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CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) - PLANNING, DEVELOPMENT, AND IMPLEMENTATION GRANT - THE ARROWLEAF CCBHC-PHI GRANT PROGRAM WILL ENROLL A MINIMUM OF 250 UNDUPLICATED PROGRAM PARTICIPANTS LIVING WITH A MENTAL OR SUBSTANCE USE DISORDER WHO SEEKS CARE, INCLUDING THOSE WITH SEVERE MENTAL ILLNESS (SMI), SUBSTANCE USE DISORDER (SUD) INCLUDING OPIOID USE, CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED), INDIVIDUALS WITH CO-OCCURRING MENTAL AND SUBSTANCE DISORDERS (COD), AND INDIVIDUALS EXPERIENCING A MENTAL HEALTH OR SUBSTANCE USE-RELATED CRISIS. ARROWLEAF WILL FOCUS ON GROUPS FACING HEALTH DISPARITIES, AS IDENTIFIED IN A COMMUNITY NEEDS ASSESSMENT. THE PROJECT'S OVERALL GOAL IS TO IMPROVE BEHAVIORAL HEALTHCARE FOR INDIVIDUALS ACROSS THE LIFESPAN WHO ARE LIVING AND/OR RECEIVING SERVICES WITHIN THE SOUTHERNMOST 7 COUNTIES OF ILLINOIS; PER THE FEDERAL CCBHC CRITERIA AND BY MEETING THE PROJECT'S 5 GOALS AND THEIR OBJECTIVES WHICH INCLUDE: 1) PROVIDE A COMPREHENSIVE RANGE OF OUTREACH, SCREENING, ASSESSMENT, TREATMENT, CARE COORDINATION, AND RECOVERY SUPPORTS BASED ON A NEEDS ASSESSMENT; 2) IMPROVE THE 7-COUNTY PROJECT AREA'S RESPONSE TO TRAUMATIC EVENTS BY RECOGNIZING AND INTENTIONALLY RESPONDING TO LASTING ADVERSE EFFECTS OF EXPERIENCING TRAUMATIC EVENTS BY ADOPTING/IMPLEMENTING THE 6 KEY PRINCIPLES OF TRAUMA-INFORMED CARE; 3) PROMOTE BEHAVIORAL HEALTH EQUITY BY INCORPORATING TARGETED STRATEGIES TO REDUCE BEHAVIORAL HEALTH DISPARITIES AS IDENTIFIED IN A COMMUNITY NEEDS ASSESSMENT; 4) INCREASE THE NUMBER OF RECOVERY-ORIENTED PARTNERSHIPS INCLUDING EMPLOYERS AND HEALTHCARE PROVIDERS IN THE PROJECT SERVICE AREA; AND 5) IMPROVE THE QUALITY OF BEHAVIORAL HEALTHCARE SERVICES AT ARROWLEAF BY PARTICIPATING IN ALL ASPECTS OF EVALUATION. WITH THE ASSISTANCE OF ARROWLEAF, PROGRAM PARTICIPANTS OF ALL AGES WILL BE BETTER EQUIPPED TO OVERCOME THEIR BEHAVIORAL HEALTH CHALLENGES AND HELP OUR RURAL COMMUNITY THRIVE.

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

THE PURPOSE OF THIS PROJECT IS TO PREVENT AND REDUCE SCHOOL VIOLENCE THROUGH CAREFUL, STRATEGIC COMMUNITY INTERVENTIONS AND TRAINING FOR STUDENTS, SCHOOL PERSONNEL, AND COMMUNITY MEMBERS INCLUDING LAW ENFORCEMENT AND CAREGIVERS. ARROWLEAF AIMS TO CREATE A SOCIALLY, CULTURALLY, AND EMOTIONALLY RESPONSIBLE AND SENSITIVE REGION WHERE STUDENTS DO NOT NEED TO FEAR THE NOTION OF ARRIVING AT SCHOOL IN THE MORNING DUE TO ACTS OF BULLYING, AGGRESSION, OR MANIPULATION. THE PROJECT WILL PROVIDE IN-SCHOOL SERVICES TO FOUR SCHOOLS WITHIN ALEXANDER, PULASKI, AND JOHNSON COUNTY, ILLINOIS. STUDENTS WITHIN THE PROPOSED SERVICE AREA REPORT EXPERIENCING HIGHER RATES OF BULLYING, HARASSMENT, NEGATIVE SCHOOL CLIMATES, AND FEELING UNSAFE IN COMPARISON TO NOT ONLY NEIGHBORING COMMUNITIES BUT ACROSS THE STATE AND FEDERALLY. THE PRIMARY ACTIVITIES OF THIS PROJECT INCLUDE: DEVELOPING AND COORDINATING WITH A YOUTH ADVISORY COUNCIL AND SCHOOL BEHAVIORAL THREAT ASSESSMENT TEAM TO IMPROVE THE SCHOOL CLIMATE THROUGH CONTINUED REVIEW, REVISION, AND DEPLOYMENT OF UPDATED SCHOOL SAFETY PLANS FOR EACH PARTICIPATING SCHOOL ON AN ANNUAL BASIS; TRAIN STUDENTS, SCHOOL PERSONNEL, LAW ENFORCEMENT, AND CAREGIVERS ON RECOGNIZING, PREVENTING, AND RESPONDING TO SCHOOL VIOLENCE THROUGH USE OF EVIDENCE-BASED CURRICULUM AND PROGRAMMING; INCREASING ACCESS TO VIOLENCE PREVENTION AND EARLY INTERVENTION SERVICES THROUGH SCREENING, REFERRALS, AND IMMEDIATE RESPONSE BY SOCIAL SERVICE STAFF TO STUDENT VIOLENCE INCIDENTS; AND INCREASING COMMUNITY AWARENESS OF VIOLENCE PREVENTION RESOURCES TARGETING DISRUPTING THE SCHOOL-TO-PRISON PIPELINE AND STUDENT VIOLENCE WITHIN THE SCHOOL AND GREATER COMMUNITY. IT IS EXPECTED THAT THROUGH THE AFOREMENTIONED PREVENTIVE MEASURES AND INTERVENTIONS, STUDENTS WILL REPORT INCREASED CONFIDENCE IN MANAGING CONFLICT THROUGH POSITIVE COMMUNICATION, REDUCED RATES OF BULLYING AND HARASSMENT, AND INCREASED FEELINGS OF SAFETY AND CONNECTION TO THE SCHOOL CLIMATE. ADDITIONALLY, SCHOOL PERSONNEL, LAW ENFORCEMENT, CAREGIVERS, AND COMMUNITY MEMBERS ARE EXPECTED TO REPORT AN INCREASED UNDERSTANDING TO RESPONDING TO STUDENT VIOLENCE AND CONNECTING YOUTH AND FAMILIES TO VIOLENCE PREVENTION AND EARLY INTERVENTION RESOURCES WHILE INDICATING A NOTICEABLE DECREASE IN VIOLENT INCIDENTS WITHIN THE SCHOOL AND GREATER COMMUNITY. THIS PROJECT WILL BUILD ON FOUNDATIONAL WORK ALREADY SET IN PLACE BY ARROWLEAF THROUGH THEIR LONG-STANDING RELATIONSHIPS WITH PARTNERING ORGANIZATIONS AND EXPERIENCE WITH YOUTH ADVISORY COUNCILS, IN-SCHOOL PREVENTION PROGRAMS, COMMUNITY EDUCATION, AND COMMUNITY COLLABORATION. AFTER THE CONCLUSION OF THE GRANT PERIOD, IT IS EXPECTED THAT THE ACTIVITIES SET IN PLACE BY THIS PROPOSAL WILL CONTINUE TO AFFECT THE TARGETED AREAS BY INCREASING AND ENHANCING THE COLLABORATIVE PARTNERSHIPS WITH THE SCHOOLS AND COMMUNITIES.

MENTAL HEALTH AWARENESS TRAINING - MHAT - THE MHAT PROGRAM AT ARROWLEAF WILL FOCUS MENTAL HEALTH AWARENESS TRAINING EFFORTS WITH SCHOOL PERSONNEL, EMERGENCY SERVICES PERSONNEL, HEALTHCARE PERSONNEL, AND VETERANS AND THEIR FAMILIES LOCATED THROUGHOUT ARROWLEAF’S GEOGRAPHIC CATCHMENT AREA, WHICH IS THE SOUTHERNMOST AREA OF ILLINOIS THAT CONSISTS OF 7 RURAL COUNTIES - ALEXANDER, HARDIN, MASSAC, JOHNSON, POPE, PULASKI, AND UNION. OVER 3 YEARS, 1,000 INDIVIDUALS WILL RECEIVE MENTAL HEALTH AWARENESS TRAINING, INCLUDING RECOGNIZING THE SIGNS AND SYMPTOMS OF MENTAL ILLNESS, IDENTIFYING RESOURCES AVAILABLE IN THE COMMUNITY FOR INDIVIDUALS WITH A MENTAL ILLNESS AND OTHER RELEVANT RESOURCES, AND TRAINING ON HOW TO DE-ESCALATE A CRISIS SAFELY. ARROWLEAF HAS CHOSEN ADULT MENTAL HEALTH FIRST AID (AMHFA), YOUTH MENTAL HEALTH FIRST AID (YMHFA), AND QUESTION, PERSUADE, AND REFER (QPR) AS ITS EVIDENCED-BASED TRAINING. THE ARROWLEAF MHAT PROGRAM WILL PRIORITIZE IN-PERSON, ON-SITE WORKPLACE TRAINING FOR THE 4 POPULATIONS OF FOCUS; HOWEVER, ITS INSTRUCTORS WILL OFFER VIRTUAL AND HYBRID DELIVERY TO ACCOMMODATE PREFERENCES AND SPECIAL REQUESTS. WITH THE ASSISTANCE OF ARROWLEAF AND ITS MHAT PROGRAM, PROGRAM PARTICIPANTS WILL BE BETTER EQUIPPED TO HELP BUILD SECURE, SAFE, AND HEALTHY COMMUNITIES; REINFORCE PARTNERSHIPS BETWEEN LAW ENFORCEMENT AND COMMUNITIES; INCREASE PUBLIC TRUST AND ENHANCE PUBLIC SAFETY.

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM - ARROWLEAF PROPOSES THE SOUTHERN ILLINOIS RURAL HEALTHCARE SERVICES OUTREACH (SIRHSO) PROGRAM IN RESPONSE TO HRSA’S RURAL HEALTH CARE SERVICES OUTREACH PROGRAM (HRSA-25-038). TARGETING ALEXANDER, JOHNSON, MASSAC, AND PULASKI COUNTIES—ALL DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) AND MEDICALLY UNDERSERVED COMMUNITIES/POPULATIONS (MUC/MUPS)—THE SIRHSO PROGRAM ADDRESSES CRITICAL HEALTHCARE CHALLENGES, INCLUDING HIGH POVERTY RATES, ELEVATED CHRONIC DISEASE PREVALENCE, AND LIMITED ACCESS TO CARE. THE PROJECT QUALIFIES FOR ALL THREE HRSA FUNDING PREFERENCES: HPSA DESIGNATION, MEDICALLY UNDERSERVED COMMUNITIES/POPULATIONS (MUC/MUPS), AND A FOCUS ON PRIMARY CARE, WELLNESS, AND PREVENTION STRATEGIES. THE PROGRAM TARGETS UNDERSERVED POPULATIONS DISPROPORTIONATELY IMPACTED BY POOR HEALTH OUTCOMES, INCLUDING LOW-INCOME INDIVIDUALS WHO EXPERIENCE FINANCIAL STRAIN, FOOD INSECURITY, AND BARRIERS TO CARE; VETERANS FACING HIGHER RISKS OF CHRONIC DISEASE AND MENTAL HEALTH CHALLENGES; OLDER ADULTS, WHO COMPRISE OVER 20% OF THE REGION’S POPULATION AND ARE AT RISK FOR AGE-RELATED HEALTH ISSUES; AND INDIVIDUALS WITH DISABILITIES, WHO EXPERIENCE CO-OCCURRING CHRONIC CONDITIONS AND SIGNIFICANT ACCESS BARRIERS. THESE POPULATIONS ALSO STRUGGLE WITH LOW HEALTH LITERACY, CULTURAL SKEPTICISM TOWARD HEALTHCARE SYSTEMS, AND GEOGRAPHIC ISOLATION, CONTRIBUTING TO UNMANAGED CHRONIC CONDITIONS AND PREVENTABLE HEALTH CRISES. THE SIRHSO PROGRAM HAS THREE PRIMARY GOALS. FIRST, IT WILL ORGANIZE A COLLABORATIVE CONSORTIUM BY BUILDING A FRAMEWORK FOR EFFECTIVE PROJECT MANAGEMENT, STAFF TRAINING, AND QUALITY IMPROVEMENT, RESULTING IN A WELL-TRAINED NETWORK OF HEALTHCARE PROVIDERS AND COMMUNITY PARTNERS DELIVERING INTEGRATED CARE. SECOND, IT WILL EXPAND PREVENTATIVE HEALTHCARE SERVICES BY INCREASING SCREENINGS, EDUCATION, AND INTERVENTIONS ADDRESSING MAJOR HEALTH RISKS, IMPROVING HEALTH OUTCOMES THROUGH EARLY DETECTION AND REDUCING THE BURDEN OF PREVENTABLE DISEASES. THIRD, IT WILL ENHANCE COMMUNITY OUTREACH THROUGH THE DEVELOPMENT OF STRATEGIES TO INCREASE AWARENESS AND UTILIZATION OF HEALTHCARE SERVICES, LEADING TO GREATER HEALTH LITERACY AND ENGAGEMENT AMONG UNDERSERVED POPULATIONS. TO ACHIEVE THESE GOALS, THE PROGRAM EMPLOYS EVIDENCE-BASED MODELS THAT ADDRESS THE REGION’S LEADING CAUSES OF DEATH—HEART DISEASE, CANCER, CHRONIC LOWER RESPIRATORY DISEASE, AND UNINTENTIONAL INJURIES—WHILE PROMOTING WELLNESS AND PREVENTION. THESE INCLUDE THE FOOD IS MEDICINE MODEL, WHICH ADDRESSES FOOD INSECURITY AND NUTRITION-RELATED HEALTH RISKS; THE COLLABORATIVE CARE MODEL, WHICH INTEGRATES BEHAVIORAL AND PHYSICAL HEALTH SERVICES; AND THE INTEGRATED CARE MODEL, WHICH COORDINATES CARE ACROSS DISCIPLINES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. ADDITIONALLY, THE MUTUAL MAINTENANCE MODEL PROVIDES PEER SUPPORT FOR VETERANS AND INDIVIDUALS WITH CHRONIC CONDITIONS, WHILE MOTIVATIONAL INTERVIEWING AND COGNITIVE BEHAVIORAL THERAPY EMPOWER INDIVIDUALS TO ADOPT HEALTHIER BEHAVIORS AND MANAGE CHRONIC CONDITIONS. ARROWLEAF’S EXPERTISE IN RURAL SERVICE DELIVERY, COMBINED WITH ITS PARTNERSHIPS WITH MASSAC MEMORIAL HOSPITAL, SOUTHERN SEVEN HEALTH DEPARTMENT, AND RURAL HEALTH, INC., POSITIONS THE SIRHSO PROGRAM TO TRANSFORM HEALTHCARE IN SOUTHERN ILLINOIS. BY IMPROVING ACCESS TO CARE, ADDRESSING HEALTH DISPARITIES, AND BUILDING TRUST WITHIN UNDERSERVED COMMUNITIES, THE PROGRAM ALIGNS WITH HRSA’S VISION FOR SUSTAINABLE RURAL HEALTHCARE. THIS INITIATIVE WILL EMPOWER RESIDENTS, ENHANCE WELLNESS, AND CREATE A FOUNDATION FOR LONG-TERM SYSTEMIC CHANGE.

STRATEGIC PREVENTION FRAMEWORK – PARTNERSHIPS FOR SUCCESS (SPF-PFS) PROGRAM - ARROWLEAF, A NONPROFIT ORGANIZATION BASED IN ILLINOIS, WILL IMPLEMENT THE STRATEGIC PREVENTION FRAMEWORK – PARTNERSHIPS FOR SUCCESS (SPF-PFS) PROGRAM TO ADDRESS SUBSTANCE USE DISPARITIES AND STRENGTHEN PREVENTION EFFORTS IN ALEXANDER, HARDIN, JOHNSON, MASSAC, POPE, PULASKI, AND UNION COUNTIES—A RURAL REGION WITH SOME OF THE POOREST HEALTH OUTCOMES IN THE STATE. WITH PERSISTENT POVERTY, LIMITED HEALTHCARE ACCESS, AND HIGH RATES OF SUBSTANCE USE, THIS INITIATIVE WILL EXPAND EVIDENCE-BASED PREVENTION, EARLY SCREENING, AND REFERRAL PATHWAYS FOR TRANSITION-AGE YOUTH (18-25), PREGNANT WOMEN, AND FAMILIES INVOLVED IN CHILD WELFARE—POPULATIONS FACING HEIGHTENED RISK FACTORS AND BARRIERS TO CARE. PRELIMINARY DATA INDICATES THAT METHAMPHETAMINE AND FENTANYL USE ARE AMONG THE MOST PRESSING SUBSTANCE USE CONCERNS IN THE REGION—AS SUCH, THESE TWO SUBSTANCE PRIORITY AREAS HAVE BEEN IDENTIFIED AS THE FOCUS OF PREVENTION ACTIVITIES. USING SAMHSA’S STRATEGIC PREVENTION FRAMEWORK (SPF) AND THE INSTITUTE OF MEDICINE’S (IOM) UNIVERSAL, SELECTIVE, AND INDICATED PREVENTION STRATEGIES, ARROWLEAF WILL EXPAND EARLY SCREENING, ENHANCE REFERRAL PATHWAYS, AND INCREASE COMMUNITY-BASED PREVENTION INITIATIVES. THE PROGRAM WILL INTEGRATE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) AND OTHER VALIDATED ASSESSMENT TOOLS TO IMPROVE EARLY IDENTIFICATION OF SUBSTANCE USE RISK AND ENSURE ACCESS TO TIMELY INTERVENTIONS. THE SOUTHERN ILLINOIS COMMUNITIES FOR SUBSTANCE USE PREVENTION (SI-CSUP) ADVISORY COUNCIL WILL BE ESTABLISHED TO STRENGTHEN CROSS-SECTOR COLLABORATION BETWEEN CHILD WELFARE, HEALTHCARE, EDUCATION, AND COMMUNITY ORGANIZATIONS, ENSURING SUSTAINABILITY. THROUGH STIGMA-REDUCTION EFFORTS, HARM-REDUCTION EDUCATION, AND FAMILY-CENTERED INTERVENTIONS, ARROWLEAF WILL CREATE PATHWAYS FOR PREVENTION AND EARLY IDENTIFICATION. KEY ACTIVITIES WILL INCLUDE TRAINING BEHAVIORAL HEALTH PROVIDERS AND COMMUNITY PARTNERS IN SBIRT, INTEGRATING THE NURTURING PARENTING FOR SUBSTANCE USE DISORDERS CURRICULUM, AND HIRING A PEER LIAISON TO SUPPORT FAMILIES NAVIGATING SUBSTANCE USE CHALLENGES. HARM-REDUCTION EDUCATION AND OVERDOSE-PREVENTION STRATEGIES WILL ALSO BE INCORPORATED WITHIN THE PROJECT TO MITIGATE THE RISING RISKS ASSOCIATED WITH FENTANYL CONTAMINATION AND POLYSUBSTANCE USE. OVER FIVE YEARS, ARROWLEAF ANTICIPATES SERVING 1,125 INDIVIDUALS, INCLUDING 125 IN YEAR 1 (PRORATED FOR A HALF-YEAR) AND 250 ANNUALLY IN YEARS 2-5. MEASURABLE OBJECTIVES INCLUDE A 12% INCREASE IN TARGETED REFERRALS, INCREASED PROVIDER AND COMMUNITY ENGAGEMENT IN STIGMA- REDUCTION EFFORTS, AND EXPANDED HARM-REDUCTION SERVICES TO AT LEAST 50 INDIVIDUALS ANNUALLY. PROGRAM EVALUATION, SUPPORTED BY CONSULTANT REA ANALYTICS, WILL ENSURE DATA-DRIVEN IMPLEMENTATION AND CONTINUOUS QUALITY IMPROVEMENT. BY STRENGTHENING LOCAL PREVENTION CAPACITY, INCREASING COMMUNITY READINESS, AND REDUCING BARRIERS TO CARE, ARROWLEAF’S SPF-PFS INITIATIVE WILL IMPROVE SUBSTANCE USE PREVENTION OUTCOMES AND PROMOTE LONG-TERM BEHAVIORAL HEALTH RESILIENCE IN RURAL SOUTHERN ILLINOIS.

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)