Chris 180 Inc

CHRIS 180'S CCBHC PROJECT - THE CHRIS 180 CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) WILL PROVIDE COMPREHENSIVE, COORDINATED, PERSON- AND FAMILY-CENTERED BEHAVIORAL HEALTH CARE TO CHILDREN, YOUTH, ADULTS, AND FAMILIES IN NEED OF SUPPORT RECOVERY FOR SERIOUS MENTAL ILLNESS (SMI); SUBSTANCE USE DISORDER (SUD) INCLUDING OPIOID USE; SERIOUS EMOTIONAL DISTURBANCE (SED); COOCCURRING MENTAL AND SUBSTANCE DISORDERS (COD); AND TO INDIVIDUALS EXPERIENCING A MENTAL HEALTH OR SUBSTANCE USE-RELATED CRISIS REGARDLESS OF AN INDIVIDUAL’S ABILITY TO PAY. THE CCBHC WILL ADDRESS THE BEHAVIORAL HEALTH DISPARITIES OF SPECIFIC POPULATIONS INCLUDING ADULTS; CHILDREN AND FAMILIES INVOLVED IN THE FOSTER CARE SYSTEM; COURT-INVOLVED YOUTH; YOUTH AND YOUNG ADULTS PREPARING FOR COMMUNITY REENTRY; LGBTQ+ YOUTH; INDIVIDUALS EXPERIENCING HOMELESSNESS; INDIVIDUALS SUFFERING FROM TRAUMA; AND STUDENTS IN A SCHOOL-BASED SETTING. THE CCBHC WILL SERVE THE METRO ATLANTA, GEORGIA COUNTIES OF CLAYTON, DEKALB, FULTON, AND GWINNETT. CHRIS 180 WILL ENHANCE AND EXPAND OUTREACH, SCREENING, ASSESSMENT, EARLY INTERVENTION, COMPREHENSIVE TREATMENT, CARE COORDINATION, AND RECOVERY SUPPORT SERVICES FOR ADULTS, CHILDREN, YOUTH, AND FAMILIES. THE CHRIS 180 CCBHC PROPOSES TO SERVE 125 UNDUPLICATED INDIVIDUALS IN YEAR 1; 200 IN YEAR 2; 350 IN YEAR 3; AND 500 IN YEAR 4; FOR A TOTAL OF 1,175 OVER THE FOUR-YEAR FUNDING PERIOD. GOAL AND MEASURABLE OBJECTIVES INCLUDE: GOAL 1: INCREASE ACCESS TO AND AVAILABILITY OF BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES FOR THE POPULATION OF FOCUS. - OBJECTIVE 1.1: BY MONTH 2, HIRE PROJECT STAFF TO PROVIDE BEHAVIORAL HEALTH AND SUBSTANCE USE CRISIS SERVICES; SCREENING & ASSESSMENT; TREATMENT; OUTPATIENT PRIMARY CARE SCREENING; OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE SERVICES; CASE MANAGEMENT; REHABILITATION & RECOVERY SUPPORTS; AND PEER SUPPORT. - OBJECTIVE 1.2: BY MONTH 3, BEGIN TRAINING STAFF ON USING EBPS TO PROVIDE SERVICES TO INDIVIDUALS EXPERIENCING A MENTAL HEALTH OR SUD RELATED CRISIS; WITH A MENTAL OR SUBSTANCE USE DISORDER INCLUDING SMI, SUD, SED, AND/OR COD; TRAININGS WILL BE OFFERED QUARTERLY. GOAL 2: IMPLEMENT A COORDINATED AND COMPREHENSIVE INTEGRATIVE SERVICE CONTINUUM USING BEST PRACTICES TO ADDRESS THE NEEDS OF THE MOST VULNERABLE MEMBERS OF THE METRO ATLANTA COMMUNITY. - OBJECTIVE 2.1: PROVIDE EVIDENCE-BASED TREATMENT FOR 25% OF CCBHC ENROLLED INDIVIDUALS IN YEAR 1; 40% IN YEAR 2; 75% IN YEAR 3; AND 90% IN YEAR 4. - OBJECTIVE 2.2: PROVIDE CARE COORDINATION FOR 50% IN YEAR 1; 70% IN YEAR 2; 80% IN YEAR 3; AND 95% IN YEAR 4 FOR ENROLLED INDIVIDUALS. - OBJECTIVE 2.3: INCREASE NUMBER OF INDIVIDUALS RECEIVING SUD SERVICES FROM IMPLEMENTATION BASELINE BY 100% BY END OF YEAR 2. GOAL 3: FULLY TRANSITION PHYSICAL HEALTH SCREENING, ASSESSMENT, AND TREATMENT INTO CHRIS 180’S BEHAVIORAL HEALTH CONTINUUM ENSURING AN INTEGRATED MODEL OF CARE FOR CONSUMERS. - OBJECTIVE 3.1: ALL CCBHC ENROLLED INDIVIDUALS WILL RECEIVE PRIMARY CARE SCREENING AND MONITORING OF HEALTH INDICATORS AND RISKS IDENTIFIED IN CCBHC QUALITY MEASURES BEGINNING IN YEAR 1 MONTH 4. - OBJECTIVE 3.2: BEGINNING YEAR 1 MONTH 4, INDIVIDUALS IDENTIFIED WITH HIGH BEHAVIORAL AND PHYSICAL HEALTH RISKS WILL BE ASSIGNED TO A SPECIALIZED TEAM WHICH WILL INCLUDE A MEDICAL PRACTITIONER TO ASSIST WITH PHYSICAL NEEDS AND RISKS 100% OF THE TIME AT THE TIME THEIR ACUITY IS ASSESSED AND IDENTIFIED.

CHRIS 180 PROJECT R&R - CHRIS 180’S PROJECT REJUVENATION AND RENEW (R&R) WILL USE FY2021 COMMUNITY MENTAL HEALTH CENTERS GRANT FUNDS TO ADDRESS THE NEEDS OF 1,000 UN- AND UNDER-INSURED INDIVIDUALS WITH SERIOUS EMOTIONAL DISTURBANCE (SED), SERIOUS MENTAL ILLNESS (SMI), AND CO-OCCURRING DISORDERS (COD) IN SEVEN METRO ATLANTA COUNTIES. TO OFFSET THE EFFECTS OF THE COVID-19 PANDEMIC, CHRIS 180 WILL ENHANCE AND EXPAND ACCESS TO IN-PERSON AND TELEHEALTH TREATMENT AND SERVICES USING EVIDENCE-BASED PRACTICES (EBPS) AND PROVIDE SUPPORT AND TRAINING TO IMPROVE STAFF RETENTION AND WELL-BEING. POPULATION TO BE SERVED: CHRIS 180’S GEOGRAPHIC SERVICE AREA WILL ENCOMPASS SEVEN METRO ATLANTA, GEORGIA COUNTIES: CLAYTON, DEKALB, FULTON, GWINNETT, HENRY, NEWTON, AND ROCKDALE. IT WILL DELIVER IN-PERSON AND TELEHEALTH SERVICES FROM CHRIS 180’S CLINICAL AND COMMUNITY-BASED TREATMENT SITES IN DEKALB, FULTON, AND GWINNETT COUNTIES AND AT SCHOOLS AND CLIENTS’ HOMES. CHRIS 180 IS A LICENSED, EXPERIENCED BEHAVIORAL HEALTH PROVIDER THAT WILL SERVE PEOPLE OF ALL AGES. MOST CLIENTS SERVED WILL BE BLACK/AFRICAN-AMERICAN, LATINX, AND MULTIRACIAL, WITH SOME WHITE NON-LATINX, ASIAN/PACIFIC ISLANDER, AND NATIVE CLIENTS. MOST WILL BE ENGLISH SPEAKERS AND SPEAKERS OF OTHER LANGUAGES WILL BE PROVIDED WITH NO-COST TRANSLATION SERVICES. ALL WILL BE LOW-INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL AND OTHERWISE LACK ABILITY TO PAY FOR CARE. STRATEGIES/INTERVENTIONS: CHRIS 180 WILL PURCHASE TECHNOLOGY TO STRENGTHEN THE INFRASTRUCTURE NECESSARY TO PROVIDE AUDIO AND AUDIO-VISUAL HIPAA COMPLIANT TELEHEALTH CAPABILITIES. IT WILL HIRE 22.2 FTE NEW STAFF AND A CONTRACT PSYCHIATRIST AND 3 FTE CURRENTLY ON STAFF WILL DIRECT THE PROJECT, MANAGE STAFF, AND PROVIDE THERAPY. CHRIS 180 WILL EXPAND ITS TRAINING AND SUPPORT FOR STAFF TO ADDRESS MENTAL HEALTH NEEDS THAT MAY HAVE ARISEN AS A RESULT OF THE PANDEMIC, INCLUDING BUT NOT LIMITED TO TRAUMA, GRIEF, LONELINESS, AND ISOLATION. IT WILL OFFER INITIAL TRAINING AND CONTINUING EDUCATION ON A SUITE OF EBPS INCLUDING ALTERNATIVES FOR FAMILIES COGNITIVE BEHAVIORAL THERAPY (CBT), MINDFULNESS-BASED COGNITIVE THERAPY, TRAUMA-FOCUSED CBT, MOTIVATIONAL INTERVIEWING, EYE MOVEMENT DESENSITIZATION AND REPROCESSING, PLAY THERAPY, MULTISYSTEMIC THERAPY, TRAUMA-INFORMED AFFECT SELF-REGULATION AND COMPETENCE, BRIEF STRATEGIC FAMILY THERAPY, COGNITIVE PROCESSING THERAPY, ASSERTIVE COMMUNITY TREATMENT, AND DIALECTICAL BEHAVIOR THERAPY. CHRIS 180 WILL DEVELOP AND PROVIDE EVENTS, SELF-CARE STIPENDS, AND OTHER RESOURCES TO ADDRESS THE MENTAL HEALTH NEEDS OF CMHC STAFF. IT WILL COORDINATE WITH PARTNERS TO IMPROVE REFERRAL PATHWAYS AND COLLABORATE WITH SCHOOLS TO EXPAND TRAUMA-INFORMED TRAINING AND SCHOOL-BASED SERVICES INCLUDING ASSISTANCE WITH STUDENT REENTRY. PROJECT GOALS AND MEASURABLE OBJECTIVES: (1) SERVE 1,000 PEOPLE WITH SMI, SED, AND/OR COD WITH EBPS TO OFFSET THE IMPACTS OF THE COVID-19 PANDEMIC. OBJECTIVES: HIRE NEW STAFF AND A CONTRACT PSYCHIATRIST, TRAIN ON EBPS, AND PROMOTE REFERRAL PATHS. (2) INCREASE ACCESS, ENGAGEMENT, AND RETENTION IN TREATMENT VIA IN-PERSON AND TELEHEALTH SERVICES. OBJECTIVES: PROVIDE TELEHEALTH TECHNOLOGY, PROVIDE SERVICES AND TREATMENT INCLUDING OUTREACH AND CASE MANAGEMENT, IDENTIFY AND REMOVE BARRIERS. (3) INCREASE ANNUAL STAFF RETENTION RATES TO 75% THROUGH SUPPORT AND RESOURCES PROVIDED TO REDUCE IMPACT OF SECONDARY AND VICARIOUS TRAUMA. OBJECTIVES: HOLD 3 ANNUAL EVENTS, TRAIN SCHOOLS ON TRAUMA RESPONSE, ENHANCE SUPERVISION AND REDUCE CASELOADS, CONDUCT STAFF ASSESSMENTS. CHRIS 180 WILL SERVE 500 PEOPLE ANNUALLY AND 1,000 THROUGHOUT THE LIFETIME OF THE PROJECT FOR THE GRANT PERIOD SEPTEMBER 30, 2021-SEPTEMBER 29, 2023.

ENHANCED SERVICES AND TRAINING FOR ATLANTA-AREA CHILDREN WITH SED

NORTH ATLANTA TREETMENT SERVICES

ARC AND TRAUMA STARS IN OUR SCHOOLS

CHRIS 180 WILL IMPLEMENT PROJECT VIOLENCE PREVENTION, A COMPREHENSIVE INITIATIVE WITHIN 20 TITLE I ATLANTA PUBLIC SCHOOLS TO ENHANCE SCHOOL CAPACITY TO ADDRESS AND REDUCE THE INCIDENCE OF YOUTH VIOLENCE AND DELINQUENCY BY REDUCING RISK FACTORS FOR YOUTH VIOLENCE AND PROMOTING PROTECTIVE FACTORS THAT ARE LINKED TO CRIME AND VIOLENCE PREVENTION. PROJECT VIOLENCE PREVENTION WILL PROVIDE MENTAL HEALTH SUPPORT SERVICES, CLASSROOM SUPPORTS, TRAINING AND CONSULTATION FOR SCHOOL STAFF, AND PARENT/FAMILY SUPPORTS TO IMPROVE SCHOOL CAPACITY TO PREVENT VIOLENCE. BY STRENGTHENING LINKS BETWEEN SCHOOLS, FAMILIES, AND COMMUNITY-BASED ORGANIZATIONS, THE PROJECT WILL PROMOTE STABILITY AND POSITIVE COPING STRATEGIES IN THE CLASSROOM, IN HOMES, AND THROUGHOUT THE COMMUNITIES SERVED. THE 20 ATLANTA PUBLIC SCHOOLS CHOSEN FOR THE PROJECT SERVE AGES PREK-12 AND WERE CHOSEN DUE TO DEMONSTRATED RISK FACTORS FOR VIOLENCE SUCH AS HIGH LEVELS OF ACADEMIC FAILURE AND A HIGH PROPORTION OF STUDENTS WHO ARE ECONOMICALLY DISADVANTAGED. THE VAST MAJORITY OF THE STUDENT POPULATION ARE FROM POPULATIONS THAT ARE HISTORICALLY MARGINALIZED (I.E. BLACK OR LATINX). THE PURPOSE OF THE PROJECT IS TO IMPLEMENT EVIDENCE-BASED STRATEGIES THAT REDUCE AND PREVENT INCIDENCE OF JUVENILE VIOLENCE AND DELINQUENCY WITH A FOCUS ON PROMOTING RACIAL EQUITY AND ADDRESSING THE DISPROPORTIONATE EFFECT OF JUVENILE VIOLENCE ON MINORITY POPULATIONS. USING A TRAUMA-INFORMED LENS, CHRIS 180 WILL IMPLEMENT TIER 1 (UNIVERSAL), TIER 2 (TARGETED), AND TIER 3 (INDIVIDUAL/FEW) STRATEGIES. VIOLENCE PREVENTION SPECIALISTS WILL BRIDGE THE LINKS BETWEEN HOMES, SCHOOLS, AND COMMUNITIES BY HOSTING DISCUSSION GROUPS, IMPLEMENTING “PARENT NIGHTS” FOR PSYCHOEDUCATION, DELIVERING TRAUMA-INFORMED TRAINING FOR TEACHERS, AND MORE. THE PRIMARY ROLE OF THE VIOLENCE PREVENTION SPECIALIST WILL BE TO CREATE A POSITIVE SCHOOL CLIMATE THAT BENEFITS ALL STUDENTS WHILE HELPING SCHOOL STAFF IDENTIFY STUDENTS WHO COULD BENEFIT FROM MORE TARGETED SERVICES. OTHER IMPLEMENTATION STRATEGIES INCLUDE THE DEVELOPMENT OF “PEACE CORNERS,” AN ABSTRACT CHRIS 180, INC. O-OJJDP-2022-171274 EVIDENCE-INFORMED SOCIO-EMOTIONAL LEARNING TOOL THAT HELPS STUDENTS DEVELOP HEALTHY COPING MECHANISMS AND REGULATORY SKILLS. FOR IDENTIFIED STUDENTS WITH MODERATE TO SEVERE BEHAVIORAL OR SOCIAL SERVICE NEEDS, SCHOOL-BASED THERAPISTS WILL DELIVER INDIVIDUAL, FAMILY, AND GROUP THERAPY USING EVIDENCE-BASED PRACTICES SUCH AS TRAUMA-INFORMED COGNITIVE BEHAVIORAL THERAPY (TF-CBT), MOTIVATIONAL INTERVIEWING, PLAY THERAPY, A STEP PARENTING CURRICULUM, AND MORE. SERVICE “BACKPACKS” ARE INDIVIDUALIZED AND ADDRESS THE NEEDS AND STRENGTHS OF THE STUDENT WHILE RECOGNIZING THE FAMILY AS A CRITICAL CHANGE AGENT.

CHRIS 180 OJP YOUTH VIOLENCE PREVENTION PROGRAM

TRANSITIONAL LIVING PROGRAM

YOUTH BUILD

ARC AND TRAUMA STARS IN OUR SCHOOLS

YOUTH BUILD

CHRIS 180, IN PARTNERSHIP WITH THE FULTON COUNTY SHERIFF’S OFFICE (FCSO), FULTON COUNTY DISTRICT ATTORNEY’S OFFICE (FCDAO), FULTON COUNTY OFFICE OF THE PUBLIC DEFENDER (FCOPD), FULTON COUNTY SUPERIOR COURT (FCSP), AND FULTON COMPETENCY & RESTORATION PROGRAM, PROPOSES POWER TO CHANGE (PTC), A COMPREHENSIVE STRATEGY THAT IMPLEMENTS DEMONSTRATEDEFFECTIVE ACTIVITIES (PROGRAM-SPECIFIC PRIORITY CONSIDERATION 2A, PAGES 9-10) TO SUPPORT PRIMARILY BLACK/AFRICAN AMERICAN ADULT MALES AGED 25-40 WITH SUBSTANCE USE DISORDER (SUD), COOCCURRING DISORDERS (COD), AND/OR OTHER BEHAVIORAL HEALTH CONCERNS AS THEY TRANSITION FROM INCARCERATION TO INDEPENDENT LIVING IN ATLANTA-AREA COMMUNITIES THAT HAVE BEEN UNDERSERVED AND HISTORICALLY MARGINALIZED (DOJ PRIORITY CONSIDERATION 1A, PAGES 1-2). CHRIS 180 HAS A SIGNED MOU WITH THE FULTON COUNTY SHERIFF’S OFFICE (FCSO) THAT EVIDENCES FCSO’S COMMITMENT TO SUPPORT THE PROGRAM. PTC WILL SERVE 80 PARTICIPANTS IN YEAR 1, 100 IN YEAR 2, AND 100 IN YEAR 3 FOR A TOTAL OF 280 TOTAL PARTICIPANTS THROUGHOUT THE PROJECT PERIOD, PROVIDING INTENSIVE CASE MANAGEMENT, LINKAGES TO BEHAVIORAL HEALTH CARE, WARM HANDOFFS TO SUPPORT SERVICES, AND ONGOING FOLLOW-UP TO ENSURE SUCCESSFUL REENTRY INTO THE COMMUNITY. AS A WELL-ESTABLISHED AND CONNECTED COMMUNITY SERVICE PROVIDER, AND THE AUTHOR OF THE FULTON COUNTY REENTRY SERVICES RESOURCE HANDBOOK, CHRIS 180 IS UNIQUELY QUALIFIED TO PROVIDE MOST ALL POST-RELEASE SERVICES (E.G., BEHAVIORAL HEALTH CARE, HOUSING, EMPLOYMENT/EDUCATIONAL SERVICES, ETC.), OR TO FACILITATE DIRECT HANDOFFS TO OTHER VETTED COMMUNITY PROVIDERS BASED ON PARTICIPANT PREFERENCE. THE CURRENT RATE OF RECIDIVISM IN FULTON COUNTY IS 47%. OF THE PTC PARTICIPANTS WHO ARE RELEASED, 70% WILL NOT RE-INVOLVE WITH THE JUSTICE SYSTEM WITHIN 12 MONTHS OF RELEASE (ONLY 30% WILL RECIDIVATE).

ENHANCING COMMUNITY RESPONSES TO THE OPIOID CRISIS:SERVING OUR YOUNGEST CRIME VICTIMS

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POWER TO CHANGE

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CHRIS KIDS VOICES AGAINST VIOLENCE PROGRAM TO ADDRESS YOUTH VICTIMS OF SEXUAL VIOLENCE

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THE USAND GEORGIAHAS SEEN A MARKED INCREASE IN GUN VIOLENCE OVER THE PAST FEW YEARS. CURE VIOLENCE OFFERS A SOLUTION TO DECREASE VIOLENT CRIME AND HEAL COMMUNITIES AFFECTED BY VIOLENCE IN ATLANTA. ACCORDING TO THE CDC, GUN VIOLENCE IS THE LEADING CAUSE OF DEATH FOR YOUNG BLACK MALES AGES 15-24. IN 2021, VICTIMS AND SUSPECTS OF HOMICIDES IN ATLANTA WERE LARGELY BLACK, MALE, AND IN THE 18-34 AGE RANGE. 84% OF VICTIMS AND 88% OF SUSPECTS IN HOMICIDES WERE MALE. OVER 85% OF KNOWN VICTIMS AND SUSPECTS IN HOMICIDES WERE BLACK, WHILE BLACK CITIZENS COMPRISE 49.8% OF THE ATLANTA POPULATION. THE LARGELY BLACK NEIGHBORHOODS IN ATLANTA POLICE DEPARTMENT (APD) ZONE 3 EXPERIENCE A DISPROPORTIONATE BURDEN OF VIOLENCE, DRAMATICALLY AFFECTING CIVIC PARTICIPATION, COMMUNITY DEVELOPMENT AND RESIDENTS. IN 2022, ZONE 3 ACCOUNTED FOR 24% OF ATLANTAS HOMICIDES AND 22% OF AGGRAVATED ASSAULTS. CURE VIOLENCE INTERNATIONAL ESTIMATES THAT VIOLENCE COSTS THE UNITED STATES $153-$173 BILLION DOLLARS/YEAR. INVESTING IN EFFECTIVE VIOLENCE PREVENTION NOT ONLY SAVES LIVES, IT ALSO SAVES MONEY AND CHRIS180S CURE VIOLENCE PROGRAM HAS DEMONSTRATED SUCCESS IN PART OF APD ZONE 3 SERVING AS A MEANINGFUL INTERVENTION IN NEIGHBORHOODS IMPACTED BY GUN VIOLENCE. USING THE CURE VIOLENCE MODEL, THE CHRIS180 COMMUNITY INITIATIVES TEAM WILL CANVAS GANG AREAS, APARTMENT COMPLEXES, AND SHOPPING CENTERS DAILY TO DETERMINE POTENTIAL HOT SPOTS FOR VIOLENCE. THE TEAM WILL MEET DAILY TO REVIEW CRIME DATA AND INFORMATION ACQUIRED THROUGH CANVASSING AND COMMUNITY CONTACTS TO DETERMINE A PLAN TO ADDRESS THE CONFIRMED HOT SPOTS THROUGH MEDITATIONS BETWEEN INDIVIDUALS AND/OR GROUPS OF CONCERN, INCLUDING THOSE AT HIGHEST RISK OF RETALIATION WHO ARE OFTEN FRIENDS AND FAMILY MEMBERS OF VICTIMS, TO CHANGE THEIR THINKING AND ESTABLISH RESOLUTIONS TO CONFLICT. AS INDIVIDUALS ARE IDENTIFIED, STAFF WILL ASSESS POTENTIAL PARTICIPANTS FOR VIOLENCE INTERRUPTION, WORK WITH PARTICIPANTS TO DEVELOP AN INDIVIDUAL SERVICE PLAN (ISP), AND LINK PARTICIPANTS TO CRITICAL WRAPAROUND SERVICES SUCH AS EMPLOYMENT, EDUCATION, AND COUNSELING. THE ZONE 3 CURE VIOLENCE PROGRAM WILL INCORPORATE OUR TRAUMA RESPONSE NETWORK WHICH ACTIVELY TRAINS RESIDENT VOLUNTEERS TO COLLABORATE, COORDINATE, AND COMMUNICATE SUPPORT FOR THE COMMUNITY AND INDIVIDUALS FOLLOWING TRAGEDY AND ACTS OF VIOLENCE. TO HELP COMMUNITIES HEAL, OUR PROGRAM INCORPORATES HEALING CIRCLES A CRITICAL INTERVENTION TO SUPPORT COMMUNITY MEMBERS AFTER TRAGEDY.

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