H79SM087174

Neighborhood Service Organization Certified Community Behavioral Health Clinic- Improvement and Advancement Grants - Neighborhood Service Organization will utilize CCBHC expansion funding to continue to expand the number of persons whom CCBHC services are provided during the four-year period of the grant. Building on the success and growth experienced during the first grant period.

NSO experts to serve an unduplicated total of 1,970 individuals during the four-year period. As one of the largest providers of behavioral health and homeless services in the geographical catchment area of Wayne County, Michigan, which includes the state's largest and most populous city, Detroit. We will focus CCBHC funding on addressing the needs of high-risk, underserved families, adults, and children, including individuals experiencing homelessness with severe mental illnesses, substance abuse disorder, co-occurring disorder, and severe emotional disturbance.

With 1.75 million residents, Wayne County ranks as Michigan's largest and least healthy county (County Health Rankings, 2018). These high-risk communities face significant barriers related to social determinants of health such as lack of housing and transportation, experience a high degree of unmet behavioral health need, and inadequate access to quality health care. Wayne County includes 17 mental health provider shortage areas (HPSAs) with an average score of 17, 23 primary care HPSAs with an average score of 20, which is the worst in the state (Health Resource Service Administration).

The opioid overdose epidemic is significant and growing in Wayne County which Detroit obesity rate 41% and diabetes rate at 14.2%. Other indicators include smoking 31% and lack of personal health provider 20%, all well above state and national rates (MI BRFSS 2015-2017). Overall, there remains a pressing need for CCBHC services in our community to expand critical mental health, substance abuse, and primary care services to the uninsured, underinsured, and underserved.

Goals for the four-year grant period continues and build on the process that Neighborhood Service Organization has achieved in implementing the CCBHC structure. The goals are:

1. Provide comprehensive evidence-based trauma-informed mental health and substance abuse to adults, families, and provide services to children.
2. Provide multidisciplinary, integrated behavioral health and primary care consistent with the Behavioral Health Home model.
3. Provide timely and convenient access to care through system redesign, telehealth, and same-day access.
4. Improve data-driven population health management to improve quality care and health outcomes.
5. Expand access to SED services for children.

Activities to achieve these goals include a community needs assessment, a plan to expand access to SED waiver services for children and veterans, identification of additional training opportunities in a variety of evidence-based practices; enhanced data sharing to improve care coordination; expansion of psychiatric telemedicine services; a plan to reduce no-show rate and increase same-day intake appointments, and development of a risk stratification model to improve data-driven population health management.

Neighborhood Service Organization

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]

Michigan United States

State-Wide

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.