Bridgeway Behavioral Health Services A Nj Nonprofit Corporatio

BBHS CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC - HUDSON - ABSTRACT: BRIDGEWAY CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC IN HUDSON COUNTY, NJ BRIDGEWAY BEHAVIORAL HEALTH SERVICES (BBHS) WILL USE SAMHSA CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) IMPROVEMENT AND ADVANCEMENT FUNDING TO ENHANCE THE PROGRAMMING OF ITS CCBHC WHICH LAUNCHED IN HUDSON COUNTY (HC), NJ IN 2021. THE CCBHC WILL BE ABLE TO INCREASE ITS OFFERINGS TO INCLUDE 8 OF THE 9 REQUIRED CCBHC SERVICES ON-SITE, AND AT A SINGLE LOCATION, IMPROVING ACCESS AND CONTINUITY OF CARE FOR ITS CONSUMERS. OUR POPULATIONS OF FOCUS (POF) WILL BE CHILDREN/ADOLESCENTS; SENIOR CITIZENS; THOSE WITH SUBSTANCE USE DISORDER (SUD); THE HISPANIC/LATINO COMMUNITY, PARTICULARLY THOSE FOR WHOM SPANISH IS THEIR PRIMARY LANGUAGE AND ARE NOT ENGLISH PROFICIENT; THE BLACK COMMUNITY; AND THE LGBTQ+ POPULATION. THE CCBHC WILL ADDRESS THE FOLLOWING HEALTH DISPARITIES AMONG SUBPOPULATIONS OF FOCUS IN HC: RATE OF PSYCHIATRIC HOSPITALIZATIONS AMONG BLACK INDIVIDUALS WHICH IS 70% HIGHER THAN THE COUNTY AVERAGE FOR ALL INDIVIDUALS IN THE CATCHMENT AREA (CA);2 CHRONIC DEPRESSION AMONG HISPANIC/LATINO INDIVIDUALS IN HC, 51% OF WHOM REPORTED SYMPTOMS VS. 42% OF THE GENERAL POPULATION;4 CHRONIC DEPRESSION AMONG THE LGBTQ+ POPULATION, 70% OF WHICH REPORTED SYMPTOMS;4 SENIORS WHO ARE “PARTICULARLY AFFECTED BY ANXIETY AND DEPRESSION” AND HAVE A HIGHER RATE OF COMORBID CHRONIC CONDITIONS THAN THE GENERAL POPULATION;2 ANXIETY AND DEPRESSION IN YOUTH AS IDENTIFIED BY A 2022 NEEDS ASSESSMENT; 2 AND PERSONS WITH SUD WHO ARE WITHOUT SUFFICIENT TREATMENT RESOURCES.2 WE PLAN TO SERVE 75 CONSUMERS IN YEAR 1; 125 IN YEAR 2; 175 IN YEAR 3; 200 IN YEAR 4 AND A TOTAL OF 575 PEOPLE THROUGHOUT THE FUNDING PERIOD. OUR GOALS FOR THE CATCHMENT AREA INCLUDE (1) IMPROVE THE MENTAL HEALTH (MH) AND PHYSICAL HEALTH OF THE BLACK POPULATION, (2) IMPROVE ACCESS TO CARE MH/SUD/PHYSICAL HEALTH CARE FOR THE HISPANIC/LATINO POPULATION, ESPECIALLY SPANISH SPEAKERS WITH LIMITED ENGLISH PROFICIENCY, (3) IMPROVE WHOLE-PERSON OUTCOMES FOR THE LGBTQ+ POPULATION, (4) IMPROVE WHOLE-PERSON HEALTH FOR SENIORS AGES 65+, (5) PROVIDE HIGH-QUALITY MH CARE TO CHILDREN AND ADOLESCENTS, (6) IMPROVE ACCESS TO SUD TREATMENT, (7) IMPROVE ACCESS TO CARE FOR ALL OF OUR POPULATIONS OF FOCUS (POF). THESE GOALS WILL BE ACCOMPLISHED BY ADDING, ON-SITE FOR THE FIRST TIME, OUTPATIENT SUD TREATMENT FOR ADULTS AND SENIORS; OUTPATIENT MH TREATMENT FOR CHILDREN/ADOLESCENTS; PRIMARY CARE SCREENING AND SERVICES ACROSS THE LIFESPAN; PEER SERVICES; SPANISH-LANGUAGE OPTIONS IN ALL OUR SERVICE LINES. WE WILL TAILOR OUR SERVICES TO BE EFFECTIVE, RESPONSIVE, AND EVIDENCE-BASED IN RELATION TO OUR POF. BBHS IS COMMITTED TO DELIVERING CULTURALLY AND LINGUISTICALLY APPROPRIATE AND ACCESSIBLE CARE. THIS IS DRIVEN THROUGH THE QI DEPT., AN INTERNAL DIVERSITY, EQUITY, INCLUSION, AND BELONGING (DEIB) COMMITTEE, CHARGED WITH ENSURING ALL BBHS PROGRAMS ADHERE TO THE NATIONAL STANDARDS FOR CULTURAL AND LINGUISTICALLY APPROPRIATE SERVICES, AND THAT ALL STAFF ARE TRAINED ANNUALLY ON CULTURAL COMPETENCY. WE WILL PRIORITIZE THE RECRUITMENT AND HIRING OF PRACTITIONERS WHO HAVE SIMILAR IDENTITIES/DEMOGRAPHICS AS OUR POF INCLUDING THOSE WHO ARE BILINGUAL, PRACTITIONERS WHO ARE BLACK AND/OR LATINO, AND THOSE WHO IDENTIFY AS PART OF THE LGBTQ+ COMMUNITY. THIS SERVICE EXPANSION WILL SIGNIFICANTLY IMPROVE ACCESS TO COMPREHENSIVE CARE FOR THE COMMUNITY IN HUDSON COUNTY. WE INTEND TO ENSURE THAT ALL OUR CLIENTS HAVE THEIR WHOLE-PERSON HEALTH AND RECOVERY NEEDS MET THROUGH OUR CCBHC PROGRAM. THROUGH THIS EFFORT, OUR AGENCY WILL REDUCE HEALTH DISPARITIES IN OUR POF AND IMPROVE THE MH/SUD/PHYSICAL HEALTH OUTCOMES FOR OUR CONSUMERS.

BRIDGEWAY INTEGRATED HEALTH SERVICES. - BRIDGEWAY REHABILITATION SERVICES (BRS) IS APPLYING FOR GRANT FUNDING TO BECOME A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER (CCBHC). THE PROJECT, TITLED BRIDGEWAY INTEGRATED HEALTH SERVICES (BIHS), WILL PROVIDE UNDERSERVED AND AT-RISK CHILDREN AND ADULTS IN HUDSON COUNTY, NEW JERSEY WITH INTENSIVE MENTAL HEALTH AND/OR SUBSTANCE USE SERVICES, OR BEHAVIORAL HEALTH (BH) SERVICES. BRS INTENDS TO SERVE 250 UNDUPLICATED INDIVIDUALS IN THE FIRST YEAR AND AT LEAST 600 INDIVIDUALS OVER THE LIFETIME OF THE PROJECT. HUDSON COUNTY IS A RACIALLY AND ETHNICALLY DIVERSE REGION WITH HIGHER PREVALENCE OF POVERTY (13.7%), AND UNINSURED INDIVIDUALS (12.9%) COMPARED TO THE STATEWIDE AVERAGE. CURRENT WAIT TIMES FOR OUTPATIENT BH SERVICES IN THE COUNTY IS 30+ DAYS WHILE THE DEMAND FOR MENTAL HEALTH AND SUBSTANCE USE SERVICES INCREASES. THIS IS A KEY FACTOR TO THE COUNTY EXPERIENCING HIGHER RATES OF BH-RELATED CRISIS CALLS AND ED VISITS. BIHS’ OPEN ACCESS SERVICE MODEL WILL OFFER SAME DAY AND WALK-IN ACCESS TO ADDRESS THIS CRITICAL COMMUNITY NEED AND REDUCE THE RELIANCE UPON EMERGENCY DEPARTMENT AND CRISIS SERVICES. THE PROJECT GOALS INCLUDE INCREASED ACCESS TO COMMUNITY-BASED BH SERVICES (REDUCING WAIT TIME FOR CARE), IMPROVED PHYSICAL HEALTH INTEGRATION AND COORDINATION OF CARE (REDUCTION IN UNMET PHYSICAL HEALTH ISSUES OR GAPS IN SERVICES) AND IMPROVED OVERALL CARE AND SUPPORT (INCREASED USE OF EBP RESULTING IN SYMPTOM REDUCTION, REDUCING TREATMENT ATTRITION, PARTICIPANT SATISFACTION). TO MEET THESE GOALS BIHS WILL OFFER OUR POPULATION OF FOCUS IMMEDIATE ACCESS TO APPROPRIATE, EVIDENCE-BASED, SCREENING, ASSESSMENT AND TREATMENT SERVICES TO IMPROVE ACCESS AND BETTER ADDRESS CURRENT UNMET NEED. WITH CCBHC GRANT FUNDING, BRS WILL BUILD ON OUR 50+ YEARS SERVING THESE COMMUNITIES BY: - OFFERING A CENTRALIZED, OPEN ACCESS PROGRAM MODEL OFFERING ALL REQUIRED OUT-PATIENT BH SERVICES, INCLUDING A LIVING ROOM MODEL AND MAT SERVICES, TO CHILDREN, YOUTH AND ADULTS. - IMPROVING ENGAGEMENT OF NEW PARTICIPANTS THROUGH NAVIGATION AND PEER SERVICES AND ADDRESSING THEIR CURRENT NEEDS THROUGH FAST TRACKING TO THE TREATMENT AND SUPPORTS THEY NEED AND WANT ON DAY ONE. - IMPLEMENTING WALK-IN AND SAME DAY SERVICES, WITH EVENING AND WEEKEND HOURS TO OFFER FLEXIBILITY TO INDIVIDUALS WORKING AND CARING FOR FAMILY. - IMPLEMENTING 24-HOUR CALL SERVICE TO PROVIDE PROACTIVE CLINICAL AND CASE MANAGEMENT INTERVENTIONS TO ADDRESS PARTICIPANT NEEDS AND REDUCING THE INCIDENCE OF CRISES. - IMPLEMENTING DCO PARTNERSHIPS WITH THE NORTH HUDSON COMMUNITY ACTION CORPORATION FQHC (INTEGRATED PHYSICAL HEALTH), SPECTRUM HEALTHCARE, INC. (METHADONE SERVICES) AND COLLABORATIVE SUPPORT PROGRAMS OF NJ (PEER, PSYCHIATRIC REHABILITATION, AND SUPPORT SERVICES) - IMPLEMENTING AFFILIATION AND BUSINESS ASSOCIATES AGREEMENTS WITH THE HUDSON COUNTY OFFICE OF VETERANS AFFAIRS TO EXPAND INTENSIVE COMMUNITY-BASED MENTAL HEALTH CARE FOR MEMBERS OF THE ARMED FORCES AND VETERANS.

HOMELESS OUTREACH AND SUPPORT TEAM (HOST)

BRIDGEWAY REHABILITATION SERVICES CLINICAL SUPPORT AND RESTORATION SERVICES (BCSRS) - BRIDGEWAY REHABILITATION SERVICES (BRS) IS APPLYING FOR GRANT FUNDING TO ENABLE COMMUNITY MENTAL HEALTH CENTERS (CMHCS) TO SUPPORT AND RESTORE THE DELIVERY OF CLINICAL SERVICES THAT WERE IMPACTED BY THE COVID-19 PANDEMIC. THIS PROJECT, NAMED THE BRS CLINICAL SUPPORT AND RESTORATION SERVICES (BCSRS), WILL STRENGTHEN THE BRS CMHC SERVICES IN HUDSON, UNION AND SOMERSET COUNTIES TO EFFECTIVELY ADDRESS THE NEEDS OF INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI), SERIOUS EMOTIONAL DISTURBANCE (SED), AND SMI OR SED AND SUBSTANCE USE DISORDERS KNOWN AS CO-OCCURRING DISORDER (COD). BRS INTENDS TO SERVE 345 UNDUPLICATED INDIVIDUALS IN THE FIRST YEAR AND A TOTAL OF AT LEAST 690 INDIVIDUALS OVER THE LIFETIME OF THE PROJECT AIDING THOSE WHO HAVE BEEN NEGATIVELY IMPACTED OR UNDERSERVED DUE TO THE COVID-19 PANDEMIC. FROM AUGUST 2020 TO FEBRUARY 2021, 41% OF NJ ADULTS REPORTED RECENT SYMPTOMS OF ANXIETY OR DEPRESSION, 11.7% REPORTED AN UNMET MH CARE NEED AND 20% REPORTED AN UNMET NEED FOR COUNSELING/THERAPY. IN NJ, A GREATER PROPORTION OF PERSONS PRESENTED AT EMERGENCY DEPARTMENTS (ED’S) WITH A MH AND/OR SUBSTANCE USE DISORDER SINCE THE ONSET OF COVID-19. CHILDREN UNDER 18 HAD THE LARGEST POST COVID % INCREASE, THREE TIMES THE PRE COVID RATE, IN ED BEHAVIORAL HEALTH (BH) RELATED VISITS, AND ADOLESCENTS HAD A 31% INCREASE IN VISITS. TOTAL ED VISITS WERE LARGEST AMONG ADULTS AGED 18–29 YEARS. COMPOUNDING THIS INCREASE IN ED USE FOR BH SYMPTOMS IS THE 30+ DAY AVERAGE WAIT TIME FOR AN INITIAL OUTPATIENT APPOINTMENT IN ALL THREE COUNTIES OF FOCUS DUE TO INSUFFICIENT NUMBERS OF PROVIDERS AND STAFF SHORTAGES. THE GOALS OF THIS PROJECT ARE TO INCREASE ACCESS TO BH SERVICES, EXPAND OR RESTORE ACCESS TO OP SERVICES, EXPAND CRISIS SERVICES AND ATTACH OP THERAPY TO CRISIS SERVICES, INCREASE THE QUALITY OF CARE BY EXPANDING STAFF COMPETENCY IN PROVIDING EVIDENCE-BASED CARE, AND ADDRESS THE MENTAL HEALTH (MH) NEEDS OF BRS CMHC STAFF. WITH THIS CMHC GRANT FUNDING, BRS WILL BUILD ON OUR 50+ YEARS SERVING THESE COMMUNITIES BY: - IMPLEMENTING OPEN CENTRAL ACCESS FOR CRISIS AND OP SERVICES FOR ALL BCSRS INCLUDING TWO WALK-IN IMMEDIATE MH CARE SITES IN HUDSON AND SOMERSET COUNTIES. - RESTORING BRS TELEHEALTH OUTPATIENT COVID SUPPORT COUNSELING SERVICES AND ENHANCING OP TELEHEALTH TO SERVE ALL THREE COUNTIES. - EXPANDING EARLY INTERVENTION SUPPORT SERVICES (EISS) AND INCLUDING OUTPATIENT SERVICES. - PROVIDING ON-SITE OP SERVICES FOR ALL THREE COUNTIES. - PROVIDING CHILDREN’S OP SERVICES AND SCHOOL LIAISON TO ADDRESS BH ISSUES IN SOMERSET COUNTY. - SUPPORTING TRAUMA INFORMED SCREENING AND ASSESSMENT SERVICES INCLUDING ZERO SUICIDE SCREENING AND INTERVENTION. - EXPANDING PSYCHIATRIC EMERGENCY SCREENING SERVICES 24/7 MOBILE EMERGENCY OUTREACH AND SCREENING IN SOMERSET COUNTY. - EXPANDING RECOVERY-ORIENTED SERVICES THROUGH PEER SUPPORT AND CASE MANAGEMENT. - ADDRESSING THE MH NEEDS OF ALL CMHC STAFF, AND PROVIDING STAFF TRAINING AND DEVELOPMENT.

WELLNESS COLLABORATIVE CARE PROGRAM

BRIDGEWAY BEHAVIORAL HEALTH SERVICES TRANSITION AGE YOUTH ASSERTIVE COMMUNITY TREATMENT TEAM - BRIDGEWAY BEHAVIORAL HEALTH SERVICES (BBHS) IS APPLYING FOR GRANT FUNDING TO EXPAND ASSERTIVE COMMUNITY TREATMENT (ACT) IN ESSEX COUNTY, NJ. THE PROJECT, TITLED BBHS TRANSITION AGE YOUTH ASSERTIVE COMMUNITY TREATMENT (TAY ACT), WILL PROVIDE BEHAVIORAL HEALTH ACT SERVICES FOR UNDERSERVED AND AT-RISK TAY, AGE 16-26, EXPERIENCING SERIOUS MENTAL ILLNESS (SMI), SEVERE EMOTIONAL DISTURBANCE (SED), AND WHO MAY EXPERIENCE CO-OCCURRING SUBSTANCE USE DISORDERS. TAY ACT INTENDS TO SERVE 62 UNDUPLICATED TAY IN THE FIRST YEAR AND AT LEAST 103 UNDUPLICATED INDIVIDUALS OVER THE FIVE-YEAR GRANT PROJECT WITH A CENSUS OF 85 PERSONS RECEIVING SERVICES. ESSEX COUNTY IS DIVERSE IN TERMS OF RACE, ETHNICITY, AND FAMILY INCOME. THE LARGEST LOCALE IN THE COUNTY, NEWARK, HAS OVER 35% POVERTY RATE COMPARED TO 15.8% OF ALL ESSEX COUNTY. 30% OF NEWARK AREA HOUSEHOLDS EXPERIENCE AT LEAST ONE SEVERE HOUSING PROBLEM (OVERCROWDING, COST, LACK OF KITCHEN, LACK OF PLUMBING). BRIDGEWAY HAS SELECTED TO SERVE THE NEWARK URBAN AREA, DEFINED AS NEWARK, IRVINGTON, AND EAST ORANGE, WHERE THERE ARE SIGNIFICANT DISPARITIES ALONG MANY DIMENSIONS BETWEEN YOUNG AFRICAN AMERICANS AND THEIR COUNTERPARTS FROM OTHER RACIAL GROUPS. THE ESSEX COUNTY POINT IN TIME COUNT IDENTIFIED 1695 (90.6%) OF THE TOTAL COUNTY HOMELESS IN NEWARK ALONE. 524 WERE AGE 24 AND UNDER, REPRESENTING THE SECOND LARGEST COHORT AFTER CHRONICALLY HOMELESS. THE MOST PREVALENT DISABLING CONDITIONS FOR HOMELESS YOUTH WERE MENTAL ILLNESS AND SUBSTANCE ABUSE. ESSEX COUNTY, NJ IS A MEDICALLY UNDERSERVED AREA WITH LIMITED ACCESS TO MEDICAL AND MENTAL HEALTH (MH) CARE. THERE IS ONE PRIMARY CARE PHYSICIAN FOR EVERY 1,180 PEOPLE, ONE DENTIST FOR EVERY 1,050 PEOPLE, ONE MENTAL HEALTH CARE PROVIDER FOR EVERY 450 PEOPLE, AND ONE PRIMARY CARE PROVIDER (NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, AND CLINICAL NURSE SPECIALISTS) FOR EVERY 1,270 PEOPLE. WITH ACT GRANT FUNDING, BBHS WILL BUILD ON OUR 50+ YEARS SERVING THESE COMMUNITIES BY: - INCREASING ACCESS TO ACT SERVICES FOR TAY TO INCLUDE MULTIDISCIPLINARY TEAM OUTREACH/IN-HOME AND IN-COMMUNITY BH TREATMENT SERVICE PROVISION AVAILABLE 24/7. THE ACT PSYCHIATRIST WILL PROVIDE PSYCHIATRIC EVALUATION AND PRESCRIPTION AND THE RNS WILL MANAGE THE MEDICATION DELIVERY SYSTEM TO ENSURE MEDICATION AVAILABILITY WHEN, WHERE, AND HOW THE TAY, AND FAMILY, PREFER. THE TEAM PROVIDES THE TAY, AND FAMILY, SUPPORT AND EDUCATION FOR HOUSING SECURITY, EMPLOYMENT AND EDUCATION, CO-OCCURRING SUBSTANCE USE DISORDERS, CASE MANAGEMENT, ACTIVITIES OF DAILY LIVING TEACHING, PEER SUPPORT, CRISIS INTERVENTION, ILLNESS MANAGEMENT AND RECOVERY, WELLNESS RECOVERY ACTION PLANNING, MEDICAL HEALTH MANAGEMENT IN COORDINATION WITH PRIMARY HEALTH PROVIDERS, AND SUPPORTIVE COUNSELING AND THERAPY. - IMPROVING HOUSING STABILITY FOR TAY WHO ARE HOMELESS OR HOUSING INSECURE. - EXPANDING EDUCATIONAL AND VOCATIONAL OPPORTUNITIES FOR SERVICE RECIPIENTS THROUGH USE OF READINESS ASSESSMENT AND SUPPORTED EMPLOYMENT/SUPPORTED EDUCATION EBP INTERVENTIONS. - IMPROVING QUALITY OF CARE FOR TAY BY INCORPORATING EVIDENCE-BASED PRACTICES AND TOOLS TO MONITOR AND TREAT DEPRESSIVE DISORDERS AND CO-OCCURRING SUBSTANCE USE DISORDERS REDUCING SEVERITY OF DEPRESSION AND SUBSTANCE USE AND IMPROVING BEHAVIORAL HEALTH OUTCOMES BY REDUCING RATES OF EMERGENCY DEPT (ED) AND HOSPITALIZATION, SUBSTANCE USE, HOMELESSNESS, AND CRIMINAL JUSTICE SYSTEM INVOLVEMENT. - MAINTAINING A WELL-TRAINED ACT TEAM. THE TEAM WILL BE TRAINED TO PROVIDE HIGH-FIDELITY ACT SERVICES, AS MEASURED BY THE TMACT, BEGINNING WITH THE 5-DAY ACT TRAINING PROVIDED BY THE BBHS ACT TRAINING AND TECHNICAL ASSISTANCE CENTER. THE TEAM WILL BE TRAINED TO PROVIDE EVIDENCE-BASED PRACTICES AND TRAUMA INFORMED CARE. - IMPROVING QUALITY OF LIFE AND PERCEPTION OF CARE AS DETERMINED BY TAY, AND FAMILY, USING SURVEY TOOLS AND OUTCOME MEASURES.

WELLNESS COLLABORATIVE CARE PROGRAM