The Tanana Chiefs Conference (TCC) Yukon Koyukuk System of Care (SOC) Project will develop a system of care in TCC's Yukon Koyukuk sub-region to build sustainable infrastructure, services and supports to meet the needs of youth age 0 - 21 years with serious emotional disturbances (SEDs) and their families. The region includes the Interior Alaska communities of Galena, Huslia, Kaltag, Koyukuk, Nulato and Ruby. The project will serve all youth age birth - 21 years with SED and their families, as well as those with early signs and symptoms of serious mental illness (SMI), including first episode psychosis (FEP). The total population of the Yukon Koyukuk sub-region is 1,461, and over 100 youth in addition to their family members are estimated to be served by the project.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063419-01 TANANA CHIEFS CONFERENCE, INC. FAIRBANKS AK ANDON MARILYN $1,000,000

The Pascua Yaqui Tribe, through the Health Services' Department Sewa Uusim Program submits this proposal for funding for a System of Care (SOC) Expansion and Sustainability Cooperative Agreement. The Tribal System of Care Project (TSOC) seeks four year funding to serve over 400 SED children and families using the best practice Wraparound in Indian Country model and to expand and enhance SOC principles and interventions tribal wide. Funds will be used to create a self-sustained CARP certified program focused on tribal SOC services. It will also provide the training and resources to assure all tribal services are coordinated, comprehensive holistic and focused and will strive to assure a tribal wide utilization of SOC principles, are trauma informed, culturally relevant and are family driven, child focused. TSOC shares and will achieve the stated goals in the FOA; improve behavioral health outcomes for children and youth (birth-21) with serious emotional disturbances (SED) and their families.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063418-01 PASCUA YAQUI TRIBE TUCSON AZ NOONAN DENNIS $1,000,000

The Los Angeles County Department of Mental Health proposes to develop and evaluate Project ABC (About Building Connections), an early childhood System Of Care (SOC) that provides comprehensive, family-driven, culturally-competent mental health services to young children, ages birth to five, and their families residing in South LA, in collaboration with the Department of Children and Family Services, the USC School of Social Work, First 5 LA, Children's Institute, Inc., SHIELDS for Families, El Centro Del Pueblo, and United Advocates for Children and Families. The target population includes infants, toddlers, and preschoolers who are either in the child welfare system or at risk of entering and who have a serious motional or behavioral problem. PABC South LA will specifically target low income African merican, Latino, Pacific Islander, and Asian families. In addition to the core mental health services, PABC South LA will coordinate with a range of community services, including primary healthcare, early developmental, education, child care, family support, family mental ealth, and alcohol and drug services. Strength-based individualized service plans will be developed by the interagency care team in true collaboration with the family to ensure ntegrated and coordinated care. Child and family interventions will include an array of promising and evidence-based practices that will be adapted to meet the specific cultural needs of the populations served.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063397-01 LOS ANGELES CNTY DEPT OF MENTAL HEALTH LOS ANGELES CA ARROYO WILLIAM $1,000,000

Colorado has successfully implemented systems of care in 12 Communities of Excellence across the state with the COACT Colorado: Strong Minds, Strong Futures initiative. All of these communities, which include 15 counties, are serving children and youth with serious behavioral health challenges and their families using family advocates and high-fidelity wraparound Colorado has also made progress in developing a system of care infrastructure by building on partnerships of the Collaborative Management Program and working with the Colorado Department of Health Care Policy and Financing (HCPF). HCPF is considering the inclusion of a system of care service package in the new RFP procurement for Regional Care Collaboratives and Behavioral Health Organizations to begin in July 2018. Colorado's target population for system of care efforts has been children and youth SED who are involved in other systems and are in or at risk of out of home placement. This proposal includes expanding the service array for two sub-populations within this broader target population who present additional challenges: 1) children and youth with a dual diagnosis of mental health and intellectual or developmental disability, including autism, and 2) transition age youth ages 14-21. This proposal includes assessing the service array with the lens of these two sub-populations and working to increase effective, evidence-based, community services to better serve these children and youth and their families.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063394-01 COLORADO STATE DEPT OF HUMAN SERVICES DENVER CO ZUNDEL CLAUDIA $3,000,000

The DC Social Emotional and Early Development Project (DC SEED); a 4-year SAMHSA System of Care (SOC) Expansion and Sustainability Cooperative Agreement, will address the highly specific, largely unmet needs of young children (birth-6) residing in the District of Columbia who are at high imminent risk for or diagnosed with serious emotional disturbance (SED). DC SEED will serve children birth to 6 in all 8 wards of the District of Columbia and seek to identify and engage in DC SEED the approximately 29.4% who are at risk for social and behavioral problems and increase the number (currently 21% in DC, 29% nationally) who are receiving appropriate screenings and treatment. While all young children residing in the District are eligible for SOC services, DC SEED will prioritize the highest need Wards as identified by the District of Columbia Early Childhood Risk and Reach Assessment [DCRRA] which found that Wards 1, 4, 5, 7 and 8 were at highest risk and most underserved in terms of high quality early childhood and family support services. The vast majority of young children who will be served through the SOC are low-income African American and Black children, residing in one of these Wards.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063426-01 D. C. DEPARTMENT OF BEHAVIORAL HEALTH WASHINGTON DC DUNBAR DENISE $1,000,000

Florida's Children's Mental Health System of Care (FCMHSOC) Project developed and scaled SOC infrastructure, worked to eliminate duplication of services, increased capacity in the system, provided increased access to needed services, and reduced health disparities while also building awareness around Cultural and Linguistic Competency. Though we established policy at the state and regional levels, advocated for legislative change at the state level, and ensured that all strategic planning initiatives were comprehensive, collaborative, integrated, community-based, youth and family driven and cross child serving agencies and systems, there is still considerable need for expansion of SOC framework throughout the state. Our project will make the SOC approach the default manner for providing services and supports for children ages 0-21 diagnosed with serious mental health needs. Through dedicated service dollars, we will enhance the existing array of services available to those children, youth, and young adults who are the highest utilizers of behavioral health care and most at-risk of out- of-home placements. The goals for the FCMHSOC Expansion and Sustainability Project include: 1) Consistent family and youth voice at all levels; 2) Increased collaboration/integration among community partners; 3) Linkages with early childhood partners to promote screening, prevention and early intervention; 4) Local adoption of SOC values and principles; 5) Recognition of substance abuse and mental health challenges as chronic diseases; and 6) Expansion of culturally and linguistically relevant evidence based practices.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063422-01 FLORIDA STATE DEPARTMENT OF CHILDREN AND FAMILIES TALLAHASSEE FL BOSTON PATRICIA $3,000,000

While juvenile justice efforts have led to a decreased census at the state's youth correctional facility, there has been an unintended outcome: an increased number of youth sent to out-of-state residential treatment programs. The unforeseen outcome has inspired efforts to better understand the issue and take action to reverse this trend. An expanded system of care including a wraparound program aimed specifically at returning out of-state youth back to their home communities and preventing placement of youth under consideration for out-of-state treatment is urgently needed. Hawaii is well positioned to succeed in this endeavor for a number of reasons. First, this project aims to strengthen and leverage programs already well established in Hawaii. For example Hawaii's Child Welfare Services has a small wraparound program upon which the Child and Adolescent Mental Health Division (CAMHD) will build increasing capacity, expanding the targeted population and deploying the service statewide. Moreover, CAMHD employs parent and family partners with lived experience caring for youth in the child-serving system. This capacity will be increased with a wraparound specific skill set in mind. The second major reason for the state's readiness for wraparound is CAMHD's long standing use of evidence-based services including the modularized treatment model using practice elements (Daleiden, 2004). This project's goals are consistent with other recent wraparound efforts involving integrating these very practice elements into the wraparound plan, effectively wedding the strengths of the wraparound planning process with the clinical effectiveness of evidence-based treatment methods (Bruns et. al., 2012).

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063417-01 HAWAII STATE DEPARTMENT OF HEALTH HONOLULU HI MICHELS STANTON $1,523,715

Egyptian Public and Mental Health Department (EHD) proposes to improve behavioral health outcomes for children (birth to 21) with serious emotional disturbances by expanding and sustaining a System of Care (SOC) for children's mental health in the counties of Saline, Gallatin, White and Hamilton called Project Connect 2.0. This project builds on the original Project Connect SOC that was developed and implemented in 2009 for the local service area. Project Connect 2.0 proposes to serve 850youth and families annually for a total of 3,400 for the entire project. Goals include: to expand and sustain youth and family involvement in governance, planning, and direct implementation of the SOC for the local service area; xpand and sustain partnerships with key leaders, collaborators, and the state to support expansion of the SOC approach across Illinois; and, develop a client-centered individualized, multi-tiered service delivery system; expand and sustain implementation of evidence based and promising practices; expand and sustain social marketing, outreach, and engagement ctivities for SED; and sustain the expansion of the project.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063415-01 EGYPTIAN HEALTH DEPARTMENT ELDORADO IL PENROD STACIA $1,000,000

Elkhart County Indiana proposes "Elkhart County System of Care Expansion: No Wrong Door," to enhance the capacity of The SOURCE, Elkhart's system of care (SOC). The Project expands SOC reach and depth by strategic infrastructure expansion and development of services to youth 0-17 with significant mental health challenges. Service gaps were identified as: early childhood, youth at risk of SED, and youth with mental health diagnoses at risk of juvenile justice referral. Elkhart is committed to recognizing the scope and power of childhood trauma and to implementing strategies to minimize its affect through The Project's work. The goals of "No Wrong Door" are to: (1) Make changes at our local system level to implement identified access expansion strategies and manage and evaluate the improved system; and (2) Make changes at the service delivery and practice level to provide an array of evidence-informed treatment and supports to improve outcomes for children and families. Specific objectives of The Project are to: (1) Increase access to the SOC which can be entered through any of the system partners' "front doors" to cultivate greater youth and family engagement and involvement in culturally competent services; (2) Increase access to mental wellness and parenting support services by young children, age birth to six, who have - or are at risk for- mental health challenges due to Adverse Childhood Experiences (ACEs) or other factors; (3) Implement an access process that safely diverts youth with mental health challenges from the juvenile justice system to community based alternatives; and ( 4) Intervene early with school age youth who are at risk of mental health challenges to provide a "right amount of service, to the right youth, at the right time." The project hopes to serve 970 people in its first 12 months of operation and 3,600 over the life of the project.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063404-01 COUNTY OF ELKHART GOSHEN IN BYERS THOMAS $783,468

Kansas’ Systems of Care for Mental Health Services to Children and Their Families (Kansas SOC) is the partnership of the Kansas Department for Aging and Disability Services, Community Engagement Institute, and four local jurisdictions/ Community Mental Health Centers (CMHC) across the state of Kansas. Kansas SOC will create, expand, and sustain trauma-informed care, family-driven and youth-guided SOC approach for addressing the needs of 1,754 children and youth with SEDs and their families annually. More than 7,725 children and youth will be impacted over the four years of Kansas SOC. Fourteen counties; eight are frontier (with less than 6 persons per square mile), five are rural (with 6 to 19.9 persons per quare mile), the largest county and the poorest county in the state, will see growth in mental health systems of care for their youth and families through capacitybuilding activities focused in trauma-informed care, trauma-informed systems of care, and family-driven and youth-guided practices. Other children and youth focused stakeholders will be engaged to enhance practices across the state. In addition, our diversified Kansas SOC Advisory Council will work on State level programmatic and finance policy changes.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063401-01 KANSAS STATE DEPARTMENT FOR AGING AND DISABILITY SERVICES TOPEKA KS GILLILAND NIKKI $2,578,288

The Enhancing Systems of Care: Supporting Families and Improving Youth Outcomes (ESOC) project, is intended to disrupt patterns of MH disparities in treatment access and outcomes, particularly among children of color or where English is not spoken at home, through an integrated system-of-care for families with children who receive primary care at Cambridge Health Alliance (CHA) and have, or are at-risk for, SED. Massachusetts had the highest rate of child abuse and neglect in the US during FY14 (DHHS, 2016). E-SOC will create integrated services for its primary care "safety-net" population of 25,000 children (0-18 years), living in CHA's five surrounding cities, with a special focus on identification of child trauma, autism spectrum disorder, youth/caregiver substance use and early psychosis. E-SOC partners include CHA's Departments of Pediatrics and Psychiatry, the state Departments of Mental Health (DMH) and Child Welfare (DCF), as well as MassHealth (MA Medicaid), the institute for Health and Recovery (IHR), and the Cambridge Schools Special Education Dept. E-SOC aligns with CHA's MassHealth-Accountable Care Organization RFA, offering MA the opportunity to model a sustainable system-of-care for its most vulnerable children. CHA has active training programs in social work, psychology, pediatrics and child psychiatry, as well as a nationally recognized program for medical students in community settings, providing opportunities to build workforce capacity for integrated systems of care.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063423-01 CAMBRIDGE PUBLIC HEALTH COMMISSION CAMBRIDGE MA GRIMES KATHERINE $1,000,000

Montgomery County Department of Health and Human Services will create Bridges to the Future to expand its System of Care to reach and engage disconnected transition age youth with or at risk of serious emotional disorders ages 16-21 through care management and intensive crisis services. It will serve 100 youth per year and their families via professional staff and Family and Youth Support partners. Bridges expects to serve 400 youth and their families over the course of four years. A deep evaluation and dissemination of the knowledge thus generated, to State partners, including the Medicaid agency and the Governor's Disconnected Youth Task Force, will generate sustainability. The Bridges project addresses the many language and ethnic groups, both domestic-born and immigrant, as well as competence regarding sexual and gender identity issues. An active component addressing trauma will be geared to immigrants and to those born in the community who experience community and domestic events that lead to trauma. Family involvement occurs through an active on-going partnership with the Montgomery County Federation of Families, which will take on the responsibilities of engaging youth and of deploying peer support and family navigators.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063396-01 MONTGOMERY COUNTY MARYLAND ROCKVILLE MD CROWEL RAYMOND $999,828

The Enhanced Partnership: Expanding and Sustaining Muskegon County's System of Care project will serve youth with Serious Emotional Disturbance (SED) aged 0-21 and their families living in Muskegon County with an emphasis on youth who are involved in multiple systems. Child serving systems and agencies will work collaboratively to enhance and sustain a omprehensive, coordinated and responsive System of Care (SOC.) This SOC will be family driven, youth guided, trauma informed and culturally and linguistically proficient at the system, practice and service levels. This project will enhance the county-wide continuum of care offered by child serving systems, and will build off the Pathways to Potential (P2P) model currently in every school district to increase early identification, access and evidence-based treatment options in Muskegon County. Pathways to Potential hires "Success Coaches" in schools where youth and families are located to address attendance, education, health, safety and self-sufficiency. The program utilizes a number of support networks and partnerships to wrap services around families. The approach outlined in this proposal positions Muskegon to lead widespread adoption in the entire state; both Pathways to Potential and Wraparound are models implemented and supported by the State of Michigan. Over the course of this project, 275 youth will be served (50 in year 1; 50 in year 2; 75 in year 3; and 100 in year 4.)

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063405-01 COMMUNITY MNTL HLTH SVCS/MUSKEGON CO MUSKEGON MI RUPP JULIA $996,000

System of Care Community Enhancement for Early Signs and Symptoms (SOC-CESS) is a widespread expansion of an enhanced System of Care (SOC) that will improve outcomes for youth, ages 9-17, and their families affected by, or at risk of, early onset psychosis. As a result, local SOC communities will provide specialized surveillance, early detection, research-based treatment, family driven/youth guided participation at all levels within a community network. SOC-CESS will: 1) Improve the health and psychosocial functioning of youth who are at risk of early onset psychosis and their families, 2) Embed family and youth leadership within local and state agencies, and 3) Expand an enhanced SOC specifically as it relates to early identification and treatment for youth at risk of or experiencing early onset psychosis and their families. It is estimated that on an annual basis, SOC-CESS will serve between 150 to 200 youth who are experiencing an identified as experiencing First Episode of Psychosis, ages 9- 7. SOC-CESS could serve as many as 500 youth who are affected by or at risk of early onset of psychosis per year, which is 2,000 youth over the course of four years.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063402-01 MISSOURI STATE DEPT OF MENTAL HEALTH JEFFERSON CITY MO GOSSRAU JJ $3,000,000

North Mississippi Commission on Mental Illness/Mental Retardation, which serves Region II in North Mississippi (d.b.a. Communicare) and partners will expand, integrate and sustain the SOC project for Region II, serving Lafayette, Marshall, Panola, and Yalobusha counties in Mississippi to improve mental health outcomes for children, youth, adolescents (ages 0-21 with SED) and their families. The project creates sustainable infrastructure and services that are required as part of the SOC Expansion and Sustainability Cooperative Agreement and expands services to include more partners and more points of intercept to enable more children and youth to be served.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063400-01 COMMUNICARE OXFORD MS ROGERS SANDY $999,102

The NFusion Metro System of Care improves behavioral health outcomes for children and youth (birth-21) with serious emotional disturbances (SED) and those with early signs and symptoms of serious mental illness (SMI), including first episode psychosis (FEP), by enhancing and expanding trauma-informed evidence-based practices for children, youth and families served. The proposed project further advances lessons learned and replicate the state's NFusion model in Hinds county building a recovery-infrastructure for youth and families. (1) developing strategies to eliminate disparities; (2) facilitating collaboration between the SOC Interagency Council and legislatively mandated statewide councils; (3) promoting flexible local resources; and (4) developing a clear cross- agency strategic plan. Evidence-based expansion services include: Trauma-Focused CBT, Youth Mental Health First Aid, intensive care coordination utilizing the Wraparound approach, intensive in-home services; expanded in-home and community-based services, mobile crisis response and stabilization services; peer services (parent and youth support services) and respite services.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063428-01 HINDS COUNTY BOARD OF SUPERVISORS JACKSON MS ANDERSON TIFFANY $870,209

The Nebraska System of Care (NeSOC) will create a comprehensive and sustainable system of care that is youth guided, family-driven, trauma-informed and culturally responsive to improve outcomes for children and youth with serious emotional disturbances and their families. Nebraska's population of focus are those children and youth who are; at risk of out-of-home placement, involved in multiple child-serving systems, and/or transition age. NeSOC will focus on creating a statewide crisis response mechanism, a recognized gap in the state's child-serving systems. Nebraska's Regional Behavioral Health Authorities served close to 2300 in 2014 with 166 of those having justice system involvement. Nebraska has a high rate of youth in out of-home care and significant racial and ethnic disparities in the utilization of out-of-home care. Black and American Indian youth are over-represented in out-of-home care compared to White youth. Implementation of NeSOC strategies will result in a reduction of the state's high rate of out-of-home care and racial and ethnic disparities. At minimum, 1125 youth will be served annually with a total of 4000 throughout the life of the grant.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063392-01 NEBRASKA ST DEPT OF HEALTH & HUMAN SERVS LINCOLN NE GAVIN TAMARA $3,000,000

New Hampshire Dept. of Education NH Families and Systems Together (FAST) Forward for Children and Youth 2020 will support the expansion and sustainability of a state level system of care (SOC) for children, youth, and their families. The resulting infrastructure will expand the array of supports for children/- youth with a diagnosable serious emotional disturbance (SED) who are involved with two or more systems and who are at-risk for out-of-home placement. NH FAST Forward 2020 will serve children and youth aged 0-21with an emotional, socio-emotional, behavioral or mental health disorder diagnosable under the DSMV who meet the criteria for SED and their families. The catchment area of this project is statewide.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063393-01 NEW HAMPSHIRE STATE DEPT OF EDUCATION CONCORD NH STEADY MARY $3,000,000

The Monadnock Region System of Care project is a comprehensive regional plan to improve the behavioral health outcomes of children and youth with serious emotional disturbance by building and engaging infrastructure capacity to create a comprehensive system of care approach and implement wraparound. We will impact up to 4,827 youth in the Region estimated to have a mental disorder; wraparound will serve 35-45 annually, 140-180 total. Key project objectives include creating a governance board, meaningfully involving families and youth at the policy and system level and in the planning and delivery of services, training the workforce on system of care, creating partnerships between providers and with related initiatives, creating peer support services, broadening the array of available services and supports, and creating a care management structure to implement wraparound. This plan is youth-guided, family-driven, community-based, collaborative and culturally and linguistically appropriate for our community.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063408-01 COUNTY OF CHESHIRE KEENE NH CALCUTT DENNIS $1,000,000

The purpose of Mescalero Systems of Care II (MSOC II) is to improve behavioral health outcomes for children and youth (birth-21) with serious emotional disturbances (SED) and their families. MSOC II will support the wide-scale operation, expansion, and integration of the SOC approach by creating a sustainable infrastructure and services required as part of this grant initiative. MSOC II will support the provision of mental health and related recovery support services to children, youth, and families with SED and those with early signs and symptoms of serious mental illness (SMI), including first episode psychosis (FEP).

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063410-01 MESCALERO APACHE TRIBAL COUNCIL MESCALERO NM ENJADY RAINEY $1,000,000

Cayuga County is dedicated to the continued building of a System of Care intended to ensure that all children with emotional, behavioral and mental health needs can grow to their full otential while living in their own homes and community. We intend to do so within a common culture of care that promotes safety, empowerment, choice, collaboration and trustworthiness for all its partners. Our proposal includes expanding services so that every child gets the help they need without obstacles; to improve our ability to identify early the needs of children who may be at risk of developing serious emotional disturbances and ensure they receive the supports they need; to improve accessibility and treatment coordination for children with significant behavioral health needs and to fully engage at all levels, parents, caregivers and youth as partners in the System of Care. Our population of focus includes children in both rural and urban areas of the county with a diagnosable emotional, socio-emotional, behavioral or mental disorder. This includes children from birth through age 21 in families in which there is risk of or identified abuse and/or neglect; and/or youth who currently are involved with more than one service-providing agency or are demonstrating significant difficulty in school, home or the community. We intend to serve 250-300 youth each year.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063409-01 CAYUGA COUNTY COMMUNITY MENTAL HEALTH CENTER AUBURN NY BIZZARI RAYMOND $1,000,000

A New York State (NYS) collaborative proposes to implement NYS Youth and Families ACHIEVE (Advancing Care through Health Integration and Evidence-based Effort), which will integrate the High Fidelity Wraparound (HFW) model with NYS's Medicaid Health Homes Serving Children program model for youth and young adults with SED, ages 12 to 21 years, with high and complex needs including placement or risk of placement, and their families. Organized by the Research Foundation for Mental Hygiene and the New York Office of Mental Health, the collaborative includes state and local child-serving agencies, family representatives, and youth partners involved with System of Care (SOC) efforts throughout the state. The NY Department of Health, the designated state Medicaid agency, will play a key role in the project.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063413-01 RESEARCH FOUNDATION FOR MENTAL HYGIENE MENANDS NY BRADBURY DONNA $3,000,000

the Rockland County, New York (RC) District Attorney launched the Multi-Agency
Collaborative for Safe and Healthy Youth (MACSHY) to respond to a reduction in resources and increase in need for services for children and youth with serious emotional disturbances (SED) and serious mental illness (SMI). MACSHY employs System of Care (SOC) principles in its service delivery, focusing on the Partnership for Safe Youth Center (PSY), a co-location center housing staff from RC's Department of Mental Health (DMH), Department of Social Services (DSS), Department of Probation (DP), and the Board of Cooperative Educational Services (BOCES). The benefits of PSY include sharing information easily, coordinating services and care, and providing families seeking services a readily identifiable entity to contact for information and referrals. Expansion of the PSY will serve approximately 255 children and youth ages 5 - 21 per grant year for a total of more than 1022 children, youth, and families served. Participants will be referred to PSY by BOCES, school districts, courts, providers, and other County agencies. PSY will assess and refer children, youth, and families to the broader SOC in RC

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063390-01 COUNTY OF ROCKLAND NEW CITY NY LEITZES MICHAEL $1,000,000

The purpose of the proposed project is to increase access to and improve the quality of services and supports available to Stark County children, youth and families with or at-risk for mental health disorders. Specifically, the project planning team intends to: address the identified needs of children, youth and families at highest risk for residential treatment, hospitalization, incarceration, and death; and expand and enhance current system capacity to offer trauma- informed, culturally and linguistically competent services to populations presently experiencing significant gaps in care. Stark County is home to 17 school districts-each with its own superintendent, board, and multiple buildings- with students in need of a diverse range of behavioral health services. The target population for the proposed System of Care (SOC) Expansion are youth (and families), ages 11-21, with significant functional challenges in their home, school, community with one or more of the following: 1) Multi-System Involvement; 2) Minority Youth Living in High Poverty/High Crime Neighborhoods; 3) At-risk for court placement or removal from their home; 3) Experiencing hospitalization or residential treatment, and; 4.) Co-occurring substance abuse, developmental disabilities or other difficult to diagnose and treat conditions.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063425-01 MENTAL HEALTH/ REC SRVS BOARD/STARK CNTY CANTON OH ALLER JOHN $1,000,000

Oklahoma (OK) will implement the System of Care: Strengthening Our CareNet (SOC2) initiative to increase access to and enhance excellence of the statewide System of Care (OKSOC) for all children and youth, 0-21, with serious emotional disturbances and their families, and for particular subsets of children and youth by: 1) creating an improved crisis system for all children and families statewide that is standardized and sustainable; 2) implementing best practice outreach and engagement approaches for youth/young adults with first episode psychosis (FEP); and 3) building an early childhood SOC network, creating capacity and capability in local SOCs statewide to better serve the needs of infants, young children, and their families. OK will fully develop a best practice crisis system, building on lessons learned in a current pilot program, and research of successful SOC crisis models such as New Jersey and Wraparound Milwaukee. The objective is to require the crisis services prior to admission to higher levels of care, with an initial goal of diverting 50% of those referred from going to higher levels of care to community based services with a Wraparound process or those with the most complex needs in the first year and improving as providers gain experience. This service will be available not only to the almost 3,000 children and youth currently receiving OKSOC services annually, but to all OK children in need of crisis behavioral health response from the public behavioral health system. This will be well over 12,000 children potentially impacted over the period of the SAMHSA funding.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063403-01 OKLAHOMA DEPT OF MENTAL HLTH/SUBS ABUSE OKLAHOMA CITY OK LEE SHANNON $3,000,000

The Allegheny County Department of Human Services (DHS) is seeking to expand its current behavioral health (BH) system of care (SOC) for children and adolescents between 5 and 18 years of age, with Serious Emotional Disturbance (SED) and their families, by integrating ccess, coordination, and infrastructure with its child welfare system in a new Community of practice (CoP) SOC. DHS is one of two county agencies nationwide to receive three separate federal SOC grants to support young people with SED and their families. Over the years, DHS as built upon the work and lessons learned from these awards, however, there are still gaps in coordination of care between child welfare and BH, whose dually served population is particularly high.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063411-01 ALLEGHENY COUNTY DEPARTMENT OF HUMAN SERVICES PITTSBURGH PA MACERELLI DENISE $933,420

The Erie-Luzerne System of Care Initiative is a joint venture of two Pennsylvania counties for the development, expansion, and sustainability of Systems of Care for youth and families. The Counties will use the System of Care approach to improve services for children and youth (and their families) with complex behavioral health challenges and will initiate efforts to infuse a trauma-informed culture, and to help those with early signs and symptoms of serious mental illness, including first episode psychosis. Erie and Luzerne Counties have joined together to support and encourage one another in the development, expansion, and sustainability of their Systems of Care. The population to be served involves youth up to age 21, including transition age youth, and those with early onset of serious mental illness. The youth receiving services will be representative of the racial, ethnic, and cultural diversity of the two counties, with special focus on underserved and hard-to-engage youth.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063421-01 COUNTY OF LUZERNE WILKES-BARRE PA VALLET TARA $850,759

The Mental Health and Anti-Addiction Services Administration (MHAASA) is the SSA for Puerto Rico and is proposing a System of Care Initiative (PR-SOCI) to expand the SOC and the Wraparound Strategy for SED children/youth/families to the Western Region of PR, to serve 300 clients in the 4-year grant period, in collaboration with the Health Insurance Administration, APS provider, PR Department of Family, CBO's and other partnering entities. The proposed catchment area is comprised of 15 municipalities: Mayaguez, Aguada, Aguadilla, Anasco, Hormigueros, Las Marias, Moca, Rincon, San German, Cabo Rojo, Lajas, Maricao, Rincon, Isabela, and San Sebastian. The principal purpose of the PR SOC Initiative (PR-SOCI) Project is to expand the family-driven and youth guided system of care (SOC) to populations in need in the Western Health Region. The second purpose is to sustain systemic changes by achieving the adoption of the SOC as the service-delivery model for MH services to children and youth in PR's public health system. The expected outcomes at territory level include changes in policies and procedures, development of financing structures that work in the current healthcare environment and development of a blueprint that can be used throughout the territory to expand the use of the SOC Model for treatment of children with SED.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063414-01 MENTAL HEALTH/ANTI-ADDICTION SRVS ADMIN BAYAMON PR NIEVES-OLMO RAMON $1,000,000

The Tiwahe Glu Kini Pi (TGKP) System of Care on the Rosebud Reservation in South Dakota serves the Sicangu Lakota Oyate, known as the Rosebud Sioux. TGKP will expand services to "Bring the Family Back to Life" (Tiwahe Glu Kini Pi) by providing a Lakota-centric System of Care with service-delivery to the 700 children enrolled in the Todd County Elementary School in Mission, SD., particularly those affected by substance use/abuse, create a school-based community mental health center at the Elementary School, and serve 50 children/year with SED. Within the TGKP Expansion, there are three goals and 14 objectives. Goals and objectives include: GOAL 1: Collaborate with local tribal, regional, and state policy makers to affect infrastructure change so that the TGKP System of Care can be sustained and serve as a model for tribally-based Community Mental Health Centers. GOAL 2: The Sicangu Oyate believe that all of our children are sacred and deserve supportive and culturally relevant opportunities to benefit and thrive. As the school systems are primary institutions, expand TGKP services by developing and implementing a School-Based Mental Health Center at the Todd County Elementary School. GOAL 3: Build community support and aftercare for children by restoring the relationship to the Sunkawakan Oyate (Horse Nation) with Lakota people.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063407-01 SINTE GLESKA UNIVERSITY MISSION SD WHITE HAT MARLIES $3,999,976

The System of Care Across Tennessee (SOCAT) Initiative will institute policy and environmental change strategies, create statewide local interagency planning teams, and execute blended funding mechanisms to ensure the broad implementation and sustainability of a children's mental health system grounded in system of care values and principles. One of the primary goals of the SOCAT Initiative is to create and/or strengthen a local interagency planning team (i.e. SOCAT Team) in each of Tennessee's 95 counties, ultimately ensuring a statewide infrastructure for system of care. Minimally consisting of local community representatives from juvenile justice, child welfare, public health, education, vocational rehabilitation, community mental health centers, families, and youth, the SOCAT Teams will oversee a strengths-based, wraparound service planning process and provide an individualized SOCAT Care Plan developed in true partnership with participating families. Under the guidance and leadership of the SOCAT Technical Assistance Center, the initiative will provide ongoing and localized planning, implementation, and technical assistance support for the aforementioned local cross- agency bodies. Additionally, the SOCAT Initiative will finalize and implement a financing plan commissioned by the Tennessee Council on Children's Mental Health, promote and initiate policy and environmental change strategies that increase access to high quality care, launch a comprehensive SOCAT social marketing and communications campaign, and oversee the development and implementation of evidence-based and evidence-informed services and supports for children and youth with SED and their families.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063412-01 TENNESSEE STATE DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES NASHVILLE TN LEACH KRISTY $3,000,000

Heart of Texas Region MHMR, Klaras Center for Families and the community's Heart of Texas System of Care (HOTSOC) articulates its vision for the implementation, of System of Care principles and practices in the phrase "Closing the Gaps," an institutional ethic toward closing gaps by: 1) enhancing the existing service array through the addition of the needed identified services, 2) the inclusion of youth and family voice in both service development and delivery, 3) increasing access to available services particularly in the rural underserved areas and, 4) closing gaps in the HOTSOC region by further building relationships with agencies and entities that serve children and adolescents. HOTSOC will operate, in conjunction with, all child and adolescent mental health stakeholders/partners to provide a seamless SOC, for children and families, throughout our entire 6-county service area. The primary goal of Closing the Gaps (CTG) is to develop and implement an extraordinary, practical, and comprehensive SOC supportive complex that closes the identified and existing gaps in child and adolescent mental health services in our community.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063391-01 HEART OF TEXAS MH AND MR CTR WACO TX KIMBELL RON $998,630

The System of Care approach through the use of Intensive Care Coordination to provide High Fidelity Wraparound (HFW). HFW is a family driven, strengths based care coordination process that embodies the SOC values and principles at the service level for children and families facing mental health challenges. Virginia's SOC Expansion & Sustainability Grant proposal focuses on these key strategies: 1) Establishment of regional SOC Expansion Centers in each of the five DBHDS regions in the state to expand the SOC approach in additional local government jurisdictions through HFW. 2) Demonstration project with previous SOC grant communities to pilot Family Support Partner services outside of HFW. 3) Wraparound Center of Excellence will continue to offer training and coaching support. 4) The Virginia Family Network and Youth MOVE Virginia will continue to engage and support families and youth through strategic planning, training, and support. 5) Establishment of a statewide SOC data driven strategic planning process. The project name is "Bringing Systems of Care to Scale." The population of focus for the project is children through age 21 that have a serious emotional disturbance that is diagnosable under the Diagnostic and Statistical Manual of Mental Disorders.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
SM063389-01 VIRGINIA DEPT BEHAV HLTH/DEVEL SERVICES RICHMOND VA FISHER PAM $2,845,763