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IN Discretionary Funding Fiscal Year 2022

Center: FG

Grantee: CITY OF INDIANAPOLIS
Program: Community Funded Project – FY 2022 CDS Project
City: INDIANAPOLIS
State: IN
Grant Award Number: 1 H79 FG000889-01
Congressional District: 7
FY 2022 Funding: $500,000
Project Period: 2022/09/30 - 2023/09/29

Grantee: COMMUNITY ACTION OF GREATER INDIANAPOLIS INC
Program: Community Funded Project – FY 2022 CDS Project
City: INDIANAPOLIS
State: IN
Grant Award Number: 1 H79 FG000734-01
Congressional District: 7
FY 2022 Funding: $75,000
Project Period: 2022/09/30 - 2023/09/29

Community Action of Greater Indianapolis, Inc.'s (CAGI) primary goal of the Substance Abuse and Mental Health Services program is to provide behavioral health support to low-income individuals residing in Boone, Hamilton, Hendricks, Marion, and Tipton counties. Many of those in need of behavioral health support services are individuals returning from the criminal justice system. Through partnerships with local rehabilitation facilities, CAGI will support substance abuse individuals with recovery services. CAGI will also provide support to our at-risk youth between the ages of 18-24 engaging MRT professionals, life coaches, and employment services contractors.


Center: SM

Grantee: ADULT AND CHILD MENTAL HEALTH CENTER INC
Program: FY 2022 Certified Community Behavioral Health Clinic
City: Indianapolis
State: IN
Grant Award Number: 1 H79 SM086401-01
Congressional District: 7
FY 2022 Funding: $1,000,000
Project Period: 2022/09/30 - 2026/09/29

Summary of the project: Adult & Child Health (A&C)’s Certified Community Behavioral Health Improvement and Advancement (CCBHC-IA) proposal seeks to further expand the reach of services available in Marion and Johnson Counties of Central Indiana. A&C has been operating a CCBHC under attestation to SAMHSA and maintains compliance of all nine (9) core services and requirements of a CCBHC. This improvement will increase the engagement of individuals post-crisis through the employment of Peer Specialists, will expand care coordination options to individuals scoring a three (3) or above as a LON on the CANS and ANSA, and will increase the number of unduplicated consumers served through mobile crisis. Amount requested: $1,000,000 per year, 4 years Population to be Served: Residents of central Indiana, children and adults with a mental or substance use disorder who is seeking care, including those with severe mental illness, substance use disorder, serious emotional disturbances, and individuals experiencing a mental health or substance use-related crisis. Number to be served: A&C plans to serve 400 unduplicated individuals within the first year and increase 10% each year of the grant for a total of 1856 unduplicated individuals served. Coordination with the State: A&C attends a regular collaborative conference call with the Director of Integration from Indiana’s Division of Mental Health and Addictions, in order to discuss current CCBHC efforts, and provide a touchpoint for collaboration with DMHA. This collaboration is anticipated to develop further as DMHA is beginning to work on a report to the State of Indiana legislators regarding potential strategic developments of CCBHCs in Indiana. Project Goals and Measurable Objectives: 1. A&C will advance CCBHC service activities to include the use of peer specialists to improve engagement of individuals post-crisis. 2. A&C will improve CCBHC services by expanding care coordination options to individuals scoring a LON of three (3) and above on the CANS/ANSA. 3. A&C will increase the number of unduplicated consumers served through mobile crisis by expanding the team to allow a co-response without requiring law enforcement, increasing our ability to serve the community through our employment of peer specialists.


Grantee: ADULT AND CHILD MENTAL HEALTH CENTER INC
Program: Assertive Community Treatment
City: Indianapolis
State: IN
Grant Award Number: 5 H79 SM080909-03
Congressional District: 7
FY 2022 Funding: $653,337
Project Period: 2020/04/30 - 2025/04/29

Grantee: ASPIRE INDIANA, INC.
Program: Treatment for Individuals with Serious Mental Illness, Serious Emotional Disturbance or Co-Occurring Disorders Experiencing Homelessness
City: NOBLESVILLE
State: IN
Grant Award Number: 5 H79 SM080826-03
Congressional District: 5
FY 2022 Funding: $499,970
Project Period: 2020/01/15 - 2025/01/14

Grantee: CENTERSTONE OF INDIANA, INC.
Program: National Child Traumatic Stress Initiative – Category III, Community Treatment and Service (CTS) Centers
City: COLUMBUS
State: IN
Grant Award Number: 5 H79 SM082753-03
Congressional District: 6
FY 2022 Funding: $400,000
Project Period: 2020/05/31 - 2025/05/30

Grantee: CENTERSTONE OF INDIANA, INC.
Program: FY 2022 Certified Community Behavioral Health Clinic
City: COLUMBUS
State: IN
Grant Award Number: 1 H79 SM086887-01
Congressional District: 6
FY 2022 Funding: $1,000,000
Project Period: 2022/09/30 - 2026/09/29

Centerstone's CCBHC Improvement and Advancement in Indiana (C-CCBHCv2.0) project will improve and advance Centerstone's CCBHC in Bloomington, providing comprehensive, integrated, coordinated, and person-centered care to those with a mental or substance use disorder (SUD), including groups facing health disparities. C-CCBHCv2.0 will serve 2,000 unduplicated individuals (Y1-4: 500/yr.). C-CCBHCv2.0 will serve any individual with a mental or substance use disorder seeking care at Centerstone's Bloomington CCBHC, including those with serious mental illness (SMI); SUD, including opioid use disorder; children/adolescents with serious emotional disturbance (SED); individuals with co-occurring mental and substance disorders (COD); and individuals experiencing a mental health or substance use-related crisis. C-CCBHCv2.0's focus population demographics are expected to mirror those in the Indiana catchment area, comprising Bartholomew, Brown, Jackson, Lawrence, Monroe, Morgan, and Owen counties. Those under age 17 are expected to comprise roughly 51.5% male; 48.5% female; 83% white; 2% African American; and 8% Hispanic/Latino individuals; and those ages 18+ comprise 49% male; 51% female; 89% white; 2% African American; and 3% Hispanic/Latino individuals. Of the area's 339,575 adults, 7% are expected to have SMI; and of the 86,688 children/youth, 10% are expected to have SED. An estimated 15% of adults will have SUD and 1%, OUD; 6% of youth ages 12-17 have SUD. Nearly 7% of area adults have co-occurring SUD/any mental illness, and 3% of area youth have co-occurring SUD and major depressive episode. C-CCBHCv2.0 will provide an array of high-quality integrated primary/behavioral health care services (e.g., crisis services; screening/assessment/diagnosis, including primary care and risk assessment; treatment/crisis planning; outpatient mental health/substance use services; Medication Assisted Treatment; targeted case management; peer and family supports; and intensive community-based mental health care for Armed Forces/Veteran populations). Key project strategies include expanding access/availability of services responsive to community needs; meaningful involvement of consumers/families in their care; and applying a continuous quality improvement (CQI) approach to drive improvements and sustainability. The project's interventions address the full array of consumers' behavioral health needs and include Cognitive Behavioral Therapy, Motivational Interviewing, Illness Management and Recovery, Integrated Dual Disorder Treatment, etc. C-CCBHCv2.0 will accomplish the following goals: 1) Expand and improve delivery of comprehensive, integrated, and person-centered community-based mental and SUD services; 2) Enhance infrastructure/capacity for a full continuum of coordinated care; 3) Increase access to/availability of timely services; 4) Implement a measurement-based care (MBC) process to ensure comprehensive, evidence-based services, supports, and practices for whole-person wellness and recovery; 5) Improve health status and outcomes for project consumers engaged in treatment; and 6) Apply a CQI approach to drive outcome improvement and ensure ongoing service delivery. Planned improvements include enhanced capacity for integrated care (e.g., advanced care coordination) and infrastructure for data-driven care improvements/MBC efforts. As a result of these goals/improvements, the project will achieve the following measurable consumer-related objectives: Decrease mental health symptomatology among 45%; decrease substance use among 45%; improve housing stability among 80%; deliver collaborative treatment plans for 100%; provide employment/education case management for 100% per treatment plans; reduce tobacco use among 30%; improve physical health indicators among 75%; offer linkage/referral follow-up to 100%; achieve 80% consumer/family reported satisfaction with their experience of care; and achieve 80% 6-month follow-up rate.


Grantee: CENTERSTONE OF INDIANA, INC.
Program: FY 2022 Cooperative Agreements for Innovative Community Crisis Response Partnerships
City: COLUMBUS
State: IN
Grant Award Number: 1 H79 SM087244-01
Congressional District: 6
FY 2022 Funding: $750,000
Project Period: 2022/09/30 - 2026/09/29

Centerstone's Community Crisis Response Partnerships (C-CCRP) project will enhance infrastructure to expand mobile crisis response teams (MCRT) to provide culturally response and developmentally-/age- appropriate services to divert individuals experiencing a mental health crises from law enforcement encounters in a high need geographic area comprising ten South Central Indiana counties. C-CCRP will serve 925 unduplicated individuals (Y1: 175; Y2-4: 250/yr.). C-CCRP will serve adults, children, and youth experiencing mental health crises in Bartholomew, Brown, Decatur, Jackson, Jennings, Johnson, Lawrence, Monroe, Morgan, and Owen counties. Centerstone has the only MCRT in the 3,972 square mile geographic area. Up to 38% of the 32,852 Bloomington PD 911 calls for service in the past 6 months were related to behavioral health issues. In 2022, only 30% of area counties have/will offer CIT to law enforcement. Focus population demographics are expected to mirror those of the catchment area, which comprises 78% adults and 22% children/youth; 50% male and 50% female; and 90% White, 2% Black/African American, and 4% Hispanic/Latino individuals. Prevalent mental health, substance use, and socioeconomic risk factors for behavioral health crisis point to a need to implement effective mobile crisis services. For example, of the catchment area's 498,627 adults, 22% are expected to have a mental illness. Approximately 15.5% of area youth ages 12-17 have Major Depressive Episode and 12% have serious thoughts of suicide. In 2021, 617 catchment area persons were hospitalized and 1,872 persons had ED visits related to a drug overdose. C-CCRP will increase the capacity of and timely access to 24/7 MCRTs, increase collaboration with law enforcement/988/call centers, and improve equity in the continuity of care and post-crisis follow-up. C-CCRP's 2-person MCRTs will provide in-person/telehealth response including screening/assessment; community stabilization; safety planning; referral to enhanced services after stabilization; and post-crisis follow-up. C-CCRP will conduct community mapping to identify service needs/gaps, provide crisis intervention training, develop protocols to improve coordination with first responders and community providers, coordinate with relevant state efforts, and implement a data system to track outcomes. C-CCRP will accomplish the following goals: 1) Develop a sound infrastructure and increased capacity to deliver mobile crisis response services for persons of all ages in the catchment area; 2) Increase crisis system collaboration within the proposed high-needs communities to ensure a comprehensive, integrated services to address the focus populations needs; 3) Enhance MCRT to ensure trauma-informed and culturally, age, and developmentally appropriate services to divert adults, children, and youth experiencing mental health crises from law enforcement to community stabilization; 4) Improve crisis system performance via expanded access to mobile crisis response services in proposed high-need communities; 5) Promote improved mental health outcomes among adults, children, and youth experiencing mental health crises; and 6) Develop/disseminate a documented service model for replication/adoption. As a result of these goals/improvements, the project will achieve the following measurable objectives among populations receiving crisis response: Screen 100%, refer 100% to needed services, increase access to services for 60%, reduce suicide risk for 100%, and reduce arrest/detention by 30%. The project will achieve the following measurable objectives in the high needs community served: Resolve 70% of MCRT responses in the community, divert 40% from law enforcement, increase referrals to MCRT by 50%; and increase knowledge of effective crisis response among 60% of first responders trained.


Grantee: CENTERSTONE OF INDIANA, INC.
Program: Treatment for Individuals with Serious Mental Illness, Serious Emotional Disturbance or Co-Occurring Disorders Experiencing Homelessness
City: COLUMBUS
State: IN
Grant Award Number: 5 H79 SM080690-05
Congressional District: 6
FY 2022 Funding: $500,000
Project Period: 2018/09/30 - 2023/09/29

Grantee: COMMUNITY HEALTH NETWORK FOUNDATION, INC
Program: FY 2022 Certified Community Behavioral Health Clinic
City: INDIANAPOLIS
State: IN
Grant Award Number: 1 H79 SM086717-01
Congressional District: 5
FY 2022 Funding: $912,986
Project Period: 2022/09/30 - 2026/09/29

Community Health Network's Community Fairbanks Behavioral Health CCBHC project will implement and launch a Certified Community Behavioral Health Clinic, meeting all certification requirements and able to provide the community with an all-inclusive range of substance use and mental health disorder services, especially those individuals with the most complex needs. The 2022 population estimate for Community Health Network's (CHNW) North and East regions (served by the project's Community Mental Health Center in Marion County, Indiana) is 823,206; 540,224(65.6%)are white non-Hispanic, 165,246 (20.1%)are Black non-Hispanic, and 59,124(7.2%) are Hispanic. The project sites are in the East region. East region households with incomes at or below $25,000 are 24% of all households. There are not sexual orientation and gender identify demographic data specific to the catchment area, but the U.S. Census Bureau Household Pulse Survey collects national sexual orientation and gender identity survey data and reports that, as of July 21-September 13, 2021, for those age 18+, 4.4% identity as bisexual, 3.3% as gay or lesbian, and 88.3% as straight; the remaining 4% identifies as "something else," or "I don't know." Adults currently self-describe as 0.6% transgender, 50.5% female, 47.2% male and 1.7% as "none of these." Based on Gallup, Williams Institute, and/or Census data specific to Indiana, 4.5% of adult Hoosiers are LGBTQ. This project's population of focus for which the grant will address behavioral health disparities includes adults with serious mental illness (SMI), serious and persistent mental illness (SPMI), substance use disorders (SUD), and co-occurring disorders (COD), and children with serious emotional disturbance (SED). The total population to be served over the life of the project is 1,702 unduplicated individuals. The project has four goals with objectives. The first goal is to plan, develop and implement accessible, comprehensive behavioral healthcare programs to CFBH's communities that meet all CCBHC criteria. Objectives enumerate service launches within 6 and 12 months of award, to include Integrated Dual Diagnosis Treatment, forming a Patient Advisory Board and training current employees and new hires. The second goal is to plan, develop, and implement increased care efficacy through integrated care collaboration, coordination, and engagement, with objectives covering client access to primary care services, multi-disciplinary team support for clients, and services for current and past members of the armed forces. The third goal is to plan, develop and implement increased access to behavioral health services by meeting clients' needs in the least restrictive environment. Its objectives set targets for targeted outreach support, reduction of state hospital admissions, and increase in clients receiving outpatient services. Goal 4 is to plan, develop and implement a process to track key disparities, health indicators, and referrals to PCPs. Objectives feature improved health indicators tracking and monitoring and the creation of a Disparities Impact Statement to reduce behavioral healthcare disparities and improve socially determined health needs. Project strategies and interventions will be to achieve full compliance with the CCBHC Criteria Compliance Checklist, with requirements related to: staffing; availability and accessibility of services; care coordination; scope of services; quality and other reporting; and organizational authority, governance and accreditation.


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