Behavioral Health Funding Toolkit

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American Rescue Plan Act of 2021: How Local Governments Can Support Individuals With Mental Illness, Developmental Disabilities and Substance Use Disorder

Local Fiscal Recovery Fund Toolkit for Behavioral Health

The COVID-19 pandemic presented Missourians with challenges that are stressful and overwhelming, causing strong emotions in both adults and children.  It continues to negatively impact mental health and causes barriers to care for those with mental illness, developmental disabilities and substance use disorder. Local governments throughout Missouri can utilize American Rescue Plan funding to strengthen their communities by maintaining, sustaining, and even expanding critical behavioral health and developmental disability services. Provided below is a listing of entities and specific needs that could be supported with ARPA local recovery funds.

The U.S. Department of Treasury has specific compliance and reporting requirements associated with the use of ARPA fiscal recovery funds. For more information, please refer directly to the U.S. Department of Treasury’s website. Be sure to check the Treasury’s website frequently to stay up to date on current guidance and funding requirements.

Of note, all ARPA fiscal recovery funds must be encumbered by December 31, 2024 and all projects must be completed and all funds expended by December 31, 2026.

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School-based Mental Health Programs

Need:

  • Social workers, counselors, psychologists
  • Programs to manage stress for staff and students
  • Programs to manage grief for staff and students

Actions You Can Fund:

  • Fund school-based staff
  • Fund mental health teams to support school students and teachers
  • Fund school-based support groups
  • Fund training for trauma-informed care for school personnel

See ARPA Interim Final Rule 35.6(b)(1) (xviii) and 35.6(b)(12). FAQ 2.11 and 4.8.

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Community Providers—

Developmental Disabilities, Behavioral Health, Substance Use Disorder

Need:

  • COVID related supplies and technology
  • Resources for capital improvements
  • Expand service capacity to meet increasing demand

Actions You Can Fund:

  • Provide grants or reimbursement to providers for PPE, testing, cleaning, and costs associated with quarantine/isolation housing and food, etc.
  • Fund room dividers, windows, etc. to assist in isolation and quarantine care
  • Fund telehealth support devices to support in-home monitoring—potentially reducing the need for emergency rooms/urgent cares
  • Fund improvements to increase clinical and programming space to meet increasing demand for services
  • Fund transportation costs
  • Fund employee assistance programs

See ARPA Interim Final Rule 35.6(b)(1), 35.6(b)(6), and 35.6(b)(7).

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Community Providers—

Developmental Disabilities, Behavioral Health, Substance Use Disorder

Need:

  • Hazard Pay & Wage Supplemental to address critical worker shortages

Actions You Can Fund:

  • Hero Pay
  • Unreimbursed overtime costs
  • Retention bonus pay
  • Incentive pay for staff
  • Shift differential for staff caring for individuals in isolation/quarantine
  • Leave pay for staff placed in isolation and/or quarantine

See ARPA Interim Final Rule 35.3 definition of eligible workers, essential work, and premium pay. Also, 35.6(b)(1), 35.6(b)(6), 35.6(b)(7), and 35.6(c). FAQ 2.2, 2.14 and 4.8.

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Recovery Community Organizations

Need:

  • Surge capacity to meet increasing demand

Actions You Can Fund:

  • Fund additional staff to increase capacity
  • Fund “wrap-around services” such as life skills training, employment services, food security, housing, transportation, and substance use recovery programs

See ARPA Interim Final Rule 35.6(b)(1) (xviii) and 35.6(b)(12). FAQ 4.8.

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Local Crisis Stabilization Centers

Need:

  • Operational support for centers in St. Joseph, Kirksville, Hannibal, Columbia, Jefferson City, Rolla, St. Charles, St. Louis, Eastern Jackson County, Cape Girardeau, Poplar Bluff, West Plains, Kansas City, Springfield, Raytown, and Joplin

Actions You Can Fund:

  • Fund center-based staff
  • Fund medication and food costs
  • Fund clothing and hygiene costs
  • Fund furniture and equipment needs

See ARPA Interim Final Rule 35.6(b)(1)(xviii) and 35.6(b)(12). FAQ 4.8. 

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How do I locate a Community Provider in my area?

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ARPA Resources

 

Disclaimer:   The U.S. Department of Treasury has not published the Final Rule on the State and Local Fiscal Recovery Funds. Information shared in this toolkit is subject to change pending final rulemaking and subsequent guidance and/or FAQs published by Treasury.