Illinois CHR-P Stepped Care Initiative (510-FCHR)
CSFA Number: 444-22-1732
Agency Name
Department Of Human Services (444)
Agency Identification
DMH
Agency Contact
Barb Roberson
(217)557-5876
Barb.roberson@illinois.gov
Short Description
Scope of Services
The Division of Mental Health in collaboration with Thresholds completed a Substance Abuse and Mental Health Services Administration Funding Application for Community Programs for Outreach and Interventions with Youth and Young Adults at Clinical High Risk for Psychosis Grant Program (CHR-P). The purpose of this program is to identify youth and young adults, not more than 25 years old, at clinical high risk for psychosis and provide evidence-based interventions to prevent the onset of psychosis or lessen the severity of psychotic disorder. It is expected that this program will:
1. improve symptomatic and behavioral functioning;
2. enable youth and young adults to resume age-appropriate social, academic, and/or vocational activities;
3. delay or prevent the onset of psychosis; and
4. minimize the duration of untreated psychosis for those who develop psychotic symptoms.
The Illinois CHR-P stepped care initiative application specified the following five goals as part of the implementation approach with a target population of 13-25 year olds at CHR-P in Cook and DuPage County.
1. identify those at clinical high risk for psychosis (CHR-P) through outreach, education, standardized screening and assessment,
2. apply a stepped care model to link young people at CHR-P and families to appropriate, evidence-based services embedded within 2 Coordinated Specialty Care (CSC) teams in 2 Illinois counties (Cook; DuPage), and
3. evaluate efforts to translate knowledge within and beyond Illinois.
Deliverables
Outreach and Interventions with Youth and Young Adults at Clinical High Risk for Psychosis Convene a community advisory committee (to meet quarterly) with representatives across child- and young adult-serving institutions (e.g., Child Welfare, Department of Juvenile Justice, Division of Mental Health, public schools and community colleges).
1. Tailor community outreach and education materials for CHRP population; refine approach based on stakeholder input; train team in refined approach.
2. Launch revised education efforts within Thresholds, with community Grantees and other youth-serving organizations.
3. Train Clinical staff on evidence-based CHRP screening and assessment tools.
4. Clinical Coordinator convenes first of quarterly validity/reliability and matching stepped care calls with expert consultants.
5. Screen individuals for Illinois CHRP using assessment tools.
6. Implement CHRP stepped-care model with expert guidance and begin enrollment of appropriately screened individuals into CHRP services.
7. Train CHRP staff in CHR-specific modifications of currently used evidence-based practices, including psycho-education, CBT for CHR, etc.
8. Adapt and/or introduce new CHRP practices, including CHR-tailored peer support, social skills training, cognitive training, and physical health/wellness.
9. Improve symptomatic and behavioral functioning, enable youth to resume age-appropriate social, academic, and/or vocational activities, delay or prevent the onset of psychosis, and minimize the duration of untreated psychosis.

Reporting Requirements:

1. Financial Report in accordance with Exhibit C.
2. Performance Report in accordance with Exhibit E.
Payment
Reference the Uniform Grant Agreement, Article IV Payment, Section 4.3 Cash Management Improvement Act of 1990 and Section 4.7 Timely Billing Required. Grantee shall submit allowable grant expenses on the appropriate DMH invoice template within 30 days of the end of the service quarter to the email address indicated on the template no later than November 1, February 1, May 1, and August 1. Invoiced expenses should be consistent with the approved annual grant budget. Any expenditure variances require prior Grantor approval in accordance with Article VI of the grant agreement to be reimbursable. All invoices shall be HIPPA compliant and encrypted utilizing DHS approved encryption software if so indicated on the invoice template. Invoices shall serve as the request for reimbursement as well as the Periodic Financial Report.

DMH invoice templates can be found in the Provider section of the DHS website.

Performance Measures
The Grantee shall submit quarterly Periodic Performance Report (GOMBGATU-4001 (N-08-17)) and the Periodic Performance Report Template by Program (PRTP) to the appropriate email address below no later than November 1, February 1, May 1, and August 1. Reporting templates and instructions for submitting reports can be found in the Provider section of the DHS website.

PPR and PPRT Email Address for All Grants:
DHS.DMHQuarterlyReports@illinois.gov


The following are included in the reporting template:

1. Number of community advisory committee meetings convened.
2. Number of outreach/education events that occur with community Grantees and other youth serving organizations.
3. Number of program staff and their role on the specialty care coordination team.
4. Number of new employees hired
5. Number of new employees trained within 1 month of employment.
6. Number of validity/reliability and matching stepped care calls with expert consultants conducted by the Clinical Coordinator
7. Number of individuals screened/assessed for CHRP.
8. Number of individuals enrolled into CHRP.
9. Number of Team members trained in CHRP modifications of currently utilized evidence-based practices.
10. Number of adopted or new CHRP practices developed.
11. Number of individuals enrolled in CHRP demonstrating improvement. Improvement may be demonstrated through improvements in symptoms, behaviors, re-engagement in age appropriate social, academic, and/or vocational activities, delayed or prevention of psychosis.

Performance Standards
1. Convene Community Advisory Committee meeting one in each quarter.
2. Conduct at least 60 outreach and education events with community Grantees and other youth serving organizations each month for a minimum of 15 events per quarter.
3. 100% of new staff trained within 1 month of employment.
4. Clinical Coordinator will conduct 2 or more validity/reliability and matching stepped care calls with expert consultants.
5. A minimum of 60 individuals screened for CHRP.
6. 100% of individuals screened eligible for CHR-P will be enrolled on a no decline basis.
7. 100% of team members are trained in CHRP evidence-based practices
8. A minimum of 1 new practice will be developed.
9. 100% of required functioning measures will be completed identifying individuals demonstrating improvement.
Subject Area
Human Services
Program Function
Health
Enabling Legislation
Children's Health Act of 2000, Section 520 A-J,581,582, Public Law 106-310; Public Health Service Act, Title V, Section 509; 516, 42 U.S.C 290bb.
Objectives and Goals
The goal is to increase the Illinois capacity to effectively meet the needs of clinical high risk for psychosis (CHR-P) population and prevent first-episode psychosis onset by providing emerging and evidence-based interventions to individuals demonstrating clinical high-risk symptoms.
Types of Assistance
Project Grants
Uses and Restrictions
Funds (including direct costs and indirect costs) may be used only for expenses clearly related and necessary to carry out approved activities that will provide immediately useful, practical knowledge that service providers need as they wrestle with the rapidly changing health care environment. Refer FY2010 SAMHSA Grants Funding Opportunities at www.samhsa.gov. 100% of grants funds under this CFDA.
Eligibility Requirements
All potential grantees must make certain the following are completed before IDHS staff are allowed to accept an application packet.
1. Complete and submit a Grant Application to DHS.GrantApp@illinois.gov. Each application must be sent in a separate email. Links are provided under the "GA" column at http://www.dhs.state.il.us/page.aspx?item=120031. Page 1 of the applications are pre-populated.
2. The subject line of the email MUST state:
a. Provider Organization Name
b. CSFA Number (444-22-XXXX)
c. Contact Name (Barb Roberson)
3. Complete and submit the Fiscal and Administrative Risk Assessment, also known as the ICQ, (short for Internal Control Questionnaire). This is done only once per entity per fiscal year via the GATA Grantee Portal https://www2.illinois.gov/sites/GATA/Pages/default.aspx. While it does not have to be completed prior to submitting the application, this step must be done before an applicant or their application can be considered for an award.
4. Complete and Submit the Programmatic Risk Assessment (PRA) for each grant opportunity. Links are provided under the "PRA" column above;
5. Complete and submit the FY 2021 Uniform Grant Budget in the IDHS CSA Tracking System (http://www.dhs.state.il.us/page.aspx?item=61069);
6. Register with the Illinois Grant Accountability and Transparency Act Grantee Portal.
7. Potential Grantees must:
a. Have a current DUNS number;
b. Have a current FEIN Number;
c. Have a current System for Award Management Account SAM.gov account;
d. Be in Good Standing with the Illinois Secretary of State, (government entities are exempt);
e. Register and access both the Illinois Department of Human Services Community Service Agreement (CSA) tracking system and the Centralized Repository Vault (CRV);
f. If indirect costs are included in the budget, have an annually negotiated indirect cost rate agreement (NICRA).
g. Not be on the Department of Healthcare and Family Services Provider Sanctions list;
h. Not be on the Federal Excluded Parties List.
Eligible Applicants
Nonprofit Organizations;
Application and Award Processing
All potential grantees must make certain the following are completed before IDHS staff are allowed to accept an application packet.
1. Complete and submit a Grant Application to DHS.GrantApp@illinois.gov. Each application must be sent in a separate email. Links are provided under the "GA" column at http://www.dhs.state.il.us/page.aspx?item=120031. Page 1 of the applications are pre-populated.
2. The subject line of the email MUST state:
a. Provider Organization Name
b. CSFA Number (444-22-XXXX)
c. Contact Name (Barb Roberson)
3. Complete and submit the Fiscal and Administrative Risk Assessment, also known as the ICQ, (short for Internal Control Questionnaire). This is done only once per entity per fiscal year via the GATA Grantee Portal https://www2.illinois.gov/sites/GATA/Pages/default.aspx. While it does not have to be completed prior to submitting the application, this step must be done before an applicant or their application can be considered for an award.
4. Complete and Submit the Programmatic Risk Assessment (PRA) for each grant opportunity. Links are provided under the "PRA" column above;
5. Complete and submit the FY 2021 Uniform Grant Budget in the IDHS CSA Tracking System (http://www.dhs.state.il.us/page.aspx?item=61069);
6. Register with the Illinois Grant Accountability and Transparency Act Grantee Portal.
7. Potential Grantees must:
a. Have a current DUNS number;
b. Have a current FEIN Number;
c. Have a current System for Award Management Account SAM.gov account;
d. Be in Good Standing with the Illinois Secretary of State, (government entities are exempt);
e. Register and access both the Illinois Department of Human Services Community Service Agreement (CSA) tracking system and the Centralized Repository Vault (CRV);
f. If indirect costs are included in the budget, have an annually negotiated indirect cost rate agreement (NICRA).
g. Not be on the Department of Healthcare and Family Services Provider Sanctions list;
h. Not be on the Federal Excluded Parties List.
Assistance Consideration
Statutory formulas are not applicable to this program. This program has no matching requirements. CMHS and CSAT, STOP DFC. MOE requirements are not applicable to this program.
Post Assistance Requirements
Reports: Reports are required quarterly, semi-annually, or annually depending on individual program requirements. Quarterly reports are due to the Division of Payment Management. See above information. The (SF-425) Federal Financial Report is required by SAMHSA, Division of Grant Management 90 days after the end of each 12 month period and 90 days after the final 12 month period. Site Visits, Conference Calls, Program Progress Reports and GPRA Data Reports. Audits: In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503. Records: There is a 3-year records retention requirement; records shall be retained beyond the 3-year period if final audit has not been completed or findings resolved.
Regulations, Guidelines, Literature
CFR 200/45 CFR Part 75 Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS awards; also the HHS Grants Policy Statement.
Federal Funding
Notice of Funding Opportunities
None
Agency IDGrantee NameStart DateEnd DateAmount
45CYB03987-45CYB03987THE THRESHOLDS07/01/201906/30/2020397,000