SAMHSA Grants Dashboard

Care 4 U Management, Inc. d/b/a Care 4 U Community Health Center proposes to reduce substance abuse and HIV-related health disparities for Black and Hispanic MSM, MSMW & LGBTQ+ adults (ages 18 and older) who reside in Miami-Dade County, Florida's inner city areas with high rates of HIV, Viral Hepatitis, and Sexually Transmitted Infections (STIs) and are at high risk for substance abuse and HIV/AIDS. We will accomplish this by providing: (1) face-to-face and social media outreach to engage the target population; (2) screening and risk assessments for substance abuse, HIV, STIs, and viral hepatitis; and (3) inclusive navigation services for linage to support services (e.g. housing, substance abuse treatment, PrEP, etc.). We will partner with licensed substance abuse provider, Devonear, Inc. which will provide treatment for substance abuse and mental health counseling to Care 4 U's medical clinic, thus increasing access among the target population. Miami-Dade County, FL is one of the localities hardest hit by the HIV epidemic. Care 4 U's catchments are, Liberty City and vicinity, is the epicenter of the HIV disease in the county. Care 4 U's efforts will target Black and Hispanic MSM, MSMW, and LGBTQ+ adults in this area, which are the most economically and socially depressed neighborhoods in Miami-Dade County. The service proposed by Care 4 U seek to ameliorate the affects of HIV and substance abuse among the target population by increasing access to testing, treatment and prevention services with the goal of improving health outcomes and reducing HIV transmission rates among this population. We propose to serve 135 individuals in Year 1 and 180 each year in Years 2-5, for a total of 855 individuals over the five-year grant period. We are requesting $299,993 per year for a total of $1,499.965 over the five-year grant period.

Kristi House, Inc., the Children's Advocacy Center serving large, ethnically diverse Miami-Dade County, proposes to strengthen community capacity for evidence-based, trauma-informed, culturally competent practices for children overcoming serious trauma in Miami-Dade County. C-START (Child Severe Trauma Awareness, Response and Treatment) is focused on providing training in and treatment using evidence-based practices for child trauma, particularly for underserved, racial and ethnic minorities and special populations. With the area's current capacity for mental health services severely outstripped by need, C-START will target critical service gaps and underserved communities. With the partnership of EBP developers and master trainers, C-START will make its impact under three major objectives: 1) service delivery; 2) capacity building; and 3) awareness and education. Service delivery will be carried out by therapists and care workers serving children, adolescents and families. Along with Kristi House, 10 partner-agencies working with ethnic and racial minorities, LGBTQ+ youth and newcomers have committed to C-START to provide evidence-based practices and participate in EBP trainings. Over the five years, we anticipate reaching 3,760 children and adolescents with evidence-based treatment, 95% of whom will be racial and ethnic minorities, newcomers and LGBTQ+ children and adolescents. Capacity-building will take a Community-Based Learning Collaborative approach to spreading EBPs including Trauma-Focused Cognitive Behavioral Therapy, Culturally Modified Trauma Focused Therapy, Risk Reduction through Family Therapy, and Problematic Sexual Behavior Cognitive Behavioral Therapy for school-age children. All EBPs will be taught by national master trainers. Additional experts in child trauma and race; substance use disorders and risky behaviors; Sexual Orientation and Gender Identity Change Efforts; and unaccompanied, refugee, and immigrant minors will expand capacity for treating trauma impacting special populations of youth. Specialized techniques to support clinicians and other care workers such as Motivational Interviewing and Components for Enhancing Career Engagement and Reducing Trauma (CE-CERT) will further fortify the workforce with sustaining support, advanced training and skill building. C-START anticipates training 252 clinicians, care managers and senior leaders in EBPs and several hundred others in mini-trainings on child trauma. Education through C-START will encompass delivery of evidence-based and best practice prevention, education, training and awareness programs for service providers, parents and youth to increase awareness of child trauma and access to services. Outreach will focus on communities where children are at high risk and underserved. NCTSN Core Curriculum College participation by a cohort of educators and trainers will further strengthen the trauma-informed foundation for care in Miami. We expect the Kristi House Education team will reach 4,000 to 4,250 participants a year for a total of 21,000 education course participants over the five-year grant. Input from consumer-clients, partners from other NCTSN sites and workgroups, master trainer faculty and evaluators from the University of Miami will provide input and guidance throughout the project.

The Monroe County Coalition (MCC), is a drug-free coalition accredited by the Council on Accreditation (COA), and is in its 15th year of operation in Florida's southernmost county (82,874 people, US Census 2020 Quick Facts). MCC's DFC funds are set to expire 9.29.22. We propose to implement the Sober Truth Project with the following overarching goal: By 9.29.26 among 12 20-year-olds countywide, prevent and/or reduce past 30-day alcohol use by 5% as evidenced by data from FYSAS for middle and high school students. The demographics of our 12 20-year-old youth population of focus will be approximately: 40% White/Non-Hispanic; 22% Hispanic; 22% Black; 16% Other/Multi Race. Other beneficiaries of our project include parents, visitors, business employees, and more. In total, we expect the Sober Truth Project will reach at least 20,000 individuals each year of our 5-year project period. With a generally laid-back lifestyle, the Keys tropical haven feels like a taste of paradise for many. However, many experience a hefty price tag when alcohol is involved. Monroe County has the largest number of bars relative to the population size (a startling four-fold rate 17.5 per 10,000 compared to 4.03 and 4.22 bars per 10,000 people in the US and Florida respectively). The effects of such flagrant exposure to alcohol availability and promotion on our Monroe youth is demonstrated in the biannual 2020 Florida Youth Substance Abuse Survey (FYSAS) which reflects the incidence of underage alcohol consumption to be significantly higher, in some cases double, among Monroe youth when compared to their state peers. Alarmingly, 56.8% of Monroe high school students have consumed alcohol in their lifetime, 29.6% in the past 30 days and nearly a quarter of all HS students (23.8%) reported drinking alcohol until blackout. Our local alcohol data point to three needs for enhanced alcohol infrastructure: (1) Monroe's female students represent the largest alcohol using group (lifetime alcohol use at 47% compared to 38% of their female peers); (2) Binge drinking among local youth, on a downward trajectory since 2012 at 18.8%, is now again on the rise; and (3) The Hispanic/Latinx population had the most growth over the past decade yet alcohol prevention materials in Spanish have not kept pace. These, and other issues suggest a need for enhanced capacity to respond. Our STOP project approach will employ a combination of enhanced infrastructure development, as well as evidence-based practices and programs, collaborative expertise, and community dialog to lay the groundwork for truly effective comprehensive underage alcohol prevention response that collectively will: reduce unhealthy norms (e.g., Hidden in Plain Sight, peer-to-peer alcohol specific enhanced Tik Tok social norming videos, SAMHSA's Talk They Hear You campaign [Spanish too]); reduce opportunities for underage drinking (e.g., WE ID signage, RVT training, No One's House is a Safe Place for Teen Drinking campaign [Spanish too]); create changes in underage drinking enforcement efforts (e.g., quarterly Compliance Checks, Merchant Recognition with businesses that did not sell to minors, Party Patrols); reduce negative consequences associated with underage drinking (Alcohol Edu and Alcohol-Wise, All Stars, Parent-Wise; and build on our 12-month strategic action plan. Our project partners will include Monroe County Sheriff Office, Florida Keys Children's Shelter (FKCS), Westcare (Guidance Care Center/GCC), Educational Coalition for Monroe County (ECMC) and Marathon's Middle and High School's Champions for Change, and others. Our project evaluation consultant, Lee Crandall. Ph.D., medical sociologist, health services researcher, and social epidemiologist, will provide a lead role in performance assessment and continuous quality improvement.

Guidance/Care Center's proposal to be a Certified Community Behavioral Health Clinic (CCBHC) will serve 415 clients by the end of the grant period in Monroe County, Florida (50 YR1, 150 YR2 and YR3, 65 YR4). With the proposed CCBHC funding, G/CC will undergo a system transformation that will bring fragmented services together to deliver them in a coordinated manner across multiple disciplines, including primary care, behavioral health, mental health, and psychiatry. G/CC has identified the population of focus as any individual with a mental health or substance use disorder (SUD) who seeks care, including those with a serious mental illness (SMI) or an opioid use disorder (OUD); children and adolescents with serious emotional disturbance (SED); individuals with co-occurring mental health and substance use disorders (COD); and individuals experiencing a mental health or substance use-related crisis. Goal 1: Increase the availability of and access to high-quality mental health and SUD services in Monroe County, FL. Objective 1.1: By September 2026, provide high-quality, integrated outpatient mental health and SUD services to 415 children, adolescents, and adults (Y1=45; Y2, 3=150; Y4=65). Objective 1.2: By September 2026, 85% of clients will receive primary care screening and monitoring for BMI, blood pressure, HIV/VH, and tobacco use. Objective 1.3: By September 2026, 85% of clients with trauma symptoms will receive Seeking Safety. Objective 1.4: By September 2026, 85% of clients with an SUD will receive Relapse Prevention Therapy. Objective 1.5: By September 2026, 70% of clients will complete treatment successfully. Goal 2: Improve the behavioral, mental health, and social functioning of children, adolescents, and adults with mental health and substance use disorders residing in Monroe County, FL. Objective 2.1: By September 2026, 80% of clients with an SUD will eliminate or reduce substance use within 6 months, and 70% will maintain improvements at discharge measured by the NOMs. Objective 2.2: By September 2026, 80% of clients will exhibit fewer mental health symptoms within 6 months, and 70% will maintain improvements at discharge measured by the PCL-5, CFARS/FARS, and NOMs. Objective 2.3: By September 2026, 80% of clients completing services and not having stable living arrangements at intake will have stable living arrangements at discharge measured by the NOMs. Objective 2.4: By September 2026, 80% of clients completing services will be in an educational/vocational program or employed at discharge measured by the NOMs. Objective 2.5: By September 2026, 75% of clients with hypertension or presenting as under/overweight will fall within normal limits at 6 months, and 65% will maintain the improvements at discharge measured by blood pressure and BMI.

Agape Network, Inc., of Miami-Dade County, FL, is seeking funding to pursue credentialing as a Certified Community Behavioral Health Clinic (CCBHC) through SAMHSA's CCBHC-PDI grant. Agape meets the majority of qualifications for certification, and has identified three criteria to be addressed to be eligible for certification: Establishing a Client Advisory Board, increasing consumer access to crisis and intensive outpatient services, and upgrading its Health Information Technology (HIT) System. Agape is a model of integrated behavioral healthcare and spiritual wellness, providing outpatient and residential mental health, substance abuse, and dual diagnosis services to a multi-cultural population in South Miami-Dade County, FL. Agape is a local and national model of integrated behavioral healthcare and spiritual wellness, and Agape serves thousands of individuals and families annually impacted by Serious Mental Illness (SMI), Substance Abuse Disorder (SUD), and Co-Occurring Disorder (COD) both on-campus, in-home, and through telehealth. Services include a behavioral health and community health center, residential inpatient treatment, Mommy & Me programs, outpatient programs, children of inmates program, criminal justice, and inmate programs, and the Agape Teen Ambassador Program. Project goals and objectives include: 1) Inclusion of consumers and/or their family members to ensure that all clients with SMI, SUD, or COD are represented in assessing client needs, plans for the establishment of a Client Advisory Board. Policies and Procedures will be established to encourage family members and consumers to participate in care coordination; and existing service provision to military personnel will be increased by 30% through the continuation of available services and establishment of MOUs with the Veteran Administration, ensuring rapid response to military personnel's health care needs. 2) Increase consumer access to intensive outpatient services through an MOU with the DCO for the provision of 24-hour crisis management services for Agape consumers. Policies and Procedures will be developed to assist consumers (including children) in obtaining appointments with outside providers, and establish procedures for medication reconciliation with other providers. Agape will partner with community resources to provide access to Peer Recovery Support Specialists (PRSSs), recovery coaches, and other family/caregiver supports, to help ensure further support, recommendations, and access to outpatient services for consumers. 3) Upgrade Health Information Technology System. Agape maintains an Electronic Health Records (EHR) system through the Credible Behavioral Health Program (CBHP). Within the first year, Agape will initiate/upgrade its HIT system to further facilitate care coordination and transition in accordance with Certification Criteria addressing operational changes. It will a) Support health information exchange to improve care transition; b) Develop and maintain care coordination agreements with partners; c) Support processes and procedures for collecting, reporting, and tracking encounter, outcome, and quality data; and d) Develop and implement a CCBHC-wide data-driven continuous quality improvement (CQI) plan for clinical services and management. It is estimated that Agape will serve approximately 500 adults and children annually, for a total of 2,000 individuals to be served throughout the lifetime of the four-year project.

Summary: Agape Network, Inc. serves a highly-disadvantaged and uninsured population in South Miami-Dade County, FL, and surrounding area, which identifies the greatest percentage of people with serious mental illness in the nation. COVID-19 has created a significant mental and primary health care crisis for Agape Network. Due to the increased demand for SED, SMI, and COD services, Agape Network's service capacity was impacted, resulting in reduced access to care for hundreds of people who remain on waiting lists. Demographics/Characteristics: The Agape Network CMHC Grant Program will provide additional mental and behavioral healthcare to a total of 400 low-income and primarily uninsured and undocumented individuals and families annually from the Greater South Miami-Dade County, Florida, area. A total of 800 clients will be served during the course of CMHC funding. Due to the pandemic, many residents were significantly impacted by loss of employment and insurance. The effects of confinement and other health issues, exacerbated by existing SED, SMI, and/or COD, created a greater mental health crisis including depression, substance abuse, PTSD, and suicide. A 26% increase in uninsured clients referred for services strained Agape Network’s ability to provide immediate care, resulting in over 350 clients awaiting mental health and substance abuse services. Goals and Objectives: The goal of the program is to support and restore delivery of clinical services that were impacted by COVID-19, and address the needs of individuals with SED, SMI, and COD. To achieve this, Agape will address the following objectives: 1) Improve telehealth capacity by 10%; 2) Increase outpatient access to mental health and co-occurring disorder services by 25%; 3) An additional 15% of clients will access mental/behavioral health and substance use services; 4) An estimated 400 new clients will receive services annually; and 5) 100% of Agape staff will have access to mental health wellness support services. Strategies/Interventions: CMHC funding will allow Agape Network to increase its staffing, services, and provide facility adjustments to allow for the increase in clients referred for mental health, behavioral health, and substance abuse services. This will include expanding telehealth and teleconferencing and group therapy with teens and adults; expanding outpatient services for people with SED, SMI, and COD; providing wrap-around therapeutic services to consumers without health insurance due to COVID-19; increasing intake assessments, case management and peer specialist services; and ensuring that Agape staff will be provided with monthly supervision to address burnout prevention, self-care strategies, and clinical recommendations for clients.

GCC OSF MAI Diversion and Reentry