H79TI084075

FNSB Early Intervention Project - Fairbanks Native Association (FNA) has developed the Fairbanks North Star Borough (FNSB) Early Intervention Project (Early Intervention) to provide Screening, Brief Intervention and Referral to Treatment (SBIRT) services to all ethnicities of children, adolescents, and adults in Alaska's FNSB region. This project will expand and enhance the FNSB's Behavioral Health (BH) continuum of care through the leadership of its community coalition (BH Council).

While FNA is an Alaska Native non-profit and some funding is American Indian/Alaska Native-specific, Early Intervention will, like many FNA projects, serve all ethnicities. FNA is ideally placed due to its 50-year tenure in the FNSB. During two of these decades, FNA served as the only substance abuse provider in the region. The FNSB has a high at-risk population due to significant rates of BH problems, as documented in Section A of this proposal.

FNA is the lead agency for Early Intervention. FNA will initially provide SBIRT services in two specialist and two generalist settings and will add four generalist settings in the middle of year one. Specialist settings are 1) the FNA BH Center Prevention Department, and 2) Interior AIDS Association, a medication-assisted treatment provider. Generalist settings are 1) THRIV, an early childhood/family provider, and 2) the Effie Kokrine Charter School, which serves at-risk adolescents. Four new generalist settings will come online during project year two. Settings are selected to achieve maximum early intervention coverage for all age groups in the FNSB.

Early Intervention will be guided by the FNA-established BH Council. The BH Council's 18 members provide system of care and recovery support services in the FNSB in the following service domains: substance abuse, mental health, juvenile and criminal justice, child welfare, Head Start, education/employment, spiritual/religious, housing, and social services.

The goal of Early Intervention is to reduce alcohol and other drug use through early intervention. It is guided by three phases with outcomes identified for each phase.

Phase I: Project Planning and Start-Up outcomes are 1) Organizational structure results in smooth operations and 2) Quality improvement results in required Government Performance and Results Act (GPRA) outcomes.

The Phase II: Operations outcome is to achieve positive change in required GPRA outcomes (abstinence, housing status, employment and/or education, criminal or juvenile justice involvement, social connectedness, at-risk behaviors, emergency department use, hospitalization for SUD or mental, suicide attempts, utilization, and retention in services).

The Phase III: Phase Out outcome is the project is sustained in 100% of the specialist sites and in 50% of generalist sites.

Early Intervention's two highly qualified evaluators will guide improvement, ensuring this project is assessed and adjusted to achieve designated outcomes.

Early Intervention will serve 885 unduplicated individuals over the five-year project period, intervening at the problem drinking stage to avoid long-term addiction.

Fairbanks Native Association

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]

Fairbanks, Alaska 99701 United States

Single Zip Code

Screening, Brief Intervention, and Referral to Treatment (TI-21-008)

Amendment Since initial award the total obligations have increased 360% from $788,558 to $3,629,504.