H79SM086882

Judson Center Certified Community Behavioral Health Clinic-Improvement and Advancement - Summary:

Judson Center's Certified Community Behavioral Health Center (CCBHC) will expand access to and enhance SUD, COD, and mental health treatment services for residents of Macomb County (MC), MI, including the city of Warren where the CCBHC is located, plus neighboring underserved areas of Oakland County (OC) and northern/west Detroit which struggle with poverty and access to services. The project will also provide outreach to underserved populations to address health inequities. Evidence-based practices including Cognitive Behavioral Therapy (CBT), Trauma-Focused CBT, and Medication-Assisted Treatment will be provided.

Populations to be served:
The CCBHC will serve children, adolescents, and adults with Serious Mental Illness (SMI), Serious Emotional Disturbance (SED), Substance Use Disorder (SUD), and Co-occurring Disorder (COD). Expanded services will be provided to college-aged adults and K-12 children. Outreach will include the LGBTQ community and those with Opioid Use Disorder (OUD).

There are 876,792 residents in MC (including 44,452 veterans): 20.8% are 18 and under, 7.3% under age 65 are without insurance, and 9.2% are in poverty. 80.3% are White, 12.6% African American, 4.3% Asian, and 2.8% Hispanic or Latino. Across the geographic region, only 58% of individuals with any mental illness (AMI) and 14.8% of individuals with a SUD are receiving care. In MC, 15.6% of those 18 and older experience poor mental health. 19.5% experience depression, 17.5% experience AMI, 4.2% experience SMI, 6.5% experience a Major Depressive Disorder, and 3.8% experience suicidal thoughts but only 16.7% receive mental health services.

Local data shows that for those under age 18 in MC, the rate of population to providers (563:1) is higher than statewide (373:1). Since the onset of the COVID-19 pandemic, national data show more than 25% of high school students reported worsened emotional and cognitive health. Over 20% of parents with children ages 5-12 reported their children experienced worsened mental or emotional health. Additionally, the CDC reports an increase in adolescent suicide attempts. MC and OC also saw the highest total of alcohol-induced deaths since 1980, with MC at 133, up 15.7% from 115 in 2019, and OC at 148, up 37% from 108. 32.8% of Michigan residents with OUD are not receiving care.

Strategies and interventions include offering same day/next day access for clients with urgent or immediate needs, expanding MAT treatment services, expanding onsite and telehealth services to all clients including school-based services, the use of a peer recovery coach to support clients diagnosed with SUD or COD, peer support specialist services to lead wellness and recovery groups, and training all staff in evidence-based practices so clients receive the most effective substance use and mental health treatment services and recovery support.

Goals and objectives center around 1) strengthening the program intake unit to reduce barriers to care; 2) expanding treatment capacity and strengthening the service array for individuals struggling with SUD and COD; 3) strengthening behavioral health services that support recovery from a mental health and COD; and 4) expanding mental health services to children and college-aged students. Measurable outcomes include reduced symptoms of depression and anxiety for 75% of clients served, reduced use or complete cessation of use for 50% of those being treated for SUD or COD, and immediate crisis intervention for 100% of children and adults with high suicide risk.

Total number served:
The project will serve 400 unduplicated individuals in grant year 1, 500 unduplicated individuals in grant year 2, 625 unduplicated individuals in grant year 3, and 755 unduplicated individuals in grant year 4 for a total of 2,280 unduplicated individuals.

Judson Center

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]

Warren, Michigan 480933093 United States

Single Zip Code

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

COVID-19 $4,000,000 (100%) percent of this Project Grant was funded by COVID-19 emergency acts including the American Rescue Plan Act of 2021.
Amendment Since initial award the total obligations have increased 300% from $1,000,000 to $4,000,000.