H79FG001252

Centerstone's LGBTQI+ Family Support Program (FAMILY+) - Centerstone's LGBTQI+ Family Support Program (FAMILY+) will prevent health/behavioral health risks and promote well-being through staff and community trainings on LGBTQI+ competent treatment, outreach/engagement, and non-traditional holistic support activities.

For an unduplicated total of 230 LGBTQI+ youth and their families residing in Bladen, Cumberland, Hoke, Robeson, Harnett, Lee, Mecklenburg, and Sampson counties, North Carolina (i.e., Y1:60; Y2-3: 85/yr.), services will be delivered at Centerstone's Steven A. Cohen Military Family Clinic in Fayetteville, North Carolina, home to Fort Liberty Army Base (formerly Ft. Bragg), the largest US Army installation, and Pope Air Force Base.

FAMILY+ will place a key emphasis on serving focus population youth from among the area's estimated 37,800 children of active duty military members and 82,475 veteran households with children. Focus population demographics are expected to mirror those of the catchment area: 49% male, 51% female, 46% white, 30% black/African American, and 15% Hispanic/Latino individuals.

An estimated 275,260 area individuals live in poverty, 210,840 did not graduate high school, 230,360 are uninsured, and 220,600 have a disability. Compared to their heterosexual peers, 23% of North Carolina's LGBT youth report electronic bullying (vs. 10%); 29% don't go to school/feel unsafe there (vs. 13%); 25% experienced sexual violence (vs. 11%); 68% felt sad/hopeless (vs. 35%); and 48% considered suicide (vs. 15%).

FAMILY+ will implement evidence-based strategies/interventions, including screening/referral protocols (e.g., SDQ, PHQ, C-SSRS for those under 18; PHQ, GAD, Primary Care Post-Traumatic Stress Disorder [PC PTSD], Quality of Life Enjoyment and Satisfaction Questionnaire [QLES], C-SSRS Recent for 18+; and CRAFFT for ages 12-21) and family counseling interventions (i.e., Affirm Cognitive Behavioral Therapy [Affirm CBT], Trauma-Focused Cognitive Behavioral Therapy [TF-CBT], Emotionally Focused Therapy [EFST], Affirm Caregiver, Youth Mental Health First Aid [YMHFA]).

FAMILY+ goals include:
(1) Develop/implement an outreach/engagement plan to connect LGBTQI+ youth and their families with counseling and supports;
(2) Develop/implement a public awareness communications plan to engage families of LGBTQI+ youth;
(3) Develop/implement screening and referral protocols to identify LGBTQI+ youth and their families needing supports;
(4) Identify/coordinate referral pathways with community-based service providers for LGBTQI+ youth referred to the family counseling program;
(5) Develop/implement a training and workforce development plan on evidence-based family counseling intervention(s);
(6) Implement evidence-based family counseling interventions;
(7) Coordinate efforts and access relevant technical assistance (TA) and resources; and
(8) Develop/disseminate a thoroughly documented model for replication/adoption.

As a result of these goals, FAMILY+ will achieve the following measurable workforce and participant-related objectives:
- Ensure 100% of FAMILY+ staff are culturally competent and trained in EBPs;
- Provide outreach/engagement, non-traditional/holistic supports, and LGBTQI+ affirming interventions for 230 youth and their families;
- Screen/assess 100% of participants and caregivers for behavioral health and/or social determinants of health concerns;
- Triage 100% into appropriate interventions;
- Offer 100% peer/family supports;
- Develop individual treatment/safety plans for 100%;
- Coordinate referrals and/or emergency services for 100% in need;
- Provide case management for 100% in need;
- Train 100 staff/providers in evidence-based interventions and deliver 15 trainings on the impact of trauma;
- Reduce trauma-related mental health symptoms among 60%;
- Increase wellbeing and life quality among 80%;
- Improve family functioning among 50%;
- Achieve 80% retention rate; and
- Achieve care satisfaction among 80%.

Centerstone Of Tennessee

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]

Fayetteville, North Carolina 283044514 United States

Single Zip Code

Family Counseling and Support for Lesbian, Gay, Bisexual, Transgender, Queer/Questioning, Intersex+ Youth and their Families (FG-23-004)

Amendment Since initial award the total obligations have increased 410% from $249,777 to $1,275,000.