Southwestern Behavioral Healthcare Inc

CCBHC IMPROVEMENT AND ADVANCEMENT - PROJECT NAME: SOUTHWESTERN BEHAVIORAL HEALTHCARE, INC. (SBH) CCBHC IMPROVEMENT AND ADVANCEMENT GRANT 2022 SUMMARY: WE WILL EXPAND OUR 24/7/365 CRISIS INTERVENTION SERVICES OFFERED BY OUR CCBHC TO INCLUDE TREATMENT FOR ADULTS EXPERIENCING SUBSTANCE USE DISORDER (SUD), SUPPORT SERVICES FOR YOUTH/FAMILIES IN CRISIS, AND ADDITIONAL TRAINING FOR STAFF TO WORK WITH INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES (IDD). STRATEGIES/INTERVENTIONS: IN YEAR 1, WE WILL PROVIDE TRAINING FOR STAFF ON SUD CRISIS INTERVENTION. PROTOCOLS FOR COMMUNITY INTERVENTION FOR THOSE IN SUBSTANCE USE CRISIS WITH LAW ENFORCEMENT WILL BE DEVELOPED. PARTNERSHIPS WITH LOCAL HOSPITALS WILL BE ENHANCED TO FACILITATE A “WARM” HANDOFF FROM THE EMERGENCY ROOM SUD CRISIS TO SBH’S CRISIS TEAM. OUR MOBILE UNIT WILL BE EQUIPPED, AND STAFF WILL BE TRAINED TO USE NARCAN. A WORKFLOW WILL BE DEVELOPED TO GUIDE ENGAGEMENT WITH THOSE SERVED BY THE CRISIS TEAM AND ASSIST IN CONNECTING INDIVIDUALS WITH APPROPRIATE TREATMENT. IN YEARS 1 AND 2, WE WILL IDENTIFY CHILD AND FAMILY-SPECIFIC TRAINING AND INTERVENTIONS FOR FAMILIES IN CRISIS FOR USE BY THE MOBILE TEAM. TRAINING MATERIALS AND A MOBILE TEAM FAMILY CRISIS “TOOLKIT” TO BRING TO HOMES WILL BE DEVELOPED. WE WILL TRAIN ALL CRISIS TEAMS IN EBP INTERVENTIONS TO ASSESS AND INTERVENE WITH FAMILIES IN CRISIS. WE WILL ENHANCE PARTNERSHIPS WITH THE DEPARTMENT OF CHILD SERVICES (DCS) TO ASSURE SEAMLESS REFERRALS AND THE USE OF SBH’S SPECIALIZED TEAM FOR FAMILIES WITH MH/SUD CRISES. A WORKFLOW FOR YOUTH IN CRISIS WILL BE DEVELOPED WITH LAW ENFORCEMENT GUIDANCE FOR MOBILE CRISIS TEAMS TO DIVERT JUVENILE DETENTION. WE WILL ALSO ESTABLISH A WORKFLOW FOR ONGOING ENGAGEMENT WITH FAMILIES WHO RECEIVE SERVICES FROM THE CRISIS TEAM TO ASSIST WITH ONGOING SUPPORT AND TREATMENT ENGAGEMENT. IN YEARS 3 AND 4, WE WILL PARTNER WITH THE EASTERSEALS REHABILITATION CENTER TO TRAIN CRISIS SERVICES STAFF ON UNIQUE ISSUES IN WORKING WITH PEOPLE IN CRISIS WITH IDD AND THEIR FAMILIES. SPECIALIZED PROTOCOLS WILL BE DEVELOPED FOR WORKING IN CO-RESPONSE WITH LAW ENFORCEMENT WHEN DEPLOYED TO WORK WITH CLIENTS WITH IDD IN CRISIS. PARTNERSHIPS WITH LOCAL HOSPITALS WILL BE ENHANCED TO FACILITATE A “WARM” HANDOFF FROM EMERGENCY SERVICES TO THE CRISIS TEAM FOR ONGOING ENGAGEMENT, SUPPORT, CASE MANAGEMENT, AND REFERRALS. A WORKFLOW WILL BE DEVELOPED TO GUIDE CONTINUING ENGAGEMENT WITH CLIENTS AND THEIR FAMILIES TO ASSURE CONNECTION TO APPROPRIATE TREATMENT AND RESOURCES. ALL PROGRAM ENHANCEMENTS DESCRIBED WILL BE PART OF A COMMUNITY-WIDE MARKETING CAMPAIGN FOCUSING ON CRISIS SUPPORT FOR YOUTH AND FAMILIES THROUGH SCHOOLS, DCS, MEDICAL SETTINGS, TV/RADIO, BUS WRAPS, AND OTHER SOCIAL SERVICE AGENCIES. PROJECT GOALS: WE WILL INCREASE TREATMENT AND IMPROVE OUTCOMES FOR INDIVIDUALS EXPERIENCING SUD, EXPAND CRISIS SERVICES, IMPROVE OUTCOMES FOR YOUTH AND FAMILIES OF YOUTH, AND INCREASE STAFF CAPACITY TO TREAT AND IMPROVE OUTCOMES FOR INDIVIDUALS WITH IDD. OBJECTIVES: FROM THE INITIAL NOMS ASSESSMENT TO THE 6-MONTH NOMS REASSESSMENT, 75% OF CLIENTS WITH A SUD DIAGNOSIS WILL IMPROVE MENTAL HEALTH FUNCTIONING; 75% OF CLIENTS WITH A SUD DIAGNOSIS WILL DECREASE SUBSTANCE USE; 75% OF CLIENTS WITH A SUD DIAGNOSIS WILL IMPROVE SOCIAL CONNECTEDNESS, AND 75% OF CLIENTS WITH SUD DIAGNOSIS WILL IMPROVE OVERALL HEALTH. 75% OF YOUTH CLIENTS WILL IMPROVE MENTAL HEALTH, AND 75% WILL IMPROVE SOCIAL CONNECTEDNESS FROM THE INITIAL NOMS ASSESSMENT TO THE 6-MONTH REASSESSMENT. 75% OF STAFF MEMBERS RECEIVING TRAINING WILL INCREASE SELF-EFFICACY AROUND PROVIDING SERVICES TO IDD POPULATIONS FROM PRE TO POST-TRAINING SURVEYS. 75% OF CLIENTS WITH AN IDD WILL IMPROVE MENTAL HEALTH FUNCTIONING FROM THE INITIAL NOMS ASSESSMENT TO THE 6-MONTH NOMS REASSESSMENT. NUMBERS SERVED: THE TOTAL UNDUPLICATED NUMBER OF INDIVIDUALS TO BE SERVED WITH GRANT FUNDING IS 4,700 (Y1), 5,170 (Y2), 5,687 (Y3), AND 6,256 (Y4).

SOUTHWESTERN BEHAVIORAL HEALTHCARE, INC. CCBHC EXPANSION - PROJECT NAME: SOUTHWESTERN BEHAVIORAL HEALTHCARE, INC. CCBHC EXPANSION. SUMMARY: WE WILL INCREASE 24/7/365 ACCESS TO CCBHC PSYCHIATRIC, ADDICTION AND PHYSICAL HEALTH CARE SERVICES, AND AFTER-HOURS CRISIS MENTAL HEALTH SERVICES FOR INDIVIDUALS WITH SERIOUS AND COMPLEX MENTAL AND SUBSTANCE USE DISORDERS IN VANDERBURGH COUNTY, IN. POPULATION: CHILDREN, ADOLESCENTS AND ADULTS WITH THE MOST SERIOUS AND COMPLEX MENTAL AND SUBSTANCE USE DISORDERS WILL BE SERVED. STRATEGIES/INTERVENTIONS: CCBHC STAFF AND SERVICE HOURS WILL BE EXPANDED TO IMPROVE SAME DAY ACCESS AND FOLLOW-UP APPOINTMENT OFFERINGS. TULIP TREE FAMILY HEALTH CARE (TT) FQHC WILL PARTNER TO PROVIDE ON-SITE PRIMARY PHYSICAL HEALTH CARE AND MONITORING, CARE COORDINATION WITH SOUTHWESTERN AND REFERRALS TO APPROPRIATE SERVICES TO SUPPORT EXPANDED COMPREHENSIVE, INTEGRATED CLIENT CARE. SOUTHWESTERN ENGAGEMENT SPECIALIST STAFF WILL PERFORM 24/7/365 OUTREACH IN JAILS, SHELTERS, HOMES AND OTHER COMMUNITY LOCATIONS, INCLUDING MOBILE CRISIS RESPONSE AND STABILIZATION SERVICES TO BE PROVIDED THROUGH A NEW MOBILE CRISIS TEAM (MCT). THE MCT WILL RESPOND TO ADULTS AND CHILDREN EXPERIENCING ACUTE PSYCHIATRIC CRISES DURING WEEKEND AND OVERNIGHT HOURS WITH SERVICES PROVIDED ON-SITE AT THE CCBHC, OR IN HOMES, WORKPLACES OR OTHER COMMUNITY LOCATIONS WHEN CALLED BY LAW ENFORCEMENT OR OTHER SOCIAL SERVICE AGENCIES. A NEW FIVE-BED SHELTER SPACE AT THE CCBHC WILL RECEIVE INDIVIDUALS IN ACUTE PSYCHIATRIC CRISIS AND PROVIDE RISK/NEED ASSESSMENT, MOTIVATIONAL INTERVIEWING, CARE COORDINATION AND SERVICE REFERRALS. EVIDENCE-BASED PRACTICES WILL BE DELIVERED AS APPROPRIATE. PROJECT GOALS: TO INCREASE THE NUMBER OF INDIVIDUALS THAT RECEIVE SAME DAY ACCESS TO COMMUNITY PSYCHIATRIC, ADDICTION AND/OR PHYSICAL HEALTH CARE SERVICES IN AN OFFICE SETTING, AND TO EXPAND AFTER-HOURS CRISIS MENTAL HEALTH SERVICES, INCLUDING EMERGENCY INTERVENTION AND STABILIZATION. OBJECTIVES: EXPAND ON-SITE ASSESSMENTS/DIAGNOSIS FOR PSYCHIATRIC AND ADDICTION SERVICE PROVISION TO EVENING/WEEKEND HOURS. INCREASE CLIENTS CONTACTED BY THE CCBHC WITHIN ONE HOUR OF INITIAL CONTACT. INCREASE OFFERINGS FOR FOLLOW-UP APPOINTMENTS WITHIN SEVEN CALENDAR DAYS. INCREASE REENTRY CLIENTS SEEN FOR ASSESSMENT/DIAGNOSIS AND CARE COORDINATION POST RELEASE THAT DO NOT RECIDIVATE IN THE NEXT 90 DAYS. PROVIDE HIV AND VIRAL HEPATITIS A, B AND C SCREENING AND TESTING. ESTABLISH A NEW MOBILE CRISIS TEAM (MCT) TO RESPOND TO INDIVIDUALS IN ACUTE PSYCHIATRIC CRISIS IN THE COMMUNITY. OPEN A 5-BED SPECIALIZED SHELTER SPACE FOR CLIENTS IN A PSYCHIATRIC CRISIS MET BY CCBHC MCT THAT DO NOT MEET CRITERIA FOR HOSPITALIZATION AND ARE NOT COMFORTABLE IN TYPICAL SHELTER DUE TO TRAUMA AND/OR OTHER ISSUES. DIVERT 100% OF CLIENTS MET BY CCBHC MCT WHO DO NOT NEED EMERGENCY MEDICAL ATTENTION OR LAW ENFORCEMENT INTERVENTION AWAY ON DAY OF CONTACT FROM JAIL AND/OR ED. MAKE CONTACT WITH CLIENTS MET BY CCBHC MCT AT LEAST ONE TIME DAILY UNTIL THE CLIENT COMPLETES THE NEXT PLANNED IN-PERSON APPT. INCREASE THE NUMBER OF INMATES RECEIVING RISK ASSESSMENT CARE COORDINATION SERVICES IN THE COUNTY JAIL FOR THOSE IN PSYCHIATRIC CRISIS. THE PROJECT WILL SERVE 10,400 INDIVIDUALS IN YEAR ONE, 6,600 IN YEAR TWO, AND 17,000 IN TOTAL FOR THE GRANT PERIOD.