H79SM085230

Community Alliance CCBHC - Community Alliance Rehabilitation Services (CA) CCBHC will ensure that people with Serious Mental Illness (SMI), Serious Emotional Disturbance (SED), Substance Use Disorder (SUD), and Co-Occurring Disorders (COD) in Douglas and Sarpy Counties in Nebraska have access to comprehensive Behavioral Health (BH) and Primary Care (PC) services.

Through the CCBHC, CA will expand BH services to children, youth, and transition-age youth and provide greater access to SUD treatment and integrated PC and BH care for children, youth (C/Y), and adults. CA aims to enroll and serve 600 CCBHC clients, with 200 in year 1 and 400 in year 2. A full array of evidence-based practices (EBPs) will help enrollees manage symptoms and attain greater independence, better health, and improved quality of life.

All clients will receive CCBHC-required screenings and coordination with primary care. CA will provide access to intensive services for people with complex BH needs, including Assertive Community Treatment (ACT), High-Fidelity Wraparound, Individual Placement and Support (IPS), Supported Education, Navigate for First Episode Psychosis, Permanent Supportive Housing, Intensive Outpatient (IOP) services, Medication-Assisted Treatment (MAT), and outreach to veterans and their families for EBPs and supports.

The primary goals and objectives of the program include:

1) Formally launch the CCBHC by month 4:
a) Within 90 days, recruit, hire, and train all project staff.
b) Establish an advisory work group with at least 51% CCBHC enrollees and family members.
c) Finalize DCO agreements.

2) Universally screen and monitor health:
a) Screen and monitor health indicators for 100% of enrollees.
b) Screen and monitor prevalence and risk of diabetes and metabolic syndrome for 100% of enrollees on psychotropic medications.
c) Train SUD clinicians in Screening, Brief Intervention, and Referral to Treatment (SBIRT), Motivational Interviewing, and relapse prevention by month 6.

3) Increase access to integrated PC/BH care:
a) Ensure that 100% of new C/Y clients with complex BH/PH needs have a PC provider appointment within 10 business days of enrollment.
b) By month 4, enroll 75% of youth referred by DCOS in integrated PC/BH care.

4) Expand access to intensive services for clients with complex BH needs:
a) Enhance ACT services to include integrated PC and outcomes tracking for 120 consumers.
b) Refer 100% of eligible C/Y to Wraparound by month 4.

5) Expand psychosocial rehabilitation services for C/Y:
a) Serve and coordinate referrals for 150 C/Y by the end of year 2.
b) Train C/Y staff in evidence-based practices by month 6.
c) Enroll and serve 25% more transition-age youth in the Navigate program by year 2.

6) Increase services to veterans:
a) Serve 20% more veterans with SMI/SUD by year 2.
b) By month 12, connect 100% of veterans with complex needs to intensive services.

7) Decrease health risk:
Ensure that 50% of enrollees with elevated health indicators experience a clinical improvement after 12 months.

8) Increase SUD treatment access and decrease substance use:
a) Refer 100% of enrollees who screen positive for tobacco use to intervention.
b) Ensure that 50% participate in intervention within 30 days.
c) Serve at least 40 IOP clients in year 1 and 75 IOP clients in year 2.
d) Refer 75% of clients assessed to benefit from MAT within 10 days.
e) Ensure that 30% of enrollees with SUDs reduce substance use after 6 months and 50% reduce use by 12 months.

Community Alliance Rehabilitation Services

NOT APPLICABLE

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

Division of Grants Management [HHS - SAMHSA]

Omaha, Nebraska 681051026 United States

Single Zip Code

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 01/31/24 and the total obligations have decreased 23% from $4,000,000 to $3,093,596.