Westcare Kentucky Inc

KENTUCKY SUPPORTED EMPLOYMENT PROGRAM (KY SEP)

WESTCARE KENTUCKY BREAKING THE CYCLING - SERVICES FOR THE BENEFIT OF HOMELESS INDIVIDUALS

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-IMPACT - WESTCARE KENTUCKY AND THE APPALACHIAN RECOVERY CARE NETWORK WILL PROVIDE SERVICES IN THE RURAL TARGET SERVICE AREA OF PIKE AND LETCHER COUNTIES. ALL OF PIKE AND LETCHER COUNTIES ARE HRSA-DESIGNATED RURAL AREAS. THIS AREA IS LOCATED IN EASTERN KENTUCKY IN RURAL APPALACHIA. THE POPULATION TO BE SERVED INCLUDES: 1) INDIVIDUALS WHO ARE AT RISK FOR, HAVE BEEN DIAGNOSED WITH, AND/OR ARE IN TREATMENT AND/OR RECOVERY FOR OPIOID USE DISORDER (OUD); 2) THEIR FAMILIES AND/OR CAREGIVERS; AND 3) OTHER COMMUNITY MEMBERS WHO RESIDE IN THE RURAL AREA. THE DATA FOCUS AREA WILL BE JUSTICE-INVOLVED ADULTS. THE GOALS OF THE PROJECT ARE TO 1) ESTABLISH AND COORDINATE COMPREHENSIVE SUBSTANCE USE DISORDER (SUD) TREATMENT WITH A FOCUS ON OPIOID USE DISORDER (OUD) AND RECOVERY SERVICES, RESIDENTIAL AND OUTPATIENT TREATMENT AND COUNSELING, WRAPAROUND SUPPORT SERVICES, AND PEER SUPPORT; 2) TO DEVELOP A RESPONSIVE AND QUALIFIED WORKFORCE IN RURAL APPALACHIA IN EASTERN TENNESSEE INCLUDING PEER SUPPORT SPECIALISTS AND CLINICAL PROFESSIONALS OFFERING DIVERSE SERVICES; 3) TO ESTABLISH AND ENHANCE COORDINATION OF SUPPORTIVE SOCIAL SERVICES AND WRAPAROUND CARE TO ENSURE RURAL ADULTS IMPACTED BY SUD/OUD HAVE SUSTAINED, LONG-TERM RECOVERY THROUGH THE WORK OF THE APPALACHIAN RECOVERY CARE NETWORK WITH REPRESENTATIVES FROM LOCAL, DIVERSE SERVICE SECTORS, AND 4) TO DEVELOP INNOVATIVE, MULTI-SECTORAL APPROACHES TO FUNDING SUSTAINABILITY, COMMUNITY SUPPORT AND THE CONTINUATION OF RCORP IMPACT SERVICES BEYOND THE INITIAL 4-YEAR PROJECT PERIOD. THE APPALACHIAN RECOVERY CARE NETWORK COMPRISES FOUR COMMUNITY ORGANIZATIONS THAT COLLABORATE AND COORDINATE SERVICES. THE NETWORK INCLUDES BEHAVIORAL HEALTH, SUBSTANCE USE TREATMENT, MEDICATION ASSISTED TREATMENT (MAT), PRIMARY HEALTHCARE, RECOVERY SERVICES, TRANSITIONAL HOUSING, HARM REDUCTION, PREVENTION, AND EDUCATION TO PROVIDE WHOLE-PERSON, TRAUMA-INFORMED, EVIDENCE-BASED SERVICES TO ADDRESS THE HIGH RATES OF OPIOID AND SUBSTANCE USE OVERDO SES, DEATHS, AND MISUSE IN RURAL EASTERN KENTUCKY. THIS PROJECT WILL EXPAND AND ENHANCE EXISTING SERVICES THAT CONTRIBUTE TO A COMPREHENSIVE SYSTEM OF CARE. SERVICES INCLUDE OUTPATIENT SUD/OUD TREATMENT; TELEHEALTH SERVICES; PRIMARY HEALTH CARE; PSYCHIATRIC/PSYCHOLOGICAL CARE; OUTREACH; SCREENING; CASE MANAGEMENT AND ASSESSMENT; COUNSELING; CO-OCCURRING DISORDER TREATMENT AND MENTAL HEALTH CARE; MOBILE UNIT SERVICES TO BRING SERVICES DIRECTLY TO PEOPLE; SUD/OUD PREVENTION AND EDUCATION, LIFE SKILLS AND SUPPORT SERVICES, PEER SUPPORT SERVICES, RECOVERY SUPPORT; ADDICTION SUPPORT GROUPS, VOCATIONAL AND EDUCATION SERVICES ALONG WITH EVALUATION AND PERFORMANCE IMPROVEMENT SERVICES. KENTUCKY HAS ONE OF THE HIGHEST OPIOID OVERDOSE MORTALITY RATES IN THE UNITED STATES. THE MOUNTAINOUS TERRAIN, NARROW VALLEYS, AND RIVER FLOODING HAVE LED TO GEOGRAPHIC ISOLATION THAT HINDERS TRANSPORTATION AND DEVELOPMENT, RESULTING IN DIFFICULTY IN ACHIEVING ECONOMIC DEVELOPMENT, HEALTH, AND EDUCATIONAL GOALS. AFTER DECADES OF DEPENDENCE ON A COAL ECONOMY, THESE COUNTIES ARE EXPERIENCING OUTMIGRATION AS MANY PEOPLE LEAVE THE AREA SEARCHING FOR SELF-SUSTAINING EMPLOYMENT OPPORTUNITIES. THE AREA IS A SIGNIFICANT CENTER OF ILLEGAL DRUG PROSECUTION, MANUFACTURING, IMPORTATION, OR DISTRIBUTION; STATE, LOCAL, AND TRIBAL LAW ENFORCEMENT AGENCIES HAVE COMMITTED RESOURCES TO RESPOND TO THE DRUG TRAFFICKING PROBLEM IN THE AREA, THEREBY INDICATING A DETERMINATION TO RESPOND AGGRESSIVELY TO THE PROBLEM; DRUG-RELATED ACTIVITIES IN THE AREA ARE HAVING A SIGNIFICANT HARMFUL IMPACT IN THE AREA AND REFLECTS THE DAY TO DAY DRUG-RELATED ACTIVITIES THE TARGET POPULATION MUST ENDURE.

KENTUCKY MEDICATION ASSISTED TREATMENT - TOGETHER ERADICATING RELIANCE ON SUBSTANCES (KY MATTERS)

POWER- BLDG RENOVATIONS

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

AWARD PURPOSE HVRP IS AN EMPLOYMENT-FOCUSED COMPETITIVE GRANT PROGRAM THAT FOCUSES EXCLUSIVELY ON OBTAINING COMPETITIVE EMPLOYMENT FOR VETERANS EXPERIENCING OR AT-RISK OF HOMELESSNESS. ACTIVITIES PERFORMED EMPLOYMENT SERVICES, JOB TRAINING DELIVERABLES HVRP GRANT RECIPIENTS WILL PROVIDE EMPLOYMENT SERVICES AND JOB TRAINING TO VETERANS EXPERIENCING HOMELESSNESS WHICH WILL RESULT IN THE VETERANS EARNING INCOME AND LONG TERM JOB STABILITY AS EVIDENCED BY JOB PLACEMENT RATES, AND EARNINGS INCOME AFTER EXITING THE PROGRAM. INTENDED BENEFICIARY VETERANS AT RISK OF OR EXPERIENCING HOMELESSNESS. GRANT RECIPIENTS MAY ALSO CHOOSE TO FOCUS SERVICES TO VETERANS TRANSITIONING FROM INCARCERATION, HOMELESS FEMALE VETERANS AND/OR HOMELESS VETERANS WITH CHILDREN. SUBRECIPIENT ACTIVITIES RECIPIENTS GENERALLY DON'T SUB-AWARD FUNDS.

WESTCARE KENTUCKY, INC. (WCKY) WILL IMPLEMENT AND SUSTAIN AN EVIDENCE-BASED VOCATIONAL TRAINING AND EMPLOYMENT PROGRAM WITH SUPPORTIVE SERVICES FOR ADULTS IN JAIL-BASED PROGRAMS IN EASTERN KENTUCKY. THE PROGRAM WILL BE OFFERED IN THE PIKE COUNTY DETENTION CENTER IN PIKEVILLE. THE PROGRAM WILL FOCUS ON SERVING HIGH-RISK INDIVIDUALS CURRENTLY IN SUBSTANCE USE DISORDER TREATMENT AND RECOVERY. REENTRY AND COMMUNITY-BASED SERVICES WILL BE OFFERED THROUGH WCKY’S LOCAL FACILITIES IN PIKE COUNTY. TRANSITIONAL LIVING WILL BE OFFERED AT WCKY’S PERRY CLINE SHELTER. THE PROJECT WILL SERVE THE HIGH-RISK RURAL AREAS OF PIKE, FLOYD, AND LETCHER COUNTIES AND SUPPORT THE SURROUNDING 5TH CONGRESSIONAL DISTRICT IN THE APPALACHIAN MOUNTAINS. GOAL 1: PROVIDE CAREER TRAINING AND REINTEGRATION SERVICES TO REENTERING ADULTS IN PIKE, FLOYD & LETCHER COUNTIES. OBJECTIVE 1.1: EXPAND SERVICES IN THREE RURAL, RESOURCE-LIMITED COUNTIES, SERVING 150 UNDUPLICATED INDIVIDUALS DURING THE 36-MONTH PROJECT PERIOD. OBJECTIVE 1.2: 100% OF PARTICIPANTS WILL RECEIVE INDIVIDUALIZED CAREER PLANNING SERVICES RESULTING IN AN INDIVIDUALIZED SERVICES PLAN (ISP) WITHIN 30 DAYS OF ENTERING THE PROGRAM. OBJECTIVE 1.3: 65% OF PARTICIPANTS WILL SUCCESSFULLY COMPLETE THE PROGRAM. GOAL 2: EASE COMMUNITY REINTEGRATION AND IMPROVE JOB READINESS, EMPLOYMENT, AND PROGRAM RETENTION FOR REENTRY POPULATION IN PIKE, FLOYD AND LETCHER CO. OBJECTIVE 2.1: 90% OF PARTICIPANTS WILL RECEIVE SERVICES AS IDENTIFIED AS NEEDING, INCLUDING JOB READINESS ASSESSMENTS, INDIVIDUALIZED CASE PLANS, AND EMPLOYMENT SERVICES; 80% OF PARTICIPANTS WILL REMAIN ACTIVE IN THE PROGRAM AFTER REENTRY. OBJECTIVE 2.2: 70% OF CLIENTS WILL ATTEND 70% OF SCHEDULED SESSIONS. OBJECTIVE 2.3: 70% OF CONSUMERS WHO RECEIVE MRT WILL DEMONSTRATE REDUCTIONS IN CRIMINAL THINKING; 70% WHO COMPLETE MRT WILL NOT RECIDIVATE WITHIN 12 MONTHS OF RELEASE FROM INCARCERATION. OBJECTIVE 2.4: 100% OF CLIENTS WILL RECEIVE AN ASSESSMENT FOR CO-OCCURRING DISORDERS AND THOSE IN NEED WILL RECEIVE COORDINATED DELIVERY OF COD SERVICES WITHIN THE FIRST 30 DAYS OF TREATMENT AS REFLECTED IN THE EHR. GOAL 3: IMPROVE AND EXPAND REENTRY CAREER TRAINING PROGRAMS INFORMED BY LABOR MARKET NEEDS IN PIKE, FLOYD, AND LETCHER CO. OBJECTIVE 3.1: DEVELOP A PROJECT ACTION PLAN WITHIN 6 MONTHS OF RECEIVING FINAL BUDGET APPROVAL. OBJECTIVE 3.2: MONITOR LABOR MARKET NEEDS IN EACH COUNTY BY ATTENDING CHAMBER OF COMMERCE MEETINGS EACH QUARTER. OBJECTIVE 3.3:  UPDATE ACTION PLAN ANNUALLY WITH INPUT FROM COMMUNITY PARTNERS. OBJECTIVE 3.4: DEVELOP AT LEAST 5 PARTNERSHIPS WITH LOCAL EMPLOYERS PER YEAR. OBJECTIVE 3.5: TRAIN CORRECTIONS AND SERVICE PROVIDER LEADERSHIP AND STAFF IN CAREER TRAINING PROGRAMMING BY CONDUCTING 2 SESSIONS PER YEAR.

WESTCARE KENTUCKY OFFENDER REENTRY PROGRAM

WESTCARE KENTUCKY HALL ROGERS APPALACHIAN RECOVERY CENTER

SUICIDE PREVENTION GRANTS ARE AWARDED TO ELIGIBLE ENTITIES TO MEET THE NEEDS OF ELIGIBLE INDIVIDUALS AND THEIR FAMILIES THROUGH OUTREACH, PROVISION OR COORDINATION OF SUICIDE PREVENTION SERVICES, AND CONNECTION TO VA AND COMMUNITY RESOURCES AS DESCRIBED IN 38 CFR PART 78 (HTTPS://WWW.ECFR.GOV/CURRENT/TITLE-38/CHAPTER-I/PART-78?TOC=1)

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

YEAR FOUR FUNDS AUTHORIZED FOR THIS GRANTEE FOR FY 26

GRANTEE YEAR THREE FUNDING FOR SUICIDE PREVENTION GRANTS PROVIDED BY SSG FOX SPGP. SUICIDE PREVENTION GRANTS ARE AWARDED TO ELIGIBLE ENTITIES TO MEET THE NEEDS OF ELIGIBLE INDIVIDUALS AND THEIR FAMILIES THROUGH OUTREACH, PROVISION OR COORDINATION OF SUICIDE PREVENTION SERVICES, AND CONNECTION TO VA AND COMMUNITY RESOURCES AS DESCRIBED IN 38 CFR PART 78

SUICIDE PREVENTION GRANTS ARE AWARDED TO ELIGIBLE ENTITIES TO MEET THE NEEDS OF ELIGIBLE INDIVIDUALS AND THEIR FAMILIES THROUGH OUTREACH, PROVISION OR COORDINATION OF SUICIDE PREVENTION SERVICES, AND CONNECTION TO VA AND COMMUNITY RESOURCES AS DESCRIBED IN 38 CFR PART 78 (HTTPS://WWW.ECFR.GOV/CURRENT/TITLE-38/CHAPTER-I/PART-78?TOC=1)

REDUCING ALCOHOL, TOBACCO, AND MARIJUANA USE BY RAY COUNTY YOUTH THROUGH EDUCATION AND ENVIRONMENTAL CHANGE.

THE GRANTS TO PREVENT AND RESPOND TO DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, STALKING, AND SEX TRAFFICKING AGAINST CHILDREN AND YOUTH PROGRAM SUPPORTS COMPREHENSIVE, COMMUNITY-BASED EFFORTS TO DEVELOP OR EXPAND PREVENTION, INTERVENTION, TREATMENT, AND RESPONSE STRATEGIES TO ADDRESS THE NEEDS OF CHILDREN AND YOUTH IMPACTED BY DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, STALKING, AND SEX TRAFFICKING, INCLUDING SUPPORT FOR THEIR NON-ABUSING PARENTS, CAREGIVERS, AND LEGAL GUARDIANS. WITH THIS GRANT FUNDING, WESTCARE KENTUCKY, INC. WILL IMPLEMENT THE ENDING VIOLENCE AND ENHANCING RELATIONSHIPS PROJECT IN PIKE COUNTY, KENTUCKY TO FILL A GAP IN SERVICES, INCLUDING LEGAL SERVICES, TO CHILDREN AND YOUTH AGES 11 24 (PURPOSE AREA 2). IN COLLABORATION WITH JUDIS PLACE FOR KIDS AND NORTHPOINT ACADEMY, WESTCARE KENTUCKY, INC. WILL: 1) DELIVER EDUCATIONAL PROGRAMMING FOR YOUTH, INCLUDING THOSE WHO ARE AT HIGH RISK FOR VICTIMIZATION OR PERPETRATION, TO ADDRESS PREVENTION OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, STALKING, AND SEX TRAFFICKING THROUGH THE USE OF EVIDENCE-BASED CURRICULUM SPECIFIC FOR CHILDREN AND YOUTH; 2) STRENGTHEN AND EXPAND EXISTING RESOURCES THAT FOCUS ON IMPROVING RELATIONSHIPS AMONG YOUTH AND YOUNG ADULTS; AND 3) PROVIDE TRAINING TO CRIMINAL JUSTICE PERSONNEL SUCH AS LAW ENFORCEMENT AND ALLIED PROFESSIONALS ON TRAUMA-INFORMED RESPONSES. THIS PROJECT ADDRESSES OVW PRIORITY 1, EXPANDING EQUITY. THE TIMING FOR PERFORMANCE OF THIS AWARD IS 36 MONTHS.

WESTCARE KENTUCKY OFFENDER REENTRY PROGRAM

WCKY SAMHSA TCE REACH - WESTCARE KENTUCKY IN PIKE COUNTY, KY, IS PROPOSING THIS TARGETED CAPACITY EXPANSION: SPECIAL PROJECTS FROM SAMHSA (TCE), RECOVERY EXPANSION AND ACCESS IN COMMUNITY HEALTH (REACH) TO EXPAND OUTREACH TO LETCHER, FLOYD, KNOTT, JOHNSON, MAGOFFIN, HARLAN, AND PERRY COUNTIES IN EASTERN KY TO SERVE 640 UNDUPLICATED ADULTS WHO ARE EXPERIENCING SUBSTANCE USE DISORDER (SUD) AND/OR CO-OCCURRING DISORDERS (COD), OVER THE THREE-YEAR PROJECT PERIOD. SERVICES WILL INCLUDE EVIDENCE-BASED MODALITIES FOR ASSESSMENT, CASE MANAGEMENT, RESIDENTIAL AND OUTPATIENT TREATMENT, RECOVERY HOUSING, TELEHEALTH AND IN-PERSON DELIVERY, NALOXONE DISTRIBUTION, AND PEER RECOVERY SUPPORT. THE $1,125,000,000 PROJECT FUNDS WILL 1) INCREASE WESTCARE KENTUCKY’S CAPACITY TO INCLUDE TWO (2) ADDITIONAL OUTREACH COORDINATORS TO OUR EXISTING TEAM OF PROFESSIONALS AND PARAPROFESSIONALS; 2) ACQUIRE A VEHICLE TO CONDUCT EXPANDED OUTREACH, AND 3) INCREASE RECRUITMENT FOR OUR STATE-APPROVED PEER SUPPORT SPECIALIST ACADEMY FOR THE SUPPORT NEEDED FOR INCREASED CLIENTS. THE GOALS OF REACH ARE 1) TO REDUCE OVERDOSE RISK IN RURAL LETCHER, FLOYD, KNOTT, JOHNSON, MAGOFFIN, HARLAN, AND PERRY COUNTIES IN EASTERN KENTUCKY BY IMPLEMENTING TARGETED MOBILE RURAL OUTREACH SERVICES TO LINK HIGH RISK ADULTS TO TREATMENT SERVICES FOR SUBSTANCE USE DISORDER (SUD) AND/OR CO-OCCURRING DISORDER (COD) AND SUPPORT SERVICES; AND 2) TO REDUCE BEHAVIORAL HEALTH, MENTAL HEALTH, AND SOCIAL CONSEQUENCES RELATED TO SUBSTANCE USE/MISUSE FOR ADULTS IN RURAL LETCHER, FLOYD, KNOTT, JOHNSON, MAGOFFIN, HARLAN, AND PERRY COUNTIES IN EASTERN KENTUCKY WITH EVIDENCE-BASED TREATMENT AND RECOVERY SUPPORT SERVICES INCLUDING PEER MENTORING, CASE MANAGEMENT, NAVIGATION SERVICES, REFERRALS, AND LINKAGE TO SERVICES AS NECESSARY BASED ON THE PARTICIPANT’S INDIVIDUAL NEEDS. THE MEASURABLE OBJECTIVES FOR GOAL 1 WILL BE MET BY SEPT. 29, 2028: 1.1 PROVIDE OUTREACH AND EVIDENCE-BASED, TRAUMA INFORMED, PERSON-CENTERED COMPREHENSIVE SUD OR COD TREATMENT, AND RECOVERY SUPPORT SERVICES TO 640 ADULTS; 1.2 80% OF CLIENTS IDENTIFIED AS NEEDING MOUD WILL RECEIVE SPECIALIZED MEDICATION ASSISTED HARM REDUCTION SERVICES; 1.3) 98 % OF CLIENTS WILL BE OFFERED TOBACCO CESSATION SERVICES; 1.4: 8% OF CLIENTS WILL BE OFFERED ALCOHOL-SPECIFIC HARM REDUCTION SERVICES, INCLUDING MAUD; 1.5: TRAIN 100 PEER SUPPORT SPECIALISTS FROM LETCHER, FLOYD, KNOTT, JOHNSON, MAGOFFIN, HARLAN, AND PERRY COUNTIES; 80% OF TRAINED PSS WILL BECOME STATE CERTIFIED AS DOCUMENTED BY WCKY ACADEMY. THE MEASURABLE OBJECTIVES FOR GOAL 2 WILL BE MET BY SEPT. 29, 2028: 2.1: 90% OF CLIENTS WILL BE SCREENED WITH C-SSR AND 90% WITH ELEVATED SUICIDE RISK WILL RECEIVE CLINICAL AND/OR CRISIS INTERVENTION SERVICES. AT DISCHARGE 90% WILL REPORT REDUCED RISK AS EVIDENCED BY THE C-SSR AND CLINICAL RECORD; 2.2: 80% OF SUD/COD CLIENTS WILL SUCCESSFULLY COMPLETE THE PROGRAM AS EVIDENCED BY THE CLINICAL RECORD; 2.3: 80% OF COMPLETERS WILL HAVE STABLE PERMANENT RECOVERY SUPPORTIVE HOUSING AT DISCHARGE AS EVIDENCED BY CLINICAL RECORD; 2.4: 80% OF CLIENTS WHO COMPLETE SEEKING SAFETY WILL EXHIBIT FEWER TRAUMA SYMPTOMS AT 6-MONTHS POST ADMISSION AND 70% OF THOSE WILL MAINTAIN THE IMPROVEMENTS OR SHOW FURTHER DECREASES AT DISCHARGE AS ASSESSED BY THE PCL-5; 2.5: 80% OF CLIENTS WILL REDUCE OR ELIMINATE SUBSTANCE USE AT 6-MONTHS POST ADMISSION, AND 80% OF COMPLETERS WILL BE SUBSTANCE FREE DURING THE 30 DAYS PRIOR TO DISCHARGE ASSESSED BY THE DISCHARGE AS ASSESSMENT AND URINALYSIS; 2.6: 80% OF CLIENTS PRESENTING WITH SYMPTOMS OF ANXIETY, DEPRESSION OR OTHER MENTAL HEALTH SYMPTOMS AT INTAKE WILL REPORT FEWER SYMPTOMS AT 6-MONTHS POST ADMISSION AND DISCHARGE AS ASSESSED BY THE GPRA AND MODIFIED MINI SCREEN; 2.7: 80% OF CLIENTS WHO NEED PRIMARY CARE SERVICES AT INTAKE WILL BE LINKED TO CARE; 70% OF THOSE WILL MAINTAIN LINKAGE AT DISCHARGE AND 6- MONTHS POST ADMISSION AS ASSESSED BY THE GPRA AND DISCHARGE ASSESSMENT.

BUILDING RENOVATIONS

RURAL HOUSING AND ECONOMIC DEVELOPMENT

WESTCARE KENTUCKY PRISONER REENTRY MENTORING PROGRAM

WESTCARE KENTUCKY YOUNG FATHERS MENTORING PROJECT

REDUCING ALCOHOL, TOBACCO, AND MARIJUANA USE BY RAY COUNTY YOUTH THROUGH EDUCATION AND ENVIRONMENTAL CHANGE

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

COMMUNITY FACILITY GRANTS

REDUCING ALCOHOL, TOBACCO, AND MARIJUANA USE BY RAY COUNTY YOUTH THROUGH EDUCATION AND ENVIRONMENTAL CHANGE.

COMMUNITY FACILITY GRANTS