Arukah

CCBHC IN NORTHCENTRAL ILLINOIS: IMPROVEMENT AND ADVANCEMENT - PROJECT ABSTRACT PROJECT NAME: CCBHC IN NORTHCENTRAL ILLINOIS: IMPROVEMENT AND ADVANCEMENT BRIEF SUMMARY OF PROJECT: THIS PROJECT WILL TRANSFORM BEHAVIORAL HEALTH CARE FOR LASALLE, BUREAU, PUTNAM AND MARSHALL COUNTIES (STATE OF ILLINOIS), WITH A TOTAL OF 160,281 PPL. IN 2,551 SQ MI. THESE ARE HEALTH PROFESSIONAL SHORTAGE AREAS WITH DISPARITIES IN SOCIOECONOMIC STATUS, GEOGRAPHIC ISOLATION, AND EMPLOYMENT, WITH HIGH SUICIDE AND DRUG OVERDOSE RATES. THIS PROJECT WILL INCREASE CAPACITY, QUALITY, AND INFRASTRUCTURE OF BEHAVIORAL HEALTHCARE SERVICES IN THIS RURAL REGION, LEADING TO SIGNIFICANT OUTCOMES AND IMPACT. EXTENSIVE SUMMARY OF PROJECT: WE PROPOSE AN EFFECTIVE STRATEGY FOR TRANSFORMING INTEGRATED, COORDINATED, AND PERSON-CENTERED BEHAVIORAL HEALTH CARE THROUGH OUR CCBHC IN RURAL NORTHCENTRAL ILLINOIS. THE 4-COUNTY AREA INCLUDES LASALLE, BUREAU, PUTNAM AND MARSHALL (LBMP), WITH A TOTAL OF 160,281 PPL. IN 2,551 SQ MI (DENSITY OF 70 PPL PER SQ MI; NATIONAL: 91; IL:232). THESE ARE HPSAS IN MENTAL HEALTH (80 PROVIDERS PER 100K; NATIONAL: 203; IL: 244) WITH PRONOUNCED DISPARITIES IN SOCIOECONOMIC STATUS, GEOGRAPHIC ISOLATION, AND JOB OPPORTUNITIES WHICH INCREASE VULNERABILITY OF THE RESIDENTS. POPULATIONS OF FOCUS INCLUDE PERSONS AT RISK FOR, DIAGNOSED WITH, AND/OR IN TREATMENT AND/OR RECOVERY FOR A MENTAL HEALTH OR SUBSTANCE USE DISORDER (MH/SUD) OR CO-OCCURRING DISORDER, AS WELL AS THEIR FAMILIES AND/OR CAREGIVERS. WE PRIORITIZE SUB-POPULATIONS WHO HAVE HISTORICALLY SUFFERED FROM POORER HEALTH OUTCOMES, INCLUDING SERIOUSLY AND PERSISTENTLY MENTAL ILL (SPMI), HISPANIC/LATINX ETHNIC MINORITIES (10% TOTAL POP), LGBTQ+, AND VETERANS (10% TOTAL POP.). STRIKING BEHAVIORAL HEALTH DISPARITIES EXIST IN LBMP. SUICIDE RATES ARE 63% HIGHER THAN THE STATE OF ILLINOIS. RELATIVE TO 2020, IN 2021 WE OBSERVED A 36% INCREASE IN PERSONS UNDERGOING A NON-FATAL OVERDOSE WITH A 67% INCREASE IN NALOXONE DISTRIBUTED. OUR FIRST RESPONDERS AND BEHAVIORAL HEALTH CRISIS WORKERS ADMINISTER 5 DOSES OF NALOXONE DAILY TO SAVE LIVES. RESIDENTS REPORT THAT 82% HAVE BEEN IMPACTED BY MENTAL ILLNESS AND ONLY HALF HAVE RECEIVED THE NEEDED HELP. THIS PROJECT WILL INCREASE CAPACITY OF MULTI-DISCIPLINARY BEHAVIORAL HEALTH PROFESSIONALS TO DELIVER EVIDENCE-BASED THERAPEUTIC TREATMENT (GOAL 1); INCREASE QUALITY AND CONNECTIVITY OF SOCIAL DETERMINANTS-RELATED SERVICES THROUGH ENHANCING COORDINATION AND WRAPAROUND CARE (GOAL 2); AND INCREASE INFRASTRUCTURE AND OUTREACH OF THE CCBHC TO BOLSTER SUSTAINABILITY (GOAL 3). TO ACCOMPLISH THIS, WE LEVERAGE THE COMBINED STRENGTHS OF THE LEAD APPLICANT (ARUKAH INSTITUTE OF HEALING) AND 4 DCO PARTNERS (ST. MARGARET’S HEALTH, ILLINOIS VALLEY PADS SHELTER, TRI-COUNTY OPPORTUNITIES COUNCIL, AND LASALLE COUNTY SHERIFF’S OFFICE). WE ANTICIPATE SERVING 16,066 ADULTS AND 5,357 CHILDREN OVER THE 4-YEAR AWARD PERIOD.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? NEONATAL ABSTINENCE SYNDROME - RURAL COMMUNITIES OPIOID RESPONSE PROGRAM – NEONATAL ABSTINENCE SYNDROME

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

COLLABORATIVE COMPLEMENTARY, CONVENTIONAL AND COMMUNITY BASED CARE FOR RURAL POPULATIONS (C5-RURAL)

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? NEONATAL ABSTINENCE SYNDROME

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM - WE ARE APPLYING FOR THE SPECIAL TRACK TO REDUCE UNINTENTIONAL INJURY DUE TO SUBSTANCE USE. WE ARE REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 1 (HPSA). OUR TARGET POPULATION IS ADULTS (18-65 YEARS) EXPERIENCING POVERTY. SPECIAL FOCUS IS GIVEN TO HISPANIC/LATINX ETHNIC MINORITIES AND HOMELESS POPULATIONS, BOTH OF WHOM HAVE HISTORICALLY SUFFERED FROM POOR HEALTH OUTCOMES, HEALTH DISPARITIES, AND OTHER INEQUITIES. THE OVERARCHING GOAL OF OUR PROJECT IS TO REDUCE INCIDENCE OF UNINTENTIONAL INJURY DUE TO SUBSTANCE USE ACROSS RURAL AMERICA THROUGH DEPLOYMENT OF RURAL- AND SUD-ATTUNED LOW-BARRIER LIVING ROOMS. • GOAL 1: IMPROVE MEASUREMENT AND VALIDATION OF RECOVERY PROGRESS VIA WELLNESS RECOVERY ACTION PLANNING (WRAP). UTILIZE WRAP PLANNING AS A STANDARDIZED FRAMEWORK FOR MONITORING LIVING ROOM GUEST PROGRESS AND EMPOWERMENT OF PERSON-CENTERED RECOVERY TO PROTECT AGAINST SUD-RELATED INJURY. • GOAL 2: DEVELOP WARMING AND COOLING CENTER ADJUNCTIVE TO LIVING ROOM TO FILL URGENT GAP FOR UNHOUSED. PROVIDE KEY HARM REDUCTION FOR UNHOUSED POPULATION USING THE LIVING ROOM AS AN ADDITIONAL PROTECTION AGAINST SUD-RELATED UNINTENTIONAL INJURY • GOAL 3: DEVELOP AND BOLSTER SUSTAINABILITY OF SUD-ATTUNED LIVING ROOM TO DEPLOY AS A RURAL MODEL. PURSUE KEY POLICY CHANGE AND LAYER RESOURCES TO ENSURE LONG-TERM SUCCESS OF THE LIVING ROOM IN RURAL AMERICA. TO ACCOMPLISH THIS, WE WILL IMPLEMENT AN EVIDENCE-BASED RECOVERY-ORIENTED MODEL OF CARE FOR LIVING ROOM GUESTS (GOAL 1), WITH 5 SMART, KEY OBJECTIVES FOR TRAINING, IMPLEMENTATION AND MEASUREMENT. GOAL 2 DEVELOPS A NECESSARY HARM REDUCTION GAP FOR HOMELESS POPULATIONS, WITH 5 KEY OBJECTIVES TO GUIDE THIS CRITICAL ADDITION TO THE LIVING ROOM FOR COMBATTING RURAL HOMELESSNESS. GOAL 3 INCLUDES 6 KEY OBJECTIVES FOR DEVELOPING KEY SUSTAINABILITY FEATURES OF THE LIVING ROOM, PREPARING FOR DEPLOYMENT OF THE MODEL ACROSS THE RURAL U.S. KEY TO THE PROJECT’S SUCCESS FOR REDUCING SUD INJURY IS THE COLLABORATION WITH 6 CONSORTIUM MEMBERS, INCLUDING LOCAL GOVERNMENT, LAW ENFORCEMENT, HEALTH DEPARTMENT TRANSITIONING TO RURAL HEALTH CLINIC STATUS, A LOCAL HOSPITAL WITH EMERGENCY SERVICES, FAITH-BASED COMMUNITY, AND ARUKAH AS BEHAVIORAL HEALTH PROVIDER. TO TRACK THE SAME SET OF INDIVIDUALS AND OUTCOMES OVER THE 4-YEAR PROGRAM, WE DESIGNED AN EVALUATION PLAN THAT INCORPORATES PIMS AS WELL AS PROJECT-SPECIFIC INDICATORS FOR CLINICAL IMPROVEMENTS, SOCIAL DETERMINANTS OF HEALTH, AND FINANCIAL/SUSTAINABILITY. ANTICIPATED OUTCOMES FOR OUR PROJECT INCLUDE INCREASING ACCESS FOR PERSONS WITH SUD, INCLUDING HOMELESS AND HISPANIC/LATINX, TO COMPASSIONATE, APPROPRIATE SERVICES; ENHANCEMENT IN WELLNESS AND RECOVERY OUTCOMES OF LIVING ROOM GUESTS; IMPROVEMENT IN SOCIAL DETERMINANTS OF HEALTH OUTCOMES, I.E., STABLE HOUSING, EMPLOYMENT AND HEALTH INSURANCE; ACHIEVEMENT OF SUSTAINABLE BUSINESS MODEL FOR LIVING ROOM THROUGH POLICY CHANGE; AND READINESS OF SUD-ATTUNED LIVING ROOM MODEL FOR DEPLOYMENT ACROSS RURAL U.S. LONG-TERM OUTCOMES INCLUDE REDUCTION IN MORBIDITY AND MORTALITY, SYSTEMIC REDUCTIONS IN SUD PREVALENCE IN RURAL, AND COST SAVINGS FOR LOCAL RURAL COMMUNITIES AND FEDERAL/STATE MEDICAID.

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

DLT OPIOID GRANTS