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NY Discretionary Funding Fiscal Year 2018

Center: SM

Grantee: ADELPHI UNIVERSITY
Program: NATIONAL CHILD TRAUMATIC STRESS INITIATIVE (NCTSI) - CATEGORY II, TREATMENT AND SERVICE ADAPTATION (TSA) CENTERS
City: GARDEN CITY
State: NY
Grant Award Number: 5 U79 SM080023-03
Congressional District: 4
FY 2018 Funding: $600,000
Project Period: 2016/09/30 - 2021/09/29

In response to the extraordinarily high rates of severe and prolonged trauma experienced by youth treated in residential treatment settings, the Institute for Adolescent Trauma Treatment & Training will utilize its expertise to 1) intensively train multidisciplinary providers to deliver four trauma-informed evidence-based interventions to youth in residential settings across the United States, 2) develop and disseminate multi-media products (e.g. treatment protocols, fact sheets, workshops, webinars, youth-led videos) and specialized resources for youth, families, and providers in various types of residential settings (e.g., juvenile detention, substance abuse treatment), and 3) promote sustainability of these practices through the development of policies and procedures (including creation of internal training teams) that will embed services within residential systems on an organizational level. Training in four leading trauma-specific interventions used in residential settings will be delivered through ongoing Learning Collaboratives/Communities in: 1) Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS), 2) Real Life Heroes (RLH), 3) Think Trauma, and 4) Attachment, Regulation, and Competency (ARC). Systems-level training in Think Trauma and ARC will be delivered first to agencies to help establish a trauma-informed organizational culture and provide foundational support for bringing in trauma-specific clinical interventions. Client-level clinical treatment interventions will then be provided via more intensive Learning Collaboratives for SPARCS and Real Life Heroes. In addition to the extensive training activities, the Institute will focus on creating general and specialized resources for use in various types of residential settings (e.g., intervention adaptations for settings with short-lengths of stay) and with specific subpopulations (e.g., unaccompanied refugee minors). This Project will train 8000 multidisciplinary provide


Grantee: ASSOCIATION FOR MENTAL HEALTH AND WELLNESS, INC.
Program: Mental Health Awareness Training
City: RONKONKOMA
State: NY
Grant Award Number: 1 H79 SM081173-01
Congressional District: 2
FY 2018 Funding: $125,000
Project Period: 2018/09/30 - 2021/09/29

Through the#MHSTRONG project, the Association for Mental Health and Wellness (MHAW) and the Mental Health Association (MHA) of Nassau are providing mental health awareness training services to Long Island (LI) veteran organization personnel, probation officers, educators and other school personnel, as part of a Mental Health Awareness Training grant from SAMHSA. The project is using the Mental Health First Aid (MHFA) USA curricula. MHFA is an 8-hour interactive course that introduces participants to risk factors and warning signs of mental health problems, builds understanding of their impact, and overviews common treatments. It uses role-playing and simulations to demonstrate how to offer initial help in a mental health crisis and connect persons to the appropriate professional, peer, social and self-help care. It is suitable for a broad range of trainees and beneficiaries, including the populations MHAW is both training and serving. The primary beneficiaries are LI veterans and military personnel, as well as adults with serious mental illnesses in the criminal justice system, and youth with serious emotional disturbances in the juvenile justice system, at risk or involved with gangs. There is a growing need for mental health awareness among individuals who interact with persons experiencing mental illness—this is especially true when it comes to veterans. Disproportionate numbers of LI military personnel (36%+) are returning home with significant mental health issues, including PTSD-related disorders, clinical depression, co-occurring mental health and substance abuse disorders, including opioid. And yet less than 3% of the state’s health care providers are equipped to address the unique needs of veterans, either because of unfamiliarity with military culture, failure to screen for health problems common to veterans or other deficiencies. Greater numbers with mental illness are also being treated in the criminal justice system, and have many more prior incarcerations than the general jail population. In SC, 36% of the inmate population were referred to the Mental Health Unit during incarceration, and are more likely to have greater numbers and longer periods of incarceration than the general jail population. Likewise, at-risk youth, especially those susceptible to MS-13 gang recruitment, could benefit from psychological support. Gaps in services persists due to limited mental health and substance abuse providers, and veteran, law enforcement and school personnel trained in mental health first aid. To addresses these deficiencies, the project will train 2,120 LI VA personnel, probation and other officers, and educators and school personnel by 2021, or between 600 and 840 participants annually. MHFA training will help increase the capacity of participants to reduce high risk behaviors of LI veterans, adults with serious mental illness and youth with serious emotional disturbances, and safely and appropriately identify, respond to and refer individuals to mental health or related services, including peer, social and self-help care.


Grantee: BAILEY HOUSE, INC.
Program: Minority Aids Initiative - Service Integration
City: NEW YORK
State: NY
Grant Award Number: 1 H79 SM080589-01
Congressional District: 13
FY 2018 Funding: $482,055
Project Period: 2018/09/30 - 2022/09/29

Project name: Project Adults in Motion (Project AIM) Summary: Project AIM will provide HIV/HCV testing and linkage to care, integrated mental health and substance use treatment, and evidence-based interventions to African American and Latino men and women age 18 and over, with a Serious Mental Illness (SMI) or Co-occurring Disorder (COD), in the following New York City (NYC) neighborhoods: Central and East Harlem in Upper Manhattan; Hunts Point/Mount Haven and Highbridge/Morrisania in Southwest Bronx; and Bedford Stuyvesant/Crown Heights in Central Brooklyn. Project AIM will be implemented in Bailey House's (BH) Rand Harlan Center for Housing, Wellness and Community in East Harlem. Population(s) to be served: High-need residents of the targeted underserved neighborhoods who contend with disproportionately high rates of poverty, unemployment, HIV, and substance use, and mental health issues. The high rates of untreated mental health and substance use disorders, or those treated in a hospital-based setting, and the high rates of HIV diagnoses, indicate a significant need for additional community-based resources. Each neighborhood in BH's service area is designated as a Health Professional Shortage Area in Primary Care, Mental Health, Dental Care and are designated Medically Underserved Areas. These designations indicate that there are not enough providers to serve the needs of the residents, which are high. Strategies/interventions: Project AIM will implement four evidence-based practices: Screening, Brief Intervention, Referral, and Treatment (SBIRT), WSM+, Seeking Safety, and Healthy Living Project. Project goals and measurable objectives: Project AIM will: 1) reduce the negative impact of behavioral health problems and HIV; 2) increase access to and retention in treatment for behavioral health conditions and HIV; and 3) increase the provision of or linkage to critical supportive services. Objective 1: By the end of the program, 85% of enrolled clients (from baseline) will have increased knowledge on how to manage their behavioral health conditions; Objective 2: 65% of enrolled clients (from baseline) will report increased confidence in their ability to manage their behavioral health conditions; Objective 3: 75% of enrolled clients (from baseline) will report increased retention in behavioral health care, primary care, and HIV/HCV treatment as applicable; and Objective 4: Substance use among enrolled clients will be reduced by 10% each program year (from baseline). The number of people to be served: Project AIM will provide mental health, substance use, and evidence-based interventions to 410 unduplicated clients throughout the life of the program.


Grantee: BAILEY HOUSE, INC.
Program: Treatment for Individuals Experiencing Homelessness
City: NEW YORK
State: NY
Grant Award Number: 1 H79 SM080643-01
Congressional District: 13
FY 2018 Funding: $499,417
Project Period: 2018/09/30 - 2023/09/29

Bailey House, Inc.’s (BH) proposed project will enhance the community infrastructure to provide integrated substance use and mental health treatment, housing, and access to critical recovery support services to individuals experiencing homelessness. The program’s model will be enhanced by peer services, housing transition support, care coordination, and an on-going assessment of client barriers to maintaining stable housing and linkage to needed services. The project will target adults (over age 18) in the overwhelmingly African American and Hispanic neighborhoods of East and Central Harlem in Manhattan; Hunts Point-Mott Haven/Highbridge-Morrisania in the South Bronx; and Bedford-Stuyvesant/Crown Heights in Central Brooklyn. The economic conditions in these neighborhoods are among the poorest in New York City (NYC) and residents have high rates of mental illness and substance use: drug-related and mental health hospitalizations are roughly 1.5–3 times higher compared to NYC overall. These areas also disproportionately harbor the city’s 64,000 homeless individuals, a population that has higher mortality, worse access to care, and higher rates of almost all chronic conditions, including behavioral health disorders, compared to the general population. The homeless face complex, multidimensional barriers to accessing services and remaining engaged in care, and the racial disparities of the homeless population (close to 90% of NYC’s shelter residents are African American or Hispanic) further drive disparities in behavioral health outcomes. In addition to linking clients to mental health and substance use services at BH’s licensed Behavioral Health Center, the project will implement four evidence-based practices—Screening, Brief Intervention, and Referral to Treatment (SBIRT), Wellness Self Management Plus (WSM+), Critical Time Intervention (CTI), and a Tobacco Cessation Program based on SAMHA’s Smoking Cessation for Persons with Mental Illness. These interventions will be part of BH’s existing trauma-informed and recovery-oriented behavioral health and supportive services, which include benefits enrollment assistance and medical care provided in collaboration with community partners, case management, and peer support. By increasing capacity and providing integrated mental health, substance use and supportive services and linkages to permanent housing, the program aims to improve the health of homeless individuals with SMI or COD and reduce homelessness through the following objectives: 1) Reduce clients’ substance use; 2) Improve clients’ mental health; 3) Improve access to and retention in behavioral health services; 4) Increase linkage to permanent housing; and 5) Improve housing stability through increased provision of or linkage to recovery support services. The project will serve 336 clients over the five-year funding period (56 in year 1; 70 in years 2-5). BH will measure project implementation and outcomes via data collected through GPRA Intake, Follow-up and Discharge Assessments; progress on individual Care Plans; screening/assessment tools to continually assess clients’ barriers to sustainable housing; and independent evaluations of SBIRT, WSM+, and CTI.


Grantee: BESTSELF BEHAVIORAL HEALTH, INC.
Program: Certified Community Behavioral Health Clinic Expansion Grants
City: BUFFALO
State: NY
Grant Award Number: 1 H79 SM081865-01
Congressional District: 26
FY 2018 Funding: $2,000,000
Project Period: 2018/09/30 - 2020/09/29

Project Abstract Summary BestSelf Behavioral Health (BBH) is requesting funding in the amount of $2,000,000 per year for 2 years to support the BestSelf CCBHC Services Enhancement Project. The proposed project will expand BBH’s current New York State Certified Community Behavioral Health Clinic (CCBHC) to include a 24/7 immediate access clinic, establish a community clubhouse, and expand Assertive Community Treatment (ACT) services. Currently, Erie County experiences a mental health provider shortage with 228 providers per 100,000 residents in a state where only 41% of mental health treatment capacity is met (https://www.omh.ny.gov). The county is currently amid an opioid use epidemic. The rates of opioid overdose deaths have been steadily increasing with 127 in 2014, 206 in 2015, and 301 in 2016 (http://www2.erie.gov). As a certified CCBHC, BBH provides all of the nine required services directly or through a Designated Collaborating Organization (DCO) agreement. The most significant barrier to care is for access to psychiatric medications, with BBH patients having to wait approximately 30-45 days for a psychiatric appointment, except in emergency situations. The other significant care gap facing the WNY community is hospitalization follow-up, which currently experiences a 45-50% no show rate. By project end, BestSelf CCBHC Services Enhancement will provide direct services to 1650 clients who will receive these additional services, reduce all-cause hospitalizations, and improve medication adherence rates. These CCBHC expansion services will supplement current activities and continue to enable BBH to provide comprehensive community-based mental and substance abuse disorder services in an approach that emphasizes recovery, wellness, trauma-informed care, and physical-behavioral health integration. All of the proposed interventions address the Interdepartmental Serious Mental Illness Coordinating Committee recommendations: 2.7: use telehealth and other technologies to increase access to care; 2.8 maximize the capacity of the behavioral health workforce; 3.1 provide a comprehensive continuum of care for people with SMI and SED; 3.9 make integrated services readily available to people with co-occurring mental illnesses and substance use disorders, including medication assisted treatment (MAT) for opioid use disorders and other substance use disorders, and; 5.8 Expand the Certified Community Behavioral Health Clinic (CCBHC) program.


Grantee: BLOSSOM SUSTAINABLE DEVELOPMENT
Program: Native Connections
City: SOUTHAMPTON
State: NY
Grant Award Number: 5 H79 SM063495-03
Congressional District: 1
FY 2018 Funding: $200,000
Project Period: 2016/09/30 - 2021/09/29

The purpose of the Hakame Clubhouse is to implement a culturally appropriate community change model among the Long Island Native American community, specifically the Shinnecock Indian Nation to strengthen the capacity of tribal and local youth, health, and wellness organizations to delivery services. This model serves to remove barriers to care by providing a point of entry and helping youth and families to navigate the behavioral health system. "Hakame" means welcome in the Shinnecock Language and is the vision for welcoming youth into the clubhouse where they will access to a vast network of behavioral health services including direct and indirect prevention services, wrap around support services, peer recovery group, and referrals to treatment. This Clubhouse will take the view that the community has the strengths and resiliencies within it reduce substance abuse and mental health challenges and activities will be informed by community knowledge. The Clubhouse's role is to help facilitate the community change model.


Grantee: CATHOLIC CHARITIES NEIGHBORHOOD SERVICES, INC.
Program: Certified Community Behavioral Health Clinic Expansion Grants
City: BROOKLYN
State: NY
Grant Award Number: 1 H79 SM081817-01
Congressional District: 7
FY 2018 Funding: $1,778,233
Project Period: 2018/09/30 - 2020/09/29

Catholic Charities Neighborhood Services, Inc. (CCNS) will expand access to and improve the quality of integrated community behavioral health (BH) services offered through our mental health and substance use disorder outpatient treatment clinics, both licensed by NYS and for which we are seeking CCBHC certification. We will expand access to services for adults with mental illness, children and adolescents with serious emotional disturbance (SED); individuals with substance use disorders (SUD) including opioid disorders; and, individuals with co-occurring disorders (COD) in the Brooklyn neighborhoods of: Flatlands, Midwood, Kensington, Flatbush, East Flatbush, Ditmas Park, and Crown Heights. We provide comprehensive, integrated BH services to individuals from every walk of life. Many clients face a myriad medical, behavioral, and social conditions and challenges. Over the grant period, we will increase the number of individuals we serve from 450 to 630 in the first year, and more than double the original number to over 1,000 individuals in this high-need area of Brooklyn by the end of the second year. CCNS will: (1) provide immediate access to a comprehensive range of community-based mental health and substance use disorder services, including crisis intervention, for which we will add our own 24-hour mobile crisis team to enhance the 24-hour crisis services we already offer; (2) treat additional individuals with COD; (3) advance integration of behavioral health (BH) with physical health; (4) expand use of evidence-based practices; and, (5) provide overall improved access and quality of care to all populations by: (a) leveraging the lived experience of individuals living with mental illness and SUD, including veterans, through increased peer involvement in the care we offer; (b) expanding our capacity to coordinate benefits for our clients to address social determinants; and, (c) augmenting our use of data to drive performance improvement. CCNS will achieve CCBHC certification within four months of award, with few new requirements to fulfill. CCNS has been expanding its capacity to provide services to meet the needs of individuals with SMI, SUD and COD since the early days of health care reform. In Brooklyn today, we provide nearly all CCBHC-required services in a client-centered and integrated manner at two locations; however, by April 1, 2019, we will advance our integrated model of delivery by moving both to a new, larger location in Brooklyn at 1625 Flatbush Avenue, Brooklyn, NY 11210, where we will also add primary care. Unlike many other providers, we offer immediate access to services through open-access/walk-in appointments, provide evidence based SUD assessments upon intake, and promote lived experience throughout our entire behavioral health portfolio. CCNS has been approved by OMH to provide Telehealth/Telepsychiatry services between clinics to ensure psychiatric coverage and medication availability for all clients. CCNS is well prepared to take the final steps in becoming a CCBHC and meet the high standards of this national model.


Grantee: CAYUGA COUNTY MENTAL HEALTH CENTER
Program: SOC Expansion and Sustainability Coop
City: AUBURN
State: NY
Grant Award Number: 5 H79 SM063409-03
Congressional District: 24
FY 2018 Funding: $1,000,000
Project Period: 2016/09/30 - 2020/09/29

Cayuga County is dedicated to the continued building of a System of Care intended to ensure that all children with emotional, behavioral and mental health needs can grow to their full potential while living in their own homes and community. We intend to do so within a common culture of care that promotes safety, empowerment, choice, collaboration and trustworthiness for all its partners. Our proposal includes expanding services so that every child gets the help they need without obstacles; to improve our ability to identify early the needs of children who may be at risk of developing serious emotional disturbances and ensure they receive the supports they need; to improve accessibility and treatment coordination for children with significant behavioral health needs and to fully engage at all levels, parents, caregivers and youth as partners in the System of Care. Our population of focus includes children in both rural and urban areas of the county with a diagnosable emotional, socio-emotional, behavioral or mental disorder. This includes children from birth through age 21 in families in which there is risk of or identified abuse and/or neglect; and/or youth who currently are involved with more than one service-providing agency or are demonstrating significant difficulty in school, home or the community. We intend to serve 250-300 youth each year.


Grantee: CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES, INC.
Program: Mental Health Awareness Training
City: NEW YORK
State: NY
Grant Award Number: 1 H79 SM081483-01
Congressional District: 8
FY 2018 Funding: $125,000
Project Period: 2018/09/30 - 2021/09/29

CASES’ proposed Mental Health Awareness Training (MHAT) program—“Promoting Mental Health Awareness in Harlem, including for Community Members with Criminal Justice Involvement”—focuses on promoting mental health awareness among two primary populations: 1) criminal justice provider staff and the individuals they monitor and/or serve along with these individuals’ family members and 2) Harlem community providers/coalitions and residents. The proposed program responds to the overreliance on law enforcement and inpatient hospitalization as responses to mental illness in Harlem, a community with high rates of resident incarceration, violence, and psychiatric and substance use-related hospitalization. The latter indicates a lack of access to and/or utilization of outpatient and other early intervention treatment services for individuals with mental illness. CASES seeks to promote improved community awareness and capacity to support individuals with mental illness through delivery of the evidence-based Mental Health First Aid (MHFA) training curriculum augmented by Screening, Brief Intervention, and Referral to Treatment (SBIRT)-guided services. CASES will leverage its program offices in Central Harlem, home to the organization’s State-licensed outpatient mental health clinic which will serve as a primary treatment referral destination for individuals identified as in need in the proposed MHAT program. These services will train and certify 1,860 individuals in MHFA over the grant term: 540 in Year 1 (by 9/30/19); 660 in Year 2 (by 9/30/20); and 660 in Year 3 (by 9/30/21). The program will a) increase the capacity of NYC criminal justice staff, Harlem providers/community coalitions, and Harlem residents including criminal justice-involved youth and adults in understanding mental illness and how to help someone with signs/symptoms of a mental health issue including in the de-escalation of acute crises; b) decrease stigmatizing attitudes toward people with mental illness that may contribute to a failure to seek mental health treatment; and c) create a comprehensive mental health treatment and service resource guide for Harlem residents.


Grantee: CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES, INC.
Program: PBHCI
City: NEW YORK
State: NY
Grant Award Number: 5 H79 SM062410-04
Congressional District: 8
FY 2018 Funding: $400,000
Project Period: 2015/09/30 - 2019/09/29

The Center for Alternative Sentencing and Employment Services (CASES) seeks PBHCI funding from SAMHSA's Center for Mental Health Services to significantly enhance and expand the integration of behavioral health (BH) and primary care for adults with serious mental illness (SMI), with a focus on those involved in the criminal justice (CJ) system. As a leading provider of jail diversion and BH treatment for CJ- involved youth and adults in New York City (NYC), for nearly 50 years CASES has delivered effective alternative-to incarceration programs that consistently reduce recidivism and cost less compared to incarceration. Over the past 15 years, responding to trends in Court-involved populations. CASES' Clinic is about to commence a limited program pilot with the Institute for Family Health (IFH) to provide integrated primary care services onsite. This PBHCI grant opportunity would enable CASES and IFH to extend and enhance their integrated services to develop a sustainable program that works with consumers well beyond the time limits of grant funding. CASES is uniquely positioned to deliver this PBHCI, through their expertise in providing effective BH treatment for SMI adults, partnership with IFH and specialty health providers, and their outpatient mental health clinic in Central Harlem-a community with high rates of crime, poverty, mental health-related hospitalization, and chronic health problems including a diabetes prevalence twice the rate of the general Manhattan population.


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