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Four County Awarded $4 Million Grant

Four County has been awarded a $4 Million dollar SAMHSA Certified Community Behavioral Health Center Expansion grant that will allow for staff additions to meet community needs, enhancing access to care, the development of new, needed programs for mobile crisis response, veterans, substance use disorder, and individuals involved with the criminal justice system to name a few. Four County is one of six Indiana Community Mental Health Centers awarded the federal grant out of a total 24 Community Mental Health Centers in the State of Indiana. This grant will focus on Cass, Miami, Fulton, and Pulaski counties. Four County is the designated center for those 4 counties but serves an additional 6 North Central Indiana counties. Four County has been serving the communities of North Central Indiana for over 40 years.

Four County CEO, Carrie Cadwell, had this to say, “Our mission is to bring the very best care to our rural communities. We are currently accredited and certified through the Indiana Division of Mental Health & Addictions and the Joint Commission. Transforming our system to now also meet the rigorous standards of the federal CCBHC program moves us even further down that path. In 2020, Four County will not only enter the CCBHC transformation but already had plans in place to open a Crisis Stabilization Unit and expand Medication-Assisted Treatment programming. We are seeing the need for behavioral health and substance use services only increase during this Covid-19 period.  Four County will ensure that it adapts and enhances its staffing and service provision to our rural communities to meet that need.”
 
Four County’s CCBHC implementation plan includes the following:
Four County Comprehensive Community Mental Health Center’s CCBHC project, Expanding North Central Indiana Access, Coordination, and Treatment (ENACT), will serve 4 rural counties in Indiana: Cass, Fulton, Miami, and Pulaski. Focus populations are adults with Serious Mental Illness, Substance Abuse Disorder, and Co-Occurring Disorders and youth with Severe Emotional Disturbance. Veterans and justice-involved individuals are priority populations. ENACT will serve a total of 5,775 new unduplicated admissions over the 2-year period, 2750 in Year 1 and 3,025 in Year 2. Trauma-informed care, no wrong door, and suicide prevention is the contextual framework for ENACT. For all consumers served, the overarching goal is to decrease symptomology, enhanced recovery, and increased functional outcomes in daily life, so consumers perceive improvement in their quality of life. 

Project goals and measurable objectives include the following:

Goal 1: Establish comprehensive community-based behavioral health services for the focus
population that meets all CCBHC criteria.
  • Establish an Advisory Work Group that will report to and inform the Board of Directors.
  • Review/revise training and quality improvement plans as needed to meet CCBHC requirement.

Goal 2: Increase timely access to behavioral health services in the 4C service area.
  • Offer same day access intakes for 100% of service referrals.
  • Attempt personal contact within 24 hours with consumers with behavioral health presentation released from the emergency departments and county jails.
  • Establish an intensive, community-based behavioral health program for veterans.
  • Establish mobile crisis teams to respond to 100% of consumers who require in-person contact in the community within 1 hour of contact by referring agency.
Goal 3: Increase effectiveness of behavioral health services in the 4C service area.
  • Reduce readmission inpatient psychiatric admissions by 10% and 20% in years 1 and 2, respectively.
  • Provide care coordination to 100% of high risk/high utilization consumers within 24 hours of identification.
  • Expand peer support services to help coordinate services in the continuum of care.
  • 80% of consumers will experience improved health outcomes through standardized tools that measure symptom reduction and improvement in daily functioning.
  • 85% of consumers will rate satisfaction with services received as “high” or “very high”.
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