H79SM085154

Crisis 2 Connection: Expanding the Care Continuum into the Community's goal is to provide safe, effective crisis care that diverts people in distress from emergency departments and jail by expanding the continuum of crisis care services that match people's clinical needs and connect them to services that will prevent future crises. It targets any person experiencing a mental illness or substance use crisis in Montgomery County, Maryland.

The Montgomery County Department of Health and Human Services currently provides individuals with serious mental illness or substance use disorders; children and adolescents with serious emotional disturbance; and individuals with co-occurring mental and substance disorders culturally appropriate, person and family-centered behavioral health care services 24/7 at its crisis clinic.

It will expand the number of Mobile Crisis Outreach Teams (MCOTs) as the most efficient and effective way to reach the 25,416 individuals who need crisis services annually. The proposed expansion will serve a total of 8,638 unduplicated individuals over the course of the two-year period, with 566 unduplicated crisis interventions in year one and an additional 966 crisis interventions in year two. Critical incident response will serve a total of 112 individuals over the two-year period, and 6,964 crisis center walk-ins will be treated: 2,512 will receive services in year one and an additional 4,452 walk-ins will be treated at the crisis center in year two.

The goals and measurable objectives of the project are to:
- Increase the number of behavioral health or substance use crisis intervention requests responded to by the MCOTs by 80%
- Increase the number of clients who receive health assessments and infectious disease testing and vaccinations
- Maintain contact with, monitor, and refer 50% more crisis clients to ensure they end up in a safe and appropriate service environment or recover from the crisis
- Increase the number of crisis clients diverted from admission to emergency departments and correctional facilities by 10%

Peer support is a key component of the MCOT strategy as the lived experience of recovery from mental illness and/or addiction is powerful proof that there is hope for clients in crisis. Other evidence-based practices to be used by the MCOTs and the crisis center to address the complex needs of individuals during a mental health or substance use crisis include critical incident stress debriefing, family psychoeducation, motivational interviewing, and solution-focused therapy.

Montgomery County Maryland

FUNDING TO SUPPORT DEVELOPMENT OF PROPOSALS TO PARTICIPATE IN TIME-LIMITED COMMUNITY BASED BEHAVIORAL HEALTH DEMONSTRATION PROGRAMS DESCRIBED IN SUBSECTION (D) OF SECTION 223 OF P.L. 113-93 PROTECTING ACCESS TO MEDICARE ACT OF 2014, 42 USC 1396(A) NOTE. ADDITIONAL FUNDING AS OUTLINED UNDER SECTION 11001 OF BIPARTISAN SAFER COMMUNITIES ACT OF 2022 (P.L. 117-159) TO EXPAND THE NUMBER OF STATES ALLOWED TO PARTICIPATE IN THE SECTION 223 CCBHC DEMONSTRATION PROGRAM. THE LEGISLATION APPROPRIATES $40 MILLION TO THE SECRETARY TO AWARD PLANNING GRANTS, PROVIDE TECHNICAL ASSISTANCE TO STATES, AND TO SELECT UP TO TEN STATES EVERY TWO YEARS (UNTIL ALL FUNDS ARE EXPENDED), WITH THE FIRST 10 STATES LAUNCHING CCBHC DEMONSTRATION PROGRAMS BEGINNING JULY 1, 2024.

93.696 - Certified Community Behavioral Health Clinic Expansion Grants

Division of Grants Management [HHS - SAMHSA]

Maryland United States

State-Wide

Certified Community Behavioral Health Clinic Expansion Grants (SM-21-013)

COVID-19 $1,832,794 (80%) percent of this Project Grant was funded by COVID-19 emergency acts including the American Rescue Plan Act of 2021.
Amendment Since initial award the End Date has been extended from 08/30/23 to 08/30/24 and the total obligations have increased 20% from $1,915,270 to $2,294,617.