1. Affirmations Break the Silence HBHE 651 Program Planning Winter, 2011

2. Target Population & Location The general state of mental health in the U.S. -Not properly recognized/treated -Undiagnosed individuals LGBTQ individuals and mental health -Lower diagnosis of mental health disorders -Under utilization of mental health services Risk factors associated with poor mental health among LGBTQ community -Depression and Anxiety -Substance Abuse -Suicide Ideation/Attempt

3. Problem Description LGBTQ mental health services – Lack of health services sensitive to specific LGBTQ concerns – The affects of historical discrimination Limitations of Affirmations’ mental health services – Counseling Services – Lack of awareness of LGBTQ people and mental health

4. Mental Health Services at Affirmations Staff Volunteers Interns Time Space Money Partners Research Staff Volunteers Interns Time Space Money Partners Research Needs Assessment and Internal Restructuring Expansion of Services Awareness of the importance of prevention techniques Awareness of gaps in services Development of mental health evaluation forms Learn general knowledge & skills for future effective assessments Clients Local mental health care providers Staff & Volunteers Counseling Interns Psychiatrist Counseling Program Manager Contracted Evaluator Psychiatrist Knowledge of expanded counseling services Clinical awareness of mental health and substance abuse issues Well-being workshop facilitators & participants New and Current Clients Staff & volunteers Interns Counseling Program Manager Maximize mental health well- being: __________ Decrease depression Decrease anxiety Increase self-efficacy Decrease suicide ideation/ attempts Decrease substance use Maximize mental health well- being: __________ Decrease depression Decrease anxiety Increase self-efficacy Decrease suicide ideation/ attempts Decrease substance use Increased use of internal psychiatrist External LGBTQ mental health training Learn general knowledge of effective assessment Increase knowledge of LGBTQ mental health Service adjustment Increase capacity and use of services Creation of well-being workshops Increased referrals to local mental health care providers & psychiatrist Increase in coping skills and knowledge of resources available Program Investments Activities Participation Short-term Outcomes Medium-term Outcomes Long-term Outcomes Long-term Outcomes Awareness of well-being workshops implemented and evaluated Hiring of Counseling Program Manager & Psychiatrist Increase awareness of LGBTQ mental health issues

5. Two-Tier Intervention Needs Assessment & Internal Restructuring: –Contract evaluator –Develop psychiatric symptom inventory survey –Increase effort of Counseling Program Manager position –Part-time psychiatrist –Increase Interns Expansion of Services: - Staff training in LGBTQ mental health awareness - Workshops for Local Mental Health Providers - Well-Being Workshops

6. Proposed Evaluation Quantitative: - Mental Health Evaluation Forms - Administrative Surveys - Attendance Logs Qualitative: - Focus Group - Evaluation Report Measures: Intervention: O X 1 : O X 2 O O O Intervention: O X 1 : O X 2 O O O

7. Budget Plan Total Amount Requested: $99,705 $71,500 (72%) of the budget is Personnel Costs $7,500 for Contracted evaluator $7,700 for Supplies and Other Direct Costs

8. Questions?