H79SM086612

Cima CCBHC for the Rural Catchment Area - Hospital Menonita Cima (CIMA), the largest non-profit specialty mental health organization in Puerto Rico (PR) and an operating division of Mennonite General Hospital, Inc. (MGHPR), the largest non-profit organization in PR, will plan, develop, and implement a certified community behavioral clinic (CCBHC) to serve 2,000 individuals over four years in 11 municipalities in PR.

The CIMA CCBHC program will provide comprehensive and coordinated behavioral health services for adults with serious mental illness (SMI), substance use disorder (SUD), including opioid use; children and adolescents with serious emotional disturbance (SED); individuals with co-occurring mental and substance disorders (COD); and individuals experiencing a mental health or substance use-related crisis.

These 11 municipalities, which experience some of the poorest social, economic, and health conditions in PR, are Aibonito, Arroyo, Barranquitas, Coamo, Comerio, Guayama, Maunabo, Orocovis, Patillas, Santa Isabel, and Salinas. Overall, 99% of the population is Hispanic and primarily Spanish-speaking. HRSA classifies the entire zone as medically underserved and a health professional shortage area for mental health care providers.

Over the four-year program, CIMA will achieve the following objectives:

Objective 1: Within 150 days, complete a need assessment in the catchment area that addresses cultural, linguistic, treatment, culture, staffing needs, transportation, income, and other barriers to be served by the CCBHC.

Objective 2: Within 60 days, complete a readiness review using the CCBHC certification criteria with an external organization.

Objective 3: Within six months, comply with 100% of the CCBHC certification criteria.

Objective 4: By the end of the program, comply with a 100% annual readiness review using the CCBHC certification criteria.

Objective 5: By the end of the program, reduce by 15% the suicides in the catchment area (from baseline).

Objective 6: By the end of the program, increase by 25% the number of consumers initiated medication-assisted treatment (MAT) (from baseline).

Objective 7: By the end of the program, increase the number of consumers who initiated the SUD youth program by 25% (from baseline).

Objective 8: By the end of the program, increase the number of consumers receiving primary care screening by 20% (from baseline).

Objective 9: By the end of the program, increase the number of consumers who receive vocational counseling by 15% (from baseline).

Objective 10: By the end of the program, CIMA expects to reduce hospital utilization of high-utilizer individuals with SMI and COD by 25% (from the baseline).

Objective 11: By the end of the program, CIMA anticipates an increase of 15% in the referrals to the first psychosis episode program (from the baseline).

The program will enroll 400 clients in year 1, 500 in year 2, 550 in year 3, and 550 in year 4.

Mennonite General Hospital

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]

Puerto Rico United States

State-Wide

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.