Community Health Services Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER DEMONSTRATION GRANTS -- ALASKA INITIATIVE

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER DEMONSTRATION GRANTS -- ALASKA INITIATIVE

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

OP EARLY INTERVENTION SVCS W/RESPECT TO HIV DISEASE

HEALTH CENTER PROGRAM

OP EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE

ARRA - FACILITY INVESTMENT PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

CAPITAL DEVELOPMENT

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

OP EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

ADVANCING AND EXPANDING THE CURRENT CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC PROGRAM WITHIN RURAL NORTH CAROLINA - PROJECT NAME: CCBHC ADVANCEMENT GRANT IN RURAL EASTERN NORTH CAROLINA. SUMMARY OF PROJECT: THE SIGNIFICANCE OF THE STATISTICS PRESENTED BELOW WILL DEMONSTRATE THE NEED TO COMBAT THE MENTAL HEALTH CRISIS BY INCREASING ACCESS TO HIGH QUALITY COMMUNITY MENTAL HEALTH AND SUD TREATMENT SERVICES WITHIN MCHS’S RURAL AND IMPOVERISHED CATCHMENT AREA. MENTAL HEALTH AMERICA PUBLISHED THE 2022 STATE OF MENTAL HEALTH AMERICA REPORT IN WHICH NORTH CAROLINA RANKED 38TH OUT OF 51 FOR ACCESS TO MENTAL HEALTH CARE (A HIGHER RANKING DEMONSTRATES MORE NEED). WITHIN THE SAME REPORT, NORTH CAROLINA RANKED 42ND OUT OF 51 FOR YOUTH MENTAL HEALTH AND PLACED 31ST OUT OF 51 FOR OVERALL MENTAL HEALTH.1 THE COVID-19 PANDEMIC HAS ALSO GREATLY IMPACTED THE MENTAL WELLBEING OF THE ENTIRE WORLD AND NORTH CAROLINA IS NO EXCEPTION. IN 2021 35% OF ADULTS IN NORTH CAROLINA REPORTED SYMPTOMS OF ANXIETY AND/OR DEPRESSIVE DISORDER. FOR COMPARISON, IN 2015 16% PER 100,000 INDIVIDUALS DIED DUE TO DRUG OVERDOSE HOWEVER IN 2020 THAT INCREASED TO 31% PER 100,000 INDIVIDUALS. POPULATIONS TO BE SERVED: ALONG WITH BEING DESIGNATED AS A MUA, EACH OF THE FIVE COUNTIES ARE DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). BEAUFORT COUNTY IS DESIGNATED AS A LOW-INCOME POPULATION HPSA, HYDE COUNTY IS DESIGNATED AS A HIGH NEED GEOGRAPHIC HPSA, MARTIN COUNTY IS DESIGNATED AS A LOW-INCOME HPSA, TYRRELL COUNTY IS DESIGNATED AS A LOW-INCOME POPULATION HPSA, AND WASHINGTON COUNTY IS DESIGNATED AS A GEOGRAPHIC HPSA. ALL OF THE LISTED HPSA DESIGNATIONS ARE SPECIFIC TO MENTAL HEALTH. THE COUNTIES ARE DESIGNATED WITH ADDITIONAL HPSA DESIGNATION TYPES FOR DENTAL AND PRIMARY CARE. APPROXIMATELY 43% OF THE POPULATION WITHIN THE CATCHMENT AREA IS CATEGORIZED AS LOW-INCOME WHICH MEANS THIS PERCENTAGE OF THE POPULATION LIVES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL). OF THE NEARLY 146,000 RESIDENTS LIVING WITHIN THE ENTIRE CATCHMENT AREA, APPROXIMATELY 62,000 OF THESE RESIDENTS ARE LOW-INCOME. ADDITIONALLY, 20% OF THE POPULATION LIVES IN POVERTY, 12% ARE UNINSURED, 22% CLASSIFY AS HAVING A DISABILITY, AND OVER 19% OF ADULTS HAVE NO USUAL SOURCE OF CARE.4 THE NORTH CAROLINA INJURY & VIOLENCE PREVENTION BRANCH PROVIDED THE NUMBER OF OPIOID POISONING EMERGENCY DEPARTMENT (ED) VISITS WITHIN THE CATCHMENT AREA. GOALS & OBJECTIVES: GOAL 1: TO INCREASE ACCESS TO HIGH QUALITY COMMUNITY MENTAL HEALTH AND SUD TREATMENT FOR INDIVIDUALS WITH SMI, SUD, SED, AND COD IN RURAL EASTERN NORTH CAROLINA WITH A FOCUS ON VULNERABLE POPULATIONS. OBJECTIVES: 1) BY THE END OF YEAR 2, MCHS WILL HAVE CONTACTED OVER 500 INDIVIDUALS THROUGH PROGRAM OUTREACH; 2) BY THE END OF YEAR 2, MCHS WILL HAVE SCREENED AND ASSESSED OVER 850 INDIVIDUALS; AND 3) MCHS WILL SERVE 700 UNDUPLICATED INDIVIDUALS IN YEAR 1; 850 UNDUPLICATED INDIVIDUALS IN YEAR 2; AND 1,550 UNDUPLICATED INDIVIDUALS’ TOTAL. GOAL 2: TO REDUCE THE NUMBER OF EMERGENCY DEPARTMENT VISITS BY PREVENTING OR MINIMIZING RECURRENT ACUTE EPISODES OF SMI AND SED. OBJECTIVES: 1) BY THE END OF YEAR 2, MCHS’S CERTIFIED ACT TEAM WILL HAVE SERVED OVER 100 INDIVIDUALS AND 2) BY THE END OF YEAR 2, THE NUMBER OF SMI AND SED EMERGENCY ROOM VISITS IN THE SERVICE AREA WILL DECREASE BY 20%. GOAL 3: TO DECREASE THE NUMBER OF OPIOID-RELATED EMERGENCY DEPARTMENT VISITS BY INCREASING THE NUMBER OF INDIVIDUALS RECEIVING SUD TREATMENT. OBJECTIVES: 1) BY THE END OF YEAR 2, MCHS’S RAPID RESPONSE TEAM WILL HAVE SERVED OVER 200 INDIVIDUALS; 2) BY THE END OF YEAR 2, MCHS’S MAT PROVIDERS WILL HAVE SERVED OVER 400 NEW INDIVIDUALS; AND 3) BY THE END OF YEAR 2, THE NUMBER OF OPIOID RELATED EMERGENCY DEPARTMENT VISITS WILL DECREASE BY 20%.

CCBHC EXPANSION IN RURAL EASTERN NORTH CAROLINA

CAPITAL DEVELOPMENT

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS - THIS WEST SIDE COMMUNITY HEALTH SERVICES, INC. DBA MINNESOTA COMMUNITY CARE - FARMINGTON RURAL HEALTH VIRTUAL CARE EPICENTER IS DESIGNED TO PROVIDE 24 HOUR CARE ACCESS FOR A BROAD REACH OF PATIENTS SEEKING ACCESS TO MEDICAL AND MENTAL HEALTH SERVICES VIA VARIOUS DIGITAL AND MOBILE MODALITIES.

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

RYAN WHITE TITLE IV WOMEN, INFANTS, CHILDREN, YOUTH AND AFFECTED FAMILY MEMBERS AIDS HEALTHCARE

RYAN WHITE TITLE IV WOMEN, INFANTS, CHILDREN, YOUTH AND AFFECTED FAMILY MEMBERS AIDS HEALTHCARE

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM - MEDICATION ASSISTED TREATMENT ACCESS - PROJECT ABSTRACT PROJECT TITLE: RURAL COMMUNITIES OPIOID RESPONSE PROGRAM – MEDICATION ASSISTED TREATMENT ACCESS - NEW ACCESS POINT REQUESTED AWARD AMOUNT: $3,000,000 METROPOLITAN COMMUNITY HEALTH SERVICES, INC. DBA AGAPE HEALTH SERVICES 120 W MARTIN LUTHER KING JR. DRIVE, WASHINGTON, NC, 27889 FEDERALLY QUALIFIED HEALTH CENTER (501C3 NON PROFIT) DR. MICHAEL MCDUFFIE, EXECUTIVE DIRECTOR WEB SITE: AGAPECHC.ORG METROPOLITAN COMMUNITY HEALTH SERVICES (MCHS) IS A NONPROFIT 501(C)(3) FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER (CCBHC) THAT PROVIDES INTEGRATED PRIMARY MEDICAL, DENTAL, PHARMACY AND BEHAVIORAL HEALTH SERVICES INCLUDING MEDICATED ASSISTED TREATMENT (MAT) TO VULNERABLE, LOW-INCOME POPULATIONS OF EASTERN NORTH CAROLINA ON A SLIDING FEE SCALE. MCHS SERVES FIVE COUNTIES OF EASTERN NORTH CAROLINA, BEAUFORT, MARTIN, TYRRELL, WASHINGTON, AND HYDE. CURRENTLY, MCHS OFFERS MAT SERVICES IN TWO LOCATIONS: WASHINGTON, NC (BEAUFORT COUNTY) AND WILLIAMSTON (MARTIN COUNTY). MCHS IS PROPOSING TO ESTABLISH A NEW ACCESS POINT FOR MAT SERVICES IN PLYMOUTH, NC, LOCATED IN WASHINGTON COUNTY. THIS NEW ACCESS POINT WILL OFFER OUD AND AUD TREATMENT SERVICES AS WELL AS BEHAVIORAL HEALTH SUPPORT SERVICES IN ADDITION TO PRIMARY CARE AND DENTAL SERVICES WHICH ARE CURRENTLY BEING OFFERED. MCHS WILL OFFER SERVICES DURING OFFICE VISITS AT THE MCHS LOCATION IN PLYMOUTH, VIA TELEHEALTH AND WILL ALSO USE THE MCHS MOBILE UNIT TO TAKE THESE SERVICES TO MOST RURAL AND DESOLATE AREAS OF THE REGION TO SERVE THOSE WITH TRANSPORTATION CHALLENGES. MCHS WILL ALSO OFFER EXTENDED HOURS TO ENSURE ACCESSIBILITY TO THE TARGET POPULATION. MCHS WILL BUILD COMMUNITY CAPACITY AND INFRASTRUCTURE TO SUPPORT MORE EFFECTIVE AND EFFICIENT MAT SERVICE PROVISION BY PARTNERING WITH LOCAL LAW ENFORCEMENT AND JAILS, A LOCAL HOSPITAL EMERGENCY DEPARTMENT, THE NC OFFICE OF RURAL HEALTH, AND A LOCAL PHARMACY. THESE PARTNERSHIPS WILL HELP IDENTIFY THOSE INDIVIDUALS IN NEED OF MAT SERVICES FOR REFERRAL, AID IN THE RECRUITMENT OF QUALIFIED CLINICIANS TO DELIVER SERVICES, AND ACT AS AN ADDITIONAL RESOURCE FOR ACCESS TO PRESCRIBED MEDICATIONS FOR CLIENTS. MCHS WILL USE EVIDENCE-BASED PRACTICES AND FDA-APPROVED MEDICATION OPTIONS FOR OUD, INCLUDING BUPRENORPHINE AND NALTREXONE TO MOST EFFECTIVELY MEET THE NEEDS OF THE INDIVIDUAL THE TARGETED REGION FOR THIS NEW ACCESS POINT WILL INCLUDE WASHINGTON, MARTIN, TYRRELL, AND HYDE COUNTIES ACCORDING TO THE UNIFORM DATA SYSTEM MAPPER REPORT OF MCHS’S RURAL SERVICE AREA, OVER 44% OF THE POPULATION (40,544 RESIDENTS) ARE LOW-INCOME RESIDENTS WITH INCOMES UNDER 200% OF THE FEDERAL POVERTY LEVEL, 24% LIVE IN POVERTY, AND 18% ARE UNINSURED. IN THE TOWN OF PLYMOUTH, 49.48% WERE LOW-INCOME IN 2017. ACCORDING TO THE NORTH CAROLINA INJURY & VIOLENCE PREVENTION BRANCH, IN MCHS’S SERVICE AREA, THERE WERE NO OPIATE POISONING DEATHS IN 1999 BUT THIS NUMBER HAS BEEN GROWING EACH YEAR, AND FROM 1999 THROUGH 2016, THERE WERE A TOTAL OF 90 DEATHS DUE TO OPIATE POISONING IN THESE COUNTIES. ACCORDING TO THE NORTH CAROLINA INJURY & VIOLENCE PREVENTION BRANCH, THE SERVICE AREA, THE NUMBER OF OPIATE POISONING EMERGENCY DEPARTMENT (ED) VISITS MORE THAN DOUBLED FROM 17 IN 2008 TO 35 IN 2016, AND THERE WERE 217 TOTAL OPIATE POISONING ED VISITS DURING THIS PERIOD AND 81 MORTALITIES RELATED TO UNINTENTIONAL DRUG POISONINGS IN 2017 ALONE. ALSO, FROM 2004 THROUGH 2016, THERE WERE OVER 220 OPIATE POISONING HOSPITALIZATIONS IN MCHS’S SERVICE AREA. THE NEED FOR A STRONG OPIOID TREATMENT PROGRAM IS EXACERBATED AS ALL FOUR COUNTIES ARE DESIGNATED AS TIER 1 BY HRSA AND AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) FOR MENTAL HEALTH.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS - PHYSICAL LOCATION: 1010 EAST LAKE STREET IN MINNEAPOLIS, MINNESOTA, 55407 DESCRIPTION OF SCOPE: PURCHASE OF FURNITURE, FIXTURES, AND EQUIPMENT PROPERTY ACTIVITY: SOUTHSIDE COMMUNITY HEALTH SERVICES IS DEVELOPING A 30,000 SQUARE FOOT CLINIC TO SERVE OUR GROWING PATIENT BASE, EXPAND SERVICES, AND BRING SOUTHSIDE’S SERVICES (PRIMARY MEDICAL, DENTAL, VISION, AND INTEGRATED BEHAVIORAL HEALTH) UNDER ONE ROOF TO BETTER MEET THE COMMUNITY’S HEALTHCARE NEEDS. SOUTHSIDE IS A FEDERALLY QUALIFIED HEALTH CENTER, AUTHORIZED BY FEDERAL LAW AND FUNDING TO DELIVER HEALTH CARE TO UNDERSERVED COMMUNITIES. CURRENTLY, SOUTHSIDE IS MAKING DO WITH AN INADEQUATE MEDICAL AND BEHAVIORAL HEALTH CLINIC FACILITY. INSUFFICIENT SPACE, LIMITED HOURS OF OPERATION, AND A RECURRING RODENT PROBLEM MEAN STAFF AND PATIENTS ARE POORLY SERVED IN THE EXISTING CLINIC. SPECIFICATIONS: THE NEW CLINIC IS IN A PRIMARY CARE, MENTAL HEALTH, AND DENTAL HEALTH PROVIDER SHORTAGE AREA IN SOUTH MINNEAPOLIS. AS A SAFETY-NET COMMUNITY CLINIC, SOUTHSIDE WILL PROVIDE AFFORDABLE ACCESS TO PRIMARY MEDICAL, DENTAL, VISION, AND BEHAVIORAL HEALTH CARE TO APPROXIMATELY 14,000 UNIQUE PATIENTS (100% LOW INCOME) ANNUALLY IN THE NEW SITE. TYPE OF CONSTRUCTION: EQUIPMENT ONLY. EQUIPMENT: MEDICAL, DENTAL, AND VISION CLINICAL EQUIPMENT. SEE ATTACHMENT FOR COMPLETE LISTING.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

ARRA - FACILITY INVESTMENT PROGRAM

OP EARLY INTERVENTION SVCS W/ RESPECT TO HIV DISEASE

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

POSTDOCTORAL TRAINING IN GENERAL, PEDIATRIC AND PUBLIC HEALTH DENTISTRY AND DENTAL HYGIENE

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

REACHR-RESPOND TO OUR TARGETED POPULATIONE-EDUCATE ON RISK BEHAVIORSA-ACHIEVE TARGETED GOALSC- CARE FOR AND TREAT HIV + INDIVIIDUALSH - HALT THE SPREAD OF HIV - HEARTLAND CARES, INC, IS A NON-PROFIT ORGANIZATION, WITH A 501(C)(3) STATUS WITH THE IRS, PROVIDING COMPREHENSIVE, CLIENT-CENTERED,QUALITY HEALTH CARE, SUPPORT SERVICES, PREVENTION AND EDUCATION, AND HIV TESTING. QUALITY HEALTH CARE IS PROVIDED TO PERSONS LIVING WITHHIV/AIDS, SUPPORT SERVICES ARE PROVIDED TO CLIENTS AND THEIR FAMILIES, AND PREVENTION EDUCATION AND TESTING ARE PROVIDED TO CLIENTS, THEIRFAMILIES, AND THE COMMUNITY AT LARGE. WITHIN THE COMMUNITY, WE STRIVE TO PREVENT NEW INFECTIONS AND REDUCE THE STIGMA ASSOCIATED WITHTHIS DISEASE BY PROMOTING AWARENESS, ACCEPTANCE, AND EQUALITY.OUR PRINCIPAL CLINIC IS LOCATED IN PADUCAH, KY. IN ADDITION, WE PARTNER WITH TWO OTHER ORGANIZATIONS TO OPERATE SATELLITE CLINICS IN ORDER TOPROVIDE MEDICAL SERVICES IN CLOSER PROXIMITY TO THESE CLIENTS. HEARTLAND CARES PARTNERS WITH JACKSON COUNTY (IL) HEALTH DEPARTMENT INMURPHYSBORO, ILLINOIS, AND WITH ST. LUKE?S FREE CLINIC IN HOPKINSVILLE, KENTUCKY, TO PROVIDE CLINIC HOURS IN EACH LOCATION ONE DAY PERMONTH. WE CURRENTLY SERVICE 26 COUNTIES IN WESTERN KENTUCKY AND 17 COUNTIES IN SOUTHERN ILLINOIS. WE HAVE TWO CONTRACTED INFECTIOUSDISEASES PROVIDERS AND WHEN FULLY STAFFED, HCI HAS 27 EMPLOYEES ON STAFF. OUR RURAL SERVICE AREA CONSISTS OF MORE THAN 16,000 SQUAREMILES WITH A POPULATION OF MORE THAN ONE MILLION PERSONS.HEARTLAND CARES SEEKS FUNDING FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION THROUGH THE COMPREHENSIVE HIGH-IMPACT HIVPREVENTION PROGRAMS FOR COMMUNITY-BASED ORGANIZATIONS (CDC-FRA-PS21-2102). FUNDING WILL BE UTILIZED TO INCREASE CAPACITY TOPERFORM HIV AND OTHER INTEGRATED VIRAL HEPATITIS, STD AND TB TESTING WITH A SPECIFIC TARGET OF RURAL, BLACK/AFRICAN AMERICAN MALES HAVINGSEXUAL CONTACT WITH OTHER MALES (MSM). ACCORDING TO RESEARCH, NEARLY FIFTEEN (15) PERCENT OF AFRICAN AMERICANS WITH HIV ARE UNAWARETHEY HAVE IT. INDIVIDUALS WHO DO NOT KNOW THEY HAVE HIV ARE MORE LIKELY TO TRANSMIT IT TO OTHERS. THIS TARGETED GROUP ALSO HAS HIGHERRATE S OF SOME SEXUALLY TRANSMITTED DISEASES (STDS), WHICH INCREASES AN INDIVIDUAL?S CHANCE OF GETTING OR TRANSMITTING HIV.HEARTLAND CARES IS COMMITTED TO CONTINUING TO PROVIDE EXEMPLARY SERVICE IN THE EFFORTS TO REDUCE THE SPREAD OF HIV. WE CURRENTLYPROVIDE A COMPREHENSIVE PLAN FOR HIV PREVENTION SERVICES TO IDENTIFY PERSONS WITH HIV AND HIGH-RISK HIV NEGATIVE PERSONS IN OURPREVENTION AND OUTREACH PROGRAM. GIVEN THE OPPORTUNITY TO WORK WITH THE CDC TO IMPLEMENT ACTIVITIES UNDER THIS PROGRAM, WE WILLIMPLEMENT STRATEGIES THAT ALIGN WITH THE NATION?S ENDING THE HIV EPIDEMIC INITIATIVE (EHE): A PLAN FOR AMERICA ? DIAGNOSE, TREAT,PREVENT, AND RESPOND.WITH MORE THAN 40,000 BLACK/AFRICAN AMERICAN MALES CURRENTLY LIVING IN OUR SERVICE AREA, HEARTLAND CARES WILL INCREASE THE NUMBER OFPERSONS WHO ARE AWARE OF THEIR HIV STATUS AND INCREASE THE RECEIPT OF INTEGRATED SCREENINGS TO THOSE IN THIS POPULATION. ASSURING THATINDIVIDUALS ARE AWARE OF THEIR STATUS IS A PRIMARY GOAL OF THIS STRATEGY. THOSE WHO ARE NEWLY DIAGNOSED WITH HIV WILL BE IMMEDIATELYLINKED TO CARE AND ANTIRETROVIRAL THERAPY (ART) AND WILL RECEIVE COMPREHENSIVE SERVICES IN OUR PRINCIPAL CLINIC OR ONE OF OUR SATELLITECLINICS. THOSE WHO ARE PREVIOUSLY DIAGNOSED BUT ARE NOT IN CARE, WILL BE RE-ENGAGED IN THESE COMPREHENSIVE SERVICES. WE WILL ALSO WORKWITH HIV-NEGATIVE INDIVIDUALS WHO CONTINUE TO PARTICIPATE IN BEHAVIORS THAT PUT THEM AT-RISK TO EMPLOY STRATEGIES THAT WILL INCREASE THEIRLIKELIHOOD OF REMAINING HIV NEGATIVE.

OP EARLY INTERVENTION SVCS W/ RESPECT TO HIV DISEASE

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

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

RYAN WHITE TITLE IV PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

QUALITY IMPROVEMENT FUND ? MATERNAL HEALTH - QUALITY IMPROVEMENT FUND – MATERNAL HEALTH

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION FOR YOUNG LATINX MEN WHO HAVE SEX WITH MEN

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

HEALTH CENTER INFRASTRUCTURE SUPPORT

LEGACY COMMUNITY HEALTH COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECT FOR YOUNG MEN OF COLOR WHO HAVE SEX WITH MEN AND YOUNG TRANSGENDER PERSONS OF COLOR

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

PS10-1003 HIV PREVENTION PROJECTS FOR CBO'S

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

INTEGRATED SUBSTANCE USE DISORDER (SUD) TRAINING PROGRAM

HIV PREVENTION FOR YMSM OF COLOR

PENINSULA COMMUNITY HEALTH SERVICES MEDICATION ASSISTED TREATMENT (MAT) PRESCRIPTION DRUG AND OPIOID ADDICTION PROJECT

ANE - NURSE PRACTITIONER RESIDENCY PROGRAM

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

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

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - CAPITAL IMPROVEMENT PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CHOICES - ABSTINENCE - ONLY YOUTH EDUCATION PROGRAM

EXPANDING AND ENHANCING ACCESS TO MEDICATION ASSISTED TREATMENT (MAT) IN RURAL EASTERN NORTH CAROLINA

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - HIV PREVENTION AND CARE PROJECT INTERNATIONAL COMMUNITY HEALTH SERVICES P.O. BOX 3007, SEATTLE, WA 98114-3007 TERESITA BATAYOLA, PRESIDENT & CEO VOICE – (206) 788-3646; FAX – (206) 490-4011 TERESITAB@ICHS.COM WWW.ICHS.COM HEALTH CENTER PROGRAM, PRIMARY CARE HIV PREVENTION H80CS00437 INTERNATIONAL COMMUNITY HEALTH SERVICES’ (ICHS’) HIV PREVENTION AND CARE PROJECT WILL INCREASE RATES OF HIV TESTING, PREP PRESCRIBING, AND LINKAGE OF PATIENTS DIAGNOSED AS HIV POSITIVE TO CARE AND TREATMENT WITHIN 30 DAYS IN KING COUNTY, WASHINGTON. ICHS IS A FEDERALLY QUALIFIED HEALTH CENTER WITH TEN IN-SCOPE LOCATIONS, INCLUDING FOUR FULL-SERVICE MEDICAL/DENTAL CLINICS WHICH WILL BE THE FOCUS OF THE PROJECT. TWO OF THESE CLINICS ARE LOCATED IN SEATTLE: ONE IN THE INTERNATIONAL DISTRICT AND ONE IN THE HOLLY PARK NEIGHBORHOOD. THE IS ONE CLINIC LOCATED IN THE SUBURBAN CITY OF SHORELINE AND ONE IN BELLEVUE, KING COUNTY’S SECOND-LARGEST CITY. THE PROPOSED PROJECT WILL INCREASE THE NUMBER OF PATIENTS COUNSELED AND TESTED FOR HIV BY INITIATING AN OUTREACH PROGRAM TO ENSURE THAT ALL ICHS PATIENTS BETWEEN THE AGES OF 15 AND 65 ARE TESTED FOR HIV AT LEAST ONCE. PATIENTS AT HIGH RISK OF HIV WILL THEN BE SCREENED AT INTERVALS OF 3-12 MONTHS. THIS PROJECT WILL IMPROVE ON THE CURRENT ICHS SCREENING RATE OF 38%. THERE IS STILL A LOT OF STIGMA ASSOCIATED WITH HIV, EVEN WITH SCREENING FOR IT, AND THIS IS COMPOUNDED BY LINGUISTIC AND CULTURAL BARRIERS AS WELL AS LACK OF UNDERSTANDING OF HIV. CONSEQUENTLY, THE PROJECT WILL USE OUTREACH COORDINATORS AS WELL AS HEALTH EDUCATION SPECIALISTS TO HELP INCREASE THE UPTAKE OF FIRST TIME HIV SCREENING. MEDICAL LEADERSHIP WILL WORK WITH OUR CLINICAL INFORMATICS TEAM TO ENSURE THAT HIV SCREENING IS LISTED AS PART OF THE CARE GAPS USED IN OUR ELECTRONIC MEDICAL RECORD SYSTEM TO ENSURE THAT ALL PROVIDERS SCREEN THEIR PATIENTS AT LEAST ONCE. BY OFFERING HIV SCREENING SERVICES, WE WILL BE MORE ATTUNED TO WHO IS AT INCREASED RISK OF GETTING HIV. ICHS WILL IMPROVE OUR COLLECTION OF SEXUAL ORIENTATION AND GENDER IDENTITY (SOGI) AND DRUG-USE DATA TO IDENTIFY WHO IS AT HIGHER RISK OF GETTING HIV AND CAN BENEFIT FROM PREP. PREP MEDICATIONS ARE ALREADY READILY AVAILABLE IN ICHS’ PHARMACY SITES FOR SAME-DAY PICKUP. WE WILL OFFER WALK-IN AND POINT-OF-CARE TESTING TO ALLOW FOR SAME-DAY PREP INITIATION. THIS WILL RESULT IN AN INCREASE OF THE NUMBER OF ICHS PATIENTS WHO ARE PRESCRIBED PREP, WHICH WAS 103 AS OF NOVEMBER 30, 2021. BY INCREASING THE NUMBER OF PEOPLE SCREENED FOR HIV, WE WILL IDENTIFY MORE NEW CASES OF HIV. ICHS HAS AN HIV SPECIALIST THAT CAN MANAGE HIV, AND WE WILL ALSO WORK WITH LOCAL ORGANIZATIONS, INCLUDING HIV CLINICS AND CASE MANAGEMENT ORGANIZATIONS TO ENSURE THAT PATIENTS ARE LINKED TO HIV CARE WITHIN 30 DAYS. IN ORDER TO ENSURE THAT ICHS STAFF AND PROVIDERS ARE AWARE OF THE INITIATIVE, ICHS WILL APPOINT HIV PREVENTION CLINICIAN CHAMPIONS AT ITS CLINICAL SITES, AS WELL AS A PROGRAM MANAGER TO OVERSEE THE EFFORT. ICHS IS A FEDERALLY QUALIFIED HEALTH CENTER THAT SERVES EVERYONE. HOWEVER, SINCE 84% OF ICHS PATIENTS WITH KNOWN INCOMES ARE LOW-INCOME (WITH INCOMES AT 200% OF THE FEDERAL POVERTY LIMIT OR LOWER) AND 60% ARE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH, THESE POPULATIONS WILL REPRESENT A HIGH PERCENTAGE OF THOSE SERVED. IN ADDITION, APPROXIMATELY 68% OF ICHS PATIENTS ARE OF ASIAN ETHNICITY, SO MANY OF THOSE SERVED IN THIS PROJECT WILL REPRESENT THIS POPULATION.

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

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

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

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - GRANT #: H80CS00677 ORGANIZATION HISTORY/INFORMATION: PENINSULA COMMUNITY HEALTH SERVICES (PCHS) IS A COMMUNITY BASED NONPROFIT ORGANIZATION OPERATING UNDER THE MISSION, “PCHS EXEMPLIFIES A CULTURE OF COMMUNITY SERVICE.” THE HEALTH CENTER PROVIDES ACCESSIBLE, AFFORDABLE, COMPASSIONATE, QUALITY HEALTH CARE AND WELLNESS SERVICES THROUGHOUT KITSAP, MASON, AND RURAL PIERCE (KEY PENINSULA) COUNTIES. FOUNDED IN 1989 AS A COMMUNITY CLINIC IN DOWNTOWN BREMERTON, PCHS BECAME A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN 1993. IT IS THE OLDEST AND LARGEST HEALTH CENTER SERVING THE KITSAP PENINSULA AND SURROUNDING AREA, LOCATED TO THE WEST AND ACROSS PUGET SOUND FROM SEATTLE. PCHS OPERATES 41 SITES INCLUDING 11 SCHOOL-BASED HEALTH CENTERS, 6 MOBILE UNITES, AND 2 ADMINISTRATION SITES IN BREMERTON, BELFAIR, KINGSTON, PORT ORCHARD, POULSBO, SILVERDALE, SHELTON, AND GIG HARBOR. PCHS OFFERS A PATIENT-CENTERED MEDICAL AND DENTAL HOME WITH INTEGRATED BEHAVIORAL HEALTH SERVICES, MEDICALLY ASSISTED TREATMENT FOR SUBSTANCE USE DISORDER, PHARMACY, LAB, AND DENTAL CARE. POPULATION SERVED: PCHS’ TARGET POPULATION IS LOW-INCOME, UNINSURED AND UNDERINSURED INDIVIDUALS, INCLUDING INDIVIDUALS COVERED BY MEDICAID AND MEDICARE. FUNDING FROM THIS GRANT WILL SUPPORT PCHS' EFFORTS TO STRENGTHEN TRANSITIONS IN CARE FOR INDIVIDUALS WHO WILL SOON BE RELEASED FROM INCARCERATION, INCREASING THEIR ACCESS TO COMMUNITY-BASED, HIGH QUALITY PRIMARY CARE SERVICES. FUNDING FROM THIS GRANT WILL SUPPORT THE PURCHASE OF PRESCRIBED, NUTRITIOUS FOOD BASKETS, AND ALLOW PCHS TO HIRE THE FOLLOWING POSITIONS: 1.0 FTE ADVANCED PRACTICE CLINICIAN TO PROVIDE PRIMARY CARE; 1.0 FTE LICENSED MENTAL HEALTH COUNSELOR FOR MENTAL HEALTH CARE; 1.0 FTE SUBSTANCE USE DISORDER PROFESSIONAL TO PROVIDE SUD TREATMENT; 2.0 FTE BEHAVIORAL HEALTH TECHNICIANS TO SUPPORT MENTAL HEALTH AND SUD SCREENING AND FACILITATE CARE; 1.0 FTE ENGAGEMENT SPECIALIST TO FACILITATE ACCESS TO SPECIALTY CARE; AND 0.20 FTE PATIENT NAVIGATOR TO ASSIST PATIENTS SIGN UP FOR MEDICAID, MEDICARE, AND OTHER GOVERNMENT BENEFITS.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION - LEGACY COMMUNITY HEALTH (LCH) SEEKS A GRANT OF $1,000,000 FOR THE IMPLEMENTATION AND TRANSITION TO A NEW ELECTRONIC HEALTH RECORDS (EHR) SYSTEM - EPIC. LCH IS A FEDERALLY QUALIFIED HEALTH CENTER BASED IN HOUSTON, TEXAS THAT PROVIDES A RANGE OF PRIMARY CARE SERVICES. THIS INITIATIVE IS FUNDAMENTAL IN OUR EFFORT TO ENHANCE THE QUALITY AND COORDINATION OF CARE, REDUCE MEDICAL ERRORS, IMPROVE PATIENT SAFETY AND HEALTH OUTCOMES, AND PROMOTE HEALTH EQUITY IN OUR COMMUNITY. THE PRESENT EHR SYSTEM AT LCH IS NOT OPTIMALLY EFFECTIVE FOR MANAGING THE INCREASING VOLUME OF PATIENTS OR OUR EVOLVING REQUIREMENTS FOR DATA SHARING, ANALYTICS, AND INTEROPERABILITY WITH OTHER HEALTHCARE ORGANIZATIONS. THIS SITUATION NOT ONLY IMPACTS SERVICE EFFICIENCY AND HEALTH OUTCOMES BUT ALSO HAMPERS OUR EFFORTS IN MEETING FEDERAL REPORTING AND COMPLIANCE REQUIREMENTS. THE IMPLEMENTATION OF THE EPIC EHR SYSTEM, KNOWN FOR ITS COMPREHENSIVE FUNCTIONALITIES AND ROBUST DATA MANAGEMENT CAPABILITIES, WILL SIGNIFICANTLY RESOLVE THESE ISSUES.

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

PERSISTENT POVERTY DHCS GRANT - CONACT SEC 379G DELTA HEALTH CARE SERVICES GRANT

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH CENTER INFRASTRUCTURE SUPPORT

RYAN WHITE TITLE IV PROGRAM

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

COMMUNITY HEALTH WORKER TRAINING PROGRAM - ADDRESS: 220 FIFTH AVE EAST, HENDERSONVILLE, NC 28792-4377 PROJECT DIRECTOR NAME: KENETT MELGAR CONTACT PHONE NUMBER: (828) 692-4289 EMAIL ADDRESS: KMELGAR@BRCHS.COM WEBSITE ADDRESS: HTTPS://BRCHS.COM GRANT PROGRAM FUNDS REQUESTED: $833,792 BRIEF OVERVIEW OF THE PROJECT: THE GOAL OF THE COMMUNITY HEALTH WORKER AND PEER SUPPORT SPECIALIST TRAINING PROGRAM IS TO EXPAND THE CAPACITY OF THE PUBLIC HEALTH WORKFORCE BY TRAINING COMMUNITY HEALTH WORKERS (CHW) AND PEER SUPPORT SPECIALISTS (PSS) TO PROVIDE IMPROVED COMMUNITY HEALTH OUTREACH AND ACHIEVE HEALTH EQUITY IN WESTERN NORTH CAROLINA (WNC). TO REACH THIS GOAL, BLUE RIDGE COMMUNITY HEALTH SERVICES, INC. WILL PARTNER WITH BLUE RIDGE COMMUNITY COLLEGE TO: CREATE, ENHANCE, AND IMPLEMENT CURRICULA FOR TRAINING NEW AND UPSKILLING EXISTING CHWS AND PSS IN THE CLASSROOM AND ON-THE-JOB; EMPLOY CHWS AND PSS AS APPRENTICES; AND PROVIDE FINANCIAL AND SOCIAL DETERMINANTS OF HEALTH (SDOH) SUPPORT TO TRAINEES. IN IMPLEMENTING THESE ACTIVITIES, BRCHS AND BRCC WILL PREPARE AND CERTIFY 20 CHWS OR PSS EACH YEAR WITH THE SKILLSETS NECESSARY TO PROVIDE VULNERABLE COMMUNITIES WITH HEALTH EDUCATION, CARE COORDINATION, AND LINKAGE TO SOCIAL SUPPORTS, HEALTH CARE, AND LOCAL RESOURCES. THESE SERVICES WILL BRIDGE GAPS IN CARE FOR AT-RISK POPULATIONS INCLUDING HISPANIC/LATINX, BLACK/AFRICAN AMERICAN, LOW-INCOME, UNINSURED/UNDERINSURED, AND HOUSING INSECURE INDIVIDUALS, AS WELL AS THOSE WITH A SUBSTANCE USE DISORDER, WHO FACE HIGHER RATES OF HEALTH DISPARITIES DUE TO SDOH IN WNC. BY INCREASING THE NUMBER OF CHWS/PSS AVAILABLE IN THE REGION, THE PUBLIC HEALTH WORKFORCE WILL BE BETTER EQUIPPED TO IMPROVE THE HEALTH EQUITY AND LITERACY OF THESE POPULATIONS AND REMOVE BARRIERS TO CONSISTENT, QUALITY, AND AFFORDABLE HEALTH CARE.

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HUMAN IMMUNODEFICIENCY VIRUS(HIV)PREVENTION PROJECTS FOR CBO

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

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

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

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

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

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

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

CAPITAL DEVELOPMENT

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2023 EXPANDING COVID-19 VACCINATION

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2023 BRIDGE ACCESS PROGRAM

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - THE BLUE RIDGE HEALTH BEHAVIORAL HEALTH EXPANSION PROGRAM WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES, AND INCREASE THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD BY 2400 OVER THE TWO YEAR PERIOD OF THE GRANT. THE EXPANSION WILL OCCUR IN SEVERAL AREAS: 1) HAVE REFERRALS FOR BEHAVIORAL HEALTH SERVICES IMMEDIATELY CONTACTED BY A CARE MANAGER WHO IS ALSO A PERSON WITH LIVED EXPERIENCES, 2) CONNECT PEOPLE WITH ASSESSMENT, 3) INCREASE THE AVAILABILITY OF PSYCHOLOGICAL TESTING TO REDUCE THE WAITING LISTS, 4) ADD TRAINING IN THE AREAS OF EATING DISORDERS AND AUTISM, 5) INCREASE THE NUMBER OF CLINICIANS THAT ARE DUAL LICENSED, AND 6) COVER THE COSTS OF SUPERVISION TIME FOR INDIVIDUALS HIRED WITH PROVISIONAL LICENSES AS A MEANS OF INCREASING THE NUMBER OF LICENSED CLINICIANS. THE SERVICE AREA COVERED BY THIS PROGRAMMING WILL BE 8 COUNTIES IN THE APPALACHIAN REGION OF WESTERN NORTH CAROLINA. TO ACCOMPLISH THESE GOALS BLUE RIDGE COMMUNITY HEALTH (BLUE RIDGE) WILL HAVE A CARE MANAGER FOR BEHAVIORAL HEALTH SERVICES AVAILABLE FOR EACH OF THE 8 COUNTIES TO ASSIST THOSE IDENTIFIED WITH MENTAL HEALTH NEEDS OR SUD AND REFERRED BY BLUE RIDGE PRIMARY CARE PROVIDERS. THE CARE MANAGER WILL HELP THOSE REFERRED ACCESS THE ASSESSMENT PROCESS AND COMMUNITY RESOURCES TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH RELATED TO THE MENTAL HEALTH OR SUBSTANCE USE. THE INITIAL CONTACT IS A MEANS OF PROVIDING IMMEDIATE SUPPORT FOR THOSE IN NEED. BLUE RIDGE WILL EXPAND THE CARE MANAGEMENT CURRENTLY PROVIDED AND HIRE THREE CARE MANAGERS TO COVER THREE ADDITIONAL COUNTIES .THE IMMEDIATE CONTACT IS EXPECTED TO INCREASE THE NUMBER OF PATIENTS SERVED FOR BEHAVIORAL HEALTH OR SUD. TO ACCOMMODATE THE INCREASE, AN ADDITIONAL ASSESSMENT CLINICIAN WILL BE HIRED. BLUE RIDGE CURRENTLY HAS A WAITING LIST FOR THOSE WHO NEED SPECIFIC OR SPECIALIZED PSYCHOLOGICAL TESTING, SO TO INCREASE THE NUMBER OF PATIENTS SERVED, BLUE R IDGE WILL INCREASE THE CURRENT PART-TIME POSITION IN PSYCHOLOGICAL TESTING TO A FULL TIME POSITION. TO ADDRESS THE NEED FOR INCREASED SERVICES, BLUE RIDGE WILL INCREASE TRAINING FOR SPECIALIZATIONS SUCH AS AUTISM AND EATING DISORDERS AND WORK WITH CLINICIANS TO BE DUAL-LICENSED IN VARIOUS SUBDISCIPLINES. BLUE RIDGE WILL ASSESS THE IMPACT OF THESE ADDITIONAL SERVICES THROUGH OUR QUALITY IMPROVEMENT PLAN, SPECIFICALLY TRACKING THE PRIMARY CARE PROVIDERS' REFERRALS AND TREATMENT (MEDICATION OR NOT) AND CHANGES IN THE PHQ9. BLUE RIDGE CURRENTLY HAS IN PLACE A SYSTEM TO TRACK THE REFERRALS TO COMMUNITY RESOURCES MADE BY CARE MANAGERS AND WILL CONTINUE TO USE THAT PROCESS TO EVALUATE THE EXPANSION OF SERVICES.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT TITLE: FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION APPLICANT NAME: BAPTIST COMMUNITY HEALTH SERVICES ADDRESS: 4960 ST. CLAUDE AVENUE, NEW ORLEANS, LA 70117 PROJECT DIRECTOR NAME: JEREMY SIMMONS, CHIEF EXECUTIVE OFFICER PHONE: 504.533.4999 E-MAIL: JSIMMONS@BCHS.ORG WEBSITE: WWW.BCHSNOLA.ORG AMOUNT AND TYPE OF HRSA FUNDING REQUESTED: $1.1 MILLION (2 YEARS) HEALTH CENTER PROGRAM GRANT NUMBER (H80CSXXXXX) BAPTIST COMMUNITY HEALTH SERVICES IS A NON-PROFIT COMMUNITY-BASED HEALTH CARE PROVIDER THAT SERVES THE PRIMARY CARE NEEDS OF UNDERSERVED RESIDENTS OF NEW ORLEANS’ LOWER NINTH WARD (L9W), AND MANDEVILLE NEIGHBORHOOD. BCHS DELIVERS PRIMARY, BEHAVIORAL, AND SUPPORTIVE SERVICES TO COMMUNITIES WHERE 44.2% OF THE POPULATION IS LOW-INCOME AND 40% OF CHILDREN LIVE IN POVERTY. ACCESS TO BEHAVIORAL HEALTH SERVICES CONTINUES TO VEX AREA RESIDENTS. NEW ORLEANS’ MENTAL HEALTH PROVIDER TO PATIENT RATIO IS 557:1, COMPARED TO THE STATE AVERAGE OF 304:1. RECENT RESIDENT SURVEYS INDICATE THAT INDIVIDUALS WITH MENTAL HEALTH NEEDS, ESPECIALLY CHILDREN AND MEDICAID PATIENTS, EXPERIENCE LONG WAIT LISTS FOR THERAPISTS. INDIVIDUALS WITH SUBSTANCE USE DISORDERS REPORT INADEQUATE SERVICES, PARTICULARLY FOR DETOX AND MEDICATION ASSISTED THERAPIES. THE CHILDREN’S HOSPITAL CITED MENTAL HEALTH ISSUES AS ITS TOP REASONS FOR INPATIENT HOSPITALIZATION IN 2021. DRUG OVERDOSE DEATHS HEAVILY CONTRIBUTE TO PREMATURE MORTALITY: THE NEW ORLEANS CORONER’S OFFICE REPORTED 499 AND 492 ACCIDENTAL DRUG-RELATED DEATHS IN 2022 AND 2021, RESPECTIVELY, WITH FENTANYL DETECTED IN 89 PERCENT OF DEATHS. ITS DRUG OVERDOSE DEATH RATE IS 41%. THE CITY CONTINUES TO BATTLE FENTANYL. IN 2022, NEW ORLEANS ATTRIBUTED THE PERMEATION OF FENTANYL TO 2,502 NONFATAL OVERDOSES, 4,046 VIOLENT CRIMES, 169 HOMICIDES, 125 FATAL SHOOTINGS, 630 NONFATAL SHOOTINGS, 261 CAR JACKINGS, 377 ARMED ROBBERIES, AND 1,159 DRUG VIOLATIONS. WITH THE BEHAVIORAL HEALTH SERVICE EXPANSION GRANT, BCHS WILL CONTINU E TO BE ONE OF THE CITY’S CRITICAL AND TRUSTED BEHAVIORAL HEALTH PARTNERS AS IT WORKS TO ENSURE THAT RESIDENTS REPORT LIVING HAPPY, HEALTHY AND FULFILLING LIVES. BCHS WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES BY: • INCREASING EDUCATION ON AND DISTRIBUTION OF MEDICATIONS FOR OPIOID USE DISORDERS. • EXPANDING TELEHEALTH TO INCREASE ACCESS TO TREATMENT FOR OUDS AND ANY CO-OCCURRING SUBSTANCE USE OR MENTAL HEALTH CONDITION. • PROVIDING ONSITE THERAPEUTIC INDIVIDUAL, GROUP, AND FAMILY SESSIONS FOR MENTAL HEALTH NEEDS INCLUDING ANXIETY, DEPRESSION, AND POST-TRAUMATIC STRESS DISORDERS. • INCREASING TREATMENT AND RECOVERY SUPPORT SERVICES INCLUDING INTENSIVE OUTPATIENT TREATMENT, AND OUTPATIENT THERAPY/COUNSELING. • HIRING ADDITIONAL SOCIAL WORKERS AND OTHER BEHAVIORAL HEALTH WORKERS TO INCREASE ACCESS TO WRAP-AROUND SERVICES FOR INDIVIDUALS IN RECOVERY. 1. GREATER NEW ORLEANS 2021 COMMUNITY HEALTH NEEDS ASSESSMENT 2.NOFD 2020-2021 CAD DATA; NOPD/OPSD HOMICIDE TRACKER; HIDTA OD MAP

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT TITLE: GRAND PEAKS BEHAVIORAL HEALTH SERVICE EXPANSION (HRSA-24-078) APPLICANT ORGANIZATION NAME: UPPER VALLEY COMMUNITY HEALTH SERVICES, INC. HEALTH CENTER PROGRAM GRANT NUMBER: H80CS08756 ADDRESS: 335 E MAIN ST, SAINT ANTHONY, ID 83445-1521 PROJECT DIRECTOR: LORI SESSIONS CONTACT PHONE NUMBERS: 208-624-4100 E-MAIL ADDRESS: LORI@GRANDPEAKS.ORG WEBSITE: GRANDPEAKS.ORG UPPER VALLEY COMMUNITY HEALTH SERVICES, INC. DBA GRAND PEAKS, IS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION WITH A 17-YEAR HISTORY OF SERVING THE PRIMARY MEDICAL, PREVENTIVE AND FAMILY DENTAL, BEHAVIORAL HEALTH AND PHARMACY NEEDS OF EASTERN IDAHO RESIDENTS. HRSA’S 2024 BEHAVIORAL HEALTH SERVICE EXPANSION FUNDING OPPORTUNITY WILL ENABLE GRAND PEAKS (GP) TO GREATLY EXPAND THE NUMBER OF PATIENTS RECEIVING SERVICES FOR MENTAL HEALTH NEEDS AND SUBSTANCE USE DISORDERS, AS WELL AS INCREASE THE SCOPE OF SERVICES PROVIDED. GRAND PEAKS HAS FOUR PERMANENT SERVICE SITES PROVIDING MEDICAL, DENTAL, BEHAVIORAL HEALTH AND PHARMACY SERVICES. SITES ARE LOCATED IN REXBURG, IDAHO FALLS, AND ST. ANTHONY, IDAHO. GP ALSO HAS THIRTEEN ACTIVE SCHOOL-BASED SITES SERVING STUDENTS WITH BEHAVIORAL HEALTH SERVICES IN THE FREMONT, SUGAR SALEM, AND MADISON SCHOOL DISTRICTS. THE ORGANIZATION SERVES RESIDENTS OF FREMONT, TETON, MADISON, BONNEVILLE, AND JEFFERSON COUNTIES, PROVIDING HEALTHCARE TO LOW-INCOME, UNINSURED, AND UNDERINSURED INDIVIDUALS AND THEIR FAMILIES. IN 2023, GP SERVED 11,178 UNIQUE PATIENTS (2023 UDS REPORT). GP’S SERVICE AREA INCLUDES 14 ZIP CODE TABULATION AREAS (ZCTAS): WITH A TOTAL POPULATION OF 194,644 RESIDENTS (GEOCARENAV), INCLUDING GP’S TARGET POPULATION OF 71,357 LOW-INCOME RESIDENTS (AT OR BELOW 200% OF FEDERAL POVERTY LEVEL), REPRESENTING 36.6% OF THE TOTAL POPULATION. GRAND PEAKS’ STAFF AND PARTNERS HAVE SEEN A SIGNIFICANT INCREASE IN THE NEEDS FOR MENTAL HEALTH SERVICES IN RECENT YEARS. THE AREA IS A FEDERALLY DESIGNATED MENTAL HEALTH PROFESSIONAL SHORTAGE AREA. IDAHO HAS T HE 12TH HIGHEST SUICIDE RATE IN THE NATION (2022, IDAHO DHW), 45% ABOVE THE NATIONAL AVERAGE IN 2021 (KFF.ORG). THESE RATES ARE ESPECIALLY CONCERNING FOR YOUTH, WITH 16.4% REPORTING AT LEAST ONE DEPRESSIVE EPISODE. GP HAS RESPONDED BY ADDING BEHAVIORAL HEALTH SERVICES TO SCHOOLS TO IMPROVE ACCESS, AND EACH CLINIC INCLUDES INTEGRATED BEHAVIORAL HEALTH PROVIDERS AVAILABLE, BUT MORE CAN BE DONE. THROUGH THIS GRANT, GP WOULD ADD TWO COUNSELORS (2.0 FTE) TO SUPPORT 6 ADDITIONAL SCHOOLS IN THE SERVICES AREA. GP WOULD ADD MORE FTE’S AS THE NEED GROWS. FUNDING WOULD ALSO SUPPORT THE ADDITION OF A LCPC WHO HAS EXTENSIVE BACKGROUND IN SUBSTANCE USE, A PSYCHIATRIC PHYSICIAN ASSISTANT AND OR NURSE PRACTITIONER TO ADD MEDICATION MANAGEMENT AND SUBSTANCE USE DISORDER SERVICES TO ANY GP PATIENT. SUBSTANCE USE DISORDERS, INCLUDING OPIOID ABUSE, PRESENT A CRITICAL CHALLENGE NATIONWIDE. THE ADDITION OF A PSYCH PA OR NP WOULD ENABLE DEDICATED VISITS FOR PATIENTS WHOSE NEEDS GO BEYOND CURRENT CAPABILITIES. THIS WILL INCLUDE NEW MEDICATIONS FOR OPIOID USE DISORDER (MOUD) SERVICES NOT OFFERED BY GP TODAY. AS THE HEALTH CENTER WITH THE DOMINANT MARKET SHARE IN 11 OF THE 14 ZCTAS, GP IS LARGEST SOURCE OF CARE FOR THE AREA’S LOW-INCOME POPULATIONS AND MIGRANT/AGRICULTURAL WORKER POPULATION. THIS FUNDING WILL GREATLY INCREASE GP’S ABILITY TO SUPPORT THE UNIQUE NEEDS OF OUR COMMUNITY AND PROVIDE BEHAVIORAL HEALTH SERVICES REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY. GP REQUESTS $600,000 IN YEAR 1 AND $500,000 IN YEAR 2. GP WILL ADD THE STAFF AND PROGRAMS NEEDED TO SERVE MORE RESIDENTS AND IMPROVE THE COMMUNITY’S MENTAL WELL-BEING.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - OVERVIEW OF APPLICANT: METROPOLITAN COMMUNITY HEALTH SERVICES, INC (MCHS) PROVIDES PRIMARY MEDICAL, DENTAL, PHARMACY, AND BEHAVIORAL HEALTH SERVICES TO VULNERABLE POPULATIONS WITHIN THE RURAL COUNTIES OF BEAUFORT, HYDE, MARTIN, TYRRELL, AND WASHINGTON IN NORTH CAROLINA. MCHS IS A 501(C)(3) NON-PROFIT FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND PROVIDES SERVICES ON A SLIDING FEE SCALE. OBJECTIVES: MCHS WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES. MCHS WILL INCREASE THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING TREATMENT WITH MEDICATIONS FOR OPIOID DISORDER (MOUD). SUMMARY OF PROJECT: THE PURPOSE OF THIS FUNDING THAT IS MADE AVAILABLE BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) IS TO SUPPORT H80 RECIPIENT HEALTH CENTERS IN THEIR EFFORTS TO INCREASE BEHAVIORAL HEALTH SERVICES THROUGH THE EXPANSION OF MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES (SUD). MCHS IS PROPOSING TO EXPAND THE EXISTING BEHAVIORAL HEALTH SERVICES IN AN EFFORT TO REACH MORE INDIVIDUALS LIVING WITHIN THE FIVE-COUNTY SERVICE AREA. THE SERVICE AREA THAT MCHS OPERATES WITHIN HAS BEEN DESIGNATED AS A MEDICALLY UNDERSERVED AREA (MUA) BY HRSA. THERE ARE AN ESTIMATED 292,000 INDIVIDUALS WITHIN MCHS’ SERVICE AREA OF WHICH APPROXIMATELY 43% ARE LOW-INCOME, 21% LIVE IN POVERTY, AND THERE ARE APPROXIMATELY 32,000 INDIVIDUALS UNINSURED. TO FURTHER EXACERBATE THESE ONGOING ISSUES, THIS PART OF EASTERN NORTH CAROLINA IS ALL TOO FAMILIAR WITH THE CURRENT MENTAL HEALTH CRISIS AND OPIOID EPIDEMIC FACED WITHIN THE UNITED STATES. ACCORDING TO THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES (NCDHHS) THE RATE OF MEDICATION/DRUG OVERDOSE DEATHS PER 100,000 INDIVIDUALS WAS 27.6 FOR NORTH CAROLINA. HOWEVER, FOUR OF THE FIVE COUNTIES RATED MUCH HIGHER WITH BEAUFORT COUNTY RATING 34.0, HYDE COUNTY RATING 43.6, MARTIN COUNTY RATING 32.1, AND TYRRELL COUNTY RATING 35.4. ADDITIONALLY, THE SUICIDE RATES IN BOTH BEAUFORT AND WASHINGTON CO UNTIES ARE HIGHER THAN THE SUICIDE RATE FOR THE STATE OF NORTH CAROLINA. THE NEED FOR EXPANDED MENTAL HEARETH AND SUD SERVICES ARE ONLY INTENSIFIED AS ALL FIVE COUNTIES ARE DESIGNATED BY HRSA AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) FOR MENTAL HEALTH.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - INTERNATIONAL COMMUNITY HEALTH SERVICES (ICHS) PROVIDES COMPREHENSIVE HEALTHCARE TO RESIDENTS OF SEATTLE AND THE SURROUNDING AREAS. DEEPLY ROOTED IN THE ASIAN PACIFIC ISLANDER COMMUNITY, ICHS PROVIDES CULTURALLY AND LINGUISTICALLY APPROPRIATE HEALTH AND WELLNESS SERVICES AND PROMOTES HEALTH EQUITY FOR ALL. IN 2023, ICHS SERVED A TOTAL OF 31,147 UNDUPLICATED PATIENTS. OF THIS TOTAL, 78% WERE PEOPLE OF COLOR, 78% HAD INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY LIMIT, AND 58% WERE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH, SPEAKING OVER 70 LANGUAGES. BECAUSE OF OUR DIVERSE PATIENT POPULATIONS AND ROOTS, OUR VISION AT ICHS IS “HEALTHIER PEOPLE. THRIVING FAMILIES. EMPOWERED COMMUNITIES. A JUST SOCIETY.” PART OF THIS VISION IS ENSURING THAT WE ARE ADDRESSING THE BEHAVIORAL HEALTH NEEDS OF OUR PATIENTS AND FAMILIES. OVER THE LAST FEW YEARS, PARTLY DUE TO COVID-19, THE BEHAVIORAL HEALTH NEEDS OF OUR PATIENTS AND THE COMMUNITY HAS INCREASED, WHILE AT THE SAME TIME, ACCESS TO BEHAVIORAL HEALTH IN OUTPATIENT SETTINGS HAS DECREASED OR HAS BEEN UNABLE TO KEEP UP WITH THE DEMAND. AS A RESULT OF THIS, ICHS IS SEEING MORE PATIENTS IN THE PRIMARY CARE SETTING WITH COMPLEX MENTAL HEALTH AND SUBSTANCE USE NEEDS. WITH THIS PROJECT, WE WILL INCREASE ACCESS TO BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT, WHILE AT THE SAME TIME ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH OF OUR PATIENTS, AND PROVIDING MORE TRAINING AND SUPPORT TO OUR EMPLOYEES. IN ORDER TO ACCOMPLISH THIS EXPANSION, ICHS WILL HIRE BEHAVIORAL HEALTH CARE COORDINATORS TO SUPPORT TRACKING AND FOLLOW-UP OF MORE COMPLEX PATIENTS, A PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER TO SUPPORT PROVIDERS AND PROVIDE PSYCHIATRIC SERVICES TO PATIENTS, AND A SUBSTANCE USE DISORDER (SUD) PROFESSIONAL TO BETTER SUPPORT PATIENTS WHO NEED SUD SERVICES AND/OR MEDICATIONS FOR OPIOID USE DISORDER (MOUD). IN ADDITION, ICHS WILL USE GRANT FUNDS TO PROVIDE TRAINING AND CONSULTATION THAT WILL HELP STAFF WORK AT THE TOP OF THEIR LICENSES AND IMPROVE UNDERSTANDING OF THE PRIMARY CARE BEHAVIORAL HEALTH AND COLLABORATIVE CARE MODELS. THE NEW PERSONNEL AND TRAINING WILL INCREASE ICHS’ CAPACITY TO PROVIDE COMPREHENSIVE, INTEGRATED, AND EFFECTIVE MENTAL HEALTH AND SUD SERVICES, WHICH WILL BE LINGUISTICALLY AND CULTURALLY APPROPRIATE. THIS WILL RESULT IN MORE INTERNAL REFERRALS OF MEDICAL PATIENTS TO NECESSARY BEHAVIORAL HEALTH CARE AND AN INCREASE IN PATIENTS WHO NEWLY ACCESS MENTAL HEALTH SERVICES, SUD SERVICES, AND MOUD AT ICHS, AS MEASURED IN ICHS’ 2025 UNIFORM DATA SYSTEM (UDS) REPORT. ALL PATIENTS WILL EXPERIENCE AN IMPROVEMENT IN ACCESS TO BEHAVIORAL HEALTH SERVICES, BUT GIVEN ICHS’ PATIENT POPULATION, THE PATIENTS THAT WILL SEE THE GREATEST BENEFIT WILL BE PEOPLE OF COLOR AND MEMBERS OF LOW-INCOME AND LIMITED ENGLISH PROFICIENT COMMUNITIES. ICHS' HEALTH CENTER PROGRAM GRANT NUMBER IS H80CS00437.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - LEGACY COMMUNITY HEALTH SERVICES SEEKS TO EXPAND MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES THROUGH STRATEGIC INTEGRATION INTO PRIMARY CARE SETTINGS, SUPPORTED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) UNDER THE HEALTH CENTER PROGRAM BHSE (HRSA-24-078). CURRENT NATIONAL STATISTICS REVEAL A CRITICAL SHORTFALL IN MENTAL HEALTH AND SUD SERVICES, WITH LESS THAN HALF OF ADULTS WITH MENTAL HEALTH CONDITIONS AND ONLY 1.5 PERCENT OF THOSE WITH SUDS RECEIVING NECESSARY TREATMENT. THIS SERVICE GAP IS EVEN MORE PRONOUNCED IN UNDERSERVED POPULATIONS WHO PRIMARILY ACCESS HEALTH CARE THROUGH COMMUNITY HEALTH CENTERS. IN RESPONSE TO THESE ALARMING TRENDS AND GUIDED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) ROADMAP FOR BEHAVIORAL HEALTH INTEGRATION, LEGACY AIMS TO LEVERAGE BHSE FUNDING TO SUBSTANTIALLY INCREASE THE AVAILABILITY OF BEHAVIORAL HEALTH SERVICES. OUR GOAL IS TO ADDRESS THE LARGE, UNMET NEED WITHIN OUR SERVICE AREA.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC. (PCHS), FAIN# H8001139, SERVES ALL COMMUNITIES IN THE CENTRAL KENAI PENINSULA BOROUGH. PCHS REQUESTS GRANT FUNDING TO INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES AND SUBSTANCE USE DISORDER (SUD) SERVICES, INCLUDING PATIENTS RECEIVING MEDICATIONS FOR OPIOID USE DISORDER (MOUD). THE COMMUNITY NEEDS ADDRESSED IN OUR PROPOSAL ARE INCREASED AVAILABILITY OF MENTAL HEALTH AND SUD/MOUD TREATMENT TO MEMBERS OF OUR COMMUNITY ENCOUNTERING BARRIERS TO CARE INCLUDING: 1. FINANCIAL INSECURITY (INCLUDING UNINSURED/UNDERINSURED PATIENTS WHO ARE UNABLE TO PAY FOR CARE OUT OF POCKET), 2. LACK OF ACCESS TO CARE (NO PROVIDER FOR THE SERVICES IN THE COMMUNITY, OR PUBLICLY INSURED PATIENTS WITH FEW OR NO PROVIDERS IN THE COMMUNITY ACCEPTING THAT PAYOR), 3. STIGMA AND DISCRIMINATION FOR PATIENTS SEEKING AND ACCESSING TREATMENT, 4. LACK OF ACCESS TO TRANSPORTATION TO COME TO APPOINTMENTS, AND 5. SOCIAL RISK FACTORS INCLUDING FOOD INSECURITY, UNSTABLE HOUSING, LACK OF OR LIMITED HEALTH INSURANCE, AND LINGUISTIC BARRIERS. FINANCIAL INSECURITY AND LACK OF ACCESS TO CARE CAN BE ADDRESSED BY INCREASING THE NUMBER OF PCHS CLINICAL STAFF INCLUDING MEDICAL PROVIDERS WHO DELIVER SUD/MOUD SERVICES WITHIN OUR EXISTING PRIMARY CARE CLINIC AS PART OF THEIR ROUTINE SCHEDULE, INCREASING THE NUMBER OF PCHS BEHAVIORAL HEALTH CLINICIANS WHO CAN DELIVER MENTAL HEALTH SERVICES BY WARM HANDOFF IN OUR EXISTING PRIMARY CARE CLINIC, AND INCREASING SALARIES FOR OUR EXISTING BEHAVIORAL HEALTH CLINICIANS TO PROMOTE RETENTION OF THOSE CLINICIANS IN AN INCREASINGLY COMPETITIVE MARKET. PCHS WILL ALSO RECRUIT AN MOUD NURSE MANAGER TO OVERSEE AND COORDINATE CARE NEEDS FOR PATIENTS RECEIVING SUD/MOUD SERVICES SUCH AS TRANSPORTATION, MENTAL HEALTH CARE, REFERRAL TRACKING, CARE COORDINATION, MEDICATION TRACKING, AND PROGRAM COMPLIANCE. STIGMA AND DISCRIMINATION CAN BE ADDRESSED IN SIMILAR WAYS. UNDER OUR CURRENT BEHAVIORAL HEAL TH INTEGRATED CARE MODEL, PCHS DELIVERS INITIAL MENTAL HEALTH SERVICES WITHIN A PRIMARY CARE CLINIC; THIS INCREASES THE PATIENT’S WILLINGNESS TO ENGAGE IN THESE SERVICES AND REMOVES ANY STIGMA AND DISCRIMINATION ASSOCIATED WITH RECEIVING THE CARE IN ANOTHER AREA OF THE BUILDING. THE STIGMA AND DISCRIMINATION ASSOCIATED WITH SUD/MOUD SERVICES CAN BE ADDRESSED THE SAME WAY. OUR SINGLE-DESK CHECK-IN MODEL ENSURES PATIENTS WHO ARE MAKING SUD/MOUD APPOINTMENTS ARE CHECKING IN FOR ROUTINE APPOINTMENTS IN OUR PRIMARY CARE CLINIC WITHOUT THOSE APPOINTMENTS BEING IDENTIFIED AS SUD/MOUD BY THE WORDING ON OUR FRONT DOOR, BY THE IDENTIFIED SPECIALTY OF AN INDIVIDUAL PROVIDER, OR BY THE AREA OF THE BUILDING WHERE THE PATIENT CHECKS IN. LACK OF ACCESS TO TRANSPORTATION FOR APPOINTMENTS CAN BE ADDRESSED BY PURCHASING TOKENS FROM LOCAL TAXI SERVICES AND UTILIZING THOSE FOR MENTAL HEALTH AND SUD/MOUD PATIENTS WHO LACK TRANSPORTATION TO THESE APPOINTMENTS. SOCIAL RISK FACTORS SUCH AS FOOD INSECURITY, UNSTABLE HOUSING, LACK OF OR LIMITED HEALTH INSURANCE, AND LINGUISTIC BARRIERS CAN BE ADDRESSED BY THE RECRUITMENT OF A MANAGER TO IMPLEMENT IN-DEPTH REGISTRATION SCREENING AND OVERSEE EXISTING ELIGIBILITY SPECIALISTS TO ENSURE SOCIAL DETERMINANTS OF HEALTH ARE SCREENED AND ADDRESSED IN A COORDINATED METHOD. WE WOULD ADD ANOTHER 1.5 FTES ELIGIBILITY SPECIALISTS TO OUR EXISTING 1.5 FTES WHO CURRENTLY ADMINISTER OUR SLIDING FEE DISCOUNT PROGRAM, ASSIST PATIENTS WITH THEIR APPLICATIONS FOR MEDICARE, MEDICAID, AND THE MARKETPLACE, AND ASSIST PATIENTS WITH REFERRALS TO COMMUNITY PARTNERS FOR FOOD, FINANCIAL, AND HOUSING INSECURITIES AS THOSE PATIENTS ARE IDENTIFIED THROUGH STAFF INTERACTIONS. PCHS WOULD EXPAND THAT SOCIAL RISK SCREENING AND ASSISTANCE TO INCLUDE ALL PATIENTS VIA INTERVIEW AT REGISTRATION. PCHS WOULD COMPLETE A MINOR ALTERATION/RENOVATION TO ADD ELIGIBILITY SPECIALIST WORKSTATIONS IN THE SOLDOTNA LOBBY FOR THE ADDITIONAL ELIGIBILITY SPECIALISTS.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDERS ARE A GROWING CONCERN IN HEALTHCARE. WITH SO MANY SUFFERING FROM BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDERS AND LESS THAN HALF OF THOSE DIAGNOSED RECEIVING TREATMENT, THE NEED FOR ADDITIONAL HEALTHCARE RESOURCES CONTINUES TO GROW. PER THE KAISER FAMILY FOUNDATION MENTAL HEALTH AND SUBSTANCE USE STATE FACT SHEET, THE RATE OF DEPRESSION, ANXIETY, SUBSTANCE USE DISORDERS, AND DRUG OVERDOSE DEATHS IN TENNESSEE ARE HIGHER THAN THE NATIONAL AVERAGE. ADDITIONALLY, BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDERS CONTRIBUTE TO ALMOST 30% OF ALL PREGNANCY RELATED DEATHS IN TENNESSEE. GIVEN THESE ALARMING STATISTICS, THERE IS A GREAT NEED FOR BEHAVIORAL HEALTH SERVICE INTEGRATION INTO PRIMARY CARE AND WOMEN’S HEALTH SERVICES. UNIVERSITY COMMUNITY HEALTH SERVICES, INC D/B/A CONNECTUS HEALTH (CONNECTUS) IS APPLYING FOR FUNDS AVAILABLE THROUGH THE FISCAL YEAR 2024 BEHAVIORAL HEALTH SERVICE EXPANSION FOR A TWO-YEAR PROJECT PERIOD. IF AWARDED, CONNECTUS IS PROPOSING TO IMPROVE BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER HEALTH OUTCOMES, WITH A SPECIAL FOCUS ON MATERNAL HEALTH PATIENTS WITH CO-EXISTING BEHAVIORAL HEALTH OR SUBSTANCE USE DISORDERS. THE PROPOSED MODEL OF CARE WILL INCLUDE INTEGRATED BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER SERVICES, SOCIAL DETERMINANTS OF HEALTH SCREENINGS AND SUPPORT, CULTURALLY SENSITIVE TREATMENT PLANS AND SUPPORT, MOBILE HEALTHCARE SERVICES, AND ADDITIONAL PATIENT EDUCATION AND SUPPORT SERVICES. CONNECTUS HEALTH’S PROPOSED MODEL OF CARE WILL UTILIZE 3 EXISTING COMMUNITY HEALTH SITES AND A MOBILE HEALTH SERVICES UNIT FOR SERVICE DELIVERY. BETWEEN 3 FIXED COMMUNITY HEALTH SERVICE LOCATIONS AND THE MOBILE SERVICES UNIT, INTEGRATED BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER SERVICES WILL BE AVAILABLE 5 DAYS PER WEEK (WITH INTERMITTENT WEEKEND AVAILABILITY THROUGH THE MOBILE SERVICE UNIT) FOR A MINIMUM OF 42 HOURS PER WEEK. ADDITIONALLY, AFTER HOURS PHONE ASSESSMENT/TRIAGE SERVICES WILL BE AVAILABLE 24 HOURS PER DAY, 7 DAYS PER WEEK. THE PROPOSED MODEL OF CARE DELIVERY WILL BE PROVIDED BY PSYCHIATRIC NURSE PRACTITIONERS, LICENSED PROFESSIONAL COUNSELORS, PRIMARY CARE AND WOMEN’S HEALTH PROVIDERS, SOCIAL WORKERS, AND OTHER SUPPORT STAFF INCLUDING SOCIAL SUPPORT STAFF. IF FUNDS ARE AWARDED, CONNECTUS PROPOSES TO SERVE 400 NEW PATIENTS WITH 4,000 VISITS BY AUGUST 31, 2026. CONNECTUS HEALTH HAS A CONTINUOUSLY EXPANDING INTEGRATED BEHAVIORAL HEALTH PROGRAM, INCLUDING BEHAVIORAL HEALTH SERVICES WITH A SPECIAL FOCUS ON MATERNAL HEALTH PATIENTS. CONNECTUS HAS CONSISTENTLY DEMONSTRATED POSITIVE AND IMPROVED PRIMARY CARE AND BEHAVIORAL HEALTH PATIENT OUTCOMES YEAR OVER YEAR. ADDITIONALLY, CONNECTUS HAS RECEIVED MULTIPLE HEALTH CENTER QUALITY RECOGNITION BADGES FOR THE 2022 AND 2023 PERFORMANCE YEARS INCLUDING GOLD STATUS HEALTH CENTER QUALITY LEADER, ACCESS ENHANCER, HEALTH DISPARITIES REDUCER, AND COVID-19 PUBLIC HEALTH CHAMPION. WITH A STRONG AND THRIVING INTEGRATED BEHAVIORAL HEALTH PRACTICE DEMONSTRATING POSITIVE HEALTH OUTCOMES, CONNECTUS IS WELL POSITIONED TO FURTHER INTEGRATE BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER SERVICES AND IMPROVE HEALTH OUTCOMES.

2023 FALL PREVENTION GRANT PROGRAM

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - CHRIST COMMUNITY HEALTH SERVICES AUGUSTA (CCH) SERVES NEARLY 10,000 UNIQUE PATIENTS IN THE CENTRAL SAVANNAH RIVER AREA IN GEORGIA AND SOUTH CAROLINA. CCH HAS A 17-YEAR TRACK RECORD OF PROVIDING ACCESSIBLE, AFFORDABLE, AND EXCELLENT HEALTHCARE TO THE UNDERSERVED POPULATIONS THROUGH PRIMARY CARE, DENTISTRY, AND RECENTLY BEHAVIORAL HEALTH SERVICES. CCH PROVIDES BEHAVIORAL HEALTH SERVICES AS BOTH MENTAL HEALTH SERVICES AND SUBSTANCE USE DISORDER (SUD) SERVICES WITHIN THE CONTEXT OF INTEGRATED PRIMARY CARE. OUR COMMUNITY HAS IDENTIFIED THE NEED FOR ADDITIONAL MENTAL HEALTH RESOURCES AS A TOP PRIORITY THROUGH LOCAL NEEDS ASSESSMENTS AND PRIORITY RESPONSES FOR BOTH COMMUNITY INITIATIVES AND HOSPITAL RESOURCES. WITH GEORGIA RANKED AS 49 OUT OF 51 STATES IN TERMS OF LEAST ACCESS TO MENTAL HEALTH PROVIDERS, AND A BEHAVIORAL HEALTH PROVIDER SHORTAGE AREA (HPSA) SCORE OF 20 OUT OF 26, RICHMOND COUNTY, GEORGIA IS IN NEED OF ADDITIONAL RESOURCES TO ADDRESS MENTAL HEALTH NEEDS. IN PARTICULAR, RICHMOND COUNTY FACES A DIRE NEED FOR TREATMENT OF SUBSTANCE USE DISORDERS (SUD), WITH ONE OF THE HIGHEST PER CAPITA RATES OF OPIOID USE DISORDER OVERDOSE DEATHS AND EMERGENCY DEPARTMENT VISITS IN THE STATE OF GEORGIA AND EXCEEDING NATIONAL AVERAGES. CCH HAS PROVIDED MENTAL HEALTH SERVICES THROUGH A SMALL BEHAVIORAL HEALTH STAFF AND SOME SUD TREATMENT USING MEDICATIONS FOR OPIOID USE DISORDER (MOUD) BY PRIMARY CARE PROVIDERS TO LESS THAN 30 PATIENTS PER YEAR. IN RESPONSE TO THESE CRITICAL NEEDS, CCH PROPOSES TO EXPAND BEHAVIORAL HEALTH (BH) SERVICES BY ADDING NEW BEHAVIORAL HEALTH PROVIDERS, ENSURING THAT EACH CLINIC LOCATION HAS ONE FULL-TIME EQUIVALENT (1.0 FTE) PROVIDER WITH THREE FOCUSED ON ADULT PATIENTS AND ONE FOCUSED ON PEDIATRICS AND ADOLESCENTS. ADDITIONALLY, WE WILL RECRUIT A BEHAVIORAL HEALTH CARE COORDINATOR (BHCC) TO 1) FACILITATE THE TRACKING AND FOLLOW-UP OF TREATMENT FOR PATIENTS WHO HAVE BEEN DIAGNOSED WITH A SUD BUT HAVE NOT BEEN SEEN IN THE LAST YEAR AND 2) COORDINATE CARE FOR PATIENTS RECEIVING MOUD. WHILE CCH HAS MENTAL HEALTH SERVICES, 0 PATIENTS HAVE BEEN REPORTED AS RECEIVING SUD SERVICES ON THE UDS IN 2023. WE ARE PROJECTING THAT WITH THE FUNDS OFFERED BY THIS GRANT, CCH WILL BE ABLE TO SEE 2,040 TOTAL BEHAVIORAL HEALTH PATIENTS 1,836 SEEN FOR MENTAL HEALTH AND 204 FOR SUD SERVICES. ADDITIONALLY, CCH WILL INCREASE THE NUMBER OF MOUD PATIENTS FROM 29 TO 75. IN ADDITION TO THE NEW STAFF, CCH WILL TRAIN CURRENT STAFF ON INTEGRATED CARE MODELS TO IMPROVE BH SCREENING RATES AND REFERRALS TO THE NEW BEHAVIORAL HEALTH PROVIDERS. TRAINING WILL ALSO ADDRESS SOCIAL DRIVERS OF HEALTH SUCH AS HOMELESSNESS, FOOD INSECURITY, LACK OF ACCESS TO TRANSPORTATION, INABILITY TO AFFORD HEALTH CARE, AND THEIR IMPACT ON MENTAL HEALTH. CCH WILL ALSO TRAIN NURSE CARE MANAGERS IN MENTAL HEALTH FIRST AID TO PROVIDE A FIRST LINE OF DEFENSE FOR PATIENTS WHO ARE CURRENTLY RECEIVING ANCILLARY SUPPORT SERVICES, BUT HAVE NOT FULLY ENGAGED WITH THE BEHAVIORAL HEALTH TEAM. CCH WILL INTEGRATE THESE BEHAVIORAL HEALTH PATIENT OUTCOMES INTO OUR EXISTING QUALITY IMPROVEMENT AND QUALITY ASSURANCE (QI/QA) METHODS. OUR PROVEN QI/QA FRAMEWORK HAS BEEN INSTRUMENTAL IN ACHIEVING NATIONALLY RECOGNIZED STANDARDS FOR QUALITY OF CARE AND WILL BE PIVOTAL IN ENSURING THE SUCCESS OF THIS EXPANSION. BY ENHANCING OUR BEHAVIORAL HEALTH SERVICES, CCH AIMS TO ADDRESS THE URGENT MENTAL HEALTH AND SUD NEEDS IN OUR COMMUNITY, IMPROVING PATIENT OUTCOMES AND CONTINUING OUR MISSION OF PROVIDING EXCEPTIONAL CARE TO THOSE WHO NEED IT MOST.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT TITLE: FISCAL YEAR 2024 BEHAVIORAL HEALTH SERVICE EXPANSION FUNDING OPPORTUNITY NUMBER: HRSA-24-078 (CFDA 93.224) APPLICANT LEGAL NAME: WEST SIDE COMMUNITY HEALTH SERVICES, INC APPLICANT ASSUMED NAME: MINNESOTA COMMUNITY CARE ADDRESS: 153 CESAR CHAVEZ ST, ST. PAUL, MN 55107-2226 HEALTH CENTER PROGRAM GRANT NUMBER: 6 H80CS00790-23-01 GRANT PROGRAM FUNDS REQUESTED: $1,100,000 MCC HAS A ROBUST BEHAVIORAL HEALTH PROGRAM, SERVING 15,578 PATIENTS EVERY YEAR. COMPRISED OF BEHAVIORAL HEALTH THERAPISTS, SOCIAL WORKERS, AND SUPPORTING STAFF, THE BEHAVIORAL HEALTH TEAM SERVES PATIENTS AT 3 AMBULATORY CLINICS, 10 SCHOOL-BASED CLINICS, AND THROUGH TELEHEALTH. IN 2012, MCC BECAME ONE OF THE FIRST COMMUNITY HEALTH CENTERS TO PROVIDE SUBOXONE MEDICATION-ASSISTED THERAPY (MAT) FOR THE TREATMENT OF SUBSTANCE USE DISORDER (SUD). MCC PROVIDES A TEAM-BASED APPROACH, OFFERING INTEGRATED BEHAVIORAL SERVICES, MAT, AND CASE MANAGEMENT. MENTAL HEALTH IS A PERSISTENT CONCERN IN MCC’S SERVICE AREA, WITH MORE THAN ONE-QUARTER OF RAMSEY COUNTY ADULTS REPORTING A DIAGNOSIS OF DEPRESSION OR ANXIETY. WHAT’S MORE, OVER HALF OF RESIDENTS REPORT DELAYING CARE FOR MENTAL HEALTH NEEDS, INCLUDING OVER ONE-THIRD WHO DID SO BECAUSE OF COST OR LACK OF INSURANCE. NATIONALLY, IN THE PAST DECADE, THERE HAS BEEN AN INCREASE IN DRUG OVERDOSES IN GENERAL AND A MARKED INCREASE IN OPIOID OVERDOSES. THIS NATIONAL TREND IS REFLECTED IN RAMSEY COUNTY, WHICH HAS EXPERIENCED A STEADY INCREASE IN DRUG OVERDOSE DEATHS FROM 14 IN 2000 TO 89 IN 2016. IN MINNESOTA IN 2021, NATIVE AMERICAN/AMERICAN INDIANS WERE 10 TIMES MORE LIKELY TO DIE OF DRUG USE THAN NON-HISPANIC WHITES. MCC PROPOSES TO INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES THROUGH THE ADDITION OF SEVERAL NEW BEHAVIORAL HEALTH POSITIONS, INCLUDING DIRECT SERVICE AND SUPPORTING POSITIONS, AS WELL AS SEVERAL CULTURALLY-SPECIFIC OUTREACH CAMPAIGNS. ADDITIONALLY, MCC PROPOSES TO INCREASE ACCESS TO SERVICES THROUGH THE CREATION OF A TECHNOLOGY CENTER THAT WOULD ALLOW PATIENTS TO COMPLETE TELEHEALTH APPOINTMENTS IN AN MCC CLINIC. SOME PATIENTS DO NOT HAVE ACCESS TO MOBILE OR INTERNET SERVICES, OR DO NOT HAVE SPACE IN THEIR HOME TO CONDUCT VIRTUAL APPOINTMENTS, SO A TECHNOLOGY CENTER WOULD HELP REDUCE THESE BARRIERS TO CARE WHEN IN-PERSON CARE IS NOT POSSIBLE. MCC WILL ALSO HIRE A NEW MENTAL HEALTH CARE COORDINATOR WHO WILL OVERSEE A PHONE LINE DEDICATED ONLY TO BEHAVIORAL HEALTH APPOINTMENTS, REDUCING WAIT TIMES, AND PROVIDING MORE DETAILED INFORMATION. MCC PROPOSES TO INCREASE THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD, THROUGH NEW POSITIONS, TRAINING OPPORTUNITIES, AND HIRING BONUSES FOR PROVIDERS WILLING TO PROVIDE MAT SERVICES. MCC WOULD HIRE A COMMUNITY NAVIGATOR TO RESIDE AT RAMSEY COUNTY CRISIS CENTER, WHICH OFFERS ON-SITE MENTAL HEALTH SERVICES FOR ADULTS, WHERE THEY WILL ASSIST IN COORDINATING WITH PATIENTS DISCHARGED FROM THE COUNTY WHO NEED MAT SERVICES. ADDITIONALLY, MCC WILL PROVIDE SUD TRAINING OPPORTUNITIES FOR CURRENT PROVIDERS WHO DO NOT CURRENTLY PRESCRIBE MOUD MEDICATION. AS AN FQHC, MCC EXISTS TO SUPPORT INDIVIDUALS WHO ARE LOWER INCOME AND ARE UNDERINSURED/UNINSURED, INCLUDING MULTIPLE MARGINALIZED POPULATIONS, IMMIGRANTS, REFUGEES, PUBLIC HOUSING RESIDENTS, AND PERSONS EXPERIENCING HOMELESSNESS. ANNUALLY, MCC SERVES 35,000 PATIENTS THROUGH 128,000 VISITS. A SUMMARY OF PATIENTS BY RACE/ETHNICITY IS AS FOLLOWS: 53% HISPANIC/LATINO, 14% ASIAN, 14% BLACK, 11% WHITE, 1% AMERICAN INDIAN, 1% MULTIRACIAL, 1% OTHER, AND 5% UNIDENTIFIED. ALL SERVICES ARE AVAILABLE AT A DISCOUNT TO UNINSURED INDIVIDUALS WITH LOWER INCOMES, AND 42% OF PATIENTS HAVE INCOMES BELOW 100% OF THE FEDERAL POVERTY LEVEL. OF PATIENTS SERVED, 46% HAVE PUBLIC INSURANCE, 38% ARE UNINSURED, AND 16% HAVE PRIVATE INSURANCE. FURTHERMORE, 58% OF PATIENTS ARE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH. MCC’S BEHAVIORAL HEALTH PATIENTS REFLECT THESE DEMOGRAPHICS.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - HEALTH CENTER PROGRAM NUMBER: H80CS00198 APPLICANT ORGANIZATION NAME: SOUTHSIDE COMMUNITY HEALTH SERVICES, INC. PROJECT TITLE: BEHAVIORAL HEALTH SERVICE EXPANSION ADDRESS: 4243 4TH AVE S, MINNEAPOLIS, MN 55409-2113 PROJECT DIRECTOR NAME: ANN CAZABAN, EXECUTIVE DIRECTOR CONTACT: VOICE: (612) 821-2025; EMAIL: ANN.CAZABAN@SOUTHSIDECHS.ORG WEB SITE ADDRESS: WWW.SOUTHSIDECHS.ORG TYPE OF FUNDING REQUESTED: BEHAVIORAL HEALTH SERVICE EXPANSION AMOUNT OF FUNDING REQUESTED: $1,100,000 OVER 2 YEARS SERVICE AREA IDENTIFICATION NUMBER AND INFORMATION: IDENTIFICATION NUMBER: 032; CITY: MINNEAPOLIS; STATE: MINNESOTA BRIEF HISTORY OF THE ORGANIZATION: SOUTHSIDE COMMUNITY HEALTH SERVICES (SOUTHSIDE) WAS ESTABLISHED IN 1971 BY VISTA VOLUNTEERS IN ORDER TO MEET THE HEALTH CARE NEEDS OF THE DIVERSE, LOW-INCOME, AND UN- AND UNDER-INSURED SOUTH MINNEAPOLIS COMMUNITY. SINCE OPENING, SOUTHSIDE HAS BEEN DEDICATED TO PROVIDING HIGH QUALITY, AFFORDABLE ACCESS TO HEALTHCARE SERVICES FOR UNDERSERVED POPULATIONS IN OUR SERVICE AREA. WHAT STARTED AS A SMALL, VOLUNTEER RUN, PREVENTIVE MEDICINE CLINIC HAS GROWN SIGNIFICANTLY OVER THE PAST 53 YEARS, ADDING ADDITIONAL SERVICES INCLUDING BEHAVIORAL HEALTH, DENTAL, AND VISION, TO BETTER MEET THE NEEDS OF OUR COMMUNITY. SUMMARY OF MAJOR HEALTH CARE NEEDS THE PROJECT WILL ADDRESS: ACCESS TO MENTAL HEALTH SERVICES AND SUBSTANCE USE DISORDER SERVICES IS CONSISTENTLY A TOP IDENTIFIED NEED IN COMMUNITY NEEDS ASSESSMENTS CONDUCTED IN MINNEAPOLIS AND HENNEPIN COUNTY. OTHER IMPORTANT BARRIERS TO RECEIVING CARE INCLUDING LACK OF INSURANCE, LANGUAGE BARRIERS, AND INABILITY TO PAY FOR CARE. BRIEF PROJECT DESCRIPTION: SOUTHSIDE WILL EXPAND SERVICES PROVIDED THROUGH ITS BEHAVIORAL HEALTH DEPARTMENT, ENSURING ACCESS TO MH SERVICES AND SUD SERVICES TO ITS CURRENT PATIENTS AND TARGET POPULATION. HOW THE PROJECT WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES, AND INCREASE THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MEDICATIONS FOR OPIOID USE DISORDER: SOUTHSIDE’S PROJECT WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MH SERVICES AND SUD SERVICES (INCLUDING PATIENTS RECEIVING MEDICATIONS FOR OPIOID USE DISORDER) BY INCREASING STAFFING IN BEHAVIORAL HEALTH AND REFINING INTERNAL AND EXTERNAL REFERRAL SYSTEMS. POPULATIONS GROUPS TO BE SERVED BY THE PROJECT: SOUTHSIDE’S TARGET POPULATION, PRIMARILY RESIDING IN MINNEAPOLIS AND HENNEPIN COUNTY, CONSISTS LARGELY OF UNDERSERVED INDIVIDUALS AND FAMILIES WHO ARE LOW-INCOME AND EITHER UNINSURED, ENROLLED IN MEDICAID, OR ENROLLED IN HIGH-DEDUCTIBLE PLANS.

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FISCAL YEAR 2023 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS (CARE)

FISCAL YEAR 2023 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS (CARE)

FISCAL YEAR 2023 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS (CARE)

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - INCREASE SERVICES TO HEALTH CENTERS

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT