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K2O-048 -4 ?, NCACH Memorandum of Understanding Memorandum of Understanding between Grant Integrated Services and North Central Accountable Community of Health I. Purpose This MOU is an agreement between North Central Accountable Community of Health (NCACH) and Grant Integrated Services to be a partner as part of NCACH's role in the Washington Medicaid Transformation. Grant Integrated Services will implement a project, Suicide Prevention and Community Coalition Building and Training to improve health outcomes across the North Central Region as an awardee of the Coalitions for Health Improvement Community Initiatives Funding, a community investment process made possible by NCACH. This MOU represents a description of the roles and responsibilities of each party. By clearly defining and understanding the expectations of each party, the parties have a greater potential to ensure a successful experience. Grant Integrated Services will enable the Grant County Suicide Prevention Taskforce to expand and enhance the current work of the Grant County Suicide Prevention Taskforce, by adding a dedicated, paid staff will help implementation of coalition building and training expertise across Grant County. Grant Integrated Services will accomplish this goal through implementation of their proposed project, "Suicide Prevention and Community Coalition Building and Training" (see Exhibit A for proposed project). II. Term of the Memorandum This Memorandum shall be effective on the date of signing and shall continue through February 28, 2021. This deadline may be extended by mutual written agreement of the parties. III. Responsibilities of Grant Integrated Services For this Memorandum of Understanding, Grant Integrated Services is considered the lead organization in partnership with the Grant County Suicide Prevention Taskforce for the proposed project (Exhibit A). Grant Integrated Services is responsible for submission and completion of all deliverables. Failure to complete and submit all deliverables by March 15, 2021 could result in Grant Integrated Services being liable for the return of funds awarded by the NCACH, less costs incurred. The responsibility of the organization includes: a. One verbal report (approximately 20 minutes) to at least one of the local Coalitions for Health Improvement (CHI) meeting (contact Sahara Suval, sahara.suval(ccdhd.wa.gov to schedule your report). If your project spans more than one Coalition's jurisdiction, you will be required to present at each of those March 5, 2020 NCACH Memorandum of Understanding Coalitions to satisfy this requirement. (7.5% of awarded amount, distributed funding cycle after presentation) b. One verbal report (10-20 minutes) during a non -CHI partner meeting. A partner meeting is any gathering of partners where information sharing is happening (7.5% of awarded amount, distributed funding cycle after presentation); i. Examples include other coalition meetings, local stakeholder meetings, regional networking meetings, etc. ii. Submit meeting agenda including meeting title, date, and location. c. Submit two quarterly progress reports (template provided by NCACH) outlining progress to date by June 12, 2020 and December 11, 2020 (40% of awarded amount, 20% each report) d. Submit a mid-term written report (template provided by NCACH) outlining barriers and challenges to implementation and technical assistance or other needs to accomplish stated goals by September 11, 2020 (20% of awarded amount) e. Submit a final written report (template provided by NCACH) outlining activities completed during the implementation period (March 2020 — February 202 1) of the proposed project (Exhibit A) by March 15, 2021. f. Participate in assessment and evaluation activities developed by NCACH to better understand the impacts of your project and the community investment process. Activities may include, but not be limited to: a survey, interview, and/or a site visit g. Report the following project specific metrics on the mid-term and final report: i. Training(s) and suicide prevention activities offered: Number of trainings/activities offered (including location and date information), participant demographic information, when applicable -- pre- and post - training participant survey data (e.g. pre- and post -training skills assessments), narrative description of each training/activity offered ii. Development of new regional coalition(s) in Grant County (as outlined in exhibit A) that will support the Suicide Prevention Taskforce: Please document the following for each of coalition during the reporting period — Coalition chapter leader(s), number of participants at coalition meetings, meeting agendas including date and location, meeting minutes, and a brief narrative description of each meeting's activities and outcomes iii. Standardized training materials: submit any developed materials, along with a narrative description of how those materials were distributed. Narrative from partner receiving materials on outcomes on their target population as a result of receiving and utilizing standardized materials. iv. One to two examples of how the community have developed the resiliency to respond / mitigate suicide in Grant County (including, but not limited to) 1. Examples include communities or individuals who were able to build or enhance their suicide prevention and/or response capabilities as a result of your efforts. How has the community's ability to respond or mitigate suicide as a result of your efforts? 2 March 5, 2020 NCACH Memorandum of Understanding *Please note: Changes to deliverables or metrics must be mutually agreed upon, in writing, by both parties. Contact Sahara Suval, sahara.suval@cdhd. wa.gov for questions. While it is not required, participation within Coalition for Health Improvement and NCACH events, such as your local Coalition meetings and NCACH's Annual Summit, is highly encouraged. IV. Responsibilities of NCACH, a healthcare quality improvement organization NCACH will: 1. Provide funding to the organization in the amount of $125,100.00 a. Payments will be issued in installments. The first payment of $31,275.00 (25%) is payable within 60 days of receipt of the signed MOU and registration within the Financial Executor Portal. b. Additional funds will be issued in quarterly payments within 60 days of submission and satisfactory review of reporting deliverables (Estimated to receive payments in June 2020, October 2020, and January 2021). c. Provide a Quarterly Progress Report template to the organization to use in completing the organization's quarterly progress report due to NCACH. d. The template will include but is not limited to, i. Barriers and challenges encountered ii. Progress to date 2. Provide a Midterm Report template to the organization to use in completing the organization's midterm report due to NCACH. a. The template will include but is not limited to, i. Barriers and challenges encountered ii. Technical assistance and other needs to accomplish stated goals 3. Provide a Final Report template to the organization to use in completing the organization's final report due NCACH. a. The template will include but is not limited to, i. Description of how funds were utilized ii. Milestones achieved iii. Barriers and challenges encountered iv. Lessons learned v. Successes vi. Identified best practices vii. Report of project specific metric outcomes viii. Site-specific questions for both Clinical and Community Based Organization providers 4. Provide collaborative support to ensure work is aligned with the deliverables outlined by NCACH. March 5, 2020 NCACH Memorandum of Understanding V. Change in Status In the event of substantive change in the legal status, organizational structure, or fiscal reporting responsibility of the parties to this Memorandum, the parties agree to notify NCACH of the change. The parties shall provide notice as soon as practicable but no later than 30 days after such a change takes effect. VI. Amendment of the Memorandum This Memorandum may be amended at any time by mutual written agreement of the parties. VII. Termination of the Memorandum Either parry may terminate this Memorandum upon 14 days' prior written notification to the other party. If this Memorandum is so terminated, Grant Integrated Services may be liable for the return of funds awarded by the NCACH on signing of the MOU, less costs incurred in accordance with the terms of this Memorandum prior to the effective date of termination. VIII. Costs Unless otherwise specified within this Memorandum, any and all expenses incurred by the participants of this collaborative project are the responsibility of the participant. IX. Master Service Agreement NCACH and the organization have mutually accepted the terms and conditions listed under the Master Service Agreement (MSA) when registering in the Washington State Financial Executor Portal as part of each entities participation in the Medicaid Transformation Project. The basic agreement language outlined in the MSA applies to the work completed in this MOU between both organizations. X. Entire Agreement This Memorandum and Exhibit A represents all the terms and conditions agreed upon by the parties. No other understandings or representations, oral or otherwise, regarding the subject matter of this contract shall be deemed to exist or to bind any of the parties hereto. XI. Conformance If any provision of this Memorandum violates any statute or rule of law of the State of Washington, it is considered modified to conform to that statute or rule of law. 4 March 5, 2020 NCACH Memorandum of Understanding XII. Approval This Memorandum of Understanding, consisting of 5 pages and Exhibit A (Attached), is executed by the persons signing below, who warrant that they have the authority to execute it. BOARD OF COUNTY COMMISSIONERS G COUNTY, W SHINGTON CinZry'c'artji, hair 1 T lor, Vice C it w Richard Stevens, Member Linda Parlette, Executive Director Date North Central Accountable Community of Health 200 Valley Mall Parkway, East Wenatchee, WA 98802 (509) 886-6438 linda.parletteac cdhd.wa.gov 5 March 5, 2020 Coalitions for Health Improvement Community Initiatives Funding 2019 CHI COMMUNITY INITIATIVES FUNDING North Central Accountable Community of Health — Coalitions for Health Improvement JULY 2019 Application Submission Information All applicants must submit a Letter of Intent by August 16, 2019 in order to be eligible to submit a project application. All invited applicants must submit a complete project application to be considered eligible for 2019 CHI Community Initiatives Funding, including completion of the following sections: Contact Information, Project Information, Priority Elements, Narrative Responses, and any required attachments. For Small Projects: Applications must be received by 5:00 pm on September 6, 2019. For Medium — Large — Very Large Projects: Applications must be received by 5:00 pm on November 1, 2019. Project applications and required attachments can be submitted in PDF format to: Sahara Suval, Communications and Engagement Manager, North Central Accountable Community of Health Email:_�I_,� , Or Mailed (postmarked on or before the required project application due date) to: NCACH Attention: Sahara Suval 200 Valley Mall Parkway, East Wenatchee, WA 98802 June 28, 2019 Coalitions for Health Improvement Community Initiatives Funding CHI COMMUNITY I N ITATIVES: PROJECT APPLICATION Please provide the following information in the form below. Contact Information Organization(s) or Group Name: Grant County Suicide Prevention Taskforce Lead Organization: Grant County through Grant Integrated Services This organization will sign the MOU and will be responsible for managing funds and reporting requirements. Application Contact Name: Gail Goodwin Email: ggoodwin(@arantcou Physical Mailing Address: 840 E. Plum j Phone: 509-764-2644 If the Lead Organization does not have a UB1/EIN number, then a fiscal sponsor may be designated by the applicant. The primary role of the fiscal sponsor is to take on the responsibility of receiving and administering awarded funds on behalf of the applicant. Please note that if the project application is selected as an award recipient, the applicant will be responsible for meeting all specified reporting requirements. Fiscal Sponsor (Organization or Group Name): ® Not Applicable _ Contributing Organizations and Tribes: Please list all the organizations in the region that participated in developing the project application and will participate in implementing the described project. We encourage applicants to collaborate on project applications. Please attach letters of support from all organizations or tribes that are not the lead organization, but will be playing a significant role in the project implementation. These letters should be brief statements of commitment signed by a person of authority from the partnering organization or tribe. Grant Integrated Services provides the administrative and clinical support and the Grant County Health District provides data and communication support of the Grant County Suicide Prevention Taskforce. Royal School District Moses Lake School District Coulee Medical Center Senator Judy Warnick June 28, 2019 Coalitions for Health Improvement Community Initiatives Funding Project Information -- - ---------------- --- — ------- Project Title: Suicide Prevention and Community Coalition Building and Training Funding Requested: $150,000 Project Size: ❑ Small ($0 - $25,000) ❑ Medium ($25,001- $75,000) R Large ($75,001- $150,00_0) ❑ Very Large (>_$150,001) Counties Served by Project: (check all that apply): Please note, Counties Served is defined as: At least 15% of the target population(s) that will be impacted as outlined in the project application must reside in different counties. ❑ Chelan ❑ Douglas R Grant ❑ Okanogan The project is: ❑ New 8 Enhancing or expanding an existing project or set of projects Sectors Engaged by this Project: In order to qualify for funding, please be sure to address your approach to engage these sectors in the narrative responses below. © Education 10 Public Health ❑ Housing ❑ Transportation 10 Hospitals 10 Primary Care 8 Mental Health ® Substance Use Disorder ❑ Employment ❑ Social Services ❑ Emergency Medical Services ❑ Private Sector 10 Other (please list) Legislators Project Focus Area(s) addressed: Please note, the list of focus areas is not exhaustive and additional focus areas will be considered for funding by the Coalitions for Health Improvement. If the selected focus area is not one of the listed priority focus areas, the application must clearly articulate justification for this focus area. Select as many focus areas that apply. In order to qualify for funding, please be sure to address your approach in the narrative responses below. ® Adverse Childhood Experiences (ACEs) ® Behavioral Health ❑ Child Care and services for youth ❑ Employment ❑ Food Security ❑ Housing / Homelessness ❑ Other (please describe) ❑ Primary Care 10 Resiliency ❑ Social Service(s) Coordination ® Substance Use Disorder R Suicide Prevention 8 Trauma -Informed Care Suicide Prevention is the primary focus area for this grant. Suicide prevention is complex. It is known that adverse childhood experiences, trauma informed care and resiliency may be contributing factors for preventing suicide. Mental health promotion and substance use prevention reduce suicide risks, as does behavioral health treatment. Grant funding will be used to provide consistent, clinically appropriate (Evidence Based Practices when available) trainings including QPR, and Mental Health First Aid county -wide. Trainings will also be provided on mental health promotion, resiliency, trauma informed care and adverse childhood experiences, by qualified trainers. June 28, 2019 Coalitions for Health Improvement Community Initiatives Funding Please be sure to address all Project Information elements selected in the checkboxes (e.g. 'Sectors Engaged by this Project", "Project Focus Areas") in your narrative responses below. Narrative responses will be assessed for explanations of the Project Information checkboxes selected in this section. Priority Elements To reach more diverse and underserved communities, this funding has a 'mix and match' requirement for all project applications requesting more than $25,000. All Medium project applications must demonstrate at least one of the identified Priority Elements below. All Large project applications must demonstrate at least two of the Priority Elements listed below. All Very Large project applications must demonstrate all three of the Priority Elements listed below. Counties served: Project must serve more than one of NCACH's four counties — Chelan, Douglas, Grant, and Okanogan. a. Please note that in order to meet the "Counties Served" Priority Element requirement: At least 15% of the target population(s) that will be impacted as outlined in the project application must reside in different counties (e.g. 85% of the people served by the project reside in Okanogan County and 15% of the people served by the project reside in Grant County). b. A project only operating in Wenatchee — East Wenatchee Urban Growth Area is not considered to be multi -county. Partnering organizations: Project must include at least one other committed partner that represents a different sector than the lead organization (e.g. healthcare and education). Project focus areas: Project must include approaches to address at least two of the project focus areas identified above (e.g. suicide prevention, substance use disorder, employment, etc). By selecting your project size below, you confirm you understand the Priority Elements requirement above. Applications will be assessed for the inclusion of, and a plan to address, Priority Elements in narrative responses. ❑ Small ($0 - $25,000) - No required priority elements ❑ Medium ($25,001- $75,000) — One required priority element 8 Large ($75,001- $150,000) - Two required priority elements ❑ Very Large (>_$150,001) - All priority elements required Select which of the following Priority Elements your project demonstrates (check all that apply.) WARNING: If you do not select the number of Priority Elements required for the identified project size, your application will be ineligible for funding. ❑ Counties Served B Partnering Organizations B Project Focus Areas 4 June 28, 2019 i Coalitions for Health Improvement Community Initiatives Funding Narrative Responses We strongly encourage you to keep your answers as brief as possible. Answers will be assessed for responsiveness to the question, conciseness, and clarity. Problem Statement: What is the problem you seek to address with these funds? These funds will be used to provide clinically and culturally appropriate suicide prevention interventions through training and local coalition building support in any community in Grant County that has local community interest. We will also be developing a critical incident response plan to youth suicide. Goals and Impact: How will your project or initiative lead to improved health or wellness? What do you see as the long- term effects of this project in the region? The complexity of contributing factors to attempts and death by suicide also gives a variety of avenues to improve health and wellness. Identifying and addressing childhood adverse experiences improves the lives of children with lasting effects as adults. Training a wide variety of community members, church leaders, teachers, business owners, coaches and youth leaders in QPR broadens the knowledge and safety net in a community to be able to help people get the support and services they need in order to have better mental health and be contributing community members. Building local coalitions is the key to sustainability for this initiatives. While suicide prevention is the impetus for these coalitions the work is based in wellness. Adverse childhood experiences can be impacted by assuring safe, stable, nurturing relationships and environments which make for a safer and healthier community. Having youth know who to go to or how to access help when they are depressed or anxious leads to healthier adults and a stronger community. June 28, 2019 - , Coalitions for Health Improvement Community Initiatives Funding Project Description: Provide a description of the project including how you plan to implement your project and what objectives you hope to achieve. a. If your project uses an evidence -based, research -based, or promising practice, please describe that here. b. Make sure you describe your project's relationship to other projects or your project's expansion: a. Are there other projects like this that exist in your region? If so, how is your project complementary to other work occurring? b. Is your project an expansion of a currently existing project or initiative? If so, why is this expansion critical? This project will be both an expansion and add components to the current work of the Grant County Suicide Prevention Taskforce. Adding a dedicated, paid staff will help implementation of coalition building and training expertise. There is a need for clinically and culturally consistent materials and funding for both training and events for local coalitions. Our objective is to have suicide prevention trainings and activities throughout Grant County. a. We will be using Mental Health First Aid. People trained in Mental Health First Aid have greater confidence in providing help to others, greater likelihood of advising people to seek professional help, improved concordance with health professionals about treatments, and decreased stigmatizing attitudes according to peer reviewed studies in Australia and is managed, operated and disseminated by the National Council for Behavioral Health and the Missouri Department of Mental Health. 1 QPR training will be offered to communities. QPR meets the requirements for listing in the National Registry of Evidence -based Practices and Policies (NREPP). Detailed review at NREPP listing. 2 Other trainings that maybe offered include Adverse Childhood Experiences and Trauma informed care. Trainings on these topics will be vetted by the clinical staff at Grant Integrated Services with preference given to those that are evidence based or promising practices when available as well as culturally appropriate. Most often used evidence based practices for this will be CBT, CBT+, Trauma CBT, Motivational Interviewing and CPT. We will also be able to identify other prevention work happening in our County. This initiative will work to assist others with clinically and culturally appropriate training and materials and offer consistency to better serve our communities. As a large rural County without this funding the current task force is limited in its ability to reach all communities with and interest in addressing suicide prevention. June 28, 2019 Coalitions for Health Improvement Community Initiatives Funding Priority Elements: Describe how your project or initiative's approach demonstrates the selected Priority Elements above? For example, if selecting "Counties Served," does your organization or program have a history of serving more than one county? If not, what is your plan to expand and serve multiple counties? Our priority elements are partnering organizations. We have commitments from the Royal School District and the Moses Lake School District to work on the this initiative as well as the support of the Grant County Board of Commissioners. This grant application is supported by members of the Grant County Suicide Prevention Taskforce. Project Focus Areas Suicide Prevention is the over arching focus area. All work will be to support that effort. These other project focus areas are important to the work of suicide prevention. Adverse Childhood Experiences and Trauma informed care will be address through trainings for staff of taskforce member agencies and coalition members as it pertains to the work of the local coalition. Resiliency is how people deal with difficult events that change their lives? The death of a loved one, loss of a job, serious illness, terrorist attacks and other traumatic events. These are all examples of very challenging life experiences. Many people react to such circumstances with a flood of strong emotions and a sense of uncertainty. -, Early interventions that address depression, anxiety and substance use disorders as well as reducing the stigma of mental illness all impact behavioral health. (Review - clinical and stigma reduction separate items to address) June 28, 2019 Coalitions for Health Improvement Community Initiatives Funding Target Population: Describe the population you are expecting to reach with this project. What is your plan for reaching that target population? Our target population is any community in Grant County that wants support and training that enhances suicide prevention especially through local coalitions. The Grand Coulee area has expressed their interest in bringing suicide prevention work to that area of the County. We also would be able to advance the Moses Lake areas critical incident response plan for youth suicide. This plan will include law enforcement, first responders, school districts, medical and behavioral health providers. The addition of a dedicated staff expand the communities served whether they are working on a local coalition, are interested in trainings such as QPR or interested in a critical incident plan. It is difficult to put numbers to this work. Current coalitions have already identified and received more requests for QPR and Mental Health training than our staff has available time within the limited funding currently received. We have additional requests for consistent and clinically appropriate materials than can be provided as a volunteer taskforce. Local coalitions take time and consistent leadership, again something that we have had limited staff time to provide. Mission and Values: What is your mission statement and how does your proposed project align with your overall mission and core organizational values? If you do not have a mission statement, please describe informally how this project aligns with your group's vision for a healthier community. The Grant County Suicide Prevention Taskforce does not have a formal mission statement. It was born out of the need from many different groups to address the issue of suicide particularly with the youth of our community. It has a email list of over one hundred people who during the the last year have participated at varying levels but all with the vision of reducing deaths by suicide in our County. The primary goals of this group are to provide education and materials in a consistent manner and coalition building. 8 June 28, 2019 Coalitions for Health Improvement Community Initiatives Funding Stakeholders: Are there key stakeholders who could benefit from your project that have not been engaged? Why not? What is your plan to engage those stakeholders? If you have identified and engaged all of the key stakeholders for your project or initiative, please describe your engagement activities here. Law enforcement and first responders are key stakeholders. Law enforcement and first responders are on the email list, and though not active members of the taskforce to -date, they are receiving information. Of the nine (9) school districts with all or part of their boundaries in Grant County, four (4) have some participation with suicide prevention. The taskforce has been focused on Moses Lake and the Royal area because they have been the areas hardest hit by this issue in a reactive way. When looking at this issue with the prevention lens, working with school districts before it is a tragedy is how prevention works. With Mental Health First Aid training and QPR and training the trainers, we feel that law enforcement may be come more engaged focusing on Critical Incident Response Plan. Debriefing incidents is a primary concern for law enforcement and first responders. We have identified them as both critical to the prevention work and sectors that need to be supported also. Lastly in the areas where coalition work is happening, local citizens are engaged. That is not the case in other parts of the County. It is important to find the local champions for suicide prevention to be successful. Having consistent materials and working on Community Input: What elements of your project plan include community input? How are you ensuring there is community input in your program planning? The taskforce is made up of members of our community. The primary role of the taskforce is to listen to the issues and ideas of the community. Moving forward we will be asking for feedback using surveys and holding taskforce meetings at different times and locations. Reaching key stakeholders in those areas where we currently do not have good representation for input will be vital to our success. Having dedicated staff who can attend local community meetings and events on the communities timetables rather than within restricted work hours will enable us to get input from those communities not currently engaged. 9 June 28, 2019 Coalitions for Health Improvement Community Initiatives Funding Social Determinants of Health / Whole Person Health / Community — Clinical -Colla I boration: How does your project address the social determinants of health and/or whole person health? If your project or initiative includes a community -clinical collaboration, please explain it here. The social determinants of health are defined as the factors that influence an individual's health outcomes. Things like housing, education, personal relationships, nutrition, and personal behaviors (diet, exercise, smoking, etc) all affect a person's overall health outcomes. Whole person health is defined as the state of a person's physical, mental, and social wellbeing. A community -clinical collaboration is defined as a working relationship between community and clinical health sectors to improve population health. While many factors contribute to suicide, personal relationships, reducing adverse childhood experiences and trauma informed care are all factors in the social determinants of health. Our initiative is a clinical community collaboration. Grant Integrated Services provides that clinical expertise so that community members have guidance around using appropriate phrases such as "died by suicide" or "suicided", rather than "committed suicide" or glamorizing the death which may promote contagion. Stigma reduction leads to earlier interventions and treatment. The community sector is the heart of this work. The taskforce was formed from the community reaching out to Grant Integrated Services to take the lead to help address this issue. The taskforce is comprised of numerous community partners throughout Grant County. A number of youth suicide prevention coalitions - Moses Lake, Royal City, Quincy and Mattawa - have been developed and are up and running. All are in different growth stages than others and this is where having consistent materials and materials that are readily available would be beneficial. Data has been the foundation of decisiion making in a number of the coalitions (i.e. using the Washington State Healthy Youth Survey). 10 June 28, 2019 1 Coalitions for Health Improvement Community Initiatives Funding Timeline: Describe the timeline and major milestones for implementing this project. We have three areas we want to address. The first is consistent materials that can be provided to communities whether they have a local suicide prevention coalition or not. These will include resource materials along with items like wristbands and T shirts that have the same message, coloring and crisis numbers. This has been a request from the beginning of the taskforce. Funding from this grant would enable us to accomplish this goal. This will give us the opportunity to provide information to all parts of our County. The second will be to hire the coalition/training staff. Having dedicated staff will allow us to expand the coalition work to the Grand Coulee area. We will be able to expand our support to the Royal coalition that is forming and the Mattawa, Moses Lake and Quincy coaltions that are adding suicide prevention to their existing youth prevention coalitions that have historically addressed underage drinking, tobacco use and most recently bullying and poor social behaviors. Thirdly we will be able to provide opportunities, both as trainings and as train the trainer, for QPR and Mental Health First Aid. This has been been requested by a variety of community partners. 1 Risks: I What potential obstacles, if any, do you anticipate as a barrier to successful implementation? There is strong community interest and momentum for these interventions, however funding is a primary barrier to successful implementation. Funding for these coalitions needs to be fluid so that work that is identified through surveys and community input can be addressed with immediacy rather than slowing the work due to lack of funding or funding restrictions. The coalitions have no access to a dedicated grant writing staff. They are grassroots, boots -on -the -ground people in communities who may not understand the intricacies of the various prevention funding guidelines and may experience frustration when a need is identified but funding prevents them from responding. i it I 11 June 28, 2019 Coalitions for Health Improvement Community Initiatives Funding Stewardship / Sustainability: For ongoing projects or initiatives How does this project or initiative lead to lasting and self- sustaining improvement? For one-time investment costs (e.g. acquiring a resource or hosting an event) — please explain how you plan to leverage the value of that investment. This initiative is designed to be self sustaining. The staff person will be working to build new coalitions, enhance the work of newer coalitions and provide consistent information to existing coalitions. Effective coalitions are mission driven, run by community members, have a budget that meets the desired work and funding mechanisms to support the work. This is our desired outcome. Optional: Is there anything important about your project that we should know that hasn't been addressed in the application? 12 June 28, 2019 Coalitions for Health Improvement Community Initiatives Funding Project Budget Provide an estimated project budget using the template provided including information about additional funding applied for or obtained for this and related initiatives. Project Budget: Enter [Month, Year — Month, Year] EXPENSES NCACH funded Otherrunding utnerlunaing i (Committed, (Anticipated, includes includes grants, any pending funding) donations, and other committed _ funding) Salaries, wages, and— _ $117,350.00 $20,000.00 benefits Travel $10,000.00 ; Equipment $1,650.00 Supplies $9,000.00 Training $10,000.00 Printing _ $2,000.00 Other Expenses (itemize): Total $150,000.00 $20,000.00 Provide a budget narrative. Please be as specific as possible. See example here: haus'//Uvww ctrunr�ro�essionals ori/rc files/10116Liildintl%2OBetterr62OProposal%20Budgets SANIPL ES. d Prevention Coordinator (60% FTE) will recruit, train and supervise community leaders, oversee suicide prevention activities which will use EBPs and QPR, and ensure accuracy of reporting. She will be responsible for ensuring activities are scheduled, advertised, and supported and follow the guidelines of the grant. Prevention Specialists: ((2) .5 FTE)) will support community leaders and work with schools and community-based organizations and community partners to develop and implement suicide prevention activities which will be promoted county -wide throughout Grant County. Travel: Travel will be provided as part of this grant to ensure that community leaders and coalitions have adequate resources to attend trainings and to promote county -wide suicide prevention and Mental Health First Aid. Equipment: A laptop has been identified as a need for the coalitions to use. Many 13 June 28, 2019 Coalitions for Health Improvement Community Initiatives Funding Financial Infrastructure and Capacity: What systems do you have in place for managing the funds if awarded? Grant Integrated Services is a Grant County department. Grant County is a fiscally sound and appropriate financial agent for overseeing and handling grants such as this one. Policies and practices exist which dictate separation of duties, review of expenditures, verification of travel and training costs and all other general accounting practices to be fiscally responsible. Community Initiatives Funding: Why is it critical for this project to be funded with Community Initiatives funding, as opposed to other funding streams? This taskforce has just recently grown to the point where we know that we can not do all the work that is being asked for, without additional funding. If this funding is not received, the taskforce will need to determine what work and training is possible and what other funding opportunities are available, but it would seriously limit these coalitions. Funding for these coalitions needs to be fluid so that work that is identified through surveys and community input can be addressed with immediacy rather than slowing the work due to lack of funding or funding restrictions, other funding streams are limited in scope and narrowed by location/restrictive, whereas we see Community Initiative Funding as meeting the need to be fluid. 14 June 28, 2019 Coalitions for Health Improvement Community Initiatives Funding Evaluation and Reporting In order to measure progress, it is important to track process and outcome metrics. Measurement and Evaluation: What key indicators will you utilize to measure success of this project? How will you know the project has been impactful? The measure of success will be the addition of 2 new local coalitions. Standardized materials that are available to community leaders upon request. QPR trainings in 2 new communities. Mental Health First Aid training in 2 new communities thus reducing the wait list for requests for this training. Reporting: Attest that you understand and accept the responsibilities and requirements for reporting. These responsibilities and requirements include: • One verbal report at a Coalition for Health Improvement meeting on project implementation progress. (Please note, additional verbal reports may be required if the project spans more than one Coalition's jurisdiction.) j • Periodic written reports, submitted electronically. • End -of -project evaluation • Periodic follow-up with NCACH as appropriate • A site visit may be scheduled as appropriate • Final written report on project implementation and outcomes 8 Yes 15 June 28, 2019 1. ©2019 National Council for Behavioral Health. All Rights Reserved https://www.mentalhealthfirstaid.org/fag/ 2. Cross, W.F., Seaburn, D., Gibbs, D., Schmeelk-Cone, K. et al. (2011); Matthieu, M.M., Cross, W., Batres. A.R., Flora et al. (2008); Wyman, P.A., Brown, C.H. Inman, J., Cross W., et al (2008). See NREPP website for full descriptions of support research and citations 3. The American Psychological Association — The Road to Resiliency COULEE MEDICAL Douglas, Grant, Lincoln and Okanogan Counties Public Hospital District Number 6 411 Fortuyn Road, Grand Coulee, WA 99133-8718 Phone: 509-633-1753 Fax: 509-633-3644 October 25, 2019, NCACH Community Initiatives Funding NCACH CHI (Grant) Application Review Committee Dear Committee Members, Please accept this letter of partnership and support from Coulee Medical Center for Grant Integrated Services, as they apply for the North Central Accountable Community of Health 2019 Community Initiatives Funding. We support the request for $150,000 for the Grant County Suicide Prevention Taskforce's Coalition expansion plan, "Suicide Prevention and Community Coalition Building and Training." Grant County experienced several youth dying by suicide in Moses Lake, Royal City and Mattawa in the past two (2) year. We also know that agricultural workers and adults 40-59 are at greater risk to die by suicide in Grant County. It was very important to the people of the Grand Coulee area to have a local coalition to address the specific needs of our community. In our communities and public hospital district, Coulee Medical Center, is the hub and provides many other services including Emergency Services. We have seen the ability of our community to come together with purpose and drive on other important issues. We see the need for support for our coalition as it is growing and training specifically on resiliency, trauma informed care using QPR and Mental Health First Aid trainings. Respectfully, Ramona Hicks RN CEO / Superintendent Coulee Medical Center October 29, 2019 GRANT COUNTY OFFICE OF THE BOARD OF COUNTY COMMISSIONERS NCACH Community Initiatives Funding NCACH CHI (Grant) Application Review Committee Committee Members: P O Box 37 EPHRATA WA 98823 (509) 754-201 1 Please accept this Partnership letter from the Grant County Board of Commissioners along with Grant Integrated Services to apply for the North Central Accountable Community of Health 2019 Community Initiatives Funding. We support the request for $150,000 for the Grant County Suicide Prevention Taskforce's Coalition expansion plan, "Suicide Prevention and Community Coalition Building and Training." Grant County experienced several youth dying by suicide in Moses Lake, Royal City and Mattawa in the past two (2) year. Our efforts have been largely targeted at reaching and impacting our youth. It was very important to the people of Grant County to have a local coalition to address the specific needs of our community. In our county, Grant Integrated Services is the hub and provides many other services. We have seen the ability of our community to come together with purpose and drive on other important issues. Grant County see's the need for support for our coalition as it is growing and training specifically on resiliency, trauma informed care and adverse childhood experiences, as those will be the most impactful for children and youth. Sincerely, BOARD OF COUNTY COMMISSIONERS Tom Taylor, C r t :bjv Cc: Grant Integrated Services Richard Stevens District 1 Cindy Carter�� Tom Taylor District 2 (/�-Jue Richard Stevens Cindy Carter District 3 "TD MEET CURRENT AND FUTURE NEEDS, SERVING TOGETHER WITH PUBLIC AND PRIVATE ENTITIES, WHILE FOSTERING A RESPECTFUL AND SUCCESSFUL WORK ENVIRONMENT." Oro 0 0 i. IftVA-ir Olap a new beginnings. better tomorrows. October 29, 2019 RE: NCACH Community Initiatives Funding Dear Committee Members, Please accept this letter of support from New Hope, a victim advocacy agency working often in partnership with Grant Integrated Services as they apply for the North Central Accountable Community of Health 2019 Community Initiatives Funding. We support their request for $150,000 towards the Grant County Suicide Prevention Taskforce's Coalition expansion plan, "Suicide Prevention and Community Coalition Building and Training." It is very important for the communities in Grant County to have a local coalition to address the specific needs of all our communities. We have seen the ability of our community to come together with purpose and drive on many other important issues. Grant County experienced several local youth dying by suicide in Moses Lake, Royal City and Matta-va in the past two (2) years. Our efforts have been largely targeted at reaching and impacting our youth. We see a need for support of our coalition as it continues to grow and gain momentum. Specific support needs include training resources that address resiliency, trauma informed care and adverse childhood experiences as diose will be the most impactful for children and youth. Respectfully in partnership, &�j� �� Suzi Fode, Director New Hope and Kids Hope PARKVIEW MEDICAL GROUP Parkview Medical Group, Inc 615 S Division St, STE A Moses Lake, WA 98837 October 28, 2019 NCACH CHI (Grant) Application Review Committee for Community Initiatives Funding Dear Committee Members, Please accept this Partnership letter from Parkview Medical Group, Inc with Grant Integrated Services to apply for the North Central Accountable Community of Health 2019 Community Initiatives Funding. We support the request for $150,000 for the Grant County Suicide Prevention Taskforce's Coalition expansion plan, "Suicide Prevention and Community Coalition Building and Training." Grant County experienced several youths dying by suicide in Moses Lake, Royal City and Mattawa in the past two (2) years. We have also had numerous youth attempt to die by suicide in our local communities during this same time frame. Our current efforts have been largely targeted at raising awareness, building infrastructure between community groups, and reaching out with positive statements designed to impact our youth. It was very important to the people of Grant County to have a local coalition to address the specific needs of our communities. In our town of Moses Lake, the extended health care community is the hub; we have seen their ability to come together with purpose and drive on other important issues facing youth and their families. We see the need for support for our coalition as it is growing and has strong community engagement. There is a plan to continue to work on community infrastructure, youth peer training with community mentors, resiliency, trauma informed care, and positive messaging, while increasing community awareness of Mental Health First Aid, Question Persuade and Refer (QPR), and Adverse Childhood Experiences (ACE'S) trainings. Thank you for your consideration of this grant opportunity. Best wishes, Dawn Bross Clinic Manager Parkview Medical Group, Inc 509.766.9450 Olympia office: 10.3 Iry Newhouse building K) Box 40413 Olympia, WA 98504-0413 b: mail: Judy.Wamick@leg.wa.gov Olympia phone: (360) 786-7624 Olympia fax: (360) 786-7817 October 28, 2019 =71� Washington State Senate Senator Judith "Judy" Warnick 13th Legislative District NCACH Community Initiatives Funding NCACH CHI (Grant) Application Review Committee District office: 326 S )uth Cedar Su•eet Moses lake, WA 98837 f)istrict phone: OW) 766-0505 Toll-free hntline: 1-800-562-6000 `1 `I'Y: 1-80"33-6388 Dear Committee Members, Please accept this letter of support for the Grant Integrated Services application for the North Central Accountable Community of Health 2019 Community Initiatives Funding. I support the request for $150,000 for the Grant County Suicide Prevention Taskforce's Coalition expansion plan, "Suicide Prevention and Community Coalition Building and Training." Grant County experienced several youth dying by suicide in Moses Lake, Royal City and Mattawa in the past two (2) years. I also know that agricultural workers and adults 40-59 are at greater risk to die by suicide in Grant County. It is very important to the people of Grant County to have a local coalition to address the specific needs of our community. In our County the schools, medical centers, and churches provide many other services. I have seen the ability of our community to come together with purpose and drive on many important issues. I see the need for support for our coalition as it is growing and training specifically on resiliency, trauma informed care using QPR and Mental Health First Aid trainings. If you have questions or would like to speak with me, please call (360)-786-7624 or email me at Judy.Warnick@leg.wa.gov. Thank you. Sincerely, Judy Warnick 131 Legislative District Committees: Agricukure, firater. Natural Resources & Parks. Ranking HemhtT • Ways & Beans 2019 CHI Community Initiatives Funding - Letter of Intent Submission Form f/Hotu �� <eiSPiI UM Collector: Web Link 1 (Web Link) Started: Friday, August 16, 2019 1:36:56 PM Last Modified: Friday, August 16, 2019 2:19:13 PM Time Spent: 00:42:17 IP Address: 216.215.12.5 Page 1: Submissions must be received by 5:00 pm on August 16, 2019 01 Project Lead Contact Information Application Contact Name Lead Applicant Organization or Group Email Address Phone Number Q2 Fiscal Sponsor Contact Information Gail Goodwin Grant Integrated Services ggoodwin@grantcountywa.gov (509) 764-2644 Respondent skipped this question Q3 Please list all the organizations, groups, or tribes in the region who will contribute to developing the project application and will participate in implementing the described project: Grant Integrated Services as lead for the Grant County Suicide Prevention Taskforce, Moses Lake School District, and Royal School District. 041 understand that if I submit a project application, I Yes, will be required to submit additional information on behalf understand. of all listed project partners above. Q5 Project Information Project Title Funding Requested Is your project budget scalable? What would happen to your project if you were not awarded the full amount requested? Q6 If awarded, this funding would support: Suicide Prevention and Community Coalition Building and Training $150,000 Our project is scalable. We would need to reduce the number of community coalitions and the number and/or scope of trainings. Our intent is to hire a staff and that position may need to be hourly rather than % or % time. An ongoing project or initiative 1/3 2019 CHI Community Initiatives Funding - Letter of Intent Submission Form Q7 This project is: Q8 Counties served by the Project? (Check all that apply) Q9 Select the sectors engaged by this project: (Check all that apply) Q10 Project Focus Area(s) addressed by this project: Q11 By selecting your project size, you confirm you understand the Priority Elements requirement above Enhancing or expanding an existing project or set of projects Grant Education, Emergency Medical Services Hospitals, Law Enforcement / Justice Mental Health, Primary Care, Private , Sector Public Health, Social , Services Substance Use Disorder Transportation Adverse Childhood Experiences , (ACEs) Behavioral Health, Resiliency, Suicide Prevention, Trauma -Informed Care Large ($75,001 - $150,000) - Two priority elements required Q12 Please select which of the following Priority Partnering Organizations, Elements your proposed project will demonstrate: (check all that apply) Project Focus Areas 2/3 2019 CHI Community Initiatives Funding - Letter of Intent Submission Form Q13 Please upload your Letter of Intent here NCACH CHI LOI BOCC 8.12.19.pdf(97.6KB) Q14 Please select your "first choice" CHI Application Team to review your submitted materials: Q151 certify that all of the submitted information is correct and accurate to the best of my knowledge. Grant County CHI Yes, everything above is correct and accurate to the best of my knowledge. 3/3 August 12, 2019 NCACH Community Initiatives Funding GRANT COUNTY OFFICE OF THE BOARD OF COUNTY COMMISSIONERS P ❑ Box 37 EPHRATA WA 9as23 (509) 754-201 1 NCACH CHI (Grant) Application Review Committee Dear Committee Members, Please accept this Letter of Intent from Grant County, through Grant Integrated Services to apply for the North Central Accountable Community of Health 2019 Community Initiatives Funding. We are requesting $150,000 for the Grant County Suicide Prevention Taskforce's Coalition expansion plan, "Suicide Prevention and Community Coalition Building and Training." Grant County experienced several youth dying by suicide in Moses Lake, Royal City and Mattawa in the past two (2) years. Our response has been to bring in local and national experts to provide training to community members, parents, professionals in healthcare and education. We also established the Grant County Suicide Prevention Taskforce. The Taskforce is county wide and has one hundred and seventeen people on the email list. We have heard from Taskforce meetings the need for local coalitions, training and education to both prevent and respond to suicide in our communities. Our work over the last year has clarified what it will take to reduce and prevent suicides in Grant County. It has also shown that the structure of the county -wide Taskforce works, but there is the need for smaller local coalitions, consistent training and clinically (Evidenced Base Practices) appropriate materials county -wide. Our project will: • Assist local communities in implementing individualized programs and activities while assuring clinically and culturally appropriate components • Provide county -wide trainings on suicide prevention, mental health promotion, resiliency, trauma informed care and adverse childhood experiences • Provide local experts readily available to assist communities in incorporating mental health and suicide prevention activities. Richard Stevens Tom Taylor Cindy Carter District 1 District 2 District 3 "TO MEET CURRENT AND FUTURE NEEDS, SERVING TOGETHER WITH PUBLIC AND PRIVATE ENTITIES, WHILE FOSTERING A RESPECTFUL AND SUCCESSFUL WORK ENVIRONMENT:" Because youth dying by suicide was the impetus in the formation of the Taskforce, our efforts have been largely targeted at reaching and impacting our youth. We are partnering with local school districts for this Community Coalition Building and Training project. In many of our towns the schools are the hub and provide many other services. We have had success working with the Royal City School District in developing the Royal City Coalition. Please see attached Partner letters for the other Partner districts. We have seen the ability of a local community to come together with purpose and drive with the Royal City Coalition. Our measures of success will be: • Ability to support additional communities with suicide prevention coalition building. We know that the Mattawa, Moses Lake and Grand Coulee areas are interested. We are expecting to support at least 3 new community coalitions. • Bringing trainings to our area in formats and locations that reach the community. Schools are often the best locations, best facilities and supportive of community events. Our expectation is to provide training specifically on resiliency, trauma informed care and adverse childhood experiences, as those will be the most impactful for children and youth. As the Grant County Board of Commissioners, please accept this letter of interest for the Community Initiatives Funding. Gail Goodwin is the County staff assigned to this project. Please contact her with any questions. Sincerely, BOARD OF COUNTY COMMISSIONERS 1 Tom Taylor, Chai -J g WCace air Richard Stevens, Member