H79SM086587

The Eastern Montana Certified Community Behavioral Health Clinic Planning, Development, and Implementation Project will support the Eastern Montana Community Mental Health Center (EMCMHC) in providing a full continuum of community behavioral health services to youth and adults with serious emotional disturbance, serious mental illness, and co-occurring disorders in 17 frontier counties in Eastern Montana.

EMCMHC's service area covers 48,071 square miles and has a population density of only 1.67 people per square mile, making it one of the most rural regions in the lower 48 states. This area includes all or part of three American Indian reservations: Fort Peck, Northern Cheyenne, and Fort Belknap. Additionally, 13% of the residents in the region live in poverty, and 12% are uninsured, according to the American Community Survey.

The suicide rate in Eastern Montana is 28.8 per 100,000, which is elevated relative to Montana as a whole and more than double the national rate of 13.4 per 100,000, as reported by Montana Vital Statistics and CDC WONDER. Access to robust, community-based behavioral health services is limited in Eastern Montana. The Federal Health Resources and Services Administration (HRSA) designates all of Eastern Montana as a high-needs geographic health professional shortage area for mental health.

Given the lack of capacity to serve individuals with behavioral health issues, it is critical to develop robust community-based mental health and co-occurring services in order to reduce crises and prevent out-of-community transportation to higher levels of care. Through this project, EMCMHC will expand and strengthen its behavioral health services in the region by partnering with other community-based healthcare partners, hospitals, and telehealth services. The goal is to provide robust crisis, care coordination, integrated care, and evidence-based practices to the population of focus.

By the end of year 1, EMCMHC is committed to meeting all of the Certified Community Behavioral Health Clinic (CCBHC) criteria while evaluating, improving, and working to sustain all services throughout the project period and beyond.

The goals and measurable objectives for the project are as follows:

Goal 1: Facilitate access to the full continuum of community-based behavioral healthcare for residents of Eastern Montana.
- Objective 1.1: By the end of year 1, ensure that 100% of EMCMHC clients have access to 24/7 mobile crisis and crisis receiving/stabilization services.
- Objective 1.2: By the end of year 4, increase the number of EMCMHC clients receiving care coordination to support their treatment, recovery, and access to services to 200.

Goal 2: Develop the infrastructure to effectively implement and sustain all CCBHC services in Eastern Montana.
- Objective 2.1: By the end of year 3, implement four new evidence-based practice modalities for EMCMHC CCBHC clients.
- Objective 2.2: By the end of year 1, facilitate increased access to primary care, inpatient care, crisis services, and medication treatment through the implementation of five designated collaborating organizations (DCOs).

Eastern Montana Community Mental 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]

Miles City, Montana 593011595 United States

Single Zip Code

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

Amendment Since initial award the total obligations have increased 306% from $973,715 to $3,957,688.