The KY Department for Behavioral Health, Developmental and intellectual Disabilities is dedicated to enhancing evidenced-based programming for youth and young adults with or at risk of developing serious behavioral health disorders as well as their families. This grant will be titled TAYLRD 2.0 (Transition Age Youth Launching Realized Dreams 2.0) as it is an expansion of Kentucky's 2014 Healthy Transitions Grant entitled TAYLRD.
The TAYLRD 2.0 grant will focus on youth and young adults between 16-25 years old with or at risk of developing serious behavioral health disorders (mental health and/or substance use). An array of behavioral health service and support options will be targeted to the developmental and clinical needs of transition age youth in an environment that is easily accessible and inviting to them. This drop-in center approach to behavioral health care will increase the possibility that young people will receive the right services at the right time.
The KY River Community Care and Communicare, Inc. Community Mental Health Centers (CMHCs) will serve as the local implementation sites. As of 2017, the estimated total population of the 8 county KY River catchment area in eastern Kentucky was 105,732 which included a total population of youth between 16-25 years old of 11,771 (retrieved from Kentucky State Data Center, 11/30/18). KY River served 1,143 youth between 16-25 years old in state fiscal year 2017 including 308 who met the criteria of having a severe emotional disability (SED) or serious mental illness (SMI). The 2017 estimated total population of the 8 county Communicare catchment area in central Kentucky was 274,060 that included a total population of youth between 16-25 years old of 34,830 (retrieved from KSDC, 11/30/18). Communicare served 13,030 youth between 16-25 years old in state fiscal year 2017 including 892 who met criteria of having SED or SMI.
The 2017 Interdepartmental Serious Mental Illness Coordinating Committee (ISMICC) report to Congress indicated that in 2016, 5.9% of 18-25 year olds in the United States had a serious mental illness (SMI). For children, the prevalence of severe emotional disabilities (SED) varied between 6.8% - 11%. In Kentucky in 2017, the penetration rate for TAY with SED or SMI within the CMHCs was 1.5%, and within both the KY River and Communicare CMHC was 2.6% (KY Cabinet for Health and Family Services, 2018), far below the national prevalence rate. Kentucky expects to increase the penetration rate for youth with behavioral health issues within each catchment area by 3% over the course of the grant period.
Kentucky expects to serve 1,304 youth and young adults between 16-25 years old within TAYLRD over the life of the grant with the following breakdown per year per region: KY River (332 total): Year 1=48, Year 2=71, year 3=71, Year 4=71, Year 5=71. Communicare (972 total): Year 1=136, Year 2=209, Year 3=209, Year 4=209, Year 5=209.