Astra Mental Health And Recovery Inc

IMPROVE ACCESS TO BEHAVIORAL AND PHYSICAL HEALTH SERVICES BY TRANSFORMING VALEO BEHAVIORAL HEALTH CARE FROM A COMMUNITY MENTAL HEALTH CENTER TO A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC - VALEO BEHAVIORAL HEALTH CARE, INC. WILL IMPROVE ACCESS TO BEHAVIORAL AND PHYSICAL HEALTH SERVICES BY TRANSFORMING VALEO FROM A COMMUNITY MENTAL HEALTH CENTER (CMHC) TO A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC). VALEO'S PRIMARY POPULATION OF FOCUS ARE ADULTS (18+) IN SHAWNEE COUNTY, KANSAS WITH MENTAL HEALTH CONDITIONS, SUBSTANCE USE DISORDERS OR CO-OCCURRING DISORDERS WHO LACK HEALTH INSURANCE COVERAGE, ARE UNDERINSURED, OR CANNOT AFFORD SUBSIDIZED HEALTH INSURANCE, WITH AN EMPHASIS ON INDIVIDUALS WHO ARE 65 AND OLDER, INDIVIDUALS EXPERIENCING HOMELESSNESS, AND THOSE WHO HAVE SERIOUS MENTAL ILLNESS. TOPEKA, THE KANSAS CAPITAL, LIES WITHIN THE BOUNDARIES OF SHAWNEE COUNTY WHICH ENCOMPASSES THE CCBHC SERVICE AREA. SHAWNEE COUNTY IS HOME TO AN ESTIMATED 176,875 RESIDENTS. THERE ARE NO CCBHCS IN THE SERVICE AREA, THOUGH THERE IS ANOTHER CMHC THAT PROVIDES BEHAVIORAL HEALTH SERVICES FOR CHILDREN UP TO 18 YEARS OLD. FOR INDIVIDUALS WITHOUT INSURANCE, VALEO IS ONE OF FOUR PROVIDERS IN THE AREA FOR ADULTS (18+). VALEO IS THE ONLY ADULT PROVIDER WHO WILL PROVIDE SERVICES REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. APPROXIMATELY 17.4% OF THE COUNTY'S POPULATION IS WITHOUT INSURANCE DUE, IN PART, TO KANSAS NOT EXPANDING MEDICAID. THROUGH A SURVEY CONDUCTED BY THE SHAWNEE COUNTY HEALTH DEPARTMENT, RESPONDENTS IDENTIFIED MENTAL HEALTH ISSUES, ALCOHOL/ILLEGAL DRUG ABUSE, PRESCRIPTION DRUG ABUSE/DEPENDENCE, AND OBESITY AS SIGNIFICANT COMMUNITY ISSUES. VALEO WILL SERVE AN ADDITIONAL 2,000 INDIVIDUALS OVER THE COURSE OF THE FOUR-YEAR GRANT PERIOD (500 IN YEAR ONE, 500 IN YEAR TWO, 500 IN YEAR THREE, AND 500 IN YEAR FOUR). THE PROJECT'S FIRST GOAL IS TO INCREASE THE INTEGRATION OF HEALTHCARE SERVICES TO IMPROVE THE OVERALL HEALTH OF THE POPULATION OF FOCUS. OBJECTIVES INCLUDE COLLECTING PRIMARY PROVIDER CARE INFORMATION ON 75% OF CONSUMERS BY THE END OF YEAR ONE AND 100% BY THE END OF YEAR TWO. IN YEAR ONE, 50% OF CONSUMERS WILL RECEIVE PRIMARY CARE SCREENINGS, 75% IN YEAR TWO, 85% IN YEAR THREE, AND 95% IN YEAR FOUR. IN YEAR ONE, 50% OF CONSUMERS WILL RECEIVE CARE COORDINATION, 65% IN YEAR TWO, 75% IN YEAR THREE, AND 95% IN YEAR FOUR. AN ASSERTIVE COMMUNITY TREATMENT (ACT) TEAM WILL BE IMPLEMENTED AND SERVE 25 CONSUMERS IN YEAR ONE, 50 IN YEAR TWO, 75 IN YEAR THREE, AND 100 IN YEAR FOUR. BY YEAR THREE, 50% OF CONSUMERS WITH A BODY MASS INDEX (BMI) OUTSIDE NORMAL PARAMETERS WILL RECEIVE REFERRALS TO APPROPRIATE SUPPORTS, AND 75% WILL RECEIVE REFERRALS BY YEAR FOUR. THE SECOND GOAL IS TO INCREASE TIMELY ACCESS TO SERVICES AND EVIDENCE-BASED PRACTICES TO REDUCE THE NEED FOR MORE RESTRICTIVE LEVELS OF CARE FOR THE POPULATION OF FOCUS. TIME FROM REFERRAL TO SERVICE PROVISION WILL BE DECREASED TO 10 DAYS IN YEAR ONE AND DECREASED TO SEVEN DAYS IN YEAR TWO. SIXTY PERCENT OF CONSUMERS WILL RECEIVE AN EVIDENCE-BASED PRACTICED IN YEAR ONE, 70% IN YEAR TWO, 80% IN YEAR THREE, AND 90% IN YEAR FOUR. VALEO WILL PROVIDE SERVICES TO AN ADDITIONAL 20 INDIVIDUALS 65 YEARS AND OLDER IN YEAR ONE, 40 IN YEAR TWO, 60 IN YEAR THREE, AND 80 IN YEAR FOUR. ACCESS TO SERVICES WILL INCREASE, WITH THE NUMBER OF BILLABLE EVENTS INCREASING BY 10% IN YEAR TWO, 20% IN YEAR THREE, AND 25% IN YEAR FOUR. VALEO WILL ACCOMPLISH THESE OBJECTIVES BY UTILIZING SHORTER-TERM, MORE EFFECTIVE EVIDENCE-BASED PRACTICES, FULLY IMPLEMENTING SAME DAY ACCESS INTAKE, IMPLEMENTING JUST-IN-TIME PSYCHIATRIC PRESCRIBING, UTILIZING A NEW ELECTRONIC HEALTH RECORD WITH A CCBHC MODULE, IMPLEMENTING A FULLY INTEGRATED TREATMENT PLAN, UTILIZING A LEVEL OF CARE INSTRUMENT, ENHANCING AGENCY TRAININGS, EXPANDING THE USE OF SAFETY PLANS, AND IMPROVING ENGAGEMENT OF INDIVIDUALS 65 YEARS AND OLDER.

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.

SUPPORTIVE HOUSING NEW

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM