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LA Discretionary Funding Fiscal Year 2023

Center: FG

Grantee: CITY OF NEW ORLEANS HEALTH DEPARTMENT
Program: FY 2023 Congressional Directive Spending Projects
City: NEW ORLEANS
State: LA
Grant Award Number: 1 H79 FG000977-01
Congressional District: 2
FY 2023 Funding: $350,000
Project Period: 2023/09/30 - 2024/09/29

The New Orleans Health Department (NOHD), in the committed interest to create and preserve healthy and vibrant communities, has partnered with Resources for Human Development (RHD) Inc., a non-profit organization, to develop and launch a Community Crisis Diversion (CCD) program integrated within the City of New Orleans’ local 9-1-1 emergency response dispatch system. This CCD program, duly named the New Orleans Mobile Crisis Intervention Unit (MCIU) is tasked to divert 9-1-1 non-violent mental health crisis calls away from police and other first responders to professionals trained in community behavioral crisis care response: 24 hours a day, 7 days a week, and 365 days a year. The MCIU will exclusively serve Orleans Parish which is contiguous with the City of New Orleans. The population of focus for this intervention is any person, regardless of age, who has notified the 9-1-1 system that they, or someone they are witnessing, is experiencing a mental health crisis and is not exhibiting violent behavior, does not indicate to have any weapons present, and is not in the act of severely harming themselves. Data from April of 2018 through June of 2021 provided by the Orleans Parish Communication Department (OPCD / “9-1-1 call center”) indicated that about 2920 calls per year or about 8 calls per day could have been diverted to the New Orleans MCIU teams. Further, New Orleans Police Department (NOPD) - behavioral Crisis Intervention Team (CIT) 2022 data shows, NOPD responded to a population that was 72% Black, 23% White, 2% Hispanic, and 1% Asian. This population was 61% male, 37% female, and 2% were categorized as other. Additionally, 28% were between the ages of 30-39; 20% were between the ages 20-29; 16% were between the ages of 40-49; 13% were between the ages of 10-19; 12% were between the ages of 50-59; and about 12% were 60 or older. According to US Census 2020 data, the City of New Orleans has an estimated population of 383,997. Further 2020 Census demographics indicated that the City of New Orleans is about 58% Black, 33% White, and 9% other with 24.8% living below the poverty line. MCIU teams will be referred and dispatched by OPCD 9-1-1 call takers, to respond, stabilize, and resolve immediate behavioral crises either by phone and/or face-to-face by identifiable, wheelchair accessible vans available for consumer transport to an appropriate care-level location if needed. Responding units are made up of at least 1 mental healthcare licensed professional and 1 certified crisis intervention team member. MCIU will run 2 units for day and evening shift work and 1 unit responding overnight. The goals and measurable objectives of the MCIU is two-fold; 1) MCIU will improve the immediate mental wellbeing of community members who call 9-1-1 for mental health crises by receiving and diverting 2900 to 3000 9-1-1 non-violent and non-hazardous mental health calls away from law enforcement and to trained mental health professionals through the MCUI initiative within its first year of operations; 2) The MCIU initiative aims to decrease the overuse of hospital emergency departments by at least 20% in resolving mental health crises by utilizing other community-based supports when clinically appropriate. Should NOHD receive this grant opportunity, funding will be used to support 5 MCIU crisis workers, purchase supplies, and support staff training. Funding this program will greatly increase the capacity and enhance capabilities of this project to effectively change and improve the quality of care in mental health treatment. Subsequently, This CCD project will further help to relieve the burden on police by dealing with poorly understood mental behaviors and underlining causal factors that police expertise is not designed to optimize and treat in practice.


Grantee: LOUISIANA STATE OFFICE OF BEHAVIORAL HEALTH
Program: FY 2023 Cooperative Agreements for States and Territories to Improve Local 988 Capacity
City: BATON ROUGE
State: LA
Grant Award Number: 1 H79 FG001186-01
Congressional District: 6
FY 2023 Funding: $2,508,959
Project Period: 2023/09/30 - 2026/09/29

Through the Louisiana 988 Cooperative Agreement to Improve Local 988 Capacity, the Louisiana Department of Health, Office of Behavioral Health (OBH) will improve Louisiana's response to 988 crisis calls, chats, and texts originating in the state to meet or exceed SAMHSA's target goals. Each year the project will serve approximately 36,000 Louisiana citizens including the general public with a focus on individuals considered at high risk who are experiencing suicide, mental health and/or substance use crisis. OBH will work closely with Louisiana's two Lifeline contact centers, VIA LINK and the Louisiana Association on Compulsive Gambling (LACG) to achieve the following goals: 1. By 9/29/2026, at least 90% of calls (total # routed), chats and texts originating in Louisiana will be answered in-state. 2. By 9/29/2026, OBH will develop and implement a comprehensive statewide communication strategy. 3. By 9/29/24, both crisis centers will improve the collection of demographic, resource referral and utilization data with a focus on high-risk populations. 4. By 12/31/2023, OBH will submit a report to SAMHSA on crisis services with 988 integration and ways to improve connections. 5. By 12/31/2023, OBH will submit a report with a trackable improvement plan to the 911 administrator equivalent. 6. By 11/30/2023, OBH will submit a tribal engagement and support plan to SAMHSA. 7. By 9/29/2025, the call centers will improve their referral connections after contact with their center. 8. By 3/31/2026, OBH will submit a sustainability plan to SAMHSA for workforce capacity and KPI metrics. 9. By 9/29/2024, OBH will submit a comprehensive quality assurance plan to SAMHSA including protocols for identifying and reviewing critical incidents. 10. By 9/29/2025, call centers will implement their quality assurance plan. 11. By 6/30/24, call centers will develop policies and protocols for referrals to substance use crisis care. 12. By 9/29/2024, the call centers will implement policies and protocols for referral to substance use care.


Center: SM

Grantee: ACADIANA AREA HUMAN SERVICES DISTRICT
Program: FY 2022 Certified Community Behavioral Health Clinic
City: LAFAYETTE
State: LA
Grant Award Number: 5 H79 SM086809-02
Congressional District: 3
FY 2023 Funding: $948,555
Project Period: 2022/09/30 - 2026/09/29

Grantee: CAPITAL AREA HUMAN SERVICES DISTRICT
Program: FY 2022 Certified Community Behavioral Health Clinic
City: BATON ROUGE
State: LA
Grant Award Number: 5 H79 SM086816-02
Congressional District: 6
FY 2023 Funding: $999,247
Project Period: 2022/09/30 - 2026/09/29

Grantee: CLAIBORNE HEALTHCARE FOUNDATION, INC.
Program: Mental Health Awareness Training Grants
City: HOMER
State: LA
Grant Award Number: 1 H79 SM084932-01
Congressional District: 4
FY 2023 Funding: $250,000
Project Period: 2022/12/31 - 2026/12/30

Claiborne Healthcare Foundation will provide the Claiborne Project AWARE program to improve mental wellbeing in Claiborne Parish, Louisiana through a coordinated community-wide plan that significantly increases the number of mental health literate community members who are able to proactively respond to the behavioral health issues of its rural community. There is a significant need for mental health awareness training for individuals who come into contact with both adults and children in need of mental health services. Our identified populations of focus are schools, law enforcement, firefighters and EMS, healthcare providers, and the faith-based community. Claiborne Healthcare Foundation has developed collaborative partnerships with multiple agencies/organizations who have committed to host/conduct trainings, assist with the response to mental health issues, and to improving the coordination of services to the populations of focus. The four goals of the project are 1) build community capacity to detect and respond to the mental health needs of the target population; 2) increase the mental health literacy of adults in Claiborne Parish; 3) reduce stigma and discrimination associated with mental illness; and 4) increase access to resources and community-based mental health services. Claiborne AWARE will provide Mental Health First Aid (Rural/Fire and EMS/Law Enforcement; Youth Mental Health First Aid; teen Mental Health First Aid; and Applied Suicide Intervention Skills and Training (A.S.I.S.T.) to 2,800 unduplicated individuals over the 5 year funding period. In addition, a parish-wide multi-level social marketing campaign will be conducted to combat the stigma and discrimination surrounding mental illness. The Claiborne Healthcare Foundation is confident that a culture of compassion around mental illness will be cultivated in the community through this project.


Grantee: EASTER SEALS LOUISIANA, INC.
Program: Mental Health Awareness Training Grants
City: NEW ORLEANS
State: LA
Grant Award Number: 1 H79 SM084693-01
Congressional District: 2
FY 2023 Funding: $249,436
Project Period: 2022/12/31 - 2026/12/30

Mental Health First Aid is a public education program that teaches participants common risk factors/warning signs associated with a variety of mental illnesses, builds an understanding of their impact on a person's life, and orients learners to common supports that can be made available for persons in mental health crisis. Role-playing and simulations are utilized to demonstrate how to offer initial help to someone in a mental health crisis, and teaches how to connect persons in need to appropriate services. The Mental Health First Aid model teaches participants a 5-step action plan, called the ALGEE method: • Assess for risk of suicide or harm • Listen non-judgmentally • Give reassurance and information • Encourage appropriate professional help • Encourage self-help and other support strategies Not unlike CPR, Mental Health First Aid prepares learners to interact with a person in crisis and connect the person to help. Participants do not take on the role of professionals. They do not diagnose or provide psychotherapy services. Via the ALGEE method, laypersons can offer concrete suggestions for help and answer key questions such as “What do I do?” and “Where can I go?”. Mental Health First Aid was developed in 2001 by Betty Kitchener and Anthony Jorm in Australia. The model was introduced in the United States in 2008. In 2012, Youth Mental Health First Aid was introduced, and in subsequent years, adaptations for Veterans and First Responders have been developed. More than 2.5 million have been trained in Mental Health First Aid in the United States by a base of 15,000 certified instructors. Mental Health First Aid USA is managed and operated by the National Council for Behavioral Health, and the Missouri Department of Mental Health. Mental Health First Aid is an evidence-based model of intervention that has withstood the scrutiny of empirical research. Numerous studies can be provided upon request that show the efficacy of the Mental Health First Aid model. Easterseals Louisiana proposes to make the Mental Health First Aid model available to interested parties for the purpose of providing front-line persons with a layperson-friendly, evidence-based strategy to assist people experiencing a mental health crisis; with a secondary goal of not having to utilize expensive resources such as law enforcement and/or Emergency Departments for people in crisis unless necessary. Easterseals Louisiana’s Mission is to assist children and adults with disabilities with achieving and maintaining independence. Easterseals Louisiana proudly serves some of Louisiana’s most vulnerable citizens that are challenged by intellectual, developmental, and/or psychiatric disabilities. We believe that if, by extension, we can help people outside of our agency assist some of Louisiana’s most vulnerable citizens in times of distress, that we are continuing to serve our mission. The strength of the Mental Health First Aid model lies in that it does not take a trained mental health professional to utilize the model. The model was developed for laypersons that find themselves at the front-line of working with a person in mental health crisis. The model has been developed for the benefit of First Responders, teachers/educators and other school personnel, parents, friends, employers, Human Resource professionals, hospital personnel, etc. Easterseals Louisiana will make Mental Health First Aid training available to any interested parties that want strategies to help people in a mental health crisis. Easterseals currently has a trainer certified in the Mental Health First Aid model, and we are poised to add certified trainers to our team should we be fortunate enough to be awarded this grant. We intend to provide this training to 2000 people over a 5-year period.


Grantee: FLORIDA PARISHES HUMAN SERVICES AUTHORITY
Program: FY 2023 Certified Community Behavioral Health Clinic Planning, Development, and Implementation Grant
City: HAMMOND
State: LA
Grant Award Number: 1 H79 SM089153-01
Congressional District: 5
FY 2023 Funding: $1,000,000
Project Period: 2023/09/30 - 2027/09/29

FPHSA operates five clinics across southeast Louisiana, serving our catchment area of Livingston, St. Helena, St. Tammany, Tangipahoa, and Washington parishes. This grant will allow us to improve services for our population of focus: adults, youth, and children with SMI, SED, SUD, or COD, as well as to address disparities experienced by individuals who identify as Hispanic or Latino or LGBTQ+ and rural residents of our service area. Communities in our service area are still reeling from the COVID-19 pandemic, which exacerbated existing needs and demand for behavioral health services across a largely rural region. Three recent community health needs assessments identified mental health, substance use and addiction, and trauma as priority issues within the service area. The reports noted that significant barriers—including a severe lack of substance use services (particularly for youth), long wait times, lack of care coordination, racism, and stigma—make accessing the limited services available even more difficult. This project will allow us to address significant behavioral health disparities and gaps in access to services, care coordination, and substance use treatment services in the communities we serve. All five of our clinics, located centrally in the service area, will support these expanded services, bringing high-quality, needed services to historically underserved areas of our region. The goals of our project include (1) conducting a behavioral health-focused needs assessment to identify priorities and opportunities for improvement; (2) develop our health information technology to support care coordination and continuous quality improvement through improved data capture, reporting, and analyses; (3) improve behavioral and physical health outcomes for persons served through improved case management and care coordination to address individuals’ medical needs and their social determinants of health; (4) improve access to care by expanding clinic hours; (5) increasing access to services for children, youth, and their families by hiring additional providers and expanding substance use services for youth; (6) increase access to and engagement in medication-assisted treatment (MAT) by training additional prescribers and reducing stigma among community healthcare providers; and (7) reduce disparities in behavioral health service access, utilization, perceptions of care, and outcomes through outreach to priority populations and offering culturally competent care. We will serve 5,000 individuals in Year 1, 5,250 in Year 2, 5,500 in Year 3, and 5,750 in Year 4. Assuming that some individuals will engage in services over multiple grant years, we anticipate serving 9,000 unduplicated individuals over the full grant period.


Grantee: LOUISIANA PUBLIC HEALTH INSTITUTE
Program: Mental Health Awareness Training Grants
City: NEW ORLEANS
State: LA
Grant Award Number: 1 H79 SM084362-01
Congressional District: 2
FY 2023 Funding: $246,281
Project Period: 2022/12/31 - 2026/12/30

The L-TEN project seeks to utilize the Mental Health Awareness Training (MHAT) Grant to implement a mental health awareness training program, using a national evidence-based program, Mental Health First Aid (MHFA), and build robust localized referral systems in both rural and urban communities of Louisiana. In partnership with the state of Louisiana, Offices of Behavioral Health (LA OBH) and Community Development (LA OCD), Louisiana Community and Technical College System (LCTCS), and Louisiana Rural Health Association (LRHA), L-TEN will implement 60 virtual and in-person Mental Health First Aid trainings across Louisiana, training 1,500 individuals. This program will focus on 11 Louisiana parishes (counties), which range from urban to rural and natural disaster-prone areas. One common thread ties these communities together, each prioritized area is home to an LCTCS main campus. Targeted parishes include: Bossier, East Baton Rouge, Rapides, Orleans, Ouachita, Terrebonne, Tangipahoa, St. Bernard, Webster, Ascension, and Calcasieu. Most of the targeted parishes are rural. The populations of focus include: LCTCS school personnel (administrative, security, coaches, instructors/faculty, program leads), and students; LRHA members, including rural health center (RHC) primary care providers, ancillary staff, administration and security, and individuals served. The LA OCD – caseworkers that serve populations affected by disaster and emergencies. Individuals served by these entities, include veterans and reserve officer training corps (ROTC), educators/teachers, and individuals impacted by disasters and emergency events, both youth and adult, and rural and urban. The goals of L-TEN are to increase capacity of individuals and partners to recognize signs and symptoms of mental illness and to safely de-escalate a crisis, to increase the number of MHFA training opportunities to individuals working in rural health centers, community and technical colleges, disaster caseworkers, and veterans, and to increase access to mental health and substance use disorder resources, support systems, and referrals in Louisiana. Project objectives include utilizing 8 Certified Adult MHFA instructors and up to 3 Youth MHFA instructors; train a minimum of 1,500 individuals in MHFA (200 in YR 1, 325 in YR 2, 325 in YR 3, 325 in YR4, 325 in Y5); track and assess the number of individuals referred to supportive and/or mental health services, and create and disseminate a mental health resource, service support, and referral information guide and materials.


Grantee: LOUISIANA STATE DEPARTMENT OF EDUCATION
Program: Project AWARE (Advancing Wellness and Resiliency in Education) State Education Agency Grants
City: BATON ROUGE
State: LA
Grant Award Number: 5 H79 SM085320-03
Congressional District: 2
FY 2023 Funding: $1,385,505
Project Period: 2021/09/30 - 2026/09/29

Grantee: LOUISIANA STATE OFFICE OF BEHAVIORAL HEALTH
Program: Grants to Implement Zero Suicide in Health Systems
City: BATON ROUGE
State: LA
Grant Award Number: 5 H79 SM083477-04
Congressional District: 6
FY 2023 Funding: $700,000
Project Period: 2020/08/31 - 2025/08/30

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