H79SM089999

Primary Care Integration Grant - Project Abstract: Kansas' PIPBHC Project

The Kansas Department for Aging and Disability Services (KDADS) will partner with three cohorts of four community mental health centers (CMHCS) and/or certified community behavioral health clinics (CCBHCS) to establish an integrated care framework to be rolled out across Kansas.

This framework will be based on data-driven and measurement-based, person-centered care delivered through evidence-based practices (EBPS), assessments, or evidence-informed services to comprehensively serve Kansans with comorbid behavioral and physical health conditions under its PIPBHC program.

In consultation with the Kansas Department of Health and Environment (KDHE) and the Association of Community Mental Health Centers in Kansas (ACMHCK), KDADS will select a cohort of four providers every two years based on a variety of factors, including behavioral health population needs, level of collaborative/integrative care infrastructure, geographic diversity, and community commitment.

All PIPBHC providers will be required to have achieved and maintained CCBHC certification through KDADS to be eligible for participation.

Each provider organization will serve a distinct geographic area and will utilize thorough community needs assessments to identify target populations for inclusion in this grant.

The main behavioral health conditions to be served include adults with serious mental illness (SMI), children with serious emotional disturbance (SED), persons with substance use disorders (SUD), and persons with co-occurring SMI and SUD.

The Kansas PIPBHC project will serve 2,100 unduplicated individuals over the project period with an average of 350 people annually.

Each provider service area will represent a high need for integrated care due to insufficient workforce, lack of health coverage, and prevalence of behavioral health issues.

The need for these services spans urban, rural, and frontier areas across Kansas, presenting a diverse set of challenges to implementing integrated care.

Per the Health Resources and Services Administration, all 105 counties in Kansas experience some type of provider shortage, with the largest disparities in primary and dental care providers.

In terms of mental health prevalence, a Mental Health America analysis found the collective averages per 100,000 population for people scoring severe depression, frequent suicidal ideation, and at risk for psychosis for the selected service areas are 121.1, 126.9, and 86.1, respectively, which are higher than the national averages at 102.0, 104.4, and 64.0, respectively.

From a morbidity perspective, the age-adjusted suicide rate per 100,000 was over five points higher than the national average at 19.4 vs. 14.1, respectively.

A greater proportion of adults in the state are documented to have some form of obesity than the national average, with the highest impacts in rural and urban Kansas.

The need for integrated services is exacerbated by the lack of legislatively enacted Medicaid expansion, compromising access to care and placing additional strain on safety net providers like CMHCS and primary care provider networks.

Through the Kansas PIPBHC project, and implementing integrated care within 12 CMHCS/CCBHCS, KDADS aims to accomplish:

1. Improve overall access to primary and behavioral health care by increasing access points and strengthening provider relationships.

2. Reduce systemic disparities and stigmas surrounding behavioral health care by enhancing the integration of behavioral health into the primary care setting.

3. Enhance continual quality improvement efforts using measurement-based care, outcomes measures, and Kansas’ CCBHC program.

4. Improve care coordination between primary and behavioral health care to enhance the overall individual’s care journey.

Kansas Department For Aging And Disability Services

SAMHSA WAS GIVEN THE AUTHORITY TO ADDRESS PRIORITY SUBSTANCE ABUSE TREATMENT, PREVENTION AND MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE THROUGH ASSISTANCE (GRANTS AND COOPERATIVE AGREEMENTS) TO STATES, POLITICAL SUBDIVISIONS OF STATES, INDIAN TRIBES AND TRIBAL ORGANIZATIONS, AND OTHER PUBLIC OR NONPROFIT PRIVATE ENTITIES. UNDER THESE SECTIONS, CSAT, CMHS AND CSAP SEEK TO EXPAND THE AVAILABILITY OF EFFECTIVE SUBSTANCE ABUSE TREATMENT AND RECOVERY SERVICES AVAILABLE TO AMERICANS TO IMPROVE THE LIVES OF THOSE AFFECTED BY ALCOHOL AND DRUG ADDITIONS, AND TO REDUCE THE IMPACT OF ALCOHOL AND DRUG ABUSE ON INDIVIDUALS, FAMILIES, COMMUNITIES AND SOCIETIES AND TO ADDRESS PRIORITY MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE AND ASSIST CHILDREN IN DEALING WITH VIOLENCE AND TRAUMATIC EVENTS THROUGH BY FUNDING GRANT AND COOPERATIVE AGREEMENT PROJECTS. GRANTS AND COOPERATIVE AGREEMENTS MAY BE FOR (1) KNOWLEDGE AND DEVELOPMENT AND APPLICATION PROJECTS FOR TREATMENT AND REHABILITATION AND THE CONDUCT OR SUPPORT OF EVALUATIONS OF SUCH PROJECTS, (2) TRAINING AND TECHNICAL ASSISTANCE, (3) TARGETED CAPACITY RESPONSE PROGRAMS (4) SYSTEMS CHANGE GRANTS INCLUDING STATEWIDE FAMILY NETWORK GRANTS AND CLIENT-ORIENTED AND CONSUMER RUN SELF-HELP ACTIVITIES AND (5) PROGRAMS TO FOSTER HEALTH AND DEVELOPMENT OF CHILDREN, (6) COORDINATION AND INTEGRATION OF PRIMARY CARE SERVICES INTO PUBLICLY-FUNDED COMMUNITY MENTAL HEALTH CENTERS AND OTHER COMMUNITY-BASED BEHAVIORAL HEALTH SETTINGS

93.243 - Substance Abuse and Mental Health Services Projects of Regional and National Significance

Division of Grants Management [HHS - SAMHSA]

Topeka, Kansas 666033404 United States

Single Zip Code

Promoting the Integration of Primary and Behavioral Health Care: States (SM-24-003)

Amendment Since initial award the total obligations have increased 100% from $2,000,000 to $4,000,000.