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What is C-5 Rural

C5-Rural is a collaborative healthcare network with members from Lasalle, Bureau, Marshall and Putnam counties in the state of Illinois with the purpose of bringing together primary care providers, mental health providers, complementary care and community-based providers in order to develop integrative care strategies that bridge gaps in rural mental health and substance use prevention, treatment and recovery in new and innovative ways. C5-Rural will achieve efficiencies, coordinate and improve the quality of behavioral healthcare services, and expand access to services that treat social determinants of health. Collaborative mental health care is an evidence-based, research-driven paradigm that acknowledges the legitimacy of conventional as well as select complementary and community services, recommending specific treatment combinations supported by research findings. Using all available options we will expand the type of currently available behavioral healthcare for rural people, by providing person-centered care that focuses on the whole person, emphasizing wellness and lifestyle while addressing the range of complex biological, social-emotional, psychological, cultural, and spiritual/religious factors that are determinants of mental health.

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The Need

Lasalle, Bureau, Marshall and Putnam counties exhibit abnormally high mental illness, suicide, and disability due to mental illness or substance use disorder, and these areas are federally-designated health professional shortage areas in primary care and mental health. Current models of mental health care and treatment options fall short of adequately addressing the need. “Mental health” and “wellness” have been prioritized on county-wide health assessments for more than a decade, and few sustainable solutions have come forth.

The first populations of focus are youth and young adults, ages 12-35 years. Our data show that approximately 40% of all suicide attempts in our region occur in this age range, and 84% of teen survey respondents report past or present struggles with depression, suicidal thoughts, or extreme/prolonged stress or anxiety with less than half receiving necessary help. As we approach these needs as a network, our data show that we must pay careful attention to using age- and culturally-relevant information sharing mechanisms, providing social support and mentoring, finding ways to overcome the inordinate stigma, and providing services regardless of one’s ability to pay. Moreover, to truly meet the need, our network is designing ways to help our youth prioritize their own health and wellness, empowering them to self-drive their own care rather than passively receiving care in a clinician’s office.

Our data shows that approximately 40% of all suicide attempts in our region occur in youth and young adults ages 12-35, and 84% of teen survey respondents report past or present struggles with depression, suicidal thoughts, or extreme/prolonged stress or anxiety with less than half receiving necessary help.

OUR PARTNERS

Representative: Hector Gomez

Representative: Kerri Hicks

Representative: Jennifer Olesen, APRN-FPA, Local NP, P.C. President

Representative: Dr. Sarah Scruggs

Representative: Duane Price & Aimee Stoller

Representative: Vanessa Hoffeditz

Representative: Deon Vandenberg

Representative: Jeff VanAutreve

Representative: Jay McCracken

Representative: Pr. Bob Henkelman

Representative: Mike Patterson

Representative: Luke Tomsha

Representative: Noelle Slicker

Representative: Theresa Schneider-Bender

Representative: Jesse Brandt & Jennifer Love

Representative: Linda Burt, MSN

Representative: Petrita Salazar, LCPC, LPHA

Representative: Ahlyssa Pinter

Representative: Pastor Scott Schmidt

Representative: Sheriff James Reed

Representative: Chief Tom Kammerer

Representative: Chief Adam Kurran

Representative: Chief Brent Roalson

Representative: Kim Shute

Representative: Michael Zerneck

Representative: Carol Acorn

Representative: Lori Brown

Representative: Stefanie Morris

Representative: Jeremy Gauwitz

Representative: Pat Schou

Representative: Lynn Olds

WORKING GROUPS

Working Groups will meet monthly between 12-1 p.m. following the larger consortium meeting 11-12 p.m. Each leader will reach out with a Zoom link for virtual attendees.

PEER SUPPORT, ACCESS & HARM REDUCTION

LEADERS: Mike Miroux (St. Margaret’s Center for Holistic Health & Wellness)

Develop healthy, supportive communities to journey with individuals and families during treatment and recovery. Revamp the process of how we encounter and receive people with MI/SUD in a way that is compassionate and streamlines entry.

SOCIAL DETERMINANTS OF HEALTH

LEADERS: Vanessa Hoffeditz (Tri-County) and Kim Dahl (Perfectly Flawed Foundation)

Devise streamlined ways for meeting basic life needs that enhance one’s ability to thrive and propel a healthy lifestyle. Define resources and support of integrated care by public and private payers; educate members on workflows.

ADVOCACY

LEADER: Lynn Olds (Greenfield Retirement Home), Melanie Whitmer (The Freedom House) and Torri Angulo (The Freedom House).

Raise awareness, educate lawmakers, as well as community leaders and residents on MI/SUD issues.

CRIMINAL JUSTICE INTEGRATION

LEADER: Chief Tom Kammerer (Princeton PD)

Determine method for integrating with law enforcement to enhance care efficiency and equality for MI/SUD

24/7 Crisis Response

LEADER: Chief Tom Kammerer (Princeton PD)

Develop mobile crisis 24/7 response for MI/SUD

PREVENTION AND SCHOOL INTEGRATION

LEADERS: Mike Grenda (LEASE Schools) and Aimee Stoller (Bureau Valley)

Develop universal, selective and indicated interventions for multi-faceted prevention of MI/SUD issues in junior/senior high students.

LEADERSHIP TEAM

Sarah B. Scruggs, PHD

Business Official

Dawn Conerton

Project Coordinator

Robert W. Morrow, MD

Evaluator and Business Director

SENIOR ADVISORY TEAM

Patricia Schou

IL Critical Access Hospital Network, Senior Advisor

Helen Lavertsky

UCLA Department of Medicine and Bioinformatics, Senior Advisor

Peipei Ping

UCLA Department of Medicine & Bioinformatics, Senior Advisor

This effort was supported by a Rural Health Network Planning Program grant from the U.S. Department of Health and Human Services (HHS), Health Resources and Service Administration (HRSA), Federal office of Rural Health Policy (FORHP), Community-Based Division (CBD), Award No. P10RH33037; a 2020 Rural Communities Opioid Response Program (RCORP) Planning grant, Award No. G25RH40024 from HHS/HRSA FORHP; and is currently supported by a 2020 Drug-Free Communities grant from the White House Office of National Drug Control Policy (ONDCP) and Centers for Disease Control and Prevention, Award No. NH28CE003019. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, ONDCP, CDC, or the U.S. Government.