Thursday, November 21, 2024
11/21/2024
Centerstone ACTion will serve 45 unduplicated adults (18+) with serious mental illness (SMI), including those with co-occurring substance use disorder (COD), who are homeless, and/or involved in the criminal justice system in Manatee and Sarasota counties, Florida (Yr 1: 15; Yr 2-3: 10 annually; Yrs 4-5: 5 annually). ACTion expands and maintains ACT delivery, providing all core model components, including comprehensive screening/assessment, crisis intervention, recovery support services, behavioral health treatment, and care coordination. ACTion’s focus population comprises an anticipated 26,573 (3.3%) catchment area adults with SMI. Focus population demographics are expected to mirror those of Centerstone clients with SMI in the catchment area, with 42% male, 58% female, 76% White, 11% African American, 3% Asian, and 10% Hispanic; 35% are expected to live below poverty and 9% to speak a primary language other than English. Among individuals with SMI, 85% experience unemployment, 36% have less than a high school education, and 14% identify as LGBT. Subpopulations include 7,972 of the focus population who have an SUD, 151 who experience homelessness, and/or 4,260 who are involved in the criminal justice system. In 2017, over 30% of Centerstone clients with SMI had a COD, with 10% experiencing an opioid abuse disorder. Florida has the nation’s 3rd largest homeless population with a mental illness; an estimated 46% of homeless individuals experience SMI and/or SUD. Catchment corrections serve 21,300 offenders, including an estimated 4,260 with SMI, 13,900 with SUD, and 10,440 with COD; only 7% with COD access treatment. ACTion will provide ACT services/interventions according to fidelity, including maintaining a multidisciplinary ACT team to deliver time-unlimited services that are available 24/7. ACT services will be delivered according to the evidence-based SAMHSA KIT, within a Recovery-Oriented System of Care and utilizing a trauma-informed approach. Key ACTion strategies/interventions include community collaborations; development of program standards; outreach/engagement; assembly of ACT Advisory Group; screenings/assessments to screen for COD, crisis, tobacco use, etc. and assess for health conditions and needed supports; development of Individual Recovery Plan; provision of crisis intervention; provision of SMI/COD treatment/interventions/supports, illness management and recovery, case management/care coordination (primary care, tobacco cessation, etc.), peer supports, and other recovery supports (e.g., stable housing, employment assistance, benefits enrollment, activities of daily living); sustainability planning; and dissemination of comprehensive evaluation. ACTion goals include: Implement a comprehensive ACT project; Develop infrastructure and capacity to expand/maintain a comprehensive service continuum; Improve clients’ health/social status/outcomes; and Develop/disseminate a replicable service model. ACTion will achieve the following measurable objectives: Conduct outreach to 250 individuals to increase participation in/access to services; provide training/workforce development for 100 ACT team members/community providers; Reduce mental health symptomatology by 50%; Reduce substance use by 65%; Provide 100% in need with resources to identify/secure stable housing and employment; Reduce costly service utilization/hospitalization by 40%; Reduce involvement with the criminal justice system by 60%; Reduce tobacco use by 10% among those receiving tobacco cessation services; Improve independent living skills among 80%; Increase social connectedness among 70%; and Achieve 80% participant retention. ACTion has secured commitments from partners dedicated to the project’s success and will collaborate with local providers, courts, social service agencies, and other stakeholders.
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).
