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RI Discretionary Funding Fiscal Year 2023

Center: FG

Grantee: FAMILY SERVICE OF RHODE ISLAND, INC.
Program: FY 2023 Congressional Directive Spending Projects
City: PROVIDENCE
State: RI
Grant Award Number: 1 H79 FG000937-01
Congressional District: 1
FY 2023 Funding: $385,000
Project Period: 2023/09/30 - 2024/09/29

Summary: Family Service of Rhode Island (FSRI) has created “Best Start RI” to address Social Determinant of Health (SDoH) challenges and mental health/substance use issues for children, adolescents and their families. At least 500 Jenks Park Pediatric (JPP) patients at critical ages of development from Central Falls, Providence and Pawtucket will be screened for SDoH inequities, along with mental health/substance use needs. Additionally, the project staff will mitigate imminent patient needs, collaborate with JPP and community providers, and coordinate appropriate referrals to address follow-up care for both the SDoH and mental health/substance use components. Population to be served: The pediatric patients of JPP, most residing in low-income minority neighborhoods in Central Falls, Providence and Pawtucket, Rhode Island. In Central Falls, 39% of residents are foreign born, with 25% living in poverty. Those numbers respectively are 31% and 22% in Providence, and 25% and 15% in Pawtucket (Census.gov). Strategies/Interventions: Best Start RI staff will 1) detect and intervene in Social Determinant of Health barriers; 2) screen, provide intervention, and linkages for children/adolescents experiencing mental health/substance use challenges. Trained staffs will provide systems navigation and coordinate care to mitigate inequities. Brief Summary of Goals and Objectives Goal 1: Increase JPP capacity to screen for SDoH challenges. Objectives: By end of October 2023, project staff will be trained in the tool deployed to screen patients, while practice staff will be oriented to project screening and referral workflow. By the end of August 2024, 500 children/adolescents (and their families) will be screened for SDoH challenges. Goal 2: Increase the capacity of JPP to support families in mitigating SDoH challenges. Objective: By the end of August 2024, 75% of families who screened positive for SDoH challenges will have been connected by staff to an appropriate community resource. Goal 3: Increase the capacity of JPP to screen patients for mental health/substance use problems. Objectives: By October 2023, project staff will be trained in PSC-17 and CRAFFT2.1+N tool, and practice staff will be oriented to all mental health/substance use project components, and aware of screening and referral workflow. By the end of August 2024, at least 500 children/adolescents will be screened. Goal 4: Increase the capacity of JPP to refer and connect patients to clinically appropriate mental health/substance use services. Objective: By the end of August 2024, 100% of children or adolescents who screened positive for mental health/substance use problems will have been referred to a clinically appropriate intervention resource. Goal 5: Decrease child/adolescent mental health problems in the community by implementing evidence-based screening tools into JPP workflow that assess anxiety, depression, and other problematic behaviors. Objective: By the end of August 2024, at least 50% of children/adolescents screened positively for mental health/substance use problems will have engaged with a clinically appropriate intervention or resource.


Grantee: HEALTH & HUMAN SERVICES, RHODE ISLAND EXECUTIVE OFFICE OF
Program: FY 2023 Congressional Directive Spending Projects
City: CRANSTON
State: RI
Grant Award Number: 1 H79 FG001063-01
Congressional District: 2
FY 2023 Funding: $849,700
Project Period: 2023/09/30 - 2024/09/29

Rhode Island has been implementing a Behavioral Health System of Care for Children and Youth (SOC) since 2021. The SOC includes foundational, program, and connector components. The program and connector components - universal screening and prevention, Mobile Response and Stabilization Services, care coordination, home and community-based services, residential services, a single point of access, and evaluation - are all foundationally rooted in ensuring equity, workforce transformation, community and family outreach and engagement, and sustainable funding. As we note throughout this application, EOHHS is braiding funding from multiple sources to implement the entire SOC. This application focuses on MRSS funding, which is best understood as a program component of our overarching system of care.


Grantee: RHODE ISLAND DEPT OF BEHAVIORAL HEALTHCARE/DEVELOPMENTAL DISABILITIES/HOSP
Program: FY 2023 Cooperative Agreements for States and Territories to Improve Local 988 Capacity
City: CRANSTON
State: RI
Grant Award Number: 1 H79 FG001177-01
Congressional District: 2
FY 2023 Funding: $862,795
Project Period: 2023/09/30 - 2026/09/29

Rhode Island's (RI) 988 Connect to Care project is designed to serve the entire state, by expanding the RI 988 Lifeline Center ability to answer calls, texts, and chats to the 988 Suicide and Crisis Lifeline. Goals of the project focus on increased access, workforce development, education, and data collection quality improvement. Project planning efforts will rely on stakeholder collaboration, coordination throughout the statewide crisis care continuum, and integration into the buildout of the Certified Community Behavioral Health Clinic (CCBHC) model in Rhode Island. Since 2019, the RI 988 contact center has served over 10,000 Rhode Islanders through call, text, and chat services, an average of 2,200 individuals annually. Almost half (45%) of these contacts occurred after the July 2022 launch of 988. We aim to serve a total of 20,000 Rhode Islanders during this grant period. Individuals experiencing a mental health or substance use crisis, seeking a referral for behavioral health services, or seeking other information/resources make up a majority of 988 contacts, 77%, 2%, and 8%, respectively. Additionally, target populations include people of color, individuals identifying as LGBTQ+, men, and middle-aged individuals, all of whom experience a greater risk of suicide in RI. In order to promote cultural competency, an enhanced training program will be offered to 988 crisis counselors. This training program includes trainings relating to working with special populations such as LGBTQ+groups, Indigenous/Tribal affiliated individuals, and various other populations. Strategies to achieve our goals of increasing access and capacity to serve through 988 focus on workforce augmentation, formalized recruitment and retention program building, and enhanced training initiatives. Communications strategies include launching a community-reviewed campaign, and community engagement grass-roots efforts that can enhance the reputation of 988 and build trust with hard-to-reach populations. Improved data collection efforts will allow for enhanced service levels and inform quality assurance and improvement measures. Goal 1. Provide immediate access to crisis intervention and support. 1.1) By the end of Y3, 90% of texts will be routed and answered in-state; 1.2) By the end of Y3, 90% of chats will be routed and answered in-state 1.3) By the end of Y3, less than 20% of individuals enrolled in follow-up services will report a suicide attempt since their initial contact. Goal 2: Expand workforce capacity through improved recruitment, retention, and training. 2.1) Within two weeks of hiring, 100% of crisis counselors will complete the required Lifeline counselor training 2.2) By the end of Y1, 80% of counselors will complete at least one cultural competency training 2.3) By end of Y1, perform at least 6 employee retention activities 2.4) By the end of Y3, onboard at least one contact center intern. Goal 3: Educate Rhode Islanders on 988, what services it provides, and when to call 988. 3.1) By the end of Y3, launch a statewide public awareness campaign that reaches 75% of Rhode Islanders 3.2) By the end of Y3, conduct at least 360 outreach activities. Goal 4: Enhance contact center data collection and quality improvement. 4.1) By the end of Y1, 100% of eligible contacts will be asked to complete the end-of-call demographic survey 4.2) By the end of Y3, 90% of eligible contacts will receive three follow-up attempts.


Grantee: TIDES FAMILY SERVICES, INC.
Program: FY 2023 Congressional Directive Spending Projects
City: WEST WARWICK
State: RI
Grant Award Number: 1 H79 FG001149-01
Congressional District: 2
FY 2023 Funding: $100,000
Project Period: 2023/09/30 - 2024/09/29

The populations of focus for this project include: individuals with serious mental illness; children and adolescents with serious emotional disturbance involved with substance and opioid use disorders. Higher percentages of blacks (16.4%) and Hispanics (18.8%) report mental distress than whites (14.1%). NEXO Behavioral and Mental Health Center delivers outpatient mental health services to children and adults. Clients can access these services even if they don't have insurance and aren't able to pay. We use evidence-based treatments to provide integrated care that addresses chronic and toxic stress. The program is designed culturally and linguistically competent staff to address mental health issues, eliminate stigma and reduce barriers faced by low-income minority populations.


Center: SM

Grantee: CHILDREN AND YOUTH CABINET
Program: National Child Traumatic Stress Initiative – Category III, Community Treatment and Service (CTS) Centers
City: PROVIDENCE
State: RI
Grant Award Number: 5 H79 SM089509-03
Congressional District: 2
FY 2023 Funding: $399,997
Project Period: 2023/06/23 - 2026/09/29

Grantee: COMMUNITY CARE ALLIANCE
Program: FY 2023 Certified Community Behavioral Health Clinic Improvement and Advancement Grant
City: WOONSOCKET
State: RI
Grant Award Number: 1 H79 SM088928-01
Congressional District: 1
FY 2023 Funding: $1,000,000
Project Period: 2023/09/30 - 2027/09/29

CCA will continue to improve and advance to be certified as a fully operational CCBHC, providing the complete scope of CCBHC services to individuals regardless of ability to pay. CCA will implement infrastructure enhancements to improve overall quality and coordination of care. CCA will advance four program areas: Peer Specialist Services, Complex Care Management Services, MedTeam Programming, and Emergency Services Prescriber access. These projects will address the needs of a wide range of clients across the lifespan, including individuals with: 1) a mental or substance use disorder who seeks care, including those with a serious mental illness (SMI), substance use disorders (SUD), including opioid use disorder; 2) children and adolescents with a serious emotional disturbance (SED); 3) individuals with a cooccurring disorder (COD); and 4) individuals experiencing a mental health or substance use related crisis. A priority will be placed on serving underserved populations (homeless, veterans, BIPOC, etc.). The program will serve people who reside in a five-town area in the northern and eastern Providence County (RI) that covers an area of 131 sq. mi. and a population of 130,845.


Grantee: COMPREHENSIVE COMMUNITY ACTION, INC.
Program: FY 2022 Certified Community Behavioral Health Clinic
City: CRANSTON
State: RI
Grant Award Number: 5 H79 SM086630-02
Congressional District: 2
FY 2023 Funding: $1,000,000
Project Period: 2022/09/30 - 2026/09/29

Grantee: EMMA PENDLETON BRADLEY HOSPITAL
Program: Project AWARE
City: EAST PROVIDENCE
State: RI
Grant Award Number: 5 H79 SM086329-02
Congressional District: 1
FY 2023 Funding: $5,153,858
Project Period: 2022/09/30 - 2027/09/29

Grantee: FAMILY SERVICE OF RHODE ISLAND, INC.
Program: Mental Health Awareness Training Grants
City: PROVIDENCE
State: RI
Grant Award Number: 5 H79 SM084701-03
Congressional District: 1
FY 2023 Funding: $125,000
Project Period: 2021/09/30 - 2026/09/29

Grantee: FAMILY SERVICE OF RHODE ISLAND, INC.
Program: FY 2023 Certified Community Behavioral Health Clinic Improvement and Advancement Grant
City: PROVIDENCE
State: RI
Grant Award Number: 1 H79 SM088989-01
Congressional District: 1
FY 2023 Funding: $1,000,000
Project Period: 2023/09/30 - 2027/09/29

Family Service of Rhode Island (FSRI) is a statewide, full-service nonprofit behavioral health (BH) and social service organization with a long history and deep presence in Providence, RI. Our CCBHC, which is centrally located at 55 Hope St. in Providence, RI, serves children and youth with serious emotional disturbance (SED), as well as individuals of all ages with serious mental illness (SMI), substance use disorders (SUD), and co-occurring disorders (COD) who live in Providence. Our current CCBHC and other programs provide access to those facing the greatest BH inequities in our region, including low-income people of color, immigrants, LGBTQIA+ individuals, and veterans and their families. Approximately 50% of those served will identify as Hispanic or Latino, with most being of Dominican descent. Unfortunately, Providence’s existing complex and under-resourced service system cannot fully meet our catchment area’s BH needs. Through our CCBHC-IA, FSRI seeks to expand our capacity to offer 24/7 access to community based BH services; treatment of COD; and physical healthcare (PH) services. We will prioritize access for individuals who are monolingual Spanish speaking by conducting targeted outreach to these communities in Providence. Additionally, FSRI seeks to expand access to a range of SUD services, enhance care coordination for transition aged youth (TAY), strengthen our recruitment of bilingual staff to ensure monolingual Spanish speaking individuals receive services in their preferred language, and modify our existing infrastructure to ensure the space is accessible and trauma informed. Our goals and objectives include the following: 1) Increase our capacity as a CCBHC in alignment with the revised CCBHC criteria, by demonstrating the following objectives a) Within 4 mos. of grant award, hire additional clinical staff to support the growing BH needs in Providence, including a Clinical Supervisor, a CPST Case Manager, and a bilingual clinician; b) Train 75% of CCBHC staff as Trainers in overdose response and Narcan administration within 4 months of contract award; c) Engage 100% of CCBHC consumers using Screening-Brief Intervention-Referral to Treatment (SBIRT), screening them to identify SUD and connect those with risks to treatment within 30 days; d) Offer access to MAT to 100% of consumers identified as using opioids within 5 days of identification; e) 100% of consumers with identified substance use risks will be offered participation in the Seven Challenges EBP or SUD counseling within 7 days of screening; f) Meet all revised CCBHC criteria by July 1, 2024, as measured by FSRI’s Attestation Statement documentation. 2) Increase access to CCBHC services for people who are monolingual Spanish speaking, by demonstrating the following objectives: a) Annually, host 4 stakeholder educational sessions with external community agencies serving Hispanic individuals in Providence; b) Conduct targeted recruitment to ensure our team reflects our community; within 4 mos. of award, 50% of our CCBHC team will be bilingual; c) Within 4 mos. of award and annually thereafter, provide 100% of CCBHC staff with culturally and linguistically competent care training, 3) Enhance services to Transition-Aged Youth (TAY) to reduce hospitalizations and suicide risk, by demonstrating the following objectives: a) Within 7 days provide targeted case management to 100% of TAY that we serve; b) 3.B In the first grant year, we will establish a baseline for hospital utilization among our CCBHC clients. In the second grant year, we will achieve a 10% decrease in hospital utilization from the established baseline; c) By the end of Y1, train 100% of CCBHC staff in Zero Suicide; d) By the end of Y1, train 50% of CCBHC staff in First Episode Psychosis to better respond to the needs of transition-aged youth.


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