H79SM086932

Columbia River Mental Health Services (CRMHS) is requesting $1,000,000 per year for four (4) years, for a total grant award of $4.0 million to improve and advance our programs as an existing Certified Community Behavioral Health Clinic (CCBHC). CRMHS is an attested CCBHC expansion grant recipient from 2020.

Under this new CCBHC improvement and advancement grant, the population of focus CRMHS seeks to improve behavioral health care for are children and adults who voluntarily seek treatment for Major Depressive Disorders (MDD) and are determined eligible for services by a clinical evaluation. MDD makes up 24% of our total client population, which is the largest client population throughout our clinics and programs.

To implement high quality programs, practices, and policies that are recovery-oriented, trauma-informed, and equity-based as a means of improving behavioral health, CRMHS shall serve a minimum of 200 unduplicated individuals with MDD each year of the grant. This number is projected to increase at a rate of 15% every year, totaling a minimum of 1,000 unique MDD patients over the course of the grant.

Additionally, CRMHS would use the grant funds to accomplish three broad goals:
1) Improve outcome-driven behavioral health care by ensuring evidence-based practices (EBPs) are utilized and advanced, outcome-driven care is practiced, and that social determinants of health (SDOH) are incorporated and recognized into all levels of care.
2) Increase the number of primary health screenings, providing a minimum of 200 primary health screenings to each new MDD client per year, to improve MDD symptoms and the overall quality of life for our clients, since evidence shows that screening at primary care visits and appropriate follow-up treatment can improve depression symptoms in adults and adolescents.
3) Increase care coordination and integration with partners to improve referral coordination and bi-directional information sharing with the objective of improving client outcomes.

The demographic profile of the population of focus shows that most are over 18 years of age (741 unduplicated persons), with the average age calculated at 38 years old. CRMHS also treats 62 youths under 18 years of age for MDD. CRMHS MDD patients are able-bodied (80%), white (76.8%), cis-gendered (90.5%), heterosexual (73.8%), female identifying (56%), and are primarily English-speaking (97%). Our MDD clients have reduced high-school graduation rates (73% completion), housing instability impacts 27% of them, and over 75% are unemployed.

Located in the southwest corner of the state, Clark County has a total population of 503,311 people and is officially designated as part of the Portland-Vancouver-Hillsboro, OR-WA, Metropolitan Statistical Area. Prior to the pandemic, 18.2% of adolescents and 8.8% of adults in Washington reported having a major depressive episode in the previous year, which was like the U.S. shares (15.1% and 7.5%, respectively). Comparatively, in 2021, 33.5% of adults in Washington reported symptoms of anxiety and/or a depressive disorder, almost four times the pre-pandemic percentages. In total, CRMHS has 803 patients diagnosed with Major Depressive Disorders (24%), indicating that MDD levels remain high in our catchment area.

Columbia River Mental Health

THE PURPOSE OF THIS PROGRAM IS TO INCREASE ACCESS TO AND IMPROVE THE QUALITY OF COMMUNITY MENTAL AND SUBSTANCE USE DISORDER TREATMENT SERVICES THROUGH THE EXPANSION OF CCBHCS. CCBHCS PROVIDE PERSON- AND FAMILY-CENTERED INTEGRATED SERVICES.

93.696 - Certified Community Behavioral Health Clinic Expansion Grants

Division of Grants Management [HHS - SAMHSA]

Vancouver, Washington 986617254 United States

Single Zip Code

Certified Community Behavioral Health Clinic (CCBHC)– Improvement and Advancement Grants (SM-22-012)

Amendment Since initial award the total obligations have increased 200% from $1,000,000 to $3,000,000.