NY Discretionary Funding Fiscal Year 2014

This Project will support the development of the Institute for Adolescent Trauma Treatment and Training at the Adelphi University School of Social Work. The Institute will 1) create a skilled trauma-focused workforce of social work and other mental health professionals on Long Island and in parts of New York City, 2) support delivery of evidence-based treatments to adolescents across Long Island, with an emphasis on youth in residential settings, and 3) build upon existing collaborations with local and national agencies and service systems to improve the quality of trauma-informed services by multi-disciplinary providers (e.g. child welfare, probation). Over the four years of the project, the Institute will provide training on assessment, diagnosis, and treatment of child and adolescent trauma to more than 1,300 social work students and multidisciplinary providers across the region, extending the scope of evidence-based and trauma-informed service delivery to more than 4,000 adolescents.

The program proposes to establish trauma-informed mental health screening in NYC's secure juvenile detention centers, to establish evidence-based skills groups to reduce trauma related problems, and to build collaborative partnerships in the child-serving systems associated with juvenile detention to increase trauma responsiveness in those systems. The program will (1) establish systematic trauma-informed mental health screening, evaluate that process, and develop and disseminate a product through the NCTSN network; (2) Adapt the STAIR-A skill-building group protocol for use in juvenile detention centers by juvenile detention center staff and mental health clinicians and evaluate the approach; (3) Infuse into NYC secure juvenile detention an awareness of trauma and a common language and methodology for handling trauma related emotional and behavioral issues; and evaluate this approach; and (4) Build a collaborative partnership among major youth-serving systems that interact directly with NYC juvenile detention centers (e.g., probation, family courts, foster care agencies providing non-secure detention) and extend trauma knowledge and trauma-informed care into those systems. Each center will run 34 STAIR-A sessions per week. 7,200 unduplicated residents will be screened and 4,320 will participate in STAIR-A groups during the project.

The BI-SLR HEARTS program aims to: 1) increase the number of children, youth and families involved in child welfare, juvenile justice, and children of military families, who receive culturally-competent, evidence-based, trauma-informed services in Beth Israel outpatient clinics and at partner agencies. Screening 1,620 children, youth and families/year and 6,075/project; assessing 170/year and 638/project; and treating 90/year and 338/project; 2) train six partners in the first half of the project and six more in the second half; 3) collaborate with SAMHSA and NCTSN to disseminate NCTSN products and participate in NCTSN-led activities; and 4) increase awareness of child traumatic stress in multiple child-serving systems and promote trauma-informed policies.

Contact Community Services, Inc., a 501(c)(3) in East Syracuse, NY is proposing the Crisis Center Follow-up Integrated with Comprehensive Psychiatric Emergency Program in Central New York. This project will provide follow-up services to youth and adults in these target groups: "Contact Hotline or Lifeline callers assessed to be at moderate to high risk of suicide" Patients presenting as suicidal and discharged from St. Joseph's (Hospital Health Center) Comprehensive Psychiatric Emergency Program (CPEP) and St. Joseph's Behavioral Health unit. This project will support Goal 8 of the National Strategy for Suicide Prevention, "Promote suicide prevention as a core component of health care services." We will adhere to the National Suicide Prevention Lifeline (Lifeline) best practices including suicide risk assessment standards and policies and guidelines for helping callers at imminent risk of suicide and will implement Applied Suicide Intervention Skills Training (ASIST) as our suicide intervention model. Suicide data and research show elevated risk of suicide following an attempt or discharge from a medical facility. Follow-up phone calls, chat, postcards or texting, will reduce risk by increasing sense of connectedness and safety and providing referrals that address other needs, including barriers to accessing face-to-face mental health follow-up. Follow-up contact will be made within 24 hours and again at two weeks, with the option for additional follow-ups and referrals.

The Fordham University, Creating and Sustaining the Next Generation of Trauma-Informed Practitioners project proposes to implement "Core Concepts First" a model that combines foundational developmentally informed trauma knowledge with five treatments designed to treat trauma's pervasive developmental effects. The Center's model will transform NCTSN trauma training and increase the capacity of practitioners, schools of social work (SSW), and community agencies to provide children, adolescents and their families the most effective trauma-informed treatment. The Center will work with practitioners, community based agencies, NCSTN Category II sites and schools of social work to implement its "Core Concept First" model, which combines NCTSN Core Curriculum on Child Trauma (CCCT) with trauma treatment trainings. Project Goals: The combined package is designed to strengthen trauma training by (1) increasing practitioner's knowledge of developmental trauma, (2) transforming the ways in which NCTSN offers trauma treatment training, (3) creating the infrastructure to assist community agencies to become organizationally ready to introduce and sustain trauma treatment; 4) developing the capacity of practitioners and community agencies to provide developmentally informed trauma care, including military families and children and Native American children, and 5) extending the Center's local, regional and national reach. Population to be served: Community agencies, schools of social work, current and future (students) practitioners who serve children and youth whose early exposure to multiple episodes of interpersonal violence in the context of deprivation and neglect puts them at increased risk for negative developmental consequences across the lifespan. The project will reach over 1500 agency practitioners, 30-40 new SSW and over 2000 students over the four years of the grant.

New York City's Project LAUNCH will support and expand existing partnerships among public and community stakeholders to re-design the early childhood system in Harlem and the South Bronx with the goal of improving wellness outcomes for 6276 children and their families. The Fund for Public Health in New York will serve as the applicant, and the New York City Department of Health and Mental Hygiene will be the critical implementation and policy development partner and provide direction to the Young Child Wellness Coordinator (YCW Coordinator). Utilizing the promulgated New York State Children's Plan, which serves as the policy framework for transformation of early childhood services statewide, the CYCW will work with national technical assistance resources to develop a common vision of a holistic system that supports children under 8 and their families in achieving healthy and productive lives in two of NYC's most distressed communities. Evidence based practices to be implemented in early childhood and primary health care settings include: 1) Utilization of a validated instrument, the Ages and Stages Questionnaires Social-Emotional to conduct developmental assessments 2) Utilization of the SAMHSA identified Georgetown Early Childhood Mental Health Consultation model. 3) Co-location of mental health consultants in primary care as a mental health integration model 4) Enhancement of our Nurse-Family Partnership Home Visiting Program with mental health consultation. 5) Expansion of the SAMHSA/CSAP promising program Strengthening Multi-Ethnic Families and Communities to assist parents and the SAMHSA/NREPP Incredible Years model to train child care workers and early childhood educators on positive approaches to meeting children's needs. The Project will serve 458 children and families in year 1; 1466 in year 2; 1459 in year 3; 1452 in year 4 and 1441 in year 5.

Greenhope Housing Development Fund Corp. in association with Greenhope Services for Women, Inc. proposes to prevent and reduce chronic homelessness among formerly incarcerated homeless women of color in East Harlem by providing permanent supportive housing in combination with intensive individualized support services. The combination of long-term housing and wrap-around services will lead to improved residential stability and reductions in psychiatric symptoms. The primary goal of the proposed program is to prevent recidivism by reducing the gaps in substance abuse and mental health services among formerly incarcerated women. They will serve 42 residents per year and anticipate serving 66 residents over the lifetime of the project.

The Hunter College Suicide Prevention Program seeks to develop a comprehensive suicide prevention strategy at Hunter College of the City University of New York. Using these data, along with proposed screenings of incoming freshmen and transfer students, this program seeks to engage key student groups and partners across the college to 1) increase training in suicide prevention and mental health promotion for faculty, staff, and students; 2) increase collaboration among campus and community with the aim of suicide prevention and mental health awareness; 3) enhance available information on suicide prevention, substance misuse, and other mental health problems for students, faculty, staff, and family members; and 4) Increase help-seeking behavior among higher-risk and underutilizing student groups. This will be accomplished through engagement of key partners in the Psychology Department, Counseling & Wellness Services, Student Affairs, and the School of Public Health, along with members of student organizations, including LGBTQI, veteran, and associations of racial and ethnic minority students; gatekeeper training using the Kognito interactive suite to train increased numbers of faculty, staff, and students to identify students at risk and to refer them for treatment; to adapt educational materials to be distributed to faculty, staff, students, and family members; and through the development of a credit-bearing course in the Psychology Department to train upper-level students as peer counselors and to develop peer-led public health campaigns to educate the Hunter community about risk factors for suicidal behavior and mental health problems, including substance misuse, and to reduce the stigma surrounding mental health treatment seeking.

The goal of creating the Lincoln Integrated Collaborative Care and Wellness (LICCW) Program is to improve the mental and physical health of people with SMI, targeting those with chronic medical conditions. The method is to deploy a two- prong strategy that includes: 1) enhancement of the ambulatory care department by co-locating a primary care clinic dedicated for people with SMI (Medicine Clinic) with an established Behavioral Health Clinic, and 2) redesign the care delivery model to incorporate case management, patient navigation, care coordination, wellness promotion, disease self management education, linkage to community support services, referrals to specialty and subspecialty services, and coordination of transitional care into the LICCW Program care delivery model using a team-based care management model. The program goal is to improve continuity of care and expand access to integrated critical services to address the complex medical and social needs of individuals with SMI in a holistic and patient-centered care manner, which will produce positive health outcomes and generate long term cost saving. The measurable objectives for this project include: 1) increase in the number of new patients with SMI using the dedicated primary care clinic as their medical home; 2) improve the key clinical indicators of patients with SMI with at least one chronic condition; 3) reduce the use of ED visits; 4) reduce the number of hospitalizations; 5) improved medication reconciliation and adherence; 6) increase adherence to treatment modalities; 7) increased patient satisfaction; and 8) reduced health care expenditure of patients who access integrated care through the LICCW Program. We plan to register a minimum of 200 patients with SMI in year one, 375 patients in year two, 475 patients in year three, and 600 patients in year four. Over the four year project period, a minimum of 1,650 patients will identify LICCW Program as their medical home.

The current grant administrator, Link2Health Solutions (L2HS), in partnership with the National Association of State Mental Health Program Directors (NASMHPD), the Mental Health Association of NYC (MHA-NYC), Living Works (LW) and SIMmersion (SIM), proposes to extend its current expertise in managing the National Suicide Prevention Lifeline (Lifeline), to further enhance and strengthen the Lifeline's capacity to effectively reach and serve the total potential number of suicidal persons who might seek telephonic, chat or text-based (SMS) help within the U.S. L2HS will resume its successful work with Patriot Communications to maintain a system of toll-free suicide prevention lines that efficiently links callers to the nearest networked center for local assistance, and continue to facilitate expansion of chat and SMS services towards 24/7 availability through key partners such as CONTACT USA. L2HS will continue to regularly provide data to SAMHSA and the network demonstrating connectivity and other user trend reports to monitor service activity and quality. L2HS's ongoing partnerships with the VA and the Suicide Prevention Resource Center (which oversees the GLS State, Campus and Tribal grantees and the Action Alliance) will continue to extend the network's capacity to effectively reach and serve veteran/military, American Indian/Alaskan Native and other at risk populations. In addition, through a program supplement L2HS supports a National Disaster Distress Helpline that connects disaster impacted residents who are experiencing distress as a result of a disaster with a local crisis center responder.