Since 2011, CBC has been a leader in the coordination of community-based services aimed at the improvement of population health and community stability.
Established one of the largest Health Homes in New York City with over 17,000 enrolled members and 4,000 individuals receiving outreach and engagement services in the five boroughs.
Connected by a leading health information technology platform, CBC’s 50+ care management agencies have a broad range of cultural, language and population competencies.
Contracted with more than 10 managed care organizations to provide Health Home services to their eligible members, as well as with many of the leading medical centers in New York City.
Launched an Independent Practice Association (IPA) to integrate a citywide comprehensive service network that includes:
- Primary care, mental health services and substance use treatment services;
- Housing programs, recovery and support services;
- Home and community based services; and
- Assistance with concrete needs such as food and transportation.
Designed and implemented a New York State grant-funded pilot program — Pathway Home — to provide effective care transition services to long-stay psychiatric inpatients.
- The New York State Office of Mental Health (OMH) assumed funding responsibility in 2016 and made additional investments to expand the program’s reach and impact, currently at five teams, serving over 300 individuals yearly.
Launched Staten Island CARES (SICARES) to provide health coaching support to SI residents with chronic health conditions and assist in securing access to needed treatment and social services.
Expanded Health Home services to include care for children with a history of complex trauma, serious medical conditions, and/or serious behavioral health conditions.
Expanded the service network which now includes:
- 77 Licensed Mental Health Clinics
- 5 Federally Qualified Health Centers (FQHCs)
- 31 Licensed Outpatient Addiction Treatment Programs/Clinics
- 47 Health Home Care Management Agencies
- +8,000+ Supportive Housing Beds with Supportive Services
- 29 OMH-Licensed ACT Programs
- 18 OMH-Licensed PROS Programs
- 54 Licensed Transitional Residential Programs
- 65 HCBS Waiver Service Programs
- Citywide network including food pantries, entitlement services, transportation, vocational/employment, clubhouses, mobile outreach, settlement houses, and many other social and human services
Partnered with the Bronx Partners for Healthy Communities (BPHC) PPS and Project Renewal to offer a customized Pathway Home-like model of Critical Time Intervention for those completing an inpatient mental health admission who are concurrently unstably housed.
CBC was awarded the maximum Behavioral Health Care Collaborative (BHCC) funding to develop its IPA network.
CBC’s Bronx Pathway Home/CTI Team exceeded outcome performance benchmarks and successfully achieved a 85% reduction in hospital days – comparing pre- and post-intervention IP/ED utilization.
Bronx Partners for Healthy Communities (BPHC) extended contract with CBC and Project Renewal’s Bronx Pathway Home/CTI Program for a second DSRIP year.
BPHC also awarded a new grant to CBC and Project Renewal to launch a second program called Bridge Home. The Bridge Home model is a 30-day community-based intervention designed to support individuals leaving an inpatient mental health hospitalization to address immediate needs and connect these individuals to outpatient treatment and services.
CBC developed a novel community-based hot-spotting program that engages high utilizers of inpatient and emergency services and works to connect these individuals to community services while closing gaps in care. CBC in partnership with The Bridge was awarded through the Mount Sinai PPS a hot-spotting program called: Community Outreach for Recovery and Engagement (CORE) and CBC in partnership with Project Hospitality was awarded through the Staten Island PPS another hot-spotting program called Helping, Engaging, and Linking to Health interventions (HEALTHi).