Funds will be used to develop a comprehensive training program in culturally-responsive, community mental health practice for early career mental health professionals, with a particular focus on Latine and other clinicians of color. Project name. La Academia: Culturally-Responsive Training for Early-Career Behavioral Health Providers Population to be served. Early career mental health professionals, with a particular focus on Latine and other clinicians of color. Strategies/interventions. The project will include further development of a training curriculum (called La Academia) with skills modules such as care conceptualizations and treatment frameworks within our context of working with low-resource, first- and second-generation Latine immigrants; considerations in diagnosing; Motivational Interviewing; trauma stewardship and basic treatment skills; working with children and families; and client engagement and calor humano (human warmth) - all within a framework of culturally-responsive approaches. In addition to the skills modules, the curriculum will also include peer observation structures and strategies; a self-directed online learning course; a personal reflection project; and shadowing / participation activities. Project goals. Among early-career, provisionally licensed clinicians and/or interns / residents at El Futuro (a population that makes up the majority of our new hires given the shortage of experienced, bilingual and bicultural, clinically-licensed professionals): Enhance cultural skills in treatment and improve skills for fostering engagement in care among Latine patients, resulting in improved rates of provider satisfaction; Promote team-based, collaborative care approaches to support reduced rates of burnout and improved treatment outcomes; Support the development of key skills needed to work in community-based, nonprofit, outpatient mental health practice; Reduce turnover among Latine mental health clinicians at El Futuro. Objectives: By September 29, 2024, El Futuro staff will have trained at least 80% of El Futuro’s Latine mental health clinicians with less than 3 years experience in the field through the La Academia curriculum. By September 29, 2024, 80% of Latine clinicians who participate in La Academia training will report moderately high to high levels of provider satisfaction. By September 29, 2024, El Futuro will achieve less than 20% rate of turnover of Latine mental health clinicians with less than 3 years experience in the field. Number of people to be served: 20 clinicians will be trained plus components of learning disseminated to 1500+ network of Latinx Mental Health Professionals.
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NC Discretionary Funding Fiscal Year 2023
The State Mental Health Agency - The North Carolina (NC) Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMHDDSAS) purpose to improve local 988 capacity and single NC Suicide and Crisis Lifeline Call Center to meet current and future 988/Lifeline response (call/chat/text/follow up and related functions) North Carolina is geographically diverse state that is currently home to over 10.6 million residents (2020 Us Census). North Carolina Department of Health and Human Services (DHHS), DMHDDSAS, is partnering with the one statewide 988 Suicide and Crisis Call center, REAL Crisis Intervention, Inc (REAL) in Greenville, North Carolina, REAL is a long-standing proficient (formerly of the National Suicide Prevention Lifeline) Suicide and Crisis Lifeline network member and accredited by the American Association of Suicidology (AAS) and International Council for Helplines. Since 2012, the DMHDDSAS, has partnered with REAL in implementing the Lifeline call center 24/7 in all 100 Counties. The NC call center provided services to 60,999 callers in 2022 with an average answer rate if 84%. REAL became a chat/text support center 12-15-22021 using the Vibrant Pure Connect platform and on July 16, 2022, with the launch of 988 REAL became a 24/7 chat/text center and continues to be a backup chat/text support center. REAL became AA certified which included Online Emotional Support (OES) in February 2021 and became accredited in November 2021 which also included OES. The NC DMHDDSAS is committed to working collaborative with REAL, to continue to meet and exceed all standards set by 988 Suicide and Crisis Lifeline, Vibrant Emotional Health and SAMHSA for calls/chats/texts.
The UNC System Office in partnership with its 17 institutions and the Association of Student Governments (ASG) will launch QPR (Question, Persuade, Refer) training, a mental health training program, over the 2022-2023 academic year. Individuals trained in QPR learn how to recognize the warning signs of suicide crisis and how to question, persuade, and refer someone to help. QPR is the most widely taught Gatekeeper training in the world. The UNC System has a significant number of veterans enrolled at our institutions. In coordination with the UNC System Military Affairs team, we would also provide the QPR course for Veteran Care Providers. This six-hour training program is designed by veterans and its single purpose is to prevent suicide amount veterans, soldiers in our National Guard or military reserves and active military warriors. The UNC System Office will offer instructor training to faculty and staff at UNC System institutions and these instructors will then train faculty and staff from their institution, to become certified in QPR. Additionally, since approximately 1,100 college student commit suicide each year, we would also provide QPR training to 1,100 undergraduate students and 1,100 graduate students across the UNC System.
With an aim to reduce the proportion of youth who felt sad or hopeless almost every day for more than two weeks in a row from 29.7% in 2019 to 27% in 2025, The Mental Health Awareness for Wake County and Johnston County, North Carolina project will increase the capacity of families and adults who serve youth (ages 10 - 19) in Wake and Johnston Counties to provide support for youth experiencing mental health or addiction challenges or crises, increase the capacity for first responders and medical professionals to respond to youth in mental health crises, and will increase the capacity of youth to provide mental health support for their peers by implementing evidence-based programs within community organizations with youth groups. The project will train community members on Youth Mental Health First Aid (YMHFA), Teen Mental Health First Aid (tMHFA), and Question. Persuade. Refer. Gatekeeper Training (QPR) as evidence-based strategies for raising awareness about mental health. Trainees will have access to a network of mental health service providers that are ready to receive referrals. The project will reduce stigma around seeking mental health support services. Measurable objectives include training four Poe Center staff and four community partners in Youth Mental Health First Aid by April 2022 and June 2023, respectively, and eight staff and partners in Question. Persuade. Refer. Gatekeeper Training (QPR) by June 2023. By the end of the project period in September 2026, training will be provided to 1420 youth-serving adults in Youth Mental Health First Aid, 250 medical professionals and first responders in QPR Training, and 585 youth in Teen Mental Health First Aid. Further, the project will disseminate print and electronic referral tips and reference guides by June 2022 and encourage adoption of organizational policies that prioritize mental health awareness training for staff and volunteers by June 2025. The project will serve 150 adults and 60 youth in year 1, 270 adults and 75 youth in year 2, 350 adults and 100 youth in year 3, 400 adults and 150 youth in year 4, and 500 adults and 200 youth in year 5.
The CCS Care Team will provide mental health awareness training to those who come in contact with our youth, their caregivers and siblings the most often who exhibit signs and symptoms of mental disorders, particularly serious mental illness (SMI) and/or serious emotional disturbances (SED); The team will establish linkages with community-based mental health agencies to refer individuals with the signs or symptoms of mental illness to appropriate services; and educate individuals about resources that are available in the community for individuals with a mental disorder.
Coastal Horizons Center (CHC), in partnership with the New Hanover County Sheriff’s Office (NHCSO), the Wilmington Police Department (WPD), & Fayetteville Police Department (FPD) proposes to expand the treatment & recovery support services provided by two Law Enforcement Assisted Diversion (LEAD) programs located in Wilmington & Fayetteville, NC. LEAD “…is a pre-arrest criminal justice diversion program for people living in the community who use drugs & are at risk of being charged with low-level criminal offenses…” in addition to above partners, this project will be carried out with multiple treatment, housing, employment, vocational, criminal justice, & recovery support partners. Both LEAD programs began in the mid-2000s & serve adults (18+) with a possible substance use or co-occurring disorder that come into contact with NHCSO, WPD, or FPD (population of focus). A potential participant can be referred from law enforcement via an arrest diversion (e.g., encounter occurs as part of a criminal incident) or a social referral (e.g., contact in the community with law enforcement). The LEAD programs will provide evidence-based treatment services such as Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Acceptance Commitment Therapy, Medication for Addiction Treatment, Motivational Interviewing, Seeking Safety, & Matrix Model. In addition, psychiatric services, detox, assertive community treatment teams, recovery housing, employment, financial literacy, & transportation will be provided. CHC will continue to co-facilitate quarterly meetings of the LEAD Coordinating Group (behavioral health partnership workgroup) in both NHC & CC. These groups are comprised of executive representatives from criminal justice (i.e., District Attorney’s Office, law enforcement agencies, judiciary) & behavioral health service providers. These same groups will conduct an early diversion community system mapping exercise designed to identify current initiatives within NHC & CC at each intercept (0-5). A focus for these groups will be to develop & monitor procedures or protocols for coordination with law enforcement, local crisis, & 988 systems on pre-arrest/booking diversion efforts. The LEAD Coordinating Groups will also develop a calendar of training events to be completed in the first 6 months & over the grant period. These trainings will target law enforcement officers, attorneys, judges, civilian first responders, paraprofessionals & other professionals. The proposed project has four goals: 1) divert adults with a mental health disorder or co-occurring disorder from the criminal justice system to community-based mental health, substance use disorder, & other supports prior to arrest & booking in a culturally competent manner; 2) build collaborative partnerships among relevant treatment & recovery support services agencies within NHC & CC; & 3) build community capacity in order to better meet the needs of individuals with mental health & co-occurring disorders that come into contact with law enforcement; & 4) evaluate the project. The proposed project will serve 50 individuals per year across the five-year grant period. Thus, a total of 250 adults will be served with grant funds.
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