H79SM085190

Southern Highlands Community Behavioral Health Center (SHCMHC) CCBHC Expansion Initiative focuses on strengthening comprehensive behavioral health services to those with serious mental illness, substance use disorder (including opioid disorder), children with serious emotional disturbance, and those with co-occurring mental and substance use disorders. It is located in Mercer County, West Virginia, while also increasing services to rural Wyoming and McDowell counties. These areas suffer from high overdose rates, poverty, and lack of transportation and services. The initiative aims to serve 2,000 individuals, with 1,000 individuals in year one and 1,000 individuals in year two.

The project goals and interventions/strategies are as follows:

1. Increase access to community mental health and substance use disorder treatment services for the focus population by:
a. Finalizing a staffing plan based on a needs assessment focused on population cultural, linguistic, and treatment needs.
b. Hiring a telehealth coordinator to coordinate services, train staff, and troubleshoot technology.
c. Expanding psychiatrist time to increase mental health services available to the focus population.
d. Initiating an ACT-SUD program to ensure that clients access the appropriate level of care.
e. Initiating a mobile clinic to enhance service access in rural areas.
f. Expanding after-hours services in all clinics to increase service access.
g. Hiring an infection control specialist to refer and educate clients regarding diseases.
h. Expanding therapy, psychiatric, and prescription services in McDowell County.
i. Hiring a financial services specialist to assist clients and staff with navigating finances.

2. Improve the quality of community mental health and substance use disorder treatment services for the focus population by:
a. Implementing a staff training plan determined by the needs assessment.
b. Implementing technical assistance training for integrating mental and physical healthcare.
c. Providing for staff licenses and sustainably increased compensation needed for service expansion.

3. Improve client outcomes as a result of the CCBHC expansion by:
a. Serving 1,000 clients in year one and 1,000 clients in year two.
b. Measuring outcomes for all implemented screeners.
c. Clients improving at least one mental health status or functioning outcome per year.
d. Clients improving at least one physical health indicator per year.
e. Clients reducing illicit substance use by 10% at the 6-month interview.
f. Clients remaining in treatment for at least 6 months.
g. Monitoring disparity group outcomes (rural, LGBT+, African American, veteran, unable to pay) to ensure equal access, use, and outcomes.

4. Improve community crisis response and services to ensure individuals in crisis receive the appropriate care level by:
a. Hiring a community crisis system evaluator to edit the crisis system and mental hygiene process that has eroded due to COVID.
b. Funding a social worker to work with law enforcement to handle mental health and substance use disorder-related incidents.

5. Sustain CCBHC expansion services for the focus population by:
a. Hiring an evaluation specialist to initiate moving from fee-for-service to value-based reimbursement.
b. Working to maximize the agency's electronic health record (EHR).
c. Working to create CCBHC-friendly policy revisions.
d. Initiating a sustainable tuition reimbursement program.
e. Joining other West Virginia state CCBHC expansion grantees in working with the state to achieve formal CCBHC status.
f. Creating a sustainability plan.

Southern Highlands Community Mental Health Center

FUNDING TO SUPPORT DEVELOPMENT OF PROPOSALS TO PARTICIPATE IN TIME-LIMITED COMMUNITY BASED BEHAVIORAL HEALTH DEMONSTRATION PROGRAMS DESCRIBED IN SUBSECTION (D) OF SECTION 223 OF P.L. 113-93 PROTECTING ACCESS TO MEDICARE ACT OF 2014, 42 USC 1396(A) NOTE. ADDITIONAL FUNDING AS OUTLINED UNDER SECTION 11001 OF BIPARTISAN SAFER COMMUNITIES ACT OF 2022 (P.L. 117-159) TO EXPAND THE NUMBER OF STATES ALLOWED TO PARTICIPATE IN THE SECTION 223 CCBHC DEMONSTRATION PROGRAM. THE LEGISLATION APPROPRIATES $40 MILLION TO THE SECRETARY TO AWARD PLANNING GRANTS, PROVIDE TECHNICAL ASSISTANCE TO STATES, AND TO SELECT UP TO TEN STATES EVERY TWO YEARS (UNTIL ALL FUNDS ARE EXPENDED), WITH THE FIRST 10 STATES LAUNCHING CCBHC DEMONSTRATION PROGRAMS BEGINNING JULY 1, 2024.

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

Division of Grants Management [HHS - SAMHSA]

West Virginia United States

State-Wide

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

Amendment Since initial award the End Date has been extended from 08/30/23 to 08/30/24.