Community Care Alliance

Community support and recovery programs -with the goal of helping people live as independently and fully integrated within the Community as possible and reducing hospitalizations and institutional Care, the Community support program (csp) provides clinical and support services to individuals with long-term mental illness and/or substance use needs. 569 clients were served by the intensive Community health home team with 54 new admissions. The admission rate was low due to staffing issues and a temporary halt in new admissions. There were 93 discharges from the program, 13 of these clients were transferred to a lower level of Care, 21 of these clients were transferred to the same level of Care within a different organization or catchment area. 99.55% of clients that were opened to services for the full reporting period received at least 2 dla assessments during their enrollment. 80% of the clients received at least one case management service each month for the duration of their enrollment. 80% of clients have a documented pcp contact in their charts.mental health psychiatric rehabilitative residences serve as transitional placements for people discharged from long-term hospitalization who require 24/7 support in order to develop independent living skills. Services provided by mhprr served 31 clients. 36% of clients participated in some form of day programming and 19% participated in the peer support groups hosted by csp peer support specialists. 13 residents, 42% of persons served, worked with a vocational specialist in the reporting period, this resulted in 5 new job starts, 2 residents volunteering, 1 resident working on obtaining their ged and 1 resident taking college courses. To support the Community support program clients, the wellness and recovery center provided peer, therapeutic, and health and wellness groups to 39 clients. Csp successfully restarted 4 weekly peer support groupsone held in the wellness & recovery center and 3 held in the Community to increase Community integration and meaningful activity. At evergreen assisted living facility, 24 clients with behavioral health issues were cared for. 54% of clients participated in some form of day programming and 17% participated in the peer support groups hosted by csp peer support specialists.additionally, most evergreen and mhprr residents also received support from the act and ihh programs.

Family well-being and permanency- our behavioral health programs provide family-centered, trauma-informed Care including office-based clinical services for children and families struggling with behavioral health issues, and intensive, community-based services for individuals in acute distress and at high risk of harm to self or others. The adult general outpatient program served 743 clients. 72.73% of individuals who had a dla reported an increased ability to obtain and maintain one or more of their basic needs. Agop was able to offer psychiatric asessments to every individual referred within 3-4 weeks of referral.in our children's outpatient program, 752 children received services, and our enhanced outpatient services program worked with 177 children last year. Provided immediate, intensive level clinical Care to children and families in acute distress, with no wait periods. Youth served include those at risk for self harm and out of home placement. The healthy transitions team provides a comprehensive array of services to young people aged 16-25 with serious mental health concerns or co-occurring disorders in their transition from adolescence into adulthood. This team worked with 56 clients last year. In pipbhc (promoting the integration of primary and behavioral healthcare), our providers helped 91 clients improve show rates for appointments, enroll with an fqhc, ensure completion of yearly physicals and lab work, and manage mental and physical health symptoms.the children's welfare programs collaborate with the department of children, youth, and families to reduce child abuse and neglect. The family Care Community partnership is dcyf's primary prevention program, aiming to provide families with the services and support they need to avoid dcyf involvement. Last year, our fccp program worked with 439 families. Intensive family preservation (ifp) provides support to families with children who are at risk of placement by dcyf, families preparing for reunification, and families which have been recently reunified. 60 families were served by ifp last year, 11 with developmental delays. The northern rhode island visitation center (nrivc) provides supervised visitation services for dcyf-involved families who are actively working toward reunification, and provided these services to 56 families last year, 13 with developmental delays. 100 % of families receiving at least 6 months of services achieved positive permanency. Families with children aged from birth to two years with dcyf involvement can receive visitation services by nurturing early connections (nec) as they work toward reunification, or stability as an alternate permanency plan is established. Last year, 28 families worked with the nec program. All families that reached permanency within 12 months of services were enrolled in a behavioral health treatment program.in our early childhood programs, early intervention provided services for the growth and development of infants and toddlers until age 3 who have a developmental disability or delay in one or more areas. Ei worked with 458 children last year. In first connections, home visits are provided to pregnant women, and to families with children up to age three. Available services include health education, child wellness screenings, and connections with healthcare services, social services and Community resources. Last year, first connections received 1,426 referrals with 38% accepting an intake appointment. Healthy families america is a program with long-term support for families with children up to age four. Last year, this program provided 47 families with services for prenatal moms, support for bonding and attachment with newborns, child development information and activities, and referrals to Community resources.

Social health services -social health services address issues that go beyond physical health and provides supports for multiple factors that include education, employment, housing, income and social status, and relationships, to name just a few. 121 individuals stayed at the woonsocket shelter52 families, 64 adults and 57 children. Cca also operates the lgbtq shelter and the northern rhode island shelter. The lgbtq shelter served 62 individuals with an average length of stay at 44 days. 8 (13%) of these individuals gained employment and 8 increased their income. The northern rhode island shelter served 161 individuals in 76 households;14% entered with employment, 71% entered with income. 30% of households that left went to permanent/rrh housing.cca's Community action programs served 3454 individual clients, as part of 3206 households. When we include family members in those households, 8781 individuals benefited from these services. The family support center offers basic needs assistance to low income, woonsocket households offering assessments, guided referrals, advocacy and financial assistance to strengthen financial condition. Fsc provided a monthly average of 503 individuals with supplemental food and 499 with food vouchers; provided 435 households with clothing vouchers, 100 households with rental assistance, 3 households with assistance with applying for health insurance, 2103 households with utility assistance via liheap, gnef and jb williams funding sources, referred 533 households to other services including weatherization through bvcap (45) and low income payment plan advocacy with ri energy (488) employment, education & support services help people get back into the workforce, including skills-building classes, work readiness, job shadowing and job placement and academic enrichment. Project learn provided esl, ged and basic skills classes to 131 students with a 78% completion rate. The program had 11 individuals that obtained their geds. Some clients presented with very limited skills. Some having a 1st grade education in areas such as math. Clients with significant barriers expressed progress and improvement in their skills. The harbour youth center provides career engagement opportunities to teens and young adults offering 14 program elements/services. This year, the harbour connected 160 clients to 120 different jobs. 125 clients enrolled in paid workforce development services and another 150 received unpaid workforce development services. Paid students engage in career pathway services, job coaching and financial literacy supports when necessary. 20 paid clients completed class and internship hours, 18 placed in employment. Over 250 youth received career exploration services at 3 local middle and high schools. 33 out of 35 youth, ages 14-17, successfully completed the summer job program receiving work readiness training and job coaching. 43 enrolled for workforce innovation opportunities act (wioa) youth. Roughly 85 youth received case management and/or crisis intervention services, and over 100 youth and young adult participants received referrals.cca partners with other cap agencies to provide ri works, enrolling 511 low-income clients facing barriers to employment. The average caseload per case manager was 30. 11 ri works participants earned northstar digital literacy certification.our safe haven program, a warming drop-in center for individuals who are unhoused or insecurely housed distributed 6126 food items, 803 naloxone kits, 3554 harm reduction materials, and 940 survival items; made 328 behavioral health referrals for mental health and/or substance use, 783 to coordinated entry system, and provided 1758 peer support services.the serenity center, a peer-run recovery support center, served 986 individuals. Serenity expanded hours to 7 days a week, and provided phone outreach to 513 individuals, destributed 204 harm reduction supplies, 530 clothing, 1949 bus passes, 300 basic needs supplies, 132 haircut vouchers, 161 hygiene supplies, 12,473 food. Staff also assisted with bringin 15 individuals to detox, and making dmv reservations for 37 people. Four clients maintained steady employment for the past 5-6 months after taking advantage of our job corner and resume workshops.agape hiv supports program served 66 clients. 5 new clients enrolled in case management services and 61% of all agape clients received case management, with 100% of these participating in treatment planning and goal setting. 7 unstably housed clients obtained either permenant or temporary housing with assistance from agape housing specialist. There was an increase in food pantry utilization from 575 visits last year to 784 visits in this fiscal year.

Acute services -emergency services is a key point of entry to treatment and affords access to the vast array of services offered throughout the agency. Other programs are designed to reduce unnecessary use of hospital-based services. Our adult intake department provides comprehensive screening and assessment services to residents in the northern ri area. The intake department completed 282 new client enrollments/assessments. 133 clients were referred to outpatient services and 12 were referred to csp. Es clinicians provided case management to 34 clients throughout this fiscal year, and 154 crisis assessments were completed on active clients and 72 crisis assessments were completed during daytime hours on non active clients. The emergency services team completed 52 passr nursing home evaluations. For 4 months during the year, the team provided follow-up contact to ihp members post hospital discharge, who were were receptive to the calls and many were already connected with behavioral health services. The acute stabilization unit admitted 731 individuals, providing respite, 24/7 access to rn support, case management, and medical prescriber coordination. Average daily census: 13 clients, with average client length of stay of approximately 5 days (within target range of 3-7 day average).bh-link, a comprehensive crisis unit for rhode islanders experiencing mental health and/or substance use related crises, served 1,794 assessments and 1,554 diversion referrals. The bh link diverted 87% of clients served from emergency department (ed) settings. Most clients who could not be diverted from the ed were referred to higher level of Care for medical clearance. 177 assessments occurred as a result of integrated health partners (ihp) referrals. 2,300 individuals contacting the 988 call center were provided either information, referral, or direct transportation to bh link's walk-in triage center. The bh link's call center, which has operated the national suicide prevention lifeline for rhode island since 2019, took part in the first year of the 988 initiative. During the course of the first 988 project year, the program has remained one of the leading call centers in its answer rates for lifeline calls. Various levels of recovery supports are offered in the intensive outpatient programs, which served 138 individuals and client retention increased from 69% in 2022 to 75% in june 2023. The percentage of positive discharges (or "completion") increased from the 1st half of the year (july to dec 2022) with a completion rate of 66% to 72% during the 2nd half of the year (jan to june 2023). Cca operates two residential substance use treatment programs, wilson and jellison house. Wilson house admitted 92 clients during the 2022-23 fiscal year, maintaining a daily census of 13-16 clients and 85% participated in 60+ days of treatment. All clients attend in-house self-help group, 1x weekly and utilize Community resources daily to help gain experience in aa/na/aca. They also attend 5 psychoed groups daily, and participate in daily client activities and 3 individual counseling sessions weekly. Jellison house has increased the admissions from 94 to 106 admissions during fiscal year 2022-2023 had an 11% increase in successful completion in residential treatment from 69% in fy22 to 80% this past year. 100% of the clients secured placement in safe, affordable housing upon discharge. Efforts were made to improved intake and utilization review procedures resulted in increased volume of eligible clients having access to treatment; and rebuild relationships with outside providers following significant disconnect resulting from pandemic to improve overall coordination of Care.