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TI-15-005 Individual Grant Awards 2015State Youth Treatment-Planning
|Award Number||Organization||Grantee State Sort descending||City||Funding amount|
|1 H79 TI026037-01||
Foundations for the Future (FF) builds on the infrastructure and systems change efforts with our Saving our Adolescents and Young Adults for Transitions (SAYA Transitions) project. SAYA Transitions is collaboration with Fairbanks Native Association (FNA) and service partner Tanana Chiefs Conference (TCC) to improve the integration and effectiveness of treatment for transitional aged Alaska Native/American Indian (AK/AI) youth with mental health disorders and co-occurring mental health/substance use disorders. FF adds substance use/abuse to service integration. The service area for SAYA Transitions and FF is Fairbanks (population 31,721) and North Pole (population 2,198) Alaska. Population of focus are 1) the communities at large, and 2) low income Alaska Native/American Indian transitional aged youth between the ages of 16-25 with substance use disorders and/or co-occurring substance use and mental disorders. AK/AI suffers from disproportionately high rates of substance abuse, poverty, unemployment, trauma, mental illness and suicide. We plan to develop a comprehensive strategic plan to improve substance use disorders/co-occurring treatment. FNA served the population of focus nearly 50 years with experience providing behavioral health services on assessment, substance abuse residential and substance abuse outpatient providing co-occurring substance abuse services with co-occurring diagnosis. TCC provided services for nearly 40 years and experience providing outpatient mental health, transitional mental health, CMI case management, psychiatry and outpatient substance abuse and residential treatment. Evaluation employs: a) formative evaluation to monitor program processes; b) recurring analyses of consumer needs as well as program strengths and weaknesses to identify service gaps; c) systematic process and fidelity assessments to verify the services meet performance standards, and d) outcome evaluation to determine service effectiveness and impact.
|1 H79 TI026035-01||
The Connecticut Department of Children and Families (DCF) will develop a three-year strategic plan to improve treatment for adolescents (age 12-18) with substance use disorders with or without co-occurring mental health disorders. This project will be known as IMProving Access, Continuing Care and Treatment (IMPACCT). DCF will partner with the Judicial Branch Court Support Services Division, which funds services to youth involved with juvenile justice, to lead the development of a plan to improve and align policies, practices and funding. IMPACCT's overall goal is to develop a strategic plan for system improvements that enhance statewide coordination of the multiple treatment and continuing care systems for youth in support of better access to and retention in high quality care. IMPACCT will achieve its goals by: 1) Partnering with existing statewide youth and family groups; 2) Identifying strategies to expand the capacity of the substance use and mental health disorders treatment; 3) Developing pragmatic funding and payment strategies for EBPs; 4) Increasing screening for youth; 5) Enhancing existing data infrastructure to improve access to administrative data; 6) Improving collaboration across state agencies and branches of government; and 7) Expanding an existing provider collaborative. IMPACCT will further efforts by DCF toward developing and sustaining an evidence-based substance treatment system at all levels of care. These efforts include implementation by DCF of evidence-based treatment models for outpatient, intensive in-home services and residential care. IMPACCT will develop a statewide strategic implementation plan to identify important gaps in Connecticut's systems and address issues of: unequal distribution of services, access policies, quality and accessibility of data; lack of knowledge in communities about the existence of treatment services; sustainability of existing; and the lack of recovery support and continuing care services.
|1 H79 TI026040-01||
The Michigan Youth Treatment Infrastructure Enhancement (MYTIE) initiative will develop a structure to build an effective system that will increase access to and improve the quality of treatment and recovery support services for transitional aged youth 16-21 years, including those in transitioning out of foster care, and their caregivers. An estimated 127,000 (14%) youth aged 16-21 had a substance use disorder (SUD). Thirty-seven percent of those youth also had identified mental health concerns. The purpose of the MYTIE project is to: 1) Establish state infrastructure that will increase service access, treatment and recovery support service use and quality for the purpose of developing policies, expanding workforce capacity, disseminating evidence-based practices, and implementing financial mechanisms; 3) Identify issues and barriers that affect access and treatment of SUD and co-occurring disorders; 4) Identify disparities that effect access to treatment; 5) Promote the development of statewide family and youth support organizations; 6) Develop a strategic plan to guide needed changes to the service delivery system. The current system of care reflects poor penetration rates for the treatment of adolescents and transitional youth age 16-21, with only approximately 8% of those with an identified need, receiving substance use disorder (SUD) treatment services. In addition, there is no mechanism for conducting effective outreach to this population, direction for collaboration with referral sources, or linking to resources from the Single State Authority. A full-time State Youth Coordinator will report to the Office of Recovery Oriented System of Care Substance Abuse Prevention and Treatment Section Manager. An Interagency Council will be developed and convened with key stakeholder, youth and family involvement. The Interagency Council will help to develop the strategic plan for transitional aged youth treatment and recovery support services, guide the development
|1 H79 TI026036-01||
The NH Department of Health and Human Services in collaboration with the New Hampshire Children's Behavioral Health Collaborative in concert with the NH Governor's Commission on Alcohol and Drug Abuse Prevention, Treatment and Recovery will create and action-oriented, comprehensive three-year Strategic Plan for increasing access to integrated evidence-based screening, assessment, treatment and recovery services and supports for adolescents (12-17) and transitional aged youth (18-25) with substance use and/or co-occurring substance use and mental health disorders (SUD/COD) throughout NH. New Hampshire's statewide comprehensive planning will include: coordinated expansion of family and youth stakeholder involvement; development and modification of policies and procedures; creation of a statewide workforce map and workforce training implementation plan; the creation of a cross-agency statewide financial map and financing strategy recommendations; and a complementary social marketing and strategic communications plan. The need for increased capacity is acute, creating an opportunity for investment from myriad stakeholders in a systematic approach to screening, assessment, treatment and recovery services and supports for adolescents and transitional aged youth with SUD/COD. Collaborative, comprehensive planning will increase access to services and supports through providing a roadmap for all parties to follow inclusive of state and private sources for workforce development, financing, policy and communications. When all parties are driving to the same destination, significant increase in capacity for the treatment of youth with substance use and/or co-occurring substance use and mental health disorders will be the result of the Comprehensive Strategic Plan to Expand Access to SUD/COD for NH Youth.
|1 H79 TI026032-01||
New Mexico's Children, Youth and Families Department Children's Behavioral Health Division will institute an Interagency Council to plan the foundation to increase access to and improve the quality of treatment and support services for youth (and their families) ages 12-21 with substance and co-occurring disorders, and to develop resources, fiscal and workforce maps, along with a three-year strategic plan for implementation. New Mexico will hire a state adolescent treatment coordinator; expand the scope of authority and membership of an Interagency Council to bring forth recommendations and coordinate services; embrace youth and family voice in all aspects of planning, capacity building, implementation and evaluation; develop a youth led subcommittee to help direct decisions; develop a cross-agency statewide financial map; design a 3-year workforce development plan targeting increased competencies for working with substance and co-occurring issues and disorders; design a Statewide resource map; develop a 3-year strategic plan with implementation goals; create a 3-year plan for expansion of the family and youth statewide integrated services structure; develop and enhance collaborative partnerships with CSAT, CSAP, CMHS and CMHI grantees; and enhance the current data management information system. This project will help to identify issues and barriers affecting treatment and recovery support services. This process will include increasing family and youth involvement in the planning and design of a comprehensive service array and recommendations for changes to state policies identified as a result of the planning process. Data systems will be expanded and enhanced so that service utilization and outcomes can be tracked statewide. The goal of this project is to develop a collaborative effort to improve the integration, access, and efficiency for the treatment and recovery support system for youth of all ages in New Mexico.
|1 H79 TI026028-01||
The State of Nevada proposes to serves adolescents ages 13 to 17 and transitional aged youth ages 18 to 26 and their families/caregivers in order to develop a comprehensive statewide infrastructure to better serve the needs of youth with substance use and co-occurring mental health disorders. The project will increase interagency coordination, develop or change policies to create better, more effective services, expand workforce capacity, disseminate evidence based practices to providers, and implement financial mechanisms and other reforms in order to improve the integration and efficiency of the existing treatment and recovery support system. The project goals are to recruit, hire and train a Nevada Adolescent/Youth Coordinator who will manage the project and create an Interagency Council which will convene at least quarterly. The Council will develop subcommittees to address streamlining the process by which adolescents and transitional aged youth access services, improve the capacity and quality of the workforce, identify and disseminate evidence based practices for the assessment and treatment of the population of focus, and create a financial map to improve availability and access to resources. As a planning project, there is no provision for direct service delivery but the staff will ensure that the Interagency Council includes representation from consumers (adolescents, transitional aged youth and their families/caregivers) in order to give a voice to those who will be most impacted by the project. Accomplishment of the goals of this proposal will allow clients to improve their health, stabilize their home environment, acquire purpose in life and establish or re-establish relationships. A comprehensive three year strategic plan will be completed which will drive the much needed change process in the state to improve the availability and access for any youth who needs or desires substance use disorder and/or co-occurring assessment and treatment services.
|1 H79 TI026029-01||
Ohio's Transition-Age Treatment Planning Grant will work to improve access to evidence-based, culturally competent assessment, treatment and recovery interventions through aligning priorities and integrating resources of multiple systems. The resulting improved infrastructure will lead to an increased use of evidence-based practice and ensure that all Ohio transitional-age youth including Ohio's Appalachian and rural populations have equitable access to behavioral healthcare. Goal 1: Identify and reduce barriers to accessing services. Objective A: Convene multisystem stakeholders to: Assess needs, resources and readiness of the state of the continuum of care available to transitional age youth across the state and of the current workforce; Review state code, administrative rules, state and local policies; Develop recommendations for changes in policy, programming and workforce preparedness. Goal 2: Reduce behavioral health disparities in Ohio transition-age youth Appalachian and rural populations. Objective B: Leverage and/or re-align funds to support integrated, comprehensive behavioral health approaches to ensure equal access to behavioral health of all Ohio transition-age youth. Objective C: Increase the effectiveness of treatment and recovery services by developing and supporting an infrastructure for youth voice and family support/involvement.
|1 H79 TI026030-01||
The Kickapoo Tribe, acting through the Department of Behavioral Health, seeks to forge a comprehensive and integrated strategic plan to advance the delivery of those services, practices, and cultural experiences that improve substance abuse and co-occurring treatment and wellness of young American Indian adolescents and transitional age youth and their families within areas of the of central Oklahoma served by the tribe. This shared vision shall both expand and enhance current efforts and shall provide the foundation for delivering and sustaining effective, efficient, and culturally appropriate substance abuse services. The Kickapoo Tribe Guarding the Future project shall bring together stakeholders across systems to identify and define the issues and need for services, the gaps between needed and available services, barriers to services, and other problems related to the need to ensure access, availability, coordinate, and implement substance abuse services for American Indian (AI) youth. Further, the Kickapoo Tribe shall enlist tribal departments, parents, families, youth, providers, public agencies, public schools, and community members in the planning, assessment, implementation, and evaluation phases of this project including policies, procedures, financing, organizational structures, workforce, and disparities. The project will serve as many as 1,800 American Indian youth and emerging adults over the course of the project. The population of focus is rural, under-served, and non-reservation American Indian children and youth. Goal 1: To craft an undertaking to gather data that will ultimately serve to produce a comprehensive strategic plan to improve substance abuse and co-occurring treatment for American Indian adolescents and transitional age adults in the Kickapoo Tribal service area. Goal 2: To analyze, interpret, and utilize data to produce an integrated and comprehensive plan to enhance substance abuse treatment infrastructure in the Kickapoo tribal area.
|1 H79 TI026039-01||
The Rhode Island Youth Treatment Planning project will allow the State to create a blueprint for the creation of a unified, recovery focused service approach for youth ages 12-25 with substance use disorders and/or co-occurring substance use disorders and mental health conditions. The Department has identified goals and objectives around the current gaps, norms, policies and resources that will improve access to and quality of services. The key feature is to re-invigorate the Children's Cabinet. The project proposes to systematically address the system's breakdown at the highest level of State Government, to develop policies, fiscal supports, and the workforce capacity necessary to carry out the goals and objectives. The strategies will allow the State departments to leverage collective resources, ensure that the voice of individuals served and their families in the development of policies and practice and the exploration of appropriate statutory response. This goals of this project include: building and funding an integrated service continuum (screening, referral, assessment and evidence-based interventions) guided by principles and practices that are recovery focused, person-centered, culturally competent, trauma and evidence informed; building the knowledge, skills and abilities of a coordinated, culturally competent, trauma informed, recovery oriented workforce; raising awareness through social marketing to change parental and societal norms that are favorable toward substance use. The project will also include the following activities: creating a plan to expand the current provider collaborative; creating a three year plan to bring together a Family and Youth Coalition; incorporating the Department of Children, Youth and Families Comprehensive Community Mental Health Services for Children and their Families (CMHI) program to leverage resources, collaborative structures and lessons learned and developing policies to support service system and workforce goals.
|1 H79 TI026031-01||
The Texas Department of State Health Services (DSHS) is proposing to develop a comprehensive strategic plan to improve treatment access, services and outcomes for Texas' youth ages 12-18 diagnosed with substance use disorders (SUD) and/or co- occurring mental health disorders. The strategic planning will include a review of statewide funding resources, a workforce-training plan, policy recommendations and planning for enhanced services. Building on existing state infrastructure, DSHS will partner with the Texas System of Care Consortium and the Texas Institute for Excellence in Mental Health to enhance coordination of care for Texas youth. DSHS and the Texas System of Care Consortium will conduct a two year strategic planning process which will include development of 1) a statewide financial map to identify all of the public and private funding sources of adolescent substance abuse treatment and recovery support services, 2) a workforce map to identify the composition and expertise of the state youth treatment and recovery workforce, 3) a three-year state-wide workforce training implementation plan to improve the knowledge and skills of the workforce across a fields of service and select evidence-based assessment and treatment interventions for dissemination, 4) a comprehensive three-year strategic plan to improve adolescent SUD treatment, 5) a social marketing and strategic communications plan to promote provision of effective, high quality community-based treatment services to adolescents, 6) expansion of the Texas Family Voice Network and Allies Creating Change by Empowering Positive Transformation to promote family and youth involvement in substance use treatment and recovery services, and 7) a three-year plan to create or expand an existing adolescent treatment provider collaborative within the state. The overall goal of this initiative is greater coordination between state and local service systems and youth and families in recovery.
|1 H79 TI026034-01||
Utah proposes to improve early intervention, treatment and recovery support services for adolescents (ages 12-18) and transitional aged youth (ages 16-25) with substance use disorders (SUD) and/or co-substance use and mental health. The Utah State Youth Treatment-Planning Project will help to assure t access to evidenced-based screening, assessments, early intervention services, treatment models and recovery support services. Goal 1: Improve the quality of early intervention, treatment and recovery support services; a. Identify and implement evidenced based screening and assessment tools; b. Identify and develop recovery support services; c. Improve early intervention and treatment standards through policy development and evaluation. Goal 2: Expand services by addressing systematic issues; a. Develop a plan to address issues related to SUD and/or co-occurring screening, assessment, early intervention, treatment, and recovery practices; b. Develop financing practices and improve organizational structures; c. Develop a workforce plan to increase workforce serving the population of focus; d. Eliminate Disparities that influence access to treatment; e. Develop and/or enhance statewide family and youth support organizations. Goal 3: Strengthen youth and family development at state and local levels; a. Include youth and family voices in all levels of decision-making; b. Ensure young people and families are supported in their leadership roles; c. Increase youth participation in community prevention coalitions. Goal 4: Enhance state and local infrastructure to support the population of focus; a. Organize an Interagency Council, SYT-P Planning Sub-Committee and Finance Sub-Committee at the state and local levels; b. Develop and implement coordinated strategies for training, outreach, social marketing, early identification, engagement, early intervention; c. Develop the system capacity to sustain the program model beyond federal funds; d. Develop system coordination.
|UT||SALT LAKE CITY||$250,000|
|1 H79 TI026038-01||
In Virginia, youth and young adults ages 16-25, often referred to as "transition age," are underserved in the behavioral health system. Those who are diagnosed with substance use disorders or co-occurring substance use and mental health disorders are often trapped between an adolescent system and an adult system that does not always address the need for developmentally appropriate, evidence-based treatment and recovery supports. The lack of integrated services perpetuates the "silo" effect for both treatment providers and the youth and families who seek help. The Virginia Department of Behavioral Health and Developmental Services (DBHDS) proposes to address these needs through the development of a data-driven and client-informed three-year strategic plan to enhance treatment options for transition-aged youth and their families through formation of structures that engage youth and families in the treatment and recovery system. This overarching blueprint will be spearheaded by a Statewide Interagency Council. The Interagency Council will have two subcommittees that focus on planning and workforce development. The Council and its subcommittees will be organized and lead by a full-time Youth Substance Abuse Treatment Project Coordinator. By collaborating with other public and private providers and agencies that serve transition-age youth and their families, the Commonwealth of Virginia has an opportunity to make a systemic change to our service system in the treatment of substance abuse and co-occurring disorders among this underserved age group. Implementation of this initiative will enable the Commonwealth to build on the implementation of Coordinated Specialty Care, a new evidence-based practice for the treatment of emerging serious mental illness for transition-age youth and young adults currently being rolled out in Virginia, by developing a sustainable infrastructure to address the specific substance abuse treatment needs of this population.
|1 H79 TI026033-01||
West Virginia will develop a state-level strategic plan in order to improve treatment for adolescents (ages 12-18) and transitional aged youth (ages 16-25) with substance use disorders (SUD) and/or co-occurring substance use and mental health disorders. The plan will help to assure that youth have access to evidence-based assessments, treatment models and recovery services. The project will bring together stakeholders serving adolescents and transitional aged youth to plan for a coordinated statewide behavioral health network to develop policies, expand workforce capacity, disseminate evidence-based practices (EBPs). This project will improve the integration and efficiency of the treatment and recovery support system serving the population of focus and their families/caregivers. The strategic plan and subsequent actions of the network will address behavioral health disparities among minorities and other underserved populations by encouraging the implementation of strategies to decrease any differences in access, service use and outcomes. A comprehensive plan will provide a solid foundation for a shared commitment among state and regional key stakeholders. The inclusion of local service providers, cross-agency representatives, youth and families will ensure increased communication. The funding and policy elements added to this statewide plan that weren't previously included in regional youth service plan development will include payment structure recommendations and create solutions that will guide future behavioral health system change. Assessing workforce barriers at a state-level will prove significant in examining systems perspectives. Most importantly, the collaborative planning process will move all partners in the same direction at the same time. Increased State agency, public and private provider representation with youth and families as an integral partner in all steps of the planning process yields shared responsibility, accountability and results.