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VA Discretionary Funding Fiscal Year 2023

Center: FG

Grantee: CHILDREN'S HOSPITAL/KING'S DAUGHTERS
Program: FY 2023 Congressional Directive Spending Projects
City: NORFOLK
State: VA
Grant Award Number: 1 H79 FG001031-01
Congressional District: 3
FY 2023 Funding: $999,997
Project Period: 2023/09/30 - 2024/09/29

Project funds will be used to support staffing and programming for CHKD’s Partial Hospitalization Program. The partial hospitalization program provides intensive day treatment as a step-down from acute hospitalization or a step-up from outpatient services for children and adolescents who have high, but not imminent, safety concerns or a significant disruption to emotional, behavioral, or social functioning. The goal of Partial Hospitalization is to stabilize patients who display escalated psychiatric conditions associated with a recent symptom escalation and decline in functioning, so that the patient’s mental health disorder can then be managed at a lower level of care. Patients attend this program Monday - Friday from 8:30 a.m. to 3:15 p.m. in a structured, therapeutic environment that offers individual, group, and family therapies as well as psychiatric management. Families are also provided support from program clinicians to work through challenges that may exist in the home environment. Discharge planning includes coordination of outpatient services to support each child’s continued progress toward goals and health. CHKD’s PHP only began seeing patients at the end of January, 2023. We are expecting to grow the program significantly over the next year to serve the demand in the community. CHKD has budgeted 2470 patient days for FY24 and the projected LOS is 4-6 weeks. We are anticipating on serving approximately 100 patients in FY24. The patient population served by the Partial Hospitalization Program shall consist of pediatric patients with any the following primary psychiatric/mental health diagnoses: • Gender Dysphoria; Bipolar and related disorders; Depressive disorders; Anxiety disorders; Obsessive-Compulsive and related disorders; Trauma and stressor-related disorders; Disruptive, impulse-control and conduct disorders; Feeding and eating disorders; Somatic symptom and related disorders; Neurocognitive disorders; or Such other existing psychiatric/mental health diagnoses that can be safely managed in a partial hospitalization setting. Description of Care, Treatment, Skills Acquisition, or Other Supports Provided: A. Partial Hospitalization Program represents an intensive outpatient level of psychiatric care delivered in a licensed clinic setting during the week. B. Multidisciplinary assessments and multimodal interventions are provided in a 40-hour per week secure, medically staffed, and psychiatrically supervised treatment environment. C. Active family/guardian/natural supports involvement is important. Legal guardians shall be included during evaluation and treatment and discharge planning unless contraindicated. D. Weekly contact between patients and the attending psychiatrist is required for this level of care. Not only will CHKD bring treatment to those who are currently forced to leave the area for care or, even worse, forego care, it will offer cutting-edge, individualized care for all of its Mental Health patients that isn’t available within the region today. CHKD’s program will be based primarily on cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), parent-child interaction therapy (PCIT), family-based therapy for anorexia nervosa, and milieu therapy, as appropriate for the child. CHKD is committed to evidence-based practices to provide the highest quality of care. For all children in CHKD’s program, family counseling, engagement and involvement will be a centerpiece of their treatment experience. CHKD’s Partial Hospitalization Plan will support the Health System’s mission to provide a comprehensive continuum of services to ensure that children can access the most appropriate level of care in the community in which they reside, allow for earlier intervention, and reduce the need for inpatient hospitalization over time. CHKD outpatient services will be offered to patients requiring evaluation and evidence-based treatment that includes psychotherapy, pharmacotherapy, and care co


Grantee: GEORGE MASON UNIVERSITY
Program: FY 2023 Congressional Directive Spending Projects
City: FAIRFAX
State: VA
Grant Award Number: 1 H79 FG000942-01
Congressional District: 11
FY 2023 Funding: $943,983
Project Period: 2023/09/30 - 2024/09/29

Accurate assessment and identification of youth mental health difficulties is essential for optimal clinical care. Without proper assessment, mental health conditions can be misdiagnosed or even overlooked, leading to increased suffering, a need for longer and more intensive treatments, increased emergency services and hospitalizations, and even the loss of life to suicide. Measurement-based care (MBC) is a clinical process where behavioral health clinicians use evidence-based, patient-reported, outcome measure data to accurately identify difficulties, track progress, and inform treatment decisions. With the support of U.S. Congressman Gerry Connolly who championed this project, the Center for Evidence-Based Behavioral Health (CEBBH) at George Mason University will achieve the following two aims with regional partners: train clinicians who serve diverse, low-income youth and families, and their clinical supervisors, in the use of MBC to allow for regular administration of culturally sensitive evidence-based assessments to clients; and help administrators effectively implement use of MBC across their organizations so that all clients may benefit from their use. We will train 150 clinicians and 40 clinical supervisors who serve youth and families within our five Northern VA Region 2 Community Services Boards (CSBs; state-funded community mental health centers that serve the uninsured, under-insured, and Medicaid populations) located in Fairfax-Falls Church, Prince William, Alexandria, Arlington, and Loudoun Counties. Across these CSBs, thousands of youth are seen annually for mental health (e.g., suicidality, depression, anxiety, conduct problems, trauma, etc.) and substance abuse difficulties. Further, the catchment area for these CSBs is diverse. According to US Census Bureau data, across the public school systems in Region 2, students are 48-50% male, 39-59% White, 7-21% Black/African American, 6-22% Asian, 0-1% other, 4-6% two or more races, and 14-25% are Hispanic. Approximately, 3-16% of youth under the age of 18 live below the poverty line. Over the course of this one-year project, our broad goals are to develop, pilot, and implement a measurement-based care system, integrated into electronic health records, within each of the Region 2 CSBs. To ensure the success of these efforts and fit to the clientele and CSBs served, this work will be guided by interviews and surveys with the clinicians who serve these diverse low-income youth and families, clinical supervisors, organizational administrators, and youth and families seeking services. By the end of our project, our primary objectives are to train 90-100% of clinicians and clinical supervisors across CSBs in use of the MBC system, and for clinicians to use MBC to guide treatment planning with at least 80% of their youth caseload. This project holds the potential to improve the quality of care for youth seeking services within the Region 2 CSBs, decrease treatment length, decrease costs of care for families, and save young lives. Our focus on culturally sensitive assessment will also contribute to decreases in disparities in access to high quality behavioral healthcare for our most diverse and lowest income youth and families seen in the Region 2 CSBs.


Grantee: GEORGE MASON UNIVERSITY
Program: FY 2023 Congressional Directive Spending Projects
City: FAIRFAX
State: VA
Grant Award Number: 1 H79 FG001002-01
Congressional District: 11
FY 2023 Funding: $1,037,519
Project Period: 2023/09/30 - 2024/09/29

The Mason Empowered Communities Partnership Center aims to address the opioid epidemic by taking a comprehensive, multi-faceted approach to education, prevention, treatment, and collective impact. The project focuses on individuals affected by the opioid epidemic, with a particular emphasis on those who are unsheltered, involved in the criminal justice system, and youth and adolescents. The center will provide comprehensive support services, including access to evidence-based best practice strategies, co-located services, low barrier and rapid access to medication for opioid use disorder (MOUD), as well as behavioral therapies, peer support networks, and peer recovery specialists. Through this center we will expand substance use disorder (SUD) treatment and related recovery services for 2,450 individuals with a substance/opioid use disorder and/or co-occurring substance use and mental health disorder. Through this public health collaborative effort, we will increase the collective impact across communities and leverage partnerships to establish effective high touch interventions for high risk individuals. The center's goals include: (1) Promoting the use of evidence-based best practice strategies across sectors and agencies by providing comprehensive training, education, and awareness programs; (2) Increase access and engagement in evidence-based treatment services by establishing co-located services for adults and youth in crisis from opioid use disorder (OUD) where there are identified gaps in service provision; and (3) Establishing cross-sector partnerships to develop and implement effective strategies that address the root causes of the opioid epidemic, including social influences of health, poverty, and trauma, through targeted interventions and policies. The project's objectives are measurable, and it intends to train and disseminate evidence-based best practices to 1000 individuals, reach 100,000 individuals through education and awareness campaigns, provide care to at least 500 individuals, and offer evidence-based treatment services to 200 individuals by July 1, 2024.


Grantee: THE HEALTH WAGON
Program: FY 2023 Congressional Directive Spending Projects
City: CLINTWOOD
State: VA
Grant Award Number: 1 H79 FG001109-01
Congressional District: 9
FY 2023 Funding: $400,000
Project Period: 2023/09/30 - 2024/09/29

The Health Wagon project titled Substance Abuse and Mental Health Services Administration in Southwest Virginia requests funding for prevention, treatment, and recovery services for individuals, including those affected by behavioral health conditions, which may include substance use, opioid use, and mental health disorders. The Health Wagon will 1) address barriers to care and improve rural residents’ access to quality, integrated SUD treatment, and integrated behavioral health care services; 2) improve quality of mental health and SUD resources by offering coordinated, evidence-based, trauma-informed SUD and other behavioral health care services; and 3) improve the capacity of staff to identify and address social determinants of health that affect behavioral health of rural residents. The funding will support two family nurse practitioners, a certified substance abuse counselor, and a case manager with expertise in mental health, behavioral health and SUD to guide the program.


Grantee: VALLEY HEALTH SYSTEM
Program: FY 2023 Congressional Directive Spending Projects
City: WINCHESTER
State: VA
Grant Award Number: 1 H79 FG000951-01
Congressional District: 6
FY 2023 Funding: $499,894
Project Period: 2023/09/30 - 2024/09/29

The population of the Northern Shenandoah Valley and surrounding area is facing increasing mental health needs while coping with a shortage of behavioral health providers to meet these growing demands. While Winchester Medical Center includes an inpatient psychiatric unit with 36 beds and provides an Adult Intensive Outpatient Program, the number of outpatient providers to meet community needs has decreased with the retirement of three outpatient psychiatrists over the past two years. This project aims to increase the behavioral health workforce to meet the growing needs of our community, increase the number of providers available to provide services, and increase access to behavioral health services in our community. This project will address these goals through a two-pronged approach to the behavioral health workforce shortage in the area. The first approach is to increase the number of behavioral health providers in the area by providing supervision for employees and students who are non-licensed social workers and counselors. This project will provide funding for current Valley Health LCSWs and LPCs to become certified to provide clinical supervision and allow them to provide supervision for non-licensed clinicians in pursuit of licensure. This program will also provide funding for LCSWs and LPCs to supervise students who require field placement experience and supervision in their pursuit of graduation requirements. We expect this funding to increase the number of LCSWs and LPCs who are licensed and are committed to providing services in our rural health area. The second approach is to increase the knowledge, skill set, and capabilities of our existing workforce to provide care for those with behavioral health needs in our community. This second approach will provide training for our providers in behavioral health care, training for our crisis/intake nurses to become certified as certified substance abuse counselors (CSACs), and training for mental health techs and/or certified nursing assistants (CNAs) or other ancillary staff or community members to become mental health or substance peer support staff. The overarching goal of the program is to prepare students to deliver evidence/based behavioral health interventions in rural and federally qualified health centers by increasing the number of behavioral health providers and increasing the skillset of current primary or other specialty providers. Goals: 1. Provide supervision for LCSW and/or LPC students in our behavioral health programs. 2. Expand the skill set of existing work force to increase access to behavioral health care. Objectives: 1. Enroll primary care providers in REACH training in behavioral health to increase their comfort in meeting basic behavioral health needs of their patients. 2. Provide funding for mental health techs and/or CNAs or other ancillary staff or community members to become trained peers in either substance use or mental health. 3. Provide funding for nurses or others to obtain formal certification as CSACs.


Grantee: VIRGINIA HEALTH WORKFORCE DEVELOPMENT AUTHORITY
Program: FY 2023 Congressional Directive Spending Projects
City: RICHMOND
State: VA
Grant Award Number: 1 H79 FG001120-01
Congressional District: 4
FY 2023 Funding: $169,000
Project Period: 2023/09/30 - 2024/09/29

The Virginia Health Workforce Development Authority will recruit and train Community Health Workers to promote and assist behavioral health professionals, specifically mental health professionals, in rural areas of Virginia. This Training will be used to train 100 Community Health Workers with a specific focus on providing mental health services to citizens in the rural areas of the Commonwealth. The training will be promoted, coordinated, and monitored by state and local level staff to connect persons experiencing mental health issues with local community providers, increase participation and compliance with treatment programs, and increase positive health outcomes.


Grantee: VIRGINIA STATE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES
Program: FY 2023 Cooperative Agreements for States and Territories to Improve Local 988 Capacity
City: RICHMOND
State: VA
Grant Award Number: 1 H79 FG001218-01
Congressional District: 4
FY 2023 Funding: $4,671,527
Project Period: 2023/09/30 - 2026/09/29

Virginia aims to maintain and enhance its crisis services and establish a comprehensive system that effectively integrates the National Suicide Prevention Lifeline to better support individuals in crisis throughout the state. Suicide deaths in Virginia have been slowly increasing since 1999, with a 25% increase observed between 2010 and 2018. However, there has been a recent slight decrease of 4.3% from 2018 to 2019. In response to these trends, Virginia has implemented a multifaceted approach to address the issue. Previous capacity grants allowed Virginia Call Centers to increase call answer rate from 52% (1886 calls, average speed to answer of 00:35) in January 2021 to 86% (4606 calls, average speed to answer of 00:41) in January 2022, and currently at 92%. To maintain these improvements, our state plans aim to enhance critical capacity and achieve goals in three key areas: improving call response, workforce development, and outreach. During these processes, ongoing evaluation of system needs and adjustments to the states sustainability plan will be made for ongoing system efficiency and efficacy.


Center: SM

Grantee: CHICKAHOMINY INDIAN TRIBE
Program: FY 2023 Tribal Behavioral Health
City: PROVIDENCE FORGE
State: VA
Grant Award Number: 1 H79 SM088785-01
Congressional District: 4
FY 2023 Funding: $499,999
Project Period: 2023/09/30 - 2028/09/29

The Chickahominy Circles of Grace: Healing Youth through Community Connections project will help address substance misuse and mental health challenges by building the Chickahominy Indian Tribe’s capacity to educate the community, reduce the stigma that currently prevents tribal citizens from seeking mental health services, and incorporate protective factors to safeguard tribal youth in the area surrounding the tribal headquarters in Charles City County, Virginia. The population we seek to serve is youth in the tribal community (enrolled citizens and children living with enrolled citizens), which we anticipate will consist of 50 community members between the ages of 0 and 24 during Year 1 of the project and 170 in subsequent years, for an estimated cumulative reach of approximately 220 unique individuals over the lifetime of the grant. In addition to this target population, we also expect to reach the general citizenry, as the project will widely distribute educational resources and create learning opportunities and tribal events to support community connection. Circles of Grace will employ strategies of professional development for tribal staff across departments who are in a position to bolster protective factors through existing programming and the creation and distribution of targeted mental health resources designed to educate tribal citizens and de-stigmatize mental health services. To build a foundation for durable wellness among the Chickahominy Indian Tribe’s youth, the project established the following goals: 1. To build the Chickahominy Indian Tribe’s capacity to sustainably address youth mental health needs within the tribal community. This goal’s measurable objective will be the development of deliverables including the Disparity Impact Statement, Community Needs Assessment, Community Readiness Assessment, Tribal Strategic Action Plan, Community Engagement Items (i.e., Meeting Agendas, Informational Flyers, Surveys), Youth Advisory Board (Attendance Records and Agendas), Substance Abuse and Mental Health (SAMH) Partnership Plan (Plan and Memorandums of Understanding), and Postvention Protocols. 2. To provide substance abuse and mental health education to organizational staff and tribal citizens, enabling them to recognize warning signs, and to understand prevention, intervention, and mental health care options relevant to tribal youth. This goal’s measurable objective is the number of mental health educational resources created (number of individual resource sheets created) and disseminated (number of resource sheets distributed) and the number of awareness and education activities attended (Registration and Attendance sheets). 3. To enhance protective factors through existing and new tribal programming through programs that encourage parental resilience and cultural and social connection among tribal youth. This goal’s measurable objective is the number of departments integrating protective factor programming into their project activities (e.g., number of youth cohort activities supported, number of attendees in youth cohorts, number of promotions of protective factor activities) and the number of new programs initiated that integrate and support protective factors for substance misuse and mental health.


Grantee: CHILDREN'S HOSPITAL/KING'S DAUGHTERS
Program: National Child Traumatic Stress Initiative – Category III, Community Treatment and Service (CTS) Centers
City: NORFOLK
State: VA
Grant Award Number: 5 H79 SM085033-03
Congressional District: 3
FY 2023 Funding: $399,937
Project Period: 2021/09/30 - 2026/09/29

Grantee: COUNTY OF FAIRFAX
Program: Community Programs for Outreach and Intervention with Youth and Young Adults at Clinical High Risk for Psychosis
City: FAIRFAX
State: VA
Grant Award Number: 5 H79 SM086157-02
Congressional District: 11
FY 2023 Funding: $400,000
Project Period: 2022/09/30 - 2026/09/29

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