COVID-19 Emergency Response for Suicide Prevention Grants - Guidance/Care Center (G/CC) COVID-19 ERSP Project will enhance current programming that prevents suicide and suicide attempts among at-risk adults age 25 and older in the Florida Keys. Since 2014, Monroe County, Florida, home of the Florida Keys, had the highest suicide rate in the state (24.29%). Monroe County, is home to approximately 73,090 people, mostly living on the islands of the Florida Keys. Monroe County residents do not have money to pay for Mental Health services, 48% of the target population is uninsured, 32% are unemployed and another 48% qualify as ALICE (Asset-Limited, Income-Constrained, Employed). The racial makeup of the county was 89.5% White (71.3% Non-Hispanic White), 5.7% Black or African American, 0.4% Native American, 1.1% Asian, 0.1% Pacific Islander, 1.4% from other races, and 1.8% from two or more races. 20.6% of the population were Hispanic or Latino of any race.
The G/CC existing continuum of integrated care is a one-stop shop including substance abuse and mental health services. G/CC provides mental health, crisis and suicide prevention services to persons referred by the police departments, emergency rooms, service providers and self-referrals. The full continuum of care includes assessment, intervention, and treatment services available county-wide at all 3 locations in Key Largo, Marathon, and Key West, as well virtually via G/CC Telehealth. G/CC also is a designated provider for Medicare, Medicaid, Healthy Kids/KidCare and accepts many commercial health insurance plans to assist families. The staggering number of unemployment and uninsured in this, high cost of living community are in desperate need of the proposed mental health services that will be covered by this grant.
Project goals, each with measurable performance objectives are to: Goal 1 - Increase the availability of and access to services to prevent suicide and suicide attempts among adults, aged 25 and older. Objectives include: Providing evidence-based services to 100 individuals across the 16-month funding period with 75% of participants completing services. Goal 2 - Enhance the emotional and social functioning of among adults, aged 25 years or older. Objectives include: 80% of clients completing services having anxiety, depression, or trauma symptoms at admission will exhibit fewer symptoms at discharge, 70% of those will maintain the improvements or show additional decreases at 6-months post admission. 70% of clients having suicide ideation at admission will show decreases in ideation at discharge, 70% of those will maintain the improvements or show additional decreases at 6-months post admission assessed by the Beck Suicide Ideation Scale. 80% of the clients completing services and not having stable living arrangement at admission will have stable living arrangements at discharge, 70% of those will maintain their living arrangements at 6-months post intake. 80% of the clients completing services will have improved social evidenced. 80% of the clients completing services will be in an educational/vocational program, seeking employment, or employed at discharge, 70% will continue to remain enrolled, complete their education/training, or remain employed at 6-months post admission as evidenced by the GPRA.