Behavioral Health Inc

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

GEORGIA STATE OPIOID RESPONSE PROJECT. - PROJECT TITLE: GEORGIA STATE OPIOID RESPONSE (SOR) IV PROJECT. PROJECT SUMMARY: POPULATION TO BE SERVED ARE INDIVIDUALS WITH OPIOID USE DISORDER (OUD) IN HIGH NEED AREAS OF THE STATE WHERE SERVICE CAPACITY IS POSSIBLE, AND INFRASTRUCTURE EXISTS TO IMPLEMENT SOR FUNDED TREATMENT AND RECOVERY SERVICES FOR THE POPULATION OF FOCUS. IT IS ESTIMATED THAT 1,600 PERSONS WITH OUD WILL BE SERVED EACH YEAR OF THE THREE-YEAR PROJECT FOR A TOTAL OF 4,800 PERSONS. IN ADDITION, APPROXIMATELY 8,500 A YEAR WILL RECEIVE TRAINING AND/OR PREVENTION SERVICES AND MEDIA CAMPAIGNS AND COMMUNITY ENGAGEMENT ACTIVITIES WILL REACH AN ADDITIONAL 1,000,000 OVER THE THREE-YEAR PROJECT PERIOD. BUILDING ON THE CURRENT INFRASTRUCTURE FOR TREATMENT, RECOVERY AND PREVENTION SERVICES IMPLEMENTED THROUGH THE GEORGIA STATE OPIOID RESPONSE (SOR) PROJECT THAT BEGAN IN 2018, GEORGIA PLAN TO CONTINUE TO EXPAND THE CONTINUUM OF PREVENTION AND RECOVERY-ORIENTED TREATMENT SERVICES IN HIGH NEED AREAS OF THE STATE THAT HAVE PROVIDERS WITH CAPACITY AND EXPERTISE RELATED TO OUD. MEDICATION ASSISTED TREATMENT (MAT) WILL CONTINUE TO BE IMPLEMENTED IN ALL AREAS OF GEORGIA AS NEEDED. LIKE TREATMENT AND RECOVERY SERVICES, GEORGIA SOR PREVENTION SERVICES WILL BUILD ON ACTIVITIES THAT HAVE BEEN IMPLEMENTED AS PART OF THE SOR 1,2, AND 3 PROJECTS. ACTIVITIES WILL INCLUDE AN EXPANDED MEDIA CAMPAIGN, EXPANDED NALOXONE FIRST RESPONDER TRAINING, IMPLEMENTING A COLLEGE ADOPT A SCHOOL PROGRAM, A LAW ENFORCEMENT EDUCATION AND TRAINING PARTNERSHIP, IMPLEMENTATION OF SOURCES OF STRENGTH PROGRAM STATEWIDE, AND INCREASING HEALTHCARE PROFESSIONALS' EDUCATION AND UNDERSTANDING OF THE STATE'S OPIOID CRISIS. PROJECT GOALS INCLUDE: GOAL 1: EXPAND AND SUSTAIN TREATMENT AND RECOVERY SUPPORT SERVICES IN HIGH NEED AREAS THAT CONTAIN PROVIDERS WITH CAPACITY AND EXPERTISE RELATED TO OPIOID USE DISORDER (OUD). GOAL 2: EXPAND AND MAINTAIN RECOVERY SUPPORT SERVICES FOR INDIVIDUALS WITH OUD. GOAL 3: PROVIDE TRAINING AND EDUCATION FOR SOR IV TREATMENT AND RECOVERY PROVIDERS. GOAL 4: CONTINUE AND EXPAND NALOXONE DISTRIBUTION TO INCLUDE SYSTEMS STATEWIDE NOT CURRENTLY INCLUDED IN CURRENT NALOXONE PROVISION AND TRAINING. GOAL 5: CONTINUE TO INCREASE AWARENESS AND EDUCATION ABOUT GEORGIA’S OPIOID EPIDEMIC, PREVENTING OPIOID ABUSE AND MISUSE, BEST PRACTICES, AND USE OF NALOXONE. GOAL 6: CONTINUE TO INCREASE YOUTH PROTECTIVE FACTORS, REDUCE RISK FACTORS, AND IMPROVE RESISTANCE TO SUBSTANCE USE AND ABUSE AMONG MIDDLE AND HIGH SCHOOL YOUTH. GOAL 7: INCREASE HEALTHCARE PROFESSIONALS’ EDUCATION AND UNDERSTANDING OF GEORGIA’S OPIOID CRISIS AND BEST PRACTICES. BUILD HEALTHCARE PROFESSIONALS’ AWARENESS, KNOWLEDGE, AND SKILLS AROUND PDMP USE, OVERPRESCRIBING, MATERNAL SUBSTANCE ABUSE, AND ASSESSING AND REFERRING SUBSTANCE ABUSE AND OPIOID MISUSE AMONG PATIENTS.

SUBSTANCE ABUSE BLOCK GRANT

DBHDS SOR 4 APPLICATION - THE VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES (DBHDS) IS APPLYING ON BEHALF OF THE COMMONWEALTH OF VIRGINIA TO CONTINUE ITS STATE OPIOID RESPONSE (SOR) PROGRAM. VIRGINIA SPANS APPROXIMATELY 40,000 SQUARE MILES AND IS COMPRISED OF 38 INDEPENDENT CITIES AND 95 COUNTIES, WITH 90 INCORPORATED TOWNS. GENERALLY, 39 COMMUNITY SERVICES BOARDS (CSBS), ONE BEHAVIORAL HEALTH AUTHORITY, AND NINE STATE HOSPITALS SERVE VIRGINIANS WITH COMPLEX AND SIGNIFICANT SERIOUS MENTAL ILLNESS, SUBSTANCE USE DISORDERS, SERIOUS EMOTIONAL DISTURBANCE, AND INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES. CSBS ARE CODIFIED AS THE SINGLE POINT OF ENTRY INTO VIRGINIA'S PUBLICLY FUNDED BEHAVIORAL HEALTH SYSTEM. CSBS PROVIDE PRESCREENING SERVICES FOR ADMISSION INTO STATE HOSPITALS AND PRESCREENING FOR TEMPORARY DETENTION ORDER (TDO) ADMISSION INTO OTHER INPATIENT SETTINGS. THEY ARE THE SOLE PROVIDERS OF DISCHARGE PLANNING FROM VIRGINIA’S PSYCHIATRIC FACILITIES. DBHDS’ SOR PROGRAM PROVIDES FUNDING A VARIETY OF COMMUNITY-BASED AND FAITH-BASED ORGANIZATIONS, SUCH AS UNIVERSITIES, FREE CLINICS, FEDERALLY QUALIFIED HEALTH CLINICS, STATE GOVERNMENT, ETC. DBHDS IS REQUESTING $27,332,465 FOR EACH OF THE THREE YEARS OF THE PROJECT PERIOD.

SUBSTANCE ABUSE PREVENTION, TREATMENT, AND RECOVERY SERVICES BLOCK GRANT - SUBSTANCE ABUSE PREVENTION, TREATMENT, AND RECOVERY SERVICES BLOCK GRANT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

SUBSTANCE ABUSE PREVENTION, TREATMENT, AND RECOVERY SERVICES BLOCK GRANT

GEORGIA STATE OPIOID RESPONSE PROJECT.

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

VIRGINIA OPIOID RESPONSE GRANT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

VIRGINIA OPIOID RESPONSE GRANT - IN NOVEMBER 2016 THE DEPARTMENT OF HEALTH DECLARED OPIOID ADDICTION CRISIS IN VIRGINIA A PUBLIC HEALTH EMERGENCY, AND SIX YEARS LATER, IT REMAINS THE SAME. LAST YEAR, THERE WERE 26,363 OPIOID RELATED EMERGENCIES IN VIRGINIA ALONE. ALONG WITH STAGGERING OPIOID OVERDOSE NUMBERS, THE USE OF STIMULANTS LIKE COCAINE AND METHAMPHETAMINE IS RISING AT ALARMING RATES AS WELL. POSITIVELY, THOUGH, THE GRANT YEAR 2021-2022 SAW ALMOST 6,500 INDIVIDUALS RECEIVING SUD TREATMENT SERVICES; NEARLY 38,000 BENEFITTED FROM PEER RECOVERY SERVICES AND PUBLIC INFORMATION PREVENTION CAMPAIGNS REACHED OVER 30-MILLION VIRGINIANS, ALL THANKS TO STATE OPIOID RESPONSE FUNDING FROM SAMHSA. THE SOR GRANT IS SAVING AND TRANSFORMING LIVES, ESPECIALLY THOSE OF MARGINALIZED POPULATION MEMBERS SUCH AS LGBTQIA, VETERANS, OLDER ADULTS, PREGNANT AND PARENTING WOMEN AND JUSTICE INVOLVED INDIVIDUALS. THIS APPLICATION DETAILS ANOTHER TWO YEARS OF COMPREHENSIVE PREVENTION, TREATMENT AND RECOVERY SERVICES. THIS PROGRAMMING WILL BE IMPLEMENTED THROUGH COALITIONS, OBATS, FREE HEALTH CLINICS, MOBILE TREATMENT CENTERS, JAILS AND PRISONS, UNIVERSITIES, HOSPITALS, RECOVERY RESIDENCES, COMMUNITY ORGANIZATIONS AND HARM REDUCTION FACILITIES, AS WELL AS STATEWIDE DISTRIBUTION OF NALOXONE. VIRGINIA WILL CONTINUE EVALUATION OF SOR PROGRAMMING THROUGH OUR PARTNERSHIP WITH OMNI INSTITUTE AND EXPANDED USE OF THE GPRA SURVEY.

SUBSTANCE ABUSE PREVENTION, TREATMENT, AND RECOVERY SERVICES BLOCK GRANT - SUBSTANCE ABUSE PREVENTION, TREATMENT, AND RECOVERY SERVICES BLOCK GRANT

SUBSTANCE ABUSE PREVENTION, TREATMENT, AND RECOVERY SERVICES BLOCK GRANT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

SUBSTANCE ABUSE PREVENTION, TREATMENT, AND RECOVERY SERVICES BLOCK GRANT

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

GEORGIA STATE OPIOID RESPONSE PROJECT - PROJECT TITLE: GEORGIA STATE OPIOID RESPONSE (SOR-III) PROJECT. PROJECT SUMMARY: POPULATION TO BE SERVED ARE INDIVIDUALS WITH OPIOID USE DISORDER IN HIGH NEED AREAS OF THE STATE WHERE SERVICE CAPACITY IS POSSIBLE, AND INFRASTRUCTURE EXISTS TO IMPLEMENT SOR FUNDED TREATMENT AND RECOVERY SERVICES FOR THE POPULATION OF FOCUS. IT IS ESTIMATED THAT 1,600 PERSON WITH OUD WILL BE SERVED EACH YEAR OF THE TWO-YEARS PROJECT FOR A TOTAL OF 3,200 PERSONS. IN ADDITION, APPROXIMATELY 8,500 A YEAR WILL RECEIVE TRAINING AND/OR PREVENTION SERVICES AND MEDIA CAMPAIGNS AND COMMUNITY ENGAGEMENT ACTIVITIES WILL REACH AN ADDITIONAL 1,000,000 OVER THE TWO-YEAR PROJECT PERIOD. BUILDING ON THE INFRASTRUCTURE AND THE PREVENTION, TREATMENT AND RECOVERY SERVICES IMPLEMENTED THROUGH THE GEORGIA OPIOID STATE TARGETED RESPONSE (STR) I AND II PROJECTS, THE GEORGIA OPIOID STATE OPIOID RESPONSE (SOR) PROJECT WILL EXPAND THE CONTINUUM OF PREVENTION AND RECOVERY-ORIENTED TREATMENT SERVICES IN HIGH NEED AREAS OF THE STATE THAT HAVE PROVIDERS WITH CAPACITY AND EXPERTISE RELATED TO OUD. MEDICATION ASSISTED TREATMENT (MAT) WILL BE IMPLEMENTED IN ORDER AREAS OF GEORGIA NOT CURRENTLY COVERED BY PREVIOUS OPIOID GRANTS. LIKE TREATMENT AND RECOVERY SERVICES, GEORGIA SOR PREVENTION SERVICES WILL BUILD ON ACTIVITIES THAT HAVE BEEN IMPLEMENTED AS PART OF THE SOR I AND SOR II PROJECTS. ACTIVITIES WILL INCLUDE AN EXPANDED MEDIA CAMPAIGN, EXPANDED NALOXONE FIRST RESPONDER TRAINING, IMPLEMENTING A COLLEGE ADOPT A SCHOOL PROGRAM, A LAW ENFORCEMENT EDUCATION AND TRAINING PARTNERSHIP, IMPLEMENTATION OF SOURCES OF STRENGTH PROGRAM STATEWIDE, AND INCREASING HEALTHCARE PROFESSIONALS' EDUCATION AND UNDERSTANDING OF THE STATE'S OPIOID CRISIS .

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

SUBSTANCE ABUSE BLOCK GRANT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

SUBSTANCE ABUSE BLOCK GRANT

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SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

SUBSTANCE ABUSE BLOCK GRANT

SUBSTANCE ABUSE BLOCK GRANT

SUBSTANCE ABUSE PREVENTION, TREATMENT, AND RECOVERY SERVICES BLOCK GRANT

SUBSTANCE ABUSE BLOCK GRANT

GEORGIA STATE OPIOID RESPONSE PROJECT

VIRGINIA OPIOID RESPONSE GRANT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

RI- SOR IV - RI SOR 2024 INITIATIVES WILL SERVE 1,374 UNDUPLICATED INDIVIDUALS IN YEAR 1, 1,399 IN YEAR 2, 1,404 IN YEAR 3, FOR A TOTAL OF 4,177 INDIVIDUALS OVER THE 3 YEARS OF THE GRANT PLUS SEVERAL THOUSAND MORE THROUGH UNIVERSAL STRATEGIES. THE PROGRAM WILL ADDRESS OPIOID AND STIMULANT MISUSE TARGETING THE ENTIRE STATE BY PROVIDING RESOURCES AND SERVICES FOR EBPS, TREATMENTS, AND INTERVENTIONS ALONG WITH SUPPORTING THE CONTINUUM OF CARE. THE GOALS AND OBJECTIVES WILL ADDRESS GAPS AND UNMET NEEDS IN THE AREAS OF PREVENTION, HARM REDUCTION AND RESCUE, TREATMENT, AND RECOVERY AS IDENTIFIED BY THE GOVERNOR'S OVERDOSE TASK FORCE. GOAL 1 EXPAND PRIMARY PREVENTION INTERVENTIONS FOR YOUTH AND YOUNG ADULTS. THROUGHOUT THE GRANT, MAINTAIN THE NUMBER OF SCHOOLS WITH STUDENT ASSISTANCE COUNSELORS AND LESS THAN 25% OF TEEN INSTITUTE PARTICIPANTS WILL REPORT USING PRESCRIPTION DRUGS NOT PRESCRIBED TO THEM. BY THE END OF YEAR 3, IMPROVE EVALUATION OF IMPLEMENTED EBPS AND PROGRAMS THAT AIM TO DECREASE YOUTH SUBSTANCE USE RISK FACTORS BY INCREASING FOLLOW UP SURVEY PARTICIPATION RATES TO 50% AND INCREASE THE NUMBER OF CERTIFIED PREVENTION SPECIALISTS WHO IDENTIFY AS PEOPLE OF COLOR OR LATINO BY 20%. GOAL 2 EXPAND ACCESS TO OPIOID AND STIMULANT USE DISORDER TREATMENT AND INCREASE COORDINATION OF CARE. THROUGHOUT THE GRANT, THE PERCENTAGE OF INDIVIDUALS IN THE IMANI PROGRAM WHO REPORT THAT THEY RECEIVED INFORMATION OR A REFERRAL TO THE SERVICE THEY WERE SEEKING WILL INCREASE FROM 20% TO 40%. BY THE END OF YEAR 1, OTP LIAISONS WILL REPORT 3 NEW UNIQUE OUTREACH CONTACTS PER MONTH, INCREASE THE NUMBER OF EMERGENCY RESPITE ADMISSIONS BY 10%, AND THE VENDOR WILL HIRE TO IMPROVE INTEGRATION AND CARE COORDINATION BETWEEN RI HOSPITAL EMERGENCY DEPARTMENTS, FQHCS, CCBHCS, BHDDH LICENSED SUD/OTP PROGRAMS, AND CENTER OF EXCELLENCE SITES WILL PERFORM A MINIMUM OF TWO LISTENING SESSIONS WITH EACH GROUP LISTED AND CREATE TWO ACTION STEPS TO IMPROVE THE COORDINATION OF MOUD PRESCRIBING. BY THE END OF YEAR 2, CODAC MOBILE UNIT WILL ADMIT AN AVERAGE OF 3 NEW CLIENTS IN MOUD PER MONTH, HOPE INITIATIVE WILL OUTREACH 5 POST OVERDOSE CLIENTS A WEEK, THE NUMBER OF BILINGUAL STAFF CONTRACTED TO PROVIDE CONTINGENCY MANAGEMENT SUPPORT WILL INCREASE BY 25%, AND THE BUPRENORPHINE HOTLINE WILL CO-PRESCRIBE OR INFORM CLIENTS ABOUT FREE NALOXONE TO 80% OF CALLERS WHO ARE PRESCRIBED BUPRENORPHINE. BY THE END OF YEAR 3, INCREASE THE NUMBER OF REFERRALS FROM DETOX TO THE APPROPRIATE LEVEL OF CARE BY 20% REGARDLESS OF PAYMENT OR INSURANCE ISSUES AND INCREASE THE NUMBER OF ASSESSMENTS PERFORMED AT BH LINK PER DAY FROM 5 TO 7. GOAL 3 INCREASE THE AVAILABILITY AND QUALITY OF RECOVERY HOUSING, RECOVERY SERVICES, RECOVERY FRIENDLY WORKPLACES, AND CERTIFIED PEER RECOVERY SPECIALIST INTERNSHIPS. BY THE END OF YEAR 2, 70% OF RECOVERY HOUSING CLIENTS COMPLETING A FOLLOW UP GPRA WILL REPORT IMPROVED QUALITY OF LIFE, INCREASE THE NUMBER OF ADMISSIONS TO SAFE LANDINGS FROM 0 TO 10, ENGAGE AT LEAST 25 MEMBERS AS PART OF AN ASSOCIATION FOR PEER RECOVERY SPECIALISTS TO ADVOCATE FOR PRS NEEDS AND REDUCE NEGATIVE WORKPLACE STRESSORS, AND ESTABLISH UP TO 15 PEER RECOVERY SPECIALIST INTERNSHIPS FOR INDIVIDUALS IN RECOVERY FROM OPIOID USE DISORDER AND/OR STIMULANT USE DISORDER. BY THE END OF YEAR 3, REDUCE THE AVERAGE WAIT TIME FOR RECOVERY HOUSING BY 25%, INCREASE THE NUMBER OF COLLEGIATE RECOVERY PROGRAMS ACCREDITED BY THE ASSOCIATION OF RECOVERY IN HIGHER EDUCATION IN RHODE ISLAND FROM 1 TO 3, INCREASE NUMBER OF NEW ENROLLMENTS AT RCCS BY 25% AS MEASURED BY THE RECOVERY ORIENTED MEASURES SURVEY, AND 60% OF RECOVERY FRIENDLY WORKPLACE EMPLOYERS WILL AGREE THAT LEADERS AT THEIR ORGANIZATION SUPPORT EMPLOYEE RECOVERY. ESTABLISH AN ADMINISTRATIVE SERVICES ORGANIZATION THAT FOCUSES ON PROVIDING HARM REDUCTION, TREATMENT, AND RECOVERY SERVICES TO CRIMINAL JUSTICE-INVOLVED PEOPLE INCLUDING THOSE CURRENTLY ENROLLED IN ADULT OR FAMILY DRUG COURT TO SERVE A MINIMUM OF 50 CLIENTS PER YEAR.

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

STATE OPIOID RESPONSE - RHODE ISLAND (SOR-RI)

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

TRANSFORMING CLINICAL PRACTICES INITIATIVE - PTN

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

STRENGTHENING PUBLIC HEALTH SYSTEMS AND SERVICES THROUGH NATIONAL PARTNERSHIPS TO IMPROVE AND PROTECT THE NATION'S HEALTH

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

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BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

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BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

PBHCI HIT-TTA

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BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

NATIONAL TRAINING AND TECHNICAL ASSISTANCE CENTER FOR CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS ? EXPANSION GRANTS - THE NATIONAL COUNCIL FOR BEHAVIORAL HEALTH DBA NATIONAL COUNCIL FOR MENTAL WELLBEING PROPOSES TO ESTABLISH THE NATIONAL TRAINING AND TECHNICAL ASSISTANCE CENTER FOR CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS EXPANSION GRANTS (TTA-CCBHC) TO ADVANCE IMPLEMENTATION AND SUSTAINABILITY OF THE CCBHC MODEL. TRAINING AND TECHNICAL ASSISTANCE (TTA) WILL BE PROVIDED TO CCBHC EXPANSION (CCBHC-E) GRANTEES TO ADDRESS BARRIERS, GAPS AND CHALLENGES IN IMPLEMENTING THE RANGE OF REQUIRED CCBHC SERVICES, MEETING AND ADHERING TO CCBHC CRITERIA, DELIVERING COMPREHENSIVE 24/7 COMMUNITY-BASED MENTAL HEALTH, SUBSTANCE USE AND PHYSICAL HEALTHCARE IN ONE LOCATION, AND PLANNING FOR POST-GRANT SUSTAINABILITY. OVERARCHING PROJECT GOALS ARE: 1) INCREASE TTA RECIPIENTS’ SUCCESS IN IMPLEMENTING AND ADHERING TO THE CCBHC MODEL, ADOPTING EVIDENCE-BASED PRACTICES AND ADVANCING ACTIVITIES, PROCESSES, AND PARTNERSHIPS THAT SUPPORT ACCESS TO CARE AND 2) IMPROVE CCBHC-E GRANTEES’ SUSTAINABILITY EFFORTS AND ADVANCE THEIR ALIGNMENT WITH AND ABILITY TO NAVIGATE STATE CCBHC CERTIFICATION PROCESSES. THE NATIONAL COUNCIL IS THE NATION’S LEADING CHAMPION FOR THE CCBHC MODEL. BUILDING ON OUR LONGSTANDING HISTORY OF SUPPORTING CLINICS AND STATES WITH CCBHC IMPLEMENTATION, REACHING MORE THAN 3,900 INDIVIDUALS AND 70% OF CCBHC-E GRANTEES IN THE LAST YEAR ALONE, WE HAVE DEVELOPED A STELLAR TEAM WITH THE REQUIRED KNOWLEDGE AND EXPERIENCE TO ADDRESS A RANGE OF CCBHC-E TTA CHALLENGES. PARTNERS ON THIS EFFORT INCLUDE THE AMERICAN SOCIETY OF ADDICTION MEDICINE, INSTITUTE FOR INNOVATION AND IMPLEMENTATION AT THE UNIVERSITY OF MARYLAND SCHOOL OF SOCIAL WORK, MULTICULTURAL DEVELOPMENT INSTITUTE, NATIONAL ALLIANCE ON MENTAL ILLNESS, NATIONAL ASSOCIATION OF STATE ALCOHOL AND DRUG ABUSE DIRECTORS, NATIONAL ASSOCIATION OF STATE MENTAL HEALTH PROGRAM DIRECTORS, AND RELIAS, LLC. THE TTA-CCBHC WILL PROVIDE TTA TO AT LEAST 5,000 INDIVIDUALS ANNUALLY (15,000 OVER THE LIFETIME OF THE PROJECT) REACHING NO FEWER THAN 80% OF CCBHC-E GRANTEES IN THE FIRST YEAR, WITH A GOAL OF EXTENDING OUR REACH TO 100% OF GRANTEES BY THE END OF THE FIVE-YEAR PROJECT. PROJECT ACTIVITIES INCLUDE: ESTABLISHING AN ADVISORY BOARD THAT INCLUDES REPRESENTATION FROM POPULATIONS THAT CCBHCS SERVE (E.G., SERIOUS MENTAL ILLNESS); CONDUCTING AN ANNUAL TTA NEEDS ASSESSMENT; DEVELOPING AND ANNUALLY UPDATING A STRUCTURED TTA PLAN; COMPILING A COMPREHENSIVE INVENTORY OF TTA RESOURCES HOUSED ON A TTA-CCBHC WEBSITE; ORGANIZING, DEVELOPING, AND PROVIDING CCBHC’S TTA AND DIRECT CONSULTATION ON DEMAND VIA MULTIPLE MODALITIES; ESTABLISHING PARTNERSHIPS WITH OTHER NATIONAL TTA CENTERS, CENTERS OF EXCELLENCE, AND TECHNOLOGY TRANSFER CENTERS; AND IMPLEMENTING A PERFORMANCE MONITORING PLAN WITH CONTINUOUS QUALITY IMPROVEMENT (CQI). IN ADDITION, TO ADVANCE GRANTEES’ ABILITY TO NAVIGATE STATE CCBHC CERTIFICATION PROCESSES AND SUPPORT GRANT SUSTAINABILITY, WE WILL DEVELOP TTA RESOURCES AND LEARNING COLLABORATIVES ON NAVIGATING STATE CERTIFICATION, MAXIMIZING OPPORTUNITIES FOR SUSTAINABILITY, AND WORKING WITH PRIVATE PAYERS TO EXPLORE COVERAGE THAT ENABLES CONTINUATION OF CCBHC SERVICES.

GEORGIA'S 988 STATE IMPROVEMENT PROJECT - GEORGIA’S 988 COMMUNITY EXPANSION PROJECT WILL USE GRANT FUNDS TO MAINTAIN AND ENHANCE STAFFING FOR THE GEORGIA CRISIS AND ACCESS LINE, MOBILE CRISIS TEAMS, PEER WARMLINES, AND CARE COORDINATORS FOLLOW-UP WORK AS WELL AS SUPPORTING MASS MARKETING EFFORTS. PRIOR GRANT FUNDING ALLOWED GEORGIA TO EXPAND CALL CENTER STAFFING BY 16 POSITIONS WHICH LED TO A SIGNIFICANT DECREASE IN AVERAGE SPEED TO ANSWER AND ABANDONMENT RATES. ONGOING FUNDING WILL BE NEEDED TO MAINTAIN THOSE POSITIONS AND FUNDING FOR 16 NEW CALL CENTER STAFF IS NEEDED TO CONTINUE TO PROVIDE ACCESS TO HELP AS CALL VOLUME INCREASES. GEORGIA WILL BEGIN STATEWIDE MASS MARKETING OF 988 THIS YEAR AND PLANS TO USE A PORTION OF THIS GRANT FUNDING TO SUPPORT THE MASS MARKETING CAMPAIGN. PROJECTIONS OF THE IMPACT OF MASS MARKETING ON CALL VOLUME SUGGEST THE POTENTIAL TO DOUBLE CURRENT CALL VOLUME. CALL VOLUME FROM JULY 16, 2022, TO JUNE 1, 2023, TOTALED 255,953 CALLS. IF VOLUME WERE TO DOUBLE WITH MASS MARKETING OF 988, GEORGIA COULD RECEIVE OVER 500,000 CALLS DURING THE SAME TIME PERIOD NEXT YEAR. THE DOWNSTREAM IMPACT OF INCREASED CALL VOLUME MEANS THAT ADDITIONAL PEOPLE WILL NEED SUPPORT THROUGH THE PEER WARMLINES AND MOBILE CRISIS SERVICES. GEORGIA WILL USE THE FUNDING TO INCREASE POSITIONS AT THE PEER WARMLINES BY CONTRACTING WITH THE GEORGIA MENTAL HEALTH CONSUMER NETWORK AND THE GEORGIA COUNCIL ON RECOVERY FOR 8 ADDITIONAL CERTIFIED PEER SPECIALISTS TO STAFF THE PEER2PEER AND CARES WARMLINES. FURTHER, GEORGIA WILL USE THE FUNDING TO ENHANCE CERTIFIED PEER SPECIALIST COVERAGE FOR MOBILE CRISIS SERVICES BY CONTRACTING WITH BEHAVIORAL HEALTH LINK AND BENCHMARK HUMAN SERVICES TO HIRE 14 NEW CERTIFIED PEER SPECIALISTS. DBHDD RECOGNIZES THE NEED TO ENHANCE INTERNAL CAPACITY TO MANAGE THE 988 ROLLOUT AND THE SERVICES IDENTIFIED IN THIS GRANT. PRIOR GRANTS HAVE ALLOWED DBHDD TO HIRE A PROJECT ANALYST TO MANAGE DATA AND A 988 COMMUNITY LIAISON TO ENHANCE COMMUNITY OUTREACH. FUNDING WILL BE USED TO SUSTAIN THESE POSITIONS. ADDITIONAL STAFFING POSITIONS, TO INCLUDE A PROJECT DIRECTOR AND PROJECT EVALUATOR, WILL BE FUNDED WITH THIS GRANT TO ENHANCE OVERSIGHT OF GRANT ACTIVITIES, ONGOING 988 ROLLOUT, AND GEORGIA’S OVERALL CRISIS SYSTEM. THE PROJECT DIRECTOR AND PROJECT EVALUATOR WILL ENSURE GEORGIA IS MEETING METRICS SET FORTH IN THIS GRANT AS WELL AS IDENTIFY QUALITY IMPROVEMENT EFFORTS. FURTHER, THESE POSITIONS WILL DEVELOP AND MONITOR A RETURN-ON-INVESTMENT PLAN AS IT RELATES TO SERVICES FUNDED THROUGH THIS GRANT AS WELL AS THE OTHER PORTIONS OF GEORGIA’S CRISIS SYSTEM. PROJECT GOALS: 1. MAINTAIN CURRENT CAPACITY TO ANSWER 988 CALLS WITH AN AVERAGE SPEED TO ANSWER OF 30 SECONDS OR LESS, AN ABANDONMENT RATE OF 5% OF LESS, AND 90% OF CALLS ORIGINATING IN GEORGIA WITH INCREASED VOLUME EXPECTED TO RESULT FROM 988 MASS MARKETING. 2. BEGIN GEORGIA’S STATEWIDE MASS MARKETING CAMPAIGN TO EDUCATE THE GENERAL PUBLIC ABOUT 988 AND CONTINUE COMMUNITY OUTREACH TO GROUPS AT HIGHEST RISK OF SUICIDE AND THOSE WHO HAVE BEEN HISTORICALLY UNDERSERVED. 3. ENHANCE PEER SUPPORT STAFFING ON GEORGIA’S PEER WARMLINES AND MOBILE CRISIS TEAMS TO ADDRESS THE DOWNSTREAM IMPACT OF INCREASED CALL VOLUME IN THE CRISIS SYSTEM. 4. MAINTAIN CURRENT CAPACITY FOR POST-CRISIS FOLLOW-UP FOR CALLS RESOLVED BY THE GEORGIA CRISIS AND ACCESS LINE, CALLERS WHO ARE TRANSFERRED TO 911 FOR ACTIVE RESCUE, AND MONITOR OUTCOMES OF FOLLOW-UP FOR MOBILE CRISIS TEAMS AND COMMUNITY CRISIS CENTERS. 5. DEVELOP AND MONITOR A RETURN-ON-INVESTMENT STUDY RELATED TO SERVICES FUNDED THROUGH THIS GRANT AS WELL AS THE OVERALL CRISIS CONTINUUM. FEDERAL FUNDING REQUEST FOR THIS APPLICATION: $ 4,988,884.00

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

HEAD START AND EARLY HEAD START

RI SOR 2022 - RI SOR 2022 INITIATIVES WILL SERVE 860 UNDUPLICATED INDIVIDUALS IN YEAR ONE AND A TOTAL OF 1,990 INDIVIDUALS OVER THE TWO YEARS OF THE GRANT PLUS SEVERAL THOUSAND MORE THROUGH UNIVERSAL STRATEGIES. THE PROGRAM WILL ADDRESS OPIOID AND STIMULANT MISUSE STATEWIDE, WITH PARTICULAR FOCUS IN REGIONS WITH THE HIGHEST RATES OF EMERGENCY DEPARTMENT ADMISSIONS FOR OVERDOSE. THE GOALS AND OBJECTIVES OF RI SOR 2022 WILL ADDRESS GAPS AND UNMET NEEDS IN THE AREAS OF PREVENTION, TREATMENT, RECOVERY SUPPORT, HARM REDUCTION AND RESCUE AS IDENTIFIED BY THE GOVERNOR'S OVERDOSE PREVENTION AND INTERVENTION TASK FORCE. GOAL 1: EXPAND PRIMARY PREVENTION INTERVENTIONS THROUGH MEDIA CAMPAIGNS DEVELOPED WITH A RACE EQUITY LENS, AND EVIDENCE-BASED PROGRAMS DELIVERED IN SCHOOLS 1.1: BY THE END OF YEAR 2, THE PUBLIC AWARENESS CAMPAIGN WILL REACH 75% OF THE TARGET AUDIENCE AT LEAST 3 TIMES 1.2: BY THE END OF YEAR 2, STUDENTS RECEIVING THE PROJECT SUCCESS PROGRAM WILL REPORT INCREASED PARENT/PEER DISAPPROVAL OF USING SUBSTANCES AND MORE THAN STUDENTS NOT RECEIVING THE PROGRAM. GOAL 2: EXPAND ACCESS TO AND RETENTION IN TREATMENT FOR STIMULANT USE AND OPIOID USE DISORDERS 2.1: BY END OF YEAR 1, PARTICIPATING OPIOID TREATMENT PROGRAMS (OTPS) WILL HAVE TRAINED 60% OF STAFF IN CONTINGENCY MANAGEMENT (CM) 2.2: BY END OF YEAR 1, INCREASE THE NUMBER OF OTPS PROVIDING CM FROM 2 TO 8 LOCATIONS 2.3: BY END OF YEAR 1, THE NUMBER OF INDIVIDUALS RECEIVING TREATMENT FOLLOWING MOBILE MAT INDUCTION WILL INCREASE FROM 2 TO 40. 2.4: BY END OF YEAR 1, THE NUMBER OF UNINSURED INDIVIDUALS RECEIVING DETOX SERVICES WILL INCREASE FROM 0 TO 30 2.5: BY END OF YEAR 1, 95% OF INDIVIDUALS SEEN AT BH LINK WHO REQUIRE OR ARE ELIGIBLE, WILL BE REFERRED TO COMMUNITY PROGRAMS AND TREATMENT OUTSIDE OF THE EMERGENCY DEPARTMENT 2.6: BY END OF YEAR 1, HAVE A CERTIFIED LEVEL IV RECOVERY HOUSE FOR THE SAFE LANDINGS PROGRAM 2.7: BY END OF YEAR 2, PARTICIPATING OTPS WILL HAVE TRAINED 95% OF STAFF IN CM 2.8: BY END OF YEAR 2, THE NUMBER OF INDIVIDUALS RECEIVING CM WILL INCREASE THEIR NUMBER OF NEGATIVE SCREENS, (DONE TWICE/WEEK), BY 40% GOAL 3: EXPAND ACCESS TO RECOVERY SUPPORT SERVICES TO BUILD RECOVERY CAPITAL 3.1: BY END OF YEAR 1, ESTABLISH A 6 MONTH BOOSTER FOR RECOVERY HOUSING RESIDENTS TO EXTEND THEIR TIME IN THE HOUSE AND ENGAGE 25 INDIVIDUALS IN THIS EXPANSION. 3.2: BY END OF YEAR 1, 75% OF INDIVIDUALS WILL REPORT THAT THEY ARE RECEIVING THE RECOVERY SUPPORTS THAT THEY WERE SEEKING WHEN THEY BEGAN WORKING WITH A CERTIFIED PEER RECOVERY SPECIALIST (CPRS) 3.3: BY END OF YEAR 1, 75% OF INDIVIDUALS WORKING WITH A CPRS WILL REPORT BEING HELPED WITH AN AVERAGE OF THREE DIFFERENT RECOVERY SUPPORT SERVICES 3.4: BY END OF YEAR 1, 90% OF INDIVIDUALS WILL BE DISCHARGED FROM RECOVERY HOUSING TO STABLE HOUSING 3.5: BY END OF YEAR 2, INCREASE THE PERCENTAGE OF INDIVIDUALS IN RECOVERY HOUSING WHO ARE SOCIALLY CONNECTED: 90% WILL REPORT INTERACTING WITH FAMILY AND/OR FRIENDS THAT ARE SUPPORTIVE OF THEIR RECOVERY AND 50% WILL REPORT BEING SATISFIED OR VERY SATISFIED WITH THEIR PERSONAL RELATIONSHIPS GOAL 4: EXPAND ACCESS TO RESCUE SERVICES AND HARM REDUCTION TOOLS AND SUPPORTS 4.1: BY END OF YEAR 1, STREET OUTREACH PROGRAMS WILL INCREASE DISTRIBUTION OF NALOXONE AND FENTANYL TEST STRIPS THROUGH 3,000 OUTREACH ENCOUNTERS

FY 2023 MAINTENANCE AND ENHANCEMENT OF 988 LOCAL CAPACITY IN VIRGINIA - VIRGINIA AIMS TO MAINTAIN AND ENHANCE ITS CRISIS SERVICES AND ESTABLISH A COMPREHENSIVE SYSTEM THAT EFFECTIVELY INTEGRATES THE NATIONAL SUICIDE PREVENTION LIFELINE TO BETTER SUPPORT INDIVIDUALS IN CRISIS THROUGHOUT THE STATE. SUICIDE DEATHS IN VIRGINIA HAVE BEEN SLOWLY INCREASING SINCE 1999, WITH A 25% INCREASE OBSERVED BETWEEN 2010 AND 2018. HOWEVER, THERE HAS BEEN A RECENT SLIGHT DECREASE OF 4.3% FROM 2018 TO 2019. IN RESPONSE TO THESE TRENDS, VIRGINIA HAS IMPLEMENTED A MULTIFACETED APPROACH TO ADDRESS THE ISSUE. PREVIOUS CAPACITY GRANTS ALLOWED VIRGINIA CALL CENTERS TO INCREASE CALL ANSWER RATE FROM 52% (1886 CALLS, AVERAGE SPEED TO ANSWER OF 00:35) IN JANUARY 2021 TO 86% (4606 CALLS, AVERAGE SPEED TO ANSWER OF 00:41) IN JANUARY 2022, AND CURRENTLY AT 92%. TO MAINTAIN THESE IMPROVEMENTS, OUR STATE PLANS AIM TO ENHANCE CRITICAL CAPACITY AND ACHIEVE GOALS IN THREE KEY AREAS: IMPROVING CALL RESPONSE, WORKFORCE DEVELOPMENT, AND OUTREACH. DURING THESE PROCESSES, ONGOING EVALUATION OF SYSTEM NEEDS AND ADJUSTMENTS TO THE STATES SUSTAINABILITY PLAN WILL BE MADE FOR ONGOING SYSTEM EFFICIENCY AND EFFICACY.

INFANT, TODDLERS & FAMILIES (PART C)

INFANT, TODDLERS & FAMILIES (PART C)

INFANT, TODDLERS & FAMILIES (PART C)

ACCESSING RECOVERY IN RHODE ISLAND

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

INFANT & TODDLERS/FAMILIES (PART C)

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

INFANT & TODDLERS/FAMILIES (PART C)

THE GEORGIA OPIOID STATE TARGETED RESPONSE PROJECT WILL SERVE 5,658 PERSONS TOTAL (2,350 - YEAR 1 AND 4,008 - YEAR 2). AN ESTIMATED 750 FIRST RESPONDERS AND OTHER STAKEHOLDERS WILL BE TRAINED IN YEAR 1 AND 1,500 IN YEAR 2. THE PROJECT WILL DEVELOP A TARGETED RESPONSE TO THE OPIOID CRISIS THROUGH PREVENTION, TREATMENT AND RECOVERY INITIATIVES. THERE IS A FOCUS ON ADDRESSING GAPS IN EVIDENCE BASED PRACTICES AND SERVICES AND CREATING A CONTINUUM OF PREVENTION AND RECOVERY ORIENTED TREATMENT. PREVENTION ACTIVITIES WILL INCLUDE: STATEWIDE MEDIA CAMPAIGN ON OPIOID MISUSE/ABUSE; INCREASE IN THE NUMBER OF SPF OPIOID PILOT PROGRAMS; SCHOOL TRANSITION MENTOR PILOT FOR OPIOID/ PRESCRIPTION DRUG MISUSE/ABUSE PREVENTION; AND NALOXONE EDUCATION AND TRAINING. TREATMENT AND RECOVERY ACTIVITIES WILL INCLUDE: EXPANSION OF DETOX CAPACITY; INCREASED BED CAPACITY; IMPLEMENTATION OF PEER SPECIALIST IN HOSPITAL ERS; EMPLOYMENT OF STAFF TO ENSURE FIDELITY TO RECOVERY HOUSING STANDARDS; REQUIRING EACH TREATMENT PROVIDER EXPAND MAT SERVICES TO HAVE A PEER SPECIALIST STAFF TO ENGAGE/ LINK INDIVIDUALS TO TREATMENT RESOURCES; PROVIDING TRAINING ABOUT RECOVERY FROM OUD FOR BEHAVIORAL HEALTH, DFCS, CORRECTIONS, AND OTHER STAKEHOLDERS; IMPLEMENTING A WARM LINE RUN BY PEERS; IMPLEMENTING MAT VIA A PHARMACY BENEFIT IN TREATMENT PROVIDER LOCATIONS AND IMPLEMENTATION OF A DEPARTMENT OF COMMUNITY SUPERVISION MAT VIVITROL PILOT. PROJECT GOALS INCLUDE: INCREASE AWARENESS ABOUT OPIOID MISUSE/ABUSE; PROVIDE TRAINING FOR THE PUBLIC; EXPAND DETOX SERVICES FOR INDIVIDUALS WITH AN OUD; EXPAND ACCESS/BED CAPACITY OF RESIDENTIAL SERVICES FOR INDIVIDUALS WITH AN OUD; INCORPORATE CERTIFIED PEER SPECIALISTS IN IDENTIFIED ER'S; SUPPORT THE INFRASTRUCTURE OF RECOVERY TRANSITIONAL HOUSING; EXPAND/DEVELOP RSS FOR INDIVIDUALS WITH AN OUD; IMPLEMENT A WARM LINE, RUN BY PEERS, FOR INDIVIDUALS WITH OUD; AND, DEVELOP MAT CLINICAL BASED CAPACITY FOR DEA APPROVED MEDICATIONS.

INFANT & TODDLERS/FAMILIES (PART C)

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

UNKNOWN TITLE

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

UNKNOWN TITLE

INFANTS AND FAMILIES WITH DISABILITIES

STATE OPIOID RESPONSE - RHODE ISLAND (SOR-RI)

INFANTS AND TODDLERS WITH DISABILITIES

UNKNOWN TITLE

HEALTH CENTER PROGRAM

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

INFANTS AND TODDLERS WITH DISABILITIES

SUBSTANCE ABUSE PREVENTION STRATEGIC PREVENTION EFFORTS

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

INFANTS AND TODDLERS WITH DISABILITIES

INFANTS AND TODDLERS WITH DISABILITIES

HEALTH CENTER CLUSTER

INFANTS AND TODDLERS WITH DISABILITIES

INFANTS AND TODDLERS WITH DISABILITIES

INFANTS AND TODDLERS WITH DISABILITIES

GEORGIA OPIOID STATE TARGETED RESPONSE TO OPIOID CRISIS PROJECT

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

INFANTS AND TODDLERS WITH DISABILITIES

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

INFANTS AND TODDLERS WITH DISABILITIES

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

THE VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES WILL LEAD THE STATE'S PROJECT TO SERVE POPULATIONS IN RURAL AND URBAN AREAS WITH HIGH AND EMERGING NEEDS BASED ON RATES OF PRESCRIPTION OPIOID DRUG AND HEROIN OVERDOSES. A VARIETY OF TREATMENT STRATEGIES WILL BE USED INCLUDING MEDICATION ASSISTED TREATMENT (MAT) AND RECOVERY SUPPORT SERVICES (RSS), AS WELL AS PUBLIC EDUCATION STRATEGIES TO PREVENT OPIOID USE. MORE THAN 1,250 PEOPLE IN VIRGINIA WILL LIKELY DIE OF A DRUG OVERDOSE IN 2017. PEOPLE AGES 25 TO 44 ACCOUNT FOR MORE THAN HALF OF ALL DRUG-RELATED DEATHS. APPROXIMATELY 1,340 PEOPLE WILL BE SERVED, YEAR 1 - 1,100 INDIVIDUALS WILL BE ADMITTED FOR MAT SERVICES, AND AN ADDITIONAL 240 IN YEAR 2. IT IS ESTIMATED THAT 70% WHO ENGAGE IN MAT WILL ALSO ENGAGE IN RSS: 770 PARTICIPATING IN YEAR 1 AND AN ADDITIONAL 168 IN YEAR 2. BASED ON POPULATION COUNTS IN THE TARGETED AREAS, OVER FIVE MILLION PEOPLE WILL BE SERVED THROUGH COMMUNITY WIDE PREVENTION STRATEGIES. THE FOLLOWING GOALS HAVE BEEN ESTABLISHED: DECREASE PRESCRIPTION DRUG ABUSE AND HEROIN OVERDOSES THROUGH THE IMPLEMENTATION OF A COMPREHENSIVE ARRAY OF STRATEGIES; INCREASE THE NUMBER OF PEOPLE WHO RECEIVE OUD TREATMENT; INCREASE THE NUMBER OF PEOPLE RECEIVING OUD RECOVERY SERVICES AFTER THE IMPLEMENTATION OF A COMPREHENSIVE RECOVERY STRATEGY ACROSS HIGH NEED AREAS. OBJECTIVES INCLUDE INCREASING INDIVIDUALS ENGAGED IN TREATMENT; EDUCATING PRESCRIBERS ABOUT OPIOID MEDICATIONS; INCREASING THE NUMBER OF QUALIFIED BUPRENORPHINE PRESCRIBERS WHO USE THESE PRODUCTS DEVELOPING CORE KNOWLEDGE AND COMPETENCIES FOR HEALTH PROFESSIONAL EDUCATION FOR ADDICTION AND PAIN MANAGEMENT; DISTRIBUTING NALOXONE ALONG WITH EDUCATION ON HOW TO REVERSE AN OVERDOSE; INCREASING PEER RECOVERY SPECIALISTS; ENGAGING COMMUNITY MEMBERS; CONDUCTING PUBLIC AWARENESS AND EDUCATION CAMPAIGNS; AND INCREASING SAFE STORAGE AND DISPOSAL LOCATIONS TO REDUCE ACCESS TO OPIOID DRUGS.

RI STRATEGIC PREVENTION FRAMEWORK PARTNERSHIP FOR SUCCESS

GEORGIA MATCH (MOBILIZING ACCESS TO CARE AND HOPE) PROJECT 2023 - THE GEORGIA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES (DBHDD) AND ITS DIVISION OF BEHAVIORAL HEALTH, ALONG WITH ITS PROVIDER NETWORK AND CHILD SERVING PARTNERS, HAVE A CELEBRATED HISTORY OF IMPLEMENTING AND SUSTAINING SAMHSA FUNDED SYSTEM OF CARE PROJECTS. TO FURTHER DEVELOP THE EXISTING INFRASTRUCTURE, DBHDD WILL IMPLEMENT THE GEORGIA MATCH (MOBILIZING ACCESS TO CARE AND HOPE) PROJECT. THE MATCH PROJECT IS A MULTIAGENCY CARE COORDINATION INITIATIVE PREDICATED ON REMOVING BARRIERS AND OBSTACLES SO THAT CHILDREN IN NEED MAY ACCESS SERVICES IN A TIMELY AND EFFICIENT MANNER. ONE HUNDRED AT RISK YOUTH (I.E., 6 – 21 YEARS WHO ARE EXPERIENCING MENTAL HEALTH CRISIS AND ARE IN NEED OF IMMEDIATE SUPPORT) WILL BE SERVED ANNUALLY, RESULTING IN AN UNDUPLICATED 400 YOUTH SERVED. IN THE CURRENT SYSTEM YOUTH ENTERING IN, OR EXITING, SERVICES CAN ENTER A STATE OF LIMBO WHICH RESULTS IN ELONGATED TIMELINES AND ADDITIONAL STRESS ON THAT OF THE YOUTH AND THEIR FAMILY. TO ALLEVIATE THESE CHALLENGES AND ULTIMATELY CREATE A MORE STREAMLINED PROCESS, MATCH WILL FILL GAPS THROUGH INTERAGENCY COLLABORATIONS, WORKFORCE DEVELOPMENT INVESTMENT(S), AND HIGH EFFICACIOUS SERVICE DELIVERY, ALL DONE IN ACCORDANCE WITH THE FUNDAMENTAL VALUES OF SYSTEM OF CARE. PROJECT PARTNERS WILL IMPLEMENT THE REQUIRED AND ALLOWABLE ACTIVITIES BY STUDYING, DEVELOPING AND PILOTING A FORMALIZED, MULTI-AGENCY CARE COORDINATION PROTOCOL FOCUSED ON REMOVING BARRIERS AND EXPEDITING ACCESS TO THE APPROPRIATE LEVEL OF CARE AT THE RIGHT TIME FOR YOUTH AND FAMILIES. THE APPROACH, MATCH (MOBILIZING ACCESS TO CARE AND HOPE) WILL INCLUDE: 1) ADDING A PRE-ENROLLMENT CARE COORDINATION STAGE TO GEORGIA’S HIGH-FIDELITY WRAPAROUND INTERVENTION, INTENSIVE CUSTOMIZED CARE COORDINATION (IC3); 2) FACILITATING REFERRALS AND LINKAGE TO SERVICES AND SUPPORTS DURING THE PRE-ENROLLMENT STAGE FOR YOUTH NOT MEETING IC3 ELIGIBILITY CRITERIA; 3) INCREASING IC3 ENROLLMENT FOR YOUTH MEETING ELIGIBILITY CRITERIA; AND 4) EVALUATING OUTCOMES. MATCH WILL INCLUDE TRAUMA INFORMED SYSTEMS TRAINING, HIGH FIDELITY WRAPAROUND, AS WELL AS THE INCULCATION OF THE LIVED EXPERIENCE VOICE AND PERSPECTIVE, THROUGHOUT THE PROJECT AND GEORGIA SYSTEM OF CARE. THROUGH THE DURATION OF THE GRANT, STRICT DATA MONITORING STRATEGIES WILL BE EMPLOYED TO MEASURE PROJECT IMPACT. THIS INCLUDES BASELINE AND FOLLOW UP DATA USING SAMHSA PROVIDED MEASURES (E.G., CLIENT-LEVEL NATIONAL OUTCOMES MEASURES) AS WELL AS OTHER INSTRUMENTS ASSESSING CLINICAL OUTCOMES (E.G., CHILD AND ADOLESCENT NEEDS AND STRENGTHS) AND IMPAIRMENT (E.G., COLUMBIA IMPAIRMENT SCALE).

RI STRATEGIC PREVENTION FRAMEWORK PARTNERSHIPS FOR SUCCESS II

NATIONAL CENTER OF EXCELLENCE FOR INTEGRATED HEALTH SOLUTIONS

VIRGINIA OPTS-R

CATEGORY C: PUBLIC HEALTH SYSTEM COMPONENTS: STRENGTHENING PUBLIC HEALTH SYSTEMS AND SERVICES THROUGH NATIONAL PARTNERSHIPS TO IMPROVE AND PROTECT THE NATION'S HEALTH - THE NATIONAL COUNCIL FOR BEHAVIORAL HEALTH DBA THE NATIONAL COUNCIL FOR MENTAL WELLBEING (NATIONAL COUNCIL) IS APPLYING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION’S (CDC) FUNDING OPPORTUNITY, STRENGTHENING PUBLIC HEALTH SYSTEMS AND SERVICES THROUGH NATIONAL PARTNERSHIPS TO IMPROVE AND PROTECT THE NATION’S HEALTH (CDC-RFA-PW-24-0080), TO IMPROVE ORGANIZATIONAL AND SYSTEMS INFRASTRUCTURE AND PERFORMANCE ACROSS THE PUBLIC HEALTH SYSTEM. WE WILL ADDRESS THE WORKFORCE CAPACITY-BUILDING ASSISTANCE (CBA) NEEDS OF PUBLIC HEALTH SYSTEM COMPONENTS (CATEGORY C). OUR POPULATION OF FOCUS WILL BE COMMUNITY BEHAVIORAL HEALTH ORGANIZATIONS (CBHOS) NATIONWIDE. WE ARE REQUESTING $200,000 TO SUPPORT THIS INITIATIVE. CBHOS IMPROVE OUTCOMES FOR PEOPLE WITH OR AT RISK OF MENTAL ILLNESS (MI) AND SUBSTANCE USE DISORDER (SUD) THROUGH PREVENTION, INTERVENTION, TREATMENT, AND RECOVERY SERVICES. CBHOS FACE SIGNIFICANT CHALLENGES, INCLUDING UNDERFUNDING, FRAGMENTED SYSTEMS, AND WORKFORCE DECLINES THAT THE COVID-19 PANDEMIC AND OTHER TRAUMATIC HEALTH THREATS HAVE INTENSIFIED. TO ADDRESS WORKFORCE NEEDS, WE WILL ESTABLISH AN ENHANCED BEHAVIORAL HEALTH TRAINING INSTITUTE FOR HEALTH OFFICIALS (BHTI), WHICH WILL TRAIN CBHOS AND THEIR PUBLIC HEALTH SYSTEM PARTNERS (PHPS) ON A SET OF INTEGRATED PUBLIC HEALTH AND BEHAVIORAL HEALTH CORE COMPETENCIES AND CROSS-CUTTING SKILLSETS. WE WILL BUILD ON OUR NINE YEARS’ EXPERIENCE IMPLEMENTING BHTIS, WHICH HAVE RESULTED IN IMPROVED WORKFORCE CAPACITY. WE AIM TO ACHIEVE THE FOLLOWING OUTCOMES: INCREASED AVAILABILITY OF AND ACCESS TO CBA SERVICES AND PRODUCTS; INCREASED AWARENESS OF BEST AND PROMISING PRACTICES AND TOOLS; INCREASED AWARENESS AND UNDERSTANDING OF RECOMMENDED PROCESSES, POLICIES, AND PRACTICES WITHIN STRATEGIC AREAS; ENHANCED SKILL AND ABILITY TO SUPPORT DECISION MAKING IN STRATEGIC AREAS; IMPROVED ORGANIZATIONAL AND SYSTEMS CAPACITY TO ADDRESS EQUITY-FOCUSED PUBLIC HEALTH PRIORITIES; AND IMPROVED HEALTH OUTCOMES AND REDUCED HEALTH INEQUITIES. WE WILL ACHIEVE THE OUTCOMES THROUGH THE FOLLOWING ACTIVITIES: · DEVELOP AND REFINE THE BHTI CURRICULUM ON EVIDENCE-BASED AND INFORMED INTERVENTIONS, ADDRESSING HEALTH DISPARITIES AND SOCIAL DETERMINANTS OF HEALTH. · DEVELOP BHTI MODULES ON TRAUMA-INFORMED, RECOVERY-ORIENTED EQUITABLE SYSTEMS AND SYSTEMS OF CARE; FOCUS ON TRAUMA-INFORMED AND CRISIS-RESILIENT LEADERSHIP AND WORKFORCE AND RETAINING AND SUSTAINING A TRAUMA-INFORMED WORKFORCE AND SUPPORTIVE WORK ENVIRONMENT. · PROVIDE MENTAL HEALTH FIRST AID (MHFA) AT WORK TRAINING. · LAUNCH A LEARNING COMMUNITY THAT INCLUDES AN IN-PERSON MEETING, PARTICIPATION AT THE NATIONAL COUNCIL’S CONFERENCE, TWO AFFINITY GROUP CALLS, AND FOUR WEBINARS TO REINFORCE KNOWLEDGE AND SKILLS DEVELOPMENT. · DISSEMINATE RESOURCES TO A NATIONAL AUDIENCE, INCLUDING THROUGH TWO LIVE WEBINARS THAT WILL BE RECORDED AND MADE PUBLICLY AVAILABLE. THIS PROJECT WILL BE IMPLEMENTED BY AN EXPERIENCED TEAM OF EIGHT STAFF MEMBERS. OUR TEAM WILL COLLABORATE WITH CDC AND NATIONAL, STATE, LOCAL, TERRITORIAL, AND TRIBAL PHPS, AND THE PROJECT DESIGN WILL PRIORITIZE CULTURAL RESPONSIVENESS. A ROBUST EVALUATION PLAN WILL TRACK PROCESSES AND OUTCOMES TO INFORM QUALITY IMPROVEMENT EFFORTS. THE NATIONAL COUNCIL IS WELL EQUIPPED TO LEAD THIS EFFORT BECAUSE OF OUR EXPERIENCE IMPLEMENTING NATIONWIDE, CDC-FUNDED CBA EFFORTS THAT STRENGTHEN WORKFORCE CAPACITY. FOR 55 YEARS, WE HAVE DESIGNED AND IMPLEMENTED MORE THAN 2,000 CBA PROJECTS ACROSS 50 STATES AND EACH HHS REGION. WE ARE A MEMBERSHIP ORGANIZATION THAT DRIVES POLICY AND SOCIAL CHANGE ON BEHALF OF MORE THAN 3,400 CBHOS AND THE 10 MILLION PEOPLE THEY SERVE. THROUGH OUR MHFA PROGRAM, WE HAVE TRAINED OVER 3 MILLION PEOPLE TO IDENTIFY AND RESPOND TO SYMPTOMS OF MI AND SUD. WE HAVE THE ORGANIZATIONAL CAPACITY AND INFRASTRUCTURE, TECHNOLOGY, COMMUNICATIONS AND DATA SYSTEMS, AND LONGSTANDING RELATIONSHIPS WITH PUBLIC HEALTH ORGANIZATIONS TO SUCCESSFULLY ACHIEVE THE GOALS OF THIS CBA INITIATIVE.

NATIONAL CENTER OF EXCELLENCE FOR INTEGRATED HEALTH SOLUTIONS - THE NATIONAL COUNCIL FOR MENTAL WELLBEING IS PROPOSING TO ADMINISTER THE SAMHSA-FUNDED NATIONAL CENTER OF EXCELLENCE FOR INTEGRATED HEALTH SOLUTIONS (CIHS). THE CIHS WILL PROMOTE BI-DIRECTIONAL INTEGRATION BETWEEN BEHAVIORAL HEALTH CARE AND PRIMARY HEALTH CARE BY PROVIDING HIGH QUALITY, EVIDENCE-INFORMED TRAINING AND TECHNICAL ASSISTANCE (TTA). THE CIHS WILL IDENTIFY AND RAPIDLY DISSEMINATE INTEGRATION PRACTICES TO STATES, TERRITORIES, TRIBES, HEALTH CARE SYSTEMS, AND PROVIDERS, INCLUDING NON-GOVERNMENTAL ORGANIZATIONS, PROMOTING INTEGRATION OF PRIMARY AND BEHAVIORAL HEALTH CARE (PIPBHC) GRANTEES, AND THE GENERAL PUBLIC. THESE PRACTICE IMPROVEMENTS WILL ADDRESS COMPLEX HEALTH AND SOCIAL CHALLENGES FACED BY COMMUNITIES AND PROVIDERS, SUCH AS HIGH RATES OF CO-OCCURRING BEHAVIORAL HEALTH AND PHYSICAL HEALTH CONDITIONS, IDENTIFYING APPROPRIATE EVIDENCE-INFORMED PRACTICES, NAVIGATING PAYMENT SYSTEMS AND REGULATIONS, SUSTAINING INTEGRATED CARE, AND ACCURATELY MEASURING OUTCOMES. IN COLLABORATION WITH KEY PARTNERS, OUR PRIMARY GOAL WILL BE TO INCREASE THE ADOPTION AND IMPROVEMENT OF BI-DIRECTIONAL PRIMARY AND BEHAVIORAL HEALTH CARE INTEGRATION WITHIN HEALTH CARE, BEHAVIORAL HEALTH, AND COMMUNITY SETTINGS BY PROVIDING EVIDENCE INFORMED TTA THAT RESPONDS TO THE NEEDS OF UNDERSERVED POPULATIONS AND IS TAILORED TO LOCAL, STATE, AND REGIONAL COMPLEXITIES TO ADVANCE IMPLEMENTATION, ORGANIZATIONAL PROCESSES, AND PARTNERSHIPS THAT IMPROVE EQUITABLE ACCESS TO AND SUSTAINABILITY OF INTEGRATED CARE. TTA WILL BE DISSEMINATED TO PRACTITIONERS, INCLUDING REACHING AT LEAST 1,000 PROVIDER ORGANIZATIONS, AND 100 STATE LEADERS ACROSS ALL 50 STATES, FOR A TOTAL OF 40,000 INDIVIDUALS SERVED ANNUALLY AND 200,000 INDIVIDUALS REACHED DURING THE PROJECT PERIOD. WE WILL ALSO WORK TO IMPROVE PIPBHC GRANTEES’ INTEGRATED CARE AND SUSTAINABILITY EFFORTS, AND ADVANCE GRANTEES’ ALIGNMENT WITH AND ABILITY TO NAVIGATE STATE AND PROVIDER ADOPTION PROCESS FOR INTEGRATED CARE SUCH AS THE COLLABORATIVE CARE MODEL (COCM) IN ADDITION TO OTHER INTEGRATED CARE MODELS. ADDITIONALLY, WE WILL AIM TO BUILD AND ENHANCE THE CAPACITY OF THE INTEGRATED CARE WORKFORCE. BEHAVIORAL HEALTH INTEGRATION MODELS, INCLUDING THE COCM, ARE CRUCIAL IN BRIDGING SIGNIFICANT CARE GAPS FOR UNDERSERVED POPULATIONS AND GEOGRAPHIC AREAS, PARTICULARLY FOR INDIVIDUALS EXPERIENCING SERIOUS MENTAL ILLNESS AND SUBSTANCE USE DISORDERS. THESE MODELS, WHICH INTEGRATE PRIMARY CARE AND CARE COORDINATION WITH SERVICES THAT ADDRESS THE SOCIAL DETERMINANTS OF HEALTH EMPHASIZE THE IMPORTANCE OF ADDRESSING THE UNIQUE COMPLEXITIES OF CARE FOR EACH PERSON TO IMPROVE HEALTH OUTCOMES AND REDUCE DISPARITIES FOR VULNERABLE POPULATIONS. BY SEAMLESSLY COORDINATING PRIMARY HEALTH CARE AND BEHAVIORAL HEALTH CARE SERVICES, INTEGRATED CARE MODELS DELIVER A HOLISTIC, PATIENT-CENTERED APPROACH THAT REDUCE HEALTH DISPARITIES, DECREASE HEALTHCARE COSTS, AND IMPROVE OVERALL HEALTH OUTCOMES. THE NATIONAL COUNCIL WILL USE VARIOUS STRATEGIES AND INTERVENTIONS TO REACH OUR GOALS. THIS INCLUDES OUR TTA FRAMEWORK, GROUNDED IN THE PUBLIC HEALTH LEARNING NETWORK’S PUBLIC HEALTH LEARNING AGENDA TOOLKIT, TO PROVIDE EFFECTIVE IMPLEMENTATION SUPPORT WITH ON-DEMAND RESPONSES TO LOCAL NEEDS AND SYSTEM COMPLEXITIES. IN ADDITION, THE NATIONAL COUNCIL’S COMPREHENSIVE HEALTH INTEGRATION FRAMEWORK REPRESENTS A SIGNIFICANT ADVANCEMENT IN FACILITATING INTEGRATED CARE ACROSS PRACTICE SETTINGS.

SUBSTANCE ABUSE PREVENTION, TREATMENT, AND RECOVERY SERVICES BLOCK GRANT - SUBSTANCE ABUSE PREVENTION, TREATMENT, AND RECOVERY SERVICES BLOCK GRANT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

SUBSTANCE ABUSE PREVENTION, TREATMENT, AND RECOVERY SERVICES BLOCK GRANT

SUBSTANCE ABUSE PREVENTION, TREATMENT, AND RECOVERY SERVICES BLOCK GRANT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

GEORGIA AIME

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

RI PIPBHC

VIRGINIA ROAD2HOME PROJECT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

SUBSTANCE ABUSE PREVENTION AND TREATMENT BLOCK GRANT

PURPOSE: THE CONTINUUM OF CARE (COC) PROGRAM IS DESIGNED TO PROMOTE COMMUNITY-WIDE COMMITMENT TO THE GOAL OF ENDING HOMELESSNESS; PROVIDE FUNDING FOR EFFORTS BY NONPROFIT PROVIDERS, STATES, AND LOCAL GOVERNMENTS TO QUICKLY HOUSE HOMELESS INDIVIDUALS AND FAMILIES WHILE MINIMIZING THE TRAUMA AND DISLOCATION CAUSED TO HOMELESS INDIVIDUALS, FAMILIES, AND COMMUNITIES BY HOMELESSNESS; PROMOTE ACCESS TO AND EFFECTIVE UTILIZATION OF MAINSTREAM PROGRAMS BY HOMELESS INDIVIDUALS AND FAMILIES; AND OPTIMIZE SELF-SUFFICIENCY AMONG INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. THE MOST RECENT COC AWARD ANNOUNCEMENT LISTING AWARDS BY STATE AND COC IS ACCESSIBLE AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/AWARDS. SELECT THE LINK UNDER THE FUNDING AND AWARD INFORMATION SECTION FOR THE APPROPRIATE FISCAL YEAR.; ACTIVITIES TO BE PERFORMED: CONTINUUM OF CARE PROGRAM FUNDS MAY BE USED TO PAY FOR THE ELIGIBLE COSTS USED TO ESTABLISH AND OPERATE PROJECTS UNDER FIVE PROGRAM COMPONENTS: (1) PERMANENT HOUSING, WHICH INCLUDES PERMANENT SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES, AND RAPID REHOUSING; (2) TRANSITIONAL HOUSING; (3) SUPPORTIVE SERVICES ONLY; (4) HOMELESS MANAGEMENT INFORMATION SYSTEMS (HMIS), AND (5) IN SOME CASES, HOMELESSNESS PREVENTION. THIRTEEN TYPES OF ASSISTANCE MAY BE PROVIDED THROUGH THE CONTINUUM OF CARE (COC) PROGRAM: (1) COC PLANNING ACTIVITIES/COSTS FOR DESIGNING AND CARRYING OUT A COLLABORATIVE PROCESS FOR THE DEVELOPMENT OF AN APPLICATION TO HUD; (2) UNITED FUNDING AGENCY (UFA) COSTS FOR FISCAL CONTROL AND ACCOUNTING NECESSARY TO ASSURE THE PROPER DISBURSAL OF, AND ACCOUNTING FOR, FEDERAL FUNDS AWARDED TO SUBRECIPIENTS UNDER THE CONTINUUM OF CARE PROGRAM, (3) ACQUISITION OF REAL PROPERTY (INCLUDING STRUCTURES) FOR USE IN THE PROVISION OF HOUSING OR SUPPORTIVE SERVICES; (4) REHABILITATION OF STRUCTURES TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (5) NEW CONSTRUCTION, INCLUDING THE BUILDING OF A NEW STRUCTURE OR BUILDING AN ADDITION TO AN EXISTING STRUCTURE FOR USE AS SUPPORTIVE HOUSING; (6) LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (7) RENTAL ASSISTANCE, WHICH MAY BE SHORT-TERM, MEDIUM-TERM, OR LONG-TERM, AS WELL AS TENANT-BASED, PROJECT-BASED, OR SPONSOR-BASED, FOR TRANSITIONAL OR PERMANENT HOUSING; (8) SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; (9) OPERATING COSTS OF SUPPORTIVE HOUSING; (10) COSTS OF IMPLEMENTING AND OPERATING HMIS; (11) PROJECT ADMINISTRATIVE COSTS; (12) RELOCATION COSTS; AND (13) INDIRECT COSTS IN ACCORDANCE WITH 2 CFR PARTS 200, AS APPLICABLE. IN ADDITION TO USING GRANT FUNDS FOR THE ELIGIBLE COSTS DESCRIBED ABOVE, RECIPIENTS AND SUBRECIPIENTS IN CONTINUUMS OF CARE DESIGNATED AS HIGH PERFORMING COMMUNITIES MAY ALSO USE GRANT FUNDS TO PROVIDE HOUSING RELOCATION AND STABILIZATION SERVICES AND SHORT- AND/OR MEDIUM-TERM RENTAL ASSISTANCE TO INDIVIDUALS AND FAMILIES AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT THE INDIVIDUAL OR FAMILY FROM BECOMING HOMELESS. LIMITATION ON USE OF FUNDS: NO ASSISTANCE PROVIDED UNDER PROGRAM (OR ANY STATE OR LOCAL GOVERNMENT FUNDS USED TO SUPPLEMENT THIS ASSISTANCE) MAY BE USED TO REPLACE STATE OR LOCAL FUNDS PREVIOUSLY USED, OR DESIGNATED FOR USE, TO ASSIST HOMELESS PERSONS OR PERSONS AT-RISK OF HOMELESSNESS.; EXPECTED OUTCOMES: DECREASE IN THE NUMBER INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS, MORE SPECIFICALLY USING PERFORMANCE INDICATORS SUCH AS THE LENGTH OF TIME HOMELESS, RETURNS TO HOMELESSNESS OVER TIME, AND EXITS TO PERMANENT HOUSING. COC PERFORMANCE PROFILE REPORTS CAN BE FOUND AT HTTPS://WWW.HUDEXCHANGE.INFO/PROGRAMS/COC/COC-PERFORMANCE-PROFILE-REPORTS/.; INTENDED BENEFICIARIES: INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

PURPOSE: THE CONTINUUM OF CARE (COC) PROGRAM IS DESIGNED TO PROMOTE COMMUNITY-WIDE COMMITMENT TO THE GOAL OF ENDING HOMELESSNESS; PROVIDE FUNDING FOR EFFORTS BY NONPROFIT PROVIDERS, STATES, AND LOCAL GOVERNMENTS TO QUICKLY HOUSE HOMELESS INDIVIDUALS AND FAMILIES WHILE MINIMIZING THE TRAUMA AND DISLOCATION CAUSED TO HOMELESS INDIVIDUALS, FAMILIES, AND COMMUNITIES BY HOMELESSNESS; PROMOTE ACCESS TO AND EFFECTIVE UTILIZATION OF MAINSTREAM PROGRAMS BY HOMELESS INDIVIDUALS AND FAMILIES; AND OPTIMIZE SELF-SUFFICIENCY AMONG INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. THE MOST RECENT COC AWARD ANNOUNCEMENT LISTING AWARDS BY STATE AND COC IS ACCESSIBLE AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/AWARDS. SELECT THE LINK UNDER THE FUNDING AND AWARD INFORMATION SECTION FOR THE APPROPRIATE FISCAL YEAR.; ACTIVITIES TO BE PERFORMED: CONTINUUM OF CARE PROGRAM FUNDS MAY BE USED TO PAY FOR THE ELIGIBLE COSTS USED TO ESTABLISH AND OPERATE PROJECTS UNDER FIVE PROGRAM COMPONENTS: (1) PERMANENT HOUSING, WHICH INCLUDES PERMANENT SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES, AND RAPID REHOUSING; (2) TRANSITIONAL HOUSING; (3) SUPPORTIVE SERVICES ONLY; (4) HOMELESS MANAGEMENT INFORMATION SYSTEMS (HMIS), AND (5) IN SOME CASES, HOMELESSNESS PREVENTION. THIRTEEN TYPES OF ASSISTANCE MAY BE PROVIDED THROUGH THE CONTINUUM OF CARE (COC) PROGRAM: (1) COC PLANNING ACTIVITIES/COSTS FOR DESIGNING AND CARRYING OUT A COLLABORATIVE PROCESS FOR THE DEVELOPMENT OF AN APPLICATION TO HUD; (2) UNITED FUNDING AGENCY (UFA) COSTS FOR FISCAL CONTROL AND ACCOUNTING NECESSARY TO ASSURE THE PROPER DISBURSAL OF, AND ACCOUNTING FOR, FEDERAL FUNDS AWARDED TO SUBRECIPIENTS UNDER THE CONTINUUM OF CARE PROGRAM, (3) ACQUISITION OF REAL PROPERTY (INCLUDING STRUCTURES) FOR USE IN THE PROVISION OF HOUSING OR SUPPORTIVE SERVICES; (4) REHABILITATION OF STRUCTURES TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (5) NEW CONSTRUCTION, INCLUDING THE BUILDING OF A NEW STRUCTURE OR BUILDING AN ADDITION TO AN EXISTING STRUCTURE FOR USE AS SUPPORTIVE HOUSING; (6) LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (7) RENTAL ASSISTANCE, WHICH MAY BE SHORT-TERM, MEDIUM-TERM, OR LONG-TERM, AS WELL AS TENANT-BASED, PROJECT-BASED, OR SPONSOR-BASED, FOR TRANSITIONAL OR PERMANENT HOUSING; (8) SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; (9) OPERATING COSTS OF SUPPORTIVE HOUSING; (10) COSTS OF IMPLEMENTING AND OPERATING HMIS; (11) PROJECT ADMINISTRATIVE COSTS; (12) RELOCATION COSTS; AND (13) INDIRECT COSTS IN ACCORDANCE WITH 2 CFR PARTS 200, AS APPLICABLE. IN ADDITION TO USING GRANT FUNDS FOR THE ELIGIBLE COSTS DESCRIBED ABOVE, RECIPIENTS AND SUBRECIPIENTS IN CONTINUUMS OF CARE DESIGNATED AS HIGH PERFORMING COMMUNITIES MAY ALSO USE GRANT FUNDS TO PROVIDE HOUSING RELOCATION AND STABILIZATION SERVICES AND SHORT- AND/OR MEDIUM-TERM RENTAL ASSISTANCE TO INDIVIDUALS AND FAMILIES AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT THE INDIVIDUAL OR FAMILY FROM BECOMING HOMELESS. LIMITATION ON USE OF FUNDS: NO ASSISTANCE PROVIDED UNDER PROGRAM (OR ANY STATE OR LOCAL GOVERNMENT FUNDS USED TO SUPPLEMENT THIS ASSISTANCE) MAY BE USED TO REPLACE STATE OR LOCAL FUNDS PREVIOUSLY USED, OR DESIGNATED FOR USE, TO ASSIST HOMELESS PERSONS OR PERSONS AT-RISK OF HOMELESSNESS.; EXPECTED OUTCOMES: DECREASE IN THE NUMBER INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS, MORE SPECIFICALLY USING PERFORMANCE INDICATORS SUCH AS THE LENGTH OF TIME HOMELESS, RETURNS TO HOMELESSNESS OVER TIME, AND EXITS TO PERMANENT HOUSING. COC PERFORMANCE PROFILE REPORTS CAN BE FOUND AT HTTPS://WWW.HUDEXCHANGE.INFO/PROGRAMS/COC/COC-PERFORMANCE-PROFILE-REPORTS/.; INTENDED BENEFICIARIES: INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

PROMOTING THE INTEGRATION OF PRIMARY AND BEHAVIORAL HEALTH CARE: GEORGIA (PIPBHC-GA) - THE GEORGIA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES (DBHDD), ESTABLISHED IN 2009, PROVIDES EXTENSIVE TREATMENT AND SUPPORT SERVICES THROUGH A VAST NETWORK OF COMMUNITY PROVIDERS, ENSURING COMPREHENSIVE CARE FOR BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES. UNDER COMMISSIONER KEVIN TANNER'S LEADERSHIP SINCE JANUARY 2023, DBHDD MAINTAINS A CENTRALLY MANAGED, FUNCTIONALLY ALIGNED ORGANIZATIONAL STRUCTURE THAT ENHANCES EFFICIENCY AND ACCOUNTABILITY. COMMUNITY-BASED AND RECOVERY-ORIENTED SERVICES ARE PRIMARILY PROVIDED THROUGH A SYSTEM OF 22 COMMUNITY SERVICE BOARDS (CSBS) THROUGHOUT THE STATE. DBHDD SUPPORTS A CRISIS AND ACCESS LINE 24/7/365 THAT IS ALSO THE BASE FOR THE NATIONAL SUICIDE PREVENTION LIFELINE. MISSION-DRIVEN TO LEAD AN ACCOUNTABLE AND HIGH-QUALITY CONTINUUM OF CARE, DBHDD IS PROPOSING TO DEVELOP A NOVEL MODEL, PROMOTING THE INTEGRATION OF PRIMARY AND BEHAVIORAL HEALTH CARE: GEORGIA (PIPBHC-GA), IN RURAL SOUTH GEORGIA PURSUANT TO SAMHSA FUNDING NUMBER SM-24-003. MOST OF GEORGIA IS RURAL WITH A DECREASING POPULATION. WHEN COMPARED TO THOSE PERSONS LIVING IN MORE DIVERSE AND URBAN AREAS, THERE ARE DISPARITIES IN MENTAL HEALTH ACCESS AND TREATMENT. GIVEN THE INEQUITIES OF HEALTH RESOURCES, TRANSPORTATION, BROADBAND SERVICE, HOUSING AND HEALTH INSURANCE, RURAL GEORGIANS SUFFER FROM INCREASED RATES OF BOTH PHYSICAL AND BEHAVIORAL DISORDER CONDITIONS. THE PIPBHC-GA PROJECT WILL SERVE A 19-COUNTY AREA OF SOUTH GEORGIA WITH A POPULATION OF 390,230. USING SCIENCE-BASED INTERVENTIONS, TWO FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) WITH 20 CLINIC SITES AND FOUR CSBS IN 9 LOCATIONS WILL PROVIDE COMPREHENSIVE BEHAVIOR HEALTH CARE BY SCREENING AND TREATING AN AVERAGE OF NEARLY 40,000 PERSONS FOR BEHAVIORAL HEALTH PROBLEMS (INCLUDING SUBSTANCE ABUSE) EACH YEAR, FOR A PERIOD OF 5 YEARS, THROUGH A BIDIRECTIONAL MODEL OF SERVICES INTEGRATION. SERVING AS A GATEWAY TO CARE, ALL FQHC NEW AND ANNUAL VISIT PERSONS 6 YEARS OF AGE AND OLDER WILL BE SCREENED FOR HIGH-RISK BEHAVIORAL HEALTH SYMPTOMS. THROUGH A MULTIDISCIPLINARY PRIMARY CARE TEAM, THE FQHC WILL PROVIDE IMMEDIATE INTERVENTION FOR THE MOST COMMON BEHAVIORAL HEALTH PROBLEMS. THOSE PERSONS REQUIRING SPECIALTY CARE AND SUSTAINED SUPPORT WILL BE REFERRED THROUGH A “WARM HAND-OFF” TO A LOCAL CSB. SEVERE AND PERSISTENT MENTAL ILLNESS AND CO-OCCURRING DISORDERS ARE SPECIAL, LONG-TERM CONDITIONS THAT A PERSON WILL BE MANAGING FOR LIFE WITH TREATMENT AND SUPPORTIVE CARE THROUGH THE CSB. INDIVIDUALS NEEDING PRIMARY CARE AT ANY POINT IN THEIR CSB TREATMENT WILL BE REFERRED BACK TO THE FQHC, WHICH WILL BECOME THEIR PATIENT-CENTERED MEDICAL HOME. THIS WILL BE AN INTEGRATION MODEL FOR RURAL GEORGIANS WITH A CONTINUUM OF CARE FROM SCREENING/PREVENTION, ASSESSMENT, DIAGNOSIS AND TREATMENT TO RECOVERY SUPPORT. CO-OCCURRING SOMATIC AND MENTAL HEALTH CONDITIONS WILL BE IN FOCUS AND A PERSON’S CARE AND RECOVERY WILL BE MANAGED. OVER THE 5-YEAR DURATION OF THE PROJECT, PIPBHC-GA WILL ESTABLISH RELIABLE PATTERNS OF COLLABORATION AMONG MAJOR COMMUNITY PROVIDERS (PUBLIC CSBS AND PRIVATE FQHCS), SETTING A BLUEPRINT THAT COULD BE USED THROUGHOUT THE STATE AND NATIONALLY. BEGINNING WITH MEASUREMENT-BASED CARE, A MAJOR COHORT OF THE RURAL UNINSURED POPULATION WILL BE SCREENED THEREBY INCREASING ACCESS, IDENTIFYING GAPS IN COVERAGE; DEMONSTRATING HOW TO ANALYZE DATA ON THE SOCIAL DETERMINANTS OF HEALTH CHARACTERISTICS THAT IMPACT HEALTH DISPARITIES; DEVELOPING A BEHAVIORAL HEALTH WORKFORCE RELEVANT FOR RURAL POPULATIONS; USING INFORMATION TECHNOLOGY FOR IMPROVED QUALITY CARE MANAGEMENT, TREATMENT, PROGRAM ACCOUNTABILITY AND PERFORMANCE MEASUREMENT WHILE RE-ENFORCING THE VALUE OF SERVICES INTEGRATION AMONG COMMUNITY-BASED PROVIDERS FOR THE BEST POSSIBLE WHOLE HEALTH OUTCOMES FOR THE INDIVIDUAL. DBHDD IS REQUESTING $2,000,000 PER YEAR FOR FIVE YEARS.

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

CONTINUUM OF CARE PROGRAM

GUAM'S PEACE PARTNERSHIPS FOR SUCCESS

BRINGING SYSTEMS OF CARE TO SCALE IN VIRGINIA

INDIVIDUALS WITH DISABILITIES EDUCATION ACT/AMERICAN RESCUE PLAN ACT OF 2021 (ARP)

RHODE ISLAND CABHI

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

HEALTH CENTER CLUSTER

FY2023 STRATEGIC PREVENTION FRAMEWORK - PARTNERSHIPS FOR SUCCESS FOR STATES APPLICATION: RHODE ISLAND SINGLE STATE AUTHORITY (BHDDH) - THE RHODE ISLAND (RI) STRATEGIC PREVENTION FRAMEWORK (SPF) PARTNERSHIPS FOR SUCCESS (PFS) PROGRAM WILL ADDRESS CURRENT GAPS IN ALCOHOL AND MARIJUANA USE PREVENTION AMONG YOUTH AND YOUNG ADULTS AGES 12-25. TO REDUCE THE ONSET AND PROGRESSION OF UNDERAGE AND PROBLEM ALCOHOL AND MARIJUANA USE IN YOUTH AND YOUNG ADULTS IN RI, THE PLAN IS THREEFOLD. FIRST, THE DEPARTMENT OF BEHAVIORAL HEALTHCARE, DEVELOPMENTAL DISABILITIES AND HOSPITALS (BHDDH) WILL UTILIZE DELEGATED AUTHORITY TO CONTRACT WITH FOUR EXPERIENCED REGIONAL PREVENTION TASK FORCE COALITIONS IN UNDERSERVED AND/OR HIGH-NEED GEOGRAPHIC AREAS. SECOND, BHDDH WILL ENGAGE WITH LOCAL COMMUNITY PREVENTION PROVIDERS THAT MAY NOT YET BE ELIGIBLE TO APPLY FOR THE SPF-PFS AWARD THROUGH SAMHSA AND PROVIDE TRAINING AND CAPACITY BUILDING ACTIVITIES THAT WILL CULMINATE INTO A COMPETITIVE PROGRAM FUNDING AT LEAST FOUR HIGH-NEED MUNICIPALITIES. THIRD, RI WILL UTILIZE THIS OPPORTUNITY TO BUILD CAPACITY, DEVELOP, AND PILOT AT LEAST ONE INTERVENTION DESIGNED TO REDUCE THE DISPARATE PREVALENCE OF UNDERAGE AND PROBLEM ALCOHOL AND MARIJUANA USE EXPERIENCED BY LESBIAN, GAY, BISEXUAL, TRANSGENDER, AND QUESTIONING (LGBTQ) INDIVIDUALS BETWEEN THE AGES OF 12 TO 25. THIS INTERVENTION WILL BE OFFERED TO ANY PREVNETION PROVIDER WILLING TO PARTICIPATE IN THE PILOT ACROSS THE STATE. OUTCOMES WILL BE MEASURED VIA TWO PREVALENCE SURVEYS. THE RHODE ISLAND YOUNG ADULT SURVEY (RIYAS) IS CONDUCTED VIA INSTAGRAM TO RHODE ISLAND ADULTS AGES 18-25. THE RHODE ISLAND STUDENT SURVEY (RISS) IS CONDUCTED IN PARTNERSHIP WITH THE UNIVERSITY OF RHODE ISLAND AT RI MIDDLE AND HIGH SCHOOLS TO YOUTH AGES 12 TO 18. PROCESS DATA WILL BE COLLECTED IN THE MOSAIX IMPACT PREVENTION DATA PLATFORM. FOUR HIGH-NEED REGIONS [NEWPORT COUNTY, WASHINGTON (ALSO CALLED SOUTH LOCALLY) COUNTY, PROVIDENCE COUNTY, AND THE EAST BAY REGION] AND FOUR HIGH-NEED MUNICIPALITIES [NEWPORT, TIVERTON, BURRILLVILLE, AND EXETER-WEST GREENWICH] HAVE BEEN SELECTED BASED ON A FORMULA DEVELOPED BY THE RI STATE EPIDEMIOLOGICAL OUTCOMES WORKGROUP. THE RI EVIDENCE-BASED PRACTICES WORKGROUP HAS BEEN TASKED WITH SCALING DOWN THE CURRENT PREVENTION-FOCUSED EVIDENCE-BASED PRACTICES LIST TO A MORE MANAGEABLE SELECTION SPECIFIC TO THIS PROJECT TO ASSIST FUNDED COMMUNITIES IN MAKING MEASURABLE CHANGE IN THEIR RESPECTED COMMUNITIES.

CINCINNATI RESTORATION INITIATIVE (CRI) - GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES (GCB) WILL RESTORE SERVICES IMPACTED BY THE COVID-19 PANDEMIC (C-19P) TO ADDRESS NEEDS OF PERSONS WITH SERIOUS MENTAL ILLNESS (SMI) AND THOSE WITH CO-OCCURRING SUBSTANCE USE DISORDERS (COD). CRI WILL ADDRESS GAPS IN SERVICES AND INFRASTRUCTURE TO MINIMIZE C-19P'S IMPACT IN HAMILTON COUNTY, OH (HC). BEHAVIORAL HEALTH DISORDERS ARE THE MOST COMMON PANDEMIC HEALTH EFFECT. C-19P'S SWEEPING IMPACTS WILL HAVE SIGNIFICANT HEALTH IMPLICATIONS IN A STATE WITH THE HIGHEST SMI PREVALENCE IN THE U.S. TO ADDRESS CURRENT AND EMERGING NEEDS, GCB SEEKS FUNDS TO ADDRESS 3 GAPS RELATED TO ACCESS, CRISIS SERVICES, AND TELEHEALTH. C-19P AMPLIFIED TREATMENT DEMAND. GCB ADMISSIONS INCREASED 40% WHILE ITS WORKFORCE SHRANK 12.4% DURING C-19P. THE SERVICE IMPACT WAS IMMEDIATE. ADMISSION TEAMS COULD NOT PROVIDE SAME DAY TREATMENT ACCESS. HOSPITAL AND JAIL INTAKES DECLINED 31%. PSYCHIATRIC AND CARE MANAGEMENT SERVICES EACH FELL 26%. AVERAGE CARE MANAGER (CM) CASELOADS BALLOONED FROM 34 CLIENTS TO 44. 81% OF CLIENTS EXPERIENCED A SERVICE DECREASE RESULTING IN UNMET NEEDS. STAFF STRESS AND BURNOUT WERE DIRECTLY RELATED TO STAFF SHORTAGES AND HIGHER CASELOADS. ACCESS TO CRISIS SERVICES WAS ALSO AN ISSUE. GCB RELIED ON HC'S CRISIS CONTINUUM TO ADDRESS PSYCHIATRIC CRISES, BUT THESE SERVICES WERE LIMITED DURING C-19P. GCB'S CRISIS RESPONSE FELL TO CMS WHO WERE ALREADY OVERWHELMED. C-19P'S IMPACTS ARE ONLY BEGINNING TO SURFACE. GCB SAW A 30% INCREASE IN PSYCHIATRIC EMERGENCIES AND 92% INCREASE IN OVERDOSE DEATHS SINCE C-19P UNDERSCORING THE NEED TO BUILD INTERNAL CRISIS CAPACITY. TO PROVIDE SOME SERVICE, GCB ADOPTED BASIC TELEHEALTH SINCE ITS EHR DID NOT HAVE A TELEHEALTH PLATFORM SHIFTING SERVICES FROM FACE-TO-FACE (95%) TO TELEHEALTH (77%). THIS SHIFT, ALONGSIDE WORKFORCE REDUCTIONS, RESULTED IN A $3.9 MILLION REVENUE REDUCTION IN THE 12 MONTHS AFTER C-19P. GCB WILL RESTORE CLINICAL SERVICES AND BOLSTER TELEHEALTH TO MINIMIZE C-19P'S IMPACT ON CLIENTS, STAFF, AND GCB. CRI WILL SERVE 1,000 CLIENTS OVER 2 YEARS - 500/YEAR. PROJECT GOALS/OBJECTIVES FOCUS ON INTAKE CAPACITY, CARE MANAGEMENT ACCESS, CRISIS SERVICES, AND TELEHEALTH. CRI WILL ACHIEVE 4 GOALS: 1) EXPAND INTAKE CAPACITY TO MEET TREATMENT DEMAND VIA A RAPID ENGAGEMENT TO CARE TEAM TO MANAGE HOSPITAL AND JAIL ADMISSIONS. 2) EXPAND CARE MANAGEMENT ACCESS TO REDUCE AVERAGE CM CASELOAD THROUGH 4 NEW CARE MANAGEMENT TEAMS. 3) INCREASE CRISIS SERVICES TO REDUCE PSYCHIATRIC EMERGENCIES THROUGH A CRISIS SUPPORT TEAM AND 2 ADDITIONAL CRISIS BEDS. 4) EXPAND TELEHEALTH THROUGH A NEW EHR WITH A TELEHEALTH PLATFORM. KEY INTERVENTIONS INCLUDE COGNITIVE BEHAVIORAL THERAPY, CRITICAL TIME INTERVENTION, INTEGRATED DUAL DISORDER TREATMENT, AND MOTIVATIONAL INTERVIEWING. CRI'S POPULATION WILL INCLUDE NEW CLIENTS WITH SMI OR SMI+COD ASSIGNED TO PSYCHIATRIC, AND CARE MANAGEMENT SERVICES. 40% HAVE PSYCHOTIC DISORDERS; 50% A COD, 55% ARE BLACK; 42% WHITE. 52% ARE MALE. AVERAGE AGE IS 44. 86% ARE BELOW 100% OF THE FEDERAL POVERTY LEVEL. GCB HAS THE LEADERSHIP AND EXPERIENCE TO RESTORE AND BOLSTER SERVICES WITH SAMHSA SUPPORT.

DEPARTMENT OF HEALTH AND HUMAN SERVICES SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION COMMUNITY MENTAL HEALTH CENTERS GRANT PROGRAM - THE PRAIRIE RIDGE COMMUNITY MENTAL HEALTH CENTERS GRANT PROGRAM WILL FOCUS ON RESTORING AND SUPPORTING DELIVERY OF CLINICAL SERVICES THAT WERE IMPACTED BY THE COVID-19 PANDEMIC AND WILL WORK TO ADDRESS THE NEEDS OF INDIVIDUALS WITH SEVERE EMOTIONAL DISTURBANCE (SED), SERIOUS MENTAL ILLNESS (SMI) AND INDIVIDUALS WITH SMI OR SED AND SUBSTANCE USE DISORDERS, REFERRED TO AS CO-OCCURRING DISORDER (COD). INDIVIDUALS SERVED WILL INCLUDE ADULTS WITH SEVERE MENTAL HEALTH DISORDERS, CHILDREN WHO HAVE A DIAGNOSABLE MENTAL , BEHAVIORAL, OR EMOTIONAL DISORDER, AND/OR INDIVIDUALS EXPERIENCING A MENTAL HEALTH CONDITION WITH A CO-OCCURRING SUBSTANCE USE DISORDER. THE GEOGRAPHIC FOCUS OF THE PROJECT INCLUDES AN 8-COUNTY AREA IN NORTHERN IOWA, INCLUDING THE COUNTIES OF CERRO GORDO, FLOYD, MICHELL, WORTH, WINNEBAGO, KOSSUTH, HANCOCK AND FRANKLIN. THE TOTAL POPULATION OF THE 8-COUNTY AREA, AS DOCUMENTED BY THE U.S. CENSUS 2018 AMERICAN COMMUNITY 5 YEAR SURVEY, IS 123, 149. OUR COMMUNITY HEALTH NEEDS ASSESSMENT SHOWS INDIVIDUALS IN OUR AREA CONTINUE TO FACE MANY UNMET NEEDS DUE TO THE LACK OF COMPREHENSIVE AND INTEGRATED SERVICES SYSTEMS, INCONSISTENT USE OF EVIDENCE-BASED PRACTICES, A LACK OF INSURANCE, POVERTY (WITH 10.46% OF THE POPULATION LIVING BELOW THE POVERTY LEVEL), AND A LACK OF AFFORDABLE TRANSPORTATION. THESE CHALLENGES ARE EXACERBATED BY A PERSISTENT SHORTAGE OF PROVIDERS IN THE AREA, INCLUDING PHYSICIANS AND PSYCHIATRISTS. THE LACK OF PSYCHIATRISTS IS PARTICULARLY ACUTE AND INTENSIFIED BY A STATEWIDE DECLINE IN PSYCHIATRIC BEDS FOR EMERGENT AND CRISIS SERVICES. ALL COUNTIES WITHIN OUR CATCHMENT AREA A PRIMARY CARE AND BEHAVIORAL HEALTH CARE SHORTAGE AREAS (HPSAS) FOR MEDICAID POPULATIONS. A CHNA BY A LOCAL HEALTH SYSTEM ALSO IDENTIFIES A LACK OF MENTAL HEALTH PROVIDERS/SUPPORT SERVICES AS THE MOST SIGNIFICANT NEED IN NORTH CENTRAL IOWA. THE LACK OF BEHAVIORAL HEALTH SERVICES IS LINKED TO A CRITICALLY HIGH SUICIDE RATE WHICH, EVEN BEFORE THE COVID-19 PANDEMIC, WAS THE NINTH LEADING CAUSE OF DEATH IN IOWA AND THE SECOND LEADING CAUSE OF DEATH FOR IOWANS BETWEEN THE AGES OF 10 AND 34. SINCE 2000, SUICIDES HAVE GROWN FROM 288 TO 521 IN 2019, AND ARE GROWING STILL FURTHER DURING THE COVID-19 PANDEMIC. FROM MARCH TO AUGUST 2020 ALONE, 267 SUICIDE DEATHS WERE REPORTED IN IOWA. CONCURRENTLY, ALCOHOL AND DRUG-RELATED HOSPITALIZATION RATES CONTINUE TO GROW. WHILE DATA ON THE IMPACT OF THE PANDEMIC IS STILL BEING GATHERED, THE U.S. CENSUS BUREAU ESTIMATES THAT ROUGHLY 100,000 MORE IOWANS IN DECEMBER 2020 REPORTED FEELING DEPRESSED NEARLY EVERY DAY COMPARED TO WHAT WAS SURVEYED IN MAY OR OCTOBER. THE CENTERS OF DISEASE CONTROL FOUND THAT IN THE FALL 2020, MENTAL HEALTH EMERGENCY VISITS ROSE BY 24% FOR CHILDREN AND 31% FOR TEENS. PRAIRIE RIDGE HAS DESIGNATED FIVE GOALS WITH MEASURABLE OBJECTIVES TO MEET THE NEEDS OF THE PEOPLE IN OUR CATCHMENT AREA AND OUR FOCUS POPULATIONS. THESE GOALS INCLUDE EXPANDING AVAILABILITY AND EASE OF ACCESS TO COMMUNITY-BASED PEER SUPPORT AND CRISIS RESPONSE SERVICES BY ESTABLISHING COMMUNITY DROP-IN CENTERS, ENHANCING PARTNERSHIPS BETWEEN PRAIRIE RIDGE'S BEHAVIORAL HEALTH TEAM AND THE CRIMINAL JUSTICE SYSTEM, EXPANDING ACCESS TO INTEGRATED HEALTH HOME SERVICES TO NON-MEDICAID FUNDED PATIENTS, ADDRESSING BEHAVIORAL HEALTH ISSUES OF SCHOOL-AGED CHILDREN AT RISK FOR SED THROUGH PROVISION OF "RECONNECTING YOUTH" CURRICULUM WITHIN THE SCHOOLS, AND INCREASING OUTREACH ABILITY BY TRAINING AND SUPPORTING PEERS TO ASSIST INDIVIDUALS WITH ADDRESSING BEHAVIORAL HEALTH NEEDS THAT MAY HAVE ARISEN OR WORSENED AS A RESULT OF THE PANDEMIC.

VA SPF PFS PRESCRIPTION DRUG ABUSE & HEROIN OVERDOSE PREVENTION

PIONEER VALLEY OUTPATIENT PROGRAM - BEHAVIORAL HEALTH NETWORK, INC. PROPOSES TO SERVE 500 ADULTS AND YOUTH IN YEAR ONE, AND 1,000 PERSONS TOTAL OVER TWO YEARS IN AN ENHANCED, MULTIDISCIPLINARY TREATMENT TEAM APPROACH IN 8 OUTPATIENT TREATMENT SITES, IN A PROJECT CALLED PIONEER VALLEY OUTPATIENT SERVICE. SERVICES LOCATIONS ARE SPRINGFIELD, HOLYOKE, WARE AND WESTFIELD, MA. WE WILL SERVE PERSONS WITH SMI, COD AND SED, FOCUSING ON LOW-INCOME, PERSONS OF COLOR, RURAL, AND YOUTH POPULATIONS. DURING COVID-19, BHN IS WITNESS TO A HIGHER CLINICAL ACUITY IN OUR CLIENTS AND A RAPIDLY INCREASING COMMUNITY NEED FOR SERVICES, AT THE SAME TIME THAT BHN’S CAPACITY TO SERVE HAS DECREASED DUE TO VICARIOUS TRAUMA AND THE PERSONAL IMPACTS OF THE PANDEMIC ON OUR CLINICAL STAFF. STARTING THE PANDEMIC WITH A LOW CLINICIAN WORKFORCE, WE HAVE BEEN CHALLENGED OVER THE LAST YEAR TO BRING OUR CLINICIAN RANKS UP TO THE SIZE NEEDED TO BE FULLY RESPONSIVE TO THE COMMUNITY NEED. COMBINED WITH THIS IS ADDITIONAL VOLUNTARY TERMINATIONS OF SOME STAFF AND REDUCTIONS IN WORK HOURS FOR OTHERS. PROJECT INTERVENTIONS INCLUDE STANDARD OP SERVICES DELIVERED IN A MULTIDISCIPLINARY TEAM STRUCTURE. WE WILL OFFER (PRIMARILY TELEHEALTH) SCREENING, ASSESSMENT, DIAGNOSIS, TREATMENT PLANNING, RECOVERY SUPPORT SERVICES, CASE MANAGEMENT, PEER SUPPORT, RESOURCE NAVIGATION AND PSYCHOSOCIAL REHAB. WE WILL SUPPORT OUR STAFF AS THEY MANAGE THEIR MENTAL HEALTH NEEDS AND PROVIDE CULTURAL COMPETENT TRAININGS TO BETTER SERVE OUR DIVERSE POPULATIONS. PEERS WILL BE INCLUDED ON THE TEAMS AND FULLY TRAINED AND SUPPORTED IN THEIR ROLES. OUR MULTIDISCIPLINARY TEAM MODEL IS DESIGNED TO PROVIDE TO RESPOND TO THE MORE INTENSIVE CARE AND SUPPORT NEEDS OF HIGHER ACUITY CLIENTS TO HELP RETAIN THEM IN SERVICES AND MORE READILY MEET THEIR SELF-IDENTIFIED TREATMENT GOALS, INCLUDING GOALS RELATED TO THEIR SOCIAL DETERMINANTS OF HEALTH NEEDS. TEAM MEMBERS INCLUDE THE MASTERS PREPARED BEHAVIORAL HEALTH CLINICIAN, THE NAVIGATOR, AND PROVIDERS AT OTHER LEVELS OF CARE WHO ARE INVESTED IN THE PERSON’S GOALS. WE WILL CREATE A “ONE PERSON/ ONE PLAN” APPROACH TO CARE. THIS PLAN INCLUDES 1-2 TEAMS AT EACH OF 8 CLINICS. OUR EXPECTATION IS THAT SHARED RESPONSIBILITY FOR HIGH-ACUITY CLIENT CARE WILL REDUCE CLINICIAN STRESS AND PREVENT THE EXACERBATION OF VICARIOUS TRAUMA. OUR GOALS INCLUDE INCREASING THE CAPACITY OF OUR OP SERVICES TO MEET THE NEEDS OF CLIENTS BY UTILIZING TEAMS TO REDUCE THE TIME FROM INTAKE TO ASSESSMENT, AND THEN FROM ASSESSMENT TO ON-GOING SERVICE PROVISION, AND TO INCREASE THE NUMBER OF NEW INTAKES WE PERFORM ANNUALLY. OUR SECOND GOAL IS TO IMPROVE CLIENT OUTCOMES VIA THE MULTIDISCIPLINARY TREATMENT TEAM APPROACH, BY HELPING THEM TO ACHIEVE AT LEAST ONE TREATMENT GOAL IN 6 MONTHS, REDUCING THEIR NEED FOR CRISIS INTERVENTIONS, AND LEAVING THEM SATISFIED WITH THE SERVICES THEY RECEIVE. OUT THIRD GOAL IS TO IMPROVE THE CAPACITY OF STAFF TO DELIVER SERVICES, WHEREBY THEY EXPRESS GREATER JOB SATISFACTION ARE RETAINED AS EMPLOYEES, AND COMPLETE TRAINING IN A NEW EVIDENCE BASED PRACTICE. WE WILL REDUCE OUR WAITLISTS, PROVIDE MORE INTENSIVE, CULTURALLY COMPETENT CARE BY TRAINED, CULTURALLY HUMBLE CLINICAL AND PEER STAFF, AND HELP OUR EMPLOYEES BETTER MANAGE THEIR OWN SELF-CARE AND WELLNESS.

RESTORING THE COMMUNITY'S CENTER - COMPREHENSIVE BEHAVIORAL HEALTH CENTER OF ST. CLAIR COUNTY, INC. (ALSO KNOWN AS CBHC OR THE CENTER) HAS PROVIDED TREATMENTS SERVICES IN EAST SAINT LOUIS, ILLINOIS, ONE OF THE MOST IMPOVERISHED COMMUNITIES IN THE STATE, SINCE 1957. THIS PROJECT, RESTORING THE COMMUNITY'S CENTER, WILL ALLOW US TO CONTINUE TO PROVIDE VITAL SERVICES TO OUR PRIMARY POPULATION OF FOCUS (POF): ADULTS WITH SMI AND COD, WHO ARE LARGELY PEOPLE OF COLOR LIVING IN AN ECONOMICALLY DISADVANTAGED AREA. THE VULNERABLE POPULATION IN OUR AREA OFTEN EXPERIENCES INEQUITY IN ACCESS TO SERVICES. MORE THAN ONE-THIRD (36%) OF THE COUNTY'S POPULATION ARE PEOPLE OF COLOR AND THE POVERTY RATE IS 13.3%. PREVALENCE DATA FOR ST. CLAIR COUNTY REFLECTS THAT ARE SOME 8,681 INDIVIDUALS WITH SERIOUS MENTAL ILLNESS IN THE COMMUNITY; 3,594 INDIVIDUALS WITH COD; AND SOME 14,736 INDIVIDUALS WITH UNTREATED SUBSTANCE USE DISORDERS. PROJECT FUNDS WOULD ALLOW CBHC TO EXPAND SERVICES FOR ADOLESCENTS AND TRANSITION-AGED YOUTH WITH COD. OUR SERVICES INCLUDE A FOCUS ON THE HOMELESS AND ON INDIVIDUALS RE-ENTERING THE COMMUNITY FROM COUNTY JAIL AND THOSE ON PROBATION TROUGH CLOSE RELATIONSHIPS WITH LOCAL MENTAL HEALTH AND DRUG COURTS. CBHC PLANS TO PROVIDE SERVICES TO 500 CLIENTS PER YEAR AND 1,000 OVER THE LIFE OF THE PROJECT. PROJECT GOALS INCLUDE INCREASING THE CAPACITY OF THE AGENCY TO ENGAGE THE ADULT SMI AND COD POPULATION IN TREATMENT. CBHC HAS ESTABLISHED AN ASSOCIATED OBJECTIVE REFLECTING THAT FIFTY-PERCENT OF CLIENTS WITH SMI WILL DEMONSTRATE IMPROVED MENTAL HEALTH FUNCTIONING AFTER THREE MONTHS OF TREATMENT AS MEASURED BY THE NATIONAL OUTCOMES MEASUREMENT SYSTEM (NOMS0. CBHC PLANS TO RESTORE CAPACITY OF OUTPATIENT SERVICES TO YOUTH WITH CO-OCCURRING DISORDERS. AN ASSOCIATED OBJECTIVE IS THAT FIFTY-PERCENT OF INVOLVED YOUTH ENGAGED IN SUBSTANCE USE DISORDER TREATMENT WILL INDICATE NO PAST 30-DAY SUBSTANCE USE, EXCLUDING TOBACCO, AFTER SIX MONTHS OF OUTPATIENT TREATMENT AS MEASURED BY NOMS. ADDITIONALLY, CBHC PLANS FOR THIS PROJECT TO INCLUDE EXPANSION OF TELEHEALTH SERVICES TO PROMOTE CLIENT CONTACT AND ENGAGEMENT. AN OBJECTIVE IS TO EXPAND THE USE OF TELEHEALTH SERVICES BY TWENTY-PERCENT IN THE FIRST GRANT YEAR AND A THIRTY-PERCENT INCREASE FROM BASELINE IN THE SECOND YEAR OF THE PROJECT. THE PROJECT ALSO INCLUDES A GOAL OF PROVIDING RESOURCES TO ADDRESS THE MENTAL HEALTH NEEDS OF STAFF. CBHC PLANS TO IMPLEMENT WELLNESS ACTIVITIES INCLUDING SELF-CARE WORKSHOPS S PART OF THIS GOAL. CBHC EXPERIENCED SIGNIFICANT REVENUE LOSSES AND INCREASED EXPENSES AS A RESULT OF THE PANDEMIC. THE AGENCY HAD TO SUSPEND ADMISSION TO RESIDENTIAL PROGRAMS EARLY ON IN THE PANDEMIC TO PREVENT POTENTIAL SPREAD OF THE VIRUS. ONCE VIRUS TRANSMISSION PREVENTION INFORMATION BECAME AVAILABLE, LIMITED ADMISSIONS RESUMED TO RESIDENTIAL PROGRAMS WITH CAPACITY BEING LIMITED TO ONE-HALF OF NORMAL CAPACITY SEVERELY IMPACTING REVENUE. OTHER SERVICE LINES WERE ALSO NEGATIVELY IMPACTED DUE TO CLOSURE OF OTHER PROGRAMS LIKE SCHOOLS WHICH FREQUENTLY PROVIDE REFERRALS TO AGENCY SERVICES. CBHC ALSO INCURRED ADDITIONAL EXPENSES WITH PURCHASING PERSONAL PROTECTIVE EQUIPMENT FOR STAFF AND CLIENTS. CLEANING AND DISINFECTION COSTS ROSE TO INCREASE THE FREQUENCY SERVICES AND TO PURCHASE SPECIAL MATERIALS SUITABLE TO ADDRESS THE VIRUS. FOOD SERVICE COSTS ROSE EXTENSIVELY DUE TO INCREASED FOOD COSTS AND TO SWITCH TO DISPOSABLE SERVICE ITEMS TO PREVENT POSSIBLE VIRUS TRANSMISSION. IN ADDITION, COSTS FOR COMPUTER EQUIPMENT TO SWIFTLY PIVOT TO TELEHEALTH SERVICES WERE REQUIRED TO MAINTAIN SERVICES. RESTORING THE COMMUNITY'S CENTER WILL ASSIST THE AGENCY IN IT'S MISSION OF PROVIDING SERVICES TO OUR VULNERABLE POPULATION.

WYANDOT CENTER CMHC PROJECT - WYANDOT CENTER PROPOSES TO IMPLEMENT THE WYANDOT CMHC PROJECT TO PROVIDE TRAUMA-INFORMED MENTAL HEALTH TREATMENT TO YOUTH AND ADULTS FROM WYANDOTTE COUNTY EXPERIENCING SERIOUS EMOTIONAL DISTURBANCE (SED), SERIOUS MENTAL ILLNESS (SMI), OR CO-OCCURRING SUBSTANCE USE DISORDER (COD) WHO HAVE BEEN IMPACTED BY THE COVID-19 PANDEMIC. THE GOALS OF THE WYANDOT CENTER CMHC PROJECT ARE: 1) REDUCE THE NEGATIVE BEHAVIORAL AND MENTAL HEALTH SYMPTOMS FOR WYANDOTTE COUNTY YOUTH AND ADULTS WITH SED, SMI, OR COD IMPACTED BY COVID-19; 2) IMPROVE BEHAVIORAL HEALTH OUTCOMES AND SCHOOL CAPACITY TO HELP YOUTH WITH SED OR COD TRANSITION TO SCHOOL AND THE COMMUNITY AFTER COVID-19; 3) INCREASE CRISIS SERVICES AND RESPONSE FOR INDIVIDUALS WITH SED, SMI, OR COD EXPERIENCING A MENTAL HEALTH CRISIS; AND 4) ENHANCE MENTAL HEALTH SUPPORT FOR WYANDOT CENTER STAFF IMPACTED BY COVID-19. THIS FUNDING WILL PROVIDE: 1) OUTPATIENT THERAPY; 2) PSYCHIATRIC SERVICES; 3) PSYCHOSOCIAL SERVICES FOR YOUTH; 4) ATTENDANT CARE MEDICATION DELIVERY FOR ADULTS; 5) PEER SUPPORT FOR YOUTH; 6) 24/7 CRISIS RESPONSE FOR INDIVIDUALS EXPERIENCING A MENTAL HEALTH CRISIS; AND 7) EXTENDED MENTAL HEALTH SUPPORT FOR WYANDOT CENTER STAFF. WYANDOT CENTER WILL PROVIDE BEHAVIORAL HEALTH CARE VIA TELEHEALTH, DELIVER PERSON-CENTERED, CULTURALLY COMPETENT, AND TRAUMA INFORMED SERVICES. WYANDOT CENTER WILL SERVE 1,440 PEOPLE IN YEAR ONE, 1,632 IN YEAR TWO, AND 3,072 OVER THE TWO-YEAR GRANT TERM. WYANDOT CENTER WILL UTILIZE GRANT FUNDS TO RESTORE, ENHANCE AND BUILD CAPACITY TO PROVIDE EVIDENCE-BASED MENTAL HEALTH SERVICES TO MEET THE GROWING NEED RESULTING FROM THE COVID-19 PANDEMIC.

PROJECT LINC (LINKING INDIVIDUALS IN NURTURING COMMUNITIES) - TREATMENT FOR INDIVIDUALS WITH SERIOUS EMOTIONAL DISTURBANCES OR CO-OCCURRING DISORDERS EXPERIENCING HOMELESSNESS

BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES

THIS PROGRAM IS DESIGNED TO EXPAND/ENHANCE THE CONTINUUM OF CARE FOR SUBSTANCE USE DISORDER (SUD) SERVICES AND REDUCE ALCOHOL AND OTHER DRUG (AOD) CONSUMPTION AND ITS NEGATIVE HEALTH IMPACT, INCREASE - VA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENT SEVICES AIMS TO DEVELOP A SUSTAINABLE, STATEWIDE INFRASTRUCTURE TO INCREASE ACCESS TO EVIDENCE-BASED SCREENING, EARLY INTERVENTION, TREATMENT, AND CARE TRANSITION SERVICES FOR SUBSTANCE USE AND CO-OCCURRING PROBLEMS INCLUDING DEPRESSION AND SUICIDE FOR YOUTH AGE 12-21 VIA PARTNERSHIPS WITH PEDIATRIC PRIMARY CARE, HOSPITAL, AND COMMUNITY MENTAL HEALTH SETTINGS. THIS PROJECT WILL FILL CRITICAL SERVICE GAPS; ACCESS TO ROUTINE AND UNIVERSAL RISK IDENTIFICATION, BRIEF PREVENTION INTERVENTIONS, TREATMENT, AND CARE NAVIGATION SUPPORT IN HOPES OF TURNING THE TIDE OF YOUTH SUBSTANCE USE AND MENTAL HEALTH RISK IN OUR STATE.

BESTSELF CMHC GRANT PROGRAM - THE PROPOSED PROJECT WILL SERVE 550 INDIVIDUALS WITH SERIOUS EMOTIONAL DISTURBANCE (SED), SERIOUS MENTAL ILLNESS (SMI), AND INDIVIDUALS WITH SMI OR SED AND SUBSTANCE USE DISORDERS, REFERRED TO AS CO-OCCURRING DISORDER (COD) RESIDING IN ERIE, NIAGARA, CATTARAUGUS, AND ALLEGANY COUNTIES LOCATED IN WESTERN NEW YORK, PER YEAR. THE BESTSELF CMHC GRANT PROGRAM INCLUDES SEVERAL COMPONENTS TO ENHANCE OUTPATIENT SERVICES IN THE CATCHMENT AREA INCLUDING DEVELOPMENT OF A GENDER AFFIRMING CARE PATHWAY AND ENHANCED EATING DISORDER TREATMENT. ADDITIONALLY, THE CHILDREN’S CLINIC SUPPORT TEAM AND THE ADULT MOBILE MENTAL HEALTH TEAM WILL PROVIDE SUPPORT TO CLINIC STAFF BY ASSISTING WITH INTAKE; FOLLOW-UP; AND REENGAGEMENT OF CLIENTS WHO ARE LOST TO CONTACT. THE TEAMS WILL BE MOBILE, FLEXIBLE, AND ADAPTABLE – DESIGNED TO TAKE SOME OF THE PRESSURE OFF OF CURRENT STAFF IN RESPONSE TO THE INCREASED DEMAND FOR SERVICES. GOAL 1: ENHANCE SUPPORT AND SERVICES FOR INDIVIDUALS WITH SERIOUS EMOTIONAL DISTURBANCE (SED), SERIOUS MENTAL ILLNESS (SMI), AND INDIVIDUALS WITH SMI OR SED AND SUBSTANCE USE DISORDERS, REFERRED TO AS CO-OCCURRING DISORDER (COD). OBJECTIVE 1A: BY SEPTEMBER 29, 2023, 260 UNDUPLICATED CHILDREN/YOUTH (AGED 0-18) WILL RECEIVE TRAUMA-INFORMED OUTPATIENT SERVICES IN THE PROJECT CATCHMENT AREA. (130 ANNUALLY) OBJECTIVE 1B: BY SEPTEMBER 29, 2023, 250 UNDUPLICATED ADULTS (AGED 18+) WILL RECEIVE TRAUMA-INFORMED OUTPATIENT SERVICES IN THE PROJECT CATCHMENT AREA. (125 ANNUALLY) OBJECTIVE 1C: BY SEPTEMBER 29, 2023, 200 UNDUPLICATED INDIVIDUALS WILL RECEIVE GENDER AFFIRMING CARE IN THE PROJECT CATCHMENT AREA. (100 ANNUALLY) OBJECTIVE 1D: BY SEPTEMBER 29, 2023, 250 UNDUPLICATED INDIVIDUALS WILL RECEIVE EVIDENCE-BASED EATING DISORDER TREATMENT AND SUPPORT. (125 ANNUALLY) GOAL 2: DEVELOP AND IMPLEMENT A COMPREHENSIVE VIRTUAL CARE/TELEHEALTH PLATFORM TO ENHANCE BOTH THE CONSUMER AND CLINICIAN EXPERIENCE. GOAL 3: PROVIDE TRAINING TO EMPOWER STAFF AND ENABLE THEM TO PROVIDE INNOVATIVE BEHAVIORAL HEALTH CARE THAT MEETS THE NEEDS OF THE COMMUNITIES SERVED. GOAL 4: TRAIN MEMBERS OF THE BESTSELF TRAUMA INFORMED TREATMENT ADVISORY COMMITTEE TO PROVIDE GROUP CRISIS INTERVENTION FOR AGENCY TEAMS AND DEPARTMENT WHO EXPERIENCE A LOSS AND/OR A CRISIS. OBJECTIVES INCLUDE PROVIDING TRAINING TO STAFF IN RACIAL EQUITY AND INCLUSION; TOBACCO TREATMENT SPECIALIST TRAINING; GENDER AFFIRMING CARE GLOBAL EDUCATION INITIATIVE TRAINING; EXPOSURE RESPONSE PREVENTION FOR EATING DISORDER TREATMENT; FAMILY BASED THERAPY FOR ANOREXIA; FAMILY BASED THERAPY FOR TRANSITION AGED YOUTH; RADICALLY OPEN DIALECTICAL BEHAVIOR THERAPY; RESTORATIVE CONFERENCING; AND GROUP CRISIS INTERVENTION.

GUAM PFS 2023

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

PROJECT TULAIKA: HEALTHY TRANSITION SERVICES FOR YOUTH AND YOUNG ADULTS AGE 16-25 WITH SERIOUS EMOTIONAL DISTURBANCE AND SERIOUS MENTAL ILLNESS

THRIVE CMHC EXPANSION - THIS PROGRAM SEEKS TO DEVELOP AN ARRAY OF SERVICES TO ADDRESS THE NEEDS OF INDIVIDUALS WITH SED, SMI, OR COD WHO IMPACTED BY THE COVID-19 PANDEMIC. - THRIVE BEHAVIORAL HEALTH’S CURRENT CMHC SEEKS TO SUPPORT AND RESTORE THE DELIVERY OF CLINICAL SERVICES THAT WERE IMPACTED BY THE COVID-19 PANDEMIC AND EFFECTIVELY ADDRESS THE NEEDS OF INDIVIDUALS WITH SERIOUS EMOTIONAL DISTURBANCE (SED), SERIOUS MENTAL ILLNESS (SMI), AND INDIVIDUALS WITH CO-OCCURRING DISORDER (COD) IN WASHINGTON AND KENT COUNTIES IN RHODE ISLAND. THIS GEOGRAPHIC AREA COVERS A LAND AREA OF 497.76 SQUARE MILES AND HAS A POPULATION OF 289,869. THE PROJECT WILL EXPAND EVIDENCE BASED BEHAVIORAL HEALTH PRACTICES TO ADDRESS THE NEEDS OF INDIVIDUALS WITH BEHAVIORAL HEALTH CONDITIONS, INCLUDING MINORITY POPULATIONS AND ECONOMICALLY DISADVANTAGED COMMUNITIES THAT HAVE NOT BEEN MET DURING THE PANDEMIC. FOR THIS CMHC PROJECT, THRIVE PROPOSES SIX PROJECTS TO SERVE 365 INDIVIDUALS YEAR 1 AND 365 INDIVIDUALS YEAR 2, FOR A TOTAL OF 730 INDIVIDUALS. 1)MENTAL HEALTH SUPPORTS FOR PUBLIC SCHOOLS: THIS PROGRAM WOULD INCREASE UNIVERSAL SUPPORTS RELATED TO MENTAL HEALTH BY PROVIDING EMOTIONAL SUPPORT AND SKILLS TO THE ENTIRE STUDENT BODY. THIS SCHOOL-WIDE BEHAVIOR PLAN IS DESIGNED TO OUTLINE PRACTICES THAT WILL NURTURE STUDENTS’ SOCIAL AND EMOTIONAL DEVELOPMENT, SUPPORTING THE WHOLE CHILD. 2) YOUTH AND FAMILY SERVICES EXPANSION SOUTH COUNTY: FOR THIS PROGRAM, TBH WILL PLACE PROGRAM STAFF IN THE WESTERLY OFFICE OF THE WOOD RIVER HEALTH SERVICES TO DELIVER HOME-BASED SERVICES, EITHER THROUGH ENHANCED OUTPATIENT SERVICES (EOS) OR CHILD AND FAMILY INTENSIVE TREATMENT (CFIT). 3) COVENTRY AND WEST WARWICK OUTPATIENT SERVICES EXPANSION: FOR THIS PROGRAM TBH WILL PROVIDE SERVICES TO ADULT AND YOUTH AND FAMILIES IN OUR WEST WARWICK OFFICE TO INCREASE ACCESS TO SERVICES IN WEST WARWICK AND COVENTRY. YOUTH WILL PARTICIPATE IN A SOCIAL SKILLS GROUP TO HELP WITH PROBLEMS RELATING TO OTHERS. PARENTS PARTICIPATE IN PARENT EDUCATION GROUPS TO LEARN HEALTHY PARENTING SKILLS. 4) OUTPATIENT SERVICES FOR NEW CLIENTS IMPACTED BY COVID-19: THIS PROGRAM WILL EXPAND OUTPATIENT BEHAVIORAL HEALTH SERVICES TO VULNERABLE ADULTS AND CHILDREN IMPACTED BY COVID-19, INCLUDING THOSE WHO ARE UNDERSERVED. THE PROGRAM WILL SEEK TO ELIMINATE THE BARRIERS FACED BY LOW-INCOME, MINORITY POPULATIONS BY ENSURING CULTURALLY COMPETENT CARE TO BETTER ADDRESS BEHAVIORAL HEALTH ISSUES AND REDUCE THE STIGMA OF TREATMENT. THE SERVICE DELIVERY MODEL IS BASED ON INTEGRATED CARE USING INTERVENTIONS THAT ADDRESS CHRONIC AND TOXIC STRESS. 5) EMERGENCY SERVICES FOR INDIVIDUALS IN CRISIS. EMERGENCY CRISIS SERVICES IS A SHORT-TERM, ACUTE INTERVENTION FOR AN INDIVIDUAL EXPERIENCING A BEHAVIORAL HEALTH CRISIS THAT IS DESIGNED TO MITIGATE ADVERSE REACTIONS, FACILITATE COPING AND PLANNING, ASSIST IN IDENTIFYING AND ACCESSING AVAILABLE SUPPORTS, NORMALIZE REACTIONS TO THE CRISIS, AND ASSESS CAPACITIES AND NEED FOR FURTHER SUPPORT OR REFERRAL TO THE NEXT LEVEL OF CARE. 6) INFRASTRUCTURE (TRAINING, INFORMATION TECHNOLOGY AND TRANSPORTATION). IN THIS COMPONENT, A DIRECTOR OF TRAINING (TO ADDRESS AGENCY-IDENTIFIED WORKFORCE NEEDS), A SYSTEMS ENGINEER (TO MEET INCREASED INFORMATION TECHNOLOGY DEMANDS) AND A DRIVER (TO TRANSPORT CLIENTS TO CLINICALLY NEEDED SERVICES) WOULD BE HIRED, WHICH WOULD INCREASE SERVICE ACCESSIBILITY AND QUALITY.

BESTSELF 2020 CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) SERVICES EXPANSION

CCBHC - AMELIA

PURPOSE: THE CONTINUUM OF CARE (COC) PROGRAM IS DESIGNED TO PROMOTE COMMUNITY-WIDE COMMITMENT TO THE GOAL OF ENDING HOMELESSNESS; PROVIDE FUNDING FOR EFFORTS BY NONPROFIT PROVIDERS, STATES, AND LOCAL GOVERNMENTS TO QUICKLY HOUSE HOMELESS INDIVIDUALS AND FAMILIES WHILE MINIMIZING THE TRAUMA AND DISLOCATION CAUSED TO HOMELESS INDIVIDUALS, FAMILIES, AND COMMUNITIES BY HOMELESSNESS; PROMOTE ACCESS TO AND EFFECTIVE UTILIZATION OF MAINSTREAM PROGRAMS BY HOMELESS INDIVIDUALS AND FAMILIES; AND OPTIMIZE SELF-SUFFICIENCY AMONG INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. THE MOST RECENT COC AWARD ANNOUNCEMENT LISTING AWARDS BY STATE AND COC IS ACCESSIBLE AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/AWARDS. SELECT THE LINK UNDER THE FUNDING AND AWARD INFORMATION SECTION FOR THE APPROPRIATE FISCAL YEAR.; ACTIVITIES TO BE PERFORMED: CONTINUUM OF CARE PROGRAM FUNDS MAY BE USED TO PAY FOR THE ELIGIBLE COSTS USED TO ESTABLISH AND OPERATE PROJECTS UNDER FIVE PROGRAM COMPONENTS: (1) PERMANENT HOUSING, WHICH INCLUDES PERMANENT SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES, AND RAPID REHOUSING; (2) TRANSITIONAL HOUSING; (3) SUPPORTIVE SERVICES ONLY; (4) HOMELESS MANAGEMENT INFORMATION SYSTEMS (HMIS), AND (5) IN SOME CASES, HOMELESSNESS PREVENTION. THIRTEEN TYPES OF ASSISTANCE MAY BE PROVIDED THROUGH THE CONTINUUM OF CARE (COC) PROGRAM: (1) COC PLANNING ACTIVITIES/COSTS FOR DESIGNING AND CARRYING OUT A COLLABORATIVE PROCESS FOR THE DEVELOPMENT OF AN APPLICATION TO HUD; (2) UNITED FUNDING AGENCY (UFA) COSTS FOR FISCAL CONTROL AND ACCOUNTING NECESSARY TO ASSURE THE PROPER DISBURSAL OF, AND ACCOUNTING FOR, FEDERAL FUNDS AWARDED TO SUBRECIPIENTS UNDER THE CONTINUUM OF CARE PROGRAM, (3) ACQUISITION OF REAL PROPERTY (INCLUDING STRUCTURES) FOR USE IN THE PROVISION OF HOUSING OR SUPPORTIVE SERVICES; (4) REHABILITATION OF STRUCTURES TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (5) NEW CONSTRUCTION, INCLUDING THE BUILDING OF A NEW STRUCTURE OR BUILDING AN ADDITION TO AN EXISTING STRUCTURE FOR USE AS SUPPORTIVE HOUSING; (6) LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (7) RENTAL ASSISTANCE, WHICH MAY BE SHORT-TERM, MEDIUM-TERM, OR LONG-TERM, AS WELL AS TENANT-BASED, PROJECT-BASED, OR SPONSOR-BASED, FOR TRANSITIONAL OR PERMANENT HOUSING; (8) SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; (9) OPERATING COSTS OF SUPPORTIVE HOUSING; (10) COSTS OF IMPLEMENTING AND OPERATING HMIS; (11) PROJECT ADMINISTRATIVE COSTS; (12) RELOCATION COSTS; AND (13) INDIRECT COSTS IN ACCORDANCE WITH 2 CFR PARTS 200, AS APPLICABLE. IN ADDITION TO USING GRANT FUNDS FOR THE ELIGIBLE COSTS DESCRIBED ABOVE, RECIPIENTS AND SUBRECIPIENTS IN CONTINUUMS OF CARE DESIGNATED AS HIGH PERFORMING COMMUNITIES MAY ALSO USE GRANT FUNDS TO PROVIDE HOUSING RELOCATION AND STABILIZATION SERVICES AND SHORT- AND/OR MEDIUM-TERM RENTAL ASSISTANCE TO INDIVIDUALS AND FAMILIES AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT THE INDIVIDUAL OR FAMILY FROM BECOMING HOMELESS. LIMITATION ON USE OF FUNDS: NO ASSISTANCE PROVIDED UNDER PROGRAM (OR ANY STATE OR LOCAL GOVERNMENT FUNDS USED TO SUPPLEMENT THIS ASSISTANCE) MAY BE USED TO REPLACE STATE OR LOCAL FUNDS PREVIOUSLY USED, OR DESIGNATED FOR USE, TO ASSIST HOMELESS PERSONS OR PERSONS AT-RISK OF HOMELESSNESS.; EXPECTED OUTCOMES: DECREASE IN THE NUMBER INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS, MORE SPECIFICALLY USING PERFORMANCE INDICATORS SUCH AS THE LENGTH OF TIME HOMELESS, RETURNS TO HOMELESSNESS OVER TIME, AND EXITS TO PERMANENT HOUSING. COC PERFORMANCE PROFILE REPORTS CAN BE FOUND AT HTTPS://WWW.HUDEXCHANGE.INFO/PROGRAMS/COC/COC-PERFORMANCE-PROFILE-REPORTS/.; INTENDED BENEFICIARIES: INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

TEENAGE PREGNANCY PREVENTION TIER 1B

CONTINUUM OF CARE PROGRAM

TRI-COUNTY BEHAVIORAL HEALTHCARE CMHC - TRI-COUNTY BEHAVIORAL HEALTHCARE'S (TCBHC) PROPOSED PROJECT WOULD SUPPORT AND RESTORE VITAL CLINICAL SERVICE DELIVERY AND RECOVERY-ORIENTED SUPPORT SERVICES TO INDIVIDUALS WITH SMI, SED, COD IN THE TEXAS COUNTIES OF MONTGOMERY, LIBERTY, AND WALKER. THE THREE MOSTLY RURAL COUNTIES CONTAIN MANY BEHAVIORAL HEALTH AND HEALTH DISPARITY POPULATIONS, INCLUDING ECONOMICALLY DISADVANTAGED COMMUNITIES (POVERTY RATES RANGE FROM 10.3% TO 24.4%; THE NATIONAL AVERAGE IS 10.4%), AND MINORITY POPULATIONS (BLACK/AFRICAN-AMERICAN POPULATIONS RANGE FROM 4.6% TO 23%, HISPANIC/LATINO POPULATIONS RANGE FROM 18% TO 23%, WHITE POPULATIONS RANGE FROM 54% TO 63%, COMPARED TO THE NATIONAL AVERAGE OF 76.3% WHITE), WITH APPROXIMATELY 17% SPANISH-SPEAKING LANGUAGE MINORITIES. THE PANDEMIC HAS SIGNIFICANTLY DECREASED TCBHC'S REVENUE WHILE INCREASING COMMUNITY NEED, JEOPARDIZING THE ABILITY TO PROVIDE KEY SERVICES. TCBHC HAS SEEN UNPRECEDENTED INCREASES IN MENTAL ILLNESS SEVERITY, SYMPTOMS AND CRISES, STEADILY RISING SERVICE REQUESTS AND CRISIS CONTACTS, AND NEW GAPS IN ACCESS TO TIMELY MENTAL HEALTH CARE AND OTHER NEEDED SERVICES. CLIENT EMPLOYMENT IS DOWN BY 20%, AND CLIENTS ARE LOSING ACCESS TO PRIMARY HEALTH CARE, CHRONIC HEALTH CONDITION MANAGEMENT AND OTHER SUPPORTIVE SERVICES THAT IMPROVE MENTAL HEALTH OUTCOMES, AND ENHANCE TREATMENT ENGAGEMENT AND EFFICACY. THE PROPOSED PROJECT WOULD SUPPORT AND RESTORE CORE CLINICAL SERVICES, INCLUDING: 1. SUSTAINING 24/7/365 CRISIS RESPONSE CAPACITY (OBJECTIVES INCLUDE MAINTAINING OUR WALK-IN CRISIS AND MCOT SERVICES, AVOIDING UNNECESSARY PSYCHIATRIC ADMISSIONS FOR INVOLUNTARY INDIVIDUALS BY PROVIDING PSYCHIATRIC EVALUATION, EITHER IN PERSON OR VIA TELEHEALTH; SUICIDE PREVENTION TRAINING; AND COMMUNITY OUTREACH); 2. SUSTAINING OUTPATIENT INTEGRATED HEALTH (IH) AND WELLNESS SERVICES TO PROVIDE PRIMARY CARE, CHRONIC CONDITION MANAGEMENT, AND HEALTH EDUCATION AND PROMOTION TO INDIVIDUALS WHOSE MENTAL HEALTH NEEDS COMPLICATE RECEIVING THESE SERVICES IN MAINSTREAM SETTINGS (OBJECTIVES INCLUDE IMPROVED BLOOD PRESSURE AMONG IH CLIENTS, WELLNESS ACTIVITIES THAT IMPROVE HEALTH BEHAVIOR KNOWLEDGE AND SKILLS); 3. EXPANDING SUPPORTED EMPLOYMENT AND EDUCATION (SEE) SERVICES (OBJECTIVES INCLUDE CLIENTS OBTAINING AND MAINTAINING COMMUNITY BASED EMPLOYMENT AND EDUCATION); 4. ENHANCING OUR ABILITY TO PARTNER WITH SCHOOLS TO SERVE CHILDREN/YOUTH WITH SED BY HIRING A SCHOOL-BASED SERVICE INTENSIVE COORDINATOR (OBJECTIVES INCLUDE RAISING AWARENESS OF AND FACILITATING ACCESS TO MENTAL HEALTH SERVICES); AND 5. SUPPORTING THE MENTAL HEALTH AND WELLBEING OF STAFF BY DEVELOPING RESPONSIVE RESOURCES/TRAINING. WITH OVER 38 YEARS OF EXPERIENCE PROVIDING CULTURALLY COMPETENT, TRAUMA INFORMED, RECOVERY-ORIENTED AND PERSON-CENTERED CARE TO DIVERSE UNDERSERVED POPULATIONS IN OUR SERVICE AREA, TCBHC IS WELL QUALIFIED TO CARRY OUT THE PROPOSED PROJECT. EVALUATION WILL BE CONDUCTED BY SAE AND ASSOCIATES (SAE) BEHAVIORAL HEALTH EVALUATION (BHE), WHICH HAS EVALUATED CCBHC AND CMHC PROJECTS AND MULTIPLE SAMHSA INITIATIVES. 500 INDIVIDUALS WILL BE SERVED IN EACH YEAR OF THE PROJECT, FOR A TOTAL OF 1000 UNDUPLICATED INDIVIDUALS.

CARING FOR YOUTH IN THE FAR WEST VALLEY: DEVELOPING OPTIMAL ADOLESCENT HEALTH THROUGH A SYSTEMIC APPROACH - ALTHOUGH TEEN BIRTH RATES HAVE DECLINED NATIONWIDE, YOUTH IN ARIZONA ARE STILL AT HIGHER RISK OF GETTING PREGNANT OR ACQUIRING A SEXUALLY TRANSMITTED DISEASES/INFECTIONS (STD/I) THAN YOUTH IN AT LEAST 42 OTHER STATES WITH ARIZONA RANKING 8TH IN STD/IS. TOUCHSTONE BEHAVIORAL HEALTH (DOING BUSINESS AS TOUCHSTONE HEALTH SERVICES /THS) PROPOSES TO PROVIDE COMPREHENSIVE, MULTI-FACETED TEEN PREGNANCY PREVENTION PROGRAMS IN SIXTEEN ZIP CODES SERVED BY TWO LARGE SCHOOL DISTRICTS AND SEVERAL PARTNER COMMUNITY AGENCIES IN MARICOPA COUNTY, ARIZONA THAT ARE IN DIRE NEED OF SERVICES. THIS REGION HAS YOUTH WHO ARE AT HIGHER RISK FOR PREGNANCY, STD/IS AND RISKY BEHAVIORS THAT KEEP THEM FROM ACHIEVING OPTIMAL HEALTH. THE CONTIGUOUS ZIP CODES IN THE GEOGRAPHIC AREA, KNOWN AS THE FAR WEST VALLEY, IS SERVED BY: (1) AGUA FRIA UNION HIGH SCHOOL DISTRICT (AFUHSD); (2) TOLLESON UNION HIGH SCHOOL DISTRICT (TUHSD), (3) SIX BOYS & GIRLS CLUBS OF THE VALLEY, (4) AID TO ADOPTION OF SPECIAL KIDS (AASK) FOSTER CARE, (5) DUET: PARTNERS IN HEALTH & AGING, AND (6) ONWARD HOPE, INC. ALTHOUGH THS WILL SERVE ALL YOUTH IN THE SELECTED ZIP CODES, THERE WILL BE A SPECIAL EFFORT MADE TO REACH FOUR POPULATIONS OF FOCUS THROUGH A MULTI-TIERED SYSTEM OF SUPPORTS (MTSS): (1) LATINO YOUTH AND THEIR PARENTS AS LATINOS CONTINUE TO HAVE THE HIGHEST TEEN BIRTH RATES OF ANY RACE AND ETHNICITY; (2) YOUTH BEING RAISED BY THEIR GRANDPARENTS AS THEY ARE AT HIGHER RISK FOR DEVELOPMENTAL AND BEHAVIORAL PROBLEMS DUE TO PRIOR OR CURRENT ADVERSE FAMILY ENVIRONMENT2; (3) YOUTH BEING RAISED IN FOSTER CARE WHO MAY LIVE WITH RELATIVES, FOSTER FAMILIES OR IN GROUP FACILITIES AND THEIR CARETAKERS AS THEIR LIFE EXPERIENCES CAN CREATE ADDITIONAL PROBLEMS RESULTING IN MENTAL ILLNESS, SUBSTANCE USE DISORDERS, AND A LACK OF CONFIDENCE3; AND (4) YOUTH WHO ARE IN ALTERNATIVES SCHOOLS FOR REASONS TO INCLUDE BEHAVIORAL AND ATTENDANCE CHALLENGES AND THEIR PARENTS. RESOURCES FOR THE POPULATIONS OF FOCUS ARE SCARCE IN GENERAL, AND ESPECIALLY IN THE GEOGRAPHIC BOUNDARIES. THERE IS EVIDENCE FROM PARTNERS THAT YOUTH ARE ENGAGING IN RISK BEHAVIORS THAT ARE LINKED TO EARLY SEXUAL BEHAVIORS AND UNSAFE SEX (E.G., SUBSTANCE USE, VIOLENCE, POOR DECISION MAKING, LACK OF SELF-ESTEEM). THESE AT-RISK YOUTH ARE EXPERIENCING POOR MENTAL HEALTH, ADVERSE CHILDHOOD EXPERIENCES (ACES), FAMILY CONFLICT, CONDUCT PROBLEMS, AND CHRONIC STRESS. WHILE OFTEN CHARACTERIZED AS A TIME OF TURMOIL AND RISK FOR YOUNG PEOPLE, ADOLESCENCE IS A DEVELOPMENTAL PERIOD RICH WITH OPPORTUNITY FOR YOUTH TO LEARN AND GROW. DURING THIS TIME, YOUTH HAVE THE POTENTIAL TO BECOME INDIVIDUALS, ABLE TO MAKE HEALTHY DECISIONS, AND FORM HEALTHY RELATIONSHIPS WITH OTHERS. THS WILL BUILD UPON EXISTING EXPERIENCES, OPPORTUNITIES AND RELATIONSHIPS TO BECOME VECTORS OF RESILIENCE AND RESTORATION FOR YOUTH AFFECTED BY THE ADVERSITIES AND/OR TRAUMA CAUSED BY MULTIPLE EXPERIENCES. THE SUPPORT NEEDED WILL BE OFFERED THROUGH TIERED PROGRAMS AND SERVICES AT FOUR UNIQUE SETTINGS REACHING AN ESTIMATED 33,957 AT THE END OF THE PROJECT PERIOD.

RI HEALTHY TRANSITIONS PROJECT

PURPOSE: THE CONTINUUM OF CARE (COC) PROGRAM IS DESIGNED TO PROMOTE COMMUNITY-WIDE COMMITMENT TO THE GOAL OF ENDING HOMELESSNESS; PROVIDE FUNDING FOR EFFORTS BY NONPROFIT PROVIDERS, STATES, AND LOCAL GOVERNMENTS TO QUICKLY HOUSE HOMELESS INDIVIDUALS AND FAMILIES WHILE MINIMIZING THE TRAUMA AND DISLOCATION CAUSED TO HOMELESS INDIVIDUALS, FAMILIES, AND COMMUNITIES BY HOMELESSNESS; PROMOTE ACCESS TO AND EFFECTIVE UTILIZATION OF MAINSTREAM PROGRAMS BY HOMELESS INDIVIDUALS AND FAMILIES; AND OPTIMIZE SELF-SUFFICIENCY AMONG INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. THE MOST RECENT COC AWARD ANNOUNCEMENT LISTING AWARDS BY STATE AND COC IS ACCESSIBLE AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/AWARDS. SELECT THE LINK UNDER THE FUNDING AND AWARD INFORMATION SECTION FOR THE APPROPRIATE FISCAL YEAR.; ACTIVITIES TO BE PERFORMED: CONTINUUM OF CARE PROGRAM FUNDS MAY BE USED TO PAY FOR THE ELIGIBLE COSTS USED TO ESTABLISH AND OPERATE PROJECTS UNDER FIVE PROGRAM COMPONENTS: (1) PERMANENT HOUSING, WHICH INCLUDES PERMANENT SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES, AND RAPID REHOUSING; (2) TRANSITIONAL HOUSING; (3) SUPPORTIVE SERVICES ONLY; (4) HOMELESS MANAGEMENT INFORMATION SYSTEMS (HMIS), AND (5) IN SOME CASES, HOMELESSNESS PREVENTION. THIRTEEN TYPES OF ASSISTANCE MAY BE PROVIDED THROUGH THE CONTINUUM OF CARE (COC) PROGRAM: (1) COC PLANNING ACTIVITIES/COSTS FOR DESIGNING AND CARRYING OUT A COLLABORATIVE PROCESS FOR THE DEVELOPMENT OF AN APPLICATION TO HUD; (2) UNITED FUNDING AGENCY (UFA) COSTS FOR FISCAL CONTROL AND ACCOUNTING NECESSARY TO ASSURE THE PROPER DISBURSAL OF, AND ACCOUNTING FOR, FEDERAL FUNDS AWARDED TO SUBRECIPIENTS UNDER THE CONTINUUM OF CARE PROGRAM, (3) ACQUISITION OF REAL PROPERTY (INCLUDING STRUCTURES) FOR USE IN THE PROVISION OF HOUSING OR SUPPORTIVE SERVICES; (4) REHABILITATION OF STRUCTURES TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (5) NEW CONSTRUCTION, INCLUDING THE BUILDING OF A NEW STRUCTURE OR BUILDING AN ADDITION TO AN EXISTING STRUCTURE FOR USE AS SUPPORTIVE HOUSING; (6) LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (7) RENTAL ASSISTANCE, WHICH MAY BE SHORT-TERM, MEDIUM-TERM, OR LONG-TERM, AS WELL AS TENANT-BASED, PROJECT-BASED, OR SPONSOR-BASED, FOR TRANSITIONAL OR PERMANENT HOUSING; (8) SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; (9) OPERATING COSTS OF SUPPORTIVE HOUSING; (10) COSTS OF IMPLEMENTING AND OPERATING HMIS; (11) PROJECT ADMINISTRATIVE COSTS; (12) RELOCATION COSTS; AND (13) INDIRECT COSTS IN ACCORDANCE WITH 2 CFR PARTS 200, AS APPLICABLE. IN ADDITION TO USING GRANT FUNDS FOR THE ELIGIBLE COSTS DESCRIBED ABOVE, RECIPIENTS AND SUBRECIPIENTS IN CONTINUUMS OF CARE DESIGNATED AS HIGH PERFORMING COMMUNITIES MAY ALSO USE GRANT FUNDS TO PROVIDE HOUSING RELOCATION AND STABILIZATION SERVICES AND SHORT- AND/OR MEDIUM-TERM RENTAL ASSISTANCE TO INDIVIDUALS AND FAMILIES AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT THE INDIVIDUAL OR FAMILY FROM BECOMING HOMELESS. LIMITATION ON USE OF FUNDS: NO ASSISTANCE PROVIDED UNDER PROGRAM (OR ANY STATE OR LOCAL GOVERNMENT FUNDS USED TO SUPPLEMENT THIS ASSISTANCE) MAY BE USED TO REPLACE STATE OR LOCAL FUNDS PREVIOUSLY USED, OR DESIGNATED FOR USE, TO ASSIST HOMELESS PERSONS OR PERSONS AT-RISK OF HOMELESSNESS.; EXPECTED OUTCOMES: DECREASE IN THE NUMBER INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS, MORE SPECIFICALLY USING PERFORMANCE INDICATORS SUCH AS THE LENGTH OF TIME HOMELESS, RETURNS TO HOMELESSNESS OVER TIME, AND EXITS TO PERMANENT HOUSING. COC PERFORMANCE PROFILE REPORTS CAN BE FOUND AT HTTPS://WWW.HUDEXCHANGE.INFO/PROGRAMS/COC/COC-PERFORMANCE-PROFILE-REPORTS/.; INTENDED BENEFICIARIES: INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

SYSTEM OF CARE EXPANSION IMPLEMENTATION COOPERATIVE AGREEMENT "PARA I FAMAGU'ON"

BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA CCBHC PLANNING, DEVELOPMENT, AND IMPLEMENTATION - LEGACY BEHAVIORAL HEALTH SERVICES (LBHS), A PUBLIC SAFETY NET PROVIDER BASED IN LOWNDES COUNTY, THE METROPOLITAN STATISTICAL AREA (MSA) CENTER OF A 10-COUNTY NON-MSA AREA OF SOUTHEAST GEORGIA, PROPOSES TO ESTABLISH A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC. LBHS CURRENTLY DELIVERS PERSON-CENTERED, EVIDENCE-BASED PREVENTION, TREATMENT, AND RECOVERY SERVICES AND PURSUES THIS OPPORTUNITY TO INCREASE BEHAVIORAL HEALTH AND REDUCE POOR OUTCOMES. OUR PROPOSAL HAS THREE GOALS: 1) REDUCE CRISIS CONTACTS THROUGH EXPANDED CRIMINAL JUSTICE PARTNERSHIPS, EXPANDED CRISIS CARE AND AFTERCARE AND CONSISTENT APPLICATION OF TRAUMA INFORMED EBPS 2) INCREASE PHYSICAL HEALTH CARE ACCESS FOR PEOPLE WITH BEHAVIORAL HEALTH ISSUES, WHO FREQUENTLY HAVE COMPLEX CHRONIC CONDITIONS, PARTICULARLY MINORITIES, AND WHO OFTEN LACK ACCESS TO TRADITIONAL HEALTHCARE PROVIDER SETTINGS 3) REDUCE POOR BEHAVIORAL HEALTH OUTCOMES FOR PEOPLE OF HISPANIC ETHNICITY THROUGH EXPANDING ACCESS AND ENGAGEMENT. OUR CCBHC WILL DELIVER QUALITY SCREENING, ASSESSMENT, AND TREATMENT, 24/7 CRISIS SERVICES, PERSON CENTERED CARE COORDINATION, PHYSICAL HEALTH SCREENINGS AND COORDINATION, PSYCHIATRIC REHABILITATION AND PEER SUPPORT, TARGETED CASE MANAGEMENT AND INTEGRATED CARE FOR VETERANS FOR CHILDREN AND ADULTS. WE ARE PARTNERING WITH OUR LOCAL FQHC, WORKING CLOSELY WITH OUR VA PARTNERS, PROVIDING CO-RESPONSE WITH THE POLICE, AND DELIVERING SERVICES IN SCHOOLS. TO SUPPORT THIS WORK, WE WILL HIRE ADDITIONAL NURSES, THERAPISTS, CASE MANAGERS, AND OUTREACH AND PEER STAFF. WE PROPOSE TO REDUCE CRISIS CONTACTS BY EXPANDING AVAILABLE SERVICES TO PEOPLE WHO ARE INCARCERATED AND SUPPORTING THEM IN THEIR TRANSITION OUT OF JAIL, FOLLOWING UP ON PEOPLE LEAVING LOCAL EDS, PROVIDING PEER SERVICES 7 DAYS A WEEK AT OUR BEHAVIORAL HEALTH CRISIS CENTER AND CONSISTENTLY DELIVERING TRAUMA FOCUSED EBPS: SEEKING SAFETY, EMDR TRAINING FOR TRAUMA, TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY (TF-CBT), AND QPR. WE WILL INCREASE PHYSICAL HEALTH CARE ACCESS THROUGH ADDING RESOURCES TO DO OUR OWN SCREENINGS AS WELL AS PRIMARY CARE VISITS FOR THOSE WHO WISH. LASTLY, WE WILL REDUCE POOR BEHAVIORAL HEALTH OUTCOMES FOR PEOPLE OF HISPANIC ETHNICITY BY EXPANDING ACCESS AND ENGAGEMENT. WE WILL FACILITATE ACCESS TO TRANSPORTATION THROUGH PARTNERS IN THE LOCAL HISPANIC COMMUNITY WHO WILL HELP IDENTIFY THOSE IN NEED. WE WILL ALSO CONDUCT OUTREACH AND EDUCATION TO NON-TRADITIONAL BEHAVIORAL HEALTH PARTNERS, E.G., BARBER SHOPS AND GROCERIES TO INFORM THE COMMUNITY OF SERVICES AVAILABLE. OUR EFFORTS WILL BE CONDUCTED USING EVIDENCE-BASED AND EMERGING PRACTICES TO SUPPORT CARE FOR BEHAVIORAL HEALTH CONDITIONS. IN ADDITION TO THE TRAUMA-FOCUSED INTERVENTIONS MENTIONED ABOVE, LBHS WILL USE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT); MOTIVATIONAL INTERVIEWING, A RECOGNIZED ENGAGEMENT PRACTICE FOR STRUCTURED COMMUNICATION TO ASSESS READINESS AND/OR PROMOTE BEHAVIOR CHANGE; COLLABORATIVE PROBLEM SOLVING (CPS) AND PARENT MANAGEMENT TRAINING (PMT), BOTH PRACTICES RECOGNIZED TO SUPPORT PARENTS COPING WITH A CHILDREN’S’ BEHAVIORAL CHALLENGES; DIALECTICAL BEHAVIORAL THERAPY (DBT), EFFECTIVE FOR YOUTH AND ADULTS WITH SUICIDAL IDEATION AND RISK; MULTIDIMENSIONAL FAMILY THERAPY (MDFT), A RECOGNIZED INTERVENTION FOR YOUTH SUBSTANCE USE AND ANTISOCIAL BEHAVIORS; AND ACCEPTANCE AND COMMITMENT THERAPY (ACT), AN EVIDENCE-BASED PRACTICE FOR BEHAVIORAL HEALTH DISORDERS IN ADULTS. THROUGHOUT ALL CCBHC SERVICES, WE WILL ENSURE THAT CONSUMERS RECEIVE CLIENT-CENTERED CARE THAT IS FREE FROM STIGMA AND THAT IS CULTURALLY AND LINGUISTICALLY APPROPRIATE TO MEET THE CONSUMER’S INDIVIDUAL CONTEXT AND CARE NEEDS.

NORTH CENTRAL BEHAVIORAL HEALTH SYSTEMS SAMHSA CCBHC PDI - NORTH CENTRAL BEHAVIORAL HEALTH SYSTEMS (NCBHS) WILL PROVIDE COMPREHENSIVE, COORDINATED BEHAVIORAL HEALTH CARE TO CHILDREN AND YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED), ADULTS WITH SERIOUS MENTAL ILLNESS (SMI), AND PEOPLE WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING DISORDERS (COD) IN THE SERVICE AREA OF LASALLE COUNTY, ILLINOIS. INDIVIDUALS EXPERIENCING A MENTAL HEALTH OR SUBSTANCE USE-RELATED CRISIS, SERVICE MEMBERS, VETERANS, AND MILITARY FAMILIES WILL ALSO RECEIVE CARE. AS A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC), NCBHS WILL PROVIDE A COMPREHENSIVE RANGE OF SERVICES TO THE POPULATION OF FOCUS, INCLUDING EXPANDING PRIMARY CARE SCREENING; MONITORING OF BEHAVIORAL HEALTH AND PHYSICAL HEALTH CONDITIONS FOR INDIVIDUALS OF ALL AGES; EXPANSION AND ENHANCEMENT OF THE CRISIS SYSTEM OF CARE; SCREENING, ASSESSMENT, AND OUTPATIENT AND COMMUNITY-BASED EBPS FOR CLIENTS OF ALL AGES; AND MEDICATION-ASSISTED TREATMENT/RECOVERY SERVICES FOR PEOPLE WITH OPIOID USE AND ALCOHOL USE DISORDERS. NCBHS EXPECTS TO REACH 2,520 CHILDREN, YOUTH, AND ADULTS OVER THE COURSE OF THE 4-YEAR GRANT. NCBHS CCBHC HAS FIVE GOALS: (1) ESTABLISHING THE CCBHC INFRASTRUCTURE; (2) ESTABLISHING UNIVERSAL SCREENING, ASSESSMENT, AND MONITORING OF MENTAL HEALTH, SUBSTANCE USE, AND PHYSICAL HEALTH CONDITIONS; (3) ENSURING ACCESS TO INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH CARE AND CONTINUITY OF CARE FOR INDIVIDUALS WITH COMPLEX NEEDS; (4) EXPANDING ACCESS TO MEDICATION-ASSISTED TREATMENT/RECOVERY SERVICES FOR INDIVIDUALS WITH IDENTIFIED NEEDS; AND (5) ESTABLISHING A BEHAVIORAL HEALTH URGENT CARE CLINIC MODEL TO DECREASE THE USE OF HOSPITALS AND EMERGENCY ROOMS. NCBHS WILL IMPLEMENT, EXPAND AND ENHANCE NINE REQUIRED SERVICES AS PART OF ITS CCBHC AND WILL HAVE THE ORGANIZATIONAL CAPACITY TO PROVIDE COMPREHENSIVE, COORDINATED, INTEGRATED, CULTURALLY COMPETENT, TRAUMA-INFORMED, RECOVERY-ORIENTED, AND PERSON- AND FAMILY-CENTERED BEHAVIORAL HEALTH SERVICES THAT MEET ALL CCBHC REQUIREMENTS. NCBHS OFFERS AND WILL ENHANCE A COMPREHENSIVE ARRAY OF EVIDENCE-BASED PRACTICES (EBPS) THAT MEET THE CULTURAL AND LINGUISTIC NEEDS OF THE CHILDREN, YOUTH, AND ADULTS IT SERVES. THE ARRAY OF EBPS WILL HELP INDIVIDUALS WITH SMI, SED, SUD, OR COD ACHIEVE THEIR RECOVERY GOALS. NCBHS WILL EXPAND ITS CAPACITY OVER THE 4-YEAR PERIOD TO MEASURE, ASSESS, AND REPORT ON CLIENT OUTCOMES, CLINICAL QUALITY MEASURES, AND ITS PERFORMANCE AS A CCBHC.

BBHS CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC - HUDSON - ABSTRACT: BRIDGEWAY CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC IN HUDSON COUNTY, NJ BRIDGEWAY BEHAVIORAL HEALTH SERVICES (BBHS) WILL USE SAMHSA CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) IMPROVEMENT AND ADVANCEMENT FUNDING TO ENHANCE THE PROGRAMMING OF ITS CCBHC WHICH LAUNCHED IN HUDSON COUNTY (HC), NJ IN 2021. THE CCBHC WILL BE ABLE TO INCREASE ITS OFFERINGS TO INCLUDE 8 OF THE 9 REQUIRED CCBHC SERVICES ON-SITE, AND AT A SINGLE LOCATION, IMPROVING ACCESS AND CONTINUITY OF CARE FOR ITS CONSUMERS. OUR POPULATIONS OF FOCUS (POF) WILL BE CHILDREN/ADOLESCENTS; SENIOR CITIZENS; THOSE WITH SUBSTANCE USE DISORDER (SUD); THE HISPANIC/LATINO COMMUNITY, PARTICULARLY THOSE FOR WHOM SPANISH IS THEIR PRIMARY LANGUAGE AND ARE NOT ENGLISH PROFICIENT; THE BLACK COMMUNITY; AND THE LGBTQ+ POPULATION. THE CCBHC WILL ADDRESS THE FOLLOWING HEALTH DISPARITIES AMONG SUBPOPULATIONS OF FOCUS IN HC: RATE OF PSYCHIATRIC HOSPITALIZATIONS AMONG BLACK INDIVIDUALS WHICH IS 70% HIGHER THAN THE COUNTY AVERAGE FOR ALL INDIVIDUALS IN THE CATCHMENT AREA (CA);2 CHRONIC DEPRESSION AMONG HISPANIC/LATINO INDIVIDUALS IN HC, 51% OF WHOM REPORTED SYMPTOMS VS. 42% OF THE GENERAL POPULATION;4 CHRONIC DEPRESSION AMONG THE LGBTQ+ POPULATION, 70% OF WHICH REPORTED SYMPTOMS;4 SENIORS WHO ARE “PARTICULARLY AFFECTED BY ANXIETY AND DEPRESSION” AND HAVE A HIGHER RATE OF COMORBID CHRONIC CONDITIONS THAN THE GENERAL POPULATION;2 ANXIETY AND DEPRESSION IN YOUTH AS IDENTIFIED BY A 2022 NEEDS ASSESSMENT; 2 AND PERSONS WITH SUD WHO ARE WITHOUT SUFFICIENT TREATMENT RESOURCES.2 WE PLAN TO SERVE 75 CONSUMERS IN YEAR 1; 125 IN YEAR 2; 175 IN YEAR 3; 200 IN YEAR 4 AND A TOTAL OF 575 PEOPLE THROUGHOUT THE FUNDING PERIOD. OUR GOALS FOR THE CATCHMENT AREA INCLUDE (1) IMPROVE THE MENTAL HEALTH (MH) AND PHYSICAL HEALTH OF THE BLACK POPULATION, (2) IMPROVE ACCESS TO CARE MH/SUD/PHYSICAL HEALTH CARE FOR THE HISPANIC/LATINO POPULATION, ESPECIALLY SPANISH SPEAKERS WITH LIMITED ENGLISH PROFICIENCY, (3) IMPROVE WHOLE-PERSON OUTCOMES FOR THE LGBTQ+ POPULATION, (4) IMPROVE WHOLE-PERSON HEALTH FOR SENIORS AGES 65+, (5) PROVIDE HIGH-QUALITY MH CARE TO CHILDREN AND ADOLESCENTS, (6) IMPROVE ACCESS TO SUD TREATMENT, (7) IMPROVE ACCESS TO CARE FOR ALL OF OUR POPULATIONS OF FOCUS (POF). THESE GOALS WILL BE ACCOMPLISHED BY ADDING, ON-SITE FOR THE FIRST TIME, OUTPATIENT SUD TREATMENT FOR ADULTS AND SENIORS; OUTPATIENT MH TREATMENT FOR CHILDREN/ADOLESCENTS; PRIMARY CARE SCREENING AND SERVICES ACROSS THE LIFESPAN; PEER SERVICES; SPANISH-LANGUAGE OPTIONS IN ALL OUR SERVICE LINES. WE WILL TAILOR OUR SERVICES TO BE EFFECTIVE, RESPONSIVE, AND EVIDENCE-BASED IN RELATION TO OUR POF. BBHS IS COMMITTED TO DELIVERING CULTURALLY AND LINGUISTICALLY APPROPRIATE AND ACCESSIBLE CARE. THIS IS DRIVEN THROUGH THE QI DEPT., AN INTERNAL DIVERSITY, EQUITY, INCLUSION, AND BELONGING (DEIB) COMMITTEE, CHARGED WITH ENSURING ALL BBHS PROGRAMS ADHERE TO THE NATIONAL STANDARDS FOR CULTURAL AND LINGUISTICALLY APPROPRIATE SERVICES, AND THAT ALL STAFF ARE TRAINED ANNUALLY ON CULTURAL COMPETENCY. WE WILL PRIORITIZE THE RECRUITMENT AND HIRING OF PRACTITIONERS WHO HAVE SIMILAR IDENTITIES/DEMOGRAPHICS AS OUR POF INCLUDING THOSE WHO ARE BILINGUAL, PRACTITIONERS WHO ARE BLACK AND/OR LATINO, AND THOSE WHO IDENTIFY AS PART OF THE LGBTQ+ COMMUNITY. THIS SERVICE EXPANSION WILL SIGNIFICANTLY IMPROVE ACCESS TO COMPREHENSIVE CARE FOR THE COMMUNITY IN HUDSON COUNTY. WE INTEND TO ENSURE THAT ALL OUR CLIENTS HAVE THEIR WHOLE-PERSON HEALTH AND RECOVERY NEEDS MET THROUGH OUR CCBHC PROGRAM. THROUGH THIS EFFORT, OUR AGENCY WILL REDUCE HEALTH DISPARITIES IN OUR POF AND IMPROVE THE MH/SUD/PHYSICAL HEALTH OUTCOMES FOR OUR CONSUMERS.

ADVANTAGE CCBHC IMPROVEMENT AND ADVANCEMENT INITIATIVE - ADVANTAGE ATHENS-CLARKE CCBHC IMPROVEMENT PROJECT WILL PROVIDE A COMPREHENSIVE AND EVIDENCE-BASED SYSTEM OF CARE FOCUSED ON TARGETED INTERVENTION FOR YOUTH AND FAMILIES, INDIVIDUALS AT HIGH RISK OF SUICIDE OR OVERDOSE, THOSE IN NEED OF INTEGRATED HEALTH SERVICES, AND THOSE FACING DISPARITIES IN ACCESS TO CARE BASED ON MINORITY OR SOCIOECONOMIC STATUS. WE PLAN TO SERVE 1550 INDIVIDUALS OVER THE COURSE OF THE PROJECT: 200 YR1, 400 YR2, 450 YR3, AND 500 YR4. ADVANTAGE'S ATHENS-CLARKE COUNTY CLINIC POPULATION OF FOCUS INCLUDES ADULTS AND YOUTH WITH ISOLATED OR CO-OCCURRING BEHAVIORAL HEALTH DISORDERS AND SUBSTANCE USE DISORDERS, WHO ARE UNINSURED OR UNDERINSURED OR WHO LACK MEANINGFUL ACCESS TO NEEDED BEHAVIORAL HEALTH CARE. ATHENS-CLARKE COUNTY IS AN URBAN COMMUNITY OF OVER 128,000 INDIVIDUALS OF WHOM 58% ARE WHITE, 25% ARE BLACK OR AFRICAN AMERICAN, 3.8% ARE ASIAN, WITH LESS THAN 1% AMERICAN INDIAN/ALASKA NATIVE AND NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER AND 6.7% IDENTIFYING AS 2 OR MORE RACES. 11.1% OF ATHENS-CLARKE COUNTY RESIDENTS IDENTIFY AS HISPANIC. ATHENS-CLARKE COUNTY IS A COMMUNITY FACING SIGNIFICANT HEALTHCARE ACCESS CHALLENGES ALONGSIDE INCREASING RATES OF YOUTH BEHAVIORAL HEALTH CRISES AND DRUG OVERDOSE DEATHS. SUICIDE REMAINS A LEADING CAUSE OF DEATH, AND MANY RESIDENTS CONTINUE TO FACE CHRONIC HEALTH CONDITIONS ASSOCIATED WITH POVERTY. ADVANTAGE'S ATHENS-CLARKE COUNTY CCBHC IMPROVEMENT PROJECT GOALS ALIGN CLOSELY WITH THE NEEDS IDENTIFIED IN THIS COMMUNITY: GOAL 1: ENHANCE PROGRAMMING FOR YOUTH AND FAMILIES BY PROVIDING INCREASED STAFF TRAINING ON YOUTH-SPECIFIC INTERVENTIONS AND BY ESTABLISHING A FAMILY TREATMENT TEA (FTT) MODEL FOR FAMILIES WITH YOUTH EXPERIENCING SIGNIFICANT BEHAVIORAL HEALTH CHALLENGES. GOAL 2: ENHANCE OUR INTEGRATED HEALTH PROGRAM THROUGH INCREASED COORDINATED PRIMARY CARE ACTIVITIES, EXPANDED HEALTH EDUCATION PROGRAMMING FOCUSED ON CHRONIC ILLNESS PREVENTION, AND EXPANSION OF OUR COORDINATED CARE MODEL THROUGH IMPROVED REFERRAL RELATIONSHIPS AND CARE COORDINATION ACTIVITIES. GOAL 3: IMPROVE SUBSTANCE USE DISORDERS PROGRAMMING FOR HIGH-RISK SUBSTANCE USERS BY PROVIDING STAFF TRAINING ON PREVENTION AND INTERVENTION WITH HIGH-RISK SUD POPULATIONS AND TARGETED INTERVENTION TO ADDRESS IDENTIFIED RISK FACTORS AND PROVIDE SUPPORT DURING TIMES OF TRANSITION. GOAL 4: ELEVATE STANDARDS OF CARE FOR INDIVIDUALS PRESENTING WITH RECENT OR CURRENT SUICIDAL IDEATION BY PROVIDING STAFF TRAINING ON SUICIDE SPECIFIC CARE AND TARGETED INTERVENTION TO PREVENT SUICIDE DEATHS.

GCBHS-CCBHC IA - AMELIA - GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES (GCB) WILL ENHANCE ITS CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC IN AMELIA, OHIO (CCBHC-A) TO EXPAND ACCESS TO BEHAVIORAL HEALTH TREATMENT TO SUPPORT RECOVERY IN CLERMONT COUNTY, OHIO. CCBHC-A WAS ESTABLISHED IN 2020 WITH SAMHSA FUNDS AND MEETS ATTESTATION REQUIREMENTS. IT IMPROVED SERVICE ACCESS AND QUALITY FOR A DISPARATE POPULATION IN THE APPALACHIAN REGION WHICH HAS THE HIGHEST RATES OF ECONOMIC, SOCIAL AND HEALTH DISPARITIES IN THE U.S. PRIMARY PROBLEMS GRANT FUNDS WILL ADDRESS INCLUDE PRESCRIBER WAITING TIMES THAT AVERAGE 16 DAYS WHICH INCREASE SUICIDE RISK, HOSPITALIZATION, AND DELAY MEDICATION ACCESS; LIMITED CRISIS RECEIVING AND STABILIZATION SERVICES THE DRIVE LOCAL INCARCERATION RATES AND EMERGENCY DEPARTMENT (ED) UTILIZATION; LIMITED USE OF PEERS IN THE CRISIS CONTINUUM,; LACK OF BRIEF INTERVENTIONS AND THERAPIES (BIT) TO OFFER IMMEDIATE, SHORT-TERM SERVICES FOR PEOPLE IN CRISIS; AND HEALTH INFORMATION TECHNOLOGY (HIT) INNOVATIONS NEEDED TO STRENGTHEN CARE MANAGEMENT AND POPULATION HEALTH MANAGEMENT. CCBHC-A WILL SERVE 1000 CLIENTS OVER FOUR YEARS - 250 CLIENTS PER YEAR IN YEARS 1-4. THE FOCUS POPULATION WILL BE YOUTH AND ADULTS, TO INCLUDE PERSONS WITH SERIOUS MENTAL ILLNESS, SUBSTANCE USE DISORDERS, SERIOUS EMOTIONAL DISTURBANCE, CO-OCCURRING DISORDERS, AND PEOPLE IN BEHAVIORAL HEALTH CRISIS. THE POPULATION IS 93% WHITE; 5% BLACK; 2% HISPANIC/LATINO. 50% ARE FEMALE; 49% MALE; 1% TRANSGENDER. 94% ARE HETEROSEXUAL. 7% ARE UNDER 18; 45% ARE BETWEEN 30-49 YEARS. 86% ARE BELOW 138% OF THE FEDERAL POVERTY LEVEL. 84% HAVE A SMI; 47% A COD. SAMHSA FUNDS WILL IMPROVE PSYCHIATRIC PRESCRIBER CAPACITY, ENHANCE CRISIS SERVICES AND ADVANCE HIT. GOALS AND OBJECTIVES INCLUDE: 1) IMPROVE PSYCHIATRIC PRESCRIBER CAPACITY TO INCREASE MEDICATION ACCESS BY HIRING AN ADDITIONAL PRESCRIBER; 2) ENHANCE CRISIS SERVICES TO REDUCE ED USE BY ESTABLISHING A BEHAVIORAL HEALTH URGENT CARE ALIGNED TO THE OHIO DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES STANDARDS; 3) IMPROVE PEER CRISIS SUPPORT TO REDUCE CLIENT DISTRESS BY ESTABLISHING A PEER RESPITE PROGRAM; 4) INCREASE THE AVAILABILITY OF BITS TO IMPROVE ACCESS TO SHORT-TERM INTERVENTIONS BY DEVELOPING SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) PROTOCOLS AND TRAINING STAFF IN SOLUTION-FOCUSED BRIEF THERAPY (SFBT; AND 5) STRENGTHEN CARE COORDINATION AND POPULATION HEALTH MANAGEMENT VIA HIT INNOVATIONS AND ELECTRONIC HEALTH RECORD INTEGRATION TO INCLUDE A PATIENT PORTAL, HEALTH EVENT NOTIFICATION, AND POPULATION HEALTH MANAGEMENT DASHBOARDS AND REPORTS. KEY INTERVENTIONS INCLUDE CRITICAL TIME INTERVENTION, MOTIVATIONAL INTERVIEWING, SBIRT, AND SFBT. GCB HAS SUCCESSFULLY IMPLEMENTED AND SUSTAINED 8 SAMHSA-FUNDED PROJECTS, INCLUDING CCBHC-A. IT HAS THE CAPACITY, EXPERIENCE, AND PARTNERSHIPS TO ENHANCE CCBHC-A TO CONTINUE TO IMPROVE HEALTH AND PROMOTE RECOVERY FOR A DISPARATE POPULATION IN A DISPARATE REGION.

CCBHC-IA PROJECT - THE RICHMOND BEHAVIORAL HEALTH AUTHORITY (RBHA) PROPOSES TO EXPAND AND ENHANCE QUALITY PRIMARY CARE, MENTAL HEALTH, AND SUBSTANCE USE DISORDER SERVICES TO ADULTS AND CHILDREN IN RICHMOND, VIRGINIA. THE CCBHC-IA PROJECT WILL DELIVER ALL CCBHC REQUIRED COMPONENTS IN ADDITION TO OFFERING PRIMARY CARE. ADDITIONALLY, IMPROVEMENTS/ADVANCEMENTS WILL INCLUDE ENHANCED CRISIS SERVICES, ENHANCED OP, REMOTE PATIENT MONITORING FOR CHRONIC CONDITIONS, PEER RECOVERY SUPPORTS, SOCIAL CONNECTEDNESS, CARE COORDINATION, MEASUREMENT-BASED CARE AND CONSUMER SATISFACTION FEEDBACK. PROPOSED STRATEGIES AND EVIDENCE-BASED SERVICES INCLUDE: MEDICATION-ASSISTED TREATMENT; TRAUMA-INFORMED SERVICES; MOTIVATIONAL INTERVIEWING; MOTIVATIONAL INCENTIVES; 24/7 CRISIS SERVICES; SCREENING, ASSESSMENT, DIAGNOSIS & RISK ASSESSMENT; PERSON-CENTERED TREATMENT PLANNING; EXPANDED OUTPATIENT SERVICES; PRIMARY CARE & SCREENING; HIV/HCV/HEP TESTING PSYCHIATRIC REHABILITATION; CARE COORDINATION; PEER SUPPORTS; COMPREHENSIVE OUTREACH; COLLABORATIVE DOCUMENTATION AND MEASUREMENT-BASED CARE. THE PROJECT WILL SERVE 900 MALE AND FEMALE ADULTS AND CHILDREN OVER THE FOUR-YEAR GRANT PERIOD: YEAR 1 (150 ADULTS AND 30 CHILDREN) AND YEARS 2-4 (200 ADULTS AND 40 CHILDREN IN EACH OF THE YEARS). CURRENT INDIVIDUALS SERVED BY RBHA ARE 55.4% MALE; 0.83% TRANSGENDER; 58.7% AFRICAN-AMERICAN; 32.1% CAUCASIAN; 9.2% OTHER; AND 8% IDENTIFY AS GAY OR LESBIAN. CO-OCCURRING BEHAVIORAL HEALTH DISORDERS ARE PREVALENT IN AN ESTIMATED 52%. OPIOIDS AND COCAINE ARE THE MOST COMMONLY REPORTED DRUGS USED. COMMON MENTAL HEALTH DISORDERS INCLUDE: MAJOR DEPRESSIVE DISORDER; SCHIZOAFFECTIVE DISORDER; AND BIPOLAR DISORDER. MOST OF THE INDIVIDUALS TO BE SERVED ARE ECONOMICALLY DEPENDENT, HAVE LIMITED EDUCATION AND LIMITED OR NONEXISTENT EMPLOYMENT HISTORIES. MANY WERE BORN AND RAISED IN URBAN NEIGHBORHOODS CHARACTERIZED BY MULTI-GENERATIONAL ADDICTION, POVERTY, VIOLENCE AND TRAUMA. GOALS OF THE CCBHC PROJECT ARE TO: 1) IMPROVE THE OVERALL HEALTH AND RECOVERY FOR ADULTS AND YOUTH WITH BEHAVIORAL HEALTH CONDITIONS BY PROVIDING INTEGRATED PRIMARY AND BEHAVIORAL CARE SCREENING, ASSESSMENT AND TREATMENT PLANNING; 2) INCREASE STAFF AND PROVIDER KNOWLEDGE AND SKILLS RELATED TO PRIMARY/BEHAVIORAL HEALTH TO IMPROVE OVERALL CONSUMER CARE; 3) ENSURE CCBHC SERVICE DELIVERY MEETS REQUIREMENTS AND INCLUDES CONTINUOUS INPUT FROM CONSUMERS, THEIR FAMILIES, AND THE COMMUNITY; AND 4) EVALUATE THE EFFECTIVENESS OF THE PROJECT IN ACHIEVING THE GOALS AND OBJECTIVES. UPON AWARD, IMPLEMENTATION WILL BEGIN IMMEDIATELY.

NORTH RANGE BEHAVIORAL HEALTH CCBHC-IA - ABSTRACT NORTH RANGE BEHAVIORAL HEALTH’S (NORTH RANGE) CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CBHC) PROJECT WILL ESTABLISH NORTH RANGE AS A CCBHC, INCREASING ACCESS TO AND QUALITY OF COMMUNITY BEHAVIORAL HEALTH TREATMENT FOR CHILDREN, YOUTH, ADULTS, AND FAMILIES IN WELD COUNTY. THE CCBHC WILL SERVE INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI), SERIOUS EMOTIONAL DISORDERS (SED), CO-OCCURRING DISORDERS (COD), AND SUBSTANCE USE DISORDERS (SUD) INCLUDING OPIATE ABUSE AND ADDICTION, REGARDLESS OF ABILITY TO PAY OR PLACE OF RESIDENCE. ADDITIONALLY, NORTH RANGE’S CCBHC WILL EXPAND AND ENHANCE SERVICES TO ACTIVE DUTY MILITARY, RETURNING VETERANS, AND MILITARY FAMILIES. THE NORTH RANGE CCBHC WILL PROVIDE A FULL-CONTINUUM OF PERSON/FAMILY-CENTERED INTEGRATED SERVICES, INCLUDING 24 HOUR CRISIS SERVICES; SCREENING, ASSESSMENT AND DIAGNOSTIC SERVICES FOR ALL POPULATIONS; PATIENT/FAMILY CENTERED AND STRENGTH BASED COLLABORATIVE TREATMENT PLANNING; COMPREHENSIVE OUTPATIENT MH AND SUD SERVICES, INCLUDING PREVENTION, OUTPATIENT, AND INTENSIVE AND RESIDENTIAL SUBSTANCE USE TREATMENT; OUTPATIENT PRIMARY CARE SCREENING, MONITORING OF KEY HEALTH INDICATORS, AND INTERVENTIONS TO ADDRESS HEALTH BEHAVIORS; TARGETED CASE MANAGEMENT; PSYCHIATRIC REHABILITATION AND SOCIAL SUPPORT OPPORTUNITIES THROUGH CLUBHOUSE, VOCATIONAL, AND CASE MANAGEMENT AND PEER SERVICES; COMPREHENSIVE COMMUNITY-BASED RECOVERY SUPPORTS, INCLUDING IN-HOME AND SCHOOL-BASED SERVICES, MST AND FFT SERVICES FOR FAMILIES, AND SERVICES IN NURSING HOMES AND ASSISTED LIVING FACILITIES; ASSERTIVE COMMUNITY TREATMENT AND FIRST EPISODE PSYCHOSIS (TACT) SERVICES; AND PSYCHIATRIC MEDICATION SERVICES, AND MEDICATION ASSISTED THERAPIES. NORTH RANGE’S CCBHC GOALS AND OBJECTIVES FOR THIS PROJECT ARE AS FOLLOWS: (1) INCREASE ACCESS AND ENGAGEMENT BY SERVING A MINIMUM OF 500 NEW CLIENTS IN YEAR 1, AND AN ADDITIONAL 300 NEW CLIENTS IN YEAR 2, WITH SMI, SED, COD, AND SUD. (2) INCREASE SERVICES TO UNDERSERVED POPULATIONS AND RURAL/NON-URBAN AREAS IN WELD COUNTY, INCLUDING ACTIVE MILITARY AND VETERANS, BY 10% IN THE FIRST YEAR AND ANOTHER 5% IN THE SECOND YEAR. (3) ENHANCE QUALITY OF SERVICES BY TRAINING A MINIMUM OF 100 STAFF IN EVIDENCE-BASED PRACTICES AND COMPETENCY-BASED SERVICES THAT PERTAIN TO THEIR AREA OF SERVICE DELIVERY WITHIN TWO YEARS OF THE CCBHC PROJECT START DATE. NORTH RANGE WILL ALSO EXPAND INVOLVEMENT IN COLLABORATIVE COMMUNITY PARTNERSHIPS AND ADVISORY GROUPS, AND SOLICIT MEMBERSHIP FOR INTERNAL AGENCY ADVISORY GROUPS TO BE MORE REPRESENTATIVE OF THE DIVERSE POPULATIONS SERVED.

THRIVE BEHAVIORAL HEALTH INC.'S CCBHC IA PROJECT - SUMMARY OF THE PROJECT, POPULATION SERVED AND SERVICES PROVIDED: THRIVE BEHAVIORAL HEALTH, INC.'S (TBH) OVERALL GOALS OF THIS PROPOSED PROJECT IS TO INCREASE ACCESS TO AND IMPROVE THE QUALITY OF COMMUNITY BEHAVIORAL HEALTH SERVICES IN THE STATE OF RHODE ISLAND THROUGH THE EXPANSION OF THE CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS (CCBHC). THE POPULATIONS OF FOCUS FOR THIS PROJECT INCLUDE: 1) INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI) AND SERIOUS AND PERSISTENT MENTAL ILLNESS (SPMI); OLDER ADULTS WITH SMI: 3) HOMELESS INDIVIDUALS; 4) VETERANS; 5) INDIVIDUALS WITH EATING DISORDERS; AND 6) LGBTQA+. WHILE THE PROGRAM WILL CONTINUE TO PROVIDE ALL NINE (9) REQUIRED CCBHC SERVICES, THIS APPLICATION IS SEEKING TO INTRODUCE THE FOLLOWING PROGRAMS: 1) INTEGRATED HEALTH HOME COMPLEX CARE (IHH-CC); 2) HOUSING FIRST (HF); 3) VETERAN SERVICE PROGRAM; 4) EATING DISORDER PROGRAM; AND 5) BEHAVIORAL HEALTH (BH) ACCESS PROGRAM. INTEGRATED HEALTH HOME - COMPLEX CARE: THE PURPOSE OF THIS PROGRAM IS TO BETTER INTEGRATE PRIMARY CARE AND BEHAVIORAL HEALTH CARE FOR PEOPLE WITH CHRONIC HEALTH CONDITIONS ALONG WITH MENTAL ILLNESS. HOUSING FIRST: TBH WILL CREATE A COMMUNITY OUTREACH TEAM FOR KENT COUNTY TO ENGAGE AND PROVIDE SERVICES TO PEOPLE WHO ARE CHRONICALLY UNHOUSED. VETERAN'S SERVICES: A VETERAN'S SERVICE COORDINATOR WILL BE HIRED TO TRAVEL TO ALL TBH LOCATIONS TO WORK WITH VETERANS AND THEIR FAMILIES PROVIDING TARGETED CASE MANAGEMENT AND LINKAGE TO NEEDED TREATMENT AND RESOURCES. EATING DISORDERS PROGRAM: TBH WILL TRAIN STAFF TO TAKE A MENTAL HEALTH APPROACH TO TREATING THIS DISEASE AND CREATE A PROGRAM TO PROVIDE SPECIALIZED TREATMENT. BH ACCESS: THIS GOAL SEEKS TO BREAKDOWN ACCESS BARRIERS CREATED BY HEALTH INSURANCE THROUGH PROVIDING TREATMENT WHEN NEEDED. IF FUNDING IS AWARDED, THE PROGRAM WILL IMPROVE THE BEHAVIORAL HEALTH OF INDIVIDUALS IN RHODE ISLAND BY PROVIDING COMPREHENSIVE COMMUNITY-BASED MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES, ADVANCE THE INTEGRATION OF BEHAVIORAL HEALTH WITH PHYSICAL HEALTH CARE, ASSIMILATE AND UTILIZE EVIDENCE-BASED PRACTICES ON A MORE CONSISTENT BASIS, AND PROMOTE IMPROVED ACCESS TO HIGH QUALITY CARE. TBH'S PROGRAM WILL PROVIDE SERVICES TO ANY INDIVIDUAL, REGARDLESS OF THEIR ABILITY TO PAY. A DESCRIPTION OF THE COORDINATION PLANNED WITH APPROPRIATE STATE AND LOCAL AGENCIES: THRIVE BEHAVIORAL HEALTH HAS A STRONG HISTORY OF WORKING COLLABORATIVELY TO MEET THE COMPLEX NEEDS OF THE CLIENTS WE SERVE AND THEIR FAMILIES IN RHODE ISLAND. TBH HAS MANY YEARS OF EXPERIENCE TREATING CLIENTS WHO HAVE SMI, SPMI, PEOPLE WHO ARE HOMELESS, VETERANS, THOSE WHO HAVE EXPERIENCED TRAUMATIC LIFE EVENTS, AND OTHER UNDERSERVED AND AT-RISK POPULATIONS. IN ADDITION TO PROVIDING SERVICES TO THE POPULATIONS IDENTIFIED, TBH HAS A LONG-STANDING REPUTATION FOR WORKING CLOSELY WITH OTHER COMMUNITY PROVIDERS WHO WILL PROVIDE REFERRALS AND RESOURCES. THE COLLABORATIONS DEVELOPED OVER THIS LONG PERIOD OF TIME WILL PROVIDE MANY OF THE SERVICES THAT OUR CLIENTS AND THEIR FAMILIES WILL REQUIRE FOR OPTIMAL OUTCOMES. ACHIEVEMENT OF THE GOALS OF THIS PROJECT WILL HAVE A SIGNIFICANT IMPACT ON THE ABILITY OF THE POPULATIONS SERVED BY OUR CCBHC PROGRAM TO ACCESS NEEDED SERVICES WHICH HAVE THE POTENTIAL TO CHANGE THEIR LIFE TRAJECTORY.

MERIDIAN CCBHC IMPROVEMENT AND ADVANCEMENT PROJECT - BASED ON CCBHC NEEDS ASSESSMENT AND OTHER LOCAL DATA, MERIDIAN CCBHC IMPROVEMENT AND ADVANCEMENT (CCBHC-IA) PROJECT ACTIVITIES WILL ADDRESS DISPARITIES RELATED TO THE HIGH RATE OF HOSPITALIZATIONS AND ER VISITS FOR MENTAL DISORDERS IN THE CATCHMENT AREA. THE FOCUS POPULATION OF THE PROJECT WILL INCLUDE ANY INDIVIDUAL WITH A MENTAL OR SUBSTANCE USE DISORDER WHO SEEKS CARE, 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. THE PROJECT WILL TARGET SUBPOPULATIONS/COMMUNITIES THAT HAVE BEHAVIORAL HEALTH DISPARITIES RELATED TO HIGH USE OF EMERGENCY ROOMS (ERS) AND HOSPITALIZATIONS FOR MENTAL DISORDERS. THE PROJECT’S PRIMARY CATCHMENT AREA WILL INCLUDE THE 11 COUNTIES IN NORTH CENTRAL FLORIDA WHERE MERIDIAN HAS OFFICE LOCATIONS: ALACHUA, BAKER, BRADFORD, COLUMBIA, DIXIE, GILCHRIST, HAMILTON, LAFAYETTE, LEVY, SUWANNEE AND UNION. AMONG THESE COUNTIES, ONLY ONE IS A U.S. CENSUS DESIGNATED URBAN COUNTY (ALACHUA), AND THE REMAINING TEN ARE DESIGNATED RURAL. THE CCBHC-IA PROJECT WILL ADDRESS AREA GAPS IN BEHAVIORAL HEALTH SERVICES TO INCLUDE INCREASED MOBILE CRISIS TEAMS (MRTS), WHICH SERVE AS AN IMPORTANT GATEWAY TO TREATMENT. THE PROJECT WILL ALSO IMPROVE HOSPITAL BRIDGE SERVICES TO TRANSITION INDIVIDUALS FROM THE ER/HOSPITAL TO CCBHC TREATMENT, AS WELL AS CULTURALLY COMPETENT, COMMUNITY-BASED BEHAVIORAL TEAMS TO FOLLOW-UP AFTER MRT CONTACT AND TO INCREASE ENGAGEMENT AND RETENTION IN ONGOING OUTPATIENT TREATMENT. OTHER EXPANDED SERVICES, SUCH AS PEER SUPPORT AND BENEFITS ASSISTANCE, WILL FURTHER PROMOTE ENGAGEMENT AND RETENTION IN SERVICES. PROJECT GOALS AND OBJECTIVES INCLUDE THE FOLLOWING: GOAL 1: REDUCE USE OF ACUTE CRISIS SERVICES AND DECREASE HOSPITALIZATIONS FOR BEHAVIORAL HEALTH DISORDERS BY CONSUMERS IN THE CATCHMENT AREA. OBJECTIVES: 1) INCREASE THE NUMBER OF PERSONS TRANSITIONING TO CCBHC TREATMENT FROM ER/HOSPITAL DISCHARGE REFERRALS BY 10% EACH YEAR OF THE PROJECT THROUGH IMPROVED HOSPITAL BRIDGE SERVICES, PEER FOLLOW-UP, AND RELATED SERVICES. 2) REDUCE ADMISSIONS INTO MERIDIAN’S ACUTE, INPATIENT CRISIS CARE BY 10% BY YEAR 2 AND 10% EACH SUBSEQUENT YEAR. GOAL 2: INCREASE ENGAGEMENT AND RETENTION OF CONSUMERS IN CCBHC TREATMENT AND RELATED SERVICES WITH EMPHASIS ON THOSE IDENTIFIED BY NEEDS ASSESSMENT AS BEING DISPROPORTIONATELY AFFECTED BY BEHAVIORAL HEALTH DISPARITIES. OBJECTIVES: 1) INCREASE ENROLLMENT OF CONSUMERS WHO DO NOT HAVE THE ABILITY TO PAY FOR SERVICES IN MEDICAID, MEDICARE AND OTHER BENEFITS BY 20% IN YEAR 1 AND 25% IN SUBSEQUENT YEARS OF THE PROJECT PERIOD THROUGH EXPANDED CAPACITY TO DELIVER SOAR AND OTHER PERSON-CENTERED BENEFITS ASSISTANCE. 2) INCREASE THE NUMBER OF BLACK CONSUMERS SERVED IN CCBHC TREATMENT AND RELATED SERVICES BY 10% EACH YEAR OF THE PROJECT PERIOD THROUGH COMMUNITY-BASED SERVICES WITHIN TARGETED ALACHUA COUNTY ZIP CODE AREAS OF NEED. 3) INCREASE THE NUMBER OF RURAL CONSUMERS SERVED IN CCBHC TREATMENT AND RELATED SERVICES BY 10% EACH YEAR OF THE PROJECT PERIOD THROUGH COMMUNITY-BASED SERVICES WITHIN TARGETED COUNTIES. THE PROJECT WILL SERVE 500 PERSONS IN YEAR 1 AND 700 ANNUALLY EACH SUBSEQUENT YEAR FOR A TOTAL OF 2,600 SERVED OVER THE ENTIRE PROJECT PERIOD.

BEHAVIORAL HEALTH SERVICES NORTH IS SEEKING A CCBHC IMPROVEMENT AND ADVANCEMENT GRANT TO IMPROVE AND BUILD UPON CCBHC EXPANSION GRANT OF 2020. - BEHAVIORAL HEALTH SERVICES NORTH (BHSN) IS A NON-PROFIT CORPORATION AND EXISTING CCBHC EXPANSION GRANTEE IN NY THAT WILL CONTINUE TO SERVE ALL ADULTS AND CHILDREN WITHIN CLINTON, FRANKLIN AND ESSEX COUNTIES, WHO EXPERIENCE MH AND/OR SUD ISSUES. THE CCBHC-IA AWARD WILL ALLOW THE BHSN CCBHC TO CONTINUE ADVANCING ITS CCBHC SERVICES IN WHOLE-PERSON INTEGRATED CARE, WITH A STRENGTHENED POPULATION HEALTH/EQUITY FOUNDATION. THE PREDOMINANTLY RURAL SERVICE AREA, WHICH IS WITHIN A REGION CALLED "NORTH COUNTRY," IS OLDER, LESS DIVERSE, AND MORE MALE THAN NY AS A WHOLE, WITH A CONCENTRATION OF NATIVE AMERICANS IN FRANKLIN COUNTY. COMPARED TO NY STATE, CLINTON AND FRANKLIN COUNTY HAVE HIGHER RATES OF THOSE LIVING BELOW THE FEDERAL POVERTY LINE(FPL); CLIENTS IN OUR CATCHMENT ARE SICKER, WITH A HIGHER PERCENTAGE DIAGNOSED WITH 2 OR MORE CHRONIC MEDICAL CONDITIONS AND HIGHER RATES OF INPATIENT HOSPITALIZATION. DISPARITIES IN THE IMPACT OF MH/SUD IN THE REGION COMPARED WITH NY AND THE US INCLUDE HIGHER RATES OF POOR MH DAYS, FREQUENT MENTAL DISTRESS, EXCESSIVE DRINKING, DRIVING DEATHS RELATED TO ALCOHOL, DRUG OVERDOSES AND SUICIDE MORTALITY. ALL 3 COUNTIES HAVE BEEN DESIGNATED AS RURAL HEALTH PROFESSIONAL SHORTAGE AREAS FOR PRIMARY CARE AND MH PROVIDERS. OUR GOALS AND OBJECTIVES WILL BE FULFILLED THROUGH ENHANCEMENTS IN OUR CARE COORDINATION SERVICES WITH HEALTH INFORMATION SYSTEM IMPROVEMENTS THAT ENABLE RISK STRATIFICATION AND A DATA-INFORMED POPULATION HEALTH APPROACH TOWARD ADDRESSING DISPARITIES IN UTILIZATION, SERVICE GAPS AND NEEDS TO TARGET APPROPRIATE CARE. WE PLAN TO SERVE 3,400 UNIQUE CLIENTS IN YEAR 1, WITH AN ADDITIONAL 200 OVER THE NEXT 3 YEARS, TOTALING 4,000 BY END OF THE GRANT PERIOD. OUR GOALS AND OBJECTIVES ARE: *GOAL 1. ENHANCE CARE COORDINATION SERVICES TO TARGET THE RIGHT CARE AT THE RIGHT TIME FOR CCBHC CLIENTS -OBJECTIVE 1.1. ESTABLISH DEFINITIONS OF RISK TIERS WITHIN 12 MONTHS OF GRANT AWARD USING A COMBINATION OF CLINICAL ASSESSMENT TOOLS, CLIENT DEMOGRAPHICS, UTILIZATION, SDOH SCREENING RESULTS, SYMPTOM RATING SCALES AS PER MEASUREMENT-BASED CARE, OUTCOMES AND CLIENT NEEDS. OBJ 1.2. USING COMPLETED EHR ENHANCEMENTS, APPLY TIERING PROTOCOLS TO CURRENT AND NEW CCBHC CLIENTS AND ESTABLISH A PLAN TO FOCUS ON HIGH RISK AND RISING RISK CLIENTS-WITHIN 18 MONTHS OF GRANT AWARD. *GOAL 2. IMPROVE HEALTH OUTCOMES -OBJECTIVE 2.1. ADVANCE OUTCOMES SPECIFIED IN YEAR 2 RISK BEARING VBP CONTRACT WITH NORTHWINDS IPA MEASURED BY THE FOLLOWING HEDIS MEASURES: 2.1A. INCREASE THE PERCENTAGE OF CLIENTS WHO HAVE HEALTH SCREENINGS BY 25 % 2.1B. INCREASE THE PERCENTAGE OF CLIENTS WITH FOLLOW-UP AFTER HOSPITALIZATION BY 20 % 2.1C. INCREASE THE PERCENTAGE OF CLIENT FOLLOW-UP AFTER CRISIS CARE BY 25 % 2.1D. REDUCE INPATIENT UTILIZATION BY 5 % *GOAL 3. ENHANCE ACCESS TO MH/SUD CARE -OBJ 3.1. IMPLEMENT PATIENT PORTAL BY 12 MONTHS OF AWARD THAT ENABLES CLIENTS' MEANINGFUL INVOLVEMENT IN THEIR OWN CARE, INCLUDING APPOINTMENT SCHEDULING, ACCESS TO CARE PLAN, CRISIS SUPPORT; SELF-ASSESSMENTS, AND DAILY JOURNALING. OBJ 3.2. IMPLEMENT THE 4M MODEL OF CARE FOR OLDER ADULTS BY TRAINING STAFF AND IDENTIFYING ELIGIBLE CLIENTS BY END OF YEAR 2. OBJ 3.3. ON AN ANNUAL BASIS 90 % OF CCBHC CLIENTS WITH A HISTORY OF SUBSTANCE USE WILL RECEIVE SBIRT

CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) - PLANNING, DEVELOPMENT, AND IMPLEMENTATION FOR A BETTER TOMORROW - THE VOLUNTEER BEHAVIORAL HEALTH (VBH) CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) INTENDS TO PROVIDE A COMPREHENSIVE AND INTEGRATED BEHAVIORAL HEALTH SERVICE ARRAY TO THE UPPER CUMBERLAND, TENNESSEE AREA THROUGH HIGH-QUALITY COORDINATED SERVICES IN RESPONSE TO THE NEEDS OF THE COMMUNITY, CLIENTS, AND FAMILY MEMBERS WHILE INVOLVING CONSUMER VOICE AND CHOICE IN THE DECISION-MAKING OF THE CCBHC AND THEIR OWN CARE IN A MEANINGFUL WAY. THE POPULATION OF FOCUS IS INDIVIDUALS IN THIS PRIMARILY RURAL REGION WHO ARE UNINSURED OR UNDERINSURED WITH LOW INCOMES, AND HAVE OR ARE OR AT RISK FOR MENTAL ILLNESS AND/OR SUBSTANCE USE DISORDERS (SUD) INCLUDING OPIOID USE, THOSE WITH SERIOUS MENTAL ILLNESS (SMI); 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. PERSON-CENTERED, FAMILY-CENTERED, RECOVERY-FOCUSED, AND TRAUMA-INFORMED SERVICES WILL BE PROVIDED REGARDLESS OF AN INDIVIDUAL’S ABILITY TO PAY TO 1,035 PEOPLE OVER A 4-YEAR PERIOD (135 IN YEAR 1, AND 300 PER YEAR FOR YEARS 2-4) AT VBH’S COOKEVILLE COMMUNITY MENTAL HEALTH CENTER IN PUTNAM COUNTY. VBH’S CCBHC WILL INCREASE ACCESS AND ELEVATE CARE FOR CLIENTS THROUGH A FULL-CONTINUUM OF CRISIS STABILIZATION INTERVENTION, MOBILE CRISIS SERVICES, WALK-IN CENTER, AND OUTPATIENT SERVICES INCLUDING THERAPY, CARE COORDINATION, AND MEDICATION MANAGEMENT. ADDITIONALLY, A 5-MEMBER MULTIDISCIPLINARY CONNECTOR TEAM (MCT) WILL BE IMPLEMENTED TO ENHANCE SERVICE QUALITY AND MEET CLIENTS WHERE THEY ARE. THIS LOCATION PROVIDES A CENTRAL ACCESS POINT TO NEIGHBORING COUNTIES IN CENTRAL APPALACHIA (CLAY, CUMBERLAND, DEKALB, FENTRESS, JACKSON, MACON, OVERTON, PICKETT, SMITH, VAN BUREN, WARREN, AND WHITE) THAT ARE UNDER-RESOURCED IN TREATMENT AND RECOVERY SERVICES. VBH WILL INCREASE ACCESS AND AVAILABILITY OF THESE SERVICES, PARTICULARLY TO SUBPOPULATIONS THAT SHOW HEALTH DISPARITIES FOLLOWING A NEEDS ASSESSMENT AT 6 MONTHS, BY SUPPORTING LONG-TERM RECOVERY FROM MENTAL HEALTH CHALLENGES, SUDS, AND CODS THROUGH COMPREHENSIVE AND WHOLE-PERSON TREATMENT LEADING TO REACHING ONE’S FULL POTENTIAL.

CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC- IMPROVEMENT AND ADVANCEMENT - AS THE COMMUNITY’S SAFETY-NET BEHAVIORAL HEALTH PROVIDER IN BROWARD COUNTY, FLORIDA, HENDERSON BEHAVIORAL HEALTH, INC. (HENDERSON) PROPOSES TO EXPAND AND ENHANCE ITS CCBHC TO SERVE VULNERABLE, UNINSURED ADULTS, CHILDREN AND FAMILIES RESIDING IN OUR COUNTY WITH SPECIAL EMPHASIS ON THE MEDICALLY UNDERSERVED LIVING IN THE 33319-ZIP CODE AREA. THE POPULATION OF FOCUS WILL BE PERSONS WITH COMPLEX BEHAVIORAL HEALTH, SUBSTANCE USE AND/OR PHYSICAL HEALTH CONDITIONS IN NEED OF COORDINATED, INTEGRATED QUALITY CARE. BROWARD COUNTY RESIDENTS, WHICH INCLUDES THE GROWING IMMIGRANT COMMUNITIES, ARE AMONG THE MOST ECONOMICALLY DISTRESSED AND MEDICALLY UNDERSERVED IN THE STATE OF FLORIDA. REDUCING HEALTH DISPARITIES IS DEPENDENT UPON INCREASING ACCESS TO AFFORDABLE, QUALITY, AND COST-EFFECTIVE HEALTH CARE SERVICES. THROUGH HENDERSON’S CCBHC-IA PROGRAM, HEALTH DISPARITIES WILL BE POSITIVELY IMPACTED BY REMOVING HURDLES AND BARRIERS SURROUNDING EQUITABLE ACCESS TO COMMUNITY-BASED TREATMENT AND SUPPORT. THE PROGRAM WILL BE INTEGRAL THROUGH IT GOALS AND OBJECTIVES BY ENHANCING EFFORTS TO TRANSFORM THE HEALTH OF OUR COMMUNITY. GOALS AND OBJECTIVES WILL INCLUDE (1) INCREASED AWARENESS AND ACCESSIBILITY TO SERVICES THROUGH PUBLIC OUTREACH AND EDUCATION BY PROVIDING A MINIMUM OF 2 TIMES PER QUARTER, A COMMUNITY OUTREACH/EDUCATIONAL ACTIVITY PROMOTING CCBHC SERVICES AND ACCESS TO TREATMENT, INCLUDING OUTREACH TO LOCAL LAW ENFORCEMENT AGENCIES AND THE MEDICALLY UNDERSERVED POPULATION; (2) TARGETING AND TREATING COMMON CHRONIC HEALTH CONDITIONS FACED BY PEOPLE WITH SERIOUS MENTAL ILLNESS, SUBSTANCE USE DISORDERS AND CO-OCCURRING DISORDERS BY SCREENING 100% OF CLIENTS AT INTAKE FOR TOBACCO USE, DIABETES, OBESITY, HIGH CHOLESTEROL AND HYPERTENSION AND 60% OF CLIENTS IDENTIFIED AS BEING (A) DIABETIC OR AT RISK FOR DIABETES, OR THAT HAVE (B) HYPERTENSION, (C) HIGH CHOLESTEROL OR (D) OBESITY WILL COMPLETE A PRIMARY CARE APPOINTMENT WITHIN 30 DAYS OF SCREENING; (3) EXPANDING ACCESS TO MEDICATION ASSISTED TREATMENT THROUGH PRESCRIBER EDUCATION AND CREDENTIALING BY ENSURING FIVE (5) PRESCRIBERS WHO CURRENTLY DO NOT HAVE PRACTITIONER WAIVERS TO PROVIDE MAT ARE TRAINED AND OBTAIN WAIVERS BY SEPTEMBER 30, 2024; (4) INCREASING STAFF COMPETENCY AND AWARENESS OF TREATING CLIENTS WITH CO-MORBID CONDITIONS BY OFFERING EVIDENCE-BASED PRACTICE TRAINING TO THIRTY (30) STAFF WHO WILL BE TRAINED EACH GRANT YEAR ON THE USE OF MOTIVATIONAL INTERVIEWING AND TEN (10) STAFF TRAINED AS MOTIVATIONAL INTERVIEWING TRAINERS BY END OF GRANT CYCLE FOR TRAINING SUSTAINABILITY; AND (5) MAINTAINING CLIENT SATISFACTION BY OFFERING COMPREHENSIVE SERVICES WITH 95% OF INDIVIDUALS AND FAMILIES RATING THEIR TREATMENT AS POSITIVE ON THE NATIONAL OUTCOME MEASURES (NOMS) AT TIME OF REASSESSMENT AND/OR DISCHARGE. THE HENDERSON CCBHC WILL DELIVER TRAUMA-INFORMED, PERSON AND FAMILY-CENTERED INTEGRATED SERVICES BY PROVIDING RAPID-RESPONSE OF 24/7 CRISIS MANAGEMENT; SCREENING, ASSESSMENT, DIAGNOSIS AND TREATMENT OF BEHAVIORAL HEALTH, SUBSTANCE USE AND PHYSICAL HEALTH NEEDS; INDIVIDUALIZED, HOLISTIC TREATMENT PLANNING; ACTIVE AND VETERAN MILITARY SUPPORT; CASE MANAGEMENT AND CARE COORDINATION; CLINICAL OUTPATIENT AND PSYCHIATRIC REHABILITATION; PEER AND FAMILY SUPPORT. THROUGHOUT THE PROGRAM, HENDERSON WILL SERVE A MINIMUM OF 300 PERSONS IN THE 1ST YEAR OF OPERATION AND AN ADDITIONAL 300 PERSONS IN YEARS 2, 3 AND 4 FOR A TOTAL OF 1,200 INDIVIDUALS SERVED BY GRANT CONCLUSION.

FY 2022 CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC IMPROVEMENT AND ADVANCEMENT GRANT - PURSUANT TO SAMHSA FUNDING OPPORTUNITY ANNOUNCEMENT NO. SM-22-012, CPC BEHAVIORAL HEALTHCARE IS APPLYING FOR A FY2022 CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC IMPROVEMENT AND ADVANCEMENT GRANT (CCBHC IA). A MAJOR GOAL OF THIS INITIATIVE IS TO IMPROVE ACCESS TO CCBHC SERVICES FOR RESIDENTS OF MONMOUTH AND NORTHERN OCEAN COUNTIES IN NEW JERSEY, WHICH ARE STATISTICALLY HIGH-NEED AREAS. AN EXAMPLE OF AN OBJECTIVE THAT HAS BEEN SET TO MEET THIS GOAL IS FOR CPC TO INCREASE THE CURRENT NUMBER OF UNDUPLICATED INDIVIDUALS RECEIVING CCBHC IA SERVICES BY 20% BY 2026. CPC WILL EXPAND COMMUNITY PARTNERSHIPS TO SUPPORT THE ABILITY TO ADDRESS SOCIAL DETERMINANTS OF HEALTH FOR INDIVIDUALS TO BETTER INTEGRATE INTO THEIR COMMUNITIES. AN EXAMPLE OF AN OBJECTIVE THAT HAS BEEN SET TO MEET THIS GOAL IS FOR CPC TO FIND MEANINGFUL EMPLOYMENT AND/OR EDUCATIONAL/VOCATIONAL PLACEMENTS FOR 20 INDIVIDUALS THROUGH SUPPORTED EMPLOYMENT AND EDUCATION PROGRAMS WITH COMMUNITY COLLEGES, TRADE ORGANIZATIONS AND BUSINESSES DURING THE CONTRACT TERM. CPC WILL ALSO INCREASE THE AWARENESS OF CCBHC AS A PREFERRED MODEL FOR INTEGRATED CARE AND ADVOCATE FOR SUSTAINABILITY FOR THIS MODEL IN THE COMMUNITY AND IN THE OVERALL HEALTHCARE SPACE. AN EXAMPLE OF AN OBJECTIVE THAT HAS BEEN SET TO MEET THIS GOAL IS FOR CPC TO OFFER 12 EDUCATIONAL AND/OR CARE MANAGEMENT WORKSHOPS TO PARTNERS (I.E., PRIMARY CARE PROVIDERS, SCHOOLS, FAMILY AND/OR CONSUMER SUPPORT GROUPS, ETC.) ABOUT INTEGRATED CARE. THE POPULATION OF FOCUS WILL BE INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI), SIGNIFICANT CO-OCCURRING MENTAL ILLNESS AND SUBSTANCE USE DISORDERS (SUD), AND CHILDREN/ADOLESCENTS WITH SEVERE EMOTIONAL DISTURBANCES (SED) AND THEIR FAMILIES. CCBHC IA WILL PRIORITIZE CHILDREN, ADOLESCENTS AND YOUNG ADULTS. THESE INDIVIDUALS OFTEN HAVE LIMITED ACCESS TO PERSON-CENTERED, INTEGRATED TREATMENT INCLUDING CRISIS INTERVENTION AND COMPREHENSIVE CARE MANAGEMENT SERVICES DESIGNED SPECIFICALLY TO ADDRESS A BROAD ARRAY OF SOCIAL DETERMINANTS OF HEALTH. THEY ACCOUNT FOR THE MAJORITY OF INDIVIDUALS WHO “FALL BETWEEN THE CRACKS”. THESE INDIVIDUALS REQUIRE A SAFETY NET AND TREATMENT PHILOSOPHY THAT IS INTEGRATED, PERSON/FAMILY-CENTERED AND TRAUMA INFORMED. AS WITH OUR OTHER CCBHC GRANTS, THE FY2022 CCBHC IA FUNDING WILL BE USED TO SERVE THE IDENTIFIED COMMUNITIES BY DELIVERING EVIDENCE-BASED SERVICES IN MENTAL HEALTH, SUBSTANCE ABUSE AND PHYSICAL HEALTH THROUGH AN INTEGRATED SYSTEM OF CARE DESIGNED TO PROMOTE WELLNESS, RECOVERY AND PRODUCTIVE LIVES. THE CCBHC EXPANSION WILL HELP ENSURE EASILY ACCESSIBLE AND COMPREHENSIVE SERVICES THAT FOCUS ON THE WHOLE PERSON THROUGH PERSON-CENTERED CARE PROVIDED BY DIVERSE, EMPATHETIC, ENGAGED STAFF AND COMMUNITY PARTNERS. THROUGH THE CCBHC WE PROVIDE A VARIETY OF PROGRAMMING INCLUDING TRADITIONAL AND INTENSIVE OUTPATIENT SERVICES, AMBULATORY WITHDRAWAL MANAGEMENT, PARTIAL CARE, BEHAVIORAL HEALTH HOME, SUPPORTED EMPLOYMENT AND HOUSING, ASSERTIVE COMMUNITY TREATMENT, CRISIS RESPONSE AND STABILIZATION AND CARE MANAGEMENT. CPC PROPOSES TO SERVE 950 YOUTH AND 5215 ADULTS FOR A TOTAL OF 6165 INDIVIDUALS THROUGHOUT THE LIFETIME OF THE 4 YEAR INITIATIVE.

CCBHC IMPROVEMENT AND ADVANCEMENT - PROJECT NAME: SOUTHWESTERN BEHAVIORAL HEALTHCARE, INC. (SBH) CCBHC IMPROVEMENT AND ADVANCEMENT GRANT 2022 SUMMARY: WE WILL EXPAND OUR 24/7/365 CRISIS INTERVENTION SERVICES OFFERED BY OUR CCBHC TO INCLUDE TREATMENT FOR ADULTS EXPERIENCING SUBSTANCE USE DISORDER (SUD), SUPPORT SERVICES FOR YOUTH/FAMILIES IN CRISIS, AND ADDITIONAL TRAINING FOR STAFF TO WORK WITH INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES (IDD). STRATEGIES/INTERVENTIONS: IN YEAR 1, WE WILL PROVIDE TRAINING FOR STAFF ON SUD CRISIS INTERVENTION. PROTOCOLS FOR COMMUNITY INTERVENTION FOR THOSE IN SUBSTANCE USE CRISIS WITH LAW ENFORCEMENT WILL BE DEVELOPED. PARTNERSHIPS WITH LOCAL HOSPITALS WILL BE ENHANCED TO FACILITATE A “WARM” HANDOFF FROM THE EMERGENCY ROOM SUD CRISIS TO SBH’S CRISIS TEAM. OUR MOBILE UNIT WILL BE EQUIPPED, AND STAFF WILL BE TRAINED TO USE NARCAN. A WORKFLOW WILL BE DEVELOPED TO GUIDE ENGAGEMENT WITH THOSE SERVED BY THE CRISIS TEAM AND ASSIST IN CONNECTING INDIVIDUALS WITH APPROPRIATE TREATMENT. IN YEARS 1 AND 2, WE WILL IDENTIFY CHILD AND FAMILY-SPECIFIC TRAINING AND INTERVENTIONS FOR FAMILIES IN CRISIS FOR USE BY THE MOBILE TEAM. TRAINING MATERIALS AND A MOBILE TEAM FAMILY CRISIS “TOOLKIT” TO BRING TO HOMES WILL BE DEVELOPED. WE WILL TRAIN ALL CRISIS TEAMS IN EBP INTERVENTIONS TO ASSESS AND INTERVENE WITH FAMILIES IN CRISIS. WE WILL ENHANCE PARTNERSHIPS WITH THE DEPARTMENT OF CHILD SERVICES (DCS) TO ASSURE SEAMLESS REFERRALS AND THE USE OF SBH’S SPECIALIZED TEAM FOR FAMILIES WITH MH/SUD CRISES. A WORKFLOW FOR YOUTH IN CRISIS WILL BE DEVELOPED WITH LAW ENFORCEMENT GUIDANCE FOR MOBILE CRISIS TEAMS TO DIVERT JUVENILE DETENTION. WE WILL ALSO ESTABLISH A WORKFLOW FOR ONGOING ENGAGEMENT WITH FAMILIES WHO RECEIVE SERVICES FROM THE CRISIS TEAM TO ASSIST WITH ONGOING SUPPORT AND TREATMENT ENGAGEMENT. IN YEARS 3 AND 4, WE WILL PARTNER WITH THE EASTERSEALS REHABILITATION CENTER TO TRAIN CRISIS SERVICES STAFF ON UNIQUE ISSUES IN WORKING WITH PEOPLE IN CRISIS WITH IDD AND THEIR FAMILIES. SPECIALIZED PROTOCOLS WILL BE DEVELOPED FOR WORKING IN CO-RESPONSE WITH LAW ENFORCEMENT WHEN DEPLOYED TO WORK WITH CLIENTS WITH IDD IN CRISIS. PARTNERSHIPS WITH LOCAL HOSPITALS WILL BE ENHANCED TO FACILITATE A “WARM” HANDOFF FROM EMERGENCY SERVICES TO THE CRISIS TEAM FOR ONGOING ENGAGEMENT, SUPPORT, CASE MANAGEMENT, AND REFERRALS. A WORKFLOW WILL BE DEVELOPED TO GUIDE CONTINUING ENGAGEMENT WITH CLIENTS AND THEIR FAMILIES TO ASSURE CONNECTION TO APPROPRIATE TREATMENT AND RESOURCES. ALL PROGRAM ENHANCEMENTS DESCRIBED WILL BE PART OF A COMMUNITY-WIDE MARKETING CAMPAIGN FOCUSING ON CRISIS SUPPORT FOR YOUTH AND FAMILIES THROUGH SCHOOLS, DCS, MEDICAL SETTINGS, TV/RADIO, BUS WRAPS, AND OTHER SOCIAL SERVICE AGENCIES. PROJECT GOALS: WE WILL INCREASE TREATMENT AND IMPROVE OUTCOMES FOR INDIVIDUALS EXPERIENCING SUD, EXPAND CRISIS SERVICES, IMPROVE OUTCOMES FOR YOUTH AND FAMILIES OF YOUTH, AND INCREASE STAFF CAPACITY TO TREAT AND IMPROVE OUTCOMES FOR INDIVIDUALS WITH IDD. OBJECTIVES: FROM THE INITIAL NOMS ASSESSMENT TO THE 6-MONTH NOMS REASSESSMENT, 75% OF CLIENTS WITH A SUD DIAGNOSIS WILL IMPROVE MENTAL HEALTH FUNCTIONING; 75% OF CLIENTS WITH A SUD DIAGNOSIS WILL DECREASE SUBSTANCE USE; 75% OF CLIENTS WITH A SUD DIAGNOSIS WILL IMPROVE SOCIAL CONNECTEDNESS, AND 75% OF CLIENTS WITH SUD DIAGNOSIS WILL IMPROVE OVERALL HEALTH. 75% OF YOUTH CLIENTS WILL IMPROVE MENTAL HEALTH, AND 75% WILL IMPROVE SOCIAL CONNECTEDNESS FROM THE INITIAL NOMS ASSESSMENT TO THE 6-MONTH REASSESSMENT. 75% OF STAFF MEMBERS RECEIVING TRAINING WILL INCREASE SELF-EFFICACY AROUND PROVIDING SERVICES TO IDD POPULATIONS FROM PRE TO POST-TRAINING SURVEYS. 75% OF CLIENTS WITH AN IDD WILL IMPROVE MENTAL HEALTH FUNCTIONING FROM THE INITIAL NOMS ASSESSMENT TO THE 6-MONTH NOMS REASSESSMENT. NUMBERS SERVED: THE TOTAL UNDUPLICATED NUMBER OF INDIVIDUALS TO BE SERVED WITH GRANT FUNDING IS 4,700 (Y1), 5,170 (Y2), 5,687 (Y3), AND 6,256 (Y4).

RBHA'S COMMUNITY MENTAL HEALTH CENTER GRANT - THE RICHMOND BEHAVIORAL HEALTH AUTHORITY (RBHA) PROPOSES TO SUPPORT THE RETURN, REVITALIZATION AND DELIVERY OF NUMEROUS CLINICAL AND SUPPORT SERVICES THAT WERE SHUT DOWN OR OTHERWISE NEGATIVELY IMPACTED BY COVID-19, INCLUDING NEGATIVE FINANCIAL IMPACTS, FOR THE ADULT AND YOUTH POPULATION WITH SERIOUS EMOTIONAL DISTURBANCE, SERIOUS MENTAL ILLNESS, AND INDIVIDUALS WITH CO-OCCURRING MENTAL ILLNESS AND SUBSTANCE USE DISORDERS. SERVICE AREAS TO BE STRENGTHENED THROUGH THIS FUNDING SUPPORT INCLUDE: INTAKE; OUTPATIENT AND INTENSIVE OUTPATIENT; CASE MANAGEMENT; NURSING AND WITHDRAWAL MANAGEMENT SERVICES; PSYCHOSOCIAL REHABILITATION; THERAPEUTIC DAY TREATMENT; PEER RECOVERY SUPPORTS; PROFESSIONAL STAFF DEVELOPMENT; AND THE ORGANIZATIONAL IT INFRASTRUCTURE FOR TELEHEALTH. PROPOSED STRATEGIES AND EVIDENCE-BASED SERVICES INCLUDE: MEDICATION-ASSISTED TREATMENT; COLLABORATIVE DOCUMENTATION; TRAUMA-INFORMED SERVICES; MOTIVATIONAL INTERVIEWING; MOTIVATIONAL INCENTIVES; SCREENING, ASSESSMENT, DIAGNOSIS & RISK ASSESSMENT; PERSON-CENTERED TREATMENT PLANNING; EXPANDED OUTPATIENT SERVICES; PSYCHOSOCIAL REHABILITATION; CARE COORDINATION; AND PEER SUPPORTS. THE PROJECT WILL SERVE 800 ADULTS AND YOUTH OVER THE TWO-YEAR GRANT PERIOD. CURRENT INDIVIDUALS SERVED BY RBHA ARE 56% MALE; 1% TRANSGENDER; 62% AFRICAN-AMERICAN; 31% CAUCASIAN; 6% OTHER; AND 8% IDENTIFY AS GAY OR LESBIAN. CO-OCCURRING BEHAVIORAL HEALTH DISORDERS ARE PREVALENT IN AN ESTIMATED 42%. OPIOIDS AND COCAINE ARE THE MOST COMMONLY REPORTED DRUGS USED. COMMON MENTAL HEALTH DISORDERS INCLUDE: MAJOR DEPRESSIVE DISORDER; SCHIZOAFFECTIVE DISORDER; AND BIPOLAR DISORDER. MOST OF THE INDIVIDUALS TO BE SERVED ARE ECONOMICALLY DEPENDENT, HAVE LIMITED EDUCATION AND LIMITED OR NONEXISTENT EMPLOYMENT HISTORIES. MANY WERE BORN AND RAISED IN URBAN NEIGHBORHOODS CHARACTERIZED BY MULTI-GENERATIONAL ADDICTION, POVERTY, VIOLENCE AND TRAUMA. GOALS OF THE CMHC PROJECT ARE TO: 1) IMPROVE OVERALL HEALTH, WELLNESS AND RECOVERY FOR ADULTS AND YOUTH WITH BEHAVIORAL HEALTH CONDITIONS BY PROVIDING BEHAVIORAL CARE SCREENING, ASSESSMENT AND TREATMENT PLANNING AT PRE-PANDEMIC LEVELS; 2) PROVIDE RESOURCES TO ADDRESS THE MENTAL HEALTH NEEDS OF CMHC STAFF; AND 3) TO EVALUATE THE EFFECTIVENESS OF THE PROJECT IN ACHIEVING THE GOALS AND OBJECTIVES.

ADVANTAGE BEHAVIORAL HEALTH SYSTEMS CCBHC EXPANSION PROJECT - ADVANTAGE BEHAVIORAL HEALTH SYSTEMS' CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER EXPANSION EFFORT SEEKS TO DIRECTLY ADDRESS THE UNMET NEEDS OF RESIDENTS IN ATHENS-CLARKE COUNTY. THE POPULATION OF FOCUS WILL INCLUDE INDIVIDUALS WITH ISOLATED OR CO-OCCURRING BEHAVIORAL HEALTH DISORDERS WHO ARE UNINSURED OR UNDERINSURED OR WHO LACK THE ACCESS TO NEEDED CARE. ATHENS-CLARKE COUNTY IS RANKED AS THE 7TH POOREST COUNTY IN GEORGIA WITH A 29.6% OVERALL POVERTY RATE. INDIVIDUALS LIVING WITHOUT INSURANCE ACCOUNT FOR 13.5% OF THE POPULATION, HOWEVER, FOR THOSE LIVING IN POVERTY, THIS RATE JUMPS TO 38%. ADDITIONALLY, MENTAL HEALTH DISORDERS HAVE BEEN THE SECOND LEADING CAUSE OF DEATH FOR COUNTY RESIDENTS BETWEEN 2013 AND 2017. WE INTEND TO DIRECTLY ADDRESS THE UNMET NEED BY ACCOMPLISHING THE FOLLOWING GOALS: GOAL 1: EXPAND ACCESS TO ADVANTAGE'S EXISTING BEHAVIORAL HEALTH CONTINUUM OF CARE THROUGH INCREASED EVENING AND WEEKEND HOURS, INCREASE REFERRAL AND CARE COORDINATION WITH LOCAL HOSPITALS AND CRIMINAL JUSTICE ENTITIES, AND INCREASED STAFFING IN OUR OUTPATIENT PROGRAMS GOAL 2: ESTABLISH AN INTEGRATED PRIMARY CARE PROGRAM THAT INCLUDES CO-LOCATED PRIMARY HEALTH SCREENING AND MONITORING, HEALTH EDUCATION, AND VACCINE ADMINISTRATION WHILE SIMULTANEOUSLY EXPANDING OUR COORDINATED CARE MODEL THROUGH ESTABLISHED REFERRAL RELATIONSHIPS AND CARE COORDINATION ACTIVITIES GOAL 3: IMPROVE VETERAN ENGAGEMENT AND EXPERIENCE OF CARE BY PROVIDING ORGANIZATION-WIDE TRAINING ON MILITARY CULTURE AND IMPLEMENTING EVIDENCE-BASED PRACTICES TAILORED TO VETERANS AND THEIR FAMILIES GOAL4: ESTABLISH A COMPREHENSIVE TRAUMA-INFORMED CARE ENVIRONMENT BY PROVIDING STAFF TRAINING ON TRAUMA, INTEGRATING TIC PRACTICES INTO CLIENT-FACING PROCESSES AND PROCEDURES, AND IMPLEMENTING TRAUMA-FOCUSED TREATMENTS WITHIN ADVANTAGE'S EXISTING CONTINUUM OF CARE GOAL5: ELEVATE STANDARDS OF CARE THROUGH IMPLEMENTATION OF AN OUTCOME-BASED TREATMENT MODEL THAT INCLUDES STAFF TRAINING ON POPULATION HEALTH AND OUTCOMES MANAGEMENT, USE AND INTEGRATION OF CLIENT-LEVEL OUTCOME MEASURES INTO ONGOING TREATMENT, ESTABLISHING KEY TREATMENT OUTCOMES FOR CLINICAL PROGRAMS, AND DEVELOPING DASHBOARDS AND ANALYTICS FOR ONGOING TRACKING OF PERFORMANCE INDICATORS

CCBHC PROJECT - THE RICHMOND BEHAVIORAL HEALTH AUTHORITY (RBHA) PROPOSES TO INCREASE THE ACCESS AND AVAILABILITY OF QUALITY PRIMARY CARE, MENTAL HEALTH, AND SUBSTANCE USE DISORDER SERVICES TO ADULTS AND CHILDREN IN RICHMOND, VIRGINIA. THE CCBHC PROJECT WILL DELIVER ALL CCBHC COMPONENTS IN ADDITION TO OFFERING PRIMARY CARE. ADDITIONALLY, CURRENT HOURS OF OPERATION AND AVAILABLE SERVICES/SUPPORTS FOR INDIVIDUALS WITH CO-OCCURRING MH/SUD AND YOUTH WITH SED WILL EXPAND. PROPOSED STRATEGIES AND EVIDENCE-BASED SERVICES INCLUDE: MEDICATION-ASSISTED TREATMENT; COLLABORATIVE DOCUMENTATION; TRAUMA-INFORMED SERVICES; MOTIVATIONAL INTERVIEWING; MOTIVATIONAL INCENTIVES; 24/7 CRISIS SERVICES; SCREENING, ASSESSMENT, DIAGNOSIS & RISK ASSESSMENT; PERSON-CENTERED TREATMENT PLANNING; EXPANDED OUTPATIENT SERVICES; PRIMARY CARE & SCREENING; PSYCHIATRIC REHABILITATION; CARE COORDINATION; PEER SUPPORTS; COMPREHENSIVE OUTREACH; AND HIV/HCV TESTING. THE PROJECT WILL SERVE 550 MALE AND FEMALE ADULTS AND CHILDREN OVER THE TWO-YEAR GRANT PERIOD: 240 ADULTS AND 35 CHILDREN IN EACH OF THE TWO YEARS. CURRENT INDIVIDUALS SERVED BY RBHA ARE 55% MALE; 1% TRANSGENDER; 57% AFRICAN-AMERICAN; 37% CAUCASIAN; 6% OTHER; AND 8% IDENTIFY AS GAY OR LESBIAN. CO-OCCURRING BEHAVIORAL HEALTH DISORDERS ARE PREVALENT IN AN ESTIMATED 42%. OPIOIDS AND COCAINE ARE THE MOST COMMONLY REPORTED DRUGS USED. COMMON MH DISORDERS INCLUDE: MAJOR DEPRESSIVE DISORDER; SCHIZOAFFECTIVE DISORDER; AND BIPOLAR DISORDER. MOST OF THE INDIVIDUALS TO BE SERVED ARE ECONOMICALLY DEPENDENT, HAVE LIMITED EDUCATION AND LIMITED OR NONEXISTENT EMPLOYMENT HISTORIES. MANY WERE BORN AND RAISED IN URBAN NEIGHBORHOODS CHARACTERIZED BY MULTI-GENERATIONAL ADDICTION, POVERTY, VIOLENCE AND TRAUMA. GOALS OF THE CCBHC PROJECT ARE TO: 1) IMPROVE THE OVERALL HEALTH AND RECOVERY FOR ADULTS AND YOUTH WITH BEHAVIORAL HEALTH CONDITIONS BY PROVIDING INTEGRATED PRIMARY AND BEHAVIORAL CARE SCREENING, ASSESSMENT AND TREATMENT PLANNING; 2) INCREASE STAFF AND PROVIDER KNOWLEDGE AND SKILLS RELATED TO PRIMARY/BEHAVIORAL HEALTH TO IMPROVE OVERALL CONSUMER CARE; 3) ENSURE CCBHC SERVICE DELIVERY MEETS REQUIREMENTS AND INCLUDES CONTINUOUS INPUT FROM CONSUMERS, THEIR FAMILIES, AND THE COMMUNITY; AND 4) EVALUATE THE EFFECTIVENESS OF THE PROJECT IN ACHIEVING THE GOALS AND OBJECTIVES. UPON AWARD, IMPLEMENTATION WILL BEGIN IMMEDIATELY SINCE RBHA IS A CERTIFIED CCBHC.

THRIVE BEHAVIORAL HEALTH INC.'S CCBHC EXPANSION PROJECT