Northeast Iowa Mental Health Center

NORTH EAST IOWA CCBHC - NORTHEAST IOWA BEHAVIORAL HEALTH (NEIBH) SERVES AN EXTREMELY RURAL FIVE-COUNTY REGION (ALLAMAKEE, CLAYTON, FAYETTE, HOWARD, WINNESHIEK), WITH ONE DENSELY POPULATED AREA IN THE CITY OF DECORAH. OUR CCBHC PROGRAM WILL FOCUS ON SERVING INDIVIDUALS LIVING WITH SERIOUS MENTAL ILLNESS (SMI), SUBSTANCE USE DISORDERS (SUD), SERIOUS EMOTIONAL DISTURBANCES (SED), AND CO-OCCURRING DISORDERS (COD) LIVING IN THIS RURAL REGION. WE ANTICIPATE SERVING AN APPROXIMATELY EQUAL NUMBER OF FEMALES AND MALES, WITH APPROXIMATELY 31% OF THOSE SERVED IN OUR REGION BEING PUBLICLY INSURED, WHILE ANOTHER 13% ARE UNINSURED. OUR PROGRAM WILL PROVIDE QUALITY INTEGRATED MENTAL HEALTH AND SUD TREATMENT, CARE COORDINATION AND CONNECTION TO COMMUNITY AND SOCIAL SUPPORTS FOR CHILDREN AND ADULTS WITH SMI, SUD, SED, AND COD IN OUR FIVE-COUNTY CATCHMENT AREA. WE WILL SEEK TO ADDRESS THE SIGNIFICANT BH CAPACITY GAPS THAT EXIST FOR RESIDENTS IN OUR RURAL REGION, AS WELL AS THE INCREASING NEEDS OF YOUTH. BECAUSE THERE ARE NO CCBHCS THAT CURRENTLY SERVE OUR REGION TODAY, EXPANDING OUR CAPACITY TO SERVE INDIVIDUALS IN NEED OF BH SERVICES AND SUPPORTS IS ESSENTIAL. WE WILL ACCOMPLISH THIS BY OPERATING THE NEIBH CCBHC PROGRAM OUT OF TWO OF OUR EXISTING CLINIC LOCATIONS, AT WHICH ALL CCBHC SERVICES WILL BE AVAILABLE. THIS INCLUDES OUR MAIN DECORAH LOCATION IN WINNESHIEK COUNTY, AND OUR BRANCH OFFICE IN OELWEIN, LOCATED IN FAYETTE COUNTY. IN ADDITION, OUR FIVE OTHER SATELLITE OFFICE LOCATIONS WILL SERVE AS ADDITIONAL ACCESS POINTS FOR THE CCBHC, WHERE CLIENTS CAN GO TO RECEIVE TELEHEALTH AND/OR IN PERSON CCBHC SERVICES DEPENDING ON THEIR NEEDS AND PREFERENCES. OUR CCBHC PROGRAM WILL SERVE 500 INDIVIDUALS IN YEAR 1, WITH 750 INDIVIDUALS SERVED (INCLUDING 500 NEW CLIENTS AND 250 RETURNING CLIENTS) IN YEARS 2-4, FOR A TOTAL OF 2,000 INDIVIDUALS UNDUPLICATED INDIVIDUALS SERVED OVER THE FOUR YEARS OF THE PROGRAM. OUR PROGRAM GOALS AND OBJECTIVES INCLUDE THE FOLLOWING: GOAL 1. ADDRESS THE LACK OF BH CAPACITY AND CCBHC PRESENCE IN THE REGION THROUGH THE FOLLOWING ACTIONS: A) ESTABLISH CCBHC IMPLEMENTATION STEERING COMMITTEE LED BY THE CCBHC PROJECT DIRECTORS; B) HIRE 11 INCREMENTAL PROGRAM STAFF TO SUPPORT AND ENHANCE BH SERVICE CAPACITY IN THE COUNTIES SERVED; C) PROVIDE 5 OF THE 9 CORE CCBHC SERVICES WITHIN 6 MONTHS FOLLOWING AWARD; AND D) GAIN CARF ACCREDITATION WITHIN 24 MONTHS FOLLOWING AWARD. GOAL 2. EXPAND CCBHC SERVICE MODEL TO INCREASE ACCESS FOR CHILDREN AND YOUTH: A) PROVIDE WRITTEN PROGRAM MATERIALS TO 75% OF PHYSICIAN PRACTICES AND SCHOOLS WITHIN 5 COUNTY CATCHMENT AREA WITHIN 6 MONTHS OF AWARD; B) TRAIN 100% OF CCBHC STAFF IN EBP CRITERIA RELATED TO CHILDREN, YOUTH, AND FAMILY SERVICES, INCLUDING TRAUMA FOCUSED COGNITIVE BEHAVIORAL THERAPY AND ZERO SUICIDE WITHIN 90 DAYS OF STAFF HIRE; C) BY THE END OF YEAR 1, EXPAND THE AGENCY'S CASE MANAGEMENT SERVICES TO CHILDREN AND YOUTH CLIENTS; AND D) INCREASE THE NUMBER OF PEDIATRIC CLIENTS WE SERVE VIA THE CCBHC BY 30 % BY THE END OF YEAR 2. GOAL 3. IMPROVE CCBHC CLIENT'S HEALTH AND TREATMENT OUTCOMES FOR INDIVIDUALS IN RURAL COMMUNITIES, INCLUDING: A) INCREASE MEDICATION ADHERENCE FOR 100% OF INDIVIDUALS IN ACTIVE TREATMENT: B) PROVIDE 100% OF CCBHC CLIENTS WITH AN OUTPATIENT APPOINTMENT WITHIN 7 DAYS OF DISCHARGE FOLLOWING A MH HOSPITALIZATION: C) PROVIDE SUICIDE RISK ASSESSMENT FOR ALL CCBHC CLIENTS AT INTAKE AND EVERY SIX MONTHS THEREAFTER WHEN RISK IS IDENTIFIED TO ASSESS EFFECTIVENESS OF SAFETY PLANNING AND INTERVENTION TO ADDRESS SUICIDALITY: D) REDUCE PERCENTAGE OF CCBHC CLIENTS WITH AN ED VISIT OR HOSPITALIZATION FOR BH WITHIN THE LAST 30 DAYS: AND E) ENHANCE INSYNC EMR TO SUPPORT INTEGRATED PHYSICAL, BEHAVIORAL AND SUD CARE TRACKING FOR 100% OF CCBHC CLIENTS BY END OF YEAR 1.