Denton County Mhmr Center

THE SUSTAIN PROJECT WILL STRENGTHEN EXISTING INFRASTRUCTURE OF CRISIS SERVICES AND CO-OCCURRING MENTAL AND PHYSICAL HEALTH SERVICES. - THROUGH THE SUSTAIN PROJECT, DENTON COUNTY MHMR CENTER AIMS TO STRENGTHEN THE ESTABLISHED INFRASTRUCTURE OF THE CRISIS RESIDENTIAL UNIT (CRU), PSYCHIATRIC TRIAGE, AND THE INTEGRATED HEALTH CLINIC. THE CENTER WILL ENSURE ACCESS TO CRISIS BEDS AS A SAFE ALTERNATIVE TO INPATIENT PSYCHIATRIC HOSPITALIZATIONS, CONDUCT PROGRAMMING TO ENSURE ACCESSES TO 24/7 CRISIS INTERVENTION AND EMERGENCY RESPONSE SERVICES, AND INCREASE ACCESS TO HOLISTIC SERVICES TREATING BOTH MENTAL AND PHYSICAL HEALTH. IMPACTED INDIVIDUALS ARE DENTON COUNTY, TEXAS RESIDENTS OF ALL AGES AND ETHNICITIES WITH SERIOUS EMOTIONAL DISTURBANCE (SED), SERIOUS MENTAL ILLNESS (SMI), AND SUBSTANCE USE DISORDERS (SUD), REFERRED TO AS CO-OCCURRING DISORDER (COD), WHO ARE UNDERINSURED, UNDERFUNDED, AND HAVE BEEN IMPACTED BY THE COVID-19 PANDEMIC. EVIDENCE-BASED PRACTICES SUCH AS COGNITIVE BEHAVIORAL THERAPY, COMPREHENSIVE PERSON-CENTERED SERVICES, AND THE ADULT NEEDS AND STRENGTHS ASSESSMENTS WILL BE UTILIZED TO ACHIEVE RECOVERY FOR EACH INDIVIDUAL SERVED. THE SUSTAIN PROJECT WILL IMPACT 500 UNDUPLICATED INDIVIDUALS IN YEAR 1, AND 500 UNDUPLICATED INDIVIDUALS IN YEAR 2, REACHING 1,000 THROUGHOUT THE LIFETIME OF THE PROJECT. DIRECT SERVICES INCLUDE ACCESS TO CRISIS BEDS, THERAPEUTIC LIVING, SOCIAL SUPPORT, GROUP COUNSELING, SKILLS TRAINING, COMMUNITY REFERRALS, AND CONNECTION TO MENTAL HEALTH (MH) AND CO-OCCURRING PSYCHIATRIC AND SUBSTANCE USE DISORDER (COPSD) SERVICES, EMERGENCY TRIAGE, CRISIS INTERVENTION/ASSESSMENT, SAFETY PLANNING INTERVENTIONS, FOLLOW-UP SUPPORT, MEDICAL ASSESSMENT, LABORATORY TESTING, MEDICAL INTERVENTION, FOLLOW-UP, PRESCRIPTION SUPPORT, EVALUATION OF NEGATIVE MEDICATION SIDE EFFECTS, AND REFERRALS FOR SPECIALTY SERVICES. ADDITIONALLY, TELEHEALTH ACCESS FOR MH SERVICES, SUBSTANCE USE SERVICES, AND OTHER COMMUNITY PROVIDERS WILL BE STRENGTHENED BY CREATING HIPPA-COMPLIANT TELEMENTAL HEALTH SPACES FOR INDIVIDUALS SERVED.

CCBHC TRANSITION PROGRAM - INDIVIDUALS LIVING IN DENTON COUNTY WHO HAVE BEHAVIORAL HEALTH AND SUBSTANCE USE ISSUES ARE THE TARGET POPULATION FOR THIS FUNDING OPPORTUNITY. THERE ARE THREE IDENTIFIED AREAS OF NEED SPECIFICALLY RELATED TO INDIVIDUALS WITH BEHAVIORAL HEALTH AND SUBSTANCE USED ISSUES. THE IDENTIFIED NEEDS THAT WILL BE ADDRESSED WITH THIS FUNDING OPPORTUNITY INCLUDE A LACK OF ENHANCED SUBSTANCE USE TREATMENT IN THE COUNTY, A LACK OF PRIMARY CARE OPTIONS FOR LOW INCOME OR UNFUNDED INDIVIDUALS, AND A LACK OF CARE COORDINATION FOR LOW INCOME OR UNFUNDED INDIVIDUALS THAT INEVITABLY LEADS TO HIGHER COSTS OF CARE AND NEGATIVE TREATMENT OUTCOMES. WE ENDEAVOR TO ADDRESS THESE ISSUES BY ENHANCING OUR ABILITY TO DELIVER SERVICES VIA THE CCBHC SERVICE MODEL. IN ORDER TO INCREASE THE FIDELITY TO THIS SERVICE MODEL AND PROVIDE BETTER SERVICE WITH MORE OPTIONS FOR OUR COMMUNITY, WE PLAN TO INCREASE OUR CAPACITY IN SEVERAL WAYS. WE WILL BE ADDING CAPACITY AND NEW SERVICES TO OUR SUBSTANCE ABUSE PROGRAM. WE HOPE TO SUPPLEMENT OUR CURRENT SUBSTANCE PROGRAM WITH AMBULATORY DETOX AND INCREASE CAPACITY BY ADDING A PSYCHIATRIST AND AN ADVANCED NURSE PRACTITIONER TO SUPPORT THOSE IN OUR SUBSTANCE PROGRAMS. WE WILL ADD NURSING SERVICES TO THE CARE COORDINATION PROGRAM SO THAT INDIVIDUALS NEEDING CARE COORDINATION CAN BE IDENTIFIED, FOLLOWED UP WITH, AND APPROPRIATE REFERRALS CAN BE MADE CONCERNING THEIR HEALTH. WE WILL ALSO BE ADDING CAPACITY TO OUR CURRENT PRIMARY HEALTH PROGRAM TO ALLOW INDIVIDUALS SERVED MORE ACCESS TO PRIMARY CARE AND TO PROVIDE THE COMMUNITY WITH MORE OPTIONS WHEN CHOOSING A PRIMARY HEALTH CARE PROVIDER. THE IMPLEMENTATION OF THESE NEW OR ENHANCED PROGRAMS WILL ADDRESS SIGNIFICANT NEEDS IN THE COMMUNITY AND BRING OUR ORGANIZATION CLOSER TO THE CCBHC SERVICE DELIVERY MODEL.

ASSISTED OUTPATIENT TREATMENT PROGRAM (AOTP) - DENTON COUNTY MHMR CENTER’S ASSISTED OUTPATIENT TREATMENT PROJECT (AOTP) WILL SERVE COURT-MANDATED RESIDENTS OF DENTON COUNTY, TEXAS WITH SERIOUS MENTAL ILLNESS AND/OR SERIOUS EMOTIONAL DISTURBANCE, WHO EXPERIENCE RAPID RE-HOSPITALIZATION AND REINCARCERATION. AOTP WILL COLLABORATE WITH LOCAL LAW-ENFORCEMENT TO IDENTIFY COURT-MANDATED CLIENTS AND WILL PROVIDE WRAP-AROUND SERVICES TO MEET THE EXTENSIVE NEEDS OF EACH UNIQUE INDIVIDUAL TO DECREASE SYMPTOMS OF SEVERE MENTAL ILLNESS, REDUCE THE RECIDIVISM IN THE JAIL, REDUCE RAPID RE-HOSPITALIZATION, AND INCREASE SAFETY FOR ALL INDIVIDUALS IN OUR COMMUNITY. AOTP WILL ALLOW FOR AT LEAST 75 UNDUPLICATED INDIVIDUALS IN YEAR 1, 75 IN YEAR 2, 75 IN YEAR 3, AND 75 IN YEAR 4; TOTALING 300 INDIVIDUALS. AOTP HAS THREE PRIMARY GOALS: REDUCE RECIDIVISM IN THE COURT AND JUSTICE SYSTEM; REDUCE RAPID RE-ADMISSION TO LOCAL AND STATE PSYCHIATRIC HOSPITALS; INCREASE INDIVIDUALS’ PARTICIPATION IN THEIR TREATMENT. AOTP AIMS TO ACHIEVE SEVERAL OBJECTIVES INCLUDING: BUILDING A NETWORK OF AVAILABLE REFERRAL SOURCES TO IDENTIFY BARRIERS THAT INDIVIDUALS EXPERIENCE IN ACCESSING OUTSIDE SERVICES; ASSESSING 100% OF THE INDIVIDUALS REFERRED FOR AOT SERVICE TO ENSURE THAT AOT IS THE APPROPRIATE LEVEL OF CARE; REDUCE INCARCERATION RECIDIVISM RATES IN INDIVIDUALS SERVED BY 40% OVER THE NEXT FOUR YEARS; REDUCE HOSPITALIZATIONS AND RELAPSE IN INDIVIDUALS SERVED BY OVER 40% OVER THE NEXT FOUR YEARS; COMPLETE FOLLOW-UP WITH 100% OF INDIVIDUALS WITHIN 24 HOURS OF ADMISSION TO A PSYCHIATRIC HOSPITAL; PROVIDE WRAP-AROUND SERVICES, INCLUDING INTENSIVE CASE MANAGEMENT PSYCHO-SOCIAL REHABILITATION SERVICES, PROVIDER SERVICES, MEDICATION MANAGEMENT AND CONTINUITY OF CARE SERVICES TO 100% ELIGIBLE PARTICIPANTS; PROVIDE AFTERCARE APPOINTMENTS TO 100% ELIGIBLE PARTICIPANTS UPON DISCHARGE FROM PSYCHIATRIC HOSPITAL; PROVIDE SKILLS TRAINING SERVICES CENTERED AROUND VOCATIONAL NEEDS TO 100% INDIVIDUALS AND HELP CONNECT INDIVIDUALS WITH EMPLOYMENT OPPORTUNITIES; PROVIDE SERVICES AND HELP CONNECT THE INDIVIDUALS WITH RESOURCES THAT ADDRESS IDENTIFIED BARRIERS TO TREATMENT WITH 100% OF THE INDIVIDUALS SERVED IN AOT.; ENCOURAGE ENGAGEMENT WITH PEER SUPPORTS SERVICES IN 100% OF INDIVIDUALS SERVED; PROVIDE SKILLS TRAINING ON BUDGETING FOR HOUSING EXPENSES AND FOLLOW-UP ROUTINES TO AID IN MAINTAINING EMPLOYMENT AND HOUSING FOR THE INDIVIDUALS SERVED. THE DESIRED OUTCOME IS TO MAKE A LIFE-LONG IMPACT ON THE INDIVIDUALS WE SERVE, THEREBY DECREASING THE STRAIN ON OUR CURRENT COURTS, LAW ENFORCEMENT, AND HOSPITAL SYSTEMS IN DENTON COUNTY.

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.

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SUICIDE PREVENTION RESPONSE TO COVID-19 PROGRAM

THROUGH THE REENTRY PROJECT (RP), THE LOCAL MENTAL HEALTH AUTHORITY TO DENTON COUNTY, TEXAS, DENTON COUNTY MHMR CENTER (THE CENTER), SEEKS TO IMPROVE REENTRY OUTCOMES FOR BENEFICIARIES INCARCERATED IN DENTON COUNTY WHO ARE BEING RELEASED AND HAVE MENTAL HEALTH AND/OR SUBSTANCE USE DIAGNOSES. WITHIN THE DENTON COUNTY JAIL, THE CENTER WILL IMPACT AT LEAST 120 UNIQUE INDIVIDUALS IN YEAR 1, 140 IN YEAR 2, AND 140 IN YEAR 3: A TOTAL OF 400 UNIQUE INDIVIDUALS OVER THE LIFETIME OF THE PROJECT. EVIDENCE-BASED STRATEGIES INTENDED TO ACHIEVE THE RP'S GOAL INCLUDE ADULT NEEDS AND STRENGTHS ASSESSMENT (ANSA), TRAUMA INFORMED CARE (TIC), AND ILLNESS MANAGEMENT AND RECOVERY (IMR), AMONG OTHERS DETAILED IN THE NARRATIVE, WHICH ARE UTILIZED UNDER A PERSON-CENTERED LENS. A PROJECT DIRECTOR, TWO JAIL OUTREACH QUALIFIED MENTAL HEALTH PROFESSIONALS, AND A JAIL PEER SUPPORT SPECIALIST WILL DELIVER CLINICAL AND NONCLINICAL SERVICES SUCH AS CASE MANAGEMENT, CARE COORDINATION, PEER SUPPORT SERVICES, SERVICE REFERRAL, INTAKE, CRISIS ASSESSMENTS, AND OTHER RELEVANT ACTIVITIES TO REDUCE RECIDIVISM RATES AND IMPROVE REENTRY OUTCOMES. CORRECTIONAL FACILITY PARTNERSHIPS INCLUDE THE DENTON POLICE DEPARTMENT, DENTON COUNTY MENTAL HEALTH TREATMENT AND VETERAN'S COURT, DENTON COUNTY PROBATION, AND DENTON COUNTY'S ELECTED SHERIFF. THESE COLLABORATIONS WILL STRENGTHEN REFERRAL PATHWAYS FOR INDIVIDUALS IN NEED OF OUTPATIENT TREATMENT FOR MENTAL HEALTH SERVICES. THE EXPECTATIONS OF THIS PROGRAM INCLUDE DENTON COUNTY JAIL OFFICE SPACE, A COMBINATION OF PSYCHIATRIC EVALUATION, MEDICATION, MENTAL HEALTH TREATMENT, AND EDUCATION FOR THE BENEFICIARY.

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

TRAINING EXPANSION PROJECT (TEP) - DENTON COUNTY MHMR CENTER PLANS TO EXPAND CURRENT MENTAL HEALTH AWARENESS TRAININGS THROUGH A FIVE-YEAR TRAINING EXPANSION PROJECT (TEP). THE CENTER WILL PROVIDE EVIDENCE-BASED INTERVENTION TRAININGS SUCH AS ADULT AND YOUTH MENTAL HEALTH FIRST AID (MHFA), LIVINGWORKS APPLIED SUICIDE INTERVENTION SKILLS TRAINING (ASIST), LIVINGWORKS START TRAINING, AND AS+K TRAINING TO LOCAL ORGANIZATIONS AND COMMUNITY MEMBERS IN DENTON COUNTY, TX AT NO COST. PARTICIPANTS IN THE TRAININGS WILL INCLUDE SCHOOL PERSONNEL, EMERGENCY FIRST RESPONDERS, LAW ENFORCEMENT, VETERANS/ARMED SERVICES MEMBERS, AND THEIR FAMILIES, AS WELL AS THOSE WHO HAVE LOST A LOVED ONE TO SUICIDE. THE TEP DIRECTOR AND COORDINATOR WILL EDUCATE HOW TO EMPLOY CRISIS DE-ESCALATION TECHNIQUES WHEN ENCOUNTERING A PERSON WHO MAY EXPERIENCE OR EXHIBIT SIGNS OF A MENTAL HEALTH CRISIS. THE TEP ENDEAVORS TO REDUCE THE STIGMA OF SERIOUS MENTAL ILLNESS AND/OR SERIOUS EMOTIONAL DISTURBANCES BY PROVIDING TRAININGS THROUGH PARTNERSHIPS WITH AT LEAST 50 LOCAL ORGANIZATIONS IN DENTON COUNTY, TX. PARTICIPANTS WILL BE ABLE TO RECOGNIZE SIGNS AND SYMPTOMS OF MENTAL ILLNESS AND UTILIZE RESOURCES AND APPROPRIATE KNOWLEDGE THROUGH MENTAL HEALTH AND SUICIDE PREVENTION TRAININGS. THE TEP STAFF WILL FOLLOW-UP WITH EACH TRAINED ORGANIZATION TO OFFER CONTINUED SUPPORT, ADDITIONAL TRAINING, AND REFRESHERS, TRAIN 100% OF CENTER STAFF ON MENTAL HEALTH AND SUICIDE PREVENTION GATEKEEPING, AND CONTINUE TO WORK TOWARDS THE ZERO SUICIDE INITIATIVE. IN YEAR 1, 140 INDIVIDUALS WILL BE TRAINED, 210 INDIVIDUALS IN YEAR 2, 260 IN YEAR 3, 415 IN YEAR 4, AND 475 IN YEAR 5 TOTALING 1,500 THROUGHOUT THE LIFETIME OF THE PROJECT. THE CENTER HAS ALREADY ESTABLISHED LINKAGES WITH SCHOOLS AND COMMUNITY-BASED MENTAL HEALTH AGENCIES IN REFERRING AND EDUCATING INDIVIDUALS OF THE SIGNS OR SYMPTOMS OF MENTAL ILLNESS TO APPROPRIATE SERVICES AND RESOURCES AVAILABLE IN THE CATCHMENT AREA.

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CONTINUUM OF CARE PROGRAM

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HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE