H79SM087070

CASCADIA CCBHC Improvement - Increasing access and decreasing stigma among individuals with co-occurring disorders through harm reduction and healthcare integration.

CASCADIA’s CCBHC improvement effort will focus on people with co-occurring substance use and mental health disorders (COD), including people with any mental illness, severe mental illness, people who inject drugs (PWID), and those with acute and/or chronic physical health sequelae of COD.

For Oregon residents with COD, access to care is particularly difficult. Oregon ranks second highest in addiction rates in the nation and is 50th in access to treatment.

Oregon ranks third highest in unmet need for mental health treatment, with only 45 percent of adults with mental illness in Oregon receiving any form of treatment.

Oregon experienced a 45 percent increase in unintentional overdose deaths in 2020-2021—a faster pace of increase than the national average. The cost of hospitalizations due to IDU-related SBIs are increasing, recently costing the state more than $200 million during a 1-year period.

Although Cascadia currently provides healthcare to individuals in this population of focus, challenges in diagnosing substance use disorder (SUD) in people with co-occurring mental illness limit our ability to provide needed healthcare.

Cascadia has identified two goals to guide our organization towards a more comprehensive and sustainable model of integrated healthcare for individuals with complex, co-occurring mental health and substance use issues:

- Goal 1: is to improve access to and quality of integrated health services among people with co-occurring mental health and substance use disorders.
- Goal 2: is to increase organizational capability to implement harm reduction as a care and treatment model across all behavioral health programs.

Cascadia intends to apply the goals to all nine core CCBHC services with objectives focused on bolstering screening and assessment for COD, rapid engagement in services, and deployment of integrated treatment specialists on care teams.

In addition to the evidence-based practices currently implemented, Cascadia will use SAMHSA’s Integrated Treatment for Co-Occurring Disorders Evidence Based Practices Kit to inform the improvement of operations.

Data collection, analysis, reporting, and quality improvement will occur on an ongoing basis over the four-year grant period, with focused study on 375 participants with COD.

Cascadia Health

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]

Portland, Oregon 972322684 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 326% from $911,938 to $3,880,871.