Saturday, December 21, 2024
12/21/2024
Implementing a Zero Suicide Project in a Behavioral Health System: The Jewish Board (TJB) proposes to implement the Zero Suicide model in its outpatient behavioral health system of care (treatment, supportive housing, care management, intake) that annually serves 11,493 New York City residents 18 years and older who have a mental illness and are primarily low-income people of color with historic disparities in accessing evidence-based services. Number of Unduplicated Individuals to be Served: Year 1 - 4,185 Year 2 - 7,605 Year 3 - 10,328 Year 4 - 12,096 Year 5 13,809 Total - 48,022 The population of focus are over 15,000 adult residents of New York City (NYC) who annually participate in/seek out mental health (MH), substance use (SU) rehabilitation, supportive housing and/or care management services provided by TJB. Virtually all will have a MH condition and/or SU disorder; with 89% having a serious mental illness (SMI). Two-thirds live in Brooklyn (34%) and The Bronx (30%). The POF reflects NYC's racial diversity with 28% Black, 34% White, 30% Hispanic, 2% Asian, and 6% other/unknown. Two-thirds (61%) identify as female. Adult clients span age cohorts with 28% young adults 18-29 years, 51% adults 30-59, and 21% older adults 60+. The POF is lower income with 17.5% on Medicaid and Medicare/Medicaid, 63% on Medicare, and 12% uninsured. From January 2018-February 2023, 20 TJB clients died by suicide and 166 TJB clients had 207 reported suicide attempts. The service area will be the 5 boroughs of NYC where TJB operates a continuum of community-based BH programs that are located in and serve New Yorkers from underserved communities. Strategies: The proposed project will implement the Zero Suicide (ZS) model on a rolling basis over the 5-year project throughout its BH system. Targeted programs are as follows: 10 NYS-licensed outpatient MH clinics serving 8,353 adults (2 are CCBHCs); 1 NYS-certified outpatient SUD program (just launching); 3 PROS (Personalized Recovery Oriented Services) programs (543 clients); 5 ACT Teams in Brooklyn/Manhattan (297 clients); supportive housing for 1,200 adults with SMI; care management for 1,1000 adult Medicaid beneficiaries with serious BH conditions and/or HIV/AIDS; and TJB's single BH point of access-One Call-that works with 3,850 individuals with emotional distress and/or crises who seek behavioral health (BH) services. Interventions: The project will enable TJB's BH system of care to change its culture with respect to suicide prevention and intervention by implementing system-wide suicide care pathways that advance three overarching goals to save lives: (1) Improve early identification of suicide ideations and other suicide risks among TJB's racially and ethnically diverse adult BH clients; (2) Expand system-wide access to evidence-based, timely interventions, including safety planning and specialty treatment modalitieis (e.g., CBT-SP, DBT) for those at risk of suicide; and (3) Build on-going organizational capacity that is sustainable after the grant to provide high quality suicide prevention and intervention services to adult BH clients and eventually to children/adolescents. Measurable Objectives include (1) Over 5 years, 759 clinical/non-clinical staff will be trained in suicide risk screening/assessment (S/A) Stanely-Brown Safety Planning and CALM and 80 clinical staff in CBT-SP and/or DBT; (2) 75% of clients will be S/A in the 12 months following the completion of staff training; 90%+ of clients will be S/A annually systemwide after 5 years. (3) 80%+ high risk clients will complete or have been offered help to complete safety plans; (4) 70%+ high risk clients who could benefit from treatment will be connected to TJB or other specialized clinical services. (5) TJB will reduce suicide attempts/deaths by two-thirds through system-wide implementation of suicide-related policies/protocols/suicide care pathways that are rigorously monitored for adherence and client outcomes.
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).