1 of 12

Community Behavioral Health Center �Ensuring the right treatment when and where people need it

2 of 12

The Why

This Roadmap is based upon statewide listening sessions and feedback in 2019. Nearly 700 individuals, families, and others identified challenges and gaps in the system:

Individuals and families often don’t know what services are available or how to connect to them.

Not enough behavioral health providers accept insurance (public or private); those that do may have long waiting lists.

People often turn to the emergency department during a behavioral health crisis because there is no effective system for immediate urgent care in the community

Individuals often can’t get mental health and addiction treatment at the same location, even though mental health conditions and substance use disorder (SUD) often co-occur.

Culturally competent behavioral health care for racially, ethnically and linguistically diverse communities can be difficult to find.

www.Advocates.org

1

3 of 12

No Wrong Door

  • Expanded access to treatment, including nights and weekends for a subset of behavioral health providers.
  • Team based approach integrating physical and behavioral health care.
  • Better, more convenient community-based alternatives to the emergency department for crisis intervention services.

​

​

Same Day Access for services Monday through Sunday

Monday thru Friday will be 8AM-8PM.

Saturday and Sunday will be 9AM-5PM

This front door will help people connect with a provider before there’s a mental health emergency, for routine or urgent help in their community, or even

www.Advocates.org

2

4 of 12

Community Behavioral Health Center Services

  • CBHC Core Services = Community Behavioral Health Center ( Outpatient Services)

​

  • Adult CCS = Adult Community Crisis Stabilization

​

  • YCCS = Youth Community Crisis Stabilization

​

  • AMCI = Adult Mobile Crisis Intervention (formerly known as Emergency Services Program (ESP)

​

  • YMCI = Youth Mobile Crisis Intervention (formerly known as Mobile Crisis Intervention (MCI)

​

​

www.Advocates.org

3

5 of 12

Collaborating Organizations

  1. Spectrum Health Systems
    • 50 years of experience providing community-based SUD and COD services
    • Spectrum staff will be embedded onsite working with our team providing SUD services
    • CBHC members will have access to their methadone maintenance programs to augment the Medically Assistant Treatment (MAT) services we provide
    • CBHC members will have access to their full continuum including detoxification programs in MetroWest�
  2. Wayside Youth and Family Support Network
    • 45 years of experience providing an array of comprehensive wraparound services to youth with serious emotional disturbances and their families.
    • Wayside staff will be embedded onsite working with our team providing child and family services
    • Wayside will provide the YMCI services and staff will be embedded onsite
    • Wayside will provide Youth CCS at Wayside’s campus * transportation provided

4

www.Advocates.org

4

6 of 12

Services Being Offered

5

www.Advocates.org

5

7 of 12

Example of Building: 1094 Worcester Road

www.Advocates.org

6

8 of 12

Staffing for CBHC Core Services

​

​

Triage Clinicians

Outpatient Clinicians

Care Coordinators

Peer Specialists

Recovery Coaches

Nurses

Nurse Care Manager

Psychiatrists

NP’s

Supervisors and Directors

Phlebotomist

Med Assistants

Administrative Specialists

Intake Coordinators

Quality Director

Training Director and Assistant

Director of CBHC

www.Advocates.org

7

9 of 12

CBHC Services�

Siloed Services:

    • Psychiatric Emergency Services
    • Mental Health Services
    • Substance Use Disorder Services
    • Community Crisis Stabilization
    • Care Management
    • Peer Supports

​

Continuous Integration and Collaboration throughout all CBHC services:

CBHC Core Services

AMCI & YMCI

ACCS & YCCS

​

Integrated Treatment:

    • Care Coordination Among All Services
    • Shared Treatment Plans
    • Person Centered Outcomes
    • Regular Care Plan Meetings

​

​

What is different

www.Advocates.org

8

10 of 12

New & Enhanced Supports for Staff

  • Increase in team- based care

​

  • Increase in use of data analytics to monitor outcomes

​

  • Increase in administrative support

​

  • Increase in nursing support to integrate physical & behavioral health services

​

Director of Training

Access to more evidenced based trainings

Access to training in specialized services

New opportunities for collaboration as payment model from insurance turns from FFS to day rate for Masshealth individuals

New payment model creates more flexibility in schedules

Collaboration with multidisciplinary members of the treatment team to find right course for member

www.Advocates.org

9

11 of 12

MetroWest CBHC: Services Workflow

 In-person

welcome

​

Triage

Collect info, demographics, insurance

Screening tools including risk assessment

Determine reason for services

Staffed by Peer Support

Provide info about services and what to expect

Guides member to triage

Non-Urgent Appointment

Same Day Access

Licensed Clinicians

Immediate Need

AMCI or YMCI

Urgent Appointment

  • Triage provides warm handoff to an AMCI/YMCI clinician
  • Clinician completes Assessment
  • Determines Next Steps
  • Triage or Care Coordinator schedules routine appointment(s)

Individual Therapy

Peer

Support

SUD Treatment

Group Therapy

Nursing

Psychopharm- acology and MAT

  • Clinician completes intake and brief assessment within 24 hours
  • Same day evaluation for MOUD no later than 24 hours
  • Appointment is made/ services provided within 48 hours
  • Clinician completes comprehensive assessment and assigns service(s) based on person’s needs and preferences

www.Advocates.org

10

12 of 12

www.Advocates.org

11