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ME Discretionary Funding Fiscal Year 2021

Center: FG

Grantee: AROOSTOOK MICMAC COUNCIL
Program: Emergency COVID-19
City: PRESQUE ISLE
State: ME
Grant Award Number: 1 H79 FG000220-01
Congressional District: 2
FY 2021 Funding: $500,000
Project Period: 2021/02/01 - 2022/05/31

Through SAMHSA Emergency COVID-19, the Aroostook Band of Micmacs will expand its reach and impact to provide a community based program encouraging healing through culture, family and tradition. Grant activities will be carried out in collaboration with the Micmac Education and Boys & Girls Club program, Micmac Family Health Center, and local mental health partners that address the needs of Community members and families. Services/support will be provided to 1489 Micmac Community Members. The geographic catchment area for the project is Maine’s northernmost county, Aroostook County. The largest concentration of tribal members reside in the cities of Presque Isle and several small satellite communities. There are 163 tribal households in Aroostook County. Goal One: Reduce the impact of mental and substance use disorders in the Micmac community through increased participation of Community Members and families in virtual and in-person evidence- based mental and substance use prevention, intervention and support strategies. Objective 1: By June 2020, implement evidence based prevention programming, which supports the prevention and reduction of suicidal behavior in native youth & identifies risk factors in participants and provides a variety of culturally appropriate strategies to cope with trauma; will engage 100 youth annually. Objective 2: By June, 2020, ABM will host monthly community in-person and virtual talking circles to foster deeper listening and reflection in conversation. Objective 3: By July 2020, will provide individual check ins with Community Members by SAMHSA Project Personnel. Goal Two: Facilitate collaboration among licensed mental health agencies to support Tribal Members and families. Objective 1: By July 2020, SAMSHA Project Director and Staff will conduct a Community Needs Assessment that addresses suicide prevention, and mental health disorders. Objective 2: Program Staff will develop support plans and identify community resources and advocate needed support. Objective 3: ABM will provide transportation services for community members and families to participate in educational, employment, social and recreational opportunities as identified in their treatment as part of their recovery. Objective 4: ABM and BGC will collaborate with Aroostook Mental Health Center to implement Crisis Mental Health Services, including 24-hour mobile crisis teams, emergency crisis intervention services including psychiatric/medical assessment and where indicated, medical administration and crisis stabilization. Objective 5: Provide post-suicide intervention services, care and information to families, friends, educational, institutions, juvenile justice systems, substance use disorder program, mental health programs, foster care systems, and other child and youth organizations of youth who have recently died by suicide. Objective 6: ABM SAMHSA Project Staff will work to promote community and program resources available for youth and families online and community events.


Grantee: MAINE STATE DEPT/HEALTH/HUMAN SERVS
Program: Emergency COVID-19
City: AUGUSTA
State: ME
Grant Award Number: 1 H79 FG000634-01
Congressional District: 1
FY 2021 Funding: $2,000,000
Project Period: 2021/02/01 - 2022/05/31

The State of Maine’s application for the Emergency COVID-19 funding will involve a multi-pronged approach with the intent of alleviating the significant burdens currently experienced by our behavioral health system and citizens affected by the strain of this public health emergency. Though Maine is a resilient state, our behavioral health system is struggling to rapidly shift modes of service provision, we anticipate a surge in demand for behavioral health services expected after a disaster event; and recognize the heightened trauma experienced by first responders and healthcare providers in responding to a highly infectious disease pandemic. Many individuals and families have been impacted in a variety of ways by health related anxiety, reduced access to services, financial strain, and isolation that accompany brought by COVID-19 and Maine Department of Health and Human Services (DHHS) ultimately seeks to ease the momentous weight of that impact in the following ways: • Provide funding for increased capacity for behavioral health service providers to include: Crisis Mobile Response and Stabilization Services (MRSS), Medication Management, Outpatient treatment, case management, psychological first aid, and other evidence-based programs based on emerging local data about demand. • Provide enhanced case management within the 211-call center to rapidly assess needs, provide linkage to care, and offer Psychological First Aid or other supportive services to callers impacted by COVID-19. • Create a Warm-Line for our healthcare and first responder populations that will connect them with their peers who are trained in Psychological First Aid, and as needed with, case management. • Implement a public information campaign to raise awareness of the behavioral health effects of a disaster, education on signs of behavioral health challenges, calls to action on the importance of seeking help, and instructions on how to access services. • Evaluation efforts around funding respective to the various interventions. • Employ an in-kind full-time Project Director. Maine will prioritize the following service recipients for reimbursement: • The uninsured population; eight percent of people in Maine that currently do not qualify for the state’s Medicaid program, prioritizing those with SMI, SED, Co-Occurring SUD and aligned with Block Grant priority populations, e.g. Homeless, Pregnant and Parenting. • Maine’s underinsured population; our constituents who have insurance with high deductibles and copays which would prevent them from accessing these services as the financial burden would be too high. Maine also intends to prioritize support services and linkage to care for our frontline healthcare workers.


Grantee: WABANAKI HEALTH AND WELLNESS
Program: Emergency COVID-19
City: BANGOR
State: ME
Grant Award Number: 1 H79 FG000689-01
Congressional District: 2
FY 2021 Funding: $1,086,266
Project Period: 2021/02/01 - 2022/05/31

Center: SM

Grantee: ACADIA HEALTHCARE, INC.
Program: Mental Health Awareness Training Grants
City: BANGOR
State: ME
Grant Award Number: 1 H79 SM084279-01
Congressional District: 2
FY 2021 Funding: $124,735
Project Period: 2021/09/30 - 2026/09/29

The Maine Youth Mental Health Awareness Training (MYMHAT) project will provide Youth Mental Health First Aid and Mental Health First aid trainings (YMHFA & MHFA) to adults who care for (or have contact with) school-aged youth, the population of focus (POF). Within the POF, subpopulations identified include LGBTQ2S+ and Black, Indigenous & Communities of Color (BIPOC), including Maine’s immigrant/refugee populations. There are approximately 37,038 school-aged youth in Penobscot and Androscoggin Counties in Maine, the geographic catchment areas where trainings and services will be delivered. Both counties contain multiple, designated mental health professional shortage areas (HPSAs). The goals are to 1) increase the capacity, confidence, and motivation of adults who care for school-aged youth, to identify mental health needs within that population, facilitate referrals to care, and respond to crisis situations, including suicide or suicidal ideation, 2) to increase the capacity of those adults to be better able to identify their own mental health needs, along with the mental health needs of adult caregivers of school-aged youth with whom they have contact, in order to facilitate appropriate referrals to care and respond to crises, and 3) to increase access to referral pathways for people in mental health crisis, and link the POF to mental health resources and services. The number of individuals who will receive evidence-based trainings throughout the five-year lifetime of this project are 270 in Year 1, and 750 per year for Years 2-5, with a total of 3270 individuals receiving trainings. The measurable objectives of MYMHAT include: By 1/31/2022 to train and certify 8 instructors in YMHFA & MHFA; By Year 5 to provide 109 YMHFA and/or MHFA trainings; By Year 5 distribute 1,930 Acadia CARES/RACES packages to schools and community partners as additional mental health support resources; By Year 5 to increase by 65% a) YMHFA participant confidence, capacity, and motivation to identify and respond to mental health needs of school-aged youth, including responding to/de-escalating crisis situations, b) YMHFA participant knowledge of how and where to make mental health referrals for school-aged youth, c) MHFA participant confidence, capacity, and motivation to identify and respond to their own mental health needs, or the mental health needs of adult caregivers of school-aged youth with whom they have contact, including responding to or de-escalating crisis situations and d) MHFA participant knowledge of how and where to make mental health referrals for adults; By Year 1 Northern Light Behavioral Health Resource Center (BHRC) will develop the capacity to accept requests for youth and adult mental health referrals generating from community-based partners in Androscoggin and Penobscot counties; By Year 5 BHRC will reflect scaled increases per year for additional community-based referrals for adults and youths in Androscoggin and Penobscot counties to appropriate clinical or community-based mental health services (breakdown of yearly targets in MYMHAT narrative).


Grantee: AROOSTOOK MENTAL HEALTH SERVICES, INC.
Program: 2021 CCBHC Expansion Grants
City: CARIBOU
State: ME
Grant Award Number: 1 H79 SM085160-01
Congressional District: 2
FY 2021 Funding: $2,000,000
Project Period: 2021/08/30 - 2023/08/29

Aroostook Mental Health Services, Inc. (AMHC) will build on its integrated behavioral health, substance use, and primary care services to better serve 935 individuals annually and about 4,700 individuals annually overall in rural Maine. The populations of focus, which include veterans, are individuals with serious mental illness (SMI); individuals with substance use disorders (SUD); children and adolescents with serious emotional disturbance (SED); and/or individuals with co-occurring disorders (COD). Access to services, client retention, and staff hiring and retention are critical problems in this large rural area. The project has two goals: Goal 1: expand key services to address critical gaps and Goal 2: strengthen infrastructure and training to provide additional seamless, fully integrated services. Project objectives include expansion of low-barrier telephone access; targeted new staff hires (crisis call center; Peer Support Specialists; Registered Nurses, and youth prevention outreach); and new software to better monitor patient health data included self-reported data and expanded Human Resources functionality to track factors associated with staff turnover. The catchment area (CA) is the 12,431-square mile region of Aroostook, Hancock, and Washington Counties in Maine. Unmet integrated BH needs are significant. All of Aroostook and portions of Washington and Hancock are Mental Health Health Professional Shortage Areas (HRSA, 2020). Participants in 2019 Community Health Needs Assessments (CHNA) in the region ranked mental health and substance use among their top three critical health concerns. COVID-19 has exacerbated stressors contributing to poor behavioral health. Chronic disease indicators are elevated in Aroostook and Washington including cardiovascular disease deaths (221.5 and 222.3 respectively per 100,000 versus 195.8 statewide) and diabetes incidence (13% and 12.8% respectively versus 10% statewide) (CHNA), 2019). The population is 153,107. About 94.4% of residents are White, 2.1% are Native American, 1.7% are Hispanic, 1% are Black, and 0.8% are Asian. A CA average of 14.6% live at or below 100% Federal Poverty Level (versus 10.9% statewide), and 13.7% under age 65 lack health insurance (versus 10.1% statewide). (U.S. Census, 2017, 2019). AMHC is the largest provider of integrated BH services, including all SUD services, in the CA. SU treatment has been a cornerstone of AMHC’s integrated BH service delivery continuum since its inception. AMHC employs 325 staff, serves about 4,500 unduplicated individuals each year, and operates on an $18 million annual budget. AMHC has already met the majority of the CCBHC compliance criteria and will complete remaining compliance criteria within 4 months of notice of award. Maine is not a planning grant state.


Grantee: COMMUNITY HEALTH AND COUNSELING SERVICES
Program: CCBHC Expansion Grants
City: BANGOR
State: ME
Grant Award Number: 1 H79 SM083315-01
Congressional District: 2
FY 2021 Funding: $3,231,582
Project Period: 2021/02/15 - 2023/02/14

Community Health and Counseling Services (CHCS) is implementing the Bangor Region Certified Community Behavioral Health Clinic (CCBHC). The Bangor Region CCBHC increases access to and improves the quality of community mental and substance use disorder treatment services. The CCBHC serves adults with serious mental illness (SMI) or substance use disorder (SUD); children and adolescents with serious emotional disturbance (SED); and individuals with co-occurring MH/SU (COD) who live in the Greater Bangor, Maine region. We will achieve improved access and a higher quality of services by supporting our existing service system with; enhanced resources, and through the alignment of our major service providers into a collaborating network. The Bangor Region CCBHC expects to serve 500 individuals during the first year of operation. The program projects to increase the numbers served by 50% in year two. The Bangor Region CCBHC is focused on three primary goals: • Improve timely access to behavioral health services & screening including crisis intervention, treatment and care coordination. • Deliver care to improve the efficiency, effectiveness and alignment of existing provider resources. • Improve health outcomes and reduce the utilization of emergent care. CHCS will build a local system of care for the greater Bangor region that shifts the region from a fragmented, “no right door” assortment of services to a cohesive, easily accessible, “no wrong door” continuum of care. The Bangor Region CCBHC will utilize system of care values to create a strong community culture that emphasizes strengths based, needs driven, family, youth, and consumer guided, and culturally competent services. A core team of clinical service providers, including clinicians and care coordinators, will be based at CHCS to respond to and triage immediate behavioral health needs of the community. Augmenting this hub will be a collaborating network that includes six Designated Collaborating Organizations (DCOs), two state agency representatives and a peer recovery center. The vision and mission of the CCBHC is to create a cohesive, highly accessible system of care. An Advisory Committee comprised of community stakeholders will provide ongoing assessment of gaps in services, align system resources, and explore options to improve system coordination.


Grantee: KENNEBEC MENTAL HEALTH ASSOCIATION
Program: 2021 CCBHC Expansion Grants
City: WATERVILLE
State: ME
Grant Award Number: 1 H79 SM085158-01
Congressional District: 1
FY 2021 Funding: $1,475,670
Project Period: 2021/08/31 - 2023/08/30

Kennebec Behavioral Health (KBH) seeks to enhance and expand evidence based practices to individuals with serious mental illness (SMI), children and adolescents with serious emotional disturbances (SED) young adults with emerging SMI, and chronically homeless adults with SMI. With two collaborators (MaineGeneral Health, Crisis and Counseling Services, Inc.), KBH will provide expanded and enhanced CCBHC services to 11,300 people in Kennebec and Somerset counties in Maine during the first year of the project. A total of 14,500 (unduplicated) people will be served over two years. The project will expand evidence based behavioral health practices to adults, children and families who currently do not have access to these services. Covering an area of 4,792 square miles and a population of 172,316, Kennebec and Somerset counties exhibit high rates of behavioral health issues. The project has six main goals: 1.)implement a fully operational CCBHC, providing the complete scope of CCBHC services to individuals eligible for Medicaid as well as those who are uninsured or under insured within 4 months of funding. 2) Enhance existing CCBHC Services by expanding/ initiating seven evidence-based practices to address the needs across the lifespan. EBPs targeted for expansion include 1) Multi-Systemic Therapy;; 2) Parent-Child Interaction Therapy; 3) Trauma-Focused CBT 4) Attachment Biobehavioral Catch-Up (ABC); 5) Dialectical Behavioral Therapy (DBT); 6) Adolescent Community Reinforcement Approach (A-CRA); and 7) Acceptance and Commitment Therapy (ACT). 3) Implement infrastructure enhancements to improve the overall quality and coordination of care. Infrastructure enhancements include staff training on Trauma-informed care principles and culturally competent care, deployment of a recovery-oriented, person-centered HER, training on The Network for the Improvement of Addiction Treatment (NIATX) Model of Process Improvement, and implementation of a ZERO Suicide approach at KBH and the participating DCOs. 4) enhance recovery oriented and person-centered programming by hiring an additional Peer Support Worker and a Peer Support Services Coordinator. 5) Provide enhanced care coordination to increase access to care, client engagement, and rapid response for clients transitioning between levels of care. 6): provide integration or coordination between the care of substance use disorders, mental health conditions, and healthcare for active military or veterans. KBH consistently strives to develop practice expertise that support better health outcomes, better care, and lower cost through improvement. Over time, these efforts of KBH will contribute to the improved health of future generations by effectively responding to the adverse health and social consequences of trauma and contributing to the increased resiliency of children, adults, and families within our communities. CCBHC funding will enable KBH and its partners to develop an integrated system of care where trauma-competent practice, person centered planning, and recovery-oriented care is the organizational norm.


Grantee: MAINE PARENT FEDERATION, INC.
Program: FY 2021 Statewide Family Network
City: FARMINGDALE
State: ME
Grant Award Number: 1 H79 SM083900-01
Congressional District: 1
FY 2021 Funding: $95,000
Project Period: 2021/04/30 - 2024/04/29

Maine Parent Federation, Inc. (MPF) proposes to implement a Statewide Family Network project called Creating A Network for Diverse Opportunities (CANDO) for families of children and young adults with Serious Emotional Disturbance (SED) in Maine. The project will focus on strengthening the knowledge and capacity of families of youth with SED to act as agents of transformation in influencing the type and amount of services provided to them and their children. The project activities will enhance access to services and systems, improve outcomes, and ensure that services are youth-guided, trauma informed culturally competent, and driven by family voice. The project will serve all families of children with SED ages 0-21 years with a special emphasis on youth and underserved families living in poverty and Immigrant communities. Activities will include the provision of information, education, training and technical assistance to promote increased advocacy for and access to the all systems of care. Project Goals are: 1) Through a strong organizational network of leadership, management, and partnerships with service providers and policy makers, MPF will develop leadership skills in families and youth with SED to act as catalysts of change for available support for all identified needs. 2) Through peer to peer support provided by MPF, Maine families of youth and youth with SED will receive education to advocate for appropriate services to increase positive outcomes. Project Objectives are: 1) To provide outreach, information, training and support to 1,500 families annually (4,500 in 3 years) of youth with SED to provide knowledge to fully participate in service planning. 2) To provide peer to peer support through our FSN services to help 100 families annually (300 in 3 years) gain the skills and knowledge to navigate the systems of care. 3) To conduct our FSN leadership training to 50 families annually (150 families in 3 years) so they can participate in state and local policy development which may impact their family. 4) To promote youth leadership skills to 100 youth annually (300 in 3 years) through transition planning, self-advocacy and supported decision-making training so youth, including those in the juvenile justice system, can make informed decisions about their future. 5) Attend and participate in annually 300 (900 in 3 years) local, state, and national partnerships representing the family voice of youth with SED to impact positive systems change. 6) To provide information about youth with SED to 100,000 families and providers annually (300,000 in 3 years) via electronic newsletters, social media accounts, and our website.


Grantee: MAINE STATE DEPT/HEALTH/HUMAN SERVS
Program: System of Care (SOC) Expansion and Sustainability Grants
City: AUGUSTA
State: ME
Grant Award Number: 5 H79 SM083000-02
Congressional District: 1
FY 2021 Funding: $2,013,937
Project Period: 2020/08/31 - 2024/08/30

Grantee: MAINE STATE DEPT/HEALTH/HUMAN SERVS
Program: GLS State/Tribal Youth Suicide
City: AUGUSTA
State: ME
Grant Award Number: 5 H79 SM082095-03
Congressional District: 1
FY 2021 Funding: $736,000
Project Period: 2019/06/30 - 2024/06/29

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