Cummins Behavioral Health Systems Inc

CUMMINS CCBHC ADVANCEMENT - POPULATION TO BE SERVED: THE POPULATION OF FOCUS AND GEOGRAPHIC SERVICE AREA FOR CUMMINS BEHAVIORAL HEALTH SERVICES (BHS)’ CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) IS INDIVIDUALS WITH MENTAL HEALTH AND SUBSTANCE USE DISORDERS (SUD) IN HENDRICKS COUNTY, INDIANA. CUMMINS WILL SPECIFICALLY TARGET THE UNDERSERVED SUBPOPULATIONS OF NON-NATIVE ENGLISH SPEAKERS, RACIAL/ETHNIC MINORITIES, AND INDIVIDUALS WHO IDENTIFY AS LGBTQIA WITH THE CCBHC-IA GRANT. CUMMINS WILL ALSO CONTINUE TO TARGET YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED) AND ADULTS WITH SERIOUS MENTAL ILLNESS (SMI) THROUGH THE CCBHC. GOALS AND OBJECTIVES: THE OVERALL GOAL OF THIS PROJECT IS TO ENHANCE CUMMINS’ CURRENT CCBHC AND SERVE MORE INDIVIDUALS WITHIN THE TARGET POPULATION WITH THE COMPREHENSIVE, INTEGRATED, PERSON-CENTERED BEHAVIORAL HEALTH CARE PROVIDED BY CUMMINS’ CCBHC BY IMPROVING ACCESS FOR UNDERSERVED POPULATIONS. SPECIFIC OBJECTIVES WITHIN THE FOUR-YEAR GRANT PERIOD ARE TO: 1) INCREASE ACCESS TO COMPREHENSIVE CCBHC SERVICES FOR UNDERSERVED POPULATIONS IN HENDRICKS COUNTY BY ENROLLING 1,630 NEW CCBHC CONSUMERS DURING THE FOUR-YEAR PROJECT GRANT PERIOD, PROVIDING PRIMARY CARE SERVICES TO AT LEAST 30 NEW CCBHC CONSUMERS PER YEAR, AND PROVIDING AT LEAST 750 CRISIS INTERVENTIONS IN HENDRICKS COUNTY PER YEAR 2) IMPROVE THE SAFETY, SECURITY, AND COMFORT OF THE CCBHC ENVIRONMENT BY CONDUCTING FACILITY ENHANCEMENTS BY 12/31/2022 THAT WILL FACILITATE SECURE BUILDING ACCESS 24/7 FOR MOBILE CRISIS SERVICES, HIPAA COMPLIANT APPOINTMENTS FOR ALL CCBHC CONSUMERS, AND ENHANCED PRIMARY CARE EXAM ROOMS AND LABORATORY FACILITIES 3) EXPAND OUTREACH EFFORTS TO INCREASE THE PERCENTAGE OF UNDERSERVED POPULATIONS PROPORTIONATE TO CURRENT COUNTY DEMOGRAPHICS BY 3/31/2023 AND MAINTAIN THE UNDERSERVED REPRESENTATION FOR THE REMAINDER OF THE PROJECT PERIOD. 4) ADD AT LEAST TWO NEW RACIAL/ETHNIC MINORITIES TO THE CONSUMER ADVISORY BOARD (CAB) BY 3/31/2023 TO REFLECT CCBHC CONSUMER DEMOGRAPHICS AND SUBPOPULATIONS IDENTIFIED IN THE 2021 CUMMINS CCBHC DISPARITIES IMPACT STATEMENT 5) ENHANCE CUMMINS’ ABILITY TO COLLECT AND ANALYZE CCBHC QUALITY MEASURES TO INFORM QUALITY IMPROVEMENT INITIATIVES BY INTEGRATING A COMPATIBLE BUSINESS INTELLIGENCE TOOL BY 9/29/2024. STRATEGIES/INTERVENTIONS: BASED ON FINDINGS FROM CUMMINS’ 2021 COMMUNITY HEALTH NEEDS ASSESSMENT, THIS NEEDS ASSESSMENT WERE USED TO INFORM THE PROPOSED OBJECTIVES. THROUGH THIS GRANT, CUMMINS WILL EXPAND ITS OUTREACH TO UNDERSERVED/MINORITY POPULATIONS IN ORDER TO ENSURE THAT THE CONSUMER BASE PROPORTIONATELY REFLECTS THE GENERAL POPULATION IN HENDRICKS COUNTY. TO FURTHER OUR REACH IN THESE COMMUNITIES WE WILL ALSO BE RECRUITING MEMBERS TO OUR CONSUMER ADVISORY BOARD FROM DIVERSE BACKGROUNDS TO ENSURE WE HAVE REPRESENTATION FROM THESE COMMUNITIES TO GUIDE OUR STRATEGIC LONG-TERM VISION FOR CUMMINS. IN ADDITION, WE WILL BE FOCUSING ON EXPANDED EFFORTS TO SERVE INDIVIDUALS WITH CRISIS INTERVENTIONS INCLUDING MOBILE INTERVENTIONS AND FILLING ADDITIONAL POSITIONS FOR THIS TEAM. CUMMINS HAS ESTABLISHED AN AGREEMENT WITH A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), WINDROSE HEALTH NETWORK, TO PROVIDE CO-LOCATED PRIMARY CARE SERVICES. IN PARTNERSHIP WITH THE STATE OF INDIANA’S DIVISION OF MENTAL HEALTH AND ADDICTIONS (DMHA), CUMMINS WILL WORK TOWARDS SUSTAINABILITY OF ALL CCBHC SERVICES BY THE END OF THE FEDERAL FUNDING PERIOD. CUMMINS WILL CONTRACT WITH UNIVERSITY OF CINCINNATI EVALUATION SERVICES CENTER FOR PROJECT EVALUATION. ESTIMATED NUMBER OF PEOPLE TO BE SERVED AS A RESULT OF THE AWARD OF THIS GRANT: 1,630

CUMMINS CCBHC - THE POPULATION OF FOCUS AND GEOGRAPHIC CATCHMENT AREA FOR THE PROPOSED CCBHC SERVICES IS INDIVIDUALS WITH MENTAL HEALTH AND SUBSTANCE USE DISORDERS (SUD) IN HENDRICKS COUNTY, INDIANA, WHICH IS LOCATED WITHIN THE INDIANAPOLIS METROPOLITAN STATISTICAL AREA. CUMMINS BEHAVIORAL HEALTH SYSTEMS, INC. (CUMMINS)—PROPOSES TO ESTABLISH A CCBHC AT ITS AVON OUTPATIENT CLINIC—THE LARGEST OF ITS FIVE CLINICS—BY EXPANDING SERVICES TO INCLUDE 24/7 MOBILE CRISIS TEAMS AND CO-LOCATED PRIMARY HEALTH CARE. CUMMINS IS POISED TO IMPLEMENT THE CCBHC AT THIS LOCATION SINCE IT ALREADY PROVIDES MOST OF THE REQUIRED SERVICES. INDIANA—A “PLANNING GRANT” STATE (SM-16-001)—RANKS AMONG THE WORST STATES FOR THE PREVALENCE OF ADULTS WITH MENTAL ILLNESS AND THE PERCENTAGE OF ADULTS WITH MENTAL ILLNESS WHO REPORT THEY COULD NOT ACCESS CARE. SERVICE GAPS ARE PARTICULARLY PRONOUNCED AMONG VULNERABLE POPULATIONS SUCH AS THOSE STRUGGLING WITH UNEMPLOYMENT, INTERGENERATIONAL POVERTY, AND ADOLESCENT STRUGGLES, AS WELL AS VETERANS. HENDRICKS COUNTY LACKS ACCESSIBLE, AFFORDABLE, CO-LOCATED PRIMARY AND BEHAVIORAL HEALTH CARE FOR THESE AND OTHER VULNERABLE POPULATIONS. THE OVERALL GOAL OF THIS PROJECT IS TO INCREASE ACCESS TO PRIMARY AND BEHAVIORAL HEALTHCARE AMONG VULNERABLE INDIVIDUALS IN HENDRICKS COUNTY, INDIANA BY PROVIDING 24/7 ACCESS TO EVIDENCE-BASED MENTAL HEALTH AND SUD SERVICES, IDENTIFICATION AND TREATMENT OF CO-OCCURRING DISORDERS, AND PRIMARY HEALTHCARE. CUMMINS WILL MEET THIS GOAL THROUGH THE FOLLOWING OBJECTIVES: (1) BY SEPTEMBER 30, 2020, CUMMINS WILL CONDUCT A NEEDS ASSESSMENT TO MORE COMPREHENSIVELY IDENTIFY THE GAPS IN OUTPATIENT BEHAVIORAL HEALTH CARE SERVICES, INCLUDING INTEGRATED PRIMARY CARE, IN HENDRICKS COUNTY, INDIANA; (2) BY OCTOBER 15, 2020, CUMMINS WILL IDENTIFY STRATEGIES, INCLUDING EVIDENCE-BASED PRACTICES AND STAFFING MODIFICATIONS, TO ADDRESS THE GAPS IDENTIFIED IN THE NEEDS ASSESSMENT PROCESS; (3) BY DECEMBER 30, 2020, CUMMINS WILL PROVIDE THE COMPREHENSIVE SCOPE OF CCBHC MODEL SERVICES IN PARTNERSHIP WITH DCOS AND CARE COORDINATION PARTNERS AND WILL SELF-CERTIFY OR BECOME FORMALLY CERTIFIED AS A CCBHC BY THE INDIANA DIVISION OF MENTAL HEALTH AND ADDICTIONS (DMHA); AND (4) BY DECEMBER 30, 2020, CUMMINS WILL INCREASE ACCESS TO PRIMARY AND BEHAVIORAL HEALTHCARE AMONG VULNERABLE INDIVIDUALS IN HENDRICKS COUNTY AS MEASURED AT LEAST QUARTERLY. CUMMINS HAS ESTABLISHED AN AGREEMENT WITH A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), WINDROSE HEALTH NETWORK, TO PROVIDE CO-LOCATED PRIMARY CARE SERVICES. IN PARTNERSHIP WITH DMHA, CUMMINS WILL WORK TOWARDS SUSTAINABILITY OF ALL CCBHC SERVICES BY THE END OF THE FEDERAL FUNDING PERIOD. CUMMINS WILL CONTRACT WITH UNIVERSITY OF CINCINNATI EVALUATION SERVICES CENTER FOR PROJECT EVALUATION.

CUMMINS COMMUNITY MENTAL HEALTH CENTER - THE COVID-19 PANDEMIC HAS EXACERBATED THE INCIDENCE AND SEVERITY OF MENTAL HEALTH AND SUBSTANCE USE DISORDERS (SUD) AMONG YOUTH AND ADULTS IN CENTRAL INDIANA. AS SUCH, THE POPULATION OF FOCUS IS YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED), ADULTS WITH SERIOUS MENTAL ILLNESS (SMI), AND INDIVIDUALS WITH SED/SMI AND SUD (COD) IN CENTRAL AND WEST CENTRAL INDIANA, INCLUDING BOONE, HENDRICKS, MARION, MONTGOMERY, AND PUTNAM COUNTIES. THE OVERALL GOAL IS TO IMPROVE ACCESS TO AND THE QUALITY AND SCOPE OF SCREENING, DIAGNOSIS, AND TREATMENT FOR INDIVIDUALS IN CENTRAL INDIANA WITH SED, SMI, AND COD, WHILE ALSO RESTORING AND DEVELOPING THE INFRASTRUCTURE TO PROVIDE THESE SERVICES IN LIGHT OF THE COVID-19 PANDEMIC. SPECIFIC OBJECTIVES WITHIN THE TWO-YEAR GRANT PERIOD ARE TO: 1) PROVIDE TRAUMA-INFORMED, CULTURALLY COMPETENT OUTPATIENT CLINICAL AND RECOVERY SUPPORT SERVICES FOR AT LEAST 250 PATIENTS WITH SED, SMI, AND/OR COD IN CENTRAL INDIANA BY 9/30/2022 AND ANOTHER UNDUPLICATED 250 PATIENTS BY 9/30/2023 BY IMPROVING ACCESS TO CARE, BUILDING THE CLINICAL AND PEER WORKFORCE, AND TRAINING PROVIDERS IN THE LATEST EVIDENCE-BASED PRACTICES 2) ESTABLISH AT LEAST THREE NEW TREATMENT MODALITIES BY 12/1/2021 TO ENHANCE TREATMENT FOR PATIENTS WITH SED, SMI, AND COD 3) COLLABORATE WITH AT LEAST 100 COMMUNITY PARTNERS BY 9/29/2022 TO ENGAGE VULNERABLE INDIVIDUALS WITH SED, SMI, AND COD IN CARE, ESTABLISH REFERRAL PATHWAYS, AND TRAIN SCHOOL PERSONNEL TO ENHANCE THEIR COMPETENCIES TO ADDRESS BEHAVIORAL HEALTH AND SUBSTANCE USE ISSUES IN THEIR SCHOOL 4) STRENGTHEN PROVIDER RETENTION AND FOSTER THE MENTAL HEALTH OF ALL CUMMINS EMPLOYEES BY ESTABLISHING AN EMPLOYEE WELLNESS PROGRAM BY 12/30/2021 AND BY PROVIDING AT LEAST TWO TRAININGS PER GRANT YEAR FOR ALL STAFF. SERVICES TO BE PROVIDED WITHIN THE SCOPE OF THIS PROJECT INCLUDE: A VARIETY OF TRAUMA-INFORMED, CULTURALLY COMPETENT OUTPATIENT CLINICAL AND RECOVERY SUPPORT SERVICES, INCLUDING PEER SUPPORT; INTENSIVE OUTPATIENT TREATMENT FOR YOUTH WITH COD; EYE MOVEMENT DESENSITIZATION AND REPROCESSING (EMDR) TREATMENT; SERVICES FOR YOUTH WITH SEXUALLY MALADAPTIVE BEHAVIORS; AND DEEP TRANSCRANIAL MAGNETIC STIMULATION (TMS). CUMMINS WILL SERVE A TOTAL OF 500 UNDUPLICATED CONSUMERS OVER THE LIFE OF THE TWO YEAR GRANT PERIOD (250 PER YEAR). CUMMINS’ CURRENT CONSUMER POPULATION IS 68% WHITE, 20% BLACK, AND 6% HISPANIC/LATINO; 62% ARE BELOW THE AGE OF 18 AND 41% HAVE INCOMES BELOW $15,000 PER YEAR.