Grant Writing Needs Management Plan


Abstract
Many agencies and organizations desire to implement programs every day of any given year. Grant writers work diligently by researching funding websites to secure funds for programs and supply needed resources for initiatives and agendas. Writing a winning grant proposal is one of the myriad responsibilities of a grant writer. In this paper, a needs statement and management plan will be developed for a fictitious, grant-funded wellness clinic program for those affected with mental health disorders and addictions as part of the Highland Mental Health Center. This new clinic will be referred to as New Leaf.
Highland Mental Health &Wellness Clinic Program:
Needs Statement & Management Plan
Highland Mental Health Center (HMHC) was formed in 2002 to be a leading not-for-profit mental health provider in the middle Tennessee area. At HMHC, a “no wrong door” method is used and serves individuals with co-occurring psychological health and addictions based on its fundamental principles. These services are free to anyone in the local Appalachian region who has a mental health condition, psychosis, or dependence as general well-being and healthiness are significant factors of one’s life. Overall, this area has a high proportion of persons at or beneath poverty level. According to the U.S. Census Bureau, each targeted county has poverty levels above the state’s percentage (17.8%) with one county being slightly lower (Smith County 17.3%). The percentage of people living in poverty ranges from 27.8% to 17.3% (Zullig & Hendryx, 2011 ). The New Leaf Clinic will be a principal intercession approach that involves a complete, cohesive health clinic rooted in a social fitness treatment center.
 The primary goal of HMHC is to expand the basic healthiness standing of individuals with grave psychological illnesses and those with co-occurring drug or alcohol use disorders who have or are at danger for severe primary disorders and continuing diseases. The funder for the New Leaf Clinic will be a grant SAMHSA via Tennessee Department of Mental Health & Substance Abuse Services. The New Leaf Clinic goal is to provide a managed and unified service through the joining of primary care services in a cooperative wellness setting. The New Leaf Clinic plans to enroll 875 individuals during a four-year program and foresee numerous optimistic outcomes. This involves decreases in health factors such as glucose, weight, blood pressure, and other wellness factors. Providing access to clinic care, care management, and psychological wellness enhances opportunities for individuals to succeed and alter the long term illnesses. Appalachian residents are morel likely to rush to an emergency room, thus not identify the extent of their psychological and dependence issues. Findings show that Appalachian residents are likely to report humiliation, be in denial, and not feel confident in seeking treatment (Snell-Rood, 2018).

Needs Statement

Highlands Mental Health center is seeking $400,000 (10% Prevention and Health Promotion; 25% Data Collection, Performance, Assessment; 25% Infrastructure; and 15% Facility Modifications) for the urgent need of an additional primary medical care clinic that will provide an opportunity to fully connect various medical prevention, health wellness, behavioral health and mental care initiatives to meet service needs of consumers in the Appalachian region via the one-stop model. Using population management tools and incorporating primary care will enhance the service delivery system and provide a platform by which physical health and psychiatric providers consult and collaborate. The Center for Disease Control and Prevention Health Disparities and Inequalities Report identified several health disparities experienced by the targeted subpopulation including social determinants of health, health care access and prevention, mortality outcomes, morbidity outcomes and behavioral risk factors (Frieden, 2011).
            This project, New Leaf Clinic will provide the agency an opportunity to develop a one-stop integrated healthcare model at Highland Mental Health Center. The center houses a full continuum of services, including crisis stabilization, medically monitored detoxification, residential treatment, outpatient programs, case management and specialty services. Over time, the chronicity level rises and becomes severe and gravely shortens life expectancy. Frieden (2011) noted that among individuals with psychological, psychosis disorders and dependence on alcohol, common underreported or unreported chronic diseases, including coronary artery disease, renal failure, seizure disorders, high cholesterol, asthma and hypertension. These individuals were more likely to die than individuals without mental disorders.

Management Plan

Individuals seeing behavioral health treatment and recovery services at Highland Mental Health Center will be afforded ready access to primary care. Care coordination will also ensure continuity of care between on and off-site providers, specialists and when higher levels of care are warranted. Implementation of an individualized and integrated treatment plan, in partnership with enrollees, will serve to increase follow-through, improve medication adherence and overall health status. Understanding readiness to change and utilizing a non-confrontational, nonjudgmental treatment modality will improve treatment compliance and outcomes, and ensure that enrollees receive a full array of preventive and recovery-oriented services. These principles rely heavily upon The National Treatment Plan Initiative (Clark, et.al., 2000).
At the New Leaf Clinic, over 95% of staff members will be from the Appalachian region, active community members, and reflecting the culture of this area. The program director will work with integrated treatment teams to identify high-risk individuals, assess and determine care plans, coordinate services, referrals and follow-ups, monitor other staff and become a liaison of daily operations. The integrated care manager will provide linkages, referrals, coordination, monitor and follow-up to services and supports. Administrative support (LPN, CAN, RN) will perform support services to medical staff, perform routine tests and exams, and be a liaison between behavioral health and primary care to support the functions of the New Leaf Clinic. Primary care physicians will provide physical health services in collaboration with psychiatric services. A peer wellness coach will provide health education, promote activities, promote lifestyle changes, and track health indicators and outcomes. A licensed therapist (BSN) will conduct individual, family, or group therapy as needed for individuals with mental illness. An IT coordinator will work with primary care providers to develop shared information systems and maintain EHR (medical records) systems. The clinical supervisor will be the liaison to develop implement, and maintain seamless intakes of individuals, oversee and train staff in the New Leaf Clinic. The medical director will collaborate with the primary care physician to implement integrated care, medication management, and provide consultation to medical staff. Lastly, the grant evaluator will oversee outcomes management processes, data analysis, reporting on outcomes and working with teams to provide feedback about adherence to this implementation plan. The clinic and its staff have extensive experience working from a preventive perspective and adheres to evidence-based disease management practices.

Outcomes

The New Leaf Clinic project will measure the extend to which implementation of primary care services to integrate medical and mental health treatment will increase access, improve engagement, and improve chronic disease management. All collected data will be reported at team meetings to allow for adjustment of services as necessary. Being able to develop a clinic model in which integrated care is offered onsite provides a unique opportunity for consumers and allows HMHC to shift toward a holistic health standard. The project has been planned so that financial sustainability is attainable at the end of the funding period. The agency plans to use this clinic as a model program by which other integrated care services are established and HMHC will continue to seek contracts with other sources to maintain it over time.
References
Frieden, T. R. (2011, January). CDC health disparities and inequalities report-United States, 2011. Morbidity and Mortality Weekly Report60(), 94-109. Retrieved from https://www.cdc.gov/mmwr/pdf/other/su6001.pdf
Snell-Rood C, Carpenter-Song E. Depression in a depressed area: Deservingness, mental illness, and treatment in the contemporary rural U.S. Social Science & Medicine. 2018; 219:78-86.  Retrieved from http://eds.a.ebscohost.com/eds/detail/detail?vid=4&sid=b9467592-08ba-4eca-aefd-ab1826f6f230%40sdc-v-sessmgr02&bdata=JkF1dGhUeXBlPXNoaWImc2l0ZT1lZHMtbGl2ZSZzY29wZT1zaXRl#AN=S0277953618305781&db=edselp
Zullig, K. J., & Hendryx, M. (2011). Health-related quality of life among central Appalachian residents in mountaintop mining counties. American Journal of Public Health101(5), 848–853. Retrieved from http://eds.a.ebscohost.com/eds/detail/detail?vid=3&sid=b9467592-08ba-4eca-aefd-ab1826f6f230%40sdc-v-sessmgr02&bdata=JkF1dGhUeXBlPXNoaWImc2l0ZT1lZHMtbGl2ZSZzY29wZT1zaXRl#AN=21421943&db=mdc


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