Project Name: Southwestern Behavioral Healthcare, Inc. (SBH) CCBHC Improvement and Advancement Grant 2022 Summary: We will expand our 24/7/365 crisis intervention services offered by our CCBHC to include treatment for adults experiencing substance use disorder (SUD), support services for youth/families in crisis, and additional training for staff to work with individuals with intellectual and developmental disabilities (IDD). Strategies/Interventions: In year 1, we will provide training for staff on SUD crisis intervention. Protocols for community intervention for those in substance use crisis with law enforcement will be developed. Partnerships with local hospitals will be enhanced to facilitate a “warm” handoff from the emergency room SUD crisis to SBH’s crisis team. Our mobile unit will be equipped, and staff will be trained to use Narcan. A workflow will be developed to guide engagement with those served by the crisis team and assist in connecting individuals with appropriate treatment. In years 1 and 2, we will identify child and family-specific training and interventions for families in crisis for use by the mobile team. Training materials and a mobile team family crisis “toolkit” to bring to homes will be developed. We will train all crisis teams in EBP interventions to assess and intervene with families in crisis. We will enhance partnerships with the Department of Child Services (DCS) to assure seamless referrals and the use of SBH’s specialized team for families with MH/SUD crises. A workflow for youth in crisis will be developed with law enforcement guidance for mobile crisis teams to divert juvenile detention. We will also establish a workflow for ongoing engagement with families who receive services from the crisis team to assist with ongoing support and treatment engagement. In years 3 and 4, we will partner with the Easterseals Rehabilitation Center to train crisis services staff on unique issues in working with people in crisis with IDD and their families. Specialized protocols will be developed for working in co-response with law enforcement when deployed to work with clients with IDD in crisis. Partnerships with local hospitals will be enhanced to facilitate a “warm” handoff from emergency services to the crisis team for ongoing engagement, support, case management, and referrals. A workflow will be developed to guide continuing engagement with clients and their families to assure connection to appropriate treatment and resources. All program enhancements described will be part of a community-wide marketing campaign focusing on crisis support for youth and families through schools, DCS, medical settings, tv/radio, bus wraps, and other social service agencies. Project Goals: We will increase treatment and improve outcomes for individuals experiencing SUD, expand crisis services, improve outcomes for youth and families of youth, and increase staff capacity to treat and improve outcomes for individuals with IDD. Objectives: From the initial NOMS assessment to the 6-month NOMS reassessment, 75% of clients with a SUD diagnosis will improve mental health functioning; 75% of clients with a SUD diagnosis will decrease substance use; 75% of clients with a SUD diagnosis will improve social connectedness, and 75% of clients with SUD diagnosis will improve overall health. 75% of youth clients will improve mental health, and 75% will improve social connectedness from the initial NOMS assessment to the 6-month reassessment. 75% of staff members receiving training will increase self-efficacy around providing services to IDD populations from pre to post-training surveys. 75% of clients with an IDD will improve mental health functioning from the initial NOMS assessment to the 6-month NOMS reassessment. Numbers Served: The total unduplicated number of individuals to be served with grant funding is 4,700 (Y1), 5,170 (Y2), 5,687 (Y3), and 6,256 (Y4).