Project Grant H79SM087985

PRESTERA ASSERTIVE COMMUNITY TREATMENT PROGRAM - THE PRESTERA ASSERTIVE COMMUNITY TREATMENT INITIATIVE (PACT) ESTABLISHES A HIGH-FIDELITY ACT PROGRAM FOR TRANSITION-AGED YOUTH & ADULTS WITH SMI/SED WITH THE GOAL OF IMPROVING BEHAVIORAL HEALTH OUTCOMES IN KANAWHA & PUTNAM COUNTIES IN WEST VIRGINIA WHOSE POPULATION SUFFERS FROM HIGH OPIOID OVERDOSE DEATH RATES, HIGH RATES OF FOSTER CARE USE & POOR SOCIAL DETERMINANTS OF HEALTH. THE PROJECT WILL SERVE 300 CLIENTS (50 (Y1), 55 (Y2), 60 (Y3), 65 (Y4), 70 (Y5)). PROJECT GOALS (INTERVENTIONS/STRATEGIES) INCLUDE: (1) ESTABLISH A RECOVERY-ORIENTED ACT PROGRAM FOR TRANSITION-AGED YOUTH AND ADULTS WITH SMI OR SED BY (A) DEVELOPING STANDARDIZED POLICIES AND PROCEDURES FOR PROGRAM ADMISSION, SERVICE PROVISION & CARE TRANSITION; (B) EXPANDING WORKFORCE CAPACITY TO PROVIDE ACT TO TRANSITIONAL YOUTH BY HIRING: PROJECT DIRECTOR, THERAPIST, CASE MANAGERS, PROVIDER, NURSE, TEAM LEADER & PEER RECOVERY SUPPORT SPECIALIST; (C) DEVELOPING AN ACT IMPLEMENTATION TRAINING PLAN; (D) IMPLEMENTING THE ACT IMPLEMENTATION TRAINING PLAN; (E) IMPLEMENT THE CORE SERVICES OF AN ACT PROGRAM & (F) ASSESSING THE NEEDS OF CRIMINAL JUSTICE INVOLVED TRANSITIONAL YOUTH IN THE COMMUNITY AND THE NEED FOR ASSOCIATED ADAPTATIONS TO THE ACT MODEL. (2) IMPLEMENT THE ACT PROGRAM TO FIDELITY TO ENSURE HIGH QUALITY SERVICES FOR TRANSITION-AGED YOUTH AND ADULTS WITH SMI OR SED BY (A) HIRING AN ACT EVALUATOR TO EVALUATE THE PROGRAM; (B) DEVELOPING AN EVALUATION PLAN THAT INCLUDES ADHERENCE TO THE HIGH FIDELITY TMACT TOOL; (C) IMPLEMENTING THE EVALUATION PLAN TO ENSURE ADHERENCE TO THE HIGH FIDELITY TMACT TOOL; (D) ENSURING THAT ALL ACT SERVICES ARE PROVIDED IN LINE WITH ORGANIZATIONAL POLICIES AND PROCEDURES VIA THE TMACT HIGH-FIDELITY TOOL & (E) COMPLETING A TMACT FIDELITY ASSESSMENT REVIEW & ACT EVALUATION ANNUALLY. (3) IMPROVE BEHAVIORAL HEALTH OUTCOMES FOR TRANSITION-AGED YOUTH AND ADULTS WITH SMI OR SED BY (A) SERVING 300 CONSUMERS; (B) EMPOWERING CONSUMERS TO EXHIBIT A STATISTICALLY SIGNIFICANT DECREASE IN SUBSTANCE MISUSE AT 6-MONTH FOLLOW-UP; (C) EMPOWERING CONSUMERS TO HAVE STATISTICALLY SIGNIFICANT IMPROVEMENT IN NOMS MENTAL HEALTH OUTCOMES AT 6-MONTH FOLLOW-UP; (D) EMPOWERING CONSUMERS TO HAVE STATISTICALLY SIGNIFICANT REDUCTION IN PSYCHIATRIC HOSPITALIZATION USAGE AT 6-MONTH FOLLOW-UP; (E) EMPOWERING CONSUMERS TO HAVE STATISTICALLY SIGNIFICANT IMPROVEMENT IN COMMUNITY INVOLVEMENT AT 6-MONTH FOLLOW-UP; (F) EMPOWERING CONSUMERS TO REMAIN IN TREATMENT FOR AT LEAST 6-MONTHS THROUGHOUT THE LIFE OF THE GRANT; (G) MONITORING DISPARITY GROUP OUTCOMES TO ENSURE EQUAL ACCESS/SERVICE/OUTCOMES/RETENTION & (H) ESTABLISHING CULTURALLY COMPETENT REFERRAL PATHWAYS FOR AFRICAN AMERICAN & LGBTQI+ YOUTH. (4) MAINTAIN THE ACT PROGRAM FOR TRANSITION-AGED YOUTH AND ADULTS WITH SMI OR SED BY (A) FORMING AN ACT STAKEHOLDER GROUP OF KEY COMMUNITY STAKEHOLDERS; (B) DEVELOPING A CONTINUITY OF OPERATIONS AND SUSTAINABILITY PLAN & (C) WORKING WITH MEDICAID TO IDENTIFY OUTCOMES REQUIRED TO SUSTAIN THE PROGRAM.