H79SM088927

FY 2023 Hillcrest Family Services Certified Community Behavioral Health Clinic Improvement and Advancement - Hillcrest Family Services (HFS), the leading provider of behavioral health services in Eastern Iowa, with over 35 current programs, including 5 Community Mental Health Centers (CMHCs) and serving people at every stage of life: children, youth, adults, and seniors, proposes to establish a Certified Community Behavioral Health Clinic (CCBHC).

We provide a full range of person-centered, evidence-based behavioral health services and are the largest school mental health provider in the region. Committed to the vulnerable, we are the only provider in Dubuque and Jackson County certified by the region for behavioral health care to those unable to pay. We are pursuing this opportunity to expand and continue our current CCBHC services.

Our expansion efforts seek to address the unmet behavioral health needs of Dubuque and Jackson Counties, particularly in rural areas and specifically the need for:

1) Improve community behavioral health through reducing barriers to access and proving quality care,
2) Reduce excessive drinking by offering an array of services delivered by peers and newly trained staff focused on engaging and retaining people, and
3) Increase early engagement of children with their families to improve outcomes for children and adolescents with SED.

Our CCBHC will deliver quality screening, assessment, and treatment, 24/7 crisis services, person-centered care coordination, physical health screenings and coordination, psychiatric rehabilitation and peer support, targeted case management, and integrated care of veterans for children and adults. We are partnering with our local FQHC, working closely with our VA partners, providing services in the jails and hospitals, and delivering services in schools.

To support this work, we will hire additional staff with lived experience, therapists, case managers, and care navigators. We propose to improve behavioral health through increased access by expanding hours, providing additional free/low-cost transportation options, connecting more closely to people transitioning from institutions, and training all clinicians in cognitive-behavioral therapy (CBT).

We will reduce excessive drinking by increasing the number of people with lived experience we have available to support those who need services, placing staff in a hospital ED to deliver screening, brief intervention, and referral to treatment (SBIRT), and training all CCBHC staff in harm reduction.

Lastly, we will increase the early engagement of children and families by expanding our family outreach efforts, ensuring the availability of care coordination, and expediting follow-up plans for those children who screen positive for depression.

Our efforts will be conducted using evidence-based and emerging practices to support care for behavioral health conditions. In addition to SBIRT mentioned above, HFS will use Seeking Safety, a trauma-informed intervention effective in reducing symptoms in people who have experienced trauma or SUD, Motivational Interviewing, a recognized engagement practice for structured communication to assess readiness and/or promote behavior change; Collaborative Problem Solving (CPS) and Parent Management Training (PMT), both practices recognized to support parents coping with a child's behavioral challenges; Dialectical Behavioral Therapy (DBT), effective for youth and adults with suicidal ideation and risk; Multidimensional Family Therapy (MDFT), a recognized intervention for youth substance use and antisocial behaviors; and Acceptance and Commitment Therapy (ACT), an evidence-based practice for behavioral health disorders in adults.

We will provide extensive training, use data to assess our progress, and engage the people we serve in improving our program. Throughout all CCBHC services, we will ensure that consumers receive client-centered care that is free from stigma and that is culturally and linguistically appropriate to meet the consumer's individual context and care needs.

Hirest Family Services

NOT APPLICABLE

93.696 - Certified Community Behavioral Health Clinic Expansion Grants

Division of Grants Management [HHS - SAMHSA]

Dubuque, Iowa 520013042 United States

Single Zip Code

Certified Community Behavioral Health Clinic Improvement and Advancement Grant (SM-23-016)

Amendment Since initial award the total obligations have increased 300% from $999,999 to $3,999,996.