INTEGRATION OF CHILDREN'S MENTAL HEALTH (CMHI) AND ESSENTIAL SUPPORT SERVICES FOR YOUTH AND YOUNG ADULTS IN MILWAUKEE COUNTY - MILWAUKEE COUNTY BEHAVIORAL HEALTH SERVICES, WRAPAROUND MILWAUKEE SUBMITS THIS APPLICATION FOR $3,999,186 TO ADDRESS THE DISPARITY OF SERVICES WITHIN THE SYSTEM OF CARE (SOC) FOR CHILDREN AND YOUNG ADULTS AT RISK FOR OR WITH SED. THE FOCUS POPULATION ARE YOUTH, 12-19 YEARS OF AGE, WITH MULTIPLE DIAGNOSIS INCLUDING SED, AUTISM, AND DEVELOPMENTAL, PHYSICAL, OR EMOTIONAL DISABILITIES AND WHO ARE CO-ENROLLED IN WISCONSIN'S CHILDREN'S LONG-TERM SUPPORT (CLTS) AND COMPREHENSIVE COMMUNITY SERVICES (CCS) PROGRAMS. SERVICES WILL BE DELIVERED IN THE GEOGRAPHIC CATCHMENT AREA OF MILWAUKEE COUNTY WITH A POPULATION OF 952,085. THE PROJECT PROPOSES TO SERVE 50 UNDUPLICATED INDIVIDUALS THROUGHOUT THE LIFETIME OF THE PROJECT. STRATEGIES AND INTERVENTIONS INCLUDE: CONDUCTING A NEEDS ASSESSMENT IDENTIFYING RACIAL AND ETHNIC HEALTH DISPARITIES, SPECIALIZED CULTURAL AND LINGUISTIC NEEDS, CURRENT CONDITIONS, AND DESIRED SERVICES OR OUTCOMES FOR CLTS/CCS YOUTH WITH COMPLEX DIAGNOSIS; MODIFYING THE EVIDENCE-INFORMED COORDINATED SPECIALTY CARE (CSC) MODEL TO PROVIDE LOW-BARRIER ACCESS TO SPECIALIZED CLINICAL PROVIDERS FOR TEAMS CLTS/CCS YOUTH WITH COMPLEX DIAGNOSIS; ADAPTING THE CSC FIDELITY TOOL TO REFLECT THE NEEDS OF CLTS/CCS YOUTH WITH COMPLEX DIAGNOSIS; PROVIDING CHILD-SERVING SYSTEM CROSS-TRAINING FOR CCS AND CLTS PROVIDER NETWORKS FOCUSING ON THE INTEGRATED NEEDS OF CLTS/CCS YOUTH WITH COMPLEX DIAGNOSIS; IMPLEMENTING AN EVIDENCE-BASED SCREENING TOOL TO IDENTIFY PROBLEMATIC SUBSTANCE USE; PROVIDING WORKFORCE TRAINING FOR CCS, CLTS, AND WRAPAROUND MILWAUKEE HMO PROVIDER NETWORKS IN THE EVIDENCE-INFORMED PRACTICES TO BETTER ENGAGE YOUTH AND FAMILIES, AND RESOLVE COMPLEX AND COD, INTERRELATED PROBLEMS; AND CONDUCTING SELF-ASSESSMENTS OF THE STRENGTHS AND NEEDS OF THE SOC PRINCIPLES AND INFRASTRUCTURE FOR CLTS/CCS YOUTH WITH COMPLEX DIAGNOSIS. PROJECT GOALS ARE TO: EXPAND THE USE OF EVIDENCE-BASED PRACTICES (EBP) PROGRAMS, AND SERVICES; IMPROVE THE SOC CHILD-SERVING PARTNERSHIPS; FOCUS ADDITIONAL ATTENTION ON CO-OCCURRING MENTAL AND SUBSTANCE MISUSE, SUBSTANCE USE DISORDERS (COD); AND PROMOTE SOC EXPANSION AND SUSTAINABILITY. MEASURABLE OBJECTIVES ARE TO: CONDUCT A NEEDS ASSESSMENT TO ADDRESS SERVICE DELIVERY GAPS FOR 101 YOUNG ADULTS, AGES 12-19, WITH SED AND SIGNIFICANT DEVELOPMENTAL, PHYSICAL, OR EMOTIONAL DISABILITIES; PROVIDE EVIDENCE-INFORMED AND CULTURALLY APPROPRIATE MENTAL HEALTH SERVICES FOR TEAMS OF 14 CLTS/CCS YOUTH WITH COMPLEX DIAGNOSIS; ADVANCE CROSS-SECTOR SYSTEM RELATIONSHIPS TO PROVIDE COLLABORATIVE SERVICES FOR THE TARGET POPULATION; DEVELOP A WELL TRAINED WORKFORCE TO BETTER ENGAGE YOUTH AND FAMILIES, AND RESOLVE COMPLEX, INTERRELATED PROBLEMS; IMPROVE THE IDENTIFICATION OF, AND SERVICES FOR, YOUTH WITH COD; AND ASSESS THE STRENGTHS/NEEDS OF SOC PRINCIPLES AND INFRASTRUCTURE FOR CLTS/CCS YOUTH WITH COMPLEX DIAGNOSIS. ANTICIPATED OUTCOMES INCLUDE: INTEGRATION OF NEEDS ASSESSMENT RESULTS INTO THE PROJECT'S OVERALL PLAN AND APPROACHES; DEVELOPMENT AND IMPLEMENTATION OF AN INTEGRATED CARE COORDINATION MODULE FOR CCS/CLTS YOUTH; CSC MODEL FIDELITY; IDENTIFICATION OF YOUTH AT RISK OR WITH A SUD AND REFERRALS TO SERVICES; AND A WELL-TRAINED WORKFORCE IN MENTAL HEALTH AND RELATED PRACTICES.