Bluebonnet Trails Community Mhmr Center

BLUEBONNET TRAILS COMMUNITY SERVICES: CMHC SERVICE RESTORATION - THROUGH THIS GRANT, BLUEBONNET TRAILS COMMUNITY SERVICES (BTCS) WILL SERVE 1,000 ADULTS AND YOUTH IN CENTRAL TEXAS WHO ARE EXPERIENCING SERIOUS MENTAL ILLNESS (SMI), SERIOUS EMOTIONAL DISTURBANCE (SED), AND CO-OCCURRING DISORDERS (COD). TO ADDRESS NEEDS ARISING FROM PANDEMIC-RELATED PRESSURES, BTCS WILL PROMOTE IMMEDIATE ACCESS TO ROUTINE BEHAVIORAL HEALTH (BH) CARE; EARLY IDENTIFICATION OF AND TREATMENT FOR BH SYMPTOMS; AND ACCESS TO COMMUNITY-BASED CRISIS STABILIZATION OPTIONS. BTCS WILL SERVE AT LEAST 500 INDIVIDUALS PER PROJECT YEAR USING EVIDENCE-BASED PRACTICES SUCH AS PSYCHOSOCIAL REHABILITATION; CASE MANAGEMENT; COGNITIVE BEHAVIORAL THERAPY; SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT; MEDICATION EVALUATIONS; AND WELLNESS RECOVERY ACTION PLANNING IN BOTH INPATIENT AND OUTPATIENT SETTINGS. TO ADDRESS THE UNIQUE NEEDS OF OUR SERVICE AREA, BTCS HAS ALIGNED OUR PROJECT WITH TWO PRIMARY GOALS (1) INCREASE ACCESS TO COMMUNITY-BASED CRISIS STABILIZATION OPTIONS FOR ADULTS AND CHILDREN, THUS PROVIDING ALTERNATIVES TO HOSPITALIZATION AND JAIL; AND (2) INCREASE ACCESS TO CRITICAL BEHAVIORAL HEALTH SERVICES BY RIGHTSIZING STAFFING TO ACCOUNT FOR INCREASED SERVICE VOLUME RESULTING FROM THE PANDEMIC. TO MEASURE GOAL PROGRESS, BTCS HAS COMMITTED TO EIGHT OBJECTIVES DESIGNED TO PROMOTE POST-PANDEMIC SERVICE RESTORATION AND COMMUNITY RESILIENCE. TO INCREASE ACCESS TO CRISIS STABILIZATION OPTIONS, BTCS IDENTIFIES THE FOLLOWING OBJECTIVES: (1) EXPAND THE ADULT GEORGETOWN CRISIS RESPITE UNIT FROM 12 BEDS TO 16 BEDS AND OFFSET THE LOSS OF UNCOMPENSATED CLINICAL CARE FOR 4 SEGUIN-BASED ADULT CRISIS RESPITE UNIT BEDS AND 4 GEORGETOWN-BASED EXTENDED OBSERVATION UNIT BEDS; (2) ESTABLISH AND ACCESS UP TO 1.75 BEDS PER DAY FOR IN-HOME CHILDREN’S CRISIS RESPITE TO INCLUDE CASE MANAGEMENT AND FAMILY PARTNER SERVICES; (3) EXTEND THE WILLIAMSON COUNTY 9-1-1 CRISIS CALL DIVERSION PROGRAM TO A 24/7 STAFFING MODEL, SUPPORTING JAIL DIVERSION AND TIMELY LINKAGE TO THE LEAST RESTRICTIVE CRISIS STABILIZATION OPTION; (4) COMPLETE FOLLOW-UP RISK SCREENING AND ASSESSMENT WITHIN ONE BUSINESS DAY FOR AT LEAST 75% OF PERSONS WHO CONTACT THE CRISIS HOTLINE; AND (5) COMPLETE CRISIS FACILITY DISCHARGE FOLLOW-UPS WITHIN 7 DAYS FOR AT LEAST 60% OF PERSONS DISCHARGING FROM A CRISIS FACILITY IN YEAR ONE AND AT LEAST 65% IN YEAR TWO. TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES, BTCS IDENTIFIES THE FOLLOWING OBJECTIVES: (1) HIRE AND TRAIN 1.5 FULL-TIME PERSONNEL TO STAFF THE CENTRALIZED INTAKE AND APPOINTMENT CALL CENTER FOR THE PURPOSE OF REDUCING THE CALL ABANDONMENT RATE; (2) REDUCE THE CURRENT CALL CENTER ABANDONMENT RATE OF 18-20% TO LESS THAN 10%, ENSURING QUICK ACCESS TO A TRAUMA-INFORMED SCREENING FOR SERVICES; AND (3) ADD 40 BEHAVIORAL HEALTH CONSULTATION SLOTS PER WEEK DURING PRIMARY CARE VISITS AT RURAL BTCS INTEGRATED HEALTHCARE SETTINGS, ENSURING AT LEAST 90% OF ADULTS AND ADOLESCENTS SERVED RECEIVE A PATIENT HEALTH QUESTIONNAIRE TO SCREEN FOR DEPRESSION.

BLUEBONNET TRAILS COMMUNITY SERVICES: ADVANCING CARE COORDINATION AND DIVERSION SERVICES - THROUGH THIS GRANT, BLUEBONNET TRAILS COMMUNITY SERVICES (BTCS) WILL SERVE 1,600 ADULTS AND YOUTH IN CENTRAL TEXAS WHO ARE EXPERIENCING SERIOUS MENTAL ILLNESS (SMI), SERIOUS EMOTIONAL DISTURBANCE (SED), AND CO-OCCURRING DISORDERS (COD). TO ADDRESS THEIR NEEDS, BTCS WILL ENHANCE ACCESS TO INTEGRATED SERVICES THROUGH SPECIALIZED JAIL DIVERSION COORDINATION; SCHOOL- AND FIELD-BASED SERVICES FOR ADULTS AND YOUTH WITH A RECENT BEHAVIORAL HEALTH CRISIS; POLICE DEPARTMENT-BASED MOBILE CRISIS RESPONSE; AND SPECIALIZED CARE COORDINATION FOR INDIVIDUALS WITH SMI OR SED SEEKING RECOVERY FROM SUBSTANCE USE DISORDERS. BTCS WILL SERVE AT LEAST 400 INDIVIDUALS PER PROJECT YEAR USING EVIDENCE-BASED PRACTICES SUCH AS PSYCHOSOCIAL REHABILITATION; CARE COORDINATION AND CASE MANAGEMENT; COGNITIVE BEHAVIORAL THERAPY; SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT; AND WELLNESS RECOVERY ACTION PLANNING. TO ADDRESS THE UNIQUE NEEDS OF OUR SERVICE AREA, BTCS HAS ALIGNED OUR PROJECT WITH THREE PRIMARY GOALS: (1) INCREASE TIMELY ACCESS TO PRE- AND POST-BOOKING JAIL DIVERSION FOR PERSONS EXPERIENCING AN SMI, SED, OR COD; (2) INCREASE ACCESS TO COORDINATED BEHAVIORAL HEALTH SERVICES TO REDUCE THE RISK OF CRISIS OR CRISIS RELAPSE; AND (3) ADVANCE CCBHC SERVICES THROUGH INFRASTRUCTURE DEVELOPMENT SUPPORTING PROCESSES FOR COLLECTING, REPORTING, AND TRACKING ENCOUNTER, OUTCOME, AND QUALITY DATA. TO MEASURE GOAL PROGRESS, BTCS HAS COMMITTED TO TEN OBJECTIVES DESIGNED TO IMPROVE BEHAVIORAL HEALTH ACCESS. TO INCREASE TIMELY ACCESS TO PRE- AND POST-BOOKING JAIL DIVERSION FOR PERSONS EXPERIENCING AN SMI, SED, OR COD, BTCS IDENTIFIES THE FOLLOWING OBJECTIVES: (1) A JAIL DIVERSION COORDINATOR WILL CONDUCT AN ASSESSMENT TO INCLUDE TREATMENT RECOMMENDATIONS WITHIN TWO BUSINESS DAYS FOR AT LEAST 90% OF PERSONS REFERRED EACH PROJECT YEAR; (2) BTCS WILL TRACK ANNUAL POST-BOOKING JAIL DIVERSION DATA FOR PERSONS WITH CO-OCCURRING MH AND IDD CONDITIONS, DEMONSTRATING A >5% INCREASE, YEAR OVER YEAR, IN THE NUMBER OF PERSONS DIVERTED FROM JAIL INTO TREATMENT; (3) TWO POLICE DEPARTMENT-BASED MOBILE CRISIS CLINICIANS WILL DOCUMENT 100% OF ENCOUNTERS, INCLUDING HOSPITAL AND JAIL DIVERSION OUTCOME DATA, WHEN DEPLOYED TO CONDUCT A BEHAVIORAL HEALTH CRISIS ASSESSMENT; AND (4) BTCS WILL TRACK ANNUAL ARREST DIVERSION DATA WITH A PARTNERING POLICE DEPARTMENT, DEMONSTRATING A >5% INCREASE, YEAR OVER YEAR, IN THE NUMBER OF PERSONS DIVERTED FROM AN ARREST. TO INCREASE ACCESS TO COORDINATED BEHAVIORAL HEALTH SERVICES TO REDUCE THE RISK OF CRISIS OR CRISIS RELAPSE, BTCS IDENTIFIES THE FOLLOWING OBJECTIVES: (1) FIVE SCHOOL AND FIELD-BASED CLINICIANS WILL COORDINATE CRISIS FACILITY DISCHARGE PLANS WITH PARTNERING INDEPENDENT SCHOOL DISTRICTS AND FAMILIES FOR AT LEAST 75% OF YOUTH ADMITTED INTO THE PROGRAM; (2) BTCS WILL TRACK ANNUAL HOSPITAL RECIDIVISM RATES FOR YOUTH AND ADULTS ENROLLED IN THE PROGRAM, MAINTAINING A <15% RECIDIVISM RATE EACH PROJECT YEAR; AND (3) A SPECIALIZED SUBSTANCE USE DISORDER PROGRAM CARE COORDINATOR WILL FOLLOW-UP ON SOCIAL DETERMINANTS OF HEALTH-RELATED REFERRALS FROM THE TREATMENT TEAM WITHIN TWO BUSINESS DAYS FOR AT LEAST 80% OF PERSONS ENROLLED DURING EACH PROJECT YEAR. TO ADVANCE CCBHC SERVICES THROUGH INFRASTRUCTURE DEVELOPMENT SUPPORTING PROCESSES FOR COLLECTING, REPORTING, AND TRACKING ENCOUNTER, OUTCOME AND QUALITY DATA, BTCS IDENTIFIES THE FOLLOWING OBJECTIVES: (1) BTCS WILL LAUNCH A PRIMARY CARE ELECTRONIC HEALTH RECORD WITH AN INTERFACE TO BTCS’ EXISTING ELECTRONIC HEALTH RECORD, ALLOWING PRIMARY CARE AND BEHAVIORAL HEALTH PROVIDERS TO VIEW INTEGRATED HEALTH RECORDS FOR SHARED PATIENTS; (2) BTCS WILL UTILIZE A WEB-BASED SOLUTION TO DOCUMENT AND TRACK OUTCOMES FOR MENTAL HEALTH CALLS RECEIVED BY BTCS CLINICIANS EMBEDDED IN THE 911 EMERGENCY CALL CENTER IN WILLIAMSON COUNTY; AND (3) BTCS WILL UTILIZE DATA COLLECTED FROM THESE SOFTWARE SYSTEMS TO INFORM

BLUEBONNET TRAILS COMMUNITY SERVICES APPLICATION FOR CCBHC EXPANSION FUNDING EXPANDING MEDICATION-ASSISTED TREATMENT AND CARE COORDINATION SERVICES TO IMPACT POPULATIONS OF HIGH RISK. - BLUEBONNET TRAILS COMMUNITY SERVICES (BTCS) SEEKS TO EXPAND SUBSTANCE USE DISORDER SERVICES AND OUTREACH WITHIN OUR COMMUNITIES. BTCS WILL USE CCBHC-E FUNDS TO ESTABLISH TWO MOBILE PROVIDER TEAMS PROVIDING MEDICATION-ASSISTED TREATMENT (MAT) SERVICES. THESE TEAMS WILL DEPLOY FROM BTCS OUTPATIENT BEHAVIORAL HEALTH CLINICS IN BASTROP AND GUADALUPE COUNTIES, OPENING TREATMENT OPTIONS TO RESIDENTS OF BASTROP, CALDWELL, FAYETTE, GONZALES, GUADALUPE, AND LEE COUNTIES. ADDITIONALLY, BTCS WILL ADD NRT SERVICES IN WILLIAMSON COUNTY. THE MOBILE MAT TEAMS WILL CONSIST OF A REGISTERED NURSE (RN), ADDICTION PSYCHIATRIST AVAILABLE BY TELEMEDICINE, PEER RECOVERY COACH, FAMILY NURSE PRACTITIONER (FNP), AND A LICENSED PROFESSIONAL OF THE HEALING ARTS (LPHA) WITH A BACKGROUND IN COUNSELING. CARE COORDINATORS WILL BE ASSIGNED TO ENSURE THE CONNECTION OF INDIVIDUALS SERVED TO ADDITIONAL SERVICES, ACCORDING TO THEIR ASSESSED NEEDS. THE LPHA WILL PROVIDE TRAUMA-INFORMED THERAPY UTILIZING EVIDENCE-BASED TRAUMA AND SUBSTANCE TREATMENT THERAPY PROTOCOLS, BASED ON THE STAGE OF CHANGE AND A PERSON-CENTERED RECOVERY PLAN. THE TWO MOBILE TEAMS WILL SHARE THE LPHA. A PEER RECOVERY COACH WILL ALSO WORK AT BOTH SITES TO PROVIDE PEER SUPPORT IN ONE-ON-ONE AND GROUP FORMATS. TEAMS WILL SHARE AN FNP, UNDER THE SUPERVISION OF AN ADDICTION PSYCHIATRIST TO PROVIDE MAT SERVICES, INCLUDING SUBOXONE AND NRT. EACH TEAM WILL HAVE A SEPARATE RN TO PROVIDE ONGOING MEDICATION MONITORING AND HEALTH AND WELLNESS SUPPORT.

BLUEBONNET TRAILS COMMUNITY SERVICES: CCBHC EXPANSION FUNDING SUPPORTING CARE COORDINATION FOR HIGH RISK POPULATIONS

BLUEBONNET TRAILS COMMUNITY SERVICES: EXPANDING EARLY DIVERSION AND BEHAVIORAL HEALTH SERVICES - DURING THE FIVE-YEAR GRANT PERIOD, BLUEBONNET TRAILS COMMUNITY SERVICES (BTCS) SEEKS TO SERVE AT LEAST 1,125 ADULTS AND YOUTHS WHO ARE AT RISK OF CRIMINAL JUSTICE SYSTEM INVOLVEMENT DUE TO MENTAL ILLNESS OR CO-OCCURRING DISORDERS. IN OUR CENTRAL TEXAS SERVICE AREA OF CALDWELL, GONZALES, AND GUADALUPE COUNTIES, THE AWARD WILL FUND MULTI-DISCIPLINARY CRISIS RESPONSE TEAMS TO ASSESS AN AVERAGE OF 225 PERSONS ANNUALLY AND DIVERT THEM FROM ARREST INTO BEHAVIORAL HEALTH CARE WHEN APPROPRIATE. WE AIM TO ACHIEVE TWO PROJECT GOALS: 1) INCREASING PRE-BOOKING JAIL DIVERSIONS FOR PERSONS EXPERIENCING A MENTAL ILLNESS OR CO-OCCURRING DISORDER TO REDUCE PREVENTABLE ARRESTS AND UNNECESSARILY LENGTHY INCARCERATIONS, AND 2) INCREASING ACCESS TO EVIDENCE-BASED BEHAVIORAL HEALTH SERVICES TO REDUCE THE RISK OF CRISIS RELAPSE OR FUTURE OFFENDING. TO FULFILL GOAL 1, BTCS HAS IDENTIFIED THREE COINCIDING MEASURABLE OBJECTIVES: 1) ESTABLISH AN INTERAGENCY BEHAVIORAL HEALTH WORKGROUP (COMPRISED OF LAW ENFORCEMENT, LOCAL EMERGENCY DEPARTMENTS, PSYCHIATRIC HOSPITALS, HEALTH CARE PROVIDERS, SPECIALTY COURTS, JUVENILE JUSTICE AND CHILD ADVOCACY AGENCIES, COMMUNITY SHELTERS, VETERAN-SERVING ORGANIZATIONS, AND FIRST RESPONDERS) TO MEET ON A QUARTERLY BASIS TO ADVANCE EARLY DIVERSION STRATEGIES IN THE SERVICE AREA; 2) TRAIN 75 LAW ENFORCEMENT OFFICERS/DEPUTIES, DISPATCHERS, ATTORNEYS, CIVILIAN FIRST RESPONDERS, PARAPROFESSIONALS, VETERAN-SERVING ORGANIZATION PERSONNEL, AND OTHER PROFESSIONALS EACH PROJECT YEAR ON THE SIGNS AND SYMPTOMS OF MENTAL ILLNESS AND SUBSTANCE USE, CULTURALLY APPROPRIATE DE-ESCALATION AND CRISIS RESOLUTION TECHNIQUES, AND DIVERSION RESOURCES; AND 3) TRACK THE NUMBER OF PERSONS DIVERTED FROM ARREST DUE TO THIS PROJECT AND ENSURE A FIVE PERCENT INCREASE IN DIVERSIONS EACH YEAR. TO FULFILL GOAL 2, BTCS HAS IDENTIFIED TWO COINCIDING MEASURABLE OBJECTIVES: 1) COORDINATE A REGIONAL SEQUENTIAL INTERCEPT MAPPING (SIM) EXERCISE FOR CALDWELL, GONZALES AND GUADALUPE COUNTY STAKEHOLDERS TO MAP EXISTING AND FUTURE EARLY DIVERSION RESOURCES; AND 2) BUILD A DATA REPORT IN OUR ELECTRONIC HEALTH RECORD TO TRACK AND REPORT THE NUMBER OF PERSONS ASSESSED AND CONNECTED TO TREATMENT, ALONG WITH DEMOGRAPHIC INFORMATION TO ASCERTAIN LOCAL DISPARITIES AND TARGETED DIVERSION STRATEGIES. BASED ON ASSESSED NEEDS, MULTI-DISCIPLINARY RESPONSE TEAMS WILL CONNECT PERSONS WITH A VARIETY OF TRAUMA-INFORMED AND EVIDENCE-BASED SERVICES, INCLUDING CASE MANAGEMENT; ASSERTIVE COMMUNITY TREATMENT; MEDICATION MANAGEMENT, PEER RECOVERY SUPPORT; SUPPORTED HOUSING, VOCATIONAL TRAINING, SUPPORTED EMPLOYMENT; CARE COORDINATION; PRIMARY AND DENTAL CARE; SUBSTANCE USE TREATMENT (INCLUDING MEDICATION ASSISTED TREATMENT); MULTISYSTEMIC THERAPY (MST) FOR AT-RISK YOUTH, AND 24-HOUR RESPITE PROGRAMS FOR ADULTS OR YOUTH. BLUEBONNET TRAILS COMMUNITY SERVICES WILL ALSO PROVIDE PSYCHIATRIC REHABILITATION AND LIFE SKILLS TRAINING USING EVIDENCE-BASED CURRICULA SUCH AS ILLNESS MANAGEMENT RECOVERY (IMR), ASSERTIVE COMMUNITY TREATMENT (ACT), AND SEEKING SAFETY. CASE MANAGERS SERVING YOUTH WILL RECEIVE TRAINING IN SKILLSTREAMING, SEEKING SAFETY, WRAPAROUND, NURTURING PARENTING, AND PREPARING ADOLESCENTS FOR YOUNG ADULTHOOD (PAYA).

SUICIDE PREVENTION GRANTS ARE AWARDED TO ELIGIBLE ENTITIES TO MEET THE NEEDS OF ELIGIBLE INDIVIDUALS AND THEIR FAMILIES THROUGH OUTREACH, PROVISION OR COORDINATION OF SUICIDE PREVENTION SERVICES, AND CONNECTION TO VA AND COMMUNITY RESOURCES AS DESCRIBED IN 38 CFR PART 78 (HTTPS://WWW.ECFR.GOV/CURRENT/TITLE-38/CHAPTER-I/PART-78?TOC=1)

STRATEGIC PLANNING FOR A PRE-ADJUDICATION MENTAL HEALTH COURT (OPPORTUNITY NUMBER: BJA-2009-2025), (COMPETITION NUMBER: BJA-2009-2038)