West Virginia Department of Health and Human Resources (WV DHHR) - Bureau for Behavioral Health and Health Facilities (BBHHF)
06/05/18 5:00 PM
Grants of up to $60,000 to West Virginia organizations and government agencies for programs that divert individuals with a substance abuse disorder or a co-occurring disorder from the criminal justice system. This grant is intended to expand the capacity of programs that divert individuals to community-based services prior to arrest or booking.
Effective diversion programs begin with establishing collaborative partnerships between law enforcement and community providers. BBHHF is soliciting applications from public or private, not-for-profit or for-profit agencies with experience in serving individuals and families experiencing opioid use disorder (OUD) to 1) provide local leadership in developing and sustaining these partnerships; 2) provide the necessary access to trauma-informed intensive case management and 3) assure access to intensive SUD treatment interventions and a wide range of other support services. Priority consideration will be given to licensed behavioral health agencies.
The application must detail a plan to facilitate the law enforcement – community services partnership and a plan of sustainability after this one-time funding. The application must address how the program will promote and support all pathways to recovery, including Medication Assisted Treatment, and reduce low level criminal offenses that are committed as a result of a substance use or mental health disorder. A maximum of $60,000.00 is available per site, which may include personnel, supplies, training, and other specific costs. This funding is for new sites.
The West Virginia Department of Health and Human Resources’ Bureau for Behavioral Health and Health Facilities (BBHHF) envisions healthy communities where integrated resources are accessible for everyone to achieve wellness, personal goals and a self-directed future. The mission of the Bureau BBHHF is to ensure that West Virginians with mental health and/or substance use disorders, intellectual/developmental disabilities, chronic health conditions or long term care needs experience quality services that are comprehensive, readily accessible and tailored to meet individual, family and community needs.
Partnerships and collaboration among public and private systems, as well as with individuals, families, agencies and communities, are important components of the systems of care surrounding each person. The role of the Bureau is to provide leadership in the administration, integration and coordination of the public behavioral health system. The work is informed by results of a multi-year strategic planning process that includes critical partners in planning, funding and delivering services and supports.
The following Strategic Priorities guide services and service continuum development:
Behavioral Health System Goals:
-Priority 1 Assessment and Planning: Implement an integrated approach for the collection, analysis, interpretation and use of data to inform planning, allocation and monitoring of the WV behavioral health service delivery system.
-Priority 2 Capacity: Build the capacity and competency of WV’s behavioral health workforce and other stakeholders to effectively plan, implement, and sustain comprehensive, culturally relevant services.
-Priority 3 Implementation: Increase access to effective behavioral health prevention, early identification, treatment and recovery management that is high quality and person-centered.
-Priority 4 Sustainability: Manage resources effectively by promoting good stewardship and further development of the WV behavioral health service delivery system.
Target Population: Adult men and women (Ages 18+) with a history of low level criminal involvement related to drug offenses, individuals arrested for low level drug offenses and those arrested for prostitution to support their drug use.
Prebooking Referrals – A person for whom the law enforcement officer has made an arrest or has probable cause for arrest for low level drug offenses and who expresses an interest in voluntarily participating in the program.
Social Contact Referrals - An individual that a law enforcement officer believes is at high risk or arrest in the future for drug offenses. Additionally, the individual must express interest in voluntarily participating in the program. The program must have the capacity to serve the individual only after responding to prebooking diversion referrals.
Public safety officials often find themselves on the front lines of responding to behavioral health crises but have few resources available to address the needs of people with serious behavioral health conditions. Meanwhile, people with substance use disorders and mental illness are over-represented in jails and prisons: 65 percent of inmates meet the criteria for a substance use disorder, and more than half have a mental illness. Despite the evidence summarized above, the use of effective treatment models with the target population of drug- involved offenders is low. Findings from national surveys demonstrate that non-treatment approaches to substance abuse, such as drug education, are the most common form of service provided for substance abusing offenders. The second most common form of treatment within prisons, jails, and probation services is low intensity counseling, which has a minimal evidence base. MAT, with a fairly strong evidence base, is rarely used in the correctional setting. Within a community setting a low level offender may have access to a more complete continuum of care as opposed to limited access typically offered within a correctional setting.
Law Enforcement Assisted Diversion (LEAD)1 diversion services provide a way for public safety officials to work with behavioral health providers by diverting low-level drug offenders to treatment and support services, rather than jail and prosecution. Instead of arrest and prosecution, LEAD participants are linked to trauma-informed intensive case management. LEAD case managers work with participants to connect them to intensive interventions such as assertive community treatment, residential substance use disorder services, comprehensive case management, medication assisted treatment, and other support services. Case managers also work closely with community-based organizations and other local authorities to coordinate LEAD participants’ care within the criminal justice system across jurisdictions.
The program is built upon one of the foundations of trauma informed care: do no harm.
Individuals are diverted to community-based programs for help with treatment, housing, health care, job-training and mental health support. By avoiding a criminal record, jail time, and court fees, individuals can get assistance with addressing the root cause of their problems thus avoiding retraumatization with the negative and often career ending impact of incarceration and a criminal record. The program’s goal is to improve public safety, reduce criminal behavior, and avoid the costs associated with multiple arrests and incarcerations.
LEAD was first implemented in Seattle, WA in 2011. A 2015 study found the following positive outcomes:
-LEAD participants are 58% less likely to be arrested than individuals arrested for similar offenses but not enrolled in LEAD.
-LEAD participants have lower recidivism rates than individuals in the normal criminal justice system, including those in therapeutic or problem-solving courts.
-Criminal justice costs and utilization declined by $2,100 for LEAD participants, while control group participants’ costs increased by $5,961.
-LEAD participants are significantly more likely to obtain housing, employment and legitimate income in any given month subsequent to their LEAD referral.
Components of a successful LEAD initiative include:
-An interagency “Law Enforcement and Behavioral Health Partnership” group. At a minimum, the required partners must be the criminal justice system and behavioral health/substance use treatment and recovery systems. Examples of additional key stakeholders could include consumers and their families, social welfare agencies, and the judiciary and corrections system. This group must be committed to designing, implementing, and overseeing a plan of comprehensive strategies to divert individuals with SUD or co-occurring SUD and mental health challenges from arrest to community- based services.
-A comprehensive plan of evidence-based practices, strategies, and services using a multi-agency approach that addresses the following three stages of early diversion of an individual with SUD or co-occurring SUD/MI prior to arrest or booking
-Access 24-hours/day 7 days a week to a live person for referrals from law enforcement.
Collaborations and Memoranda of Understanding:
Applicants for this funding must have Memoranda of Understanding (MOUs) from the law enforcement agencies participating in the project, the regional Comprehensive Mental Health Center, and any additional organizations deemed necessary to indicate access to an adequate treatment and recovery continuum for individuals screened and referred through LEAD. This will help demonstrate buy-in from the top levels of administration and therefore maximize the probability of long term sustainability.
Please note that Departmental Policies are predicated on requirements and authoritative guidance related to Federal grants management and administrative rules and regulations, Grantees shall be required to adhere to those same requirements when administering other DHHR grants or assistance programs, the source of which is non-Federal funds (e.g. state-appropriated general revenue and appropriated or non-appropriated special revenue funds) unless specifically provided direction to the contrary.
GrantWatch ID#: 183667
Up to 10 sites will be funded.
A maximum of $60,000 is available per site.
Funding for this Announcement of Funding Availability is anticipated to be “seed money” for no more than 1 year, therefore, each application must explain in detail how the program will be sustained after 1 year.
Eligible applicants are public or private organizations with a valid West Virginia Business License and/or units of local government. If the applicant is not already registered as a vendor in the State of West Virginia, registration must either be completed prior to award or the vendor must demonstrate proof of such application.
The Grantee is solely responsible for all work performed under the agreement and shall assume all responsibility for services offered and products to be delivered under the terms of the award. The State shall consider the designated Grantee applicant to be the sole point of contact about all contractual matters. The grantee may, with the prior written consent of the State, enter written sub agreements for performance of work; however, the grantee shall be responsible for payment of all subawards.
The Office of Drug Control Policy and BBHHF announce the availability of two informational webinars:
1. “Law Enforcement Assisted Diversion (LEAD) and Quick Response Teams (QRT) – How do they operate, how do they differ, what have we learned?”
This webinar is scheduled for May 16, 2018 at 3:00 PM.
Please register at: https://attendee.gotowebinar.com/register/915512045987451395
2. Additionally, the SAMSHA webinar, “Protect, Serve, and Prevent: The Role of Law Enforcement Partners In Substance Misuse Prevention Efforts” may be of interest to communities that recognize the importance of engaging law enforcement partners in substance misuse prevention initiatives, particularly those intended to reduce opioid misuse and overdose. Productive collaborations with law enforcement require an understanding of the scope and boundaries of their field and how their work can complement other community-based prevention efforts. This webinar will present a process for developing, strengthening, and sustaining working relationships with law enforcement, and explore opportunities for partnering with this sector to plan and implement effective prevention approaches such as naloxone training and distribution and post-overdose strategies. Participants will engage in a discussion on how to address common challenges to maintaining effective partnerships with law enforcement, including means to combat compassion fatigue and recognize and reduce stigma where it exists. Finally, the webinar will highlight examples of successful collaborative strategies being implemented in various regions throughout the United States.
Event Link: http://captconnect.edc.org/event/11306
If the applicant is not already registered as a vendor in the State of West Virginia, registration must either be completed prior to award or the vendor must demonstrate proof of such application.
-Date of Release: May 10, 2018
-Application Deadline: June 5, 2018 5:00 PM
All grant funds are awarded and invoiced on a reimbursement basis.
Before starting your grant application, please review the funding source's website listed below for updates/changes/addendums/conferences/LOIs.
West Virginia Department of Health and Human Resources
Bureau for Behavioral Health and Health Facilities
350 Capital Street, Room 350
Charleston, WV 25301-3702
AFA Number: 5-2018-SA
USA: West Virginia