Lutheran Family Service

LFS CCBHC - IMPROVEMENT AND ADVANCEMENT GRANTS (LINCOLN) - LUTHERAN FAMILY SERVICES OF NEBRASKA (LFS) PROPOSES TO IMPROVE AND ADVANCE ACCESS TO SERVICES AND SERVICE PROVISION AT THE CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) IN LINCOLN, NEBRASKA. THE CATCHMENT AREA INCLUDES A SIGNIFICANT PORTION OF NEBRASKA’S TWO LARGEST CITIES, LINCOLN AND OMAHA. SERVICES ARE TO BE DELIVERED AT HEALTH 360 (H360) CCBHC IN LINCOLN, THE STATE’S CAPITAL AND HOME TO THE NATION’S LARGEST YAZIDI POPULATION. H360 CCBHC HAS SUCCESSFULLY ADDRESSED DISPARITIES IN ACCESS TO SERVICES FOR NATIVE AMERICANS (5% OF CLIENTS), AFRICAN AMERICANS (12%), AND LGBTQ+ CLIENTS (15%), AND BRIDGED SERVICE GAPS FOR YOUTH, LGBTQ+ INDIVIDUALS, AND INDIVIDUALS WITH SUD. IT HAS ASSESSED THE EXTENT OF THE NEED, MOST RECENTLY AMONG VETERANS. IN SUPPORT OF THE FOLLOWING GOALS, LFS WILL OPERATE IN COMPLIANCE WITH THE CCBHC CERTIFICATION CRITERIA, IMPROVE THREE CORE SERVICES, CONDUCT ADDITIONAL NEEDS ASSESSMENTS, IMPROVE OR ADVANCE FOUR CCBHC AREAS FOR CERTIFICATION, AND SATISFY ALL REQUIRED ACTIVITIES. GOAL 1. LFS ADVANCES THE TRANSFORMATION OF THE COMMUNITY BEHAVIORAL HEALTH SYSTEM. GOAL 2. LFS BUILDS ON ITS RECENT ACHIEVEMENTS AMONG TRADITIONALLY UNDER-REPRESENTED MINORITY AND GENDER POPULATIONS AND SUCCESSFULLY TARGETS TWO HIGH-NEED, DIFFICULT-TO-REACH POPULATIONS (JUSTICE-INVOLVED INDIVIDUALS AND VETERANS) TO IMPROVE THEIR PHYSICAL AND BEHAVIORAL HEALTH OUTCOMES. GOAL 3. LFS INCREASES ACCESS TO HIGH-QUALITY MENTAL HEALTH AND SUD SERVICES, REGARDLESS OF AN INDIVIDUAL’S ABILITY TO PAY. HEALTH 360 (H360) IS AN INTEGRATED CARE CAMPUS IN LINCOLN, INTEGRATING BEHAVIORAL HEALTH (BH) SERVICES WITHIN A PRIMARY CARE FACILITY IN COLLABORATION WITH BLUESTEM HEALTH. IN APRIL 2021, SAMHSA ACKNOWLEDGED H360’S ATTESTATION OF MEETING CCBHC CERTIFICATION CRITERIA. THIS PROJECT WILL UTILIZE THE QUALIFIED SKILLS, KNOWLEDGE, AND ABILITIES OF KEY PERSONNEL WORKING WITH A TEAM OF LICENSED THERAPISTS, A PSYCHIATRIC PRESCRIBER, AND OTHER QUALIFIED PERSONNEL. IT WILL MAINTAIN CARE COORDINATION AGREEMENTS WITH OUTPATIENT PRIMARY CARE PROVIDER, LOCAL PHARMACY, CRISIS RESPONDERS, AND OTHER COMMUNITY PARTNERS. LFS PROVIDERS AND BEHAVIORAL HEALTH PARTNERS WILL COLLECT THE REQUIRED GPRA DATA FROM CLIENTS RECEIVING SERVICES AND ENTER DATA INTO THEIR EHR SOFTWARE AT BASELINE, SIX MONTH FOLLOW-UPS, AND DISCHARGE. LFS WILL ASSESS INFRASTRUCTURE BY MONITORING POLICY IMPLEMENTATION, PARTNERSHIPS, TRAINING, AND TECHNICAL ASSISTANCE PROVIDED. WE HAVE ESTABLISHED A WAY TO IDENTIFY CCBHC CLIENTS ALLOWING US TO RUN REPORTS SPECIFIC TO THOSE CLIENTS. THE PERFORMANCE QUALITY IMPROVEMENT (PQI) ANNUAL REPORT IS APPROVED BY THE LFS BOARD OF DIRECTORS AND IS USED AS PART OF THE BOARD’S PLANNING AND REVIEW PROCESSES AND TO ASSESS THE ORGANIZATIONS PERFORMANCE AND EFFECTIVENESS. FURTHER CONSULTATION WITH COMMUNITY STAKEHOLDERS AND THE GMO WILL HELP REFINE CLINIC-LEVEL PROGRAMMATIC MODIFICATIONS AND IMPROVEMENTS. LFS HAS A CONTINUOUS QUALITY IMPROVEMENT PLAN THAT MEETS CCBHC STANDARDS AND IS APPROVED BY THE LFS BOARD ON AN ANNUAL BASIS. THE CLINIC’S ANNUAL ASSESSMENT OF ITS CONTINUOUS QUALITY IMPROVEMENT (CQI) PROGRAM AND PERFORMANCE DATA TRENDS INCLUDES IMPROVED QUALITY OF CARE, CLIENT SAFETY, CLIENT SUICIDES AND DEATHS, PSYCHIATRIC/SUD INPATIENT READMISSION, OTHER SENTINEL EVENTS AND RESULTS OF PERFORMANCE IMPROVEMENT EFFORTS (AS EVIDENCED IN THE ANNUAL QUALITY IMPROVEMENT PLAN AND QUALITY MANAGEMENT YEAR-END SUMMARY). NUMBERS TO BE SERVED: LFS EXPECTS RAPID INCREASES AFTER YEAR 1 AS IT INTEGRATES INNOVATIVE METHODS TO COLLECT ACCURATE NOMS FROM A GREATER PERCENTAGE OF PARTICIPANTS. YEAR 1, 300 INDIVIDUALS YEAR 2, 500 INDIVIDUALS YEAR 3, 800 INDIVIDUALS YEAR 4, 1,000 INDIVIDUALS TOTAL, 2,600 INDIVIDUALS

LFS CCBHC - PLANNING, DEVELOPMENT, AND IMPLEMENTATION (FREMONT) - LUTHERAN FAMILY SERVICES OF NEBRASKA (LFS) PROPOSES TO ESTABLISH A NEW CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER (CCBHC) IN FREMONT, NEBRASKA, TO PROVIDE PERSON- AND FAMILY-CENTERED INTEGRATED SERVICES TO RESIDENTS OF DODGE COUNTY. ACCORDING TO THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONDUCTED BY THE THREE RIVERS PUBLIC HEALTH DEPT, 78% OF DODGE COUNTY’S RACIAL/ETHNIC MINORITY POPULATION IS HISPANIC OR LATINO. COUNTY-WIDE, 33% OF ALL CHILDREN UNDER 18 YEARS WERE LIVING IN SINGLE PARENT HOMES, 51% WERE ELIGIBLE FOR FREE/REDUCED MEALS, AND 38% WERE ENROLLED IN MEDICAID OR CHIP. THE COUNTY IS HOME TO 2,349 VETERANS OF WHOM 9% LIVE IN POVERTY AND 33% ARE DISABLED. LFS WILL AUGMENT CURRENT SERVICES AT THE FREMONT CLINIC WITH CCBHC-ALIGNED SERVICES TO IMPLEMENT OR IMPROVE, INCLUDING A COMMUNITY NEEDS ASSESSMENT WITHIN THE FIRST SIX MONTHS, TO ACHIEVE THE FOLLOWING GOALS: GOAL 1. LFS SUCCESSFULLY IMPLEMENTS CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) SERVICES TO ADDRESS CONSUMERS’ UNMET NEEDS IN DODGE COUNTY, INCLUDING POPULATIONS OF FOCUS. GOAL 2. LFS PROVIDES A COMPREHENSIVE RANGE OF SERVICES AND SUPPORTS TO IMPROVE CONSUMERS’ PHYSICAL AND BEHAVIORAL HEALTH OUTCOMES, INCLUDING POPULATIONS OF FOCUS. GOAL 3. LFS INCREASES ACCESS TO HIGH-QUALITY MENTAL HEALTH AND SUD SERVICES, REGARDLESS OF AN INDIVIDUAL’S ABILITY TO PAY. LFS IS AN EXPERIENCED AND CREDENTIALED BEHAVIORAL HEALTH SERVICE PROVIDER TO CHILDREN, YOUTH AND ADULTS AT THE FREMONT CLINIC, INCLUDING VETERANS, LEP CHILDREN AND FAMILIES, LGBTQ+ YOUTH, AND THE JUSTICE-INVOLVED. IT ALSO HAS EXPERIENCE IMPLEMENTING AND MANAGING COMPREHENSIVE, COORDINATED BEHAVIORAL HEALTH SERVICES AT A CCBHC IN LANCASTER COUNTY. THIS PROJECT WILL UTILIZE THE QUALIFIED SKILLS, KNOWLEDGE, AND ABILITIES OF KEY PERSONNEL WORKING WITH A TEAM OF LICENSED THERAPISTS, A PSYCHIATRIC PRESCRIBER, AND OTHER QUALIFIED PERSONNEL TO IMPLEMENT A CARE COORDINATION MODEL OF INTEGRATED SERVICES. THE DESIGNATED COORDINATING ORGANIZATIONS FOR THIS PROJECT WILL PROVIDE OUTPATIENT CLINIC PRIMARY CARE SCREENING AND MONITORING AND PROVIDE PRESCRIPTION SERVICES. ESTIMATED NUMBER TO BE SERVED YEAR 1, 200 INDIVIDUALS YEAR 2, 300 INDIVIDUALS YEAR 3, 500 INDIVIDUALS YEAR 4, 700 INDIVIDUALS TOTAL, 1,700 INDIVIDUALS

CCBHC EXPANSION PROJECT TO INCREASE ACCESS TO AND IMPROVE QUALITY OF SERVICES IN LINCOLN

LFS SERVICES TO AFGHAN SURVIVORS IMPACTED BY COMBAT (SASIC) PROJECT

LUTHERAN FAMILY SERVICES MAT-PDOA PROJECT IN EASTERN NEBRASKA - LUTHERAN FAMILY SERVICES OF NEBRASKA (LFS) PROPOSES TO EXPAND MEDICATION FOR OPIOID USE DISORDER (MOUD) SERVICE PROVISION AT TWO OF ITS EASTERN NEBRASKA CLINICS. ITS TARGET POPULATION IS NEBRASKA ADULTS SUFFERING FROM OPIOID USE DISORDERS (OUD) INCLUDING THOSE ALREADY RECEIVING SUBSTANCE USE EVALUATIONS OR TREATMENT FROM LFS. LFS WILL PLACE EMPHASES ON REACHING AND SERVING JUSTICE-INVOLVED ADULTS SUFFERING FROM OUD, RYAN WHITE HIV/AIDS PROGRAM (RWHAP) FUNDED CLIENTS, AND CLIENTS REFERRED BY LFS PRIMARY CARE PARTNER, BLUESTEM HEALTH, AN EXPERIENCED PROVIDER AND A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). NEBRASKA OVERDOSE DEATHS JUMPED NEARLY 43% IN 2020 (CDC, 2020). NEBRASKA IS RANKED THE #9 STATE WHERE OVERDOSE DEATHS INCREASED THE MOST DURING COVID-19. DRUG OVERDOSE DEATHS (MARCH 2020–MARCH 2021): 214 (+44.6% CHANGE FROM MARCH 2019–2020) LUTHERAN FAMILY SERVICES DEVELOPED 7 MEASURABLE OBJECTIVES ALIGNED WITH THE REQUIRED ACTIVITIES AND FORMULATED A COMPREHENSIVE AND COHESIVE FIVE-YEAR ACTION PLAN TO ACHIEVE THE PROGRAM'S GOALS: GOAL 1: PROGRAM IMPLEMENTATION FIDELITY. PROVIDE MEDICATIONS FOR OPIOID USE DISORDER (MOUD) SERVICES USING ONE OF THE FDA-APPROVED MEDICATIONS (BUPRENORPHINE PRODUCTS AND/OR LONG-ACTING INJECTABLE NALTREXONE) TO TREAT OUD COMBINED WITH COMPREHENSIVE OUD PSYCHOSOCIAL SERVICES AND A TEAM-BASED CARE APPROACH. GOAL 2. CLIENT OUTCOMES. REDUCE ILLICIT USE OF OPIOID DRUGS AND IMPROVE OUTCOMES FOR INDIVIDUALS RECEIVING MOUD SERVICES AT SIX-MONTH FOLLOW-UP. GOAL 3. OUTREACH AND ENGAGEMENT. DEVELOP AND IMPLEMENT OUTREACH AND ENGAGEMENT STRATEGIES TO INCREASE ACCESS TO MOUD AND RELATED SERVICES FOR DIVERSE POPULATIONS WITH OUD. USING WELL-KNOWN EBPS SHOWN TO BE EFFECTIVE FOR OPIOID USE DISORDER (OUD), LUTHERAN FAMILY SERVICES WILL SERVE 1,775 UNDUPLICATED INDIVIDUALS THROUGH SCREENING AS WELL AS 550 ENGAGED IN MOUD TREATMENT AND CARE AND 2,000 SERVED THROUGH OUTREACH EVENTS OVER THE FIVE-YEAR PROJECT PERIOD. THE EBPS ARE MOTIVATIONAL INTERVIEWING (MI), BRIEF MOTIVATIONAL INTERVENTIONS (BI), SOLUTION-FOCUSED THERAPY (SFT), COGNITIVE BEHAVIORAL THERAPY (CBT), EYE MOVEMENT DESENSITIZATION AND REPROCESSING (EMDR), INTERPERSONAL THERAPY (IPT), AND MEDICATION ASSISTED TREATMENT (MAT).

BEHAVIORAL HEALTH SERVICE EXPANSION TO PROBLEM SOLVING COURTS - LUTHERAN FAMILY SERVICES PROPOSES TO EXPAND SUBSTANCE USE DISORDER (SUD) TREATMENT AND RECOVERY SUPPORT SERVICES TO ADULTS IN EXISTING DRUG COURTS IN NEBRASKA’S DOUGLAS AND SARPY COUNTIES, INCLUDING DOUGLAS COUNTY VETERANS TREATMENT COURT, SARPY COUNTY DRUG COURT, AND SARPY COUNTY WELLNESS COURT. EACH COURT SERVES INDIVIDUALS ASSESSED AS HIGH RISK FOR RECIDIVISM AND REQUIRE A HIGH LEVEL OF NEED TO STABILIZE AND AVOID REOFFENDING. ACCESS TO HEALTHCARE SERVICES IS A MAJOR ISSUE IN BOTH COUNTIES. GAPS IN MENTAL HEALTH SERVICES, PARTICULARLY IN RELATION TO DEPRESSION/CHRONIC DEPRESSION, SUICIDE PREVENTION, SOCIAL SUPPORT, OBTAINING MENTAL HEALTH SERVICES, HOUSING INSECURITY, LOSS OF UTILITIES, UNHEALTHY/UNSAFE HOUSING, AND SUBSTANCE ABUSE. NEITHER THE DOUGLAS COUNTY NOR SARPY COUNTY COURT SYSTEM EMPLOYEES MENTAL HEALTH SERVICE PROVIDERS BUT DEPEND ON COMMUNITY-BASED PROVIDERS FOR THE COURT-INVOLVED. COURT TEAMS WILL BE COMPRISED OF A JUDGE, DEFENSE ATTORNEY, PROBATION STAFF, AND LFS PROJECT PERSONNEL INCLUDING A PEER RECOVERY SUPPORT SPECIALIST (WITH LIVED EXPERIENCE), CARE AND SERVICE COORDINATOR, LICENSED PRACTICAL NURSE, THERAPIST, AND PSYCHIATRIC PRESCRIBER. WHEN POSSIBLE, THE COURT TEAM WILL ALSO INCLUDE A MEMBER OF LAW ENFORCEMENT. THE PROJECT WILL PROVIDE TIMELY ACCESS AND RECOMMENDATIONS TO CO-OCCURRING ASSESSMENT. LFS WILL PROVIDE BEHAVIORAL HEALTH SERVICES TO COURT PARTICIPANTS INCLUDING OUTPATIENT AND INTENSIVE OUTPATIENT SUBSTANCE USE TREATMENT, MENTAL HEALTH COUNSELING, MEDICATION MANAGEMENT, AND MEDICATION ASSISTED TREATMENT (MAT) FOR OPIOID USE DISORDER. FOLLOWING A PRESCREENING PROCESS, ELIGIBLE PARTICIPANTS WILL BE IDENTIFIED EARLY AND PROMPTLY PLACED IN THE TREATMENT COURT PROGRAM. ABSTINENCE WILL BE MONITORED BY FREQUENT ALCOHOL AND OTHER DRUG TESTING. THE COURT TEAM WILL REVIEW PARTICIPANT PROGRESS ON A WEEKLY BASIS DURING TEAM MEETINGS AND USE EMAIL TO COMMUNICATE IMPORTANT CHANGES BETWEEN TEAM MEETINGS. THE VETERANS TREATMENT COURT WILL RECOGNIZE COMPLIANCE AND PROGRESS USING CHALLENGE COINS TO SHOW TRANSITION FROM ONE PROGRAM PHASE TO ANOTHER, AND THE DRUG COURT WILL RECOGNIZE COMPLIANCE AND PROGRESS USING A PHASE SYSTEM WHICH REQUIRES COMPLETION OF SPECIFIC PROGRAM TASKS AND A CONTINGENCY MANAGEMENT SYSTEM TO RECOGNIZE GROWTH FROM WEEK TO WEEK. MONITORING AND EVALUATION WILL MEASURE THE ACHIEVEMENT OF PROGRAM GOALS AND GAUGE EFFECTIVENESS AND WHETHER THE COURT PROGRAM WAS DESIGNED IN LINE WITH BEST PRACTICE STANDARDS. FORGING PARTNERSHIPS AMONG DRUG COURTS, PUBLIC AGENCIES, AND COMMUNITY-BASED ORGANIZATIONS WILL GENERATE LOCAL SUPPORT AND ENHANCE DRUG COURT PROGRAM EFFECTIVENESS. THIS WILL RESULT IN A REDUCTION IN SUBSTANCE USE BEHAVIORS AND PARTICIPANTS’ INCREASED ABILITY TO LIVE A BALANCED AND PRODUCTIVE LIFE.

VA IS PROVIDING PER DIEM FUNDING TO ASSIST WITH THE OPERATIONAL COSTS ASSOCIATED WITH TRANSITIONAL HOUSING BEDS FOR HOMELESS VETERANS.

EMPLOYER ENGAGEMENT PROGRAM, ASHEVILLE, NC - LUTHERAN SERVICES CAROLINAS

LFS REFUGEE INDIVIDUAL DEVELOPMENT ACCOUNTS PROGRAM

LFS' MENTAL HEALTH AWARENESS TRAINING (LFS MHAT) WILL OFFER MENTAL HEALTH FIRST AID TRAINING TO THE ORGANIZATION'S STAFF AND THEN PROVIDE ITS AS A SUPPLEMENTAL SERVICE TO CLIENTS. - THE LUTHERAN FAMILY SERVICES MENTAL HEALTH AWARENESS TRAINING (LFS MHAT) PROJECT WILL INITIALLY OFFER THE EVIDENCE-BASED MENTAL HEALTH FIRST AID (MHFA) PROGRAM TRAINING TO THE ORGANIZATION’S 300+ STAFF AT 18 LOCATIONS ACROSS NEBRASKA. TRAINED STAFF WILL THEN BE EQUIPPED TO OFFER THE PROGRAM AS A SUPPLEMENT TO CHILDREN AND FAMILIES SERVED THROUGH LFS’ MULTIPLE HEALTH & WELLNESS AND COMMUNITY-BASED SERVICES, WHICH CONNECT WITH APPROXIMATELY 12,000 PEOPLE ANNUALLY. ADDITIONALLY, LFS WILL PROVIDE MHFA IN FAITH-BASED SETTINGS USING A TEAM MINISTRY APPROACH THAT CONSISTS OF TRAINED LAY PEOPLE WORKING TOGETHER TO PROVIDE MENTAL HEALTH AND SUBSTANCE MISUSE AWARENESS, EDUCATION, AND RECOVERY SUPPORT FOR YOUTH AND ADULTS SERVED BY CONGREGATIONS. LFS WILL SERVE ADULTS AND FAMILIES FROM ACROSS THE STATE, WITH A PARTICULAR FOCUS ON VETERANS, IMMIGRANTS, AND SENIORS WITHIN THE COMMUNITIES. THE PROJECT AIMS TO SERVE 250 OVER THE FIVE YEARS OF THE PROJECT, WITH THE GOALS OF (1) INCREASING CONGREGATIONAL AND/OR COMMUNITY SUPPORT AND CAPACITY FOR MENTAL HEALTH SERVICES, (2) INCREASING MENTAL HEALTH AWARENESS TRAININGS FOR FAMILIES, COMMUNITIES AND CONGREGATIONS, AND (3) INCREASING ACCESS TO LUTHERAN FAMILY SERVICES’ BEHAVIORAL HEALTH SERVICES. AN ADDITIONAL 250 PEOPLE ACROSS NEBRASKA WHO COULD TEACH MHFA, AND THE NUMBER OF PEOPLE THOSE TRAINERS CAN REACH, AND HELP WILL BE CREATE SIGNIFICANT OUTCOMES.

RSAFE 10-14 PROJECT

DISTANCE LEARNING GRANT

VA IS PROVIDING PER DIEM FUNDING TO ASSIST WITH THE OPERATIONAL COSTS ASSOCIATED WITH TRANSITIONAL HOUSING BEDS FOR HOMELESS VETERANS.

VA IS PROVIDING PER DIEM FUNDING TO ASSIST WITH THE OPERATIONAL COSTS ASSOCIATED WITH TRANSITIONAL HOUSING BEDS FOR HOMELESS VETERANS.

LUTHERAN FAMILY SERVICES NEBRASKA (LFS) REFUGEE AGRICULTURAL PARTNERSHIP PROGRAM (RAPP)

LUTHERAN FAMILY SERVICES OF NEBRASKA (LFS) IDA PROGRAM SERVING NEBRASKA'S REFUGEES IN THE OMAHA METRO

LUTHERAN FAMILY SERVICES OF NEBRASKA REFUGEE AGRICULTURAL PARTNERSHIP PROGRAM (LFS-RAPP)

LUTHERAN FAMILY SERVICES OF NEBRASKA'S MISSION IS "TO EXPRESS GOD'S LOVE FOR ALL PEOPLE BY PROVIDING QUALITY HUMAN CARE SERVICES THAT BUILD AND STRENGTHEN INDIVIDUAL, FAMILY AND COMMUNITY LIFE." THE PROPOSED LUTHERAN FAMILY SERVICES (LFS) VISTA PROJECT ALIGNS WITH THE STATED VISTA ECONOMIC OPPORTUNITY FOCUS AREA. THE THREE-YEAR LFS VISTA PROGRAM WILL HELP TO ALLEVIATE POVERTY AMONG NEW AMERICAN COMMUNITIES IN NEBRASKA, AND WILL ANNUALLY BENEFIT 3,000 NEW AMERICANS IN OMAHA AND LINCOLN. OVER THE NEXT TWO YEARS OF THE PROJECT, FIVE VISTA MEMBERS WILL CONTRIBUTE TO THE GOALS OF THE PROJECT BY PERFORMING ACTIVITIES SUCH AS PROMOTING THE NEEDS OF NEW AMERICAN COMMUNITIES, LEVERAGING AND TRAINING VOLUNTEERS, ANALYZING THE EFFICIENCY AND IMPACT OF LFS PROGRAMS, WRITING CLIENT SUCCESS STORIES AND CAPACITY-BUILDING FOR LFS PROGRAMS.

UNANTICIPATED ARRIVALS