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ME Discretionary Funding Fiscal Year 2014

Center: CMHS

Grantee: AMISTAD, INC.
Program: Statewide Consumer Network Grant
City: PORTLAND
State: ME
Grant Award Number: 5 H79 SM060772-03
Congressional District: 1
FY 2014 Funding: $66,680
Project Period: 2012/09/30 - 2015/09/29

Amistad, Inc. will recruit and develop an active Statewide Consumer Network in Maine made up of people working in Peer Services and individuals from SAMHSA targeted special populations. The Consumer Network will advocate energetically for the inclusion and expansion of Peer Services as part of the health care and behavioral health service mix. The Statewide Consumer Network we build will engage and negotiate with state policy makers, provider administrators and other stakeholders as part of the current health reform efforts in Maine. Expanded Peer Services will result in increased health for consumers of mental health services, improved use of health care and overall reduced health care costs.

Our project will include: participating in workshops and other learning opportunities across the state; participating with the state in the development of RFP and contractor materials for Accountable Care organizations that reflect the inclusion of Peer Services; developing a model providers can use to integrate Peers into the service mix; and especially, organizing the approximately 40 people who currently work in Peer Services statewide, as well as individuals who enter this workforce at a later time, into an active, communicative and tight-knit network.


Grantee: AROOSTOOK MENTAL HEALTH SERVICES, INC.
Program: Crisis Center Follow Up
City: CARIBOU
State: ME
Grant Award Number: 5 U79 SM061321-02
Congressional District: 2
FY 2014 Funding: $60,000
Project Period: 2013/07/01 - 2016/06/30

AMHC and Crisis & Counseling Centers (C&C), Maine's contracted National Suicide Prevention Lifeline center providers, have agreed to work collaboratively to deliver "The Maine Project" to serve the purpose of the SAMHSA Crisis Center Follow Up program which is to promote systematic follow up of suicidal persons who call the National Suicide Prevention Lifeline and the Maine HELPLine (HELPLine). The primary goal of the Maine project is to coordinate and enhance crisis follow up services conducted by AMHC and C&C in a manner that integrates the NSPL standards, improving both access and utilization of after-care support for suicidal people who contact our agencies. The Maine Project will specifically focus on Lifeline and HELPLine callers from three targeted intervention areas, greater Augusta, Caribou and Ellsworth, and those individuals who seek crisis services at the local hospital emergency departments in those cities, Maine General Medical Center (Augusta), Cary Medical Center (Caribou) and Maine Coast Memorial Hospital (Ellsworth). Callers screened as high risk, or moderate to high risk and who chose not to engage in a higher level of care will also be eligible. Callers identified at Imminent Risk will be eligible for participation in this program once all immediate interventions have occurred. Given the nature of the problem in relation to the demographic profile for the projected service area, the "The Maine Project" will be open to Lifeline/HELPLine callers and the sub-populations of focus will be youth, age 12-18, young adults, aged 19-24, and middle aged adult males. Over the lifetime of the project, up to 1,512 individuals will be served.


Grantee: COMMUNITY HEALTH AND COUNSELING SERVICE
Program: PBHCI
City: BANGOR
State: ME
Grant Award Number: 5 H79 SM060918-03
Congressional District: 2
FY 2014 Funding: $399,929
Project Period: 2012/09/30 - 2016/09/29

The Penobscot County PBHCI program, a partnership between Community Health and Counseling Services and St. Joseph Healthcare, will serve adults with serious mental illness (SMI) who have or are at risk of chronic diseases. Through the establishment of a co-located, integrated health home in the behavioral health setting, this project aims to improve health outcomes, enhance patient care and reduce costs. Evaluation efforts will be conducted by The Center for Community and Public Health (CCPH) at the University of New England. Health homes provide services including care management, care coordination, health promotion, transitional care, individual and family support and referrals to community and social supports. The Penobscot County PBHCI program incorporates best practice approaches while focusing on the importance of relationship and individual involvement. The foundation of the service delivery model centers on the belief that the individual is the most important person in their care and treatment. The program utilizes a flexible service delivery structure that recognizes the unique challenges preventing the integration of primary and behavioral health care services. The PBHCI program is expected to serve 200 individuals in Year One, increasing annually to 600 individuals by Year Four. The program will: (1) Establish a co-located, integrated health home combining primary care, behavioral health and co-occurring substance abuse disorders, chronic disease management and health promotion activities, to improve the health and wellness of consumers; (2) Through the utilization of the established, integrated health home, improve the health outcomes and care experience for the population of focus; (3) Develop a sustainable, cost effective model of integrated service delivery for individuals with serious mental illness and (4) Disseminate findings from the establishment and utilization of the integrated health home model to strategic political and economic partners.


Grantee: MAINE BEHAVIORAL HEALTHCARE
Program: PBHCI
City: SOUTH PORTLAND
State: ME
Grant Award Number: 7 H79 SM062964-01
Congressional District: 1
FY 2014 Funding: $1,590,143
Project Period: 2014/09/30 - 2018/09/29

Counseling Services Incorporated (CSI) will implement two PRIDE Health Homes in York County, Maine. PRIDE stands for Prevention, Recovery, Integration and Delivery through Engagement. Evidence-based, integrated physical and mental health care will be provided via an interdisciplinary team including a co-located primary care provider, psychiatrist, nurse care manager, and social work case manager, and the patient and family. Each patient will have an individualized care plan. Outcome goals include: At least 10% increase in adherence to chronic disease care and participation in wellness; At least 10% decrease in hospitalizations, readmissions, and avoidable emergency room use; At least 80% of clients report satisfaction with the quality of care they receive; Meaningful use standards are met by the end of year four; At least 50% of patients increase on their GAF score (measured by DLA-20); and At least 90% of non-mental health medical staff increase their NAB of mental health. CSI has served individuals with SMI since 1963. We have strong experience delivering evidence-based Assertive Community Treatment (ACT) and adult case management programs, both of which deliver services through interdisciplinary teams. We have well established relationships with our PRIDE primary care partner, the York Community FQHC, having collaborated with them on other efforts. Our ice President of Clinical Affairs is on their Board of Directors. PRIDE Health Homes will be guided by "Evolving Models of Behavioral Health Integration in Primary Care;" 2) the Four-Quadrant Model; 3) the Chronic Care Model and NCQA Recommendations; 4) the Assertive Community Treatment model, with which CSI already has extensive experience and high fidelity ratings; and 5) The Health and Recovery Peer (HARP) Program and other proven health promotion models currently used by CSI. A comprehensive evaluation of the effectiveness of PRIDE Health Homes will be implemented using the Strategic Prevention Framework (SPF


Grantee: MAINE BEHAVIORAL HEALTHCARE
Program: NCTSI CAT III
City: SOUTH PORTLAND
State: ME
Grant Award Number: 5 U79 SM062112-08
Congressional District: 1
FY 2014 Funding: $400,000
Project Period: 2014/04/01 - 2016/09/29

The Maine Childrens Trauma Response Initiative


Grantee: MAINE PARENT FEDERATION, INC.
Program: Statewide Family Network Program
City: AUGUSTA
State: ME
Grant Award Number: 5 HR1 SM061374-02
Congressional District: 1
FY 2014 Funding: $70,000
Project Period: 2013/07/01 - 2016/06/30

Maine Parent Federation, Inc. (MPF) proposes to continue operating Project CANDO (Creating A Network for Diverse Opportunities) for families of children with behavioral health issues in Maine. Project CANDO will focus on providing information, education, skills development and supports to assist parents of children and youth with behavioral health issues so they can positively influence programs and policies affecting their lives. The project goals are: 1) Maine families will be partners with service providers and policy makers by acting as catalysts for change at individual, provider, community and state levels thus ensuring that system of care and support services are available, appropriate and provided; and 2) Maine youth will become productive partners with service providers and policy makers by acting as catalysts for change at individual, provider, community and state levels thus ensuring that system of care and support services are available, appropriate and provided.


Grantee: MAINE STATE DEPT OF CORRECTIONS
Program: SOC Expansion Implementation Grants
City: AUGUSTA
State: ME
Grant Award Number: 5 U79 SM061231-03
Congressional District: 1
FY 2014 Funding: $998,233
Project Period: 2012/09/30 - 2016/09/29

Expand ME will implement the statewide strategic plan created through the system of care expansion planning grant awarded to Maine in 2011. The intent is to expand trauma-informed system of care practices developed by THRIVE and Children's Behavioral Health Services to the Department of Correction's Division of Juvenile Services who will lead this expansion initiative, to military families and to all 142 children's mental health providers. The target population for direct intervention is youth ages 12-20, diagnosed with a serious emotional disturbance, whose offenses have placed them on informal adjustment, probation or community reintegration from one of Maine's correctional facilities. Additionally, Expand ME will use social marketing, training, technical assistance and CQI activities to reach all children's behavioral health providers and military families.


Grantee: MAINE STATE DEPT/HEALTH/HUMAN SERVS
Program: State Tribal Youth Suicide
City: AUGUSTA
State: ME
Grant Award Number: 5 U79 SM061480-02
Congressional District: 1
FY 2014 Funding: $440,000
Project Period: 2013/09/30 - 2016/09/29

Building Caring Connections in Maine will expand and enhance the Maine Suicide Prevention Program, a nationally recognized leader in youth suicide prevention. Strategies include provision of training and resources to key groups; suicide screening, assessment, treatment and follow-up services for youth; outreach to high-risk youth and survivors; and facilitating implementation of legislation requiring public school staff in Maine to receive suicide prevention education.

The project builds upon a solid state-level infrastructure of youth suicide prevention resources including a statewide crisis hotline, website and resource center; training, education and technical assistance to schools, health care providers and communities and gathering and disseminating suicide data. The proposed project supports realization of key goals of the 2013 Maine Suicide Prevention Program Plan, developed with significant input from many diverse public and private stakeholders statewide and reflecting the National Suicide Prevention Strategy. This project expands statewide education, training and outreach services and offers new screening, assessment, treatment and follow-up services for at-risk youth to age 24. The program is guided by an Advisory Council based upon a public-private partnership. Project goals are designed to support key goals and objectives of the program plan and tailored to address some emerging priorities in Maine. Project goals include facilitating the implementation of school-wide staff education in public schools; enhancing screening, assessment, treatment and follow-up with indicated youth in FQHCs and SBHCs; enhancing training, technical assistance and resources provided to direct service staff in key settings serving at-risk youth such as LGBTQ, tribal, young adults aged 18-24 in non-college settings and military families; strategic outreach and postvention support following a suicide and local evaluation to demonstrate the impact of project activities.


Center: CSAP

Grantee: CARY MEDICAL CENTER
Program: Drug-Free Communities (DFC) Support Program
City: CARIBOU
State: ME
Grant Award Number: 5 H79 SP020105-07
Congressional District: 2
FY 2014 Funding: $125,000
Project Period: 2013/09/30 - 2018/09/29

The coalition will prevent and reduce youth substance use by implementing these strategies: Providing information through social marketing and social norm campaigns aimed at changing youth and adult perceptions related to underage drinking, marijuana, and prescription drug abuse; reducing youth access to alcohol through retail alcohol outlets by funding of compliance checks and by provision of resources to retail outlets to support them in their efforts to enforce underage drinking laws; reducing access to prescription drugs for illegitimate purposes by sponsoring health care provider training, promoting Maine's Prescription Monitoring Program, promoting local prescription take-back events, and educating the community about alternatives to the use of prescriptions to address medical problems; and advocating for changes to relevant policies that impact alcohol, marijuana and prescription drug abuse;
(5) Providing information, support and resources to local schools and communities to addressing youth bullying; and
(6) Providing information, support and resources to local schools and communities to foster stronger relationships between parents and children.


Grantee: CENTRAL MAINE COMMUNITY HEALTH CORPORATION
Program: Drug Free Communities Support Program
City: LEWISTON
State: ME
Grant Award Number: 5 H79 SP018198-09
Congressional District: 2
FY 2014 Funding: $125,000
Project Period: 2011/09/30 - 2016/09/29

The coalition will prevent and reduce youth substance use by implementing the following strategies: (1) Increase and diversify the membership of the Androscoggin County Substance Abuse Prevention (ASAP) Collaborative and Project Unite! (2) Healthy Androscoggin and community partners will monitor and update the 5 Year Strategic Plan for Substance Abuse Prevention. (3) Impact enforcement or perception of enforcement of underage drinking, marijuana, prescription drug abuse and tobacco laws among youth, their parents, liquor licensees, retailers, and other adults in Androscoggin County. (4) Impact adult/parental attitudes in the community, and increase perception among adults/parents who think underage drinking, marijuana use, prescription drug misuse, and inhalant abuse are harmful to youth. (5) Increase parental monitoring and role modeling behavior in the community to decrease underage drinking and other youth drug use focusing on marijuana use, prescription drug misuse, inhalant abuse and tobacco use. (6) Partner with Androscoggin County School districts to ensure their substance use policies are current, effective and enforced. (7) Increase local health care providers' awareness and use of the Prescription Monitoring Program (PMP) as a deterrent to doctor shopping patients who might also be selling/diverting prescription drugs into the community.


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