H79SM087011

Advancing and expanding the current Certified Community Behavioral Health Clinic Program within rural North Carolina - Project Name: CCBHC Advancement Grant in Rural Eastern North Carolina.

Summary of Project: The significance of the statistics presented below will demonstrate the need to combat the mental health crisis by increasing access to high-quality community mental health and SUD treatment services within MCHS’s rural and impoverished catchment area.

Mental Health America published the 2022 State of Mental Health America Report in which North Carolina ranked 38th out of 51 for access to mental health care (a higher ranking demonstrates more need). Within the same report, North Carolina ranked 42nd out of 51 for youth mental health and placed 31st out of 51 for overall mental health. [1]

The COVID-19 pandemic has also greatly impacted the mental well-being of the entire world and North Carolina is no exception. In 2021, 35% of adults in North Carolina reported symptoms of anxiety and/or depressive disorder. For comparison, in 2015, 16% per 100,000 individuals died due to drug overdose; however, in 2020, that increased to 31% per 100,000 individuals.

Populations to be served: Along with being designated as a MUA, each of the five counties are designated as a Health Professional Shortage Area (HPSA). Beaufort County is designated as a low-income population HPSA, Hyde County is designated as a high-need geographic HPSA, Martin County is designated as a low-income HPSA, Tyrrell County is designated as a low-income population HPSA, and Washington County is designated as a geographic HPSA. All of the listed HPSA designations are specific to mental health. The counties are designated with additional HPSA designation types for dental and primary care.

Approximately 43% of the population within the catchment area is categorized as low-income, which means this percentage of the population lives at or below 200% of the Federal Poverty Level (FPL). Of the nearly 146,000 residents living within the entire catchment area, approximately 62,000 of these residents are low-income. Additionally, 20% of the population lives in poverty, 12% are uninsured, 22% classify as having a disability, and over 19% of adults have no usual source of care. [4]

The North Carolina Injury & Violence Prevention Branch provided the number of opioid poisoning emergency department (ED) visits within the catchment area.

Goals & Objectives:

Goal 1: To increase access to high-quality community mental health and SUD treatment for individuals with SMI, SUD, SED, and COD in rural eastern North Carolina with a focus on vulnerable populations.

Objectives:
1) By the end of Year 2, MCHS will have contacted over 500 individuals through program outreach.
2) By the end of Year 2, MCHS will have screened and assessed over 850 individuals.
3) MCHS will serve 700 unduplicated individuals in Year 1, 850 unduplicated individuals in Year 2, and 1,550 unduplicated individuals in total.

Goal 2: To reduce the number of emergency department visits by preventing or minimizing recurrent acute episodes of SMI and SED.

Objectives:
1) By the end of Year 2, MCHS's certified ACT team will have served over 100 individuals.
2) By the end of Year 2, the number of SMI and SED emergency room visits in the service area will decrease by 20%.

Goal 3: To decrease the number of opioid-related emergency department visits by increasing the number of individuals receiving SUD treatment.

Objectives:
1) By the end of Year 2, MCHS's rapid response team will have served over 200 individuals.
2) By the end of Year 2, MCHS's MAT providers will have served over 400 new individuals.
3) By the end of Year 2, the number of opioid-related emergency department visits will decrease by 20%.

Metropolitan Community Health 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]

Washington, North Carolina 278894906 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.