WY Discretionary Funding Fiscal Year 2019

The “University of Wyoming (UW) Lifesavers Initiative” aims to prevent suicide and suicide attempts among UW students with mental health and substance use disorder problems through comprehensive, collaborative, and coordinated services, including education, training, outreach, and support. The target population includes: (1) UW students in general, (2) UW students at high risk for suicide, including veterans, athletes who have sustained concussions, and victims of sexual violence; and (3) UW faculty and staff. Wyoming (population 579,000) is the least populated state in the nation and ranks third nationally for individuals dying by suicide (24.6/100,000). UW is the state’s only four year institution of higher education. Student enrollment is 12,397, 67% of whom are Wyoming residents, and there are 2,883 faculty and staff. Campus demographics indicate a primarily mono-lingual English, white/Caucasian campus (70%), with 6% Hispanic, 1% African-American/Black, 0.5% Native American, and 1% Asian. In the past 5 years, the number of hospital admissions due to mental health crises, suicide attempts, suicidal ideation, or substance use has more than doubled, from 24 in 2012 to 59 in 2017. In UW’s 2017 NCHA survey, students reported: binge drinking in past two weeks (43.7%), any time in the past 12 months feeling exhausted not from exercise (66.8%), feeling overwhelmed by all they had to do (72.8%), feeling things were hopeless (35.7%), feeling very lonely (45.8%), feeling so depressed that it was difficult to function (28%), and seriously considering suicide (9.3%). The structure of the proposal will follow the Strategic Planning model by the JED Foundation which includes: identifying students at risk, increasing help-seeking behavior, promoting social connectedness, developing life skills, restricting access to potentially lethal means, providing mental health services, and following crisis management protocols. Specific strategies include: suicide and substance use screenings with high risk populations, mindfulness and self-compassion trainings, Sources of Strength suicide prevention and resiliency training, outreach programs, promotion of the National Suicide Prevention Hotline through a social marketing campaign, updating and communicating our crisis response protocol, distribution of gun locks, and a coordinated care and referral system through the Lifesavers Coalition. We expect to serve 3,500 UW students, staff, and faculty annually, and 10,500 throughout the lifetime of the grant, and we propose the following outcomes of the UW Lifesavers Initiative: • A minimum of 25 students each year of the grant will be referred to mental health or substance use services as a result of screenings. • By May 2021, the number of students reporting feeling very lonely will decrease by 5%. • By May 2021, the total number of students seriously considering or attempting suicide at UW will decrease by 1%.

ABSTRACT UPLIFT FAMILY SUPPORT PROGRAM UPLIFT, a non-profit family-controlled organization in Wyoming will use grant program funding to strengthen their organizational infrastructure through enhancing leadership and management skills, fostering leadership skills among families of children and youth with SED across the state, working effectively with policy makers and service providers that support the needs of children and youth with SED, and promoting the peer support and social inclusion of families with children and youth with SED. It is critical that the organization’s infrastructure be strengthened to ensure continuation of support and advocacy services to some of Wyoming’s most needy families – those struggling to support their children’s mental health needs. As UPLIFT’s family network is enhanced, individual children, youth, and families will be positively impacted as they access beneficial services and supports and expand their skills with increased opportunities to provide a strong youth and family voice for their individual care needs as well as in system transformation efforts. Some of the key activities of this proposal include: • Partnering with local family organizations, to provide workshops addressing children and youth with SED, • Supporting the development of parent/family support providers, including training and certification. UPLIFT will partner with Magellan, Wyoming’s Care Management Entity, to train and coach Family Support Partners to actively participate on High Fidelity Wraparound plan of care teams • Attending and participating in local, state, and/or national meetings and conferences to provide information about mental health issues affecting children and youth with SED and to provide input and feedback about service and system planning, and • Providing information about children and youth with SED to the public via electronic newsletters and through relationships with local family organizations. Information will also be provided through UPLIFT’s Facebook page and their revised website. Through further development of UPLIFT’s Family Support Program and a more stable infrastructure, ten (10) family members representing the family organization will be involved in ongoing mental health-related planning and advocacy activities annually (30 over the life of the grant). Twenty (20) individuals in the mental health and related workforce will be trained in mental health-related practices and activities annually (60 over the life of the grant). Forty (40) individuals will receive training in prevention or mental health promotion annually (120 over the life of the grant). UPLIFT will provide at least two hundred (300) incidences of one-on-one support and advocacy to improve services for children and youth with mental health challenges and their families each year of this grant. Also, by the end of year three, UPLIFT will credential or re-credential a total of twenty (20) Family Peer Support Partners.

The Coalition will prevent and reduce youth substance use by implementing the following strategies: increasing coalition capacity through leadership development and training, education of the community; and influencing server skills.

Washakie Prevention Coalition requests a FY 2018 Drug-Free Communities Support Program grant in the amount of $125,000 in order to establish and strengthen community collaboration for the prevention and reduction of youth substance use in Washakie County, WY. The coalition will implement strategies that include: building community leadership and providing information to the community regarding youth substance use and prevention; enhancing skills of coalition, youth, parents and community members to prevent and reduce youth substance use; providing support and programming for youth in their efforts to prevent and reduce youth substance use; and reducing youth access to substances. The project will annually serve youth and community members through Washakie County's population of 8,235, focusing in particular on school age youth in grades K-12. Washakie County's 1,260 K-12 youth are 70.5% white, 26% Hispanic/Latino, 0.5% American Indian or Alaska Native, and 2.6% two or more races. A frontier county with a strong sense of community, Washakie County has also experienced increases in youth substance abuse and crime and currently ranks in the top two counties in Wyoming for youth substance problems. With students reporting high usage rates across several substances, the Coalition will focus its efforts on its most prevalent youth substance issues--alcohol and marijuana.

The Wyoming PDO programs aims to develop the infrastructure necessary to increase access and use of naloxone through funding, distribution, and collaborative training and education. The Wyoming PDO will implement evidence-based prevention strategies on state and community levels, targeting communities of high need. Program goals include: 1) Enhance system capacity/infrastructure, 2) Improve data infrastructure, and 3) Develop and implement an effective and comprehensive strategic prevention plan. The Strategic Prevention Framework (SPF) public health model, as well as SAMHSA's Opioid Overdose Prevention Toolkit will be fully utilized to implement data- driven and comprehensive opioid overdose prevention plans.

The Wyoming Strategic Prevention Framework PFS will enhance our current underage drinking prevention efforts with persons aged 12-20 and nonmedical use of prescription drug prevention among persons aged 12-25 by preventing the onset and reducing current users of these substances and reducing related negative consequences. Wyoming will use a comprehensive evidence-based prevention approach.

Albany County, Wyoming is requesting SAMHSA Treatment Drug Court funds in the amount of $1,258,501.05 for five years ($257,372.72 for year 1) to enhance the Albany County Court Supervised Treatment Program (ACCSTP), an adult drug court. The ACCSTP was established in 2004 as a result of an identified gap in available resources and services available to defendants within the criminal justice system with drug charges or drug related crimes within Albany County. The ACCSTP serves Albany County, Wyoming, the seventh largest populous county in the state (with a federal designation of rural and frontier in nature), with a land area of approximately 4,300 square miles and a population of 36,200. The purpose of the Albany County Court Supervised Treatment Program (ACCSTP) is to provide an alternative treatment option for high risk substance users who have committed criminal offenses in order to reduce the recidivism rate in the court system and return productive individuals to our community. Specifically, the goal of ACCSTP is to increase access and availability of substance abuse services to adults within Albany County that are eligible and accepted into the Adult Court Supervised Treatment Program, through the adult drug court model as well provide an evidenced-based aftercare program to ACCSTP participants. ACCSTP currently serves 15 participants on an annual basis; it is project that ACCSTP will provide enhanced services to a total of 25 additional participants for a total of 40 participants on an annual basis. This initiative is aimed at stabilizing the four major dimensions that support a life in recovery; health, home, purpose and community for ACCSTP participants through an evidence-based clinical treatment program. In the quarter ending December 31, 2017, 258 defendants were referred to the program by the prosecutor, with 129 (50%) potentially eligible for ACCSTP participation. While eligible individuals do not automatically qualify for ACCSTP ? their level of need, recommended treatment requirements and individual circumstances all must be assessed ? this demonstrates the immediate need for the expansion of ACCSTP. In Albany County, there are no alternatives to incarceration, similar programs do not exist and limited resources are available, including in-patient treatment options for a high-risk high-needs individual engaged in the criminal justice system. Without ACCSTP, there are currently two outcomes available to them; 1). Be placed in detention facility (i.e. local or state correctional facilities), or 2). Out-of-community in-patient treatment. Additionally, at a state level Wyoming is experiencing significant cuts that support in-prison treatment and community treatment. In 2016, ACCSTP was chosen as one of nine Mentor Drug Courts by the National Drug Court Institution to serve a three year term. As a Mentor Court, ACCSTP serves as a model and resource for individuals and court teams and is held to the upmost standards and regards. It is an honor to serve a Mentor Drug Court, and ACCSTP intends to continue to provide best practices and evidenced-based services to adult drug court participants. With the support of SAMHSA Treatment Drug Court Funds, this enhancement will close the gaps in services in a program that has been proven to be a crucial component in the treatment and sobriety of individuals within Albany County, as well as named a national model court.

The proposed EST Tribal Opioid Responses (TOR) project will provided OUD services for 20 tribal members (10 each year) on the Wind River Reservation, served by Eastern Shoshone Recovery. Participants of the TOR project will be adults, ages 18 and over, who have OUT. Participants will be tribal members and will include both males and females. Clients served by the TOR will live on or near the Wind River Reservation. Most members speak fluent English. however, many know some or all of their native language which are often used traditional ceremonies. Language remains an important component of preventions, treatment and OUR recovery.

PROJECT ABSTRACT The Wyoming State Opioid Response (SOR) Grant aims to prevent the opioid epidemic experienced in other states through three strategies: 1) Provide access to Medication Assisted Treatment (MAT), 2) Expand opportunities to reach more people through integrated behavioral health and partnerships with the criminal justice system, and 3) Reduce opioid overdose related deaths through the provision of treatment and recovery activities for opioid use disorder (OUD). Efforts for this mostly frontier state will be supported through data-driven prevention, treatment, and recovery processes that continue to build capacity and infrastructure, including culturally appropriate training, technical assistance, data gathering, and implementation of evidence-based programs, practices, and policies through an outcomes based funding model. This effort complements existing services within the community mental health and substance use disorder centers which are available in every county in Wyoming and expands partnerships with primary care and the criminal justice system. The project will reach 253 Wyoming residents with opioid use disorder diagnosis over the next two years.