Community-Based Outreach

MENTAL HEALTH

County Spending Category
3.2 Hyperlocal and Community-Based Outreach
Federal Expenditure Category
Other COVID-19 Public Health Expenses (including Communications, Enforcement, Isolation/Quarantine)
Project Launch Date
01/01/2024
Anticipated End Date
04/01/2025

Project Contacts

Indicators & Metrics to Date

  • % of UMHP achieving completion of required training
    66
  • # events outreach/engagement events/efforts
    589
  • # individuals reached
    27679
  • # participants receiving one-on-one psychosocial supports and referral/linkage services from a UMHP
    1951
  • % of participants seeking referrals completing needs/follow up assessments by UMHP
    99
  • # training/information events/efforts
    61
  • # participant contacts to support facilitation toward linkage
    6486
  • # successful linkages
    1551
  • # UMHP serving community members
    151
  • # of community residents who access UMHP delivered services and support
    94552
  • # successfully identified partners and referral resources
    202
  • # CBO Teams Funded
    21
  • # UMHP Hired
    151
  • % of UMHP receive training based on Community Resiliency Model (CRM)
    50
  • # completed self-reported perception of experience post referral/linkage process
    223
  • % completed measures assessing protective factors/wellbeing.
    36
  • # referrals provided by UMHP
    2046
  • # completed measures assessing understanding of biologically based trauma intervention skills pre-training
    144
  • # completed measures assessing perceived self-efficacy to implement biologically based trauma intervention skills pre-training
    144
  • # completed measures assessing understanding of biologically based trauma intervention skills post-training
    109
  • # completed measures assessing perceived self-efficacy to implement biologically based trauma intervention skills post-training
    109
  • # print/digital publications or other communication efforts developed
    592
  • % completed pre-measures assessing understanding of intervention skills pre-training
    102
  • % completed post-measures assessing understanding of intervention skills post training
    77

Target Populations

  • High and Highest Need Communities Impacted by COVID-19

Project Description

Implementation and expansion of the United Mental Health Promoters (UMHP) Community Based-Outreach program will allow the Los Angeles County Department of Mental Health (LACDMH) to address needs in the most disadvantaged and marginalized communities, specifically those who were disproportionately impacted by the COVID-19 pandemic. Over 5,000 duplicated residents will receive direct and indirect services including household assistance, education, and training regarding COVID-19 prevention/mitigation efforts, and linkages to COVID-19 referrals including testing, vaccinations, and healthcare services. Historically, low-resource, underserved communities within Los Angeles County have experienced high levels of fiscal instability, violence, and trauma accompanied by unmet mental/physical health needs and significant challenges to service access and knowledge. A significant number of the adult population in Los Angeles have been diagnosed with a serious mental illness. Moreover, a meta-analysis revealed that the COVID-19 pandemic has not only impacted physical health but appears linked to increasing mental health concerns and disorders (Salari et al, 2020). The LACDMH’s UMHP project addresses the mental health and wellness of the high and highest-need community residents who will serve as the target population as identified in the COVID Recovery Index. This project will invest in communities through contracting with up to 8 Teams/Community Based Organizations (CBO) serving high and highest need communities. CBO, leveraging their position within the hyperlocal area, will recruit, hire, and train up to 64 UMHP including Promotores de Salud (Promotores), Community Health Workers (CHW), Community Ambassadors (CA) Peer Advocates (PA), and Parent Partners (PP) to serve as trusted representatives and “community member with lived experience.” A composite of outreach, engagement, and psychosocial support activities will provide a pathway to recovery from the COVID-19 pandemic and achieve equitable outcomes for impacted communities. Reference Salari N, Hosseinian-Far A, Jalali R, Vaisi-Raygani A, Rasoulpoor S, Mohammadi M, Rasoulpoor S, & Khaledi-Paveh B. (2020) Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Global Health. 16(1):57. https://doi.org/10.1186/s12992-020-00589-w

Goals & Objectives

Goal Description To expand the capacity of the UMHP by adding up to 21 Teams/CBO serving highest/high need communities by December 31, 2024.

Objective Description To identify up to 21 CBO Teams who can train up to 168 UMHP.

Activity Description DMH staff will provide database templates for submission by each community-based organization and review the templates in order to track program outcomes.
Indicators
# Type Name Baseline Target
42 Performance # CBO Teams Funded 0.00 21.00
43 Performance # UMHP Hired 0.00 168.00

Activity Description DMH will coordinate implementation of online instruction with UCLA and oversee completion of required training for each of the 168 UMHP on the online platform.
Indicators
# Type Name Baseline Target
58 Performance % of UMHP achieving completion of required training 0.00 100.00

Outcome Description Community capacity development as evidenced by an increase in identified partners and referral resources at the conclusion of funding as compared to baseline on December 1, 2023
Indicators
# Type Name Baseline Target
40 Performance # successfully identified partners and referral resources 0.00 6.00

Outcome Description Increase in the number of trained UMHP available to provide services and supports in the community at the end of the funding period as compared to baseline on December 1, 2023
Indicators
# Type Name Baseline Target
33 Performance # UMHP serving community members 0.00 168.00

Goal Description To build the coping and resilience skills of duplicated LA County residents who are most impacted by the pandemic by December 31, 2024

Objective Description 40 UMHP will receive training based on the CRM model by the conclusion of the funding period.

Activity Description 25% of UMHP will receive training based on the CRM model December 31, 2024.

Outcome Description Increase in UMHP understanding of biologically based trauma intervention skills post participation in Community Resilience Model (CRM) training relative to baseline (pre-training)
Indicators
# Type Name Baseline Target
1 Performance % completed pre-measures assessing understanding of intervention skills pre-training 0.00 50.00
1 Performance % completed post-measures assessing understanding of intervention skills post training 0.00 25.00
44 Performance % of UMHP receive training based on Community Resiliency Model (CRM) 0.00 25.00

Outcome Description Increase in UMHP perceived self-efficacy and understand to implement biologically based trauma intervention skills following participation in Community Resilience Model (CRM) training relative to baseline (pre-training)
Indicators
# Type Name Baseline Target
3 Performance # completed measures assessing understanding of biologically based trauma intervention skills pre-training 0.00 64.00
4 Performance # completed measures assessing perceived self-efficacy to implement biologically based trauma intervention skills pre-training 0.00 64.00
5 Performance # completed measures assessing understanding of biologically based trauma intervention skills post-training 0.00 64.00
6 Performance # completed measures assessing perceived self-efficacy to implement biologically based trauma intervention skills post-training 0.00 64.00

Goal Description To increase access to housing, medical, educational, mental health and workforce development services amongst others for up to 600 participant that will support the recovery of communities most impacted by the pandemic by December 31, 2024.

Objective Description Offer 300 referrals to essential basic services to residents.

Activity Description UMHP will outreach and identify participants to engage in the program
Indicators
# Type Name Baseline Target
21 Service Delivery # events outreach/engagement events/efforts 0.00 36.00
50 Service Delivery # individuals reached 0.00 108.00

Activity Description UMHP will meet individually with participants to provide psychosocial supports and referral/linkage services.
Indicators
# Type Name Baseline Target
22 Service Delivery # participants receiving one-on-one psychosocial supports and referral/linkage services from a UMHP 0.00 120.00

Activity Description UMHP will assess community member’s needs by conducting a needs assessment.
Indicators
# Type Name Baseline Target
23 Performance % of participants seeking referrals completing needs/follow up assessments by UMHP 0.00 80.00

Activity Description UMHP will provide referrals and when needed, provide hands-on support to facilitate contact with resource providers.
Indicators
# Type Name Baseline Target
8 Service Delivery # referrals provided by UMHP 300.00

Objective Description UMHP will facilitate completion of 225 successful linkages to essential services (e.g., food, housing, education, medical care, legal services, etc.).

Activity Description UMHP will provide support (e.g. assistance completing documentation, soft hand off) and follow up for participants receiving referrals to facilitate linkage
Indicators
# Type Name Baseline Target
30 Service Delivery # participant contacts to support facilitation toward linkage 0.00 175.00

Outcome Description Increased community-based services access by the conclusion of the funding period as compared to baseline on December 1, 2023, as evidenced successful linkages for community participants to support recover of the community.
Indicators
# Type Name Baseline Target
32 Service Delivery # successful linkages 0.00 225.00

Outcome Description Self-reported positive perception of experience post referral/linkage process

Goal Description To increase access to UMHP for LA County residents most impacted by the pandemic by December 31, 2024.

Objective Description To ensure that each CBO disseminates information including, but not limited to, program materials, event details, educational materials, etc. to reach the highest/high need population.

Activity Description DMH will contract with community-based organizations who will use hyperlocal media to disseminate information throughout the target communities.
Indicators
# Type Name Baseline Target
2 Performance # print/digital publications or other communication efforts developed 0.00 16.00

Activity Description DMH will monitor the progress of the community-based organizations by requiring them to report on distribution of information using DMH provided templates.

Objective Description DMH will contract with each CBO who will hire UMHP to then conduct up to 40 COVID-19 outreach/engagement events.

Activity Description UMHP will host outreach and engagement activities to provide information, training, and resources for up to 400 community members.
Indicators
# Type Name Baseline Target
28 Service Delivery # training/information events/efforts 0.00 40.00

Activity Description UMHP will administer a survey to participants within the targeted communities that assesses indicators of wellbeing/protective factors post event
Indicators
# Type Name Baseline Target
7 Performance % completed measures assessing protective factors/wellbeing. 0.00 30.00

Outcome Description Increased # of community residents who access UMHP delivered services and support at the conclusion of funding as compared to baseline (conclusion of quarter 1)
Indicators
# Type Name Baseline Target
39 Service Delivery # of community residents who access UMHP delivered services and support 0.00 400.00