H79SM087014

S:US Wellness Works Clinic CCBHC-IA Application - Services for the Underserved (S:US) will improve and advance our CCBHC Wellness Works, formerly known as Comprehensive Treatment Institute (CTI), located at 177 E. 122nd Street in East Harlem with a satellite location at 1366 Inwood Avenue in the Highbridge areas of the Bronx.

S:US has long served these low-income neighborhoods which have some of the highest rates in NYC for SMI, SED, and SUD. Our CCBHC will recruit and provide services to individuals who are not connected to care, including individuals and families experiencing homelessness in these communities.

We will continue to use EBPs such as trauma-informed care, motivational interviewing, intentional peer support, harm reduction, and medication-assisted treatment. We will provide CCBHC services to 600 individuals per year (2,400 over the four-year program).

Our DCO partner, Acacia/Promesa, will provide crisis services for S:US' Wellness Works. The specific focus of our CCBHC-IA grant will be to improve our core services in three ways: serving children/adolescents, providing targeted case management, and integrating physical health care; we will also implement two new activities: cultural competency training to serve the LGBTQ+ community and implementation science pilot.

The majority of people we serve identify as BIPOC: 64% identify as Black or African American, 40% as Hispanic/Latinx. Over half identify as female (58%), 42% as male and less than 1% as transgender. Over 10% of individuals identify as LGBTQ+ at admission.

Over the last four years as a CCBHC expansion grant, we have served primarily adults, with 67% ages 26-54. The majority of individuals are unemployed (72%) and over 90% qualify for Medicaid or Medicare.

Communities of color, like East Harlem and Highbridge, often endure the greatest mental health burden and are least likely to get the help they need. Latinx New Yorkers are less likely to receive treatment for depression compared to white New Yorkers, and Black New Yorkers are more likely to experience biases in diagnosis than white New Yorkers (NYC DOHMH, 2020).

According to the Community Health Profiles report, the rate of adult psychiatric hospitalizations in Highbridge and East Harlem is higher than the citywide rate; East Harlem's rate is nearly triple the citywide rate. In East Harlem, 15.2% of Medicaid beneficiaries have a diagnosed SUD and rates of alcohol- and drug-related hospitalizations and deaths are double that of the city overall. In Highbridge, the SUD prevalence rate is 9%. The rate of preventable hospitalizations for children in Highbridge and East Harlem are more than double that than the citywide average.

Program goals include:
1) Increase access to and improve the quality of community behavioral health services in Manhattan and the Bronx;
2) Increase engagement in CCBHC services to serve the whole person;
3) Integrate primary care and behavioral health care to improve health outcomes for individuals with SMI, SUD, COD, or SED;
4) Increase capacity for sustainable CCBHC services.

Services For The Underserved

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]

New York, New York 100352906 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.