Bay Cove Human Services Inc

CAPE COD CCBHC - THE CAPE COD CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) WILL SERVE AS A MUCH NEEDED SUPPLEMENT TO EXISTING SERVICES BY CREATING A ROBUST CONTINUUM OF INTEGRATED BEHAVIORAL AND PHYSICAL HEALTH SERVICES FOR VULNERABLE POPULATIONS RESIDING IN CAPE COD, MA. OUR TARGET POPULATION WILL BE LOW-INCOME, UNINSURED AND UNDER-INSURED ADULTS WITH SERIOUS MENTAL ILLNESS , SUBSTANCE USE DISORDERS, AND CO-OCCURRING DISORDERS, AND CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE. WE WILL ADDRESS THE IMPACT OF CHALLENGES RELATED TO ACCESS TO CARE FELT BY THE REGION'S MOST VULNERABLE RESIDENTS, WHO FREQUENTLY CONTEND WITH THE OVERWHELMING CIRCUMSTANCES OF LIVING IN POVERTY AND THE INSIDIOUS IMPACTS OF SOCIAL DETERMINANTS OF HEALTH(SDOH). IN MANY WAYS, THERE ARE TWO CAPE CODS – ONE A POPULAR TOURIST DESTINATION THAT SEES UPWARDS OF 5 MILLION VISITORS ANNUALLY AND CATERS TO WEALTHY SEASONAL RESIDENTS AND VISITORS AND THE OTHER A RURAL, INSULAR COMMUNITY OF 228,996 YEAR ROUND RESIDENTS, WITH 14,176 PEOPLE LIVING BELOW THE POVERTY LEVEL. WITH THE WEALTH OF THE REGION HIDING THE PROBLEM, ACCESS TO SERVICES CAN BE MORE CHALLENGING THAN IN PLACES WITH HIGHER POVERTY. BAY COVE HAS BEEN PROVIDING FOR THE URGENT BEHAVIORAL HEALTH (BH) NEEDS FOR CAPE COD AS THE STATE CONTRACTED EMERGENCY SERVICE PROVIDER (ESP) FOR FIVE YEARS WHERE WE PERFORM AN AVERAGE OF 3,000 CRISIS EVALUATIONS ANNUALLY. SINCE 2019, OUR ESP HAS OPERATED A FOLLOW UP PROGRAM FOR INDIVIDUALS WHO HAD SOUGHT CRISIS SERVICES. ENGAGING IN THIS FOLLOW-UP WORK HAS GIVEN US AN IN-DEPTH UNDERSTANDING OF THE DEMAND FOR SERVICES, THE COMMUNITY BH PROVIDER LANDSCAPE AND THE MOST PRESSING SDOH NEEDS OF THE PEOPLE WE SERVE IN THIS COMMUNITY. WHAT WE HAVE SEEN FIRST HAND IS THE LACK OF OPTIONS FOR ONGOING CARE ON CAPE COD DESPITE THE SIGNIFICANT NEED FOR BH SERVICES. GIVEN OUR EXPERIENCE ON THE CAPE, BAY COVE IS WELL POSITIONED TO BE THE IDEAL AGENCY TO SUCCESSFULLY BRING CCBHC SERVICES TO CAPE COD. IN BECOMING A CCBHC, BAY COVE SEEKS TO ADDRESS GAPS BY PROVIDING OPEN ACCESS TO CULTURALLY RESPONSIVE, INTEGRATED BEHAVIORAL HEALTHCARE REGARDLESS OF INSURANCE STATUS. THE CCBHC WILL PROVIDE CRISIS SERVICES, SAME-DAY TREATMENT, PSYCHOPHARMACOLOGY TREATMENT, INTEGRATED PRIMARY CARE, ENHANCED CARE NAVIGATION AND COORDINATION, AND INCREASED OUTREACH EFFORTS AND SUPPORT SERVICES FOR THOSE NOT YET READY TO ENGAGE IN CARE. THE GOALS OF THE PROJECT ARE: 1) TO ADDRESS THE UNDER RESOURCED AND OVERLY IMPACTED CONTINUUM OF CARE FOR CAPE COD RESIDENTS BY BUILDING A BH OUTPATIENT SERVICE LOCATION AT OUR HYANNIS SITE TO BE WOVEN INTO THE EXISTING OVER BURDENED CARE SYSTEM; 2) TO BUILD A ROBUST CCBHC CONTINUUM OF CARE TO FURTHER DEVELOP BAY COVE’S CAPACITY TO RAPIDLY TRIAGE, ASSESS, PRIORITIZE AND ADDRESS THE MOST PRESSING BH NEEDS FOR SERVICES ON THE CAPE; 3) TO DEVELOP AND IMPLEMENT THE INFRASTRUCTURE NECESSARY FOR BAY COVE TO BECOME A CCBHC ON CAPE COD; AND 4) TO EVALUATE THE CAPE COD CCBHC ON SAMHSA AND OTHER QUALITY MEASURES WITH A VIEW TO SUSTAINABILITY. OUR MEASURABLE OBJECTIVES INCLUDE: ESTABLISHING PROTOCOLS AND DATA SHARING AGREEMENTS FOR COLLABORATION WITH OUR DCOS, CHILD AND FAMILY SERVICES AND DUFFY HEALTH CARE AND OUR COMMUNITY SUPPORTERS CAPE COD VET CENTER AND THE NATIONAL ALLIANCE FOR MENTAL ILLNESS; HIRING NEW BH PROFESSIONALS, INCLUDING CLINICIANS, PSYCHIATRISTS, AND COMMUNITY WORKERS; IMPLEMENTING A CO-LOCATED PRIMARY CARE CLINIC; INITIATING BASELINE AND FOLLOW-UP ADMINISTRATION OF NOMS TOOL AND STANDARDIZED MEASURES OF PSYCHIATRIC SYMPTOMS; AND COMPLETING QUARTERLY REPORTS AND ANNUAL OUTCOME EVALUATIONS. WE WILL ENROLL A MINIMUM OF 100 PARTICIPANTS A YEAR, FOR A TOTAL OF A OF 400 CLIENTS THROUGHOUT THE LIFE OF THE PROJECT. THE PROCESS EVALUATION WILL ASSESS PROJECT IMPLEMENTATION IN RELATION TO TIMELINES ON STANDARDIZED MEASURES OF MENTAL HEALTH SYMPTOMS AND QUALITY OF LIFE, AS WELL AS ON NOMS MEASURES AND UTILIZATION OF ACUTE CARE SERVICES.

BOSTON CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER - THE BOSTON CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) WILL INCREASE ACCESS TO ROBUST CONTINUUM OF INTEGRATED BEHAVIORAL AND PHYSICAL HEALTH SERVICES FOR VULNERABLE POPULATIONS RESIDING IN BOSTON, MA. OUR POPULATION OF FOCUS WILL BE LOW-INCOME, UNINSURED AND UNDER-INSURED ADULTS WITH SERIOUS MENTAL ILLNESS (SMI), SUBSTANCE USE DISORDERS (SUDS), AND CO-OCCURRING DISORDERS (CODS), AND CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED). BOSTON'S CURRENT COMMUNITY-BASED BEHAVIORAL HEALTH (BH) CARE SYSTEM DOES NOT WORK WELL FOR THE CITY'S MOST VULNERABLE RESIDENTS, WHO FREQUENTLY CONTEND WITH THE OVERWHELMING CIRCUMSTANCES OF LIVING IN POVERTY AND THE INSIDIOUS IMPACTS OF SOCIAL DETERMINANTS OF HEALTH. AS SUCH, THERE REMAIN SEVERAL GAPS IN CARE, SUCH AS A LACK OF 24/7 ACCESS TO URGENT BEHAVIORAL HEALTH SERVICES, INCLUDING PSYCHOPHARMACOLOGY; INSUFFICIENT PRIMARY CARE INTEGRATION; AND A LACK OF ON-SITE SERVICES FOR YOUTH WITH SED AND THEIR FAMILIES. BAY COVE HUMAN SERVICES, INC., IN PARTNERSHIP WITH BOSTON MEDICAL CENTER (BMC) AND BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM (BHCHP), SEEKS TO FILL THOSE GAPS BY IMPLEMENTING AN ACCESSIBLE SYSTEM OF BH CARE PROVIDING CRISIS SERVICES, SAME-DAY TREATMENT, NAVIGATION, CARE COORDINATION, PSYCHOPHARMACOLOGY TREATMENT, INTEGRATED PRIMARY CARE, AND RECOVERY SUPPORTS. THIS SYSTEM WILL PROVIDE "TREATMENT ON DEMAND" FOR THOSE READY TO ENGAGE IN CARE THROUGH A "NO WRONG DOOR APPROACH" FACILITATED BY ENHANCED CARE NAVIGATION AND COORDINATION, AND INCREASE OUTREACH EFFORTS AND SUPPORTS FOR THOSE NOT YET READY TO ENGAGE IN CARE. THE GOALS OF THE PROJECT ARE: 1) TO EXPAND THE CAPACITY OF BAY COVE'S EXISTING BEHAVIORAL HEALTH URGENT CARE CENTER (BHUCC) TO PROVIDE 24/7 SCREENING, INITIAL ASSESSMENT, AND FACILITATED REFERRALS TO THE BOSTON CCBHC'S MULTIDISCIPLINARY TEAM; 2) TO DEVELOP AND IMPLEMENT THE INFRASTRUCTURE NECESSARY FOR BAY COVE TO BECOME A CCBHC; AND 3) TO EVALUATE THE BOSTON CCBHC ON SAMHSA AND OTHER QUALITY MEASURES WITH A VIEW TO SUSTAINABILITY. OUR MEASURABLE OBJECTIVES INCLUDE: ESTABLISHING PROTOCOLS AND DATA SHARING AGREEMENTS FOR COLLABORATION WITH BMC AND BHCHP; HIRING NEW BEHAVIORAL HEALTH PROFESSIONALS, INCLUDING CLINICIANS, PSYCHIATRISTS, AND COMMUNITY HEALTH WORKERS; IMPLEMENTING AN ON-SITE PRIMARY CARE CLINIC; INITIATING BASELINE AND FOLLOW-UP ADMINISTRATION OF NOMS TOOL AND STANDARDIZED MEASURES OF PSYCHIATRIC SYMPTOMS; AND COMPLETING QUARTERLY REPORTS AND ANNUAL OUTCOME EVALUATIONS. WE WILL ENROLL A MINIMUM OF 400 PARTICIPANTS A YEAR, FOR A TOTAL OF 800 CLIENTS THROUGHOUT THE LIFE OF THE PROJECT. THE PROCESS EVALUATION WILL ASSESS PROJECT IMPLEMENTATION IN RELATION TO TIMELINES ON STANDARDIZED MEASURES OF MENTAL HEALTH SYMPTOMS AND QUALITY OF LIFE, AS WELL AS ON NOMS MEASURES AND UTILIZATION OF ACUTE CARE SERVICES. ANNUALLY, THE EVALUATOR WILL INTERVIEW CCBHC STAFF AND ADVISORY BOARD MEMBERS TO YIELD QUALITATIVE DATA ON BARRIERS AND FACILITATORS AND PERCEIVED CHALLENGES, SUCCESSES, AND EFFECTIVENESS.

BAY COVE HUMAN SERV, INC