Project Grant H79SM087207

MONTGOMERY COUNTY CRISISNOW MODEL - THAN 535,000 INDIVIDUALS. CURRENT SERVICES WILL BE EXPANDED TO A SECOND LOCATION AND FURTHER STRENGTHENED BY THE ADDITION OF FOUR CLINICAL AND BEHAVIORAL HEALTH PROFESSIONALS. CALL RESPONSE RATES AND COMMUNITY RESOLVED RATES WILL BE IMPROVED WITH CAPACITY EXPANSION. RESIDENTS IN MONTGOMERY COUNTY HAVE A VARIETY OF COMPOUNDING RISK FACTORS THAT PLACE THEM AT EXTREME DANGER FOR MENTAL DISTRESS, MENTAL ILLNESS, DEVELOPING SUBSTANCE USE DISORDERS (SUD), AND EXPERIENCING UNINTENTIONAL DRUG OVERDOSES. THE MAYO CLINIC IDENTIFIES KEY RISK FACTORS THAT CAN INCREASE RISK OF MENTAL ILLNESS INCLUDING STRESSORS LIKE FINANCIAL ISSUES STEMMING FROM LACK OF EDUCATION OR EMPLOYMENT, CHRONIC MEDICAL CONDITIONS, TRAUMA INCLUDING MILITARY COMBAT OR ASSAULT. ACCORDING TO THE LATEST 2022 U.S. CENSUS, MONTGOMERY COUNTY HAS A POVERTY RATE OF 14.7% WITH THAT INCREASING TO 29% IN DAYTON. THIS IS EXACERBATED BY A 9.5% HIGH SCHOOL DROPOUT RATE AND A 12.6% UNEMPLOYMENT RATE FOR THE COUNTY. DATA USA REPORTS THAT 7% OF RESIDENTS DO NOT HAVE HEALTH INSURANCE AND THE COUNTY IS HOME TO OVER 38,800 VETERANS. BASED ON THESE STATISTICS, RISK FACTORS FOR MENTAL ILLNESS IN THE GEOGRAPHIC CATCHMENT AREA ARE CONCERNING FOR THE MONTGOMERY COUNTY ALCOHOL, DRUG ADDICTION, & MENTAL HEALTH SERVICES (ADAMHS), ELECTED OFFICIALS, HEALTH CARE PROVIDERS, AND THE COMMUNITY AT LARGE. THROUGH EXPANSION OF SERVICES, THE CURRENT 24/7 CRISIS CARE SERVICES WILL REDUCE CALL RESPONSE TIMES, INCREASE THE COMMUNITY RESOLVED RATE, DECREASE JUSTICE INVOLVEMENT, AND TRAIN COMMUNITY MEMBERS IN CRISIS INTERVENTION. FULLY STAFFED AFTER MARCH 2023, THE RESPONSE RATE WILL REMAIN OR DECREASE FROM THE CURRENT 20 MINUTES, SIGNIFICANTLY LESS THAN 1HOUR NATIONAL GOAL; INCREASE THE COMMUNITY RESOLVED RATE FROM THE CURRENT 85% TO 90% BY YEAR TWO; AND IMPLEMENT UPDATED REFERRAL POLICIES IN THE FIRST YEAR. WITHIN THE FIRST 90 DAYS, AN UPDATED PROTOCOL FOR CRISIS CARE WILL BE IMPLEMENTED. EVALUATION SERVICES WILL BE CONDUCTED BY WRIGHT STATE UNIVERSITY WHO HAS BEEN RESPONSIBLE FOR EVALUATING MILLIONS OF DOLLARS IN GRANT FUNDS.