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CT Discretionary Funding Fiscal Year 2021

Center: FG

Grantee: CONNECTICUT ST DEPT OF MH/ADDICTION SRVS
Program: Emergency COVID-19
City: HARTFORD
State: CT
Grant Award Number: 1 H79 FG000707-01
Congressional District: 1
FY 2021 Funding: $2,859,649
Project Period: 2021/02/01 - 2022/05/31

Center: SM

Grantee: BHCARE, INC.
Program: CCBHC Expansion Grants
City: NORTH HAVEN
State: CT
Grant Award Number: 5 H79 SM083209-02
Congressional District: 3
FY 2021 Funding: $2,000,000
Project Period: 2020/05/01 - 2022/04/30

Grantee: BHCARE, INC.
Program: Community Mental Health Centers (CMHC) Grant Program
City: NORTH HAVEN
State: CT
Grant Award Number: 1 H79 SM085672-01
Congressional District: 3
FY 2021 Funding: $3,000,000
Project Period: 2021/09/30 - 2023/09/29

BHcare's Post Pandemic Restoration and Service Expansion Initiative will address three problems - the cutback of in person mental health services at a time when mental health needs increased dramatically, the needs of students and their parents, and the need to answer more, and more severe crisis calls. The initiative will restore open access and intensive outpatient service, add evening/weekend hours, introduce in-school groups to support children and their parents, and strengthen crisis services. Populations Served: BHcare serves 11 towns in New Haven County, Connecticut, operations from two adult clinics in the towns of Ansonia and Branford and one child/adolescent clinic in Derby. The catchment area is diverse, ranging from small rural communities to larger towns, including towns with varying proportions of racial/ethnic minorities and low income populations. The project's focus is on towns with the highest rates of SMI, SED, and COD (Ansonia, East Haven, Branford and Derby), school-age children and their parents in the Ansonia School District, and clients in crisis. Taken together, the populations for these four towns are 28% minority, 25% low income, and 10% below the federal poverty threshold. The Ansonia School District is 44% Hispanic, 29% white, 19% black, 8% other categories. More than two-thirds of the student body qualify for the National School Lunch Program, a proxy for low income. Clinical Characteristics: Rates of admission to state mental health programs in Ansonia East Haven, Branford, and Derby exceed the state averages by 92%, 33%, 27% and 11%, respectively. Ansonia School District has appealed to us to serve at-risk students. Their pre-pandemic rates of child abuse/neglect, juvenile arrest, chronic absenteeism, and suspensions/expulsions exceeded rates by 50%, 53%, 330% and 357%, respectively. Proposed Project: We project that 314 clients served under these initiatives will agree to participate in a NOMS interview and tis be counted under the grant in Year 1, ad 336 in year 2, for a project total of 650. Under Goal 1, we restore open access to pre-pandemic levels in all three clinics, extending adult open access to Saturday for the first time. Goal 1 targets are 235 adults and 19 children in each year. Under Goal 2, we will restore adult Intensive Outpatient Programming (IOP) mental health services and add an adult group therapy. The IOP target is 315, but we expect all but 10 NOMS intakes to be recorded under Goal1. Target for adult therapy is 5 each year. Under Goal 3, staff capacity of child clinic is enhanced to handle increased client volume. our Target is 13 clients each year. Under Goal 4, we enhance staff wellness and mental health and avoid burnout by through 20 activities per year, and strengthen telehealth infrastructure. Under Goal 5, we (a) introduce group interventions for at-risk students in schools, projecting 14 in year 1 and 32 in year 2, and (b) introduce parenting groups to support parents of struggling children, projecting 7min year 1 and 11 in year 2. Under Goal 5, we strengthen the capacity of adult and child clinics to serve clients in crisis. We project the 10 clients served under this project will consent to a NOMS interview each year.


Grantee: BHCARE, INC.
Program: Mental Health Awareness Training Grants
City: NORTH HAVEN
State: CT
Grant Award Number: 1 H79 SM084349-01
Congressional District: 3
FY 2021 Funding: $75,510
Project Period: 2021/09/30 - 2026/09/29

BHcare's program, Alliance for Prevention & Wellness (APW), Mental Health Awareness Training project will target the Greater new Haven metropolitan area of CT. The project goals include A. To provide Mental Health First Aid and De-escalation training to first responders, educators, families and community members to recognize the signs and symptoms of mental disorders, including de-escalation techniques, for individuals experiencing a mental health crisis, with serious mental illness (SMI) or with serous emotional disturbance (SED). B. To develop printed and electronic materials to be distributed to course participants that identify mental health resources available to assist individuals experiencing SMI, SED or who are in crisis. C. Increase the number of referrals for mental health services made by Certified Mental Health First Aiders. D. to build training capacity specifically for first responders. APW's Mental health Awareness Project will accomplish the goals by implementing the following objectives 1. By September 28, 2026, 525 unduplicated individuals in the Greater new Haven area will be trained in Mental Health First Aid and De-escalation techniques as measured by completion of MHFA certification exam with a score of 85 or higher and completion of the de-escalation course evaluation. 2. By September 28, 2026, 1,000 resource guides will have been printed outlining mental health and community support services in the Greater new Haven area as measured by 525 participants receiving at least one copy during their training class. 3. By September 28, 2026 the electronic version of the resource guide posted to APW website at www.apw-ct.org will have been accessed by participants and community members as measured by monthly web page views. 4. By September 28, 2026, 4 new MHFA instructors will be certified to tech MHFA Adult and Public Safety, and Fire/EMS curriculums as measured by receiving instructor certification. The geographical catchment area where training will be delivered is the Greater New Haven metropolitan area. ITs is part of South-Central CT which includes a 36-twn region with a total population if 850,717 and a median household income ranging from $43,386 to $136,786 (source: CT Open Data, 2015 and ctdata.org 2016 median income). The Greater new Haven region is an economically diverse area spanning from small rural communities of 2,556 to the second largest city in the state, New Haven, which has a population of 135,175. The projected number of people to be served annually includes 105 first responders educators, family, and community members with 525 served over lifetime of the project. The lifeline that those 525 certified MHFA trainees will be for someone with SMI,


Grantee: BRIDGES HEALTHCARE, INC.
Program: Mental Health Awareness Training Grants
City: MILFORD
State: CT
Grant Award Number: 1 H79 SM084293-01
Congressional District: 3
FY 2021 Funding: $125,000
Project Period: 2021/09/30 - 2026/09/29

We propose to impact populations in need of mental health support and referral by reaching out to groups (e.g. teachers/school staff, law enforcement) in a position to help them. We will then offer mental health awareness and crisis de-escalation training to these groups. Our strategy is to leverage three 12-sector prevention councils we are creating/expanding with a new SAMHSA grant, targeting different sectors in different years through sector representatives on the councils. The project - Project Awareness - will thus target both youth and adult subpopulations in a five-town are in New Haven county. Demographic and clinical data: West Haven, the largest of the communities, has large minority populations, with low income and poverty rates well above the state average. Nearly 65% of West Haven students are eligible for the state's Free/Reduced Price Lunch (FRL) program, a standard index of low income. The other communities are largely white and middle-income. The youth focus population targeted (in Year 1 of our project) is grades 7-12 in the Amity Region 5, Milford and West Haven school districts, comprising slightly over 8,000 students. School survey metrics indicate worrisome rates of mental health issues in some schools, but even more clearly a consistent and striking link between mental health and substance abuse. For example, students who reported feeling ""sad or hopeless"" during the past year had tobacco and marijuana use rates more than double those of other students. The segments of the adult focus population to be accessed will vary from year to year. The focus population in Year 2 will be individuals encountering law enforcement, healthcare professionals, or first responders. The target population here is quite large. Given over 45,000 police calls in the most recent year, and estimates of the percentages of these involving mentally ill individuals between 5 and 10%, the focus population for police alone is between 2,717 and 5,434. The focus population corresponding to substance use organizations, which we target in Year 3, will potentially benefit anyone with substance use issues, and the number of clients served by the Department of Mental Health and Addiction Services (DMHAS) in the 5-town area is 3,550. The focus populations of other groups targeted for training - e.g. religious/fraternal organizations and businesses, in Year 4 and 5 - are harder to define statistically, but offer access a large, wider segment of the population that does not necessarily fall under the above categories. Interventions, goals, and objectives will be to hire a Project Director and train and certify four staff members to conduct trainings using the Mental Health First Aid (MHFA) and, for crisis de-escalation, the Nonviolent Crisis Intervention (NCI) models. Youth coordinators at each of the three prevention councils will actively collaborate with our project and a program evaluator will submit reports and develop feedback surveys. Our 5-year targets are as follows: 1,200 individuals trained in MHFA (240 per year), 260 trained in NCI (usually 40 per year, but 100 in Year 2), and 3,360 persons referred by recipients of training (480 in Year 1 and 720 annually thereafter).


Grantee: BRIDGES HEALTHCARE, INC.
Program: CCBHC Expansion Grants
City: MILFORD
State: CT
Grant Award Number: 5 H79 SM083321-02
Congressional District: 3
FY 2021 Funding: $2,000,000
Project Period: 2020/05/01 - 2022/04/30

Grantee: CATHOLIC CHARITIES, INC. - ARCHDIOCESE OF HARTFORD
Program: 2021 CCBHC Expansion Grants
City: HARTFORD
State: CT
Grant Award Number: 1 H79 SM085201-01
Congressional District: 1
FY 2021 Funding: $2,000,000
Project Period: 2021/08/31 - 2023/08/30

Catholic Charities Archdiocese of Hartford will establish a Certified Community Behavioral Health Clinic at its Instituto de La Familia Hispana (IFH). The project will increase access and improve the quality of community mental health, substance disorder and co-occurring treatment for a primarily Hispanic population of children, youth and adults in Greater Hartford. The CCBHC will provide 24 hour/7 day access to culturally competent, community-based integrated primary and community behavioral healthcare for 350 and 400 unduplicated consumers for the project’s first and second year, respectively, for a total of 750 consumers over the grant period. IFH will target a population of Hispanic adults with Any Mental Illness (AMI), Serious Mental Illness (SMI), Substance Abuse Disorder (SUD) and Co-Occurring Disorders (COD) and children/adolescents with serious emotional disorders (SED) in Hartford, East Hartford, West Hartford CT. 2019 US Census data shows area total population ages 5 and up of 222,088; 73,774 (35%) are Hispanic of any race and of this group, 74% are Puerto Rican. The target group of Hispanics includes 17,610 children ages 5-17; 49,630 ages 18-64 and 6,474 ages 65+. IFH served 1,991consumers in 2019; 1,632 adults ages 18-59, 155 adults ages 60+ and 204 children ages 4-17; 75% were from Hartford; 22% were white, 14% were Black and 58% other; 81% were Hispanic (of this group, 77% Puerto Rican, 12% other Hispanic, 2% Mexican, 1.3% Cuban, 6% unknown); 94% received Medicaid/Medicare and 5% are uninsured. Founded in 1975, the IFH is one of the few mental health centers in the U.S. and the only one in Greater Hartford specializing in culturally-specific mental health and substance abuse care for Hispanics. CCBCC Goals/Objectives include: 1) Increase staff capacity to deliver culturally-grounded, effective integrated health, mental health and substance abuse treatment by hiring additional bilingual/bicultural clinical, care management and peer staff and providing training in Motivational Interviewing/Cognitive Behavioral Therapy (MI/CBT), Dialectical Behavioral Therapy (DBT), Trauma Focused Cognitive Behavioral Therapy (TF-CBT), Eye Movement Desensitization Therapy (EMDR), Seeking Safety and Familias Unidas; 2) Reduce hospital and emergency department utilization among a target population of adults and youth by providing Mobile Crisis Services (DCO), Open Access and Medication Assisted Treatment. 3) Reduce high risk behavior leading to hospitalization by linking clients to Assertive Community Treatment (ACT) and providing Targeted Case Management services; 4) Improve behavioral symptoms and functioning among children and adults by providing evidence-based outpatient individual and group interventions (TF-CBT, MI/CBT, DBT, EMDR, Seeking Safety and Familias Unidas); 5) Prevent unnecessary medical hospitalizations/ER visits and chronic disease by providing health screening, on site primary care and bilingual pharmacy services and integrated care management; 6) Improve physical and behavioral health among adults by hosting weekly psychosocial rehabilitation/recovery groups; 7) Create project advisory board composed of 51% consumers.


Grantee: CHILD FIRST, INC.
Program: National Child Traumatic Stress Initiative - II
City: TRUMBULL
State: CT
Grant Award Number: 5 H79 SM082720-02
Congressional District: 4
FY 2021 Funding: $600,000
Project Period: 2020/05/31 - 2025/05/30

Grantee: CHILD HEALTH/DEVELOPMENT INSTITUTE OF CT
Program: National Child Traumatic Stress Initiative - II
City: FARMINGTON
State: CT
Grant Award Number: 5 H79 SM082799-02
Congressional District: 5
FY 2021 Funding: $600,000
Project Period: 2020/05/31 - 2025/05/30

Grantee: CLIFFORD BEERS GUIDANCE CLINIC, INC.
Program: National Child Traumatic Stress Initiative – Category II
City: NEW HAVEN
State: CT
Grant Award Number: 1 H79 SM085096-01
Congressional District: 3
FY 2021 Funding: $595,548
Project Period: 2021/09/30 - 2026/09/29

Clifford Beers (CB), a 107 year old institution providing trauma informed mental health services for children and adults throughout the lifespan has been strategically growing its whole family, trauma informed integrated care, model of care designed to reduce chronic stress. Focusing our work on the systemic and structural changes related to the delivery of mental health services, this project proposes to develop and implement and infuse anti-racist training in our model of care, developing a tool kit for replication of Trauma Informed Anti-Racist (TIAR) Whole Family Approach to Care. The main purpose of the project is to integrate whole family anti-racist thinking and social determinants of health perspective in trauma-informed service system design, to ensure the trauma treatments are responsive to inequity, sensitive to systemic racism and care is contextualized to the needs of the people served. CB and its project collaborators (Johns Hopkins Pediatric Intensive Care Collaborative, KPJR Films, Community Healing Network, the CT Missionary Baptist Convention, and Mashantucket Tribal Nation) will work to infuse trauma treatment with an anti-racist perspective, providing multiple opportunities for training, education, and technical assistance with the goal of wide-scale dissemination and implementation of effective, anti-racist evidence-based treatment and service approaches in child and family trauma. CB and its partners will serve as a continuing resource for training, consultation, and technical assistance to service providers and family/youth affected by traumatic events. Project goals are: 1: Mental Health systems redesigned with a Whole Family, Trauma Informed, and Anti-Racist (TIAR) perspective to increase access; 2: Deliver accessible trauma-informed, client/family-centered evidence-based, anti-racist mental health services for Black, Indigenous People of Color (BIPOC) children and families; 3: Create a Faith-Based TIAR model of care to be disseminated within the CT BIPOC; 4: Develop and sustain an infrastructure to support anti-racist structures and systems, promoting equity, diversity and inclusion; Goal 5: Engage and partner with the community to achieve racial justice by promoting equity in health and well-being. The following activities are proposed: 1). Build on PICC breakthrough series on Anti-Racist Pediatric Integrated Care and expand to include TIAR Mental Health services; 2). Design with the CMS Integrated Care for Kids (InCK) partners systems of care for children and families TIAR approaches and train partners in TIAR service design. Develop a replication model of the TIAR curriculum for INCK and other Providers for their use. 3). Develop and present a training curriculum on Anti-Racist systems of care, Liberation Psychology, Black Psychology, for providers, educators and communities across CT, and the U.S; 4). Work with Faith Based communities on creating mental health systems of care for their congregants. Over the five year grant period, the program expects to provide training to over 2000 mental health professions.


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