Health Alliance Inc

TO MAKE ADMINISTRATIVE CHANGES AS PER THE DETAILED ATTACHED.

INTERNATIONAL AIDS EDUCATION AND TRAINING CENTERS TECHNICAL ASSISTANCE

DELTA HEALTH INITIATIVE

HEALTH CENTER CLUSTER

HEAD START AND EARLY HEAD START

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEAD START AND EARLY HEAD START

GH15-1516, COTE D'IVOIRE: IMPLEMENTATION OF PROGRAMS FOR THE PREVENTION, CARE AND TREATMENT OF HIV/AIDS IN THE REPUBLIC OF COTE DIVOIRE UNDER THE PRESIDENTS EMERGENCY PLAN FOR AIDS RELIEF(PEPFAR)

HEALTH CENTER CLUSTER

THE LEFLORE PROMISE COMMUNITY: A COMMUNITY-BASED CONTINUUM OF SOLUTIONS TO ADDRESS THE CRADLE TO CAREER NEEDS OF RURAL NEIGHBORHOODS OF THE MISSISSIPPI DELTA.

PROMISE NEIGHBORHOODS IMPLEMENTATION GRANTS

PROMISE NEIGHBORHOODS IMPLEMENTATION GRANTS

HEALTH CENTER CLUSTER

THE AGREEMENT IDENTIFIED ABOVE IS AMENDED TO: (1)REVISE SECTION A.7 ?AUTHORIZED GEOGRAPHIC CODE? FROM 935 TO 000.(2)REVISE THE SCHEDULE SECTION

EARLY HEAD START - SUNFLOWER COUNTY COALITION

EARLY HEAD START/CHILD CARE PARTNERSHIP

RAPID SCALE UP FOR HIV CARE AND TREATMENT SERVICES IN NORTHEASTERN

BETTER LIVING UTILIZING ELECTRONIC SYSTEMS (BLUES) BEACON COMMUNITY PROJECT - ADVANCING MEANINGFUL EHR ADOPTION AND HIE

HEALTH CENTER CLUSTER

HEAD START AND EARLY HEAD START

USAID CWA IS TO CONSERVE THREATENED AND ENDANGERED SPECIES BY STRENGTHENING PROTECTED AREAS AND HELPING COMMUNITIES BE LESS RELIANT ON PROTECTED RESOURCES FOR THEIR LIVELIHOODS.

HEAD START AND EARLY HEAD START

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

EARLY HEAD START ? CHILD CARE PARTNERSHIP - EARLY HEAD START – CHILD CARE PARTNERSHIP

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

GH15-1516, COTE DIVOIRE: IMPLEMENTATION OF PROGRAMS FOR THE PREVENTION, CARE AND TREATMENT OF HIV/AIDS IN THE REPUBLIC OF COTE DIVOIRE UNDER THE PRE

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

COMMUNITY-BASED WORKFORCE TO INCREASE COVID-19 VACCINATIONS IN UNDERSERVED COMMUNITIES

HEAD START AND EARLY HEAD START

EMPOWERING COMMUNITIES FOR HEALTH

HEALTHY START INITIATIVE-ELIMINATING RACIAL/ETHNIC DISPARITIES

GH12-1255: BLOOD TRANSFUSION SERVICES FOR THE ASIA REGION

DELTA FUTURES: AN EVIDENCE-BASED TEEN PREGNANCY PREVENTION PROGRAM FOR COMMUNITIES IN GREATEST NEED IN THE HEART OF THE MISSISSIPPI DELTA (TIER 1B)

UNDERSTANDING THE RISK OF BAT-BORNE ZOONOTIC DISEASE EMERGENCE IN WESTERN ASIA

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

TWO-YEAR EXTENSION PROPOSAL FOR THE INDIANOLA PROMISE COMMUNITY, A COMMUNITY-BASED CONTINUUM OF SOLUTIONS TO ADDRESS THE NEEDS OF CHILDREN & FAMILIES IN THE DISTRESSED RURAL COMMUNITY OF INDIANOLA, MS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

REDUCING THE THREAT OF RIFT VALLEY FEVER THROUGH ECOLOGY, EPIDEMIOLOGY AND SOCIO-ECONOMICS

UNDERSTANDING RIFT VALLEY FEVER IN THE REPUBLIC OF SOUTH AFRICA

TARGETED PROGRAMMATIC SUPPORT ACROSS COUNTRIES UNDER THE GLOBAL FUND AND PEPFAR

UNDERSTANDING RISK OF ZOONOTIC VIRUS EMERGENCE IN EID HOTSPOTS OF SOUTHEAST ASIA

TECHNICAL ASSISTANCE TO COMMUNITY AND MIGRANT HEALTH CENTERS AND HOMELESS

DELTA FUTURES: A SCHOOL- AND COMMUNITY-BASED COLLABORATIVE TO REDUCE TEEN PREGNANCY RATES AND STIS IN EIGHT RURAL, LOW-INCOME COUNTIES IN THE HEART OF THE MISSISSIPPI DELTA.

TECHNICAL ASSISTANCE TO COMMUNITY AND MIGRANT HEALTH CENTERS AND HOMELESS

DEER CREEK PROMISE COMMUNITY EXTENSION PROJECT: COVID-19 RECOVERY AND CONTINUATION OF A CRADLE TO CAREER PIPELINE OF PROGRAMS SERVING RURAL, LOW-INCOME COMMUNITIES OF MISSISSIPPI.

REDUCING THE THREAT OF MIDDLE EAST RESPIRATORY SYNDROME CORONAVIRUS AND AVIAN INFLUENZA IN JORDAN&STRENGTHENING REGIONAL DISEASE SURVEILLANCE CAPACITY

THE ECOLOGY, EMERGENCE AND PANDEMIC POTENTIAL OF NIPAH VIRUS IN BANGLADESH

DELTA BETTER FUTURES: A COMMUNITY-BASED COLLABORATIVE TO ADVANCE EQUITY IN ADOLESCENT HEALTH IN THE MISSISSIPPI DELTA - THE DELTA BETTER FUTURES COLLABORATIVE HAS BEEN CREATED TO ADVANCE EQUITY IN ADOLESCENT HEALTH THROUGH THE REPLICATION OF EVIDENCE-BASED TEEN PREGNANCY PREVENTION PROGRAMS (EBPS) AND SERVICES IN THREE DIFFERENT SETTINGS: PUBLIC SCHOOLS, FAITH-BASED LOCATIONS, AND COMMUNITY SETTINGS. OUR GOAL IS TO IMPROVE SEXUAL AND REPRODUCTIVE HEALTH OUTCOMES, PROMOTE POSITIVE YOUTH DEVELOPMENT, AND ADVANCE HEALTH EQUITY FOR ADOLESCENTS, THEIR FAMILIES, AND COMMUNITIES IN EIGHT RURAL, MINORITY, LOW-INCOME COUNTIES OF THE MISSISSIPPI DELTA. OUR TARGET POPULATION INCLUDES RESIDENTS OF THE RURAL COUNTIES OF BOLIVAR, COAHOMA, HOLMES, HUMPHREYS, LEFLORE, SUNFLOWER, WASHINGTON AND YAZOO, MISSISSIPPI WHO HAVE HISTORICALLY SUFFERED FROM POOR DISPARITIES IN BOTH HEALTH ACCESS AND HEALTH OUTCOMES. OUR SERVICE AREA IS HOME TO A WEIGHTED AVERAGE OF 71.4% BLACK OR AFRICAN AMERICAN RESIDENTS AS COMPARED TO 13.6% NATIONWIDE, PUTTING OUR COMMUNITIES AT HIGHER RISK FOR HEALTH DISPARITIES. ONLY 79.4% OF OUR ADULTS HAVE A HIGH SCHOOL DEGREE AS COMPARED TO 88.9% NATIONWIDE AND 33.9% OF OUR RESIDENTS LIVE IN POVERTY COMPARED TO 11.6% NATIONWIDE. IN 2020, OUR AREA HAD AN AVERAGE TEEN BIRTH RATE OF 36.1 BIRTHS PER 1,000 FEMALES AGES 15-19, MORE THAN DOUBLE THE NATIONWIDE OF 16.7 PER 1,000 FEMALES AGES 15-19. FURTHERMORE, THE 2020 TEEN BIRTH RATE FOR FEMALES AGES 10-14 IN OUR COMMUNITIES WAS 0.3 BIRTHS FOR EVERY 1,000 COMPARED TO THE NATION’S BIRTH RATE OF 0.2 BIRTHS PER 1,000. RATES OF SEXUALLY TRANSMITTED INFECTIONS IN OUR REGION ARE SIMILARLY TROUBLING. OUR EIGHT COUNTIES HAVE AN AVERAGE GONORRHEA RATE OF 628.5 PER 100,000 RESIDENTS, MORE THAN TRIPLE THE U.S. RATE OF 206.5 PER 100,000, AN AVERAGE CHLAMYDIA RATE OF 1,476.0 PER 100,000 RESIDENTS, COMPARED TO THE U.S. RATE OF 481.3 PER 100,000, AND AN AVERAGE PRIMARY AND SECONDARY RATE OF SYPHILIS OF 25.5 PER 100,000 COMPARED TO THE U.S. RATE OF 12.7 PER 100,000. THE HIV RATE IN OUR REGION IS 20.9 PER 100,000 RESIDENTS, MORE THAN DOU BLE THE RATE OF 9.2 PER 100,000 SEEN NATIONWIDE. THE FIRST THREE MONTHS OF THIS COLLABORATIVE WILL BE UTILIZED TO ESTABLISH A COMMUNITY ADVISORY GROUP WHO WILL WORK WITH REPRESENTATIVES OF OUR THREE EXISTING RURAL YOUTH COUNCILS TO ENGAGE WITH PUBLIC SCHOOLS, FAITH-BASED PARTNERS, AND COMMUNITY AGENCIES TO IDENTIFY AND PRIORITIZE THEIR NEEDS WITH RESPECT TO ADOLESCENT HEALTH, AND TO FINALIZE THE SELECTION OF INCLUSIVE AND EQUITABLE EBPS THAT WILL BE IMPLEMENTED WITHIN EACH DEFINED LOCATION AND TARGET AUDIENCE. THIS EFFORT BUILDS UPON OUR PREVIOUS SUCCESS WITH TEEN PREGNANCY PREVENTION PROGRAMS IN SOME OF THESE LOCATIONS, EXPANDING SERVICES TO NEW COUNTIES AND NEW AUDIENCES, SERVING A MINIMUM OF 3,500 ADOLESCENTS PER YEAR OVER A FIVE-YEAR PERIOD. MEMBERS OF THE COLLABORATIVE INCLUDE DELTA HEALTH ALLIANCE - MISSISSIPPI'S LARGEST COMMUNITY BASED NON-PROFIT AGENCY, TEN RURAL PUBLIC-SCHOOL DISTRICTS, A CONSORTIUM OF FAITH-BASED LEADERS, A FQHC-LOOK ALIKE CLINIC AND SIX COMMUNITY SERVICES OR BUSINESS ASSOCIATIONS WHICH WILL PROVIDE LINKAGES TO YOUTH FRIENDLY HEALTHCARE AND SOCIAL SERVICES. SINCE 2001, DHA HAS PURSUED ITS MISSION TO IMPROVE THE HEALTH OF THE MEN, WOMEN, AND CHILDREN WHO MAKE THE MISSISSIPPI DELTA THEIR HOME WHICH ALIGNS WITH THE GOAL OF THIS PROJECT: IMPROVING SEXUAL AND REPRODUCTIVE HEALTH OUTCOMES, PROMOTING POSITIVE YOUTH DEVELOPMENT, AND ADVANCING HEALTH EQUITY FOR ADOLESCENTS, THEIR FAMILIES AND COMMUNITIES.

REDUCING THE THREAT FROM HIGH-RISK PATHOGENS CAUSING FEBRILE ILLNESS IN LIBERIA

CRIMEAN-CONGO HEMORRHAGIC FEVER: REDUCING AN EMERGING HEALTH THREAT IN TANZANIA.

UNDERSTANDING THE RISK OF BAT CORONAVIRUS EMERGENCE

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

COLLABORATIVE IMPROVEMENT AND INNOVATION NETWORK ON SCHOOL-BASED HEALTH SERVICES

HEALTHY START INITIATIVE-ELIMINATING RACIAL/ETHNIC DISPARITIES

WELD COUNTY SYSTEMS NAVIGATIONS PROJECT

HIGHER EDUCATION EMERGENCY RELIEF FUND FOR INSTITUTIONS UNDER THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT

INTERNATIONAL AIDS EDUCATION AND TRAINING CENTERS TECHNICAL ASSISTANCE

AWARDEE SHALL PROVIDE TECHNICAL ASSISTANCE IN SUPPORT EXPANSION OF STRATEGIC HEALTH PARTNERSHIP INITIATIVE PROGRAM IN RUSSIA.

DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA) - ORGANIZATION NAME: DELTA HEALTH ALLIANCE, INC. ADDRESS: 435 STONEVILLE RD., STONEVILLE, MS, 38776 ENTITY TYPE: NON-PROFIT 501C3 WEBSITE: WWW.DELTAHEALTHALLIANCE.ORG PROJECT DIRECTOR: BRIA BEAL, DIRECTOR OF PROGRAMS; (662) 686-7004; BBEAL@DELTAHEALTHALLIANCE.ORG PROJECT TITLE: THE NEW YOU (NUTRITION, EXERCISE AND WELLNESS FOR YOU) COLLABORATIVE GOAL: IMPROVE EFFICIENCIES, INCREASE ACCESS TO CARE, AND STRENGTHEN RURAL HEALTH SYSTEMS TO REDUCE DISPARITIES AMONG RACIAL AND ETHNIC MINORITIES LIVING IN THE MISSISSIPPI DELTA WHO HAVE BEEN DIAGNOSED WITH OBESITY AND/OR CARDIOVASCULAR DISEASE SERVICE REGION: MISSISSIPPI SERVICE REGION A TARGET POPULATION: LOW-INCOME, RURAL RESIDENTS OF THE MISSISSIPPI DELTA. OF 481,596 RESIDENTS, 50.0% ARE BLACK/AFRICAN AMERICAN, ONLY 81.4% OF ADULTS HAVE A HIGH SCHOOL DEGREE, 25.2% LIVE IN POVERTY, 42.6% OF ADULTS ARE OBESE, 46.7% HAVE HYPERTENSION, AND OUR RATE OF PREVENTABLE HEART DISEASE DEATHS IS OVER TWICE THE NATIONAL RATE (131.7 PER 100K VS. 59.7 PER 100K). PRIMARY FOCUS AREA: OBESITY; SECONDARY FOCUS AREA: CARDIOVASCULAR DISEASE NETWORK PARTNERSHIPS: 6 MEMBERS: 1 PUBLIC RURAL NONPROFIT AS LEAD APPLICANT (DELTA HEALTH ALLIANCE [DHA]) & 5 CLINICS FOR SERVICES (LELAND MEDICAL CLINIC, MISSISSIPPICARE OF OXFORD, DELTA REGIONAL HEALTH CLINIC, CLARKSDALE REGIONAL HEALTH CLINIC, ARCOLA HEALTH CLINIC); AS WELL AS 4 FITNESS CENTERS, 1 SOCIAL SERVICE COLLABORATIVE AND 1 ECONOMIC GROUP FOR PROGRAMMATIC SUPPORT (NON-MOU PARTNERS) CAPACITY TO SERVE RURAL UNDERSERVED POPULATIONS: DHA HAS SUCCESSFULLY DEVELOPED, IMPLEMENTED AND EVALUATED COMMUNITY-BASED RESEARCH INITIATIVES FOR UNDERSERVED RURAL POPULATIONS SINCE 2001 IN PARTNERSHIP WITH COMMUNITIES, AGENCIES AND INSTITUTIONS. WE MARSHAL CROSS-SECTOR PARTNERS TO IMPROVE HEALTH SERVICE DELIVERY, INCLUDING THE DEVELOPMENT OF A REGIONAL ELECTRONIC HEALTH RECORD SYSTEM, A FQHC LOOK-ALIKE CLINIC, 3 PROMISE NEIGHBORHOODS, 9 HEAD START/EARLY HEAD START CENTERS, AND OVER 20 OTHER P ROGRAMS ADDRESSING CARE COORDINATION, WELLNESS EDUCATION, WORKFORCE DEVELOPMENT, MATERNAL AND INFANT HEALTH, AND OTHER COMMUNITY-BASED SERVICES. DHA CURRENTLY OVERSEES EXTERNALLY FUNDED RESEARCH INITIATIVES IN 29 COUNTIES OF MISSISSIPPI WITH AN OPERATING BUDGET OF OVER $40 MILLION. WE HAVE THE CAPACITY AND EXPERIENCE NECESSARY TO DESIGN AND IMPLEMENT A COMMUNITY-BASED RESEARCH INITIATIVE, OBSERVE ITS IMPACTS, MAKE MID-COURSE CORRECTIONS, EVALUATE OUTCOMES, DISSEMINATE FINDINGS, THEN ASSIST WITH REPLICATION TO SIMILAR RURAL COMMUNITIES THAT COULD BENEFIT FROM SUCH PROGRAMS. EVIDENCE-BASED MODEL: AMERICAN MEDICAL GROUP ASSOCIATION’S OBESITY CARE MODEL COLLABORATIVE (OCMC), A POPULATION HEALTH-BASED MODEL INCORPORATING INTERVENTIONS ACROSS FOUR DOMAINS – COMMUNITY, HEALTHCARE ORGANIZATION, CARE TEAM, AND PATIENT/FAMILY – IN A HOLISTIC, PATIENT-CENTERED APPROACH TO OBESITY CARE AND MANAGEMENT, WITH SPECIAL MODULES FOR PATIENTS WITH A SECONDARY DIAGNOSIS OF CARDIOVASCULAR DISEASE. PROJECT ACTIVITIES: DEPLOY COMMUNITY HEALTH WORKERS (CHWS) TO WORK WITH RURAL CLINICS TO IMPROVE CARE COORDINATION BY LINKING PRIMARY CARE SETTINGS AND REAL-WORLD COMMUNITY RESOURCES. CHWS WILL ASSIST IN THE DEVELOPMENT OF PERSONALIZED WELLNESS PLANS WITH CUSTOMIZED GOALS AND ACTIONABLE ITEMS; PROVIDE HEALTH EDUCATION; PROVIDE ASSISTANCE ENROLLING IN SOCIAL SERVICES INCLUDING TRANSPORTATION AND CHILD CARE; INCORPORATE PHYSICAL FITNESS AND NUTRITION SUPPORTS TO REACH HEALTH GOALS; AND TO FOSTER COMMUNITY INVOLVEMENT. EXPECTED OUTCOMES: REDUCTION OF RATES OF OBESITY & HYPERTENSION AS MEASURED BY CLINICAL TESTS; INCREASE IN # OF ADULTS FOLLOWING FITNESS/NUTRITION PLANS; INCREASE IN # OF ADULTS IN CONTROL OF HIGH BLOOD PRESSURE; ADHERENCE TO TREATMENT PLANS; IMPROVEMENT IN HEALTH EDUCATION (INDIVIDUAL AND COMMUNITY). FUNDING PREFERENCE: DHA IS REQUESTING BASED ON QUALIFICATION 1: HEALTH PROFESSIONAL SHORTAGE AREA AS IN OFFICIAL HPSA COUNTIES AND QUALIFICATION 2: WE ARE LOCATED IN A MEDICALLY UN DERSERVED COMMUNITY.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM - MEDICATION ASSISTED TREATMENT ACCESS - APPLICANT: BAY RIVERS TELEHEALTH ALLIANCE | 618 HOSPITAL ROAD, TAPPAHANNOCK, VA 22560 | HTTP://BAYRIVERSTELEHEALTH.ORG/ PROJECT DIRECTOR: DONNA DITTMAN HALE, EXECUTIVE DIRECTOR, TEL. 804-443-6286 | FAX: 804-443-6150 |E-MAIL: DDHALE@COX.NET | GRANT PROGRAM FUNDS REQUESTED: $3MILLION, $1 MILLION PER YEAR. PROJECT TITLE: MAT ACCESS EXPANSION IN RURAL EASTERN VIRGINIA NEEDS TO BE ADDRESSED: THE MIDDLE PENINSULA AND NORTHERN NECK OF VIRGINIA ARE HIGHLY AFFECTED BY SUBSTANCE USE DISORDERS, INCLUDING OPIOID USE DISORDER AND ALCOHOL USE DISORDER. THE NINE COUNTIES OF THE TARGET SERVICE AREA HAVE MEDICATION ASSISTED TREATMENT WAIVERED PROVIDERS SERVING LESS THAN 5% OF THEIR POPULATION AND EXTREMELY LIMITED AVAILABILITY OF TREATMENT PROGRAMS, ESPECIALLY OFFICE-BASED ADDICTION TREATMENT FACILITIES. THERE ARE WAITING LISTS FOR ACCESS TO MEDICATION ASSISTED TREATMENT AT THIS TIME. IN ADDITION, THERE ARE SEVERE WORKFORCE SHORTAGES, ESPECIALLY OF MENTAL HEALTHCARE PROVIDERS AND PRIMARY CARE PHYSICIANS. GRANT FUNDS WILL SUPPORT STAFF, INCLUDING HEALTH NAVIGATORS, A DATA COORDINATOR, PEER RECOVERY SPECIALISTS, MENTAL HEALTH SUBSTANCE ABUSE CLINICIANS, AND ADDITIONAL MEDICAL PERSONNEL CAPACITY, SUCH AS PSYCHIATRIC NURSES AND A TRAVELING NURSE TO PROVIDE IN-PERSON CARE TO SUPPLEMENT EXISTING TELEHEALTH-ENABLED SERVICES. PROPOSED SERVICES: THE PROPOSED SERVICES INCLUDE: 1) ESTABLISHMENT OF TWO NEW MEDICATION ASSISTED TREATMENT ACCESS LOCATIONS ON THE MIDDLE PENINSULA AND NORTHERN NECK WHERE FDA-APPROVED MEDICATIONS WILL BE ADMINISTERED TO TREATMENT OPIOID USE DISORDER AND ALCOHOL USE DISORDER VIA BOTH IN-PERSON AND TELEHEALTH ENABLED MODALITIES; 2) INTEGRATION OF SUPPORTIVE SERVICES TO INCLUDE COUNSELING AND BEHAVIORAL THERAPIES, SUCH AS GROUP AND INDIVIDUAL THERAPY AND AN INTENSIVE OUTPATIENT PROGRAM FOR INDIVIDUALS WITH HIGHER LEVEL NEEDS. EACH INDIVIDUAL SERVED WILL BE ASSIGNED A PEER RECOVERY COACH AND A HEALTHCARE NAVIGATOR TO ASSIST WITH CASE MANAGEMENT NEEDS, COORDINATION OF CARE TO ADDRESS OTHER MEDICAL AND SOCIAL NEEDS, HELP TO ACCESS THIRD PARTY PAYMENT SUCH AS MEDICAID AND OTHER HEALTH INSURANCE, AND SUPPORT TO DEVELOP COMMUNITY AND FAMILY SUPPORT NETWORKS TO SAFEGUARD LONG-TERM RECOVERY; 3) RECRUITMENT, HIRING, SUPPORT, AND RETENTION OF INTERDISCIPLINARY TEAMS OF CLINICAL AND SOCIAL SERVICES PROVIDERS WHO WILL SUPPORT MEDICATION ASSISTED TREATMENT SERVICES AT THE TWO NEW ACCESS POINTS. 4) BUILDING NEW COMMUNITY PARTNERSHIPS AND STRENGTHENING EXISTING COMMUNITY PARTNERSHIPS TO ENSURE THAT THE NEW MEDICATION ASSISTED TREATMENT ACCESS POINTS ARE INTEGRATED WITH THE SURROUNDING COMMUNITY AND PARTNERS, INCLUDING MEDICAL, SOCIAL SERVICES, AND LAW ENFORCEMENT; 5) SUSTAINING THE NEW MEDICATION ASSISTED TREATMENT ACCESS POINTS THROUGH ENSURING ALL ELIGIBLE INDIVIDUALS ARE ENROLLED IN MEDICAID, AS WELL AS EXPLORING CHARITY CARE OPTIONS THROUGH COMMUNITY PARTNERS SUCH THAT TREATMENT SERVICES WILL BE AVAILABLE TO ALL WHO NEED THEM, REGARDLESS OF THEIR ABILITY TO PAY. POPULATION GROUPS TO BE SERVED: THE PROJECT PROPOSES TO SERVE SOCIO-ECONOMICALLY DISADVANTAGED INDIVIDUALS WITH NEEDS FOR MEDICATION ASSISTED TREATMENT FOR OPIOID USE DISORDER, ALCOHOL USE DISORDER, AND OTHER SUBSTANCE USE DISORDERS IN THE FOLLOWING RURAL COUNTIES OF EASTERN VIRGINIA: MIDDLE PENINSULA REGION COUNTIES (5): ESSEX, KING AND QUEEN, KING WILLIAM, MATHEWS, AND MIDDLESEX; NORTHERN NECK REGION COUNTIES (4): LANCASTER, NORTHUMBERLAND, RICHMOND, AND WESTMORELAND. THE POPULATIONS OF THESE COUNTIES ARE DISPROPORTIONATELY DISADVANTAGED AS COMPARED WITH BOTH VIRGINIA AND THE UNITED STATES WITH REGARD TO RACE (LARGE SUB-POPULATIONS OF BLACK AND AFRICAN AMERICAN INDIVIDUALS), DISABILITY (HIGHER PROPORTIONS OF INDIVIDUALS LIVING WITH A DISABILITY), AND SOCIO-ECONOMIC STATUS (LOWER PROPORTIONS OF INDIVIDUALS WITH GREATER THAN A HIGH SCHOOL EDUCATION AND HIGHER PROPORTIONS OF INDIVIDUALS LIVING I

COMMUNITY HEALTH WORKER TRAINING PROGRAM - APPLICANT ORGANIZATION: ASCENSION SACRED HEART SYSTEM, INC. ADDRESS: 5151 NORTH 9TH AVENUE, PENSACOLA, FLORIDA 32504-8721 PROJECT DIRECTOR NAME: DONNA RYAN, RN RDN MPH CDCES FADCES CONTACT PHONE NUMBERS – VOICE: (850) 416-7259 FAX: NOT APPLICABLE E-MAIL ADDRESS: DONNA.RYAN@ASCENSION.ORG WEB SITE ADDRESS: HTTPS://HEALTHCARE.ASCENSION.ORG/LOCATIONS/FLORIDA/FLPEN/PENSACOLA-ASCENSION-SACRED-HEART-PENSACOLA AMOUNT REQUESTED: $2,998,972 THE ASCENSION SACRED HEART GULF COAST REACH (RESPECT, EDUCATION, ACCESS TO COMMUNITY HEALTH) PROJECT WILL INCREASE THE NUMBER OF COMMUNITY HEALTH WORKERS (CHW) AND EQUIP THEM WITH THE SKILLSETS NEEDED TO PROVIDE EFFECTIVE COMMUNITY OUTREACH, BUILD TRUST WITH COMMUNITIES, SUPPORT CONNECTIONS TO AND RETENTION IN CARE AND SUPPORT SERVICES AND OTHER STRATEGIES TO INCREASE ACCESS TO CARE AND TO ASSIST INDIVIDUALS IN PREVENTION SERVICES, AND RECOVERY FROM THE COVID-19 PANDEMIC AND OTHER PUBLIC HEALTH EMERGENCIES IN UNDERSERVED COMMUNITIES. THESE COMBINED EFFORTS WILL ADVANCE PUBLIC HEALTH, STRENGTHEN THE PUBLIC HEALTH WORKFORCE, REDUCE HEALTH DISPARITIES, AND HELP UNDERSERVED POPULATIONS ACHIEVE HEALTH EQUITY. THE PROPOSED PROJECT’S GOALS ARE: (1) EXPAND THE PUBLIC HEALTH WORKFORCE BY TRAINING NEW AND EXISTING COMMUNITY HEALTH CHWS WITH SPECIALIZED TRAINING AND FINANCIAL SUPPORT TO OFFSET EXPENSES THAT WOULD IMPEDE SUCCESS IN TRAINING; (2) EXTEND AND UPSKILL THE PUBLIC HEALTH WORKFORCE BY DEVELOPING NEW OR ENHANCING EXISTING CURRICULUMS TO INCREASE THE SKILLS AND COMPETENCIES OF EXISTING CHWS; (3) INCREASE CHW EMPLOYMENT READINESS THROUGH FIELD PLACEMENTS AND APPRENTICESHIPS DEVELOPED IN COLLABORATION WITH A NETWORK OF PARTNERSHIPS THAT WILL ENABLE TRAINEES TO RESPOND TO AND SUPPORT ESSENTIAL PUBLIC HEALTH SERVICES AND PROVIDE THEM WITH EMPLOYMENT OPPORTUNITIES; AND (4) ADVANCE HEALTH EQUITY AND SUPPORT FOR UNDERSERVED COMMUNITIES BY INCREASING THE NUMBER OF CHWS THAT ARE EMPLOYED AS INTEGRAL MEMBERS OF INTEGR ATED CARE TEAMS THAT USE THEIR EXPANDED SKILLS TO REDUCE HEALTH DISPARITIES. THE PRIORITY TARGET TRAINEE POPULATION FOR THE PROPOSED PROJECT INCLUDES BUT IS NOT LIMITED TO: (1) AFRICAN AMERICAN; (2) DEAF AND HARD OF HEARING; (3) DISABILITIES; (4) LATINX; (5) LGBTQ+; (6) RURAL, AND (7) SPIRITUALITY AND FAITH-BASED POPULATIONS. THE PROPOSED PROJECT AIMS TO TRAIN AT LEAST 240 CHWS REFLECTIVE OF POPULATIONS LIVING IN MEDICALLY UNDERSERVED AREAS IN A SIX-COUNTY TARGET MARKET IN THE NORTHWEST FLORIDA PANHANDLE REGION. THE CHW TRAINEES WILL IDEALLY INCLUDE A HIGH PERCENTAGE OF RURAL PLUS ETHNICALLY AND RACIALLY DISADVANTAGED STUDENTS. ADDITIONALLY, A PARTICULAR EMPHASIS WILL BE PLACED ON IDENTIFYING AND RECRUITING TRAINEES WHO WILL REMAIN IN THEIR COMMUNITIES UPON COMPLETION OF THE PROGRAM AND WORK TO IMPROVE THE HEALTH AND WELFARE OF RESIDENTS THAT KNOW AND TRUST THE TRAINEE, THUS BRIDGING MORE HEALTH DISPARITY GAPS. WHILE ADMISSION TO THE CHW PROGRAM WILL NOT BE LIMITED BY RACE, ETHNICITY, OR BACKGROUND, THE PROJECT TEAM EXPECTS THE DIVERSITY OF CHWS WILL BE AS REFLECTIVE AS THE COMMUNITIES THEY SERVE. ALL CHW TRAINEES WILL APPRECIATE AND RESPECT ETHNIC, LINGUISTIC, CULTURAL, AND SOCIOECONOMIC DIVERSITY. CHW TRAINEES WILL WORK WITH INDIVIDUALS "WHERE THEY ARE" AND ADDRESS THEM AS A WHOLE PERSON WITH DIGNITY AND RESPECT. CHW TRAINING WILL ADDRESS CULTURAL AWARENESS, HEALTH EQUITY, SDOH, AND WILL BE CULTURALLY COMPETENT. INTEGRATED HEALTH EQUITY, SDOH, AND CULTURAL HUMILITY ARE CORE PRINCIPLES IN THE CURRENT CHW TRAINING CURRICULA AND WILL CONTINUE TO BE IN THE PROPOSED TRAINING PROGRAM. THESE CONCEPTS ARE COVERED MULTIPLE TIMES IN DIDACTIC COURSEWORK AND APPLIED IN CHW/PATIENT ENGAGEMENT STRATEGIES WITH A PATIENT-CENTERED APPROACH. CHW TRAINEES MUST USE THESE CONCEPTS AND WILL BE EVALUATED THROUGH QUIZZES AND COMPETENCY TESTING.

THE PURPOSE OF THIS AGREEMENT IS TO PROVIDE SUPPORT FOR THE RECIPIENT S PROGRAM TO FACILITATE RUSSIA S CHANGE IN ROLE WITHIN THE GLOBAL ASSISTANCE FR

THE RECIPIENT SHALL IMPLEMENT THE KOSOVO MATERNAL AND CHILD HEALTH PROGRAM.

DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA)

DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA)

STATE ADOLESCENT AND YOUNG ADULT HEALTH CAPACITY BUILDING PROGRAM

THE CELEBRATING AMERICAN HISTORY AND CIVICS COLLABORATIVE AIMS TO DELIVER AMERICAN HISTORY, CIVICS AND GOVERNMENT, AND GEOGRAPHY SEMINARS TO RURAL STUDENTS AND EDUCATORS IN THREE MISSISSIPPI COUNTIES.

PROJECT COLORADO OPIOID SYNERGY-LARIMER AND WELD (CO-SLAW) - PROJECT COLORADO OPIOID SYNERGY - LARIMER AND WELD (COSLAW), IS A NETWORK OF SEVEN OUD TREATMENT PROVIDERS AND A TEAM OF INTEGRATED CARE COORDINATORS WHO SUPPORT CLIENT ENGAGEMENT IN MAT AND PSYCHOSOCIAL TREATMENT ACROSS NORTHERN COLORADO. OVER 5 YEARS, 600 CLIENTS (120 PER YEAR) WILL BE SERVED THROUGH CROSS-SITE COLLABORATION AND INTENSIVE CARE COORDINATION. THE POPULATION OF FOCUS IS BLACK, INDIGENOUS AND PEOPLE OF COLOR (BIPOC) AGED 18 AND OVER WITH OUD AND ADULTS LIVING IN RURAL AREAS SEEKING OR CURRENTLY RECEIVING MAT. COSLAW'S GEOGRAPHIC CATCHMENT AREA IS LARIMER AND WELD COUNTIES, COVERING 6,651 SQUARE MILES ALONG COLORADO'S NORTHERN BORDER AND HOME TO A GROWING BIPOC POPULATION. OVER 20% OF PEOPLE IN LARIMER IDENTIFY AS BIPOC WHILE IN WELD COUNTY 38.3% IDENTIFY AS BIPOC. PROVIDERS WORK UNDER A SHARED CARE COMPACT AND TREATMENT PHILOSOPHY, AND CLIENTS CAN ACCESS COSLAW SERVICES MANY WAYS, INCLUDING THROUGH AN 800 NUMBER STAFFED 24/7/365, LARIMER AND WELD CRIMINAL JUSTICE SYSTEMS, AND TWO AREA HOSPITAL SYSTEMS. ALL CLIENTS WILL RECEIVE MAT, EVIDENCE-BASED PSYCHOSOCIAL TREATMENT INCLUDING MOTIVATIONAL INTERVIEWING, COGNITIVE BEHAVIORAL THERAPY, EMPOWERED RELIEF PAIN MANAGEMENT, INTENSIVE CASE MANAGEMENT, RECOVERY SUPPORT SERVICES AND PEER COACHING AND ARE PAIRED WITH A CARE COORDINATOR WHO IS REFLECTIVE OF THE COMMUNITY. SERVICES ARE AVAILABLE IN PERSON AND THROUGH TELEHEALTH OPTIONS. DRIVEN BY A RACIAL EQUITY STRATEGY TO BE DEVELOPED BY YEAR 2, MONTH 1, COSLAW WILL LAUNCH AN OUTREACH AND ENGAGEMENT CAMPAIGN DESIGNED TO REACH THE BIPOC COMMUNITY AND EDUCATE COMMUNITY ORGANIZATIONS ABOUT STIGMA AND RACISM AS IT RELATES TO SUBSTANCE USE TREATMENT. COSLAW WILL SUPPORT THE REGION'S CAPACITY TO PROVIDE HIGH-QUALITY CARE AND IMPROVE CLIENT OUTCOMES THROUGH DATA WAIVER TRAININGS. OVER THE FIVE YEAR FUNDING PERIOD, COSLAW WILL ATTAIN THE FOLLOWING GOALS: 1) INCREASE CAPACITY TO PROVIDE MAT FOR PEOPLE WITH OUD IN NORTHERN COLORADO THROUGH COLLABORATION AND COORDINATION AMONG COSLAW TREATMENT SITES AND SHARED CARE COORDINATION; 2) INITIATE MAT AND CONCURRENT EVIDENCE-BASED PSYCHOSOCIAL (EBP) AND RECOVERY SUPPORT SERVICES (RSS) TREATMENT FOR 600 INDIVIDUALS (120 PER YEAR); 3) INITIATE MAT IN PERSONS EXPERIENCING TRANSITIONS OF CARE FROM HOSPITAL EMERGENCY DEPARTMENTS (ED), LARIMER AND WELD COUNTY JAILS, AND WITHDRAWAL MANAGEMENT PROGRAMS WITH FORMAL REFERRAL INTO COSLAW; AND 4) COSLAW LEADERSHIP WILL DEVELOP, IMPLEMENT AND SUSTAIN A REGIONAL MAT CARE COORDINATION CENTER OF EXCELLENCE AND INNOVATION TO SUPPORT THE CARE COORDINATION WORKFORCE, ENSURE QUALITY CARE AND IMPROVE CLIENT OUTCOMES. KEY OUTCOMES INCLUDE A 10% INCREASE IN ENROLLMENT OF CLIENTS WHO IDENTIFY AS BIPOC; CONSISTENT RETENTION RATES OF 80% OR HIGHER REGARDLESS OF RACIAL/ETHNIC GROUP IDENTIFICATION; A 60% DECREASE IN THE USE OF ILLICIT DRUGS AND OPIOIDS; A 20% DECREASE IN MENTAL HEALTH SYMPTOMS; A 30% REPORTED IMPROVEMENT IN HOUSING, EMPLOYMENT AND QUALITY OF LIFE AS MEASURED BY THE CSAT GPRA; AND A 30% IMPROVEMENT IN CLIENT SATISFACTION AND PERCEPTIONS OF CARE AS MEASURED BY A PERCEPTIONS OF CARE SURVEY.

EMERGENCY FINANCIAL AID GRANTS TO STUDENTS UNDER THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT

RISK OF VIRAL EMERGENCE FROM BATS

HEALTH CENTER CLUSTER

LAND USE CHANGE & DISEASE EMERGENCE

CAPITAL DEVELOPMENT

ACCOUNTABLE HEALTH COMMUNITIES: TRACK 2

AMERICAN RESCUE PLAN

SEROLOGICAL BIOSURVEILLANCE FOR SPILLOVER OF HENIPAVIRUSES AND FILOVIRUSES AT AGRICULTURAL AND HUNTING HUMANANIMAL INTERFACES IN PENINSULAR MALAYSIA

HEALTH ALLIANCE INT'L = TIMOR LESTE

STUDY OF NIPAH VIRUS DYNAMICS AND GENETICS IN ITS BAT RESERVOIR AND OF HUMAN EXPOSURE TO NIV ACROSS BANGLADESH TO UNDERSTAND PATTERNS OF HUMAN OUTBREAKS

INDIANOLA PROMISE COMMUNITY - A COMMUNITY-BASED CONTINUUM OF SOLUTIONS TO ADDRESS THE NEEDS OF CHILDREN & FAMILIES IN THE DISTRESSED RURAL COMMUNITY OF INDIANOLA, MS

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

PURPOSE: THE OVERALL PURPOSE OF THE OLDER ADULT HOME MODIFICATION PROGRAM (OAHMP) IS TO ASSIST EXPERIENCED NONPROFIT ORGANIZATIONS, STATE AND LOCAL GOVERNMENTS, AND PUBLIC HOUSING AUTHORITIES IN UNDERTAKING COMPREHENSIVE PROGRAMS THAT MAKE SAFETY AND FUNCTIONAL HOME MODIFICATIONS REPAIRS AND RENOVATIONS TO MEET THE NEEDS OF LOW-INCOME ELDERLY HOMEOWNERS. THE GOAL OF THE HOME MODIFICATION PROGRAM IS TO ENABLE LOW-INCOME ELDERLY PERSONS TO REMAIN IN THEIR HOMES THROUGH LOW-COST, LOW BARRIER, HIGH IMPACT HOME MODIFICATIONS TO REDUCE OLDER ADULTS’ RISK OF FALLING, IMPROVE GENERAL SAFETY, INCREASE ACCESSIBILITY, AND TO IMPROVE THEIR FUNCTIONAL ABILITIES IN THEIR HOME. THIS WILL ENABLE OLDER ADULTS TO REMAIN IN THEIR HOMES, THAT IS, TO “AGE IN PLACE,” RATHER THAN MOVE TO NURSING HOMES OR OTHER ASSISTED CARE FACILITIES.; ACTIVITIES TO BE PERFORMED: HUD’S OFFICE OF LEAD HAZARD CONTROL AND HEALTHY HOMES IS MAKING AVAILABLE GRANT FUNDS AND TRAINING RESOURCES TO NON-FEDERAL ENTITIES. UNDER THE OAHMP AWARD, EXPERIENCED NONPROFIT ORGANIZATIONS, STATE AND LOCAL GOVERNMENTS, AND PUBLIC HOUSING AUTHORITIES WILL DELIVER HOME MODIFICATION SERVICES TO QUALIFIED BENEFICIARIES. THE OAHMP MODEL FOCUSES ON LOW-COST, HIGH-IMPACT HOME MODIFICATIONS. EXAMPLES OF THESE HOME MODIFICATIONS INCLUDE INSTALLATION OF GRAB BARS, RAILINGS, AND LEVER-HANDLED DOORKNOBS AND FAUCETS, AS WELL AS THE INSTALLATION OF ADAPTIVE EQUIPMENT, SUCH AS TEMPORARY RAMP, TUB/SHOWER TRANSFER BENCH, HANDHELD SHOWER HEAD, RAISED TOILET SEAT, RISERS FOR CHAIRS AND SOFAS, AND NON-SLIP STRIPS FOR TUB/SHOWER OR STAIRS. THE OAHMP MODEL PRIMARILY RELIES ON THE EXPERTISE OF A LICENSED OCCUPATIONAL THERAPIST (OT) TO ENSURE THAT THE HOME MODIFICATION ADDRESSES THE CLIENT’S SPECIFIC GOALS AND NEEDS AND PROMOTES THEIR FULL PARTICIPATION IN DAILY LIFE ACTIVITIES. THE OT IS TRAINED TO EVALUATE CLIENTS’ FUNCTIONAL ABILITIES AND THE HOME ENVIRONMENT AND HAS KNOWLEDGE OF THE RANGE OF LOW-COST, HIGH-IMPACT ENVIRONMENTAL MODIFICATIONS AND ADAPTIVE EQUIPMENT USED TO OPTIMIZE THE HOME ENVIRONMENT AND INCREASE INDEPENDENCE. THE GRANTEES, WHICH ARE EXPERIENCED IN PROVIDING SERVICES TO SENIORS, WILL DELIVER HOME MODIFICATION SERVICES TO MORE THAN 1,900 SENIOR FAMILIES IN BOTH URBAN COMMUNITIES AND COMMUNITIES WITH SUBSTANTIAL RURAL POPULATIONS.; EXPECTED OUTCOMES: PROVIDED THROUGH HUD’S OLDER ADULTS HOME MODIFICATION PROGRAM (OAHMP), THESE GRANTS ENABLE LOW-INCOME ELDERLY PERSONS TO REMAIN IN THEIR HOMES THROUGH LOW-COST, LOW BARRIER, HIGH IMPACT HOME MODIFICATIONS TO REDUCE OLDER ADULTS’ RISK OF FALLING, IMPROVE GENERAL SAFETY, INCREASE ACCESSIBILITY, AND IMPROVE THEIR FUNCTIONAL ABILITIES IN THEIR HOME. THESE INVESTMENTS WILL DELIVER HOME MODIFICATION SERVICES TO MORE THAN 1,900 SENIOR FAMILIES TO ENABLE OLDER ADULTS TO REMAIN IN THEIR HOMES – TO “AGE IN PLACE” – RATHER THAN MOVE TO NURSING HOMES OR OTHER ASSISTED CARE FACILITIES.; INTENDED BENEFICIARIES: THE OAHMP PROVIDE FUNDING TO EXPERIENCED NON-PROFITS, STATES, LOCAL GOVERNMENTS, AND PUBLIC HOUSING AGENCIES FOR SAFETY AND FUNCTIONAL HOME MODIFICATION REPAIRS TO MEET THE NEEDS OF LOW-INCOME ELDERLY HOMEOWNERS TO ENABLE THEM TO REMAIN IN THEIR RESIDENCES AT LEAST ONE HALF OF THE FUNDS SHALL BE AVAILABLE TO COMMUNITIES WITH SUBSTANTIAL RURAL POPULATIONS. INTENDED TO BENEFIT ELIGIBLE LOW-INCOME HOMEOWNERS WHO ARE AT LEAST 62 YEARS OLD FOR WORK IN THEIR PRIVATE PRIMARY RESIDENCE.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - TITLE: RECOVERY, INSTRUCTION, SUPPORT & EDUCATION UPWARD-BOUND PROGRAM (RISE UP) REQUESTED AWARD AMOUNT: $1,990,673 TOTAL FROM AUGUST 1, 2022 – JULY 31, 2026 APPLICANT ORGANIZATION NAME: DELTA HEALTH ALLIANCE (DHA) APPLICANT ORGANIZATION ADDRESS: P.O. BOX 277, 435 STONEVILLE ROAD, STONEVILLE, MS 38776 APPLICANT ORGANIZATION FACILITY TYPE: COMMUNITY-BASED ORGANIZATION, A RURAL 501(C)3 PROJECT DIRECTOR NAME AND TITLE: BARBARA BECKHAM, DIRECTOR OF BEHAVIORAL HEALTH PROGRAMS PROJECT DIRECTOR CONTACT INFO: 662.686.3912; BBECKHAM@DELTAHEALTHALLIANCE.ORG DATA COORDINATOR NAME AND TITLE: ARCHANA CHANDRAMOULI, DATA ANALYSIST DATA COORDINATOR CONTACT INFO: 662.390.6666; ACHANDRAMOULI@DELTAHEALTHALLIANCE.ORG EIN/DUNS NUMBER EXCEPTION REQUEST IN ATTACHMENT 8? NO HOW THE APPLICANT FIRST LEARNED ABOUT THE FUNDING OPPORTUNITY: GRANTS.GOV NUMBER OF CONSORTIUM MEMBERS & LIST OF CONSORTIUM MEMBERS: EIGHT INCLUDING DELTA HEALTH ALLIANCE, LELAND MEDICAL CLINIC, SOUTH DELTA PLANNING AND DEVELOPMENT DISTRICT, MISSISSIPPI DEPARTMENT OF EMPLOYMENT SECURITY, MISSISSIPPI VOLUNTEER LAWYERS PROJECT, MISSISSIPPI DELTA COMMUNITY COLLEGE CENTER, DELTA COUNCIL AND THE SOCIAL SERVICES COLLABORATIVE. IS THE APPLICANT ORGANIZATION A PREVIOUS OR CURRENT RCORP AWARD RECIPIENT OR CONSORTIUM MEMBER? YES. LEAD AGENCY FOR FY18 RCORP-PLANNING AND FY19 RCORP-IMPLEMENTATION. INDICATE IF APPLICANT ORGANIZATION INTENDS TO APPLY FOR FY22 RCORP-IMPLEMENTATION? YES DOES THE TARGET SERVICE AREA OVERLAP WITH THE SERVICE AREAS OF THE NORTHERN BORDER REGIONAL COMMISSION, THE DELTA REGIONAL AUTHORITY, OR THE APPALACHIAN REGIONAL COMMISSION? YES – THE DELTA REGIONAL AUTHORITY AS IT IS LOCATED WHOLLY IN UNDERSERVED COUNTIES OF MISSISSIPPI. RCORP-BHS TARGET SERVICE AREA: THE FULLY RURAL COUNTIES OF HOLMES, HUMPHREYS, LEFLORE, SUNFLOWER AND WASHINGTON IN MISSISSIPPI. NO PARTIALLY RURAL COUNTIES SERVED. BRIEF DESCRIPTION OF THE TARGET POPULATION: RESIDENTS OF FIVE EXCLUSIVELY RURAL MISSIS SIPPI COUNTIES WHO HAVE HISTORICALLY SUFFERED FROM POOR DISPARITIES IN BOTH HEALTH ACCESS AND HEALTH OUTCOMES. OUR SERVICE AREA IS HOME TO A WEIGHTED AVERAGE OF 75.1% BLACK OR AFRICAN AMERICAN RESIDENTS AS COMPARED TO 12.6% NATIONWIDE AND 0.1% NATIVE AMERICAN AS COMPARED TO 0.8% NATIONWIDE. ONLY 79.5% OF OUR ADULTS HAVE A HIGH SCHOOL DEGREE AS COMPARED TO 88.5% NATIONWIDE, 7.7% UNEMPLOYMENT COMPARED TO 4.0% NATIONWIDE, 19% OF RESIDENTS REPORT TO BE IN FREQUENT MENTAL DISTRESS COMPARED TO 12% NATIONWIDE, AND 32.6% OF OUR RESIDENTS LIVE IN POVERTY COMPARED TO 12.8% NATIONWIDE. IN 2020, OUR AREA AVERAGED 49.3 OPIOID PRESCRIPTIONS PER 100 RESIDENTS WITH ONE COUNTY (LEFLORE) AT 108.2 PRESCRIPTIONS PER 100 RESIDENTS IN 2020. SUMMARY OF PROPOSAL: THE RISE UP COLLABORATIVE’S PURPOSE IS TO REDUCE THE MORBIDITY AND MORTALITY OF SUBSTANCE USE DISORDER, INCLUDING OPIOID USE DISORDER IN FIVE HIGH-RISK RURAL COMMUNITIES OF MISSISSIPPI BY IMPROVING ACCESS TO AND QUALITY OF BEHAVIORAL HEALTH CARE THROUGH A PIPELINE OF REFERRAL SYSTEMS AND SUPPORT SERVICES. TWELVE NEW ACTIVITIES WILL BE ADDED TO EXISTING PROGRAMS TO SIGNIFICANTLY IMPROVE LONG-TERM RECOVERY OUTCOMES, INCLUDING: 1) A VOUCHER TRANSPORTATION PROGRAM, 2) OFFERING EXPUNGEMENT CLINICS FOR DRUG CHARGES, 3) ESTABLISHING A PIPELINE WITH LOCAL COLLEGES AND SOCIAL SERVICE PROVIDERS FOR RECOVERY PROGRAMS, 4) RENOVATING A TRAINING CENTER TO SUPPORT RECOVERY SERVICES, 5) PROVIDING TRAINING ON SUD/OUD THERAPIES, 6) PROVIDING TRAINING TO LICENSED COUNSELORS ON SPECIFIC TREATMENTS, 7) WORKSHOPS TO IMPROVE REIMBURSEMENT RATES FOR SERVICES, 8) LEVERAGING THE NHSC PROGRAM TO RECRUIT AND RETAIN RURAL SUD PROVIDERS, 9) INCREASING SCREENING FOR ADVERSE CHILDHOOD EXPERIENCES, 10) TRAINING COMMUNITY MEMBERS IN MENTAL HEALTH FIRST AID, 11) REDUCING RISK FACTORS BY TRAINING YOUTH IN THE LIFESKILLS PROGRAM, AND 12) PROVIDING WORKFORCE TRAINING AND JOB READINESS SKILLS. FUNDING PREFERENCE: WE REQU

BIOSURVEILLANCE FOR SPILLOVER OF HENIPAVIRUSES AND FILOVIRUSES IN RURAL COMMUNITIES IN INDIA.

STRATEGIC INFORMATION (SI) APS

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

YOUNG MEN'S EMPOWERMENT COLLABORATIVE

RURAL PUBLIC HEALTH WORKFORCE TRAINING NETWORK PROGRAM - APPLICANT ORGANIZATION FACILITY TYPE: COMMUNITY-BASED HEALTH & EDUCATION ORGANIZATION PROJECT DIRECTOR: ALLISON WASHINGTON, ASSOCIATE VP OF COMMUNITY OUTREACH EMAIL: AWASHINGTON@DELTHEALTHALLIANCE.ORG PHONE: 662-390-6457 PROPOSED WORKFORCE TRAINING TRACK: TRACK 1 – COMMUNITY HEALTH SUPPORT SERVICE AREA: 12 WHOLLY RURAL COUNTIES OF BOLIVAR, COAHOMA, HOLMES, HUMPHREYS, ISSAQUENA, LEFLORE, QUITMAN, SHARKEY, SUNFLOWER, TUNICA, WARREN AND WASHINGTON IN MISSISSIPPI. NETWORK PARTNERS: THE NETWORK CONSISTS OF DELTA HEALTH ALLIANCE (LEAD APPLICANT) IN STONEVILLE, MS; LELAND MEDICAL CLINIC IN LELAND, MS; DELTA HEALTH SYSTEM – THE MEDICAL CENTER IN GREENVILLE, MS; DELTA HEALTH SYSTEM – NORTHWEST REGIONAL HOSPITAL IN CLARKSDALE, MS; DELTA COUNCIL, AN ECONOMIC DEVELOPMENT AGENCY IN STONEVILLE, MS; SOUTH DELTA PLANNING AND DEVELOPMENT DISTRICT IN GREENVILLE, MS; COAHOMA COMMUNITY COLLEGE IN CLARKSDALE, MS; MISSISSIPPI DELTA COMMUNITY COLLEGE IN MOORHEAD, MS; AND THE SOCIAL SERVICES COLLABORATIVE. TOTAL FUNDING REQUESTED: $1,545,000.00 PERIOD: AUGUST 1, 2022 – JULY 31, 2025 CAPACITY TO SERVE RURAL UNDERSERVED POPULATIONS: DELTA HEALTH ALLIANCE IS A RURAL, COMMUNITY-BASED 501(C)3 ORGANIZATION IN WASHINGTON COUNTY, LOCATED IN THE HEART OF OUR SERVICE AREA. DHA WAS FOUNDED IN 2001 AS A CONSORTIUM OF NON-PROFIT AGENCIES AND REGIONAL UNIVERSITIES TO COORDINATE PROGRAMS AND CONDUCT RESEARCH ON ISSUES THAT ADDRESS CRITICAL HEALTH CARE AND WELLNESS GAPS IN THE MISSISSIPPI DELTA, DESIGNED AND OPERATED BY THE COMMUNITIES SERVED. DHA CURRENTLY OVERSEES OR COORDINATES 33 DIFFERENT COMMUNITY-BASED PROGRAMS, MOST OF WHICH UTILIZE COMMUNITY HEALTH WORKERS (CHWS) RECRUITED FROM THE COMMUNITIES THEY SERVE. DHA’S CURRENT STAFF OF 438 FTE OF SPECIALISTS, EDUCATORS, RESEARCHERS, AND SUPPORT STAFF AND 193 COMMUNITY OUTREACH WORKERS WILL PROVIDE THE INFRASTRUCTURE, RELATIONSHIPS, FISCAL AND GRANT MANAGEMENT, AND PRIOR EXPERTISE NECESSARY TO IMPLEMENT A RURAL PROJECT OF THI S SCOPE. PROJECT SUMMARY: THE TORCH (TRAINING OUR RURAL COMMUNITY HEALTH) WORKFORCE PROJECT WILL ADDRESS THE CRITICAL NEED FOR TRAINED PUBLIC HEALTH PROFESSIONALS IN OUR RURAL MISSISSIPPI DELTA COMMUNITIES BY DEVELOPING AND IMPLEMENTING A PIPELINE OF WORKFORCE TRAINING FOR COMMUNITY HEALTH WORKERS TO BE PLACED WITH RURAL HOSPITALS, CLINICS AND OTHER HEALTHCARE PROVIDERS IN THE DELTA. PARTICIPANTS WILL BE RECRUITED DIRECTLY FROM OUR RURAL SERVICE AREA, WORKING WITH LOCAL CAREER COACHES TO DEVELOP PERSONALIZE CAREER GOALS AND TO ENROLL IN VALUABLE SUPPORT SERVICES, THEN PROVIDED WITH CHW TRAINING ACCOMPANIED BY CROSS-TRAINING IN HIGH-VALUE AREAS, INCLUDING BENEFITS COUNSELING, MEDICAL CODING AND BILLING, AND SERVICE COORDINATION. A PAID APPRENTICESHIP PROGRAM WILL BE ESTABLISHED TO PROVIDE TRAINEES WITH REAL-WORK EXPERIENCE IN CHW WORK IN THE REGION. THE TORCH WORKFORCE PROJECT WILL ALSO INCORPORATE DOULAS INTO OUR TRAINING PROGRAM TO RESPOND TO OUR REGION’S CRIPPLING RATES OF MATERNAL AND INFANT MORTALITY, AND TO CREATE ADDITIONAL PATHS TO EMPLOYMENT AND CAREER GROWTH FOR THOSE WHO CALL THE DELTA THEIR HOME. WITHIN THIS PROJECT, DHA WILL ENGAGE WITH THE MISSISSIPPI STATE DEPARTMENT OF HEALTH TO SUPPORT THEIR EFFORTS TO ESTABLISH A STATE CERTIFICATION FOR CHWS, WHILE ESTABLISHING AND SUPPORTING INTERNSHIP AND JOB PLACEMENT PROGRAMS FOR GRADUATES OF THIS COLLABORATIVE PROGRAM. FUNDING PREFERENCE: DHA IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 2: MEDICALLY UNDERSERVED AREAS. ALL 12 COUNTIES SERVED BY OUR COLLABORATIVE ARE LOCATED IN MUAS. SPECIAL CONSIDERATION: DELTA HEALTH ALLIANCE IS REQUESTING SPECIAL CONSIDERATION BASED ON THE INCLUSION OF A SIGNED MOU OR LETTER OF COMMITMENT FROM NETWORK PARTNERS INCLUDED IN ATTACHMENT 11.

RURAL PUBLIC HEALTH WORKFORCE TRAINING NETWORK PROGRAM - PROJECT TITLE: BAY RIVERS TELEHEALTH ALLIANCE EMERGENCY MEDICAL SERVICES WORKFORCE TRAINING APPLICANT ORGANIZATION NAME, ADDRESS, AND WEBSITE: BAY RIVERS TELEHEALTH ALLIANCE, 618 HOSPITAL ROAD, TAPPAHANNOCK, VIRGINIA 22560 HTTPS://BAYRIVERSTELEHEALTH.ORG APPLICANT ORGANIZATION FACILITY TYPE: NON-PROFIT TELEHEALTH NETWORK PROJECT DIRECTOR NAME, TITLE, AND CONTACT INFORMATION: DONNA DITTMAN HALE, EXECUTIVE DIRECTOR, TEL. 804-443-6286 EMAIL: DDHALE@COX.NET PROPOSED WORKFORCE TRAINING TRACK: TRACK #3 COMMUNITY PARA-MEDICINE TARGET SERVICE AREAS: VIRGINIA COUNTIES OF ACCOMACK, NORTHAMPTON, ESSEX, KING AND QUEEN, KING WILLIAM, MATHEWS, MIDDLESEX, LANCASTER, NORTHUMBERLAND, RICHMOND, AND WESTMORELAND LIST OF PROPOSED NETWORK PARTNER ORGANIZATIONS: EASTERN SHORE COMMUNITY SERVICES BOARD, LEDWITH LEWIS FREE CLINIC, RAPPAHANNOCK COMMUNITY COLLEGE, VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM, WESTMORELAND COUNTY EMERGENCY MEDICAL SERVICES, NORTHAMPTON COUNTY DEPARTMENT OF EMERGENCY MEDICAL SERVICES, ESSEX COUNTY EMERGENCY MEDICAL SERVICES, BAY AGING. TOTAL FUNDING AMOUNT REQUESTED FOR THE ENTIRE THREE-YEAR PERIOD OF PERFORMANCE: $1,545,000.00 CAPACITY TO SERVE RURAL UNDERSERVED POPULATIONS: BRTA BRINGS SIGNIFICANT STRATEGIC PLANNING, NETWORK LEADERSHIP AND MANAGEMENT, AND GRANT RESOURCE DEVELOPMENT SKILLS TO THIS PROJECT, DEVELOPED THROUGHOUT ITS 17 YEARS AS A SUCCESSFUL RURAL TELEHEALTH NETWORK. BRTA HAS AN EXCEPTIONALLY STRONG TRACK RECORD OF CROSS-AGENCY LEADERSHIP, DEVELOPED THROUGH LEADING NUMEROUS MULTI-AGENCY CONSORTIA IN THE DELIVERY OF FEDERAL GRANTS SERVING THE TARGET SERVICE REGION FOR THIS PROPOSED PROJECT. THE NETWORK FOR THIS PROJECT HAS GROWN OUT OF A LONG-STANDING NETWORK OF PARTNERS WHO HAVE A TRACK RECORD OF SUCCESSFUL COLLABORATION IN DELIVERING TELEHEALTH-ENABLED RURAL HEALTHCARE PROJECTS UNDER BRTA’S LEADERSHIP. TOGETHER (IN VARIOUS COMBINATIONS, BUT ALWAYS UNDER THE LEADERSHIP OF BRTA) THESE ORGANIZATIONS HAVE DELIVERED SU CCESSFUL, FEDERALLY GRANT FUNDED RURAL TELEHEALTH AND HEALTHCARE PROJECTS TOTALING OVER $6.3 MILLION OVER THE PAST EIGHT YEARS. EACH PARTICIPANT IN THE NETWORK HAS BEEN SELECTED DUE TO THEIR ABILITY TO CONTRIBUTE TO THE SUCCESS OF THE CURRENT PROJECT’S GOALS AND FOR THEIR ROLE IN CREATING AND MAINTAINING LASTING COLLABORATIVE RELATIONSHIPS TO SERVE THE RURAL TARGET SERVICE AREA FROM THE PERSPECTIVE OF THEIR PARTICULAR SECTOR, INCLUDING HEALTHCARE, EMERGENCY MEDICAL SERVICES PROVISION, EDUCATION, AND OTHER HEALTH AND HUMAN SERVICES. FUNDING PREFERENCE: BRTA IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 1. ACCOMACK, NORTHAMPTON, ESSEX, KING AND QUEEN, KING WILLIAM, MATHEWS, MIDDLESEX, LANCASTER, NORTHUMBERLAND, RICHMOND, AND WESTMORELAND COUNTIES ARE IN A DESIGNATED HPSA. SPECIAL CONSIDERATION: BRTA IS REQUESTING SPECIAL CONSIDERATION BASED ON THE INCLUSION OF A SIGNED MOA/U FROM ALL NETWORK PARTNERS INCLUDED IN ATTACHMENT 11.

PROJECT CO-SLAW: PROVIDING MAT SERVICES TO PERSONS WITH OUD IN NORTHERN COLORADO

REDUCING THE THREAT OF VIRAL SPILLOVER FROM WILDLIFE IN THE PHILIPPINES

MCH COOPERATIVE AGREEMENT FOR A CENTER FOR SCHOOL-BASED HEALTH CARE

DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA)

THE PURPOSES OF THIS MODIFICATION ARE TO: 1) AMEND THE PROGRAM DESCRIPTION AND THE BUDGET; 2) INCREASE THE TOTAL ESTIMATED AMOUNT BY $1,500,000 FROM

AWARD PURPOSE.WORC PURPOSE: IN ALIGNMENT WITH THE JUSTICE40 INITIATIVE, THE PURPOSE OF THE WORC INITIATIVE GRANTS IS TO CREATE ECONOMIC MOBILITY, ADDRESS HISTORIC INEQUITIES FOR MARGINALIZED COMMUNITIES OF COLOR, RURAL AREAS, AND OTHER UNDERSERVED AND UNDERREPRESENTED COMMUNITIES, AND PRODUCE HIGH-QUALITY EMPLOYMENT OUTCOMES FOR WORKERS WHO LIVE OR WORK IN THE APPALACHIAN, DELTA, AND NORTHERN BORDER REGIONS, ENABLING THEM TO REMAIN AND THRIVE IN THESE COMMUNITIES. PROJECT TITLE: DELTA CHILDCARE CAREERS COLLABORATIVEGRANTEE REGION: DRADELIVERABLES EXPECTED OUTCOMES.TOTAL PARTICIPANTS: 280PARTICIPANTS OBTAINING NEW OR ENHANCED EMPLOYMENT: 280INTENDED BENEFICIARIES.TARGET POPULATION: INCUMBENT WORKERSAREAS TO BE SERVED: THREE DISTRESSED, RURAL COUNTIES IN MISSISSIPPI: LEFLORE, SUNFLOWER, AND WARREN.ACTIVITIES TO BE PERFORMED.SUMMARY OF PROJECT: THE DELTA CHILDCARE CAREERS COLLABORATIVE (DCCC) REPRESENTS A COALITION OF ELEVEN RURAL CHILDCARE CENTERS, A LOCAL WORKFORCE DEVELOPMENT BOARD, OUR REGIONAL ECONOMIC DEVELOPMENT COUNCIL AND MISSISSIPPIS LARGEST NON-PROFIT, COMMUNITY-BASED ORGANIZATION, UNITED THROUGH THIS EFFORT TO SUPPORT GAINFUL CAREERS AND LONG-TERM ECONOMIC GROWTH IN RURAL COMMUNITIES OF THE MISSISSIPPI DELTA. OUR COALITION SEEKS TO 1) PROMOTE THE AVAILABILITY OF GOOD JOBS IN ELEVEN RURAL CHILDCARE CENTERS 2) PRIORITIZE EQUITY AND CAREER ADVANCEMENT 3) SUSTAIN ECONOMIC TRANSFORMATION IN RURAL, IMPOVERISHED COMMUNITIES 4) INCREASE ACCESS TO FAMILY SUSTAINING WAGES AND BENEFITS 5) PROVIDE SUPPORT SERVICES TO PARTICIPANTS AND EMPLOYERS INCLUDING CHILDCARE, TRANSPORTATION, HEALTHCARE AND FINANCIAL AID AND 6) ESTABLISH MECHANISMS TO ASSIST INCUMBENT WORKERS RECOVERING FROM SUBSTANCE USE DISORDER OR WITH OTHER BEHAVIORAL HEALTH NEEDS. HIGHLY TRAINED CAREER COACHES, RECRUITED DIRECTLY FROM THE COMMUNITIES SERVED, WILL WORK WITH PARTICIPANTS TO ASSESS THEIR CAREER GOALS AND NEEDS, THEN DEVELOP A CUSTOMIZED ACTION PLAN FOR ACHIEVING THOSE CAREER AND ECONOMIC OBJECTIVES. PARTICIPANTS WILL RECEIVE ASSISTANCE WITH ENROLLMENT IN TRAINING PROGRAMS, ACCESS TO STUDY GROUPS AND PROFESSIONAL DEVELOPMENT PROGRAMS, OPPORTUNITIES FOR INTERNSHIPS AND APPRENTICESHIPS, LINKAGES AND FOLLOW-UP FOR SOCIAL SERVICES, AND ACCESS TO FAMILY SUPPORT SERVICES THAT CAN GUIDE LONG-TERM CAREER SUCCESS. THE DCCC WILL ALSO WORK WITH PRIVATELY OWNED CHILDCARE CENTERS AND HEAD START EARLY HEAD START CENTERS TO CREATE IN-HOUSE SUPPORTS AND RESOURCES FOR THEIR STAFF TO PROMOTE JOB RETENTION, ESTABLISH MENTORING PROGRAMS AND FOSTER CAREER ADVANCEMENT. OUR COALITION EXPECTS 280 WORKERS IN RURAL CHILDCARE CENTERS WILL RECEIVE CRITICAL CAREER, TRAINING AND SUPPORT SERVICES, LEADING TO A 50 REDUCTION IN TURNOVER RATES AND STATISTICALLY SIGNIFICANT IMPROVEMENTS IN EMPLOYEES SKILLS AND CAREER ADVANCEMENT.SUBRECIPIENT ACTIVITIES.THE RECIPIENT INTENDS TO SUBAWARD FUNDS.

AWARD PURPOSE:THE PURPOSE OF WORC ROUND 6 IS TO INCREASE ACCESS TO STABLE, HIGH-QUALITY, FAMILY-SUSTAINING JOBSFOR WORKERS IN THE APPALACHIAN, DELTA, AND NORTHERN BORDER REGIONS, INCLUDING THOSE IN CRITICALSECTORS SUCH AS INFRASTRUCTURE AND CLEAN ENERGY. IMPROVING ACCESS TO THESE GOOD JOBS WILL ENABLETHESE WORKERS TO REMAIN WITHIN THEIR REGION. THIS FOCUS ALSO IS CONSISTENT WITH THE BIDEN-HARRISADMINISTRATIONS COMMITMENT TO EXPAND ACCESS TO QUALITY JOBS, AS DEFINED BY THE GOOD JOBSPRINCIPLES, A SHARED FEDERAL VISION OF JOB QUALITY PUBLISHED BY THE DEPARTMENTS OF LABOR ANDCOMMERCE, AND THE RURAL PARTNERS NETWORK, AN ALL-OF-GOVERNMENT PROGRAM THAT CONNECTS RURALCOMMUNITIES WITH RESOURCES AND FUNDING TO CREATE JOBS, BUILD INFRASTRUCTURE, AND SUPPORT LONGTERMECONOMIC MOBILITY.ACTIVITIES PERFORMED:ALLOWABLE PROJECT ACTIVITIES FOR WORC ROUND 6 GRANT AWARD RECIPIENTS INCLUDE WORKFORCE TRAININGACTIVITIES AND CAREER SERVICES, SUPPORTIVE SERVICES, EMPLOYER SERVICES, STRATEGIC PLANNING ACTIVITIES,AND EQUIPMENT AND RENOVATION PURCHASES.DELIVERABLES:WORC ROUND 6 GRANT AWARD RECIPIENTS IDENTIFY THE TOTAL NUMBER OF ELIGIBLE PARTICIPANTS PROJECTED TOBE ENROLLED DURING THE PERIOD OF PERFORMANCE, AND THE TOTAL NUMBER OF ELIGIBLE PARTICIPANTSPROJECTED TO ENTER GOOD JOBS OR OBTAIN NEW OR ENHANCED EMPLOYMENT AS A RESULT OF THE PROJECT.SEE NOTICE OF AWARD, TERMS AND CONDITIONS, ATTACHMENT D, STATEMENT OF WORK, ABSTRACTINTENDED BENEFICIARY(IES):ELIGIBLE PARTICIPANTS FOR WORC ROUND 6 GRANT AWARDS INCLUDE: 1) NEW ENTRANTS TO THE WORKFORCE:FOR THE PURPOSES OF THIS FOA, THE CATEGORY OF NEW ENTRANTS TO THE WORKFORCE REFERS TO THOSE WHOHAVE NEVER WORKED BEFORE OR WHO HAVE BEEN OUT OF THE WORKFORCE FOR A LONG ENOUGH TIME TO MAKE ITAS IF THEY ARE ENTERING THE WORKFORCE FOR THE FIRST TIME 2) DISLOCATED WORKERS: FOR THE PURPOSES OFTHIS FOA, THIS TERM REFERS TO THE DEFINITION FOUND AT SECTION 3(15) OF WIOA AND 3) INCUMBENTWORKERS: FOR THE PURPOSES OF THIS FOA, THIS TERM REFERS TO INDIVIDUALS WHO ARE EMPLOYED BUT NEEDEMPLOYMENT AND TRAINING SERVICES TO SECURE FULL-TIME EMPLOYMENT, ADVANCE IN THEIR CAREERS, ORRETAIN THEIR EMPLOYMENT. WITHIN THESE ELIGIBLE PARTICIPANT CATEGORIES (NEW ENTRANTS, DISLOCATEDWORKERS, AND INCUMBENT WORKERS), APPLICANTS MUST PRIORITIZE HISTORICALLY MARGINALIZED POPULATIONSAND COMMUNITIES WITHIN THE LOCAL OR REGIONAL ECONOMIC AREA SERVED BY THE GRANT, INCLUDING WOMEN,PEOPLE OF COLOR, JUSTICE-INVOLVED INDIVIDUALS, INDIVIDUALS WITH DISABILITIES, VETERANS, INDIVIDUALS WITHLIMITED ENGLISH PROFICIENCY, INDIVIDUALS WITH A HISTORY OF SUBSTANCE DEPENDENCY OR OTHER BEHAVIORALHEALTH CONDITIONS, OR OTHER POPULATIONS WHO WILL BENEFIT FROM IMPROVED JOB QUALITY AND CAREERADVANCEMENT OPPORTUNITIES.SUBRECIPIENT ACTIVITIES:WORC ROUND 6 GRANT AWARD RECIPIENTS MAY PARTNER WITH SUBRECIPIENTS AS WELL AS PROVIDE SERVICESTHROUGH AMERICAN JOB CENTERS WITHIN THE AREA COVERED BY THE GRANT AS APPROPRIATE.

THE BLACK MENTAL HEALTH ALLIANCE (BHMA) WILL USE CREDIBLE MESSENGERS TO ENGAGE RESIDENTS ON THE CORNERS OF THE OPEN AIR DRUG MARKETS AND IN HOTSPOTS FOR VIOLENT CRIME TO OFFER VIOLENCE PREVENTION MESSAGING, VIOLENCE INTERVENTION, MENTAL HEALTH SERVICES, YOUTH ENTREPRENEURSHIP TRAINING, AND CASE MANAGEMENT TO DECREASE VIOLENCE AND CRIME. THIS STRATEGY IS BASED ON EVIDENCE-INFORMED PRACTICES SUCH AS CASE MANAGEMENT, MENTAL HEALTH SERVICES, AND NEAR-PEER MENTORING. THE GOAL OF THE PROPOSED PROJECT IS TO REDUCE AND PREVENT VIOLENT CRIME AND PROMOTE COMMUNITY HEALING.    PRIMARY ACTIVITIES: 1) COMPLETION OF A NEEDS ASSESSMENT; 2) DEVELOPMENT AND IMPLEMENTATION OF A STRATEGIC VIOLENCE REDUCTION PLAN; 3) ONGOING PROGRAM EVALUATION; 4) ENSURING MEANINGFUL ENGAGEMENT BY RESIDENTS, VICTIMS AND SURVIVORS OF VIOLENCE, AND THOSE AT HIGH RISK OF INVOLVEMENT IN VIOLENT CRIME AND CRIMINAL ACTIVITY IN ALL ASPECTS OF THE PROGRAM; AND 5) THE HOSTING OF COMMUNITY EVENTS TO ENCOURAGE ENGAGEMENT AND PROMOTE SOCIAL COHESION. EXPECTED OUTCOMES: 1) A DECREASE IN CRIME AND VIOLENCE AS MEASURED BY A REDUCTION IN REPORTED CRIMES; AND 2) INCREASED SOCIAL COHESION AS EVIDENCED BY INCREASED ATTENDANCE AT COMMUNITY EVENTS. SERVICE AREA: THE UPTON/DRUID HEIGHTS NEIGHBORHOOD OF BALTIMORE CITY, MD (ZIP CODE 21217).  INTENDED BENEFICIARIES: THE RESIDENTS OF UPTON/DRUID HEIGHTS, PARTICULARLY THOSE AT HIGH RISK OF INVOLVEMENT IN VIOLENT CRIME AND CRIMINAL ACTIVITY.  PROPOSED SUBRECIPIENTS ARE: 1) THE UNIVERSITY OF MARYLAND SCHOOL OF SOCIAL WORK; 2) HEARTSMILES; AND 3) THE PEACE TEAM. BMHA IS SEEKING PRIORITY CONSIDERATION UNDER PRIORITIES 1(B) AND 2. THE APPLICANT AND TWO SUBAWARDEES ARE CULTURALLY SPECIFIC ORGANIZATIONS SERVING THE BLACK COMMUNITY IN UPTON/DRUID HEIGHTS. A TOTAL OF 76.3% OF THE REQUESTED FUNDS WILL BE ALLOCATED TO CULTURALLY SPECIFIC ORGANIZATIONS. OF THE TOTAL FUNDS REQUESTED $1,497,988.16, $439,619 (29%) WILL BE UTILIZED DIRECTLY BY BMHA. SONS OF PHOENIX WILL RECEIVE A SUBAWARD OF $429,500 (28.6%) AND HEARTSMILES WILL RECEIVE A SUBAWARD OF $280,800 (18.7%). PRIORITY 1(B) IS ADDRESSED ON PAGE 12 OF THE PROGRAM NARRATIVE. PRIORITY 2 IS ADDRESSED ON PAGES 5 - 15 OF THE PROGRAM NARRATIVE, WHERE IT IS CHARACTERIZED AS VIOLENT CRIME.

AWARD PURPOSE THE PURPOSE OF THIS GRANT OPPORTUNITY IS TO CREATE ECONOMIC MOBILITY, ADDRESS HISTORIC INEQUITIES FOR MARGINALIZED COMMUNITIES OF COLOR AND OTHER UNDERSERVED AND UNDERREPRESENTED COMMUNITIES, AND PRODUCE HIGH-QUALITY EMPLOYMENT FOR WORKERS WHO RESIDE IN THE APPALACHIAN AND DELTA REGIONS, ENABLING THEM TO REMAIN AND THRIVE IN THESE COMMUNITIES. ACTIVITIES PERFORMED CAREER TRAINING, JOB PLACEMENT ASSISTANCE AND INTERNSHIPS ARE FOCUSED IN THE AREAS OF ALLIED HEALTH AND PRE-K AND K-12 EDUCATION. DELIVERABLES 120 LOW-INCOME PARTICIPANTS WILL RECEIVE OUR FULL SCOPE OF SERVICES INCLUDING JOB TRAINING/CERTIFICATIONS, 90% OF WHOM WILL SEE A STATISTICALLY SIGNIFICANT INCREASE IN ANNUAL SALARIES AND EMPLOYMENT STATUS, WITH ANOTHER 60 PARTICIPANTS RECEIVING ONE OR MORE COALITION CAREER SUPPORT SERVICES INCLUDING COUNSELING, JOB PLACEMENT ASSISTANCE AND ON-THE-JOB TRAINING. INTENDED BENEFICIARY DISLOCATED WORKERS, INCUMBENT WORKERS AND NEW WORKFORCE ENTRANTS SUBRECIPIENT ACTIVITIES EMPLOYER/INDUSTRY REPRESENTATIVES: LELAND MEDICAL CLINIC, DELTA HEALTH MEDICAL CENTER, LELAND SCHOOL DISTRICT, HOLLANDALE SCHOOL DISTRICT, AND NINE HEAD START/EARLY HEAD START CENTERS WHOSE ROLES ARE TO INFORM JOB TRAINING STRATEGIES, HOST INTERNS AND PROVIDE ON- THE-JOB TRAINING, AND HIRE GRADUATES OF OUR PROGRAM; LOCAL WORKFORCE DEVELOPMENT BOARD: SOUTH DELTA PLANNING AND DEVELOPMENT DISTRICT AND THEIR AFFILIATED WIN JOB CENTERS WHOSE ROLE IS TO PROVIDE CAREER TRAINING, RESUME BUILDING, INTERVIEWING PRACTICE AND JOB PLACEMENT ASSISTANCE; EDUCATORS: DELTA STATE UNIVERSITY, COAHOMA COMMUNITY COLLEGE, NORTHWEST COMMUNITY COLLEGE AND MS DELTA COMMUNITY COLLEGE, WHOSE ROLES ARE TO PROVIDE SUPPORT OF STUDENTS ENROLLED IN THEIR JOB TRAINING CERTIFICATE PROGRAMS; REGIONAL ECONOMIC DEVELOPMENT AGENCY: DELTA COUNCIL WHOSE ROLE IS TO PROVIDE STRATEGIC GUIDANCE TO INFORM LEADERSHIP OF TRAINING NEEDS, IDENTIFY NEW EMPLOYER PARTNERS AND ENSURE ALIGNMENT WITH LOCAL STRATEGIC PLANNING; AND EVALUATOR: CENTER FOR COMMUNITY RESEARCH AND EVALUATION WHOSE ROLE IS TO PROVIDE AN INDEPENDENT EVALUATION OF OUTCOMES, COORDINATE WITH ETA EVALUATION AND TO IDENTIFY CONCERNS FOR OUR CONTINUOUS QUALITY IMPROVEMENT ACTIVITIES.

STRATEGIC COORDINATION TO STRENGTHEN AFRICOM ONE HEALTH AND VETERINARY PROGRAMS FOR GLOBAL HEALTH ENGAGEMENT STRENGTHENING MULTI-SECTORAL APPROACHES TO BIODEFENSE AND BIOSURVEILLANCE IN THE CAUCASUS

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CARE COORDINATION IN RURAL SCHOOL-BASED HEALTH CENTERS FOR IMPROVING HEALTH OUTCOMES - CHILDREN AND FAMILIES IN LOW-RESOURCED, RURAL COMMUNITIES OFTEN FACE FRAGMENTED CARE ACROSS HEALTH, SOCIAL, AND EDUCATIONAL NEEDS, RESULTING IN POORER HEALTH AND WELLNESS OUTCOMES. SCHOOL-BASED HEALTH CARE COORDINATION, PROVIDED THROUGH SCHOOL-BASED HEALTH CENTERS (SBHCS), CAN REDUCE FRAGMENTED CARE BY ORGANIZING A WIDE RANGE OF HEALTH CARE ACTIVITIES TO ENSURE THAT STUDENTS’ HEALTH AND SOCIAL NEEDS ARE ADDRESSED AND ADVANCE HEALTH EQUITY. THE SCHOOL-BASED HEALTH ALLIANCE (SBHA)’S PROJECT, CARE COORDINATION IN RURAL SCHOOL-BASED HEALTH CENTERS FOR IMPROVING HEALTH OUTCOMES, AIMS TO EMBED CARE COORDINATION IN SIX COUNTIES ACROSS NEW MEXICO AND WEST VIRGINIA, SERVING HISPANIC, NATIVE AMERICAN, RURAL APPALACHIAN, AND AFRICAN AMERICAN STUDENTS IN 11 SCHOOLS SERVED BY SBHCS. WE WILL STRATEGICALLY TARGET TWO SOCIAL DETERMINANTS OF HEALTH – HEALTH ACCESS AND QUALITY AND EDUCATION ACCESS AND QUALITY – TO REDUCE SOCIAL BARRIERS, INCREASE PREVENTIVE HEALTH SERVICES, AND MAKE PROGRESS TOWARDS TWO LEADING HEALTH INDICATORS: HOUSEHOLD FOOD INSECURITY AND HUNGER AND ADOLESCENTS WITH MAJOR DEPRESSIVE EPISODES WHO RECEIVE TREATMENT. FOCUSING ON THESE DOMAINS AND INDICATORS ALLOWS US TO WORK TOWARDS ELIMINATING BARRIERS THAT LOW-RESOURCED RURAL COUNTIES FACE IN ACCESSING CRITICAL HEALTH SERVICES AND EDUCATIONAL OPPORTUNITIES, DIRECTLY IMPACTING THE WELL-BEING AND ACADEMIC SUCCESS OF SCHOOL-AGED CHILDREN. OUR PROJECT WILL CREATE A COLLABORATIVE NETWORK OF SBHA STATE AFFILIATES, PRIMARY CARE ASSOCIATIONS, FEDERALLY QUALIFIED HEALTH CENTERS, SCHOOL-BASED HEALTH CENTERS, SCHOOLS, STUDENTS, PARENTS, AND COMMUNITY PARTNERS TO EFFECTIVELY IMPLEMENT AND MAINTAIN THE CARE COORDINATION INFRASTRUCTURE. KEY INFRASTRUCTURE COMPONENTS OF THIS PROJECT INVOLVE IMPLEMENTING CARE COORDINATION TECHNOLOGY AND HIRING AND TRAINING FOUR DEDICATED SCHOOL-BASED HEALTH CARE COORDINATORS. CARE COORDINATION ACTIVITIES WILL FACILITATE THE INTEGRATION AND OPTIMIZATION OF PREVENTIVE HEALTH SERVICES WITHIN SCHOOL SETTINGS, FACILITATING A MORE COORDINATED APPROACH TO HEALTH CARE DELIVERY AND EDUCATION. CARE COORDINATORS WILL SCREEN FOR SOCIAL DETERMINANTS OF HEALTH NEEDS RELATED TO HOUSEHOLD FOOD INSECURITY AND HUNGER AND DEPRESSION, DEVELOP CARE PLANS TO ADDRESS NEEDS, AND WORK CLOSELY WITH THEIR SCHOOL AND COMMUNITY TO ENSURE THAT STUDENTS RECEIVE COMPREHENSIVE, TIMELY, AND CULTURALLY APPROPRIATE HEALTH CARE INTERVENTIONS. OUR PROJECT WILL FOCUS ON CREATING SYSTEMATIC CHANGES THAT WILL ADDRESS IMMEDIATE HEALTH NEEDS AND FOSTER RESILIENCE IN THESE RURAL COUNTIES. THIS PROJECT INCLUDES A RIGOROUS EVALUATION COMPONENT DESIGNED TO MEASURE THE EFFECTIVENESS AND IMPACT OF THE CARE COORDINATION MODEL ON STUDENT HEALTH AND EDUCATIONAL OUTCOMES. BY COLLECTING AND ANALYZING DATA, THE PROJECT AIMS TO CONTRIBUTE VALUABLE INSIGHTS TO THE EVIDENCE BASE ON THE EFFICACY OF SCHOOL-BASED HEALTH CARE COORDINATION. THESE FINDINGS WILL INFORM FUTURE STRATEGIES AND POLICIES AIMED AT IMPROVING HEALTH OUTCOMES IN SIMILAR RURAL SETTINGS ACROSS THE COUNTRY. THROUGH THIS COMPREHENSIVE APPROACH, THIS PROJECT SEEKS TO CREATE A REPLICABLE MODEL OF CARE THAT ENSURES EQUITABLE ACCESS TO HEALTH SERVICES AND EDUCATIONAL OPPORTUNITIES, ULTIMATELY LEADING TO HEALTHIER, MORE SUCCESSFUL STUDENTS AND FAMILIES.

PURPOSE: ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING/CONGRESSIONAL DIRECTED SPENDING AWARDS ARE AUTHORIZED UNDER THE CONSOLIDATED APPROPRIATIONS ACT, 2022 PUBLIC LAW 117-328 AND THE EXPLANATORY STATEMENT FOR DIVISION L OF THAT ACT. PROJECTS SELECTED FOR COMMUNITY PROJECT FUNDING/CONGRESSIONAL DIRECTED SPENDING ARE LISTED IN THE JOINT EXPLANATORY STATEMENT (JES) THAT ACCOMPANIES A SPECIFIC FISCAL YEAR’S APPROPRIATIONS ACT OR CONGRESSIONAL RECORD. THE JES LISTS PROJECT, RECIPIENT, STATE, AMOUNT AND CONGRESSIONAL SPONSOR.; ACTIVITIES TO BE PERFORMED: ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING AWARD PROJECTS INCLUDE A WIDE VARIETY OF ACTIVITIES THAT RESULT IN ECONOMIC DEVELOPMENT OR COMMUNITY DEVELOPMENT OUTCOMES. HUD WILL NOT KNOW THE FULL SCOPE OF THE PROJECT UNTIL THE RECIPIENT SUBMITS THE REQUIRED PROJECT NARRATIVE AND CONFIRMS ALIGNMENT WITH THE LANGUAGE AS PROVIDED IN THE CONGRESSIONAL RECORD. TO FIND THE DETAILS OF THE GRANT AWARD AS WRITTEN WITHIN THE CONGRESSIONAL RECORD USE THE FOLLOWING LINK AND PATH SELECTIONS TO GET TO THE DESCRIPTION OF THE ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING GRANTS HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/EDI-GRANTS, SELECT THE FISCAL YEAR OF INTEREST, SCROLL DOWN TO PROGRAM LAWS AND REGULATIONS, UNDER FISCAL YEAR 20XX CONSOLIDATED APPROPRIATIONS ACT, 20XX: CONGRESSIONAL RECORD (JOINT EXPLANATORY STATEMENT).; EXPECTED OUTCOMES: COMPLETION OF THE PROJECT AS DESCRIBED IN THE JOINT EXPLANATORY STATEMENT (JES) PROJECT DESCRIPTION AND SUBSEQUENT APPROVED PROJECT NARRATIVE.; INTENDED BENEFICIARIES: THE PROJECT BENEFICIARIES ARE THE INDIVIDUALS AND/OR ORGANIZATIONS THAT ARE AWARDED GRANT FUNDS OR SERVED BY THE ENTITIES THAT ARE AWARDED GRANT FUNDS AS IDENTIFIED IN THE JES RECIPIENT OR PROJECT DESCRIPTION SECTIONS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

TELEHEALTH ENABLED ACCESS TO YOUTH SUBSTANCE ABUSE TREATMENT & RECOVERY - BAY RIVERS TELEHEALTH ALLIANCE TELEHEALTH ENABLED ACCESS TO YOUTH SUBSTANCE ABUSE TREATMENT & RECOVERY ABSTRACT BAY RIVERS TELEHEALTH ALLIANCE(BRTA), IN PARTNERSHIP WITH THE MIDDLE PENINSULA NORTHERN NECK COMMUNITY SERVICES BOARD(CSB) AND FIVE RURAL SCHOOLS SYSTEMS IN EASTERN VIRGINIA, WILL DELIVER EFFECTIVE AND COORDINATED FAMILY-CENTERED, TELEHEALTH-ENABLED SUBSTANCE ABUSE SERVICES INCLUDING PREVENTION, EARLY INTERVENTION, TREATMENT, AND RECOVERY SUPPORT SERVICES TO ADOLESCENTS AND YOUTH IN TRANSITION WITH OR AT RISK FOR SUBSTANCE USE DISORDER(SUD) AND CO-OCCURRING DISORDERS(COD). BY ENHANCING AND EXPANDING THE SYSTEM OF CARE WITH COMPREHENSIVE EVIDENCE-BASED PRACTICES, BUILDING TELEHEALTH INFRASTRUCTURE LINKING MIDDLE AND HIGH SCHOOLS IN THE REGION WITH INTEGRATED TRAUMA-INFORMED, OUTPATIENT SERVICES, AS WELL AS SUPPORT FOR FAMILIES AND CAREGIVERS, AND CASE MANAGEMENT TO LINK WITH WRAP-AROUND SERVICES TO MEET SOCIAL DETERMINANTS OF HEALTH, THE PROPOSED SYSTEM OF CARE WILL MEET THE COMPLEX NEEDS OF ADOLESCENTS WITH OR AT RISK OF DEVELOPING SUBSTANCE USE DISORDER AND MENTAL ILLNESS, AND THEIR FAMILIES/PRIMARY CAREGIVERS. THE GEOGRAPHIC CATCHMENT AREA FOR SERVICE DELIVERY COMPRISES SIX COUNTIES OF TWO CONTIGUOUS, RURAL REGIONS IN EASTERN VIRGINIA KNOWN AS THE NORTHERN NECK (LANCASTER, NORTHUMBERLAND, RICHMOND, AND WESTMORELAND COUNTIES) AND THE MIDDLE PENINSULA (ESSEX AND MIDDLESEX COUNTIES). EVIDENCE-BASED PRACTICES TO BE USED TO DELIVER SERVICES INCLUDE THE ADOLESCENT COMMUNITY REINFORCEMENT APPROACH (A-CRA), COMMUNITY REINFORCEMENT AND FAMILY TRAINING (CRAFT), SEEKING SAFETY: AN EVIDENCE-BASED MODEL FOR SUBSTANCE ABUSE AND TRAUMA/PTSD, CHANGE COMPANIES CURRICULUM, AND ECOSYSTEMIC STRUCTURAL FAMILY THERAPY (ESFT). BY INITIATING, EXPANDING AND FACILITATING BEHAVIORAL HEALTH SERVICES FOR PREVENTION AND EARLY INTERVENTION IN THE SCHOOLS (GOALS 1 AND 2), IT IS ANTICIPATED THAT MORE YOUTH AND FAMILIES WILL BE IDENTIFIED AND EFFECTIVELY REFERRED FOR THE NEW CAPACITY DEVELOPED FOR SUD TREATMENT AND RECOVERY SUPPORT SERVICES BY THE MPNNCSB (GOAL 3). UTILIZING TELEHEALTH ENABLED SYSTEMS OF CARE TO CONNECT STUDENTS, FAMILIES AND CLINICIANS IN SCHOOL, AT HOME AND IN CLINICAL SETTINGS, WILL INCREASE ACCESS TO CARE BY REDUCING THE BARRIERS MANY FAMILIES FACE IN THIS REGION DUE TO TRAVEL DISTANCES, TIME CONSTRAINTS, LIMITED INCOME AND FAMILY RESPONSIBILITIES. IN ADDITION TO TRAINING STAFF AT THE SCHOOLS AND THE MPNNCSB, THE PROJECT ANTICIPATES SERVING THE FOLLOWING NUMBER OF UNDUPLICATED YOUTH. TOTAL NUMBER OF UNDUPLICATED INDIVIDUALS SERVED BY PROJECT: YEAR 1 – ENDING 8/31/22: 60; YEAR 2 – ENDING 8/31/23: 100; YEAR 3 – ENDING 8/31/24:120; YEAR 4 – ENDING 8/31/25:140; YEAR 5 – ENDING 8/31/26: 160; TOTAL - 580

ACCOUNTABLE HEALTH COMMUNITY TRACK 3 - THE MISSISSIPPI DELTA ACCOUNTABLE HEALTH COMMUNITY

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

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC. (KMHA) WAS CREATED IN 2005 BY A GROUP OF COMMUNITY HEALTHCARE AND SOCIAL SERVICE PARTNERS WHO HAD A SIMILAR MISSION TO CREATE A HEALTHCARE SAFETY NET FOR THE UNDERSERVED OR AT-RISK FOR HOMELESSNESS POPULATION. KMHA IS PROACTIVE IN OUR EFFORT TO PROTECT THE HEALTH AND THE DELIVERY OF ESSENTIAL HUMAN SERVICES TO THE HOMELESS OR THOSE AT RISK, ESPECIALLY FOR THOSE WHO ARE LEAST ABLE TO HELP THEMSELVES. KMHA HAS BEEN OPERATING THE PERRY COUNTY HCH PROGRAM SINCE 2006. WE HAVE ONE PERMANENT SERVICE DELIVERY SITE, LITTLE FLOWER CLINIC LOCATED AT 279 EAST MAIN STREET, HAZARD, KY IN THE HEART OF PERRY COUNTY, KENTUCKY AND ONE MOBILE MEDICAL CLINIC THAT TRAVELS TO THE FAR OUTREACH PLACES WITHIN PERRY COUNTY, KENTUCKY. KMHA BELIEVES IN THE IMPORTANCE OF A HOLISTIC APPROACH TO HEALTH (I.E. ATTENDING TO THE PHYSICAL, SPIRITUAL, MENTAL, CULTURAL, EMOTIONAL AND SOCIAL WELLBEING) AND THEIR ROLE IN CONTRIBUTING TO HEALTH OUTCOMES FOR THE HOMELESS POPULATION; INCLUDING THE ENVIRONMENTAL DETERMINANTS OF HEALTH SUCH AS FOOD, WATER, HOUSING AND UNEMPLOYMENT; INCLUDING THE SOCIAL DETERMINANTS OF HEALTH AND WELLBEING, OR SOCIOECONOMIC CONDITIONS (E.G., CONCENTRATED POVERTY AND THE STRESSFUL CONDITIONS THAT ACCOMPANY IT). TO ADDRESS THE NEED FOR HIV PREVENTION SERVICES AMONG THE HOMELESS POPULATION, KMHA WILL SEEK TO 1) DIAGNOSE ALL PATIENTS WITH HIV AS EARLY AS POSSIBLE AFTER TRANSMISSION; 2) TREAT PATIENTS WITH HIV RAPIDLY AND EFFECTIVELY TO REACH SUSTAINED VIRAL SUPPRESSION; 3) PREVENT NEW HIV TRANSMISSION BY USING PROVEN INTERVENTIONS, INCLUDING PRE-EXPOSURE PROPHYLAXIS (PREP) AND SYRINGE SERVICES PROGRAMS (SSPS); AND 4) RESPOND QUICKLY TO POTENTIAL HIV OUTBREAKS TO GET NEEDED PREVENTION AND TREATMENT SERVICES TO THE PATIENTS WHO NEED THEM. KMHA PROVIDES A FULL ARRAY OF QUALITY MEDICAL, BEHAVIORAL, AND ORAL HEALTH CARE, AS WELL AS CHRONIC DISEASE CASE MANAGEMENT, TRANSPORTATION, OUTREACH AND AN OVERALL IMPROVED EXPERIENC E FOR PATIENTS AND THEIR FAMILIES IN WAYS THAT DEMONSTRATE OUR COMMITMENT TO RURAL HEALTH CARE. WE BELIEVE THAT SERVICES MUST, AS FAR AS POSSIBLE, BE WELL-INTEGRATED, COORDINATED AND ADDRESS THE CONTINUITY OF CARE, PARTICULARLY FOR THOSE WITH COMPLEX, CHRONIC HEALTH CONDITIONS. PER LATEST UDS REPORT IN 2020, KMHA PROVIDED 2,888 PATIENTS WITH 5,023 MEDICAL ENCOUNTERS, 2,507 DENTAL ENCOUNTERS,1,489 MENTAL HEALTH ENCOUNTERS,492 SUBSTANCE USE DISORDER ENCOUNTERS, AND 7,070 ENABLING ENCOUNTERS. BY THE END OF PROJECT PERIOD ENDING 2024, KMHA PROJECTS TO SERVE 100% OF THE SAAT PATIENT TARGET OF 2,842 HOMELESS USERS IN PERRY COUNTY AND ITS SURROUNDING COUNTIES. WE PROPOSE TO INCREASE THE NUMBER OF PATIENTS BEING COUNSELED AND TESTED FOR HIV; INCREASE THE NUMBER PRESCRIBED PREP; AND LINK THEM TO EARLY TREATMENT WITHIN THIRTY DAYS OF DIAGNOSIS. WORKING TOGETHER WITH A NETWORK OF AGENCIES, WE CAN MAKE A DIFFERENCE IN OUR QUEST TO END THE HIV EPIDEMIC.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ARRA - CAPITAL IMPROVEMENT PROGRAM

INDEPENDENT INITIATIVE

CF CONGRESSIONALLY DIRECTED GRANTS

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - THE BREVARD HEALTH ALLIANCE (BHA) IS BREVARD COUNTY’S ONLY FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND HAS PROVIDED PRIMARY CARE SERVICES INCLUDING BEHAVIORAL HEALTH TO THE VULNERABLE AND UNDERSERVED COMMUNITIES FOR BREVARD COUNTY SINCE MARCH 2005 BY PROVIDING OVER 1,000,000 MEDICAL, DENTAL, BEHAVIORAL HEALTH, AND ENABLING ENCOUNTERS. REPORTED IN THE 2023 UDS (UNIFORM DATA SYSTEM) REPORT, BHA SERVED 59,718 UNIQUE PATIENTS; 47,801 (OR 80%) OF THE TOTAL PATIENTS WITH KNOWN INCOMES ARE 200% AND BELOW THE FEDERAL POVERTY GUIDELINE. THIS COMPARES TO 24.4% OF INDIVIDUALS IN BREVARD THAT LIVE IN HOUSEHOLDS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL AS REPORTED BY FLORIDA HEALTH CHARTS IN 2022. ACCORDING TO BREVARD COUNTY’S 2022 COMMUNITY NEEDS ASSESSMENT, THE AREA’S TOP BARRIERS INCLUDE TROUBLE GETTING AN APPOINTMENT (34.3% VS. 14.5% IN THE U.S.), TROUBLE FINDING A DOCTOR (25.6% VS. 9.4% IN THE U.S.), COST OF DOCTOR VISIT (21.8% VS. 12.9% IN THE U.S.), COST OF PRESCRIPTIONS (19.2% VS. 12.8% IN THE U.S.), INCONVENIENT OFFICE HOURS (16% VS. 12.5% IN THE U.S.), LACK OF TRANSPORTATION (11% VS. 8.9% IN THE U.S.), AND LANGUAGE/CULTURE (2.3% VS. 2,8% IN THE U.S.). TO REDUCE BARRIERS AND ASSIST IN ADDRESSING THESE NEEDS, WE PROVIDE PRIMARY AND DENTAL CARE; BEHAVIORAL HEALTH, OB/GYN, PHARMACY, SPECIALTY SERVICES, AND ENABLING SERVICES THROUGHOUT THE COUNTY AT TWELVE FIXED SITES AND A MOBILE MEDICAL AND DENTAL UNIT. BHA ALSO PROVIDES HIGHLY DISCOUNTED CARE, EXTENDED OFFICE HOURS, FREE BUS PASSES, AND COST-SAVINGS THROUGH THE 340B PHARMACY PROGRAM TO BHA PATIENTS TOTALING MORE THAN $58.9 MILLION SINCE 2005. THE HEALTH CENTER CURRENTLY PARTICIPATES IN THE VACCINES FOR ADULTS (VFA) AND VACCINES FOR CHILDREN (VFC) PROGRAMS; THESE PROGRAMS PROVIDE VACCINES FOR OUR UNINSURED AND UNDERINSURED PATIENTS. THROUGH BHA’S H80 GRANT (H80CS04213) BHA PROVIDES PRIMARY CARE, INFECTIOUS DISEASE, DENTAL, AND BEHAVIORAL HEALTH SERVICES ACROSS BREVARD COUNTY AND CAN ASSIST WITH JUSTICE-INVOLVED INDIVIDUALS REENTERING THE COMMUNITY (JI-R) GET ESTABLISHED WITH BHA AS A MEDICAL HOME FOR ALL THEIR NEEDS AS THEY RE-ESTABLISH IN THE COMMUNITY. ACCORDING TO THE MOST RECENT DATA IN JANUARY 2023, BREVARD COUNTY’S DETENTION FACILITY HAD AN AVERAGE DAILY POPULATION OF 1,500 INMATES. 64% OF THE INMATES WERE SENTENCED TO SERVE PRISON TIME AND WOULD NEED PRIMARY CARE SERVICES UPON RELEASE. BY USING GRANT FUNDS TO SUPPORT THE SALARIES OF PROVIDERS WHO PROVIDE PRIMARY CARE, INFECTIOUS DISEASE, DENTAL, AND BEHAVIORAL HEALTH SERVICES, BHA WILL BE ABLE TO PROVIDE A MEDICAL HOME FOR JI-R INDIVIDUALS REENTERING THE COMMUNITY. AS THE ONLY FEDERALLY QUALIFIED HEALTH CENTER IN BREVARD COUNTY AND OFTENTIMES SERVING AS THE FIRST POINT OF ACCESS FOR ANY HEALTH CARE NEED, BHA IS WELL-POSITIONED TO EXPAND PRIMARY CARE AND SUPPORT SERVICES TO JI-R INDIVIDUALS WHO NEED IT IN THE COMMUNITY.

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

DELTA HEALTH CARE SERVICES GRANT - CONACT SEC 379G

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

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

DELTA HEALTH CARE SERVICES GRANT - CONACT SEC 379G

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

DELTA HEALTH CARE SERVICES GRANT - CONACT SEC 379G

TELEHEALTH NETWORK GRANT PROGRAM

DELTA HEALTH CARE SERVICES GRANT - CONACT SEC 379G

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

LOCAL COMMUNITY-BASED WORKFORCE TO INCREASE COVID-19 VACCINE ACCESS

LOCAL COMMUNITY-BASED WORKFORCE TO INCREASE COVID-19 VACCINE ACCESS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

DELTA HEALTH CARE SERVICES GRANT - CONACT SEC 379G

PREDICTING SPATIAL VARIATION IN WEST NILE VIRUS TRANSMISSION

HEALTH CENTER INFRASTRUCTURE SUPPORT

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

TELEHEALTH NETWORK GRANT PROGRAM

RURAL HIT NETWORK PROGRAM

DELTA HEALTH CARE SERVICES GRANT - CONACT SEC 379G

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

DLT GRANTS - SUBSTANCE USE DISORDER - MEDICAL

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

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

COLLABORATIVE IMPROVEMENT AND INNOVATION NETWORK ON SCHOOL-BASED HEALTH SERVICES

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

THE DELTA OPIOID TREATMENT RURAL RAPID RESPONSE (DOT-R3) COLLABORATIVE

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

A PATIENT CENTERED APPROACH TO RESTARTING ORAL ANTICOAGULANT THERAPY AFTER MAJOR HEMORRHAGE

HEALTH CENTER INFRASTRUCTURE SUPPORT

ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING, AND MISCELLANEOUS GRANTS

YOUTH DELTA OPIOID TASKFORCE

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

TELEHEALTH NETWORK GRANT PROGRAM

ASSETS FOR INDEPENDENCE DEMONSTRATION PROGRAM (IDA)

THE BLUES PROJECT: IMPROVING DIABETES OUTCOMES IN MISSISSIPPI WITH HEALTH IT

FOREIGN ASSISTANCE ON EBOLA

INTEGRATING BEHAVIORAL HEALTH INTO PRIMARY CARE THROUGH TELEHEALTH EVIDENCE-BASED TELEHEALTH NETWORK

THE RURAL DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING PROGRAM (RURAL PROGRAM) IS AUTHORIZED BY 34 U.S.C. 12341. RURAL PROGRAM FUNDS ARE USED TO SUPPORT PROGRAMS THAT: 1) IDENTIFY, ASSESS, AND APPROPRIATELY RESPOND TO CHILD, YOUTH, AND ADULT VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, DATING VIOLENCE, AND STALKING IN RURAL COMMUNITIES BY ENCOURAGING COLLABORATION AMONG VICTIM SERVICE PROVIDERS, LAW ENFORCEMENT AGENCIES, PROSECUTORS, COURTS, OTHER CRIMINAL JUSTICE SERVICE PROVIDERS, HUMAN AND COMMUNITY SERVICE PROVIDERS, EDUCATIONAL INSTITUTIONS, AND HEALTH CARE PROVIDERS; 2) ESTABLISH AND EXPAND VICTIM SERVICES IN RURAL COMMUNITIES TO CHILD, YOUTH, AND ADULT VICTIMS; 3) INCREASE THE SAFETY AND WELL-BEING OF WOMEN AND CHILDREN IN RURAL COMMUNITIES, BY (A) DEALING DIRECTLY AND IMMEDIATELY WITH DOMESTIC VIOLENCE, SEXUAL ASSAULT, DATING VIOLENCE, AND STALKING; AND (B) CREATING AND IMPLEMENTING STRATEGIES TO INCREASE AWARENESS AND PREVENT THESE CRIMES; AND 4) DEVELOP, EXPAND, IMPLEMENT, AND IMPROVE THE QUALITY OF SEXUAL ASSAULT FORENSIC MEDICAL EXAMINATION OR SEXUAL ASSAULT NURSE EXAMINER PROGRAMS. GRANTEES MUST USE AT LEAST ONE OF THE FOLLOWING STRATEGIES IN IMPLEMENTING THEIR PROJECTS: 1) IMPLEMENT, EXPAND, AND ESTABLISH COOPERATIVE EFFORTS AND PROJECTS AMONG LAW ENFORCEMENT OFFICERS, PROSECUTORS, VICTIM SERVICE PROVIDERS, AND OTHER RELATED PARTIES TO INVESTIGATE AND PROSECUTE INCIDENTS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING; 2) PROVIDE TREATMENT, COUNSELING, ADVOCACY, LEGAL ASSISTANCE, AND OTHER LONG-TERM AND SHORT-TERM VICTIM AND POPULATION SPECIFIC SERVICES TO ADULT AND MINOR VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING IN RURAL COMMUNITIES; 3) WORK IN COOPERATION WITH THE COMMUNITY TO DEVELOP EDUCATION AND PREVENTION STRATEGIES DIRECTED TOWARD SUCH ISSUES; 4) DEVELOP, ENLARGE, OR STRENGTHEN PROGRAMS ADDRESSING SEXUAL ASSAULT; AND 5) DEVELOP PROGRAMS AND STRATEGIES THAT FOCUS ON THE SPECIFIC NEEDS OF VICTIMS OF WHO RESIDE IN REMOTE RURAL AND GEOGRAPHICALLY ISOLATED AREAS. THROUGH THIS NEW OVW RURAL PROGRAM PROJECT, DELTA HEALTH ALLIANCE, INC., IN PARTNERSHIP WITH LELAND MEDICAL CLINIC, HAVEN HOUSE FAMILY SHELTER, THE CENTER FOR VIOLENCE PREVENTION, MISSISSIPPI VOLUNTEER LAWYERS PROJECT AND SOCIAL SERVICES COLLABORATIVE WILL IMPLEMENT THE DELTA ABUSE RESPONSE TEAM (DART). THIS VICTIM SERVICE PROJECT ADDRESSES THE FOLLOWING PURPOSE AREAS: 1,2, AND 3. THE DELTA ABUSE RESPONSE TEAM (DART) PROGRAM IS A COMPREHENSIVE, COMMUNITY-BASED, MULTIFACETED APPROACH TO ADDRESSING THE CRITICAL NEEDS OF RURAL VICTIMS OFDOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING IN FIVE RURAL COUNTIES OF THE MISSISSIPPI DELTA INCLUDING ISSAQUENA COUNTY, LEFLORE COUNTY, SHARKEY COUNTY, WARREN COUNTY, AND YAZOO COUNTY. SPECIFIC ACTIVITIES WILL INCLUDE:1) PROVIDING SOCIAL WORKERS TO ASSIST IN ADDRESSING INCIDENCES OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING; 2) PROVIDING VICTIMS OF INTERPERSONAL VIOLENCE WITH ACCESS TO TRANSITIONAL HOUSING, COUNSELING, CHILDCARE, AND A LEGAL ADVOCATE; 3) CONDUCTING EVIDENCE-BASED TRAINING FOR VICTIM SERVICE PROVIDERS AND OTHER PROFESSIONALS SERVING AT-RISK CHILDREN, YOUTH AND ADULTS; AND 4) PROVIDING LOGISTICAL SUPPORT FOR VICTIMS AND SERVICE PROVIDERS INCLUDING TRANSITIONAL HOUSING, SHELTERS, AND VIOLENCE AND SEXUAL ASSAULT PROGRAMS. THE PROJECT WILL ADDRESS THE FOLLOWING PRIORITY AREAS: PRIORITY AREA 1: ADVANCE EQUITY AND TRIBAL SOVEREIGNTY; AND PRIORITY AREA 2: PREVENT AND END SEXUAL ASSAULT. THE TIMING FOR PERFORMANCE OF THIS AWARD IS 36 MONTHS.

DELTA FUTURES II: AN INNOVATIVE APPROACH TO PROVIDING TEEN PREGNANCY PREVENTION, RISK AVOIDANCE STRATEGIES, AND ADOLESCENT HEALTH EDUCATION TO TEENS IN GED PROGRAMS OR WORKFORCE TRAINING CENTERS.

DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA)

PROVISION OF AND ACCESS TO COMPREHENSIVE EMERGENCY OBSTETRIC CARE SERVICES FOR THE REFUGEE POPULATION OF MELKADIDA, BOKOLMAYO AND BURAMINO CAMPS.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT DIRECTOR NAME: ELLEN VANCE, CEO CONTACT PHONE NUMBER: 606-487-9505 OR FAX: 606-436-0071 CONTACT EMAIL ADDRESS: ELLEN@KYMHA.ORG WEBSITE: HTTPS://WWW.KYMHA.COM HEALTH CENTER PROGRAM GRANT NUMBER: H80CS07772 ADDRESS: 279 E MAIN ST., HAZARD, KY 41701 KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC. (KMHA) WAS ESTABLISHED IN 2005 BY A GROUP OF COMMUNITY HEALTHCARE AND SOCIAL SERVICE PARTNERS WHO HAD A SIMILAR MISSION TO CREATE A HEALTHCARE SAFETY NET FOR THE UNDERSERVED OR AT-RISK FOR HOMELESSNESS POPULATION. KMHA HAS BEEN OPERATING THE PERRY COUNTY HEALTHCARE FOR THE HOMELESS (HCH) PROGRAM SINCE 2006, OFFERING SERVICES AT ONE PERMANENT SITE LOCATION, LITTLE FLOWER CLINIC. IN 2022, KMHA SERVED A TOTAL OF 2,952 UNDUPLICATED PATIENTS. OVER 90% OF THE PATIENT POPULATION IS WHITE AND A MAJORITY OF PATIENTS LIVE IN THE RURAL COMMUNITY. APPROXIMATELY 41% OF THE KMHA PATIENTS ARE UNINSURED. KMHA, WITH THE RECENT PARTNERSHIP WITH QUANTUM HEALTHCARE ASSOCIATES (A LOCAL RURAL HEALTH CLINIC), NOW OPERATES 2 SITES PLUS THE MOBILE MEDICAL UNIT TO PROVIDE CARE TO POPULATIONS EXPERIENCING SOCIAL DETERMINANTS OF HEALTH (SDOH). IN 2023, KMHA SERVED A TOTAL OF 11,238 UNDUPLICATED PATIENTS ACROSS BOTH SITES. THE SERVICE AREA IS HOME TO NEARLY 77,000 PERSONS, 41,000 WHICH ARE LOW-INCOME. KMHA’S ROBUST BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER PROGRAM, PROVIDED DIRECTLY THROUGH THE FQHC, PROVIDES VARIOUS SUPPORT FOR A RURAL COMMUNITY THAT IS GREATLY IMPACTED BY HIGH RATES OF MENTAL HEALTH CONDITIONS AND SUBSTANCE USE DISORDER. KMHA MAT PRESCRIBERS PRESCRIBE SCHEDULE III, IV, AND V CONTROLLED SUBSTANCES AND FDA-APPROVED MEDICATIONS TO TREAT PATIENTS DURING MEDICALLY SUPERVISED OPIOID WITHDRAWAL OR OUD MAINTENANCE TREATMENT. REFERRALS FOR THE PROGRAM ARE ACCEPTED FROM A VARIETY OF SOURCES INCLUDING PRIMARY CARE PRESCRIBERS, NEEDLE SYRINGE EXCHANGE PROGRAMS, HOSPITAL EMERGENCY ROOMS, INPATIENT UNITS, JAILS, DRUG COURT AND SELF-REFERRALS. BEFORE LEAVING THE CLINIC, EACH PATIENT RECEIVES EDUCATION ON OVERDOSE PREVENTION AND A PRESCRIPTION FOR NALOXONE. KMHA REQUIRES ACTIVE PATIENTS TO COMPLETE MENTAL HEALTH AND SUBSTANCE USE DISORDER COUNSELING AT LEAST TWO TIMES PER MONTH. AS PART OF A COMPREHENSIVE APPROACH TO REDUCING RISK FOR PEOPLE STRUGGLING WITH OPIOID ABUSE, KMHA HAS INCREASED AWARENESS OF THE APPROPRIATE USE OF VIVITROL THROUGH PATIENT, FAMILY, COMMUNITY, AND PERSONNEL TRAINING. THE HEALTH CENTER HAS JOINED THE NATIONAL ALLIANCE ON MENTAL ILLNESS, THE NATION'S LARGEST GRASSROOTS MENTAL HEALTH ORGANIZATION DEDICATED TO IMPROVING THE LIVES OF INDIVIDUALS WITH MENTAL ILLNESS. KMHA HAS A HANDICAPPED ACCESSIBLE VAN AND OPERATES A FULL-SERVE MOBILE UNIT TO FACILITATE PATIENT ACCESS IN PERRY COUNTY, KENTUCKY TO SUBSTANCE USE DISORDER AND MENTAL HEALTH SERVICES. PROJECT ACTIVITIES INCLUDE: - LEVERAGING COMMUNITY PARTNERSHIPS TO BETTER SERVE UNDERSERVED POPULATIONS (THOSE INVOLVED IN THE CRIMINAL JUSTICE SYSTEM, WHO ARE UNINSURED, WHO ARE HOMELESS); - INTEGRATING PRIMARY CARE AND BEHAVIORAL HEALTH, CONDUCTING ASSESSMENTS AND CONNECTING CLIENTS WITH PEER SUPPORT SPECIALISTS TO EXPAND ACCESS TO SUPPORTIVE SERVICES; - GO BEYOND PROVIDING MEDICAL CARE BY ADDRESSING SOCIAL DRIVERS OF HEALTH THROUGH COMMUNITY COLLABORATIONS (HOUSING INSECURITY, FOOD INSECURITY, FINANCIAL STRAIN); - EXPAND THE ROLE OF PRIMARY CARE PROVIDERS IN THE USE OF FDA-APPROVED MEDICATIONS FOR TREATMENT OF OPIOID USE DISORDER THROUGH TRAINING AND EDUCATION; - HIRE ADDITIONAL BEHAVIORAL HEALTH STAFF TO EXPAND ACCESS, MEET THE GROWING DEMAND; - BROADEN THE USE OF MOBILE SERVICES ACROSS KMHA SITES. PROGRAM GOALS TO BE ACHIEVED VIA THE PROJECT ACTIVITIES LISTED ABOVE INCLUDE: - INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES; AND - INCREASE THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING TREATMENT WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD).

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - THE BREVARD HEALTH ALLIANCE (BHA) IS BREVARD COUNTY’S ONLY FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND HAS PROVIDED PRIMARY CARE SERVICES INCLUDING BEHAVIORAL HEALTH TO THE VULNERABLE AND UNDERSERVED COMMUNITIES FOR BREVARD COUNTY SINCE MARCH 2005 BY PROVIDING OVER 1,000,000 MEDICAL, DENTAL, BEHAVIORAL HEALTH, AND ENABLING ENCOUNTERS. REPORTED IN THE 2023 UDS REPORT, BHA SERVED 59,718 UNIQUE PATIENTS; 47,801 (OR 80%) OF THE TOTAL PATIENTS WITH KNOWN INCOMES ARE 200% AND BELOW THE FEDERAL POVERTY GUIDELINE. THIS COMPARES TO 24.4% OF INDIVIDUALS IN BREVARD THAT LIVE IN HOUSEHOLDS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL AS REPORTED BY FLORIDA HEALTH CHARTS IN 2022. ACCORDING TO BREVARD COUNTY’S 2022 COMMUNITY NEEDS ASSESSMENT, THE AREA’S TOP BARRIERS INCLUDE TROUBLE GETTING AN APPOINTMENT (34.3% VS. 14.5% IN THE U.S.), TROUBLE FINDING A DOCTOR (25.6% VS. 9.4% IN THE U.S.), COST OF DOCTOR VISIT (21.8% VS. 12.9% IN THE U.S.), COST OF PRESCRIPTIONS (19.2% VS. 12.8% IN THE U.S.), INCONVENIENT OFFICE HOURS (16% VS. 12.5% IN THE U.S.), LACK OF TRANSPORTATION (11% VS. 8.9% IN THE U.S.), AND LANGUAGE/CULTURE (2.3% VS. 2,8% IN THE U.S.). TO REDUCE BARRIERS AND ASSIST IN ADDRESSING THESE NEEDS, WE PROVIDE PRIMARY AND DENTAL CARE; BEHAVIORAL HEALTH, OB/GYN, PHARMACY, SPECIALTY SERVICES, AND ENABLING SERVICES THROUGHOUT THE COUNTY AT TWELVE FIXED SITES AND A MOBILE MEDICAL AND DENTAL UNIT. BHA ALSO PROVIDES HIGHLY DISCOUNTED CARE, EXTENDED OFFICE HOURS, FREE BUS PASSES, AND COST-SAVINGS THROUGH THE 340B PHARMACY PROGRAM TO BHA PATIENTS TOTALING MORE THAN $58.9 MILLION SINCE 2005. THE HEALTH CENTER CURRENTLY PARTICIPATES IN THE VACCINES FOR ADULTS (VFA) AND VACCINES FOR CHILDREN (VFC) PROGRAMS; THESE PROGRAMS PROVIDE VACCINES FOR OUR UNINSURED AND UNDERINSURED PATIENTS. THROUGH BHA’S H80 GRANT (H80CS04213) BHA PROVIDES COUNSELING SERVICES, MEDICATION ASSISTED TREATMENT, PSYCHIATRY, SUBSTANCE USE DISORDER SERVICES, AND OTHER BEHAVIORAL HEALTH SE RVICES FOR THE PATIENTS ACROSS BREVARD COUNTY WITHIN THE SCOPE OF SERVICE OF BEHAVIORAL HEALTH. ACCORDING TO THE MOST RECENT DATA IN 2019, 22% OF ADULTS IN BREVARD COUNTY AT ONE POINT HAVE BEEN DIAGNOSED WITH A DEPRESSIVE DISORDER, OVER 18,000 PEOPLE TOOK THEIR LIVES BETWEEN 2019-2021, AND IN 2022 BREVARD COUNTY RECORDED OVER 27,000 DRUG OVERDOSES (FATAL AND NONFATAL). BY USING GRANT FUNDS TO SUPPORT THE SALARIES OF PROVIDERS WHO PROVIDE MENTAL HEALTH SERVICES AS WELL AS SUBSTANCE USE DISORDER SERVICES AND MEDICATION ASSISTED TREATMENT PROGRAMS, BHA WILL BE ABLE TO INCREASE THE NUMBER OF PATIENTS RECEIVING THESE SERVICES AND PROGRAMS. AS THE ONLY FEDERALLY QUALIFIED HEALTH CENTER IN BREVARD COUNTY AND OFTENTIMES SERVING AS THE FIRST POINT OF ACCESS FOR ANY HEALTH CARE NEED, BHA IS WELL-POSITIONED TO EXPAND MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES TO THOSE WHO NEED IT MOST IN THE COMMUNITY.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT ABSTRACT THE HEALTH RESOURCES AND SERVICES ADMINISTRATION STATES THAT HEALTH CENTERS ARE ONLY MEETING 27% OF THE ESTIMATED NEED FOR MENTAL HEALTH SERVICES AMONG THEIR PATIENTS, AND 6 PERCENT OF THE ESTIMATED NEED FOR SUD SERVICES. ALTHOUGH MENTAL HEALTH CONDITIONS COMPRISE HALF OF THE SIX MOST COMMON DIAGNOSIS AMONG PATIENTS, FEWER THAN 9 PERCENT ACCESSES MENTAL HEALTH SERVICES; AN ESTIMATED 17 PERCENT OF PATIENTS COULD BENEFIT FROM SUBSTANCE USE DISORDER SERVICES (SUD), FEWER THAN 1 PERCENT USED THEM. (HRSA, 2022. HEALTH CENTER DATA: HTTPS//DATA.HRSA.GOV/TOOLS/DATA-REPORTING/PROGRAM-DATA/NATIONAL.) COMMUNITY HEALTH ALLIANCE (CHA) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) PROVIDING HEALTH CARE SERVICES TO LOW-INCOME, UNINSURED, AND UNDERINSURED, AND RACIALLY AND ETHNICALLY DIVERSE, UNDERSERVED POPULATIONS, RESIDING IN WASHOE COUNTY (RENO AND SPARKS), NEVADA. SERVING 30,000 UNDUPLICATED PATIENTS ANNUALLY, IT IS CHA’S INTENT TO REQUEST FUNDING SUPPORT FROM THE HRSA BEHAVIORAL HEALTH SERVICE EXPANSION GRANT TO: 1) ESTABLISH A NEW SERVICE LINE FOR PROVIDING INTEGRATED MENTAL HEALTH AND SUD RELATED HEALTH SERVICES; 2) INCREASE THE NUMBER OF PATIENTS (UDS 2023) FROM 1212 TO 2000 UTILIZING MENTAL HEALTH SERVICES; 3) INCREASE THE NUMBER OF PATIENTS (UDS 2023) FROM 0 TO 700 UTILIZING SUD SERVICES, AND INCREASE NUMBER OF PATIENTS RECEIVING MOUD FROM 0 TO 200. NEVADA CONTINUES TO RANK LOWEST IN THE NATION FOR HEALTH INDICATORS AND FACES A NUMBER OF CHALLENGES RELATED TO MENTAL HEALTH AND SUD, INCLUDING: 1) 41% OF ADULTS REPORTED SYMPTOMS OF ANXIETY OR DEPRESSION AS AN IMPACT OF COVID-19; 164,000 ADULTS WERE UNABLE TO RECEIVE MENTAL HEALTH CARE, WITH 51% CITING COST AS A BARRIER; 2) 33,000 YOUTH AGED 12-17 HAVE DEPRESSION; 3) IN NEVADA, 109,000 ADULTS HAVE SERIOUS MENTAL ILLNESS; 4) THE PREVALENCE OF PAST-YEAR SUD WAS 9.5% OR 241,000 INDIVIDUALS; 5) THE PREVALENCE OF PAST-YEAR ALCOHOL USE DISORDER WAS 6.2% OR 157,000 INDIVIDUALS; 6) THE NUMBER OF OPIOID-RELATED DEATHS INCREASED FROM 1,023 (2022) TO 1411 (2023), A 37.93% INCREASE; 7) HEALTH OUTCOMES ARE INTERTWINED WITH LACK OF AFFORDABLE HOUSING, FOOD INSECURITY, AND A TOURISM/SERVICE INDUSTRY PAYING LESS THAN LIVING WAGES. TO SUPPORT A NEW SERVICE LINE, CHA WILL OFFER SERVICES AT ITS CENTER FOR COMPLEX CARE FACILITY LOCATED ADJACENT TO THE WELLS AVENUE HEALTH CENTER (RECOGNIZED BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE AS A PATIENT CENTER MEDICAL HOME). THE PROGRAM WILL USE A MODEL OF INTEGRATED CARE, CONNECTING THE PATIENT AND MEDICAL TEAM, WITH THE INTENT OF PROVIDING HOLISTIC SUPPORT FOR THE PATIENT. BOTH HEALTH CENTER FACILITIES ARE IN A LOW-INCOME AREA WITH ACCESSIBLE LOCAL TRANSPORTATION SERVICES, ADA ACCESSIBLE FACILITIES, AND BILINGUAL STAFF, SERVING UNINSURED, UNDERINSURED, AND UNDERSERVED PATIENTS. USING AN INTEGRATED BEHAVIORAL HEALTH AND MEDICAL MODEL CHA WILL EXPAND THE ABILITY TO PROVIDE OPIATE USE DISORDER TREATMENT BY COLLABORATING WITH CLINICAL PHARMACY, MEDICAL PROVIDERS, AND DUALLY LICENSED MENTAL HEALTH THERAPISTS (CLINICAL PSYCHOLOGIST, LCSW, LMFT, PSYD WITH LADC). IT IS ANTICIPATED THAT THE ADDED STAFF WILL ALSO BE ABLE TO CONNECT AND COLLABORATE WITH EXISTING COMMUNITY ORGANIZATIONS SUCH AS THE NORTHERN NEVADA HARM REDUCTION ALLIANCE, JUVENILE REHABILITATION SERVICES, AND WASHOE COUNTY OPIATE ABATEMENT AND RECOVERY PROGRAMS. GIVEN THAT ALL OF THE REGION’S OPIATE USE TREATMENT PROGRAMS ARE COMPLETELY FULL, WITH PROLONGED WAIT TIMES AND LONG WAIT LISTS, CHA HEALTH CENTERS CAN SERVE AS AN ADDITIONAL ACCESS.

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

DELAWARE SBHC DATA INTEROPERABILITY AND SHARING COOPERATIVE (DISCO)

MISSISSIPPI DELTA CHRONIC DISEASE SELF-MANAGEMENT EDUCATION & SUPPORT INITIATIVE TO PROVIDE RURAL EVIDENCE-BASED PROGRAMS TO PROMOTE SELF-MANAGEMENT OF CHRONIC DISEASE AND ACCESS TO SUPPORT SERVICES

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

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

TELEHEALTH NETWORK GRANT PROGRAM

HARMONIA ACTIVITY: COMMUNITIES STOPPING GENDER-BASED VIOLENCE

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

PREDICTING BIOTHREAT IMPACTS FROM EARLY-STAGE DATA VIA TRANSFER LEARNING.

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 INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

PROVISION OF REPRODUCTIVE, MATERNAL AND CHILD HEALTH CARE TO THE POPULATION OF BOKOLMAYO, MELKADIDA, AND BURAMINO REFUGEE CAMPS

SCHOOL MENTAL HEALTH (SMH-CBP) - CATEGORY 9

PEDIATRIC MENTAL HEALTH CARE ACCESS - SCHOOL BASED HEALTH ALLIANCE

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - PROJECT DIRECTOR NAME: ELLEN VANCE, CEO CONTACT PHONE NUMBER: 606-487-9505 OR FAX: 606-436-0071 CONTACT EMAIL ADDRESS: ELLEN@KYMHA.ORG WEBSITE: HTTPS://WWW.KYMHA.COM HEALTH CENTER PROGRAM GRANT NUMBER: H80CS07772 ADDRESS: 279 E MAIN ST., HAZARD, KY 41701 KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC. (KMHA) WAS ESTABLISHED IN 2005 BY A GROUP OF COMMUNITY HEALTHCARE AND SOCIAL SERVICE PARTNERS WHO HAD A SIMILAR MISSION TO CREATE A HEALTHCARE SAFETY NET FOR THE UNDERSERVED OR AT-RISK FOR HOMELESSNESS POPULATION. KMHA HAS BEEN OPERATING THE PERRY COUNTY HEALTHCARE FOR THE HOMELESS (HCH) PROGRAM SINCE 2006, OFFERING SERVICES AT ONE PERMANENT SITE LOCATION, LITTLE FLOWER CLINIC. IN 2022, KMHA SERVED A TOTAL OF 2,952 UNDUPLICATED PATIENTS. OVER 90% OF THE PATIENT POPULATION IS WHITE AND MANY PATIENTS LIVE IN THE RURAL COMMUNITY. APPROXIMATELY 41% OF THE KMHA PATIENTS ARE UNINSURED. KMHA, WITH THE RECENT PARTNERSHIP WITH QUANTUM HEALTHCARE ASSOCIATES (A LOCAL RURAL HEALTH CLINIC), NOW OPERATES 2 SITES PLUS THE MOBILE MEDICAL UNIT TO PROVIDE CARE TO POPULATIONS EXPERIENCING SOCIAL DETERMINANTS OF HEALTH (SDOH). IN 2023, KMHA SERVED A TOTAL OF 11,238 UNDUPLICATED PATIENTS ACROSS BOTH SITES. THE SERVICE AREA IS HOME TO NEARLY 77,000 PERSONS, 41,000 WHICH ARE LOW-INCOME. KMHA’S ROBUST BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER PROGRAM PROVIDES VARIOUS SUPPORTS FOR A RURAL COMMUNITY THAT IS GREATLY IMPACTED BY HIGH RATES OF MENTAL HEALTH CONDITIONS AND SUBSTANCE USE DISORDER. THE HEALTH CENTER HAS A STRONG PARTNERSHIP WITH THE KENTUCKY RIVER REGIONAL JAIL, PROVIDING MAT SERVICES TO THOSE WHO ARE INCARCERATED AND SUPPORTING PERSONS BEFORE THEIR REENTRY AND AFTER THEIR REENTRY INTO THE COMMUNITY. ON-SITE AT THE HEALTH CENTER, KMHA MAT PRESCRIBERS PRESCRIBE SCHEDULE III, IV, AND V CONTROLLED SUBSTANCES AND FDA-APPROVED MEDICATIONS TO TREAT PATIENTS DURING MEDICALLY SUPERVISED OPIOID WITHDRAWAL OR OUD MAINTENANCE TREATMENT. REFERRALS FOR THE PROGRAM ARE ACCEPTED FROM A VARIETY OF SOURCES INCLUDING PRIMARY CARE PRESCRIBERS, NEEDLE SYRINGE EXCHANGE PROGRAMS, HOSPITAL EMERGENCY ROOMS, INPATIENT UNITS, JAILS, DRUG COURT AND SELF-REFERRALS. BEFORE LEAVING THE CLINIC, EACH PATIENT RECEIVES EDUCATION ON OVERDOSE PREVENTION AND A PRESCRIPTION FOR NALOXONE. KMHA REQUIRES ACTIVE PATIENTS TO COMPLETE MENTAL HEALTH AND SUBSTANCE USE DISORDER COUNSELING AT LEAST TWO TIMES PER MONTH. AS PART OF A COMPREHENSIVE APPROACH TO REDUCING RISK FOR PEOPLE STRUGGLING WITH OPIOID ABUSE, KMHA HAS INCREASED AWARENESS OF THE APPROPRIATE USE OF VIVITROL THROUGH PATIENT, FAMILY, COMMUNITY, AND PERSONNEL TRAINING. KMHA OPERATES A MOBILE UNIT THAT CAN BE USED ON SITE, IN PARTNERSHIP WITH THE JAIL, TO REDUCE BARRIERS IN PROVIDING MEDICAL CARE SERVICES. KMHA WILL FOCUS ON ADDRESSING THE FOLLOWING CRITICAL HEALTH NEEDS AND CASE MANAGEMENT SERVICES, PROVIDING SERVICES BOTH IN PERSON (VIA MOBILE UNIT) AND VIA TELEHEALTH, WHERE APPLICABLE. CRITICAL HEALTH NEEDS: MANAGING CHRONIC CONDITIONS, PREVENTION, SCREENING, DIAGNOSIS AND TREATMENT OF HIV, REDUCING RISK OF DRUG OVERDOSE, ADDRESSING MENTAL HEALTH AND SUD TREATMENT NEEDS AND CASE MANAGEMENT SERVICES: FOOD INSECURITY, LACK OF TRANSPORTATION, HOUSING INSECURITY, AND FINANCIAL STRAIN. IN PARTNERSHIP WITH KENTUCKY RIVER REGIONAL MEDICAL CENTER, KMHA WILL PROVIDE THE FOLLOWING TO SUPPORT TRANSITIONS IN CARE TO JI-R INDIVIDUALS WITHIN THE HEALTH CENTER’S SCOPE DURING THE 90-DAY PERIOD BEFORE THEIR RELEASE FROM INCARCERATION: - CARE COORDINATION TO FACILITATE CONTINUITY OF CARE; - HEALTH EVALUATIONS TO IDENTIFY ACUTE AND CHRONIC PHYSICAL HEALTH AND BEHAVIORAL HEALTH NEEDS; - SCREENING AND TREATMENT FOR COMMUNICABLE DISEASES, INCLUDING HIV; - PRIMARY HEALTH SERVICES; - BEHAVIORAL HEALTH, INCLUDING INITIATION AND CONTINUATION MAT AND PEER RECOVERY SUPPORT; AND - RECOMMENDATIONS AND REFERRALS FOR POST-RELEASE CARE, INCLUDING SUD TREATMENT.

SCHOOL-BASED INITIATIVE TO REDUCE HIV & STD

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-PSYCHOSTIMULANT SUPPORT

CAPITAL DEVELOPMENT

DELTA HEALTH ALLIANCE'S DELTA EATS (EDIBLE AGRICULTURE TEACHING STUDENTS) INITIATIVE, IN COLLABORATION WITH LELAND MEDICAL CLINIC (LMC) AND LOCALLY OWNED GROCERY MARKETS (STOP N SHOP), SEEKS TO ESTABLISH A PRODUCE PRESCRIPTION PROGRAM IN PARTNERSHIP WITH THE U.S. DEPARTMENT OF AGRICULTURE TO IMPROVE CONSUMPTION OF FRESH FRUITS AND VEGETABLES BY RURAL FAMILIES LIVING IN WASHINGTON COUNTY, MISSISSIPPI.

THE DELTA ASSAULT RESPONSE TEAM (DART): NEW MULTIFACETED APPROACH TO ADDRESSING THE CRITICAL NEEDS OF VICTIMS OF DOMESTIC VIOLENCE DATING VIOLENCE SEXUAL ASSAULT AND STALKING IN RURAL MISSISSIPPI.

RCN: ECOHEALTH NET 2.0: A ONE HEALTH APPROACH TO DISEASE ECOLOGY RESEARCH & EDUCATION

**AWARDS ISSUED PRIOR TO JANUARY 20, 2025, WERE FUNDED UNDER PREVIOUS ADMINISTRATIONS AND MAY NOT REFLECT THE PRIORITIES AND POLICIES OF THE CURRENT ADMINISTRATION.** MISSISSIPPI DELTA PRODUCE RX ENHANCEMENT: IMPROVING DIETARY HEALTH AND WELLNESS OF LOW-INCOME, RURAL INDIVIDUALS WITH DIABETES, HEART DISEASE, OBESITY AND OTHER DIET-RELATED HEALTH CONDITIONS.

ECOHEALTHNET: ECOLOGY ENVIRONMENTAL SCIENCE AND HEALTH RESEARCH NETWORK