H79SM086867

Specialized Treatment and Recovery Team (START) - York Enhancements - WellSpan's Specialized Treatment and Recovery Team (START) – York Enhancements expands its certified community behavioral health clinic to serve 500+/year, 2,150 in 4 years.

Enhancements are support groups and education in community settings, expanding walk-in hours, adding evidence-based practices specific to persons experiencing homelessness, formerly incarcerated, Spanish-speaking and LGBTQI+; training for LGBTAIA+ affirming staff, on-site tobacco cessation, and expanding collaboration with prison diversion/re-entry.

The population of focus for START is individuals with complex behavioral and physical health needs, who also have psychosocial and cultural factors and/or complexities precipitating, and propagating health, mental health, and substance use concerns.

Most participants are from York City, where 44% are non-white, 33% Hispanic, and 27.7% living below poverty level. Location is York City, although participants are accepted from any geographic area.

Goal 1: To improve and expand the care provided by START
Obj 1A: By increasing peer and recovery support services and adding community partners that address SDOH, START participants scores on the DLA20 (implementation by March 2023) will improve by at least 10% from intake to discharge by 9/29/24 and annually thereafter.
Obj 1B: By offering on-site freedom from smoking groups and individual counseling at START, the number of referrals to tobacco cessation will increase by 20% by 9/29/24 and annually thereafter.
Obj 1C: As a result of seeking consumer input through patient rounding and engaging START community oversight/governance groups (Consumer Advisory Board and Consumer Advisory Council) and considering that feedback to improve services at START, by 9/1/23 and annually thereafter 85% of consumers will indicate they would recommend the program to others as measured on McClean Perceptions of Care EBASIS Patient Experience Survey.

Goal 2: To increase access to and availability of high-quality services to meet identified community needs
Obj 2A: As a result of offering at least 15 hours/week of open slot (walk-in) appointments, by 9/29/23 and thereafter, the average time between requesting an appointment and having a scheduled appointment will decrease to an average of 3 days (currently at 3.4-day average).
Obj 2B: As a result of providing peer and recovery support and support groups in community locations and increasing START's number of LGBTQIA+-affirming team members, there will be a 10% overall increase in unduplicated individuals served by 9/29/24 and maintained thereafter, and at least a 5% increase in the number of LGBTQIA+ individuals served by 9/29/24 and annually thereafter.

Goal 3: To provide care in a community-based setting to reduce the overall cost of care
Obj 3.A: As a result of integration of crisis staff with START staff and increased community outreach, the number of ED diversions will increase by 10% each year to at least 70/month by 9/29/23, 77/month by 9/29/24, 85/month by 9/29/25, 94/month by 9/29/26.
Obj 3B: Upon discharge from START to primary care or other outpatient services, START participants will have a 20% reduction in ED visits for MH or MH/SUD compared to the 12 months prior to receiving services at START by 9/29/25.
Obj 3C: As a result of collaborative efforts between the START, Community Action for Recovery and Diversion (CARD), York County Re-entry Coalition and the County Prison System, diversions from the justice system into treatment for those with MH and SUD disorders will increase by 20% over four years (5% per year) by 9/29/26 from a 2022 baseline of 27.

Wellspan Health

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]

York, Pennsylvania 174013164 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 $998,833 to $3,997,517.