Vermont Screening, Brief Intervention, and Referral to Treatment (SBIRT)
Within this 5-year SAMHSA grant, C4BHI trains healthcare professionals in SBIRT evaluates SBIRT implementation efforts and provides regular and frequent technical assistance to sites. As part of this effort, SBIRT has been integrated into multiple colleges, hospitals, and community settings. Evaluation efforts have focused on assessing substance use and mental health prevalence among teens, young adults, and adults; implementation of SBIRT within college campus settings, patient outcomes among college students receiving recovery services and supports via a smartphone app; and patient outcomes post-SBIRT intervention.
Outreach Development Corporation’s SAMHSA CMHS CCBHC (proposal)
C4BHI is the evaluator of a four-year, SAMHSA-funded effort to establish an integrated system of care within ODC’s Richmond Hill location. The purpose of a CCBHC is to provide nine core integrated services to increase access and improve client outcomes by ensuring holistic care coordination and service delivery. C4BHI serves two roles including assisting with the Community Behavioral Health Needs Assessment and serving as the evaluator for the establishment and implementation of the CCBHC. C4BHI oversees all aspects of evaluation from establishing evaluation goals, monitoring implementation and providing quality improvement feedback, and examining patient outcomes over time.
Vermont Department for Mental Health’s Pediatric Mental Health Care Access (PMHCA)
C4BHI is the evaluator of the 5-year VPMHCA Program grant from the Health Research and Services Administration (HRSA). The project aims to establish a centralized hub for integrated care and offer rapid consultation access to child psychiatrists for primary care providers. We are ensuring that data are gathered for all reporting requirements and helping to inform programmatic improvements. Through monthly reports, we are disseminating the project progress indicators. Through expansion funding, evaluation activities also include evaluating Trauma Informed Care training for emergency departments and education opportunities for mental health providers.
Community-based Assessment and Treatment for Adolescents and Families to Launch Interventions for Substances and Trauma (CATALIST)
The Washington Baltimore HIDTA is currently funding the CATALIST program in 2 regions to establish early intervention, co-occurring substance use and mental health treatment, and recovery support services for youth and their families. C4BHI serves as the lead evaluator which to date, has included devising an evaluation plan, executing the plan including identifying data collection measures, the data collection process, analysis, and reporting. As part of the evaluation, C4BHI has initiated both quantitative and qualitative data collection efforts to not only examine the effectiveness of CATALIST but also to elicit youth and caregiver feedback on how CATALIST was or was not helpful in addressing co-occurring issues.
Health Research and Services Administration's (HRSA) Northern Region Rural Workforce Development
C4BHI is evaluating this infrastructure initiative designed to grow the behavioral health workforce by increasing recovery coaching.
Vermont Mental Health and Addiction Recovery’s (VAMHAR) Northern Region Rural Workforce Development
The Vermont Recovery Network is a non-profit organization that supports the provision of recovery support services for people who have experienced problems resulting from drug and alcohol use. C4BHI has been providing evaluation services to help measure, report, and build on the impact of these services. Currently, C4BHI is evaluating an infrastructure initiative designed to grow the behavioral health workforce by increasing recovery coaching.
Adventist Health - Community Well-Being Division
Adventist Health is an integrated health system that serves more than 80 communities on the West Coast. It is wrapping up a three-year project that aims to collaboratively measure the Adventist Health Blueprint for Well-Being and present an iterative model of community transformation. C4BHI is conducting the evaluation of this complex care pilot in five California communities. One part of the evaluation activities involves measuring partner engagement, sustainability, and scalability of efforts. Another involves building a performance management system that will aid in setting programmatic foundations, improve implementation processes, and measure the impact of community-based initiatives. We have also aided in the creation of Community Health Needs Assessments for most of their hospitals and will work with them to evaluate their Community Health Improvement Strategies.
Enhancing the Quality and Integration of Treatment for Youth (EQuITY) Equity
We are evaluating New York State’s Office of Alcohol and Substance Abuse Services SAMHSA-funded effort to increase access to evidence-based family treatment for adolescent substance abuse and co-occurring mental health needs in Queens and Long Island, NY. The primary treatment provider is the Outreach Development Corporation. Evaluation efforts include evaluating the implementation of the grant, the effectiveness of the model on patient outcomes, and the fidelity in the use of all EBPs.
Intend Health Strategies
Intend Health Strategies is dedicated to improving primary care services around the county through leadership development and community building. They provide a range of services to medical professionals and medical students to develop the use of Relational Leadership™ and other provider wellness skills. PCP engaged C4BHI to evaluate its core services and to build evaluation capacity across the organization. Evaluation efforts have included a mixed-methods study of a public health program for medical students, and the development of a training evaluation system. Capacity-building goals will allow PCP to utilize high-quality outcome data, publish their work, create a performance improvement culture, and assist with funding opportunities.
Refocus on Alcohol Deoebdebce (ROAD) – Washington County Collaboration
The ROAD program is designed to help people quit or reduce risky drinking. ROAD is a pilot project whose aim is to make getting help easier and more accessible by using a low-barrier approach to AUD care that is designed to help people get the help they need when they needed it. Partners include Central Vermont Medical Center, Treatment Associates, and the Turning Point Center of Central Vermont. Evaluation efforts are focused on evaluating service initiation and engagement as well as reductions in drinking alcohol over time.
Hartford County Public Schools
C4BHI serves as a qualified vendor for Maryland’s Hartford County Public School system, evaluating various programs and efforts within the district.
Central Vermont Medical Center - Rural Communities Opioid "Safe Harbor"
C4BHI is the lead evaluator on the HRSA-funded rural opioid "Building Safe Harbor" implementation grant for Central Vermont Medical Center (CVMC). Early on, C4BHI provided technical assistance and evaluation during a planning grant which consequently resulted in a three-year implementation grant award. C4BHI's continued involvement and evaluation efforts with CVMC’s substance misuse consortium of 30 + involved entities and numerous community stakeholders is helping to spearhead a county-wide focus to address substance misuse and measure the collective impact on workforce development, prevention, treatment, and recovery. C4BHI team’s evaluation plan is dynamic and ongoing - allowing for required federal data collection and community-level markers of success. C4BHI evaluators are ensuring the process is guided by the voices of those involved through weekly meetings to help develop both required and non-required data collection, and data dashboards to regularly disseminate outcomes and lessons learned.
West Tennessee - Rural Communities Opioid Response
Evaluating implementation efforts of a substance use service coalition from prevention through to recovery in West Tennessee. This is part of the Rural Communities Opioid Response Grant.
Building Strong Families
The University of Vermont Children’s Hospital’s Outpatient Pediatric Clinic and the Janet S. Munt Family Room established this community-based pediatric clinic for refugee and immigrant families. The focus is currently on support groups for New American families with children with Autism. C4BHI continues to assist with evaluation efforts for this important community resource.