Aroostook Mental Health Services Inc

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - AROOSTOOK MENTAL HEALTH SERVICES, INC. (AMHC) WILL CONSTRUCT AN ADDITION TO ITS EXISTING FACILITY AT 127 PALMER STREET, CALAIS, MAINE (WASHINGTON COUNTY) TO INCREASE THE TOTAL SQUARE FOOTAGE. THE EXPANSION WILL CREATE THE INFRASTRUCTURE REQUIRED FOR THE AGENCY TO IMPROVE ITS CO-OCCURRING CAPABLE MODEL BY CREATING A DEDICATED SPACE FOR PHYSICAL AND SENSORY ACTIVITIES TO TAKE PLACE IN THE CLINICAL TREATMENT PRACTICES TO SUPPORT THE RECOVERY OF YOUTH AND ADULTS WHO COME FROM ACROSS THE STATE OF MAINE TO RECEIVE SERVICES AT THE FACILITY’S CHILDREN’S RESIDENTIAL TREATMENT, CHILDREN’S CRISIS STABILIZATION UNIT (CCSU), AND ADULT CRISIS STABILIZATION UNIT (ACSU).

AMHC BEHAVIORAL HEALTH INTEGRATION PROJECT - AROOSTOOK MENTAL HEALTH SERVICES, INC. (AMHC) WILL BUILD ON ITS INTEGRATED BEHAVIORAL HEALTH, SUBSTANCE USE, AND PRIMARY CARE SERVICES TO BETTER SERVE 935 INDIVIDUALS ANNUALLY AND ABOUT 4,700 INDIVIDUALS ANNUALLY OVERALL IN RURAL MAINE. THE POPULATIONS OF FOCUS, WHICH INCLUDE VETERANS, ARE INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI); INDIVIDUALS WITH SUBSTANCE USE DISORDERS (SUD); CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED); AND/OR INDIVIDUALS WITH CO-OCCURRING DISORDERS (COD). ACCESS TO SERVICES, CLIENT RETENTION, AND STAFF HIRING AND RETENTION ARE CRITICAL PROBLEMS IN THIS LARGE RURAL AREA. THE PROJECT HAS TWO GOALS: GOAL 1: EXPAND KEY SERVICES TO ADDRESS CRITICAL GAPS AND GOAL 2: STRENGTHEN INFRASTRUCTURE AND TRAINING TO PROVIDE ADDITIONAL SEAMLESS, FULLY INTEGRATED SERVICES. PROJECT OBJECTIVES INCLUDE EXPANSION OF LOW-BARRIER TELEPHONE ACCESS; TARGETED NEW STAFF HIRES (CRISIS CALL CENTER; PEER SUPPORT SPECIALISTS; REGISTERED NURSES, AND YOUTH PREVENTION OUTREACH); AND NEW SOFTWARE TO BETTER MONITOR PATIENT HEALTH DATA INCLUDED SELF-REPORTED DATA AND EXPANDED HUMAN RESOURCES FUNCTIONALITY TO TRACK FACTORS ASSOCIATED WITH STAFF TURNOVER. THE CATCHMENT AREA (CA) IS THE 12,431-SQUARE MILE REGION OF AROOSTOOK, HANCOCK, AND WASHINGTON COUNTIES IN MAINE. UNMET INTEGRATED BH NEEDS ARE SIGNIFICANT. ALL OF AROOSTOOK AND PORTIONS OF WASHINGTON AND HANCOCK ARE MENTAL HEALTH HEALTH PROFESSIONAL SHORTAGE AREAS (HRSA, 2020). PARTICIPANTS IN 2019 COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) IN THE REGION RANKED MENTAL HEALTH AND SUBSTANCE USE AMONG THEIR TOP THREE CRITICAL HEALTH CONCERNS. COVID-19 HAS EXACERBATED STRESSORS CONTRIBUTING TO POOR BEHAVIORAL HEALTH. CHRONIC DISEASE INDICATORS ARE ELEVATED IN AROOSTOOK AND WASHINGTON INCLUDING CARDIOVASCULAR DISEASE DEATHS (221.5 AND 222.3 RESPECTIVELY PER 100,000 VERSUS 195.8 STATEWIDE) AND DIABETES INCIDENCE (13% AND 12.8% RESPECTIVELY VERSUS 10% STATEWIDE) (CHNA), 2019). THE POPULATION IS 153,107. ABOUT 94.4% OF RESIDENTS ARE WHITE, 2.1% ARE NATIVE AMERICAN, 1.7% ARE HISPANIC, 1% ARE BLACK, AND 0.8% ARE ASIAN. A CA AVERAGE OF 14.6% LIVE AT OR BELOW 100% FEDERAL POVERTY LEVEL (VERSUS 10.9% STATEWIDE), AND 13.7% UNDER AGE 65 LACK HEALTH INSURANCE (VERSUS 10.1% STATEWIDE). (U.S. CENSUS, 2017, 2019). AMHC IS THE LARGEST PROVIDER OF INTEGRATED BH SERVICES, INCLUDING ALL SUD SERVICES, IN THE CA. SU TREATMENT HAS BEEN A CORNERSTONE OF AMHC’S INTEGRATED BH SERVICE DELIVERY CONTINUUM SINCE ITS INCEPTION. AMHC EMPLOYS 325 STAFF, SERVES ABOUT 4,500 UNDUPLICATED INDIVIDUALS EACH YEAR, AND OPERATES ON AN $18 MILLION ANNUAL BUDGET. AMHC HAS ALREADY MET THE MAJORITY OF THE CCBHC COMPLIANCE CRITERIA AND WILL COMPLETE REMAINING COMPLIANCE CRITERIA WITHIN 4 MONTHS OF NOTICE OF AWARD. MAINE IS NOT A PLANNING GRANT STATE.

AMHC CCBHC IMPROVEMENT AND ADVANCEMENT - THE APPLICANT, AMHC, WILL IMPLEMENT CCBHC-IA TO PROVIDE SERVICES TO 808 UNDUPLICATED INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI), SERIOUS EMOTIONAL DISTURBANCE (SED), OR CO-OCCURRING SMI/SED AND SUBSTANCE USE DISORDER (COD) IN 3 NORTHERN MAINE COUNTIES (YR 1: 175; YR 2: 193; YR 3: 211; YR 4: 229). AMHC WILL ENHANCE THE CURRENT CCBHC’S COMPREHENSIVE AND COORDINATED BEHAVIORAL HEALTH CARE BY IMPROVING OUTREACH, SCREENING, ASSESSMENT, TREATMENT, CARE COORDINATION, AND RECOVERY SUPPORTS FOR THOSE WITH SMI, SED, AND/OR COD. WITHIN THE CATCHMENT AREA OF AROOSTOOK, HANCOCK, AND WASHINGTON COUNTIES, MAINE, THE FOCUS POPULATION COMPRISES ESTIMATED 5% (6,570) WHO HAVE AN SMI, 17% (4,826) WHO HAVE AN SED, AND 4% (6,570) WHO HAVE A COD. AMONG AMHC’S FOCUS POPULATION, 50% ARE MALE, 50% ARE FEMALE, 93% ARE WHITE, 1% ARE BLACK, 1% ARE ASIAN, 2% ARE HISPANIC, AND 2% ARE NATIVE AMERICAN. AMHC SUBPOPULATIONS INCLUDE THE 8% WHO ARE VETERANS AND 8% WHO ARE MINORITIES. SAMHSA’S CERTIFIED BEHAVIORAL HEALTH CLINICS (CCBHCS) MODEL WILL GUIDE AMHC’S IMPLEMENTATION OF EVIDENCE-BASED INTERVENTIONS/MODELS, INCLUDING MOTIVATIONAL INTERVIEWING, COGNITIVE BEHAVIORAL THERAPY (CBT), TRAUMA-INFORMED CBT, POSITIVE PARENTING PROGRAM, MODULAR APPROACH TO THERAPY, PEER RECOVERY SUPPORT SERVICES, PSYCHIATRIC COLLABORATIVE CARE MODEL, PSYCHOSOCIAL REHABILITATION MODEL, AND ZERO SUICIDE. AMHC WILL IMPLEMENT ALL 9 CORE CCBHC MODEL SERVICES INCLUDING SCREENINGS/ASSESSMENTS AND DIAGNOSIS; PATIENT-CENTERED PLANNING; OUTPATIENT, MENTAL HEALTH, AND SUD SERVICES, TARGETED CASE MANAGEMENT, OUTPATIENT CLINIC PRIMARY CARE SCREENING/MONITORING, COMMUNITY-BASED MENTAL HEALTH CARE FOR VETERANS, PEER, FAMILY SUPPORT, AND COUNSELOR SERVICES, AND PSYCHIATRIC REHABILITATION SERVICES. OTHER PROGRAM COMPONENTS INCLUDE LINKAGES TO PRIMARY/SPECIALTY CARE AND DISSEMINATION OF COMPREHENSIVE EVALUATION. THE AMHC BOARD OF DIRECTORS COMPRISING STAKEHOLDERS AND FOCUS POPULATION MEMBERS WILL SERVE AS THE ADVISORY BOARD AND SUPPORT AMHC’S GOALS, WHICH INCLUDE ENHANCING/ EXPANDING CAPACITY TO PROVIDE ACCESSIBLE, COORDINATED, AND EVIDENCE-BASED TREATMENT AND RECOVERY SUPPORT SERVICES; DEVELOPING/EXPANDING THE INFRASTRUCTURE/CAPACITY OF AN INTEGRATED COMMUNITY SERVICE SYSTEM; IMPROVING CLIENT HEALTH STATUS AND OUTCOMES; AND DEVELOPING/DISSEMINATING A REPLICABLE SERVICE MODEL. MEASURABLE OBJECTIVES INCLUDE: OUTREACH TO 950 INDIVIDUALS WITH AN SMI, SED, AND/OR COD; COMPLETE A MINIMUM OF 1 COMMUNITY NEEDS ASSESSMENT; STAKEHOLDER OUTREACH/ ENGAGEMENT/EDUCATION TO STRENGTHEN COLLABORATIVE RELATIONSHIPS; REDUCE SUBSTANCE USE, MENTAL HEALTH/TRAUMA SYMPTOMATOLOGY, AND FEELINGS OF LONELINESS/ISOLATION; REDUCE USE OF EMERGENCY DEPARTMENT FOR BEHAVIORAL HEALTH AMONG PARTICIPANTS; REDUCED CRIMINAL JUSTICE INVOLVEMENT; INCREASED TREATMENT ACCESS AND RECOVERY CAPITAL; AND INCREASED SOCIAL DETERMINANTS OF HEALTH. SINCE 1964, THE APPLICANT, AMHC, HAS BEEN A CONTINUOUS PROVIDER OF BEHAVIORAL HEALTH AND RELATED SERVICES TO ADULTS AND CHILDREN IN THE CATCHMENT AREA AND HAS GROWN TO ENCOMPASS BEHAVIORAL HEALTH SERVICE PROVISION AND SUPPORT FOR EVERY LEVEL OF CARE ACROSS A VARIETY OF SETTINGS. AMHC OPERATES A SUCCESSFUL CCBHC IN THE CATCHMENT AREA THAT IS FULLY CERTIFIED. AMHC REFERRAL SERVICES ARE AVAILABLE FOR MEDICATION ASSISTED TREATMENT, MATRIX INTENSIVE OP TREATMENT, OR OTHER HIGHER LEVELS OF CLINICAL CARE. IN ADDITION, PARTNERING ORGANIZATIONS WILL SERVE AS AMHC’S LINKAGE/REFERRAL SOURCES, COLLABORATE IN SERVICE PROVISION, PARTICIPATE IN TRAINING, AND TAKE PART IN ADVISORY BOARD/EVALUATION ACTIVITIES. AMHC PARTNERS ARE ROOTED IN THE FOCUS POPULATION’S CULTURE/LANGUAGES AND HAVE DEMONSTRATED EXPERIENCE/FAMILIARITY WITH THE CATCHMENT AREA CULTURE. PARTNERING COMMUNITY HEALTH PROVIDERS AND HOSPITALS WILL RECEIVE LINKAGE TO ALL CCBHC SERVICES. AMHC STAFF WILL FOCUS EFFORTS ON EXPANDING PARTNERSHIPS WITH VETERAN SERVING ORGANIZATIONS AND THE YOUTH PEER SUPPORT STATEWIDE NETWORK.

AMHC EXPANSION OF MAT SERVICES PROJECT - AMHC (AROOSTOOK MENTAL HEALTH SERVICES, INC.) CURRENTLY PROVIDES MEDICATION-ASSISTED TREATMENT (MAT) IN A 12,431 SQUARE MILE RURAL CATCHMENT AREA INCORPORATING AROOSTOOK,HANCOCK, AND WASHINGTON COUNTIES IN MAINE. UNDER THIS PROPOSAL, AMHC WILL EXPAND MAT FOR A POPULATION OF FOCUS OF ADULTS (18+) WITH OPIOID USE DISORDERS (OUD) IN THIS CATCHMENT AREA. THREE HUNDRED AND FIFTY (350) UNDUPLICATED INDIVIDUALS WILL BE SERVED OVER FIVE YEARS. THE TOTAL POPULATION IN THE CATCHMENT AREA IS 153,107. ABOUT 94.4% OF RESIDENTS ARE WHITE, 2.1% ARE NATIVE AMERICAN, 1.7% ARE HISPANIC, 1% ARE BLACK, AND 0.8% ARE ASIAN. ACROSS THE THREE COUNTIES, AN AVERAGE OF 14.6% LIVE AT OR BELOW 100% FEDERAL POVERTY LEVEL (VERSUS 10.9% STATEWIDE), AND 13.7% UNDER AGE 65 LACK HEALTH INSURANCE (VERSUS 10.1% STATEWIDE) (U.S. CENSUS, 2017, 2019). THROUGH THIS PROJECT, AMHC WILL BUILD ON ITS STRONG INTEGRATED SYSTEM TO EXPAND MAT TO MEET CRITICAL NEEDS. GOAL 1: IN ACCORDANCE WITH THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) TREATMENT IMPROVEMENT PROTOCOL 43 (TIP 43): MEDICATION-ASSISTED TREATMENT (MAT) FOR OPIOID ADDICTION IN OPIOID TREATMENT PROGRAMS, IN ORDER TO ENGAGE, RETAIN, AND SUPPORT CLIENTS WITH OUD, AMHC WILL EXPAND TRAUMA-INFORMED AND PERSON-ORIENTED MAT SERVICES IN RURAL AREAS IN 3 COUNTIES. OBJECTIVE 1-1: BY YEAR 1, MONTH 3, EXPAND OPERATIONS AT EXISTING MAT SITES IN AROOSTOOK FROM 36 TO 46 HOURS (20 CLIENTS) PER WEEK AND EXPAND MEDICATIONS AVAILABLE TO INCLUDE VIVITROL AND SUBOXONE; OBJECTIVE 1-2: BY YEAR 1, MONTH 3, ASSUME FULL OPERATIONS OF AN EXISTING MAT SITE IN HANCOCK COUNTY WHICH THE CURRENT SAMHSA FISCAL LEAD WISHES TO DISCONTINUE, THUS ASSURING CONTINUITY OF MAT SERVICES FOR 47 EXISTING CLIENTS AND ADD CAPACITY TO PROVIDE AN ADDITIONAL 4 HOURS OF MAT SERVICES PER WEEK (10 CLIENTS); OBJECTIVE 1-3: DURING YEAR 1, ESTABLISH A NEW SITE PROVIDING COMPREHENSIVE MAT SERVICES AT AN EXISTING AMHC FACILITY IN WASHINGTON TO PROVIDE 4 HOURS OF WEEKLY MAT SERVICES TO MINIMALLY 35 UNDUPLICATED OUTPATIENT CLIENTS AND CONTINUE 16 HOURS OF WEEKLY SERVICES TO 20 CLIENTS ANNUALLY AT THE COUNTY JAIL; OBJECTIVE 1-4: ENROLL 50 UNDUPLICATED CLIENTS IN YEAR 1, AND 300 ADDITIONAL UNDUPLICATED CLIENTS IN YEARS 2, 3, 4, AND 5; OBJECTIVE 1-5: BY YEAR 3, 40% OF MAT CLIENTS WILL DEMONSTRATE CLINICALLY SIGNIFICANT STABILIZATION IN OPIOID AND POLYSUBSTANCE USE AFTER 12 MONTHS OF MAT ENROLLMENT AS MEASURED BY RETENTION IN TREATMENT AND COMPLETING GOALS OUTLINED IN THEIR INDIVIDUAL TREATMENT PLANS; OBJECTIVE 1-6: BY YEAR 4, 50% OF CLIENTS ENROLLED IN MAT AND INTEGRATED COD TREATMENT WILL DEMONSTRATE CLINICALLY SIGNIFICANT IMPROVEMENTS THROUGH REDUCED RECIDIVISM RATES, INCREASED EMPLOYMENT, AND MAINTAINING STABLE HOUSING FOR 12 MONTHS OR LONGER; OBJECTIVE 1-7: BY YEAR 5, 50% OF MAT CLIENTS WILL BE COMPLIANT IN TAKING MEDICATIONS FOR NON-BH CHRONIC HEALTH CONDITIONS WITH ASSOCIATED CLINICAL IMPROVEMENTS AS DOCUMENTED BY PRIMARY CARE PROVIDERS (PCPS).

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - 1. PROJECT TITLE: COMMUNITY PARTNERSHIP TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES IN AROOSTOOK, HANCOCK AND WASHINGTON COUNTIES, MAINE 2. REQUESTED AWARD AMOUNT: $2,000,000 3. APPLICANT ORGANIZATION NAME: AROOSTOOK MENTAL HEALTH SERVICES, INC. (AMHC) 4. APPLICANT ORGANIZATION ADDRESS: 180 ACADEMY STREET, SUITE 3, PRESQUE ISLE, ME 04769 5. APPLICANT ORGANIZATION FACILITY TYPE: BEHAVIORAL HEALTH AND SUBSTANCE USE TREATMENT PROVIDER 6. PROJECT DIRECTOR NAME AND TITLE: KELLY SCOTT, LADC, CCS, AMHC OUTPATIENT MANAGER 7. PROJECT DIRECTOR CONTACT INFORMATION: (207) 764-3319; KELLYSCOTT@AMHC.ORG 8. DATA COORDINATOR NAME AND TITLE: TOHO SOMO, MPH, MS, UNIVERSITY OF NEW ENGLAND 9. DATA COORDINATOR CONTACT INFORMATION: 207-221-4460: TSOMA@UNE.EDU 10. EIN/DUNS # EXCEPTION REQUEST IN ATTACHMENT 8: NO 11. HOW APPLICANT LEARNED ABOUT FOA: HRSA NEWS RELEASE 12. NUMBER OF CONSORTIUM MEMBERS & LIST OF CONSORTIUM MEMBERS: 6; AMHC, UNIVERSITY OF MAINE SYSTEM, BAILEYVILLE SCHOOLS (SCHOOL UNION 107), JONESPORT-BEALS (SCHOOL UNION 103), HEALTHY ACADIA, CITY OF CALAIS 13. PREVIOUS OR CURRENT RCORP GRANT RECIPIENT/CONSORTIUM MEMBER? FY20 RCORP-PLANNING; FY21 RCORP-IMPLEMENTATION 14. DOES APPLICANT ORGANIZATION INTEND TO APPLY FOR FY-22 RCORP IMPLEMENTATION: NO 15. DOES TARGET SERVICE AREA OVERLAP WITH THE SERVICE AREAS OF THE NORTHERN BORDER REGIONAL COMMISSION, THE DELTA REGIONAL AUTHORITY, OR THE APPALACHIAN REGIONAL COMMISSION: YES – NORTHERN BORDER REGIONAL COMMISSION (NBRC). AMHC IS PART OF THE LEADERSHIP GROUP FOR MAINE'S RURAL BEHAVIORAL WORKFORCE CENTERS-NORTHERN BORDER REGION GRANT AWARDED TO MEDICAL CARE DEVELOPMENT FOR 9/1/2021-8/30/2024. 16. RCORP-BHS TARGET SERVICE AREA: FULLY RURAL – AROOSTOOK COUNTY, WASHINGTON COUNTY, HANCOCK COUNTY, MAINE 17. BRIEF DESCRIPTION OF THE TARGET POPULATION: YOUTH AND ADULTS WITH, OR AT HIGHER RISK FOR, SUD/OUD AND/OR MENTAL ILLNESS, INCLUDING THOSE WHO ARE INCARCERATED OR NEWLY RELEASED, HOMELESS, UNDER AG E 18, OVER AGE 65, VETERANS, AND ANY INDIVIDUALS WHO PRESENT THROUGH CRISIS SUPPORT SERVICES IN THE COMMUNITY/AT HOSPITAL EMERGENCY DEPARTMENTS. OVERALL 2% OF POPULATION IS NATIVE AMERICAN (NA) – FOUR COMMUNITIES IN SERVICE AREA HAVE HIGHER CONCENTRATIONS OF NA THAN STATE AVERAGE. OVERALL, NA WILL BENEFIT FROM INCREASED ACCESS TO BEHAVIORAL HEALTH SUPPORTS THROUGH PEER SUPPORT AND RECOVERY COACHING. SPECIFICALLY, NA IN ST. CROIX VALLEY (WASHINGTON COUNTY) WILL BENEFIT FROM INCREASED COMMUNITY INTEGRATION OF BEHAVIORAL HEALTH IN SERVICE CENTER OF CALAIS; AND NA STUDENTS ATTENDING BAILEYVILLE SCHOOLS WILL BENEFIT FROM INCREASED ACCESS TO YEAR-ROUND BEHAVIORAL HEALTH COORDINATION. UNMET BEHAVIORAL HEALTH NEEDS ARE SIGNIFICANT; ALL OF AROOSTOOK AND PORTIONS OF HANCOCK AND WASHINGTON ARE DESIGNATED MENTAL HEALTH PROFESSIONAL SHORTAGE AREAS. CHALLENGES INCLUDE A DEADLY OPIOID CRISIS; INCREASED RATES OF SUICIDE; POPULATION DECLINES; HIGH POVERTY RATES; AND A LACK OF ACCESS IN SMALLER TOWNS. THE CONSORTIUM WILL IMPROVE ACCESS TO BEHAVIORAL HEALTH THROUGH THE FOLLOWING OBJECTIVES: - PILOT COMMUNITY HEALTH WORKERS (CHW) BEHAVIORAL HEALTH (BH) NAVIGATORS IN TWO SCHOOL SYSTEMS WITH ELEVATED NEEDS; - INCREASE WORKFORCE BY INCENTIVIZING MORE STUDENTS TO ENTER THE FIELD THROUGH PAID INTERNSHIPS; - OFFER BROADER BEHAVIORAL SUPPORTS IN SEVEN MENTAL HEALTH PEER AND SUBSTANCE USE PEER CENTERS; - EXPAND CAPACITY OF EXISTING WORKFORCE BY CROSS-TRAINING RECOVERY COACHES AND PEER SUPPORT SPECIALISTS; - MAXIMIZE REIMBURSEMENT OF SERVICES BY TRAINING CLAIMS REIMBURSEMENT STAFF TO BECOME CERTIFIED CODERS; - EXPAND SUPPORT TO BEHAVIORAL HEALTH PROVIDERS BY TRAINING ADMINISTRATIVE STAFF AS MEDICAL ASSISTANTS; - REDUCE STIGMA AND INCREASE ACCESS BY TRAINING FRONT-LINE COMMUNITY STAKEHOLDERS IN BASIC BEHAVIORAL HEALTH INTERVENTIONS, SCREENINGS AND REFERRALS; - IMPROVE PEER TO PEER CONNECTIONS FOR YOUTH BY TRAINING YOUTH AND YOUTH-BASED ORGANIZATI

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - ADDRESS: 176 ACADEMY STREET, PRESQUE ISLE, ME 04769 PROGRAM DIRECTOR: CHRISTY DAGGETT CONTACT PHONE NUMBERS: 207-554-2352 EMAIL ADDRESS:CDAGGETT@AMHC.ORG WEBSITE ADDRESS: WWW.AMHC.ORG PROGRAM FUNDS: HRSA CDS AROOSTOOK MENTAL HEALTH SERVICES, INC. (AMHC) WILL USE THE $1,000,000 HRSA CDS FUNDS TO REPLACE AND EXPAND THE EXISTING RESIDENTIAL TREATMENT FACILITY WHICH HAS 12 BEDS, LIMITED HANDICAP ACCESSIBILITY, AND NO OPPORTUNITY FOR EXPANSION. AMHC PURCHASED A BUILDING AT 176 ACADEMY STREET IN PRESQUE ISLE, MAINE FOR THE PURPOSE OF RENOVATING IT INTO A 16-BED RESIDENTIAL TREATMENT FACILITY (RTF). BY EXPANDING, AMHC WILL INCREASE ITS CAPACITY TO SUPPORT INDIVIDUALS WITH SUBSTANCE USE DISORDER BY 25%. THE BASEMENT WILL REMAIN UTILITY AND STAFF SUPPORT SPACE. THE MAIN FLOOR WILL INCLUDE INTAKE SPACE, ADA BEDROOMS AND RESTROOMS, A KITCHEN AND LIVING ROOM. THE SECOND FLOOR WILL SERVE AS THE BEDROOM AND STAFF SUPPORT SPACES. THE FACILITY WILL REQUIRE THE INSTALLATION OF A FULL SPRINKLER, HEATING AND FIRE ALARM SYSTEMS. AN EXTERIOR FIRE EXIT STAIR TOWER WILL BE CONSTRUCTED TO PROVIDE A SECONDARY MEANS OF EGRESS FROM THE SECOND-FLOOR RESIDENTIAL SPACE. AMHC OFFERS ONLY ONE OF TWO RESIDENTIAL TREATMENT FACILITIES IN THE STATE OF MAINE. THE NEED FOR MORE TREATMENT WAS CONFIRMED THROUGH A 2020 HRSA RCORP-PLANNING GRANT THAT ALLOWED AMHC AND ITS CONSORTIUM MEMBERS TO DEVELOP A NEEDS ASSESSMENT WHICH INCLUDED THE FOLLOWING: AROOSTOOK EMS SAW A 30% INCREASE IN OVERDOSE RATES FROM 2019 TO 2020; SHERIFF SHAWN GILLEN SHARES THAT 90% OF ARRESTS ARE DRUG-RELATED; OUR HOSPITAL EMERGENCY DEPARTMENTS REPORT A REGULAR INFLUX OF INDIVIDUALS LOOKING FOR HELP WITH TREATMENT. THIS TAXES OUR ALREADY OVERWHELMED PUBLIC HEALTH AND LAW ENFORCEMENT SYSTEMS. BY INCREASING ACCESS TO LESS COSTLY TREATMENT OPTIONS THAT SUPPORT LONG-TERM RECOVERY WE REDUCE THE MORBIDITY AND MORTALITY OF SUD, AND DECREASE THE TAXPAYER BURDEN ON PUBLIC SERVICES THAT ONLY OFFER SHORT TERM SOLUTIO NS.

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

THE MAINE PROJECT