Abbe Center for Community Mental Health

Continuation of organization's mission:key activities centered around improving access to care by decreasing wait times for services, and in providing more care coordination during "transitions of care", by establishing workflows to see individuals leaving inpatient care within 7 days. Another focus has been on providing the right level of treatment and support to be successful in preventing inpatient readmissions within 30 days. In keeping with the changing healthcare environment, the Mental Health Center focused major efforts in systems change and the integration of Mental Health, substance use and primary care services to improve overall wellness. By its mission, the mhc is designed to serve the individuals with significant challenges in recovering from a serious Mental illness (smi), a serious emotional disturbance (sed), and those who may not have the financial resources for comprehensive treatment. The mhc client base is primarily publicly funded through medicare and medicaid, or regional/county funds. Individuals with serious Mental illness die, on average, 25 years earlier than the general population due to serious Health issue. Comprehensive and coordinated integrated care is important in ensuring that medical needs are addressed as well as treatment provided for the Mental Health condition. The Abbe Center became an integrated Health home provider for medicaid recipients 8 years ago to improve Health outcomes with these individuals. Mhc clinic setting provided 50,000+ services to over 11,000 individuals in cy 22, with more than 77% having medicare or medicaid as their payer with an additional 2% being funded by county tax dollars.program service accomplishment:outpatient clinic services includes therapy and psychiatric services for all age ranges. 4,991 individuals were seen for therapy and 9,429 individuals were seen for medication treatment in calendar year 2022. Outpatient services uses a same day access model for initial assessments for new patients which has greatly improved timely access to treatment. Same day access (sda) allows the individual to walk-in for an initial appointment on a day and time when it best meets their needs. This has reduced the no show rate and kept the schedule open for evaluation services. This model has increased both efficiency and improved access for client care.

Community based habilitation services includes community-based support and skill building services for people with a serious Mental illness. Approximately 232 individuals were served through this program in calendar year 2022. These services are offered on a personalized basis and can range from 1-24 hours of care per day. Focus is on skill teaching and providing safety monitoring and oversight to allow individuals to successfully live independently in the Community. Medication monitoring is a key element in Community support to assist in early intervention of symptom exacerbation. These community-based services lessen the cost of care overall, including less use of local tax dollars by assisting individuals to live in the Community and reduce hospitalizations or other long-term placements in a higher level of care.other significant services offered in cy22 include: licensed residential care facility -137 individuals served to provide recovery options outside of a state hospital setting crisis services (crisis observation, crisis stabilization, subacute) - 989 individuals served to provide immediate response to suicide prevention and crisis resolution services warm line services received 19,486 calls by approximately 1,006 different callers. Intended to provide immediate options for peer support for those struggling with their Mental Health outreach contacts provide 5,741 outreach services to 1,292 individuals trained 166 Community members to be certified in Mental Health first aid, to assist citizens in recognizing the signs of Mental illness and to know where resources can be accessed

Integrated Health home (ihh) services are designed to assist individuals in accessing needed Mental Health services as well as physical healthcare, with a wellness focus. The coordination and integration of physical and Mental Health care assist both the individual and the providers a more comprehensive approach to overall Health of the individuals. By improving overall Health, individuals will reduce access to higher cost services, reduce or control major Health factors such as diabetes and heart disease and live healthier and more independent lives in the Community. Through ihh individuals can access primary care services that may have been non-existent in their lives, become engaged in Community services and reduce hospital stays. 2,019 persons were served in this program in cy22, 100% of them are medicaid eligible.