Transaction Description:
FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT ABSTRACT PROJECT TITLE: BROWNSVILLE MULTI-SERVICE FAMILY HEALTH CENTER APPLICANT ORGANIZATION NAME: BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION (BCDC) ADDRESS: 592 ROCKAWAY AVENUE, BROOKLYN, NEW YORK 11212 PROJECT DIRECTOR NAME: MICHELLE EVERETT-OXLEY, PRESIDENT AND CHIEF EXECUTIVE OFFICER CONTACT NUMBERS PHONE: (718) 345-5000, EXT. 1123, FAX: (718) 345-5794 EMAIL ADDRESS: MOXLEY@BMSFHC.ORG WEBSITE ADDRESS: WWW.BMSFHC.ORG HEALTH CENTER PROGRAM NUMBER: H80CS00589 GRANT PROGRAM FUNDS REQUESTED: BEHAVIORAL HEALTH SERVICES EXPANSION $600,000 YEAR 1; $500,000 YEAR 2 SERVICE AREA CITY AND STATE: BROOKLYN, NEW YORK THE BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION (BCDC) IS A 501(C)(3) NONPROFIT INCORPORATED IN 1974. IN 1982, BCDC ESTABLISHED AND CONTINUES AS THE BROWNSVILLE MULTI-SERVICE FAMILY HEALTH CENTER (BMS). BMS IS A NEW YORK STATE CERTIFIED ARTICLE 28 PROVIDER SERVING THE COMMUNITIES OF BROWNSVILLE, OCEAN HILL, EAST NEW YORK AND PARTS OF BEDFORD STUYVESANT, CROWN HEIGHTS, AND CANARSIE IN BROOKLYN. THE CORRESPONDING ZIP CODES (11212, 11207, 11208, 11213, 11233, 11236 AND 11239) HAVE A COMBINED TOTAL POPULATION OF 558,000. NEARLY 75% OF OUR PATIENTS RESIDE IN BROWNSVILLE (11212) AND EAST NEW YORK (11207 AND 11208), WHICH CORRESPOND TO U.S. CONGRESSIONAL DISTRICTS 9 AND 8, RESPECTIVELY. OUR TARGET POPULATION IS PRIMARY BLACK/AFRICAN AMERICAN AND LATINX, LOW INCOME, UNINSURED AND UNDER-INSURED AND MEDICALLY UNDERSERVED. OUR TARGET POPULATION IS ADDITIONALLY CHARACTERIZED BY LOW LEVELS OF EDUCATIONAL ATTAINMENT AND HIGH LEVELS OF UNEMPLOYMENT AND UNDER-EMPLOYMENT. DUE TO SOCIAL DETERMINANTS OF HEALTH INCLUDING POVERTY AND SYSTEMIC RACISM, AREA RESIDENTS HAVE HIGHER MORTALITIES DUE TO DISEASES AND CONDITIONS THAT ARE PREVENTABLE AND TREATABLE. DISEASE RATES FAR EXCEED NATIONAL, STATE AND COUNTY RATES. PSYCHIATRIC HOSPITALIZATION RATES IN BROWNSVILLE AND EAST NEW YORK ARE THREE TIMES AS HIGH BOROUGH-WIDE AND TWICE AS HIGH CITYWIDE. BMS PR OVIDES INTEGRATED, COMPREHENSIVE PRIMARY CARE, PREVENTIVE, SPECIALTY, AND SOCIAL SERVICES AT NINE EASILY ACCESSIBLE, HRSA-APPROVED SITES. SERVICES FOR THE ADULT POPULATION, AS DOCUMENTED ON THE UDS, INCLUDE MENTAL HEALTH AND MEDICATION FOR OPIOID USE DISORDER (MOUD). SUBSTANCE USE DISORDER (SUD) SERVICES ARE PROVIDED BY BEHAVIORAL HEALTH PROVIDERS AND ARE CAPTURED IN THE SELECTED SERVICE DETAIL ADDENDUM OF THE UDS DUE TO EXISTING BILLING, CODING, AND STAFFING ALLOCATION PRACTICES AND POLICIES. OUR BEHAVIORAL HEALTH DEPARTMENT INCLUDES LICENSED CLINICAL SOCIAL WORKERS, A PART-TIME CONTRACTED PSYCHIATRIC NURSE PRACTITIONER AND A PART-TIME PSYCHIATRIST. IN 2023, THE BEHAVIORAL HEALTH DEPARTMENT SERVED 540 ADULT PATIENTS. THROUGH THE FY 2024 BEHAVIORAL HEALTH SERVICES EXPANSION FUNDING, BMS SEEKS TO INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES BY EXPANDING PROVISION OF MENTAL HEALTH SERVICES TO ADOLESCENTS FROM THE AGE OF 12 TO 17. IF GRANTED FUNDING, WE WILL HIRE A FULL-TIME LICENSED MENTAL HEALTH COUNSELOR, AND A CASE AIDE AND COMMUNITY HEALTH WORKER (CHW) TO ADDRESS THE MENTAL HEALTH AND SOCIAL SERVICE NEEDS OF THIS POPULATION. WE WILL ALSO IMPLEMENT QI INITIATIVES TO MAXIMIZE UTILIZATION OF MENTAL HEALTH SERVICES IN OUR ADULT PATIENT POPULATION. WE WILL INCREASE THE NUMBER OF MOUD PATIENTS BY IMPROVING INTERNAL AND EXTERNAL COORDINATION AND REFERRALS, AND BY REDUCING PATIENT ATTRITION. FINALLY, WE WILL BEGIN EFFECTIVELY CAPTURING SUD SERVICES BY REALLOCATING EXISTING STAFF RESOURCES AND BY MODIFYING OUR CODING AND BILLING PRACTICES TO ACCURATELY REFLECT THE DEDICATED PROVISION OF SUD SERVICES. WE WILL ALSO INCREASE THE NUMBER OF CONTRACTED HOURS PROVIDED BY THE PSYCHIATRIC NURSE PRACTITIONER WHO CURRENTLY PROVIDES TREATMENT AND OVERSEES CARE COORDINATION SERVICES. BMS WILL USE A FAMILY SYSTEMS PERSPECTIVE FOR ADOLESCENTS AND PARENTS TO RECEIVE MENTAL HEALTH AND SUD SERVICES. IN THIS WAY, FAMILIES ARE STRENGTHENED TO OVERCOME ADVERSE SOCIAL DETE RMINANTS OF HEALTH.
