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TN Discretionary Funding Fiscal Year 2022

Center: SM

Grantee: ALLIANCE HEALTHCARE SERVICES
Program: FY 2022 Certified Community Behavioral Health Clinic
City: MEMPHIS
State: TN
Grant Award Number: 1 H79 SM086387-01
Congressional District: 9
FY 2022 Funding: $1,000,000
Project Period: 2022/09/30 - 2026/09/29

Alliance CCBHC-Improvement and Advancement Grant Alliance currently has a CCBHC-E grant and seeks to enhance and transform the current services provided through the CCBHC by improving access and increasing engagement. The population of focus is adults with Severe Mental Illness (SMI), substance use disorders (SUD), and co-occurring disorders who have been previously or historically served by crisis, particularly those who are unemployed or underemployed and live at, below, or near poverty. Particular attention will be given to African American adults who come through crisis services. The geographic catchment area will be Shelby County, specifically Memphis, the second-largest city in the state and ranked second in the nation for poverty. The new grant program will impact behavioral health disparities of unemployment, income, and poverty existent among African American adults who frequently utilize crisis services without engaging in outpatient services; and will do so by providing same day access to mental health therapy, medication management, peer support services, psychiatric rehabilitation services, and targeted care coordination in a new Crisis Outpatient Program. Alliance Healthcare Services provided more than 13,000 crisis assessments in 2021 on nearly 7,000 adults. Supported by funding of the 2020 CCBHC-Expansion grant (CCBHC-E), our Open Access team completed mental health intakes (assessments) on more than 700 of these individuals. The work accomplished through those efforts was significant; however, it is only the beginning. Nearly 53% of our Crisis Assessments are completed on clients seen before in Crisis. Therefore, we want to build support to our existing CCBHC via enhancing our Crisis Outpatient service array, designed to provide services to CCBHC clients who are in crisis. This program will accept referrals from Open Access after the Crisis Department completes an assessment, and will ensure clients do not fall through the cracks or experience long wait times in their transition to traditional outpatient services. Due to workforce shortages in our outpatient clinics, many of the clients served by Open Access fall through the cracks after their Open Access intake and come back through the Crisis Department. Our aim is to align the previous CCBHC-E goals with the new CCBHC program. The Evidence-Based Practices (EBPs) will be: Cognitive Behavior Therapy (CBT), Dialectical Behavior Therapy (DBT), and Safety Plan Intervention (SPI) and the Zero Suicide model will be adapted for the entire AHS Crisis Department. Additionally, the Crisis Outpatient Program will also utilize Illness, Management, and Recovery (IMR) in a group setting for all clients served. Major goals of this grant are as follows: 1) For those who are seen in crisis, increase the number engaged in outpatient services by 400 each grant year by increasing CCBHC staff capacity to service this group, 2) Reduce frequency of crisis services by providing necessary evidence-based treatment interventions for those who repeatedly go through crisis services. 3) Decrease impact of behavioral health disparities by implementing evidence-based interventions in the Crisis Outpatient Program. Measurable objectives include recruitment, staff training, and data collection and analysis. IPP metrics include: number of organizations collaborating/coordinating/ sharing resources with other organizations; work group/advisory group/council members who are consumers/family members; people receiving evidence-based mental health-related services; and the number and percentage of individuals receiving mental health or related services after referral.


Grantee: CENTERSTONE OF TENNESSEE, INC.
Program: FY 2022 Certified Community Behavioral Health Clinic
City: NASHVILLE
State: TN
Grant Award Number: 1 H79 SM086407-01
Congressional District: 5
FY 2022 Funding: $1,000,000
Project Period: 2022/09/30 - 2026/09/29

Centerstone's CCBHC Improvement and Advancement in Tennessee (C-CCBHCv2.0) project will improve and advance Centerstone's CCBHC in Clarksville. The project will provide comprehensive, integrated, coordinated, and person-centered care to 1,500 unduplicated individuals with a mental or substance use disorder, primarily residing in the Tennessee catchment area (Cheatham, Houston, Montgomery, Robertson, and Stewart), including groups facing health disparities (Y1: 300; Y2-4: 400/yr.). C-CCBHCv2.0 will serve individuals with a mental or substance use disorder, including those with serious mental illness (SMI); substance use disorder (SUD), including opioid use disorder; children and adolescents with serious emotional disturbance (SED); individuals with co-occurring mental and substance disorders (COD); and individuals experiencing a mental health/substance use-related crisis. Target population demographics are expected to mirror those of the catchment area. Those ages 17 and under comprise 51% male, 49% female, 62% White, 15% African American, and 12% Hispanic/Latino individuals. Those ages 18+ comprise 50% male, 50% female, 72% White, 14% African American, and 8% Hispanic/Latino individuals. Of the catchment area's population, 6.3% of adults are expected to have SMI and 10% of children/youth, SED. An estimated 13.9% of adults and 6.1% of adolescents 12-17 have SUD, including 1.0% of adults with OUD. An estimated 6.7% of adults have COD. An estimated 33,020 (94%) adults with SUD need but did not receive treatment at a specialty facility. C-CCBHCv2.0 will provide an array of high-quality integrated primary/behavioral health care services (e.g., crisis services; screening/assessment/diagnosis, including primary care and risk assessment; treatment/crisis planning; outpatient mental health/substance use services; Medication Assisted Treatment; targeted case management; peer and family supports; and intensive community-based mental health care for Armed Forces/Veteran populations). Key project strategies include expanding access/availability of services responsive to community needs; meaningful involvement of consumers/families in their care; and applying a continuous quality improvement (CQI) approach to drive improvements and sustainability. The project's interventions address the full array of consumers behavioral health needs and include Cognitive Behavioral Therapy, Motivational Interviewing, Illness Management and Recovery, Integrated Dual Disorder Treatment, etc. C-CCBHCv2.0 will accomplish the following goals: 1) Expand and improve delivery of comprehensive, integrated, and person-centered community-based mental and SUD services for the target population; 2) Enhance infrastructure/capacity for a full continuum of coordinated care; 3) Increase access to/availability of timely services for the target population; 4) Implement a measurement-based care process to ensure comprehensive, evidence-based services and supports and practices for whole-person wellness and recovery; 5) Improve health status and outcomes for project consumers engaged in treatment; and 6) Apply a CQI approach to drive outcome improvement and ensure ongoing service delivery. Planned improvements include expanding MAT services, enhancing staff recruitment/training/ retention, and refining the community needs assessment process. As a result of these goals/ improvements, the project will achieve the following measurable consumer-related objectives: Decrease mental health symptomatology among 45%; decrease substance use among 45%; improve housing stability among 80%; deliver individualized treatment plans for 100%; provide employment/education case management for 100%; reduce tobacco use among 30%; improve physical health indicators among 75%; offer linkage/referral follow-up to 100%; achieve 80% consumer/family reported satisfaction with their experience of care; and achieve 80% 6-month follow-up rate.


Grantee: CENTERSTONE OF TENNESSEE, INC.
Program: National Child Traumatic Stress Initiative - Category III, Community Treatment and Service (CTS) Centers
City: NASHVILLE
State: TN
Grant Award Number: 5 H79 SM084812-02
Congressional District: 5
FY 2022 Funding: $400,000
Project Period: 2021/09/30 - 2026/09/29

Grantee: CENTERSTONE RESEARCH INSTITUTE
Program: Grants to Implement Zero Suicide in Health Systems
City: NASHVILLE
State: TN
Grant Award Number: 5 H79 SM083412-03
Congressional District: 5
FY 2022 Funding: $400,000
Project Period: 2020/08/31 - 2025/08/30

Grantee: HAMILTON, COUNTY OF
Program: Assertive Community Treatment
City: CHATTANOOGA
State: TN
Grant Award Number: 5 H79 SM080906-03
Congressional District: 3
FY 2022 Funding: $678,000
Project Period: 2020/04/30 - 2025/04/29

Grantee: MARYVILLE COLLEGE
Program: GLS Campus Suicide Prevention Grant
City: MARYVILLE
State: TN
Grant Award Number: 5 H79 SM084034-02
Congressional District: 2
FY 2022 Funding: $102,000
Project Period: 2021/09/30 - 2024/09/29

Grantee: MEMPHIS SHELBY COUNTY HEALTH DEPARTMENT
Program: Grants for Expansion and Sustainability of the Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (also known as Children’s Mental Health Initiative)
City: MEMPHIS
State: TN
Grant Award Number: 5 H79 SM082390-04
Congressional District: 9
FY 2022 Funding: $999,724
Project Period: 2019/09/30 - 2023/09/29

Grantee: MENTAL HEALTH ASSOCIATION OF MIDDLE TENNESSEE
Program: Grants to Implement Zero Suicide in Health Systems
City: NASHVILLE
State: TN
Grant Award Number: 5 H79 SM083448-03
Congressional District: 5
FY 2022 Funding: $400,000
Project Period: 2020/08/31 - 2025/08/30

Grantee: MENTAL HEALTH ASSOCIATION OF MIDDLE TENNESSEE
Program: Mental Health Awareness Training Grants
City: NASHVILLE
State: TN
Grant Award Number: 5 H79 SM084591-02
Congressional District: 5
FY 2022 Funding: $125,000
Project Period: 2021/09/30 - 2026/09/29

Grantee: PARK CENTER, INC.
Program: Treatment for Individuals with Serious Mental Illness, Serious Emotional Disturbance or Co-Occurring Disorders Experiencing Homelessness
City: NASHVILLE
State: TN
Grant Award Number: 5 H79 SM080688-04
Congressional District: 5
FY 2022 Funding: $500,000
Project Period: 2018/11/30 - 2023/11/29

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