Wellstone Inc

WELLSTONE FY2022 CCBHC-PDI - SAMHSA CCBHC-PDI FUNDING WILL FILL GAPS IN MADISON COUNTY ADULT SERVICES AS WE PREPARE FOR AGENCY-WIDE CCBHC STATUS IN THE FUTURE. THE CCBHC-PDI PROJECT AIMS TO SERVE 1700 UNDUPLICATED ECONOMICALLY DISADVANTAGED ADULTS IN MADISON COUNTY, ALABAMA. APPROXIMATELY 75% OF WELLSTONE'S ADULT OUTPATIENT CLIENTS IN THE MADISON COUNTY PROGRAM CURRENTLY ARE AT OR BELOW THE FEDERAL POVERTY LEVEL. HISTORICALLY, ECONOMICALLY DISADVANTAGED COMMUNITIES HAVE EXPERIENCED INCREASED HEALTH DISPARITY AND THESE DISPARITIES HAVE ONLY INTENSIFIED SINCE THE START OF THE COVID PANDEMIC. PROJECT FUNDS WILL BE USED TO: EXPAND MOBILE CRISIS TEAMS TO 24/7 COVERAGE, PROVIDE PRIMARY CARE TO ADULT OUTPATIENT CONSUMERS, DEVELOP HEALTHCARE DATA INFRASTRUCTURE FOR FUTURE AGENCY-WIDE CCBHC CERTIFICATION, IMPLEMENT MEASUREMENT-BASED CARE, EXPAND PEER SERVICES WITH A LIVING ROOM MODEL, INITIATE INTENSIVE COMMUNITY BASED MENTAL HEALTHCARE FOR MEMBERS OF THE ARMED FORCES AND VETERANS, AND CONDUCT A COMMUNITY NEEDS ASSESSMENT WITH THE GOAL OF INFORMING PLANNING FOR THE CCBHC PROJECT. OBJECTIVES OF THE PROJECT INCLUDE: 1) THE MOBILE CRISIS TEAM WILL RESPOND TO A MINIMUM OF 1200 CALLS BY BY 9/29/26. 2) IN THE FIRST YEAR, 500 OUTPATIENT PRIMARY CARE SCREENINGS WILL BE PROVIDED TO INCLUDE: BMI SCREENING AND FOLLOW-UP, BLOOD PRESSURE MONITORING, TOBACCO SCREENING AND CESSATION INTERVENTION, UNHEALTHY ALCOHOL USE, DIABETES SCREENING AND CARE, CARDIOVASCULAR HEALTH SCREENING, MEDICATION ADHERENCE, AND/OR HIV/VIRAL HEPATITIS SCREENING. 3) REDUCTION OF TOBACCO USE IN PROGRAM PARTICIPANTS BY 5% FROM ENTRY TO CARE TO 1 YEAR REASSESSMENT. 4) INCREASING MEDICATION COMPLIANCE IN PRIMARY CARE PARTICIPANTS BY 25% OVER BASELINE. 4) IMPLEMENTING A CCBHC CONTINUOUS QUALITY IMPROVEMENT PLAN FOR CLINICAL SERVICES AND MANAGEMENT BY 5/29/23. 5) REPORT ON ALL REQUIRED CLINIC-LEVEL CCBHC QUALITY MEASURES BY 9/29/23. 6) DEVELOP HEALTH INFORMATION SYSTEMS TO FACILITATE CARE COORDINATION THROUGH CCD, AND HIE INFORMATION SHARING. 7) PROVIDE WALK-IN SUPPORT TO 400 PEOPLE THROUGH A PEER SUPPORT LIVING ROOM 8) A VETERAN'S CARE COORDINATOR WILL PROVIDE OUTREACH AND SERVE 50 ACTIVE DUTY OR VETERAN CONSUMERS BY 9/29/23. WHILE MANY OF THE REQUIRED ELEMENTS FOR CCBHC CERTIFICATION ARE ALREADY MET AT WELLSTONE, THE CCBHC-PDI GRANT WILL SUPPORT WELLSTONE'S NEAR-TERM PLAN TO MEET ALL CCBHC CERTIFICATION CRITERIA ON THE WAY TO OUR LONG-TERM GOAL OF CONTINUOUSLY IMPROVING BEHAVIORAL HEALTHCARE FOR INDIVIDUALS ACROSS THE LIFESPAN.

MADISON COUNTY ASSISTED OUTPATIENT TREATMENT PROGRAM - WELLSTONE, NORTH ALABAMA'S LARGEST AND MOST COMPREHENSIVE BEHAVIORAL HEALTHCARE PROVIDER, IS PARTNERING WITH THE MADISON COUNTY PROBATE COURT AND HUNTSVILLE HOSPITAL TO DEVELOP THE MADISON CO. ASSISTED OUTPATIENT TREATMENT (MCAOT) PROGRAM, TREATING INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI). WELLSTONE'S 12 FACILITIES OFFER A WIDE RANGE OF MENTAL HEALTH AND SUBSTANCE USE SERVICES TO OVER 13,000 CLIENTS ANNUALLY. THE MCAOT PROGRAM WILL BE IMPLEMENTED IN MADISON COUNTY, ALABAMA, WHICH COVERS 801 SQUARE MILES, HAS A POPULATION OF 366,519, AND IS HOME TO ALABAMA'S FOURTH-LARGEST CITY, HUNTSVILLE. WELLSTONE ESTIMATES THAT OF THE MORE THAN 14,600 INDIVIDUALS IN MADISON CO. LIVING WITH AN SMI, 32% OR APPROXIMATELY 4,600, ARE NOT RECEIVING SERVICES. IT IS ESTIMATED THAT 25% OR 116 INDIVIDUALS WHO ARE CONSIDERED HOMELESS OR PRECARIOUSLY HOUSED IN MADISON CO. ALSO LIVE WITH AN SMI. NEARLY 2000, OR 20%, OF THE APPROXIMATELY 10,000 INDIVIDUALS INCARCERATED IN THE COUNTY HAVE A DIAGNOSABLE SMI. THE MCAOT PROGRAM PROVIDES SERVICES TO INDIVIDUALS WHO ARE AT HIGH RISK FOR INPATIENT PSYCHIATRIC COMMITMENT BUT WOULD BE BETTER SERVED BY INTENSIVE OUTPATIENT SERVICES AND SUPPORT. THESE SERVICES INCLUDE INDIVIDUALIZED TREATMENT PLANS, INTENSIVE CASE MANAGEMENT, MEDICATION MANAGEMENT, AND WRAPAROUND SERVICES. WELLSTONE'S ASSERTIVE COMMUNITY TREATMENT (ACT) WILL PROVIDE THESE SERVICES TO INDIVIDUALS DIAGNOSED WITH AN SMI. HUNTSVILLE HOSPITAL HAS A LONG HISTORY OF WORKING WITH POPULATIONS EXPERIENCING MENTAL HEALTH EMERGENCIES, AND WILL BE THE PRIMARY SOURCE OF REFERRALS TO THE MCAOT PROGRAM. THE MADISON COUNTY PROBATE COURT CONDUCTS ALL OF THE CIVIL COMMITMENT HEARINGS IN THE REGION. THE PROBATE COURT WILL CONDUCT THE OUTPATIENT COMMITMENT HEARINGS AND PERIODIC TREATMENT PLAN REVIEWS. THE ADMISSION CRITERIA A CLIENT MUST MEET INCLUDES AN SMI PSYCHIATRIC DIAGNOSIS WITH A HIGH RISK FOR LONG-TERM HOSPITALIZATION. INDIVIDUALS MUST DEMONSTRATE A NEED FOR CO-EXISTING TREATMENT DUE TO THE INABILITY TO BE SUCCESSFUL WITHIN A TRADITIONAL SERVICE DELIVERY SYSTEM AND BE EXPERIENCING RESIDUAL PSYCHIATRIC SYMPTOMS CAUSING CHALLENGES IN FINANCIAL STABILITY, PERSONAL CARE, AND MEDICAL STATUS. THE MCAOT WILL SERVE 50 INDIVIDUALS DURING YEAR ONE, AND 75 INDIVIDUALS IN YEARS TWO, THREE, AND FOUR EACH, FOR A TOTAL OF 275 UNDUPLICATED INDIVIDUALS BY THE END OF THE GRANT PERIOD. WELLSTONE EXPECTS THAT BY YEAR FOUR, THERE WILL BE A 75% DECREASE IN INDIVIDUALS NEEDING INPATIENT PSYCHIATRIC CARE AND/OR INCARCERATION. THEY ESTIMATE THAT ONCE AN INDIVIDUAL COMPLETES THE ACT PHASE OF THE MCAOT PROGRAM, 70% WILL BE IN STABLE HOUSING, 75% ARE EMPLOYED, LOOKING FOR WORK, OR ARE RECEIVING JOB TRAINING, AND 60% WILL HAVE INCREASED THEIR SELF-SUFFICIENCY.

WELLSTONE FY2021 CMHC PROJECT - WELLSTONE WILL SUPPORT AND RESTORE CLINICAL SERVICES FOR INDIVIDUALS LIVING WITH A SERIOUS MENTAL ILLNESS, SERIOUS EMOTIONAL DISTURBANCE, OR MENTAL ILLNESS AND A CO-OCCURRING SUBSTANCE USE DISORDER THAT WERE IMPACTED BY THE COVID-19 PANDEMIC. ECONOMICALLY DISADVANTAGED AND MINORITY GROUPS ARE A SPECIAL FOCUS FOR OUTREACH EFFORTS BECAUSE THEY HAVE BEEN DISPROPORTIONATELY AFFECTED BY THE PANDEMIC AND ARE AT HIGHER RISK FOR BEHAVIORAL HEALTH CRISES. CMHC PROJECT FUNDS WILL BE USED TO STRENGTHEN THE CAPACITY FOR TELEHEALTH, PROVIDE EXPANDED ACCESS AND REDUCED WAIT TIMES FOR OUTPATIENT COUNSELING AND PSYCHIATRY, PROVIDE TRAUMA INFORMED CARE THROUGH THE USE OF SCREENING TOOLS AND EVIDENCE BASED TREATMENT PRACTICES, AND PROVIDE RESOURCES TO ADDRESS THE MENTAL HEALTH NEEDS OF CMHC STAFF. IN ADDITION, OUTREACH SERVICES WILL BE ADDED THROUGH THE USE OF PEER NAVIGATORS, CARE COORDINATORS, SCHOOL BASED COUNSELORS, AND MENTAL HEALTH THERAPISTS WORKING WITH POLICE AS CO-RESPONDERS TO BEHAVIORAL HEALTH CRISES. THESE EFFORTS WILL STRENGTHEN THE CRISIS SERVICES CONTINUUM BEING DEVELOPED IN NORTH ALABAMA AND REDUCE BURDENS ON HOSPITAL ERS AND JAILS. OBJECTIVES OF THE PROJECT INCLUDE: SERVING A MINIMUM OF 600 UNDUPLICATED PEOPLE FOR EACH OF THE 2 YEARS OF THE PROJECT FOR A TOTAL OF 1200 UNDUPLICATED PROJECT PARTICIPANTS, ENSURE ACCESS TO MEDICATION FOR HIGH RISK CLIENTS, PROVIDE TRANSPORTATION VOUCHERS TO OVERCOME BARRIERS TO CARE, OFFER FOLLOW UP VISITS TO 90% OF CLIENTS AFTER A CRISIS INTERVENTION SERVICE, AND A REDUCTION OF MENTAL HEALTH RELATED ER VISITS BY 20%