H79SM089269

The Jewish Board FY 2023 Bronx CCBHC - The Jewish Board (JB) is applying for a 4-year, $1 million annual CCBHC PDI grant to increase access to and fill gaps in care at its New York State (NYS)-licensed Grand Concourse Mental Health Outpatient Treatment Program (GC MH Clinic) located at 2488 Grand Concourse, Bronx, NY 10458 (and co-and near located Mental Health (MH) services) which currently serves 1,443 diverse, primarily low-income New Yorkers ages 0 and older annually.

JB's service area is the contiguous economically disadvantaged Fordham-Bronx where the JB GC MH programs are located (ZIP codes 10458, 10467, 10468); Crotona-Tremont (ZIP codes 10453, 10457, 10460); and Highbridge-Morrisania (ZIP codes 10451, 10452, 10456). The population primarily Hispanic (53%) and Black (34%). Most (90%) are low income on Medicaid and/or Medicare. Children ages 0-17 years are a third (34%) of the population; and those with serious mental illness are 77%. People with co-occurring substance use disorders (SUD) are 8% and will increase significantly when JB secures certification for an outpatient SUD clinic.

Many Bronx residents have economic and social challenges: 10% are uninsured; 34% are foreign-born; 59% speak a language other than English. Over 4 years, JB will serve 7,215 individuals (Yr 1-1,587, Yr 2-1,732, Yr 3-1,876, Yr 4-2,020).

Strategies/Interventions:
JB currently provides 8 of the 9 CCBHC core services. CCBHC grant funds will be primarily used to improve timely access to care and achieve CCBHC certification by expanding (1) clinical intake (screening/assessment) to reduce wait times; (2) crisis services to increase capacity to provide crisis stabilization care; (3) primary care screening/monitoring to offer services to more at-risk clients; and (4) peer services to better support recovery. These improvements will be implemented within 6 months of award.

Funds will be used to open a new outpatient SU treatment program within a year of award co-located with JB MH clinic that will add SU treatment capacity at the proposed CCBHC. Also, intensive, community-based MH for members of armed forces/veterans will be implemented within a year.

Project Goals/Measurable Outcomes:
(1) Improve timely access to evidence-based outpatient MH care: Within 12 months of award, JB will reduce the wait time for initial routine intake appointments to 5 business days and urgent intake appointments to 1 day; and reduce the wait time for consumers waiting for an initial treatment visit by a clinician to 20 business days for routine needs and one day for urgent needs.

(2) Improve primary care screening & follow-up: 6 years: JB will increase annual age and risk-appropriate primary care screening of CCBHC consumers to 45% in year 2 and 60% in years 3-4 from 5% currently; and increase follow-up and interventions for clients who have medical condition identified by CCBHC staff.

(3) Improve tobacco use cessation intervention 14 years+: JB will progressively increase evidence-based tobacco use cessation interventions among consumers screened positive for tobacco use from 10% in 2022 to 60% by year 4.

(4) Improve timely access to evidence-based SUD services for adults: JB will commence offering SUD services in year 2 to 50 adults and increase capacity in years 3-4 to 70 adults annually. Today, MH clinic/PROS clients needing SUD care are referred to other Bronx providers that may not have capacity to assist them and/or individuals may not follow-up with the referral. Additionally, JB will increase the number of clients newly diagnosed with a SUD who initiate SUD treatment within 14 days of diagnosis to 60%, compared with no initiation currently.

Jewish Board Of Family And Children's Services

NOT APPLICABLE

93.696 - Certified Community Behavioral Health Clinic Expansion Grants

Division of Grants Management [HHS - SAMHSA]

Bronx, New York 104585203 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.