The proposed FRUITION System of Care will serve 7 rural underserved Northeastern Mississippi counties (Benton, Chickasaw, Itawamba, Lee, Monroe, Pontotoc and Union) to support the implementation, expansion, and integration of the SOC approach by creating sustainable infrastructure and services. The SOC will improve mental health outcomes for children and youth, birth through age 21, children and youth with serious emotional disturbance and those with early signs and symptoms of serious mental illness, including first episode psychosis and their families by focusing on mental health and related recovery support services, sustainable financing, cross-agency collaboration, EBPs: TF-CBT; Wraparound; Youth-Guided/Family Driven-Peer/Family Supports; FEP; Person Centered Planning; Active Parenting; First Episode of Psychosis: Mental Health First Aid; Youth Mental Health First Aid; QPR; ASIST; Safe Zone-LGBTQ; and enhanced policy and infrastructure with youth-guided and family driven leadership. Project Name: FRUITION System of Care. Populations served: Birth to 21 age; 45% African American; 1% Hispanic; 2% Multi-racial; 1% Native American; 1% Asian and 1% LGBTQ; 85% at, or below poverty level; 10% between (0-5); 90% 6-21 age; 50% child welfare involved. Strategies: FRUITION System of Care seeks to expand trauma-informed, cultural and linguistically appropriate EBPs, supports and policies with a cross-agency approach of coordinated service delivery and integration of mental health services, ensuring effective cross-agency expansion and the provision of mental health and related recovery support services to participants with SED and those with early signs of SMI, including FEP to include an array of non-mental health supports, i.e. vocational counseling, afterschool programming, health-related services, substance abuse prevention, stable housing, independent living skills and advocacy. Each participant will work with a care team that facilitates the identification and implementation of an individualized service plan in partnership with the child/youth, family, natural supports and professional supports to achieve their personal goals. FRUITION System of Care will develop a cross-agency infrastructure through an integrated system of care and ensure national and local evaluation and performance assessments are conducted. Goals: 1) Expand Region 3 Mental Health cross-agency collaboration to serve SED individuals and those with early signs and symptoms of SMI, including FEP; 2) Provide a broad array of accessible and coordinated services/supports; 3) Ensure individualized, managed care; Plan, deliver, and evaluate these services with the full participation of families and youth in a culturally and linguistically sensitive manner; and 4) Facilitate broad-based, sustainable systemic support for the population of focus. Objectives: Annually and over 4-years: 1) 80% of participants will improve diagnosis; 2) 80% of participants improved mental illness symptomatology; 3) 80% of participants will improve employment/education; 4) 80% of participants will reduce criminal justice involvement; 5) 80% of participants will improve stability in housing; 6) 80% of participants will reduce readmission to psychiatric hospitals; 7) 80% of participants will improve social support/social connectedness; and 8) 85% of participants will report a high client perception of care. # served: 100 in Year(s) 1-4, totaling 400 in 4 years.
