Prisma Health-Upstate, University of South Carolina School of Medicine Greenville (UofSCSOMG), and Clemson University School of Nursing in Greenville, SC (CUSON) will develop and implement Project TRANSFORM (Teaching Recovery-informed Addiction Care And Negating Stigma FOR Medical Professionals) to provide training for professionals in the health care team who in the course of their roles may serve individuals and families affected by SUD. The proposed module-type educational pedagogy includes review of sensitivity to the unique needs of those affected, information on various substances of use, and clinical considerations and supportive intervention strategies for health care professionals. The project will serve an estimated 5,200 students over the two year period. The Project Goal is to expand the number of practitioners to deliver high-quality, evidence-based SUD treatment. The objective is to expand the integration of substance use disorder (SUD) education into the standard curriculum of a minimum of 20 relevant healthcare and health services education programs over two years. The proposed approach for this project is to: 1. Develop an online curriculum that will cover each of the subject areas required in the FOA. The modules will be in an online platform where the instructor can either assign the curriculum to be done outside of the class or the instructor can use the curriculum as a part of their lecture. 2. Provide each module to consist of the evidence based educational piece followed by a short quiz on the topic, then a review of the quiz and topic. Following the module will be brief videos, produced by national experts in addiction medicine, education and recovery in collaboration with a professional video company, interviewing people in recovery and their experience with that particular drug and what was helpful to them in recovery. This innovative approach of integrating the medical knowledge with lived experience education provided by individuals living with addiction and in recovery will result in an educated, compassionate and involved healthcare workforce addressing SUD.
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SC Discretionary Funding Fiscal Year 2019
The Greenville Health System Mental Health Awareness Training (MHAT) project will serve veterans and their families in Upstate South Carolina, including, school-age children, at risk for mental health issues. Individuals and organizations interacting with this population will receive training in Mental Health First Aid in order to identify those in need of intervention, de-escalate crisis situations and refer individuals and families to appropriate mental health resources. The project goal is to prepare and train those working with veterans and their families to appropriately and safely respond to individuals with mental disorders. The measurable project objectives are: 1) Train 1000 unduplicated individuals annually who serve or interact with veterans and their families, in the Mental Health First Aid (MHFA) Curriculum, for a total of 3000 over the entire 3-year grant project. 2) At least 90% of those trained will show increased understanding of how to help individuals with a mental disorder based upon pre/post-tests provided by the MHFA training. 3) Train school personnel, emergency services personnel, veterans, law enforcement, fire department personnel, and others potentially interacting with the population of focus to identify persons with a mental disorder and employ crisis de-escalation techniques. 3) Compile and distribute at least 3000 focus population-specific lists of resources that are available in each targeted community for individuals with a mental disorder over the three-year period. This project will implement an evidence-based program (EBP), Mental Health First Aid (MHFA), to deliver mental health awareness training on matters including recognizing the signs and symptoms of mental illness and identifying resources available in the community for individuals with a mental illness and other relevant resources. The individuals who will receive mental health awareness training to help this population are: 1) people working and interacting with veterans and their families and agencies and organizations that touch or impact on them. This includes veterans groups (Upstate Warrior Solution), social service organizations (Triune Mercy Center), veterans themselves, families and friends of veterans, and primary care medical offices serving veterans, and people working with children in grades K 4-12 in a school setting, with the initial focus on the School District of Pickens County, with expansion to additional districts as the program becomes established and funding allows.
The Championing Access to Trauma-informed-treatments to Achieve Lowcountry Youth
Services Transformation (CATALYST) project aims to increase the quality of and access to evidence-based, trauma-informed treatments and services for child maltreatment victims in
Charleston and Berkeley Counties of South Carolina (the "Lowcountry"), thereby reducing the negative consequences of maltreatment on children. The proposed project will achieve this primary purpose by 1) improving screening and identification of children in need of trauma-specific, evidence supported assessment and treatment; 2) training clinicians to implement two evidence-based treatments not currently available; and 3) improving the quality and applicability of evidence-based treatment to address current service disparities. The CATALYST project will be headquartered at the Dee Norton Lowcountry Children's Center (DNLCC), the only Accredited Children's Advocacy Center (CAC) serving child victims in Charleston County. The DNLCC is a specialty outpatient child maltreatment center that serves over 1,500 children each year.
The proposed project will increase access to evidence-based treatments, including two currently unavailable treatments (i.e., AF-CBT and FOCUS) and improve quality of services, overall, with particular attention to current service gaps for young children, African American youth, and military children. To achieve service transformation, 195 child-serving professionals will be trained during the project. Further, the proposed project will directly impact children ages 2-17 by 5,885 children, including 739 military children, receiving trauma-informed screening and referral services. We further expect that 883 children, including at least 96 military children, will receive evidence-based, trauma-informed treatment, over the course of the proposed project.
The aim of this project, Puerto Rico Outreach Model In Schools Esperanza (PROMISE): Increasing Mental Health Awareness and Access to Care Post Hurricane Maria, is to increase access to treatment for school-aged children in Puerto Rico experiencing mental health problems, including trauma-related distress. It is critical that school personnel understand how to respond to students experiencing mental health problems in a safe and appropriate manner and to help them access needed assistance. PROMISE will focus on school-aged children in western Puerto Rico, who are economically disadvantaged, residing in communities severely impacted by Hurricane Maria, and consequently, are at significantly increased risk for mental health problems, including serious emotional disturbance (SED). A needs assessment conducted by our team revealed high rates of PTSD, depression, and anxiety symptoms among students in the target schools following Hurricane Maria. The goal of PROMISE is to increase the capacity of school personnel to: 1) recognize signs and symptoms trauma-related mental health problems and other types of SED; 2) recognize signs of suicidal risk and employ appropriate crisis de-escalation techniques; and 3) refer children with mental health problems to appropriate services. Several evidence-based and culturally-tailored MHATs have been selected: 1) Trauma-Informed Schools Curriculum (NCTSN/SAMHSA, 2008); 2) After the Storm (La Greca & Sevin, 2004); 3) Suicide and Crisis Management Protocol (Martinez, 2017); and 4) Skills for Psychological Recovery (Berkowitz, Bryant, Brymer et al., 2010). The objective of PROMISE is to train 75% of school personnel in each of 20 target schools with over 6,500 students and more than 620 school staff on the selected evidence-based MHATs by the end of the three-year grant period. This will be achieved in collaboration with the University of Puerto Rico (UPR) Medical Sciences and University Carlos Albizu (UCA), Mayaguez through direct trainings and utilizing a train-the-trainer model. Specifically, UCA graduate student therapists embedded within school-based mental health clinics at 20 schools and their clinical supervisors will be trained in selected MHATs, and they will in turn train school staff in these MHATs at their respective schools. In addition, referral mechanisms to school- (UCA school-based therapists) and community-based (APS Clinics) providers will be further developed, and case consultation and crisis management will be available to school personnel via telepsychiatry from UPR psychiatry residents. An estimated 40 clinical graduate students will receive MHATs annually across the 3 years for a total of 120 graduate students through the grant period. An estimated 155 school staff will be trained in Year 1, 155 in Year 2 and 310 in Year 3 for a total of 620 school staff that will have received MHAT. A grand total of 740 mental health and non-mental health professionals will have received MHATs by the end of the project, which has the potential to impact 6, 500 Puerto Rican students.
The Center Addressing Mental Health Disparities among Trauma-Exposed Youth, will focus on increasing access to, use of, and mental health outcomes for evidence-based, trauma-focused treatments (TFTs) among underserved populations utilizing specialized service modalities with evidence of reducing barriers to care. Specific objectives to address these disparities include: (1) increasing capacity of therapists to provide TFTs (Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and Culturally Modified-TF-CBT (CM-TFT)) through learning collaboratives on TFTs and hiring of therapists; (2) increasing access to TFTs, among underserved populations through community-, and telemedicine-, and office-based service provision modalities; and (3) increasing completion of services through reducing barriers to care and the provision of culturally-tailored treatment aimed at increasing engagement and reducing premature drop-out. Services will be provided through the National Crime Victims Research and Treatment Center's Community Outreach Program - Esperanza (COPE) and partner agencies (Dee Norton Lowcountry Children's Center and Hope Haven of the Lowcountry). Conservatively, approximately 300 children annually and over 1,500 children during the entire project period will receive evidence-based assessments and TFTs, utilizing one of three service delivery models. Further, we anticipate training approximately 80 mental health providers and 60 brokers (e.g., child welfare) across South Carolina in providing TF-CBT and CM-TF-CBT, with a focus on Latino and African American families, economically disadvantaged families; and rural or urban communities.
Collaborations among the NCVC office-based and COPE Clinics, CACs, urban and rural schools, and urban and rural primary care clinics will allow us to target underserved victims by providing culturally and linguistically appropriate, evidence-based, TFTs through innovative strategies to overcome barriers to care.
SC SHARE's Peer Support Renewal Program-Phase 2 will train and certify CPSS in co-occurring disorders to build infrastructure and workforce development in the state. The project will also partner with MHA SC to prepare and train state CPSS to sit for the national exam given through MHA America. Evidence based practices will be taught in both trainings. MHA SC will share their database with SC SHARE's database to reach private providers in SC to let them know about peer services and the advantage of their services. We will also offer support and assistance to bill Medicaid for peer services in their practices. SC Department of Mental Health will partner with SC by allowing us to use their community health center meeting rooms to train the staff in six regional sites to have a statewide reach. The staff will be trained on the recovery model and the role of CPSS in the system. We will also train the staff on CPSS supervision and CPSS as supervisors. Peers will receive services from CPSS so they can develop their own strengths-base, person-centered plan of recovery. The demographic characteristics of the population include 31 counties out of 46 being rural or very rural. The population is low-income, with no insurance or transportation, medical and mental health shortages, those suffering from opiate addictions, trauma survivors, suicide survivors and members of the LGBT community. The total number of persons to be reached by this project include 30 CPSS trained in state certification annually totaling 90. The total number of CPSS trained per year in MHA national certification equals 40 or 120 for the life of the grant. Staff being trained will total 200 per year or 600 total. Peers to receive services from CPSS will total 100 annually or 300 total.
The purpose of South Carolina?s AWARE: Advancing Wellness and Resilience in Education (SCA) is to build the state?s capacity to increase awareness of school mental health services statewide, to provide a multi-tiered system of supports (MTSS) to address mental and behavioral issues within the partnering local education agencies (LEAs)?Anderson School District 2, Florence School District 1, and Sumter School District?and their schools, and to provide evidence-based practices (EBPs), training, and supports to help them respond appropriately to students, families, and caregivers. Reaching approximately 67,000 unduplicated individuals each year and approximately 78,450 unduplicated throughout the project, SCA will improve mental health services in these LEAs where more than 60% of students are living in poverty and in-school suspension rates exceed the state?s average. SCA will reach approximately 500,000 individuals through marketing at the community and state levels. Using an interconnected systems framework (ISF), SCA will bring together MTSS offered by School-Wide Positive Behavioral Interventions and Supports (SWPBIS) and integrate them into school-wide mental health plans that include EBPs, mental health professionals, and an organized system to identify, screen, and refer students for mental health services and follow up with families and caregivers through outreach activities. Goals include (not inclusive): 1. Increase and improve access to culturally competent and developmentally appropriate school- and community-based mental health services, particularly for children and youth with severe emotional disturbances (SED) or serious mental illness; 2. Develop school-based mental health programs staffed by behavioral health specialists to screen for, provide early intervention for, and address any ongoing mental health needs of children with symptoms consistent with a mental disorder(s) or SED; 6. Equip schools with the ability to immediately respond to the needs of youth who may be exhibiting behavioral/psychological signs of a severity indicating the need for clinical intervention; and 7. Develop an infrastructure that will sustain and expand mental health and behavioral health services and supports for school-aged youth when federal funding ends. Objectives include (not inclusive): 1. By September 2023, at least 90% of the partner LEAs? 56 schools will implement School-Wide Positive Behavioral Intervention and Supports with fidelity to foster a positive mental health learning environment, promote resiliency, and prevent serious behavior problems; 2. At least 25,000 students in the partner LEAs will receive training annually to increase their awareness of mental health issues and their knowledge of how to get assistance; 3. At least 400 people who interact with students will receive training annually in youth mental and psychological health evidence-based practices; 4. By September 2023, the partner LEAs will have established consistent screening processes; 5. Access to in-school and community-based mental health services for students and their families in partner LEAs will increase substantially, as demonstrated by placing more MHPs in schools, increasing referrals, services, and follow-ups, and implementing telehealth in schools; 6. During the project period, at least 15 memoranda of agreement (MOAs)/memoranda of understanding (MOUs) will be established between the partner LEAs and community mental health service and resource providers; and 7. During the project period, at least 75,000 individuals (family members, community members, students) will be contacted through program outreach efforts and at least 500,000 individuals will be reached though mental health awareness marketing.
The South Carolina Department of Mental Health (SCDMH) is proposing the following project, which will co-locate primary and specialty care medical services in three additional community mental health clinics of Catawba CMHC. The project will demonstrate measureable improvements in the physical health status of adults with serious mental illnesses and those with co-occurring substance use disorders who have or are at risk for co-morbid primary care conditions and chronic diseases. Catawba Community Mental Health Center (CCMHC) serves a three county area in northern South Carolina (SC), which includes York, Chester and Lancaster Counties. CCMHC currently serves a total of 2,437 patients (1,734 adults), and in FY 2014 served a total of 5,082 adult consumers (duplicated count). The targeted population for this project would be active adult clients (consumers) of Catawba CMHC. The objective of the proposed project is to improve the health status of adults with SMI and those with co-occurring substance use disorders, to enhance the consumer experience of care through improved access and quality, and to reduce the cost of care. The primary goals of the project are to initiate a screening program, to develop a wellness program, to provide primary care to 175 consumers in the first year and 720 clients in year 4, to reduce ER use by 10% in year 1 and by 25% in year 4; and to provide enhanced case management to these consumers. These goals will be accomplished through a partnership with Community Medicine Foundation (CMF). CMF is a private, non-profit, Federally Qualified Health Center (FQHC) founded in 1992. Both CCMHC and CMF are members of Upper Midlands Rural Health Network (UMRHN), a mature vertical network that was organized in 2004. Partners of UMRHN have long-term success working together to improve the health outcomes of the communities they serve.
The SC Department of Mental Health (SCDMH) will implement the Young Lives Matter Project to reduce deaths by suicide and nonfatal suicide attempts among SC youth and young adults age 10-24. The project will focus on increasing access to screening and mental health services, raising awareness through social media marketing, increasing protective factors through training across community domains, supporting clinicians and educators in implementing evidence-based interventions, utilizing safety plans in emergency departments, and strengthening statewide infrastructure.
The program goals for the South Carolina Garrett Lee Smith grant are as follows:
1. Strengthen statewide infrastructure that will support improved behavioral health services delivery to potentially suicidal youth and young adults, including formation of a statewide Suicide Prevention Coalition and regional youth suicide prevention task forces.
2. Raise awareness and knowledge of youth and young adults and those who care about them (e.g., teachers, parents, counselors) regarding how to get help for depression and other mental health issues that may lead to suicidal ideation and suicide attempts.
3. Educate parents, teachers, and other caring adults on the risk and resiliency factors that impact youth and young adult mental health, suicidal ideation, and attempted suicide; on how to respond when they believe youth and young adults to be suicidal; and on how to access services.
4. Increase screening of youth and young adults for suicide risk and their access to services.
5. Implement evidence-based practices and successful intervention strategies to reduce suicide attempts and deaths by suicide.
6. Develop an interagency response protocol to use in the event that a youth or young adult is determined to be at risk of suicide.
SCDMH ZERO Suicide Initiative Abstract The South Carolina Department of Mental Health (SCDMH) will implement the ZERO Suicide Initiative to reduce suicide attempts and deaths among South Carolina (SC) adults age 25 and older. SCDMH, the largest behavioral health provider with a vast footprint, will serve as the base and build on established as well as future relationships to reduce deaths by suicide in SC. Based on what we know about populations at the greatest risk for suicide in SC, the ZERO Suicide Initiative will ramp up efforts to serve anyone suspected of being at risk, with a specific focus on the following subpopulations: white males, veterans, law enforcement/first responders, and the homeless population. The project will increase the ability of organizations, agencies, and individual professionals to provide coordinated, responsive, and effective rapid follow-up and aftercare to adults who have attempted suicide, as well as those who are assessed as being at risk of suicide. To work with collaborative partners on the SC State Suicide Prevention Coalition to make fundamental policy changes at a systemic level that support provision of excellent aftercare to suicide attempt survivors. Key goals of ZERO Suicide Initiative include but are not limited to: 1) To implement effective, evidence-based treatments that directly target suicidal thoughts and behaviors. 2) To strengthen and revise discharge protocols at emergency departments (EDs) and acute care psychiatric hospitals (ACPHs) to provide aftercare for at-risk adults age 25+. 3) To promote suicide prevention as a core component of healthcare services (NSSP Goal 8) through provision of training. 4) To promote and implement effective clinical and professional practices for assessing and treating those identified as being at risk for suicidal behaviors (NSSP Goal 9) through provision of training (Zero Suicide Academy) to health and behavioral health providers. 5) To embed suicide prevention strategies/activities into the behavioral health system. 6) To increase use of SC Lifeline by SC residents so at least 70% of calls remain in-state.