The proposed project, titled REAL Counselor Training and Development: Reinforcing Education through Addictions-focused Learning, will enhance counselors’ knowledge and awareness of substance use disorders (SUD) in the Upstate region of South Carolina. All six of the Upstate counties surrounding Clemson University fall within the top ten counties in the state with the highest need for treatment related to at least one of the following substance use disorders: alcohol, marijuana, opioid, cocaine, or amphetamine. Four of the six counties also fall within the top five counties in the state for the highest need for treatment related to the aforementioned SUDs. Furthermore, South Carolina experienced a 135% increase in the utilization of state funded treatment services related to opioid use disorder from 2006-2016 (DAODAS.SC.GOV, 2018). These alarming numbers support the need for counselors in the region who are trained to deliver high-quality screening, assessment, referral, and treatment of SUDs. To support this need, the project team will integrate SUD training through Clemson University’s Counselor Education curriculum, which consists of two graduate-level specialty areas, Clinical Mental Health Counseling (CMHC) and School Counseling (SC). Approximately 70% of graduates from the CMHC program practice in the Upstate of South Carolina and an estimated 20% of these graduates practice in settings that treat SUDs. With this proposed project, each academic year, approximately 100 Clinical Mental Health and School Counseling students and practitioners will receive SUD training. Seventy-five master’s students in the Clinical Mental Health and School Counselor programs will increase their capacity to identify and treat SUDs through the integration of SUD instructional video modules into core curriculum courses. In addition, 100% of students in two specific courses will be required to attend, observe, and reflect on at least one substance use recovery group. The project team will also ensure that 30% of current CMHC students complete practicum or internship training in substance use treatment facilities in Upstate South Carolina. Reaching beyond the Clemson University campus, the project team will plan, implement, and deliver an annual SUD focused training and offer continuing education units for at least 25 clinical mental health and school counselors in the Upstate region. Finally, the project team will advocate to the National Board for Certified Counselors (NBCC) to request that SUD questions are added to the National Counseling Examination (NCE).
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SC Discretionary Funding Fiscal Year 2020
As its EMS workforce numbers continue to decline, Lancaster County EMS finds itself battling an opioid epidemic, rapid population increase, and an aging population. Private EMS companies in neighboring counties and retirement have depleted Lancaster County EMS of valuable talent. However, with grant funding, Lancaster has plans for a unique recruiting and training strategy to bolster its workforce to combat the growing turmoil within its borders.
To address the projected increase in the number of South Carolinians experiencing mental health and/or substance use crises, the South Carolina Department of Mental Health (SCDMH) will implement the SCDMH COVID-19 Crisis Response Initiative, a three-pronged, statewide approach to expanding crisis services that will provide linkages to more intensive, integrated care, as well as financial assistance to remove barriers to care. The SCDMH COVID-19 Crisis Response Initiative consists of the following new programming: the Crisis Counseling Program (CCP), a telephone line designed to connect COVID-19 affected persons who are experiencing serious mental illness (SMI), a mental illness of lesser degree (MI), and/or a substance use disorder (SUD) to existing available resources and care (including but not limited to crisis services, assessment, therapies delivered using evidence-based models, peer support, employment assistance, care coordination/case management, suicide prevention assistance, homeless/housing assistance, nursing care, psychiatric care, primary care, deaf services, and services for non-native English speakers); a Financial Assistance Program which will assist persons suffering from SMI, MI, and/or SUD - including those in the justice-involved population facing reentry to society due to early release from detention to limit the spread of COVID-19 - in paying for treatment services and medication; and the Healthcare Outreach Team (HOT), a telehealth team that will specifically address the needs of healthcare workers experiencing crisis due to COVID-19. The department is confident that these programs will fulfill our goals of expanding access to crisis services and assisting more of our states citizens in obtaining mental health and substance abuse services. To achieve these goals, SCDMH will partner with the South Carolina Department of Alcohol and Other Drug Abuse Services (DAODAS) via SCDMHs existing Community Crisis Intervention and Response (CCRI) call line, via the new CCP call line, and via the Healthcare Outreach Team telehealth program. To monitor our progress in reaching and serving patients affected by COVID-19, we will develop a marker in our existing electronic medical records system to flag COVID-19 patients; we will track all incoming calls on the CCP and CCRI lines from COVID-19 affected patients seeking SCDMH and/or DAODAS services; we will monitor the amount of financial assistance we are able to provide to underinsured/uninsured SMI, MI, and SUD patients; and we will track the number of healthcare workers receiving telehealth services through the HOT. Once these programs are fully implemented, we expect to see an uptick in the overall number of patients served by the agency and estimate that in the first year of the program we will begin providing services to an additional 200 persons per week over our normal volume, which would result in an increase of 10,400 persons served annually and more than 13,000 persons served over the course of the grant period.
To serve South Carolinians experiencing mental health and substance use crises due to the impact of Hurricane Florence, the South Carolina Department of Mental Health (SCDMH) will implement the Highway to Hope Mobile Response Program (H2H) for adults and children. This mobile care program will integrate mental health and primary care and take services directly to affected rural patients who may not have funds or transportation needed to obtain care. The H2H concept is based on a successful, sustainable mental health mobile program implemented by the SCDMH Charleston-Dorchester Mental Health Center for rurally-located patients. The H2H will offer direct crisis services, assessment, evidenced-based therapies, primary care, nursing care, psychiatric care, and suicide prevention strategies. The H2H will also provide a one stop shop for referrals to additional community-based services, such as employment assistance, care coordination/case management, peer support, homeless/housing assistance, deaf services, and services for non-native English speakers. Both in-person and virtual services will be offered. The H2H will utilize a fleet of nine RVs that will be operated by staff to be hired by three SCDMH outpatient mental health centers. Six RVs will be staffed full-time by an RN, an adult serving mental health professional (MHP), and a child serving MHP and will be designated for patients in the areas most rural communities. Three RVs will be staffed full-time by an RN, a school mental health (SMH) clinician, and an adult clinician and will be designated for patients at local schools not currently offering SCDMH SMH services and their parents. While SCDMH has one of the most robust SMH programs in the nation (currently deploying school mental health clinicians to over 848 schools out of more than 1,200 public schools in the state), the mental and physical well-being of children living in this area are still of concern, as at least 87 have not been in contact with either the local school districts in these catchment areas or the South Carolina Department of Social Services (DSS) since the arrival of COVID-19 in the state in March 2020. Also, there are 88 schools in the affected area that do not currently offer SCDMH SMH services. To monitor progress in reaching and serving citizens affected by the overwhelming devastation of Hurricane Florence, SCDMH will track figures related to patients seen, services rendered, caseloads, diagnoses, improvements to daily living skills, and reductions in the level of care needed. SCDMH projects that during the initial year of implementation, the H2H program will have a mental health caseload of at least 1,440 adults and 360 children across the service area at any given time; new patients/SCDMH readmissions across the service area will total 3,000; daily living skills will increase for 80% of patients, and levels of care will be reduced for 75% of patients. Through the H2H, SCDMH will produce demonstrable and productive outreach and care to some of the states most rural and disenfranchised citizens. SCDMH is confident the H2H will become a model program for other rural areas by providing mental health and primary care in the right place, at the right time.
South Carolina State University’s Master of Art Rehabilitation Counseling (MARC) program, proposes to implement the Substance Use Disorder Expansion of Practitioner Education (SUD-Prac-Ed) project. This project will expand the integration of SUD education into the standard curriculum of the Rehabilitation Counseling program and will increase the number of practitioners that can deliver high-quality, evidence-based SUD treatment by offering a two-prong project. Phase I of the project will consist of integration of the SUDs curriculum. The curriculum will be divided into 4 Modules and will build from essential SBIRT skills to specialized application. Phase II will be the development and implementation of an online Addiction and Trauma Certificate, of which participants will enroll in. Project Name: Substance Use Disorder Expansion of Practitioner Education (SUD-Prac-Ed). Population Served: Graduate students enrolled in the Rehabilitation Counseling program. Strategies/Interventions: SBIRT curriculum. Goals: To increase the number of Rehabilitation Counseling students who are capable of delivering high-quality evidence-based SUD treatment. Objectives: Objective 1) By the end of June (60 days after start date), the project director will develop a high quality, comprehensive curriculum on identification and treatment of SUDS, including screening, brief intervention, referral to treatment strategies, assessment and treatment principles and their application; Objective 2) By the end of year two, the Project Director will integrate the SUDs curriculum and revised SUD curriculum into 2 Rehabilitation courses, including the Introduction to Rehabilitation Counseling and the Medical and Psychosocial Aspects of Disability courses; Objective 3) By the end of year one, the external evaluator will collect and assess data from at least 25 students and 4 educators in the MARC program on the utility of the SUDs curriculum; Objective 4) By the end of year 2 of the project, the project director and adjuncts will develop and provide a high quality program of training and field experience to 10 Rehabilitation Counseling students in the online Addiction and Trauma Certificate program; and Objective 5) By the end of year two, the project director and adjunct faculty will collaborate with licensing and certification boards to aim to implement examination questions related to SUD on licensing and certification exams. Number Served: 50 (25 each year)
The Native Connections grant will allow CIN to target AI/AN youth and young adults through age 24 and members of their household. AI/AN communities face substance abuse, mental health, suicide, health disparities, and trauma-related issues at greater rates than the general population. The US Department of Health and Human Services, Office of Minority Health states that AI/AN individuals have a high prevalence and risk factors for mental health and suicide, substance use, teen pregnancy, diabetes, and Hepatitis. Through these challenges, protective factors and strength of the Catawba culture still shines through. The challenges that face indian country youth and young adults can be overcome through new program implementation, prevention-based programs, and building upon these already existing cultural protective factors. Based on the research and identified service gaps a Youth Prevention Specialist and Youth Prevention Assistant responsibilities and goals for the department will include: (#1) Reduce the impact of trauma, mental illness, substance use, and suicide by fostering culturally responsive infrastructure, models, activities, events, and/or training (#2) Increase community collaboration by partnering with other departments, entities, and/or agencies to host life skill education events to promote a health transition into adulthood and (#3) Increase protective factors among AI/AN youth and young adults through prevention programs and activities that strengthen resilience and mitigate or reduce risk to mental health, substance use disorders, and suicidal behaviors. These goals will be accomplished by targeting youth and young adults through mental health promotion, suicide prevention, and substance use prevention.
Barnwell County DFC Project (ECHO Coalition)
The Chester County Drug Free Communities Project will be implemented in Chester County, South Carolina which is in the northern part of the state and has a population of 32,000 residents. The target population for this project will be youth under the age of 18 that reside in Chester County. Through this project, we plan to address alcohol and marijuana use among youth through community mobilization and evidence-based prevention strategies to improve current systems and create sustainable change. The Drug Free Communities Project will utilize the Strategic Prevention Framework to guide the implementation of the project and will utilize the Seven Strategies for Community Change. The coalition will provide information through traditional and social media. They will enhance skills through trainings, national conferences, and educational campaigns. They will provide support by working with the school district and youth advisory boards. They will work to enhance access and reduce barriers by working with partners to make sure strategies are inclusive off all populations. They will change consequences by working with law enforcement to implement environmental strategies including public safety checkpoints, saturation patrols, and compliance checks. They will change physical designs by partnering with local groups to assess physical design and environmental needs throughout the community. And they will modify and change policies by working with the school district to create and implement a model alcohol, tobacco, and other drug policy that includes updated language and trends seen throughout the county. The two main goals for the project are to increase community collaboration and reduce youth substance abuse. Three objectives will be used to guide the implementation and evaluation of the project. The first objective is to increase coalition involvement by community agencies, local law enforcement, youth, and other community stakeholders by 25% based on current member involvement, as measured by attendance and participation rosters, by October 30th, 2020. The second objective is to decrease past 30-day use of alcohol by 5% for high school youth as measured by the CTC survey, by October 30th, 2020. The third objective is to decrease past 30-day use of marijuana by 5% for high school youth as measured by the CTC survey, by October 30th, 2020. The estimated number of people served annually through this project is 32,000, with approximately 6,000 youth under 18 being served. Over the lifetime of the project, approximately 160,000 people will be served through the chosen evidence-based strategies. The demographic makeup of the county includes 60% of residents identifying as white, 37% as African American, 2% as Hispanic or Latino and 1% identifying as other. Young adults and children under the age of 18 make up 23% of the county.
The Berkeley County Partnership for Success Grant is to reduce and prevent underage alcohol and opioid use and misuse among youth in Berkeley County through enhanced prevention capacities. The lead agency The Ernest E. Kennedy Center is the designated county authority on alcohol and other drug abuse services by the SC DAODAS. The agency will work with existing coalitions and community leaders to implement a comprehensive plan to include evidence-based programs, policies and practices to address the underlying needs and conditions that contribute to reducing and preventing underage alcohol and opioid use and misuse. The identified population include those ages 9-20 who live and work in Berkeley County, totaling 221,000. Goal 1: To increase the capacity of the Berkeley County Prevention Board and identified community partners through training and community mobilization to reduce high risk behaviors among youth ages 9-20.Objectives: By Sept. 1, 2022 increase BCPB-PFS membership by 10%. By September 29, 2025, increase capacity by training coalition members on substance use and misuse prevention strategies. By September 29, 2025, increase capacity of law enforcement partners by providing training opportunities. By September 29, 2025, increase capacity of parents through educational sessions and information dissemination. By September 29, 2025, increase capacity of school district staff by providing training on youth substance access and misuse. By September 29, 2025, increase capacity of youth through recruitment and training regarding substance use prevention and peer counseling. Goal 2: To reduce and prevent alcohol use and misuse among youth ages 9-20 by implementing evidence-based prevention strategies. Objectives: By September 29, 2025, increase the perception of risk associated with underage alcohol use by working with local and state law enforcement to conduct Saturation Patrols and Party Dispersals. By September 29, 2025, decrease 30-day use of alcohol by 15% for high school and college students in Berkeley County. By September 29, 2025, increase peer social disapproval of underage drinking by 20%. By September 29, 2025, decrease underage access to alcohol by 15% among target population. By September 29, 2023, increase the number of schools in the district in which evidence-based programs will be conducted. By June 30, 2025, decrease impaired driving offenses by 10%. Goal 3: To reduce and prevent opioid use and misuse through evidence-based prevention strategies. Objectives: By September 29, 2025, decrease deaths involving opioids by 15%. By September 29, 2025, decrease opioid related overdose hospitalizations by 20%. By September 29, 2025, increase peer social disapproval of opioid use among youth/young adults by 24%. By September 29, 2025, decrease the opioids prescribed by 10%. By September 1, 2021, increase the ability to monitor results (including health disparities) by 100%.
The Berkeley County Prevention Board has applied for a FY 2020 Drug-Free Communities Support Program Grant in the amount of $125,000. The White House Office of National Drug Control Policy, in cooperation with the Substance Abuse and Mental Health Services, gives this grant annually. The Coalition serves Berkeley County, SC, a community of 221,000. The goals of the coalition are to establish and strengthen community collaboration in support of local efforts to prevent youth substance use. The coalition will achieve its goals by implementing the following strategies: providing information and support through outreach, recruiting new coalition members, and conducting social and traditional media campaigns. The coalition will also build skills in the community by providing strategy training for the BEAT youth advisory team to support a drug-free community, and by providing the Drug Intervention Training for Education Professionals to school district personnel. The coalition will support compliance checks, party patrols and provide Merchant Education for retailers. The coalition will reduce access and enhance barriers to underage alcohol and tobacco by implementing environmental strategies and utilizing an anonymous Tip line. The coalition will also support increased enforcement of rural areas and waterways. Additionally, the coalition will work to modify policies and broader systems by reviewing existing school district and community policies.
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