H79SM089253

One Stop Wellness of Monroe County - Finger Lakes Area Counseling & Recovery Agency (FLACRA) proposes to expand its current integrated care service delivery model through the Certified Community Behavioral Health Clinic (CCBHC) Planning, Development, and Implementation (PDI) grant.

Currently, FLACRA's East Ave Clinic provides services for individuals with serious mental illness (SMI) and substance use disorders (SUD) and is in the approval process for the expansion of services for children and adolescents with serious emotional disturbances (SED). It is currently designated to provide services for individuals with co-occurring disorders (COD) and is seeking support to expand its service.

A total of 2,761 unduplicated individuals (across grant years) will be served over the 4-year period through this CCBHC: Year 1- 596, Year 2- 665, Year 3- 720, and Year 4- 780.

The East Ave Clinic is approved for the NYS OMH Integrated Outpatient Services (IOS) designation and is providing fully integrated substance use disorder treatment and mental health services. It is pending approval to serve children ages 5 and older for mental health treatment and psychiatric support.

As a result of obtaining the current IOS designation, services already offered include several of the required CCBHC core services, including care coordination and primary care services. We will expand our CCBHC services through designated collaborating organizations (DCO) partnerships to extend crisis care, psychiatric emergency and inpatient care, and primary care services.

Since the pandemic, the socio-economic and environmental factors in the City of Rochester service area populations have widened health disparities and inequitable access to care, as well as compounded trauma and stressors exacerbating behavioral health (BH) and substance use disorders (SUD). The residents of the most significantly impacted ZIP codes in the City of Rochester will benefit from the addition of a CCBHC that is integrated, trauma-informed, recovery-oriented, and operates from an evidence-based and equity-focused approach.

FLACRA has extensive experience providing treatment and recovery support for mild to serious mental illness and serious emotional disturbances, SUD, and co-occurring disorders. The CCBHC PDI grant will be used to build on existing comprehensive services and expand support for adults and children with the clinic and through school-based services and collaborations. Services will be grounded in evidence-based care, person-centered planning approaches, attention to cultural norms and beliefs, and trauma-informed practices.

The goals and objectives of the PDI grant include: (1) implementing and enhancing services aligned with a CCBHC model; (2) increasing the number of providers with diverse specialty areas and cultural skillsets, trained in evidence-based interventions such as cognitive-behavioral therapy (CBT), dialectical behavioral therapy for adults (DBT), and adolescents (DBT-A), trauma-focused CBT (TF-CBT), CBT for psychosis (CBTP), family psychoeducation, social skills training (SST), functional family therapy (FFT), matrix model for teens and young adults, peer advocacy/support, seeking safety, living in balance, community reinforcement and family training (CRAFT), motivational interviewing (MI), as well as medication-assisted therapy (MAT); (3) expanding off-site services to meet the BH needs of children and families in high-need school settings; (4) increasing peer and recovery support services; (5) augmenting technology to support EMR data extraction to make data-driven decisions that identify and improve practice patterns, drive quality, and promote an interdisciplinary team-based care approach; and (6) adhering to SPARS and NOMS requirements and accuracy through tracking performance and clinical quality metrics that help improve quality of life perceptions, improve outcomes, and reduce disparities in both access and outcomes.

Finger Lakes Area Counseling And Recovery Agency

NOT APPLICABLE

93.696 - Certified Community Behavioral Health Clinic Expansion Grants

Division of Grants Management [HHS - SAMHSA]

Rochester, New York 146042627 United States

Single Zip Code

Certified Community Behavioral Health Clinic Planning, Development, and Implementation Grant (SM-23-024)

Amendment Since initial award the total obligations have increased 300% from $1,000,000 to $4,000,000.