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)
The Deficiencies in Caring for those with Mental Illness: We must do Better.
The deficiency of our health care system when it comes to mental illness is not new. For decades, health care professionals and those who suffer from mental illness and their families have called attention to the lack of consistent, integrated care for these vulnerable populations.
Crain’s Detroit Business reporter Jay Greene recently delved into this complex issue with a comprehensive series of articles. The articles — which focus on Metro Detroit — come to two conclusions.
One, our deficiencies in caring for those with mental illness have reached a crisis point. Two, there are meaningful solutions that can be implemented. I would agree with both of these assessments.
The demand for mental health services is growing. Rising suicide rates and drug dependencies have escalated the demand for psychiatric services. And the system, as is, is ill-equipped to meet this demand. As there are few appropriate alternatives, people experiencing a mental health crisis go to hospital emergency rooms out of necessity. This is not only an inefficient way for a mental health patient to receive the best diagnosis and treatment plan, but also the most expensive.
Patients with mental health issues languish in the ER, sometimes for days, until they are diagnosed and can be admitted to the psychiatric ward, if and when bed space is available. And unfortunately, since most mental health patients require a specialized treatment plan to address their complex issues, many ER attendants are not properly prepared to care for patients when they arrive at the hospital. When finally diagnosed, treated and stabilized, these patients are often discharged to the streets — sometimes literally — as a high percentage of our homeless populations deal with chronic mental health issues, and very few shelters receive those with severe psychiatric issues.
The biggest benefit our consumers receive at Central City Integrated Health is right in our name: “Integrated.” At CCIH, we can help facilitate housing, ensure patients’ basic needs are taken care of; and that their treatment plans and medication regiments are up-to-date. This decreases the use of ER for core services. CCIH is the only Federally Qualified Health Center that can treat both patients with severe mental illness and those with mild disease.
People can get better, and when they do, there should be a support system in place. Too often, someone is in a severe mental health crisis due to lack of care, goes to the ER, gets stabilized, and then is out on the streets. This process is then repeated over and over. The ability to treat those with moderate mental illness issues ensures fewer traumatic emergency crises.
As we move forward in 2019, CCIH looks forward with great enthusiasm to working with all of its stakeholders to ensure the best possible outcomes for these vulnerable populations, so the journey to long-term well-being becomes a realistic and achievable goal.