Centerstone Of Tennessee Inc

BE IN CHARGE 2 (BIC2)

HEALTHY START INITIATIVE-ELIMINATING RACIAL/ETHNIC DISPARITIES

FY10 TEENAGE PREGNANCY PREVENTION: REPLICATION OF EVIDENCE-BASED PROGRAMS (TIER 1)

CENTERSTONE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT IN TENNESSEE - CENTERSTONE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (C-SBIRT) WILL ENHANCE AND EXPAND THE CONTINUUM OF CARE FOR SUBSTANCE USE DISORDER SERVICES BY INTEGRATING SBIRT IN 6 TENNESSEE COUNTIES (CHEATHAM, DICKSON, HOUSTON, MONTGOMERY, ROBERTSON, STEWART). C-SBIRT WILL PRE-SCREEN AN UNDUPLICATED TOTAL OF 35,000 INDIVIDUALS (AGES 12+) PRESENTING IN PRIMARY CARE/COMMUNITY HEALTH SETTINGS (Y1: 3,000; Y2: 7,000; Y3: 10,000; Y4: 11,000; Y5: 4,000). C-SBIRT’S FOCUS POPULATION DEMOGRAPHICS ARE EXPECTED TO MIRROR THE CATCHMENT AREA’S 320,500 CHILDREN, ADOLESCENTS, AND ADULTS (AGES 12+): 48% MALE, 52% FEMALE, 76% WHITE, 12% AFRICAN AMERICAN, AND 6% HISPANIC/LATINO INDIVIDUALS. SUBPOPULATIONS INCLUDE THE 45% OF CATCHMENT AREA INDIVIDUALS WHO LIVE IN RURAL AREAS, THE 14% WHO ARE VETERANS, AND THE 18% WHO ARE RACIAL/ETHNIC MINORITIES. CONSISTENT WITH THE AREA’S CLINICAL CHARACTERISTICS, OVER 21,000 CATCHMENT AREA INDIVIDUALS ARE EXPECTED TO HAVE A SUBSTANCE USE DISORDER (SUD), INCLUDING 126 WITH OPIOID USE DISORDER, AND 11,000 CATCHMENT AREA ADULTS, CO-OCCURRING DISORDER (COD). MORE THAN 14,800 CATCHMENT INDIVIDUALS ARE EXPECTED TO HAVE AN ALCOHOL USE DISORDER (AUD). C-SBIRT’S STRATEGIES/INTERVENTIONS INCLUDE EXPANDING SCREENINGS TO IDENTIFY RISKY SUBSTANCE USE AND ALCOHOL/OTHER DRUG CONSUMPTION AND INITIATE APPROPRIATE EVIDENCE-BASED RESPONSE. C-SBIRT WILL USE VALIDATED SCREENING INSTRUMENTS, INCLUDING THE NATIONAL INSTITUTE OF DRUG ABUSE’S AND NATIONAL INSTITUTE OF ALCOHOLISM AND ALCOHOL ABUSE’S SINGLE QUESTION SCREEN UNIVERSAL PRE-SCREENINGS, AS WELL AS THE AUDIT, DAST-10, AND PHQ-9, AS INDICATED, AMONG ADULTS. YOUTH WILL RECEIVE THE BRIEF SCREENER FOR TOBACCO, ALCOHOL, AND OTHER DRUGS (BSTAD) PRE-SCREENING, AS WELL AS THE PHQ-A AND CAR, RELAX, ALONE, FRIENDS/FAMILY, FORGET, TROUBLE (CRAFFT) FULL SCREENING, AS INDICATED. SAMHSA’S TREATMENT IMPROVEMENT PROTOCOL (TIP) 34: BRIEF INTERVENTIONS AND BRIEF THERAPIES FOR SUBSTANCE ABUSE WILL PROVIDE A FRAMEWORK FOR DELIVERING THE EVIDENCE-BASED BRIEF INTERVENTION, BRIEF NEGOTIATED INTERVIEW, AND EVIDENCE-BASED BRIEF TREATMENTS, COGNITIVE BEHAVIORAL THERAPY, MOTIVATIONAL INTERVIEWING, AND MULTIDIMENSIONAL FAMILY THERAPY (MDFT). PROJECT GOALS INCLUDE: 1) IMPLEMENT A PROJECT TO PROVIDE COMPREHENSIVE, COST-EFFECTIVE SBIRT SERVICES; 2) DEVELOP A SOUND INFRASTRUCTURE AND CAPACITY TO ENHANCE, EXPAND, AND SUSTAIN SBIRT SERVICES; 3) IMPROVE OUTCOMES AMONG PARTICIPANTS RECEIVING BRIEF INTERVENTION, BRIEF TREATMENT, AND TREATMENT VIA REFERRALS; AND 4) DEVELOP/DISSEMINATE A DOCUMENTED SERVICE MODEL FOR STATEWIDE AND NATIONAL REPLICATION/ADOPTION. MEASURABLE OBJECTIVES INCLUDE: REDUCE REPORTED DAYS OF ALCOHOL/ SUBSTANCE USE BY 60%; REDUCE REPORTED DAYS EXPERIENCING MENTAL HEALTH SYMPTOMS BY 40% AMONG THOSE WITH COD; REDUCE REPORTED DAYS OF OPIOID USE BY 60% AMONG THOSE WHO SCREEN POSITIVE FOR OPIOID USE; INCREASE REPORTED ABSTINENCE FROM USE BY 60%; REDUCE REPORTED INPATIENT AN ER UTILIZATION BY 40%; AND ACHIEVE 80% CLIENT RETENTION RATE. C-SBIRT HAS SECURED COMMITMENTS FROM PARTNERS DEDICATED TO THE PROJECT’S SUCCESS, AND WILL COLLABORATE WITH PRIMARY CARE PROVIDERS, INCLUDING PEDIATRIC PROVIDERS, SPECIALTY TREATMENT PROVIDERS, AND KEY COMMUNITY STAKEHOLDERS.

RECOVERY ACT GREEN JOBS

YOUTH - YOUNG OFFENDER

CENTERSTONE PERSONAL RESPONSIBILITY EDUCATION PROGRAM INNOVATIVE STRATEGIES (C-PREIS)

CENTERSTONE'S COMPREHENSIVE COMMUNITY BEHAVIORAL HEALTH CLINIC, TENNESSEE

HOMELESS PREVENTION

CENTERSTONE COMMUNITY MENTAL HEALTH CENTER IN TENNESSEE (C-CMHC) - CENTERSTONE COMMUNITY MENTAL HEALTH CENTER (C-CMHC) WILL SUPPORT AND RESTORE THE DELIVERY OF CLINICAL SERVICES IMPACTED BY THE COVID-19 PANDEMIC TO EFFECTIVELY ADDRESS THE NEEDS OF INDIVIDUALS WITH SERIOUS EMOTIONAL DISTURBANCE (SED), SERIOUS MENTAL ILLNESS (SMI), AND/OR CO-OCCURRING SMI/SED AND SUBSTANCE USE DISORDERS (COD) IN TENNESSEE (95 COUNTIES). C-CMHC WILL SERVE 1,000 UNDUPLICATED CHILDREN (AGES 0-17) AND ADULTS (AGES 18+) (I.E., 500 ANNUALLY). C-CMHC’S FOCUS POPULATION ENCOMPASSES AN ANTICIPATED 573,917 INDIVIDUALS WITH SED/SMI, INCLUDING 102,740 ADULTS WITH COD. FOCUS POPULATION DEMOGRAPHICS ARE EXPECTED TO REFLECT TENNESSEE’S POPULATION, WITH 49% MALE, 51% FEMALE, 78% WHITE, 17% BLACK, AND 6% HISPANIC/LATINO. OF TENNESSEE’S HOUSEHOLDS, 32% (831,130) ARE ECONOMICALLY DISADVANTAGED COMMUNITIES (I.E., DID NOT EARN ENOUGH TO AFFORD BASIC NECESSITIES [E.G., HEALTH CARE, FOOD, HOUSING]). C-CMHC WILL SERVE VULNERABLE SUBPOPULATIONS FACING HEALTH DISPARITIES INCLUDING VETERANS RACIAL/ETHNIC MINORITIES, AND LOW-INCOME POPULATIONS. C-CMHC WILL ADDRESS THE INCREASED MENTAL HEALTH NEEDS RELATED TO COVID. FROM 2019-2020, TENNESSEANS’ ANXIETY INCREASED FROM 8% TO 35%, DEPRESSION INCREASED FROM 7% TO 27%, AND PARENTAL CONCERN ABOUT THEIR CHILDREN’S ANXIETY ROSE FROM 14% TO 22%. C-CMHC WILL STRENGTHEN TELEHEALTH INFRASTRUCTURE TO DELIVER A VIRTUAL OUTPATIENT CLINIC ARRAY, INCLUDING TRAUMA-INFORMED SCREENING/ASSESSMENTS AND PATIENT-CENTERED INDIVIDUAL TREATMENT PLANNING. TREATMENT PLANS WILL COMPRISE EVIDENCE-BASED OUTPATIENT INTERVENTIONS SUITABLE FOR SMI/SED/COD DIAGNOSES (E.G., COGNITIVE BEHAVIORAL THERAPY, MOTIVATIONAL INTERVIEWING, DIALECTICAL BEHAVIOR THERAPY SKILLS TRAINING, AND MULTIDIMENSIONAL FAMILY THERAPY), AS WELL AS RECOVERY SUPPORT SERVICES (E.G., CASE MANAGEMENT). C-CMHC WILL ADVANCE RESOURCES TO ADDRESS THE MENTAL HEALTH NEEDS OF CMHC STAFF (E.G., PENN RESILIENCE PROGRAM) AND PROVIDE STAFF TRAINING (E.G., CULTURAL COMPETENCE, PEER SUPPORTS). ADDITIONAL STRATEGIES/INTERVENTIONS INCLUDE CONDUCTING OUTREACH AND DEVELOPING REFERRAL PATHWAYS FOR VULNERABLE POPULATIONS. C-CMHC GOALS ARE TO SUPPORT/RESTORE CLINICAL SERVICES FOR PERSONS WITH SMI/SED/COD; ENHANCE INFRASTRUCTURE TO PROVIDE HIPAA COMPLIANT TELEHEALTH SERVICES; INCREASE ACCESS TO OUTPATIENT/CLINICAL/RECOVERY SUPPORT SERVICES; DEVELOP/PROVIDE RESOURCES TO ADDRESS STAFFS’ MENTAL HEALTH NEEDS; IMPROVE CLIENTS’ HEALTH STATUS/OUTCOMES; AND DEVELOP/DISSEMINATE A REPLICABLE SERVICE MODEL. C-CMHC WILL ACHIEVE THE FOLLOWING MEASURABLE OBJECTIVES: CONDUCT OUTREACH/ENGAGEMENT AMONG 3,000 INDIVIDUALS; EXPAND LINKAGES WITH 10 AGENCIES; PROVIDE TRAINING FOR 50 STAFF; REDUCE MENTAL HEALTH SYMPTOMATOLOGY BY 50%; REDUCE PAST 30-DAY SUBSTANCE USE BY 60%; REDUCE PAST 30-DAY SCHOOL ABSENCES BY 30%; REDUCE 30-DAY CRIMINAL/JUVENILE JUSTICE INVOLVEMENT AMONG 60% WITH HISTORIES; ASSIST 100% OF THOSE IN NEED WITH RECOVERY SUPPORTS; INCREASE WELLBEING AND QUALITY OF LIFE BY 80%; ENSURE ACCESS TO TREATMENT AND SERVICES FOR 100% OF PARTICIPANTS; ACHIEVE 80% PARTICIPANT SATISFACTION; AND ACHIEVE AN 80% 6-MONTH FOLLOW UP RATE. C-CMHC HAS SECURED COMMITMENTS FROM PARTNERS DEDICATED TO THE PROJECT’S SUCCESS, AND WILL COLLABORATE WITH THOSE KEY STAKEHOLDERS (E.G., CRIMINAL JUSTICE, SCHOOLS, SOCIAL SERVICE AGENCIES).

CENTERSTONE'S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC IN TULLAHOMA(C-CCBHC) - CENTERSTONE WILL PLAN, DEVELOP, AND IMPLEMENT A NEW CCBHC IN TULLAHOMA, TENNESSEE (C-CCBHC), TO PROVIDE COMPREHENSIVE, INTEGRATED, COORDINATED, PERSON-CENTERED BEHAVIORAL HEALTH CARE; IMPROVE ACCESS TO COMMUNITY-BASED MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT; AND SUPPORT 24/7 CRISIS SERVICES, REGARDLESS OF AN INDIVIDUAL’S ABILITY TO PAY OR PLACE OF RESIDENCE. C-CCBHC WILL SERVE 700 UNDUPLICATED INDIVIDUALS (Y1: 80; Y2: 150; Y3-4: 235/YR.). C-CCBHC WILL SERVE ANY INDIVIDUAL WITH A MENTAL OR SUBSTANCE USE DISORDER WHO SEEKS CARE AT CENTERSTONE’S TULLAHOMA CCBHC, INCLUDING THOSE WITH SERIOUS MENTAL ILLNESS (SMI); SUBSTANCE USE DISORDER (SUD), INCLUDING OPIOID USE DISORDER; 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. C-CCBHC’S FOCUS POPULATION DEMOGRAPHICS ARE EXPECTED TO MIRROR AREA INDIVIDUALS AND CURRENT CLINIC CLIENTS: 84% WHITE; 10% BLACK; 6% HISPANIC/LATINO, WITH ROUGHLY 50% MALE AND 50% FEMALE. OF THE AREA’S ROUGHLY 146,950 ADULTS, 23% ARE EXPECTED TO HAVE AMI; 5.5%, SMI; 17%, SUD; 2%, OUD; AND 8%, COD. AMONG THE 44,080 YOUTH, 20% ARE EXPECTED TO HAVE MAJOR DEPRESSIVE EPISODE; 5%, SUD; AND 3%, COD. KEY C-CCBHC STRATEGIES INCLUDE INCREASING ACCESS/AVAILABILITY OF SERVICES RESPONSIVE TO COMMUNITY NEEDS (E.G., CRISIS SERVICES; SCREENING/ASSESSMENT/DIAGNOSIS, INCLUDING RISK ASSESSMENT; TREATMENT/CRISIS PLANNING; OUTPATIENT MENTAL HEALTH/SUBSTANCE USE SERVICES; PRIMARY CARE SCREENING AND HEALTH MONITORING; TARGETED CASE MANAGEMENT; PSYCHIATRIC REHABILITATION; PEER AND FAMILY SUPPORTS; AND COMMUNITY-BASED MENTAL HEALTH CARE FOR ARMED FORCES/VETERAN POPULATIONS); MEANINGFULLY INVOLVING SERVICE RECIPIENTS/FAMILIES IN THEIR CARE; AND APPLYING A CONTINUOUS QUALITY IMPROVEMENT (CQI) APPROACH. C-CCBHC WILL INTEGRATE SAMHSA’S TIP 59: IMPROVING CULTURAL COMPETENCE AND 57: TRAUMA-INFORMED CARE IN BEHAVIORAL HEALTH TO IMPLEMENT EVIDENCE-BASED INTERVENTIONS ADDRESSING THE FULL ARRAY SERVICE RECIPIENTS’ BEHAVIORAL HEALTH NEEDS (E.G., COGNITIVE BEHAVIORAL THERAPY, MOTIVATIONAL INTERVIEWING, DIALECTICAL BEHAVIOR THERAPY, ASSERTIVE COMMUNITY TREATMENT, MULTI-SYSTEMIC THERAPY, PARENT MANAGEMENT TRAINING, SEEKING SAFETY, HAZELDEN’S CO-OCCURRING DISORDERS PROGRAM, MAT, ILLNESS MANAGEMENT AND RECOVERY, AND DIMENSIONS). C-CCBHC WILL ACCOMPLISH THE FOLLOWING GOALS: 1) ESTABLISH COMPREHENSIVE, INTEGRATED, COORDINATED, AND PERSON-CENTERED COMMUNITY-BASED SERVICES VIA THE CCBHC; 2) ENHANCE INFRASTRUCTURE/CAPACITY FOR A FULL CONTINUUM OF QUALITY/INCLUSIVE COORDINATED CARE; 3) INCREASE ACCESS TO/AVAILABILITY OF TIMELY/HIGH QUALITY SERVICES; 4) IMPLEMENT A MEASUREMENT-BASED CARE PROCESS TO ENSURE A COMPREHENSIVE SCOPE OF EVIDENCE-BASED SERVICES/SUPPORTS; 5) IMPROVE HEALTH STATUS/OUTCOMES FOR TREATMENT SERVICE RECIPIENTS ACROSS THE LIFESPAN; AND 6) APPLY A CQI APPROACH TO DRIVE SYSTEMS, IMPROVE THE QUALITY OF SERVICES, AND ENSURE ONGOING SERVICE DELIVERY. AS A RESULT OF THESE GOALS/IMPROVEMENTS, THE PROJECT WILL ACHIEVE THE FOLLOWING MEASURABLE SERVICE RECIPIENT-RELATED OBJECTIVES: DECREASE SYMPTOMATOLOGY AMONG 45% WITH MENTAL HEALTH DISORDERS; DECREASE SUBSTANCE USE AMONG 45% OF THOSE WITH SUD/OUD/COD; PROVIDE ITPS FOR 100% OF SERVICE RECIPIENTS; IMPROVE HOUSING STABILITY AMONG 80% WHO ARE HOMELESS/MARGINALLY HOUSED; PROVIDE 100% WITH EMPLOYMENT CASE MANAGEMENT SERVICES PER ITPS; IMPROVE HEALTH INDICATORS AMONG 75% OF PARTICIPATING SERVICE RECIPIENTS; REDUCE PAST 30-DAY TOBACCO USE BY 30% AMONG TOBACCO CESSATION ACTIVITY PARTICIPANTS; ACHIEVE NO PAST 30-DAY CRIMINAL JUSTICE SYSTEM INVOLVEMENT AMONG 60% WITH CRIMINAL JUSTICE HISTORIES; ACHIEVE NO PAST 30-DAY ER/HOSPITALIZATIONS AMONG 60% OF SERVICE RECIPIENTS WITH HOSPITALIZATION HISTORIES; ACHIEVE/MAINTAIN AN 80% FOLLOW-UP RATE; AND ACHIEVE SATISFACTION OF EXPERIENCE/CARE AMONG 80% OF SERVICE RECIPIENTS/FAMILIES.

CENTERSTONE'S CCBHC-IA IN TENNESSEE (C-CCBHCV2.0) - CENTERSTONE'S CCBHC IMPROVEMENT AND ADVANCEMENT IN TENNESSEE (C-CCBHCV2.0) PROJECT WILL IMPROVE AND ADVANCE CENTERSTONE'S CCBHC IN CLARKSVILLE. THE PROJECT WILL PROVIDE COMPREHENSIVE, INTEGRATED, COORDINATED, AND PERSON-CENTERED CARE TO 1,500 UNDUPLICATED INDIVIDUALS WITH A MENTAL OR SUBSTANCE USE DISORDER, PRIMARILY RESIDING IN THE TENNESSEE CATCHMENT AREA (CHEATHAM, HOUSTON, MONTGOMERY, ROBERTSON, AND STEWART), INCLUDING GROUPS FACING HEALTH DISPARITIES (Y1: 300; Y2-4: 400/YR.). C-CCBHCV2.0 WILL SERVE INDIVIDUALS WITH A MENTAL OR SUBSTANCE USE DISORDER, INCLUDING THOSE WITH SERIOUS MENTAL ILLNESS (SMI); SUBSTANCE USE DISORDER (SUD), INCLUDING OPIOID USE DISORDER; CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED); INDIVIDUALS WITH CO-OCCURRING MENTAL AND SUBSTANCE DISORDERS (COD); AND INDIVIDUALS EXPERIENCING A MENTAL HEALTH/SUBSTANCE USE-RELATED CRISIS. TARGET POPULATION DEMOGRAPHICS ARE EXPECTED TO MIRROR THOSE OF THE CATCHMENT AREA. THOSE AGES 17 AND UNDER COMPRISE 51% MALE, 49% FEMALE, 62% WHITE, 15% AFRICAN AMERICAN, AND 12% HISPANIC/LATINO INDIVIDUALS. THOSE AGES 18+ COMPRISE 50% MALE, 50% FEMALE, 72% WHITE, 14% AFRICAN AMERICAN, AND 8% HISPANIC/LATINO INDIVIDUALS. OF THE CATCHMENT AREA’S POPULATION, 6.3% OF ADULTS ARE EXPECTED TO HAVE SMI AND 10% OF CHILDREN/YOUTH, SED. AN ESTIMATED 13.9% OF ADULTS AND 6.1% OF ADOLESCENTS 12-17 HAVE SUD, INCLUDING 1.0% OF ADULTS WITH OUD. AN ESTIMATED 6.7% OF ADULTS HAVE COD. AN ESTIMATED 33,020 (94%) ADULTS WITH SUD NEED BUT DID NOT RECEIVE TREATMENT AT A SPECIALTY FACILITY. C-CCBHCV2.0 WILL PROVIDE AN ARRAY OF HIGH-QUALITY INTEGRATED PRIMARY/BEHAVIORAL HEALTH CARE SERVICES (E.G., CRISIS SERVICES; SCREENING/ASSESSMENT/DIAGNOSIS, INCLUDING PRIMARY CARE AND RISK ASSESSMENT; TREATMENT/CRISIS PLANNING; OUTPATIENT MENTAL HEALTH/SUBSTANCE USE SERVICES; MEDICATION ASSISTED TREATMENT; TARGETED CASE MANAGEMENT; PEER AND FAMILY SUPPORTS; AND INTENSIVE COMMUNITY-BASED MENTAL HEALTH CARE FOR ARMED FORCES/VETERAN POPULATIONS). KEY PROJECT STRATEGIES INCLUDE EXPANDING ACCESS/AVAILABILITY OF SERVICES RESPONSIVE TO COMMUNITY NEEDS; MEANINGFUL INVOLVEMENT OF CONSUMERS/FAMILIES IN THEIR CARE; AND APPLYING A CONTINUOUS QUALITY IMPROVEMENT (CQI) APPROACH TO DRIVE IMPROVEMENTS AND SUSTAINABILITY. THE PROJECT’S INTERVENTIONS ADDRESS THE FULL ARRAY OF CONSUMERS’ BEHAVIORAL HEALTH NEEDS AND INCLUDE COGNITIVE BEHAVIORAL THERAPY, MOTIVATIONAL INTERVIEWING, ILLNESS MANAGEMENT AND RECOVERY, INTEGRATED DUAL DISORDER TREATMENT, ETC. C-CCBHCV2.0 WILL ACCOMPLISH THE FOLLOWING GOALS: 1) EXPAND AND IMPROVE DELIVERY OF COMPREHENSIVE, INTEGRATED, AND PERSON-CENTERED COMMUNITY-BASED MENTAL AND SUD SERVICES FOR THE TARGET POPULATION; 2) ENHANCE INFRASTRUCTURE/CAPACITY FOR A FULL CONTINUUM OF COORDINATED CARE; 3) INCREASE ACCESS TO/AVAILABILITY OF TIMELY SERVICES FOR THE TARGET POPULATION; 4) IMPLEMENT A MEASUREMENT-BASED CARE PROCESS TO ENSURE COMPREHENSIVE, EVIDENCE-BASED SERVICES AND SUPPORTS AND PRACTICES FOR WHOLE-PERSON WELLNESS AND RECOVERY; 5) IMPROVE HEALTH STATUS AND OUTCOMES FOR PROJECT CONSUMERS ENGAGED IN TREATMENT; AND 6) APPLY A CQI APPROACH TO DRIVE OUTCOME IMPROVEMENT AND ENSURE ONGOING SERVICE DELIVERY. PLANNED IMPROVEMENTS INCLUDE EXPANDING MAT SERVICES, ENHANCING STAFF RECRUITMENT/TRAINING/ RETENTION, AND REFINING THE COMMUNITY NEEDS ASSESSMENT PROCESS. AS A RESULT OF THESE GOALS/ IMPROVEMENTS, THE PROJECT WILL ACHIEVE THE FOLLOWING MEASURABLE CONSUMER-RELATED OBJECTIVES: DECREASE MENTAL HEALTH SYMPTOMATOLOGY AMONG 45%; DECREASE SUBSTANCE USE AMONG 45%; IMPROVE HOUSING STABILITY AMONG 80%; DELIVER INDIVIDUALIZED TREATMENT PLANS FOR 100%; PROVIDE EMPLOYMENT/EDUCATION CASE MANAGEMENT FOR 100%; REDUCE TOBACCO USE AMONG 30%; IMPROVE PHYSICAL HEALTH INDICATORS AMONG 75%; OFFER LINKAGE/REFERRAL FOLLOW-UP TO 100%; ACHIEVE 80% CONSUMER/FAMILY REPORTED SATISFACTION WITH THEIR EXPERIENCE OF CARE; AND ACHIEVE 80% 6-MONTH FOLLOW-UP RATE.

CARES 2.0 FUNDING FOR COVID19. THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

HEALTHY START INITIATIVE-ELIMINATING RACIAL/ETHNIC DISPARITIES

CENTERSTONE'S PROJECT LAUNCH (CPL) - CENTERSTONE’S PROJECT LAUNCH (CPL) WILL PROMOTE THE WELLNESS OF YOUNG CHILDREN (AGES 0-8), ACROSS 20 MIDDLE TENNESSEE COUNTIES, BY ADDRESSING THE SOCIAL, EMOTIONAL, COGNITIVE, PHYSICAL, AND BEHAVIORAL ASPECTS OF THEIR DEVELOPMENT. CPL WILL SERVE 1,510 UNDUPLICATED CHILDREN (AGES 0-8) AND THEIR PARENTS/CAREGIVERS (Y1: 103 CHILDREN AND 103 PARENTS/CAREGIVERS; Y2-5: 163 CHILDREN AND 163 PARENTS/CAREGIVERS ANNUALLY) AND INCREASE LOCAL CAPACITY FOR TARGETED CONSULTATION, INTERVENTION, PUBLIC AWARENESS, AND SERVICE COORDINATION. OVER 117,000 CATCHMENT AREA CHILDREN COMPRISE CPL’S FOCUS POPULATION, INCLUDING 52% MALE, 48% FEMALE, 73% WHITE, 7% AFRICAN AMERICAN, AND 10% HISPANIC/LATINO INDIVIDUALS. OF THE TOTAL RACIAL/ETHNIC MINORITY POPULATION LOCALLY (150,992), AN ESTIMATED 12% ARE UNEMPLOYED; 26% LIVE IN POVERTY; AND 41% EXPERIENCE FOOD INSECURITY. AN ESTIMATED 19% OF LOCAL CHILDREN, AGES 0-8, WILL HAVE 2+ ADVERSE CHILDHOOD EXPERIENCES (ACE) BY AGE 17. FOR CATCHMENT AREA ADULTS, 19% REPORT HAVING FREQUENT MENTAL DISTRESS VS 16% IN THE STATE AND 14% IN THE US, AND THE SUICIDE RATE (20/100,000) EXCEEDS THE STATE AND NATION. FOR THE 28,000+ LOCAL LGBT ADULTS, AN ESTIMATED 29% HAVE CHILDREN; 28% FACE FOOD INSECURITY; AND 30% EARN BELOW $24,000 YEARLY. TENNESSEE RANKS 49TH (1 IS BEST) FOR PREMATURE BIRTHS, 42ND FOR INFANT MORTALITY, AND STATEWIDE, ONLY 55% OF CHILDREN IN PRESCHOOL (AGES 3-5) ARE FUNCTIONING WITHIN AGE EXPECTATIONS BY AGE 6 FOR POSITIVE SOCIAL-EMOTIONAL SKILLS. CPL WILL IMPLEMENT THE PYRAMID MODEL FOR PROMOTING SOCIAL AND EMOTIONAL COMPETENCE IN INFANTS AND YOUNG CHILDREN. THIS EVIDENCE-BASED FRAMEWORK WILL GUIDE CPL IMPLEMENTATION OF ACTIVITIES, INCLUDING: EVIDENCE-BASED EARLY IDENTIFICATION AND CHILD/PARENT/CAREGIVER SCREENINGS/ASSESSMENTS IN HOMES, SCHOOLS, PRIMARY CARE PRACTICES, ETC.; CHILD/PARENT/CAREGIVER INTERVENTIONS, SUCH AS: HEALTHY FAMILIES AMERICA, GROWING GREAT KIDS TO 36 MONTHS AND PRESCHOOLERS CBT, TF-CBT, MOTIVATIONAL INTERVIEWING, DIALECTICAL BEHAVIORAL THERAPY, AND EMDR; PARENT/CAREGIVER/EDUCATOR/PROVIDER TRAINING USING PYRAMID FRAMEWORK, HEALTHY OUTCOMES FROM POSITIVE EXPERIENCES, AND POSITIVE SOLUTIONS FOR FAMILIES; MENTAL HEALTH CONSULTATION FOR SCHOOLS, PRIMARY CARE PRACTICES, AND THE COMMUNITY; YCWC MEMBERSHIP AND RESOURCE ENHANCEMENT; BROAD SYSTEM COLLABORATIONS; AND A TARGETED PUBLIC AWARENESS COMMUNICATIONS CAMPAIGN. CPL GOALS INCLUDE ESTABLISHING INFRASTRUCTURE, INCREASING EARLY IDENTIFICATION, INCREASING CAPACITY TO DISSEMINATE EARLY CHILDHOOD MENTAL HEALTH PRACTICES/SERVICES, IMPROVING LOCAL SYSTEM COORDINATION/COLLABORATIONS AND PUBLIC AWARENESS, AND DEVELOPING/DISSEMINATING A REPLICABLE MODEL. CPL WILL ACHIEVE THE FOLLOWING MEASURABLE OBJECTIVES: PROVIDE PYRAMID MODEL SERVICES FOR AN UNDUPLICATED 1,510 CHILDREN AND THEIR PARENTS/CAREGIVERS; IMPROVE SOCIAL, EMOTIONAL, COGNITIVE, PHYSICAL, AND/OR BEHAVIORAL FUNCTIONING AMONG 75% OF CHILD PARTICIPANTS; ENHANCE EXISTING YCWC MEMBERSHIP TO ENSURE 10% COMPRISES FAMILY/CAREGIVERS; FORMALIZE PARTNERSHIPS WITH 55 SCHOOLS/EARLY EDUCATION CENTERS; PROVIDE MENTAL HEALTH CONSULTATION AND EDUCATION FOR 1,000 EARLY CHILDCARE AND EDUCATION PROVIDERS/SCHOOL PERSONNEL; PROVIDE PREVENTION, MENTAL HEALTH PROMOTION, AND MENTAL HEALTH PRACTICES EDUCATION/TRAINING FOR 755 PARENTS/CAREGIVERS; INCREASE KNOWLEDGE AMONG 90% OF PARENTS/CAREGIVERS WHO COMPLETE EDUCATION/TRAINING; ESTABLISH REFERRAL PROTOCOLS WITH 100 PRIMARY CARE PROVIDERS; PROVIDE PREVENTION/MENTAL HEALTH PROMOTION EDUCATION/TRAINING FOR 500 PRIMARY CARE PERSONNEL; INCREASE KNOWLEDGE AND/OR SKILLS AMONG 90% OF PRIMARY CARE PERSONNEL; EDUCATE 3,600 COMMUNITY MEMBERS ON CHILD DEVELOPMENT, HEALTH, WELLNESS, AND OUTREACH; PROMOTE EARLY CHILDHOOD DEVELOPMENT, MENTAL HEALTH, AND OUTREACH FOR 20,000 COMMUNITY MEMBERS.

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

HOMELESS PREVENTION

CARES FUNDING FOR COVID19. THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

CENTERSTONE'S HEALTHY YOU(TH) (HY)

CENTERSTONE'S ENGAGEMENT AND TREATMENT SERVICES (CETS)

REALIVES: RECOVERY, EMPOWERMENT, AND ADVANCING LIFE

CENTERSTONE SUBSTANCE ABUSE TREATEMENT AND HIV SERVICES

CENTERSTONE TRAUMA TREATMENT AND TRAINING (CT3)- TENNESSEE - CENTERSTONE TRAUMA TREATMENT AND TRAINING (CT3) WILL INCREASE CAPACITY FOR AND ACCESS TO TRAUMA-FOCUSED TREATMENT AND SERVICES IN 8 COUNTIES (CHEATHAM, DICKSON, HOUSTON, HUMPHREYS, MONTGOMERY, AND STEWART, TENNESSEE; CHRISTIAN AND TRIGG, KENTUCKY) FOR 400 CHILDREN/ADOLESCENTS AND THEIR FAMILIES WHO EXPERIENCE TRAUMATIC EVENTS, PARTICULARLY CHILDREN OF ACTIVE DUTY MILITARY AND VETERAN FAMILIES, INCLUDING THOSE IN RURAL AREAS (YR. 1: 60; YRS. 2-5: 85, ANNUALLY). THE FOCUS POPULATION WILL INCLUDE CHILDREN/ADOLESCENTS FROM AMONG AN ESTIMATED 21,000 ACTIVE DUTY MILITARY FAMILIES AND 18,000 VETERAN HOUSEHOLDS IN THE AREA. FOCUS POPULATION DEMOGRAPHICS ARE EXPECTED TO MIRROR THOSE OF THE CATCHMENT AREA, WITH 52% MALE, 48% FEMALE, 71% WHITE, 19% AFRICAN AMERICAN, 9% HISPANIC/LATINO, AND 42.5% RURAL CHILDREN/ADOLESCENTS. CONSISTENT WITH TENNESSEE YOUTHS' CLINICAL CHARACTERISTICS, ROUGHLY 12,600 (17%) AREA CHILDREN WILL EXPERIENCE 2+ ADVERSE CHILDHOOD EXPERIENCES (VS. 15% NATIONALLY). APPROXIMATELY 13,800 AREA CHILDREN ARE EXPECTED TO EXPERIENCE A SERIOUS EMOTIONAL DISTURBANCE DUE TO TRAUMA, AND 4,000 YOUTH ARE EXPECTED TO HAVE A SUBSTANCE USE DISORDER. TRAUMA RISK FACTORS AMONG AREA CHILDREN INCLUDE FOOD INSECURITY AMONG AN ESTIMATED 21,000+; LACK OF INSURANCE AMONG 10,500; AND CHRONIC ABSENTEEISM AMONG 8,500 K-12 STUDENTS. NEARLY HALF (45%) OF CATCHMENT AREA CHILDREN OF VETERANS WILL EXPERIENCE TRAUMA RELATED TO PARENTAL POST-TRAUMATIC STRESS DISORDER. CT3’S STRATEGIES INCLUDE DEVELOPING/MAINTAINING LOCAL CAPACITY TO IMPLEMENT TRAUMA-INFORMED PRACTICES AND PROVIDE EVIDENCE-BASED/INFORMED TRAUMA TREATMENT INTERVENTIONS APPROPRIATE TO THE FOCUS POPULATION. CT3 WILL IMPLEMENT EVIDENCE-BASED/INFORMED ASSESSMENT-BASED TREATMENT FOR TRAUMATIZED CHILDREN: TRAUMA ASSESSMENT PATHWAY (TAP), TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY (TF-CBT), PARENT-CHILD INTERACTION THERAPY (PCIT), CHILD-PARENT PSYCHOTHERAPY (CPP), AND DIMENSIONS TOBACCO FREE PROGRAM TREATMENT MODELS, AS WELL AS YOUTH MENTAL HEALTH FIRST AID (YMHFA) AND NURTURING PARENTING TRAINING/EDUCATION. SERVICES/STRATEGIES INCLUDE DIRECT TRAUMA/TREATMENT SERVICES, THERAPY, CARE MANAGEMENT, PROFESSIONAL TRAINING AND COMMUNITY EDUCATION, OUTREACH/ENGAGEMENT, SCREENING AND ASSESSMENT, AND LINKAGES TO SUPPORTS/SERVICES. PROJECT GOALS INCLUDE: 1) ESTABLISH A COMMUNITY-BASED, CULTURALLY COMPETENT PROGRAM TO PROVIDE AND INCREASE ACCESS TO TRAUMA-FOCUSED TREATMENT/SERVICES; 2) DEVELOP INFRASTRUCTURE AND COMMUNITY CAPACITY TO IMPLEMENT SERVICES; 3) IMPROVE THE HEALTH STATUS AND OUTCOMES FOR YOUNG CHILDREN (AGES 0-9) AND CHILDREN/ADOLESCENTS (AGES 10-17); AND 4) DEVELOP/DISSEMINATE A REPLICABLE SERVICE MODEL. MEASURABLE OBJECTIVES INCLUDE: DECREASED BEHAVIORAL HEALTH CONCERNS AND IMPROVED SOCIAL/EMOTIONAL FUNCTIONING FOR CHILDREN AGES 0-9; DECREASED RISK FACTORS AND MENTAL HEALTH SYMPTOMATOLOGY RELATED TO TRAUMA, REDUCED 30-DAY CRIMINAL/JUVENILE JUSTICE INVOLVEMENT AMONG CLIENTS INVOLVED IN THE CRIMINAL/JUVENILE JUSTICE SYSTEM, AND INCREASED PSYCHOSOCIAL WELLBEING, QUALITY OF LIFE, AND PROTECTIVE FACTORS FOR ADOLESCENTS AGES 10-17; AND IMPROVED FAMILY FUNCTIONING, INCREASED ACCESS TO TRAUMA-FOCUSED TREATMENT, AND 80% PARTICIPANT RETENTION RATE FOR ALL CLIENTS. CT3 HAS SECURED COMMITMENTS FROM PARTNERS DEDICATED TO THE PROJECT’S SUCCESS, AND WILL COLLABORATE WITH CHILD WELFARE ORGANIZATIONS, VETERAN-SERVING ORGANIZATIONS, LAW ENFORCEMENT, GOVERNMENT, AND OTHER PROVIDER/SOCIAL SERVICE AGENCIES.

CENTERSTONE'S ZERO SUICIDE INITIATIVE (ZSI)

CENTERSTONE INTEGRATED TREATMENT, CARE, AND PREVENTION (ITCP)

NASHVILLE-DAVIDSON COUNTY INTEGRATED COMMUNITY SERVICES (NDCICS)

PROJECT REAL CENTERSTONE'S ADOLESCENT SUBSTANCE ABUSE & HIV PREVENTION INITIATIVE

CENTERSTONE INTEGRATED CARE SOLUTIONS (ICS) PROJECT

BE HEALTHY

CENTERSTONE'S 988 CRISIS CENTER FOLLOW-UP PROGRAM (C-CCFP) - CENTERSTONE’S CRISIS CENTER FOLLOW-UP PROGRAM (C-CCFP) WILL EXPAND EFFORTS WITHIN CENTERSTONE’S 988 LIFELINE CRISIS CENTER, WHICH PROVIDES FOLLOW-UP IN 20 PRIMARY, MAINLY RURAL COUNTIES AND BACKUP IN 2 SECONDARY, URBAN COUNTIES IN TENNESSEE. C-CCFP WILL DEVELOP INFRASTRUCTURE TO SUPPORT ENGAGEMENT POST-CRISIS IN ENHANCED FOLLOW-UP AND SUPPORT/LINKAGES FOR CONSENTING PERSONS FROM AN ANTICIPATED 10,010 LIFELINE CALLERS (Y1:2,730; Y2-3: 3,640/YR.). FOCUS POPULATION DEMOGRAPHICS/SOCIOECONOMICS ARE EXPECTED TO MIRROR THOSE OF THE PRIMARY CATCHMENT AREA (E.G., NEARLY 50% MALE; 50% FEMALE; 82% WHITE; 9% BLACK; 7% HISPANIC/LATINO INDIVIDUALS; 13% IN POVERTY). THE SECONDARY AREA COMPRISES A GREATER PERCENTAGE OF RACIAL/ETHNIC MINORITIES AND PERSONS IN POVERTY. C-CCFP WILL SERVE SUBPOPULATIONS FROM AMONG THE AREAS’ RURAL RESIDENTS (537,230); VETERANS (148,500); MINORITY COMMUNITIES (E.G., 1,028,245 RACIAL/ETHNIC MINORITIES AND/OR 95,570 LGBT ADULTS/YOUTH); AND CRIMINAL JUSTICE POPULATION (E.G., 13,785 JUVENILE COURT YOUTH; 7,530 RELEASED JAIL INMATES). FROM 2016-18, CATCHMENT AREA CALLS TO THE NATIONAL SUICIDE PREVENTION LIFELINE INCREASED BY 73%, AND SINCE 988’S LAUNCH IN JULY 2022, CENTERSTONE HAS RECEIVED 6,000+ CALLS, WITH 23% REPORTING SUICIDAL THOUGHTS. CATCHMENT AREA POPULATIONS AT HIGH-RISK OF SUICIDE INCLUDE AN ESTIMATED 5% (96,480) OF ADULTS AND 13% (24,920) OF YOUTH AGES 12-17 WHO HAD SUICIDAL THOUGHTS. SUBPOPULATIONS AT HEIGHTENED RISK OF SUICIDE INCLUDE AN ESTIMATED 4,455 OF VETERANS, 10,983 OF LGB ADULTS, AND 770 ADULTS ON PROBATION WITH SERIOUS THOUGHTS OF SUICIDE. C-CCFP’S ENHANCED FOLLOW-UP PROTOCOLS WILL BE GUIDED BY EVIDENCE-BASED STRATEGIES/BEST PRACTICES SUCH AS SAMHSA’S STANDARDS AND THE NATIONAL GUIDELINES FOR BEHAVIORAL HEALTH CRISIS CARE AND WILL INCLUDE EVIDENCE-BASED APPROACHES SUCH AS THE COLUMBIA-SUICIDE SEVERITY RATING SCALE FOR SCREENING; STANLEY BROWN FOR SAFETY PLANNING; AND MOTIVATIONAL INTERVIEWING TO ENCOURAGE SERVICE ACCESS/ENGAGEMENT. C-CCFP’S GOALS INCLUDE: (1) DEVELOP A SOUND INFRASTRUCTURE AND INCREASED CAPACITY TO DELIVER ENHANCED CRISIS FOLLOW-UP SERVICES; (2) INCREASE COORDINATION BETWEEN AND CAPACITY WITHIN MEMBERS OF THE LOCAL CRISIS CARE CONTINUUM; (3) IMPLEMENT SYSTEMATIC ENHANCED POST-CRISIS FOLLOW-UP SERVICES FOR A MINIMUM PERIOD OF 90 DAYS UP TO 12 MONTHS TO SUPPORT SUICIDAL INDIVIDUALS POST-988 CONTACT; (4) IMPROVE CONTINUITY OF CARE, SAFETY, AND WELL-BEING OUTCOMES AMONG INDIVIDUALS AT RISK OF SUICIDE FOLLOWING CONTACT; AND (5) DEVELOP/DISSEMINATE A DOCUMENTED SERVICE MODEL FOR AGENCY-WIDE AND NATIONAL REPLICATION/ ADOPTION. AS A RESULT OF THESE GOALS, C-CCFP WILL ACHIEVE THE FOLLOWING MEASURABLE CRISIS WORKFORCE AND CAPACITY BUILDING OBJECTIVES: HIRE/TRAIN 3 PROJECT STAFF, TO INCLUDE PEERS, IN CULTURALLY RESPONSIVE CARE, INTERSECTIONS OF SERVICE ACCESS/SOCIAL DETERMINANTS OF HEALTH; DEVELOP/FORMALIZE PARTNERSHIPS WITH 40 LOCAL CRISIS CONTINUUM PROVIDERS AND 22 POST-CRISIS RECOVERY SUPPORT PROVIDERS; SHARE PROGRAM PROCESSES WITH STATE PERSONNEL SEMI-ANNUALLY; ESTABLISH DATA SHARING AGREEMENTS WITH 1 EPIDEMIOLOGICAL RECORDS TEAM; WORK TO ESTABLISH A PARTNERSHIP WITH 3 AREA MOBILE CRISIS OUTREACH AND 3 SHORT-TERM CRISIS STABILIZATION ORGANIZATIONS; AND OFFER TRAINING TO 300 CENTERSTONE AND OTHER CRISIS WORKFORCE MEMBERS. C-CCFP WILL ACHIEVE THE FOLLOWING MEASURABLE PARTICIPANT-RELATED OBJECTIVES: ENROLL 100% OF CONSENTING PERSONS IN FOLLOW-UP; INITIATE FOLLOW-UP WITHIN 24 HOURS FOR AND REQUEST DOCUMENTED CONSENT FROM 100%; PROVIDE INITIAL SCREENING, SAFETY PLANNING, AND REFERRAL TO CRISIS/POST-CRISIS RECOVERY SERVICES FOR 100%; CONDUCT 3+ FOLLOW-UP ATTEMPTS AND COMPLETE 2+ FOLLOW-UP CONNECTIONS PER PARTICIPANT; INCREASE NUMBER ACCESSING SERVICES BY 50%; ACHIEVE 0 SUICIDE DEATHS AND 0 ATTEMPTS AMONG THOSE ENGAGING IN SERVICES; ACHIEVE ANNUAL PERCENTAGE OF CONTACTS REQUIRING POLICE ENGAGEMENT OF 5%; AND IMPROVE MENTAL HEALTH/DISPOSITION OUTCOMES BY 70%.

CENTERSTONE MAT SERVICES (C-MAT)

CENTERSTONE?S LGBTQI+ FAMILY SUPPORT PROGRAM (FAMILY+) - CENTERSTONE’S LGBTQI+ FAMILY SUPPORT PROGRAM (FAMILY+) WILL PREVENT HEALTH/BEHAVIORAL HEALTH RISKS AND PROMOTE WELL-BEING THROUGH STAFF AND COMMUNITY TRAININGS ON LGBTQI+ COMPETENT TREATMENT, OUTREACH/ENGAGEMENT, AND NON-TRADITIONAL HOLISTIC SUPPORT ACTIVITIES FOR AN UNDUPLICATED TOTAL OF 230 LGBTQI+ YOUTH AND THEIR FAMILIES RESIDING IN BLADEN, CUMBERLAND, HOKE, ROBESON, HARNETT, LEE, MECKLENBURG, AND SAMPSON COUNTIES, NORTH CAROLINA (I.E., Y1:60; Y2-3: 85/YR.). SERVICES WILL BE DELIVERED AT CENTERSTONE’S STEVEN A. COHEN MILITARY FAMILY CLINIC IN FAYETTEVILLE, NORTH CAROLINA, HOME TO FORT LIBERTY ARMY BASE (FORMERLY FT. BRAGG), THE LARGEST US ARMY INSTALLATION, AND POPE AIR FORCE BASE. FAMILY+ WILL PLACE A KEY EMPHASIS ON SERVING FOCUS POPULATION YOUTH FROM AMONG THE AREA'S ESTIMATED 37,800 CHILDREN OF ACTIVE DUTY MILITARY MEMBERS AND 82,475 VETERAN HOUSEHOLDS WITH CHILDREN. FOCUS POPULATION DEMOGRAPHICS ARE EXPECTED TO MIRROR THOSE OF THE CATCHMENT AREA: 49% MALE, 51% FEMALE, 46% WHITE, 30% BLACK/AFRICAN AMERICAN, AND 15% HISPANIC/LATINO INDIVIDUALS. AN ESTIMATED 275,260 AREA INDIVIDUALS LIVE IN POVERTY, 210,840 DID NOT GRADUATE HIGH SCHOOL, 230,360 ARE UNINSURED, AND 220,600 HAVE A DISABILITY. COMPARED TO THEIR HETEROSEXUAL PEERS, 23% OF NORTH CAROLINA’S LGBT YOUTH REPORT ELECTRONIC BULLYING (VS. 10%); 29% DON’T GO TO SCHOOL/FEEL UNSAFE THERE (VS. 13%); 25% EXPERIENCED SEXUAL VIOLENCE (VS. 11%); 68% FELT SAD/HOPELESS (VS. 35%); AND 48% CONSIDERED SUICIDE (VS. 15%). FAMILY+ WILL IMPLEMENT EVIDENCE-BASED STRATEGIES/INTERVENTIONS, INCLUDING SCREENING/ REFERRAL PROTOCOLS (E.G., SDQ, PHQ, C-SSRS FOR THOSE UNDER 18; PHQ, GAD, PRIMARY CARE POST-TRAUMATIC STRESS DISORDER [PC PTSD], QUALITY OF LIFE ENJOYMENT AND SATISFACTION QUESTIONNAIRE [QLES], C-SSRS RECENT FOR 18+; AND CRAFFT FOR AGES 12-21) AND FAMILY COUNSELING INTERVENTIONS (I.E., AFFIRM COGNITIVE BEHAVIORAL THERAPY [AFFIRM CBT], TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY [TF- CBT], EMOTIONALLY FOCUSED THERAPY [EFST], AFFIRM CAREGIVER, YOUTH MENTAL HEALTH FIRST AID [YMHFA]). FAMILY+ GOALS INCLUDE: (1) DEVELOP/IMPLEMENT AN OUTREACH/ENGAGEMENT PLAN TO CONNECT LGBTQI+ YOUTH AND THEIR FAMILIES WITH COUNSELING AND SUPPORTS; (2) DEVELOP/IMPLEMENT A PUBLIC AWARENESS COMMUNICATIONS PLAN TO ENGAGE FAMILIES OF LGBTQI+ YOUTH; (3) DEVELOP/IMPLEMENT SCREENING AND REFERRAL PROTOCOLS TO IDENTIFY LGBTQI+ YOUTH AND THEIR FAMILIES NEEDING SUPPORTS; (4) IDENTIFY/COORDINATE REFERRAL PATHWAYS WITH COMMUNITY-BASED SERVICE PROVIDERS FOR LGBTQI+ YOUTH REFERRED TO THE FAMILY COUNSELING PROGRAM; (5) DEVELOP/IMPLEMENT A TRAINING AND WORKFORCE DEVELOPMENT PLAN ON EVIDENCE-BASED FAMILY COUNSELING INTERVENTION(S); (6) IMPLEMENT EVIDENCE-BASED FAMILY COUNSELING INTERVENTIONS; (7) COORDINATE EFFORTS AND ACCESS RELEVANT TECHNICAL ASSISTANCE (TA) AND RESOURCES; AND (8) DEVELOP/DISSEMINATE A THOROUGHLY DOCUMENTED MODEL FOR REPLICATION/ADOPTION. AS A RESULT OF THESE GOALS, FAMILY+ WILL ACHIEVE THE FOLLOWING MEASURABLE WORKFORCE AND PARTICIPANT-RELATED OBJECTIVES: ENSURE 100% OF FAMILY+ STAFF ARE CULTURALLY COMPETENT AND TRAINED IN EBPS; PROVIDE OUTREACH/ENGAGEMENT, NON-TRADITIONAL/HOLISTIC SUPPORTS, AND LGBTQI+ AFFIRMING INTERVENTIONS FOR 230 YOUTH AND THEIR FAMILIES; SCREEN/ASSESS 100% OF PARTICIPANTS AND CAREGIVERS FOR BEHAVIORAL HEALTH AND/OR SOCIAL DETERMINANTS OF HEALTH CONCERNS; TRIAGE 100% INTO APPROPRIATE INTERVENTIONS; OFFER 100% PEER/FAMILY SUPPORTS; DEVELOP INDIVIDUAL TREATMENT/SAFETY PLANS FOR 100%; COORDINATE REFERRALS AND/OR EMERGENCY SERVICES FOR 100% IN NEED; PROVIDE CASE MANAGEMENT FOR 100% IN NEED; TRAIN 100 STAFF/PROVIDERS IN EVIDENCE-BASED INTERVENTIONS AND DELIVER 15 TRAININGS ON THE IMPACT OF TRAUMA; REDUCE TRAUMA-RELATED MENTAL HEALTH SYMPTOMS AMONG 60%; INCREASE WELLBEING AND LIFE QUALITY AMONG 80%; IMPROVE FAMILY FUNCTIONING AMONG 50%; ACHIEVE 80% RETENTION RATE; AND ACHIEVE CARE SATISFACTION AMONG 80%.

PROJECT FREE:CENTERSTONE'S CRIMINAL JUSTICE TREATMENT INITIATIVE

HEALTH HOME TENNESSEE (HHTN)

CENTERSTONE'S TREATMENT AND RECOVERY COURT (C-TRC) - CENTERSTONE’S TREATMENT AND RECOVERY COURT (C-TRC) WILL EXPAND SUBSTANCE USE DISORDER (SUD) TREATMENT AND RECOVERY SUPPORT SERVICES IN EXISTING DRUG COURTS FOR AN UNDUPLICATED 200 ADULTS (I.E., YRS. 1-5: 40, ANNUALLY) DIAGNOSED WITH SUD AS THEIR PRIMARY CONDITION PARTICIPATING IN PARTNERING COURTS, THE 17TH JUDICIAL DISTRICT MISDEMEANOR AND FELONY RECOVERY COURTS AND LINCOLN COUNTY RECOVERY COURT, WITHIN THE CATCHMENT AREA OF BEDFORD, LINCOLN, MARSHALL, AND MOORE COUNTIES, TENNESSEE. FOCUS POPULATION DEMOGRAPHICS ARE EXPECTED TO MIRROR THOSE OF CURRENT DRUG COURT PROGRAM PARTICIPANTS, WITH 57% MALE; 43% FEMALE; 95% WHITE; AND 5% BLACK INDIVIDUALS. AN ESTIMATED 310 IN THE LOCAL CRIMINAL JUSTICE SYSTEM WILL BE ELIGIBLE FOR DRUG COURT PARTICIPATION; OF THOSE, UP TO 30% (93) ARE ANTICIPATED TO HAVE OPIOID USE DISORDER (OUD) AND UP TO 40% (124), CO-OCCURRING SUD AND MENTAL HEALTH DISORDERS (COD). OF THE 120+ WITH COD; AN ESTIMATED 74% WILL EXPERIENCE ANXIETY AND 68.5%, DEPRESSION; UP TO 49% WITH COD ARE EXPECTED TO BE UNSTABLY HOUSED. IN 2020, 12% OF HIV CASES IN BEDFORD WERE ATTRIBUTED TO INJECTION DRUG USE VS. 7% OF THE STATE’S; PER PUBLIC HEALTH SURVEILLANCE, THE FOCUS POPULATION IN LINCOLN AND MARSHALL EXPERIENCE INCREASED RISK OF HIV/HEPATITIS C VIRUS DUE TO INJECTION DRUG USE. C-TRC’S EVIDENCE-BASED STRATEGIES/INTERVENTIONS INCLUDE NADCP’S DEFINING DRUG COURTS: THE KEY COMPONENTS, NHRC’S HARM REDUCTION PRINCIPLES, AND SAMHSA’S TIP 59: IMPROVING CULTURAL COMPETENCE TO GUIDE ACTIVITIES; HAZELDEN’S MATRIX MODEL AND COD PROGRAM, MORAL RECONATION THERAPY, DIALECTICAL BEHAVIOR THERAPY, SEEKING SAFETY, AND MEDICATION ASSISTED TREATMENT ACCORDING TO SAMHSA’S TIP 63: MEDICATIONS FOR OUD AND TIP 49: INCORPORATING ALCOHOL PHARMACOTHERAPIES INTO MEDICAL PRACTICE TO TREAT SUD/COD; TASC CASE MANAGEMENT MODEL TO GUIDE CASE MANAGEMENT; AND SAMHSA’S OPIOID OVERDOSE PREVENTION TOOLKIT TO GUIDE/INFORM HARM REDUCTION SERVICES AND EDUCATION. C-TRC’S GOALS INCLUDE: (1) IMPLEMENT A COMPREHENSIVE PROJECT TO EXPAND ACCESS TO SUD TREATMENT AND RECOVERY SUPPORT SERVICES, INCLUDING HARM REDUCTION SERVICES; (2) DEVELOP A SOUND INFRASTRUCTURE/CAPACITY TO EXPAND, ENHANCE, AND SUSTAIN SERVICES; (3) USE EVIDENCE-BASED/BEST PRACTICE TREATMENT & CASE MANAGEMENT PLANNING TO ADDRESS BEHAVIORAL HEALTH DISPARITIES; SOCIAL DETERMINANTS OF HEALTH; AND DIVERSITY EQUITY, INCLUSION, AND ACCESSIBILITY; (4) IMPROVE CLIENT HEALTH STATUS AND OUTCOMES VIA EVIDENCE-BASED, POPULATION APPROPRIATE TREATMENT SERVICES; AND (5) DEVELOP/DISSEMINATE A DOCUMENTED SERVICE MODEL FOR AGENCY REPLICATION/ADOPTION THROUGHOUT THE STATE. AS A RESULT OF THESE GOALS, C-TRC WILL ACHIEVE THE FOLLOWING MEASURABLE OBJECTIVES: TRAIN 5 PROJECT STAFF AND 50 OTHER PROVIDERS IN SUD/COD IDENTIFICATION, CULTURALLY-/LINGUISTICALLY-APPROPRIATE CARE, HARM REDUCTION, AND RELAPSE PREVENTION; PROVIDE/FACILITATE COMPREHENSIVE SCREENING/ASSESSMENT, DRUG TESTING, TREATMENT AND CASE MANAGEMENT PLANS, AND EVIDENCE-BASED SUD TREATMENT FOR AN UNDUPLICATED 200 FOCUS POPULATION ADULTS; ESTABLISH AN ADVISORY COUNCIL COMPRISING 20% FOCUS POPULATION/FAMILIES, COURT STAFF, ETC.; CONDUCT 5 POLICY/PROCEDURE REVIEWS WITH PARTNERING COURTS; OUTREACH TO 200 COMMUNITY ORGANIZATIONS/STAKEHOLDERS; DEVELOP A SUSTAINABILITY PLAN WITH LINKAGES TO 2 FUNDING MECHANISMS; LINK 100% OF THOSE IN NEED TO APPROPRIATE RESOURCES (E.G., HOUSING/RECOVERY HOUSING, EMPLOYMENT/SKILLS TRAINING, TRANSPORTATION, LANGUAGE ACCESS SERVICES); INCREASE SUBSTANCE USE ABSTINENCE AMONG 70%; REDUCE CONSEQUENCE OF SUBSTANCE USE AMONG 75%; REDUCE MENTAL HEALTH SYMPTOMS AMONG 60% WITH COD; REDUCE TOBACCO/NICOTINE USE AMONG 50% WITH SUCH GOALS; IMPROVE EMPLOYMENT/EDUCATION STATUS AMONG 60% WHO RECEIVED SUCH SERVICES; IMPROVE HOUSING STABILITY AMONG 60% WHO RECEIVED SUCH SUPPORTS; REDUCE PAST 30-DAY CRIMINAL JUSTICE INVOLVEMENT AMONG 60%; IMPROVE INDIVIDUAL/FAMILY FUNCTIONING AMONG 70%; INCREASE SOCIAL CONNECTEDNESS AMONG 70%; AND ACHIEVE AN 80% FOLLOW-UP RATE.

PROJECT SELF-NASHVILLE

VA SUPPORTIVE SERVICES FOR VETERAN FAMILIES PROGRAM

CARES FUNDING FOR COVID19. THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

TENNESSEE E-ROSC

HOMELESS PREVENTION

CENTERSTONE’S TREATMENT AND RECOVERY COURT (C-TRC) AT THE 22ND JUDICIAL DISTRICT - CENTERSTONE’S TREATMENT AND RECOVERY COURT (C-TRC) WILL EXPAND SUBSTANCE USE DISORDER (SUD) TREATMENT AND RECOVERY SUPPORT SERVICES IN GILES, LAWRENCE, MAURY, AND WAYNE COUNTIES, TENNESSEE. C-TRC WILL SERVE AN UNDUPLICATED 200 ADULTS (AGES 18+) WITH SUD AS THEIR PRIMARY CONDITION PARTICIPATING IN TENNESSEE’S 22ND JUDICIAL DISTRICT RECOVERY COURT (I.E., Y1-5: 40, YEARLY). FOCUS POPULATION DEMOGRAPHICS ARE EXPECTED TO MIRROR THOSE OF CURRENT DRUG COURT PARTICIPANTS, WITH 47% MALE, 53% FEMALE, 91% WHITE, AND 3% BLACK INDIVIDUALS. EACH YEAR, THE COURT SERVES 34 AND ANOTHER 76 MAY BE ELIGIBLE FOR DRUG COURT PARTICIPATION; OF THOSE, AT LEAST 30% (10) ARE EXPECTED TO HAVE OPIOID USE DISORDER (OUD) AND UP TO 40% (14), CO-OCCURRING SUD AND MENTAL HEALTH DISORDERS (COD). AT RATES PER 100,000, BLACK/AFRICAN AMERICANS (AGES 15-64) IN LAWRENCE REPRESENT 1,067 OF THE POPULATION YET 6,063 OF THOSE INCARCERATED (VS. WHITE INDIVIDUALS AT 92,716 YET 1,100). THE 62 UNSHELTERED HOMELESS INDIVIDUALS IN THE TN-503 CONTINUUM OF CARE, WHICH INCLUDES ALL C-TRC COUNTIES, ARE 9 TIMES MORE LIKELY TO SPEND TIME IN JAIL THAN THOSE IN SHELTERS; FROM 2013-2019, ADULT INCARCERATION RATES INCREASED IN RURAL AREAS (26%), WHILE URBAN (-22%) AND SUBURBAN (-6%) RATES DECREASED. IN THE U.S., COMPARED TO ADULTS OVERALL, 3 TIMES AS MANY LGB ADULTS ARE INCARCERATED AND 7% (VS. 4%) HAD PAST YEAR OPIOID MISUSE. C-TRC’S CULTURALLY APPROPRIATE AND EVIDENCE-BASED STRATEGIES WILL BE IMPLEMENTED IN ALIGNMENT WITH NADCP’S DEFINING DRUG COURTS: KEY COMPONENTS AND GUIDED BY SAMHSA’S HARM REDUCTION FRAMEWORK AND TIP 59: IMPROVING CULTURAL COMPETENCE. TREATMENT INTERVENTIONS INCLUDE THE MATRIX MODEL FOR CRIMINAL JUSTICE SETTINGS AND WILL BE COMPLEMENTED BY HAZELDEN’S CO-OCCURRING DISORDERS PROGRAM; MORAL RECONATION THERAPY; DIALECTICAL BEHAVIOR THERAPY; SEEKING SAFETY; PARENT MANAGEMENT TRAINING; MEDICATION ASSISTED TREATMENT, AS GUIDED BY SAMHSA’S TIP 63: MEDICATIONS FOR OUD AND TIP 49: INCORPORATING ALCOHOL PHARMACOTHERAPIES INTO MEDICAL PRACTICE; AND DIMENSIONS: TOBACCO FREE ADVANCED TECHNIQUES PROGRAM. CASE MANAGEMENT SERVICES WILL BE GUIDED BY THE TASC SPECIALIZED CASE MANAGEMENT MODEL, AND SAMHSA’S OPIOID OVERDOSE PREVENTION AND RESPONSE TOOLKIT WILL INFORM HARM REDUCTION EDUCATION. C-TRC’S GOALS INCLUDE: 1) IMPLEMENT A COMPREHENSIVE PROJECT TO EXPAND ACCESS TO SUD TREATMENT AND RECOVERY SUPPORT SERVICES; 2) IMPLEMENT CAPACITY-BUILDING ACTIVITIES TO EXPAND, ENHANCE, AND SUSTAIN SERVICES; 3) USE EVIDENCE-BASED TREATMENT & CASE MANAGEMENT PLANNING (TCMP) TO ADDRESS BEHAVIORAL HEALTH DISPARITIES; SOCIAL DETERMINANTS OF HEALTH; AND DIVERSITY EQUITY, INCLUSION, AND ACCESSIBILITY; 4) IMPROVE CLIENT HEALTH STATUS/OUTCOMES VIA EVIDENCE-BASED, POPULATION APPROPRIATE TREATMENT SERVICES; AND 5) DEVELOP/DISSEMINATE A DOCUMENTED SERVICE MODEL FOR AGENCY REPLICATION/ADOPTION THROUGHOUT THE STATE. C-TRC WILL ACHIEVE THE FOLLOWING MEASURABLE OBJECTIVES: PROVIDE TRAINING FOR 5 C-TRC STAFF AND 50 CENTERSTONE/OTHER PROVIDERS IN SUD/COD IDENTIFICATION, CULTURALLY/LINGUISTICALLY-APPROPRIATE CARE, HARM REDUCTION, AND RELAPSE PREVENTION; PROVIDE/FACILITATE COMPREHENSIVE SCREENING/ASSESSMENT, DRUG TESTING, TCMP, AND EVIDENCE-BASED SUD TREATMENT FOR AN UNDUPLICATED 200 FOCUS POPULATION ADULTS; LINK 100% OF THOSE IN NEED TO APPROPRIATE RESOURCES (E.G., HOUSING/RECOVERY HOUSING, EMPLOYMENT, TRANSPORTATION, LANGUAGE ACCESS SERVICES); INCREASE SUBSTANCE USE ABSTINENCE AMONG 70%; REDUCE MENTAL HEALTH SYMPTOMS AMONG 60% WITH COD; REDUCE TOBACCO/NICOTINE USE AMONG 30% WITH SUCH GOALS; IMPROVE EMPLOYMENT/EDUCATION STATUS AMONG 60% WHO RECEIVED SUCH SERVICES; IMPROVE HOUSING STABILITY AMONG 60% WHO RECEIVED SUCH SUPPORTS; REDUCE PAST 30-DAY CRIMINAL JUSTICE INVOLVEMENT AMONG 60%; IMPROVE INDIVIDUAL/FAMILY FUNCTIONING AMONG 70%; INCREASE SOCIAL CONNECTEDNESS AMONG 70%; AND RETAIN 60% IN SERVICE FOR TREATMENT/COMPLETION.

CENTERSTONE?S PATHWAYS AND TREATMENT FOR HEALING AND HOPE (PATH) - CENTERSTONE’S PATHWAYS AND TREATMENT FOR HEALING AND HOPE (PATH)

CENTERSTONE EMERGENCY RESPONSE SUICIDE PREVENTION (TN-ERSP)

HAMILTON COMMUNITY CAPACITY FOR PREVENTION AND EDUCATION (HCCPE)

CENTERSTONE INTERACTIVE RECOVERY (I-RECOVER)

METHAMPHETAMINE AWARENESS AND PREVENTION (MAP)

HAMILTON COMMUNITY CAPACITY FOR PREVENTION AND EDUCATION (HCCPE)

CLARKSVILLE HOMELESS ADULT PROGRAM

VA SUPPORTIVE SERVICES FOR VETERAN FAMILIES PROGRAM

PROJECT SELF (STUDENTS EXPERIENCING LIFE FREE)

HEALTH HOME TENNESSEE (HHTN)

CENTERSTONE INTERACTIVE RECOVERY (I-RECOVER)

CENTERSTONES ENHANCED FOLLOW-UP PROJECT

THE SSVF PROGRAM’S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY’S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

CENTERSTONE'S ENHANCED FOLLOW-UP PROJECT

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

HOMELESS ASSISTANCE

REALIVES: RECOVERY, EMPOWERMENT, AND ADVANCING LIFE