H79SM086465

CCBHC Transformation Project - The Family Services and Guidance Center (FSGC) of Topeka’s proposed project, CCBHC Transformation, seeks to expand access to comprehensive, evidence-based, trauma-informed and person and family-centered care among an underserved population of focus: children, youth, and young adults with serious emotional disturbance (SED), serious mental illness (SMI), substance use disorders (SUD), and co-occurring disorders (COD) in Shawnee County, KS.

Nationally, only 40% of youth <18 and 33% of young adults 18-25 who need behavioral health care receive it (SAMHSA.gov), and FSGC is the only certified community mental health center that provides psychiatry and certain other BH services to youth under 18 in the catchment area (CA) of Shawnee County.

The CA has higher rates of poverty than state averages, with 53% of students qualifying for free/reduced lunch (Kids Count). Nearly 25% of KS young adults aged 18-25 reported illicit drug use in the past 30 days (2019-20 NSDUH). COVID has amplified existing BH professional shortages (pre-COVID: 1.7 per 100,000 residents) while greatly increasing need. Transition-aged youth (TAY) aged 16-25 are at particular risk of becoming lost to care, despite high rates of BH need and risk, including likelihood of 1st episode psychosis.

FSGC’s proposed project will hire and retain clinical staff, in order to decrease wait times from intake to first outpatient appointment to 10 days or less, improving access to MH, SUD, and COD care to meeting growing need in the CA. Hiring will increase access to targeted case management (TCM) to 80% of consumers who enter care through or frequently use crisis services in year 1, and to 80% of consumers with COD and of TAYs in year 2.

FSGC is expanding access to integrated SUD and MH care, an evidence-based practice, with 100 additional treatment hours provided to consumers with COD in year 1, as well as other recovery-oriented services and treatment planning. We will train staff in the unique needs of TAYs, including recognizing and responding to first episode psychosis, building skills for independent living, and transition planning.

Expansions to the TAY program will include: hiring a TAY peer specialist, increase access to TCM and ensure person-identified goals are included in TAY treatment plans, including goals for adult/independent living. We will implement onsite health screenings by training outpatient clinicians and direct service staff to collect and monitor key health indicators, with oversight provided by an advanced practice nurse practitioner (APRN).

These service improvements will be supported by implementing a new electronic health record (EHR), designed to enhance care coordination and transition planning by providing point of service access to consumer records, treatments, and transition plans, and facilitate collection of encounter, outcome, and quality data on the back end. We will implement a youth, family, and community advisory board, including at least two TAYs, to guide project and other FSGC activities. Supervision will ensure fidelity to the many evidence-based practices selected for use at FSGC.

The transition to a CCBHC structure will be overseen by a project director with over 20 years’ experience in community mental health quality improvement, who will lead an internal CCBHC working group to ensure compliance with all state and CCBHC certification criteria. We will serve a total of at least 625 unduplicated consumers with 125 served in year 1; 150 in year 2; 175 in year 3; and 200 in year 4.

Family Service And Guidance Center Of Topeka

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]

Topeka, Kansas 666061963 United States

Single Zip Code

Certified Community Behavioral Health Clinic Expansion Grants (SM-22-002)

Amendment Since initial award the total obligations have increased 299% from $999,954 to $3,994,565.