Gateway Healthcare Inc

CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC - GATEWAY HEALTHCARE PROPOSES TO IMPLEMENT A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) SERVING PAWTUCKET AND CENTRAL FALLS, RHODE ISLAND TO INCREASE ACCESS TO PERSON- AND FAMILY-CENTERED INTEGRATED BEHAVIORAL HEALTH SERVICES, PARTICULARLY FOR COMMUNITIES FACING HEALTH DISPARITIES AND THOSE OF COLOR. THE PROJECT ANTICIPATES SERVING 1,450 UNDUPLICATED ADULTS, ADOLESCENTS AND CHILDREN. THE POPULATIONS OF FOCUS ARE: 1) INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI); 2) INDIVIDUALS WITH SUBSTANCE USE DISORDERS (SUD); 3) CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCES (SED) EXPERIENCING TRAUMA AND/OR EATING DISORDERS; 4) YOUNG ADULTS WITH EMERGING PSYCHOSIS, AND 5) INDIVIDUALS EXPERIENCING A BEHAVIORAL HEALTH CRISIS. THE PROJECT HAS FOUR PRIMARY GOALS: 1) TO ESTABLISH A FULLY OPERATIONAL CCBHC, PROVIDING THE COMPLETE SCOPE OF CCBCH SERVICES TO ALL INDIVIDUALS ELIGIBLE; 2) TO IMPLEMENT EVIDENCE-BASED PRACTICES (EBPS) APPROPRIATE AND SPECIFIC TO EACH POPULATION SERVED; 3) TO ESTABLISH PARTNERSHIPS WITH ADDITIONAL COMMUNITY PROVIDERS AND ORGANIZATIONS TO IMPROVE ACCESSIBILITY OF SERVICES AND CARE COORDINATION FOR CLIENTS AND REDUCE HEALTH DISPARITIES OF RACIAL, ETHNIC, LGBTQ, AND HOMELESS POPULATIONS; AND, 4) TO IMPLEMENT INFRASTRUCTURE ENHANCEMENTS TO IMPROVE THE OVERALL QUALITY AND COORDINATION OF CARE. KEY MEASURABLE OBJECTIVES INCLUDE: 1) IMPLEMENTATION OF SIX EBPS WITH CLIENTS: MOTIVATIONAL INTERVIEWING (MI), SKILLS-BASED COGNITIVE BEHAVIOR THERAPY (CBT), COORDINATED SPECIALTY CARE (CSC), COLLABORATIVE ASSESSMENT & MANAGEMENT OF SUICIDALITY (CAMS), FAMILY-BASED THERAPY (FBT) AND TRAUMA FOCUSED-COGNITIVE BEHAVIOR THERAPY (TF-CBT); 2) ESTABLISHMENT OF FORMAL MULTIDISCIPLINARY CARE COORDINATION AGREEMENTS NECESSARY FOR PROJECT SUCCESS; AND 3) TRAINING OF THE WORKFORCE IN THE EBPS RELATED TO THE POPULATION EACH SERVES, WITH BI-ANNUAL MONITORING TO MAINTAIN 90% FIDELITY AND AT LEAST 45 COMPLETING TRAINING IN MI AND CBT; 20 IN CAMS, 6 IN CSC, 5 IN FBT, AND 6 IN TF-CBT. STRATEGIES AND INTERVENTIONS TO MEET THESE GOALS AND OBJECTIVES INCLUDE: 1) PROVIDING THE CORE CCBHC SERVICES: CRISIS MENTAL HEALTH SERVICES; SCREENING AND ASSESSMENTS; PATIENT-CENTERED TREATMENT PLANNING; OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE SERVICES; OUTPATIENT CLINIC PRIMARY CARE SCREENING; CASE MANAGEMENT; PSYCHIATRIC REHABILITATION SERVICES; PEER SUPPORT, COUNSELOR SERVICES, AND FAMILY SUPPORTS; AND COMMUNITY-BASED MENTAL HEALTH FOR MEMBERS OF THE ARMED FORCES. 2) EXPANDING THE NUMBER OF CLINICIANS IN THE STATE WITH BOTH EXPERTISE AND TRAINING IN EVIDENCE-BASED PROGRAMS FOR INDIVIDUALS WITH SMI, SUD, SED AND OTHER BEHAVIORAL HEALTH CRISES. 3) STRENGTHENING CARE COORDINATION AMONG ORGANIZATIONS THAT SUPPORT SPECIFIC POPULATIONS, SUCH AS LATINX, IMMIGRANTS OR MILITARY; PRIMARY CARE PROVIDERS AND FQHCS; EMERGENCY DEPARTMENTS; SCHOOLS; AND HOUSING AGENCIES TO SUPPORT THE OVERALL WELL-BEING OF INDIVIDUALS WITH BEHAVIORAL HEALTH AND/OR SUBSTANCE USE DISORDERS. OVER THE COURSE OF THE PROJECT, 1,450 INDIVIDUALS WILL BE SERVED THROUGH THE CCBHC, AS FOLLOWS: YEAR 1: 320; YEAR 2: 355; YEAR 3: 385; AND YEAR 4: 390.

SCALING UP ACCESS TO TRAUMA-FOCUSED CBT FOR CHILDREN IN RHODE ISLAND - GATEWAY HEALTHCARE PROPOSES TO IMPLEMENT THE “SCALING UP ACCESS TO TRAUMA-FOCUSED CBT (TF-CBT) FOR CHILDREN IN RHODE ISLAND” PROJECT TO INCREASE ACCESS TO EFFECTIVE, HOME-BASED TRAUMA-FOCUSED TREATMENT FOR CHILDREN AND ADOLESCENTS, PARTICULARLY THOSE OF COLOR, AND EXPAND THE NETWORK OF TRAUMA-COMPETENT PROVIDERS IN THE STATE OF RHODE ISLAND. THE PROJECT ANTICIPATES SERVING 1,100 UNDUPLICATED CHILDREN AND TRAINING A MINIMUM OF 65 CLINICIANS IN TF-CBT. THE POPULATION OF FOCUS IS CHILDREN AGES 5-18 IN RHODE ISLAND WHO HAVE EXPERIENCED SIGNIFICANT TRAUMA AND ARE EXHIBITING SYMPTOMS SUCH AS ANXIETY, DEPRESSION, SELF-HARM, FEAR AND AVOIDANCE, DISRUPTIONS IN EATING AND SLEEPING, PHYSICAL AILMENTS AND/OR CO-OCCURRING MENTAL AND SUBSTANCE USE DISORDERS. THE PROJECT HAS A PARTICULAR EMPHASIS FOR FAMILIES WHO ARE BLACK, INDIGENOUS, AND CHILDREN OF COLOR (BIPOC) WHO HAVE BEEN TRADITIONALLY UNDERSERVED WITH TRAUMA SERVICES. THE PROJECT’S OVERARCHING GOAL IS TO INCREASE THE NUMBER OF CHILDREN IN RHODE ISLAND WHO HAVE ACCESS TO EVIDENCE-BASED TRAUMA TREATMENT, I.E., TRAUMA-FOCUSED COGNITIVE BEHAVIOR THERAPY (TF-CBT). THE PROJECT’S MEASURABLE OBJECTIVES ARE: 1) TO TRAIN AT LEAST 65 CLINICIANS IN TF-CBT, INCLUDING AT LEAST 10 CLINICIANS WHO ARE BIPOC BY THE END OF THE PROJECT PERIOD; 2) TO INCREASE ACCESS TO TF-CBT FOR 1,100 CHILDREN IN RI EXPERIENCING TRAUMA, 45% OF WHOM WILL BE BLACK, INDIGENOUS, OR PERSONS OF COLOR; AND, 3) IN YEARS 1-3,TO DOCUMENT SPECIFIC MODIFICATIONS TO THE TF-CBT PROTOCOL FOR USE IN INTENSIVE HOME-BASED SETTINGS, INCLUDING RELEVANT CULTURAL ADAPTATIONS, AND MAKE THEM AVAILABLE TO THE BROADER MENTAL HEALTH PROVIDER COMMUNITY IN PROJECT YEARS 4 AND 5. STRATEGIES AND INTERVENTIONS TO MEET THESE GOALS AND OBJECTIVES INCLUDE: 1) PROVIDING EVIDENCE-BASED MENTAL HEALTH TRAUMA TREATMENTS AND SERVICES TO CHILDREN IN RI; 2) GROWING THE TRAUMA RESOURCE IN THE STATE BY BRINGING TOGETHER ORGANIZATIONS THAT SUPPORT SPECIFIC TARGET POPULATIONS, SUCH AS LATINX AND ASIAN CHILDREN OR IMMIGRANTS; 3) EXPANDING THE NUMBER OF CLINICIANS IN THE STATE WITH BOTH CHILD EXPERTISE AND TRAINING IN EVIDENCE-BASED TRAUMA TECHNIQUES; AND, 4) DOCUMENTING AND DISTRIBUTING ADAPTATIONS TO THE TF-CBT PROTOCOL THAT ARE EFFECTIVE WITH DIFFERENT POPULATION GROUPS. OVER THE COURSE OF THE PROJECT, 1,100 CHILDREN WILL BE TREATED AND 65 CLINICIANS WILL RECEIVE TRAINING, AS FOLLOWS: YEAR 1: 150 CHILDREN AND 32 CLINICIANS; YEAR 2: 200 CHILDREN AND 15 CLINICIANS; YEAR 3: 250 CHILDREN AND 10 CLINICIANS; YEAR 4: 250 CHILDREN AND 8 CLINICIANS; AND YEAR 5: 250 CHILDREN AND 5 CLINICIANS.

ENHANCED CARE TEAM PROJECT

REINTEGRATION, REUNIFICATION AND RESOURCES FOR VETERANS AND MILITARY FAMILIES

MENTAL HEALTH SERVICES FOR VETERANS AND THEIR FAMILIES

ENHANCED CARE TEAM PROJECT