Westcare Tennessee Inc

STANDING TOGETHER PROGRAM (STP) - WESTCARE TENNESSEE (WCTN) IS PROPOSING TO IMPLEMENT THE STANDING TOGETHER PROGRAM (STP) THAT WILL PROVIDE ADULTS (18+) WITH SEVERE MENTAL ILLNESS (SMI) OR CO-OCCURRING DISORDER (COD) WITH TREATMENT AND SPECIALIZED SUPPORTED EMPLOYMENT SERVICES TO ASSIST THEM IN CHOOSING, ACQUIRING, AND MAINTAINING COMPETITIVE EMPLOYMENT. THE GEOGRAPHIC CATCHMENT AREA IS COCKE AND JEFFERSON COUNTY IN TN. WCTN WILL SERVE 180 CLIENTS DURING THE FIVE YEAR GRANT, (Y1:25, Y2-4:40, YR5: 35 = 180 IN TOTAL). THE GOALS AND OBJECTIVES INCLUDE: GOAL 1: INCREASE ACCESS TO EVIDENCED-BASED SUPPORTED EMPLOYMENT PROGRAMS FOR ADULTS (18+) WITH SMI OR COD TO DECREASE MENTAL HEALTH AND/OR SUBSTANCE MISUSE SYMPTOMS AND REDUCE HEALTH DISPARITIES. GOAL 2: ENHANCE THE SOCIAL AND BEHAVIORAL HEALTH FUNCTIONING OF ADULTS (18+) WITH SMI OR COD. (STP) WILL PROVIDE EVIDENCE-BASED PROGRAMS TO SUPPORT INDIVIDUALS WITH SMI OR COD TO LIVE INDEPENDENTLY AND PARTICIPATE IN THE WORKFORCE. IN PARTNERSHIP WITH COCKE COUNTY JAIL AND DETENTION CENTER, JEFFERSON COUNTY JUSTICE CENTER, AND RURAL MEDICAL SERVICES, INC., WCTN WILL WORK TOGETHER WITH THE PARTNER AGENCIES TO SERVE ADULTS RELEASED FROM JAIL THAT WILL MOVE INTO A SOBER LIVING PROGRAM. TO BE ELIGIBLE TO PARTICIPATE IN STP, THE PARTNER CORRECTIONS INSTITUTIONS WILL REFER INDIVIDUALS WITH AN SMI OR COD DIAGNOSIS TO WCTN. WCTN CURRENTLY PROVIDES INDIVIDUALS RELEASED FROM JAIL WITH COGNITIVE BEHAVIORAL TREATMENT SERVICES AS A CONTINUATION OF THEIR TREATMENT PLAN. AS PART OF THE STP PROGRAM, WCTN WILL ALSO PROVIDE SUPPORTED EMPLOYMENT SERVICES FOR CLIENTS RESIDING AT TNJCAP AND WCTN SECOND CHANCE RECOVERY HOUSE. WCTN ALSO WILL PROVIDE CASE MANAGEMENT AND SUPPORTIVE SERVICES TO SUPPORT THEIR GOALS TOWARDS INDEPENDENCE, EMPLOYMENT STABILITY, AND OVERALL WELL-BEING.

TENNESSEE MATTERS - SUMMARY: WESTCARE TENNESSEE (WC-TN) PROVIDES EVIDENCE-BASED, MEDICATION ASSISTED TREATMENT (MAT) USING FDA- APPROVED MEDICATIONS & RECOVERY SUPPORT SERVICES (RSS). THE PROGRAM DECREASES PRESCRIPTION DRUG AND ILLICIT OPIOID MISUSE FOR 450 CLIENTS OVER FIVE YEARS, REDUCING OVERDOSE MORTALITY AND ADDICTION IN EASTERN TN. PROJECT NAME: TN MATTERS (TENNESSEE MEDICATION ASSISTED TREATMENT - TOGETHER ERADICATING RELIANCE ON SUBSTANCES) POPULATION: TN MATTERS SERVES MALE AND FEMALE ADULTS (18 AND OVER) WHO ARE PRESCRIPTION DRUG AND OPIOID ABUSERS (PDOA) IN THE RURAL ROANE, LOUDON, AND MORGAN COUNTIES OF TN. CLIENTS ARE OFFENDERS REFERRED BY THE JAILS AND DRUG COURTS; FAMILY AND SELF-REFERRED ADDICTS, VETERANS AND THE HOMELESS; AND, PRIMARILY WHITE, POVERTY-LEVEL CLIENTS. CLIENTS HAVE A MODERATE TO SEVERE OPIATE USE DISORDER AND CO-OCCURRING MENTAL HEALTH DISORDERS. INTERVENTIONS: TN MATTERS WILL PROVIDE MAT SERVICES AND RSS. MAT WILL OFFER FDA-APPROVED MEDICATIONS, VIVITROL AND SUBOXONE, PRESCRIBED AND MAINTAINED BY AN APRN WHO WILL ADJUST AND REDUCE FREQUENCY AND DOSAGE AS NEEDED. MEDICAL WITHDRAWAL AND ABSTINENCE WILL BE MANAGED BY THE APRN, TREATMENT TEAM AND CLIENT. AS THE LEAD APPLICANT AND TREATMENT PROVIDER, WC-TN WILL PROVIDE DIRECT OUTPATIENT MAT SERVICES, AS WELL AS RECOVERY SUPPORT SERVICES INCLUDING EMPLOYMENT SERVICES, CASE MANAGEMENT, RELAPSE PREVENTION, HOUSING ASSISTANCE, LIFE SKILLS, FORMAL AND SUBSTANCE USE EDUCATION. PROVIDER PARTNERS OFFER MEDICAL CARE, HIV TESTING, HEPATITIS TESTING, TOBACCO CESSATION AND TRANSPORTATION TO AND FROM SERVICES. GOALS & OBJS: GOAL 1: INCREASE THE NUMBER OF INDIVIDUALS WITH OUD RECEIVING FDA-APPROVED MEDICATIONS FOR THE MAINTENANCE TREATMENT OF OUD IN MORGAN, LOUDON AND ROANE COUNTIES, TN; 1.1: PROVIDE MAT AND SA TX TO 450 UNDUPLICATED ADULTS WITH OUD. GOAL 2: DECREASE ILLICIT OPIOID DRUG USE AND PRESCRIPTION OPIOID MISUSE; 2.1: 75% WILL COMPLETE SUCCESSFULLY; 2.2: 70% OPIATE FREE AT DISCHARGE AND 6-MONTHS; 2.3: 70% OTHER DRUGS FREE AT DISCHARGE AND 6-MONTHS; 2.4: 70% REDUCE ADJUST OR REDUCE MEDICATION DOSAGE. GOAL 3: IMPROVE PATIENT OUTCOMES BY COMBINING MAT WITH COMPREHENSIVE PSYCHOSOCIAL AND PEER RECOVERY SUPPORT SERVICES; 3.1: 80% DECREASED MH SYMPTOMS AT DISCHARGE; 70% WILL MAINTAIN/ DECREASE AT 6-MONTHS; 3.2: 80% WITHOUT STABLE LIVING ADMISSION WILL HAVE IT AT DISCHARGE; 70% WILL MAINTAIN IT AT 6-MONTHS; 3.3: 80% NO NEW CRIMES DISCHARGE; 70% WILL NOT RECIDIVATE AT 6-MONTHS; 3.4: 80% ENROLLED SCHOOL, SEEKING OR EMPLOYED AT DISCHARGE; 70% REMAIN ENROLLED, COMPLETE EDUCATION OR TRAINING OR REMAIN EMPLOYED AT 6-MONTHS

BREAKING THE CYCLE

WESTCARE TENNESSEE NEXT CHANCE WORKFORCE PROGRAM - ABSTRACT THROUGH THE SAMHSA TREATMENT, RECOVERY, AND WORKFORCE SUPPORT GRANT, WESTCARE TENNESSEE (WCTN) WILL IMPLEMENT EVIDENCE-BASED PROGRAMMING TO SUPPORT INDIVIDUALS WITH SUBSTANCE USE DISORDER (SUD) OR CO-OCCURRING DISORDERS (COD) TO LIVE INDEPENDENTLY AND PARTICIPATE IN THE WORKFORCE, INCLUDING INDIVIDUALS WHO ARE FORMERLY INCARCERATED OR JUSTICE-INVOLVED. PROJECT NAME: WCTN NEXT CHANCE WORKFORCE PROGRAM POPULATIONS TO BE SERVED: THE PROPOSED WESTCARE TENNESSEE (WCTN) NEXT CHANCE WORKFORCE PROGRAM POPULATION OF FOCUS ARE ADULT (18+) MALE AND FEMALE INDIVIDUALS IN JEFFERSON AND COCKE COUNTY TENNESSEE WITH SUBSTANCE USE DISORDER (SUD) OR CO-OCCURRING DISORDERS (COD), INCLUDING INDIVIDUALS WHO ARE FORMERLY INCARCERATED OR JUSTICE-INVOLVED, AS WELL AS THOSE REFERRED BY LOCAL DRUG COURT JUDGES, RURAL MEDICAL SERVICES, LOCAL AMERICAN JOB CENTERS, AND FAITH-BASED ORGANIZATIONS AND INSTITUTIONS. STRATEGIES/INTERVENTIONS: IN PARTNERSHIP WITH THE EAST LOCAL WORKFORCE DEVELOPMENT AREA BOARD, THE EAST TENNESSEE HUMAN RESOURCE AGENCY (ETHRA), JEFFERSON AND COCKE COUNTY SHERIFF’S OFFICES, AND RURAL MEDICAL SERVICES, WCTN NEXT CHANCE WORKFORCE PROGRAM ACTIVITIES WILL INCLUDE VOCATIONAL TRAINING, BUILDING RELATIONSHIPS WITH EMPLOYERS, CASE MANAGEMENT, AND OTHER EMPLOYMENT AND RECOVERY SUPPORT SERVICES THAT WILL SUPPORT CLIENTS IN ATTAINING AND SUCCESSFULLY MAINTAINING EMPLOYMENT AND THEIR RECOVERY. PROJECT GOALS AND MEASURABLE OBJECTIVES, INCLUDING THE NUMBER OF PEOPLE TO BE SERVED ANNUALLY AND THROUGHOUT THE LIFETIME OF THE PROJECT: GOAL 1: THE WCTN NEXT CHANCE WORKFORCE PROGRAM WILL PROVIDE TRAUMA INFORMED EVIDENCE-BASED SERVICES TO SUPPORT INDIVIDUALS IN JEFFERSON & COCKE COUNTIES, TNIN SUD OR COD TREATMENT AND RECOVERY, TO LIVE INDEPENDENTLY AND PARTICIPATE IN THE WORKFORCE. OBJECTIVE 1.1: PROVIDE COMPREHENSIVE RECOVERY-ORIENTED WORKFORCE SUPPORT SERVICES TO 210 ADULTS BY SEPTEMBER 2028 (30 ADULTS IN YEARS 1 AND 5; 50 ADULTS IN YEARS 2-4). OBJECTIVE 1.2: BY SEPTEMBER 2028, 80% OF THE CLIENTS ENROLLED WILL SUCCESSFULLY COMPLETE THE PROGRAM. OBJECTIVE 1.3: BY SEPTEMBER 2028, 80% OF THE CLIENTS WILL RECEIVE CASE MANAGEMENT, INDIVIDUAL AND GROUP COUNSELING, CARE COORDINATION, MAT LINKAGE AND OTHER SERVICES AS NEEDED AS EVIDENCED BY THE CLINICAL RECORD. OBJECTIVE 1.4: BY SEPTEMBER 2028, 80% OF PROGRAM COMPLETERS WILL BE SUBSTANCE FREE AT DISCHARGE, AND 70% WILL REMAIN SUBSTANCE FREE AT 6-MONTHS POST DISCHARGE AS EVIDENCED BY THE GPRA AND URINALYSIS.OBJECTIVE 1.5: BY SEPTEMBER 2028, 80% OF PROGRAM COMPLETERS WILL HAVE STABLE LIVING ARRANGEMENTS AT DISCHARGE, AND 70% OF THOSE WILL MAINTAIN THEIR LIVING ARRANGEMENTS AT 6-MONTHS POST INTAKE AS EVIDENCED BY THE GPRA. OBJECTIVE 1.6: BY SEPTEMBER 2028, 80% OF THE CLIENTS COMPLETING SERVICES WILL HAVE IMPROVED SOCIAL CONNECTEDNESS AT DISCHARGE, AND 70% WILL MAINTAIN THESE IMPROVEMENTS AT 6-MONTHS POST INTAKE AS EVIDENCED BY THE GPRA. OBJECTIVE 1.7: BY SEPTEMBER 2028, 80% OF CLIENTS COMPLETING SERVICES HAVING ANXIETY, DEPRESSION, OR TRAUMA SYMPTOMS AT ADMISSION WILL EXHIBIT FEWER SYMPTOMS AT DISCHARGE, AND 70% OF THOSE WILL MAINTAIN THE IMPROVEMENTS OR SHOW ADDITIONAL DECREASES AT 6-MONTHS POST ADMISSION ASSESSED BY THE PCL-5 AND GPRA. GOAL 2: THE WCTN NEXT CHANCE WORKFORCE PROGRAM WILLIDENTIFY IMPACTS OF SUD/COD ON THE WORKFORCE IN JEFFERSON AND COCKE COUNTIES, TN ANDREDUCE SUD/COD STIGMA ANDEXPAND COLLABORATION BETWEEN STAKEHOLDERS TO INCREASE EMPLOYMENT OPPORTUNITIES FOR THE RECOVERING POPULATIONIN THE COMMUNITY. OBJECTIVE 2.1: BY SEPTEMBER 2028, 90% OF CLIENTS WILL RECEIVE PREVOCATIONAL TRAINING SERVICES DIRECTLY LINKED TO THE EMPLOYMENT OPPORTUNITIES IN THE JEFFERSON AND COCKE COUNTIES, TN. OBJECTIVE 2.2: BY SEPTEMBER 2028, 80% OF PROGRAM COMPLETERS WILL BE EMPLOYED AT DISCHARGE, AND 70% WILL REMAIN EMPLOYED AT 6-MONTHS POST DISCHARGE, AS EVIDENCED BY THE GPRA.

WCTN ZERO SUICIDE - WESTCARE TENNESSEE, INC. ZERO SUICIDE PROJECT WILL BENEFIT 130 ADULTS OVER 5 YEARS WITH CRISIS TREATMENT AND TRAIN 200 PROFESSIONALS AND COMMUNITY MEMBERS WITH SUICIDE AWARENESS, PREVENTION, INTERVENTION, AND TREATMENT SKILL DEPENDING ON THEIR ROLE. WCTN PROPOSES COCKE AND JEFFERSON COUNTIES AS THE GEOGRAPHICAL AREA FOR DELIVERING ZERO SUICIDE SERVICES, BUT THE SURROUNDING COUNTIES WILL BENEFIT FROM THIS PROJECT, TOO. WCTN CHOSE THIS AREA DUE TO THE HIGH RATES OF SUICIDE IN THIS PRIMARILY RURAL, UNDERSERVED AREA. GOAL 1: INCREASE ACCESS TO AND QUALITY OF SERVICES BY IMPLEMENTING THE ZERO SUICIDE INTERVENTION AND PREVENTION MODELS IN COCKE AND JEFFERSON COUNTIES TO REDUCE SUICIDE IDEATION, SUICIDE ATTEMPTS, AND DEATHS DUE TO SUICIDE. OBJECTIVES: 1.1: BY SEPTEMBER 29, 2028, PROVIDE SERVICES TO 130 UNDUPLICATED ADULTS USING THE ZERO SUICIDE MODELS Y1 & 5=20, Y2-4=30). 1.2: BY SEPTEMBER 29, 2028, LINK 80% OF CLIENTS TO CRISIS OR OTHER MENTAL HEALTH SERVICES AS DOCUMENTED IN THE WESTCARE CDS (CLINICAL DATA SYSTEM). 1.3: BY SEPTEMBER 29, 2028, 75% OF THE CLIENTS WILL COMPLETE SERVICES AS EVIDENCED BY THE NOMS AND THE WESTCARE CDS. 1.4: BY SEPTEMBER 29, 2028, 80% OF CLIENTS COMPLETING SERVICES WILL EXHIBIT REDUCED SUICIDE RISK AND DECREASED MENTAL HEALTH SYMPTOMS AT DISCHARGE, AND 70% OF THOSE WILL MAINTAIN IMPROVEMENTS/ SHOW ADDITIONAL DECREASES AT 6-MONTHS POST ADMISSION ASSESSED BY THE COLUMBIA SUICIDE SEVERITY RATING SCALE (C-SSRS), PCL-5, THE MODIFIED MINI SCREEN (MMS), AND THE BECK SCALE FOR SUICIDE IDEATION (BSS). 1.5: BY SEPTEMBER 29, 2028, TRAIN 80 INDIVIDUALS IN SUICIDE RISK ASSESSMENT MEASURED BY THE TRAINING LOGS AND PRE/POST-TESTS. GOAL 2: IMPROVE THE MENTAL HEALTH AND BEHAVIORAL HEALTH FUNCTIONING OF ADULTS (18+) SUCCESSFULLY COMPLETING SUICIDE INTERVENTION AND PREVENTION SERVICES. OBJECTIVES: 2.1: BY SEPTEMBER 29, 2028, 80% OF CLIENTS SUCCESSFULLY COMPLETING SERVICES WILL HAVE STABLE LIVING ARRANGEMENTS AT DISCHARGE, AND 70% OF THOSE WILL MAINTAIN THEIR LIVING ARRANGEMENTS AT 6-MONTHS POST ADMISSION AS EVIDENCED BY THE NOMS. 2.2: BY SEPTEMBER 29, 2028, 80% OF CLIENTS COMPLETING SERVICES WILL BE IN AN EDUCATIONAL/VOCATIONAL PROGRAM, BE SEEKING EMPLOYMENT ACTIVELY, OR BE EMPLOYED AT DISCHARGE, AND 70% WILL CONTINUE TO REMAIN ENROLLED, COMPLETE THEIR EDUCATION/TRAINING, OR REMAIN EMPLOYED AT 6-MONTHS POST ADMISSION AS EVIDENCED BY THE NOMS. 2.3: BY SEPTEMBER 29, 2028, 80% OF CLIENTS COMPLETING SERVICES WILL NOT ENGAGE IN NEW CRIMINAL ACTIVITY AT DISCHARGE, AND 70% WILL NOT RECIDIVATE AT 6-MONTHS POST ADMISSION AS EVIDENCED BY THE NOMS. 2.4: BY SEPTEMBER 29, 2028, 80% OF CLIENTS COMPLETING SERVICES WILL HAVE IMPROVED SOCIAL CONNECTEDNESS AT DISCHARGE, AND 70% WILL MAINTAIN THESE IMPROVEMENTS AT 6-MONTHS POST ADMISSION AS EVIDENCED BY THE NOMS. WESTCARE TENNESSEE MAKES A SYSTEM-WIDE COMMITMENT TO SAFER SUICIDE CARE THROUGHOUT ITS BEHAVIORAL HEALTH CARE SYSTEM BY INCLUDING ALL REQUIRED ACTIVITIES. WCTN WILL USE THE SEVEN ELEMENTS OF THE ZERO SUICIDE FRAMEWORK TO REDUCE SUICIDE IDEATION, SUICIDE ATTEMPTS, AND DEATHS DUE TO SUICIDE. WESTCARE PROGRAMS AND SERVICES ARE PERSON-CENTERED, RESPECTFUL, AND RESPONSIVE TO EACH INDIVIDUAL RECEIVING SERVICES. WESTCARE PROGRAMS TAILOR SERVICES (USING AN INDIVIDUALIZED TREATMENT PLAN) TO BEST RESPOND TO THE INDIVIDUAL NEEDS OF EACH CLIENT, BUILDING ON THE STRENGTHS OF EACH CLIENT AND CELEBRATING THE ELEMENTS THAT MAKE EACH CLIENT UNIQUE: ETHNICITY, CULTURE, LANGUAGE, GENDER IDENTITY AND EXPRESSION, SEXUAL ORIENTATION, AGE, EXPERIENCE AND HISTORY, STRENGTHS, SKILLS, TALENTS, GEOGRAPHIC LOCATION, EDUCATION, AND OTHER FACTORS. WESTCARE PROGRAMS PROVIDE CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES INFORMED BY THE NATIONAL STANDARDS FOR CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES (CLAS) IN HEALTH AND HEALTH CARE.

TN MATTERS - MEDICATION ASSISTED TREATMENT

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

WCTN SPF - THE CATCHMENT AREA IS COCKE COUNTY, TENNESSEE, A RURAL COUNTY (LANDMASS 434.57 SQUARE MILES) LOCATED IN THE APPALACHIAN MOUNTAINS OF EASTERN TN. THE PREVENTION PROJECT WILL FOCUS ON YOUTH AGED 7-18 AND THEIR FAMILIES. PREVENTION STRATEGIES WILL OCCUR DURING BOTH IN-SCHOOL AND OUT-OF-SCHOOL. UNDERSTANDING THE INTERGENERATIONAL NATURE OF SUBSTANCE MISUSE IN APPALACHIA, THE PROJECT ALSO WILL TARGET PARENTS OR CARETAKERS TO BREAK THE ADDICTION CYCLE. WESTCARE TENNESSEE (WCTN) ANTICIPATES THE DEMOGRAPHICS OF THE PROGRAM WILL CLOSELY REFLECT THE RACIAL/ETHNIC DEMOGRAPHICS OF THE COMMUNITY BUT WILL PLACE ADDITIONAL EMPHASIS ON LOW-INCOME FAMILIES WHO TRADITIONALLY HAVE LESS ACCESS TO RESOURCES AND CARE. GOAL 1: STRENGTHEN COMMUNITY-LEVEL PREVENTION CAPACITY IN COCKE COUNTY, TENNESSEE TO ADDRESS ALCOHOL CONSUMPTION, TOBACCO USE, AND VAPING AMONG YOUTH AGED 7-18 YEARS. OBJECTIVE 1.1: BY DECEMBER 31, 2023, COMPLETE A COMPREHENSIVE NEEDS ASSESSMENT TO IDENTIFY SUBSTANCE USE CONCERNS, NEGATIVE COMMUNITY CONSEQUENCES RELATED TO USE, RISK AND PROTECTIVE FACTORS, AND SUBPOPULATIONS MOST AT-RISK AND/OR UNDERSERVED. OBJECTIVE 1.2: BY MARCH 31, 2024, DEVELOP A DETAILED IMPLEMENTATION PLAN TO REDUCE RISK AND ENHANCE PROTECTIVE FACTORS. OBJECTIVE 1.3: BY SEPTEMBER 2028, DESIGN AND POST 108 PREVENTION MESSAGES (YL = 12; Y2-Y5 = 24 ANNUALLY) ON SOCIAL MEDIA (E.G., FACEBOOK, INSTAGRAM, OR TWITTER) RELATED TO ALCOHOL CONSUMPTION, TOBACCO USE, AND VAPING. GOAL 2: PREVENT THE ONSET OF OR REDUCE THE PROGRESSION OF ALCOHOL CONSUMPTION, TOBACCO USE, AND VAPING AMONG YOUTH AGED 7-18 LIVING IN COCKE COUNTY, TENNESSEE. OBJECTIVE 2.1: BY SEPTEMBER 2028, PROVIDE AGE-APPROPRIATE EVIDENCE-BASED ALCOHOL PREVENTION EDUCATION USING EITHER AN APPLE A DAY (AAD) OR ALCOHOL LITERACY CHALLENGE (ALC) TO 210 YOUTH AGED 7-18 YEARS (YL = 30; Y2-Y4 = 50 ANNUALLY; Y5 = 30) AS EVIDENCED BY ENROLLMENT RECORDS. OBJECTIVE 2.2: BY SEPTEMBER 2027, PROVIDE VAPING PREVENTION EDUCATION USING CATCH MY BREATH (CMB) TO 210 YOUTH AGED 10-18 YEARS (YL = 30; Y2-Y4 = 50 ANNUALLY; Y5 = 30) AS EVIDENCED BY ENROLLMENT RECORDS. OBJECTIVE 2.3: BY SEPTEMBER 2028, 90% OF THE YOUTH WHO REPORT TOBACCO USE AND/OR VAPING WILL RECEIVE SMOKING CESSATION EDUCATION USING PROJECT CONNECT AS EVIDENCED BY ENROLLMENT RECORDS. OBJECTIVE 2.4: BY SEPTEMBER 2028, 80% OF YOUTH ENROLLED IN THE PROGRAM WILL SUCCESSFULLY COMPLETE AS EVIDENCED BY THEIR DISCHARGE STATUS IN THE WESTCARE CLINICAL DATA SYSTEM (CDS). OBJECTIVE 2.5: BY SEPTEMBER 2028, 80% OF YOUTH WHO COMPLETE THE PROGRAM WILL NOT BEGIN USING ALCOHOL, TOBACCO, OR VAPING, REMAIN ABSTINENT, OR REDUCE USE AS MEASURED BY A PROGRAM-SPECIFIC PRE/POST QUESTIONNAIRE AND THE GPRA. GOAL 3: STRENGTHEN PROTECTIVE FACTORS AND MITIGATE RISK FACTORS AMONG YOUTH AGED 7-18 YEARS LIVING IN COCKE COUNTY, TENNESSEE. OBJECTIVE 3.1: BY SEPTEMBER 2028, 80% OF YOUTH WHO COMPLETE THE PROGRAM WILL INCREASE THEIR DISAPPROVAL OF ALCOHOL CONSUMPTION, TOBACCO USE, AND VAPING AS MEASURED BY A PROGRAM-SPECIFIC PRE/POST QUESTIONNAIRE. OBJECTIVE 3.2: BY SEPTEMBER 2028, 80% OF YOUTH WHO COMPLETE THE PROGRAM WILL INCREASE THEIR RISK PERCEPTIONS RELATED TO ALCOHOL CONSUMPTION, TOBACCO USE, AND VAPING AS MEASURED BY A PROGRAM-SPECIFIC PRE/POST QUESTIONNAIRE. OBJECTIVE 3.3: BY SEPTEMBER 2028, 80% OF YOUTH WHO COMPLETE AAD OR ALC WILL REDUCE POSITIVE ATTITUDES TOWARDS ALCOHOL CONSUMPTION AS MEASURED BY A PROGRAM­ SPECIFIC PRE/POST QUESTIONNAIRE. OBJECTIVE 3.4: BY SEPTEMBER 2028, 80% OF YOUTH WHO COMPLETE CMB WILL REDUCE POSITIVE ATTITUDES TOWARDS TOBACCO USE AND VAPING AS MEASURED BY A PROGRAM­ SPECIFIC PRE/POST QUESTIONNAIRE. OBJECTIVE 3.5: BY SEPTEMBER 2028, 80% OF YOUTH WHO COMPLETE THE PROGRAM WILL REMAIN IN SCHOOL AS MEASURED BY A PROGRAM-SPECIFIC PRE/POST QUESTIONNAIRE.

RELEASED FUNDS FOR YEAR FOUR OF THE GRANT PROGRAM.

SUICIDE PREVENTION GRANTS ARE AWARDED TO ELIGIBLE ENTITIES TO MEET THE NEEDS OF ELIGIBLE INDIVIDUALS AND THEIR FAMILIES THROUGH OUTREACH, PROVISION OR COORDINATION OF SUICIDE PREVENTION SERVICES, AND CONNECTION TO VA AND COMMUNITY RESOURCES AS DESCRIBED IN 38 CFR PART 78 (HTTPS://WWW.ECFR.GOV/CURRENT/TITLE-38/CHAPTER-I/PART-78?TOC=1)

GRANTEE YEAR THREE FUNDING FOR SUICIDE PREVENTION GRANTS PROVIDED BY SSG FOX SPGP. SUICIDE PREVENTION GRANTS ARE AWARDED TO ELIGIBLE ENTITIES TO MEET THE NEEDS OF ELIGIBLE INDIVIDUALS AND THEIR FAMILIES THROUGH OUTREACH, PROVISION OR COORDINATION OF SUICIDE PREVENTION SERVICES, AND CONNECTION TO VA AND COMMUNITY RESOURCES AS DESCRIBED IN 38 CFR PART 78

SUICIDE PREVENTION GRANTS ARE AWARDED TO ELIGIBLE ENTITIES TO MEET THE NEEDS OF ELIGIBLE INDIVIDUALS AND THEIR FAMILIES THROUGH OUTREACH, PROVISION OR COORDINATION OF SUICIDE PREVENTION SERVICES, AND CONNECTION TO VA AND COMMUNITY RESOURCES AS DESCRIBED IN 38 CFR PART 78 (HTTPS://WWW.ECFR.GOV/CURRENT/TITLE-38/CHAPTER-I/PART-78?TOC=1)

PURPOSE: ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING/CONGRESSIONAL DIRECTED SPENDING AWARDS ARE AUTHORIZED UNDER THE CONSOLIDATED APPROPRIATIONS ACT, 2022 PUBLIC LAW 117-328 AND THE EXPLANATORY STATEMENT FOR DIVISION L OF THAT ACT. PROJECTS SELECTED FOR COMMUNITY PROJECT FUNDING/CONGRESSIONAL DIRECTED SPENDING ARE LISTED IN THE JOINT EXPLANATORY STATEMENT (JES) THAT ACCOMPANIES A SPECIFIC FISCAL YEAR’S APPROPRIATIONS ACT OR CONGRESSIONAL RECORD. THE JES LISTS PROJECT, RECIPIENT, STATE, AMOUNT AND CONGRESSIONAL SPONSOR.; ACTIVITIES TO BE PERFORMED: ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING AWARD PROJECTS INCLUDE A WIDE VARIETY OF ACTIVITIES THAT RESULT IN ECONOMIC DEVELOPMENT OR COMMUNITY DEVELOPMENT OUTCOMES. HUD WILL NOT KNOW THE FULL SCOPE OF THE PROJECT UNTIL THE RECIPIENT SUBMITS THE REQUIRED PROJECT NARRATIVE AND CONFIRMS ALIGNMENT WITH THE LANGUAGE AS PROVIDED IN THE CONGRESSIONAL RECORD. TO FIND THE DETAILS OF THE GRANT AWARD AS WRITTEN WITHIN THE CONGRESSIONAL RECORD USE THE FOLLOWING LINK AND PATH SELECTIONS TO GET TO THE DESCRIPTION OF THE ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING GRANTS HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/EDI-GRANTS, SELECT THE FISCAL YEAR OF INTEREST, SCROLL DOWN TO PROGRAM LAWS AND REGULATIONS, UNDER FISCAL YEAR 20XX CONSOLIDATED APPROPRIATIONS ACT, 20XX: CONGRESSIONAL RECORD (JOINT EXPLANATORY STATEMENT).; EXPECTED OUTCOMES: COMPLETION OF THE PROJECT AS DESCRIBED IN THE JOINT EXPLANATORY STATEMENT (JES) PROJECT DESCRIPTION AND SUBSEQUENT APPROVED PROJECT NARRATIVE.; INTENDED BENEFICIARIES: THE PROJECT BENEFICIARIES ARE THE INDIVIDUALS AND/OR ORGANIZATIONS THAT ARE AWARDED GRANT FUNDS OR SERVED BY THE ENTITIES THAT ARE AWARDED GRANT FUNDS AS IDENTIFIED IN THE JES RECIPIENT OR PROJECT DESCRIPTION SECTIONS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

WESTCARE TENNESSEE, INC.’S PROPOSED PROGRAM, BREAKING THE CYCLE, IS A REENTRY INITIATIVE TO PROVIDE COMPREHENSIVE ASSESSMENTS, COMMUNITY-BASED SUBSTANCE USE DISORDER (SUD) TREATMENT, INTENSIVE CASE MANAGEMENT, AND A WIDE RANGE OF WRAPAROUND SERVICES FOR 75 ADULT MEN AND WOMEN DIAGNOSED WITH A SUD OR CO-OCCURRING MENTAL HEALTH DISORDER (COD) AND RETURNING TO THE COMMUNITY AFTER INCARCERATION IN COCKE AND JEFFERSON COUNTIES, TENNESSEE. TO DELIVER THIS PROGRAM, WESTCARE TENNESSEE WILL PARTNER WITH THE COCKE COUNTY JAIL. WESTCARE TENNESSEE CURRENTLY PROVIDES PROGRAMMING WITHIN THE JAIL, AND WE REGULARLY ACCEPT THEIR REFERRALS INTO OUR SUD TREATMENT PROGRAMS. FOR BREAKING THE CYCLE, COCKE COUNTY JAIL WILL PROVIDE AUTHORIZATION FOR WESTCARE STAFF TO ENTER THE FACILITY TO BEGIN CASE MANAGEMENT PLANNING PRIOR TO EACH PARTICIPANT’S RELEASE FROM DETENTION. THEY WILL ALSO ENABLE REGULAR COMMUNICATION BETWEEN WESTCARE AND JAIL STAFF TO FACILITATE RELEASE DATES; PROVIDE INFORMATION REGARDING PARTICIPANTS’ MEDICAL, MENTAL HEALTH, AND CRIMINAL HISTORY; PROVIDE VARIOUS PRE-RELEASE PROGRAMMING AND INTERVENTIONS; AND PROVIDE DEMOGRAPHIC AND ARREST DATA FOR PROGRAM PARTICIPANTS, INCLUDING CHARGES, AVERAGE LENGTH OF DAYS INCARCERATED, AND SPECIAL NEEDS. JAIL STAFF WILL IDENTIFY ELIGIBLE INDIVIDUALS FROM THE TARGET POPULATION SCHEDULED FOR RELEASE AND REFER THESE INDIVIDUALS TO WESTCARE TENNESSEE FOR ASSESSMENT. ALL PARTICIPANTS WILL RECEIVE COMPREHENSIVE ASSESSMENTS USING THE OHIO RISK ASSESSMENT SYSTEM (ORAS) AND THE AMERICAN SOCIETY OF ADDICTION MEDICINE (ASAM) CRITERIA PRIOR TO THEIR RELEASE. THE ASSESSMENT RESULTS WILL BE USED TO DEVELOP INDIVIDUALIZED TREATMENT AND TRANSITION PLANS FOR EACH PARTICIPANT BASED ON THEIR UNIQUE STRENGTHS AND NEEDS. POST-RELEASE SERVICES WILL INCLUDE SUD TREATMENT, INTENSIVE CASE MANAGEMENT, AND LINKAGE TO RECOVERY SUPPORT SERVICES, INCLUDING PRIMARY MEDICAL CARE, TESTING FOR HIV AND HEPATITIS, TRANSPORTATION, EMPLOYMENT SERVICES, HOUSING ASSISTANCE, LIFE SKILLS TRAINING, PARENT EDUCATION, AND ANY OTHER NEEDED SERVICES. WESTCARE TENNESSEE WILL USE A LINKAGE OR “WARM HAND-OFF” MODEL TO ENSURE THAT PARTICIPANTS RECEIVE NECESSARY CARE IN A TIMELY MANNER, INCLUDING TRANSPORTATION TO LOCAL PROVIDERS, ASSISTANCE WITH SCHEDULING APPOINTMENTS, AND ANY OTHER SIMILAR ACTIVITIES THAT MAY BE NECESSARY. AN INDIVIDUAL’S SPECIFIC NEEDS AND PROGRESS WILL DETERMINE THE LENGTH OF SERVICES, NOT A SPECIFIED TIMEFRAME. WESTCARE TENNESSEE IS SEEKING PRIORITY CONSIDERATION UNDER PRIORITY 1(A), AND ITS PLAN TO RESPOND TO THIS PRIORITY CONSIDERATION IS DISCUSSED IN PAGES 14-15 IN THE NARRATIVE.

PREVENTION ALLIANCE OF COCKE COUNTY

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)