H79SM089081

Puerto Rico Promoting the Integration of Primary and Behavioral Health Care (PR-PIPBHC) - The Puerto Rico MHAASA will implement a PR-PIPBHC 2023 project for 2024-2028 for the Metro, Northeastern, Central Eastern, Eastern, and Western health regions in areas classified as HPSA to improve PC/BH levels in 5 subrecipient CMHCs, addressing needs of SMI or co-occurring SUD patients.

Goals are:
1. Accelerate integrated PC/BH in 5 CMHCs to increase access to treatment/recovery of patients.
2. Strengthen CMHCs' infrastructure to support full PC/BH integration.
3. Achieve documented improvements in PC and BH indicators of SMI/SUD adults.
4. Demonstrate improvements in dimensions of wellness through use of WSM+ EBP.

A total of 834 unique Hispanic clients are to be served over a 5-year grant period. Objectives are directed to increasing levels of PC/BH integration in all 5 CMHCs. An integrated care steering committee with persons with lived experience will exercise project leadership.

A 2016 PR needs assessment showed 18.7% of adults in PR meeting criteria for SMI, with an estimated increase due to repeated natural disasters in recent years. The population of focus will be that of municipalities of the Salud San Juan (San Juan), HealthPromed (Guaynabo/Cataño, Vieques, Culebra), CSILO (Rio Grande, Ceiba), NEOMED (Gurabo, Juncos, Naguabo), and Costa Salud (Rincon, Moca, Aguada).

Required integrated services will be implemented in CMHCs, including physical, MH, SU, including ATOD with SBIRT tools, dental, nutritional, and other screenings; development of plans for integrated services leadership and sustainability; training and technical assistance for workforce on SBIRT, WSM+, and MI EBPs; and policy and procedural modifications to CMHCs' clinical and administrative infrastructure to support integrated care, all considering CLAS for Hispanic environment.

Central and key staff includes PD, administrative coordinator, clinical coordinator, lead evaluator, and finance technician. Data collection and performance measurement at subrecipient level will be done at baseline, 6-month post baseline and discharge, and includes submission in SPARS, GPRA, and other SAMHSA formats for CQI, with MHAASA support from Office of Federal Funds and Planning, Training, Finance, and IT units.

Administracion De Servicios De Salud Mental Y Contra La Adiccion

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]

Puerto Rico United States

State-Wide

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

Amendment Since initial award the total obligations have increased 200% from $2,000,000 to $6,000,000.