Heritage Behavioral Health Center Inc

HERITAGE CCBHC-IA PROJECT - HERITAGE WILL EXPAND AND ENHANCE ACCESS TO BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES IN MACON AND DEWITT COUNTIES IN CENTRAL ILLINOIS. OUR POPULATION OF FOCUS (POF) IS LOW-INCOME CHILDREN, YOUTH, AND ADULTS WITH BEHAVIORAL HEALTH NEEDS CO-OCCURRING DISORDERS (COD). OUR POPULATION IS LARGELY WHITE (78%), WITH 16% AS IDENTIFYING AS AFRICAN AMERICAN. APPROXIMATELY 6% IDENTIFY AS LGBTQ+ AND 7% ARE VETERANS. THE AREA EXPERIENCES HIGH LEVELS OF POVERTY. LAST YEAR, HERITAGE SERVED 2,170 INDIVIDUALS IN OUTPATIENT MENTAL HEALTH PROGRAMS AND 600 INDIVIDUALS IN OUTPATIENT SUBSTANCE USE PROGRAMS. WE ANTICIPATE SERVICE APPROXIMATELY 250 UNDUPLICATED INDIVIDUALS ANNUALLY, AND A TOTAL OF 700 UNDUPLICATED INDIVIDUALS ACROSS ALL FOUR PROJECT YEARS. HERITAGE WILL USE THE CCBHC-IA GRANT TO BUILD UPON OUR PAST 2 YEARS OF SUCCESSFUL IMPLEMENTATION OF THE CCBHC MODEL IN OUR COMMUNITY. HERITAGE PROVIDES ALL SERVICES REQUIRED IN THE CCBHC CRITERIA. OUR GOALS FOR THIS GRANT ARE TO STRENGTHEN AND BROADEN TARGETED SERVICES, INCLUDING OUR SUBSTANCE USE RECOVERY SERVICES; EXPAND AND IMPROVE CARE COORDINATION; AND FURTHER DEVELOP A ROBUST SYSTEM FOR CONTINUOUS QUALITY IMPROVEMENT, FIDELITY MONITORING FOR EBPS, AND USE OF QUALITY HEALTH INDICATORS FOR CLIENT CARE AND PROGRAM MANAGEMENT. OUR SPECIFIC PROJECT GOALS ARE: (1) INCREASE ACCESS TO AND ENGAGEMENT IN MEDICATION-ASSISTED RECOVERY (MAR) SERVICES FOR INDIVIDUALS WITH SUBSTANCE USE AND CO-OCCURRING DISORDERS, AND ENSURE THAT CLIENTS ARE SERVED USING THE MOST APPROPRIATE MEDICATION, (2) INCREASE THE PROPORTION OF HERITAGE CLIENTS WHO RECEIVE CARE COORDINATION SERVICES AND DEVELOP AN INTERDISCIPLINARY CARE MANAGEMENT TEAM, (3) REMOVE BARRIERS TO TREATMENT ACCESS BY EXPANDING TELEHEALTH SERVICES AND INCREASING OUTREACH AND ENGAGEMENT IN THE COMMUNITY, (4) IMPROVE CLIENT OUTCOMES BY STRENGTHENING FIDELITY TO EXISTING EBPS AND INCREASE USE OF EBPS ACROSS ALL PROGRAMMING, (5) IMPROVE CLINICAL QUALITY AND CLIENT RETENTION IN TREATMENT BY EXPANDING MEANINGFUL INVOLVEMENT OF CONSUMERS AND FAMILY MEMBERS IN THEIR OWN CARE AND THE BROADER GOVERNANCE OF THE CCBHC, AND (6) CONTINUE TO INCREASE ACCESS TO AND UTILIZATION OF ONGOING PRIMARY AND SPECIALTY CARE THROUGH IMPROVED SCREENING, AND MORE EFFECTIVE CARE MANAGEMENT AND COORDINATION WITH PRIMARY CARE PROVIDERS.

HERITAGE BEHAVIORAL CCBHC - HERITAGE BEHAVIORAL HEALTH IS LOCATED IN DECATUR, IL, AN AREA DESIGNATED AS A MENTAL HEALTH AND PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). WE SERVE NEARLY 6,000 CHILDREN, YOUTH, AND ADULTS ANNUALLY IN OUR BEHAVIORAL CARE PROGRAMS. CCBHC FUNDING WILL ALLOW US TO EXPAND PRIMARY HEALTHCARE SERVICES AND PROVIDE COMPREHENSIVE COMMUNITY-BASED SERVICES TO TREAT THE MOST SERIOUS BEHAVIORAL DISORDERS AND INTEGRATE THAT TREATMENT INTO WHOLE-PERSON CARE. HERITAGE WILL PROVIDE OUR CCBHC CLIENTS WITH A) CRISIS AND OUTREACH SERVICES; B) SCREENING, ASSESSMENT, AND DIAGNOSIS; AND C) OUTPATIENT TREATMENT, FAMILY/PEER SUPPORT, AND CASE MANAGEMENT. OUR REGION HAS BARRIERS TO TREATMENT ACCESS, INCLUDING TRANSPORTATION, AND OTHER SERVICE DISPARITIES COMMONLY FACED BY RURAL COMMUNITIES. FEW PRIMARY CARE PHYSICIANS TAKE SELF-REFERRING MEDICAID, LEADING TO THE INAPPROPRIATE USE OF EMERGENCY DEPARTMENT SERVICES IN THE AREA. HERITAGE AND CROSSING HEALTHCARE ARE THE ONLY PROVIDERS THAT HAVE A SLIDING FEE OR TAKE UNINSURED PATIENTS. THE US CENSUS DATA AND NATIONALLY PUBLISHED PREVALENCE DATA INDICATE THAT 1,612 YOUNG PEOPLE IN THE AREA WILL EXPERIENCE FIRST EPISODE PSYCHOSIS OR BIPOLAR DISORDER EACH YEAR, THAT 1,122 HAVE A CO-OCCURRING SUBSTANCE USE CONDITION, AND THAT 6,844 YOUTH AND ADULTS NEED SUBSTANCE USE TREATMENT BUT ARE NOT CURRENTLY RECEIVING IT. THE PROJECT WILL INTENSIVELY SERVE UP TO 500 UNDUPLICATED RESIDENTS OVER THE ENTIRE GRANT PROJECT (125 IN YEAR 1, 375 IN YEAR 2), INCLUDING 25 CHILDREN AND 10 VETERANS. IN ADDITION TO EXPANDING PRIMARY CARE SERVICES, THE CCBHC PROJECT WILL HELP US IMPROVE OUR DATA SYSTEMS, SIGNIFICANTLY ENHANCING CLIENT-LEVEL AND PROGRAM-LEVEL OUTCOME AND QUALITY CARE MONITORING AND ALLOWING US TO TRACK CCBHC-REQUIRED METRICS. THE PROJECT GOALS ARE TO 1) MEET ALL CCCHC REQUIREMENTS BY MONTH 4 OF THE AWARD PERIOD (MOST INFRASTRUCTURE IS ALREADY IN PLACE); 2) EXPAND CURRENT CLIENT ACCESS TO PRIMARY CARE BY INTEGRATING PRIMARY CARE INTO EXISTING BEHAVIORAL HEALTH SERVICES FOR ALL CLIENTS; 3) IMPROVE CLIENT ENGAGEMENT IN TREATMENT AND MEDICATION COMPLIANCE; 4) EXPAND CAPACITY OF THE EXISTING EHR TO SUPPORT INTEGRATED CARE DELIVERY AND CLINICAL QUALITY MEASURE REPORTING; 5) BUILD CURRENT WORKFORCE CAPACITY TO IMPLEMENT EVIDENCE-BASED PRACTICES; 6) INCREASE COMMUNITY AWARENESS AROUND BEHAVIORAL HEALTH; 7) DECREASE THE PREVALENCE OF ELEVATED, AT-RISK HEALTH INDICATOR SCORES, INCLUDING, FOR EXAMPLE, SYSTOLIC/DIASTOLIC BLOOD PRESSURE, LDLS, TRIGLYCERIDES, AND BMI; 8) DEMONSTRATE DECREASE IN UNNECESSARY ED AND HOSPITAL UTILIZATION; AND 9) DEVELOP A BOARD-APPROVED CCBHC SUSTAINABILITY PLAN.

TO ENHANCE THE INTEGRATION OF BEHAVIORAL HEALTH AND PRIMARY HEALTH CARE