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The N.C. Department of Health and Human Services received a $14.8 million grant from the Substance Abuse and Mental Health Services Administration on Oct. 5 to support the mental health of children and families in North Carolina.

The grant is intended to enhance the N.C. System of Care — a community-based network that connects people to various health resources, including mental health care, across the state.

Sharon Bell, manager of behavioral health for the Division of Child and Family Well-Being, said N.C. System of Care is made up of all the players in a community that serve children and families, such as behavioral health providers and schools.

“They all come together, really to support the children and try to improve access to care within a local community, keeping kids from going into out-of-home placements or higher levels of care and keeping them engaged in services with their families," she said.

Bell also said that a large portion of the funding will be going toward providing High-Fidelity Wraparound services to every county in North Carolina. The High-Fidelity Wraparound process seeks to help families when youth experience mental health or behavioral challenges.

High-Fidelity Wraparound services provide care in the least restrictive way possible, reducing out-of-home placements and keeping services affordable, said Bell.

Tara Ward, the project manager of the High-Fidelity Wraparound Training Program for NCDHHS, said that the grant will help to expand access to High-Fidelity Wraparound services to all 100 counties in North Carolina.

“This will support with increasing the number of counties that receive High-Fidelity Wraparound, as well as support existing teams with stabilization and just boosting those teams with their utilization,” Ward said. 

She said the Wraparound provides a team for each family, including a coach supervisor who oversees the process and a facilitator who ensures that the right people are brought in for the specific needs of the families for meetings. 

The team also includes family support partners, who are individuals with lived experience as caregivers helping their own children through navigating mental health systems, she said. 

Ward said that the grant application was vigorous and that other states applied for the grant as well. 

According to the Centers for Disease Control and Prevention's Youth Risk Behavior Survey, rates of self-reported suicide attempts among high schoolers and reports of high schoolers seriously considering suicide in North Carolina are similar to the rest of the country. 

In the 2021 YRBS Survey, 43 percent of high school students in North Carolina indicated that they felt sad or hopeless almost daily for at least two consecutive weeks during the previous year, having stopped some usual activities. This rate increased from 29 percent in 2017.

Marisa Marraccini, an associate professor at the UNC School of Education, said that North Carolina has a variety of mental healthcare needs. She said some urban areas have obstructions to care and some rural areas have less access to mental health resources.

“I could imagine that a grant like this that focuses heavily on increasing capacity for systems care of mental health would be great in a state like ours because we have so much heterogeneity,” she said. 

@DTHCityState | city@dailytarheel.com

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