The 26 centers, spread across Massachusetts, are part of a state initiative to increase access to mental health care.
On a recent weeknight, mental health clinicians Nokson Ugah and Madalena Andrade sat in front of computers and phones in the call center of a community behavioral health center in East Boston. They were gearing up for a long night. Theis open 24/7, and their goal when staffing it is to help people in the midst of mental health crises.
The crisis interventions are one one of several levels of care Massachusetts community behavioral health centers, or, are required to offer. They also have to provide urgent care for mental health needs that aren't quite a crisis, routine ongoing care, and voluntary overnight care in what are known as community crisis stabilization units, which can be separate from the centers' outpatient facilities.launched by former Gov.
Higgins said she quickly got an appointment for therapy. Then, she entered a five-day-a-week intensive outpatient program at the CBHC. The program included group therapy and visits with a recovery coach.North Suffolk has offered mental health care in East Boston for more than 60 years. But it had to bring all of its outpatient services together under one roof and expand its hours to become a community behavioral health center.
She compiled data that shows the jump in demand was particularly striking in one age group: children. In April 2023, the staff saw a 450% increase in children entering services as compared to April of 2022. Last May, child intakes spiked 840% compared to the same month a year earlier. In East Boston, center leaders said they've run out of space to accommodate all of the additional clinicians and other workers needed to serve their growing client list. This has led to concerns about their ability to provide quality care for such a large population.
“We really wanted to bring the community into this building," Greiner-Ferris said,"to make this a space that doesn't feel blocked off or dreary or hidden from anybody." Unlike MassHealth, which pays higher reimbursements to CBHCs than to some other mental health care providers because the centers are part of a state initiative, many private insurers don't cover the full menu of CBHC services.
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