Community Mental Health Improvement Program Grant

Part I
Selamu et al. (2015) establish that drug abuse and mental illness are greatly interlinked. The prevalence of stigma about mental health and substance abuse disorders often hinders the affected people from seeking mental health care. Rural areas and areas where there is a low resource allocation have limited mental healthcare services. This results in a larger financial burden in the management of the subsequent disabilities due to the lack of medical care in the early stages of the mental illness. Further, the lack of community-based rehabilitation centers leads to a higher prevalence of mental health disorders in marginalized communities. Acharya et al. (2017), report that there is limited access to culturally sensitive mental care. The provision of contextual care is limited despite great efficacy associated with this kind of care. As exhibited, there is a disconnect in the services provided by the government and non-governmental health care providers and the needs of mental healthcare in a community setting. Mental health is a leading global burden in the management of non-communicable diseases.
Part II
The funding of the grant will be got from governmental, private corporations and nongovernmental institutions that are focused on the improvement of the community and mental health. Listed below are the financial aid providers:
1. American Hospital Association honors (aha.org).
2. The Duke Endowment organization (dukeendowment.org).
3. Kerr Foundation Grants (thekerrfoundation.org).
4. Healthcare controlled networks (grants.hrsa.gov).
5. Small rural hospital improvement program (ruralhealthinfo.org).
6. Addiction treatment starts here: primary care (careinnovations.org).
7. Agency for healthcare research and quality (ahrq.gov).
8. Montana Health Foundation (mthcf.org).
9. Atea Foundation (aetna-foundation.org).
10. Substance abuse and mental health grant (samhsa.org)
Part III
Overview
The project intends to establish a community-oriented metal healthcare program. The program will involve the introduction of a mental healthcare network in the local communities. As established, there is a great relation between mental illness and drug abuse. Consequently, the management mental health services will be interlinked with the substance abuse management in a community setting to minimize the rates of substance abuse and the prevalence of mental health disorders. This will be realized through training the staff in primary care centers and institution policies for the provision of emergency care services and remote care for patients. Further, the program will enhance the funding of care and the training to improve the reach of mental health care in the community.
The project will begin with the invitation of the identified financers to offer grants for the commencement of the program activities. The target population will also be identified to establish the population requirements and the available resources to establish the inventory in skills and the deficit. The qualified staff in the primary care will then recruit and train scouts in the community. The responsibility of the scouts will be the identification of symptoms associated with substance abuse or mental illness among their peers. The scouts will then report on a monthly basis to their case manager for appropriate action. If they identify an urgent case, they will notify the primary care center emergency department.
Evaluation
After 3 months of service, the scouts will be examined to establish their performance and qualifications. The basic examination will be skilled in mental health first aid. The qualifiers will be enrolled in an online training program where they will be trained in core competencies and administered standard evaluations. The effectiveness of the program will be examined through the data collected by the scouts as well as the primary care centers. The success of all the patients attended to in under the program will be examined to determine the efficacy of the program.
Grant Justification
In a federal survey conducted in 2013 found that 43.8 million Americans suffer a mental illness and 9.3 million people aged 18 years and above had suicidal thoughts. The research also reported that 44.7% of these mental illness cases begun when the patients were 14 years old. According to a report released by the World health organization, mental illness accounts for the most disabilities compared to other groups of diseases. The federal government also allocates a $400 billion budget annually for the management of mental health disorders. Besides the institution of community mental health services, there still is a deficiency of community-based mental healthcare. Currently, the available programs are institutional based which does not create room for the active involvement of family members in the treatment process. Provision of the grant for this project will minimize the prevalence of mental health disorders and secondary implications of poor mental health management.
The primary beneficiaries of the grant are local communities in marginalized areas. The local communities in rural and low-income areas have limited access to mental healthcare due to the lack of resources lack of service providers. However, the program will also enhance the general community health, optimize the standards and quality of care, and limit the development and prevalence of mental health conditions in the local community. The clinical experts will also benefit in career development from the grant.
Goals
The objective of the community-based healthcare program is to build a network of bicultural professionals, clinicians, the government, and other organizations that focus on improving community healthcare. This will be realized through the incorporation of primary mental healthcare in primary care centers. These program aims to improve the specialists attending to the local population to the recommended one full time employee for a population of 7,000 people. The addiction consolers and case managers will complement the specialists’ services. The management of these services will make it easier to improve the strategic approach to healthcare management on a community.
The program will create alliances between psychiatrists and primary care centers. This will ensure they render quality services according to the demands of the community with the assistance of the bicultural representatives in the primary care center. Further, the program will establish a suitable emergency service for emergency cases within the local community. This will help in clinical officers to contain emergency cases soon before the health condition escalates cause secondary health disorders. The program will also focus on the improvement of the services providers skills in the administration of healthcare. The management of these requirements makes it possible to meet the challenges associated with the creation of these services.
Budget
The inventory taken of the resources required for the execution of the program and those available in the community will determine the budgetary allocations for different communities. However, the standard requirements for the implementation of the program will be $5,000 for the training of the practitioners at the primary care centers and the scouts. The establishment of the emergency response program will necessitate better servicing of the ambulances and the remuneration of attendants which will amount to $2,000 monthly. The long-term training of the scouts will cost $3,000 per course. However, those who take these courses will be required to settle 50% of their fee simultaneously or latter.
Personnel
The key stakeholders will be leading sponsors of the project and the employees at the primary care centers. The community members will be critical in the engagement in the training programs as well as the policing of the substance abuse in their residence.






References
Acharya, B., Maru, D., Schwarz, R., Citrin, D., Tenpa, J., & Hirachan, S. et al. (2017). Partnerships in mental healthcare service delivery in low-resource settings: developing an innovative network in rural Nepal. Globalization and Health, 13(1). doi: 10.1186/s12992-016-0226-0
Addiction Treatment Starts Here: Primary Care Application. (2018). Retrieved from https://www.careinnovations.org/addiction-primary-care-2019/
Blanco, M., Gruppen, L., Artino, A., Uijtdehaage, S., Szauter, K., & Durning, S. (2015). How to write an educational research grant: AMEE Guide No. 101. Medical Teacher, 38(2), 113-122. doi: 10.3109/0142159x.2015.1087483
Funding & Grants | Agency for Healthcare Research & Quality. (2018). Retrieved from https://www.ahrq.gov/funding/index.html
Health Care Apply for a Grant. (2018). Retrieved from https://dukeendowment.org/health-care-apply-for-a-grant
Killaspy, H. (2006). From the asylum to community care: learning from experience. British Medical Bulletin, 79-80(1), 245-258. doi: 10.1093/bmb/ldl017
NOVA Award | AHA. (2018). Retrieved from https://www.aha.org/about/awards/aha-nova-award
NOVA Award | AHA. (2018). Retrieved from https://www.aha.org/about/awards/aha-nova-award
Prevention of Substance Abuse and Mental Illness | SAMHSA - Substance Abuse and Mental Health Services Administration. (2018). Retrieved from https://www.samhsa.gov/prevention
Selamu, M., Asher, L., Hanlon, C., Medhin, G., Hailemariam, M., & Patel, V. et al. (2015). Beyond the Biomedical: Community Resources for Mental Health Care in Rural Ethiopia. PLOS ONE, 10(5), e0126666. doi: 10.1371/journal.pone.0126666