Comwell

COMWELL CCBHC (C-CCBHC) - COMWELL, FOUNDED IN 1975 AS A CMHC, HAS SERVED THE RURAL SOUTHWEST REGION OF ILLINOIS FOR 47 YEARS THROUGH DELIVERY OF AN ARRAY OF SERVICES, INCLUDING OUTPATIENT BEHAVIORAL HEALTH, SUBSTANCE USE AND PSYCHIATRIC SERVICES, MEDICATION ASSISTED TREATMENT, AND SUPPORTED EMPLOYMENT. COMWELL’S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC INITIATIVE (C-CCBHC) WILL STRENGTHEN INTEGRATED SERVICES TO 450 PERSONS OF ALL AGES OVER A FOUR (4) YEAR PROJECT PERIOD. C-CCBHC WILL FURTHER ENHANCE AND PROMOTE COMWELL’S MISSION TO PROMOTE POSITIVE, HEALTHY CHANGES IN THE GEOGRAPHIC CATCHMENT AREA OF RANDOLPH AND WASHINGTON COUNTIES THROUGH ENHANCEMENT OF EVIDENCE-BASED PRACTICES, TOOLS, AND METHODOLOGIES. THESE PRACTICES WILL EFFECTIVELY ADDRESS RISK FACTORS OF A DIVERSE POPULATION OF FOCUS, INCLUDING VETERANS AND POPULATIONS EXPERIENCING TRAUMA AND STIGMA, WHICH WILL FURTHER CULTURALLY RESPONSIVE, PERSON-AND-FAMILY CENTERED ENGAGEMENT, TREATMENT, RETENTION, AND A COMMUNITY- ORIENTED RECOVERY CONTINUUM WITH THE OVERARCHING GOALS AND OBJECTIVES OF: GOAL 1: EXPAND CCBHC SERVICES TO UNINSURED AND UNDERINSURED INDIVIDUALS IN THE CATCHMENT AREA. OBJECTIVE 1.1 ENROLL AT LEAST 300 NEW OUTPATIENT MENTAL HEALTH AND 150 NEW SUD CLIENTS TOTAL DURING THE PROJECT, AS FOLLOWS: YEAR 1/100; YEAR 2/150; YEAR 3/150; YEAR 4/50; 450 TOTAL OBJECTIVE 1.2: COMWELL WILL EXPERIENCE A 50% REDUCTION IN THE AVERAGE WAIT TIME FROM REFERRAL TO FIRST APPOINTMENT FOR INDIVIDUALS SEEKING TREATMENT AS MEASURED BY ELECTRONIC HEALTH RECORD EPISODE DATES BY THE END OF THE PROJECT. OBJECTIVE 1.3: COMWELL WILL EXPERIENCE AT LEAST A 30-DAY REDUCTION IN WAIT-LIST TIME TO ACCESS PSYCHIATRIC SERVICES BY THE CONCLUSION OF YEAR 1 AS DETERMINED BY THE EHR WAITLIST MONITORING TOOL BY THE END OF THE PROJECT PERIOD. OBJECTIVE 1.4: 50% OF CLIENTS ENROLLED WILL BE RETAINED IN TREATMENT OR RECOVERY SERVICES FOR 6 MONTHS. OBJECTIVE 1.5: 70% OF PARTICIPANTS WILL REPORT A 1-POINT ACTION LEVEL CHANGE IN THE BEHAVIORAL / EMOTIONAL NEEDS DOMAIN AT 6 MONTHS POST INTAKE AS MEASURED BY THE IM+CANS. OBJECTIVE 1.6: COMWELL’S PATIENT POPULATION WILL EXPERIENCE A 10% REDUCTION IN PSYCHIATRIC HOSPITALIZATIONS AS COMPARED TO PRIOR YEAR FOR EACH YEAR OF THE PROJECT. OBJECTIVE 1.7: 80% OF PARTICIPANTS WILL IDENTIFY AND DEMONSTRATE UNDERSTANDING OF TRAUMA-RELATED TRIGGERS OF SMI, SED OR COD AS MEASURED 6-MONTHS POST INTAKE BY THE GPRA. GOAL 2: PROVIDE INTEGRATED HEALTHCARE, INCLUDING ADDRESSING NEEDS OF INDIVIDUALS WITH CO-OCCURRING DISORDERS AND OPIOID USE DISORDERS. OBJECTIVE 2.1 80% OF THE INDIVIDUALS WITH AN OUD WILL BE REFERRED FOR MEDICATIONS FOR OPIOID USE DISORDERS (MOUD) OBJECTIVE 2.2 100% OF THE CLIENTS ADMITTED INTO THE PROGRAM WILL BE SCREENED FOR TOBACCO USE. OBJECTIVE 2.3 85% OF THE CLIENTS ADMITTED WITH SUD WILL REPORT ABSTINENCE OR A REDUCTION IN USE AT THE 6 MONTH FOLLOW-UP. GOAL 3: IMPROVE EDUCATION AND/OR EMPLOYMENT STATUS OF THOSE PARTICIPATING IN THE PROGRAM. OBJECTIVE 3.1 45% OF CLIENTS WHO REPORT SEEKING EMPLOYMENT WILL BE GAINFULLY EMPLOYED BY 6-MONTH FOLLOW-UP. OBJECTIVE 3.2 85% OF CLIENTS 17 OR UNDER WHO HAVE NOT GRADUATED FROM HIGH SCHOOL (OR EQUIVALENT) WILL EITHER ENROLL IN AN EDUCATION PROGRAM OR REMAIN INVOLVED IN AN EDUCATION PROGRAM THROUGHOUT THE DURATION OF PROJECT.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - 1. PROJECT TITLE HEALTHY STRATEGIES 2. REQUESTED AWARD AMOUNT: $2,000,000 3. APPLICANT ORGANIZATION NAME COMWELL 4. APPLICANT ORGANIZATION ADDRESS 10257 STATE ROUTE 3 RED BUD, IL 62278 5. APPLICANT ORGANIZATION FACILITY TYPE COMMUNITY MENTAL HEALTH CENTER 6. PROJECT DIRECTOR NAME AND TITLE SHEA HAURY, MS, LCPC, EXECUTIVE DIRECTOR 7. PROJECT DIRECTOR CONTACT INFORMATION (PHONE AND EMAIL) SHAURY@COMWELL.US, 618-282-6233 8. DATA COORDINATOR KENDRA KENNEDY, LCPC, LPHA 9. DATA COORDINATOR CONTACT INFORMATION (PHONE AND EMAIL) KKENNEDY@COMWELL.US; 618-282-6233 10. EIN/DUNS NUMBER EXCEPTION REQUEST IN ATTACHMENT 8? NO 11. HOW THE APPLICANT FIRST LEARNED ABOUT THE FUNDING OPPORTUNITY: HRSA ANNOUNCEMENT 12. NUMBER OF CONSORTIUM MEMBERS & LIST OF CONSORTIUM MEMBERS (INCLUDING THE APPLICANT ORGANIZATION) COMWELL, SPARTA COMMUNITY HOSPITAL DISTRICT, RANDOLPH COUNTY HOUSING AUTHORITY, RANDOLPH COUNTY SHERIFF/JAIL, (CHESTER) MEMORIAL HOSPITAL, WASHINGTON COUNTY HOSPITAL. 13. IS THE APPLICANT ORGANIZATION A PREVIOUS OR CURRENT RCORP AWARD RECIPIENT OR CONSORTIUM MEMBER? YES FY20 RCORP-PLANNING PROJECT/CONSORTIUM 14. INDICATE IF APPLICANT ORGANIZATION INTENDS TO APPLY FOR FY22 RCORP- IMPLEMENTATION? (Y/N) YES 15. DOES THE TARGET SERVICE AREA OVERLAP WITH THE SERVICE AREAS OF THE NORTHERN BORDER REGIONAL COMMISSION, THE DELTA REGIONAL AUTHORITY, OR THE APPALACHIAN REGIONAL COMMISSION? (INDICATE Y/N AND SPECIFY) NO 16. RCORP-BHS TARGET SERVICE AREA (MUST BE EXCLUSIVELY RURAL, AS DEFINED BY THE RURAL HEALTH GRANTS ELIGIBILITY ANALYZER): A. FULLY RURAL COUNTIES: RANDOLPH, IL; WASHINGTON COUNTY, IL, B. PARTIALLY-RURAL COUNTIES: N/A 17. BRIEF DESCRIPTION OF THE TARGET POPULATION: THE POPULATION OF FOCUS THAT WILL BENEFIT DIRECTLY FROM HEALTHY STRATEGIES IS COMPRISED OF: PERSONS OF ALL GENDERS IN RANDOLPH AND WASHINGTON COUNTIES OF ALL AGES, AND AFFECTED FAMILY AND COMMUNITY MEMBERS, WHO FACE AND/ OR ARE ADVERSELY AFFECTED BY A COMBINATION/CO- OCCURRENCE OF PRIMARY CARE, MENTAL HEALTH, AND SUBSTANCE USE DISORDER HEALTH ISSUES. DEMOGRAPHICS: WHITE 84.6%;BLACK/AFRICAN AMERICAN 10.7%; AMERICAN INDIAN .3%; ASIAN .4% NATIVE HAWAIIAN/PACIFIC 1%; 2 OR MORE RACES 1.2%; HISPANIC/LATINX 3.2%. ADDITIONAL SPECIAL POPULATIONS WITH UNIQUE NEEDS INCLUDE RACIAL AND ETHNIC MINORITIES, VETERANS, LGBTQIA+, AND THOSE WITH SPECIFIC RISK PROBLEMS, SUCH AS HIGH-RISK YOUTH, INCLUDING CHILDREN AND YOUTH AS WELL AS PEOPLE WHO ARE HOMELESS AND UNDER/UNSAFE-HOUSED WITH SUD, OUD, CO-OCCURRING COMPLICATIONS. INDICATE APPROXIMATELY WHAT PERCENTAGE (IF ANY) OF THE TARGET POPULATION IS NATIVE AMERICAN, AND, IF APPLICABLE. N/A

PATHWAYS TO RECOVERY - COMWELL'S PATHWAYS TO RECOVERY WILL ADDRESS THE BEHAVIORAL HEALTH NEEDS OF RESIDENTS AGES 5 TO THE FULL RANGE OF THE ADULT LIFE SPAN RESIDING IN THE GEOGRAPHIC SERVICE AREA COMPRISED OF TWO (2) ADJACENT, RURAL SOUTHERN ILLINOIS COUNTIES OF RANDOLPH AND WASHINGTON, POPULATED BY A COMBINED 46,452 RESIDENTS, ENCOMPASSING 1,161 SQUARE MILES. PATHWAYS WILL ADDRESS THE NEED FOR INTEGRATED CARE COORDINATION AND HEIGHTENED RESPONSIVENESS TO THE GROWING BEHAVIORAL HEALTH CHALLENGES RESULTING FROM THE COVID-19 PANDEMIC, FOCUSING ON SMI, SED, AND COD. GOALS AND OBJECTIVES: GOAL 1: RESTORE AND ENHANCE SERVICE DELIVERY FOR INDIVIDUALS WITH SMI, SED, AND COD IN THE CATCHMENT AREA. OBJECTIVE 1.1: COMWELL WILL EXPERIENCE A 50% REDUCTION IN THE AVERAGE WAIT TIME FOR FROM REFERRAL TO FIRST APPOINTMENT FOR INDIVIDUALS SEEKING TREATMENT AS MEASURED BY EHR/INSYNC BY THE END OF THE PROJECT. OBJECTIVE 1.2: COMWELL WILL EXPERIENCE AT LEAST A 30 DAY REDUCTION IN WAIT-LIST TIME TO ACCESS PSYCHIATRIC SERVICES BY THE CONCLUSION OF YEAR 1 AS DETERMINED BY THE INSYNC WAITLIST MONITORING TOOL BY THE END OF THE PROJECT PERIOD. OBJECTIVE 1.3: COMWELL WILL EXPERIENCE A 20% INCREASE IN VIRTUAL APPOINTMENTS DUE TO COMMUNITY OUTREACH EFFORTS MEASURED BY INSYNC EPISODE OF CARE DATA BY THE END OF THE PROJECT. OBJECTIVE 1.4: 50% OF CLIENTS ENROLLED WILL BE RETAINED IN TREATMENT OR RECOVERY SERVICES FOR 6 MONTHS. OBJECTIVE 1.5: 70% OF PARTICIPANTS WILL REPORT A 1 POINT ACTION LEVEL CHANGE IN THE BEHAVIORAL /EMOTIONAL NEEDS DOMAIN AT 6 MONTHS POST INTAKE AS MEASURED BY THE IM+CANS. OBJECTIVE 1.6: COMWELL’S PATIENT POPULATION WILL EXPERIENCE A 10% REDUCTION IN PSYCHIATRIC HOSPITALIZATIONS AS COMPARED TO PRIOR YEAR FOR EACH YEAR OF THE PROJECT. OBJECTIVE 1.7: 80% OF PARTICIPANTS WILL IDENTIFY AND DEMONSTRATE UNDERSTANDING OF TRAUMA-RELATED TRIGGERS OF SMI, SED OR COD AS MEASURED 6-MONTHS POST INTAKE BY THE GPRA. GOAL 2: STRENGTHEN STAFF AND COMMUNITY CAPACITY TO ADDRESS CRISIS SITUATIONS. OBJECTIVE 2.1: DIRECT CARE STAFF WILL RECEIVE AT LEAST 1 ADDITIONAL TRAUMA-INFORMED OR EBP TRAINING DURING EACH OF THE YEARS OF THE PROJECT PERIOD AS MEASURED BY COURSE COMPLETION CERTIFICATE. OBJECTIVE 2.2: MENTAL HEALTH FIRST AID ATTENDEES WILL SELF-REPORT FEELING BETTER PREPARED TO RESPOND TO CRISES DURING EACH OF THE YEARS OF THE PROJECT PERIOD AS MEASURED BY PRE-POST SURVEY. OBJECTIVE 2.3: DIRECT CARE STAFF WILL REPORT A 20% REDUCTION IN COMPASSION FATIGUE AS A RESULT OF PARTICIPATION IN AN ESTABLISHED WELLNESS PLAN AS MEASURED BY A STAFF SURVEY IMPLEMENTED ANNUALLY FOR EACH OF THE YEARS OF THE PROJECT. NUMBER TO BE SERVED ANNUALLY AND IN TOTAL: PATHWAYS WILL PROVIDE FOCUSED SERVICES TO 100 CLIENTS EACH YEAR, FOR A TOTAL OF 200 THROUGHOUT THE PROJECT PERIOD, IMPLEMENTING EVIDENCED-BASED PRACTICES RELEVANT TO THE NEEDS OF CLIENTS WITH SMI, SED AND COD WHO ALSO MAY EXPERIENCE CRISES SITUATIONS, INCLUDING DIALECTICAL BEHAVIOR THERAPY (DBT); COGNITIVE BEHAVIORAL THERAPY (CBT); MORAL RECONATION THERAPY (MRT; AND SEEKING SAFETY. ADDITIONAL METHODS WILL INCLUDE APPLIED SUICIDE INTERVENTION SERVICES TRAINING ASIST, AND ZERO SUICIDE TO ADDRESS SEVERE CRISES.

SOUTHERN ILLINOIS SUBSTANCE ABUSE ALLIANCE DRUG FREE COMMUNITIES PROPOSAL

SOUTHERN ILLINOIS SUBSTANCE ABUSE ALLIANCE DRUG FREE COMMUNITIES RENEWAL APPLICATION

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

COMWELL STOP - COMWELL, A COMMUNITY MENTAL HEALTH CENTER WITH 5 DECADES OF EXPERIENCE IN A RURAL AREA, IN COLLABORATION WITH THE HEALTHY COMMUNITIES ALLIANCE (HCA), A COMMUNITY-BASED PREVENTION COALITION, SEEKS TO ADVANCE AND EXPAND PREVENTION STRATEGIES FOR YOUTH AGES 12-25 RESIDING IN COMMUNITIES DEMONSTRATING PERSISTENT NEED IN RANDOLPH AND WASHINGTON COUNTIES IN ILLINOIS, THROUGH ITS PROJECT (COMWELL STOP). RANDOLPH AND WASHINGTON COUNTIES ARE POPULATED BY A COMBINED 44,194 RESIDENTS, ENCOMPASSING 1,161 SQUARE MILES. THIS EXPANSIVE AREA COMPRISES SMALL, ISOLATED RURAL COMMUNITIES WITH A MYRIAD OF SOCIAL AND ECONOMIC ISSUES, INCLUDING PERSISTENT AND/OR GENERATIONAL POVERTY AND LACK OF MOBILITY. THE ENTIRE GEOGRAPHICAL SERVICE AREA IS DESIGNATED AS RURAL BY HRSA AS A HEALTH PROFESSIONAL SHORTAGE AREA, WITH THE NEAREST METROPOLITAN STATISTICAL AREA IDENTIFIED AS THE ILLINOIS SECTOR OF ST. LOUIS, WHICH IS 90+ MILES AWAY. COMWELL WILL STRENGTHEN COMMUNITY-LEVEL PREVENTION CAPACITY TO IDENTIFY AND ADDRESS LOCAL SUBSTANCE USE PREVENTION CONCERNS BY COMPLETING THE 5-PHASE STRATEGIC PREVENTION FRAMEWORK PROCESS WHICH WILL RESULT IN THE CREATION OF A COMPREHENSIVE STRATEGIC PLAN TO REDUCE THE ONSET AND PROGRESSION OF SUBSTANCE ALCOHOL USE IN THE CATCHMENT AREA. GOAL 1: REDUCE YOUTH SUBSTANCE USE AMONGST YOUTH AGES 14-18, RESIDING IN RANDOLPH AND WASHINGTON COUNTIES. OBJECTIVE 1.1 REDUCE 30-DAY USE OF ALCOHOL AMONGST 8TH-12TH GRADERS BY 3% BY 2028 AS MEASURED BY STUDENT SURVEY. OBJECTIVE 1.2: INCREASE RISK OF PERCEPTION OF HARM AMONGST 8TH-12TH GRADERS BY 3% BY 2028 AS MEASURED BY STUDENT SURVEY. OBJECTIVE 1.3: INCREASE PERCEPTION OF PARENTAL DISAPPROVAL AMONGST 8TH-12TH GRADERS OF USE BY 3% BY 2028 AS MEASURED BY STUDENT SURVEY. OBJECTIVE 1.4: INCREASE PERCEPTION OF PEER DISAPPROVAL AMONGST 8TH-12TH GRADERS BY 3% BY 2028 AS MEASURED BY STUDENT SURVEY. COMWELL ESTIMATES IT WILL SERVE 50 PEOPLE PER YEAR, 200 OVER THE LIFE OF THE PROJECT, BUT WILL ADJUST THESE NUMBERS FOLLOWING COMPLETION OF THE STRATEGIC PLAN.