Behavioral Health Funding Overview in Nevada
The Bureau of Behavioral Health Wellness and Prevention in Nevada discusses funding for behavioral health services, crisis response systems, suicide prevention, and problem gambling treatment. Details on grants, funding categories, and targeted populations are provided.
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Joe Lombardo Governor Richard Whitley Director State of Nevada Department of Health and Human Services Bureau of Behavioral Health Wellness and Prevention Behavioral Health System Planning (BHSP) Funding Overview Dr. Ruth Condray, Clinical Program Planner/Deputy Bureau Chief April 12, 2023 Department of Health and Human Services Helping people. It s who we are and what we do.
Agenda 1. Bureau Structure 2. Overview of Behavioral Health Services Funding, FFY 2023 3. Behavioral Health System Funding 4. Crisis Response System Funding 5. Office of Suicide Prevention Funding 6. Problem Gambling: Treatment and Prevention 7. Questions? 8. Contact Information 2
Bureau Structure Substance Abuse Prevention and Treatment Agency Office of Suicide Prevention Problem Gambling Behavioral Health System Planning Crisis Response System Misty Vaughan Allen Dr. Ruth Condray Shannon Scott Kimberly Garcia Tracy Palmer 3
Introduction Within Bureau of Behavioral Health Wellness and Prevention (BBHWP), the Section devoted to Behavioral Health System Planning is responsible for administering the Community Mental Health Services Block Grant (MHBG), all MHBG supplemental funding and new/competing awards to support mental health services. A primary objective of the BH System Planning Section is to support our state partners in providing a comprehensive system of community mental health services to Nevada s residents. To that end, our Bureau collaborates with community members throughout the State to update our behavioral health strategic plans on a regular basis. The most recent plan, the 2023 Strategic Plan for Behavioral Health Community Integration, was released in January. MHBG Target Populations: Adults with Serious Mental Illnesses (SMI) Children with Serious Emotional Disturbances (SED) 4
Overview: Behavioral Health Services Funding 5
Community Mental Health Services Block Grant (MHBG) Mandatory Set-Aside Requirements 10% 5% 5% 40% ESMI 10 % Crisis 5% 20% Admin 5% Children & Youth 20% Direct Services 20% 20% Discretionary 40% 6
Community Mental Health Services Block Grant (MHBG) and Supplemental Funding by Category, FFY 2023 CAT Grant Name Award Amount Start Date End Date Funding Type Grantor Subawards & Work Orders 15 MHBG $11,133,777 10/1/22 9/30/24 Population Based SAMHSA 21 15 Bipartisan Safer Communities Act (BSCA) $329,053 10/22/22 10/16/24 Supplemental SAMHSA MSA Vendor Pending 14 MHBG COVID Supplemental $8,743,742 3/15/21 3/14/24 Supplemental with No-Cost Extension (NCE) SAMHSA 17 18 MHBG COVID Mitigation $519,744 9/1/21 9/30/25 Supplemental SAMHSA MSA Vendor Pending 45 MHBG American Rescue Plan Act (ARPA) $15,102,828 9/1/21 9/30/25 Supplemental SAMHSA 3 NOTE: Award amounts reflect the Total Amount of the Federal Award including Approved Cost Sharing or Matching during the Project Period. 7
Additional Behavioral Health Services Funding by Category, FFY 2023 CAT Grant Name Award Amount Start Date End Date Funding Type Grantor Subawards/ Work Orders 17 Law Enforcement & BH Partnership for Early Diversion: Assertive Community Treatment $1,265,365 4/30/22 4/29/23 Non- Competing Continuation SAMHSA 2 24 The Nevada Clinical High Risk for Psychosis (CHR-P) Program for Youth $555,831 9/30/22 9/29/23 New Competing SAMHSA 1 36 Projects for Assistance in Transition from Homelessness (PATH) $821,568 9/30/22 9/29/23 New Competing SAMHSA 4 63 Governor s American Rescue Plan Act (ARPA): Assertive Community Treatment $1,956,011 3/3/21 12/31/24 Supplemental SAMHSA 2 NOTE: Award amounts reflect the Total Amount of the Federal Award including Approved Cost Sharing or Matching during the Project Period. 8
Overview of MHBG Funding MHBG and MHBG Supplemental Funding MHBG BSCA 1% MHBG 31% MHBG ARPA 42% MHBG COVID 24% MHBG COVID Mitigation 2% MHBG COVID COVID Mitigation MHBG ARPA MBG BSCA 9
CAT 15 - Mental Health Services Block Grant (MHBG) Awardee Budget Start End Program Type Location Scope of Work Social Entrepreneurs, Inc. $20,965.00 10/1/2022 9/30/2023 Direct Service Rural NV Rural Nevada s Continuum of Care NAVIGATE First Episode Psychosis: Workforce Development and Technical Assistance Social Entrepreneurs, Inc. $212,233.00 10/1/2022 9/30/2023 FEP/ESMI Northern NV Project ECHO Clinics for First Episode Psychosis: Workforce Development for Nevada s Mental Health Professionals University of Nevada, Reno $260,711.00 10/1/2022 9/30/2023 FEP/ESMI Northern NV University of Nevada, Reno $59,210.00 10/1/2022 9/30/2023 FEP/ESMI Northern NV Individual Psychotherapy Modalities for Psychosis Center for the Application of Substance Abuse Technologies (CASAT) Technical support for Certified Community Behavioral Health Centers & Assertive Community Treatment Services $648,967.00 10/1/2022 9/30/2023 Direct Service Statewide NV Social Entrepreneurs, Inc. $26,141.00 9/1/2022 12/30/2022 Crisis Northern NV Crisis Now Immersion Conference University of Nevada, Reno $585,015.00 10/1/2022 9/30/2023 FEP/ESMI Northern NV UNR SOAR Program for First Episode Psychosis University of Nevada, Las Vegas $229,480.00 10/1/2022 9/30/2023 FEP/ESMI Southern NV Mojave Counseling First Episode Psychosis Clinic University of Nevada, Las Vegas Mojave Counseling $328,295.00 10/1/2022 9/30/2023 FEP/ESMI Southern NV Mojave Counseling First Episode Psychosis Clinic Carson Tahoe Behavioral Health Services $600,379.00 10/1/2022 9/30/2023 FEP/ESMI Northern NV Carson Tahoe First Episode Psychosis Program Carson Tahoe Behavioral Health Services $424,701.00 10/1/2022 9/30/2023 Direct Service Northern NV Assertive Community Treatment (ACT) Program 10
CAT 15 - Mental Health Block Grant (MHBG) Awardee Budget Start End Program Type Location Scope of Work Chicanos Por La Causa $671,476.00 10/1/2022 9/30/2023Youth Services Southern NV Pediatric Psychiatry Access Line (PAL) Outpatient counseling services for children and youth up to age 18 Solutions of Change $690,747.00 10/1/2022 9/30/2023Youth Services Southern NV Division of Child and Family Services Budget Account 3145 $333,256.00 10/1/2022 9/30/2023Youth Services Northern NV Planning and Evaluation Unit (PEU) Division of Child and Family Services Budget Account 3281 $477,086.00 10/1/2022 9/30/2023Youth Services Washoe County Northern Mobile Crisis Response Team (MCRT) Division of Child and Family Services Budget Account 3646 $829,098.00 10/1/2022 9/30/2023Youth Services Clark County Southern Mobile Crisis Response Team (MCRT) NAMI Nevada $402,006.00 10/1/2022 9/30/2023Direct Services Statewide Serious Mental Illness (SMI) NAMI Western Nevada $239,285.00 10/1/2022 9/30/2023Crisis Services Statewide Nevada CARES Warmline Single Episode Psychosis (SED) treatment for school-aged children and their families United Citizens Foundation $359,971.00 10/1/2022 9/30/2023Youth Services Clark County Crisis Support Services $69,587.00 10/1/2022 2/28/2023Crisis Services Statewide Crisis support and case management Crisis Support Services $341,140.00 3/1/2023 9/30/2023Crisis Services Statewide Crisis support 11
CAT 15 - Mental Health Services Block Grant (MHBG) Bipartisan Safer Communities Act (BSCA) CAT Grant Name Award Amount Start Date End Date Grantor Funding Type Subawards/Work Orders 15 Bipartisan Safer Communities Act (BSCA) MHBG Supplemental $329,053 2023 2025 SAMHSA One-time MSA Vendor Pending Synopsis Strengthen and enhance mental health emergency preparedness and crisis response efforts. 12
CAT 14 Mental Health Services Block Grant (MHBG) COVID Supplemental CAT Grant Name Award Amount Start Date End Date Funding Type Grantor Subawards/ Work Orders 14 MHBG Supplemental (COVID 1) $8,743,742 3/15/2021 3/14/2023 One-time Funding SAMHSA 17 Synopsis Provides COVID emergency relief funding for the MHBG program and must be used for activities consistent with existing MHBG program requirements. NOTE: List of award recipients is available upon request. 13
CAT 18 Mental Health Services Block Grant (MHBG) COVID Mitigation CAT Grant Name Award Amount Start Date End Date Funding Type Grantor Work Orders 18 MHBG Supplemental (COVID 2) $519,744 9/1/2021 9/30/2025 One-time Funding SAMHSA MSA Vendor Pending Synopsis Funding to expand dedicated testing and mitigation resources for people with mental health and substance use disorders. These funds will provide resources and flexibility to prevent, prepare for, and respond to the COVID-19 public health emergency and ensure the continuity of services to support individuals connected to the behavioral health system. 14
CAT 45 Mental Health Services Block Grant (MHBG) American Rescue Plan Act (ARPA) CAT Grant Name Award Amount Start Date End Date Grantor Funding Type Subawards/Work Orders One-time Funding 17 45 American Rescue Plan Act (ARPA) MHBG Supplemental $15,102,828 9/1/2021 9/30/2025 SAMHSA Synopsis Provided to address the effects of the COVID-19 pandemic for people 15
CAT 17 - Law Enforcement and Behavioral Health Partnership for Early Diversion CAT Grant Name Award Amount Start Date End Date Grantor Funding Type Subawards/ Work Orders 17 Law Enforcement and Behavioral Health Partnership for Early Diversion $1,265,365 4/30/2022 4/29/2023 SAMHSA One-Time 2 Synopsis Fund assertive community treatment program at Carson Tahoe Hospital. 16
CAT 24 - Clinical High Risk for Psychosis (CHR-P) CAT Grant Name Award Amount Start Date End Date Grantor Funding Type Subaward 24 The Nevada Clinical High Risk for Psychosis Program for Youth (CHR-P) $ 555,831 9/30/2022 9/29/2023 SAMHSA New Competing 1 Synopsis Community Programs for Outreach and Intervention with Youth and Young Adults at Clinical High Risk for Psychosis (CHR-P). 17
CAT 63 - Governors ARPA Assertive Community Treatment (ACT) CAT Grant Name AwardAmount Start Date End Date Grantor Funding Type Subawards/ Work Orders Continuous 2 63 Projects for Assistance in Transition from Homelessness (PATH) $821,568 9/30/2022 9/29/2023 SAMHSA Synopsis Funds services for people with serious mental illness (SMI) experiencing homelessness. 18
CAT 36 - Projects for Assistance in Transition from Homelessness (PATH) CAT Grant Name Award Amount Start Date End Date Grantor Funding Type Subawards/ Work Orders 36 Projects for Assistance in Transition from Homelessness (PATH) $821,568 9/30/2022 9/29/2023 SAMHSA Continuous 8 Synopsis Funds services for people with serious mental illness (SMI) experiencing homelessness. 19
Crisis Response System Grant Name Award Amount Start Date End Date Type of Funding Synopsis Helmsley Charitable Trust Private Funding $3,800,000.00 7/1/2022 6/30/2023 One-time Funding Avel Ecare will be partnering with DPBH to provide 24/7 access telehealth services for behavioral health crisis to rural law enforcement officers via IPAD technology 988 Cooperative Agreement $457,407.00 4/30/2022 4/29/2023 Crisis Support Services of NV will work with the DPBH for the lifeline crisis centers to maintain and expand the workforce to respond to an increase in lifeline call volume due to 988 implementation One-time Funding Governor s Finance Office (GFO) American Rescue Plan (ARPA) $1,995,730.00 12/1/2022 11/30/2023 One-time Funding CASAT will work with the DPBH to transition the NRP into their supervision. CASAT will supervise, recruit and train 16new Resilience Ambassadors candidates that will be placed in community organizations to promote resilience efforts and support Nevadans to navigate and access resources and services referrals experienced adversity. NV Department of Agriculture $454,405.00 12/1/2022 11/30/2023 One-time Funding To execute and agreement to implement and fund the Nevada DHHS farm and ranch stress network. Health Disparity Funds from CDHP $454,405.00 7/1/2021 5/31/2023 The purpose of the MOU is to decrease known health disparities and promote health equity. One-time Funding SAPTA COVID ER Grant $4,703,219.00 2/1/2023 5/31/2023 One-time Funding Provide recovery support services and crisis mental health services. These services will include include six individuals trained in resiliency suicide prevention, resource referral, and one case manager. Two NOGAs were received. STATUTORY AUTHORITY EM COVID 19 IS AUTHORIZED UNDER 501 (O) OF THE PHS ACT. According to the NOGAs, the money was split between MH and BH. ARPA Funds Governor s Office Crisis Stabilization Centers $20,000,000.00 7/1/2022 5/31/2023 One-time Funding Funding for infrastructure, tenant improvement and operational costs to establish crisis stabilizations centers for children, youth and families. Provide recovery services and crisis mental health for proposed, which includes six individuals trained in resiliency suicide prevention, resource referral, and one case manager. Two NOGAs were received. STATUTORY AUTHORITY EM COVID 19 IS AUTHORIZED UNDER 501 (O) OF THE PHS ACT. According to the NOGAs, the money was split between MH and BH. ARPA Funds Governor s Office Crisis Billing $10,000,000.00 7/1/2022 6/30/2024 One-time Funding Crisis Billing ARPA Funds Governor s Office 988 Set Up $3,500,000.00 9/1/2022 6/30/2024 One-time Funding Funds for the Initial Contact for Nevada s Behavioral Health Crisis Care Hub. Transformation Transfer Initiative $18,000.00 The purpose of moving these funds is to provide funding for 988 social media campaigns to promote public aware of Nevada s Crisis Response System. 20 Total: $48,301,889.00
Office of Suicide Prevention (OSP) Grant Name Award Amount Start Date End Date Funding Type Fund for Healthy Nevada $389,490 7/1/2022 6/30/2023 Continuous Synopsis Provides funds for the day-to-day operation of OSP to implement the state SP Plan. Grant Name Award Amount Start Date End Date Funding Type Subgrant from the Nevada Department of Education (NDE) $120,000 10/1/2022 9/29/2023 One-time Synopsis Partner with local education agencies (LEAs) and state educational agencies (SEAs) for mental health literacy and suicide prevention. 21
Problem Gambling: Treatment and Prevention CAT Grant Award Amount Start Date End Date Funding Type 19 State General Fund $2,127,102 7/1/2022 6/30/2023 Continuous Synopsis Provides funds for the treatment and prevention of Problem Gambling 22
Farm and Ranch Stress Assistance Network Competitive Grants Program CAT Grant Name Award Amount Start Date End Date Grantor Funding Type Subawards/ Work Orders 8 NV Department of Agriculture $455,343 12/1/2022 8/30/2023 NV Department of Agriculture One-time 1 Synopsis The Farmers and Ranchers Grant was awarded to us by the Department of Agriculture until August 2023 for a total of $455,343. The purpose of this award is to provide support for those experiencing increased mental health symptoms by accepting referrals through the Nevada Resilience Project website. Additionally, there is a connection to suicide prevention and ideation training (ASIST and SafeTalk). Funding also allows for outreach services, including webinars, direct communication, and collaboration with agriculture associations and partnerships to increase service awareness and contacts. The target population for this grant covers our agricultural community within White Pine, Elko, and Churchill. 23
Questions? 24
Contact Information Dr. Ruth Condray, Ph.D. (she/her/hers) Clinical Program Planner III | Deputy Bureau Chief Bureau of Behavioral Health Wellness and Prevention Division of Public and Behavioral Health Nevada Department of Health and Human Services 4126 Technology Way, Second Floor Carson City, Nevada 89706 T: (775) 684-4190 rcondray@health.nv.gov | www.dhhs.nv.gov | www.dpbh.nv.gov 25
