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ME Discretionary Funding Fiscal Year 2024

Center: SM

Grantee: ACADIA HEALTHCARE, INC.
Program: Mental Health Awareness Training Grants
City: BANGOR
State: ME
Grant Award Number: 5 H79 SM084279-04
Congressional District: 2
FY 2024 Funding: $123,779
Project Period: 2021/09/30 - 2026/09/29

Grantee: AROOSTOOK MENTAL HEALTH SERVICES, INC.
Program: FY 2023 Certified Community Behavioral Health Clinic Improvement and Advancement Grant
City: CARIBOU
State: ME
Grant Award Number: 1 H79 SM088894-01
Congressional District: 2
FY 2024 Funding: $1,999,999
Project Period: 2024/04/30 - 2028/04/29

The applicant, AMHC, will implement CCBHC-IA to provide services to 808 unduplicated individuals with serious mental illness (SMI), serious emotional disturbance (SED), or co-occurring SMI/SED and substance use disorder (COD) in 3 northern Maine counties (Yr 1: 175; Yr 2: 193; Yr 3: 211; Yr 4: 229). AMHC will enhance the current CCBHC’s comprehensive and coordinated behavioral health care by improving outreach, screening, assessment, treatment, care coordination, and recovery supports for those with SMI, SED, and/or COD. Within the catchment area of Aroostook, Hancock, and Washington counties, Maine, the focus population comprises estimated 5% (6,570) who have an SMI, 17% (4,826) who have an SED, and 4% (6,570) who have a COD. Among AMHC’s focus population, 50% are male, 50% are female, 93% are white, 1% are Black, 1% are Asian, 2% are Hispanic, and 2% are Native American. AMHC subpopulations include the 8% who are Veterans and 8% who are minorities. SAMHSA’s Certified Behavioral Health Clinics (CCBHCs) model will guide AMHC’s implementation of evidence-based interventions/models, including Motivational Interviewing, Cognitive Behavioral Therapy (CBT), Trauma-Informed CBT, Positive Parenting Program, Modular Approach to Therapy, Peer Recovery Support Services, Psychiatric Collaborative Care Model, Psychosocial Rehabilitation Model, and Zero Suicide. AMHC will implement all 9 core CCBHC model services including screenings/assessments and diagnosis; patient-centered planning; outpatient, mental health, and SUD services, targeted case management, outpatient clinic primary care screening/monitoring, community-based mental health care for Veterans, peer, family support, and counselor services, and psychiatric rehabilitation services. Other program components include linkages to primary/specialty care and dissemination of comprehensive evaluation. The AMHC Board of directors comprising stakeholders and focus population members will serve as the Advisory Board and support AMHC’s goals, which include enhancing/ expanding capacity to provide accessible, coordinated, and evidence-based treatment and recovery support services; developing/expanding the infrastructure/capacity of an integrated community service system; improving client health status and outcomes; and developing/disseminating a replicable service model. Measurable objectives include: outreach to 950 individuals with an SMI, SED, and/or COD; complete a minimum of 1 community needs assessment; stakeholder outreach/ engagement/education to strengthen collaborative relationships; reduce substance use, mental health/trauma symptomatology, and feelings of loneliness/isolation; reduce use of emergency department for behavioral health among participants; reduced criminal justice involvement; increased treatment access and recovery capital; and increased Social Determinants of Health. Since 1964, the applicant, AMHC, has been a continuous provider of behavioral health and related services to adults and children in the catchment area and has grown to encompass Behavioral Health service provision and support for every level of care across a variety of settings. AMHC operates a successful CCBHC in the catchment area that is fully certified. AMHC referral services are available for Medication Assisted Treatment, Matrix Intensive OP Treatment, or other higher levels of clinical care. In addition, partnering organizations will serve as AMHC’s linkage/referral sources, collaborate in service provision, participate in training, and take part in Advisory Board/evaluation activities. AMHC partners are rooted in the focus population’s culture/languages and have demonstrated experience/familiarity with the catchment area culture. Partnering community health providers and hospitals will receive linkage to all CCBHC services. AMHC staff will focus efforts on expanding partnerships with Veteran serving organizations and the Youth Peer Support Statewide Network.


Grantee: MAINE STATE DEPT/HEALTH/HUMAN SERVS
Program: Emergency Response Grants
City: AUGUSTA
State: ME
Grant Award Number: 1 H07 SM089706-01
Congressional District: 2
FY 2024 Funding: $2,048,452
Project Period: 2024/03/15 - 2025/03/14

On the evening of October 25, 2023, the City of Lewiston, Maine, experienced an incident of mass violence. In total, 18 individuals died and dozens more were injured. In the United States, the incident was the deadliest mass shooting of the year and the tenth deadliest mass shooting on record. The shooting took place in the evening hours at two separate locations: an independently owned and operated restaurant; and a bowling alley less than five miles away. A youth league was present at the bowling alley, while a cornhole tournament was ongoing at the restaurant. The deceased ranged in age from 14 to 76, and included a husband and wife, a father and son, and multiple members of Maine’s Deaf and Hard of Hearing community. As a State, we grieve for the lives lost, those whose lives are forever changed, and the sense of safety eroded. It is with a profound sense of responsibility and public service that Maine DHHS submits this application to receive resources that are vital to support the evolving behavioral health response to the tragedy. In the days and weeks after the tragedy, the Maine Department of Health and Human Services acted in partnership with the City of Lewiston, local healthcare, behavioral health and community organizations, and across Maine State Government, federal and local partners to coordinate the early response to this devastating event. In particular, Maine DHHS provided leadership to the behavioral health response critical in the aftermath of mass violence: the Office of Behavioral Health leveraged existing contracts and relationships to bolster, coordinate, and maximize available behavioral health supports; the Office of Children and Family Services provided in-person trauma-informed trainings for clinicians; the Maine CDC monitored crisis line and emergency department data to identify the impact of mass violence; and the Office of Aging and Disability Services bolstered capacity to provide spoken language / sign language interpretation services. None of these services or supports would have been possible if not for the many critical partners, including many Maine DHHS staff, who stepped forward to assist and delivered. As Maine DHHS has considered the amplified supports and resources necessary to address emerging need in the coming weeks and months, multiple stakeholders have been engaged via Listening Sessions to ensure that the response is rooted in community-identified need. This proposal reflects the input gathered across behavioral health providers, healthcare leadership, members of the Deaf and Hard of Hearing community as well as New Mainer community, school staff, home-based providers, and other valued stakeholders. The proposed framework includes a bolstered behavioral health response poised to meet the iterative needs of individuals in Lewiston and surrounding communities, a trauma-informed learning community that will ensure a ready and resilient workforce, and a communications campaign to promote mental wellbeing and access to services. The proposal also includes the necessary resources for Maine DHHS to maintain oversight over grant resources and expectations, as well as continued leadership for the behavioral health response.


Grantee: MAINEGENERAL MEDICAL CENTER
Program: National Child Traumatic Stress Initiative – Category III, Community Treatment and Service (CTS) Centers
City: AUGUSTA
State: ME
Grant Award Number: 5 H79 SM082887-05
Congressional District: 2
FY 2024 Funding: $395,187
Project Period: 2020/05/31 - 2025/05/30

Grantee: MAINEHEALTH
Program: Mental Health Awareness Training Grants
City: PORTLAND
State: ME
Grant Award Number: 5 H79 SM084507-04
Congressional District: 1
FY 2024 Funding: $125,000
Project Period: 2021/09/30 - 2026/09/29

Grantee: SWEETSER
Program: Mental Health Awareness Training Grants
City: SACO
State: ME
Grant Award Number: 5 H79 SM084482-04
Congressional District: 1
FY 2024 Funding: $115,194
Project Period: 2021/09/30 - 2026/09/29