H79SM086825

Spokane CCBHC-IA - Project Name: CHAS Health CCBHC Improvement and Advancement (IA)

Summary: CHAS Health will expand services at one of Spokane County's first CCBHCs. To improve and advance services, CHAS Health will renovate our existing CCBHC facility prior to a grant award, tripling the clinic's usable square footage and allowing SAMHSA funding to be used to increase access to higher-acuity behavioral health services integrated with primary care. Furthermore, we will enhance the services we offer to patients with mental health diagnoses, substance use disorders, and co-occurring disorders by integrating additional evidence-based approaches and deepening the capacity of our workforce to deliver them.

Spokane County is the target service area, and Frontier Behavioral Health is the designated collaborating organization.

Goal 1: Increase CHAS CCBHC staff to deliver high-acuity BH services integrated with existing primary medical care to serve more patients with serious mental illness (SMI) or substance use disorders (SUD), children and adolescents with serious emotional disturbance (SED), and individuals with co-occurring mental and substance disorders (COD).

Objective 1A: By month 4, CHAS will begin to serve patients through the CCBHC IA grant, with at least 50% of the clinical staff identified in the staffing plan hired.

Objective 1B: The CCBHC will serve 880 unduplicated patients in year 1, and 1,020 unduplicated patients each year thereafter, for a total of 3,940 unduplicated patients during the 4-year project.

Goal 2: Improve CCBHC by integrating evidence-based strategies to improve patient outcomes.

Objective 2A: By month 6, behavioral health workgroup establishes and pursues a trauma-informed care quality improvement goal for the CCBHC.

Objective 2B: By month 6, providers at CCBHC integrate measurement-based care into treatment planning and patient engagement.

Strategies/Interventions: CHAS Health will continue to provide comprehensive outpatient mental health and substance use services, targeted to moderate-to-severe behavioral health needs. Patients will have the opportunity to develop skills in relapse prevention, coping skill-development, and interpersonal relationships. Treatment will include an emphasis on building strong support networks to promote sustained recovery. Strategies will include psychiatric advanced directives, trauma-informed care, and peer support, in addition to motivational interviewing, SBIRT, medication-assisted treatment, harm reduction, CBT, relapse prevention planning, and psychoeducation. Frontier Behavioral Health will provide 24/7 crisis services and assertive community treatment for the CCBHC.

CHAS Health has the organizational capacity to implement this IA grant project and deliver the scope and quality of services required by SAMHSA. CHAS has met or exceeded all CCBHC milestones listed in our original SAMHSA expansion grant. Our CCBHC located in the city of Spokane was launched in June 2021 and reached 395 patients in its first eight months of operation. We have also secured our behavioral health licensure through Washington State. Our proposal directly aligns with patient demands in Spokane County and the Eastern Washington region, which show high needs for behavioral health care for adults, youth, and children with moderate to severe conditions.

Community Health Association Of Spokane

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]

Spokane, Washington 992081122 United States

Single Zip Code

Certified Community Behavioral Health Clinic (CCBHC)– Improvement and Advancement Grants (SM-22-012)

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