The "e luuwii?" (Are you well?) project is an initiative of the Confederated Tribes of Coos, Lower Umpqua, and Siuslaw Indians to address mental health and behavioral health needs of Tribal members and their families that were revealed and/or exacerbated by the recent COVID-19 pandemic and required mitigation response. The project utilizes remote connectivity to ensure Tribal members and their families can access services and supports to cultural-based and evidence-based best practices, including therapy, telemedicine, and treatment. The project also provides added capacity to ensure fundamental supports such as recovery housing, childcare assistance, and transportation vouchers are available for Tribal members and their families as they work to recover from mental health, behavioral health, and/or co-occurring issues including those with diagnosed serious mental illness, substance abuse disorder, as well as healthcare workers and other Tribal members with less serious mental illness. The measurable objectives associated with this project include: Objective 1: Within 16 months of the project launch, provide direct service and supports to a minimum of 70 Tribal members with SMI, SUD, or co-occurring conditions. Objective 2: Within 16 months of the project launch, provide direct service and supports to a minimum of 10 healthcare workers with less severe mental illness. Objective 3: Within 16 months of the project launch, provide direct service and supports to a minimum of 20 other Tribal members and their families with less severe mental illness.
Main page content
OR Discretionary Funding Fiscal Year 2020
NARA (Native American Rehabilitation Association of the Northwest), an Urban Indian Organization and Federally Qualified Health Care Center (FQHC), located in Portland, Oregon will adapt its current strategies to provide telehealth services according to the guidelines provided by the Center for Disease Control in response to the COVID-19 virus. NARA serves primarily American Indian/Alaska Native (AI/AN) populations in the area, who have shown higher rates of substance abuse, and mental health conditions, homelessness, disabling conditions, and domestic violence when compared to other ethnicities (Lewis, Myhra, 2018). The SAMHSA Emergency COVID-19 funding will reduce the impact of disparities that limit access to substance use and mental health services, increase screening, assessment, crisis stabilization, and referral processes with the overall goal of continuing care during pandemic, as well as improving evidence based patient outcomes (e.g., PHQ-9, etc.) for at least over 400 low income, uninsured, or homeless individuals and/or families over the period of 16 months; the primary focus is on individuals with substance use disorders, mental illness of a reduced severity, as well as health care workers who seek treatment for mood symptoms related to COVID-19. This project will allow NARA, with the support of community partners (Cascadia's Project Respond, JOIN, and Unity Psychiatric Hospital), to continue to provide crisis intervention services, mental and substance use disorder treatment for both children and adults, as well as recovery supports for those individuals impacted by the COVID-19 pandemic. With the use of telehealth, this project brings much needed access to addiction services, as well as behavioral health services during the duration of the pandemic and through recovery. Through system adaptation that aligns with the recommendations put in place by the CDC, NARA commits to goals focused on reducing barriers to care, using evidence based practices, promoting behaviors and activities that promote recovery as well, as overall well-being through the use of telehealth with the gradual integration to in person services. Key interventions and strategies are: 1. Create a leadership committee that is committed to reducing disparities caused by limited access to mental health services during the COVID-19 pandemic at NARA; 2. Develop a method to screen individuals for mental health symptoms and need for treatment through telehealth. 3. Develop a strategy to identify need for patient supports during this time of limited access; 4. Assess and monitor mental health symptoms during this time of pandemic; 5. Develop a systematic monitoring strategy for streamlining individuals identified as high risk or with severe mood symptoms into treatment rapidly; 6. Provide responsive patient, family, and community support to those at risk through outreach as well as referral to supportive resources.
The Oregon Health Authority's COVID-19 Emergency Response for Suicide Prevention is designed to serve Oregonians, age 25+, who are at risk for suicide during the pandemic, especially those experiencing or at risk for domestic violence due to enforced isolation. The geographical catchment area consist s of all 36 counties in the state. Grant strategies include (10 immediate access to MH therapist and evidence based self-help tools through an online mental health portal, (2) promotion of county level plan for rapid follow up care and transitions for adults who have attempted suicide or experienced suicide crisis, (3) social marketing campaign regarding increased risk for suicide and domestic violence during COVID-19 isolation, (4) co-locating up to 10 regional DV advocates in community and MH programs to provide coordinated MH and DV screening, assessment and services including rapid follow up after visit to an ED or in-patient psychiatric care, and (5) cross training mental health providers, DV advocates and staff on DV and suicide hotlines in suicide and DV prevention and response. MH agencies with co-located advocates under this grant will serve an estimated 180 adults around the state during the 16 month grant period. EBPs include the Columbia Suicide Severity rating Scale suicide risk assessment, Stanley Brown Safety Planning, Hurt, Insulted, Threatened with Harm and Screamed (HITS) DV screening tool, Partner Violence Screening, Question Persuade Refer (QPR), Psychological First Aid, Dialectical BH Therapy, Caring Contacts, Cognitive Behavioral Therapy for suicide, and Seeking Safety. Services will be provided via Telehealth where accessible and appropriate. Training and service provision will begin no later than Month 3 of the grant. The regional Research Institute at Portland State University will evaluate the grant activities. Anticipated project period is June 20, 20202 to October 30, 2021.
Population to be served - Cascadia Behavioral Healthcare (Cascadia) CCBHC-Expansion proposal focuses on the following populations in Multnomah and Clackamas Counties, Oregon: Adults and youth with serious mental illness (SMI); adults with mental health (MH), substance use disorders (SUD), and co-occurring MH and SUD diagnoses (COD); and children/ adolescents with MH, SUD, and COD. Project Goals - As the largest community behavioral health provider of services to individuals with serious mental illness (SMI) in Oregon, Cascadia proposes to expand access to integrated healthcare by adding primary care, wellness services, and care coordination to its existing behavioral health center in Clackamas County. Cascadia also proposes to build on recent success in significantly reducing emergency department (ED) utilization by conducting targeted identification, outreach, and interventions to address ED use. Strategies - Proposed strategies to meet these goals include: the addition of primary care, care coordination, and wellness services into Cascadia’s current array of behavioral health services offered at its Clackamas Health Center; and deployment of population health management and targeted evidence based prevention practices to reduce avoidable ED visits among the target population. Measurable objectives - Cascadia intends to achieve the following objectives through this CCBHC expansion project: 1) Provide 16 hours/week of integrated primary care by the end of Year 2; 2) Serve a minimum of 100 clients engaged in behavioral and physical health services by the end of Year 1, and 250 clients by the end of Year 2; 3) Provide physical health screenings to 75% of CCBHC clients; 4) Deliver a wellness curriculum focused on identified client needs, by offering at least 4 wellness activities/groups per year; 5) Train staff in fundamentals of integrated healthcare and population health by providing 2-4 hours of training per month over the first 90 days of operation, and quarterly trainings thereafter. In addition, Cascadia will: 1) Decrease the percentage of clients who utilize the ED at high rates, defined by 5 or more visits in a 12-month period, by 3% in Year 1 and 4% (overall) in Year 2; 2) Decrease rates of ED utilization by 7% over two years through targeted outreach and engagement, and ongoing population health management to monitor and direct intervention strategies; provide follow-up after ED discharge for 90% of clients within 48 business hours.
The Behavioral Health Aide project is an initiative of the Confederated Tribes of Coos, Lower Umpqua, and Siuslaw Indians to increase and enhance access to behavioral health services to Tribal members and other AI/AN persons living in southwestern Oregon. The three interconnected elements of this project are 1) enhancing the use of trauma-informed and cultural based services; 2) developing a community-based integrated approach to behavioral health services with in the catchment area; and 3) expanding access to behavioral health services by recruiting, training, and deploying certified Behavioral Health Aides to this designated Medically Underserved Area. The goal of this project is to increase the capacity of the CTCLUSI in order to reduce high risk behaviors of Tribal children, youth, and families that may contribute to substance abuse, depression, and/or suicide. To address this goal the CTCLUSI will focus on three measurable objectives: Objective 1: Within 36 months of project launch, the CTCLUSI will formally collaborate with a minimum of 20 organizations and agencies in coordinating the delivery of cultural-based behavioral health services for Tribal members and other AI/AN persons. Objective 2: Within 36 months of project launch, the CTCLUSI will develop and deploy a minimum of 2 Behavioral Health Aides to serve Tribal and other AI/AN populations within the five-county service area. Objective 3: Within 36 months of project launch, the CTCLUSI will provide cultural-based and trauma-informed behavioral health services to a minimum of 150 Tribal families and other AI/AN individuals on an annual basis.
Deschutes County Health Services (DCHS) is the most rapidly growing county in Oregon, a CCBHC Planning Grant state. The DCHS Certified Community Behavioral Health Expansion Project will focus on increasing access to collaborative, integrated services for individuals with serious mental illness (SMI), substance use disorders (SUD) and Co-occurring disorders (COD), and children/youth with serious emotional disturbance (SED), with an additional focus on enhanced services to homeless, incarcerated, limited English proficiency (LEP) and rural members of the target population. Overarching project goals are: individuals served will experience improved behavioral and physical health and functioning and clinical competencies will be maximized in the behavioral health workforce. By August 29, 2022, the number of clients screened for any mental illness who then receive care at an integrated site will increase by 26%, for an annual increase of 870 additional participants and a two-year total of 1,740 additional, unduplicated individuals served. Additional measurable objectives are: * By August 29, 2022, the number of homeless clients that receive services will increase by 25%, up from 209 clients in 2019, for a two-year increase of 104 clients and a two-year total of 520 homeless individuals served. * By August 29, 2022, DCHS will increase # of individuals that receive follow up within seven (7) days of an ED visit for an SUD condition from 30% to 70%. * By August 29, 2022, DCHS will increase # of individuals that receive follow up within seven (7) days of an ED visit for a MH condition from 72% to 85%. * New Stabilization Center will help reduce ED utilization among DCHS clients by 10%. * By August 29, 2022, 300 individuals having received 6 months or greater of service will show an average increase of 5 points in their Daily Living Activities (DLA)-20 score. * By August 29, 2022, 70% of individuals with a diagnosis of depression, who score positive for depression on the PHQ-9, will show an average decrease of 4 in PHQ-9 score six months post entering services. * By August 29, 2022, 90% of individuals served will have a primary care provider and 95% of individuals served, with a primary care provider will have at least one care coordination service involving their primary care provider documented in the clinical record. * By December 31, 2020, 100% of staff responsible for treatment will receive training in language access best practices and interpretation and translation resources. * By August 29, 2022, 100% of LEP clients will have client facing documents provided to them in their language. * 100% of project clinical staff will receive training on EBPs for integrated care, including 80% clinical staff attendance to National Council on Behavioral Health Conference.
The Deschutes County Comprehensive Community System of Care Expansion of Services for Children with Serious Emotional Disturbances (SED) Project will focus on increasing access to collaborative, culturally relevant, coordinated, family driven, and community-based services for children and youth with serious emotional disturbances and other mental health disorders in Deschutes County, Oregon's fastest-growing county. Young residents diagnosed with other serious mental illness (SMI), including substance use disorders (SUD), co-occurring disorders (COD), and first episode psychosis (FEP) will also be served by further development of the existing System of Care (SOC) Governance Structure through a process that will optimize participation of parents and other system providers of services to children and youth. A multifaceted, strategic financing plan that leverages these partnerships will also result from this process. Along with the goal of increased access, the project's other goals are: individuals serviced will experience improved behavioral and physical health and functioning; clients will receive person- and family-centered, trauma-informed care; all sources of available funding/support will be optimized in order to facilitate each client's positive outcomes; and capacity of clinical, culturally-relevant competencies will be maximized in the behavioral health workforce. The number of additional, unduplicated clients served by the SOC expansion grant will increase by 200 in Year One, 225 in Year Two, 250 in Year Three, and 275 in Year Four. Measurable objectives will include the following: * By January 1, 2021, and annually thereafter, 100% of SOC staff will receive training in serving LatinX, Native American, LGBTQ+ and other diverse communities. * By September 1, 2021, the number of youth and young adults served who present with clinical high risk for psychosis or SMI will show a 20% increase. * By September 1, 2021, individuals having received 6 months or greater of service will show at least 2 resolved identified needs on the Child and Adolescent Needs and Strengths tool. * By July 1, 2021, 100% of service plans will document client and/or family/guardian participation and strategies for coordinating with other system partners. * By December 1, 2020, family and youth partners' participation will increase to 51% of membership for each of the governance structures. * By February 1, 2021, SOC partners, families and youth, will utilize data to inform practices, evaluate service effectiveness and inform the decision-making process in order to create a charter that outlines the authority, data monitoring accountability and operating procedures for each of the four levels of the SOC governance structure - Review Committee, Practice Level Work Group, Advisory Council and Executive Committee - that incorporates Wraparound principles and values.
Options for Southern Oregon’s (Options) Certified Community Behavioral Health Clinic (CCBHC) Expansion Project, “CCBHC Expansion Services: Integrated Peer Wellness, Mobile Outreach and Engagement”, will expand the capacity of its Jackson County, Oregon CCBHC to successfully engage and treat those with mental illness (MI), substance use disorders (SUD), serious emotional disturbance (SED) and co-occurring disorders (COD) with an emphasis on those w/comorbid physical health concerns, chronic pain and underserved populations. Underserved subpopulations include those experiencing homelessness, criminal justice involved individuals, child welfare involved families, Veterans and members of the Armed Services, members of the LGBTQ+ community and individuals with MH/SUD emergency department (ED) utilization. This expansion project will meet the following goals: (1) reducing the MH symptoms and the severity of addiction for CCBHC adults and youth; (2) expanding the integration of evidence based health and wellness activities and concepts into behavioral health treatment and the CCBHC culture; (3) increasing capacity to outreach and engage underserved populations in CCBHC services; and (4) increasing treatment retention. Options will meet project goals by providing culturally relevant, evidence-based MH, SED, SUD, COD and chronic pain treatment services, feedback informed treatment, missed appointment and emergency department follow-up, community outreach and engagement services, peer wellness coaching and the development of a comprehensive CCBHC Culture of Wellness. A minimum of 1,084 individuals will be served in year one and 1,086 in year two, resulting in a total of 2,170 served during the grant period. Tele-health services will be provided as well to ensure that care is readily available and timely. Measurable objectives reflect the expanded use of evidence based practices including Motivational Interviewing, Cognitive Behavioral Therapy-chronic pain, and Partners for Change Outcomes Management Systems-feedback informed treatment in addition to expanding peer services. Measurable objectives also include: CCBHC members identifying improvements in pain management, anxiety, over-all sense of well-being, or increased sense of ability to cope; an increased number of members abstaining from illegal substances; increased retention in treatment; meeting target numbers for screenings and outreach and engagement activities particularly for underserved populations and achieving Culture of Wellness standards across the CCBHC.
The overall goal of this project is to create an effective and sufficient suicide prevention infrastructure for the OSU-Cascades campus in order to promote student mental health and to identify, support and refer students at risk of suicide and alcohol and substance abuse. Four goals are important to this project: (1) enhance mental health services for all college students, including those at risk for suicide, depression, serious mental illness and/or substance abuse; (2) prevent mental and substance use disorders; (3) promote help-seeking behavior and reduce negative public attitudes; and (4) improve the identification and treatment of at-risk college students so they can successfully complete their studies. Key strategies include the development of policies and procedures to assess, support, and treat students at high risk of suicide and alcohol and substance use disorders; development of linkages between University services, crisis support, and behavioral health services provided by the broader community; the creation of web-based information and supports; training in suicide prevention and alcohol and substance abuse prevention for faculty, students, and administrators; and specialized training for our mental health counselor in the assessment and management of suicidal risk.
The Oregon Adult Zero Suicide (ZS) Initiative will focus on adults (age 25+) in 6 Oregon counties (Clackamas, Deschutes, Jackson, Josephine, Multnomah and Washington). An estimated 14,308 at-risk adults will be served, 2,808 healthcare providers will be trained, and statewide infrastructure supports will eventually serve 100% of adults at risk for suicide who come into contact with Oregon health systems. The project goal is to establish evidence-based, systematic, suicide-safer care across Oregon through the development of sustainable mechanisms to support ZS in all HS statewide and direct implementation of ZS in 12 systems with added supports for high-risk sub-populations: older adults, veterans, and Oregonians with severe mental illness (SMI). Objectives include the following: 1) hire a project director, 2) convene a statewide ZS advisory committee, 3) conduct an assessment of statewide ZS implementation, 4) expand the online Oregon ZS toolkit, 5) train at least 360 healthcare providers to train others in the ZS framework, 4) require ZS implementation for Community Mental Health Programs, 5) fund two advance practice health systems to solidify system-level initiatives and provide support to health systems in earlier phases of ZS adoption; 6) host a ZS Academy for at least 12 health systems, 7) launch a ZS community of practice, 8) host an advanced practice ZS event, 9) identify and address barriers to implementing Oregon Administrative Rules related to discharge and care transitions, 10) develop supports for ZS implementation for regional Medicaid Coordinated Care Organizations, 11) complete a needs assessment and disparity issue briefs for older adult, SMI and Veteran populations, 12) convene advisory committee workgroups to guide work with these populations, 13) develop training tools to address the needs of the disparity populations, 14) award at least three mini grants to pilot ZS-related system changes specific to older adults, SMI and/or Veteran populations, 15) evaluate the pilot programs and share findings, 16) enable at least 12 health systems in Oregon to actively implement ZS with high fidelity to all 7 ZS elements, and 17) ensure that 100% of discharged at-risk adults at ZS EDs and psych units in the 12 ZS systems receive referrals, safety planning, and at least one follow-up contact.
Displaying 1 - 10 out of 22