The Integrated Healthcare +Housing (IH+H) program has been specifically designed to improve the health and healthcare of people with experiences of serious mental illness and homelessness. This project will greatly expand an innovative on-site partnership between a licensed mental health provider, Pathways to Housing PA (PTHPA), and a Federally Qualified Health Center (FQHC) run by Project HOME to provide integrated healthcare within an evidence-based Housing First model. The following interventions will expand the scope and reach of the current pilot integrated care model: 1) Establishment of a IH+H coordination team and a IH+H care team to enhance integrated care coordination, 2) expansion of on-site medical services to 5 days/week, 3) addition of a Guided Care nurse to PTHPA team services to coordinate care integration and care transitions, 4) addition of evidence based practices in tobacco cessation, weight loss, and screening for co-occurring substance use disorders, 5) formalizing and enhancing our partnerships with two other local FQHC's providing specialized primary care services to our population. Selected goals and objectives include: Goal 1: Improve the health of the population. Goal 2: Improve the participant's experience of care. Goal 3: Decrease unnecessary costs. We expect to serve a total of 350 unique individuals: 100 people in year 1, 200 in year 2, 300 in year 3, and 350 in year 4.
The purpose of the University of Pittsburgh's proposal is to increase the availability of trauma-focused, evidence-based practices (EBPs) provided for young children and families, through expansion of the Theiss Early Childhood Trauma Treatment Center (ECTTC). The population of focus is the racial/ethnic minority and/or low-income early childhood population (ages 0-8), in Allegheny County and throughout the surrounding, more rural counties of Western Pennsylvania. Strategies will include: expansion of trauma-informed PCIT; increase services for children under 3; incorporation of FOCUS to increase family engagement and improve treatment outcomes; development of regional trainings; and provision of outreach/engagement and treatment to high-need populations through mobile service delivery.
ECTTC goals include: increasing the knowledge, skills, and expertise of clinicians in EBPs; increasing access to services across Western PA (implementation within at least 10 additional programs/organizations and 3 additional counties); increasing outreach/access for underserved populations (serve at least 15 immigrant/refugee children; 30 military children; 50 children impacted by maternal addiction and 50 children impacted by intimate partner violence); and achieve statistically significant reductions in children's behavioral and trauma symptoms, across racial/ethnic backgrounds, while improving relationships and well-being. ECTTC will address behavioral health disparities by maintaining a high percentage of children served from racial/ethnic minority populations (at least 45% of children annually), and will increase the percentage of grant-served children from outlying counties to at least 25% by year 5. Children served will gradually increase each subsequent grant year (Year 1: 40; Year 2: 70; Year 3: 90; Year 4: 110; and Year 5:140). A total of 450 young children throughout Western Pennsylvania will receive EBPs as a result of the proposed ECTTC expansion.
The Philadelphia Alliance for Child Trauma Services II (PACTS II): Reaching the Most
Vulnerable Youth is a behavioral and physical health system-wide trauma universal screening, education, prevention and intervention program, with a focus on the most vulnerable and underserved youth. PACTS II will primarily serve children with Medicaid under the age of 18, but will also include transitional youth ages 18-21 in these populations. PACTS II will serve 500 youth in year 1 and build the served population through year 5, when the center will serve over 1900 youth, for a total of 5,696 children served over the course of the grant.
PACTS II goals and objectives include the following. Goal 1: Build the child and adolescent public mental health system's capacity to provide evidenced based trauma treatment to targeted high need youth populations. Objective 1.1 Build the mental health system's trauma treatment and prevention capacity through the implementation of 3 trauma-informed evidence based and promising practices. Objective 1.2 Train and provide implementation support to deliver and sustain the targeted three EBPs. Objective 1.3 Increase the number of youth engaged in and receiving EBPs by 10% annually by increasing the service delivery on the following underserved groups: young children (ages 2-6); LGBTQ youth; CSEC; and IY youth. Goal 2: Increase youth and family participation in and access to universal trauma screening, prevention and intervention services by engaging in outreach and training. Objective 2.1 Train frontline workers (~25% of total) on the impact of trauma on the youth and families they serve, the trauma interventions available, and methods for trauma screening and referral. Objective 2.2 Implement trauma screening at the 3 large Children's Hospital (CHOP) pediatric primary care practices in collaboration with co-located PACTS agencies. Objective 2.3 Increase the number of referrals to PACTS by 25% through increased trauma training and screening.
Bridges to Home - CABHI Project
THE MWFHE CABHI INITIATIVE
H4 Initiative ? Housing, Healthcare, Healing, and Hope
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 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.
Center for Pediatric Traumatic Stress (CPTS)
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 milit