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278 0 R 278 0 R 278 0 R 278 0 R 278 0 R 278 0 R 279 0 R 279 0 R 279 0 R 280 0 R 280 0 R 280 0 R 280 0 R 281 0 R] endobj 272 0 obj <>/ActualText(gfedc\r\n)/K[0 1 2 3 4]/P 282 0 R/Pg 136 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 273 0 obj <>/ActualText(gfedcb\r\n)/K[5 6 7 8 9 10]/P 282 0 R/Pg 136 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 274 0 obj <>/ActualText(Achieved\r\n)/K[11]/P 282 0 R/Pg 136 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 275 0 obj <>/ActualText(Not Achieved \(if not achieved,explain why\)\r\n)/K[12 13]/P 282 0 R/Pg 136 0 R/S/P/Type/StructElem/XXStyle 1049 0 R>> endobj 276 0 obj <>/ActualText(First Year Target:\r\n)/K[14]/P 282 0 R/Pg 136 0 R/S/P/Type/StructElem/XXStyle 1048 0 R>> endobj 277 0 obj <>/ActualText(Reason why target was not achieved, and changes proposed to meet target:\r\n)/K[15]/P 282 0 R/Pg 136 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 278 0 obj <>/ActualText(Less than 10% of the Division of Mental Health and Addiction Services \(DMHAS\) behavioral health providers have written Cultural\r\nCompetence Plans despite the division providing on-going technical assistance, workshops, and training surrounding multicu\ ltural\r\nissues and the importance of providing cultural competence services. Although the need for cultural competence for DMHAS providers\r\nis well established, the integration of cultural competence approaches in most organizations is not yet a reali\ ty due to several\r\nchallenges. The primary barrier surrounding provider development of a cultural competence plans is that it is not an action item for\r\nleadership. For example, some organizations have not dedicated time and resources to develop a cul\ tural competence plan. Other\r\nproviders have assigned team members to work with technical assistance centers who have little interest in developing a cultural\r\ncompetence plan or who are not agency decision-makers. Finally, the advent of Covid-19 has \ had many providers shifting priorities to\r\ncombat crisis situations and emergency protocols.\r\n)/K[16 17 18 19 20 21 22 23 24]/P 282 0 R/Pg 136 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 279 0 obj <>/ActualText(To increase and prioritize the percentage of providers who develop cultural competence plans, DMHAS will provide specific workshops\r\naddressing leadership responsibility in creating an agency culture where diversity is valued and not dismissed. In addit\ ion, DMHAS\r\nproposes contract requirements and corrective action steps for those providers who have yet to complete cultural competence plans.\r\n)/K[25 26 27]/P 282 0 R/Pg 136 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 280 0 obj <>/ActualText(How first year target was achieved \(optional\):\r\n0930-0168 Approved: 04/19/2019 Expires: 04/30/2022\r\n)/K[28 29 30 31]/P 282 0 R/Pg 136 0 R/S/P/Type/StructElem/XXStyle 1054 0 R>> endobj 281 0 obj <>/ActualText(Footnotes:\r\n)/K[32]/P 282 0 R/Pg 136 0 R/S/P/Type/StructElem/XXStyle 214 0 R>> endobj 282 0 obj <> endobj 283 0 obj <>/ActualText(B. Implementation Report\r\n)/K[0]/P 282 0 R/Pg 11 0 R/S/P/Type/StructElem/XXStyle 220 0 R>> endobj 284 0 obj <>/ActualText(MHBG Table 1 Priority Area and Annual Performance Indicators - Progress Report\r\n)/K[1]/P 282 0 R/Pg 11 0 R/S/P/Type/StructElem/XXStyle 214 0 R>> endobj 285 0 obj <>/ActualText(Priority #:\r\n)/K[2]/P 282 0 R/Pg 11 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 286 0 obj <>/ActualText(1\r\n)/K[3]/P 282 0 R/Pg 11 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 287 0 obj <>/ActualText(Priority Area:\r\n)/K[4]/P 282 0 R/Pg 11 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 288 0 obj <>/ActualText(Pregnant Women/Women with Dependent Children\r\n)/K[5]/P 282 0 R/Pg 11 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 289 0 obj <>/ActualText(Priority Type:\r\n)/K[6]/P 282 0 R/Pg 11 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 290 0 obj <>/ActualText(SAT\r\n)/K[7]/P 282 0 R/Pg 11 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 291 0 obj <>/ActualText(Population\(s\):\r\n)/K[8]/P 282 0 R/Pg 11 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 292 0 obj <>/ActualText(PWWDC\r\n)/K[9]/P 282 0 R/Pg 11 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 293 0 obj <>/ActualText(Goal of the priority area:\r\nTo expand the capacity of existing programs to make available treatment services designed for pregnant women and women with dependent children.\r\nStrategies to attain the goal:\r\n)/K[10 11 12]/P 282 0 R/Pg 11 0 R/S/P/Type/StructElem/XXStyle 1052 0 R>> endobj 294 0 obj <>/ActualText( Annual provider meetings include licensed women's treatment providers who provide gender specific treatment and system partners. Attendees, the\r\nDivision of Mental Health and Addiction Services \(DMHAS\) women's treatment coordinator, representatives \ from NJ Department of Children and\r\nFamilies \(DCF\), Division of Family Development \(DFD\), Work First New Jersey Substance Abuse Imitative \(WFNJ-SAI\) and other relevant stakeholders.\r\nMeeting address issues related to best practices such as reten\ tion, engagement, access and referrals, recovery supports, medication assisted treatment,\r\nsystems collaboration, Substance Exposed Infants \(SEI\) and Neonatal Abstinence Syndrome \(NAS\) and training needs.\r\n)/K[13 14 15 16 17]/P 282 0 R/Pg 11 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 295 0 obj <>/ActualText( Professional development - women's treatment provider contract requirements include service elements and language from the National Association\r\nof State Alcohol/Drug Abuse Directors \(NASADAD\) "Guidance to States: Treatment Standards for Women with \ Substance Use Disorders" document that\r\nemphasizes best practice. Contracted providers are required to address the full continuum of treatment services: family-centered treatment, evidence-\r\nbased parenting programs, trauma-informed and trauma-respons\ ive treatment using Seeking Safety, Strengthening Families, evidence-based\r\nparenting classes, recovery supports, etc. and assist women with housing supports by linking women to transitional, permanent and/or supportive or\r\nsober living homes such as \ an Oxford House. Contracted women's treatment providers new staff are required to complete National Center on\r\nSubstance Abuse and Child Welfare \(NCSACW\) online tutorials "Understanding Child Welfare and the Dependency Court: A Guide for Substance Abu\ se\r\nTreatment Professionals" and document completion of tutorials in their employee personnel files.\r\n)/K[18 19 20 21 22 23 24 25]/P 282 0 R/Pg 11 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 296 0 obj <>/ActualText( Plans of Safe Care - women's treatment provider contract language requires providers to develop Plans of Safe Care for pregnant and postpartum\r\nwomen. Plans of Safe Care will address the needs of the mother, infant and family to ensure coordination of\ , access to, and engagement in services.\r\nFor a pregnant woman, the Plan shall be developed prior to the birth event whenever possible and in collaboration with treatment providers, health\r\ncare providers, early childhood service providers, and other \ members of the multidisciplinary team as appropriate. Documentation of the Plan shall be\r\nincluded in the woman's file.\r\n)/K[26 27 28 29 30]/P 282 0 R/Pg 11 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 297 0 obj <>/ActualText( In Depth Technical Assistance \(IDTA\). In 2014 as a SAMHSA Prescription Drug Abuse Policy Academy State, New Jersey applied for a unique technical\r\nassistance opportunity through the SAMHSA supported National Center on Substance Abuse and Child Welfa\ re \(NCSACW\) to address the multi-faceted\r\nproblems of Substance Exposed Infants \(SEI\) and Neonatal Abstinence Syndrome \(NAS\). New Jersey Department of Human Services \(DHS\)/DMHAS as the\r\nlead State agency partnered with DCF and Department of He\ alth \(DOH\) and submitted a successful application for IDTA \(no funding attached\). The\r\nIDTA goal was to develop uniform policies/guidelines that address the entire spectrum of NAS and SEI from pre-pregnancy, prevention, early\r\nintervention, assess\ ment and treatment, postpartum and early childhood. The IDTA provided technical assistance to New Jersey to strengthen\r\ncollaboration and linkages across multiple systems such as addictions treatment, child welfare, and medical communities to improve se\ rvices for\r\npregnant women with opioid and other substance use disorders and outcomes for their babies. The New Jersey IDTA Core Team included over 60\r\nindividuals representing multiple State Departments and Divisions, community stakeholders, treatmen\ t providers, and the medical community.\r\n)/K[31 32 33 34 35 36 37 38 39]/P 282 0 R/Pg 11 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 298 0 obj <>/ActualText(The IDTA established three goals: \(1\) Increase perinatal SEI screening at multiple intervention points \(Health system, substance use disorder \(SUD\)/\r\nmental health \(MH\) system\); \(2\) Leverage existing programs and policy mechanisms to collabora\ tively increase the rate at which women screening\r\npositive on the 4P's Plus get connected for a comprehensive assessment by establishing formal warm-handoffs and other safety net measures; \(3\)\r\nLeverage existing programs and policy mechanisms to co\ llaboratively increase the rate at which women delivering SEIs and their babies and any other\r\neligible children, receive early support services for which they are eligible.\r\n)/K[40 41 42 43 44]/P 282 0 R/Pg 11 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 299 0 obj <>/ActualText(Three workgroups convened: \(1\) Data Workgroup looked at statewide data systems \(Medicaid ICD codes and DOH\) that capture prenatal screening,\r\nlinkage to treatment services, follow-up for parenting women, prevalence of NAS and associated costs. Durin\ g the initiative, the team analyzed 2013\r\nand 2014 Medicaid data to establish prevalence and costs of treatment NAS. \(2\) Prenatal Screening, Early Identification of Infants & Referral to Service\r\nWorkgroup focused on how to increase connections to a\ ppropriate treatment and supportive services such as Central Intake and Perinatal\r\nCooperatives, by mapping out current screening and referral practices across the state using Pregnancy Risk Assessment \(PRA\) data; New Jersey\r\nimplemented the 4Ps+ ac\ ross the State and embedded the tool within the PRA. The workgroup found high utilization \(over 80%\) of 4Ps+ within\r\ndoctors serving pregnant women on Medicaid. The mapping allowed the team to target low utilization areas to increase the prevalence of\ prenatal\r\nscreening. \(3\) Labor, Delivery and Engagement \(Infants\) Workgroup developed a comprehensive survey with input from the medical community and\r\n)/K[45 46 47 48 49 50 51 52]/P 282 0 R/Pg 11 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 300 0 obj <>/ActualText(perinatal cooperatives. The Hospital Birth Survey was disseminated statewide March 2017 to the labor and delivery hospitals. The survey sought to\r\nunderstand how pregnant women with SUD and substance-exposed infants are identified, treated, and triaged \ with partners at discharge, and if\r\ntreatment for NAS was explored. The Hospital Birth Survey results was intended to guide Departments in establishing statewide guidelines for best\r\npractice; aid in the development of cross system models to ensure fa\ milies get access to services; establish education needs on issues of SEI/NAS and\r\nidentify high risk areas. The IDTA commenced in 2017, however DMHAS as the IDTA lead state agency, requested modified technical assistance from the\r\nNCSACW to support N\ ew Jersey to interpret the key findings from the Birthing Hospital Survey, and apply these findings to the Project ECHO program\r\ndesign.\r\n)/K[0 1 2 3 4 5 6]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 301 0 obj <>/ActualText(In late Fall of 2018, Robert Wood Johnson and the Nicholson Foundation, in partnership with the three Departments \(Health, Human Services, and\r\nChildren and Families\) and other stakeholders began planning to launch Project ECHO \(Extension for Communi\ ty Outcomes\) for SEIs. The New Jersey\r\nProject ECHO is aimed at Statewide adoption of best practice clinical care and community-based interventions to support SEIs and their parents to\r\nsupport recovery, family formation, and child development throug\ h a multidisciplinary case-based learning platform. Project ECHO for SEI and parents\r\nfocuses on prevention, birth, and the infant's first year of life. DCF is the lead State agency on Plans of Safe Care for SEI, mothers and their families and\r\nhas de\ veloped protocols for integrating Plans of Safe Care into child protection services and child welfare and child welfare assessments.\r\n)/K[7 8 9 10 11 12]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 302 0 obj <>/ActualText( Maternal Wrap Around Program \(MWRAP\) - MWRAP provides intensive case management and recovery support services for opioid dependent\r\npregnant and postpartum women. Opioid dependent women are eligible for services during pregnancy and up to one year a\ fter the birth event.\r\nIntensive case management focuses on developing a single, coordinated care plan for pregnant/postpartum women, their infants and families.\r\nIntensive Case Managers work as liaisons to all relevant entities involved with each wom\ an. The Recovery Support Specialists provide non-clinical\r\nassistance and recovery supports while maintaining follow-up with the women and their infants.\r\n)/K[13 14 15 16 17]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 303 0 obj <>/ActualText(The MWRAP goal is to alleviate barriers to services for pregnant opioid dependent women through comprehensive care coordination that is\r\nimplemented within the five major timeframes when intervention in the life of the substance exposed infants \(SEI\) \ can reduce potential harm of\r\nprenatal substance exposure: pre-pregnancy, prenatal, birth, neonatal and early childhood. MWRAP is intended to promote maternal health, improve\r\nbirth outcomes, and reduce the risks and adverse consequences of prenatal s\ ubstance exposure. MWRAP is a statewide program located in seven\r\nregions with each region serving approximately 30 unduplicated opioid dependent pregnant women, their infants and families.\r\n)/K[18 19 20 21 22]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 304 0 obj <>/ActualText(Annual Performance Indicators to measure goal success\r\n)/K[23]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 214 0 R>> endobj 305 0 obj <>/ActualText(Indicator #:\r\n)/K[24]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 306 0 obj <>/ActualText(1\r\n)/K[25]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 307 0 obj <>/ActualText(Indicator:\r\n)/K[26]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 308 0 obj <>/ActualText(Increase the number of pregnant women or women with children entering substance\r\nabuse treatment.\r\n)/K[27 28]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 309 0 obj <>/ActualText(Baseline Measurement:\r\n)/K[29]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 310 0 obj <>/ActualText(SFY 2019: 32,276 admissions count\r\n)/K[30]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 311 0 obj <>/ActualText(First-year target/outcome measurement:\r\n)/K[31]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 312 0 obj <>/ActualText(Increase number of pregnant women or women with children entering substance abuse\r\ntreatment in SFY 2020 by 1%.\r\n)/K[32 33]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 313 0 obj <>/ActualText(Second-year target/outcome measurement:\r\n)/K[34]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 314 0 obj <>/ActualText(Increase number of pregnant women or women with children entering substance abuse\r\ntreatment by 2% by the end of SFY 2021. The change in SFY 2021 will be measured by\r\ncalculating the percent difference from SFY 2019 to SFY 2021.\r\n)/K[35 36 37]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 315 0 obj <>/ActualText(New Second-year target/outcome measurement\(if needed\):\r\nData Source:\r\n)/K[38 39 40 41]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 316 0 obj <>/ActualText(The number of pregnant women and women with children from SFY 2019 - 2021 will be tracked by the SSA's New Jersey Substance\r\nAbuse Monitoring System \(NJSAMS\).\r\n)/K[42 43]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 317 0 obj <>/ActualText(New Data Source\(if needed\):\r\n)/K[44 45 46]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 318 0 obj <>/ActualText(Description of Data:\r\n)/K[47]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 319 0 obj <>/ActualText(All agencies licensed to provide substance abuse treatment in New Jersey must report on NJSAMS, the SSA's real-time web-based client\r\nadministrative data system. The system collects basic client demographic, financial, level of care and clinical informa\ tion for every client.\r\nAll national outcome measures \(NOMS\) are incorporated into the system. Outcome measures are linked to the client at admission and\r\ndischarge.\r\n)/K[48 49 50 51]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 320 0 obj <>/ActualText(New Description of Data:\(if needed\)\r\n)/K[52 53]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 321 0 obj <>/ActualText(Data issues/caveats that affect outcome measures:\r\n)/K[54]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 322 0 obj <>/ActualText(Outcome measures are collected at a client's admission and discharge per the approach used with TEDS and not at different periods of\r\ntime during the course of treatment.\r\n)/K[55 56]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 323 0 obj <>/ActualText(New Data issues/caveats that affect outcome measures:\r\n)/K[57]/P 282 0 R/Pg 16 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 324 0 obj <>/ActualText(Report of Progress Toward Goal Attainment\r\n)/K[0]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 1043 0 R>> endobj 325 0 obj <>/ActualText(gfedc\r\n)/K[1 2 3 4 5]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 326 0 obj <>/ActualText(gfedc\r\n)/K[6 7 8 9 10]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 327 0 obj <>/ActualText(Achieved\r\n)/K[11]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 328 0 obj <>/ActualText(Not Achieved \(if not achieved,explain why\)\r\n)/K[12 13]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 1049 0 R>> endobj 329 0 obj <>/ActualText(First Year Target:\r\n)/K[14]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 1048 0 R>> endobj 330 0 obj <>/ActualText(Reason why target was not achieved, and changes proposed to meet target:\r\nHow first year target was achieved \(optional\):\r\n)/K[15 16 17 18]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 1053 0 R>> endobj 331 0 obj <>/ActualText(Priority #:\r\n)/K[19]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 332 0 obj <>/ActualText(2\r\n)/K[20]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 333 0 obj <>/ActualText(Priority Area:\r\n)/K[21]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 334 0 obj <>/ActualText(Persons Who Inject Drugs\r\n)/K[22]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 335 0 obj <>/ActualText(Priority Type:\r\n)/K[23]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 336 0 obj <>/ActualText(SAT\r\n)/K[24]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 337 0 obj <>/ActualText(Population\(s\):\r\n)/K[25]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 338 0 obj <>/ActualText(PWID\r\nGoal of the priority area:\r\n)/K[26 27]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 1047 0 R>> endobj 339 0 obj <>/ActualText(To expand access to comprehensive treatment, including Medication Assisted Treatment \(MAT\), in combination with other treatment modalities, for\r\nindividuals with an opioid use disorder, including persons who inject drugs \(PWID\), through mobile medic\ ation units and other innovative\r\napproaches.\r\n)/K[28 29 30]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 340 0 obj <>/ActualText(Strategies to attain the goal:\r\n)/K[31]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 341 0 obj <>/ActualText( Referral to substance use disorder \(SUD\) treatment from statewide Harm Reduction Centers \(HRCs\) that are operational throughout New Jersey.\r\n)/K[32]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 342 0 obj <>/ActualText( Providing services in convenient locations, specifically utilizing mobile medication units, in order to reduce barriers and engage individuals in care as\r\neasily as possible.\r\n)/K[33 34]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 343 0 obj <>/ActualText( Promoting the use of medication assisted treatment \(MAT\) \(e.g., methadone, buprenorphine, injectable naltrexone\) for individuals with an opioid use\r\ndisorder \(OUD\).\r\n)/K[35 36]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 344 0 obj <>/ActualText( Educating providers, individuals with an OUD, family members and the public about the benefits of MAT through a planned statewide public\r\nawareness campaign as well as public presentations on this topic.\r\n)/K[37 38]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 345 0 obj <>/ActualText( Contracts to three regional providers to provide community education and trainings for individuals at risk for an OUD, their families, friends and\r\nloved ones to recognize an opioid overdose and to subsequently provide naloxone kits to individuals in \ attendance.\r\n)/K[39 40]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 346 0 obj <>/ActualText( Increase the number of naloxone trainings specifically for underserved populations, such as schools, jails, licensed SUD treatment providers, Offices\r\nof Emergency Management, Emergency Medical Services teams, fire departments, homeless shelters and c\ ommunity health clinics.\r\n)/K[41 42]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 347 0 obj <>/ActualText( Contracts awarded to implement an opioid overdose recovery program with recovery specialists and patient navigators in all 21 counties for\r\nindividuals who present in emergency departments following an opioid overdose reversal with naloxone in order t\ o link them to treatment or other\r\nrecovery support services in their communities.\r\n)/K[43 44 45]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 348 0 obj <>/ActualText( Contracts awarded to 11 providers for the Support Team for Addiction Recovery \(STAR\) program to provide case management and wraparound\r\nservices for individuals with an OUD. Goals include linking clients to needed services, housing, primary care and\ treatment including MAT.\r\n)/K[46 47]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 349 0 obj <>/ActualText( Maternal Wraparound Program \(M-WRAP\) provides intensive case management and recovery support services for opioid dependent pregnant and\r\npostpartum women. Opioid dependent pregnant women are eligible for M-WRAP services during pregnancy and up to on\ e year after birth event.\r\nIntensive case management focuses on developing a single, coordinated care plan for pregnant/postpartum women, their infants and families.\r\nIntensive Case Managers provide care coordination and warm hand-offs to appropriate \ service providers when necessary. Recovery Support Specialists\r\nprovide non-clinical assistance and recovery supports while maintaining follow-up with the women and their infants. The M-WRAP program covers all\r\n21 counties of NJ and alleviates barrier\ s through comprehensive care coordination using a multi-system approach with the goal to improve outcomes\r\nfor pregnant/postpartum opioid dependent women and their children.\r\n)/K[48 49 50 51 52 53 54]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 350 0 obj <>/ActualText( In September 2016, DMHAS was awarded a five-year grant to "Prevent Prescription Drug/Opioid Overdose-Related Deaths \(PDO\)" from SAMHSA to\r\nimplement the Opioid Overdose Prevention Network \(OOPN\) initiative which entails the development and impleme\ ntation of a comprehensive\r\nprescription drug/ opioid overdose prevention program which includes Naloxone training and distribution. Plans are to train 3,000 individuals and\r\ndistribute 2,500 naloxone kits annually.\r\n)/K[55 56 57 58]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 351 0 obj <>/ActualText( In September 2016, DMHAS was awarded a "Strategic Prevention Framework for Prescription Drugs \(SFP Rx\)" five-year grant from SAMHSA to\r\nimplement the NJAssessRx initiative. NJAssessRx expands interagency sharing of the state's Prescription Drug Moni\ toring Program data and gives\r\nDMHAS the capability to use data analytics to identify prescribers, prescriber groups and patients at high risk for inappropriate prescribing and\r\nnonmedical use of opioid drugs. Informed by the data, DMHAS and its preve\ ntion partners will strategically target communities and populations\r\nneeding services, education or other interventions. The target population is youth \(ages 12-17\) and adults \(18 years of age and older\) who are being\r\nprescribed opioid pain medi\ cations, controlled drugs, or human growth hormone \(HGH\), and are at risk for their nonmedical use.\r\n)/K[59 60 61 62 63 64]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 352 0 obj <>/ActualText( In May 2017, SAMHSA awarded $12,9995,621 through the State Targeted Response \(STR\) to New Jersey annually for two years. The program aims to\r\naddress the opioid crisis by increasing access to treatment, reduce unmet treatment need and reduce opioid \ overdose related deaths through the\r\nprovision of prevention, treatment and recovery activities for OUD. A major activity of the grant is to implement and expand access to clinically\r\nappropriate evidence-based practices \(EBPs\) for OUD treatment, pa\ rticularly, the use of MAT. To address these objectives, a new State Targeted Opioid\r\nResponse Initiative \(STORI\) fee-for-service \(FFS\) treatment initiative was developed within the existing addiction fee for service treatment network,\r\nwhich prov\ ides access to treatment for under-insured and uninsured clients. It includes a wide range of services, specifically including MAT. DMHAS\r\nwas awarded a no-cost extension for the STR grant to continue funding the STORI FFS treatment for part of SFY 2020\ .\r\n)/K[65 66 67 68 69 70 71]/P 282 0 R/Pg 21 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 353 0 obj <>/ActualText( In September 2018, SAMHSA awarded $21.5 million through the State Opioid Response \(SOR\) to New Jersey annually for two years to continue to\r\naddress the opioid crisis. The key objectives of the SOR grant are to increase access to MAT, reduce unmet t\ reatment need and reduce opioid related\r\ndeaths.\r\n)/K[0 1 2]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 354 0 obj <>/ActualText( In March 2019, DMHAS received notification from SAMHSA that its plan for an additional $11.2 million was approved through the SOR Grant for the\r\nperiod through FFY 2020. DMHAS submitted a plan proposing to use the SOR supplemental award to fund additi\ onal treatment, recovery support,\r\nprevention and education/training efforts to address the opioid epidemic.\r\n)/K[3 4 5]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 355 0 obj <>/ActualText( As part of SOR funding, the Low Threshold Buprenorphine Induction program \(Low Threshold\) is designed to make Buprenorphine treatment easily\r\naccessible to individuals who access syringes at Harm Reduction Centers \(HRCs\) located at South Jersey AI\ DS Alliance \(SJAA\) in Atlantic City and the\r\nVisiting Nurse Association \(VNA\) of Central Jersey in Asbury Park. Through the Low Threshold program, individuals will be offered same day, immediate\r\nenrollment in Buprenorphine treatment and care mana\ gement services. The program will offer services to individuals who seek this type of service in a\r\nsafe and nonjudgmental environment, despite continued drug use or lapses in care.\r\n)/K[6 7 8 9 10]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 356 0 obj <>/ActualText( As part of SOR and state funding, DMHAS is collaborating with NJ's 21 counties to establish MAT programs or enhance existing MAT services for\r\ninmates with OUD at county correctional facilities. In addition, DMHAS is working with county correctional f\ acilities to establish justice involved re-\r\nentry services for detainees where case managers at county jails will conduct intake assessments and establish pre-release plans for needed services in\r\nthe community.\r\n)/K[11 12 13 14]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 357 0 obj <>/ActualText( An attempt to increase access to MAT, specifically buprenorphine, has been the development of statewide buprenorphine training courses utilized as\r\nan educational component for physicians, Advanced Practical Nurses \(APNs\) and Physician Assistants \(\ PAs\) to attain their Buprenorphine Waiver. The\r\nState plans to hold a total of 16 trainings through both Rutgers University \(northern region\) and Rowan University \(southern region\) in CY 2019 in an\r\neffort to train over 1,000 prescribers in CY 20\ 19.\r\n)/K[15 16 17 18]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 358 0 obj <>/ActualText( Interim Services have been a requirement of provider contracts, but a new initiative allows DMHAS to pay for these services through a fee-for-service\r\n\(FFS\) mechanism. The Interim Services initiative provides funding to agencies to support individua\ ls awaiting admission to treatment following a SUD\r\nassessment. Interim Services are an engagement level of service intended to link individuals to services they may not be able to access due to lack of\r\nprovider capacity. This service is designed to \ be provided by agencies contracted for any licensed ASAM level of care. Interim services will be made\r\navailable to any individual eligible for treatment within the public system who cannot be admitted for the assessed level of care within 72 hours. Pri\ or\r\nto this initiative agencies enrolled in the Block Grant initiatives were required to provide this service. Once launched in October 2019, funding for\r\nInterim Services will be open to all contracted FFS providers.\r\n)/K[19 20 21 22 23 24 25]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 359 0 obj <>/ActualText(Annual Performance Indicators to measure goal success\r\n)/K[26]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 214 0 R>> endobj 360 0 obj <>/ActualText(Indicator #:\r\n)/K[27]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 361 0 obj <>/ActualText(1\r\n)/K[28]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 362 0 obj <>/ActualText(Indicator:\r\n)/K[29]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 363 0 obj <>/ActualText(Increase the number of PWID entering treatment.\r\n)/K[30]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 364 0 obj <>/ActualText(Baseline Measurement:\r\n)/K[31]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 365 0 obj <>/ActualText(SFY 2019: 29,053 admissions count\r\n)/K[32]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 366 0 obj <>/ActualText(First-year target/outcome measurement:\r\n)/K[33]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 367 0 obj <>/ActualText(Increase the number of PWID entering treatment by 1%.\r\n)/K[34]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 368 0 obj <>/ActualText(Second-year target/outcome measurement:\r\n)/K[35]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 369 0 obj <>/ActualText(Increase the number of PWID entering treatment by 2% by the end of SFY 2021. The change\r\nin SFY 2021 will be measured by calculating the percent difference from SFY 2019 to SFY\r\n2021.\r\n)/K[36 37 38]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 370 0 obj <>/ActualText(New Second-year target/outcome measurement\(if needed\):\r\nData Source:\r\n)/K[39 40 41 42]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 371 0 obj <>/ActualText(The number of PWID in SFY 2019 through SFY 2021 will be tracked by the SSA's New Jersey Substance Abuse Monitoring System\r\n\(NJSAMS\).\r\n)/K[43 44]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 372 0 obj <>/ActualText(New Data Source\(if needed\):\r\n)/K[45 46 47]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 373 0 obj <>/ActualText(Description of Data:\r\n)/K[48]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 374 0 obj <>/ActualText(All agencies licensed to provide substance abuse treatment in New Jersey must report on NJSAMS, the SSA's real-time web-based client\r\nadministrative data system. The system collects basic client demographic, financial, level of care and clinical informa\ tion for every client.\r\nAll national outcome measures \(NOMS\) are incorporated into the system. Outcome measures are linked to the client at admission and\r\ndischarge.\r\n)/K[49 50 51 52]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 375 0 obj <>/ActualText(New Description of Data:\(if needed\)\r\n)/K[53 54]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 376 0 obj <>/ActualText(Data issues/caveats that affect outcome measures:\r\n)/K[55]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 377 0 obj <>/ActualText(Outcome measures are collected at a client's admission and discharge per the approach used with TEDS and not at different periods of\r\ntime during the course of treatment.\r\n)/K[56 57]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 378 0 obj <>/ActualText(New Data issues/caveats that affect outcome measures:\r\n)/K[58]/P 282 0 R/Pg 26 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 379 0 obj <>/ActualText(Report of Progress Toward Goal Attainment\r\n)/K[0]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1043 0 R>> endobj 380 0 obj <>/ActualText(gfedc\r\n)/K[1 2 3 4 5]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 381 0 obj <>/ActualText(gfedc\r\n)/K[6 7 8 9 10]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 382 0 obj <>/ActualText(Achieved\r\n)/K[11]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 383 0 obj <>/ActualText(Not Achieved \(if not achieved,explain why\)\r\n)/K[12 13]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1049 0 R>> endobj 384 0 obj <>/ActualText(First Year Target:\r\n)/K[14]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1048 0 R>> endobj 385 0 obj <>/ActualText(Reason why target was not achieved, and changes proposed to meet target:\r\nHow first year target was achieved \(optional\):\r\n)/K[15 16 17 18]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1053 0 R>> endobj 386 0 obj <>/ActualText(Indicator #:\r\n)/K[19]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 387 0 obj <>/ActualText(2\r\n)/K[20]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 388 0 obj <>/ActualText(Indicator:\r\n)/K[21]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 389 0 obj <>/ActualText(Increase the number of heroin and other opiate dependent individuals entering treatment.\r\n)/K[22]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 390 0 obj <>/ActualText(Baseline Measurement:\r\n)/K[23]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 391 0 obj <>/ActualText(SFY 2019: 47,007 admissions count\r\n)/K[24]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 392 0 obj <>/ActualText(First-year target/outcome measurement:\r\n)/K[25]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 393 0 obj <>/ActualText(Increase the number of heroin and other opiate dependent individuals entering treatment\r\nby 1%.\r\n)/K[26 27]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 394 0 obj <>/ActualText(Second-year target/outcome measurement:\r\n)/K[28]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 395 0 obj <>/ActualText(Increase number of opiate dependent individuals entering treatment by 2% by the end of\r\nSFY 2021. The change in SFY 2021 will be measured by calculating the percent difference\r\nfrom SFY 2019 to SFY 2021.\r\n)/K[29 30 31]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 396 0 obj <>/ActualText(New Second-year target/outcome measurement\(if needed\):\r\nData Source:\r\n)/K[32 33 34 35]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 397 0 obj <>/ActualText(The number of opiate dependent individuals in SFY 2019 and SFY 2021 will be tracked by the SSA's New Jersey Substance Abuse\r\nMonitoring System \(NJSAMS\).\r\n)/K[36 37]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 398 0 obj <>/ActualText(New Data Source\(if needed\):\r\n)/K[38 39 40]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 399 0 obj <>/ActualText(Description of Data:\r\n)/K[41]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 400 0 obj <>/ActualText(All agencies licensed to provide substance abuse treatment in New Jersey must report on NJSAMS, the SSA's real-time web-based client\r\nadministrative data system. The system collects basic client demographic, financial, level of care and clinical informa\ tion for every client.\r\nAll national outcome measures \(NOMS\) are incorporated into the system. Outcome measures are linked to the client at admission and\r\ndischarge.\r\n)/K[42 43 44 45]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 401 0 obj <>/ActualText(New Description of Data:\(if needed\)\r\n)/K[46 47]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 402 0 obj <>/ActualText(Data issues/caveats that affect outcome measures:\r\n)/K[48]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 403 0 obj <>/ActualText(Outcome measures are collected at a client's admission and discharge per the approach used with TEDS and not at different periods of\r\ntime during the course of treatment.\r\n)/K[49 50]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 404 0 obj <>/ActualText(New Data issues/caveats that affect outcome measures:\r\n)/K[51]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 405 0 obj <>/ActualText(Report of Progress Toward Goal Attainment\r\n)/K[52]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1043 0 R>> endobj 406 0 obj <>/ActualText(gfedc\r\n)/K[53 54 55 56 57]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 407 0 obj <>/ActualText(gfedc\r\n)/K[58 59 60 61 62]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 408 0 obj <>/ActualText(Achieved\r\n)/K[63]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 409 0 obj <>/ActualText(Not Achieved \(if not achieved,explain why\)\r\n)/K[64 65]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1049 0 R>> endobj 410 0 obj <>/ActualText(First Year Target:\r\n)/K[66]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1048 0 R>> endobj 411 0 obj <>/ActualText(Reason why target was not achieved, and changes proposed to meet target:\r\nHow first year target was achieved \(optional\):\r\n)/K[67 68 69 70]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1053 0 R>> endobj 412 0 obj <>/ActualText(Priority #:\r\n)/K[71]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 413 0 obj <>/ActualText(3\r\n)/K[72]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 414 0 obj <>/ActualText(Priority Area:\r\n)/K[73]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 415 0 obj <>/ActualText(Heroin/Opioid Users\r\n)/K[74]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 416 0 obj <>/ActualText(Priority Type:\r\n)/K[75]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 417 0 obj <>/ActualText(SAT\r\n)/K[76]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 418 0 obj <>/ActualText(Population\(s\):\r\n)/K[77]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 419 0 obj <>/ActualText(Other \(Heroin/Opioid Users\)\r\n)/K[78]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 420 0 obj <>/ActualText(Goal of the priority area:\r\n)/K[79]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 421 0 obj <>/ActualText(To ensure medication assisted treatment \(MAT\) is provided as an option to individuals with an opioid use disorder \(OUD\) who are entering into\r\nsubstance use disorder \(SUD\) treatment.\r\n)/K[80 81]/P 282 0 R/Pg 31 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 422 0 obj <>/ActualText(Strategies to attain the goal:\r\n)/K[0]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 423 0 obj <>/ActualText( Utilize a public awareness campaign focusing on reducing stigma/discrimination regarding MAT to assist in engaging individuals with an OUD, their\r\nfamilies, friends, loved ones, providers and other community members so that they understand the use of \ MAT is a best practice in the treatment of an\r\nOUD.\r\n)/K[1 2 3]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 424 0 obj <>/ActualText( Buprenorphine Medical Support- This new initiative will focus on the challenges faced by licensed ambulatory SUD programs that require start-up\r\nfunds to increase their capacity to offer MAT, specifically buprenorphine to their clients. Ambulatory SUD\ treatment programs will be expected to build\r\ncapacity to offer MAT in compliance with all federal and New Jersey state regulations. Agencies will be required to receive referrals from other programs\r\nthat offer MAT where clients stabilized on MAT.\r\ \n)/K[4 5 6 7]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 425 0 obj <>/ActualText( DMHAS will continue its Vivitrol Enhancement through its Fee-for-Service \(FFS\) Network. This enhancement allows providers to be reimbursed for the\r\nprovision of Vivitrol as well as other ancillary services in FFS initiatives. Licensed SUD agencies c\ an apply for the enhancement by submitting\r\napplications to DMHAS and are reviewed for approval on a quarterly basis.\r\n)/K[8 9 10]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 426 0 obj <>/ActualText( DMHAS is collaborating with NJ's 21 counties to establish MAT programs or enhance existing MAT services for inmates with OUD at county\r\ncorrectional facilities. In addition, DMHAS is working with county correctional facilities to establish justice inv\ olved re-entry services for detainees\r\nwhere case managers at county jails will conduct intake assessments and establish pre-release plans for needed services in the community, which\r\ninclude linking individuals to community MAT services.\r\n)/K[11 12 13 14]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 427 0 obj <>/ActualText( DMHAS will continue to distribute American Society of Addiction Medicine \(ASAM\) booklets entitled "Opioid Addiction Treatment: A Guide for\r\nPatients, Families and Friends" which provide facts about treatment, including MAT as a best practice, and pr\ ovides NJ-specific resources to accessing\r\ntreatment and recovery services.\r\n)/K[15 16 17]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 428 0 obj <>/ActualText( DMHAS has a Memorandum of Agreement \(MOA\) with Rutgers University, Robert Wood Johnson Medical School to develop a train-the-trainer\r\nprogram on MAT, the opioid epidemic \(specific to New Jersey\) and concepts of SUD \(specific to OUD\) for a minimu\ m of 40 graduate students at Rutgers\r\nUniversity. The goal of this project is to educate, support, and mentor graduate students to give free educational talks, through use of PowerPoint\r\npresentations, to the community.\r\n)/K[18 19 20 21]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 429 0 obj <>/ActualText(Annual Performance Indicators to measure goal success\r\n)/K[22]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 214 0 R>> endobj 430 0 obj <>/ActualText(Indicator #:\r\n)/K[23]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 431 0 obj <>/ActualText(1\r\n)/K[24]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 432 0 obj <>/ActualText(Indicator:\r\n)/K[25]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 433 0 obj <>/ActualText(Increase the number of heroin/other opiate admissions for whom MAT was planned.\r\n)/K[26]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 434 0 obj <>/ActualText(Baseline Measurement:\r\n)/K[27]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 435 0 obj <>/ActualText(SFY 2019: 20,887 heroin/other opiate admissions for whom MAT was planned.\r\n)/K[28]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 436 0 obj <>/ActualText(First-year target/outcome measurement:\r\n)/K[29]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 437 0 obj <>/ActualText(Increase the number of heroin/other opiate admissions for whom MAT is planned by 1%\r\n)/K[30]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 438 0 obj <>/ActualText(Second-year target/outcome measurement:\r\n)/K[31]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 439 0 obj <>/ActualText(Increase the number of heroin/other opiate admissions for whom MAT is planned by 2%.\r\nThe change in SFY 2021 will be measured by calculating the percent difference from SFY\r\n2019 to SFY 2021.\r\n)/K[32 33 34]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 440 0 obj <>/ActualText(New Second-year target/outcome measurement\(if needed\):\r\nData Source:\r\n)/K[35 36 37 38]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 441 0 obj <>/ActualText(The number of heroin/other opiate admissions for whom MAT was planned from SFY 2019 - 2021 will be tracked by the SSA's New Jersey\r\nSubstance Abuse Monitoring System \(NJSAMS\).\r\n)/K[39 40]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 442 0 obj <>/ActualText(New Data Source\(if needed\):\r\n)/K[41 42 43]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 443 0 obj <>/ActualText(Description of Data:\r\n)/K[44]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 444 0 obj <>/ActualText(All agencies licensed to provide substance abuse treatment in New Jersey must report on NJSAMS, the SSA's real-time web-based client\r\nadministrative data system. The system collects basic client demographic, financial, level of care and clinical informa\ tion for every client.\r\nAll national outcome measures \(NOMS\) are incorporated into the system. Outcome measures are linked to the client at admission and\r\ndischarge.\r\n)/K[45 46 47 48]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 445 0 obj <>/ActualText(New Description of Data:\(if needed\)\r\n)/K[49 50]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 446 0 obj <>/ActualText(Data issues/caveats that affect outcome measures:\r\nNone\r\n)/K[51 52]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 1047 0 R>> endobj 447 0 obj <>/ActualText(New Data issues/caveats that affect outcome measures:\r\n)/K[53]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 448 0 obj <>/ActualText(Report of Progress Toward Goal Attainment\r\n)/K[54]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 1043 0 R>> endobj 449 0 obj <>/ActualText(gfedc\r\n)/K[55 56 57 58 59]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 450 0 obj <>/ActualText(gfedc\r\n)/K[60 61 62 63 64]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 451 0 obj <>/ActualText(Achieved\r\n)/K[65]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 452 0 obj <>/ActualText(Not Achieved \(if not achieved,explain why\)\r\n)/K[66 67]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 1049 0 R>> endobj 453 0 obj <>/ActualText(First Year Target:\r\n)/K[68]/P 282 0 R/Pg 36 0 R/S/P/Type/StructElem/XXStyle 1048 0 R>> endobj 454 0 obj <>/ActualText(Reason why target was not achieved, and changes proposed to meet target:\r\nHow first year target was achieved \(optional\):\r\n)/K[0 1 2 3]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 1053 0 R>> endobj 455 0 obj <>/ActualText(Priority #:\r\n)/K[4]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 456 0 obj <>/ActualText(4\r\n)/K[5]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 457 0 obj <>/ActualText(Priority Area:\r\n)/K[6]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 458 0 obj <>/ActualText(Tobacco\r\n)/K[7]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 459 0 obj <>/ActualText(Priority Type:\r\n)/K[8]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 460 0 obj <>/ActualText(SAP\r\n)/K[9]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 461 0 obj <>/ActualText(Population\(s\):\r\n)/K[10]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 462 0 obj <>/ActualText(PP, Other \(Persons aged 12 - 17\)\r\n)/K[11]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 463 0 obj <>/ActualText(Goal of the priority area:\r\nReduce the percentage of persons aged 12 - 17 who report using any type of tobacco product in the past month\r\n)/K[12 13]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 1047 0 R>> endobj 464 0 obj <>/ActualText(Strategies to attain the goal:\r\n)/K[14]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 465 0 obj <>/ActualText(Beginning in January 2012, DMHAS funded 17 Regional Prevention Coalitions, all of whom utilize the SPF model to guide their work. These coalitions\r\nare all required to address tobacco use among youth. The coalitions use, primarily, environmental strateg\ ies along with occasional individual\r\napproaches as appropriate. Below is a listing of approaches used by the coalitions to address tobacco use among adolescents in their regions.\r\n)/K[15 16 17]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 466 0 obj <>/ActualText(Environmental Strategies\r\n)/K[18]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 467 0 obj <>/ActualText( Enhance Access/Reduce Barriers - Enhance access to effective prevention strategies and information through the use of a social media campaign and\r\nthe development of human capital and networks of support.\r\n)/K[19 20]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 468 0 obj <>/ActualText( Enhance Barriers/Reduce Access - Increase education among merchants who sell tobacco products.\r\n)/K[21]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 469 0 obj <>/ActualText( Enhance Barriers/Reduce Access - Work with municipal and county government to ban smoking from restaurants and other public places, including\r\nschools, workplaces, and hospitals.\r\n)/K[22 23]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 470 0 obj <>/ActualText( Change Consequences/Enhance Access/Reduce Barriers - Work with municipal and county government to assure that tobacco laws are enforced at\r\nthe local level.\r\n)/K[24 25]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 471 0 obj <>/ActualText( Change Physical Design - Through the compliance check report and GIS mapping, provide municipalities and state tobacco control with details\r\nregarding how outlet density and location impact tobacco availability to youth.\r\n)/K[26 27]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 472 0 obj <>/ActualText( Modify/Change Policies - Enhance or create policies related to smoking among 12-17 years olds on a countywide level.\r\n)/K[28]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 473 0 obj <>/ActualText(Individual Strategies\r\n)/K[29]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 474 0 obj <>/ActualText( Provide information - Educate parents and youth on the dangers of tobacco use by youth through awareness efforts, workshops, and countywide\r\nevents. These programs will be provided through county alcohol and drug funding, municipal alliances, and othe\ r community organizations.\r\n)/K[30 31]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 475 0 obj <>/ActualText( Provide Information - Educate youth on the dangers of tobacco use through by means of evidence-based middle and elementary school prevention\r\nprograms and other community-based initiatives.\r\n)/K[32 33]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 476 0 obj <>/ActualText(Legislation\r\n)/K[34]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 477 0 obj <>/ActualText( The ǿ޴ýapp enacted a statute to raise the age to sell tobacco products from persons 19 years of age to 21 years of age effective November\r\n1, 2017 \(P.L.2017, Chapter 118\).\r\n)/K[35 36]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 478 0 obj <>/ActualText(Additionally, DMHAS funds community-based services targeting high-risk individuals or groups in each of New Jersey's 21 counties. Many of these\r\nproviders are also focused on the prevention of tobacco use among youth.\r\n)/K[37 38]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 479 0 obj <>/ActualText(Annual Performance Indicators to measure goal success\r\n)/K[39]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 214 0 R>> endobj 480 0 obj <>/ActualText(Indicator #:\r\n)/K[40]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 481 0 obj <>/ActualText(1\r\n)/K[41]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 482 0 obj <>/ActualText(Indicator:\r\n)/K[42]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 483 0 obj <>/ActualText(Past month tobacco product use \(any\) among persons aged 12 to 17.\r\n)/K[43]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 484 0 obj <>/ActualText(Baseline Measurement:\r\n)/K[44]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 485 0 obj <>/ActualText(According to 2016-2017 NSDUH data, 4.14 percent of the target population reported\r\ntobacco product use \(any\) during the month prior to participating in the survey.\r\n)/K[45 46]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 486 0 obj <>/ActualText(First-year target/outcome measurement:\r\n)/K[47]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 487 0 obj <>/ActualText(A reduction of .50% below the baseline measure.\r\n)/K[48]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 488 0 obj <>/ActualText(Second-year target/outcome measurement:\r\n)/K[49]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 489 0 obj <>/ActualText(An additional reduction of .25% below the first year measure.\r\n)/K[50]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 490 0 obj <>/ActualText(New Second-year target/outcome measurement\(if needed\):\r\nData Source:\r\n)/K[51 52 53 54]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 1045 0 R>> endobj 491 0 obj <>/ActualText(National Survey on Drug Use and Health: Model-Based Prevalence Estimates \(50 States and the District of Columbia\), Tobacco Product\r\nUse in the Past Month, by Age Group and State: Percentages, Annual Averages Based on 2016 and 2017 NSDUH - data for New\ Jersey\r\n)/K[55 56]/P 282 0 R/Pg 41 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 492 0 obj <>/ActualText(New Data Source\(if needed\):\r\n)/K[0 1 2]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 493 0 obj <>/ActualText(Description of Data:\r\n)/K[3]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 494 0 obj <>/ActualText(Data from the NSDUH provide national and state-level estimates on the use of tobacco products, alcohol, illicit drugs \(including non-\r\nmedical use of prescription drugs\) and mental health in the United States.\r\n)/K[4 5]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 495 0 obj <>/ActualText(New Description of Data:\(if needed\)\r\n)/K[6 7]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 496 0 obj <>/ActualText(Data issues/caveats that affect outcome measures:\r\nNone\r\nNew Data issues/caveats that affect outcome measures:\r\n)/K[8 9 10]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 1052 0 R>> endobj 497 0 obj <>/ActualText(Report of Progress Toward Goal Attainment\r\n)/K[11]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 1043 0 R>> endobj 498 0 obj <>/ActualText(gfedc\r\n)/K[12 13 14 15 16]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 499 0 obj <>/ActualText(gfedc\r\n)/K[17 18 19 20 21]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 500 0 obj <>/ActualText(Achieved\r\n)/K[22]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 501 0 obj <>/ActualText(Not Achieved \(if not achieved,explain why\)\r\n)/K[23 24]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 1049 0 R>> endobj 502 0 obj <>/ActualText(First Year Target:\r\n)/K[25]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 1048 0 R>> endobj 503 0 obj <>/ActualText(Reason why target was not achieved, and changes proposed to meet target:\r\nHow first year target was achieved \(optional\):\r\n)/K[26 27 28 29]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 1053 0 R>> endobj 504 0 obj <>/ActualText(5\r\n)/K[30]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 505 0 obj <>/ActualText(Priority #:\r\n)/K[31]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 506 0 obj <>/ActualText(Priority Area:\r\n)/K[32]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 507 0 obj <>/ActualText(Alcohol\r\n)/K[33]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 508 0 obj <>/ActualText(Priority Type:\r\n)/K[34]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 509 0 obj <>/ActualText(SAP\r\n)/K[35]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 510 0 obj <>/ActualText(Population\(s\):\r\n)/K[36]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 511 0 obj <>/ActualText(PP, Other \(Persons aged 12-17\)\r\n)/K[37]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 512 0 obj <>/ActualText(Goal of the priority area:\r\nReduce the percentage of persons aged 12 - 17 who report binge drinking in the past month\r\n)/K[38 39]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 1047 0 R>> endobj 513 0 obj <>/ActualText(Strategies to attain the goal:\r\n)/K[40]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 514 0 obj <>/ActualText(Beginning in January 2012, DMHAS funded 17 Regional Prevention Coalitions, all of whom utilize the SPF model to guide their work. These coalitions\r\nare all required to address underage drinking among youth. The coalitions use, primarily, environmental s\ trategies along with occasional individual\r\napproaches as appropriate. Below is a listing of approaches used by the coalitions to address underage drinking among adolescents in their regions.\r\n)/K[41 42 43]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 515 0 obj <>/ActualText(Environmental Strategies\r\n)/K[44]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 516 0 obj <>/ActualText( Enhance Access/Reduce Barriers - Enhance access to effective prevention strategies and information through the use of a social media campaign and\r\nthe development of human capital and networks of support.\r\n)/K[45 46]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 517 0 obj <>/ActualText( Enhance Barriers/Reduce Access - Increase education among merchants, bars, and restaurants who sell alcoholic beverages. Also, provide education\r\nto parents and guardians.\r\n)/K[47 48]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 518 0 obj <>/ActualText( Change Consequences/Enhance Access/Reduce Barriers - Work with municipal and county government to assure that underage drinking laws are\r\nenforced at the local level.\r\n)/K[49 50]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 519 0 obj <>/ActualText( Change Physical Design - Through the compliance check report and GIS mapping, provide municipalities and state Alcoholic Beverage Commission\r\nwith details regarding how outlet density and location impact tobacco availability to youth.\r\n)/K[51 52]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 520 0 obj <>/ActualText( Modify/Change Policies - Enhance or create policies related to underage drinking among 12-17 years olds on a countywide level.\r\n)/K[53]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 521 0 obj <>/ActualText(Individual Strategies\r\n)/K[54]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 522 0 obj <>/ActualText( Provide information - Educate parents and youth on the dangers of underage drinking by youth through awareness efforts, workshops, and\r\ncountywide events. These programs will be provided through county alcohol and drug funding, municipal alliances, an\ d other community\r\norganizations.\r\n)/K[55 56 57]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 523 0 obj <>/ActualText( Provide Information - Educate youth on the dangers of underage drinking by means of evidence-based middle and elementary school prevention\r\nprograms and other community-based initiatives.\r\n)/K[58 59]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 524 0 obj <>/ActualText(Annual Performance Indicators to measure goal success\r\n)/K[60]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 214 0 R>> endobj 525 0 obj <>/ActualText(Indicator #:\r\n)/K[61]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 526 0 obj <>/ActualText(1\r\n)/K[62]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 527 0 obj <>/ActualText(Indicator:\r\n)/K[63]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 528 0 obj <>/ActualText(Binge Alcohol Use in the Past Month by persons aged 12-17.\r\n)/K[64]/P 282 0 R/Pg 46 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 529 0 obj <>/ActualText(Baseline Measurement:\r\n)/K[0]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 530 0 obj <>/ActualText(According to 2016-2017 NSDUH data, 5.48 percent of the target population reported binge\r\ndrinking during the month prior to participating in the survey.\r\n)/K[1 2]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 531 0 obj <>/ActualText(First-year target/outcome measurement:\r\n)/K[3]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 532 0 obj <>/ActualText(A reduction of .20% below the baseline measure.\r\n)/K[4]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 533 0 obj <>/ActualText(Second-year target/outcome measurement:\r\n)/K[5]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 534 0 obj <>/ActualText(An additional reduction of .20% below the baseline measure.\r\n)/K[6]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 535 0 obj <>/ActualText(New Second-year target/outcome measurement\(if needed\):\r\nData Source:\r\n)/K[7 8 9 10]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 536 0 obj <>/ActualText(Binge Alcohol Use in the Past Month, by Age Group and State: Percentages, Annual Averages Based on 2016 and 2017 NSDUH - data\r\nfor New Jersey\r\n)/K[11 12]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 537 0 obj <>/ActualText(New Data Source\(if needed\):\r\n)/K[13 14 15]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 538 0 obj <>/ActualText(Description of Data:\r\n)/K[16]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 539 0 obj <>/ActualText(Data from the NSDUH provide national and state-level estimates on the use of tobacco products, alcohol, illicit drugs \(including non-\r\nmedical use of prescription drugs\) and mental health in the United States.\r\n)/K[17 18]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 540 0 obj <>/ActualText(New Description of Data:\(if needed\)\r\n)/K[19 20]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 541 0 obj <>/ActualText(Data issues/caveats that affect outcome measures:\r\nNone\r\n)/K[21 22]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 1047 0 R>> endobj 542 0 obj <>/ActualText(New Data issues/caveats that affect outcome measures:\r\n)/K[23]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 543 0 obj <>/ActualText(Report of Progress Toward Goal Attainment\r\n)/K[24]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 1043 0 R>> endobj 544 0 obj <>/ActualText(gfedc\r\n)/K[25 26 27 28 29]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 545 0 obj <>/ActualText(gfedc\r\n)/K[30 31 32 33 34]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 546 0 obj <>/ActualText(Achieved\r\n)/K[35]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 547 0 obj <>/ActualText(Not Achieved \(if not achieved,explain why\)\r\n)/K[36 37]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 1049 0 R>> endobj 548 0 obj <>/ActualText(First Year Target:\r\n)/K[38]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 1048 0 R>> endobj 549 0 obj <>/ActualText(Reason why target was not achieved, and changes proposed to meet target:\r\nHow first year target was achieved \(optional\):\r\n)/K[39 40 41 42]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 1053 0 R>> endobj 550 0 obj <>/ActualText(Priority #:\r\n)/K[43]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 551 0 obj <>/ActualText(6\r\n)/K[44]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 552 0 obj <>/ActualText(Priority Area:\r\n)/K[45]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 553 0 obj <>/ActualText(Marijuana\r\n)/K[46]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 554 0 obj <>/ActualText(Priority Type:\r\n)/K[47]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 555 0 obj <>/ActualText(SAP\r\n)/K[48]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 556 0 obj <>/ActualText(Population\(s\):\r\n)/K[49]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 557 0 obj <>/ActualText(PP, Other \(Persons aged 12-17\)\r\n)/K[50]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 558 0 obj <>/ActualText(Goal of the priority area:\r\nDecrease the percentage of persons aged 12 - 17 who report Marijuana Use in the Past Year.\r\n)/K[51 52]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 1047 0 R>> endobj 559 0 obj <>/ActualText(Strategies to attain the goal:\r\n)/K[53]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 560 0 obj <>/ActualText(Beginning in January 2012, DMHAS funded 17 Regional Prevention Coalitions, all of whom utilize the SPF model to guide their work. These coalitions\r\nare all required to address marijuana use among youth. The coalitions use, primarily, environmental strat\ egies along with occasional individual\r\napproaches as appropriate. Below is a listing of approaches used by the coalitions to address marijuana use among adolescents in their regions.\r\n)/K[54 55 56]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 561 0 obj <>/ActualText(Environmental Strategies\r\n)/K[57]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 562 0 obj <>/ActualText( Enhance Access/Reduce Barriers - Enhance access to effective prevention strategies and information through the use of a social media campaign and\r\nthe development of human capital and networks of support.\r\n)/K[58 59]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 563 0 obj <>/ActualText( Change Consequences/Enhance Access/Reduce Barriers - Work with municipal and county government to assure that marijuana use and possession\r\nlaws are enforced at the local level.\r\n)/K[60 61]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 564 0 obj <>/ActualText( Modify/Change Policies - Enhance or create policies, laws, and ordinances related to marijuana use among 12-17 years olds on a countywide level.\r\n)/K[62]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 565 0 obj <>/ActualText(Individual Strategies\r\n)/K[63]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 566 0 obj <>/ActualText( Provide information - Educate parents and youth on the dangers of marijuana use by youth through awareness efforts, workshops, and countywide\r\nevents. These programs will be provided through county alcohol and drug funding, municipal alliances, and ot\ her community organizations.\r\n)/K[64 65]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 567 0 obj <>/ActualText( Provide Information - Educate youth on the dangers of marijuana use by means of evidence-based middle and elementary school prevention\r\n)/K[66]/P 282 0 R/Pg 51 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 568 0 obj <>/ActualText(programs and other community-based initiatives.\r\n)/K[0]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 569 0 obj <>/ActualText(Annual Performance Indicators to measure goal success\r\n)/K[1]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 214 0 R>> endobj 570 0 obj <>/ActualText(Indicator #:\r\n)/K[2]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 571 0 obj <>/ActualText(1\r\n)/K[3]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 572 0 obj <>/ActualText(Indicator:\r\n)/K[4]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 573 0 obj <>/ActualText(Marijuana Use in the Past Year by persons aged 12-17.\r\n)/K[5]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 574 0 obj <>/ActualText(Baseline Measurement:\r\n)/K[6]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 575 0 obj <>/ActualText(According to 2016-2017 NSDUH data, 10.28 percent of the target population reported\r\nmarijuana use during the year prior to participating in the survey.\r\n)/K[7 8]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 576 0 obj <>/ActualText(First-year target/outcome measurement:\r\n)/K[9]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 577 0 obj <>/ActualText(A reduction of .10% below the baseline measure.\r\n)/K[10]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 578 0 obj <>/ActualText(Second-year target/outcome measurement:\r\n)/K[11]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 579 0 obj <>/ActualText(An additional reduction of .10% below the baseline measure.\r\n)/K[12]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 580 0 obj <>/ActualText(New Second-year target/outcome measurement\(if needed\):\r\nData Source:\r\n)/K[13 14 15 16]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 581 0 obj <>/ActualText(Marijuana Use in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2016 and 2017 NSDUH - data for New\r\nJersey\r\n)/K[17 18]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 582 0 obj <>/ActualText(New Data Source\(if needed\):\r\n)/K[19 20 21]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 583 0 obj <>/ActualText(Description of Data:\r\n)/K[22]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 584 0 obj <>/ActualText(Data from the NSDUH provide national and state-level estimates on the use of tobacco products, alcohol, illicit drugs \(including non-\r\nmedical use of prescription drugs\) and mental health in the United States.\r\n)/K[23 24]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 585 0 obj <>/ActualText(New Description of Data:\(if needed\)\r\n)/K[25 26]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 586 0 obj <>/ActualText(Data issues/caveats that affect outcome measures:\r\nNone\r\n)/K[27 28]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1047 0 R>> endobj 587 0 obj <>/ActualText(New Data issues/caveats that affect outcome measures:\r\n)/K[29]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 588 0 obj <>/ActualText(Report of Progress Toward Goal Attainment\r\n)/K[30]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1043 0 R>> endobj 589 0 obj <>/ActualText(gfedc\r\n)/K[31 32 33 34 35]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 590 0 obj <>/ActualText(gfedc\r\n)/K[36 37 38 39 40]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 591 0 obj <>/ActualText(Achieved\r\n)/K[41]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 592 0 obj <>/ActualText(Not Achieved \(if not achieved,explain why\)\r\n)/K[42 43]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1049 0 R>> endobj 593 0 obj <>/ActualText(First Year Target:\r\n)/K[44]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1048 0 R>> endobj 594 0 obj <>/ActualText(Reason why target was not achieved, and changes proposed to meet target:\r\nHow first year target was achieved \(optional\):\r\n)/K[45 46 47 48]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1053 0 R>> endobj 595 0 obj <>/ActualText(Priority #:\r\n)/K[49]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 596 0 obj <>/ActualText(7\r\n)/K[50]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 597 0 obj <>/ActualText(Priority Area:\r\n)/K[51]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 598 0 obj <>/ActualText(Prescription Drugs\r\n)/K[52]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 599 0 obj <>/ActualText(Priority Type:\r\n)/K[53]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 600 0 obj <>/ActualText(SAP\r\n)/K[54]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 601 0 obj <>/ActualText(Population\(s\):\r\n)/K[55]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 602 0 obj <>/ActualText(PP, Other \(All residents in New Jersey\)\r\n)/K[56]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 603 0 obj <>/ActualText(Goal of the priority area:\r\nDecrease the percentage of persons who were prescribed opioids in the past year.\r\nStrategies to attain the goal:\r\nEducation: Educational programs and webinars regarding CDC Guideline for Prescribing Opioids for Chronic Pa\ in.\r\n)/K[57 58 59 60]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1047 0 R>> endobj 604 0 obj <>/ActualText(Annual Performance Indicators to measure goal success\r\n)/K[61]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 214 0 R>> endobj 605 0 obj <>/ActualText(Indicator #:\r\n)/K[62]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 606 0 obj <>/ActualText(1\r\n)/K[63]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 607 0 obj <>/ActualText(Indicator:\r\n)/K[64]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 608 0 obj <>/ActualText(Opioid Dispensations in New Jersey.\r\n)/K[65]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 609 0 obj <>/ActualText(Baseline Measurement:\r\n)/K[66]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 610 0 obj <>/ActualText(According to data from NJ CARES - A Realtime Dashboard of Opioid-Related Data and\r\n)/K[67]/P 282 0 R/Pg 56 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 611 0 obj <>/ActualText(Information \(maintained by the Office of the New Jersey Attorney General\), in 2018,\r\n4,266,645 prescriptions for opioids were provided in New Jersey.\r\n)/K[0 1]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 612 0 obj <>/ActualText(First-year target/outcome measurement:\r\n)/K[2]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 613 0 obj <>/ActualText(A reduction of 1% below the baseline measure.\r\n)/K[3]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 614 0 obj <>/ActualText(Second-year target/outcome measurement:\r\n)/K[4]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 615 0 obj <>/ActualText(An additional reduction of .50% below the baseline measure.\r\n)/K[5]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 616 0 obj <>/ActualText(New Second-year target/outcome measurement\(if needed\):\r\nData Source:\r\n)/K[6 7 8 9]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 1045 0 R>> endobj 617 0 obj <>/ActualText(NJ CARES - A Realtime Dashboard of Opioid-Related Data and Information \(maintained by the Office of the New Jersey Attorney\r\nGeneral\)\r\n)/K[10 11]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 618 0 obj <>/ActualText(New Data Source\(if needed\):\r\n)/K[12 13 14]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 619 0 obj <>/ActualText(Description of Data:\r\nPrescription Drug Monitoring Program data provided by the NJ Attorney General's Office\r\n)/K[15 16]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 1047 0 R>> endobj 620 0 obj <>/ActualText(New Description of Data:\(if needed\)\r\n)/K[17 18]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 621 0 obj <>/ActualText(Data issues/caveats that affect outcome measures:\r\nNone\r\n)/K[19 20]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 1047 0 R>> endobj 622 0 obj <>/ActualText(New Data issues/caveats that affect outcome measures:\r\n)/K[21]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 623 0 obj <>/ActualText(Report of Progress Toward Goal Attainment\r\n)/K[22]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 1043 0 R>> endobj 624 0 obj <>/ActualText(gfedc\r\n)/K[23 24 25 26 27]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 625 0 obj <>/ActualText(gfedc\r\n)/K[28 29 30 31 32]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 626 0 obj <>/ActualText(Achieved\r\n)/K[33]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 627 0 obj <>/ActualText(Not Achieved \(if not achieved,explain why\)\r\n)/K[34 35]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 1049 0 R>> endobj 628 0 obj <>/ActualText(First Year Target:\r\n)/K[36]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 1048 0 R>> endobj 629 0 obj <>/ActualText(Reason why target was not achieved, and changes proposed to meet target:\r\nHow first year target was achieved \(optional\):\r\n)/K[37 38 39 40]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 1053 0 R>> endobj 630 0 obj <>/ActualText(Priority #:\r\n)/K[41]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 631 0 obj <>/ActualText(8\r\n)/K[42]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 632 0 obj <>/ActualText(Priority Area:\r\n)/K[43]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 633 0 obj <>/ActualText(Heroin\r\n)/K[44]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 634 0 obj <>/ActualText(Priority Type:\r\n)/K[45]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 635 0 obj <>/ActualText(SAP\r\n)/K[46]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 636 0 obj <>/ActualText(Population\(s\):\r\n)/K[47]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 637 0 obj <>/ActualText(PP, Other \(Persons aged 12-17\)\r\n)/K[48]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 638 0 obj <>/ActualText(Goal of the priority area:\r\nIncrease the percentage of persons aged 12 - 17 who report perceptions of Great Risk from Trying Heroin Once or Twice\r\n)/K[49 50]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 1047 0 R>> endobj 639 0 obj <>/ActualText(Strategies to attain the goal:\r\n)/K[51]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 640 0 obj <>/ActualText(Beginning in January 2012, DMHAS funded 17 Regional Prevention Coalitions, all of whom utilize the SPF model to guide their work. These coalitions\r\nare all required to address the use of illegal substances \(including heroin\) among youth. The coalition\ s use, primarily, environmental strategies along\r\nwith occasional individual approaches as appropriate. Below is a listing of approaches used by the coalitions to address perceptions of risk regarding\r\nheroin use among adolescents in their regions.\r\n\ )/K[52 53 54 55]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 641 0 obj <>/ActualText(Environmental Strategies\r\n)/K[56]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 642 0 obj <>/ActualText( Enhance Access/Reduce Barriers - Enhance access to effective prevention strategies and information through the use of a social media campaign and\r\nthe development of human capital and networks of support.\r\n)/K[57 58]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 643 0 obj <>/ActualText( Change Consequences/Enhance Access/Reduce Barriers - Work with municipal and county government to assure that laws regarding the use of\r\nillegal substance \(including heroin\) are enforced at the local level.\r\n)/K[59 60]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 644 0 obj <>/ActualText( Modify/Change Policies - Enhance or create policies designed to increase perceptions of risk and harm related to the use of heroin among 12-17\r\nyears olds on a countywide level.\r\n)/K[61 62]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 645 0 obj <>/ActualText(Individual Strategies\r\n)/K[63]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 646 0 obj <>/ActualText( Provide information - Educate parents and youth on the dangers of illegal substances \(including heroin\) by youth through awareness efforts,\r\nworkshops, and countywide events. These programs will be provided through county alcohol and drug funding, m\ unicipal alliances, and other\r\n)/K[64 65]/P 282 0 R/Pg 61 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 647 0 obj <>/ActualText(community organizations.\r\n)/K[0]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 648 0 obj <>/ActualText( Provide Information - Educate youth on the dangers of illegal substance and heroin use by means of evidence-based middle and elementary school\r\nprevention programs and other community-based initiatives.\r\n)/K[1 2]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 649 0 obj <>/ActualText(Annual Performance Indicators to measure goal success\r\n)/K[3]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 214 0 R>> endobj 650 0 obj <>/ActualText(Indicator #:\r\n)/K[4]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 651 0 obj <>/ActualText(1\r\n)/K[5]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 652 0 obj <>/ActualText(Indicator:\r\n)/K[6]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 653 0 obj <>/ActualText(Perceptions of Great Risk from Trying Heroin Once or Twice among persons aged 12-17.\r\n)/K[7]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 654 0 obj <>/ActualText(Baseline Measurement:\r\n)/K[8]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 655 0 obj <>/ActualText(According to 2016-2017 NSDUH data, 68.23 percent of the target population reported\r\nPerceptions of Great Risk from Trying Heroin Once or Twice.\r\n)/K[9 10]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 656 0 obj <>/ActualText(First-year target/outcome measurement:\r\n)/K[11]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 657 0 obj <>/ActualText(An increase of .50% above the baseline measure.\r\n)/K[12]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 658 0 obj <>/ActualText(Second-year target/outcome measurement:\r\n)/K[13]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 659 0 obj <>/ActualText(An additional increase of .50% above the baseline measure.\r\n)/K[14]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 660 0 obj <>/ActualText(New Second-year target/outcome measurement\(if needed\):\r\nData Source:\r\n)/K[15 16 17 18]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 1045 0 R>> endobj 661 0 obj <>/ActualText(Perceptions of Great Risk from Trying Heroin Once or Twice, by Age Group and State: Percentages, Annual Averages Based on 2016 and\r\n2017 NSDUH - data for New Jersey\r\n)/K[19 20]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 662 0 obj <>/ActualText(New Data Source\(if needed\):\r\n)/K[21 22 23]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 663 0 obj <>/ActualText(Description of Data:\r\n)/K[24]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 664 0 obj <>/ActualText(Data from the NSDUH provide national and state-level estimates on the use of tobacco products, alcohol, illicit drugs \(including non-\r\nmedical use of prescription drugs\) and mental health in the United States.\r\n)/K[25 26]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 665 0 obj <>/ActualText(New Description of Data:\(if needed\)\r\n)/K[27 28]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 666 0 obj <>/ActualText(Data issues/caveats that affect outcome measures:\r\nNone\r\nNew Data issues/caveats that affect outcome measures:\r\n)/K[29 30 31]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 1052 0 R>> endobj 667 0 obj <>/ActualText(Report of Progress Toward Goal Attainment\r\n)/K[32]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 1043 0 R>> endobj 668 0 obj <>/ActualText(gfedc\r\n)/K[33 34 35 36 37]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 669 0 obj <>/ActualText(gfedc\r\n)/K[38 39 40 41 42]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 670 0 obj <>/ActualText(Not Achieved \(if not achieved,explain why\)\r\n)/K[43 44]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 1049 0 R>> endobj 671 0 obj <>/ActualText(Achieved\r\n)/K[45]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 672 0 obj <>/ActualText(First Year Target:\r\n)/K[46]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 1048 0 R>> endobj 673 0 obj <>/ActualText(Reason why target was not achieved, and changes proposed to meet target:\r\nHow first year target was achieved \(optional\):\r\n)/K[47 48 49 50]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 1053 0 R>> endobj 674 0 obj <>/ActualText(Priority #:\r\n)/K[51]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 675 0 obj <>/ActualText(9\r\n)/K[52]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 676 0 obj <>/ActualText(Priority Area:\r\n)/K[53]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 677 0 obj <>/ActualText(TB\r\n)/K[54]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 678 0 obj <>/ActualText(Priority Type:\r\n)/K[55]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 679 0 obj <>/ActualText(SAT\r\n)/K[56]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 680 0 obj <>/ActualText(Population\(s\):\r\n)/K[57]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 681 0 obj <>/ActualText(TB\r\nGoal of the priority area:\r\n)/K[58 59]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 1047 0 R>> endobj 682 0 obj <>/ActualText(Increase compliance rate of DMHAS' SAPT Block Grant contracted agencies offering every client a tuberculosis evaluation.\r\n)/K[60]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 683 0 obj <>/ActualText(Strategies to attain the goal:\r\n)/K[61]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 684 0 obj <>/ActualText( Notifications. All block grant recipients will be notified of the contractual and regulatory requirements to screen all clients for TB symptoms. Methods\r\nused will be a formal letter to all block grant recipients and an overview presented at the next \ quarterly Professional Advisory Committee \(PAC\) and\r\nother upcoming Division/agency meetings.\r\n)/K[62 63 64]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 685 0 obj <>/ActualText( Ongoing monitoring. Monitors will review compliance during the annual site visit, and require an acceptable plan of correction for non-compliance.\r\nIf repeat deficiencies are found, an alternate plan of correction and proof of implementation will be r\ equired.\r\n)/K[65 66]/P 282 0 R/Pg 66 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 686 0 obj <>/ActualText(Annual Performance Indicators to measure goal success\r\n)/K[0]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 214 0 R>> endobj 687 0 obj <>/ActualText(Indicator #:\r\n)/K[1]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 688 0 obj <>/ActualText(1\r\n)/K[2]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 689 0 obj <>/ActualText(Indicator:\r\n)/K[3]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 690 0 obj <>/ActualText(Annual Site Monitoring Report of DMHAS' SAPT Block Grant contracted agency indicating\r\nthat client was offered a tuberculosis evaluation.\r\n)/K[4 5]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 691 0 obj <>/ActualText(Baseline Measurement:\r\n)/K[6]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 692 0 obj <>/ActualText(According to SFY 2019 Annual Site Monitoring Reports of DMHAS' SAPT Block Grant\r\ncontracted agencies, 75% of the agencies that were monitored \(27 of 36 agencies\) were in\r\ncompliance with offering every client a tuberculosis evaluation.\r\n)/K[7 8 9]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 693 0 obj <>/ActualText(First-year target/outcome measurement:\r\n)/K[10]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 694 0 obj <>/ActualText(An increase of 5% above the baseline measure.\r\n)/K[11]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 695 0 obj <>/ActualText(Second-year target/outcome measurement:\r\n)/K[12]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 696 0 obj <>/ActualText(An additional increase of 5% above the baseline measure.\r\n)/K[13]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 697 0 obj <>/ActualText(New Second-year target/outcome measurement\(if needed\):\r\nData Source:\r\n)/K[14 15 16 17]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 698 0 obj <>/ActualText(Annual Site Monitoring Reports of DMHAS' SAPT Block Grant Contracted Agencies\r\nNew Data Source\(if needed\):\r\n)/K[18 19 20 21]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 243 0 R>> endobj 699 0 obj <>/ActualText(Description of Data:\r\n)/K[22]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 700 0 obj <>/ActualText(The grants monitoring program at DMHAS monitor SAPT Block Grant recipients. Onsite visits are made to each SAPT Block Grant\r\nrecipient a minimum of one time per calendar year. The reviewer conducts chart reviews for the selected sample and completes an\r\ \nAnnual Site Monitoring Report. The Annual Site Monitoring Report addresses at a minimum five core areas of performance: Facility,\r\nStaff, Treatment Records, Quality Assurance, Specialized Services, and Other contract requirements.\r\n)/K[23 24 25 26]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 701 0 obj <>/ActualText(New Description of Data:\(if needed\)\r\n)/K[27 28]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 702 0 obj <>/ActualText(Data issues/caveats that affect outcome measures:\r\nNone\r\nNew Data issues/caveats that affect outcome measures:\r\n)/K[29 30 31]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 1052 0 R>> endobj 703 0 obj <>/ActualText(Report of Progress Toward Goal Attainment\r\n)/K[32]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 1043 0 R>> endobj 704 0 obj <>/ActualText(gfedc\r\n)/K[33 34 35 36 37]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 705 0 obj <>/ActualText(gfedc\r\n)/K[38 39 40 41 42]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 706 0 obj <>/ActualText(Achieved\r\n)/K[43]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 707 0 obj <>/ActualText(Not Achieved \(if not achieved,explain why\)\r\n)/K[44 45]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 1049 0 R>> endobj 708 0 obj <>/ActualText(First Year Target:\r\n)/K[46]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 1048 0 R>> endobj 709 0 obj <>/ActualText(Reason why target was not achieved, and changes proposed to meet target:\r\nHow first year target was achieved \(optional\):\r\n)/K[47 48 49 50]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 1053 0 R>> endobj 710 0 obj <>/ActualText(Priority #:\r\n)/K[51]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 711 0 obj <>/ActualText(10\r\n)/K[52]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 712 0 obj <>/ActualText(Priority Area:\r\n)/K[53]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 713 0 obj <>/ActualText(In coordination with New Jersey's Aligning Early Childhood with Medicaid \(AECM\) technical assistance project, DCF/ Children's\r\nSystem of Care \(CSOC\) will develop and implement screening, identification, and intervention among at risk children age 0-\ 3\r\n)/K[54 55]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 714 0 obj <>/ActualText(Priority Type:\r\n)/K[56]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 715 0 obj <>/ActualText(MHS\r\n)/K[57]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 716 0 obj <>/ActualText(Population\(s\):\r\n)/K[58]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 717 0 obj <>/ActualText(SED\r\nGoal of the priority area:\r\n)/K[59 60]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 1047 0 R>> endobj 718 0 obj <>/ActualText(NJ Children's System of Care \(CSOC\) will collaborate with system partners to develop and implement screening, identification, and intervention among\r\nat risk children age 0-3.\r\n)/K[61 62]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 719 0 obj <>/ActualText(Strategies to attain the goal:\r\n)/K[63]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 720 0 obj <>/ActualText(New Jersey has joined Aligning Early Childhood and Medicaid, a multi-state initiative aimed at improving the health and social outcomes of low-income\r\ninfants, young children, and families through cross-agency collaboration. This national program is led\ by the Center for Health Care Strategies \(CHCS\)\r\nin partnership with the National Association of Medicaid Directors and ZERO TO THREE. Through this 20-month initiative, participating states will:\r\n)/K[64 65 66]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 721 0 obj <>/ActualText(1.Align state programs and investments between Medicaid and other early childhood systems to drive more strategic, evidence-based investments for\r\n)/K[67]/P 282 0 R/Pg 71 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 722 0 obj <>/ActualText(infants and toddlers in low-income families; and\r\n2.Demonstrate the value of early childhood cross-sector alignment for improving near- and long-term health and social outcomes.\r\n)/K[0 1]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 723 0 obj <>/ActualText(NJ DCF/CSOC has identified the following goals:\r\n)/K[2]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 724 0 obj <>/ActualText(1. Identify and adopt best practice standards to identify social-emotional, behavioral, and social determinant health risk in the pediatric medical home,\r\nincluding creating a plan to implement a strategy to increase capacity for stratified care coordin\ ation in the pediatric medical home to effect linkage to\r\nbehavioral health and other services by January 2020.\r\n)/K[3 4 5]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 725 0 obj <>/ActualText(2. Develop a written strategy, including programmatic recommendations and funding options to provide infant mental health services on a statewide\r\nbasis by July 2020.\r\n)/K[6 7]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 726 0 obj <>/ActualText(3. Drafting a State Plan Amendment expanding the use of care coordination and community health workers to ensure new mothers and their infants\r\nstay connected to physical and behavioral health care, and other health influencing benefits, such as food, h\ ousing and child care across the health\r\ncare delivery system.\r\n)/K[8 9 10]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 727 0 obj <>/ActualText(Annual Performance Indicators to measure goal success\r\n)/K[11]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 214 0 R>> endobj 728 0 obj <>/ActualText(Indicator #:\r\n)/K[12]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 729 0 obj <>/ActualText(1\r\n)/K[13]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 730 0 obj <>/ActualText(Indicator:\r\n)/K[14]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 731 0 obj <>/ActualText(Completed plan for screening, care coordination, and development of infant mental health\r\nsrvice capacity for at risk children age 0-3\r\n)/K[15 16]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 732 0 obj <>/ActualText(Baseline Measurement:\r\n)/K[17]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 733 0 obj <>/ActualText(To be determined after the first year of implementation of screening services to children\r\nage 0-3\r\n)/K[18 19]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 734 0 obj <>/ActualText(First-year target/outcome measurement:\r\n)/K[20]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 735 0 obj <>/ActualText(An increase in the percentage of children age 0-3 receiving screening srvices in SFY 2021.\r\nThe percentage will be determined when the baseline measure is set.\r\n)/K[21 22]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 736 0 obj <>/ActualText(Second-year target/outcome measurement:\r\n)/K[23]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 737 0 obj <>/ActualText(An increase in the percentage of children age 0-3 receiving screening srvices in SFY 2022.\r\nThe percentage will be determined when the baseline measure is set.\r\n)/K[24 25]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 738 0 obj <>/ActualText(New Second-year target/outcome measurement\(if needed\):\r\nData Source:\r\n)/K[26 27 28 29]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 739 0 obj <>/ActualText(DCF will implement their anticipated project-related goals\(s\) and activities, and track progress over time.\r\nPerformCare NJ - the CSOC Administrative Services Organization\r\n)/K[30 31]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 740 0 obj <>/ActualText(New Data Source\(if needed\):\r\n)/K[32 33 34]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 741 0 obj <>/ActualText(Description of Data:\r\n)/K[35]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 742 0 obj <>/ActualText(DCF self- assessment and written organizational plans.\r\nThe number of children age 0-3 receiving screening services during a specified state fiscal year.\r\n)/K[36 37]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 743 0 obj <>/ActualText(New Description of Data:\(if needed\)\r\n)/K[38 39]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 744 0 obj <>/ActualText(Data issues/caveats that affect outcome measures:\r\nThe baseline measurement of will be determined after the first year of implementation of screening services to children age 0-3.\r\n)/K[40 41]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 1047 0 R>> endobj 745 0 obj <>/ActualText(New Data issues/caveats that affect outcome measures:\r\n)/K[42]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 746 0 obj <>/ActualText(Report of Progress Toward Goal Attainment\r\n)/K[43]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 1043 0 R>> endobj 747 0 obj <>/ActualText(gfedcb\r\n)/K[44 45 46 47 48 49]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 748 0 obj <>/ActualText(gfedc\r\n)/K[50 51 52 53 54]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 749 0 obj <>/ActualText(Achieved\r\n)/K[55]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 750 0 obj <>/ActualText(Not Achieved \(if not achieved,explain why\)\r\n)/K[56 57]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 1049 0 R>> endobj 751 0 obj <>/ActualText(First Year Target:\r\n)/K[58]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 1048 0 R>> endobj 752 0 obj <>/ActualText(Reason why target was not achieved, and changes proposed to meet target:\r\n)/K[59]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 753 0 obj <>/ActualText(How first year target was achieved \(optional\):\r\n)/K[60 61 62]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 754 0 obj <>/ActualText(CSOC has made great progress by collaborating with the Department of Human Services / Medicaid, with support from the Center for\r\nHealth Care Strategies / Aligning Early Childhood and Medicaid \(AECM\), and by participating with a broad group of stakeho\ lders to\r\ndevelop the report, "Unlocking Potential: A Roadmap to Making New Jersey the Safest, Healthiest, and Most Supportive Place to Give\r\nBirth and Raise a Family," which outlines steps to expand infant mental health services in New Jersey \(the E\ xecutive Summary of this\r\nreport can be found online. https://acnj.org/downloads/2020_06_24_Unlocking_Potential_Executive_Summary.pdf\). While a component\r\n)/K[63 64 65 66 67]/P 282 0 R/Pg 76 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 755 0 obj <>/ActualText(of this report establishes clear steps to expand infant mental health \(IMH\) services to 7,247 more low-income infants and toddlers\r\nannually, beginning in 2023, the public health emergency caused conflicts that precluded further development of a plan \ for screening,\r\ncare coordination, and increased service capacity. CSOC is continuing to engage in the AECM and Pritzker initiatives and is exploring\r\nadditional opportunities to build IMH capacity within CSOC. Efforts include the In-Home recovery Pro\ gram \(priority area 12\).\r\n)/K[0 1 2 3]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 756 0 obj <>/ActualText(Priority #:\r\n)/K[4]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 757 0 obj <>/ActualText(11\r\n)/K[5]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 758 0 obj <>/ActualText(Priority Area:\r\n)/K[6]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 759 0 obj <>/ActualText(NJ Children's System of Care \(CSOC\) will continue to increase the integration of community-based physical and behavioral health\r\nservices for children, youth and young adults with mental/behavioral health challenges and/or substance use challenges and\ \r\nchronic medical conditions\r\n)/K[7 8 9]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 760 0 obj <>/ActualText(Priority Type:\r\n)/K[10]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 761 0 obj <>/ActualText(MHS\r\n)/K[11]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 762 0 obj <>/ActualText(Population\(s\):\r\n)/K[12]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 763 0 obj <>/ActualText(SED\r\nGoal of the priority area:\r\n)/K[13 14]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 1047 0 R>> endobj 764 0 obj <>/ActualText(The New Jersey Children's System of Care \(CSOC\) will increase integration of community-based physical and behavioral health services for children,\r\nyouth and young adults with mental/behavioral health challenges and/or substance us challenges and chro\ nic medical conditions.\r\n)/K[15 16]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 765 0 obj <>/ActualText(Strategies to attain the goal:\r\n)/K[17]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 766 0 obj <>/ActualText(In order to further operationalize the DCF vision of ensuring New Jersey children and families are safe, healthy and connected, the Department of\r\nChildren and Families has revised its Strategic Plan to best align the priorities of CSOC with the DCF vis\ ion and values. The Strategic Plan identifies\r\npromoting integrated health and behavioral health as a priority. Integrated care and wellness activities will be incorporated across the CSOC\r\ncontinuum by expanding existing integration models and explor\ ing development of other primary health-behavioral health integration models.\r\n)/K[18 19 20 21]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 767 0 obj <>/ActualText(Currently, NJ's Behavioral Health Homes \(BHH\) are operational in Bergen, Mercer, Cape/Atlantic, and Monmouth counties. Each BHH is a designated\r\nCare Management Organization \(CMO\) with enhanced care management teams that include medical expertise an\ d health/wellness education for\r\npurposes of providing fully integrated and coordinated care for youth remaining in their home and who have chronic medical conditions. Each BHH\r\nemploys Nurse Managers \(1-40 ratio\) and Health and Wellness coaches \(1\ -65 ratio\). Nurse Managers are required to hold a New Jersey Registered Nurse\r\n\(RN\) license or higher nursing credential. Health and Wellness Coaches are required to have a Bachelor's Degree and two years of experience in\r\nnutrition, health educati\ on or a related field.\r\n)/K[22 23 24 25 26 27]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 768 0 obj <>/ActualText(BHH services are a "bridge" that connects prevention, primary care, and specialty care. Medical and wellness staff are integrated into the existing CMO\r\nChild Family Team \(CFT\) structure responsible for care coordination and comprehensive treatment pl\ anning for youth and their families which includes\r\nplanning for the holistic needs of the youth. The CFT structure and approach \(CMO, FSO, Family, Youth and other designated service providers and\r\nsupports\) enhanced with BHH RN, Health/Wellness Coa\ ch staffing plans for the holistic needs of a youth with both behavioral health and medical\r\nneeds \(inclusive of substance use and developmental and intellectual challenges\). Nurse Manager and Health/Wellness staff communicate with youth's\r\nmedical \ providers \(primary care specialty providers, urgent or emergent medical care\) and connect the medical domain and planning with the existing\r\nCFT process.\r\n)/K[28 29 30 31 32 33 34]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 769 0 obj <>/ActualText(New Jersey is among the first states using Targeted Case Management \(TCM\) to deliver Behavioral Health Home services for youth only.\r\n)/K[35]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 770 0 obj <>/ActualText(The structure of the CMO is a strategic fit for the health home program. The BHH Core Team builds on the current CMO array of staff with the intent to\r\nprovide a holistic approach to care for children. This expanded team will constitute the services of \ the BHH and will broaden the current CMO care\r\ncoordination and care management functions to include the ability to identify, screen and coordinate both primary care and specialty medical care.\r\n)/K[36 37 38]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 771 0 obj <>/ActualText(During SFY 2018, 484 youth were enrolled in BHH services. To be eligible, youth must meet the criteria for CMO and have a qualifying medical condition\r\nwhich is inclusive of intellectual and developmental challenges as well as substance use.\r\n)/K[39 40]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 772 0 obj <>/ActualText(Place background information on Certified Community Behavioral Health Clinics \(CCBHCs\) here. Include number of children served during SFY 2018\r\n)/K[41]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 773 0 obj <>/ActualText(Annual Performance Indicators to measure goal success\r\n)/K[42]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 214 0 R>> endobj 774 0 obj <>/ActualText(Indicator #:\r\n)/K[43]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 775 0 obj <>/ActualText(1\r\n)/K[44]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 776 0 obj <>/ActualText(Indicator:\r\n)/K[45]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 777 0 obj <>/ActualText(Increased number of children, youth or young adults provided with integrated physical\r\nand behavioral health services.\r\n)/K[46 47]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 778 0 obj <>/ActualText(Baseline Measurement:\r\n)/K[48]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 779 0 obj <>/ActualText(In SFY 2019 CSOC proved Behavioral Health Home services to 503 youth.\r\n)/K[49]/P 282 0 R/Pg 81 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 780 0 obj <>/ActualText(First-year target/outcome measurement:\r\n)/K[0]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 781 0 obj <>/ActualText(CSOC will increase the number of youth served by Behavioral Health Homes/other\r\nIntegrated Care models by 5%. Target outcome measurement is 528 youth.\r\n)/K[1 2]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 782 0 obj <>/ActualText(Second-year target/outcome measurement:\r\n)/K[3]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 783 0 obj <>/ActualText(CSOC will increase the number of youth served by Behavioral Health Homes/other\r\nIntegrated Care models by 5%. Target outcome measurement is 554 youth.\r\n)/K[4 5]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 784 0 obj <>/ActualText(New Second-year target/outcome measurement\(if needed\):\r\nData Source:\r\n)/K[6 7 8 9]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 785 0 obj <>/ActualText(Performcare NJ - the NJ DCF/CSOC Administrative Services Organization\r\nNew Data Source\(if needed\):\r\n)/K[10 11 12 13]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 1046 0 R>> endobj 786 0 obj <>/ActualText(Description of Data:\r\nNumber of youth receiving Behavioral Health Home/integrated physical and behavioral health services in a specified state fiscal year.\r\n)/K[14 15]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 1047 0 R>> endobj 787 0 obj <>/ActualText(New Description of Data:\(if needed\)\r\n)/K[16 17]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 788 0 obj <>/ActualText(Data issues/caveats that affect outcome measures:\r\nNone.\r\n)/K[18 19]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 1047 0 R>> endobj 789 0 obj <>/ActualText(New Data issues/caveats that affect outcome measures:\r\n)/K[20]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 790 0 obj <>/ActualText(Report of Progress Toward Goal Attainment\r\n)/K[21]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 1043 0 R>> endobj 791 0 obj <>/ActualText(gfedcb\r\n)/K[22 23 24 25 26 27]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 792 0 obj <>/ActualText(gfedc\r\n)/K[28 29 30 31 32]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 793 0 obj <>/ActualText(Achieved\r\n)/K[33]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 794 0 obj <>/ActualText(Not Achieved \(if not achieved,explain why\)\r\n)/K[34 35]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 1049 0 R>> endobj 795 0 obj <>/ActualText(First Year Target:\r\n)/K[36]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 1048 0 R>> endobj 796 0 obj <>/ActualText(Reason why target was not achieved, and changes proposed to meet target:\r\nHow first year target was achieved \(optional\):\r\n)/K[37 38 39 40]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 1053 0 R>> endobj 797 0 obj <>/ActualText(Priority #:\r\n)/K[41]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 798 0 obj <>/ActualText(12\r\n)/K[42]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 799 0 obj <>/ActualText(Priority Area:\r\n)/K[43]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 800 0 obj <>/ActualText(NJ Children's System of Care \(CSOC\) will increase access to evidence-based services and supports across the CSOC service\r\ncontinuum\r\n)/K[44 45]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 801 0 obj <>/ActualText(Priority Type:\r\n)/K[46]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 802 0 obj <>/ActualText(MHS\r\n)/K[47]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 803 0 obj <>/ActualText(Population\(s\):\r\n)/K[48]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 804 0 obj <>/ActualText(SED\r\nGoal of the priority area:\r\n)/K[49 50]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 1047 0 R>> endobj 805 0 obj <>/ActualText(CSOC will increase access to evidence-based services and supports across the CSOC service continuum.\r\n)/K[51]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 806 0 obj <>/ActualText(Strategies to attain the goal:\r\n)/K[52]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 807 0 obj <>/ActualText(In order to further operationalize the DCF vision of ensuring New Jersey children and families are safe, healthy and connected, the Department of\r\nChildren and Families has revised its Strategic Plan to best align the priorities of CSOC with the DCF vis\ ion and values. The Strategic Plan identifies\r\nbuilding capacity to deliver evidence-based interventions and services as a priority. CSOC will support evidence-based practices in the continuum by\r\nincreasing EBP capacity in both community-based and ou\ t of home services\r\n)/K[53 54 55 56]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 808 0 obj <>/ActualText(The Nicholson Foundation, in partnership with New Jersey Department of Children and Families \(NJDCF\), issued a Request for Proposals \(RFP\) to solicit\r\nproposals for a family-based recovery program from New Jersey-based mental health and substance us\ e disorder treatment providers serving adults,\r\nfamilies, and/or young children.\r\n)/K[57 58 59]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 809 0 obj <>/ActualText(The goals of the In-Home Recovery Program \(the Program\) are to improve outcomes for parents who have a substance use disorder and are actively\r\nparenting a child under 36 months old and to expand the service array for these families through implementa\ tion of a specific evidence-informed, in-\r\nhome treatment program. Post-intervention changes on parental substance use and involvement with child protective services will be evaluated. The\r\nRFP process will result in one award for the implementation o\ f two \(2\) Project sites within Ocean County, NJ managed by one agency. Each Project team\r\nwill treat a caseload of twelve \(12\) families concurrently and serve a minimum of eighteen \(18\) families over the 18-month grant period, beginning on\r\nSept\ ember 1, 2019, for a budget not to exceed $1,064,855.\r\n)/K[60 61 62 63 64 65]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 810 0 obj <>/ActualText(An important objective of the Program is to demonstrate the effectiveness of a trauma informed in-home treatment for families involved with the NJDCF\r\n)/K[66]/P 282 0 R/Pg 86 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 811 0 obj <>/ActualText(Division of Child Protection and Permanency \(DCP&P\) who have an index parent \(client\) with a substance use disorder and an index child \(child\) under\r\nthe age of 36 months. Outcome measures will include parental substance use, child placement at di\ scharge, and a client's repeat involvement with\r\nchild protective services.\r\n)/K[0 1 2]/P 282 0 R/Pg 91 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 812 0 obj <>/ActualText(Key model components include toxicology testing \(for clinical purposes only\); positive reinforcement in the form of gift cards/vouchers for positive\r\nbehavioral change \(negative toxicology screen\); collaboration with DCF regarding the clients progre\ ss, success, or any concerns about functioning;\r\ncollaboration with MAT providers; outreach to support client's participation; utilization of standardized measures to inform and guide treatment, and\r\nidentify and track symptoms over the course of the \ intervention; and tools for obtaining family history and the fit between the client and the clients\r\nfamily system.\r\n)/K[3 4 5 6 7]/P 282 0 R/Pg 91 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 813 0 obj <>/ActualText(Measures are divided into three domains: client, child, and parent-child relationship. Areas of focus in the three domains are as follows:\r\n)/K[8]/P 282 0 R/Pg 91 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 814 0 obj <>/ActualText(a. client: depression, anxiety, post-traumatic stress, and childhood trauma history;\r\n)/K[9]/P 282 0 R/Pg 91 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 815 0 obj <>/ActualText(b. child: development, resilience, behaviors, and trauma exposure; and\r\n)/K[10]/P 282 0 R/Pg 91 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 816 0 obj <>/ActualText(c. parent-child relationship: parenting stress, parental reflective capacity, attachment styles, and parenting attitudes.\r\n)/K[11]/P 282 0 R/Pg 91 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 817 0 obj <>/ActualText(The full text of the RFP is available here:\r\nhttps://thenicholsonfoundation.org/news-and-resources/request-proposals-trauma-informed-recovery-program-ocean-county\r\n)/K[12 13]/P 282 0 R/Pg 91 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 818 0 obj <>/ActualText(Additionally,the following evidence based programs are currently provided by CSOC\r\nFunctional Family Therapy for Foster Care \(FFT-FC\)\r\nCSOC in partnership with the Division of Child Protection and Permanency \(DCP&P\) and a local provider offer acce\ ss to and service delivery of\r\n)/K[14 15 16]/P 282 0 R/Pg 91 0 R/S/P/Type/StructElem/XXStyle 243 0 R>> endobj 819 0 obj <>/ActualText(Functional Family Therapy - Foster Care \(FFT-FC\) through the CSOC Mobile Response and Stabilization Service and Intensive In-Community service lines.\r\nFFT is a relationally focused, trauma informed, evidence-based treatment model for youth in resource\ care that increases the likelihood of successful\r\nadjustment for youth in their resource placements as well as positive permanency outcomes. This treatment model is targeted toward youth aged 12-18\r\nwho are demonstrating behaviors that place them at \ risk of disruption in their resource care placement and are in the legal custody of the DCP&P and\r\nhave the intellectual capacity to benefit from the treatment intervention. The model uses the relationally focused techniques of Functional Family\r\nTher\ apy \(FFT\) in a comprehensive and systemic approach adapted to helping youth and families involved with DCP&P to overcome individual and\r\nrelational trauma to promote placement stability, increase youths' lifelong connections and improve youths' perman\ ency outcomes.\r\n)/K[17 18 19 20 21 22 23]/P 282 0 R/Pg 91 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 820 0 obj <>/ActualText(Function Family Therapy \(FFT\) and Multi-Systemic Therapy \(MST\)\r\n)/K[24]/P 282 0 R/Pg 91 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 821 0 obj <>/ActualText(Beginning in 2008, through an RFP process DCF established providers of Multi-systemic Therapy \(MST\) and Functional Family Therapy \(FFT\) in New\r\nJersey. MST and FFT have proven efficacy with youth involved in the juvenile justice system through dozen\ s of empirically validated and peer-reviewed\r\nstudies. Too often, the child welfare system endeavors to serve these youth and families with inadequate resources and misdirected efforts. Consistent\r\nwith the needs of many families served by the child w\ elfare system, the challenges at hand are best served by intensive, "whatever it takes" treatment by\r\nwell-trained and qualified professionals. As evidence-based practices, the licensing and program requirements for providers of MST and FFT, from start-\ \r\nup through on-going delivery of service, are stringent. The goal was to have national organizations ensure that local implementation maintains fidelity\r\nto the treatment model to ensure outcomes are consistent with other states. Awards were granted \ around June 2008. There are currently 5 CSOC-\r\ncontracted agencies providing FFT/MST. During SFY XXXchildren, youth and young adult received FFT/MST services.\r\n)/K[25 26 27 28 29 30 31 32]/P 282 0 R/Pg 91 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 822 0 obj <>/ActualText(ARC-GROW Model\r\nCSOC, through the Intensive In-Community \(IIC\) service line, in partnership with the Children's Center for Resilience and Trauma Recovery \(CCRTR\), and\r\nMRSS and CMO partners, offers access to and delivery of the ARC-GROW model. The\ ARC-GROW Model is an adaptation of the Attachment,\r\nRegulation, and Competency framework for intervention with youth and families who have experienced multiple and/or prolonged traumatic stress.\r\nThe Attachment, Self-Regulation, and Competency \(ARC\)\ framework is a core-components treatment model, developed to provide a guiding framework\r\nfor thoughtful clinical intervention with complexly traumatized youth from early childhood to adolescence and their caregiving systems. GROW is a\r\ncaregiver ski\ ll building intervention designed to enhance resilient outcomes for families who are impacted by chronic adversity or stress \(Kinniburgh et\r\nal. 2011\). This parenting support program is delivered as a 12-session home visiting service by parent support\ workers or clinical staff providing safety\r\nand stabilization support. The home visiting hours include psychoeducation and skill practice in areas including, but not limited to, caregiver self-care,\r\nattunement to the developmental impact of trauma, \ supporting child/youth regulation, effective parenting practices and strategies for building daily\r\nroutines.\r\n)/K[33 34 35 36 37 38 39 40 41 42 43]/P 282 0 R/Pg 91 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 823 0 obj <>/ActualText(Functional Family Therapy for Foster Care \(FFT-FC\)\r\n)/K[44]/P 282 0 R/Pg 91 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 824 0 obj <>/ActualText(CSOC in partnership with the Division of Child Protection and Permanency \(DCP&P\) and a local provider offer access to and service delivery of\r\nFunctional Family Therapy - Foster Care \(FFT-FC\) through the CSOC Mobile Response and Stabilization Servic\ e and Intensive In-Community service lines.\r\nFFT is a relationally focused, trauma informed, evidence-based treatment model for youth in resource care that increases the likelihood of successful\r\nadjustment for youth in their resource placements as we\ ll as positive permanency outcomes. This treatment model is targeted toward youth aged 12-18\r\nwho are demonstrating behaviors that place them at risk of disruption in their resource care placement and are in the legal custody of the DCP&P and\r\nhave th\ e intellectual capacity to benefit from the treatment intervention. The model uses the relationally focused techniques of Functional Family\r\nTherapy \(FFT\) in a comprehensive and systemic approach adapted to helping youth and families involved with DCP\ &P to overcome individual and\r\nrelational trauma to promote placement stability, increase youths' lifelong connections and improve youths' permanency outcomes.\r\n)/K[45 46 47 48 49 50 51 52]/P 282 0 R/Pg 91 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 825 0 obj <>/ActualText(Under New Jersey's child welfare modified settlement agreement \(MSA\), the State was required to seek approval from the federal government for a\r\nMedicaid rate structure "to support the use of new services for children and families, including community\ -based and evidence-based informed, or\r\nsupport practices, such as Functional Family Therapy and Multi-Systemic Therapy" \(Section II.C.2 of the MSA\).\r\n)/K[0 1 2]/P 282 0 R/Pg 96 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 826 0 obj <>/ActualText(Function Family Therapy \(FFT\) and Multi-Systemic Therapy \(MST\)\r\n)/K[3]/P 282 0 R/Pg 96 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 827 0 obj <>/ActualText(Beginning in 2008, through an RFP process DCF established providers of Multi-systemic Therapy \(MST\) and Functional Family Therapy \(FFT\) in New\r\nJersey. MST and FFT have proven efficacy with youth involved in the juvenile justice system through dozen\ s of empirically validated and peer-reviewed\r\nstudies. Too often, the child welfare system endeavors to serve these youth and families with inadequate resources and misdirected efforts. Consistent\r\nwith the needs of many families served by the child w\ elfare system, the challenges at hand are best served by intensive, "whatever it takes" treatment by\r\nwell-trained and qualified professionals. As evidence-based practices, the licensing and program requirements for providers of MST and FFT, from start-\ \r\nup through on-going delivery of service, are stringent. The goal was to have national organizations ensure that local implementation maintains fidelity\r\nto the treatment model to ensure outcomes are consistent with other states. Awards were granted \ around June 2008.\r\nThere are currently 5 CSOC-contracted agencies providing evidence-based practices.\r\n)/K[4 5 6 7 8 9 10 11]/P 282 0 R/Pg 96 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 828 0 obj <>/ActualText( Functional Family Therapy \(FFT\):\r\n)/K[12]/P 282 0 R/Pg 96 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 829 0 obj <>/ActualText( Atlantic and Ocean Counties\r\nCape Counseling and Jewish Family Services\r\n)/K[13 14]/P 282 0 R/Pg 96 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 830 0 obj <>/ActualText( Burlington and Ocean Counties\r\nCommunity Treatment Solutions\r\n)/K[15 16]/P 282 0 R/Pg 96 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 831 0 obj <>/ActualText( Cumberland, Gloucester and Salem Counties\r\nRobins' Nest\r\n)/K[17 18]/P 282 0 R/Pg 96 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 832 0 obj <>/ActualText( Multisystemic Therapy \(MST\):\r\n)/K[19]/P 282 0 R/Pg 96 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 833 0 obj <>/ActualText( Camden County\r\nCenter for Family Services\r\n)/K[20 21]/P 282 0 R/Pg 96 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 834 0 obj <>/ActualText( Hudson and Essex Counties\r\nCommunity Solutions, Inc.\r\n)/K[22 23]/P 282 0 R/Pg 96 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 835 0 obj <>/ActualText(CSOC plans to undertake a comprehensive review of its evidence-based practices, in terms of utilization and outcomes, to ensure these services are\r\nhaving the expected, positive impact on the lives of children and families.\r\n)/K[24 25]/P 282 0 R/Pg 96 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 836 0 obj <>/ActualText(ARC-GROW Model\r\nCSOC, through the Intensive In-Community \(IIC\) service line, in partnership with the Children's Center for Resilience and Trauma Recovery \(CCRTR\), and\r\nMRSS and CMO partners, offers access to and delivery of the ARC-GROW model. The\ ARC-GROW Model is an adaptation of the Attachment,\r\nRegulation, and Competency framework for intervention with youth and families who have experienced multiple and/or prolonged traumatic stress.\r\nThe Attachment, Self-Regulation, and Competency \(ARC\)\ framework is a core-components treatment model, developed to provide a guiding framework\r\nfor thoughtful clinical intervention with complexly traumatized youth from early childhood to adolescence and their caregiving systems. GROW is a\r\ncaregiver ski\ ll building intervention designed to enhance resilient outcomes for families who are impacted by chronic adversity or stress \(Kinniburgh et\r\nal. 2011\). This parenting support program is delivered as a 12-session home visiting service by parent support\ workers or clinical staff providing safety\r\nand stabilization support. The home visiting hours include psychoeducation and skill practice in areas including, but not limited to, caregiver self-care,\r\nattunement to the developmental impact of trauma, \ supporting child/youth regulation, effective parenting practices and strategies for building daily\r\nroutines.\r\n)/K[26 27 28 29 30 31 32 33 34 35 36]/P 282 0 R/Pg 96 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 837 0 obj <>/ActualText(Functional Family Therapy for Foster Care \(FFT-FC\)\r\n)/K[37]/P 282 0 R/Pg 96 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 838 0 obj <>/ActualText(CSOC in partnership with the Division of Child Protection and Permanency \(DCP&P\) and a local provider offer access to and service delivery of\r\nFunctional Family Therapy - Foster Care \(FFT-FC\) through the CSOC Mobile Response and Stabilization Servic\ e and Intensive In-Community service lines.\r\nFFT is a relationally focused, trauma informed, evidence-based treatment model for youth in resource care that increases the likelihood of successful\r\nadjustment for youth in their resource placements as we\ ll as positive permanency outcomes. This treatment model is targeted toward youth aged 12-18\r\nwho are demonstrating behaviors that place them at risk of disruption in their resource care placement and are in the legal custody of the DCP&P and\r\nhave th\ e intellectual capacity to benefit from the treatment intervention. The model uses the relationally focused techniques of Functional Family\r\nTherapy \(FFT\) in a comprehensive and systemic approach adapted to helping youth and families involved with DCP\ &P to overcome individual and\r\nrelational trauma to promote placement stability, increase youths' lifelong connections and improve youths' permanency outcomes.\r\n)/K[38 39 40 41 42 43 44 45]/P 282 0 R/Pg 96 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 839 0 obj <>/ActualText(Under New Jersey's child welfare modified settlement agreement \(MSA\), the State was required to seek approval from the federal government for a\r\nMedicaid rate structure "to support the use of new services for children and families, including community\ -based and evidence-based informed, or\r\nsupport practices, such as Functional Family Therapy and Multi-Systemic Therapy" \(Section II.C.2 of the MSA\).\r\n)/K[46 47 48]/P 282 0 R/Pg 96 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 840 0 obj <>/ActualText(Function Family Therapy \(FFT\) and Multi-Systemic Therapy \(MST\)\r\nBeginning in 2008, through an RFP process DCF established providers of Multi-systemic Therapy \(MST\) and Functional Family Therapy \(FFT\) in New\r\n)/K[49 50]/P 282 0 R/Pg 96 0 R/S/P/Type/StructElem/XXStyle 243 0 R>> endobj 841 0 obj <>/ActualText(Jersey. MST and FFT have proven efficacy with youth involved in the juvenile justice system through dozens of empirically validated and peer-reviewed\r\nstudies. Too often, the child welfare system endeavors to serve these youth and families with inadequa\ te resources and misdirected efforts. Consistent\r\nwith the needs of many families served by the child welfare system, the challenges at hand are best served by intensive, "whatever it takes" treatment by\r\nwell-trained and qualified professionals. As e\ vidence-based practices, the licensing and program requirements for providers of MST and FFT, from start-\r\nup through on-going delivery of service, are stringent. The goal was to have national organizations ensure that local implementation maintains fid\ elity\r\nto the treatment model to ensure outcomes are consistent with other states. Awards were granted around June 2008.\r\nThere are currently 5 CSOC-contracted agencies providing evidence-based practices.\r\n)/K[0 1 2 3 4 5 6]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 842 0 obj <>/ActualText( Functional Family Therapy \(FFT\):\r\n)/K[7]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 843 0 obj <>/ActualText( Atlantic and Ocean Counties\r\nCape Counseling and Jewish Family Services\r\n)/K[8 9]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 844 0 obj <>/ActualText( Burlington and Ocean Counties\r\nCommunity Treatment Solutions\r\n)/K[10 11]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 845 0 obj <>/ActualText( Cumberland, Gloucester and Salem Counties\r\nRobins' Nest\r\n)/K[12 13]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 846 0 obj <>/ActualText( Multisystemic Therapy \(MST\):\r\n)/K[14]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 847 0 obj <>/ActualText( Camden County\r\nCenter for Family Services\r\n)/K[15 16]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 848 0 obj <>/ActualText( Hudson and Essex Counties\r\nCommunity Solutions, Inc.\r\n)/K[17 18]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 849 0 obj <>/ActualText(CSOC plans to undertake a comprehensive review of its evidence-based practices, in terms of utilization and outcomes, to ensure these services are\r\nhaving the expected, positive impact on the lives of children and families.\r\n)/K[19 20]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 850 0 obj <>/ActualText(ARC-GROW Model\r\nCSOC, through the Intensive In-Community \(IIC\) service line, in partnership with the Children's Center for Resilience and Trauma Recovery \(CCRTR\), and\r\nMRSS and CMO partners, offers access to and delivery of the ARC-GROW model. The\ ARC-GROW Model is an adaptation of the Attachment,\r\nRegulation, and Competency framework for intervention with youth and families who have experienced multiple and/or prolonged traumatic stress.\r\nThe Attachment, Self-Regulation, and Competency \(ARC\)\ framework is a core-components treatment model, developed to provide a guiding framework\r\nfor thoughtful clinical intervention with complexly traumatized youth from early childhood to adolescence and their caregiving systems. GROW is a\r\ncaregiver ski\ ll building intervention designed to enhance resilient outcomes for families who are impacted by chronic adversity or stress \(Kinniburgh et\r\nal. 2011\). This parenting support program is delivered as a 12-session home visiting service by parent support\ workers or clinical staff providing safety\r\nand stabilization support. The home visiting hours include psychoeducation and skill practice in areas including, but not limited to, caregiver self-care,\r\nattunement to the developmental impact of trauma, \ supporting child/youth regulation, effective parenting practices and strategies for building daily\r\nroutines.\r\n)/K[21 22 23 24 25 26 27 28 29 30 31]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 851 0 obj <>/ActualText(Annual Performance Indicators to measure goal success\r\n)/K[32]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 214 0 R>> endobj 852 0 obj <>/ActualText(Indicator #:\r\n)/K[33]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 853 0 obj <>/ActualText(1\r\n)/K[34]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 854 0 obj <>/ActualText(Indicator:\r\n)/K[35]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 855 0 obj <>/ActualText(In coordination with the NJ Department of Children and Families, the Nicholson\r\nFoundation will fund one award for the implementation of the In-Home Recovery Program\r\n\(IHRP\) which provides two \(2\) Project sites managed by one agency. Each Project \ team will\r\ntreat a caseload of twelve \(12\) families concurrently and serve a minimum of eighteen \(18\)\r\nfamilies over the 18-month grant period, beginning on September 1, 2019\r\n)/K[36 37 38 39 40]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 856 0 obj <>/ActualText(Baseline Measurement:\r\n)/K[41]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 857 0 obj <>/ActualText(This in-home service does not exist within NJ DCF at this time\r\n)/K[42]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 858 0 obj <>/ActualText(First-year target/outcome measurement:\r\n)/K[43]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 859 0 obj <>/ActualText(Total number of families served between January 1, 2020 and June 30, 2020\r\n)/K[44]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 860 0 obj <>/ActualText(Second-year target/outcome measurement:\r\n)/K[45]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 861 0 obj <>/ActualText(Each Project team will treat a caseload of twelve \(12\) families concurrentlyand serve a\r\nminimum of eighteen \(18\) families over the 18-month grant period, beginning on\r\nSeptember 1, 2019\r\n)/K[46 47 48]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 862 0 obj <>/ActualText(New Second-year target/outcome measurement\(if needed\):\r\nData Source:\r\n)/K[49 50 51 52]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 863 0 obj <>/ActualText(Grant awardee\r\nNew Data Source\(if needed\):\r\n)/K[53 54 55 56]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 243 0 R>> endobj 864 0 obj <>/ActualText(Description of Data:\r\nTotal number of families served over the 18-month grant period. Target measurement is 36 families served.\r\n)/K[57 58]/P 282 0 R/Pg 101 0 R/S/P/Type/StructElem/XXStyle 1047 0 R>> endobj 865 0 obj <>/ActualText(New Description of Data:\(if needed\)\r\n)/K[0 1]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 866 0 obj <>/ActualText(Data issues/caveats that affect outcome measures:\r\nNone.\r\nNew Data issues/caveats that affect outcome measures:\r\n)/K[2 3 4]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 1052 0 R>> endobj 867 0 obj <>/ActualText(Report of Progress Toward Goal Attainment\r\n)/K[5]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 1043 0 R>> endobj 868 0 obj <>/ActualText(gfedc\r\n)/K[6 7 8 9 10]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 869 0 obj <>/ActualText(gfedcb\r\n)/K[11 12 13 14 15 16]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 870 0 obj <>/ActualText(Achieved\r\n)/K[17]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 871 0 obj <>/ActualText(Not Achieved \(if not achieved,explain why\)\r\n)/K[18 19]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 1049 0 R>> endobj 872 0 obj <>/ActualText(First Year Target:\r\n)/K[20]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 1048 0 R>> endobj 873 0 obj <>/ActualText(Reason why target was not achieved, and changes proposed to meet target:\r\n)/K[21]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 874 0 obj <>/ActualText(The program was implemented four months later than anticipated and the period of observation \(18 months\) now does not end until\r\nJune 30, 2021 \(original end date of observation period: February 28, 2021\). We believe we are on target to reach our goa\ l of 36 families\r\nserved by June 30, 2021, although continued concerns around the public health emergency may impact this outcome.\r\n)/K[22 23 24]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 875 0 obj <>/ActualText(How first year target was achieved \(optional\):\r\n)/K[25 26 27]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 876 0 obj <>/ActualText(Priority #:\r\n)/K[28]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 877 0 obj <>/ActualText(13\r\n)/K[29]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 878 0 obj <>/ActualText(Priority Area:\r\n)/K[30]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 879 0 obj <>/ActualText(Housing Services in Community Support Services\r\n)/K[31]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 880 0 obj <>/ActualText(Priority Type:\r\n)/K[32]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 881 0 obj <>/ActualText(MHS\r\n)/K[33]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 882 0 obj <>/ActualText(Population\(s\):\r\n)/K[34]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 883 0 obj <>/ActualText(SMI\r\nGoal of the priority area:\r\n)/K[35 36]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 1051 0 R>> endobj 884 0 obj <>/ActualText(Maintain housing stability in community settings and improve utilization of housing service slots for mental health consumers served in Community\r\nSupport Services \(CSS\).\r\n)/K[37 38]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 885 0 obj <>/ActualText(Strategies to attain the goal:\r\n)/K[39]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 886 0 obj <>/ActualText(Community Support Services \(CSS\) is a mental health rehabilitation service that assists the consumer in achieving mental health rehabilitative and\r\nrecovery goals as identified in an individualized rehabilitation plan \(IRP\). CSS promotes community i\ nclusion, housing stability, wellness, recovery, and\r\nresiliency. Consumers are expected to be full partners in identifying and directing the types of support activities that would be most helpful to\r\nmaximize successful community living. This include\ s use of community mental health treatment, medical care, self-help, employment and rehabilitation\r\nservices, and other community resources, as needed and appropriate. The adoption of CSS enhances Supportive Housing.\r\n)/K[40 41 42 43 44]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 887 0 obj <>/ActualText(The SMHA will utilize a number of strategies to help attain the objective.\r\n)/K[45]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 888 0 obj <>/ActualText(1. The Office of Olmstead, Compliance, Planning, and Evaluation works collaboratively with provider agencies, state hospital key personnel, DMHAS\r\nstaff and other Divisions across the state to implement an overall paradigm of community integration.\r\n)/K[46 47]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 889 0 obj <>/ActualText(2. Continued use of the Individual Needs for Discharge Assessment \(INDA\) facilitates the treatment and discharge planning processes. The INDA serves\r\nas both an assessment tool geared toward evaluating needs or barriers that the consumer may face upon\ discharge and a mechanism by which to\r\nassign state hospital consumers to prospective community service providers. The INDA will be continually used by the SMHA to facilitate transition into\r\nthe community and anticipate and address any barriers that\ may hinder or preclude placement within the community.\r\n)/K[48 49 50 51]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 890 0 obj <>/ActualText(3. Separation of Housing and Services in service delivery has enabled consumers to choose a housing provider and a different service provider.\r\nConsumers will no longer be restricted to the same agency. This separation will also enable the SMHA to track\ expenditures, utilization, outcomes, and\r\ndemands for services.\r\n)/K[52 53 54]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 891 0 obj <>/ActualText(4. The Bed Enrollment Data System \(BEDS\)/Vacancy Tracking System was developed to help DMHAS manage and track vacancies. The system has\r\nreplaced the process of cold calls to agencies and the utilization of quickly outdated paper tracking sheets. Util\ ization of a web-based system provides\r\nreal-time access to vacancy information and helps facilitate assignments and avoid outdated spreadsheets. Analysis of the utilization of Supportive\r\nHousing vs. supervised settings \(e.g. group homes and supervi\ sed apartments\) allows for assessment of the Division's progress toward community\r\nintegration. The system will also enable planning at both the individual consumer level for placement purposes and system-wide for purposes of\r\nenhancements in communi\ ty resources.\r\n)/K[55 56 57 58 59 60]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 892 0 obj <>/ActualText(5. Assignment Process - In May 2015, New Jersey DMHAS revised its Administrative Bulletin 5:11 directing engagements of consumers by community\r\nproviders. Under this revision, assignments of consumers replaced the concept of referrals to community provi\ ders by hospital treatment teams,\r\nrequiring providers to either accept the assigned consumer or communicate their needs to DMHAS for additional supports necessary to serving the\r\nassigned consumer. The goal of this new policy was the early familiarit\ y of consumers and providers through mandatory provider participation in the\r\ndischarge planning process and engagements such as recreational day trips; visits to prospective apartments for rent; discharge preparations; and\r\novernight visits \(upon re\ quest of the consumer and/or hospital treatment team\).\r\n)/K[61 62 63 64 65 66]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 893 0 obj <>/ActualText(SMHA staff will monitor the continued development of new Supportive Housing opportunities. The BEDS data system will foster more timely and\r\n)/K[67]/P 282 0 R/Pg 106 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 894 0 obj <>/ActualText(accurate tracking of residential resources, as well as facilitate their more efficient utilization \(e.g., to reduce vacancy rates and increase community\r\nplacements\), and enable monitoring of compliance with Administrative Bulletin 5:11 \(Residential \ Placement from Psychiatric Hospital\).\r\n)/K[0 1]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 895 0 obj <>/ActualText(Annual Performance Indicators to measure goal success\r\n)/K[2]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 214 0 R>> endobj 896 0 obj <>/ActualText(Indicator #:\r\n)/K[3]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 897 0 obj <>/ActualText(1\r\n)/K[4]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 898 0 obj <>/ActualText(Indicator:\r\n)/K[5]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 899 0 obj <>/ActualText(Consumers who remain in Community Support Services \(CSS\) during the fiscal year as a\r\nproportion of total consumers served in Community Support Services.\r\n)/K[6 7]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 900 0 obj <>/ActualText(Baseline Measurement:\r\n)/K[8]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 901 0 obj <>/ActualText(The total number of clients served in CSS in SFY 2018 were 4,762. 80.72% of the total\r\nconsumers served in CSS remained in CSS during SFY 2018. The total number of clients\r\nserved in CSS in SFY 2019 will be available by September 2019. At that time, t\ he percentage\r\nfor SFY 2019 will be calculated.\r\n)/K[9 10 11 12]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 902 0 obj <>/ActualText(First-year target/outcome measurement:\r\n)/K[13]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 903 0 obj <>/ActualText(The percentage of consumers who remain in Community Support Services during SFY 2020\r\nwill be no less than 85% of total consumers served in Community Support Services.\r\n)/K[14 15]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 904 0 obj <>/ActualText(Second-year target/outcome measurement:\r\n)/K[16]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 905 0 obj <>/ActualText(The percentage of consumers who remain in Community Support Services during SFY 2021\r\nwill be no less than 87% of total consumers served in Community Support Services.\r\n)/K[17 18]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 906 0 obj <>/ActualText(New Second-year target/outcome measurement\(if needed\):\r\nData Source:\r\n)/K[19 20 21 22]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 907 0 obj <>/ActualText(The number of consumers served by Community Support Services is tracked by the SMHA's QCMR database starting SFY 2018.\r\nNew Data Source\(if needed\):\r\n)/K[23 24 25 26]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1046 0 R>> endobj 908 0 obj <>/ActualText(Description of Data:\r\n)/K[27]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 909 0 obj <>/ActualText(The QCMR Database collects quarterly, cumulative, program-specific data from each of the service providers contracted by DMHAS. The\r\ncurrent QCMR for Community Support Services contains 50 data elements. The key data fields relevant for this performance\ indicator are\r\n"Ending Active Caseload \(Last Day of Quarter\)" and Number of terminations in the Quarter. Currently 39 agencies contracted by the\r\nSMHA to provide QCMR data for Community Support Services.\r\n)/K[28 29 30 31]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 910 0 obj <>/ActualText(New Description of Data:\(if needed\)\r\n)/K[32 33]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 911 0 obj <>/ActualText(Data issues/caveats that affect outcome measures:\r\n)/K[34]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 912 0 obj <>/ActualText(The QCMR emphasizes aggregate program processes and units of service/persons served, rather than individual consumer outcomes.\r\nProposals awarded under current and forthcoming RFPs for Community Support Services will be monitored through contract\r\nneg\ otiations. Data will be maintained through the QCMR database.\r\n)/K[35 36 37]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 913 0 obj <>/ActualText(New Data issues/caveats that affect outcome measures:\r\n)/K[38]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 914 0 obj <>/ActualText(Report of Progress Toward Goal Attainment\r\n)/K[39]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1043 0 R>> endobj 915 0 obj <>/ActualText(gfedcb\r\n)/K[40 41 42 43 44 45]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 916 0 obj <>/ActualText(gfedc\r\n)/K[46 47 48 49 50]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 917 0 obj <>/ActualText(Achieved\r\n)/K[51]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 918 0 obj <>/ActualText(Not Achieved \(if not achieved,explain why\)\r\n)/K[52 53]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1049 0 R>> endobj 919 0 obj <>/ActualText(First Year Target:\r\n)/K[54]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1048 0 R>> endobj 920 0 obj <>/ActualText(Reason why target was not achieved, and changes proposed to meet target:\r\n)/K[55]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 921 0 obj <>/ActualText(How first year target was achieved \(optional\):\r\n)/K[56 57 58]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 922 0 obj <>/ActualText(The total number of clients served in CSS in SFY 2020 was 5,535 with 651 individuals terminated. The percentage of consumers who\r\nremained in CSS for SYF 2020 was 88.24%. In SFY 2020, 37 agencies were contracted by the SMHA to provide QCMR data for Comm\ unity\r\nSupport Services.\r\n)/K[59 60 61]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 923 0 obj <>/ActualText(Priority #:\r\n)/K[62]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 924 0 obj <>/ActualText(14\r\n)/K[63]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 925 0 obj <>/ActualText(Priority Area:\r\n)/K[64]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 926 0 obj <>/ActualText(Olmstead Access to Service/Occupancy Rate\r\n)/K[65]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 927 0 obj <>/ActualText(Priority Type:\r\n)/K[66]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 928 0 obj <>/ActualText(MHS\r\n)/K[67]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 929 0 obj <>/ActualText(Population\(s\):\r\n)/K[68]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 930 0 obj <>/ActualText(SMI\r\nGoal of the priority area:\r\n)/K[69 70]/P 282 0 R/Pg 111 0 R/S/P/Type/StructElem/XXStyle 1047 0 R>> endobj 931 0 obj <>/ActualText(Maintain housing stability in community settings and improve utilization of housing service slots for mental health consumers served in Community\r\nSupport Services \(CSS\).\r\n)/K[0 1]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 932 0 obj <>/ActualText(Strategies to attain the goal:\r\n)/K[2]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 933 0 obj <>/ActualText(Community Support Services \(CSS\) is a mental health rehabilitation service that assists the consumer in achieving mental health rehabilitative and\r\nrecovery goals as identified in an individualized rehabilitation plan \(IRP\). CSS promotes community i\ nclusion, housing stability, wellness, recovery and\r\nresiliency. Consumers are expected to be full partners in identifying and directing the types of support activities that would be most helpful to\r\nmaximize successful meaningful community living. Th\ is includes use of community mental health treatment, medical care, self-help, employment and\r\nrehabilitation services, supported education, and other community resources, as needed and appropriate. The adoption of CSS enhances Supportive\r\nHousing.\r\n\ )/K[3 4 5 6 7 8]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 934 0 obj <>/ActualText(Annual Performance Indicators to measure goal success\r\n)/K[9]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 214 0 R>> endobj 935 0 obj <>/ActualText(Indicator #:\r\n)/K[10]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 936 0 obj <>/ActualText(1\r\n)/K[11]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 937 0 obj <>/ActualText(Indicator:\r\n)/K[12]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 938 0 obj <>/ActualText(Improved Utilization of Housing Service Slots measured by occupancy rates of Community\r\nSupport Services \(CSS\) housing units.\r\n)/K[13 14]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 939 0 obj <>/ActualText(Baseline Measurement:\r\n)/K[15]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 940 0 obj <>/ActualText(In SFY2019, the occupancy rate \(of CSS housing units that are occupied and/or have a\r\nconsumer assigned to them\) was 95.9%. Conversely, the vacancy rate \(state-funded CSS\r\nhousing units that are vacant and/or have no consumers assigned to them\) wa\ s 4.1%.\r\n)/K[16 17 18]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 941 0 obj <>/ActualText(First-year target/outcome measurement:\r\n)/K[19]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 942 0 obj <>/ActualText(In SFY 2020, the occupancy rate \(i.e., occupied CSS housing units and those units with an\r\nassignment\) is expected to be 97%.\r\n)/K[20 21]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 943 0 obj <>/ActualText(Second-year target/outcome measurement:\r\n)/K[22]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 944 0 obj <>/ActualText(In SFY 2021, the occupancy rate \(i.e., occupied CSS housing units and those units with an\r\nassignment\) is expected to be 97%.\r\n)/K[23 24]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 945 0 obj <>/ActualText(New Second-year target/outcome measurement\(if needed\):\r\nData Source:\r\n)/K[25 26 27 28]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 946 0 obj <>/ActualText(The 2019 baseline value was generated from newer and slightly improved Provider Weekly Reports. The denominator was the sum of\r\ncapacity reported from 33 different CSS programs. The numerator was the number of needed assignments requested by those same\r\ \norganizations.\r\n)/K[29 30 31]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 947 0 obj <>/ActualText(New Data Source\(if needed\):\r\n)/K[32 33 34]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 948 0 obj <>/ActualText(Description of Data:\r\n)/K[35]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 949 0 obj <>/ActualText(For the 2020-2021 application, this priority indicator has been refined to focus on increased access to community-based housing\r\namong its largest segment-those served by Community Support Services \(CSS\). Although DMHAS has developed data systems \(e.\ g., the\r\nBed Enrollment Data System/BEDS\) that are well-suited for the tracking of group homes and supervised apartments, different reporting\r\nmechanisms are preferable for the tracking of CSS housing-which is uniquely client-driven. Therefore, the d\ ata used for this indicator\r\nis from an analysis of Provider Weekly Reports, which are submitted to the SMHA on a weekly basis by each contracted CSS agency.\r\nProvider Weekly Vacancy Reports gather data from the community providers regarding their cur\ rent census, current occupancy, and\r\nidentify availability for state hospital assignments. These reports provide current information regarding active assignments, which\r\nincludes any unforeseen post-assignment barriers, identifies any follow-up needed\ , and provides additional information used for\r\ntracking the progress of the assignment to allow for timely discharge and/or intervention. Prior to the development of this report, two\r\nof the three catchment areas implemented a similar tool. The new r\ eport has standardized the process in all three regions and across all\r\nproviders. The Provider Weekly Vacancy Report provides information in order to validate the current BEDs Data System, as well as\r\nprovide continuous updates to maintain its accura\ cy. This report is also used to develop and maintain the Hospital Vacancy Report,\r\nwhich is used for notifying state hospital treatment teams of bed vacancies and assignment opportunities. All DMHAS community\r\nproviders were invited to participate in \ a webinar training on June 19, 2019. The Provider Weekly Vacancy Report went into effect on\r\nJuly 1st, 2019.\r\n)/K[36 37 38 39 40 41 42 43 44 45 46 47 48 49 50]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 950 0 obj <>/ActualText(The 2019 values were calculated by dividing the sum of the reported number of requested assignments, by the sum of the reported\r\ncapacities at each program. The SMHA collected this data from 33 CSS providers at the end of SFY19.\r\n)/K[51 52]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 951 0 obj <>/ActualText(New Description of Data:\(if needed\)\r\n)/K[53 54]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 952 0 obj <>/ActualText(Data issues/caveats that affect outcome measures:\r\n)/K[55]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 953 0 obj <>/ActualText(The reporting of occupancy strictly among CSS provider agencies necessitated the use of the Provider Weekly Reports \(PWRs\). The\r\nrollout of the standardized PWRs came late in SFY19, so there is a small number of providers who have yet to submit their \ data in the\r\nproscribed fashion. This performance indicator is expressed as a proportion, and the SMHA does not feel that the SFY19 occupancy rate\r\n)/K[56 57 58]/P 282 0 R/Pg 116 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 954 0 obj <>/ActualText(of 95.9% would be materially different if/when all of the data was reported.\r\nNew Data issues/caveats that affect outcome measures:\r\n)/K[0 1]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 243 0 R>> endobj 955 0 obj <>/ActualText(Report of Progress Toward Goal Attainment\r\n)/K[2]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 1043 0 R>> endobj 956 0 obj <>/ActualText(gfedc\r\n)/K[3 4 5 6 7]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 957 0 obj <>/ActualText(gfedcb\r\n)/K[8 9 10 11 12 13]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 958 0 obj <>/ActualText(Achieved\r\n)/K[14]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 959 0 obj <>/ActualText(Not Achieved \(if not achieved,explain why\)\r\n)/K[15 16]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 1049 0 R>> endobj 960 0 obj <>/ActualText(First Year Target:\r\n)/K[17]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 1048 0 R>> endobj 961 0 obj <>/ActualText(Reason why target was not achieved, and changes proposed to meet target:\r\n)/K[18]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 962 0 obj <>/ActualText(In SFY 2020, the occupancy rate \(i.e., occupied CSS housing units and those units with an assignment\) was 95%. COVID-19 has caused a\r\nreduction in community placement. With the pandemic situation likely persisting for the majority of SFY 2021, the sit\ uation of\r\ncommunity placement will not likely improve. Therefore, we will adjust the target occupancy rate for SFY 2021 to be 95%.\r\n)/K[19 20 21]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 963 0 obj <>/ActualText(How first year target was achieved \(optional\):\r\n)/K[22 23 24]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 964 0 obj <>/ActualText(15\r\n)/K[25]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 965 0 obj <>/ActualText(Priority #:\r\n)/K[26]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 966 0 obj <>/ActualText(Priority Area:\r\n)/K[27]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 967 0 obj <>/ActualText(First Episode Psychosis \(FEP\)\r\n)/K[28]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 968 0 obj <>/ActualText(Priority Type:\r\n)/K[29]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 969 0 obj <>/ActualText(MHS\r\n)/K[30]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 970 0 obj <>/ActualText(Population\(s\):\r\n)/K[31]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 971 0 obj <>/ActualText(SMI\r\nGoal of the priority area:\r\n)/K[32 33]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 1047 0 R>> endobj 972 0 obj <>/ActualText(Early treatment and intervention of psychosis helps change the trajectory of psychotic disorders in young adults by improving symptoms, reducing the\r\nlikelihood of long-term disability and leading to productive independent meaningful lives.\r\n)/K[34 35]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 973 0 obj <>/ActualText(Strategies to attain the goal:\r\n)/K[36]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 974 0 obj <>/ActualText(Objectives will be addressed through the implementation of a Coordinated Specialty Care \(CSC\) model. CSC is an evidence-based recovery-oriented\r\napproach involving clients and family members as active participants. All services are highly coordinated \ with primary medical care.\r\n)/K[37 38]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 975 0 obj <>/ActualText(New Jersey's CSC services are provided for youth and adults between the ages of 15 to 35 years who have experienced psychotic symptoms for less than\r\n2 years with or without treatment. Since November 2016, three teams in New Jersey have been funded to p\ rovide CSC services. They cover all 21\r\ncounties using extensive outreach efforts. The three provider agencies are Oaks Integrated Care for Southern region, Rutgers University Behavioral\r\nHealth Center for Central region, and CarePlus NJ for Northern \ region.\r\n)/K[39 40 41 42]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 976 0 obj <>/ActualText(Each CSC team is comprised of six members, mostly masters level clinicians, who contribute to high levels of care. They take on the roles of Team Leader,\r\nRecovery Coach, Supported Employment and Education Specialist, Pharmacotherapist, Outreach and Ref\ erral Specialist, and Peer Support Specialist.\r\nThe New Jersey CSC model emphasizes treatment through the following components: outreach, low-dosage medications, cognitive and behavioral\r\nskills training, Individualized Placement and Support \(IPS\), \ supported employment and supported education, peer support, case management, and\r\nfamily psychoeducation.\r\n)/K[43 44 45 46 47]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 242 0 R>> endobj 977 0 obj <>/ActualText(In SFY 2019, the three CSC programs had over 277 referrals and served 215 clients in their programs. New Jersey plans to continue utilizing the 10% set-\r\naside funding in the FY 2020-21 to support these three CSC teams in providing evidence-based servic\ es for individual with FEP. With increased demand\r\nfor FEP services, the CSC programs have expanded from serving 35 clients to 70 clients per agency and increased clinical staff from 5.2 FTE to 6.8 FTE\r\nlevels in FY 2019.\r\n)/K[48 49 50 51]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 978 0 obj <>/ActualText(Annual Performance Indicators to measure goal success\r\n)/K[52]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 214 0 R>> endobj 979 0 obj <>/ActualText(Indicator #:\r\n)/K[53]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 980 0 obj <>/ActualText(1\r\n)/K[54]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 981 0 obj <>/ActualText(Indicator:\r\n)/K[55]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 982 0 obj <>/ActualText(Medication adherence among clients who need psychotropic medication prescribed for FEP\r\ntreatment.\r\n)/K[56 57]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 983 0 obj <>/ActualText(Baseline Measurement:\r\n)/K[58]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 984 0 obj <>/ActualText(In SFY 2018, among clients who were taking or in need of antipsychotic medication for the\r\ntreatment of their psychosis at intake, 78.4% adhere to their medication regimen. In SFY\r\n2019, out of 215 clients being served, 190 were taking or in need of a\ ntipsychotic\r\nmedication. Among them, 86.8% \(165\) adhered to their psychotropic medication regimens.\r\n)/K[59 60 61 62]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 985 0 obj <>/ActualText(First-year target/outcome measurement:\r\n)/K[63]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 986 0 obj <>/ActualText(In SFY 2020, it is anticipated that at least 88% of the client who are taking or in need of\r\nantipsychotic medication adhere to the medication regimen.\r\n)/K[64 65]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 987 0 obj <>/ActualText(Second-year target/outcome measurement:\r\n)/K[66]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 988 0 obj <>/ActualText(In SFY 2021, it is anticipated that at least 90% of the client who are taking or in need of\r\nantipsychotic medication adhere to the medication regimen.\r\n)/K[67 68]/P 282 0 R/Pg 121 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 989 0 obj <>/ActualText(New Second-year target/outcome measurement\(if needed\):\r\nData Source:\r\n)/K[0 1 2 3]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 990 0 obj <>/ActualText(The Division of Mental Health and Addiction Services \(DMHAS\) maintains a CSC clinical diagnostic database, which is used for tracking\r\nmedication monitoring in all 3 agencies.\r\n)/K[4 5]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 991 0 obj <>/ActualText(New Data Source\(if needed\):\r\n)/K[6 7 8]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 992 0 obj <>/ActualText(Description of Data:\r\n)/K[9]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 993 0 obj <>/ActualText(The three CSC service providers submit the client level clinical diagnostic data quarterly to DMHAS. The CSC clinical diagnostic database\r\ntracks client referral and intake; functional status; program involvement; education and employment; medication an\ d substance use;\r\nsuicide ideation; hospitalization; and client discharge information.\r\n)/K[10 11 12]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 994 0 obj <>/ActualText(The DMHAS is in the process of creating a comprehensive client level data system that includes data elements from all DMHAS\r\ncontracted community programs. The client level data system will include all CSC program elements currently collected through th\ e CSC\r\nclinical diagnostic database and additional measures required by federal and state data reporting and evaluation. The client level data\r\nwill provide a detailed description of the FEP population receiving CSC services in New Jersey and will hel\ p capture the treatment and\r\nrecovery progress of CSC clients so that DMHAS can improve services for early serious mental illness \(ESMI\) population in New Jersey.\r\n)/K[13 14 15 16 17]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 995 0 obj <>/ActualText(New Description of Data:\(if needed\)\r\n)/K[18 19]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 996 0 obj <>/ActualText(Data issues/caveats that affect outcome measures:\r\n)/K[20]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 997 0 obj <>/ActualText(Clients who participate in medication monitoring may not always be forthright with service providers about medication adherence\r\npatterns and this may introduce possible errors in data interpretation.\r\n)/K[21 22]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 998 0 obj <>/ActualText(New Data issues/caveats that affect outcome measures:\r\n)/K[23]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 999 0 obj <>/ActualText(Report of Progress Toward Goal Attainment\r\n)/K[24]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 1043 0 R>> endobj 1000 0 obj <>/ActualText(gfedc\r\n)/K[25 26 27 28 29]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 1001 0 obj <>/ActualText(gfedcb\r\n)/K[30 31 32 33 34 35]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 1050 0 R>> endobj 1002 0 obj <>/ActualText(Achieved\r\n)/K[36]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 1003 0 obj <>/ActualText(Not Achieved \(if not achieved,explain why\)\r\n)/K[37 38]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 1049 0 R>> endobj 1004 0 obj <>/ActualText(First Year Target:\r\n)/K[39]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 1048 0 R>> endobj 1005 0 obj <>/ActualText(Reason why target was not achieved, and changes proposed to meet target:\r\n)/K[40]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 1006 0 obj <>/ActualText(The original first-year \(SFY 2020\) target was set at 88%. The results showed that 87% of the clients who were taking or in need of\r\nantipsychotic medication adhered to the medication regimens in SFY 2020, which is consistent with the rate in SFY 2019 \ \(86.8%\). It seems\r\nthe targets for SFY 2020 \(88%\) and SFY 2021 \(90%\) were set too high. We, therefore, propose the new second-year \(SFY 2021\) target to be\r\n88%.\r\n)/K[41 42 43 44]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 1007 0 obj <>/ActualText(Due to COVID-19 and working from home arrangement, some agencies have difficulty submitting the complete clean data to SMHA. The\r\nSMHA are aware of the data quality issues and are working with the agencies to fix the data issues.\r\n)/K[45 46]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 1008 0 obj <>/ActualText(How first year target was achieved \(optional\):\r\n)/K[47 48 49]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 1009 0 obj <>/ActualText(Priority #:\r\n)/K[50]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 1010 0 obj <>/ActualText(16\r\n)/K[51]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 1011 0 obj <>/ActualText(Priority Area:\r\n)/K[52]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 1012 0 obj <>/ActualText(System wide assessment for delivering services to diverse populations\r\n)/K[53]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 1013 0 obj <>/ActualText(Priority Type:\r\n)/K[54]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 1014 0 obj <>/ActualText(MHS\r\n)/K[55]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 1015 0 obj <>/ActualText(Population\(s\):\r\n)/K[56]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 1016 0 obj <>/ActualText(SMI\r\nGoal of the priority area:\r\n)/K[57 58]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 1047 0 R>> endobj 1017 0 obj <>/ActualText(System wide assessment for delivering services to diverse populations.\r\nStrategies to attain the goal:\r\nSince 1985, the Division of Mental Health and Addiction Services \(DMHAS\) has had the commitment to improve services to individuals from diverse\r\ \n)/K[59 60 61]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 1046 0 R>> endobj 1018 0 obj <>/ActualText(backgrounds, including LGBTQ. The mechanism for addressing these system needs began with the 2015 reformation of DMHAS' multicultural activities\r\ninto a Multicultural Services Advisory Committee \(MSAC\). The MSAC has developed a process for systems ass\ essment that will begin by surveying all\r\ncontracted agencies about their existing planning and service delivery to diverse populations. As the SMHA reviewed the results of these surveys, gaps\r\nin service and needs for technical assistance \(TA\) were\ identified. Beginning in early 2016, TA groups were held in the north and south to assist\r\nagencies in formulating multicultural plans. Those plans became a part of the SMHA's contracting process in FY 2017 and have been followed by the\r\n)/K[62 63 64 65 66]/P 282 0 R/Pg 126 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 1019 0 obj <>/ActualText(DMHAS Multicultural Training and Technical Assistance Center each year to ensure that the plans continue to grow. In addition, in FY 2018, DMHAS\r\ncontracted with a diversity consultant to provide administrative and research-based assistance with this in\ itiative. The diversity consultant was charged\r\nwith securing scholarly presenters for trainings and workshops to further educate and engage providers with completing their Cultural Competence\r\nPlan. The diversity consultant's role expanded in FY 2019\ to include qualitative and quantitative analysis of data in order to present a more robust\r\npicture of DMHAS' agency gaps and trends leading to greater concentration of creating and sustaining a culture of inclusion.\r\n)/K[0 1 2 3 4]/P 282 0 R/Pg 131 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 1020 0 obj <>/ActualText(The MSAC, with assistance from DMHAS and the diversity consultant, is developing a "Center for Cultural Competency Excellence" designation for\r\nagencies that meet exemplary criteria in addition to completing their Cultural Competency Plans.\r\n)/K[5 6]/P 282 0 R/Pg 131 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 1021 0 obj <>/ActualText(Each mental health community provider is required to develop a Cultural Competence Plan describing the integration of cultural and linguistic\r\ncompetence throughout the organization, including direct attention to issues of gender, age, and culture. An o\ rganizational self-assessment helps\r\nprioritize the steps needed to develop those congruent behaviors and improve culturally responsive services. The plan that results from that\r\nassessment, which has 47 items, should address all diverse groups that a\ re served within the agency: for example, cultural, ethnic and linguistically\r\ndiverse people, individuals who are deaf and hard of hearing, Lesbian, Gay, Bisexual, Transgender people, older people; and outline strategies for\r\nrecruiting, hiring, reta\ ining, and promoting culturally competent, diverse staff members; the use of interpreters or bilingual staff members; staff\r\ntraining, professional development, and education; fostering community involvement; facilities design and operation; development\ of cultural and\r\ndiversity appropriate program materials; how to incorporate diverse treatment approaches; and development and implementation of supporting\r\npolicies and procedures, including reassessment processes.\r\n)/K[7 8 9 10 11 12 13 14 15]/P 282 0 R/Pg 131 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 1022 0 obj <>/ActualText(Annual Performance Indicators to measure goal success\r\n)/K[16]/P 282 0 R/Pg 131 0 R/S/P/Type/StructElem/XXStyle 214 0 R>> endobj 1023 0 obj <>/ActualText(Indicator #:\r\n)/K[17]/P 282 0 R/Pg 131 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 1024 0 obj <>/ActualText(1\r\n)/K[18]/P 282 0 R/Pg 131 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 1025 0 obj <>/ActualText(Indicator:\r\n)/K[19]/P 282 0 R/Pg 131 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 1026 0 obj <>/ActualText(Proportion of agencies that have three areas identified from their self-assessment included\r\nin their Cultural Competence Plans.\r\n)/K[20 21]/P 282 0 R/Pg 131 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 1027 0 obj <>/ActualText(Baseline Measurement:\r\n)/K[22]/P 282 0 R/Pg 131 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 1028 0 obj <>/ActualText(The baseline variable is the number of provider agencies that complete their self-\r\nassessments and have a written Cultural Competence Plan containing at least three of the\r\nareas needed to enhance cultural competency. The establishment of a baseline \ is still in\r\nprocess and is expected to be completed in SFY 2020. The MSAC will complete the "Center\r\nfor Cultural Competency Excellence" designation for agencies.\r\n)/K[23 24 25 26 27]/P 282 0 R/Pg 131 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 1029 0 obj <>/ActualText(First-year target/outcome measurement:\r\n)/K[28]/P 282 0 R/Pg 131 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 1030 0 obj <>/ActualText(Thirty \(30\) percent of all providers will have written Cultural Competence Plans which\r\ninclude at least three areas identified in their self-assessment. Agencies will apply for\r\n"Center for Cultural Competency Excellence" designation.\r\n)/K[29 30 31]/P 282 0 R/Pg 131 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 1031 0 obj <>/ActualText(Second-year target/outcome measurement:\r\n)/K[32]/P 282 0 R/Pg 131 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 1032 0 obj <>/ActualText(Fifty percent \(50%\) of all providers will have written Cultural Competence Plans which\r\ninclude at least three areas identified in their self-assessment. Agency "Center for Cultural\r\nCompetency Excellence" designations will be reviewed and awarded.\r\ \n)/K[33 34 35]/P 282 0 R/Pg 131 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 1033 0 obj <>/ActualText(New Second-year target/outcome measurement\(if needed\):\r\nData Source:\r\n)/K[36 37 38 39]/P 282 0 R/Pg 131 0 R/S/P/Type/StructElem/XXStyle 1045 0 R>> endobj 1034 0 obj <>/ActualText(Self assessments and written plans checked by SMHA, Multicultural Training and Technical Assistance Center staff, and analyzed by the\r\ndiversity consultant.\r\n)/K[40 41]/P 282 0 R/Pg 131 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 1035 0 obj <>/ActualText(New Data Source\(if needed\):\r\n)/K[42 43 44]/P 282 0 R/Pg 131 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 1036 0 obj <>/ActualText(Description of Data:\r\n)/K[45]/P 282 0 R/Pg 131 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 1037 0 obj <>/ActualText(The establishment of written organizational plans for addressing culture and diversity based upon agency self-assessment. The areas\r\ncovered: Governance, Leadership, and Workforce; Communication and Language Assistance and Engagement, Continuous\r\nImpr\ ovement, and Accountability. Plans identify a minimum of at least three activities from these areas.\r\n)/K[46 47 48]/P 282 0 R/Pg 131 0 R/S/P/Type/StructElem/XXStyle 215 0 R>> endobj 1038 0 obj <>/ActualText(New Description of Data:\(if needed\)\r\n)/K[49 50]/P 282 0 R/Pg 131 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 1039 0 obj <>/ActualText(Data issues/caveats that affect outcome measures:\r\n)/K[51]/P 282 0 R/Pg 131 0 R/S/P/Type/StructElem/XXStyle 1044 0 R>> endobj 1040 0 obj <>/ActualText(Some agencies have been reluctant to initiate a multicultural plan due to staffing demands, cultural competency misinformation, and\r\nfiscal issues. 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