Main page content
NJ Discretionary Funding Fiscal Year 2021
Acenda proposes to expand the reach of the agency’s existing Community Mental Health Center (CMHC) services in Gloucester and Cape May Counties. The expansion allows the agency to reach populations which have not only historically been more impacted by severe and longer-term mental illness and substance use disorders, but for whom COVID-19 has been significantly more damaging in terms of overall health and access to treatment. These populations include 1) older adults living with serious mental illness 2) Black and Latinx communities and 3) persons experiencing homelessness, or who are at risk for homelessness. With additional CMHC funding, Acenda will address gaps in services and expand the reach of much-needed supports and treatment for vulnerable individuals in the communities being served. The agency proposes to serve 800 individuals over the course of the grant period (400 in Year 1 and 400 in Year 2) In addition to community educational initiatives, Acenda will also implement multiple engagement activities which directly address care barriers including 1.) subcontracting with Black and Latinx therapists to expand the agency’s existing care network to be even more diverse and responsive to the needs of vulnerable communities 2.) temporary “pop-up” assessment and treatment locations in high-need communities 3.) peer outreach champions 4.) mobile treatment unit 5.) expansion of mobile crisis programming 6.) community nutrition events. The project goals include: a.) restore the delivery of mental health and substance use disorder treatment services for communities most adversely affected by COVID-19 b.) Improve the timely access of early intervention and mental health services for highly vulnerable populations. c.) expand awareness of, and access to, emergency mental health and mobile crisis services for individuals in identified communities d.) implement a mental health outreach and education strategy which utilizes a local community-based workforce to help overcome real and perceived treatment barriers created by COVID-19. E.) increase access to an integrated treatment network for persons experiencing homelessness or individuals at risk of homelessness screened as having an SMI, SUD and/or Co-occurring Disorder.
The AtlantiCare mission is to make a difference in health and healing, one person at a time, through caring and trusting relationships. We believe in the importance of treating the whole person and that you cannot separate the mind and body in healthcare. Through an integrated service team that includes, psychiatrists, nurses, therapists, case managers and peers, the AtlantiCare Behavioral Health CCBHC Expansion program will increase access to mental health and substance use services; provide quality outpatient mental health and substance use treatment; and screen, monitor, and address key health indicators. The target population is individuals with serious mental illness (SMI) or substance use disorders (SUD); children and adolescents with serious emotional disturbance (SED); and individuals with co-occurring mental health and substance use disorders (COD). The target geographic region is the mid to eastern part of Atlantic County, NJ including Atlantic City, Pleasantville, Absecon, Galloway Township, Egg Harbor Township and the surrounding areas. The care team will provide comprehensive screening and assessment to individuals requesting services. The screening and assessment will address mental health and substance use needs; physical health risk and key health indicators; suicide risk; and needs around social determinants. The team will then work with the individual to create a comprehensive plan to address the identified needs. Individuals will be encouraged to include family members and other supports in their assessment, planning and care. These comprehensive plans will include mental health and substance use treatment goals as well as goals to improve key health indicators; address social determinants and reduce risk. The CCBHC team will provide direct services including: outpatient and intensive outpatient individual, family and group services; medication management including medication treatments for substance use disorders and long-acting injectable antipsychotic medication; psychiatric rehabilitation services; social supports and community recovery supports; and ongoing monitoring of key health indicators. Case management and care coordination will be provided by program staff and are the glue that hold the services together and improve the individual’s success in meeting their goals. All services will be provided in an atmosphere of care and concern. AtlantiCare understands the broad reaches of trauma and builds its practice on the concepts of safety, humility, collaboration, empowerment, and transparency through the lens of Trauma-Informed Care. As appropriate, evidence based services will be utilized including Motivational Interviewing, Integrated Treatment for Co-occurring Disorders, Illness Management & Recovery, Stages of Change, Trauma-Focused Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Seeking Safety, and Zero-Suicide protocols. 825 individuals will be served in the first year, and 1000 individuals will be served in the second year for a total of 1500 unduplicated individuals (some individuals will be served in both year).
Homeless Outreach and Support Team (HOST)
Bridgeway Rehabilitation Services (BRS) is applying for grant funding to enable community mental health centers (CMHCs) to support and restore the delivery of clinical services that were impacted by the COVID-19 pandemic. This project, named the BRS Clinical Support and Restoration services (BCSRS), will strengthen the BRS CMHC services in Hudson, Union and Somerset Counties to effectively address the needs of individuals with serious mental illness (SMI), serious emotional disturbance (SED), and SMI or SED and substance use disorders known as co-occurring disorder (COD). BRS intends to serve 345 unduplicated individuals in the first year and a total of at least 690 individuals over the lifetime of the project aiding those who have been negatively impacted or underserved due to the COVID-19 pandemic. From August 2020 to February 2021, 41% of NJ adults reported recent symptoms of anxiety or depression, 11.7% reported an unmet MH care need and 20% reported an unmet need for counseling/therapy. In NJ, a greater proportion of persons presented at emergency departments (ED’s) with a MH and/or substance use disorder since the onset of COVID-19. Children under 18 had the largest post COVID % increase, three times the pre COVID rate, in ED behavioral health (BH) related visits, and adolescents had a 31% increase in visits. Total ED visits were largest among adults aged 18–29 years. Compounding this increase in ED use for BH symptoms is the 30+ day average wait time for an initial outpatient appointment in all three counties of focus due to insufficient numbers of providers and staff shortages. The goals of this project are to increase access to BH services, expand or restore access to OP services, expand crisis services and attach OP therapy to crisis services, increase the quality of care by expanding staff competency in providing evidence-based care, and address the mental health (MH) needs of BRS CMHC staff. With this CMHC grant funding, BRS will build on our 50+ years serving these communities by: • Implementing open central access for crisis and OP services for all BCSRS including two walk-in immediate MH care sites in Hudson and Somerset Counties. • Restoring BRS Telehealth Outpatient COVID Support Counseling Services and enhancing OP telehealth to serve all three counties. • Expanding Early Intervention Support Services (EISS) and including outpatient services. • Providing on-site OP services for all three counties. • Providing children’s OP services and school liaison to address BH issues in Somerset County. • Supporting trauma informed screening and assessment services including Zero Suicide screening and intervention. • Expanding Psychiatric Emergency Screening Services 24/7 mobile emergency outreach and screening in Somerset County. • Expanding recovery-oriented services through peer support and case management. • Addressing the MH needs of all CMHC staff, and providing staff training and development.
Bridgeway Rehabilitation Services (BRS) is applying for grant funding to become a Certified Community Behavioral Health Center (CCBHC). The project, titled Bridgeway Integrated Health Services (BIHS), will provide underserved and at-risk children and adults in Hudson County, New Jersey with intensive mental health and/or substance use services, or behavioral health (BH) services. BRS intends to serve 250 unduplicated individuals in the first year and at least 600 individuals over the lifetime of the project. Hudson County is a racially and ethnically diverse region with higher prevalence of poverty (13.7%), and uninsured individuals (12.9%) compared to the statewide average. Current wait times for outpatient BH services in the County is 30+ days while the demand for mental health and substance use services increases. This is a key factor to the county experiencing higher rates of BH-related crisis calls and ED visits. BIHS’ open access service model will offer same day and walk-in access to address this critical community need and reduce the reliance upon emergency department and crisis services. The project goals include increased access to community-based BH services (reducing wait time for care), improved physical health integration and coordination of care (reduction in unmet physical health issues or gaps in services) and improved overall care and support (increased use of EBP resulting in symptom reduction, reducing treatment attrition, participant satisfaction). To meet these goals BIHS will offer our population of focus immediate access to appropriate, evidence-based, screening, assessment and treatment services to improve access and better address current unmet need. With CCBHC grant funding, BRS will build on our 50+ years serving these communities by: • Offering a centralized, open access program model offering all required out-patient BH services, including a Living Room model and MAT services, to children, youth and adults. • Improving engagement of new participants through navigation and peer services and addressing their current needs through fast tracking to the treatment and supports they need and want on day one. • Implementing walk-in and same day services, with evening and weekend hours to offer flexibility to individuals working and caring for family. • Implementing 24-hour call service to provide proactive clinical and case management interventions to address participant needs and reducing the incidence of crises. • Implementing DCO partnerships with the North Hudson Community Action Corporation FQHC (integrated physical health), Spectrum Healthcare, Inc. (methadone services) and Collaborative Support Programs of NJ (peer, psychiatric rehabilitation, and support services) • Implementing Affiliation and Business Associates Agreements with the Hudson County Office of Veterans Affairs to expand intensive community-based mental health care for Members of the Armed Forces and Veterans.
Care Plus NJ (CPNJ) has been incorporated as a CMHC since 1978, and will increase access to outpatient services in greater Bergen County, NJ through this program. This specifically includes restoring and expanding the delivery of clinical services impacted by the pandemic, supporting outreach and engaging historically excluded populations, and ensuring that staff providing services have access to wellness-focused supports. A 2018 Kaiser Family Foundation report found that 35% of adults in NJ with a serious mental illness did not receive treatment (KFF, 2018). The number of people experiencing a mental or behavioral health condition since the onset of the pandemic has doubled since 2019 averages (CDC, 2020), creating long wait lists and limiting access to treatment. CMHC capacity will ensure that at least 500 unduplicated individuals are served annually. CPNJ's will implement trauma-informed, evidence-based, and strengths-based approaches to mitigate the emotional impact of the pandemic. A multi-disciplinary team of professionals will support meeting the demand for outpatient clinical treatment, case management, and support services. The CMHC program will also address the specific needs of historically excluded (ie "minority") populations that have been disproportionately affected by COVID-19. This will be achieved through outreach and education on barriers to engagement and retention in treatment (such as implicit bias, microaggressions, and cultural humility methods). The CMHC program will also provide staff wellness activities to better equip them to respond to individuals with complex mental health needs. Goal 1: Increase outpatient treatment capacity to respond to the increased demand for services for individuals with SED, SMI, and COD by October 2023. Objectives: 1.1: Achieve a 100% reduction in wait list time by enhancing service access via telehealth and in-person capacity as captured in electronic health record reports and represented by eliminating the wait list. 1.2: Engage a minimum of 1000 unduplicated (500 per year) individuals into EBP-driven treatment and support services. 1.3: Promote 40 staff wellness activities with over 1,000 staff participating. 1.4: 75% of staff participating in wellness activities will report improved well-being as measured by pre and posttest surveys. Goal 2: Increase service engagement of historically excluded populations as measured by attendance records. 2.2: Conduct 50 targeted outreach initiatives to community stakeholders to address stigma and increase awareness of services as documented in program records. 2.3: By October 1, 2022, 90% of the CPNJ treatment workforce will be trained on cultural humility practices.
Care Plus NJ Transforming Lives
Displaying 1 - 10 out of 93