Empowering communities through integrated healthcare

Mental illness, when combined with chronic physical health conditions, affects all areas of a person’s life and may result in complex challenges to overcome. In such instances, Centerstone’s Certified Community Behavioral Health Clinics (CCBHCs) use a coordinated, whole-person model of care to help individuals improve overall health and maintain active and fulfilling lives.

CCBHCs strive to provide essential services directly or through partnerships. These include:

  • Crisis Services
  • Treatment Planning
  • Screening, Assessment, Diagnosis & Risk Assessment
  • Outpatient Mental Health & Substance Use Services
  • Targeted Case Management
  • Outpatient Primary Care Screening and Monitoring
  • Community-Based Mental Health Care for Veterans
  • Peer, Family Support & Counselor Services
  • Psychiatric Rehabilitation Services

Journey to Integrated Healthcare

At Centerstone, the process of transforming clinic locations to CCBHCs began in 2018 through funding from the Substance Abuse and Mental Health Services Administration (SAMHSA). This funding allows our awarded clinics in Florida, Illinois, Indiana, and Tennessee to provide patient- and family-centered, recovery-oriented, wellness-focused and integrated primary and behavioral care for both adults and children. Evidence shows that integrating behavioral and physical healthcare and prevention services through care coordination can lead to better outcomes. Currently, Centerstone operates 7 federally-funded CCBHCs across these four states.

Each state clinic location has been able to utilize SAMHSA funds to expand access to care and improve clinic infrastructure and staffing. In Tennessee, Medication Assisted Treatment services were expanded; In Indiana, a Federally Qualified Health Center (FQHC) was set up for integration of primary health care needs; In Illinois, intensive case management was implemented to assist clients with serious mental illness; And in Florida, a suicide pathway and Cognitive Behavioral Therapy (CBT) for insomnia was implemented.

Centerstone’s comprehensive array of evidence-based practices creates access, stabilizes people in crisis, and provides treatment and support services emphasizing recovery, wellness, trauma-informed care, and primary-behavioral health integration.

To learn more about the services provided at Centerstone or to schedule an appointment, give us a call at 1-877-HOPE123 (1-877-467-3123).

Understanding the History and Future of CCBHCs

The main objective of receiving federal CCBHC funding is to work towards meeting all CCBHC criteria outlined by the Department of Health and Human Services (HHS), while also engaging state-wide stakeholders to build support for funding the CCBHC model at the state-level. Once a state attains buy-in from stakeholders and becomes a demonstration, time-limited enhanced federal funding is provided to help states identify pathways for sustaining the model once this funding expires.

  • To learn more about the overall evolution of the CCBHC model and Centerstone’s efforts to integrate it, explore the timeline below.
 
 
2014
 
 
 
 
 
 
 
National CCBHC Milestone

2014

Section 223 of the Protecting Access to Medicare Act of 2014 initially authorized the demonstration program to begin certifying community behavioral health clinics (CCBHCs). The Excellence in Mental Healthcare Act established the criteria for the nine required services and reimbursement

 
 
2015
 
 
National CCBHC Milestone

2015

Department of Health and Human Services (HHS) released original CCBHC Certification Criteria. 24 State Planning Grants awarded by SAMHSA

 
 
 
 
 
 
 
2016
 
 
 
 
 
 
 
National CCBHC Milestone

2016

Eight states selected to participate in the Section 223 CCBHC Demonstration (MN, MO, NY, NJ, NV, OK, OR, and PA)

 
 
2018
 
 
National CCBHC Milestone

2018

First 52 CCBHC-Expansion Grants awarded under Section 520A (42 USC 290bb-32) of the Public Health Service Act, as amended

 
 
 
 
 
Centerstone Icon Centerstone CCBHC Milestone

2018

Centerstone applies for and receives the first expansion grant from SAMHSA in Illinois and Indiana

 
 
2020-21
 
 
National CCBHC Milestone

2020-21

Additional States added to the Section 223 CCBHC Demonstration (KY and MI, authorized by Coronavirus Aid, Relief, and Economic Security Act)

 
 
 
 
 
Centerstone Icon Centerstone CCBHC Milestone

2020-21

Centerstone applies and receives the first expansion grant in Tennessee and Florida. Centerstone applies and receives the second expansion grant in Indiana and Illinois

 
 
2022
 
 
National CCBHC Milestone

2022

Bipartisan Safer Communities Act authorizes addition of up to 10 states to the Demonstration every two years

 
 
 
 
 
Centerstone Icon Centerstone CCBHC Milestone

2022

Expansion grants for all states end in September. Centerstone applies and receives four-year Improvement & Advancement grants through 2026 in Indiana, Tennessee, and Florida

 
 
2023
 
 
National CCBHC Milestone

2023

Up to 15 Planning Grants awarded and updated Certification Criteria released

 
 
 
 
 
Centerstone Icon Centerstone CCBHC Milestone

2023

Centerstone applied and received four additional grants: three planning, development, and implementation grants for new clinic locations in Carbondale, IL; Fort Myers, FL; and Tullahoma, TN; and one Improvement and Advancement grant to continue efforts for the first Centerstone of Illinois CCBHC clinic in Alton, IL.

 
 
2024-2026+
 
 
Centerstone Icon Centerstone CCBHC Milestone

2024

Centerstone clinics in Bloomington, IN; Bradenton, FL; and Clarksville, TN work towards meeting certification criteria to become a demonstration state. The newly funded Centerstone clinics in Alton, IL; Carbondale, IL; Fort Myers, FL; and Tullahoma, TN will build the infrastructure to meet CCBHC criteria.

 
 
 
 
 
National CCBHC Milestone

2024-2026+

Add up to 10 Additional Demonstration States

Add additional Demonstration States every two years


  • CCBHC Cross-Site Analysis Packet

    This document includes analyses of all data collected by Certified Community Behavioral Health Clinics (CCBHCs) from 2018 through 2022. Use the table of contents to delve into specific topics covered. Here you will find National Outcomes Data, information on diagnoses, telehealth utilization, hospital and emergency room data collected, and further recommendations based on our findings.

  • CCBHC Cross-Site Recommendations Summary

    This document summarizes the recommendations also located in the main cross-site packet. Recommendations for clinical improvement and further areas to explore were made based on experiences collecting and analyzing data from the EHR, populations found to be underrepresented in the Certified Community Behavioral Health Clinics (CCBHC) sample, and client outcomes observed throughout the evaluation.

From understanding the core differences between CCBHCs and traditional clinics to witnessing the remarkable outcomes and effectiveness of this model, our videos serve as a rich resource for knowledge and insights.

CCHBC vs Community Mental Health Center
Learn about the unique aspects of the CCBHC model, the types of comprehensives services CCBHCs are required to offer, and how it addresses challenges experienced by traditional community mental health centers (CMHCs).
Cross-site CCBHC Outcomes
Now that you know about the CCBHC model, learn about how sustaining whole-person care influenced clients’ experiences and outcomes across all four clinics, including their mental health, substance use, and overall quality of life after six months of treatment.
Special Populations & Social Determinants of Health
The CCBHC model aims to provide equitable, affordable, timely, and quality community behavioral health services to everyone regardless of their background or ability to pay. This emphasizes the importance of practicing cultural competence and addressing social determinants of health during treatment, so we provide a breakdown of special populations served by our CCBHC clinics.
Sustainability & Improving Care
Remember how the CCBHC model allows clinics to provide services according to their community’s unique needs? Here we provide the history behind the CCBHC initiative and how each clinic is working towards implementing and sustaining equitable and comprehensive care.

Please note videos were created based on 2018-2022 CCBHCs. Since 2022, we have 4 new CCBHCs that we will add (where relevant) to these videos in the near future.

One pagers will be updated once the next Cross-Site Analysis is completed between 2026-2027.

If any new advancement and/or discoveries are made prior to 2026-2027, we will be sure to share here!

  • Who Can Become a CCBHC?

    This resource outlines the eligibility criteria for organizations that can become a CCBHC in compliance with the Protecting Access to Medicare Act (PAMA).

  • What Criteria Does a CCBHC Need to Meet?

    Substance Abuse and Mental Health Services Administration’s (SAMHSA) certification criteria for CCBHCs.

  • CCBHC Success Center

    The National Council for Mental Wellbeing’s Certified Community Behavioral Health Clinic (CCBHC) Success Center serves as a resourceful hub offering data, implementation support, and advocacy to bolster the CCBHC initiative.

Centerstone’s Bradenton Clinic in Bradenton, Florida received its first two-year CCBHC-E grant in 2020 funded by The Substance Abuse and Mental Health Services Administration (SAMHSA). Currently, using the CCBHC Improvement and Advancement Grant awarded in 2022, the clinic continues to transform community behavioral health systems and provide comprehensive, integrated, coordinated, and person-centered behavioral health care. Additionally, in October 2023, Centerstone received a Planning, Development, and Implementation Grant to create a CCBHC in Fort Myers, Florida which will help fill key service gaps in the area and target crisis needs.

Services are made available to any individual, children, adolescents, and adults, seeking care for a mental and/or substance use disorder, in addition to individuals experiencing a mental health or substance use-related crisis. Through CCBHC funding, the Bradenton Clinic has increased capacity by hiring more providers. This includes nursing staff at the walk-in center to aid in addressing any physical health care needs. Identified as an area of need in our 2023 community needs assessment, the clinic staff work to better serve groups facing unique health disparities such as individuals with co-occurring disorders, individuals from minority groups, and individuals with limited English proficiency.

Want to help us improve access to Behavioral Health Services in your community?

Join the Community Advisory Board

In order to stay engaged with our community members, we meet 3 times a year with our advisory board made up of clients and family members. Join our 45-60 minute meeting virtually to discuss mental health needs in the community and learn more about what Centerstone can offer.

Sign Up Sheet

Take a Survey!

This Community Needs Assessment survey helps us understand the Mental Health and Substance Use needs of our community and the barriers to treatment that need to be addressed.

Needs Assessment Survey

Attend Community Health Events:

See below for information about important health events in your area!

Events

Florida CCBHC Clinics

Hendry Hendry Okeechobee Okeechobee Glades Glades Liberty Liberty Calhoun Calhoun Lafayette Lafayette Suwannee Suwannee Union Union Gilchrist Gilchrist Bradford Bradford Clay Clay Putnam Putnam Alachua Alachua Lake Lake Sumter Sumter Marion Marion Seminole Seminole Orange Orange Osceola Osceola Polk Polk Hardee Hardee De Soto De Soto Highlands Highlands Bay Bay Gulf Gulf Franklin Franklin Wakulla Wakulla Taylor Taylor Dixie Dixie Levy Levy Citris Citris Hermando Hermando Pasco Pasco Pinellas Pinellas Hillsborough Hillsborough Manatee Manatee Sarasota Sarasota Charlotte Charlotte Lee Lee Collier Collier Monroe Monroe Dade Dade Broward Broward Palm Beach Palm Beach Martin Martin St. Lucie St. Lucie Indian River Indian River Brevard Brevard Volusia Volusia Flagler Flagler St. Johns St. Johns Duval Duval Nassau Nassau Baker Baker Columbia Columbia Hamilton Hamilton Madison Madison Jefferson Jefferson Leon Leon Gadsen Gadsen Jackson Jackson Walton Walton Okaloosa Okaloosa Santa Rosa Santa Rosa Escambia Escambia Washington Washington Holmes Holmes Bradenton Fort Meyers

The Centerstone clinic in Alton, Illinois received its first CCBHC expansion grant in 2018. The second CCBHC Improvement and Advancement (IA) Grant was awarded in 2020 and ended in May of 2023. In October 2023, the Alton Clinic received another CCBHC IA grant which will support services until 2027. Additionally in October 2023, the Carbondale Clinic received their first Planning, Development, and Implementation (PDI) grant which will allow this clinic location to expand services and better serve the local community’s behavioral health care needs.

Our implementation and expansion is focused on ICM – Intensive Case Management, which employs peer specialist, counselors, and clinicians that work to support clients in accomplishing long-term case goals and outcomes over relatively short periods of time.

CCBHC funding also supported the creation of telehealth rooms in our facility prior to the COVID-19 pandemic which was instrumental to our readiness for virtual care. We started experimenting with using telehealth therapists at the start of the pandemic and have found much success utilizing this mode of care delivery when necessary.

Case management, individual and group wellness coaching, and peer support services not covered by insurance have also been supported by the CCBHC grant. Our MAIN goal has been working with the State Mental Health Association to become a demonstration state which will ensure continued success of the communities and clients in which we serve.

While working on developing a state-funded CCBHC model, Centerstone will continue expanding and making improvements to services through the CCBHC IA Grant at the Alton Clinic and CCBHC PDI grant at the Carbondale Clinic through 2027.

Illinois CCBHC Clinics

Jackson Jackson Union Union Williamson Williamson Perry Perry Franklin Franklin Kendall Kendall DuPage DuPage Grundy Grundy Kane Kane DeKalb DeKalb Ogle Ogle Livingston Livingston Coles Coles Cumberland Cumberland Douglas Douglas Ford Ford Champaign Champaign McDonough McDonough Morgan Morgan Schuyler Schuyler Brown Brown Scott Scott Macoupin Macoupin Greene Greene Henry Henry Jasper Jasper Bureau Bureau Lee Lee Knox Knox Warren Warren Christian Christian Piatt Piatt Macon Macon McLean McLean Moultrie Moultrie Woodford Woodford LaSalle LaSalle Logan Logan Effingham Effingham DeWitt DeWitt Tazewell Tazewell Putnam Putnam Menard Menard Montgomery Montgomery Shelby Shelby Marshall Marshall Clay Clay Marion Marion Jefferson Jefferson Fayette Fayette Peoria Peoria Stark Stark Cass Cass Mason Mason Fulton Fulton Sangamon Sangamon Monroe Monroe Adams Adams Pike Pike Jersey Jersey St. Clair St. Clair Carroll Carroll Calhoun Calhoun Whiteside Whiteside Hancock Hancock Rock Island Rock Island Henderson Henderson Mercer Mercer Madison Madison Gallatin Gallatin Hardin Hardin Lawrence Lawrence Pope Pope Massac Massac Randolph Randolph Alexander Alexander Pulaski Pulaski Johnson Johnson Wayne Wayne Saline Saline Hamilton Hamilton Edwards Edwards Richland Richland Clinton Clinton Crawford Crawford Washington Washington Bond Bond Cook Cook McHenry McHenry Boone Boone Lake Lake Stephenson Stephenson Winnebago Winnebago Clark Clark Jo Daviess Jo Daviess Edgar Edgar Vermilion Vermilion Iroquois Iroquois Kankakee Kankakee Will Will White White Wabash Wabash

The Centerstone Clinic in Bloomington, Indiana received its first CCBHC expansion grant in 2018, its second in 2020, and now utilizes the CCBHC-IA (Improvement and Advancement) Grant, which was awarded in 2022 and provides funding through 2026.

Through the three CCBHC SAMHSA grants over the past 5 years, the Bloomington clinic has facilitated a shift toward integrative health care (in-line with CCBHC requirements), which we, as an organization, call whole health care. CCBHC grant-funded staff have enabled the delivery of whole health care services at Centerstone through the provision of health coaching, life skills, health education (individual and groups), and general health assessments & reassessments for all clients. CCBHC grant-funded staff support our walk-in clinic (Same Day Access) through the provision of intake assessments, therapy, case management, medical record access/coordination, and integrated care coordination (both internally and externally), especially for those who are un-/under-insured. Additionally, CCBHC grant funds are used to provide hospital inpatient intake assessments, as well as intake assessments for probation & problem-solving court clients. At the administrative level, CCBHC grant staff are engaged in numerous whole health workgroups and projects, which are supporting and guiding Centerstone of Indiana in the implementation and delivery of whole health care.

Indiana CCBHC Clinics

Brown Brown Carroll Carroll Cass Cass Clark Clark Clay Clay Clinton ” /> Clinton Crawford Crawford Daviess Daviess Dearborn Dearborn Decatur Decatur DeKalb DeKalb Delaware Delaware Dubois Dubois Elkhart Elkhart Fayette Fayette Floyd Floyd Fountain Fountain Franklin Franklin Fulton Fulton Gibson Gibson Grant Grant Greene Greene Hamilton Hamilton Hancock Hancock Harrison Harrison Hendricks Hendricks Henry Henry Howard Howard Huntington Huntington Jackson Jackson Jasper Jasper Jay Jay Jefferson Jefferson Jennings Jennings Johnson Johnson Knox Knox Kosciusko Kosciusko LaGrange LaGrange Lake Lake LaPorte LaPorte Lawrence Lawrence Madison Madison Marion Marion Marshall Marshall Martin Martin Miami Miami Monroe Monroe Montgomery Montgomery Morgan Morgan Newton Newton Noble Noble Ohio Ohio Orange Orange Owen Owen Parke Parke Perry Perry Pike Pike Porter Porter Posey Posey Pulaski Pulaski Putnam Putnam Randolph Randolph Ripley Ripley Rush Rush St. Joseph St. Joseph Scott Scott Shelby Shelby Spencer Spencer Starke Starke Steuben Steuben Sullivan Sullivan Switzerland Switzerland Tippecanoe Tippecanoe Tipton Tipton Union Union Vanderburgh Vanderburgh Vermillion Vermillion Vigo Vigo Wabash Wabash Warren Warren Warrick Warrick Washington Washington Wayne Wayne Wells Wells White White Whitley Whitley Adams Adams Allen Allen Bartholomew Bartholomew Benton Benton Blackford Blackford Boone Boone

The Harriett Cohn Clinic in Clarksville, Tennessee received its first CCBHC expansion grant in 2020. The second CCBHC Improvement and Advancement Grant was rewarded in 2022 and is ongoing through 2026. In 2023, the Tullahoma Clinic located in Tullahoma, Tennessee received their first Planning, Development, and Implementation grant which will be ongoing until 2027.

The CCBHC project has supported the implementation and expansion of Medication Assisted Treatment (MAT) at the facility by employing full-time providers and nurses. MAT services are offered in-person and via telehealth. Case management, individual and group wellness coaching, and peer support services not covered by insurance have also been supported by the CCBHC grant. Current funds are being used to expand and sustain substance use treatment and follow-up care post-rehab, including Intensive Outpatient (IOP) group therapy, particularly for underinsured populations.

In order to stay engaged with our community members, we meet quarterly with our advisory board made up of clients and family members.

Tennessee CCBHC Clinics

Washington Wash- ington Hamilton Hamilton Bradley Bradley Knox Knox McMinn McMinn Marion Marion Loudon Loudon Hamblen Hamb- len Pickett Pickett Clay Clay Hawkins Hawkins Grainger