Brattleboro Memorial Hospital

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - 1. PROJECT TITLE: HEALTHWORKS ACT 2. REQUESTED AWARD AMOUNT: $2,000,000 3. APPLICANT ORGANIZATION NAME: BRATTLEBORO MEMORIAL HOSPITAL 4. APPLICANT ORGANIZATION ADDRESS: 17 BELMONT AVENUE, BRATTLEBORO, VT 05301 5. APPLICANT ORGANIZATION FACILITY TYPE: COMMUNITY HOSPITAL 6. PROJECT DIRECTOR NAME AND TITLE: REBECCA BURNS, DIRECTOR OF COMMUNITY INITIATIVES 7. PROJECT DIRECTOR CONTACT INFORMATION: 802-257-8325 RBURNS@BMHVT.ORG 8. DATA COORDINATOR NAME AND TITLE TO BE HIRED, HEALTHWORKS ACT DATA COORDINATOR 9. DATA COORDINATOR CONTACT INFORMATION (PHONE AND EMAIL) TO BE HIRED 10. EIN/DUNS NUMBER EXCEPTION REQUEST IN ATTACHMENT 8 ?: NO 11. HOW THE APPLICANT FIRST LEARNED ABOUT THE FUNDING OPPORTUNITY HRSA-22-061: HRSA GRANTEE, THE WINDHAM COUNTY CONSORTIUM ON SUBSTANCE USE (COSU) 12. NUMBER OF CONSORTIUM MEMBERS & LIST OF CONSORTIUM MEMBERS: FOUR. APPLICANT ORGANIZATION BRATTLEBORO MEMORIAL HOSPITAL AND MEMBERS BRATTLEBORO RETREAT, HEALTH CARE & REHABILITATION SERVICES, AND GROUNDWORKS COLLABORATIVE 13. IS THE APPLICANT ORGANIZATION A PREVIOUS OR CURRENT RCORP AWARD RECIPIENT OR CONSORTIUM MEMBER? YES. CONSORTIUM MEMBER FY18 RCORP-PLANNING AND CONSORTIUM MEMBER FY19 RCORP-IMPLEMENTATION. 14. INDICATE IF APPLICANT ORGANIZATION INTENDS TO APPLY FOR FY22 RCORP- IMPLEMENTATION? NO. 15. DOES THE TARGET SERVICE AREA OVERLAP WITH THE SERVICE AREAS OF THE NORTHERN BORDER REGIONAL COMMISSION, THE DELTA REGIONAL AUTHORITY, OR THE APPALACHIAN REGIONAL COMMISSION? YES. THE TARGET SERVICE AREA OF WINDHAM COUNTY, VERMONT IS A PART OF THE NORTHERN BORDER REGIONAL COMMISSION SERVICE AREA. 16. RCORP-BHS TARGET SERVICE AREA : A. FULLY RURAL COUNTIES: PROVIDE THE COUNTY NAME AND STATE WINDHAM COUNTY, VERMONT B. PARTIALLY-RURAL COUNTIES: PROVIDE COUNTY NAME, STATE, AND THE RURAL CENSUS TRACT (LIST OF RURAL CENSUS TRACTS) N/A 17. BRIEF DESCRIPTION OF THE TARGET POPULATION THE TARGET POPULATION FOR THIS PROJECT IS ADULT RESIDENTS OF THE HIGH -RISK RURAL COUNTY OF WINDHAM COUNTY, VERMONT WITH BEHAVIORAL HEALTH CONDITIONS, INCLUDING CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS, WHO ARE ALSO EXPERIENCING HOMELESSNESS. THIS TARGET POPULATION HAS HISTORICALLY SUFFERED FROM POORER HEALTH OUTCOMES, HEALTH DISPARITIES, AND OTHER INEQUITIES. .4% OF VERMONT’S POPULATION IS NATIVE AMERICAN OR ALASKAN NATIVE ALONE.

HEALTHWORKS ACT - HEALTHWORKS ACT WILL PROVIDE INTEGRATED MENTAL HEALTH, SUBSTANCE USE, AND MEDICAL CARE, CASE MANAGEMENT, AND PEER SUPPORT SERVICES TO PEOPLE WITH MENTAL HEALTH AND SUBSTANCE USE CONDITIONS WHO ARE EXPERIENCING HOMELESSNESS IN SOUTHERN VERMONT. IN ITS FIRST YEAR, HEALTHWORKS ACT WILL: - SERVE 75 PEOPLE IN WINDHAM COUNTY WHO ARE ACCESSING SERVICES FOR HOMELESSNESS AND HAVE A DIAGNOSED MENTAL HEALTH OR SUBSTANCE USE CONDITIONS. - USE THE ASSERTIVE COMMUNITY TREATMENT (ACT) MODEL FOR A PATIENT-CENTERED, TRAUMA-RESPONSIVE, INTEGRATED MENTAL HEALTH AND MEDICAL TREATMENT APPROACH. - BRING TOGETHER PEER SUPPORT ADVOCATES, MEDICAL PROVIDERS, MENTAL HEALTH CLINICIANS, AND HOUSING CASE MANAGERS IN A CROSS-AGENCY, MULTI-DISCIPLINARY COLLABORATION THAT DRAWS ON THE EXPERTISE OF PROJECT PARTNERS BRATTLEBORO MEMORIAL HOSPITAL (FISCAL AGENT), BRATTLEBORO RETREAT, GROUNDWORKS COLLABORATIVE, AND HEALTH CARE & REHABILITATION SERVICES. - PROVIDE ONSITE CARE TO PARTICIPANTS IN FACILITIES OPERATED BY GROUNDWORKS, WINDHAM COUNTY’S LEAD NON-PROFIT ORGANIZATION WITH THE MISSION TO ADDRESS HOUSING AND FOOD INSECURITY. THE TARGET POPULATION FOR THIS PROJECT IS WINDHAM COUNTY ADULTS RESIDING IN THE SERVICE AREA WITH MENTAL HEALTH AND SUBSTANCE USE CONDITIONS, INCLUDING CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS, WHO ARE ALSO EXPERIENCING HOMELESSNESS. THE GOAL OF HEALTHWORKS ACT IS TO IMPROVE ACCESS TO INTEGRATED HEALTH CARE AND SUPPORTIVE SERVICES FOR PEOPLE WITH MENTAL HEALTH AND SUBSTANCE USE CONDITIONS WHO ARE EXPERIENCING HOMELESSNESS. RELATED OBJECTIVES ARE TO: A. ESTABLISH AN INTERDISCIPLINARY ASSERTIVE COMMUNITY TREATMENT (ACT) TEAM WITH ONSITE, INTEGRATED MENTAL HEALTH, SUBSTANCE USE, MEDICAL, PEER SUPPORT, AND CASE MANAGEMENT SERVICES AT THE EMERGENCY SHELTER FACILITIES WITH THE TARGET OF SERVING 75 ADULTS EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY IN YEAR ONE. B. PROVIDE ACCESSIBLE, TRAUMA-INFORMED, ONSITE MENTAL HEALTH AND SUBSTANCE USE CARE TO 75 PEOPLE EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY IN YEAR ONE. C. PROVIDE ACCESSIBLE, TRAUMA-INFORMED, ONSITE MEDICAL CARE, INCLUDING PRIMARY CARE AND MEDICATION ASSISTED TREATMENT, WITH A TARGET OF SERVING 75 PEOPLE EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY IN YEAR ONE. D. PROVIDE ACCESSIBLE, TRAUMA-INFORMED PEER SUPPORT SERVICES WITH A TARGET OF SERVING 75 PEOPLE EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY IN YEAR ONE. E. PROVIDE OUTREACH CASE MANAGEMENT WITH A TARGET OF SERVING 75 PEOPLE EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY IN YEAR ONE.

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

HEALTHWORKS ASSERTIVE COMMUNITY TREATMENT (ACT) - HEALTHWORKS ASSERTIVE COMMUNITY TREATMENT (ACT) WILL FOCUS ON ADULTS WITH SUBSTANCE USE AND CO-OCCURRING DISORDERS WHO ARE EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY IN WINDHAM COUNTY, VERMONT. HEALTHWORKS ACT WILL: A) PROVIDE ONSITE TREATMENT AND CARE FOR 50 PEOPLE WITH SUBSTANCE USE OR CO-OCCURRING DISORDERS, WHO ARE ACCESSING EMERGENCY HOUSING SERVICES; B) EMPLOY THE ACT MODEL FOR AN INTEGRATED SUBSTANCE USE, MENTAL HEALTH, AND MEDICAL TREATMENT APPROACH, C) BRING TOGETHER MENTAL HEALTH CLINICIANS, PSYCHIATRIC AND MEDICAL PROVIDERS, PEER ADVOCATES, AND OUTREACH CASE MANAGERS IN A MULTIDISCIPLINARY PROJECT. THE GOAL OF HEALTHWORKS ACT IS TO PROVIDE INTEGRATED SUBSTANCE USE TREATMENT, MEDICAL CARE, AND SUPPORTIVE SERVICES TO AT LEAST 100 UNDUPLICATED INDIVIDUALS WITH SUBSTANCE USE (SUD) AND CO-OCCURRING DISORDERS (COD) WHO ARE EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY BY YEAR THREE OF FUNDING. STRATEGIES AND INTERVENTIONS FOR HEALTHWORKS ACT’S INTEGRATED CARE AND SERVICES INCLUDE A MULTIDISCIPLINARY APPROACH TO SCREENINGS, ASSESSMENTS, AND TREATMENT PLANNING FOR SUD/COD; PROVISION OF TREATMENT FOR SUD/COD INCLUDING PRESCRIBING AND MANAGING MEDICATIONS FOR ALCOHOL AND OPIOID USE DISORDERS (MAUD/MOUD), INDIVIDUAL AND GROUP PSYCHOTHERAPY, AND PEER RECOVERY SUPPORT SERVICES; MEDICAL CARE FOR COMPLICATIONS RELATED TO SUBSTANCE USE; TOBACCO CESSATION STRATEGIES; PEER SUPPORT AND ADVOCACY, AND OUTREACH CASE MANAGEMENT WITH HOUSING NAVIGATION SERVICES. ADDITIONAL STRATEGIES INCLUDE INTEGRATION OF PRIMARY CARE SERVICES INTO THE ACT MODEL, INFECTIOUS DISEASE CARE AND MANAGEMENT, LOW-BARRIER APPROACHES TO MOUD/MAUD, AND HOUSING NAVIGATION AND RETENTION SERVICES FROM OUTREACH CASE MANAGERS. MEASURABLE OBJECTIVES ARE: ● IMPLEMENT AN INTERDISCIPLINARY ASSERTIVE COMMUNITY TREATMENT (ACT) TEAM WITH ONSITE, INTEGRATED SUBSTANCE USE, MENTAL HEALTH, AND MEDICAL CARE, PEER SUPPORT, AND CASE MANAGEMENT SERVICES AT THE EMERGENCY SHELTER FACILITIES, WITH THE TARGET OF SERVING 50 ADULTS EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY IN YEAR ONE. ● PROVIDE ONSITE MEDICAL TREATMENT AND CARE, INCLUDING MEDICATIONS FOR SUBSTANCE USE, WITH A TARGET OF SERVING 50 PEOPLE EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY IN YEAR ONE. ● PROVIDE ACCESSIBLE, TRAUMA-INFORMED, ONSITE SUBSTANCE USE AND MENTAL HEALTH TREATMENT TO 50 PEOPLE EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY IN YEAR ONE. ● PROVIDE ACCESSIBLE, TRAUMA-INFORMED PEER SUPPORT SERVICES WITH A TARGET OF SERVING 50 PEOPLE EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY IN YEAR ONE.