U.S. Department of Health and Human Services: Treatment for Individuals with Serious Mental Illness, Serious Emotional Disturbance or Co-Occurring Disorders Experiencing HomelessnessDeadline: March 9, 2018
The Treatment for Individuals with Serious Mental Illness, Serious Emotional Disturbance or Co-Occurring Disorders Experiencing Homelessness (Treatment for Individuals Experiencing Homelessness) program seeks to support the development and/or expansion of the local implementation of an infrastructure that integrates behavioral health treatment and recovery support services for individuals, youth, and families with a serious mental illness, serious emotional disturbance or co-occurring disorder (i.e., a serious mental illness [SMI] and substance use disorder [SUD] or a serious emotional disturbance [SED] and SUD) who are experiencing homelessness.
The goal of this program is to increase capacity and provide accessible, effective, comprehensive, coordinated, integrated, and evidence-based treatment services, peer support and other recovery support services, and linkages to sustainable permanent housing. To achieve this goal, three types of activities will be supported: 1) integrated behavioral health treatment and other recovery-oriented services; 2) efforts to engage and connect clients to enrollment resources for health insurance, Medicaid, and mainstream benefits (e.g. Supplemental Security Income (SSI)/Social Security Disability Insurance [SSDI], Temporary Assistance for Needy Families [TANF], Supplemental Nutrition Assistance Program [SNAP], etc.); and 3) coordination of housing and services that support sustainable permanent housing.
Required activities include:
- Provide outreach and other engagement strategies to identify individuals (including youth) and families to enroll in the grant project. For individuals and families not eligible for enrollment, provide appropriate referrals for services and housing. For enrolled individuals and families, use screening and assessment results to develop appropriate treatment approaches. If applicable, identify strategies that engage youth and families in recovery efforts, including those focusing on Lesbian, Gay, Bisexual, Transgender, Questioning (LGBTQ) youth experiencing homelessness and youth experiencing early on-set of CODs.
- Assist with identifying sustainable permanent housing. At a minimum, those enrolled individuals must be linked to HUD’s Coordinated Entry system.
- Provide evidence-based, integrated mental health and substance use interventions for COD treatment for enrolled individuals. Treatment must be provided in outpatient, intensive outpatient, short-term residential, or recovery housing programs.
- Use an integrated primary/substance use disorder/mental health care approach in developing the service delivery plan. This approach involves screening for health issues and delivery of client-centered substance use and mental health services in collaboration and consultation with medical care providers.
- Provide case management or other strategies to address serious mental illness, serious emotional disturbance, and co-occurring health conditions and link with and retain individuals in housing and other necessary services.
- Engage and enroll the population(s) of focus in health insurance, Medicaid, and other benefit programs (e.g., SSI/SSDI, TANF, SNAP).
- Provide trauma-informed services to include an emphasis on implementation of trauma-informed approaches in programs, services, and systems, including trauma-specific interventions designed to address the consequences of trauma in the individual and to facilitate healing. This may include assessment and interventions for emotional, sexual, and physical abuse.
- If the population of focus are youth and families, provide services that are delivered within a family-driven, youth-guided/directed framework.
- Collaborate across agencies (e.g., substance use, child welfare, juvenile justice, primary care, education, early childhood) and among crucial providers and programs to enhance service provision.
- Provide or assure linkage to and support engagement with recovery support services to improve access to and retention in services and to continue treatment gains (e.g., child care, employment/vocational services, educational services, independent living skills. crisis care, medication management, peer-related supports, psychosocial rehabilitation services, discharge planning).
- Up to $25,000 per year may be used to purchase technical assistance (TA).
- Limited screening to identify incarcerated individuals, consistent with the population(s) of focus, while incarcerated or upon release from a jail or detention facility, and provision to those identified with a post-release housing and behavioral health services plan.
- Develop and implement tobacco cessation programs, activities, and/or strategies.
- Education, screening, and counseling for hepatitis and other sexually transmitted infections. Active steps to reduce HIV/AIDS risky behaviors by clients, including client screening, assessment, and either direct provision of appropriate services or referral to and close coordination with other providers of appropriate services.
Amount: A total of $10,393,000 is available to make up to 16 awards. State government and territory grants range up to $1,000,000, while grants to other eligible applicants (see eligibility below) range up to $500,000. The project period is up to five years.
Eligibility: Domestic public and private nonprofit entities, including:
- State governments and territories. Eligible state applicants are either the State Mental Health Agency (SMHA) or the Single State Agency (SSA) for Substance Abuse. However, it is expected that both the SSA and the SMHA will work in partnership to fulfill the requirements of the grant.
- Governmental units within political subdivisions of a state, such as a county, city or town.
- Federally recognized American Indian/Alaska Native (AI/AN) tribes, tribal organizations, Urban Indian Organizations, and consortia of tribes or tribal organizations.
- Public or private universities and colleges.
- Community- and faith-based organizations.
Additionally, organizations must meet following four requirements related to the provision of services:
- A provider organization for direct client services appropriate to the grant must be involved in the proposed project. The provider may be the applicant or another organization committed to the project. More than one provider organization may be involved.
- Each mental health/substance use treatment provider organization must have at least two years of experience (as of the due date of the application) providing relevant services.
- Each mental health/substance use treatment provider organization must comply with all applicable local (city, county) and state licensing, accreditation, and certification requirements as of the due date of the application.
- An entity must either: 1) be qualified to receive third party reimbursements and have an existing reimbursement system in place; or 2) have established links to other behavioral health or primary care organizations with existing third party reimbursements systems.