Behavioral Health Network Inc

PIONEER VALLEY OUTPATIENT PROGRAM - BEHAVIORAL HEALTH NETWORK, INC. PROPOSES TO SERVE 500 ADULTS AND YOUTH IN YEAR ONE, AND 1,000 PERSONS TOTAL OVER TWO YEARS IN AN ENHANCED, MULTIDISCIPLINARY TREATMENT TEAM APPROACH IN 8 OUTPATIENT TREATMENT SITES, IN A PROJECT CALLED PIONEER VALLEY OUTPATIENT SERVICE. SERVICES LOCATIONS ARE SPRINGFIELD, HOLYOKE, WARE AND WESTFIELD, MA. WE WILL SERVE PERSONS WITH SMI, COD AND SED, FOCUSING ON LOW-INCOME, PERSONS OF COLOR, RURAL, AND YOUTH POPULATIONS. DURING COVID-19, BHN IS WITNESS TO A HIGHER CLINICAL ACUITY IN OUR CLIENTS AND A RAPIDLY INCREASING COMMUNITY NEED FOR SERVICES, AT THE SAME TIME THAT BHN’S CAPACITY TO SERVE HAS DECREASED DUE TO VICARIOUS TRAUMA AND THE PERSONAL IMPACTS OF THE PANDEMIC ON OUR CLINICAL STAFF. STARTING THE PANDEMIC WITH A LOW CLINICIAN WORKFORCE, WE HAVE BEEN CHALLENGED OVER THE LAST YEAR TO BRING OUR CLINICIAN RANKS UP TO THE SIZE NEEDED TO BE FULLY RESPONSIVE TO THE COMMUNITY NEED. COMBINED WITH THIS IS ADDITIONAL VOLUNTARY TERMINATIONS OF SOME STAFF AND REDUCTIONS IN WORK HOURS FOR OTHERS. PROJECT INTERVENTIONS INCLUDE STANDARD OP SERVICES DELIVERED IN A MULTIDISCIPLINARY TEAM STRUCTURE. WE WILL OFFER (PRIMARILY TELEHEALTH) SCREENING, ASSESSMENT, DIAGNOSIS, TREATMENT PLANNING, RECOVERY SUPPORT SERVICES, CASE MANAGEMENT, PEER SUPPORT, RESOURCE NAVIGATION AND PSYCHOSOCIAL REHAB. WE WILL SUPPORT OUR STAFF AS THEY MANAGE THEIR MENTAL HEALTH NEEDS AND PROVIDE CULTURAL COMPETENT TRAININGS TO BETTER SERVE OUR DIVERSE POPULATIONS. PEERS WILL BE INCLUDED ON THE TEAMS AND FULLY TRAINED AND SUPPORTED IN THEIR ROLES. OUR MULTIDISCIPLINARY TEAM MODEL IS DESIGNED TO PROVIDE TO RESPOND TO THE MORE INTENSIVE CARE AND SUPPORT NEEDS OF HIGHER ACUITY CLIENTS TO HELP RETAIN THEM IN SERVICES AND MORE READILY MEET THEIR SELF-IDENTIFIED TREATMENT GOALS, INCLUDING GOALS RELATED TO THEIR SOCIAL DETERMINANTS OF HEALTH NEEDS. TEAM MEMBERS INCLUDE THE MASTERS PREPARED BEHAVIORAL HEALTH CLINICIAN, THE NAVIGATOR, AND PROVIDERS AT OTHER LEVELS OF CARE WHO ARE INVESTED IN THE PERSON’S GOALS. WE WILL CREATE A “ONE PERSON/ ONE PLAN” APPROACH TO CARE. THIS PLAN INCLUDES 1-2 TEAMS AT EACH OF 8 CLINICS. OUR EXPECTATION IS THAT SHARED RESPONSIBILITY FOR HIGH-ACUITY CLIENT CARE WILL REDUCE CLINICIAN STRESS AND PREVENT THE EXACERBATION OF VICARIOUS TRAUMA. OUR GOALS INCLUDE INCREASING THE CAPACITY OF OUR OP SERVICES TO MEET THE NEEDS OF CLIENTS BY UTILIZING TEAMS TO REDUCE THE TIME FROM INTAKE TO ASSESSMENT, AND THEN FROM ASSESSMENT TO ON-GOING SERVICE PROVISION, AND TO INCREASE THE NUMBER OF NEW INTAKES WE PERFORM ANNUALLY. OUR SECOND GOAL IS TO IMPROVE CLIENT OUTCOMES VIA THE MULTIDISCIPLINARY TREATMENT TEAM APPROACH, BY HELPING THEM TO ACHIEVE AT LEAST ONE TREATMENT GOAL IN 6 MONTHS, REDUCING THEIR NEED FOR CRISIS INTERVENTIONS, AND LEAVING THEM SATISFIED WITH THE SERVICES THEY RECEIVE. OUT THIRD GOAL IS TO IMPROVE THE CAPACITY OF STAFF TO DELIVER SERVICES, WHEREBY THEY EXPRESS GREATER JOB SATISFACTION ARE RETAINED AS EMPLOYEES, AND COMPLETE TRAINING IN A NEW EVIDENCE BASED PRACTICE. WE WILL REDUCE OUR WAITLISTS, PROVIDE MORE INTENSIVE, CULTURALLY COMPETENT CARE BY TRAINED, CULTURALLY HUMBLE CLINICAL AND PEER STAFF, AND HELP OUR EMPLOYEES BETTER MANAGE THEIR OWN SELF-CARE AND WELLNESS.

BHN CCBHC 2021 - BEHAVIORAL HEALTH NETWORK, INC.’S CCBHC EXPANSION PROJECT AIMS TO INCREASE ACCESS TO HIGH QUALITY, INTEGRATED BEHAVIORAL HEALTH AND RECOVERY SUPPORTS FOR 300 SMI/ SED/ SUD/COD PATIENTS. FUNDING WILL AUGMENT OUR EXISTING SERVICE COMPONENTS, RESTRUCTURE CRISIS SERVICES TO INCREASE ACCESS TO COMMUNITY-BASED CARE, DEVELOP PAYMENT INFRASTRUCTURE TO IMPROVE ACCESS TO CARE, AND SUSTAIN GAINS MADE IN OUR INTEGRATED AND COMPREHENSIVE SERVICE MODEL. CCBHC PARTICIPANTS WILL CONTINUE TO DEMONSTRATE MEASURABLE IMPROVEMENT IN FUNCTIONING, REDUCTION IN BEHAVIORAL HEALTH SYMPTOMS AND REDUCTION IN UTILIZATION OF HIGHER LEVELS OF BEHAVIORAL HEALTH AND MEDICAL CARE. OUR PROGRAM HAS DECREASED HOSPITALIZATIONS AND INCREASED ACCESS TO MEDICATIONS FOR OPIOID USE DISORDERS. OUR SECONDARY GOAL IS TO USE THE EXPERIENCE AND DATA FROM THIS PROJECT, IN PARTNERSHIP WITH OUR PAYER DCOS, TO CREATE VALUE-BASED PAYMENT MODELS. CURRENT DATA STRONGLY SUGGESTS THAT GRANT-FUNDED GAP CARE HAS BEEN HIGHLY EFFECTIVE IN REDUCING EMERGENCY DEPARTMENT UTILIZATION FOR A COHORT OF INDIVIDUALS WITH PATTERNS OF FREQUENT USE. BHN PROPOSES TO FULLY REFINE AND CONTINUE TO MEASURE IMPACT FROM OUR EXISTING CCBHC EXPANSION GRANT, FUNDING THAT ENABLED US TO INTEGRATE BEHAVIORAL HEALTH AND CARE MANAGEMENT; FILL GAPS IN UNIVERSAL ACCESS TO CARE COORDINATION AND TARGETED CASE MANAGEMENT; AND IMPLEMENT MEDICATION ASSISTED TREATMENT FOR SUBSTANCE USE DISORDERS. CENTRAL TO THE 2021 CCBHC EXPANSION WILL BE ACTIVITIES RELATED TO CREATING A BEHAVIORAL HEALTH (BH) URGENT CARE CENTER TO DIVERT PERSONS FROM INAPPROPRIATE ED UTILIZATION FOR BH CRISIS SERVICES AND STABILIZATION. BHN IS THE EMERGENCY SERVICES PROVIDER IN THE SOUTHERN PIONEER VALLEY OF WESTERN MASSACHUSETTS. WE ARE IN THE PLANNING STAGE OF CREATING THE NEW MODEL OF CARE TO SUPPORT HIGH RISK, HIGH NEED FREQUENT UTILIZERS OF BH SERVICES. THIS NEW AMBULATORY URGENT CARE CENTER AND ENHANCED COMMUNITY CRISIS STABILIZATION (CCS) WILL DECREASE ED UTILIZATION FOR CRISIS INTERVENTIONS. BHN WILL APPLY TO RUN A MOBILE INTEGRATED HEALTH CARE (MIH) PROGRAM IN PARTNERSHIP WITH HOSPITALS AND COMMUNITY EMS PROVIDER IN ORDER TO DIVERT SERVICES TO BHN. WE WILL ALSO OFFER MEDICATION STABILIZATION, PSYCHIATRY SERVICES, AND ASSESS SOCIAL DETERMINANTS NEEDS AND PROVIDE LINKAGES TO CARE. COMFORT MEDICATIONS FOR DETOXIFICATION WITHDRAWAL WILL BE OFFERED AS CLIENTS WAIT ON BED AVAILABILITY. BHN AND OUR MEDICAL PARTNERS WILL DEVELOP SERVICES IN COLLABORATION WITH THE MA EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES (EOHHS). EOHHS LAUNCHED A PLAN IN MAY, 2019 TO DESIGN AND IMPLEMENT AN AMBULATORY BEHAVIORAL HEALTH TREATMENT SYSTEM. THEY HOSTED 8 LISTENING SESSIONS, SOLICITED WRITTEN FEEDBACK AND IS WORKING WITH PROVIDERS TO DEVELOP A ROADMAP FOR CRITICAL CHANGES NEEDED IN THE COMMONWEALTH. BHN’S BH URGENT CARE CONCEPT WAS DESIGNED AS A RESULT OF OUR COLLABORATIVE WORK WITH EOHHS AND THE MA DEPARTMENT OF PUBLIC HEALTH. SERVICES WILL BE PROVIDED AT BHN AND IN OUR PRIMARY CARE DCOS FOR HIGH-RISK, HIGH UTILIZING, AND/OR DIFFICULT TO ENGAGE CLIENTS IN NEEDED CARE FOR SERIOUS BH ILLNESSES. BHN IS REQUESTING $2,000,000 PER YEAR.

BHN CCBHC PROGRAM

HEALING TO RECOVERY - THE PROPOSED HEALING TO RECOVERY PROJECT DEMONSTRATES AN INNOVATIVE COLLABORATION BETWEEN TWO ESTABLISHED ENTITIES: BEHAVIORAL HEALTH NETWORK OF GREATER ST. LOUIS AND HAVEN RECOVERY HOUSE, WITH THE OVERARCHING INTENT OF ESTABLISHING RECUPERATIVE CARE MODELS IN RECOVERY HOUSING SETTINGS FOR HOMELESS AND AT RISK OF HOMELESSNESS YOUNG ADULTS AND MEN, WOMEN, AND ALL GENDERS AND ORIENTATIONS AGES 18-65, LOCATED WITHIN THE ST. LOUIS METROPOLITAN STATISTICAL AREA. THE POF WILL PRIMARILY EMANATE FROM THE CITY OF ST. LOUIS, POPULATION 296,958, WHICH IS A UNIQUE INDEPENDENT GOVERNANCE WITHIN 65 SQUARE MILES, AND THE ADJACENT NORTHERN SECTOR OF ST. LOUIS COUNTY, COMPRISED OF 26 HIGHLY DIVERSE SEPARATE MUNICIPALITIES, POPULATION 322,003, OCCUPANTS OF WHICH ARE HISTORICALLY AND PERSISTENTLY MARGINALIZED, WITH POVERTY RATES RANGING AS HIGH AS 46%. SIGNIFICANTLY HIGH INCIDENCES AND HOTSPOTS SATURATED BY GANG ACTIVITY, VIOLENT CRIME, POVERTY, AND DISINVESTMENT IN BOTH THE CITY OF ST. LOUIS AND NORTHERN ST. LOUIS COUNTY ARE WELL DOCUMENTED, RANKING AMONG THE HIGHEST IN THE UNITED STATES, WITH BOTH AREAS LOCATED IN THE FOOTPRINT OF A FEDERAL PROMISE ZONE. ACCORDING TO CONTINUUM OF CARE (COC) DATA, THE 2022 HUD POINT IN TIME CENSUS OF HOMELESSNESS IN ST. LOUIS INCREASED BY 34% IN THE 5 YEARS FROM 2018, AND BY 60% DURING 2023. HEALING TO RECOVERY WILL FOCUS ON THE FOLLOWING STRATEGIES AND INTERVENTIONS SERVING 30 PERSONS IN YEAR 1, 60 IN YEAR 2, 60 IN YEAR 3, 60 IN YEAR 4 AND 30 IN YEAR 5 FOR A TOTAL OF 240: OUTREACH AND ENGAGEMENT, WITH A FOCUS ON MARGINALIZED POPULATIONS; SCREENING, MENTAL HEALTH AND SUBSTANCE USE DISORDERS SERVICES, CASE MANAGEMENT INCLUDING ENROLLMENT IN MAINSTREAM BENEFITS AND LINKAGE TO STABLE HOUSING, RECOVERY SUPPORT SERVICES, AND REFERRAL / FOLLOW-UP; THE DEVELOPMENT OF A STEERING COMMITTEE; COLLABORATION WITH THE 988 SYSTEM; AND STAKEHOLDER MAPPING. PROJECT GOALS AND OBJECTIVES ARE AS FOLLOWS: GOAL 1: INCREASE THE NUMBER OF MEDICALLY FRAGILE, SUD/COD, HOMELESS INDIVIDUALS WITH AN EMPHASIS ON AFRICAN AMERICANS SERVED, ENGAGED, AND RETAINED IN SERVICES THROUGHOUT THE PROJECT. OBJECTIVE 1.1: UP TO 240 CLIENTS WILL BE PROVIDED COMPREHENSIVE RECUPERATIVE CARE SERVICES IN A RECOVERY HOUSING SETTING, MENTAL HEALTH AND CO-OCCURRING DISORDER SERVICES OVER THE 5-YEAR PROJECT. OBJECTIVE 1.2: 100% OF CLIENTS IN THE PROGRAM WILL BE CONNECTED TO BH OR SUD TREATMENT. OBJECTIVE 1.3: 100% OF CLIENTS IN THE PROGRAM WILL RECEIVE RECOVERY SUPPORT SERVICES AND MEET WITH A PEER SUPPORT SPECIALIST. OBJECTIVE 1.4: 60% OF CLIENTS ENROLLED IN THE PROJECT WILL BE RETAINED IN TREATMENT OR RECOVERY SERVICES FOR 6 MONTHS. OBJECTIVE 1.5: 100% OF CLIENTS NEEDING INTERPRETATION / TRANSLATION WILL HAVE ACCESS TO APPROPRIATE SERVICES THROUGHOUT THE PROJECT. GOAL 2: IMPROVE BEHAVIORAL AND HEALTH OUTCOMES FOR 70% OF CLIENTS ENROLLED IN THE PROJECT. OBJECTIVE 2.1: 70% OF CLIENTS ENROLLED IN THE PROJECT WILL REPORT A REDUCTION IN SUD/COD SYMPTOMS OVER 6 MOS. OBJECTIVE 2.2: 70% OF CLIENTS IN SUD/COD TREATMENT SERVICES WILL EXPERIENCE A REDUCTION IN DRUG AND ALCOHOL USE / MISUSE OVER 6 MONTHS. OBJECTIVE 2.3: 100% OF CLIENTS WHO ARE NOT COVERED WILL BE OFFERED ASSISTANCE WITH ENROLLING ELIGIBLE PARTICIPANTS OR THEIR FAMILIES INCLUDING HEALTH COVERAGE, FOOD STAMPS AND SOCIAL SECURITY PROGRAMS, AS APPLICABLE, THROUGHOUT THE 5-YEAR PROJECT. OBJECTIVE 2.4: 70% OF CLIENTS WILL IMPROVE SOCIAL CONNECTIONS AT 6-MONTH FOLLOW UP. OBJECTIVE 2.5: 50% OF CLIENTS WILL BE IN SUSTAINABLE, PERMANENT HOUSING BY THE END OF THE PROJECT.

TCE/HIV

SPRINGFIELD HEALTH AND RECOVERY PROGRAM (SHARP)

RESIDENTIAL TREATMENT FOR PREGNANT AND POSTPARTUM WOMEN (PPW)

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

GREATER ARIZONA REINTEGRATION SERVICES PROJECT

PIMA COMMUNITY PREVENTION COALITION

EL CAMINO AL FUTURO

VERMONT'S MENTAL HEALTH URGENT CARE INITIATIVE (MUCI) - BEHAVIORAL HEALTH NETWORK OF VERMONT, INC. DBA VERMONT CARE NETWORK (VCN) WILL SUPPORT FIVE OF ITS NETWORK AGENCIES IN THE INITIAL IMPLEMENTATION OF MENTAL HEALTH URGENT CARE INITIATIVES (MUCI) IN THEIR RESPECTIVE AREAS OF THE STATE. THE OVERARCHING GOAL OF MUCI IS TO SERVE YOUTH AND FAMILIES (AND ADULTS IN ADDISON COUNTY) EARLY IN THE CRISIS CYCLE TO AVOID FURTHER ESCALATION AND UNNECESSARY NEED FOR HIGHER LEVELS OF CARE. UNITED COUNSELING SERVICE OF BENNINGTON COUNTY (UCS), COUNSELING SERVICE OF ADDISON COUNTY (CSAC), LAMOILLE COUNTY MENTAL HEALTH SERVICES (LCMHS), HOWARD CENTER (HC) (CHITTENDEN COUNTY), AND HEALTHCARE AND REHABILITATION SERVICES (HCRS) (WINDHAM COUNTY), WILL DEVELOP URGENT CARE PROGRAMS DESIGNED TO MEET THE UNIQUE NEEDS OF THEIR COMMUNITIES WITHIN THE CONTEXT OF EXISTING SERVICES. THE LACK OF NEEDED URGENT CARE RESOURCES FOR MENTAL HEALTH IN VERMONT HAS REACHED A CRISIS. EVEN BEFORE THE PANDEMIC LED TO INCREASED NEED AND REDUCED INPATIENT BED CAPACITY, ACUTE SHORTAGES OF OPTIONS FOR PEOPLE COPING WITH CRISES LED TO FREQUENT EPISODES OF EXTENDED EMERGENCY DEPARTMENT [ED] STAYS. INSPIRED BY THE SUCCESSFUL PEDIATRIC URGENT CARE FOR KIDS [PUCK] MODEL AT UCS, MUCI WILL INCLUDE AN EXPANSION OF PUCK IN BENNINGTON COUNTY, AND THE DEVELOPMENT OF FOUR ADDITIONAL URGENT CARE PROGRAMS THROUGHOUT VERMONT TWO OF WHICH WILL BE SIMILAR TO PUCK. MUCI WILL AIM TO ACHIEVE THREE PRIMARY GOALS: 1) PEOPLE PARTICIPATING IN MUCI PROGRAMS WILL DEMONSTRATE A DECREASE IN ACUITY OF REFERRING SYMPTOMS UPON DISCHARGE; 2) PEOPLE SUPPORTED BY MUCI PROGRAMS WILL REDUCE THEIR USE OF EMERGENCY DEPARTMENTS AND HOSPITALIZATION TO MANAGE MENTAL HEALTH CRISES; AND 3) PEOPLE IN THE MUCI PROGRAM WHO ARE ADMITTED TO THE EMERGENCY DEPARTMENT FOR MENTAL HEALTH CRISES WILL EXPERIENCE DECREASED LENGTHS OF STAY IN THE EMERGENCY DEPARTMENT. IN TOTAL, UP TO 335 VERMONTERS WILL BE SUPPORTED THROUGH THE INITIAL IMPLEMENTATION OF MUCI.

BRIDGES TO CARE AND RECOVERY EXPANSION - SUMMARY: BEHAVIORAL HEALTH NETWORK WILL EXPAND THE BRIDGES TO CARE AND RECOVERY PROGRAM TO SUPPLEMENT EXISTING INFRASTRUCTURE WITHIN PREDOMINANTLY BLACK FAITH COMMUNITIES. TRAINING WILL BE PROVIDED TO CONGREGANTS, COMMUNITY MEMBERS, AND PASTORS TO REINFORCE DECREASED STIGMA AND INCREASED AWARENESS OF AND SENSITIVITY TO THE NEEDS OF INDIVIDUALS WITH OR AT RISK FOR MENTAL ILLNESS OR SUICIDE. POPULATIONS TO BE SERVED: THE BCR EXPANSION WILL TRAIN MEMBERS OF FAITH COMMUNITIES, PASTORS, AND OTHERS LIVING OR WORKING CLOSE TO THE FAITH COMMUNITIES OF FOCUS IN NORTH ST. LOUIS CITY AND NORTH ST. LOUIS COUNTY, PREDOMINANTLY BLACK COMMUNITIES. STRATEGIES/INTERVENTIONS: THE BCR EXPANSION WILL FOCUS ON TRAINING YOUTH AND CONGREGANTS IN A VARIETY OF MENTAL HEALTH AWARENESS TRAINING PROGRAMS, INCLUDING TWO EVIDENCE-BASED PROGRAMS, MENTAL HEALTH FIRST AID AND QUESTION, PERSUADE, REFER. OTHER TRAININGS WILL INCLUDE SHARING HOPE, A MENTAL WELLNESS TRAINING PROGRAM DESIGNED FOR BLACK COMMUNITIES, AND PASTORAL CURRICULUM WILL BE DESIGNED, PILOTED, AND IMPLEMENTED WITH PASTORS TO HELP THEM MORE EFFECTIVELY BUILD MENTAL HEALTH STIGMA REDUCTION AND MENTAL WELLNESS RESOURCES INTO THE LITURGY. PROJECT GOALS AND MEASURABLE OBJECTIVES: THE PROJECT WILL TRAIN 160 INDIVIDUALS ANNUALLY, FOR A TOTAL OF 480 INDIVIDUALS DURING THE PROJECT PERIOD, WITH MANY RECEIVING MULTIPLE TRAININGS. GOAL 1: INCREASE AWARENESS OF AND SENSITIVITY TO THE NEEDS OF INDIVIDUALS WITH OR AT RISK FOR MENTAL ILLNESS AND/OR SUICIDE IN BLACK COMMUNITIES IN NORTH ST. LOUIS CITY AND COUNTY. [NEEDS ADDRESSED – HIGH RATES OF MENTAL ILLNESS AND SUBSTANCE ABUSE AND ASSOCIATED DEATHS; LOW RATES OF ENGAGEMENT WITH MENTAL HEALTH PROFESSIONALS; DISPROPORTIONATELY HIGH RATES OF NEGATIVE SOCIAL DETERMINANTS OF HEALTH] OBJ. 1.1: 192 OUT OF 240 (80%) YOUTH AND ADULTS COMPLETING QPR TRAINING WILL DEMONSTRATE INCREASED KNOWLEDGE OF SUICIDE PREVENTION OVER THE THREE-YEAR PROJECT PERIOD. OBJ. 1.2: 48 OUT OF 60 (80%) WELLNESS CHAMPION PASTORS ATTENDING QPR FOR PASTORS WILL DEMONSTRATE INCREASED KNOWLEDGE OF SUICIDE PREVENTION DURING THE THREE-YEAR PROJECT PERIOD. OBJ. 1.3: 144 OUT OF 180 (80%) ADULTS COMPLETING TRAUMA-INFORMED COMMUNITIES TRAINING WILL DEMONSTRATE INCREASED KNOWLEDGE OF TRAUMA AND ITS IMPACTS DURING THE THREE-YEAR PROJECT PERIOD. OBJ. 1.4: 96 OUT OF 120 (80%) ADULTS COMPLETING MHFA WILL DEMONSTRATE AN UNDERSTANDING OF THE SIGNS AND SYMPTOMS OF MENTAL HEALTH AND SUBSTANCE USE CHALLENGES DURING THE THREE-YEAR PROJECT PERIOD. OBJ. 1.5: 96 OUT OF 120 (80%) ADULTS COMPLETING SHARING HOPE WILL BE BETTER ABLE TO RECOGNIZE SIGNS AND SYMPTOMS OF MENTAL HEALTH CONDITIONS. OBJ. 1.6: INCREASE THE NUMBER OF INDIVIDUALS REFERRED ANNUALLY THROUGH BCR PROGRAMMING FROM 191 IN 2022 TO 230 IN 2026, A 20% INCREASE IN THE NUMBER OF PEOPLE REFERRED FOR SUPPORT. OBJ. 1.7: CREATE A CURRICULUM, ASSOCIATED MATERIALS, PRE AND POST-TESTS, AND A TRAINING MANUAL TO TEACH PASTORS TO INTEGRATE BEHAVIORAL HEALTH STIGMA REDUCTION INTO THE LITURGY.

TEXT MESSAGING AND TELECOACHING FOR HIGH NEED/UTILIZATION POPULATIONS

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

SAMHSA MHAT: ACCESSIBLE COMMUNITY BASED CARE FOR EVERYONE. STOP THE STIGMA. VERMONT (ACCES VT) - ACCESS VT (ACCESSIBLE COMMUNITY-BASED CARE FOR EVERYONE. STOP THE STIGMA) IS A STATEWIDE COLLABORATION BETWEEN VERMONT CARE NETWORK, VERMONT’S COMMUNITY MENTAL HEALTH AGENCIES, AND VERMONT LEADERSHIP EDUCATION IN NEURODEVELOPMENTAL DISABILITIES PROGRAM. ACCESS VT WILL TRAIN 48 TEEN, YOUTH, AND ADULT MENTAL HEALTH FIRST AID (T/Y/MHFA) INSTRUCTORS, 5000 VERMONTERS IN T/Y/MHFA AND 250 VERMONTERS IN CULTURAL AND LINGUISTIC COMPETENCY (CALC). THE GOALS OF ACCESS VT ARE TO: 1) EXPAND VERMONT’S STATEWIDE INFRASTRUCTURE OF T/Y/MHFA INSTRUCTORS TO IDENTIFY MENTAL HEALTH NEEDS THROUGHOUT THE STATE AND INCREASE COLLABORATION AMONG COMMUNITY BASE PROVIDERS; 2) INCREASE THE CAPACITY OF COMMUNITY MEMBERS AND OTHERS SUPPORTING THE POPULATIONS OF FOCUS TO RECOGNIZE THE EARLY WARNING SIGNS OF SUICIDE AND THE SIGNS AND SYMPTOMS OF MENTAL ILLNESS AND TO GAIN A GREATER UNDERSTANDING OF AVAILABLE RESOURCES; 3) INCREASE THE CAPACITY OF MENTAL HEALTH AGENCIES TO PROVIDE CULTURALLY RESPONSIVE SERVICES TO DIVERSE POPULATIONS. IN ADDITION TO GENERAL COMMUNITY MEMBERS, TARGETED POPULATIONS INCLUDE: SCHOOL STAFF, STUDENTS IN GRADES 10-12, STUDENTS AND STAFF IN HIGHER EDUCATION, FIRST RESPONDERS, BLACK, INDIGENOUS AND PEOPLE OF COLOR (BIPOC) COMMUNITIES, AND REFUGEE AND IMMIGRANT (R/I) COMMUNITIES. ACCESS VT GOALS WILL BE ACCOMPLISHED THROUGH THE FOLLOWING OBJECTIVES: BY 12/21 VCN WILL COMPLETE AN INSTRUCTOR GAP ANALYSIS; BY 12/21 VCN WILL EXPAND COMMUNITY BASED PARTNERSHIPS WITH YOUTH AND ADULT SERVING ORGANIZATIONS, ADDING TWO PARTNERS PER GRANT YEAR; BY 2/22 VCN WILL DEVELOP AND BEGIN TO IMPLEMENT A MARKETING PLAN, INCLUSIVE OF SOCIAL MEDIA STRATEGIES AND REFLECTIVE OF COMMUNITY MEMBERS AND POPULATIONS OF FOCUS; BY THE END OF YEAR 1, INSTRUCTORS WILL TRAIN 200, 10TH, 11TH, AND/OR 12TH GRADERS IN TEEN MHFA AND 250 ADDITIONAL INDIVIDUALS IN EACH FOLLOWING YEAR FOR A TOTAL OF 1,200; BY THE END OF YEAR 1 INSTRUCTORS WILL TRAIN 300 INDIVIDUALS IN YOUTH MHFA AND 400 ADDITIONAL INDIVIDUALS IN EACH FOLLOWING YEAR FOR A TOTAL OF 1900; BY THE END OF YEAR 1 INSTRUCTORS WILL TRAIN 300 INDIVIDUALS IN ADULT MHFA AND 400 ADDITIONAL INDIVIDUALS IN EACH FOLLOWING YEAR FOR A TOTAL OF 1900; OF THE 5000 MENTAL HEALTH FIRST AIDERS TRAINED THROUGHOUT THE GRANT, 50% WILL BE WITHIN WORKFORCE DEVELOPMENT AND 50% GENERAL COMMUNITY MEMBERS; IN YEAR 1, VCN WILL DEVELOP A RESOURCE GUIDE TEMPLATE, DESCRIBING AVAILABLE SERVICES AND REFERRAL OPTIONS; BY THE END OF THE GRANT PERIOD, REFERRALS TO MENTAL HEALTH SERVICES WILL SHOW A 150% INCREASE FROM BASELINE; BY THE END OF THE GRANT AT LEAST 6,000 YOUTH AND/OR ADULTS WILL BE SUPPORTED BY A STEP OF THE ALGEE ACTION PLAN AND/OR REFERRED TO MENTAL HEALTH SERVICES BY FIRST AIDERS; BY THE END OF THE GRANT VCN WILL CONTRACT FOR CONSULTATION ON CULTURALLY RESPONSIVE HIRING PRACTICES PROVIDED TO 75% OF THE COMMUNITY MENTAL HEALTH CENTERS; BY THE END OF THE GRANT, 250 YOUTH AND ADULT SERVING COMMUNITY MEMBERS AND/OR MENTAL HEALTH PROVIDERS WILL BE TRAINED IN THE CALC CURRICULUM; BY THE END OF THE GRANT, 4 CULTURAL RESPONSIVENESS SUMMITS WILL BE HELD.

WHEELS AND WAVES: A STATEWIDE VIDEO DIRECTLY OBSERVED TREATMENT [VDOT] PROGRAM - WHEELS AND WAVES IS A VIDEO DIRECTLY OBSERVED TREATMENT [VDOT] PROGRAM THAT IS DESIGNED TO INCREASE ACCESS TO METHADONE AND BUPRENORPHINE DISPENSED FROM OPIATE USE DISORDER [OUD] TREATMENT PROGRAMS (KNOWN IN VERMONT AS “HUBS”) TO VERMONTERS WHO OTHERWISE ARE REQUIRED TO TRAVEL TO THE HUB SITE FOR OBSERVED DOSING. THROUGH WHEELS AND WAVES, PATIENTS ARE SUPPLIED WITH SECURE MEDICATION DISPENSERS AND A SMART PHONE VIDEO APP ENABLING THEM TO RECORD THEMSELVES TAKING METHADONE OR BUPRENORPHINE, AND THEN SUBMIT THE VIDEO FOR STAFF OBSERVATION. THE PROGRAM WAS SUCCESSFULLY PILOTED AT THE HOWARD CENTER’S CHITTENDEN CLINIC FROM 2016-2019, SIGNIFICANTLY REDUCING BARRIERS TO TREATMENT, INCREASING RETENTION RATES, INCREASING EMPLOYMENT RATES, AND REDUCING COSTS FOR THE PATIENT AND THE STATE. VERMONT CARE NETWORK WILL ADMINISTER THE SAMHSA GRANT ALLOWING THE WHEELS AND WAVES PILOT TO BE EXPANDED STATEWIDE MAKING VDOT AVAILABLE TO PATIENTS AT ALL 8 HUBS SERVING VERMONTERS. THE OVERARCHING GOAL OF WHEELS AND WAVES IS TO INCREASE THE MAT RETENTION RATES OF UP TO 400 VERMONTERS WITH TRANSPORTATION AND EMPLOYMENT CHALLENGES WHO ARE ACCESSING METHADONE AND BUPRENORPHINE DISPENSED FROM HUB OUD TREATMENT PROGRAMS. THE STATEWIDE IMPLEMENTATION WILL SUPPORT THE FOLLOWING FOUR OBJECTIVES: 1) BY NOVEMBER 30 2022, VCN WILL HAVE TRAINED 8 HUBS IN THE REMOTE SUPERVISED DOSING MODEL; 2) BY SEPTEMBER 29 2023, HUBS WILL HAVE ENROLLED UP TO 400 UNIQUE INDIVIDUALS IN WHEELS AND WAVES AS MEASURED BY NUMBER OF PATIENTS WHO HAVE SUBMITTED AT LEAST OFF-SITE DOSING VIDEO TO THE HUB’S SECURE PLATFORM; 3) BY SEPTEMBER 29 2023, THE RETENTION RATE FOR MAT AT EACH HUB PARTICIPATING IN WHEELS AND WAVES WILL BE 10% HIGHER THAN THE PREVIOUS YEAR; AND 4) WITHIN THE 90-DAY CLOSE-OUT PERIOD, VCN WILL BE ABLE TO PROVIDE AVERAGE MONTHLY COST AND TIME SAVINGS FOR AT LEAST 200 VERMONTERS ENROLLED IN WHEELS AND WAVES.

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

AWARE VERMONT

COMMUNITY FIRST (FIRST SIGNS, INTERVENTION, REFERRAL, SUPPORT, TREATMENT) VERMONT

HOMELESS ASSISTANCE

TEXT MESSAGING AND TELECOACHING FOR HIGH NEED/UTILIZATION POPULATIONS

GRADUATE PSYCHOLOGY EDUCATION PROGRAMS

PRIMA COMMUNITY PREVENTION COALITION

HOMELESS ASSISTANCE

SUPPORTIVE HOUSING PROGRAM

SUPPORTIVE HOUSING PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

TO SUPPORT THE CLEAN AND SOBER THEATRE PROGRAM.

COMMUNITY PREVENTION COALITION DRUG FREE COMMUNITIES PROJECT

AWARE VERMONT