Zepf Center

NORTHWEST OHIO PATHWAY TO HEALTHCARE CAREERS (NOPHC) PROJECT

NORTHWEST OHIO FATHERHOOD CONNECTION -PREPARING FATHERS TO MEET THE EMOTIONAL, PSYCHOLOGICAL, PHYSICAL AND FINANCIAL NEEDS OF THEIR CHILDREN.

CCBHC IMPROVEMENT AND ADVANCEMENT: ZEPF CENTER - PROJECT SUMMARY: ZEPF CENTER SEEKS CCBHC-IA GRANT FUNDING TO IMPROVE UPON ITS EXISTING CCBHC SERVICES BY INCREASING ACCESS TO AND IMPROVING THE QUALITY OF COMMUNITY MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT IN TOLEDO ,OHIO. THE CCBHC IS LOCATED IN TOLEDO'S HISTORIC JUNCTION NEIGHBORHOOD AND HAS ALLOWED ZEPF TO EXPAND ITS SERVICE OFFERINGS FURTHER INTO THE COMMUNITY TO OFFER THE FULL ARRAY OF CCBHC SERVICES TO PERSONS IN NEED. ZEPF CENTER WAS AWARDED A PREVIOUS CCBHC-E GRANT THROUGH SAMHSA IN 2021. THE DESIGNATED COLLABORATING ORGANIZATION (DCO) FOR THIS PROJECT IS THE UTMC RYAN WHITE PROGRAM. POPULATION OF FOCUS: THE JUNCTION NEIGHBORHOOD (ZIP CODE 43607) IS HOME TO 20,854 PEOPLE, 66.3% OF WHOM ARE BLACK, 24.2% ARE WHITE, AND 5.2% ARE HISPANIC OR LATINO. THE CURRENT UNEMPLOYMENT RATE IN 43607 IS 7.3%, WHICH IS HIGHER THAN THE CURRENT COUNTY UNEMPLOYMENT RATE OF 4.9%, THE STATE UNEMPLOYMENT RATE OF 5.2%, AND THE NATIONAL UNEMPLOYMENT RATE OF 6.7%. ZEPF CENTER IS ONE OF THE ONLY SERVICE PROVIDERS IN THIS NEIGHBORHOOD, OPERATING A TWO-BUILDING CAMPUS WHICH PROVIDES INTEGRATED CARE FOR CO-OCCURRING DISORDERS WITH CO-LOCATED PRIMARY CARE SERVICES. THE MOST COMMON DIAGNOSES AMONGST THE TARGET POPULATION SERVED THROUGH ZEPF'S CCBHC WERE MAJOR DEPRESSIVE DISORDER, BIPOLAR DISORDER, AND ANXIETY DISORDERS. GOALS AND OBJECTIVES: GOAL 1: IMPROVE ACCESS TO AND AVAILABILITY OF HIGH-QUALITY SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF THE COMMUNITY AND CONTINUALLY WORK TO MEASURE AND IMPROVE THE QUALITY OF SERVICES. OBJECTIVES: (1) 100% OF INDIVIDUALS SEEKING SERVICES THROUGH ZEPF'S CCBHC WILL BE SCREENED AND ASSESSED WITHIN 10 DAYS OF INITIAL INQUIRY. (2) WITHIN 5 WORKING DAYS OF AN ASSESSMENT AT ZEPF CENTER, ENSURE THAT 90% OF INTERESTED INDIVIDUALS ARE ENROLLED IN THE CCBHC TO INCREASE ACCESS TO CARE. GOAL 2: USE EVIDENCE-BASED PRACTICES THAT ADDRESS THE NEEDS OF THE INDIVIDUALS THE CCBHC SERVES. OBJECTIVES: (1) BY THE END OF Y1, ENSURE THAT THE FIDELITY ASSESSMENTS FOR THE EBPS OF PEER SUPPORT SERVICES AND EMPATH MOBILITY MENTORING ARE CONDUCTED TO ENSURE THAT QUALITY SERVICES PROPOSED BY THE CCBHC ARE BEING DELIVERED TO FIDELITY. (2) ON AN ANNUAL BASIS, REVIEW THE EBPS OFFERED AT ZEPF CENTER TO CCBHC PARTICIPANTS AND COMPARE THEM TO THE NEEDS ASSESSMENT TO ENSURE THAT THE NEEDS OF THOSE SERVED ARE REFLECTED IN THE PRACTICES. (3) ENSURE THAT ONGOING TRAINING IS PROVIDED TO STAFF ON EBPS IN CONJUNCTION WITH THE CCBHC REQUIREMENTS FOR 100% OF CCBHC STAFF WHO PROVIDE CLINICAL SERVICES ON AN ANNUAL BASIS. TOTAL NUMBER SERVES: Y1: 200, Y2: 250; TOTAL: 850 UNDUPLICATED PERSONS. CONTACT: DEB FLORES, CEO; DFLORES@ZEPFCENTER.ORG

CCBHC EXPANSION: ZEPF CENTER - PROJECT SUMMARY: ZEPF CENTER SEEKS CCBHC EXPANSION GRANT FUNDING TO INCREASE ACCESS TO AND IMPROVE THE QUALITY OF COMMUNITY MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT IN TOLEDO, OHIO. THE CCBHC WILL BE LOCATED IN TOLEDO’S HISTORIC JUNCTION NEIGHBORHOOD AND WILL ALLOW ZEPF TO EXPAND ITS SERVICE OFFERINGS FURTHER INTO THE COMMUNITY AND OFFER THE FULL ARRAY OF CCBHC SERVICES TO PERSONS IN NEED. DESIGNATED COLLABORATING ORGANIZATIONS (DCOS) INCLUDE MENTAL HEALTH AND RECOVERY SERVICES BOARD OF LUCAS COUNTY (LCMHRSB), RESCUE MENTAL HEALTH AND ADDICTION SERVICES, UTMC’S RYAN WHITE PROGRAM, NEIGHBORHOOD HEALTH ASSOCIATION, AND HEALTH PARTNERS OF WESTERN OHIO. POPULATION OF FOCUS: THE JUNCTION NEIGHBORHOOD (ZIP CODE 43607) IS HOME TO 20,854 PEOPLE, 66.3% OF WHOM ARE BLACK, 24.2% ARE WHITE, AND 5.2% ARE HISPANIC OR LATINO. THE CURRENT UNEMPLOYMENT RATE IN 43607 IS 7.3%, WHICH IS HIGHER THAN THE CURRENT COUNTY UNEMPLOYMENT RATE, THE STATE UNEMPLOYMENT RATE AND THE NATIONAL UNEMPLOYMENT RATE AT 6.7%. ZEPF CENTER IS ONE OF THE ONLY SERVICE PROVIDERS IN THIS NEIGHBORHOOD, OPERATING A TWO-BUILDING CAMPUS WHICH PROVIDES INTEGRATED CARE FOR CO-OCCURRING DISORDERS WITH CO-LOCATED PRIMARY CARE SERVICES. TOTAL NUMBER SERVED: Y1: 400, Y2: 500; TOTAL ACROSS GRANT AWARD: 900 UNDUPLICATED PERSONS. GOALS AND OBJECTIVES: GOAL 1: INCREASE THE CAPACITY OF ZEPF CENTER TO PROVIDE COMPREHENSIVE, INTEGRATED BEHAVIORAL HEALTH SERVICES TO THE TARGET POPULATION TO DECREASE THE CONDITIONS THAT LEAD TO THE EXACERBATION OF MENTAL HEALTH, SUBSTANCE USE, AND CHRONIC DISEASE. OBJECTIVES: (1) WITHIN 30 DAYS OF THE NOA, ENSURE THAT THE CCBHC PILOT LOCATION IN THE JUNCTION NEIGHBORHOOD IS PROVIDING 100% OF SERVICES. (2) BY THE SIX-MONTH ADMINISTRATION OF THE NOMS, 50% OF PARTICIPANTS WILL REPORT REDUCTIONS IN MH SYMPTOMS AND IN SUBSTANCE USE, AND IMPROVEMENTS IN PHYSICAL HEALTH. GOAL 2: ENSURE SUSTAINABILITY OF THE CCBHC SO THAT SERVICES REMAIN PRESENT FOR THE TARGET POPULATION. OBJECTIVES: (1) BY THE FOURTH MONTH, UTILIZE TECHNICAL ASSISTANCE (TA) FUNDS TO CONSULT WITH MTM AND THE NATIONAL COUNCIL AND THE KEY PROJECT STAFF TO ENSURE THAT ALL REQUIREMENTS ARE MET. (2) BY THE END OF Y1, CONDUCT THE PROGRAM SUSTAINABILITY ASSESSMENT TOOL (PSAT) AND HAVE A PLAN IN PLACE THAT ADDRESSES THE 8 DOMAINS OF SUSTAINABILITY. EVIDENCE-BASED PRACTICES: ZEPF WILL FOCUS ON THE IMPLEMENTATION OF TWO EBPS FOR THIS PROJECT: (1) PEER SUPPORT SERVICES AND (2) EMPATH MOBILITY MENTORING. PEER SUPPORT SERVICES ARE A VITAL PART OF RECOVERY SUPPORT SERVICES WHICH HELP PEOPLE MANAGE THEIR SUBSTANCE USE DISORDER AND MENTAL HEALTH CARE SUCCESSFULLY AND CAN CONTRIBUTE TO SUCCESSFUL MANAGEMENT OF THEIR PHYSICAL HEALTH CARE NEEDS. ZEPF’S PEER SUPPORT SPECIALISTS ARE CALLED RESILIENCY COACHES TO EMPHASIZE THEIR FOCUS ON RESILIENCE, ASSET-BUILDING, AND STRENGTHS. EMPATH MOBILITY MENTORING PARTNERS WITH PARTICIPANTS TO HELP THEM GAIN RESOURCES, SKILLS, AND SUSTAINED BEHAVIOR CHANGES NECESSARY TO ATTAIN AND PRESERVE THEIR ECONOMIC INDEPENDENCE. THIS PRACTICE UTILIZES: (1) THE BRIDGE TO SELF SUFFICIENCY TOOL, (2) COACHING, (3) GOAL SETTING, AND (4) RECOGNITION. CONTACT: DEB FLORES, CEO; DFLORES@ZEFPCENTER.ORG

MATTER PROJECT TO EXPAND ACCESS TO MAT SERVICES FOR PERSONS WITH AN OUD SEEKING OR RECEIVING MAT. - OVERVIEW AND TARGET POPULATION: ZEPF CENTER, IN PARTNERSHIP WITH HEALTH PARTNERS OF WESTERN OHIO (HPWO; A FEDERALLY QUALIFIED HEALTH CENTER), MERCY HEALTH: ST. VINCENT MEDICAL CENTER AND ST. CHARLES, THE UNIVERSITY OF TOLEDO MEDICAL CENTER’S RYAN WHITE PROGRAM, AND ALVIS PRESENT THE MATTER PROJECT, TARGETING 100 UNDUPLICATED INDIVIDUALS IN NEED OF MEDICATION-ASSISTED TREATMENT (MAT) FOR OPIOID USE DISORDER (OUD) IN YEAR ONE; 580 INDIVIDUALS OVER THE FIVE-YEAR GRANT PERIOD. CLINICAL AND DEMOGRAPHIC CONSIDERATIONS: OHIO IS STILL IN THE MIDST OF AN OPIOID EPIDEMIC, RISING RATES OF SUICIDE, AND LIKE EVERYWHERE ELSE, IS STILL BATTLING THROUGH COVID-19. OHIO IS GRAPPLING WITH THE FOURTH HIGHEST OVERDOSE DEATH RATE IN THE UNITED STATES (OHIO DEPT. OF HEALTH, APRIL 2018), AND LUCAS COUNTY IS IN THE SECOND-HIGHEST TIER WITH 24.1 DEATHS PER 100,000 PEOPLE. HEALTH IS AFFECTED BY BIO-PSYCHO-SOCIAL FACTORS, INCLUDING POVERTY, CHRONIC DISEASE, ENVIRONMENTAL STRESS, ACUTE CRISIS, AND ACCESS TO CARE. INCOME INEQUALITY MAY FURTHER PERPETUATE OR EXACERBATE HEALTH DISPARITIES. THE NATURE OF THE PROBLEM AS IT RELATES TO ACCESS TO MAT CONTINUES TO BE RELATED TO POVERTY LEVELS, CONTINUED STIGMA SURROUNDING SUBSTANCE USE DISORDER AND MENTAL HEALTH DISORDER TREATMENT, LITTLE TO NO INSURANCE COVERAGE FOR THE TARGET POPULATION, AND LOW EDUCATION LEVELS WHICH ARE BARRIERS TO NEEDED SERVICES FOR RESIDENTS IN THE CATCHMENT AREA. EXPERIENCE WITH PROVIDING MAT: ZEPF CENTER OFFERS METHADONE, SUBLOCADE, VIVITROL, SUBUTEX, AND ZUBSOLV AS FORMS OF MAT THROUGH ITS OTP PROGRAM. THIS EXPANSION WILL CREATE AN OBOT (OFFICE BASED OPIOID TREATMENT PROGRAM) IN THE JUNCTION NEIGHBORHOOD OF TOLEDO. ZEPF CENTER UTILIZES SEVERAL REGIMENS FOR MAT, INCLUDING THOSE THAT ARE LESS SUSCEPTIBLE FOR DIVERSION. ZEPF EMPLOYS STRICT OVERSIGHT PRACTICES OF ALL MEDICATIONS TO MINIMIZE DIVERSION. PROJECT GOALS AND OBJECTIVES: THE GOAL OF THE MATTER PROJECT IS TO EXPAND ACCESS TO MAT SERVICES FOR PERSONS WITH AN OUD SEEKING OR RECEIVING MAT. OUTCOMES INCLUDE:(1) INCREASE THE NUMBER OF INDIVIDUALS WITH OUD RECEIVING MAT; AND (2) DECREASE IN ILLICIT OPIOID DRUG USE AND PRESCRIPTION OPIOID MISUSE AT SIX-MONTH FOLLOW-UP. OBJECTIVE 1: 50% OF PROGRAM PARTICIPANTS RECEIVING MAT WILL COMPLETE THEIR ASSIGNED LEVEL OF CARE (E.G. IOP OR OP), PER RECOMMENDATIONS FROM THE CLINICAL ASSESSMENT. OBJECTIVE 2: 50% PROGRAM PARTICIPANTS WILL WHO COMPLETE TREATMENT WILL REPORT NO ILLICIT OPIATE USE AT THEIR SIX- MONTH FOLLOW UP. OBJECTIVE 3: 10% OF PARTICIPANTS WHO DO NOT COMPLETE TREATMENT WILL REPORT NO ILLICIT OPIATE USE AT THEIR SIX-MONTH FOLLOW UP. OBJECTIVE 4: 60% OF PARTICIPANTS WILL WORK WITH A PEER SUPPORT SPECIALIST, RECOVERY COACH OR SPONSOR TO ASSIST THEM WITH MAINTAINING THEIR RECOVERY; OBJECTIVE 5: 90% OF ELIGIBLE PARTICIPANTS WILL ENROLL IN BENEFITS AND IMPROVE THEIR RESOURCES; OBJECTIVE 6: 75% OF PARTICIPANTS WILL REPORT IMPROVEMENT IN MENTAL HEALTH SYMPTOMS AND MH RECOVERY. OBJECTIVE 7: 50% OF PARTICIPANTS WHO EXPRESS A NEED FOR RECOVERY HOUSING (RH) WILL BE LINKED WITHIN 30 DAYS OF ADMISSION TO TREATMENT.

HOMELESS OUTREACH PERSON-CENTERED ENGAGEMENT (HOPE) PROJECT

THE HOPE PROJECT (HOMELESS OUTREACH AND PERSON-CENTERED ENGAGEMENT) - ZEPF CENTER, IN COLLABORATION WITH NEIGHBORHOOD PROPERTIES, INC. (NPI) PRESENT THE HOPE PROJECT (HOMELESS OUTREACH AND PERSON-CENTERED ENGAGEMENT) TARGETING INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI), SERIOUS EMOTIONAL DISTURBANCE (SED), OR CO-OCCURRING DISORDERS (COD) EXPERIENCING HOMELESSNESS LIVING IN LUCAS COUNTY. THE PURPOSE OF HOPE IS TO PROVIDE COMPREHENSIVE, COORDINATED AND EVIDENCE-BASED SERVICES FOR THE TARGET POPULATION. ZEPF AND NPI ARE LONG-TERM PARTNERS, HAVING TIEH FUNDING IN 2018.

THE 360 HEALTH PROJECT

NORTHWEST OHIO FATHERHOOD CONNECTION PROGRAM WILL SERVE 180 FATHERS PER YEAR WITH THE INTENT TO PROMOTE AND SUSTAIN HEALTHY MARRIAGE, RESPONSIBLE PARENTING, AND FOSTER ECONOMIC STABILITY. - THE NORTHWEST OHIO FATHERHOOD CONNECTION PROGRAM WILL PROVIDE COMPREHENSIVE SERVICES TO COMMUNITY FATHERS IN LUCAS COUNTY, OHIO THROUGH EVIDENCE-BASED CURRICULUM WORKSHOPS AND INDIVIDUALIZED SUPPORT. THE PROGRAM WILL IMPLEMENT THE NURTURING FATHERS PROGRAM AS ITS PRIMARY WORKSHOP, SUPPLEMENTED WITH HEALTHY RELATIONSHIP EDUCATION AND ECONOMIC STABILITY SERVICES. ZEPF CENTER WILL SERVE 180 FATHERS PER YEAR THROUGH IN-PERSON SERVICES AT THREE PHYSICAL LOCATIONS, HELPING PARTICIPANTS DEVELOP RESPONSIBLE PARENTING SKILLS, IMPROVE CO-PARENTING RELATIONSHIPS, AND ACHIEVE ECONOMIC STABILITY THROUGH JOB TRAINING, PLACEMENT, AND RETENTION SUPPORT. OVER THE FIVE-YEAR PROJECT PERIOD, THE PROGRAM EXPECTS TO SERVE 900 FATHERS, WITH DEMONSTRATED OUTCOMES INCLUDING INCREASED FATHER-CHILD ENGAGEMENT, IMPROVED PARENTING CONFIDENCE, AND SIGNIFICANT GAINS IN EMPLOYMENT AND EARNINGS.

OPIOID WORKFORCE EXPANSION PROGRAM- PARAPROFESSIONAL

EMERGENCY RESPONSE FOR SUICIDE PREVENTION (COVID-19 ERSP) GRANT TO ADVANCE EFFORTS TO PREVENT SUICIDE AND SUICIDE ATTEMPTS AMONG ADULTS AGE 25 AND OLDER IN NW OHIO BY USE OF EVIDENCE BASED PRACTICES.

SAFETY NET: EMERGENCY SHELTER FOR RUNAWAY AND HOMELESS YOUTH

BASIC CENTER PROGRAM

ZEPF RUNAWAY YOUTH SHELTER-SAFETY NET

REACT: RESPONSIVE EDUCATION, AWARENESS, AND COMMUNITY TREATMENT - PROJECT OVERVIEW AND EVIDENCE-BASED PRACTICES: ZEPF CENTER, IN COLLABORATION WITH PARTNERS IN LUCAS AND WOOD COUNTIES (NORTHWEST OHIO), PROPOSES REACT: RESPONSIVE EDUCATION, AWARENESS AND COMMUNITY TREATMENT. ZEPF WILL PROVIDE MULTIPLE TRAINING OPPORTUNITIES IN THE EVIDENCE-BASED PRACTICES, MENTAL HEALTH FIRST AID (MHFA) FOR ADULTS, TMFHA FOR HIGH SCHOOL AGED STUDENTS, AND MHFA FOR YOUTH, AND WILL COORDINATE CRISIS INTERVENTION TRAINING (CIT) FOR FIRST RESPONDERS AND LAW ENFORCEMENT. REACT WILL UTILIZE ITS TRAINED STAFF AND CERTIFIED RECOVERY PEER SUPPORTERS TO DEPLOY THESE TRAININGS. ZEPF PROPOSES TO PROVIDE THESE TRAININGS ACROSS NORTHWEST OHIO TO MAXIMIZE THE REACH OF THE EDUCATION OFFERED THROUGH REACT. IN ADDITION TO TRAINING, ZEPF WILL WORK TO ESTABLISH REFERRAL MECHANISMS THAT INCREASE THE ABILITY OF THE INDIVIDUALS TRAINED THROUGH REACT TO REFER AND LINK PEOPLE IN NEED OF MENTAL HEALTH SERVICES TO THOSE RESOURCES. PURPOSE AND OBJECTIVES: THE PURPOSE OF THIS PROGRAM IS TO: (1) TRAIN INDIVIDUALS WORKING IN SCHOOLS, EMERGENCY RESPONSE, LAW ENFORCEMENT, VETERANS, ARMED SERVICES PERSONNEL AND THEIR FAMILIES, LOCAL EMPLOYERS, AND STUDENTS IN TARGETED VOCATIONAL AND POST-SECONDARY EDUCATION SETTINGS TO RECOGNIZE THE SIGNS AND SYMPTOMS OF MENTAL DISORDERS. (2) ESTABLISH LINKAGES WITH SCHOOL-BASED AND/OR COMMUNITY-BASED MENTAL HEALTH AGENCIES TO REFER INDIVIDUALS WITH THE SIGNS OR SYMPTOMS OF MENTAL ILLNESS TO APPROPRIATE SERVICES; (3) TRAIN EMERGENCY SERVICES PERSONNEL, VETERANS, LAW ENFORCEMENT, FIRE DEPARTMENT PERSONNEL, AND OTHERS TO IDENTIFY PERSONS WITH A MENTAL DISORDER AND EMPLOY CRISIS DE-ESCALATION TECHNIQUES; AND (4) EDUCATE INDIVIDUALS ABOUT RESOURCES THAT ARE AVAILABLE IN THE COMMUNITY FOR INDIVIDUALS WITH A MENTAL DISORDER. NUMBER OF PEOPLE SERVED: WE ANTICIPATE MANY OF THE INDIVIDUALS BEING BETWEEN 18 TO 65 YEARS OF AGE. THIS POPULATION WAS SELECTED BECAUSE OF THEIR PROFESSIONAL REACH IN THE COMMUNITY AND THEIR CONNECTION TO PERSONS WHO MAY BE EXPERIENCING MENTAL ILLNESS OR A MENTAL HEALTH CRISIS. WE ANTICIPATE TRAINING UP TO 250 INDIVIDUALS IN YEAR ONE, THEN UP TO 350 FOR THE NEXT THREE YEARS, AND UP TO 300 IN THE FINAL YEAR, FOR A TOTAL OF 1,600 OVER THE FIVE YEARS OF THE GRANT. THE CATCHMENT AREA FOR THIS PROJECT IS TOLEDO, OHIO (LUCAS COUNTY) AND BOWLING GREEN, OHIO (WOOD COUNTY). TOLEDO IS THE FOURTH LARGEST CITY IN OHIO WITH 271,689 RESIDENTS; BOWLING GREEN HAS 31,504 RESIDENTS. LUCAS COUNTY’S POPULATION IS 428,348 AND WOOD COUNTY IS 130,817 (US CENSUS DATA QUICK FACTS, 2019). BOTH CITIES ARE HOME TO MID-SIZE UNIVERSITIES WITH STUDENT BODIES OF BETWEEN 15,000 AND 19,000 (BOWLING GREEN STATE UNIVERSITY AND THE UNIVERSITY OF TOLEDO, RESPECTIVELY). TOLEDO IS CONSIDERED AN URBAN AREA, WHILE BOWLING GREEN IS RURAL. LEAD ORGANIZATION: THE ZEPF CENTER; PROJECT DIRECTOR: CRAIG GEBERS, CGEBERS@ZEPFCENTER.ORG

STREET OUTREACH PROGRAM

ZEPF CENTER'S STREET OUTREACH PROGRAM WILL PROVIDE STREET-BASED OUTREACH SERVICES TO YOUTH WHO ARE RUNAWAY OR HOMELESS LIVING IN THE TOLEDO AREA WITH THE GOAL OF HELPING THEM SAFELY EXIT THE STREETS.

REACT: RESPONSIVE EDUCATION, AWARENESS AND COMMUNITY PROJECT