Living Room Program for Crisis Respite

Living Room Program for Crisis Respite is sponsored by Illinois Department of Human Services. A crisis respite initiative focused on diverting psychiatric crises and preventing hospitalizations. It offers a safe, home-like environment for individuals experiencing acute mental health challenges, including overwhelming emotions, anxiety, depression, or thoughts of harm.

IDHS: 510-RTLR Regions The Living Room (24-444-22-1484-01) --> Anyone, 6 months or older, is eligible to receive the COVID-19 vaccine. Find your nearest vaccination location at vaccines. gov .

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Quintero, Secretary IDHS Grants Administration Mental Health Grants - FY 2024 510-RTLR Regions The Living Room (24-444-22-1484-01) Illinois Department of Human Services Division of Mental Health DHS. DMHGrantApp@illinois.

gov Funding Opportunity Title 510-RTLR Regions The Living Room Funding Opportunity Number March 31, 2023, 12:00 PM (Noon) Central Time April 6, 2023, 12:00 PM (Noon) Central Time Catalog of State Financial Assistance (CSFA) Number Catalog of State Financial Assistance (CSFA) Popular Name 510-RTLR Regions The Living Room Catalog of Federal Domestic Assistance (CFDA) Number(s) Estimated Total Program Funding Anticipated Number of Awards Cost Sharing or Matching Requirement Restrictions on Indirect Costs Technical Assistance Session March 13, 2023, 3:00 - 4:00 PM Central Time The Living Room Program is for individuals in need of a crisis-respite program with services and supports designed to proactively divert crises and break the cycle of psychiatric hospitalization.

The Grantee will subcontract for or directly operate this crisis respite program within a safe, inviting, home-like atmosphere that offers services provided by recovery support specialists.

First created by Recovery International, the living room model operates from the Crisis Now concept and focuses on practices including recovery orientation, trauma-informed care, significant use of recovery support staff, a commitment to Zero Suicide/Suicide Safer Care, strong commitments to safety for individuals served and the staff providing services, and collaboration with law enforcement.

It is traditionally run by consumer operated service providers and is based on a philosophy that crises are an opportunity for learning. Participation in the Living Room will be voluntary and based on the individual's choice. Individuals experiencing psychiatric crises may self-refer or may be referred by first responders or other organizations with which an individual experiencing a crisis may come in contact.

The environment provided throughout the living room creates a safe space for the individual to calmly process the crisis event, learn and apply wellness strategies, and prevent future crisis events. The individuals' strengths are the basis for the services and supports which will address whole health, wellness and having a life in the community.

Through participation in trainings selected by the Division of Mental Health, the Grantee and any subcontractors will partner with the state in transforming the crisis care system. 2.

Funding Priorities or Focus Areas The Grantee will subcontract for or directly operate a Living Room Program, providing short-term crisis respite within a safe, inviting, home-like atmosphere that offers non-clinical services provided by recovery support specialists, designed to proactively divert individuals in crisis from emergency departments and jails.

The Living Room Program is based on a philosophy that crises are an opportunity for growth and learning. The Living Room Program operates from the Crisis Now approach, designed to divert individuals in self-defined crises from emergency departments and jails by developing services that match people's needs.

The Crisis Now approach promotes services built on recovery-oriented practices, trauma-informed care, significant use of recovery support staff, a commitment to Zero Suicide/Suicide Safer Care, strong commitments to safety for individuals served and staff providing services, and collaboration with law enforcement.

Although Living Rooms do not fulfill all necessary criteria to be considered Crisis Stabilization Centers according to SAMHSA's " National Guidelines for Behavioral Health Crisis Care: Best Practice Toolkit ," they serve as an important component of the crisis continuum in Illinois. Program components and expectations The Living Room Program serves individuals (herein after referred to as guests) who are experiencing crises.

Crisis is defined by the guest, not by the program. Guests may self-refer (walk-in) to the program or may be referred by outside entities, including but not limited to other components of the crisis continuum (e.g., 988, hotlines, warm lines, and mobile crisis response teams), first responders (police, fire, EMT, etc.), medical personnel (primary care physicians, emergency departments, etc.), and other social service organizations.

2) Physical Plant Requirements The physical environment provided throughout the Living Room will be designed to create a safe space for guests to calmly process a crisis event, learn and apply wellness strategies, give and receive peer support, and prevent future crisis events. The Living Room Program must establish policies that ensure the physical safety of the environment.

This includes providing guests with a safe and comfortable setting that includes a supportive, physical staff presence. The physical environment will be designed in a manner that contributes to soothing and supports emotional healing. Living Room Programs are expected to be equipped with comfortable furniture (e.g., recliners in common areas) and soft lighting.

Walls are to be painted with soothing colors and include inspirational artwork or quotes reflective of the community served. There is to be an absence of excessive stimuli (e.g., televisions or sharp/bright lighting). Both private and common spaces will be provided.

Guests will be provided private space to calm down, relax, or have a private conversation. Guests will also be provided communal areas for interaction in which all guests at the same time can receive support through the physical presence of staff members. Guests will also be encouraged to use common areas to participate in mutual learning and peer support.

Snacks and beverages will always be available to guests. At no time is a Living Room Program to contain more than 16 beds. A Living Room Program cannot be created within any building, under one continuous roof, in which residential treatment is being provided, which in total would exceed 16 beds, including but not limited to, houses, apartment buildings, and duplexes.

The Grantee will determine the maximum safe operating capacity for the program. The Living Room Program must be staffed to operate 24 hours a day, 365 days a year. The Living Room must be staffed at all times by a minimum of two people, one of whom must be a Recovery Support Specialist (RSS).

An RSS is an individual with personal lived experience in recovery from mental health and/or substance use challenges who has or is able to obtain either the Certified Recovery Support Specialist (CRSS) or Certified Peer Recovery Specialist (CPRS) credential within one year of date of hire.

The demographics of the Living Room Program staff are expected to reflect the demographics of the guests, including race/ethnicity and sex/gender identity.

The Living Room Program staff must always have immediate access to a Qualified Mental Health Professional (QMHP) , including ability to respond via phone or in person for consultation with Living Room Program staff, to ensure adequate and appropriate service and support provision to all guests. All personnel costs for the Living Room Program should be billed to the 510-RTLR grant.

Any person working in the Living Room Program must complete a two-hour DMH video-based training and obtain a passing score prior to beginning work at the Living Room Program. Additionally, any person working in the Living Room Program must complete 16 hours of CRSS/CPRS Competency Training provided by DMH annually.

Any person working in the Living Room Program must also follow the National Practice Guidelines for Peer Support Specialists and Supervisors . The provider may also arrange for additional training through any of the DMH-Approved providers below: All guests seen at the Living Room must be served in some way by the Program; no person should be turned away at the door.

Services include but are not limited to screening, linkage to another level of care, and on-site support. Upon arrival at the Living Room a guest must be greeted by an RSS who provides a sense of welcome and explains the program in simple terms and describes what the guest can expect during their stay. Guests will then be screened for suicide and homicide risk .

The screening will consider the suitability of the Living Room Program to the guest's needs, including the safety of the arriving guest, as well as other guests and staff occupying the Living Room. The Grantee is free to determine which assessment tools to use. Mental Health Professionals (MHP) can complete the risk assessments.

Any guest who is determined not to be suitable for the Living Room Program will be served through linkage to another level of care. All services and supports provided by the Living Room Program are to follow principles of trauma-informed care and be versatile and adaptable, culturally responsive, and allow support to be provided in a way that meets the guest where they are, at that point in their recovery.

On-site services and supports will include, at minimum, recovery education, information on whole health, wellness, local resources, and connection to natural supports. All services and supports should be based on the strengths of the guest and address whole health, wellness, and life in the community.

Services provided should include non-traditional supports such as art, music, and other methods of expression; peer-to-peer support among guests served; and other complementary and holistic supports. Services and supports will be designed and delivered by the RSS staff who work in the Living Room Program. Services and supports must be designed in a manner that considers the cultural and linguistic needs of guests.

Participation in any services and supports offered is to be voluntary and entirely based on the guest's choice. Guests should be supported in identifying natural supports in the community to prevent future crisis events and facilitate sustained recovery.

Prior to departure, each guest will be given the opportunity to provide feedback on their experience in the Living Room, including but not limited to positive feedback and suggested areas for improvement.

7) Outreach and Engagement The Living Room Program will develop and implement an outreach and engagement plan for (a) direct connection with guests from diverse communities who would benefit from access to the Program and (b) community awareness of the Program, by building and maintaining relationships with other social service organizations, including but not limited to other components of the crisis continuum (e.g., 988, hotlines, warm lines, and mobile crisis response teams), first responders (police, fire, EMT, etc.), medical personnel (primary care physicians, emergency departments, etc.).

Outreach and engagement activities will include developing materials for marketing and promoting the Program. 8) Policies and Procedures The provider and any subcontractors shall develop standard operating policies and procedures that define the Living Room Program consistent with the model described above. The Living Room Program shall develop a quality improvement policy and procedure that incorporates guest feedback.

A minimum of one Living Room Program staff per site is expected to participate in the DMH-led Living Room Program (LRP) Learning Collaborative. The physical environment of the Living Room will be designed in a manner that is safe, welcoming, and inviting, with both private and common spaces for guests. The Living Room must be staffed to operate 24 hours a day, 365 days a year.

The Living Room must be staffed at all times by a minimum of two people, one of whom must be a Recovery Support Specialist (RSS). The Living Room Program staff must always have immediate access to a Qualified Mental Health Professional (QMHP). Any person working in the Living Room Program must complete a two-hour DMH video-based training prior to beginning work in the Living Room Program.

Any person working in the Living Room Program must complete 16 hours of CRSS/CPRS Competency Training. Any person working in the Living Room Program must follow the National Practice Guidelines for Peer Support Specialists and Supervisors. All guests seen at the Living Room will be served by the Program.

All guests will be screened for suicide and homicide risk. Services and supports will be based on the strengths of the guest served and address whole health, wellness, and life in the community. Services and supports will be designed and delivered by the Recovery Support Specialist staff who work in the Living Room Program.

Participation in any services and supports offered is to be voluntary and entirely based on the guest's choice. All guests will be given the opportunity to provide feedback on their experience prior to departure. The Grantee and any subcontractor will develop and implement an outreach and engagement plan for direct connection with guests who would benefit from access to the Living Room Program.

The Grantee and any subcontractor will build and maintain relationships with other social service organizations, including but not limited to other components of the crisis continuum (e.g., 988, hotlines, warm lines, and mobile crisis response teams), first responders (police, fire, EMT, etc.), medical personnel (primary care physicians, emergency departments, etc.).

The Grantee and any subcontractors shall develop standard operating principles and procedures that define the Living Room Program. The Living Room Program shall develop a quality improvement policy and procedure that incorporates guest feedback. A minimum of one Living Room Program staff per site is expected to participate in the DMH-led Living Room Program (LRP) Learning Collaborative.

Number of unduplicated guests referred. Number of unduplicated guest walk-ins to the Living Room. Number of unduplicated guests referred, or who walk-in to the Living Room.

Number of unduplicated guests screened for suicide and homicide risk. Number of unduplicated guests linked to another level of care. Number of unduplicated guests provided on-site support.

Number of unduplicated guests who completed a guest feedback survey. Number of unduplicated guests with a prior Living Room experience. Total number of guests (referrals and walk-ins) to the Living Room.

(Each visit by an guest must be counted towards this minimum requirement). Total number of guests (referrals and walk-ins) seen by a Recovery Support Specialists. Number of outreach and engagement activities conducted.

Number of Living Room Program staff who participated in DMH-led LRP Learning Collaborative. Minimum of 25 unduplicated guests referred, or who walk-in to the Living Room. Minimum of 50 total guests referred, or who walk-in to the Living Room.

(Each visit by a guest must be counted towards this minimum requirement). 100% of the total number of guests (referrals and walk-ins) were seen by a Recovery Support Specialist. Minimum of 1 outreach and engagement activity.

Minimum of 1 Living Room Program staff participated in DMH-led LRP Learning Collaborative. 3. Authorizing Statutes or Regulations 59 Ill.

Admin, Code 132 (Rule 132), Section 132. 150g Mental Health Community Services Act (405 ILCS 30/ Section (f)) Illinois Administrative Code Part 7000 Grant Accountability and Transparency Act 1. Total Amount of Funding The Department anticipates the availability of approximately funding $18,400,000.

The source of funding for this program is State Funds. 2. Number of Grant Awards The Department anticipates funding approximately 25-35 grant awards to provide this program.

3. Expected Amounts of Individual Grant Awards The Department anticipates that grant awards will be $100,000 - 1,800,000. 4.

Amount of Funding per Grant Award on average in previous years. Previous funding amounts for this grant award program on average was $400,351. 5.

Anticipated Start Dates and Periods of Performance for new grant awards Subject to appropriation, the grant period will begin no sooner than July 1, 2023, and will continue through June 30, 2024. 6. Renewal or Supplementation of existing projects eligibility Applications for renewal or supplementation of existing projects are eligible to compete with applications for new State awards.

7. Type of Assistance Instrument This is a competitive grant award funding opportunity. 8.

Procurement Contract Allowability Subrecipient Agreement(s) and budgets must be pre-approved by the Department and on file with the Department. Subrecipient s are subject to all provisions of this Agreement. The successful applicant Agency shall retain sole responsibility for the performance and monitoring of the Subrecipient.

Successful applicants under this NOFO may be eligible to receive two subsequent one-year grant renewals for this program. Renewals are at the discretion of the Department and are based on performance and sufficient appropriation. The release of this NOFO does not obligate the Illinois Department of Human Services to make an award.

C. Eligibility Information This competitive funding opportunity is limited to applicants that meet the following requirements: The types of applicants that may apply for the grant award are: The applicant has met the Prequalification and Mandatory Requirements listed below. Applicants must be able to staff The Living Room Program to operate 24 hours a day, 365 days a year.

Applicant entities will not be eligible to apply for a grant award until they have prequalified through the Grant Accountability and Transparency Act (GATA) Grantee Portal . For more information see the Grantee Portal New User Guide which is located on the Resource Library page under "G". Registration and prequalification are required annually.

During prequalification, verifications are performed including a check of federal Debarred and Suspended status on the Illinois Stop Payment List and good standing with the Secretary of State. An automated email notification is sent to the entity alerting them of "qualified" status or providing information about how to remediate a negative verification (e.g., inactive UEI, not in good standing with the Secretary of State).

A federal Debarred and Suspended status cannot be remediated. For assistance navigating government application prequalification procedure, refer to IDHS GATA Prequalification Assistance . Applicants must be prequalified; therefore, applications from entities that have not prequalified prior to the due date of this application will NOT be reviewed and will NOT be considered for funding.

The following information is required to complete registration: Organization's Unique Entity Identifier (UEI); For additional information on UEI, refer to Section Unique Entity Identifier and System for Award Management (SAM) below; Organization's Federal Employer Identification Number (FEIN); Illinois Secretary of State File ID (required for non-profits, for-profits and limited liability corporations); Organization's mailing address; Organization's primary email address; Organization's primary phone number; Organization's fiscal year-end date Unique Entity Identifier (UEI) and System for Award Management (SAM) Each applicant is required to: Be registered in SAM.

gov before submitting its application. Provide a valid unique entity identifier in its application; if your organization does not yet have a UEI you must request one. Continue to maintain an active SAM registration with current information at all times during which it has an active award, an application ,or plan under consideration by the Department.

The Department may not make an award to an applicant until the applicant has complied with all applicable unique entity identifier and SAM requirements. If an applicant has not fully complied with the requirements by the time the Department is ready to make an award, the Department may determine that the applicant is not qualified to receive an award and use that determination as a basis for making an award to another applicant.

Successful Applicants will not receive an award if pre-award requirements are not met. See Section D for more information. Funding restrictions-See Section D for funding restriction impacting eligibility.

2. Cost Sharing or Match Requirements Providers are not required to participate in cost sharing or provide match. Indirect Costs may be applied to this grant award.

Indirect cost rates must be approved. Indirect Cost Requirements and Restrictions In order to charge indirect costs to this grant, the applicant organization must have a Federal or State annually negotiated indirect cost rate agreement (NICRA) or must elect to use the De Minimis Rate.

Every organization that receives a state award must make an indirect cost rate proposal or election in the State of Illinois Grantee Portal, Centralized Indirect Cost Rate Election System, including organizations that are choosing not to claim payment for indirect costs. Indirect Cost Rate Election: Federally Negotiated Rate.

Organizations that receive direct federal funding may have an indirect cost rate that was negotiated with the Federal Cognizant Agency. Illinois will accept the federally negotiated rate. The organization must provide a copy of the federal NICRA and submit an Indirect Cost Rate Proposal in the Crowe Activity Review System ( CARS ).

State Negotiated Rate. The organization must negotiate an indirect cost rate with the State of Illinois by completing an indirect cost rate proposal in the CARS system if they do not have a Federally Negotiated Rate and would like to negotiate a rate with the State of Illinois. De Minimis Rate.

An organization may elect a De Minimis rate of 10% of modified total direct cost (MTDC)**. Once established, the De Minimis rate may be used indefinitely. If programs elect to use the De Minimis rate, it is critical that program budgets accurately calculate the MTDC base.

Please see the regulation below and note the exclusions to MTDC. **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 subrecipient (regardless of the period of performance of the subawards and subrecipient s 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 subrecipient 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.

No Rate: Grantees have discretion not to claim payment for indirect costs. Grantees that elect not to claim indirect costs cannot be reimbursed for indirect costs. The organization must record an election of "No Indirect Costs" into the Indirect Cost Rate Election System.

State Funded Universities/Institutions: Maximum reimbursement for indirect costs is restricted to 10% Off Campus and 20% On Campus with MTDC base. Crowe Activity Review System (CARS). CARS will allow your organization to document your already established federally approved indirect cost rate or complete an indirect cost rate proposal (see State Negotiated Rate above).

Submission requirements are located on page 2 of the Uniform Budget Template as well as 2 CFR 200 Appendices IV, V & VII. Organizations which have not previously made an indirect cost rate election must submit an election (and indirect cost rate proposal, if necessary) immediately and no later than 3 months after receiving an award notification.

If the organization elects to submit a Federally Negotiated Rate or a State Negotiated Rate, they will receive an invitation to submit their proposal in the CARS system.

Organizations that have previously established an indirect cost rate election and would like to continue with a Federal or State Negotiated Rate must submit a new indirect cost rate election immediately and no later than 6 months after the close of their organization's fiscal year. Organizations that do not make a submission inside the CARS system within the required timeframes will not be allowed to claim indirect cost reimbursement.

For more information, see: Centralized Indirect Cost Rate User Manual The CSA Tracking System is the system the IDHS utilizes for approving budgets and issuing grant awards. It is strongly recommended that if an applicant entity is not already registered in the CSA Tracking System, they should begin the registration as soon as possible so they may submit a signed budget in CSA.

While registration in CSA is not part of the prequalification process, successful applicants will NOT be issued an award without a fully approved budget in the CSA System. Limit on Number of Applications More than one application per entity is not permitted. D.

Application and Submission Information 1. Address to Request Application Package The complete application package (this Notice of Funding Opportunity, including links to required forms) is available at the Mental Health Grants - FY24 Web site. Each applicant must have access to the internet.

The Department's web site will contain information regarding the NOFO and materials necessary for submission. Questions and answers will also be posted on the Department's web site as described later in this announcement. It is the responsibility of each applicant to monitor that web site and comply with any instructions or requirements relating to the NOFO.

Additional copies may be obtained by contacting the Division of Mental Health by emailing DHS. DMHGrantApp@illinois. gov .

2. Content and Form of Application Submission Applications must include the required documents and demonstrate that the program eligibility requirements have been met. The Department will not contact applicants for missing items listed below.

Applicants that do not include all the following documents will be considered substantially incomplete and will not be considered for funding. Uniform Application for State Grant Assistance The Uniform Application for State Grant Assistance is a three-page document used to formalize organization's request to apply for funding. The document requires the signature and email address of the organization's authorized representative.

Page one of the application is pre-populated with the appropriate information. Applicants must not complete anything on Page 1. The correct application must be used.

On Page 3, applicants will need to include the amount for which they are applying and sign. The applicant submission email address will be used for official communication between the Department and the applicant organization for matters regarding this application. The narrative portion must follow the page maximums where prescribed and must be organized in the format outlined below or points may be deducted.

Each applicant is required to submit a Program Narrative. The Program Narrative must include categories consistent with the criteria listed in Section E Application Review Information. The Program Narrative shall not exceed 14 pages.

If there are more than 14 pages, the remaining pages will not be reviewed or scored. All documents must be typed using Times New Roman 12-point type,100% magnification and use black typeface on a white background, Except for letterhead. For charts and tables only Times New Roman 10-point with color may be used.

The Program Narrative must be typed single-spaced with 1-inch margins on all sides. The submission must be on 8 1/2 x 11-inch page size using pdf or pdf portfolio. The application packet consists of: The three-page Uniform Application for State Grant Assistance * The Grant Application and the Program Narrative may be submitted as one document or as two separate documents.

If submitting as one document, ONLY the Grant Application and Program Narrative may be included. When submitting as one document the sequence to submit the application is: Uniform Application for State Grant Assistance first followed by the Program Narrative. Budget in the CSA Tracking System Deadline for submission of the budget, in the CSA Tracking System, is the same as the application deadline.

The CSA Tracking System is where the IDHS requires all applicants to enter their GATA Budget information. It is also where IDHS staff will review and take action on the proposed budget. The CSA Tracking system requires that you have different credentials than what you have for the Illinois GATA Grantee Portal.

A budget and budget narrative need to be completed, electronically signed, and submitted in the CSA tracking system with the status as "GATA Budget signed and submitted to program review." A copy is not to be submitted along with the application packet. There is space when preparing the budget on each line item for the budget narrative.

For each line in the budget the applicant will describe why each expenditure is necessary for program implementation and how the amount was determined. Please include cost allocations as necessary.

The Budget narrative (including MTDC base exclusions as appropriate) must clearly identify indirect costs, direct program costs, direct administrative costs, and describe how the specified resources and personnel have been allocated for the tasks and activities within each line item. See instructions for the CSA Tracking System and Budget Information. The budget should be prepared to reflect 12 months.

A Budget Template can be used as a tool to assist in determining expenses; however, the final budget must be completed in the CSA Tracking System. The pdf budget or paper copy will not be accepted. Applicants will NOT be issued an award without the applicant's fully approved budget in the CSA System.

If applicant is planning to use a subrecipient, a pdf copy of the subrecipient budget must be submitted as a separate pdf document with the application packet. Subrecipient budgets shall be submitted on the IDHS/DMH Budget template (GOMBGATU-3002-(R-02-17) as a separate attachment. IMPORTANT: The program (proposal) narrative makes up the bulk of the application.

Please provide a complete response to the Criteria in Section E. If the program narrative is missing from your application packet, your application will receive a score of zero points and your agency will not meet the criteria to receive a grant under this notice of funding opportunity.

Proposal Narrative Content and Attachments If the applicant believes that the subject has been adequately addressed in another part of the application narrative, then provide the cross-reference to the appropriate part of the narrative. If a cross-reference is not included in the section, the reviewer will only consider content contained within that specific section.

All successful applicants are required to complete a risk assessment prior to execution of a grant award. The Internal Controls Questionnaire (ICQ) is one instrument used to assess risk of grantees by identifying an organization's potential weaknesses. The ICQ is accessed through the Grantee Portal .

The deadline to submit the ICQ is April 6, 2023, 12:00 PM (Noon) Central Time. 3. Unique Entity Identifiers and SAM Registration Each applicant (unless the applicant is an individual or Federal or State awarding agency that is exempt from those requirements under 2 CFR § 25.

110(b) or (c), or has an exception approved by the Federal or State awarding agency under 2 CFR § 25. 110(d)) is required to: Be registered in SAM. gov before the application due date.

Provide a valid unique entity identifier (UEI) in its application; and Continue to maintain an active SAM registration with current information at all times during which it has an active Federal, Federal pass-through, or State award or an application or plan under