Welllife Network Inc

WELLLIFE NETWORK'S CCBHC PDI PROJECT 2023 - WELLLIFE NETWORK (WLN) PROPOSES TO PROVIDE COMPREHENSIVE, HIGH-QUALITY COORDINATED BEHAVIORAL HEALTH CARE IN NASSAU COUNTY, NY BY PLANNING FOR, DEVELOPING, AND IMPLEMENTING A NEW CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) THAT MEETS SAMHSA’S UPDATED CCBHC CERTIFICATION CRITERIA. WLN WILL PROVIDE A COMPREHENSIVE RANGE OF PERSON- AND FAMILY-CENTERED OUTREACH, SCREENING, ASSESSMENT, TREATMENT, CARE COORDINATION, CRISIS SERVICES, AND RECOVERY SUPPORTS BASED ON A COMMUNITY NEEDS ASSESSMENT. WLN’S CCBHC WILL SERVE NASSAU COUNTY’S MORE THAN 1.38 MILLION RESIDENTS, INCLUDING CHILDREN, ADULTS, FAMILIES, AND VETERANS DIAGNOSED WITH SERIOUS EMOTIONAL DISTURBANCE (SED), SERIOUS MENTAL ILLNESS (SMI), AND CO-OCCURRING (COD) MENTAL HEALTH (MH) AND SUBSTANCE USE DISORDERS (SUD) EXPERIENCING ISOLATION AND LONELINESS POST-COVID-19 PANDEMIC. RESIDENTS’ MEDIAN AGE IS 42 YEARS AND 50.8% OF THE POPULATION IDENTIFIES AS FEMALE. ITS RACIAL DISTRIBUTION IS 72.2% WHITE, 17.6% LATINO, 11.9% ASIAN, AND 13.1% BLACK. MORE THAN 22% ARE FOREIGN-BORN AND 28.8% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. MORE THAN 38,000 ARE VETERANS. WHILE COUNTY-LEVEL DATA IS NOT AVAILABLE, MORE THAN ONE MILLION ADULTS IN NY IDENTIFY AS LGBTQ+. NASSAU’S PRIMARY CARE PROVIDER-TO-POPULATION RATIO IS 143:100,000 AND THE MENTAL HEALTH (MH) PROVIDER-TO-POPULATION RATIO IS 314:100,000. ONE-QUARTER OF LONG ISLAND FAMILIES ARE UNABLE TO FIND A MENTAL HEALTH PROVIDER WHO TAKES THEIR INSURANCE AND 3.6% OF NASSAU COUNTY RESIDENTS ARE UNINSURED. RECENT STUDIES SHOW THE COVID-19 PANDEMIC HAS EXACERBATED SUD AND MH ISSUES AMONG YOUTH, CHILDREN, AND ADULTS, WITH APPROXIMATELY 25% OF RESIDENTS INDICATING THAT DRUG AND ALCOHOL ABUSE AND MENTAL HEALTH DEPRESSION/SUICIDE ARE TWO OF NASSAU COUNTY’S BIGGEST ONGOING HEALTH CONCERNS. DESPITE ITS AFFLUENCE, NASSAU COUNTY LACKS SUFFICIENT SERVICES TO ADDRESS THE MYRIAD NEEDS OF CHILD AND ADULT RESIDENTS WITH SMI, MHD, SUD, AND COD, INCLUDING COMMUNITY-BASED SERVICES THAT SUPPORT PEER CONNECTION, MEDICATION-ASSISTED TREATMENT (MAT), AND 24/7 MOBILE CRISIS SERVICES. TO OFFER A COMPREHENSIVE ARRAY OF SERVICES TO NASSAU COUNTY RESIDENTS, WLN WILL: 1) DEVELOP A STAFFING AND TRAINING PLAN REFLECTIVE OF COMMUNITY NEEDS; 2) INCREASE AVAILABILITY AND ACCESSIBILITY OF SERVICE TO THE POPULATION OF FOCUS BY DEVELOPING AND IMPLEMENTING A SERVICE DELIVERY PLAN BASED ON THE COMMUNITY NEEDS ASSESSMENT AND HIRING AND TRAINING THE APPROPRIATE STAFF TO DELIVER THOSE SERVICES; 3) IMPROVE CARE COORDINATION FOR CLIENTS TO ENSURE SEAMLESS TRANSITIONS ACROSS MYRIAD HEALTH SERVICES BY IMPLEMENTING ELECTRONIC HEALTH RECORD (EHR) IMPROVEMENTS FOR DATA COLLECTION AND ANALYSIS, EXECUTING MEMORANDUMS OF AGREEMENT WITH DESIGNATED COLLABORATING ORGANIZATIONS (DCOS), AND UPDATING CARE COORDINATION PROTOCOLS; AND 4) INCREASE COMPLIANCE WITH CCBHC CERTIFICATION CRITERIA BY PROVIDING MOBILE CRISIS SERVICES, INCORPORATING SCREENING TOOLS IN THE EHR, PROVIDING PRIMARY CARE SCREENING AND MONITORING, DEVELOPING AND IMPLEMENTING A TARGETED OUTREACH PLAN TO VETERANS, AND ESTABLISHING A CLUBHOUSE MODEL OF PSYCHOSOCIAL REHABILITATION FOR CHILDREN/YOUTH IN WLN’S PEDIATRIC COMMUNITY RESIDENCES AND IN ITS SUPPORTED HOUSING FOR ADULTS WITH SMI. EVIDENCE-BASED PRACTICES INCLUDE ASSERTIVE COMMUNITY TREATMENT, THE CLUBHOUSE MODEL, COGNITIVE BEHAVIORAL TREATMENT (CBT), FAMILY PSYCHOEDUCATION, INTEGRATED DUAL DIAGNOSIS TREATMENT, MAT, MOTIVATIONAL INTERVIEWING, SEEKING SAFETY, AND TRAUMA-FOCUSED CBT. FIVE OF NINE CCBHC CERTIFICATION CRITERIA WILL BE IN PLACE WITHIN 6 MONTHS OF THE GRANT AWARD AND ALL CRITERIA WILL BE MET WITHIN 12 MONTHS OF AWARD. WELLLIFE NETWORK’S CCBHC WILL PROVIDE A CONTINUUM OF EVIDENCE-BASED APPROACHES TO 415 UNDUPLICATED INDIVIDUALS: 75 IN YEAR 1, 100 IN YEAR 2, 115 IN YEAR 3, AND 125 IN YEAR 4.

WELLLIFE NETWORK'S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC IMPLEMENTATION - WELLLIFE PROPOSES TO INCREASE ACCESS TO, AS WELL AS IMPROVE THE QUALITY OF PERSON AND FAMILY CENTERED, INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES FOR 450 UNDUPLICATED INDIVIDUALS, THROUGH THE TRANSFORMATION TO A CCBHC, PROVIDING A FULL CONTINUUM OF EVIDENCE BASED, CRISIS INTERVENTION, TREATMENT AND RECOVERY SUPPORT SERVICES IN SUFFOLK COUNTY, NY. THE POPULATION OF FOCUS INCLUDES ADULTS, FAMILIES AND VETERANS WITH DIAGNOSES OF SERIOUS MENTAL ILLNESS (SMI), SUBSTANCE USE DISORDERS (SUD), OPIOID USE DISORDERS (OUD), AND CHILDREN 5+ WITH SERIOUS EMOTIONAL DISTURBANCE (SED), AS WELL AS INDIVIDUALS WITH CO-OCCURRING MENTAL AND SUBSTANCE DISORDERS (COD). PRESENTLY, WELLLIFE CORAM CENTER PROVIDES ONE STOP SHOPPING FOR MENTAL HEALTH, ADDICTION AND RECOVERY, CARE COORDINATION, PRIMARY CARE, FOOD PANTRY ACCESS, VOCATIONAL SERVICES AND A FULL ARRAY OF CHILDREN’S SERVICES ALL UNDER ONE ROOF; ADDITIONAL STAFFING PROVIDED BY THE PROJECT WILL ADDRESS SYSTEM GAPS AND SUPPORT FULL INTEGRATION ACROSS THE DOMAINS OF SERVICES FOR SMI, SED, SUD, COD AND PRIMARY HEALTH CARE. LOCATED IN THE TOWN OF BROOKHAVEN, SUFFOLK COUNTY, NY, THE CORAM COMMUNITY CENTER IS THE ONLY FULLY INTEGRATED BEHAVIORAL HEALTH PROGRAM IN THE CA, WHICH HAS LONG BEEN DESCRIBED AS GROUND ZERO FOR THE LONG ISLAND HEROIN/OPIATE EPIDEMIC. IN ADDITION, THE COVID 19 PANDEMIC WORSENED AN ALREADY DIRE SITUATION FOR CHILD AND ADOLESCENT BEHAVIORAL HEALTH WHERE DATA INDICATE AN INCREASE IN ANXIETY, TRAUMA AND DEPRESSION AMONG YOUNG PEOPLE, AND A GROWING NUMBER OF YOUNG PEOPLE ARE COMING TO HOSPITALS WITH DANGEROUS PSYCHIATRIC EMERGENCIES. A DISPROPORTIONATE NUMBER OF THESE CHILDREN COME FROM COMMUNITIES OF COLOR — THE SAME COMMUNITIES HIT HARDEST BY THE PANDEMIC. EQUALLY DEVASTATING, ONE QUARTER OF LONG ISLAND FAMILIES ARE UNABLE TO FIND A MENTAL HEALTH PROVIDER WHO TAKES THEIR INSURANCE. THE GOALS INCLUDE: REDUCE MENTAL HEALTH SYMPTOMS AND SUBSTANCE USE AMONG THE POF THROUGH THE PROVISION OF TIMELY, INTEGRATED ASSESSMENTS, PERSON/FAMILY CENTERED TREATMENT PLANNING AND CARE, AND OUTPATIENT BEHAVIORAL HEALTH AND SUBSTANCE USE TREATMENT SERVICES; INCREASE CRISIS STABILIZATION AMONG THE POF THROUGH 24/7 ACCESS TO CRISIS SERVICES; PROVIDE PSYCHIATRIC REHABILITATION SERVICES (PRS) AND RECOVERY-BASED SOCIAL SUPPORT OPPORTUNITIES TO INCREASE EMPLOYMENT, RECOVERY CAPITAL, AND SUSTAINED STABILIZATION AMONG THE POF AND INCREASE THE PROVISION OF INTEGRATED PRIMARY CARE SCREENING AND HEALTH MONITORING SERVICES RESULTING IN IMPROVED HEALTH AMONG THE POF. EVIDENCE BASED PRACTICES INCLUDE: COGNITIVE BEHAVIORAL TREATMENT, SEEKING SAFETY, MOTIVATIONAL INTERVIEWING, INTEGRATED DUAL DIAGNOSIS TREATMENT, MAT, ACT, TRAUMA INFORMED CARE AND FAMILY PSYCHOEDUCATION. DURING YEAR I, WELLLIFE WILL SERVE A MINIMUM OF 155 ADULTS AND 50 CHILDREN, YEAR 2 185 ADULTS AND 60 CHILDREN, TOTAL: 340 ADULTS AND 110 CHILDREN.

ENHANCED COMM SUPPORT PROGRAM

GEN TRTMNT FOR HOMELESS SERVICES FOR INDIVIDUALS IN SUPPORTIVE HOUSING

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.