H79SM086686

Certified Community Behavioral Health Clinic - Gateway Healthcare proposes to implement a Certified Community Behavioral Health Clinic (CCBHC) serving Pawtucket and Central Falls, Rhode Island to increase access to person- and family-centered integrated behavioral health services, particularly for communities facing health disparities and those of color. The project anticipates serving 1,450 unduplicated adults, adolescents, and children.

The populations of focus are: 1) individuals with serious mental illness (SMI); 2) individuals with substance use disorders (SUD); 3) children and adolescents with serious emotional disturbances (SED) experiencing trauma and/or eating disorders; 4) young adults with emerging psychosis, and 5) individuals experiencing a behavioral health crisis.

The project has four primary goals: 1) to establish a fully operational CCBHC, providing the complete scope of CCBHC services to all individuals eligible; 2) to implement evidence-based practices (EBPs) appropriate and specific to each population served; 3) to establish partnerships with additional community providers and organizations to improve accessibility of services and care coordination for clients and reduce health disparities of racial, ethnic, LGBTQ, and homeless populations; and, 4) to implement infrastructure enhancements to improve the overall quality and coordination of care.

Key measurable objectives include: 1) implementation of six EBPs with clients: Motivational Interviewing (MI), Skills-Based Cognitive Behavior Therapy (CBT), Coordinated Specialty Care (CSC), Collaborative Assessment & Management of Suicidality (CAMS), Family-Based Therapy (FBT), and Trauma Focused-Cognitive Behavior Therapy (TF-CBT); 2) establishment of formal multidisciplinary care coordination agreements necessary for project success; and 3) training of the workforce in the EBPs related to the population each serves, with bi-annual monitoring to maintain 90% fidelity and at least 45 completing training in MI and CBT; 20 in CAMS, 6 in CSC, 5 in FBT, and 6 in TF-CBT.

Strategies and interventions to meet these goals and objectives include: 1) providing the core CCBHC services: crisis mental health services; screening and assessments; patient-centered treatment planning; outpatient mental health and substance use services; outpatient clinic primary care screening; case management; psychiatric rehabilitation services; peer support, counselor services, and family supports; and community-based mental health for members of the armed forces. 2) expanding the number of clinicians in the state with both expertise and training in evidence-based programs for individuals with SMI, SUD, SED, and other behavioral health crises. 3) strengthening care coordination among organizations that support specific populations, such as Latinx, immigrants or military; primary care providers and FQHCS; emergency departments; schools; and housing agencies to support the overall well-being of individuals with behavioral health and/or substance use disorders.

Over the course of the project, 1,450 individuals will be served through the CCBHC, as follows: Year 1: 320; Year 2: 355; Year 3: 385; and Year 4: 390.

Gateway Healthcare

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]

Pawtucket, Rhode Island 028605542 United States

Single Zip Code

Certified Community Behavioral Health Clinic (CCBHC) – Planning, Development, and Implementation Grants (SM-22-002)

Amendment Since initial award the total obligations have increased 300% from $999,994 to $3,999,994.