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FFY 2020-2021 Block Grant Application Community Mental Health Services Block Grant (MHBG) Plan and Report

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FFY 2020-2021 Block Grant Application Community Mental Health Services Block Grant (MHBG) Plan and Report OMB No. 0930-0168 Expiration Date: 04/30/2022 Public Burden Statement: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this project is 0930-0168. Public reporting burden for this collection of information is estimated to average 186 hours per respondent, per year, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to SAMHSA Reports Clearance Officer, 5600 Fishers Lane, Room 15E57-B, Rockville, Maryland, 20857. FFY 2020-2021 Block Grant Application Community Mental Health Services Block Grant (MHBG) Plan and Report Substance Abuse Prevention and Treatment Block Grant (SABG) Plan and Report U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration Table of Contents I. INTRODUCTION...................................................................................................................................1 A. Background............................................................................................................................................1 B. Impact on State Authorities and Systems ..............................................................................................2 C. Block Grant Programs’ Purposes ..........................................................................................................8 II. SUBMISSION OF APPLICATION AND PLAN TIMEFRAMES......................................................9 III. MENTAL AND SUBSTANCE USE DISORDER ASSESSMENT AND PLAN .............................11 A. Framework for Planning—Mental Health and Substance Use Prevention and Treatment ...........12 B. Planning Steps ...............................................................................................................................17 C. Environmental Factors and Plan....................................................................................................34 1. The Health Care System, Parity and Integration - Question 1 and 2 are Required .......................34 2. Health Disparities - Requested ......................................................................................................39 3. Innovation in Purchasing Decisions - Requested ..........................................................................42 4. Evidence-Based Practices for Early Interventions to Address Early Serious Mental Illness (ESMI)-10 percent set aside - Required for MHBG .....................................................................45 5. Person Centered Planning (PCP) –Required for MHBG ..............................................................47 6. Program Integrity - Required...............................................................................................................48 7. Tribes - Requested ...............................................................................................................................50 8. Primary Prevention-Required (SABG only)........................................................................................52 9. Statutory Criterion for MHBG (Required for MHBG) .......................................................................59 10. Substance Use Disorder Treatment - Required for SABG .................................................................63 11. Quality Improvement Plan- Requested ..............................................................................................72 12. Trauma -Requested........................................................................................................................73 13. Criminal and Juvenile Justice - Requested ....................................................................................75 14. Medication Assisted Treatment – Requested (SABG only)..........................................................76 15. Crisis Services - Requested ...........................................................................................................78 16. Recovery - Required......................................................................................................................79 17. Community Living and the Implementation of Olmstead- Requested..........................................82 18. Children and Adolescents M/SUD Services –Required for MHBG, Requested for SABG .........83 19. Suicide Prevention – (Required for MHBG).................................................................................86 20. Support of State Partners - Required for MHBG ..........................................................................87 21. State Planning/Advisory Council and Input on the Mental Health/Substance Abuse Block Grant Application- Required for MHBG.................................................................................................89 22. Public Comment on the State Plan- required.....................................................................................94 Acronyms ..................................................................................................................................................95 Resources..................................................................................................................................................98 1. Required Forms a. Face Page—Community Mental Health Services Block Grant b. Face Page—Substance Abuse Prevention and Treatment Block Grant c. Funding Agreements/Certifications—Community Mental Health Services Block Grant d. Funding Agreements/Certifications—Substance Abuse Prevention and Treatment Block Grant e. Assurances FFY 2020-2021 Block Grant Application I. INTRODUCTION This is an application for SAMHSA’s Community Mental Health Services Block Grant (MHBG) and Substance Abuse Prevention and Treatment Block Grant (SABG) as authorized by sections 1911-1920 of Title XIX, Part B, Subpart I of the Public Health Service Act (42 U.S.CF.§§ 300x-300x-9) and sections 1921-1935 of Title XIX, Part B, Subpart II of the Public Health Service Act (42 U.S.C.§ 300x- 21-35), respectively, and sections 1941-1956 of Title XIX, Part B, Subpart III of the Public Health Service Act (42 U.S.C.§§ 300x-51-66). This block grant application includes four major parts: introduction; submission of application and plan timeframes; Mental and Substance Use Disorder (M/SUD) assessment and plan; and report requirements. These sections include discussions and planning around the following policy topics: health care system, parity and integration; health disparities; innovations in purchasing decisions; evidence-based practices for early intervention (e.g., serious mental illness (SMI)); person centered planning; program integrity; tribes; primary substance use disorder prevention, statutory criteria for MHBG; substance use disorder treatment; quality improvement; trauma; criminal and juvenile justice; medication-assisted treatment; crisis services; recovery; community living and Olmstead; children and adolescents M/SUD services; suicide prevention; support of state partners; state planning/advisory council; and public comment . A. Background The Substance Abuse and Mental Health Services Administration (SAMHSA) oversees two major block grants: the Substance Abuse Prevention and Treatment Block Grant (SABG) and the Community Mental Health Services Block Grant (MHBG). These block grants give states1 maximum flexibility to address the unique M/SUD needs of their populations. The MHBG and SABG differ in a number of their practices (e.g., targeted populations) and statutory authorities (e.g., method of calculating maintenance of effort (MOE), stakeholder input requirements for planning, set-asides for specific populations or programs, etc.).2 As a result, information on the services and clients supported by block grant funds has varied by block grant and by state. SAMHSA believes it is vital to collect, report, and analyze data at the state and federal levels to ensure the nation’s M/SUD system is providing the highest quality and most cost effective treatment and other services. State block grant expenditures should be based on the best possible evidence and program quality and outcomes should be carefully tracked. Ultimately, such data will lead to improvements as science and circumstances change. Better alignment of the MHBG and SABG applications will help block grant recipients improve data collection and coordination between programs. In fiscal year (FFY) 2011, SAMHSA redesigned the FFY 2012-2013 MHBG and SABG applications to better align with the current federal/state environments 1 The term ”state” means each of the several states, the District of Columbia and each of the territories of the United States. The term “territories of the United States” means each of the Commonwealth of Puerto Rico, Virgin Islands, American Samoa, Commonwealth of the Northern Marianas Islands, Federated States of Micronesia, Guam, Republic of the Marshall Islands and the Republic of Palau. In addition to statutory authority, SABG is detailed by comprehensive regulation. http://www.samhsa.gov/grants/block- grants/laws-regulations and related policy initiatives, including the Mental Health Parity and Addiction Equity Act (MHPAEA), and
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