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MT Discretionary Funding Fiscal Year 2021

Center: FG

Grantee: CONFEDERATED SALISH AND KOOTENAI TRIBES
Program: Emergency COVID-19
City: PABLO
State: MT
Grant Award Number: 1 H79 FG000657-01
Congressional District: At large
FY 2021 Funding: $1,050,334
Project Period: 2021/02/01 - 2022/05/31

Grantee: MONTANA STATE DEPT/PUB HLTH & HUMAN SRVS
Program: Emergency COVID-19
City: HELENA
State: MT
Grant Award Number: 1 H79 FG000688-01
Congressional District: At large
FY 2021 Funding: $2,859,649
Project Period: 2021/02/01 - 2022/05/31

Grantee: NATIVE AMERICAN DEVELOPMENT CORPORATION
Program: COVID-19 Emergency Response for Suicide Prevention
City: BILLINGS
State: MT
Grant Award Number: 1 H79 FG000535-01
Congressional District: At large
FY 2021 Funding: $556,026
Project Period: 2020/07/01 - 2021/10/29

NADC in partnership Sunburst Mental Health and Cedar Creek Integrated Health’s project population of focus includes Native American individuals, families, and healthcare practitioners experiencing increased levels of stress, anxiety, depression and trauma associated with mass stay-at-home and quarantine orders due to the COVID-19 pandemic. These conditions, especially in conjunction with higher incidents of domestic violence are primary contributing factors of suicide if left unaddressed. Addressing and mitigating these conditions are the purpose of the project. 2019 Novel Coronavirus (COVID-19) cases in Montana continue to increase. Present numbers of confirmed cases are 332 with 6 deaths in the previous three-weeks, which is of concern with a state that is remote and very sparsely populated. Within the initial three-week shelter at home period, the Montana Suicide Call line received 700 calls, averaging 39 per day. Immediate actions initiated within the state left outpatient mental health and substance use providers ill-equipped to handle shelter in place directives as agencies lacked telemedicine/health capabilities. Montana witnessed a 70% decrease in treatment access within the first seven (7) days of declared emergency. Billings is the largest population center within a 500-mile radius and houses one of the largest hospital networks in the state with Billings Clinic, Riverstone Health and St. Vincent Healthcare. Surrounding communities often seek care through Billings area providers due to the rural expanses of Montana, Wyoming, North Dakota and South Dakota. Immediate actions initiated within the state left outpatient mental health and substance use providers ill-equipped to handle shelter in place directives as agencies lacked telemedicine/health capabilities. Montana witnessed a 70% decrease in treatment access within the first seven (7) days of declared emergency. Emergency COVID-19 funding would permit NADC to shift the disproportionate impacts from lacking telemedicine/health access across our service area. Such an access point would decrease emergency room impacts from mental health crises and emergencies due to shelter in place directives. The overarching goal of this project is to develop a comprehensive, coordinated, and collaborative system of care designed to meet various health care needs associated with the recent impacts of COVID-19 for Native American individuals, families, and healthcare providers seeking care in the Billings area. The project team will coordinate care and provide supportive services through a regional coordination plan designed to ensure good outcomes for clients served during, and beyond, the project period.


Grantee: ROCKY BOY HEALTH BOARD
Program: Emergency COVID-19
City: BOX ELDER
State: MT
Grant Award Number: 1 H79 FG000708-01
Congressional District: At large
FY 2021 Funding: $1,086,188
Project Period: 2021/02/01 - 2022/05/31

Center: SM

Grantee: A.W.A.R.E., INC.
Program: Community Mental Health Centers (CMHC) Grant Program
City: ANACONDA
State: MT
Grant Award Number: 1 H79 SM085564-01
Congressional District: At large
FY 2021 Funding: $4,510,250
Project Period: 2021/09/30 - 2023/09/29

AWARE is expanding preventative and mental health services for youth and families in Montana. Family issues of significant concern as we return to our new normal include the increased incidence of abuse, neglect, domestic violence, and substance use directly related to changes caused by the pandemic. As we relaunch our services into homes, we are acutely aware a new family structure has evolved. We understand that many families are struggling with the new post-Covid challenges. The focus of our project is to springboard clinical services and support back into communities that have suffered loss of behavioral health support due to the pandemic. The population served will be families of youth with an SED diagnosis. We expect to provide additional focus on children in the child welfare system and children who have experienced trauma. It is projected we will serve 504 youth and families in the first year and 1024 participants over the life of the project. The program outcomes will focus on stable housing, family engagement, and increased access to psychiatric assessment, consultation, and education. We will be implementing our unique variation of an ACT team to provide support to youth and families across the State. This Family Assertive Community Treatment (FACT) team will be comprised of a multi-disciplinary team working with families to create positive outcomes. The Child and Adolescent Service Intensity Tool (CASII) will be used to track the level of need at admission. Quarterly treatment meetings with the family will be used to assess progress, ongoing need, and update the CASII. The FACT team will work together with each youth and family providing support and direction from each area of specialization: psychiatry, counseling, behavior management, case management, and administration. Treatment activities will include traditional EBP as well as skill building and educational opportunities. Educational opportunities may be provided by any team member sharing from their areas of expertise. Educational engagement will be provided through traditional psychoeducational activities, parent training, skill building, and advocacy. With the utilization of a family-based model we expect to have more successful impact on youth and their families and to demonstrate this treatment will facilitate and support stable housing, increased family engagement, and increased access to psychiatric support.


Grantee: BLACK FEET TRIBE
Program: Native Connections
City: BROWNING
State: MT
Grant Award Number: 5 H79 SM081572-04
Congressional District: At large
FY 2021 Funding: $247,823
Project Period: 2018/09/30 - 2023/09/29

Connecting Our Community with Culture and Hope: A Program for Suicide Prevention and Substance Use Reduction Promoting Mental Health within the Blackfeet Community


Grantee: BLACK FEET TRIBE
Program: Native Connections
City: BROWNING
State: MT
Grant Award Number: 5 H79 SM081521-04
Congressional District: At large
FY 2021 Funding: $238,307
Project Period: 2018/09/30 - 2023/09/29

Blackfeet Native Connections


Grantee: CENTER FOR MENTAL HEALTH
Program: CCBHC Expansion Grants
City: GREAT FALLS
State: MT
Grant Award Number: 1 H79 SM083343-01
Congressional District: At large
FY 2021 Funding: $4,000,000
Project Period: 2021/02/15 - 2023/02/14

The Central Montana Certified Community Behavioral Health Clinic (CCBHC) Expansion Project will allow The Center for Mental Health to better serve our population of focus for this grant-individuals with Severe and Disabling Mental Illness (SDMI) in Cascade and Lewis and Clark counties in North Central Montana and the surrounding region. By month 4 of the project period, The Center offer all CCBHC services, increasing access to evidence-based community crisis, treatment, recovery and support services for individuals with mental and substance use disorders (SUDs) in our community. The Center has more than 4 ½ decades of experience providing behavioral health services in Cascade and Lewis and Clark Counties, as well as serving the 11 rural counties in our region. Nine of the thirteen counties served are classified as “Frontier” with fewer than 7 people per square mile. Last year the Center provided a total of 135,813 services to 2,320 children, adults and veterans. For this project we propose to serve 325 individuals in year 1 and 650 in year 2. The goals and measurable objectives for this project are: Goal 1: Increase access to the full range of CCBHC services for individuals with SDMI in Cascade and Lewis and Clark Counties • Objective 1.1: By month 4 of the project period, demonstrate that the Center is providing all required CCBHC services to clients with SDMI • Objective 1.2: By the end of Year 2, increase to 90% the number of SDMI clients screened and tracked for primary healthcare issues by the Primary Care Team • Objective 1.3: By the end of Year 3, increase to 75% the number individuals with co-occurring opioid, alcohol or tobacco use disorders receiving Medication Treatment • Objective 1.4: By the end of Year 1, add 4-6 additional crisis stabilization facility beds Goal 2: Increase the Center’s ability to link clients with SDMI to the full continuum of community-based care and recovery/social support services • Objective 2.1: By the end of Year 2, provide collaborative care meetings for 80% of individuals with SDMI to increase positive coordination of care • Objective 2.2: By the end of Year 2, increase to 80% the number of clients with SDMI receiving peer support and/or referrals to housing services. Activities under this proposal will allow us to better integrate primary care into our services, ensure access to appropriate Medication Treatment, develop additional crisis stabilization capacity within our organization, better coordinate care for patients and offer housing support services to our clients. We will track improvements in service provision and patient outcomes throughout the project period.


Grantee: CONFEDERATED SALISH AND KOOTENAI TRIBES
Program: Native Connections
City: PABLO
State: MT
Grant Award Number: 5 H79 SM082671-02
Congressional District: At large
FY 2021 Funding: $249,957
Project Period: 2020/07/31 - 2025/07/30

Grantee: CONFEDERATED SALISH AND KOOTENAI TRIBES
Program: GLS State/Tribal Youth Suicide
City: PABLO
State: MT
Grant Award Number: 5 H79 SM082135-03
Congressional District: At large
FY 2021 Funding: $736,000
Project Period: 2019/06/30 - 2024/06/29

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