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MI Discretionary Funding Fiscal Year 2023

Center: FG

Grantee: BOYS & GIRLS CLUBS OF GREATER SOUTHWEST MICHIGAN
Program: FY 2023 Congressional Directive Spending Projects
City: BENTON HARBOR
State: MI
Grant Award Number: 1 H79 FG000995-01
Congressional District: 6
FY 2023 Funding: $818,000
Project Period: 2023/09/30 - 2024/09/29

The Be There program aims to support youth experiencing daily grief, bereavement, and other major life-altering losses. This impact is quantified by measuring youth growth in coping with challenges, identifying emotions, solving problems, self-efficacy, empathy, and impulse control. Be There also impacts the academic success of the youth. Children and teens affected by the tragedy cannot focus, interfering with education. Helping children and teens learn to cope and overcome this grief will better prepare them for learning, leading to an increase in both proficiency and graduation rates. Research shows that increasing social and emotional support directly correlates to improved academic success in the long term. Benton Harbor's unemployment rate is 14%, and 45.4% of families live in poverty, significantly higher than the national average (2019: ACS 5-Year Estimates Subject Tables, US Census Bureau). A growing number of members reside in South Haven, Michigan, where poverty rates are 12.7%, and St. Joseph, Michigan, where poverty rates are 7% (2019: ACS 5-Year Estimates Subject Tables, US Census Bureau). Approximately 93% of our registered members in 2022 participated in programming at our Benton Harbor locations, where youth attend 47 different area public, charter, school-of-choice, and religious schools, as well as homeschooling. Half of our members attend Benton Harbor Area Schools, but nearly 65% of all students in that district attend charter schools, religious schools, or schools of choice in five other school districts. In 2022, the Club served over 1,600 youth in grades K-12. While membership continues to rise at all of our locations, there is more youth in our community who could benefit from Club programming. In 2022, the Club added seven new locations to serve youth. In the coming year, the Club anticipates opening three additional locations in River Valley, Bridgman, and Sturgis, where we will be positioned to provide Be There to approximately 1,000 more youth. The Boys & Girls Clubs of Greater Southwest Michigan’s measurement strategy utilizes the BGCA National Youth Outcomes Survey, school educational databases, and program pre? and post? Testing or participant survey information to document and quantify the impact. Additionally, we monitor daily attendance records, program reports, and Academic Success Plan records. These evaluation results are used yearly to improve the Club’s program delivery model as part of our continuous improvement process. Results are also used in communications to our board, donors, stakeholders, and community. Evaluation results can be made available to community partners if requested.


Grantee: FRIENDS OF THE CHILDREN- DETROIT
Program: FY 2023 Congressional Directive Spending Projects
City: DETROIT
State: MI
Grant Award Number: 1 H79 FG001095-01
Congressional District: 13
FY 2023 Funding: $150,000
Project Period: 2023/09/30 - 2024/09/29

Friends of the Children- Detroit’s project “Building Mental Health Services Capacity with a Professional Mentoring Model” will increase the number of children and young people receiving evidence-based mental health and trauma mitigation services and reduce the burden on existing systems of care. This project supports enhanced mental health program supports to youth and families in low-wealth households most impacted by trauma, lack of access to life-saving behavioral health supports, un- and under-employment due to the pandemic, and the intergenerational impacts of decades of disinvestment. For every $1 invested in Friends of the Children, the community benefits over $7 in saved social costs. 83% of youth who receive mentorship from Friends of the Children graduate high school, 93% avoid the juvenile justice system, and 98% avoid early parenting.


Grantee: JEWISH VOCATIONAL SERVICE AND COMMUNITY WORKSHOP
Program: FY 2023 Congressional Directive Spending Projects
City: SOUTHFIELD
State: MI
Grant Award Number: 1 H79 FG001097-01
Congressional District: 12
FY 2023 Funding: $300,000
Project Period: 2023/09/30 - 2024/09/29

Jewish Vocational Services And Community Workshop (AKA JVS Human Services) seeks support to enhance our current Supported Employment program by adding to the program those components that are essential to the SAMHSA evidence-based practice model, yet not currently funded by Michigan’s mental health organizations. This project impacts people with disabilities who are marginalized in the workforce and will enhance the impact of JVS' ability to promote inclusion in community-based employment. This model will improve outcomes for building economic stability and decrease future costs to the mental health system.

The Supported Employment program is partially funded through Medicaid dollars allocated through Michigan’s PIHIP/CMH system. Depending on jurisdiction, these funds are sometimes insufficient to provide even baseline supported employment services, let alone the components necessary for a supported employment program of excellence. The Supported Employment Enhancement project will enable JVS to meet SAMHSA’s evidence-based model. This will lead to greater access to competitive jobs, career navigation and choice, and greater economic stability for those with developmental disabilities and mental health challenges. While prospects for employment for those with disabilities has advanced over time, there is a need to provide thorough programming to enhance outcomes for participants.


Grantee: MICHIGAN STATE DEPARTMENT OF HEALTH AND HUMAN SERVICES
Program: FY 2023 Cooperative Agreements for States and Territories to Improve Local 988 Capacity
City: LANSING
State: MI
Grant Award Number: 1 H79 FG001226-01
Congressional District: 7
FY 2023 Funding: $5,111,987
Project Period: 2023/09/30 - 2026/09/29

In July of 2022, Michigan took a significant step forward in prioritizing mental health by announcing the launch of the new 988 number. The initiative aims at revolutionizing the state's mental health crisis response by strengthening and expanding the network of crisis call centers and ensuring timely and effective support for all individuals experiencing a mental health crisis or any behavioral health related distress. Since the start of 988's go-live in July 2022, metrics have shown that calls received by Michigan call centers have steadily increased from 5,241 in June 2022 to 7,182 in June 2023. Before, during, and after 988's official go live, MDHHS has worked vigorously towards gradually increasing Michigan's service infrastructure over the past year. Since December, Michigan has consistently reached a 90% in state answer rate. Through the 988 State and Territory Improvement Grant, our goals moving into the next year are to focus on expanding Michigan's call center capabilities to answer 988 texts and chats, maintain Michigan's in state answer rate of at least 90% for all 988 calls, work towards improving the quality of interactions between call takers and 988 callers, and ensure that we are tailoring and efficiently marketing 988 to fit all Michiganders' needs, especially those considered high risk or underserved. This initiative will also involve continuing to maintain a close and collaborative relationship among state agencies, mental health organizations, community-based leaders, and stakeholders in order to establish a comprehensive and seamless system of care. With stable call infrastructure in place our new goal now is to focus on finding ways to improve the quality of services to all Michigan residents, but especially those who may be considered to be at a heightened risk. Michigan's primary center, MICAL, is now ready to expand its' capabilities to begin taking texts and chats. Reports outlining 988 text and chat metrics have indicated that the state demand for chat and text went from 247 in May of 2022 to 2,277 in May of 2023, implying both public interest and the expanding need to incorporate chat and text answering capabilities into MiCAL. Michigan has already invested considerable time and resources in the development and implementation of the 988 program. With additional funding provided through the "FY 2023 Cooperative Agreements for States and Territories to Improve Local 988 Capacity" grant, Michigan will be able to have the opportunity to expand its 988 capabilities and resources and work towards improving and tailoring current processes.


Grantee: WESTERN MICHIGAN UNIVERSITY
Program: FY 2023 Congressional Directive Spending Projects
City: KALAMAZOO
State: MI
Grant Award Number: 1 H79 FG001012-01
Congressional District: 4
FY 2023 Funding: $1,820,000
Project Period: 2023/09/30 - 2024/09/29

The mental and behavioral health of young people is an increasingly pressing concern in the United States. Due to a shortage of mental health professionals and limited access to care for Michiganders, there is an urgent need to build workforce capacity. To address this issue, the Resiliency Center for Families and Child (RCFC) at Western Michigan University (WMU) proposes the development and implementation of the Youth Mental health Interprofessional Networking and workforce Development (Y-MIND) program in partnership with WMU's College of Health and Human Services, School of Medicine, and College of Arts and Sciences. The Y-MIND program aims to substantially expand the workforce and increase access to mental and behavioral health care for children and families. The program will be modeled after the Michigan Leadership Education in Neurodevelopmental and Related Disabilities (MI-LEND) program, which has extensive history in preparing the workforce for meeting the needs of people with developmental disabilities. The primary goal of the project is to build capacity to foster resiliency, well-being, and quality of life among young people experiencing mental and behavioral health challenges by training students in culturally responsive services with an interprofessional perspective. The program will serve WMU graduate students across different health-related disciplines, such as medicine, nursing, occupational therapy, psychology, social work, and speech-language-hearing services. In addition, undergraduate students in a pre-allied health or psychology program would receive a scaled version of the Y-MIND, at their current learning level, and implement content into an interprofessional internship. The Y-MIND interprofessional training for WMU students focuses on eight key tenets: recruiting and supporting diverse students, providing interdisciplinary understanding of mental and behavioral health, teaching evidence-based practices, facilitating internships in diverse communities, organizing a student mental health summit, training in cultural responsiveness, program evaluation, and continuous quality improvement based upon stakeholder feedback. Student learning outcomes will be assessed through quizzes, activities, and projects, including a capstone project that focuses on applying the knowledge to their future career, which will be presented at the Mental and Behavioral Health Symposium. In addition, Goal Attainment Scaling will be used to access aggregate mental and behavioral health skill development and knowledge translation across the entire program. During this first year of implementation, faculty from WMU departments and colleges will work together to create and deliver a series of learning modules on treating individuals with mental and behavioral health challenges. These faculty will work with WMU students who will participate in weekly engagement with a mentor, 2-4 asynchronous Mental and Behavioral Health learning modules per month, engagement with a caregiver of a youth with mental and/or behavioral health care needs, and monthly discussion forums with an interprofessional group of faculty. At the end of the project, the Y-MIND team will have developed a mental and behavioral health content and delivered a structure that can be used for future cohorts of students. This will help expand the workforce capacity for mental and behavioral health needs of children and families in Michigan and beyond.


Center: SM

Grantee: ALLEGAN COUNTY COMMUNITY MENTAL HEALTH SERVICES
Program: FY 2023 Certified Community Behavioral Health Clinic Improvement and Advancement Grant
City: ALLEGAN
State: MI
Grant Award Number: 1 H79 SM088952-01
Congressional District: 4
FY 2023 Funding: $1,000,000
Project Period: 2023/09/30 - 2027/09/29

Allegan County Community Mental Health Services dba OnPoint via the CCBHC-IA program (O-CCBHC) proposes continued improvement of access and increased capacity to community-based mental health and substance use disorder treatment and support. These services would be offered to the population of focus for individuals across the lifespan: (1) mild to moderate or serious mental illness, (2) substance use disorders inclusive of co-occurring conditions, and (3) serious emotional disorders; with focus on the uninsured, underinsured, veterans, homeless, or otherwise without access to care. These services, inclusive of 24/7 crisis, will be delivered to anyone in the service area who needs it; regardless of ability to pay or place of residence. This project will address the identified needs of access to mental health and substance use treatment, poor health outcomes, and limited behavioral health providers. Access to mental health and primary care services for individuals living in Allegan County is generally difficult, however, the target population faces even greater adversity with the specific services suited to their conditions. The O-CCBHC project will extend the reach and impact of services for local accessibility. Over the life of the grant, O-CCBHC is committed to serving 1050 individuals (200 in year 1, 250 in year 2, 300 in year 3, 300 in year 4). The first goal of the project is to increase the capacity of O-CCBHC to provide access to evidence-based behavioral health care for uninsured and underinsured adults, children, and families in Allegan County. Measurable objectives include: A) By 9/30/24, O-CCBHC will increase access capacity for un- and under-insured adults, children, and families by no less than 30%. B) By 9/30/24, no less than 30% of access will be same day access. C) By 9/30/24 O-CCBHC will demonstrate 85% compliance with CCBHC 24/7 crisis response standards. D) By 3/31/24, O-CCBHC will onboard 2.0 FTE peer outreach specialists to identify and engage the target population. E) By 12/31/23, clinicians embedded in the O-CCBHC housing department will provide community-based behavioral health access, screening, and assessment for homeless and precariously housed individuals. The second goal of the project is to increase evidence-based behavioral health services for un- and under-insured adults, in Allegan County through O-CCBHC. Measurable objectives include: A) By 9/30/24, O-CCBHC will increase provision of evidence-based behavioral health services to un- and under-insured adults, children, and families in Allegan County by no less than 35%. B) By 9/30/25, all O-CCBHC clinicians will be trained to fidelity in no less than an average of 3 identified EBPs. The third goal of the project is to strengthen the continuum of substance use prevention and treatment services to decrease the impact of substance use in the lives of individuals and families in Allegan County. Measurable objectives include: A) By 9/30/24, O-CCBHC will serve no less than 50 individuals through recovery management services. B) By 9/30/24, O-CCBHC will increase community-based delivery of SUD treatment services by no less than 35%. C) By 9/30/24, O-CCBHC will engage no less than 50 adults in evidence-based SUD prevention services. D) By 9/30/24, O-CCBHC will increase medication assisted treatment capacity by 25%. The O-CCBHC project will also augment OnPoint's evidence-based practice capacity to support the ongoing service needs for those who are uninsured and underinsured. Performance measures will be managed through the quality infrastructure to support the service array. Consumers will be meaningfully involved in the governance of O-CCBHC and their own care. This project will assist in the development and continuation of state demonstration.


Grantee: AMERICAN INDIAN HEALTH AND FAMILY SERVICES OF SOUTHEAST MICHIGAN, INC.
Program: Garrett Lee Smith State/Tribal Youth Suicide Prevention and Early Intervention Grant Program
City: DETROIT
State: MI
Grant Award Number: 5 H79 SM082120-04
Congressional District: 13
FY 2023 Funding: $586,000
Project Period: 2020/01/15 - 2025/01/14

Grantee: AMERICAN INDIAN HEALTH AND FAMILY SERVICES OF SOUTHEAST MICHIGAN, INC.
Program: FY 2023 Tribal Behavioral Health
City: DETROIT
State: MI
Grant Award Number: 1 H79 SM088776-01
Congressional District: 13
FY 2023 Funding: $250,000
Project Period: 2023/09/30 - 2028/09/29

American Indian Health and Family Services (AIHFS) was established in 1978 with a mission to enhance the physical, spiritual, emotional and mental well-being of Native American families and other underserved populations in Southeast Michigan (SE-MI). We serve American Indian and Alaskan Native (AI/AN) urban populations relocated due to federal relocation policies and many are unemployed, poor and have high incidences of heart disease, diabetes, depression, substance abuse, and suicide. With funding from the Native Connections Grant, AIHFS will strengthen its programming to reduce and prevent prevalence of substance abuse and suicide among urban AI/AN youth in Metro Detroit. Based on the results of the systems analysis, the needs assessment, the CRA and Resource/Asset Map, we will take a Three-Tiered approach to assess needs, and develop and implement an ACTION plan with at-risk youth age 10-24 to prevent and reduce suicide, substance abuse, the impact of trauma, and promote mental health. This includes Hope & Wellness suicide and substance use screenings with youth in our BH department, and at community venues; utilizing evidence-based methods including traditional healing, that target suicide and substance abuse to keep youth safe and sober; coordinating care, and follow-up through all care transitions, that include safe hand-offs to service providers; and increased emphasis on follow-up via face-to-face meetings and/or phone calls.


Grantee: ARAB COMMUNITY CENTER/ECON/SOCIAL SRVS
Program: National Child Traumatic Stress Initiative – Category III: Community Treatment and Service (CTS) Centers
City: DEARBORN
State: MI
Grant Award Number: 1 H79 SM087901-01
Congressional District: 12
FY 2023 Funding: $578,925
Project Period: 2023/09/30 - 2028/09/29

The Arab Community Center for Economic and Social Services of Dearborn, Michigan will implement Trauma Systems Therapy for Refugees with trauma-affected refugee and immigrant youth and their families in outpatient and community-based settings in Dearborn, Melvindale, and Allen Park. The project will receive Trauma Systems Therapy for Refugees training and technical assistance services from a NCTSI Category II Center – Boston Children’s Hospital, Trauma and Community Resilience Center (TCRC). The project will include refugee and immigrant community and school staff outreach and engagement, skill-building groups for traumatized youth, individual therapy, and family therapy. A total of 480 trauma-affected adolescents aged 10 to 17 will participate in the project over five years. The following five-year outcomes are anticipated: 1. ACCESS clinicians and cultural brokers learn, adapt, and implement Trauma Systems Therapy for Refugees (TST-R) evidence-based treatment approach, as measured on Boston Children’s Hospital’s TST-R Training Post-Test 2. 20 school social workers, 30 other school staff, and 25 ACCESS staff, who work daily with resettled refugee children and adolescents report, as measured on Boston Children’s Hospital’s TST-R Community Orientation Post-Test, being more knowledgeable and better equipped to address social environmental and system of care factors that exacerbate youth traumatic stress. 3. Of the estimated 480 refugee and immigrant children and adolescents who receive initial treatment from this project, 384 (80%) will demonstrate, at the end of the 12 group sessions, improved emotional regulation capacities and personal resilience, as measured on the (1) Social Competence Scale and (2) Psychological Sense of School Membership Scale Of the estimated 120 refugee and immigrant children and adolescents (and their families) who receive intensive treatment and care management assistance from this project, 90 (75%) will demonstrate a decrease in experiences of discrimination, family resource hardship, symptoms of depression, or post-traumatic symptoms and an increase in sense of school belongingness, as measured on pre- and post-treatment administration of the Strengths and Difficulties Questionnaire (for youth) and Structured Trauma-Related Experiences and Symptom Screener (STRESS) (for youth and parents).


Grantee: ARBOR CIRCLE CORPORATION
Program: National Child Traumatic Stress Initiative – Category III: Community Treatment and Service (CTS) Centers
City: GRAND RAPIDS
State: MI
Grant Award Number: 1 H79 SM087790-01
Congressional District: 3
FY 2023 Funding: $592,724
Project Period: 2023/09/30 - 2028/09/29

Arbor Circle’s EACH (Expanding Access to Childhood Healing) project will increase access to effective trauma and grief focused treatment and strengthen systems for children, adolescents and their families who experience traumatic events and are historically underserved. AC’s EACH project will be aimed at children, youth and families that are experiencing housing instability, living at/below the poverty level, are involved in the child welfare system, identify as LGBTQ+ and/or have witnessed violence. Currently across the state of Michigan, access to behavioral health is limited/low while traumatic experiences continue to increase and compound. Access to quality care is particularly challenging for families on Medicaid and/or living in under-resourced communities. Arbor Circle’s EACH project will address this gap by providing robust and targeted outreach and services to the target population, increased trauma screening to children/youth and evidenced based interventions to any child/youth that screens positive for trauma. Additionally, the project will embed services into existing systems and organizations to increase awareness of trauma and trauma services while also breaking down current barriers to access. The following goals and objectives have been identified for the project: Goal 1: Expand availability of staff trained in evidence-based practices of TF-CBT, Play Therapy, & Youth Thrive Framework. Objectives 1. Hire 2 additional therapists within 3 months to provide expanded trauma treatment services for new partner referrals and self-referrals. 2. Hire a therapist within 3 months to provide services within Ottawa and Muskegon foster care service areas. 3. Expand trainings in EBPs to at least 2 trainings offered per year for all child mental health programs beginning in YR2. 4. 100% of staff will be trained in EBPs of TF-CBT, Play Therapy, & Youth Thrive Framework. 5. Conduct an organization-wide self-assessment in Year 1, 3 and 5 of the project to identify gaps in services, improve trauma-informed care practices, and expand training access as necessary. Goal 2: Establish a formal referral network to increase availability of screenings/referrals throughout the service area and establish new partnerships to provide coordinated services for children needing services for trauma. Objectives 1. Form the Child Referral Network of community partners in Kent, Ottawa, and Muskegon counties within 3 months to share referral criteria/streamline protocols. 2. Provide annual training on trauma screening, available treatment groups, and expanded referral criteria for the Child Referral Network. 3. Update marketing materials with specific language around newly available services and expanded referral criteria within 3 months. 4. Formalize agreements with AYA and Urban League within 3 months to provide coordinated, trauma-informed care for youth that screen positive for trauma. 5. Support and train community partners AYA and Urban League to conduct an organization-wide self-assessment in Year 1, 3, and 5 of the project. Goal 3: Provide and expand trauma treatment services both within Arbor Circle and through partner organizations, with a focus on historically underserved populations. Objectives 1. Conduct 200 trauma screenings per year either through Arbor Circle programs or the Child Referral Network 2. Serve 60 children in Year 1 and 120 per year thereafter throughout all of Arbor Circle’s programs. (540 total) 3. Establish a therapy group for children who have experienced Sexual or Gender Identify (SOGI) Change Efforts within 12 months. 4. Establish a therapy group for children who have experienced homelessness as a trauma within 3 months. 5. Provide trauma therapy for 45 children involved in child welfare that screen positive for trauma per year.


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