Thundermist Health Center

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CAPITAL DEVELOPMENT

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

INTEGRATED SUBSTANCE USE DISORDER (SUD) TRAINING PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION

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

THOUSANDS OF RHODE ISLANDERS MAKE CALLS TO 911 DISPATCH EVERY YEAR FOR ASSISTANCE DURING A MENTAL HEALTH RELATED CRISIS. CRISIS INTERVENTION TEAMS (CIT) BENEFIT RHODE ISLANDERS THAT RELY ON POLICE DURING A CRISIS ENCOUNTER. THUNDERMIST HEALTH CENTER, IN PARTNERSHIP WITH LOCAL AND REGIONAL STEERING COMMITTEES AND LEAD PLANNERS, WILL EXPAND CIT TRAINING AND PROGRAM DEVELOPMENT OPPORTUNITIES TO ALL CITIES AND TOWNS ACROSS RHODE ISLAND; PROVIDE UP TO 24 TRAINING ACADEMIES, TECHNICAL ASSISTANCE TO POLICE DEPARTMENTS TO DEVELOP "MENTAL HEALTH CALL" RESPONSE STRATEGIES AND PROTOCOLS; CREATE WORKFLOWS FOR 911 AND LOCAL DEPARTMENT DISPATCH TO ENSURE THAT CIT TRAINED OFFICERS ARE BEING DISPATCHED TO APPROPRIATE CALLS; PARTNER WITH PEOPLE WITH LIVED EXPERIENCE AND MENTAL HEALTH AND SUBSTANCE USE ORGANIZATIONS TO ENSURE TRAININGS AND POLICIES ARE TRAUMA INFORMED AND RECOVERY CENTERED; AND WORK WITH MUNICIPAL LEADERS TO DEVELOP SUSTAINABLE FUNDING STREAMS.   POPULATIONS MOST AT-RISK FOR DEVELOPING SERIOUS BEHAVIORAL HEALTH CONDITIONS INCLUDE PEOPLE WITH LOWER INCOMES, DOMESTIC VIOLENCE SURVIVORS, PATIENTS WITH DUAL DIAGNOSES (MENTAL HEALTH AND SUBSTANCE USE), THOSE WITH TRAUMA HISTORIES, AND PEOPLE EXPERIENCING HOMELESSNESS. GIVEN SIGNIFICANT SERVICE GAPS IN RHODE ISLAND’S MENTAL HEALTH SYSTEM, THESE POPULATIONS FACE MANY BARRIERS TO RECEIVING EFFECTIVE BEHAVIORAL HEALTHCARE. CIT IS MORE THAN A TRAINING PROGRAM.  IT IS ALSO A COMMUNITY LEVEL FRAMEWORK FOR THE BEHAVIORAL HEALTH CRISIS SYSTEM ACROSS ALL SEQUENTIAL INTERCEPTS, AND ESPECIALLY AT INTERCEPT 0 AND 1. SINCE THE COVID-19 PANDEMIC, POLICE DEPARTMENTS ACROSS RHODE ISLAND REPORT SIGNIFICANT INCREASES IN MENTAL HEALTH RELATED CALLS. PROVIDENCE, RI POLICE DEPARTMENT, FOR EXAMPLE, RECENTLY REPORTED AN INCREASE OF 92% IN CALL VOLUME RELATED TO MENTAL HEALTH FROM 2018 TO 2020. IT IS NOT SURPRISING THEN THAT PEOPLE WITH BEHAVIORAL HEALTH CONDITIONS ARE MORE LIKELY TO BE INVOLVED WITH THE DEPARTMENT OF CORRECTIONS WHETHER THAT BE INCARCERATION, PROBATION, OR PAROLE. OBJECTIVES OF CIT ARE IMPROVED OUTCOMES FOR THOSE EXPERIENCING CRISIS, INCLUDING DIVERSION TO TREATMENT, REDUCED CRIMINAL JUSTICE INVOLVEMENT, REDUCED USE OF FORCE, REDUCED POLICE AND PUBLIC INJURIES, AND IMPROVED OFFICER WELLNESS AND MENTAL HEALTH.

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - THUNDERMIST HEALTH CENTER (THC) (H80CS00454) WILL INCREASE THE NUMBER OF PATIENTS RECEIVING BEHAVIORAL HEALTH CARE (BH) AND SUBSTANCE USE DISORDER (SUD) SERVICES INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD THROUGH A COMBINATION OF ACTIVITIES THAT EXPAND ACCESS TO CARE AT EXISTING SITES, TRAIN EMPLOYEES IN NEW COMPETENCIES, AND HIRE MORE PROVIDERS OF BEHAVIORAL HEALTH AND MEDICALLY ASSISTED TREATMENTS. THESE COMBINED ACTIVITIES WILL RESULT IN BH AND SUD TREATMENT FOR 1,200 MORE PATIENTS IN UNDERSERVED COMMUNITIES IN RHODE ISLAND BY THE END OF 2026. THC SAW A 38% INCREASE IN BH SERVICES BETWEEN 2018 AND 2022, INCREASING PATIENTS SERVED BY MORE THAN 2,000. IN THAT SAME PERIOD, THE PERCENTAGE OF ESTABLISHED PRIMARY CARE PATIENTS RECEIVING BEHAVIORAL HEALTH CARE INCREASED FROM 12.20% TO 14.13%, WHILE THE NUMBER OF PATIENTS SERVED OVERALL ALSO INCREASED. THC HEALTH CENTERS ARE IN COMMUNITIES THAT HAVE SEEN A RISE IN SUD AND OVERDOSE DEATHS IN THE PAST 5 YEARS, INCLUDING WOONSOCKET AND WEST WARWICK. THC PATIENTS SEEKING CARE TO ADDRESS THEIR SUD HAVE INCREASED 129%, MORE THAN DOUBLING TO ALMOST 1,700 PATIENTS ANNUALLY. WHILE TELEHEALTH HAS ALLOWED PROVIDERS TO REACH MORE MEMBERS OF THE COMMUNITY, SOME PATIENTS, SUCH AS CHILDREN AND ADOLESCENTS, ARE BEST SERVED IN-PERSON, NECESSITATING THE EXPANSION OF SERVICE HOURS, ADDITIONAL PROVIDERS AND MORE BH DEDICATED OFFICES. TO INCREASE ACCESS TO BH SERVICES, THC WILL EXPAND OPEN ACCESS HOURS WHEN A BH PROVIDER IS AVAILABLE OVERLAPPING WITH WALK-IN CARE HOURS TO PROVIDE A WARM HAND OFF AND IMMEDIATE VISIT WHILE THE PATIENT IS ON SITE. THC WILL ALSO RENOVATE A PORTION OF THE SECOND FLOOR OF THEIR WAKEFIELD LOCATION TO CREATE FOUR NEW BH PROVIDER ROOMS ALLOWING IN-PERSON TREATMENT AND PRACTICE SPACE FOR NEWLY HIRED PROVIDERS AND TRAINING SPACE FOR FUTURE MENTAL HEALTH AND SUD PROVIDERS WITH THE NP FELLOWSHIP ISTP TRAINING PROGRAM MOVING INTO SOME OF THE NEWLY RENOVATED OFFICES. THC WILL HIRE TWO PSYCHI ATRIC MENTAL HEALTH NURSE PRACTITIONERS TO EXPAND MENTAL HEALTH AND PRESCRIBING ACROSS THE ORGANIZATION. FINALLY, THC IS LAUNCHING A NEW MOBILE MEDICAL VAN IN THE FALL OF 2024 TO REACH PATIENTS WHO HAVE UNSTABLE HOUSING OR TRANSPORTATION CHALLENGES. A COMMUNITY HEALTH WORKER AND BEHAVIORAL HEALTH PROVIDER WILL SERVE AS PART OF THE REGULAR STAFF OF THE MOBILE UNIT, TO ENSURE THOSE SEEKING SERVICES AT THE VAN WILL HAVE ACCESS TO BH AND CONNECTIONS TO SUPPORT SERVICES. THC HAS AN INTEGRATED SUBSTANCE USE DISORDER TRAINING PROGRAM (ISTP) SUPPORTED BY HRSA TO TRAIN NURSE PRACTITIONERS IN A YEARLONG PROGRAM. USING SOME OF THE SAME DIDACTIC MATERIALS CREATED FOR THIS PROGRAM, THC WILL CREATE A SUD TRAINING MODULE FOR REGISTERED NURSES TO EXPAND KNOWLEDGE OF SUD TREATMENTS AND COMPLEMENT SUD SERVICES AT ALL LEVELS OF CARE. THIS TRAINING WILL BE GIVEN IN TWO WORKSHOPS TO A COHORT OF 60 NURSES IN THE FALL OF 2024. THC ALSO HOSTS A COHORT OF 8 SOCIAL WORK STUDENTS EACH YEAR WHO COMPLETE THEIR EDUCATION WITH HANDS-ON TRAINING AT THC SERVICE SITES. WHILE IN TRAINING, THESE STUDENTS EXPAND THE CAPACITY OF THE FACILITY WHERE THEY ARE LEARNING. THC REGULARLY HIRES GRADUATES OF THIS PROGRAM, EXPANDING ITS LONG-TERM CAPACITY TO SERVE PATIENTS WITH BH CARE.

FY 2023 EXPANDING COVID-19 VACCINATION

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS

HEALTH CARE AND OTHER FACILITIES

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

CAPITAL DEVELOPMENT

OBESITY PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

THUNDERMIST PRIORITY AREA YEAR ROUND MARKET EXPANSION, ENHANCEMENT, AND PROMOTION PROJECT

FY 2023 BRIDGE ACCESS PROGRAM

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

THUNDERMIST HEALTH CENTER WOONSOCKET FOOD SYSTEM ASSESSMENT AND PLANNING PROJECT

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

CAPITAL DEVELOPMENT

ARRA - CAPITAL IMPROVEMENT PROGRAM