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PA Discretionary Funding Fiscal Year 2016

Center: CMHS

Grantee: ALLEGHENY COUNTY DEPARTMENT OF HUMAN SERVICES
Program: CABHI
City: PITTSBURGH
State: PA
Grant Award Number: 1 H79 SM063328-01
Congressional District: 14
FY 2016 Funding: $800,000
Project Period: 2016/09/30 - 2019/09/29

The Healthy Housing Outreach (H2O) program is designed to enhance and expand the infrastructure for and services within the mental health and substance use treatment system for individuals experiencing chronic homelessness, and families, veterans, and youth experiencing homelessness who need behavioral health supports. H2O will reduce homelessness and increase access to supports for people in or in need of permanent supportive housing by ensuring that participants receive access to or placement in sustainable permanent housing, treatment, recovery supports, and Medicaid and other benefit programs. The program goal is to increase capacity to provide accessible, effective, comprehensive, coordinated, integrated, and evidence-based mental health and drug and alcohol treatment services, eliminating unaddressed behavioral health needs as a barrier to entering and/or sustaining permanent housing. H2O will enroll 466 unduplicated participants in year one and participants will be homeless or permanently housed and have substance use disorders, serious mental illness, serious emotional disturbance, and/or co-occurring mental and substance use disorders. The program will build and sustain a program with the following objectives: 1) outreach, engage, and assess 100% of chronically homeless individuals and veterans and connect 70% to the Community Engagement Centers (CECs) and other supports; 2) provide direct and accessible behavioral health treatment and housing supports at mobile CECs to 413 unduplicated clients experiencing homelessness; 3) provide in-home behavioral health supports to 105 participants in permanent supportive housing in order to increase their ability to sustain housing; 4) engage and enroll 75% of participants, who are not enrolled in Medicaid and other entitlement programs, in these programs; 5) create a strategic plan for providing an integrated and collaborative system of care for homeless individuals and families with behavioral health needs.


Grantee: ALLEGHENY COUNTY DEPARTMENT OF HUMAN SERVICES
Program: SOC Expansion and Sustainability Coop
City: PITTSBURGH
State: PA
Grant Award Number: 1 H79 SM063411-01
Congressional District: 14
FY 2016 Funding: $933,420
Project Period: 2016/09/30 - 2020/09/29

The Allegheny County Department of Human Services (DHS) is seeking to expand its current behavioral health (BH) system of care (SOC) for children and adolescents between 5 and 18 years of age, with Serious Emotional Disturbance (SED) and their families, by integrating access, coordination, and infrastructure with its child welfare system in a new Community of practice (CoP) SOC. DHS is one of two county agencies nationwide to receive three separate federal SOC grants to support young people with SED and their families. Over the years, DHS as built upon the work and lessons learned from these awards, however, there are still gaps in coordination of care between child welfare and BH, whose dually served population is particularly high.


Grantee: ALLEGHENY-SINGER RESEARCH INSTITUTE
Program: NATIONAL CHILD TRAUMATIC STRESS INITIATIVE (NCTSI) - CATEGORY II, TREATMENT AND SERVICE ADAPTATION (TSA) CENTERS
City: PITTSBURGH
State: PA
Grant Award Number: 1 U79 SM080056-01
Congressional District: 14
FY 2016 Funding: $600,000
Project Period: 2016/09/30 - 2021/09/29

Allegheny General Hospital’s Center for Traumatic Stress in Children and Adolescents is applying to continue as a Treatment and Service Adaptation Center in the National Child Traumatic Stress Network (NCTSN) with the following Area of Trauma Focus: Clinical Interventions for Traumatic Stress Reactions. As developers of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and Alternatives for Families: A Cognitive Behavioral Therapy (AF-CBT), we propose to address behavioral health disparities for traumatized LGBTQ youth, commercially sexually exploited children (CSEC), children with parental substance abuse, and military children with traumatic stress reactions. LGBTQ youth are at high risk for developing traumatic stress reactions but rarely access clinical interventions. We will collaborate with Persad Center, the nation’s second oldest LGBTQ counseling organization and six NCTSN Community Treatment and Services (CTS) Centers to adapt TF-CBT for traumatized LGBTQ youth and develop a TF-CBT implementation manual for LGBTQ youth, attending to sexual, gender, ethnic and racial disparities. CSEC are at high risk for developing complex traumatic stress reactions but rarely access clinical interventions. We will collaborate with six CTS Centers to adapt TF-CBT for CSEC with traumatic stress reactions and develop a TF-CBT implementation manual for CSEC, attending to sexual, gender, ethnic and racial disparities. Children with parental substance abuse are at high risk for developing behavioral traumatic stress reactions and for parental maltreatment but rarely access clinical interventions. We will collaborate with four CTS Centers to develop products to improve access to AF-CBT. Military children are at elevated risk for developing traumatic stress reactions due to parental deployment, injury, mental illness, or death but have little access to TF-CBT or AF-CBT. We will provide culturally adapted TF-CBT and AF-CBT training and consultation to therapists who treat military children.


Grantee: CMSU BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES
Program: SOC-Expansion and Sustainability
City: DANVILLE
State: PA
Grant Award Number: 5 U79 SM062468-02
Congressional District: 11
FY 2016 Funding: $1,000,000
Project Period: 2015/09/30 - 2019/09/29

The Behavioral Health Alliance of Rural Pennsylvania (BHARP) System of Care (SOC) Project will improve behavioral health outcomes for children and youth by creating/enhancing family driven and youth driven cultures within all child serving systems, developing county leadership teams at the local county level with an emphasis on strong youth and family leadership, and creating a trauma informed system of care. The population to be served is children and youth from birth to 21 years of age who have an emotional, behavioral or mental disorder diagnosis, with multi system involvement, and who are struggling to function in their home, school, or community. The 23 BHARP member Counties will be divided into 2 groups for the purposes of implementation. Tier 1 counties will participate at the highest level and will function in leadership roles, while Tier 2 counties will be part of a learning community that will help them prepare to become system of care counties


Grantee: COUNTY OF BEAVER
Program: Adult Treatment Court Collaborative
City: BEAVER
State: PA
Grant Award Number: 5 H79 SM061674-03
Congressional District: 12
FY 2016 Funding: $348,142
Project Period: 2014/09/30 - 2018/09/29

Beaver County, Pennsylvania
The purpose of Beaver County- Collaborative Options Utilizing Re-entry, Treatment, and Supports (BC-COURTS) is to allow local courts more flexibility to collaborate with the justice and human service systems in order to promote recovery and address the behavioral health needs of adult offenders by connecting with them early in their involvement with the criminal justice system, prioritizing the participation of courts in the collaborative and either diverting individuals or facilitating early releases from incarceration. The population of focus is adults identified as having a behavioral health condition, who have been charged with a new criminal offense while on community supervision and transferred to a local criminal court for adjudication of that offense. Veterans are part of this population. Special attention will be paid to women in the population of focus. A co-occurring mental health and substance use disorder (COD) assessment will be done and treatment offered prior to sentencing on the new charge in hopes of diverting from incarceration and returning the individual to the community under some form of judicial supervision that includes follow-up by a re-entry team and receipt of behavioral health supports. The re-entry team, a new strategy, will consist of a special probation officer, reentry case worker, and an individual with lived experience (peer) in both the justice and behavioral health systems. Another new strategy is a peer whose expertise is in substance use. Sponsors and youth cohort will also be offered. This population was selected, because it is at high risk for incarceration and poor clinical outcomes.


Grantee: COUNTY OF BEAVER
Program: CABHI
City: BEAVER
State: PA
Grant Award Number: 1 H79 SM063327-01
Congressional District: 12
FY 2016 Funding: $800,000
Project Period: 2016/09/30 - 2019/09/29

Beaver County - Housing Opportunities Managed with Evidenced-based Services (BC-HOMES) proposes to enhance and expand the infrastructure and mental health and substance use treatment services to provide accessible, effective, comprehensive, coordinated, integrated, and evidence-based treatment services; permanent supportive housing; peer supports; and other critical services for individuals, veterans, families, and youth who experience chronic homelessness and have substance use disorders, serious mental illness, serious emotional disturbance, or co-occurring mental and substance use disorders. Program goals will be to: identify and engage the population of focus in order to connect individuals with the services and supports they need to find and maintain permanent housing; increase sobriety; treatment follow-up; benefits acquisition; employment; individual satisfaction; and program evaluation. Case management and recovery oriented peer support, provided by someone with lived experience, will be responsible for establishing these linkages. All treatment and recovery-oriented supports will have mobile components able to meet participants at a location of their choosing, including a licensed professional counselor. Individuals with lived experience will be involved in planning, implementation, and evaluation. BC-HOMES staff will be trained in Cultural and Linguistic Competence, knowledgeable of the target population's culture and values, representative of the target population's age, race, gender, and ethnicity, and familiar with locations in the County where individuals who are homeless tend to gather. BC-HOMES will establish strong ties with local faith-based organizations, grass roots providers, other natural supports, and the justice system. The Housing and Homeless Coalition will coordinate efforts to identify the population of focus, promote engagement, and share resources. BC-HOMES plans to serve 90 individuals annually.


Grantee: COUNTY OF BEAVER
Program: SOC Implementation
City: BEAVER
State: PA
Grant Award Number: 5 U79 SM061638-03
Congressional District: 12
FY 2016 Funding: $1,000,000
Project Period: 2014/09/30 - 2018/09/29

HELPing BC-SCORES is a collaborative effort to enhance the existing system of care (SOC) for transition-age youth ( 13 to 21) in Beaver County, Pennsylvania, who have a behavioral health diagnosis. The heart of this enhancement is a mobile response team, the HELP Team, which will contact a family within 60 minutes of their request for service and be on site within 24 hours. Outreach and early identification are among the most difficult challenges to providing effective behavioral health care to youth and families. Almost every system carries with it eligibility requirements, the need to schedule an appointment, extensive paper work as part of an intake and, often, a waiting list.


Grantee: COUNTY OF LUZERNE
Program: SOC Expansion and Sustainability Coop
City: WILKES-BARRE
State: PA
Grant Award Number: 1 H79 SM063421-01
Congressional District: 17
FY 2016 Funding: $850,759
Project Period: 2016/09/30 - 2020/09/29

The Erie-Luzerne System of Care Initiative is a joint venture of two Pennsylvania counties for the development, expansion, and sustainability of Systems of Care for youth and families. The Counties will use the System of Care approach to improve services for children and youth (and their families) with complex behavioral health challenges and will initiate efforts to infuse a trauma-informed culture, and to help those with early signs and symptoms of serious mental illness, including first episode psychosis. Erie and Luzerne Counties have joined together to support and encourage one another in the development, expansion, and sustainability of their Systems of Care. The population to be served involves youth up to age 21, including transition age youth, and those with early onset of serious mental illness. The youth receiving services will be representative of the racial, ethnic, and cultural diversity of the two counties, with special focus on underserved and hard-to-engage youth.


Grantee: CREATIVE HEALTH SERVICES, INC.
Program: PBHCI
City: POTTSTOWN
State: PA
Grant Award Number: 1 H79 SM062265-01
Congressional District: 6
FY 2016 Funding: $1,599,873
Project Period: 2016/09/30 - 2020/09/29

Primary and Behavioral Health Care Integration at Creative Health Services, Inc., Community Health and Dental Care, Inc., Total Woman Health and Wellness OB/GYN and the Pottstown Memorial Medical Center Emergency Department will serve adults with serious mental illness (SMI) and individuals with co-occurring substance use disorders who have or are at risk for co-morbid primary care conditions and chronic diseases. This collaboration will result in a health home for persons with SMI, those who are least likely to access and benefit from traditional primary care. An integrated primary and behavioral health professional treatment team will provide on-site primary care services and/or medically necessary referrals and linkages to primary care services for approximately 300 annually and 1240 through the lifetime of the project. Evidence based treatments, including screening, brief intervention and referral for treatment (SBIRT), motivational interviewing, peer support, and, for both mental and physical health treatments/supports, action-based efforts to improve overall health, wellness, and community integration will be delivered with heavy reliance on reliable and valid measurement tools, with the consumer as an active member of the care team. Evidence-based wellness and prevention activities including (but not limited to) smoking cessation, nutrition counseling, and physical activity programs will be extensively employed. Overall specific outcomes anticipated by the project include improved specific condition and general health status, increased quality of life, decreased hospitalizations and/or ER utilization for medical and/or psychiatric conditions, improved dentition, increased consumer self-management skills, increased WRAP development, and decreased substance abuse. This project will allow us to partner with individuals diagnosed with severe mental illness toward greater overall health, wellness and recovery.


Grantee: LEHIGH VALLEY HOSPITAL, INC.
Program: PBHCI
City: ALLENTOWN
State: PA
Grant Award Number: 5 H79 SM062392-02
Congressional District: 15
FY 2016 Funding: $398,049
Project Period: 2015/09/30 - 2019/09/29

LVHN-Muhlenberg Mental Health Clinic (MHC) will embed a primary care practice within its existing clinic as part of a 4-year SAMHSA grant. This integrated clinic to be known as the Whole Health Connection (WHC), will focus on improving health indicators related to chronic medical comorbidities in the Seriously Mentally Ill (SMI): providing mental and primary healthcare in one location. A team of mental health and primary care clinicians, care managers and social supports, will provide advanced mental health services, and primary care using a scheduled, collaborative, and communicative approach. All services provided by the WHC are considered standard of care using the principles and core activities of a Patient Centered Medical Home. The clinic serves 1,600 individuals with 64% reporting at least one major medical comorbid condition and 34% with at least two additional conditions. The service area (Lehigh, Northampton and Carbon counties) has a combined population of more than 800,000 making PA's third most populated region. Minorities comprise more than 54% of Allentown area residents, almost 43% are Hispanic or Latino. Approximately 30% of Allentown area residents live at or below 100% federal poverty level. Approximately 700 clients will be enrolled in the clinic in the first year, growing steadily over 4 years to 1700 patients.


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