H79SM087041

Hope, Health, and Balance - Abstract:

Hope, Health, and Balance is a grant funding opportunity, NOFO: Certified Community Behavioral Health Clinic: Improvement and Advancement, with the applicant being Porter-Starke Services Inc. The requested amount for Year 1 is $997,783.

Porter-Starke Services (PSS) has been operating a Certified Community Behavioral Health Clinic (CCBHC) in Porter and Starke counties in Indiana since 2020. The CCBHC in Starke County received state certification in 2016. PSS has consistently maintained full compliance with the CCBHC compliance criteria, serving target populations including seriously mentally ill adults (SMI), seriously emotionally disturbed children and adolescents (SED), substance use disorder (SUD), opiate use disorder (OUD), and individuals with co-occurring mental and substance use disorders (COD) during the current CCBHC grant period.

For the project period, PSS aims to serve an additional 1,050 individuals. PSS directly provides all nine core CCBHC services. One of the goals of PSS is to increase services to the LGBTQ+ community, as they are at higher risk for intimate partner violence and mental health/addictions, and are less likely to receive culturally appropriate assessment and treatment.

Both Porter and Starke counties are designated mental health professional shortage areas according to HRSA 2021. Additionally, both counties have high rates of adult smoking (Starke 23%, Porter 21%), adult obesity (both 33%), excessive drinking (Starke 17%, Porter 21%), alcohol-impaired deaths (Starke 29%, Porter 18%), and opioid death rates above the state average (Starke 42.4, Porter 20.3). Suicides have averaged 28.6 in Porter County and 3 in Starke County over the past five years. Furthermore, approximately 188 out of 449 jail inmates in Porter County and 42 out of 108 jail inmates in Starke County have a mental health and/or substance use diagnosis.

Needs assessments have identified several issues in both counties, including access to mental health services, substance use and abuse, and suicide. To improve the CCBHC program, PSS has set the following project goals:

1) Decrease inappropriate admissions to jail (N=100) and emergency rooms (N=250).
2) Increase rates of screening for mental health, addictions, and social determinants to 75% for the target populations.
3) Increase rates of appropriate medical/laboratory screenings for the target populations to 50%.
4) Improve behavioral health functioning, as measured by standardized assessments (CANS and ANSA), in at least one domain for 40% of the target populations.
5) Increase participation in addictions treatment or relapse prevention for those with a diagnosis of SUD, OUD, or COD by 50%.
6) Develop community strategies and recommendations to reduce overdose deaths through active participation and attendance at a minimum of 80% of the meetings of county-based fatality review committees.
7) Increase follow-through with primary medical care and coordination of care between behavioral health and medical care by 50% for the target populations.
8) Decrease avoidable chronic illness by improving scores on medical screenings for 35% of at-risk enrolled individuals.
9) Increase HIV and viral hepatitis screenings by 50% for those at risk.
10) Improve identification of LGBTQ+ individuals and provide culturally responsive and appropriate mental health and substance use services to at least 50 LGBTQ+ individuals.
11) Establish Assisted Outpatient Treatment (AOT) in Porter and Starke counties, with six AOT court orders annually.

Porter-Starke 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]

Valparaiso, Indiana 46383 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 297% from $997,783 to $3,958,071.