Crossroads Health

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3CS (COMPREHENSIVE CCBHC COLLABORATION): IMPROVEMENT OF SYSTEM-WIDE ACCESS TO CARE, SERVICES, AND OUTCOMES FOR INDIVIDUALS WITH MENTAL HEALTH AND SUBSTANCE USE DISORDERS IN LAKE COUNTY, OH - CROSSROADS HEALTH, A LAKE COUNTY, OH BEHAVIORAL HEALTH PROVIDER WITH 48 YEARS' EXPERIENCE SERVING CHILDREN, ADOLESCENTS, AND ADULTS WITH MENTAL HEALTH AND SUBSTANCE USE DISORDERS, WILL ACHIEVE SYSTEM-WIDE AND INDIVIDUAL-LEVEL OUTCOMES WITH ACCELERATED IMPLEMENTATION OF THE CCBHC MODEL. WITH 9 LOCAL AND STATE COLLABORATORS, THE PROJECT WILL SERVE 300 INDIVIDUALS, EXPANDING MOBILE HEALTH CRISIS SERVICES, ACCESS TO CARE, AND LINKAGE TO EBP-INFORMED SERVICES. CROSSROADS HEALTH'S PROPOSED PROJECT, 3CS, SERVES 1. CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISORDERS (SED), AND 2. ADULTS WHO ARE EXPERIENCING ACUTE MENTAL HEALTH CRISIS, SUBSTANCE ABUSE, ADDICTION, OR CO-OCCURRING MENTAL HEALTH AND SUBSTANCE ABUSE DISORDERS, THIS POPULATION OF FOCUS RESIDES IN LAKE COUNTY, OH, A CATCHMENT AREA OF 23 CITIES, TOWNSHIPS, AND VILLAGES. DURING THE TWO-YEAR PROJECT PERIOD, CROSSROADS WILL SERVE 150 INDIVIDUALS ANNUALLY, OR 120 ADULTS AND 30 CHILDREN AND ADOLESCENTS, AND 300 INDIVIDUALS, OR 240 ADULTS AND 60 CHILDREN AND ADOLESCENTS IN TOTAL. THE PROJECT GOALS ARE TWO-FOLD, PRODUCING SYSTEMS-WIDE AND INDIVIDUAL-LEVEL OUTCOME. FIRST, CROSSROADS WILL IMPROVE ACCESS TO CARE ON A SYSTEMS-WIDE LEVEL WITHIN LAKE COUNTY THROUGH THE IMPLEMENTATION OF THE CCBHC MODEL AT CROSSROADS HEALTH BY 12.30.2020. OBJ. A - INDIVIDUAL ACCESS TO MOBILE MENTAL HEALTH CRISIS SERVICES WILL INCREASE IN LAKE COUNTY. BY 8.29.2022, CLIENT USE OF THE LAKE HEALTH EMERGENCY DEPARTMENT WILL DECREASE BY 20 PERCENT AND MOBILE CRISIS SERVICES IN LAKE COUNTY WILL INCREASE BY 20 PERCENT. OBJ. B - INCREASE INDIVIDUAL ACCESS IN LAKE COUNTY TO SERVICES OFFERED WITHIN THE CCBHC MODEL AT CROSSROADS. BY 8.29.2022 INCREASE INDIVIDUAL ACCESS TO CCBHC SERVICES BY 50 PERCENT. OBJ. C - PLAN AND IMPLEMENT ASSERTIVE COMMUNITY TREATMENT (ACT) SERVICES FOR INDIVIDUALS IN LAKE COUNTY IN NEED OF INTENSIVE MENTAL HEALTH SERVICES. BY 8.29.2022 ACT ENROLLMENT IN LAKE COUNTY WILL REACH UP TO 20 INDIVIDUALS AND 10 IS FULL CASELOAD CAPACITY. THIS IS A 100 PERCENT IMPROVEMENT OVER THE CURRENT STATE. SECOND, CROSSROADS WILL IMPROVE MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT OUTCOMES FOR INDIVIDUALS BY UTILIZING THE CCBHC MODEL. OBJ. A - BY 8.29.2022 INCREASE REFERRALS TO CROSSROADS OF INDIVIDUALS FOR MENTAL HEALTH AND SUBSTANCE ABUSE DISORDER SERVICES BY 20 PERCENT. OBJ. B - BY 8.29.2022 INCREASE THE NUMBER OF ASSESSMENTS AND INTAKES OF INDIVIDUALS REFERRED TO CROSSROADS FOR MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES BY 10 PERCENT. OBJ. C - BY 8.29.2022 INCREASE THE NUMBER OF INDIVIDUALS LINKED WITH 1 OR MORE EBP-INFORMED SERVICES AT CROSSROADS BY 20 PERCENT AND INCREASE CLIENT OUTCOMES BY 10 PERCENT FOR INDIVIDUALS LINKED WITH EBP-INFORMED SERVICES AT CROSSROADS.

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HEALTH CENTER PROGRAM - PROJECT TITLE NEW ACCESS POINT APPLICANT NAME CROSSROADS HEALTH ADDRESS 8445 MUNSON ROAD; MENTOR, OH 44060 PROJECT DIRECTOR MIKE MATONEY PHONE 216-548-3634 EMAIL MMATONEY@CROSSROADSHEALTH.ORG WEB URL WWW.CROSSROADSHEALTH.ORG SERVICE DELIVERY LOCATION: 9220 MENTOR AVE., MENTOR OH 44060-6412 SERVICE DELIVERY LOCATION: 140 RICHMOND ROAD, CLEVELAND OH 44143-1239 NEW PATIENTS SERVED: 1,000 CROSSROADS HEALTH IS A NON-PROFIT ORGANIZATION SERVING INDIVIDUALS IN NORTHEAST OHIO PROVIDING PRIMARY CARE, PHARMACY, PSYCHIATRY AND MEDICATION MANAGEMENT, SUBSTANCE USE DISORDER INCLUDING DUAL DIAGNOSIS, SCHOOL-BASED SERVICES, EARLY CHILDHOOD SERVICES, OUTPATIENT MENTAL HEALTH, INTENSIVE OUTPATIENT SERVICES, TRANSITIONAL HOUSING, AND CRIMINAL JUSTICE SERVICES. CROSSROADS HEALTH IS DESIGNATED AS A HEALTH CENTER PROGRAM LOOK ALIKE AT ITS LOCATION IN MENTOR, OHIO. THE SERVICE AREA INCLUDES ALL OF LAKE COUNTY AND THE NORTHEASTERN PORTION OF CUYAHOGA COUNTY. THERE ARE MORE THAN 114,000 LOW-INCOME INDIVIDUALS LIVING IN THE SERVICES AREA, 23% OF WHOM RECEIVED SERVICES FROM THE HEALTH CENTER PROGRAM IN 2023. NEARLY 98,000 LOW-INCOME INDIVIDUALS REMAIN UNSERVED BY THE HEALTH CENTER PROGRAM. CUYAHOGA COUNTY HAS HIGHER MORTALITY RATES FOR 13 OF THE LEADING 15 CAUSES OF MORTALITY IN THE UNITED STATES AND LAKE COUNTY MORTALITY RATES ARE HIGHER FOR 11 OF THE LEADING 15 CAUSES OF MORTALITY IN THE UNITED STATES. THE CUYAHOGA COUNTY DEATH RATE FROM UNINTENTIONAL DRUG OVERDOSE WAS 44.2 PER 100,000 POPULATION AND THE LAKE COUNTY DEATH RATE WAS 38.9 PER 100,000 POPULATION. THESE COMPARED TO 32.6 PER 100,000 FOR THE UNITED STATES. IN OHIO, NEARLY 60% OF OVERDOSE DEATHS WERE MALE AND NEARLY 70% WERE AFRICAN AMERICANS MANY MEMBERS OF THE TARGET POPULATION HAVE CO-OCCURRING MENTAL HEALTH AND/OR SUBSTANCE USE DISORDER DIAGNOSES. THESE INDIVIDUALS FACE SIGNIFICANT HEALTH DISPARITIES. RESEARCH PUBLISHED IN 2006 REPORTED A HIGHER RELATIVE RISK OF DEATH AMONG PUBLIC MENTAL HEALTH CLIENTS THAN THE GENERAL POPULATION RESULTING IN FROM 13 TO MORE THAN 30 YEARS OF POTENTIAL LIFE LOST FOR INDIVIDUALS WITH MAJOR MENTAL ILLNESS DIAGNOSES. THE MAJORITY OF THESE MENTAL HEALTH CLIENTS DIED OF CHRONIC DISEASE INCLUDING HEART DISEASE, CANCER, AND CEREBROVASCULAR, RESPIRATORY, AND LUNG DISEASES. AMONG MEDICAID BENEFICIARIES WITH A PSYCHIATRIC DIAGNOSIS, 56% REPORT DIABETES, 57% REPORT CARDIOVASCULAR DISEASE, AND 55% REPORT PULMONARY DISEASE. THESE HIGHER RATES OF CHRONIC DISEASE RESULT IN A TWOFOLD TO FOURFOLD ELEVATED RISK OF PREMATURE MORTALITY. CROSSROADS HEALTH PROPOSES TO EXPAND ITS CURRENT HEALTH CENTER PROGRAM SCOPE OF PROJECT THROUGH NEW ACCESS POINT FUNDING TO INCLUDE A SECOND SERVICE DELIVERY LOCATION IN EASTERN CUYAHOGA COUNTY AND TO PROVIDE MENTAL AND SUBSTANCE USE DISORDER SERVICES. AT FULL IMPLEMENTATION, THIS PROJECT WILL SERVE 2,000 UNDUPLICATED INDIVIDUALS.

COVID (P.L. 116-260) & AMERICAN RESCUE PLAN

COMMUNITY FACILITIES LOANS AND GRANTS - ARRA

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