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Reinvestment Grant#RFA06H16GS1 Working Draft provider agencies. They will participate in the development of a Responsive Action Plan enhancing the community's efforts in preventing incarceration and recidivism. 3.8.5.3.3.6 How the Program will coordinate care to increase access to mental health, substance abuse and co-occurring treatment and support services and ancillary social services(i.e., housing, primary care; benefits,etc.); The SEFBHN Care Coordination plan will start when a client is admitted into Mental Health Court by effectively beginning to track, engage and link offenders with the appropriate behavioral health services. As part of the Care Coordination plan, we will have a block of open appointments to ensure MHC clients will receive a formal assessment within 24-48 hours of referral. Later this month, SEFBHN will be rolling out a new Coordination of Care computer module that will enable us to follow a client's progress, review assessments and recommendations, and track service events or missed appointments. The integrated web-based system will reduce phone time; and, with greater efficiency, it will be secure and password protected which will facilitate communication, allowing for the collaborative development of the best possible treatment plan. As there currently exist a variety of systemic obstacles to successful community-based behavioral health service referral follow-up in Indian River County;_ SEFBHN will seek to overcome these obstacles with practical and effective, short- and long-term solutions at the individual, provider agency and systems level, positively impacting the recipients of services and the community as a whole. The most immediate logistical obstacles for individuals in need of referred, ongoing behavioral health services are: transportation to and from provider agencies for services; access to services due to cost, as well as limited agency capacities, bottlenecks in care and the resulting long wait times for treatment engagement; and, the lack of safe, supportive housing needed to establish a level of foundational domestic stability conducive to successful treatment participation and longer-term positive outcomes. From a systems perspective, collaboration with local law enforcement agencies will allow for earlier and more direct engagement with mentally ill or substance use impaired individuals, directing them into the most suitable setting and facilitating the most appropriate, least restrictive level of care for these populations. Evidence-based screening and assessment processes will be conducted and case management services will be established to best identify and address the individual's needs in order to increase their level of ongoing commitment and length of time for participation in follow-up services. As the oversight and funding agency for over 40 local behavioral health agencies, SEFBHN's guiding participation in the administration of the proposed grant activities will have a strong positive determination on the availability of services at the time of need. Collaborating with the partnering stakeholder agencies and the contracted behavioral health providers will greatly enhance the current coordinated system of care within Indian River County; and, will best augment law enforcement and judiciary efforts. 3.8.5.5.4 Proposed staff, including Project Director, key personnel, and subcontractors who will participate in the project, showing the role of each and their level of effort and qualifications. Briefly discuss the responsibilities of each participating organization and how the Applicant proposes to fill staff positions and select subcontractors. Page 20 of 33