H79SM087027

Ttbh Ccbhc-Ia Program - The Tropical Texas Behavioral Health (Ttbh) Ccbhc Improvement and Advancement Program proposes to expand and enhance through process improvement, health outcome improvement and expanded policies and procedures of its behavioral health services to treat adult with substance use disorder (SUD), primary care and co-occurring disorders (COD) through the enhancement of the care coordination model via the Ccbhc enhancement grant.

The target population are individuals identified with severe and persistent mental illness (SPMI) with major depressive disorder, bipolar disorder, schizophrenia, and other related disorders. Ttbh has 55 years in operation as the local mental health authority (Lmha) for the region in south Texas known as the Rio Grande Valley (Rgv) composed of 1.3 million residents with about 90% Hispanic population.

Ttbh serves residents of Hidalgo, Cameron, and Willacy counties with poverty levels of 23.9%, 24.4% and 24.7%, respectively, almost double of the state at 13.4% and the U.S. at 11.4%, based on 2020 US Census. Hrsa identifies our counties as medically underserved areas and health professional shortage area for primary care, psychiatrist, psychologists, licensed professional counselors and licensed chemical dependency counselors.

Additionally, our 2021 internal data indicates 24.50% of all clients assessed by ttbh outpatient services were considered low income and/or uninsured. From the ttbh adult population served, 6% identify as LGBT and of individuals experiencing homeless or displacement, 11% reported SUD/COD. Also, ttbh veterans account for 5% of all clients served.

Ttbh's care coordination team will provide services to address behavioral health issues as well as referral to internal clinical services to primary care, substance use disorders, veteran services, assisted outpatient treatment (AOT) and crisis services. Ttbh consistently employs evidence-based practices to assess client's needs to determine the most appropriate type of care. Ttbh provides clients with support services such as a drop-in center and employment and housing assistance.

Ttbh clients have the advantage of receiving enhanced integrated services by care coordinators in each of our four clinics throughout the RGV. The ttbh Cchbc-Ia program will focus on adults with serious mental illness, SUD, COD and chronic medical conditions. Based on research, these conditions are often inter-linked. Based on publication by Harter et.al, 2003, specific mental or substance-use diagnoses place individuals at higher risk for certain general medical conditions. For example, person with anxiety disorders have higher rates of hypertension, cardia and gastrointestinal problems, genitourinary disorders, and migraines.

Given this evidence, the intervention services identified for this program include: 1) improved coordination and access to SUD and COD treatment services for adults; 2) improved access to routine whole-person integrated care with primary care services, and 3) enhancement of care coordination services to improve continuity of care. The program goals and objectives include: 1) expand access to care coordination activity with integrated behavioral health, primary care, and substance use disorder services; 2) improve preventative care and screening outcomes related key health indicators; 3) improve screening outcomes related to client depression; 4) improve screening outcomes for substance use clients.

At least 400 unduplicated clients will be assessed for services and enrolled annually and at least 1600 unduplicated clients will be screened and enrolled over the four-year life of the grant.

Tropical Texas Center For Mh-Mr

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]

Edinburg, Texas 78539 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.