Child Health And Development Institute Of Connecticut Inc

SCREEN, TRIAGE, INFORM, MITIGATE, ENGAGE (SCREENTIME)

CONNECTICUT TREATMENT EXPANSION AND ENHANCEMENT (CT-TREE) - THE CONNECTICUT TREATMENT EXPANSION AND ENHANCEMENT (CT-TREE) INITIATIVE WILL ENHANCE COMPREHENSIVE TREATMENT, EARLY DETECTION AND INTERVENTION, AND RECOVERY SUPPORT SERVICES FOR TRANSITIONAL AGED YOUTH (TAY) AGES 16-25 IN EASTERN CONNECTICUT WITH SUBSTANCE USE DISORDERS (SUD). THE PRIMARY GOAL IS TO ENSURE TAY EXPERIENCE WELL-COORDINATED AND INTEGRATED BEHAVIORAL HEALTH SERVICES TO ACHIEVE OPTIMAL HEALTH AND WELLNESS. TAY IN CONNECTICUT’S EASTERN REGION HAVE DISPROPORTIONATELY HIGH RATES OF SUBSTANCE USE DISORDERS, OVERDOSE, AND ILLICIT DRUG USE COMPARED TO THE REST OF THE STATE AND NATIONALLY. TO COMPOUND THESE ISSUES, MOST OF THIS REGION IS RURAL AND EXPERIENCES SIGNIFICANT LACK OF ECONOMIC RESOURCES AND COMMUNITY SUPPORTS. DESPITE THE EXCEPTIONAL EFFORTS TO COMBAT THESE PUBLIC HEALTH CONCERNS BY THE FEDERALLY QUALIFIED HEALTH CENTER IN THIS AREA, UNITED FAMILY AND COMMUNITY SERVICES (UCFS), SERVICE GAPS REMAIN PARTICULARLY HIGH FOR TAY WITH SUD. CT-TREE WILL EXPAND TWO WELL-ESTABLISHED, EVIDENCED-BASED SUD MODELS AT UCFS TO ENSURE TAY WILL RECEIVE VITAL SERVICES: 1) SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) AND 2) MULTIDIMENSIONAL FAMILY THERAPY FOR TRANSITIONAL AGED YOUTH (MDFT-TAY). BY THE END OF THE GRANT, AT LEAST 1000 TAY WILL BE SCREENED FOR SUD AND AT LEAST 450 TAY WILL RECEIVE MDFT-TAY. CT-TREE WILL PROVIDE SBIRT TRAINING TO AT LEAST 100 UCFS PROVIDERS AND ENSURE MDFT-TAY IS DELIVERED WITH FIDELITY AND ACHIEVES OUTCOME BENCHMARKS FOR TAY FUNCTIONING AND STABILITY. WITHIN THREE AND SIX MONTHS OF STARTING TREATMENT, AT LEAST 50% OF TAY WILL BE ABSTINENT OR REDUCE THEIR SUBSTANCE USE ACROSS ALL RACIAL AND ETHNIC GROUPS. TO ENSURE THAT TAY RECEIVE THE BEST TAILORED APPROACH, CT-TREE ENHANCEMENTS OF TAY SERVICES WILL INCLUDE SPECIALIZED TRAINING (E.G., TRAUMA PRINCIPLES AND SCREENING, CHILD HEALTH AND DEVELOPMENT, PARENT EDUCATION AND SKILLS TRAINING) FOR THE TAY POPULATION AND AN INNOVATIVE, HYBRID DELIVERY OF MDFT-TAY THAT INTEGRATES IN-HOME, IN-OFFICE, AND VIRTUAL SESSIONS. ADDITIONALLY, CT-TREE WILL ESTABLISH AN ADVISORY COMMITTEE THAT INCLUDES STAKEHOLDERS FROM THE CONNECTICUT DEPARTMENT OF CHILDREN AND FAMILIES AND DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES, TAY COMMUNITY PROVIDERS, AND TAY WITH LIVED EXPERIENCE OF SUDS. THE ADVISORY COMMITTEE WILL HELP ENSURE CT-TREE’S GOALS ARE MET AND ACCOMMODATIONS FOR THE TAY COMMUNITY ARE PRIORITIZED. CT-TREE WILL LEVERAGE THESE ESTABLISHED RELATIONSHIPS AND SUCCESSES TO FURTHER STATEWIDE EFFORTS TO IDENTIFY SUD EARLIER, PROMOTE HEALTHY BEHAVIORS, AND EXPAND ACCESS TO EVIDENCE-BASED SUD TREATMENT FOR THE TAY COMMUNITY IN CONNECTICUT.

SBIRT PATHS - THE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT PREVENTION AND ACCESS TO TREATMENT HUBS AND SERVICES (SBIRT PATHS) INITIATIVE WILL SERVE YOUTH AGES 12-21 WITH SUBSTANCE USE AND/OR CO-OCCURRING DISORDERS IN FIVE CONNECTICUT COUNTIES (FAIRFIELD, HARTFORD, NEW HAVEN, NEW LONDON, WINDHAM) TO ENSURE MORE YOUTH ACCESS EFFECTIVE CARE IN A TIMELY WAY. THE SBIRT PATHS INITIATIVE WILL ESTABLISH A CONNECTICUT (CT) COMMUNITY-BASED MODEL OF CO-OCCURRING CARE FOR YOUTH AND WILL EVOLVE ITS SYSTEM OF CARE BY ADDRESSING GAPS IN EARLY SUBSTANCE USE SERVICES, THE PROGRESSION OF SUBSTANCE USE DISORDERS ALONGSIDE OTHER UNMET SOCIAL NEEDS, AND CONNECTIONS BETWEEN LEVELS OF CARE. THE PRIMARY GOAL IS TO PROVIDE INTEGRATED SUBSTANCE USE, MENTAL HEALTH, AND TRAUMA-INFORMED SERVICES FOR YOUTH WITH LOW AND MODERATE RISK SUBSTANCE USE. FOUR BEHAVIORAL HEALTH PROVIDERS WILL FORM REGIONAL SBIRT PATHS CENTERS TO SERVE YOUTH AND FAMILIES IN FAIRFIELD, HARTFORD, NEW HAVEN, NEW LONDON, AND WINDHAM COUNTIES. THESE PROVIDERS INCLUDE THE CHILD AND FAMILY AGENCY, CHILD AND FAMILY GUIDANCE CLINIC, CLIFFORD BEERS COMMUNITY CARE CENTER, AND COMMUNITY HEALTH RESOURCES. THE SBIRT PATHS INITIATIVE WILL SERVE THE FIVE COUNTIES WITH THE HIGHEST PERCENTAGE OF YOUTH LIVING BELOW THE POVERTY LINE AND RANK THE HIGHEST FOR OVERALL SOCIAL VULNERABILITY (SOCIOECONOMIC STATUS, HOUSEHOLD CHARACTERISTICS, RACIAL AND ETHNIC MINORITY STATUS, HOUSING TYPE, TRANSPORTATION). BLACK YOUTH AND YOUTH WITH HISPANIC ETHNICITY ARE SERVED AT HIGHER RATES IN THESE COUNTIES DUE TO BEHAVIORAL HEALTH AND OTHER UNMET SOCIAL NEEDS (E.G., HOUSING, FOOD SECURITY, TRANSPORTATION). IN THESE RURAL AND URBAN COMMUNITIES, MORE THAN ONE OF EVERY FIVE YOUTH REPORT ACTIVE SUBSTANCE USE UPON BEHAVIORAL HEALTH SERVICE INITIATION EACH YEAR. THIS INITIATIVE WILL EXPAND THREE EVIDENCE-BASED PRACTICES (EBPS) FOR YOUTH UTILIZING A LEARNING COMMUNITY FRAMEWORK: SBIRT, MOTIVATIONAL ENHANCEMENT THERAPY/COGNITIVE BEHAVIORAL THERAPY (MET/CBT), AND WRAPAROUND SERVICES. BY GRANT END, AT LEAST 7,000 YOUTH WILL BE SCREENED AND 2,700 UNDUPLICATED YOUTH WHO SCREEN POSITIVE FOR SUBSTANCE USE WILL BE SERVED BY THESE EBPS (300 IN YEAR ONE, 600 ANNUALLY IN YEARS TWO THROUGH FIVE). THIS INITIATIVE WILL TRAIN MORE THAN 100 STAFF IN SBIRT, 100 CLINICIANS IN MET/CBT, 20 CARE COORDINATORS IN WRAPAROUND, AND ENSURE EBPS ARE DELIVERED WITH FIDELITY. A MET/CBT TRAIN-THE-TRAINER MODEL WILL BE USED TO BUILD CAPACITY AND SUSTAINABILITY. ADAPTIVE CONTINUOUS QUALITY IMPROVEMENT CONSULTATION WILL ENSURE GRANT SERVICES ACHIEVE EQUITABLE OUTCOMES FOR ALL YOUTH SUBPOPULATIONS. AT LEAST 60% OF YOUTH WHO COMPLETE MET/CBT TREATMENT WILL EXPERIENCE CLINICALLY MEANINGFUL SYMPTOM IMPROVEMENT, AND MORE THAN 70% OF YOUTH WILL INCREASE THEIR PERIODS OF ABSTINENCE FROM SERVICE START TO FINISH. SBIRT PATHS CENTERS WILL BUILD COMMUNITY-BASED, LOCALIZED PARTNERSHIPS TO ENSURE YOUTH ARE IDENTIFIED FOR SCREENING AND STAY CONNECTED TO SERVICES AND CARE PLANNING THROUGHOUT TREATMENT. YOUTH WITH CO-OCCURRING DISORDERS AND/OR MORE ACUTE SUBSTANCE USE SYMPTOMS WILL RECEIVE WARM HANDOFFS TO TRAUMA-INFORMED EBPS, SPECIALIZED SUBSTANCE USE DISORDER EBPS, AND/OR INTERMEDIATE LEVELS OF CARE BASED ON CLINICAL NEED. THIS GRANT WILL HAVE AN ADVISORY COMMITTEE OF KEY STAKEHOLDERS, INCLUDING SBIRT PATHS CENTER LEADERSHIP, CT DEPARTMENT OF CHILDREN AND FAMILIES, CT DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES, A MET/CBT NATIONAL TRAINER, FAVOR (CONNECTICUT'S STATE ORGANIZATION FOR THE NATIONAL FEDERATION OF FAMILIES FOR CHILDREN’S MENTAL HEALTH), AND CCAR (CONNECTICUT’S STATE ORGANIZATION FOR THE NATIONAL ALLIANCE FOR RECOVERY CENTERED ORGANIZATIONS). FAVOR AND CCAR WILL ENSURE PARTICIPATION FROM INDIVIDUALS WITH LIVED MENTAL HEALTH AND/OR SUBSTANCE USE EXPERIENCE, AND/OR FAMILY ADVOCATES OF SUCH INDIVIDUALS. THE COMMITTEE WILL HELP ENSURE INITIATIVE GOALS/OBJECTIVES ARE MET AND MORE YOUTH HAVE ACCESS TO EVIDENCE-BASED SUBSTANCE USE SERVICES AND TREATMENT.

EARLY CHILDHOOD TRAUMA COLLABORATIVE

PROJECT CHAMPION - PROJECT CHAMPION (CO-OCCURRING HEALTH ADVANCEMENT THROUGH MOBILIZED PARTNERSHIPS, INVOLVING OUTREACH AND NETWORKING) IS A COLLABORATION BETWEEN THE CHILD HEALTH AND DEVELOPMENT INSTITUTE AND THREE LOCAL HEALTH DEPARTMENTS/DISTRICTS (LHDS). THIS PROJECT WILL PROVIDE EFFECTIVE SUBSTANCE USE PREVENTION SERVICES FOCUSED ON UNDERAGE DRINKING, CANNABIS, AND OPIOIDS TO RESIDENTS OF THE COMMUNITIES SERVED BY THESE LHDS. SPECIFICALLY, PROJECT CHAMPION WILL PROVIDE PREVENTION SERVICES TO THE 358,521 RESIDENTS SERVED BY THE LEDGE LIGHT HEALTH DISTRICT, BRISTOL-BURLINGTON HEALTH DISTRICT, AND STAMFORD HEALTH DEPARTMENT, INCLUDING YOUTH-TAILORED PROGRAMMING FOR THE 67,752 YOUTH IN THESE COMMUNITIES. OF THE RESIDENTS SERVED IN THESE COMMUNITIES, THE MAJORITY REPORT BEING FEMALE (50.4%) AND WHITE (71%). APPROXIMATELY 10% OF RESIDENTS LIVE IN POVERTY, WITH OUR LHDS BEING PART OF PLANNING REGIONS THAT ARE CONSIDERED PARTICULARLY VULNERABLE BASED ON THE SOCIAL VULNERABILITY INDEX. THE PRIMARY GOALS OF PROJECT CHAMPION FOCUS ON: (1) COMMUNITY INFRASTRUCTURE AND CAPACITY BUILDING, (2) LOCALIZED TRAINING AND LIFESPAN SERVICE PROVISION, AND (3) PUBLIC HEALTH POLICY ADVOCACY TO STRENGTHEN PREVENTION-FOCUSED SOCIAL/CULTURAL NORMS. AS PART OF OUR COMMUNITY INFRASTRUCTURE AND CAPACITY BUILDING GOAL, WE WILL DEVELOP AND MAINTAIN AT LEAST 10 ACTIVE, COMMUNITY PARTNERSHIPS ACROSS DIVERSE SECTORS AND STAKEHOLDERS TO STRENGTHEN LOCALIZED PARTNERSHIPS AND RESOURCE SHARING. WE WILL ALSO SEEK TO EDUCATE THE COMMUNITY ON SUBSTANCE USE AND CO-OCCURRING MENTAL HEALTH CONCERNS BY DISTRIBUTING EDUCATIONAL MATERIALS AT MORE THAN 25 COMMUNITY EVENTS AND THROUGH LOCALIZED SOCIAL MEDIA CAMPAIGNS THAT WILL PRODUCE MORE THAN 100 POSTS BY THE END OF THE GRANT. YOUTH AND ADULTS FROM LHD CATCHMENT AREAS WILL PROVIDE MULTI-LEVEL INPUT INTO GRANT ACTIVITIES. GIVEN PROJECT CHAMPION'S YOUTH-FOCUSED PROGRAMMING, WE WILL ESTABLISH THREE LOCALIZED ADVISORY COMMITTEES THAT WILL INCLUDE YOUTH TO INFORM THE PROJECT'S WORK AND AN ANNUAL YOUTH-FOCUSED SUMMIT ON SUBSTANCE USE PREVENTION AND CO-OCCURRING MENTAL HEALTH CONCERNS THAT WILL HAVE AT LEAST 25 YOUTH IN ATTENDANCE EACH YEAR. ADDITIONALLY, PROJECT CHAMPION ACTIVITIES WILL BE INFORMED BY A STATEWIDE WORKGROUP, A COMMUNITY NEEDS ASSESSMENT, COMMUNITY SURVEYS, AND CONTINUOUS QUALITY IMPROVEMENT SURVEYS AND FOCUS GROUPS. AS PART OF OUR LOCALIZED TRAINING AND SERVICE PROVISION GOAL, PROJECT CHAMPION WILL PROVIDE TRAINING ON THREE EVIDENCE-BASED PRACTICES (SBIRT, WRAPAROUND SERVICES, AND NALOXONE DISTRIBUTION) AND ONE PROMISING PRACTICE (THE CODA CURRICULUM). BY THE END OF THE GRANT, AT LEAST 150 LHD STAFF/COMMUNITY RESIDENTS WILL BE TRAINED IN SBIRT, 30 STAFF WILL BE TRAINED IN WRAPAROUND SERVICES, 100 LHD STAFF/COMMUNITY RESIDENTS WILL BE TRAINED IN NALOXONE, AND 375 LHD STAFF/COMMUNITY RESIDENTS WILL BE TRAINED IN THE CODA CURRICULUM. AS A RESULT, BY THE END OF THE GRANT AT LEAST 3,000 RESIDENTS WILL BE SCREENED FOR SUBSTANCE USE, MENTAL HEALTH, AND SOCIAL DETERMINANTS OF HEALTH; 300 FAMILIES WILL RECEIVE CARE COORDINATION; AND NALOXONE WILL BE ADMINISTERED IN COMMUNITY-SETTINGS TO DECREASE FATAL OPIOID OVERDOSE RATES BY 10%. FOR SOCIAL IMPACT, PROJECT CHAMPION'S PUBLIC HEALTH POLICY ADVOCACY GOALS INCLUDE MONITORING AND IDENTIFYING AT LEAST FIVE STATE- AND MUNICIPAL-LEVEL POLICY PRIORITIES THAT PROMOTE OR INHIBIT SUBSTANCE USE AND CO-OCCURRING MENTAL HEALTH CONCERN PREVENTION EACH YEAR. FURTHER, WE WILL ADVOCATE FOR AT LEAST THREE YOUTH SUBSTANCE USE PREVENTION OR CO-OCCURRING DISORDER AWARENESS POLICY CHANGES AT THE STATE- OR MUNICIPAL-LEVELS BY THE END OF THE GRANT.

EARLY CHILDHOOD TRAUMA COLLABORATIVE