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MD Discretionary Funding Fiscal Year 2023

Center: FG

Grantee: ARC OF THE CENTRAL CHESAPEAKE REGION, INC., THE
Program: FY 2023 Congressional Directive Spending Projects
City: SEVERN
State: MD
Grant Award Number: 1 H79 FG000965-01
Congressional District: 3
FY 2023 Funding: $250,000
Project Period: 2023/09/30 - 2024/09/29

The Arc of the Central Chesapeake Region, a 501c3 located in Maryland, is working to advance trauma-informed care to people with intellectual and developmental disabilities (IDD). The project, Scaling Mental Health Access for People with Disabilities will bring much needed behavioral health services to the community and demonstrate scale viability of similar projects. People with intellectual and developmental disabilities (IDD) are severely under-served in the mental health community. While there is a significant shortage of mental health clinicians throughout the state of Maryland, it is even more significant for people with IDD. They are turned away from community providers because clinicians do not feel capable or comfortable providing therapy to people with IDD and because providers do not have the capacity to support them. The only support available to them is behavioral support, which uses the Applied Behavioral Analysis (ABA) model. ABA only addresses specific behaviors; it ignores people's life experiences, and the role each person's history and circumstances play in emotional responses. Already service more than 3,000 people with disabilities and their families annuals, The Arc Central Chesapeake Region (The Arc) is changing the landscape regarding what mental health resources are offered to people with IDD. In 2020, The Arc pivoted how they supported people with IDD and their mental health using licensed clinicians and moved to a model that incorporated individual and group therapies to provide mental health counseling through the lens of trauma-informed care. Because of the success from 2020-2022 and the significant positive outcomes generated to date, The Arc is prioritizing investment in the infrastructure needed for a robust Behavioral Health Program. The Arc's Behavioral Health takes an approach focusing not on managing specific behaviors but on the necessary mental health counseling and other related clinical supports that go along with it. The primary goal of this project is to increase access to quality mental health services for people with intellectual and developmental disabilities in Maryland by expanding its Behavioral Health program. The Arc aims to hire one Clinician per quarter, and two Behavioral Health Associates during the grant's performance period. The Arc will use the $250,000 in federal funding to hire four clinicians and two behavioral health associated between September 2023 and September 2024. Funds will cover the first three months or each position's salary. The positions will sustain themselves over time through a braided revenue model as clinicians build their caseload and bill for services. The Arc is among the few providers in the state of Maryland approved to bill Medicaid, Medicare, and private insurance; this means The Arc can support the mental health of people with IDD regardless of age or affiliation with any disability service provider, making this a community-wide resource accessible to anyone. With the additional team capacity, The Arc will be able to expand the number of people with IDD receiving counseling and behavioral health support for their unique mental health needs, with a goal of each Clinician servicing 33 people. Success in achieving intended outcomes will be measured by numbers served within the grant period.


Grantee: ASHLEY, INC.
Program: FY 2023 Congressional Directive Spending Projects
City: HAVRE DE GRACE
State: MD
Grant Award Number: 1 H79 FG001141-01
Congressional District: 1
FY 2023 Funding: $420,000
Project Period: 2023/09/30 - 2024/09/29

The Roots Project by Ashley will strengthen and increase the resiliency of the student, community, and family through intentional interactions with trained professionals who have lived experience and understand the challenges of being raised in an environment where adults are dealing with substance use disorders (SUDs). These trained professionals will provide support through education, prevention, and intervention. This program will also serve as an extension of the stability and support system that is currently provided through the students attending school. The program will be implemented in two school, Aberdeen Middle School and Aberdeen High School. Both schools have expressed a need, but the program will be slightly different based on the age of the students at the respective schools. Professional development for the teachers and support professionals will be offered at both schools. Our goal is to educate and intervene early in the lives of students who have an experience with immediate family members (or themselves) who are dealing with SUDs.


Grantee: EASTER SEALS SERVING DC/MD/VA, INC.
Program: FY 2023 Congressional Directive Spending Projects
City: SILVER SPRING
State: MD
Grant Award Number: 1 H79 FG000947-01
Congressional District: 8
FY 2023 Funding: $900,000
Project Period: 2023/09/30 - 2024/09/29

Easterseals DC MD VA will open a new community behavioral health clinic in Prince George's County, Maryland. The clinic will provide evidence-based, trauma-informed, culturally competent behavioral health services to underserved populations, focusing on the non- and under-insured, children and youth, people with disabilities, and linguistically diverse individuals. Our initial focus will be on youth, and we will expand as need and capacity allows. The clinic will provide a wide range of services, including comprehensive case management, medicine management, individual therapy, group therapy, support groups, peer-to-peer support, family therapy, and other supportive services. We strive to ensure that clients receive their first appointment within two weeks of contacting us, even faster if the person is in crisis. We will work closely with local organizations to provide violence prevention and mitigation, substance abuse, mentoring, in-patient treatment, emergency housing, employment, and childcare. Number of people to be served annually: 250 individuals in the first twelve months of operation growing to about 700 annually by year five. Goal 1. Launch a behavioral health clinic in Prince George's County to reduce depression, anxiety, suicide ideation, and other behavioral health issues among children, adolescents, and young adults. Objectives. a. By January 31,2024, locate a clinic locations in an area of highest identified need and sign a lease. b. By March 31, 2024, recruit and hire key clinical, business, and development staff. c. By June 30, 2024, negotiate agreements with private insurance companies and Medicaid. d. By August 1, 2024, open clinic to serve clients. e. By 2026, achieve Maryland OMHC accreditation. f. By 2026, achieve CARF accreditation. Goal 2. Raise sufficient funding to ensure clinic sustainability. Objectives. a. By December 31, 2023, raise pledges for $2.5 million. b. By September 29, 2024, have a line of sight for a total of $7.5 million in funding over five years. c. By 2029, become a Certified Community Behavioral Health Center (CCBHC). Goal 3. Overall reduction in mental health symptoms. Objectives. a. By July 2025, 30% of individuals will have experienced a meaningful reductions (defined as 50% score reduction from the baseline score) in depression as measured by the PHQ-9. b. By July 2025, 30% of individuals will have experienced a meaningful reduction (defined as 50% score reduction from the baseline score) in anxiety as measured by the GAD-7. Goal 4. Increased quality of life for client clinics. Objective. By July 2025, the percent of clients with 4 or months of treatment who report and improvement in Quality of Life as measured by Q-LES-Q-SF will increase by 20%. Goal 5. Increased access to health care and other critical supportive services. Objective. By July 2025, access to specific wrap-around supports noted for individuals upon intake will increase by 50%.


Grantee: FAMILY SERVICES, INC.
Program: FY 2023 Congressional Directive Spending Projects
City: GAITHERSBURG
State: MD
Grant Award Number: 1 H79 FG000999-01
Congressional District: 6
FY 2023 Funding: $1,000,000
Project Period: 2023/09/30 - 2024/09/29

Project Name: Montgomery County Suicide Prevention Initiative Need: Montgomery County is a racially and ethnically diverse county of over one million residents. The county has never had a comprehensive approach to suicide prevention and treatment. Based on emergency room data from the past several years the suicide mortality rate has increased. In 2020 there were seventy-seven confirmed suicides, and during a two-month period in 2020 over four hundred county residents were taken to hospitals due to self injury and suicidal thoughts. Population of Focus and Geographic Catchment Area: Based on ER data for 2019-2022 young adults ages have the highest number of ER visits for suicidal behaviors and ideation. This project will focus on young adults with the highest adjusted rates of ER due to suicide; 18- to 26-year-olds who are African American females, White females, African American Males, White males, and Hispanic females. The project is focused on Montgomery County, Maryland Strategies: The funding will support the development of a community-wide suicide prevention initiative focused on training and education on how to support county residents who are struggling with thoughts about suicide. Training will include Mental Health First Aid and workshops in QPR for educators, law enforcement, faith communities and others. Training will also be provided for mental health and health professionals on screening for suicide and developing interventions. A significant part of community messaging focused on “how to help” will be delivered through culturally relevant and youth targeted social media messaging. All components will be coordinate by a program director and coordinator in collaboration with Montgomery County’s Suicide Prevention Coalition. Goal 1: Expand Montgomery County’s capacity to implement a coordinated, system-wide, and research-based response to better identify and serve residents experiencing suicidal thoughts. Goal 2: Increase outreach to Montgomery County residents and service providers to improve awareness of suicide prevention response, to address the gap in communication about available services, trainings, and evidence-based practices. Goal 3: Increase the likelihood of service providers using evidence-based practices relevant to suicide prevention to reduce negative experiences of suicidal individuals interacting with those in a position to assist and capitalize on high-potential opportunities to intervene.


Grantee: FAMILY SERVICES, INC.
Program: FY 2023 Congressional Directive Spending Projects
City: GAITHERSBURG
State: MD
Grant Award Number: 1 H79 FG000975-01
Congressional District: 6
FY 2023 Funding: $1,500,000
Project Period: 2023/09/30 - 2024/09/29

Applicant: Family Services Inc. Project Name: Prince George’s County, Access to Care Need: Prince George’s County is ranked in the lowest twenty-five percent of Maryland counties for sufficient behavioral health providers, according to the 2021 www.pghealthzone.org data. The county also has the third highest opioid overdose rate in Maryland. Additionally, there is a need for increased access to mental health services for children. Many of the children served in the county’s Youth First school-based mental health program have demonstrated severe stress and mental health challenges related to the pandemic and would benefit from access to child psychiatric services. Population of Focus and Geographic Catchment Area: Children with mental health challenges, and adults with serious mental illness and co-occurring mental health and substance use disorders. Strategies: This project will add a licensed, CARF accredited outpatient mental health clinic to Prince George’s County. Funding will add four therapists, a child and adolescent psychiatrist, onsite psychiatric services for adults with serious mental illness and clinical and program coordination between school-based mental health services and psychiatric care for six hundred youth. Goals and Measurable Objectives: GOAL 1: To increase accessibility to psychiatric and therapy services for Prince George’s County adults and youth living with mental health disorders. Objective 1: Engage 4 FTE licensed mental health therapists for the outpatient program. Objective 2: Clients will begin to be seen in the outpatient mental health program. Objective 3: 240 new unduplicated patients will receive mental health therapy services in the outpatient clinic. Objective 4: Youth First Care Program, a school-based mental health program, will receive additional access to child and adolescent psychiatric services. GOAL 2: To increase accessibility to treatment, Medication Assisted Treatment (MAT), and recovery support for Prince George’s County adults living with serious mental illness and co-occurring substance use disorders. Objective 1: Engage substance abuse counselor (.5 FTE). Objective 2: Child & Adolescent Psychiatrist and Medical Director onboarded. Objective 3: Clients begin attending individual and group substance use counseling sessions. Objective 4: 30 new unduplicated clients are served in the substance use counseling program. GOAL 3: To increase accessibility to psychiatric and medication management care for persons living with chronic and persistent serious mental illnesses and those with co-occurring substance use disorder in Prince George’s County. Objective 1: Minor alterations to the Sheppard Pratt clinic facility to expand suites for services. Objective 2: Patients attend Day Program, on-site medication management/psychiatric appointments begin. Objective 3: Up to fifty patients per day receive Day Program services and attend on-site psychiatric medication management and co-occurring substance use disorder treatment.


Grantee: HISTORIC EAST BALTIMORE COMMUNITY ACTION COALITION, INC.
Program: FY 2023 Congressional Directive Spending Projects
City: Baltimore
State: MD
Grant Award Number: 1 H79 FG001096-01
Congressional District: 7
FY 2023 Funding: $599,047
Project Period: 2023/09/30 - 2024/09/29

The Historic East Baltimore Community Action Coalition, Inc. (HEBCAC) is the parent organization for Dee’s Place. A supportive drug and alcohol recovery center, Dee’s Place offers Baltimore City residents peer-based mentoring and referrals for medical and mental health treatment, as well as a host of services to help create a better life in recovery. The current request will reinforce our work towards safely expanding hours of operation, increasing our peer-facilitated groups as well as our ability to provide more individualized peer-to-peer recovery support. We believe that the expansion of services and the continued strategic networking will position Dee’s Place well for the future and decrease the number of people who struggle with addiction.


Grantee: IDENTITY, INC.
Program: FY 2023 Congressional Directive Spending Projects
City: GAITHERSBURG
State: MD
Grant Award Number: 1 H79 FG000953-01
Congressional District: 6
FY 2023 Funding: $121,000
Project Period: 2023/09/30 - 2024/09/29

For this project, we propose to scale and expand Identity’s successful evidence-based Encuentros program, which provides low-income Latino and other historically underserved youth and families access to desperately needed non-clinical community-based mental health support. The main goals and objectives of the project are as follows: • Formalize, design and produce shareable versions of 1) the Encuentros curriculum and group facilitation guide, and 2) training guide for Community Mental Health Workers (CMHWs). These materials have been piloted and continuously improved and are now ready to be designed for use electronically and in hard copy. This step will facilitate the training and consistent use of the curriculum and training materials by CMHWs and staff. • Train 12 new CMHWs to co-facilitate Encuentros groups in order to reach more community members who are suffering. The CMHWs are natural connectors and trusted leaders in their community, involved in multiple school, faith, neighborhood, work and other local networks. • Translate our curriculum, training guide and evaluation survey instruments from Spanish into English. This step will allow us to offer Encuentros groups to members of our community who prefer English. • Integrate existing Encuentros program evaluation data into Identity’s overall client data management system, customize fields and reports and train Identity staff on these improvements. This step acknowledges and supports the standardization of Encuentros as it moves past the piloting phase to long-term sustainability and scalability. Identity’s non-clinical community-based Encuentros program was established in 2020 to address the urgent and growing need for emotional support among Montgomery County MD’s Latino population, the county’s fastest growing demographic. Many Latino youth and their families face significant mental health struggles related to unaddressed toxic stress and Adverse Childhood Experiences (ACEs), acculturation, family separation and reunification, language barriers, housing insecurity, and economic instability, all of which were significantly compounded by the COVID-19 pandemic. While clinical mental health support for Latinos was already hard to find before the pandemic due to a lack of Spanish-speaking clinicians and the cost of therapy, COVID-related job, food, housing and health insecurities further traumatized those that were already suffering and overwhelmed clinical capacity. To meet this need, Encuentros provides youth and families from historically underserved Latino communities with no-cost, culturally and linguistically appropriate emotional support groups. These groups offer a safe space for participants to engage in open discussion about mental and emotional health challenges and develop strategies for managing them. The program was designed with and for the Latino community, and group sessions are delivered by trained and trusted community members (Community Mental Health Workers) with support from Identity’s bilingual staff. In Spanish, “encuentros” is the act of coming together.


Grantee: MARYLAND STATE DEPARTMENT OF HEALTH
Program: FY 2023 Cooperative Agreements for States and Territories to Improve Local 988 Capacity
City: BALTIMORE
State: MD
Grant Award Number: 1 H79 FG001209-01
Congressional District: 7
FY 2023 Funding: $3,333,432
Project Period: 2023/09/30 - 2026/09/29

The Maryland Department of Health is Behavioral Health Administration (BHA), in partnership with jurisdictions and Maryland Lifeline crisis centers, will build local 988 capacity with the $9,728,112 ($3,242,704 per year for three years, contingent on annual Federal appropriations) FY 2023 Cooperative Agreements for States and Territories to Improve Local 988 Capacity (SAMHSA FG 23-006). This project will increase the state's responsiveness to 988 contacts, including calls, chats, and texts, originating in Maryland. Maryland's Lifetime call, text, and chat volume has significantly increased since 988 launched in July 2022. Grant funds will be used by Maryland Lifeline crisis centers to maintain and expand their workforce to respond to this increase in need and to ensure that 988 services are accessible, responsive and effective in serving the needs of all Maryland residents. During the project, BHA will be working with Lifeline crisis centers and other stakeholders to: * Enhance recruitment, hiring, and training of the 988 workforce to meet at minimum 90 percent of the state calls, chats, and text demand; * Implement additional technology and security measures to fully support 988 infrastructure and effective coordination across the crisis continuum; * Improve 988 support and service for high-risk and underserved populations; * Develop and implement comprehensive quality assurance plans, to include identification and review of critical incidents; and * Continue to develop and implement comprehensive 988 communication plans in alignment with SAMHSA's 988 partners toolkit. The state will measure its project success in this grant using the following key performance targets: * 90% or more of calls, chats, and texts originating in Maryland will be answered by Maryland Lifetime crisis centers. * 95% of answered contracts in Maryland are answered within 20 seconds. * 90% of answered of answered contacts in Maryland are answered in 15 seconds. * Less than 5% of contacts disconnect prior to being answered by a Maryland crisis center. * Less than 10% of Maryland phone contacts rollover to a non-Maryland backup center. Maryland has currently achieved, as of April 2023, a 90% average in-state answer rate for calls, a 49% average in-state answer rate for texts, and a 42% average in-state answer rate for chats. For that same month, our current contact abandon rate is 10%, and our average speed-to-answer is 30 seconds.


Grantee: NATIONAL FEDERATION FAM FOR CHILDREN MH
Program: Family Support Technical Assistance Center
City: ROCKVILLE
State: MD
Grant Award Number: 5 H79 FG000160-04
Congressional District: 8
FY 2023 Funding: $799,682
Project Period: 2020/08/31 - 2025/08/30

Grantee: ROBERTAS HOUSE
Program: FY 2023 Congressional Directive Spending Projects
City: BALTIMORE
State: MD
Grant Award Number: 1 H79 FG001019-01
Congressional District: 7
FY 2023 Funding: $1,000,000
Project Period: 2023/09/30 - 2024/09/29

Roberta’s House has been meeting the need for trauma-informed, culturally responsive grief support for racial minorities and communities of color for over 15 years. We provide in-home, community-based, and school-based support and serve varied groups of bereaved individuals: survivors of homicide victims; mothers who have experienced a perinatal death, and at-risk teens. Roberta’s House 2023 Expansion Project increases access to mental health and grief support services to communities of color in Maryland that are affected by premature deaths, gun violence, and traumatic losses. The Expansion Project will serve Greater Baltimore and Prince George’s County area residents. Roberta’s House outreaches to low-income, under-served communities and Title I schools that qualify for Federal Free or Reduced-Price Lunch Program in these areas. The catchment area for clients will likely be within 15 miles of Roberta’s House’s Family Grief Support Centers. The Expansion Project includes two areas of focus: expansion of grief support services and mental health services and building the capacity of communities at large, particularly health care professionals, to attend to grief, loss, and trauma. Roberta’s House will increase mental health services. In Prince George's County, Roberta’s House will establish the same core programs and serves as in Baltimore. Roberta’s House will leverage its expertise to train caring professionals and become a nexus for education on loss, trauma, and grief in urban communities. The Expansion Project aims to increase Roberta’s House’s capacity to provide grief-supportive services, both peer-based and clinical, [especially] in minority and underserved communities. The Project will also develop a pipeline for mental and behavioral health professional training, thereby growing the community of healthcare professionals competent in grief, loss, and recovery support.


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