H79SM086994

Brooklyn Connected Care CCBHC - Overview: The Jewish Board (JB) proposes to improve its Brooklyn Connected Care (BKCC) CCBHC by expanding substance use (SU) treatment and adding home-based child/family mental health care to meet pandemic-related needs, while continuing to support crisis care, health screening, outreach, and other required services until they are financially sustainable.

BKCC offers CCBHC services mainly to low-income culturally-diverse Brooklyn, New York residents. During the 4-year grant period, JB will serve 4,500 unduplicated New Yorkers, the majority with a serious behavioral health (BH) condition (2,532 unduplicated clients in year 1; 2,652 in year 2; 2,773 in year 3; and 2,893 in year 4).

At BKCC, JB serves primarily low-income culturally-diverse residents 5 years and older living in the densely populated, underserved neighborhoods of Borough Park, Flatlands, Flatbush, Midwood, Southern Brooklyn, and Central Brooklyn in Kings County (Brooklyn) in New York City. Disparities to be addressed are access to care barriers, higher risks to children/youth negatively impacted by the pandemic, increased substance abuse, and historic racial/economic disparities in the prevalence of chronic health conditions.

Population Served: In 2021, the CCBHC served 2,411 unduplicated individuals (62% female) with 84% having a mental health (MH) condition, two-thirds a serious mental illness (SMI), and 14% a co-occurring substance use disorder (SUD). Two-thirds (62%) are adults ages 18-64, 21% are children ages 5-17, and 17% are 65+, which is representative of the age distribution in Brooklyn.

In 2021, 70% of local residents using JB services are low-income on Medicaid or Medicare/Medicaid (compared with 17.8% in Brooklyn), with 66% white, 15% black, 4% Asian, and 15% other/unknown; 17% identify as Hispanic. Over half of BKCC consumers are Jewish, and the rest are Catholic, Protestant, Muslim, other, or no religion.

CCBHC Services: At the CCBHC, JB operates a NYS-licensed MH clinic that serves children 5+ and all age adults; a PROS program with treatment/rehabilitation; and 2 ACT teams (with peers). These programs offer psychotropic medication, including long-acting injectable antipsychotic medication, and psychotherapeutic interventions including individual, group, and family therapy (only clinic) with clinicians who utilize evidence-based practices such as motivational interviewing, trauma-focused cognitive-behavioral therapies, dialectical behavioral therapy, and more.

The MH clinic and ACT teams offer SU interventions including medication-assisted treatment (MAT) for OUD and alcohol abuse, plus individual SU counseling and therapeutic groups. The clinic, PROS, and ACT offer nicotine replacement medications. JB will be adding Medicaid-funded Children and Family Treatment and Support Services (CFTSS) to provide in-home therapy, rehabilitation, crisis intervention, and family peer support.

The CCBHC offers 3 case management opportunities--Medicaid-funded Health Home, NYC-funded case management for adults not eligible for HH, and ACT team case management.

Goals/Objectives:
(1) Improve diabetes detection in those using antipsychotic medications in those ages 18+. Goal: Increase from 70% to 85% screening rate.
(2) Improve follow-up after psychiatric hospitalization in those 6 yrs +. Goal: 75% follow-up rate for all ages.
(3) Improve BMI screening & follow-up ages 18+. Goal: 70% screening & follow-up.
(4) Improve depression identification & follow-up for ages 12+. Goal: Increase to 90% screening & follow-up.
(5) Improve SUD diagnosis follow-up for ages 12+. Goal: 70% follow-up rate.
(6) Improve suicide risk assessment follow-up for ages 10+. Goal: 75% follow-up rate.

Jewish Board Of Family And Children's Services

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]

Brooklyn, New York 112232329 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.