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FG-20-006 Individual Grant Awards 2020Emergency COVID-19
|Award Number||Organization||Grantee State Sort descending||City||Funding amount|
|1 H79 FG000233-01||
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.
|1 H79 FG000198-01||
57.9 million Americans live with mental and/or substance use disorders (NSDUH, 2018). The COVID-19 crisis will contribute to increases in depression, anxiety, trauma, grief, and substance misuse. This project serves Alaskans statewide by providing crisis intervention services, mental/substance use treatment, crisis counseling and other supports to children/adults impacted by the COVID-19 pandemic. The primary approach of Alaska's Emergency COVID-19 project is grant provision to providers of Community Behavioral Health services who submitted Letters of Commitment to this project. The state aims to provide Emergency COVID 19 services to 32 pre-existing psychiatric emergency services (PES) service areas around Alaska. Each grantee, in addition to providing COVID-19 PES, will provide (or collaborate/contract with other agencies to provide), some/all of the COVID-related comprehensive services outlined in SAMHSA's FOA to one or more of the target populations: individuals with serious mental illness (SMI), with substance use disorder (SUD), or with co-occurring disorders. The provision of community/ recovery support services will be required of each grantee directly or through collaboration/ contracting. The following are strategies which may be provided/enhanced through this grant: Psychiatric Emergency Services (e.g., 24/7 crisis line, crisis intervention/stabilization/mobile response); services to individuals with SMI (e.g., individual/group psychotherapy, psychiatric services, and case management, and support for daily living skills including problem solving regarding finances/ acquiring groceries/ transportation/social connections); service to Seriously Emotionally Disturbed Children (including EBPs, expanded day treatment, residential stabilization/treatment and therapeutic foster care); services for individuals with Substance Use Disorders (e.g., adult outpatient SUD treatment, residential SUD treatment, residential/ ambulatory withdrawal management, and MAT); Community/ Recovery Support Services (e.g., housing/ peer/ employment support, and relapse prevention); Specialized Peer Support Services (e.g., family peer support, warm lines, SUD recovery coaches). Grant funds will be utilized to increase telehealth capabilities and expand use of distance technologies and strategies to meet Covid-19 needs. This is a special challenge and need in Alaska, with its vast geography and largely rural population. Project progress will be assessed by SAMHSA-required GPRA data and Division of Behavioral Health metrics, including agency quarterly reports/ AKAIMS/ electronic health records. Though the virus/disease were unknown before the 12/2019 China outbreak, Alaska now has 213 cases, with cases in its largest communities (Anchorage/ Fairbanks/ Juneau), and smaller communities. Though the pandemic's rapidly changing nature make it difficult to precisely estimate the number served by this grant, it is certain that Alaska's system is stretched; this grant will assist not only those directly impacted by the pandemic, but also the hundreds if not thousands needing services to address emerging/re-emerging Mental Health/Substance Use issues resulting from the stress, anxiety, depression, & trauma resulting from the situation.
|1 H79 FG000243-01||
The Yukon Kuskokwim (Y-K) Delta region in southwest Alaska is home to 58 Federally recognized tribal communities, more than 10% of the 566 Federally recognized tribes in the whole United States. Our region is in a very rural setting where no road system exists, and air travel is the standard method of transportation. At 75,000 square miles in size, our region's land area is larger than Oklahoma, the 19th largest state, and our 27,000 residents, in which almost every community is over 90% Alaska Native, makes this region one of the highest concentrations of indigenous Native Americans in Alaska or the Lower 48 states. For the purposes of this proposal the population of focus to be served are those 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. During the COVID-19 pandemic, the residents of the Y-K Delta communities are experiencing their own distress and anxiety due to the government and economic shutdown. In rural Alaska it is important for the mental health of our population to be able to participate in outdoor activities, including subsistence hunting and fishing. With the COVID-19 rules in effect, many of these activities are not allowed. Our residents are fearful that the migratory birds may be infected with the Coronavirus, and many are canceling their traditional spring hunts, eliminating an important food source they depend on this time of year. The summer commercial fishing harvest may also be suspended, leaving a region already high in unemployment in even worse economic condition. Our region is already in the midst of a suicide epidemic with an age-adjusted suicide rate of 52.3 per 100,000, almost 5 times the national average. Therefore, it is critical our much-needed behavioral health (BH) services are not interrupted. However, with the economic shutdown the majority of our local air carriers ceased operations as well, leaving a lack of transportation services available in a region that depends on air travel for everything we do. Our BH Outpatient Clinic is in the midst of ramping up telehealth services so we can continue to provide BH services to our population, but in the meantime with the shutdown and lack of transportation infrastructure the immediate financial impact to our BH Department has been a 90% decrease in 3rd party/Medicaid billing for our clinicians, who are dependent on the revenue they generate. Therefore, our BH clinicians are at risk of being laid off if funds are not made available to keep them employed. The Emergency COVID-19 grant funds will allow us to keep our providers afloat and employed as we work through this pandemic.
|1 H79 FG000209-01||
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.
|1 H79 FG000253-01||
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.
|1 H79 FG000301-01||
In relationship to Ninilchik Traditional Council's (NTC) ongoing mission to promote access to health and education resources, the NTC Community Clinic has been providing Medically Assisted Treatment (MAT) since 2014. Together, with our partners, we have been able to provide medication and behavioral therapies to individuals experiencing Substance Use Disorder, Opioid Use Disorder, and mental illness (below the threshold of severe mental illness) throughout the Southern Kenai Peninsula. With $500,000 in Emergency COVID-19 funding, NTC will enhance and expand our telehealth capacity and ensure that recovery services are available to all individuals in the above-described client population based on diagnosis, need, risk of relapse, and assessment recommendations. According to the Center for Disease Control, Alaska's Kenai Peninsula has the highest rate in Alaska per capita of opioid prescriptions, which are higher in primarily white, rural communities with high unemployment rates. The majority of our current clients are white and Native Alaskan; male and female clients are nearly equal in representation. With the service delivery improvement and expansion made possible by this award, we anticipate that we will be able support an additional 75 impacted individuals in our service area per year and enroll 100 new clients over this project period. With Targeted Capacity Expansion funding for MAT, NTC will enhance their current addictions program to: 1) Increase access to medical and behavioral health treatments for those experiencing SUD, OUD, and mental illness through the expansion of telehealth: a. 70% of direct service funding to provide direct services to those with SUDs b. 10% of direct service funding for healthcare practitioners with mental disorders (less severe than SMI) requiring mental health care as a result of COVID-91 c. 20% of direct service funding to be used for all other individuals with mental disorders less severe than SMI 2) Mitigate risk of diversion with the transition to the Sublocade injection and Directly Observed Therapy (via emocha) for patients using Suboxone strips 3) Implement remote Blood Alcohol Content (BAC) monitoring through the purchase of Soberlink devices 4) Acquire Bridge Devices for opioid withdrawal to minimize utilization of Emergency Departments 5) Increase service access for remote villages with no access to the road system
|1 H79 FG000257-01||
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.
|1 H79 FG000263-01||
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.
|1 H79 FG000226-01||
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
|1 H79 FG000308-01||
Cook Inlet Tribal Council, Inc. (CITC) is a tribal nonprofit social services organization serving the Municipality of Anchorage. Responding to SAMHSA's Emergency COVID-19 opportunity, CITC proposes its "COVID Response" project, which will address the anticipated need for additional services in Anchorage resulting from the ongoing COVID-19 pandemic. In alignment with SAMHSA's goals for the current opportunity, CITC will reduce the unmet need for substance abuse disorder (SUD), co-occurring disorder (COD), and serious mental illness (SMI) treatment services in Anchorage by enhancing its existing continuum of care. Specifically, CITC will conduct those activities listed below. 1) Provide comprehensive and evidence-based SUD, COD, and SMI treatment (including telehealth) services for individuals who are or will be adversely impacted by the ongoing COVID-19 pandemic. 2) Provide screenings and assessments for SUDs, CODs, and SMIs that are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) in order to inform appropriate treatment. 3) Provide a comprehensive continuum of culturally appropriate SUD and COD prevention and treatment services, including medication-assisted treatment (MAT), pre-treatment, recovery housing, and peer-based alumni continuing care. 4) Provide an extensive array of supportive services that will remove barriers to successful recovery. Examples of those supportive services include nutrition coaching, social linkages, workforce development, sober housing, childcare, transportation, civil legal assistance, and primary healthcare (including telehealth). 5) Continue to provide internal, 24-hour, and on-call SUD, COD, and SMI services and collaborate with regional emergency crisis teams.
|1 H79 FG000240-01||
This project provides evidence-based treatments to Arkansans with serious mental illness (SMI), substance use disorders (SUDs), co-occurring SMI & SUDs, healthcare personnel, & persons with less severe mental health problems. The AR Division of Aging, Adult & Behavioral Health Services submitted this project with the UAMS Psychiatric Research Institute (PRI), as the primary contractor. Although the number of Arkansans whose symptoms have worsened due to the COVID-19 pandemic is unknown, mental health and substance use disorders are a serious problem. Arkansas is in the top 10% of states with opioid use disorder, approximately 150,000 Arkansans suffer from serious mental illness, with roughly 9% of Arkansans suffering from depression. Limited resources are available to help these individuals during this pandemic crisis, particularly providers who are on the front lines of combating this pandemic. This project will utilize the University of Arkansas for Medical Sciences (UAMS) and its Psychiatric Research Institute (PRI) as its prime contractor. UAMS is Arkansas' only academic health sciences center and serves the needs of the entire state of 3 million people. Along with the Governor's office and the Arkansas Department of Health, UAMS is leading the state's COVID-19 response and has been in full-scale preparation for the pandemic for about 7 weeks as of the submission date of this proposal. This project established Arkansas COVID-19 Mental Health/Substance Use Disorder (ACMH/SUD) program. The ACMH/SUD will be a combination of an emergency tele-video/telephone (T/T) urgent response center with screening, substantive T/T assessment and treatment, and referral to available local treatment programs and providers. If no appropriate local providers are available or acceptable to the patient, the ACMH/SUD will continue to treatment via T/T. In Arkansas, approximately half of our citizens have access to residential internet whereas almost all have access to telephones. Thus, to begin access and treatment, as well as follow up, the project will rely on use of either or both T/T. Evidenced-based treatment, for which PRI has a 25 plus year history of investigating and providing, will be used for all conditions. Patient assessment follow-ups will be by T/T, as per patient choice, and occur at one month and six months after initial intake. The needs of these populations will be met by offering statewide full access to tele-video and telephone-based (T/T) emergency stabilization and mental health/substance use disorder (MH/SUD) services.
|1 H79 FG000245-01||
The Hualapai Health Education and Wellness Department is seeking funds to provide additional mental health services during after regular hours via a telehealth option. The program will have at least two licensed counselors available to be contacted during hours in which the HHEW is closed.
|1 H79 FG000250-01||
The Arizona Emergency COVID-19 Project is to address the increased need for substance use, mental health, and crisis support services to Arizonans that have been impacted by the COVID-19 pandemic. The Arizona Emergency COVID-19 Project will meet the required activities of the grant by meeting the following proposed goals and objectives: Goal 1: Develop and implement a comprehensive plan of evidence-based mental and/or substance use disorder treatment services for individuals impacted by the COVID-19 pandemic. Goal 2: Improve access and connection to services for Arizonans that are at greater risk for developing substance use disorders, mental health disorders (including individuals diagnosed with a Serious Mental Illness (SMI)), and/or co-occurring disorders due to the COVID-19 pandemic. Goal 3: Increase evidence-based practice (EBP) and population appropriate practices and service utilization for Arizonans that are experiencing substance use disorders, mental health disorders, and/or co-occurring disorders due to the COVID pandemic. The first phase of the project will be a planning phase to inventory resources available to Arizonans, which will include the appropriated funding for Emergency COVID-19 allocated to Arizona, to ensure service gaps, barriers, and potential overlap has been addressed before project implementation. Once planning has concluded, Arizona will be in a better place to address identified priorities with these funds, which may include, but is not limited to, the following items: increase infrastructure of current crisis services (e.g. crisis phone lines) in Arizona through additional services and/or both licensed and non-licensed staff substance use and mental health professionals to address the increased need for crisis services, identify Arizona service providers who are in need of telehealth or teleconference software to address the needs of the target populations, and appropriate, and deliver recovery support services, including rapid re-housing, to improve access to, and retention in services. Project outcomes will include, but is not limited to, the following: increased collaboration and partnerships across service providers, increased access and connection to services, increase identification of service providers experiencing greatest need related to COVID-19, increased utilization of evidence-based treatment services, increased number participants referred to recovery support services, increased access to crisis mental health services, and increased number of participants receiving services within telehealth context.
|1 H79 FG000294-01||
The overarching goal of the Cocopah COVID-19 Emergency Behavioral Health Project is to increase access to mental health /substance use treatment and recovery support services by developing a system of telehealth services to serve at least 63 members of the Cocopah Indian Tribe, a federally recognized, sovereign tribe located in the southwestern corner of Arizona in Yuma County, and 7 health practitioners from Indian Health Services Fort Yuma Health Center. The 70 individuals to be served annually will include young adults over 18 and adults with serious mental illness (SMI), substance use disorders (SUD), and/or co-occurring SMI and SUD and those with mental disorders that are less severe than SMI from the Cocopah Indian Tribe and healthcare professionals from FHYC identifying with mental disorders less severe than SMI. The objectives include developing and implementing a comprehensive plan to provide mental health and substance abuse treatment, education, and recovery support services through telehealth services; screening and assessing at least 70 clients for the presence of mental and substance use disorders and/or co-occurring disorders; enrolling and providing evidence-based & population appropriate treatment telehealth services; conducting intake and six-month follow-up GPRA interviews with an 80% follow-up rate; increasing change in the preferred direction for GPRA performance measures by at least 20% for at least 70% of enrollees in treatment services; increasing the number of participants receiving recovery support services within telehealth context by at least 50%; and improving retention in treatment services for at least 70% of the enrolled participants through provision of case management. Project staff will utilize the ASAM Criteria 3rd edition dimensions and philosophy of assessment when assessing individuals enrolled in the project. Cognitive Behavior Therapy (CBT), a form of psychotherapy, will be used by the counseling staff under this project. Another evidenced based practice that will be used is Motivational Interviewing, an evidenced-based counseling approach that is used to help clients adhere to treatment recommendations. Wellbriety is currently used by the Cocopah Tribe for outpatient substance abuse treatment and is considered a practice-based evidence/promising practice for suicide and substance abuse specifically for American Indians/Alaska Native (National Indian Health Board). Wellbriety concentrates on the whole person, supporting personal awareness, growth and development, positive self-image and talk, and incorporates the teachings of Native culture into everyday life. Wellbriety is a way of life and involves committing to a life of wellness and healing every day. The program consists of 24-36 sessions, held twice a week for 1.5 hours and includes support groups (e.g. talking circles, Narcotics Anonymous, Alcoholics Anonymous). The Cocopah COVID-19 Emergency Behavioral Health Project will also develop and implement crisis mental health services staffed by the project's counselors and in collaboration with Tribal Police and existing tribal warm line providers and Arizona Complete Health.
|1 H79 FG000232-01||
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.
|1 H79 FG000234-01||
Project Abstract: K'lma Medical Center (KMC) Is an 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-on-one 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.
|1 H79 FG000290-01||
Project Abstract: The California COVID-19 Behavioral Health Response Project will deliver treatment services to individuals affected by the COVID-19 public health emergency in Los Angeles and Santa Clara Counties with substance use disorders (SUD) and mental health disorders, youth and patients with serious emotional disturbances, and health care professionals with mental health disorders less severe than serious mental illness (SMI). As of April 7, 2020, Los Angeles had 6,910 confirmed cases and 169 deaths and Santa Clara had 1,285 confirmed cases and 43 deaths. These counties have also been significantly impacted by mental health and SUD. In 2018, Los Angeles had 497 opioid overdose deaths, 1,655 ED visits due to any opioid overdose, and 742 hospitalizations due to any opioid overdose. In 2018, Santa Clara had 60 opioid overdose deaths, 141 ED visits due to any opioid overdose, and 89 hospitalizations due to any opioid overdose. Moreover, about 1 in 5 adults experience mental illness and 1 in 25 experience SMI. These counties have a high burden of mental health and SUD treatment needs and a large percentage of the health care workforce. It is crucial to provide this funding to support behavioral health providers in these counties over the coming months. Without intervention, the disruption presented by COVID-19 will pose risks to treatment for individuals with SUD and mental health disorders. The California Department of Health Care Services will release a Request for Application on April 13, 2020, to solicit mental health and SUD treatment providers to treat up to 500 uninsured and under-insured individuals annually and through the life of the project, who have been impacted by COVID-19 in Los Angeles and Santa Clara Counties. California will undertake a dual approach by allocating $600,000 to mental health disorder treatment and $1.4 million to SUD treatment. Services will commence on or before July 31, 2020 and be completed on or before August 31, 2021. Funding will support behavioral health providers delivering SUD and mental health treatment services, with an emphasis on telehealth treatment options, during the COVID-19 public health emergency. Thirty percent of grant funds will be awarded to mental health treatment providers, with one-third of that amount specifically allocated for serving health care practitioners with mental health conditions requiring care as a result of COVID-19. Seventy percent of grant funds will be awarded to SUD treatment providers in Opioid Treatment Programs, outpatient treatment, intensive outpatient treatment, and residential treatment to individuals impacted by COVID-19. Providers must implement evidence-based mental and/or SUD treatment services that may occur through telehealth; screen and assess clients for the presence of mental health conditions or SUDs; utilize clear processes for referring individuals experiencing mental health crisis; ensure grant funds serve as the payer of last resort; be licensed, accredited, and/or certified by DHCS as of April 10, 2020; and collect GPRA and progress reporting data for submission to SAMHSA.
|1 H79 FG000254-01||
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.
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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).
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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.
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The COVID-19 emergency funding will enable our organization to implement telehealth for our mental health and substance abuse services. As well as develop and implement a 24-hr Crisis Response Team. We plan to service individuals from all identified categories (SMI, SUD, LSMI, MH issues) as there are individuals in each that will benefit. Treatment services will be culturally relevant to the target population as the RVIHC is accustomed to servicing minority populations and those in rural environments.
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The Emergency Grants to Address Mental and Substance Use Disorders During COVID-19 (Emergency COVID-19) Colorado project will provide evidence-based mental and substance use disorder treatment to children, adolescents, and adults with Serious Emotional Disturbance (SED), Serious Mental Illness (SMI) and/or Substance Use Disorder (SUD). The Colorado Department of Human Services, Office of Behavioral Health (OBH) will consider alternative options for consumers in behavioral health crises, ensure psychiatric beds for consumers who are positive for COVID-19, and step-down behavioral health options for SMI/SUD consumers to ensure hospitals are able to prioritize treatment and bed availability for those needing intensive treatment for COVID-19. Transportation may become more limited or not available for behavioral health emergencies in lieu of prioritizing medical emergencies, so behavioral health consumers may not be able to obtain transport to higher levels of care, such as crisis stabilization units or inpatient psychiatric facilities. Lastly, the stress on healthcare practitioners during the COVID-19 pandemic is significant. All types of services could lose significant staff to illness, stress, or other issues, such as caring for their own family members, which could lead to critical staff shortages, dangerously low staffing levels, and staff working outside their appropriate scope of practice. OBH will allow programmatic and funding flexibility to meet the unique needs of each program.
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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 "epicenter" of the pandemic, New York City. This proposal describes specific and feasible 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.
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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.
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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.
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Florida intends to use $1,800,000 in grant funds to purchase an array of behavioral health services for the target populations identified in the Request for Application. Specifically, $600,000 will be allocated to IMPOWER (through the Central Florida Cares Health Systems managing entity) to provide psychiatric and therapeutic services via telehealth for healthcare practitioners and individuals experiencing mental health and/or substance use issues as a result of COVID-19. The remaining $1,200,000 will be allocated to managing entities based on highest impact of COVID-19 in their service area to serve individuals with serious mental illness and/or substance use disorders. These funds will purchase crisis intervention, behavioral health treatment, and recovery support services.
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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.
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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.
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The purpose of the Hawaii application for the SAMHSA Emergency COVID-19 funding opportunity is to bring critical mental health services directly to individuals statewide across the islands, both in person and through telehealth, amidst a pandemic. The Hawaii Department of Health (DOH) will address the increased behavioral health challenges posed by COVID-19 by tailoring responses to the needs of the three different groups: adults with severe mental illness (SMI) or co-occurring SMI and substance use disorders (SUD), homeless individuals with less severe mental illness, and healthcare practitioners requiring mental health care as a result of COVID-19. Of particular urgency is the expansion to Hawaii island of a highly promising recovery program piloted on Oahu for co-occurring SMI/SUD individuals at risk for decompensation and hospitalization at a time when hospital beds, both psychiatric and medical, may not be available, when entering a hospital facility poses a serious health risk, and when air travel to the only state psychiatric facility on Oahu entails a 14-day quarantine and jeopardizes the health of healthcare workers and other SMI patients at the locked facility. The co-occurrence of SUD among severely mentally ill individuals is very common in the state: According to the clinical judgment of their providers, 7 in 10 SMI adults served by the DOH also have SUD. Hawaii island has the highest statewide per capita rates of opioid-related poisonings, methamphetamine-related drug convictions, as well as DOH SMI consumers, making it critical for the specialized co-occurring recovery model to be brought directly to that island, particularly during this time when travel needs to minimized and currently there is no such programming available on island. The goal of the expansion is to improve the community tenure of these high-need individuals by providing intensive, evidence-based therapy and case management strategies within a cohort model. By January 31, 2021, 75 percent of the first Hawaii island cohort is expected to graduate into a lower level of care, and by June 21, 2021, 75 percent of the second cohort. Other initiatives proposed include: 1) Increasing telepsychiatry services to SMI individuals statewide through collaboration with the Department of Psychiatry at the University of Hawaii (UH) School of Medicine; 2) Increasing access to behavioral health services by homeless individuals with less severe mental illness through expanded access to homeless case management; and 3) Improving the mental well-being of healthcare professionals requiring care due to COVID-19 by partnering with the UH Department of Psychiatry to provide peer-developed and peer-implemented supports. Hawaii expects to serve approximately 650 individuals over the lifetime of the project and can leverage existing vendor agreements to begin the Hawaii island co-occurring recovery program within the first 3 months of the grant award.
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The Iowa Department of Public Health (IDPH), the single state authority for substance abuse, and the Department of Human Services (DHS), the state mental health authority, propose to provide collaborative services to address mental health and substance use needs of Iowans impacted by novel coronavirus (COVID-19). Utilizing a telehealth model of service delivery, Iowa will expand availability of services to individuals ages 18 years or older with serious mental illness (SMI); those with substance use disorders (SUDs), those with co-occurring SMI and SUD, and those with a mental health issue less severe than a SMI. Iowa's Emergency COVID-19 project will expand the capacity of statewide telehealth services through the delivery of additional recovery support, emergency crisis management, and treatment services for Iowans. During the project period, Iowa will serve a minimum of 500 individuals in need of services using the following goals: 1. Develop and implement a comprehensive plan of evidence-based mental health and/or substance use disorder treatment services for individuals impacted by the COVID-19 pandemic by increasing access to services through telehealth. a. Contract with licensed substance use disorder and accredited mental health providers to delivery telehealth based treatment services for individuals with a SUD, SMI, SUD and SMI, or mental health issues less severe than SMI. 2. Screen and assess clients for the presence of mental health and substance use disorders and/or co-occurring disorders to ensure access to appropriate treatment services. a. Utilize recognized screening and assessment instruments such as the DSM-5, ASAM, PHQ-9, and GADS-7 to determine the presence of a SUD/MH issue. 3. Provide evidence-based and population appropriate treatment services to improve outcomes for individuals with SMI, SUD, or co-occurring SMI and SUD that have been impacted by COVID-19. a. Develop individually tailored treatment plans and deliver evidence-based services appropriately matched to the needs of individuals seeking services. 4. Provide recovery support services to improve access, remove barriers, and increase retention in services. a. Establish a menu of recovery support services for individuals enrolled in the program that match appropriate resources to client needs. 5. Expand crisis mental health services in Iowa to increase call capacity, and accommodate for increased demand on Iowa's existing provider network. a. Contract with telehealth based providers of emergency crisis services and peer support/recovery coaching providers for the expansion of service availability.
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ABSTRACT Benewah Medical Center dba Marimn Health is requesting $498,958 in funding under the SAMHSA Emergency COVID-10 FOA FG-20-006 CFDA 93.665. The purpose of the Marimn Health ER COVID-19 project is to enhance existing, or proposed, Substance Use Disorder (SUD) and less than severe mental health (< SMI) behavioral health services for those impacted by the COVID-19 crisis who may benefit from behavioral health services. The existing Marimn Health Comprehensive Plan of evidence-based Mental and SUD treatment services will be revised to accommodate COVID-19 health restrictions which will include alternative avenues of service provision such as telehealth. Behavioral Health has screening and assessment tools in place which will also be adapted to accommodate COVID-19 health restrictions. Adapted assessments will be utilized to develop appropriate treatment plans. The existing EBP treatment services must also be modified to serve the population of focus. Due to health restrictions, group sessions are no longer in place. Counselors are currently communicating with clients by phone or through the internet. Medication management and Medicated Assisted Treatment remain in place. Outreach services will be enhanced also to reflect the health restrictions to safely communicate with members of the population of focus. The addition of a care manager and a behavioral health counselor will assist with this implementation. A crisis team is in place and the addition of a 24-hour hotline will enhance access to services. Marimn Health plans to provide internet access and tablets to those who may benefit to increase and retain access to services. The addition of a behavioral health counselor and a care manager will increase access to services for the population of focus. The proposal is designed so that 70% of funding is used to provide direct services to those with Substance Use Disorders; 10% of direct service funding is dedicated to assist healthcare practitioners with mental disorders (less severe than SMI) and 20% of direct service funding is dedicated to all other mental disorders less severe than SMI. A project director will oversee the project and a data analyst will provide monitoring and quality improvement measures for the project. Software upgrades will enhance client tracking, program quality improvement, and reporting requirements. A portion of the funding request will offset the cost of non-billable telehealth behavioral health direct services which, at the time of this proposal, are non-billable. Implementation of this proposal will result in enhanced access to behavioral health services. In order to serve clients who are impacted by the COVID-19 national crisis and may be diagnosed with Substance Use Disorder (SUD) or less than severe mental illness (< SMI), Marimn Health Behavioral Health proposes to enhance services to meet this need.
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SAMHSA Emergency Grants to Address Mental and Substance Use Disorders During COVID-19 Nez Perce Tribe Abstract Summary Funding assistance is requested from the SAMHSA Emergency COVID-19 program to help the Nez Perce Tribe conduct an effective public health emergency response to COVID-19 on the 1,208 sq. mile Nez Perce Reservation in north central Idaho. SAMHSA funding will be used for the Nez Perce Tribe Health Authority, Nimiipuu Health and its Behavioral Health Department, to contract with qualified public health professionals over one year to assist the two Nimiipuu Health centers in identification, treatment, and monitoring of the COVID-19 epidemic among the Tribe's 3,650 members and 4,780 Nimiipuu Health clients who are engaged in or at risk of SUD and/or co-occurring mental disorders. Funding will help cover an additional 25% increase in hours needed by the Nimiipuu Health Behavioral Health Director in addressing the pandemic and will pay for the department to hire a data specialist at 50% full time employment to monitor data regarding behavioral health cases impacted by the pandemic. Direct services will enable Nimiipuu Health Behavioral Health to obtain sobriety housing for the equivalent of 12 individuals in recover from SUD to obtain sobriety housing for 12 months and for 12 clients with SUD or co-occurring mental health disorders to obtain 30-45 in-patient residential treatment services as needed. Additionally, funding will enable Nimiipuu Health Behavioral Health to contract with outside qualified mental health professionals to provide up to 750 hours in contract services to help alleviate the increased demand for mental health evaluations and counseling services for Nimiipuu Health Behavioral Health clients, as well as 80 hours of contract counseling as needed to help medical staff cope with extreme stress resulting from the pandemic. Our funding request is in the amount of $453,467.
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Comparable to the rest of the nation, Idaho is combating the COVID-19 pandemic, with the number of contaminated Idahoans rising significantly daily. As these numbers increase and the economy simultaneously crashes, Idaho is realizing a subsequent upsurge in the need for crisis and on-going behavioral health supports and treatment. Additionally, hospital beds currently used to serve individuals with psychiatric needs are now needed for COVID-19 patients, creating a gap in services for Seriously Mentally Ill (SMI) population. The Idaho Department of Health and Welfare, Division of Behavioral Health (DBH) intends to help mitigate this gap by providing an alternative for this population. DBH plans to implement a 3-pronged approach to bring needed resources to Idahoans during this time of crisis: Emergency Department Behavioral Health Diversion and Triage: Idaho will stand up a Diversion and Triage unit to provide emergency services to patients with psychiatric conditions, but do not have critical medical health needs. This includes the establishment and utilization of a COVID19 Behavioral Health Distress Line, emergency department diversion and triage, and utilization of crisis centers to provide subacute care for patients not requiring acute inpatient psychiatric hospitalization. Access to Substance Use Disorder (SUD) Treatment: Idahoans uninsured due to the economic devastation resulting from COVID-19 will be provided access to SUD treatment. Target population includes individuals with SUD and those co-occurring individuals with either SMI or less than SMI symptoms and who fall between 138-200% of FPG. Services include residential and out-patient treatment, and recovery support services. Access Behavioral Health Services for Professionals: Professionals of all types currently on the front lines of the COVID-19 crisis, including medical professionals, as well as other behavioral health providers, are often in need of services themselves. Those needing assistance will be offered five (5) free sessions of evidence-based counseling or assistance in accessing services if already insured.
|1 H79 FG000268-01||
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-recipient 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 announcement. A total of $2,000,000 is requested for a 16-month grant period.
|1 H79 FG000231-01||
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.
|1 H79 FG000306-01||
Kansas COVID-19 Response proposes to meet the needs of people with SMI, SMI/SUD co-occurring issues, and people with less severe mental health issues including healthcare practitioners resulting from the current COVID-19 crisis through the creation of crisis response infrastructure which includes expansion of telehealth, expanded crisis response services, and enhanced recovery support services. We anticipate serving a total of 10,365 individuals during the grant period.
|1 H79 FG000309-01||
On March 6, 2020, Governor Andy Beshear issued an Executive Order declaring a state of emergency regarding COVID-19, a mild to severe respiratory disease that can result in death. Under his leadership, immediate and aggressive actions were undertaken to mitigate the spread of COVID-19. Kentucky's response has been multi-faceted, involving measures taken by all government sectors from education to economics to human services. Given the anticipated increase in the number of Kentuckians who will experience behavioral health symptomology, addressing the psychological impact of the COVID pandemic has been central to Kentucky's COVID response effort. Funds from the #TeamKentucky Emergency Grant to Address Mental Health and Substance Use during COVID-19 grant will contribute greatly to these efforts. Kentucky will address the need for increased behavioral health supports by providing direct services to the following populations: (1) homeless individuals and families being housed in temporary shelters; (2) individuals with serious mental illness (SMI) including those with co-occurring SMI and substance use disorders (SUD) who are at risk of entering one of Kentucky's four state adult psychiatric hospitals and those who are being discharged from a state adult psychiatric hospital and in need of transitional housing to self-isolate; (3) healthcare professionals and their families who require mental health care as a result of COVID-19; and (4) individuals impacted by COVID-19 pandemic who are experiencing mental health disorders less severe than SMI. With the exception of service provision to the homeless which will occur in Fayette and Jefferson Counties, all other services will be offered statewide. Funds will be used to (1) conduct screening, assessment, brief intervention, and treatment with homeless individuals residing in temporary shelters; (2) expand crisis service capacity for individuals with SMI and co-occurring SUD at risk of entering the hospital as well as provide transitional housing and behavioral health services for those being discharged from a state adult psychiatric hospital who need a temporary placement to self-isolate before moving to a permanent placement; (3) provide universal messaging, targeted outreach to healthcare organizations, and telehealth to healthcare professionals to mitigate secondary traumatic stress and build resiliency among the healthcare workforce and their families; (4) enhance crisis response services for the general public who are experiencing mental health crises as a result of COVID-19; and (5) evaluate the impact of the strategies on the outcomes of those served. It is our belief that these strategies will serve to complement our existing efforts so that we can truly say in the words of our Governor, "we will get through this. We will get through this together".
|1 H79 FG000282-01||
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.
|1 H79 FG000229-01||
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.
|1 H79 FG000189-01||
Massachusetts proposes to develop Behavioral Health Urgent care (BHUC) services that will address the behavioral health needs of: individuals living in temporary housing for isolation after possible exposure to COVID-19: in recovery from mild or moderate cases of COVID-19; or in healthcare workers separate from their families while performing essential services. Regional Emergency Services Program (ESP) will offer enhanced crisis intervention and behavioral health urgent care services to the three counties most seriously affected by COVID-19 so far. BHUC is a collaboration between the Department of Mental Health and Public Health, and will coordinate closely with the Massachusetts Emergency Management Agency (MEMA), MassHealth (Medicaid), and other state programs. A multi-agency leadership team will meet at least weekly to ensure that BHUC swiftly moves resources to adapt to changing needs as the pandemic and recovery progress. MA will start services within one month of grant initiation. BHUC will allocate 70% of the grant's service resources to meeting the needs of homeless individuals in temporary housing who have SMI and/or SED. They need immediate behavioral health support, assistance accessing medications, and ongoing behavioral and medical care. Twenty percent of the BHUC resources will address the needs of individuals with less serious MH and/or SUD needs, on both an individual and a community basis. BHUC will strengthen referral relationships with 211 info lines, suicide prevention call centers, and other community providers to assure access to ESP crisis evaluations, support, and if needed, referrals to ongoing care. Working with the BHUC Leadership Team, MEMA, and community stakeholders, ESPs will identify communities experiencing high levels of trauma due to death or loss of employment and housing and will deploy experienced staff to offer post-traumatic community interventions. Finally, ten percent of service resources will be used to support impacted healthcare workers. At high risk for trauma and psychological distress and separated from natural supports, they will be offered post traumatic stress management counseling, crisis evaluations, and referral to ongoing treatment. In all cases, families of people in treatment will be eligible for BHUC services. BHUC leverages the existing MA Emergency Service Program , a joint DMH/MassHealth statewide network providing crisis assessment for MH and SUD, mobile crisis intervention, and short-term crisis stabilization. All have extensive continua of MH and SUD care, strong ties with providers in local communities for referrals, and skill in billing multiple payers and facilitating enrollment in appropriate insurance options. BHUC will employ appropriate evidence-based practices, including motivational interviewing, Safety Planning, and Relapse prevention Plans, Psychological First Aid and Post Traumatic Stress Management. BHUC will expand care coordination, peer/family support, and recovery support staff to ensure linguistic and cultural capability, peer support, and help in assessing community services for transition. The goal of BHUC is to serve at least 2000 individuals across the 16 months of the grant.
|1 H79 FG000252-01||
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.
|1 H79 FG000302-01||
With the third highest number of COVID-19 cases in the nation despite being the tenth most populous state, Michigan has been disproportionately affected by the COVID-19 pandemic. Unfortunately, it is estimated that Michigan's cases are still on the upswing. In response to this public health crisis, Michigan has taken significant action to reduce the spread of COVID-19 to save lives and mitigate the tremendous increase in demand for health care services. The population health and economic burden of the emergency, however, is expected to elicit mental health and substance use disorders within the general population and exacerbate these conditions within COVID-19 patients, their families/caregivers, and for the health care practitioners subject to extreme stressors associated with the provision of services during this pandemic. The toll of the pandemic has hit particularly hard in specific Michigan communities already subject to health disparities and inequities. To optimize this grant opportunity, the Michigan Department of Health and Human Services (MDHHS) created a needs assessment prioritization model to ascertain areas of specific vulnerability and need relative to the COVID-19 crisis. This model ranks county needs that utilizes per capita COVID-19 cases, percent of the low-income population, percent of the population that is uninsured, and the County Health Rankings data. As a result, MDHHS will work with five local Community Mental Health Services Program (CMHSP) provider partners in geographically and demographically diverse regions of the state in order to augment essential evidence-based behavioral health services in communities significantly impacted by and vulnerable to the effects of the COVID-19 pandemic. MDHHS' partners include Au Sable Valley Community Mental Health Authority, Detroit Wayne Integrated Health Network, Genesee Health System, HealthWest, and Saginaw County Community Mental Health Authority. Collectively, this project will provide essential behavioral health and crisis services to persons with serious mental illness, substance use disorders, mild-to-moderate mental illness, and specific disaster distress services to health care practitioners.
|1 H79 FG000207-01||
Fond du Lac COVID-19 Emergency Substance Use and Mental Health Reponses Abstract SAMHSA FG-20-006 grant proposal is to assist with maintaining and creating access to Substance Use Treatment Service and mental health counseling during the COVID-19 Pandemic. The pandemic has changed the landscape of how recovery services are access do to social distancing and stay at home orders. Recovery has moved to a virtual world of Telehealth or Telephonic medicine requiring clients to have access to technology that supports both video and voice, like smartphone and internet access at home. The pandemic has created economic hardships to those needing critical telehealth services along with the rural setting of the Fond du Lac Reservation. To ensure that clients and community members have the technology and infrastructure to access Telehealth service, Fond du Lac Health and Human Services is requesting assistance in providing smartphone, phone cards and funds to assist with home internet cost so clients have access to SUD and Mental Health Counselors. To ensure that clients have access to elder traditional counselors, three traditional Alcohol and Drug Counselor's would be retained under the grant and technology that supported their need to deliver telehealth services would be purchased to allow them to work from remotes locations (home). Adding additional layer of safety during COVID-19 pandemic but allowing client's access to their wisdom. One mental health counselor would be provide ongoing mental health counseling and crisis response to community members and clients of HSD/Tagwii. The opioid epidemic/drug addiction is not going to take a backseat or slowdown for a pandemic. The pandemic has added stress, created greater access for drug dealers and the Recovery World has to maintain services so those seeking services have access. Lack of employment, poor infers ruction in rural settings and social distancing have had significant impacts on the Fond du Lac community and HSD clients providing assistance with technology to allow clients to receive Telehealth Services from cultural specific counselors is critical to the wellbeing of clients and the overall health of the Fond du Lac community.
|1 H79 FG000269-01||
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.
|1 H79 FG000214-01||
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.
|1 H79 FG000230-01||
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).
|1 H79 FG000200-01||
The Mississippi Band of Choctaw Indians (MBCI), Choctaw Health Center's Behavioral Health Program is submitting application for an Emergency Grant to Address Mental and Substance Use Disorders During COVID-19. Much like the rest of the country, MBCI can expected to experience an increase in the number of consumers affected mentally and emotionally by COVID-19. Therefore, the Choctaw Health Center's Behavioral Health Program is seeking to apply for funding to enhance crisis intervention services such as establishing a sustainable crisis response system or develop partnerships that will be culturally aware and sensitive to the unique needs of tribal members. Such resources can permanently establish a functioning telemental health system to add to the existing traditional mental and substance use disorder treatment model-of face-to- face services, that have been dramatically disrupted by the social distancing required to decrease the spread of the current pandemic. These resources will allow for the enhancements and improvements to care s for consumers and healthcare workers impacted by the COVID-19 pandemic. The proposed Project's local name will be the Choctaw Emergency Mental Health and Substance Use Disorder Project (CEMHSUD). CEMHSUD will implement the following required activities: Develop and implement a comprehensive plan of evidence-based mental and/or substance use disorder treatment services for individuals impacted by the COVID-19 pandemic. Ensure that service provision may occur in a telehealth context including the use of telephone given the current emergency situation. Screen and assess clients for the presence of mental and substance use disorders and/or co-occurring disorders, and use the information obtained from the screening and assessment to develop appropriate treatment approaches Provide evidence-based and population appropriate treatment services.. Provide recovery support services (e.g., linkages to nutrition/food services (funds may not be used to actually purchase food/meals), individual support services. Grantees must ensure the ability to provide these services virtually where needed. Develop and implement Crisis mental health services). This project will help to improve the MBCI mental health infrastructure well into the future, while positioning it to accommodate the increasing technology demands being place on modern communications. The project is expected to serve an estimated 550 consumers, this is approximately 5% of the total enrolled tribal membership, and at least 20 healthcare workers, this is 5% of the healthcare population for MBCI, making a total of 570 with the expanded reach through telehealth and contracts.
|1 H79 FG000242-01||
The COVID-19 pandemic has generated mass infections, staggering death totals, social disruption, and economic fallout not seen since the 1918 flu pandemic. Public health experts have identified COVID-19 as the most formidable health crisis of the twenty-first century. Mississippi (MS) has experienced significant increases in COVID-19 cases and deaths while trailing nearly all other states in coronavirus testing. These challenges have been magnified by MS' poverty rates, pronounced health disparities, longstanding racial-ethnic stratification, and rural remoteness. These factors have long placed MS atop state rankings in negative mental health indicators. Under normal circumstances, MS faces formidable mental health (MH) adversities, substance use disorder (SUD) vulnerabilities, and co-occurring disorder (COD) problems. The COVID-19 pandemic, coupled with social distancing directives, shelter-in-place orders, and mass unemployment, has raised these threats to critical levels in the nation's poorest state. Given these challenges, the Mississippi Department of Mental Health (DMH) proposes the MERC-19 (Mississippi Emergency Response to COVID-19) project. MERC-19 proposes a three-pronged approach to enhance and expand the continuum of care for people with SMI, SED, SUD, and COD while also improving service delivery to frontline workers directly battling this pandemic. MERC-19's use of a three-pronged approach will enable MS to (1) to ensure that community-based services are provided with an emphasis on telehealth offerings and ensure that they are initiated and expanded for a wide range of feasible MH, SUD, and COD services provided to clients of CMHCs funded by this initiative; (2) facilitate the expansion of sustainable tele-MAT capacities statewide with special attention to socially isolated current or prospective MAT clients located in remote rural areas; (3) support the proactive delivery of MH and SUD services to healthcare professionals, crisis hotline workers, and first responders who have been traumatized by their efforts to combat COVID-19. Culturally competent service delivery will also be enlisted to reduce COVID-related health disparities that have already emerged. Current data supports the prioritization of African American adults and residents living in remote areas lacking treatment services. Planned evidence-based interventions include, among others, Peer Support Services, Mobile Crisis Teams, Crisis Stabilization, Wraparound Facilitation, Trauma-Focused Cognitive Behavioral Therapy, Assertive Community Treatment, Intensive Care Management, Community Outreach and Recovery Support Teams, Outpatient Therapy, Supported Employment, and Supported Housing, all delivered with a focus on telehealth/telemedicine modalities wherever feasible. High-risk and rural areas of the state will also be subject to a targeted communication campaign designed to help the most vulnerable residents, including healthcare workers. MERC-19 promises to enhance COVID-related treatment and recovery services rapidly while improving the quality of life among MS residents in the wake of this public health crisis.
|1 H79 FG000279-01||
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.
|1 H79 FG000215-01||
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.