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Community Mental Health Fund (CMHF) Grants

Grants to St. Louis, Missouri Nonprofits to Increase Capacity
to Provide Behavioral Health Services and Prevent Crises

Agency Type:

Local

Funding Source:

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St. Louis Mental Health Board (MHB)

Conf. Date:

01/24/19

LOI Date:

11/30/18

Deadline Date:

03/01/19 4:30 PM

Description:

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Grants to St. Louis, Missouri nonprofit organizations for services that benefit residents with substance abuse and mental health problems. Applicants must submit a concept paper prior to applying. The goal of the fund is to enhance the quality of life of city residents by investing and participating in a coordinated system of social, behavioral, and physical health services aligned with community priorities.

The focus of the fund is to improve the health and wellness of adults with behavioral health concerns so that they can live a self-directed life and strive to reach their fullest potential. Desired outcomes are that St. Louis City adults will experience healthy functioning and have skills, resources, and opportunities that support health wellness.

Standard outcome indicators:
- Maintain/improve daily functioning;
- Develop/strengthen independent living skills
- Reduce/effectively manage symptoms;
- Secure/maintain safe, stable housing;
- Maintain/improve management of co-morbid conditions;
- Secure/maintain gainful employment and/or pursue other educational attainment;
- Maintain/improve management of co-occurring conditions;
- Resolve legal issues and/or requirements;
- Avoid/reduce substance abuse;
- Develop/maintain natural supports (e.g., relationships with family, peers, and others).

Eligible frameworks are:
- Consistent with MHB's mission;
- Supported by the 2018 Adult Behavioral Health Community Needs Assessment findings and recommendations;
- Strategically aligned with community priorities and regional calls to action that support behavioral health wellness and recovery for St. Louis City adults.

Key Priorities A: Expand service capacity to meet the needs of more people and develop innovative approaches to address behavioral health needs.

Opportunities Include:
- Expand specialty services (outreach, intensive outpatient programs/treatment, 24/7 crisis access/response services, inpatient supports, longer-term care/case management/followup, especially post-crisis, medication assisted treatment).
- Add capacity by expanding existing successful services, evidence-based approaches, or innovative programs.
- Develop transition opportunities for those who have maintained stability to be served through other alternatives to traditional or lower levels of care.
- Support creative approaches to address the shortage of psychiatric care (support primary care providers to manage care of those with mild to moderate BH needs, Advance Practice Nursing, consultation/telehealth).

Key Priority B: Improve access to existing behavioral health services by removing barriers and offering more navigational assistance.

Opportunities include:
- Strengthen access points for adults to know about BH services and navigate to care.
- Strengthen linkage and referral networks and support navigation services for "no wrong door."
- Increase navigation assistance to improve access and engagement to existing BH services.
- Enhance care coordination within and across agencies to improve access and engagement, including improving infrastructure for standardized shared information/communication between agencies.
- Improve transitions of care and follow-up activities for adults who transfer between internal programs, external providers or across care settings.
- Develop targeted partnerships and opportunities to promote access to affordable psychiatric medications.
- Support integration, including co-location of BH in other settings particularly primary care and trusted community institutions (e.g. faith community).

Key Priority C: Interrupt or prevent behavioral health crises at earlier stages and respond to crises in more innovative and effective ways.

Opportunities include:
- Reorganize service arrays to build the capacity of service providers to prevent, interrupt and intervene in crises.
- Explore options that are alternatives to Emergency Rooms.
- Provide BH screenings, earlier intervention, and referral linkages to social services and primary care across sectors.
- Increase diagnosis and evaluation availability and accessibility to improve early identification and treatment of BH needs.
- Collaborate with violence prevention and crime victim advocates, law enforcement and criminal justice systems to effectively respond to adult BH needs (e.g. CIT officer expansion and collaborative discharge planning for services post-incarceration).
- Utilize motivational interviewing and peer models to foster engagement in services at critical intervention points, particularly for hard-to-engage populations and those without guardianship or support.
- Explore barriers to care access prior to crisis and address them through partnerships with acute and community-based providers.

Projects should be tailored to meet the specific needs of adult residents of St. Louis City ages 18 and older.

All proposed projects must focus on provision of services specifically for St. Louis City residents in line with MHB’s governing statute.

GrantWatch ID#:

GrantWatch ID#: 167755

Estimated Size of Grant:

- A maximum of $100,000 (per year) for a new project, defined as a start-up project for the organization.
- A maximum of $500,000 (per year) for an existing project, defined as a project currently in operation at the organization regardless of whether it has been previously funded by MHB.
NOTE: MHB Trustees historically have not awarded 100% of project expenses, but rather encouraged a level of co-investment on the part of the applicant organization indicative of revenue diversity and sustainability

Additional Eligibility Criteria:

MHB will make investments only to not-for-profit organizations in good standing with the Secretary of State to do business in Missouri or organizations established by charter or statute. MHB may require new or smaller organizations to partner with more established organizations for administrative support.

MHB will invest only in organizations that comply with all local, state and federal regulations related to fair labor practice, workplace safety, accessibility and consumer protection. Applicants should be aware that MHB assesses compliance with these laws each year and that this assessment includes an assessment of compliance with Executive Order 11246 regarding Affirmative Action.

MHB shall only make investments in organizations and/or projects which demonstrate that individuals receiving mental healthcare services shall have a documented mental health diagnosis determined by a qualified mental healthcare provider except for prevention or early intervention of mental illness and/or substance abuse, outreach and engagement, crisis intervention, or other services where such a diagnosis would be a clear barrier to service.

- MHB shall only invest in applicants that demonstrate their ability to provide culturally and linguistically appropriate services.
- MHB shall have a preference for investing in organizations and/or projects whose governing board members reside in the City or County of St. Louis.
- MHB shall have a preference for investing in organizations and/or projects whose services are provided in the City of St. Louis.
- MHB shall only make investments in organizations and/or projects which demonstrate that MHB funds will not be used to supplant other sources of revenue.
- MHB shall only make investments in organizations and/or projects which meet all additional specific eligibility requirements established by a specific source of revenues.
- MHB shall only make investments in organizations and/or projects which meet all additional specific eligibility requirements established in the “Givens” section of pertinent MHB Calls for Co-Investors.

DMH certifications must be current and applicable to the specific services for which the organization is applying. DMH also deems as certified any organization holding current accreditation by any of the following national accrediting bodies as long as the certification is applicable to the specific services for which the organization is applying:
- Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
- American Osteopathic Association (AOA)
- Commission on Accreditation of Rehabilitation Facilities (CARF)
- Council on Accreditation (COA)

MHB funds shall not be used to provide any direct or indirect support of any religious education, service, or otherwise assist the religious mission of the church. Funds are provided solely to assist youth and adults in a content neutral manner.

Pre-proposal Conference:

MHB will conduct Application Workshops for invited applicant organizations on January 24 & 29, 2019.

Pre-Application Information:

All pre-application submissions begin with a short screen to determine the correct pre-application form for the project and to create and open the correct form. Every applicant organization must begin a preapplication submission through this quiz, regardless of current funding status.

The two pre-application forms are:
1. Concept Paper: This form is intended for projects never previously funded by MHB, or for projects funded by MHB in a prior CMHF funding cycle.
2. Intent to Apply: This form is intended only for projects funded by MHB in the current FY17-19 CMHF funding cycle.

Application Cycle Timeline
MHB’s application process is divided into two phases: Pre-Application and Application.

Pre-Application Phase – Important Dates
- November 5, 2018 at 8:30 a.m. – MHB’s web-based grant portal opens for pre-application (concept paper and intent to apply) submissions.
- November 8 and 14, 2018 – Pre-application workshops.
- November 30, 2018 at 4:30 PM – Grant portal closes (all concept papers and intents to apply must be submitted by this deadline).
- January 17, 2019 – MHB’s Board of Trustees will approve concept papers invited to submit a full application
- On or after January 18, 2019 – Notification of the Board’s decisions will be sent to all organizations/projects.

MHB will accept a maximum of two concept papers per organization.

Application Phase – Important Dates
Applicants who receive an invitation from MHB to submit a full application should note the following dates:
- January 22, 2019 at 8:30 AM – MHB’s web-based grant portal re-opens to accept full applications
- January 24 & 29, 2019 – MHB will conduct Application Workshops for invited applicant organizations.
- February 1 - 22, 2019 – MHB will conduct individualized Technical Assistance for all organizations/projects invited to submit an application.
- March 1, 2019 at 4:30 PM – Grant portal closes (all applications must be submitted by this time.
- May 8 - 14, 2019 – MHB Board of Trustees/Community Reviewer Team Meetings
- May 16, 2019 – MHB Board of Trustees select FY20-22 CMHF grantees and approve FY20 funding awards
- May 20 - June 6, 2019 – Approved organizations/projects complete MHB contracting process.

All organizations that are considering submitting a Concept Paper should review MHB's Community Investment Policies.

If MHB recommends an organization for funding, DMH will schedule a full-scale audit and site visit as part of the certification process.

Applicants considering provisional certification for mental health and substance use treatment services should review the information found here: https://dmh.mo.gov/mentalillness/provider/certification.html

Contact Information:

Before starting your grant application, please review the funding source's website listed below for updates/changes/addendums/conferences/LOIs.

To begin the eligibility quiz, click here: https://stlmhb.foundationconnect.org/grantsmanager/Pages/V3/Portal/eligibilityquiz.aspx?OrgID=00DF00000005fFY&QuizID=a0T0G00000Q72Au&InquiryRT=0120G0000016MxW&lang=en

To access MHB’s grant portal, click here: https://stlmhb.foundationconnect.org/GrantsManager/Pages/V3/portal/Login/Login.aspx?OrgID=00DF00000005fFY&lang=en

For questions, contact:
Rhonda Turner, Manager of Certification and Program Monitoring
rhonda.turner@dmh.mo.gov

To submit a Help Ticket: https://stlmhb.secure.force.com/support/

Saint Louis Mental Health Board
333 S. 18th Street, Ste. 200, The Annex (at Union Station)
St. Louis, MO 63103
314-535-6964

URL for Full Text (RFP):

Geographic Focus:

USA: Missouri: St. Louis