Cornerstone Montgomery Inc

CORNERSTONE MONTGOMERY INTEGRATED CARE EXPANSION - SINCE 1971, CORNERSTONE MONTGOMERY (CM) HAS DELIVERED COMPREHENSIVE, COMMUNITY- AND EVIDENCE-BASED MENTAL HEALTH AND CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENTS AND SUPPORTS, SPECIFICALLY TARGETING INDIVIDUALS WHO ARE LIVING IN POVERTY AND REQUIRE SEVERE BEHAVIOR HEALTH INTERVENTIONS. CM IS ONE OF FIVE ORGANIZATIONS IN MARYLAND TO BECOME A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER (CCBHC) AND WE WERE ONE OF THE ORIGINAL TWO WHEN WE RECEIVED THE 2018 SAMSHA CCBHC EXPANSION GRANT. THE GOALS OF THE PROPOSAL PROJECT, CORNERSTONE MONTGOMERY INTEGRATED CARE EXPANSION, ARE TO 1) INCREASE CM'S SERVICE CAPACITY SO MORE PEOPLE WITH MENTAL HEALTH AND SUBSTANCE USE DISORDERS IN MONTGOMERY COUNTY, MARYLAND CAN ACCESS INTEGRATED TREATMENT AND 2) IMPROVE PHYSICAL AND BEHAVIORAL HEALTH OUTCOMES BY IMPLEMENTING CARE COORDINATION AND TREATMENT WITH MEDICAL SUPPORT STAFF. THIS WILL ENABLE CM TO IMPROVE ACCESS TO COMMUNTITY-BASED MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT AND SUPPORT, TO ANYONE IN CM'S SERVICE AREA WHO NEEDS IT, REGARDLESS OF THEIR ABILITY TO PAY OR PLACE OF RESIDENCE. THE CORNERSTONE MONTGOMERY INTEGRATED CARE EXPANSION WILL PROMOTE HEALTH EQUITY BY REDUCING HEALTH DISPARITIES FOR ANY INDIVIDUAL WITH A SEVERE AND PERSISTENT MENTAL HEALTH OR SUBSTANCE USE DISORDER WHO SEEKS CARE. CM SERVES UP TO 3,000 PEOPLE EACH YEAR AGES 12 AND UP. OVER THE 4 YEARS OF THIS GRANT, WE EXPECT TO SERVE AN ADDITIONAL 520 INDIVIDUALS. WE ALSO EXPECT TO IMPROVE THE HEALTH OF THE PEOPLE WE SERVE BY ENSURING THAT CLIENTS ARE LINKED WITH A PRIMARY CARE PROVIDER (PCP), RECEIVE DIABETIC SCREENING, AND HAVE ACCESS TO SMOKING CESSATION TREATMENT. CM WILL ACHIEVE THIS BY 1) EXPANDING OUR SERVICES TO CHILDREN AND ADOLESCENTS DOWN TO AGE 5, 2) EXPANDING AMERICAN SOCIETY OF ADDICTION MEDICATION (ASAM) LEVEL 1 SERVICES INCLUDING IMPLEMENTATION OF SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) SCREENING ACROSS THE AGENCY, 3) IMPROVING THE COORDINATION OF ALL SERVICES TO BETTER SERVE THE WHOLE INDIVIDUAL BY ADDING PRIMARY CARE SERVICES, AND 4) IMPROVING SOMATIC AND PSYCHIATRIC CARE BY ADDING NURSING STAFF TO OUR CRISIS TEAM. CM CLIENT DEMOGRAPHICS ARE AS FOLLOWS: RACE/ETHNICITY: 10% LATINO/HISPANIC, 29% AFRICAN AMERICAN, 5% ASIAN/PACIFIC ISLANDER, 1% AMERICAN INDIAN/ALASKAN, 44% WHITE, AND 11% OTHER SEX: 51% MALE, 41% FEMALE, 8% OTHER AGE: 1% AGED 17 & UNDER, 33% AGED 18-39, 36% AGED 40-59, 30% AGED 60+ SOCIOECONOMIC STATUS: OVER 85% OF PEOPLE SERVED RECEIVE BENEFITS/ENTITLEMENTS AND/OR OTHER PUBLIC ASSISTANCE AND ARE VERY LOW TO LOW INCOME. INSURANCE: 4% UNINSURED, 47% MEDICAID, 8% MEDICARE, 26% MA/MC. 5% PRIVATE, 10% PRIVATE/MA OR MC. CM WILL APPLY A DIVERSITY, EQUITY, AND INCLUSION LENS THROUGHOUT OUR POLICIES, PROCEDURES, AND PRACTICES ENSURING THAT UNDERSERVED POPULATIONS AND COMMUNITIES HAVE A FAIR AND JUST OPPORTUNITY TO BE AS HEALTHY AS POSSIBLE. WE WILL CONTINUE OUR TRAUMA INFORMED APPROACH WITH THE GOAL OF BEING AN INCLUSIVE, WELCOMING, AND THERPEUTIC HOME FOR THE PEOPLE WE SERVE.

CORNERSTONE MONTGOMERY INTEGRATED CARE EXPANSION - CORNERSTONE MONTGOMERY'S TWO-YEAR INTEGRATED CARE EXPANSION PROGRAM WILL PROVIDE MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT AN ADDITIONAL 360 RESIDENTS OF MONTGOMERY COUNTY, MARYLAND WHO DO NOT CURRENTLY ACCESS TREATMENT AND EXPAND ON OUR EXISTING CCBHC PROGRAM, WHICH TARGETS ADULTS. COORDINATED BEHAVIORAL AND PHYSICAL HEALTH CARE HAS IMPROVED OUR TARGET GROUP'S OUTCOMES BASED ON OUR CURRENT PROGRAMMATIC RESULTS, AND WE AIM TO CONTINUE IMPROVING OVERALL HEALTH OUTCOMES, REDUCING EMERGENCY DEPARTMENT VISITS, AND REDUCING HOSPITAL ADMISSIONS FOR CHILDREN AND ADOLESCENTS, AND INDIVIDUALS WITH SUBSTANCE USE DISORDERS. IN MONTGOMERY COUNTY, ONLY 41% OF ADULTS AND 50% OF CHILDREN WITH MENTAL ILLNESS, AND LESS THAN 25% OF PEOPLE WITH SUBSTANCE USE DISORDERS, ACCESS TREATMENT. MOST OF THESE INDIVIDUALS ARE DEFINED AS HAVING VERY LOW OR LOW-INCOME LEVELS (ACCORDING TO FEDERAL POVERTY THRESHOLDS). THE GOAL OF THE EXPANDED PROJECT IS TO IMPLEMENT ADDITIONAL TREATMENT SERVICES, FILLING A LARGE GAP IN THE COUNTY TREATMENT NETWORK. CCHBC FUNDING WILL COVER START-UP COSTS OF HIRING NEW STAFF AS WE DEVELOP SERVICES FOR CHILDREN, ADOLESCENTS, AND THOSE WITH SUBSTANCE USE DISORDERS. THE CHILD & ADOLESCENT (C&A) PROGRAM WILL SERVE ADOLESCENTS AGED 12+. THE PROGRAM REPLACES WORKING WITH DCO PARTNERS AND WILL INCLUDE AN ADDITIONAL CHILD THERAPIST, A REGISTERED NURSE, AND A CASE MANAGER/EDUCATIONAL SPECIALIST. CARE WILL BE COORDINATED WITH SCHOOLS, FAMILIES, AND POTENTIALLY THE JUVENILE JUSTICE SYSTEM TO ADDRESS CO-OCCURRING ISSUES. SERVICE HOURS WILL EXPAND INTO EVENINGS AND WEEKENDS TO SUPPORT THIS POPULATION. THE SUBSTANCE USE DISORDER (SUD) PROGRAM WILL EXPAND THROUGH ACCREDITATION AS A SUBSTANCE USE PROVIDER (IN ADDITION TO OUR MENTAL HEALTH ACCREDITATION), BEGINNING AMERICAN SOCIETY OF ADDICTION MEDICATION (ASAM) LEVEL 1 SERVICES IN YEAR 2. IN ADDITION TO THE SERVICES OFFERED BY OUR INTENSIVE TREATMENT OF CO-OCCURRING DISORDERS (ITCOD) PROGRAM, WE WILL INCREASE MEDICAL CARE COORDINATION SERVICES AND ADMINISTRATIVE SUPPORT FOR THIS EXPANDED POPULATION WHICH TENDS TO HAVE CO-OCCURRING MEDICAL AND OTHER ISSUES. SERVICES INCLUDE MEDICATION MANAGEMENT, INDIVIDUAL AND GROUP THERAPY, FAMILY THERAPY, DBT, AND STAGE-WISE SUD GROUPS. OTHER ONGOING SERVICE PROGRAMS INCLUDE TELEHEALTH AND A SMOKING CESSATION PROGRAM. WE EXPECT TO SERVE 150 NEW CLIENTS IN YEAR 1 AND 210 NEW CLIENTS IN YEAR 2 ACROSS THE PROGRAMS. OUR OBJECTIVES ARE TO: 1) COMMENCE THE C&A PROGRAM SEPTEMBER 2020 SERVING AT LEAST 25 CLIENTS BY JUNE 2021 AND 50 IN YEAR 2; 2) IDENTIFY AT LEAST 10 PEOPLE WHO QUIT SMOKING IN YEAR 1, AND 20 IN YEAR 2; AND 3) IDENTIFY AT LEAST 5% DECREASE IN BP, BMI, A1C, EMERGENCY DEPARTMENT VISITS, AND HOSPITAL READMISSION RATES EACH YEAR. EXPANDING C&A AND SUD SERVICES WILL PROVIDE INTEGRATED, COORDINATED BEHAVIORAL AND PHYSICAL HEALTHCARE FOR MANY OF THE MOST VULNERABLE RESIDENTS IN OUR COMMUNITY.

CORNERSTONE MONTGOMERY INTEGRATED CARE EXPANSION