The PA-Family Alliance for Children’s Services (PA-FACS) will expand and enhance family voice in the children’s behavioral health and related systems by creating a statewide alliance among family organizations and family leaders. PA-FACS will connect families, family organizations, service providers and stakeholders to increase knowledge of families’ needs and improve skills and policies that will support families and improve the lives of children and youth. Allegheny Family Network (AFN) is the applicant on behalf of several family organizations to establish a statewide infrastructure that improves the lives of families raising children and youth with mental health issues, many with complex needs and involvement in multiple systems. The alliance, PA-FACS, will enhance the skills of existing family organizations with professional development, support emerging organizations with technical assistance, support families with leadership training and networking opportunities, support the state and county stakeholders with confident and competent family partners that can help plan and develop policies, and enhance the state and counties by bringing all the stakeholders together annually to learn together, celebrate successes, and establish new issues to address. The goals of PA-FACS are: (1) Create a coordinated family voice that raises awareness and addresses the needs of children and youth with social and emotional disturbance (SED) by creating PA-FACS. (2) Annually, increase the number of certified Parent Peer Specialists through a national curriculum, training and coaching model designed to improve family outcomes. (3) Increase collaborations among all stakeholders by communicating with and convening families, providers and system partners including an annual event. (4) Increase family members’ opportunities to use appropriate resources, develop skills in navigating systems and leadership in order to gain positive outcomes for their children. During this grant, 10 organizations will receive technical assistance; 4000 families will receive communication, information and referral; 400 families, providers and system partners will be trained, and 100 Parent Peer Specialists will be credentialed.
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PA Discretionary Funding Fiscal Year 2018
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.
Berks Counseling Center (BCC)’s CCBHC expansion project will 1) expand our capacity of the behavioral health workforce, services and infrastructure that were not included in the Clinic model but have proven to be a major benefit to our clients, especially wellness activities; 2) increase access to screening and treatment for children and adolescents with SMI, SED or on the autism spectrum by expanding our transportation abilities and training opportunities for clinicians working with these subpopulations; 3) expand our capacity to support clients experiencing multiple social factors which mitigate their recovery including education, housing and employment and 4) pursue sustainability of physical health, wellness, and prevention programs through enrollment in physical health insurance networks. All of these goals and supporting activities are not funded through the CCBHC payment model. BCC is a CCBHC located in inner city Reading, Berks County PA serving a population base that is largely low income, on MA/Medicare or un(der) insured, heavily Hispanic, and with a high rate of concurrent SMI, substance abuse and comorbid chronic health conditions. A significant percentage (over 23%) of this population are children and adolescents of which 15% have mental health issues. An emphasis on outreach to pediatricians, foster care agencies, charter schools and educational intermediate units will enhance our ability to reach youth and adolescents. BCC currently provides all required CCBHC core services either directly or through our two DCOs which provide crisis mental health, including 24-hour mobile crisis teams, and psychiatric rehabilitation services. Specifically, BCC provides; comprehensive outpatient mental health and substance use services; screening, assessment, and diagnosis; patient-centered treatment; primary health screening; clinical monitoring of medications; targeted case management; Assertive Community Treatment, medication assisted treatment; peer support services including a decision support center; services specific to veterans and armed forces; and evidenced based practices selected by Pennsylvania’s Department of Human Services.
The Center for Pediatric Traumatic Stress (CPTS) is a national leader in identifying and reducing health-related traumas in the lives of children and families. The Center’s mission is to reduce medical traumatic stress by promoting trauma-informed health care, integrating practical evidence-based tools into pediatric medical care, and ensuring that health care providers are knowledgeable and skilled in trauma-informed care with diverse youth and their families. Building on cutting-edge clinical research on traumatic stress in ill and injured children, and our strong connections with key health provider constituencies, CPTS provides national leadership on medical trauma and integrated care (injury, illness, medical problems) and is a resource to the NCTSN on working with health care systems. Medical traumatic stress includes child and family responses to pain, injury, illness, and frightening treatment experiences. Trauma-informed pediatric health care reduces traumatic stress and promotes positive adaptation when children and families face difficult medical events. CPTS develops, evaluates, and supports implementation of evidence-based brief interventions integrated within pediatric health care. CPTS’ work in the 2016-2021 project period focuses on three goals / key constituencies: Goal 1. Engage and provide national expertise to health care providers and health care systems, improving outcomes for children and families with medical trauma by promoting evidence-based trauma-informed health care services. Goal 2. Engage and provide national expertise to mental health and psychosocial providers regarding evidence-based interventions for children and families experiencing medical trauma, and provision of integrated care within hospital and emergency medical settings. Goal 3. Ensure that children and families across the US have access to evidence-based resources and interventions that address the impact of medical trauma and how medical and other trauma may impact children’s health and health care. Goal-related activities include: Promoting awareness of medical trauma via our active web and social media presence (e.g., www.HealthCareToolbox.org reaches 50,000 providers/year); Promoting policy changes (and their implementation) that require trauma-informed services in pediatric medical care; Delivering training (online and in-person) in trauma-informed pediatric health care to 27,500 providers; Partnering with health provider organizations to create new training resources (i.e. for medical interpreters), and with family-led organizations to create new online resources for families facing life-changing pediatric illness; Supporting implementation of effective trauma-informed care and medical trauma interventions in over 150 diverse health care settings; Disseminating resources in English and Spanish to children and families experiencing medical trauma (e.g. 150,000 visits/year to www.AfterTheInjury.org). This multi-pronged approach ensures comprehensive impact on health care system infrastructure to improve access to trauma-informed services for children affected by medical trauma.
BHARP System of Care Project
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
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.
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 ccess, 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.
The Dear Mind Campaign (Dear Mind) will use the Structured Interview of Psychosis-Risk Syndromes to identify youth and young adults, not more than 25 years old, at clinical high risk for psychosis. The Coordinated Specialty Care framework will be employed to assure all individual and family needs are identified and the evidence-based responses offered are the least intensive that can provide the needed treatment and supports. Dear Mind will outreach to 650 individuals, screen 240 and enroll 145 by the end of the four-year project.
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.
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