Boston Health Care For The Homeless Program Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

MEDICATION-ASSISTED TREATMENT FOR HOMELESS INDIVIDUALS WITH OPIOID USE DISORDER WHO ARE EXITING INCARCERATION IN SUFFOLK COUNTY, MASSACHUSETTS - MEDICATION-ASSISTED TREATMENT FOR HOMELESS INDIVIDUALS WITH OPIOID USE DISORDER WHO ARE EXITING INCARCERATION IN SUFFOLK COUNTY, MASSACHUSETTS RECOGNIZING THE HIGH PREVALENCE OF OPIOID USE DISORDER AMONG INCARCERATED INDIVIDUALS AND THEIR DRAMATICALLY ELEVATED RISK OF FATAL OVERDOSE UPON RELEASE, THIS PROJECT IS A PARTNERSHIP BETWEEN A FEDERALLY QUALIFIED HEALTH CENTER AND TWO COUNTY JAILS IN SUFFOLK COUNTY, MA, TO EFFECTIVELY BRIDGE INCARCERATED INDIVIDUALS TO COMMUNITY-BASED OPIOID TREATMENT UPON RELEASE. ABOUT TWO-THIRDS OF INMATES ARE NON-WHITE; ABOUT 89% ARE MALE; THE AVERAGE AGE IS 35 YEARS. PROJECT GOALS: (1) EXPAND ACCESS TO MAT SERVICES FOR INDIVIDUALS WITH OUD AND UNSTABLE HOUSING WHO ARE EXITING INCARCERATION IN SUFFOLK COUNTY; BY PROVIDING PEER RECOVERY COACHING AND CASE MANAGEMENT TO ENSURE PARTICIPANTS ARE EFFECTIVELY BRIDGED TO COMMUNITY-BASED OUD TREATMENT POST-RELEASE; FACILITATING ENROLLMENT IN INSURANCE COVERAGE PRIOR TO JAIL EXIT; AND PROVIDING COMPREHENSIVE, TEAM-BASED MAT SERVICES AND CARE COORDINATION. (2) REDUCE ILLICIT OPIOID USE & PRESCRIPTION OPIOID MISUSE, AS WELL AS OVERDOSE DEATHS, AMONG POST-INCARCERATED INDIVIDUALS IN SUFFOLK COUNTY; BY PROVIDING PEER RECOVERY COACHING; PROVIDING CASE MANAGEMENT TO SUPPORT REENTRY, IDENTIFY COMMUNITY RESOURCES, AND CONNECT PARTICIPANTS TO SERVICES POST-RELEASE; AND AIMING TO ACHIEVE A 50% RATE OF ABSTINENCE FROM ILLICIT OPIOID USE AND PRESCRIPTION OPIOID MISUSE AT 6-MONTH FOLLOW-UP. (3) FOSTER A SEAMLESS CONTINUUM OF OUD CARE FOR THOSE INVOLVED IN THE CRIMINAL JUSTICE SYSTEM BY IMPROVING COLLABORATION BETWEEN PRE- AND POST-RELEASE OPIOID TREATMENT PROVIDERS; BY STRENGTHENING PARTNERSHIPS WITH COMMUNITY-BASED OPIOID TREATMENT PROGRAMS; FACILITATING TRANSITIONS OF MAT CARE UPON PARTICIPANTS’ EXIT FROM CUSTODY; AND SUPPORTING THE REPLICATION OF THIS CONTINUUM OF OUD CARE THROUGHOUT MA; AND (4) ENSURE PROGRAM PARTICIPANTS ARE CONNECTED TO CARE FOR CO-OCCURRING MEDICAL AND BEHAVIORAL HEALTH CONDITIONS, AND RECEIVE CASE MANAGEMENT FOR LEGAL ISSUES THAT MAY PREVENT THEM FROM ACCESSING CARE; BY SCREENING PARTICIPANTS FOR CO-OCCURRING CONDITIONS; PROVIDING PSYCHIATRIC MEDICATION BRIDGING OR INITIATION; ENSURING THEY HAVE RECEIVED SERVICES FOR HIV/AIDS & HEPATITIS C; PROVIDING LEGAL CASE MANAGEMENT; AND CONNECTING PARTICIPANTS TO POST-RELEASE APPOINTMENTS WITH PRIMARY CARE, BEHAVIORAL HEALTH, AND SPECIALTY CARE, IF CLINICALLY INDICATED. THE PROJECT WILL SERVE A TOTAL OF 65 UNDUPLICATED INDIVIDUALS PER YEAR OVER 5 YEARS, TOTALING 325 UNDUPLICATED INDIVIDUALS OVER THE 5-YEAR GRANT PERIOD.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

EXPANDING ACCESS TO MEDICATION-ASSISTED TREATMENT FOR INCARCERATED INDIVIDUALS IN MASSACHUSETTS

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM (BHCHP) PROPOSES TO INNOVATE AND EXPAND ITS EXISTING PRISON RE-ENTRY SERVICES TO MORE COMPREHENSIVELY ADDRESS THE CRITICAL HEALTH NEEDS OF INDIVIDUALS WHO ARE EXITING INCARCERATION TO HOMELESSNESS. PEOPLE WHO ARE OR HAVE BEEN INCARCERATED HAVE A HIGHER BURDEN OF CHRONIC MEDICAL CONDITIONS (INCLUDING HYPERTENSION, DIABETES, AND ASTHMA) AS WELL AS SUBSTANCE USE DISORDERS AND MENTAL HEALTH CONDITIONS. PEOPLE EXITING CARCERAL SETTINGS ALSO FACE EXTREMELY ELEVATED RISKS OF MORTALITY FROM OVERDOSE AND OTHER CAUSES. INCARCERATION IS ALSO CLOSELY ASSOCIATED WITH HOMELESSNESS, WHICH PRESENTS ITS OWN BARRIERS TO GOOD HEALTH. IN RESPONSE TO THESE PROBLEMS BHCHP PROPOSES TO PILOT AN EXPANSION OF ITS EXISTING REENTRY PROGRAM AND SERVICES. OUR REENTRY INITIATIVES FOR SUPPORT AND EMPOWERMENT (RISE) TEAM WILL BRIDGE INCARCERATED ADULTS WHO ARE WITHIN 90 DAYS OF EXITING PRISON OR JAIL TO COMMUNITY-BASED HEALTH CARE AND INTENSIVE CASE MANAGEMENT SERVICES UPON RELEASE. COMMUNITY PARTNERS WILL INCLUDE JUSTICE 4 HOUSING AND PROJECT PLACE, BOSTON NON-PROFITS WORKING TO ALLEVIATE HOUSING INSECURITY AND FINANCIAL STRAIN. BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM ANNUALLY SERVES OVER 11,000 INDIVIDUALS EXPERIENCING HOMELESSNESS AT MORE THAN 35 CLINICAL SITES IN THE GREATER BOSTON AREA. IN ADDITION TO OUR COLLABORATION WITH THE SUFFOLK COUNTY HOUSE OF CORRECTIONS, BHCHP PARTNERS WITH SHELTER PROVIDERS, DEPARTMENTS OF PUBLIC HEALTH, AND HOSPITALS TO PROVIDE ACCESS TO MEDICAL CARE AND SERVICES. BHCHP CENTERS PATIENTS AND INNOVATES WAYS TO CARE FOR PEOPLE WHO ARE UNSHELTERED, PROVING, FOR EXAMPLE, THAT PEOPLE WITH HEPATITIS C WHO ARE HOMELESS CAN BE CURED AND THAT PEOPLE WITH HIV WHO ARE LIVING ON THE STREET CAN HAVE UNDETECTABLE VIRAL LOADS. BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM RESPECTFULLY REQUESTS SUPPORT IN THE AMOUNT OF $1,000,000 FOR THIS PROJECT.

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

NURSE EDUCATION PRACTICE AND RETENTION

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

FY 2023 EXPANDING COVID-19 VACCINATION

HEALTH CARE AND OTHER FACILITIES

RYAN WHITE HIV/AIDS PROGRAM PART C EIS COVID-19 RESPONSE

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM