Family Service League Inc

FAMILY SERVICE LEAGUE (FSL) WILL HELP TRANSFORM COMMUNITY BEHAVIORAL HEALTH CARE BY EXPANDING THE RIVERHEAD CCBHC AND INCREASING ACCESS TO BEHAVIORAL HEALTH TREATMENT FOR SUFFOLK COUNTY RESIDENTS. - PROJECT ABSTRACT SUMMARY PROJECT NAME: FAMILY SERVICE LEAGUE (FSL) CCBHC-IA FAMILY SERVICE LEAGUE (FSL) PROPOSES TO HELP TRANSFORM COMMUNITY BEHAVIORAL HEALTH THROUGH THE PROVISION OF COMPREHENSIVE, TRAUMA-INFORMED, INTEGRATED, COORDINATED, AND WHOLE PERSON-CENTERED BEHAVIORAL HEALTH CARE BY EXPANDING THE RIVERHEAD CCBHC. WITH CCBHC-IA FUNDING, FSL ENDEAVORS TO INCREASE ACCESS TO COMMUNITY-BASED MH AND SUD TREATMENT, AS WELL AS IMPROVED AND ADVANCED MOBILE CRISIS RESPONSE SERVICES (24/7/365) FOR SUFFOLK COUNTY RESIDENTS, IRRESPECTIVE OF THEIR ABILITY TO PAY. POPULATION OF FOCUS: ADULTS, FAMILIES, AND VETERANS WITH DIAGNOSES OF SERIOUS MENTAL ILLNESS (SMI), SUBSTANCE USE DISORDERS (SUD), OPIOID USE DISORDERS (OUD), CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDERS (COD), AND INTEGRATED PHYSICAL AND BEHAVIORAL HEALTH DISORDERS, AS WELL AS CHILDREN (5+) AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED). GEOGRAPHIC CATCHMENT AREA: SUFFOLK COUNTY, NY WHICH COVERS 912 SQUARE MILES. ACCORDING TO THE US CENSUS QUICKFACTS, JULY 1, 2021 (V2021), THE SOCIO-DEMOGRAPHIC DATA IS AS FOLLOWS: POPULATION ESTIMATE: 1,526,344; LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME BY AGES 5+: 22.5%; FOREIGN-BORN: 15.3%; VETERANS: 5%/59K. AGE/GENDER: 5.4% UNDER 5 YEARS; 21% UNDER 18 YEARS; 18% OVER 65 YEARS; 51% FEMALE; AND 49% MALE. GENDER IDENTITY (ADULTS): MALE 48.3%; FEMALE 48.8%; TRANSGENDER 0.2%; OTHER 1%; MISSING 1.7%. SEXUAL ORIENTATION/ADULTS: HETEROSEXUAL 85.4%; GAY/LESBIAN 3.6%; BISEXUAL 5.3%; OTHER 2.2%; REFUSED 3.6%. RACE/ETHNICITY: WHITE, ALONE (NOT HISPANIC/LATINO) – 67%; BLACK – 9%; NATIVE AMERICAN – 0.6%; ASIAN – 4%; AND HISPANIC/LATINO – 20% (2 OR MORE RACES COUNTED TWICE). EDUCATION: HIGH SCHOOL GRADUATE+, AGE 25+ YEARS – 90.4%; BACHELOR’S DEGREE+, AGE 25+ YEARS – 35.6%. HEALTH: UNDER 65 + DISABILITY – 6.2%; UNDER 65 & NO INSURANCE – 5.4%. INCOME: PER CAPITA INCOME $42,204; POVERTY: 7.3%. CATCHMENT AREA/SERVICE DELIVERY SITE: THE RIVERHEAD CCBHC IS LOCATED WITHIN A HRSA DESIGNATED PRIMARY CARE AND MENTAL HEALTH (MH) HEALTH PROFESSIONALS SHORTAGE AREA (HPSA, 2019) AND A MEDICALLY UNDERSERVED AREA/POPULATION (MUA/P) FOR MENTAL HEALTH (MH) IN THE NORTH & SOUTH FORKS (HRSA, 2020). ALTHOUGH RIVERHEAD IS THE PROJECT’S HUB AND THE LOCUS OF ARTICLE 31, 32 LICENSED CLINICS (MENTAL HEALTH AND ADDICTIVE DISORDER, RESPECTIVELY), ALL OF FSL’S HEALTH FACILITIES WILL BE UTILIZED, INCLUDING DASH (DIAGNOSTIC, ASSESSMENT AND STABILIZATION HUB). DISPARITIES: RIVERHEAD IS AN URBAN TO RURAL, IMPOVERISHED, AGRI-AREA WITH LOWER EDUCATIONAL ATTAINMENT, HIGHER RATES OF CHRONIC MEDICAL CONDITIONS E.G., DIABETES, OBESITY, AND HIGH PREVALENCE RATES OF SMI. THIS HAS TRANSLATED TO INCREASED RATES OF MENTAL HEALTH AND SUBSTANCE USE EMERGENCY DEPARTMENT VISITS (LIHC, CHNA 2019-21). FOR EXAMPLE, IN AUGUST 2021, “OVERDOSE CALLS TO 911 WENT NON-STOP FOR THREE DAYS UNTIL SIX RESIDENTS SUCCUMBED TO FENTANYL LACED COCAINE.” (NEW YORK TIMES, AUGUST 31, 2021). GOAL: SUSTAIN PREVIOUS CCBHC EXPANSION GRANT GAINS AND REDUCE RELIANCE ON UNNECESSARY HIGH COST, ACUTE-CARE OR CRIMINAL JUSTICE INVOLVEMENT BY PROVIDING A CONTINUUM OF CRISIS RESPONSIVE BEHAVIORAL HEALTH CARE THAT IS COORDINATED, EVIDENCE-BASED, WHOLE PERSON-CENTERED, TRAUMA-INFORMED, ADDRESSES THE SOCIAL DETERMINANTS OF HEALTH (SDOH) AND NEEDS OF THE COMMUNITY THROUGH THE PROVISION OF WRAP AROUND, CULTURALLY, AND LINGUISTICALLY APPROPRIATE SERVICES (CLAS). GOAL: EXPAND MOBILE CRISIS SERVICES TO INCLUDE A CRISIS INTERVENTION TEAM (CIT) FOCUSED ON SUPPORTING THE RECOVERY OF HIGH UTILIZERS OF CRISIS RESPONSE SERVICE REFERRALS FROM LAW ENFORCEMENT. THESE REFERRALS REPRESENT INDIVIDUALS WHO OD ON OPIOIDS, HAVE A BEHAVIORAL HEALTH DISORDER, AND A HISTORICAL, AS WELL AS DISPROPORTIONATE INTERFACE WITH LAW ENFORCEMENT. OVE

FAMILY SERVICE LEAGUE'S CCBHC WILL INCREASE ACCESS TO AND IMPROVE THE QUALITY OF COMMUNITY MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT SERVICES FOR 600 ADULTS & CHILDREN IN SUFFOLK COUNTY.

CONTINUUM OF CARE PROGRAM

PURPOSE: THE CONTINUUM OF CARE (COC) PROGRAM IS DESIGNED TO PROMOTE COMMUNITY-WIDE COMMITMENT TO THE GOAL OF ENDING HOMELESSNESS; PROVIDE FUNDING FOR EFFORTS BY NONPROFIT PROVIDERS, STATES, AND LOCAL GOVERNMENTS TO QUICKLY HOUSE HOMELESS INDIVIDUALS AND FAMILIES WHILE MINIMIZING THE TRAUMA AND DISLOCATION CAUSED TO HOMELESS INDIVIDUALS, FAMILIES, AND COMMUNITIES BY HOMELESSNESS; PROMOTE ACCESS TO AND EFFECTIVE UTILIZATION OF MAINSTREAM PROGRAMS BY HOMELESS INDIVIDUALS AND FAMILIES; AND OPTIMIZE SELF-SUFFICIENCY AMONG INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. THE MOST RECENT COC AWARD ANNOUNCEMENT LISTING AWARDS BY STATE AND COC IS ACCESSIBLE AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/AWARDS. SELECT THE LINK UNDER THE FUNDING AND AWARD INFORMATION SECTION FOR THE APPROPRIATE FISCAL YEAR.; ACTIVITIES TO BE PERFORMED: CONTINUUM OF CARE PROGRAM FUNDS MAY BE USED TO PAY FOR THE ELIGIBLE COSTS USED TO ESTABLISH AND OPERATE PROJECTS UNDER FIVE PROGRAM COMPONENTS: (1) PERMANENT HOUSING, WHICH INCLUDES PERMANENT SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES, AND RAPID REHOUSING; (2) TRANSITIONAL HOUSING; (3) SUPPORTIVE SERVICES ONLY; (4) HOMELESS MANAGEMENT INFORMATION SYSTEMS (HMIS), AND (5) IN SOME CASES, HOMELESSNESS PREVENTION. THIRTEEN TYPES OF ASSISTANCE MAY BE PROVIDED THROUGH THE CONTINUUM OF CARE (COC) PROGRAM: (1) COC PLANNING ACTIVITIES/COSTS FOR DESIGNING AND CARRYING OUT A COLLABORATIVE PROCESS FOR THE DEVELOPMENT OF AN APPLICATION TO HUD; (2) UNITED FUNDING AGENCY (UFA) COSTS FOR FISCAL CONTROL AND ACCOUNTING NECESSARY TO ASSURE THE PROPER DISBURSAL OF, AND ACCOUNTING FOR, FEDERAL FUNDS AWARDED TO SUBRECIPIENTS UNDER THE CONTINUUM OF CARE PROGRAM, (3) ACQUISITION OF REAL PROPERTY (INCLUDING STRUCTURES) FOR USE IN THE PROVISION OF HOUSING OR SUPPORTIVE SERVICES; (4) REHABILITATION OF STRUCTURES TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (5) NEW CONSTRUCTION, INCLUDING THE BUILDING OF A NEW STRUCTURE OR BUILDING AN ADDITION TO AN EXISTING STRUCTURE FOR USE AS SUPPORTIVE HOUSING; (6) LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (7) RENTAL ASSISTANCE, WHICH MAY BE SHORT-TERM, MEDIUM-TERM, OR LONG-TERM, AS WELL AS TENANT-BASED, PROJECT-BASED, OR SPONSOR-BASED, FOR TRANSITIONAL OR PERMANENT HOUSING; (8) SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; (9) OPERATING COSTS OF SUPPORTIVE HOUSING; (10) COSTS OF IMPLEMENTING AND OPERATING HMIS; (11) PROJECT ADMINISTRATIVE COSTS; (12) RELOCATION COSTS; AND (13) INDIRECT COSTS IN ACCORDANCE WITH 2 CFR PARTS 200, AS APPLICABLE. IN ADDITION TO USING GRANT FUNDS FOR THE ELIGIBLE COSTS DESCRIBED ABOVE, RECIPIENTS AND SUBRECIPIENTS IN CONTINUUMS OF CARE DESIGNATED AS HIGH PERFORMING COMMUNITIES MAY ALSO USE GRANT FUNDS TO PROVIDE HOUSING RELOCATION AND STABILIZATION SERVICES AND SHORT- AND/OR MEDIUM-TERM RENTAL ASSISTANCE TO INDIVIDUALS AND FAMILIES AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT THE INDIVIDUAL OR FAMILY FROM BECOMING HOMELESS. LIMITATION ON USE OF FUNDS: NO ASSISTANCE PROVIDED UNDER PROGRAM (OR ANY STATE OR LOCAL GOVERNMENT FUNDS USED TO SUPPLEMENT THIS ASSISTANCE) MAY BE USED TO REPLACE STATE OR LOCAL FUNDS PREVIOUSLY USED, OR DESIGNATED FOR USE, TO ASSIST HOMELESS PERSONS OR PERSONS AT-RISK OF HOMELESSNESS.; EXPECTED OUTCOMES: DECREASE IN THE NUMBER INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS, MORE SPECIFICALLY USING PERFORMANCE INDICATORS SUCH AS THE LENGTH OF TIME HOMELESS, RETURNS TO HOMELESSNESS OVER TIME, AND EXITS TO PERMANENT HOUSING. COC PERFORMANCE PROFILE REPORTS CAN BE FOUND AT HTTPS://WWW.HUDEXCHANGE.INFO/PROGRAMS/COC/COC-PERFORMANCE-PROFILE-REPORTS/.; INTENDED BENEFICIARIES: INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

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CONTINUUM OF CARE PROGRAM

FAMILY SERVICE LEAGUE'S SUFFOLK COUNTY SUICIDE PREVENTION PROGRAM WILL SEEK TO PREVENT SUICIDE AND SUICIDE ATTEMPTS AMONG ADULTS AGE 25 AND OLDER IN SUFFOLK COUNTY, NY. USING THE ZERO SUICIDE MODEL. - PREVENT SUICIDES IN ADULT PATIENTS AGE 25 YEARS AND OLDER, IN SUFFOLK COUNTY, NY BY IMPLEMENTING THE EVIDENCE-BASED ZERO SUICIDE PROGRAM ACROSS FIVE HOSPITALS, TWO DOMESTIC VIOLENCE TREATMENT PROGRAMS, AND TEN FSL CLINICAL SITES. THE SCSP PROGRAM WILL SERVE PATIENTS DISCHARGED FROM EMERGENCY DEPARTMENTS AND INPATIENT HOSPITAL UNITS, AS WELL AS PATIENTS REFERRED FROM DOMESTIC VIOLENCE TREATMENT PROGRAMS. SUFFOLK COUNTY, A 912 SQUARE MILE REGION EAST OF NEW YORK CITY, SITS AT THE EPICENTER OF THE COVID-19 PANDEMIC IN THE U.S., WITH 1,840 CONFIRMED COVID-19 DEATHS AT THE TIME OF THIS SUBMISSION, AND HAS REPORTED MORE THAN 120 SUICIDES IN EACH OF THE PAST TWO YEARS. SUFFOLK COUNTY IS ALSO IN THE MIDST OF THE NATIONAL OPIOID EPIDEMIC, WITH THE HIGHEST RATE OF OVERDOSE DEATHS AND OVERDOSE-RELATED HOSPITAL ADMISSIONS IN THE NEW YORK CITY METROPOLITAN AREA. FSL HAS ALREADY SEEN A 7.8% INCREASE IN PATIENTS AND A 22% INCREASE IN UNITS OF SERVICE SINCE THE START OF THE COVID-19 PANDEMIC. THE STAY-AT-HOME ORDERS IN RESPONSE TO THE PANDEMIC, AS WELL AS THE FINANCIAL INSTABILITY THAT HAS RESULTED FROM BUSINESSES BEING CLOSED, HAVE ALSO RESULTED IN INCREASED RATES OF DOMESTIC VIOLENCE IN SUFFOLK COUNTY. THE SCSP PROGRAM WILL PROVIDE ADDITIONAL RESOURCES TO MEET THIS INCREASED NEED AMONG SUFFOLK COUNTY RESIDENTS. THE SCSP PROGRAM WILL BUILD ON THE EXISTING RELATIONSHIP BETWEEN FSL, LOCAL HOSPITALS, AND DOMESTIC VIOLENCE TREATMENT PROGRAMS, INCREASING THE CAPACITY OF ALL PROVIDERS TO PREVENT SUICIDE IN ADULT PATIENTS AGE 25 AND OLDER, INCLUDING THOSE WITH PSYCHIATRIC COMORBIDITIES, SUBSTANCE USE DISORDERS, AND VICTIMS OF DOMESTIC VIOLENCE. THIS PROJECT WILL ALSO IDENTIFY INDIVIDUALS WITH PRECURSORS TO THESE DISORDERS, SUCH AS SOCIAL ISOLATION AND FINANCIAL INSTABILITY, THROUGH EXTENSIVE SCREENING OF AT-RISK POPULATIONS. WE PROPOSE TO LINK FOUR LOCAL HOSPITALS AND TWO DOMESTIC VIOLENCE TREATMENT PROGRAMS WITH AN INTEGRATED FSL PROGRAM THAT WILL COMPREHENSIVELY SCREEN, ASSESS AND INTERVENE TO IDENTIFY AND TREAT INDIVIDUALS AT RISK OF SUICIDE, INCLUDING THOSE WHO HAVE MADE RECENT SUICIDE ATTEMPTS, THOSE WITH ACTIVE SUICIDAL IDEATION OR PLANS, AND THOSE WITH UNDERLYING CONDITIONS SUCH AS DEPRESSION, ANXIETY DISORDERS (INCLUDING ACUTE STRESS DISORDER AND POST-TRAUMATIC STRESS DISORDER), PSYCHOTIC DISORDERS AND SUBSTANCE USE DISORDERS. EMBEDDED IN THE PROPOSED PROGRAM ARE THE USE OF EVIDENCE-BASED ASSESSMENT INSTRUMENTS, EVIDENCE-BASED INTERVENTIONS TO ADDRESS SUICIDALITY, AS WELL AS RELATED MENTAL HEALTH AND CHEMICAL DEPENDENCY ISSUES, AND EXTENSIVE STAFF TRAINING FOR ALL PROVIDERS IN THE REFERRAL NETWORK. THESE ACTIVITIES WILL ENSURE THAT PATIENTS WILL BE ASSESSED QUICKLY AND ACCURATELY, REFERRED TO EFFECTIVE SERVICES, TREATED AND FOLLOWED OVER TIME BY A GROUP OF INTEGRATED CARE PROVIDERS WHO SHARE A COMMON UNDERSTANDING OF EFFECTIVE STRATEGIES TO ADDRESS THEIR NEEDS. THE DEVELOPMENT OF ASSESSMENT, REFERRAL AND TREATMENT PROTOCOLS, ALONG WITH THE EXTENSIVE PROVIDER TRAINING, WILL RESULT IN A SUSTAINABLE NETWORK OF CARE PROVIDERS IN SUFFOLK COUNTY.

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

ISLIP DRUG EDUCATION AWARENESS COALITION

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE