Central City Integrated Health

Wellness for the Mind, Body and Community

Detroit, MI   |  www.centralcityhealth.com

Mission

To achieve wellness in the community by providing an array of primary, dental and behavioral health care, housing and substance abuse services with dignity and respect.

Notes from the nonprofit

November 7, 2013 - Detroit Central City Community Mental Health received $793,000 in federal funding to create Southeast Michigan’s sixth federally qualified health center (FQHC). DCC's Midtown Detroit community health center provides integrated primary, dental and behavioral health services, along with housing and support services to its current clients, un/underinsured clients, residents of public housing, the community at-large and the homeless. DCC had 120 days to begin operation as a health center and opened its doors on March 3, 2014, expects to treat about 4,000 patients by the end of the second year and plans to continue its mission of providing behavioral health assistance to over 4,600 homeless and public housing residents diagnosed with severe and persistent mental illness. Additional employees will be hired to supplement DCC’s 124-employee workforce. Under the Patient Protection and Affordable Care Act, the U.S. Department of Health and Human Services awarded $150 million to 236 new health center sites, including Detroit Central City, to expand access to care in medically underserved areas. Grants supporting the community health center were also received from The Jewish Fund and Blue Care Blue Shield of Michigan Foundation to support services for the un/underinsured target population. Metro Health Foundation, The Carls Foundation, Flinn Foundation and Oliver Dewey Marcks Foundation support the expansion of the health center into a 5,000 sq. ft. permanent site.

Detroit Central City has begun the re-development of the vacant Charlotte Apartments into 27 one-bedroom units at Second and Charlotte in Detroit, expected to be completed by December 2014. Funding will draw on City of Detroit HOME Funds, MSHDA low income housing tax credits, Brownfield Tax Credits and $300,000 from The Home Depot Foundation. All housing units will be designed to meet HUD quality standards, MSHDA design and construction criteria and applicable codes. The complex will have a community room, computer lab, library, meeting rooms and a common laundry room. The units will serve individuals who meet the eligibility requirements defined as “Special Needs Residents” and homeless. Eligible veterans will be directed to DCC by veteran’s organizations and other area service providers. Four of the units will be specifically designed for mobility impaired residents.

Ruling year info

1973

President & CEO

Mr. Ryan Lepper

Vice President of Clinical Operations and Chief Medical Officer

Dr. Kimberly Farrow

Main address

17950 Woodward

Detroit, MI 48201 USA

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Formerly known as

Detroit Central City CMH

EIN

38-1986574

NTEE code info

Community Mental Health Center (F32)

Health Treatment Facilities (Primarily Outpatient) (E30)

Other Housing Support Services (L80)

IRS filing requirement

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Communication

Programs and results

What we aim to solve

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Our programs

SOURCE: Self-reported by organization

What are the organization's current programs, how do they measure success, and who do the programs serve?

Behavioral Treatment Services (Access, ACT, Case Management)

Outpatient Behavioral Health Services is the largest of all CCIH programs, using recovery focused principles to provide face-to-face and indirect services to over 1,600 adults at any given time, who are experiencing moderate to severe mental, emotional and/or substance abuse difficulties. Outpatient works to ensure that clients are provided with the services which will enable them to live in the least restrictive environment and optimize involvement in their community. Outpatient treatment services includes Integrated Dual Diagnosis Treatment (IDDT), Adult Foster Care, Substance Abuse Services, Assertive Community Treatment (ACT), Case Management and the Access Department. Age 18 or olderA resident of Wayne CountyDiagnosed with a primary axis one severe and persistent mental illnessSevere and persistent mental illness and/or a co-occurring chemical dependency which is accompanied by a significant functional impairmentA chemical dependency (must have active Medicaid benefits)Registered with the Detroit-Wayne County Community Mental Health Agency (D-WCCMHA) Your Choice ProgramMeet the access criteria established by D-WCCMHAACT provides care management, therapy and medication review services. A treatment team consisting of social workers, nurses and psychiatrists provide intensive treatment services, including 24-hour crisis intervention to adults diagnosed wtih a mental illness.

Population(s) Served

Assists persons in the transition from homelessness to safe, permanent housing.

Population(s) Served

Community Re-entry Services assist individuals who are returning to the community from Michigan prisons, or the Wayne County jail. These services are designed for individuals whose parole and probation conditions are contingent on their continued involvement with mental health services. These programs are collaborations between the Michigan Department of Corrections, the Wayne County Jail, the U.S. Department of Justice, the Detroit-Wayne County Community Mental Health Agency and DCC.

Population(s) Served

The Clubhouse is a voluntary program designed to address the needs of people with psychiatric disabilities as they manage their illness and rejoin the world of employment, education, family, and friends. People who come to the clubhouse are called members. The clubhouse offers them a welcoming environment where meaningful tasks need to be accomplished by the membershiself supportive, and productive. It is a holistic, recovery oriented approach where members practice the social skills needed to function in a community.The Detroit Central City initiative is a pilot program responsible for identifying and developing job opportunities while helping clients obtain employment. The philosophy of the program is based on the belief that individuals who are diagnosed with a severe and persistent mental illness have the right to work and are capable of securing and maintaining employment. Supported Employment helps clients obtain and maintain competitive employment opportunities.  A Job Club was created at the beginning of 2013 and occurs every Monday morning. Clients come dressed for success, work on resumes, job applications and attend job fairs.

Population(s) Served

CCIH is a Federally Qualified Health Center that provides comprehensive medical services to adults and children and serves as a Primary Care Medical Home to consumers.

Population(s) Served

CCIH provides comprehensive Dental services to children and adults.

Population(s) Served

CCIH provides an array of treatment services to those who are dealing with Substance Use Disorder including but not limited to individual and group therapy, medication assistance treatment and case management.

Population(s) Served

Where we work

Accreditations

Commission on Accreditation of Rehabilitation Facilities (CARF) - Behavioral Health - 3 Year Accreditation 2013

Federally Qualified Health Centers (FQHC) 2013

Awards

Achievement Award, Mental Health Court Pilot Program 2010

National Association of Counties

Affiliations & memberships

National Alliance for the Mentally Ill (NAMI) 2013

National Council of Community Behavioral Health Organizations 2013

Goals & Strategy

SOURCE: Self-reported by organization

Learn about the organization's key goals, strategies, capabilities, and progress.

Charting impact

Four powerful questions that require reflection about what really matters - results.

- The Board as Agency overseer will position itself to ensure it is helping DCC achieve its mission, vision and strategic goals.
- To remain on the cutting edge of service provision, DCC will increase and formalize policy/research activities that will keep the Agency abreast of funding and treatment changes and ensure the impact of those changes is promptly communicated to clients and staff.
- DCC will streamline services and design a system that will respond efficiently to changes resulting from its policy/research efforts and continue to meet the needs of persons served.
- Staff training will be prioritized and linked to Agency goals so staff will understand the impact of learning on the entire organization. Internal communication will be strategically structured to provide quick feedback to the Agency on the impact of Plan outcomes and Agency changes.
- The strategic focus will enable DCC to prioritize resources and devise an effective operational budget.
- Raising awareness of DCC programs and services will help increase revenues, provide new program opportunities and enhance DCC's influence in the government policy-making arena.

The Board's goal is to create a diverse Board with the skills and expertise needed to support and govern DCC effectively and keep the Agency focused in achieving its mission and vision. To achieve its goals, the Board will improve the Board recruitment process, develop a Board member retention plan and design a process to ensure members understand their roles and responsibilities.

To ensure that DCC's guiding values, namely service excellence and quality improvement, are effectively reflected in operations, the focus will be to change the internal perception of DCC's operational method from crisis management to prepared and focused by enhancing staff training and communications; expand DCC's client outreach process to enable response to a broader client base; and ensure programs and services remain relevant, effective and consistent with established best practices and evidence based care.

To establish an annual financial management plan that will help increase current funding levels and diversity revenue, DCC will increase and, at a minimum, maintain existing revenues; diversify revenues; and ensure that costs/expenses are commensurate with funding level.

To increase awareness of DCC's programs and services in the community and the impact of those programs on community health, DCC will enhance DCC's reputation as a Community Leader and craft a written annual development plan to address the critical points outlined during the strategic planning process.

To remain a relevant, viable organization able to respond effectively to community health needs, DCC will increase and formalize policy/research activities that will keep the Agency abreast of federal, state and local health policy changes, best practices and evidence based care; communicate to staff and stakeholders the impact of changes on DCC operations; and design a system that can efficiently adapt to the changing mental health landscape.

To assure staff has the necessary tools to meet the changes in the delivery of health care, DCC will develop a continuous learning environment that prioritizes staff training and ties it to strategic plan outcomes and program operations. This will help staff to align their daily activities with DCC's mission and vision. DCC also strives to improve productivity and staff morale.

Incorporated in 1971, Detroit Central City began with social workers providing assistance in public housing to becoming a community mental health center that now serves nearly 4,200 low-income Detroiters diagnosed with severe and persistent mental illness annually and 800 primary care patients in its FQHC. With the addition of substance abuse treatment, housing assistance and programs for persons reentering the community from jail or prison, DCC became a safety net provider for adults in Detroit and Wayne County. DCC has a professional staff of 127, including psychiatrists, therapists, case managers, nurses and peer mentors; approximately 36 student interns; an 18-member board of directors representative of the population served; and approximately 60 volunteers. DCC has been a safety net provider for behavioral health, public housing and a host of other services.

As a new access point for integrated health care, DCC joined the FQHC Council of Southeast Michigan and the Detroit Wayne County Health Authority Primary Care Network Council to coordinate care for the homeless and low-income population in Detroit. Formal agreements and contracts are in place to assure that health center patients receive necessary secondary and tertiary treatment, regardless of their ability to pay. DCC is a member of the Downtown Detroit Circle of Care, Homeless Action Network of Detroit and other community-based services to develop strategies for enhancing enrollment of this vulnerable population in The Healthy Michigan Plan.

DCC is an integral part of Wayne County’s jail and prison diversion programming and first provided re-entry services to those leaving state prisons over 20 years ago. Since the pilot program began in 2009, DCC has been the provider agency for the Mental Health Court’s early release program, a collaboration that includes the Third Judicial Circuit Court and Detroit Wayne Mental Health Authority, offering treatment options to the court by providing alternatives to prosecution. DCC provides jail diversion services that reduce significantly the number of days an individual is incarcerated, reducing the jail population.

DCC is a member of Michigan Primary Care Association, NAMI-Michigan and National Council for Behavioral Health.

Detroit Central City Health Center opened its doors in March 2014 in a temporary two-exam room office and has begun a capital campaign to expand operations to a 5,000 sq. ft. location at its current site. DCCHC is utilizing nurse practitioners with a collaborating family practice physician to provide integrated health care in a nurse managed clinic model and is offering a wide range of family practice services on site with referral agreements to neighboring health care providers for specialty services.

DCC’s mission has evolved to provide effective, evidenced-based mental health and substance abuse treatment, permanent housing, employment assistance, literacy enhancement and support services to persons in our community struggling to cope with stressors of illness. Services provided by DCC enhance consumers’ ability to have productive lives in their community and promote improved quality of life. In 2013, after a two-year study of the community, DCC’s Board of Directors made an integral revision to the mission statement to include physical health care, and DCC submitted an application to become a Federally Qualified Health Center (FQHC) which was granted. Within 120 days of the award, DCC opened an integrated health center in March 2014 and is now providing primary health care to the homeless, residents of public housing and the community at large, including families, children and veterans.

In 2012, DCC revitalized the neighborhood by renovating a 1940s gas station into a pharmacy and building a community garden; began an innovative outreach to parents with potentially at-risk children; and trained staff to engage young adults age 18-28 who are being released from jail prior to being diagnosed with SPMI. Another neighborhood revitalization project, to be completed by the end of 2014, will renovate a vacant apartment building within walking distance of the agency to house homeless, with a focus on homeless veterans.

DCC is the first community mental health agency in Wayne County to receive the National Health Service Corps designation as an approved practices service site. Programs such as an FQHC and NHSC will insure that DCC continues to provide a comprehensive array of medical services to our community.

At the beginning of 2013, Governor Snyder created a 14-member Mental Health Diversion Council within the Department of Community Health to develop a method of diverting individuals with mental illness or substance abuse problems out of the criminal justice system and into appropriate treatment. Because DCC is recognized for its expertise in the criminal justice system, President & CEO Irva Faber-Bermudez was chosen as a member of the council.

Financials

Central City Integrated Health
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Operations

The people, governance practices, and partners that make the organization tick.

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Central City Integrated Health

Board of directors
as of 04/27/2022
SOURCE: Self-reported by organization
Board co-chair

Ms. Janice McCrary


Board co-chair

Mr. Alphonso Bermea

Wilhemena Jones

Director of Personnel, DPI

Karin Plummer

Karin Plummer Ministries

Janice McCrary

University of Phoenix

Daniel Spyker

Community Volunteer

Jessica Pappas

Fusco Schaffer & Pappas, Inc. Architects & Planners

Shereeda Carr

Coalition On Temporary Shelter

Board leadership practices

SOURCE: Self-reported by organization

GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.

  • Board orientation and education
    Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes
  • CEO oversight
    Has the board conducted a formal, written assessment of the chief executive within the past year ? Yes
  • Ethics and transparency
    Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes
  • Board composition
    Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes
  • Board performance
    Has the board conducted a formal, written self-assessment of its performance within the past three years? Yes