Community Outreach Medical Center

FY 2020 CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER - COMC - ABSTRACT SUMMARY AS NEVADA IS TITLED “THE WORST STATE FOR PEOPLE WITH MENTAL HEALTH CHALLENGES” AND IS IDENTIFIED AS ONE OF THE NATION’S TOP LOCALITIES HARDEST HIT BY MENTAL ILLNESS AND CO-OCCURRING DISORDERS, CONSEQUENCES ASSOCIATED WITH A FAILURE TO TAKE A COLLABORATIVE APPROACH TO TREATMENT ARE SEVERE (MENTAL HEALTH AMERICA). THE COMMUNITY OUTREACH MEDICAL CENTER (COMC) PLANS TO IMPLEMENT AN INTEGRATED CARE MODEL BYWAY ESTABLISHING A CERTIFIED COMMUNITY BEHAVIOR HEALTH CENTER (CCBHC) TO MEDIATE A FRAGMENTED SYSTEM OF COLLABORATIVE SERVICES. NEARLY 100,000 OF THE MOST IMPOVERISHED NEVADANS RESIDE WITHIN A 6-MILE RADIUS OF COMC, IDENTIFIED AS THE AT-RISK COMMUNITY AND CATCHMENT AREA. THE PROJECT, THE COMC CCBHC, INTENDS TO INCREASE ACCESS TO CARE AND COMPREHENSIVE SERVICES TO AT LEAST 2800 FY1 INDIVIDUALS WITHIN THE CATCHMENT AREA AND SERVE AT LEAST 4200 INDIVIDUALS DURING THE SECOND YEAR OF GRANT FUNDING. PROJECT GOALS INCLUDE: OBTAINING CCBHC CERTIFICATION, INCREASING ACCESS TO CARE AND COMPREHENSIVE SERVICES TO INDIVIDUALS WITHIN THE CATCHMENT AREA, EXECUTING AN INTEGRATED CARE MODEL, CREATING AN EFFECTIVE CRISIS RESPONSE MODEL AND DEVELOPING PROGRAM EFFORTS TO ENSURE INCREASED ACCESS AND CONTINUITY OF CARE FOR SPECIALTY POPULATION. MEASURABLE OBJECTIVES INCLUDE: CONDUCTING PATIENT NEEDS ASSESSMENT EACH FISCAL YEAR END AND INCREASING NUMBER OF INDIVIDUALS RECEIVING MENTAL HEALTH/SUBSTANCE USE DISORDER SERVICES RECEIVING PRIMARY CARE SCREENINGS FOR KEY INDICATORS BY 20%. STRONG EVIDENCE SUGGESTS AN INTEGRATED CARE MODEL IS EFFICACIOUS FOR THE RECOVERY OF MENTAL ILLNESS AND CO-OCCURRING DISORDERS. UNFORTUNATELY, ACCESS TO CARE REMAINS A STRONG BARRIER TO CARE FOR THE SNR AND IMPACTS THE PREVALENCE OF UNTREATED MENTAL ILLNESS. NEVADA’S WORKFORCE SHORTAGE, THE STATE’S FAILURE TO IMPLEMENT SUSTAINABLE PROGRAMS AND COMMUNITY MEMBERS STRUGGLING TO ACQUIRE ADEQUATE HEALTH INSURANCE ARE CORRELATIVE FACTORS THAT IMPEDE ACCESS TO CARE. THE PROJECT PLANS TO EMPLOY AN INTEGRATED CARE TEAM (ICT), A MULTI-DISCIPLINARY TEAM THAT ESTABLISHES TREATMENT PLANS AND BENCHMARKS TO PROVIDE A PERSON-CENTERED, HOLISTIC APPROACH TO RECOVERY. COMC’S CCBHC WILL COLLABORATE WITH DESIGNATED COLLABORATING ORGANIZATIONS TO RESPOND TO BEHAVIORAL CRISES/ACUTE BEHAVIORAL INCIDENCES AND MANAGE AND TREAT MENTAL ILLNESS AND CO-OCCURRING DISORDERS. TO ASSIST WITH ACHIEVING RECOVERY STATUS, THE ICT WILL IMPLEMENT THE FOLLOWING TOOLS AND ADDITIONAL EVIDENCE-BASED PRACTICES (EBPS) AS DEEMED NECESSARY: COGNITIVE BEHAVIORAL THERAPY (CBT), SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) AND MOTIVATIONAL INTERVIEWING. SUSTAINABILITY EFFORTS ARE IMPERATIVE TO CONTINUED CARE. A COMPREHENSIVE QUALITY ASSURANCE PLAN WILL ENSURE COMPLIANCE TO QUALITY IMPROVEMENT INITIATIVES AND GRANT REQUIREMENTS; PERFORMANCE OUTCOMES WILL OPERATE AS QUALITY SERVICE INDICATORS. DIVERSIFIED FUNDING SOURCES, TO INCLUDE MEDICAID REIMBURSEMENTS, WILL CONTRIBUTE TO PROGRAM SUSTAINABILITY EFFORTS. BY HIGHLIGHTING MENTAL HEALTH TREATMENT AS AN EQUAL COMPONENT TO OVERALL HEALTH AND IMPLEMENTING AN INTEGRATED CARE SYSTEM, BARRIERS TO ADHERING TO IMPROVED HEALTH OUTCOMES WILL DIMINISH, ULTIMATELY IMPROVING THE HEALTH OF NEVADANS.