H79SM085274

Tri-County Behavioral Healthcare Expanded CCBHC Access - Tri-County Behavioral Health Care, a safety net provider of behavioral health and housing to low-income underserved populations in 3 counties at the periphery of the Houston, Texas metropolitan area, will establish a CCBHC to provide expanded access to treatment for adults with SMI and COD, increased rural SUD treatment, expanded MH care for children/youth with SED, including school-based services, and care coordination for chronic health issues.

Tri-County [TCBHC] will add the capacity to provide services in Spanish for the growing population of children and adults with limited English literacy. The project name is the Tri-County Behavioral Healthcare Expanded CCBHC Access. The total area population is over 768,551 persons in three counties. Poverty rates for these counties range from 10.3% to 24.4%. The white population ranges from 54% to 63%, Hispanic from 18% to 23%, and African American from 4.6% to 23%. Fifty-five percent of adults served have at least a GED, 27% are employed, 3.9% are homeless, and 45% report no income.

The CCBHC needs assessment indicated that there is a high incidence of untreated mental illness and substance abuse, attributable to demand far exceeding resources, poor access to limited services, costs beyond the means of low-income clients, and stigma associated with seeking care. Four major project goals address the unmet need in the catchment area:

1) Increase access to SUD treatment for rural consumers;
2) Increase access to MH care for children/youth with SED, through expanded intake, expanded therapy, and culturally and linguistically appropriate outpatient and school-based treatment;
3) Increase access to therapy for adults with SMI and COD and culturally appropriate outpatient treatment and psychosocial interventions;
4) Provide care coordination to improve health outcomes for the populations of focus.

Objectives include: add IOP SUD groups in 3 rural sites; increase walk-in clinic days for children/youth and families impacted by SUD; add school-based MH services in rural schools with high proportions of Spanish-speaking children/youth; eliminate past 30-day substance use for 30% of adults and youth in SUD treatment for 6 months; reduce symptoms of SED for 50% of children/youth by treatment completion; reduce depressive symptoms of 50% of adults with SMI/COD after treatment completion.

In addition to adding MH and SUD treatment staff, some bilingual in Spanish and English, the project will add a care coordination team consisting of a licensed vocational nurse, MH clinician, certified peer recovery specialist, a benefits specialist, and a data analyst.

The evaluation will be conducted by SAE and Associates (SAE) Behavioral Health Evaluation (BHE), which has evaluated CCBHC projects and multiple SAMHSA initiatives. 150 adults and 167 children/youth will be served in year 1, 205 adults and 235 children/youth in year 2, with a total of 757 unduplicated clients served over the 2 project years.

Tri-County Behavorial Healthcare

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.

93.696 - Certified Community Behavioral Health Clinic Expansion Grants

Division of Grants Management [HHS - SAMHSA]

Conroe, Texas 773041990 United States

Single Zip Code

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

COVID-19 $1,999,527 (59%) percent of this Project Grant was funded by COVID-19 emergency acts including the American Rescue Plan Act of 2021.
Amendment Since initial award the End Date has been extended from 08/30/23 to 05/31/24 and the total obligations have increased 71% from $1,999,781 to $3,411,562.