Rob Putnam
DHS.DMHGrantApp@illinois.gov
The Grantee will demonstrate a sustainable model that can fulfill the wellness and recovery support needs of individuals with serious mental illnesses or co-occurring mental health and substance use challenges who receive inpatient psychiatric care at an SOPH and are discharged to the community. Services will be provided by Transition Support Specialists. These Transition Support Specialists will be individuals with lived experience of recovery from mental illnesses or co-occurring mental health and substance use challenges, who hold either the Certified Recovery Support Specialist (CRSS) or Certified Peer Recovery Specialist (CPRS) credential or can obtain one of these credentials within one year of their date of hire.
The Grantee will increase the number of individuals with serious mental illnesses or co-occurring mental health and substance use disorders who successfully discharge from SOPHs and remain supported in the community-based system of care. The Successful Transitions program will provide up to 90 days of pre-discharge and up to six months of post-discharge support and engagement to program participants. The program focuses on providing wellness and recovery support, maintaining engagement in treatment, and coordinating referrals to service providers, rather than on the delivery of clinical services.
Supports provided under this program include mentoring and education, self-advocacy skills coaching, and wellness and recovery support services that are not billable to Medicaid. The Grantee should ensure that a warm hand-off occurs between the SOPH and a community-based mental health provider. Depending on an individual participant's needs, the Grantee should also provide support in accessing resources to build a social network, reestablishing life skills, remaining engaged in treatment and supports, reestablishing relationships with family, connection to employment services, and linkage to housing supports such as the Housing is Recovery program. The Grantee will also provide tangible assistance, including, but not limited to, toiletries, transportation, clothing, pre-paid cell phones, and other essentials when necessary.
The Grantee will submit all required financial and performance documentation to the Division of Mental Health as outlined in Exhibits B, D, and F. The Grantee will also participate in evaluation activities, staffing calls, and technical assistance opportunities as directed by the Division of Mental Health.
Eligible program participants:
Eligible individuals will be identified by discharge planning staff at each SOPH and will be given the opportunity to voluntarily enroll in the program. Patients who are eligible for the Successful Transitions program must meet the following criteria:
**2 CFR § 200.68 Modified Total Direct Cost (MTDC). MTDC means all direct salaries and wages, applicable fringe benefits, materials and supplies, services, travel, and subawards and subrecipient s up to the first $25,000 of each subaward or subcontractor (regardless of the period of performance of the subawards and subrecipients under the award). MTDC excludes equipment, capital expenditures, charges for patient care, rental costs, tuition remission, scholarships and fellowships, participant support costs and the portion of each subaward and subcontractor in excess of $25,000. Other items may only be excluded when necessary to avoid a serious inequity in the distribution of indirect costs, and with the approval of the cognizant agency for indirect costs.
Illinois Department of Human ServicesJB Pritzker, Governor · Dulce M. Quintero, Secretary
IDHS Office Locator
IDHS Help Line 1-800-843-6154 1-866-324-5553 TTY
© 2023 Illinois Department of Human Services