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WHAT IS C5 – RURAL?

C5-Rural is a new 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. The inaugural year of planning and formation of the C5-Rural Network was generously funded by the federal Health Resources and Service Administration, Federal Office of Rural Health Policy.

THE NEED:

Lasalle, Bureau, Marshall and Putnam counties exhibit abnormally high mental illness, suicide, and disability due to mental illness or substance abuse, 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 no sustainable solution has come forth. The first target population of focus is youth and adolescents, ages 12-18 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, to providing social support and mentoring, to finding ways to overcome the inordinate stigma, and to 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. 

Perry Memorial Hospital

Representative: Angela Hughes, LCPC, MAPC

Gateway & Open Doors Counseling

Representative: Ashley Holcman, LCPC

St. Margaret's Health

Representatives: Linda Burt, MSN & Lisa Clinton, RN, BSN

North Central Behavior Health

Representative: Dawn Conerton

LW Schneider, Inc

Representative: Theresa Schneider-Bender

Hall High School

Representative: Jesse Brandt & Jennifer Love

Perfectly Flawed Foundation

Representative: Luke Tomsha

Bunker Hill Church

Representative: Mike Patterson

The People Church

Representative: Pr. Bob Henkelman

Washington Mills, Inc.

Representative: Deon Vandenberg

Second Story Teen Center

Representative: Jeff Van Autreve

LaMoille High School

Representative: Jay McCracken

CPASA

Representative: Dawn Conerton

Bureau Valley High School

Representative: Duane Price

Tri-County Opportunities Council

Representative: Vanessa Hoffeditz

BEST

Representative: Kerri Hicks

Local NP

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

Arukah Institute of Healing

Representative: Dr. Sarah Scruggs

Bureau, Putnam & Marshall County Health Department Logo

Bureau, Putnam & Marshall county health departments

Representative: Torri McCook

WORKING GROUP LEADERS

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, LCPC Gateway Services and Luke Tomsha, Perfectly Flawed Foundation

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: Stephanie Christian, Arukah Institute and Dawn Conerton North Central BH

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.

Data

LEADER: Ethan Smith, LPC Arukah Institute

Identify and quantify disparate data that provides a holistic understanding of our target populations.

Advocacy

LEADER: Linda Burt, MSW St. Margaret’s Health

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: Jamie Taylor, LPC Arukah Institute

Develop mobile crisis 24/7 response for MI/SUD

Prevention & SCHOOl Integration

LEADERS: Katie Shevokas, LaMoille High School; Susan Lucas, Hall High School; and Terry Madsen, Arukah Institute

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

EDUCATIONAL MODULES

 
JULY 31 -- WELCOME AND OVERVIEW

The inaugural meeting took place at the Arukah Institute, 5 N Dallas Street, Princeton, where C4-Rural Network Partners were led through a mind-body therapy demo, followed by a formal meeting and discussion of the HRSA award, programmatic goals, and the tremendous promise of integrating conventional with complementary health to address rural behavioral health issues.

Slides from July 31 Meeting

AUGUST 9 -- C4-RURAL IN THE NEWS

Article published in the BCR, access at: https://www.bcrnews.com/2019/08/14/rural-health-network-grant-awarded-to-c4-rural/axr1rul/

The Arukah Institute of Healing, Inc. was recently chosen as one of 25 rural healthcare organizations across the nation, and the only organization in the State of Illinois, to receive a Rural Health Network Development Planning grant from the Health Resources and Services Administration (HRSA). The purpose of the grant is to promote the planning and development of integrated healthcare networks; to expand access to, coordinate, and improve the quality of essential health care services; and to strengthen the rural health care system as a whole.

Joining Arukah are Perry Memorial Hospital, St. Margaret’s Health, Northcentral Behavioral Health System, and Open Doors Counseling/Gateway Services. An Advisory Committee consisting of Dr. Helen Lavretsky and Dr. Peipei Ping both from the UCLA School of Medicine, and Patricia Schou from the Illinois Critical Access Hospital Network will aid in the strategic process. Together the partners will be working on strategies to increase access to mental health services by integrating evidence-based complementary healthcare services with existing mental health services, to expand treatment options, improve outcomes, increase patient satisfaction and buy-in, and reduce costs.

Dr. Sarah B. Scruggs, Executive Director of Arukah, and Project Director for C4-Rural, remarks, “This is a tremendous opportunity for innovating behavioral healthcare in our area. The purpose of this effort is to bring all providers to the same table to discuss how we can integrate our services, develop patient-centered care plans, and best see patients all the way through to wellness. Accessing mental health services in rural areas such as ours is often difficult. We want to streamline the process of getting help for patients; they should be able to receive services when they need them, without glaring barriers standing in their way. I am incredibly grateful for our Network Partners—current and future—who bring a wealth of knowledge and expertise to the table; I look forward to breaking new ground with them over the next 12 months and beyond.”

 

AUGUST 28 -- BARRIERS TO MENTAL HEALTH AND COMMUNITY BUY-IN OF INTEGRATIVE THERAPIES

The second network partner meeting took place at Perry Memorial Hospital in Princeton. The discussion focused around the barriers to mental health from the perspective of both clinicians (primary care physicians, behavioral health therapists) and patients. Discussion was led by Angella Hughes, LCPC, Director of the Senior Behavioral Wellness Program at Perry Memorial Hospital.

 

Slides from August 28 Meeting

SEPTEMBER 25 -- INTEGRATIVE TREATMENT OPTIONS, PROMISE & FEASIBILITY

The 3rd Network Partner Meeting took place at St. Margaret’s Health in Spring Valley. The discussion first focused around the key aspects of Rural Health Networks, contrasting collaborative partnerships with formal Rural Health Networks. The second part of the meeting focused on Integrative Behavioral Healthcare, and Network Partners discussed how they together wanted to define their integrative network. Dr. Scruggs presented the evidence base on effectiveness and successes of existing behavioral health integrative models and frameworks. Kerri Donahue, RN and Lisa Clinton, RN from St. Margaret’s Health facilitated the final part of the discussion, discussing social determinants and the different types of services and providers that may be key to achieving the goals of our network.

Slides from September 25 Meeting — I

Slides from September 25 Meeting — II

OCTOBER 31 -- HONING OUR FOCUS: DETERMINING TARGET POPULATION & DEFINING VALUE PROPOSITION

The October meeting involved an important discussion and Network Partner concensus on the first target population of C5-Rural’s focus. The group achieved consensus that ages 16-24 yrs. represents a highly vulnerable population in rural areas. Discussion followed on the specific social determinants of health that were barriers to mental health for this age group. Accordingly, the group voted on a list of essential Network Partners that would be invited to the table to help establish Network Entry Points and valuable stakeholders. Network Partners also approved by-laws and developed the C5-Rural’s value proposition.

NOVEMBER 27 -- DATA MANAGEMENT DEVELOPMENT

The November meeting involved a lively discussion by Network Partners on data management development. Partners discussed what data indices were important to them as clinicians, as educators, as healthcare administrators, and as industry partners. Partners discussed how our data workflows and management could best support our value proposition and our diverse stakeholders. Network Partners also celebrated the submission of their implementation application, which had occured on November 25th.

DECEMBER 18 -- CELEBRATING 6 MONTHS OF PROGRESS

The December meeting was a wonderful celebration of 6 months of progress as a Network. Partners gathered together for a delicious working lunch at Four-and-Twenty Cafe in Princeton, and they discussed and celebrated the good work acomplished as a Network over the first half of the year.

Slides from December 18 Meeting

JANUARY 22 -- ENVIRONMENTAL SCAN & OUTSIDE EXPERT SPEAKER

The January meeting was held at Northcentral Behavioral Health Systmes. At this meeting, partners were guided on how to conduct an external environmental scan to decipher threats and opportunities for our Network at the local, state and federal level. The second half of the meeting consisted of hearing from an invited speaker and key expert in behavioral heatlh, Michael Ward, Network Director of the Behavioral Health Network of South Lake Tahoe.

Agenda for Meeting

Environmental Scan Introduction

FEBRUARY 26 -- DATA CAMP: DEVELOPING DATA MONITORING STRATEGIES

The February meeting was held at Perry Memorial Hospital. Members congregated to discuss the data indices that would be used to screen, assess, monitor, and track the health and healing of our diverse population groups. Concensus was achieved among all members to ensure data strategies were standardized.

Meeting Agenda

MARCH 25 -- OUTSIDE EXPERT SPEAKER ON INTEGRATIVE MEDICINE

At our March meeting, Lori Knutson from Duke Center for Integrative Medicine planned to speak to our group, but unfortunately with COVID-19, this talk was cancelled. The partners met and checked in with one another to see how their organizations were weathering the pandemic.

Meeting Agenda

APRIL 22 -- PILOT IMPLEMENTATION

At our April meeting, members met virtually due to COVID-19. Members brainstormed how to implement a pilot study amidst COVID to test the feasibility of our network. Although plans changed, members were able to pivot and redesign various aspects of the pilot to coordinate with COVID precautions.

Meeting Agenda

Create your own user feedback survey

LEADERSHIP TEAM

 
Sarah B. Scruggs, PhD

Sarah B. Scruggs, PhD

NETWORK DIRECTOR

Terry Madsen, JD

Terry Madsen, JD

PROGRAM DIRECTOR

Robert W. Morrow MD

Robert W. Morrow MD

CLINICAL DIRECTOR

ETHAN SMITH, LPC

ETHAN SMITH, LPC

DATA COORDINATOR

StephaniE  Gustafson

StephaniE Gustafson

INFORMATION SHARING EXPERT

SENIOR ADVISORY TEAM

PATRICIA SCHOU

PATRICIA SCHOU

IL CRITICAL ACCESS HOSPITAL NETWORK, SENIOR ADVISOR

PEIPEI PING, PHD

PEIPEI PING, PHD

UCLA DEPARTMENT OF MEDICINE & BIOINFORMATICS, SENIOR ADVISOR

HELEN LAVRETSKY, MD

HELEN LAVRETSKY, MD

UCLA DEPARTMENT OF PSYCHIATRY & NEUROSCIENCE, SENIOR ADVISOR

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This effort is currently supported by a 2020 Rural Communities Opioid Response Program (RCORP) Planning grant, Award No. G25RH40024 from the U.S. Department of Health and Human Services (HHS), Health Resources and Service Administration (HRSA), Federal office of Rural Health Policy (FORHP), and 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. This effort was supported in July 2019-June 2020 by a Rural Health Network Planning Program grant from HHS/HRSA FORHP, Community-Based Division (CBD), Award No. P10RH33037. 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.