Saturday, May 4, 2024
5/4/2024
Centerstone’s Crisis Center Follow-Up Program (C-CCFP) will expand efforts within Centerstone’s 988 Lifeline Crisis Center, which provides follow-up in 20 primary, mainly rural counties and backup in 2 secondary, urban counties in Tennessee. C-CCFP will develop infrastructure to support engagement post-crisis in enhanced follow-up and support/linkages for consenting persons from an anticipated 10,010 Lifeline callers (Y1:2,730; Y2-3: 3,640/yr.). Focus population demographics/socioeconomics are expected to mirror those of the primary catchment area (e.g., nearly 50% male; 50% female; 82% White; 9% Black; 7% Hispanic/Latino individuals; 13% in poverty). The secondary area comprises a greater percentage of racial/ethnic minorities and persons in poverty. C-CCFP will serve subpopulations from among the areas’ rural residents (537,230); Veterans (148,500); minority communities (e.g., 1,028,245 racial/ethnic minorities and/or 95,570 LGBT adults/youth); and criminal justice population (e.g., 13,785 juvenile court youth; 7,530 released jail inmates). From 2016-18, catchment area calls to the National Suicide Prevention Lifeline increased by 73%, and since 988’s launch in July 2022, Centerstone has received 6,000+ calls, with 23% reporting suicidal thoughts. Catchment area populations at high-risk of suicide include an estimated 5% (96,480) of adults and 13% (24,920) of youth ages 12-17 who had suicidal thoughts. Subpopulations at heightened risk of suicide include an estimated 4,455 of Veterans, 10,983 of LGB adults, and 770 adults on probation with serious thoughts of suicide. C-CCFP’s enhanced follow-up protocols will be guided by evidence-based strategies/best practices such as SAMHSA’s standards and the National Guidelines for Behavioral Health Crisis Care and will include evidence-based approaches such as the Columbia-Suicide Severity Rating Scale for screening; Stanley Brown for safety planning; and Motivational Interviewing to encourage service access/engagement. C-CCFP’s goals include: (1) Develop a sound infrastructure and increased capacity to deliver enhanced crisis follow-up services; (2) Increase coordination between and capacity within members of the local crisis care continuum; (3) Implement systematic enhanced post-crisis follow-up services for a minimum period of 90 days up to 12 months to support suicidal individuals post-988 contact; (4) Improve continuity of care, safety, and well-being outcomes among individuals at risk of suicide following contact; and (5) Develop/disseminate a documented service model for agency-wide and national replication/ adoption. As a result of these goals, C-CCFP will achieve the following measurable crisis workforce and capacity building objectives: hire/train 3 project staff, to include peers, in culturally responsive care, intersections of service access/social determinants of health; develop/formalize partnerships with 40 local crisis continuum providers and 22 post-crisis recovery support providers; share program processes with state personnel semi-annually; establish data sharing agreements with 1 epidemiological records team; work to establish a partnership with 3 area mobile crisis outreach and 3 short-term crisis stabilization organizations; and offer training to 300 Centerstone and other crisis workforce members. C-CCFP will achieve the following measurable participant-related objectives: Enroll 100% of consenting persons in follow-up; initiate follow-up within 24 hours for and request documented consent from 100%; provide initial screening, safety planning, and referral to crisis/post-crisis recovery services for 100%; conduct 3+ follow-up attempts and complete 2+ follow-up connections per participant; increase number accessing services by 50%; achieve 0 suicide deaths and 0 attempts among those engaging in services; achieve annual percentage of contacts requiring police engagement of 5%; and improve mental health/disposition outcomes by 70%.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
