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FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT ABSTRACT PROJECT TITLE: BEHAVIORAL HEALTH SERVICE EXPANSION APPLICANT ORGANIZATION: SAWTOOTH MOUNTAIN CLINIC HEALTH CENTER PROGRAM GRANT NO.: H80CS00496 ADDRESS: 513 5TH AVE. W., GRAND MARAIS, MN 55604 PROJECT DIRECTOR: KATE SURBAUGH EMAIL ADDRESS: KATE@SAWTOOTHMOUNTAINCLINIC.ORG CONTACT PHONE NUMBERS: 218-387-2330 X 159, 218-387-1278 (FAX) WEBSITE: WWW.SAWTOOTHMOUNTAINCLINIC.ORG FUNDING REQUESTED: $600,000 YEAR ONE, $500,000 YEAR TWO NEEDS AND PROPOSED PROJECT: SAWTOOTH MOUNTAIN CLINIC (SMC) IS LOCATED IN A REMOTE AREA OF THE MIDWEST, ENCOMPASSING COOK COUNTY, MN AND THE GRAND PORTAGE RESERVATION. IF LOCAL HEALTH CARE SERVICES ARE NOT AVAILABLE, RESIDENTS MUST DRIVE 2+ HOURS TO ACCESS SPECIALTY CARE. LIKE MANY RURAL COMMUNITIES, BEHAVIORAL HEALTH (BH) RESOURCES ARE SCARCE, ESPECIALLY SINCE THE PANDEMIC WHEN LOCAL PRIVATE PRACTICE CLINICS SHUTTERED. THE LOCAL SATELLITE CCBHC OFFICE CLOSED IN 2018 DUE TO LACK OF WORKFORCE. SMC HAS RISEN TO MEET THE GROWING COMMUNITY NEED BY ADDING INTEGRATED BH SERVICES AS WELL AS A MOUD TREATMENT PROGRAM. HOWEVER, A RECENT COMMUNITY HEALTH NEEDS ASSESSMENT SHOWS THAT THE NEED IS STILL HIGH, AND WAIT TIMES FOR LOCAL PROVIDERS CAN BE 4 WEEKS OR MORE. SMC PLANS TO USE BHSE FUNDING TO HIRE LICENSED BH STAFF, INCREASE MOUD PROGRAM OUTREACH, EXPAND BH SPACE IN CLINIC, AND INVEST IN TRAINING AND TECHNOLOGY TO INCREASE STAFF SKILLS AND EFFICIENCY. PROPOSED SERVICES: IN ORDER TO INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH/BEHAVIORAL HEALTH SERVICE, SMC PLANS TO DO THE FOLLOWING: HIRE AN ADDITIONAL LMFT AND A PROGRAM DIRECTOR/LICSW IN ORDER TO EXPAND PROVIDER CAPACITY. A MINOR A/R PROJECT WILL REMODEL CURRENT SPACE TO PROVIDE MORE OFFICE/GROUP SPACE FOR BH SERVICES. INCREASED TIME FROM SUPPORT STAFF WILL ALLOW FOR MORE ROBUST SCREENING, CARE COORDINATION AND CASE MANAGEMENT. IN ORDER TO INCREASE THE NUMBER OF PATIENTS RECEIVING SUD/MOUD SERVICES, SMC PLANS TO DO THE FOLLOWING: NEW EHR UPGRADES AN D STAFF TRAINING WILL MAKE UNIVERSAL SUD SCREENING EASIER TO PERFORM AND TRACK. GROUP MEETINGS FOR THERAPY AND SUD RECOVERY WILL EXPAND CURRENT SERVICES. INCREASED PROVIDER TRAINING AND COMMUNITY OUTREACH WILL INCREASE ENROLLMENT IN SMC’S SMALL MOUD PROGRAM. AS SUD ISSUES ARE STILL HEAVILY STIGMATIZED IN THIS RURAL COMMUNITY, EDUCATION AND OUTREACH WILL BE OFFERED AT ALL SMC SITES AS WELL AS LOCAL SCHOOLS, BUSINESSES AND COMMUNITY-BASED ORGANIZATIONS. POPULATION GROUPS SERVED: THE SMC SERVICE AREA INCORPORATES COOK COUNTY, MN AND THE GRAND PORTAGE RESERVATION. THE TOTAL POPULATION IS 5600 WITH A DENSITY OF 3 PEOPLE PER SQUARE MILE. THE POPULATION IS 91% WHITE AND 9% NATIVE AMERICAN. THE CURRENT DEMOGRAPHICS OF THE SMC MOUD PATIENT POPULATION ARE 57% NATIVE AMERICAN AND 43% WHITE. MOUD PATIENTS RANGE IN AGE FROM 20 YEARS OLD TO 70+. 35% OF THE PATIENT POPULATION IS OVER THE AGE OF 65. THE SERVICE AREA AS A WHOLE HAS A LOWER MEDIAN INCOME THAN THE STATE AND SIMILAR POVERTY RATES. UNEMPLOYMENT IS 3.5% HIGHER THAN THE STATE AVERAGE AND HOUSING, TRANSPORTATION, AND FOOD COSTS ARE HIGHER.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT ABSTRACT PROJECT TITLE: BEHAVIORAL HEALTH SERVICE EXPANSION APPLICANT ORGANIZATION: SAWTOOTH MOUNTAIN CLINIC HEALTH CENTER PROGRAM GRANT NO.: H80CS00496 ADDRESS: 513 5TH AVE. W., GRAND MARAIS, MN 55604 PROJECT DIRECTOR: KATE SURBAUGH EMAIL ADDRESS: KATE@SAWTOOTHMOUNTAINCLINIC.ORG CONTACT PHONE NUMBERS: 218-387-2330 X 159, 218-387-1278 (FAX) WEBSITE: WWW.SAWTOOTHMOUNTAINCLINIC.ORG FUNDING REQUESTED: $600,000 YEAR ONE, $500,000 YEAR TWO NEEDS AND PROPOSED PROJECT: SAWTOOTH MOUNTAIN CLINIC (SMC) IS LOCATED IN A REMOTE AREA OF THE MIDWEST, ENCOMPASSING COOK COUNTY, MN AND THE GRAND PORTAGE RESERVATION. IF LOCAL HEALTH CARE SERVICES ARE NOT AVAILABLE, RESIDENTS MUST DRIVE 2+ HOURS TO ACCESS SPECIALTY CARE. LIKE MANY RURAL COMMUNITIES, BEHAVIORAL HEALTH (BH) RESOURCES ARE SCARCE, ESPECIALLY SINCE THE PANDEMIC WHEN LOCAL PRIVATE PRACTICE CLINICS SHUTTERED. THE LOCAL SATELLITE CCBHC OFFICE CLOSED IN 2018 DUE TO LACK OF WORKFORCE. SMC HAS RISEN TO MEET THE GROWING COMMUNITY NEED BY ADDING INTEGRATED BH SERVICES AS WELL AS A MOUD TREATMENT PROGRAM. HOWEVER, A RECENT COMMUNITY HEALTH NEEDS ASSESSMENT SHOWS THAT THE NEED IS STILL HIGH, AND WAIT TIMES FOR LOCAL PROVIDERS CAN BE 4 WEEKS OR MORE. SMC PLANS TO USE BHSE FUNDING TO HIRE LICENSED BH STAFF, INCREASE MOUD PROGRAM OUTREACH, EXPAND BH SPACE IN CLINIC, AND INVEST IN TRAINING AND TECHNOLOGY TO INCREASE STAFF SKILLS AND EFFICIENCY. PROPOSED SERVICES: IN ORDER TO INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH/BEHAVIORAL HEALTH SERVICE, SMC PLANS TO DO THE FOLLOWING: HIRE AN ADDITIONAL LMFT AND A PROGRAM DIRECTOR/LICSW IN ORDER TO EXPAND PROVIDER CAPACITY. A MINOR A/R PROJECT WILL REMODEL CURRENT SPACE TO PROVIDE MORE OFFICE/GROUP SPACE FOR BH SERVICES. INCREASED TIME FROM SUPPORT STAFF WILL ALLOW FOR MORE ROBUST SCREENING, CARE COORDINATION AND CASE MANAGEMENT. IN ORDER TO INCREASE THE NUMBER OF PATIENTS RECEIVING SUD/MOUD SERVICES, SMC PLANS TO DO THE FOLLOWING: NEW EHR UPGRADES AN D STAFF TRAINING WILL MAKE UNIVERSAL SUD SCREENING EASIER TO PERFORM AND TRACK. GROUP MEETINGS FOR THERAPY AND SUD RECOVERY WILL EXPAND CURRENT SERVICES. INCREASED PROVIDER TRAINING AND COMMUNITY OUTREACH WILL INCREASE ENROLLMENT IN SMC’S SMALL MOUD PROGRAM. AS SUD ISSUES ARE STILL HEAVILY STIGMATIZED IN THIS RURAL COMMUNITY, EDUCATION AND OUTREACH WILL BE OFFERED AT ALL SMC SITES AS WELL AS LOCAL SCHOOLS, BUSINESSES AND COMMUNITY-BASED ORGANIZATIONS. POPULATION GROUPS SERVED: THE SMC SERVICE AREA INCORPORATES COOK COUNTY, MN AND THE GRAND PORTAGE RESERVATION. THE TOTAL POPULATION IS 5600 WITH A DENSITY OF 3 PEOPLE PER SQUARE MILE. THE POPULATION IS 91% WHITE AND 9% NATIVE AMERICAN. THE CURRENT DEMOGRAPHICS OF THE SMC MOUD PATIENT POPULATION ARE 57% NATIVE AMERICAN AND 43% WHITE. MOUD PATIENTS RANGE IN AGE FROM 20 YEARS OLD TO 70+. 35% OF THE PATIENT POPULATION IS OVER THE AGE OF 65. THE SERVICE AREA AS A WHOLE HAS A LOWER MEDIAN INCOME THAN THE STATE AND SIMILAR POVERTY RATES. UNEMPLOYMENT IS 3.5% HIGHER THAN THE STATE AVERAGE AND HOUSING, TRANSPORTATION, AND FOOD COSTS ARE HIGHER.