Pesach Tikvah-Hope Development Inc

PESACH TIKVAH CCBHC

PESACH TIKVAH CCBHC-IA - PESACH TIKVAH CCBHC WILL PROVIDE A BROAD RANGE OF ACCESSIBLE, AFFORDABLE, CULTURALLY APPROPRIATE, BILINGUAL INTEGRATED OUTPATIENT MH, PHYSICAL HEALTH MONITORING, SUD SERVICES AND CARE COORDINATION.TO SERVE AN UNDUPLICATED 800 INDIVIDUALS WITH CCBHC IA GRANT FUNDING (200 ANNUALLY). SERVICES WILL BE DELIVERED IN THE WILLIAMSBURG AND BOROUGH PARK NEIGHBORHOODS IN BROOKLYN, NEW YORK TO ADULTS WITH SERIOUS MENTAL ILLNESS (SMI), SUBSTANCE USE DISORDERS (SUD), OPIOID USE DISORDERS (OUD) AND CO-OCCURRING DISORDERS (COD), AS WELL AS CHILDREN AND TEENS WITH SERIOUS EMOTIONAL DISORDERS (SED) AND THEIR FAMILY MEMBERS. PT WILL FOCUS ON PEOPLE OF ORTHODOX JEWISH/HASIDIC (ORTHODOX) ETHNIC GROUP TO REDUCE DISPARITIES IN HEALTHCARE ACCESS AND OUTCOMES. ORTHODOX TYPICALLY HAVE LARGE FAMILY SIZES AND STRUGGLE WITH SIGNIFICANT DISPARITIES IN INCOME, HEALTHCARE ACCESS AND OUTCOMES. THEY EXPERIENCE HEIGHTENED BARRIERS TO ACCESSING CARE DUE TO HIGH RATES OF STIGMA, LOW SOCIOECONOMIC STATUS, CULTURAL AND LANGUAGE BARRIERS. GRANT GOALS INCLUDE 1) EXPAND ACCESS TO WELL-COORDINATED, INTEGRATED SERVICES BY INCREASING AVAILABILITY AND CAPACITY OF BEHAVIORAL HEALTH SERVICES, INTEGRATING SUBSTANCE ABUSE SERVICES, AND INTEGRATING PRIMARY CARE SCREENING/MONITORING; 2) SUPPORT RECOVERY BY IMPROVING THE QUALITY OF CARE AND CLINICAL OUTCOMES FOR HIGH-RISK INDIVIDUALS BY IMPLEMENTING EVIDENCE-BASED INTEGRATED MENTAL AND SUD TREATMENT AND PROGRAMMING, TARGETED CARE MANAGEMENT (TCM), COMMUNITY-BASED CARE AND ENHANCED USE OF DATA; AND 3) REDUCE TOTAL COST OF CARE FOR HIGHEST RISK CLIENTS (REDUCING USAGE OF INPATIENT ADMISSIONS, DAYS IN HOSPITAL, ED VISITS) BY INCREASING ACCESS TO INTEGRATED CARE AND USING REAL-TIME DATA TO DRIVE DECISION-MAKING AND PREVENT RELAPSE AND WORSENING OF SYMPTOMS. STRATEGIES/INTERVENTIONS FOR IMPROVEMENT/ADVANCEMENT INCLUDE: 1) IMPROVING MOBILE CRISIS BY HIRING 2 EMTS AFFILIATED WITH A LOCAL VOLUNTEER FIRST RESPONDER ORGANIZATION THAT IS A TRUSTED RESOURCE IN THE POPULATION OF FOCUS. 2) FULLY IMPLEMENT, IMPROVE AND INTEGRATE STANDALONE SUD SERVICES USING EBP FOR 70 INDIVIDUALS IN YEAR 1, 3) ENGAGE IN ADDITIONAL PATIENT MOTIVATION AND OUTREACH TO INCREASE PATIENT PARTICIPATION IN PRIMARY CARE SCREENING AND 4) CONTINUE TO EXPAND TCM PROGRAM TO 100 PATIENTS USING NYS HH MODEL (YEAR 4) SO IT CAN REACH BREAK-EVEN AND BECOME SUSTAINABLE, 6) CONTINUE TO EXPAND COMMUNITY BASED SERVICES AND PEER SUPPORTS BY HIRING AT LEAST 8 ADDITIONAL PSYCHOSOCIAL REHAB AND/OR PEER PROVIDERS, 7) IMPLEMENT ADDITIONAL SUPERVISION AND COACHING TO 75 STAFF TO ENSURE FIDELITY TO EBPS, 8) TRAIN 75 STAFF AND MAKE GOAL OF SUPERVISION TO INCREASE USE OF SCREENING INSTRUMENTS TO ENABLE MEASUREMENT BASED CARE (MBP), 9) LEVERAGE PSYCKES AND HEALTHIX (NYS/NYC ELECTRONIC HEALTH INFORMATION EXCHANGES) TO IMPROVE CARE TRANSITIONS, 10) MAINTAIN OUTREACH COORDINATOR TO UPDATE AND MAINTAIN CARE COORDINATION AGREEMENTS WITH AT LEAST 20 PARTNERS/REQUIRED CARE SETTINGS, PER CRITERIA, 11) MAINTAIN DATA ANALYST TO UTILIZE BUSINESS INTELLIGENCE AND ADD DATA DASHBOARDS TO ENABLE RAPID ACCESS TO DATA AND MEANINGFUL USE OF DATA, 12) UPDATE AND IMPLEMENT A DATA-DRIVEN CQI PLAN BY YEAR 2 OF THE GRANT, 13) INCREASE USE OF MEASUREMENT-BASED CARE BY 25% FROM BASELINE THROUGH USE OF SCREENING INSTRUMENTS (I.E. PHQ9, GAD7, AUDITC), 14) PLAN AND COMPLETE A NEEDS ASSESSMENT THAT WILL INFORM FURTHER DEVELOPMENT OF PROGRAMS AND SUPPORTS TO FILL SERVICE GAPS IN 2024.

PESACH TIKVAH PANDEMIC RESPONSE PROJECT - PESACH TIKVAH'S PANDEMIC RESPONSE PROJECT IS A COMPREHENSIVE BEHAVIORAL HEALTH STRATEGY, DESIGNED TO HELP ALLEVIATE THE PANDEMIC'S NEGATIVE EFFECTS ON ADULTS WITH SERIOUS MENTAL ILLNESS AND CO-OCCURRING DISORDERS, AND YOUTH WITH SERIOUS EMOTIONAL DISORDERS. OUR SERVICE AREA OF WILLIAMSBURG AND BOROUGH PARK NEIGHBORHOODS IN BROOKLYN, NEW YORK (NY) IS HOME TO APPROXIMATELY 200,000 PEOPLE OF ORTHODOX JEWISH FAITH. THE AREA HAS A SIGNIFICANTLY HIGHER POVERTY RATE THAN THE CITYWIDE AVERAGE WITH 28% BELOW POVERTY, 47% CHILDREN BELOW POVERTY AND 53% BELOW 200% OF POVERTY. OUR SERVICE AREA IS RACIALLY AND ETHNICALLY DIVERSE, WITH 49% OF THE POPULATION WHITE ALONE; 13% AFRICAN AMERICAN; AND 29% LATINO. 59% OF HOUSEHOLDS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. CLINICAL CHARACTERISTICS INCLUDE A SIGNIFICANT INCREASE IN ANXIETY AND DEPRESSION SINCE COVID-19, EXTERNAL STRESS CAUSED BY COVID-RELATED JOB LOSS, ISOLATION, HOMELESSNESS, MARITAL STRAIN AND/OR FAMILY STRAIN. ANTI-SEMITIC INCIDENTS HAVE INCREASED 18% SINCE THE OUTBREAK. PROJECT STRATEGIES AND INTERVENTIONS INCLUDE HIRING CLINICAL STAFF INCLUDING PSYCHIATRIC, PROVISION OF EVIDENCE BASED PRACTICES IN SCHOOLS AND COMMUNITY, MARKETING, OUTREACH AND CROSS SYSTEM PARTNERSHIP DEVELOPMENT AND PROVISION OF STAFF SUPPORTS TO ADDRESS COMPASSION FATIGUE. GOAL 1: RESTORE THE DELIVERY OF CLINICAL SERVICES THAT WERE IMPACTED BY THE PANDEMIC. OBJ.1.A.: MULTIPRONGED MARKETING AND OUTREACH CAMPAIGN TO 160,000 HOUSEHOLDS. OBJ.1B: ENHANCE REFERRAL NETWORKS GENERATING AT LEAST 200 REFERRALS. OBJ.1C: CONDUCT VIRTUAL TREATMENT TO 50 INDIVIDUALS.OBJ.1D: HIRE PSYCHIATRIC STAFF TO TREAT 100 INDIVIDUALS OBJ.1E.: EXPAND ACCESS TO MENTAL HEALTH SERVICES BY 20% GOAL 2: PROVIDE SERVICES TO STUDENTS TO ADDRESS BEHAVIORAL HEALTH CONCERNS OBJ.2A: PROVIDE 4 TRAININGS TO 200 SCHOOL STAFF ON EARLY SIGNS OF MENTAL ILLNESS, SUD, AND WELLNESS. OBJ.2B.: TRAIN 35 SCHOOL STAFF TO DELIVER EARLY INTERVENTION AND CLINICAL TREATMENT IMPACTING OVER 10,000 STUDENTS AND TEENS IN AT LEAST 20 SCHOOLS. GOAL 3: PROVIDE EVIDENCE-BASED TREATMENTS AND WRAPAROUND SUPPORTS TO ADDRESS PANDEMIC EFFECTS. OBJ3A: TRAIN 80 PEOPLE IN THE MENTAL HEALTH AND RELATED WORKFORCE IN EBPS: MOTIVATIONAL INTERVIEWING (MI), TRAUMA FOCUSED COGNITIVE BEHAVIORAL THERAPY (TF-CBT), CBT, EYE MOVEMENT DESENSITIZATION AND REPROCESSING (EMDR), DIALECTICAL BEHAVIOR THERAPY (DBT) AND PARENT CHILD INTERACTION THERAPY (PCIT). OBJ3B: PROVIDE CARE MANAGEMENT TO SUPPORT 50 FAMILIES EXPERIENCING COVID-19 RELATED JOB LOSS, HOMELESSNESS, DEATH, PROLONGED ILLNESS AND/OR MARITAL OR FAMILY STRAIN. OBJ3C HIRE 5 PART-TIME PROVIDERS OF PSYCH REHAB AND PEER SUPPORTS TO SUPPORT RECOVERY FOR 50 INDIVIDUALS. GOAL 4: TO PROVIDE RESOURCES AND SUPPORTS TO ADDRESS COVID RELATED COMPASSION FATIGUE AND BURNOUT. OBJ4A: 60 CLINICIANS ATTEND BEHAVIORAL HEALTH CONFERENCE OBJ4B: IMPLEMENT ACTIVITIES TO PROMOTE SELF-CARE AMONG THE WORKFORCE. A TOTAL OF 600 INDIVIDUALS WILL BE SERVED (300 IN YEAR 1; 300 IN YEAR 2).