The St. Croix Chippewa Indians of Wisconsin Emergency COVID-19 Mental Health and Substance Abuse Project will expand access to mental health and substance abuse treatment to individuals and families living in the reservation communities of the St. Croix Chippewa Indians of Wisconsin Tribe. Mental health and substance abuse on the reservation is expected to increase due to the impact of COVID-19. The St. Croix Tribal Emergency COVID-19 Project will provide access, support and connection to resources for tribal community members, children, families, and healthcare providers. This program will provide direct mental healthcare assistance, treatment and referral to treatment for individuals suffering from addiction and mental illness due to or made worse by the COVID-19 pandemic. This program will connect clients to care providers, community agencies and support resources for culturally appropriate, evidence based, professional mental health care and sobriety support. Services will be provided via telehealth, or virtually where possible. The St. Croix Tribal Emergency COVID-19 Project will use grant funds to serve an estimated 40-60 unduplicated individuals. This project will reduce incidence of mental health crisis and addiction due to COVID-19 in the tribal community by 80% in 16 months. The St. Croix Tribal Emergency COVID-19 Project will expand access to substance abuse disorder treatment for and estimated 20 individuals in 16 months.
The Pueblo of Nambe's Suicide and Substance Abuse Prevention Project is a proposed project designed to 1) create a resilient community in Nambe O-Ween-Ge through prevention techniques and 2) reduce the impact of mental health issues, suicide, and substance abuse through comprehensive experiential intervention techniques, clinical efforts and effective crises response. The project will fund application of therapeutic experiential education approaches, facilitation of youth engagement techniques, and development of a robust network of clinical and support resource. Nambe O-Ween-Ge, known as the Pueblo of Nambe, is a small American Indian tribe of less than 1,000 members and is located in northern New Mexico. Surrounded by native and non-native communities in a rural part of the state, Nambe residents, are at high risk for mental health challenges, substance use and abuse, and suicide. New Mexico is one of the states with the highest substance abuse and suicide rates in the nation and the impact to its American Indian communities is disproportionately high, requiring complex and comprehensive mitigation and prevention approaches. In addition, the youth are at great risk of suicide and substance abuse, requiring youth engagement in these approaches. If funded, this project will be managed by Nambe Pueblo's Tewa Roots Society, a collective of behavioral health and wellness program coordinators providing services in areas including domestic violence, substance abuse, suicide prevention, health and wellness, juvenile justice, and child welfare. To meet the immanent needs of the community, if funded, the programs strives to serve the entire community (500-1000 people for the duration of the project), American Indians in our service area, those at high risk of suicide and substance abuse, those with mental health needs, and those who have shown signs of or already attempted suicide or are already abusing substances. To meet these objectives, the programs goals include 1) Identify high-risk areas in Nambe and target programming to meet the needs of those areas. 2) Increase the engagement of tribal members and their families in the support and wellbeing of the tribe and its individuals. 3) Increase services offered by Nambe to combat substance abuse and mental health challenges. 4) Establish a crisis response protocol to effectively respond to various crises, as well as build resilience though supporting the wellbeing of the community during times of crisis. These goals will be met through actions including direct clinical services, outreach and promotion, and crisis intervention; application of a therapeutic experiential education approach; development of crisis response protocols; and development of a robust treatment network outside of what the program can offer.
South Dakota's Emergency COVID-19 response funding will support crisis intervention services, mental health and substance use disorder treatment, and other related recovery supports for children and adults impacted by the COVID-19 pandemic. As the Single State Authority and State Mental Health Authority, the South Dakota Department of Social Services, Division of Behavioral Health, will lead the project in collaboration with community behavioral health providers to identify and address the needs of individuals with serious mental illness (SMI) or serious emotional disturbance (SED), individuals with substance use disorders (SUD), and individuals with mental disorders that are less severe than serious mental illness, including those in the healthcare profession. Key outcomes of this project will include increasing and enhancing infrastructure to support access to services via telehealth, purchasing of personal protective equipment, funding for increased utilization of evidence-based behavioral health services for those with SUD and/or SMI/SED, and increased funding for outpatient treatment to support individuals with substance use disorders and individuals with mental disorders less severe than SMI, including healthcare practitioners. The vision is to ensure the needs of individuals with mental health or substance use disorders impacted by the COVID-19 pandemic are met.
The Kickapoo Tribe of Oklahoma, acting through the Department of Behavioral Health, seeks to establish, implement, and maintain virtual crisis intervention, mental health and substance abuse treatment, co-occurring, and recovery support services for children and adults suffering serious mental illness (SMI), substance use disorders (SUD), and co-occurring disorders in our non-reservation, hard-to-reach, and under-served American Indian population during and after the COVID-19 emergency. We wish to forge a comprehensive, integrated, and trauma-informed substance abuse and mental health treatment and recovery support system to address ongoing and emerging needs during the CV19 crisis for the rural and disadvantaged American Indians who reside within the area of central Oklahoma served by the tribe.
The Modoc Nation Emergency COVID 19 Response Grant will seek to provide an immediate plan of treatment for mental and substance use disorders, crisis counseling, recovery support services as well as outpatient services to adults who may have behavioral health issues as a result of the impact from the COVID-19 pandemic. . The Tribe will contract with Grand Lake Mental Health Center an established mental health provider to provide these relevant services. Services include operating a crisis recovery program that will provide treatment services for individuals who are struggling with substance abuse, co-occurring disorders, and behavioral health disparities as a result of the impact from the impact from the COVID-19 pandemic. The Tribe's service area for its existing outpatient treatment program Lost River Treatment Center (LRTC), spans in a 50-mile radius from the central point of the Tribe's headquarter office in Miami, OK. This location provides outpatient Medication Assisted Treatment and Substance Use Counseling treatment access in the four-state area of Oklahoma, Kansas, Missouri, and Arkansas. The immediate county of service provided impact is Ottawa County, Oklahoma, with the adjacent counties of Cherokee, Kansas; Jasper, McDonald and Newton Counties in Missouri; Delaware, Craig, Mayes and Cherokee Counties in Oklahoma; and Benton County, Arkansas. This treatment service area includes a total of 533,909 adults over the age of 18 as of 2017. The Modoc Tribe will embed LRTC Licensed Counselor(s) within the Grand Lake Mental Health Center (GLMHC) Crisis Stabilization Units at Intensive Outpatient Center located in Vinita, OK and the Grand Recovery Center located in Pryor, OK. The agreement with GLMHC for 24/Crisis Intervention Services and Crisis Unit will be to provide mental health and substance abuse treatment services, and crisis intervention for individuals identifying being impacted by the natural flooding disaster occurring in Ottawa County, Oklahoma, May 2019. Initial patient assessment will take place at Grand Lake Mental Health Centers with a licensed mental health professional. Individuals will be assessed to qualify services by answering a brief questionnaire identifying ways COVID-19 impacted their mental health and / or substance abuse disorders, as well as, the ways other environmental factors associated with COVID-19 impacted them. The project start date will be May 31, 2020 with anticipated service delivery date to be through September 30, 2021 and serve 100 clients. To achieve our desired project start date, the Modoc Tribe will receive program consultation and collaborate with an established mental health / substance abuse treatment provider organization, Grand Lake Mental Health Center. Through the power of partnership, GLMHC and LRTC are able to effectively provide wraparound services including but not limited to psychotropic medications, Subutex based medication, methadone and other Medication Assisted Therapies traditionally associated with substance use disorder treatment. Although there is a degree of overlap in this partnership, the two organization work in a complimentary manner by referring based on client needs. The organizations are effectively leveraging the strengths of each other to facilitate the best outcome for each consumer. GLMHC has a full array of services available including Medication Assisted Treatment, Intensive Outpatient services for both mental health and substance abuse, IPS Employment services, housing services, screening for residential treatment, IMR (illness management and recovery) groups, 24 hour crisis services and integrated health services.
As we self-isolate and engage in social distancing during the COVID-19 pandemic, telehealth will continue to become more and more important in our community. The goal of funding is to provide continuous, accessible and confidential patient care to COVID-19 patients and to patients with other conditions who risk contracting the coronavirus when visiting a healthcare provider, as well as to reduce the potential virus exposure to practitioners, clinicians and other essential health care staff. The proposed implementation of a comprehensive Telehealth Program will be a critical tool in addressing this national emergency. Outcomes: The SNHS's Behavioral Health Services will have the capacity to provide necessary telehealth services to patients with serious mental illness and/or substance use disorder during the COVID-19 pandemic and during possible future emergencies. Objective 1: By June 30, 2020 the SNHS's Information Technology (IT) Department will have conducted necessary procurement and purchasing processes to successfully purchase telecommunications, broadband connectivity and devices necessary for providing telehealth services. Objective 2: By July 31, 2020 the Director of the Seneca Nation's Behavioral Health Services, in partnership with the SNHS's Informational Technology Department and Seneca Health leadership, will update, revise and develop any necessary policies and procedures to implement telehealth services. Objective 3: By August 31, 2020 the Director of the Seneca Nation's Behavioral Health Unit, in partnership with Seneca Health IT and contractual software provider, will have developed and implemented training for patients, practitioners, clinicians and other essential health care workers on how to use new telehealth devices and services. Objective 4: By September 30, 2020 the Seneca Health System will be providing telehealth services to the target population.
Fairbanks Native Association (FNA) is applying for the SAMHSA Emergency COVID-19 grant on behalf of Alaska Native and American Indian (AN/AI) people in the Fairbanks North Star Borough (FNSB) of Alaska. The purpose of the proposed project is to provide crisis intervention services and related recovery support for children, youth, and adults impacted by the COVID0-19 pandemic. The focus is on individuals with substance use disorders. The focus of the proposed Alaska Native Pandemic Project (ANPP) is on individuals with substance abuse disorders and individuals with serious emotional disturbance. As an Alaska Native organization, our primary service population is Alaska Native. However by mutual agreement Alaska Native organizations also serve American Indians when they are in our service area, and vice versa. AN/AI are particularly vulnerable to this crisis requiring an immediate emergency response to stabilize those impacted by the pandemic. This pandemic will increase depression, anxiety, trauma and grief for Alaska Natives as a result of the virus and the corresponding results of the pandemic which are impacting our way of life and well-being, including loss of income, housing, lock downs (heavily impacting behavioral health) food shortages, and hope for the future. The world as we know it has entirely changed and Alaska Natives are a population least equipped to emerge from the virus unscathed. Alaska Natives are disproportionately negatively impacted by all indicators of well-being, as documented in Section A of this proposal. FNA Behavioral Health has systems in place to address the behavioral health needs of clients negatively impacted by the epidemic, including Evidence-Based outpatient and residential treatment (including co-occurring), Screening and Assessment, Recovery Support Services (limited to the MAT Outpatient treatment unit), and a comprehensive system of care to provide necessary supports for ongoing recovery during and post-treatment. Two service gaps are apparent and will be the focus of new services. (Crisis Mental Health and Recovery Support. New services will include a) the development of a comprehensive community-wide plan of evidence-based substance use disorder and co-occurring SUD and mental health disorder treatment services for individuals impacted by the pandemic, b) Recovery Support services for all FNA BH service units (serving 72 clients), and c) Crisis Mental Health Services (serving 60 clients) that include a 24 hour on-call crisis team and Crisis Intervention, Stabilization and Therapy. Recovery Support services are enhanced through our community-wide System of Care championed by our long-standing community coalition, the Interagency Transition Council (ITC). The FNA-sponsored ITC includes a community leadership network of 16 service agencies and individuals within the service domains critical to both MH and SUD (described in Section B. The ITC will spearhead community leadership, outreach for client recruitment and the plan referenced in (a) above.
The New Hampshire (NH) COVID-19 Rapid Crisis Response Program (NH Rapid Response) will provide crisis intervention services, mental and substance use disorder treatment, and other related recovery supports for youth and adults impacted by the COVID-19 pandemic. The purpose of this program is to address the needs of individuals with SMI or SED, with substance use disorders (SUD), and/or co-occurring SMI/SED and SUD who are under- or uninsured. We will also provide crisis services for other individuals in need of behavioral health supports, including health care personnel. NH Rapid Response will be implemented within the existing NH community mental health system. The system will expand clinical staffing to provide crisis response assessments and evidence-based treatment, and peer support staff to facilitate engagement into services and ongoing care in response to the surge needs that are expected as a result of the COVID-19 situation.
The U.S. territory of Guam is seeking emergency funding to support mental health treatment for the community amidst the COVID-19 pandemic. The Guam Behavioral Health and Wellness Center (GBHWC) has been the island's only state agency for mental health and substance use services since 1983. The proposed populations of focus include 1) adults 18 years of age and older with a Serious Mental Illness (SMI), Substance Use Disorder (SUD), and/or Co-Occurring Disorder (COD); 2) Healthcare professionals and first-responders experiencing a mental disorder less severe than SMI as a result of COVID-19; and 3) Other individuals 18 years of age and older experiencing mental disorders less severe than SMI as a result of COVID-19. GBHWC reported over 3,300 clients in 2019 with approximately 2,000 individuals diagnosed with an SMI, 800 experiencing an SUD, and roughly 600 experiencing a mental disorder less severe than SMI. These numbers are expected to increase drastically as the island continues to see community spread. As the closest U.S. soil to the epicenter of the disease, Guam is experiencing added concerns due to its dependence on tourism from Asian countries considered hotspots of COVID-19, including China. Despite its small but diverse population of 159,000 people, Guam's Department of Labor estimates over 38,000 people will need unemployment assistance as a result of COVID-19. In 25 days, Guam confirmed 128 positive COVID-19 cases that resulted in 4 deaths. In addition, the USS Theodore Roosevelt aircraft carrier docked in Guam, with over 200 of their 5,000 sailors testing positive for COVID-19. Additionally, healthcare professionals continue to face great risks of contracting the Corona virus due to the national shortage of Personal Protective Equipment (PPE) to safeguard them as they treat the community, with anxiety and fear growing after 13 healthcare workers have reportedly already contracted the disease. Compounded with that, is a shortage of medical professionals across the island, further proving how imperative it is to ensure that mental health treatments and supports are available to them. This emergency funding is needed to build GBHWC's capacity to provide continued mental health services and supports to the identified populations during this public health emergency. In keeping with the Governor's mandate of social distancing, the applicant organization proposes to utilize Telehealth in its service provision of evidence-based practices, through videoconferencing and telephone. GBHWC proposes to use grant funds to serve 150 individuals in addition to the over 3,300 consumers annually, as a direct result of this COVID-19 pandemic.
Nebraska Native Emergency COVID-19 will provide culturally appropriate crisis intervention services, mental and substance use disorder treatment, and other related recovery supports for children and adults Native Americans throughout Nebraska who are impacted by the COVID-19 pandemic. This initiative builds upon the established history of service by the Santee Sioux Tribe of Nebraska through its Society of Care Goals of the project are: (1) Screen and assess clients for the presence of severe mental illnesses (SMI) and substance use disorders (SUD) and/or co-occurring disorders, and use the information obtained from the screening and assessment to develop appropriate treatment approaches. (2) Provide evidence-based and population appropriate treatment services. (3) Provide recovery support services (e.g., linkages to nutrition/food services (funds may not be used to actually purchase food/meals), individual support services (individual contact/check in by peer support personnel, faith-based groups, etc.), childcare, vocational, educational, linkages to housing services, and transportation services) which will improve access to, and retention in services. (4) Develop and implement a collaborative approach to crisis mental health services, including 24-hour mobile crisis teams, emergency crisis intervention services including psychiatric/medical assessment and where indicated, medication administration, and crisis stabilization. (5) Develop and implement a comprehensive plan of evidence-based mental and substance use disorder treatment services for individuals impacted by the COVID-19 pandemic ensuring that service provision may occur in a telehealth context including the use of telephone given the current emergency situation.
The Wyoming Department of Health (WDH), Behavioral Health Division (Division), Mental Health and Substance Abuse section (MHSA) will focus the Wyoming Emergency COVID-19 Project on adults and adolescents with serious mental illness (SMI), substance use disorders (SUD), and those with co-occurring SMI and SUD. The geographic catchment area for delivery of services with the State of Wyoming at large. The Division is proposing three strategies to meet the needs of individuals affected by COVID-19 pandemic. 1. Provide sub-awards to each of the publicly funded Community Mental Health and Substance Use Disorder Providers (Community Providers) in Wyoming to create and implement local action plans to provide treatment and recovery services to individuals impacted by the COVID-19 pandemic. 2. Provide sub-awards to Community Providers for emergency relocation services for patients who are displaced from residential and inpatient behavioral health services due to COVID-19. 3. Work with Community Providers to increase capacity, expand the ability for call-center staff to remotely answer calls, and promote crisis call center services.
Under the Emergency COVID-19, Directed Treatment Services program, the state of Missouri will address the needs of individuals with mental health and substance use disorders (co-occurring disorders) impacted by the COVID-19 pandemic. The program will enhance Missouri's delivery of direct treatment services through telehealth and will focus on meeting the needs of healthcare professionals who need mental health care due to COVID-19. Missouri's Emergency COVID-19 - Directed Treatment Services program will provide telehealth equipment and funding for direct treatment services to individuals with co-occurring disorders, including those impacted by COVID-19. Certified community behavioral health providers who currently provide GPRA data will be given a data-driven, tiered allocation for direct treatment services. It will provide telehealth equipment to certified recovery support providers to allow them to continue to engage individuals in recovery, including those impacted by COVID-19. It will provide telehealth equipment and funding for direct treatment services to healthcare professionals who need mental health care due to COVID-19 through the Missouri First Responder Network. Finally, it will enhance the partnership with the Missouri Coalition of Behavioral Healthcare for expansion of myStrength, Inc., which is a mobile resource to help clients overcome depression, anxiety, stress, substance use disorders and chronic pain. Missouri's Directed Treatment Services program will serve 411 clients over the 16 month grant period. The state will use an integrated records management process that supports client choice, monitors utilization and performance, and prevents fraud, waste, and abuse. Performance-based funding will be implemented with service providers who collect the required federal GPRA data, prevent consumer drop-out, and improve consumer outcomes.
Focusing on combining virtual and face-to-face direct services, this Healthy Spirit Happy Heart seeks to promote better life for the tribal people of the Flathead Reservation by using evidence-based practices and cultural traditions to assist those with SMI, SUD or other presentments such as grief, trauma, depression or anxiety linked to the COVID-19 pandemic. Goals include increasing capacity on the Flathead Reservation for responding to those dealing with substance use disorders and serious mental illness through improve interagency collaboration and better use of technology, providing more direct services by Mental Health Therapists and Addiction Specialists and cultivating better health outcomes for those impacted by the COVID-19 pandemic with support services, outreach, and assistance. By August 1st, 2020 uses telehealth technology with all outlying communities, enhancing direct SUD services for at least 400 clients, establishing new therapy sites for direct services to 200 clients with SUD in 5 outlying communities. To increase access to recovery services, partnering with 3 agencies to assist at least 200 clients beginning August, 2020. By October 30th, 2020 coordinate ASAM training for at least 35 providers. By August 1st, 2020 use telehealth technology with all outlying communities, improving direct SMI services for at least 300 clients. By August 1st, 2020 establish new therapy sites for direct services to 200 clients with SMI. Deliver 3 trainings by the Native Wellness Institute to at least 40 health care staff by February 1st, 2021. To expand capacity and improve direct services by having 5 behavioral health team members complete the EMDR certification March 2021. To offer referral services, advocacy, follow-up assistance, and other case management supports to 100% of those who have a positive screen for a mental health presentment or a positive screen for a substance use disorder. By January of 2021, consult with Head Start Centers. BY January 0f 2021 and quarterly thereafter, host a screening day for children in childcare. By November 1st, 2020, once a week consulting services, to all primary care providers. To provide two culturally informed, family focused experiences to at least 300 participants by May, 2021. BY June, 2021 host a series of culturally informed Community Connections Camps for at least 400 participants. Host Compassion Fatigue Workshops for at least 100 health care providers by April, 2021. Beginning in November of 2020 and quarterly thereafter, provide a "Ask The Therapist" virtual activity for educators. By October 1st, 2020 and monthly thereafter, host virtual Healthy Spirit Board meeting with at least 20 members. To provide an Awareness Campaign showcasing services and resources for SMI, SUD and other levels of behavioral health presentments, connecting to at least 10,000. Over the duration of the project, direct services are forecasted being present to more than 2,899 individuals, training to more than 400 individuals and education to over 500 individuals.
Project Abstract: K'lma:w Medical Center (KMC) Is a entity of the Hoopa Valley Tribe in far Northern California. As one of the biggest land base Tribes In California, the reservation is remote and home to 3,084 people with 85% residents Native American. KMC delivers health care to the Hoopa Valley Indian Reservation and surrounding community. With the COVID 19 pandemic, KMC has been challenged to meet the health care and behavioral health care needs of the patients of KMC while following the "stay in place" order declared by the Hoopa Valley Tribal Council. Delivery of services now must be provided in a tele-medicine and home based one-onone setting. Plans to provide that service include purchasing tele-health equipment, phones, tablets and adding additional staff so that some of the most high risk patients in our area will have continued access to services for their health care and behavioral health needs.
The Absentee Shawnee of Oklahoma wishes to establish, implement, and maintain virtual crisis intervention, mental health and substance abuse treatment, co-occurring, and recovery support services for children and adults suffering serious mental illness (SMI), substance use disorders (SUD), and co-occurring disorders in our non-reservation, hard-to-reach, and under-served American Indian population during and after the COVID-19 emergency. We wish to forge a comprehensive, integrated, and trauma-informed substance abuse and mental health treatment and recovery support system to address ongoing and emerging needs during the CV19 crisis for the rural and disadvantaged American Indians who reside within the area of central Oklahoma served by the tribe
The Ohkay Owingeh Project S.I.R.E will provide and increase access to support in providing crisis intervention services, mental and substance use disorder treatment, and other related recovery supports for adults and children impacted by the COVID-19 pandemic. In collaboration with the Ohkay Owingeh Health and Human Services Division (OOHHSD), Ohkay Owingeh COVID-19 Response Team, Circle of Life Behavioral Health Network, AASTEC, and Ohkay Owingeh Public Safety, we will annually address the needs of 150 Native community adult and youth. Our primary goal is to provide and increase access to effective trauma-informed treatment and service systems in the Ohkay Owingeh community adults and youth. The following objectives will allow Ohkay Owingeh to reach this goal: We will serve: 1) community members whose behavioral health services were disrupted due to the COVID-19 pandemic 2) community members with COVID- 19 trauma who have no family support or any supportive network.
The United Keetoowah Band of Cherokee Indians in Oklahoma wishes to develop, implement, and maintain virtual crisis intervention, mental health and substance abuse treatment, co-occurring, and recovery support services for children and adults suffering serious mental illness (SMI), substance use disorders (SUD), and co-occurring disorders in our non-reservation, hard-to-reach, and under-served American Indian population during and after the COVID-19 emergency. We wish to shape a comprehensive, integrated, and trauma-informed substance abuse and mental health treatment and recovery support system to address ongoing and emerging needs during the CV19 crisis for the rural and disadvantaged American Indians who reside within the area of eastern Oklahoma served by the tribe.
Southeast Alaska Regional Health Consortium (SEARHC) Behavioral Health serves Southeast Alaska, which is comprised of rural island communities of over 70,000 residents with uniquely low access to prevention, treatment, and recovery support services for substance use disorder (SUD), and co-occurring substance use and serious mental illness (SMI). In most Southeast Alaska communities, SEARHC is the only provider of behavioral health and primary health care services, and has a user population of 28,600 in the service area. During the current national crisis of COVID-19, SEARHC Behavioral Health will provide crisis intervention services, SMI and SUD treatment, co-occurring SMI and SUD treatment, and other related recovery supports for children and adults impacted by the pandemic (70% direct service). SEARHC Behavioral Health will also address the needs of individuals, including healthcare practitioners, who coincidentally mostly work for the organization, with mental disorders less severe than SMI (10% direct service) and for all other individuals with mental disorders less severe than SMI (20% direct service). Services will be provided from the Hub, Sitka Behavioral Health, supporting (4) of SEARHC's community-based clinics, or Spokes: Juneau Behavioral Health, Haines Behavioral Health, Wrangell Behavioral Health, and Juneau Front Street Clinic; and through the Community Family Service Program in (7) rural communities: Angoon, Craig, Hoonah, Hydaburg, Kake, Klawock, and Petersburg. SEARHC Behavioral Health intends on implementing coordinated delivery of behavioral health and substance use disorder treatment services with evidence-based strategies and cohesive approaches to the COVID-19 pandemic. SEARHC Behavioral Health will provide crisis intervention services, mental and SUD treatment, and other related recovery supports for children and adults impacted by the COVID-19 pandemic. Programming will specifically address the needs of individuals with serious mental illness, individuals with substance use disorders, and/or individuals with co-occurring serious mental illness and substance use disorders. Additionally, the program will also focus on meeting the needs of individuals with mental disorders that are less severe than serious mental illness, including those in the healthcare profession. SEARHC Behavioral Health will use the following evidence-based strategies: - ASAM criteria - Motivational Interviewing/Motivational Enhancement - Trauma-Focused Cognitive Behavioral Therapy - Matrix Model - Telehealth Provision of Services - Alaska Screening Tool - Client Status Review - Integrated Assessment - Client-Centered Treatment Planning - Comprehensive Community Support Services - Crisis Intervention - Crisis Stabilization - 24-hour Mobile Crisis Response Team
With SAMHSA funding, First Nations Community HealthSource (FNCH), an Urban Indian Title V organization in New Mexico, will conduct the Behavioral Health Services COVID-19 (BHSPC) to address the behavioral health needs of a minimum of 80 individuals experiencing SMI, SUD, COD, and less serious SMI who are impacted by COVID-19 . The target population will consist of the most vulnerable populations impacted by COVID-19 in the geographic catchment area of Albuquerque, New Mexico. Seventy percent of the target population will experience SMI, SUD or COD, 10% will be health care practitioners with less severe mental disorders, and 20% will be individuals with mental disorders less severe than SMIs. BHSP will provide a continuum of mental health and substance abuse services that will be individualized to meet the clients' needs. Services will be integrated with case management and cultural wellness/Traditional Healing services. Performance data will be collected and monitored to ensure the effectiveness of BHSPC in meetings it goals and objectives.
The Native American Health Center's Emergency COVID-19 will provide a combination of evidence based treatments and recovery support services, inclusive of Traditional Health activities, to American Indian/ Alaska Native (AIAN) with Substance Use Disorders (SUDs, Serious Mental Illness (SMIs), co-occurring SUDs and SMIs, and mental disorders less severe than SMI as a result of the COVID-19 in our clinic neighborhoods in the SF Bay Area. The proposed project will serve 500 members over the 16-month project period. The purpose of the proposed project is to maximize and expand NAHC's organizational capacity to provide culturally competent crisis intervention services, mental and/or substance use disorder treatment, and other related recovery support for community members and healthcare practitioners impacted by the COVID-19 pandemic utilizing an integrated, holistic lens. Measurable goals objectives are as follows: Goal 1. Develop & implement a comprehensive plan of evidenced based treatment for individuals with SMI and/or SUD for individuals impacted by the COVID-19 pandemic. Objectives: 1. By September 2020, NAHC will create and pilot a telehealth-focused infrastructure for behavioral health providers; 2. By August 2020, 15 behavioral health providers will be trained using a Telehealth Program Developer kit. Goal 2. Increase screening and assessment for the presence of mental health and substance abuse disorders to develop appropriate treatment planning. Objectives: 1. By August 2020, NAHC will develop a protocol on screening, assessment, and treatment planning for individuals with SMI and/or SUD; 2. By September 2021, NAHC screen and assess 300 individuals for the presence of SMI and/or SUD. Goal 3. Provide evidence-based and population appropriate treatment services. Objectives: 1. By July 2021, NAHC will implement telehealth modifications of key evidence based practices; 2. By September 2021, NAHC will provide evidence-based population appropriate treatment services to 100 individuals; 3. By September 2021, Provide mental health care to 50 healthcare practitioners requiring support as a result of COVID-19. Goal 4. Provide recovery support services to improve access and retention in treatment. Objectives: 1. By August 2020, NAHC will develop a method of providing virtual care community support groups; 2. By September 2021, NAHC will provide 100 individuals with linkages to social services via peer-level care coordination. Goal 5. Improve NAHC emergency crisis mental health services. Objectives: 1. By September 2021, 20 NAHC staff members will have received Collaborative Behavioral Therapy and Management of Suicidality (CAMS), training, modified for virtual services.
We understand there are community issues growing to epidemic proportions in mental health, substance abuse and suicide, as it relates to the impacts of COVID-19 and mental health disorders have proven to be a major issue among Tunica-Biloxi tribal members. The most common mental health disorders within our service area include depression, autism, attention deficit (hyperactivity) disorder, and post-traumatic stress disorder for victims of violent crime (domestic abuse) and military veterans. In addition, many tribal members have co-occurring mental health disorders that are related to substance abuse. According to the 2018 SAMHSA National Survey, approximately 34.5% of American Indians aged 18 to 50 that were diagnosed with a mental health issue also has a substance abuse issue. As a result, it is imperative that the tribes within our service area have a robust system to assist tribal members with mental health issues and substance abuse. The Tunica-Biloxi Tribe of Louisiana is seeking funding from SAMHSA in the amount of $492,955 to respond to SMI and SUD cause or re-triggered by COVID-19.
The CNMI COVID-19 Behavioral Health Response Project (COVID-19 BHR) will be implemented on Saipan, Tinian, and Rota. The project will be administered through the Commonwealth Healthcare Corporation (CHCC) - Community Guidance Center (CGC) and will focus on providing crisis intervention services, mental and substance use disorder treatment, and other related recovery supports for children and adults impacted by the COVID-19 pandemic. The target population will include individuals with serious mental illness (SMI), individuals with substance use, and individuals with co-occurring serious mental illness and substance use disorders (SUD). The project will also focus on addressing the needs of individuals with mental disorders that are less severe than serious mental illness, including those who are involved in the COVID-19 response (including first responders and medical professionals) and individuals directly affected by COVID-19 (including individuals who experienced mandatory quarantine or isolation, individuals who tested positive and their families, and family members of those who died from COVID-19).
The purpose of this program is to provide crisis intervention services, mental and substance use disorder treatment, and other related recovery supports for children and adults impacted by the COVID-19 pandemic. Indiana's COVID-19 project will improve systems to better serve individuals with Serious Mental Illness (SMI) and/or Substance Use Disorder who are experiencing new and/or exacerbated emotional distress due to the current national crisis of COVID-19. Indiana expects that many Hoosiers will struggle with increases in depression, anxiety, trauma, and grief. There is also an anticipated increase in maladaptive coping skills, e.g., increased substance misuse, gambling, social withdrawal (not due to social distancing), anhedonia, making care-takers less likely to provide for themselves and their immediate family members thus lives will be adversely impacted for individuals and families. The purpose of this program is to provide crisis intervention services, mental and substance use disorder treatment, and other related recovery supports for children and adults impacted by the COVID-19 pandemic and reach their highest level of physical and emotional well-being through evidence-based treatment. Additionally, the program will also focus on meeting the needs of individuals with mental disorders that are less severe than serious mental illness, including those in the healthcare profession. The project will establish a connection between the community mental health center (CMHC) to allow for immediate evidence based practices utilizing telehealth interventions and Face to Face when warranted - and linkage to treatment as needed. Indiana's COVID-19 project will serve individuals who have existing MH and SUD conditions that cannot be met as easily due to the pandemic. The goal is to insure there is not an influx to emergency room visits, defer persons from inpatient stays, by triaging and provide coping skills for those with less severe than a serious mental illness. These numbers are based on the level of intensity of services to meet project goals for individuals with serious mental illness who are under court order for treatment. The goals and measurable objectives for this project are: - Increase consumer adherence to treatment by identifying barriers to treatment and improving treatment outcomes. - Decrease number of individuals in emergency departments - Decrease the number of referrals to inpatient psychiatric stays for individuals with SMI. - Decrease the number of referrals to residential addictions programs - Increase linkage to community resources to improve social determinants of health. - By the end of the first grant year, program participants will receive telehealth services to assist them in coping with the pandemic and staying in their homes - By the end of the first grant year, program participants will show a 25% reduction in inpatient referrals for SMI and/or SUD treatment. - By the end of the grant year, 50% of program participants will have no new psychiatric hospitalizations.
Enhancement of the Nuu-da'-ye' xwii-na'lh-ni Project provides for increased outreach to Native American youth, adults and families with SUD; provides services to those with SUD, and/or those with co-occurring disorders residing in Del Norte and Curry County. This project expands outreach to persons affected by the COVID-19 in particular. Expanded services include, but are not limited to: enhanced capacity to provide services through a telehealth context; provide evidence-based and population appropriate treatment services using existing modalities; expand the initial partnership with UIHS' Suboxone Treatment Clinic for those addicted to opioids; expand treatment modalities to include intensive outpatient treatment, recovery housing, or residential programs; provide enhanced recovery support services e.g., linkages to nutrition/food services, individual support services, childcare, vocational, educational, linkages to housing services, and transportation services; improve existing relationships with UIHS, Curry and Del Norte Counties for mental health treatment needed for co-occurring mental illness and SUD, while utilizing existing staff with proper credentials (LCSW) for screening and assessments.
The project responds to mental health and substance use disorder crisis needs of the service area by creating an emergency Crisis Stabilization Unit-type response in order to address the simultaneous loss of access to all higher level in-patient or residential psychiatric and substance use disorder care. Travel and community quarantine restrictions unique to the State of Alaska result in a loss of access to the existing state-sanctioned network for the provision of higher level care for SMI/SUD patients requiring inpatient or residential care. Out of necessity, we are responding by standing up an emergency Crisis Stabilization Unit-type (CSU) facility that will have to be able to respond to all SMI/SUD and co-occurring diagnoses patients in crises requiring 24/7 observation and care. The population to be served through the larger enhancement of existing telehealth capacities for psychiatric and therapeutic care includes the approximately 500, predominantly Alaska Native individuals diagnosed with SMI/SUD or co-occurring diagnoses residing in the Northwest Arctic Alaska service area (Northwest Arctic Borough and the Village of Point Hope). We estimate approximately 50 individuals may be served at the CSU facility in an annual period and 75 during the 16 months of the project. The project Goal is to provide expanded crisis intervention services to address the challenges of SMI/SUD and Co-occurring diagnoses patients impacted by the COVID-19 pandemic. Objective 1A is to implement by then end of the fourth project month one comprehensive plan of evidence-based services to address mental health and/or substance use disorder treatment services for individuals impacted by the COVID-19 pandemic, including telehealth capabilities. And Objective 1 B is to by end of project month 3, establish functioning emergency Crisis Stabilization Unit-type facility (CSU) to address need for SMI/SUD and co-occurring diagnoses services for those unable to be evacuated to higher level care facilities.
The five tribal communities in Maine, Aroostook Band of Micmac; Houlton Band of Maliseet Indians; Passamaquoddy, Pleasant Point; Passamaquoddy, Indian Township; and Penobscot Nation, are known as the Wabanaki, the People of the First Light- located in Maine's three most rural counties: Penobscot, Washington, and Aroostook Counties. Overall, the Native American (NA) population in Maine is estimated at just over 13,000 people. This grant will focus on COVID-19 response for those with mental health and substance use disorders. Our population of focus will be individuals with serious mental illness (SMI), those with substances use disorder (SUD), an those with co-occurring SMI and SUD. This is the population that Wabanaki Health and Wellness serves and has served for over 20 years. In addition, WHW works collaboratively with tribal behavioral health programs and will be supportive of their efforts to address COVID-19 related issues. WHW will provide crisis intervention services, mental and substance use disorder treatment, and other related recovery supports for children and adults impacted by the COVID-19 pandemic.
Southcentral Foundation (SCF), through its primary care center and behavioral health programs, respectively, the Anchorage Native Primary Care Center (ANPCC) and Fireweed Center, will work with other SCF health programs to reduce unmet mental health and substance use disorder treatment needs related to COVID-19 through the provision of screening, prevention, treatment and recovery activities by increasing access to culturally appropriate and evidence-based treatment over a sixteen month period. The ANPCC is a major health center located on the Alaska Native Health Campus located central to Anchorage charged with the health of the Alaska Natives and American Indians (AN/AI) in the Anchorage Indian Health Service Unit. Along with the Alaska Native Medical Center (co-owned and operated by SCF and the Alaska Native Tribal Health Consortium) are the central points for testing and treating those impacted by COVID-19. For this project, ANPCC will refer all or most of those needing treatment for mental health and/or substance use disorders exacerbated by COVID-19 to the SCF Fireweed Clinic, also located on the Alaska Native Health Campus. Fireweed Clinic provides behavioral health services for Alaska Native and American Indian people including adults, children, and adolescents. This project will strengthen the integrated health system during this time of great need by pulling much needed behavioral health capacity into the process of addressing the impacts of COVID-19 within the Native community of Anchorage. The primary objectives are: 1) Review, assess, and document current service delivery to address gaps and use of telehealth; 2) Screen and assess 500 AN/AI Customer-Owners who visit the ANPCC needing mental health and/or substance use disorder treatment based on the SAMHSA required ratio of service recipients; 3) Provide mental health and substance use disorder treatment and related services to 500 AN/AI Customer-Owners who visit the ANPCC needing treatment; 4) Provide recovery services to 500 AN/AI Customer-Owners who receive mental health and substance use disorder treatment; and, 5) Analyze and enhance the development of the SCF Mental Health Crisis Services to address pandemics such as COVID-19 to include further exploration of elements of crisis management. The plan includes sharing lessons learned, experiences throughout the process, and successful events as a result of the project.
Sacramento Native American Health Center is an Urban Indian Health Organization that provides mental health and physical wellness services to residents of Sacramento County, including American Indians/Alaska Natives. The Sacramento Region COVID-19 Emergency Response (ReCOVER) program will provide services related to substance use, serious mental illness, and mild-to-moderate mental health disorder to people impacted by COVID-19, including local health care providers. As a Patient Centered Health Home recognized by the Accreditation Association for Ambulatory Health Care, SNAHC is experienced in providing these services and well-suited to provide whole-person, patient-centered care to individuals experiencing substance use disorder (SUD) and/or mental health (MH) challenges as a result of COVID-19. Evidence-based practices will include the health home model as well as a range of additional approaches to be selected based on client needs. ReCOVER will employ team comprised of a Licensed Clinical Social Worker (LCSW), two Associate Clinical Social Workers (ACSW), and two Certified Addiction and Drug Abuse Counselors (CADAC) to provide services to people affected by COVID-19. These services will include support groups as well as individual one-to-one services to people with substance use disorder, those experiencing mild to moderate mental health challenges, as well as to those with serious mental illness. ReCOVER will outreach to local hospitals to promote and engage healthcare workers to participate in a mental health support group specifically for those individuals on the front lines of the COVID-19 epidemic. ReCOVER will provide services to 150 people over the grant period and GPRA 60 who are engaged in direct SUD and/or MH services, in the following formats: 1) Individual SUD and/or MH visits (30 or 60 minutes) to 60 people; 2) Individual services for people with SMI to 5 people; and 3) SUD and/or MH Support Groups to 100 people. Groups will focus on the following subjects: Relapse Prevention Skills, Harm Reduction Approaches, Grief & Loss, Health Providers Mental Health Support Group. Resources will be directed towards support for individuals with SUD, SMI or a combination (70%), with a subset of services to individuals experience mental disorders less severe that SMI (20%) and services health care professionals (10%). Services will be evaluated based on the numbers of individuals we are able to serve and GPRA data.
Kenaitze Indian Tribe (Kenaitze) is a federally recognized tribal government reorganized in 1971 under the statutes of the Indian Reorganization Act of 1934, as amended for Alaska in 1936. The project "Kenaitze's COVID-19 Emergency Response" is intended to address significant increases in the number of Tribal, Alaska Native/American Indian (AN/AI), and other community members suffering from depression, anxiety, trauma, grief, substance abuse, and/or PTSD stemming from COVID-19-related stressors. A Comprehensive Strategic Planning process will identify service gaps related to serious mental illness (SMI), and expanded Case Management will support distance-delivered treatment and support services to those with SMI, substance use disorder (SUD), and/or co-occurring SMI and SUD. Grant-funded activities will be concentrated at the Tribe's Dena'ina Wellness Center (DWC) health facility in Kenai, Alaska, serving a 15,000-mile geographical area in rural Alaska. The project goal and measurable objectives include the following: Project Goal: Expand capacity to provide Behavioral Health and support services. Objective 1: Hire two (2) 1.0 FTE Behavioral Health Case Managers by the end of three (3) months. Objective 2: Develop a Comprehensive Strategic Plan including information and service gaps related to treatment and support services linked to SMI within the Kenaitze service area by the end of four (4) months. Objective 3: Provide telephonic evidence-based Behavioral Health support services for at least 40 unique persons affected by SUD and/or SMI by the end of 16 months. Case Managers' activities will include 1) conducting intake screenings; 2) facilitating telephonic "warm handoffs" to Clinicians; 3) engaging in telephonic coaching; 4) connecting to resources and services; 5) administering transportation punch cards for necessary travel; and 6) conducting data collection. Case Managers will trained by the Project Director to utilize the "Strengths-Based Case Management Model"; and to conduct intake screenings telephonically using the Patient Health Questionnaire-9 (PHQ-9); Screening, Brief Intervention, and Referral to Treatment (SBIRT); Alaska Screening Tool (AST); and the Columbia Suicide Severity Rating Scale (C-SSRS). Case Managers will facilitate warm handoffs to Behavioral Health Clinicians and/or Chemical Dependency Counselors using Cognitive Behavioral Therapy (CBT) for those with advanced treatment needs to be addressed telephonically or, where applicable, face-to-face. Any Tribal/AN/AI persons requesting medication-assisted treatment (MAT) for opioid use disorder (OUD) will be referred to Kenaitze's existing program, a partnership with DWC Primary Care. Using the CSAT GPRA "Client Outcomes for Discretionary Measures" interview tool, Case Managers will collect data at initial screening, at 3-month intervals, and at discharge to determine the project's efficacy.
The District of Columbia's (DC) emergency grant to address mental health and substance use disorders during COVID-19 has two primary goals: 1) to promote community resilience during the COVID-19 public health emergency; and 2) to improve timely access to emergency mental health services for individuals with serious mental illness (SMI) or a co-occurring mental health and substance use disorder (SUD). Services supported by this grant also will be made available to health care practitioners and individuals with less serious mental health conditions who are impacted by COVID-19. Based on estimates from the 2018 National Survey on Drug Use and Health, approximately 4.6% (26,620) of adults in DC, ages 18 or older, are living with an SMI and 3.7% (21,412) of adults are living with a co-occurring mental illness and SUD. COVID-19 has strained the resources of DC's behavioral health provider network, some of whom were already financially fragile and had limited telehealth capability for providing services. DC's Department of Behavioral Health (DBH) will implement a multi-pronged, evidence-based approach to treatment and recovery of impacted individuals. This will include expanded access to crisis intervention services, treatment, recovery support services, and greater adoption of tools for telehealth services. Specific strategies include: Implementing a mental health hotline/warm-line specific for individuals (including health practitioners) impacted by COVID-19; Providing grief and loss counseling to health care workers; Improving discharge planning at DC's 24-hour Comprehensive Psychiatric Emergency Program (known as CPEP) by enhancing connections to recovery support services (e.g. housing, employment) and care coordination and support provided by peer specialists; Engaging providers in telehealth training and technical assistance opportunities; Utilizing the faith-based community to educate the community on the availability of services to support residents impacted by COVID-19; and Creating a multidisciplinary team of providers to serve individuals with mental illness or SUD who are in isolation or quarantine and who require intensive services to maintain safety. Over the duration of this grant, the project expects to serve 20% of District residents with SMI, 10% of residents with a co-occurring disorder, and at least 500 health care practitioners providing care during the COVID-19 emergency.
The "e luuwii?" (Are you well?) project is an initiative of the Confederated Tribes of Coos, Lower Umpqua, and Siuslaw Indians to address mental health and behavioral health needs of Tribal members and their families that were revealed and/or exacerbated by the recent COVID-19 pandemic and required mitigation response. The project utilizes remote connectivity to ensure Tribal members and their families can access services and supports to cultural-based and evidence-based best practices, including therapy, telemedicine, and treatment. The project also provides added capacity to ensure fundamental supports such as recovery housing, childcare assistance, and transportation vouchers are available for Tribal members and their families as they work to recover from mental health, behavioral health, and/or co-occurring issues including those with diagnosed serious mental illness, substance abuse disorder, as well as healthcare workers and other Tribal members with less serious mental illness. The measurable objectives associated with this project include: Objective 1: Within 16 months of the project launch, provide direct service and supports to a minimum of 70 Tribal members with SMI, SUD, or co-occurring conditions. Objective 2: Within 16 months of the project launch, provide direct service and supports to a minimum of 10 healthcare workers with less severe mental illness. Objective 3: Within 16 months of the project launch, provide direct service and supports to a minimum of 20 other Tribal members and their families with less severe mental illness.
Title: Georgia Emergency COVID-19 Project The purpose of this program is to provide crisis intervention services, mental and substance use disorder treatment, and other related recovery supports for children and adults impacted by the COVID-19 pandemic. More specifically, the purpose of this program is to address the needs of individuals with serious mental illness, individuals with substance use disorders, and/or individuals with co-occurring serious mental illness and substance use disorders. Additionally, the program will also focus on meeting the needs of individuals with mental disorders that are less severe than serious mental illness, including those in the healthcare profession. The project will serve four subpopulations: 1) youth survivors of human trafficking, 2) deaf individuals with SUD, 3) homeless individuals, and 4) medical, behavioral, and public health care professionals. Strategies/Interventions: 1. Allocation of project funding, based on need, to DBHDD providers across the state for emergencies resulting from COVID-19 to help them continue to provide treatment (including expansion of telehealth capabilities) for people with SMI, SUD or co-occurring SMI and SUD that need behavioral health services. 2. Expansion of the Georgia Mental Health Consumer Network and Georgia Council on Substance Abuse peer warm lines to address increased call volume and the need for text/chat capability due to COVID-19 3. Expansion of COVID-19 Emotional Support Line that was established on April 6, 2020 by DBHDD in partnership with Behavioral Health Link and Beacon Health Options to provide 24/7 free and confidential assistance to callers needing emotional support or resource information as a result of the COVID-19 pandemic. Project funding will support line expansion to include an enhanced, dedicated line for service and supports for healthcare workers in need of behavioral health treatment and recovery services. 4. Technology and videoconferencing upgrades will be implemented at Hope House, one of the only residential addiction treatment options in the Southeast for deaf persons, so that individuals whose preference is to communicate in American sign language (ASL) can remotely connect to AA/NA recovery support groups at Hope House. AA/NA groups with remote ASL participation option will be provided on a weekly basis. 5. Using COVID-19 response grant funding, Wellspring Living's Receiving Hope Center, a ground breaking 20-bed, immediate triage receiving center for Domestic Minor Sex Trafficking (DMST) victims across the state of Georgia, will partner with Highland Rivers Health, to provide clinical and therapeutic support to meet the behavioral health needs of minors, ages 12-17, who are victims of human trafficking. Licensed Clinicians will deliver two to seven weekly individual session per participant, daily group sessions, and one monthly family session (when appropriate). 6. Project funds will be used to obtain housing resources for persons with SME and SUD who are homeless and that need to be quarantined or isolated. There is also a critical need for the availability of emergency housing to temporarily house individuals while they are in the process of being permanently housed via a Permanent Supportive Housing program. Additionally, DBHDD will pursue collaboration with the Georgia Mental Health Consumer Network on the funding of quarantine/isolation emergency housing for individuals with SPMI/SUD.
The Alaska Native Tribal Health Consortium (ANTHC) will partner with the Aleutian Pribilof Islands Association, Inc. (APIA), both tribal health service providers, to provide crisis intervention services, mental and substance use disorder treatment and other related recovery supports for Alaska Native and American Indian children and adults impacted by the COVID-19 pandemic. The project will focus on implementing the five required activities outlined in the funding announcement while developing sustainable infrastructure to continue to offer behavioral health teletherapy statewide once the project period ends.
To address co-morbid mental illness and substance use disorders expected to be exacerbated by the COVID-19 pandemic within the 15,000-person service area of Indian Health Council, Inc. (IHC), a Tribal clinic serving a consortium of nine governing Federally recognized California Indian tribes, proposes to conduct an evidence-based program incorporating cognitive behavioral therapy and trauma-informed care via telemedicine as well as in-person by experienced therapists. Indian Health Council's proposed SAMHSA Emergency COVID-19 Project will serve three largely distinct population subgroups: (1) Adults and Transition-Aged Youth (ages 16-99) with mental health problems and substance use disorders (70% of the team's effort will be devoted to serving the first group). The second subgroup consists of healthcare providers from all IHC departments including Behavioral Health but also Medical and Dental (10% of team effort) who will be coping with traumatic experiences in serving clients who become incapacitated or die as a result of contracting the Covid-19 virus; a key partner in treating these providers is an existing Employee Assistance Program and treatment contractor, the Holman Group. The third subpopulation will receive treatment services for less severe mental health problems (20% of team effort). Following extensive outreach for treatment via local reservation radio stations and social media (e.g., Instagram and Facebook) as well as clinician calls to former clients, the Emergency Project Team will use evidence-based practices including cognitive behavioral therapy with telehealth and eventually in-person meetings. Trauma-informed care techniques will be bolstered through staff training and incorporation in treatment team checklists. The expansion of IHC's existing telehealth capabilities will offer long-term value to the geographically widely-dispersed reservations, because they will increase availability of mental health and substance use treatment for these rural residents. Evaluation of client treatment progress will rely upon the analysis of pre- and post- use of survey instruments (GPRA, PHQ-2 and PHQ-9, and ANSA in addition to ACES at the outset of treatment).
The Utah Division of Substance Abuse and Mental Health (DSAMH) has developed the Utah Emergency COVID19 Program for Mental Health and Substance Use Disorders to bridge gaps in mental health (MH) and substance use (SUD) treatment services which have been exacerbated by the COVID19 pandemic. This program will focus on development and expansion of services across the crisis continuum. A significant majority of COVID19 cases have been located on the Wasatch Front (Salt Lake, Utah, Weber and Davis Counties), Summit County, a community directly east of Salt Lake County, and Washington County in the southern portion of the state. Therefore, any services that are not provided statewide will be targeted to these areas. The multi-pronged implementation plan will include increased and aggressive outreach, screening, referrals and service efforts, with an emphasis on services for those who are particularly vulnerable to the pandemic. This will involve individuals experiencing exposure or exacerbation of symptoms due to their living situation (individuals experiencing homelessness, SUD residential, mental health supportive housing, skilled nursing facilities, domestic violence victims), due to job-related stressors (unemployed), and those who already struggle with access to services (refugees, transition-aged youth, those who are being discharged from incarceration). In addition, special consideration will be given to children and families dealing with disruption in family structure due to COVID19. GOAL 1 - Increase access to the full continuum of crisis services for Utahns (SMI and SED) will focus on targeted development and enhancement of statewide crisis and warm lines, a mobile crisis outreach team, one to two no-refusal receiving centers, and adding the Bridge program to emergency rooms. Improved outreach, screening and referral for healthcare workers and individuals with an exacerbation of symptoms will be included. GOAL 2 - Improve Outreach and Screening Services will include the development of a comprehensive and interactive screening site, a referral list with emphasis on providers with telehealth capability and identification of providers with expertise working with specific populations, and proactive outreach to key stakeholders and partners who may be at increased risk of mental health and substance use disorders from the COVID19 pandemic. Goal 3 - Improve access to mental health and substance use treatment services for healthcare practitioners impacted by COVID19 includes community partnership for the Utah COVID Emotional Relief Line to ensure identification, streamlined referrals and ongoing service delivery to impacted healthcare professionals, and with the two largest employee assistance programs (EAPs) providers among health care practitioners to provide training on evidence-based brief interventions for this population. A minimum of 5,000 people will be served by this program.
The Pueblo of Pojoaque COVID-19 Emergency Mental Health and Substance Misuse Services Enhancement Project will complete three goals in crisis because of COVID-19: (1) expand direct services, including linkage to MH and SUD treatment, nutrition/food services, medication support; (2) implement a 24-hour Crisis Response Team to help de-escalate first responder contact with people struggling with MH or SUD issues; and (3) provide emergency/transistional housing for victims of domestic violence or others who become unsheltered as a result of COVID-19 related MH or SUD issues.
Washington State Health Care Authority (HCA), Division of Behavioral Health and Recovery (DBHR), Emergency COVID-19 grant application is designed to increase treatment access, particularly to low-income and underinsured Washington State residents, and to swiftly provide services to healthcare workers who may have experienced trauma, anxiety, or exacerbated pre-existing mental health issues working on the front lines to support the initial COVID-19 pandemic efforts in the highest impacted county within Washington State. Similar services may also be provided in other hot zones as they develop; simultaneously provide increased Recovery Support Systems within the newest community health care recovery facilities located in King County that is focused on individuals that have been isolated due to residing in the highest COVID-19 impacted county in Washington State. Grant activities will include: The BH-ASOs Grants Program- Each of Washington State's 7 regional Behavioral Health Administrative Service Organizations (BH-ASO's) will receive funding to expand access to mental and substance use disorder (SUD) treatment for low-income and underinsured individuals that have lost access to, or were previously unable to receive treatment services. The Healthcare Worker Services Program- The Healthcare Worker Services Program will provide mental health (MH) and SUD outreach services to individuals working on the front lines in the COVID-19 pandemic efforts in the highest impacted county within Washington State. Similar services may also be provided in other hot zones as the develop. The Recovery Supports System Program- Recovery support services will be provided to individuals residing in the highest COVID-19 impacted county in Washington State who may need emotional support and who are temporarily housed in Isolation & Quarantine Facilities, at-home, or within the newest community health care recovery facilities located in King County. They will have access to telehealth or telephonic services delivered by a network of peers. The overall objective of this project is to provide increased access to MH and SUD treatment services for low-income and underinsured Washington State residents and healthcare workers that have supported the COVID-19 pandemic efforts in the highest impacted county who may have experienced post-traumatic stress disorder, trauma, and anxiety, and provide increased Recovery Support Systems within the newest community healthcare recovery facilities in King County for individuals experiencing SMI/MI that have been isolated due to residing in the highest COVID-19 zone. Washington is well positioned to swiftly implement these programs and disseminate grant funding to the identified entities within the required 4 months after receiving funding. These programs will be used to further Washington's effort to expand, integrate, and sustain culturally relevant and developmentally appropriate services and supports statewide.
The Illinois Department of Human Services (IDHS), Division of Mental Health (DMH) and Division of Substance Use Prevention and Recovery (SUPR) collaboratively submit this application in response to SAMHSA FOA FG-20-006, Emergency COVID-19. These divisions are respectively the Illinois single state authorities for mental health and substance use disorders. Among the serious and wide-ranging problems associated with the COVID-19 pandemic are the impacts that this emergency has had on the IDHS/DMH and IDHS/SUPR provider systems and the clients that they serve. As a result of stay-at-home and social distancing expectations, both systems are transitioning to a greater dependence on telehealth strategies to deliver services. This switch in the primary means of providing care to persons in need presents challenges to providers in each of these two IDHS service systems. The network of IDHS/DMH-certified community mental heath centers which provide a safety net of services to Illinoisans has converted the majority of their staff to the provision of telehealth-based service delivery, and children and families who are new to the need for mental health support may struggle with locating, accessing, and identifying what supports are needed. The likely impacts of the pandemic on the multiple levels of care that make up the IDHS/SUPR provider system are also discussed. One of the more general impacts of the stay-at-home and social distancing expectations is a likely decrease in new admissions to the SUD treatment system provided by IDHS/SUPR-licensed organizations. While the resources available through this grant are insufficient to alone adequately address the varied impacts of the COVID-19 pandemic, services are proposed that will assist each IDHS provider system in addressing these impacts. Emergency COVID-19 funds will be used to support IDHS/DMH sub-recient agreements with two IDHS regional community mental health centers to expand mental health assessment and treatment services for children, adolescents, and their family members. Youth and parents who meet SED/SMI diagnostic criteria will be offered grant-supported mental health services consistent with those available to Medicaid eligible individuals supported by evidence-based Practicewise interventions. Individuals who do not meet SED/SMI diagnostic criteria will be provided access to a full array of mental health services including Wellness Recovery Action Plan (WRAP) services. In response to the likely decrease in new SUD treatment admissions, Emergency COVID-19 funds will also support sub-recipient agreements with three IDHS/SUPR-licensed organizations to provide evidence-based screening, brief intervention, and referral to treatment (SBIRT) services for patients with alcohol use disorders (AUD) in multiple hospitals in Illinois. These SBIRT activities and services will be augmented by mental health screening and referral services. Illinois Emergency COVID-19 funds will also be used to support a sub-recipient agreement to develop and implement periodic virtual support sessions through which IDHS/DMH and IDHS/SUPR funded organization staff can share their feelings and concerns, and potentially receive support from their colleagues. A contract with a sub-recipient will support provision of the data collection and reporting expectations contained in this SAMHSA funding annoucement. A total of $2,000,000 is requested for a 16-month grant period.
COVID-19 has had a significant impact on Vermont with 82.1 cases and 3.5 deaths per 100,000 people as of 4/5/2020. The Governor's stay-at-home order has resulted in challenges in accessing and maintaining continuity of care for people with substance use disorder (SUD), serious mental illness (SMI) and other mental health (MH) disorders, especially for people who have been diagnosed with or have been in contact with someone with COVID-19. The grant will allow for VT to address statewide MH and SUD needs associated with COVID-19 through implementation and expansion of services and supports, and bolstering emergency services and mobile response. It will also increase access to care for healthcare workers with mental health struggles. VT has among the highest rates of substance use and SUD in the US, which may exacerbate effects of COVID-19. Increased demand for mental health and SUD crisis services are anticipated due to disruptions in people's typical coping mechanisms and service delivery, including the need for in-home supports and interventions, in-person recovery support, overdose prevention, detoxification and treatment such as receiving medication assisted treatment (MAT) for opioid use disorder (OUD). Maintaining access to SUD and SMI care for people who suffer from these disorders is essential but very challenging for those who must isolate or quarantine due to exposure to or symptoms of COVID-19, including people who are experiencing homelessness. Additionally, it is essential for the approximately 26,600 licensed physicians and nurses in VT to safely and easily seek MH and SUD services to adequately provide care during the crisis. To address the challenges posed by COVID-19 in access and delivery of SUD and MH services, the Vermont Departments of Health and Mental Health propose a range of activities to increase access to care through new and expanded access points, keep those already receiving treatment in treatment, and prevent relapse for those in recovery. Activities include delivering medication for SUD patients from opioid treatment providers, using telehealth technology by certified SUD treatment providers for SUD treatment in isolation centers, expanding SUD recovery coach outreach through Vermont's 12 Recovery Centers, expanding MH peer support services and outreach to vulnerable Vermonters with SMI, expanding VT Helplink (a single source for accessing SUD prevention, treatment and recovery services through online, phone or chat capability) capactiy to include referral to MH services for the healthcare workforce, expanding current MH emergency services program to include access to SUD specialists and telehealth technology and renovating MH crisis programs to allow for adequate social distancing, including utilizing mobile crisis response. The goals of these activities are to increase statewide access and capacity for SUD and MH treatment and recovery services and crisis/emergency services.
New Mexico Behavioral Health Services Division Emergency Response to COVID-19 is a statewide initiative to ensure access to evidence based screening, assessment and behavioral health treatment during the COVID-19 pandemic. Strategies include implementation of uniform screening and assessment practices and dissemination of evidence based practices including Cognitive Behavioral Therapy, Community Reinforcement Approach, Dialectical Behavioral Therapy, and Medication Assisted Treatment. The populations of focus for this initiative include individuals with SMI, SED, SUD, and those with co-occurring SMI/SED and SUD. An additional priority population is individuals with mental health disorders less severe than SMI, including health care professionals impacted by COVID-19 and others impacted by COVID-19 throughout NM. NM is the most ethnically diverse state in the continental US, with 49.1% of the population identifying as Hispanic, 37.1% as Non-Hispanic White, 10.9% as American Indian/Alaska Native (AI/AN), 2.6% as African American, 1.8% as Asian, and 0.2% as Native Hawaiian/Pacific Islander. According to the SAMHSA Uniform Reporting Systems Tables, 83.2% of adults served by NM's public behavioral health system meet criteria for an SMI (roughly 72,000 adults) and 72.1% of youth meet criteria for an SED annually. Additionally, 30% of adults and 6% of youth meet the criteria for a COD annually. Project goals are to 1) train and provide ongoing coaching to providers on evidence based practices that can be delivered via telehealth; 2) rapidly implement these practices; 3) enhance our statewide crisis and access line (NMCAL) to screen, assess and serve the health care workforce and others impacted by COVID-19; 4) implement peer recovery supports; and 5) support the network of crisis response currently being developed, including mobile outreach, crisis triage centers, and statewide access to telepsychiatry, with services offered via telehealh and face-to-face. Conservatively, over 500 individuals will be provided direct services (including treatment and recovery support services) and over 1000 will access services via the New Mexico Crisis and Access Line (including people with SMI, SUD and COD, health care providers, and others impacted by COVID-19) through this initiative. Metrics include: number of providers trained; delivery of services within 4 months of award; number of individuals engaged in recovery supports; number of individuals receiving treatment; diagnoses; services received; and outcomes such as changes in criminal justice status, hospitalizations, employment, mental health functioning, social connectedness, and substance use.
The ND Emergency COVID-19 project will provide crisis intervention services, mental and substance use disorder treatment, and other related recovery supports for children and adults impacted by the COVID-19 pandemic. North Dakota plans to focus efforts on the following populations: individuals with a SMI and/or SUD who are at high risk for further behavioral health/health problems and at high risk for COVID-19. This population may be extremely isolated and not have adequate supports, especially during a time of social distancing. During this pandemic, the needs for additional supports and services are vital. The first goal of ND's Emergency COVID-19 project is to increase capacity of behavioral health providers to identify and serve individuals at most risk for complications from their SMI and/or SUD because of the COVID-19 pandemic in order to improve health outcomes. The second goal of ND's Emergency COVID-19 project is to develop and implement services and supports directed to healthcare practitioners with mental disorders less severe than SMI but requiring health care as a result of COVID-19 in order to improve health outcomes. The third goal of ND's Emergency COVID-19 project is to develop and implement services and supports for individuals in with mental disorders less severe than SMI in order to improve health outcomes.
The Gerald L. Ignace Indian Health Center (GLIIHC), the only Urban Indian Health Center in Wisconsin, will implement the Milwaukee Emergency COVID-19 Response Program to meet the needs of new and existing patients of all ages with serious mental illness, less serious mental illness and substance use disorders, serving at least 1,000 patients and an estimated 30 staff during the 16-month life of the program. The only Urban Indian Health Center in Wisconsin, GLIIHC is located just south of downtown Milwaukee, Wisconsin, which has a population of 595,351 (2017, est.). GLIIHC is located in the urban community where most American Indian/Alaska Natives (AI/AN)in the area reside. The community surrounding GLIIHC is a mixture of lower- and middle-income families. Measurable objectives will focus on tracking the number of existing and new patients who receive telehealth individual or group therapy, the number of referrals for enabling/supportive services, and additional treatment-related goals at the individual levels. Goals include: Goal 1) All existing GLIIHC patients with SMI, SUD, or LSMI diagnoses will have the opportunity to be connected to a therapist via telehealth, with continued monitoring of prescription access and utilization where needed, with 24-hour crisis response also available. Goal 2) All existing patients with SUD will have assistance with medical, individual and group therapy services to support their ongoing recovery, including the opportunity to participate in virtual Talking Circles to ensure access to the social supports necessary to remain sober and prevent relapse. Goal 3) All new behavioral health patients with diagnoses of SMI, SUD or LSMI will have the opportunity to be served via a telehealth platform during the COVID-19 pandemic. Goal 4) All GLIIHC providers will have the opportunity to access mental health care in support of their needs during the added stress of the pandemic. Goal 5) All SMI, SUD or LSMI patients and GLIIHC staff will have the opportunity to connect to additional services that can help support them with daily needs like housing, food, family violence prevention or other needs that may arise.
The Connecticut Department of Mental Health and Addiction Services (DMHAS) proposes to launch the Connecticut COVID-19 Behavioral Health Response and Assistance (Connecticut COBHRA) initiative to address the global pandemic of COVID-19, which has had a significant impact in Connecticut, being in such close proximity to the "epi-center" of the pandemic, New York City. This proposal describes specific and feasilbe plans to respond to pandemic-related mental healthcare needs of specific populations that have been impacted the most by this disease. Specific projects include: purchase of telehealth equipment for DMHAS providers and Department of Corrections (DOC) healthcare practitioners; additional mobile crisis clinicians for eight DMHAS-funded mobile crisis teams; enhanced staffing at the new statewide call center for adult crisis calls at United Way 2-1-1; Family-Based Recovery services for youth and their families; enhanced services and awareness of them for victims of intimate partner violence (IPV); a voucher system to help healthcare practitioners in accessing behavioral health services; and a needs assessment and strategic planning process to enhance employee assistance programs (EAPs) at DMHAS-funded agencies. Consistent with the funding announcement, we will serve those with severe mental illness (SMI), substance use disorders, co-occurring disorders, youth with severe emotional disturbances and their families, individuals with less severe mental health conditions, and healthcare practitioners.
The Rocky Boy Health Center (RBHC) Emergency COVID-19 Project will serve American Indian persons with a Serious Mental Illness (SMI), Substance Use Disorder (SUD), and/or a co-occurring SMI and SUD on the Rocky Boy's Indian Reservation. The community faces a high prevalence of serious mental illness, substance abuse, suicide and chronic poverty. This project, when implemented, will provide crisis recovery support services for children and adults impacted by the COVID-19 pandemic. The goal of the RBHC Emergency COVID-19 Project is "to address the needs of individuals with serious mental illness, substance use disorders, or co-occurring serious mental illness and substance use disorders impacted by the COVID-19 pandemic." To achieve this goal, we will incorporate the following strategies contained within our measurable objectives: Objective 1: By the end of month four, RBHC will develop and implement one (1) comprehensive plan of evidence-based mental and substance use disorder treatment services for individuals on the Rocky Boy's Indian Reservation impacted by the COVID-19 pandemic. Objective 2: During the 16 month project period, RBHC will establish four (4) telehealth outreach centers for the purposes of providing screening and assessment and culturally appropriate evidence-based treatment services to individuals on the Rocky Boy's Indian Reservation impacted by the COVID-19 pandemic. Objective 3: During the 16 month project period, RBHC will establish one (1) mobile mental health crisis response team for the purpose of providing 24-hour mobile crisis services to individuals on the Rocky Boy's Indian Reservation impacted by the COVID-19 pandemic.
The Delaware Emergency COVID-19 Grant will build upon systems that have been established through Delaware's Substance Use Treatment and Recovery Transformation (START) Initiative to meet the needs of individuals, including healthcare professionals, impacted by the COVID-19 pandemic. The goals for this funding include: 1) Expanding access to crisis and substance use stabilization services, 2) Increasing access to care management and connection to recovery support services, 3) Increasing the capacity of the treatment system, and 4) Improving access to virtual behavioral and peer-to-peer recovery support. This grant will expand access to treatment and care for individuals of all ages and genders across the state with substance use disorders (SUDs), serious mental illness (SMI), those with co-occurring SMI and SUD, and healthcare professionals with mental disorders less severe than SMI. There will be an enhanced focus on the following special populations: youth/young adults and families that have increased vulnerability due to the COVID-19 pandemic, and healthcare workers experiencing trauma and/or requiring mental healthcare as a result of COVID-19. The overarching intent of this project is to improve the continuum of care from access/gateway to recovery. The overall client reach is estimated to be 3,900 individuals, 230 children and families, and 300 healthcare professionals over the 16-month grant period, across a range of distinct services and settings. This funding will allow Delaware to build sustainable capacity and infrastructure that improves treatment and services in the state after the funding ends. Specifically, Delaware will increase access to crisis and substance use stabilization services for youth/young adults and adults; increase the capacity of Bridge Clinics to provide screening, referral and treatment for SUD and mental health, including through virtual/telehealth platforms; increase access to virtual peer support and harm-reduction tools; increase care management for DSAMH clients, screening for social needs and well-being, and access to recovery supports including housing, childcare, and transportation; and increase the capacity of the mental health system to address the needs of healthcare providers experiencing trauma and mental illness as a result of the COVID-19 pandemic. DSAMH will use enhanced data collection and analysis capabilities to understand and refine these efforts in real time.
The Louisiana Department of Health, Office of Behavioral Health (OBH) proposes to implement the Louisiana Emergency COVID-19 Project in order to reach all citizens impacted by this unprecedented event. OBH will focus on the following populations: 1) children with severe emotional disturbance (SED), 2) adults with serious mental illness (SMI), 3) adults with substance use disorders (SUD), 4) adults with co-occurring SMI and SUD, and 4) adults with mental disorders less severe than SMI, including healthcare professionals. The goals of this grant is to 1) increase access to behavioral health treatment services through safety supports for infectious control and educating referral sources on how to access EBPs; 2) Expand access to care using telehealth and telemedicine; 3) Provide recovery resources through a Peer Warm Line to prevent crisis; and 4) Provide training and technical assistance for the use of telehealth. Through this grant, OBH will enhance accessibility to treatment services and protect the health and wellness of the community as well as persons seeking behavioral health treatment services. As a state, our goal is to implement creative methods to continue providing a full continuum of care for behavioral health residential/inpatient services, while minimizing risks for COVID-19 transmission. To reach the goals, this request will require a combination of strategies. Louisiana aims to provide supports such as personal protective supplies that will enable and indirectly allow providers to continue behavioral health services for persons with behavioral health conditions and complications. In addition, the state will make COVID-19 screening tests readily available to behavioral health residential providers to facilitate increased safe admissions and to detect any presumptive or positive COVID-19 cases for proper isolation and quarantine. Without these necessary protective supports for providers and their non-COVID-19 residents, providers will continue to turn presumptive or COVID-19 positive populations away. In addition to supporting safety measures and mitigating exposure to the COVID-19 virus, the state will provide telehealth/telemedicine supports and training for twenty five evidence based behavioral health providers across the state. This approach will enhance the ability to sustain treatment services and evidenced based practices for persons with mental illness or serious emotional disturbance. Louisiana will implement a Peer Recovery Support Warm Line, which aims to be a highly accessible, low-threshold recovery support resource that individuals can use to seek support before they have reached the crisis point. The intent is to provide supports to avoid, prevent or intercept a crisis later. This Warm Line will target persons with behavioral health conditions and complications and professionals that work in the health care industry. The program will provide targeted outreach and engagement to Louisiana's isolation sites, homeless sites and medical shelters and minority populations, specifically African Americans. Finally, OBH will support the transition of existing evidence-based providers to the use of telehealth technologies, connect new referral networks as previous sources are not operating, and assist in the support of its healthcare professionals as they work and exist personally within this crisis response.
ABSTRACT Project Name: Nevada Comprehensive Crisis Stabilization Response Nevada is targeting emergency dollars to the two largest urban counties of Clark and Washoe, which represents 88.9% or 2.8 million of the states population with many proposed activities benefitting the entire state. Clark and Washoe are the two counties hit with the largest per capita impact from COVID-19. As part of Nevadas comprehensive crisis stabilization response, the focus will be on 1) establishing a regional psychological stabilization or triage center targeting SMI/SUD as well as non-SMI/SUD; 2) Expanding Mobile Crisis Teams with the telehealth abilities to support rural areas to target SED; and 3) establishing a Medical First Responder warm line that is culturally competent for direct clinical support for healthcare workers through licensed professionals. With an increased demand being placed on our health care providers due to COVID-19, an individual experiencing a mental health crisis in Nevada may be subjected to significant delay in accessing services, awaiting care in an emergency department instead of receiving services in an appropriate mental health facility. Inability to access appropriate, timely care can have serious consequences, resulting in unnecessary decompensation and decline in well-being. This scenario is even more likely for those in crisis due to many social and economic actions that have been taken as a result of COVID-19. The approach works to ensure that those in crisis receive the appropriate level of care timely. Nevadas goal is to reduce the medical emergency room visits for mental and behavioral health triage by 70% over the next year. By utilizing a three-prong approach which includes diverting transports of those suspected of having mental or behavioral health crisis by law enforcement and emergency services to the triage center, expanding the ability of mobile outreach, and providing services to Nevadas healthcare workforce, Nevada is supporting a healthy continuum of crisis services designed to stabilize and improve symptoms of distress and feature a continuum of care services including 23-hour crisis stabilization/observation beds/chairs, medical detox, and short term crisis residential services and crisis stabilization through the full continuum of mental and behavioral health services.
To begin to address the behavioral health impacts of COVID-19 in Virginia, this project aims to 1) increase the capacity of our statewide Community Services Boards (CSBs) to provide continuity of care and decrease substance use and functional impairment for individuals with SMI/SED/SUD via telehealth treatment and supports; 2) improve wellness and decrease symptoms of stress and substance use for healthcare workers via specialized virtual supports and partnerships with hospital systems; and 3) improve the behavioral health of individuals in the community experiencing moderate mental illness and/or substance use disorder as a result of COVID-19 via telehealth treatment and supports. To meet these aims, this project will provide direct treatment services in the areas of assessment, medication management and medication assisted treatment, recovery services and recovery housing, and outpatient therapy via telehealth. The ongoing pandemic of COVID-19 has presented an alarming public health concern nationally and internationally, including at least 4,042 confirmed cases and 109 deaths in Virginia. In addition to the direct disease burden caused by the virus, the rapid behavioral, social, and operational changes required to curb the spread of COVID-19 have had severe impacts on behavioral health and the behavioral healthcare system. In the general public, these impacts include social isolation, financial strain and family stress, fear, anxiety, and increased drug and alcohol use. For individuals living with severe mental illness, serious emotional disturbance, and substance use disorders (SMI/SED/SUD), these impacts are known risk factors for the onset, relapse, or worsening of symptoms, which are compounded by the significant disruptions and compromises to treatment availability and access to care also posed by the pandemic. Healthcare workers and frontline responders are particularly vulnerable to behavioral health impacts, and unique impacts include traumatic exposures and reactions, moral distress and injury, caregiving and family strain, and burnout. This project provides direct treatment services to these three priority populations, with specialized supports and intervention modalities suited to the context of COVID-19 pandemic and associated State of Emergency.
The "Mille Lacs Band of Ojibwe Emergency COVID-19 SMI and SUD Response" project will provide for expansion of interventions, supports, and programmatic structure for those suffering from SUD and SMI within the Mille Lacs Band of Ojibwe catchment area. The overall goal of this project is to provide for the necessary expansion and refinement of SUD and Mental Health response mechanisms at MLBO which have resulted and will result from the COVID-19 pandemic. Objectives in pursuit of this goal include 1) By the end of 16 months, MLBO SUD and MH staff will have a system in place accommodating increased demand for assessment and enrollment without significant disruption or overload of mechanisms; 2) By the end of 16 months, MLBO SUD with MLBO HR will have prospected, hired, and trained a new LADC for delivery of SUD programming in response to increased demand resulting from the COVID-19 pandemic; 2b) By the end of 8 months, the hired LADC will have a full caseload of successfully managed and reached clients; 3) By the end of 16 months, MLBO SUD and MH with the Care Coordinator and Project Director will have successfully expanded the Telehealth and Nontraditional care continuum sufficiently to respond to increased load resulting from the COVID-19 pandemic without significant disruption or overload of mechanisms; 4) By 16 months, MLBO SUD and MH with the Care Coordinator and Project Director will have successfully expanded the Crisis and Triage response continuum sufficiently to respond to increased load resulting from the COVID-19 pandemic without significant disruption or overload of mechanisms; 5) By the end of 16 months, MLBO SUD and MH with the Care Coordinator and Project Director will have successfully integrated expanded and refined services as outlined in Objectives 1-4 with existing data collection system in order to engage in ongoing quality improvement processes for programming sustainability; and 6) By end of 16 months, MLBO SUD and MH with the Care Coordinator and Project Director will have ensured through expansion and refinement of remote communication and care systems that individuals receiving treatment are properly led to needed support services during and after programming.
The Chickasaw Nation (CN) COVID-19 Treatment Sustainability and Expansion (CTSE) project serves to address the mental health and substance use treatment needs of Chickasaw and other American Indians (AIs), including tribal healthcare professionals, impacted by COVID-19. This project provides greater opportunity for the CN to sustain treatment services for those with serious mental illness (SMI), substance use disorders (SUD), and co-occurring disorders and related socio-economic needs. The CN's CTSE program is expected to serve 1,440 Chickasaw and AIs within the service area through the activities outlined in the project proposal. In response to COVID-19, a primary focus of service delivery in the CTSE project will be the expansion of virtual services for the continued screening, assessment, treatment and navigation provided through telehealth and texting platforms. Nearly 60 qualified mental health professionals will receive new evidence-based practice (EBP) training in Acceptance and Commitment Therapy (ACT), Collaborative Assessment and Management of Suicidology (CAMS), and Let's Connect (LC) to better respond to patient anxiety, fear, depression, suicidality and panic and assisting parents in meeting the mental and emotional needs of their children resulting from the pandemic. The goals of the project are to: 1) Establish infrastructure for project implementation of CTSE program to ensure successful delivery of all program activities through purchasing of telehealth and texting platforms and necessary equipment, expanding crisis intervention services, and securing EBP training in ACT (including screening), CAMS and LC utilizing a multi-discipline stakeholder decision-making team; 2) Initiate service implementation to increase participant involvement and engagement with services offered through the CTSE program through promotional campaigns to increase utilization of virtual services and engagement with tribal healthcare professionals, and developing clinical and operational workflows for children, adults, families, and Veterans to receive virtual services; 3) Initiate data collection and informatics to improve programmatic planning, coordination and service delivery for all aspects of the CTSE program through the development of a patient registry database; and 4) Evaluate program activities and identify sustainability plan to provide service continuity after the 16 month project period completed. The CN recognizes the already existing health disparities amongst Chickasaw an AI citizens and is being proactive in response to COVID-19 to ensure individuals within the tribal service area receive ongoing and effective treatment services for SMI, SUD and co-occurring disorders. The CN is committed to providing the most effective and most comprehensive services to Chickasaw and AIs experiencing the disastrous effects of the COVID-19 pandemic and to enhance all aspects of healthcare and the overall quality of life of its citizens.