Pine Rest Christian Mental Health Services

EXPANSION AND IMPLEMENTATION OF ZERO SUICIDE ACROSS THE PINE REST BEHAVIORAL HEALTH CONTINUUM - BASED IN GRAND RAPIDS, MICHIGAN, PINE REST CHRISTIAN MENTAL HEALTH SERVICES (PINE REST) IS THE NATION'S THIRD LARGEST FREE-STANDING BEHAVIORAL HEALTH PROVIDER, ANNUALLY SERVING OVER 50,000 INDIVIDUALS THROUGH AND EXTENSIVE CONTINUUM OF BEHAVIORAL HEALTH SERVICES, INCLUDING INPATIENT, OUTPATIENT, RESIDENTIAL SERVICES, COMMUNITY OUTREACH, SUBSTANCE USE TREATMENT, TELEHEALTH SERVICES, CONSULTATION, AND PSYCHIATRIC URGENT CARE. WHILE THE FOCUSED GEOGRAPHIC AREA IS WEST MICHIGAN, PINE REST SERVICES SPAN THE STATE OF MICHIGAN, TREATING PEOPLE FROM 98% OF MICHIGAN'S COUNTIES IN 2022. THROUGH WORK ALREADY COMPLETED TOWARD ZERO SUICIDE, PINE REST HAS IDENTIFIED A GAP IN CLINICAL EDUCATION, ASSESSMENT, AND CONTINUITY OF CARE FOR INDIVIDUALS WITH SUICIDAL BEHAVIOR. TO FILL THIS GAP, PINE REST PROPOSES TO IMPLEMENT THE ZERO SUICIDE MODEL ACROSS THE PINE REST CONTINUUM, WITH THE GOAL OF SERVING OVER 15,000 PATIENTS OVER THE 5 YEAR PROJECT. PINE REST WILL FOCUS ON INDIVIDUALS ABOVE THE AGE OF 18 WHO RECEIVE TREATMENT THROUGH THE PINE REST TRANSITION CLINIC. THOSE WHO RECEIVE TREATMENT IN A PSYCHIATRIC INPATIENT HOSPITAL HAVE ONE OF THE HIGHEST SUICIDE RISKS OF ANY POPULATION, WITH SUICIDE RATES 30 TIMES THAT OF THE GENERAL POPULATION FIVE YEARS AFTER HOSPITAL DISCHARGE. THREE MONTHS POST-DISCHARGE, THIS RATE IS 100 TIMES THE GENERAL POPULATION. FOR PATIENTS HOSPITALIZED FOR SUICIDAL THOUGHTS OR BEHAVIORS, THIS RISK INCREASES TO 200 TIMES THAT OF THE GENERAL POPULATION (CHUNG, ET AL., 2017). THE TRANSITION CLINIC PROVIDES INTENSIVE BEHAVIORAL HEALTH TREATMENT FOR THESE HIGH-RISK PATIENTS FOR UP TO THREE MONTHS AFTER DISCHARGE FROM A PSYCHIATRIC CRISIS EPISODE. THIS PROJECT WILL ACCOMPLISH THREE GOALS: 1) REDUCE SUICIDE AND SUICIDE ATTEMPT RATES WITHIN THE TRANSITION CLINIC POPULATION; 2) INCREASE THE CAPACITY TO DIRECTLY TREAT SUCIDIALITY BY TRAINING THE PINE REST WORKFORCE IN EVIDENCE-BASED PRACTICES; AND 3) IMPROVE THE SUICIDE PREVENTION RATE AT PINE REST'S TRANSITION CLINIC BY IMPLEMENTING ZERO SUICIDE FRAMEWORK INTO TREATMENT. THE THREE GOALS OF THE PROJECT WILL ADDRESS THREE MAIN SERVICE GAPS IN REDUCING SUICIDE: 1) THE LACK OF CONTINUITY IN CARE FOR PATIENTS ACROSS THE CONTINUUM; 2) THE LACK OF CAPACITY AND TRAINING OF THE BEHAVIORAL HEALTH WORKFORCE; AND 3) THE UNDERSTANDING OF CULTURAL COMPLEXITIES IN SUICIDE PREVENTION. TO THIS END, PINE REST WILL FULLY INTEGRATE THE SEVEN ELEMENTS AND BEST PRACTICES OF ZERO SUICIDE INTO ITS HEALTH SYSTEM BY DEVELOPING AND IMPLEMENTING ORGANIZATIONAL POLICIES AND PROCEDURES, BY PROVIDING TRAINING IN EVIDENCE-BASED PRACTICES, AND BY ADDRESSING BARRIERS TO TREATMENT CAUSED BY HEALTH INEQUITIES.

BEHAVIORAL HEALTH WORKFORCE EDUCATION AND TRAINING PROGRAM - PINE REST CHRISTIAN MENTAL HEALTH SERVICES, ON BEHALF OF THE WEST MICHIGAN BEHAVIORAL HEALTH WORKFORCE AND EDUCATION TRAINING CONSORTIUM (WEST MICHIGAN BHWET) WITH TWO UNIVERSITIES, IS APPLYING TO THE HRSA BEHAVIORAL HEALTH WORKFORCE EDUCATION AND TRAINING PROGRAM FOR PROFESSIONALS TO ADDRESS SERIOUS PROFESSIONAL SHORTAGES AND IMPROVE CHILD AND ADOLESCENT ACCESS TO CARE IN WEST MICHIGAN, A FOURTEEN-COUNTY REGION ENCOMPASSING MULTIPLE RURAL AND UNDERSERVED AREAS WITH THE WEST MI BHWET CHILD AND ADOLESCENT TRAINING TRACK (CATT). ACADEMIC CONSORTIUM MEMBERS AND THEIR ACCREDITED PROGRAMS INCLUDE: THE PINE REST PRE-DOCTORAL PSYCHOLOGY PROGRAM ACCREDITED BY APA; THE PINE REST CHILD AND ADOLESCENT PSYCHIATRY FELLOWSHIP PROGRAM ACCREDITED BY ACGME; MICHIGAN STATE UNIVERSITY AND THE UNIVERSITY OF MICHIGAN MASTER OF SOCIAL WORK PROGRAMS ACCREDITED BY CSWE, AND CENTRAL MICHIGAN UNIVERSITY MASTER’S IN COUNSELING AND PSYCHOLOGY PROGRAMS ACCREDITED BY CACREP. MICHIGAN’S MENTAL HEALTH PROVIDER SHORTAGE IS SEVERE, A CONDITION THAT CARRIES INTO WEST MICHIGAN. ACCORDING TO MICHIGAN BEHAVIORAL HEALTH WORKFORCE DATA, ALL BEHAVIORAL HEALTH OCCUPATIONS FELL IN THE BOTTOM HALF OF THE HEALTHCARE WORKFORCE INDEX, BASED ON LOW GROWTH, SIGNIFICANT SHORTAGES, WAGE GAPS AND HIGH TURNOVER. IN WEST MICHIGAN, BEHAVIORAL HEALTH WORKFORCE TURNOVER RATES ARE VERY HIGH, UP TO 46% TURNOVER FOR SCHOOL SOCIAL WORKERS AND 57% FOR MENTAL HEALTH AND SUBSTANCE USE SOCIAL WORKERS. THESE GAPS ARE COMPOUNDED BY HIGH NEED. OVER ONE IN SEVEN YOUTH (14%) IN MICHIGAN NEED BEHAVIORAL HEALTH SERVICES BUT DO NOT RECEIVE THEM AND FOR MICHIGAN YOUTH WITH TWO OR MORE ADVERSE CHILDHOOD EXPERIENCES, THIS FIGURE INCREASES TO ALMOST ONE IN FIVE (18%) NOT ACCESSING SERVICES. MANY MICHIGAN PARENTS REPORT DIFFICULTY OBTAINING CARE FOR THEIR CHILDREN, WITH OVER ONE THIRD (34.6%) REPORTING SOME DIFFICULTY, AND ALMOST ONE FIFTH (18.5%) FINDING IT VERY DIFFICULT TO OBTAIN SERVICES. RURALITY AND LOW-INCOME ARE CONTRIBUTING FACTORS IN WEST MICHIGAN INTENSIFYING ACCESS ISSUES. ELEVEN WEST MI COUNTIES ARE HRSA-DEFINED AS RURAL GRANT ELIGIBLE AND KENT COUNTY- AT THE GEOGRAPHICAL CENTER OF THE PROPOSED BHWET PROJECT, IS PARTIALLY RURAL AND CONTAINS GRAND RAPIDS, ONE OF MI LARGEST CITIES WITH HIGH-DENSITY LOW-INCOME AND DISINVESTED COMMUNITIES. PRIMARY CARE PROVIDER AVAILABILITY RATIOS IN SOME COUNTIES SPIKE FROM 3,320:1 TO 12,310:1. WEST MICHIGAN ALSO CARRIES HIGHER PERCENTAGES OF LOW INCOME THAN AT THE STATE LEVEL, WHERE FAMILIES WITH CHILDREN IN WEST MICHIGAN EXPERIENCE LOW INCOME UP TO 26-47% COMPARED TO 14.4% AT THE STATE LEVEL. THROUGH THEIR ACCREDITED PROGRAMS, THE WEST MICHIGAN BHWET CONSORTIUM WILL BUILD REGIONAL CAPACITY AND OFFER AN INTERPROFESSIONAL, INTEGRATED BEHAVIORAL HEALTH CHILD AND ADOLESCENT TRAINING TRACK FOR PSYCHIATRY, PRE-DOCTORAL PSYCHOLOGY, SOCIAL WORK AND OTHER MASTER-LEVEL LEARNERS WHO ARE IN THEIR LAST YEAR OF TRAINING. THE WEST MI BHWET CHILD AND ADOLESCENT TRAINING TRACK (CATT) WILL BRING PSYCHIATRY FELLOWS, PRE-DOCTORAL PSYCHOLOGY STUDENTS, AND SOCIAL WORK STUDENTS TOGETHER TO CO-RECEIVE DIDACTICS INCLUDING AN INTERDISCIPLINARY SEMINAR SERIES, CASE CONFERENCING, SPECIALTY TRAUMA AND EATING DISORDER TRAINING, AND EXPERIENTIAL FIELD TRAINING TO INCREASE THE AVAILABILITY OF HIGHLY TRAINED PROVIDERS FOR CLINICAL POSITIONS SERVING UNDERSERVED POPULATIONS AFTER PROGRAM COMPLETION. A CLINICAL SUPERVISOR CADRE (LICENSED PSYCHIATRISTS, PSYCHOLOGISTS, SOCIAL WORKERS) WILL BE CULTIVATED THROUGH THE CONSORTIUM WHO ARE DEDICATED TO, HAVE WORKED WITH, AND MAY BE FROM UNDERSERVED COMMUNITIES IN WEST MICHIGAN, WHO WILL RECEIVE THEIR OWN SPECIALTY TRAINING IN TRAUMA AND EATING DISORDERS TO BUILD THIS CAPACITY IN THE STUDENTS THEY SUPERVISE. THIS PROJECT WILL ALLOW THE WEST MI BHWET CONSORTIUM TO ESTABLISH A TRAINING HUB THAT IS A LOGICAL ACCESS POINT FOR EXPANSION AS THE PROGRAM EVOLVES BEYOND THE PROJECT PERIOD OF PERFORMANCE. APPLYING FOR FUNDING PRIORITY 1 AND FUNDING PREFERENC

PINE REST WILL EXPAND OUTPATIENT INDIVIDUAL AND GROUP THERAPY TO INDIVIDUALS ...

CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS

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

CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS

DLT OPIOID GRANTS

PINE REST WILL EXPAND OUTPATIENT INDIVIDUAL AND GROUP THERAPY TO INDIVIDUALS ...