H79SM089259

Gaudenzia, Inc. Certified Community Behavioral Health Clinic (CCBHC-PDI) - As one of the largest nonprofit providers serving individuals living with substance use disorders (SUD) and co-occurring disorders (COD) in the Mid-Atlantic region, Gaudenzia is applying to become a CCBHC at our Park Heights, MD clinic.

Through our CCBHC, we will serve individuals of all ages in need of behavioral health (BH) services who are living in our catchment area of Baltimore City, including individuals with serious mental illness (SMI), SUD, serious emotional disturbance (SED), COD, and those experiencing a mental health (MH) or substance use related crisis.

The cornerstone of our CCBHC will be a harm reduction, recovery-oriented approach that meets each individual where they are and engages them around their own, self-identified recovery goals.

Through our CCBHC, we will seek to address disparities for two priority populations: homeless individuals/families and individuals living with BH needs who are involved in the criminal justice (CJ) system.

We will serve 2,100 clients over the four-year program, including 300 in Y1, 400 in Y2, 600 in Y3, and 800 in Y4.

We will achieve the following goals and objectives:

Goal 1: Become a CCBHC in alignment with all 2023 CCBHC criteria, including:
1.A: Hire our CCBHC team within 4 months of award;
1.B: 100% of client-facing CCBHC staff will be trained in our CCBHC core curriculum, including our selected evidence-based practices (EBP) within 6 months of award;
1.C: Initiate a Community Advisory Board (CAB), inclusive of individuals representing our target populations within 6 months of award;
1.D: Begin delivering the following 5 services within 6 months of award: screening/assessment, treatment planning, primary care screening/monitoring, targeted case management, and peer support; and
1.E: Begin delivering the remaining 4 services within 12 months of award: crisis response, outpatient MH/SUD treatment, psychiatric rehabilitation, and services for veterans.

Goal 2: Improve the health and BH of individuals with SMI, SUD, SED, and COD served by our CCBHC, including:
2.A: 100% of clients served with SUD who are clinically appropriate will be offered MAT, in combination with psychotherapy support services;
2.B: 75% of clients will complete their care plan by the time they are discharged from our CCBHC;
2.C: 60% of clients served who score 8 or more on the Generalized Anxiety Disorder-7 (GAD-7) during their initial assessment will reduce their risks related to anxiety after six months of engagement;
2.D: 60% of clients served with SUD will decrease their substance use/risks and increase their protective factors after six months of engagement; and
2.E: 60% of clients served who score over 5 on the Patient Health Questionnaire-9 (PHQ-9) during their initial assessment will reduce their PHQ-9 score after six months of engagement.

Goal 3: Reduce disparities in service access and BH outcomes for our priority populations of homeless individuals and families and those impacted by the CJ system who are living with BH needs, including
3.A: Partner with 4 external partners during each grant year serving these priority populations, providing them with information about our CCBHC program and how to refer individuals to the program;
3.B: 100% of individuals who are homeless and/or unstably housed, as well as individuals who are being discharged from CJ settings, will be offered a connection to our care coordinators to address their housing related needs;
3.C: 100% of individuals in our priority populations will be offered a connection to peer-led group sessions; and
3.D: 70% of CCBHC clients who are mandated to treatment due to CJ involvement will successfully complete their treatment mandates.

Gaudenzia

NOT APPLICABLE

93.696 - Certified Community Behavioral Health Clinic Expansion Grants

Division of Grants Management [HHS - SAMHSA]

Baltimore, Maryland 212156331 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.