Family Service And Guidance Center Of Topeka Inc

FAMILY SERVICE AND GUIDANCE CENTER CMHC APPLICATION 2021 - FAMILY SERVICE AND GUIDANCE CENTER (FSGC) WILL PROVIDE MENTAL HEALTH (MH) SERVICES FOR 500 CHILDREN (2-22) AND FAMILIES IN YEAR 1 AND 500 IN YEAR 2, INCLUDING CHILDREN AND YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED) AND CO-OCCURRING DISORDERS (COD). THE CATCHMENT AREA IS SHAWNEE COUNTY, KANSAS, INCLUDING THE CITY OF TOPEKA. FSGC WILL EXPAND NEEDED SERVICES, STRENGTHEN SUSTAINABILITY, IMPROVE QUALITY, AND ENHANCE CARE INTEGRATION. THE TOTAL POPULATION IN THE CATCHMENT AREA IS 176,875, OF WHOM 73.5% ARE WHITE, 7.7% ARE BLACK, 1.4% ARE NATIVE AMERICAN, 1.6% ARE ASIAN, AND 12.8% ARE HISPANIC. ABOUT 23.3% ARE 18 OR YOUNGER. OF THESE, ABOUT 13% ARE LIVING IN POVERTY (ROBERT WOOD JOHNSON FOUNDATION (RJWF), 2021). THE PROJECT DIRECTOR AND EVALUATOR WILL COLLABORATE TO ENSURE THE PROJECT HITS PLANNED BENCHMARKS. FSGC HAS BEEN SERVING SHAWNEE COUNTY AND NORTHEAST KANSAS SINCE 1904. FSGC IS THE ONLY COMMUNITY MENTAL HEALTH CENTER IN KANSAS THAT FOCUSES ITS RESOURCES AND EXPERTISE ON THE UNIQUE MENTAL HEALTH NEEDS OF CHILDREN. THE EXISTING NEED FOR CHILDREN’S MH AND RELATED SERVICES WAS SIGNIFICANT PRIOR TO THE PANDEMIC AND HAS BEEN EXACERBATED BY IT. TO EXPAND AND IMPROVE SERVICES, FSGC HAS IDENTIFIED THE FOLLOWING GOAL AND OBJECTIVES. GOAL 1: TO EXPAND NEEDED BEHAVIORAL HEALTH (BH) SERVICES INCLUDING MH, SUD, AND COD AND RELATED SUPPORTS FOR CHILDREN AND YOUTH IN THE CATCHMENT AREA. OBJECTIVE 1: PROVIDE MH AND RELATED SERVICES TO 500 UNDUPLICATED YOUTH AND FAMILIES IN YEAR 1 AND 500 IN YEAR 2 RETAINING AT LEAST 50% IN APPROPRIATE TREATMENT IDENTIFIED IN AN INDIVIDUAL TREATMENT PLAN. OBJECTIVE 2: DURING YEAR 1, EXPAND CRISIS SERVICES TO 125 ADDITIONAL CLIENTS BY ADDING 4 FTE CLINICAL AND SUPPORT STAFF; 80% OF INDIVIDUALS RECEIVING CRISIS SERVICES WILL BE RETAINED AS APPROPRIATE IN OUTPATIENT CARE AT MONTH SIX. OBJECTIVE 3: DURING YEAR 1, PROVIDE INTEGRATED COD SERVICES FOR 75 CLIENTS BY ADDING 2.6 FTE CLINICAL AND SUPPORT STAFF; 75 % OF YOUTH WILL BE RETAINED IN INTEGRATED COD TREATMENT SERVICES FOR 6 MONTHS. OBJECTIVE 4: DURING YEAR 1, EXPAND SCHOOL SERVICES TO AN ADDITIONAL 75 CLIENTS BY ADDING 2 FTE CLINICAL AND RECOVERY STAFF; 75 % OF YOUTH WILL DEMONSTRATE AT LEAST ONE FUNCTIONAL IMPROVEMENT AS MEASURED BY PRE/POST TESTING AT MONTH 6. OBJECTIVE 5: DURING YEAR 2, ENHANCE CROSS-SYSTEM EFFICIENCY AND COORDINATION BY CREATING AND IMPLEMENTING 3 TRAININGS FOR FSGC, CHILD WELFARE PROVIDERS, AND JUVENILE JUSTICE PROVIDERS. OBJECTIVE 6: DURING YEAR 1, EXPAND CLINICAL AND RECOVERY SUPPORTS TO AN ADDITIONAL 225 CLIENTS BY ADDING 7.5 FTE MEDICAL, CLINICAL, AND SUPPORT POSITIONS; 75 % OF YOUTH WILL BE RETAINED IN TREATMENT SERVICES FOR 6 MONTHS. OBJECTIVE 7: DURING THE FUNDING PERIOD, IMPROVE STAFF MH BY ADDING MONTHLY WELLNESS ACTIVITIES IN ACCORD WITH SAMHSA’S NATIONAL CHILD TRAUMATIC STRESS NETWORK RECOMMENDATIONS. OBJECTIVE 8: UPON NOTICE OF AWARD, INITIATE QUARTERLY WORKING GROUP MEETINGS TO ACHIEVE KANSAS CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) DESIGNATION BY YEAR 2, QUARTER 3. OBJECTIVE 9: DURING YEAR 1, FSGC WILL IMPROVE ITS AGGREGATED CHILD AND ADOLESCENT FUNCTIONAL ASSESSMENT SCALE (CAFAS) SCORE BY 3 POINTS AT MONTH 12.

CCBHC TRANSFORMATION PROJECT - THE FAMILY SERVICES AND GUIDANCE CENTER (FSGC) OF TOPEKA’S PROPOSED PROJECT, CCBHC TRANSFORMATION, SEEKS TO EXPAND ACCESS TO COMPREHENSIVE, EVIDENCE-BASED, TRAUMA-INFORMED AND PERSON AND FAMILY CENTERED CARE AMONG AN UNDERSERVED POPULATION OF FOCUS: CHILDREN, YOUTH AND YOUNG ADULTS WITH SERIOUS EMOTIONAL DISTURBANCE(SED), SERIOUS MENTAL ILLNESS(SMI), SUBSTANCE USE DISORDERS (SUD) AND CO-OCCURRING DISORDERS (COD) IN SHAWNEE COUNTY, KS. NATIONALLY, ONLY 40% OF YOUTH <18 AND 33% OF YOUNG ADULTS 18-25 WHO NEED BEHAVIORAL HEALTH CARE RECEIVE IT (SAMHSA.GOV), AND FSGC IS THE ONLY CERTIFIED COMMUNITY MENTAL HEALTH CENTER THAT PROVIDES PSYCHIATRY AND CERTAIN OTHER BH SERVICES TO YOUTH UNDER 18 IN THE CATCHMENT AREA (CA) OF SHAWNEE COUNTY. THE CA HAS HIGHER RATES OF POVERTY THAN STATE AVERAGES, WITH 53% OF STUDENTS QUALIFYING FOR FREE/REDUCED LUNCH (KIDS COUNT). NEARLY 25% OF KS YOUNG ADULTS AGED 18-25 REPORTED ILLICIT DRUG USE IN THE PAST 30 DAYS (2019-20 NSDUH). COVID HAS AMPLIFIED EXISTING BH PROFESSIONAL SHORTAGES (PRE-COVID: 1.7 PER 100,000 RESIDENTS) WHILE GREATLY INCREASING NEED. TRANSITION AGED YOUTH (TAY) AGED 16-25 ARE AT PARTICULAR RISK OF BECOMING LOST TO CARE, DESPITE HIGH RATES OF BH NEED AND RISK, INCLUDING LIKELIHOOD OF 1ST EPISODE PSYCHOSIS. FSGC’S PROPOSED PROJECT WILL HIRE AND RETAIN CLINICAL STAFF, IN ORDER TO DECREASE WAIT TIMES FROM INTAKE TO FIRST OUTPATIENT APPOINTMENT TO 10 DAYS OR LESS, IMPROVING ACCESS TO MH, SUD AND COD CARE TO MEETING GROWING NEED IN THE CA. HIRING WILL INCREASE ACCESS TO TARGETED CASE MANAGEMENT (TCM) TO 80% OF CONSUMERS WHO ENTER CARE THROUGH OR FREQUENTLY USE CRISIS SERVICES IN YEAR 1, AND TO 80% OF CONSUMERS WITH COD AND OF TAYS IN YEAR 2. FSGC IS EXPANDING ACCESS TO INTEGRATED SUD AND MH CARE, AN EVIDENCE BASED PRACTICE, WITH 100 ADDITIONAL TREATMENT HOURS PROVIDED TO CONSUMERS WITH COD IN YEAR 1, AS WELL AS OTHER RECOVERY ORIENTED SERVICES AND TREATMENT PLANNING. WE WILL TRAIN STAFF IN THE UNIQUE NEEDS OF TAYS, INCLUDING RECOGNIZING AND RESPONDING TO FIRST EPISODE PSYCHOSIS, BUILDING SKILLS FOR INDEPENDENT LIVING, AND TRANSITION PLANNING. EXPANSIONS TO THE TAY PROGRAM WILL INCLUDE: HIRING A TAY PEER SPECIALIST, INCREASE ACCESS TO TCM AND ENSURE PERSON-IDENTIFIED GOALS ARE INCLUDED IN TAY TREATMENT PLANS, INCLUDING GOALS FOR ADULT/INDEPENDENT LIVING. WE WILL IMPLEMENT ONSITE HEALTH SCREENINGS BY TRAINING OUTPATIENT CLINICIANS AND DIRECT SERVICE STAFF TO COLLECT AND MONITOR KEY HEALTH INDICATORS, WITH OVERSIGHT PROVIDED BY AN ADVANCED PRACTICE NURSE PRACTITIONER (APRN). THESE SERVICE IMPROVEMENTS WILL BE SUPPORTED BY IMPLEMENTING A NEW ELECTRONIC HEALTH RECORD (EHR), DESIGNED TO ENHANCE CARE COORDINATION AND TRANSITION PLANNING BY PROVIDING POINT OF SERVICE ACCESS TO CONSUMER RECORDS, TREATMENTS AND TRANSITION PLANS, AND FACILITATE COLLECTION OF ENCOUNTER, OUTCOME AND QUALITY DATA ON THE BACK END. WE WILL IMPLEMENT A YOUTH, FAMILY AND COMMUNITY ADVISORY BOARD, INCLUDING AT LEAST TWO TAYS, TO GUIDE PROJECT AND OTHER FSGC ACTIVITIES. SUPERVISION WILL ENSURE FIDELITY TO THE MANY EVIDENCE-BASED PRACTICES SELECTED FOR USE AT FSGC. THE TRANSITION TO A CCBHC STRUCTURE WILL BE OVERSEEN BY A PROJECT DIRECTOR WITH OVER 20 YEARS’ EXPERIENCE IN COMMUNITY MENTAL HEALTH QUALITY IMPROVEMENT, WHO WILL LEAD AN INTERNAL CCBHC WORKING GROUP TO ENSURE COMPLIANCE WITH ALL STATE AND CCBHC CERTIFICATION CRITERIA. WE WILL SERVE A TOTAL OF AT LEAST 625 UNDUPLICATED CONSUMERS WITH 125 SERVED IN YEAR 1; 150 IN YEAR 2; 175 IN YEAR 3; AND 200 IN YEAR 4.