Kennebec Mental Health Associates Inc

KENNEBEC BEHAVIORAL HEALTH (KBH) CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC - KENNEBEC BEHAVIORAL HEALTH (KBH) SEEKS TO ENHANCE AND EXPAND EVIDENCE BASED PRACTICES TO INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI), CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCES (SED) YOUNG ADULTS WITH EMERGING SMI, AND CHRONICALLY HOMELESS ADULTS WITH SMI. WITH TWO COLLABORATORS (MAINEGENERAL HEALTH, CRISIS AND COUNSELING SERVICES, INC.), KBH WILL PROVIDE EXPANDED AND ENHANCED CCBHC SERVICES TO 11,300 PEOPLE IN KENNEBEC AND SOMERSET COUNTIES IN MAINE DURING THE FIRST YEAR OF THE PROJECT. A TOTAL OF 14,500 (UNDUPLICATED) PEOPLE WILL BE SERVED OVER TWO YEARS. THE PROJECT WILL EXPAND EVIDENCE BASED BEHAVIORAL HEALTH PRACTICES TO ADULTS, CHILDREN AND FAMILIES WHO CURRENTLY DO NOT HAVE ACCESS TO THESE SERVICES. COVERING AN AREA OF 4,792 SQUARE MILES AND A POPULATION OF 172,316, KENNEBEC AND SOMERSET COUNTIES EXHIBIT HIGH RATES OF BEHAVIORAL HEALTH ISSUES. THE PROJECT HAS SIX MAIN GOALS: 1.)IMPLEMENT A FULLY OPERATIONAL CCBHC, PROVIDING THE COMPLETE SCOPE OF CCBHC SERVICES TO INDIVIDUALS ELIGIBLE FOR MEDICAID AS WELL AS THOSE WHO ARE UNINSURED OR UNDER INSURED WITHIN 4 MONTHS OF FUNDING. 2) ENHANCE EXISTING CCBHC SERVICES BY EXPANDING/ INITIATING SEVEN EVIDENCE-BASED PRACTICES TO ADDRESS THE NEEDS ACROSS THE LIFESPAN. EBPS TARGETED FOR EXPANSION INCLUDE 1) MULTI-SYSTEMIC THERAPY;; 2) PARENT-CHILD INTERACTION THERAPY; 3) TRAUMA-FOCUSED CBT 4) ATTACHMENT BIOBEHAVIORAL CATCH-UP (ABC); 5) DIALECTICAL BEHAVIORAL THERAPY (DBT); 6) ADOLESCENT COMMUNITY REINFORCEMENT APPROACH (A-CRA); AND 7) ACCEPTANCE AND COMMITMENT THERAPY (ACT). 3) IMPLEMENT INFRASTRUCTURE ENHANCEMENTS TO IMPROVE THE OVERALL QUALITY AND COORDINATION OF CARE. INFRASTRUCTURE ENHANCEMENTS INCLUDE STAFF TRAINING ON TRAUMA-INFORMED CARE PRINCIPLES AND CULTURALLY COMPETENT CARE, DEPLOYMENT OF A RECOVERY-ORIENTED, PERSON-CENTERED HER, TRAINING ON THE NETWORK FOR THE IMPROVEMENT OF ADDICTION TREATMENT (NIATX) MODEL OF PROCESS IMPROVEMENT, AND IMPLEMENTATION OF A ZERO SUICIDE APPROACH AT KBH AND THE PARTICIPATING DCOS. 4) ENHANCE RECOVERY ORIENTED AND PERSON-CENTERED PROGRAMMING BY HIRING AN ADDITIONAL PEER SUPPORT WORKER AND A PEER SUPPORT SERVICES COORDINATOR. 5) PROVIDE ENHANCED CARE COORDINATION TO INCREASE ACCESS TO CARE, CLIENT ENGAGEMENT, AND RAPID RESPONSE FOR CLIENTS TRANSITIONING BETWEEN LEVELS OF CARE. 6): PROVIDE INTEGRATION OR COORDINATION BETWEEN THE CARE OF SUBSTANCE USE DISORDERS, MENTAL HEALTH CONDITIONS, AND HEALTHCARE FOR ACTIVE MILITARY OR VETERANS. KBH CONSISTENTLY STRIVES TO DEVELOP PRACTICE EXPERTISE THAT SUPPORT BETTER HEALTH OUTCOMES, BETTER CARE, AND LOWER COST THROUGH IMPROVEMENT. OVER TIME, THESE EFFORTS OF KBH WILL CONTRIBUTE TO THE IMPROVED HEALTH OF FUTURE GENERATIONS BY EFFECTIVELY RESPONDING TO THE ADVERSE HEALTH AND SOCIAL CONSEQUENCES OF TRAUMA AND CONTRIBUTING TO THE INCREASED RESILIENCY OF CHILDREN, ADULTS, AND FAMILIES WITHIN OUR COMMUNITIES. CCBHC FUNDING WILL ENABLE KBH AND ITS PARTNERS TO DEVELOP AN INTEGRATED SYSTEM OF CARE WHERE TRAUMA-COMPETENT PRACTICE, PERSON CENTERED PLANNING, AND RECOVERY-ORIENTED CARE IS THE ORGANIZATIONAL NORM.

KENNEBEC BEHAVIORAL HEALTH (KBH) CCBHC IMPROVEMENT AND EXPANSION PROJECT - KENNEBEC BEHAVIORAL HEALTH (KBH)IS SEEKING TO IMPROVE AND ADVANCE ITS EXISTING CCBHC PROGRAM IN SOMERSET COUNTY, MAINE. KBH, ALONG WITH ITS DCO, CRISIS AND COUNSELING, CURRENTLY PROVIDES THE NINE SAMHSA REQUIRED ACTIVITIES TO ITS CCBHC CLIENTS IN KENNEBEC AND SOMERSET COUNTIES IN MAINE. THROUGH THE CCBHC EXPANSION GRANT, KBH HAS EXPANDED ACCESS, DEVELOPED CARE COORDINATION CAPACITY, AND ESTABLISHED NEW COMPETENCIES IN EACH AREA. WITH NOFO SM-23-016, CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC IMPROVEMENT AND EXPANSION GRANT, KBH WILL IMPLEMENT IMPROVEMENTS AND ENHANCEMENTS FOR POPULATIONS WITH THE GREATEST UNMET BEHAVIORAL HEALTH NEEDS. THE CCBHC-IA SERVICES WILL BE FOCUSED ON SOMERSET COUNTY, WHERE THERE IS SIGNIFICANT AND MULTIPLE HEALTH DISPARITIES. THE GOALS AND OBJECTIVES FOR KBH'S CCBHC IA GRANT ARE THE FOLLOWING: GOAL 1: IMPROVE MENTAL HEALTH OUTCOMES OF CLIENTS IN SOMERSET COUNTY, INCLUDING CHILDREN AGED 0-18 WITH SED AND PERSONS OF ALL AGES WHO ARE AT RISK OF SMI, SUD, AND COD, WITH EXPANDED FOCUS ON CHRONIC CONDITIONS. OBJECTIVES INCLUDE DEVELOPING AND UTILIZING A POPULATION HEALTH DASHBOARD TO ENHANCE MONITORING AND REPORTING CAPACITY ON HEALTH DATA, QUALITY MEASURES, GAPS IN CARE, AND QUALITY IMPROVEMENT INITIATIVES. GOAL 2: ENHANCE ACCESS TO CARE TO IMPROVE HEALTH OUTCOMES FOR CHILDREN AGED 0-18 AND YOUNG ADULTS AGED 18-25 EXPERIENCING TRAUMA AND/OR LIVING IN POVERTY IN SOMERSET COUNTY. OBJECTIVES INCLUDE IDENTIFYING AND IMPLEMENTING STANDARDIZED SCREENINGS FOR TRAUMA AND SOCIAL DETERMINANTS OF HEALTH FOR CHILDREN AGED 0-18 AND YOUNG ADULTS BY 9/30/24. GOAL 3: ENHANCE ACCESS TO CARE TO IMPROVE HEALTH OUTCOMES FOR VETERANS AND MILITARY-CONNECTED PEOPLE IN SOMERSET COUNTY. OBJECTIVES INCLUDE INCREASING ACCESS TO CARE FOR VETERANS AND MILITARY-CONNECTED PEOPLE BY HIRING A FULL TIME MILITARY/VETERANS LIAISON WHO WILL SUPPORT ENGAGEMENT, AND PROVIDE COORDINATED CARE AND CONSULTATION. GOAL 4: ENHANCE ACCESS TO CARE TO IMPROVE HEALTH OUTCOMES FOR PERSONS WITH SUD AND COD IN SOMERSET COUNTY, WITH A FOCUS ON INDIVIDUALS WITH JUSTICE SYSTEM INVOLVEMENT. OBJECTIVES INCLUDE PROVIDING SPECIALIZED CASE MANAGEMENT SERVICES FOCUSING ON RECOVERY AND HARM REDUCTION TO ADULTS WITH SUD AND COD IN THE SOMERSET COUNTY COMMUNITY CORRECTIONS RE-ENTRY PROGRAM. DURING THE FOUR-YEAR GRANT PERIOD, KBH WILL SERVE A TOTAL OF 1150 UNDUPLICATED INDIVIDUALS.

KENNEBEC BEHAVIORAL HEALTH CDS FUNDING FOR CCBHC - KENNEBEC BEHAVIORAL HEALTH’S CONGRESSIONALLY DIRECTED SPENDING ALLOCATION WILL SUPPORT THE AGENCY’S CONTINUED INTEGRATION OF THE CERTIFIED COMMUNITY BEHAVIORAL HEALTH MODEL IN KENNEBEC AND SOMERSET COUNTIES IN CENTRAL MAINE. ON AUGUST 31, 2021, KENNEBEC BEHAVIORAL HEALTH RECEIVED A TWO-YEAR CCBHC EXPANSION GRANT FROM SAMHSA. DURING THE LAST NEARLY THREE YEARS, THE AGENCY HAS IMPLEMENTED SYSTEMIC CHANGES THROUGHOUT THE ORGANIZATION TO MEET THE NINE REQUIRED CCBHC CORE SERVICES: CRISIS SERVICES; OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE SERVICES; PERSON- AND FAMILY-CENTERED TREATMENT PLANNING; COMMUNITY-BASED MENTAL HEALTH CARE FOR VETERANS; PEER FAMILY SUPPORT AND COUNSELOR SERVICES; TARGETED CARE MANAGEMENT; OUTPATIENT PRIMARY CARE SCREENING AND MONITORING; PSYCHIATRIC REHABILITATION SERVICES; SCREENING, DIAGNOSIS AND RISK ASSESSMENT. ALTHOUGH THE CCBHC EXPANSION GRANT HAS ENDED, KENNEBEC BEHAVIORAL HEALTH’S WORK TO INTEGRATE THE CCBHC MODEL CONTINUES IN TWO SIGNIFICANT WAYS: 1) SAMHSA IMPROVEMENT & ADVANCEMENT GRANT ACTIVITIES AND 2) CONGRESSIONALLY DIRECTED SPENDING FUNDED ACTIVITIES. THE CCBHC IA GRANT ENABLES THE AGENCY TO FOCUS ON PRIORITY POPULATIONS IN SOMERSET COUNTY AND REFINE OUR CARE COORDINATION MODEL. THE CONGRESSIONALLY DIRECTED SPENDING FUNDS WILL ENABLE THE AGENCY TO CONTINUE THE CCBHC MODEL IN KENNEBEC COUNTY. THE CONTINUITY OF THE CCBHC MODEL AS A WHOLE FOR THE TWO-COUNTY AREA IS CRITICAL. ON MARCH 20, 2024, THE MAINE OFFICE OF BEHAVIORAL HEALTH APPLIED TO SAMHSA TO BE A CCBHC DEMONSTRATION STATE—AND KENNEBEC BEHAVIORAL HEALTH IS INCLUDED IN THE DEMONSTRATION APPLICATION. KENNEBEC BEHAVIORAL HEALTH HAS RECEIVED PROVISIONAL CCBHC CERTIFICATION FROM THE STATE OF MAINE, HOWEVER THE STATE OF MAINE DOES NOT ANTICIPATE BEING READY TO REIMBURSE PROVIDERS THROUGH THE CCBHC’S PPS REIMBURSEMENT MODEL UNTIL JANUARY 1, 2025 AT THE EARLIEST. IN THE MEANTIME, SEVERAL INTERNAL KBH WORKGROUPS WILL START MEETING IN MAY TO WORK ON THE FIRST-YEAR DELIVERABLES FOR OUR CCBHC IMPROVEMENT & ADVANCEMENT GRANT IN SOMERSET COUNTY AND OUR CCBHC CERTIFICATION WORK OVER THE NEXT SEVERAL MONTHS: ACCESS & CARE COORDINATION STRUCTURE WORKGROUP; POPULATION HEALTH WORKGROUP; REFERRAL TRACKING & CARE COORDINATION AGREEMENTS WORKGROUP; TRAINING PLAN & EBP TRACKING WORKGROUP; BILLING & REPORTING INFRASTRUCTURE WORKGROUP; AND THE CCBHC IMPLEMENTATION TEAM.

PURPOSE: THE CONTINUUM OF CARE (COC) PROGRAM IS DESIGNED TO PROMOTE COMMUNITY-WIDE COMMITMENT TO THE GOAL OF ENDING HOMELESSNESS; PROVIDE FUNDING FOR EFFORTS BY NONPROFIT PROVIDERS, STATES, AND LOCAL GOVERNMENTS TO QUICKLY HOUSE HOMELESS INDIVIDUALS AND FAMILIES WHILE MINIMIZING THE TRAUMA AND DISLOCATION CAUSED TO HOMELESS INDIVIDUALS, FAMILIES, AND COMMUNITIES BY HOMELESSNESS; PROMOTE ACCESS TO AND EFFECTIVE UTILIZATION OF MAINSTREAM PROGRAMS BY HOMELESS INDIVIDUALS AND FAMILIES; AND OPTIMIZE SELF-SUFFICIENCY AMONG INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. THE MOST RECENT COC AWARD ANNOUNCEMENT LISTING AWARDS BY STATE AND COC IS ACCESSIBLE AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/AWARDS. SELECT THE LINK UNDER THE FUNDING AND AWARD INFORMATION SECTION FOR THE APPROPRIATE FISCAL YEAR.; ACTIVITIES TO BE PERFORMED: CONTINUUM OF CARE PROGRAM FUNDS MAY BE USED TO PAY FOR THE ELIGIBLE COSTS USED TO ESTABLISH AND OPERATE PROJECTS UNDER FIVE PROGRAM COMPONENTS: (1) PERMANENT HOUSING, WHICH INCLUDES PERMANENT SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES, AND RAPID REHOUSING; (2) TRANSITIONAL HOUSING; (3) SUPPORTIVE SERVICES ONLY; (4) HOMELESS MANAGEMENT INFORMATION SYSTEMS (HMIS), AND (5) IN SOME CASES, HOMELESSNESS PREVENTION. THIRTEEN TYPES OF ASSISTANCE MAY BE PROVIDED THROUGH THE CONTINUUM OF CARE (COC) PROGRAM: (1) COC PLANNING ACTIVITIES/COSTS FOR DESIGNING AND CARRYING OUT A COLLABORATIVE PROCESS FOR THE DEVELOPMENT OF AN APPLICATION TO HUD; (2) UNITED FUNDING AGENCY (UFA) COSTS FOR FISCAL CONTROL AND ACCOUNTING NECESSARY TO ASSURE THE PROPER DISBURSAL OF, AND ACCOUNTING FOR, FEDERAL FUNDS AWARDED TO SUBRECIPIENTS UNDER THE CONTINUUM OF CARE PROGRAM, (3) ACQUISITION OF REAL PROPERTY (INCLUDING STRUCTURES) FOR USE IN THE PROVISION OF HOUSING OR SUPPORTIVE SERVICES; (4) REHABILITATION OF STRUCTURES TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (5) NEW CONSTRUCTION, INCLUDING THE BUILDING OF A NEW STRUCTURE OR BUILDING AN ADDITION TO AN EXISTING STRUCTURE FOR USE AS SUPPORTIVE HOUSING; (6) LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (7) RENTAL ASSISTANCE, WHICH MAY BE SHORT-TERM, MEDIUM-TERM, OR LONG-TERM, AS WELL AS TENANT-BASED, PROJECT-BASED, OR SPONSOR-BASED, FOR TRANSITIONAL OR PERMANENT HOUSING; (8) SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; (9) OPERATING COSTS OF SUPPORTIVE HOUSING; (10) COSTS OF IMPLEMENTING AND OPERATING HMIS; (11) PROJECT ADMINISTRATIVE COSTS; (12) RELOCATION COSTS; AND (13) INDIRECT COSTS IN ACCORDANCE WITH 2 CFR PARTS 200, AS APPLICABLE. IN ADDITION TO USING GRANT FUNDS FOR THE ELIGIBLE COSTS DESCRIBED ABOVE, RECIPIENTS AND SUBRECIPIENTS IN CONTINUUMS OF CARE DESIGNATED AS HIGH PERFORMING COMMUNITIES MAY ALSO USE GRANT FUNDS TO PROVIDE HOUSING RELOCATION AND STABILIZATION SERVICES AND SHORT- AND/OR MEDIUM-TERM RENTAL ASSISTANCE TO INDIVIDUALS AND FAMILIES AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT THE INDIVIDUAL OR FAMILY FROM BECOMING HOMELESS. LIMITATION ON USE OF FUNDS: NO ASSISTANCE PROVIDED UNDER PROGRAM (OR ANY STATE OR LOCAL GOVERNMENT FUNDS USED TO SUPPLEMENT THIS ASSISTANCE) MAY BE USED TO REPLACE STATE OR LOCAL FUNDS PREVIOUSLY USED, OR DESIGNATED FOR USE, TO ASSIST HOMELESS PERSONS OR PERSONS AT-RISK OF HOMELESSNESS.; EXPECTED OUTCOMES: DECREASE IN THE NUMBER INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS, MORE SPECIFICALLY USING PERFORMANCE INDICATORS SUCH AS THE LENGTH OF TIME HOMELESS, RETURNS TO HOMELESSNESS OVER TIME, AND EXITS TO PERMANENT HOUSING. COC PERFORMANCE PROFILE REPORTS CAN BE FOUND AT HTTPS://WWW.HUDEXCHANGE.INFO/PROGRAMS/COC/COC-PERFORMANCE-PROFILE-REPORTS/.; INTENDED BENEFICIARIES: INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM