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NE Discretionary Funding Fiscal Year 2018

Center: SM

Grantee: FAMILIES CARE, INC.
Program: Statewide Family Network Program
City: KEARNEY
State: NE
Grant Award Number: 5 HR1 SM063017-03
Congressional District: 3
FY 2018 Funding: $95,000
Project Period: 2016/06/01 - 2019/05/31

Families CARE and the statewide network of family-run organizations will enhance family driven and youth-guided systems in Nebraska by enriching workforce capacity and promoting family voice within the Family Peer Support infrastructure. This proposed system-nurtured infrastructure will focus on the improved quality of Family Peer Support while enhancing the
overall capacity to respond to the special needs of children and adolescents with serious emotional disturbances and their families. Families CARE will leverage state and community partnerships to expand the Family Peer Support workforce, directly impacting 50 advocates, 3,000 families, and 6,000 children and adolescents in Nebraska.


Grantee: NEBRASKA ST DEPT OF HEALTH & HUMAN SERVS
Program: State/Tribal Youth Suicide Prevention
City: LINCOLN
State: NE
Grant Award Number: 5 U79 SM061741-05
Congressional District: 1
FY 2018 Funding: $731,106
Project Period: 2014/09/30 - 2019/09/29

Goal 1: Prevent youth suicides in Nebraska --50% of licensed Nebraska clinicians are trained to assess, manage and treat youth at risk; Increase # of at risk youth identified & referred who receive services; Reduce the youth suicide rate by 50% in five years
Goal 2: Standardized screening protocols are in place for youth at risk for suicide in child serving systems; 100% of K-12 public school personnel receive youth suicide prevention training; Screening protocols are implemented by regional network providers serving youth with behavioral disorders; Screening protocols are adopted by post-secondary settings (campuses, workforce development agencies, specialty services/schools).
Goal 3: Nebraska communities implement culturally appropriate suicide prevention strategies; 75% of adults in Nebraska report general awareness of signs of suicide and the National Hotline.
Culturally appropriate suicide prevention strategies are supported in each of the six behavioral health regions in Nebraska. LOSS postvention teams are available in each of the six behavioral health regions in Nebraska.


Grantee: NEBRASKA ST DEPT OF HEALTH & HUMAN SERVS
Program: SOC Expansion and Sustainability Coop
City: LINCOLN
State: NE
Grant Award Number: 5 H79 SM063392-03
Congressional District: 1
FY 2018 Funding: $2,521,941
Project Period: 2016/09/30 - 2020/09/29

The Nebraska System of Care (NeSOC) will create a comprehensive and sustainable system of care that is youth guided, family-driven, trauma-informed and culturally responsive to improve outcomes for children and youth with serious emotional disturbances and their families. Nebraska's population of focus are those children and youth who are; at risk of out-of-home placement, involved in multiple child-serving systems, and/or transition age. NeSOC will focus on creating a statewide crisis response mechanism, a recognized gap in the state's child-serving systems. Nebraska's Regional Behavioral Health Authorities served close to 2300 in 2014 with 166 of those having justice system involvement. Nebraska has a high rate of youth in out of-home care and significant racial and ethnic disparities in the utilization of out-of-home care. Black and American Indian youth are over-represented in out-of-home care compared to White youth. Implementation of NeSOC strategies will result in a reduction of the state's high rate of out-of-home care and racial and ethnic disparities. At minimum, 1125 youth will be served annually with a total of 4000 throughout the life of the grant.


Grantee: NEBRASKA STATE DEPARTMENT OF EDUCATION
Program: Project AWARE - State Education Agency
City: LINCOLN
State: NE
Grant Award Number: 1 H79 SM080960-01
Congressional District: 1
FY 2018 Funding: $1,800,000
Project Period: 2018/09/30 - 2023/09/29

Nebraska’s AWARE Project addresses the high level of mental and behavioral health needs of school-aged children in rural schools, including depression, anxiety, suicide ideation, trauma, and substance use. Educators statewide feel unprepared to handle the severity of mental health issues arising daily in schools. Training for school staff to better address students’ mental and behavioral health needs has been identified as a critical priority. In response, the Nebraska Department of Education (NDE) and Nebraska Department of Health and Human Services – Division of Behavioral Health (DHHS-DBH) are partnering at the State level to collaborate with the three Local Education Agencies (LEA) to improve school-based mental health services. The LEAs of Chadron, Hastings, and South Sioux City are demographically and geographically diverse, with varying levels of poverty and scarcity of mental health resources. Two sites have higher free/reduced lunch, indicative of poverty and student mobility. Each differs in racial/ethnic composition, with higher proportions of Hispanic and Native American students. All three LEAs have strong, long-standing track records of successful collaborations with State and local partners, including mental health providers, community coalitions, civic organizations, the business and private sector, and stakeholders, including students and families. State-level project staff include the NDE and DHHS-DBH Project Coordinators. Each LEA will employ or contract for a Community Project Manager and mental health treatment provider. Both NDE and DHHS-DBH are actively involved in several similar statewide efforts, such as Nebraska’s System of Care (NeSOC), Governor’s School Safety Task Force, Legislature’s Children Commission, and Nebraska Supreme Court Commission on Children in the Courts - all of which have aligned their resources to maximize sustainability through policy change. The project’s goals include: 1) prevention of mental health and behavioral disorders among students by providing positive, supportive, and trauma-informed learning environments; 2) increasing student resilience and pro-social behaviors; 3) increasing availability of school-based mental health services; 4) increasing schools’ capacity to identify and immediately respond to the mental health needs of students exhibiting behavioral or psychological signs requiring clinical intervention; and 5) increasing schools’ capacity to identify and intervene in bullying and aggressive or violence behaviors of students which may contribute to school violence. Through the implementation of evidence-based, trauma-informed practices in mental health screening, assessment, interventions, and treatment, up to 8,506 students will be served through the project each year, with up to 11,123 served in the schools across five years. Selected practices to enhance school climate, student resilience and pro-social behaviors, such as Positive Behavioral Interventions and Supports (PBIS), Lion’s Quest, Calmer Classrooms, and Well-Managed Schools will be employed in each of the three districts, accompanied by Functional Behavioral Assessment, and Cognitive Behavioral Intervention for Trauma in Schools (CBITS).


Grantee: REGION V SYSTEMS
Program: CABHI
City: LINCOLN
State: NE
Grant Award Number: 5 H79 SM063312-03
Congressional District: 1
FY 2018 Funding: $631,933
Project Period: 2016/09/30 - 2019/09/29

This project will end chronic homelessness in Lincoln, Nebraska by addressing the needs of persons experiencing chronic homelessness and have SUD, SMI, SED, or COD. The project will enroll and retain 60 chronically homeless persons in the first year. Permanent Supportive Housing will be used as the model within which outreach, screening, housing, treatment, and support services will be delivered. The project will leverage existing services and programs to provide the critical supports necessary for persons to receive and retain housing. Currently Lincoln's services system lacks the ability to provide immediate supportive services, based on consumer choice, and also lacks key housing, employment, and peer supports to help retain housing. Clients will be identified and prescreened using Lincoln's existing, successful Lincoln All Doors Lead Home system, Lincolns Continuum of Care homeless coordinated entry system. The target population will be invited to enroll in the project to receive immediate, prioritized housing. Consumers will be provided a choice of scattered site housing through a housing first low demand approach. After the immediate priority of housing is accomplished, a diagnostic interview is completed by a psychiatrist or APRN and a biopsychosocial assessment by a LIMHP for the purpose of service planning and referral to appropriate levels of care. The client and Care Manager work together toward rehabilitation and skills building and ensure enrollment in appropriate benefits programs and referrals to all appropriate services. The Care Manager and Peer Supporters will stay in regular contact with clients and will use Lincoln HMIS to monitor all services including prioritized SOAR, Supportive Employment, medication management, and other mainstream resources with a focus of housing retention. The project will be led by the region's Behavioral Health Authority in partnership with the two leading organizations providing services to this population.


Grantee: SANTEE SIOUX TRIBE OF NEBRASKA
Program: Native Connections
City: NIOBRARA
State: NE
Grant Award Number: 1 H79 SM081564-01
Congressional District: 3
FY 2018 Funding: $249,823
Project Period: 2018/09/30 - 2023/09/29

The Santee Sioux Nation Nebraska Native Connections project prevents and reduces suicidal behavior and substance use, reduces the impact of trauma, and promotes mental health among American Indian/Alaska Native (AI/AN) youth through the age of 24 years in Nebraska. The Nebraska Native Connections is an inter-tribal initiative serving American Indian youth through age 24 throughout Nebraska. The Santee Sioux Nation has documented success in meeting the needs of reservation, urban, rural, and frontier American Indians through strong ongoing collaborative working relationships. Key objectives include: convening an advisory committee to improve coordination among mental health, trauma, suicide prevention, and substance abuse prevention services for tribal youth and their families; crafting or reviewing and revising policies, procedures and protocols manual that promotes coordination and integration among agencies that treat youth, especially for those who attempt suicide and use substances in the catchment area; developing a Behavioral Health Disparities Impact Statement to address culturally and linguistically appropriate health care and services to the population of focus; finalizing conducting a Community System Analysis, a Community Needs Assessment, a Community Readiness Assessment and a Community Resource/Asset Map to implement an Action Plan that will address prevention and intervention strategies for suicide, substance use, and mental health disorders; providing a comprehensive, culturally responsive, family-centered, trauma-informed, evidence-based, coordinated, and integrated outpatient system of care, which includes early intervention and recovery support services to at least 50 unduplicated youth per year for the population of focus in the catchment area; and providing a minimum of 250 youth and their families from the population of focus with psychoeducation each year related to behavioral health and suicide prevention signs and symptoms delivered by school educators and health care providers.


Grantee: SOUTHEAST COMMUNITY COLLEGE
Program: GLS CAMPUS SUICIDE PREVENTION GRANT
City: LINCOLN
State: NE
Grant Award Number: 5 H79 SM080105-02
Congressional District: 1
FY 2018 Funding: $49,832
Project Period: 2017/09/30 - 2020/09/29

The SCC Community Suicide Prevention Project will allow Southeast Community College (SCC) to build a network of support for students. A Community Advocacy Council will bring together healthcare, higher education, and other key community resources with the goal of providing a safety net of services, including responding optimally to suicidal threats or attempts, coordination with medical care providers, aftercare and re-integration into college life. Training will be provided to SCC staff, faculty, and students with a goal of building a campus community of acceptance, inclusion, and support. The SCC Project will provide training and support to all Southeast Community College students at all three campuses (Lincoln, Milford, and Beatrice). The Project will build infrastructure by creating a network of supportive services for students who are experiencing emotional distress, which may lead to suicidal ideation and suicide attempts. In addition, the project will train a select group of SCC leadership to conduct Question, Persuade, and Refer (QPR) training to staff, faculty, and students. The QPR training will be provided in conjunction with SCC's Suicide Prevention Protocol training. Educational seminars will be provided to SCC's CARE Team, which was developed to foster meaningful connections and emotional and psychological support to students. The seminars will assist the team in developing the knowledge, skills, and abilities needed to offer support to students regarding a variety of issues they may be experiencing. In addition, SCC will develop a process to select and train Safe Students, who will serve as an additional layer of support for students. They will receive training in the skills required to support students in a positive and inclusive manner. This project will also develop prevention materials to share with parents regarding student wellness and the signs of suicidal ideation. Student wellness information will also be included on the SCC website, enhancing the Student Services page with prevention information, contacts for the CARE Team and Safe Students, and the SCC Counseling Assistance Program. All materials developed, including the website enhancement, will include promotion of the National Suicide Prevention Lifeline. Finally, SCC will create a safe space on each campus for the LGBTQA+ community that will include networking and support information, as well as speaker and forum events. Project goals include: increasing intra and extra collegiate collaboration; increasing training; providing information to parents; increasing the scope of work and training of the CARE Team; developing a Safe Student Program; increasing inclusiveness and support to the LGBTQA+ community specifically; and increasing the promotion of the National Suicide Prevention Lifeline. Measurable objectives include: number of staff, faculty, and students trained in QPR and the SCC Suicide Prevention Protocol; number of linkages/agreements with area health care providers through the work of the SCC Community Advocacy Council; number of students helped by improved community linkages; number of students who choose to become Safe Students; number of hits on the newly developed Student Wellness Support page; and number of parents and family members that receive information regarding suicide prevention and student wellness. This project has the potential to reach all SCC students, staff, and faculty. It is anticipated that 250 individuals will be directly served by the program in year 1; 540 individuals in year 2; and 540 in year 3; for a total of 1,330 directly served through the lifetime of the project.


Grantee: UNIVERSITY OF NEBRASKA MEDICAL CENTER
Program: Mental Health Technology Transfer Center Cooperative Agreement
City: OMAHA
State: NE
Grant Award Number: 1 H79 SM081769-01
Congressional District: 2
FY 2018 Funding: $745,454
Project Period: 2018/08/15 - 2023/08/14

BHECN MHTTC ABSTRACT: The Behavioral Health Education Center of Nebraska (BHECN – pronounced “Beacon”) will address needs for improved mental health service delivery and adoption of evidence–based MH programs through creation of a Region 7 “BHECN Mental Health Technology Transfer Center.” The Center will address the knowledge and skill levels of practitioners as well as creation of programs to better serve individuals with MH disorders across the Region. Through the creation of comprehensive training and implementation programs for MH practitioners, students, and health care agencies BHECN will improve MH care for patients with a variety of Mental Health disorders. BHECN was created to addresses state behavioral health workforce needs in Nebraska by the state legislature in 2009 and has sustainable funding. BHECN’s mission is to “improve access to behavioral health care by developing a skilled and passionate workforce.” BHECN educates both MH graduate students and practitioners from the fields of psychiatry, psychology, social work, counseling, marriage and family therapy, psychiatric nursing, and addictions counseling. MH Programs implemented by BHECN staff include 42 Integrated Care (IBH) clinics, placement of MH therapists into School settings, and improved MH services in the state’s Prisons and Psychiatric Hospitals.Goals for the BHECN MHTTC will be to: Create training alliances across states and with the national coordinating MHTTC; Develop a comprehensive array of training programs to improve MH awareness, skills and programs; Accelerate the adoption of evidence-based MH practices; and Deliver MH training and implement programs for improved MH service delivery.BHECN MHTTC Center’s activities will focus on development of MH “expert teams” consisting of representatives from the four–state area that will develop training materials, provide training, offer technical assistance, on–line educational materials, and sponsor conferences. Specific topic areas of Region 7 expertise include: School Mental Health, Integrated Behavioral Health in Primary Care, Early Childhood MH, and Medication Management for individuals with SMI. Multiple regional and national partners have committed to collaborate with the BHECN MHTTC including UNMC’s Departments of MMI Psychology, National Center on School MH, APA Integrated Care Office, and the Universities of Missouri, Iowa, Nebraska, and Kansas Psychiatry Departments. Targeted agencies for training and EBP implementation will be the Region’s 67 Community Health Centers that provide care to underserved and uninsured populations. Training will be provided for 5,000 students and practitioners (1,000/yr) over the duration of cooperative agreement funding.


Grantee: UNIVERSITY OF NEBRASKA MEDICAL CENTER
Program: Mental Health Awareness Training
City: OMAHA
State: NE
Grant Award Number: 1 H79 SM081317-01
Congressional District: 2
FY 2018 Funding: $125,000
Project Period: 2018/09/30 - 2021/09/29

The UNMC, Behavioral Health Education Center of Nebraska (BHECN) mental health awareness project will provide veteran culturally competent training and skill development to address veteran mental health challenges. Nebraska’s 130,000+ veterans are at a higher risk for mental health difficulties and suicide. Veterans, their families, providers and community members will be trained to help identify those with a mental health disorder and safely intervene. The BHECN MHAT project is a collaborative partnership between the University of Nebraska Medical Center(UNMC)BHECN,the Nebraska Association of Local Health Directors (NALHD), Nebraska Local Health Directors(LHD’s)and with Community Alliance of Omaha. The first goal is to foster alliances with veterans, families of veterans and local and state agencies that serve veterans to create effective recruitment pathways and increase the capacity of the MHAT program to provide veteran culturally specific mental health awareness training (MHAT) and referral pathways for mental health services. Objectives include: 1) By November 30th, 2018 and annually renewed thereafter, formal agreements will be in place to have LHD’s recruit veteran related participants and the general public to attend trainings where the collaborative partners will provide veteran culturally appropriate MHAT (QPR) and de-escalation MH training in eight geographically diverse locations throughout Nebraska annually; 2) By January 31st, 2019 and annually thereafter participating MHAT LHD’s will have an updated referral list of local mental health providers and referral pathway plan for veterans and family members; 3) By March 31st, 2019 develop an interagency advisory team to support the MHAT project by providing written input into the MHAT training dissemination plan, MHAT content and MHAT evaluation plans. The second goal of the project is to heighten awareness, knowledge and skills of those trained in MHAT so that they can recognize the signs and symptoms of mental illness and know how to respond appropriately and safely to persons with a mental health disorder. Objectives include: 1) By August 31st, 2021 train 750 veterans, family members of veteran’s or staff of agencies serving veterans and their families and the general public on veteran culturally appropriate QPR (Question, Persuade, and Refer) Gatekeeper Training for Suicide Prevention and a Veteran specific SAMSHA Creating Safe Scenes type of training including de-escalation methods; and 2) By March 31st, 2020 BHECN MHAT will have identified and/or developed at least six veteran specific resources including the veteran centered de-escalation training that can provide supports for the individuals trained to transform the lives of veterans and their families who may be experiencing severe mental illness such as post-traumatic stress disorder, traumatic brain injury, and other mental health difficulties that may be impairing their functioning in daily life activities.


Grantee: WELLBEING INITIATIVE, INC.
Program: Statewide Consumer Network Program
City: LINCOLN
State: NE
Grant Award Number: 1 H79 SM080853-01
Congressional District: 1
FY 2018 Funding: $94,961
Project Period: 2018/09/30 - 2021/09/29

The Nebraska Coalition for Peer Delivered Services (NCPDS) connects individuals and organizations providing peer services across the state in an effort to build the capacity and sustainability of peer efforts in Nebraska. The NCPDS embraces the challenges of uniting largely rural communities to provide access to training, networking opportunities, and technical assistance to peer-led and provider groups seeking to integrate Peer Delivered Services into their recovery approach. This will promote Consumers and Peer Specialist engagement with Providers, peer-led groups and organizations, as well as with state-level Consumer affairs. Consumers will have increased access to the support and resources needed to establish quality peer programming, stimulating expansion of Peer Delivered Services in Nebraska. During each year of this Project 700 individuals living with Behavioral Health and/or substance use disorders will be engaged in providing feedback through surveys and Townhall meetings, participate in trainings, or pursuing Certification as a Peer Support Specialist.


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