H79SM086463

Heritage Health North Idaho CCBHC Implementation - Dirne Health Centers, Inc. d/b/a Heritage Health submits this application to establish a Certified Community Behavioral Health Clinic (CCBHC) program serving Kootenai and Shoshone counties in the Northern Panhandle region of Idaho.

The two-county region is home to nearly 200,000 residents in a mix of urban and rural settings and suffers from a dire lack of behavioral health services. This is indicated through a mental health provider to population ratio that is 42% less than the statewide average in Idaho and less than half the provider to population ratio of U.S. states with the highest levels of access (Community Health Rankings 2021).

The region also lacks sufficient crisis services, including 24/7 access to mobile crisis services and crisis stabilization services responsive to the youth and adolescent population. This lack of resources results in disproportionate rates of behavioral health disparities, including higher rates of suicide incidence and risk, and untreated substance use disorder (Community Health Rankings, 2021).

By establishing the proposed CCBHC program, Heritage Health aims to expand integrated behavioral health care in Kootenai and Shoshone County with a particular focus on those who need services the most. This includes individuals with high needs, such as adults with serious mental illness (SMI) and children with severe emotional disturbance (SED), as well as those with co-occurring illnesses and sub-populations that frequently experience heightened barriers to accessing care, such as those living in poverty and who are under/uninsured.

Key strategies that Heritage Health will implement to expand access to needed behavioral health care services include:

1. Strengthening the Idaho Region I (including Kootenai and Shoshone County) crisis continuum of care to de-escalate mental health and substance use crisis and divert unnecessary inpatient or emergency department usage by connecting users to outpatient care.
2. Expanding access to integrated behavioral health services for underserved populations through increasing mental health and substance use disorder treatment providers who are trained in providing care to marginalized populations.
3. Enhancing HIT infrastructure and staffing to provide care coordination for CCBHC consumers across mental health, SUD, medical, and social support needs with a variety of partners within the Northern Idaho communities served.

Heritage anticipates serving 450 unique individuals in year 1, 600 unique individuals in year 2, 750 unique individuals in year 3, and 900 unique individuals in year 4, for a total of 2,700 patients served across the lifetime of the grant.

Heritage is well-positioned to establish a fully-compliant CCBHC program within one year of award and already provides a significant array of integrated medical, dental, and behavioral health services. Heritage has served the communities in Northern Idaho since 1985 and is an NCQA Level III Patient-Centered Medical Home.

Dirne Community Health Center

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]

Coeur D Alene, Idaho 838142249 United States

Single Zip Code

Certified Community Behavioral Health Clinic (CCBHC) – Planning, Development, and Implementation Grants (SM-22-002)

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.