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Redesign of the Psychiaric Crisis Service System of Care (SOC) for Youth and Young Adults in Milwaukee County.

Award Number: H79SM082192
ORGANIZATION: CENTER FOR MENTAL HEALTH SERVICES
OPDIV: SAMHSA
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 09/30/2019
PERIOD OF PERFORMANCE END DATE: 09/29/2023

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Redesign of the Psychiaric Crisis Service System of Care (SOC) for Youth and Young Adults in Milwaukee County. - The Milwaukee County Behavioral Health Division (BHD) Wraparound Milwaukee (WM) submits this application for $3,998,092 (over 4 years) to support the redesign and implementation of the psychiatric crisis service system of care (SOC) for youth and young adults by expanding early intervention, prevention, response, and postevention services, while also working to enhance the crisis SOC for youth and their caregivers through infrastructure development. With the impending outsourcing of BHD’s inpatient services and the scheduled closure of the county’s Mental Health Complex in June 2021 (including Psychiatric Crisis Services (PCS), BHD’s psychiatric emergency department), the population to be impacted are youth and young adults, ages 4-18, and their caregivers accessing crisis services through PCS, in addition to the ongoing and future needs of this population of youth and young adults. Services will be delivered in Milwaukee County as the geographic catchment area, with an urban population of 952,085. Based on enrolling new youth and families in the WM SOC following PCS admission, the projected number of unique consumers to be served through direct service delivery are: Year 1, 67; Year 2; Year 3; and Year 4, 90; 337 consumers throughout the project lifetime. Strategies and interventions include implementing a PCS-based Youth Clinical Resource and Referral Coordinator; enhancing evidence-based youth and caregiver screening and assessment tools in PCS and WM SOC enrollment; initiating Youth Team Connect (clinician and peer/parent peer specialists) for post-PCS follow-up; expanding crisis response services such as Youth Crisis Assessment Response Teams and a 23-hour stabilization unit; and the development and implementation of early intervention, prevention, and postvention community-based strategies. Project goals are to expand the system of crisis care through service delivery for youth and young adults currently accessing crisis services through PCS; and to enhance and sustain the system of crisis care through infrastructure development prior to and beyond PCS closure. Measurable objectives are to: (1) facilitate access to crisis response services and supports for youth and young adults admitted to PCS; (2) provide evidence-based and evidence-informed mental health services and related recovery support services for youth and caregivers newly enrolled in WM SOC; (3) implement additional community-based crisis response services through multi-system collaboration; (4) better understand the needs, system gaps, and experiences of youth and young adults and their caregivers accessing crisis services; (5) develop the workforce capacity and competence of SOC crisis services partners; (6) practice data-informed decision-making to guide strategies in building, and transitioning to, a community-based crisis SOC continuum for youth and young adults and caregivers; (7) improve the SOC linkages and coordination with other child serving systems; and (8) apply the strategic financing plan to community-based crisis services. The proposed project focuses on building stronger system partnerships between law enforcement, education, healthcare, and county programs for youth with significant behavioral health challenges.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = -$10,663 )
2024	2022	COUNTY OF MILWAUKEE	1220 W VLIET ST	MILWAUKEE	WI	53205	MILWAUKEE	USA	Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (SED)	000	4	3/14/2024	NON-COMPETING CONTINUATION	-$10,663
														Subtotal = -$10,663

Issue Date FY: 2022 ( Subtotal = $999,075 )
2022	2022	MILWAUKEE COUNTY, WISCONSIN	9455 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (SED)	001	4	8/26/2022	NON-COMPETING CONTINUATION	$999,075
2022	2021	MILWAUKEE COUNTY, WISCONSIN	9455 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (SED)	000	3	10/8/2021	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
														Subtotal = $999,075

Issue Date FY: 2021 ( Subtotal = $999,889 )
2021	2021	MILWAUKEE COUNTY, WISCONSIN	9455 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (SED)	002	3	7/22/2021	NON-COMPETING CONTINUATION	$999,889
2021	2020	MILWAUKEE COUNTY, WISCONSIN	9455 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (SED)	000	2	1/5/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	MILWAUKEE COUNTY, WISCONSIN	9455 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (SED)	001	2	7/13/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $999,889

Issue Date FY: 2020 ( Subtotal = $999,627 )
2020	2020	MILWAUKEE COUNTY, WISCONSIN	9455 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (SED)	003	2	7/27/2020	NON-COMPETING CONTINUATION	$999,627
2020	2019	MILWAUKEE COUNTY, WISCONSIN	9455 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (SED)	001	1	10/10/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	MILWAUKEE COUNTY, WISCONSIN	9455 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (SED)	002	1	7/17/2020	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
2020	2019	MILWAUKEE COUNTY, WISCONSIN	9455 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (SED)	000	1	10/2/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $999,627

Issue Date FY: 2019 ( Subtotal = $999,501 )
2019	2019	MILWAUKEE COUNTY, WISCONSIN	9455 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	9/10/2019	NEW	$999,501
														Subtotal = $999,501

Grand Total All Awards = $3,987,429

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Redesign of the Psychiaric Crisis Service System of Care (SOC) for Youth and Young Adults in Milwaukee County.

Award Number: H79SM082192

ORGANIZATION: CENTER FOR MENTAL HEALTH SERVICES

OPDIV: SAMHSA

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 09/30/2019

PERIOD OF PERFORMANCE END DATE: 09/29/2023

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