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TI-15-004 Individual Grant Awards
|Award Number||Organization||Grantee State Sort descending||City||Funding amount|
|1 H79 TI026004-01||
Pascua Yaqui Tribe - Transitional Aged Youth Enhancement and Implementation Project, is directed by Sewa Uusim Community Partnership Program. The Pascua Yaqui Tribe proposing to enhance and disseminate evidence based, culturally focused substance abuse, co-occurring and recovery services as part of a network of tribal young adult services providers in our tribal community of over18,000. The project will serve over 300 youth ages 14-18/18-24, males and females and their families. The project will implement evidence based and experiential/cultural interventions such as Adolescent Community Reinforcement Approach, Assertive Case Management, Equine Therapy, the WRAPAROUND in Indian Country Model to improve treatment outcomes and access to services. The GAIN assessment and screening tool will assure consistent intake, track outcomes, provide a feedback loop to evaluate and improve the effectiveness of proposed interventions. The project will train over 30 tribal staff in the implementation of these models and certify at least 5 staff to assure ongoing use of the models and assessment tools. Services will begin within four months and subcommittee for transitional youth services. The tribal network of providers will streamline policy and procedures to best address the needs of the targeted population to provide long term change and sustainability. The network and enhanced services will allow the project to reach an additional 1000 youth with outreach and support services over the three years of the grant. The coordination of services includes; equine therapy, life skills, traditional art and cultural therapies, primary health care, workforce development, reservation-based charter high school, GED, Youth leadership / vocational/ equine and medical education programs, contingency management, mentoring, justice community service, boys' group home, health education, smoking, substance abuse, White Bison Recovery, Positive Indian Parenting and pregnancy prevention programs.
|1 H79 TI025996-01||
The Iowa Department of Public Health (IDPH) proposes to expand and enhance evidence-based treatment and recovery support services for substance use disorders (SUD) and/or co-occurring disorders among adolescents (ages 12 to 17) and transitional aged youth (ages 18 to 25) and their families. Outcomes will be achieved by assuring statewide access to evidence-basted treatment and recovery support services through establishing an enduring infrastructure capable of serving more adolescents, transitional aged youth (TAY) and their families. The IDPH will oversee four substance abuse providers who will continue to implement effective treatment, interventions, and treatment standards. The Re/Think Recovery website and outreach campaign will engage more youth and providers in the project by supporting statewide access to and dissemination of evidence-based services for adolescents and TAY. Iowa's activities will emphasize the following strategies, goals and measureable outcomes: GOAL 1: To advance the state in further establishing a coordinated effort to serve adolescents and their families. State policies and procedures, which impact the population of focus will be implemented. GOAL 2: To expand and enhance treatment for an additional 240 adolescents and transitional aged youth. EBPs will be enhanced through: expanding Multidimensional Family Therapy; expanding Comprehensive Adolescent Severity Inventory assessments; adding Motivational Enhancement Treatment/Cognitive Behavior Therapy; adding Motivational Interviewing; expanding the use of Recovery Support Services; and, piloting Feedback-Informed Treatment. Iowa will serve 60 adolescents/youth in Year One, 80 adolescents/youth in Year two, and 100 adolescents/youth in Year Three, for a project total of 240 adolescents and transitional aged youth. GOAL 3: To improve outcomes for adolescents, transitional aged youth and families.
|1 H79 TI025993-01||
The Illinois Department of Human Services, Division of Alcoholism and Substance Abuse (IDHS/DASA), will build on infrastructure development activities that initially implemented and sustained through a State Adolescent Substance Abuse Treatment Coordination award and a State Adolescent Treatment Enhancement and Dissemination award. This grant will support an enhancement and expansion of the Illinois statewide adolescent SUD infrastructure and evidence-based treatment implementation services and activities to include a focus on youth between 18 and 25 years of age in Illinois. Funds will also be used to enhance the state's treatment infrastructure that is available to this target population. The Adolescent Community Reinforcement Approach (A-CRA) coupled with Assertive Community Care (ACC) will be implemented as an evidence-based service model for clinical services provided to admitted transitional aged youth. At least 400 unduplicated male and female youth between 18 and 25 years of age will be admitted to the enhanced treatment services over the three years of SAMHSA/CSAT funding. The Chestnut Health Systems, Lighthouse Institute, Bloomington Office will be responsible for staff training, certification, and model fidelity monitoring services in relation to implementation of the coupled A-CRA/ACC service model. The Chestnut Health Systems, Lighthouse Institute, Chicago Office will be responsible for CSAT Data Collection Instrument (DCI) administration and reporting, to include six-month follow-up interviews with admitted transitional aged youth. The Great Lakes Addiction Technology Transfer Center (GLATTC) will be responsible for training and technical assistance in support of the proposed infrastructure enhancements. A performance measurement plan identifies the process and outcome questions that will be addressed in monitoring and assessing the progress of the project in achieving its stated goals and objectives. A total of $800,000 is requested each year.
|1 H79 TI025991-01||
The Louisiana State Adolescent and Transitional Aged Youth Treatment Enhancement and Dissemination Implementation Cooperative Agreement [State Youth Treatment - Implementation (SYT-I)] will improve treatment for adolescents and transitional aged youth (16- 25 years old) with substance use disorders (SUD) and/or co-occurring substance use and mental disorders. This will be accomplished by assuring youth access to evidence-based assessments, treatment models, and recovery services supported by the strengthening of the existing infrastructure system. The State Youth Treatment-Implementation (SYT-I) cooperative agreement will use grant funds to improve state capacity to increase access to treatment and to improve the quality of treatment for the population of focus and their families/primary caregivers. The SYT-I grant is a combination of infrastructure improvement and direct treatment service delivery. This grant is designed to bring together stakeholders across the systems serving the population of focus to strengthen an existing coordinated network that will enhance and expand treatment services, develop policies, expand workforce capacity, disseminate evidence-based practices, and implement financial mechanisms and other reforms to improve the integration and efficiency of substance use disorders treatment, and the recovery support system. The expected client-level outcomes of the program include increased rates of abstinence; enrollment in education, vocational training, and/or employment; social connectedness; and decreased criminal and juvenile justice involvement for the population of focus. The SYT-I program will also identify and decrease differences in access, service use, and outcomes of services among the adolescent and transitional aged youth populations who are vulnerable to health disparities.
|1 H1S TI026003-01||
The Office of Youth and Young Adults (OYYAS) proposes a collaborative to improve substance use disorders (SUD) and/or co-occurring mental health and substance use disorders treatment services for Transitional Aged Youth (TAY) ages 16 to 25 and their families. This collaborative implementation initiative will 1) Build on existing interagency collaboration to facilitate change in state systems as these relate to the population of focus with the expansion of evidence based practices (EBPs); 2) Use EBPs to engage TAY that are opioid dependent and/or have co-occurring disorders and their families; and 3) Advance existing financial and workforce development strategies. The selected EBPs to be implemented are the GAIN-Q3 for assessment, and the A-ACRA/ACC and/or Medication Assisted Treatment (MAT) for interventions in a minimum of four underserved areas with identified need and service gaps. A-CRA/ACC and MAT have been selected to further implement a community based approach to engage the TAY who are most at risk of opioid abuse, relapse, and overdose, and who confront systemic challenges in accessing traditional services. The four selected community based service providers will have proven expertise addressing the identified needs among the TAY and their families. Selected service providers will also participate in an established Massachusetts A-CRA/ACC Learning Collaborative to further expand training, certification, ongoing coaching and fidelity to the model. Staffing will include a full-time SYT-I Project Coordinator and half-time Youth and Family Coordinator that will report to the OYYAS Director. The expected outcomes include treatment engagement in populations with shown health disparities, enrollment in education and/or vocational training or employment, social connectedness and decreased juvenile or criminal justice involvement for participating TAY, and increased rates of abstinence. A total of 205 unduplicated participants and their families will be served.
|1 H79 TI026001-01||
The State Youth Treatment-Implementation project in Maine seeks to improve the state's capacity to increase access to evidence-based assessment, treatment, and recovery supports for youth with substance use disorders, mental illness or co-occurring disorders. The grant will improve the quality of evidence-based treatment and recovery supports for adolescents (age 12-18) and youth in transition (ages 16-25) and improve access to services for families. The target population suffers from alcohol abuse to opioid addiction to abuse of multiple substances and co-occurring disorders. A large proportion of this population needs but is not receiving treatment. Maine did not approve Medicaid expansion under the Affordable Care Act, which leaves many young adults without insurance. The goals of the project are to increase by 10% the number of adolescents and youth in transition who are abstinent at discharge; complete treatment; attend school or are employed; increased social connectedness; and have no arrests in the 30 days prior to discharge from treatment. The objectives of this project are to expand and enhance treatment services by funding four agencies to implement evidence-based assessment; involve families, adolescents, and transitional aged youth in policy and program development by convening a new statewide Coalition for Recovery Ready Communities; expanding the qualified workforce by assuring two clinicians and one clinical supervisor in two funded agencies become fully certified to deliver the Adolescent Community Reinforcement Approach model, and providing training in evidence-based practices for two funded agencies providing medication assisted treatment; disseminating evidence-based practices by providing state wide training and implementing a train the trainer model; developing funding strategies that support evidence-based practices in the current environment and improving interagency collaboration by continuing work with the Interagency Council.
|1 H79 TI025998-01||
In the areas related to alcohol abuse and risk for abusing alcohol, Montana's 16-25 year olds have some of the worst outcomes in the country. More than 30,000 transitional aged youth are in need of substance abuse or co-occurring treatment, including Native American youth and older adolescents. Montana is one of the most rural states in the country, and access to evidence based co-occurring and substance abuse treatment is limited. Also, adolescents on Medicaid and the Children's Health Insurance Program often lose health insurance coverage when they turn 18. The Montana Project will address the critical need for providing evidence based care to transitional age youth with substance use and co-occurring disorders by improving the infrastructure for and access to treatment for the population of focus. The project will fund four provider sites, three in central and eastern Montana where access to services is extremely limited, to implement the evidence based practice Interactive Journaling, which is well suited for use with the population of focus and with Native American clients. The sites will also implement a Behavioral Health Home model throughout the course of the project to provide more comprehensive care to the transitional aged youth being served. A minimum of 365 youth in the population of focus will be treated under the Interactive Journaling model over the course of the project period. In addition, grant funds will be used to improve the infrastructure related to serving co-occurring and substance abusing youth in Montana, including bolstering work force development for professionals, addressing policy and funding barriers and better engaging youth and caregivers in designing systems and implementing evidence based care. By the end of the project, the State of Montana will submit a Behavioral Health Home State Plan Amendment to CMS to create sustainable system for reimbursement of comprehensive treatment for substance use and co-occurring disorders
|1 H79 TI026007-01||
New York Focus on Youth and Families (NY-FYF) will enhance New York State's Office of Alcoholism and Substance Abuse Services (OASAS) ability to provide a full continuum of accessible and effective treatment and recovery services for youth (12 - 20 years old) with substance use disorders and/or co-occurring disorders and their families by promoting the use of a an empirically supported, comprehensive family-based treatment and assessment tool. Over the course of three years OASAS will partner with a minimum of eight provider sites across New York State to implement the Global Appraisal of Individual Needs-Q3 (GAIN-Q3) and Multidimensional Family Therapy (MDFT). It is expected that services through the NY-FYF grant will be provided to a minimum of 390 youth and families. Specific goals of NY-FYF include: (1) increase access to evidenced based substance abuse treatment services for youth and their families, (2) introduce the use of a comprehensive, family-centered treatment program for adolescents and young adults with substance use and/or co-occurring mental health disorders, (3) further inform the development of clinical practice guidelines for youth, (4) assist in the development of Recovery Coaches for youth, (5) assist in the development of Family Peer Supports, (6) promote the use of Recovery Support Services for youth and (7) improve access, service delivery and outcomes for youth vulnerable to health disparities. Additionally, NY-FYF will develop the infrastructure to support the services by establishing minimum counselor competencies for all clinical staff working with youth, develop the funding mechanisms necessary to deliver MDFT and work with MDFT International to develop an in-state training capacity. Working with our cross systems partners, OASAS Clinical Advisory Panel and the NY-FYF Provider Collaborative we will develop a process for quality improvement and to identify barriers to long-term sustainability.
|1 H79 TI025999-01||
The Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) will create the Oklahoma Young Adults and Youth (O-YAY) initiative. The initiative will work with treatment providers in four diverse counties to improve collaborative efforts between state agencies and local community partners and enhance the service delivery system for youth and young adults in transition (YAT) ages 13-25 with substance use disorders. O-YAY will utilize A-CRA treatment model and the Celebrating Families program for participants. Each selected provider agency will serve 10 youth/YATs in the first year, 15 in Year 2, and 20 in Year 3. In Year 2 and Year 3, an additional provider agency in each region will become certified in the treatment model, serving 10 initially and 15 participants in subsequent years allowing for a total of 320 YAT to be served. Participants and their families will attend the 16-week CF family skills building program; a total of 172 families to be served. Projected client-level outcomes of the program include increased access, retention and engagement in treatment services, improved relationships within family systems, increased social connectedness, and decreased substance abuse, criminal and juvenile justice involvement. O-YAY will build upon current financial mapping efforts to create mechanisms to identify, link, and coordinate state financing resources. O-YAY will work to achieve systems level outcomes including a strategic plan to guide the dissemination and sustainability of evidenced based practices for the treatment of substance use and co-occurring disorders services through targeted regional efforts and youth informed practices to support recovery and improve access and treatment retention; policy changes to increase screening, referrals, and appropriate identification and treatment of substance use disorders; and, elimination of workforce development issues that present challenges to meet needs of the youth, YAT, and families.
|1 H79 TI025992-01||
Collaboration for Success II will expand the provision of a proven evidence-based practice, ACRA/ACC, from four to eight counties in South Carolina over the next three years, reaching approximately 880 adolescents (ages 12-18 year olds). The grant will improve the infrastructure by providing direct treatment services and increase youth's access to care, especially for traditionally underserved groups. Outcomes will include reductions in using behaviors and increases in abstinence, improvements in education and social connectedness, and reduced juvenile justice referrals. The state will continue the use of electronic screening to determine youths' needs for service referrals, extensive statewide training on core competencies for clinicians, active inclusion of families and adolescents on the Council, intra-agency collaboration on system of care planning, development and use of an online learning management system and its training modules, and continuing work from the multi-agency council to guide cultural competency practices. The proposed project will implement ACRA/ACC in four SUD providers that serve eight counties in 3 of the 4 service regions of the state. Training and expansion of ACRA/ACC will continue over Years 2 and 3 of the grant to encompass more SUD providers across the state. A Peer Recovery Support network will be established that includes state standards, training, and eventual certification as Peer Support Coaches. Additional infrastructure improvements will be implemented including offerings on COD and trauma-informed care; implementing a coordinated workforce development plan for developing and disseminating training and certification opportunities; implementing a financial mapping strategy to efficiently and effectively coordinate state, local and federal resources for improved service provision; and developing and implementing practices that increase youth and family involvement in SUD/COD client service planning and decision making.
|1 H79 TI025995-01||
The Washington State Department of Social and Health Services Washington State Youth Treatment Improvement (WSYT-I) project is designed to enhance treatment and recovery services for youth (ages 12 to 18) who have a substance use disorder (SUD) diagnosis and youth who have a co-occurring substance use disorder and mental health disorder diagnosis (COD). WSYT-I will improve access, quality, coordination, and continuum of care through the use of an evidence-based standardized assessment tool; implementation of family centered EBP; increase of care coordination and recovery support services; and inclusion of youth and family participation at all levels. An additional focus of the project will be to enhance workforce training and development for the delivery of youth SUD and COD services. The target population is youth ages 12-18 who are locally identified, with priority going to youth with COD and/or youth involved in multiple systems. Services will be delivered by five community-based treatment providers in five geographic areas. Over the three years of the project, we will serve 570 youth and their families. This project will develop and promote recovery oriented service systems. It will provide an interactive and collaborative learning experience that identifies barriers and tests solutions, while implementing family-centered intervention. Workforce development efforts will focus on an accelerated online certificate for advanced professionals to become state certified substance use disorder professionals. A multi-year training implementation plan will enhance the statewide service delivery systems. The objective is to improve health outcomes for youth and improve the treatment workforce. Success will be measured via increased rates of abstinence; enrollment in education, vocational training, and/or employment; social connectedness; decreased justice involvement; and an increase in the number of professionals trained to provide SUD and COD services.