2025 Community Health Improvement Plan Status
  1. Behavioral Health Workgroup (BHW)
  • Introduction
  • Behavioral Health (BH)
  • Economic Stability (ES)
  • Behavioral Health Workgroup (BHW)

On this page

  • Behavioral Health Workgroup (BHW)
    • Priority 1 (BHW.1)
    • Priority 2 (BHW.2)
    • Priority 3 (BHW.3)
    • Priority 4 (BHW.4)
    • Priority 5 (BHW.5)

Behavioral Health Workgroup (BHW)

Priority 1 (BHW.1)

Develop and Implement Crisis Stabilization Centers

Action Item Status When Note
1 Feasibility study for what model Unknown Short-term focused on stabilizing illness
2 Outreach with existing patients Not Started

Potential Metrics of Success

  • Completion of feasibility study
  • Number of outreach interactions
  • Number without a hospital admission
  • Number that resulted in a M1 hold
  • ? cost per patient episode
  • ALOS for stabilization
  • ? readmissions or multiple visits within 6 months or 12 months

Priority 2 (BHW.2)

Address the increased demand on Emergency Services and justice involved services including education around the M1 hold process.

Action Item Status When Note
1 Deliver training to Providers plus train the trainer on the crisis continuum Unknown
2 Expand crisis assessment time and space capacity by replicating Life Spans model Unknown
3 Expand crisis assessment time and space capacity by replicating Life Spans model Develop and test community paramedic service Unknown

Potential Metrics of Success

  • # of providers trained
  • Average % increase in M1 holds in the Emergency Departments

Priority 3 (BHW.3)

Develop a coordinated entry system for behavioral health needs and placement into the continuum.

Action Item Status When Note
1 Map the current services by levels of care (resource) Not Started
2 Create visual tool Not Started
3 Evaluate GVC expansion Not Started
4 Develop risk assessment training for all entry points including front line staff Not Started

Potential Metrics of Success

  • Average # of days between referral or outreach and behavioral health assessment
  • Average # of days between completed assessment and placement into appropriate level of care.
  • Volume of people accessing the system (helps with demand forecasting).
  • Percent of individuals referred who completed a behavioral health needs assessment.
  • Percent of placements that match the recommended level of care from the assessment (e.g., not under- or over-placed).
  • Percent of people diverted from higher levels of care (e.g., emergency department, inpatient) into lower acuity services.
  • Percent of people placed into different parts of the continuum (e.g., outpatient, IOP, residential) relative to capacity.
  • Percent of individuals who are still connected to services or report improvement at 90 days post-placement (GVC?)

Priority 4 (BHW.4)

Streamline and coordinate already existing care coordination and case management services.

Action Item Status When Note
1 Identify who is already care coord and CM + RN Not Started
2 Identify gaps, specialized services and barriers Not Started
3 Define system (i.e. RN, CC, CM) Not Started
4 Identify funding opportunities for non-billable sources/services Not Started

Potential Metrics of Success

  • Potential Metrics of Success:
  • Average number of active clients per cm, rn, cc
  • Average number of contacts per client per month (calls, visits, texts, etc.).
  • Percent of clients referred to community services (e.g., housing, employment, substance use) who successfully engage.
  • Number of crisis events (e.g., emergency department visits, psychiatric hospitalizations) per client per 6 or 12 months.
  • Average # of days from referral to first behavioral health appointment.

stratified by risk level or service type?

Priority 5 (BHW.5)

Improve Communication and Data Sharing Across Agencies (ie Create a shared data tracking system for crisis cases).

Action Item Status When Note
1 Combine with MCCUH data group In Progress 5/9/2024 Approved at meeting 4/11/25.
2 Mapping the gaps between baseline/prevention/crisis In Progress 5/31/2024
3 Identify who else needs to be included in the data group and the systems they currently use In Progress 5/31/2024
4 Identify who else needs to be included in the data group and the systems they currently use In Progress 5/31/2024

Potential Metrics of Success

  • Success metrics provided for 5 other workgroups,
  • Number of data sharing gaps closed,
  • Number of agencies that are tracking consistent (the same) data,
  • Number of agencies actively sharing data with Mesa County Public Health