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OH Discretionary Funding Fiscal Year 2021
Montgomery County Zero Suicide Project
Behavioral Healthcare Partners of Central Ohio - Certified Community Behavioral Health Expansion Project Behavioral Healthcare Partners of Central Ohio, Inc.’s (BHP) Certified Community Behavioral Health Clinic Expansion Project will serve adults, adolescents, and children with the most serious and complex mental and substance use disorders (SUD) using a comprehensive collection of services that creates access to care, stabilization of individuals in crisis, and needed treatment and recovery support services. During the two year project Behavioral Healthcare Partners plans to serve 250 new clients during year 1 (August 30, 2020 – August 29, 2021) and 250 new clients during year 2 (August 30, 2021 – August 29, 2022) for a total of 500 clients during the project period. BHP’s CCBHC Expansion Project will serve the central Ohio region with a focus in Licking and Knox counties. These areas are located to the east/northeast of the state capital of Columbus. According to the US Census Bureau, Licking County is a suburban-rural area with a population of 172,293 and Knox County is identified as a rural county with a population of 61,215. Although, Licking and Knox Counties are not designated as Appalachian by the Appalachian Regional Commission, both counties are bordered by Appalachian Counties and many of the cultural norms associated with Appalachia are prevalent in our catchment area. The Mental Health and Recovery Board for Licking and Knox County’s (MHR) 2017 Community Plan shows evidence of the increased need for behavioral health services. The report states that calls to treatment providers for services from new clients or potential clients had increased by 41% in comparing fiscal years 2012 and 2013 to fiscal years 2010 and 2011. Over a three-year period (2013 – 2015) the 211 Crisis/Hotline & Information and Referral Line listed requests regarding mental health and addiction consistently as the top request for information. (https://mha.ohio.gov/Portals/0/assets/SchoolsAndCommunities/CommunityAn…) Ohio has been hit hard by the current opioid epidemic. According to the Center for Disease Control, Ohio ranks as the second highest state in the country for opioid related deaths (4,329 in 2016) or at a rate of 39.2 deaths per 100,000 persons, compared to the average national rate of 14.6 deaths per 100,000 persons. (https://www.cdc.gov/drugoverdose/fatal/dashboard/index.html) The MHR 2017 Community Plan states an estimated 6.5% of residents in Licking and Knox Counties, ages 12+, are substance dependent and in need of substance abuse treatment services. The plan also estimates that approximately 14% of the adult residents in the two counties would benefit from mental health treatment services, and approximately 3% of residents have experienced a severe mental illness.
The Bellefaire JCB and Applewood Centers, Inc. CMHC partnership will increase capacity and access to behavioral health services in three counties in northeast Ohio—Cuyahoga, Lorain, and Medina—and target children and youth, ages 12 to 22, with serious emotional disturbances (SED), serious mental illnesses (SMI) and co-occurring substance use disorders (COD) and their families, including justice involved youth, youth in custody, and moderate developmental delays. This partnership will serve 500 individual clients annually and 1,000 over the course of the project. Addressing all mental health diagnoses yet specifically targeting the dramatic upward trend in depression and anxiety in this cohort as a result of the COVID-19 pandemic, this partnership will deploy group and individual in-person and telehealth services in schools and in community-based outpatient settings so as to ameliorate the behavioral health challenges that have reached critical proportions. Included in this project will be compassion fatigue interventions for providers so as to ensure their wellbeing and ability to sustain exceptional service provision throughout the life of the project. To accomplish the goal of successfully reducing symptoms and substance use, evidence-based practices (EBPs) will be mobilized to achieve project goals and measurable objectives. Interpersonal Psychotherapy for Adolescents and Interpersonal Psychotherapy-Adolescent Skills Training will address depression diagnoses; Cognitive Behavioral Therapy and Trauma-Focused Cognitive Behavioral Therapy will address anxiety; and Motivational Interviewing overlay therapeutic interventions to address co-occurring substance use disorders. With the goal of increasing SMI, SED, and COD prevention and treatment capacities in the catchment area achieving the measurable objective of 75% of youth served showing improved outcomes as a result of program participation and treatment delivery this partnership will draw from a staff complement of over 80 full- and part-time Master’s level, licensed therapists to deliver group and individual services across 166 schools in the catchment area along with one-on-one, individualized, family centered, strength based treatment in community- and office-based settings and via telehealth. With the goal of providing trauma-informed screening, assessment, diagnosis, patient-centered treatment planning, and clinical and recovery support services, intake and case management and care coordination teams will use Vroon Vandenberg High Fidelity Wraparound so as to ensure services are patient centered, culturally competent, strength based, and that clinical and recovery support services are in place as youth step down from services.
B.E.S.T. Program is a comprehensive approach to wrapping supports around individuals ages 14-29 who have autism spectrum disorders or co-occurring SED/SMI with IDD during the critical period of transition from youth to young adulthood. This program will provide intensive care coordination during this critical period of life and offer two acuity tracks to these individuals. Acuity Track 1 is focused on high-need, lower functioning individuals who received 1:1 supports throughout childhood, often including ABA, and they and their families find that this level of care is suddenly unavailable upon reaching adulthood. Acuity Track 2 is focused on serving higher functioning individuals with autism spectrum disorders who do not fit "neatly" in the traditional IDD system of care, but who need greater support during this transition period in order to ensure success in adulthood than the typical community mental health system can offer through most outpatient settings. PROJECT NAME-B.E.S.T. (Boundless Experiences for Successful Transitions) POPULATIONS TO BE SERVED- Youth and Young Adults with ASD & Co-occurring SED/SMI with IDD STRATEGIES/ INTERVENTIONS- High Intensity Care Coordination, Acuity-Tiered Day Treatment Programs, Outpatient population-specific mental health treatments, Work Readiness and Independent Living Clinical Support Services & Psychoeducation, Population-Specific Peer Support Services, Population-Specific Crisis Intervention & Mobile Crisis Response, Linkage and coordination with the developmental disabilities systems of care. PROJECT GOAL-Increase the incidence of successful transition to adulthood for youth and young adults with ASD or co-occurring SED/SMI w/IDD by improving system coordination and providing specialized comprehensive care. OBJECTIVE 1-95% of participants ages 22-29 will be either employed, enrolled in higher education, or engaged in a daily activity that the individual reports as meaningful. OBJECTIVE 2-90% of participants ages 22-29 will live in either a natural family setting or a setting with 3 or less non-family member individuals (i.e. community integrated, not facility placements) OBJECTIVE 3-Participants, in aggregate, will report a Personal Outcomes Measures average score of 30 or higher OBJECTIVE 4-95% of participants ages 14-21 will successfully maintain placement within their family/caregiver home (i.e. avoiding custody transitions)
The Buckeye Ranch (TBR) will build capacity in school-based mental health services by implementing Dialectical Behavior Therapy (DBT) STEPS A and DBT skills as an individual counseling approach in collaboration with at least three public school systems in central Ohio. Intervention will focus on youth in elementary through high school at risk of or identified as being a student with a Serious Emotional Disturbance (SED). DBT skills have demonstrated effectiveness in helping adolescents manage difficult emotional situations, cope with stress, and make better decisions. DBT is an evidence-based model grounded in cognitive behavior. DBT encourages middle-of-the-path thinking and promotes resiliency through teaching 4 foundational skills. These skills are mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. DBT Skills Training for Emotional Problem Solving for Adolescents (DBT STEPS-A) is a social-emotional learning (SEL) curriculum to be implemented in schools to teach students effective emotion regulation, decision making and problem-solving skills. Through this opportunity we intend to fill service gaps and address the needs of 100 youth per year identified as SED who are uninsured and/or underinsured for a total of 200 youth in a two year period. 70% of youth will achieve improvement in emotional regulation and management as measured on a standardized scale. Achievements through this grant opportunity will be used to inform and further develop school-based mental health services in central Ohio.
The Cuyahoga County Youth Work Institute Mental Health Awareness Training (CCYWI MHAT) project will target Youth Workers from afterschool and other out-of-school time programs that support youth and young adults between the ages of 10-24 in Cuyahoga County. There are more than 500 such programs, serving nearly 20% of youth and young adults within the county. These programs are an important community resource that can support the mental health of youth and young adults in the community. In 2017, among high school student, 31% reported experiencing depressive symptoms, 1 in 9 reported attempting suicide, and 1 in 3 knew someone who completed suicide. Youth Workers are supportive and trusted adults in the lives of young people, often the first to recognize when a young person is in crisis. Therefore, it is essential to ensure that Youth Workers are trained to recognize the signs and symptoms of mental illness, de-escalate situations where a young person might be in crisis, and increase their ability to facilitate access to youth-focused mental health services. Accordingly, the following goals are associated with this project: (1) Increase the number of YW trained to recognize the signs and symptoms of mental disorders, particularly serious mental illness and/or serious emotional disturbances; (2) Establish linkages among YW with school- and community-based mental health agencies to refer youth with the signs and symptoms of mental illness to appropriate services; (3) Increase the number of YW who are trained to identify youth with a mental disorder and employ crisis intervention techniques; and, (4) Increase the knowledge and awareness among YW about resources that are available in the community for youth with a mental disorder. Implementation of these goals will include a series of objectives aligned with the strategies identified below: ? Establish an interagency collaborative that supports collaboration between Youth Workers, afterschool and other out-of-school time programs, and youth-focused mental health service providers ? Train Youth Workers to recognize the signs and symptoms of mental illness and de-escalate related crisis through the use of the Mental Health First Aid and Non-Violent Crisis Prevention programs ? Utilize social marketing and community outreach to increase awareness of and access to community resources for youth and young adults with a mental disorder. Combined, these efforts will support the training of approximately 960 Youth Workers over a period of 5 years, an average of 192 per year.
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