Centerstone Of America Inc

CENTERSTONE NEW PATHWAYS FOR FATHERS AND FAMILIES (CNP)

HEALTHY START INITIATIVE-ELIMINATING RACIAL/ETHNIC DISPARITIES

CENTERSTONE COMMUNITY MENTAL HEALTH CENTER IN INDIANA (C-CMHC) - CENTERSTONE COMMUNITY MENTAL HEALTH CLINIC (C-CMHC) WILL SUPPORT AND RESTORE THE DELIVERY OF CLINICAL SERVICES THAT WERE IMPACTED BY THE PANDEMIC AND ADDRESS THE NEEDS OF INDIVIDUALS WITH SERIOUS EMOTIONAL DISTURBANCE (SED), SERIOUS MENTAL ILLNESS (SMI), AND/OR CO-OCCURRING SMI/SED AND SUBSTANCE USE DISORDERS (COD). C-CMHC WILL SERVE 1,000 UNDUPLICATED INDIVIDUALS THROUGHOUT 26 SOUTHEASTERN INDIANA COUNTIES. C-CMHC'S GEOGRAPHIC CATCHMENT AREA COMPRISES BARTHOLOMEW, BROWN, CLARK, DECATUR, DELAWARE, FAYETTE, GREENE, HENRY, JACKSON, JEFFERSON, JENNINGS, JOHNSON, LAWRENCE, MADISON, MARION, MONROE, MORGAN, ORANGE, OWEN, RANDOLPH, RIPLEY, RUSH, SCOTT, SWITZERLAND, UNION, AND WAYNE COUNTIES, INDIANA. DEMOGRAPHICS OF THE ESTIMATED 172,700 IN THE FOCUS POPULATION ARE EXPECTED TO MIRROR THOSE OF THE CATCHMENT AREA: 49% MALE, 51% FEMALE, 72% WHITE, 14% BLACK/AFRICAN AMERICAN, AND 6% HISPANIC/LATINO INDIVIDUALS. C-CMHC SUBPOPULATIONS WITH SMI/SED INCLUDE APPROXIMATELY 4,420 VETERANS; 12,500 ADULTS FROM RACIAL/ETHNIC MINORITY POPULATIONS; ECONOMICALLY DISADVANTAGED COMMUNITIES (E.G., 12,720 PERSONS IN POVERTY); AND 3,880 CRIMINAL/JUVENILE JUSTICE-INVOLVED INDIVIDUALS. AMONG CATCHMENT AREA ADULTS, ROUGHLY 92,000 ARE EXPECTED TO HAVE SMI, AND APPROXIMATELY 23,900, COD. NEARLY 48,500 CATCHMENT AREA ADOLESCENTS (UNDER AGE 17) ARE ESTIMATED TO HAVE A SED, AND 8,100 CHILDREN ARE EXPECTED TO HAVE MAJOR DEPRESSIVE EPISODE (MDE) WITH SEVERE IMPAIRMENT AND CO-OCCURRING SUBSTANCE USE DISORDER (SUD). C-CMHC STRATEGIES INCLUDE STRENGTHENING THE INFRASTRUCTURE NECESSARY TO PROVIDE HIPAA COMPLIANT TELEHEALTH CAPABILITIES AND ADVANCING RESOURCES TO ADDRESS THE MENTAL HEALTH NEEDS OF CMHC STAFF. C-CMHC WILL CONDUCT TRAUMA-INFORMED SCREENING/ASSESSMENTS, USING RESULTS TO DEVELOP/IMPLEMENT PATIENT-CENTERED INDIVIDUAL TREATMENT PLANS, INCLUDING OUTPATIENT AND RECOVERY SUPPORT SERVICES. C-CMHC’S EVIDENCE-BASED OUTPATIENT INTERVENTIONS WILL BE SUITABLE FOR SMI/SED/COD DIAGNOSES (E.G., COGNITIVE BEHAVIORAL THERAPY [CBT]; CBT FOR PSYCHOSIS; DIALECTICAL BEHAVIORAL THERAPY-SKILLS TRAINING; MOTIVATIONAL INTERVIEWING; MULTIDIMENSIONAL FAMILY THERAPY), AND WILL INCLUDE INTERVENTIONS FOR SUICIDE RISK AND/OR CRISIS FOLLOW-UP (CBT-SUICIDE PREVENTION, RELATE). ADDITIONAL STRATEGIES/INTERVENTIONS INCLUDE PROVIDING STAFF TRAINING; CONDUCTING OUTREACH AND DEVELOPING REFERRAL PATHWAYS FOR VULNERABLE POPULATIONS; ENHANCING/EXPANDING THE CRISIS CARE CONTINUUM, INCLUDING CRISIS DIVERSION; AND OFFERING REENTRY SERVICES. PROJECT GOALS INCLUDE: 1) ESTABLISH A PROJECT WITH MECHANISMS TO SUPPORT/RESTORE THE DELIVERY OF CLINICAL SERVICES; 2) ENHANCE INFRASTRUCTURE TO PROVIDE AUDIO AND AUDIO-VISUAL HIPAA COMPLIANT TELEHEALTH CAPABILITIES; 3) INCREASE ACCESS/AVAILABILITY OF TREATMENTS OF THE FOCUS POPULATION; 4) EXPAND STAFF/AGENCY CAPACITY TO DELIVER CARE ACROSS THE CRISIS CONTINUUM; 5) DEVELOP/PROVIDE RESOURCES TO ADDRESS THE MENTAL HEALTH NEEDS OF CMHC STAFF; 6) IMPROVE HEALTH OUTCOMES FOR PARTICIPANTS DIAGNOSED WITH SED, SMI, AND/OR COD; AND 7) DEVELOP/DISSEMINATE A DOCUMENTED SERVICE MODEL FOR STATEWIDE AND NATIONAL REPLICATION/ADOPTION. MEASURABLE OUTCOMES INCLUDE: TRAIN 50 AGENCY STAFF MENTAL HEALTH-RELATED PRACTICES; CONTACT 3,000 VIA OUTREACH EFFORTS; REDUCE PAST 30-DAY SUBSTANCE USE BY 60% AMONG THOSE WITH COD; REDUCE MENTAL HEALTH SYMPTOMATOLOGY BY 50%; REDUCE PAST 30-DAY SYSTEMS INVOLVEMENT AMONG 60% WITH CRIMINAL/JUVENILE JUSTICE HISTORIES; INCREASE PSYCHOSOCIAL WELLBEING BY 80%; AND ACHIEVE 80% 6-MONTH FOLLOW UP RATE. C-CMHC HAS SECURED COMMITMENTS FROM PARTNERS DEDICATED TO THE PROJECT’S SUCCESS, AND WHO WILL SERVE AS LINKAGE/REFERRAL SOURCES; PROVIDE RECOVERY SUPPORT SERVICES; AND TAKE PART IN PROJECT TRAININGS, ADVISORY COUNCIL, AND EVALUATION ACTIVITIES.

CENTERSTONE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (C-SBIRT)

CENTERSTONE'S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC IN FORT MYERS, FLORIDA (C-CCBHC) - CENTERSTONE WILL PLAN, DEVELOP, AND IMPLEMENT A NEW CCBHC IN FORT MYERS, FLORIDA (C-CCBHC), TO PROVIDE COMPREHENSIVE, INTEGRATED, COORDINATED, PERSON-CENTERED BEHAVIORAL HEALTH CARE; IMPROVE ACCESS TO COMMUNITY-BASED MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT; AND SUPPORT 24/7 CRISIS SERVICES, REGARDLESS OF AN INDIVIDUAL’S ABILITY TO PAY OR PLACE OF RESIDENCE. C-CCBHC WILL SERVE 900 UNDUPLICATED INDIVIDUALS (Y1: 80; Y2: 220; Y3-4: 300/YR.). C-CCBHC WILL SERVE ANY INDIVIDUAL WITH A MENTAL OR SUBSTANCE USE DISORDER WHO SEEKS CARE AT CENTERSTONE’S FT. MYERS CCBHC, INCLUDING THOSE WITH SERIOUS MENTAL ILLNESS (SMI); SUBSTANCE USE DISORDER (SUD), INCLUDING OPIOID USE DISORDER; CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED); INDIVIDUALS WITH CO-OCCURRING MENTAL AND SUBSTANCE DISORDERS (COD); AND INDIVIDUALS EXPERIENCING A MENTAL HEALTH OR SUBSTANCE USE-RELATED CRISIS. C-CCBHC’S FOCUS POPULATION DEMOGRAPHICS ARE EXPECTED TO MIRROR AREA INDIVIDUALS AND CURRENT CLINIC CLIENTS: 66% WHITE; 8% BLACK; 23% HISPANIC/LATINO, WITH 49% MALE AND 51% FEMALE. OF THE AREA’S NEARLY 1,130,100 ADULTS, 23% ARE EXPECTED TO HAVE AMI; 5.5%, SMI; 17%, SUD; 2%, OUD; AND 8%, COD. AMONG THE ROUGHLY 231,410 YOUTH, 20% ARE EXPECTED TO HAVE MAJOR DEPRESSIVE EPISODE; 5%, SUD; 1%, OUD. KEY C-CCBHC STRATEGIES INCLUDE INCREASING ACCESS/AVAILABILITY OF SERVICES RESPONSIVE TO COMMUNITY NEEDS (E.G., CRISIS SERVICES; SCREENING/ASSESSMENT/DIAGNOSIS, INCLUDING RISK ASSESSMENT; TREATMENT/CRISIS PLANNING; OUTPATIENT MENTAL HEALTH/SUBSTANCE USE SERVICES; PRIMARY CARE SCREENING AND HEALTH MONITORING; TARGETED CASE MANAGEMENT; PSYCHIATRIC REHABILITATION; PEER AND FAMILY SUPPORTS; AND COMMUNITY-BASED MENTAL HEALTH CARE FOR ARMED FORCES/VETERAN POPULATIONS); MEANINGFULLY INVOLVING SERVICE RECIPIENTS/FAMILIES IN THEIR CARE; AND APPLYING A CONTINUOUS QUALITY IMPROVEMENT (CQI) APPROACH. C-CCBHC WILL INTEGRATE SAMHSA’S TIP 59: IMPROVING CULTURAL COMPETENCE AND 57: TRAUMA-INFORMED CARE IN BEHAVIORAL HEALTH TO IMPLEMENT EVIDENCE-BASED INTERVENTIONS ADDRESSING THE FULL ARRAY SERVICE RECIPIENTS’ BEHAVIORAL HEALTH NEEDS (E.G., COGNITIVE BEHAVIORAL THERAPY, MOTIVATIONAL INTERVIEWING, DIALECTICAL BEHAVIOR THERAPY, ASSERTIVE COMMUNITY TREATMENT, MULTI-SYSTEMIC THERAPY, PARENT MANAGEMENT TRAINING, SEEKING SAFETY, INTEGRATED DUAL DISORDERS TREATMENT, MAT, ILLNESS MANAGEMENT AND RECOVERY, AND DIMENSIONS). C-CCBHC WILL ACCOMPLISH THE FOLLOWING GOALS: 1) ESTABLISH COMPREHENSIVE, INTEGRATED, COORDINATED, AND PERSON-CENTERED COMMUNITY-BASED SERVICES VIA THE CCBHC; 2) ENHANCE INFRASTRUCTURE/CAPACITY FOR A FULL CONTINUUM OF QUALITY/INCLUSIVE COORDINATED CARE; 3) INCREASE ACCESS TO/AVAILABILITY OF TIMELY/HIGH QUALITY SERVICES; 4) IMPLEMENT A MEASUREMENT-BASED CARE PROCESS TO ENSURE A COMPREHENSIVE SCOPE OF EVIDENCE-BASED SERVICES/SUPPORTS; 5) IMPROVE HEALTH STATUS/OUTCOMES FOR TREATMENT SERVICE RECIPIENTS ACROSS THE LIFESPAN; AND 6) APPLY A CQI APPROACH TO DRIVE SYSTEMS, IMPROVE THE QUALITY OF SERVICES, AND ENSURE ONGOING SERVICE DELIVERY. AS A RESULT OF THESE GOALS/IMPROVEMENTS, THE PROJECT WILL ACHIEVE THE FOLLOWING MEASURABLE SERVICE RECIPIENT-RELATED OBJECTIVES: DECREASE SYMPTOMATOLOGY AMONG 45% WITH MENTAL HEALTH DISORDERS; DECREASE SUBSTANCE USE AMONG 45% OF THOSE WITH SUD/OUD/COD; PROVIDE ITPS FOR 100% OF SERVICE RECIPIENTS; IMPROVE HOUSING STABILITY AMONG 80% WHO ARE HOMELESS/MARGINALLY HOUSED; PROVIDE 100% WITH EMPLOYMENT CASE MANAGEMENT SERVICES PER ITPS; IMPROVE HEALTH INDICATORS AMONG 75% OF PARTICIPATING SERVICE RECIPIENTS; REDUCE PAST 30-DAY TOBACCO USE BY 30% AMONG TOBACCO CESSATION ACTIVITY PARTICIPANTS; ACHIEVE NO PAST 30-DAY CRIMINAL JUSTICE SYSTEM INVOLVEMENT AMONG 60% WITH CRIMINAL JUSTICE HISTORIES; ACHIEVE NO PAST 30-DAY ER/HOSPITALIZATIONS AMONG 60% OF SERVICE RECIPIENTS WITH HOSPITALIZATION HISTORIES; ACHIEVE/MAINTAIN AN 80% FOLLOW-UP RATE; AND ACHIEVE SATISFACTION OF EXPERIENCE/CARE AMONG 80% OF SERVICE RECIPIENTS/FAMILIES.

CENTERSTONE'S CCBHC-IA IN FLORIDA (C-CCBHCV2.0) - CENTERSTONE'S CCBHC IMPROVEMENT AND ADVANCEMENT IN FLORIDA (C-CCBHCV2.0) PROJECT WILL IMPROVE AND ADVANCE CENTERSTONE'S CCBHC IN BRADENTON, PROVIDING COMPREHENSIVE, INTEGRATED, COORDINATED, AND PERSON-CENTERED CARE TO THOSE WITH A MENTAL OR SUBSTANCE USE DISORDER, INCLUDING GROUPS FACING HEALTH DISPARITIES. C-CCBHCV2.0 WILL SERVE 1,500 UNDUPLICATED INDIVIDUALS (Y1: 300; Y2-4: 400/YR.). C-CCBHCV2.0 WILL SERVE ANY INDIVIDUAL WITH A MENTAL OR SUBSTANCE USE DISORDER WHO SEEKS CARE AT CENTERSTONE’S BRADENTON CCBHC, INCLUDING THOSE WITH SERIOUS MENTAL ILLNESS (SMI); SUBSTANCE USE DISORDER (SUD), INCLUDING OPIOID USE DISORDER; CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED); INDIVIDUALS WITH CO-OCCURRING MENTAL AND SUBSTANCE DISORDERS (COD); AND INDIVIDUALS EXPERIENCING A MENTAL HEALTH OR SUBSTANCE USE-RELATED CRISIS. C-CCBHCV2.0’S TARGET POPULATION IS EXPECTED TO MIRROR THOSE OF THE CATCHMENT AREA, COMPRISING COUNTIES DESOTO, HILLSBOROUGH, MANATEE, AND SARASOTA IN FLORIDA. THOSE UNDER AGE 17 ARE EXPECTED TO COMPRISE ROUGHLY 51% MALE; 49% FEMALE; 64% WHITE; 17.5% AFRICAN AMERICAN; AND 32% HISPANIC/LATINO INDIVIDUALS; AND THOSE AGES 18+ COMPRISE 48% MALE; 52% FEMALE; 63% WHITE; 12% AFRICAN AMERICAN; AND 21% HISPANIC/LATINO INDIVIDUALS. OF THE CATCHMENT AREA’S 1,803,300 ADULTS, 5.2% ARE EXPECTED TO HAVE SMI AND OF THE 457,600 CHILDREN/YOUTH, 1% ARE EXPECTED TO HAVE SED. AN ESTIMATED 15% OF ADULTS WILL HAVE SUD AND 1%, OUD; 6% OF ADOLESCENTS AGES 12-17 WILL HAVE SUD. NEARLY 7% OF ADULTS AND 3% OF ADOLESCENTS HAVE COD. C-CCBHCV2.0 WILL PROVIDE AN ARRAY OF HIGH-QUALITY INTEGRATED PRIMARY/BEHAVIORAL HEALTH CARE SERVICES (E.G., CRISIS SERVICES; SCREENING/ASSESSMENT/DIAGNOSIS, INCLUDING PRIMARY CARE AND RISK ASSESSMENT; TREATMENT/CRISIS PLANNING; OUTPATIENT MENTAL HEALTH/SUBSTANCE USE SERVICES; MEDICATION ASSISTED TREATMENT; TARGETED CASE MANAGEMENT; PEER AND FAMILY SUPPORTS; AND INTENSIVE COMMUNITY-BASED MENTAL HEALTH CARE FOR ARMED FORCES/VETERAN POPULATIONS). KEY PROJECT STRATEGIES INCLUDE EXPANDING ACCESS/AVAILABILITY OF SERVICES RESPONSIVE TO COMMUNITY NEEDS; MEANINGFUL INVOLVEMENT OF CONSUMERS/FAMILIES IN THEIR CARE; AND APPLYING A CONTINUOUS QUALITY IMPROVEMENT (CQI) APPROACH TO DRIVE IMPROVEMENTS AND SUSTAINABILITY. THE PROJECT’S INTERVENTIONS ADDRESS THE FULL ARRAY OF CONSUMERS’ BEHAVIORAL HEALTH NEEDS AND INCLUDE COGNITIVE BEHAVIORAL THERAPY, MOTIVATIONAL INTERVIEWING, ILLNESS MANAGEMENT AND RECOVERY, INTEGRATED DUAL DISORDER TREATMENT, ETC. C-CCBHCV2.0 WILL ACCOMPLISH THE FOLLOWING GOALS: 1) EXPAND AND IMPROVE DELIVERY OF COMPREHENSIVE, INTEGRATED, AND PERSON-CENTERED COMMUNITY-BASED MENTAL AND SUD SERVICES FOR THE TARGET POPULATION; 2) ENHANCE INFRASTRUCTURE/CAPACITY FOR A FULL CONTINUUM OF COORDINATED CARE; 3) INCREASE ACCESS TO/AVAILABILITY OF TIMELY SERVICES FOR THE TARGET POPULATION; 4) IMPLEMENT A MEASUREMENT-BASED CARE PROCESS TO ENSURE COMPREHENSIVE, EVIDENCE-BASED SERVICES AND SUPPORTS AND PRACTICES FOR WHOLE-PERSON WELLNESS AND RECOVERY; 5) IMPROVE HEALTH STATUS AND OUTCOMES FOR PROJECT CONSUMERS ENGAGED IN TREATMENT; AND 6) APPLY A CQI APPROACH TO DRIVE OUTCOME IMPROVEMENT AND ENSURE ONGOING SERVICE DELIVERY. PLANNED IMPROVEMENTS INCLUDE EXPANDING TECHNOLOGIES AND CARE COORDINATION PARTNERSHIPS AND ENHANCING TRAININGS AND SCREENING/ASSESSMENT PROCEDURES. AS A RESULT OF THESE GOALS/IMPROVEMENTS, THE PROJECT WILL ACHIEVE THE FOLLOWING MEASURABLE CONSUMER-RELATED OBJECTIVES: DECREASE MENTAL HEALTH SYMPTOMATOLOGY AMONG 45%; DECREASE SUBSTANCE USE AMONG 45%; IMPROVE HOUSING STABILITY AMONG 80%; DELIVER COLLABORATIVE TREATMENT PLANS FOR 100%; PROVIDE EMPLOYMENT/EDUCATION CASE MANAGEMENT FOR 100% PER TREATMENT PLANS; REDUCE TOBACCO USE AMONG 30%; IMPROVE PHYSICAL HEALTH INDICATORS AMONG 75%; OFFER LINKAGE/REFERRAL FOLLOW-UP TO 100%; ACHIEVE 80% CONSUMER/FAMILY REPORTED SATISFACTION WITH THEIR EXPERIENCE OF CARE; AND ACHIEVE 80% 6-MONTH FOLLOW-UP RATE.

CENTERSTONE'S CCBHC-IA IN INDIANA (C-CCBHCV2.0) - CENTERSTONE'S CCBHC IMPROVEMENT AND ADVANCEMENT IN INDIANA (C-CCBHCV2.0) PROJECT WILL IMPROVE AND ADVANCE CENTERSTONE'S CCBHC IN BLOOMINGTON, PROVIDING COMPREHENSIVE, INTEGRATED, COORDINATED, AND PERSON-CENTERED CARE TO THOSE WITH A MENTAL OR SUBSTANCE USE DISORDER (SUD), INCLUDING GROUPS FACING HEALTH DISPARITIES. C-CCBHCV2.0 WILL SERVE 2,000 UNDUPLICATED INDIVIDUALS (Y1-4: 500/YR.). C-CCBHCV2.0 WILL SERVE ANY INDIVIDUAL WITH A MENTAL OR SUBSTANCE USE DISORDER SEEKING CARE AT CENTERSTONE’S BLOOMINGTON CCBHC, INCLUDING THOSE WITH SERIOUS MENTAL ILLNESS (SMI); SUD, INCLUDING OPIOID USE DISORDER; CHILDREN/ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED); INDIVIDUALS WITH CO-OCCURRING MENTAL AND SUBSTANCE DISORDERS (COD); AND INDIVIDUALS EXPERIENCING A MENTAL HEALTH OR SUBSTANCE USE-RELATED CRISIS. C-CCBHCV2.0’S FOCUS POPULATION DEMOGRAPHICS ARE EXPECTED TO MIRROR THOSE IN THE INDIANA CATCHMENT AREA, COMPRISING BARTHOLOMEW, BROWN, JACKSON, LAWRENCE, MONROE, MORGAN, AND OWEN COUNTIES. THOSE UNDER AGE 17 ARE EXPECTED TO COMPRISE ROUGHLY 51.5% MALE; 48.5% FEMALE; 83% WHITE; 2% AFRICAN AMERICAN; AND 8% HISPANIC/LATINO INDIVIDUALS; AND THOSE AGES 18+ COMPRISE 49% MALE; 51% FEMALE; 89% WHITE; 2% AFRICAN AMERICAN; AND 3% HISPANIC/LATINO INDIVIDUALS. OF THE AREA’S 339,575 ADULTS, 7% ARE EXPECTED TO HAVE SMI; AND OF THE 86,688 CHILDREN/YOUTH, 10% ARE EXPECTED TO HAVE SED. AN ESTIMATED 15% OF ADULTS WILL HAVE SUD AND 1%, OUD; 6% OF YOUTH AGES 12-17 HAVE SUD. NEARLY 7% OF AREA ADULTS HAVE CO-OCCURRING SUD/ANY MENTAL ILLNESS, AND 3% OF AREA YOUTH HAVE CO-OCCURRING SUD AND MAJOR DEPRESSIVE EPISODE. C-CCBHCV2.0 WILL PROVIDE AN ARRAY OF HIGH-QUALITY INTEGRATED PRIMARY/BEHAVIORAL HEALTH CARE SERVICES (E.G., CRISIS SERVICES; SCREENING/ASSESSMENT/DIAGNOSIS, INCLUDING PRIMARY CARE AND RISK ASSESSMENT; TREATMENT/CRISIS PLANNING; OUTPATIENT MENTAL HEALTH/SUBSTANCE USE SERVICES; MEDICATION ASSISTED TREATMENT; TARGETED CASE MANAGEMENT; PEER AND FAMILY SUPPORTS; AND INTENSIVE COMMUNITY-BASED MENTAL HEALTH CARE FOR ARMED FORCES/VETERAN POPULATIONS). KEY PROJECT STRATEGIES INCLUDE EXPANDING ACCESS/AVAILABILITY OF SERVICES RESPONSIVE TO COMMUNITY NEEDS; MEANINGFUL INVOLVEMENT OF CONSUMERS/FAMILIES IN THEIR CARE; AND APPLYING A CONTINUOUS QUALITY IMPROVEMENT (CQI) APPROACH TO DRIVE IMPROVEMENTS AND SUSTAINABILITY. THE PROJECT’S INTERVENTIONS ADDRESS THE FULL ARRAY OF CONSUMERS’ BEHAVIORAL HEALTH NEEDS AND INCLUDE COGNITIVE BEHAVIORAL THERAPY, MOTIVATIONAL INTERVIEWING, ILLNESS MANAGEMENT AND RECOVERY, INTEGRATED DUAL DISORDER TREATMENT, ETC. C-CCBHCV2.0 WILL ACCOMPLISH THE FOLLOWING GOALS: 1) EXPAND AND IMPROVE DELIVERY OF COMPREHENSIVE, INTEGRATED, AND PERSON-CENTERED COMMUNITY-BASED MENTAL AND SUD SERVICES; 2) ENHANCE INFRASTRUCTURE/CAPACITY FOR A FULL CONTINUUM OF COORDINATED CARE; 3) INCREASE ACCESS TO/AVAILABILITY OF TIMELY SERVICES; 4) IMPLEMENT A MEASUREMENT-BASED CARE (MBC) PROCESS TO ENSURE COMPREHENSIVE, EVIDENCE-BASED SERVICES, SUPPORTS, AND PRACTICES FOR WHOLE-PERSON WELLNESS AND RECOVERY; 5) IMPROVE HEALTH STATUS AND OUTCOMES FOR PROJECT CONSUMERS ENGAGED IN TREATMENT; AND 6) APPLY A CQI APPROACH TO DRIVE OUTCOME IMPROVEMENT AND ENSURE ONGOING SERVICE DELIVERY. PLANNED IMPROVEMENTS INCLUDE ENHANCED CAPACITY FOR INTEGRATED CARE (E.G., ADVANCED CARE COORDINATION) AND INFRASTRUCTURE FOR DATA-DRIVEN CARE IMPROVEMENTS/MBC EFFORTS. AS A RESULT OF THESE GOALS/IMPROVEMENTS, THE PROJECT WILL ACHIEVE THE FOLLOWING MEASURABLE CONSUMER-RELATED OBJECTIVES: DECREASE MENTAL HEALTH SYMPTOMATOLOGY AMONG 45%; DECREASE SUBSTANCE USE AMONG 45%; IMPROVE HOUSING STABILITY AMONG 80%; DELIVER COLLABORATIVE TREATMENT PLANS FOR 100%; PROVIDE EMPLOYMENT/EDUCATION CASE MANAGEMENT FOR 100% PER TREATMENT PLANS; REDUCE TOBACCO USE AMONG 30%; IMPROVE PHYSICAL HEALTH INDICATORS AMONG 75%; OFFER LINKAGE/REFERRAL FOLLOW-UP TO 100%; ACHIEVE 80% CONSUMER/FAMILY REPORTED SATISFACTION WITH THEIR EXPERIENCE OF CARE; AND ACHIE

CENTERSTONE'S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC, FLORIDA

CENTERSTONE'S ASSISTED OUTPATIENT TREATMENT (C-AOT)

CENTERSTONE'S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC, INDIANA

CENTERSTONE'S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC, INDIANA

CENTERSTONE'S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC, ILLINOIS

CENTERSTONE'S COMPREHENSIVE OPIOID RECOVERY CENTER (C-CORC)

EARLY HEAD START

CENTERSTONE ACTION

BEHAVIORAL HEALTH WORKFORCE EDUCATION AND TRAINING PROGRAM

CENTERSTONE'S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC IN CARBONDALE, ILLINOIS (C-CCBHC) - CENTERSTONE WILL ESTABLISH A NEW CCBHC IN CARBONDALE, ILLINOIS (C-CCBHC), TO EXPAND ACCESS TO/QUALITY OF COMMUNITY BEHAVIORAL HEALTH SERVICES, INCLUDING 24/7 CRISIS SERVICES, FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI), SUBSTANCE USE DISORDERS (SUD), OPIOID USE DISORDERS (OUD), CO-OCCURRING DISORDERS (COD), YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED), AND THOSE EXPERIENCING A MENTAL HEALTH OR SUBSTANCE USE RELATED CRISIS. C-CCBHC WILL SERVE 1,000 UNDUPLICATED INDIVIDUALS (Y1: 100; Y2-4: 300/YEAR). FOCUS POPULATION DEMOGRAPHICS AND CLINICAL CHARACTERISTICS ARE EXPECTED TO MIRROR THOSE OF INDIVIDUALS IN THE 5-COUNTY GEOGRAPHIC CATCHMENT AREA (I.E., FRANKLIN, JACKSON, PERRY, UNION, AND WILLIAMSON COUNTIES, ILLINOIS) AND OF CURRENT CLINIC CLIENTS. THOSE UNDER 18 ARE EXPECTED TO COMPRISE 48% MALE, 52% FEMALE, 75% WHITE, 10% BLACK/AFRICAN AMERICAN, AND 2% HISPANIC/ LATINO INDIVIDUALS. THOSE 18+ ARE EXPECTED TO COMPRISE 38% MALE, 62% FEMALE, 77% WHITE, 9% BLACK/AFRICAN AMERICAN, AND 2% HISPANIC/LATINO INDIVIDUALS. OF THE CATCHMENT AREA’S POPULATION OF 197,430, 4% (6,250) OF ADULTS ARE EXPECTED TO HAVE SMI, AND 2,140 YOUTH AGES 12-17, SED. ROUGHLY 17% (26,560) OF AREA ADULTS HAVE SUD, INCLUDING 2% (3,125) WITH OUD, AND 11% (1,690) OF AREA YOUTH AGES 12-17 HAVE SUD. WITHIN THE CATCHMENT AREA, 8% (12,500) OF ADULTS HAVE COD AND 4% (615) OF YOUTH AGES 12-17 HAVE CO-OCCURRING SUD/MAJOR DEPRESSIVE EPISODE. CHRONIC HEALTH CONDITIONS DISPROPORTIONATELY IMPACT THE FOCUS POPULATION: AN ESTIMATED 16% OF AREA ADULTS WITH A MOOD DISORDERS WILL HAVE DIABETES VERSUS 10% IN THE GENERAL POPULATION. C-CCBHC WILL PROVIDE AN ARRAY OF INTEGRATED PRIMARY/BEHAVIORAL HEALTH SERVICES (E.G., CRISIS CARE; SCREENING, ASSESSMENT, AND DIAGNOSIS; PERSON-/FAMILY-CENTERED TREATMENT PLANNING; MENTAL HEALTH/SUBSTANCE USE SERVICES; PRIMARY CARE SCREENINGS AND MONITORING OF KEY HEALTH INDICATORS/ RISKS; TARGETED CASE MANAGEMENT; PSYCHIATRIC REHABILITATION SERVICES; PEER SUPPORTS, COUNSELING SERVICES, AND FAMILY SUPPORTS; INTENSIVE, COMMUNITY-BASED MENTAL HEALTH SERVICES FOR PAST/CURRENT MEMBERS OF THE ARMED FORCES). C-CCBHC’S EVIDENCE-BASED INTERVENTIONS INCLUDE COGNITIVE BEHAVIORAL THERAPY (CBT), TRAUMA-INFORMED CBT, MOTIVATIONAL INTERVIEWING, DIALECTICAL BEHAVIOR THERAPY, ASSERTIVE COMMUNITY TREATMENT, INTEGRATED DUAL DISORDER TREATMENT, AND MORE. C-CCBHC WILL ACCOMPLISH THE FOLLOWING GOALS: A) ESTABLISH THE CCBHC AND ADDRESS INFRASTRUCTURE/CAPACITY FOR CARE COORDINATION, ENSURING SERVICES ADDRESS FOCUS POPULATION’ PHYSICAL, BEHAVIORAL, AND SOCIAL SERVICE NEEDS; B) ENSURE THE TIMELY, INTEGRATED, AGE/CULTURALLY APPROPRIATE EVIDENCE-BASED SCOPE OF SERVICES ARE ACCESSIBLE/AVAILABLE REGARDLESS OF ABILITY TO PAY/RESIDENCE; C) ADDRESS WHOLE-PERSON RECOVERY NEEDS, MEASURING RECIPIENT OUTCOMES IN MENTAL, SUBSTANCE USE, ETC. DOMAINS; AND D) APPLY A QUALITY IMPROVEMENT APPROACH TO DRIVE OUTCOME IMPROVEMENT AND ENSURE ONGOING SERVICE DELIVERY/SUSTAINABILITY. TO SUPPORT THESE GOALS, C-CCBHC WILL ACHIEVE THE FOLLOWING MEASURABLE OBJECTIVES: DECREASE MENTAL HEALTH SYMPTOMATOLOGY AMONG 45% OF THOSE WITH MENTAL HEALTH DISORDERS; DECREASE SUBSTANCE USE AMONG 45% OF THOSE WITH SUD/OUD/COD; IMPROVE HOUSING STABILITY AMONG 80% WHO ARE HOMELESS/MARGINALLY HOUSED; IMPROVE PHYSICAL HEALTH INDICATORS AMONG 75% OF SERVICE RECIPIENTS; AND ACHIEVE SATISFACTION IN CARE EXPERIENCE AMONG 80% OF SERVICE RECIPIENTS/FAMILY. KEY C-CCBHC STRATEGIES INCLUDE CONDUCTING 2 NEEDS ASSESSMENTS (1 BY MONTH 6 OF YEAR 1 AND ANOTHER 6 MONTHS PRIOR TO YEAR 4) AND MEETING FULL COMPLIANCE WITH THE CCBHC CERTIFICATION CRITERIA BY THE END OF YEAR 1; ESTABLISHING/ENHANCING ACCESS/SERVICES; ESTABLISHING/CONVENING THE ADVISORY WORK GROUP; COLLABORATING WITH COMMUNITY PROVIDERS TO PROMOTE WHOLE-PERSON WELLNESS AND RECOVERY; UTILIZING AN EXPERIENCED EVALUATION TEAM; AND APPLYING A CONTINUOUS QUALITY IMPROVEMENT APPROACH TO DRIVE IMPROVEMENTS AND SUSTAINABILITY.

CENTERSTONE?S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC IN ALTON (C-CCBHC) - CENTERSTONE WILL ENHANCE AND IMPROVE THE CCBHC IN ALTON, ILLINOIS (C-CCBHC), SUPPORTING RECOVERY FROM MENTAL ILLNESS AND/OR SUBSTANCE USE DISORDERS (SUD) BY PROVIDING ACCESS TO A COMPREHENSIVE RANGE OF HIGH-QUALITY BEHAVIORAL HEALTH SERVICES (E.G., OUTREACH, SCREENING, ASSESSMENT, TREATMENT, CARE COORDINATION, RECOVERY SUPPORTS), REGARDLESS OF AN INDIVIDUAL’S RESIDENCE OR ABILITY TO PAY. C-CCBHC WILL SERVE 1,900 UNDUPLICATED INDIVIDUALS (Y1: 400; Y2-4: 500/YR.). C-CCBHC WILL SERVE INDIVIDUALS ACROSS THE LIFESPAN SEEKING CARE AT CENTERSTONE’S ALTON CCBHC, INCLUDING THOSE WITH SERIOUS MENTAL ILLNESS (SMI); SUD, INCLUDING OPIOID USE DISORDER (OUD); SERIOUS EMOTIONAL DISTURBANCE (SED); CO-OCCURRING MENTAL AND SUBSTANCE DISORDERS (COD); AND/OR EXPERIENCING A MENTAL HEALTH (MH) OR SUBSTANCE USE (SU)-RELATED CRISIS. FOCUS POPULATION DEMOGRAPHICS ARE EXPECTED TO MIRROR THOSE OF THE ILLINOIS CATCHMENT AREA, COMPRISING CALHOUN, GREENE, MACOUPIN, MADISON, ST. CLAIR, AND JERSEY COUNTIES. THOSE UNDER AGE 17 ARE EXPECTED TO COMPRISE ROUGHLY 52% MALE; 48% FEMALE; 67% WHITE; 19% AFRICAN AMERICAN; AND 6% HISPANIC/LATINO INDIVIDUALS; AND THOSE AGES 18+ COMPRISE 48% MALE; 52% FEMALE; 76% WHITE; 15.5% AFRICAN AMERICAN; AND 3% HISPANIC/LATINO INDIVIDUALS. OF THE AREA’S 470,964 ADULTS, 6% ARE EXPECTED TO HAVE SMI; 17%, SUD; 2%, OUD; AND 5%, CO-OCCURRING SUD/ANY MENTAL ILLNESS. OF THE 137,154 CHILDREN/YOUTH, 10% ARE EXPECTED TO HAVE SED; 4%, CO-OCCURRING SUD AND MAJOR DEPRESSIVE EPISODE; AND 9% OF YOUTH AGES 12-17, SUD. KEY C-CCBHC STRATEGIES INCLUDE EXPANDING ACCESS/AVAILABILITY OF SERVICES RESPONSIVE TO COMMUNITY NEEDS (E.G., CRISIS SERVICES; SCREENING/ASSESSMENT/DIAGNOSIS, INCLUDING RISK ASSESSMENT; TREATMENT/CRISIS PLANNING; OUTPATIENT MH/SU SERVICES; PRIMARY CARE SCREENING AND HEALTH MONITORING; TARGETED CASE MANAGEMENT; PSYCHIATRIC REHABILITATION; PEER AND FAMILY SUPPORTS; AND COMMUNITY-BASED MH CARE FOR ARMED FORCES/VETERAN POPULATIONS); MEANINGFULLY INVOLVING SERVICE RECIPIENTS/FAMILIES IN THEIR CARE; AND APPLYING A CONTINUOUS QUALITY IMPROVEMENT (CQI) APPROACH TO DRIVE IMPROVEMENTS AND SUSTAINABILITY. C-CCBHC WILL IMPLEMENT EVIDENCE-BASED INTERVENTIONS ADDRESSING SERVICE RECIPIENTS’ BEHAVIORAL HEALTH NEEDS (E.G., COGNITIVE BEHAVIORAL THERAPY, MOTIVATIONAL INTERVIEWING, DIALECTICAL BEHAVIOR THERAPY, ILLNESS MANAGEMENT AND RECOVERY, PARENT MANAGEMENT TRAINING, SEEKING SAFETY, MAT, INTEGRATED DUAL DISORDERS TREATMENT). C-CCBHC WILL ACCOMPLISH THE FOLLOWING GOALS: 1) EXPAND AND IMPROVE DELIVERY OF COMPREHENSIVE, INTEGRATED, COORDINATED AND PERSON-/FAMILY-CENTERED COMMUNITY-BASED BEHAVIORAL SERVICES; 2) ENHANCE INFRASTRUCTURE/CAPACITY FOR A COORDINATED CARE CONTINUUM; 3) INCREASE ACCESS TO/AVAILABILITY OF TIMELY SERVICES; 4) IMPLEMENT A MEASUREMENT-BASED CARE (MBC) PROCESS TO ENSURE COMPREHENSIVE, EVIDENCE-BASED SERVICES, SUPPORTS, AND PRACTICES; 5) IMPROVE HEALTH STATUS AND OUTCOMES FOR SERVICE RECIPIENTS; AND 6) APPLY A CQI APPROACH TO DRIVE OUTCOME IMPROVEMENT AND ENSURE ONGOING SERVICE DELIVERY. PLANNED IMPROVEMENTS INCLUDE EXPANDED CARE COORDINATION, ENHANCED CRISIS PLANNING, INCREASED WORKFORCE CAPACITY, AND ENHANCED INFRASTRUCTURE FOR DATA-DRIVEN CARE IMPROVEMENTS/MBC EFFORTS. THE PROJECT WILL ACHIEVE THE FOLLOWING MEASURABLE SERVICE RECIPIENT-RELATED OBJECTIVES: DECREASE SYMPTOMATOLOGY AMONG 45% WITH MH DISORDERS AND SU AMONG 45% OF THOSE WITH SUD/OUD/COD; PROVIDE/OFFER ITPS FOR 100%, EMPLOYMENT CASE MANAGEMENT FOR 100% PER ITPS, AND FOLLOW-UP TO 100% RECEIVING LINKAGES/REFERRALS TO MH SERVICES/SUPPORTS; IMPROVE HOUSING STABILITY AMONG 80% WHO ARE HOMELESS/MARGINALLY HOUSED AND PHYSICAL HEALTH INDICATORS AMONG 75% OF PARTICIPATING SERVICE RECIPIENTS; ACHIEVE NO PAST 30-DAY CRIMINAL JUSTICE SYSTEM INVOLVEMENT AMONG 60% WITH CRIMINAL JUSTICE HISTORIES, NO PAST 30-DAY ER/HOSPITALIZATIONS AMONG 60% WITH HOSPITALIZATION HISTORIES, AN 80% FOLLOW-UP RATE, AND SATISFACTION OF EXPERIENCE/CARE AMONG 80% OF SERVICE RECIPIENTS/FAMILIES.

CENTERSTONE?S COMMUNITY CRISIS RESPONSE PARTNERSHIPS IN INDIANA (C-CCRP) - CENTERSTONE'S COMMUNITY CRISIS RESPONSE PARTNERSHIPS (C-CCRP) PROJECT WILL ENHANCE INFRASTRUCTURE TO EXPAND MOBILE CRISIS RESPONSE TEAMS (MCRT) TO PROVIDE CULTURALLY RESPONSE AND DEVELOPMENTALLY-/AGE- APPROPRIATE SERVICES TO DIVERT INDIVIDUALS EXPERIENCING A MENTAL HEALTH CRISES FROM LAW ENFORCEMENT ENCOUNTERS IN A HIGH NEED GEOGRAPHIC AREA COMPRISING TEN SOUTH CENTRAL INDIANA COUNTIES. C-CCRP WILL SERVE 925 UNDUPLICATED INDIVIDUALS (Y1: 175; Y2-4: 250/YR.). C-CCRP WILL SERVE ADULTS, CHILDREN, AND YOUTH EXPERIENCING MENTAL HEALTH CRISES IN BARTHOLOMEW, BROWN, DECATUR, JACKSON, JENNINGS, JOHNSON, LAWRENCE, MONROE, MORGAN, AND OWEN COUNTIES. CENTERSTONE HAS THE ONLY MCRT IN THE 3,972 SQUARE MILE GEOGRAPHIC AREA. UP TO 38% OF THE 32,852 BLOOMINGTON PD 911 CALLS FOR SERVICE IN THE PAST 6 MONTHS WERE RELATED TO BEHAVIORAL HEALTH ISSUES. IN 2022, ONLY 30% OF AREA COUNTIES HAVE/WILL OFFER CIT TO LAW ENFORCEMENT. FOCUS POPULATION DEMOGRAPHICS ARE EXPECTED TO MIRROR THOSE OF THE CATCHMENT AREA, WHICH COMPRISES 78% ADULTS AND 22% CHILDREN/YOUTH; 50% MALE AND 50% FEMALE; AND 90% WHITE, 2% BLACK/AFRICAN AMERICAN, AND 4% HISPANIC/LATINO INDIVIDUALS. PREVALENT MENTAL HEALTH, SUBSTANCE USE, AND SOCIOECONOMIC RISK FACTORS FOR BEHAVIORAL HEALTH CRISIS POINT TO A NEED TO IMPLEMENT EFFECTIVE MOBILE CRISIS SERVICES. FOR EXAMPLE, OF THE CATCHMENT AREA’S 498,627 ADULTS, 22% ARE EXPECTED TO HAVE A MENTAL ILLNESS. APPROXIMATELY 15.5% OF AREA YOUTH AGES 12-17 HAVE MAJOR DEPRESSIVE EPISODE AND 12% HAVE SERIOUS THOUGHTS OF SUICIDE. IN 2021, 617 CATCHMENT AREA PERSONS WERE HOSPITALIZED AND 1,872 PERSONS HAD ED VISITS RELATED TO A DRUG OVERDOSE. C-CCRP WILL INCREASE THE CAPACITY OF AND TIMELY ACCESS TO 24/7 MCRTS, INCREASE COLLABORATION WITH LAW ENFORCEMENT/988/CALL CENTERS, AND IMPROVE EQUITY IN THE CONTINUITY OF CARE AND POST-CRISIS FOLLOW-UP. C-CCRP’S 2-PERSON MCRTS WILL PROVIDE IN-PERSON/TELEHEALTH RESPONSE INCLUDING SCREENING/ASSESSMENT; COMMUNITY STABILIZATION; SAFETY PLANNING; REFERRAL TO ENHANCED SERVICES AFTER STABILIZATION; AND POST-CRISIS FOLLOW-UP. C-CCRP WILL CONDUCT COMMUNITY MAPPING TO IDENTIFY SERVICE NEEDS/GAPS, PROVIDE CRISIS INTERVENTION TRAINING, DEVELOP PROTOCOLS TO IMPROVE COORDINATION WITH FIRST RESPONDERS AND COMMUNITY PROVIDERS, COORDINATE WITH RELEVANT STATE EFFORTS, AND IMPLEMENT A DATA SYSTEM TO TRACK OUTCOMES. C-CCRP WILL ACCOMPLISH THE FOLLOWING GOALS: 1) DEVELOP A SOUND INFRASTRUCTURE AND INCREASED CAPACITY TO DELIVER MOBILE CRISIS RESPONSE SERVICES FOR PERSONS OF ALL AGES IN THE CATCHMENT AREA; 2) INCREASE CRISIS SYSTEM COLLABORATION WITHIN THE PROPOSED HIGH-NEEDS COMMUNITIES TO ENSURE A COMPREHENSIVE, INTEGRATED SERVICES TO ADDRESS THE FOCUS POPULATIONS’ NEEDS; 3) ENHANCE MCRT TO ENSURE TRAUMA-INFORMED AND CULTURALLY, AGE, AND DEVELOPMENTALLY APPROPRIATE SERVICES TO DIVERT ADULTS, CHILDREN, AND YOUTH EXPERIENCING MENTAL HEALTH CRISES FROM LAW ENFORCEMENT TO COMMUNITY STABILIZATION; 4) IMPROVE CRISIS SYSTEM PERFORMANCE VIA EXPANDED ACCESS TO MOBILE CRISIS RESPONSE SERVICES IN PROPOSED HIGH-NEED COMMUNITIES; 5) PROMOTE IMPROVED MENTAL HEALTH OUTCOMES AMONG ADULTS, CHILDREN, AND YOUTH EXPERIENCING MENTAL HEALTH CRISES; AND 6) DEVELOP/DISSEMINATE A DOCUMENTED SERVICE MODEL FOR REPLICATION/ADOPTION. AS A RESULT OF THESE GOALS/IMPROVEMENTS, THE PROJECT WILL ACHIEVE THE FOLLOWING MEASURABLE OBJECTIVES AMONG POPULATIONS RECEIVING CRISIS RESPONSE: SCREEN 100%, REFER 100% TO NEEDED SERVICES, INCREASE ACCESS TO SERVICES FOR 60%, REDUCE SUICIDE RISK FOR 100%, AND REDUCE ARREST/DETENTION BY 30%. THE PROJECT WILL ACHIEVE THE FOLLOWING MEASURABLE OBJECTIVES IN THE HIGH NEEDS COMMUNITY SERVED: RESOLVE 70% OF MCRT RESPONSES IN THE COMMUNITY, DIVERT 40% FROM LAW ENFORCEMENT, INCREASE REFERRALS TO MCRT BY 50%; AND INCREASE KNOWLEDGE OF EFFECTIVE CRISIS RESPONSE AMONG 60% OF FIRST RESPONDERS TRAINED.

PROMOTING RESILIENCE AND MENTAL HEALTH AMONG HEALTH PROFESSIONAL WORKFORCE

CENTERSTONE'S ACTION IN ILLINOIS - CENTERSTONE’S ACTION IN ILLINOIS WILL ESTABLISH AND MAINTAIN A RECOVERY-ORIENTED ASSERTIVE COMMUNITY TREATMENT (ACT) PROGRAM ACCORDING TO FIDELITY TO IMPROVE BEHAVIORAL HEALTH OUTCOMES AND SUPPORT COMMUNITY LIVING FOR ADULTS WITH SERIOUS MENTAL ILLNESS (SMI). ACTION’S MULTIDISCIPLINARY TEAM WILL PROVIDE ALL ACT CORE SERVICES FOR 60 UNDUPLICATED FOCUS POPULATION ADULTS IN JERSEY, MADISON, AND ST. CLAIR COUNTIES, ILLINOIS (Y1: 30; Y2-3: 10/YEAR.; Y4-5: 5/YEAR). ACTION’S FOCUS POPULATION COMPRISES AN ANTICIPATED 18,029 (4.3%) CATCHMENT AREA ADULTS WITH SMI WHOSE DEMOGRAPHICS AND SOCIOECONOMICS ARE EXPECTED TO MIRROR THOSE OF CENTERSTONE’S CLIENTS WITH SMI, WITH 39% MALE, 62% FEMALE, 67% WHITE, 14% BLACK, AND 15% HISPANIC/LATINO INDIVIDUALS. AN ESTIMATED 97.5% LIVE BELOW POVERTY AND 15% HAVE LESS THAN A HIGH SCHOOL DIPLOMA/ GED. ACTION WILL SERVE SUBPOPULATIONS FROM AMONG THE AREA’S ADULTS WHO ARE HOMELESS (286); ARE RACIAL, ETHNIC, SEXUAL, AND GENDER MINORITIES (E.G., 3,441 LGB AND/OR 4,120 RACIAL/ETHNIC MINORITIES); ARE CRIMINAL JUSTICE SYSTEM-INVOLVED (1,457); AND/OR HAVE A CO-OCCURRING MENTAL AND SUBSTANCE USE DISORDER (10,555). ACTION WILL BE IMPLEMENTED ACCORDING TO SAMHSA’S ACT EVIDENCE-BASED PRACTICES (EBP) KNOWLEDGE INFORMING TRANSFORMATION (KIT), INTEGRATING STRATEGIES TO ENSURE CULTURALLY COMPETENT, TRAUMA-INFORMED, AND RECOVERY-ORIENTED CARE ACCORDING TO SAMHSA’S TIP 59: IMPROVING CULTURAL COMPETENCE; TIP 57: TRAUMA-INFORMED CARE IN BEHAVIORAL HEALTH SERVICES; AND THE RECOVERY-ORIENTED SYSTEMS OF CARE RESOURCE GUIDE. ADDITIONAL EBPS WILL BE INTEGRATED TO COMPLEMENT IMPLEMENTATION OF CORE ACT SERVICES (E.G., EVIDENCE-BASED SUPPORTIVE THERAPIES WILL INCLUDE COGNITIVE BEHAVIORAL THERAPY [CBT] AND CBT FOR PSYCHOSIS; SUD TREATMENT, SEEKING SAFETY; SUPPORT SERVICES, WHOLE HEALTH ACTION MANAGEMENT; ETC.). KEY ACTION STRATEGIES/INTERVENTIONS INCLUDE COMMUNITY COLLABORATIONS, PROGRAM STANDARDS, KEY PLANS (I.E., TRAINING, EVALUATION, CONTINUITY OF OPERATIONS/SUSTAINABILITY), AN ADVISORY GROUP, OUTREACH/ENGAGEMENT, CRISIS ASSESSMENT/INTERVENTION, COMPREHENSIVE ASSESSMENT, INDIVIDUAL TREATMENT PLANS, SMI TREATMENT/INTERVENTIONS, ILLNESS MANAGEMENT AND RECOVERY, SUPPORTIVE THERAPY, SUBSTANCE USE TREATMENT, RECOVERY/SUPPORT SERVICES (E.G., EMPLOYMENT AND BENEFIT ASSISTANCE, ACTIVITIES OF DAILY LIVING, PEER SUPPORT), AND CASE MANAGEMENT. ACTION’S 4 GOALS WITH MEASURABLE OBJECTIVES INCLUDE: GOAL 1: ESTABLISH/MAINTAIN AN ACT PROJECT COMPRISING CORE SERVICES AND CHARACTERISTICS, AND ASSEMBLE/TRAIN 8 FTES AND PROVIDE ACT CORE SERVICES, ASSESSMENT, CRISIS INTERVENTION/TREATMENT, AND RECOVERY/SUPPORT SERVICES TO 60 ADULTS. GOAL 2: DEVELOP CAPACITY TO EXPAND/MAINTAIN A COMPREHENSIVE SERVICE CONTINUUM, AND ESTABLISH AN ADVISORY GROUP COMPRISING 20% CLIENTS/FAMILY AND OTHER STAKEHOLDERS; REVIEW/REFINE 5 POLICIES/PROCEDURES; EXPAND/MAINTAIN LETTERS OF COMMITMENT FROM 20 STAKEHOLDERS; CONDUCT OUTREACH TO 500; PROVIDE BASIC/INTENSIVE ACT TRAINING TO 9 PROJECT STAFF AND ACT MODEL TRAINING FOR 600 AGENCY STAFF/COMMUNITY PROVIDERS; DEVELOP 2 STRATEGIES TO ADDRESS STAFF TURNOVER/CROSS TRAINING; AND IDENTIFY 2 FUNDING MECHANISMS FOR SUSTAINABILITY. GOAL 3: IMPROVE CLIENT HEALTH STATUS/OUTCOMES, AND REDUCE MENTAL HEALTH SYMPTOMATOLOGY AMONG 70% AND SUICIDE CRISIS AMONG 80%; LINK 100% IN NEED WITH EMPLOYMENT/EDUCATION; AND ACHIEVE 50% WITH LOW/NO PROBLEMS RELATED TO SUBSTANCE USE, 80% WITH NO PAST 30-DAY HOMELESSNESS, 80% WITH NO PAST 30-DAY HOSPITALIZATION, 60% WITH NO PAST 30 DAY CRIMINAL JUSTICE INVOLVEMENT, 80% REPORTING FUNCTIONING WELL IN DAILY LIFE, 80% WITH POSITIVE PERCEPTION OF CARE, AT LEAST WEEKLY INTERACTION AMONG 80%, 80% KNOWING WHO TO CALL FROM THE ACT TEAM, AND SOCIAL CONNECTEDNESS AMONG 70%. GOAL 4: DEVELOP/REFINE A REPLICABLE SERVICE MODEL, AND REPORT ANNUALLY ON A COMPREHENSIVE EVALUATION AND BIANNUALLY ON SUBPOPULATION DISPARITIES; COLLECT/ANALYZE DEMOGRAPHIC DATA; AND PRODUCE 5 MATERIALS FOR DISSEMINATION/REPLICATION.

CENTERSTONE'S ACTION IN FLORIDA - CENTERSTONE’S ACTION IN FLORIDA WILL EXPAND AND MAINTAIN A RECOVERY-ORIENTED ASSERTIVE COMMUNITY TREATMENT (ACT) PROGRAM ACCORDING TO FIDELITY TO IMPROVE BEHAVIORAL HEALTH OUTCOMES AND SUPPORT COMMUNITY LIVING FOR ADULTS (18+) WITH SERIOUS MENTAL ILLNESS (SMI). ACTION’S MULTI-DISCIPLINARY TEAM WILL PROVIDE ALL ACT CORE SERVICES FOR 55 UNDUPLICATED FOCUS POPULATION ADULTS IN MANATEE AND SARASOTA COUNTIES, FLORIDA (Y1: 30; Y2-4: 7/YR.; Y5: 4). ACTION’S FOCUS POPULATION COMPRISES AN ANTICIPATED 35,919 (5.2%) CATCHMENT AREA ADULTS WITH SMI WHOSE DEMOGRAPHICS AND SOCIOECONOMICS ARE EXPECTED TO MIRROR THOSE OF CENTERSTONE’S CLIENTS WITH SMI, WITH 68% MALE, 32% FEMALE, 83% WHITE, 14% AFRICAN AMERICAN, AND 8% HISPANIC/LATINO INDIVIDUALS. AN ESTIMATED 70% LIVE BELOW POVERTY, 74% ARE UNEMPLOYED, AND 49% HAVE LESS THAN A HIGH SCHOOL DIPLOMA/GED. ACTION WILL SERVE SUBPOPULATIONS FROM AMONG THE AREA’S ESTIMATED 70,372 VETERANS; INDIVIDUALS FROM MINORITY COMMUNITIES, INCLUDING 113,973 RACIAL/ETHNIC MINORITY AND/OR 31,774 LGBT ADULTS; AND/OR 7,864 CRIMINAL JUSTICE-INVOLVED ADULTS. ACTION WILL BE IMPLEMENTED ACCORDING TO SAMHSA’S ACT EVIDENCE-BASED PRACTICES (EBP) KNOWLEDGE INFORMING TRANSFORMATION (KIT), INTEGRATING STRATEGIES TO ENSURE CULTURALLY COMPETENT, TRAUMA INFORMED, AND RECOVERY ORIENTED CARE ACCORDING TO SAMHSA’S TIP 59: IMPROVING CULTURAL COMPETENCE; TIP 57: TRAUMA-INFORMED CARE IN BEHAVIORAL HEALTH SERVICES; AND THE RECOVERY-ORIENTED SYSTEMS OF CARE (ROSC) RESOURCE GUIDE. ADDITIONAL EBPS WILL BE INTEGRATED TO COMPLEMENT IMPLEMENTATION OF CORE ACT SERVICES (E.G., EVIDENCE-BASED SUPPORTIVE THERAPIES WILL INCLUDE COGNITIVE BEHAVIORAL THERAPY (CBT) AND CBT FOR PSYCHOSIS; SUD TREATMENT, INTEGRATED TREATMENT FOR CO-OCCURRING DISORDERS; SUPPORT SERVICES, WHOLE HEALTH ACTION MANAGEMENT; ETC.). KEY ACTION STRATEGIES/INTERVENTIONS INCLUDE COMMUNITY COLLABORATIONS, PROGRAM STANDARDS, KEY PLANS (I.E., TRAINING, EVALUATION, CONTINUITY OF OPERATIONS/SUSTAINABILITY), AN ADVISORY GROUP, OUTREACH/ENGAGEMENT, CRISIS ASSESSMENT/INTERVENTION, COMPREHENSIVE ASSESSMENT, INDIVIDUAL TREATMENT PLANS, SMI TREATMENT/INTERVENTIONS, ILLNESS MANAGEMENT AND RECOVERY, SUPPORTIVE THERAPY, SUBSTANCE USE TREATMENT, RECOVERY/SUPPORT SERVICES (E.G., EMPLOYMENT AND BENEFIT ASSISTANCE, ACTIVITIES OF DAILY LIVING, PEER SUPPORT), AND CASE MANAGEMENT. ACTION’S 4 GOALS WITH MEASURABLE OBJECTIVES INCLUDE: GOAL 1: EXPAND/MAINTAIN AN ACT PROJECT COMPRISING CORE SERVICES AND CHARACTERISTICS, AND ASSEMBLE/TRAIN 6.5 FTES AND PROVIDE ACT CORE SERVICES, ASSESSMENT, CRISIS INTERVENTION/TREATMENT, AND RECOVERY/SUPPORT SERVICES TO 55 ADULTS. GOAL 2: DEVELOP CAPACITY TO EXPAND/MAINTAIN A COMPREHENSIVE SERVICE CONTINUUM, AND ESTABLISH AN ADVISORY GROUP COMPRISING 20% CLIENTS/FAMILY AND OTHER STAKEHOLDERS; REVIEW/REFINE 5 POLICIES/PROCEDURES; EXPAND/MAINTAIN LETTERS OF COMMITMENT FROM 20 STAKEHOLDERS; CONDUCT OUTREACH TO 250; PROVIDE BASIC/INTENSIVE ACT TRAINING TO 8 PROJECT STAFF AND ACT MODEL TRAINING FOR 950 AGENCY STAFF/COMMUNITY PROVIDERS; DEVELOP 2 STRATEGIES TO ADDRESS STAFF TURNOVER/CROSS TRAINING; AND IDENTIFY 2 FUNDING MECHANISMS FOR SUSTAINABILITY. GOAL 3: IMPROVE CLIENT HEALTH STATUS/OUTCOMES, AND REDUCE MENTAL HEALTH SYMPTOMATOLOGY AMONG 70% AND SUICIDE CRISIS AMONG 80%; LINK 100% IN NEED WITH EMPLOYMENT/EDUCATION; AND ACHIEVE 50% WITH LOW/NO PROBLEMS RELATED TO SUBSTANCE USE, 80% WITH NO PAST 30 DAY HOMELESSNESS, 80% WITH NO PAST 30 DAY HOSPITALIZATION, 60% WITH NO PAST 30 DAY CRIMINAL JUSTICE INVOLVEMENT, 80% REPORTING FUNCTIONING WELL IN DAILY LIFE, 80% WITH POSITIVE PERCEPTION OF CARE, AT LEAST WEEKLY INTERACTION AMONG 80%, 80% KNOWING WHO TO CALL FROM THE ACT TEAM, AND SOCIAL CONNECTEDNESS AMONG 70%. GOAL 4: DEVELOP/REFINE A REPLICABLE SERVICE MODEL, AND REPORT ANNUALLY ON A COMPREHENSIVE EVALUATION AND BIANNUALLY ON SUBPOPULATION DISPARITIES; COLLECT/ANALYZE DEMOGRAPHIC DATA; AND PRODUCE 5 MATERIALS FOR DISSEMINATION/REPLICATION.

CENTERSTONE MEDICATION-ASSISTED TREATMENT SERVICES IN FLORIDA (C-MAT) - CENTERSTONE MAT SERVICES IN FLORIDA (C-MAT) WILL EXPAND/ENHANCE ACCESS TO MEDICATION-ASSISTED TREATMENT (MAT) SERVICES, DELIVERING FDA-APPROVED MEDICATIONS IN COMBINATION WITH COMPREHENSIVE AND EVIDENCE-BASED PSYCHOSOCIAL SERVICES IN 2 FLORIDA COUNTIES (I.E., MANATEE AND SARASOTA). C-MAT WILL SERVE 300 UNDUPLICATED ADULTS AGES 18 AND OLDER WITH AN OPIOID USE DISORDER (OUD) SEEKING OR RECEIVING MAT TO DECREASE ILLICIT OPIOID USE/PRESCRIPTION OPIOID MISUSE (YEAR 1: 40; YEARS 2-5: 65, ANNUALLY). C-MAT’S FOCUS POPULATION ENCOMPASSES AN ANTICIPATED 3,667 CATCHMENT AREA ADULTS WITH OUD SEEKING OR RECEIVING MAT. FOCUS POPULATION DEMOGRAPHICS ARE EXPECTED TO MIRROR THOSE OF CATCHMENT AREA CENTERSTONE CLIENTS WITH OUD, WITH 48% MALE, 52% FEMALE, 86% WHITE, 5% AFRICAN AMERICAN, AND 7% HISPANIC/LATINO INDIVIDUALS. C-MAT’S SUBPOPULATIONS INCLUDE AN ESTIMATED 2,625 VETERANS WITH OUD; 2,140 CRIMINAL JUSTICE SYSTEM INVOLVED ADULTS WITH OUD; AND THOSE WITH A CO-OCCURRING OUD AND SUBSTANCE USE (6,862) AND/OR MENTAL HEALTH DISORDERS (5,291). OF THE 8,228 CATCHMENT AREA INDIVIDUALS WITH OUD, AN ESTIMATED 72% (5,924) WILL HAVE POLYSUBSTANCE USE, 60% (4,939) EXPERIENCE SEVERE ECONOMIC DISTRESS, 57% (4,690) WILL FACE MAJOR DEPRESSIVE DISORDER, AND 57% (4,690) MAY BECOME HOMELESS. C-MAT WILL DELIVER MEDICATION-ASSISTED TREATMENT (MAT) ACCORDING TO NIDA’S PRINCIPLES OF DRUG ADDICTION TREATMENT, SAMHSA’S TREATMENT IMPROVEMENT PROTOCOL (TIP) 63: MEDICATIONS FOR OPIOID USE DISORDERS, AND HAZELDEN’S COR-12, PROVIDING FDA-APPROVED MEDICATIONS IN CONJUNCTION WITH EVIDENCE-BASED BEHAVIORAL HEALTH THERAPIES, INCLUDING HAZELDEN’S CO-OCCURRING DISORDERS PROGRAM, SEEKING SAFETY, AND DIMENSIONS: TOBACCO FREE PROGRAM. KEY C-MAT STRATEGIES/INTERVENTIONS INCLUDE COMMUNITY COLLABORATIONS; ASSEMBLY OF AN ADVISORY COUNCIL; ENHANCEMENT OF PROGRAM PROCEDURES, INCLUDING MITIGATION OF MEDICATION DIVERSION; OUTREACH/ENGAGEMENT; SCREENING/ASSESSMENT; DEVELOPMENT OF INDIVIDUAL TREATMENT PLANS; PROVISION OF MAT, OUD/COD TREATMENT/PSYCHOSOCIAL SERVICES, TOBACCO CESSATION, CARE COORDINATION, RECOVERY SUPPORT SERVICES (E.G., PEER SUPPORTS, LINKAGES TO HOUSING/EMPLOYMENT, BENEFITS ENROLLMENT); HIV/VH TESTING/LINKAGES; TELEHEALTH SERVICES; SUSTAINABILITY PLANNING; AND DISSEMINATION OF A COMPREHENSIVE EVALUATION. C-MAT GOALS ARE TO ENHANCE/EXPAND ACCESS TO MAT SERVICES, OUD TREATMENT, WRAP-AROUND/RECOVERY SUPPORTS, ETC.; DEVELOP INFRASTRUCTURE/CAPACITY TO EXPAND, ENHANCE, AND SUSTAIN SERVICES; IMPROVE CLIENTS’ HEALTH STATUS/OUTCOMES; AND DEVELOP/DISSEMINATE A REPLICABLE SERVICE MODEL. C-MAT WILL ACHIEVE THE FOLLOWING MEASURABLE OBJECTIVES: CONDUCT OUTREACH/ENGAGEMENT AMONG 750 INDIVIDUALS; PROVIDE TRAINING/WORKFORCE DEVELOPMENT FOR 100 STAFF/COMMUNITY PROVIDERS; ENSURE 8 PROVIDERS HAVE/COMPLETE DATA WAIVER TRAINING; REDUCE ILLICIT DRUG USE BY 60%; REDUCE MENTAL HEALTH SYMPTOMATOLOGY BY 50%; ASSIST 100% IN NEED TO IDENTIFY/SECURE STABLE HOUSING AND EMPLOYMENT; ACHIEVE NO PAST 30-DAY CRIMINAL JUSTICE INVOLVEMENT AMONG 60%; REDUCE TOBACCO USE BY 30%; REDUCE COSTLY SERVICE UTILIZATION BY 50%; INCREASE SOCIAL CONNECTEDNESS AMONG 70%; AND ACHIEVE 80% CLIENT RETENTION. C-MAT HAS SECURED COMMITMENTS FROM PARTNERS DEDICATED TO THE PROJECT’S SUCCESS, AND WILL COLLABORATE WITH COMMUNITY PROVIDERS, LAW ENFORCEMENT, COALITIONS, SOCIAL SERVICE AGENCIES, KEY STAKEHOLDERS, ETC.

CENTERSTONE'S COMMUNITY CRISIS RESPONSE PARTNERSHIPS IN FLORIDA (C-CCRP) - CENTERSTONE'S COMMUNITY CRISIS RESPONSE PARTNERSHIPS IN FLORIDA (C-CCRP) PROJECT WILL ENHANCE INFRASTRUCTURE TO EXPAND MOBILE CRISIS RESPONSE TEAMS (MCRT) TO PROVIDE CULTURALLY, DEVELOPMENTALLY, AND AGE-APPROPRIATE SERVICES TO DIVERT INDIVIDUALS EXPERIENCING MENTAL HEALTH CRISES FROM LAW ENFORCEMENT ENCOUNTERS IN A HIGH NEED GEOGRAPHIC AREA COMPRISING DESOTO AND MANATEE COUNTIES, FLORIDA. C-CCRP WILL SERVE 1,050 UNDUPLICATED INDIVIDUALS (Y1: 150; Y2-4: 300/YR.). C-CCRP WILL SERVE ADULTS, CHILDREN, AND YOUTH EXPERIENCING MENTAL HEALTH CRISES IN DESOTO AND MANATEE COUNTIES, FLORIDA, WHERE UP TO 38% OF THE 387,000+ CALLS TO LAW ENFORCEMENT WERE RELATED TO BEHAVIORAL HEALTH ISSUES. IN 2021, ONLY 5% OF AREA LAW ENFORCEMENT OFFICERS RECEIVED CIT TRAINING. FOCUS POPULATION DEMOGRAPHICS ARE EXPECTED TO MIRROR THOSE OF THE GEOGRAPHIC CATCHMENT AREA, WHICH COMPRISES 82% ADULTS AND 18% CHILDREN/YOUTH; 49% MALE AND 51% FEMALE, INCLUDING 0.55% TRANSGENDER INDIVIDUALS; AND 70% WHITE, 9% BLACK/AFRICAN AMERICAN, AND 18% HISPANIC/LATINO INDIVIDUALS. PREVALENT MENTAL HEALTH, SUBSTANCE USE, AND SOCIOECONOMIC RISK FACTORS FOR BEHAVIORAL HEALTH CRISIS POINT TO A NEED TO IMPLEMENT EFFECTIVE MOBILE CRISIS SERVICES. FOR EXAMPLE, OF THE CATCHMENT AREA’S 352,050 ADULTS, 21% ARE EXPECTED TO HAVE A MENTAL ILLNESS. APPROXIMATELY 12% OF AREA YOUTH AGES 12-17 HAVE HAD SERIOUS THOUGHTS OF SUICIDE. MENTAL HEALTH/SUBSTANCE USE RELATED HOSPITALIZATIONS IN MANATEE WERE 56% HIGHER THAN THE STATE, AND DESOTO EXCEEDED FLORIDA IN NON-FATAL SUICIDE ATTEMPTS BY 122%. C-CCRP WILL INCREASE THE CAPACITY OF AND TIMELY ACCESS TO 24/7 MCRTS, INCREASE COLLABORATION WITH LAW ENFORCEMENT/988/CALL CENTERS, AND IMPROVE EQUITY IN THE CONTINUITY OF CARE AND POST-CRISIS FOLLOW-UP. C-CCRP’S 2-PERSON MCRTS WILL PROVIDE IN-PERSON/TELEHEALTH RESPONSE INCLUDING SCREENING/ ASSESSMENT; COMMUNITY STABILIZATION; SAFETY PLANNING; REFERRAL TO ENHANCED SERVICES AFTER STABILIZATION; AND POST-CRISIS FOLLOW-UP. C-CCRP WILL CONDUCT COMMUNITY MAPPING TO IDENTIFY SERVICE NEEDS/GAPS, PROVIDE CRISIS INTERVENTION TRAINING, DEVELOP PROTOCOLS TO IMPROVE COORDINATION WITH FIRST RESPONDERS AND COMMUNITY PROVIDERS, COORDINATE WITH RELEVANT STATE EFFORTS, AND IMPLEMENT A DATA SYSTEM TO TRACK OUTCOMES. C-CCRP WILL ACCOMPLISH THE FOLLOWING GOALS: 1) DEVELOP A SOUND INFRASTRUCTURE AND INCREASED CAPACITY TO DELIVER MOBILE CRISIS RESPONSE SERVICES FOR PERSONS OF ALL AGES IN THE GEOGRAPHIC CATCHMENT AREA; 2) INCREASE CRISIS SYSTEM COLLABORATION WITHIN THE PROPOSED HIGH-NEEDS COMMUNITIES TO ENSURE A COMPREHENSIVE, INTEGRATED SERVICES TO ADDRESS THE FOCUS POPULATIONS’ NEEDS; 3) ENHANCE MOBILE CRISIS RESPONSE TEAMS TO ENSURE TRAUMA-INFORMED AND CULTURALLY, AGE, AND DEVELOPMENTALLY APPROPRIATE SERVICES TO DIVERT ADULTS, CHILDREN, AND YOUTH EXPERIENCING MENTAL HEALTH CRISES FROM LAW ENFORCEMENT TO COMMUNITY STABILIZATION; 4) IMPROVE CRISIS SYSTEM PERFORMANCE VIA EXPANDED ACCESS TO MOBILE CRISIS RESPONSE SERVICES IN PROPOSED HIGH-NEED COMMUNITIES; 5) PROMOTE IMPROVED MENTAL HEALTH OUTCOMES AMONG ADULTS, CHILDREN, AND YOUTH EXPERIENCING MENTAL HEALTH CRISES; AND 6) DEVELOP/DISSEMINATE A DOCUMENTED SERVICE MODEL FOR STATEWIDE AND NATIONAL REPLICATION/ADOPTION. AS A RESULT OF THESE GOALS/IMPROVEMENTS, THE PROJECT WILL ACHIEVE THE FOLLOWING MEASURABLE OBJECTIVES AMONG POPULATIONS RECEIVING CRISIS RESPONSE: SCREEN 100%, REFER 100% TO NEEDED SERVICES, INCREASE ACCESS TO SERVICES FOR 60%, REDUCE SUICIDE RISK FOR 100%, AND REDUCE ARREST/DETENTION BY 30%. THE PROJECT WILL ACHIEVE THE FOLLOWING MEASURABLE OBJECTIVES IN THE HIGH NEEDS COMMUNITY SERVED: RESOLVE 70% OF MCRT RESPONSES IN THE COMMUNITY, DIVERT 40% FROM LAW ENFORCEMENT, INCREASE REFERRALS TO MCRT BY 50%; AND INCREASE KNOWLEDGE OF EFFECTIVE CRISIS RESPONSE AMONG 60% OF FIRST RESPONDERS TRAINED.

CENTERSTONE?S PARTNERSHIP TO HELP CHILDREN AND FAMILIES CONTINUE TO FLOURISH (2FLOURISH)

CENTERSTONE'S FINDING HOME, HEALTH, AND COMMUNITY (FHHC)

GRADUATE PSYCHOLOGY EDUCATION PROGRAMS

CENTERSTONE'S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC, ILLINOIS

CENTERSTONE ILLINOIS: YOUTH AND FAMILY TREE

CENTERSTONE MEDICATION-ASSISTED TREATMENT SERVICES IN ILLINOIS (C-MAT) - CENTERSTONE MAT SERVICES (C-MAT) WILL EXPAND/ENHANCE ACCESS TO MEDICATION-ASSISTED TREATMENT (MAT) SERVICES, DELIVERING FDA-APPROVED MEDICATIONS IN COMBINATION WITH COMPREHENSIVE AND EVIDENCE-BASED PSYCHOSOCIAL SERVICES IN 8 SOUTHWESTERN ILLINOIS COUNTIES (BOND, CALHOUN, GREENE, JERSEY, MACOUPIN, MADISON, MONTGOMERY, AND ST. CLAIR). C-MAT WILL SERVE 350 UNDUPLICATED ADULTS AGES 18 AND OLDER WITH AN OPIOID USE DISORDER (OUD) SEEKING OR RECEIVING MAT TO DECREASE ILLICIT OPIOID USE/PRESCRIPTION OPIOID MISUSE (YR. 1:50; YRS. 2-5:75, ANNUALLY). C-MAT’S FOCUS POPULATION ENCOMPASSES AN ANTICIPATED 2,266 CATCHMENT AREA ADULTS WITH OUD SEEKING OR RECEIVING MAT MEDICATIONS. FOCUS POPULATION DEMOGRAPHICS ARE EXPECTED TO MIRROR THOSE OF CENTERSTONE CLIENTS WITH OUD IN THE CATCHMENT AREA, WITH 48% MALE, 52% FEMALE, 87% WHITE, 7% AFRICAN AMERICAN, 2% HISPANIC/LATINO, AND 33% MEDICAID RECIPIENTS. C-MAT’S SUBPOPULATIONS INCLUDE THE 1,520 WHO ARE VETERANS, 1,418 INVOLVED IN THE CRIMINAL JUSTICE SYSTEM, AND THOSE WHO HAVE A CO-OCCURRING SUBSTANCE USE (4,244) AND/OR MENTAL DISORDER (3,272) (COD). BETWEEN 2016-2020, THERE WAS A 51% INCREASE IN DRUG ODS IN THE CATCHMENT AREA; WITH AN ESTIMATED 80% OF OVERDOSES RELATED TO OPIOIDS. FOUR CATCHMENT AREA COUNTIES HAVE SIGNIFICANTLY HIGHER OPIOID DISPENSING RATES THAN THE STATE RATE (43/100), THE STATE RATE OF OPIOID-RELATED INPATIENT ADMISSIONS IS HIGHER THAN THE NATIONAL RATE (348 VS. 300/100,000), AND STATE TREATMENT ADMISSIONS ARE GREATER FOR PRESCRIPTION OPIOIDS THAN ANY OTHER SUBSTANCE. C-MAT WILL DELIVER MEDICATION-ASSISTED TREATMENT (MAT) ACCORDING TO NIDA’S PRINCIPLES OF DRUG ADDICTION TREATMENT, SAMHSA’S TREATMENT IMPROVEMENT PROTOCOL (TIP) 63: MEDICATIONS FOR OPIOID USE DISORDERS, AND HAZELDEN’S COR-12, PROVIDING FDA-APPROVED MEDICATIONS IN CONJUNCTION WITH EVIDENCE-BASED BEHAVIORAL HEALTH THERAPIES, INCLUDING HAZELDEN’S CO-OCCURRING DISORDERS PROGRAM, SEEKING SAFETY, AND DIMENSIONS: TOBACCO FREE PROGRAM. KEY C-MAT STRATEGIES/INTERVENTIONS INCLUDE COMMUNITY COLLABORATIONS; ASSEMBLY OF ADVISORY COUNCIL; ENHANCEMENT OF PROGRAM PROCEDURES, INCLUDING MITIGATION OF MEDICATION DIVERSION; OUTREACH/ENGAGEMENT; SCREENINGS/ASSESSMENTS; DEVELOPMENT OF INDIVIDUAL TREATMENT PLAN; PROVISION OF MAT, OUD/COD TREATMENT/PSYCHOSOCIAL SERVICES, TOBACCO CESSATION, CARE COORDINATION, RECOVERY SUPPORT SERVICES (E.G., PEER SUPPORTS, LINKAGES TO HOUSING/EMPLOYMENT, BENEFITS ENROLLMENT); HIV/VH TESTING/LINKAGES; TELEHEALTH SERVICES; SUSTAINABILITY PLANNING; AND DISSEMINATION OF A COMPREHENSIVE EVALUATION. C-MAT GOALS ARE TO ENHANCE/EXPAND ACCESS TO MAT SERVICES, OUD TREATMENT, WRAP-AROUND/RECOVERY SUPPORTS, ETC.; DEVELOP INFRASTRUCTURE/CAPACITY TO EXPAND, ENHANCE, AND SUSTAIN SERVICES; IMPROVE CLIENTS’ HEALTH STATUS/OUTCOMES; AND DEVELOP/DISSEMINATE A REPLICABLE SERVICE MODEL. C-MAT WILL ACHIEVE THE FOLLOWING MEASURABLE OBJECTIVES: CONDUCT OUTREACH/ENGAGEMENT AMONG 750 INDIVIDUALS; PROVIDE TRAINING/WORKFORCE DEVELOPMENT FOR 100 STAFF/COMMUNITY PROVIDERS; ACHIEVE ABSTINENCE FROM ILLICIT DRUGS AMONG 60% OF CLIENTS; REDUCE MENTAL HEALTH SYMPTOMATOLOGY BY 50%; ASSIST 100% IN NEED WITH RESOURCES TO IDENTIFY/SECURE STABLE HOUSING AND EMPLOYMENT; ACHIEVE NO PAST 30-DAY CRIMINAL JUSTICE INVOLVEMENT AMONG 60% WITH HISTORIES; REDUCE TOBACCO USE BY 30%; REDUCE COSTLY SERVICE UTILIZATION BY 50%; INCREASE SOCIAL CONNECTEDNESS AMONG 70% OF CLIENTS; AND ACHIEVE 80% CLIENT RETENTION. C-MAT HAS SECURED COMMITMENTS FROM PARTNERS DEDICATED TO THE PROJECT’S SUCCESS, AND WILL COLLABORATE WITH COMMUNITY PROVIDERS, LAW ENFORCEMENT, COALITIONS, SOCIAL SERVICE AGENCIES, KEY STAKEHOLDERS, ETC.

CENTERSTONE'S CONNECTIONS IN INDIANA (CONNECTIONS) - “CENTERSTONE’S CONNECTIONS: CONNECTING WITH PEOPLE THROUGH HOME, RECOVERY, AND COMMUNITY IN INDIANA” (CONNECTIONS) WILL PROVIDE COMPREHENSIVE, COORDINATED, AND EVIDENCE-BASED TREATMENT AND SERVICES FOR 235 UNDUPLICATED INDIVIDUALS, INCLUDING YOUTH, AND FAMILIES WITH SUBSTANCE USE DISORDERS (SUDS) OR CO-OCCURRING MENTAL HEALTH CONDITIONS AND SUDS (CODS) WHO ARE EXPERIENCING HOMELESSNESS IN 6 INDIANA COUNTIES (I.E., BARTHOLOMEW, JACKSON, JENNINGS, LAWRENCE, MONROE, AND MORGAN) (YR. 1: 35, YRS. 2-5: 50 ANNUALLY). CONNECTIONS’ FOCUS POPULATION ENCOMPASSES AN ESTIMATED 975 PERSONS WITH SUD AND AN ESTIMATED 867 WITH COD. FOCUS POPULATION DEMOGRAPHICS AND SOCIOECONOMICS ARE EXPECTED TO MIRROR THOSE OF THE 3,688 INDIVIDUALS IDENTIFIED AS HOMELESS WITHIN IN-502 CONTINUUM OF CARE (COC) (E.G., 58% MALE, 75% AGES 25+, 24% BLACK, 56% UNEMPLOYED). CONNECTIONS WILL SERVE SUBPOPULATIONS FROM AMONG AN ESTIMATED 258 RURAL RESIDENTS; 315 VETERANS; 1,000+ INDIVIDUALS FROM MINORITY COMMUNITIES (E.G., 1000+ RACIAL/ETHNIC MINORITIES, 70+ LGBT ADULTS); AND 130+ JUVENILE SYSTEM-INVOLVED/FOSTER CARE AND /OR 1,460 CRIMINAL JUSTICE-INVOLVED ADULTS. CONNECTIONS WILL FOLLOW SAMHSA’S TREATMENT IMPROVEMENT PROTOCOL (TIP) 59: IMPROVING CULTURAL COMPETENCE TO GUIDE INTEGRATION OF CULTURALLY- AND POPULATION APPROPRIATE STRATEGIES AND TIP 55: BEHAVIORAL HEALTH SERVICES FOR PEOPLE WHO ARE HOMELESS TO GUIDE/INFORM DELIVERY OF SELECTED EVIDENCE-BASED INTERVENTIONS/MODELS, INCLUDING A HOUSING FIRST APPROACH. CONNECTIONS’ WILL IMPLEMENT CRITICAL TIME INTERVENTION CASE MANAGEMENT TO FACILITATE COMMUNITY INTEGRATION AND PROVIDE LINKAGE TO NEEDED SERVICES. SUD TREATMENT WILL COMPRISE THERAPIES (E.G., COGNITIVE BEHAVIORAL THERAPY, MOTIVATIONAL INTERVIEW) AND TRAUMA INTERVENTIONS (E.G., SEEKING SAFETY), PROVIDED FOR THOSE WITH COD AS COMPONENTS OF AN INTEGRATED TREATMENT APPROACH, PER TIP 42: SUD TREATMENT FOR PEOPLE WITH COD. KEY CONNECTIONS’ STRATEGIES/INTERVENTIONS INCLUDE COMMUNITY COLLABORATIONS; IN-/OUTREACH; SCREENING/ASSESSMENT; DEVELOPMENT OF INDIVIDUAL CARE PLANS; PROVISION OF MEDICATIONS FOR OPIOID USE DISORDER (MOUD); HARM REDUCTION SERVICES/OVERDOSE EDUCATION; TOBACCO/VAPING CESSATION, CARE COORDINATION, RECOVERY SUPPORT SERVICES (E.G., PEER SUPPORTS, LINKAGES TO HOUSING/EMPLOYMENT, BENEFITS ENROLLMENT); HIV/HEPATITIS SCREENING/EDUCATION/LINKAGES; ASSEMBLY OF A STEERING COMMITTEE; DISSEMINATION OF A COMPREHENSIVE EVALUATION; AND SUSTAINABILITY PLANNING. CONNECTIONS’ GOALS ARE TO IMPLEMENT A COMPREHENSIVE, COORDINATED, AND EVIDENCE-BASED PROJECT TO SUPPORT THE EXPANSION OF A COMMUNITY INFRASTRUCTURE THAT INTEGRATES SERVICES; DEVELOP/EXPAND A SOUND INFRASTRUCTURE AND CAPACITY TO SUPPORT COMMUNITY SYSTEMS’ EFFECTIVENESS IN PROVIDING INTEGRATED SUD/COD TREATMENT, PERMANENT HOUSING, AND RECOVERY SUPPORT SERVICES; IMPROVE PARTICIPANTS’ HEALTH STATUS/OUTCOMES; AND DEVELOP/DISSEMINATE A REPLICABLE SERVICE MODEL. CONNECTIONS WILL ACHIEVE THE FOLLOWING MEASURABLE OBJECTIVES: TRAIN 5 PROJECT STAFF IN CULTURALLY-/LINGUISTICALLY-APPROPRIATE CARE; CONDUCT OUTREACH/ENGAGEMENT AMONG 360; DELIVER TREATMENT, HOUSING NAVIGATION, AND WRAPAROUND/RECOVERY SUPPORTS PER COMPREHENSIVE ICPS FOR AN UNDUPLICATED IN THE 235 FOCUS POPULATION; PROVIDE TRAINING/WORKFORCE DEVELOPMENT FOR 250 STAFF/COMMUNITY PROVIDERS; COLLABORATE WITH 10 LOCAL PROVIDERS/ORGANIZATIONS AND 2 OTPS; ESTABLISH A STEERING COMMITTEE COMPRISING 20% FOCUS POPULATION/FAMILIES, HOUSING AUTHORITIES, ETC.; DEVELOP/REVISE 5 POLICIES; DEVELOP LINKAGES WITH 2 FUNDING MECHANISMS; REDUCE SUBSTANCE USE AMONG 60%; REDUCE MENTAL HEALTH SYMPTOMATOLOGY AMONG 45%; REDUCE CRIMINAL JUSTICE SYSTEM INVOLVEMENT AMONG 25%; ASSIST 80% TO IDENTIFY/SECURE STABLE HOUSING; INCREASE HOUSING STABILITY FOR 50%; LINK 100% WITH EMPLOYMENT/EDUCATION SERVICES; ASSIST 100% TO ENROLL IN NEEDED BENEFITS; INCREASE SOCIAL CONNECTEDNESS AMONG 80%; AND REDUCE HEALTH/SOCIAL CONSEQUENCES OF SUBSTANCE USE AMONG 75%.

CENTERSTONE CONNECTIONS (CONNECTIONS): CONNECTING WITH PEOPLE THROUGH HOME, RECOVERY, AND COMMUNITY IN FLORIDA

CENTERSTONE'S SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (C-SBIRT) - CENTERSTONE’S SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (C-SBIRT) WILL EXPAND THE UPTAKE OF THE SBIRT MODEL IN PRIMARY CARE/PEDIATRIC, COMMUNITY HEALTH, AND SCHOOL SETTINGS IN 14 FLORIDA COUNTIES, WITH A FOCUS ON SCREENING FOR UNDERAGE DRINKING, OPIOID USE, AND OTHER SUBSTANCE USE. C-SBIRT WILL SCREEN AN UNDUPLICATED 16,000 (I.E., Y1: 1,500; Y2: 3,000; Y3: 5,000; Y4: 4,500; Y5: 2,000) VIA SCREENING; OF THOSE, MORE THAN 50% WILL BE YOUTH AGES 12-21. C-SBIRT’S FOCUS POPULATION IS EXPECTED TO MIRROR AREA RESIDENTS’ (12+) DEMOGRAPHICS (E.G., 49% MALE; 51% FEMALE, 66% WHITE) AND SOCIOECONOMICS (E.G., 12% EXPERIENCE POVERTY, 12% LACK HEALTH INSURANCE). C-SBIRT WILL SERVE UNDER-SERVED/RESOURCED SUBPOPULATIONS FROM AMONG THE AREA’S RACIAL/ETHNIC AND SEXUAL/GENDER MINORITY COMMUNITIES; VETERAN/MILITARY POPULATIONS, INCLUDING VETERAN HOUSEHOLDS WITH CHILDREN; AND/OR SYSTEMS-INVOLVED YOUTH POPULATIONS. LOW PERCEPTION OF RISK IN USING SUBSTANCES (E.G., 50% OF 12-17 YEAR OLDS DO NOT SEE USING COCAINE 1 TIME A MONTH AS RISKY) INCREASES EARLY INITIATION, RISK OF MISUSE, AND LIKELIHOOD OF SUD FOR THE FOCUS POPULATION; AN ESTIMATED 95.5% WITH SUD DO NOT RECOGNIZE THE PROBLEM, IMPACTING 570,000+ IN THE FOCUS POPULATION. AN ESTIMATED 46,810 YOUTH AND 550,520 ADULTS WILL HAVE SUD; OF THOSE, 3% OF YOUTH AND NEARLY 10% OF ADULTS WILL HAVE AUD AND 1% OF YOUTH AND 2% OF ADULTS WILL HAVE OUD. NEARLY 3% OF YOUTH AND 8% OF ADULTS ARE ANTICIPATED TO HAVE COD. C-SBIRT WILL ESTABLISH YOUTH AND ADULT TRACKS FOR INTEGRATING SBIRT IMPLEMENTATION PROTOCOLS, INCLUDING POPULATION-SPECIFIC IMPLEMENTATION SITES, SBIRT TEAMS, TOOLS, INTERVENTIONS, ETC. C-SBIRT’S STRATEGIES/INTERVENTIONS INCLUDE CAPACITY-BUILDING EFFORTS (E.G., TECHNOLOGY INTEGRATION, ANNUAL ASSESSMENT OF GAPS/NEEDS); TARGETED OUTREACH/EDUCATION TO YOUTH- AND ADULT-FOCUSED ENTITIES (E.G., PEDIATRICIANS, SCHOOLS/UNIVERSITIES, PRIMARY CARE PROVIDERS); EXPANDING SCREENINGS TO IDENTIFY RISKY SUBSTANCE USE, ALCOHOL/OTHER DRUG CONSUMPTION, SUICIDE RISK, AND CO-OCCURRING DISORDERS; AND INITIATING APPROPRIATE EVIDENCE-BASED RESPONSE. C-SBIRT WILL UTILIZE AGE-APPROPRIATE, VALIDATED PRE-SCREENS, SUCH AS THE NATIONAL INSTITUTE OF DRUG ABUSE’S AND NATIONAL INSTITUTE OF ALCOHOLISM AND ALCOHOL ABUSE’S SINGLE QUESTION SCREEN, BSTAD, AND PHQ-2; VALIDATED FULL SCREENS SUCH AS THE AUDIT, DAST-10, CRAFFT, PHQ-9/-A, C-SSRS; EVIDENCE-BASED BRIEF INTERVENTION VIA BRIEF NEGOTIATED INTERVIEW AND TIP 34: BRIEF INTERVENTIONS AND BRIEF THERAPIES FOR SUBSTANCE ABUSE; AND BRIEF TREATMENT VIA COGNITIVE BEHAVIORAL THERAPY, MOTIVATIONAL INTERVIEWING, AND MULTI-DIMENSIONAL FAMILY THERAPY. CASE MANAGEMENT FOR THOSE REFERRED TO SPECIALTY TREATMENT WILL BE GUIDED BY TIP 27: COMPREHENSIVE CASE MANAGEMENT FOR SUBSTANCE ABUSE TREATMENT AND WILL INCLUDE ASSESSMENT FOR HOMELESSNESS RISK, PEER SUPPORTS. PROJECT GOALS INCLUDE: 1) IMPLEMENT A PROJECT TO PROVIDE COMPREHENSIVE, TRAUMA-INFORMED SBIRT SERVICES; 2) IMPLEMENT CAPACITY BUILDING TO EXPAND AND SUSTAIN SBIRT SERVICES; 3) IMPROVE OUTCOMES AMONG PARTICIPANTS RECEIVING BRIEF INTERVENTION, BRIEF TREATMENT, AND TREATMENT VIA REFERRALS; AND 4) DEVELOP/DISSEMINATE A DOCUMENTED SERVICE MODEL FOR STATEWIDE REPLICATION/ADOPTION. MEASURABLE PARTICIPANT-RELATED OBJECTIVES INCLUDE: REDUCE REPORTED DAYS EXPERIENCING MENTAL HEALTH SYMPTOMS BY 40% AMONG THOSE WITH COD; REDUCE REPORTED DAYS OF OPIOID USE BY 50-60% AMONG THOSE WITH RISK AT INTAKE; INCREASE ABSTINENCE FROM SUBSTANCE USE AMONG 40-60%; REDUCE INPATIENT/ER USAGE AMONG 40%; REDUCE TOBACCO USE AMONG 60% WITH RISK AT INTAKE; INCREASE SOCIAL CONNECTEDNESS AMONG 70%; ASSESS 100% REFERRED TO TREATMENT FOR WRAPAROUND NEEDS AND PROVIDE 100% WITH CASE MANAGEMENT; ACHIEVE 80% FOLLOW UP AMONG THOSE REFERRED TO TREATMENT. C-SBIRT HAS SECURED COMMITMENTS FROM COLLABORATORS DEDICATED TO THE PROJECT’S SUCCESS, AND WILL COLLABORATE WITH PRIMARY CARE PROVIDERS, INCLUDING PEDIATRIC PROVIDERS, SCHOOLS, AND OTHER KEY COMMUNITY STAKEHOLDERS.

CENTERSTONE CONNECTIONS (CONNECTIONS): CONNECTING WITH PEOPLE THROUGH HOME, RECOVERY, AND COMMUNITY IN ILLINOIS

CENTERSTONE TRAUMA TREATMENT AND TRAINING IN ILLINOIS (CT3)

CENTERSTONE'S PARTNERSHIP TO HELP CHILDREN AND FAMILIES FLOURISH (FLOURISH)

CENTERSTONE PERSONAL RESPONSIBILITY EDUCATION PROGRAM IN FLORIDA (C-PREP)

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-IMPACT - ADDRESS: 645 S ROGERS STREET, BLOOMINGTON, INDIANA, 47403-2353 (HEADQUARTERS) PROJECT DIRECTOR NAME: JENNIFER EULA FILLMORE CONTACT PHONE NUMBERS: TELEPHONE: 317-535-9020; FAX: 812-954-4378 EMAIL ADDRESS: JENNIFER.FILLMORE@CENTERSTONE.ORG WEBSITE ADDRESS: HTTPS://CENTERSTONE.ORG/LOCATIONS/INDIANA/ REQUESTED GRANT PROGRAM FUNDS: RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-IMPACT; $3,000,000 BRIEF PROJECT DESCRIPTION: CENTERSTONE’S RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (C-RCORP) IN INDIANA WILL EXPAND/ESTABLISH ACCESS POINTS FOR SUBSTANCE USE DISORDER (SUD)/OPIOID USE DISORDER (OUD) TREATMENT, RECOVERY, AND SUPPORTIVE SERVICES FOR 550 INDIVIDUALS (I.E., Y1: 100; Y2: 125; Y3: 150; Y4: 175) RESIDING IN 7 RURAL, SOUTHERN INDIANA COUNTIES (I.E., BROWN, OWEN, SCOTT, JACKSON, JENNINGS, JEFFERSON, LAWRENCE). C-RCORP WILL LEVERAGE A DIVERSE NETWORK COMPRISING THE BEHAVIORAL HEALTH CARE AND RESEARCH, WORKFORCE DEVELOPMENT, OPIOID TREATMENT, RECOVERY, SUPPORTIVE SERVICES, AND JUSTICE SECTORS OF THE SUD SERVICE CONTINUUM TO ADDRESS AREA NEEDS. SUCH NEEDS INCLUDE HIGH RATES OF SUD/OUD AND RELATED CONSEQUENCES, INDIVIDUALS NEEDING BUT NOT RECEIVING SERVICES (E.G., TREATMENT), ETC. OVER 35,600 SERVICE AREA INDIVIDUALS AGES 12+ HAVE SUD AND NEARLY 3,900, OUD, INCLUDING 14,000 ADULTS WITH CO-OCCURRING SUD AND ANY MENTAL ILLNESS (COD); 600+ YOUTH (12-17 YEARS) WITH COD (SUD AND MAJOR DEPRESSIVE EPISODE); AND 3,500+ (AGE 12+) WITH PAIN RELIEVER USE DISORDER. AN ESTIMATED 26,700+ AREA RESIDENTS, AGES 12+, NEED BUT WILL NOT RECEIVE SUD TREATMENT AND ARE ALSO EXPECTED TO NEED RECOVERY SERVICES. OF THOSE AGES 12+ WITH OUD IN 2021, ONLY 22% RECEIVED MEDICATION ASSISTED TREATMENT. THE AREA’S ESTIMATED 24% OF INDIVIDUALS WITH ANY MENTAL ILLNESS AND 6% WITH SERIOUS MENTAL ILLNESS ARE AT AN ELEVATED RISK OF DEVELOPING SUD/OUD IN THE FUTURE, FURTHER EXACERBATING AREA NEED. C-RCORP PROPOSES SERVICES TO ADDRESS THE IDENTIFIED NEEDS OF THE TARGET POPULATION, INCLUDING COMMUN ITY OUTREACH/EDUCATION AND HARM REDUCTION; TRAINING FOR AREA PROFESSIONALS; HIRING PEER RECOVERY SPECIALISTS AND OTHER CLINICAL PROVIDERS; EXPANDING/ENHANCING AREA RECOVERY COMMUNITY ORGANIZATIONS AND RECOVERY HOUSING/RESIDENCES; PROVIDING EVIDENCE-BASED PREVENTION AND TREATMENT (I.E., CBT, CBT-CHRONIC PAIN, DBT, MOUD, MORAL RECONATION THERAPY, MOTIVATIONAL INTERVIEWING, SEEKING SAFETY, TWELVE STEP FACILITATION FOR COD, MULTIDIMENSIONAL FAMILY THERAPY) AND RECOVERY SERVICES (I.E., DIMENSIONS, HOUSING VIA HOUSING FIRST, EMPLOYMENT ACCORDING TO THE PRINCIPLES OF SUPPORTED EMPLOYMENT); AND PROVIDING BENEFITS COUNSELING/ENROLLMENT AND OTHER SUPPORTIVE SOCIAL SERVICES TO FACILITATE LONG-TERM RECOVERY FOR PARTICIPANTS. C-RCORP’S TARGET POPULATION TO BE SERVED COMPRISES 50% MALE; 50% FEMALE; 92% WHITE; 1% AFRICAN AMERICAN/ BLACK; AND 4% HISPANIC/LATINO INDIVIDUALS AND WILL INCLUDE SUBPOPULATIONS THAT HAVE HISTORICALLY SUFFERED FROM POORER HEALTH OUTCOMES, HEALTH DISPARITIES, AND OTHER INEQUITIES FROM AMONG THE 15,859 RACIAL/ETHNIC MINORITY, 9,000+ SEXUAL/GENDER MINORITY, 15,000 SOCIOECONOMICALLY DISADVANTAGED, AND 3,700+ JUSTICE-INVOLVED INDIVIDUALS, AND FROM AMONG THE 13,945 AREA VETERANS.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - PROJECT TITLE: CENTERSTONE'S RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (C-RCORP) APPLICANT ORGANIZATION NAME: CENTERSTONE OF ILLINOIS, INC. ADDRESS: 902 W MAIN ST, WEST FRANKFORT, ILLINOIS, 62896 PROJECT DIRECTOR NAME: TAYLOR MARKS CONTACT PHONE NUMBERS: V: 618-491-1175; F: 618-462-2504 EMAIL ADDRESS: TAYLOR.MARKS@CENTERSTONE.ORG WEBSITE ADDRESS: WWW.CENTERSTONE.ORG FUNDS REQUESTED: $2,000,000 ORGANIZATION FACILITY TYPE: COMMUNITY-BASED BEHAVIORAL HEALTH ORGANIZATION DATA COORDINATOR: WENDY SHURAN,MBA; WENDY.SHURAN@CENTERSTONE.ORG; 931-314-5096 EIN/DUNS NUMBER EXCEPTION REQUEST IN ATTACHMENT 8: NO HOW CENTERSTONE FIRST LEARNED ABOUT THE FUNDING OPPORTUNITY: GRANTS.GOV NUMBER AND LIST OF CONSORTIUM MEMBERS: 1) CENTERSTONE OF ILLINOIS, INC.; 2) PSYCH HUB; 3) TAMAROA GRADE SCHOOL; 4) SOUTHERN ILLINOIS HEALTHCARE. PREVIOUS OR CURRENT RCORP AWARD RECIPIENT OR CONSORTIUM MEMBER: NO INTENT TO APPLY FOR FY22 RCORP-IMPLEMENTATION: NO INTENT TO APPLY DOES THE SERVICE AREA OVERLAP WITH: THE NORTHERN BORDER REGIONAL COMMISSION: NO THE DELTA REGIONAL AUTHORITY: YES; PERRY, SALINE, UNION THE APPALACHIAN REGIONAL COMMISSION: NO RCORP-BHS TARGET SERVICE AREA: FULLY RURAL: BOND, CALHOUN, CLINTON, GREENE, FRANKLIN, MACOUPIN, MONTGOMERY, PERRY, SALINE, UNION, WASHINGTON PARTIALLY RURAL: THE PROJECT TARGET SERVICE AREA DOES NOT CONTAIN ANY PARTIALLY RURAL COUNTIES. BRIEF DESCRIPTION OF TARGET POPULATION: THE TARGET POPULATION CONSISTS OF INDIVIDUALS OF ALL AGES WITH, AT RISK FOR, AND/OR IN TREATMENT/RECOVERY FOR SUD/OUD/CO-OCCURRING MENTAL DISORDERS (COD), AS WELL AS THEIR FAMILIES/CAREGIVERS/IMPACTED COMMUNITY. THE TARGET POPULATION INCLUDES SUBPOPULATIONS THAT HAVE HISTORICALLY SUFFERED FROM COMPARATIVELY POORER HEALTH OUTCOMES, SUD/OTHER BEHAVIORAL HEALTH DISPARITIES, AND OTHER INEQUITIES, PARTICULARLY ADOLESCENTS AND YOUTH, SOCIOECONOMICALLY DISADVANTAGED INDIVIDUALS, AND VETERANS. WHILE THE TARGET RURAL SERVICE AREA P OPULATION COMPRISES <1% OF NATIVE AMERICAN INDIVIDUALS, C-RCORP WILL MAKE EVERY EFFORT TO OUTREACH/ENGAGE MEMBERS OF UNDERSERVED POPULATIONS UTILIZING ITS COMMUNICATION CAMPAIGN STRATEGIES AND TECHNOLOGY-BASED APPROACH. FOR EXAMPLE, C-RCORP WILL LEVERAGE, TECHNOLOGY-BASED (E.G., SOCIAL MEDIA), COLLATERAL MATERIALS (E.G., FLYERS, BROCHURES), AND OTHER COMMUNICATIONS STRATEGIES (E.G., TRANSIT ADVERTISEMENT) TO OUTREACH TO UNDERSERVED POPULATIONS AND INFORM THEM OF C-RCORP AND ITS ACTIVITIES/GOALS.

CENTERSTONE'S PREVENTING YOUTH OVERDOSE PROGRAM (C-PYO) IN ILLINOIS - CENTERSTONE’S PREVENTING YOUTH OVERDOSE PROGRAM (C-PYO) WILL SERVE 325 CHILDREN/ ADOLESCENTS (AGES 10-18) AND YOUNG ADULTS (AGES 19-25) WITH/AT RISK FOR OPIOID USE DISORDER (OUD) AND/OR CO-OCCURRING DISORDER (COD) AND THEIR FAMILIES/PRIMARY CAREGIVERS IN A 12-COUNTY CATCHMENT AREA IN SOUTHWESTERN ILLINOIS (Y1: 75; Y2-3: 125/YEAR). C-PYO WILL IMPLEMENT EVIDENCE-BASED TREATMENT, INCLUDING MEDICATIONS FOR OPIOID USE DISORDER (MOUD); SCREENINGS/ ASSESSMENTS; EDUCATION/COMMUNITY AWARENESS; RECOVERY SUPPORT SERVICES; AND LINKAGES TO CARE COORDINATION. THE FOCUS POPULATION COMPRISES AN ANTICIPATED 176,850 YOUTH WHOSE DEMOGRAPHICS AND CLINICAL CHARACTERISTICS ARE EXPECTED TO MIRROR THOSE OF THE CATCHMENT AREA YOUTH, WITH 51% MALE, 49% FEMALE, 71% WHITE, 17% BLACK/AFRICAN AMERICAN, AND 6% HISPANIC/LATINO INDIVIDUALS. SUBPOPULATIONS WILL COMPRISE YOUTH FROM AMONG THE AREA’S MINORITY GROUPS (E.G., 39,420 RACIAL/ETHNIC MINORITY AND/OR 12,780 LGBT YOUTH); SYSTEMS-INVOLVED YOUTH (E.G., 5,180 IN FOSTER CARE AND JUVENILE JUSTICE); AND VETERAN POPULATIONS (E.G., 2,300 VETERANS [AGES 18-25]; 1,000 VETERAN HOUSEHOLDS WITH CHILDREN). ROUGHLY 28,570 FOCUS POPULATION YOUTH AGES 12-25 HAVE A SUBSTANCE USE DISORDER (SUD) AND 2,000, OUD. AMONG AREA YOUTH AGES 12-17, 980 HAVE A CO-OCCURRING SUD AND MAJOR DEPRESSIVE EPISODE. WITHIN A RECOVERY-ORIENTED SYSTEMS OF CARE AND USING BEST PRACTICES FROM NIDA’S PRINCIPLES OF ADOLESCENT SUD TREATMENT AND TIP 59: IMPROVING CULTURAL COMPETENCE, C-PYO WILL DELIVER EVIDENCE-BASED TEEN INTERVENE, TEEN MATRIX, MDFT FOR ADOLESCENT SUBSTANCE ABUSE, MOUD, AND DIMENSIONS. THE COMMUNITY AWARENESS CAMPAIGN WILL INTEGRATE BEST PRACTICES FROM THE CDC’S STOP OD CAMPAIGN AND HHS’ OD PREVENTION STRATEGY. THE CDC’S STRATEGIES FOR PREVENTING OPIOID OD AND YMHFA WILL INFORM C-PYO’S EDUCATION FOR FAMILIES AND SCHOOL PERSONNEL. KEY C-PYO STRATEGIES/COMPONENTS INCLUDE PROVIDER/COMMUNITY COLLABORATIONS; OUTREACH/ENGAGEMENT; AN ADVISORY COUNCIL; PREVENTION ACTIVITIES (E.G., OVERDOSE REVERSAL EDUCATION, PSYCHO-EDUCATION GROUPS); INDIVIDUAL TREATMENT PLANS; EVIDENCE-BASED SUBSTANCE USE DISORDER (SUD)/OUD/COD TREATMENTS (E.G., MOUD); RECOVERY SUPPORT SERVICES (E.G., PEER SUPPORTS, RELAPSE PREVENTION COUNSELING, HARM REDUCTION); AND REFERRALS (E.G., HEPATITIS A/B VACCINATIONS). C-PYO’S GOALS INCLUDE: 1) IMPLEMENT C-PYO TO PROVIDE A COORDINATED SET OF PREVENTION, TREATMENT, AND RECOVERY SUPPORT SERVICES FOR YOUTH WITH/AT RISK FOR OUD/COD. 2) DEVELOP AN INFRASTRUCTURE TO IMPROVE LOCAL AWARENESS AMONG YOUTH OF RISKS ASSOCIATED WITH FENTANYL; INCREASE ACCESS TO MOUD; AND TRAIN HEALTHCARE PROVIDERS, FAMILIES, AND SCHOOL PERSONNEL ON BEST PRACTICES FOR SUPPORTING YOUTH WITH OUD/TAKING MOUD. 3) IMPROVE HEALTH STATUS/OUTCOMES FOR PARTICIPATING YOUTH. 4) DEVELOP/DOCUMENT/REFINE A SERVICE DELIVERY MODEL FOR REPLICATION THROUGHOUT THE STATE. C-PYO WILL ACHIEVE THE FOLLOWING MEASURABLE OBJECTIVES RELATED TO TRAINING, EDUCATION, AND COMMUNITY AWARENESS: PROVIDE ACCREDITED TRAININGS TO 30 PROJECT/AGENCY CLINICIANS; REACH 1,200 INDIVIDUALS VIA A COMMUNITY AWARENESS CAMPAIGN AROUND THE RISKS ASSOCIATED WITH FENTANYL, EMERGING DRUGS, AND DRUGS OF INTEREST/PREVALENCE; AND EDUCATE/TRAIN 400 FAMILIES AND SCHOOL PERSONNEL TO IMPROVE THEIR UNDERSTANDING OF OUD AND MOUD FOR YOUTH. C-PYO WILL ACHIEVE THE FOLLOWING MEASURABLE PARTICIPANT-RELATED OBJECTIVES: DECREASE AT-RISK BEHAVIORS BY 50%; REDUCE MENTAL HEALTH SYMPTOMATOLOGY AMONG 60%, SUBSTANCE USE/FREQUENCY AMONG 40%, PAST 30-DAY UNEXCUSED ABSENCES AMONG 30% ENROLLED IN SCHOOL, COSTLY SERVICE UTILIZATION RELATED TO SUD/COD ISSUES AMONG 50%, AND PAST 30-DAY CRIMINAL/JUVENILE JUSTICE SYSTEM INVOLVEMENT AND/OR EXPOSURE TO CRIME/VIOLENCE BY 80%; IMPROVE FAMILY-FUNCTIONING BY 50%; INCREASE ACCESS TO RECOVERY-ORIENTED TREATMENT/SERVICES AMONG 100%; FOLLOW UP WITH 100% OF PARTICIPANTS RECEIVING LINKAGES/REFERRALS TO SUPPORTS TO ENSURE SERVICE UTILIZATION; AND ACHIEVE AN 80% PARTICIPANT RETENTION RATE.

CENTERSTONE'S WELLNESS ON WHEELS (C-WOW) - CENTERSTONE’S WELLNESS ON WHEELS (C-WOW) WILL TAKE A SYNDEMIC APPROACH TO PROVIDING PORTABLE CLINICAL CARE FOCUSED ON INTEGRATING LOW BARRIER SUBSTANCE USE DISORDER (SUD) TREATMENT; HIV AND OTHER INFECTIOUS DISEASES/CONDITIONS TESTING AND TREATMENT; MENTAL HEALTH CARE; AND HARM REDUCTION SERVICES FOR AN UNDUPLICATED TOTAL OF 300 INDIVIDUALS EXPERIENCING UNSHELTERED HOMELESSNESS IN RURAL DESOTO AND NON-RURAL MANATEE COUNTIES, FLORIDA, ACROSS THE 3-YEAR PROJECT PERIOD (Y1: 60; Y2: 110; Y3: 130). DEMOGRAPHICS AND CLINICAL CHARACTERISTICS OF FOCUS POPULATION INDIVIDUALS WILL MIRROR THOSE OF THE UNSHELTERED POPULATION IN FLORIDA’S CONTINUA OF CARE (COCS) 500 AND 517 SERVING CATCHMENT AREA COUNTIES, WITH 49% MALE, 51% FEMALE, 75% WHITE, 24% BLACK, AND 37% HISPANIC INDIVIDUALS. BASED ON THE FL-500/517 COCS, C-WOW’S SUBPOPULATIONS ARE EXPECTED TO INCLUDE 242 RACIAL/ ETHNIC MINORITIES; 67 SEXUAL/GENDER MINORITIES; AND 28 VETERANS. RATES OF HEALTH/BEHAVIORAL CONDITIONS AMONG FOCUS POPULATIONS ARE HIGHER THAN CATCHMENT AREA INDIVIDUALS: HIV (0.5% VS. 0.3%, RESPECTIVELY), HEPATITIS C (22% VS. 0.04%), CHLAMYDIA (7% VS. 0.4%), AND SERIOUS MENTAL ILLNESS (14% VS. 6%). CO-OCCURRING HIV AND MENTAL ILLNESS ARE EXPECTED AMONG 50% OF THE FOCUS POPULATION, AND NEARLY 12% WILL EXPERIENCE SUD. OPIOID MISUSE CONTRIBUTES TO HIV PREVALENCE, WITH NEARLY 17% OF THOSE WHO ARE HIV POSITIVE HAVING HAD INJECTED DRUGS. C-WOW’S EVIDENCE-BASED STRATEGIES/INTERVENTIONS INCLUDE THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH’S HOMELESS HEALTH OUTREACH AND MOBILE ENGAGEMENT (HHOME) PROGRAM, SAMHSA’S TIP 59: IMPROVING CULTURAL COMPETENCE, AND SAMHSA’S HARM REDUCTION FRAMEWORK TO GUIDE OVERALL ACTIVITIES; ON-SITE INTENSIVE CASE MANAGEMENT, MOTIVATIONAL INTERVIEWING, AND SOAR; FACILITY-BASED COMMUNITY-FRIENDLY HEALTHY RECOVERY PROGRAM; AND OTHER FACILITY-BASED INTERVENTIONS AT CENTERSTONE AVAILABLE TO C-WOW PARTICIPANTS PER THEIR GOALS/ NEEDS (E.G., MEDICATION ASSISTED TREATMENT, HAZELDEN’S CO-OCCURRING DISORDERS PROGRAM, WHOLE HEALTH ACTION MANAGEMENT, DIMENSIONS). C-WOW’S GOALS INCLUDE: 1) IMPLEMENT A PILOT PROJECT FOR UNDERSERVED POPULATIONS EXPERIENCING UNSHELTERED HOMELESSNESS THROUGH THE PROVISION OF PORTABLE CLINICAL CARE, FOCUSED ON THE INTEGRATION OF BEHAVIORAL HEALTH AND HIV TREATMENT AND PREVENTION SERVICES; 2) DEVELOP/IMPLEMENT SYSTEM CAPACITY BUILDING ACTIVITIES TO ENHANCE AND SUSTAIN PROJECT SERVICES; 3) INCREASE ON-SITE POINT OF CARE FOR THE FOCUS POPULATION; 4) DECREASE BARRIERS TO CARE FOR THE FOCUS POPULATION; AND 4) DEVELOP/DISSEMINATE A DOCUMENTED SERVICE MODEL/PILOT PROGRAM FOR REPLICATION/ADOPTION. C-WOW’S MEASURABLE PARTICIPANT-RELATED OBJECTIVES INCLUDE CONDUCTING SCREENINGS/ASSESSMENTS AND/OR TESTING FOR HIV, HEPATITIS, SEXUALLY TRANSMITTED INFECTIONS (STIS), MPOX, TUBERCULOSIS, SUD/COD, AND OTHER MENTAL HEALTH CONDITIONS; DEVELOPING INDIVIDUAL TREATMENT AND SERVICE PLANS; AND PROVIDING CASE MANAGEMENT, CARE COORDINATION, LINKAGE TO SERVICES FOR 300 INDIVIDUALS. FOR 100% OF PARTICIPANTS PER THEIR NEEDS/GOALS, C-WOW WILL PROVIDE ON-SITE LOW-BARRIER SUD TREATMENTS, INCLUDING FDA-APPROVED MEDICATIONS, PRIMARY CARE HEALTH SERVICES, AND INFECTIOUS DISEASE SERVICES; LINKAGES TO HOUSING RESOURCES; AND TRANSPORTATION TO INFECTIOUS DISEASE TREATMENT/VACCINATION AND TO PREP/PEP, SUD/COD/MENTAL HEALTH TREATMENT, PRIMARY CARE TREATMENT SERVICES, MPOX, AND RECOVERY SUPPORT SERVICES. C-WOW WILL INCREASE ACCESS TO TRAUMA-INFORMED, CULTURALLY RESPONSIVE, INTEGRATED MENTAL HEALTHCARE SERVICES AMONG 80% AND TO HARM REDUCTION EDUCATION, SUPPLIES, AND OTHER RELATED SERVICES AMONG 100% OF PARTICIPANTS. ADDITIONAL OBJECTIVES INCLUDE TRAINING 50 CENTERSTONE/PROJECT STAFF AND OTHER PROVIDERS IN SUD/CO-OCCURRING DISORDERS IDENTIFICATION, CULTURALLY-/LINGUISTICALLY-APPROPRIATE CARE, HARM REDUCTION, HIV/INFECTIOUS DISEASE TREATMENT/PREVENTION, ETC. AND ESTABLISHING AN ADVISORY COUNCIL COMPRISING 20% FOCUS POPULATION/INDIVIDUALS WITH LIVED EXPERIENCE.

CENTERSTONE TRAUMA TREATMENT AND TRAINING (CT3)

CENTERSTONE'S REENTRY AND RECOVERY (CRR) - CENTERSTONE’S REENTRY AND RECOVERY (CRR) WILL EXPAND SUBSTANCE USE DISORDER (SUD) TREATMENT AND RELATED RECOVERY/REENTRY SERVICES FOR AN UNDUPLICATED 260 UNDUPLICATED SENTENCED ADULTS WITH SUD AND/OR CO-OCCURRING MENTAL DISORDERS (COD) WHO HAVE BEEN SENTENCED TO, ARE SERVING AT LEAST 1 MONTH IN, AND WITHIN 4 MONTHS OF RELEASE FROM A CORRECTIONAL FACILITY; OR WHO ARE ON PROBATION/PAROLE AND AT RISK OF RE-INCARCERATION WITHIN LEE COUNTY, FLORIDA(YR. 1: 30; YRS. 2-3: 50; YRS. 4-5: 65). FOCUS POPULATION DEMOGRAPHICS ARE EXPECTED TO MIRROR THOSE OF THE AREA’S INCARCERATED POPULATION (E.G., 90% MALE; 40% WHITE, 45% BLACK/AFRICAN AMERICAN, 18% HISPANIC/LATINO; 15% UNEMPLOYED; 49% BELOW POVERTY). AN ESTIMATED 68% OF JAIL INMATES ARE EXPECTED TO HAVE SUD AND 8.5% OF ALL INCARCERATED PERSONS, OPIOID USE DISORDER (OUD), VS 17.3% AND 2.1% OF THE GENERAL PUBLIC, RESPECTIVELY. AN ESTIMATED 70% OF LEE’S JAIL INMATES WILL NOT RECEIVE DRUG TREATMENT WHILE INCARCERATED AND LESS THAN 10% OF SUPERVISEES WILL RECEIVE TREATMENT POST-RELEASE. OF FLORIDA’S STATE INMATES, 2.8% WILL HAVE HIV, DOUBLE THE NATIONAL RATE (1.2%). CRR’S EVIDENCE-BASED STRATEGIES/INTERVENTIONS INCLUDE SAMHSA’S GUIDELINES FOR SUCCESSFUL TRANSITION OF PEOPLE WITH MENTAL OR SUBSTANCE USE DISORDERS FROM JAIL AND PRISON, TIP 30: CONTINUITY OF OFFENDER TREATMENT FOR SUBSTANCE USE DISORDERS FROM INSTITUTION TO COMMUNITY, AND TIP 59: IMPROVING CULTURAL COMPETENCE AS GUIDING FRAMEWORKS; LIVING IN BALANCE, MORAL RECONATION THERAPY, TIP 63: MEDICATIONS FOR OPIOID USE DISORDER, MOUD, AND DIMENSIONS: TOBACCO FREE TO ADDRESS SUD/COD; AND TASC CASE MANAGEMENT MODEL, SOAR, SAMHSA’S OPIOID OVERDOSE PREVENTION TOOLKIT, AND MENTAL HEALTH FIRST AID FOR REENTRY/EDUCATION SERVICES AND ACTIVITIES. CRR GOALS INCLUDE: (1) IMPLEMENT A COMPREHENSIVE PROJECT TO EXPAND ACCESS TO SUD/COD TREATMENT AND REENTRY SERVICES AMONG FOCUS POPULATION ADULTS RETURNING TO THEIR COMMUNITIES FROM INCARCERATION; (2) DEVELOP A SOUND INFRASTRUCTURE AND CAPACITY TO EXPAND, ENHANCE, AND SUSTAIN SERVICES FOR FOCUS THOSE RETURNING TO THEIR COMMUNITIES FROM INCARCERATION; (3) ADDRESS BEHAVIORAL HEALTH DISPARITIES; SOCIAL DETERMINANTS OF HEALTH; AND DIVERSITY EQUITY, INCLUSION, AND ACCESSIBILITY VIA EVIDENCE-BASED AND BEST PRACTICES; (4) IMPROVE CLIENT HEALTH STATUS AND OUTCOMES VIA EVIDENCE-BASED, POPULATION-APPROPRIATE TREATMENT; AND (5) DEVELOP, DOCUMENT, AND REFINE A REENTRY SERVICE MODEL TO SUPPORT REPLICATION. AS A RESULT OF THESE GOALS, CRR WILL ACHIEVE THE FOLLOWING MEASURABLE PARTICIPANT-/COMMUNITY-RELATED OBJECTIVES: EDUCATE 1,000 CORRECTIONS STAFF AND OTHER STAKEHOLDERS ON OVERDOSE RISK AMONG THE FOCUS POPULATION, NALOXONE INFORMATION/DISTRIBUTION, ETC.; OUTREACH TO 200 ORGANIZATIONS/STAKEHOLDERS TO DEVELOP/ENHANCE REFERRAL PATHWAYS; OFFER TRAINING/WORKFORCE DEVELOPMENT TO 50 STAFF AND OTHERS (E.G., PROVIDERS, CORRECTIONS STAFF); LINK 100% IN NEED TO CERTIFIED RECOVERY HOUSING PARTNERS; FACILITATE BENEFITS ENROLLMENT FOR 100% IN NEED; PROVIDE 100% OF CLIENTS IN NEED WITH RESOURCES TO IDENTIFY/SECURE HOUSING, EMPLOYMENT/EDUCATION, AND/OR IMPROVE TREATMENT ACCESS/RETENTION AS INDICATED BY CARE PLANS; IMPROVE INDIVIDUAL/FAMILY FUNCTIONING AND WELL-BEING AMONG 70%; INCREASE SOCIAL CONNECTEDNESS (E.G., FEELING SUPPORTED BY FRIENDS/FAMILY) AMONG 70%; REDUCE HEALTH/BEHAVIORAL/SOCIAL CONSEQUENCES (E.G., IMPROVED QUALITY OF LIFE, MENTAL HEALTH SYMPTOMATOLOGY) OF SUBSTANCE USE AMONG 75%; REDUCE MENTAL HEALTH SYMPTOMS (E.G., DEPRESSION) AMONG 60% ASSESSED/DIAGNOSED WITH COD; REDUCE TOBACCO/NICOTINE USE (E.G., SMOKING, VAPING) AMONG 50 INDIVIDUALS PARTICIPATING IN TOBACCO/NICOTINE CESSATION ACTIVITIES; REDUCE RISKY BEHAVIORS (E.G., UNPROTECTED SEX, SYRINGE USE) AMONG 60% OF PARTICIPANTS SCREENED AS HAVING AND/OR AT RISK FOR HIV, VIRAL HEPATITIS, ETC.; REDUCE PAST 30-DAY INVOLVEMENT WITH THE CRIMINAL JUSTICE SYSTEM (E.G., PROBATION/PAROLE VIOLATION) AMONG 60%; AND ACHIEVE 80% PARTICIPANT FOLLOW-UP/RETENTION RATE.

CENTERSTONE'S TRAUMA AND GRIEF TREATMENT (C-TGT) FOR CHILDREN, ADOLESCENTS, AND FAMILIES - CENTERSTONE’S TRAUMA AND GRIEF TREATMENT (C-TGT) WILL INCREASE ACCESS TO EFFECTIVE TRAUMA- AND GRIEF-FOCUSED TREATMENT AND SERVICE SYSTEMS IN 3 FLORIDA COUNTIES (DESOTO, MANATEE, AND SARASOTA) FOR 570 CHILDREN/ADOLESCENTS (AGES 0-17) AND THEIR FAMILIES WHO EXPERIENCE TRAUMATIC EVENTS, INCLUDING UNDER-SERVED/RESOURCED CHILDREN OF LGBTQ+, RURAL, RACIAL/ETHNIC MINORITY, AND NON-ENGLISH SPEAKING COMMUNITIES AND VETERAN/MILITARY FAMILIES (YR. 1: 90; YRS. 2-5: 120/YEAR). C-TGT’S FOCUS POPULATION DEMOGRAPHICS ARE EXPECTED TO MIRROR THOSE IN THE CATCHMENT AREA UNDER AGE 18 WITH: 51%, MALE; 49%, FEMALE; 57%, WHITE; 11%, BLACK; AND 25%, HISPANIC/LATINO INDIVIDUALS. C-TGT WILL SERVE UNDERSERVED/-RESOURCED SUBPOPULATIONS FROM AMONG THE AREA’S 5,506 LGBT, 6,495 RURAL, 60,162 RACIAL/ETHNIC MINORITY, AND 22,385 NON-ENGLISH SPEAKING CHILDREN/ADOLESCENTS, AND THE 17,680 VETERAN FAMILIES. CONSISTENT WITH FLORIDA YOUTHS’ CLINICAL CHARACTERISTICS, 72,754 (52%) WILL FACE AN ADVERSE CHILDHOOD EXPERIENCE (ACE); 34,978 (25%) WILL EXPERIENCE 2+ ACES; AND AN EXPECTED 18,190 UNDER AGE 18 WILL HAVE A SERIOUS EMOTIONAL DISTURBANCE. IN 2021, CHILD ABUSE CASES IN DESOTO, 752; MANATEE, 1,103; AND SARASOTA, 631, EXCEEDED FLORIDA, 540/100,000. TRAUMA RISKS AMONG AREA CHILDREN INCLUDE FOOD INSECURITY AMONG 26,675 FACING; NO INSURANCE AMONG 12,800; AND CHRONIC SCHOOL ABSENCE AMONG 17,425. C-TGT’S CORE EVIDENCE-BASED STRATEGIES/INTERVENTIONS WILL LEVERAGE CULTURAL COMPETENCY GUIDANCE FROM SAMHSA’S TIP 59: IMPROVING CULTURAL COMPETENCY AND INCLUDE NCTSN-ENDORSED ASSESSMENT-BASED TREATMENT FOR TRAUMATIZED CHILDREN: TRAUMA ASSESSMENT PATHWAY (TAP); TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY (TF-CBT); CHILD-PARENT PSYCHOTHERAPY (CPP); AND TRAUMA AND GRIEF COMPONENT THERAPY FOR ADOLESCENTS (TGCTA). ADDITIONAL POPULATION-SPECIFIC STRATEGIES/INTERVENTIONS INCLUDE SKILLS-BASED PREVENTION/RECOVERY (E.G., NCTSN’S SKILLS FOR PSYCHOLOGICAL RECOVERY), LET’S CONNECT, AFFIRM, AND DIMENSIONS TOBACCO FREE PROGRAM. C-TGT’S GOALS INCLUDE: (1) IMPLEMENT COMMUNITY-BASED, CULTURALLY COMPETENT, QUALITY, ACCESSIBLE PROGRAMMING FOR THE FOCUS POPULATION; (2) DEVELOP INFRASTRUCTURE AND EXPAND COMMUNITY CAPACITY TO IMPLEMENT/SUSTAIN TRAUMA-/GRIEF-INFORMED SERVICES FOR THE FOCUS POPULATION; (3) IMPROVE THE HEALTH STATUS AND OUTCOMES FOR YOUNG CHILDREN (AGES 0-10) AND CHILDREN/ADOLESCENTS (AGES 11-17); AND (4) DEVELOP/DISSEMINATE A REPLICABLE SERVICE MODEL. MEASURABLE OBJECTIVES INCLUDE: TRAIN 5 PROJECT STAFF ON THE IMPACT OF COMPLEX TRAUMA, ETC.; PROVIDE AGE-APPROPRIATE SCREENING/ASSESSMENT/REFERRAL AND TRIAGE INTO APPROPRIATE EVIDENCE-BASED TRAUMA-/GRIEF-INFORMED THERAPIES, CARE MANAGEMENT, ETC., FOR AN UNDUPLICATED 570 CHILDREN/ADOLESCENTS AND THEIR FAMILIES; PROVIDE LANGUAGE ACCESS SERVICES TO 100%; ESTABLISH MOBILE SERVICES IN 1 COUNTY; SCREEN/ASSESS 100% OF PARENTS/CAREGIVERS; DEVELOP/IMPLEMENT OUTREACH/REFERRAL PATHWAYS WITH 50 STAKEHOLDERS/ORGANIZATIONS; INCREASE LETTERS OF COMMITMENT BY 10; DEVELOP/IMPLEMENT SCREENING/REFERRAL PROCEDURES WITH 10 PARTNERS; COORDINATE WITH/PROVIDE TRAINING FOR 3,000 CENTERSTONE AND OTHER CHILD-SERVING ORGANIZATION STAFF; ANNUALLY DEVELOP/REVISE TRAINING/ONBOARDING PROCEDURES; COLLABORATE BIANNUALLY WITH TREATMENT AND SERVICE ADAPTATION CENTERS; CONVENE AND ADVISORY COUNCIL COMPRISING 20% FOCUS POPULATION YOUTH/FAMILIES; OUTREACH TO 10,000 AREA INDIVIDUALS; LINK/COORDINATE WITH 2 FUNDING MECHANISM; AND REPORT BIANNUALLY ON AN EVALUATION AND SUBPOPULATION DISPARITIES. C-TGT WILL REDUCE MENTAL HEALTH SYMPTOMATOLOGY AMONG 60%, TOBACCO/NICOTINE USE AMONG 50% RECEIVING DIMENSIONS, PAST-30 DAY CRIMINAL JUSTICE INVOLVEMENT AMONG 60% WITH CRIMINAL JUSTICE HISTORY, AND PAST-30 DAY UNEXCUSED ABSENCES BY 30%; IMPROVE SOCIAL CONNECTEDNESS AMONG 60%, EVERYDAY FUNCTIONING AMONG 60%, HOUSING STABILITY AMONG 80% RECEIVING RESOURCES; AND PARENTING SKILLS/CONFIDENCE AMONG 60% OF PARENTS/CAREGIVERS; AND ACHIEVE SATISFACTION AMONG 80% AND AN 80% RETENTION RATE.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

CENTERSTONE TRAUMA TREATMENT AND TRAINING IN INDIANA (CT3)

CENTERSTONE REACH FLORIDA (REACH-FL)

CENTERSTONE’S COMPREHENSIVE TREATMENT COURT (C-CTC) - CENTERSTONE’S COMPREHENSIVE TREATMENT COURT (C-CTC) WILL EXPAND SUBSTANCE USE DISORDER (SUD) TREATMENT AND RECOVERY SUPPORT SERVICES FOR AN UNDUPLICATED 240 ADULTS (AGES 18+) WITH SUD AS THEIR PRIMARY CONDITION PARTICIPATING IN FLORIDA’S MANATEE COUNTY DRUG COURT (I.E., Y1: 40; Y2-5: 50, YEARLY). FOCUS POPULATION DEMOGRAPHICS ARE EXPECTED TO MIRROR THOSE OF CURRENT DRUG COURT PROGRAM PARTICIPANTS, WITH 69% MALE, 31% FEMALE, 63% WHITE, 19% BLACK, AND 13% HISPANIC/LATINO INDIVIDUALS. MANATEE COUNTY DRUG COURT SERVES 164 YEARLY, AND ANOTHER 100+ MAY BE ELIGIBLE FOR DRUG COURT PARTICIPATION; OF THOSE, AT LEAST 50% (132) ARE EXPECTED TO HAVE MODERATE TO SEVERE OPIOID USE DISORDER (OUD) AND UP TO 40% (106), CO-OCCURRING SUD AND MENTAL HEALTH DISORDERS (COD). BY 2023, AREA HOMELESSNESS HAD INCREASED 300% FROM 2021. COMPARED TO AREA WHITE ADULTS, AREA BLACK ADULTS HAVE LOWER RATES OF PAST-YEAR SUD AND ARE INCARCERATED FOR DRUG CHARGES AT HIGHER RATES; HIV DIAGNOSIS RATES ARE 6 TIMES HIGHER FOR BLACK VS. WHITE MALES. IN 2017-21, AREA INJECTION DRUG USE RESULTED IN A 366% INCREASE IN ACUTE HEPATITIS C INFECTIONS; FROM 2013 TO 2022, SYPHILIS RATES GREW BY 360%. C-CTC’S CULTURALLY APPROPRIATE AND EVIDENCE-BASED STRATEGIES WILL BE IMPLEMENTED IN ALIGNMENT WITH NADCP’S DEFINING DRUG COURTS: KEY COMPONENTS AND GUIDED BY SAMHSA’S HARM REDUCTION FRAMEWORK AND TIP 59: IMPROVING CULTURAL COMPETENCE. TREATMENT INTERVENTIONS INCLUDE COGNITIVE BEHAVIORAL THERAPY; MOTIVATIONAL INTERVIEWING; INTEGRATED COD TREATMENTS (E.G., SAMHSA’S INTEGRATED TREATMENT FOR COD EBP KIT, TIP 42: SUD TREATMENT FOR PERSONS WITH COD); SUPPLEMENTED BY MORAL RECONATION THERAPY; DIALECTICAL BEHAVIOR THERAPY; SEEKING SAFETY; MEDICATION ASSISTED TREATMENT AS GUIDED BY SAMHSA’S TIPS 63: MEDICATIONS FOR OUD AND 49: INCORPORATING ALCOHOL PHARMACOTHERAPIES INTO MEDICAL PRACTICE; AND DIMENSIONS, AS APPROPRIATE. CASE MANAGEMENT SERVICES WILL BE GUIDED BY THE TASC SPECIALIZED CASE MANAGEMENT MODEL AND INCLUDE, AS APPROPRIATE, HOUSING FIRST AND SSI/SSDI OUTREACH, ACCESS, AND RECOVERY. SAMHSA’S OPIOID OVERDOSE PREVENTION AND RESPONSE TOOLKIT WILL INFORM HARM REDUCTION EDUCATION. C-CTC’S GOALS INCLUDE: 1) IMPLEMENT A COMPREHENSIVE PROJECT TO EXPAND ACCESS TO SUD TREATMENT AND RECOVERY SUPPORT SERVICES; 2) IMPLEMENT CAPACITY-BUILDING ACTIVITIES TO EXPAND, ENHANCE, AND SUSTAIN SERVICES; 3) USE EVIDENCE-BASED TREATMENT & CASE MANAGEMENT PLANNING (TCMP) TO ADDRESS BEHAVIORAL HEALTH DISPARITIES; SOCIAL DETERMINANTS OF HEALTH; AND DIVERSITY EQUITY, INCLUSION, AND ACCESSIBILITY; 4) IMPROVE CLIENT HEALTH STATUS/OUTCOMES VIA EVIDENCE-BASED, POPULATION APPROPRIATE TREATMENT SERVICES; AND 5) DEVELOP/DISSEMINATE A DOCUMENTED SERVICE MODEL FOR AGENCY REPLICATION/ADOPTION THROUGHOUT THE STATE. C-CTC WILL ACHIEVE THE FOLLOWING MEASURABLE OBJECTIVES: PROVIDE TRAINING FOR 5 C-CTC STAFF AND 50 CENTERSTONE/OTHER PROVIDERS IN SUD/COD IDENTIFICATION, CULTURALLY/LINGUISTICALLY-APPROPRIATE CARE, HARM REDUCTION, AND RELAPSE PREVENTION; PROVIDE/FACILITATE COMPREHENSIVE SCREENING/ASSESSMENT, DRUG TESTING, TCMP, AND EVIDENCE-BASED SUD TREATMENT FOR AN UNDUPLICATED 240 FOCUS POPULATION ADULTS; ESTABLISH AN ADVISORY COUNCIL COMPRISING 51% FOCUS POPULATION/INDIVIDUALS WITH LIVED EXPERIENCE; OUTREACH TO 200 STAKEHOLDERS; DEVELOP A SUSTAINABILITY PLAN WITH LINKAGES TO 2 FUNDING MECHANISMS; LINK 100% OF THOSE IN NEED TO APPROPRIATE RESOURCES (E.G., HOUSING/RECOVERY HOUSING, EMPLOYMENT, TRANSPORTATION, LANGUAGE ACCESS SERVICES); INCREASE SUBSTANCE USE ABSTINENCE AMONG 70%; REDUCE MENTAL HEALTH SYMPTOMS AMONG 60% WITH COD; REDUCE TOBACCO/NICOTINE USE AMONG 30% WITH SUCH GOALS; IMPROVE EMPLOYMENT/EDUCATION STATUS AMONG 60% WHO RECEIVED SUCH SERVICES; IMPROVE HOUSING STABILITY AMONG 60% WHO RECEIVED SUCH SUPPORTS; REDUCE PAST 30-DAY CRIMINAL JUSTICE INVOLVEMENT AMONG 60%; IMPROVE INDIVIDUAL/FAMILY FUNCTIONING AMONG 70%; INCREASE SOCIAL CONNECTEDNESS AMONG 70%; AND RETAIN 60% IN SERVICE FOR TREATMENT/COMPLETION.

CENTERSTONE'S COVID-19 ERSP IN INDIANA (ERSP-IN)

CENTERSTONE'S COVID-19 EMERGENCY RESPONSE FOR SUICIDE PREVENTION IN FLORIDA (FL-ERSP)

RELEASED FUNDS FOR YEAR FOUR OF THE GRANT PROGRAM.

CENTERSTONE'S REENTRY AND RECOVERY (CRR)

CENTERSTONE’S TREATMENT AND RECOVERY SERVICES (C-TRS) - CENTERSTONE’S TREATMENT AND RECOVERY SERVICES (C-TRS) WILL ENHANCE AND EXPAND TREATMENT, EARLY INTERVENTION, AND RECOVERY SUPPORT SERVICES IN 7 INDIANA COUNTIES (BARTHOLOMEW, DELAWARE, JOHNSON, MADISON, MORGAN, UNION, WAYNE) FOR 345 UNDUPLICATED YOUTH (AGES 12-17) AND YOUNG ADULTS (YA) (AGES 18-25), AND THEIR FAMILIES/PRIMARY CAREGIVERS WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD) (YR 1: 25; YRS 2- 5: 80/YR.). FOCUS POPULATION DEMOGRAPHICS ARE EXPECTED TO MIRROR THOSE OF THE CATCHMENT AREA’S 119,000+ YOUTH AND YA, COMPRISING 51% MALE, 49% FEMALE, 84% WHITE, 5% AFRICAN AMERICAN, AND 4% HISPANIC/LATINO INDIVIDUALS. SUBPOPULATIONS INCLUDE THE ESTIMATED 19,240 OF THE FOCUS POPULATION WHO ARE HISPANIC/LATINO; 58,680 (49%) FEMALES AGES 12-25; 1,630 WHO ARE SYSTEMS INVOLVED YOUTH (E.G., FOSTER CARE, JUVENILE JUSTICE); AND VETERANS AGES 18-25 (190) AND/OR VETERAN HOUSEHOLDS WITH CHILDREN (1,000). AN ESTIMATED 1,705 YOUTH AGES 12-17 AND 10,455 YA AGES 18-25 ARE EXPECTED TO HAVE SUD; 850 YOUTH AND 5,290 YOUNG ADULTS ARE EXPECTED TO HAVE COD. THE COD RATE OF YOUNG ADULTS IS GREATER THAN THAT OF ADOLESCENTS’ (7.6% VS. 1.7%). SYSTEM-INVOLVED YOUTH/YOUNG ADULTS HAVE A SIGNIFICANTLY HIGHER PREVALENCE OF SUD (40% JUVENILE JUSTICE; 35% FOSTER CARE). HALF (17,745) OF AREA YOUNG WOMEN AGES 18-25 ARE EXPECTED TO HAVE SUD OR AMI. OF VETERANS AGES 18-25, AN ESTIMATED 9% (57) HAVE AN SUD, AND 21% (133) HAVE ALCOHOL USE DISORDER, MORE THAN DOUBLE VETERANS AGES 26-54 (10%) AND 5 TIMES VETERANS AGES 55+ (4%). HISPANIC/LATINOS ARE LESS LIKELY TO RECEIVE SUBSTANCE ABUSE TREATMENT COMPARED TO WHITES (93% VS. 86%), C-TRS WILL IMPLEMENT PROJECT STRATEGIES/INTERVENTIONS WITHIN A RECOVERY-ORIENTED SYSTEM OF CARE (ROSC), DELIVERING EVIDENCE-BASED MATRIX, MEDICATION ASSISTED TREATMENT, SEEKING SAFETY, RECOVERY HOUSING, AND SAMHSA’S IMPLEMENTING TOBACCO CESSATION PROGRAMS IN SUD TREATMENT SETTINGS, ACCORDING TO PARTICIPANTS’ NEEDS. C-TRS’ GOALS INCLUDE: ENHANCING/EXPANDING EVIDENCE-BASED AND FAMILY-CENTERED SUD/COD TREATMENT, INCLUDING NON-TRADITIONAL HOURS AND RELATED RECOVERY/SUPPORT/EDUCATION SERVICES; IMPLEMENTING A PROJECT TO PROVIDE SCREENING, ASSESSMENT, TREATMENT, WRAPAROUND, AND RECOVERY SUPPORT SERVICES IN AN INTEGRATED OUTPATIENT/INTENSIVE OUTPATIENT/DAY TREATMENT SETTING FOR YOUTH/YA WITH SUD AND COD AND THEIR FAMILIES/PRIMARY CAREGIVERS; IMPROVING CLIENTS’ HEALTH STATUS/OUTCOMES; AND DEVELOPING/DISSEMINATING A REPLICABLE SERVICE MODEL. C-TRS WILL ACHIEVE MEASURABLE OBJECTIVES RELATED TO KEY ACTIVITIES INCLUDING PROVIDING EDUCATION TO 1,000 YOUTH/YA/FAMILIES ON MAKING HEALTHY CHOICES; PROVIDING EDUCATION TO 1,000 PERSONS ON MOUD, MAUD, OD PREVENTION, NALOXONE AND OTHER OPIOID OD REVERSAL MEDICATIONS; CONDUCTING OUTREACH TO 450 STAKEHOLDERS; AND PROVIDING COMPREHENSIVE TREATMENT TO 345 YOUTH/YA AND THEIR FAMILIES/CAREGIVERS. AMONG PARTICIPANTS, C-TRS WILL INCREASE SUBSTANCE USE ABSTINENCE AMONG 40% YOUTH/YA; REDUCE MENTAL HEALTH SYMPTOMATOLOGY BY 50% FOR YOUTH/YA WITH COD; INCREASE SERVICE ACCESS BY 90%; REDUCE TOBACCO USE BY 30%; IMPROVE FAMILY FUNCTIONING AMONG 60% OF FAMILIES; DECREASE RISK FACTORS BY 50%; AND ACHIEVE 80% PARTICIPANT RETENTION. C-TRS HAS SECURED AGREEMENTS FROM COMMUNITY COLLABORATORS DEDICATED TO THE PROJECT’S SUCCESS AND WILL MAINTAIN COLLABORATION WITH YOUTH-SERVING ORGANIZATIONS, PROVIDERS, AND OTHER KEY COMMUNITY STAKEHOLDERS THROUGHOUT THE GRANT.

COMMUNITY CAPACITY FOR PREVENTION AND EDUCATION (CCPE)

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.

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.

CONTINUUM OF CARE PROGRAM

SYNDEMIC APPROACH TO PREVENTION AT CENTERSTONE (SAP-C) - SYNDEMIC APPROACH TO PREVENTION AT CENTERSTONE (SAP-C) WILL TAKE A SYNDEMIC APPROACH TO ADVANCE EQUITY FOR RACIAL/ETHNIC MINORITY COMMUNITIES, ESPECIALLY ALL BLACK FEMALE IDENTITIES, EXPERIENCING DISPARITIES RELATED TO HIV, VIRAL HEPATITIS, STIS, SUBSTANCE USE, SUBSTANCE USE DISORDERS, AND/OR ANY MENTAL HEALTH CONDITION. SAP-C SERVICES WILL BE DELIVERED IN DESOTO, HILLSBOROUGH, MANATEE, PINELLAS, AND SARASOTA COUNTIES, FL; REACH 3,500; AND SERVE AN UNDUPLICATED 300 PERSONS (Y1: 80; YRS. 2-3: 110/YR.). SAP-C’S POPULATION TO BE SERVED INCLUDES PERSONS FROM AMONG 1,181,165 CATCHMENT AREA RACIAL/ETHNIC MINORITY (REM) INDIVIDUALS, WHO COMPRISE 49% MALE AND 51% FEMALE INDIVIDUALS, WITH 17% UNINSURED, IN POVERTY, AND WITH LESS THAN A HIGH SCHOOL DIPLOMA. SUBPOPULATIONS OF AREA REMS INCLUDE AN ESTIMATED 96,000 AT RISK FOR HOMELESSNESS, 2,000 EXPERIENCING HOMELESSNESS, AND MIGRANT WORKERS IN 87 AREA MIGRANT HOUSING SITES. THE 205,799 FOCUS POPULATION BLACK FEMALE IDENTITIES COMPRISE 1.4% TRANSGENDER/NONBINARY AND 5% ETHNICALLY HISPANIC PERSONS, WITH HIGHER RATES OF POVERTY (17%), OF UNEMPLOYMENT (6%), WITHOUT A HIGH SCHOOL DIPLOMA (10%), AND WITH NO HEALTH INSURANCE (14%), AS COMPARED TO THE CATCHMENT AREA. THESE DISPARITIES, AS WELL AS EXPECTED RISK FACTORS AMONG REM (E.G., 21% REPORTED ADVERSE CHILDHOOD EXPERIENCES, 71%, RACIAL DISCRIMINATION), CONTRIBUTE TO A HIGHER RISK OF SYNDEMIC CONDITIONS (I.E., HIV, VIRAL HEPATITIS [VH], SEXUALLY TRANSMITTED INFECTIONS [STIS], SUBSTANCE USE [SU] AND SUBSTANCE USE DISORDERS [SUD], AND/OR ANY MENTAL HEALTH [MH] CONDITIONS). AMONG AREA REMS, AN ESTIMATED 92,000 HAVE SUD; 110,000 ANY MENTAL ILLNESS (AMI); 9,200 HIV; 13,230 VH; AND 10,630 STIS. AN ANTICIPATED 9,600 FOCUS POPULATION INDIVIDUALS ARE EXPECTED TO HAVE SUD; 42,000 AMI; 2,000 HIV; 1,300 VH; AND 3,290 STIS. SAP-C’S STRATEGIES/INTERVENTIONS WILL BE TRAUMA-INFORMED, CULTURALLY-APPROPRIATE, AND EVIDENCE-BASED, AND GUIDED BY SAMHSA’S STRATEGIC PREVENTION FRAMEWORK AND NATIONAL GUIDELINES (E.G., NATIONAL HIV/AIDS STRATEGY). TO ADDRESS HIV/VH/STI RISKS, PROJECT WILL USE SISTER-TO SISTER AND MPOWERMENT. MOTIVATIONAL INTERVIEWING AND COGNITIVE BEHAVIORAL THERAPY WILL BE USED TO ADDRESS SU/SUD/MH CONDITIONS. FOR HEALTH EDUCATION, PROJECT WILL IMPLEMENT WHOLE HEALTH ACTION MANAGEMENT, AND MENTAL HEALTH FIRST AID WILL BE USED TO TRAIN ANCHORS. SAP-C’S GOALS INCLUDE: 1) DEVELOP AN INFRASTRUCTURE TO IMPLEMENT/SUSTAIN A MULTI-PRONGED, SYNDEMIC APPROACH TO ENHANCE PREVENTION SYSTEMS/SERVICES; 2) PROVIDE EVIDENCE-BASED AND CULTURALLY RESPONSIVE PREVENTION EDUCATION/OUTREACH/INTERVENTIONS FOR SYNDEMIC CONDITIONS; 3) PROVIDE SU PREVENTION/PSYCHOSOCIAL SUPPORT/HEALTH EDUCATION FOR PARTICIPANTS; 4) ADVANCE EQUITY IN BH HEALTH OUTCOMES FOR REM COMMUNITIES, INCLUDING ALL BLACK FEMALE IDENTITIES, WHO ARE AT RISK FOR/LIVING WITH HIV; AND 5) DEVELOP/DISSEMINATE A MODEL FOR REPLICATION. SAP-C WILL ACHIEVE THE FOLLOWING MEASURABLE OBJECTIVES: FORM A STEERING COMMITTEE COMPRISED OF 20% OF REM; CONDUCT RESOURCE MAPPING AND DEVELOP STRATEGIC, EVALUATION, AND SUSTAINABILITY PLANS FOR 5 COUNTIES; EXPAND RELATIONSHIPS WITH 50 ANCHORS; IDENTIFY 7 AGENCIES WHO WILL PROVIDE PREP, PEP, HIV, VH, AND STI TREATMENT; ENHANCE 2 AGENCY PROCEDURES THAT INITIATE CULTURAL NORM SHIFTS AND PRIORITIZE SYNDEMIC EFFORTS; DEVELOP 15 PREVENTION RESOURCES TAILORED TO REM/SUBPOPULATIONS; CONDUCT OUTREACH AMONG 3,500; REACH 100,000 PEOPLE VIA SOCIAL MEDIA; TRAIN 50 ANCHORS; PROVIDE HARM REDUCTION EDUCATION TO 500 STAKEHOLDERS; DISTRIBUTE 520 OD REVERSAL KITS; CONDUCT SUPPORT GROUPS AT 5 ANCHOR SITES; AND PRODUCE 3 PUBLICATIONS/PRESENTATIONS FOR MODEL DISSEMINATION. SAP-C WILL DEVELOP A PREVENTION PLAN FOR 300 PARTICIPANTS; OF THOSE, 100% WILL RECEIVE, AS APPROPRIATE, SCREENING; INDICATED TESTING; LINKAGE TO NEEDED SERVICES, INCLUDING PREP, PEP AND HIV/VH/STI TREATMENT; HEALTH CARE; AND TRANSPORTATION AND NON-CASH INCENTIVES.

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

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.

CONTINUUM OF CARE PROGRAM

AMERICAN RESCUE PLAN

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

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.

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

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.

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

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.

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.

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.

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

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.

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CENTERSTONE CONNECTIONS

HEALTH HOME ILLINOIS (HHIL)

HEALTH HOME INDIANA (HHIN)