H79SM089079

FY23 PROMOTING THE INTEGRATION OF PRIMARY AND BEHAVIORAL HEALTH CARE - The Minnesota Department of Human Services Health Care Administration, in collaboration with the Behavioral Health Division, the Minnesota Department of Health, and Hennepin Healthcare, proposes to implement the Collaborative Care Model to expand and improve the quality of mental health and substance use disorder care in the primary care setting.

Our shared interagency vision for the Substance Abuse and Mental Health Services Administration's FY 2023 Promoting the Integration of Primary and Behavioral Health Care funding opportunity includes three goals.

1. Enhance and optimize the delivery of behavioral health services within the primary care setting.
2. Employ workforce shortage mitigation strategies to reduce the bottleneck found within behavioral health service delivery systems in Minnesota.
3. Reduce health disparities in access to quality behavioral health care services while providing recovery-oriented and trauma-informed care.

As a result of the pandemic, the need for mental health services is greater than ever and the mental health workforce is in short supply. Because of these challenges, mental health-related concerns represent an increasing share of primary care visits. However, mental health outcomes in primary care are suboptimal because of barriers including inadequate mental health provider networks, a shortage of mental health providers accepting new patients, stigma, and lack of team support in primary care.

The Collaborative Care Model creates a person-centered experience for individuals and families with depression, anxiety, and co-occurring physical health and substance use disorders in the primary care setting. Collaborative Care is an evidence-based model that addresses the challenges intensified by the pandemic and closes the mental health service gap by creating access to high-quality mental health and substance use services in a familiar and convenient primary care setting. The model breaks down silos between physical and behavioral healthcare, a model that all partners of this proposal are strongly committed to implementing and expanding across Minnesota.

Racially and ethnically diverse populations with low-income and high levels of co-occurring mental illness and substance use disorders will be served, including adolescents, patients with opioid use disorder, patients who identify as transgender, adults, and Spanish-speaking children and families.

As a result of Collaborative Care, our objectives include:
- 20% increase in screening rates for depression and anxiety in primary care
- 4 or more points of improvement as measured by PHQ-9 at 12 months
- 3 or more points of improvement as measured by the GAD-7 at 12 months
- 60% or more of patients with an identified need will be referred to services and followed-up on by the Behavioral Health Manager
- 100% of enrolled patients in Collaborative Care will receive screening to determine if they meet the criteria for a special population prior to enrollment
- At least 40% of enrollees will identify as Black, Indigenous, or People of Color
- At least 50% or more of enrollees will have comorbid physical health or substance use disorders

Number of unduplicated individuals to be served with award funds:
Year 1 - 50
Year 2 - 100
Year 3 - 125
Year 4 - 125
Year 5 - 100
Total - 500

Minnesota 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]

Minnesota United States

State-Wide

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

Amendment Since initial award the total obligations have increased 100% from $1,992,387 to $3,984,328.