Hillcrest Family Services

FY 2023 HILLCREST FAMILY SERVICES CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC IMPROVEMENT AND ADVANCEMENT - HILLCREST FAMILY SERVICES (HFS), THE LEADING PROVIDER OF BEHAVIORAL HEALTH SERVICES IN EASTERN IOWA, WITH OVER 35 CURRENT PROGRAMS, INCLUDING 5 COMMUNITY MENTAL HEALTH CENTERS (CMHCS) AND SERVING PEOPLE AT EVERY STAGE OF LIFE: CHILDREN, YOUTH, ADULTS, AND SENIORS, PROPOSES TO ESTABLISH A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC). WE PROVIDE A FULL RANGE OF PERSON-CENTERED, EVIDENCE BASED BEHAVIORAL HEALTH SERVICES AND ARE THE LARGEST SCHOOL MENTAL HEALTH PROVIDER IN THE REGION. COMMITTED TO THE VULNERABLE, WE ARE THE ONLY PROVIDER IN DUBUQUE AND JACKSON COUNTY CERTIFIED BY THE REGION FOR BEHAVIORAL HEALTH CARE TO THOSE UNABLE TO PAY. WE ARE PURSUING THIS OPPORTUNITY TO EXPAND AND CONTINUE OUT CURRENT CCBHC SERVICES. OUR EXPANSION EFFORTS SEEK TO ADDRESS THE UNMET BEHAVIORAL HEALTH NEEDS OF DUBUQUE AND JACKSON COUNTIES, PARTICULARLY IN RURAL AREAS AND SPECIFICALLY THE NEED FOR 1) IMPROVE COMMUNITY BEHAVIORAL HEALTH THROUGH REDUCING BARRIERS TO ACCESS AND PROVING QUALITY CARE, 2) REDUCE EXCESSIVE DRINKING BY OFFERING AN ARRAY OF SERVICES DELIVERED BY PEERS AND NEWLY TRAINED STAFF FOCUSED ON ENGAGING AND RETAINING PEOPLE AND 3) INCREASE EARLY ENGAGEMENT OF CHILDREN WITH THEIR FAMILIES TO IMPROVE OUTCOMES FOR CHILDREN AND ADOLESCENTS WITH SED. OUR CCBHC WILL DELIVER QUALITY SCREENING, ASSESSMENT, AND TREATMENT, 24/7 CRISIS SERVICES, PERSON CENTERED CARE COORDINATION, PHYSICAL HEALTH SCREENINGS AND COORDINATION, PSYCHIATRIC REHABILITATION AND PEER SUPPORT, TARGETED CASE MANAGEMENT AND INTEGRATED CARE OF VETERANS FIR CHILDREN AND ADULTS. WE ARE PARTNERING WITH OUR LOCAL FQHC, WORKING CLOSELY WITH OUR VA PARTNERS, PROVIDING SERVICES IN THE JAILS AND HOSPITALS, AND DELIVERING SERVICES IN SCHOOLS. TO SUPPORT THIS WORK, WE WILL HIRE ADDITIONAL STAFF WITH LIVED EXPERIENCE, THERAPISTS, CASE MANAGERS, AND CARE NAVIGATORS. WE PROPOSE TO IMPROVE BEHAVIORAL HEALTH THROUGH INCREASED ACCESS BY EXPANDING HOURS, PROVIDING ADDITIONAL FREE/LOW-COST TRANSPORTATION OPTIONS, CONNECTING MORE CLOSELY TO PEOPLE TRANSITION FROM INSTITUTIONS AND TRAINING ALL CLINICIANS IN COGNITIVE BEHAVIORAL THERAPY (CBT). WE WILL REDUCE EXCESSIVE DRINKING BY INCREASING THE NUMBER OF PEOPLE WITH LIVED EXPERIENCE WE HAVE AVAILABLE TO SUPPORT THOSE WHO NEED SERVICES, PLACING STAFF IN A HOSPITAL ED TO DELIVER SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) AND TRAINING ALL CCBHC STAFF IN HARM REDUCTION. LASTLY, WE WILL INCREASE THE EARLY ENGAGEMENT OF CHILDREN AND FAMILIES BY EXPANDING OUR FAMILY OUTREACH EFFORTS, ENSURING THE AVAILABILITY OF CARE COORDINATION, AND EXPEDITING FOLLOW UP PLANS FOR THOSE CHILDREN WHO SCREEN POSITIVE FOR DEPRESSION. OUR EFFORTS WILL BE CONDUCTED USING EVIDENCE-BASED AND EMERGING PRACTICES TO SUPPORT CARE FOR BEHAVIORAL HEALTH CONDITIONS. IN ADDITION TO SBIRT MENTIONED ABOVE, HFS WILL USE SEEKING SAFETY, A TRAUMA-INFORMED INTERVENTION EFFECTIVE IN REDUCING SYMPTOMS IN PEOPLE WHO HAVE EXPERIENCED TRAUMA OR SUD MOTIVATIONAL INTERVIEWING, A RECOGNIZED ENGAGEMENT PRACTICE FOR STRUCTURED COMMUNICATION TO ASSESS READINESS AND/OR PROMOTE BEHAVIOR CHANGE; COLLABORATIVE PROBLEM SOLVING (CPS) AND PARENT MANAGEMENT TRAINING (PMT), BOTH PRACTICES RECOGNIZED TO SUPPORT PARENTS COPING WITH A CHILD'S BEHAVIORAL CHALLENGES; DIALECTICAL BEHAVIORAL THERAPY (DBT), EFFECTIVE FOR YOUTH AND ADULTS WITH SUICIDAL IDEATION AND RISK; MULTIDIMENSIONAL FAMILY THERAPY (MDFT), A RECOGNIZED INTERVENTION FOR YOUTH SUBSTANCE USE AND ANTISOCIAL BEHAVIORS; AND ACCEPTANCE AND COMMITMENT THERAPY (ACT), AN EVIDENCE-BASED PRACTICE FOR BEHAVIORAL HEALTH DISORDERS IN ADULTS. WE WILL PROVIDE EXTENSIVE TRAINING, USE DATA TO ASSESS OUR PROGRESS AND ENGAGE THE PEOPLE WE SERVE IN IMPROVING OUR PROGRAM. THROUGHOUT ALL CCBHC SERVICES, WE WILL ENSURE THAT CONSUMERS RECEIVE CLIENT-CENTERED CARE THAT IS FREE FROM STIGMA AND THAT IS CULTURALLY AND LINGUISTICALLY APPROPRIATE TO MEET THE CONSUMER'S INDIVIDUAL CONTEXT AND CARE NEEDS.

HILLCREST FAMILY SERVICES CCBHC PROJECT OF DUBUQUE AND JACKSON COUNTIES

HILLCREST FAMILY SERVICES HEPATITIS C ELIMINATION INITIATIVE PILOT - HILLCREST FAMILY SERVICES WILL IMPLEMENT A COMMUNITY-BASED INITIATIVE THAT EXPANDS SAME-DAY HEPATITIS C TESTING, BEHAVIORAL HEALTH SUPPORT, AND PEER-LED CARE COORDINATION FOR INDIVIDUALS WITH SUBSTANCE USE DISORDER (SUD) IN SIX EASTERN IOWA COUNTIES. THE PROJECT WILL INCREASE EARLY DETECTION OF HCV, REDUCE TRANSMISSION, AND IMPROVE ACCESS TO TREATMENT AND SUPPORT SERVICES. IT TARGETS UNDERSERVED AND HIGH-RISK POPULATIONS, INCLUDING UNINSURED AND UNDERINSURED INDIVIDUALS. HILLCREST WILL COLLABORATE WITH HEALTHCARE AND COMMUNITY PARTNERS FOR STREAMLINED REFERRALS AND CULTURALLY RESPONSIVE CARE. THE PROGRAM WILL REACH 25-50 INDIVIDUALS ANNUALLY, OVER THE 3-YEAR GRANT PERIOD. FULL ABSTRACT: THE HILLCREST FAMILY SERVICES HEPATITIS C ELIMINATION INITIATIVE IS A COMPREHENSIVE, COMMUNITY-BASED PROJECT AIMED AT REDUCING HEPATITIS C VIRUS (HCV) DISPARITIES AMONG HIGH-RISK, UNDERSERVED POPULATIONS ACROSS DUBUQUE, JACKSON, JONES, LINN, CLINTON, AND JOHNSON COUNTIES IN IOWA. THE PROGRAM TARGETS ADULTS AGED 18 AND OLDER WITH A FOCUS ON INDIVIDUALS WITH CURRENT OR PAST INJECTION DRUG USE, THOSE EXPERIENCING HOMELESSNESS, PEOPLE WITH OPIOID USE DISORDER (OUD), JUSTICE-INVOLVED INDIVIDUALS, AND THOSE AT HEIGHTENED RISK FOR HCV AND HIV INFECTION. MOST PARTICIPANTS WILL BE LOW-INCOME AND FACE SIGNIFICANT BARRIERS TO ACCESSING TRADITIONAL HEALTHCARE, INCLUDING STIGMA, LACK OF INSURANCE, AND UNSTABLE HOUSING. THE INITIATIVE WILL IMPLEMENT AN INTEGRATED SET OF STRATEGIES, INCLUDING COMMUNITY OUTREACH AND EDUCATION ON HCV, HIV, AND SUBSTANCE USE RISKS; ONSITE SAME-DAY SCREENING AND TESTING; WARM HANDOFFS TO TREATMENT PROVIDERS; AND PEER RECOVERY SUPPORT WITH TRAUMA-INFORMED CARE COORDINATION. HILLCREST WILL ALSO DEPLOY DIGITAL PREVENTION TOOLS, HARM REDUCTION KITS, AND MOTIVATIONAL INCENTIVES TO IMPROVE ENGAGEMENT AND TREATMENT ADHERENCE. STRATEGIC COLLABORATION WITH RYAN WHITE PROVIDERS AND LOCAL CLINICS WILL ENSURE WRAPAROUND BEHAVIORAL HEALTH AND MEDICAL SERVICES. THE PROJECT'S GOALS AND MEASURABLE OBJECTIVES INCLUDE ENGAGING OVER 2,000 INDIVIDUALS ANNUALLY THROUGH EDUCATION AND AWARENESS CAMPAIGNS WHILE CONNECTING 25 TO 50 INDIVIDUALS EACH YEAR TO TESTING AND CARE. HILLCREST WILL SCREEN 25 TO 50 INDIVIDUALS ANNUALLY FOR HCV, HIV, AND SUD, WITH 100% OF THOSE TESTING POSITIVE REFERRED TO TREATMENT THE SAME DAY. ALL HCV-POSITIVE INDIVIDUALS WILL BE LINKED TO CARE, WITH WRAPAROUND SUPPORTS PROVIDED TO 25 TO 50 CLIENTS PER YEAR. TRAUMA-INFORMED, PEER-LED CARE COORDINATION WILL BE DELIVERED TO 25 TO 50 CLIENTS ANNUALLY, WITH AN 80% TREATMENT COMPLETION TARGET. THE INITIATIVE WILL DISTRIBUTE AT LEAST 150 HARM REDUCTION KITS PER YEAR AND OFFER COMPLIANT MOTIVATIONAL INCENTIVES TO AT LEAST 80% OF CLIENTS ENGAGED IN TREATMENT TO ENCOURAGE ADHERENCE. MONTHLY EVALUATION AND OUTCOME TRACKING WILL BE CONDUCTED, AND PROMISING PRACTICES WILL BE SHARED WITH SAMHSA AND OTHER STAKEHOLDERS. OVER THE 3-YEAR PROJECT PERIOD, HILLCREST WILL SERVE UP TO 150 HIGH-RISK INDIVIDUALS DIRECTLY AND REACH OVER 6,000 COMMUNITY MEMBERS THROUGH EDUCATION AND OUTREACH, CONTRIBUTING SIGNIFICANTLY TO EARLY DETECTION, TREATMENT ACCESS, AND LONG-TERM HCV ELIMINATION IN EASTERN IOWA.

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM