Community Support Programs Branch
Grant Programs
Since 1998, the CSP Branch has supported the adoption of best practices and evaluation of service models for older Americans with a mental health or substance abuse problems through grant programs:
Targeted Capacity Expansion (TCE) for Older Adults Mental Health Services Program Site
In 2002, the Targeted Capacity Expansion (TCE) for Older Adults Mental Health Services program was initiated to support states to increase service capacity for older persons with mental health and substance abuse needs. The TCE grant program builds, in part, on lessons learned from the Primary Care Research in Substance Abuse and Mental Health Services for the Elderly (PRISM-E) study funded from 1998-2004.
In 2002, nine TCE grants were awarded to increase service capacity for older persons with mental health needs. In 2005, 11 more TCE grants were awarded. The program includes a diverse array of grantees that provide services that are culturally appropriate, including serving persons in rural and frontier areas.
Grantees were awarded no more than $400,000 in total costs (direct and indirect) per year, for up to 3 years. Between 10 and 15 percent of the total award was to be used to conduct a local evaluation of the services expansion program.
The overall goals of the program are to:
- Increase existing services or develop and implement prevention, intervention, and/or treatment services targeted to persons 65 years and older;
- Improve the quality and accessibility of mental health services to older persons; and
- Engage in the building of system infrastructure that will support the increased amount, quality, and accessibility of services to older persons.
The Positive Aging Resource Center (PARC) worked with the TCE sites to select appropriate screening instruments and models of care that work with primary care settings.
Additionally, the National Implementation Research Network (NIRN) provided assistance to TCE grantees to assure the use of evidence-based programs and other innovations that benefit consumers.
For more information:
Targeted Capacity Expansion (TCE) Grant Program: Implementing Evidence-Based Mental Health Services for Older Adults
TCE Grantees FY 2002-2005
TCE Grantees FY 2005-2008
Targeted Capacity Expansion Program RFA Announcement FY 2005-
FY 2007
Primary Care Research in Substance Abuse and Mental Health Services for the Elderly (PRISM-E) Study
Conducted between 1998 and 2004, the Primary Care Research in Substance Abuse and Mental Health Services for the Elderly (PRISM-E) study was undertaken to compare two ways of delivering mental health and substance abuse services to older adults. Specifically, the study explored whether the needs of older adults were better served by integrating mental health services into primary care settings, or by referring patients and giving them some added support to visit mental health specialty practices offsite.
The study was designed so that the strategies used to integrate care and to strengthen the referral care approach could be easily duplicated in a real-world medical practice.
For more information:
http://www.samhsa.gov/SAMHSA_News/VolumeXV_1/article1.htm
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