Project Grant H79SM086126

ADAMHS SYSTEM OF CARE PROJECT - THE HANCOCK COUNTY ALCOHOL, DRUG ADDICTION, AND MENTAL HEALTH SERVICES (HANCOCK ADAMHS) BOARD PROPOSES THE HANCOCK ADAMHS SYSTEM OF CARE (HANCOCK SOC) PROJECT TO EXPAND AND INTEGRATE A SUSTAINABLE INFRASTRUCTURE TO BOLSTER THE SERVICES OF THE 2017 SAMHSA-FUNDED PROGRAM IN NORTHWEST OHIO. THE HANCOCK SOC AIMS TO PROVIDE RESOURCES AND IMPROVE MENTAL HEALTH OUTCOMES FOR CHILDREN AND YOUTH AGES 0-21 AND THEIR FAMILIES, WITH EMPHASIS ON AGES 8-14 WITH SERIOUS EMOTIONAL DISTURBANCES (SED), CHILDREN OF VETERANS, YOUTH AT RISK FOR OUT-OF-HOME PLACEMENT, AND YOUTH WHO EXPERIENCE SUICIDALITY. MORE THAN HALF OF HANCOCK COUNTY'S 74,920 RESIDENTS LIVE IN THE CITY OF FINDLAY. OF COUNTY STUDENTS PRE-K-GRADE-12, 27% ARE FROM ECONOMICALLY DISADVANTAGED HOUSEHOLDS; 14% HAVE A DISABILITY; AND 23% OUT-OF-HOME PLACEMENTS WERE KINSHIP. OHIO EXPERIENCES ONE YOUTH DEATH BY SUICIDE EVERY 34 HOURS; HANCOCK COUNTY'S SUICIDE RATE IS 16/100,000 PERSONS AND 14.9 FOR AGES 15-24. EVIDENCE SHOWS AN EIGHT PERCENT INCREASE IN SIX MONTHS OF YOUTH AGES 11-21 WHO INDICATED THEY WERE SO DEPRESSED THAT NOTHING COULD CHEER THEM UP EITHER ALL OR MOST OF THE TIME; AND A 13 PERCENT INCREASE WHO REPORTED HAVING THOUGHTS OF SUICIDE. YOUTH WITH SED WHO HAD MADE A SUICIDE ATTEMPT DECREASED BY 44% AFTER ONE-YEAR OF SOC SERVICES/SUPPORTS. IN RESPONSE, THE HANCOCK SOC WILL DELIVER SERVICE PROVISIONS FOR YOUTH/FAMILIES WHILE PRIORITIZING EMERGING NEEDS OF YOUTH/FAMILIES (OUT-OF-HOME PLACEMENTS, SUICIDALITY). THE PROPOSED PROJECT WILL INTEGRATE EXPANDED SERVICES WITH ADDITIONAL PEER-SUPPORT SPECIALISTS, AND A SUSTAINABLE INFRASTRUCTURE WITH IMPROVED COUNTY-WIDE PROCESSES FOR COMMUNICATION, SERVICE DELIVERY, AND EDUCATION ENHANCEMENTS. THE HANCOCK SOC STRATEGIES INCLUDE A COLLABORATIVE APPROACH THROUGH A RECOVERY ORIENTED SYSTEM OF CARE (ROSC) AND TRAUMA-INFORMED CARE (TIC) FRAMEWORK FOR ASSESSMENT, DIAGNOSIS, TREATMENT, CARE AND SUPPORT SERVICES TO YOUTH AND THEIR FAMILIES-TO IMPROVE HEALTH OUTCOMES AND HELP YOUTH DEVELOP POTENTIAL TO THRIVE AT THEIR FULLEST POTENTIAL. THE ROSC, TIC, AND CULTURAL AND LINGUISTICALLY APPROPRIATE SERVICES (CLAS STANDARDS) PURPOSEFULLY ADDRESS IMPROVED HEALTH EQUITY BY REMOVING BARRIERS TO ACCESS COMPREHENSIVE MENTAL HEALTH SERVICES AND STREAMLINED WRAPAROUND SUPPORTS PROVIDED BY HANCOCK ADAMHS' PRIMARY SERVICE PROVIDER, FAMILY RESOURCE CENTER OF NW OHIO (FRC) WHO WILL IMPLEMENT SERVICE SUPPORT FOR 200 UNDUPLICATED YOUTH AND FAMILIES OVER FUNDING PERIOD (YR.1=50, YR. 2=50, YR. 3=50, & YR. 4=50). THE UNION OF HANCOCK ADAMHS AND FRC WILL CONSIST OF A CREDENTIALED, EXPERIENCED, AND WELL-PREPARED PROJECT TEAM WITH ROBUST TRAINING IN EVIDENCE-BASED/-INFORMED PRACTICES AND INTERVENTIONS SUCH AS ROSC, TIC, MOTIVATIONAL INTERVIEWING, MENTAL HEALTH FIRST AID, PEER-SUPPORT, INTENSIVE HOME-BASED TREATMENT, POSITIVE PARENTING AND HEALTHY RELATIONSHIP PROGRAMS, ALONG WITH PRINCIPLES OF THE ZERO SUICIDE MODEL AND CLAS STANDARDS. PROGRAM GOALS WILL 1. INCREASE THE CAPACITY OF HANCOCK ADAMHS TO EXPAND FAMILY ENGAGEMENT/INCLUSION TO INFLUENCE CARE PATHWAYS FOR YOUTH AGES 8-14; CHILDREN OF VETERANS; AND AT HIGH-RISK FOR OUT-OF-HOME PLACEMENT; 2. INCREASE CAPACITY TO EXPAND YOUTH ENGAGEMENT/ INCLUSION TO INFLUENCE DECISIONS ABOUT SERVICE PROVISIONS OF YOUTH THRIVE PROGRAMS/SERVICES; 3. INCREASE AWARENESS ABOUT YOUTH TRAUMA AND MENTAL HEALTH RESOURCES FOR AGES 0-21; 4. EXPAND, STABILIZE, AND SUSTAIN INFRASTRUCTURE FOR IMPROVED SOC; AND 5. INCREASE HEALTH EQUITY/INCLUSION AMONG THE TARGET POPULATION AND THEIR FAMILIES. ACTIVITIES INCLUDE AN AWARENESS CAMPAIGN FOCUSED ON YOUTH-/FAMILY-FOCUSED COMMUNICATION ABOUT SOC SERVICES/SUPPORT, YOUTH MENTAL HEALTH, TRAUMA, STIGMA, AND ADVERSE HEALTH OUTCOMES; MEDICAL MOBILE UNIT OUTREACH; YOUTH/PARENT PEER-SUPPORT; YOUTH-CENTERED/PARENT-FOCUSED ENGAGEMENT OPPORTUNITIES, AND ONGOING PROFESSIONAL DEVELOPMENT FOR STAFF AND PROVIDERS. THE HANCOCK COUNTY ADAMHS BOARD REQUESTS SAMHSA FUNDING OF $4,000,000