OH Discretionary Funding Fiscal Year 2017

The East Dayton AWARE Project provides Mental Health First Aid (MHFA) trainings to adults who interact with transition-aged youth, ages 16-24, in the 45403 and 45410 zip code areas in East Dayton, Ohio. Six MHFA Instructors provide 12 trainings per year for three years to certify 900 people as First Aiders. Transition-aged youth (TAY) in this catchment area experience high poverty rates, failing schools, a lack of employment opportunities, insecure attachments with adults, unsafe neighborhoods, and deteriorating housing. The most common diagnoses are Attention Deficit Hyperactivity Disorder, bipolar, depression, anxiety, and opioid-related substance use disorders. EDAP will saturate the East Dayton area with one certified First Aider to every five-to-six TAY. This is a saturation rate of 18% and will be accomplished by training 300 First Aiders per year, for a total of 900 trained by the end of the third year. Wellness Support meetings will provide ongoing support for newly certified First Aiders who may have been emotionally impacted by their act of helping others. The project's measurable objectives are: train six instructors to provide 12 MHFA courses per year resulting in 900 First Aiders within three years; achieve 75% participation from youth-serving agencies; increase First Aiders' knowledge of signs, symptoms, and risk factors of mental illnesses; increase First Aiders' help-seeking behaviors; improve First Aiders' own mental wellness; improve First Aiders' knowledge of professional and self-help resources; increase First Aiders' confidence in providing help to people experiencing mental health problems; reduce First Aiders' perceived stigma towards mental health disorders; complete 20 Memorandums of Understanding with TAY-serving organizations; increase the number of First Aiders who report using the MHFA Action Plan; and increase the number of First Aiders who report providing referral information to mental health services.

The overall purpose of the ConnectCWRU project is to build a connected, outcomes-driven infrastructure that improves communication between providers and leads to better on-campus suicide prevention efforts that are based on the best currently-available evidence and practice. Connect CWRU proposes development of a novel approach to detect and predict suicide risk using healthcare data in a developed algorithm. ConnectCWRU staff will use health data to develop risk algorithms to identify two currently-unknown risk factors to detect and predict increased suicide risk. The project will broadly target the entire Case Western Reserve University (CWRU) student body, but will focus special attention on sub-populations of students identified as having a high risk for suicide. ConnectCWRU's has numerous measurable objectives corresponding to the broad goals: 1. Create and put in place a comprehensive crisis response plan with links to the community; 2. Increase community members trained as gatekeepers; 3. Develop and implement educational programming focused on positive mental health, risk reduction, and resiliency training; 4. Expand and improve access to crisis hotlines for students; 5. Increase access to linguistically appropriate information about common problems for college students. The ConnectCWRU team will continue to use the data provided by this system long after the grant to evaluate the effectiveness of its suicide prevention efforts and develop new ways to encourage positive mental health and help-seeking behaviors.

The Cleveland Department of Public Health (CDPH), in partnership with FrontLine Service, proposes to reduce family homelessness in Cuyahoga County and Cleveland, Ohio, by providing comprehensive, trauma-informed, evidence-based treatment and supportive services to families that are homeless and the head of household has a severe mental illness (SMI), substance use disorder (SUD), or co-occurring disorder. Utilizing the evidence-based practices of Permanent Supportive Housing, Motivational Interviewing, Trauma-Informed Care, Trauma-Adapted Family Connections, and Supported Employment, this program will serve 165 families during the three year grant term. Evidence strongly suggests that if families that are homeless receive wrap-around services designed to address their mental health, substance use, employment, and daily needs, these families have a decreased risk of returning to homelessness. This compelled CDPH to propose a collaborative program with FrontLine to provide housing services, case management, assertive outreach, access to mainstream benefits, and linkage to ongoing services for families who have not been able to become self-sufficient through Rapid Re-Housing or Transition In Place models, and are in need of Permanent Supportive Housing to end their housing insecurity. The CDPH will work with FrontLine personnel to develop protocols for service provision, protection of the privacy of participants' personal information, and training of direct service staff. Families in this program will largely be African-American, headed by a female between the ages of 25-34 who is diagnosed with SMI or SUD, living in poverty, have at least one dependent child, and have been engaged in the Progressive Engagement homeless program. Participants in this program will receive mental health and substance use treatment, supported employment, peer recovery services, linkage to mainstream benefits, and ongoing community resources, as needed.

Summary: The Cuyahoga County Assisted Outpatient Treatment pilot project is designed to reduce the incidence and duration of inpatient psychiatric hospitalization, homelessness, and interactions with the criminal justice system among persons with Severe Mental Illness (SMI); and to improve the health and social outcomes of persons with SMI. Project Name: Cuyahoga County, Ohio Assisted Outpatient Treatment Pilot Project. Population to be Served: Persons with SMI who are civilly committed to the public mental health system are the population of focus they are individuals who are considered to be a danger to self or others, and will have been sent to the hospital for treatment. These are clients who have severe symptoms and impairments that are not effectively remedied by available treatment, or who resist or avoid involvement with behavioral health treatment. Most are indigent and eligible for Medicaid; approximately half are women, and approximately half are African American. The Board and its partners will endeavor to serve I 00 persons each year, or 400 throughout the life of the project. Goals: 1) Create awareness among jurists, hospitals, treatment agencies and the community of the availability of AOT and the requirements of Ohio law. 2) Build the infrastructure to monitor the progress of all clients in the AOT pilot program and facilitate communication among the Board, hospitals, clients, families, and the Court. 3) Expand treatment services to ensure a comprehensive, evidence-based continuum of treatment, wraparound recovery supports, monitoring and reporting to provide persons with SMI with the greatest opportunity to remain in the least restrictive setting.

The Holistic Health Integration Project - Clermont County (HHIP-CC) is a collaboration between Greater Cincinnati Behavioral Health Services (GCB), a community-based behavioral health agency, and The HealthCare Connection (THCC), a Federally Qualified Health Center. GCB and THCC have worked together for almost a decade to provide integrated care to the region's most vulnerable and underserved populations. The HHIP-CC will expand co-located, integrated primary and behavioral health for adults with serious mental illness (SMI) to Clermont County, OH a rural, Appalachian county with no integrated services. Persons living in Appalachian counties are more likely to live in poverty, be uninsured, have unmet health needs, experience poor quality care, and have worse health outcomes. The HHIP-CC will transform the county's healthcare environment by establishing a fully integrated practice that: 1) increases access to primary care, 2) enhances quality of integrated services 3) improves health outcomes for adults with serious mental illness and 4) develops a sustainable business model for fully integrated care.

Hopewell Health Centers (HHC) will use these SAMHSA Primary and Behavioral Health
Care Integration funds to expand its Person-Centered Integrated Care Approach by increasing access to a holistic standard of care at all its CARF accredited Community Mental Health Center locations. HHC will (1) Establish a Public Health System Impact Coordination Team for its eight-county service area; (2) Increase the agency's level of integration from a SAMHSA Level 4 (basic on-site collaboration) to a Level 6 (fully transformed integrated practice); (3) Achieve all EHR Meaningful Use Standards across all five mental health clinics; (4) Incorporate a behavioral health home model through the creation of integrated care teams at all community mental health center sites; (5) Institute on-site primary care services at 60% of the community-mental health center locations, and (6) Provide behavioral health home services to 75% of the clients diagnosed with a severe-persistent mental illness. The project will result in (1) 6,000 clients having access to fully integrated care and a unified electronic health record; (2) 3,600 gaining access to on-site primary care; and (3) 1,000 clients diagnosed with a severe persistent metal illness receiving behavioral health home services. HHC is the major behavioral health and primary care safety net organization for eight counties in Southeast Ohio (Athens, Hocking, Jackson, Meigs, Perry, Ross, Vinton, and Washington). All counties are located in rural Appalachia and have been designated as "Mental Health Professional Shortage Areas" (MHPSA's). HHC is a community mental health center and a federally qualified healthcare center providing integrated healthcare for southeast Ohio, with 16 locations across 8 counties, serving 30,000 persons per year with 365 employees and a $24 million annual budget. Through this funding, HHC will further its vision of creating a Southeast Ohio "community where everyone enjoys a healthy mind, body, and spirit."

The purpose of the Changing Lives Campus Suicide Prevention Project is to build the capacity of the College's infrastructure for a more comprehensive, shared-responsibility approach to suicide prevention. This approach will include initiatives designed to expand and strengthen collaborations with campus and community partners; educate faculty, staff and students about suicide warning signs, prevention and intervention practices; promote awareness of resources and support services; increase student help-seeking behavior through counseling and/or peer support groups; and reduce the stigma associated with such help-seeking. While the Project will have an impact on all RSC students, it is targeted toward low-income, veteran, disabled, and LGBT students. In support of the RSC mission to change lives, build futures and improve communities, RSC's Project goals are to: (1) increase and/or strengthen collaboration among campus and community partners, (2) Increase student, faculty and staff mental health knowledge and awareness regarding suicide and suicide prevention, (3) Increase the promotion for the National Suicide Prevention Lifeline, and (4) Increase helpseeking among students and reduce negative attitudes about seeking care for mental and substance use disorders among students.

The purpose of Project AWARE Kent is to provide MHFA to Kent State University (KSU) students and staff who interact with the 20,606 KSU transition-aged college students at the KSU main campus. This will be accomplished by saturating the campus, at an estimated ratio of 1:28.6, with at least 720 individuals trained as First Aiders. A total of 20,606 undergraduate and graduate students between the ages of 18-24 were enrolled on the main KSU campus per 2015 spring institutional research data. The majority of KSU students are female, Caucasian and heterosexual. Slightly over one third of students are low income, and 7.5% self-report as LGBT. Almost 35% of KSU female students and 43% of KSU male students between age 18-24 report binge drinking and 19% of students report illegal drug use in the past 30 days. Almost one third of students (30.9%) reported thinking about getting help for mental health problems like depression, anxiety or other issue while they have been a student at KSU an average of 7.5 separate times, but only 42.9% actually sought help. Consequently, we propose to increase the mental health literacy at the university level through the following goals and objectives: eight individuals comprising members of surrounding mental health community agencies and the university will be trained to deliver the MHFA program; train a minimum of 720 individuals as MHFA First Aiders over the life of the project (240 individuals per year of the project); at least 5% of members of student organizations will participate in the 8-hour MHFA training over the course of the 3-year project period and be trained as MH First Aiders; initiate a modest, but vital social marketing and awareness campaign to further increase awareness of mental health and remind individuals of their responsibilities as First Aiders; and increase from baseline in the number of students receiving referrals for services/screenings at university-based counseling centers and community agencies.

The purpose of the proposed project is to increase access to and improve the quality of services and supports available to Stark County children, youth and families with or at-risk for mental health disorders. Specifically, the project planning team intends to: address the identified needs of children, youth and families at highest risk for residential treatment, hospitalization, incarceration, and death; and expand and enhance current system capacity to offer trauma- informed, culturally and linguistically competent services to populations presently experiencing significant gaps in care. Stark County is home to 17 school districts-each with its own superintendent, board, and multiple buildings- with students in need of a diverse range of behavioral health services. The target population for the proposed System of Care (SOC) Expansion are youth (and families), ages 11-21, with significant functional challenges in their home, school, community with one or more of the following: 1) Multi-System Involvement; 2) Minority Youth Living in High Poverty/High Crime Neighborhoods; 3) At-risk for court placement or removal from their home; 3) Experiencing hospitalization or residential treatment, and; 4.) Co-occurring substance abuse, developmental disabilities or other difficult to diagnose and treat conditions.

Mental Health America of Northern Kentucky and Southwest Ohio will launch PROJECT ACE: AWARE-CONNECTED-ENGAGED, to accelerate the reach of Youth Mental Health First Aid (YMHFA) in Ohio. The project will focus on youth ages 12-18 in Hamilton County, Ohio. Hamilton County is the third most populous county in Ohio, and home to approximately 185,525 youth. Youth in Hamilton County have some of the highest rates of suicide and homicide in the State of Ohio. High rates of childhood poverty, substance abuse, and mental health issues are among other reasons to target this population. Because Hamilton County is home to many behavioral health agencies in addition to world-class business, education, healthcare, performing arts and faith based organizations, the likelihood of success is high. Building the connection between youth and services is essential to influence current social norms referenced above. YMHFA will be marketed to adults with the most contact with youth in the catchment area. "ACE" adults will begin to build the bridge to available resources and services. Project goals include an increase in help seeking behaviors of the youth throughout the catchment area, an increase in adults' mental health literacy and confidence to help youth in need, and an increase in the number of referrals to services made by certified First Aiders. Planned measures include utilization of mental health services as reported by partnering agencies, an increase in the number of individuals certified in YMHFA, and self-report of referrals made by First Aiders. This project will train 1,000 adults who serve Hamilton County youth in YMHFA the first year, 1,050 in the second year, and 1,100 in the third year, for a total of 3,150 certified First Aiders by the end of the funded project period.