H79SM089075

Integrating Behavioral Health in AR (IBHA) - Abstract:

In this program track 2 proposal, the state of Arkansas will partner with the University of Arkansas for Medical Sciences (15 clinics) and two Federally Qualified Health Centers (FQHC – 21 clinics) and the Arkansas Behavioral Health Integration Network (ABHIN). This partnership, named the Behavioral Health Integration Hub (BHI-HUB), will implement the Behavioral Health Collaborative Care Model (COCM) among rural residents with chronic medical and co-occurring behavioral health conditions. It will also help family and internal medicine and psychiatry residents learn how to work in an integrated behavioral health model.

The geographic catchment area is the entire state of Arkansas. The BHI-HUB provides funding for personnel and a patient registry to track progress of patients and to facilitate the use of measurement-based care. It will provide training to new and existing personnel about integrated behavioral health care as well as create enduring resources that can be used by other clinics when they implement integrated care.

The project includes a state planning council that will be a statewide entity involving key stakeholders. The state planning council will be co-chaired by state leadership and facilitated by Dr. Hudson and Smith. It will meet no less than quarterly to accomplish its work.

Goal: Implement integrated behavioral health into 145 UAMS primary care and at 21 FQHC clinic locations for patients suffering from multiple chronic physical and behavioral health conditions.

Objective 1: Conduct a program readiness review. This review will identify barriers and current or potential facilitators to providing integrated care in UAMS and FQHC primary care clinics.

Objective 2: Develop a detailed integration program plan. A program planning team will develop a detailed plan (BHI-HUB manual) describing procedures for identifying and meeting behavioral health needs for patients identified in Objective 1.

Objective 3: Develop formal collaborative agreements between the state of Arkansas and all clinical partners.

Objective 4: Sustainability plan: Create a sustainability plan to continue integrated behavioral health care after the end of federal funding. This will include identifying barriers to sustainability and strategies to address each barrier.

Objective 5: Create a state planning council for integrated care. This council will utilize the materials developed during this project to increase the number of primary care clinics providing integrated behavioral healthcare.

Objective 6: When clinically appropriate, implement additional screenings and referrals. This includes conditions such as HIV, sexually transmitted diseases, viral hepatitis, tobacco/nicotine use, opioid and alcohol use disorders, oral health resources, and support for provision of care via telehealth.

Arkansas Department Of Human Services

SAMHSA WAS GIVEN THE AUTHORITY TO ADDRESS PRIORITY SUBSTANCE ABUSE TREATMENT, PREVENTION AND MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE THROUGH ASSISTANCE (GRANTS AND COOPERATIVE AGREEMENTS) TO STATES, POLITICAL SUBDIVISIONS OF STATES, INDIAN TRIBES AND TRIBAL ORGANIZATIONS, AND OTHER PUBLIC OR NONPROFIT PRIVATE ENTITIES. UNDER THESE SECTIONS, CSAT, CMHS AND CSAP SEEK TO EXPAND THE AVAILABILITY OF EFFECTIVE SUBSTANCE ABUSE TREATMENT AND RECOVERY SERVICES AVAILABLE TO AMERICANS TO IMPROVE THE LIVES OF THOSE AFFECTED BY ALCOHOL AND DRUG ADDITIONS, AND TO REDUCE THE IMPACT OF ALCOHOL AND DRUG ABUSE ON INDIVIDUALS, FAMILIES, COMMUNITIES AND SOCIETIES AND TO ADDRESS PRIORITY MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE AND ASSIST CHILDREN IN DEALING WITH VIOLENCE AND TRAUMATIC EVENTS THROUGH BY FUNDING GRANT AND COOPERATIVE AGREEMENT PROJECTS. GRANTS AND COOPERATIVE AGREEMENTS MAY BE FOR (1) KNOWLEDGE AND DEVELOPMENT AND APPLICATION PROJECTS FOR TREATMENT AND REHABILITATION AND THE CONDUCT OR SUPPORT OF EVALUATIONS OF SUCH PROJECTS, (2) TRAINING AND TECHNICAL ASSISTANCE, (3) TARGETED CAPACITY RESPONSE PROGRAMS (4) SYSTEMS CHANGE GRANTS INCLUDING STATEWIDE FAMILY NETWORK GRANTS AND CLIENT-ORIENTED AND CONSUMER RUN SELF-HELP ACTIVITIES AND (5) PROGRAMS TO FOSTER HEALTH AND DEVELOPMENT OF CHILDREN, (6) COORDINATION AND INTEGRATION OF PRIMARY CARE SERVICES INTO PUBLICLY-FUNDED COMMUNITY MENTAL HEALTH CENTERS AND OTHER COMMUNITY-BASED BEHAVIORAL HEALTH SETTINGS

93.243 - Substance Abuse and Mental Health Services Projects of Regional and National Significance

Division of Grants Management [HHS - SAMHSA]

Little Rock, Arkansas 722014608 United States

Single Zip Code

Promoting Integration of Primary and Behavioral Health Care (SM-23-005)

Amendment Since initial award the total obligations have increased 207% from $1,844,006 to $5,663,319.