H79SM086674

Terry Reilly Health Services CCBHC - Terry Reilly Health Services, Inc. (TRHS) submits this application to establish a Certified Community Behavioral Health Clinic (CCBHC) program serving Canyon County in Southeast Idaho.

Canyon County is home to nearly 250,000 residents and suffers from a significant lack of behavioral health resources, including insufficient crisis services and a mental health provider to population ratio that is 30% less than the statewide average in Idaho and 55% less than U.S. states with the highest levels of access (Community Health Rankings 2021).

This lack of resources results in disproportionate rates of behavioral health disparities in Canyon County, including higher rates of mental distress and reported poor mental health days, suicide incidence and risk, and untreated substance use disorder (National Survey on Drug Use and Health, 2021).

By establishing the proposed CCBHC program, TRHS aims to expand integrated behavioral health care in Canyon County with a particular focus on those who need services the most; individuals with high needs, including adults with serious mental illness (SMI) and children with severe emotional disturbance (SED) and those with co-occurring illness, and sub-populations that frequently experience heightened barriers to accessing care in Canyon County, including Hispanic/Latino populations (approximately 25% of the Canyon County population), LGBTQ+ populations (approximately 2.8% of the Canyon County population), those who are homeless and/or unstably housed (approximately 633 individuals in the Canyon County region as of the 2021 Idaho Point-in-Time Homeless Count), and those who are living in poverty (approximately 38% of Canyon County residents).

Key strategies that TRHS will implement to expand access to needed behavioral health care services include (1) strengthening the Idaho Region III (Canyon County) crisis continuum of care to de-escalate mental health and substance use crisis and divert unnecessary inpatient or emergency department usage by connecting users to outpatient care; (2) expanding access to integrated behavioral health services for underserved populations through increasing mental health and substance use disorder treatment providers who are trained in providing care to marginalized populations; and, (3) expanding the capacity of behavioral health services available to youth and adolescents under the age of 18.

TRHS anticipates serving 200 unique individuals in Year 1; 450 unique individuals in Year 2; 750 unique individuals in Year 3; and 1,100 unique individuals by Year 4. TRHS is well-positioned to establish a fully-compliant CCBHC program within one year of award and already provides a significant array of integrated medical, dental, and behavioral health services.

TRHS has served the communities in Southeast Idaho for 51 years and is an NCQA Level III Patient-Centered Medical Home and Joint Commission Primary Care and Behavioral Health Home—one of the first organizations in Idaho to receive this designation. TRHS served 34,424 unique patients in 2021, including providing 6,292 patients with behavioral health care; 25,100 patients with primary care medical services, and 10,032 patients with dental care. It is well-experienced in serving marginalized populations, with 73% of patients served in 2021 living at or below 200% of the Federal Poverty Level (FPL), 38% enrolled in Medicaid, and 34% of patients uninsured.

Community Health Clinics

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]

Caldwell, Idaho 836054076 United States

Single Zip Code

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

Amendment Since initial award the total obligations have increased 300% from $1,000,000 to $4,000,000.