Cornell Scott Hill Health Corporation

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

TITLE X FAMILY PLANNING SERVICE GRANT, NEW HAVEN COUNTY, CT

CORNELL SCOTT-HILL HEALTH CENTER MEDICATION ASSISTED TREATMENT- PRESCRIPTION DRUG AND OPIOID ADDICTION (MAT-PDOA) PROGRAM - CORNELL SCOTT-HILL HEALTH CORPORATION (CS-HHC) WILL UTILIZE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION MEDICATION ASSISTED TREATMENT-PRESCRIPTION DRUG AND OPIOID ADDICTION (MAT-PDOA) FUNDING TO EXPAND ITS CURRENT MEDICATION-ASSISTED TREATMENT (MAT) (BUPRENORPHINE AND METHADONE) PROGRAM AT ITS ANSONIA CARE SITE. THE PROJECT’S TARGET POPULATION IS LOW-INCOME PATIENTS IN CONNECTICUT’S LOWER NAUGATUCK VALLEY WHO EXPERIENCE OPIOID USE DISORDER (OUD). ESTABLISHED IN 1968, CS-HHC WAS THE FIRST FEDERALLY QUALIFIED HEALTH CENTER IN CONNECTICUT. CS-HHC OFFERS A FULL RANGE OF INTEGRATED MEDICAL, BEHAVIORAL HEALTH, AND DENTAL CARE TO OVER 35,000 CLIENTS IN GREATER NEW HAVEN AND THE LOWER NAUGATUCK VALLEY. PROJECT NAME: PURPOSEFUL RESPONSE TO OPIOID USE DISORDER (PROUD). POPULATION TO BE SERVED: PROUD WILL OFFER INTEGRATED BEHAVIORAL HEALTH (SUD/MENTAL HEALTH) TREATMENT, INCLUDING MAT, (AND INTEGRATED HIV/HCV TREATMENT AS NEEDED) TO PEOPLE WITH OUD IN THE LOWER NAUGATUCK VALLEY AND SURROUNDING TOWNS. CONNECTICUT EXPERIENCED A 13.3% INCREASE IN DRUG OVERDOSE DEATHS IN 2020 WHEN COMPARED TO 2019, WHEN THE STATE’S DRUG OVERDOSE DEATH RATE WAS THE 6TH HIGHEST IN THE NATION AT 34.7 DEATHS PER 100,000 TOTAL POPULATION. NEW HAVEN COUNTY, CT WHICH ENCOMPASSES THE VALLEY AND THE CITY OF NEW HAVEN, EXPERIENCED THE HIGHEST RATE OF DRUG OVERDOSE DEATHS IN THE STATE FOR 2019-2020. THE COUNTY’S DEATH RATE OF 44.2 DEATHS PER 100,000 TOTAL POPULATION NOT ONLY REPRESENTED A SIGNIFICANT INCREASE OVER THE PREVIOUS YEAR (36.9), BUT IT FAR OUTPACED THE STATEWIDE RATE OF 34.7. STRATEGIES/INTERVENTIONS: PROUD WILL USE EVIDENCE-BASED PRACTICES (EBPS) SUCH AS MAT (BUPRENORPHINE AND METHADONE), MOTIVATIONAL INTERVIEWING, COGNITIVE BEHAVIORAL THERAPY, AND GROUP THERAPIES TO TREAT THOSE WITH OUD. ALSO, PROUD STAFF WILL SCREEN CLIENTS FOR CO-OCCURRING MENTAL HEALTH DISORDERS AND COORDINATE INTEGRATED BEHAVIORAL HEALTH TREATMENT AS NEEDED. GOALS AND OBJECTIVES: THE PROGRAM’S THREE MAIN GOALS ARE TO: (1) EXPAND THE NUMBER OF INDIVIDUALS WITH OUD WHO RECEIVE MAT TREATMENT, (2) INCREASE RETENTION AMONG PROUD CLIENTS; AND (3) ENHANCE SERVICE DELIVERY THROUGH THE PROVISION OF INTEGRATED BEHAVIORAL HEALTH TREATMENT FOR CLIENTS WITH CO-OCCURRING DISORDERS. KEY OBJECTIVES INCLUDE: (1) FOR THE 2021-26 PERIOD CS-HHC EXPECTS TO SERVE 370 CLIENTS IN YEAR 1 AND 415 CLIENTS PER YEAR IN YEARS 2-6 (2) ENSURING 90% OF PROUD CLIENTS RECEIVE REFERRALS AND ENABLING SERVICES TO MAINTAIN MAT TREATMENT ENGAGEMENT; AND (3) RETAINING 60% OF PROUD CLIENTS FOR AT LEAST SIX MONTHS. NUMBER OF PEOPLE SERVED: CS-HHC ANTICIPATES SERVING 1,000 UNDUPLICATED CLIENTS FOR THE 2021-26 PROGRAM PERIOD.

TITLE X FAMILY PLANNING SERVICES FOR GREATER NEW HAVEN

MAT-PDOA

SCREENING AND TREATMENT OFFERED TO PREVENT HIV (STOP HIV) - CS-HHC WILL SERVE 475 PEOPLE WITH SUD OR COD OVER THE 5-YEAR PROJECT PERIOD (75 IN YEAR 1 AND 100 A YEAR IN YEARS 2-5) BY PROVIDING INTEGRATED CARE (SUD AND MENTAL HEALTH, PRIMARY CARE, AND INFECTIOUS DISEASES [ID] SERVICES) FOR THOSE WHO HAVE OR ARE AT RISK OF HIV. THE PROJECT WILL TARGET BLACK AND HISPANIC INDIVIDUALS IN THE GREATER NEW HAVEN AREA. ESTABLISHED IN 1968, CS-HHC WAS THE FIRST FEDERALLY QUALIFIED HEALTH CENTER IN CONNECTICUT. WE OFFER A FULL RANGE OF INTEGRATED MEDICAL, BEHAVIORAL HEALTH, AND DENTAL CARE TO OVER 50,000 CLIENTS ANNUALLY IN CONNECTICUT'S GREATER NEW HAVEN AND LOWER NAUGATUCK VALLEY AREAS. WE SERVE ABOUT 9,000 PEOPLE WITH SUD ANNUALLY. IN ADDITION, IN CY 2022, WE SERVED 333 PEOPLE WITH HIV, 814 WITH SECUALLY TRANSMITTED INFECTIONS (STI), 88 PEOPLE WITH HEPATITIS B, AND 460 WITH HEPATITIS C. WE ARE ONE OF THE REGION'S LARGEST BEHAVIORAL HEALTH PROVIDERS AND PROVIDE DIRECT IN-HOUSE ID SERVICES. -PROJECT NAME: SCREENING AND TREATMENT OFFERED TO PREVENT HIV (STOP HIV). -POPULATION TO BE SERVED: STOP HIV WILL OFFER INTEGRATED BEHAVIORAL HEALTH TREATMENT AND ID SCREENING, TESTING, EDUCATION, AND TREATMENT SERVICES TO THOSE WHO HAVE OR ARE AT RISK OF HIV. AIDSVU (AIDSVU.ORG) SHOWS THAT THE CITY OF NEW HAVEN HAS PARTICULARLY HIGH RATES OF PEOPLE LIVING WITH HIV (452 PER 100,000 PEOPLE), BUT THAT UNDERESTIMATES THE RISK IN CERTAIN AREAS. IN THE 06519 ZIP CODE, FOR INSTANCE, WHERE OUR SERVICES WILL BE LOCATED, THE RATE OF PEOPLE LIVING WITH HIV IS MUCH HIGHER AT 1,345 PER 100,000 PEOPLE. WE ANTICIPATE THAT CLIENTS WILL CONSIST LARGELY OF RACIAL AND/OR ETHNIC MINORITIES (BLACK AND/OR HISPANIC) AS PER LOCAL PREVALENCE RATES, WHICH SHOW NEW HAVEN MINORITIES HAVE MUCH HIGHER PREVALENCE RATES THAN WHITES--E.G., BLACK MALES (7.1 TO 1); BLACK FEMALES (13.8 TO 1); HISPANIC MALES (5.1 TO 1); AND HISPANIC FEMALES (8.5 TO 1). -STRATEGIES/INTERVENTIONS: STOP HIV WILL OFFER ONSITE STI SCREENING AND TESTING (HIV, HCV, AND HBV, AMONG OTHERS) FOR CLIENTS AT OUR GSP CARE SITE (SOON TO BE RECOVERY AND WELLNESS CENTER [RWC]), WHICH PROVIDES INTENSIVE OUTPATIENT TREATMENT (IOP) AND PARTIAL HOSPITALIZATION PROGRAM (PHP) SERVICES, AND AT OUR SOUTH CENTRAL REHABILITATION CENTER (SCRC), WHICH PROVIDES METHADONE MAINTENANCE AND DETOX. CLIENTS WHO TEST POSITIVE OR ARE AT RISK FOR HIV WILL RECEIVE LINKAGES TO OUR ID DEPARTMENT, WHICH PROVIDES STI SERVICES SUCH AS EDUCATION, HIV TREATMENT AND CARE, VIRAL HEPATITIS TREATMENT SERVICES (A, B, OR C), AND PREP/PEP. THE ID INTERVENTIONS WILL BE INTEGRATED INTO THE CLIENTS' SUD AND COD TREATMENT SERVICES. FOR THOSE WHO ARE NOT YET READY FOR A HIGHER LEVEL OF SERVICE, WE WILL MEET THEM "WHERE THEY ARE" AND PROVIDE THEM WITH HARM-REDUCTION SERVICES AT MULTIPLE POINTS OF ACCESS. WE ALSO WILL ADDRESS CLIENTS' SOCIAL DETERMINANTS OF HEALTH (SDOH) THROUGH REFERRALS FOR HOUSING, EMPLOYMENT, EDUCATION, ETC. -GOALS AND OBJECTIVES: STOP HIV'S MAIN GOALS ARE TO: 1) HIRE PROJECT STAFF; 2) INCREASE STI SCREENING, TESTING, EDUCATION, AND TREATMENT FOR CLIENTS WITH SUD OR COD WHO HAVE OR ARE AT RISK OF HIV; 3) PROVIDE CLIENTS WITH ACCESS TO SUD/COD HARM REDUCTION, TREATMENT SERVICES, AND WRAPAROUND RECOVERY-SUPPORT SERVICES THAT ARE IN LINE WITH THEIR LEVEL(S) OF MOTIVATION; AND 4) ENGAGE CLIENTS IN THE PROJECT CONSISTENT WITH THEIR STAGE OF RECOVERY. KEY OBJECTIVES INCLUDE: 1) HIRING A PROGRAM COORDINATOR, CLINICIAN, PATIENT NAVIGATOR, AND ADDICTION PSYCHIATRIST TO IMPLEMENT THE PROJECT; 2) PROVIDING 475 PROJECT CLIENTS WITH HIV/HCV/HBV TESTING, TREATMENT, AND PREVENTION SERVICES IN THE 5-YEAR PROJECT PERIOD; 3) PROVIDING SUD/COD SCREENINGS FOR 95% OF PROJECT CLIENTS TO DETERMINE APPROPRIATE LEVELS OF INTERVENTION; AND 4) KEEPING 80% OF PROJECT CLIENTS ENGAGED AT THEIR APPROPRIATE LEVELS OF RECOVERY AT 6 MONTHS. -NUMBER OF PEOPLE SERVED: THE PROJECT WILL SERVE 475 CLIENTS OVER THE 5-YEAR PROJECT PERIOD.

ARRA - CAPITAL IMPROVEMENT PROGRAM

STREET HIV OUTREACH TO ENGAGE UNSHELTERED POPULATIONS IN TREATMENT (SHOUT) - CORNELL SCOTT-HILL HEALTH CORPORATION (CS-HHC) WILL SERVE 275 (75 YEAR 1; 100 A YEAR IN YEARS 2 AND 3) UNSHELTERED INDIVIDUALS WITH SUBSTANCE USE DISORDER (SUD) WHO ARE AT-RISK FOR OR HAVE HIV/AIDS BY PROVIDING INTEGRATED BEHAVIORAL HEALTH CARE, HIV TREATMENT, AND PREVENTION SERVICES TO RECIPIENTS WHERE THEY ARE -IN THE STREETS, IN TENT ENCAMPMENTS, IN PARKS, UNDER BRIDGES, ETC.-TO IMPROVE THEIR HEALTH AND QUALITY OF LIFE. CS-HHC, A FEDERALLY QUALIFIED HEALTH CENTER, OFFERS INTEGRATED MEDICAL (INCLUDING INFECTIOUS DISEASES [ID]), BEHAVIORAL HEALTH, AND DENTAL SERVICES TO OVER 55,000 PEOPLE ANNUALLY-OF WHOM 2,730 ARE PEOPLE EXPERIENCING HOMELESSNESS—IN CONNECTICUT'S GREATER NEW HAVEN AREA. CS-HHC PROVIDES STREET OUTREACH AND INTEGRATED TREATMENT SERVICES TO PEOPLE EXPERIENCING UNSHELTERED HOMELESSNESS (PEUH) IN THE REGION. -PROJECT NAME: STREET HIV OUTREACH TO ENGAGE UNSHELTERED POPULATIONS IN TREATMENT (SHOUT) -POPULATION TO BE SERVED: THE PROJECT WILL OFFER INTEGRATED PRIMARY CARE, ID TREATMENT AND PREVENTION, AND BEHAVIORAL HEALTH SERVICES TO PEUH WHO ARE AT RISK OF OR HAVE HIV. AIDSVU (AIDSVU.ORG) SHOWS THAT THE NEW HAVEN-MILFORD MSA HAS PARTICULARLY HIGH RATES OF PEOPLE LIVING WITH HIV (458 PER 100,000 PEOPLE), BUT THAT UNDERESTIMATES THE RISK IN THE CITY OF NEW HAVEN ALONE. IN THE FIVE CITY OF NEW HAVEN ZIP CODES (06510, 06511, 06513, 06515, AND 06519) WHERE MOST OF OUR SERVICES WILL OCCUR, THE RATE OF PEOPLE LIVING WITH HIV IS MUCH HIGHER AT 1,112; 1,319; 895; 984; AND 1,166 PER 100,000, RESPECTIVELY. THESE HIGH HIV PREVALENCE RATES COINCIDE WITH AN AREA WITH MANY PEUH, MANY OF WHOM ARE AT RISK OF OR HAVE HIV. FOR EXAMPLE, THE LOCAL UNITED WAY'S COORDINATED ACCESS NETWORK (CAN) ESTIMATES THAT ABOUT 600 INDIVIDUALS IN NEW HAVEN ARE LITERALLY HOMELESS , WITH 80% CAMPING IN PARKS, UNDER BRIDGES, ALONG ROADSIDES, ETC. WE ANTICIPATE THAT PROJECT CLIENTS WILL CONSIST LARGELY OF RACIAL AND/OR ETHNIC MINORITIES (BLACK AND/OR HISPANIC) WHO ARE LIVING IN POVERTY. -STRATEGIES/INTERVENTIONS: THE PROJECT WILL USE EVIDENCE-BASED PRACTICES (EBPS), SUCH AS SUD AND MENTAL HEALTH SCREENINGS, HIV SCREENING, STI TREATMENT AND SCREENING, PREP, HARM REDUCTION (INCLUDING CONDOMS), MOTIVATIONAL INTERVIEWING, CASE MANAGEMENT, RECOVERY COACH, AND MEDICATION ASSISTED TREATMENT (MAT). TREATMENT WILL BE TRAUMA-INFORMED AND OCCUR IN THE FIELD; AT OUR SUD TREATMENT FACILITIES, THE RECOVERY AND WELLNESS CENTER (RWC), WITH ITS 52-BED THERAPEUTIC SHELTER COMPONENT, AND OUR SOUTH CENTRAL REHABILITATION CENTER (SCRC), WITH ITS RESIDENTIAL DETOX PROGRAMMING AND METHADONE MAINTENANCE SERVICES; AND AT OUR MAIN CARE SITE WHERE OUR INFECTIOUS DISEASES DEPARTMENT IS BASED. FOR THOSE NOT READY FOR A HIGHER LEVEL OF SERVICE, WE WILL MEET THEM WHERE THEY ARE AND PROVIDE THEM WITH HARM-REDUCTION SERVICES AT MULTIPLE POINTS OF ACCESS. -GOALS AND OBJECTIVES: THE PROJECT'S MAIN GOALS ARE TO: 1) HIRE PROJECT STAFF; 2) INCREASE ACCESS FOR PEUH TO BASIC PRIMARY CARE AND ID SERVICES; 3) PROVIDE PEUH WITH LOW-BARRIER SUD/MENTAL HEALTH TREATMENTS; 4) INCREASE STD SCREENING, TESTING, EDUCATION, AND TREATMENT FOR PEUH WITH SUD WHO HAVE OR ARE AT RISK OF HIV; 5) PROVIDE RECOVERY COACH, WRAPAROUND SERVICES, AND/OR HARM REDUCTION TO ENCOURAGE RECOVERY. KEY OBJECTIVES INCLUDE: 1) HIRING A PROGRAM COORDINATOR, CLINICIAN, STREET OUTREACH WORKER, AND RECOVERY COACH TO IMPLEMENT THE PROJECT; 2) ENGAGING 275 PEUH FOR PRIMARY CARE AND ID TREATMENT IN THE THREE-YEAR PROJECT PERIOD; 3) PROVIDING SUD AND MENTAL HEALTH SCREENINGS FOR 80% OF PEUH TO DETERMINE APPROPRIATE LEVEL OF INTERVENTION; 4) PROVIDING 80% OF PEUH WITH HIV/STI TESTING, TREATMENT, AND PREVENTION SERVICES IN THE THREE-YEAR PROJECT PERIOD; 5) PROVIDING PEUH WITH RECOVERY SERVICES, REFERRALS/LINKAGES, AND HARM REDUCTION MATERIALS TO KEEP 75% ENGAGED AT THEIR APPROPRIATE LEVEL OF RECOVERY AT SIX MONTHS. -NUMBER OF PEOPLE SERVED: THE PROJECT WILL SERVE 275 PEOPLE OVER THE THREE-YEAR PROJECT PERIOD.

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

SAMHSA TARGETED CAPACITY EXPANSION, SPECIAL PROJECTS GRANT STREET PARTNERSHIP (GSP) GREATER NEW HAVEN, CT WILL SERVE 180 LGBTQ+ ADULTS WITH SUD/COD OUTREACH, ENGAGEMENT, AND TREATMENT. - CORNELL SCOTT-HILL HEALTH CENTER (CS-HHC), A PRIVATE 501(C)(3) NON-PROFIT ORGANIZATION LOCATED IN NEW HAVEN, CONNECTICUT, INTENDS TO IMPLEMENT TARGETED STRATEGIES, INCLUDING THE EXPANSION OF TELEHEALTH AND PEER RECOVERY SUPPORT SERVICES, FOR THE PROVISION OF SUBSTANCE USE DISORDER (SUD), CO-OCCURRING DISORDER (COD), HARM REDUCTION TREATMENT, AND RECOVERY SUPPORT SERVICES TO 180 LESBIAN, GAY, BISEXUAL, TRANSGENDER, AND QUEER (LGBTQ+) CLIENTS, A SAMHSA IDENTIFIED UNDER-RESOURCED POPULATION. THE PROPOSED GEOGRAPHIC CATCHMENT AREA IS COMPRISED OF SIX MUNICIPALITIES IN GREATER NEW HAVEN, CONNECTICUT (EAST HAVEN, HAMDEN, MILFORD, NEW HAVEN, ORANGE, AND WEST HAVEN) AND THREE MUNICIPALITIES IN THE LOWER NAUGATUCK VALLEY (ANSONIA, DERBY, AND SEYMOUR) WITH A COMBINED POPULATION OF 390,875. ALL NINE MUNICIPALITIES ARE LOCATED WITHIN NEW HAVEN COUNTY. THERE ARE AN ESTIMATED 133,000 LGBT PEOPLE AGE 13 AND OVER IN THE STATE OF CONNECTICUT. SUBSTANCE MISUSE OR OVERUSE, WHICH MAY BE USED AS A COPING MECHANISM OR METHOD OF SELF-MEDICATION, IS A SIGNIFICANT CONCERN FOR MEMBERS OF THIS COMMUNITY. LESBIAN, GAY, AND BISEXUAL (LGB) ADULTS ARE NEARLY TWICE AS LIKELY AS HETEROSEXUAL ADULTS TO EXPERIENCE A SUBSTANCE USE DISORDER. TRANSGENDER INDIVIDUALS ARE ALMOST FOUR TIMES AS LIKELY AS CISGENDER INDIVIDUALS TO EXPERIENCE A SUBSTANCE USE DISORDER. THIS IS DUE IN PART TO A NUMBER OF SOCIETALLY IMPOSED OBSTACLES SUCH AS (A) DISCRIMINATION OR STIGMATIZATION BASED ON SEXUAL ORIENTATION; (B) HATE CRIMES, EMOTIONAL ABUSE, THREATS, PUBLIC HUMILIATION OR RIDICULE; AND/OR (C) REJECTION OR SHAME FROM FAMILY OR FRIENDS AFTER COMING OUT. OVER HALF OF LGBTQ+ CONNECTICUT RESIDENTS AGE 18-24 AND 30% OF LGBTQ+ RESIDENTS AGE 25-45 HAVE INDICATED A NEED FOR A MENTAL HEALTH AND SUD SERVICES. THE TARGET POPULATION IS ALSO SUBJECT TO CONSIDERABLE TRAUMA (IPV, BULLYING, FAMILY SHUNNING, OUTING) WHEN COMPARED TO THEIR HETEROSEXUAL PEERS, AS WELL AS PRONE TO HIGH RISK, UNHEALTHY BEHAVIORS. CS-HHC WILL EMPLOY A NUMBER OF EVIDENCE-BASED INTERVENTIONS, WHICH ARE CULTURALLY-COMPETENT, TRAUMA INFORMED AND DESIGNED TO MEET THE PATIENTS “WHERE THEY’RE AT.” APPROACHES WILL INCLUDE: INTEGRATED HEALTHCARE (PRIMARY CARE, BEHAVIORAL HEALTH, DENTAL, AND SPECIALTIES INCLUDING INFECTIOUS DISEASE AND WOMEN’S HEALTH), ENGAGEMENT/OUTREACH, OUTPATIENT TREATMENT (MI, MET/CBT), INTENSIVE OUTPATIENT PROGRAMS (IOPS – MATRIX MODEL WITH ADAPTATION FOR LGBTQ HIGH RISK BEHAVIORS, PHARMACEUTICAL INTERVENTIONS (MAT), AND REFERRALS TO INPATIENT PROGRAMMING AS MEDICALLY APPROPRIATE. SPECIFIC MODELS INCLUDE: COVINGTON’S RECOVERY FOR MEN/WOMAN AND FACING TRAUMA FOR MEN AND GENDER POPULATIONS, RAPID EYE MOVEMENT THERAPY, AND TREM. FOR THE 2022-25 PROJECT PERIOD, CS-HHC EXPECTS TO SERVE 45, 60, AND 75 CLIENTS, RESPECTIVELY, EACH YEAR, FOR A TOTAL OF 180 CLIENTS.

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - HCP GRANT NUMBER: H80CS00312 BRIEF DESCRIPTION OF PROPOSED PROJECT: CORNELL SCOTT-HILL HEALTH CORPORATION (CS-HHC) REQUESTS $600,000 IN PROJECT YEAR 1 (PY1) AND $500,000 IN PROJECT YEAR 2 (PY2) TO EXPAND THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES AND SUD SERVICES (INCLUDING TREATMENT FOR MOUD). WE WILL USE $600,000 IN PY1 AND $500,000 IN PY2 TO ADD AN 0.59 FTE ADDICTION PSYCHIATRIST (0.31 FTE IN PY2), 2.4 FTE BEHAVIORAL HEALTH CLINICIANS, AND A 1.0 FTE RECOVERY COACH TO ENHANCE AND EXPAND MENTAL HEALTH AND SUD TREATMENT CAPACITY AT OUR RECOVERY AND WELLNESS CENTER (RWC) SITE. WE WILL INCREASE THE NUMBER OF PATIENTS WHO RECEIVE MENTAL HEALTH SERVICES BY 300 OVER THE TWO PROJECT YEARS—AND THE NUMBER OF PATIENTS WHO RECEIVE SUD SERVICES BY 1,000 OVER THE TWO PROJECT YEARS. NEEDS TO BE ADDRESSED: THE TARGET POPULATIONS FOR THIS PROJECT ARE PATIENTS WITH SUD (INCLUDING OUD) OR PATIENTS WITH COD (CO-OCCURRING SUD AND MENTAL HEALTH DISORDER). ACCORDING TO THE KAISER FAMILY FOUNDATION, ACCIDENTAL DRUG OVERDOSES IN CONNECTICUT HAVE RISEN DRASTICALLY FROM 11.2 PER 100,000 IN 2011 TO 42.3 PER 100,000 IN 2021 (COMPARED TO AN INCREASE FROM 13.2 PER 100,000 TO 32.4 PER 100,000 NATIONWIDE DURING THE SAME PERIOD). IN NEW HAVEN, THAT NUMBER IS EVEN HIGHER—WITH A DRUG OVERDOSE RATE OF 115.5 PER 100,000 IN 2021, ACCORDING TO THE CONNECTICUT DEPARTMENT OF PUBLIC HEALTH. THESE NUMBERS INDICATE AN OBVIOUS NEED FOR SUD TREATMENT ENHANCEMENT AND EXPANSION IN NEW HAVEN (AND PARTICULARLY FOR OUD TREATMENT ENHANCEMENT AND EXPANSION SINCE MOST NEW HAVEN OVERDOSE DEATHS INVOLVED AN OPIOID). IN ADDITION, THE NEED FOR INCREASED MENTAL HEALTH SERVICES FOR OUR RWC PATIENTS IS CLEAR, SINCE SAMHSA STATES THAT SUD OCCURS MORE OFTEN IN PATIENTS WITH MENTAL HEALTH ISSUES SUCH AS DEPRESSION, ANXIETY, AND/OR PERSONALITY DISORDER. PROPOSED SERVICES: CS-HHC’S RWC SITE IS ADJACENT TO OUR SOUTH CENTRAL REHABILITATION CENTER (SCRC). TOGETHER, THE TWO SITES FORM A STATE-OF-T HE-ART SUD TREATMENT CAMPUS. THEREFORE, BHSE PROJECT PATIENTS WILL HAVE ON-CAMPUS ACCESS TO A FULL RANGE OF BEHAVIORAL HEALTH SERVICES, INCLUDING MENTAL HEALTH AND SUD ASSESSMENTS; PSYCHIATRIC MEDICATION MANAGEMENT; INPATIENT AND AMBULATORY DETOXIFICATION; OUTPATIENT THERAPY; MEDICATION ASSISTED TREATMENT (MAT); A 52-BED THERAPEUTIC SHELTER; PARTIAL HOSPITALIZATION PROGRAM (PHP); INTENSIVE OUTPATIENT (IOP); COMMUNITY OUTREACH, EDUCATION, AND PREVENTION; AND PEER RECOVERY AND EMPLOYMENT SUPPORT SERVICES. THESE SERVICES ARE INTEGRATED WITH PRIMARY CARE AND INFECTIOUS DISEASES MEDICAL SERVICES AND WRAPAROUND SERVICES SUCH AS CASE MANAGEMENT, WIC, AND HEALTH INSURANCE ENROLLMENT. WITH BHSE FUNDING, CS-HHC WILL INCREASE THE NUMBER MENTAL HEALTH VISITS BY 4,290 OVER THE TWO PROJECT YEARS—AND THE NUMBER OF SUD VISITS BY 9,490 OVER THE TWO PROJECT YEARS. POPULATION GROUP(S) TO BE SERVED: CS-HHC WILL SERVE PATIENTS WITH SUD OR COD FROM NEW HAVEN AND OTHER MUNICIPALITIES IN THE GREATER NEW HAVEN AREA AT SCRC AND RWC. IN CY23, OF THE 55,189 TOTAL UNDUPLICATED PATIENTS CS-HHC SERVED, 7,222 WERE MENTAL HEALTH PATIENTS (WITH 103,355 MENTAL HEALTH VISITS) AND 2,639 WERE SUD PATIENTS (WITH 25,063 VISITS). OUR PATIENTS TEND TO BE FROM UNDERSERVED POPULATIONS, SUCH AS LOW-INCOME INDIVIDUALS (71%), UNINSURED INDIVIDUALS (9%), AND RACIAL AND/OR ETHNIC MINORITIES (79%). HOW THE PROJECT WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES AND SUD SERVICES: THE PROJECT WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH AND SUD SERVICES BY ADDING AN 0.59 FTE ADDICTION PSYCHIATRIST (0.31 FTE IN PY2), 2.4 FTE BEHAVIORAL HEALTH CLINICIANS, AND A 1.0 FTE RECOVERY COACH AT RWC. THESE STAFFING ADDITIONS WILL ENHANCE AND EXPAND OUR CAPACITY TO ADDRESS THE UNMET NEED FOR MENTAL HEALTH AND SUD (INCLUDING OUD) SERVICES IN GREATER NEW HAVEN.

FY 2023 EXPANDING COVID-19 VACCINATION

CAPITAL DEVELOPMENT

ARRA - INCREASE SERVICES TO HEALTH CENTERS

TITLE X FAMILY PLANNING TELEHEALTH INFRASTRUCTURE ENHANCEMENT AND EXPANSION, NEW HAVEN COUNTY, CT - CORNELL SCOTT-HILL HEALTH CORPORATION (CS-HHC), A PRIVATE 501(C)(3) NON-PROFIT ORGANIZATION, REQUESTS SUPPORT TO ENHANCE ITS TELEHEALTH INFRASTRUCTURE TO INCREASE ACCESS TO TITLE X FAMILY PLANNING SERVICES THROUGHOUT FIVE CITIES IN SOUTH CENTRAL CONNECTICUT: ANSONIA, DERBY, EAST HAVEN, NEW HAVEN AND WEST HAVEN WITH A COMBINED POPULATION OF 258,983. CS-HHC ANTICIPATES SERVING 11,800 UNIQUE TITLE X CLIENTS ANNUALLY, BY PROVIDING SERVICES ACROSS SIX LOCATIONS IN THE GREATER NEW HAVEN, CONNECTICUT AREA. WE ANTICIPATE THAT 35% (4,130) OF TITLE X CLIENTS WILL BE SERVED VIA TELEHEALTH AND THAT AT LEAST 75% (3,098) OF THOSE SERVED VIA TELEHEALTH WILL BE LOW-INCOME. CS-HHC INTENDS TO EXPAND ITS TELEHEALTH INFRASTRUCTURE IN ORDER TO PROVIDE FAMILY PLANNING SERVICES VIA SYNCHRONOUS AND ASYNCHRONOUS TELEHEALTH MODALITIES. THIS INCLUDES INCREASING ACCESS TO VIRTUAL, REAL TIME, DIRECT-TO-CONSUMER FAMILY PLANNING CARE AND DEVELOPING ASYNCHRONOUS, CULTURALLY AND LINGUISTICALLY APPROPRIATE, DIGITAL FAMILY PLANNING COMMUNICATIONS IN FOUR LANGUAGES THAT ARE COMMONLY SPOKEN BY OUR PATIENT POPULATION: ENGLISH, SPANISH, PASHTO, AND ARABIC. TITLE X FAMILY PLANNING SERVICES, INCLUDING CARE PROVIDED VIA TELEHEALTH MODALITIES, WILL BE DELIVERED FROM SIX LOCATIONS IN THE GREATER NEW HAVEN, CONNECTICUT AREA: CS-HHC’S MAIN CARE SITE (400-428 COLUMBUS AVENUE, NEW HAVEN), DIXWELL CARE SITE (226 DIXWELL AVENUE, NEW HAVEN), STATE STREET CARE SITE (911 STATE STREET, NEW HAVEN), WEST HAVEN CARE SITE (410 CAMPBELL AVENUE, WEST HAVEN), AND ANSONIA CARE SITE (121 WAKELEE AVENUE, ANSONIA) AND CS-HHC’S NEW SARGENT DRIVE CARE SITE (150 SARGENT DRIVE, NEW HAVEN). ALL SIX SERVICE SITES WILL BE OPEN A MINIMUM OF FIVE DAYS PER WEEK BETWEEN THE HOURS OF 8:30 AM AND 5:00 PM. CS-HHC’S MAIN CARE SITE (400-428 COLUMBUS AVENUE, NEW HAVEN) WILL ALSO OFFER CARE BETWEEN 8:30 AM AND 12:00 PM ON SATURDAYS TO ACCOMMODATE USERS WHO MIGHT OTHERWISE BE UNAVAILABLE DURING WEEKDAYS. CS-HHC WILL PROVIDE ALL REQUIRED TITLE X SERVICES ACROSS ITS SIX PROPOSED SERVICE SITES. CS-HHC OFFERS A BROAD RANGE OF FAMILY PLANNING AND RELATED HEALTH SERVICES THAT ARE TAILORED TO THE UNIQUE NEEDS OF THE INDIVIDUAL. THESE INCLUDE NATURAL FAMILY PLANNING METHODS WHICH ENSURE BREADTH AND VARIETY AMONG FAMILY PLANNING METHODS OFFERED, INFERTILITY SERVICES, AND SERVICES FOR ADOLESCENTS; BREAST AND CERVICAL CANCER SCREENING AND PREVENTION OF STDS AS WELL AS HIV PREVENTION EDUCATION, COUNSELING, TESTING, AND REFERRALS. ALL FAMILY PLANNING SERVICES WILL BE PROVIDED IN ACCORDANCE WITH CURRENT STANDARDS OF MEDICAL PRACTICE, AND CONSISTENT WITH NATIONAL GUIDELINES FROM ORGANIZATIONS SUCH AS THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), UNITED STATES PREVENTIVE SERVICES TASKFORCE (USPSTF), AMERICAN SOCIETY FOR COLPOSCOPY AND CERVICAL PATHOLOGY (ASCCP), AND AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS (ACOG).

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE - DEMONSTRATION/IMPLEMENTATION SITES

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

TITLE X FAMILY PLANNING SERVICES

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

VA IS PROVIDING PER DIEM FUNDING TO ASSIST WITH THE OPERATIONAL COSTS ASSOCIATED WITH TRANSITIONAL HOUSING BEDS FOR HOMELESS VETERANS.

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

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THE CORNELL SCOTT - HILL HEALTH CORPORATION WILL USE ITS $650,000 CONGRESSIONAL DISCRETIONARY SPENDING FUNDING TO RENOVATE 2369 DIXWELL AVENUE, HAMDEN, CONNECTICUT INTO AN INTEGRATED HEALTH CARE SITE PROVIDING PRIMARY HEALTH CARE AND BEHAVIORAL HEALTH CARE TO SERVE OVER 15,000 PERSONS ANNUALLY WITH AFFORDABLE, ACCESSIBLE, AND QUALITY HEALTH CARE. THE APPROXIMATELY 7,000 SQUARE FOOT SITE WILL INCLUDE A LARGE WAITING AREA, 11 EXAM ROOMS, 6 COUNSELING OFFICES, A GROUP THERAPY ROOM, AS WELL AS SPACE FOR PRACTICE STAFF, PROVIDER WORK SPACE, AND STORAGE. RENOVATIONS WILL BEGIN LATE THIS SUMMER, WITH AN ANTICIPATED OPENING DATE OF JUNE 2023.

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM