Catherines Health Center

HEALTH CENTER PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - CATHERINE’S HEALTH CENTER [CATHERINE’S] SEEKS TO EXPAND ITS MENTAL HEALTH (MH) AND SUBSTANCE USE DISORDER (SUD) SERVICES IN KENT COUNTY, MICHIGAN. SPECIFICALLY, CATHERINE’S AIMS TO EXPAND MH AND SUD SERVICES TO THE HOMELESS AND TO PEOPLE EXPERIENCING HOUSING INSTABILITY. CATHERINE’S BEGAN PROVIDING LIMITED BEHAVIORAL HEALTH SERVICES IN 2017 AND SUD SERVICES IN 2023. CATHERINE’S BECAME A LOOK-ALIKE IN 2017 AND A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN 2020. IN THREE YEARS, CATHERINE’S GREW FROM ONE PRIMARY CARE CLINIC EXCLUSIVELY SERVING ADULTS TO FOUR INTEGRATED PRIMARY CARE AND DENTAL CLINICS SERVING ALL AGES AND 3 SCHOOL-BASED SITES. IN ADDITION TO ADDING CLINICS, CATHERINE’S HAS ALSO EXPANDED SERVICES TO THE HOMELESS BY EMBEDDING CLINICS IN PARTNER FACILITIES. CATHERINE’S PROVIDES WEEKLY PRIMARY CARE SERVICES AT A HOMELESS SHELTER AND A CHURCH. FURTHER, CATHERINE’S PROVIDES STREET MEDICINE SERVICES AND OUTREACH SERVICES AT ANOTHER LOCAL SHELTER. IN 2023, CATHERINE’S SERVED 5171 UNIQUE PATIENTS THROUGH 18092 VISITS. 2919 OF THOSE VISITS WERE MH AND 0 WERE SUD. 31% OF PATIENTS WERE HOMELESS OR HOUSING UNSTABLE IN 2023. OF THE 1589 HOMELESS PATIENTS, 144 RECEIVED MH SERVICES AND 0 RECEIVED SUD TREATMENT. BY DECEMBER 31, 2025, 50 NEW UNIQUE PATIENTS WILL RECEIVE SUD SERVICES, 50 NEW UNIQUE PATIENTS WILL RECEIVE MOUD SERVICES, AND 500 NEW UNIQUE PATIENTS WILL RECEIVE MH SERVICES. BHSE FUNDING WILL INCREASE ACCESS TO MH SERVICES, SUD TREATMENT, AND MOUD FOR ALL PATIENTS BUT CATHERINE'S IS APPLYING A SPECIAL FOCUS ON THE HOMELESS POPULATION. ACCORDING TO KENT COUNTY’S MOST RECENT POINT IN TIME COUNT, CONDUCTED IN JANUARY 2023, THERE WERE 1239 HOMELESS INDIVIDUALS. ACCORDING TO THE HEALTH DEPARTMENT, KENT COUNTY HAS EXPERIENCED 159 DRUG OVERDOSE DEATHS FROM JANUARY 2022 TO OCTOBER 2023. WHILE CATHERINE’S HAS EXPONENTIALLY EXPANDED MEDICAL SERVICES FOR THE HOMELESS, IT IS IMPERATIVE THAT CATHERINE’S EXPANDS INTEGRATED MH AND SUD SERVICES TO THIS POPULATION. FUNDING WILL ENABLE CATHERINE’S TO MEET THE GROWING NEED OF OUR COMMUNITY. THIS PROJECT HAS TWO OBJECTIVES: 1)INCREASE THE NUMBER OF PATIENTS WHO RECEIVE SUD SERVICES, INCLUDING TREATMENT WITH MOUD, AND 2) INCREASE THE NUMBER OF PATIENTS WHO RECEIVE MH SERVICES. TO ACCOMPLISH THESE TWO OBJECTIVES BY DECEMBER 31, 2025, CATHERINE’S WILL IMPLEMENT ORGANIZATION-WIDE BEHAVIORAL HEALTH PRACTICES AND EXPAND SUD TREATMENT WITH A FOCUS ON INDIVIDUALS WHO ARE HOMELESS OR AT RISK OF BEING HOMELESS. ACTIVITIES RELATED TO OBJECTIVE 1 INCLUDE: 1)INCREASE SUD TREATMENT AT ALL CURRENT SITES 2)IMPLEMENT HARM REDUCTION TRAINING ACROSS ALL SITES 3)EXPAND INTENTIONAL PARTNERSHIPS TO INCREASE SUD TREATMENT TO NEW POPULATIONS 4)IMPLEMENT SUD SCREENINGS ACROSS ALL SITES 5)HIRE AND TRAIN .5 FTE CASE MANAGER, 1 FTE PEER RECOVERY COACH, 1 FTE LCSW WITH SUD SPECIALTY, 1 FTE ADVANCED PRACTICE PROVIDER, AND 1 FTE MEDICAL ASSISTANT TO PROVIDE SERVICES WITH A FOCUS ON THE HOMELESS, SUD TREATMENT, AND MOUD TREATMENT 6)PURCHASE A MOBILE VAN TO DELIVER MEDICAL AND BEHAVIORAL HEALTH SERVICES TO THE HOMELESS 7)CONDUCT EVALUATION OF SUD SERVICE IMPLEMENTATION FOR HOMELESS ACTIVITIES RELATED TO OBJECTIVE 2 INCLUDE: 1)FORMALIZE PROCESS WITH LOCAL COMMUNITY HEALTH AGENCY TO CONDUCT REFERRALS FOR PATIENTS WITH SPMI 2)CONDUCT ORGANIZATION-WIDE TRAUMA-INFORMED TRAINING FOR STAFF 3)ADOPT A PRIMARY CARE BEHAVIORAL MODEL TO INCREASE ACCESS AT PRIMARY CARE SITES 4)HIRE, ONBOARD, AND TRAIN .5 FTE CASE MANAGER TO COORDINATE MH SERVICES FOR THE HOMELESS 5)TRAIN EXISTING PSYCHIATRIC NURSE PRACTITIONER TO PROVIDE CARE IN LONG-ACTING INJECTABLE TREATMENT TO THE HOMELESS 6)INCREASE COMPLETED MH APPOINTMENTS FOR PATIENTS WITH A POSITIVE MH SCREENING 7)CONDUCT EVALUATION OF MH SERVICE IMPLEMENTATION FOR THE HOMELESS

FISCAL YEAR 2025 EXPANDED HOURS. - CATHERINE’S HEALTH CENTER (CATHERINE’S) PROPOSES INCREASING HOURS AT THE MEL TROTTER MINISTRIES (MEL TROTTER) SITE FROM 3 HOURS PER WEEK TO 40 HOURS PER WEEK. THIS SITE IS LOCATED WITHIN THE LARGEST HOMELESS SHELTER IN THE CITY OF GRAND RAPIDS, MICHIGAN. AS A 330(H) RECIPIENT, CATHERINE’S PROVIDES HEALTHCARE TO THE HOMELESS THROUGH TRADITIONAL PRIMARY CARE CLINICS, AS WELL AS PLACED-BASED CLINICS EMBEDDED WITHIN TRUSTED SERVICE PROVIDERS, LIKE MEL TROTTER. THE MEL TROTTER CAMPUS INCLUDES A HEALTH CLINIC WITH THREE EXAM ROOMS, A DENTAL SUITE, AND RESOURCE NAVIGATION. SINCE JUNE 2022, CATHERINE’S HAS PROVIDED ONSITE ENABLING SERVICES AND TELEPSYCHIATRY SERVICES TO THE GUESTS AT MEL TROTTER. SINCE NOVEMBER 2023, PRIMARY CARE SERVICES, INCLUDING HEPATITIS C TREATMENT, HAVE BEEN PROVIDED EVERY WEDNESDAY MORNING AT THE MEL TROTTER CLINIC BY A CATHERINE’S PROVIDER. MEL TROTTER STAFF HAVE ASKED CATHERINE’S TO PROVIDE INCREASED PRIMARY CARE HOURS AT THE SHELTER DUE TO CATHERINE’S PROVEN SUCCESS ON WEDNESDAY MORNINGS. WITH FUNDING FOR EXPANDED HOURS, CATHERINE’S WILL BUILD CONSISTENT HOURS AND STAFFING, FURTHER BUILDING TRUST WITH HOMELESS PATIENTS AND INCREASING ACCESS TO CARE. ALONG WITH THE ADDITION OF HOURS AT THE MEL TROTTER CLINIC, CATHERINE’S PLANS TO ADD INTEGRATED SUD, DENTAL CARE, AND CASE MANAGEMENT TO THE PRIMARY CARE OFFERINGS ALREADY THERE. IN 2019, PRIOR TO CATHERINE’S BECOMING A FQHC, A CLINIC IN THE HEART OF DOWNTOWN GRAND RAPIDS, NEAR MEL TROTTER, PERMANENTLY CLOSED. THIS CLINIC PRIMARILY SERVED THE HOMELESS AND WAS WELL TRUSTED BY THE COMMUNITY, AND ITS CLOSURE HAS HAD A DEEP IMPACT. IN 2023, THERE WERE 1,239 HOMELESS INDIVIDUALS IN KENT COUNTY. THIS IS A ROUGHLY 70% INCREASE SINCE 2019. KENT COUNTY HAS THE THIRD HIGHEST RATE OF HOMELESSNESS IN THE STATE, AT 188 HOMELESS PER 100,000 PEOPLE. SINCE THE HOMELESS CLINIC CLOSED, THERE IS NOT MUCH AVAILABLE FOR THIS POPULATION OUTSIDE OF THE EMERGENCY DEPARTMENT. BY OPERATING WITH CONSISTENT HOURS AND STAFF, AND WITH THE BARRIER REDUCTIONS THAT AN FQHC CAN OFFER, CATHERINE’S WILL REESTABLISH A DESIGNATED HOMELESS HEALTH CLINIC IN GRAND RAPIDS WITHIN A TRUSTED SPACE ALREADY SERVICING THE POPULATION. DUE TO THE TRANSIENT NATURE OF THE POPULATION, MUCH OF THE EXPANDED HOURS AT MEL TROTTER WILL BE UTILIZED BY NEW PATIENTS, REQUIRING LONGER APPOINTMENT SLOTS AND ALLOWING FOR CONVENIENCE CARE AND WALK-IN APPOINTMENTS. THE CLINIC WILL BE OPEN TO ALL COMMUNITY MEMBERS, NOT JUST THOSE UTILIZING SERVICES AT MEL TROTTER, WITH A SPECIALTY FOCUS ON OTHER HOMELESS AND HOUSING UNSTABLE INDIVIDUALS. THIS CLINIC WILL INCLUDE PRIMARY CARE, SUD TREATMENT, MENTAL HEALTH SERVICES, DENTAL, PSYCHIATRY, AND A PHARMACY. WITH EXPANDED HOURS FUNDING, CATHERINE’S HEALTH CENTER PROPOSES THE FOLLOWING OBJECTIVES: 1) BY FOUR MONTHS, CATHERINE’S 5B CHANGES ARE APPROVED AND HOURS ARE EXPANDED TO 40 HOURS A WEEK WITH A CASE MANAGER ONBOARDED AND OFFERING SERVICES. 2) BY SIX MONTHS, AN ADVANCED PRACTICE PROVIDER, MEDICAL ASSISTANT, DENTAL HYGIENIST, HOMELESS HEALTH CARE MANAGER, AND FRONT DESK RECEPTIONIST ARE HIRED AND ONBOARDED. 40 HOURS OF CASE MANAGEMENT; 20 HOURS OF PRIMARY MEDICAL CARE, DENTAL HYGIENE, AND LABORATORY SERVICES; 3 HOURS OF ENABLING SERVICES; AND 3 HOURS OF PSYCHIATRY ARE PROVIDED PER WEEK. 3) BY EIGHTEEN MONTHS, A PHARMACIST AND PHARMACY TECHNICIAN WILL BE HIRED AND OPERATE AN ON-SITE PHARMACY 40 HOURS A WEEK.

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 HEALTH CENTER PROGRAM LOOK-ALIKES: EXPANDING CAPACITY FOR CORONAVIRUS TESTING

FY 2023 BRIDGE ACCESS PROGRAM