H79SM089294

Centerstone's Certified Community Behavioral Health Clinic in Tullahoma (C-CCBHC) - Centerstone will plan, develop, and implement a new CCBHC in Tullahoma, Tennessee (C-CCBHC), to provide comprehensive, integrated, coordinated, person-centered behavioral health care; improve access to community-based mental health and substance use disorder treatment; and support 24/7 crisis services, regardless of an individual's ability to pay or place of residence.

C-CCBHC will serve 700 unduplicated individuals (Y1: 80; Y2: 150; Y3-4: 235/yr.). C-CCBHC will serve any individual with a mental or substance use disorder who seeks care at Centerstone's Tullahoma CCBHC, including those with serious mental illness (SMI); substance use disorder (SUD), including opioid use disorder; children and adolescents with serious emotional disturbance (SED); individuals with co-occurring mental and substance disorders (COD); and individuals experiencing a mental health or substance use-related crisis.

C-CCBHC's focus population demographics are expected to mirror area individuals and current clinic clients: 84% white; 10% black; 6% Hispanic/Latino, with roughly 50% male and 50% female. Of the area's roughly 146,950 adults, 23% are expected to have AMI; 5.5%, SMI; 17%, SUD; 2%, OUD; and 8%, COD. Among the 44,080 youth, 20% are expected to have major depressive episode; 5%, SUD; and 3%, COD.

Key C-CCBHC strategies include increasing access/availability of services responsive to community needs (e.g., crisis services; screening/assessment/diagnosis, including risk assessment; treatment/crisis planning; outpatient mental health/substance use services; primary care screening and health monitoring; targeted case management; psychiatric rehabilitation; peer and family supports; and community-based mental health care for armed forces/veteran populations); meaningfully involving service recipients/families in their care; and applying a continuous quality improvement (CQI) approach.

C-CCBHC will integrate SAMHSA's TIP 59: Improving Cultural Competence and 57: Trauma-Informed Care in Behavioral Health to implement evidence-based interventions addressing the full array service recipients' behavioral health needs (e.g., cognitive behavioral therapy, motivational interviewing, dialectical behavior therapy, assertive community treatment, multi-systemic therapy, parent management training, Seeking Safety, Hazelden's Co-occurring Disorders Program, MAT, Illness Management and Recovery, and Dimensions).

C-CCBHC will accomplish the following goals: 1) establish comprehensive, integrated, coordinated, and person-centered community-based services via the CCBHC; 2) enhance infrastructure/capacity for a full continuum of quality/inclusive coordinated care; 3) increase access to/availability of timely/high-quality services; 4) implement a measurement-based care process to ensure a comprehensive scope of evidence-based services/supports; 5) improve health status/outcomes for treatment service recipients across the lifespan; and 6) apply a CQI approach to drive systems, improve the quality of services, and ensure ongoing service delivery.

As a result of these goals/improvements, the project will achieve the following measurable service recipient-related objectives: decrease symptomatology among 45% with mental health disorders; decrease substance use among 45% of those with SUD/OUD/COD; provide ITPs for 100% of service recipients; improve housing stability among 80% who are homeless/marginally housed; provide 100% with employment case management services per ITPs; improve health indicators among 75% of participating service recipients; reduce past 30-day tobacco use by 30% among tobacco cessation activity participants; achieve no past 30-day criminal justice system involvement among 60% with criminal justice histories; achieve no past 30-day ER/hospitalizations among 60% of service recipients with hospitalization histories; achieve/maintain an 80% follow-up rate; and achieve satisfaction of experience/care among 80% of service recipients/families.

Centerstone Of Tennessee

NOT APPLICABLE

93.696 - Certified Community Behavioral Health Clinic Expansion Grants

Division of Grants Management [HHS - SAMHSA]

Tullahoma, Tennessee 373882201 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.