Porter-Starke Services Inc

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

HOPE, HEALTH AND BALANCE - ABSTRACT: HOPE, HEALTH, AND BALANCE NOFO: CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC: IMPROVEMENT AND ADVANCEMENT GRANT FUNDING OPPORTUNITY: SM-22-012 APPLICANT: PORTER-STARKE SERVICES INC. AMOUNT REQUESTED YEAR 1: $997,783 PORTER-STARKE SERVICES (PSS) HAS HAD A CCBHC IN PORTER AND STARKE COUNTIES IN INDIANA SINCE 2020, WITH STATE CERTIFICATION OF STARKE COUNTY IN 2016. PORTER-STARKE SERVICES HAS MAINTAINED FULL COMPLIANCE WITH THE CCBHC COMPLIANCE CRITERIA WITH TARGET POPULATIONS OF SERIOUSLY MENTALLY ILL ADULTS (SMI), SERIOUSLY EMOTIONALLY DISTURBED CHILDREN AND ADOLESCENTS (SED), SUBSTANCE USE DISORDER (SUD), OPIATE USE DISORDER (OUD), AND THOSE WITH CO-OCCURRING MENTAL AND SUBSTANCE USE DISORDERS (COD) DURING THE CURRENT CCBHC GRANT PERIOD. PSS WILL SERVE A TOTAL ADDITIONAL NUMBER OF INDIVIDUALS OF 1,050 FOR THE PROJECT PERIOD. PSS DIRECTLY PROVIDES ALL NINE CORE CCBHC SERVICES. PSS WILL INCREASE SERVICES TO THE LGBTQ+ COMMUNITY WHO ARE AT HIGHER RISK FOR INTIMATE PARTNER VIOLENCE AND MENTAL HEALTH/ADDICTIONS AND ARE LESS APT TO RECEIVE CULTURALLY APPROPRIATE ASSESSMENT AND TREATMENT. BOTH PORTER AND STARKE COUNTIES ARE DESIGNATED MENTAL HEALTH PROFESSIONAL SHORTAGE AREAS (HRSA 2021). BOTH COUNTIES HAVE HIGH RATES OF ADULT SMOKING (STARKE 23%, PORTER 21%), ADULT OBESITY (BOTH 33%), EXCESSIVE DRINKING (STARKE 17%, PORTER 21%), ALCOHOL IMPAIRED DEATHS (STARKE 29%, PORTER 18%), AND HAVE OPIOID DEATH RATES ABOVE THE STATE RATE (STARKE 42.4, PORTER 20.3). SUICIDES HAVE AVERAGED 28.6 FOR PORTER AND 3 FOR STARKE OVER THE PAST FIVE YEARS. APPROXIMATELY 188 (42% OF THE CAPACITY OF 449) OF JAIL INMATES IN PORTER COUNTY HAVE A MENTAL HEALTH AND/OR SUBSTANCE USE DIAGNOSIS. NUMBERS IN STARKE COUNTY ARE 42 OF A JAIL CAPACITY OF 108. NEEDS ASSESSMENTS INDICATE THE FOLLOWING ISSUES IN BOTH COUNTIES: ACCESS TO MENTAL HEALTH SERVICES, SUBSTANCE USE AND ABUSE, AND SUICIDE. TO IMPROVE THE CCBHC PROGRAM, PSS PROJECT GOALS INCLUDE: 1) DECREASE INAPPROPRIATE ADMISSIONS TO JAIL (N=100) AND EMERGENCY ROOMS (N=250), 2) FOR THE TARGET POPULATIONS, INCREASE RATES OF SCREENING FOR MENTAL HEALTH, ADDICTIONS, AND SOCIAL DETERMINANTS TO 75%, 3) INCREASE RATES OF APPROPRIATE MEDICAL/LABORATORY SCREENINGS FOR THE TARGET POPULATIONS TO 50%, 4) IMPROVE BEHAVIORAL HEALTH FUNCTIONING AS MEASURED BY STANDARDIZED ASSESSMENTS (CANS AND ANSA) IN AT LEAST ONE DOMAIN FOR 40% OF THE TARGET POPULATIONS, 5) INCREASE PARTICIPATION IN ADDICTIONS TREATMENT OR RELAPSE PREVENTION FOR THOSE WITH A DIAGNOSIS OF SUD, OUD, OR COD BY 50%, 6) DEVELOP COMMUNITY STRATEGIES AND RECOMMENDATIONS TO REDUCE OVERDOSE DEATHS THROUGH ACTIVE PARTICIPATION AND ATTENDANCE AT A MINIMUM OF 80% OF THE MEETINGS OF COUNTY-BASED FATALITY REVIEW COMMITTEES, 7) INCREASE FOLLOW-THROUGH WITH PRIMARY MEDICAL CARE AND COORDINATION OF CARE BETWEEN BEHAVIORAL HEALTH AND MEDICAL CARE BY 50% FOR THE TARGET POPULATIONS, 8) DECREASE AVOIDABLE CHRONIC ILLNESS BY IMPROVING SCORES ON MEDICAL SCREENINGS FOR 35% OF AT-RISK ENROLLED INDIVIDUALS, 9) INCREASE HIV AND VIRAL HEPATITIS SCREENINGS BY 50% OF THOSE AT RISK FOR HEPATITIS AND/OR HIV, 10) IMPROVE IDENTIFICATION OF LGBTQ+ INDIVIDUALS AND PROVIDE CULTURALLY RESPONSIVE AND APPROPRIATE MENTAL HEALTH AND SUBSTANCE USE SERVICES TO AT LEAST 50 LGBTQ+ INDIVIDUALS, AND 11) ESTABLISH AOT IN PORTER AND STARKE COUNTIES, WITH 6 AOT COURT ORDERS ANNUALLY.

HEALTHY TOGETHER

STRONG MIND, STRONG BODY WELLNESS PROGRAM

RECOVERY NOW!

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - ADDRESS: 601 WALL ST, VALPARAISO, IN 46383 PROJECT DIRECTOR: MATTHEW BURDEN, PHD CONTACT NUMBER: 219.476.4501; FAX: 219.476.4505 EMAIL: MBURDEN@PORTERSTARKE.ORG WEBSITE: WWW.MARRAMHEALTH.ORG HRSA FUNDING REQUESTED: $600,000 (BHSE, HRSA-24-078) HEALTH CENTER PROGRAM AWARD NUMBER: H80CS29005-10-00 DESCRIPTION OF THE PROPOSED PROJECT: PORTER-STARKE SERVICES DBA MARRAM HEALTH CENTER PROPOSES TO INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES AND INCREASE THE NUMBER OF PATIENTS RECEIVING SUBSTANCE USE DISORDER (SUD) SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD. MARRAM WILL ACHIEVE THESE INCREASES THROUGH: INCREASED STAFFING, TARGETED TRAININGS, IMPROVED COORDINATION OF INTERNAL AND EXTERNAL REFERRALS, AND INCREASED MARKETING AND OUTREACH OPPORTUNITIES. MARRAM CURRENTLY HAS SITES IN GARY, HEBRON, AND PORTAGE, IN; THE PORTAGE SITE PARTICULARLY SERVES THOSE WITH MENTAL HEALTH NEEDS ALREADY DUE TO COMMUNITY MENTAL HEALTH CENTER CO-LOCATION. MARRAM’S MISSION IS TO PROVIDE QUALITY HEALTH, DENTAL, AND BEHAVIORAL HEALTH CARE TO UNDERSERVED COMMUNITIES. NEEDS TO BE ADDRESSED: MARRAM’S SERVICE AREA AND PATIENTS INCLUDE POPULATIONS WHICH EXPERIENCE HIGHER RATES OF MENTAL HEALTH CONDITIONS AND SUDS, AS WELL AS BARRIERS TO SUSTAINABLY ACCESSING APPROPRIATE TREATMENT. THE SERVICE AREA INCLUDES RURAL POPULATIONS, RACIAL AND ETHNIC MINORITIES, PEOPLE WHO ARE UNINSURED, AND PEOPLE EXPERIENCING HOMELESSNESS (MARRAM GIVES SPECIAL FOCUS TO HOMELESS POPULATIONS WITH HCH FUNDING). IDENTIFIED HEALTH ISSUES FOR MARRAM’S SERVICE AREA INCLUDE CHRONIC CONDITIONS SUCH AS ASTHMA, DIABETES, OVERWEIGHT/OBESITY, AND HYPERTENSION, AS WELL AS MENTAL DISORDERS. SUCCESSFUL TREATMENT OF THESE CONDITIONS IS MADE MORE DIFFICULT BY CHALLENGES IN OBTAINING HOUSING, NUTRITIOUS FOODS, SUFFICIENT INCOME TO MEET BASIC NEEDS, AND CONSISTENT TRANSPORTATION. TREATMENT THAT FUNCTIONS BEST IN PERSON, SUCH AS CERTAIN SUD TREATMENTS, CAN BE HARDER TO FACILITATE SUCCESSFU LLY GIVEN THESE BARRIERS. PROPOSED SERVICES: MARRAM HAS ALWAYS PROVIDED MENTAL HEALTH AND SUBSTANCE USE TREATMENT, BUT THE NEEDS FOR THESE TYPES OF TREATMENT ARE OUTPACING THE CURRENT STAFFING STRUCTURE. THIS PROJECT WILL INCREASE BEHAVIORAL HEALTH CONSULTANT AND THERAPY SERVICES FOR MENTAL HEALTH AND SUD, AS WELL AS INCREASE PSYCHIATRIC NURSE PRACTITIONER SERVICES FOR MENTAL HEALTH AND SUD, INCLUDING MOUD. TO SUPPORT THESE, A COORDINATOR WILL BE HIRED TO ASSIST WITH TRAININGS, SUPERVISION, EFFECTIVE PROCESS CHANGES, AND REFERRAL COORDINATION BOTH INTERNALLY AND EXTERNALLY. THESE REFERRALS WILL INCLUDE CLOSE COLLABORATION WITH LOCAL CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS (CCBHCS) AND OPIOID TREATMENT PROGRAMS (OTPS); PORTER-STARKE SERVICES IS ALSO A CCBHC WHICH OPERATES TWO OTP LOCATIONS, CONTRIBUTING INTERNAL EXPERTISE AND THE ABILITY TO QUICKLY SCALE UP MENTAL HEALTH AND SUD SERVICES WITH TIMELY ACCESS TO MORE SPECIALIZED SERVICE PROVISION. MARRAM ALSO HAS ESTABLISHED MEMORANDA OF UNDERSTANDING WITH LOCAL RESOURCES, INCLUDING OTHER FQHCS, CCBHCS, CRISIS CENTERS, OTPS, COMMUNITY SERVICES, HOMELESS SHELTERS, AND OTHERS, TO HELP ADDRESS SOCIAL RISK FACTORS AND UNDERLYING NEEDS OUR PATIENTS HAVE. POPULATION GROUPS TO BE SERVED: THE FOCUS OF MARRAM HEALTH CENTER IS CARE OF PATIENTS WHO HAVE NOT HAD ACCESS TO CONSISTENT QUALITY HEALTH CARE WITH AN ADDITIONAL FOCUS ON INDIVIDUALS WHO ARE HOMELESS. MARRAM WILL CONTINUE SERVING THE CURRENT PATIENT POPULATION, WHICH IS MAJORITY FEMALE, MAJORITY BLACK/AFRICAN-AMERICAN, MAJORITY WITH INCOME UNDER 200% OF THE FEDERAL POVERTY GUIDELINE, AND MAJORITY WITH MEDICAID AS THEIR PRIMARY INSURANCE. WITH THIS GRANT REQUEST, MARRAM EXPECTS TO SERVE PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS AND SUDS.

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

HEALTH CARE AND OTHER FACILITIES

HEALTH CENTER INFRASTRUCTURE SUPPORT

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

STRONG MIND, STRONG BODY WELLNESS PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)