Northwest Essex Community Healthcare Network Inc

CCBHC IMPROVEMENT AND ADVANCEMENT - THROUGH THE CCBHC-IMPROVEMENT AND ADVANCEMENT PROGRAM, NORTHWEST ESSEX COMMUNITY HEALTHCARE NETWORK (NECHN) WILL SERVE INDIVIDUALS LIVING WITH BEHAVIORAL HEALTH (BH) NEEDS IN ESSEX COUNTY, NJ. THE PRIMARY FOCUS OF OUR CCBHC-IMPROVEMENT AND ADVANCEMENT PROGRAM IS TO SUPPORT GREATER ACCESS TO BH SERVICES IN ESSEX COUNTY FOR THE DIVERSE POPULATIONS EXPERIENCING THE MOST SIGNIFICANT NEEDS AND GREATEST DISPARITIES. WE WILL PRIORITIZE OUTREACH TO THE MOST MARGINALIZED COMMUNITIES, INCLUDING THOSE WHO ARE BLACK AND LATINO, THOSE WHO ARE UN/UNDER-INSURED, AND CHILDREN, YOUTH, AND FAMILIES. THESE POPULATIONS ARE DISPROPORTIONATELY IMPACTED BY LACK OF ACCESS TO BH SERVICES AND POOR OUTCOMES, AND THESE DISPARITIES HAVE ONLY BEEN EXACERBATED BY THE COVID-19 PANDEMIC. FOR CCBHC-IMPROVEMENT AND ADVANCEMENT, WE WILL SERVE 500 INDIVIDUALS EACH YEAR, FOR A TOTAL OF 1,550 UNDUPLICATED CLIENTS SERVED OVER THE FOUR YEARS (NUMBERS DO NOT SUM DUE TO CLIENTS WHO ARE SERVED OVER MULTIPLE YEARS). AS A PROVIDER OF BH SERVICES IN ESSEX COUNTY AND THE SURROUNDING COUNTIES SINCE 1958, WE HAVE A LONG HISTORY OF CONTINUALLY ASSESSING AND RESPONDING TO LOCAL NEEDS IN OUR AREA. OUR CCBHC-IMPROVEMENT AND ADVANCEMENT GOALS ARE IN DIRECT ALIGNMENT WITH THE MOST PRESSING COUNTY NEEDS TODAY: GOAL 1: OFFER RAPID ACCESS TO AND SUPPORT ENGAGEMENT IN CCBHC SERVICES FOR INDIVIDUALS WITH BH CONDITIONS: 1.1: DEVELOP A CCBHC ACCESS CENTER IN Y1, SO THAT 90% OF NEW CLIENTS WILL BE CONNECTED TO A RISK SCREENING AND SCHEDULED FOR INTAKE AT THE TIME OF THEIR OUTREACH VIA A SINGLE CONTACT; 1.2: 100% OF CCBHC CLIENTS WILL RECEIVE ACCESS TO CCBHC SERVICES WITHIN 10 BUSINESS DAYS FOR ROUTINE NEEDS OR WITHIN 1 BUSINESS DAY FOR URGENT NEEDS; 1.3: 100% OF THOSE WHO DO NOT SHOW UP FOR A CCBHC APPOINTMENT WILL RECEIVE UP TO THREE OUTREACH ATTEMPTS TO (RE)ENGAGE THEM AND ASSIST WITH REMOVING BARRIERS (I.E., CHILDCARE); 1.4: 90% OF CLIENTS WITH TRANSPORTATION BARRIERS WILL BE CONNECTED TO TRANSPORTATION SUPPORTS; AND 1.5: 60% OF THOSE WHO COMPLETE A CCBHC INTAKE WILL BE ENGAGED FOR AT LEAST 3 MONTHS. GOAL 2: ADDRESS THE INTEGRATED CARE NEEDS OF CLIENTS BY EXPANDING CASE MANAGEMENT (CM) SERVICES: 2.1: EXPAND NECHN'S CM TEAM BY HIRING TWO CASE MANAGERS WITHIN THE FIRST 6 MONTHS; 2.2: 100% OF CLIENTS WILL BE ENGAGED IN A CM ASSESSMENT TO IDENTIFY/ADDRESS HOLISTIC NEEDS; 2.3: 80% OF THOSE WHO DO NOT HAVE ONE WILL BE REFERRED TO A PCP THAT MEETS THEIR NEEDS; AND 2.4: 75% OF THOSE WHO HAVE SDOH-RELATED NEEDS WILL REPORT HAVING THOSE NEEDS MET WITHIN 6 MONTHS OF BEING ENGAGED IN OUR CCBHC. GOAL 3: REDUCE BH DISPARITIES FOR PRIORITY POPULATIONS LIVING IN ESSEX COUNTY: 3.1: ENHANCE NECHN'S CCBHC TEAM BY TRAINING ONE MEMBER OF OUR CM TEAM TO BECOME A CHW SO THAT THEY CAN SUPPORT TARGETED OUTREACH TO COMMUNITIES WITH BH DISPARITIES; 3.2: BUILD CAPACITY TO SUPPORT FAMILIES AT OUR CCBHC BY TRAINING 100% OF CCBHC CLINICAL STAFF ON INTERNAL FAMILY SYSTEMS DURING THE FIRST YEAR; 3.3 PROVIDE PEER SERVICES TO 75% OF CLIENTS IN OUR TARGET SUBPOPULATIONS WITH SMI AND SUD; AND 3.4: SUPPORT 80% OF UN/UNDERINSURED CLIENTS TO CONNECT WITH PUBLIC BENEFITS BASED ON ELIGIBILITY.

NORTHWEST ESSEX CCBHC EXPANSION PROGRAM