Family Center Incorporated

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

EXPAND THE ROLE OF ELECTRONIC HEALTH RECORD EXCHANGE, ACROSS THE CONTINUUM OF CARE, IN THE PROVISION OF COORDINATED CARE

HEAD START: FULL YEAR PART DAY HANDICAPPED TRAINING AND TECHNICAL ASSISTANCE

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AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

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HEALTH CENTER PROGRAM

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SCHENECTADY EARLY HEAD START PROGRAM

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THE FAMILY CENTER'S CCBHC PROGRAM - THE FAMILY CENTER OF BROOKLYN, NY CCBHC SERVICE IMPROVEMENT PROJECT WILL SERVE ALL POPULATIONS OF FOCUS, IMPROVING BEHAVIORAL AND HEALTH OUTCOMES THROUGH ENHANCED TRAUMA-INFORMED SCREENING AND BEHAVIORAL HEALTH TREATMENT, EXPANDING CARE COORDINATION FOR VULNERABLE CCBHC CLIENTS WIT MULTIPLE CHRONIC HEALTH CONDITIONS AND RISKS, AND IMPLEMENTING TARGETED CASE MANAGEMENT, ENGAGEMENT, AND FOLLOW-UP SERVICES USING THE CRITICAL TIME INTERVENTION MODEL TO ENSURE CONTINUITY OF CARE AFTER IN-PATIENT MH AND SUD TREATMENT EPISODES AND OVERDOSES. DEMOGRAPHIC CHARACTERISTICS OF THE HIGH-RISK CENTRAL BROOKLYN POPULATIONS SERVED WILL BE: OVER 90% WILL BE MEMBERS OF UNDERREPRESENTED MINORITY GROUPS, 76% AFRICAN AMERICAN, NEARLY 13% HISPANIC, LESS THAN 10% NON-HISPANIC WHITE. TWENTY PERCENT OF RESIDENTS ARE FOREIGN BORN, MOSTLY FROM THE CARIBBEAN OR CENTRAL AMERICA, WITH 90% BEING ENGLISH PROFICIENT FROM TRINIDAD, JAMAICA, AND GUYANA. THE MEDIAN AGE IS 32.8 (SLIGHTLY YOUNGER THAN NYC OVERALL). NEARLY 58% OF THE POPULATION 18 YEARS AND OLDER IS FEMALE. THE CLINICAL PROFILE WILL BE: 40% OF ADULTS ABOVE THE 80TH PERCENTILE OF DISABILITY ON THE WHODAS, 20% ABOVE THE MODERATELY SEVERE LEVEL FOR DEPRESSION, 15% SEVERELY ANXIOUS, 6% HOMELESS, AND 55% UNEMPLOYED AND NOT SEEKING WORK. THE MAJORITY OF TFC-CCBHC CONSUMERS HAVE PRIMARY DIAGNOSES OF SUD/COD; 13% OF ADULTS HAVE "SUBSTANTIAL" OR "SEVERE" DRUG ABUSE AND INDICATE HAZARDOUS OR HARMFUL ALCOHOL USE; 23% OF CHILDREN/YOUTH SCREEN INTO THE MEDIUM TO HIGH-RISK RANGE FOR SUBSTANCE ABUSE. HIGH RATES OF PRE-DIABETES, DIABETES, HIV, AND OTHER CO-MORBIDITIES MIRROR COMMUNITY RATES. GOALS AND MEASURABLE OBJECTIVES INCLUDE: GOAL 1: REDUCE THE IMPACT OF TRAUMA, INCLUDING COVID-RELATED TRAUMA, ON THE BEHAVIORAL HEALTH OF THOSE ENROLLED IN THE CCBHC AND THEIR FAMILIES. OBJECTIVES: SCREEN 100% OF THE CCBHC ENROLLED POPULATION FOR THE IMPACT OF TRAUMA ON BEHAVIORAL HEALTH (BH) AND WELL-BEING; INITIATE A MINDFULNESS INTERVENTION FOR CONSUMERS WITH POSITIVE TRAUMA SCREENS TO ENHANCE COPING SKILLS FOR ANXIETY, DEPRESSION, EMOTIONAL DISTRESS, USING DBT MINDFULNESS GROUPS MINDFULNESS-BASED COGNITIVE THERAPY (MBCT); IMPLEMENT ROUTINE TELEHEALTH PEER/CASE MANAGER CHECK-INS FOR 100% TRAUMA-IMPACTED CONSUMERS/THOSE IN SIGNIFICANT DISTRESS; CONDUCT BH NEEDS ASSESSMENT OF CATCHMENT AREA. GOAL 2: IMPROVE HEALTH AND TREATMENT OUTCOMES VIA ENHANCED HEALTH SCREENING, EMPHASIS ON MEDICAL OUTCOMES IN TREATMENT PLANNING, WELLNESS EDUCATION/SUPPORT, AND COORDINATION WITH PRIMARY/SPECIALTY MEDICAL CARE. OBJECTIVE: BY PROJECT MONTH [PM] 5, 85% OF CONSUMERS DETERMINED TO HAVE OR BE HIGH-RISK FOR METABOLIC DISEASE, HBP, HIV AND OTHER CO-MORBIDITIES WILL RECEIVE MONTHLY MEDICAL MONITORING/SUPPORT; 75% WILL SHOW HEALTH MARKER IMPROVEMENTS AFTER 6 MONTHS AND SHOW SIGNIFICANT BH TREATMENT GAINS COMPARED TO THOSE WITH NO IMPROVEMENT. GOAL 3: PROVIDE NEW TEAM-BASED INTENSIVE TRANSITIONAL CARE DURING HIGH-RISK CARE TRANSITIONS, INCLUDING POST-RELEASE FROM IN-PATIENT PSYCHIATRIC OR RESIDENTIAL SUD TREATMENT, USING THE CRITICAL TIME INTERVENTION MODEL. OBJECTIVES: BY PM 5,INITIATE INTENSIVE TRANSITIONAL CARE; 70% OF CONSUMERS ENROLLED IN INTENSIVE TRANSITIONAL CARE WILL REMAIN ENGAGED IN CARE FOR AT LEAST 3-MONTHS FOLLOWING EACH TRANSITION, AS MEASURED BY SERVICE DATA; FOR SED AND SMI CLIENTS RECEIVING TEAM-BASED TRANSITIONAL CARE FOLLOWING DISCHARGE FROM IN-PATIENT SETTINGS, REDUCE THE 30-DAY PSYCHIATRIC HOSPITAL READMISSION RATE TO 15% BELOW AREA BASELINE; BY PM 3, IMPLEMENT ENHANCED PRE-RELEASE COLLABORATIVE DISCHARGE PLANNING FOR 100% CCBHC ADULTS AND YOUTH COMPLETING RESIDENTIAL SUD TREATMENT. A TOTAL OF 800 ADULTS AND 300 CHILDREN/YOUTH WILL BE SERVED, WITH 200 ADULTS AND 75 CHILDREN/YOUTH SERVED EACH OF THE 4 PROJECT YEARS.

THE FAMILY CENTER - CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC

PURPOSE: ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING/CONGRESSIONAL DIRECTED SPENDING AWARDS ARE AUTHORIZED UNDER THE CONSOLIDATED APPROPRIATIONS ACT, 2022 PUBLIC LAW 117-328 AND THE EXPLANATORY STATEMENT FOR DIVISION L OF THAT ACT. PROJECTS SELECTED FOR COMMUNITY PROJECT FUNDING/CONGRESSIONAL DIRECTED SPENDING ARE LISTED IN THE JOINT EXPLANATORY STATEMENT (JES) THAT ACCOMPANIES A SPECIFIC FISCAL YEAR’S APPROPRIATIONS ACT OR CONGRESSIONAL RECORD. THE JES LISTS PROJECT, RECIPIENT, STATE, AMOUNT AND CONGRESSIONAL SPONSOR.; ACTIVITIES TO BE PERFORMED: ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING AWARD PROJECTS INCLUDE A WIDE VARIETY OF ACTIVITIES THAT RESULT IN ECONOMIC DEVELOPMENT OR COMMUNITY DEVELOPMENT OUTCOMES. HUD WILL NOT KNOW THE FULL SCOPE OF THE PROJECT UNTIL THE RECIPIENT SUBMITS THE REQUIRED PROJECT NARRATIVE AND CONFIRMS ALIGNMENT WITH THE LANGUAGE AS PROVIDED IN THE CONGRESSIONAL RECORD. TO FIND THE DETAILS OF THE GRANT AWARD AS WRITTEN WITHIN THE CONGRESSIONAL RECORD USE THE FOLLOWING LINK AND PATH SELECTIONS TO GET TO THE DESCRIPTION OF THE ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING GRANTS HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/EDI-GRANTS, SELECT THE FISCAL YEAR OF INTEREST, SCROLL DOWN TO PROGRAM LAWS AND REGULATIONS, UNDER FISCAL YEAR 20XX CONSOLIDATED APPROPRIATIONS ACT, 20XX: CONGRESSIONAL RECORD (JOINT EXPLANATORY STATEMENT).; EXPECTED OUTCOMES: COMPLETION OF THE PROJECT AS DESCRIBED IN THE JOINT EXPLANATORY STATEMENT (JES) PROJECT DESCRIPTION AND SUBSEQUENT APPROVED PROJECT NARRATIVE.; INTENDED BENEFICIARIES: THE PROJECT BENEFICIARIES ARE THE INDIVIDUALS AND/OR ORGANIZATIONS THAT ARE AWARDED GRANT FUNDS OR SERVED BY THE ENTITIES THAT ARE AWARDED GRANT FUNDS AS IDENTIFIED IN THE JES RECIPIENT OR PROJECT DESCRIPTION SECTIONS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

RYAN WHITE TITLE IV PROGRAM

HEALTH CENTER PROGRAM

INFANT ADOPTION AWARES TRAINING PROGRAM

CVFC CCBHC-PDI - CHAMPLAIN VALLEY FAMILY CENTER (CVFC) CCBHC WILL TARGET INDIVIDUALS IN NEED OF BH CARE IN RURAL NORTHEASTERN NEW YORK'S HIGH POVERTY COUNTIES OF CLINTON, ESSES, AND FRANKLIN WITH A FOCUS ON ADULTS EXPERIENCING SERIOUS MENTAL ILLNESS (SMI), CHILDREN EXPERIENCING SERIOUS EMOTIONAL DISTURBANCE (SED), THOSE WHO HAVE SUBSTANCE USE DISORDERS (SUD), AND/OR CO-OCCURRING MENTAL HEALTH/SUBSTANCE USE DISORDERS (COD), ESPECIALLY THOSE DISCHARGED FROM THE REGIONAL HOSPITAL FOLLOWING A PSYCHIATRIC ADMISSION, JUSTICE-INVOLVED INDIVIDUALS, AND INDIVIDUALS AND FAMILIES REPRESENTING THE MILITARY/VETERAN POPULATION. OUR AREA INCLUDES FOUR MENTAL HEALTH HPSA DESIGNATIONS, ITS AVERAGE PER CAPITA INCOME IS $26,348 ANNUALLY, 22.7% OF THE REGION'S POPULATION IS ON MEDICAID, AND 5.1% DO NOT HAVE HEALTH INSURANCE. THE AVERAGE SUICIDE RATE IS 13.6 PER 100,000. IN 2021 OUR AREA'S OPIOID OVERDOSE RATE HAD INCREASED BY 637% SINCE 2015 AND OUR LOCAL HOSPITAL HAS 200 ADOLESCENTS AND 40 ADULTS BOARDED IN THE ER FOR MORE THAN A DAY AT ANY GIVEN TIME; 50% WERE DIAGNOSED WITH SUD YET ONLY 42.2% RECEIVED AN OUTPATIENT FOLLOW UP APPOINTMENT WITHIN 7 DAYS OF RELEASE AND ONLY 11.1% OF YOUTH UP TO AGE 17 DIAGNOSED WITH SUD RECEIVED A FOLLOW UP CARE APPOINTMENT WITHIN 7 DAYS. AS WELL, 70% OF THIS POPULATION REQUIRES MAT THAT THEY DO NOT RECEIVE. OUR REGION'S SIX ADULT CORRECTIONAL FACILITIES, RELEASE APX. 138 INDIVIDUALS ANNUALLY WHO HAVE AN SUD AND 1,250 INDIVIDUALS ARE ON PROBATION OR PAROLE, YET WE ARE SEEING ONLY A FEW OF THESE HIGH RISK CLIENTS. VETERANS COMPRISE 8.4% OF THE POPULATION WITHIN OUR REGION, IN CONTRAST TO A NYS AVERAGE OF 3.9%, HOWEVER THE TWO CLINICS MEANT TO SERVE THEM ARE NOT PRESENTLY ABLE TO PROVIDE TIMELY ACCESS TO CLINICAL ASSESSMENT AND VETERANS AND THEIR FAMILIES REQUIRE INFORMATION AND SUPPORT RELATED TO SUD AND SUICIDE PREVENTION. THE CCBHC MODEL OFFERS A VITAL FRAMEWORK AND CRITICAL EXPANSION FUNDING FOR CVFC'S INTEGRATED MENTAL HEALTH AND SUBSTANCE USE TREATMENT SERVICES FOR CHILDREN AND ADULTS. OUR GOALS INCLUDE EXPANDING ACCESS AND TIMELY INITIATION OF COMMUNITY-BASED BH SERVICES, REDUCING OVERDOSE AND SUICIDE, PROVIDING TRANSPORTATION SUPPORT TO TREATMENT FROM THE HOSPITAL AND UPON RELEASE FROM JAIL INTEGRATING PRIMARY CARE TO ADDRESS CO-OCCURRING CHRONIC CONDITIONS, AND ESTABLISHING A PROCESS TO MONITOR CONTINUOUS QUALITY IMPROVEMENT. TO ACCOMPLISH THESE GOALS, WE WILL EXPAND OUR PEER AND CLINICIAN CAPACITY, HIRE A NURSE PRACTITIONER CAPABLE OF PRESCRIBING MAT, IMPLEMENT DIALECTICAL BEHAVIORAL THERAPY IN OUR CLINIC AND SCHOOL-BASED SERVICES, CO-LOCATE SERVICES IN OUR LOCAL HOSPITAL AND JAIL, PARTNER WITH HOMEWARD BOUND A VETERAN PEER ORGANIZATION TO SERVE VETERANS, AND ESTABLISH DCO COLLABORATIONS WITH PRIMARY CARE CLINICS AND OUR REGIONAL MOBILE CRISIS PROVIDER. AS A RESULT, WE WILL EXPAND ACCESS TO CARE FOR 50 NEW, UNDUPLICATED CHILDREN AND ADOLESCENTS EACH YEAR VIA SCHOOL-BASED DBT TRAINING AND 75 NEW UNDUPLICATED CHILDREN AND ADOLESCENTS WITH SED AND 200 ADULTS WITH SMI/SUD/COD WILL ENGAGE IN DBT TO AVOID OVERDOSE/SUICIDE, 160 INDIVIDUALS WITH AN OPIOID USE DISORDER WILL RECEIVE MAT, 300 CLIENTS WILL BE PROVIDED WITH TRANSPORTATION TO CARE AND SERVICES, AND WE WILL PROVIDE PRE-DISCHARGE ASSESSMENTS AND WARM HANDOFFS FROM THE HOSPITAL FOR 45 NEW ADULT AND ADOLESCENT PATIENTS ANNUALLY, CONDUCT 75 BH SCREENINGS FOR JUSTICE INVOLVED INDIVIDUALS EACH YEAR, AND INCREASE OUR BH CARE FOR VETERANS BY 5% IN Y1 AND 5% EACH YEAR THEREAFTER. AS WELL, 70 % OF CLIENTS SERVED AT THE CCBHC WILL BE CONNECTED TO A PCP IN YEAR 1. ADDITIONALLY, WE WILL INTEGRATE CARE TO TRACK AND MONITOR CLIENT HEALTH, MEDICATION ADHERENCE, AND AREAS FOR NEEDED IMPROVEMENT IN YEAR 2 AND EACH YEAR THEREAFTER. CCBHC FUNDING WILL ALLOW CVFC TO SERVE AN ADDITIONAL 980 INDIVIDUALS OVER THE GRANT PERIOD, INCLUDING 180 IN Y1, 225 IN Y2, 265 IN Y3, AND 310 IN Y4.

PROJECT FLEUR DE LIS

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

ST. JOHN'S MAT PROJECT - WITH FUNDING FROM SAMHSA'S MAT-PDOA PROGRAM, ST. JOHN'S WELL CHILD AND FAMILY CENTER (SJWCFC) PLANS TO EXPAND ITS ST. JOHN'S MAT PROJECT AND PROPOSES TO SERVE LOW-INCOME ADULTS IN SOUTH LOS ANGELES COUNTY (SOUTH LA) DIAGNOSED WITH AN OPIOID USE DISORDER (OUD), NEARLY ALL OF WHOM WILL BE LATINX AND AFRICAN AMERICAN AND MANY OF WHOM WILL BE UNINSURED, UNDOCUMENTED, HOMELESS OR UNSTABLY HOUSED, AND HAVE A CO-OCCURRING MENTAL DISORDER (COD), HIV AND/OR HEPATITIS C. WE WILL ALSO BE DRAWING OUR PATIENT BASE THROUGH OUR EXISTING PROGRAMS THAT SERVE TRANSGENDER/GENDER NONCONFORMING (TGNC) PEOPLE, PEOPLE EXPERIENCING HOMELESSNESS (PEH) AND REENTRY INDIVIDUALS. OUR PROJECT'S OFFICE-BASED OPIOID TREATMENT MODEL CENTERS ON CLIENT-CENTERED, TEAM-BASE MULTIDISCIPLINARY CARE COORDINATION WITH A NURSE CARE COORDINATOR, PRESCRIBERS, A CLINICAL PSYCHOLOGIST, A CONSULTING PSYCHIATRIST AND TWO PEER RECOVERY SPECIALISTS WHO WILL PROVIDE PSYCHOSOCIAL CASE MANAGEMENT, RECOVERY SUPPORT SERVICES (RSS) AND COACHING, AND LINKAGE TO EXTERNAL RESOURCES. WE WILL PROVIDE MAT SERVICES TO 55 PATIENTS IN YEAR 1, 75 IN YEAR 2, 95 IN YEAR 3, 110 IN YEAR 4, AND 115 IN YEAR 5. SJWCFC'S OVERARCHING GOALS ARE TO INCREASE THE NUMBER OF SOUTH LA RESIDENTS RECEIVING MAT, ADDRESSING THE SIGNIFICANT GAPS IN CARE IN A LARGELY IMPOVERISHED AREA OF LOS ANGELES COUNTY AND TO FACILITATE A DECREASE IN ILLICIT OPIOID USE AND PRESCRIPTION MISUSE BY (1) IMPROVING THE CAPACITY OF SOUTH LA'S SYSTEM OF CARE REGARDING MAT AND OUD RECOVERY SUPPORT AND (2) INCREASING ACCESS TO MAT AND COMPREHENSIVE OUD PSYCHOSOCIAL SUPPORT SERVICES FOR SOUTH LA RESIDENTS WITH OUD. INTERVENTIONS AND PROJECT COMPONENTS TO BE IMPLEMENTED INCLUDE: OUTREACH, ENGAGEMENT AND COMMUNITY INVOLVEMENT (INCLUDING THOSE DIRECTLY AFFECTED BY OUD AND OVERDOSE), SCREENING AND ASSESSMENT, MAT USING BUPRENORPHINE, WORKFORCE DEVELOPMENT, RSS, AND EVIDENCE-BASED PROGRAMS SUCH AS COGNITIVE-BEHAVIORAL THERAPY, THE MATRIX MODEL, SEEKING SAFETY AND PEER COACHING. OBJECTIVES INCLUDE: (1) ESTABLISHING THE SOUTH LA SUD RIGHT TO HEALTH COMMITTEE COMPRISED OF RESIDENTS IMPACTED BY OUD AND OVERDOSE, SJWCFC STAFF AND COMMUNITY PARTNERS; (2) ENHANCING EXISTING AND FORGING NEW REFERRAL AND COLLABORATIVE PARTNERSHIPS TO PROMOTE PATIENT RECOVERY; (3) INCREASING THE NUMBER OF DATA X-WAIVERED PRESCRIBERS IN OUR SYSTEM (4 ANNUALLY) AND PROVIDING PROFESSIONAL DEVELOPMENT EDUCATION AND CULTURAL COMPETENCY ABOUT SUD ISSUES TO CLINIC PERSONNEL (150 PERSONS ANNUALLY); (4) ENGAGING 90% OF PATIENTS IN COMPREHENSIVE CASE MANAGEMENT SERVICES; (5) ACHIEVING A REDUCTION IN ILLEGAL DRUG USE BY PATIENTS BY 50%; AND (6) ENGAGING 75% OF MAT PATIENTS IN RSS TO PROMOTE LONG-TERM RECOVERY.

PREVENTION RECOVERY INTEGRATION FOR MSM EMPOWERMENT (PRIME)

PURPOSE: ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING/CONGRESSIONAL DIRECTED SPENDING AWARDS ARE AUTHORIZED UNDER THE CONSOLIDATED APPROPRIATIONS ACT, 2022 PUBLIC LAW 117-328 AND THE EXPLANATORY STATEMENT FOR DIVISION L OF THAT ACT. PROJECTS SELECTED FOR COMMUNITY PROJECT FUNDING/CONGRESSIONAL DIRECTED SPENDING ARE LISTED IN THE JOINT EXPLANATORY STATEMENT (JES) THAT ACCOMPANIES A SPECIFIC FISCAL YEAR’S APPROPRIATIONS ACT OR CONGRESSIONAL RECORD. THE JES LISTS PROJECT, RECIPIENT, STATE, AMOUNT AND CONGRESSIONAL SPONSOR.; ACTIVITIES TO BE PERFORMED: ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING AWARD PROJECTS INCLUDE A WIDE VARIETY OF ACTIVITIES THAT RESULT IN ECONOMIC DEVELOPMENT OR COMMUNITY DEVELOPMENT OUTCOMES. HUD WILL NOT KNOW THE FULL SCOPE OF THE PROJECT UNTIL THE RECIPIENT SUBMITS THE REQUIRED PROJECT NARRATIVE AND CONFIRMS ALIGNMENT WITH THE LANGUAGE AS PROVIDED IN THE CONGRESSIONAL RECORD. TO FIND THE DETAILS OF THE GRANT AWARD AS WRITTEN WITHIN THE CONGRESSIONAL RECORD USE THE FOLLOWING LINK AND PATH SELECTIONS TO GET TO THE DESCRIPTION OF THE ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING GRANTS HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/EDI-GRANTS, SELECT THE FISCAL YEAR OF INTEREST, SCROLL DOWN TO PROGRAM LAWS AND REGULATIONS, UNDER FISCAL YEAR 20XX CONSOLIDATED APPROPRIATIONS ACT, 20XX: CONGRESSIONAL RECORD (JOINT EXPLANATORY STATEMENT).; EXPECTED OUTCOMES: COMPLETION OF THE PROJECT AS DESCRIBED IN THE JOINT EXPLANATORY STATEMENT (JES) PROJECT DESCRIPTION AND SUBSEQUENT APPROVED PROJECT NARRATIVE.; INTENDED BENEFICIARIES: THE PROJECT BENEFICIARIES ARE THE INDIVIDUALS AND/OR ORGANIZATIONS THAT ARE AWARDED GRANT FUNDS OR SERVED BY THE ENTITIES THAT ARE AWARDED GRANT FUNDS AS IDENTIFIED IN THE JES RECIPIENT OR PROJECT DESCRIPTION SECTIONS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

VERMONT FAMILY RECOVERY PROJECT

THE FAMILY CENTER'S HEALTHY BRANCHES PROJECT - THE FAMILY CENTER OF BROOKLYN, NY (TFC) WILL PROVIDE A SUBSTANCE USE DISORDER (SUD) AND CO-OCCURRING SUD AND MENTAL HEALTH (COD) TREATMENT AND RECOVERY PROGRAM CALLED HEALTHY BRANCHES, IN THE HIGH-RISK BROOKLYN ZIP CODES OF BEDFORD-STUYVESANT, CROWN HEIGHTS, BUSHWICK, BROWNSVILLE, AND EAST NY FOR PRIMARILY BLACK AND LATINX ADULTS AT HIGH RISK FOR OR LIVING WITH HIV/AIDS, POLYSUBSTANCE ABUSE, COD, SIGNIFICANT LEVELS OF TRAUMA, CHRONIC DISEASE, EXTREME POVERTY, AND BARRIERS TO CARE. TFC HAS A 28-YEAR HISTORY PROVIDING INTEGRATED, COMPREHENSIVE BEHAVIORAL HEALTH SERVICES TO MINORITY BROOKLYN RESIDENTS IMPACTED BY COD, SUD, SERIOUS EMOTIONAL DISTURBANCE (SED), HIV, TRAUMA, AND THE DEVELOPMENTAL RISKS ASSOCIATED WITH INTERGENERATIONAL POVERTY, EARLY AND SINGLE PARENTING, STIGMA ASSOCIATED WITH MENTAL HEALTH CARE AND IMMIGRANT GROUPS, LEGAL PROBLEMS, AND POOR ACCESS TO EDUCATION AND EMPLOYMENT SUPPORTS. HEALTHY BRANCHES WILL SERVE 350 INDIVIDUALS OVER THE FIVE YEARS OF THE PROJECT. CONSUMERS WILL BE SERVED THROUGHOUT THEIR ENROLLMENT IN THE PROECT BY A DEDICATED CARE TEAM CONSISTING OF A MEDICAL DIRECTOR (MD), A PHYSICIAN ASSISTANT (PA), TWO CASE MANAGERS (CM), A PEER RECOVERY SUPPORT SPECIALIST (PRSS), AND AN INTAKE SPECIALIST (IS). THE CARE TEAM WILL PROVIDE CONSISTENT AND CONTINUOUS SERVICE TO ALL CONSUMERS, FROM SCREENING, ASSESSMENT, TESTING, CASE MANAGEMENT, TREATMENT PLANNING, LINKAGE TO MEDICAL CARE, HARM REDUCTION SERVICES, MEDICATION MANAGEMENT, INDIVIDUAL AND GROUP-BASED TREATMENT FOR CO-OCCURRING DISORDERS AND TRAUMA, AND RECOVERY SUPPORT. THE GOALS OF THE PROJECT ARE TO 1) INCREASE ENGAGEMENT IN CARE FOR RACIAL AND ETHNIC UNDERREPRESENTED INDIVIDUALS WITH SUD AND COD WHO ARE AT RISK FOR, OR ARE LIVING WITH HIV/AIDS, 2) THROUGH CARE COORDINATION, CASE MANAGEMENT, AND PEER RECOVERY SUPPORT ASSIST INDIVIDUALS WITH SUD AND COD WHO ARE AT RISK FOR, OR ARE LIVING WITH HIV/AIDS REMAIN IN CARE, AND 3) THROUGH INTEGRATED COD TREATMENT, INCLUDING THE USE OF IDENTIFIED EBPS, ASSIST THOSE WHO ARE AT RISK FOR, OR ARE LIVING WITH HIV/AIDS, SUSTAIN RECOVERY. HEALTHY BRANCHES WILL MEET THE FOLLOWING OBJECTIVES: 1) BY TWO MONTHS FROM AWARD DATE, COMMIT 2 CMS AND 1 PRSS TO THE PROJECT TO CONNECT WITH 100% OF CONSUMERS FROM OUTREACH THROUGH STABLE RECOVERY, 2) 70% OF CONSUMERS WILL RECEIVE HIV AND VIRAL HEPATITIS TESTING AT THE TIME OF ENROLLMENT, 3) 100% OF THOSE WHO COMPLETE A SCREENING, ASSESSMENT AND DIAGNOSIS PROCESS WILL COMPLETE AN INDIVIDUALIZED TREATMENT PLAN AND MEET WITH A CM, 4)100% OF CONSUMERS WHO TEST POSITIVE FOR HIV WILL RECIEVE CONFIRMATORY TESTING AND, IF POSITIVE, ENGAGE IN HIV TREATMENT WITH KINGS COUNTY HOSPITAL CENTER (KCHC), SUNY DOWNSTATE MEDICAL CENTER (SDMC) OR OTHER PARTNER HIV MEDICAL PROVIDER, 5) 80% OF THOSE ENROLLED WILL REMAIN IN THE PROGRAM FOR A LEAST SIX MONTHS, 6) 60% OF CONSUMERS WHO INITIATE HIV TREATMENT WILL REMAIN IN TREATMENT FOR SIX MONTHS, 7) CMS AND PEERS WILL PROVIDE OUTREACH AND EBP MOTIVATIONAL INTERVIEWING (MI) TO 100% OF ENROLLED CONSUMERS WHO DROP OUT OF COD AND/OR HIV TREATMENT, AND 40% OF THOSE DROPPING OUT WILL REENGAGE IN TREATMENT FOLLOWING TEAM OUTREACH, 8) 80% OF ENROLLED CONSUMERS WILL COMPLETE AT LEAST 5 CONTACTS WITH THE PRSS DURING THE FIRST 2 MONTHS OF ENROLLMENT TO ADDRESS ISSUES IDENTIFIED IN THEIR RECOVERY PLAN, 9) 70% WILL DEMONSTRATE A REDUCTION IN RISK BEHAVIORS ASSOCIATED WITH HIV AFTER 6 MONTHS OF SERVICES, 10) 50% OF CONSUMERS ENGAGED IN TREATMENT FOR SUD WILL INDICATE NO PAST 30-DAY SUBSTANCE USE AFTER 6 MONTHS OF OUT PATIENT TREATMENT, AS MEASURED BY THE GPRA, AND 11) 40% OF CONSUMERS WILL BE ENGAGED IN COMMUNITY-BASED RECOVERY SUPPORT NETWORKS AT DISCHARGE. HEALTHY BRANCHES WILL FULLY INTEGRATE BEHAVIORAL HEALTH TREATMENT WITH ONGOING SUPPORT FOR ENGAGEMENT IN HIV/HEPATITIS C TREATMENT AND PREVENTION, ADDRESSING INEQUITIES IN ACCESS TO MAXIMIZE SUPPORT FOR SUSTAINED RECOVERY AND HEALTH IN AN AREA OF NYC HARDEST HIT BY

REDUCING PTSD SYMPTOMS AND MALADAPTIVE GRIEF REACTIONS IN YOUTH IMPACTED BY COMMUNITY VIOLENCE IN THE GREATER NEW ORLEANS AREA - PROJECT FLEUR-DE-LIS (PFDL), A PROGRAM OF MERCY FAMILY CENTER, BEGAN AS AN INTERMEDIATE AND LONG-TERM SCHOOL-BASED MENTAL HEALTH SERVICE MODEL FOR YOUTH EXPOSED TO TRAUMATIC EVENTS IN THE GREATER NEW ORLEANS AREA FOLLOWING HURRICANE KATRINA. PFDL HAS EVOLVED TO PROVIDE EVIDENCE-BASED TREATMENT TO YOUTH, FAMILIES, AND COMMUNITIES WHO HAVE BEEN IMPACTED BY COMMUNITY VIOLENCE, GRIEF, COMPLEX TRAUMA, AND SUICIDE TO ENHANCE PERSONAL AND COMMUNITY RESILIENCE. PFDL’S POPULATION OF FOCUS IS LOW-INCOME, URBAN, BLACK YOUTH AGES 5-21 WHO ARE UNDERSERVED IN THE GREATER NEW ORLEANS (GNO) AREA (ORLEANS, JEFFERSON, ST. TAMMANY, ST. BERNARD, AND PLAQUEMINES PARISHES (COUNTIES)) WHO HAVE BEEN ADVERSELY IMPACTED BY COMMUNITY VIOLENCE, COMPLEX TRAUMA, SUICIDE, AND GRIEF. PROJECT FLEUR-DE-LIS (PFDL) PROPOSES THE FOLLOWING GOALS AND OBJECTIVES: GOAL 1: INCREASE ACCESS FOR TRAUMA-EXPOSED, CULTURALLY DIVERSE YOUTH AND THEIR FAMILIES TO CULTURALLY RESPONSIVE, EVIDENCE-BASED TRAUMA TREATMENT. OBJECTIVE 1A: BY THE END OF THE FIVE-YEAR PROJECT, PFDL AND PARTNERING SCHOOL AND COMMUNITY MENTAL HEALTH PROFESSIONALS WILL PROVIDE CBITS, BOUNCE BACK, AND SPARCS TO A MINIMUM OF 375 YOUTH AND FAMILIES. OBJECTIVE 1B: UPON COMPLETION OF TREATMENT, YOUTH WILL REPORT A 30% DECREASE IN PTSD SYMPTOMS AS MEASURED BY THE CHILD PTSD SYMPTOM SCALE (CPSS). GOAL 2: INCREASE ACCESS FOR YOUTH AND THEIR FAMILIES TO CULTURALLY RESPONSIVE, EVIDENCE-BASED BEREAVEMENT AND TRAUMATIC BEREAVEMENT TREATMENT. OBJECTIVE 2A: BY THE END OF THE FIVE-YEAR PROJECT, PFDL AND PARTNERING SCHOOL AND COMMUNITY MENTAL HEALTH PROFESSIONALS WILL PROVIDE TGCT AND MGT TO A MINIMUM OF 200 YOUTH AND FAMILIES. OBJECTIVE 2B: YOUTH WILL REPORT A 30% DECREASE IN MALADAPTIVE GRIEF REACTIONS ON THE PERSISTENT COMPLEX BEREAVEMENT DISORDER (PCBD) CHECKLIST UPON COMPLETION OF TREATMENT. GOAL 3: ESTABLISH A TRAUMA-, BEREAVEMENT-, AND SUICIDE-INFORMED COMMUNITY FOR YOUTH BY BUILDING THE CAPACITY OF MENTAL HEALTH PROFESSIONALS, COMMUNITY MEMBERS, AND YOUTH WITH LIVED EXPERIENCE IN PFDL’S GEOGRAPHICAL CATCHMENT AREA. OBJECTIVE 3A: AFTER THE FIVE-YEAR GRANT CYCLE, PFDL, PARTNERING SCHOOL AND COMMUNITY MENTAL HEALTH PROFESSIONALS WILL HAVE USED SAFETY-ACUTE WITH A MINIMUM OF 250 YOUTH AT RISK OF SUICIDE AND REPORT A 25% INCREASE IN COLLABORATIVE SAFETY PLANS WITH YOUTH AND FAMILIES. OBJECTIVE 3B: A MINIMUM OF 250 YOUTH-SERVING PROFESSIONALS, SCHOOL STAFF, AND COMMUNITY MEMBERS WILL DEMONSTRATE AN INCREASE IN KNOWLEDGE OF CHILDHOOD TRAUMA AS EVIDENCED BY THE CCCT EVALUATION MEASURE. OBJECTIVE 3C: PFDL WILL PROVIDE EDUCATION ON BEREAVEMENT-INFORMED CARE AND SUICIDE PREVENTION TO A MINIMUM OF 500 YOUTH-SERVING PROFESSIONALS AND SCHOOL STAFF. OBJECTIVE 3D: A MINIMUM OF 100 YOUTH WITH LIVED EXPERIENCE WILL PARTICIPATE IN COMMUNITY-BUILDING CIRCLES TO INCREASE FEELINGS OF BELONGING, TO REDUCE STIGMA, AND TO ASSIST PFDL WITH INCORPORATING THEIR VOICES INTO OUR TRAININGS AND PROGRAMMING. PFDL WILL SERVE 450 INDIVIDUALS IN YEAR 1, 500 IN YEAR 2, 550 IN YEAR 3, 600 IN YEAR 4, AND 650 IN YEAR 5, SERVING A TOTAL OF 2,750 UNDUPLICATED INDIVIDUALS ACROSS THE FIVE-YEAR GRANT PERIOD.

BROOKLYN ACTION FOR CHILDREN'S AND TEEN'S SUCCESS 2 - BROOKLYNACTS2 WILL OFFER MULTIPLE EVIDENCE BASED PRACTICES (EBPS) TO TREAT TRAUMA IN LOW INCOME CHILREN AND YOUTH OF COLOR IN CENTRAL BROOKLYN. BUILDING ON THE FAMILY CENTER'S (TFC) NYS-LICENSED MENTAL HEALTH CLINIC, EXISTING TRAUMA PROGRAM AND 27-YEAR HISTORY OF SERVING NYC'S MOST VULNERABLE FAMILIES, BROOKLYNACTS2 ADDS NEW STAFF, EBPS, PSYCHOSOCIAL SUPPORT AND CULTURAL AND LANGUAGE CAPACITY TO MAXIMIZE IMPACT OF TRAUMA TREATMENT FOR DIVERSE YOUTH. BROOKLYNACTS2 WILL SERVE CHILREN AGES 3-21 WITH TRAUMA SYMPTOMS AND/OR EXPOSURE WHO REQUIRE ADDITIONAL SUPPORTS AND MORE HIGHLY SKILLED INTERVENTION DUE TO COMPLICATING PERSONAL, FAMILIAL AND COMMUNITY CHARACTERISTICS. BROOKLYNACTS2 WILL SERVE BEDFORD STUYVESANT AND SURROUNDING BROOKLYN NEIGHBORHOODS CHARACTERIZED BY HIGH RATES OF POVERTY, COMMUNITY AND FAMILY VIOLENCE, UNEMPLOYMENT, INCARCERATION, SUBSTANCE ABUSE AND MENTAL ILLNESS AND DESIGNATED BY HRSA AS A MEDICALLY UNDERSERVED AREA. BROOKLYNACTS2 WILL SERVE AFRICAN AMERICIAN, AFRO-CARIBBEAN AND LATINX CHILDREN, WITH A SPECIAL FOCUS ON IMMIGRANT CHILREN AND YOUTH, INCLUDING UNACCOMPANIED MINORS. THE PROJECT EXPANDS TFC'S CAPACITY TO SERVE CHIDLREN WHOSE ABILITY TO ENGAGE IN AND BENEFIT FROM TREATMENT IS COMPROMISED BY FACTORS SUCH AS ONGOING COMPLEX AND/OR ONGOING INTR-FAMILIAL TRAUMA; LACK OF PARENTAL INVOLVEMENT, INCLUDING DUE TO MENTAL ILLNESS, SUBSTANCE USE DISORDER AND PTSD; AND, PARTICULARLY AMONG IMMIGRANT FAMILIES, CULTURAL BELIEFS, PRACTICES AND EXPECTATIONS. BROOKLYNACTS2 ADDS TO EXISTING CAPACITY TO DELIVER TRAUMA FOCUSED-COGNITIVE BEHAVIORAL THERAPY (TF-CBT), THE MOST WELL-SUPPORTED OF CURRENT TREATMENTS FOR CHILD POST-TRAUMATIC STRESS DISORDER (PTSD) AND TRAUMA, BY ADDITION OF ADDITIONAL STAFF AND PROVIDING SKILLS ENHANCEMENT TRAINING TO ALL THERAPISTS, INCLUDING IN THE USE OF CULTURALLY MODIFIED TF-CBT WITH IMMIGRANT FAMILIES. BROOKLYNACTS2 ALSO ADDS TWO NEW GROUP EBPS, STRUCTURED PSYCHOTHERAPY FOR ADOLESCENTS RESPONDING TO CHRONIC STRESS (SPARCS) FOR TEENS 13-21 AND STRENGTHENING FAMILY COPING RESOURCES (SFCR) FOR FAMILIES IMPACTED BY TRAUMA. NEW INTERVENTIONS CREATE MULTIPLE PATHWAYS FOR DIVERSE YOUTH AND FAMILIES TO CONNECT TO AND BENEFIT FROM TRAUMA TREATMENT. GOAL 1: ENGAGE 408 UNDUPLICATED CHILDREN AND YOUTH IN EVIDENCE-BASED TRAUMA TREATMENT OVER THE FIVE YEAR GRANT (56 IN YEAR 1 AND 88 EACH YEAR THEREAFTER). OBJECTIVES: 1) 138 TEENS WILL ENGAGE IN SPARCS, WITH 85% OF ENROLLEES COMPLETING; 2) 150 CHILDREN/TEENS WILL ENGAGE IN SFCR MULTI-FAMILY GROUPS, WITH 85% OF ENROLLEES COMPLETING AND 3) 208 CHILDREN INCLUDING 90 IMMIGRANT CHILDREN, WILL ENGAGE IN TF-CBT OR CM TF-CBT WITH 88% OF ENROLLEES COMPLETING. GOAL 2: ENHANCE RETENTION IN AND IMPACT OF EBPS BY ADDING PSYCHOSOCIAL SUPPORT FOR PARENTS AND ONGOING PROFESSIONAL DEVELOPMENT FOR STAFF. OBJECTIVES: 1) 190 FAMILIES WILL RECEIVE CARE MANAGEMENT SERVICES TO OVERCOME CONCRETE BARRIERS; 2) 98 PARENTS WILL BENEFIT FROM DROP-IN PEER-TO-PEER GROUPS, AN ADDITIONAL COMPONENT OF SFCR; 3) ACHIEVE 90% FIDELITY IN DELIVERY OF EBPS; AND 4) 80% OF ENROLLED CHILDREN WILL EXPERIENCE SIGNIFICANT SYMPTOM REDUCTION.

ST. JOHN'S COMMUNITY HEALTH: COMMUNITY TO CLINIC TRANSGENDER PROGRAM - IN RESPONSE TO THE EXISTING EPIDEMIOLOGICAL DATA, GUIDANCE FROM THE LA COUNTY’S PROPOSED ENDING THE HIV EPIDEMIC PLAN, AND ALMOST A DECADE OF EXPERIENCE WITH THE TRANSGENDER POPULATION, ST. JOHN’S PROPOSES A NEW INITIATIVE: COMMUNITY TO CLINIC TRANSGENDER PROGRAM (CCTP). UNDER THE CDC PS22-2209 OPPORTUNITY, ST. JOHN’S WILL EXPAND ITS CURRENT THP/TC TO ITS NEW AVALON HEALTH CENTER IN A DIFFERENT AREA OF SOUTH LA (TO MEET DEMAND AND PROVIDE EASIER ACCESS FOR OUR TRANSGENDER PATIENTS LIVING IN THE SOUTHEAST AREA OF SOUTH LA). ST. JOHN’S WILL WORK WITH COMMUNITY-BASED ORGANIZATIONS (CBOS) SUBCONTRACTORS (APAIT, UNIQUE WOMEN’S COALITION, AND IMPERIAL COURT OF LOS ANGELES), AS WELL AS OTHER TRANSGENDER CBOS TO DEVELOP A HOLISTIC COMMUNITY-TO-CLINIC SERVICE MODEL WHICH WILL PROVIDE HEALTH AND WELLBEING SERVICES FOR TRANSGENDER MEN AND WOMEN THAT INCLUDE CO-LOCATED HIV PREVENTION AND CARE; GENDER-AFFIRMING SERVICES INCLUDING HORMONE THERAPY AND OTHER PROCEDURES; STI TESTING AND TREATMENT; HEPATITIS TESTING, TREATMENT, AND VACCINATION; PREVENTIVE HEALTH CARE; BEHAVIORAL HEALTH SERVICES; AND CHRONIC DISEASE CARE. THE CBOS WILL PLAY A CRITICAL ROLE IN REACHING TRANSGENDER PERSONS WHO ARE NOT ALREADY ENGAGED IN HIV PREVENTION OR CARE SERVICES FOR HIV EDUCATION AND COUNSELING, HIV TESTING, AND REFERRAL TO THE THP/TC AT AVALON HEALTH CENTER FOR PREP, NPEP, ART, GENDER-AFFIRMING SERVICES, AND OTHER HEALTH CARE SERVICES. THIS AREA SPECIFICALLY – AND LA COUNTY AS A WHOLE – HAS VERY LIMITED TRANSGENDER HEALTH SERVICES AND HIV PREVENTION PROGRAMS THAT SPECIFICALLY TARGET THE NEEDS OF TRANSGENDER PERSONS. IN SHORT, THE CCTP WILL FILL A GAP IN INNOVATIVE, CLINIC-TO-COMMUNITY-BASED, PEER-DRIVEN AND DELIVERED MODEL FOR TRANSGENDER PERSONS IN LA COUNTY THAT ADDRESS THE HEALTH DISPARITIES AMONG THE TARGET POPULATION. CCTP IS ALIGNED WITH NATIONAL AND LOCAL PUBLIC HEALTH PRIORITIES OF REDUCING THE NUMBER OF NEW HIV INFECTIONS, INCREASING THE PROPORTION OF PEOPLE WHO KNOW THEIR SEROSTATUS, AND ENSURING THAT PLWH ARE LINKED OR REENGAGED AND RETAINED IN CARE TO INCREASE VIRAL SUPPRESSION, THEREBY REDUCING HIV-RELATED HEALTH DISPARITIES. REQUESTING A COOPERATIVE AGREEMENT WITH CDC OVER 4 YEARS, ST. JOHN’S PROJECT TARGETS A KEY POPULATION FOR ENDING THE HIV EPIDEMIC IDENTIFIED BY ITS LOCAL JURISDICTION (ADULT TRANSGENDER PERSONS, ESPECIALLY TRANSGENDER WOMEN) AND ENCOMPASSES MULTIPLE HIGH-RISK POPULATIONS DISPROPORTIONATELY AFFECTED BY HIV IDENTIFIED BY THE CDC (LATINOS AND BLACK/AFRICAN AMERICAN). CCTP WILL ADDRESS HIV RISK BY DEVELOPING, IMPLEMENTING, AND EVALUATING A COMPREHENSIVE, INTEGRATED COMMUNITY-TO-CLINIC MODEL THAT INCORPORATES VETTED, PROVEN AND MANDATORY STRATEGIES TO ADDRESS CRITICAL GAPS IN SERVICES TO DIAGNOSE, TREAT, PREVENT AND RESPOND TO HIV, TAKING INTO ACCOUNT THE UNIQUE NEEDS OF THE TRANSGENDER INDIVIDUALS TO BE SERVED BY ENSURING THAT THE INTERVENTIONS BE DESIGNED, DEPLOYED AND ASSESSED FOR THEIR EFFICACY LARGELY BY TRANSGENDER PEERS.

ABANDONED INFANTS ASSISTANCE

ESLS PLUS: COMPREHENSIVE SUPPORT SERVICES FOR FAMILIES AFFECTED BY HIV/AIDS AND SUBSTANCE ABUSE

FAMILY CENTERED TREATMENT ? TRAUMA SERIES PROJECT (FCT-TS)

EARLY HEAD START ARRA EXPANSION

THE FAMILY CENTER'S MAT PROGRAM - THE FAMILY CENTER OF BROOKLYN, NY (TFC) WILL IMPLEMENT AN MAT PROGRAM FOR ADULTS WITH OPIOID DISORDER, POLYSUBSTANCE ABUSE, CO-OCCURRING MENTAL HEALTH DISORDERS, AND SIGNIFICANT LEVELS OF TRAUMA, CHRONIC DISEASE, EXTREME POVERTY, AND BARRIERS TO CARE IN HIGH-RISK COMMUNITIES OF CENTRAL BROOKLYN. THE ANITCIPATED POPULATION DEMOGRAPHICS ARE 80% OR MORE CLIENTS WILL BE AFRICAN-AMERICAN OR LATINO, 20% WHITE, MEDIAN AGE 40, 40% WILL HAVE LESS THAN A 12TH GRADE EDUCATION, 15% WILL BE LIVING IN A HOMELESS SHELTER AT ENTRY INTO SERVICES, AND 85% UNEMPLOYED. OVER 80% OF THE POPULATION OF FOCUS WILL HAVE HISTORIES OF TRAUMA AND EXPOSURE TO VIOLENCE, 60% WILL REPORT AT LEAST 4 ADVERSE CHILDHOOD EXPERIENCES, 80% WILL REPORT CURRENT, MODERATE TO HIGH LEVELS OF ANXIETY AND DEPRESSION. THE MAT PROGRAM WILL USE A BLENDED COLLABORATIVE CARE MODEL, PROVIDING CLIENTS RECEIVING MAT WITH CONCURRENT COD TRAUMA-INFORMED INTERVENTIONS, OUD COUNSELING, PEER SUPPORT, MEDICAL CARE COORDINATION PROVIDED DIRECTLY BY STAFF ON THE MAT TEAM. THE MAT PROGRAM WILL BE NESTED WITHIN TFC'S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC), WHICH WILL PROVIDE ADDITIONAL SERVICES, INCLUDING MOBILE CRISIS OUTREACH, A ROBUST MENU OF PSYCHOSOCIAL AND THERAPEUTIC GROUPS, AS WELL AS CASE MANAGEMENT SERVICES THAT WILL LEVERAGE THE CCBHC'S PARTNERSHIPS TO PROVIDE REFERRAL AND LINKAGE TO A WIDE VARIETY OF COMMUNITY SERVICES. THE PROJECT GOALS ARE: 1) THROUGH THE DELIVERY OF MAT AND INTEGRATED COD TREATMENT, IMPROVE THE CAPACITY OF PERSONS WITH OUD AND COD TO ACHIEVE SUSTAINED RECOVERY FROM COD AND TO REDUCE HEALTH RISKS ASSOCIATED WITH OPIOID ABUSE; 2) IMPROVE CLIENT ENGAGEMENT IN COMMUNITY-BASED HEALTH CARE AND RECOVERY SUPPORT NETWORKS THROUGH CARE COORDINATION, CASE MANAGEMENT AND PEER SUPPORT. EBPS INCLUDE TRAUMA-INFORMED CBT, INTEGRATED COD TREATMENT, DIALECTICAL BEHAVIORAL THERAPY, SEEKING SAFETY, SISTA, MOTIVATIONAL INTERVIEWNG AND SOBER PARENTING JOURNEY. 75% OF CLIENTS ENROLLED IN MAT WILL REMAIN IN MAT AND COD TREATMENT FOR A MINIMUM OF 6 MONTHS; 100% OF CLIENTS ENROLLED IN MAT WILL ENGAGE IN 2 OR MORE COD AND TRAUMA TREATMENT MODALITIES FOR THE DURATION OF ENROLLMENT IN THE PROGRAM; 45% OF MAT CLIENTS WILL DEMONSTRATE REDUCED USE OF OPIOIDS AND OTHER DRUGS OF CHOICE AFTER 6 MONTHS OF MAT/COD TREATMENT, AS MEASURED BY TOXICOLOGY SCREENS; 45% OF CLIENTS WILL DEMONSTRATE CLINICALLY SIGNIFICANT IMPROVEMENTS IN PSYCHOSOCIAL FUCTIONING AND OR REDUCTION IN SYMPTOMS OF ANXIETY AND DEPRESSION AFTER 6 MONTHS OF ENROLLMENT; 45% OF MAT CLIENTS WILL DEMONSTRATE IMPROVEMENTS IN CLINICAL MEASURES OF CHRONIC HEALTH CONDITIONS ASSOCIATED WITH COD AND POLYSUBSTANCE ABUSE, INCLUDING REDUCTIONS IN BMI, BP AND HBA1C. A TOTAL OF 280 UNDUPLICATED ADULTS WILL BE SERVED: 40 IN YEAR 1 AND 60 EACH IN YEARS 2-5.

WOMEN'S REENTRY WITH INTEGRATED SERVICES ENGAGEMENT/EMPOWERMENT (W-RISE) PROGRAM

LUND RESIDENTIAL SUBSTANCE ABUSE TREATMENT PROGRAM

BROOKLYN WOMEN ENJOYING LIFE (B-WEL)

CONTINUUM OF CARE PROGRAM

BROOKLYN ACTION FOR TEENS AND CHILDRENS SUCCESS

SJCH'S PROJECT SUP (SUPPORT FOR UNHOUSED PEOPLE) - ST. JOHN'S COMMUNITY HEALTH'S (SJCH) PROJECT SUP WILL EXPAND AND IMPLEMENT AN EFFECTIVE, EVIDENCE-BASED, CULTURALLY COMPETENT RESPONSE TO EXTREMELY PREVALENT SUBSTANCE USE DISORDER AND CO-OCCURRING MENTAL HEALTH DISORDERS (SUD/COD) AMONG UNSHELTERED PEOPLE EXPERIENCING HOMELESSNESS (PEH) IN SOUTH LOS ANGELES. MOST CLIENTS (73%) ARE AGED 31-54, 23% AGED 55+, 12% YOUNG PEOPLE 18-30 AND 2% CHILDREN UNDER 18; 45% ARE AFRICAN AMERICAN AND 52% LATINO; 30% ARE IMMIGRANTS BEST-SERVED IN SPANISH/INDIGENOUS LANGUAGE; 75% JUSTICE-INVOLVED; AND ALL LIVING AT/BELOW THE FEDERAL POVERTY LEVEL. THE PROJECT WILL BE LGBTQ-AFFIRMING AND GENDER-RESPONSIVE ASSURING ACCESS TO UNDERSERVED PEH. SOUTH RESIDENTS OF COLOR EXPERIENCE HOMELESSNESS AND SUD/COD AT DISPROPORTIONATELY HIGH RATES COMPARED TO THE GENERAL POPULATION AS A RESULT OF A COMPLEX WEB OF SOCIAL DETERMINANTS OF HEALTH FACTORS, INSTITUTIONAL RACISM, INTERGENERATIONAL POVERTY, DIVESTMENT OF RESOURCES FROM SOUTH LA, SOARING HOUSING PRICES, LIMITED SERVICES TO MEET NEED, AND HEAVY POLICING THAT TOO OFTEN PLACES PEH WITH SUD/COD BEHIND BARS INSTEAD OF IN TREATMENT AND HOUSING. PROJECT SUP WILL PROVIDE OPPORTUNITIES TO INTERRUPT SUD/COD AND SUPPORT CLIENTS TO IMPROVE THEIR HEALTH. FUNCTIONING AND STABILITY THROUGH TEAM-BASED, PEER-DRIVEN, RECOVERY-ORIENTED, TRAUMA-INFORMED, AND EQUITY BASED TREATMENT, HARM REDUCTION, INTENSIVE CASE MANAGEMENT, RECOVERY SUPPORT, AND HOUSING NAVIGATION SERVICES. A TOTAL OF 600 UNDUPLICATED PEH WILL BE SERVED (100 IN YEAR 1; 125 IN YEARS 2-5). OBJECTIVES INCLUDE: BUILDING SJCH'S CAPACITY AND INFRASTRUCTURE TO SUPPORT COMPREHENSIVE SUD/COD SERVICES FOR PEH USING SEVERAL STRATEGIES INCLUDING CONVENING STAKEHOLDER GROUPS, PROVIDING CROSS-TRAINING, EXPANDING PARTNERSHIPS, AND CREATING POLICIES AND WORKFLOWS; PROVIDING HARM REDUCTION/PEER-BASED OUTREACH TO 3,000 PEH DURING THE COURSE OF THE GRANT; PROVIDING SCREENING, ASSESSMENT, TREATMENT, CARE COORDINATION, AND CASE MANAGEMENT SERVICES FOR 600 INDIVIDUALS; LINKING 338 OF THOSE INTO THE HOUSING SERVICES CONTINUUM WITH AN 85% RATE OF RETENTION FOR CLIENTS OBTAINING PERMANENT SUPPORTIVE HOUSING; ENSURING ADHERENCE TO CLINICAL TREATMENT AND PROGRESS ON CASE MANAGEMENT GOALS; INCREASING MONTHLY INCOME FOR A MINIMUM OF 20% OF CLIENTS; PROVIDING HIV, HCV AND STI SCREENING AND PREP AND LINKING 90% OF POSITIVE SCREENS TO TREATMENT; AND REDUCING RATES OF SUBSTANCE MISUSE AND IMPROVING MENTAL HEALTH OF CLIENTS.

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

BROOKLYN STAY WELL ENJOY LIFE: A COMMUNITY HEALTH PARTNERSHIP TO REDUCE DIABETES IN MINORITY COMMUNITIES

EARLY HEAD START ARRA EXPANSION

ST. JOHN'S W-RISE - ST. JOHN'S COMMUNITY HEALTH'S W-RISE PROGRAM WILL INTEGRATE, ENHANCE, AND EXPAND SCREENING, ASSESSMENT, EVIDENCE-BASED TREATMENT, HARM REDUCTION AND RECOVERY SUPPORT SERVICES FOR LOW-INCOME CISGENDER AND TRANSGENDER WOMEN OF COLOR WITH SUBSTANCE USE AND/OR CO-OCCURRING MENTAL HEALTH DISORDERS (SUD/COD) WHO ARE REENTERING THEIR COMMUNITIES POST-INCARCERATION IN SOUTH LOS ANGELES. MOST CLIENTS (70%) ARE AGED 25-44; 90% ARE PEOPLE OF COLOR (49% LATINA, 41% AFRICAN AMERICAN); 30% ARE UNHOUSED; 30% ARE IMMIGRANTS BEST SERVED IN SPANISH; 100% ARE LOW-INCOME (UNDER 200% OF FEDERAL POVERTY LEVEL). NINETY PERCENT ARE CISWOMEN AND 10% ARE TRANS; 70% ARE HETEROSEXUAL, 20% BISEXUAL, AND 10% LESBIAN. LOW-INCOME REENTRY WOMEN OF COLOR IN SOUTH LA EXPERIENCE SUD.COD AT DISPROPORTIONATELY HIGH RATES COMPARED TO THE GENERAL POPULATION, WITH EXTREMELY HIGH PREVALENCE OF POST-TRAUMATIC STRESS AS A RESULT OF A COMPLEX WEB OF SOCIAL DETERMINANTS OF HEALTH FACTORS AS WELL AS EXPERIENCES OF INSTITUTIONAL RACISM, HEAVY POLICING AND TRANSPHOBIA. W-RISE WILL PROVIDE OPPORTUNITIES TO INTERRUPT SUD/COD AND SUPPORT CLIENTS TO IMPROVE THEIR HEALTH, FUNCTIONING AND STABILITY THROUGH TEAM-BASED, PEER-DRIVEN, RECOVERY-ORIENTED, TRAUMA-INFORMED, AND EQUITY-BASED TREATMENT, RECOVERY SUPPORT AND RELATED REENTRY SERVICES. A TOTAL OF 350 UNDUPLICATED REENTRY WOMEN WILL BE SERVED (70 ANNUALLY). OBJECTIVES INCLUDE: CONVENING A COALITION OF REENTRY SERVING COMMUNITY-BASED ORGANIZATIONS IN SOUTH LA (SLARRP/SOUTH LA REENTRY RECOVERY PARTNERSHIP) TO ADDRESS GAPS, COORDINATE REFERRALS AND PROVIDE CROSS-TRAINING; PROVIDING SCREENING, ASSESSMENT AND BRIEF TREATMENT FOR WOMEN PRE-RELEASE AND LINKING POSITIVE SCREENS IMMEDIATELY INTO CARE COORDINATION SERVICES WHERE CLIENTS WILL WORK WITH A PROVIDER ON AN INDIVIDUAL SERVICE PLAN THAT WILL INCLUDE SUD/COD TREATMENT (INCLUDING MAT), INTENSIVE TEAM-BASED CASE MANAGEMENT AND RECOVERY SUPPORT SERVICES; ENSURING HIGH RATES OF RETENTION IN SEEKING SAFETY EBP AND ADHERENCE TO CLINICAL TREATMENT AND PROGRESS ON CASE MANAGEMENT GOALS; AND INCREASING FUNCTIONING, SELF-EFFICACY, SOCIAL CONNECTION/INCLUSION, AND A SENSE OF HOPE FOR PARTICIPANTS.

CONTINUUM OF CARE PROGRAM

SJWCFC HARM REDUCTION PROGRAM - WITH FUNDING FROM SAMHSA'S HARM REDUCTION PROGRAM, ST. JOHN'S COMMUNITY HEALTH (SJCH) PROPOSES TO ESTABLISH COMPREHENSIVE HARM REDUCTION SERVICES FOR LOW-INCOME LATINX AND BLACK/AFRICAN AMERICAN PEOPLE (˜ 98% OF POPULATION OF FOCUS) WHO USE DRUGS (PWUD) RESIDING IN SOUTH LOS ANGELES. MANY OF OUR PARTICIPANTS WILL BE UNINSURED, UNDOCUMENTED, HOMELESS/HOUSING INSECURE, LGBTQ+, REENTRY, AND HAVE A SUBSTANCE USE DISORDER (SUD) WITH CO-OCCURRING MENTAL DISORDER (COD), HIV, AND/OR VIRAL HEPATITIS. OUR MULTI-MODALITY, TRAUMA-INFORMED, PEER-DRIVEN HARM REDUCTION PROGRAM (HRP) WILL DELIVERED BY EXPERTLY TRAINED STAFF AT AVALON HEALTH AND ACCESS CENTER, ON OUR HOMELESS SERVICES MOBILE CLINIC, DURING STREET-BASED OUTREACH, AND INTEGRATED INTO OUR CONTINUUM OF PROGRAMS THAT TARGET SIMILAR POPULATIONS. SERVICES WILL INCLUDE: OVERDOSE PREVENTION EDUCATION/NALOXONE DISTRIBUTION, SYRINGE SERVICES, SUPPORT SERVICES, AND LINKAGE TO COMPREHENSIVE SERVICES THAT ADDRESS MEDICAL, BEHAVIORAL HEALTH, AND OTHER SOCIAL DETERMINANTS OF HEALTH-DRIVEN NEEDS. ANNUAL NUMBERS OF INDIVIDUALS TO BE SERVED ARE 1,600 IN YEAR, 2,500 IN YEAR 2, AND 3,000 IN YEAR 3; A TOTAL OF 4,000 UNDUPLICATED PARTICIPANTS WILL RECEIVE SERVICES BY OUR HRP. OUR OVERARCHING GOAL TO REDUCE THE IMPACT OF DRUG-RELATED HARM IN SOUTH LA THROUGH EXPANDING ACCESS TO COMPREHENSIVE HARM REDUCTION SERVICES. OBJECTIVES INCLUDE: (1) ESTABLISHING THE SOUTH LA HARM REDUCTION RIGHT TO HEALTH COMMITTEE COMPRISED OF HARM REDUCTION SERVICE PROVIDERS, PWUD, INDIVIDUALS IN RECOVERY, OTHER RESIDENTS IMPACTED BY SUBSTANCE USE, AND KEY COMMUNITY MEMBERS; (2) CONDUCTING COMMUNITY-DRIVEN NEEDS ASSESSMENT, STRATEGIC AND SUSTAINABILITY PLANNING, POLICIES AND PROCEDURES DEVELOPMENT, AND STAFF TRAINING ON HARM REDUCTION BEST PRACTICES AND EVIDENCE-BASED INTERVENTIONS TO BE USED; (3) PILOTING, LAUNCHING, AND EVALUATING HRP SERVICES, ENGAGING IN QUALITY IMPROVEMENT STRATEGIES TO ENSURE THE PROGRAM IS RESPONSIVE TO COMMUNITY NEED; AND (4) DESIGNING AND EXECUTING CULTURALLY AND LINGUISTICALLY RELEVANT PUBLIC AWARENESS CAMPAIGNS ADDRESSING SUD/PWUD STIGMA AND PROMOTING WIDESPREAD COMMUNITY NALOXONE ACCESS AND DISTRIBUTION.

HEROES PROJECT (HEALING WITH EMOTIONAL RESILIENCE, OPPORTUNITIES & ENDURING SUPPORTS)

LIFE SKILLS DEVELOPMENT AND ECONOMIC SECURITY PROJECT FOR NATIVE AMERICANS

SJCH TRANSCONNECT - ST. JOHN'S WELL CHILD AND FAMILY CENTER'S (DBA ST. JOHN'S COMMUNITY HEALTH) TRANSCONNECT PROGRAM WILL INTEGRATE, ENHANCE, AND EXPAND SCREENING, ASSESSMENT, EVIDENCE-BASED HARM REDUCTION, TREATMENT AND RECOVERY SUPPORT SERVICES FOR SUBSTANCE USE DISORDER & CO-OCCURRING MENTAL DISORDERS (SUD/COD) AMONG LOW-INCOME TRANSGENDER/GENDER NONCONFORMING (TGNC) ADULTS IN SOUTH LOS ANGELES. MORE THAN 75% OF CLIENTS WILL BE PEOPLE OF COLOR; 25% HOMELESS/UNSTABLY HOUSED; 40% IMMIGRANTS; 27% BEST SERVED IN SPANISH; AND 10% JUSTICE-INVOLVED; 25% ARE TRANSMASCULINE, 65% TRANSFEMININE AND 10% NONBINARY. TGNC EXPERIENCE SUD/COD AT DISPROPORTIONATELY HIGH RATES OF POSTTRAUMATIC STRESS AS A RESULT OF EXPERIENCES OF POLY-VICTIMIZATION, DISCRIMINATION, AND DEPRESSION/ANXIETY DUE TO STRUGGLES WITH GENDER DYSPHORIA. TRANSCONNECT WILL PROVIDE AN OPPORTUNITY TO ADDRESS SUD AND SUPPORT CLIENTS TO IMPROVE THEIR HEALTH, FUNCTIONING AND STABILITY THROUGH COLLABORATIVE, COMPREHENSIVE, TRAUMA-INFORMED, PEER DRIVEN SERVICES, INCLUDING IMPLEMENTATION OF THE SEEKING SAFETY EBP ADAPTED FOR TGNC. OBJECTIVES INCLUDE: ENSURING STAFF/PARTNERS HAVE ALL TRAINING NEEDED TO CONDUCT SERVICES IN A WAY THAT IS TRANS-AFFIRMING AND CULTURALLY COMPETENT; LINKING POSITIVE SCREENS IMMEDIATELY INTO CARE COORDINATION SERVICES WHERE TGNC WILL WORK WITH A PROVIDER ON AN INDIVIDUAL SERVICE PLAN; ENSURING HIGH RATES OF RETENTION IN SEEKING SAFETY AND CLINICAL CARE; AND INCREASING A SENSE OF HOPE, FUNCTIONING, SELF-EFFICACY, AND SOCIAL CONNECTION FOR PARTICIPANTS. A TOTAL OF 375 TGNC WILL BE SERVED (125 ANNUALLY). A TOTAL OF 1,500 TGNC WILL BE SCREENED, 300 WILL BE ENROLLED IN SEEKING SAFETY, AND 375 WILL ACCESS CASE MANAGEMENT AND/OR RECOVERY SUPPORT SERVICES.

ST. JOHN'S WELL CHILD AND FAMILY CENTER'S TRANSYOUTHCONNECT (TYC)

STRENGTHENING STRATEGIC PREVENTION PARTNERSHIPS AND EDUCATION TO REDUCE YOUTH SUBSTANCE USE IN UNDERSERVED COMMUNITIES - EYFC WILL REDUCE HIGH LEVELS OF SUBSTANCE MISUSE AND RELATED RISK FACTORS BY SERVING 5,600 ALAMEDA COUNTY STUDENTS AND THEIR LARGELY HISPANIC/LATINO COMMUNITIES THROUGH PARTNERSHIPS WITH RESIDENTS, SCHOOL DISTRICTS, THE ALAMEDA COUNTY COMMUNITY ASSESSMENT AGENCY (CAPE), AND STANFORD MEDICINE’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’S CANNABIS AWARENESS AND PREVENTION TOOLKIT (CAPT), A NOVEL, FREE CANNABIS USE PROGRAM CURRENTLY IN USE IN SCHOOLS, AND READY FOR IMPLEMENTATION IN COMMUNITY ORGANIZATIONS, HEALTHCARE SETTINGS, AND JUVENILE DETENTION CENTERS. INITIALLY, 700 HAYWARD UNIFIED SCHOOL DISTRICT (HUSD) STUDENTS AND EDUCATORS WILL RECEIVE TRAINING, WITH ANNUAL INCREASES IN STUDENTS AND DISTRICTS SERVED, UP TO AN ANTICIPATED TOTAL OF 5,600 PARTICIPANTS OVER FIVE YEARS. SSPPE GOALS INCLUDE REDUCING CANNABIS USE AMONG MIDDLE AND HIGH SCHOOL AGED YOUTH; IMPROVING MENTAL HEALTH AWARENESS AND ACCESS TO RESOURCES; AND REDUCING DISPARITIES IN SUBSTANCE USE AMONG BLACK, LATINX, LGBTQ+ AND OTHER YOUTH POPULATIONS DISPROPORTIONATELY IMPACTED BY SOCIAL AND HEALTH INEQUITIES. OUR KEY MEASURABLE OBJECTIVES INCLUDE DEVELOPMENT OF A MULTI- SECTOR WORKING GROUP THAT WILL PRODUCE A SPF-BASED STRATEGIC PLAN TO EFFECTIVELY ASSESS SUBSTANCE USE AND DELIVER TARGETED PREVENTION AND MENTAL HEALTH PROMOTION SERVICES; FACILITATION OF AT LEAST 30 PREVENTION-FOCUSED COMMUNITY EVENTS WITH 25 SERVICE PROVIDER ORGANIZATIONS FOR AT LEAST 10,000 ATTENDEES; TRAINING OF STAFF AND EDUCATORS; AND IMPLEMENTATION OF THE STANFORD CAPT. WHILE ENGAGING COMMUNITIES, AND COOPERATING WITH PROFESSIONAL DATA ANALYSTS, CURRICULUM EXPERTS, AND ASSESSMENT PARTNERS, EYFC WILL EMPLOY QUALITATIVE AND QUANTITATIVE EVALUATION TOOLS IN RIGOROUS INDEPENDENT PROGRAM EVALUATIONS IN ORDER TO ADD TO THE GLOBAL PREVENTION EVIDENCE BASE.

DEMONSTRATION GRANTS FOR INDIAN CHILDREN

TRANSITIONAL LIVING PROGRAM

PROJECT FLEUR-DE-LIS

ST. JOHNS WELL CHILD AND FAMILY CENTERS TRANSGENDER WOMEN SEEKING RECOVERY PROGRAM (TRANSWSR)

BWEL PARTNERSHIP TO ADDRESS SUBSTANCE ABUSE AND CO-OCCURRING DISORDERS AMONG MINORITY WOMEN IN BROOKLYN

ST. JOHN'S SLAY PROJECT - ST. JOHN'S COMMUNITY HEALTH'S SOUTH LOS ANGELES YOUNG ADULT PREVENTION AND EMPOWERMENT PROJECT ("SLAY") IS A QUEER YOUNG ADULT-DRIVEN COMMUNITYWIDE EFFORT TO PROVIDE SUBSTANCE MISUSE AND HIV PREVENTION SERVICES FOR UNDERSERVED, LOW-INCOME QUEER YOUNG ADULTS (QYA) OF COLOR (AGES 18-29) IN SOUTH LOS ANGELES, CALIFORNIA. (LOS ANGELES COUNTY IS ONE OF THE LOCALITIES HARDEST HIT BY THE HIV EPIDEMIC IN THE U.S.) THE CAREFULLY PLANNED INDIVIDUAL-, GROUP-, AND COMMUNITY-LEVEL STRATEGIES OF SLAY, ROOTED IN SPF PROCESSES AND LESSONS LEARNED FORM PREVIOUS EFFORTS, AIM TO SUBVERT THE PERSISTENT TREND IN SOUTH LA WHERE QYA ARE DISPROPORTIONATELY IMPACTED BY HIGH RATES OF HIV, VIRAL HEPATITIS (VH) AND OTHER SEXUALLY TRANSMITTED INFECTIONS (STI); SUBSTANCE MISUSE; HOUSING INSECURITY; POVERTY; HOMO-/TRANSPHOBIA AND RACISM; AND THE JUSTICE SYSTEM. THE GOALS OF SLAY ARE TO: (1) ENGAGE SOUTH LA QYA WITH HIV/SUBSTANCE MISUSE PREVENTION AND MENTAL HEALTH PROMOTION MESSAGING VIA IN-PERSON, STREET-BASED, VIRTUAL, AND SOCIAL MEDIA OUTREACH; AND (2) PREVENT SUBSTANCE MISUSE, ADDRESS SUBSTANCE USE AND MENTAL HEALTH DISORDERS, REDUCE HIV/STI/VH RISK, AND ENSURE CONNECTION TO NEEDED SERVICES FOR QYA IN SOUTH LA. ALL OF THE POPULATION OF FOCUS ARE PEOPLE OF COLOR (80% LATINX, 20% BLACK); 25% TRANSGENDER/GENDER NONCONFORMING; 30% ARE UNSTABLY HOUSED OR UNHOUSED; 15% ARE IMMIGRANTS BEST-SERVED IN SPANISH; 10% ARE JUSTICE-INVOLVED; AND 100% ARE LOW-INCOME (UNDER 200% FPL). APPROXIMATELY 80% SERVED WILL BE QYA OF ANY GENDER WHO HAVE SEX WITH MALES; THE REMAINING WILL BE AT-RISK QYA OF ANY GENDER/SEXUAL ORIENTATION. A TOTAL OF 350 UNDUPLICATED QYA WILL BE SERVED (50 IN YEAR 1 AND 75 IN EACH SUBSEQUENT YEAR) THROUGH THIS GRANT. OBJECTIVES INCLUDE: (1) TRAINING 40 QYA AS PEER PREVENTION LEADERS; (2) DEVELOPING AND LAUNCHING ONLINE AND SOCIAL MEDIA CAMPAIGNS TO RECRUIT QYA TO PARTICIPATE IN SLAY INTERVENTIONS AND TO PROVIDE HIV/SUBSTANCE MISUSE PREVENTION AND MENTAL HEALTH PROMOTION EDUCATION MESSAGES; (3) ENGAGING 2,400 QYA WITH SLAY EDUCATION MESSAGES; (4) EDUCATING 250 PROVIDERS AND SUPPORT STAFF ON THE IMPORTANCE OF HIV/VH SCREENING AND ON QYA CULTURAL COMPETENCY; (5) PROVIDING HIV AND VH TESTING AND REFERRALS TO TREATMENT AND PREP FOR 700 QYA; (6) PROVIDING SBIRT AND SCREENING FOR CO-OCCURRING MENTAL HEALTH PROBLEMS AND OTHER PSYCHOSOCIAL ISSUES FOR 475 QYA; (7) ENROLLING 420 QYA IN OUR SLAY-GROUP INTERVENTION BASED ON THE MPOWERMENT EBP; (8) PROVIDING NAVIGATION SERVICES TO ENSURE THAT QYA HAVE THE HEALTH AND SOCIAL RESOURCES THEY NEED; AND (9) INCREASING SENSE OF HOPE, FUNCTIONING, SELF-EFFICACY, AND SOCIAL CONNECTION AMONG QYA IN SOUTH LA.

LOCAL COMMUNITY-BASED WORKFORCE TO INCREASE COVID-19 VACCINE ACCESS

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

KLINGBERG COMPREHENSIVE PROGRAM

WALKER'S POINT TRANSITIONAL LIVING PROGRAM

ENHANCING PSYCHIATRIC SERVICES IN PRIMARY CARE FOR UNDERSERVED COMMUNITIES IN SOUTH CENTRAL AND SOUTHEAST LOUISIANA - MERCY FAMILY CENTER (MFC) IS EXPANDING ACCESS TO MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES IN SOUTH-CENTRAL AND SOUTHEASTERN LOUISIANA BY INTEGRATING PSYCHIATRIC CARE INTO PRIMARY CARE SETTINGS FOR TRADITIONALLY UNDERSERVED POPULATIONS. THE PROJECT'S OVERARCHING GOAL IS TO ENHANCE ACCESS TO MENTAL HEALTH SERVICES BY IDENTIFYING AND TREATING MENTAL HEALTH CONDITIONS IN COLLABORATION WITH REGIONAL FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS). MFC WILL ACHIEVE THIS BY SUPPORTING MENTAL HEALTH AND SUBSTANCE USE DISORDER INTERVENTIONS AND PROGRAMMING IN PRIMARY CARE SETTINGS THROUGH TRAINING, CONSULTATION, AND INCREASING THE AVAILABILITY READILY ACCESSIBLE VIRTUAL PSYCHIATRIC CARE FOR UNDERSERVED COMMUNITIES THROUGHOUT SOUTH-CENTRAL LOUISIANA. THE GOALS OF THIS COLLABORATIVE PROJECT ARE TO: 1) INCREASE THE KNOWLEDGE, CONFIDENCE, AND SATISFACTION OF PRIMARY CARE PHYSICIANS, ADVANCED PRACTITIONERS, AND NURSES IN PROVIDING PSYCHIATRIC CARE USING THIS PROJECT'S COLLABORATIVE CARE MODEL, 2) INCREASE THE NUMBER OF INDIVIDUALS RECEIVING PSYCHIATRIC CARE, 3) DEMONSTRATE IMPROVEMENTS IN MENTAL HEALTH FUNCTIONING FOR PATIENTS REFERRED FOR PSYCHIATRIC CONSULTATION 4) IMPROVE THE UNDERSTANDING AMONG PRIMARY CARE PROVIDERS ON CRITICAL MENTAL HEALTH TOPICS, AND 5) PATIENTS RECEIVING PSYCHIATRIC CARE FROM MFC WILL EXPRESS HIGH LEVELS OF SATISFACTION WITH THEIR TREATMENT AND COLLABORATIVE CARE WITH AVERAGED SATISFACTION SCORES ABOVE '4’ (LIKERT SCALE OF 1 - 5). MEASURABLE OBJECTIVES INCLUDE: GOAL #1 (A) BY DECEMBER 31, 2025, PRIMARY CARE PROVIDERS RECEIVING CONSULTATION FROM PSYCHIATRISTS WILL DEVELOP TREATMENT PLANS FOR PATIENTS WITH A SPECIFIC PSYCHIATRIC DIAGNOSIS, INCLUDING MEDICATION SELECTION, DOSAGE, AND POTENTIAL SIDE EFFECTS. (B) BY SEPTEMBER 29, 2025, PRIMARY CARE PROVIDERS RECEIVING CONSULTATION FROM MFC PSYCHIATRISTS WILL DEMONSTRATE A HIGH LEVEL OF SATISFACTION WITH THIS PROJECT AND THE COLLABORATIVE CARE MODEL. GOAL #2 (A) BY SEPTEMBER 29, 2025, THE NUMBER OF NEWLY REFERRED PATIENTS RECEIVING BRIEF MFC PSYCHIATRIC CONSULTATION/CARE WILL EXCEED 100. GOAL #3 (A) DEMONSTRATE BY SEPTEMBER 29, 2025, AVERAGE OVERALL IMPROVEMENT SCORES IN PRE-POST MEASURES OF DEPRESSION AND ANXIETY FOR PATIENTS UNDER DIRECT PSYCHIATRIC CARE AS MEASURED BY THE PHQ-9 AND GAD-7. GOAL #4 (A) THROUGHOUT THE ONE-YEAR PROJECT PERIOD, PRIMARY CARE PROVIDERS WILL SCORE 80% OR HIGHER ON A MULTIPLE-CHOICE ASSESSMENT IN THE INSTRUCTIONAL AREA. GOAL #5 (A) PATIENTS WHO RECEIVE PSYCHIATRIC CARE WILL EXPRESS HIGH LEVELS OF SATISFACTION WITH THEIR CARE AND THE COLLABORATIVE MODEL, WITH OVERALL AVERAGED SATISFACTION SCORES ABOVE ‘4’ (LIKERT SCALE OF 1 – 5). THE NUMBER OF INDIVIDUALS TO BE SERVED FOR THE PROJECT IS PROJECTED TO BE 500. MFC WILL COLLABORATE WITH TWO FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) TO ENHANCE AND EXPAND MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES ACROSS SOUTH-CENTRAL AND SOUTHEASTERN LOUISIANA, COVERING MULTIPLE PARISHES WITH SEVERE SHORTAGES OF PSYCHIATRISTS, AS INDICATED BY HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) SCORES. ACCORDING TO THE LOUISIANA HEALTH AND HUMAN SERVICES 2022 REPORT CARD, PUBLIC HEALTH REGION 4 IN SOUTH-CENTRAL LOUISIANA HAS THE STATE'S SECOND-HIGHEST DEPRESSION RATE AT 27.1%. ORLEANS PARISH HAS THE 5TH HIGHEST HOMICIDE RATE IN THE U.S. AT 47.0 PER 100,000, HIGHLIGHTING THE NEED FOR TRAUMA-INFORMED CARE. LOUISIANA'S HOMICIDE RATE (18.8 PER 100,000) IS THE 3RD HIGHEST IN THE NATION. THIS PROJECT, FUNDED BY SAMHSA, AIMS TO IMPROVE MENTAL HEALTH OUTCOMES AND REDUCE VIOLENCE AND SUICIDE RATES IN THE REGION.

TRANSITIONAL LIVING PROGRAM

THE NEW STAR FAMILY CENTER GRANT PROJECT WILL ENHANCE AND EXPAND THEIR YOUTH VIOLENCE PREVENTION PROGRAM WITH THE MIDDLE SCHOOL STUDENTS IN THE HAWTHORNE SCHOOL DISTRICT. THE PURPOSE IS TO IMPROVE SCHOOL CLIMATE AND SAFETY BY BUILDING UPON THE AGENCY'S EXISTING EFFORTS TO PREVENT AND REDUCE INCIDENTS OF SCHOOL VIOLENCE THROUGH THE USE OF A TRAUMA-INFORMED, MULTI-DISCIPLINARY APPROACH. THE PROGRAM FOCUSES ON THREE CORE COMPONENTS: EDUCATING YOUTH ABOUT HEALTHY RELATIONSHIPS, RESOLVING CONFLICTS THROUGH MEDIATION, AND ENGAGING PARENTS AND COMMUNITY MEMBERS IN THE STUDENT'S DEVELOPMENT. PROGRAM ACTIVITIES INCLUDE: SOCIAL EMOTIONAL LEARNING CLASSROOM PRESENTATIONS, SCHOOL-WIDE PREVENTION CLUBS, GIRL TALK AND GUY TALK CLUBS FOR AT-RISK YOUTH, CONFLICT RESOLUTION THROUGH MEDIATIONS, AND PARENTING CAFES FOR PARENTS' VOICES. THE EXPECTED OUTCOMES ARE TO DEVELOP A COMPREHENSIVE AND INTEGRATED PREVENTION PROGRAM FOR THE SCHOOL DISTRICT THAT WILL SIGNIFICANTLY REDUCE VIOLENCE AMONG STUDENTS, WHILE FOSTERING POSITIVE RELATIONSHIPS SKILLS. THIS WILL BE ACHIEVED THROUGH A COLLABORATIVE EFFORT INVOLVING STUDENTS, PARENTS, SCHOOL OFFICIALS, AND THE COMMUNITY, WORKING TOGETHER TO IDENTIFY RISK FACTORS AND DISCOVER INNOVATIVE STRATEGIES TO REDUCE SCHOOL VIOLENCE.

FY 2023 EXPANDING COVID-19 VACCINATION

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

WAABAN OGIMAAWAG (TOMORROW'S LEADERS) NATIVE YOUTH PROJECT

BROOKLYN ACTION FOR TEENS AND CHILDRENS SUCCESS

PROJECT FLEUR-DE-LIS

SOUTH LOS ANGELES YOUTH PREVENTION & EMPOWERMENT PROGRAM (SLAY)

TRANSITIONAL LIVING PROGRAM

YOUTH IN TRANSITION TRANSITIONAL LIVING PROGRAM (YIT TLP)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

THE HEATLHY MARRAIGE, HEALTHY FAMILY PROJECT

PURPOSE: ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING/CONGRESSIONAL DIRECTED SPENDING AWARDS ARE AUTHORIZED UNDER THE CONSOLIDATED APPROPRIATIONS ACT, 2022 PUBLIC LAW 117-328 AND THE EXPLANATORY STATEMENT FOR DIVISION L OF THAT ACT. PROJECTS SELECTED FOR COMMUNITY PROJECT FUNDING/CONGRESSIONAL DIRECTED SPENDING ARE LISTED IN THE JOINT EXPLANATORY STATEMENT (JES) THAT ACCOMPANIES A SPECIFIC FISCAL YEAR’S APPROPRIATIONS ACT OR CONGRESSIONAL RECORD. THE JES LISTS PROJECT, RECIPIENT, STATE, AMOUNT AND CONGRESSIONAL SPONSOR.; ACTIVITIES TO BE PERFORMED: ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING AWARD PROJECTS INCLUDE A WIDE VARIETY OF ACTIVITIES THAT RESULT IN ECONOMIC DEVELOPMENT OR COMMUNITY DEVELOPMENT OUTCOMES. HUD WILL NOT KNOW THE FULL SCOPE OF THE PROJECT UNTIL THE RECIPIENT SUBMITS THE REQUIRED PROJECT NARRATIVE AND CONFIRMS ALIGNMENT WITH THE LANGUAGE AS PROVIDED IN THE CONGRESSIONAL RECORD. TO FIND THE DETAILS OF THE GRANT AWARD AS WRITTEN WITHIN THE CONGRESSIONAL RECORD USE THE FOLLOWING LINK AND PATH SELECTIONS TO GET TO THE DESCRIPTION OF THE ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING GRANTS HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/EDI-GRANTS, SELECT THE FISCAL YEAR OF INTEREST, SCROLL DOWN TO PROGRAM LAWS AND REGULATIONS, UNDER FISCAL YEAR 20XX CONSOLIDATED APPROPRIATIONS ACT, 20XX: CONGRESSIONAL RECORD (JOINT EXPLANATORY STATEMENT).; EXPECTED OUTCOMES: COMPLETION OF THE PROJECT AS DESCRIBED IN THE JOINT EXPLANATORY STATEMENT (JES) PROJECT DESCRIPTION AND SUBSEQUENT APPROVED PROJECT NARRATIVE.; INTENDED BENEFICIARIES: THE PROJECT BENEFICIARIES ARE THE INDIVIDUALS AND/OR ORGANIZATIONS THAT ARE AWARDED GRANT FUNDS OR SERVED BY THE ENTITIES THAT ARE AWARDED GRANT FUNDS AS IDENTIFIED IN THE JES RECIPIENT OR PROJECT DESCRIPTION SECTIONS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

BASIC CENTER PROGRAM TO PROVIDE TEMPORARY SHELTER AND COUNSELING SERVICES TO RUNAWAY AND HOMELESS YOUTH UP TO 18 YEARS OLD IN LIVINGSTON COUNTY, MICHIGAN.

HAYWARD COALITION FOR HEALTHY YOUTH

PINE RIVER-BACKUS FAM CENTER

HEALTHY LAMOILLE VALLEY YEAR 2 DFC

TEEN CRISIS & RUNAWAY PROGRAM

BASIC CENTER PROGRAM

THE LEGAL ASSISTANCE FOR VICTIMS (LAV) GRANT PROGRAM, AUTHORIZED BY 34 U.S.C. 20121, IS INTENDED TO INCREASE THE AVAILABILITY OF CIVIL AND CRIMINAL LEGAL ASSISTANCE NEEDED TO EFFECTIVELY AID VICTIMS (AGES 11 AND OLDER) OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING BY PROVIDING FUNDS FOR COMPREHENSIVE DIRECT LEGAL SERVICES TO VICTIMS IN LEGAL MATTERS RELATING TO OR ARISING OUT OF THAT ABUSE OR VIOLENCE. LEGAL ASSISTANCE INCLUDES ASSISTANCE TO VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING IN: A) FAMILY, TRIBAL, TERRITORIAL, IMMIGRATION, EMPLOYMENT, ADMINISTRATIVE AGENCY, HOUSING MATTERS, CAMPUS ADMINISTRATIVE, OR PROTECTION OR STAY AWAY ORDER PROCEEDINGS, AND OTHER SIMILAR MATTERS; B) CRIMINAL JUSTICE INVESTIGATIONS, PROSECUTIONS, AND POST-TRIAL MATTERS (INCLUDING SENTENCING, PAROLE, AND PROBATION) THAT IMPACT THE VICTIMS SAFETY AND PRIVACY; C) ALTERNATIVE DISPUTE RESOLUTION, RESTORATIVE PRACTICES, OR OTHER PROCESSES INTENDED TO PROMOTE VICTIM SAFETY, PRIVACY, AND AUTONOMY; AND D) POST-CONVICTION RELIEF PROCEEDINGS IN STATE, LOCAL, TRIBAL, OR TERRITORIAL COURT WHERE THE CONVICTION OF A VICTIM IS RELATED TO OR ARISING FROM DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, STALKING, OR SEX TRAFFICKING. 34 U.S.C. 12291(A)(24)(C) AND (D). THROUGH THIS CONTINUATION LEGAL ASSISTANCE FOR VICTIMS PROJECT, PROVIDING HOLISTIC LEGAL SERVICES FOR ASIAN, PACIFIC ISLANDER, AND NATIVE HAWAIIAN (APINH) SURVIVORS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, DATING VIOLENCE, AND STALKING IN NEW MEXICO, THE NEW MEXICO ASIAN FAMILY CENTER (NMAFC), WILL MAINTAIN AND INCREASE ACCESS TO LEGAL CONSULTATION, REPRESENTATION, AND ASSISTANCE TO APINH INDIVIDUALS WHO HAVE BEEN VICTIMS OF SEXUAL ASSAULT, DOMESTIC VIOLENCE, DATING VIOLENCE, AND STALKING, AND FOR ANY ISSUES THAT ARISE OUT OF THESE ABUSES IN BERNALILLO COUNTY, AND THE STATE OF NEW MEXICO. THE PROJECT WILL ADDRESS THE FOLLOWING PRIORITY AREA: ADVANCE EQUITY AND TRIBAL SOVEREIGNTY. THIS AWARD IS A CONTINUATION OF 2019-WL-AX-0042.

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

PATHFINDERS BASIC CENTER PROGRAM (PATHFINDERS BCP)

BASIC CENTER PROGRAM

HIGH GROWTH

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

BWEL PARTNERSHIP TO ADDRESS SUBSTANCE ABUSE AND CO-OCCURRING DISORDERS AMONG MINORITY WOMEN IN BROOKLYN

TRANSITIONAL LIVING PROGRAM FOR HOMELESS YOUTH AGES 16-UNDER 22.

HEALTH CENTER INFRASTRUCTURE SUPPORT

FISCAL YEAR 2025 EXPANDED HOURS. - NAME: ST. JOHN’S COMMUNITY HEALTH GRANT NUMBER: H80CS00873 ADDRESS: 808 W. 58TH ST., LOS ANGELES CA 90037 WEBSITE ADDRESS: WWW.SJCH.ORG GRANT PROGRAM FUNDS REQUESTED: $500,000 YEAR ONE; $500,000 YEAR TWO ST. JOHN’S COMMUNITY HEALTH (SJCH) EXPANDED HOURS WILL ALLOW SJCH TO EXPAND ACCESS TO HEALTH CENTER SERVICES BY INCREASING HEALTH CENTER OPERATING HOURS TO MEET IDENTIFIED PATIENT AND COMMUNITY NEEDS. WE WILL EXPAND HOURS AT TWO OF OUR HEALTH CENTERS LOCATED IN SOUTH LOS ANGELES: JAQUELINE AVANT CHILDREN AND FAMILY CENTER (FROM 24 HOURS TO 40 HOURS) AND ROLLAND CURTIS GARDENS HEALTH CENTER (FROM 40 TO 54 HOURS). MANY LOW-INCOME AND UNDERSERVED INDIVIDUALS IN SOUTH LOS ANGELES FACE BARRIERS TO ACCESSING HEALTHCARE DURING STANDARD BUSINESS HOURS DUE TO WORK SCHEDULES AND TRANSPORTATION LIMITATIONS. BY EXTENDING OPERATING HOURS TO INCLUDE EVENINGS AND ADDITIONAL DAYS, SJCH WILL INCREASE ACCESSIBILITY TO PRIMARY CARE SERVICES AND CONTINUITY OF CARE. NEW OPERATING HOURS WILL SUPPORT PATIENTS TO RECEIVE CARE IN A PRIMARY CARE SETTING, DECREASING UNNECESSARY VISITS TO THE EMERGENCY DEPARTMENT, WHICH CAN BE COSTLY AND OVERBURDENED. EXTENDING HOURS WILL PARTICULARLY BENEFIT WORKING ADULTS (THOSE WITH RIGID WORK SCHEDULES WILL FIND IT EASIER TO SCHEDULE APPOINTMENTS OUTSIDE OF THEIR WORK HOURS); SCHOOL-AGED CHILDREN, INCLUDING CHILDREN WITH DEVELOPMENTAL AND BEHAVIORAL NEEDS (THEY CAN RECEIVE MEDICAL ATTENTION WITHOUT MISSING SCHOOL, AND PARENTS CAN ATTEND WITHOUT DISRUPTING THEIR WORKDAYS); AND OUR SPECIAL POPULATIONS OF PEOPLE EXPERIENCING HOMELESSNESS (THIS POPULATION OFTEN HAS UNSTABLE SCHEDULES AND MAY ONLY BE ABLE TO SEEK CARE DURING NON-TRADITIONAL HOURS) AND RESIDENTS OF PUBLIC HOUSING (EXTENDED HOURS WILL PROVIDE MORE OPPORTUNITIES FOR THEM TO RECEIVE NECESSARY PRIMARY CARE SERVICES WITHOUT THE NEED TO TAKE TIME OFF WORK OR ARRANGE FOR CHILDCARE). TO SUCCESSFULLY EXTEND HOURS, SJCH WILL HIRE ADDITIONAL STAFF AND INFORM THE COMMUNITY ABOUT THE NEW HOURS THROUGH OUTREACH, ENSURING THEY ARE AWARE OF THE INCREASED AVAILABILITY.

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

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

ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING, AND MISCELLANEOUS GRANTS

YOUTH IN TRANSITION TRANSITIONAL LIVING PROGRAM (YIT TLP)

RUNAWAY BASIC CENTER PROGRAM IN CONTRA COSTA AND SOLANO COUNTIES

BASIC CENTER PROGRAM

FAMILY PROFESSIONAL PARTNERSHIP/CSHCN

(EARMARK: ACF/CCB) ENHANCEMENT OF CHILD CARE & RELATED SERVICES

THE GRANTS TO ENHANCE CULTURALLY SPECIFIC SERVICES FOR VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING PROGRAM IS AUTHORIZED BY 34 U.S.C. 20124. THIS PROGRAM SUPPORTS THE MAINTENANCE AND REPLICATION OF EXISTING SUCCESSFUL COMMUNITY-BASED PROGRAMS PROVIDING CULTURALLY SPECIFIC SERVICES TO VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING, AS WELL AS THE DEVELOPMENT OF INNOVATIVE CULTURALLY SPECIFIC STRATEGIES TO ENHANCE ACCESS TO SERVICES AND RESOURCES FOR VICTIMS WHO FACE OBSTACLES TO USING MORE TRADITIONAL PROGRAMS. CULTURALLY SPECIFIC SERVICES MEANS COMMUNITY-BASED SERVICES THAT INCLUDE CULTURALLY RELEVANT AND LINGUISTICALLY SPECIFIC SERVICES AND RESOURCES TO CULTURALLY SPECIFIC COMMUNITIES WHICH ARE STATUTORILY DEFINED AS AMERICAN INDIANS (INCLUDING ALASKA NATIVES, ESKIMOS, AND ALEUTS); ASIAN AMERICANS; NATIVE HAWAIIANS AND OTHER PACIFIC ISLANDERS; BLACKS; AND HISPANICS. PROJECTS MUST ADDRESS AT LEAST ONE OF THE PROGRAMS STATUTORY PURPOSE AREAS. THROUGH THIS CONTINUATION CULTURALLY SPECIFIC SERVICES PROGRAM PROJECT, NEW MEXICO ASIAN FAMILY CENTER WILL IMPLEMENT A PROJECT ADDRESSING THE FOLLOWING PURPOSE AREA(S): PURPOSE AREA 2 - INCREASING COMMUNITIES CAPACITY TO PROVIDE CULTURALLY SPECIFIC RESOURCES AND SUPPORT FOR VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING CRIMES AND THEIR FAMILIES; PURPOSE AREA 4 - ENHANCING TRADITIONAL SERVICES TO VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING THROUGH THE LEADERSHIP OF CULTURALLY SPECIFIC PROGRAMS OFFERING SERVICES TO VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING; AND PURPOSE AREA 7 - PROVIDING CULTURALLY SPECIFIC RESOURCES AND SERVICES THAT ADDRESS THE SAFETY, ECONOMIC, HOUSING, AND WORKPLACE NEEDS OF VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, OR STALKING, INCLUDING EMERGENCY ASSISTANCE FOR ASIAN, PACIFIC ISLANDER, AND NATIVE HAWAIIAN SURVIVORS IN NEW MEXICO. THE PROJECT WILL ADDRESS PRIORITY AREA 2: STRENGTHENING EFFORTS TO PREVENT AND END SEXUAL ASSAULT. SPECIFIC ACTIVITIES WILL INCLUDE: 1) CASE MANAGEMENT, 2) COUNSELING, AND 3) LEGAL ASSISTANCE.

THE HAYWARD COALITION FOR HEALTHY YOUTH (HCHY) WORKS TO PREVENT SUBSTANCE ABUSE AND BUILD COMMUNITY LEVEL CAPACITY TO EFFECT CHANGE THAT IMPROVES THE OVERALL HEALTH OF YOUTH IN SOUTH HAYWARD.

FOCUS FORWARD - A PILOT PROJECT AIMED AT INCREASING ADOPTION OF HARD-TO-PLACE CHILDREN AND YOUTH.

RUNAWAY BASIC CENTER PROGRAM IN CONTRA COSTA AND SOLANO COUNTIES

BASIC CENTER PROGRAM

CAPITAL REGION SHELTER SYSTEM RUNAWAY YOUTH SHELTER

BASIC CENTER PROGRAM

RUNAWAY AND TEEN CRISIS PROGRAM

BASIC CENTER PROGRAM

BASIC CENTER PROGRAM

FY 2023 EARLY CHILDHOOD DEVELOPMENT

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

CHILD ABUSE TREATMENT SERVICES/TRAUMA INFORMED TRAINING

ST. JOHN'S COMMUNITY HEALTH (SJCH) SEEKS $400,000 OVER 36 MONTHS TO IMPLEMENT A COMMUNITY-BASED STOP THE HATE IMMIGRANT AND TRANSGENDER RESTORATIVE JUSTICE PROGRAM (PROGRAM). THE PROGRAM WILL ADD A PROGRAM COORDINATOR AND OUTREACH WORKER TO OUR STOP THE HATE TEAM, EACH BILINGUAL AND WITH SHARED LIVED EXPERIENCE WITH THE IMMIGRANT AND TRANSGENDER COMMUNITIES, AND LEVERAGE SJCH'S EXISTING DEEP CONNECTIONS TO THESE COMMUNITIES TO GATHER DETAILED REPORTS AND DATA ON HATE CRIMES AND INCIDENTS AGAINST IMMIGRANT AND TRANSGENDER PERSONS, ASSIST VICTIMS IN ACCESSING SERVICES, CONDUCT EDUCATION, OUTREACH, AND TRAININGS, ENGAGE THE COMMUNITY IN DEVELOPING AND IMPLEMENTING SOLUTIONS, AND DEVELOP AND CONDUCT RESTORATIVE JUSTICE MEDIATIONS TO ADDRESS HATE CRIMES AND INCIDENTS. THE PROGRAM WILL BE FOCUSED ON IMMIGRANT AND TRANSGENDER COMMUNITIES IN SOUTH, CENTRAL AND EAST LOS ANGELES COUNTY, CALIFORNIA (LOS ANGELES COUNTY SERVICE PLANNING AREAS/SPAS 4, 6 AND 7). PROJECT ACTIVITIES INCLUDE HIRING A NEW, BILINGUAL PROGRAM COORDINATOR AND OUTREACH WORKER, EACH WITH SHARED LIVED EXPERIENCE WITH TARGET IMMIGRANT AND TRANSGENDER COMMUNITIES; ESTABLISHING A TASK FORCE TO MONITOR AND GUIDE COMMUNITY EFFORTS TO ADDRESS HATE INCIDENTS; DEVELOPING CONTENT, PRESENTATIONS AND OUTREACH TO EDUCATE THE TARGET POPULATION AND COMMUNITY; TAKING DETAILED REPORTS FROM VICTIMS; DIRECTLY ASSISTING VICTIMS IN NAVIGATING SERVICES AND ADDRESSING INCIDENTS; CONDUCTING TRAININGS; AND DEVELOPING AND IMPLEMENTING RESTORATIVE JUSTICE MEDIATIONS AS AN AVAILABLE, EFFECTIVE RESOURCE FOR THE COMMUNITY. EXPECTED OUTCOMES INCLUDE GREATLY ENHANCED REPORTING AND DATA ON HATE CRIMES AND INCIDENTS AGAINST IMMIGRANTS AND TRANSGENDER INDIVIDUALS; AN EFFECTIVE TASK FORCE FOCUSED ON DEVELOPING COMMUNITY-BASED SOLUTIONS TO HATE INCIDENTS TARGETED AGAINST IMMIGRANTS AND TRANSGENDER PERSONS; EXPANSION OF PUBLIC AWARENESS AND TRAINING OF COMMUNITY MEMBERS IN RESTORATIVE JUSTICE APPROACHES TO HATE INCIDENTS; IMPLEMENTATION OF EFFECTIVE RESTORATIVE JUSTICE COMMUNITY-BASED MEDIATIONS TO ADDRESS REDUCE AND PREVENT HATE INCIDENTS; AND A REDUCTION IN HATE INCIDENTS TARGETED AGAINST THESE POPULATIONS.

HORIZONS EXPAND AS RELATIONSHIPS EVOLVE: AN INVESTIGATION OF PERSONALITY, SOCIAL-COGNITIVE, AND RELATIONSHIP-BASED PREDICTORS OF POSITIVE YOUTH MENTO

THE BRIDGE BASIC CENTER PROGRAM (BRIDGE BCP)

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

THE SEXUAL ASSAULT SERVICES CULTURALLY SPECIFIC PROGRAM (SAS CULTURALLY SPECIFIC PROGRAM) WAS CREATED BY THE VIOLENCE AGAINST WOMEN AND DEPARTMENT OF JUSTICE REAUTHORIZATION ACT OF 2005 (VAWA 2005), 34 U.S.C. 12511(C), AND IS PART OF THE FIRST FEDERAL FUNDING STREAM SOLELY DEDICATED TO THE PROVISION OF DIRECT INTERVENTION AND RELATED ASSISTANCE FOR VICTIMS OF SEXUAL ASSAULT. INTERVENTION AND RELATED ASSISTANCE INCLUDE ADVOCACY, ACCOMPANIMENT (E.G., ACCOMPANYING VICTIMS TO COURT, MEDICAL FACILITIES, POLICE DEPARTMENTS, ETC.), CRISIS INTERVENTION AND SUPPORT SERVICES, AND REFERRALS, AMONG OTHER SERVICES. UNDER THIS PROGRAM, SUCH SERVICES MAY BE PROVIDED TO ADULT, YOUTH, AND CHILD VICTIMS OF SEXUAL ASSAULT, FAMILY AND HOUSEHOLD MEMBERS OF SUCH VICTIMS, AND THOSE COLLATERALLY AFFECTED BY THE VICTIMIZATION. SURVIVORS OF SEXUAL ASSAULT FROM CULTURALLY SPECIFIC COMMUNITIES FREQUENTLY CONFRONT UNIQUE CHALLENGES WHEN SEEKING ASSISTANCE, SUCH AS LINGUISTIC AND CULTURAL BARRIERS. CULTURALLY SPECIFIC COMMUNITY-BASED ORGANIZATIONS ARE MORE LIKELY TO UNDERSTAND THESE CHALLENGES BECAUSE THEY ARE FAMILIAR WITH THE CULTURE, LANGUAGE, AND BACKGROUND OF VICTIMS FROM THEIR COMMUNITIES, WHO IN TURN ARE MORE INCLINED TO SEEK SERVICES FROM SUCH ORGANIZATIONS. THE GOAL OF THE SAS CULTURALLY SPECIFIC PROGRAM IS TO ESTABLISH, MAINTAIN, AND EXPAND CULTURALLY SPECIFIC INTERVENTION AND RELATED ASSISTANCE FOR VICTIMS OF SEXUAL ASSAULT, WHICH SERVE A VITAL ROLE IN PROVIDING SERVICES THAT ARE RELEVANT FOR THEIR COMMUNITIES.

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.

WORKING TOGETHER: A COALITION FOR SAFE AND HEALTHY COMMUNITIES

MENTORING PROGRAM GRANTS

BASIC CENTER PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

BASIC CENTERS

HARMONY ADOPTIONS OF TN - INFANT ADOPTION TRAINING INITIATIVE

NATIVE AMERICAN YOUTH AND FAMILY CENTER''S STEPS TO RESPECT PROGRAM

STREET OUTREACH PROGRAM TO PROVIDE INTERVENTION AND PREVENTION SERVICES TO RUNAWAY, HOMELESS, AND STREET YOUTH WHO ARE UNDER THE AGE OF 21 WHO HAVE BEEN SUBJECTED TO SEXUAL ABUSE AND TRAFFICKING.

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.

NCTSI-TX SUPPLEMENTS

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.

LIVINGSTON FAMILY CENTER'S CONNECTION YOUTH SERVICES STREET OUTREACH PROGRAM FOR RUNAWAY AND HOMELESS YOUTH IN LIVINGSTON COUNTY, MICHIGAN.

FIE EARMARK GRANT AWARDS

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

STRENGTHENING PORTLAND????????????S NATIVE ECONOMY

CONTINUUM OF CARE PROGRAM

ST. JOHN'S WELL CHILD AND FAMILY CENTER'S TRANSGENDER WOMEN SEEKING RECOVERY PROGRAM (TRANS*WSR)

STREET OUTREACH PROGRAM TO PROVIDE STREET-BASED PREVENTION AND INTERVENTION SERVICES TO RUNAWAY, HOMELESS, AND AT-RISK YOUTH YOUNGER THAN 22 YEARS OF AGE.

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE - DEMONSTRATION/IMPLEMENTATION SITES

THE TRANSITIONAL LIVING PROGRAM PROVIDES STREET-BASED OUTREACH, SHELTER, AND COMPREHENSIVE SERVICES TO HOMELESS, RUNAWAY, AND AT-RISK YOUTH AGES 16 THROUGH 21 TO TRANSITION TO SELF-SUFFICIENCY. - THE TRANSITIONAL LIVING PROGRAM (TLP) (CX) PROVIDES SAFE, STABLE, AND APPROPRIATE SHELTER FOR RUNAWAY AND HOMELESS YOUTH AGES 16 TO UNDER 22 FOR UP TO 18 MONTHS AND, UNDER EXTENUATING CIRCUMSTANCES, CAN BE EXTENDED TO 21 MONTHS. TLPS PROVIDE COMPREHENSIVE SERVICES (E.G., BASIC LIFE SKILLS, EDUCATIONAL AND JOB ATTAINMENT OPPORTUNITIES, COUNSELING) THAT SUPPORTS THE TRANSITION OF HOMELESS YOUTH TO SELF-SUFFICIENCY AND STABLE, INDEPENDENT LIVING.

VA IS PROVIDING FUNDING TO ASSIST WITH THE COSTS TO PROVIDE LEGAL SERVICES TO ELIGIBLE VETERANS AND PARTICIPANTS

STREET OUTREACH PROGRAM

BASIC CENTER PROGRAM

TRAUMA INFORMED HEALING CIRCLES FOR ASIAN SEXUAL ASSAULT VICTIMS AND SURVIVORS: CULTURALLY TAILORED SUPPORT FOR THE NEW MEXICO ASIAN IMMIGRANT COMMUNITY

CONTINUUM OF CARE PROGRAM

TECHNICAL STUDIES

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

SPECIALIZED SERVICES FOR ASIAN SURVIVORS

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HLV_DFC PROJECT_LAMOILLE COUNTY_VT

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

CONTINUUM OF CARE PROGRAM

STREET OUTREACH PROGRAM TO PROVIDE STREET-BASED OUTREACH, EDUCATION, PREVENTION AND INTERVENTION SERVICES, AND REFERRALS TO HELP HOMELESS AND RUNAWAY YOUTH UNDER THE AGE OF 22 LEAVE THE STREETS.

MENTORING CHILDREN OF PRISONERS

BASIC CENTER PROGRAM

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM

ARRA EARLY LEARNING MENTOR COACHES

PROVIDING HOLISTIC LEGAL SERVICES FOR ASIAN VICTIMS

AMERICAN RESCUE PLAN

PROMOTION OF SCHOOL READINESS THROUGH EARLY CHILDHOOD EMOTIONAL AND SOCIAL DEVELOPMENT

SOUTH LOS ANGELES YOUTH PREVENTION & EMPOWERMENT PROGRAM (SLAY)

FAMILY DISINTEGRATION PREVENTION AND ASSISTANCE PROJECT

WALKER'S POINT YOUTH AND FAMILY CENTER

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

HEAD START: FULL YEAR PART DAY HANDICAPPED TRAINING AND TECHNICAL ASSISTANCE

CITIZENSHIP INSTRUCTION AND NATURALIZATION SERVICES FOR RURAL NAPA COUNTY

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

CONTINUUM OF CARE PROGRAM

COA YOUTH & FAMILY CENTER'S CITY-WIDE TEEN PROGRAM

THE GENERATIONS PROJECT

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

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - ST. JOHN’S COMMUNITY HEALTH (SJCH) REQUESTS AN AWARD FROM THE HIV/AIDS BUREAU’S RYAN WHITE HIV/AIDS PART C CAPACITY DEVELOPMENT PROGRAM OF $150,000 TO SUPPORT THE AGENCY’S EFFORTS TO DIVERSIFY AND EXPAND ITS HIV/AIDS SERVICE STRUCTURE AND IMPROVE INTEGRATION OF COMPREHENSIVE SERVICES FOR PEOPLE LIVING WITH HIV (PLWH). THE GOAL OF THIS PROJECT IS TO IMPROVE HIV AND BEHAVIORAL HEALTH OUTCOMES FOR 700 PLWH IN SOUTH LOS ANGELES AND COMPTON THROUGH INCREASED ACCESS TO BEHAVIORAL HEALTH AND ADDICTION MEDICINE CARE. THE PROPOSED SET OF ACTIVITIES WILL BE A COORDINATION/INTEGRATION OF HIV PRIMARY CARE WITH BEHAVIORAL HEALTH CARE PROJECT UNDER THE HIV CARE INNOVATION CATEGORY. OUR AIM IS TO BUILD UPON OUR HIV SERVICE STRUCTURE LEVERAGING OUR PAST AND CURRENT EXPERIENCE IMPLEMENTING PART C CAPACITY DEVELOPMENT PROJECTS TO MORE EFFECTIVELY COORDINATE WITH BEHAVIORAL HEALTH SERVICES IN ORDER TO IMPROVE THE HEALTH, FUNCTIONING, AND STABILITY OF OUR PATIENTS WITH HIV. SJCH IS A 27-SITE FQHC SYSTEM LOCATED MOSTLY WITHIN LOS ANGELES COUNTY’S SERVICE PLANNING AREA (SPA) 6—SOUTH LA—A LOW-INCOME AREA WHOSE POPULATION IS DISPROPORTIONATELY UNDERSERVED AND UN-/UNDERINSURED, AND EXPERIENCES SIGNIFICANTLY POORER HEALTH OUTCOMES OVERALL THAN MUCH OF THE REST OF THE COUNTY. SOUTH LA IS HOME TO 6,823 PLWH, NOT INCLUDING THE ESTIMATED 1,080 WHO DO NOT KNOW THEY ARE INFECTED. IN THE MOST RECENT 5-YEAR PERIOD FOR WHICH THERE IS AVAILABLE HIV SURVEILLANCE DATA, A TOTAL OF 273 NEW HIV CASE WERE DIAGNOSED IN SPA 6, REPRESENTING 9% OF NEW DIAGNOSES IN LA COUNTY, THE SECOND-HIGHEST RATE AMONG THE 8 SPAS IN 2023. HIV IS FAR LESS VISIBLE AND UNDERSTOOD IN SOUTH LA NEIGHBORHOODS. DUE TO PERVASIVE HIV-RELATED STIGMA IN SOUTH LA THAT RESULTS IN LOWER LEVELS OF TESTING, AS COMPARED WITH OTHER AREAS OF THE CITY WHERE INCOME LEVELS ARE HIGHER AND HIV TESTING IS A MORE CULTURALLY ACCEPTED PRACTICE, THE PREVALENCE RATE IS VERY LIKELY UNDERREPORTED. WITH A LINKAGE TO CARE RATE OF 73%, 72% FOR ENGAGED IN CARE, 70% RETAINED IN CARE, AND 62% ACHIEVING VIRAL SUPPRESSION, PLWH LIVING IN SOUTH LA HAVE COMPARATIVELY POOR HEALTH OUTCOMES. PARTICULARLY CRITICAL TO IMPROVING PERFORMANCE ON THESE MEASURES IS EXPANSION OF AND INCREASED ACCESS TO EXISTING CULTURALLY COMPETENT SERVICES THAT ADDRESS SUD, MD, OR CO-OCCURRING SUD/MD (COD). BASED ON CURRENT PATIENT ASSESSMENTS, 510 IN 701 OF SJCH PLWH PATIENTS HAVE A MENTAL HEALTH AND/OR SUBSTANCE USE DISORDER (MANY CO-OCCURRING). HOWEVER, ONLY 1 IN 5 OF THOSE HAVE BEEN SUCCESSFULLY LINKED TO BH CARE. SJCH’S COORDINATION AND INTEGRATION OF HIV PRIMARY CARE WITH BEHAVIORAL HEALTH (BH) SERVICES HIV CARE INNOVATION PROJECT, WILL CONSIST OF: (1) CONDUCTING START-UP ACTIVITIES NEEDED TO MORE EFFECTIVELY COORDINATE AND INTEGRATE BEHAVIORAL HEALTH SERVICES WITH HIV PRIMARY CARE; (2) LAUNCHING A PILOT OF THE MODEL WE DEVELOP AND BEGINNING DATA COLLECTION, EVALUATION AND REPORTING ON MEASURES; (3) MONITORING OF PROGRESS AND SHARING OF PROJECT RESULTS WITH OTHER LOCAL ENTITIES INVESTED IN ADDRESSING THE HIV EPIDEMIC IN SOUTH LA COMMUNITIES AND BEYOND; AND (4) PRODUCING A SUSTAINABILITY PLAN FOR CONTINUITY OF HIV/BH CARE INTEGRATION TO BE EXPANDED TO SJCH’S SERVICE AREA IN THE SAN BERNARDINO AND RIVERSIDE COUNTIES. SYSTEMATIC AND COMPREHENSIVE DEVELOPMENT OF POLICIES AND PROCEDURES AND TRAINING OF STAFF WILL UNDERPIN ACTIVITIES. BY THE END OF THE 12-MONTH PROJECT PERIOD, THESE EFFORTS WILL ALSO WILL HAVE FURTHER DEVELOPED THE COORDINATED HIV PROGRAMMATIC INFRASTRUCTURE WE HAVE ESTABLISHED IN PART WITH RYAN WHITE CARE ACT FUNDS AND WILL HAVE DETERMINED RELIABLE BASELINE FIGURES FOR CARE CONTINUUM INDICATORS AS THEY RELATE TO INTEGRATED BH SERVICES—I.E., VIRAL LOAD SUPPRESSION (VLS) AND RETENTION IN CARE (RIC)—AND WILL HAVE PROCESSES IN PLACE TO BEGIN TO ASSESS AND IMPROVE PROGRESS ON THESE AND CRITICAL BH MEASURES.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - WHEN CHILDREN, ADOLESCENTS, ADULTS, AND FAMILIES FACE CHALLENGES AND CRISES, FAMILY CENTERS INC. OFFERS EDUCATIONAL, SOCIAL SUPPORT, MEDICAL, MENTAL, AND ORAL HEALTH SOLUTIONS. FAMILY CENTERS’ MULTI-FACETED NETWORK OF PROGRAMS GIVE INDIVIDUALS AND FAMILIES THE TOOLS NEEDED TO ESTABLISH A STRONG EDUCATIONAL FOUNDATION, OVERCOME PROBLEMS, CARRY ON HEALTHY PRODUCTIVE LIVES AND ACHIEVE PERSONAL SUCCESS. EACH YEAR, FAMILY CENTERS PROGRAMS SERVE MORE THAN 26,000 CHILDREN, ADULTS, AND FAMILIES. FAMILY CENTERS HEALTH CARE, A FEDERALLY QUALIFIED HEALTH CENTER, OFFERS JOINT COMMISSION ACCREDITED, HIGH-QUALITY SERVICES THAT EMPLOY A MULTI-DISCIPLINARY APPROACH IN THE PROVISION OF COMPREHENSIVE PHYSICAL, DENTAL AND MENTAL HEALTH TREATMENT. FAMILY CENTERS HEALTH CARE (FCHC) IS A SPECIAL POPULATION FEDERALLY QUALIFIED HEALTH CENTER WITH A 330(I) DESIGNATION FOR PUBLIC HOUSING PRIMARY CARE. SITES FOR FAMILY CENTERS HEALTH CARE ARE AT 111 WILBUR PECK COURT PUBLIC HOUSING COMMUNITY PROVIDING MEDICAL AND DENTAL CARE, 20 BRIDGE STREET, AND 986 BEDFORD STREET FOR MENTAL HEALTH. ADDITIONALLY, THERE ARE 9 SCHOOL-BASED HEALTH CENTER SITES IN GREENWICH AND STAMFORD ALSO OFFERING PRIMARY CARE, MENTAL HEALTH, AND ORAL HEALTH PROGRAMS. OUR NEWEST SITE OPENED IN FEBRUARY 2025 AT 75 HOLLY HILL IN GREENWICH IN CONJUNCTION WITH GREENWICH HOSPITAL/YALE NEW HAVEN HEALTH CARE. FAMILY CENTERS HEALTH CARE ASSUMED ADMINISTRATION OF THIS AMBULATORY CARE SITE PROVIDING PRIMARY CARE TO PEDIATRIC AND ADULT PATIENTS, INTEGRATED MENTAL HEALTH, AND A TEACHING RESIDENCY PROGRAM. BY ADDING THIS SITE, WE NOW HAVE SPACE TO EXPAND OUR CURRENT DENTAL PROGRAM OPERATED OUT OF 111 WILBUR PECK COURT. OUR PLAN IS TO PROCURE DENTAL EQUIPMENT FOR THE NEW CENTER, EXPAND SERVICES AND MIGRATE 80 CLIENTS LIVING WITH HIV, BASICALLY DOUBLING OUR CURRENT CAPACITY. THIS INFRASTRUCTURE DEVELOPMENT WILL SUPPORT ESSENTIAL ORAL HEALTH SERVICES. FAMILY CENTERS HEALTH CARE SERVED 3,779 UNDUPLICATED PATIENTS IN 2024, PROVIDING 5,680 PRIMARY CARE VISITS, 11,350 MENTAL HEALTH/PSYCHIATRY VISITS, AND 1,609 ORAL HEALTH VISITS. FAMILY CENTERS HEALTH CARE IS PLANNING TO INCREASE PRODUCTIVITY/VISITS BY 49% WHEN FULLY OPERATIONAL. WE ARE REQUESTING $150,000 FOR A ONE-YEAR PERIOD TO OBTAIN NEEDED DENTAL EQUIPMENT TO SUPPORT THE EXPANSION, WITH PLANS TO APPLY FOR RYAN WHITE PART C EIS FUNDS WHEN THEY BECOME AVAILABLE.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - PROJECT TITLE: FY 22 PART C CAPACITY DEVELOPMENT – DENTAL EQUIPMENT, APPLICANT ORGANIZATION NAME: ST. JOHN’S WELL CHILD AND FAMILY CENTER, ADDRESS: 808 W. 58TH STREET, LOS ANGELES, CA 90037, PROJECT DIRECTOR: MICHAEL BERAL, DDS, VOICE: 323.541.1600 EXT. 1010, FAX: 323.541.1601, MBERAL@WELLCHILD.ORG , WEBSITE: WWW.WELLCHILD.ORG, GRANT PROGRAM FUNDS REQUESTED: $150,000. ST. JOHN’S WELL CHILD AND FAMILY CENTER (ST. JOHN’S) IS A NETWORK OF 20 FEDERALLY QUALIFIED HEALTH CENTERS (FQHC). WE HAVE PROVIDED COMPREHENSIVE HIV CARE AND TREATMENT FOR 14 YEARS. WE ARE RESPECTFULLY REQUESTING AN AWARD FROM THE HIV/AIDS BUREAU’S RYAN WHITE HIV/AIDS PART C CAPACITY DEVELOPMENT PROGRAM IN THE AMOUNT OF $150,000 FOR DENTAL EQUIPMENT FOR EXPANDING DENTAL SERVICE CAPACITY UNDER THE INFRASTRUCTURE DEVELOPMENT CATEGORY OF THE GRANT PROGRAM. THE PROPOSED EQUIPMENT AND SUPPLIES TO BE PURCHASED TO REFURBISH FOUR DENTAL OPERATORIES AT OUR WILLIAMS HEALTH CENTER, WHICH SHARES A SITE WITH ST. JOHN’S FLAGSHIP PRIME HIV CLINIC, WILL SPECIFICALLY IMPROVE THE GAP IN RATES OF ACCESS TO ORAL HEALTH SERVICES FOR BLACK AND LATINX LOW-INCOME PLWH WHO ARE CURRENT OR FUTURE PATIENTS OF ST. JOHN’S. ST. JOHN’S SYSTEM OF CARE IS LOCATED IN SOUTH LOS ANGELES (LA), A HIGH-POVERTY AREA OF THE COUNTY WHOSE POPULATION IS DISPROPORTIONATELY UNDERSERVED AND UN-/UNDERINSURED, AND EXPERIENCES SIGNIFICANTLY POORER HEALTH OUTCOMES OVERALL THAN THE REST OF THE COUNTY. SOUTH LA IS HOME TO THE SECOND HIGHEST RATE OF HIV INFECTION IN LOS ANGELES, WITH 6,710 PEOPLE LIVING WITH HIV (PLWH) IN THE AREA. PLWH IN SOUTH LA REMAIN CRITICALLY UNDERSERVED, DESPITE EFFORTS OF ST. JOHN’S AND OTHER LOCAL PROVIDERS. THEY EXPERIENCE DISPROPORTIONATE RATES OF HOUSING INSECURITY, MENTAL HEALTH AND SUBSTANCE MISUSE, AND OTHER SOCIOECONOMIC AND CULTURAL BARRIERS TO CARE THAT IMPACT THEIR ABILITY TO STAY IN MEDICAL CARE AND ADHERE TO ANTIRETROVIRAL THERAPY (ART) AND PARTICIPATE IN OTHER CRITICAL SERVICES SUCH AS OR AL HEALTH CARE. INTENSIVE MEDICAL CARE MANAGEMENT ADDRESSES THEIR HEALTH CARE, PSYCHOSOCIAL, HOUSING, AND OTHER NEEDS; REDUCES BARRIERS; AND IMPROVES THEIR RETENTION IN CARE AND ADHERENCE TO ART, WHICH ARE CRITICAL TO ACHIEVING VIRAL LOAD SUPPRESSION. PARTICIPATION IN ORAL HEALTH CARE SERVICES IS CRITICAL FOR PLWH, BECAUSE OF THE PREVALENCE OF ORAL DISEASES THAT OFTEN INDICATE PROGRESSION OF HIV DISEASE AND HOW ORAL HEALTH PROBLEMS IMPACT PATIENTS’ ABILITY TO ADHERE TO THEIR HIV TREATMENT REGIMEN, THEREFORE INCREASING RISK OF DISEASE PROGRESSION AND UNDERMINING VIRAL SUPPRESSION. IN 2020 AND 2021, ONLY 25% OF ST. JOHN’S PLWH PATIENT POPULATION ACCESSED DENTAL SERVICES OVERALL, AND THE RATE AMONG PATIENTS AT OUR WILLIAMS SITE WAS EVEN LOWER, IN PART DUE TO OLDER AND FAILING OPERATORY EQUIPMENT THAT NEEDS TO BE UPDATED. IMPLEMENTATION OF THIS PROJECT WILL INCREASE UTILIZATION OF DENTAL SERVICES AMONG PLWH, IMPROVE PATIENT EXPERIENCE BY REDUCING WAIT TIMES AND INCREASING COMFORT, AND ENSURE CONSISTENT QUALITY OF CARE. THE GOAL OF THE PROJECT IS TO ENHANCE AND EXPAND ORAL HEALTH CARE SERVICES CAPACITY FOR PLWH THROUGH THE PURCHASE OF NEW DENTAL EQUIPMENT. OBJECTIVES ARE TO INCREASE AVAILABLE DENTAL APPOINTMENT SLOTS BY 25% BY REPLACING OUTDATED EQUIPMENT; INCREASE RATE OF PLWH MEDICAL PATIENTS WHO ACCESS DENTAL CARE BY 15% BY EXPANDING TARGETED OUTREACH AND ENGAGEMENT STRATEGIES; AND ENSURE 90% OF DENTAL HIV PATIENTS AREE SATISFIED WITH THE CARE THEY RECEIVE. ST. JOHN’S PATIENTS ARE SIGNIFICANTLY REPRESENTATIVE OF POPULATION GROUPS SEVERELY IMPACTED BY HIV/AIDS, NAMELY TRANSWOMEN, YOUNG MEN OF COLOR WHO HAVE SEX WITH OTHER MEN, AND AFRICAN AMERICAN FEMALES. ST. JOHN’S REQUESTS A FUNDING PREFERENCE, QUALIFICATION 2: UNDERSERVED POPULATIONS, WHICH DEMONSTRATES ST. JOHN’S DEDICATION TO PROVIDING PRIMARY CARE SERVICES TO UNDERSERVED POPULATIONS WITH RESPECT TO HIV-RELATED HEALTH SERVICES.

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

EDI SPECIAL PROJECTS

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 COC PROGRAM INCLUDES GRANTS THAT ARE AVAILABLE TO SPECIFIC SUBPOPULATIONS OF PEOPLE EXPERIENCING HOMELESSNESS. THE GRANTS SPECIFICALLY SERVE YOUTH, DEFINED AS HOUSEHOLDS WHERE NO PERSON IS OVER THE AGE OF 24 UNDER THE YOUTH HOMELESS DEMONSTRATION PROGRAM (YHDP). THE GOAL OF THE YOUTH HOMELESSNESS DEMONSTRATION PROGRAM (YHDP) IS TO SUPPORT THE DEVELOPMENT AND IMPLEMENTATION OF A COORDINATED COMMUNITY APPROACH TO PREVENTING AND ENDING YOUTH HOMELESSNESS AND SHARING THAT EXPERIENCE WITH AND MOBILIZING COMMUNITIES AROUND THE COUNTRY TOWARD THE SAME END. THE NOTICE OF FUNDING OPPORTUNITY (NOFO) FOR NEW YHDP GRANTS IS FOUND AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/YHDP (CHOOSE THE MOST RECENT YHDP NOFO LISTED). THE NOFO FOR YHDP RENEWALS AND REPLACEMENTS IS FOUND AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/COMPETITION (CHOOSE THE MOST RECENT COC/YHDP RENEWAL OR REPLACEMENT NOFO LISTED).; ACTIVITIES TO BE PERFORMED: THESE GRANTS 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. HOMELESSNESS PREVENTION (IN SOME CASES). ELIGIBLE COSTS WITHIN THESE PROJECTS INCLUDE: 1. LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; 2. 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; 3. SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; 4. OPERATING COSTS OF SUPPORTIVE HOUSING; 5. COSTS OF IMPLEMENTING AND OPERATING HMIS; 6. PROJECT ADMINISTRATIVE COSTS; 7. RELOCATION COSTS; AND 8. 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 YOUTH AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT YOUTH FROM BECOMING HOMELESS. 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 OF YOUTH 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: YOUTH DEFINED AS HOUSEHOLDS WHERE NO PERSON IS OVER THE AGE OF 24; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD

AMERICAN RESCUE PLAN

BIG BROTHERS BIG SISTERS OF COLUMBUS MENTORING CHILDREN OF PRISONERS

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM