Monarch

Monarch's Certified Community Behavioral Health Clinic in Cleveland County, NC - Monarch Will Leverage Four Years of Launching and Operating a Successful Ccbhc in Stanly County to Launch a Second Ccbhc in Cleveland County, Providing a Comprehensive Range of Mental Health and Substance Use Services to Residents in Need. Monarch Projects It Will Serve 3,500 Individuals During the Lifetime of This Four-year Ccbhc-pdi Grant. Monarch’s Population of Focus for This Ccbhc-pdi Grant Is Adults With Serious Mental Illness (smi), Substance Use Disorders (SUD) and Co-occurring Disorders (COD) as Well as Children and Adolescents With Serious Emotional Disorders (sed), in Rural Cleveland County, North Carolina. Project Name: Monarch's Certified Community Behavioral Health Clinic in Cleveland County, NC Goal 1: Monarch Will Use Evidence-based Screenings, Assessments and Surveys to Determine Patient Risk and Coordinate Appropriate Support. Goal 2: Monarch Will Address the Critical Behavioral Health Needs of Cleveland County Residents by Expanding Community Education, Outreach and Partnerships. Goal 3: Monarch Will Implement Strategies and Services That Contribute to the Mental and Physical Health and Wellness of Ccbhc Patients. Goal 4: Monarch Will Complete Technology-based Enhancements to Support Care Delivery and Care Coordination for Patients. Obj. 1-A: During the Grant Period, Monarch Will Complete or Obtain a Comprehensive Clinical Assessment for 90% of People in Monarch's Ccbhc Program in Cleveland County to Screen for Co-occurring Substance Use and Mental Health Disorders. Obj. 1-B: During the Grant Period, Monarch Will Assess Social Determinants of Health for 90% of Individuals in Monarch's Ccbhc Program in Cleveland County. Obj. 2-A: During the Grant Period, Monarch Will Education a Minimum of 400 Community Members on Mental Health and Substance Use Disorder-related Topics Through Documented Contacts to Cleveland County Schools, the General Cleveland County Population, and Targeted Populations Including Veterans, the Hispanic Community, and the Lgbtq Population. Obj. 2-B: During the Grant Program, Monarch Will Complete Five (5) Cooperative Agreements Per Year to Establish Cooperative Relationships With a Variety of Physical Health Providers (private Clinics, Local Hospitals, Detox/recovery Organizations) and Local Social Services Organizations (food Banks, Homeless Shelters, Employment Services) That Will Facilitate Care Coordination/referrals for People Served. Obj. 3-A: Within One Year of Award, Monarch Will Be in Compliance With Ccbhc Certification Criteria. Obj. 3-B: During the Grant Period, Monarch Will Expand Post-hospitalization Services to Provide Patient Follow Up by Nurse Care Manager or Peer Support Within 7 Days of Discharge From Inpatient Care, With 50% of Patients (estimated N = 75 Patients) Receiving Contact. Obj. 3-C: During the Grant Period, Monarch Will Implement the Medication-assisted Treatment Model to Address the Needs of Individuals With Opioid Use Disorders Using Fda-approved Buprenorphine (suboxone) in Combination With Evidence-based Psychosocial Therapies. Obj. 3-D: During the Grant Period, Monarch Will Incorporate Occupational Therapy Services Specific to Mh/sud With 85% of Patients With Documented Need for Ot Support Receiving Internal Referrals. Obj. 4-A: Within Four Months of Award, Monarch Will Re-engage With NC Healthconnex to Share Data and Evolve Population Health Capacities During the Four-year Ccbhc-pdi Grant Period. Obj. 4-B: During the Grant Period, Monarch Will Integrate Health Record and Information With the Medisked Care Coordination Suite to Enhance Care Coordination for Ccbhc Patients.