H79SM085451

Family & Children's Services (FCS) Bridging the Gap Project - Family & Children's Services (FCS) in Tulsa, Oklahoma proposes "Bridging the Gap," a multi-tiered project to improve transitions of care from inpatient or crisis to outpatient care for adults and children.

Addressing COVID's impact on mental health, this project will implement strategies to overcome transition barriers to outpatient care by augmenting inpatient discharge and follow-up teams. The goal is to enrich client engagement, improve clinical outcomes, and prevent rehospitalization.

FCS, the largest Community Mental Health Center (CMHC) in Oklahoma, will expand services for vulnerable child and adult populations (SED/SMI/COD) impacted by COVID-19. There will be an emphasis on minorities and individuals residing in economically disadvantaged communities in Tulsa County, including uninsured, underinsured, African Americans, Hispanics, and American Indians.

The project aims to serve 500 individuals per grant year. This includes 250 adults living with SMI/COD who are discharged from psychiatric hospitalization and in need of enhanced transition support to outpatient behavioral health care services. Additionally, 250 children living with SED who are discharged from psychiatric hospitalization will receive enhanced transition support to outpatient care or be students in the Tulsa Public School (TPS) system in need of school-based intervention and/or outpatient behavioral health care services.

The goals of the proposed project are to increase the number of adults living with SMI/COD and children living with SED who actively participate in post-hospitalization outpatient treatment. This will be achieved by using proven strategies to effectively bridge clients to outpatient care in order to improve clinical outcomes. The project also aims to develop a mobile crisis response and stabilization intervention for the Tulsa Public Schools district, serving 77 schools. This intervention will be for children presenting in crisis during the school day. Furthermore, the project seeks to improve the school system's ability to respond to children with mental health needs through evidence-based trainings for TPS staff.

The FCS Bridging the Gap Project includes strategies that provide wraparound services through teams of mental health professionals. These professionals include credentialed therapists, case managers, care coordinators, behavioral health aides, and peer recovery support specialists. The services will be delivered either via telehealth, in-office, at home, or at school. These wraparound services will include comprehensive, trauma-informed, patient-centered transitional plans and outpatient services.

Overall, the Bridging the Gap Project aims to ameliorate barriers to outpatient engagement, thereby reducing the risk of symptom exacerbation, relapse, hospital readmissions, and suicide.

Family & Children's Services

NOT APPLICABLE

93.958 - Block Grants for Community Mental Health Services

Division of Grants Management [HHS - SAMHSA]

Tulsa, Oklahoma 741143301 United States

Single Zip Code

Community Mental Health Centers Grant Program (SM-21-014)

Amendment Since initial award the End Date has been extended from 09/29/23 to 02/29/24 and the total obligations have decreased from $5,000,000 to $4,984,026.