H79SM085170

Bridge to Recovery CCBHC - Overview:

Bridging Access to Care (BAC) seeks a CCBHC grant to create Bridge to Recovery CCBHC in Brooklyn, NY. The purpose of this CCBHC is to provide integrated mental health and substance use disorder treatment with primary/preventive health services. The goal is to address the impacts of the COVID pandemic and historic health inequities for 1,868 low-income, predominantly Black/Latinx people of all ages over the 2-year grant period.

The population of focus primarily consists of Black and Latinx low-income residents, ages 6 years and older, living in Williamsburg-Bushwick/Greenpoint in Brooklyn. Two-thirds of this population will have serious mental health conditions, serious emotional disturbances, and/or serious addiction disorders. Additionally, a significant number of individuals will have a history of involvement with the justice system, homelessness, and/or housing instability. One in three individuals will be seeking treatment for lesser behavioral health conditions that may have been triggered or exacerbated by the COVID-19 pandemic and its life-altering impacts.

Community residents in this area suffer from a high rate of depression, with 23% being obese, 11% of adults diagnosed with diabetes, and 25% of adults having hypertension. Furthermore, the community has one of the highest rates of opioid deaths in NYC.

Goals/Objectives:

BAC aims to serve 859 individuals in year 1 and 1,009 in year 2, with the following objectives:

1. Decrease tobacco use by routinely screening adolescents/adults and providing appropriate follow-up.
2. Reduce the BMI of obese/overweight adults through routine weight screening and follow-up plans/counseling.
3. Improve the detection of diabetes/pre-diabetes in adults with schizophrenia and bipolar disorder who use anti-psychotic medications through routine screening of hemoglobin A1C levels.
4. Address social determinants of health through universal screening/monitoring and improved linkages with services offered by BAC and community partners.
5. Increase depression diagnoses for consumers ages 12+ by administering the PHQ per recommended frequency and implementing follow-up plans as appropriate.

Proposed Activities:

With the grant funds, BAC plans to implement the following activities:

1. Expand a New York State-licensed mental health clinic to serve children/adolescents ages 6-17 years.
2. Co-locate a New York State-certified substance use disorder clinic satellite that offers medication-assisted treatment.
3. Co-locate a health team (physician's assistant, registered nurse, medical assistant) to provide health screenings, monitoring and physicals, vaccinations, and other preventive services.
4. Add a crisis team for 24/7 in-home and community crisis stabilization and intervention services.
5. Build on existing HCBS rehabilitation, peer, and employment services.

The CCBHC will also provide significant outreach/engagement services in its catchment area to low-income residents in public housing, public schools, homeless shelters, senior centers, and other locations that are disproportionately impacted by the COVID-19 pandemic, behavioral health conditions, and chronic medical disorders.

Bridging Access To Care

NOT APPLICABLE

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

Division of Grants Management [HHS - SAMHSA]

Brooklyn, New York 112118433 United States

Single Zip Code

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