Cicatelli Associates Inc

NATIONAL HIGH IMPACT HIV PREVENTION (HIP) CLASSROOM LEARNING TRAINING CENTER (CLTC) - COMPONENT 1 TRACK B

NATIONAL TRAINING AND TECHNICAL ASSISTANCE

CBA FOR HIV PREVENTION PROGRAMS TO END THE HIV EPIDEMIC - SCIENTIFIC ADVANCES IN BIOMEDICAL HIV PREVENTION HAVE GENERATED A STEADILY EXPANDING HIV PREVENTION TOOLKIT, AND A 12% DECLINE IN NEW HIV TRANSMISSIONS NATIONALLY BETWEEN 2017 AND 2021 MAKE IT CLEAR THAT THE MEANS EXISTS TO END THE HIV EPIDEMIC. HOWEVER, THIS PROGRESS HAS NOT REACHED THOSE REGIONS OR POPULATIONS MOST IN NEED - MOVING THE GOAL OF ENDING THE HIV EPIDEMIC IN THE U.S. FURTHER DOWN THE ROAD. AT THIS CRITICAL MOMENT IN OUR FIGHT AGAINST HIV, WE MUST ENSURE THAT WE FOCUS ON PROVEN INTERVENTIONS AND STRATEGIES THAT ARE FOCUSED ON AND ADDRESS THE ROLE OF SYNDEMICS (CO-OCCURRING DISORDERS AND CO-EXISTING SOCIAL DETERMINANTS OF HEALTH) IN SLOWING PREVENTION UPTAKE AND BUILD THE CAPACITY OF STATE AND LOCAL HEALTH DEPARTMENTS (HDS), COMMUNITY-BASED ORGANIZATIONS (CBOS), AND OTHER PARTNERS TO WORK TOGETHER WITH THOSE AFFECTED BY HIV TO PLAN, INTEGRATE, EVALUATE AND IMPROVE THE COORDINATION, ACCESSIBILITY, ACCEPTABILITY, AND AVAILABILITY OF HIV PREVENTION PROGRAMS TO ACHIEVE GREATER IMPACT. TO BUILD ON OUR NATION’S HIV PREVENTION PROGRAM’S STRENGTHS AND LESSONS LEARNED, AND TACKLE ENDURING CHALLENGES, CAI IS SEEKING FUNDING UNDER COMPONENT B TO CONTINUE TO BUILD ON ITS ACHIEVEMENTS AS THE CURRENT CDC NATIONAL HIV CLASSROOM LEARNING CENTER (NHCLC) TO STRENGTHEN THE CAPACITY OF THE HIV WORKFORCE THROUGH TRAINING ON CDC- SUPPORTED INTERVENTIONS AND PUBLIC HEALTH STRATEGIES; AND UNDER COMPONENT D TO STRENGTHEN AND SUPPORT THE ADOPTION, IMPLEMENTATION AND SUSTAINABILITY OF THESE INTERVENTIONS AND PUBLIC HEALTH STRATEGIES TO PROVIDE MAXIMUM IMPACT THROUGH INTENSIVE, INDIVIDUALIZED TECHNICAL ASSISTANCE (TA). CAI WILL PROVIDE ACCESSIBLE CBA ANCHORED IN ADULT LEARNING THEORY USING A CLIENT-CENTERED, COMPETENCY-BASED AND EQUITY-FOCUSED APPROACH THAT FOSTERS PRACTICAL APPLICATION OF KNOWLEDGE AND SKILLS GAINED THROUGH TRAINING ON THE JOB AND ENSURES MAXIMUM REACH BY PROVIDING BOTH IN-PERSON AND VIRTUAL LIVE INSTRUCTOR-LED TRAINING TO HD AND CBO STAFF ON CDC-SUPPORTED HIGH IMPACT EQUITABLE HIV PREVENTION INTERVENTIONS AND PUBLIC HEALTH STRATEGIES. THIS INCLUDES ADDRESSING TOPICS OF NATIONAL IMPORTANCE SUCH AS SYNDEMIC APPROACHES, SCALING EXISTING AND NEW HIP INTERVENTIONS, ADDRESSING SDOH, AND A FOCUSED EFFORT ON PROVIDING TRAINING WHERE, AND FOR WHOM, DISPARITIES ARE GREATEST. LIKEWISE, CAI’S TA WILL BE RESPONSIVE TO THE UNIQUE ROLE HDS AND CBOS PLAY AS PART OF THE EXPANDED PUBLIC HEALTH SYSTEM AND BE FLEXIBLE TO ADDRESS THE CHANGING CAPACITY BUILDING NEEDS OF THE HIV WORKFORCE, AND CURRENT AND EMERGENT PROGRAMMATIC FOCUS AREAS. TA WILL BE ANCHORED IN ADULT LEARNING, IMPLEMENTATION SCIENCE AND SYSTEMS STRENGTHENING THEORY AND FRAMEWORKS TO ENSURE THAT IT IS FOCUSED ON ENVIRONMENTAL, COMMUNITY AND ORGANIZATION SYSTEMS THAT FACILITATE HIP IMPLEMENTATION, SCALE AND SPREAD - AND IS PRACTICAL AND APPLIED. TA WILL BE RELATIONSHIP-BASED, AND CAI WILL ACT IN THE CAPACITY OF EXTERNAL CHANGE AGENT IN PARTNERSHIP WITH HDS AND CBOS TO ACHIEVE MUTUALLY AGREED UPON GOALS. CBA PROVIDED BY CAI WILL RESULT IN MEASURABLE AND CONCRETE PROGRESS TOWARDS IMPLEMENTATION OF HIP INTERVENTIONS AND PUBLIC HEALTH STRATEGIES. SPECIFICALLY, OUR TRAINING PROGRAM WILL INCREASE HIV KNOWLEDGE, SKILLS AND COMPETENCIES; ENHANCE HD AND CBO STAFF CAPACITY FOR EQUITABLE HIV PROGRAM PLANNING, IMPLEMENTATION, EVALUATION, AND SERVICE DELIVERY; AND IMPROVE EFFECTIVE IMPLEMENTATION OF EQUITABLE HIV PREVENTION PROGRAMS BY HD AND CBO STAFF. TA WILL FOSTER STRENGTHENED HD AND CBO ORGANIZATIONAL CAPACITY TO ENHANCE STRUCTURAL ENVIRONMENTS TO SUPPORT COMPREHENSIVE AND EQUITABLE HIV PROGRAMS TO DIAGNOSE, TREAT, AND PREVENT HIV AND SYNDEMIC CONDITIONS, AND TO ADDRESS SDOH AND INEQUITIES, INCLUDING ACCESS TO HOUSING AND INSURANCE, AND ADDRESSING MEDICAL MISTRUST.

REPLICATING EVIDENCE-BASED TEEN PREGNANCY PREVENTION PROGRAMS TO SCALE IN SELECT ZIP CODES IN ERIE COUNTY NEW YORK (TIER 1B)

PERSONAL RESPONSIBILITY EDUCATION PROGRAM (PREP) INNOVATIVE STRATEGIES

IMPROVING CLINICAL AND PUBLIC HEALTH OUTCOMES THROUGH NATIONAL PARTNERSHIPS TO PREVENT AND CONTROL EMERGING AND RE-EMERGING INFECTIOUS DISEASE THREATS - IN THE PAST SEVERAL MONTHS, THE COVID-19 PANDEMIC HAS TAKEN A TREMENDOUS HUMAN TOLL. IN THE US, THE DEVASTATION IS PARTICULARLY ACUTE IN LOW-INCOME COMMUNITIES AND AMONG PEOPLE OF COLOR. FOR OVER HALF A CENTURY, THE NATION?S FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) HAVE BEEN THE NATION?S LARGEST SAFETY NET HEALTHCARE PROVIDER FOR THE MOST MARGINALIZED POPULATIONS ACROSS THE COUNTRY ? INCLUDING THE UNINSURED AND UNDERINSURED, PEOPLE LIVING IN OR NEAR POVERTY, THE HOMELESS, RACIAL AND ETHNIC MINORITIES, MIGRANT HEALTH WORKERS, AND PEOPLE LIVING IN RURAL COMMUNITIES. IN THE FACE OF A RE-EMERGENCE OF COVID-19 OR OTHER INFECTIOUS DISEASE, THERE IS OPPORTUNITY TO STRENGTHEN THE FQHC?S ROLE IN PANDEMIC RESPONSE BY BUILDING THE CAPACITY OF THE WORKFORCE TO BUILD ON LESSONS LEARNED TO STANDARDIZE WORKFLOWS AND TAILOR FOR CONTEXT, INCLUDING IN THE AREAS OF TELEHEALTH, TRIAGING PATIENTS, PROVIDING TESTING, PRESCRIBING PROPHYLAXIS WHEN AVAILABLE AND INDICATED, PROVIDING MEDICAL MANAGEMENT, AND LINKING CLIENTS TO SUPPORTIVE SERVICES.AS SUCH, CICATELLI ASSOCIATES INC. (CAI), A NATIONAL TRAINING AND CAPACITY BUILDING 501(C)3 NONPROFIT ORGANIZATION, SUBMITS THIS PROPOSAL WITH PRINCIPAL PARTNER, THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC), TO THE CDC NATIONAL CENTER FOR EMERGING AND ZOONOTIC INFECTIOUS DISEASES FOR IMPROVING CLINICAL AND PUBLIC HEALTH OUTCOMES THROUGH NATIONAL PARTNERSHIPS TO PREVENT AND CONTROL EMERGING AND RE-EMERGING INFECTIOUS DISEASE THREATS. TOGETHER, WE WILL ESTABLISH A PANDEMIC TRAINING RESPONSE ACCOUNTABILITY COMMITTEE (TRAC) THAT WILL RAPIDLY ACTIVATE EXISTING INFRASTRUCTURE TO EXPEDITE PANDEMIC RESPONSE THAT IS RESPONSIVE TO THE UNIQUE NEEDS OF FQHC STAFF AND PATIENTS. WORKING IN CLOSE COORDINATION WITH THE CDC, THE TRAC WILL DEPLOY A RAPID MULTI-MODAL AND ACCESSIBLE TRAINING PROGRAM TO BUILD THE CAPACITY OF FQHC HEALTHCARE PROVIDERS AT EVERY LEVEL, FROM PHYSICIANS AND NURSES TO SOCIAL WORKERS, PEERS AND PATIENT NA VIGATORS, TO MOBILIZE A RAPID RESPONSE TO ADDRESS THE RE-EMERGENCE OF COVID-19 TAILORED TO LOCAL CONTEXT. WE WILL LEVERAGE EXISTING COMMUNITY HEALTH AND COVID-19 REGISTRY DATA INFRASTRUCTURE TO SUPPORT RAPID DATA AGGREGATION AND ANALYTICS TO INFORM LOCAL RESPONSE TO THE PANDEMIC. WE WILL INTEGRATE A TRAUMA-INFORMED LENS TO BETTER UNDERSTAND AND RESPOND TO BOTH FQHC STAFF AND THE COMMUNITIES THEY SERVE IN THE MIDST OF THIS INCREDIBLY STRESSFUL SITUATION. THE TRAC WILL BE PREPARED TO IMPLEMENT 5 MUTUALLY REINFORCING STRATEGIES, DISSEMINATE AND ADOPT, INFORM AND ADAPT, TARGET AND TRAIN, INTEGRATE AND EXTEND, AND EVALUATE AND IMPROVE, AT THE NATIONAL, AND STATE AND/OR LOCAL LEVEL - PRIORITIZING THE MOST AFFECTED COMMUNITIES. WORKING IN PARTNERSHIP WITH OTHER NATIONAL AND REGIONAL ORGANIZATIONS, THE TRAC WILL RAPIDLY ACTIVATE OUR EXISTING TRAINING MANAGEMENT, DELIVERY, AND COMMUNICATION INFRASTRUCTURE, DATA SURVEILLANCE SYSTEMS, AND RELATIONSHIPS WITH FQHC, PUBLIC HEALTH, ACADEMIA, AND CBOS IN THE AFFECTED AREAS, TO EXPEDITE A PANDEMIC RESPONSE THAT IS EVIDENCE-BASED AND RESPONSIVE TO THE UNIQUE NEEDS OF FQHC STAFF, PATIENTS, AND LOCAL CONTEXT. TRAC ACTIONS WILL BE GROUNDED IN USE OF REAL-TIME DATA, GATHERED ACROSS FQHC PARTNERS, TO MONITOR PANDEMIC TRENDS, IDENTIFY PRIORITY POPULATIONS AND COMMUNITIES, AND FOCUS OUR EFFORTS ACCORDINGLY.

THE FERRY CORRIDOR PARTNERSHIP: AN INITIATIVE TO REDUCE HEALTH DISPARITIES AND CHRONIC DISEASE BY BRINGING A LIFE OF WELLNESS TO THE FERRY STREET CORRIDOR IN BUFFALO, NY.

CENTER OF EXCELLENCE FOR PROTECTED HEALTH INFORMATION (COE-PHI)

REDUCING CANCER DISPARITIES WITHIN THE BLACK COMMUNITY IN JACKSON, MS THROUGH COMMUNITY-LED TOBACCO-RELATED SOCIAL NORM CHANGE

ANNOUNCEMENT OF AVAILABILITY OF FUNDS FOR RIGOROUS EVALUATION OF NEW OR INNOVATIVE APPROACHES TO PREVENT TEEN PREGNANCY (TIER 2B)

HOPE BUFFALO - OPTIMALLY CHANGING THE MAP FOR TEEN PREGNANCY

CAI'S HOPE BUFFALO PROJECT - CAI’S HOPE BUFFALO PROJECT CICATELLI ASSOCIATES, INC. (CAI) 505 EIGHTH AVENUE SUITE 1900 NEW YORK, NY 10018-6506 PROJECT DIRECTOR STAN MARTIN, (212) 594-7741, SMARTIN@CAIGLOBAL.ORG WEBSITE:CAIGLOBAL.ORG; REQUESTING $1,436,650.00 BUILDING UPON THE STRONG FOUNDATION OF OUR EXISTING HOPE BUFFALO COMMUNITY MOBILIZATION PROJECT, CICATELLI ASSOCIATES, INC. (CAI) WILL PARTNER WITH YOUTH LEADERS AND AN EXTENSIVE NETWORK OF PARTNERS TO LEVERAGE THE TRUSTING RELATIONSHIPS BUILT WITH THE COMMUNITY OVER THE LAST SEVEN YEARS, THAT HAVE CONTRIBUTED TO A REDUCTION IN TEEN PREGNANCY RATES BY 34% FROM 2015-2020. AS THE BACKBONE ORGANIZATION OF HOPE BUFFALO, WE WILL WORK ALONGSIDE A GROUP OF COMMITTED PARTNERS AND YOUTH TO ORGANIZE AND PURSUE COORDINATED ACTION TOWARD A COMMON VISION. TO DO THAT WE WILL IMPLEMENT EFFECTIVE, MEDICALLY ACCURATE, AGE-APPROPRIATE, AND CULTURALLY TAILORED EVIDENCE-BASED TEEN PREGNANCY PREVENTION INTERVENTIONS AND STRATEGIES TO REDUCE TEEN PREGNANCY AND OTHER ASSOCIATED BEHAVIORAL RISK FACTORS. OUR COORDINATED APPROACH WILL REACH 3,000 YOUTH, AGES 10 TO 19, ANNUALLY AS WELL AS THEIR PARENTS, CAREGIVERS, AND OTHER CARING ADULTS IN SCHOOL, IN THE COMMUNITY, AND IN WORKFORCE DEVELOPMENT PROGRAMS, TO IMPROVE SEXUAL AND REPRODUCTIVE HEALTH OUTCOMES, PROMOTE POSITIVE YOUTH DEVELOPMENT, AND ADVANCE HEALTH EQUITY FOR ADOLESCENTS, THEIR FAMILIES, AND COMMUNITIES. LOCATED IN ERIE COUNTY, BUFFALO IS THE SECOND LARGEST CITY IN NEW YORK, WITH A POPULATION OF 276,804 OF WHICH 12.4% ARE AGED 10-19 YEARS OLD (34,387 YOUTH). BUFFALO IS BROADLY DIVERSE, HAVING A HIGHER PERCENTAGE OF BLACK/AFRICAN AMERICAN (36.1%), HISPANIC (11.5%), ASIAN (8.6%), AND PERSONS IDENTIFYING AS ANOTHER RACE (9.6%) THAN ERIE COUNTY AS A WHOLE. BUFFALO RESIDENTS EXPERIENCE HIGH LEVELS OF POVERTY, WITH 26% LIVING BELOW 100% OF THE FEDERAL POVERTY LEVEL. IN THE 2021-2022 SCHOOL YEAR, 78% OF THE 28,508 STUDENTS ATTENDING BUFFALO PUBLIC SCHOOLS IN GRADES K-12, WERE CONSIDERED POOR BY THE NYS DEPARTMENT OF EDUCATION. THE BUFFALO PUBLIC SCHOOLS 2021 YOUTH RISK BEHAVIOR SURVEY RESULTS SHOW THAT STUDENTS REPORT INCREASED EXPERIENCE OF SEXUAL VIOLENCE AND A NEED FOR SIGNIFICANTLY ENHANCED SOCIAL SUPPORT AND MENTAL HEALTH SERVICES. FURTHER, RESULTS SHOW THAT SUICIDE ATTEMPTS ARE RISING AT BOTH THE MIDDLE AND HIGH SCHOOL LEVELS (FROM 10% TO 12% AND 8% TO 11%, RESPECTIVELY). THE PROJECT’S GOAL IS TO ADVANCE EQUITY IN ADOLESCENT HEALTH (AGE 10-19) IN FIVE ZIP CODES IN BUFFALO BY LEVERAGING RELATIONSHIPS IN THE COMMUNITY THAT CULTIVATE OPTIMAL SEXUAL AND MENTAL HEALTH FOR ADOLESCENTS THROUGH AN EQUITABLE LENS. TO ACHIEVE OUR GOAL, WE WILL MOBILIZE OUR YOUTH AND COMMUNITY PARTNERS TO DEVELOP A COORDINATED PLAN TO ADVANCE ADOLESCENT HEALTH EQUITY OVER THE FIVE-YEAR PROJECT PERIOD BY REPLICATING AND SCALING UP EVIDENCE-BASED PROGRAM AND STRATEGIES REACHING 2,700 YOUTH, AGES 10-19, ANNUALLY. IN TANDEM WITH THOSE EFFORTS, WE WILL BUILD THE CAPACITY OF 300 PARENTS AND OTHER CARING ADULTS IN THE COMMUNITY TO CREATE SAFE, SUPPORTIVE ENVIRONMENTS FOR ALL YOUTH, AND STRENGTHEN AND EXPAND A SCHOOL AND COMMUNITY-BASED REFERRAL NETWORK TO LINK 1,000 YOUTH TO SEXUAL HEALTH SERVICES AND BEHAVIORAL AND MENTAL HEALTH PROVIDERS EACH YEAR OF THE PROJECT. CAI, AS THE BACKBONE OF THIS VITAL INITIATIVE THAT HAS BEEN PROVEN EFFECTIVE IN REDUCING TEEN PREGNANCY RATES WILL MAINTAIN AND UPDATE THE SYSTEMS TO COLLECT, REPORT AND USE DATA TO CONTINUOUSLY IMPROVE PERFORMANCE.

NATIONAL TRAINING AND TECHNICAL ASSISTANCE

CENTER OF EXCELLENCE FOR TOBACCO-FREE RECOVERY - CICATELLI ASSOCIATES INC. (CAI), A NATIONAL NON-PROFIT ORGANIZATION, WITH DECADES OF EXPERIENCE BRINGING DIVERSE GROUPS OF STAKEHOLDERS AND COMMUNITY MEMBERS TOGETHER TO SET AN AGENDA FOR AND JOINTLY PURSUE, POLICY, SYSTEMS AND PEOPLE CHANGE TO ESTABLISH TOBACCO-FREE ENVIRONMENTS, PROPOSES TO SERVE AS THE CENTER OF EXCELLENCE FOR TOBACCO-FREE RECOVERY (COE-TFR) IN RESPONSE TO FUNDING OPPORTUNITY SM-23-019 ISSUED BY THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA). THE COE-TFR WILL DEVELOP AND DISSEMINATE TRAINING, TECHNICAL ASSISTANCE (TTA), AND EDUCATIONAL RESOURCES TO STATES, LOCAL GOVERNMENTS, TRIBAL COMMUNITIES, BEHAVIORAL HEALTH ORGANIZATIONS, PRIMARY CARE PROVIDERS, CLINICIANS, PEERS, FAMILIES, AND OTHER STAKEHOLDERS THAT PROMOTE REDUCTION IN TOBACCO USE AMONG INDIVIDUALS WITH MENTAL HEALTH AND/OR SUBSTANCE USE DISORDER, IN RECOGNITION THAT PREVALENCE OF SMOKING AMONG THOSE WITH BEHAVIORAL HEALTH CONDITIONS REMAIN DISPROPORTIONATELY HIGH. CAI BRINGS OVER 40 YEARS OF EXPERIENCE PARTNERING WITH NATIONAL AND STATE ADMINISTRATORS AND LEADERS, PROVIDERS, COMMUNITY MEMBERS, AND STAKEHOLDERS TO DESIGN AND IMPLEMENT INNOVATIVE STRATEGIES TO PROMOTE OPTIMAL HEALTH AND ARE RESPONSIVE TO THE NEEDS OF COMMUNITIES SERVED; THIS INCLUDES SIGNIFICANT SPECIALIZED EXPERTISE IN PROVIDING TA THAT SUPPORTS REDUCTION IN TOBACCO USE COUPLED WITH DEEP EXPERIENCE ADDRESSING THE NEEDS OF HISTORICALLY MARGINALIZED POPULATIONS IN BEHAVIORAL HEALTHCARE SETTINGS. WE WILL CENTER THE VOICES AND AMPLIFY THE ROLE FAMILY AND FRIENDS PLAY IN ACHIEVING POSITIVE HEALTH OUTCOMES. CAI’S STRATEGY WILL BE ANCHORED IN BUILDING A SET OF COHESIVE BELIEFS AMONG DIVERSE STAKEHOLDERS THAT TREATMENT OF TOBACCO USE DISORDER (TUD) IS RECOMMENDED, SAFE, DESIRED BY PEOPLE WITH BEHAVIORAL HEALTH DISORDERS, NECESSARY TO IMPROVE BEHAVIORAL HEALTH OUTCOMES, ACHIEVABLE, AND SAVES LIVES. THIS SHARED SET OF BELIEFS WILL SERVE AS THE FOUNDATION UPON WHICH WE WILL WORK WITH STATE AND LOCAL POLICYMAKERS; HEALTH SYSTEMS; THE BEHAVIORAL HEALTH TREATMENT TEAM, INCLUDING CLINICAL AND NON-CLINICAL MEMBERS; AND BEHAVIORAL HEALTH CONSUMERS AND THEIR FAMILIES AND SOCIAL NETWORKS, TO COLLECTIVELY IDENTIFY AND IMPLEMENT STRATEGIES FOR MAKING POLICY, SYSTEMS AND PEOPLE CHANGE TO ESTABLISH AND ACHIEVE OUR SHARED GOALS FOR REDUCING RATES OF TOBACCO USE AMONG INDIVIDUALS WITH MENTAL HEALTH AND/OR SUD AND TAILORED FOR DISPROPORTIONATELY IMPACTED BEHAVIORAL HEALTH POPULATIONS. CAI’S STRATEGY WILL INCREASE THE NUMBER OF STATES, LOCAL GOVERNMENTS, TRIBAL COMMUNITIES, BEHAVIORAL HEALTH ADMINISTRATORS, PRIMARY CARE PROVIDERS, CLINICIANS, PEERS, FAMILIES, AND OTHER STAKEHOLDERS THAT RECEIVE TTA THROUGH THE COE-TFR. WE WILL ENGAGE TWELVE STATES OVER FIVE YEARS BY CONVENING THREE LEADERSHIP ACADEMY COHORTS, EACH COMPRISED OF FOUR STATES AND LASTING 18 MONTHS. UTILIZING THIS APPROACH WE WILL FOSTER CROSS-STATE PEER LEARNING TO LAUNCH PLANNING FOR AND PROVIDE INDIVIDUALIZED TECHNICAL ASSISTANCE TO EACH STATE TO PLAN AND CONVENE STATE-SPECIFIC LEADERSHIP ACADEMIES AMONG STATE POLICY, HEALTH SYSTEMS, CLINIC, CARE TEAM, AND CONSUMERS/ FAMILIES TO DEVELOP AND IMPLEMENT RESULTS-ORIENTED ACTION PLANS AND COLLABORATIONS. LEADERSHIP ACADEMY ACTIVITIES WILL BE SUPPORTED BY THE DEVELOPMENT OF A NATIONAL 5-YEAR STRATEGIC PLAN, BUILDING UPON THE 2018 PLAN DRAFTED BY THE CURRENT COE-TFR, TO REDUCE COMMERCIAL TOBACCO USE. TAILORED TTA WILL BE PROVIDED TO STATES AND THEIR PARTNERS PARTICIPATING IN LEADERSHIP ACADEMIES THROUGHOUT THE DURATION OF THE INITIATIVE. WEBINAR TRAININGS WILL BE FACILITATED FOR A NATIONAL AUDIENCE REACHING OVER 1,500 INDIVIDUALS ANNUALLY. RESOURCES WILL BE DISSEMINATED BY ESTABLISHING A COE-TFR WEBSITE THAT WILL GARNER OVER 10,000 WEBSITE VISITS ANNUALLY AND 300 RESOURCE DOWNLOADS. AT LEAST 85% OF INDIVIDUALS PARTICIPATING IN TTA WILL INDICATE IMPROVED KNOWLEDGE AND INTENTION TO APPLY KNOWLEDGE IN PRACTICE AT 30-DAY FOLLOW UP.

2008 ANNOUNCEMENT OF AVAILABILITY OF FUNDS FOR TEN FAMILY PLANNING REGIONAL GENERAL TRAINING AND TECHNICAL ASSISTANCE PR

TO IMPLEMENT HIGH IMPACT HIV PREVENTION

2008 ANNOUNCEMENT OF AVAILABILITY OF FUNDS FOR TEN FAMILY PLANNING REGIONAL GENERAL TRAINING AND TECHNICAL ASSISTANCE PR

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

COMMUNITY HEALTH WORKER TRAINING PROGRAM - ADDRESS: CAI, 505 EIGHTH AVENUE, SUITE 1900, NEW YORK NY 10018 PROJECT DIRECTOR NAME: DAVID DAVIS CONTACT PHONE NUMBERS (VOICE): 929-581-0861 EMAIL ADDRESS: DDAVIS@CAIGLOBAL.ORG WEBSITE ADDRESS: WWW.CAIGLOBAL.ORG LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION: $3,000,000 IF REQUESTING A FUNDING PREFERENCE, PRIORITY, OR SPECIAL CONSIDERATION AS OUTLINED IN SECTION V. 2. OF THE PROGRAM-SPECIFIC NOFO, INDICATE HERE: NO REQUEST FOR FUNDING PREFERENCE CAI WILL TRAIN COMMUNITY HEALTH WORKERS (CHWS) AND HEALTH SUPPORT WORKERS (HSWS) IN CORE AND SPECIALIZED PUBLIC HEALTH SKILLS, AND INCREASE THEIR EMPLOYMENT READINESS THROUGH FIELD PLACEMENTS AND APPRENTICESHIPS IN LOW-INCOME COMMUNITIES OF COLOR IN NEW YORK CITY (NYC) – WITH A SPECIFIC FOCUS ON THE SOUTH BRONX, UPPER AND LOWER MANHATTAN, CENTRAL BROOKLYN, AND WEST QUEENS. OVER THE COURSE OF THE THREE-YEAR PROJECT, CAI WILL TRAIN 240 CHWS AND HSWS, INCLUDING AT LEAST 180 WORKERS WHO ARE NEW TO THE FIELD. NEW TRAINEES (AT LEAST 180) WILL RECEIVE 80 HOURS OF HYBRID (LIVE AND VIRTUAL), INTERACTIVE TRAINING ON CORE PUBLIC HEALTH COMPETENCIES, WITH A PARTICULAR FOCUS ON IDENTIFYING AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND PREPARING TRAINEES FOR FUTURE JOBS IN THE PUBLIC HEALTH FIELD. A SEPARATE TRACK WILL PROVIDE TRAINING TO CURRENT CHWS AND HSWS TO EXPAND AND STRENGTHEN THEIR PUBLIC HEALTH SKILLS. AT LEAST 25% OF NEW TRAINEES WILL GAIN ON-THE-JOB TRAINING THROUGH CAI’S DEPARTMENT OF LABOR-REGISTERED APPRENTICESHIP PROGRAM. CAI HAS ENTERED INTO MEMORANDA OF UNDERSTANDING WITH FOUR LEADING SAFETY-NET PROVIDERS OF HEALTH AND SOCIAL SERVICES TO LOW-INCOME COMMUNITIES OF COLOR IN NYC – ACACIA NETWORK, APICHA COMMUNITY HEALTH CENTER, BRIDGING ACCESS TO CARE, DAMIAN FAMILY HEALTH CENTERS, AND ST. ANN’S CORNER OF HARM REDUCTION. THESE ORGANIZATIONS WILL WORK WITH CAI TO RECRUIT NEW TRAINEES, FOCUSING ON YOUNG, LOW-INCOME PEOPLE OF COLOR LIVING IN THE ABOVE-NOTED NYC NEIGHBO RHOODS. CAI’S ADULT LEARNING EXPERTS WILL PROVIDE THE INTERACTIVE CORE AND UPSKILLING TRAINING TO NEW TRAINEES AND EXISTING CHWS/HSWS, RESPECTIVELY. CAI WILL PROVIDE INTENSIVE TRAINING, TECHNICAL ASSISTANCE AND COACHING TO SENIOR LEADERSHIP AT EACH OF THE PARTNER ORGANIZATIONS AS WELL AS TO THE MID-LEVEL STAFF WHO WILL SUPERVISE TRAINEES ON THE JOB, INCLUDING BUILD SUPERVISORS’ CAPACITY TO USE REAL-TIME DATA TO MONITOR AND IMPROVE TRAINEES’ PERFORMANCE. CAI WILL FOLLOW UP WITH EACH TRAINEE FOLLOWING THEIR APPRENTICESHIP TO AID IN JOB PLACEMENT. A COMPREHENSIVE PROCESS AND OUTCOME EVALUATION WILL DOCUMENT THE PROJECT’S IMPACT.

CAI'S CENTER OF EXCELLENCE FOR PROTECTED HEALTH INFORMATION RELATED TO BEHAVIORAL HEALTH - CAI’S CENTER OF EXCELLENCE FOR PROTECTED HEALTH INFORMATION RELATED TO BEHAVIORAL HEALTH CICATELLI ASSOCIATES, INC (CAI) 505 EIGHTH AVENUE, SUITE 1900 NEW YORK, NY 10018 MICHAEL GRAZIANO, PROJECT DIRECTOR (212) 594-7741 MGRAZIANO@CAIGLOBAL.ORG WEBSITE: CAIGLOBAL.ORG FUNDING REQUESTED: $1,000,000.00. CICATELLI ASSOCIATES, INC. (CAI), A NATIONAL NON-PROFIT CAPACITY BUILDING ORGANIZATION, IN RESPONSE TO FUNDING OPPORTUNITY # TI-23-013 ISSUED BY THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION, PROPOSES TO SERVE AS THE CENTER OF EXCELLENCE FOR PROTECTED INFORMATION RELATED TO BEHAVIORAL HEALTH, IN PARTNERSHIP WITH THE NATION’S FOREMOST EXPERTS IN THE AREA OF FEDERAL AND STATE BEHAVIORAL HEALTH PRIVACY LAW, INCLUDING THE LEGAL ACTION CENTER AND NETWORK FOR PUBLIC HEALTH LAW. THE PROPOSED PROJECT WILL DEVELOP AND DELIVER TRAINING, TECHNICAL ASSISTANCE AND EDUCATIONAL RESOURCES ON RELEVANT PRIVACY STATUTES AND REGULATIONS, AND THROUGH A MULTI-PRONGED DISSEMINATION STRATEGY, REACH UP TO 20,000 BEHAVIORAL HEALTH PATIENTS, FAMILY MEMBERS, AND PROVIDERS OF BEHAVIORAL HEALTH SERVICES EACH YEAR. IN 2020, NEARLY 90 MILLION AMERICAN ADULTS REPORTED EXPERIENCING EITHER A MENTAL ILLNESS OR A SUBSTANCE USE DISORDER (SUD) AND MORE THAN 6 MILLION YOUNG PEOPLE AGED 12-17 HAD EITHER A MAJOR DEPRESSIVE EPISODE OR SUD. IN 2021, AMONG THE 57.8 MILLION ADULTS WITH ANY MENTAL ILLNESS IN THE PAST YEAR, ONLY 47.2% RECEIVED MENTAL HEALTH SERVICES. THE IMPACT OF THE COVID PANDEMIC HAS WORSENED EXISTING BEHAVIORAL HEALTH CONDITIONS, AND INCREASED SUBSTANCE USE DUE TO TRAUMATIC STRESS, UNEMPLOYMENT, AND SOCIAL ISOLATION, AND HAS SO STRAINED THE NATION’S BEHAVIORAL HEALTH SYSTEM THAT PROVIDERS ARE NOW CONFRONTED WITH UNPRECEDENTED MENTAL HEALTH AND SUBSTANCE USE CRISES. MENTAL HEALTH AND SUBSTANCE USE CONDITIONS ARE STIGMATIZED AND INDIVIDUALS MAY FACE DISCRIMINATION IF THEIR TREATMENT INFORMATION IS REVEALED, POTENTIALLY PREVENTING THEM FROM ACCESSING NEEDED SERVICES. CAI’S APPROACH, STRUCTURED YET FLEXIBLE, IS GROUNDED IN ACCURATE INTERPRETATION OF FEDERAL AND STATE LAWS AND REGULATIONS, APPLIES FEDERAL PLAIN LANGUAGE GUIDELINES AS WELL AS ADULT LEARNING PRINCIPLES AND PRACTICES, AND USES DATA TO FOSTER CONTINUOUS IMPROVEMENT. MULTI-MODAL STRATEGIES WILL ENGAGE TARGET AUDIENCES INCLUDING TRAINING (REMOTE AND FACE-TO-FACE), E-LEARNING, INDIVIDUALIZED TECHNICAL ASSISTANCE, AND EDUCATIONAL MATERIALS INCLUDING ISSUES BRIEFS, FAQS, TEMPLATES, AND TRAINING CURRICULA AND GUIDANCE DOCUMENTS. WE WILL UTILIZE A SPECIFIC SET OF STRATEGIES TO REACH INDIVIDUALS AND FAMILIES, ADDRESS THE NEEDS OF UNDERSERVED POPULATIONS, ADDRESS PRIVACY CONCERNS RELATED TO USE OF TECHNOLOGY FOR THE PROVISION OF CARE AND SUPPORT THE ROLL-OUT OF NEWLY FUNDED INITIATIVES TO ADDRESS NATIONAL BEHAVIORAL HEALTH PRIORITIES. OUR APPROACH IS CENTERED IN EMPATHY AND PARTNERSHIPS THAT PROMOTE EQUITABLE ACCESS FOR INDIVIDUALS LIVING WITH BEHAVIORAL HEALTH DISORDERS TO HELP THEM ATTAIN THE QUALITY CARE THEY NEED AND DESERVE TO SUPPORT THEIR SELF-DIRECTED, LONG-TERM RECOVERY.

NATIONAL TRAINING AND TECHNICAL ASSISTANCE PROVIDER OR COMMUNITY-WIDE INITIATIVES

TITLE X NATIONAL TRAINING CENTER FOR COORDINATION AND STRATEGIC INITIATIVES, PART A-1

2007 NATIONAL FAMILY PLANNING TRAINING CENTER COOPERATIVE AGREEMENT

NATIONAL TRAINING AND TECHNICAL ASSISTANCE

TO IMPLEMENT HIGH IMPACT HIV PREVENTION

NATIONAL TRAINING AND TECHNICAL ASSISTANCE - CICATELLI ASSOCIATES, INC. (CAI) SUBMITS THIS PROPOSAL TO THE HEALTH RESOURCES AND SERVICES ADMINISTRATION IN RESPONSE TO HRSA-26-014, FOSTERING COLLABORATION ACROSS RYAN WHITE HIV/AIDS PROGRAMS TO ENGAGE PEOPLE WITH HIV IN CARE, TO STRENGTHEN THE CAPACITY OF RYAN WHITE HIV/AIDS PROGRAM (RHWAP) PART A, B, C, D AND F (THE “PARTS”) TO USE COLLABORATIVE AND COORDINATED APPROACHES, AND SOUND PLANNING PROCESSES, TO IDENTIFY, IMPLEMENT, AND CONTINUOUSLY IMPROVE POLICIES, PARTNERSHIPS, SYSTEMS, AND PRACTICES TO ADDRESS THE UNMET NEEDS OF PEOPLE DISPROPORTIONATELY IMPACTED BY HIV WHO ARE OUT OF CARE. THROUGHOUT, WE WILL FOCUS ON MAXIMIZING EXISTING RESOURCES AND IDENTIFYING CONCRETE ACTIONS PARTS CAN TAKE AT 3, 6, 12 AND 24 MONTHS, THAT DELIVER IMMEDIATE BENEFITS FOR PWH AND RESULT IN A STRENGTHENED OVERALL SYSTEM OF CARE FOR LASTING IMPROVEMENT. PEOPLE LIVING WITH HIV (PWH) WHO ARE REACHED BY THE RWHAP-FUNDED SYSTEM OF CARE ACHIEVE EXCEPTIONALLY GOOD HEALTH OUTCOMES - BUT AMERICA’S FIGHT TO END HIV REMAINS UNFINISHED AND PROGRESS UNEVEN. APPROXIMATELY 87% OF NEW HIV TRANSMISSIONS ARE ESTIMATED TO RESULT FROM PEOPLE WHO DO NOT KNOW THEIR HIV STATUS OR ARE NOT ENGAGED IN CARE, ONE IN THREE PWH ARE NOT CURRENTLY RECEIVING MEDICAL CARE, AND MORE THAN ONE-THIRD ARE NOT VIRALLY SUPPRESSED. THEREFORE, WHILE SUSTAINING HIGH-QUALITY CARE AND TREATMENT FOR PEOPLE CURRENTLY RECEIVING SERVICES THROUGH RWHAP PARTS, WE MUST CONTINUE TO STRENGTHEN OUR EFFORTS TO IDENTIFY AND ENGAGE PWH WHO ARE OUT-OF-CARE. ENDING THE EPIDEMIC IN THE U.S. (EHE) HAS BEEN HIGHLY SUCCESSFUL, BUT NEARLY HALF OF ALL NEW INFECTIONS ARE IN AREAS THAT ARE NOT FUNDED BY EHE. THROUGH THIS INITIATIVE, CAI WILL COLLABORATE WITH HRSA TO IDENTIFY AND ENGAGE EIGHT NON-EHE STATES WITH UNMET NEED AMONG POPULATIONS DISPROPORTIONATELY IMPACTED BY HIV WHO ARE OUT OF CARE TO PLAN AND EXECUTE STATE-WIDE MEETINGS IN EACH STATE. TO PREPARE FOR MEETINGS WE WILL WORK WITH PART A–F GRANTEES, KEY PARTNERS, COLLABORATORS, AND PWH TO MAP EACH STATE’S CURRENT HIV LANDSCAPE THROUGH A SET OF COMPREHENSIVE ASSESSMENT ACTIVITIES. FINDINGS FROM ASSESSMENTS WILL INFORM THE DEVELOPMENT OF AGENDAS AND MATERIALS FOR STATEWIDE CONVENINGS, IDENTIFY CONVENING PARTICIPANTS ENSURING REPRESENTATION FROM ALL PARTS, KEY PARTNERS AND COLLABORATORS (E.G., RYAN WHITE COMMUNITY COUNCILS), AND PWH. DURING STATE CONVENINGS, PARTICIPANTS WILL CO-DEVELOP A PLAN WITH CONCRETE GOALS, OBJECTIVES, AND ACTIONABLE STEPS THAT OUTLINE RESPONSIBILITIES. PLANS WILL FOCUS ON ACTIONS EACH PART, AND IDENTIFIED COLLABORATORS, WILL TAKE TO SUPPORT SHARED GOALS TO LINK AND RETAIN OUT-OF-CARE PWH, IMPROVING VIRAL SUPPRESSION RATES AND STRENGTHENING CONDITIONS ASSOCIATED WITH COLLABORATIVE ACTION, INCLUDING MONITORING ACTIVITIES. FOLLOWING THE CONCLUSION OF STATE MEETINGS, CAI WILL PROVIDE TA TO STATES TO FINALIZE ACTION AND MONITORING PLANS AND SUPPORT THE SUCCESSFUL IMPLEMENTATION OF PLANS AND SUPPORT COLLABORATIVE ACTION. THROUGHOUT, CAI WILL EMPLOY A STRENGTHS-BASED, ADAPTABLE AND RELATIONAL APPROACH TO TA – ENSURING THAT TA IS DONE WITH RYAN WHITE PROGRAMS, NOT TO THEM; AND THAT IT IS GROUNDED IN IMPLEMENTATION SCIENCE AND HEALTH SYSTEMS STRENGTHENING FRAMEWORKS, AS WELL AS ADULT LEARNING PRINCIPLES. WE WILL FORM AND ENGAGE A CROSS-PART WORKGROUP THAT INCLUDES PWH AND OTHER KEY PARTNERS AND COLLABORATORS TO SUPPORT THE PLANNING AND IMPLEMENTATION OF ALL PROJECT ACTIVITIES IN EACH STATE. IN ADDITION, EACH STATE WILL BE ASSIGNED A DEDICATED IMPLEMENTATION COACHING TEAM, CONSISTING OF TWO EXPERIENCED COACHES WITH DEEP RWHAP EXPERIENCE. THESE COACHES, WORKING WITH OUR EXPERT FACULTY, WILL PROVIDE ONGOING AND ON-DEMAND TA, GUIDING PLANNING AND COLLABORATION BEFORE, DURING, AND AFTER CONVENINGS, AS DETAILED IN THE SECTIONS THAT FOLLOW.

CAI'S STOP STDS PROJECT COMPONENT D

NATIONAL TRAINING AND TECHNICAL ASSISTANCE

NATIONAL TRAINING AND TECHNICAL ASSISTANCE

COMMUNITY APPROACHES TO REDUCING SEXUALLY TRANSMITTED DISEASES (CARS)

NATIONAL TRAINING AND TECHNICAL ASSISTANCE

COMMUNITY APPROACHES TO REDUCING SEXUALLY TRANSMITTED DISEASES (CARS) BUFFALO NEW YORK

NATIONAL TRAINING AND TECHNICAL ASSISTANCE

PEPFAR DOMINICIAN REPUBLIC AIDS RELIEF

BUILDING THE CAPACITY OF LOCAL EDUCATION AGENCIES TO REDUCE HIV AND

NATIONAL TRAINING AND TECHNICAL ASSISTANCE

CBA TO IMPROVE THE DELIVERY & EFFECTIVENESS OF HIV PREVENTION INTERVENTIONS

STD-RELATED REPRODUCTIVE HEALTH, PREVENTION TRAINING AND TA CENTER FOR HHS FEDERAL REGION II

REP11: FOCUS ON THE FUTURE A SINGLE SESSION CLINIC-BASED BEST EVIDENCE SAFER SEX

BUILDING THE CAPACITY OF LOCAL EDUCATION AGENCIES TO REDUCE HIV AND

NATIONAL TRAINING AND TECHNICAL ASSISTANCE

STD-RELATED REPRODUCTIVE HEALTH, PREVENTION, TRAINING AND TA CENTER FOR HHS FEDERAL REGION IV

EMERGING ISSUES IN MCH

PEPFAR BELIZE AIDS RELIEF

PEPFAR BARBADOS AIDS RELIEF

PEPFAR BAHAMAS AIDS RELIEF

PEPFAR CARIBBEAN REGION AIDS RELIEF