Our Mission and History
Meeting Community Need
THE CONTEXT OF OUR WORK
The Midtown Detroit area is federally designated as a high poverty area within a city that has experienced severe economic stress for the past two decades. The service area census tracts have a population of 13,422, with approximately 3,944 homeless individuals living in shelters, temporary housing, or on the streets. There are three homeless shelters located within the service area, along with 3,500 residents of public housing.
Central City Integrated Health is on a main bus line and within walking distance of the majority of public housing units in Midtown and offers healthcare services which are easily accessible to this underserved community.
Our target population are individuals whose income is less than 200% Federal Poverty Level, diagnosed with severe and persistent mental illness, living in public housing, the uninsured/underinsured, women, children, domestic violence victims, veterans, the homeless and other at-risk populations.
Establishing a primary health care home for these target populations will reduce the strain on local hospital emergency departments, improve the management of chronic health conditions, and will have a positive impact on the health disparities caused by lack of access to appropriate health services.
The most critical need for these special populations is expanded access to affordable primary care, behavioral health care, dental services, housing, employment, and support services–all services provided by Central City Integrated Health.
PROVIDING INTEGRATED HEALTH
Our facility has six exam rooms that support the integration of primary care, behavioral health care, and substance abuse treatment with the addition of patient education program. Patient monitoring and education focuses on improvements in individual and population health status. The health center monitors key clinical performance indicators, including cancer screenings, prenatal care for pregnant women, infant birth weights, pediatric immunizations, oral health, cardiovascular disease including hypertension, smoking cessation, diabetes and obesity, and depression, utilizing the benchmarks established for Healthy People 2020 and the Health Resources and Services Administration’s health disparity program to achieve the goals of improving the health status of the individuals.
Our comprehensive Quality Assessment program that has been designed to insure ongoing evaluation and provide recommendations for service improvements.
Central City Integrated Health is guided by a set of values in fulfilling its mission and vision.
- An environment that supports health and recovery
- An atmosphere of welcoming and accessibility to people seeking our services
- An environment characterized by empowerment, openness, trust, teamwork, integrity and cultural sensitivity
- An expectation that consumers and stakeholders are treated with dignity and respect
- A commitment to service excellence and continuous quality improvement
- An environment that promotes evidenced-based practices to improve the outcomes for those we serve and assure a skilled, professional staff
- Persons served take both an active part in their treatment and the organization
- Person-centered principles in the delivery of care
With a 40-year history of providing health services, Central City Integrated Health has remained a landmark in the Midtown area serving Detroit families.
Founded as part of the Model City Neighborhood Program
First incorporated as Detroit Central City Health Center (DCC)
Grant awarded by National Institute of Mental Health (NIMH) for development of DCC
Board of Directors is instituted: Administration of Adult Day Treatment by the YWCA was discontinued and undertaken by DCC; Model Neighborhood Agency was phased out. Regulatory and funding for DCC continues from the Detroit Health Department; Gloria B. Dees appointed as Executive Director
Administrative Offices moved from 3455 Woodward Avenue to 232 Grand River
Administrative and service offices consolidated and moved to 10 Peterboro
Federal support (NIMH) for DCC discontinued
Two Fairweather Programs, providing supportive housing, case management, life skills training and supportive employment, begin; DCC becomes a fiduciary for the Detroit Health Care for the Homeless Program; DCC begins on-line reporting to the Detroit-Wayne County Community Mental Health Agency (now DWMHA) via computer link
Michigan amends State Medical Assistance Plan to cover Care Management services
Wayne County 3rd Circuit Mental Health Court established as a State pilot program
DCC, in partnership with the Detroit Housing Commission, awarded planning grant to develop a proposal for a health care center
DCC awarded Michigan Historic Preservation Network Building Award for restoration of gas station, now PharMor Pharmacy; DCC designated as an approved practices service site by National Health Services Corps
Board mission statement changed to include integrated health care; DCC awarded new access point from HRSA to open a Federally Qualified Health Center
Detroit Central City Health Center opened in a temporary storefront at 3427 Woodward Avenue
Re-branded to Central City Integrated Health (CCIH)
A CALL TO AWARENESS, LINKING TO THE FRAGILE WITHIN OUR COMMUNITIES
The incident and timing are all too tragic.
As our nation was preparing to honor the many military veterans who have proudly served our nation with great devotion, 12 loved ones lost their lives in yet another mass shooting, this time at a Thousand Oaks, California club. Among the dead, a nearly 30-year police veteran responding to the incident, and the gunman, a 28-year-old Marine Corps vet who had served in Afghanistan.
As in so many similar incidents, it is not unfair even at this early stage, with incomplete knowledge about the gunman, to recognize the issue of an individual faced with mental health challenges resorting to violence. In this tragic situation, the gunman’s known history also paints a stark picture about the ongoing issues our veterans face, especially those who have recently served in combat zones.
It is abundantly clear that we must do more to support our veterans after their service ends, helping to heal any wounds, seen or unseen. And for those who suffer with mental health challenges, the issue remains the same: maintain awareness of the signs and symptoms of mental illness, and making sure those who do show symptoms have access to meaningful mental health care.
An individual as well as his or her family, friends, neighbors or co-workers must be alert to mental health issues and be concerned enough to discuss them honestly and openly. It is not easy to suggest to someone we know or love that they might need help and then assist in identifying available resources. This first hard step is an essential one on the path to healing. The next step should focus on access and making sure health care happens.
Fortunately, here in southeast Michigan, there is a growing effort to integrate mental health services with core community health care, including housing support and employment assistance, especially with traditionally underserved or otherwise at-risk populations such as veterans and those with mental health challenges.
There are many advantages to this holistic approach. Mental health care is not singled out as something “different” from other types of health care, but becomes part of a continuum of care. Patients are more likely to accept care delivered in a familiar setting and for which they are one of the decision-makers. Moreover, if structured properly, the health care team has a greater incentive to work together in the interest of patients, providing a comprehensive integration of wellness services.
The situation suggested by the Thousand Oaks shooting is not a hopeless one. Our community has many outstanding veterans support services and mental health care programs with many talented, passionate providers. It’s now time for all of us to do our part and support those who often suffer silently in our community, while working together to prevent these types of tragic occurrences from ever happening again.
By Ryan Lepper, CEO
Central City Integrated Health (Detroit MI)
Central City Integrated Health (CCIH), a Federally Qualified Health Center, provides evidence-based medical and behavioral health treatment and services, in tandem with creating housing and employment opportunities for at-risk Detroit residents, including veterans and those who suffer with mental illness. For more information visit www.centralcityhealth.com.