Common use of Required Activities Clause in Contracts

Required Activities. During the four-year implementation period, grantees will be expected to realize goals and actions identified in their comprehensive strategic plans to expand and sustain SOCs. Activities must demonstrate the ability to improve, expand, and sustain required comprehensive services and supports throughout the geographic area that are consistent with SOC principles and philosophy. These funds must be used to create infrastructure, facilitate access to required services and supports (including mental health, related recovery supports, case management, and outreach services), and to provide required mental health and related recovery support services that are identified under Sections 561-565 of the Public Health Service Act, as amended. See Appendix E for Required Mental Health and Recovery Support Services. SOC Expansion and Sustainability Cooperative Agreements funds must be used to support infrastructure development and services not covered by Medicaid, private, or other types of insurance. Up to 30 percent of the grant funds may be used for infrastructure development. The following are required activities designed to implement, expand, operate, and sustain SOCs: Provision of the following mental health services: (1) diagnostic and evaluation services; (2) outpatient services, including individual, group and family counseling services, professional consultation, and review and management of medications; (3) 24-hour emergency services, 7 days a week; (4) intensive home-based services for the children and their families when the child is at imminent risk of out-of-home placement; (5) intensive day treatment services; (6) respite care; (7) therapeutic xxxxxx care services, and services in therapeutic xxxxxx family homes or individual therapeutic residential homes, and group homes caring for not more than 10 children; (8) assisting the child in making the transition from services received as a child to the services to be received as an adult; and (9) other recovery support services (e.g. supported employment) and focus efforts to provide early treatment for those youth with early onset of (SED/SMI). Services that are delivered with cultural and linguistic competence and address issues of diversity and disparity. Services that are delivered within a family-driven, youth-guided/directed framework and where engagement of family and youth is demonstrated through integral partners in their own treatment services and supports. Integral involvement of families and youth in the planning, governance, implementation, evaluation and oversight of grant activities and in the system planning efforts to expand and sustain systems of care. Incorporation of trauma-related activities into the service system, including trauma screening, trauma treatment, and a trauma-informed approach to care. Implementing evidence-based and promising approaches to treatment while integrating mental health and substance abuse services, supports, and systems. Mechanisms to promote and sustain youth and family participation, e.g., peer support, development of youth leadership, mentoring programs, and the partnership between family, adult consumer and youth organizations, youth-guided activities, youth peer specialists, parent support providers establishing permanent youth and family advisory and evaluation bodies, and self-help organizations/programs. Collaborations across child-serving agencies (e.g., substance use, child welfare, juvenile justice, primary care, education, early childhood) and among critical providers and programs to build bridges among partners, including relationships between community and residential treatment settings. Collaboration between child and adult serving agencies are critical when serving older youth who are transitioning to adulthood. Workforce participation through the use of peer support providers (family and youth) shall be expanded. Activities should be consistent with SAMHSA and the Centers for Medicare and Medicaid Services’ (CMS) Information Bulletin “Coverage of Behavioral Health Services for Children, Youth, and Young Adults with Significant Mental Health Conditions” that can be accessed at: xxxx://xxxxx.xxx.xxxxxxxxxx.xxx/media-center/morning-zen/cmssamhsa/CIB-05-07-2013.pdf. Develop and implement an integrated crisis response strategy that creates a continuum of community-based crisis services and supports to reduce the unnecessary use of inpatient services by children and youth with SED. Collaboration between Statewide Family Network grantees, XXXXXX’s Community Mental Health Services Block Grants (including the required set-aside for first episode mental illness/psychosis), “Now is the Time” Healthy Transitions grants, and other SAMHSA grants as deemed appropriate. More information for these grants can be found at: xxxx://xxx.xxxxxx.xxx/grants/grant-announcements/sm-16-004 xxxx://xxx.xxxxxx.xxx/grants/block-grants/mhbg xxxx://xxx.xxxxxx.xxx/nitt-ta/healthy-transitions-grant-information Training/workforce development to help staff and providers in the community identify mental health or substance abuse issues and/or provide effective services. Development of outreach and engagement strategies that identify and engage youth and families in SOC efforts including those focusing on youth experiencing early on-set of SED/SMI and other hard to reach populations. Creation of flexible funds with agency policy support. Flex funds shall be used to support the individualized needs of children, youth, and families that are not typically covered services and otherwise not reimbursable. Use of flex funds shall be tied into an individual’s plan of care (i.e., treatment plan), and should be considered as a temporary solution to address a specific need. Any youth enrolled in SOC case management services as a result of the grant should be included in the service delivery tracking data. This would include youth enrolled in services for which payment for services are made, or can reasonably be expected to be made under any state compensation program, under a private insurance policy, or under any federal or state health benefits program. Other Allowable Activities XXXXXX’s SOC Expansion and Sustainability Cooperative Agreements will also support the following types of activities: Collaborating with existing federal grant programs and/or interagency teams serving the same population of focus such as state children’s cabinet youth council, shared youth vision team, and state and local youth and family organizations. Ensuring the development, implementation and evaluation of cultural and linguistic competence at the system, organizational and direct service levels of care. Reviewing policies and regulations to improve service delivery. Building capacity of state/tribal and local levels to provide sustained service delivery to children, youth and families. Conducting needs assessments. Adopting and/or enhancing your computer system, management information system (MIS), electronic health records (EHRs), etc., to document and manage client needs, care process, integration with related support services, and outcomes.

Required Activities. During the four4-year implementation period, grantees will be expected to realize goals and actions identified in their comprehensive strategic plans to expand and sustain SOCssystems of care. Activities must demonstrate the ability to improve, expand, and sustain required comprehensive services and supports throughout the geographic area that are consistent with SOC principles and philosophy. These funds must be used to create infrastructure, facilitate access to required services and supports (including mental health, related recovery supports, case management, and outreach services), ) and to provide required mental health and related recovery support services that are identified under Sections 561-561- 565 of the Public Health Service Act, as amended. See Appendix E IV for Required Mental Health and Recovery Support Services. SOC Expansion and Sustainability Cooperative Agreements funds must be used to support infrastructure development and services not covered by Medicaid, private, private or other types of insurance. Up to 30 thirty percent of the grant funds may be used for infrastructure development. The following are required activities designed to implement, expand, operate, and sustain SOCssystems of care to include:  Provision of the following mental health services: (1) diagnostic and evaluation services; (2) outpatient services, including individual, group and family counseling services, professional consultation, and review and management of medications; (3) 24-hour emergency services, 7 days a week; (4) intensive home-based services for the children and their families when the child is at imminent risk of out-of-home placement; (5) intensive day treatment services; (6) respite care; (7) therapeutic xxxxxx care services, and services in therapeutic xxxxxx family homes or individual therapeutic residential homes, and group homes caring for not more than 10 children; (8) assisting the child in making the transition from services received as a child to the services to be received as an adult; and (9) other recovery support services (e.g. supported employment) and focus efforts to provide early treatment for those youth with early onset of serious emotional disturbances/serious mental illness (SED/SMI).  Services that are delivered with cultural and linguistic competence and address issues of diversity and disparity.  Services that are delivered within a family-driven, youth-guided/directed framework and where that engagement of family and youth is demonstrated through integral partners in their own treatment services and supports.  Integral involvement of families and youth in the planning, governance, implementation, evaluation and oversight of grant activities and in the system planning efforts to expand and sustain systems of care.  Incorporation of trauma-related activities into the service system, including trauma screening, trauma treatment, and a trauma-informed approach to care. Implementing evidence-based based, and promising approaches to treatment while integrating mental health and substance abuse services, supports, and systems.  Mechanisms to promote and sustain youth and family participation, e.g., peer support, development of youth leadership, mentoring programs, and the partnership between family, adult consumer and youth organizations, youth-youth- guided activities, youth peer specialists, parent support providers establishing permanent youth and family advisory and evaluation bodies, and self-help organizations/programs.  Collaborations across child-serving agencies (e.g., substance use, child welfare, juvenile justice, primary care, education, early childhood) and among critical providers and programs to build bridges among partners, including relationships between community and residential treatment settings. Collaboration between child and adult serving agencies are critical when serving older youth who are transitioning to adulthood. Workforce participation through the use of peer support providers (family and youth) shall be expanded. Activities should be consistent with SAMHSA and the Centers for Medicare and Medicaid Services’ (CMS) Information Bulletin “Coverage of Behavioral Health Services for Children, Youth, and Young Adults with Significant Mental Health Conditions” that can be accessed at: xxxx://xxxxx.xxx.xxxxxxxxxx.xxx/media-center/morning-zen/cmssamhsa/CIB-05-07-2013.pdf. Develop and implement an integrated crisis response strategy that creates a continuum of community-based crisis services and supports to reduce the unnecessary use of inpatient services by children and youth with SED. Collaboration between Statewide Family Network grantees, XXXXXX’s Community Mental Health Services Block Grants (including the required set-aside for first episode mental illness/psychosis), “Now is the Time” Healthy Transitions grants, and other SAMHSA grants as deemed appropriate. More information for these grants can be found at: xxxx://xxx.xxxxxx.xxx/grants/grant-announcements/sm-16-004 xxxx://xxx.xxxxxx.xxx/grants/block-grants/mhbg xxxx://xxx.xxxxxx.xxx/nitt-ta/healthy-transitions-grant-information  Training/workforce development to help staff and providers in the community identify mental health or substance abuse issues and/or provide effective services.  Development of outreach and engagement strategies that identify and engage youth and families in SOC efforts including those focusing on youth experiencing early on-set of SED/SMI and other hard to reach populations. Creation of flexible funds with agency policy support. Flex funds shall be used to support the individualized needs of children, youth, and families that are not typically covered services and otherwise not reimbursable. Use of flex funds shall be tied into an individual’s plan of care (i.e., treatment plan), and should be considered as a temporary solution to address a specific need. Any youth enrolled in SOC case management services as a result of the grant should be included in the service delivery tracking data. This would include youth enrolled in services for which payment for services are made, or can reasonably be expected to be made under any state compensation program, under a private insurance policy, or under any federal or state health benefits program. Other Allowable Activities XXXXXX’s SOC Expansion and Sustainability Cooperative Agreements will also support the following types of activities: Collaborating with existing federal grant programs and/or interagency teams serving the same population of focus such as state children’s cabinet youth council, shared youth vision team, and state and local youth and family organizations. Ensuring the development, implementation and evaluation of cultural and linguistic competence at the system, organizational and direct service levels of care. Reviewing policies and regulations to improve service delivery. Building capacity of state/tribal and local levels to provide sustained service delivery to children, youth and families. Conducting needs assessments. Adopting and/or enhancing your computer system, management information system (MIS), electronic health records (EHRs), etc., to document and manage client needs, care process, integration with related support services, and outcomes.

Required Activities. During the four-year implementation period, grantees will be expected to realize goals and actions identified in their comprehensive strategic plans to expand and sustain SOCs. Activities must demonstrate the ability to improve, expand, and sustain required comprehensive services and supports throughout the geographic area that are consistent with SOC principles and philosophy. These funds must be used to create infrastructure, facilitate access to required services and supports (including mental health, related recovery supports, case management, and outreach services), and to provide required mental health and related recovery support services that are identified under Sections 561-565 of the Public Health Service Act, as amended. See Appendix E IV for Required Mental Health and Recovery Support Services. SOC Expansion and Sustainability Cooperative Agreements funds must be used to support infrastructure development and services not covered by Medicaid, private, or other types of insurance. Up to 30 percent of the grant funds may be used for infrastructure development. The following are required activities designed to implement, expand, operate, and sustain SOCs: Provision of the The following mental health servicesservices shall be provided: (1) diagnostic and evaluation services; (2) outpatient services, including individual, group and family counseling services, ; professional consultation, ; and review and management of medications; (3) 24-hour emergency services, 7 seven days a week; (4) intensive home-based services for the children and their families when the child is at imminent risk of out-of-home placement; (5) intensive day treatment services; (6) respite care; (7) therapeutic xxxxxx care services, and services in therapeutic xxxxxx family homes or individual therapeutic residential homes, and group homes caring for not more than 10 children; (8) assisting the child in making the transition from services received as a child to the services to be received as an adult; and (9) other recovery support services (e.g. e.g., supported employment) and focus efforts to provide early treatment for those youth with early onset of (SED/SMI). Capacity building strategies for state/tribal and local levels to provide sustained service delivery to children, youth, and families shall be implemented. These shall include the review and revision of policies and regulations to improve service delivery to support expansion and sustainability requirements. Services that are shall be delivered with cultural and linguistic competence and shall address issues of diversity and disparity. Services that are shall be delivered within a family-driven, youth-guided/directed framework and where engagement of family and youth is shall be demonstrated through integral partners partnerships in their own treatment services and supports. Integral involvement of families Families and youth shall be integrally involved in the planning, governance, implementation, evaluation evaluation, and oversight of grant activities and in the system planning efforts to expand and sustain systems of careSOCs. Incorporation of traumaTrauma-related activities shall be incorporated into the service system, including trauma screening, trauma treatment, and a trauma-informed approach to care. Implementing evidence-based and promising approaches to treatment while integrating mental health and substance abuse services, supports, and systemssystems shall be implemented. Mechanisms to promote and sustain youth and family participation, participation shall be implemented (e.g., peer support, ; development of youth leadership, ; mentoring programs, and the partnership between family, adult consumer consumer, and youth organizations, ; youth-guided activities, ; youth peer specialists, ; parent support providers establishing permanent youth and family advisory and evaluation bodies, ; and self-help organizations/programs). Collaborations across child-serving agencies (e.g., substance use, child welfare, juvenile justice, primary care, education, early childhood) and among critical providers and programs to build bridges among partners, including relationships between community and residential treatment settings. Collaboration between child and adult serving agencies are is critical when serving older youth who are transitioning to adulthood. Workforce participation through the use of peer support providers (family and youth) shall be expanded. Activities should be consistent with SAMHSA and the Centers for Medicare and Medicaid Services’ (CMS) Information Bulletin “Coverage of Behavioral Health Services for Children, Youth, and Young Adults with Significant Mental Health Conditions” that can be accessed at: xxxx://xxxxx.xxx.xxxxxxxxxx.xxx/media-center/morning-zen/cmssamhsa/CIB-05-07-2013.pdf. xxxx://xxxxx.xxx.xxxxxxxxxx.xxx/media-center/morning-zen/cmssamhsa/CIB-05-07-2013.pdf Develop and implement an integrated crisis response strategy that creates a continuum of community-based crisis services and supports to reduce the unnecessary use of inpatient services by children and youth with SED. Collaboration between Statewide Family Network grantees, XXXXXX’s Community Mental Health Services Block Grants (including the required set-aside for first episode mental illness/psychosis), “Now is the Time” Healthy Transitions grants, and other SAMHSA grants as deemed appropriate. More information for these grants can be found at: xxxx://xxx.xxxxxx.xxx/grants/grant-announcements/sm-16-004 xxxx://xxx.xxxxxx.xxx/grants/block-grants/mhbg xxxx://xxx.xxxxxx.xxx/nitt-ta/healthy-transitions-grant-information Training/workforce development to help staff and providers in the community identify mental health or substance abuse issues and/or provide effective services. Development of outreach and engagement strategies that identify and engage youth and families in SOC efforts efforts, including those focusing on youth experiencing early on-set onset of SED/SMI and other hard to reach populations. Creation of flexible funds with agency policy support. Flex funds shall be used to support the individualized needs of children, youth, and families that are not typically covered services and otherwise not reimbursable. Use of flex funds shall be tied into an individual’s plan of care (i.e., treatment plan), and should be considered as a temporary solution to address a specific need. Any youth enrolled in SOC case management services as a result of the grant should be included in the service delivery tracking data. This would include youth enrolled in services for which payment for services are made, or can reasonably be expected to be made under any state compensation program, under a private insurance policy, or under any federal or state health benefits program. Other Allowable Activities XXXXXX’s SOC Expansion and Sustainability Cooperative Agreements will also support the following types of activities: Collaborating with existing federal grant programs and/or interagency teams serving the same population of focus such as state children’s cabinet youth council, shared youth vision team, and state and local youth and family organizations. Ensuring the development, implementation and evaluation of cultural and linguistic competence at the system, organizational and direct service levels of care. Reviewing policies and regulations to improve service delivery. Building capacity of state/tribal and local levels to provide sustained service delivery to children, youth and families. Conducting needs assessments. Adopting and/or enhancing your computer system, management information system (MIS), electronic health records (EHRs), etc., to document and manage client needs, care process, integration with related support services, and outcomes.

Required Activities. During the four4-year implementation period, grantees will be expected to realize goals and actions identified in their comprehensive strategic plans to expand and sustain SOCssystems of care. Activities must demonstrate the ability to improve, expand, and sustain required comprehensive services and supports throughout the geographic area that are consistent with SOC principles and philosophy. These funds must be used to create infrastructure, facilitate access to required services and supports (including mental health, related recovery supports, case management, and outreach services), ) and to provide required mental health and related recovery support supports services that are identified under Sections 561-561- 565 of the Public Health Service Act, as amended. amended (See Appendix E for Required Mental Health K). Priority will be given to States/Tribes/Territories that have demonstrated their interest and Recovery Support Servicesability to expand and sustain the system of care approach. The System of Care Expansion Implementation Cooperative Agreements is one of SAMHSA’s services grant programs. Service delivery should begin by the end of the 6th month at the latest. A list of required services is provided below. SOC Expansion and Sustainability Implementation Cooperative Agreements funds must be used to support infrastructure development and services not covered by Medicaid, private, or other include the following types of insurance. Up to 30 percent of the grant funds may be used for infrastructure development. The following are required activities designed to implement, expand, operate, operate and sustain SOCssystems of care: • Provision of the following mental health services: (1) diagnostic and evaluation services; (2) outpatient services, including individual, group and family counseling services, professional consultation, and review and management of medications; (3) 24-hour emergency services, 7 days a week; (4) intensive home-based services for the children and their families when the child is at imminent risk of out-of-home placement; intensive day treatment services; (5) intensive day treatment services; (6) respite care; (7) therapeutic xxxxxx care services, and services in therapeutic xxxxxx family homes or individual therapeutic residential homes, and group homes caring for not more than 10 children; and (8) assisting the child in making the transition from services received as a child to the services to be received as an adult; and (9) other recovery support . • Engagement in outreach activities to inform individuals, as appropriate, of the services (e.g. supported employment) and focus efforts available under the system. • Applicants must explain how they intend to provide early treatment for those youth with early onset of (SED/SMI). Services assure that are delivered with cultural and linguistic competence and address issues of diversity and disparity. Services that services are delivered within a family-driven, youth-guided/directed guided framework and where engagement how families and youth will be integrally involved in the governance and oversight of grant activities. • Expansion of family and youth is demonstrated through involvement, and demonstration that youth and families are integral partners in their own treatment services planning and supportsimplementation activities. Integral involvement of families and youth in the planning, governance, implementation, evaluation and oversight of grant activities and in the system planning efforts to expand and sustain systems of care. Incorporation of trauma-related activities into the service system, including trauma screening, trauma treatment, and a trauma-informed approach to care. Implementing evidence-based and promising approaches to treatment while integrating mental health and substance abuse services, supports, and systems. Mechanisms to promote and sustain youth and family participation, e.g., peer support, development of youth leadership, mentoring programs, and the partnership between family, adult consumer and youth organizations, youth-guided activities, youth peer specialists, parent support providers establishing permanent youth and family advisory and evaluation bodies, and self-help organizations/programs. • Collaborations across child-child serving agencies (e.g., substance use, child welfare, juvenile justice, primary care, education, early childhood) and among critical providers and programs to build bridges among partners, including relationships between community and residential treatment settings. Collaboration between child and adult serving agencies are critical when serving older youth who are transitioning to adulthood. Workforce participation through the use of peer support providers (family • Integration between mental health and youth) shall be expanded. Activities should be consistent with SAMHSA and the Centers for Medicare and Medicaid Services’ (CMS) Information Bulletin “Coverage of Behavioral Health Services for Children, Youth, and Young Adults with Significant Mental Health Conditions” that can be accessed at: xxxx://xxxxx.xxx.xxxxxxxxxx.xxx/media-center/morning-zen/cmssamhsa/CIB-05-07-2013.pdf. Develop and implement an integrated crisis response strategy that creates a continuum of community-based crisis substance abuse services and supports to reduce the unnecessary use of inpatient services by children and youth with SEDsystems. Collaboration between Statewide Family Network grantees, XXXXXX’s Community Mental Health Services Block Grants (including the required set-aside for first episode mental illness/psychosis), “Now is the Time” Healthy Transitions grants, and other SAMHSA grants as deemed appropriate. More information for these grants can be found at: xxxx://xxx.xxxxxx.xxx/grants/grant-announcements/sm-16-004 xxxx://xxx.xxxxxx.xxx/grants/block-grants/mhbg xxxx://xxx.xxxxxx.xxx/nitt-ta/healthy-transitions-grant-information Training/workforce development to help staff and providers in the community identify mental health or substance abuse issues and/or provide effective services. Development of outreach and engagement strategies that identify and engage youth and families in SOC efforts including those focusing on youth experiencing early on-set of SED/SMI and other hard to reach populations. • Creation of flexible funds with agency policy support. Flex funds shall be used to support the individualized needs of children, youth, outcome measurement strategies based on SOC values and families principles that are not typically covered services aligned with State/Tribal/Territorial efforts and otherwise not reimbursable. Use identification of flex funds shall be tied into an individual’s plan of care (i.e., treatment plan), and should be considered as a temporary solution to address a specific need. Any youth enrolled in SOC case management services as a result of the grant should be included in the service delivery tracking data. This would include youth enrolled in services for which payment for services are made, or can reasonably be expected to be made under any state compensation program, under a private insurance policy, or under any federal or state health benefits program. Other Allowable Activities XXXXXX’s SOC Expansion and Sustainability Cooperative Agreements will also support the following types of activities: Collaborating with existing federal grant programs and/or interagency teams serving the same population of focus such as state children’s cabinet youth council, shared youth vision team, and state and local youth and family organizations. Ensuring the development, implementation and evaluation of cultural and linguistic competence at the system, organizational and direct service levels of care. Reviewing policies and regulations to improve service delivery. Building capacity of state/tribal and local levels to provide sustained service delivery to children, youth and families. Conducting needs assessments. Adopting and/or enhancing your computer system, management information system (MIS), electronic health records (EHRs)and data management approaches. • Coordination of SOC strategies with block grants and other health care reform efforts. • Critical collaborations with substance abuse, etc., to document and manage client needs, care process, integration with related support serviceswellness promotion, and outcomesillness prevention activities. • Incorporation of trauma-related activities into the service system, including trauma screening, trauma treatment, and a trauma-informed approach to care. • Development of social marketing and strategic communications activities to promote social inclusion, develop partnerships, and promote system of care values and principles. • Creation of sustainable training and technical assistance strategies that facilitates ongoing learning, coaching and practice improvement, and supports fidelity to SOC values and principles. • Development and subsequent implementation of a strategic financing plan that incorporates Medicaid and other third party payors, other child serving agencies and systems, and block grants; thereby creating a mechanism for the SOC framework to be brought to scale and sustained. • Development of statewide/tribal/territorial interagency coordination and collaboration mechanisms that clearly support an infrastructure to increase the focus on wide scale adoption of SOC, including an organizational structure that identifies a locus of authority and responsibility, and ability to provide oversight of the SOC (e.g., Statewide/tribal/territorial Interagency SOC Expansion Implementation Board). • Establishment of policy, administrative and/or regulatory structures that support ongoing SOC implementation efforts.

Required Activities. During the four-year implementation period, grantees will be expected to realize goals and actions identified in their comprehensive strategic plans to expand and sustain SOCs. Activities must demonstrate the ability to improve, expand, and sustain required comprehensive services and supports throughout the geographic area that are consistent with SOC principles and philosophy. These funds must be used to create infrastructure, facilitate access to required services and supports (including mental health, related recovery supports, case management, and outreach services), and to provide required mental health and related recovery support services that are identified under Sections 561-565 of the Public Health Service Act, as amended. See Appendix E for Required Mental Health and Recovery Support Services. SOC Expansion and Sustainability Cooperative Agreements funds must be used to support infrastructure development and services not covered by Medicaid, private, or other types of insurance. Up to 30 percent of the grant funds may be used for infrastructure development. The following are required activities designed to implement, expand, operate, and sustain SOCs:  Provision of the following mental health services: (1) diagnostic and evaluation services; (2) outpatient services, including individual, group and family counseling services, professional consultation, and review and management of medications; (3) 24-hour emergency services, 7 days a week; (4) intensive home-based services for the children and their families when the child is at imminent risk of out-of-home placement; (5) intensive day treatment services; (6) respite care; (7) therapeutic xxxxxx care services, and services in therapeutic xxxxxx family homes or individual therapeutic residential homes, and group homes caring for not more than 10 children; (8) assisting the child in making the transition from services received as a child to the services to be received as an adult; and (9) other recovery support services (e.g. supported employment) and focus efforts to provide early treatment for those youth with early onset of (SED/SMI).  Services that are delivered with cultural and linguistic competence and address issues of diversity and disparity.  Services that are delivered within a family-driven, youth-guided/directed framework and where engagement of family and youth is demonstrated through integral partners in their own treatment services and supports.  Integral involvement of families and youth in the planning, governance, implementation, evaluation and oversight of grant activities and in the system planning efforts to expand and sustain systems of care.  Incorporation of trauma-related activities into the service system, including trauma screening, trauma treatment, and a trauma-informed approach to care. Implementing evidence-based and promising approaches to treatment while integrating mental health and substance abuse services, supports, and systems.  Mechanisms to promote and sustain youth and family participation, e.g., peer support, development of youth leadership, mentoring programs, and the partnership between family, adult consumer and youth organizations, youth-youth- guided activities, youth peer specialists, parent support providers establishing permanent youth and family advisory and evaluation bodies, and self-help organizations/programs.  Collaborations across child-serving agencies (e.g., substance use, child welfare, juvenile justice, primary care, education, early childhood) and among critical providers and programs to build bridges among partners, including relationships between community and residential treatment settings. Collaboration between child and adult serving agencies are critical when serving older youth who are transitioning to adulthood.  Workforce participation through the use of peer support providers (family and youth) shall be expanded. Activities should be consistent with SAMHSA and the Centers for Medicare and Medicaid Services’ (CMS) Information Bulletin “Coverage of Behavioral Health Services for Children, Youth, and Young Adults with Significant Mental Health Conditions” that can be accessed at: xxxx://xxxxx.xxx.xxxxxxxxxx.xxx/media-center/morning-zen/cmssamhsa/CIB-05-07-2013.pdfxxxx://xxxxx.xxx.xxxxxxxxxx.xxx/media-center/morning-zen/cmssamhsa/CIB-05- 07-2013.pdf.  Develop and implement an integrated crisis response strategy that creates a continuum of community-based crisis services and supports to reduce the unnecessary use of inpatient services by children and youth with SED.  Collaboration between Statewide Family Network grantees, XXXXXX’s Community Mental Health Services Block Grants (including the required set-set- aside for first episode mental illness/psychosis), “Now is the Time” Healthy Transitions grants, and other SAMHSA grants as deemed appropriate. More information for these grants can be found at: xxxx://xxx.xxxxxx.xxx/grants/grant-announcements/sm-16-004 xxxx://xxx.xxxxxx.xxx/grants/block-grants/mhbg xxxx://xxx.xxxxxx.xxx/nitt-ta/healthy-transitions-grant-information  Training/workforce development to help staff and providers in the community identify mental health or substance abuse issues and/or provide effective services.  Development of outreach and engagement strategies that identify and engage youth and families in SOC efforts including those focusing on youth experiencing early on-set of SED/SMI and other hard to reach populations.  Creation of flexible funds with agency policy support. Flex funds shall be used to support the individualized needs of children, youth, and families that are not typically covered services and otherwise not reimbursable. Use of flex funds shall be tied into an individual’s plan of care (i.e., treatment plan), and should be considered as a temporary solution to address a specific need.  Any youth enrolled in SOC case management services as a result of the grant should be included in the service delivery tracking data. This would include youth enrolled in services for which payment for services are made, or can reasonably be expected to be made under any state compensation program, under a private insurance policy, or under any federal or state health benefits program. Other Allowable Activities XXXXXX’s SOC Expansion and Sustainability Cooperative Agreements will also support the following types of activities: Collaborating with existing federal grant programs and/or interagency teams serving the same population of focus such as state children’s cabinet youth council, shared youth vision team, and state and local youth and family organizations. Ensuring the development, implementation and evaluation of cultural and linguistic competence at the system, organizational and direct service levels of care. Reviewing policies and regulations to improve service delivery. Building capacity of state/tribal and local levels to provide sustained service delivery to children, youth and families. Conducting needs assessments. Adopting and/or enhancing your computer system, management information system (MIS), electronic health records (EHRs), etc., to document and manage client needs, care process, integration with related support services, and outcomes.