MN Discretionary Funding Fiscal Year 2018

"Carleton College GLS Campus Suicide Prevention Initiative: Everyone?s Responsibility" leverages existing campus services and community networks to ensure that suicide prevention is everyone's responsibility. This ambitious program will serve all 2000 students each year, with focus on particular vulnerable populations, including LGBT students and those experiencing substance abuse and mental health problems; provide training for 200 faculty and 100 gatekeeper staff; and develop yearly communications and programs for parents. The Carleton project incorporates goals and objectives from the National Strategy for Suicide Prevention (NSSP) and aims to implement a comprehensive and data-driven approach to suicide prevention, with the vision that one death is too many. Carleton project goals include (1) adoption of zero suicides as an aspirational goal on the Carleton College campus; and (2) promotion of positive mental well-being as the norm on the Carleton College campus. Carleton will facilitate a comprehensive public health approach to preventing suicide, promoting prevention as a core component of all campus health care services. The project will build essential capacity and infrastructure to support expanded efforts to promote wellness and help-seeking of all students. Demographics of target audiences include students who identify as minority (24.4%), first-generation (11.1%), and GLBT (12.1%, plus 12.2% unsure/other), and those experiencing two or more stressors in the past 12 months (41.9%). As Carleton promotes its primary goal of zero suicides, it will achieve ambitious, measurable outcomes related to four objectives: (1) developing collaborative responsibility among campus and community partners to increase referral capacity, especially for high-risk students, and deliver the message that suicide prevention is everyone's responsibility; (2) providing educational seminars and informational materials for students, faculty, staff, and family members; (3) providing training to students, faculty, and staff on suicide prevention (4) increasing help-seeking among students, and reducing negative attitudes for seeking care for mental and substance use disorders among students. The primary goal will be complemented by a second goal of promoting mental well-being, which will include specific outcomes related to three objectives: (1) training students, faculty, and staff about protective factors and mental health promotion behaviors; (2) utilizing new and existing educational seminars and materials for students, faculty, staff, and family members regarding protective factors and mental health promotion behaviors; (3) providing sustained messaging regarding mental health awareness. A distinctive feature of the Carleton GLS suicide prevention project will be the leadership role of the new Office of Health Promotion (OHP), whose mission is to create the healthiest possible campus environment in which all students are able to flourish. OHP strategies include advocating for health-supporting environments guided by cultural inclusion, respect, equality and equity; focusing on population-level outcomes for the prevention of high-risk behaviors; and promoting overall well-being through the use of initiatives that are evidence based and/or theory informed. The OHP also coordinates a SAMHSA "Strategic Prevention Framework Partnerships for Success" (PFS) grant to reduce drinking and marijuana abuse on the Carleton campus. The Carleton GLS Suicide Prevention project will coordinate with and support the strategies of the PFS grant.

75 Native youth will increase their mental health/well-being; positive sense of self, social competencies, positive values, commitment to learning, social supports, boundaries/expectations, constructive use of time, and empowerment Nawayee Center School seeks to reverse the impact of historic trauma by providing culturally significant mental health support services in a safe and educational environment. Critical aspects of this program set it apart from other Native youth initiatives in the area; its in-school approach with a captive audience already in school, credit-earning activities to help students progress in their goal of graduating which is essential for this population, and an integrative and positive approach. Both in-school and out of school program components support each other and expose Native youth to eight full hours of positive role model adults and a positive and creative focus with additional professional artists. Licensed Master’s level professionals bring important expertise to target mental health and substance abuse protective factors in program curriculum. The project will not only provide mental health and substance abuse support services, it will use traditional culture as a resiliency model and promote inter-generational engagement, with an ultimate goal to help students achieve academic and future success.

Central Minnesota Mental Health Center in partnership with CentraCare Health will launch, Healthcare Integration Collaborative, an integrated care continuum to provide 2,000 individuals in greater Minnesota with comprehensive, holistic behavioral health and primary care that ensures: access to co-located, client-focused behavioral and primary care, improved health and lifespan for the population of focus, and cost effective strategies that meet client needs. This project will target individuals in the rural greater Minnesota four county region of: Stearns, Benton, Sherburne, and Wright counties. This will include adults with a serious mental illness (SMI), over age 18, who currently or at any time during the past year, have had a diagnosable mental, behavioral, or emotional disorder, resulting in functional impairment, which substantially interferes with or limits one or more major life activities. Healthcare Integration Collaborative (HIC) will improve the physical health status of adults with serious mental illnesses (SMI) and those with cooccurring substance use disorders who have or are at risk for co-morbid primary care conditions and chronic diseases.

Century College, a public community and technical college serving the Northeast Metro of Minneapolis - St. Paul, will implement a three-year project to: 1. train at least 1,452 individuals through the Mental Health First Aid curriculum to recognize the signs and symptoms of serious mental illness and serious emotional disturbance and to appropriately and safely respond; 2. expand the College's services and collaborative relationships with community-based mental health service providers to support more individuals in need of mental health care; 3. train emergency services personnel, veterans, law enforcement, fire department personnel, and others to identify persons in need of care and employ crisis de-escalation techniques; and 4. educate individuals at our college and in our communities about supportive resources available for those with a mental disorder.

Due to recent and historical events, the City of Minneapolis, both the enterprise and its residents, can greatly benefit from an effort to increase the capacity of community-based approaches to strengthening the engagement and resilience of well-being for residents. There are many efforts - public and private, city wide, and neighborhood - to address the issues that factor into quality of life indicators: healthcare, education, income and employment opportunities, housing and transportation. Admittedly, much of this work is isolated. With ReCAST funds, the City will have the resources currently unavailable, and staff to bring together the key stakeholders on a consistent and regular basis, working to address these pervasive and continuing disparities. Additionally, the City and its community partners will use the funds to build capacity towards trauma recovery initiatives in community based organizations.
The City is committed to addressing community healing and working with residents to strengthen and unify the city in the aftermath of this incident through a two-pronged framework. First, the City will focus on community healing and prevention and intervention efforts with high-risk youth and their families. Second, the City will provide training in trauma-informed approaches for first-point-of-contact City staff and staff of community institutions.
The City's framework to meet the above goal of community healing and strengthening relationship between the City and its residents is two pronged. First, to focus on community engagement/healing and intervention/prevention for high-risk youth and their families. Second, to provide training in trauma informed approaches for constituent-facing City staff and community institutions.

The Hennepin County Early Diversion Project will improve early diversion capacity in Minneapolis and its suburbs. Co-Responder Teams will respond to Emotionally Disturbed Person (EDP) 911 calls and make follow-up visits for assessments and referrals to community services. A new Behavioral Health Care Center will function as a law enforcement transfer point diverting individuals with SMI or COD away from jail and justice system involvement into immediate and ongoing community mental health and substance abuse services. Hennepin County will sustain and expand Minneapolis Police Department Co-Responder services to three officer/psychiatric social worker teams that will respond to an estimated 1,800 EDP 911 calls (approximately 400 per full year of the grant) and refer an estimated 1,050 individuals for ongoing SMI/COD services (approximately 300 per full year of the grant). Hennepin County will also implement its new Behavioral Health Care Center. The Center will be an early diversion site where MPD officers can conduct warm hand-offs to a wide variety of mental health and substance abuse services. The focus of grant activity is to embed SW/LADC case managers and two peer recovery specialists contracted from community mental health providers at the Center to successfully enroll an estimated 360 Center users with SMI/COD in ongoing evidence-based and medically necessary services and supports (approximately 80 per full year of the grant). Parallel Center services funded by Hennepin County tax dollars and third-party billing will provide withdrawal management services, short-term residential mental health crisis stabilization services, a primary/urgent care clinic specializing in individuals with SMI/COD, and intakes for social services at the same site. Hennepin County’s goals are to increase successful enrollment and retention of diverted individuals into ongoing care, reduce arrests and use of force, reduce overall bookings of individuals with SMI/COD into the Hennepin County Detention Center, and reduce the number of post-enrollment detention events within the population of participants vs. pre-enrollment baselines. Through this project, Hennepin County will expand and extend its Co-Responder services and implement an innovative Behavioral Health Care Center model that successfully diverts hundreds of individuals with SMI/COD from arrest and detention into ongoing, evidence-based mental health and substance use disorder services and supports.

Human Development Center (HDC), a community mental health agency headquartered in Duluth, Minnesota, has been funded for approximately $2 million per year for two years under a SAMHSA funding opportunity for Expansion of Certified Community Behavioral Health Clinics (CCBHC). The grant will enable HDC to expand by at least 20% its comprehensive mental health and substance use programs, bringing hope to an additional 1,500 individuals annually, who currently do not have access to services. Since 1938, HDC has served the communities of four Minnesota counties in the Arrowhead region of northeastern Minnesota, serving over 7,500 clients annually with a comprehensive array of outpatient and community-based behavioral health services. We are excited about CCBHC. Previously, there was no statutory designation defining the services of a community mental health center. CCBHC defines the required outpatient and community-based services that must be offered, and how those services must be integrated for the benefit of the patient, in order to be certified. CCBHC will become an integral part of the healthcare safety net in America, serving people who suffer from serious mental illness, substance use disorder, or co-occurring disorder. Approximately 4.1% of the population suffers from serious mental illness, and more than 8% from substance use disorder. Many who suffer from these illnesses do not seek treatment, and many who do are not treated comprehensively. CCBHC has proven effective in creating greater access to services and with better outcomes for patients. HDC will have two main focuses for this grant. First, the intake process will be re-vamped to create greater access to screening and assessment for patients of all ages, with immediate referral to services that can be most helpful to the individual. Second, to address the opioid addiction crisis, HDC will expand its outpatient treatment program by offering the area’s first withdrawal management program and office-based Medication Assisted Therapy. Additionally, coordination of care is strongly emphasized with CCBHC, which means that a psychiatric nurse or case manager with behavioral health expertise will take charge of the care for each patient. The most exciting aspect of the CCBHC is the transformation of the practice, moving from a model of taking appointments, sometimes several weeks out, to a patient-centered approach with immediate access to services that can be helpful now, while the patient is in distress.

Metropolitan State University (MSU) proposes to broaden and deepen partnerships with external resources and prepare and engage the university's many internal stakeholders in suicide prevention. Through messaging, training and educational programming, faculty, students and staff will learn what resources are available and what they can do if they experience a crisis or know someone in crisis. Metropolitan State serves a nonresidential student body with large numbers of adults, first generation college students, students of color, immigrants and refugees, low income people and other underrepresented at-risk populations, including veterans, people with disabilities and LGBTQA students. The project will: 1) Collaborate with on-campus and off-campus partners, strengthen the University's crisis response plan, including emergency psychiatry, follow-up care, and training of key personnel to enhance the University's overall capacity to identify and meet the needs of students at risk of suicide, in a timely manner. 2) Involve the campus community in training, educational workshops, and shared information to reinforce the message that suicide is everyone's responsibility. 3) Increase the number of staff, faculty and student leaders who have received gatekeeper training. 4) Provide educational workshops to students, faculty and staff on suicide prevention, risk factors for suicide, and protective factors for suicide. 5) Increase the cultural competency within the community in responding to those at risk for suicide, including LGBTQ, Veterans, students of color, immigrants, refugees and international students, first generation college students, and students with disabilities. 6) Increase the quality, quantity and distribution of informational.

ABSTRACT The Minnesota Department of Human Services, in partnership with families and youth, the Departments of Corrections, Education and Health, 36 Minnesota counties, the Fond du Lac Band of Lake Superior Chippewa, the University of Minnesota, child serving collaboratives, and community and advocacy organizations across the state, proposes to expand the current system of mental health care for youth experiencing serious emotional disturbances and their families. The proposed transformation of Minnesota?s existing system of care will address disparities in mental health services for children ages birth to 21 who have been traditionally under served. Minnesota System of Care Expansion (MN SOC XP) will pilot and demonstrate new and enhanced services and create financing and policy reforms necessary to sustain a system of care that is family driven, youth-guided, culturally relevant and respectful, and grounded in sound scientific evidence. In year one of the initiative, the goal is to serve 3,000 youth with serious emotional disturbances and their families. These are children who receive clinical mental health services and targeted case management, and who are likely involved in multiple systems. By the end of the four-year initiative, the system of care will reach 18,129 youth annually. The Vision of the Minnesota System of Care Expansion initiative is to build healthy communities through partnership, innovation and hope for all Minnesota children and families. Measurable goals for Minnesota?s expanded system of care are 1) identify children and youth early in the emergence of SED to provide service and support that promotes full community integration, and 2) build local and state leadership to coordinate across jurisdictions for data-informed system of care development, policy reform, and financial sustainability. In order to accomplish these goals, the partners are committed to providing services that are grounded in the SAMHSA System of Care Values and Principles: clinically appropriate and individualized; provided in the least restrictive environment; family-driven, with families engaged as active participants; guided by youth; community- based with care management occurring at the community level; culturally and linguistically competent, and collaborative across child-serving systems.

The population of focus is all youth and young adults age 10-24 throughout Minnesota; while prioritizing American Indian youth and tribal communities. Having our program provide supports for the entire state, while targeting communities of increased risk, allows for the grant- funded coordinators and liaisons to address emerging issues over the course of the five year funding and beyond. The project goals are:

1) Make suicide prevention a core component of behavioral/health care services that will decrease suicide by 10% in 5 years, 20% in 10 years working towards zero deaths.

2) Implement effective programs to increase communities' capacity to identify youth at-risk and connect them to the coordinated and competent behavioral/health care system to decrease the number of medically-treated suicide attempts.

3) Support healthy and empowered individuals, families, and communities to increase protection from suicide risk. We will be working closely with schools and youth- serving organizations to prioritize building protective factors in our youth.