The Well Ne

NORTHEAST NEBRASKA RURAL ASSERTIVE COMMUNITY TREATMENT EXPANSION - THE WELL NE WILL EXPAND ITS EARLY-STAGE ASSERTIVE COMMUNITY TREATMENT (ACT) PROGRAM INTO A COMPLETE, HIGH-FIDELITY RURAL ACT SERVICE FOR ADULTS AGES 18 AND OLDER WITH SERIOUS MENTAL ILLNESS IN MADISON AND PLATTE COUNTIES, NEBRASKA. OVER FIVE YEARS, THE PROJECT WILL SERVE 200 UNDUPLICATED PARTICIPANTS: 20 IN YEAR 1, 30 IN YEAR 2, 40 IN YEAR 3, 50 IN YEAR 4, AND 60 IN YEAR 5. WITHIN FOUR MONTHS OF AWARD, THE MULTIDISCIPLINARY TEAM WILL PROVIDE SHARED-CASELOAD, PREDOMINANTLY COMMUNITY-BASED SERVICES INCLUDING PSYCHIATRIC CARE, NURSING, 24/7 CRISIS RESPONSE, INTEGRATED TREATMENT FOR CO-OCCURRING SUBSTANCE USE DISORDERS, PEER SUPPORT, IPS SUPPORTED EMPLOYMENT AND EDUCATION, ILLNESS MANAGEMENT AND RECOVERY, HOUSING AND BENEFITS ASSISTANCE, CARE COORDINATION, AND PRACTICAL SUPPORTS. BY THE END OF YEAR 3, ACT CAPACITY WILL BE ESTABLISHED THROUGH THE WELL'S COLUMBUS CCBHC, AND BY THE END OF YEAR 5 AT LEAST 15 PARTICIPANTS SERVED ANNUALLY WILL RESIDE IN PLATTE COUNTY. THE WELL WILL ACHIEVE A MEAN TMACT SCORE OF AT LEAST 4.0 BY THE END OF YEAR 3 AND MAINTAIN IT IN YEARS 4 AND 5. BEGINNING IN YEAR 2, THE PROJECT WILL SEEK A 20% REDUCTION IN PSYCHIATRIC INPATIENT DAYS AND EMERGENCY PROTECTIVE CUSTODY EPISODES, STABLE HOUSING FOR AT LEAST 85% OF PARTICIPANTS ASSESSED AT SIX MONTHS, SIX-MONTH ACT ENGAGEMENT OR PLANNED TRANSITION FOR AT LEAST 80%, AND FUNCTIONAL IMPROVEMENT FOR AT LEAST 70% OF PARTICIPANTS WITH FOLLOW-UP DLA-20 ASSESSMENTS.

CONNECTWELL: BEHAVIORAL HEALTH AND COMMUNITY PARTNERSHIP NETWORK - THE WELL NE WILL IMPLEMENT CONNECTWELL: BEHAVIORAL HEALTH AND COMMUNITY PARTNERSHIP NETWORK, A FIVE-YEAR COMMUNITY CAPACITY-BUILDING INITIATIVE IN MADISON AND PLATTE COUNTIES, NEBRASKA. IN THESE RURAL MENTAL HEALTH PROFESSIONAL SHORTAGE AREAS, CONNECTWELL WILL STRENGTHEN BEHAVIORAL HEALTH AND COMMUNITY SAFETY BY IMPROVING PREVENTION, EARLY IDENTIFICATION, COORDINATED RESPONSE, AND RECOVERY FOR YOUTH, ADULTS, AND FAMILIES AFFECTED BY CRIME, VIOLENCE, TRAUMA, BEHAVIORAL HEALTH CONDITIONS, OR SUBSTANCE USE DISORDERS. RATHER THAN CREATE NEW DIRECT SERVICE PROGRAMS, THE PROJECT WILL ESTABLISH A COMMUNITY PARTNERSHIP NETWORK, COMPLETE A COMMUNITY NEEDS AND RESOURCE ASSESSMENT AND STRATEGIC PLAN, DELIVER EVIDENCE-BASED TRAINING AND TECHNICAL ASSISTANCE THROUGH A LEARNING COLLABORATIVE, AND DEVELOP STANDARDIZED REFERRAL PATHWAYS, A SHARED MICROSOFT-BASED RESOURCE PLATFORM, AND A CONNECTION PRESCRIPTION NETWORK. INDIVIDUALS RECEIVING CONNECTION PRESCRIPTIONS MAY RECEIVE BARRIER-REDUCTION ASSISTANCE TO SUPPORT ENGAGEMENT WITH BEHAVIORAL HEALTH, RECOVERY, AND COMMUNITY RESOURCES. THE PARTNERSHIP NETWORK WILL BE ESTABLISHED WITHIN 3 MONTHS; THE ASSESSMENT AND STRATEGIC PLAN WILL BE COMPLETED IN YEAR 1; AND THE CONNECTION PRESCRIPTION NETWORK, RESOURCE PLATFORM, AND STANDARDIZED PATHWAYS WILL LAUNCH BY THE END OF YEAR 1. CONTINUOUS QUALITY IMPROVEMENT WILL STRENGTHEN CROSS-SECTOR COLLABORATION, ACCESS TO COORDINATED SUPPORTS, AND SUSTAINABLE COMMUNITY INFRASTRUCTURE.

RURAL RESILIENCE: NORTHEAST NEBRASKA CHILD TRAUMA TREATMENT AND SERVICE CENTER - RURAL RESILIENCE: NORTHEAST NEBRASKA CHILD TRAUMA TREATMENT AND SERVICE CENTER WILL EXPAND TRAUMA TREATMENT, FAMILY SUPPORT, CARE COORDINATION, AND MOBILE AND COMMUNITY OUTREACH THROUGH THE WELL NE’S COLUMBUS AND NORFOLK CCBHC HUBS IN PLATTE AND MADISON COUNTIES, NEBRASKA. THE PROJECT WILL SERVE 1,250 TRAUMA-IMPACTED CHILDREN AND YOUTH AGES 0–18 OVER FIVE YEARS. SERVICES WILL INCLUDE TRAUMATIC-STRESS SCREENING, ASSESSMENT, CAREGIVER ENGAGEMENT, CARE COORDINATION, FAMILY PEER SUPPORT, AND EVIDENCE-BASED AND EVIDENCE-INFORMED INTERVENTIONS. PLANNED MODELS INCLUDE TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY, CHILD-PARENT PSYCHOTHERAPY, AND CHILD AND FAMILY TRAUMATIC STRESS INTERVENTION AS CLINICIANS COMPLETE MODEL-SPECIFIC TRAINING. DIRECT SERVICES WILL BEGIN AT BOTH HUBS BY DECEMBER 31, 2026, AND NO LATER THAN FOUR MONTHS AFTER AWARD. ANNUAL UNDUPLICATED SERVICE TARGETS ARE 175, 210, 250, 290, AND 325 IN YEARS 1–5, RESPECTIVELY. SCREENING OF ELIGIBLE CHILDREN WILL INCREASE FROM AT LEAST 80% IN YEAR 1 TO 90% ANNUALLY IN YEARS 3–5. BY YEAR 5, SIX CLINICIANS WILL BE TRAINED, INCLUDING AT LEAST FOUR DEMONSTRATING COMPETENCY; REFERRAL, AFTER-HOURS RESPONSE, AND CARE-COORDINATION PROTOCOLS WILL BE ESTABLISHED WITH 10 SYSTEMS; AND MOBILE OR COMMUNITY-BASED SERVICES WILL EXTEND TO SIX RURAL COMMUNITIES. YEAR 5 TARGETS INCLUDE CLINICALLY MEANINGFUL SYMPTOM IMPROVEMENT FOR AT LEAST 70% OF CHILDREN WITH MATCHED ASSESSMENTS AND IMPROVED DAILY FUNCTIONING FOR AT LEAST 65%.