Mountaineer Community Health Center Inc

HEALTH CENTER PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT ABSTRACT HEALTH CENTER PROGRAM GRANT NUMBER: H80CS33663 SUMMARY OF HOW YOUR PROPOSED PROJECT WILL: • INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES, AND • INCREASE THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD. MOUNTAINEER COMMUNITY HEALTH CENTER (MCHC), A PILLAR OF THE PAW PAW COMMUNITY FOR OVER 25 YEARS, IS POSITIONED TO EXPAND BEHAVIORAL HEALTH CARE AND SUBSTANCE USE TREATMENT TO INDIVIDUALS THROUGHOUT MORGAN AND HAMPSHIRE COUNTIES. MANY MCHC STAFF MEMBERS ARE EITHER COMMUNITY RESIDENTS OR HAVE MIGRATED TO THE COMMUNITY FROM AREAS THROUGHOUT WEST VIRGINIA; THEREFORE, THEY ARE KNOWLEDGEABLE ABOUT THE SOCIO-ECONOMIC DISPARITIES PLAGUING THE RESIDENTS OF THIS RURAL AREA. THE CORE STAFF IS KEENLY AWARE OF LINGERING FEAR AND/OR DISCOURAGEMENT IN ENGAGING IN THE CONTINUUM OF CARE DUE TO THE COMPLEXITIES OF THE HEALTHCARE SYSTEM, WHICH CORRELATES TO LIMITED EDUCATION AND LITERACY IN HEALTHCARE FOR ITS PATIENTS. MCHC WILL UTILIZE THEIR EXPERIENCE IN EVOLVING TO MEET THE NEEDS OF THE COMMUNITY THEY SERVE TO FURTHER PROGRESS MENTAL AND BEHAVIORAL HEALTH CARE AND SUBSTANCE USE DISORDER TREATMENT WITHIN THEIR SERVICE AREA. MCHC, AN INCLUSIVE FQHC, WILL BE INCREASING BEHAVIORAL HEALTH CARE, INCLUDING ADDING SUBSTANCE USE DISORDER TREATMENT TO ITS OFFERED SERVICES. NOT UNLIKE ALL OF WEST VIRGINIA, RURAL MORGAN AND HAMPSHIRE COUNTIES HAVE BEEN SIGNIFICANTLY IMPACTED BY THE OPIOID CRISIS. MCHC WILL OFFER MEDICATION FOR OPIOID USE DISORDER (MOUD) AS A COMPONENT OF ITS TREATMENT OF SUBSTANCE USE DISORDER. MCHC, IN ITS COMMITMENT TO THE BEHAVIORAL HEALTH NEEDS OF THE COMMUNITY, WILL HIRE ADDITIONAL STAFF TO MEET IDENTIFIED COMMUNITY NEEDS. MCHC WILL HIRE A PSYCHIATRIC NURSE PRACTITIONER (PMHNP) TO EVALUATE, TREAT, AND MANAGE PATIENTS’ BEHAVIORAL HEALTH NEEDS. THIS PMHNP WILL BE SUPPORTED BY STAFF MEMBERS, INCLUDING A FAMILY NURSE PRACTITIONER (FNP), AN RN CARE COORDINATOR, A THERAPIST, AND A MEDICAL ASSISTANT. THE FNP WILL ASSIST THE PMHNP IN MEDICATION MANAGEMENT FOR PATIENTS RECEIVING MOUD CARE. THE RN CARE COORDINATOR AND THE THERAPIST WILL PROVIDE WRAP-AROUND SERVICES TO ENSURE PATIENTS HAVE THE SUPPORT THEY NEED TO ADDRESS THEIR UNIQUE PSYCHOSOCIAL, SOCIO-ECONOMIC, AND GEOGRAPHICAL CHALLENGES IN RECEIVING CARE. THE PROPOSED COMMUNITY HEALTH WORKER AND VAN DRIVER WILL ALSO LINK RESIDENTS WITH ADDITIONAL CARE TO ASSIST WITH SOCIAL DETERMINANTS OF HEALTH (SDOHS) SUCH AS HOUSING, FOOD INSECURITY, SOCIAL ISOLATION, AND LACK OF TRANSPORTATION, ESPECIALLY WHEN ANY SERVICES NEEDED BEYOND MCHC ARE OVER THE MOUNTAIN AND VIRTUALLY UNATTAINABLE TO THE PATIENT POPULATION. THROUGH ITS EXPANSION OF SERVICES, MCHC EXPECTS TO INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL AND BEHAVIORAL HEALTH CARE. MCHC PREDICTS JUST OVER AN 8% INCREASE IN PATIENTS ADMITTED TO MCHC IN THIS EXPANSION OF SERVICES, RESULTING IN APPROXIMATELY 500 BEHAVIORAL HEALTH PATIENTS AND 200 SUBSTANCE USE DISORDER TREATMENT PATIENTS ANNUALLY. THIS WOULD INCLUDE 75 PATIENTS FOR MOUD. MCHC WILL ALSO OFFER OUTREACH SERVICES TO YOUTH IN THE PAW PAW COMMUNITY. WORKING WITH SCHOOL ADMINISTRATION, LEADERS, AND CLASSROOM TEACHERS, MCHC WILL ACCEPT REFERRALS FOR SCHOOL-AGED CHILDREN WITH BEHAVIORAL HEALTH NEEDS. THE COMPLETION OF SERVICES WILL BE COORDINATED WITH THE SCHOOLS AND WILL BE INDIVIDUALIZED TO MEET THE NEEDS OF NOT ONLY THE STUDENTS BUT ALSO THEIR FAMILIES. MCHC BELIEVES THAT THIS EXPANSION OF BEHAVIORAL HEALTH CARE AND SUBSTANCE USE DISORDER TREATMENT SERVICES WILL HAVE A POSITIVE IMPACT ON THE PAW PAW COMMUNITY. MCHC WILL PROVIDE THESE SERVICES IN AN ENVIRONMENT THAT ALLOWS FOR COMPREHENSIVE CARE FOR ALL, STRIVING TO DECREASE STIGMA AND DISCRIMINATION AROUND BEHAVIORAL HEALTH CARE.

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-OVERDOSE RESPONSE - ORGANIZATION NAME: MOUNTAINEER COMMUNITY HEALTH CENTER ADDRESS: 783 WINCHESTER STREET, PAW PAW, WEST VIRGINIA, 25434 NEEDS YOU PLAN TO ADDRESS: MOUNTAINEER COMMUNITY HEALTH CENTER’S (MCHC’S) RURAL COMMUNITY OPIOID RESPONSE PROGRAM (RCORP) - OVERDOSE RESPONSE WILL ADDRESS THE IMMEDIATE AND SHORT-TERM SUBSTANCE USE DISORDER (SUD) NEEDS OF THE MORGAN AND HAMPSHIRE COUNTY, WV RESIDENTS BY REDUCING THIS RISK OF AND PREVENTING OVERDOSES. PROPOSED SERVICES: MCHC WILL EXPAND UPON ITS SAFETY NET PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES BY INCORPORATING TWO ALLOWABLE ACTIVITIES INTO ITS EXISTING SERVICES: • TERTIARY PREVENTION #1: PURCHASE NALOXONE, FENTANYL TEST STRIPS, OR OTHER EVIDENCE-BASED TERTIARY PREVENTION SUPPLIES AND DISTRIBUTE THEM WITHIN THE TARGET RURAL SERVICE AREA. AWARD RECIPIENTS MUST FOLLOW ALL APPLICABLE LOCAL, STATE, AND FEDERAL LAWS AND POLICIES WHEN PURCHASING AND DISTRIBUTING THESE SUPPLIES. • TREATMENT #3. SCREENING AND CONNECTION TO TREATMENT. SCREEN INDIVIDUALS FOR SUD/OUD AND RELATED INFECTIOUS DISEASES AND ENSURE THAT ALL INDIVIDUALS WHO SCREEN POSITIVE ARE CONNECTED WITH TREATMENT AND OTHER BEHAVIORAL HEALTH AND SOCIAL SERVICES. POPULATION GROUPS YOU PLAN TO SERVE: THE TARGET POPULATION IS MORGAN COUNTY AND HAMPSHIRE COUNTY, WV, RESIDENTS AT RISK FOR SUD, WITH AN ACTIVE SUD/OPIOID USE DISORDER (OUD), THEIR FAMILIES AND/OR CAREGIVERS, AND COMMUNITY MEMBERS. SUMMARY: WHILE MUCH OF THE COUNTRY IS MAKING POSITIVE CHANGES WHERE SUBSTANCE USE DISORDERS (SUDS) ARE CONCERNED, MORGAN AND HAMPSHIRE COUNTIES IN WEST VIRGINIA ARE FACING A PROBLEM OF GROWING AND EVEN EPIC PROPORTIONS. IN THE SERVICE AREA, THE DRUG OVERDOSE DEATH RATE IS TWO AND A HALF TIMES HIGHER THAN THE NATIONAL RATE. THE SAD REALITY IS THAT EVERYONE HAS BEEN TOUCHED BY A FRIEND OR LOVED ONE WHO HAS OVERDOSED AND DIED. IT IS A FAMILY AND COMMUNAL TRAGEDY, AND THE SERVICE AREA IS SUFFERING. MCHC IS THE SERVICE AREA’S AWARD-WINNING FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT CARES FOR RESIDENTS OF ALL AGES IN RURAL WEST VIRGINIA REGARDLESS OF ABILITY TO PAY. THE SERVICE AREA COVERS MORGAN AND HAMPSHIRE COUNTIES; BOTH ARE RURAL-DESIGNATED AREAS THAT COVER 875 SQUARE MILES OF MOUNTAINOUS TERRAIN. THE COUNTIES ARE DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) ACCORDING TO THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) IN BOTH PRIMARY CARE AND MENTAL HEALTH CARE, AND SOCIAL SERVICE SUPPORT AGENCIES ARE FEW AND FAR BETWEEN. MCHC WILL UTILIZE FUNDING TO EXPAND UPON ITS EXISTING SAFETY NET BEHAVIORAL HEALTH INFRASTRUCTURE, WHICH INCLUDES PRIMARY CARE AND INTEGRATED BEHAVIORAL HEALTH SERVICES. THE CENTER WILL PARTNER WITH PATHWAYS, THE AREA’S LONGSTANDING, PREMIER, CENTRAL RECOVERY COMMUNITY ORGANIZATION (RCO), TO PROVIDE COMMUNITY MEMBERS WITH NALOXONE, FENTANYL TEST STRIPS, AND ACCOMPANYING EDUCATIONAL MATERIALS. ADDITIONALLY, MCHC CLINICIANS WILL SCREEN PATIENTS AND COMMUNITY MEMBERS FOR SUDS, INCLUDING OPIOID USE DISORDERS (OUDS) AND RELATED INFECTIOUS DISEASES SUCH AS HEPATITIS C (HCV) AND HIV. THOSE PROVIDERS, SPECIALLY TRAINED IN HCV AND HIV CLINICAL CARE, WILL PROVIDE CHRONIC CARE MANAGEMENT WHEN NEEDED. AT THE SAME TIME, A NURSE NAVIGATOR WILL ENSURE THAT ALL INDIVIDUALS WHO SCREEN POSITIVE WILL BE CONNECTED WITH TREATMENT AND OTHER BEHAVIORAL HEALTH AND SOCIAL SERVICES LOCALLY AND REGIONALLY. THIS WILL EFFECTIVELY LINK THOSE WITH SUDS TO NEEDED RESOURCES, THEREBY BREAKING THE CYCLE OF RECURRENCE.