Altapointe Health Systems Inc

HEALTH CENTER PROGRAM

CCBHC-GSC - AS THE LARGEST BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER (SUD) PROVIDER IN ALABAMA, ALTAPOINTE HEALTH SYSTEMS, INC. (AHS) PROPOSES TO EXPAND CCBHC SERVICES TO CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCE (SED) AND ADULTS WITH SERIOUS MENTAL ILLNESS (SMI), JUSTICE-INVOLVED PATIENTS, VETERANS, AND PEOPLE WHO ARE LIVING IN POVERTY, ARE UNINSURED, AND/OR ENROLLED IN MEDICAID OR CHIP IN MOBILE COUNTY, ALABAMA. TO IMPROVE CARE FOR ALL CCBHC PATIENTS, AHS WILL: - ADOPT AN INTEGRATED PHYSICAL HEALTH/BEHAVIORAL HEALTH CARE MODEL; - EXPAND CARE COORDINATION TO CCBHC PATIENTS; - EXPAND OUTPATIENT SUD SERVICES TO ITS GORDON SMITH CAMPUS; - SIGNIFICANTLY EXPAND CARE TO VETERANS; AND - ADOPT (PRIOR TO AWARD) 24-HOUR MOBILE CRISIS SERVICES. THROUGHOUT THIS PROJECT, AHS INTENDS TO ESTABLISH UP TO 750 PRIMARY CARE PATIENTS IN Y1 AND 1,250 IN Y2; PROVIDE CARE COORDINATION SERVICES TO UP TO 200 PATIENTS IN BOTH Y1 AND Y2; EXPAND SERVICES TO VETERANS BY 20%; AND EXPAND SUD SERVICES TO 75 PATIENTS IN BOTH Y1 AND Y2. IN TOTAL, AHS INTENDS TO ESTABLISH 1,000 PATIENTS IN Y1 AND 1,500 PATIENTS IN Y2. THROUGHOUT THE LIFETIME OF THIS CCBHC PROJECT, AHS INTENDS TO PROVIDE A FULLY INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH MODEL OF CARE FOR ALL PATIENTS WHO SEEK OUR SERVICES SUPPORTED BY A ROBUST CARE COORDINATION PROGRAM THAT HELPS PATIENTS SUCCESSFULLY ACCESS SERVICES IN THEIR COMMUNITIES. AHS, THE SECOND-LARGEST BEHAVIORAL HEALTH AND SUD PROVIDER IN THE SOUTHEASTERN US, WILL BRING ITS CONSIDERABLE INFRASTRUCTURE TO BEAR ON THE DELIVERY OF THE CCBHC MODEL. THIS INCLUDES EXPANDING AHS'S USE OF EVIDENCE-BASED PRACTICES (EBP) TO ENSURE THAT ALL PATIENTS SEEKING CARE GET ACCESS TO THE HIGHEST QUALITY OF CARE. THE ASSEMBLED TEAM OF EXPERIENCED BEHAVIORAL HEALTH PROVIDERS AND LEADERS ARE ALSO COMMITTED TO DEVELOPING A ROBUST DATA COLLECTION AND REPORTING STRUCTURE THAT WILL ALLOW AHS TO MANAGE THE PERFORMANCE OF ITS CCBHC AND TO MAKE INFORMED ADJUSTMENTS TO THE MODEL TO IMPROVE OUTCOMES.

GREATER MOBILE ASSISTED OUTPATIENT TREATMENT PROGRAM (GMAOT)

MOBILE COUNTY PARTNERSHIP FOR EARLY CRIMINAL JUSTICE DIVERSION - THE MOBILE COUNTY PARTNERSHIP FOR EARLY CRIMINAL JUSTICE DIVERSION WILL EXPAND EXISTING EFFORTS TO PROVIDE DIVERSION FROM ARREST INTO IMMEDIATE TREATMENT. THE PROGRAM IS A COLLABORATION BETWEEN CRIMINAL JUSTICE AND MENTAL HEALTH TARGETING FOUR KEY AREAS THAT ENHANCE LAW ENFORCEMENT TRAINING, CLINICAL CO-RESPONSE, RECIDIVISM PREVENTION, AND TREATMENT ADHERENCE. ADDRESSING CRITICAL GAPS IN THE COMPREHENSIVE CRISIS CONTINUUM PROMOTES DECRIMINALIZATION OF BEHAVIORAL HEALTH CRISES. THE PROGRAM WILL ENHANCE LAW ENFORCEMENT TRAINING ON BEHAVIORAL HEALTH ISSUES AND CRISIS DE-ESCALATION USING VIRTUAL REALITY TECHNOLOGY AND MENTAL HEALTH CLINICAL CO-RESPONSE. EVALUATIONS WILL BE BOTH IN PERSON AND THROUGH THE USE OF CLINICIAN REMOTE EVALUATION, OFFICERS CARRYING IPADS IN THEIR PATROL VEHICLES THAT CONNECT DIRECTLY TO A CLINICIAN FOR EVALUATION AND DISPOSITION. THE EXPANSION OF THE FORENSIC ASSERTIVE COMMUNITY TREATMENT (FACT) TEAM WILL PROVIDE COMPREHENSIVE IN-HOME SERVICES TO JUSTICE-INVOLVED INDIVIDUALS AT HIGH RISK FOR RECIDIVISM BY USING EVIDENCE-BASED PRACTICES AND PROGRAMS TO CREATE MEANINGFUL CHANGE IN THE LIVES OF PARTICIPANTS. THE PROGRAM WILL WORK TO ENSURE THAT PARTICIPANTS ARE ATTENDING TREATMENT REGULARLY AND REMAINING COMPLIANT WITH MEDICATION, ARE LINKED TO HOUSING, EDUCATION, AND EMPLOYMENT PROGRAMS TO ADDRESS RACIAL, ECONOMIC, AND OTHER BARRIERS THAT CONTRIBUTE TO HIGH RATES OF RECIDIVISM IN DISPARATE POPULATIONS. THIS PROGRAM ALSO CREATES A HOMELESS OUTREACH TEAM CONSISTING OF A CIT TRAINED OFFICER AND A CLINICIAN TO ADDRESS THE GROWING NUMBER OF HOMELESS INDIVIDUALS WHO NEED, NOT ONLY HOUSING, BUT ALSO MENTAL HEALTH AND SUBSTANCE USE SERVICES. THIS PROGRAM WILL FOCUS ON ADULTS, AGED 19 AND OLDER, LIVING WITH MENTAL HEALTH AND/OR SUBSTANCE USE DISORDERS WHO HAVE A CRIMINAL JUSTICE NEXUS WITHIN MOBILE COUNTY, ALABAMA, REGARDLESS OF ETHNICITY, SEX, SEXUAL ORIENTATION, OR SOCIOECONOMIC STATUS. THE PROGRAM SERVES OVER 3,000 INDIVIDUALS ANNUALLY AND 17,000 OVER THE COURSE OF FIVE YEARS, BY DIVERTING AT LEAST 50% OF ALL LAW ENFORCEMENT CALLS FOR BEHAVIORAL HEALTH ISSUES TO IMMEDIATE AND APPROPRIATE TREATMENT OPTIONS RATHER THAN INCARCERATION. IT WILL INCREASE TRAINING WITH NEW TECHNOLOGY BY 100% AND INCREASE ACCESS TO THOSE INDIVIDUALS WHO HAVE CONTACT WITH LAW ENFORCEMENT, DUE TO BEHAVIORAL HEALTH ISSUES, WHO HAVE NEVER SOUGHT OR ENGAGED IN TREATMENT, BY 100% WITH IMMEDIATE CONNECTION THROUGH THE USE OF REMOTE CLINICAL RESPONSE. THE MOBILE COUNTY PARTNERSHIP FOR EARLY CRIMINAL JUSTICE DIVERSION WILL BUILD ON AN EXISTING COLLABORATIVE RELATIONSHIP THAT STARTED IN 2019 WITH A MULTI-AGENCY PLANNING COMMITTEE INITIATED DURING THE DEVELOPMENT OF THE STEPPING UP INITIATIVE. MENTAL HEALTH, LAW ENFORCEMENT, COURT PERSONNEL, ATTORNEYS, COMMUNITY CORRECTIONS, AND MANY OTHER AGENCIES BEGAN WORKING TOGETHER TO ADDRESS THE NUMBER OF INDIVIDUALS WITH MENTAL HEALTH AND SUBSTANCE USE DISORDERS INCARCERATED IN MOBILE COUNTY. THIS PLANNING COMMITTEE ENGAGED IN A RECENT SEQUENTIAL INTERCEPT MAPPING AND HAVE BEEN DEDICATED TO ADDRESSING ALL POINTS OF INTERCEPT, PARTICULARLY ZERO AND ONE, IN ORDER TO DECRIMINALIZE MENTAL ILLNESS AND PROVIDE FRONT-END DIVERSION THAT HELPS INDIVIDUALS GET THE RIGHT TREATMENT, AT THE RIGHT PLACE, AT THE RIGHT TIME.

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

BALDWIN COUNTY ASSISTED OUTPATIENT TREATMENT PROJECT

BALDWIN COUNTY ASSISTED OUTPATIENT TREATMENT PROJECT

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - HEALTH CENTER PROGRAM GRANT NUMBER: H80CS33643 ALTAPOINTE HEALTH SYSTEMS OF MOBILE, ALABAMA WILL LEVERAGE ITS UNIQUE POSITION OF HOUSING BOTH PSYCHIATRY AND FAMILY MEDICINE RESIDENCY PROGRAMS TO INCREASE PATIENT ACCESS IN THE NEAR TERM AND EXPAND CAPACITY IN THE LONG TERM THROUGH WORKFORCE DEVELOPMENT BY TRAINING FAMILY MEDICINE RESIDENTS TO INITIATE AND MAINTAIN MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT INCLUDING THE UTILIZATION OF MOUD THERAPIES LIKE SUBOXONE. NEED DATA SHOWS THAT DRUG OVERDOSE DEATHS ARE RISING SHARPLY IN MOBILE AND ALABAMA, WITH THE MOST RECENT DATA SHOWING AN INCREASE OF 22% IN MOBILE COUNTY FOR ALL DRUG OVERDOSE DEATHS AND A 52% INCREASE IN OPIOID OVERDOSE DEATHS. ALABAMA’S DEPRESSION RATES RATE IS 36TH HIGHEST OF 50 STATES, WITH ONE IN EVERY FIVE ADULTS HAVING A MENTAL ILLNESS AND ONE IN EVERY SIX HAVING A SUBSTANCE USE DISORDER. UNFORTUNATELY, 62% OF PEOPLE WITH A MENTAL ILLNESS DID NOT RECEIVE TREATMENT, RANKING ALABAMA 48TH OF 50 STATES. THERE IS A MASSIVE GAP IN MENTAL HEALTH AND SUBSTANCE USE PROVIDER CAPACITY. ALTAPOINTE HEALTH SYSTEMS INC. (AHS) IS AN EXTENSIVE HEALTHCARE SYSTEM PROVIDING INTEGRATED PRIMARY AND BEHAVIORAL HEALTHCARE AS A DESIGNATED PUBLIC ENTITY FEDERALLY QUALIFIED HEALTH CENTER (FQHC), COMMUNITY MENTAL HEALTH CENTER (CMHC), AND CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER (CCBHC) BEGINNING JULY 1, 2024. AHS PROVIDES MORE THAN 1 MILLION SERVICES TO 45,000 PATIENTS ACROSS ALABAMA ANNUALLY. AHS WAS AWARDED FQHC LOOK-ALIKE STATUS IN 2019 FOR ITS INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH SITES AND FQHC GRANT FUNDING SHORTLY THEREAFTER. AHS NOW HAS SIX INTEGRATED FQHC SITES IN MOBILE AND COOSA COUNTIES. OUT OF THE FQHC SCOPE OF PROJECT, AHS OPERATES TWO PSYCHIATRIC HOSPITALS SERVING CHILDREN AND ADULTS, ONE BEHAVIORAL HEALTH CRISIS CENTER, AND 20 OUTPATIENT BEHAVIORAL HEALTHCARE CLINICS. AHS COLLABORATIVELY ADMINISTERS TWO UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE RESIDENCY PROGRAMS: 1) PSYCHIATRY AND 2) FAMILY PRACTICE. THIS PROPOSAL WOULD LEVERAGE AHS’S PSYCHIATRY AND ADDICTIONS TRAINING EXPERIENCE BY INTEGRATING PSYCHIATRY AND ADDICTIONS TRAINING INTO THE FAMILY MEDICINE RESIDENCY PROGRAM. A NEW PSYCHIATRIST WILL BE ADDED TO THE FAMILY MEDICINE FACULTY AND PROVIDE ONE-ON-ONE TRAINING TO EIGHTEEN FAMILY MEDICINE RESIDENTS DURING PATIENT VISITS FOR BOTH MENTAL HEALTH AND SUBSTANCE USE DISORDER, INCLUDING MEDICATIONS FOR OPIOID USE DISORDER (MOUD) TREATMENT. A NEW THERAPIST, MEDICAL ASSISTANT, CARE COORDINATOR, AND OFFICE PROFESSIONAL WILL ROUND OUT THE PROPOSED CARE TEAM, WHICH ALSO INCLUDES A CLINIC MANAGER, REFERRAL SPECIALISTS, COMMUNITY HEALTH NAVIGATOR, AND NURSE TEAM LEADER. THEY WILL WORK WITH THE RESIDENTS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH) THAT CAUSE BARRIERS TO IMPROVED HEALTH OUTCOMES FOR THE 5,600 PATIENTS AT THE FAMILY MEDICINE RESIDENCY CLINIC. MANY PATIENTS WILL NOT GO TO SEE A PSYCHIATRIST OR MENTAL HEALTH COUNSELOR BECAUSE OF THE ASSOCIATED STIGMA. ACCESSING COMPREHENSIVE BEHAVIORAL HEALTH AT THE PRIMARY CARE OFFICE IN CREASES A PERSON’S SENSE OF CONFIDENTIALITY AND NORMALIZES TREATMENT. THE SHORT-TERM IMPACT IS THAT AHS’ PATIENTS WILL BE ABLE TO ACCESS BEHAVIORAL HEALTH SERVICES, INCLUDING MOUD, IN THE PRIMARY CARE SETTING. AS A RESULT OF BHSE FUNDING, AHS WILL SERVE AN ADDITIONAL 700 MENTAL HEALTH PATIENTS, 200 SUD PATIENTS, AND 50 MOUD PATIENTS, INCLUDING A TOTAL OF 500 NEW, UNDUPLICATED PATIENTS. IN THE LONG TERM, THE IMPACT OF THE GRANT FUNDS WILL BE INCREASED EXPONENTIALLY AS FAMILY MEDICINE PHYSICIANS WILL BE WELL-EQUIPPED TO TREAT BOTH MENTAL HEALTH AND SUBSTANCE USE DISORDERS THROUGHOUT THEIR ENTIRE CAREERS. THIS IS A MODEL THAT CAN BE REPLICATED IN OTHER PARTS OF THE COUNTRY. OVER A THIRTY-YEAR CAREER, THE 18 RESIDENTS TRAINED WILL SERVE AN ESTIMATED 250,000 PATIENTS WITH MENTAL HEALTH AND SUBSTANCE USE DISORDERS.

COVID-19 HAS LEFT BOTH COMMUNITY MENTAL PROVIDERS AND LAW ENFORCEMENT WITH STAFFING SHORTAGES AFFECTING THE ABILITY TO ASSIST LAW ENFORCEMENT IN DIVERTING INDIVIDUALS WITH MENTAL HEALTH DISORDERS AND CO-OCCURRING SUBSTANCE USE DISORDERS (MHD/MHSUD) FROM INCARCERATION. FORCE MULTIPLIERS, SUCH AS TELEHEALTH TECHNOLOGY, WILL ALLOW DEPUTIES TO COMMUNICATE IMMEDIATELY WITH A CLINICIAN LOCATED IN A 24-HOUR BEHAVIORAL HEALTH CRISIS DIVERSION CENTER, SAVING THE TIME SPENT WAITING FOR A CLINICIAN TO TRAVEL TO THEM. OTHER SIMILAR PROGRAMS REPORT THE AVERAGE CLINICIAN ASSESSMENT TAKING APPROXIMATELY 20 MINUTES, RESULTING IN OVER AN 80% REDUCTION IN THE LENGTH OF CALL FOR DEPUTIES. THE ACCESS NOW PROGRAM IS A COLLABORATION BETWEEN ALTAPOINTE HEALTH SYSTEMS, INC. (LEAD APPLICANT), THE COMMUNITY MENTAL HEALTH PROVIDER, MOBILE COUNTY SHERIFF'S OFFICE, AND BALDWIN COUNTY SHERIFF'S OFFICE PROVIDING ALL DEPUTIES WITH IPAD TELEHEALTH TECHNOLOGY IN THEIR VEHICLES. BALDWIN COUNTY IS THE LARGEST COUNTY, BY SIZE, IN ALABAMA AND IS PRIMARILY RURAL, MAKING IN-PERSON CLINICAL RESPONSE EXTREMELY CHALLENGING. MOBILE COUNTY IS A COMBINATION OF A LARGE METROPOLITAN AREA FLANKED BY RURAL AND UNINCORPORATED AREAS. THE TARGET POPULATION IS THOSE INDIVIDUALS, THEIR FAMILIES, OR BUSINESSES WHO CALL 911 IN A BEHAVIORAL HEALTH CRISIS. THE NUMBER OF INDIVIDUALS SERVED IS EXPECTED TO BE 4,500, WITH A FEDERAL REQUEST OF $550,000. ALL DEPUTIES WILL RECEIVE TRAINING IN BASIC CRISIS DE-ESCALATION, USE OF TELEHEALTH IPADS, AND CRISIS CENTER DIVERSION. THIRTY PERCENT OF DEPUTIES WILL BE TRAINED IN CRISIS INTERVENTION TEAM (CIT) TRAINING. A PROGRAM DIRECTOR AND CLINICIANS, PREFERABLY WITH LIVED EXPERIENCE, WILL PROVIDE EVALUATION, INTERVENTION, AND REFERRAL VIA TELEHEALTH. ADDITIONALLY, ALTAPOINTES CRISIS RESPONSE TEAM WILL PROVIDE FOLLOW-UP TO REDUCE RECIDIVISM. THE PROGRAM GOALS ARE TO DECREASE THE NUMBER OF ARRESTS; REDUCE THE NUMBER OF USE OF FORCE AND OFFICER-INVOLVED INCIDENTS; REDUCE FUTURE CALLS FOR SERVICES TO 911, USING 988 INSTEAD; DECREASE THE LENGTH OF TIME OFFICERS ARE ON SCENE IN THESE CALLS; INCREASE THE NUMBER OF TRAINED OFFICERS IN THE FIELD; INCREASE THE USE OF THE 24-HOUR CRISIS CENTER RATHER THAN INCARCERATION; AND INCREASE ENGAGEMENT IN TREATMENT FOR WOMEN, MINORITY, AND UNDERSERVED INDIVIDUALS. THE UNIVERSITY OF SOUTH ALABAMA WILL COLLECT DATA NEEDED FOR SUSTAINABILITY. ACCESS NOW WILL ADDRESS THE NEEDS OF THOSE WITH DIFFICULTY ACCESSING MENTAL HEALTH SERVICES DUE TO RACIAL INEQUALITY, FROM UNDERSERVED OR MARGINALIZED POPULATIONS, THE RURAL STATUS OF BALDWIN COUNTY, AND SPECIAL WOMEN'S SERVICES UTILIZING EVIDENCE-BASED PROGRAMS.

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-OVERDOSE RESPONSE

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

DLT GRANTS - SUBSTANCE USE DISORDER - MEDICAL

EXPANDING A FALL PREVENTION PROGRAM FOR ADULTS WITH SEVERE MENTAL ILLNESS OR INTELLECTUAL DISABILITIES IN SOUTHWEST AND EAST CENTRAL ALABAMA

MOBILE COUNTY DRUG FREE COMMUNITIES COALITION

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM