Eyerly-Ball Community Mental Health Services

IMPROVING ACCESS PROCEDURES, EXPANDING OUTPATIENT SUBSTANCE USE TREATMENT SERVICES,AND REDUCING PREVENTABLE EMERGENCY DEPARTMENT UTILIZATION AND HOSPITALREADMISSIONS THROUGH THE ADVANCEMENT OF SERVI - EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES (CMHS) WILL IMPLEMENT SERVICE IMPROVEMENTS THROUGH ITS PROPOSED CCBHC-IA PROJECT ENTITLED, “IMPROVING ACCESS PROCEDURES, EXPANDING OUTPATIENT SUBSTANCE USE TREATMENT SERVICES, AND REDUCING PREVENTABLE EMERGENCY DEPARTMENT UTILIZATION AND HOSPITAL READMISSIONS THROUGH THE ADVANCEMENT OF SERVICES”. THIS PROJECT’S POPULATION OF FOCUS WILL BE CONSUMERS OF ALL AGES OF A LOW SOCIOECONOMIC STATUS WHO ARE EXPERIENCING SUBSTANCE USE DISORDERS (SUD) OR CO-OCCURRING DISORDERS (COD) WITHIN THE CATCHMENT AREA OF BOONE, STORY, POLK, AND WARREN COUNTIES IN IOWA. WITH GRANT FUNDS, EYERLY BALL CMHS PROPOSES TO IMPLEMENT MEDICATION ASSISTED TREATMENT (MAT) SERVICES ONSITE AND TO IMPROVE SAME DAY ACCESS PROCESSES, ALLOWING ANY CONSUMER TO COMPLETE AN INTAKE AND RECEIVE LEVEL-OF-CARE INDICATED REFERRALS AND NEXT STEPS ON THE SAME DAY THEY REQUEST SERVICES. IN ORDER TO PROPERLY INCORPORATE THESE INTO EYERLY BALL CMHS’S CONTINUUM OF CARE, THE FOLLOWING PROJECT GOALS HAVE BEEN DEVELOPED: REDUCE BARRIERS TO BEHAVIORAL HEALTH SERVICES BY PROVIDING COORDINATION SERVICES IN AREA CLINICS AND THROUGH A SAME DAY ACCESS PROCESS, INCREASE TREATMENT OPTIONS FOR CONSUMERS WITH SUBSTANCE USE DISORDERS BY EXPANDING OUTPATIENT SUD AND MAT SERVICES, AND REDUCE EMERGENCY DEPARTMENT UTILIZATION AND HOSPITAL READMISSIONS BY IMPLEMENTING AN INTERDISCIPLINARY TREATMENT TEAM DEDICATED TO CONSUMER DISCHARGE FOLLOW UPS. SPECIFIC, MEASURABLE, ACHIEVABLE, REALISTIC, AND TIME-BOUND OBJECTIVES HAVE BEEN DEVELOPED FOR EACH GOAL, INCLUDING CONTINUING INTEGRATION OF BEHAVIORAL HEALTH NAVIGATORS INTO AREA PRIMARY CARE CLINICS, INCREASING THE NUMBER OF SUCCESSFUL REFERRALS TO BEHAVIORAL HEALTH AND SUBSTANCE USE EVALUATIONS MADE BY THE BEHAVIORAL HEALTH NAVIGATORS, ENABLING 60% OF CONSUMERS TO RECEIVE AN INTAKE BEHAVIORAL HEALTH OR SUBSTANCE USE ASSESSMENT ON THE DATE REQUESTED WITH AN ANNUAL 10% INCREASE THEREAFTER, ENGAGING AN ACTIVE CASELOAD OF 30 CONSUMERS IN THE NEWLY DEVELOPED MAT PROGRAM BY THE END OF THE SECOND YEAR OF THE PROJECT, IMPLEMENTING SEVEN-DAY FOLLOW-UP PROCEDURES FOR CONSUMERS WHO HAVE BEEN ADMITTED TO THE HOSPITAL, AND DECREASING BOTH HOSPITAL READMISSIONS AND EMERGENCY DEPARTMENT UTILIZATION FOR OUR CONSUMERS BY .5% EACH YEAR OF THE PROJECT. EYERLY BALL CMHS WILL MAKE USE OF THE FOLLOWING EVIDENCE-BASED PRACTICES TO PROVIDE A HIGH QUALITY OF CARE TO CONSUMERS PARTICIPATING IN THIS PROJECT: ASSERTIVE COMMUNITY TREATMENT (ACT), FIRST EPISODE PSYCHOSIS (FEP), WELLNESS ACTION RECOVERY PLAN (WRAP), MOTIVATIONAL INTERVIEWING, PEER AND FAMILY SUPPORT SPECIALISTS, MEDICATION ASSISTED TREATMENT (MAT), COGNITIVE BEHAVIORAL THERAPY (CBT), AND EYE MOVEMENT DESENSITIZATION AND REPROCESSING THERAPY (EMDR). FIDELITY IS MAINTAINED TO EACH OF THESE EVIDENCE-BASED PRACTICES, AND ALL TREATMENT WILL BE TAILORED TO EACH INDIVIDUAL’S DEVELOPMENTAL PHASE IN LIFE. EYERLY BALL CMHS WILL SERVE 400 UNDUPLICATED CONSUMERS IN OUR TARGET POPULATION DURING EACH YEAR OF THE PROJECT, SERVING A TOTAL OF 1,200 UNDUPLICATED CONSUMERS OVER THE PROJECT PERIOD OF FOUR YEARS.

INCREASING ACCESS TO MENTAL HEALTH AND SUBSTANCE USE TREATMENT SERVICES, IMPROVING COORDINATION BETWEEN HEALTHCARE PROVIDERS, AND ENHANCING AVAILABILITY OF CRISIS AND SUICIDE PREVENTION SERVICES

PROVIDING MOBILE OUTREACH SUPPORT TO RURAL COMMUNITIES FOR INCREASED MENTAL HEALTH AND SUBSTANCE USE NEEDS CAUSED BY THE COVID-19 PANDEMIC - EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES (CMHS) WILL INCREASE THE AVAILABILITY AND ACCESSIBILITY OF MENTAL HEALTH AND SUBSTANCE USE SERVICES TO CONSUMERS OF ALL AGES IN RURAL COMMUNITIES THROUGH ITS PROPOSED CMHC PROJECT ENTITLED, “PROVIDING MOBILE OUTREACH SUPPORT TO RURAL COMMUNITIES FOR INCREASED MENTAL HEALTH AND SUBSTANCE USE NEEDS CAUSED BY THE COVID-19 PANDEMIC.” THIS PROJECT’S POPULATION OF FOCUS INCLUDES CHILDREN AND ADULTS WITH SERIOUS MENTAL ILLNESS (SMI), SERIOUS EMOTIONAL DISTURBANCE (SED), AND CO-OCCURRING DISORDERS (COD) LOCATED WITHIN THE CATCHMENT AREA OF GREENE, MADISON, MARSHALL, JASPER, AND POWESHIEK COUNTIES IN RURAL IOWA. THIS CATCHMENT AREA AND CONSUMER POPULATION IDENTIFIED THE AVAILABILITY AND ACCESSIBILITY OF MENTAL HEALTH, SUBSTANCE USE, AND CRISIS SERVICES FOR ALL AGES WITHIN THEIR COMMUNITIES AS TOP AREAS OF CONCERN IN COMMUNITY NEEDS ASSESSMENTS. ADDITIONALLY, THE ASSESSMENTS IDENTIFIED A LACK OF MENTAL HEALTH AND SUBSTANCE ABUSE RESOURCES AND AWARENESS WITHIN THE COMMUNITIES. IT IS SIGNIFICANT TO NOTE THESE IDENTIFIED NEEDS, AS THE ASSESSMENTS WERE CONDUCTED SEVERAL YEARS PRIOR TO COVID-19. RESEARCH IS BEGINNING TO COME OUT NOW ABOUT THE NEGATIVE IMPACTS OF THE PANDEMIC ON THE STABILITY OF MENTAL HEALTH, AS WELL AS INCREASED LEVELS OF SUBSTANCE USE, AND IT IS LIKELY THAT THE PREVIOUSLY IDENTIFIED NEEDS HAVE ONLY INTENSIFIED WITHIN THIS CATCHMENT AREA. IN ORDER TO ADDRESS THESE NEEDS, EYERLY BALL CMHS PROPOSES TO PURCHASE A SPECIALTY VEHICLE AND HIRE POSITIONS TO STAFF A MOBILE OUTREACH TEAM OF MENTAL HEALTH PROFESSIONALS, CONSISTING OF TWO LICENSED THERAPISTS, AN ADVANCED REGISTERED NURSE PRACTITIONER, TWO BEHAVIORAL HEALTH NAVIGATORS, AND A PEER SUPPORT PROFESSIONAL WHO ARE ABLE TO TRAVEL THROUGHOUT THE FIVE IDENTIFIED COUNTIES TO PROVIDE A VARIETY OF MENTAL HEALTH SERVICES TO CONSUMERS IN TRADITIONALLY HARD-TO-REACH AREAS. ADDITIONALLY, EYERLY BALL CMHS PROPOSES TO HIRE A TRAINING SUPPORT SPECIALIST WHO WILL BE TRAINED IN FOUR CURRICULUM-BASED MENTAL HEALTH TRAININGS IN ORDER TO PROVIDE EASILY ACCESSIBLE TRAININGS TO COMMUNITY MEMBERS AND TO INCREASE KNOWLEDGE OF MENTAL HEALTH AND SUBSTANCE USE CONDITIONS, AS WELL AS INCREASE AWARENESS OF SUPPORTIVE TREATMENT OPTIONS AVAILABLE TO INDIVIDUALS WHO MAY NEED RECOVERY ASSISTANCE. WITH PROJECT FUNDING, EYERLY BALL CMHS IS PROPOSING THE FOLLOWING GOALS: TO IMPROVE ACCESS OF CLINICAL AND RECOVERY SUPPORT SERVICES TO RURAL COMMUNITIES BY PROVIDING OUTPATIENT SERVICES, TRAUMA INFORMED CARE, CASE MANAGEMENT, PEER SUPPORT SERVICES, AND PATIENT-CENTERED TREATMENT DELIVERY; DECREASE EMERGENCY DEPARTMENT UTILIZATION BY INCREASING ACCESSIBILITY OF MENTAL HEALTH AND SUBSTANCE USE SERVICES AND PROMOTING AVAILABILITY OF CRISIS SERVICES; AND TO PROVIDE TRAININGS AND RESOURCES TO CMHC EMPLOYEES AND COMMUNITY MEMBERS WHICH ADDRESS THE MENTAL HEALTH AND WELLNESS NEEDS, INCLUDING THOSE WHICH MAY HAVE ARISEN AS A RESULT OF THE PANDEMIC, TO INCREASE AWARENESS AND REDUCE STIGMA. EYERLY BALL CMHS WILL SERVE 200 UNDUPLICATED CLIENTS EACH YEAR OF THE TWO-YEAR GRANT PROJECT.