2025

Alabama (Justice Involved): Alabama plans to use the TTI funds to expand the states jail and community-based competency restoration models by integrating peer services into the program. They plan to help expansion by hiring additional providers to deliver competency restoration services and integrating peers into the restoration model while including their expertise in improving and delivering training of the curriculum. This will also assist with establishing connections between peer specialists, individuals involved with the criminal justice system, and the criminal justice community. 

2025

Alaska (Mapping): Alaska seeks to develop separate crisis system mappings for youth and for adults, while also streamlining continuity of care processes and building bridges within the state’s current crisis system. Through a chosen vendor, Alaska plans to facilitate discussion and collaboration between regional crisis service providers, first responders, people with lived experience, Tribal entities, and other regional/community stakeholders with the goal of breaking down silos and creating a central engagement point for state partners.

Alaska (Non-clinical): Alaska plans to train stakeholders and the non-clinical workforce that work with families in communities across Alaska in a Trust-Based Relation Intervention® (TBRI®) by utilizing a train-the-trainer model. These individuals will be supported to train the TBRI model in their communities, implement the model within their organizations, and support collaboration across agencies and disciplines to adapt the model to meet the unique needs of their community. 

2025

American Samoa (Justice Involved): American Samoa plans to transform how community mental health services are structured and delivered for justice-involved individuals with a Serious Mental Illness (SMI) or Serious Emotional Disturbance (SED), to ensure that effective evidence-based care is received. They intended to do this by providing mental health screening and referral to treatment for incarcerated individuals, capacity-building for the community mental health workforce, and coordinating a Continuum of Care for community-based mental health services. 

2012

Arizona worked to increase self-management of chronic illnesses among the Arizona peer-based workforce  and their family members (with focus on population with SMI). They also created the process and mechanisms to identify and refer peers into workshops and an educational module to train providers in recruitment and referral.

2025

Arkansas (Justice Involved): Arkansas will develop an innovative and effective system of care to treat and divert those who have Intellectual/Developmental Disabilities (IDD) or who are dually diagnosed to more appropriate placements. They plan to develop and implement early access to examinations for IQ and adaptive functioning as a first step to identify individuals with IDD. Those identified will be provided transitional case management services and, when appropriate, alternative placement and diversion from the criminal justice system. This pilot will also provide education to local courts and law enforcement about the available options and resources for individuals with IDD and the potential for diversion while maintaining community safety.

2024

Workforce Development: Colorado worked to expand their FY 2023 TTI initiative by funding “phase two” of Colorado’s Crisis Professional Core Curriculum. This focused on the development of additional specialized training tracks, specifically for emergency responders and youth/young adults working as peers or seeking peer certification. The overarching goal of Colorado’s Crisis Professional Core Curriculum is to provide accessible and standardized crisis training for key crisis system partners statewide. 

2025

CNMI (Workforce Wellness): CNMI plans to implement a Crisis Workforce Wellness Project through to Wellness Clinic to promote wellness and resilience and prevent burnout among its crisis and mental health care providers. This will be done by creating a curriculum for crisis workforce and staff trainings to help increase knowledge and skills within the mental health field and provide mental health intervention services.

CNMI (Non-clinical): plans to develop and implement a comprehensive training and professional program called Project Minetgot Marianas, for non-clinical crisis workforce members/recovery champions, with a focus on individuals and family members with Severe Mental Illness/Severe Emotional Disturbance/Substance Use Disorder. This initiative will include the development of a comprehensive training program, community education and outreach plan, and the establishment of a process for system mapping and implementation. 

2025

Connecticut (Youth Suicide Prevention): Connecticut plans to develop and implement a suicide prevention initiative for LGBTQI2S+ youth and young adults. The State’s Suicide Advisory Board will collaborate with Q-Plus, a youth-led LGBTQI2S+ advocacy organization, and student organizations to hold a statewide Empowering Leadership Initiative for high school and college-aged members of the LGBTQI2S+ community. The Initiative will engage youth directly in planning and developing effective outreach and peer support activities. A subsequent summit will be held several months later to provide an opportunity for attendees to share successes and challenges surrounding the implementation of their peer support activities.

2025

Delaware (Justice Involved): Delaware aims to increase the state’s coordination of care by piloting the Evidence-Based Practice (EBP) Critical Time Intervention (CTI) Model, specifically targeting serious mental illness/serious mental illness-co-occurring substance use disorder clients with justice involvement. The goal of this project is to engage a consultant with subject matter expertise in CTI for development and implementation of the CTI model, review recommendations and create trainings and procedures for substance use disorder care navigators, develop implementation plan, and enhance program integrity, system integration, and quality monitoring infrastructure.

Delaware (Workforce Wellness): Delaware plans to expand their FY23 and FY24 TTIs focused on workforce development by developing an interdisciplinary learning collaborative to expand the non-clinical workforce and training. They will have a special on best practices for burnout prevention and wellness for case managers and peer recovery specialists. In doing so, they will include previous TTI project partners in the development and implementation phases, with a goal of creating a product that is accessible and can be shared broadly.

2021

DCF, through culturally appropriate, evidence-based, and best practices, employed Forensic Peer Specialists in the new Community Forensic Liaison (CFL) Team to reduce the health and social disparities for justice-involved individuals with mental illnesses, thereby improving service access and outcomes, and strengthen collaboration between the mental health and law enforcement/criminal justice systems. DCF, using the Sequential Intercept Model, employed Forensic Peer Specialists to collaborate with jails to assess and coordinate treatment for individuals within the jails and upon reentry in their efforts to reduce the health and social disparities for justice-involved individuals with mental illnesses.

2025

Georgia (Non-clinical): Georgia will develop a training program called Georgia Partnership in Action for Co-Responder Training (“G-PACT”) for first responder and behavioral health professional (co-responder) programs. Georgia plans to use a train-the-trainer model and develop the first standardized certification process for co-responder teams in the state.

2025

Guam (Justice Involved): Guam plans to expand their FY24 TTI work by developing and implementing a Peer Specialist certification program for justice involved individuals in custody who experience Severe Mental Illness (SMI) and are preparing for re-entry to the community. They will work with TOHGE (Transforming Ourselves through Healing, Growth, & Empowerment), Guam’s only peer-run organization, to support these individuals by training them to become Certified Peer Specialists who leverage their own lived expertise. They will establish program guidelines for and train Guam correctional/judiciary staff on the Certified Peer Specialist program, “Project Guiya mas Tumungo.”  Peers will have opportunities to work with mobile crisis teams, 988 call centers, and outpatient programs.

Guam (Children with High Acuity): Guam will develop an evidence-based family systems training model for justice involved youth that will demonstrate the efficacy of evidence-based models of family intervention. TTI funds will be used to cross-train Guam’s juvenile justice team, Judiciary of Guam counselors, and Youth Affairs (DYA) social workers. This will help to establish a network of support across departments to ensure coordinated efforts that address both the youth and the caregivers.

2025

Hawai’i (Justice Involved): Hawai’i plans to support their Clubhouses throughout the state by funding advocacy initiatives, outreach, and trainings/workshops to better engage and support young adults with Severe Mental Illness. Clubhouses are voluntary, member-driven psychosocial rehabilitation programs that help prevent recidivism and assist with mental health stability through peer support, mentorship, community building, recreational activities, and supported employment opportunities. This funding will allow various Clubhouses to hire peers to engage with young adults with Severe Mental Illness who are leaving court or jail. Jail Diversion staff will also be able to directly work with the Clubhouse to arrange enrollment in Clubhouse services and meet-ups with Jail Diversion participants as they are released from jail.

2024

Care for High-Risk Populations: Idaho bolstered their commitment to the state’s four youth crisis centers. These centers are accessible to anyone ages 12-17, with extending to ages 5-17 once the center has operated for a year, and they play a crucial role in fulfilling the “somewhere to go” aspect of SAMHSA’s three main priorities.

2016

Developed and strengthened the use of Health Information Technology (HIT) in crisis prevention, intervention, and management. Collaborated with Northwestern University Center for Behavioral Intervention Technologies (CBITs) to refine and expand the use of a smartphone app which will help connect homeless youth, and potentially other populations, to services. Recruited and trained peer volunteers for the Crisis Text Line and/or other peer support services.

2025

Indiana (Workforce Wellness): Indiana plans to provide support to the 988 Lifeline workforce by identifying barriers to, and placing focus on, the needs and mental wellness of Lifeline specialists. The TTI funds will assist in empowering the state to develop and implement methods of supplying specialists with needed support to ensure workforce resilience and prevent burnout. They plan to do this by conducting surveys to identify resources, needs, and barriers to accessing aid for Contact Centers across Indiana. In doing so, they plan to establish a committee to collaborate with contact centers and state administration staff, utilize evidence-based methods of preventing mental health crisis and burnout, and develop recommendations for crisis specialists.

2025

Iowa (Youth Suicide Prevention): Iowa will expand on the Youth Led Suicide Prevention and Crisis Initiative from their FY21 and FY22 TTIs, which allowed the state to collect survey results on access to crisis services and complete a landscape analysis of the state’s crisis system. They intend to improve crisis care and suicide prevention for underserved youth by engaging various youth-lead groups to inform suicide prevention activities through crisis care messaging, programming, and policies. This information will be used to create Iowa’s Youth Suicide Prevention and Crisis Plan, which will assist in determining the target audience, raising awareness, and providing suicide prevention trainings to youth and youth-serving entities.

Iowa (Non-clinical): Iowa will use conclusions drawn from their FY24 TTI project to inform this year’s plan to standardize trainings across crisis services. Experts will help in developing the Iowa Behavioral Health Crisis Service Training Curriculum for a variety of crisis staff and peer support specialists, with trainings focused on mental illness, substance use, high-risk populations, and utilizing mobile crisis response without law enforcement. This initiative will also focus on expansion of the usage of peer support specialists and recovery coaches by developing a specific crisis training curriculum for peer support specialists/recovery coaches.

2025

Kansas (Non-clinical): Kansas plans to expand upon several years of TTIs to increase the capacity and effectiveness of peer workers by expanding infrastructure. This will be done by further developing their Peer Specialist Certification as a Family Peer Specialist Certification and implementing train-the-trainer programs for supervisors. Training may include Applied Suicide Intervention Skills Training (ASIST), Question Persuade Refer (QPR), and Project Extension for Community Healthcare Outcomes (ECHO).

2025

Kentucky (Justice Involved): Kentucky plans to work with their Community Mental Health Centers (CMHCs), their Correctional Psychiatric Center (KCPC), and local law enforcement agencies to develop the Kentucky Forensic Assertive Community Treatment (KY FACT) implementation initiative to explore early implementation of a statewide FACT team. When discharged from KCPC, the state’s sole forensic psychiatric hospital, patients often engage with CMHCs for ACT services. KYFACT will leverage KCPC to incorporate FACT competencies into hospital-based treatment modules for person-centered discharge and re-entry planning.

Kentucky (Children with High Acuity): Kentucky plans to increase access and availability of youth peer support services to youth in crisis and increase the competency of Youth Peer Support Specialists serving this population. The state specifically is focusing on those experiencing Serious Emotional Disturbance (SED) who are at risk of high-level placements. To achieve these goals, Kentucky plans to engage Youth Peer Support Specialists, design an outreach and engagement program for Youth Peer Support Specialists, and develop a curriculum for building out their Youth Peer Support Specialist groups across the state.

2025

Louisiana (Youth Suicide Prevention): Louisiana plans to implement the Black Youth Wellness Project, a comprehensive initiative aimed at reducing suicidal behaviors and deaths among Black youth populations in the state, specifically amongst high school students. They intend to use funding to partner with a local peer organization to expand student peer support programs throughout schools in multiple districts. This project will also support the identification and training of Suicide Prevention Champions from various community organizations (faith-based, recreational, etc.). Louisiana plans to gather and analyze data regarding suicide in the Black youth community, which will inform the creation of educational materials, community trainings, and other ongoing efforts to reduce youth suicide rates in the state.

Louisiana (Mapping): Louisiana plans to work with a consultant to build intra and inter-system bridges for coordinated crisis care in two pilot areas of the state. The consultant will facilitate meetings with local providers and communities to map the collaborative partnerships necessary to address their local crisis needs, and to further develop processes to support collaboration, crisis services program expansion, and sustainability. The project will result in a community coalition plan and toolkit for supporting and sustaining community crisis services.

2010

Maine worked with a group of consumers and providers to develop and implement a system of measures (in the form of a toolkit) focused on individual outcomes and recovery. The selected toolkit included four measurement instruments: the OQ, the Recovery Assessment Scale (RAS), the Data Infrastructure Grant Survey, and the LOCUS. The TTI award also assisted Maine in defining “recovery,” creating a draft of “Recovery Guidelines for Mental Health,” developing a recovery-focused clinical training module for the administration of the toolkit, testing Maine’s assumptions about whether the toolkit works to measure both individual and system outcomes, and create a training model for the implementation of the toolkit with providers and consumers.  

2025

Maryland (Non-clinical): Maryland plans to use the TTI funds to procure a vendor to expand and enhance their Mobile Response and Stabilization Services (MRSS) for children, youth, and families. The vendor will assist with developing a statewide strategy for implementing and financing MRSS and deliver statewide training and technical assistance for providers, by build local capacity and support sustainability with certified Advanced Practitioner MRSS Coaches. They will also assist in the training staff in the MRSS model to ensure they can effectively serve children and youth.

2025

Massachusetts (Mapping): Massachusetts seeks to conduct a systematic mapping of their mobile crisis intervention (MCI) to identify gaps, resources, and opportunities to increase the cultural competence of their MCI services for Deaf and Hard of Hearing individuals. Expanding the work of their FY24 TTI, Massachusetts will conduct an in-depth needs assessment of MCI services across the Commonwealth, identify barriers and gaps in current crisis care pathways for Deaf people, recognize existing strengths and facilitators of Deaf people's crisis care, and develop a critical roadmap that identifies areas for future intervention and implementation. 

Massachusetts (Non-clinical): Massachusetts will train Spanish-speaking community members to deliver Mental Health First Aid (MHFA) to Spanish speaking youth, their families, and other community stakeholders. To do this, they will develop an outreach plan to identify Spanish-speaking, non-clinical crisis workforce and community members in Massachusetts who would participate in this training. They aim to provide MHFA training at no cost to community groups in these identified communities in both English and Spanish and to develop resources for mental health training and support among Spanish-speaking communities.

2012

Michigan worked to demonstrate the effectiveness of Peer Support Specialists as health coaches and system navigators in Federally Qualified Health Centers (FQHC). Two areas of the state in both urban and rural settings that serve a significant population of persons with serious mental illness and/or co-occurring chronic conditions were chosen as pilot sites.

2023

Building Crisis Services that Serve Under-Resourced Minority Communities/Workforce: Minnesota  worked to support and strengthen workforce development trainings for 988 Lifeline centers and crisis service staff, including CCBHC crisis response staff. This included training on substance use and serious mental illness and serious emotional disturbance crisis response and intervention, as well as developing cultural humility and awareness training focused on American Indian communities in Minnesota in collaboration with tribal partners.

2025

Mississippi (Justice Involved): Mississippi plans to implement a Certified Peer Support Specialist/re-entry coordination program within state prisons that house women, with a focus on mothers struggling with Serious Mental Illness (SMI). This initiative will provide essential resources and peer support to women as they transition from correctional settings to the community. The state will also partner with their local National Alliance on Mental Illness (NAMI) chapter to provide support groups to these women. In addition, Mississippi will develop a mental health resource guide for individuals with SMI re-entering communities (to be distributed to all Mississippi prisons, regardless of gender). 

Mississippi (Youth Suicide Prevention): Mississippi intends to build on the work of their 2024 Black Youth Suicide Prevention Policy Academy to raise awareness of the rates of suicide among Black youth in rural counties and provide postvention support services to families and schools statewide. Mississippi plans to partner with organizations like Shatter the Silence: Suicide—The Secret You Shouldn’t Keep (STS), National Alliance for Mental Illness’ (NAMI) Open Up Mississippi, and the Pablo Foundation, to conduct education on suicide awareness and prevention, and engage in youth leadership training. 

Mississippi (Non-clinical): Mississippi aims to equip young people with the tools necessary to identify and mitigate a mental health crisis until an adult can be contacted to provide intervention. This initiative will facilitate empirically based mental health trainings for youth/young adults and certifications through collaboration with NAMI MS and Open Up MS: Youth Mental Health First Aid (YMFA), Applied Suicide Intervention Skills Training (ASIST), and Question, Persuade, Refer (QPR).

2021

DMH replicated an expansion of the successful Forensic Mobile Team, a community behavioral health program, to provide services in county jails that had no medical, psychiatric, or other services available.

2025

Montana (Justice Involved): Montana plans to improve community-based services approaches for justice involved individuals in the state with Serious Mental Illness (SMI) or Serious Emotional Disturbance in the state. Montana plans to do this by attending the 2025 Sequential Intercept Model Mapping Summit that is hosted by SAMSHA’s GAINS center, initiating communication with agency partners, enhance relationships across systems and agencies, and create a needs assessment and resource inventory. The overall goal will be to improve community-based service approaches for justice involved individuals with Severe Mental Illness (SMI) or Severe Emotional Disturbance (SED) by creating connections and resource-sharing mechanisms.

2023

Workforce: NE formalized a workforce development plan for supporting a Crisis Response Team (CRT). A team of stakeholders reviewed research and standard guidelines to make recommendations for curriculum development, training modalities, and skill verification. Outcomes included a plan for the development, implementation, and sustainability of CRT trainings. This included the development of a pilot cohort to complete the training and provide feedback.

2025

Nevada (Youth Suicide Prevention): Nevada plants to use the TTI to support their Garrett Lee Smith (GLS) Youth Suicide Prevention grant’s efforts. The state’s Office of Suicide Prevention (OSP) will collaborate with Rural Clinics to implement project STAY in sports and youth associations throughout four rural communities. Project STAY (Say something, Take action, Ask about suicide, and You Belong Here) is a program providing suicide prevention and mental health training to youth sports coaches and clubs.

2011

Implemented statewide client-level outcome measures for adults and children/adolescents.

2025

New Jersey (Children with High Acuity): New Jersey will develop an “IDD Friendly” (Intellectual/Developmental Disabilities) designation for inpatient units to provide staff with standardized resources and supports. Through this, a training and toolkit will be developed to support units in enhancing their ability to treat youth with IDD and acute behavioral challenges, which will then be used to assess the utility of the “IDD Friendly” designation.

New Jersey (Non-clinical)): New Jersey will build upon their FY24 TTI to develop a manual and curricula to train peer workers, administrators, and other non-clinical staff who are supervising peer workers in new and pre-existing crisis services. They aim to build a peer focused career ladder and in turn support job retention and help peers maintain recovery.

New Jersey (Workforce Wellness): New Jersey aims to enhance workforce wellness and resilience while preventing burnout by establishing a 988 crisis workforce learning collaborative. The learning community will be a complement of lessons designed to supplement crisis workforce foundational training, mitigating feelings of inefficacy, with work-performance related topics like trauma-informed care, active listening, and de-escalation. This project will build upon New Jersey’s FY24 TTI by expanding their already established Crisis Service Community of Practice (CSCoP) and will include the creation of a new Advisory Coalition and contracting with providers and subject matter experts on the learning collaboratives.

2021

NM BHRN developed a Learning Collaborative to bring together and strengthen existing Crisis Triage Centers (CTCs) by bringing together service providers, their state Office of Peer Recovery and Engagement (OPRE), and law enforcement.

2025

New York (Youth Suicide Prevention): New York plans to partner with the Indigenous Unkechaug Nation to create a community-based model that addresses historical and current trauma that can lead to behavioral health challenges such as substance abuse, self-harm, and suicide. This model (survey) will include the full community in its design and implementation, to help develop culturally appropriate intervention techniques.

2025

North Carolina (Youth Suicide Prevention): North Carolina plans to use TTI funds to strengthen their Black youth suicide prevention strategies and enhance access to mental health and crisis care resources as an extension of their first ever Black Youth Suicide Prevention Action Plan, created as part of the 2024 SAMHSA Black Youth Suicide Prevention Policy Academy. As a part of this project, NC will engage youth with lived experience and subject matter experts to establish a Youth Advisory Board and Community of Practice and Education Team, organize a statewide Black Youth Suicide Prevention Conference, and implement culturally inclusive suicide prevention training for non-clinical providers, including community health workers and peers.

2010

Provided a pilot project to address the needs of transition-aged youth at risk. The TTI Project at North Central Human Service Center targeted transition-aged youth ages 14 -24 and built upon current transformation services as well as Bill 1044. This project collaborated and worked intensively with multiple community resources to provide the necessary support to youth in transition.

2025

Ohio (Youth Suicide Prevention): Ohio plans to support and expand the efforts of their Black Youth and Young Adult Suicide Prevention Initiative, with a focus on engaging people with lived experience. Several state and local organizations are members of the Ohio Black Youth & Young Adult (BYYA) Collaborative, all of whom will be engaged in this initiative to create learning opportunities for youth-serving community leaders, promote suicide prevention trainings for faith leaders, develop a resource toolkit for organizations, promote awareness campaigns, and empower Black youth to engage in youth-led programs using the Strategic Prevention Framework (SPF). The goal is to increase access to culturally relevant, developmentally appropriate, and trauma informed community-based services.

2025

Oklahoma (Youth Suicide Prevention): Oklahoma will build upon their work done in SAMHSA’s 2024 Black Youth Suicide Prevention Academy. They plan to enhance their strategic engagement and collaboration with its at-risk youth population, with a focus on programs that directly serve Black youth. Youth Coaches (adults who are in a consistent leadership role in the lives of Black youth) will be trained in data-driven programs such as Youth Mental Health First Aid and Talk Saves Lives. Youth Coaches will also be educated about youth suicide risk and protective factors, Oklahoma’s 988 services, and local Youth Mobile Crisis Response systems.

2025

Oregon (Youth Suicide Prevention): Oregon will support school implementation of Adi’s Act legislation requiring school districts to have a plan for suicide prevention, intervention, and postvention. Building on their FY24 TTI that supported the expansion of the state’s Big River Suicide Prevention programming, this phase of the TTI will be used to invest in Oregon’s Big River implementation capacity in school districts that need basic, annual suicide prevention training. This phase of the award will also support the implementation of culturally infused suicide prevention training (such as Be Sensitive, Be Brave) for staff, coaches, and community members.

2025

The Republic of Palau (Non-clinical): The Republic of Palau seeks to support individuals in the behavioral health workforce who are seeking certification in the Behavioral Health Aide (BHA) program and Pacific Mental Health 101 (MH101). Palau will formalize training programs, certification processes, monitoring systems, and an official network for the BHA certification program. The jurisdiction will implement a train-the-trainer model for MH101. Palau will also work with the Pacific Behavioral Health Collaborating Council (PBHCC) and Western Interstate Commission for Higher Education (WICHE) to expand the BHA to other Pacific Jurisdictions.

2024

Workforce Development: Pennsylvania’s OMHSAS worked with the Department of Corrections and the Pennsylvania Peer Support Coalition (PaPSC) to create a bridge program for Certified Peer Specialists (CPSs) reentering into communities from incarceration. The initiative provided them with access to information, support, and resources that will prepare them to secure employment within the behavioral health system. 

Care for High-Risk Populations: Pennsylvania’s robust workgroup from the Black Youth Suicide Policy Academy worked with the local NAMI chapter and PA 988 Advisory Board to engage people from LGBTQ+ and Black Youth communities to inform state suicide prevention strategies and workgroups.

2021

ASSMCA expanded the services of the Crisis Peer Support Specialists to the Integrated Crisis Intervention program of the Linea PAS Hotline by assigning Certified Peer Support Specialists to provide services to crisis programs through the ASSMCA Mutual Support Center (MSC). ASSMCA integrated Crisis Peer Support Specialists, Recovery-Oriented Services, and their Offender Re-Entry Program to strengthen mental health treatment interventions at correctional facilities and in Forensic Psychiatric Hospitals by engaging individuals in peer-based recovery services, MH treatment, and development of personal skills.

2023

Facilitating Timely Access to Community-Based Mental Health Services: RI increased access to higher levels of services via mobile crisis teams (MCTs) through MCT dispatch software concentrated in the 988-call center - thus connecting those that need more intense community-based services with our established CMHC and CCBHC partners.

2025

South Carolina (Children with High Acuity): South Carolina plans to use TTI funds to build the “Second Chances” program that will develop opportunities to expand youth peer support programs for teens and young adults, as well as assist young people re-entering the community. The goal of this project is to build the infrastructure for sustainable, statewide network of peer supporters who have lived experience, provide restorative youth peer support services to improve the processes of community re-entry, and to provide crisis prevention and transition planning services to improve the processes of community re-entry from a justice facility and/or a psychiatric services facility.

2025

South Dakota (Children with High Acuity): South Dakota will implement recommendations from their FY24 TTI landscape analysis to strengthen existing in-state, youth-serving facilities to meet identified gaps in service delivery. The goal is to increase South Dakota’s capacity to serve youth experiencing behavioral health crises and to service higher acuity youth in the right environment to address their behavioral health needs. TTI funds will support training and other educational opportunities for staff to support youth with high acuity needs, workforce recruitment activities, and implementation of cultural awareness training specifically for working with tribal youth.

2023

Workforce: TN enhanced the crisis continuum by providing the latest evidence-based practices that promoted improving client/patient care as well as self-care concepts/skills for staff that directly provided crisis services. TN used DBT and Compassion Science to address workforce retention and development.

Workforce: TN supported five peer program enhancements: public awareness and education about services and workforce opportunities, widespread dissemination of the CADRE system, stable training hours to ensure availability, scholarships to ensure access for potential qualifying peers and development of an employer toolkit including free ongoing training and technical assistance.

2024

Care for High-Risk Populations: Texas has conducted the following activities: 

1. Create youth and young adult focus groups to better understand youth/young adult suicide, youth help-seeking behavior, preferred recovery services and supports, and helpful suicide postvention strategies. 
2. Develop a suicide prevention toolkit focused on children, youth and young adults for training and technical assistance efforts. 
3. Develop video messaging aimed at strengthening crisis supports such as community and behavioral healthcare providers who treat children, adolescents, and young adults who may be at risk for suicide. 

Workforce Development: Texas supported informal caregivers of people with Serious Mental Illness (SMI) by providing the caregivers with evidence-based training and tools for daily living with SMI. This initiative supported the development, testing, and refinement of their Cognitive Adaptation Training (CAT) and tools specifically designed for informal caregivers. CAT is a motivational, evidence-based psychosocial intervention designed to help people with SMI bypass challenges in daily living and enables them to live more independently in their communities. 

Care for High-Risk Populations: Texas piloted placing Certified Mental Health Peer Specialists (CPS) with specialized training to serve youths (Youth and Young Adult Peer Support) in addition to adults and Certified Family Partners (CFP) in Community Resource Centers (CRCs) in Bastrop and Burnet counties. These two rural counties are in Central Texas within the local service area of Bluebonnet Trails Community Services (BTCS), an LMHA.

2025

Utah (Justice Involved):  Utah plans to develop a partnership between forensic peer support and employment support services for individuals with serious mental illness (SMI) leaving carceral settings. This pilot will place forensic peer support specialists (F-CPSS) with Individual Placement and Support (IPS) supported employment (SE) teams to serve as liaisons and engage justice-involved individuals with SMI in employment services. F-CPSS/IPS liaisons will develop relationships with reentry staff at their local county jail/Utah State Detention Centers and will meet with incarcerated individuals with SMI who are within 90 days of expected release date and have expressed interest in employment.

2025

Vermont (Mapping): Vermont is planning on expanding on their previous FY24 TTI by focusing on the formation and connection between of a crisis system that will integrate the state’s 988 Suicide and Crisis Lifeline with ten mobile crisis teams. Vermont will be to implement a technical solution called Behavioral Health Link to enable coordinated care between 988/crisis lines and mobile crisis teams which include the support of peer specialists and people with lived experience. The Behavioral Health Link aims to improve communication, ensure rapid response and dispatch, and provide GPS location tracking for mobile crisis teams to improve access to care for rural communities and services to underserved population The goal is to amplify the voices of peer supporters and empower them to address any areas for improvement in the support of their work, and expand the peer workforce to integrate peer support into the fabric of their mental health system.

2025

The Virgin Islands (Youth Suicide Prevention): The Virgin Islands will work with the Access to Racial and Cultural Health (ARCH) Institute to implement suicide prevention peer-lead curriculum, focusing on enhancing life skills, resilience, and connectedness. This will be done by implementing the Sources of Strengths curriculum, which focuses on protective factors through help-seeking behavior and connectedness within school-based classroom and community-based settings across the territory.

The US Virgin Islands (Non-clinical): The US Virgin Islands plans to establish comprehensive Crisis Intervention Team (CIT) through professional development and training of non-clinical staff within the school system and the broader community. The goal is to build a non-clinical crisis response workforce that can intervene during behavioral health emergencies, supporting school counselors, social workers, and community responders. The initiative will address the needs for a diverse, community-based workforce to manage mental health and substance abuse crisis and reduce the burden on clinical professionals.

2013

Furthered efforts to incorporate the use of Psychiatric Advanced Directives (ADs) into routine clinical practice throughout its system of care to promote individual self-determination, reduce coercion, and reduce the need for expensive crisis care including inpatient treatment and incarceration. They also provided much-needed cross-systems education about the behavioral health system to Virginia’s legal community, including judges, clerks, magistrates, commonwealth’s attorneys, and defense attorneys.

2025

Washington (Mapping): Having developed a 911-988 warm hand-off protocol and training plan for 911 telecommunicators in their FY24 TTI, Washington plans to create a toolkit to help assist public safety answering points (PSAPs) and their regional partners adapt the 911-988 warm hand-off protocols to their jurisdictions. The toolkit will provide four distinct sections with examples of and guidance on how to achieve a regionally tailored protocol. Washington also plans to provide technical assistance on developing and implementing the warm-hand-off protocol.

2024

Rapid Access to Care

The District of Columbia partnered with a nationally recognized crisis services provider/group to complete a gap analysis and to develop a strategic plan for expansion of high-quality same day/rapid access to care (urgent care). The contractor conducted an overall “fidelity” assessment of the District’s crisis continuum to determine how well they align with emerging best practices. This assessment will guide their design of state-of-the-art geo-location tools to allow their crisis call center to track mobile teams in the field and to deploy the most appropriate resources in real time.

2025

West Virginia (Workforce Wellness): West Virginia will build upon their FY24 TTI award to enhance and support its 988 and crisis service workforce. They plan to present their behavioral health workforce data brief and proposed plan to key stakeholders, finalize an action plan based on the data brief, implement a pilot intervention project, and create a manual for onboarding strategies and best practices for wellbeing and workplace culture. West Virginia also aims to offer intensive TA to certified community behavioral health clinics (CCBHCs) that do not have their National Health Service Corps site designation.

2025

Wisconsin (Children with High Acuity): Wisconsin plans to support children and youth at risk of out-of-home placement by issuing funding to Tribal nations, counties, and community-based agencies to implement the Family Centered Treatment (FCT) model. Each of the above groups will identify clinicians to complete the FCT certification, pilot the FCT model, and develop policies within their existing behavioral health system to allow appropriate services for families. Implementation of this project will allow for prevention, linkages, and follow-up services for crisis care while aligning with SAMHSA’s National Guidelines for Child and Youth Behavioral Health Crisis by keeping youth in their homes and keeping families intact with the implementation of the most effective, least restrictive services in the youth’s home and community.

2009

Developed a statewide housing network across WY’s five regions designed to build a regional provider system for consumers and bolstered that effort with statewide SOAR training.