H79FG001210

FY 2023 988 Behavioral Health Crisis Contact Center Process Improvement - Project Abstract Summary

Project Name: 988 Behavioral Health Crisis Contact Center Process Improvement

The purpose of this application for the SAMHSA 988 State Cooperative Agreement funding opportunity is to request funds for the much-needed expansion and transition of the existing Behavioral Health Crisis Call Center to the Behavioral Health Crisis Contact Center. Funding would be used to increase the workforce to meet current and future 988 response for the entire state of Hawaii.

Funding will also allow for support of the expansion of crisis contact services, including 24-hour chat and text capabilities, follow-up contact for those that experience suicidal ideation, increased collaboration and connection with post-contact supports with 911 and other crisis services that include crisis mobile outreach, crisis stabilization, and crisis support management.

Funding will also support efforts to increase public awareness and communication of 988 crisis services especially to high-risk populations such as the Native Hawaiian and other Pacific Island communities; teens and adolescents; service members, veterans, and family members (SMVF); and lesbian, gay, bisexual, transgender, queer/questioning, and intersex (LGBTQI+) individuals.

Hawaii is the most diverse state in the USA and includes AANHPI populations that are at risk for mental health and substance use disorders. The Adult Mental Health Division (AMHD) of the Hawaii State Department of Health (DOH) is responsible for coordinating public and private services into an integrated and responsive delivery system for behavioral and mental health needs. AMHD services promote consumer stabilization into recovery and independence and include a safety-net of crisis intervention and support services in order to effectively treat individuals experiencing a crisis.

Total calls to the main Hawaii Cares Crisis Call Center line (e.g., 808-832-3100) increased by 11% from 2021 to 2022. Additionally, calls transferred from the 988 National Suicide Prevention Lifeline (NSPL) increased by 52% for the same year-to-year comparison. The implementation of the nationwide 988 NSPL number in July 2023 partially accounts for this substantial increase in call volume. However, awareness and education about mental health and substance use disorders also will likely lead to a continued increase in call volume in the future.

The goal of this application is to provide funding to improve the capability of Hawaii Cares 988 Crisis Contact Center to meet the current and future needs of 988 response for Hawaii, improve the standard of care provided to individuals in crisis, and improve access to and public awareness of 988 services especially for high-risk and underserved populations.

The objectives of this project include increasing the workforce, establishing and implementing communications and marketing of 988 Lifeline, establishing agreements with key stakeholders, and implementing mechanisms to track and trend data for post-contact care and sentinel events.

Hawaii Department Of Health

SAMHSA WAS GIVEN THE AUTHORITY TO ADDRESS PRIORITY SUBSTANCE ABUSE TREATMENT, PREVENTION AND MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE THROUGH ASSISTANCE (GRANTS AND COOPERATIVE AGREEMENTS) TO STATES, POLITICAL SUBDIVISIONS OF STATES, INDIAN TRIBES AND TRIBAL ORGANIZATIONS, AND OTHER PUBLIC OR NONPROFIT PRIVATE ENTITIES. UNDER THESE SECTIONS, CSAT, CMHS AND CSAP SEEK TO EXPAND THE AVAILABILITY OF EFFECTIVE SUBSTANCE ABUSE TREATMENT AND RECOVERY SERVICES AVAILABLE TO AMERICANS TO IMPROVE THE LIVES OF THOSE AFFECTED BY ALCOHOL AND DRUG ADDITIONS, AND TO REDUCE THE IMPACT OF ALCOHOL AND DRUG ABUSE ON INDIVIDUALS, FAMILIES, COMMUNITIES AND SOCIETIES AND TO ADDRESS PRIORITY MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE AND ASSIST CHILDREN IN DEALING WITH VIOLENCE AND TRAUMATIC EVENTS THROUGH BY FUNDING GRANT AND COOPERATIVE AGREEMENT PROJECTS. GRANTS AND COOPERATIVE AGREEMENTS MAY BE FOR (1) KNOWLEDGE AND DEVELOPMENT AND APPLICATION PROJECTS FOR TREATMENT AND REHABILITATION AND THE CONDUCT OR SUPPORT OF EVALUATIONS OF SUCH PROJECTS, (2) TRAINING AND TECHNICAL ASSISTANCE, (3) TARGETED CAPACITY RESPONSE PROGRAMS (4) SYSTEMS CHANGE GRANTS INCLUDING STATEWIDE FAMILY NETWORK GRANTS AND CLIENT-ORIENTED AND CONSUMER RUN SELF-HELP ACTIVITIES AND (5) PROGRAMS TO FOSTER HEALTH AND DEVELOPMENT OF CHILDREN, (6) COORDINATION AND INTEGRATION OF PRIMARY CARE SERVICES INTO PUBLICLY-FUNDED COMMUNITY MENTAL HEALTH CENTERS AND OTHER COMMUNITY-BASED BEHAVIORAL HEALTH SETTINGS

93.243 - Substance Abuse and Mental Health Services Projects of Regional and National Significance

Division of Grants Management [HHS - SAMHSA]

Honolulu, Hawaii 96813 United States

Single Zip Code

Cooperative Agreements for States and Territories to Improve Local 988 Capacity (FG-23-006)

Amendment Since initial award the total obligations have increased 195% from $1,486,245 to $4,382,504.