H79SM086795

Central City Integrated Health (CCIH) will expand integrated primary and behavioral health services and reduce suicide and trauma for residents in Wayne County, Michigan.

Abstract:
Through community outreach, education, training, and the use of evidence-based strategies (EBP), Central City Integrated Health (CCIH) will expand integrated primary and behavioral health services and reduce suicide and trauma for residents in Wayne County, Michigan. CCIH will expand existing behavioral health services and improve screening, referral, and coordination with safety net organizations. They will also train these organizations on how to identify and route individuals for needed mental health (MH) and/or substance abuse disorder (SUD) treatment, as well as address population health needs such as STD screening and chronic disease management. These goals will be accomplished by expanding community capacity to recognize MH/SUD conditions and increasing referrals for those services. The EBPs targeted for expansion include Zero Suicide, Trauma-Informed Care (TIC), and Motivational Interviewing (MI). CCIH refers to this initiative as the "Better Community Health Project" (BCHP), which includes recruitment and onboarding, building service capacity, and enhancing screening and best practice treatments.

Project goals include:

1) Enhancing CCIH's standard of care by obtaining all of the Certified Community Behavioral Health Clinic (CCBHC) standards as defined by the Substance Abuse and Mental Health Services Administration (SAMHSA) and highlighted in CCIH's CCBHC proposal.
2) Increasing access to care by offering expanded comprehensive screening and treatment availability.
3) Increasing MH/SUD competency to recognize and refer MH/SUD/co-occurring disorders (COD) conditions in the CCIH catchment area with key health and human service organizations.
4) Reducing the rate of suicides and trauma symptomology with CCIH clients in the region through enhanced recognition, risk assessment, and EBP treatments.
5) Continuously improving the CCBHC model and outcomes through the program evaluation process.

The catchment area for the project is Wayne County, Michigan, with a population of 1,774,816, which includes the city of Detroit with a population of 659,135. According to US Census data for 2021, 22.7% of residents live below the federal poverty level (FPL), compared to Michigan's 12.6% FPL and the national average of 13.4% FPL. The racial profile of the county is 49.4% Caucasian, 38.7% African American, 6.1% Hispanic or Latino, 3.5% Asian, and 2.6% two or more races. Over 49% of families are single-parent households, and 30% have a high school diploma or less. The county is 51.8% female and 48.2% male. The age distribution is as follows: 23.6% <18 years old, 60.6% 18 to 64 years old, and 15.8% 65 and older. The percent of adults (18+) that identify as LGBTQ is 4%, and the percent of the workforce (18+ years old) that identifies as LGBTQ is 4% (Gallup 2019; Gallup 2020). Unemployment remains higher in Wayne County with 5.2% compared to 4.2% for Michigan and 3.7% nationally. Drug overdose deaths per capita are almost twice as high as the rest of the state and nationally (CHR, 2022). The top three service needs for Medicaid and uninsured residents were access to MH, SUD, and primary care services according to a community survey (SMML CNA, 2021). Multiple Wayne County regions are designated as health and mental health shortage populations (HRSA, 2022). The BCHP will expand CCIH's service capacity with an emphasis on outcome measurement and sustainability. The CCBHC funding will enable CCIH to provide integrated EBP MH/SUD/COD services to 1,330 new clients over the course of the four-year funding.

Detroit Cntrl Cty Community Mntl

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]

Detroit, Michigan 482012722 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 $999,925 to $3,998,805.