Duffy Health Center Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

PROJECT RESTORE (RESPECT, EMPOWERMENT, AND SUPPORT THROUGH TREATMENT, OUTREACH & RECOVERY) - DUFFY HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER SINCE 2002 AND HRSA 330(H) HEALTH CARE FOR THE HOMELESS GRANTEE SERVING BARNSTABLE COUNTY, MA, WILL EXPAND AND STRENGTHEN ENGAGEMENT, TREATMENT, AND RECOVERY SUPPORT SERVICES FOR PERSONS WITH OPIOID USE DISORDER WHO ARE AT RISK OF, OR EXPERIENCING, HOMELESSNESS. PROJECT RESTORE WILL ADD ADDITIONAL TREATMENT OPTIONS ONSITE, INTENSIFY PEER RECOVERY SUPPORTS, AND FACILITATE AND STREAMLINE ACCESS TO CARE. THE PURPOSE OF PROJECT RESTORE (RESPECT, EMPOWERMENT, AND SUPPORT THROUGH TREATMENT, OUTREACH & RECOVERY) IS TO ENHANCE ACCESS TO MEDICATION-ASSISTED TREATMENT (MAT) SERVICES FOR PERSONS WITH AN OPIOID USE DISORDER (OUD). PROJECT RESTORE WILL EXPAND UPON ITS CURRENT MAT PROGRAM (WHICH INCLUDES SAMHSA’S REQUIRED ACTIVITIES) BY REDUCING BARRIERS TO CARE, STREAMLINING PROCESSES AND EXPANDING PEER RECOVERY SUPPORTS FOR MAT SERVICES. THE RESTORE TEAM WILL EMPLOY A HARM REDUCTION APPROACH, INCREASE INITIAL PEER CONTACT DURING THE PERIOD OF GREATEST VULNERABILITY FOR PERSONS ENGAGING IN TREATMENT, AND PROVIDE OUD TREATMENT OPTIONS FOR THE TARGET POPULATION. BY REDUCING STRUCTURAL BARRIERS THAT HINDER ACCESS TO SERVICES, AND BY STRENGTHENING CLIENT ENGAGEMENT AND TRUSTING RELATIONSHIPS WITH PEER SUPPORT AND CASE MANAGEMENT SERVICES, WE AIM TO BOTH INCREASE ENROLLMENT INTO THE MAT PROGRAM AND TO RETAIN PATIENTS IN TREATMENT THROUGH THE SIX MONTH MARK AND BEYOND. RESEARCH HAS SHOWN THAT PATIENTS WHO REMAIN ON MEDICATION FOR OPIOID USE DISORDER (MOUD) FOR A LONGER TIME TEND TO HAVE BETTER OUTCOMES, INCLUDING BETTER SOCIAL FUNCTIONING, AND REDUCED RISK OF RELAPSE, OVERDOSE AND DEATH; CRIMINAL ACTIVITY AND INPATIENT UTILIZATION. RETAINING PATIENTS IN TREATMENT IS A CHALLENGE, ESPECIALLY FOR PERSONS WITH OUD WHO ARE HOMELESS OR UNSTABLY HOUSED. DUFFY WILL UTILIZE EVIDENCE BASED PRACTICES TO ENGAGE AND RETAIN PATIENTS WITH OUD. STRATEGIES AND INTERVENTIONS WILL INCLUDE TWO RECOVERY SUPPORT NAVIGATORS (RSN) AS PART OF THE INTEGRATED MAT CARE TEAM; THEY WILL BE INSTRUMENTAL BOTH IN THE ENGAGEMENT AND THE RETENTION OF PROJECT ENROLLEES. EACH ENROLLEE WILL BE MATCHED WITH AN RSN WHO WILL NURTURE AN ONGOING SUPPORTIVE RELATIONSHIP ACROSS THE PRIMARY CARE AND MAT SERVICE EXPERIENCE. A MAT CASE MANAGER WILL FACILITATE TIMELY ACCESS TO ENROLLMENT AS A DUFFY PATIENT AS WELL AS ASSISTING WITH INSURANCE ENROLLMENT, TRANSPORTATION, AND OTHER BASIC NEEDS. TELEHEALTH ENCOUNTERS WILL BE A VEHICLE TO HELP REACH, ENGAGE, AND RETAIN CLIENTS IN TREATMENT. ADDITIONAL TREATMENT OPTIONS FOR MOUD PATIENTS WILL BE IMPLEMENTED INCLUDING THE EXTENDED RELEASE FORM OF BUPRENORPHINE AS WELL AS OPENING AN ONSITE DISPENSARY FOR DAILY DISPENSING OF BUPRENORPHINE. DUFFY’S INTEGRATED SERVICES ARE ALSO AVAILABLE: PRIMARY CARE, MENTAL HEALTH, PSYCHIATRIC SERVICES, CASE MANAGEMENT AND SPIRITUAL CARE. WITH SAMHSA SUPPORT WE ANTICIPATE PROVIDING MAT SERVICES FOR 545 PERSONS WITH OUD OVER THE COURSE OF THE FIVE YEAR PROJECT PERIOD. EXPECTED OUTCOMES FOR THIS PROGRAM ARE: 1) AN INCREASE IN THE NUMBER OF INDIVIDUALS WITH OUD RECEIVING MAT AND 2) A DECREASE IN ILLICIT OPIOID DRUG USE AND PRESCRIPTION OPIOID MISUSE AT SIX-MONTH FOLLOW-UP.

BEHAVIORAL HEALTH AND HOUSING SERVICES PROJECT

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

DUFFY HEALTH CENTER CABHI PROJECT

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - POPULATION TO BE SERVED. THE MISSION OF THE DUFFY HEALTH CENTER IS TO PROVIDE EQUITABLE, INTEGRATED PRIMARY HEALTH CARE AND SUPPORT SERVICES TO ADULTS WHO ARE EXPERIENCING HOMELESSNESS OR AT RISK OF HOMELESSNESS ON CAPE COD, AND TO IMPROVE THE QUALITY OF LIFE FOR VULNERABLE AND MARGINALIZED POPULATIONS THROUGH COMMUNITY COLLABORATIONS, LEADERSHIP, AND ADVOCACY. DUFFY HEALTH CENTER PROVIDES OUTREACH, PRIMARY CARE, MENTAL HEALTH, CASE MANAGEMENT, SPIRITUAL CARE, ADDICTION TREATMENT AND RECOVERY SUPPORT SERVICES TO OVER 3,000 PERSONS THROUGHOUT THE 15 TOWNS OF BARNSTABLE COUNTY, MA (CAPE COD). OVER 83% OF OUR PATIENTS ARE DEFINED BY HRSA AS HOMELESS (INCLUDING THOSE DOUBLED UP WITH OTHERS), THE REMAINING 17% ARE AT RISK OF HOMELESSNESS, I.E., PERSONS LIVING IN POVERTY WHO HAVE EXPERIENCED PRIOR HOMELESSNESS, INCARCERATION, DOMESTIC VIOLENCE, TENUOUS HOUSING SITUATIONS, CHRONIC PHYSICAL ILLNESSES, AND/OR MENTAL HEALTH AND SUBSTANCE USE DISORDERS (SUD). WITH HRSA FUNDING, DUFFY HEALTH CENTER WILL INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES BY EXPANDING MENTAL HEALTH AND SUD SERVICES. PROGRAM OBJECTIVES ARE TO INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES AND TO INCREASE THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING TREATMENT WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD). NEEDS TO BE ADDRESSED. THERE IS A GREAT NEED FOR MENTAL HEALTH AND SUD TREATMENT AMONG THOSE EXPERIENCING HOMELESSNESS OR WHO ARE AT RISK OF HOMELESSNESS. THE PREVALENCE OF CO-OCCURRING DISORDERS (ANY COMBINATION OF TWO OR MORE SUDS AND MENTAL HEALTH DISORDERS) IS ESTIMATED TO BE 52% IN THE HOMELESS POPULATION, COMPARED TO 28% IN THE GENERAL POPULATION. BEING UNSTABLY HOUSED BOTH EXACERBATES AND CAUSES POORER HEALTH OUTCOMES OF CHRONIC MEDICAL CONDITIONS AND BEHAVIORAL HEALTH DISORDERS (ESPECIALLY MOOD AND SUBSTANCE USE DISORDERS), REINFORCING THE IMPORTANCE OF PSYCHIATRIC CARE, MENTAL HEALTH COUNSELING, SUD TREATMENT AND RECOVERY SUPPORT. IN 20 23, OF OUR 3,008 PATIENTS, 24% HAD MENTAL HEALTH AND SUD DIAGNOSES WHICH INCLUDED ALCOHOL-RELATED DISORDERS, AND 34% OF PATIENTS HAD OTHER SUD DIAGNOSES. (EXCLUDING TOBACCO USE). DEPRESSION AND OTHER MOOD DISORDERS WERE DIAGNOSED IN 41% OF PATIENTS, WITH 44% WITH ANXIETY DISORDERS, INCLUDING PTSD; ATTENTION DEFICIT AND DISRUPTIVE BEHAVIOR DISORDERS AT 13%, AND 36.5% OF PATIENTS HAD OTHER MENTAL DISORDERS, EXCLUDING DRUG/ALCOHOL DEPENDENCE. SERVICES. POOR HEALTH OUTCOMES HIGHLIGHT THE NEED FOR EVIDENCE BASED PRACTICES, INCLUDING CONTINUOUS OUTREACH AND A HARM REDUCTION, LOW-THRESHOLD APPROACH TO ENGAGE VULNERABLE INDIVIDUALS AND HELP THEM NAVIGATE THEIR PATH TO MENTAL HEALTH AND SUD RECOVERY. DUFFY STAFF ARE TRAINED TO PROVIDE CARE THAT SEEKS TO MITIGATE THE WIDESPREAD IMPACT OF TRAUMA WHILE RECOGNIZING PATHS TO RECOVERY AND ACTIVELY AVOIDING RE-TRAUMATIZATION. DUFFY OFFERS A MULTIDISCIPLINARY TEAM APPROACH TO PROVIDE A ‘WHOLE HEALTH’ SUPPORT SYSTEM FOR ITS PATIENTS. DUFFY WILL ADD TARGETED SERVICES AND STAFF TO REDUCE BARRIERS TO CARE, OFFER ADDITIONAL SERVICES, AND INTENSIFY PEER SUPPORT FOR SUD SERVICES, INCLUDING MOUD. ENHANCED SERVICES WILL BE AVAILABLE AT DUFFY’S MAIN FACILITY IN HYANNIS AND THROUGH ITS REACH MOBILE UNIT. THE PROJECT WILL ADD THE SERVICES OF A COMMUNITY HEALTH WORKER (CHW) TO INITIATE OUTREACH TO PERSONS AT HIGH RISK FOR HARM, OFFER PEER SUPPORT AND ASSIST PATIENTS WITH ACCESS TO BASIC NEEDS AND OTHER COMMUNITY RESOURCES. ADDITIONALLY, A POST-OVERDOSE HARM REDUCTION SPECIALIST WILL FOLLOW UP WITH INDIVIDUALS AFTER AN OVERDOSE INCIDENT TO PROVIDE EDUCATION AND INFORMATION ABOUT RISK FACTORS, OVERDOSE RECOGNITION, NALOXONE USE, AND OPTIONS FOR MEDICATION FOR ADDITION TREATMENT AND MOUD. THE PROJECT BEHAVIORAL HEALTH THERAPIST WILL INCREASE ACCESS TO CARE FOR ADDITIONAL BEHAVIORAL HEALTH PATIENTS. ALL THREE ROLES WILL SUPPORT SPECIAL POPULATIONS THAT ARE AT EXTREMELY HIGH RISK FOR OVERDOSE AND HARM.

ARRA - CAPITAL IMPROVEMENT PROGRAM

PURPOSE: THE CONTINUUM OF CARE (COC) PROGRAM IS DESIGNED TO PROMOTE COMMUNITY-WIDE COMMITMENT TO THE GOAL OF ENDING HOMELESSNESS; PROVIDE FUNDING FOR EFFORTS BY NONPROFIT PROVIDERS, STATES, AND LOCAL GOVERNMENTS TO QUICKLY HOUSE HOMELESS INDIVIDUALS AND FAMILIES WHILE MINIMIZING THE TRAUMA AND DISLOCATION CAUSED TO HOMELESS INDIVIDUALS, FAMILIES, AND COMMUNITIES BY HOMELESSNESS; PROMOTE ACCESS TO AND EFFECTIVE UTILIZATION OF MAINSTREAM PROGRAMS BY HOMELESS INDIVIDUALS AND FAMILIES; AND OPTIMIZE SELF-SUFFICIENCY AMONG INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. THE MOST RECENT COC AWARD ANNOUNCEMENT LISTING AWARDS BY STATE AND COC IS ACCESSIBLE AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/AWARDS. SELECT THE LINK UNDER THE FUNDING AND AWARD INFORMATION SECTION FOR THE APPROPRIATE FISCAL YEAR.; ACTIVITIES TO BE PERFORMED: CONTINUUM OF CARE PROGRAM FUNDS MAY BE USED TO PAY FOR THE ELIGIBLE COSTS USED TO ESTABLISH AND OPERATE PROJECTS UNDER FIVE PROGRAM COMPONENTS: (1) PERMANENT HOUSING, WHICH INCLUDES PERMANENT SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES, AND RAPID REHOUSING; (2) TRANSITIONAL HOUSING; (3) SUPPORTIVE SERVICES ONLY; (4) HOMELESS MANAGEMENT INFORMATION SYSTEMS (HMIS), AND (5) IN SOME CASES, HOMELESSNESS PREVENTION. THIRTEEN TYPES OF ASSISTANCE MAY BE PROVIDED THROUGH THE CONTINUUM OF CARE (COC) PROGRAM: (1) COC PLANNING ACTIVITIES/COSTS FOR DESIGNING AND CARRYING OUT A COLLABORATIVE PROCESS FOR THE DEVELOPMENT OF AN APPLICATION TO HUD; (2) UNITED FUNDING AGENCY (UFA) COSTS FOR FISCAL CONTROL AND ACCOUNTING NECESSARY TO ASSURE THE PROPER DISBURSAL OF, AND ACCOUNTING FOR, FEDERAL FUNDS AWARDED TO SUBRECIPIENTS UNDER THE CONTINUUM OF CARE PROGRAM, (3) ACQUISITION OF REAL PROPERTY (INCLUDING STRUCTURES) FOR USE IN THE PROVISION OF HOUSING OR SUPPORTIVE SERVICES; (4) REHABILITATION OF STRUCTURES TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (5) NEW CONSTRUCTION, INCLUDING THE BUILDING OF A NEW STRUCTURE OR BUILDING AN ADDITION TO AN EXISTING STRUCTURE FOR USE AS SUPPORTIVE HOUSING; (6) LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (7) RENTAL ASSISTANCE, WHICH MAY BE SHORT-TERM, MEDIUM-TERM, OR LONG-TERM, AS WELL AS TENANT-BASED, PROJECT-BASED, OR SPONSOR-BASED, FOR TRANSITIONAL OR PERMANENT HOUSING; (8) SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; (9) OPERATING COSTS OF SUPPORTIVE HOUSING; (10) COSTS OF IMPLEMENTING AND OPERATING HMIS; (11) PROJECT ADMINISTRATIVE COSTS; (12) RELOCATION COSTS; AND (13) INDIRECT COSTS IN ACCORDANCE WITH 2 CFR PARTS 200, AS APPLICABLE. IN ADDITION TO USING GRANT FUNDS FOR THE ELIGIBLE COSTS DESCRIBED ABOVE, RECIPIENTS AND SUBRECIPIENTS IN CONTINUUMS OF CARE DESIGNATED AS HIGH PERFORMING COMMUNITIES MAY ALSO USE GRANT FUNDS TO PROVIDE HOUSING RELOCATION AND STABILIZATION SERVICES AND SHORT- AND/OR MEDIUM-TERM RENTAL ASSISTANCE TO INDIVIDUALS AND FAMILIES AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT THE INDIVIDUAL OR FAMILY FROM BECOMING HOMELESS. LIMITATION ON USE OF FUNDS: NO ASSISTANCE PROVIDED UNDER PROGRAM (OR ANY STATE OR LOCAL GOVERNMENT FUNDS USED TO SUPPLEMENT THIS ASSISTANCE) MAY BE USED TO REPLACE STATE OR LOCAL FUNDS PREVIOUSLY USED, OR DESIGNATED FOR USE, TO ASSIST HOMELESS PERSONS OR PERSONS AT-RISK OF HOMELESSNESS.; EXPECTED OUTCOMES: DECREASE IN THE NUMBER INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS, MORE SPECIFICALLY USING PERFORMANCE INDICATORS SUCH AS THE LENGTH OF TIME HOMELESS, RETURNS TO HOMELESSNESS OVER TIME, AND EXITS TO PERMANENT HOUSING. COC PERFORMANCE PROFILE REPORTS CAN BE FOUND AT HTTPS://WWW.HUDEXCHANGE.INFO/PROGRAMS/COC/COC-PERFORMANCE-PROFILE-REPORTS/.; INTENDED BENEFICIARIES: INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

CONTINUUM OF CARE PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

CONTINUUM OF CARE PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

CONTINUUM OF CARE PROGRAM

DUFFY HEALTH CENTER HOPE PROJECT

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

SUPPORTIVE HOUSING NEW

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

CONTINUUM OF CARE PROGRAM