National Council For Behavioral Health

TRANSFORMING CLINICAL PRACTICES INITIATIVE - PTN

STRENGTHENING PUBLIC HEALTH SYSTEMS AND SERVICES THROUGH NATIONAL PARTNERSHIPS TO IMPROVE AND PROTECT THE NATION'S HEALTH

PBHCI HIT-TTA

NATIONAL TRAINING AND TECHNICAL ASSISTANCE CENTER FOR CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS ? EXPANSION GRANTS - THE NATIONAL COUNCIL FOR BEHAVIORAL HEALTH DBA NATIONAL COUNCIL FOR MENTAL WELLBEING PROPOSES TO ESTABLISH THE NATIONAL TRAINING AND TECHNICAL ASSISTANCE CENTER FOR CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS EXPANSION GRANTS (TTA-CCBHC) TO ADVANCE IMPLEMENTATION AND SUSTAINABILITY OF THE CCBHC MODEL. TRAINING AND TECHNICAL ASSISTANCE (TTA) WILL BE PROVIDED TO CCBHC EXPANSION (CCBHC-E) GRANTEES TO ADDRESS BARRIERS, GAPS AND CHALLENGES IN IMPLEMENTING THE RANGE OF REQUIRED CCBHC SERVICES, MEETING AND ADHERING TO CCBHC CRITERIA, DELIVERING COMPREHENSIVE 24/7 COMMUNITY-BASED MENTAL HEALTH, SUBSTANCE USE AND PHYSICAL HEALTHCARE IN ONE LOCATION, AND PLANNING FOR POST-GRANT SUSTAINABILITY. OVERARCHING PROJECT GOALS ARE: 1) INCREASE TTA RECIPIENTS’ SUCCESS IN IMPLEMENTING AND ADHERING TO THE CCBHC MODEL, ADOPTING EVIDENCE-BASED PRACTICES AND ADVANCING ACTIVITIES, PROCESSES, AND PARTNERSHIPS THAT SUPPORT ACCESS TO CARE AND 2) IMPROVE CCBHC-E GRANTEES’ SUSTAINABILITY EFFORTS AND ADVANCE THEIR ALIGNMENT WITH AND ABILITY TO NAVIGATE STATE CCBHC CERTIFICATION PROCESSES. THE NATIONAL COUNCIL IS THE NATION’S LEADING CHAMPION FOR THE CCBHC MODEL. BUILDING ON OUR LONGSTANDING HISTORY OF SUPPORTING CLINICS AND STATES WITH CCBHC IMPLEMENTATION, REACHING MORE THAN 3,900 INDIVIDUALS AND 70% OF CCBHC-E GRANTEES IN THE LAST YEAR ALONE, WE HAVE DEVELOPED A STELLAR TEAM WITH THE REQUIRED KNOWLEDGE AND EXPERIENCE TO ADDRESS A RANGE OF CCBHC-E TTA CHALLENGES. PARTNERS ON THIS EFFORT INCLUDE THE AMERICAN SOCIETY OF ADDICTION MEDICINE, INSTITUTE FOR INNOVATION AND IMPLEMENTATION AT THE UNIVERSITY OF MARYLAND SCHOOL OF SOCIAL WORK, MULTICULTURAL DEVELOPMENT INSTITUTE, NATIONAL ALLIANCE ON MENTAL ILLNESS, NATIONAL ASSOCIATION OF STATE ALCOHOL AND DRUG ABUSE DIRECTORS, NATIONAL ASSOCIATION OF STATE MENTAL HEALTH PROGRAM DIRECTORS, AND RELIAS, LLC. THE TTA-CCBHC WILL PROVIDE TTA TO AT LEAST 5,000 INDIVIDUALS ANNUALLY (15,000 OVER THE LIFETIME OF THE PROJECT) REACHING NO FEWER THAN 80% OF CCBHC-E GRANTEES IN THE FIRST YEAR, WITH A GOAL OF EXTENDING OUR REACH TO 100% OF GRANTEES BY THE END OF THE FIVE-YEAR PROJECT. PROJECT ACTIVITIES INCLUDE: ESTABLISHING AN ADVISORY BOARD THAT INCLUDES REPRESENTATION FROM POPULATIONS THAT CCBHCS SERVE (E.G., SERIOUS MENTAL ILLNESS); CONDUCTING AN ANNUAL TTA NEEDS ASSESSMENT; DEVELOPING AND ANNUALLY UPDATING A STRUCTURED TTA PLAN; COMPILING A COMPREHENSIVE INVENTORY OF TTA RESOURCES HOUSED ON A TTA-CCBHC WEBSITE; ORGANIZING, DEVELOPING, AND PROVIDING CCBHC’S TTA AND DIRECT CONSULTATION ON DEMAND VIA MULTIPLE MODALITIES; ESTABLISHING PARTNERSHIPS WITH OTHER NATIONAL TTA CENTERS, CENTERS OF EXCELLENCE, AND TECHNOLOGY TRANSFER CENTERS; AND IMPLEMENTING A PERFORMANCE MONITORING PLAN WITH CONTINUOUS QUALITY IMPROVEMENT (CQI). IN ADDITION, TO ADVANCE GRANTEES’ ABILITY TO NAVIGATE STATE CCBHC CERTIFICATION PROCESSES AND SUPPORT GRANT SUSTAINABILITY, WE WILL DEVELOP TTA RESOURCES AND LEARNING COLLABORATIVES ON NAVIGATING STATE CERTIFICATION, MAXIMIZING OPPORTUNITIES FOR SUSTAINABILITY, AND WORKING WITH PRIVATE PAYERS TO EXPLORE COVERAGE THAT ENABLES CONTINUATION OF CCBHC SERVICES.

NATIONAL CENTER OF EXCELLENCE FOR INTEGRATED HEALTH SOLUTIONS

CATEGORY C: PUBLIC HEALTH SYSTEM COMPONENTS: STRENGTHENING PUBLIC HEALTH SYSTEMS AND SERVICES THROUGH NATIONAL PARTNERSHIPS TO IMPROVE AND PROTECT THE NATION'S HEALTH - THE NATIONAL COUNCIL FOR BEHAVIORAL HEALTH DBA THE NATIONAL COUNCIL FOR MENTAL WELLBEING (NATIONAL COUNCIL) IS APPLYING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION’S (CDC) FUNDING OPPORTUNITY, STRENGTHENING PUBLIC HEALTH SYSTEMS AND SERVICES THROUGH NATIONAL PARTNERSHIPS TO IMPROVE AND PROTECT THE NATION’S HEALTH (CDC-RFA-PW-24-0080), TO IMPROVE ORGANIZATIONAL AND SYSTEMS INFRASTRUCTURE AND PERFORMANCE ACROSS THE PUBLIC HEALTH SYSTEM. WE WILL ADDRESS THE WORKFORCE CAPACITY-BUILDING ASSISTANCE (CBA) NEEDS OF PUBLIC HEALTH SYSTEM COMPONENTS (CATEGORY C). OUR POPULATION OF FOCUS WILL BE COMMUNITY BEHAVIORAL HEALTH ORGANIZATIONS (CBHOS) NATIONWIDE. WE ARE REQUESTING $200,000 TO SUPPORT THIS INITIATIVE. CBHOS IMPROVE OUTCOMES FOR PEOPLE WITH OR AT RISK OF MENTAL ILLNESS (MI) AND SUBSTANCE USE DISORDER (SUD) THROUGH PREVENTION, INTERVENTION, TREATMENT, AND RECOVERY SERVICES. CBHOS FACE SIGNIFICANT CHALLENGES, INCLUDING UNDERFUNDING, FRAGMENTED SYSTEMS, AND WORKFORCE DECLINES THAT THE COVID-19 PANDEMIC AND OTHER TRAUMATIC HEALTH THREATS HAVE INTENSIFIED. TO ADDRESS WORKFORCE NEEDS, WE WILL ESTABLISH AN ENHANCED BEHAVIORAL HEALTH TRAINING INSTITUTE FOR HEALTH OFFICIALS (BHTI), WHICH WILL TRAIN CBHOS AND THEIR PUBLIC HEALTH SYSTEM PARTNERS (PHPS) ON A SET OF INTEGRATED PUBLIC HEALTH AND BEHAVIORAL HEALTH CORE COMPETENCIES AND CROSS-CUTTING SKILLSETS. WE WILL BUILD ON OUR NINE YEARS’ EXPERIENCE IMPLEMENTING BHTIS, WHICH HAVE RESULTED IN IMPROVED WORKFORCE CAPACITY. WE AIM TO ACHIEVE THE FOLLOWING OUTCOMES: INCREASED AVAILABILITY OF AND ACCESS TO CBA SERVICES AND PRODUCTS; INCREASED AWARENESS OF BEST AND PROMISING PRACTICES AND TOOLS; INCREASED AWARENESS AND UNDERSTANDING OF RECOMMENDED PROCESSES, POLICIES, AND PRACTICES WITHIN STRATEGIC AREAS; ENHANCED SKILL AND ABILITY TO SUPPORT DECISION MAKING IN STRATEGIC AREAS; IMPROVED ORGANIZATIONAL AND SYSTEMS CAPACITY TO ADDRESS EQUITY-FOCUSED PUBLIC HEALTH PRIORITIES; AND IMPROVED HEALTH OUTCOMES AND REDUCED HEALTH INEQUITIES. WE WILL ACHIEVE THE OUTCOMES THROUGH THE FOLLOWING ACTIVITIES: · DEVELOP AND REFINE THE BHTI CURRICULUM ON EVIDENCE-BASED AND INFORMED INTERVENTIONS, ADDRESSING HEALTH DISPARITIES AND SOCIAL DETERMINANTS OF HEALTH. · DEVELOP BHTI MODULES ON TRAUMA-INFORMED, RECOVERY-ORIENTED EQUITABLE SYSTEMS AND SYSTEMS OF CARE; FOCUS ON TRAUMA-INFORMED AND CRISIS-RESILIENT LEADERSHIP AND WORKFORCE AND RETAINING AND SUSTAINING A TRAUMA-INFORMED WORKFORCE AND SUPPORTIVE WORK ENVIRONMENT. · PROVIDE MENTAL HEALTH FIRST AID (MHFA) AT WORK TRAINING. · LAUNCH A LEARNING COMMUNITY THAT INCLUDES AN IN-PERSON MEETING, PARTICIPATION AT THE NATIONAL COUNCIL’S CONFERENCE, TWO AFFINITY GROUP CALLS, AND FOUR WEBINARS TO REINFORCE KNOWLEDGE AND SKILLS DEVELOPMENT. · DISSEMINATE RESOURCES TO A NATIONAL AUDIENCE, INCLUDING THROUGH TWO LIVE WEBINARS THAT WILL BE RECORDED AND MADE PUBLICLY AVAILABLE. THIS PROJECT WILL BE IMPLEMENTED BY AN EXPERIENCED TEAM OF EIGHT STAFF MEMBERS. OUR TEAM WILL COLLABORATE WITH CDC AND NATIONAL, STATE, LOCAL, TERRITORIAL, AND TRIBAL PHPS, AND THE PROJECT DESIGN WILL PRIORITIZE CULTURAL RESPONSIVENESS. A ROBUST EVALUATION PLAN WILL TRACK PROCESSES AND OUTCOMES TO INFORM QUALITY IMPROVEMENT EFFORTS. THE NATIONAL COUNCIL IS WELL EQUIPPED TO LEAD THIS EFFORT BECAUSE OF OUR EXPERIENCE IMPLEMENTING NATIONWIDE, CDC-FUNDED CBA EFFORTS THAT STRENGTHEN WORKFORCE CAPACITY. FOR 55 YEARS, WE HAVE DESIGNED AND IMPLEMENTED MORE THAN 2,000 CBA PROJECTS ACROSS 50 STATES AND EACH HHS REGION. WE ARE A MEMBERSHIP ORGANIZATION THAT DRIVES POLICY AND SOCIAL CHANGE ON BEHALF OF MORE THAN 3,400 CBHOS AND THE 10 MILLION PEOPLE THEY SERVE. THROUGH OUR MHFA PROGRAM, WE HAVE TRAINED OVER 3 MILLION PEOPLE TO IDENTIFY AND RESPOND TO SYMPTOMS OF MI AND SUD. WE HAVE THE ORGANIZATIONAL CAPACITY AND INFRASTRUCTURE, TECHNOLOGY, COMMUNICATIONS AND DATA SYSTEMS, AND LONGSTANDING RELATIONSHIPS WITH PUBLIC HEALTH ORGANIZATIONS TO SUCCESSFULLY ACHIEVE THE GOALS OF THIS CBA INITIATIVE.

NATIONAL CENTER OF EXCELLENCE FOR INTEGRATED HEALTH SOLUTIONS - THE NATIONAL COUNCIL FOR MENTAL WELLBEING IS PROPOSING TO ADMINISTER THE SAMHSA-FUNDED NATIONAL CENTER OF EXCELLENCE FOR INTEGRATED HEALTH SOLUTIONS (CIHS). THE CIHS WILL PROMOTE BI-DIRECTIONAL INTEGRATION BETWEEN BEHAVIORAL HEALTH CARE AND PRIMARY HEALTH CARE BY PROVIDING HIGH QUALITY, EVIDENCE-INFORMED TRAINING AND TECHNICAL ASSISTANCE (TTA). THE CIHS WILL IDENTIFY AND RAPIDLY DISSEMINATE INTEGRATION PRACTICES TO STATES, TERRITORIES, TRIBES, HEALTH CARE SYSTEMS, AND PROVIDERS, INCLUDING NON-GOVERNMENTAL ORGANIZATIONS, PROMOTING INTEGRATION OF PRIMARY AND BEHAVIORAL HEALTH CARE (PIPBHC) GRANTEES, AND THE GENERAL PUBLIC. THESE PRACTICE IMPROVEMENTS WILL ADDRESS COMPLEX HEALTH AND SOCIAL CHALLENGES FACED BY COMMUNITIES AND PROVIDERS, SUCH AS HIGH RATES OF CO-OCCURRING BEHAVIORAL HEALTH AND PHYSICAL HEALTH CONDITIONS, IDENTIFYING APPROPRIATE EVIDENCE-INFORMED PRACTICES, NAVIGATING PAYMENT SYSTEMS AND REGULATIONS, SUSTAINING INTEGRATED CARE, AND ACCURATELY MEASURING OUTCOMES. IN COLLABORATION WITH KEY PARTNERS, OUR PRIMARY GOAL WILL BE TO INCREASE THE ADOPTION AND IMPROVEMENT OF BI-DIRECTIONAL PRIMARY AND BEHAVIORAL HEALTH CARE INTEGRATION WITHIN HEALTH CARE, BEHAVIORAL HEALTH, AND COMMUNITY SETTINGS BY PROVIDING EVIDENCE INFORMED TTA THAT RESPONDS TO THE NEEDS OF UNDERSERVED POPULATIONS AND IS TAILORED TO LOCAL, STATE, AND REGIONAL COMPLEXITIES TO ADVANCE IMPLEMENTATION, ORGANIZATIONAL PROCESSES, AND PARTNERSHIPS THAT IMPROVE EQUITABLE ACCESS TO AND SUSTAINABILITY OF INTEGRATED CARE. TTA WILL BE DISSEMINATED TO PRACTITIONERS, INCLUDING REACHING AT LEAST 1,000 PROVIDER ORGANIZATIONS, AND 100 STATE LEADERS ACROSS ALL 50 STATES, FOR A TOTAL OF 40,000 INDIVIDUALS SERVED ANNUALLY AND 200,000 INDIVIDUALS REACHED DURING THE PROJECT PERIOD. WE WILL ALSO WORK TO IMPROVE PIPBHC GRANTEES’ INTEGRATED CARE AND SUSTAINABILITY EFFORTS, AND ADVANCE GRANTEES’ ALIGNMENT WITH AND ABILITY TO NAVIGATE STATE AND PROVIDER ADOPTION PROCESS FOR INTEGRATED CARE SUCH AS THE COLLABORATIVE CARE MODEL (COCM) IN ADDITION TO OTHER INTEGRATED CARE MODELS. ADDITIONALLY, WE WILL AIM TO BUILD AND ENHANCE THE CAPACITY OF THE INTEGRATED CARE WORKFORCE. BEHAVIORAL HEALTH INTEGRATION MODELS, INCLUDING THE COCM, ARE CRUCIAL IN BRIDGING SIGNIFICANT CARE GAPS FOR UNDERSERVED POPULATIONS AND GEOGRAPHIC AREAS, PARTICULARLY FOR INDIVIDUALS EXPERIENCING SERIOUS MENTAL ILLNESS AND SUBSTANCE USE DISORDERS. THESE MODELS, WHICH INTEGRATE PRIMARY CARE AND CARE COORDINATION WITH SERVICES THAT ADDRESS THE SOCIAL DETERMINANTS OF HEALTH EMPHASIZE THE IMPORTANCE OF ADDRESSING THE UNIQUE COMPLEXITIES OF CARE FOR EACH PERSON TO IMPROVE HEALTH OUTCOMES AND REDUCE DISPARITIES FOR VULNERABLE POPULATIONS. BY SEAMLESSLY COORDINATING PRIMARY HEALTH CARE AND BEHAVIORAL HEALTH CARE SERVICES, INTEGRATED CARE MODELS DELIVER A HOLISTIC, PATIENT-CENTERED APPROACH THAT REDUCE HEALTH DISPARITIES, DECREASE HEALTHCARE COSTS, AND IMPROVE OVERALL HEALTH OUTCOMES. THE NATIONAL COUNCIL WILL USE VARIOUS STRATEGIES AND INTERVENTIONS TO REACH OUR GOALS. THIS INCLUDES OUR TTA FRAMEWORK, GROUNDED IN THE PUBLIC HEALTH LEARNING NETWORK’S PUBLIC HEALTH LEARNING AGENDA TOOLKIT, TO PROVIDE EFFECTIVE IMPLEMENTATION SUPPORT WITH ON-DEMAND RESPONSES TO LOCAL NEEDS AND SYSTEM COMPLEXITIES. IN ADDITION, THE NATIONAL COUNCIL’S COMPREHENSIVE HEALTH INTEGRATION FRAMEWORK REPRESENTS A SIGNIFICANT ADVANCEMENT IN FACILITATING INTEGRATED CARE ACROSS PRACTICE SETTINGS.

THE NATIONAL BEHAVIORAL HEALTH NETWORK FOR TOBACCO AND CANCER CONTROL

THE NATIONAL BEHAVIORAL HEALTH NETWORK FOR TOBACCO AND CANCER CONTROL

NATL BEHAVIORAL HEALTH NETWORK FOR TOBACCO CESSATION

NATL BEHAVIORAL HEALTH NETWORK FOR TOBACCO CESSATION

PPHF 2013: OSTLTS PARTNERSHIPS-CBA OF THE PUBLIC HEALTH SYSTEM

PPHF 2013: OSTLTS PARTNERSHIPS-CBA OF THE PUBLIC HEALTH SYSTEM