Betances Health Center

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

OP EARLY INTERVENTION SVCS W/RESPECT TO HIV DISEASE

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

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

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - BETANCES HEALTH CENTER (BHC, GRANT NUMBER H80CS00235) IS REQUESTING FUNDING TO SUPPORT THE EXPANSION OF SERVICES TO INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH AND SUBSTANCE USE SERVICES. THE PROGRAM WILL INCREASE BHC’S CAPACITY TO ADDRESS UNMET BEHAVIORAL HEALTH CARE NEEDS AMONG BHC’S SERVICE POPULATION. WITH TWO CLINIC LOCATIONS, BHC PROVIDES HEALTH CARE AND SUPPORTIVE SERVICES TO CULTURALLY DIVERSE MINORITY POPULATIONS AND MEDICALLY UNDERSERVED RESIDENTS OF THE MANHATTAN LOWER EAST SIDE NEIGHBORHOOD, THE BROOKLYN BUSHWICK NEIGHBORHOOD, AND THE SURROUNDING COMMUNITIES. WITHIN BHC’S SERVICE AREA UP TO 69% OF THE POPULATION IS BLACK, HISPANIC/LATINX, AND ASIAN: BHC’S SERVICE POPULATION ALSO EXPERIENCES MANY BARRIERS TO ACCESSING BEHAVIORAL HEALTH CARE AND OTHER SERVICES, INCLUDING POVERTY, STIGMA, A FEAR OF BEING JUDGED OR MISUNDERSTOOD BY MEDICAL PROVIDERS, AND A LACK OF SOCIAL SUPPORT. LINGUISTIC BARRIERS MAKE IT DIFFICULT FOR MANY PERSONS IN THE TARGET POPULATIONS TO COMMUNICATE WITH PROVIDERS AND LEAD MANY IMMIGRANTS TO AVOID CARE ALTOGETHER; THIS IS PARTICULARLY TRUE FOR MEMBERS OF THE ASIAN IMMIGRANT COMMUNITY RESIDING IN THE LOWER EAST SIDE. ACCESS TO BEHAVIORAL HEALTH CARE IS IMPACTED BY RACE, ETHNICITY, SEX, INSURANCE STATUS AND POVERTY LEVEL OF THE NEIGHBORHOOD IN WHICH THEY RESIDE: 58.3% OF WHITE NEW YORKERS ARE CONNECTED TO CARE, COMPARED TO 39.3% OF LATINX, AND 30.3% OF BLACK NEW YORKERS. HIGHEST POVERTY NEIGHBORHOODS HAVE TWICE AS MANY PSYCHIATRIC HOSPITALIZATIONS PER CAPITA COMPARED TO THE LOWEST POVERTY LEVEL NEIGHBORHOODS (HEALTH.CITYOFNEWYORK.US). NY RANKS 5TH IN STATES WITH THE HIGH-TEST MENTAL ILLNESS RATES (MHANATIONAL.ORG) RATES OF SUBSTANCE USE, INCLUDING OVERDOSE DEATHS, HAVE ALSO INCREASED DISPROPORTIONATELY IN THE SERVICE AREAS AND POPULATIONS. IN 2021 THERE WERE 2,668 OVERDOSE DEATHS IN NYC, COMPARED WITH 2,103 IN 2020, AN INCREASE OF 565 DEATHS. THE LARGEST INCREASES OCCURRED AMONG MEN, BLACKS, AND IN HIG H-POVERTY NEIGHBORHOODS. THE RATE OF OVERDOSE DEATH INCREASED TO 39.4 PER 100,000 NYC RESIDENTS IN 2021, COMPARED WITH 31.6 PER 100,000 IN 2020. RATES OF OVERDOSE DEATH INCREASED ACROSS ALL RACIAL/ETHNIC GROUPS FROM 2020 TO 2021. THE HIGHEST RATE IN 2021 AND LARGEST INCREASE FROM 2020 WAS AMONG BLACK NEW YORKERS; THE RATE AMONG LATINO/A NEW YORKERS INCREASED 13.5 PER 100,000 RESIDENTS (FROM 35.7 TO 49.2 PER 100,000); AMONG WHITE NEW YORKERS, THE RATE INCREASED 2.1 PER 100,000 (FROM 34.1 TO 36.2 PER 100,000); AND AMONG ASIAN AND PACIFIC ISLANDER NEW YORKERS, THE RATE INCREASED 1.5 PER 100,000 (FROM 3.9 TO 5.4 PER 100,000). BHC IS PROPOSING TO INCREASE ITS STAFFING MODEL TO INCREASE THE AGENCY’S CAPACITY TO IMPROVE ACCESS TO BEHAVIORAL HEALTH CARE AMONG ITS SERVICE POPULATIONS, RESULTING IN INCREASED NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES AND SUD SERVICES, INCLUDING TREATMENT WITH MOUD. WITH THIS FUNDING BHC WILL CONDUCT THE FOLLOWING ACTIVITIES: • HIRE ADDITIONAL, QUALIFIED, AND CULTURALLY/LINGUISTICALLY COMPETENT BEHAVIORAL HEALTH STAFF, INCLUDING LCSWS AND A PSYCHIATRIST/PSYCHIATRIC NURSE PRACTITIONER • TRAIN BEHAVIORAL HEALTH STAFF IN TRAUMA INFORMED CARE PRACTICES, MEDICATION MANAGEMENT, MEDITATIVE MODALITIES, MENTAL HEALTH FIRST AID, AND EVIDENCE-BASED PROGRAMMING SUCH AS MOTIVATIONAL INTERVIEWING • PROVIDE SUD TREATMENT, INCLUDING MEDICATIONS FOR OPIOID USE DISORDER (MOUD), TREATMENT SERVICES • OFFER SUPPORT GROUPS AND MINDFULNESS SESSIONS • EXPAND BEHAVIORAL HEALTH SERVICE FOR CHILDREN AND ADOLESCENT POPULATIONS • UTILIZE A PATIENT NAVIGATOR APPROACH TO ENSURE ONGOING SUPPORT AND COORDINATION OF SERVICES • INCREASE AWARENESS OF THE AVAILABILITY OF SERVICES AND UTILIZATION OF SERVICES THROUGH ENHANCED MARKETING AND OUTREACH EFFORTS

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - THE ACTIVITIES IN THIS CATEGORY SUPPORT PROGRESS ALONG THE HIV CARE CONTINUUM TO IMPROVE THE HEALTH AND INCREASE THE LIFE SPAN OF TRANSGENDER PEOPLE WITH HIV AND TO PREVENT NEW INFECTIONS. BETANCES HEALTH CENTER (BHC) IS SEEKING $150,000 PER YEAR FROM HRSA TO CREATE AND PROVIDE A GENDER AFFIRMING CARE ENVIRONMENT. THE CARE AND TREATMENT OF TRANSGENDER AND GENDER-DIVERSE PEOPLE WITH HIV IS A PRIORITY FOR BETANCES HEALTH CENTER. TODAY, WE PROVIDE SERVICES TO 101 TRANSGENDER PEOPLE WITH HIV. WE WANT TO PROVIDE KNOWLEDGE AND A COMPREHENSIVE UNDERSTANDING OF THE TRANSGENDER POPULATION THAT WE SERVE TO MAINTAIN THEM FULLY ENGAGED IN CARE AND WITH THEIR VIRAL LOADS SUPPRESSED. BHC IN PARTNERSHIP WITH ORGANIZATIONS SUCH AS THE NATIONAL LGBTQ HEALTH AND EDUCATION CENTER, FENWAY INSTITUTE, AND THE UNIVERSITY OF CALIFORNIA WITH OBTAIN KNOWLEDGE ON GUIDELINES FOR PRIMARY AND GENDER AFFIRMING CARE OF TRANSGENDER AND GENDER NON-BINARY PEOPLE. WE ALSO WILL PROVIDE TRAININGS THROUGH OUR PARTNER AIDS EDUCATIONAL TRAINING CENTER (AETC), PRIME, AND OTHER LGBT PROGRAMS. WE WILL DIMINISH STIGMA AND DISCRIMINATION BY PROVIDING GENDER-AFFIRMING HEALTH CARE AND SOCIAL SERVICES TO THE TRANSGENDER COMMUNITY THROUGH EDUCATION AS A KEY COMPONENT TO IMPROVING THE LIVES OF TRANSGENDER PEOPLE WITH HIV AND ELIMINATING HEALTH DISPARITIES. WE WILL PROVIDE PATIENT-CENTERED, TRAUMA-INFORMED, AND INCLUSIVE ENVIRONMENTS OF CARE FOR CLIENTS TO HELP REDUCE MEDICAL MISTRUST AND OTHER BARRIERS TO ANTIRETROVIRAL THERAPY ADHERENCE FOR TRANSGENDER PEOPLE WITH HIV. BY ELIMINATING STRUCTURAL AND SOCIAL BARRIERS WE WILL FACILITATE THE TRANSGENDER POPULATION’S ACCESS TO HIV SERVICES IN AN ENVIRONMENT WITH EDUCATION ABOUT PRONOUNS AND THE PROVISION OF CULTURALLY RESPONSIVE CARE. WE WILL ADDRESS THE FOLLOWING COMPONENTS CRITICAL TO GENDER-AFFIRMING CARE: 1- STIGMA AND DISCRIMINATION 2- GENDER AFFIRMING MEDICAL TREATMENT, AND 3-GENDER-AFFIRMING MEDICAL & PSYCHOSOCIAL TREATMENT (MODEL OF CAR E INFRASTRUCTURE AND CLINICAL APPLICATION. WE WILL PROVIDE A DETAILED CARE PLAN WITH ALL THE ACTIVITIES IN A CALENDAR YEAR. WE WILL CREATE PROGRESS REPORTS WITH THE ESTABLISHED GOALS AND METRICS. BHC WILL FURTHER OBJECTIVES IN REACHING MORE OF THE TRANSGENDER UNDERSERVED POPULATIONS TO END THE HIV EPIDEMIC AND MAXIMIZE IMPACT.

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS