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HomeMy WebLinkAboutHealth Services Grant Applications RequestsDeschutes County Health Services Memorandum To: Deschutes County Board of Commissioners Tom Anderson, County Administrator From: Scott Johnson, DCHS Director Date: October 17, 2013 Subj: Grant Applications Requests — BOC Work Session October 23, 2013 One of the changes we are experiencing with health reform is a shift toward competitive grant processes. Our ability to serve the community and finance programs will hinge, in part, on our success in competing for State funding with other counties. The purpose of this email is to inform you about three related processes and to request your permission to apply. A. Central Oregon Health Council — Transformation Funds — Available: $1.65 million Each Coordinated Care Organization is receiving funds from the State of Oregon to stimulate transformation efforts at the local level. The Central Oregon Health Council is soliciting applications. To date, we are considering two proposals. 1. Living Well Diabetes curriculum — We operate a regional Living Well program. The program includes a series of training for community members to help them manage chronic conditions in their lives. It increases health and independence and reduces inpatient and emergency hospital stays. This best practice program developed through Stanford University is highly regarded in the community. We are seeking funds to expand our offering by acquiring a Diabetes Curriculum and training master trainers to train additional instructors to offer the curriculum in the region. All three Health Departments support this application. 2. Maternal Child Health project — the Health Council currently invests in a regional transformation grant to offer public health nurse services to high risk families (pregnant women and new moms with young children) in the community. This new project includes nursing services through all three health departments. This past week Oregon Health Sciences University and the Health Authority issued a report documenting great benefit of these types of services for high risk families. We are seeking funds to sustain this work and possibly add additional health worker services through our WIC program. Long term, we are awaiting additional information on new funding methods planned by the Oregon Health Authority for "targeted case management" services. While we cannot be certain, we hope existing County and State funds can match Federal funds and provide stable funding in the future. This funding would provide a bridge to that new funding method. With permission these applications will be submitted to COHC in November. B. Addictions & Mental Health Division (AMH) — New Investments - $40 million (est'd) The 2013 Oregon Legislature has provided over $40 million in new funds in 2013-2015 to support community mental health system in Oregon and to invest in community mental health programs. We expect release of the RFP this week with only 30 days to respond. Attached you will find a Fact Sheet posted by the Health Authority. We are requesting permission to pursue any grant elements that 1) support services we are responsible for in the community and that 2) are consistent with larger health reform efforts. We will certainly evaluate carefully the adequacy of the funding for the responsibilities they seek and our business plans to sustain the work. Like most current funds, they hinge on the future of the CCOs and continued investment of the State of Oregon. We expect all community mental health programs and other providers to pursue this opportunity. C. Community Health Grant — Crook County Health Fiscal Agent - $150,000 est'd Information only. We are jointly applying for competitive funds available through the State Health Division. The three health department will work with COIPA (Central Oregon Independent Practice Association) to advance tobacco prevention efforts in primary care settings. This project would be a "public health primary care partnership", a priority transformation area for the CO Health Council. There are no fiscal implications for Deschutes County. Staff will be in attendance on October 23 when you consider this memorandum and the attached information. Thank you for your consideration. c. DCHS Management Team Therese Madrigal, Brenda Johnson (Living Well) Maggi Machala (MCH Project) Judith Ure 2013-2015 Legislatively Adopted Budget — mental health investments Oregon is investing in a coordinated system of care for children, youth, adults and families by strengthening partnerships, expanding services and supporting innovation. As the state continues to transform its health care system, Addictions and Mental Health is working with community partners to enhance behavioral health services and support health for all Oregonians. NEW INVESTMENTS The 2013-2015 Legislatively Adopted Budget identifies specific services and system expansions that focus on promoting community health and wellness, keeping children healthy and helping adults with mental illness live successfully in the community. A component of each of the following investments will be in place by January 2014. INVESTMENTS IN CHILDREN AND YOUNG ADULTS Funding will be used to develop statewide programs that emphasize prevention, early identification and intervention, and training and technical assistance for health care providers. INVESTMENT IMPLEMENTATION STRATEGY Early Assessment and Support Alliance (EASA) — $1.8 million Expands the EASA program statewide to provide young adults with early identification and I treatment for psychotic disorders. , New and amended contracts with current partners —AMH will distribute funds in three tiers, based on program readiness, with technical support provided by Portland State University. Technical assistance for youth peer -delivered support — $530,000 Increases peer -delivered supports and services for young adults throughout Oregon. Contract amendments with current partners — AMH will expand the existing contract with the Oregon Family Support Network, with Youth M.O.V.E. as a subcontractor. .- Technical assistance for family peer -delivered support — $530,000 Increases peer -delivered supports and services to families of children with behavioral challenges. Contract amendments with current partners — AMH will expand the existing contract with the Oregon Family Support Network. 1-{ealth Page 1 09-25-13 www.oregon.gov/oha/amh/pages/MHinvestnnents.aspx 2013-2015 Legislatively Adopted Budget — mental health investments INVESTMENT IMPLEMENTATION STRATEGY Young adult community hubs — $2.25 million As an extension of the EASA programs, provides statewide outreach and supports to young adults with mental health challenges who do not qualify for EASA. New contracts — AMH will build on existing relationships with EASA providers and other regional organizations. School access to mental health services — $5 million Enhances the availability of mental health services to students by bringing professionals into schools and building on existing school-based infrastructure. Request for proposal — AMH will partner with Public Health and other state and local government agencies, inclusive of rural and frontier communities, to distribute funds. System of Care and Wraparound — $4 million Increases the availability of wraparound services in the state, providing intensive care coordination for children with emotional and behavioral disorders. Request for proposal — AMH will channel funding through Medical Assistance Programs to build on existing contracts with coordinated care organizations. Parent-child interaction therapy — $2.31 million Replicates this younger -child service that has demonstrated positive outcomes for children at risk. Enables programs to become self-sustaining through billing insurance. Request for proposal — AMH will contract for 10 new sites which will target diverse populations and children at risk of entering the child welfare system. Trauma Initiative — $800,000 Trains health care providers to screen for traumatic experiences such as abuse, neglect, or bullying, and contributes to a trauma -informed system of health care. Through collaboration with other state partners, AMH will train health care providers to screen for and respond to trauma. Health Page 2 09-25-13 www.oregon.gov/oha/amh/pages/MHinvestments.aspx 2013-2015 Legislatively Adopted Budget — mental health investments INVESTMENT IMPLEMENTATION STRATEGY Technical assistance for Collaborative Problem Solving — $80,000 Builds on the current efforts to advance this practice, which reduces the use of seclusion and restraint in child programs. Contract amendment with current partner —AMH will amend its existing contract with Oregon Health & Science University to provide greater outreach to rural providers. Training for adolescent depression screening — $500,000 Training for primary care providers in use of an adolescent depression screening tool. Contract amendment with current partner —AMH will amend its existing contract with the Oregon Pediatric Society. Oregon Psychiatric Access Line for Kids (OPAL -K) — $1 million Gives primary care physicians access to child psychiatric consultation for children up to age 18. New contract — AMH will contract with Oregon Health & Science University to build the infrastructure for this new statewide service. Juvenile Psychiatric Security Review Board — $3.3 million Addresses facility needs to serve additional youths under the jurisdiction of the Juvenile Psychiatric Security Review Board (JPSRB). • Capital improvements — renovate facility for the Secure Adolescent Inpatient Program • Expand capacity and services in home communities Health Page 3 09-25-13 www.oregon.gov/oha/amh/pages/MH investments.aspx 2013-2015 Legislatively Adopted Budget — mental health investments STRENGTHENING COMMUNITY MENTAL HEALTH SERVICES Helping people with mental illness live successfully and independently in the community. INVESTMENT IMPLEMENTATION STRATEGY Mental health promotion and prevention — $3 million Folds mental health promotion and prevention into the existing prevention system so communities can identify early indications of problems and foster mental health. Request for grant proposal — Existing partners, including community mental health programs and coordinated care organizations, will be able to compete for grants. i Crisis services — $ 3.7 million Improves mental health crisis response services, including mobile response and crisis respite services, helping avoid hospitalization or incarceration. Request for proposal — AMH will partner with community mental health programs and encourage regional responses to develop services based on statewide gap analysis. Jail diversion — $3 million Expands services to keep people with mental illness from unnecessary incarceration in local jails. AMH will partner with city and county law enforcement agencies to provide pre- and post -booking diversion strategies, including crisis intervention training, and build outcomes into the 1 entire jail diversion system. Supported housing and peer -delivered services for approximately 200 clients — $4.2 million Increases supported housing and peer -delivered services for additional clients with major mental illnesses. Competitive application process — Applications will go out in October. AMH will partner with community mental health programs to provide rental assistance for scattered -site supported housing. Health Page 4 09-25-13 www.oregon.gov/oha/annh/pages/MHinvestments.aspx 2013-2015 Legislatively Adopted Budget — mental health investments Supported employment services — $1.5 million Contract amendments with current Expands supported employment services providers — AMH will distribute funds in statewide. three tiers, based on program readiness. Technical assistance will be provided by Oregon Supported Employment Center for Excellence. Assertive community treatment/case Through partnerships with CCOs, CMHPs management — $5.5 million and other community partners, AMH will Increases capacity to provide case management contract for at least four regional and assertive community treatment to help people avoid hospitalization or shorten hospital assertive community treatment teams, one or more of which will focus on people stays. involved in the criminal justice system. FOR MORE INFORMATION Contact: Emily Watson, Project Manager 503-602-9448 emily.e.watson@state.or.us Addictions and Mental Health 500 Summer Street NE, E86 Health Page 5 09-25-13 www.oregon.gov/oha/amh/pages/MHinvestments.aspx