H79SM086638

Mhsd CCBHC-PDI Grants - Abstract for Mhsd CCBHC Planning, Development, and Implementation Project

Metropolitan Human Services District (MHSD), in Louisiana, is a local governing entity responsible for behavioral health (BH) and developmental disabilities services for Orleans, Plaquemines, and St. Bernard parishes.

The proposed CCBHC project will expand and enhance MHSD services with added crisis services, community outreach, and transition to BH care; intensified case management of complex cases; and added training and fidelity monitoring.

The MHSD population is low-income people in the three parishes, mostly children with serious emotional disturbance (SED) and adults with serious mental illness (SMI) and many with substance use disorder (SUD). The area served has a higher black and low-income population than the state; the persons served are low-income and predominantly black, and the staff and clinicians reflect the ethnicity of the low-income people of color served by the agency. Enhancements will target associated health disparities and inequities that perpetuate poor health outcomes for people of color.

The state BH plan notes that about a quarter of the people with SED and SMI in the service area are being served and 59% of those with SUD who are willing to seek treatment. While there are other agencies and private practices who serve portions of the target population, few serve the indigent and Medicaid insured people that MHSD is mandated to serve.

MHSD's role as the regional BH authority will be strengthened through expanded access, engagement, and retention that will be afforded by the CCBHC PDI project. The MHSD CCBHC PDI project will expand and enhance services provided. The agency provides all of the required services and meets many of the CCBHC certification criteria, but will make the changes needed to attest to full adherence.

MHSD served 7,498 people in 2020-21, and will serve at least ten percent more by the end of the project. Services that will have expanded capacity will be mobile crisis response services offered under contract with Resources for Human Development; peer support specialist services that assist persons with MI/SUD in hospitals, leaving incarceration, and at risk of arrest to connect to outpatient treatment and support; and integration of services with primary care with the addition of an APRN integrated health services coordinator.

More community trainers will provide mental health first aid trainings that will allow more community organizations and schools to receive training designed to reduce stigma and increase preparedness for BH crises. MHSD services will be enhanced by the addition of an intensive case management team that will identify and serve persons identified as in need of added/enhanced services.

MHSD uses a number of evidence-based practices. With the addition of a director of training and fidelity, MHSD will work internally, and with DCOS and community partners, to expand trainings and enhance monitoring of fidelity. The work of the agency will be made more efficient by additional practice management; upgrades to the EHR to have the capacity to fully collect data and report on CCBHC quality measures; and evaluation and improvement in claims management.

A NOMS/GPRA team will collect required information re: at least 100 service participants in the first year and 300 for the following three years. MHSD will partner with the Louisiana Public Health Institute, a partner and convener on improved population-level health outcomes, to serve as the independent project evaluator on the project.

Metropolitan Human Services District

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]

New Orleans, Louisiana 701146632 United States

Single Zip Code

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

Amendment Since initial award the total obligations have increased 298% from $999,282 to $3,981,816.