H79SM086407

Centerstone's CCBHC-IA in Tennessee (C-CCBHCV2.0) - Centerstone's CCBHC Improvement and Advancement in Tennessee (C-CCBHCV2.0) project will improve and advance Centerstone's CCBHC in Clarksville. The project will provide comprehensive, integrated, coordinated, and person-centered care to 1,500 unduplicated individuals with a mental or substance use disorder, primarily residing in the Tennessee catchment area (Cheatham, Houston, Montgomery, Robertson, and Stewart), including groups facing health disparities (Y1: 300; Y2-4: 400/yr.).

C-CCBHCV2.0 will serve individuals with a mental or substance use disorder, including those with serious mental illness (SMI); substance use disorder (SUD), including opioid use disorder; children and adolescents with serious emotional disturbance (SED); individuals with co-occurring mental and substance disorders (COD); and individuals experiencing a mental health/substance use-related crisis. Target population demographics are expected to mirror those of the catchment area. Those ages 17 and under comprise 51% male, 49% female, 62% white, 15% African American, and 12% Hispanic/Latino individuals. Those ages 18+ comprise 50% male, 50% female, 72% white, 14% African American, and 8% Hispanic/Latino individuals. Of the catchment area's population, 6.3% of adults are expected to have SMI and 10% of children/youth have SED. An estimated 13.9% of adults and 6.1% of adolescents 12-17 have SUD, including 1.0% of adults with OUD. An estimated 6.7% of adults have COD. An estimated 33,020 (94%) adults with SUD need but did not receive treatment at a specialty facility.

C-CCBHCV2.0 will provide an array of high-quality integrated primary/behavioral health care services (e.g., crisis services; screening/assessment/diagnosis, including primary care and risk assessment; treatment/crisis planning; outpatient mental health/substance use services; medication-assisted treatment; targeted case management; peer and family supports; and intensive community-based mental health care for armed forces/veteran populations). Key project strategies include expanding access/availability of services responsive to community needs; meaningful involvement of consumers/families in their care; and applying a continuous quality improvement (CQI) approach to drive improvements and sustainability. The project's interventions address the full array of consumers' behavioral health needs and include cognitive-behavioral therapy, motivational interviewing, illness management and recovery, integrated dual disorder treatment, etc.

C-CCBHCV2.0 will accomplish the following goals:

1) Expand and improve delivery of comprehensive, integrated, and person-centered community-based mental and SUD services for the target population.
2) Enhance infrastructure/capacity for a full continuum of coordinated care.
3) Increase access to/availability of timely services for the target population.
4) Implement a measurement-based care process to ensure comprehensive, evidence-based services and supports and practices for whole-person wellness and recovery.
5) Improve health status and outcomes for project consumers engaged in treatment.
6) Apply a CQI approach to drive outcome improvement and ensure ongoing service delivery.

Planned improvements include expanding MAT services, enhancing staff recruitment/training/retention, and refining the community needs assessment process. As a result of these goals/improvements, the project will achieve the following measurable consumer-related objectives: decrease mental health symptomatology among 45%; decrease substance use among 45%; improve housing stability among 80%; deliver individualized treatment plans for 100%; provide employment/education case management for 100%; reduce tobacco use among 30%; improve physical health indicators among 75%; offer linkage/referral follow-up to 100%; achieve 80% consumer/family reported satisfaction with their experience of care; and achieve 80% 6-month follow-up rate.

Centerstone Of Tennessee

THE PURPOSE OF THIS PROGRAM IS TO INCREASE ACCESS TO AND IMPROVE THE QUALITY OF COMMUNITY MENTAL AND SUBSTANCE USE DISORDER TREATMENT SERVICES THROUGH THE EXPANSION OF CCBHCS. CCBHCS PROVIDE PERSON- AND FAMILY-CENTERED INTEGRATED SERVICES.

93.696 - Certified Community Behavioral Health Clinic Expansion Grants

Division of Grants Management [HHS - SAMHSA]

Clarksville, Tennessee 370403093 United States

Single Zip Code

Certified Community Behavioral Health Clinic (CCBHC)– Improvement and Advancement Grants (SM-22-012)

COVID-19 $4,000,000 (100%) 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 total obligations have increased 300% from $1,000,000 to $4,000,000.