Project Grant H79SM087240

MCAT CO-RESPONSE PROGRAM - THE NEIGHBORHOOD CENTER, INC.'S (TNC) MOBILE CRISIS ASSESSMENT TEAM (MCAT) PROVIDES 24/7 CRISIS INTERVENTION SERVICES TO CHILDREN & ADULTS IN A 6 COUNTY REGION OF NY STATE. WE WILL EXPAND OUR CO-RESPONSE TEAMS, MCAT PROVIDERS & PEER ADVOCATE RESOURCES IN ONEIDA & HERKIMER COUNTIES TO PROVIDE INCREASED ACCESS TO SERVICES ON A 24/7 BASIS & WITH TWO PROVIDERS RESPONDING. WE SEEK TO ESTABLISH CO-RESPONSE PROGRAMS WITH ONEIDA COUNTY SHERIFF (OCS) & HERKIMER POLICE DEPARTMENT (HPD), TO EXPAND OUR EXISTING CRISIS RESPONSE TEAM (CRT) WITH THE UTICA POLICE DEPARTMENT (UPD) & CREATE ADDITIONAL CRISIS COUNSELOR (CC) & PEER ADVOCATE POSITIONS WITHIN THE GENERAL MCAT. IN APRIL 2021, TNC'S MCAT IMPLEMENTED A CO-RESPONSE TEAM/CRT WITH UPD TO PROVIDE CRISIS RESPONSE SERVICES EMBEDDED IN THE POLICE DEPARTMENT & TO CONDUCT PROACTIVE COMMUNITY OUTREACH TO HIGH UTILIZERS OF MCAT, UPD & LOCAL HOSPITAL SERVICES. TNC HAS DEMONSTRATED DATA THAT THIS MODEL SIGNIFICANTLY IMPROVED MENTAL HEALTH & SUBSTANCE USE CONNECTION TO & ENGAGEMENT IN ONGOING SERVICES, DECREASED INVOLUNTARY TRANSPORTS/HOSPITALIZATIONS & DECREASED THE USE OF FORCE. WE ANTICIPATE ENGAGING 500 CLIENTS IN THE FIRST YEAR & 2,500 CLIENTS OVER THE COURSE OF THE GRANT. OUR MCAT IS STANDARDIZED TO MEET THE STRINGENT GUIDELINES OF AAS & NSPL. MCAT UTILIZES ASSESSMENTS, INTERVENTIONS, ENGAGEMENT PRACTICES & TOOLS THAT ARE EVIDENCE-BASED & THAT HAVE DEMONSTRATED POSITIVE OUTCOMES, SUCH AS: NSPL SUICIDE RISK ASSESSMENT STANDARDS, NSPL POLICY FOR HELPING CALLERS AT IMMINENT RISK OF SUICIDE, RECOVERY-BASED MODEL, STRENGTHS-BASED MODEL, C-SSRS, MI, SBIRT, CBT & & DBT, ACTIVE ENGAGEMENT, LEAST INVASIVE INTERVENTION. PEERS UTILIZE EBPS LIKE WRAP & THE HOPE SCALE. GOAL 1. INCREASE THE CAPACITY OF MCAT WHILE EXPANDING ACCESS IN HIGH-NEED COMMUNITIES TO PROVIDE IN-PERSON RESPONSE FOR PERSONS IN CRISIS & ADDRESS MENTAL HEALTH & SUBSTANCE USE NEEDS 1.A. 75% OF THE IN-PERSON REQUESTS FOR IN-PERSON CRISIS RESPONSE WILL CONSIST OF 2 MCAT STAFF OR A CRT WITHIN THE FIRST 6 MONTHS OF AWARD 1.B. 80% OF ASSESSMENT REQUESTS WILL BE DISPATCH A CC FOR EITHER VIRTUAL OR IN-PERSON RESPONSE WITHIN 10 MINS OF THE REQUEST WITHIN THE FIRST YEAR OF AWARD FUNDING 1.C. 100% OF THE REQUESTS RESULTING FROM 988 INCREASE CALL VOLUME IN OC/HC THAT REQUEST IN-PERSON ENGAGEMENT WILL RECEIVE AN IN-PERSON MOBILE CRISIS RESPONSE WITHIN THE FIRST YEAR OF AWARD FUNDING 1.D. 100% OF PEER ADVOCATE STAFF WILL SERVE AS SECOND PROVIDER AT IN-PERSON ASSESSMENTS/ENGAGEMENTS WITH MCAT STAFF WITHIN THE FIRST SIX MONTHS OF AWARD TO PROVIDE LIVED EXPERIENCE & SUPPORT AROUND MENTAL HEALTH & SUD 1.E. THE IN-PERSON RESPONSE TIMES TO RURAL REGIONS OF OC/HC WILL DECREASE BY 25% ON A 24/7 BASIS GOAL 2. INCREASE COLLABORATION TO IMPROVE CRISIS STABILIZATION IN THE COMMUNITY FOR ADULTS, CHILDREN, & YOUTH WITH LAW ENFORCEMENT & 911 DISPATCH TO INCREASE DIVERSION RATES FROM EMERGENCY DEPARTMENTS & LAW ENFORCEMENT WHEN NOT NECESSARY 2.A. 100% OF CRT CCS WILL BE TRAINED IN MENTAL HEALTH FIRST AID TO PROVIDE THE TRAINING TO LAW ENFORCEMENT & DISPATCH PERSONNEL ON A BI-ANNUAL BASIS 2.B. TWO NEW CRT WILL BE ESTABLISHED WITH THE USE OF MCAT CCS EMBEDDED IN THE LAW ENFORCEMENT AGENCIES AT OC SHERIFF & HERKIMER PD WITHIN THE FIRST SIX MONTHS OF THE GRANT PERIOD 2.C. A SECOND CC WILL BE ADDED TO THE EXISTING UPD CRT ON AN EVENING SHIFT TO INCREASE THE OUTREACH & ACCESSIBILITY WITHIN THE CITY OF UTICA WITHIN SIX MONTHS OF THE GRANT AWARD 2.D. MCAT WILL INCREASE THE CURRENT 911 OC DISPATCH DIVERSION INITIATIVE BY 20% WITHIN THE FIRST TWO YEARS OF THE GRANT AWARD PERIOD 2.E. CIT TRAINING WILL BE OFFERED TO OC/HC LAW ENFORCEMENT THREE TIMES A YEAR BEGINNING IN THE SECOND YEAR OF THE AWARD PERIOD 2.F. MCAT WILL INITIATE A 911 HERKIMER COUNTY DISPATCH DIVERSION INITIATIVE TO DIVERT 10% OF CALLS WITHIN THE FIRST TWO YEARS OF THE GRANT AWARD PERIOD