Spring River Mental Health & Wellness Inc

SPRING RIVER CCBHC - SPRING RIVER MENTAL HEALTH & WELLNESS, INC. (SPRING RIVER) IS A COMMUNITY MENTAL HEALTH CENTER (CMHC) IN SOUTHEAST KANSAS THAT PROPOSES TO SEEK CERTIFICATION AS A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC). SPRING RIVER WILL PROVIDE SERVICES TO INDIVIDUALS OF ALL AGES WITH SERIOUS MENTAL ILLNESS (SMI), SEVERE AND PERSISTENT MENTAL ILLNESS (SPMI), SERIOUS EMOTIONAL DISTURBANCE (SED), SUBSTANCE USE DISORDER (SUD), AND CO-OCCURRING DISORDERS (COD). THE PROPOSED PROJECT WILL ALSO SEEK TO ADDRESS DISPARITIES TO ACCESSING CARE FACED BY CHILDREN, INDIVIDUALS WITH LOW INCOMES, AND THOSE WITH SUBSTANCE USE DISORDER (SUD) IN THE TARGET GEOGRAPHIC AREA. AS A CMHC, SPRING RIVER PROVIDES COMMUNITY-BASED OUTPATIENT ASSESSMENT AND TREATMENT FOR BEHAVIORAL HEALTH; HOWEVER, IT NEEDS TO ESTABLISH ITSELF AS A CCBHC TO TRANSFORM THE SYSTEM OF CARE TO MEET THE CERTIFICATION CRITERIA AND IMPROVE THE QUALITY AND EFFECTIVENESS OF CCBHC SERVICES. THROUGH THIS PROPOSAL, THE AGENCY WILL EXPAND AND ENHANCE THESE SERVICES, PRIMARILY THROUGH STAFF RECRUITMENT AND RETENTION EFFORTS AND THROUGH IMPLEMENTATION OF AND TRAINING IN ADDITIONAL EVIDENCE-BASED PRACTICES (EBPS). FOR THIS PROJECT, SPRING RIVER PROPOSES TO SERVE 1,821 UNDUPLICATED CLIENTS OVER FOUR YEARS. POPULATION TO BE SERVED: SPRING RIVER SERVES INDIVIDUALS WITH SMI, SED, SUD, AND COD IN A RURAL SOUTHEAST KANSAS COUNTY. JUST OVER 14% OF THE GENERAL POPULATION OF CHEROKEE COUNTY LIVES AT OR BELOW THE FEDERAL POVERTY LEVEL, WITH NEARLY ONE IN FIVE (19.6%) INDIVIDUALS UNDER THE AGE OF 18 LIVING IN POVERTY. CHEROKEE COUNTY RANKS AMONG THE BOTTOM 5% OF KANSAS COUNTIES IN TERMS OF HEALTH OUTCOMES FOR ITS RESIDENTS (102ND OUT OF 105 COUNTIES). FACTORS AFFECTING THIS RANKING INCLUDE THESE HIGH POVERTY RATES, ALCOHOL/SUBSTANCE USE, LIMITED ACCESS TO PRIMARY CARE PHYSICIANS (4,000 RESIDENTS PER PHYSICIAN, COMPARED WITH THE STATE AVERAGE OF 1,280 RESIDENTS PER PHYSICIAN), FOOD INSECURITY, AND HIGHER-THAN-AVERAGE UNINSURED RATES (13% OF ADULTS AND 5% OF CHILDREN). OVER THE PAST THREE YEARS, SPRING RIVER HAS SERVED AN INCREASING NUMBER OF YOUTH, PROVIDING SERVICES TO 503 YOUTH LAST YEAR (A 44.1% INCREASE OVER 2020 SERVICE NUMBERS). THE AGENCY HAS ALSO SEEN A GROWING PREVALENCE OF SUBSTANCE USE DISORDER (SUD) AMONG CLIENTS SERVED. STRATEGIES/INTERVENTIONS: THIS FUNDING WILL SUPPORT THE EXPANSION OF SERVICES OFFERED AND THE USE OF EVIDENCE-BASED PRACTICES. THIS WILL INCLUDE TRAINING IN AND IMPLEMENTATION OF INDIVIDUAL PLACEMENT AND SUPPORT (IPS), TRAUMA-INFORMED CARE, ZONES OF REGULATION, AND MEDICATION-ASSISTED TREATMENT (MAT). SPRING RIVER WILL INCREASE ITS WORKFORCE CAPACITY TO PROVIDE THE REQUIRED CCBHC SERVICES, INCLUDING CRISIS RESPONSE AND INTERVENTION, EXPANDED SUD SERVICES, TARGETED CASE MANAGEMENT, AND IMPROVED CARE COORDINATION AND COLLABORATION. GOALS AND OBJECTIVES: THE GOALS OF THIS CCBHC PROJECT ARE TO IMPROVE ACCESS TO WHOLE-PERSON INTEGRATED CARE AND COORDINATED CARE THROUGH INCREASED WORKFORCE CAPACITY AND STAFF RETENTION EFFORTS, TO IMPROVE THE QUALITY OF CARE AND ACCESS TO EVIDENCE-BASED PRACTICES TARGETED TO INDIVIDUALS FACING DISPARITIES WITHIN THE POPULATION AREA OF FOCUS, AND TO EXPAND OUTPATIENT SUD TREATMENT SERVICES FOR INDIVIDUALS IN CHEROKEE COUNTY. SPRING RIVER PROPOSES TO SERVE A TOTAL OF 1,821 INDIVIDUALS OVER THE FOUR-YEAR GRANT PERIOD.

CMHC COMMUNITY SUPPORT AND RESTORATION PROGRAM - THROUGH THE CMHC PROJECT, SPRING RIVER MENTAL HEALTH & WELLNESS, INC. (SPRING RIVER) WILL PROVIDE THE TRAINING, INFRASTRUCTURE, AND STAFFING NEEDED TO DELIVER APPROPRIATE SERVICES FOR UNMET NEEDS DUE TO THE PANDEMIC EXPERIENCED BY CHILDREN AND ADULTS WITH SED, SMI, AND COD WHO LIVE, WORK, AND GO TO SCHOOL IN CHEROKEE COUNTY, KANSAS. SPRING RIVER WILL HIRE ADDITIONAL STAFF TO INCREASE SERVICES TO SCHOOL DISTRICTS, DECREASE DAYTIME CANCELLATIONS DUE TO CRISIS INTERVENTION, DECREASE NIGHTTIME CRISIS ASSESSMENTS BY DAYTIME CLINICIANS, INCREASE TECHNOLOGICAL INFRASTRUCTURE, AND PROVIDE STAFF WITH RESOURCES TO ADDRESS THEIR OWN MENTAL HEALTH NEEDS. SPRING RIVER SERVES CHEROKEE COUNTY IN THE SOUTHEAST CORNER OF KANSAS. IT IS BORDERED TO THE EAST BY MISSOURI AND TO THE SOUTH BY OKLAHOMA. WHILE MOST OF THE COUNTY POPULATION IS WHITE (88%); HISPANIC (2.6%), MIXED RACES (6.4%), AND NATIVE AMERICANS (1.8%) MAKE UP MOST OF THE MINORITY POPULATION IN THE COUNTY. THIRTEEN PERCENT OF THE GENERAL POPULATION LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL, THOUGH INDIVIDUALS FROM MIXED RACES AND NATIVE AMERICANS ARE LIVING IN POVERTY AT HIGHER RATES OR 20.9% AND 29.6%, RESPECTIVELY. NEARLY ONE-THIRD OF CHILDREN LIVE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, WHICH IS THE LEVEL AT WHICH FEDERAL AND STATE MEDICAID IS AVAILABLE FOR CHILDREN. THERE ARE 11.5% OF THE POPULATION IN THE COUNTY WITHOUT ANY HEALTH INSURANCE, WHICH IS HIGHER THAN THE STATE AVERAGE OF 9.2% AND THE NATIONAL AVERAGE OF 8.8%. OVER ONE-THIRD OF NATIVE AMERICAN CHILDREN (35.6%) HAVE NO HEALTH INSURANCE COMPARED TO ONLY 8.4% OF WHITE CHILDREN. PROJECT GOALS ARE TO 1) INCREASE ACCESS TO MENTAL HEALTH SERVICES, INCLUDING SERVICES IN THE SCHOOLS FOR CHILDREN AND SERVICES FOR INDIVIDUALS IN LAW ENFORCEMENT CUSTODY; 2) INCREASE CRISIS RESPONSE SERVICES TO INDIVIDUALS WITH SED, SMI, AND COD; 3) STRENGTHEN THE INFRASTRUCTURE FOR HIPAA COMPLIANT TELEHEALTH SO MORE NIGHTTIME ASSESSMENTS CAN BE COMPLETED VIA TELEHEALTH BY CLINICIANS AND FEWER CANCELLATIONS OCCUR DURING THE DAY DUE TO AFTER-HOURS WORK OR CHALLENGING WINTER WEATHER CONDITIONS; 4) INCREASE STAFF KNOWLEDGE OF THE IMPACT OF POVERTY AND THE SKILLS AND TOOLS TO ADDRESS TRAUMA TO IMPROVE THE OUTCOMES FOR INDIVIDUALS WITH SMI, SED, AND COD; AND 5) IMPROVE THE MENTAL HEALTH OF STAFF TO REDUCE TURNOVER AND OVERWORK. SPRING RIVER WILL PROVIDE NEW SERVICES TO 200 UNDUPLICATED CLIENTS EACH YEAR, TOTALING 400 CLIENTS OVER TWO YEARS. SPRING RIVER WILL MEET THE PROJECT GOALS AND INCREASED CLIENT TARGET BY REACHING MEASURABLE OBJECTIVES INCLUDING HIRING A NEW SCHOOL-BASED THERAPIST TO SERVE FIVE SCHOOL DISTRICTS; HIRING DEDICATED CRISIS STAFF TO REDUCE DAYTIME CANCELLATIONS DUE TO CRISIS, CONTRACTING WITH HEALTHSOURCE INTEGRATED SOLUTIONS TO PROVIDE AFTER-HOURS CRISIS INTERVENTION TO DECREASE THE NUMBER OF ASSESSMENTS DONE BY SPRING RIVER DAY TIME CLINICIANS; RETAINING AND ADDING ZOOM LICENSES FOR FASTER NIGHTTIME ASSESSMENTS; INCREASING STAFF KNOWLEDGE AND USE OF EVIDENCE-BASED PRACTICES INCLUDING TRAUMA-INFORMED ASSESSMENT; AND PURCHASING A MENTAL HEALTH WELLNESS APP AND FITNESS MEMBERSHIPS FOR STAFF TO INCREASE THEIR WILLINGNESS TO ADDRESS THEIR OWN MENTAL HEALTH NEEDS.