Allies with Families (Allies) Community Services Programs will build on and enhance statewide programs that address the needs of children and youth with SED; by providing workshops in person and on-line; building a leadership academy; providing one-on-one support for families who have children with SED; and, addressing the unique needs of children with a dual diagnosis of mental health and intellectual disability (MH/IDD) and their families. Allies mission is "To empower individuals and families by providing peer and community supports as well as facilitating Wraparound, advocacy and education." Allies believes that children/youth with SED and their families should have voice, access, and ownership of their own services and treatment, as well as the policies that drive the treatment. This can be accomplished by supporting families to utilize local community supports needed for them to live safely at home and in their community; and training to participate on boards and committees that drive policy. Allies also provides a tiered certification program for family peer support. Allies will: 1. enhance and provide quarterly community education workshops for parents and providers to include the development of a strength-based skill set, expanded knowledge of the impact of children's mental illness, and strategies to promote health and well-being; and make these workshops available on-line; 2. provide sibling workshops quarterly in urban and rural areas of the state; 3. provide quarterly a ""Voices of Change"" leadership workshop to help support youth and families to attend local and state meetings and provide feedback about mental health issues affecting their children and policies in service and system planning that directly affects their families; 4. provide training, coaching and mentoring for Family Peer Support partners statewide that includes a certification process; and, 5. provide statewide one-on-one peer support to families who have children and youth with a dual diagnosis of MH/IDD and their families. ""When someone with developmental disability presents with behavioral difficulties it can be challenging to determine the underlying cause of such difficulties."" (Tang, Betty et al, ""The other dual diagnosis; Developmental disability and mental health disorders.) A family peer support partner will work directly with families who have children with MH/IDD to help find community based resources, information and critical support, but most importantly, to address the barriers they experience in getting appropriate treatment. This would include barriers in services and policy. Allies will continue to provide information and support to families statewide through the utilization of social media newsletters, community trainings, one-on-one support, and the Allies Policy Information Network. The anticipated number of people to be served annually is 1,575 and throughout the lifetime of the project is expected to serve 4,725 unduplicated.

Asian Association of Utah (AAU) proposes to implement the Refugee Mental Health Awareness Training (RMHAT) program to educate refugee communities and the individuals who serve them. The program strives to train individuals to recognize signs and symptoms of mental health disorders, particularly serious mental illness (SMI) and/or serious emotional disturbance (SED), and to provide those experiencing mental health illnesses with appropriate resources. The RMHAT program will also train additional individuals such as law enforcement, school personnel, emergency first responders, and community members on how to identify those with a mental health disorder, employ de-escalation techniques in a crisis situation, and educate individuals on what community resources are available. To implement this project, evidence-based practices will be utilized for those receiving mental health first aid training and for those who are seeking mental health services. RMHAT program staff will be certified as a Mental Health First Aid Trainer and conduct trainings to educate refugees, service providers, and community members on how to recognize and identify individuals who are experiencing a mental health disorder. The Mental Health First Aid training is listed as an evidence-based program by SAMHSA’s National Registry, and is a standardized psychoeducational program developed to empower the public to approach, support, and refer individuals experiencing mental illness. One goal of this project is to increase the capacity of refugee community members to recognize signs and symptoms of mental health disorders and/or SED among community members. It is anticipated that 22 refugee community leaders will participate in the training each year, leading to a total of 66 refugee community leaders trained throughout the lifetime of the project (3 years). In addition, 330 refugee adults and youth will also have participated in this training in one year, thus bringing the total to 990 refugee adults and youth trained throughout the project’s lifetime. Another goal is to increase the capacity of service providers and others who work with refugee communities to recognize signs and symptoms of SMI/SED individuals. 11 organizations will be trained each year, thus bringing the total to 33 organizations throughout the lifetime of the project. The third goal is to increase the capacity of refugee communities and service providers to make referrals for mental health services. It is anticipated that there will be a referral system set up within four months of start-up time for clients to be referred to the AAU Community Wellness Program. The fourth goal is to decrease negative attitudes towards mental health issues within refugee communities; it is anticipated that half the community leaders (11 each year, 33 throughout the project’s lifetime) who attend the training will show a decrease in negative stigmas. The last goal is to decrease SMI/SED symptoms by providing mental health services to unfunded clients. It is anticipated that 70% of clients will report a decrease in psychiatric symptoms within 12 months of services, and that 85% of clients will be enrolled into a benefit program within 6 months of services.

The Child & Family Support Center of Cache County's MENTAL HEALTH FIRST AID FOR ADULTS IN ENGLISH AND SPANISH program will provide mental health awareness trainings to adults in northern Utah and southern Idaho using the evidence-based Mental Health First Aid curriculum for Adults. The target population for this project is the adult general population living in the geographic catchment area of Cache and Rich Counties, Utah, and Franklin County, Idaho. Specific outreach will be extended to Spanish-speakers, those living or working in rural areas as defined by Rural-Urban Commuting Area Codes; Veterans and members of the armed services, their families, and those who work with them; and family members of opioid substance abusers and individuals who work with them. The goal for this project is to reduce the stigma of mental illness, increase mental health awareness, increase the safety of our community, and provide support and resources for those experiencing mental illness or serious emotional disturbance. To achieve this goal, the proposed project will: (1) Provide Mental Health First Aid trainings to community organizations, faith-based leaders, local businesses, and other community members to train them on how to recognize the signs and symptoms of mental illness and serious emotional disturbance; how to appropriately and safely respond to individuals with mental disorders and use de-escalation techniques; and how to connect individuals in crisis to support and resources. (2) Conduct community outreach through marketing, social media campaigns, and community events to educate individuals about resources available in the community for individuals. (3) Establish links with community agencies and organizations and create a referral program to connect individuals with mental disorders with appropriate services, supports, and resources. We anticipate training 975 adult community members over the course of three years (300 in Year 1, 325 in Year 2, and 350 in Year 3). Of these individuals at least 200 will be Spanish-speakers; 80 will be service providers, family members or caregivers in contact with armed service personnel or Veterans; 100 will be individuals or providers in rural-defined areas; and 50 will be service providers, family members, or caregivers in contact with adults who misuse opioids or are recovering from opioid misuse.

The Trauma Program for Families in Northern Utah will provide evidence-based and trauma informed treatment to children and families. Participants will include children, ages 0-11, and their families who have suffered trauma. Outreach will be specifically extended to military and refugee families.

The Child & Family Support Center of Cache County Inc. (doing business as The Family Place) has a mission to strengthen families and protect children. The goal for this project is to provide and increase access to effective trauma-focused treatment and services systems for children and their families who experience traumatic events throughout our community.

To achieve this goal, the proposed project will implement an Attachment, Regulation, and Competency (ARC) framework for trauma intervention in the following strategies: (1) a therapeutic child center, (2) home visits, (3) group therapy, and 4) community training to local leaders.

Measurable outcomes will include reduced trauma symptoms, an increase in trauma-informed services, strengthened family relationships, and becoming a trauma-informed community.

The Family Place anticipates screening 1,000 participants a year for trauma, with 500 of them receiving trauma-informed mental health assessments. The Family Place anticipates enrolling 75 participants in the first and last year and 100 participants per year for years 2 through 4 in evaluation activities to understand the effect of evidence-based trauma treatment on participants. During the 5-year program, approximately 5,000 children will be screened for trauma, and of those screened, 2,500 will receive trauma-informed mental health assessments and treatment in their preferred modes. By the end of the grant, 450 children and their families will participate in project evaluation activities to understand the effect of evidence-based trauma treatment on their ongoing relationships, mental health functioning, and recovery after trauma.

Utah's mental health needs, suicide data, youth violence, and substance abuse data indicate a high need for a culture shift toward mental health literacy, self-help and coping, help-seeking, professional treatment, and crisis intervention. Utah State Board of Education (USBE) Project AWARE SEA will provide a comprehensive approach to mental health awareness and intervention in coordination with Utah's Division of Substance Abuse and Mental Health. Three Local Education Agencies (LEA)s, who have current mental health partnerships, have been selected to participate in this grant according to their demographics, safe schools incidents, and mental health needs. This grant will provide a tiered model of programming to address all levels of mental health: (Tier 1) universally to all stakeholders through curricula and trainings; (Tier 2)small group and individual interventions to selected students identified through Local Case Management Teams; (Tier3) treatment and clinical services to youth and families with acute needs. Data collection and program evaluation will be managed by Project Grant Managers in conjunction with University of Utah to ensure ongoing program effectiveness. USBE Project AWARE will provide the funds to hire mental health professionals: Family Resource Facilitators in each district to connect families with the appropriate mental health agency when needed and full time mental health counselors for each district to aid schools in crisis intervention and clinical services. Project AWARE will be critical in creating school cultures and communities that are dedicated to increasing mental wellness, early identification, and continued treatment and interventions to all students in a culturally inclusive environment that is conducive to optimal mental, emotional, and behavioral wellness.

The University of Utah and Primary Children's Center for Safe and Healthy Families are collaborating on the project, Pediatric Integrated Post-Trauma Services: an Evidence Based Care Process Model for Pediatric Traumatic Stress. The purpose is to develop and disseminate clinical algorithms and tools for medical providers to detect, assess and manage traumatic stress, facilitating timely treatment and referral and minimizing the misuse of medication. The area of trauma focus is Injuries and Medical Problems/Health Care Settings/Integrated Care. The project goals include 1) Develop an Evidence Based Care Process Model (EB-CPM) and decision support tools for pediatric traumatic stress; 2)Implement and assess pediatric traumatic stress EB-CPM for frontline healthcare providers in primary care and children's advocacy centers; and 3) Provide national leadership on the use of care process models in trauma exposed children. In order to accomplish these goals, we will compile, synthesize and critically assess evidence for treatments of pediatric traumatic stress pertinent to frontline medical providers, use a modified Delphi process to guide clinical decision points for which there is an absence of evidence, and create a pediatric traumatic stress assessment and management algorithm for frontline providers,including decision support tools that will be piloted and implemented within primary care and children's advocacy center settings. This will allow us to measure the impact of EB-CPM on management of pediatric traumatic stress and identify facilitators and barriers to implementation. Additionally, we will lead a NCTSN workgroup on revising and disseminating care process models, including sustainability strategies for evidence based care and the use of psychotropic medication in trauma exposed children. Furthermore, we will engage outside the network with national pediatric healthcare provider organizations including the American Academy of Pediatrics and the American Academy o

Iina Bihoo’aah (the essence of life) The Utah Navajo Health System (UNHS) proposes to implement the Iina Bihoo’aah (the essence of life) to improve the mental health and wellbeing of young people age 16 – 25 with or at risk of developing a serious mental health condition through quick and easy access to high quality and coordinated services. The two local communities of focus include the Utah Strip of the Navajo Nation (UNHS Service area) and the White Mesa community of the Ute Mountain Ute Tribe. Iina Bihoo’aah will accomplish the proposed purpose through a coordinated local service system that provides outreach, early identification, engagement, early intervention, treatment, and transition facilitation services. It is expected, after completion of a needs assessment, that there will be two Evidence Based Practices implemented: Wraparound and Supported Employment, and one evidence-informed practice, Supported Education. The two local communities selected for implementation are both rural, designated as Mental Health Professional Shortage Area, with low educational attainment, and higher than state average in suicide death, poverty and unemployment rate. Goal 1: Throughout the grant period, improve the functioning of 310 youth and young adults to maximize their potential assuming adult roles and leading full and productive lives. a. By 9/30/2023, enroll 310 AI youth living on and around the Utah Strip of NN and the White Mesa of Ute Mountain Ute tribe (year 1: 30, year 2-5: 70 each year). b. By 9/30/2023, provide evidence-based or -informed practices to 80% of enrolled youth. c. By 9/30/2023, 80% of enrolled youth will demonstrate improved adulthood functioning. Goal 2: Improve community awareness, understanding and collaboration on mental health and issues related to AI youth transitioning into adulthood. a. For each year of the grant, youth and family advocates will organize 3 social marketing activities to improve community awareness on mental health and transition issues. b. For each year of the grant, a minimum of 300 community members will receive information on mental health and AI youth-in-transition issues. c. For each year of the grant, a minimum of 10 AI youth and 10 AI family members will be trained, coached and mentored in leadership and advocacy roles. Goal 3: Enhance organizational infrastructure and community readiness to support AI youth a. By 12/31/2018, establish a Transition Team (TT) of key tribal and community decision-makers, including young people and family members to improve organizational and community support for AI youth. b. For each year of the grant, a minimum of 100 cross system staff will receive training to improve their knowledge and skills on supporting AI youth transitioning into adulthood. c. By 9/30/2020, develop a financing plan that identifies and coordinates funding streams and leverages 3rd party funding (e.g., Medicaid) to support youth-in-transition services.

The Utah Division of Substance Abuse and Mental Health (DSAMH) proposes to implement the Prevention and Recovery of Early Psychosis (PREP) program to prevent the onset of psychosis or lessen the severity of psychotic disorder among young people, not more than 25 years old, at clinical high risk for psychosis. The catchment area includes Wasatch, Utah, Davis, and Weber-Morgan counties. Services will be provided by Wasatch Mental Health, Davis Behavioral Health and Weber Human Services. PREP will develop and implement a coordinated service system that provides community education, outreach, screening, assessment, and clinical care. Based on a stepped-care model, there are four (4) levels of care, from psychological intervention and recovery support for low intensity/low risk to pharmacotherapy for high intensity/high risk. Movement between levels is determined by assessment results and treatment response, with decisions made in the shared decision-making framework. An array of psychological intervention and recovery support services are included. Pharmacotherapy will be considered only when psychological interventions are ineffective and there are escalating attenuated psychotic symptoms. Goal 1. Improve the symptomatic and behavioral functioning of 270 youth and young adults at clinical high risk for psychosis so they may resume age-appropriate activities. a. By 9/30/2023, provide stepped-care intervention to 270 youth and young adults. b. By 9/30/2023, provide evidence-based or informed practices to 100 percent of enrolled youth. c. By 9/30/2023, 80 percent of enrolled youth will demonstrate improved functioning. d. All young people who are assessed to be experiencing first episode psychosis (FEP) will be referred to a FEP specialty program within one week. Goal 2. Improve community awareness, understanding and collaboration on CHR-P. a. A minimum of 300 community members per year will receive information on CHR-P. b. A minimum of 5 youth and 5 family members per year will be trained and mentored to assume leadership and advocacy roles on CHR-P issue. c. Develop a referral network of a minimum of 15 agencies and organizations to actively participate in the referral process. Goal 3. Enhance organizational infrastructure and community readiness to support youth and young adults experiencing CHR-P a. By 12/31/2018, establish a CHR-P Steering Committee of key decision-makers from state agencies and community organizations, including young people and family members to improve organizational and community support for the PREP program. b. For each year of the grant, a minimum of 100 cross system staff will receive training to improve their knowledge and skills on supporting youth experiencing CHR-P. c. By 9/30/2021, develop a strategic plan to expand and sustain the PREP program.

The Utah Supported Employment Transformation Project (SETP) will develop and implement the Supported Employment Transformation Project (SETP) utilizing the Individual Placement and Support (IPS) evidence based supported employment model to full fidelity. A primary component of this project will include forming a multiagency coordinating committee that will develop and implement a collaborative sustainable funding initiative to expand and maintain robust Supported Employment Services in Utah. This project will initially provide Supported Employment services to adults with serious mental illness and co-occurring substance abuse conditions, coordinated by two Local Mental Health Authorities (LMHAs) across urban and rural communities.

Utah will develop and implement the Utah Assisted Outpatient Treatment Program (U-AOT) in two Local Mental Health Authorities, by developing a system of coordination and communication across community services, and the provision of a combination of Evidence Based treatment and support services. The population of focus will be adults with serious mental illness who are on civil commitment, with poor treatment compliance, and a history of multiple hospitalizations and/or incarcerations. Goal 1: Demonstrate that AOT will result in improvement of treatment outcomes for adults with SMI, under civil commitment, with a history of treatment non-compliance. Individuals receiving AOT will decrease service/system utilization. Goal 2: Establish and implement Assisted Outpatient Treatment in two communities (Davis Behavioral Health and Weber Human Services) within Utah. The AOT Program will be characterized by the enhanced relationships, communication, and coordination for in-person, legal, electronic and functional exchanges with the courts, police, hospitals and other community partners. Staff will be trained in each community in the AOT model of treatment. Nationally recognized training curricula for EBPs will be integrated into target communities. Goal 3: Establish and strengthen the necessary infrastructure to maintain and expand AOT throughout Utah, and to increase the number of individuals with serious mental illness who receive sufficient services and supports to remain in the community. An Assisted Outpatient Treatment Steering Committee (AOTSC) will be established at the State Level and the AOTSC will create a Strategic Plan for ongoing community AOT services. Goal 4: Collection and analysis of program data, with results used to modify program and maximize effective strategies. Program data will be collected and analyzed in target communities with intent to generalize data collection process and lessons learned state-wide.