following evidence-based practices: motivational interviewing, cognitive-behavioral therapy for mood disorders and for psychosis, three evidence-based desensitization treatments for post-traumatic stress disorder, and medication-assisted treatment. Children's clinicians will deliver the attachment, regulation, and competency framework for complex trauma. Eliot will follow the emerging literature on EBP efficacy and adaptations for the different cultural groups and marginalized populations and adopt those modifications demonstrated of value for the groups we serve.

Eliot CCBHC's overall goal is to expand the scope and improve the timeliness of access to culturally and linguistically appropriate clinical and case management services, thereby decreasing time to service and increasing rates of engagement for clients who are refugees or immigrants. We propose to serve an additional 560 individuals from the population of focus in year 1 and another 750 in year 2 for a total of 1,310. Additional goals include coordinating supports for social determinants of health, expanding primary care screening and referrals to primary care, and creating an advisory work group including clients and family members to guide CCBHC implementation.

Eliot Community Human Services

NOT APPLICABLE

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

Division of Grants Management [HHS - SAMHSA]

Lexington, Massachusetts 024213100 United States

Single Zip Code

Certified Community Behavioral Health Clinic Expansion Grants (SM-21-013)