Current and Past Projects

The following is an alphabetized sample of current and past projects for Complex Systems Innovations.  These were selected to illustrate the breadth of capacity and ability to satisfy multiple projects. CSI has from 12 to 20 projects ongoing at any given time and consistently receives high marks in satisfaction and effectiveness.

GW = Grant Writing. Wrote grant as lead (90%) or in support of a grant writing lead (10%).  

 E&PI = Evaluation and Program Implementation

SOC/IHC/T = System of Care and/or Integrated Health Care and/or Trauma

      R&D/MD = Research and Development. Model, device product development lead support                                          BH/SU = Behavioral Health and Substance Use.

D/IDD/EL=Disabilities,Intellectual/Developmental Disabilities and/or Early Learning  

Please click on column headers to sort the table by preference. You can click on project titles to be taken to a brief project description. Use the up arrow in the lower right corner to return.

PROJECT NAMEGWE&PISOC/IHC/TR&D/MDBH/SUD/IDD/EL

Administration on Intellectual and Developmental Disabilities Projects of National Significance Research
    
Administration on Intellectual and Developmental Disabilities State and Territory Profiles of AIDD Programs and Projects   
Agency on Disabilities 2017-2018 Biennial Report to Congress    
Assisted Outpatient Treatment Grant  
Buckhorn Clinical Program Development and Evaluation   
Building Communities of Recovery Grant 
Children’s Collaborative Implementation Project   
Children’s Mental Health Collective Impact Initiative   
Child Protective Investigator Training   
Coaches and Athletes Against Bullying    
Developing Community Coalitions for Persons with Intellectual and Developmental Disabilities  
Developmental Disabilities Florida iBudget Waitlist Strategic Plan  
Early Intervention Networking, Resource Development and Support Project   
Early Steps Evaluator Coaching/Mentoring Program   
Early Steps Strategic Sustainability Plan Development  
Empowerment Parent Resource Center (EPRC)   
Family Connection Grant   
First Steps Guidebook for Parents     
From Planning to Action: Integrated, Collaborative Care for People with Intellectual and Developmental Disabilities    
Health Connect in the Early Years    
Health Index Integrated Care Development Synthesis    
Healthy Start Needs Assessment     
HRSA Rural Communities Opioid Response Program-Implementation  
Human Trafficking and Trauma Systems Approach Multi-Project Support   
Improving Elementary Through Postsecondary Transition Services    
IMPRUVON Business and Grant Writing Support   
Informed Choice Employment Options Grant    
Juvenile Justice Diversion Programs     
Law-Enforcement Organization (LEO) Wellness Project     
Legacy of the Holocaust      
Madison County Comprehensive HIV/AIDS Prevention Program     
Medication Assisted Recovery Services (MARS)   
Medication Assisted Treatment SAMHSA Grant     
Mental Health Assistance Program (MHAP)   
My Baby Compass (Life Compass Innovations, LLC)     
Partners Health Management System of Care Expansion Grant   
Population Health Management System Development   
Project LAUNCH (Linking Actions for Unmet Needs in Children’s Health)   
Real Second Chance Community Reintegration Project    
Rural Emergency Medical Services Training Grant for Opioids   
Rural Integrated Health Program  
Strengthening and Unifying Pregnant and Parenting Opportunities for Recovery and Transformation (SUPPORT) Program    
Swim Gainesville    
Tailored Care Management Demonstration Project   
Teen Pregnancy Prevention Grant  
Transportation Options Research    
Vaya System of Care Expansion Grant  
Whole Person Integrated Care (WPIC)  
  

Administration on Intellectual and Developmental Disabilities (AIDD) Projects of National Significance Research

Partnering OrganizationsAdministration on Intellectual and Developmental Disabilities (AIDD) and Sidem Group Consultants.

CSI used best practices in qualitative analysis to review and make recommendations on AIDD Projects of National Significance in areas including employment, supporting families and caregivers, protecting rights and preventing abuse, connecting people to resources and improving access, and strengthening networks.  Reports from projects, interviews, and transcripts were synthesized and recommendations made.

Administration on Intellectual and Developmental Disabilities (AIDD) State and Territory Profiles of AIDD Programs and Projects

Partnering OrganizationsAdministration on Intellectual and Developmental Disabilities (AIDD) and Sidem Group Consultants.

CSI has developed a template and resource list of AIDD funded programs and is creating individual reports for each of 56 DD Councils while also including reviews of 57 Protection and Advocacy Systems (P&As), 67 University Centers of Excellence on Developmental Disabilities (UCEDDs) and 16 PNS for a total of 196 organizations/projects for contact and summary. Profiles summarized the funding from years 2016-2019, the mission, vision and values of each organization, contact information priority areas, and programs developed to impact priority areas. This was completed in a primary report and appendices to make expedite finding, aggregating and comparing information between states/territories, priority areas and programs.
Agency on Disabilities 2017-2018 Biennial Report to Congress
 

Partnering Organizations: Agency on Disabilities and Sidem Group Consultants.

Under the management of the Administration on Disabilities (AoD), 56 State Councils on Developmental Disabilities (Councils), 57 Protection and Advocacy Systems (P&As), 67 Centers for Excellence in Developmental Disabilities Education, Research, and Service (UCEDDs), and 16 Projects of National Significance (PNS) were established to carry out the mission and mandate of the DD Act. Mixed methods of data extraction from multiple datasets for entities noted above, review of reports and policies, and interviews with multiple stakeholders was used with a synthesis process to complete the Biennial Report to Congress on numbers served, goals, objectives and impacts on the lives of persons with disabilities in the United States.

Successful Recovery Assisted Outpatient Community Treatment (SR-AOT) Program

Partnering Organizations: Partners Health Management, Gaston, Iredell, Catawba and Burke District Courts (North Carolina), hospitals and multiple local providers.

CSI written four-year SAMHSA grant for Assisted Outpatient Treatment (AOT) to serve minimally 300 individuals in six North Carolina counties. A comprehensive Theory of Change based evaluation and performance management evaluation model is used to (1) Lower use of and high cost/ineffective services while engaging with appropriate EBP’s to limit harm to self or others; (2) Improve treatment adherence while lowering perceived coercion; (3) Improve disruptive symptoms and community/social engagement; (4) Implement the SR-AOT with fidelity; and (5) Engage community programs and services in an AOT sustainable network.

Buckhorn Clinical Program Development and Evaluation

Partnering OrganizationsBuckhorn Children and Family Services and Kentucky Department of Social Services.

Buckhorn provides residential services to persons with I/DD and for teens with abuse/neglect and behavioral health issues at multiple sites in Appalachian Eastern Kentucky, a very rural area.  The project is using best practices in model development to improve treatment outcomes for the two populations served.  Buckhorn is serving highly complex cases.  CSI developed and provided Trauma-Informed Care training, developed an accessible model across educational capacities, supported CARF re-accreditation, and provided support with Buckhorn’s communication with the State of Kentucky.  The project includes an implementation and outcome evaluation component to track the embedding process, fidelity of implementation, and impact for youth.

Building Communities of Recovery Grant

Partnering Organizations: Don’t Judge Me, Help Me Opioid Outreach and Integrated Care of Greater Hickory.

CSI written three-year SAMHSA grant to develop a Community of Recovery for persons with substance addiction in three North Carolina counties. CSI will use a comprehensive evaluation to target specific goals and objectives supporting providers to reach a minimum of 250 for full services and linkage/supports for up to 1,300 other persons in need. Community outreach, events, stigma reduction, training of Peer Support Specialists (PSS), embedding PSS’s in less traditional locations where persons with substance use disorders (SUD) gather, and sustainable infrastructure development will be supported.

Children’s Collaborative Implementation Project

Partnering Organizations: Vaya Health and Collaboratives of Alexander, Alleghany, Ashe, McDowell and Wilkes Counties.

CSI will merge implementation support and program evaluation to develop or enhance Children’s Collaboratives in five counties focused on children/youth mental health intervention and prevention. CSI will improve data-driven decision-making via Results-Based Accountability driven projects in each county, ensure that projects align with state System of Care expectations, and incorporate recent changes in Medicaid service delivery system expectations

Children’s Mental Health Collective Impact Initiative

Partnering Organizations: Over 30 organizations in Utah.

A collaboration of organizations concerned about children’s mental health prevention, intervention and having adequate resources are collaborating and using a Collective Impact approach to address identified gaps from an ongoing annual needs assessment.  A shared agenda and processes for shared communication have been established. CSI is supporting the local backbone organization through using CSI’s collective impact, developmental evaluation and analytic experience.  A Wellness Score combining information from physical and behavioral health and targeted Social Determinants of Health (SDOH) was also developed for families and providers to easily track changes in youth and families. The evaluation model includes participating in shared activities and documenting the growth process of the initiative.

Child Protective Investigator Training   

Partnering Organization:  Department of Children and Families Grant, Florida, Key Assets Florida, and Carter Brown, USA, Gainesville Georgia

A multi-year project that included preliminary research to establish training needs, developing the trainings and applying them to create Subject Matter Experts (SME) in behavioral health in relation to child welfare.  Trainings include mindfulness/wellness, trauma and advanced trauma, substance use and co-occurring conditions, effective communication, child development and a three-day synthesis training.  An additional training was developed for a wider audience, a two-day “children born exposed to substances” training.  A performance evaluation model is being used to assess impact and effectiveness.

Children’s Mental Health Collective Impact Initiative

Partnering OrganizationsOver 20 organizations in Utah.

A collaboration of organizations concerned about children’s mental health prevention, intervention and having adequate resources are collaborating and using a Collective Impact approach to work closely together.  A shared agenda and processes for shared communication have been established.  CSI is supporting the local backbone organization through using CSI’s collective impact, developmental evaluation and analytic experience.  The evaluation model includes participating in shared activities and documenting the growth process of the initiative.

Coaches and Athletes Against Bullying (CAAB)

Partnering Organizations: Curtis Media, Local Businesses

In partnership with local businesses, the CAAB is an advanced, contemporary and sustainable anti-bullying program developed to allow organizations from a single coach or parent to a state level program to participate in a powerful prevention program.  This includes athletics, gamers and social media experts. CSI is the primary developer and co-owner of the program which includes multiple components (1) asset specific skill building, (2) leadership training, (3) assertiveness training, (4) communication training, and (5) community awareness and support.  Technology, assessments, incentives, awards for improved skills, and other supports are embedded in the program.

Developing Community Coalitions for Persons with Intellectual and Developmental Disabilities               

 Partnering Organizations: Florida Developmental Disabilities Council and Ounce of Prevention Fund of Florida.

 

Lead grant writer and competitive grant award.  Developed community-based coalitions to target Medicaid Waiver Waiting List individuals and their caregivers via development of supportive networks in four locations in Florida that cover, in total, a ten-county area. Best practices in collaborative/coalition development were used and an evaluation process used to discern how, what and why coalitions did what they did, tracking longevity and impact.

Developmental Disabilities Florida iBudget Waitlist Strategic Plan

Partnering Organizations: Florida Developmental Disabilities Council, Florida Agency for Persons with Disabilities (APD) and over 40 other Florida organizations and stakeholders.

Competitive grant award. A strategic plan to develop strategies for support for the ~22,000 persons that remain on the Medicaid Waiver Waitlist (iBudget) for often a decade or more was funded by FDDC.  Several strategies were developed using a mixed method approach for data collection including over 80 focus groups and interviews, review of current Waitlist data and Waiver recipients, discussion and surveying of other state practices used to support their waitlists and related. A comprehensive strategic plan and executive summary were completed.

Early Intervention Networking, Resource Development and Support Project

Partnering OrganizationsMultiple services providers in 18 rural counties in Idaho.

This project supported implementation and provided a comprehensive evaluation to a collaboration of eleven providers working to improve early intervention services for rural and impoverished families with limited access to services.  Multiple outcomes are being addressed using mixed methods.  CSI is also providing grant finding and writing services.

Early Steps Evaluator Coaching/Mentoring Program

Partnering OrganizationsFlorida Developmental Disabilities Council, Florida Early Steps Central Office, and Local Early Steps Offices.

Competitive grant awarded to CSI. This multi-year grant developed a credentialing system, training, and in-depth guidebook for all evaluators assessing over 43,000 children each year for developmental disabilities under Part C services (birth to 3-years of age) in Florida. Multiple methods and iterations were used to develop the intellectual property and to test it with a limited number of persons with disabilities and their families.

Early Steps Strategic Sustainability Plan

Partnering Organizations: Florida Developmental Disabilities Council, Florida Early Steps Central Office, and Local Early Steps Offices.

Competitive grant award. Contracted to develop a statewide strategic/sustainability plan for the Early Steps program of Florida.  Early Steps is an entitlement program providing developmental services for children diagnosed with developmental delay between the ages of birth to three years of age.  Multiple methods were used to collect data across 15 Early Steps local sites, the state office, supporting programs, parents, and similar programs out of state. Early Steps utilizes an evidence-based program mandated by the federal government to receive Part C dollars.

Empowerment Parent Resource Center (EPRC)

Partnering OrganizationsFederal Department of Education Grant and Project Empower of Northwest Florida
 

CSI wrote the five-year grant and acts as the Co-Project Director, Evaluator and additional financial support for the EPRC.  Implementation best practices, direct parent/family support and support for persons with disabilities aged birth to 26 are integrated with multiple local providers.  The EPRC and Project Empower work with local groups to plan provider trainings, complete an ongoing needs assessment, develop linkages between programs, and collect outcomes data for all Federal reporting.  The EPRC has sponsored several one-day mini-conferences to increase local knowledge and to increase parent’s advocacy skills.

Family Connection Grant

Partnering OrganizationsFederal Children’s Bureau Grant, Susan B. Anthony Recovery Center, ChildNet, and multiple local providers.

CSI co-wrote the Children’s Bureau residential family treatment grant for substance abusing pregnant and postpartum women.  Focused on embedding and streamlining evidence-based practices and stronger community collaboratives. Developed and implemented a comprehensive evaluation including a quasi-experimental design, outcome, and process evaluation for intervention and comparison groups targeting substance using mothers with comorbid mental health diagnoses and immediate/extended families in a family residential setting for 6- to 12-months with aftercare and longitudinal data.

First Steps Guidebook for Parents

Partnering OrganizationsFlorida Developmental Disabilities Council Grant, Florida Department of Education, Early Steps, Children’s Medical Services, Curtis Media, and Healthy Start.

Competitive grant award. This project doubled the size of the previous Guidebook that had not been updated in over a decade.  Content was updated and all new content added.  This product will be available and given away to over 20,000 Florida families a year.  Content includes, in part, child development, explanation of developmental disabilities, getting a diagnosis, autism spectrum disorder, understanding sensory issues, mental health and attachment challenges, social, emotional and behavioral challenges, parent self-care, adapting families, inclusion, rights, and planning for the future.

From Planning to Action: Integrated, Collaborative Care for People with Intellectual and Developmental Disabilities

Partnering OrganizationsNorth Carolina Department of Health and Human Services, The Arc of NC, Easter Seals UCP, and the Autism Society of NC.

This project transitions the systems-change planning grant, Medical Health Homes (MHHI) for People with Intellectual and Developmental Disabilities (I/DD), into actionable demonstrations that advance innovation in integrated, collaborative care and services for people with I/DD.  CSI contracted to provide evaluation support for four pilot projects in different areas of North Carolina that includes tracking process, support of an Action to Planning Council for each site (an Advisory Group), assist with focus groups, develop an evaluation plan, and to conduct a formative evaluation.  Pilot and site-specific outputs and outcomes were developed with the applicants and their partners in collaboration with CSI support.

Health Connect in the Early Years

Partnering Organizations: Healthy Start of Miami-Dade County and Ounce of Prevention Fund of Florida.

Contracted via the Healthy Start Coalition of Miami-Dade.  A four-year, multi-site, mixed-method evaluation model serving ~3,000 pregnant women and their children.  Comprehensive reports outlined data analytics for outcomes related to child evaluation and improvement, caregiver and family systems.

Health Index and Integrated Care Development Synthesis

Partnering Organizations: Partners Health Management and multiple mental health, substance use and intellectual/developmental disability provider organizations.

CSI reviewed integrated care data for Partners and Providers and used online surveys and other methods to determine the most common assessments as well as concerns for behavioral health, substance use and social indicators of health. Assessments were then researched for mutual influence and a detailed Health Index created for adults with behavioral health conditions, adult substance use disorders, child/youth emotional disturbances and persons with intellectual/developmental disabilities. Statistical analysis included but was not limited to cluster analysis and multi-dimensional scaling. The four health indexes give a summary number that is easily communicated and where changes can be linked to specific assessed issues for treatment planning and adaptation.

Healthy Start Needs Assessment

Partnering Organizations: Healthy Start JMT, Curtis Media, and United Prevention.

In cooperation with United Prevention, a local not-for-profit organization co-owned between CSI and Curtis Media. CSI/UP conducted a multi-county in-depth needs assessment and social network analysis to document strengths and needs for early intervention services for all youth in the catchment area. These were summarized in reports and presented at a local event for collaborating partners working with Healthy Start families.

HRSA Rural Communities Opioid Response Program-Implementation

Partnering Organizations: Eighteen partnering organizations/stakeholders including Integrated Care of Greater Hickory, Community Wellness Partners of NC, Northwest Area Health Education Center at Wake Forest University School of Medicine, Local SUD Coalitions, Providers, Community Recovery Organizations, Law-Enforcement and Peer Support Specialists.

CSI led grant writing for HRSA Rural Opioid grant. A comprehensive implementation, sustainability, and evaluation plan is being implemented to support a comprehensive, streamlined and effective service delivery system. Harm reduction, promotion, prevention, intervention and social marketing are all targeted to increase awareness and effectiveness for opioid use disorders in a two county catchment area.

Human Trafficking and Trauma Systems Approach Multi-Project Support 

Partnering OrganizationsCurtis Media, Four Coasts (not for profit), and Joy Kelleher, Human Trafficking Consultant.

This is a multiple partner long-range project that will include additional partnering organizations.  The goal is to use the SAMHSA System of Care model, integrated care, and a developmental evaluation model, to develop multiple trainings and to integrate effective media and marketing practices to address human trafficking in a defined area in Northern Florida as a pilot site.  The training components are part of the training division of CSI being developed and that will include the ability to provide CEU’s to multiple provider categories.

Improving Elementary Through Postsecondary Transition Services

Partnering Organizations:  Florida Developmental Disabilities Council and multiple statewide stakeholders. 

CSI won a competitive grant for the purpose of advancing the development of a system to provide effective, evidence-based transition services to students with the most significant intellectual and developmental disabilities by determining key practices designed to improve transition outcomes.  The project targeted services for students with the most significant disabilities, including youth previously thought unemployable.  A four process development model included (1) Identifying key transition services currently provide in Florida; (2) Determining information, resources, assessment, training and curricula needs for educators, families and students; (3) Determining EBP’s that will improve student outcomes; and, (4) developing a transition model and strategic plan that will guide key stakeholders and partners in creating, piloting, and implementing new or enhanced methods of information and resource dissemination, training, assessment and relevant curricula.

IMPRUVON Business and Grant Writing Support

Partnering Organizations: IMPRUVON and Federal Granting Agencies, e.g., NIDA

CSI is partnering with IMPRUVON to develop medication safety devices paired with comprehensive software/APP suits related to addiction, disabilities and behavioral health.  CSI has helped to write multiple SBIR (Small Business Innovation Research) and other grants. Comprehensive evaluation models, experimental designs and analytic plans have been developed consistent with varying funding opportunities.

Informed Choice Employment Options Grant

Partnering OrganizationsFlorida Developmental Disabilities Council and multiple I/DD providers in North Florida.

Competitive grant awarded to CSI.  This project developed a targeted curriculum and a train-the-trainer component to help organizations that work with persons with disabilities in multiple sites to support the person served in exploring, shadowing, and eventually choosing a career path.  The model specially targets persons with intellectual disabilities, on the autism spectrum, and other developmental disabilities.  Assessment tools, an implementation guide and a training guide were developed and piloted with analysis of data in a performance evaluation. The project was piloted in eight total sites.

Juvenile Justice Diversion Programs

Partnering Organizations: Ounce of Prevention Fund of Florida, Eckerd Foundation

Researched current evidence for teen court and civil citation programs, developed guidelines for starting civil citation programs, assessed evaluation and data management capacity, and provided comprehensive recommendations.

Law-Enforcement Organization (LEO) Wellness Project

Partnering Organizations:  Gwinnet County Sheriff’s Department, Gainesville Georgia Police Department, Joy Kelleher Consultant, Brandon Lowell Consultant and others.

This project is using technology, collaborative evaluation and best practices in model development to design a model of support and intervention to reduce stress related health issues and behaviors for law-enforcement officers and to reduce the epidemic levels of suicide and resignations from service.  The model will be developed further with additional funding sources and disseminated when sufficient evidence of success is obtained.

Legacy of the Holocaust

CSI supported a large qualitative research study through developing the research design, interviewing, analysis using state of the art qualitative software, and reporting.  The study used a phenomenological three-interview per respondent model and analytic process.  Objectives were to collect, synthesize and save the memories of some of the last holocaust survivors.

Madison County Comprehensive HIV/AIDS Prevention Program

Partnering Organizations: Ounce of Prevention Fund of Florida, Curtis Media, Madison County Provider Organizations

Lead evaluator of a mixed methods evaluation of multiple prevention components including the evidence-based Making Proud Choices curriculum being offered to youth in Madison County, one of the highest HIV/AIDS, STI and teen pregnancy incidence counties in Florida.  Developed and offered leadership training, community awareness improvement, coalition development and related.

Medication Assisted Recovery Services (MARS)

Partnering OrganizationsPartners Health Management LME/MCO, North Carolina, McLeod Addictive Disease Center, Integrated Care of Greater Hickory and Olive Branch Ministries.

Grant writing led by CSI.  CSI developed a comprehensive evaluation model for the SAMHSA Medication Assisted Treatment grant.  This includes process and outcome evaluation, agency and consumer case studies, and is supporting MARS with targeted research, e.g. trainings have been developed to improve recruitment and retention of consumers and to merge recruitment/retention with the EBP Motivational Interviewing.  CSI wrote the Disparity Impact Statement, has developed a data system for outcomes, provided outcomes training, and a chart extraction tool was developed to limit the intrusion on provider resources for generating evaluation data.

Medication Assisted Treatment (MAT) SAMHSA Grants

Partnering Organizations: Recovery Support Services (RSS), Indiana; Mountain Area Health Education Center (MAHEC), North Carolina, and Partners Health Management, North Carolina.

CSI wrote three MAT grants for the partnering organizations for the 2021 cycle. If awarded, CSI will be the comprehensive evaluation organization for the Partners grant.  RSS and MAHEC were grant writing only.

Mental Health Assistance Program (MHAP)

Partnering OrganizationsPartners Health Management, LME/MCO, North Carolina, Daymark Recovery Services, PQA Healthcare Inc., and four County and Local Law-Enforcement Organizations (LEO’s).

CSI wrote the SAMHSA Pre-Booking Early Diversion Grant awarded to Partners. CSI has developed a comprehensive evaluation plan, supported implementation of the grant, ensured all mandatory SAMHSA performance measures are met, wrote the Disparity Impact Statement, developed a registry to track individuals across multiple agencies, provided training to the Advisory Group, and is supporting communication and reporting to SAMHSA. CSI has recently supported expansion to a neighboring additional county.

My Baby Compass (Life Compass Innovations, LLC)

Partnering OrganizationsKathy Gruhn (MBC developer), Joy Kelleher (Project Management Consultant) Brandon Lowell (Development Consultant), Hanford Technology Services (software developer)

My Baby Compass is a popular and well-reviewed series of books that addresses development across multiple domains and are useful for children typically developing as well as those with developmental challenges.  This project is expanding the ages that MBC covers as well as developing an online version and an app across multiple platforms.  CSI is developing and implementing a research base, grant finding and writing, and acting as Principal Investigator with the goal of MBC becoming an Evidence-Based Practice. Disclaimer:  Kathy Gruhn, Joy Kelleher, Brandon Lowell and Dr. Gary Walby are joint owners of Life Compass Innovations, LLC.

Partners Health Management System of Care Expansion Grant

Partnering OrganizationsPartners, LME/MCO, North Carolina and numerous local providers.

CSI co-wrote the SAMHSA grant.  CSI is providing the evaluation team and employing local evaluators to support the SOC implementation, blend multiple models, support and provide training, and to evaluate using multi-level modeling.  The SOC grant is targeting four counties north and west of Charlotte, North Carolina.  CSI has developed screening tools, a social determinants of health survey, and other products to support the development of a sustainable system of care.

Population Health Management System Development

Partnering Organization: Partners Health Management, multiple providers in Partners provider network.

CSI is assisting Partners, the recent recipient of the NC State Tailored Plan contract for 13 counties, to develop a comprehensive population health management system in accordance with Tailored Plan expectations and in line with State System of Care expectations. CSI will provide training after development of population assessment and identification of workflow and processes, analytic plans, evaluation infrastructure and supporting linkage of health indexes with value-based contracts.

Project LAUNCH (Linking Actions for Unmet Needs in Children’s Health)

Partnering OrganizationsSAMHSA, Burlington Pediatrics and Kernodle Clinic Pediatrics

A SAMHSA funded grant, the program integrates several areas such as development screenings, home visits, mental health consultations and parent education to create a continuum for health promotion and prevention.  LAUNCH was supported by CSI to incorporate Key Developmental Assets, an app-based support for families with high stress as part of the LAUNCH pediatric practice family-centered medical homes.

Real Second Chance Community Reintegration Project

Partnering Organizations: Real Second Chance, Smith Works, Inc., various faith-based organizations and community business partners.

CSI collaboratively developed a reintegration program for persons with criminal justice involvement including those just released from incarceration.  RSC is an entrepreneurship training program for individuals to start their own businesses and received appropriate support and training. Various faith-based organizations and community business partners are involved along with crowdfunding to support with seed money when possible to cover business startup costs.

Rural Emergency Medical Services Training Grant for Opioids

Partnering Organizations: Lincoln County Emergency Medical Services

CSI primarily written SAMHSA grant. A one-year infrastructure development and training grant to improve services to persons with opioid use disorders and crises in rural Lincoln County North Carolina.  CSI has developed data tracking and related services to ensure fidelity to grant expectations and training processes, including a performance evaluation plan.

Rural integrated Health Program

Partnering OrganizationsTen organizations in Southeast Florida.

This project included communication and collaboration support and outcome evaluation for multiple organizations that developed a working collaborative to improve integrated care using best practices of system development and integrated care practices.  Integrated care practices included a mix of fully integrated, collocated and referral-based collaboration to meet client needs.  The evaluation assessed outcomes based on models of integrated care.

Strengthening and Unifying Pregnant and Parenting Opportunities for Recovery and Transformation (SUPPORT) Program

Partnering OrganizationsSAMHSA, Susan B. Anthony Recovery Center, ChildNet and other community partners.

A SAMHSA grant written in part by CSI, this project provided a comprehensive, mixed methods evaluation for women in a residential treatment facility for pregnant and postpartum women (PPW) and their children.  40 apartments and a treatment facility work to help women on their recovery journey from serious chemical addictions, mental health disorders, serious trauma histories, multi-generational substance use, poverty, homelessness, limited education and work histories.  The evaluation used a longitudinal comprehensive mixed-methods model targeting aftercare, symptom amelioration, trauma informed services, and intense engagement of families of origin for the mothers on the unit.  Methods included, in part, weekly clinical and program meetings, intensive qualitative methods with mothers, and analysis of multiple assessment tools.  The depth of the evaluation with small numbers, using multiple qualitative methods and weekly meetings, has resulted in SAMHSA viewing the evaluation as an exemplar.

SWIM Gainesville

Partnering OrganizationsMultiple individuals have begun a partnering business called SWIM Gainesville.

SWIM is designed to teach water safety, confront fear of swimming, and use a holistic approach to address anxiety and self-confidence.  A model is being developed with successful approaches already developed.  The target group are persons with anxiety issues as well as disabilities.  Individuals of all ages including families are participating.  A performance evaluation is being used to assess efficacy and additional funding will support a more comprehensive evaluation design. Disclaimer:  Joy Kelleher, Nathan Rhoads, Devin Horan and Dr. Gary Walby are joint owners of SWIM Gainesville.

Tailored Care Management Demonstration (TCMD) Project

Partnering Organizations: Partners Health Management and eleven mental health and substance abuse providers.

A quasi-experimental research design was used to determine if the Whole Person Integrated Care (WPIC) model was successfully operationalized in multiple organizations with embedded Partners funded Care Managers. Objectives, outcomes and fidelity were measured using a mixed-methods design and started with a comprehensive three-phase readiness assessment, a collaboratively developed TCMD Manual, analytic plan and feedback processes.

Teen Pregnancy Prevention Grant

Partnering Organizations: Ounce of Prevention Fund of Florida and Juvenile Welfare Board of Pinellas County.

Assisted in grant writing and contracted to evaluate a countywide pregnancy prevention program for teens utilizing the evidence-based Carrera teen pregnancy prevention model.  Assisting with performance measure collection and upload to OAH, mixed methods evaluation design, and support of program fidelity analysis.

Transportation Options Research 

Partnering Organizations: Florida Developmental Disabilities Council and numerous state agencies and providers.

Competitive grant award. This project used multiple methods to complete a gap analysis for transportation issues in Florida in relation to providing services to persons with disabilities in relation to education, employment, leisure and several other life categories that benefit from a good and comprehensive transportation system.  Areas of research or methods synthesized included access, collaboration, efficiency, cost, quality, ride and driver awareness, relevance and feasibility methods, strategy identification, and final recommendations.

Vaya System of Care Expansion Grant

Partnering Organizations: Vaya Health, Youth Villages Inc., multiple community agencies and collaboratives.

CSI led SAMHSA grant writing. Evaluating a comprehensive implementation to increase services and resources for children/youth with serious emotional disturbance (SED) and/or first episode psychosis (FEP). The model includes outcome and process evaluation, multiple methods for data collection including qualitative methods (focus groups with providers and families), system network/density analysis and Results-Based Accountability (RBA).

Whole Person Integrated Care (WPIC)

Partnering OrganizationsPartners Health Management, LME/MCO, North Carolina and numerous local providers.

CSI conducted a comprehensive evaluation, supporting model development, completing targeted research reviews, providing training, and implementation support of WPIC for Partners, LME/MCO.  Evaluation includes process, outcome and formative evaluation aspects.  Developmental and collaborative evaluation are central for planned activities and Collective Impact is key.  A three tier model of integrated health homes, social determinants of health, care management, development of multiple health indexes for different populations (e.g. mental health, substance use, I/DD), population health, data-driven decision making, and measurement based care are being synthesized into a new standard for integrated care.

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