Gandara Mental Health Center Inc

GANDARA CCBHC IMPROVEMENT PROJECT - GANDARA SERVES AN AVERAGE OF 5000 INDIVIDUALS ANNUALLY AT ITS TWO ADJOINING OUTPATIENT CLINICS, WHERE IT PROVIDES A FULL ARRAY OF MENTAL AND BEHAVIORAL HEALTH, ADDICTIONS, CARE MANAGEMENT AND, SAMHSA FUNDED, PRIMARY AND BEHAVIORAL HEALTH CARE AND MINORITY HIV-SERVICE INTEGRATION PROGRAMS. CURRENT BH RECORDS AT GCS OP CLINICS FOUND 87% OF CLIENTS HAVE SMI OR CO-OCCURRING DISORDERS AND 13% HAVE SUD. NINETY PERCENT (90%) ARE HISPANIC OR LATINO, 45% LACK A HIGH SCHOOL OR GED DIPLOMA, 28% ARE BETWEEN AGES 16-34 YEARS 32% HAVE CO-OCCURRING SMI AND SUD. CLIENTS IN THIS SAMPLE ALSO HAVE A HIGH NO-SHOW RATE, WITH 37% OF REPORTING MULTIPLE TREATMENT BARRIERS, INCLUDING LACK OF TRANSPORTATION, FORGETTING APPOINTMENTS, AND ANXIETY IN THE WAITING AREA. NEARLY 25% OF NO-SHOWS MISSED 3 OR MORE APPOINTMENTS. THESE DATA DEMONSTRATE THE NEED FOR NEW INTERVENTIONS AND INTENSIVE SERVICES IN ORDER TO RETAIN CLIENTS IN TREATMENT AND ATTAIN BETTER HEALTH OUTCOMES. CCBHC ACTIVITIES WILL BE BASED WITHIN GANDARAS CLINICAL CAMPUS, COMPRISED OF TWO ADJOINING OUTPATIENT CLINICS, LOCATED AT 2155 MAIN STREET AND 85 ST. GEORGE ROAD IN SPRINGFIELD. GC DEVELOPED ITS COOPERATIVE CARE TEAM (CCT) MODEL, AS PART OF ITS SAMHSA PCBHI AND MINORITY AIDS SERVICE INTEGRATION (MASI) GRANTS, TO PROVIDE INTEGRATED PRIMARY, MENTAL HEALTH, AND SUBSTANCE USE DISORDER (SUD) SERVICES FOR INDIVIDUALS ASSESSED WITH SMI, DD, SUD AND CHRONIC HEALTH CONDITIONS. THE CCT AT EACH CLINIC SITE INCLUDES A PSYCHIATRIST, NURSE PRACTITIONER, LICENSED CLINICIANS, MEDICAL ASSISTANTS, CARE COORDINATOR, CASE MANAGERS AND HEALTH NAVIGATORS, AND PEER RECOVERY COACHES. THE CCBHC IA GRANT WILL ENABLE THE COOPERATIVE CARE TEAM TO INCREASE ITS CAPACITY AND SCOPE AND TO PROVIDE INTENSIVE LEVELS OF CARE INCLUDING, 1. ENHANCED PHYSICAL HEALTH INTERVENTIONS INCLUDING TOBACCO CESSATION CERTIFICATION, WHOLE HEALTH ACTION MANAGEMENT TRAINING, AND NURSE LED HEALTH EDUCATION GROUPS. 2. THE PROVISION OF MEDICATION COSTS AND CO-PAY SUBSIDIES. 3. ENHANCED PSYCHIATRIC REHABILITATION SERVICES INCLUDING POPULATION AND CONDITION SPECIFIC GROUP OPPORTUNITIES. GOALS INCLUDE: IMPROVING THE TIMELY PROVISION OF BEHAVIORAL HEALTH CARE SERVICES TO THE TARGET POPULATION, IMPROVING ENGAGEMENT OF AND POSITIVE HEALTH OUTCOMES FOR INDIVIDUALS SERVED, AND ENSURING SUSTAINABLE AND INTEGRATED PRACTICES THROUGH PROGRAM EVALUATION, QUALITATIVE AND QUANTITATIVE MEASUREMENTS AND QI PRACTICES THAT ENSURE EFFICACY. NUMBERS SERVED: YR1 250, YR2 350, YR 3 350, YR 4 250. TOTAL 1200 INDIVIDUALS

GANDARA CENTER CCHBC EXPANSION PROJECT

NEW WAVE/NUEVA HONDA

PROJECT HEALTH - THE GANDARA (GC) PROJECT HEALTH/PROJECTO SALUD (PH/PS) PROGRAM INTEGRATES PRIMARY AND INFECTIOUS DISEASE CARE WITHIN A HISPANIC, MINORITY-FOCUSED BEHAVIORAL HEALTH CLINIC (MH/SUD) WITH THE CLEAR AIM TO PROVIDE HIV/HCV PREVENTION AND TREATMENT COORDINATION TO INDIVIDUALS WITH HIGH SOCIAL AND HEALTH DISPARITIES IN SPRINGFIELD, MA. THE PROJECT IS BASED ON THE PRINCIPLES OF INTEGRATING SOCIAL NEEDS INTO HEALTH CARE INCLUDING CLEAR AIM, MODEL TESTING AND CEDE CONTROL. THE POPULATION OF FOCUS IS PRIMARILY HISPANIC MINORITIES WITH SUD, SMI, DOD WHO ARE AT THE HIGH RISK OF CONTRACTING, OR ARE LIVING WITH HIV/AIDS OR HEPATITIS. NEARLY 5000 INDIVIDUALS ARE SERVED AT THE CLINICS ANNUALLY (73% HISPANIC OR MIXED RACE, 74% NON-WHITE, WOMEN 45%, MEN 54%). APPROXIMATELY 2,500 PEOPLE MEET THE TARGET ELIGIBILITY CRITERIA. THE PROGRAM IS EMBEDDED WITHIN OUR MINORITY FOCUSED, COMMUNITY-BASED OUTPATIENT CLINIC. GANDARA'S CLEAR AIM IS TO FULLY ADDRESS THE CULTURAL, ACCESS, AND CARE COORDINATION BARRIERS EXPERIENCED BY MANY HIGH NEEDS HISPANIC/OTHER MINORITY INDIVIDUALS WITH COMPLEX MEDICAL AND BH CARE NEEDS BY EXPANDING OUR EXISTING MULTI-DISCIPLINARY COORDINATED CARE SETTING THAT OFFERS INDIVIDUALS AN ARRAY OF SERVICES AT DELIVERED BY AN INTEGRATED, BILINGUAL TEAM OF STAFF. THE PH/PS INTEGRATED CARE TEAM WILL BE LED BY AN EXPERIENCED NURSE CASE MANAGER, AND CONSIST OF OUTREACH CASE MANAGERS, PEER RECOVERY SUPPORT SPECIALISTS, SUBSTANCE USE CLINICIANS, AND PRIMARY INFECTIOUS DISEASE CARE (THROUGH AN ESTABLISHED PARTNERSHIP). THE PROGRAM WILL PROVIDE BOTH INTERNAL AND EXTERNAL COMMUNITY OUTREACH, ENGAGEMENT, AND EDUCATION, COMPREHENSIVE CASE MANAGEMENT, SUD TREATMENT, AND INFECTIOUS DISEASE TREATMENT AND PREVENTION. THE UTILIZATION OF MOTIVATIONAL INTERVIEWING (MI) AND STAGES OF CHANGE FACILITATES SUCCESSFUL ENGAGEMENT AND A COLLABORATIVE TREATMENT EFFORT. AN OUTREACH/CASE MANAGER/PEER TEAM SUPPORTS INDIVIDUAL GOAL SETTING/ACHIEVEMENT AND LINKAGES TO COMMUNITY SERVICES- MAT, ADHERENCE SUPPORT, OTHER MEDICAL AND DENTAL, BENEFITS, HOUSING, RECOVERY AND RELAPSE PREVENTION, VOCATIONAL/EMPLOYMENT PLACEMENT, AND WELLNESS SERVICES. CORE GOALS /MEASURABLE OBJECTIVES INCLUDE 1) REDUCE THE INCIDENCE OF HIV/AIDS AND HEP AND IMPROVE OVERALL HEALTH OUTCOMES FOR INDIVIDUALS WITH SUD OR CO-OCCURRING DISORDER (COD) VIA INCREASED ENGAGEMENT WITH CARE, USE OF CULTURALLY COMPETENT SUD TREATMENT WITH HIV/HEP PRIMARY CARE, PREVENTION SERVICES, SCREENING FOR INDIVIDUALS WITH SUD/COD LIVING WITH OR AT RISK FOR HIV/AIDS. 2) DELIVER COMPREHENSIVE SERVICES, THROUGH AN INFECTIOUS DISEASE COOPERATIVE CARE TEAM LED BY A NURSE CASE MANAGER FOR INDIVIDUALS WITH SUD/COD, INCLUDING INFECTIOUS DISEASE PRIMARY CARE, PSYCHIATRY, RN PRESCRIBERS, SUD CLINICIANS, OUTREACH/CASE MANAGERS(CM), PEER/ RECOVERY COACHES AND SERVICE LINKAGES TO INCREASE PHYSICAL/ RECOVERY STABILITY OUTCOMES. 3) BUILD A SYSTEM TO TRACK COORDINATED LINKAGES TO TREATMENT, RECOVERY SERVICES AND OTHER WRAPAROUND SUPPORTS, AS WELL AS PARTICIPANT ACCESS TO SERVICES, TO IMPLEMENT AN INTEGRATED TREATMENT MODEL THAT PROMOTES OVERALL HEALTH AND WELLNESS STABILITY 4) IMPLEMENT THE PROGRAM EVALUATION PLAN TO DETERMINE WHETHER PROGRAM GOALS, OBJECTIVES, AND OUTCOMES HAVE BEEN ACHIEVED AND WHETHER ADJUSTMENTS TO PROGRAMMING AND WORKFLOWS ARE NEEDED. NUMBERS SERVED 500 INDIVIDUALS ACROSS THE 5 YEARS, Y1 90, Y2 110, Y3 110, AND Y4 100. INDIVIDUALS RECEIVING ANNUAL ENHANCED RISK SCREENING 1500, PREVENTION/EDUCATION 750 RAPID TESTING: 600.

PLYMOUTH COUNTY MISSION RE-ENTRY PROGRAM

GANDARA PROJECTO INTEGRACION DE SALUD/HEALTH INTEGRATION PROJECT,

PROJECT HEALTH/PROJECTO SALUD: A CAMPUS APPROACH: MINORITY AIDS INITIATIVE

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

GANDARA CMHC COVID RESPONSE PROJECT - PROJECT TITLE: GÁNDARA CMHC COVID RESPONSE PROJECT GÁNDARA CENTER PROPOSES TO UTILIZE INNOVATIVE STRATEGIES TO IMPROVE ACCESS TO CMHC SERVICES FOR HISPANIC/LATINO AND OTHER ETHNIC AND RACIAL MINORITY CHILDREN, YOUTH, YOUNG ADULTS, ADULTS, AND FAMILIES IN HAMPDEN COUNTY, MASSACHUSETTS WHO LIVE WITH SERIOUS MENTAL ILLNESS (SMI), SERIOUS EMOTIONAL DISTURBANCE (SED), SUBSTANCE USE DISORDERS (SUD, AND CO-OCCURRING MENTAL ILLNESS AND SUD (COD). THESE POPULATIONS HAVE BEEN DISPROPORTIONATELY UNDERSERVED DURING, AND AFFECTED BY, THE COVID-19 PANDEMIC. PROPOSED INTERVENTIONS INCLUDE EXPANDING OUTPATIENT CLINIC HOURS AND DAYS OF OPERATION TO INCLUDE WEEKDAY EVENINGS, SATURDAYS, AND SUNDAYS; INCREASING ACCESS BY THE TARGET POPULATION TO TELEHEALTH OPTIONS ON THEIR OWN DEVICES AND BY PROVIDING HIPAA-COMPLIANT PRIVATE TELEHEALTH STATIONS IN GÁNDARA SOCIAL REHABILITATION AND RECOVERY CENTERS; PROVIDING OUTREACH AND PEER SUPPORT/RECOVERY SUPPORT SERVICES TO INDIVIDUALS EXPERIENCING LONG DELAYS TO RECEIVE OUTPATIENT CARE DUE TO A SHORTAGE OF CLINICIANS CAUSED BY THE PANDEMIC; AND IMPLEMENTING AN URGENT ON-CALL RESPONSE TEAM TO PROVIDE 24/7 CRISIS INTERVENTION AND RECOVERY SUPPORT SERVICES TO INDIVIDUALS SERVED IN GÁNDARA PROGRAMS, INCLUDING THOSE WHO ARE EXPERIENCING DEPRESSION AND ANXIETY AS A RESULT OF COVID-CAUSED ISOLATION. THE COVID RESPONSE PROJECT WILL SERVE 120 INDIVIDUALS IN THE FIRST YEAR AND 180 INDIVIDUALS IN THE SECOND YEAR, TOTALING 300 INDIVIDUALS SERVED THROUGHOUT THE PROJECT DURATION. GÁNDARA CENTER WILL ACCOMPLISH THE FOLLOWING GOALS AND OBJECTIVES: (1) INCREASE BEHAVIORAL HEALTH OUTREACH AND ENGAGEMENT SERVICES TO THE TARGET POPULATION BY UTILIZING ALTERNATIVE SETTINGS, INTERVENTIONS, AND MODALITIES THAT SUPPORT INDIVIDUALS WITH SMI, SED, AND COD WHO ARE WAITING FOR CLINICAL OUTPATIENT SERVICES; (2) REDUCE THE WAIT TIME TO FIRST APPOINTMENT TO NO MORE THAN TEN (10) BUSINESS DAYS FOR NEW INDIVIDUALS SERVED BY RECRUITING AND RETAINING A SUFFICIENT NUMBER OF OUTPATIENT CLINICIANS AND PRESCRIBERS AND BY EXPANDING CLINIC DAYS AND HOURS OF OPERATION; AND (3) EXPAND THE 24/7 CAPACITY TO RESPOND TO INDIVIDUALS SERVED IN GÁNDARA PROGRAMS WHO NEED IMMEDIATE ASSISTANCE AND SUPPORT IN ORDER TO AVERT A MENTAL HEALTH CRISIS BY ENGAGING AN URGENT ON-CALL TEAM COMPRISED OF A CLINICIAN AND A PEER SUPPORT OR PEER RECOVERY SPECIALIST TO PROVIDE TELEHEALTH INTERVENTIONS.

STOP ACCESS DRUG FREE COMMUNITIES COALITION

GANDARA STOP ACCESS COALITION - GÁNDARA MENTAL HEALTH CENTER, INC., (GÁNDARA) PROPOSES EXPANDING AND STRENGTHENING THE CAPACITY OF THE STOP ACCESS COMMUNITY COALITION (SAC), AN ESTABLISHED COMMUNITY-BASED YOUTH AND YOUNG ADULT SUBSTANCE USE PREVENTION COALITION SERVING SPRINGFIELD, MASSACHUSETTS (MA). FOR THIS GRANT OPPORTUNITY, OUR TARGET POPULATION OF FOCUS INCLUDES STUDENTS IN GRADES 8-12 WHO ARE ENROLLED IN THE SPRINGFIELD, HOLYOKE, CHICOPEE, AND WEST SPRINGFIELD PUBLIC SCHOOLS-RANGING IN AGES FROM 13-21 AND AN 85% LOW-INCOME POPULATION. THE STOP ACCESS COMMUNITY COALITION (SAC) WILL BE ABLE TO CONTINUE TO HELP DIRECT COMMUNITY RESOURCES TOWARD EFFECTIVE AND COORDINATED SOLUTIONS TO REDUCE YOUTH SUBSTANCE USE SUCH AS CANNABIS, ALCOHOL, AND TOBACCO/TOBACCO-RELATED PRODUCTS/ELECTRONIC CIGARETTES. REFLECTING THE COMMUNITIES THAT CARE (CTC) MODEL, THE SAC WILL IMPLEMENT HIGH-QUALITY PROGRAMS, PRACTICES, AND POLICIES THAT ARE RECOVERY-ORIENTED, TRAUMA-INFORMED, AND EQUITY BASED AS A MEANS OF IMPROVING BEHAVIORAL HEALTH THROUGH THE FOLLOWING GOALS AND OBJECTIVES: DECREASE SUBSTANCE USE AMONG YOUTH AGES 13-21 ENROLLED IN THE SPRINGFIELD, HOLYOKE AND CHICOPEE PUBLIC SCHOOLS BY IMPLEMENTING EVIDENCE-BASED ACTIVITIES IN THE COMMUNITY AND SCHOOL DISTRICT THAT ADDRESS BEHAVIORS THAT MAY LEAD TO THE INITIATION OF USE, RESULTING IN A DECREASE IN PAST 30-DAY USE AMONG 8TH, 10TH, AND 12TH GRADERS AND AN INCREASE IN THE PERCEPTION OF RISK OF HARM AS MEASURED IN THE 2026 AND 2028 PNAS, AND INCREASE PROTECTIVE FACTORS AMONG YOUTH AGES 13-21 ENROLLED IN THE SPRINGFIELD, HOLYOKE AND CHICOPEE PUBLIC SCHOOLS BY IMPLEMENTING EVIDENCE-BASED ACTIVITIES IN THE COMMUNITY AND SCHOOL DISTRICT AS MEASURED BY THE 2027 YOUTH RISK BEHAVIOR SURVEY-USING THE 2025 SURVEY AS A BASELINE. THE STOP ACCESS COALITION PLAN FOR DATA COLLECTION AND EVALUATION WILL DETERMINE WHETHER PROGRAM GOALS, OBJECTIVES AND OUTCOMES, HAVE BEEN ACHIEVED, AND TO ENSURE ALIGNMENT WITH COMMUNITY NEEDS. GÁNDARA WILL SPONSOR, REVIEW AND IMPLEMENT A CUSTOMIZED VERSION OF THE BACH HARRISON PNAS FOR THE SPRINGFIELD PUBLIC SCHOOLS (SPS), BI-ANNUALLY. DATA WILL BE COLLECTED FROM SPS 8TH, 10TH, AND 12TH GRADE YOUTH IN 2024, 2026, AND 2028, AND INCLUDE THE FOUR RELATED DATA POINTS: PAST 30-DAY USE, PERCEPTION OF RISK/HARM AND OF PARENTAL AND PEER DISAPPROVAL OF USE. DATA WILL BE ANALYZED AND REPORTED ON BY BACH HARRISON L.L.C. AND COMPARES YEAR-TO-YEAR CHANGE. OUR PHIWM CONSULTANT WILL PROVIDE SUB-CATEGORY YEAR-TO-YEAR COMPARISON BY RACE/ETHNICITY, GENDER, GRADES, SCHOOLS, AND OTHER COMPARISONS AS REQUESTED. AN AVERAGE OF 3,000 (51%) GRADE ELIGIBLE YOUTH WILL COMPLETE THE SURVEY/TESTING CYCLE, OFFERING AN ACCURATE, MEANINGFUL STATISTICAL REPRESENTATION OF THE COALITION'S GEOGRAPHICAL AREA. THROUGHOUT THE GRANT PERIOD AND BEYOND, THE PROGRAM DIRECTOR WILL CONDUCT INTENTIONAL CAPACITY BUILDING WITH STAKEHOLDERS WHO REPRESENT TARGET POPULATIONS AND WHO CAN ENSURE SUCCESSFUL PROGRAMS ARE SUSTAINED WITHIN A LARGER COMMUNITY CONTEXT. LONG TERM COMMITMENT FROM COMMUNITIES AND STAKEHOLDERS IS FOSTERED BY PROVIDING OPPORTUNITIES AND PATHWAYS TO PARTICIPATION INCLUDING: INVITATIONS TO COALITION MEMBERSHIP; ENGAGING AND COLLABORATING WITH EXISTING COMMUNITY GROUP /INITIATIVES; AND PROVIDING TOWN HALLS. BY CLOSELY MONITORING AND IMPROVING THE DELIVERY OF PROGRAMS TO ENSURE THEIR EFFECTIVENESS, THE PROGRAM DIRECTOR WILL CONTINUE TO MAKE COURSE-CORRECTIONS TO PREVENTION EFFORTS AND IDENTIFY WHICH PRACTICES ARE WORTH EXPANDING UPON AND SUSTAINING. FINALLY, BY SHARING EVALUATION FINDINGS WITH STAKEHOLDERS, IT WILL ENSURE TARGETED PREVENTION INTERVENTIONS ARE SUSTAINED AND EFFECTIVE.

STOP ACCESS DRUG FREE COMMUNITIES COALITION

STOP ACCESS DRUG FREE COMMUNITIES COALITION

GANDARA CENTER STOP ACCESS DRUG FREE COMMUNITIES EXPANSION

GANDARA PROJECTO INTEGRACION DE SALUD/HEALTH INTEGRATION PROJECT,