Community Health Clinics Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CAPITAL DEVELOPMENT

TERRY REILLY HEALTH SERVICES CCBHC - TERRY REILLY HEALTH SERVICES, INC. (TRHS) SUBMITS THIS APPLICATION TO ESTABLISH A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) PROGRAM SERVING CANYON COUNTY IN SOUTHEAST IDAHO. CANYON COUNTY IS HOME TO NEARLY 250,000 RESIDENTS AND SUFFERS FROM A SIGNIFICANT LACK OF BEHAVIORAL HEALTH RESOURCES, INCLUDING INSUFFICIENT CRISIS SERVICES AND A MENTAL HEALTH PROVIDER TO POPULATION RATIO THAT IS 30% LESS THAN THE STATEWIDE AVERAGE IN IDAHO AND 55% LESS THAN U.S. STATES WITH THE HIGHEST LEVELS OF ACCESS (COMMUNITY HEALTH RANKINGS 2021). THIS LACK OF RESOURCES RESULTS IN DISPROPORTIONATE RATES OF BEHAVIORAL HEALTH DISPARITIES IN CANYON COUNTY, INCLUDING HIGHER RATES OF MENTAL DISTRESS AND REPORTED POOR MENTAL HEALTH DAYS, SUICIDE INCIDENCE AND RISK, AND UNTREATED SUBSTANCE USE DISORDER (NATIONAL SURVEY ON DRUG USE AND HEALTH, 2021). BY ESTABLISHING THE PROPOSED CCBHC PROGRAM, TRHS AIMS TO EXPAND INTEGRATED BEHAVIORAL HEALTH CARE IN CANYON COUNTY WITH A PARTICULAR FOCUS ON THOSE WHO NEED SERVICES THE MOST; INDIVIDUALS WITH HIGH NEEDS, INCLUDING ADULTS WITH SERIOUS MENTAL ILLNESS (SMI) AND CHILDREN WITH SEVERE EMOTIONAL DISTURBANCE (SED) AND THOSE WITH CO-OCCURRING ILLNESS, AND SUB-POPULATIONS THAT FREQUENTLY EXPERIENCE HEIGHTENED BARRIERS TO ACCESSING CARE IN CANYON COUNTY, INCLUDING HISPANIC/LATINO POPULATIONS (APPROXIMATELY 25% OF THE CANYON COUNTY POPULATION), LGBTQ+ POPULATIONS (APPROXIMATELY 2.8% OF THE CANYON COUNTY POPULATION), THOSE WHO ARE HOMELESS AND/OR UNSTABLY HOUSED (APPROXIMATELY 633 INDIVIDUALS IN THE CANYON COUNTY REGION AS OF THE 2021 IDAHO POINT-IN-TIME HOMELESS COUNT), AND THOSE WHO ARE LIVING IN POVERTY (APPROXIMATELY 38% OF CANYON COUNTY RESIDENTS). KEY STRATEGIES THAT TRHS WILL IMPLEMENT TO EXPAND ACCESS TO NEEDED BEHAVIORAL HEALTH CARE SERVICES INCLUDE (1) STRENGTHENING THE IDAHO REGION III (CANYON COUNTY) CRISIS CONTINUUM OF CARE TO DE-ESCALATE MENTAL HEALTH AND SUBSTANCE USE CRISIS AND DIVERT UNNECESSARY INPATIENT OR EMERGENCY DEPARTMENT USAGE BY CONNECTING USERS TO OUTPATIENT CARE; (2) EXPANDING ACCESS TO INTEGRATED BEHAVIORAL HEALTH SERVICES FOR UNDERSERVED POPULATIONS THROUGH INCREASING MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT PROVIDERS WHO ARE TRAINED IN PROVIDING CARE TO MARGINALIZED POPULATIONS; AND, (3) EXPANDING THE CAPACITY OF BEHAVIORAL HEALTH SERVICES AVAILABLE TO YOUTH AND ADOLESCENTS UNDER THE AGE OF 18. TRHS ANTICIPATES SERVING 200 UNIQUE INDIVIDUALS IN YEAR 1; 450 UNIQUE INDIVIDUALS IN YEAR 2; 750 UNIQUE INDIVIDUALS IN YEAR 3; AND 1,100 UNIQUE INDIVIDUALS BY YEAR 4. TRHS IS WELL-POSITIONED TO ESTABLISH A FULLY-COMPLIANT CCBHC PROGRAM WITHIN ONE YEAR OF AWARD AND ALREADY PROVIDES A SIGNIFICANT ARRAY OF INTEGRATED MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES. TRHS HAS SERVED THE COMMUNITIES IN SOUTHEAST IDAHO FOR 51 YEARS AND IS AN NCQA LEVEL III PATIENT-CENTERED MEDICAL HOME AND JOINT COMMISSION PRIMARY CARE AND BEHAVIORAL HEALTH HOME—ONE OF THE FIRST ORGANIZATIONS IN IDAHO TO RECEIVE THIS DESIGNATION. TRHS SERVED 34,424 UNIQUE PATIENTS IN 2021, INCLUDING PROVIDING 6,292 PATIENTS WITH BEHAVIORAL HEALTH CARE; 25,100 PATIENTS WITH PRIMARY CARE MEDICAL SERVICES, AND 10,032 PATIENTS WITH DENTAL CARE. IT IS WELL-EXPERIENCED IN SERVING MARGINALIZED POPULATIONS, WITH 73% OF PATIENTS SERVED IN 2021 LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL), 38% ENROLLED IN MEDICAID, AND 34% OF PATIENTS UNINSURED.

HEALTH CENTER CLUSTER

TERRY REILLY CHILD TRAUMATIC STRESS PROJECT - THE TERRY REILLY CHILD TRAUMATIC STRESS PROJECTS OVERARCHING VISION IS TO INCREASE THE CAPACITY AT TRHS TO PROVIDE AND INCREASE ACCESS TO EFFECTIVE TRAUMA-FOCUSED TREATMENT AND SERVICES SYSTEMS IN CANYON COUNTY FOR CHILDREN AND ADOLESCENTS, AND THEIR FAMILIES WHO EXPERIENCE TRAUMATIC EVENTS. WE ANTICIPATE SERVING 700 UNDUPLICATED CLIENTS OVER THE FIVE YEARS OF THE GRANT. SPECIFIC GOALS FOR THE PROJECT INCLUDE THE FOLLOWING: GOALS: - EXPAND ACCESS FOR CHILDREN AND THEIR FAMILIES TO TRAUMA INFORMED INTEGRATED BEHAVIORAL HEALTH SERVICES THAT USE EVIDENCE-BASED PRACTICES FOR CHILDREN, ADOLESCENTS AND THEIR FAMILIES THAT EXPERIENCE HEIGHTENED BARRIERS TO TRAUMA INFORMED CARE AND BEHAVIORAL HEALTH DISPARITIES TO IMPROVE HEALTH OUTCOMES. - ENHANCE CAPACITY TO PROVIDE OUTPATIENT TRAUMA SERVICES TO ADOLESCENTS (UNDER AGE 18) IN CANYON COUNTY TO REDUCE INCIDENCE OF SUD AND/OR MH CRISIS AMONG THIS POPULATION. - EXPAND OUR ABILITY TO COORDINATE WITH COMMUNITY LEVEL CHILD-SERVING SYSTEMS AND OTHER COMMUNITY LEVEL AGENCIES TO INCREASE AWARENESS OF, PARTICIPATION IN, AND ACCESS TO, TRAUMA AND GRIEF TREATMENT AND SERVICES FOR CHILDREN, ADOLESCENTS AND THEIR FAMILIES WITH AN EMPHASIS ON HISPANIC FAMILIES AND FAMILIES LIVING IN POVERTY SPECIFIC ACTIVITIES INCLUDE: - IDENTIFY AND IMPLEMENT COMMUNITY-BASED ENGAGEMENT/OUTREACH STRATEGIES TO INCREASE AWARENESS OF, PARTICIPATION IN, AND ACCESS TO, TRAUMA AND GRIEF TREATMENT AND SERVICES FOR AT-RISK CHILDREN, ADOLESCENTS, AND THEIR FAMILIES AND THOSE FROM DIVERSE RACIAL AND ETHNIC COMMUNITIES. - PROVIDE DIRECT EVIDENCE-BASED MENTAL HEALTH RELATED TREATMENT AND SERVICES, INCLUDING SCREENING, DIAGNOSTIC ASSESSMENT, CARE MANAGEMENT, THERAPY, AND PREVENTION FOR AT-RISK CHILDREN AND ADOLESCENTS, INCLUDING THOSE FROM RACIALLY AND ETHNICALLY DIVERSE COMMUNITIES, WHO HAVE HAD TRAUMA-RELATED EXPERIENCES. - COORDINATE WITH CHILD-SERVING SYSTEMS TO PROVIDE TRAUMA- AND GRIEF-INFORMED SERVICES AT THE LOCAL OR REGIONAL LEVELS. - DEVELOP AND IMPLEMENT PROCEDURES TO ENSURE THAT TREATMENT PROVIDERS ARE COMPETENT AND KNOWLEDGEABLE ABOUT THE IMPACT OF COMPLEX TRAUMA ON YOUTH DEVELOPMENT.

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

TERRY REILLY CABHI

ARRA - CAPITAL IMPROVEMENT PROGRAM

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

ARRA - CAPITAL IMPROVEMENT PROGRAM

CAPITAL DEVELOPMENT

TERRY REILLY HEALTH SERVICES COVI-19 AND SUICIDE PREVENTION PROJECT

FY 2023 EARLY CHILDHOOD DEVELOPMENT

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM - TERRY REILLY HEALTH SERVICES (TRHS) PROPOSES TO PROVIDE MEDICAL, DENTAL, BEHAVIORAL HEALTH AND NAVIGATION/CASE MANAGEMENT SERVICES TO OUR TARGET POPULATION - INDIVIDUALS LIVING IN AND AROUND THE CITY OF PARMA, IDAHO THROUGH APPLYING FOR THE REGULAR TRACK OF THE RURAL HEALTH CARE SERVICES OUTREACH PROGRAM. PARMA IDAHO IS A RURAL COMMUNITY IN SOUTHWEST IDAHO WITH 6,578 INDIVIDUALS LIVING IN AND AROUND THE CITY. PARMA IS LOCATED WITHIN CANYON COUNTY IDAHO AND WAS INCORPORATED IN 1957 WITH A LOW POPULATION DENSITY OF 1,699 PEOPLE PER SQUARE MILE. DEMOGRAPHIC INFORMATION FOR OUR POPULATION OF FOCUS INCLUDES: • THE MOST COMMON OCCUPATION IS AGRICULTURE WORKER. • 9.8% ARE FOREIGN-BORN • THE MEDIAN HOUSEHOLD INCOME IN PARMA IS $47,798 – LESS THAN HALF OF THE IDAHO STATE RATE OF $74,636 • 20.2% LIVE BELOW THE POVERTY LINE; TWICE AS MANY AS THE STATE OF IDAHO RATE • 31% IDENTIFY AS HISPANIC, 2.5 TIMES THE RATE IN IDAHO. LIKE OTHER SMALL RURAL CITIES IN IDAHO AND THE NATION, HEALTH OUTCOMES ARE NEGATIVELY IMPACTED, AND PARMA IS NO EXCEPTION. PARMA HAS WORSE OUTCOMES THAN THE COUNTY THEY RESIDE IN – CANYON COUNTY. WE SEE WORSE OVERALL HEALTH OUTCOMES, HIGHER RISK BEHAVIORS, AND HIGHER LEVELS OF DISABILITIES. THIS IS CONSISTENT WITH THE OTHER COMMUNITIES THAT TRHS SERVES WHERE THERE IS A HIGH LEVEL OF POVERTY, HIGHER LEVELS OF NEGATIVE SOCIAL DRIVERS OF HEALTH AND A HIGH LEVEL OF PERSONS IDENTIFYING AS HISPANIC. TRHS IS A PRIVATE NOT-FOR-PROFIT ORGANIZATION PROVIDING QUALITY CARE TO ALL, WITH DISCOUNTED FEES AVAILABLE, BASED ON FAMILY SIZE AND INCOME. SERVICES ARE AVAILABLE IN ENGLISH AND SPANISH AS WELL AS OTHER LANGUAGES. OUR MODEL OF CARE IS AN EVIDENCE-BASED INTEGRATED PATIENT-CENTERED HEALTH HOME. WE ARE COMMITTED TO SERVING ALL PEOPLE BUT ESPECIALLY POPULATIONS FACING BARRIERS ELSEWHERE, THE UNINSURED, MIGRANT AND SEASONAL FARM WORKERS, HOMELESS, ELDERLY AND WORKING FAMILIES. WE ARE GOVERNED BY THE COMMUNITIES WE SERVE THROUGH A REPRESENTATIVE BOARD OF DIRECTORS. SPECIFIC EVIDENCE-BASED MODELS WE UTILIZE THAT ARE WRAPPED INTO OUR INTEGRATED PATIENT-CENTERED HEALTH HOME MODEL INCLUDE: PATIENT CENTERED MEDICAL HOME (PCMH) MODEL, CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (CDSMP), MOTIVATIONAL INTERVIEWING (MI), HEALTH PROMOTION AND DISEASE PREVENTION, ORAL HEALTH INTEGRATION INTO PRIMARY CARE, SERVICES INTEGRATION, AND SOCIAL DRIVERS OF HEALTH. OUR GOALS ARE (1) EXPAND THE DELIVERY OF HEALTH CARE SERVICES TO INCLUDE NEW AND ENHANCED SERVICES IN PARMA, ID, (2) DELIVER HEALTH CARE SERVICES THROUGH A STRONG CONSORTIUM, IN WHICH EVERY CONSORTIUM MEMBER ORGANIZATION IS ACTIVELY INVOLVED AND ENGAGED IN THE PLANNING AND DELIVERY OF SERVICES, (3) USE COMMUNITY ENGAGEMENT AND EVIDENCE-BASED MODELS IN THE DELIVERY OF HEALTH CARE SERVICES, AND (4) IMPROVE POPULATION HEALTH AND DEMONSTRATE HEALTH OUTCOMES AND SUSTAINABILITY. TRHS HAS BEEN SERVING RURAL SOUTHWEST IDAHO COMMUNITIES SINCE 1971. THROUGH THE YEARS, WE HAVE DEVELOPED A WHOLISTIC, PATIENT-CENTERED APPROACH TO SERVING UNDERSERVED AND RURAL COMMUNITIES. WE BEGAN WORKING WITH THE PARMA COMMUNITY IN 2022 ON THEIR NEED FOR THE SERVICES WE PROVIDE. THESE MEETINGS RAMPED UP IN 2024 WITH THE CLOSURE OF THE ONLY MEDICAL OFFICE IN PARMA. OUR PARTNERSHIP WITH THE PARMA COMMUNITY HAS BEEN BUILDING OVER THE LAST YEAR AND A CONSORTIUM OF COMMUNITY ENTITIES HAS BEEN DEVELOPED TO IDENTIFY AND PROVIDE EVIDENCE BASED HEALTH CARE SERVICES IDENTIFIED BY THE COMMUNITY FOR THE COMMUNITY. TRHS QUALIFIES FOR TWO OF THE THREE FUNDING PREFERENCES: • OUR PROJECT IS LOCATED IN A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) • THE PROJECT FOCUSES ON PRIMARY CARE, AND WELLNESS AND PREVENTION STRATEGIES THROUGH THE DELIVERY AND GRANT FUNDING OF PRIMARY CARE MEDICAL/DENTAL SERVICES AND PREVENTION STRATEGIES PROVIDED BY MEDICAL AND DENTAL CLINICIANS AND PATIENT NAVIGATORS/CASE MANAGEMENT.

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER PLANNING GRANTS

FY 2023 EXPANDING COVID-19 VACCINATION

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM