Finger Lakes Area Counseling And Recovery Agency Inc

ONE STOP WELLNESS OF THE FINGER LAKES - THE ONE STOP WELLNESS OF THE FINGER LAKES THROUGH OF THE FINGER LAKES AREA COUNSELING AND RECOVERY AGENCY (FLACRA) IS AN ESTABLISHED AND ATTESTED CCBHC SEEKING TO ENGAGE IN THE IMPROVEMENT AND ADVANCEMENT ACTIVITIES TO ENHANCE AND EXPAND SERVICES AT THE CURRENT SITES YATES AND ONTARIO COUNTIES. THE POPULATION(S) OF FOCUS FOR THIS PROJECT IS ADULTS, YOUTH AND CHILDREN WITH A SMI, SED, SUD OR COD, PRIMARILY LOW-INCOME/MEDICAID RECIPIENTS. THE PROJECT WILL CONTINUE, ENHANCE AND EXPAND COMPREHENSIVE CCBHC SERVICES DIRECTLY AND THROUGH DESIGNATED COLLABORATING ORGANIZATIONS AND PARTNERING PROVIDERS. THE KEY CONTEXTS FOR THE GOALS AND OBJECTIVES ARE THE CHARACTERISTICS OF THE POPULATION(S) OF FOCUS, THE SOCIO-ECONOMIC AND ENVIRONMENTAL FACTORS THAT SURROUND THESE POPULATIONS, DISPARITIES AND INEQUITY BROUGHT TO LIGHT DURING THE PANDEMIC AND THE RESULTING TRAUMA AND STRESSORS IMPACTING ON MENTAL WELLNESS AND USE OF SUBSTANCES, HIGHLIGHTING THE NEED FOR AN INTEGRATED, TRAUMA-INFORMED, RECOVERY-ORIENTED AND EQUITY FOCUSED APPROACH. THESE SERVICES WILL BE ENHANCED THROUGH THE ESTABLISHMENT AND EXPANSION OF SCHOOL-BASED SITES AND DEVELOPMENT EVIDENCE-BASED APPROACHES AND PRACTICES, SUCH AS APPLIED BEHAVIORAL ANALYSIS (ABA) TO SERVE THE COHORT OF CHILDREN AND YOUTH WITH SERIOUS BEHAVIORAL CONCERNS. THE ABILITY TO PROVIDE OFF-SITE SERVICES WILL ALLOW FOR SERVICES TO BE PROVIDED AT HOME OR AT ALTERNATIVE SITES, MEETING THE NEEDS OF STUDENTS ON OUT-OF-SCHOOL SUSPENSION DUE TO THEIR BEHAVIORS. THE ADDITION OF SCHOOL-BASED OUTPATIENT SERVICES IS EXPECTED TO SUPPORT SCHOOLS WITH EARLIER TREATMENT INTERVENTIONS AND LINKAGE TO RECOVERY SUPPORT SERVICES BEING MADE AVAILABLE BEFORE CONCERNS ESCALATE TO A LEVEL PROMPTING SUSPENSION. PARTNERSHIPS WILL BE FOSTERED FOR THE ESTABLISHMENT OF PRO-SOCIAL OPPORTUNITIES FOR YOUTH THROUGH RECOVERY CENTERS OR ALTERNATE SITES. FURTHER DEVELOPMENT OF STAFF KNOWLEDGE AND CAPACITY TO EXTRACT DATA FROM THE EHR AND OTHER SYSTEMS TO MAKE DATA-DRIVEN DECISIONS, IDENTIFY AND IMPROVE PRACTICE PATTERNS, DRIVE QUALITY AND PROMOTE AN INTERDISCIPLINARY TEAM APPROACH THROUGH INFORMATION SHARING WITHIN THE EHR WILL OCCUR. ADHERENCE TO SPARS AND NOMS REQUIREMENTS AND ACCURACY AND IDENTIFICATION OF DISPARITIES WILL BE AN AREA OF FOCUS. ADDITIONAL STAFF/CONSULTANT SUPPORT WILL BE NEEDED TO MONITOR FIDELITY TO EBP PRACTICES. A TOTAL OF 1,266 UNDUPLICATED AND 2,961 DUPLICATED (ACROSS GRANT YEARS) INDIVIDUALS WILL BE SERVED BY THE PROJECT OVER THE 4-YEAR PERIOD, YEAR 1: 593, YEAR 2: 682, YEAR 3: 784; YEAR 4: 902. FLACRA IS A NY STATE OFFICE OF MENTAL HEALTH (OMH) AND OFFICE OF ADDICTIONS SERVICES AND SUPPORTS (OASAS) LICENSED PROVIDER OF A RANGE OF SERVICES AT MULTIPLE SITES IN THE FINGER LAKES REGION OF NY, INCLUDING OUTPATIENT CLINICS, CRISIS OVERDOSE RESPONSE, STABILIZATION, DETOXIFICATION, RESIDENTIAL, RECOVERY SUPPORT, CARE MANAGEMENT AND HOME AND COMMUNITY-BASED SERVICES (HCBS). FLACRA IS INNOVATIVE AND THE AGENCY LEAD FOR FINGER LAKES AND SOUTHERN TIER BEHAVIORAL HEALTH CARE COLLABORATIVE (FLST BHCC/IPA) AND AN ACTIVE, FOUNDING MEMBER OF THE FINGER LAKES IPA (FLIPA). SERVICES WILL BE GROUNDED IN PERSON-CENTERED PLANNING APPROACHES, ATTENTION TO THE CULTURAL NORMS AND BELIEFS, AND TRAUMA-INFORMED PRACTICES. EVIDENCE-BASED PRACTICES AND APPROACHES WILL BE USED AS APPROPRIATE TO EACH INDIVIDUAL, INCLUDING MOTIVATIONAL INTERVIEWING, COGNITIVE BEHAVIORAL THERAPY, RATIONAL EMOTIVE BEHAVIOR THERAPY, SOLUTION FOCUSED THERAPY, MATRIX MODEL, SEEKING SAFETY, LIVING IN BALANCE, ABA AND CRAFT. CERTIFIED RECOVERY PEER ADVOCATES (CRPA) AND PEER SPECIALISTS (NYCPS) WILL BE EMBEDDED IN OUTPATIENT AND ALL IN-COMMUNITY AND CO-LOCATED LOCATIONS PROVIDING ADDITIONAL SUPPORT TO INDIVIDUALS AND FAMILIES.

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ONE STOP WELLNESS OF MONROE COUNTY - FINGER LAKES AREA COUNSELING & RECOVERY AGENCY (FLACRA) PROPOSES TO EXPAND ITS CURRENT INTEGRATED CARE SERVICE DELIVERY MODEL THROUGH THE CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) PLANNING, DEVELOPMENT, AND IMPLEMENTATION (PDI) GRANT. CURRENTLY, FLACRA'S EAST AVE CLINIC PROVIDES SERVICES FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI) AND SUBSTANCE USE DISORDERS (SUD) AND IS IN THE APPROVAL PROCESS FOR THE EXPANSION OF SERVICES FOR CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCES (SED) AND IS CURRENTLY DESIGNATED TO PROVIDE SERVICES FOR INDIVIDUALS WITH CO-OCCURRING DISORDERS (COD) AND IS SEEKING SUPPORT TO EXPAND ITS SERVICE. A TOTAL OF 2,761 UNDUPLICATED INDIVIDUALS (ACROSS GRANT YEARS) WILL BE SERVED OVER THE 4-YEAR PERIOD THROUGH THIS CCBHC: YEAR 1- 596, YEAR 2- 665, YEAR 3- 720 AND YEAR 4- 780. THE EAST AVE CLINIC IS APPROVED FOR THE NYS OMH INTEGRATED OUTPATIENT SERVICES (IOS) DESIGNATION AND IS PROVIDING FULLY INTEGRATED SUBSTANCE USE DISORDER TREATMENT AND MENTAL HEALTH SERVICES AND IS PENDING APPROVAL TO SERVE CHILDREN AGES 5 AND OLDER FOR MENTAL HEALTH TREATMENT AND PSYCHIATRIC SUPPORT. AS A RESULT OF OBTAINING THE CURRENT IOS DESIGNATION, SERVICES ALREADY OFFERED INCLUDE SEVERAL OF THE REQUIRED CCBHC CORE SERVICES INCLUDING CARE COORDINATION AND PRIMARY CARE SERVICES. WE WILL EXPAND OUR CCBHC SERVICES THROUGH DESIGNATED COLLABORATING ORGANIZATIONS (DCO) PARTNERSHIPS TO EXTEND CRISIS CARE, PSYCHIATRIC EMERGENCY AND INPATIENT CARE AND PRIMARY CARE SERVICES. SINCE THE PANDEMIC, THE SOCIO-ECONOMIC AND ENVIRONMENTAL FACTORS IN THE CITY OF ROCHESTER SERVICE AREA POPULATIONS HAVE WIDENED HEALTH DISPARITIES AND INEQUITABLE ACCESS TO CARE, AS WELL AS COMPOUNDED TRAUMA AND STRESSORS EXACERBATING BEHAVIORAL HEALTH (BH) AND SUBSTANCE USE DISORDERS (SUD). THE RESIDENTS OF THE MOST SIGNIFICANTLY IMPACTED ZIP CODES IN THE CITY OF ROCHESTER WILL BENEFIT FROM THE ADDITION OF A CCBHC THAT IS INTEGRATED, TRAUMA-INFORMED, RECOVERY-ORIENTED AND OPERATES FROM AN EVIDENCE-BASED AND EQUITY FOCUSED APPROACH. FLACRA HAS EXTENSIVE EXPERIENCE PROVIDING TREATMENT AND RECOVERY SUPPORT FOR MILD TO SERIOUS MENTAL ILLNESS AND SERIOUS EMOTIONAL DISTURBANCES, SUDD AND CO-OCCURRING DISORDERS. THE CCBHC PDI GRANT WILL BE USED TO BUILD ON EXISTING COMPREHENSIVE SERVICES AND EXPAND SUPPORT FOR ADULTS AND CHILDREN WITH THE CLINIC AND THROUGH SCHOOL-BASED SERVICES AND COLLABORATIONS. SERVICES WILL BE GROUNDED IN EVIDENCE-BASED CARE, PERSON-CENTERED PLANNING APPROACHES, ATTENTION TO CULTURAL NORMS AND BELIEFS AND TRAUMA-INFORMED PRACTICES. THE GOALS AND OBJECTIVES OF THE PDI GRANT INCLUDE: (1) IMPLEMENTING AND ENHANCING SERVICES ALIGNED WITH A CCBHC MODEL; (2) INCREASING THE NUMBER OF PROVIDERS WITH DIVERSE SPECIALTY AREAS AND CULTURAL SKILLSETS, TRAINED IN EVIDENCE-BASED INTERVENTIONS SUCH AS COGNITIVE BEHAVIORAL THERAPY (CBT), DIALECTICAL BEHAVIORAL THERAPY FOR ADULTS (DBT) AND ADOLESCENTS (DBT-A), TRAUMA FOCUSED CBT (TF-CBT), CBT FOR PSYCHOSIS (CBTP), FAMILY PSYCHOEDUCATION, SOCIAL SKILLS TRAINING (SST), FUNCTIONAL FAMILY THERAPY (FFT), MATRIX MODEL FOR TEENS AND YOUNG ADULTS, PEER ADVOCACY/SUPPORT, SEEKING SAFETY, LIVING IN BALANCE, COMMUNITY REINFORCEMENT AND FAMILY TRAINING (CRAFT), MOTIVATIONAL INTERVIEWING (MI) AS WELL AS MEDICATION ASSISTED THERAPY (MAT); (3) EXPANDING OFF-SITE SERVICES TO MEET THE BH NEEDS OF CHILDREN AND FAMILIES IN HIGH NEED SCHOOL SETTINGS; (4) INCREASING PEER AND RECOVERY SUPPORT SERVICES; (5) AUGMENTING TECHNOLOGY TO SUPPORT EMR DATA EXTRACTION TO MAKE DATA-DRIVEN DECISIONS THAT IDENTIFY AND IMPROVE PRACTICE PATTERNS, DRIVE QUALITY AND PROMOTE AND INTERDISCIPLINARY TEAM-BASED CARE APPROACH; AND (6) ADHERING TO SPARS AND NOMS REQUIREMENTS AND ACCURACY THROUGH TRACKING PERFORMANCE AND CLINICAL QUALITY METRICS THAT HELP IMPROVE QUALITY OF LIFE PERCEPTIONS, IMPROVE OUTCOMES AND REDUCE DISPARITIES IN BOTH ACCESS AND OUTCOMES.

ONE STOP WELLNESS INTEGRATED HOUSING SUPPORT TEAM - FINGER LAKES AREA COUNSELING & RECOVERY AGENCY (FLACRA) IS PROPOSING FUNDING FOR THE ONE STOP WELLNESS INTEGRATED HOUSING SUPPORT TEAM TO SUPPORT THE DEVELOPMENT AND IMPLEMENTATION OF AN INNOVATIVE, INTEGRATED TEAM OF PROFESSIONALS INCLUDING PEERS, CARE COORDINATORS AND HOUSING LEADERSHIP TO BUILD A COMPREHENSIVE SYSTEM OF IDENTIFICATION, NAVIGATION, IMMEDIATE ACCESS TO TREATMENTS AND SUPPORT FOR INDIVIDUALS AND FAMILIES STRUGGLING WITH HOMELESSNESS AND BEHAVIORAL HEALTH NEEDS IN THE COC NY-513C , COVERING ONTARIO, SENECA, WAYNE AND YATES COUNTIES OF NEW YORK STATE. FUNDING WILL ASSURE THE BRIDGE AND SUPPORT OF 115 INDIVIDUALS IN THE FIRST YEAR AND 535 INDIVIDUALS EXPERIENCING HOMELESSNESS AND BEHAVIORAL HEALTH OVER THE 5-YEAR PROPOSED GRANT PERIOD , COVERING ONTARIO, SENECA, WAYNE AND YATES COUNTIES OF NEW YORK STATE. FUNDING WILL ASSURE THE BRIDGE AND SUPPORT OF 115 INDIVIDUALS IN THE FIRST YEAR AND 535 INDIVIDUALS EXPERIENCING HOMELESSNESS AND BEHAVIORAL HEALTH OVER THE 5-YEAR PROPOSED GRANT PERIOD WHILE THEY ARE WAITING FOR PERMANENT HOUSING AND TO ASSURE THEY CAN MAINTAIN THAT HOUSING ONCE PLACED. PROJECT GOALS AND OBJECTIVES INCLUDE OUTREACH AND ENGAGEMENT TO SHELTERED AND UNSHELTERED INDIVIDUALS AND FAMILIES, CULTURALLY APPROPRIATE, TRAUMA-INFORMED AND PERSON-CENTERED ACCESS TO BEHAVIORAL HEALTH CARE, HARM REDUCTION ACTIVITIES, CASE MANAGEMENT AND CARE COORDINATION, RECOVERY SUPPORT, DATA COLLECTION AND REVIEW OF PROGRESS BY A CULTURALLY AND LINGUISTICALLY DIVERSE STEERING COMMITTEE. THIS GRANT WILL AFFORD THE RESOURCES NECESSARY FOR THE CROSS-COLLABORATION AND CONTINUED BUILD OF ACCESS TO TREATMENT, COORDINATION OF AND MECHANISMS FOR REFERRAL, IN-PERSON COORDINATION, AND OTHER RESOURCES NECESSARY TO SUPPORT INDIVIDUALS AND FAMILIES IN THE CATCHMENT AREA AND REGION WHO ARE HOMELESS WITH BEHAVIORAL HEALTH CONCERNS AND WILL PROVIDE ONGOING CONNECTIONS TO ASSURE HOUSING PLACEMENT. FLACRA IS A REGIONAL LEADER FOR BOTH HOUSING AND BEHAVIORAL HEALTH TREATMENT AND RECOVERY SERVICES AS WELL AS A PROVIDER OF CARE MANAGEMENT, HOME AND COMMUNITY BASED SERVICES AND RECOVERY COMMUNITY CENTERS IN THE FINGER LAKES REGION. FLACRA IS THE LEAD AGENCY FOR THE FINGER LAKES HOUSING CONSORTIUM (FLHC), COC NY-513, THE LEAD AGENCY FOR FINGER LAKES AND SOUTHERN TIER BEHAVIORAL HEALTH CARE COLLABORATIVE (FLST BHCC) AND IPA, A FOUNDING MEMBER OF FINGER LAKES IPA, A UNIQUE PARTNERSHIP BETWEEN FQHCS AND BEHAVIORAL HEALTH PARTNERS AND IS THE LEAD AGENCY FOR THE STATE OPIOID RESPONSE IN THE FINGER LAKES REGION, BRINGING A TEAM OF BEHAVIORAL HEALTH PROVIDERS TOGETHER IN THE REGION TO CONTINUE TO SUPPORT INCREASED ACCESS AND COORDINATION OF PREVENTION, HARM REDUCTION, TREATMENT AND RECOVERY SERVICES. RECOVERY SERVICES AS WELL AS A PROVIDER OF CARE MANAGEMENT, HOME AND COMMUNITY BASED SERVICES AND RECOVERY COMMUNITY CENTERS IN THE FINGER LAKES REGION. FLACRA IS THE LEAD AGENCY FOR THE FINGER LAKES HOUSING CONSORTIUM (FLHC), COC NY-513, THE LEAD AGENCY FOR FINGER LAKES AND SOUTHERN TIER BEHAVIORAL HEALTH CARE COLLABORATIVE (FLST BHCC) AND IPA, A FOUNDING MEMBER OF FINGER LAKES IPA, A UNIQUE PARTNERSHIP BETWEEN FQHCS AND BEHAVIORAL HEALTH PARTNERS AND IS THE LEAD AGENCY FOR THE STATE OPIOID RESPONSE IN THE FINGER LAKES REGION, BRINGING A TEAM OF BEHAVIORAL HEALTH PROVIDERS TOGETHER IN THE REGION TO CONTINUE TO SUPPORT INCREASED ACCESS AND COORDINATION OF PREVENTION, HARM REDUCTION, TREATMENT AND RECOVERY SERVICES. FLACRAS HOUSING TEAM CURRENTLY USES THE EVIDENCE-BASED HOUSING FIRST MODEL AND WOULD ADD TRAINING FOR THE EVIDENCE-BASED CRITICAL TIME INTERVENTION (CTI) MODEL TO FURTHER SUPPORT POSITIVE OUTCOMES AND HOUSING STABILITY FOR PARTICIPANTS. THIS PROJECT WILL PROVIDE SIGNIFICANT IMPROVEMENTS AND INTERVENTIONS TO SUPPORT THE MUCH-NEEDED COORDINATION BETWEEN BEHAVIORAL HEALTH, HEALTH AND HOUSING, ESPECIALLY FOR THOSE WHO ARE CURRENTLY HOMELESS. THE DEMAND FOR AFFORDABLE, SAFE HOUSING FAR EXCEEDS THE RESOURCES AS THE CONCOMITANT FACTORS OF

VA IS PROVIDING PER DIEM FUNDING TO ASSIST WITH THE OPERATIONAL COSTS ASSOCIATED WITH TRANSITIONAL HOUSING BEDS FOR HOMELESS VETERANS.

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VA IS PROVIDING GRANT FUNDING TO ASSIST WITH VAN ACQUISITION COSTS TO TRANSPORT HOMELESS VETERANS.

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