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AR Discretionary Funding Fiscal Year 2018

Center: SM

Grantee: ARKANSAS STATE DEPARTMENT OF EDUCATION
Program: Project AWARE - State Education Agency
City: LITTLE ROCK
State: AR
Grant Award Number: 1 H79 SM080957-01
Congressional District: 2
FY 2018 Funding: $1,799,884
Project Period: 2018/09/30 - 2023/09/29

AWARE Arkansas will (a) enhance awareness of mental health issues in youth, (b) provide training for stakeholders to identify mental health issues and provide services to youth, (c) promote the healthy development of youth, and (d) reduce violence. Three educational communities from disparate parts of the state are part of the initiative to improve the mental health of 7,000 students, roughly 10% of whom are experiencing mental health difficulties. AWARE Arkansas will work with school districts in the northern hills, the Mississippi Delta, and the Texas border of Arkansas to improve the mental health of students in 5 school districts (3 forming a consortium) by providing awareness, identification, and prevention of mental health issues to all students, and providing evidence-based mental health services for those students in need. Key elements of the project are increased screenings and expanded services within and outside of schools to address immediate needs while implementing Positive Behavioral Interventions and Supports to provide long-term prevention to reduce mental health issues and violence, as well as enhancing engagement with and the involvement of families and communities. The goals of AWARE Arkansas are as follows: Goal 1: To increase coordinated referrals, mental health services and programs, and follow-up for children by (a) increasing access to mental health services and (b) increasing screenings and early intervention. Goal 2: Increase outreach and engagement among youth, families, schools, and communities to increase awareness and implementation of mental health identification, services, and programs by conducting outreach to and engagement of youth and families, connecting families and communities to support youth mental health, and increasing links across community resources for youth and their families. Goal 3: Develop the infrastructure that will sustain mental health among youth and maintain mental and behavioral health services when federal funding ends by fostering skills in youth and schools that promote resilience, pro-social behaviors, and reduce youth violence; promoting early intervention; developing ongoing and sustainable tiered processes and programs to screen for and address mental and behavioral disorders; ensuring that a critical mass of family and community members are aware of and trained in mental health issues; and increasing coordination and integration of local and state efforts to support mental health programs.


Grantee: ARKANSAS STATE DEPARTMENT OF HEALTH
Program: State/Tribal Youth Suicide Prevention
City: LITTLE ROCK
State: AR
Grant Award Number: 5 U79 SM061772-05
Congressional District: 2
FY 2018 Funding: $736,000
Project Period: 2014/09/30 - 2019/09/29

Arkansas is the only state in the nation that has never been awarded this funding. The purpose of this proposed project is to save the lives of at-risk youth in Arkansas. Within the total population of youth ages 10-24, several groups face heightened risk, including those age 18-24 who have the highest rates of suicide, as well as those identified as high risk by the National Action Alliance for Suicide Prevention including, but not limited to: Latina youth; lesbian, gay, bisexual, transgender, or questioning (LGBTQ); American Indian and Alaska Natives; military family members; and veterans. Other high-risk groups include individuals with disabilities, survivors of suicide attempts and of suicide loss, and young working-aged men and women. From these groups we form our population of focus. Following the goals of the National Strategy for Youth Suicide Prevention, the overarching goals of this project are as follows: 1) build youth suicide prevention capacity across service sectors; 2) provide early identification training for caregivers and professional gatekeepers; 3) improve suicide risk assessments, management, and treatment through use of evidence-based practices; 4) provide resiliency training for adolescents; 5) increase public awareness, promotion, and use of the National Suicide Prevention Lifeline; 6) improve continuity of care and follow-up of youth identified at risk for suicide; and, 7) promote state systems-level change. Cultural competence on ethnicity, sexual orientation, and military culture issues are built into proposed interventions.


Grantee: DIVISION OF AGING ADULT AND BEHAVIORAL HEALTH SERVICES
Program: Project Launch
City: LITTLE ROCK
State: AR
Grant Award Number: 5 H79 SM061557-05
Congressional District: 2
FY 2018 Funding: $800,000
Project Period: 2014/09/30 - 2019/09/29

Arkansas' Project LAUNCH is designed to promote the wellness of children from 0 to 8 years by addressing the physical, social, emotional, cognitive and behavioral aspects of their development, as well as family needs and concerns. Mississippi County, Arkansas, is the geographic area that will serve as the local community for the grant. The focus of Project LAUNCH in Mississippi County will include (1) making improvements to the early childhood system and (2) improving access to and availability of evidence-based prevention and wellness promotion practices. Project LAUNCH will focus on preventing emotional and behavioral challenges and promoting healthy development by infusing physical and mental health promotion and evidence-based prevention into primary care, early care and education, home visiting, and family settings.


Grantee: MID-SOUTH HEALTH SYSTEMS, INC.
Program: Mental Health Awareness Training
City: JONESBORO
State: AR
Grant Award Number: 1 H79 SM081313-01
Congressional District: 1
FY 2018 Funding: $125,000
Project Period: 2018/09/30 - 2021/09/29

The Northeast Arkansas Mental Health Awareness Training Project is designed to create a more responsive environment (e.g., through awareness and referrals) for individuals who exhibit mental health issues, particularly those who experience serious mental illness, serious emotional disturbance, and combat-related and other trauma, as well as to create linkages with schools and community-based resources. The geographic area for the project is a 13-county catchment area that mostly includes the Mississippi Delta Region, and includes the Arkansas counties of Clay, Craighead, Crittenden, Cross, Greene, Lawrence, Lee, Mississippi, Monroe, Phillips, Poinsett, Randolph, and St. Francis. The project will (a) increase community awareness of mental illness, (b) increase recognition of signs and symptoms of mental health issues, and (c) establish community linkages through which individuals are referred to appropriate treatment and services. Staff from Mid-South Health Systems will be trained as Mental Health First Aid (MHFA) instructors, and, in turn, will train (1) public safety officers (e.g., police officers, firefighters, EMTs), (2) school personnel (e.g., teachers, staff, resource officers), and (3) military veteran/armed services community members (e.g., Veteran Service Officers, community agencies dedicated to assisting veterans, armed services members and their families). Across the 3 years of grant funding, this train-the-trainer approach will result in hundreds of individuals who are able to recognize the signs of mental illness and know how to refer individuals to appropriate resources as needed. In the longer term, this more responsive mental health environment will lead to improved and earlier access to services, and improve subsequent outcomes for those with mental illness. The purpose of the proposed project is to create a more responsive mental-health environment for individuals in the 13-county catchment area by increasing capacity for, and providing, mental health awareness training and support, and establishing community linkages by which individuals are referred to appropriate treatment and services. The Northeast Arkansas Mental Health Awareness Training Project will address the need for mental health awareness among a wide range of individuals and will provide for sustainability across time by developing a multidimensional interagency Mental Health First Aid advisory board composed of vested stakeholders. Another major component of the project is the training and dual certification of at least 6 MHFA Instructors. To facilitate the identification and use of community resources and support, both written (e.g., Resource Book) and electronic (e.g., on website) materials will be developed for those who have been trained in MHFA to use to refer individuals to appropriate services as the need arises. Additionally, the project will support the development of a community outreach strategy and a referral tracking process to track referrals to mental health resources and services by MHFA trained individuals. The specific goals of the project include (1) Increasing capacity of individuals in the area of focus to recognize the signs and symptoms of mental disorders in adults and youth, especially Serious Mental Illness (SMI) and Serious Emotional Disturbance (SED), (2) Increase community awareness and knowledge of mental illness and work to reduce stigma associated with that illness, (3) Establish and enhance community linkages to train, respond, and refer individuals with signs and symptoms of mental illness to appropriate services, (4) Develop and implement a Mental Health Awareness Training Plan for consistency and sustainability. Throughout the 3-year grant period, we propose to serve 300 individuals (100 each year).


Grantee: UNIV OF ARKANSAS FOR MED SCIS
Program: Treatment for Individuals Experiencing Homelessness
City: LITTLE ROCK
State: AR
Grant Award Number: 1 H79 SM080742-01
Congressional District: 2
FY 2018 Funding: $499,960
Project Period: 2018/09/30 - 2023/09/29

The University of Arkansas for Medical Sciences (UAMS) (applicant) and Our House, Inc. (OH) (sub-recipient) will lead the Home Together project to increase the capacity of providers in the Metropolitan Little Rock area to engage with one another and with homeless adult pregnant women and mothers with children ages 0-5 who also have a serious mental illness (MI) or co-occurring MI/Substance Use Disorder (COD) to improve long-term family outcomes. We plan to serve 428 families (1,284 individuals) including Veterans’ families over the five-year project (90 families/270 individuals annually except year 1 with 68 families/ 204 individuals). A large proportion of families are expected to be low income, medically underrepresented minorities. Arkansas (AR) has the fourth worst child and family homelessness problem in the US. At UAMS University Hospital alone, 30 housing-insecure babies are discharged every month—a majority of their mothers suffer from MI/COD. Many of these families become involved with the child welfare system. Compared to top performing US counties in 2017, Pulaski County, where Little Rock is located, has twice the rate of children living in poverty, a SMI rate 24% greater, 12.5X the prevalence of HIV (529), 29% greater adult tobacco use, 67% greater low birthweight, and 45% more unintended injury deaths with 2.5X the rate of alcohol-impaired driving deaths. Our House, an effective provider of services to homeless individuals and families for 30 years, will be the direct services provider. Guided by gaps identified through an existing Homeless Pregnant Woman’s Task Force and lessons learned through OH’s Central Arkansas Family Stability Institute (CAFSI), Our House will expand CAFSI care coordination to serve the families of focus. New staff will include: 3 Family-Community Engagement Navigators (FCENs) and a child and family therapist. New services will include linkage of enrolled families to integrated behavioral health care, prenatal care, and integrated behavioral-primary health care. Specific new interventions will address health disparities including access to primary and behavioral health care, HIV prevention, and tobacco use cessation. OH will work to increase housing availability. FCENs will assist families with motivation and with parenting and injury prevention, employment, and recovery supports as families transition to permanent housing and long-term successful community living. Evidence-based Motivational Interviewing (MI) and evidence based client navigators (training based on effective community health worker model) will guide client-family outreach, engagement and retention, development and implementation of family-driven Family Stability Plans, and access to appropriate and acceptable services. FCENs will coordinate multiple services and multiple “case managers” also “working” with these complex-need families as they learn self-care and chronic disease management. We will offer all project partners annual training in MI, and promising practices of Trauma Informed Approach, and Two Generation Approach as strategies to improve partner abilities to engage client families. Lessons learned will be shared with clients, providers, and policy-makers.


Center: SP

Grantee: ARKANSAS STATE DEPARTMENT OF HEALTH
Program: FA-CARA
City: LITTLE ROCK
State: AR
Grant Award Number: 1 H79 SP080316-01
Congressional District: 2
FY 2018 Funding: $1,505,313
Project Period: 2018/09/30 - 2022/09/29

Project Arkansas First Responders Comprehensive Addiction and Recovery Act (Arkansas FR-CARA) will provide immediate intervention to rapidly increasing preventable deaths in Arkansas as a direct result of misuse and abuse of prescription opioid medications. Immediate intervention methods will entail providing Naloxone and training to active volunteer firefighters and all first responders in the highest risk regions of Arkansas. Statewide delivery of resources and training will be performed by moving throughout the state counter clockwise with the implementation beginning primarily in rural regions identified as most at risk. Populations served will be all populations residing in areas identified as rural regions throughout the state of Arkansas. A regionally focused approached will specifically target the highest risk areas first and continue to work throughout the state. This will ensure optimal intervention methods, alleviation of health inequalities as well as overall reduction of overdose mortality rates in these high-risk regions. These rural region improvements will be a direct result of education and increased awareness to this growing drug overdose epidemic. By the end of grant year 1, 80% of all active volunteer firefighters in North Central Arkansas will be provided with Naloxone(NARCAN) for opioid overdose reversal. By the end of grant year 1, 90% of all homeless shelters in North Central Arkansas will be equipped with Naloxone (NARCAN) for opioid overdose reversal. By the 4th year of the grant, 75% of all homeless shelters throughout the state will be equipped with Naloxone (NARCAN) for opioid overdose reversal. By the fourth year of the grant, 50% of opioid overdose victims seen by law enforcement and active volunteer firefighters will be referred to opt into a treatment and recovery centers as an alternative to incarceration. By the fourth year of the grant, 50% of all opioid overdose victims will have conducted a follow-up consultation with the Program Director.


Grantee: COMMUNITY CLINIC
Program: Drug-Free Communities (DFC) Support Program – Competing Continuation
City: SPRINGDALE
State: AR
Grant Award Number: 2 H79 SP019726-06
Congressional District: 3
FY 2018 Funding: $125,000
Project Period: 2013/09/30 - 2023/09/29

The Northwest Arkansas Tobacco and Drug Free Coalition was awarded a FY 2018 Drug-Free Communities Support Program grant in the amount of $ 125,000 by the White House Office of National Drug Control Policy, in cooperation with the Substance Abuse and Mental Health Services Administration. The Coalition serves Washington County, AR, a community of 228,049. The goals of the coalition are to establish and strengthen community collaboration in support of local efforts to prevent youth substance use. The coalition will achieve its goals by implementing these strategies: Reducing Access to Alcohol, Opioids and Marijuana and increasing protective factors such as access to safe Rx disposal and creating positive social norms campaigns.


Grantee: DIVISION OF AGING ADULT AND BEHAVIORAL HEALTH SERVICES
Program: Strategic Prevention Framework - Partnerships for Success
City: LITTLE ROCK
State: AR
Grant Award Number: 1 H79 SP080990-01
Congressional District: 2
FY 2018 Funding: $2,260,000
Project Period: 2018/09/30 - 2023/09/29

The state of Arkansas Department of Human Services (DHS), Division of Adult, Aging and Behavioral Health Services (DAABHS) Prevention Section proposes to address substance use prevention priorities, in the SP-18-008 (PFS) initiative: underage drinking other drug use priorities. By collaborating with various state agencies and community level groups and implementing various strategies, it is believed a reduction will result from the strategic efforts made. DAABHS Prevention strategies and interventions will include awareness/promotion, education, enforcement, environmental and evidence-based approaches. Arkansas SPF-PFS previously served youth/adolescents aged 12-25 residing in counties with high prevalence rates of substance abuse, especially in underage drinking and prescription drug misuse. The currently proposed project is an application of “lessons learned” from its predecessor, in terms of operational structure and model of operations. That includes elements such as consolidating award-supported prevention operations (from the current 36 distributed throughout the state, to 13 organizations as Regional Lead Agencies, 1 per prevention region). Related to that consolidation is the fact that Regional Lead Agencies will be required to set a prevention priority/goals in addition to the FOA-specified priority on underage alcohol use. These focal areas will be region-specific; part of the selection process for lead agencies (13 total) will be heavily weighted on methods, completeness, and prevention strategies local applicants set out in proposals (RFP to be issued post-award.) DAABHS Prevention and current PFS project collaborate with many state agencies and community organizations forming relationships and consensus with youth, parents, law enforcement, educators, faith-based organizations, and business leaders, to address consequences associated with alcohol, tobacco, and other drug (ATOD) use, and provide positive, risk-reducing and resilience-building alternatives. Fortunately, the movement toward discouraging underage drinking has been a focus with key stakeholders and raising awareness about prescription drug misuse and abuse is progressing; however, there is a strong need for the state to continue expanding and enhancing its efforts to reach all populations and key sectors. Regarding the above, we intend to place special emphasis on the growing Hispanic population in the state. Data and experience with current PFS programming indicate that this ethnic subgroup, while increasing over time in state demographics, has not been engaged in PFS at a proportionate pace. This award will allow the state to continue working toward that aim of including the progressively larger, more influential numbers of Hispanic youth families, and community groups by increasing focus on linguistically, culturally appropriate materials and programming. Our overall goal is to reduce immediate ATOD use, with heavy involvement of involved stakeholders to invoke changes in culture, attitudes, and behaviors creating a network of cohesive influences throughout communities. That includes culturally and ethnically responsive efforts, and initiatives that are tailored to specific locales in which they are applied. Continuing our efforts, enhancing infrastructure, and cultivating practices that recognize geographic and cultural diversity, DBHS Prevention will have a larger impact in reducing underage ATOD use. It is also hoped that impact will spread to other age groups (e.g., parents, siblings, neighbors) and be transmitted to future generations of Arkansas citizens by those who benefit from current and ongoing prevention activities.


Grantee: DIVISION OF AGING ADULT AND BEHAVIORAL HEALTH SERVICES
Program: PDO
City: LITTLE ROCK
State: AR
Grant Award Number: 5 H79 SP022134-03
Congressional District: 2
FY 2018 Funding: $769,362
Project Period: 2016/09/01 - 2021/08/31

The goals of the Arkansas PDO program are to: develop a comprehensive PDO prevention program; reduce the number of Rx opioid overdose-related deaths and adverse events among Arkansans aged 18+; address behavioral health disparities among racial/ethnic minorities; and replicate a successful local police department naloxone program, Intranasal Naloxone Program. Two or three high-needs communities will be selected to be the target of community level grant activities. A PDO Advisory Council will make policy, recommend best practices, and complete strategic planning and the Community Services Contractor will implement community-based activities and build capacity for population-level change.


Grantee: LAWRENCE COUNTY SHERIFF'S DEPARTMENT
Program: DFC
City: WALNUT RIDGE
State: AR
Grant Award Number: 5 H79 SP020882-04
Congressional District: 1
FY 2018 Funding: $125,000
Project Period: 2015/09/30 - 2020/09/29

The Coalition will prevent and reduce youth substance use by implementing the following strategies: increasing coalition infrastructure; using social marketing to recruit new members; implementing a Social Norms Media Campaign; working with law enforcement and school officials to modify and enforce policies that are currently in place; and developing a youth task force.


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