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MS Discretionary Funding Fiscal Year 2018

Center: SM

Grantee: COMMUNICARE
Program: SOC Expansion and Sustainability Coop
City: OXFORD
State: MS
Grant Award Number: 5 H79 SM063400-03
Congressional District: 1
FY 2018 Funding: $888,774
Project Period: 2016/09/30 - 2020/09/29

North Mississippi Commission on Mental Illness/Mental Retardation, which serves Region II in North Mississippi (d.b.a. Communicare) and partners will expand, integrate and sustain the SOC project for Region II, serving Lafayette, Marshall, Panola, and Yalobusha counties in Mississippi to improve mental health outcomes for children, youth, adolescents (ages 0-21 with SED) and their families. The project creates sustainable infrastructure and services that are required as part of the SOC Expansion and Sustainability Cooperative Agreement and expands services to include more partners and more points of intercept to enable more children and youth to be served.


Grantee: COMMUNICARE
Program: Mental Health Awareness Training
City: OXFORD
State: MS
Grant Award Number: 1 H79 SM081338-01
Congressional District: 1
FY 2018 Funding: $125,000
Project Period: 2018/09/30 - 2021/09/29

The CommuniCARE-AWARE, Mental Health Awareness Training Program, led by the North Mississippi Commission on MI/MR with 32 years of proven experience, will serve adults residing in Region 2, a geographic catchment area comprised of six rural medically underserved counties in North Mississippi where there is a high concentration of behavioral health issues, including Serious Mental Illness (SMI) and/or Serious Emotional Disturbance (SED), and existing behavioral health disparities. Name: CommuniCARE-AWARE Mental Health Awareness Training Program. Individuals Trained: Law enforcement, military recruiters, veterans and their families, National Guard, first responders, university students, primary care physicians, faith-based organizations, school personnel and the general public. Population of focus Adults (referred by mental health first aiders) 18 years of age and older with mental disorders, SMI; 39% female; 59% male; 1% transgender; 66% African American, 3% Hispanic/Latino 11% Multi-Racial; 29% White (non-Hispanic); 2% LGB; 75% trauma-involved; 60% Co-occurring Disorders and 1% HIV and/or viral hepatitis positive. Goal: Address existing behavioral health disparities by promoting mental health awareness trainings, decreasing stigma, expanding workforce training capacity resulting in expanded access and availability of trauma-informed, culturally and linguistically appropriate mental health services. Strategies: Use the evidence-based Mental Health First Aid (MHFA) and MHFA for Public Safety training programs to certify MHFA instructors and implement MHFA trainings to: prepare mental health first aiders to appropriately and safely respond to adults with mental health disorders by utilizing de-escalation techniques; establish linkages with community-based mental health and refer adults with the signs or symptoms of mental illness to mental health services; develop and launch a training plan and social media campaign aimed at decreasing stigma; disseminate mental health awareness education and resource guides; convene an interagency advisory team representative of the communities served supporting strategies aimed at early identification, stigma reduction, and referrals to mental health services. Objectives: Of the 25 individuals trained/certified annually as MHFA Instructors, 80% will facilitate at least one (1) training in the year following their certification as an instructor; 100 participants will be trained each year and 90% will successfully complete the program; at least 85% of the adults trained will self-report an increase in adult mental health literacy, as measured by pre- and post-surveys; 85% of interagency advisory team members will attend 90% of leadership meetings; and increase the number of adult behavioral health referrals by at least 10%. Numbers served: 25 individuals will be trained/certified as MHFA instructors, totaling 75 in 3-years; 100 individuals will be trained as mental health first aiders, totaling 300 in 3-years; screen/assess 100 individuals referred by mental health first aiders, totaling 300 in 3-years.


Grantee: HINDS COUNTY BOARD OF SUPERVISORS
Program: SOC Expansion and Sustainability Coop
City: JACKSON
State: MS
Grant Award Number: 5 H79 SM063428-03
Congressional District: 3
FY 2018 Funding: $341,866
Project Period: 2016/09/30 - 2020/09/29

The NFusion Metro System of Care improves behavioral health outcomes for children and youth (birth-21) with serious emotional disturbances (SED) and those with early signs and symptoms of serious mental illness (SMI), including first episode psychosis (FEP), by enhancing and expanding trauma-informed evidence-based practices for children, youth and families served. The proposed project further advances lessons learned and replicate the state's NFusion model in Hinds county building a recovery-infrastructure for youth and families. (1) developing strategies to eliminate disparities; (2) facilitating collaboration between the SOC Interagency Council and legislatively mandated statewide councils; (3) promoting flexible local resources; and (4) developing a clear cross- agency strategic plan. Evidence-based expansion services include: Trauma-Focused CBT, Youth Mental Health First Aid, intensive care coordination utilizing the Wraparound approach, intensive in-home services; expanded in-home and community-based services, mobile crisis response and stabilization services; peer services (parent and youth support services) and respite services.


Grantee: HINDS COUNTY MENTAL HEALTH COMMISSION
Program: AOT
City: JACKSON
State: MS
Grant Award Number: 5 H79 SM063548-03
Congressional District: 2
FY 2018 Funding: $700,000
Project Period: 2016/09/30 - 2020/09/29

The Hinds County Mental Health Commission (d.b.a. Hinds Behavioral Health Services), court and community providers will implement and evaluate the Assisted Outpatient Treatment program delivering evidence-based practices to reduce the incidence and duration of psychiatric hospitalization, homelessness, incarcerations, and interaction with the criminal justice system, while improving the health and social outcomes of individuals with serious mental illness (SMI) and their families. Project Name: Assisted Outpatient Treatment. Population(s) served: Adults (18 years and older) and their families, who reside in Hinds County, are diagnosed with SMI and in need of court-ordered outpatient treatment. Evidence-based services: AOT, Motivational Interviewing, Stages of Change, Person-Centered Treatment, Seeking Safety, Wraparound/Full Service Partnership, peer/family supports, recovery coaching, Crisis Intervention Training, cultural competency cross-systems training and Mental Health First Aid training. Project Goal: Implement culturally competent, trauma-informed, multi-disciplinary community-based outpatient mental health treatment team services to individuals with SMI and their families with a flexible, continuous quality improvement approach utilizing court intervention, person-centered case management, systems navigation and evidence-based practices and programs delivered in the most fully-integrated and least restrictive environment. Number to be served. 75 per year, 300 across four-years.


Grantee: MISSISSIPPI BAND OF CHOCTAW INDIANS
Program: Native Connections
City: CHOCTAW
State: MS
Grant Award Number: 1 H79 SM081526-01
Congressional District: 3
FY 2018 Funding: $250,000
Project Period: 2018/09/30 - 2023/09/29

The Mississippi Band of Choctaw Indians (MBCI), Choctaw Health Center’s Behavioral Health Program is submitting application for the Tribal Behavioral Health Grant Program (Short Title: Native Connections). This project will be titled Choctaw Native Connections (CNC). The project purpose will be to prevent and reduce suicidal behavior and substance use, reduce the impact of trauma, and promote mental health among MBCI youth through the age of 24 years, while improving transitioning outcomes as this group move into adulthood. This funding opportunity will assist with building capacity and collaborations to effectively treat and impact the identified population for the above listed issues through the use of culturally responsive models and approaches. The CNC Project is intended to reduce the impact of mental and substance use disorders, and respond to the impact of trauma. This project will enhance the MBCI infrastructure to improve collaboration among agencies to support youth as they transition into adulthood. The stated goals for the CNC project are as follows with a detailed set of objectives outlined within the


Grantee: MISSISSIPPI FAMILIES AS ALLIES, INC.
Program: Statewide Family Networks
City: JACKSON
State: MS
Grant Award Number: 1 H79 SM080838-01
Congressional District: 3
FY 2018 Funding: $94,975
Project Period: 2018/09/30 - 2021/09/29

Founded in 1990, Families as Allies is the only statewide organization run by and for families of children with behavioral health challenges in Mississippi. This project, “Partnering in Your Child’s Care”, builds on and expands our grassroots family network. It also facilitates improved policies driven by families and increases awareness about children’s mental health, goals that are critical given Mississippi’s poverty rate, systemic racial disparity and lack of access to resources. Specifically, this project will engage families from across the state in parent-led workshops about the systems that most affect children with behavioral health challenges: education, mental health and Medicaid. Families will learn how to navigate the different systems, what they should expect and what their rights are. Fifty parents will be trained the first year and 100 parents in years two and three for a total of 150 parents over the course of the project. In addition to helping families advocate for their own children, the training in this project will prepare at least ten parents each year (thirty total) to serve on local or state policy committees, thus influencing care in the state at a more systemic level and engendering changes that benefit children both in and beyond the project. We also hope this will strengthen Families as Allies in its partnerships with each of the relevant state systems. Additional training will target mental health providers and parent peer support specialists. At least twenty mental health providers each year will learn the benefits of partnering with families and using a family-driven approach, leading to changes in practice that should be sustained far beyond the life of the project. Parent peer support specialists will be offered newly-developed supportive coaching to help them help other families deal with school issues, the most common and challenging barrier families face. All of these activities will be planned and implemented in partnership with other disability-related statewide family organizations, local grassroots family groups and any individual parents who are interested. Not only will this approach enhance Families as Allies’ already strong working relationships with these groups, but it will also allow these organizations to benefit from the initiative’s training and information. Data gathered from the families who participate will be used to inform and improve Families as Allies’ work in the state and also identify relevant policy issues and needed changes in child-serving systems. We will build on Families as Allies’ history of issuing policy updates and also engage more families in work with policy makers and state leaders. The project’s activities and findings will be shared in our monthly electronic newsletter and on various social media platforms so that decision makers and the general public will gain understanding of how family-driven care results in better outcomes for children and a more effective service system. We expect to increase the circulation of our newsletter by 500 readers each year and 1500 over the course of the project.


Grantee: MISSISSIPPI STATE DEPARTMENT OF MENTAL HEALTH
Program: SYSTEM OF CARE
City: JACKSON
State: MS
Grant Award Number: 5 H79 SM080139-02
Congressional District: 3
FY 2018 Funding: $2,772,213
Project Period: 2017/09/30 - 2021/09/29

Crossover Xpand System of Care Project The Mississippi Department of Mental Health (MS DMH) is proposing to expand current and graduated System of Care (SOC) programs in two jurisdictions served by Pine Belt Mental Healthcare Resources and Weems Community Mental Health by prioritizing underserved children and youth who are involved in the child welfare/advocacy system and/or the juvenile justice system, referred to as ?crossover youth,? and those at risk for becoming crossover youth, and their families. The priority children and youth will have a diagnosed serious emotional disorder (SED), co-occurring disorder (COD), or first episode of psychosis (FEP), be ages 3 -21, reside in Forrest, Jones, Lauderdale, or Marion Counties in Mississippi, and be involved with child protection services and/or juvenile justice, or be at risk for involvement. We intend to redesign service systems at the county level to identify and intercede at strategic intercept points within the systems of care. Targeted case managers will be integrated within primary care, child welfare, youth court, schools, detention centers, and child advocacy centers to provide universal screening and assessments, service system navigation, and trauma-informed mental and behavioral health care. A family nurse practitioner will be integrated into several mental health sites to provide brief primary care interventions. We hope to create a paradigm shift by redesigning the service approach to incorporate the SOC philosophy and use wraparound principles, including coordinated, community-based, comprehensive, trauma-informed, and integrated services that are youth guided and family driven, as well as culturally and linguistically competent. The goals of Crossover Xpand SOC are: 1) to expand Mississippi?s SOC by targeting at risk and crossover youth (ages 3-21) with SED/COD/FEP and their families and expanding integrated care with evidence-based interventions; 2) to increase awareness of, and community commitment to, the mental health issues of at risk and crossover youth; 3) to improve organizational and systemic capacity to serve at risk and crossover youth with SED/COD/FEP across five levels of care; 4) to expand youth and family roles as full and equal partners within an integrated system of care; and 5) to use continuous quality improvement to drive and sustain effective service delivery for replication. Crossover Xpand SOC will annually engage a minimum of 100 at risk or crossover youth, for a total of 400 youth over the entire project period. Other objectives include improving time to engage youth by integrating services at strategic intercept points, expanding access to care, and creating a skilled trauma-focused workforce.


Grantee: MISSISSIPPI STATE DEPARTMENT OF MENTAL HEALTH
Program: Early Diversion Grants
City: JACKSON
State: MS
Grant Award Number: 1 H79 SM080574-01
Congressional District: 3
FY 2018 Funding: $329,603
Project Period: 2018/09/30 - 2023/09/29

The Mississippi Department of Mental Health (DMH) is applying in partnership with Pine Belt Mental Healthcare Resources (PBMHR) to target and deliver services to individuals with SMI/COD in Forrest County, Mississippi. For the purposes of this project, these individuals will be identified when encountered by trained and certified CIT (Crisis Intervention Team) officers. CIT officers are trained and have protocols in place to enable them to identify individuals with mental health or co-occurring conditions, de-escalate them, and then conduct warm hand offs and transfers to MCeRT (Mobile Crisis Emergency Response Team) staff. Using motivational interviewing techniques, MCeRT will engage individuals into evidence-based mental health treatment and recovery support services. Lessons learned from this endeavor will be applied to expand CIT to other counties in southern Mississippi. The purpose of this project is to expand the CIT and MCeRT programs in order to divert individuals and veterans with SMI/COD from arrest to community-based recovery services. Specifically, Pine Belt CIT expects to divert and provide MH/COD treatment and recovery support services to a minimum of 70 individuals per year, for a total of 350 over the project period. Following are the goals and objectives: Goal 1: Increase the capacity of service providers in southern Mississippi to divert individuals with SMI/COD from arrest and booking into treatment; Objective 1a: Utilize social marketing activities to generate interest and engage 4 additional communities in the development of a CIT program; Objective 1b: By the end of the project period, four additional counties in southern Mississippi will have convened Interagency Law Enforcement & Behavioral Health Partnership groups; Objective 1c: Utilize outside expert consultation advice to provide guidance and feedback on the development of new CIT programs three times each year; Objective 1d: A minimum of 24 officers will become CIT certified each year of the project; Objective 1e: Provide professional development opportunities to at least two staff each year through SAMHSA and CIT International Conferences; Objective 1f: A Law Enforcement & Behavioral Health Diversion Toolkit will be developed and available for dissemination by the end of the project period. Goal 2: Enroll and engage individuals with SMI/COD into community-based care; Objective 2a: Within 2 months of start of project, increase the capacity of MCeRT to serve Forrest County by adding a Forrest County based team. Objective 2b: All Forrest CIT encounters will be reported to PBMHR for follow-up within 24 hours in a written CIT Incident Report; Objective 2c: Annually, MCeRT will engage a minimum of 70 individuals with SMI/COD encountered by CIT officers to participate in Seeking Safety; Objective 2d: All participants will collaborate with a clinician to develop and participate in an individualized service plan that is consistent with clinical standards of care in the least restrictive environment; Objective 2e: Within one week of enrollment in project participation, Community Support Specialists (CSS) will assess all participants’ life domains, develop fluid service plans, and assist participants with accessing supports; Objective 2f: Participants will have access to psychiatric services within 2 weeks of enrollment.


Grantee: MISSISSIPPI STATE DEPARTMENT OF MENTAL HEALTH
Program: Mental Health Awareness Training
City: JACKSON
State: MS
Grant Award Number: 1 H79 SM081126-01
Congressional District: 3
FY 2018 Funding: $114,997
Project Period: 2018/09/30 - 2021/09/29

Mississippi’s Mental Health Awareness Training Project, referred to as the MHAT Project, is designed to increase mental health literacy in the state’s 148 school districts by training educators, School Resource Officers (SROs), and parents/caregivers in two sectors of Mental Health First Aid, Youth and Public Safety. The MHAT Project will provide educators, parents/caregivers, and SROs with increased knowledge of how to recognize the signs of a child who may be experiencing at mental health problem, and resources to help the child access treatment services. Long-standing partnerships between Mississippi’s Community Mental Health Centers (CMHCs) and school districts allow for direct access to mental health services for children. Goals for the project include: (Goal 1) increase the ability of SROs to recognize the signs a young person may be dealing with a mental health problem, substance use challenge or crisis in order to make referrals and link young people with services/supports by training 150 SROs in MHFA for Public Safety, a total of 450 total over three years (Objective 1.1), obtaining a 90% reporting rate of SROS who are prepared to recognize signs in a young person (Objective 1.2), and achieve a 90% reporting rate of SROs who are confident in their ability to reach out to a young person who may be dealing with a mental health problem, substance use challenge or crisis (Objective 1.3); (Goal 2) increase the ability of teachers, school nurses, and school counselors to recognize the signs a young person may be dealing with a mental health problem, substance use challenge or crisis in order to make referrals and link young people with services/supports by training a total of 1,800 educators over the course of 3 years in Youth MHFA (Objective 2.1), achieve a 90% reporting rate of teachers and school counselors trained who report being better prepared to recognize the signs in a young person (Objective 2.2), and achieve a 90% reporting rate of teachers and school counselors who report being confident in their ability to reach out to a young person who may be dealing with a mental health problem, substance use challenge or crisis (Objective 2.3), and; (Goal 3) ensure students are connected with services and supports for mental health issues and the awareness of available resources in local communities by increasing the number of students who are referred to services/supports by 10 % (Objective 3.1), provide comprehensive access to available resources through the development of a website with location map for service providers (Objective 3.2), communicate warning signs and resource information to parents in at least 25% of school districts (Objective 3.3) and develop educational materials and utilizing social media to increase students’ and parents’ awareness of resources (Objective 3.4). In summary, the MHAT Project will train an estimated 2,600 educators, parents and SROs over the three years of the grant. It will also provide a strong foundation for expanding mental health awareness and treatment for children in Mississippi. The estimated number served is only for the number trained and does not include the number of youth who will be referred to services/supports due to the increased awareness of mental health.


Grantee: PINE BELT REG MENT HLTHCARE RESOURCES
Program: AOT
City: HATTIESBURG
State: MS
Grant Award Number: 5 H79 SM063537-03
Congressional District: 4
FY 2018 Funding: $463,041
Project Period: 2016/09/30 - 2020/09/29

Pine Belt Mental Healthcare Resources (PBMHR) is a community mental health center in southern Mississippi serving a 9-county catchment area. PBMHR is proposing to implement an AOT program in order to benefit adult individuals with SMI who are in need of continual psychiatric care in order to prevent relapse, hospitalization, and/or dangerous behavior and who have difficulty complying with treatment without assistance. The typical candidate for AOT will have a history on non-adherence to their medical regimen due to a neurological syndrome, anosognosia. This syndrome impairs the individual's ability to recognize his/her mental health symptoms, leading to a rejection of the need for treatment. The candidate for AOT will have refused voluntary treatment; is experiencing a health detriment due to this decision; and will be able to function appropriately in the community when compliant with AOT services. Additionally, Mississippi law requires that at least one or both standards be met: 1) the individual demonstrates himself to be an immediate physical danger to self or others; and/or 2) or is gravely disabled and unable to care for himself by virtue of mental illness. The purpose of the Pine Belt AOT Program is to establish and implement a routine, systematic response to outpatient commitments (OPC) in two counties in southern Mississippi in order to reduce the negative consequences associated with untreated serious mental illness and inform knowledge regarding assisted Table 3 links the goals and objectives we intend to achieve.


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