Community Health Association

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

STATE AND REGIONAL PRIMARY CARE ASSOCIATIONS

STATE AND REGIONAL PRIMARY CARE ASSOCIATIONS

SPOKANE CCBHC-IA - PROJECT NAME: CHAS HEALTH CCBHC IMPROVEMENT AND ADVANCEMENT (IA) SUMMARY: CHAS HEALTH WILL EXPAND SERVICES AT ONE OF SPOKANE COUNTY’S FIRST CCBHCS. TO IMPROVE AND ADVANCE SERVICES, CHAS HEALTH WILL RENOVATE OUR EXISTING CCBHC FACILITY PRIOR TO A GRANT AWARD, TRIPLING THE CLINIC’S USABLE SQUARE FOOTAGE AND ALLOWING SAMHSA FUNDING TO BE USED TO INCREASE ACCESS TO HIGHER-ACUITY BEHAVIORAL HEALTH SERVICES INTEGRATED WITH PRIMARY CARE. FURTHERMORE, WE WILL ENHANCE THE SERVICES WE OFFER TO PATIENTS WITH MENTAL HEALTH DIAGNOSES, SUBSTANCE USE DISORDERS, AND CO-OCCURRING DISORDERS BY INTEGRATING ADDITIONAL EVIDENCE-BASED APPROACHES AND DEEPENING THE CAPACITY OF OUR WORKFORCE TO DELIVER THEM. SPOKANE COUNTY IS THE TARGET SERVICE AREA, AND FRONTIER BEHAVIORAL HEALTH IS THE DESIGNATED COLLABORATING ORGANIZATION. GOAL 1: INCREASE CHAS CCBHC STAFF TO DELIVER HIGH-ACUITY BH SERVICES INTEGRATED WITH EXISTING PRIMARY MEDICAL CARE TO SERVE MORE PATIENTS WITH SERIOUS MENTAL ILLNESS (SMI) OR SUBSTANCE USE DISORDERS (SUD), CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED), AND INDIVIDUALS WITH CO-OCCURRING MENTAL AND SUBSTANCE DISORDERS (COD). OBJECTIVE 1A: BY MONTH 4, CHAS WILL BEGIN TO SERVE PATIENTS THROUGH THE CCBHC IA GRANT, WITH AT LEAST 50% OF THE CLINICAL STAFF IDENTIFIED IN THE STAFFING PLAN HIRED. OBJECTIVE 1B: THE CCBHC WILL SERVE 880 UNDUPLICATED PATIENTS IN YEAR 1, AND 1,020 UNDUPLICATED PATIENTS EACH YEAR THEREAFTER, FOR A TOTAL OF 3,940 UNDUPLICATED PATIENTS DURING THE 4-YEAR PROJECT. GOAL 2: IMPROVE CCBHC BY INTEGRATING EVIDENCE-BASED STRATEGIES TO IMPROVE PATIENT OUTCOMES. OBJECTIVE 2A: BY MONTH 6, BEHAVIORAL HEALTH WORKGROUP ESTABLISHES AND PURSUES A TRAUMA-INFORMED CARE QUALITY IMPROVEMENT GOAL FOR THE CCBHC. OBJECTIVE 2B: BY MONTH 6, PROVIDERS AT CCBHC INTEGRATE MEASUREMENT-BASED CARE INTO TREATMENT PLANNING AND PATIENT ENGAGEMENT. STRATEGIES/INTERVENTIONS: CHAS HEALTH WILL CONTINUE TO PROVIDE COMPREHENSIVE OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE SERVICES, TARGETED TO MODERATE-TO-SEVERE BEHAVIORAL HEALTH NEEDS. PATIENTS WILL HAVE THE OPPORTUNITY TO DEVELOP SKILLS IN RELAPSE PREVENTION, COPING SKILL-DEVELOPMENT AND INTERPERSONAL RELATIONSHIPS. TREATMENT WILL INCLUDE AN EMPHASIS ON BUILDING STRONG SUPPORT NETWORKS TO PROMOTE SUSTAINED RECOVERY. STRATEGIES WILL INCLUDE PSYCHIATRIC ADVANCED DIRECTIVES, TRAUMA-INFORMED CARE, AND PEER SUPPORT, IN ADDITION TO MOTIVATIONAL INTERVIEWING, SBIRT, MEDICATION ASSISTED TREATMENT, HARM REDUCTION, CBT, RELAPSE PREVENTION PLANNING, AND PSYCHOEDUCATION. FRONTIER BEHAVIORAL HEALTH WILL PROVIDE 24/7 CRISIS SERVICES AND ASSERTIVE COMMUNITY TREATMENT FOR THE CCBHC. CHAS HEALTH HAS THE ORGANIZATIONAL CAPACITY TO IMPLEMENT THIS IA GRANT PROJECT AND DELIVER THE SCOPE AND QUALITY OF SERVICES REQUIRED BY SAMHSA. CHAS HAS MET OR EXCEEDED ALL CCBHC MILESTONES LISTED IN OUR ORIGINAL SAMSHA EXPANSION GRANT. OUR CCBHC LOCATED IN THE CITY OF SPOKANE WAS LAUNCHED IN JUNE 2021 AND REACHED 395 PATIENTS IN ITS FIRST EIGHT MONTHS OF OPERATION. WE HAVE ALSO SECURED OUR BEHAVIORAL HEALTH LICENSURE THROUGH WASHINGTON STATE. OUR PROPOSAL DIRECTLY ALIGNS WITH PATIENT DEMANDS IN SPOKANE COUNTY AND THE EASTERN WASHINGTON REGION, WHICH SHOW HIGH NEEDS FOR BEHAVIORAL HEALTH CARE FOR ADULTS, YOUTH, AND CHILDREN WITH MODERATE TO SEVERE CONDITIONS.

LEWISTON CCBHC-PDI - PROJECT NAME: CHAS HEALTH LEWISTON CCBHC SUMMARY & POPULATION: CHAS HEALTH WILL PLAN, DEVELOP, AND IMPLEMENT A CCBHC IN LEWISTON, IDAHO TO SERVE THE LEWIS-CLARK VALLEY (LC VALLEY), WHICH INCLUDES NEZ PERCE COUNTY, IDAHO, AND CONTIGUOUS ASOTIN COUNTY, WASHINGTON. THE LC VALLEY IS HOME TO OVER 63,000 RESIDENTS. THE AREA HAS HIGH POVERTY RATES AND LIMITED ACCESS TO A RANGE OF HEALTHCARE SERVICES DUE TO ITS RELATIVE GEOGRAPHICAL ISOLATION. DATA REVEALS THAT THERE ARE NO RURAL HEALTH CENTERS OR OPIOID TREATMENT PROGRAMS IN THE LC VALLEY, AND THE ONLY HOSPITAL IN LEWISTON DISCONTINUED THE PROVISION OF OUTPATIENT MENTAL HEALTH SERVICES IN 2019. CHAS HEALTH PROVIDES THE LC VALLEY’S ONLY FQHC PRESENCE, WITH A PRIMARY CARE CLINIC IN LEWISTON AND A DENTAL CLINIC IN CLARKSTON IN ASOTIN COUNTY WASHINGTON. ONCE THE CLINIC IS LAUNCHED AND REACHES FULLY CAPACITY, THE LEWISTON CCBHC WILL SUPPORT 450 UNDERSERVED PATIENTS PER YEAR, INCLUDING HUNDREDS OF PATIENTS WITH SERIOUS MENTAL ILLNESS (SMI); CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED); AND PATIENTS WITH SUBSTANCE USE DISORDERS (SUD) OR CO-OCCURRING MENTAL AND SUBSTANCE DISORDERS (COD). GOAL 1: CREATE ONE OF THE FIRST CCBHCS IN IDAHO TO DELIVER HIGH-ACUITY BH SERVICES INTEGRATED WITH EXISTING PRIMARY MEDICAL CARE TO SERVE PATIENTS WITH SMI, SUD, SED, AND COD. OBJECTIVE 1A: BY MONTH 8 OF THE PROJECT PERIOD, THE CCBHC WILL BEGIN TO SERVE PATIENTS AND AT LEAST 50% OF THE CLINICAL STAFF IDENTIFIED IN THE STAFFING PLAN WILL BE HIRED. OBJECTIVE 1B: BY THE END OF THE FIRST YEAR, THE CCBHC WILL SERVE 175 PATIENTS, AND REACH 450 EACH YEAR THEREAFTER TO SUPPORT 1,525 UNDUPLICATED PATIENTS DURING THE 4-YEAR PROJECT PERIOD. GOAL 2: ESTABLISH AT LEAST 4 CARE COORDINATION AGREEMENTS WITH COMMUNITY PARTNERS TO ENSURE CCBHC PATIENTS HAVE CLEAR PATHWAYS TO ACHIEVE ACCESS TO THE SERVICES THEY NEED. OBJECTIVE 2A: BY MONTH 2 OF THE PROJECT PERIOD, CHAS HEALTH WILL COMPLETE A CCBHC NEEDS ASSESSMENT AND PURSUE ADDITIONAL CARE COORDINATION AGREEMENTS THAT ALIGN WITH PATIENT NEEDS. OBJECTIVE 2B: BY MONTH 4 OF THE PROJECT PERIOD, CHAS WILL FINALIZE A DCO MOU WITH RURAL CRISIS CENTER NETWORK (RCCN) FOR 24/7 PHONE AND IN-PERSON CRISIS RESPONSE WITH MOBILE SERVICES COORDINATED THROUGH THEIR RELATIONSHIP WITH IDAHO’S DEPARTMENT OF HEALTH AND WELFARE. STRATEGIES/INTERVENTIONS: CHAS WILL PROVIDE COMPREHENSIVE OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE SERVICES, TARGETED TO MODERATE-TO-SEVERE BEHAVIORAL HEALTH NEEDS. PATIENTS WILL HAVE THE OPPORTUNITY TO DEVELOP SKILLS IN RELAPSE PREVENTION, COPING SKILL-DEVELOPMENT AND INTERPERSONAL RELATIONSHIPS. TREATMENT WILL INCLUDE AN EMPHASIS ON BUILDING STRONG SUPPORT NETWORKS TO PROMOTE SUSTAINED RECOVERY. EVIDENCE-BASED PRACTICES WILL INCLUDE PEER SUPPORT, MOTIVATIONAL INTERVIEWING, SBIRT, MEDICATION ASSISTED TREATMENT, HARM REDUCTION, CBT, RELAPSE PREVENTION PLANNING, PSYCHOEDUCATION, AND MORE. CHAS HAS THE ORGANIZATIONAL CAPACITY TO IMPLEMENT THIS PDI GRANT AND DELIVER THE SCOPE AND QUALITY OF SERVICES REQUIRED BY SAMHSA. CHAS HAS ALREADY LAUNCHED ONE CCBHC IN SPOKANE, WA WITH SAMSHA FUNDS AND WE MET OR EXCEEDED ALL CCBHC MILESTONES LISTED IN OUR ORIGINAL PROJECT PLAN. OUR CAPACITY TO PROVIDE TREATMENT FOR SMI, SED, SUDS, AND CODS IS EVIDENCED BY OUR TRACK RECORD TO DATE, WHICH SHOWS 100% OF CURRENT CCBHC PATIENTS MEET ONE OR MORE PRIORITY POPULATIONS. NOW CHAS AIMS TO BRING THE PROVEN CCBHC MODEL TO A NEW CATCHMENT AREA IN THE LC VALLEY WHERE WE HAVE ADMINISTERED PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES FOR OVER 15 YEARS.

SPOKANE CCBHC - SUMMARY: CHAS HEALTH WILL CREATE THE FIRST CCBHC IN SPOKANE, WA TO EXPAND ACCESS TO HIGHER-ACUITY BEHAVIORAL HEALTH SERVICES INTEGRATED WITH PRIMARY CARE. THE TARGET POPULATION IS MEDICAID-INSURED PATIENTS, UNINSURED PATIENTS AND PATIENTS WHOSE INSURANCE DOES NOT ADEQUATELY COVER BEHAVIORAL HEALTH SERVICES, AND INDIVIDUALS EXPERIENCING HOMELESSNESS. THE CITY OF SPOKANE IS THE TARGET SERVICE AREA, AND FRONTIER BEHAVIORAL HEALTH IS A PARTNER FOR THIS PROJECT. PROJECT NAME: SPOKANE CCBHC GOAL 1: CREATE SPOKANE’S FIRST CCBHC TO EXPAND ACCESS TO HIGH-ACUITY BH SERVICES INTEGRATED WITH EXISTING PRIMARY MEDICAL CARE TO SERVE PATIENTS WITH CO-OCCURRING MENTAL, SUBSTANCE USE OR PHYSICAL HEALTH DISORDERS, AND TARGETED TO PATIENTS WHO ARE MEDICAID-INSURED, UNINSURED, UNDERINSURED, AND/OR PATIENTS EXPERIENCING HOMELESSNESS. OBJECTIVE 1A: BY MONTH 4 OF THE PROJECT PERIOD, THE CCBHC WILL BEGIN TO SERVE PATIENTS AND AT LEAST 50% OF THE CLINICAL STAFF IDENTIFIED IN THE STAFFING PLAN WILL BE HIRED. OBJECTIVE 1B: THE CCBHC WILL SERVE 450 PATIENTS DURING YEAR 1 OF THE PROJECT PERIOD, 900 PATIENTS DURING YEAR 2, AND A TOTAL 1,012 UNDUPLICATED PATIENTS DURING THE 2-YEAR PROJECT PERIOD. GOAL 2: ESTABLISH AGREEMENTS WITH COMMUNITY PARTNERS TO ENSURE CCBHC PATIENTS HAVE CLEAR PATHWAYS TO ACHIEVE ACCESS TO SERVICES NOT PROVIDED DIRECTLY BY THE CCBHC. OBJECTIVE 2A: BY MONTH 2 OF THE PROJECT PERIOD, CHAS WILL FINALIZE A DCO MOU WITH FRONTIER FOR 24/7 CRISIS SERVICES AND ASSERTIVE COMMUNITY TREATMENT (ACT). OBJECTIVE 2B: BY MONTH 4 OF THE PROJECT PERIOD, CHAS WILL HAVE IN PLACE CARE COORDINATION AGREEMENTS WITH AT LEAST 5 COMMUNITY PARTNERS, INCLUDING INPATIENT PSYCHIATRIC TREATMENT, INPATIENT SUD TREATMENT, THE LOCAL SCHOOL DISTRICT, YOUTH AND ADULT COURT SYSTEMS, AND THE VA. STRATEGIES/INTERVENTIONS: COMPREHENSIVE OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE SERVICES WILL BE PROVIDED, TARGETED TO SERVE MODERATE-TO-SEVERE BEHAVIORAL HEALTH NEEDS. PATIENTS WILL HAVE THE OPPORTUNITY TO PARTICIPATE IN THERAPEUTIC GROUPS TO DEVELOP SKILLS IN RELAPSE PREVENTION, COPING SKILL-DEVELOPMENT AND INTERPERSONAL RELATIONSHIPS. TREATMENT WILL INCLUDE AN EMPHASIS ON BUILDING STRONG SUPPORT NETWORKS TO PROMOTE SUSTAINED RECOVERY. STRATEGIES WILL INCLUDE PSYCHIATRIC ADVANCED DIRECTIVES, TRAUMA-INFORMED CARE, AND PEER SUPPORT, IN ADDITION TO MOTIVATIONAL INTERVIEWING, HARM-REDUCTION, CBT, AND PSYCHO-EDUCATION. FRONTIER BEHAVIORAL HEALTH WILL PROVIDE 24/7 CRISIS SERVICES AND ASSERTIVE COMMUNITY TREATMENT FOR THE CCBHC.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

FISCAL YEAR 2025 EXPANDED HOURS. - APPLICANT: COMMUNITY HEALTH ASSOCIATION OF SPOKANE (DBA, CHAS HEALTH). GRANT NUMBER: H80CS00319. REQUESTED FUNDS: $500,000 PER YEAR FOR TWO YEARS. NEED: CHAS HEALTH REQUESTS HRSA EXPANDED HOURS FUNDING TO INCREASE HOURS AND DAYS OF OPERATION AT OUR EAST MISSION DENTAL CLINIC, LOCATED IN SPOKANE VALLEY, WASHINGTON STATE. CHAS HEALTH THOROUGHLY EVALUATED PATIENT UNMET NEEDS AT ALL 26 OF ITS IN-SCOPE CLINICAL SITES—INCLUDING 23 BRICK-AND-MORTAR DELIVERY SITES AND THREE MOBILE MEDICAL UNITS—BEFORE SELECTING EAST MISSION DENTAL CLINIC. THE NEED FOR EXPANDED HOURS AT EAST MISSION DENTAL IS EVIDENCED BY SEVERAL METRICS. DAYS UNTIL THIRD NEXT AVAILABLE APPOINTMENT, A CORE BUSINESS MEASURE FOR OUTPATIENT ACCESS, SHOWS THAT THERE ARE NO NEW PATIENT APPOINTMENTS AND NO HYGIENE ACCESS FOR ADULTS FOR AT LEAST SIX MONTHS, AND THERE IS A TWO-MONTH WAIT FOR RESTORATIVE APPOINTMENTS FOR FILLINGS. ADDITIONALLY, OVER THE PAST SIX MONTHS, THE CLINIC HAS HAD AN OPEN SLOT RATE OF JUST 2.9%. THIS IS APPROXIMATELY HALF OF THE AVERAGE FOR THE DENTAL SERVICE LINE OVERALL. THESE STATISTICS AFFIRM LIMITED APPOINTMENT AVAILABILITY AT THE CLINIC AND SERVICE LINE LEVELS. EAST MISSION DENTAL ALSO REPORTS THE LOWEST SCORE AMONG CHAS HEALTH DENTAL CLINICS FOR PATIENT EXPERIENCE RELATED TO APPOINTMENT WAIT TIMES, WITH A SCORE ROUGHLY SIX POINTS BELOW THE CLINIC’S AVERAGE SURVEY SCORE. YET, AMONG METRICS THAT TRACK PATIENT LOYALTY, EAST MISSION DENTAL SCORES HIGH. THESE DATA SUGGEST THE PATIENT POPULATION PREFERS TO REMAIN AT EAST MISSION DENTAL, BUT WAIT TIMES ARE NEGATIVELY IMPACTING THEIR EXPERIENCE. EAST MISSION DENTAL ALSO OFFERS UNIQUE STRENGTHS THAT WILL MAXIMIZE THE IMPACT OF EXPANDED HOURS FUNDING. THE PRODUCTIVITY OF THE EAST MISSION DENTAL TEAM IS STRONG, WITH FEWER OPEN SLOTS THAN ANY OTHER CLINIC AND THE HIGHEST NUMBER OF ENCOUNTERS PER DAY OF ALL LOCATIONS IN CHAS HEALTH’S DENTAL SERVICE LINE. THESE STATISTICS SIGNIFY THAT ADDITIONAL HOURS AND ACCESS WOULD BE UTILIZED BY THE PATIENT BASE. ANOTHER ADVANTAGE OF SELECTING EAST MISSION DENTAL IS ITS LOCATION. THE CLINIC IS ON THE SECOND FLOOR OF A TWO-STORY BUILDING, WITH CHAS HEALTH’S SPOKANE VALLEY URGENT CARE CLINIC LOCATED ON THE FIRST FLOOR. EXPANDING HOURS AT EAST MISSION DENTAL WILL BRING OPERATIONS IN CLOSER ALIGNMENT WITH THE URGENT CARE CLINIC, CREATING DENTAL ACCESS FOR PATIENTS WITH PRESSING DENTAL NEEDS THAT CANNOT BE ADDRESSED BY URGENT CARE PROVIDERS. PROJECT DESCRIPTION: EXPANDED HOURS FUNDING WILL ALLOW CHAS HEALTH TO INCREASE HOURS OF OPERATION FROM 10.5 HOURS MONDAY–FRIDAY AND 9.0 HOURS ON SATURDAY (CURRENTLY) TO 12.5 HOURS PER DAY MONDAY THROUGH SATURDAY. WE WILL ALSO SHIFT FROM OPERATING SIX DAYS PER WEEK IN OUR CURRENT SCHEDULE TO SEVEN DAYS BY EXPANDING HOURS TO SUNDAYS. SPECIFICALLY, HOURS WILL CHANGE AS FOLLOWS: CURRENT HOURS: MONDAY–FRIDAY FROM 7:30 AM TO 6:00 PM AND SATURDAY FROM 8:00 AM TO 5:00 PM. NEW HOURS: MONDAY–SATURDAY FROM 7:30 AM TO 8:00 PM AND SUNDAY FROM 7:30 AM TO 5:00 PM. THIS EQUATES TO 23 ADDITIONAL HOURS PER WEEK AND NEW TOTAL HOURS OF 84.5 PER WEEK. THIS NEW OPERATING SCHEDULE WILL OPEN APPOINTMENT SLOTS AND, THEREBY, ALLEVIATE WAIT TIMES FOR APPOINTMENTS. PROPOSED SERVICES & POPULATION: CHAS HEALTH WILL MAINTAIN ALL EXISTING DENTAL SERVICES OFFERED AT EAST MISSION DENTAL; EXPANDED HOURS FUNDING WILL HELP US INCREASE ENCOUNTERS AND REACH MORE UNDUPLICATED PATIENTS. OUR TEAM OF DENTISTS AND HYGIENISTS WILL OFFER EXAMS, CLEANINGS, X-RAYS, ROOT CANALS, CROWNS, FILLINGS, AND EXTRACTIONS. PATIENTS WHO WILL BENEFIT REFLECT EAST MISSION DENTAL’S CURRENT PATIENT POPULATION. GREATER THAN TWO IN THREE PATIENTS (68%) RELY ON MEDICAID, AND 18% OF PATIENTS ARE UNINSURED. NEARLY ONE THIRD (33%) ARE UNSTABLY HOUSED, INCLUDING 24% WHO REPORT BEING DOUBLED UP. THESE DATA REVEAL THAT EAST MISSION DENTAL’S PATIENTS HAVE LIMITED ACCESS TO DENTAL SERVICES. EXPANDING HOURS WILL FILL UNMET NEEDS AND IMPROVE HEALTH OUTCOMES AMONG OUR UNDERSERVED PATIENTS.

ARRA - INCREASE SERVICES TO HEALTH CENTERS

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

CHAS HEALTH SUD AND COD EXPANSION PROJECT - SUMMARY: THE PURPOSE OF THE CHAS HEALTH SUD AND COD EXPANSION PROJECT IS TO IMPLEMENT TARGETED STRATEGIES TO PROVIDE TREATMENT AND RELATED SERVICES FOR SUD/COD TO UNDERSERVED COMMUNITIES WITH HIGHER PREVALENCE OF SUD/COD. INTERVENTIONS WILL INCLUDE THE INCORPORATION OF THE GAIN-SS SCREENING TOOL AT PATIENT INTAKE, COMPREHENSIVE TREATMENT PLANS BASED ON EVIDENCE-BASED PRACTICES, AND PEER SUPPORT SERVICES AND CASE MANAGEMENT. PROJECT NAME: CHAS HEALTH SUD AND COD EXPANSION PROJECT POPULATION OF FOCUS: THE POPULATION OF FOCUS ENCOMPASSES RESIDENTS OF ALL AGES WITHIN THE GEOGRAPHIC CATCHMENT AREA OF OUR TWO CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER (CCBHC) SITES IN SPOKANE, WASHINGTON AND LEWISTON, IDAHO WHO EXPERIENCE MENTAL HEALTH (MH) CONDITIONS, SUBSTANCE USE DISORDERS (SUD) AND CO-OCCURRING DISORDERS (COD). OUR TARGET POPULATION INCLUDES INDIVIDUALS AT VARIOUS STAGES OF THEIR RECOVERY JOURNEY, INCLUDING PEOPLE WITH OPIOID USE DISORDERS, ALCOHOL USE DISORDERS, AND OTHER SUBSTANCE DEPENDENCIES, MANY OF WHOM ALSO PRESENT WITH ANXIETY DISORDERS, DEPRESSION, POST-TRAUMATIC STRESS DISORDER, AND OTHER CONDITIONS THAT COMPLICATE THEIR TREATMENT NEEDS. PROJECT GOALS: WE WILL EXPAND AND ENHANCE SERVICES FOR PATIENTS WITH MH, SUD, AND COD DIAGNOSES. OVER THE THREE-YEAR PERFORMANCE PERIOD, WE WILL SERVE 325 UNDUPLICATED INDIVIDUALS, ACHIEVING THE FOLLOWING GOALS AND OBJECTIVES: GOAL 1: ESTABLISH AN INTEGRATED CO-OCCURRING TREATMENT PROGRAM THAT COMPREHENSIVELY ADDRESSES SUD AND MH NEEDS. - OBJECTIVE 1.1: DEVELOP AND IMPLEMENT A FULLY INTEGRATED CO-OCCURRING TREATMENT MODEL AT BOTH CCBHCS WITHIN 4 MONTHS OF PROJECT LAUNCH. - OBJECTIVE 1.2: ENSURE ALL DUALLY LICENSED CLINICAL STAFF PROVIDING SERVICES ARE TRAINED IN CO-OCCURRING TREATMENT EVIDENCE-BASED PRACTICES (EBPS) AND IN SAMHSA’S “NO WRONG DOOR” APPROACH WITHIN THE FIRST YEAR. - OBJECTIVE 1.3: PROVIDE INTEGRATED SERVICES FOR SUD AND MH TO AT LEAST 75 CLIENTS BY THE END OF YEAR 1, REDUCING THE NEED FOR EXTERNAL REFERRALS. GOAL 2: IMPROVE ACCESS TO CARE THROUGH SAME DAY ACCESS AND A “NO WRONG DOOR” APPROACH. - OBJECTIVE 2.1: IMPLEMENT SAME DAY ACCESS INTAKES FOR CO-OCCURRING CLIENTS WITHIN FOUR MONTHS OF PROJECT START. - OBJECTIVE 2.2: SCREEN 100% OF INDIVIDUALS PRESENTING FOR SERVICES FOR BOTH SUD AND MH NEEDS, REGARDLESS OF ENTRY POINT. GOAL 3: IMPROVE CLINICAL OUTCOMES FOR INDIVIDUALS WITH CO-OCCURRING DISORDERS. - OBJECTIVE 3.1: ACHIEVE A 25% REDUCTION IN SELF-REPORTED RELAPSE INCIDENTS AMONG PROGRAM PARTICIPANTS WITHIN 12 MONTHS. - OBJECTIVE 3.2: ACHIEVE A 30% REDUCTION IN MENTAL HEALTH SYMPTOM SEVERITY (AS MEASURED BY STANDARDIZED TOOLS SUCH AS PHQ-9 OR GAD-7) WITHIN 12 MONTHS OF TREATMENT INITIATION. STRATEGIES/INTERVENTIONS: CHAS HEALTH WILL IMPLEMENT A COMPREHENSIVE, PERSON-CENTERED APPROACH TO SCREENING AND ASSESSMENT FOR CLIENTS WITH SUD AND/OR COD. WE WILL UTILIZE THE GLOBAL APPRAISAL OF INDIVIDUAL NEEDS-SHORT SCREENER (GAIN-SS), AN EVIDENCE-BASED TOOL THAT EFFICIENTLY IDENTIFIES BEHAVIORAL HEALTH CONCERN ACROSS SUBSTANCE USE, MENTAL HEALTH, AND RISK BEHAVIORS, AS OUR STANDARDIZED SCREENING TOOL FOR ALL INDIVIDUALS AT ASSESSMENT. EACH CLIENT WILL RECEIVE A COMPREHENSIVE ASSESSMENT BY A QUALIFIED HEALTHCARE PROFESSIONAL THAT WILL LEAD TO AN INDIVIDUALIZED TREATMENT PLAN THAT WILL BE USED TO PROVIDE OR COORDINATE SERVICES NECESSARY FOR THE INDIVIDUAL TO ACHIEVE AND SUSTAIN RECOVERY. TREATMENT PLANS WILL UTILIZE EVIDENCE-BASED, TRAUMA- INFORMED, AND PERSON-CENTERED PRACTICES TO HELP PATIENTS DEVELOP COPING AND RELAPSE PREVENTION SKILLS AND INTERPERSONAL RELATIONSHIPS. PATIENTS DIAGNOSED WITH SUD/COD WILL HAVE ACCESS TO SERVICES WHICH REDUCE SUBSTANCE-RELATED HARM, MEDICATION-ASSISTED TREATMENT (MAT) OPTIONS, AND TOBACCO CESSATION MEDICATIONS. ADDITIONALLY, OUR NETWORK OF PEER SUPPORT SPECIALISTS WILL HELP PATIENTS NAVIGATE HARM REDUCTION, RECOVERY SERVICES, HOUSING SUPPORTS, AND OTHER NEEDS USING NON-JUDGMENTAL, STRENGTH-BASED APPROACHES.

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR PCAS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

DENTAL CARE

DENTAL CARE

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - ADDRESS: CHAS HEALTH ADMINISTRATION OFFICE, 611 NORTH IRON BRIDGE WAY, SPOKANE, WASHINGTON 99202 PROJECT DIRECTOR: AARON WILSON, CEO PHONE NUMBER: (509) 444-8888 EMAIL: AWILSON@CHAS.ORG WEBSITE: HTTPS://CHAS.ORG/ COMMUNITY HEALTH ASSOCIATION OF SPOKANE (DBA, CHAS HEALTH) REQUESTS $3 MILLION DOLLARS FROM THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA) CONGRESSIONALLY DIRECTED SPENDING (CDS) CONSTRUCTION PROJECTS (HRSA-22-134) TO CONSTRUCT THE CHAS HEALTH LEARNING INSTITUTE IN SPOKANE COUNTY, WASHINGTON STATE. THE INSTITUTE WILL INCLUDE AREAS FOR CLINICAL PRACTICE, TRAINING FOR MEDICAL AND DENTAL APPRENTICES, UPSKILLING OPPORTUNITIES FOR CURRENT STAFF, AND MORE. THE FACILITY WILL BE EQUIPPED WITH SIMULATION SPACES FOR MEDICAL, DENTAL, PHARMACY, AND FRONT DESK/RECEPTION TRAINING. FLOORPLANS ALSO INCORPORATE STUDENT CLASSROOM AND INTERACTION SPACES FOR PEER-TO-PEER CONNECTIONS. EVENT SPACES ALSO HAVE BEEN INCORPORATED TO ACCOMMODATE LARGER GROUPS. THE LEARNING INSTITUTE WILL BE LOCATED AT 731 NORTH IRON BRIDGE WAY, SPOKANE, WA 99202. THE PROPERTY IS OWNED BY CHAS HEALTH. THE 26,000-SQUARE-FOOT INSTITUTE WILL BE SITUATED ON THE FIRST FLOOR OF A 3-STORY OFFICE BUILDING CALLED CHAS IRON BRIDGE IV—A NEWLY CONSTRUCTED FACILITY SCHEDULED FOR COMPLETION BY MID-SPRING 2023. CDS FUNDS WILL PAY FOR THE INTERIOR CONSTRUCTION OF THE LEARNING INSTITUTE, AND CHAS HEALTH WILL LEVERAGE OTHER FUNDING TO CONSTRUCT THE EXTERIOR OF THE BUILDING. OUR PROJECT DIRECTLY RESPONDS TO WORKFORCE SHORTAGES FACING OUR COMMUNITY. ACCORDING TO THE SPOKANE WORKFORCE DEVELOPMENT COUNCIL, HEALTHCARE IS ONE OF THE MOST IN-DEMAND INDUSTRIES IN OUR REGION—A TREND THAT IS PROJECTED TO CONTINUE FOR THE FORESEEABLE FUTURE. FOR JOB SEEKERS, A CAREER IN HEALTHCARE PROMISES JOB SECURITY AND PROFESSIONAL POSITIONS THAT PAY A FAMILY LIVING WAGE. A JULY 2021 REPORT FROM THE SPOKANE WORKFORCE DEVELOPMENT COUNCIL SHOWS REGISTERED NURSES AND NURSE PRACTITIONERS WERE THE POSITIONS WITH THE HIGHEST NUMBER OF ONE-YEAR JOB POSTINGS OF ANY PROFESSION AND PAID THE HIGHEST WAGES AT EVERY LEVEL OF EDUCATION (MASTER, BACHELOR, ASSOCIATE). UNFORTUNATELY, THERE ARE INSUFFICIENT QUALIFIED CANDIDATES AVAILABLE TO FILL CRITICAL HEALTHCARE POSITIONS. A 2021 NURSING EDUCATION STUDY REVEALS SPOKANE IS ONE OF 4 COUNTIES IN WASHINGTON STATE THAT ARE AMONG THE LEADING 15 COUNTIES IN THE NATION WITH THE HIGHEST PRIMARY CARE WORKER SHORTAGES. THE BENEFITS OF INVESTING IN SOLUTIONS TO ADDRESS WORKFORCE SHORTAGES ARE WELL DOCUMENTED. RESEARCH SHOWS RESIDENTS WHO TRAIN IN PROGRAMS SPONSORED BY COMMUNITY HEALTH CENTERS LIKE CHAS HEALTH RESULT IN HIGHER RETENTION. OVER 60% OF RESIDENTS STAY WITHIN 100 MILES OF THEIR RESIDENCY SITE, AND UP TO 75% OF RESIDENTS STAY WITHIN THE STATE WHERE THEY COMPLETED THEIR RESIDENCY.

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS