Project Grant G2846276

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - 1.PROJECT TITLE: TELEHEALTH OUTREACH FOR UNDERSERVED COMMUNITIES OF HAWAII (TOUCH)2.REQUESTED AWARD AMOUNT: $2,000,000 FOR PERIOD 9/1/2022-8/31/2026 3. APPLICANT ORGANIZATION NAME: HAWAII STATE RURAL HEALTH ASSOCIATION 4. ADDRESS: 140 RAINBOW DRIVE, HILO, HAWAII 96720 5. APPLICANT ORGANIZATION TYPE: PUBLIC HEALTH 501(C)3.6. PROJECT DIRECTOR NAME/TITLE: JENNIFER LO/PROGRAM DIRECTOR7. PH: 857-600-8085, JENNIFERJOSELO@GMAIL.COM 8. DATA COORDINATOR-TBH 9. TBD. 10. EIN/DUNS NUMBER EXCEPTION REQUEST: NO 11. APPLICANT LEARNED ABOUT THIS OPPORTUNITY THROUGH: HRSA PROJECT OFFICER. 12. NUMBER OF CONSORTIUM MEMBERS: 7CONSORTIUM MEMBERS: HAWAII STATE RURAL HEALTH ASSOC, KAUAI RURAL HEALTH ASSOCIATION, MALAMA I KE OLA (CHC), HULI AU OLA, LANAI KINA OLA; HAWAII ISLAND RURAL HEALTH ASSOCIATION; KAUAI PLANNING AND ACTION ALLIANCE.13. CURRENT RCORP GRANT RECIPIENT: YES. FY19 RCORP- PLANNING; FY20 RCORP- IMPLEMENTATION.14. NO 15. NO 16.TARGET SERVICE AREA: A. KAUAI COUNTY; HAWAII COUNTY; B. MAUI COUNTY RURAL CENSUS TRACTS: 301, 302.01, 303.06, 307.05-.13, 314.02, 314.04-.05, 315.01, 315.03-.05. HONOLULU CO: 101.01-.03, 102.02-05.17.TARGET POPULATION: INDIVIDUALS AND FAMILIES IN ALL RURAL AREAS OF HAWAII TO REACH WITH TELEHEALTH. LESS THAN 1% ARE NATIVE AMERICAN, BUT 20% ARE NATIVE HAWAIIAN ADDRESSED BY CONSORTIUM PARTNERS. THE OVERALL GOAL OF THE TELEHEALTH OUTREACH FOR UNDERSERVED COMMUNITIES OF HAWAII (TOUCH) GRANT IS TO REDUCE MORBIDITY AND MORTALITY RELATED TO BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDERS BY BUILDING ON THE TELEPSYCH NETWORK CREATED WITH RCORP FUNDING AND EMPHASIZING TRAINING AND RESOURCES NOT PREVIOUSLY ADDRESSED BY THE HAWAII STATE RURAL HEALTH ASSOCIATION. THE AIMS ARE: 1: EXPAND TELEHEALTH INFRASTRUCTURE BY DOUBLING THE HOURS OF FREE TELEHEALTH SERVICES AVAILABLE TO RURAL INDIVIDUALS AND FAMILIES, BY INTRODUCING: 1) WARM HANDOFFS FROM EMERGENCY ROOMS, 2) PSYCHIATRIC COLLABORATIVE CARE MODEL CONSULTATIONS, 3) VIRTUAL WITHDRAWAL MANAGEME NT; AND 4) GROUP THERAPY VISITS, INCREASING SERVICES TO 300 PATIENTS A MONTH AND THEREBY DECREASING PSYCHIATRIC HOSPITAL ADMISSIONS BY 2%. 2: IMPROVE THE QUALITY AND SUSTAINABILITY OF RURAL BEHAVIORAL HEALTH CARE SERVICES THROUGH EDUCATION AND CARE COORDINATION BY SUPPORTING 6,000 PERSON-HOURS OF SUBSTANCE USE DISORDER AND MENTAL HEALTH CONTINUING EDUCATION, 1,000 HOURS OF RURAL CLINICAL TRAINING FOR HEALTH PROFESSIONS STUDENTS THAT INCLUDES COORDINATING CARE FOR THOSE IN NEED INCLUDING HOMELESS AND THOSE RELEASED FROM INCARCERATION TO RESULT IN REDUCED RECIDIVISM AND A 5% INCREASE IN BEHAVIORAL HEALTH WORKFORCE. 3: IMPROVE THE CAPACITY OF RURAL COMMUNITIES TO ADDRESS RISK FACTORS AND SOCIAL DETERMINANTS OF HEALTH THAT AFFECT THE BEHAVIORAL HEALTH OF RURAL RESIDENTS BY PROVIDING OUTREACH AND COMMUNITY EDUCATION ON RESILIENCY, PARENTING, SUBSTANCE USE PREVENTION TO 1,000 COMMUNITY MEMBERS A YEAR AND CREATING LOCAL TASK FORCES TO DEVELOP PLANS FOR BRICK AND MORTAR RECOVERY COMMUNITIES RESULTING IN A 2% DECREASE IN SUBSTANCE USE. ACTIVITIES INCLUDE EXPANDING THE FREE HAWAIIUTELEHEALTH.ORG PROGRAM TO PROVIDE 3,600 TELE-VISITS A YEAR TO RURAL RESIDENTS, INCLUDING SERVICES SUCH AS OUTPATIENT WITHDRAWAL MANAGEMENT, WARM HANDOFFS FROM HOSPITALS AND CLINICS TO MENTAL HEALTH EXPERTS, AND CREATING GROUP SUPPORT SESSIONS; TRAINING SOCIAL WORKER, COMMUNITY HEALTH WORKER, PSYCHOLOGY, NURSE PRACTITIONER AND MEDICAL TRAINEES IN RURAL AREAS TO LEARN THE NEEDS AND BENEFITS OF WORKING IN SUCH AN AREA; CREATE A CULTURE OF CARE COORDINATION, RESOURCE SHARING AND COMMUNICATION WITH THE TOUCH STUDENTS AND PROVIDERS THAT EXTENDS THROUGHOUT RURAL COMMUNITIES AND PRISONS/JAILS; AND INSTILL COMMUNITY BASED, TRAUMA-INFORMED RESILIENCY TRAINING, PARENTING SKILLS AND SUBSTANCE USE PREVENTION KNOWLEDGE TO 1,000 COMMUNITY MEMBERS A YEAR. EVALUATION INCLUDES WORKFORCE TRACKING, RATES OF SUBSTANCE USE, NUMBER OF RECOVERY BEDS, NUMBER OF EMERGEN