Westchester Jewish Community Services Inc

SAMHSA FY 2022 CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC IMPROVEMENT AND ADVANCEMENT - AS A CCBHC-IA GRANT AWARDEE, WESTCHESTER JEWISH COMMUNITY SERVICES (WJCS) WILL EXPAND AND ENHANCE OUTREACH, ENGAGEMENT, AND INTEGRATED BEHAVIORAL HEALTH AND TRAUMA TREATMENT FOR INDIVIDUALS WITH SUBSTANCE USE DISORDER (SUD) AND YOUTH AGES 5-18 WITH BH CONDITIONS SUCH AS SERIOUS EMOTIONAL DISORDER (SED) WHO HAVE EXPERIENCED TRAUMA, WITH A PARTICULAR FOCUS ON BLACK AND LATINX COMMUNITIES AND LGBTQ+ YOUTH. WJCS’ PROJECT GOALS ARE TO: (1) INCREASE THE NUMBER OF CHILDREN AND ADOLESCENTS SERVED, INCLUDING BLACK, LATINX, AND LGBTQ+ YOUTH; (2) INCREASE THE NUMBER OF INDIVIDUALS WITH SUD OR CO-OCCURRING DISORDERS (COD) SERVED; (3) INCREASE THE NUMBER OF CLIENTS SCREENED FOR HEALTH-RELATED SOCIAL NEEDS (HRSN); (4) TRAIN STAFF TO IMPLEMENT EBPS THAT ADDRESS THE NEEDS OF OUR POPULATIONS OF FOCUS; (5) IMPROVE EBP FIDELITY MAINTENANCE QI PROCESS; AND (6) ENHANCE THE INCLUSIVENESS OF OUR SERVICES FOR LGBTQ+, BLACK, AND LATINX CLIENTS. WE PLAN TO ADDRESS THESE GOALS BY STRATEGICALLY AND PROACTIVELY OUTREACHING AND ENGAGING YOUTH THROUGH OUR SCHOOL-BASED SATELLITE CLINICS AND CENTER LANE PROGRAM FOR LGBTQ+ YOUTH AND CONDUCTING A BRIEF SOCIAL-EMOTIONAL WELLNESS SCREENING TO INCREASE REFERRALS TO OUR CCBHC CLINICS. WE WILL ALSO: (1) LEVERAGE OUR TRAINING INFRASTRUCTURE TO INCREASE THE NUMBER OF STAFF TRAINED IN ENCOMPASS AND COMMUNITY REINFORCEMENT AND FAMILY TRAINING (CRAFT) BY 60%, EBPS THAT FOCUS ON YOUTH AND ADULTS WITH SUD OR COD; (2) INCREASE STAFF TRAINED IN LGBTQ+ SENSITIVITY BY 90%; AND (3) INCREASE THE SHARE OF STAFF WHO ARE BLACK AND LATINX IN BOTH SITES BY 50% TO ENSURE OUR STAFF ARE REPRESENTATIVE OF THE POPULATIONS WE ARE SERVING. WE WILL IMPROVE OUR CLIENT ASSESSMENT PROCESS BY EXPANDING OUR HRSN SCREENING TO ALL CLIENTS, ASSESS FOR RISK, AND MAINTAIN A LOG OF HIGH-RISK INDIVIDUALS TO RECEIVE ENHANCED ATTENTION - WE WILL INCREASE THE NUMBER OF CLIENTS SCREENED FOR HRSN BY 50% OVER BASELINE IN BOTH SITES BY YEAR 2 AND BY 75% OVER BASELINE BY YEAR 4. TO IMPROVE EBP FIDELITY, WE WILL ENHANCE OUR UTILIZATION REVIEW PROCESS TO REVIEW 25% OF ALL CLIENT CHARTS ANNUALLY TO CHECK FOR APPROPRIATE ASSESSMENTS, QUALITY OF DOCUMENTATION, AND ENSURE THAT WE ARE PROVIDING THE HIGHEST STANDARD OF CARE TO OUR CLIENTS. WE WILL ALSO IMPROVE THE PROCESS FOR MAINTENANCE OF EBP FIDELITY BY CONDUCTING AN ANNUAL CHART REVIEW ON A RANDOM SAMPLE OF 20% OF CLIENTS RECEIVING DIALECTICAL BEHAVIOR THERAPY (DBT) TO ENSURE FIDELITY TO THE MODEL AND BY VERIFYING THAT 85% OF STAFF PROVIDING EBPS SUCH AS DBT OR TF-CBT HAVE UNDERGONE INTENSIVE TRAINING AND RECEIVE WEEKLY SUPERVISION ON THE MODEL. WE WILL COLLABORATE WITH SUN RIVER FQHC AND MOUNT VERNON NEIGHBORHOOD HEALTH CENTER TO PROVIDE PRIMARY CARE SERVICES, INCLUDING ONGOING MONITORING OF HEALTH NEEDS, VACCINATIONS, HIV, AND HEP SCREENINGS AND CARE AND TO REFER CLIENTS TO OUR CCBHC SITES WHEN THEY IDENTIFY INDIVIDUALS WHO NEED MORE SUPPORT FOR THEIR BH NEEDS. WE WILL ALSO PARTNER WITH THE GUIDANCE CENTER FOR ACT SERVICES AND THE HUMAN DEVELOPMENT SERVICES OF WESTCHESTER TO PROVIDE SOCIAL SUPPORT OPPORTUNITIES. DURING THE GRANT PERIOD, WE WILL SEEK TO INCREASE THE NUMBER OF CHILDREN/ADOLESCENTS SERVED BY 25%, BLACK, LATINX, AND LGBTQ+ YOUTH BY 50%, AND INDIVIDUALS WITH SUD OR COD BY 50%. THE PROJECT WILL SERVE 350 UNDUPLICATED INDIVIDUALS IN THE FIRST YEAR OF THE PROJECT, 175 IN EACH CCBHC SITE, AND 1,400 INDIVIDUALS OVER THE COURSE OF THE PROJECT ACROSS BOTH SITES.

FY 2022 CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC PLANNING, DEVELOPMENT, AND IMPLEMENTATION GRANT - AS A CCBHC-PDI GRANT AWARDEE, WESTCHESTER JEWISH COMMUNITY SERVICES (WJCS) WILL EXPAND AND ENHANCE OUTREACH, ENGAGEMENT, AND INTEGRATED BEHAVIORAL HEALTH AND TRAUMA TREATMENT FOR INDIVIDUALS WITH SUBSTANCE USE DISORDER (SUD) AND YOUTH AGES 5-18 WITH BH CONDITIONS SUCH AS SERIOUS EMOTIONAL DISORDER (SED) WHO HAVE EXPERIENCED TRAUMA, WITH A PARTICULAR FOCUS ON BLACK AND LATINX COMMUNITIES AND LGBTQ+ YOUTH. WJCS’ PROJECT GOALS ARE TO: (1) INCREASE THE NUMBER OF CHILDREN AND ADOLESCENTS SERVED, INCLUDING BLACK, LATINX, AND LGBTQ+ YOUTH; (2) INCREASE THE NUMBER OF INDIVIDUALS WITH SUD OR CO-OCCURRING DISORDERS (COD) SERVED; (3) INCREASE THE NUMBER OF CLIENTS SCREENED FOR HEALTH-RELATED SOCIAL NEEDS (HRSN); (4) TRAIN STAFF TO IMPLEMENT EBPS THAT ADDRESS THE NEEDS OF OUR POPULATIONS OF FOCUS; (5) IMPROVE EBP FIDELITY MAINTENANCE QI PROCESS; AND (6) ENHANCE THE INCLUSIVENESS OF OUR SERVICES FOR LGBTQ+, BLACK, AND LATINX CLIENTS. WE PLAN TO ADDRESS THESE GOALS BY ESTABLISHING SOLID REFERRAL RELATIONSHIPS WITH LOCAL VAS, FQHCS, AND OTHER PARTNERS AND BY STRATEGICALLY AND PROACTIVELY OUTREACHING AND ENGAGING YOUTH THROUGH OUR SCHOOL-BASED SATELLITE CLINICS AND CENTER LANE PROGRAM FOR LGBTQ+ YOUTH TO CONDUCT A BRIEF SOCIAL-EMOTIONAL WELLNESS SCREENING. WE WILL ALSO: (1) LEVERAGE OUR TRAINING INFRASTRUCTURE TO INCREASE THE NUMBER OF STAFF TRAINED IN ENCOMPASS AND COMMUNITY REINFORCEMENT AND FAMILY TRAINING (CRAFT) BY 60%, EBPS THAT FOCUS ON YOUTH AND ADULTS WITH SUD OR COD; (2) INCREASE STAFF TRAINED IN LGBTQ+ SENSITIVITY BY 90%; (3) INCREASE THE SHARE OF STAFF WHO ARE BLACK AND LATINX IN BOTH SITES BY 50% TO ENSURE OUR STAFF ARE REPRESENTATIVE OF THE POPULATIONS WE ARE SERVING; (4) COMPLETE A HEALTH REVIEW FORM IN OUR EHR FOR 90% OF NEW CLIENTS; (5) REDUCE PHQ-9 SCORES OF 70% OF CLIENTS WITH A POSITIVE PHQ-9 SCORE OF 10 OR GREATER; (6) MAINTAIN A NO-SHOW RATE AT OR BELOW 10%; AND (7) SUPPORT ATTENDANCE FOR AT LEAST 4 TREATMENT SESSIONS FOR 50% OF NEW CLIENTS. WE WILL IMPROVE OUR CLIENT ASSESSMENT PROCESS BY IMPLEMENTING OUR HRSN SCREENING FOR ALL CLIENTS. DURING THE GRANT PERIOD, 70% OF NEW CLIENTS WILL HAVE A CHANGE IN FOOD SECURITY, JOB, OR HOUSING STATUS. TO IMPROVE EBP FIDELITY, WE WILL ENHANCE OUR UTILIZATION REVIEW PROCESS TO REVIEW 25% OF ALL CLIENT CHARTS ANNUALLY TO CHECK FOR APPROPRIATE ASSESSMENTS, QUALITY OF DOCUMENTATION, AND ENSURE THAT WE ARE PROVIDING THE HIGHEST STANDARD OF CARE TO OUR CLIENTS. WE WILL ALSO IMPROVE THE PROCESS FOR MAINTENANCE OF EBP FIDELITY BY CONDUCTING AN ANNUAL CHART REVIEW ON A RANDOM SAMPLE OF 20% OF CLIENTS RECEIVING DIALECTICAL BEHAVIOR THERAPY (DBT) TO ENSURE FIDELITY TO THE MODEL AND BY VERIFYING THAT 85% OF STAFF PROVIDING EBPS SUCH AS DBT OR TF-CBT HAVE UNDERGONE INTENSIVE TRAINING AND RECEIVE WEEKLY SUPERVISION ON THE MODEL. WE WILL COLLABORATE WITH SUN RIVER FQHC AND MOUNT VERNON NEIGHBORHOOD HEALTH CENTER TO PROVIDE PRIMARY CARE SERVICES, INCLUDING ONGOING MONITORING OF HEALTH NEEDS, VACCINATIONS, HIV, AND HEP SCREENINGS AND CARE AND TO REFER CLIENTS TO OUR CCBHC SITES WHEN THEY IDENTIFY INDIVIDUALS WHO NEED MORE SUPPORT FOR THEIR BH NEEDS. WE WILL ALSO PARTNER WITH THE GUIDANCE CENTER FOR ACT SERVICES AND THE HUMAN DEVELOPMENT SERVICES OF WESTCHESTER TO PROVIDE SOCIAL SUPPORT OPPORTUNITIES. DURING THE GRANT PERIOD, WE WILL SEEK TO INCREASE THE NUMBER OF CHILDREN/ADOLESCENTS SERVED BY 25%, AND BLACK, LATINX, AND LGBTQ+ YOUTH BY 50%, AND INDIVIDUALS WHO RECEIVE SUD SERVICES BY 20%. THE PROJECT WILL SERVE 250 UNDUPLICATED INDIVIDUALS IN THE FIRST YEAR OF THE PROJECT AND 1,200 INDIVIDUALS OVER THE COURSE OF THE PROJECT.

WJCS TOTAL CARE - WESTCHESTER JEWISH COMMUNITY SERVICES (WJCS) PLANS TO IMPLEMENT ITS CCBHC PROGRAM, WJCS TOTAL CARE, TO EXPAND THE ACCESSIBILITY OF OUR RESULTS-DRIVEN, COMPREHENSIVE, QUALITY INTEGRATED SERVICES, AUGMENT OUR PORTFOLIO OF SERVICES TO ENHANCE CARE COORDINATION, AND INTENSIFY OUR FOCUS ON SDOH. THE PROGRAM WILL BE LAUNCHED IN TWO MUA-DESIGNATED LOCATIONS, MT. VERNON AND PEEKSKILL IN NY AND AIMS TO SERVE AN ADDITIONAL 605 UNDUPLICATED CLIENTS OVER 2 YEARS. POPULATIONS IN BOTH CITIES SHARE COMMON NEGATIVE SOCIAL DETERMINANTS OF HEALTH (SDOH) THAT ARE KNOWN TO EXACERBATE POOR BEHAVIORAL HEALTH (BH) AND PHYSICAL HEALTH, INCLUDING HIGH LEVELS OF POVERTY, LACK OF ACCESS TO CARE, INCLUDING SUBSTANCE USE (SU) AND OPIOID USE PREVENTION, TREATMENT, AND RECOVERY SUPPORTS. WHILE THERE ARE OTHER BH PROVIDERS IN BOTH CITIES, CURRENTLY THEIR SERVICES ARE SILOED WITH LITTLE INTEGRATION, NO COORDINATION AND A LACK OF RECOGNITION OF THE ROLE THAT TRAUMA PLAYS IN BH. WJCS CLINICS HAVE HISTORICALLY EXPANDED TO PROVIDE SERVICES TO CLIENTS WITH SMI AS 2 OTHER MH CLINICS AND A LOCAL HOSPITAL HAVE CLOSED OR ARE SCHEDULED TO CLOSE. SIX OF THE 8 ZIP CODES IN PEEKSKILL AND MT. VERNON EXPERIENCE DISPROPORTIONATE OPIOID BURDEN, INCLUDING DEATHS AND NON-FATAL OUTPATIENT ED VISITS AND HOSPITAL DISCHARGES. MICHAEL ORTH, WESTCHESTER COUNTY’S CURRENT COMMISSIONER OF THE DEPARTMENT OF COMMUNITY MENTAL HEALTH, HAS EXPRESSED SPECIFICALLY TO WJCS THAT THE SHORTAGE OF PSYCHIATRIC STAFF ACROSS ALL AGENCIES RESULTS IN FRUSTRATION FOR HOSPITAL DISCHARGE PLANNERS WHO ARE DENIED TIMELY APPOINTMENTS BECAUSE PSYCHIATRIC STAFF AT MOST LOCAL BH ORGANIZATIONS ARE OVERBOOKED. WJCS' "NO-WRONG DOOR" PHILOSOPHY, COMPASSIONATE, TRAUMA-INFORMED CARE AND DISCIPLINED EVIDENCE-BASED PROGRAMMING FOR VULNERABLE INDIVIDUALS AND COMMUNITY HEALTHCARE PROVIDERS THAT NEED BH SERVICES, ENSURES THAT WE ARE WELL POSITIONED TO PROVIDE CCBHC SERVICES TO OUR TARGET POPULATION OF CHILDREN, ADOLESCENTS, AND ADULTS IN MT. VERNON AND PEEKSKILL WHO EXPERIENCE SMI, SED AND/OR SUBSTANCE USE (SU) DISORDERS. WJCS IS A WELL-KNOWN AND TRUSTED PROVIDER IN THE COMMUNITY, CURRENTLY OPERATING 4 NYS OFFICE OF MENTAL HEALTH LICENSED CLINICS, 9 SATELLITE CLINICS IN PUBLIC SCHOOLS AND FQHCS, 86 PROGRAMS THROUGHOUT WESTCHESTER COUNTY WHICH ADDRESS TRAUMA, RACISM, AND STIGMA, AND SERVES A TOTAL OF 745 UNDUPLICATED INDIVIDUALS IN PEEKSKILL AND 629 UNDUPLICATED INDIVIDUALS IN MT. VERNON (1,374 TOTAL). WJCS CURRENTLY PROVIDES >60,000 BEHAVIORAL HEALTH SERVICES PER YEAR TO >3,500 UNIQUE INDIVIDUALS IN WESTCHESTER COUNTY. WJCS TOTAL CARE WILL (1) INCREASE ACCESS TO CCBHC SERVICES FOR FOCUS POPULATIONS BY STRENGTHENING REFERRAL RELATIONSHIPS WITH LOCAL FQHCS AND DSRIP PPSS; (2) IMPROVE OUTCOMES THROUGH ENHANCED INTEGRATION OF BH NEEDS WITH PHYSICAL AND SOCIAL NEEDS BY HIRING A COORDINATOR OF INTEGRATED SERVICES, PROVIDING STAFF WITH CROSS-DISCIPLINE TRAINING (BH/ SUD), EXPANDING CARE MANAGEMENT STAFF (PEERS AND CASE MANAGERS) AND ENHANCING CARE COORDINATION/HEALTH MONITORING PROTOCOLS AND PEER/SOCIAL SUPPORTS; (3) IMPROVE CARE QUALITY BY INCREASING MEANINGFUL ENGAGEMENT IN TREATMENT THROUGH ENHANCED PEER SUPPORTS AND CARE COORDINATION. WE ANCHOR OUR CARE WITH A STRONG EMPHASIS ON ENGAGEMENT AND COMPREHENSIVE ASSESSMENT OF SDOH TO ENSURE THAT MORE CLIENTS WITH UNMET NEEDS CAN ACCESS QUALITY MH AND SUD TREATMENT.

FY 2023 CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC PLANNING, DEVELOPMENT, AND IMPLEMENTATION GRANT: WJCS HARTSDALE CCBHC - WESTCHESTER JEWISH COMMUNITY SERVICES (WJCS) WILL ESTABLISH A CCBHC IN HARTSDALE, NEW YORK, WESTCHESTER COUNTY, TO INCREASE COMMUNITY ACCESS TO HIGH-QUALITY, COMMUNITY BASED INTEGRATED BEHAVIORAL HEALTH SERVICES, INCLUDING MENTAL HEALTH, SUBSTANCE USE TREATMENT SERVICES AND PRIMARY CARE SCREENINGS, AS WELL AS PROVIDE SEAMLESS CONNECTION TO ADDITIONAL SERVICES TO ADDRESS HEALTH RELATED SOCIAL NEEDS FOR UNDERSERVED POPULATIONS. OUR POPULATION OF FOCUS IS LOW-INCOME POPULATIONS ACROSS THE LIFESPAN, ESPECIALLY BLACKS AND HISPANICS WHO ARE DISPROPORTIONATELY IMPACTED BY INCOME AND BH DISPARITIES IN WESTCHESTER. AS PART OF THE PROJECT, WJCS WILL LEVERAGE ITS EXISTING SERVICES AS A CERTIFIED MH AND SUD PROVIDER IN HARTSDALE, 2 MILES FROM WHITE PLAINS, NEW YORK’S TENTH LARGEST CITY. PRIMARY CARE SCREENING AND MONITORING OF KEY HEALTH INDICATORS AND HEALTH RISKS WILL BE PROVIDED THROUGH THE PROJECT AND DELIVERED IN AN INTEGRATED MANNER TO ALLOW FOR MORE COMPREHENSIVE ASSESSMENT AND TREATMENT OF PHYSICAL, MENTAL HEALTH, AND SUBSTANCE USE DISORDERS IN A MANNER THAT IS LESS LIKELY TO BE STIGMATIZING, MORE CONSISTENT WITH THE TARGET COMMUNITY’S HELP-SEEKING BEHAVIORS, AND RELATIVELY SEAMLESS IN CARE. OVER THE GRANT PERIOD, WE EXPECT TO SERVE 3,500 UNDUPLICATED CLIENTS. FOUR OVERARCHING GOALS GUIDE THIS WORK. GOAL 1: IMPROVE ACCESS FOR INDIVIDUALS WITH OR AT-RISK FOR MH OR SUD THROUGH ENHANCED INTEGRATION OF CULTURALLY AND LINGUISTICALLY RESPONSIVE BH, PHYSICAL, AND SOCIAL SERVICES; OBJ. 1: DURING THE GRANT PERIOD, LPNS WILL COMPLETE THE HEALTH REVIEW FORM IN OUR EHR FOR 90% OF ALL CONSUMERS AND CAPTURE DEMOGRAPHIC DATA TO IDENTIFY AND ADDRESS BH DISPARITIES. OBJ. 2: DURING THE GRANT PERIOD, CCBHC STAFF WILL COMPLETE AND CONDUCT AN HRSN SCREENING ADMINISTERED IN OUR EHR FOR 80% OF PEOPLE RECEIVING SERVICES. OBJ. 3: DURING THE GRANT PERIOD, 60% OF INDIVIDUALS FROM OUR FOCUS POPULATION RECEIVING SERVICES TO ADDRESS NEEDS FROM HRSN SCREENING WILL HAVE IMPROVEMENTS IN EMPLOYMENT, FOOD INSECURITY, OR HOUSING. OBJ: 4 DURING THE GRANT PERIOD, INCREASE OUTREACH EFFORTS IN COMMUNITY-AND EMPLOYMENT SETTINGS TO INCREASE TREATMENT ACCESS FOR HARD-TO-REACH, LOW-INCOME, AND UNDERSERVED POPULATIONS. OBJ. 5: MAINTAIN A NO-SHOW RATE AT OR BELOW 10% ACROSS THE 4 YEARS OF THE GRANT. GOAL 2: IMPROVE BH OUTCOMES BY ADDRESSING SOCIOECONOMIC DISPARITIES EXPERIENCED BY LOW-INCOME PRIORITY POPULATIONS THROUGH PEER SUPPORTS AND COMPREHENSIVE IBH TREATMENT; OBJ. 1: DURING THE GRANT PERIOD, OUR NEW PEER/FAMILY SUPPORT SPECIALIST WILL MEET WITH ALL CONSUMERS WHO SCORE LOW ON THE HSRN SCREENING TOOL. OBJ. 2: INCREASE THE NUMBER OF COMMUNITY PARTNERSHIPS WITH PROVIDERS THAT ADDRESS HRSN. OBJ. 3: ACHIEVE AND SURPASS AN ENGAGEMENT RATE OF MORE THAN 50% AFTER 4 TREATMENT SESSIONS. OBJ. 4: IMPLEMENT AND INTEGRATE NY STATE OASAS LICENSE TO INCREASE NUMBER OF CONSUMERS IN OUR FOCUS POPULATION RECEIVING CULTURALLY RESPONSIVE EVIDENCE-BASED INTEGRATED SUD SERVICES BY 60% IN YEAR 4. GOAL 3: IMPLEMENT CULTURALLY AND LINGUISTICALLY RESPONSIVE EVIDENCE-BASED PRACTICES (EBP) FOR OUR FOCUS POPULATION’S NEEDS. OBJ. 1: INCREASE STAFF TRAINED IN CULTURALLY RESPONSIVE SUD EBPS (ENCOMPASS AND CRAFT) BY 60% BY YEAR 2. OBJ. 2 INCREASE STAFF TRAINED IN CULTURALLY RESPONSIVE COGNITIVE PROCESSING THERAPY (CPT) BY 50% BY YEAR 2. OBJ. 3 TRAIN EMPLOYMENT SPECIALIST ON CULTURALLY RESPONSIVE INDIVIDUALIZED PLACEMENT AND SUPPORT BY YEAR 1. OBJ: 4 IMPLEMENT /INCREASE DIVERSITY, EQUITY AND INCLUSION TRAINING FOR ALL NEW EMPLOYEES.

WESTCHESTER JEWISH COMMUNITY SERVICES? (WJCS) TRAGER LEMP CENTER FOR TREATING TRAUMA AND PROMOTING RESILIENCE (TLC) - WESTCHESTER JEWISH COMMUNITY SERVICES’ (WJCS) TRAGER LEMP CENTER FOR TREATING TRAUMA AND PROMOTING RESILIENCE (TLC) WILL INCREASE OUTREACH, ENGAGEMENT, AND TREATMENT FOR YOUTH 8 TO 21 AND THEIR FAMILIES WHO HAVE EXPERIENCED TRAUMA, WITH A FOCUS ON THOSE IMPACTED BY COVID-19; BLACK, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC), INCLUDING THOSE WHO ARE UNDOCUMENTED; LGBTQ+ YOUTH; AND YOUTH WITH INTENSIVE MENTAL HEALTH NEEDS RESULTING FROM MULTIPLE TRAUMAS. THE AWARD-WINNING TLC IS WESTCHESTER’S ONLY COMPREHENSIVE, OUTPATIENT TRAUMA TREATMENT CENTER. THE PROJECT’S GOALS ARE TO: (1) IMPROVE THE CAPACITY OF CHILD-SERVING SERVICE SYSTEMS TO IDENTIFY AND REFER CHILDREN EXPERIENCING TRAUMA AND SERVE THEM IN A TRAUMA-INFORMED WAY; (2) IMPROVE THE CAPACITY OF TLC STAFF TO PROVIDE EVIDENCE-BASED TRAUMA TREATMENT; (3) IMPROVE OUTCOMES FOR CHILDREN AND YOUTH SERVED BY TLC; AND (4) IMPROVE THE EXPERIENCE OF CARE FOR TLC CLIENTS AND THEIR CAREGIVERS. WE PLAN TO ADDRESS THESE GOALS BY ANNUALLY PROVIDING TRAUMA-INFORMED CARE TRAINING TO 170 STAFF OF OUR PARTNER CHILD-SERVING SERVICE SYSTEMS IN WESTCHESTER COUNTY AND TEACHING THEM TO IDENTIFY AND REFER CHILDREN IN NEED OF TRAUMA TREATMENT TO THE TLC. WE WILL COLLABORATE WITH THE CHILD HEALTH AND DEVELOPMENT INSTITUTE OF CONNECTICUT, AN NCTSI CATEGORY II TREATMENT AND SERVICE ADAPTATION CENTER, TO UTILIZE THEIR SCREENTIME (SCREEN, TRIAGE, INFORM, MITIGATE, ENGAGE) TRAINER TRAINING LEARNING COLLABORATIVE. IN ADDITION, WE WILL ENHANCE THE TRAINING OF OUR STAFF TO OFFER AN INNOVATIVE EVIDENCE-BASED MODEL OF CARE: COGNITIVE BEHAVIORAL INTERVENTION FOR TRAUMA IN SCHOOLS (CBITS) ADAPTED FOR USE IN A CLINICAL SETTING. USING THESE EVIDENCE-BASED PRACTICES, WE WILL SEEK TO REDUCE TLC CLIENT (8 TO 17 YEARS OLD) TRAUMA SYMPTOM CHECKLIST (TSCC) SCORES BY AT LEAST 25%, AND TLC CLIENT (17 TO 21 YEARS OLD) TRAUMA SYSTEM INVENTORY 2 (TSI 2) SCORES BY AT LEAST 25% BY THE CONCLUSION OF THEIR TREATMENT, AS WELL AS IMPROVE NET PROMOTER SCORE (NPS) OF CHILDREN SERVED BY THE TLC AND CAREGIVER SATISFACTION WITH TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY QUESTIONNAIRE SCORES BY 4% EACH GRANT YEAR. FINALLY, WE WILL CONDUCT AN ORGANIZATIONAL ASSESSMENT USING THE NATIONAL CLAS STANDARDS AND THE COMMUNICATION CLIMATE ASSESSMENT TOOLKIT (C-CAT) TO ENSURE TRAUMA INFORMED COMMUNICATIONS THAT ARE CULTURALLY APPROPRIATE AND MEET OUR POPULATIONS OF FOCUS WITH RESPECT, SENSITIVITY AND SKILL. THE PROJECT WILL SERVE 90 UNDUPLICATED INDIVIDUALS IN THE FIRST YEAR OF THE PROJECT AND 555 INDIVIDUALS THROUGHOUT THE LIFETIME OF THE PROJECT.

WJCS MENTAL HEALTH AWARENESS TRAINING PROGRAM - THIS PROPOSED PROJECT, WJCS MENTAL HEALTH AWARENESS TRAINING PROGRAM, WILL UTILIZE THE EVIDENCE-BASED MENTAL HEALTH FIRST AID, YOUTH MENTAL HEALTH FIRST AID AND CRISIS INTERVENTION TEAM (CIT) TRAINING TO PROVIDE IN-PERSON TRAINING DESIGNED TO INCREASE THE COMMUNITY’S CAPACITY TO HELP INDIVIDUALS APPROPRIATELY AND SAFELY RESPOND TO INDIVIDUALS WITH MENTAL DISORDERS, PARTICULARLY INDIVIDUALS WITH SMI AND/OR SED. THE INDIVIDUALS TO RECEIVE MENTAL HEALTH AWARENESS TRAINING INCLUDE 920 TEACHERS AND SCHOOL PERSONNEL; 325 LAW ENFORCEMENT AND EMERGENCY SERVICES PERSONNEL; AND 420 FAMILIES, CAREGIVERS, AND SERVICE PROVIDERS IN CONTACT WITH ARMED SERVICES PERSONNEL, VETERANS, AND THEIR FAMILIES. THE POPULATION OF FOCUS FOR WHICH THE TRAINING IS INTENDED TO HELP ARE YOUTH, ADULTS AND VETERANS WHO IDENTIFY AS BLACK, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC) LIVING IN LOW-INCOME COMMUNITIES OF WESTCHESTER COUNTY THAT HAVE BEEN DISPROPORTIONATELY AFFECTED BY THE TRAUMA STEMMING FROM COVID-19 AND SYSTEMATIC RACIAL DISPARITIES. WESTCHESTER COUNTY, LYING JUST NORTH OF NEW YORK CITY HAS THE GREATEST INCOME INEQUALITY IN NY OUTSIDE OF MANHATTAN. IN WESTCHESTER, THE PANDEMIC HAS TAKEN A DEVASTATING TOLL ON YOUTH, FAMILIES AND ADULTS. THE SHORT- AND LONG-TERM IMPACTS OF THIS EXPERIENCE AND THE ONGOING PANDEMIC ARE WIDE-RANGING AND SEVERE, PARTICULARLY FOR CHILDREN WHO HAVE LOST A PARENT OR A CAREGIVER. THE PANDEMIC FURTHER EXACERBATED AND SHARPLY EXPOSED THESE SYSTEMIC RACIAL DISPARITIES LONG FACED BY COMMUNITIES OF COLOR AT THE SAME TIME SOCIAL UNREST WAS PEAKING THROUGHOUT THE NATION IN PROTEST OF THE POLICE BRUTALITY DIRECTED TOWARDS BLACK MEN AND WOMEN. GOAL #1: INCREASE THE ABILITY OF WESTCHESTER COUNTY TEACHERS AND SCHOOL PROFESSIONALS, LAW ENFORCEMENT AND EMERGENCY RESPONDERS AND FAMILIES, CAREGIVERS AND SERVICE PROVIDERS IN CONTACT WITH ARMED SERVICES PERSONNEL, VETERANS AND THEIR FAMILIES TO RECOGNIZE SIGNS AND SYMPTOMS OF MENTAL DISORDERS, PARTICULARLY SERIOUS MENTAL ILLNESS (SMI) AND SERIOUS EMOTIONAL DISTURBANCES (SED), TO DECREASE THE STIGMA ASSOCIATED WITH RECEIVING SERVICES FOR MENTAL DISORDERS SURROUNDING THE POPULATION OF FOCUS FOR WHICH THE TRAINING IS MEANT TO HELP. OBJECTIVE A) TOTAL NUMBER OF UNDUPLICATED INDIVIDUALS TO BE TRAINED IN MHFA, YMHFA AND CIT WITH GRANT FUNDS: 300 YEAR 1; 300 YEAR 2; 335 YEAR 3; 335 YEAR 4; 335 YEAR 5; TOTAL 1,665. GOAL #2: INCREASE ACCESS TO MH SERVICES IN WESTCHESTER COUNTY FOR THE POPULATION OF FOCUS, ESPECIALLY THOSE WITH SMI OR SED, BY UTILIZING STEERING COMMITTEE MADE UP OF COMMUNITY REPRESENTATIVES WHO CAN SERVE AS 'CREDIBLE MESSENGERS' AND ESTABLISH LINKAGES WITH MH AGENCIES AND FACILITATE REFERRALS OF INDIVIDUALS WITH THE SIGNS OR SYMPTOMS OF MENTAL ILLNESS TO APPROPRIATE SERVICES. OBJECTIVE A) EACH YEAR HOLD 4 STEERING COMMITTEE MEETINGS WITH AT LEAST 6 COMMUNITY PARTNERS REPRESENTING TARGET POPULATION TO FOCUS ON ACCESS AND LINKAGES TO MH. OBJECTIVE B) EACH YEAR ESTABLISH 5 NEW COMMUNITY LINKAGES FOR SCHOOL PERSONNEL WORKING WITH OUR TARGET TO EXPAND REFERRALS FOR INDIVIDUALS WITH SIGNS OR SYMPTOMS OF MENTAL ILLNESS TO APPROPRIATE SERVICES. OBJECTIVE C) EACH YEAR ESTABLISH 5 NEW COMMUNITY LINKAGES FOR LAW ENFORCEMENT AND EMERGENCY SERVICE PERSONNEL WORKING WITH OUR TARGET POPULATION TO EXPAND REFERRALS FOR INDIVIDUALS WITH SIGNS OR SYMPTOMS OF MENTAL ILLNESS TO APPROPRIATE SERVICES. OBJECTIVE D) EACH YEAR ESTABLISH 5 NEW COMMUNITY LINKAGES FOR VETERANS, FAMILIES OF VETERANS AND VETERAN SERVICE PERSONNEL TO EXPAND REFERRALS FOR INDIVIDUALS WITH SIGNS OR SYMPTOMS OF MENTAL ILLNESS TO APPROPRIATE SERVICES. GOAL #3: INCREASE THE ABILITY OF MHFA, YMHFA AND CIT PARTICIPANTS IN WESTCHESTER TO MAKE REFERRALS TO FURTHER MH EVALUATION AND/OR AVAILABLE COMMUNITY RESOURCES IN WESTCHESTER. OBJECTIVE D) TOTAL NUMBER OF UNDUPLICATED INDIVIDUALS REFERRED TO FURTHER MH EVALUATION AND/OR COMMUNITY RESOURCES WITH GRANT FUNDS: 150 YEAR 1; 150 YEAR 2; 177 YEAR 3

BUILDING RESILIENCE IN CHILDREN, YOUTH AND FAMILIES

FIE EARMARK GRANT AWARDS