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NE Discretionary Funding Fiscal Year 2022

Center: SM

Grantee: CENTER POINTE INC
Program: FY 2022 Certified Community Behavioral Health Clinic
City: LINCOLN
State: NE
Grant Award Number: 1 H79 SM086984-01
Congressional District: 1
FY 2022 Funding: $1,000,000
Project Period: 2022/09/30 - 2026/09/29

CCBHC-IA Grant Project Abstract CenterPointe will use grant funds to improve comprehensive, integrated, coordinated, and person-centered care to our population of focus (POF): individuals of all ages with untreated and undertreated mental health, substance use, and co-occurring disorders. We will further continue to monitor and address disparities in treatment access, utilization, and outcomes among clients who are members of low income, racial and ethnic minority, refugee, and immigrant populations. The geographic catchment area for services is the city of Lincoln, Nebraska, and rural communities throughout Lancaster County. The county is home to approximately 320,000 residents1 across two urban centers and numerous rural regions, with a poverty rate of 11.9%.2 Twelve percent of county residents speak a language other than English.3 The population of the area is largely non-Hispanic White (77%). There are significant proportions of Latinx (11%), Black or African American (6%). Findings from our own CCBHC needs assessment, conducted in 2020, indicated a need for increased access to culturally relevant services and care coordination. The assessment further identified service coordination in the community as an area where CenterPointe is well-positioned to leverage our positive reputation and existing relationships to lead the coordination of local services and increase awareness of available behavioral health resources. The CCBHCIA grant will allow CenterPointe to continue expanding access to CCBHC services to additional populations in our core service area. Further, we will use grant support to advance our work in tobacco use prevention and cessation, increase primary care screenings and integrated care access for marginalized communities through partnerships with local cultural centers and mobile care teams, increase access for rural populations through telehealth and primary care partnerships, improve our care coordination/care integration model, and increase consumer engagement in CCBHC governance. Specific goals for the project are: (1) Maintain compliance with all CCBHC requirements and improve CCBHC care coordination for CenterPointe consumers with SMI, SED, and COD, including those lacking primary care and/or with diabetes, cardiovascular disease, and other health risks, (2) Expand primary care screening and monitoring and integrated care services, (3) Develop and implement sustainability plan to support continuation of grant funded services after current funding period ends, and (4) Increase consumer and family engagement in CCBHC planning, implementation, services, and evaluation activities through formal and informal mechanisms. 1 U.S. Census Bureau (2021). Population estimates program, vintage 2020. 2 American Community Survey (2021). 5-year estimates, table S1701, Poverty Level Over Past 12 Months. 3 American Community Survey (2021). 5-year estimates, table S1601, Language Spoken at Home.


Grantee: DOANE UNIVERSITY
Program: GLS Campus Suicide Prevention Grant Program
City: CRETE
State: NE
Grant Award Number: 1 H79 SM086302-01
Congressional District: 3
FY 2022 Funding: $102,000
Project Period: 2022/09/30 - 2025/09/29

Doane University Tigers Together Garrett Lee Smith (GLS) Campus Suicide Prevention Program will strengthen Doane's infrastructure for student support across its three campuses by expanding counseling capacity to serve more students, improving crisis response plans, growing its referral network of partners, raising awareness of counseling and resources available, deploying accessible screenings, and delivering evidence-based education and training. Population to be served: Doane serves close to 2,300 undergraduate and graduate students, including students in online programs, who will be affected by Tigers Together. The project has been designed to meet different student needs across its three campuses. Doane will study and improve support for traditional undergraduates on its residential Crete campus and nontraditional undergraduates and graduate students associated with its Lincoln and Omaha campuses. Some key demographics of the student population include: 21% of undergraduates are students of color, 27% of undergraduates receive financial support through Pell grants, and 12% to 19% of students identify as LGBTQIA+ (based on survey data). In a recent survey, Doane students are reporting significant mental health issues including depression, anxiety, panic attacks, self-harm, and suicide ideation. When asked about thoughts of suicide, 45% of students reported at least a passing thought, with 9.4% of those attempting suicide (NCHA, 2020). In the last five years, there have been 17 known suicide attempts among Doane students. For a small university such as Doane, this has implications affecting student success. Substance use is also an issue of concern, with 39% of students reporting drinking alcohol weekly or daily and 28% of students reporting using marijuana weekly or daily (NCHA, 2020). Strategies and Interventions: Building upon the recommendations of Doane's Mental Health Task Force, Tigers Together will pursue the following strategies: (1) form a Tigers Together Committee composed of key leadership and project team members; (2) hire a Project Coordinator (1.0 FTE), two Master of Arts in Counseling (MAC) interns, and a graduate student to expand capacity for counseling and program coordination; (3) contract with Blue Valley Behavioral Health and Continuum EAP to further expand counseling capacity and expertise; (4) create widespread access to voluntary Mindwise screenings to allow the Counseling Center and students themselves to identify mental health concerns more quickly and accurately; (5) implement Kognito and QPR (Question-Persuade-Respond) trainings for students, faculty and staff and CALM trainings for key campus stakeholders; (6) saturate all three campuses with awareness campaigns and promotional materials that drive students at risk toward the resources they need; (7) develop new partnerships to expand Doane's referral partner network; (8) set cycles of mental health assessments (NCHA) that accurately capture the needs of all three campuses; (9) strengthen and update campus crisis plans; and (10) evaluate goal achievement, among other activities. Project Goals: (1) Expand the university's capacity to assess, respond to, and provide services for mental health, substance use disorder, and emergencies through expanded services, (2) Increase outreach to residential and nonresidential students to improve awareness of mental health services, to address the gap in communication about services available, and (3) Establish and implement meaningful institutional frameworks for mental health and wellness to decrease the gap in understanding of student needs and lessen stigma. Impact: It is expected that Tigers Together will impact approximately 2,300 students each year. In total, approximately 6,900 students will be reached by Tigers Together across the three-year grant period.


Grantee: HEARTLAND FAMILY SERVICE
Program: FY 2022 Certified Community Behavioral Health Clinic
City: PAPILLION
State: NE
Grant Award Number: 1 H79 SM086591-01
Congressional District: 2
FY 2022 Funding: $999,222
Project Period: 2022/09/30 - 2026/09/29

Heartland Family Service (HFS) Nebraska CCBHC Implementation Project will enable HFS to improve access to and integration of physical and behavioral health care services in Douglas, Sarpy and Cass Counties (total population 801,728) in eastern Nebraska. HFS is increasing its reach to populations in the northeast and southeast Omaha metro area, respectively largely black and Hispanic communities experiencing mental health service disparities. Heartland Family Service (HFS) serves all populations experiencing mental illness, substance use disorders, co-occurring mental and substance disorders, and children and adolescents with serious emotional disturbance. The population of focus includes children and adults with mental illness (MI), serious mental illness (SMI), serious emotional disturbance (SED), substance use disorders (SUD), and co-occurring mental illness and substance use disorders (COD) and is especially targeted to Black and Hispanic consumers, who comprise 9% and 10% of the area’s population and are historically underserved for mental health concerns. With project funding, HFS Nebraska CCBHC will implement Care Coordination, Intensive Psychiatric Rehabilitation (IPR), Peer Support and InSHAPE (Self Help Action Plan for Empowerment) at a newly created accessible drop-in Peer Center and will provide individual and group outpatient services for Spanish-speaking clients. HFS has experienced staff who apply appropriate Evidence-Based Practices and a trauma-informed approach to effectively serve each client’s needs. HFS utilizes the following evidence-based practices: Cognitive Behavioral Therapy (CBT), Trauma-focused Cognitive Behavioral Therapy (TF CBT), Cognitive Processing Therapy (CPT), Motivational Interviewing, Medication Assisted Treatment (MAT), Seeking Safety, Living in Balance (LIB), and Eye Movement Desensitization and Reprocessing (EMDR). HFS is proposing goals to increase meaningful and reliable improvement in client daily living activities; to decrease client depression; to implement the Zero Suicide approach; to increase consumer attendance; and to increase collaboration with the local Veterans Affairs Medical Center. We will increase client and peer input into program approaches through the development of an Advisory Work group comprised of individuals with mental and substance use disorders, and their family members, to provide input and guidance to the CCBHC on implementation of services and policies by 12/31/2022. HFS’s Nebraska CCBHC will serve 1,700 unduplicated clients with this award: 200 in Year 1; 350 in Year 2; 500 in Year 3; and 650 in Year 4 through increased capacity to provide behavioral health services.


Grantee: LUTHERAN FAMILY SERVICES OF NEBRASKA, INC.
Program: FY 2022 Certified Community Behavioral Health Clinic
City: OMAHA
State: NE
Grant Award Number: 1 H79 SM086962-01
Congressional District: 2
FY 2022 Funding: $1,000,000
Project Period: 2022/09/30 - 2026/09/29

Lutheran Family Services of Nebraska (LFS) proposes to improve and advance access to services and service provision at the Certified Community Behavioral Health Clinic (CCBHC) in Lincoln, Nebraska. The catchment area includes a significant portion of Nebraska’s two largest cities, Lincoln and Omaha. Services are to be delivered at Health 360 (H360) CCBHC in Lincoln, the state’s capital and home to the nation’s largest Yazidi population. H360 CCBHC has successfully addressed disparities in access to services for Native Americans (5% of clients), African Americans (12%), and LGBTQ+ clients (15%), and bridged service gaps for youth, LGBTQ+ individuals, and individuals with SUD. It has assessed the extent of the need, most recently among veterans. In support of the following goals, LFS will operate in compliance with the CCBHC Certification Criteria, improve three core services, conduct additional needs assessments, improve or advance four CCBHC areas for certification, and satisfy all Required Activities. Goal 1. LFS advances the transformation of the community behavioral health system. Goal 2. LFS builds on its recent achievements among traditionally under-represented minority and gender populations and successfully targets two high-need, difficult-to-reach populations (justice-involved individuals and veterans) to improve their physical and behavioral health outcomes. Goal 3. LFS increases access to high-quality mental health and SUD services, regardless of an individual’s ability to pay. Health 360 (H360) is an integrated care campus in Lincoln, integrating behavioral health (BH) services within a primary care facility in collaboration with Bluestem Health. In April 2021, SAMHSA acknowledged H360’s attestation of meeting CCBHC certification criteria. This project will utilize the qualified skills, knowledge, and abilities of Key Personnel working with a team of licensed therapists, a Psychiatric Prescriber, and other qualified personnel. It will maintain care coordination agreements with outpatient primary care provider, local pharmacy, crisis responders, and other community partners. LFS providers and behavioral health partners will collect the required GPRA data from clients receiving services and enter data into their EHR software at baseline, six month follow-ups, and discharge. LFS will assess infrastructure by monitoring policy implementation, partnerships, training, and technical assistance provided. We have established a way to identify CCBHC clients allowing us to run reports specific to those clients. The Performance Quality Improvement (PQI) Annual Report is approved by the LFS Board of Directors and is used as part of the Board’s planning and review processes and to assess the organizations performance and effectiveness. Further consultation with community stakeholders and the GMO will help refine clinic-level programmatic modifications and improvements. LFS has a continuous Quality Improvement Plan that meets CCBHC standards and is approved by the LFS Board on an annual basis. The clinic’s annual assessment of its Continuous Quality Improvement (CQI) program and performance data trends includes improved quality of care, client safety, client suicides and deaths, psychiatric/SUD inpatient readmission, other sentinel events and results of performance improvement efforts (as evidenced in the Annual Quality Improvement Plan and Quality Management Year-End Summary). Numbers to be served: LFS expects rapid increases after Year 1 as it integrates innovative methods to collect accurate NOMs from a greater percentage of participants. Year 1, 300 individuals Year 2, 500 individuals Year 3, 800 individuals Year 4, 1,000 individuals Total, 2,600 individuals


Grantee: LUTHERAN FAMILY SERVICES OF NEBRASKA, INC.
Program: FY 2022 Certified Community Behavioral Health Clinic
City: OMAHA
State: NE
Grant Award Number: 1 H79 SM086840-01
Congressional District: 2
FY 2022 Funding: $1,000,000
Project Period: 2022/09/30 - 2026/09/29

Lutheran Family Services of Nebraska (LFS) proposes to establish a new Certified Community Behavioral Health Center (CCBHC) in Fremont, Nebraska, to provide person- and family-centered integrated services to residents of Dodge County. According to the 2019 Community Health Needs Assessment (CHNA) conducted by the Three Rivers Public Health Dept, 78% of Dodge County's racial/ethnic minority population is Hispanic or Latino. County-wide, 33% of all children under 18 years were living in single parent homes, 51% were eligible for free/reduced meals, and 38% were enrolled in Medicaid or CHIP. The county is home to 2,349 veterans of whom 9% live in poverty and 33% are disabled. LFS will augment current services at the Fremont Clinic with CCBHC-aligned services to implement or improve, including a community needs assessment within the first six months, to achieve the following goals: Goal 1. LFS successfully implements Certified Community Behavioral Health Clinic (CCBHC) services to address consumers unmet needs in Dodge County, including populations of focus. Goal 2. LFS provides a comprehensive range of services and supports to improve consumers physical and behavioral health outcomes, including populations of focus. Goal 3. LFS increases access to high-quality mental health and SUD services, regardless of an individuals ability to pay. LFS is an experienced and credentialed behavioral health service provider to children, youth and adults at the Fremont Clinic, including veterans, LEP children and families, LGBTQ+ youth, and the justice-involved. It also has experience implementing and managing comprehensive, coordinated behavioral health services at a CCBHC in Lancaster County. This project will utilize the qualified skills, knowledge, and abilities of Key Personnel working with a team of licensed therapists, a Psychiatric Prescriber, and other qualified personnel to implement a care coordination model of integrated services. The Designated Coordinating Organizations for this project will provide outpatient clinic primary care screening and monitoring and provide prescription services. Estimated number to be served Year 1, 200 individuals Year 2, 300 individuals Year 3, 500 individuals Year 4, 700 individuals Total, 1,700 individuals.


Grantee: LUTHERAN FAMILY SERVICES OF NEBRASKA, INC.
Program: Mental Health Awareness Training Grants
City: OMAHA
State: NE
Grant Award Number: 5 H79 SM084234-02
Congressional District: 2
FY 2022 Funding: $125,000
Project Period: 2021/09/30 - 2026/09/29

Grantee: NEBRASKA MINORITY RESOURCE CENTER
Program: Cooperative Agreements for Tribal Behavioral Health
City: GORDON
State: NE
Grant Award Number: 5 H79 SM084160-02
Congressional District: 3
FY 2022 Funding: $249,209
Project Period: 2021/07/31 - 2026/07/30

Grantee: NEBRASKA ST DEPT OF HEALTH & HUMAN SERVS
Program: Promoting Integration of Primary and Behavioral Health Care
City: LINCOLN
State: NE
Grant Award Number: 5 H79 SM082705-03
Congressional District: 1
FY 2022 Funding: $2,000,000
Project Period: 2020/03/31 - 2025/03/30

Grantee: NEBRASKA ST DEPT OF HEALTH & HUMAN SERVS
Program: FY 2022 Cooperative Agreements for States and Territories to Build Local 988 Capacity
City: LINCOLN
State: NE
Grant Award Number: 1 H79 SM086071-01
Congressional District: 1
FY 2022 Funding: $631,041
Project Period: 2022/04/30 - 2024/04/29

Nebraska's 988 Implementation Cooperative Agreement and Enhancement project is a collaborative effort between the Nebraska Department of Health and Human Services (DHHS), Division of Behavioral Health (DBH), Boys Town National Hotline (BTNH), and University of Nebraska Public Policy Center. This project is designed to serve Nebraska's approximate 1,963,692 population. Just over half of Nebraska's population is between the ages of 19 and 64. Nebraska's landscape is both urban and rural, and is largely populated by persons who identify as white, not Hispanic or Latino. Boys Town National Hotline serves all of Nebraska's 93 counties with a 27/7/365 access to Lifeline crisis calls for all ages. In 2020, BTNH Lifeline locally offered calls totaled 9,976, with 8,894 answered for an answer rate of 89%. Call volume is projected to increase for crisis call centers when 988 is implemented. The lowest level of projected 988 call volume growth (50%) would increase the number of calls the NE Lifeline receives daily from 30 to 45 per day. Utilizing a high call volume growth projection, the number of calls daily would increase from 30 to 72 per day. In addition, BTNH is expected to receive texts and chats which they do not currently respond to. Given the increased volume projections, expanding the BTNH crisis center behavioral health workforce will allow enhanced response, intervention, and follow-up to individuals experiencing a behavioral health crisis. DHHS, BTNH, and the University will work together to build capacity of Nebraska's 988 call center to handle the increased contacts (calls, texts, chats, etc.) and meet the goal of answering 80% of instate 988 calls and respond to 75% of texts and chats during the testing phase. The team will work to establish shared protocols in place for the connection of local crisis response services to the caller, and to incorporate follow-up services for callers.


Grantee: NEBRASKA STATE DEPARTMENT OF EDUCATION
Program: Project AWARE (Advancing Wellness and Resiliency in Education) State Education Agency Grants
City: LINCOLN
State: NE
Grant Award Number: 5 H79 SM080960-05
Congressional District: 1
FY 2022 Funding: $1,800,000
Project Period: 2018/09/30 - 2023/09/29

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