First Choice Services Inc

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGE

FIRST CHOICE SERVICES WILL PROVIDE HIGH QUALITY HEALTH INSURANCE NAVIGATION SERVICES THROUGHOUT THE STATES OF WEST VIRGINIA AND IOWA BOTH IN PERSON AND VIRTUALLY VIA A LIVE TELEPHONE/VIDEO HELPLINE.

FIRST CHOICE CRISIS CENTER FOLLOW-UP INITIATIVE - THE FIRST CHOICE CRISIS CENTER FOLLOW-UP INITIATIVE EXPANDS POST-CONTACT SUPPORTS TO PROVIDE CONTINUED SUPPORT/LINKAGES & DECREASE SUICIDE RISK. THE FOCUS POPULATION IS ALL PEOPLE LIVING IN WEST VIRGINIA. THE FOCUS POPULATION HAS HIGH ACCESS TO LETHAL MEANS, IS RURAL AND SUFFERS FROM HIGH RATES OF SUICIDAL IDEATION, SUBSTANCE USE DISORDER, POVERTY, UNEMPLOYMENT & POOR MENTAL HEALTH, ALL OF WHICH CONTRIBUTE TO SUICIDE. THE PROJECT WILL SERVE 18,000 PEOPLE (9,000/YEAR). PROJECT GOALS (INTERVENTIONS/STRATEGIES) INCLUDE: (1) ENSURE THE SYSTEMATIC FOLLOW-UP OF SUICIDAL PERSONS WHO CALL/VISIT THE 988 SUICIDE & CRISIS LIFELINE. BY (A) HIRING 3 CRISIS CASE MANAGERS TO SYSTEMATICALLY FOLLOW-UP WITH SUICIDAL PERSONS WHO CALL/VISIT THE 24/7 988 LIFELINE; (B) INITIATING THE CASE MANAGEMENT PLATFORM TO BE USED BY CRISIS CASE MANAGERS AND LAW ENFORCEMENT TO TRACK SERVICES PROVIDED & (C) PROVIDING TRAINING ON CULTURALLY RESPONSIVE CARE TO FIRST CHOICE STAFF. (2) ENHANCE COORDINATION BETWEEN ENTITIES ENGAGED IN THE CRISIS CONTINUUM OF CARE TO IMPROVE SERVICES FOR SUICIDAL PERSONS IN WEST VIRGINIA BY (A) LEVERAGING THE CASE MANAGEMENT PLATFORM TO IDENTIFY NEEDED PARTNERSHIPS; (B) ENGAGING PARTNERS IN RESPONSE TO IDENTIFIED NEEDS; (C) CONDUCTING AN ANNUAL WV 988 & CRISIS INTERVENTION TEAM (CIT) SUMMIT TO CONNECT THE WV CRISIS CONTINUUM; (D) LEVERAGING THE ANNUAL WV 988 & CIT SUMMIT TO BUILD THE WV 988 & CIT WORKGROUP WHICH WILL CREATE STATEWIDE CIT POLICIES; (E) CREATING A STATEWIDE CRISIS TRAINING AND CRITICAL INCIDENT DEBRIEFING WEBSITE; (F) INITIATING WEEKLY COLLABORATION BETWEEN FIRST CHOICE AND THE WV 988 CRISIS/DISASTER COORDINATOR; (G) PROVIDING TRAINING ON CULTURALLY RESPONSIVE CARE TO COMMUNITY PARTNERS; (H) BUILDING COLLABORATIVE PARTNERSHIPS WITH AGENCIES WHO PROVIDE SHORT-TERM CRISIS STABILIZATION & (I) ESTABLISHING DATA SHARING AGREEMENTS WITH THE WV SUICIDE FATALITY REVIEW TEAM. (3) REDUCE UNNECESSARY POLICE ENGAGEMENTS FOR WEST VIRGINIANS WITH SUICIDAL IDEATION BY (A) WORKING WITH LAW ENFORCEMENT PARTNERS TO LEVERAGE THE CASE MANAGEMENT PLATFORM TO MEASURE & REPORT ON THE PERCENTAGE OF CONTACTS THAT REQUIRE POLICE ENGAGEMENT THROUGHOUT THE PROJECT PERIOD; (B) WORKING WITH LAW ENFORCEMENT TO DEVISE DATA-DRIVEN PROCESSES FOR REDUCING THE PERCENTAGE OF CONTACTS THAT REQUIRE POLICE ENGAGEMENT THROUGHOUT THE PROJECT PERIOD; (C) IMPLEMENTING DATA-DRIVEN PROCESSES TO REDUCE CRISIS ENCOUNTERS REQUIRING POLICE ENGAGEMENT; (D) LEVERAGING OUTCOMES TO ENGAGE ADDITIONAL LAW ENFORCEMENT PARTNERS & (E) EXPANDING CIT TRAINING THROUGHOUT THE STATE. (4) IMPROVE CONNECTIONS TO CRISIS CARE AND FOLLOW-UP SERVICES FOR HIGH-RISK WEST VIRGINIANS BY (A) LEVERAGING THE ANNUAL WV 988 & CRISIS CIT SUMMIT & COMMUNITY PARTNERS TO IDENTIFY HIGH-RISK POPULATION STAKEHOLDERS TO PARTICIPATE IN THE WV 988 & CIT WORKGROUP; (B) MONITORING HIGH-RISK & DISPARITY GROUPS TO ENSURE EQUAL SERVICE USE, OUTCOMES, ACCESS & RETENTION & (C) IDENTIFYING/ENGAGING IN TRAINING PARTNERS IN HIGH-RISK AND DISPARITY GROUP COMMUNITIES. (5) IMPROVE THE WELL-BEING OF WEST VIRGINIANS WHO ARE AT RISK OF SUICIDE BY (A) SCREENING 100% OF INDIVIDUALS ANSWERING FOLLOW-UP CALLS FOR SUICIDAL IDEATION; (B) REFERRING INDIVIDUALS TO CRISIS OR OTHER MENTAL HEALTH SERVICES FOR SUICIDE RISK/IDEATION/BEHAVIOR; (C) EMPOWERING CALLERS/VISITORS EXPRESSING SUICIDAL IDEATION TO HAVE A STATISTICALLY SIGNIFICANT IMPROVEMENT IN SELF-RATED WELL-BEING AT 3-MONTH FOLLOW-UP & (D) EMPOWERING 95% OF CALLERS/VISITORS EXPERIENCING SUICIDAL IDEATION TO NOT HAVE A SUICIDE ATTEMPT AT 3-MONTH FOLLOW-UP. (6) SUSTAIN INITIATIVE SERVICES POST-GRANT TO PERMANENTLY ENHANCE THE CRISIS CONTINUUM OF CARE FOR WEST VIRGINIA RESIDENTS BY (A) CREATING A SUSTAINABILITY PLAN FOR EACH BUDGET LINE ITEM TO ENSURE SERVICE SUSTAINABILITY & (B) WORKING WITH STATE PARTNERS TO SUSTAIN THE 988 PROGRAM.

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED AND STATE PARTNERSHIP MARKETPLACES

CONTRACTS, PROMPTS AND REINFORCEMENT OF SUBSTANCE USE DISORDER CONTINUING CARE (CPR)

FIRST CHOICE CRISIS CENTER FOLLOW-UP IMPROVEMENT - THE FIRST CHOICE CRISIS CENTER FOLLOW-UP IMPROVEMENT PROJECT EXPANDS FIRST CHOICE'S EFFORTS TO SUPPORT INDIVIDUALS POST-CONTACT TO PROVIDE CONTINUED SUPPORT/LINKAGES TO DECREASE SUICIDE, DEATHS BY OVERDOSE & FUTURE CRISIS EVENTS. THE GEOGRAPHIC AREA TO BE REACHED IS WEST VIRGINIA. ADDRESSED CAPACITY DEVELOPMENT INCLUDES TRAINING TO ADDRESS INCREASING CALLER ACUITY, EMERGING TRENDS & VETERAN NEEDS AND ENHANCED PARTNERSHIPS WITH MOBILE CRISIS TEAMS & FIRST RESPONDERS. THE POPULATION OF FOCUS THAT WILL BENEFIT FROM CAPACITY BUILDING INCLUDES ALL INDIVIDUALS IN WEST VIRGINIA. THE POPULATION TO BE SERVED INCLUDES ALL INDIVIDUALS IN WEST VIRGINIA, AN AGING STATE WITH HIGH RATES OF MENTAL ILLNESS, SUBSTANCE USE RELATED AND SOCIOECONOMIC NEEDS. THE PROJECT WILL SERVE 2,500 CALLERS/YEAR OR 7,500 OVER THE 3-YEAR PROJECT. STRATEGIES/INTERVENTIONS TO INCREASE CAPACITY THAT WILL BE IMPLEMENTED THROUGH THE GRANT INCLUDE: (1) DECREASE SUICIDE, DEATHS BY OVERDOSE AND FUTURE CRISIS EVENTS IN THE TARGET POPULATION BY ENSURING THE SYSTEMATIC FOLLOW-UP OF SUICIDAL PERSONS WHO CONTACT THE 988 SUICIDE AND CRISIS LIFELINE BY (A) CONTINUING TO IMPLEMENT FOLLOW-UP PROTOCOL INITIATED WITHIN 24-HOURS OF REFERRAL OR CARE TRANSITION THAT INCLUDES DOCUMENTED VERBAL CONSENT; (B) CONTINUING TO CONDUCT FOLLOW-UP AND ASSESS SUICIDE AND OVERDOSE RISK FOR A MINIMUM OF 90-DAYS AND UP TO 12-MONTHS; (C) LEVERAGING NATIONAL AND COMMUNITY RESOURCES AND TRAININGS TO ENHANCE THE CURRENT FOLLOW-UP PROTOCOL; (D) ENSURING THAT PROJECT-IMPACTED COMMUNITIES ARE CONSIDERED/ENGAGED IN OVERALL PROGRAM PLANNING & (E) INITIATING A WORKGROUP TO ENSURE PROJECT ALIGNMENT WITH STATE 911/988 INTEGRATION PROTOCOLS. (2) ENHANCE CONTINUITY OF CARE FOR THE TARGET POPULATION BY EXPANDING ENHANCED COORDINATION OF CRISIS STABILIZATION, CRISIS RESPITE, MOBILE CRISIS OUTREACH (MCO) RESPONSE SERVICES AND OTHER SERVICES ON THE CRISIS CONTINUUM OF CARE BY (A) PARTNERING WITH CRISIS SERVICE PROVIDERS & ORGANIZATIONS WHICH PROVIDE ONGOING BEHAVIORAL HEALTH & SUPPORT SERVICES FOLLOWING CRISIS ENCOUNTERS TO PROMOTE CLIENT ENGAGEMENT AND RECOVERY; (B) WORKING WITH BEHAVIORAL HEALTH & SUPPORT SERVICE PARTNERS TO DEVELOP PROCESSES FOR DOCUMENTING FOLLOW-UP/ENGAGEMENT WHILE COMPLYING WITH APPLICABLE PRIVACY LAWS/REGULATIONS & (C) COORDINATING WITH MOBILE CRISIS OUTREACH TEAMS TO PROMOTE CRISIS DE-ESCALATION AND SAFETY PLANNING, TAILORING INTERVENTIONS TO THE NEEDS OF CLIENTS & THEIR SUPPORT SYSTEMS. (3) DECREASE SUICIDE, DEATHS BY OVERDOSE AND FUTURE CRISIS EVENTS IN THE TARGET POPULATION BY REDUCING UNNECESSARY POLICE, FIRE AND EMERGENCY MEDICAL SERVICES ENGAGEMENT TO ALLOW FIRST RESPONDERS TO FOCUS ON PUBLIC SAFETY BY (A) HOLDING FIRST RESPONDER WORKGROUPS TO IDENTIFY HOW THE PROGRAM CAN REDUCE UNNECESSARY FIRST RESPONDER ENGAGEMENT & (B) LEVERAGING THE AGENCY’S SEQUENTIAL INTERCEPT MODEL MAPPING OF EACH WEST VIRGINIA COUNTY TO IDENTIFY WAYS TO LEVERAGE THE PROJECT TO SUPPORT FIRST RESPONDERS. (4) DECREASE SUICIDE, DEATHS BY OVERDOSE AND FUTURE CRISIS EVENTS IN THE TARGET POPULATION BY IMPROVING CONNECTIONS TO ONGOING SUPPORT AND RECOVERY FOR HIGH-RISK POPULATIONS BY (A) ESTABLISHING RELATIONSHIPS WITH AREA MOBILE CRISIS TEAMS TO PROVIDE FOLLOW-UP SERVICES AROUND SUICIDE AND MENTAL HEALTH CRISES TO THEIR CLIENTS; (B) PROVIDING FOLLOW-UP SERVICES TAILORED TO INDIVIDUALS WITH SUBSTANCE USE ISSUES & (C) OBTAINING SPECIALIZED TRAINING TO IMPROVE VETERAN SERVICES. (5) DECREASE SUICIDE, DEATHS BY OVERDOSE & FUTURE CRISIS EVENTS IN THE TARGET POPULATION BY SUSTAINING PROGRAM SERVICES BY (A) CREATING A SUSTAINABILITY PLAN FOR EACH BUDGET LINE ITEM TO ENSURE SERVICE SUSTAINABILITY; (B) SHARING PROJECT OUTCOMES WITH WV’S CROSS-SECTOR 988 STEERING COMMITTEE TO DEMONSTRATE PROGRAM IMPACT; (C) PARTICIPATING IN SAMHSA’S NATIONAL CROSS-SITE EVALUATION TO BUILD AN EVIDENCE-BASE FOR PROJECT SERVICES & (D) ENSURING THAT THE PROJECT ALIGNS WITH SAMHSA AND PRESIDENTIAL PRIORITIES/POLICIES.

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES