H79SM088546

WCTN Zero Suicide - WestCare Tennessee, Inc. Zero Suicide Project will benefit 130 adults over 5 years with crisis treatment and train 200 professionals and community members with suicide awareness, prevention, intervention, and treatment skill depending on their role.

WCTN proposes Cocke and Jefferson counties as the geographical area for delivering Zero Suicide services, but the surrounding counties will benefit from this project, too. WCTN chose this area due to the high rates of suicide in this primarily rural, underserved area.

Goal 1: Increase access to and quality of services by implementing the Zero Suicide intervention and prevention models in Cocke and Jefferson counties to reduce suicide ideation, suicide attempts, and deaths due to suicide.

Objectives:
1.1: By September 29, 2028, provide services to 130 unduplicated adults using the Zero Suicide models Y1 & 5=20, Y2-4=30).
1.2: By September 29, 2028, link 80% of clients to crisis or other mental health services as documented in the WestCare CDS (Clinical Data System).
1.3: By September 29, 2028, 75% of the clients will complete services as evidenced by the NOMS and the WestCare CDS.
1.4: By September 29, 2028, 80% of clients completing services will exhibit reduced suicide risk and decreased mental health symptoms at discharge, and 70% of those will maintain improvements/show additional decreases at 6-months post admission assessed by the Columbia Suicide Severity Rating Scale (C-SSRS), PCL-5, the Modified Mini Screen (MMS), and the Beck Scale for Suicide Ideation (BSS).
1.5: By September 29, 2028, train 80 individuals in suicide risk assessment measured by the training logs and pre/post-tests.

Goal 2: Improve the mental health and behavioral health functioning of adults (18+) successfully completing suicide intervention and prevention services.

Objectives:
2.1: By September 29, 2028, 80% of clients successfully completing services will have stable living arrangements at discharge, and 70% of those will maintain their living arrangements at 6-months post admission as evidenced by the NOMS.
2.2: By September 29, 2028, 80% of clients completing services will be in an educational/vocational program, be seeking employment actively, or be employed at discharge, and 70% will continue to remain enrolled, complete their education/training, or remain employed at 6-months post admission as evidenced by the NOMS.
2.3: By September 29, 2028, 80% of clients completing services will not engage in new criminal activity at discharge, and 70% will not recidivate at 6-months post admission as evidenced by the NOMS.
2.4: By September 29, 2028, 80% of clients completing services will have improved social connectedness at discharge, and 70% will maintain these improvements at 6-months post admission as evidenced by the NOMS.

WestCare Tennessee makes a system-wide commitment to safer suicide care throughout its behavioral health care system by including all required activities. WCTN will use the seven elements of the Zero Suicide framework to reduce suicide ideation, suicide attempts, and deaths due to suicide.

WestCare programs and services are person-centered, respectful, and responsive to each individual receiving services. WestCare programs tailor services (using an individualized treatment plan) to best respond to the individual needs of each client, building on the strengths of each client and celebrating the elements that make each client unique: ethnicity, culture, language, gender identity and expression, sexual orientation, age, experience and history, strengths, skills, talents, geographic location, education, and other factors.

WestCare programs provide culturally and linguistically appropriate services informed by the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care.

Westcare 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]

Tennessee United States

State-Wide

Cooperative Agreements to Implement Zero Suicide in Health Systems (SM-23-011)

Amendment Since initial award the total obligations have increased 99% from $384,490 to $766,753.