H79SM089455

Yuma Certified Community Behavioral Health Clinic - Horizon Health and Wellness (HHW) plans to implement the Certified Community Behavioral Health Center (CCBHC) program in our outpatient clinic in Yuma, Yuma County, AZ. We will provide a comprehensive array of integrated outpatient services embracing the principles of the CCBHC model to improve the health outcomes of the people we serve.

We will build on our community-based mental health and substance use disorder services to more consistently and broadly incorporate evidence-based practices, engagement of at-risk individuals including military/veterans and the most vulnerable community members, accessible services, and improved coordination of care with the greater system. We will provide improved access to high-quality care even in the most rural clinic, addressing social determinants of health barriers.

HHW is a non-profit 501(c)(3) integrated health care agency licensed by the State of Arizona. Our Yuma clinic is a federally qualified health center, and we have been providing services there for over 40 years. Originally, services focused on behavioral health (BH) and substance use (SU) disorder treatment primarily, but over the years has expanded to include integrated primary care, residential treatment, and more.

In addition to service expansion, we have also been improving upon the quality of care provided, adding best practices including trauma-informed care, medically assisted treatment (MAT) for SU disorders, wrap-around services for children and families, and community-based programs for improved access to care.

Our CCBHC clinic will serve Yuma, which is a large rural county located on the border of Mexico and the United States. Yuma has a population of 95,550 per the 2020 census. Yuma has a high poverty level and high unemployment rate.

The goals of this project are to:
1) Improve patient health outcomes through improved evidence-based services and care coordination.
2) Increase the number of at-risk community members (including military/veterans, youth, and individuals who experienced a crisis episode) who access BH, SU, and primary care services.
3) Decrease the number of drug overdoses in Yuma County by 25% through the provision of evidence-based practices for substance use treatment.

Objectives include:
1) 25% increase in patients receiving MAT treatment.
2) 25% increase in individuals receiving suicide prevention training.
3) 50% increase in veterans/military engagement after crisis episodes.
4) 25% increase in outreach and engagement to individuals after a crisis episode.
5) 20% increase in patients receiving integrated behavioral and primary care services.
6) 10% per year increase in BH/SU patients served.

Interventions will include SU and MAT treatment, family-centered service planning, peer and family support combined with clinical and/or psychiatric services, trauma-informed evidence-based clinical programs, suicide prevention, school-based programs, mobile crisis and crisis outreach and engagement, case management, primary care, and care coordination.

Over the 4-year period, we will serve 6,500 patients, starting at 1,000 in year 1 and expanding to 1,500 in year 2, 2,000 in year 3, and 2,000 in year 4.

Horizon Health And Wellness

NOT APPLICABLE

93.696 - Certified Community Behavioral Health Clinic Expansion Grants

Division of Grants Management [HHS - SAMHSA]

Yuma, Arizona 853652036 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 $999,627 to $3,998,756.