Healthy Transitions - Community Alliance’s Healthy Transitions project, in collaboration with our local behavioral health authority, Region 6 Behavioral Healthcare and other key partners, will improve and expand services and supports for transition-aged youth and young adults (ages 16-25) in Douglas and Sarpy counties, Nebraska who either have, or are at risk of developing serious mental health conditions.
We will help maximize the potential of our population of focus (POF) to assume adult roles and responsibilities and lead full, productive lives by collaboratively working towards the following goals and objectives: (1) Through the establishment of coordinating structures at system and agency levels, the development of interagency and intra-agency agreements concerning services to the POF, and the development of a well-represented and well-informed advisory council, improve system coordination so that the POF routinely receive the services and supports they need. At least 51% of the advisory council will include youth, young adults, and family members and by Year 2, the advisory committee will establish a peer-led evaluation team. (2) Based on findings from a system needs assessment, build a multi-year plan for filling in service and care coordination/navigation gaps for the POF and identify the trainings that will be needed to support the development of services and coordination activities. (3) Develop reliable referral pathways to vital evidence-based practices and other services within the youth-serving and adult-serving behavioral health systems, including for youth aging out of child/youth systems. (4) Develop a centralized care coordination resource that draws on current best practices to ensure the POF, particularly those with multi-system involvement or who are aging out of youth systems, promptly access necessary behavioral health services, including evidence-based and team approaches such as Coordinated Specialty Care (CSC) for transition-aged youth with first episode psychosis and Critical Time Intervention. (5) Promote the dissemination and adoption of added suicide prevention best practices as well as better coordination of existing programs. (6) Enhance Community Alliance’s supported employment services to include supported education and increase supported employment service utilization by the POF. (7) Strengthen family education and family support services for individuals in the POF who are receiving behavioral health services. (8) Improve outcomes among the POF across multiple domains and increase their opportunities to enjoy meaningful adult lives in the community. (9) Develop better alignment and use of funding streams to ensure sustainability of a strengthened, better coordinated and more effective service system for the POF.
Over 5 years, we will provide outreach services to at least 1,000 unduplicated members of the POF. CA and partners will screen a minimum of 80 unduplicated members of the POF in Year 1, 120 in both Years 2 and 3, and 160 in both Years 4 and 5, resulting in enrollment and service to 40 unduplicated individuals in Year 1, another 60 in each of Years 2 and 3, and then 80 in each of Years 4 and 5, for a 5-year total of 320 members of the POF.