H79SM086519

Peace River Center's Integrated Health Care Services for Improved Access

Peace River Center (PRC) is a community behavioral health center serving Central Florida. PRC is implementing the Certified Community Behavioral Health Clinic (CCBHC) initiative to improve the overall health of the community it serves. The CCBHC initiative aims to increase availability and accessibility of integrated primary care and behavioral health services for vulnerable populations.

The population of focus for PRC's services are individuals with serious mental health and/or substance use disorders. Specific subgroups within this population will be prioritized for certain services. To better serve all individuals seeking service, PRC will redesign their access system. This redesign will ensure that all recipients are thoroughly screened, assessed, and linked to the services that best meet their needs in a timely manner.

Currently, Peace River Center offers primary care services for adults only in one outpatient clinic. However, these services will be expanded to rural areas and to children and veterans. It is vital for people with behavioral health conditions to have access to preventive and primary care, as they are at increased risk for various diseases such as diabetes, obesity, heart disease, HIV, and others. Integrating behavioral and primary healthcare will ensure that all health providers are communicating and planning treatment together.

For adults diagnosed with an opioid use disorder (OUD), PRC will enhance its medication-assisted treatment capacity by adding provision of buprenorphine products. With the alarming increases in overdose deaths primarily due to fentanyl, PRC must ensure access to the gold standard of care for OUDs.

Lastly, care coordination activities will be expanded to serve not only adults exiting crisis settings but also anyone with a serious emotional disturbance (SED), substance use disorder (SUD), or serious mental illness (SMI) who is not connected to needed services and psychosocial supports.

It is anticipated that the project will serve 120 unduplicated individuals in year 1, 135 in year 2, 145 in year 3, and 150 in year 4, for a total of 550 individuals over the lifetime of the project.

The primary focus of PRC's CBHC initiative is to expand its service array to fully meet the CCBHC criteria, which in turn will improve service delivery in the catchment area. The first goal of the project is to improve timely access to the appropriate service level(s) by reducing the time from screening to initial intake assessment from 18 to under 10 days. Additionally, the project aims to lower recidivism related to inpatient stays through active service engagement to 15% or less.

The project also aims to improve health outcomes for individuals with SMI, SED, and SUD by integrating primary care and behavioral health. The objectives include screening and monitoring at least 90% of patients' key health indicators and health risks, ensuring at least 95% of those who need additional health care services are linked, and providing smoking cessation counseling to at least 90% of tobacco users.

The third project goal is to decrease adult opioid misuse and its negative consequences by implementing buprenorphine treatment and community Narcan® distribution. It is anticipated that 65% of patients served will decrease opioid use, thereby decreasing drug-related mortality and increasing recovery capital.

Lastly, the project aims to increase access to integrated, high-quality care coordination services. The objectives include ensuring that 75% of patients receive a follow-up contact within 3 days of a pending outpatient appointment and within 1 day of a missed (non-show) outpatient appointment. Additionally, 90% of patients will be assessed for eligibility for enrollment in health insurance coverage options, with 65% successfully achieving enrollment. Finally, 90% of individuals and families served will rate their participation in care coordination as positive through quarterly satisfaction surveys.

A CCBHC Advisory Board, composed of community stakeholders, family members, and individuals with lived experience, will provide guidance and input throughout the project.

Peace River Center For Personal Development

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]

Bartow, Florida 338305058 United States

Single Zip Code

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

Amendment Since initial award the total obligations have increased 260% from $1,000,000 to $3,600,000.