David Lawrence Mental Health Center Inc

SAMHSA - MAT COLLIER 2021 - COLLIER COUNTY MEDICATION ASSISTED TREATMENT SERVICES POPULATION OF FOCUS FOR COLLIER COUNTY MEDICATION ASSISTED TREATMENT SERVICES (COLLIER MAT) SHALL BE PERSONS WITH AN OPIOID USE DISORDER (OUD) SEEKING OR RECEIVING MAT. THE DESIRED OUTCOMES ARE AN INCREASE IN THE NUMBER OF COLLIER COUNTY RESIDENTS WITH OUD RECEIVING MAT AND A DECREASE IN ILLICIT OPIOID DRUG USE AND PRESCRIPTION OPIOID MISUSE AT SIX-MONTH FOLLOW-UP. 380 UNDUPLICATED CLIENTS WILL BE SERVED. COLLIER MAT WILL INCREASE MAT ACCESS AMONG RURAL COLLIER COUNTY RESIDENTS AS WELL AS JAIL INMATES WITH A HISTORY OF OUD WHO WILL BE RELEASED FROM CUSTODY IN FOUR MONTHS OR LESS. PROGRAM GOALS AND OBJECTIVES INCLUDE: GOAL 1: INCREASE THE NUMBER OF INDIVIDUALS RECEIVING MAT SERVICES WITH PHARMACOTHERAPIES APPROVED BY THE FDA FOR THE TREATMENT OF OPIOID USE DISORDERS. OBJECTIVE 1.1: ESTABLISH THE BASELINE NUMBER OF COLLIER COUNTY RESIDENTS RECEIVING MAT PHARMACOTHERAPEUTIC SERVICES FROM DLC DURING 2020. OBJECTIVE 1.2: INCREASE THE NUMBER OF COLLIER COUNTY RESIDENTS RECEIVING MAT PHARMACOTHERAPEUTIC SERVICES ANNUALLY BY AT LEAST 10% ABOVE BASELINE IN YEAR 1 AND 25% ABOVE BASELINE IN YEARS 2-5. GOAL 2: INCREASE THE NUMBER OF INDIVIDUALS RECEIVING INTEGRATED CARE. OBJECTIVE 2.1: ESTABLISH THE BASELINE NUMBER OF COLLIER COUNTY RESIDENTS RECEIVING INTEGRATED CARE - PHARMACOTHERAPY IN TANDEM WITH EITHER THERAPY, PEER RECOVERY SUPPORT AND/OR CASE MANAGEMENT SERVICES - DURING 2020. OBJECTIVE 2.2: INCREASE THE NUMBER OF COLLIER COUNTY RESIDENTS RECEIVING INTEGRATED CARE ANNUALLY BY AT LEAST 10% ABOVE BASELINE DURING YEAR 1 AND 25% ABOVE BASELINE IN YEARS 2-5. GOAL 3: DECREASE ILLICIT DRUG USE AT 6-MONTH AND POST TREATMENT FOLLOW-UPS COMPARED TO PRE-TREATMENT. OBJECTIVE 3.1: ESTABLISH BASELINE USING DATA FROM YEAR 1 PARTICIPANTS. OBJECTIVE 3.2: DECREASE BY AT LEAST 5% FROM BASELINE IN YEARS 2-5. GOAL 4: DECREASE THE USE OF PRESCRIPTION OPIOIDS IN A NON-PRESCRIBED MANNER AT 6-MONTH AND POST TREATMENT FOLLOW-UPS, COMPARED TO PRE-TREATMENT FREQUENCY OF USE. OBJECTIVE 4.1: ESTABLISH BASELINE USING DATA FROM YEAR 1 PARTICIPANTS. OBJECTIVE 4.2: DECREASE BY AT LEAST 5% FROM BASELINE IN YEARS 2-5. COLLIER MAT WILL UTILIZE ONLY FDA-APPROVED MEDICATIONS FOR THE MAINTENANCE TREATMENT OF OPIOID USE DISORDER. MEDICATIONS INCLUDE NALOXONE, BUPRENORPHINE PRODUCTS INCLUDING SUBLINGUAL TABLETS OR FILM, BUCCAL FILM, AND EXTENDED RELEASE, LONG-ACTING INJECTABLE BUPRENORPHINE FORMULATIONS; AND INJECTABLE NALTREXONE. A PLAN WILL BE IMPLEMENTED TO MITIGATE DIVERSION RISK OF BUPRENORPHINE. MAT WILL BE PROVIDED IN COMBINATION WITH COMPREHENSIVE OUD PSYCHOSOCIAL SERVICES, INCLUDING COUNSELING, BEHAVIORAL THERAPIES, RECOVERY SUPPORT SERVICES, AND OTHER CLINICALLY INDICATED SERVICES PROVIDED BY COLLIER MAT AND COMMUNITY PARTNERS. COLLIER MAT WILL REPORT PERFORMANCE ON THE NUMBER OF CLIENTS SERVED, DIAGNOSIS, SPECIFIC MEDICATIONS PRESCRIBED AND DURATION OF TREATMENT WITH THOSE MEDICATIONS, ABSTINENCE FROM ILLICIT DRUG USE AND ALCOHOL MISUSE, HOUSING AND EMPLOYMENT STATUS, CRIMINAL JUSTICE SYSTEM INVOLVEMENT, AND ACCESS TO AND ENGAGEMENT WITH SERVICES,

SAMHSA - CMHC COLLIER 2021 - ABSTRACT – COLLIER CMHC DAVID LAWRENCE CENTER’S COLLIER CMHC POPULATION OF FOCUS IS COLLIER COUNTY FLORIDA CHILDREN AND ADULTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED), SERIOUS MENTAL ILLNESS (SMI), AND THOSE WITH SED OR SMI AND CO-OCCURRING SUBSTANCE USE DISORDERS (COD). COLLIER CMHC WILL PROVIDE INCREASED CRISIS SERVICES FOR CHILDREN AND ADULTS WITH SMI/SED/COD AND INCREASED ACCESS TO CARE FOR ADULTS AMONG MINORITY AND CRIMINAL JUSTICE POPULATIONS AND THOSE ECONOMICALLY DISADVANTAGED. COLLIER CMHC WILL EXPAND SERVICES IN IMMOKALEE, A RURAL, ECONOMICALLY DISADVANTAGED AND CURRENTLY UNDERSERVED AREA. THE PROJECT WILL SERVE AT LEAST 100 CLIENTS EACH YEAR. GOALS AND OBJECTIVES INCLUDE: GOAL 1: EXPAND CAPACITY OF DLC’S ADULT AND CHILDREN’S CRISIS STABILIZATION UNITS. OBJECTIVE 1.1: INCREASE CRISIS STABILIZATION UNITS COMBINED BED CAPACITY FROM 30 TO 44 NO LATER THAN JULY 1, 2022. OBJECTIVE 1.2: SERVE 100% OF ADULTS AND CHILDREN IN CRISIS STABILIZATION UNITS NOT COVERED BY PUBLIC OR COMMERCIAL HEALTH INSURANCE PROGRAMS DURING THE PERIOD 9/30/21 - 9/29/22. OBJECTIVE 1.3: SERVE 100% OF ADULTS AND CHILDREN IN CRISIS STABILIZATION UNITS NOT COVERED BY PUBLIC OR COMMERCIAL HEALTH INSURANCE PROGRAMS DURING THE PERIOD 9/30/22 - 9/29/23. GOAL 2: INCREASE ENGAGEMENT OF INDIVIDUALS WITH SMI/COD IN CASE MANAGEMENT AND MEDICAL/CLINICAL SERVICES. OBJECTIVE 2.1: ENROLL 60 OR MORE RETURNING OR NEW SMI OUTPATIENTS IN CASE MANAGEMENT AND MEDICATION CLINIC SERVICES DURING THE PERIOD 9/30/21-9-29/22. OBJECTIVE 2.2: ENROLL 60 OR MORE RETURNING OR NEW SMI OUTPATIENTS IN CASE MANAGEMENT AND MEDICATION CLINIC SERVICES DURING THE PERIOD 9/30/22 - 9/29/23 GOAL 3: EXPAND ACCESS TO SMI/COD ASSESSMENT AND OUTPATIENT TREATMENT SERVICES IN THE CITY OF IMMOKALEE. OBJECTIVE 3.1: COLLIER CMHC FUNDED THERAPIST WILL PROVIDE SMI/COD ASSESSMENT AND/OR TREATMENT SERVICES TO 30 OR MORE ELIGIBLE UNDUPLICATED ADULTS AT THE IMMOKALEE CLINIC DURING THE PERIOD 9/30/21 - 9/29/22. OBJECTIVE 3.2: COLLIER CMHC FUNDED THERAPIST WILL PROVIDE SMI/COD ASSESSMENT AND/OR TREATMENT SERVICES TO 30 OR MORE ELIGIBLE UNDUPLICATED ADULTS AT THE IMMOKALEE CLINIC DURING THE PERIOD 9/30/22 - 9/29/23. GOAL 4: DEVELOP AND PROVIDE RESOURCES TO ENHANCE EMPLOYEE WELLBEING AND PREVENT WORKPLACE SUICIDE. OBJECTIVE 4.1: COMPLETE A NEEDS ASSESSMENT TO DETERMINE PERCEIVED STAFF MENTAL HEALTH STRENGTHS, STRESSORS, AND BARRIERS EXPERIENCED BY STAFF NO LATER THAN APRIL 1, 2022. OBJECTIVE 4.2: PREPARE A GENERAL CRITICAL INCIDENT PROTOCOL THAT INCLUDES COPING AND TRAUMA AND A CRISIS MANAGEMENT PROTOCOL SPECIFIC TO SUICIDE DEATH NO LATER THAN JULY 1, 2022. OBJECTIVE 4.3: PRESENT EVIDENCE-BASED AN EMOTIONAL RESILIENCE/SUICIDE PREVENTION TRAINING TO ALL CURRENT STAFF NO LATER THAN JANUARY 1, 2023 AND HAVE A TRAINING PLAN IN PLACE THAT REQUIRES TRAINING FOR ALL NEW EMPLOYEES DURING ORIENTATION AND REFRESHER TRAINING FOR ALL STAFF ANNUALLY. INFRASTRUCTURE DEVELOPMENT, PREVENTION AND MENTAL HEALTH PROMOTION DATA WILL BE REPORTED ON THE NUMBER OF INDIVIDUALS CONTACTED THROUGH PROGRAM OUTREACH EFFORTS AND THE NUMBER OF INDIVIDUALS TRAINED IN WORKPLACE SUICIDE PREVENTION. NATIONAL OUTCOME MEASURES DATA WILL BE REPORTED INCLUDING NUMBER SERVED, DIAGNOSIS, SUBSTANCE ABSTINENCE, HOUSING, EDUCATION/EMPLOYMENT, SOCIAL CONNECTEDNESS, ACCESS TO TREATMENT, TREATMENT(S) PROVIDED, TREATMENT RETENTION, CRIMINAL JUSTICE INVOLVEMENT, AND PERCEPTION OF CARE.

MHAT COLLIER - DAVID LAWRENCE CENTERS FOR BEHAVIORAL HEALTH (DLC) PROPOSES COLLIER MENTAL HEALTH AWARENESS TRAINING (MHAT). TRAINEES WILL INCLUDE PRIMARY CARE AND SPECIALTY PROVIDERS OF MEDICAL CARE; FAMILIES, CAREGIVERS, AND SERVICE PROVIDERS IN CONTACT WITH ARMED SERVICES PERSONNEL, VETERANS AND THEIR FAMILIES; FAITH COMMUNITIES; AND THE GENERAL PUBLIC. THE POPULATION OF FOCUS FOR MHAT WILL BE ADULTS WITH SEVERE MENTAL ILLNESS. COLLIER MHAT’S OVERALL GOAL IS TO IMPROVE THE COMMUNITY RESPONSE AND THE HEALTHCARE PROVIDED TO ADULTS WITH SEVERE MENTAL ILLNESS. COLLIER MHAT WILL PRESENT THE EVIDENCE-BASED MENTAL HEALTH FIRST AID FOR ADULTS TO COMMUNITY MEDICAL PROVIDERS, AND THE GENERAL COMMUNITY. COLLIER MHAT WILL PRESENT SPECIALIZED POPULATION-BASED MENTAL HEALTH FIRST AID PROGRAMS TO SPIRITUAL AND VETERAN COMMUNITIES. MENTAL HEALTH FIRST AID FOR FAITH AND SPIRITUAL COMMUNITY WILL BE OFFERED TO FAITH GROUPS AND MENTAL HEALTH FIRST AID: MILITARY MEMBERS, VETERANS AND THEIR FAMILIES TO ACTIVE MILITARY, VETERANS, FAMILIES, CAREGIVERS, AND SERVICE RESPONDERS IN CONTACT WITH ARMED SERVICES PERSONNEL, VETERANS, AND THEIR FAMILIES. COLLIER MHAT WILL ALSO OFFER MENTAL HEALTH FIRST AID FOR ADULTS TO THE GENERAL COMMUNITY. COLLIER MHAT WILL PROVIDE A TOTAL OF 50 TRAINING EVENTS TO 900 INDIVIDUALS OVER THE FIVE YEARS OF THE GRANT. IN THE FIRST YEAR COLLIER MHAT WILL PRESENT 6 TRAINING EVENTS TO 100 INDIVIDUALS. IN YEARS TWO THROUGH FIVE, COLLIER MHAT WILL ANNUALLY PROVIDE 11 TRAINING EVENTS TO 200 INDIVIDUALS. COLLIER MHAT WILL PROVIDE WRITTEN AND ELECTRONIC MATERIALS FOR THE INDIVIDUALS BEING TRAINED AND MAINTAIN AND UPDATE WEB-BASED MATERIALS FOR BOTH TRAINEES AND THE GENERAL COMMUNITY. COLLIER MHAT WILL ESTABLISH REFERRAL MECHANISMS THAT INCREASE THE ABILITY OF THE INDIVIDUALS TRAINED TO REFER AND LINK THE POPULATION OF FOCUS TO MENTAL HEALTH RESOURCES AND SERVICES. COLLIER MHAT WILL EMPHASIZE REFERRAL PROCESSES IN ALL TRAINING AND CONDUCT POST-TESTING OF REFERRAL KNOWLEDGE IMMEDIATELY FOLLOWING TRAINING AND BY REGULARLY CONTACTING TRAINEES TO OBTAIN DATA REGARDING THE NUMBER OF REFERRALS TO MENTAL HEALTH SERVICES THEY HAVE MADE SUBSEQUENT TO THEIR TRAINING. THE COLLIER COALITION FOR HEALTHY MINDS WILL INCLUDE IN ITS ACTIVITIES A ROLE AS CONVENER OF A COLLIER MHAT SUB-COMMITTEE IN WHICH COLLABORATING AGENCIES WILL DEVELOP A COMPREHENSIVE COMMUNITY MENTAL HEALTH TRAINING PLAN, RESPOND TO COMMUNITY MENTAL HEALTH ISSUES AND WORK TO IMPROVE COORDINATION OF SERVICES TO THE POPULATION OF FOCUS. THE SUB-COMMITTEE WILL ASSESS COLLIER MHAT’S IMPLEMENTATION, PROGRESS AND ADDRESS IDENTIFIED BARRIERS. COLLIER MHAT WILL REPORT QUARTERLY USING SPARS THE NUMBER OF INDIVIDUALS WHO RECEIVE MENTAL HEALTH AWARENESS TRAINING AND COLLECT DATA ON THE NUMBER OF INDIVIDUALS THAT EACH TRAINEE HAS REFERRED TO MENTAL HEALTH OR RELATED SERVICES THROUGHOUT THE LIFE OF THE GRANT.