Rosecrance Health Network

ROSECRANCE CCBHC WINNEBAGO COUNTY - THE ROSECRANCE CCBHC EXPANSION PROJECT WILL IMPROVE ACCESS TO CRITICAL, COMMUNITY-BASED BEHAVIORAL HEALTH CARE FOR ADULTS WITH SERIOUS MENTAL ILLNESS (SMI), SUBSTANCE USE (INCLUDING OPIOID) DISORDERS (SUD) AND CO-OCCURRING DISORDERS (COD) AS WELL AS CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED). ROSECRANCE PROPOSES TO EXPAND AND ENHANCE OUR CURRENT SERVICE DELIVERY MODEL OF INTEGRATED CARE THROUGH THE CCBHC EXPANSION GRANT TO SERVE ALL RESIDENTS LIVING IN WINNEBAGO COUNTY, ILLINOIS. THE PRIMARY FOCUS OF THIS PROPOSED PROJECT IS TO STRENGTHEN SYSTEMS TO EXPAND ACCESS AND ENHANCE COORDINATION OF MENTAL HEALTH AND SUD SERVICES FOR HIGH RISK CLIENTS IN OUR POF AND SUSTAIN IMPROVEMENTS. ROSECRANCE CCBHC WILL SERVE 300 PEOPLE IN YEAR 1 AND 450 IN YEAR 2, REACHING AN UNDUPLICATED TOTAL OF 750 IN 2 YEARS. ROSECRANCE HAS PROVIDED BEHAVIORAL HEALTH SERVICES TO CHILDREN, ADOLESCENTS, ADULTS, AND FAMILIES FOR DECADES IN MORE THAN 60 LOCATIONS THROUGHOUT THE MIDWEST AND SERVES MORE THAN 45,000 INDIVIDUALS ANNUALLY. CERTIFIED BY THE STATE OF IL, ROSECRANCE ALREADY PROVIDES MOST OF THE REQUIRED CCBHC SERVICES. PRIMARY HEALTH CARE SCREENING AND MONITORING SERVICES WILL BE PROVIDED IN COORDINATION WITH OUR DESIGNATED COORDINATING AGENCIES (DCOS). OUR CCBHC WILL BUILD UPON OUR EXISTING COMPREHENSIVE CONTINUUM OF BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER SERVICES WHICH INCLUDES PREVENTION, SCREENING AND ASSESSMENTS, INTERVENTION, DETOXIFICATION, INPATIENT AND OUTPATIENT TREATMENT, EXPERIENTIAL THERAPIES, THERAPEUTIC MENTORING, SCHOOL-LINKED SERVICES, PEER SUPPORT, CRISIS SERVICES, DUAL-DIAGNOSIS CARE AND FAMILY EDUCATION TO MEET THE COMMUNITY NEEDS AND GOALS FOR THIS PROJECT. WE WILL USE CCBHC FUNDING TO ACCOMPLISH THE FOLLOWING GOALS: 1. FULLY IMPLEMENT THE CCBHC MODEL AND OPERATIONAL COMPONENTS; 2. INCREASE ACCESS TO BH SERVICES FOR CHILDREN AND YOUTH AT HIGHEST RISK BY PROVIDING SERVICES IN SCHOOLS AND BY ADDING COMMUNITY-BASED SERVICES TO ADDRESS UNMET TREATMENT NEEDS; 3. FOR ADULT CLIENTS UTILIZING CRISIS SERVICES, DECREASE UTILIZATION OF HIGH-COST INSTITUTIONAL OR INPATIENT CARE AND INCREASE UTILIZATION OF COMMUNITY-BASED SERVICES BY ENGAGING CLIENTS IN OUTPATIENT TREATMENT; AND 4. ENHANCEMENT OF EXISTING VETERAN SERVICES TO IMPROVE ACCESS TO TREATMENT AND TO INCREASE CARE COORDINATION AMONG VETERAN SERVICES. THE OBJECTIVES FOR THIS PROJECT WILL BE ACCOMPLISHED THROUGH THE FRAMEWORK PROVIDED BY THE CCBHC MODEL AND WILL FOCUS ON INCREASED ACCESS TO TREATMENT, INCREASED CLIENT PARTICIPATION AND ENGAGEMENT IN SUD AND BH TREATMENT, RAPID FOLLOW-UP TO CLIENTS THAT EXPERIENCE A BEHAVIORAL CRISIS WHICH WILL RESULT IN DECREASED USE OF 911 AND HOSPITALIZATION FOR BH CRISES AND A DECREASE IN REPEAT CRISIS EVALUATIONS.

THE ROSECRANCE CCBHC EXPANSION PROJECT WILL IMPROVE ACCESS TO CRITICAL, COMMUNITY-BASED BEHAVIORAL HEALTH CARE FOR ADULTS WITH MENTAL ILLNESS AND SUBSTANCE USE DISORDERS. - THE ROSECRANCE CCBHC EXPANSION PROJECT WILL IMPROVE ACCESS TO CRITICAL, COMMUNITY-BASED BEHAVIORAL HEALTH CARE FOR ADULTS WITH SERIOUS MENTAL ILLNESS (SMI), SUBSTANCE USE (INCLUDING OPIOID) DISORDERS (SUD) AND CO-OCCURRING DISORDERS (COD) AS WELL AS CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED). ROSECRANCE PROPOSES TO EXPAND AND ENHANCE OUR CURRENT SERVICE DELIVERY MODEL OF INTEGRATED CARE THROUGH THE CCBHC EXPANSION GRANT TO SERVE ALL RESIDENTS LIVING IN CHAMPAIGN COUNTY, ILLINOIS WHERE MENTAL HEALTH AND SUD TREATMENT ARE IDENTIFIED AS TWO OF THE MOST INADEQUATE HEALTH RESOURCES. CHAMPAIGN COUNTY COVERS APPROXIMATELY 1,000 SQUARE MILES IN CENTRAL ILLINOIS, WITH A POPULATION OF MORE THAN 196,000 PEOPLE. THE PRIMARY FOCUS OF THIS PROPOSED PROJECT IS TO STRENGTHEN SYSTEMS TO EXPAND ACCESS AND ENHANCE COORDINATION OF MENTAL HEALTH AND SUD SERVICES FOR HIGH RISK CLIENTS IN OUR POF AND SUSTAIN IMPROVEMENTS. ROSECRANCE CCBHC WILL SERVE 250 PEOPLE IN YEAR 1 AND 350 IN YEAR 2, REACHING AN UNDUPLICATED TOTAL OF 600 IN 2 YEARS. ROSECRANCE HAS PROVIDED BEHAVIORAL HEALTH SERVICES CHILDREN, ADOLESCENTS, ADULTS, AND FAMILIES FOR DECADES IN MORE THAN 60 LOCATIONS THROUGHOUT THE MIDWEST WITH MORE THAN 60 LOCATIONS IN NORTHERN ILLINOIS, GREATER CHICAGO, CENTRAL ILLINOIS, WISCONSIN, AND IOWA SERVING MORE THAN 45,000 INDIVIDUALS ANNUALLY. CERTIFIED BY THE STATE OF IL, ROSECRANCE ALREADY PROVIDES MOST OF THE REQUIRED CCBHC SERVICES. PRIMARY HEALTH CARE SCREENING AND MONITORING SERVICES WILL BE PROVIDED IN COORDINATION WITH OUR DESIGNATED COORDINATING AGENCY (DCO). OUR CCBHC WILL BUILD UPON OUR EXISTING COMPREHENSIVE CONTINUUM OF BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER SERVICES WHICH INCLUDES PREVENTION, SCREENING AND ASSESSMENTS, INTERVENTION, DETOXIFICATION, INPATIENT AND OUTPATIENT TREATMENT, EXPERIENTIAL THERAPIES, THERAPEUTIC MENTORING, SCHOOL-LINKED SERVICES, PEER SUPPORT, CRISIS SERVICES, DUAL-DIAGNOSIS CARE AND FAMILY EDUCATION TO MEET THE COMMUNITY NEEDS AND GOALS FOR THIS PROJECT: (1) FULLY IMPLEMENT THE CCBHC MODEL AND OPERATIONAL COMPONENTS BY THE FOURTH MONTH FROM AWARD; (2) INCREASE ACCESS TO MEDICATION ASSISTED TREATMENT (MAT) TO MEET DOCUMENTED NEED AND EXPAND AND ENHANCE SUD SERVICES; (3) DEVELOP A CO-RESPONDER CRISIS RESPONSE TEAM IN COLLABORATION WITH CHAMPAIGN AND URBANA LAW ENFORCEMENT TO RESPOND TO 911 CALLS INVOLVING A BEHAVIORAL HEALTH ISSUE ON WEEKDAYS; (4) ENHANCE CARE COORDINATION FOR INDIVIDUALS THAT RECEIVE CRISIS SERVICES. THE OBJECTIVES FOR THIS PROJECT WILL BE ACCOMPLISHED THROUGH THE FRAMEWORK PROVIDED BY THE CCBHC MODEL AND WILL FOCUS ON INCREASED ACCESS TO MAT AND RECOVERY SUPPORT SERVICES, INCREASED CLIENT PARTICIPATION AND ENGAGEMENT SUD AND BH TREATMENT, RAPID FOLLOW-UP TO CLIENTS THAT EXPERIENCE A BEHAVIORAL CRISIS WHICH WILL RESULT IN DECREASE IN USE OF 911 FOR BH CRISES AND DECREASE IN REPEAT CRISIS EVALUATIONS.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

VA IS PROVIDING PER DIEM FUNDING TO ASSIST WITH THE OPERATIONAL COSTS ASSOCIATED WITH TRANSITIONAL HOUSING BEDS FOR HOMELESS VETERANS.

VA IS PROVIDING PER DIEM FUNDING TO ASSIST WITH THE OPERATIONAL COSTS ASSOCIATED WITH TRANSITIONAL HOUSING BEDS FOR HOMELESS VETERANS.

STEPHENSON COUNTY OUTPATIENT BEHAVIORAL HEALTHCARE CLINIC - THE ROSECRANCE STEPHENSON COUNTY OUTPATIENT BEHAVIORAL HEALTHCARE CLINIC WILL PROVIDE EVIDENCE-BASED SUBSTANCE USE DISORDER AND MENTAL HEALTH TREATMENT IN STEPHENSON COUNTY, ILLINOIS. THIS NEW OUTPATIENT CLINIC WOULD FILL A GAP IN SERVICES BY PROVIDING ACCESS TO CRITICAL TREATMENT TO INDIVIDUALS, REGARDLESS OF INSURANCE COVERAGE WITHIN THE STEPHENSON COUNTY RESIDENTS OWN COMMUNITY. THE PROJECT WOULD INCREASE ACCESS BY REMOVING BARRIERS TO PROMOTE HIGH QUALITY, EFFECTIVE TREATMENT AND RECOVERY SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESS (SMI), CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCE (SED), AND INDIVIDUALS WITH SUBSTANCE USE DISORDERS (SUD). STEPHENSON COUNTY OUTPATIENT BEHAVIORAL HEALTHCARE CLINIC WILL ADDRESS COMMUNITY NEEDS AND PROVIDE TREATMENT OPTIONS FOR INDIVIDUALS. IN 2019, THE FHN COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED BEHAVIORAL HEALTHCARE AS A TOP PRIORITY ISSUE FACING THE COMMUNITY. THIS WAS DEMONSTRATED THROUGH AN INCREASINGLY HIGHER LEVEL OF SUICIDE AND MORE EMERGENCY ROOM VISITS FOR BEHAVIORAL HEALTH NEEDS. UNFORTUNATELY, THE SUICIDE RATE WAS SIGNIFICANTLY HIGHER IN STEPHENSON COUNTY THAN THE STATE, REFLECTING THE NEED FOR MORE BEHAVIORAL HEALTH SERVICES. ADDITIONALLY, HRSA HAS IDENTIFIED STEPHENSON COUNTY IN NEED OF AT LEAST 3.41 FTE MENTAL HEALTH PROVIDERS TO ACHIEVE THE TARGET POPULATION TO PRACTITIONER RATIO, WITHOUT EVEN CONSIDERING THE SHORTAGE OF SUD TREATMENT PROVIDERS IN THE COUNTY. FOLLOWING THE CLOSURE OF MANY MENTAL HEALTH TREATMENT CENTERS IN ILLINOIS IN RECENT YEARS, AFFORDABLE COMMUNITY-BASED BEHAVIORAL HEALTHCARE IS MORE IMPORTANT THAN EVER. THE ROSECRANCE STEPHENSON COUNTY OUTPATIENT BEHAVIORAL HEALTHCARE CLINIC WILL PROVIDE HIGH-QUALITY, EVIDENCE-BASED CARE IN A SETTING THAT IS THERAPEUTIC AND CONDUCIVE FOR HEALING FOR MENTAL HEALTH AND SUBSTANCE ABUSE PATIENTS. THE PROPOSED PROJECT FOR THIS BEHAVIORAL HEALTHCARE CLINIC WILL BE STAFFED WITH FOUR CLINICIANS – TWO MENTAL HEALTH CLINICIANS AND TWO SUBSTANCE ABUSE CLINICIANS. WE ALSO PLAN TO PROVIDE AT LEAST 4 HOURS OF TELEPSYCHIATRY PER WEEK. THE CLINIC WOULD OFFER BOTH INDIVIDUAL AND GROUP SERVICES TARGETED TO MEET INDIVIDUAL TREATMENT AND RECOVERY NEEDS. THE CLINIC WILL SERVE 200 INDIVIDUALS IN YEAR 1 AND 200 INDIVIDUALS YEAR 2 AND ANNUALLY THEREAFTER. THE CLINIC WOULD COLLABORATE WITH THE CRISIS RESPONSE SERVICES ALREADY PROVIDED BY ROSECRANCE IN STEPHENSON COUNTY. OUR MOBILE CRISIS RESPONSE (MCR) TEAM CURRENTLY RESPONDS TO CRISIS CALLS WITHIN 90 MINUTES AT A VARIETY OF LOCATIONS, INCLUDING HOSPITAL EDS, RESIDENCES, SCHOOLS, OR OTHER COMMUNITY LOCATIONS. THIS MCR TEAM WOULD LINK PATIENTS TO THE NEW OUTPATIENT CLINIC WITH THE GOAL TO DECREASE UTILIZATION OF HIGH-COST INSTITUTIONAL OR INPATIENT CARE AND INCREASE UTILIZATION OF COMMUNITY-BASED SERVICES. ROSECRANCE CRISIS PROGRAMMING FOCUSES ON INDIVIDUALIZED, PERSON-CENTERED SERVICES AIMED AT REALIZING THE RECOVERY OF EACH INDIVIDUAL RECEIVING SERVICES AND THEIR INTEGRATION INTO THEIR HOME COMMUNITY. THE SERVICES ARE DESIGNED FOR INTERVENING IN MENTAL HEALTH CRISES OR POTENTIAL CRISES AT THE EARLIEST OPPORTUNITY POSSIBLE IN ORDER TO MINIMIZE EXACERBATION OF SYMPTOMS AND PROBLEMS FOR THE INDIVIDUAL. WITH THIS FUNDING NECESSARY RESOURCES FOR INDIVIDUALS POST CRISIS TO RECEIVE BEHAVIORAL HEALTH SERVICES WOULD NOW BE AVAILABLE WITHIN THEIR OWN COMMUNITY WHICH WOULD MINIMIZE SYSTEM RELIANCE ON MORE RESTRICTIVE AND EXPENSIVE SERVICES, SUCH AS INCARCERATION OR EMERGENCY DEPARTMENT SERVICES. EVENTUALLY, THE CLINIC WILL BE SELF-SUSTAINING THROUGH REVENUE GENERATED BY BILLING APPLICABLE THIRD-PARTY PAYERS. WE REQUEST FUNDING TO ASSIST WITH OUR INITIAL EQUIPMENT NEEDS; RECRUITING, HIRING, AND TRAINING STAFF; AND TO OFFSET OPERATING DEFICITS DURING THE INITIAL START-UP PHASE.

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM