Community Mental Health Center Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

COVID SUPPORT IN RURAL APPALACHIA (CSIRA) - THE CSIRA INITIATIVE FOCUSES ON SUPPORTING & RESTORING THE DELIVERY OF CLINICAL SERVICES THAT WERE IMPACTED BY COVID-19 AND TO EFFECTIVELY ADDRESS THE NEEDS OF THOSE WITH SED/SMI/COD LOCATED IN MERCER, MCDOWELL & WYOMING COUNTIES IN RURAL SOUTHERN WEST VIRGINIA ALL OF WHICH SUFFER FROM COVID-MAGNIFIED GRIEF, TRAUMA, OVERDOSE, POVERTY, POOR MENTAL HEALTH AND A BROKEN MENTAL HYGIENE PROCESS. CSIRA WILL SERVE 1,000 CLIENTS (500-Y1, 500-Y2). PROJECT GOALS (INTERVENTIONS/STRATEGIES) ARE TO: SUPPORT/RESTORE THE DELIVERY OF CLINICAL SERVICES IMPACTED BY THE COVID-19 PANDEMIC & EFFECTIVELY ADDRESS THE NEEDS OF THOSE WITH SED/SMI/COD BY (1) EXPANDING CRISIS SERVICES VIA (A) HIRING A COMMUNITY CRISIS SYSTEM EVALUATOR TO RESTORE THE CRISIS SYSTEM & MENTAL HYGIENE PROCESS; (B) HIRING 8 COVID CRISIS COMMUNITY NAVIGATORS TO LINK THE COMMUNITY W/ CRISIS RESOURCES; (C) TRAINING 9 CRISIS STAFF IN GRIEF COUNSELING AND MENTAL HEALTH FIRST AID, ETC.; (D) HIRING AN ASSISTANT CHILDRENS CLINICAL SERVICES DIRECTOR TO INCREASE YOUTH CRISIS OUTREACH; (E) ADDING CHILDRENS CLINIC FNP TIME TO INCREASE CAPACITY TO SERVE YOUTH IN CRISIS, (2) EMPOWERING LAW ENFORCEMENT TO SERVE THOSE WITH SED/SMI/COD VIA (A) CONTRACTING WITH COUNTY COMMISSIONS TO HIRE MENTAL HEALTH DEPUTIES; (B) HIRING 3 LAW ENFORCEMENT CASE MANAGERS TO SUPPORT MENTAL HEALTH DEPUTIES; (C) TRAINING MENTAL HEALTH DEPUTIES & LAW ENFORCEMENT CASE MANAGERS IN MENTAL HEALTH, CIT, QUICK RESPONSE DE-ESCALATION & HANDLE WITH CARE; (D) SENDING CSIRA STAFF TO THE INTERNATIONAL CIT CONFERENCE; (3) EXPANDING SOUTHERN HIGHLAND SERVICES TO ADDRESS THE MENTAL HEALTH COVID FALLOUT VIA (A) EXPANDING THERAPIST & THERAPIST SUPERVISION TIME TO REDUCE WAIT LIST TIMES; (B) EXPANDING MEDICAL PROVIDER & DIRECTOR TIME TO REDUCE WAIT LIST TIMES; (C) HIRING A TELEHEALTH COORDINATOR; (D) EXPANDING ADMINISTRATIVE CAPACITY TO FACILITATE INCREASED MENTAL HEALTH SERVICE NEEDS; (E) TRAINING DIRECT STAFF IN EVIDENCE-BASED MENTAL HEALTH FIRST AID & EMDR; (F) HIRING A PR COORDINATOR TO FURTHER EXPAND KNOWLEDGE OF SHCMHC SERVICES INTO THE COMMUNITY & REDUCE STIGMA; (G) INITIATING ANNUAL REQUIRED LGBTQ+ TRAININGS; (4) SUPPORTING STAFF MENTAL HEALTH VIA (A) INITIATING AN EMPLOYEE ASSISTANCE PROGRAM; (B) PROVIDING STAFF LEADERSHIP TRAINING; (C) REIMBURSING STAFF FOR EXERCISE MEMBERSHIPS; (D) INITIATING WELLNESS FUNDS FOR DIRECTORS TO SUPPORT SPECIFIC TEAM NEEDS; (E) INITIATING A STAFF RECOGNITION PROGRAM; (5) IMPROVING CLIENT OUTCOMES TO INCLUDE (A) SERVING 1,000 CLIENTS; (B) SIGNIFICANTLY IMPROVING MENTAL HEALTH OUTCOMES; (B) REDUCING SUBSTANCE USE & INCARCERATION DAYS; (C) RETAINING CLIENTS IN TREATMENT; (D) ENSURING THAT DISPARITY GROUP CLIENTS HAVE EQUAL SERVICE ACCESS, USE & OUTCOMES; (6) SUSTAINING CSIRA SERVICES VIA (A) CREATING A SUSTAINABILITY PLAN; (B) HIRING AN EVALUATION SPECIALIST TO SUPPORT DATA-DRIVEN SERVICE SUSTAINABILITY; (C) INITIATING AN ADVISORY BOARD; (D) MAXIMIZING THE AGENCY EHR.

SOUTHERN HIGHLANDS CCBHC-IA INITIATIVE - THE SOUTHERN HIGHLANDS CCBHC-IA INITIATIVE WILL PROVIDE COMPREHENSIVE, COORDINATED BEHAVIORAL HEALTH CARE FOR ALL PEOPLE IN NEED OF BEHAVIORAL HEALTH SERVICES AT SOUTHERN HIGHLANDS’ MERCER COUNTY CLINIC WHICH SERVES MERCER, MCDOWELL & WYOMING COUNTIES IN WV. THE TARGET POPULATION SUFFERS FROM SUD, POOR MENTAL HEALTH, LOW MENTAL HEALTH WORKFORCE CAPACITY, POOR SDOH & POOR DISPARITY GROUP OUTCOMES. THE INITIATIVE WILL SERVE 4,000 CLIENTS (1,000/YEAR). PROJECT GOALS (INTERVENTIONS/STRATEGIES) INCLUDE: (1) PROVIDE A COMPREHENSIVE SUITE OF CCBHC SERVICES FOR THE TARGET POPULATION WITH FIDELITY TO THE CCBHC CERTIFICATION CRITERIA AND BASED ON REGULAR NEEDS ASSESSMENTS BY (A) INITIATING A PROJECT DIRECTOR & COORDINATOR TO MANAGE THE CCBHC INITIATIVE; (B) ENSURING AGENCY COMPLIANCE WITH THE CCBHC CERTIFICATION CRITERIA; (C) COLLABORATING WITH THE STATE TO OBTAIN CCBHC CERTIFICATION; (D) CONDUCTING THE REQUIRED NEEDS ASSESSMENT; (E) COMPLETING THE CCBHC ATTESTATION POST NEEDS ASSESSMENT; (F) IMPLEMENTING THE NEEDS ASSESSMENT DRIVEN TRAINING PLAN; (G) SUPPORTING PROCESSES & PROCEDURES FOR COLLECTING, REPORTING & TRACKING ENCOUNTER, OUTCOME, AND QUALITY DATA; AND (H) ENSURING AGENCY PARTICIPATION IN THE CCBHC TECHNICAL ASSISTANCE CENTER ACTIVITIES. (2) ENHANCE SHCMHC’S MERCER COUNTY CCBHC SERVICE PROVISION FOR THE TARGET POPULATION BY (A) ENHANCING CRISIS SERVICES BY HIRING 3 MOBILE CRISIS CASE MANAGERS, 2 CASE MANAGERS, 3 MOBILE CRISIS PEERS, A MOBILE CRISIS COORDINATOR & ASSISTANT CRISIS EVALUATOR TO PROVIDE 24 HOUR MOBILE CRISIS AND FOLLOW-UP SERVICES; (B) ENHANCING SCREENING/ASSESSMENT SERVICES BY ADDING THE COLUMBIA SUICIDE SCREENER AND A CRISIS ASSESSMENT; (C) ENHANCING SUD SERVICE VIA ENHANCEMENT OF AN ACT-LIKE INTENSIVE PROGRAM FOR TREATMENT RESISTANT SUD CLIENTS; (D) EXPANDING TELEHEALTH SERVICES VIA HIRING A TELEHEALTH COORDINATOR; (E) ENHANCING PEER SERVICES VIA ADDITION OF 3 MOBILE CRISIS PEERS AND ONE SUD PEER; (F) CREATING & INITIATING A TOBACCO CESSATION PROGRAM; (G) WORKING TO OBTAIN MOUS WITH VETERAN SERVING ORGANIZATIONS; (H) ENHANCING TREATMENT/CRISIS PLANNING & TARGETED CASE MANAGEMENT; (I) CONTINUING TO PARTNER WITH TUG RIVER FOR PRIMARY CARE SERVICE PROVISION; AND (J) CONTINUING TO PROVIDE PSYCHIATRIC REHABILITATION SERVICES. (3) ENHANCE CCBHC INFRASTRUCTURE DEVELOPMENT AT SHCMHC’S MERCER COUNTY CCBHC CLINIC BY (A) MAINTAINING HEALTH INFORMATION TECHNOLOGY (HIT) SYSTEMS TO FACILITATE CARE COORDINATION; (B) BUILDING PARTNERSHIPS TO SUPPORT ELECTRONIC HEALTH INFORMATION EXCHANGE & CARE COORDINATION; AND (C) UPDATING AND IMPLEMENTING A CCBHC-WIDE DATA-DRIVEN CONTINUOUS QUALITY IMPROVEMENT (CQI) PLAN. (4) SUPPORT RECOVERY FROM MENTAL ILLNESS AND OR SUBSTANCE USE DISORDERS BY PROVIDING ACCESS TO HIGH-QUALITY MENTAL HEALTH AND SUBSTANCE USE SERVICES TO THE TARGET POPULATION BY (A) COORDINATING OUTREACH EFFORTS; (B) SERVING A TOTAL OF 1,000 CLIENTS ANNUALLY; (C) CLIENTS HAVING A STATISTICALLY SIGNIFICANT DECREASE IN ILLICIT SUBSTANCE USE AT 6-MONTH NOMS FOLLOW-UP; (D) CLIENTS HAVING STATISTICALLY SIGNIFICANT IMPROVEMENT IN MENTAL HEALTH OUTCOMES AT 6-MONTH FOLLOW-UP; (E) CLIENTS HAVING STATISTICALLY SIGNIFICANT IMPROVEMENT IN SOCIAL CONNECTEDNESS AT 6-MONTH FOLLOW-UP; (F) CLIENTS HAVING STATISTICALLY SIGNIFICANT DECREASE IN TOBACCO USE AT 6-MONTH NOMS FOLLOW-UP; (G) HAVING 80% OF CLIENTS REMAIN IN TREATMENT FOR AT LEAST 6-MONTHS THROUGHOUT THE LIFE OF THE GRANT; (H) MONITORING DISPARITY GROUP DATA TO ENSURE EQUAL ACCESS/USE/OUTCOMES/RETENTION; (I) SUPPORTING ANNUAL CRISIS INTERVENTION TRAINING (CIT) TRAINING FOR LAW ENFORCEMENT PARTNERS; AND (J) DEVELOPING OUTREACH/REFERRAL PATHWAYS THAT ENGAGE/TARGET ALL DISPARITY GROUPS. (5) SUSTAIN CCBHC SERVICES BEYOND GRANT FUNDING TO SERVE THE FOCUS POPULATION BY (A) HAVING THE PROJECT DIRECTOR LEAD THE PEER-DRIVEN CCBHC ADVISORY BOARD; AND (B) CREATING A SUSTAINABILITY PLAN FOR EACH BUDGET LINE ITEM TO ENSURE SERVICE SUSTAINABILITY.

NEWPORT MENTAL HEALTH CCBHC IMPROVEMENT AND ADVANCEMENT - NEWPORT MENTAL HEALTH'S (NMH) CURRENT CCBHC SEEKS TO IMPROVE AND ENHANCE EVIDENCE-BASED PRACTICES TO INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI), CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCES (SED), AND CHRONICALLY HOMELESS ADULTS WITH SMI. WITH ONE COLLABORATOR (CODAC BEHAVIORAL HEALTH), NMH WILL PROVIDE EXPANDED AND ENHANCED CCBHC SERVICES TO 1,900 PEOPLE ACROSS NEWPORT COUNTY, RHODE ISLAND IN THE FIRST YEAR OF THE PROJECT. A TOTAL OF 4,620 (UNDUPLICATED) PEOPLE WILL BE SERVED OVER FOUR YEARS. THE PROJECT WILL EXPAND EVIDENCE-BASED BEHAVIORAL HEALTH PRACTICES TO OVER 1,900 ADULTS, CHILDREN AND FAMILIES WHO CURRENTLY DO NOT HAVE ACCESS TO THESE SERVICES IN THE FIRST YEAR AND OVER 8,250 OVER THE FOUR-YEAR GRANT PERIOD. NEWPORT COUNTY, RHODE ISLAND COVERS AN AREA OF 102.39 SQUARE MILES AND A POPULATION OF 85,264 (85.6% WHITE ALONE, 4.4% BLACK OR AFRICAN AMERICAN, 0.6% NATIVE AMERICAN AND ALASKA NATIVE, 2.0% ASIAN, 0.1% NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, AND 2.8% MULTIRACIAL, AND 6.0% HISPANIC OR LATINX OF ANY RACE).THE SHARE OF ADULTS IN RHODE ISLAND WITH ANY MENTAL ILLNESS WAS 22.4% IN 2018-2019, COMPARED TO 19.9% IN THE US. RI HAS HIGHER RATES OF FREQUENT MENTAL DISTRESS THAN THE U.S. AS A WHOLE (14.6% VS. 12.0%).3 IN RI, 59.1% (58,000) OF ADULTS WITH MILD MENTAL ILLNESS, 45.7% (26,000) OF ADULTS WITH MODERATE MENTAL ILLNESS, AND 38.3% (15,000) OF ADULTS WITH SERIOUS MENTAL ILLNESS IN THE PAST YEAR DID NOT RECEIVE MENTAL HEALTH TREATMENT. THE PROJECT HAS THREE MAIN GOALS: 1.) NMH WILL CONTINUE TO IMPLEMENT A FULLY OPERATIONAL CCBHC, PROVIDING THE COMPLETE SCOPE OF CCBHC SERVICES TO INDIVIDUALS REGARDLESS OF ABILITY TO PAY. 2.) NMH WILL IMPROVE EXISTING CCBHC SERVICES BY ADVANCING FIVE PROGRAM AREAS TO ADDRESS THE NEEDS OF A WIDE RANGE OF CLIENTS ACROSS THE LIFESPAN: ENHANCED MOBILE CRISIS SERVICES, EXPAND AND IMPROVE EXISTING ASSERTIVE COMMUNITY TREATMENT (ACT) SERVICES, IMPROVE INTEGRATED HEALTH HOME (IHH) OUTCOMES, IMPROVE INTEGRATED HEALTH CARE (IHC), AND ENHANCE RECOVERY ORIENTED AND PERSON-CENTERED PROGRAMMING BY TRAINING AND HIRING PEER SUPPORT WORKERS 3.) NMH AND ITS DCO PARTNERS WILL IMPLEMENT INFRASTRUCTURE ENHANCEMENTS TO IMPROVE THE OVERALL QUALITY AND COORDINATION OF CARE. 3.) NMH WILL ENHANCE INFRASTRUCTURE TO IMPROVE OVERALL QUALITY/COORDINATION OF CARE, BY IMPROVING THE CORE COMPETENCIES OF THE WORKFORCE TO PROVIDE EVIDENCE-BASED EFFECTIVE INTERVENTIONS.

VALLEY HEALTHCARE SYSTEM CCBHC INITIATIVE - THE VHCS CCBHC-PCI INITIATIVE INITIATES PLANNING, DEVELOPMENT & IMPLEMENTATION OF A CCBHC MEETING THE CCBHC CERTIFICATION CRITERIA IN MONONGALIA, MARION, TAYLOR & PRESTON COUNTIES IN WEST VIRGINIA, WHICH SUFFER FROM HIGH OVERDOSE RATES, POOR MENTAL/PHYSICAL HEALTH & CHILD WELFARE WHICH ARE EXACERBATED BY LACK OF HEALTHCARE PROVIDERS, COVID & POOR SOCIAL HEALTH DETERMINANTS. THE INITIATIVE SERVES 7,100 CLIENTS (1,600-Y1/1,700-Y2/1,800-Y3/2K-Y4). PROJECT GOALS (INTERVENTIONS/STRATEGIES) INCLUDE: (1) INCREASE ACCESS TO AND AVAILABILITY OF SERVICES THAT ARE RESPONSIVE TO COMMUNITY NEEDS BY ESTABLISHING THE INITIATIVE BY (A) HIRING THE PROJECT DIRECTOR TO LEAD THE PROGRAM & ADVISORY BOARD; (B) COMPLETING THE NEEDS ASSESSMENT; (C) IMPLEMENTING THE NEEDS ASSESSMENT STAFFING & SERVICE PLANS; (D) COMPLETING THE REQUIRED ATTESTATION DEMONSTRATING CCBHC CRITERIA COMPLIANCE; (E) SUBSCRIBING TO AN INTERPRETATION SERVICE; AND (F) EXPANDING NON-TRADITIONAL HOURS. (2) SUPPORT RECOVERY FROM MENTAL HEALTH AND SUD VIA ACHIEVING THE NINE CORE CCBHC CRITERIA BY (A) DEVELOPING CURRENT CRISIS SERVICES IN RESPONSE TO THE NEEDS ASSESSMENT; (B) DEVELOPING EBP SCREENING, ASSESSMENT & DIAGNOSIS, INCLUDING A RISK ASSESSMENT BY LEVERAGING THE NEEDS ASSESSMENT TO IDENTIFY SCREENS FOR CHILDREN/VETERANS & HIRING AN INTAKE SPECIALIST; (C) HIRING CASE MANAGERS TO DEVELOP CAPACITY TO PROVIDE UNIVERSAL CRISIS PLANS; (D) DEVELOPING OUTPATIENT MENTAL HEALTH/SUD SERVICES TO INCLUDE MORE CHILD/ADULT SERVICES; (E) EXPANDING MEDICAL SERVICES TO RURAL PRESTON/TAYLOR BY PURCHASING EQUIPMENT TO ENABLE STAFF TO COMPLETE FULL TELEHEALTH PHYSICALS; (F) DEVELOPING TARGETED CASE MANAGEMENT SERVICES BY HIRING ADDITIONAL ADULT, CHILDREN/FAMILY & ADOLESCENT CASE MANAGERS; (G) EXPANDING DAY TREATMENT SERVICES TO MARION COUNTY; (H) DEVELOPING PEER SERVICES TO INCLUDE A MENTAL HEALTH PEER; (I) DEVELOPING COUNSELOR SERVICES BY INCREASING COUNSELOR LICENSING AND EXPANDING THERAPY SERVICES; (J) DEVELOPING FAMILY SERVICES BY ADDING A FAMILY THERAPIST & FAMILY/CHILD CASE MANAGER; AND (K) DEVELOPING VETERAN SERVICES TO INCLUDE A PEER, MORE PARTNERSHIPS & INCREASED ABILITY TO BILL FOR VETERAN’S SERVICES. (3) USE EVIDENCE-BASED PRACTICES THAT ADDRESS COMMUNITY NEEDS BY IMPLEMENTING THE NEEDS ASSESSMENT-DRIVEN TRAINING PLAN. (4) CONTINUALLY WORK TO MEASURE AND IMPROVE THE QUALITY OF CCBHC INITIATIVE SERVICES BY (A) DEVELOPING CAPACITY TO MEASURE/IMPROVE SERVICE QUALITY BY HIRING AN EVALUATION SPECIALIST & QUALITY ASSURANCE STAFF; (B) PURCHASING A NEW EHR TO SUPPORT COLLECTING REQUIRED CCBHC OUTCOMES; (C) SERVING 7,100 CLIENTS; (D) MEASURING DLA-20 OUTCOMES; (E) CLIENTS EXPERIENCING SIGNIFICANT IMPROVEMENT IN NOMS MENTAL HEALTH OUTCOMES AT 6-MONTHS; (F) 30% OF CLIENTS IMPROVING IN 1 PHYSICAL HEALTH INDICATOR BY DISCHARGE; (G) CLIENTS REDUCING ILLICIT SUBSTANCE USE BY 10% AT 6-MONTHS; (H) 80% OF CLIENTS REMAINING IN TREATMENT FOR AT LEAST 6-MONTHS; (I) MONITORING DISPARITY GROUPS TO ENSURE EQUAL USE/ACCESS/OUTCOMES; (J) DESIGNING/IMPLEMENTING CQI PLAN; (K) LEVERAGING NEEDS ASSESSMENT TO IDENTIFY WAYS TO IMPROVE HIE, HIT & MBC; AND (L) MAINTAINING/EXPANDING PARTNERSHIPS IN RESPONSE TO THE NEEDS ASSESSMENT. (5) MEANINGFULLY INVOLVE CLIENTS & FAMILY MEMBERS IN THEIR OWN CARE AND IN THE BROADER GOVERNANCE OF THE INITIATIVE BY (A) ENSURING 51% OF THE ADVISORY BOARD ARE CLIENTS/FAMILY MEMBERS/CAREGIVERS; (B) INVOLVING CLIENTS, FAMILY MEMBERS, AND CAREGIVERS IN THE DESIGN AND IMPLEMENTATION OF THE NEEDS ASSESSMENT; (C) LEVERAGING THE ADVISORY BOARD TO RE-DESIGNING AGENCY SATISFACTION SURVEYS; AND (D) INITIATING CLIENT-LED FOCUS GROUPS & AN ALUMNI GROUP FOR SUD CLIENTS. (6) SUSTAIN THE INITIATIVE BY (A) OBTAINING STATE CERTIFICATION; (B) CREATING A SUSTAINABILITY PLAN; (C) WORKING TO NEGOTIATE A FEDERAL INDIRECT COST; AND (D) ENSURING THAT AGENCY POLICIES, PROCEDURES, PROTOCOLS, CREDENTIALING, LICENSURE, AND ACCREDITATION ALIGN WITH CCBHC REQUIREMENTS.

SOUTHERN HIGHLANDS COMMUNITY BEHAVIORAL HEALTH CENTER CCBHC EXPANSION INITIATIVE - SHCMHC CCBHC EXPANSION INITIATIVE FOCUSES ON STRENGTHENING COMPREHENSIVE BEHAVIORAL HEALTH SERVICES TO THOSE W/SERIOUS MENTAL ILLNESS, SUBSTANCE USE DISORDER (INCLUDING OPIOID DISORDER); CHILDREN W/SERIOUS EMOTIONAL DISTURBANCE, AND THOSE WITH CO-OCCURRING MENTAL & SUD LOCATED IN MERCER CO. WEST VIRGINIA WHILE INCREASING SERVICES TO RURAL WYOMING & MCDOWELL COUNTIES, ALL OF WHICH SUFFER FROM HIGH OVERDOSE RATES, POVERTY & LACK OF TRANSPORTATION/SERVICES. THE INITIATIVE WILL SERVE 2,000 INDIVIDUALS (1,000-Y1, 1,000-Y2). PROJECT GOALS (INTERVENTIONS/ STRATEGIES) ARE TO (1) INCREASE ACCESS TO COMMUNITY MENTAL/SUD TREATMENT SERVICES FOR THE FOCUS POPULATION VIA (A) FINALIZING A STAFFING PLAN BASED ON A NEEDS ASSESSMENT FOCUSED ON POPULATION CULTURAL, LINGUISTIC & TREATMENT NEEDS; (B) HIRING A TELEHEALTH COORDINATOR IN TO COORDINATE SERVICES, TRAIN STAFF & TROUBLESHOOT TECHNOLOGY; (C) EXPANDING PSYCHIATRIST TIME TO INCREASE MENTAL HEALTH SERVICES AVAILABLE TO THE FOCUS POPULATION; (D) INITIATING AN ACT-SUD PROGRAM TO ENSURE THAT CLIENTS ACCESS THE APPROPRIATE LEVEL OF CARE; (E) INITIATING A MOBILE CLINIC WHICH WILL ENHANCE SERVICE ACCESS IN RURAL AREAS; (F) EXPANDING AFTER HOURS SERVICES IN ALL CLINICS TO INCREASE SERVICE ACCESS; (G) HIRING AN INFECTION CONTROL SPECIALIST TO REFER/EDUCATE CLIENTS RE DISEASES; (H) EXPANDING THERAPY, PSYCH & RX SERVICES IN MCDOWELL COUNTY; (I) HIRING A FINANCIAL SERVICES SPECIALIST TO ASSIST CLIENTS & STAFF WITH NAVIGATING THE FINANCES; (2) IMPROVE THE QUALITY OF COMMUNITY MENTAL & SUD TREATMENT SERVICES FOR THE FOCUS POPULATION VIA (A) IMPLEMENTING A STAFF TRAINING PLAN DETERMINED BY THE NEEDS ASSESSMENT; (B) IMPLEMENTING TECHNICAL ASSISTANCE TRAINING FOR INTEGRATING MENTAL & PHYSICAL HEALTHCARE; (C) PROVIDING FOR STAFF LICENSES & SUSTAINABLY INCREASED COMPENSATION NEEDED FOR SERVICE EXPANSION; (3) IMPROVE CLIENT OUTCOMES AS A RESULT OF THE CCBHC EXPANSION VIA (A) SERVING 1K CLIENTS IN Y1 & 1K CLIENTS IN Y2; (B) MEASURING OUTCOMES FOR ALL IMPLEMENTED SCREENERS; (C) CLIENTS IMPROVING AT LEAST ONE MENTAL HEALTH STATUS OR FUNCTIONING OUTCOME/YEAR; (D) CLIENTS IMPROVING AT LEAST ONE PHYSICAL HEALTH INDICATOR/YEAR; (E) CLIENTS REDUCING ILLICIT SUBSTANCE USE BY 10% AT 6-MO INTERVIEW; (F) CLIENTS REMAINING IN TREATMENT FOR AT LEAST 6-MO; (G) MONITORING DISPARITY GROUP (RURAL, LGBT+, AFRICAN AMERICAN, VETERAN, UNABLE TO PAY) OUTCOMES TO ENSURE EQUAL ACCESS/USE/OUTCOMES; (4) IMPROVE COMMUNITY CRISIS RESPONSE/SERVICES TO ENSURE INDIVIDUALS IN CRISIS RECEIVE THE APPROPRIATE CARE LEVEL VIA (A) HIRING A COMMUNITY CRISIS SYSTEM EVALUATOR TO EDIT THE CRISIS SYSTEM & MENTAL HYGIENE PROCESS THAT HAS ERODED DUE TO COVID; (B) FUNDING A SOCIAL WORKER TO WORK WITH LAW ENFORCEMENT TO HANDLE MENTAL HEALTH & SUD RELATED INCIDENTS; (5) SUSTAIN CCBHC EXPANSION SERVICES FOR THE FOCUS POPULATION VIA (A) HIRING AN EVALUATION SPECIALIST IN TO INITIATE MOVING FROM FEE FOR SERVICE TO VALUE-BASED REIMBURSEMENT; (B) WORKING TO MAXIMIZE THE AGENCY EHR; (C) WORKING TO CREATE CCBHC FRIENDLY POLICY REVISIONS; (C) INITIATING A SUSTAINABLE TUITION REIMBURSEMENT PROGRAM; (D) JOINING OTHER WV STATE CCBHC EXPANSION GRANTEES IN WORKING WITH THE STATE TO ACHIEVE FORMAL CCBHC STATUS; (E) CREATING A SUSTAINABILITY PLAN.

RHODE ISLAND CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (RI-CCBHC) EXPANSION

REGIONAL HEALTH SYSTEMS 2020 CCBHC EXPANSION PROJECT - AFTER RECEIVING AN AWARD IN THE FIRST COHORT OF SAMHSA'S CCBHC EXPANSION GRANTS IN 2018, REGIONAL HEALTH SYSTEMS IS NOW APPLYING FOR A SECOND CCBHC EXPANSION GRANT IN ORDER TO IMPROVE THE QUALITY OF AND ACCESS TO PSYCHIATRIC SERVICES AND INTEGRATED HEALTHCARE THROUGHOUT NORTHWEST INDIANA. REGIONAL IS A COMPREHENSIVE HEALTH AND HUMAN SERVICES AGENCY THAT PROVIDES MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT SERVICES IN ADDITION TO PRIMARY CARE AND DENTAL SERVICES ON A SLIDING FEE SCALE. IN 2016, REGIONAL RECEIVED CERTIFICATION AS A CCBHC THROUGH THE STATE OF INDIANA. REGIONAL NOW INTENDS TO EXPAND OUR CONTINUUM OF PSYCHIATRIC SERVICE PROVIDERS, EXPAND OUR TEAM OF INTEGRATED CARE PROFESSIONALS, EXPAND THE USE OF POPULATION HEALTH MANAGEMENT, AND FURTHER ASSIST INDIVIDUALS WITH NAVIGATING OUR EXPANSIVE SYSTEM OF CARE. REGIONAL WILL HIRE A TRIAGE PSYCHIATRIST TO PROVIDE EXPEDIENT ACCESS TO PSYCHIATRIC SERVICES FOR CLIENTS WHO PRESENT WITH HIGH RISK FACTORS. WE WILL ADD A FULL-TIME AND WEEKEND PSYCHIATRIST TO OUR FIVE FQHC SITES, ALONG WITH BEHAVIORAL HEALTH CONSULTANTS AND MEDICAL ASSISTANT STAFF TO SUPPORT THESE PSYCHIATRIC EXPANSIONS. WE ALSO INTEND TO EXPAND OUR USE OF MEDICATION ASSISTED TREATMENT (MAT) VIA AN ADDICTIONOLOGIST WHO CAN PROVIDE MAT ON AN OUTPATIENT BASIS. THE SECOND MAJOR COMPONENT OF OUR PROJECT IS TO BETTER INTEGRATE THE SYSTEM OF CARE REGIONAL ALREADY OFFERS BY EXPANDING OUR TEAM OF NURSE CARE MANAGERS. THIS INTEGRATED CARE TEAM WILL BE THE CONNECTIVE TISSUE THAT ASSISTS CONSUMERS WITH NAVIGATING OUR CCBHC, WITH PARTICULAR FOCUS ON POPULATION HEALTH MANAGEMENT FOR INDIVIDUALS WITH CHRONIC AND CO-OCCURRING DISORDERS. WE'LL ALSO ADD A NUTRITIONIST TO HELP EDUCATE CLIENTS AND ENCOURAGE THEM TO SET GOALS FOR WEIGHT REDUCTION AND HEALTHY EATING. WE WILL ALSO UPDATE AND MAINTAIN POPULATION HEALTH MANAGEMENT SOFTWARE TO KEEP TRACK OF INDIVIDUALS WHO ARE RECEIVING PSYCHOTROPIC MEDICATIONS FOR MONITORING OF KEY HEALTH INDICATORS. AS PART OF OUR OUTREACH EFFORTS, WE WILL FUND TWO OUTREACH CASE MANAGER POSITIONS, ONE OF WHOM WILL FOCUS PRIMARILY ON VETERANS. TO BOLSTER THE EXPANDED SERVICES DESCRIBED ABOVE, WE WILL INVEST IN STAFF TRAINING FOR EVIDENCE-BASED PRACTICES (INCLUDING MOTIVATIONAL INTERVIEWING, TRAUMA-FOCUSED CBT, AND THE MATRIX MODEL) AS WELL AS CULTURAL COMPETENCY ISSUES INCLUDING POVERTY AND TRAUMA. WE WILL INVEST IN UPDATING OUR COMMUNITY NEEDS ASSESSMENT, FUNDING A SIGNING THERAPIST, AND FUNDING A TRANSLATOR WHO IS TRAINED ON MEDICAL TERMINOLOGY. WITH THIS EXPANDED TEAM, WE WILL HAVE A LARGE IMPACT ON THE SHORTAGE OF MEDICAL PERSONNEL IN NORTHWEST INDIANA, AND WE'LL BE ABLE TO COORDINATE OUR SYSTEM OF CARE TO PROVIDE MAXIMUM BENEFIT IN THE CCBHC MODEL.

AUMHC CERTIFIED COMPREHENSIVE BEHAVIORAL HEALTH CLINIC

MID-SOUTH HEALTH SYSTEMS' CCBHC PROJECT

RHODE ISLAND CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) EXPANSION

NEWPORT COUNTY, RI BIPOC, OLDER ADULT, AND CHILDREN'S ENGAGEMENT AND EXPANSION PROGRAM - NEWPORT COUNTY COMMUNITY MENTAL HEALTH CENTER’S (NCCMHC) CURRENT CMHC SEEKS TO ENHANCE AND EXPAND EVIDENCE BASED PRACTICES TO THREE POPULATIONS OF FOCUS: THE POPULATIONS OF FOCUS INCLUDE: 1) 1) CHILDREN AND YOUTH WITH SERIOUS EMOTIONAL DISORDERS (SED); 2) OLDER ADULTS (AGE 65+) WITH SMI; AND 3) PEOPLE OF COLOR RESIDING IN IN NEWPORT COUNTY, RI. NEWPORT COUNTY HAS A TOTAL LAND AREA OF 102 SQUARE MILES AND A POPULATION OF 82,082. WITH TWO COLLABORATORS (TIDES FAMILY SERVICES AND CHILD AND FAMILY) NCCHMC WILL PROVIDE EXPANDED AND ENHANCED CMHC SERVICES TO 400 INDIVIDUALS IN YEAR 1 AND 400 INDIVIDUALS IN YEAR 2 OF THE GRANT. A TOTAL OF 800 (UNDUPLICATED) PEOPLE WILL BE SERVED OVER TWO YEAR FUNDING PERIOD. THE PROJECT WILL EXPAND EVIDENCE BASED BEHAVIORAL HEALTH PRACTICES TO ADDRESS THE NEEDS OF INDIVIDUALS WITH BEHAVIORAL HEALTH CONDITIONS, INCLUDING MINORITY POPULATIONS AND ECONOMICALLY DISADVANTAGED COMMUNITIES THAT HAVE NOT BEEN MET DURING THE PANDEMIC. SERVICE GAPS HAVE BEEN EXACERBATED BY THE COVID-19 PANDEMIC. APPROXIMATELY 20% OF TEENS AGED 12-17 WHO NEED MENTAL HEALTH TREATMENT RECEIVE SERVICES. ADULTS AGE 65+ ARE ADMITTED TO MENTAL HEALTH AND SUBSTANCE ABUSE FACILITIES AT HIGHER RATES THAN THE NATIONAL AVERAGE DUE TO A LACK OF COMMUNITY SERVICES CAPACITY. SMI, MAJOR DEPRESSIVE EPISODES, AND SUICIDE EVENTS ARE RISING AMONG PEOPLE OF COLOR, WHO FACE MANY BARRIERS IN ACCESSING MENTAL HEALTH SERVICES INCLUDING A LACK OF CULTURALLY COMPETENT PROVIDERS. TO ADDRESS THESE ISSUES, NCCMHC PROPOSES THREE PROJECTS. 1) MENTAL HEALTH SERVICES FOR CHILDREN AND ADOLESCENTS WITH OR AT RISK FOR SED: IN THIS COMPONENT NCCMHC WILL EXPAND ITS SERVICES TO AT-RISK YOUTH BY ENHANCING ITS SCHOOL AND OFFICE-BASED TREATMENT SERVICES AND BY ADDING A SPECIALIZED COMPREHENSIVE CHILDREN’S MOBILE CRISIS SERVICE (IN COLLABORATION WITH TIDES FAMILY SERVICES) TO SERVE CHILDREN AND YOUTH EXPERIENCING A BEHAVIORAL HEALTH CRISIS. 2) OLDER ADULT/SENIOR SERVICES: IN THIS COMPONENT, NCCMHC, IN COLLABORATION WITH CHILD AND FAMILY WILL 1) INCREASE OUTREACH ACTIVITIES TO BETTER IDENTIFY AND ENGAGE OLDER ADULTS (AGE 65+) WITH SUBSTANCE USE AND MENTAL HEALTH ISSUES AND 2) PROVIDE EVIDENCE-BASED, AGE-APPROPRIATE TREATMENT TO THOSE IDENTIFIED TO BE AT RISK. 3) BIPOC SERVICES/NORTH END SATELLITE CLINIC: IN RESPONSE TO THE MENTAL HEALTH IMPACT OF THE COVID-19 PANDEMIC, THIS COMPONENT WILL DELIVER OUTPATIENT MENTAL HEALTH SERVICES FOR VULNERABLE ADULTS AND CHILDREN, WHO ARE UNDERSERVED. DISPARITIES HAVE BEEN EXACERBATED BY THE PANDEMIC, WHICH HAS IMPACTED PEOPLE OF COLOR DISPROPORTIONATELY BOTH IN TERMS OF NEGATIVE HEALTH OUTCOMES AND FINANCIAL INSTABILITY. THESE STRESSES AND LOSSES INCREASE THE RISKS OF DEPRESSION, ANXIETY, SUBSTANCE USE, AND SUICIDE, AS WELL AS POOR PHYSICAL HEALTH. THE PROGRAM WILL ELIMINATE BARRIERS FACED BY LOW-INCOME, MINORITY POPULATIONS BY 1) OFFERING CULTURALLY AND LINGUISTICALLY COMPETENT CARE TO BETTER ADDRESS MENTAL HEALTH ISSUES AND REDUCE THE STIGMA OF TREATMENT AND 2) OFFER SERVICES IN A LOCATION GEOGRAPHICALLY ACCESSIBLE TO THE TARGET POPULATION.

AUMHC CCBHC-IA - PROJECT NAME AND SUMMARY: AURORA COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER, D/B/A AURORA MENTAL HEALTH CENTER (AUMHC) WILL IMPROVE AND ADVANCE OUR CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC THROUGH ENHANCING CLIENT EXPERIENCE OF CARE, DEVELOPING CLINICAL CAPACITY IN TRAUMA-FOCUSED CARE, INCREASING CARE COORDINATION ACTIVITIES, AND ADDRESSING HEALTH DISPARITIES AND IMPROVING OUTCOMES THROUGH MEASUREMENT-BASED CARE AND TARGETED INTERVENTIONS. POPULATION TO BE SERVED: INDIVIDUALS OF ALL AGES WHO HAVE OR ARE AT RISK FOR A MENTAL ILLNESS OR ADDICTIONS DISORDER, INCLUDING INDIVIDUALS WITH CO-OCCURRING DISORDERS. WE WILL FOCUS ON THREE KEY UNDERSERVED SUBPOPULATIONS TO REDUCE DISPARITIES IN BEHAVIORAL HEALTHCARE ACCESS AND OUTCOMES: REFUGEES, ASLYEES AND IMMIGRANTS; INDIVIDUALS EXPERIENCING HOMELESSNESS; AND MEMBERS OF THE ARMED FORCES AND VETERANS. STRATEGIES/INTERVENTIONS: WE WILL DEVELOP, IMPLEMENT AND EVALUATE IMPACT OF BEST PRACTICES TO ADVANCE OUR CLINICAL EXPERTISE, BUILD CAPACITY FOR POPULATION HEALTH MANAGEMENT, AND IMPROVE CLIENT OUTCOMES. KEY STRATEGIES INCLUDE: STAFF TRAINING PATHWAYS TO IMPROVE CLINICAL COMPETENCY AND TRAUMA-FOCUSED CARE, INVESTMENT IN TECHNOLOGY SOLUTIONS TO ENABLE MEASUREMENT-BASED CARE, INTEGRATING FEEDBACK FROM THE CLIENT ADVISORY COUNCIL AND COMMUNITY NEEDS ASSESSMENT TO IMPROVE CLIENT EXPERIENCE OF CARE, AND DEVELOPING TARGETED INTERVENTIONS TO ADDRESS DISPARITIES IN OUTCOMES FOR SUICIDE RISK AND TWO ADDITIONAL DATA-DRIVEN AREAS OF HEALTH FOCUS. PROJECT GOALS AND MEASURABLE OBJECTIVES: GOAL 1 IS TO IMPROVE CLIENT EXPERIENCE OF CARE THROUGH ALIGNMENT OF SERVICE DELIVERY TO COMMUNITY NEEDS, MEASURED BY COMPLETION OF A COMMUNITY NEEDS ASSESSMENT, DEVELOPMENT OF A SUSTAINABILITY PLAN, IMPLEMENTATION OF A CLIENT PORTAL, AND INTEGRATING MEANINGFUL INPUT FROM THE CLIENT ADVISORY COUNCIL. GOAL 2 IS TO INCREASE AUMHC CAPACITY TO TREAT IMPACT OF TRAUMA FOR CLIENTS THROUGH PROVISION OF TRAINING PATHWAYS AND IMPLEMENTATION SUPPORT TO DELIVER TRAUMA-FOCUSED CLINICAL INTERVENTIONS, MEASURED BY TRAINING 155 STAFF IN A TRAUMA-FOCUSED PRACTICE AND PROVIDING TRAINING TRAUMA-FOCUSED SUPERVISION. GOAL 3 IS TO INCREASE AUMHC CAPACITY TO CONDUCT POPULATION HEALTH MANAGEMENT THROUGH IMPROVED DATA COLLECTION AND ENHANCED ANALYSIS TO IDENTIFY CLIENT-LEVEL AND POPULATION-LEVEL HEALTH OUTCOMES, MEASURED BY IDENTIFYING AND COLLECTING ADDITIONAL CLIENT-LEVEL INDICATORS, AND DEVELOPING DATA LITERACY TRAINING AND DATA DASHBOARDS FOR CLINICAL STAFF. GOAL 4 IS TO INCREASE AUMHC CAPACITY TO IMPROVE HEALTH EQUITY THROUGH PROVISION OF TARGETED INTERVENTIONS TO IDENTIFIED HIGH-RISK CLIENTS AND CLIENTS WITH DISPARITIES IN ACCESS AND OUTCOMES IN CARE, MEASURED BY DEVELOPING TARGETED INTERVENTIONS TO ADDRESS IDENTIFIED INDICATORS FOR EACH SELECTED AREA OF POPULATION HEALTH MANAGEMENT. GOAL 5 IS TO INCREASE CLIENT TREATMENT PLAN ADHERENCE BY IMPLEMENTING TARGETED CARE COORDINATION ACTIVITIES THAT IMPROVE BOTH INTERNAL AND EXTERNAL RESOURCE COLLABORATION AND COMMUNICATION, MEASURED BY IMPROVING COORDINATION WITH PRIMARY CARE PROVIDERS, CREATING A STANDARD CARE COORDINATION SCOPE OF WORK AND TRAINING, AND IMPROVING REFERRAL PROCESSES.

SOUTHEASTERN INDIANA CCBHC IMPLEMENTATION PROJECT

THE EASTERN MONTANA CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC PLANNING, DEVELOPMENT AND IMPLEMENTATION PROJECT - THE EASTERN MONTANA CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC PLANNING, DEVELOPMENT AND IMPLEMENTATION PROJECT WILL SUPPORT THE EASTERN MONTANA COMMUNITY MENTAL HEALTH CENTER (EMCMHC) TO PROVIDE THE FULL CONTINUUM OF COMMUNITY BEHAVIORAL HEALTH SERVICES TO YOUTH AND ADULTS WITH SERIOUS EMOTIONAL DISTURBANCE, SERIOUS MENTAL ILLNESS AND CO-OCCURRING DISORDERS IN 17 FRONTIER COUNTIES IN EASTERN MONTANA. EMCMHC’S 48,071 SQUARE MILE SERVICE AREA HAS A POPULATION DENSITY OF ONLY 1.67 PEOPLE PER SQUARE MILE, MAKING IT ONE OF THE MOST RURAL REGIONS IN THE LOWER 48 STATES. THE AREA INCLUDES ALL OR PART OF THREE AMERICAN INDIAN RESERVATIONS: FORT PECK, NORTHERN CHEYENNE AND FORT BELKNAP. 13% OF THE RESIDENTS IN THE REGION LIVE IN POVERTY AND 12% ARE UNINSURED. (AMERICAN COMMUNITY SURVEY). THE SUICIDE RATE IN EASTERN MONTANA IS 28.8 PER 100,000, ELEVATED RELATIVE TO MONTANA AS A WHOLE AND MORE THAN DOUBLE THE NATIONAL RATE OF 13.4 PER 100,000. (MONTANA VITAL STATISTICS AND CDC WONDER). ACCESS TO ROBUST, COMMUNITY BASED BEHAVIORAL HEALTH SERVICES ARE LIMITED IN EASTERN MONTANA. THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) DESIGNATES ALL OF EASTERN MONTANA A HIGH NEEDS GEOGRAPHIC HEALTH PROFESSIONAL SHORTAGE AREA FOR MENTAL HEALTH. WITH A LACK OF CAPACITY TO SERVE INDIVIDUALS WITH BEHAVIORAL HEALTH ISSUES, IT IS CRITICAL TO DEVELOP ROBUST COMMUNITY-BASED MENTAL HEALTH AND CO-OCCURRING SERVICES TO SERVE THE REGION IN ORDER TO REDUCE CRISES AND PREVENT OUT-OF-COMMUNITY TRANSPORTATION TO HIGHER LEVELS OF CARE. THROUGH THIS PROJECT, EMCMHC WILL EXPAND AND STRENGTHEN ITS BEHAVIORAL HEALTH SERVICES IN THE REGION, PARTNERING WITH OTHER COMMUNITY-BASED HEALTHCARE PARTNERS, HOSPITALS AND TELEHEALTH SERVICES, TO PROVIDE ROBUST CRISIS, CARE COORDINATION, INTEGRATED CARE AND EVIDENCE BASED PRACTICES TO THE POPULATION OF FOCUS. BY THE END OF YEAR 1, EMCMHC IS COMMITTED TO MEETING ALL OF THE CCBHC CRITERIA WHILE EVALUATING, IMPROVING AND WORKING TO SUSTAIN ALL SERVICES THROUGHOUT THE PROJECT PERIOD AND BEYOND. THE GOALS AND MEASURABLE OBJECTIVE FOR THE PROJECT ARE: GOAL 1 | FACILITATE ACCESS TO THE FULL CONTINUUM OF COMMUNITY BASED BEHAVIORAL HEALTHCARE FOR RESIDENTS OF EASTERN MONTANA - OBJECTIVE 1.1 BY THE END OF YEAR 1, 100% OF EMCMHC CLIENTS HAVE ACCESS TO 24/7 MOBILE CRISIS AND CRISIS RECEIVING/STABILIZATION SERVICES - OBJECTIVE 1.2 BY THE END OF YEAR 4, INCREASE TO 200 THE NUMBER OF EMCMHC CLIENTS RECEIVING CARE COORDINATION TO SUPPORT THEIR TREATMENT, RECOVERY, AND ACCESS TO SERVICES GOAL 2 | DEVELOP THE INFRASTRUCTURE TO EFFECTIVELY IMPLEMENT AND SUSTAIN ALL CCBHC SERVICES IN EASTERN MONTANA - OBJECTIVE 2.1 BY THE END OF YEAR 3, IMPLEMENT FOUR NEW EVIDENCE BASED PRACTICE MODALITIES FOR EMCMHC CCBHC CLIENTS. - OBJECTIVE 2.2 BY THE END OF YEAR 1, FACILITATE INCREASED ACCESS TO PRIMARY CARE, INPATIENT CARE, CRISIS SERVICES AND MEDICATION TREATMENT THROUGH IMPLEMENTATION OF 5 DCOS.

REGIONAL HEALTH SYSTEMS CCBHC EXPANSION PROJECT

SAMHSA CCBHC - SOUTHEAST HEALTHCARE PROPOSES TO OFFER EXPANDED AND ENHANCED INTEGRATED PRIMARY AND BEHAVIORAL HEALTHCARE SERVICES THROUGH CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) FUNDING, BUILDING ON OUR FRAMEWORK DEVELOPED THROUGH TWO PREVIOUS SAMHSA-FUNDED PRIMARY AND BEHAVIORAL HEALTHCARE INTEGRATION GRANTS. SERVICES WILL BE DELIVERED ACROSS EIGHT OHIO COUNTIES LOCATED IN CENTRAL AND EASTERN OHIO: BELMONT, HARRISON, MONROE (APPALACHIAN COUNTIES), TUSCARAWAS AND CARROLL (AMISH INFLUENCE, RURAL AND SEMI-URBAN); DELAWARE AND MORROW (WEALTH AND RURAL POVERTY); AND FRANKLIN (LARGE URBAN WITH HOMELESS). THE POPULATION OF FOCUS IS LOW-INCOME INDIVIDUALS WITH SEVERE AND PERSISTENT MENTAL ILLNESS (SPMI), AND/OR SUBSTANCE USE DISORDERS, INCLUDING INDIVIDUALS WHO ARE DUALLY DIAGNOSED WITH CO-OCCURRING DISORDERS. A HIGH PERCENTAGE OF CLIENTS SERVED BY SE ARE PERSONS EXPERIENCING HOMELESSNESS. SE ALSO SERVES YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE. OTHER CLIENTS SERVED BY SE INCLUDE UNDERSERVED INDIVIDUALS WITH CHALLENGING SOCIAL DETERMINANTS OF HEALTH WHO FALL INTO THE GENERAL MENTAL HEALTH/SUD OUTPATIENT POPULATION BUT REQUIRE A HIGHER LEVEL OF SUPPORT. SE WILL PROVIDE ALL 16 REQUIRED CCBHC SERVICES DIRECTLY. SE IS A DUAL COMMUNITY BEHAVIORAL HEALTH CENTER/FEDERALLY QUALIFIED HEALTH CENTER, AND WE HAVE PROVIDED INTEGRATED PRIMARY AND BEHAVIORAL HEALTHCARE SERVICES FOR MANY YEARS. SE’S CCBHC PROJECT WILL FOCUS ON EXPANDING ACCESS TO HIGH-QUALITY, EVIDENCE-BASED COMMUNITY BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER SERVICES, IN ADDITION TO INTEGRATION WITH PRIMARY CARE AND RECOVERY SUPPORTS. EXPANDED AND INTEGRATED CARE MANAGEMENT SERVICES BETWEEN OUR BH TREATMENT TEAMS AND PROGRAMS AND PRIMARY CARE (AS WELL AS WITH OTHER PROVIDERS) WILL BE A CENTRAL COMPONENT OF THE PROJECT. PROJECT GOALS INCLUDE THE FOLLOWING: GOAL 1: EXPAND ACCESS TO INTEGRATED PHYSICAL AND BEHAVIORAL HEALTHCARE SERVICES BY A) ENROLLING UNLINKED CLIENTS IN PRIMARY CARE, B) IMPLEMENTING MORE COMPREHENSIVE BEHAVIORAL AND PHYSICAL HEALTHCARE SCREENING ACTIVITIES AND CARE COORDINATION PROTOCOLS, C) INCREASING REFERRALS TO SPECIALTY CARE, D) ENSURING CLIENTS HAVE ACCESS TO RESOURCES (E.G., HEALTH INSURANCE) NEEDED TO ACCESS SERVICES NECESSARY FOR ATTAINING AND MONITORING THEIR PHYSICAL, MENTAL AND EMOTIONAL WELL-BEING, AND E) ENSURING A HIGH LEVEL OF CLIENT SATISFACTION; GOAL 2: DECREASE HOSPITAL AND EMERGENCY DEPARTMENT (ED) UTILIZATION BY A) ENHANCING CARE COORDINATION AND CARE MANAGEMENT ACROSS SETTINGS AND PROVIDERS, AND B) BY REFINING TARGETED CASE MANAGEMENT EDUCATION AND PROTOCOLS FOR WORKING WITH HIGH SERVICE UTILIZERS OF HOSPITAL EMERGENCY DEPARTMENTS; GOAL 3: REDUCE SUICIDE COMPLETION RATES A) INCREASING AWARENESS AND AVAILABILITY OF, AND ACCESS TO CRISIS MANAGEMENT AND SUICIDE-PREVENTION SERVICES, AND B) IMPLEMENTING NEW CLINICAL PROTOCOLS FOR SCREENING, ASSESSMENT, DIAGNOSIS AND ONGOING RISK MANAGEMENT. THE PROGRAM WILL SERVE 2,000 UNDUPLICATED ADDITIONAL CLIENTS IN TOTAL (1,000 DURING YEAR 1 OF THE PROJECT AND 1,000 DURING YEAR 2).

COMMUNITY CRISIS RESPONSE PARTNERSHIPS - NEWPORT MENTAL HEALTH - PROJECT NAME AND POPULATION TO BE SERVED: THE NEWPORT COUNTY COMMUNITY MENTAL HEALTH CENTER (NCCMHC) SEEKS TO ENHANCE AND EXPAND ITS EXISTING MOBILE CRISIS INTERVENTION INITIATIVES TO CREATE A FULL RESPONSE PARTNERSHIP TO ACHIEVE 24/7 EMERGENCY RESPONSE COVERAGE ACROSS NEWPORT COUNTY. THIS SYSTEM WILL PROVIDE RAPID RESPONSE AND TIMELY ENGAGEMENT OF EVIDENCE-BASED TREATMENT SERVICES TO DEESCALATE BEHAVIORAL HEALTH CRISES WITHOUT THE NEED FOR POLICE RESPONSE AND WILL ALSO PROVIDE A PATHWAY THROUGH OUR NO WRONG DOOR SYSTEM OF CARE WITH EXPERTISE IN SERVING CHILDREN, YOUTH AND ADULTS WITH COMPLEX CARE NEEDS. THE POPULATION OF FOCUS FOR THIS PROJECT IS INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI) OR SUBSTANCE USE DISORDERS (SUD),INCLUDING OPIOID DISORDERS; CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED); AND INDIVIDUALS WITH CO-OCCURRING DISORDERS (COD). STRATEGIES/INTERVENTIONS: NCCMHCS MOBILE CRISIS TEAM WILL EXPAND CAPACITY TO PROVIDE CRISIS INTERVENTION, USING SAMHSAS NATIONAL GUIDELINES FOR BEHAVIORAL HEALTH CRISIS CARE: BEST PRACTICE TOOLKIT. TEAMS WILL CONDUCT ASSESSMENT AND CRISIS INTERVENTION TO HELP PEOPLE DEESCALATE AND NAVIGATE THE CRISIS. ONCE STABILIZATION IS ACHIEVED, THE INDIVIDUAL WILL BE CONNECTED TO NEEDED SERVICES FOR SMI, SED, SUD, AND OTHER BEHAVIORAL HEALTH CONDITIONS. ALL REFERRALS WILL BE WARM HAND OFFS TO ENSURE ENGAGEMENT IN PROGRAMS. GOALS AND OBJECTIVES: GOAL 1.INCREASE THE CAPACITY OF THE LOCAL MENTAL HEALTH SYSTEM TO RESPOND TO PEOPLE WITH BEHAVIORAL HEALTH CRISES AND EXPAND ACCESS IN HIGH-NEED COMMUNITIES. OBJECTIVES: HIRE AND DEPLOY FOUR ADDITIONAL CRISIS CLINICIANS WITH CHILDREN'S EXPERTISE TO PROVIDE MOBILE CRISIS SERVICES; COLLOCATE EMERGENCY CRISIS STAFF IN UNDERSERVED COMMUNITIES TO INCREASE ACCESS TO UNDERSERVED POPULATIONS; TRAIN STAFF ON THE CAHOOTS MODEL FOR OUTREACH AND ENGAGEMENT AND DE-ESCALATION, TO PREVENT INDIVIDUALS WITH BEHAVIORAL HEALTH NEEDS FROM FURTHER PENETRATION INTO THE CRIMINAL JUSTICE SYSTEM; ACHIEVE 24/7 AVAILABILITY OF MOBILE CRISIS SERVICES. 95% OF RESPONSE CALLS WILL BE DISPATCHED WITH A RESPONSE TIME OF LESS THAN 1 HOUR. GOAL 2: INCREASE COLLABORATION TO IMPROVE CRISIS STABILIZATION IN THE COMMUNITY; OBJECTIVES: ESTABLISH AND IMPLEMENT POST-CRISIS FOLLOW-UP FOR ALL SERVICE RECIPIENTS - 95% OF ALL CRISES WILL RECEIVE APPROPRIATE FOLLOW-UP CARE (WRAPAROUND) SERVICES; ESTABLISH PROTOCOLS FOR PARTNERING AND COORDINATING PROJECT ACTIVITIES. GOAL 3: IMPROVE EQUITY IN THE CONTINUITY OF CARE AND POST-CRISIS FOLLOW-UP. OBJECTIVES: PROVIDE CRISIS SERVICES TO DIFFICULT TO REACH POPULATIONS; ENSURE EQUITABLE ACCESS TO INFORMATION, SERVICES, AND LINKAGE TO TREATMENT AND SUPPORT SERVICES FOR UNDERSERVED COMMUNITIES; PROVIDE SERVICES IN A CULTURALLY RESPONSIVE MANNER. 95% OF CRISIS SERVICES WILL BE PROVIDED IN THE CLIENT'S PRIMARY LANGUAGE. GOAL 4: REDUCE UNNECESSARY HOSPITALIZATIONS BY DIVERTING INDIVIDUALS TO LESS RESTRICTIVE ENVIRONMENTS AND CONNECTING THEM TO COMMUNITY RESOURCES. OBJECTIVES: REDUCE INPATIENT HOSPITALIZATIONS BY 95%; CONNECT INDIVIDUALS TO COMMUNITY-BASED SERVICES THAT HELP THEM TO ACHIEVE STABILITY AND AVOID FUTURE CRISES. OVER THE FOUR YEAR FUNDING PERIOD, THE PROJECT WILL SERVE 600 INDIVIDUALS (150/YEAR).

EASTERN MONTANA COMMUNITY MENTAL HEALTH CENTER PROJECT - THE EASTERN MONTANA COMMUNITY MENTAL HEALTH CENTER PROJECT WILL INCREASE ACCESS TO BEHAVIROALHEALTH SERVICES FOR YOUTH AND ADULTSD IMPACTED BY COVID-19 IN EASTERN MONTANA. THE PROJECT WILL SERVE ADULTS AND CHILDREN IN 17 FRONTIER COUNTIES IN EASTERN MONTANA WHO HAVE SERIOUS EMOTIONAL DISTURBANCE (SED), SERIOUS MENTAL ILLNESS (SMI) AND CO-OCCURRING DISORDERS (COD). THE PROJECT ENTAILS THE DEVELOPMENT OF AN INNOVATIVE TELEHEALTH PLATFORM FOR THE PROVISION OF BEHAVIORAL HEALTH SERVICES FOR CLIENTS, ALLOWING OUR ORGANIZATION TO OFFER THE FIRST INTENSIVE OUTPATIENT TREATMENT PROGRAM (IOP) IN THE REGION. THE PROJECT WILL ALSO CREATE AN ADDITIONAL ASSERTIVE COMMUNITY TREATMENT (ACT) TEAM TO SERVE CLIENTS WITH SMI IN FOUR COUNTIES. THIS PROJECT WILL SERVE 500 INDIVIDUALS IN YEAR 1 AND AN ADDITIONAL 500 IN YEAR 2.

SOUTHEAST CCBHC IA - SOUTHEAST HEALTHCARE (SE) PROVIDES A COMPREHENSIVE RANGE OF COMMUNITY-BASED INTEGRATED BEHAVIORAL AND PHYSICAL HEALTH CARE SERVICES AS A CCBHC-E GRANTEE IN EIGHT DIVERSE OHIO COUNTIES (FRANKLIN, DELAWARE, MORROW, BELMONT, HARRISON, MONROE, TUSCARAWAS & CARROLL). THROUGH THE SOUTHEAST CCBHC IA PROJECT, SE INTENDS TO IMPROVE AND ADVANCE THE CCBHC MODEL THROUGHOUT THE ORGANIZATION AND SERVICE AREA, WITH SPECIFIC ENHANCEMENTS IN CARE COORDINATION, ACCESSIBILITY, TRAUMA-INFORMED CARE, AND SUICIDE RISK RESPONSE. SE PRIMARILY SERVES THOSE LIVING WITH SEVERE MENTAL ILLNESS (SMI), AND/OR SUBSTANCE USE DISORDERS (SUD) WITH LOW SOCIOECONOMIC STATUS AND FACING HEALTH DISPARITIES. THE POPULATION OF FOCUS COVERS THE LIFESPAN, FROM CHILDREN AND YOUTH WITH SEVERE EMOTIONAL DISTURBANCES THROUGH OLDER ADULTS WITH SMI, AND/OR SUD WITH A SPECIFIC FOCUS ON THE HOMELESS POPULATION, THOSE INVOLVED WITH THE CRIMINAL JUSTICE SYSTEM, AND THE APPALACHIAN POPULATION IN THE SERVICE AREA. SE INTENDS TO ADDRESS DISPARITIES AND OTHER BARRIERS TYPICALLY FACED BY THESE POPULATIONS. SE WILL SERVE 1,500 INDIVIDUALS TOTAL DURING THE FOUR-YEAR PERIOD (350 IN YEARS 1 AND 4, AND 400 IN YEARS 2 AND 3).GOAL 1: ENHANCE ACCESS TO AND AVAILABILITY OF SERVICES TO MEMBERS OF HISTORICALLY UNDERSERVED SUBGROUPS AND TO THOSE MOST URGENTLY IN NEED OF CARE. OBJECTIVES: 1.1- 25% OF ENROLLEES WILL REPRESENT ONE OR MORE OF THE FOUR TARGET POPULATIONS. 1.2- TAKE IMMEDIATE ACTION ON BEHALF OF 100% OF INDIVIDUALS WHO IDENTIFY AN EMERGENCY NEED, AND PROVIDE SERVICES WITHIN 1 DAY FOR INDIVIDUALS WHO IDENTIFY AN URGENT NEED, WITHIN 10 DAYS FOR INDIVIDUALS WHO IDENTIFY ROUTINE NEEDS. GOAL 2: INCREASE INTEGRATION OF COMPREHENSIVE PH, BH AND ADJUNCT SERVICE DELIVERY. OBJECTIVES: 2.1- ATTENDANT TO DOMAINS 1 (SCREENING, REFERRAL, AND FOLLOW-UP) AND 7 (LINKAGES WITH COMMUNITY AND SOCIAL SERVICES) OF THE COMPREHENSIVE HEALTHCARE INTEGRATION (CHI ) FRAMEWORK, 80% OF INDIVIDUALS IN EACH ANNUAL ENROLLMENT COHORT WILL BE SCREENED FOR SDOH. 2.2- ATTENDANT TO DOMAINS 1 AND 7 OF THE CHI FRAMEWORK, 75% OF INDIVIDUALS WHO SCREEN POSITIVE FOR AN SDOH WILL RECEIVE A TIMELY REFERRAL AND FOLLOW-UP. 2.3- ATTENDANT TO DOMAIN 4 (SELF-MANAGEMENT SUPPORT) OF THE CHI FRAMEWORK, 45% OF INDIVIDUALS WILL REPORT INCREASED SELF-EFFICACY TO MANAGE CHRONIC HEALTHCARE CONDITIONS. 2.4- ATTENDANT TO DOMAIN 5 (MULTIDISCIPLINARY TEAMS) OF THE CHI FRAMEWORK, 100% OF SE STAFF REQUESTS FOR MULTIDISCIPLINARY CARE CONFERENCES WILL BE FULFILLED BY CCBHC STAFF. GOAL 3: EXPAND AND ADVANCE CARE COORDINATION TO ACHIEVE IMPROVED HEALTH OUTCOMES. OBJECTIVES: 3.1- LAUNCH A RISK-STRATIFICATION SYSTEM TO IMPROVE ALIGNMENT BETWEEN INDIVIDUAL NEEDS AND CARE COORDINATION SERVICES. 3.2- IMPLEMENT ORGANIZATION-WIDE CASE-TO-CARE TRAINING FOR CASE MANAGERS AND TEAM LEADERS/SUPERVISORS IN COLLABORATION WITH A TRAINER AFFILIATED WITH THE NATIONAL COUNCIL CCBHC SUCCESS CENTER. 3.3- 100% OF INDIVIDUALS DISCHARGED FROM INPATIENT ACUTE-CARE HOSPITALS WILL HAVE A CONTACT ATTEMPT DOCUMENTED WITHIN 24 HOURS OF DISCHARGE. 3.4- 100% OF ALL INDIVIDUALS HOSPITALIZED FOR A SUICIDE ATTEMPT WILL HAVE A MULTI-DISCIPLINARY CARE TEAM MEETING WITHIN 7 DAYS OF DISCHARGE, LED BY AN INDEPENDENTLY LICENSED STAFF MEMBER TO PRODUCE AN ENHANCED CARE PLAN. 3.5- 50% OF INDIVIDUALS IN THE ANNUAL ENROLLMENT COHORT WILL DEMONSTRATE IMPROVEMENT IN SELF-REPORTED BH SYMPTOMS, OVERALL HEALTH AND/OR CLINIC MEASURED PH INDICATORS. GOAL 4: STRENGTHEN THE ORGANIZATIONAL CLIMATE FOR INTEGRATED, WHOLISTIC, PERSON-CENTERED, TRAUMA-INFORMED CARE. OBJECTIVES: 4.1- SE WILL CONDUCT AT LEAST ONE ORGANIZATION-WIDE EBP/PROMISING PRACTICE TRAINING, WHICH ADDRESSES ONE OR MORE CORE IHC ELEMENT AND WHICH INCLUDES AN EXPERIENTIAL COMPONENT AND FOLLOW-UP. 4.2- DURING THE COURSE OF EACH EBP/PROMISING PRACTICE TRAINING, SE AND PROJECT LEADERSHIP WILL IDENTIFY STAFF CHAMPIONS TO PROVIDE IN SITU SUPPORT AND REINFORCEMENT TO STAFF ENGAGED IN DELIVERING THE FOCAL EBP/PROMISING PRACTICE.

SAMHSA CMHC - SOUTHEAST HEALTHCARE PROPOSES TO USE FY21 SAMHSA COMMUNITY MENTAL HEALTH CENTERS GRANT FUNDS TO EXPAND CURRENT SERVICES TO PEOPLE WITH SERIOUS MENTAL ILLNESS (SMI), CO-OCCURRING DISORDER (COD) AND SERIOUS EMOTIONAL DISTURBANCE (SED), ESPECIALLY IN RESTORING SERVICES TO THOSE WHO DISENGAGED DURING THE COVID-19 PANDEMIC. THE PROJECT WILL ADDRESS UNMET NEEDS BY REACHING PEOPLE IN THE COMMUNITY WITH INTEGRATED HEALTH CARE, PEOPLE WITHIN THE COURT AND PRISON SYSTEMS, INDIVIDUALS WITH A RECENT PSYCHIATRIC HOSPITALIZATION, WALK-IN, AND FIRST-EPISODE PSYCHOSIS CLIENTS, AND STUDENTS IN A LOCAL SCHOOL. PRIMARY POPULATIONS TO BE SERVED INCLUDE LOW-INCOME, THOSE WITH SMI, COD AND SED. SOUTHEAST ALSO SERVES A LARGE NUMBER OF HOMELESS, INCARCERATED AND UNDERSERVED INDIVIDUALS WITH CHALLENGING SOCIAL DETERMINANTS OF HEALTH. THE PROJECT SPANS MANY OF SOUTHEAST’S LOCATIONS INCLUDING CENTRAL AND EASTERN OHIO COUNTIES THAT OPERATE IN LARGE URBAN, RURAL IMPOVERISHED, APPALACHIAN AND HOMELESS COMMUNITIES. SOUTHEAST INTENDS TO TAKE A COMMUNITY AND EVIDENCE BASED, INTEGRATED APPROACH TO EXPANSION OF SERVICES AND RE-ENGAGEMENT OF CLIENTS. ALL SERVICES WILL BE PROVIDED DIRECTLY BY SOUTHEAST. IN ADDITION TO STAFF CONNECTING WITH PEOPLE IN THE COMMUNITY AND VARIOUS UNDERSERVED SPACES, SOUTHEAST WILL PARTICIPATE IN COMMUNITY EDUCATION THAT TARGETS POPULATIONS WHO HAVE DECREASED UTILIZATION OF SERVICES AND WILL ENHANCE OUR EHR TO STREAMLINE REGISTRATION PROCESSES. STAFF ON THE PROJECT WILL ALSO BE SUPPORTED BY WELLNESS WINDOWS, AN OPPORTUNITY TO CONFIDENTIALLY MEET WITH A CONTRACTED THERAPIST. A CONTRACTED PROJECT EVALUATOR WILL ALSO BE UTILIZED TO ENSURE OUTCOMES ARE MET AND THE CMHC EVALUATION PLAN IS IMPLEMENTED. PROJECT GOALS ARE AS FOLLOWS: GOAL 1- RESTORE ENGAGEMENT IN SERVICES TO INDIVIDUALS WITH SMI, COD AND SED WHO WERE IMPACTED BY THE COVID-19 PANDEMIC TO EFFECTIVELY ADDRESS THEIR NEEDS BY PROVIDING INTEGRATED CARE IN THE COMMUNITY AND INCREASING COMMUNITY EDUCATION AND OUTREACH. SOME OUTCOMES FOR THIS GOAL INCLUDE DECREASES IN SEVERITY OF MENTAL HEALTH SYMPTOMS, A HIGHER PROPORTION OF CLIENTS FOLLOWED-UP WITHIN 7 DAYS OF HOSPITALIZATION, AND THE NUMBER OF COMMUNITY EDUCATION ACTIVITIES. GOAL 2- INCREASE ACCESS TO CARE FOR UNDERSERVED JUSTICE-INVOLVED POPULATIONS BY ENHANCING SERVICES FOCUSED ON THE CRIMINAL JUSTICE SYSTEM. RELEVANT OUTCOMES TO BE TRACKED INCLUDE THE PROPORTION OF THOSE REFERRED TO THE PRISON IN-REACH STAFF THAT ARE SUCCESSFULLY LINKED AND THE PERCENT OF PEOPLE REFERRED TO THE COURT NAVIGATOR THAT SUCCESSFULLY LINK. GOAL 3- INCREASE SOUTHEAST’S CAPACITY TO SERVE PEOPLE WITH SMI, COD AND SED WHILE MAINTAINING A HIGH LEVEL OF SATISFACTION WITH SERVICES. OBJECTIVES INCLUDE THE IMPLEMENTATION OF AN EHR ENHANCEMENT AND HIGH LEVELS OF CLIENT SATISFACTION. IN TOTAL, THE PROJECT WILL SERVE 1,000 UNDUPLICATED CLIENTS (500 DURING YEAR ONE AND 500 DURING YEAR TWO).

COMAT: COMMUNITY OUTREACH MAT INITIATIVE - COMAT INCREASES THE NUMBER OF PEOPLE WITH OUD RECEIVING MOUD & DECREASES ILLICIT OPIOID DRUG USE/RX OPIOID MISUSE IN ADULTS WITH OPIOID USE DISORDER (OUD) SEEKING/RECEIVING MAT WHO ARE LIVING/BEING TREATED IN RURAL MERCER, MCDOWELL & WYOMING COUNTIES, WV. THE FOCUS POP. SUFFERS HIGH OPIOID OVERDOSE DEATHS, POOR SOCIAL DETERMINANTS OF HEALTH, HIGH INFECTIOUS DISEASE RATES & MULTIGENERATIONAL DRUG USE. COMAT SERVES 200 CLIENTS/YEAR (1,000 TOTAL). PROJECT GOALS & MEASURABLE OBJECTIVES (INTERVENTIONS/STRATEGIES) ARE TO (1) INCREASE THE NUMBER OF INDIVIDUALS WITH OUD RECEIVING MOUD BY INCREASING WORKFORCE CAPACITY BY (A) EXPANDING WORKFORCE CAPACITY BY HIRING & TRAINING 3 CASE MANAGERS, 3 PEER RECOVERY SUPPORT SPECIALISTS (PRSS), 1 PROJECT DIRECTOR, AN EVALUATION TEAM & INCREASING MED. PROVIDER/DIRECTOR TIME; (B) INCREASING MAT SERVICE CAPACITY TO INCREASE THE NUMBER AND SPEED OF PSYCHIATRIC EVALUATIONS, THUS REDUCING CLIENT WAIT TIMES BY 10% BY THE END OF THE 5-YEAR GRANT PERIOD; (C) EXPANDING THE PRESCRIPTION DRUG MONITORING PROGRAM (PDMP) USE BY ENSURING THAT THREE SHCMHC DELEGATES ARE TRAINED TO USE THE PDMP & (D) ENSURING THAT THE NEWLY HIRED MEDICAL PROVIDER OBTAINS A DATA WAIVER TO PRESCRIBE BUPRENORPHINE TO MORE THAN 30 PATIENTS. (2) INCREASE THE # OF INDIVIDUALS WITH OUD RECEIVING MOUD BY EXPANDING COMMUNITY OUTREACH BY (A) CONDUCTING A 5-YEAR OVERDOSE FATALITY ANALYSIS WITH THE PURPOSE OF DEVELOPING A TARGETED OUTREACH STRATEGY TO REDUCE COMMUNITY OVERDOSE; (B) PARTNERING WITH THE QRT TO APPLY THE RING IMMUNIZATION MODEL TO OVERDOSE VICTIMS; (C) CONDUCTING TWO CULTURALLY COMPETENT OUTREACH ACTIVITIES IN EACH COUNTY IN EACH QUARTER; (D) CONDUCTING QUARTERLY SPECIALIZED DISPARITY GROUP OUTREACH EVENTS TO ENGAGE THE DISPARITY POPULATIONS (LGBT+, AFRICAN AMERICAN, VETERANS & THOSE IN POVERTY); (E) PROVIDING TRANSPORTATION SERVICES TO CLIENTS WHO LACK TRANSPORTATION OR BROADBAND SERVICES; (F) PROVIDING SERVICES TO COMAT CLIENT FAMILY MEMBERS; (G) SCREENING LOCAL INMATES FOR OUD, PROVIDE SERVICE REFERRALS, INTAKES & TRANSPORTATION TO APPROPRIATE SERVICES UPON RELEASE; (H) PURCHASING AVATAR CARE ROUTING SOFTWARE TO MAXIMIZE ON-CALL WORKFORCE CAPACITY & (I) CONTINUING PARTNERING WITH ONE VOICE AND COMMUNITY CONNECTIONS IN SUPPORT OF HARM REDUCTION. (3) IMPROVE OUTCOMES FOR ADULTS WITH OUD SEEKING OR RECEIVING MAT BY (A) SERVING 200 CLIENTS EACH YEAR; (B) DECREASING ILLICIT OPIOID DRUG USE AND RX OPIOID MISUSE AT 6-MONTH FOLLOW-UP; (C) EMPOWERING CLIENTS TO EXPERIENCE SIGNIFICANT IMPROVEMENT IN NOMS MENTAL HEALTH OUTCOMES AT 6-MONTH FOLLOW-UP; (D) EMPOWERING 80% OF CLIENTS TO REMAIN IN TREATMENT FOR AT LEAST 6-MONTHS THROUGHOUT THE LIFE OF THE GRANT; (E) MONITORING DISPARITY GROUP OUTCOMES TO ENSURE EQUAL ACCESS/OUTCOMES; (F) PARTNERING WITH TUG RIVER TO PROVIDE INFECTIOUS DISEASE SERVICES & (G) IDENTIFYING A STAFF MEMBER TO BE TRAINED IN RX FOR CHANGE AND TO DEVELOP/IMPLEMENT A TOBACCO CESSATION PROGRAM FOR CLIENTS WITH OUD WHO ARE RECEIVING MOUD. (4) SUSTAIN COMAT SERVICES BEYOND GRANT FUNDING BY (A) CREATING A SUSTAINABILITY PLAN FOR EACH COMAT BUDGET LINE ITEM TO ENSURE SUSTAINABILITY & (B) SUSTAINING CLIENT/FAMILY MEMBER ENGAGEMENT IN THE PROGRAM BY INVOLVING CLIENTS/FAMILY MEMBERS IN THE COMAT ADVISORY BOARD.

EXPANDED SERVICES, SUPPORTS AND TELEHEALTH INFRASTRUCTURE TO MEET THE NEEDS OF HIGH-ACUITY POPULATIONS RESULTING FROM THE COVID-19 PANDEMIC IN EASTERN IOWA. - EXPANDED SERVICES, SUPPORTS AND TELEHEALTH INFRASTRUCTURE TO MEET THE NEEDS OF HIGH-ACUITY POPULATIONS RESULTING FROM THE COVID-19 PANDEMIC IN EASTERN IOWA. VERA FRENCH CMHC WILL EXPAND SERVICES TO UNDER/UNINSURED POPULATIONS, INCLUDING 1) ADULTS WITH COMPLEX NEEDS AND SERIOUS MENTAL ILLNESS (SMI) OR CO-OCCURRING DISORDERS (COD); 2) JUSTICE-INVOLVED INDIVIDUALS WITH SMI OR COD; AND 3) CHILDREN WITH SERIOUS EMOTIONAL/BEHAVIORAL DISTURBANCE. STRATEGIES/INTERVENTIONS WILL UTILIZE EVIDENCE-BASED PRACTICES (EBPS) INCLUDING: SAME-DAY ACCESS, COGNITIVE BEHAVIORAL THERAPY (CBT), PHARMACOTHERAPY, PEER SUPPORT SERVICES, INTEGRATED CASE MANAGEMENT, APPLIED SUICIDE INTERVENTION SKILLS TRAINING (ASIST), TRAUMA-FOCUSED CBT, INTEGRATED MENTAL HEALTH/SUBSTANCE USE SERVICES, EYE MOVEMENT DESENSITIZATION REPROCESSING (EMDR), PARENT-CHILD INTERACTIONAL THERAPY (PCIT), AND ADLERIAN PLAY THERAPY. PROJECT GOALS AND STRATEGIES INCLUDE: 1) UPGRADE EMR TECHNOLOGY, INCREASE TELEHEALTH CAPACITY, AND IMPROVE OUR ABILITY TO MANAGE DATA FOR MORE EFFECTIVE BEHAVIORAL HEALTH CARE; 2) INCREASE ACCESS TO MENTAL HEALTH SERVICES THROUGH EXPANSION OF SAME DAY ACCESS TO MENTAL HEALTH EVALUATIONS AND CRISIS COUNSELING AND EXPANDING THERAPY AND GROUP SERVICES TO SCHOOL AND COMMUNITY LOCATIONS INCLUDING YMCA SUMMER CAMPS; 3) BECOME MORE TRAUMA-INFORMED AND CULTURALLY AND LINGUISTICALLY SENSITIVE IN ALL ASPECTS OF OUR SERVICES THROUGH ESTABLISHING A TRAUMA-INFORMED COMMITTEE, TRAINING STAFF IN ASIST, AND ENGAGING A CONSULTANT TO TRAIN STAFF AND HELP THE ORGANIZATION IMPLEMENT CULTURAL/LINGUISTIC SENSITIVITY AND DIVERSITY AND INCLUSION STRATEGIES; 4) INCREASE THE AVAILABILITY OF CLINICAL AND RECOVERY SUPPORT SERVICES IN OUR OUTREACH SETTINGS TO MEET COMPLEX AND COMPREHENSIVE CLIENT NEEDS BY EXPANDING CASE MANAGEMENT AND PEER SUPPORT SERVICES TO NON-MEDICAID PERSONS, INCLUDING JUSTICE-INVOLVED ADULTS TRANSITIONING TO THE COMMUNITY; AND 5) IMPROVE OUR RESPONSIVENESS TO THE MENTAL HEALTH NEEDS OF OUR STAFF BY ENHANCING THE EMPLOYEE ASSISTANCE PROGRAM, ADDING REGULAR EDUCATIONAL EVENTS, HOSTING AN ANNUAL MENTAL HEALTH AND WELLNESS EVENT FOR STAFF, DEVELOPING A RESOURCE LIBRARY, AND BY REFURBISHING THE STAFF EATING AREA TO GIVE EMPLOYEES SAFE SPACES TO DEBRIEF. MEASURABLE OBJECTIVES HAVE BEEN IDENTIFIED FOR EACH OF THESE STRATEGIES AND INCLUDE SERVING 1,937 UNDUPLICATED INDIVIDUALS WITHIN THE GRANT PERIOD (819 IN YEAR 1 & 1,118 IN YEAR 2).

REGIONAL HEALTH SYSTEMS AOT PROGRAM - REGIONAL HEALTH SYSTEMS (RHS) IS APPLYING FOR THE FY2024 ASSISTED OUTPATIENT TREATMENT (AOT) PROGRAM FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESS GRANT TO DEVELOP AN AOT PROGRAM FOR OUR SERVICE POPULATION. THE FOCUS POPULATION FOR THE AOT PROGRAM ARE PERSONS LIVING WITH SERIOUS MENTAL ILLNESS (SMI) AND/OR CO-OCCURRING DISORDERS THAT ARE UNDER OUTPATIENT CIVIL COMMITMENT WHO MEET INDIANA'S AOT CRITERIA. THESE INDIVIDUALS WILL BE INVOLVED IN LOCAL CIVIL, CRIMINAL, AND/OR DRUG COURTS, WHO ARE AT RISK FOR PSYCHIATRIC HOSPITALIZATION, INCARCERATION OR HOMELESSNESS WITHOUT THIS COMMITMENT. RHS WILL USE THIS GRANT FUNDING TO DEVELOP AN AOT PROGRAM FOR OUR SERVICE POPULATION, AND INTENDS TO OFFER COMMUNITY AND OFFICE-BASED TREATMENT AND SUPPORT TO INDIVIDUALS IN NEED AT ANY TIME. IN ALIGNMENT WITH THE DEVELOPMENT OF THE AOT PROGRAM, RHS WILL UTILIZE BOTH THE FORENSIC ASSERTIVE COMMUNITY TREATMENT (FACT) AND THE ADULT INTENSIVE REHABILITATION SERVICES (AIRS) TREATMENT MODELS. THESE MODELS WILL ALLOW RHS TO OFFER INTEGRATED CARE THROUGH STRUCTURED AND INTENSIVE REHABILITATION SERVICES, INCLUDING BUT NOT LIMITED TO CASE MANAGEMENT, PSYCHIATRIC CARE, MEDICAL AND NURSING CARE, THERAPY AND SUBSTANCE USE SERVICES. RHS WILL BE ABLE TO EFFECTIVELY TRIAGE INCOMING REQUESTS FOR SERVICES, BASED ON ASSESSMENT OF CLINICAL NEED, VIOLENCE, SUICIDE AND SAFETY RISK, AND POSSIBLE NEED FOR STABILIZATION TREATMENT THROUGH OUR INPATIENT PSYCHIATRIC UNIT OR RESIDENTIAL SUBSTANCE ABUSE UNITS. A CRITICAL TASK FOR THE AOT STAFF WILL BE TO EFFECTIVELY ENGAGE PERSONS WHO ARE UNDER COMMITMENT, WHO HAVE STRUGGLED WITH VOLUNTARY TREATMENT ADHERENCE IN THE PAST, TO TAKE AN ACTIVE ROLE IN THEIR TREATMENT, AS WELL AS ENGAGEMENT WITH FAMILIES OR PERSONS PROVIDING SUPPORT TO THE IDENTIFIED PATIENT. ANOTHER PROPONENT OF THE AOT PROGRAM WILL BE MAINTAINING COMMUNICATION BETWEEN THE COURTS AND TREATMENT TEAM, ENSURING BOTH SIDES ARE APPRISED OF THE CLIENT'S LEGAL AND TREATMENT STATUS. EACH AOT PARTICIPANT WILL BE EVALUATED AT THE END OF THE COMMITMENT PERIOD TO DETERMINE WHETHER THE COMMITMENT WILL BE EXTENDED, OR IF THE CLIENT WILL BE RELEASED AND TRANSITIONED TO VOLUNTARY OUTPATIENT TREATMENT, WHERE RHS WILL MONITOR CLIENT TO ENSURE THAT THEY REMAIN STABLE AND TREATMENT-COMPLIANT. THE GOALS OF THIS PROJECT INCLUDE MAXIMIZING THE USE OF OUR RESOURCES AND PARTNERING WITH LOCAL COURT ADMINISTRATORS, LAW ENFORCEMENT AND COMMUNITY PARTNERS TO SERVE AS A RESOURCE FOR SMI INDIVIDUALS WHO ARE FACING CRIMINAL AND/OR CIVIL CHARGES WITHOUT TREATMENT ADHERENCE. WITH THE DEVELOPMENT OF OUR AOT PROGRAM, RHS WILL INCREASE THE RATE OF TREATMENT COMPLIANCE AMONG ADULTS WITH SMI UNDER CIVIL COMMITMENT, AND WILL MONITOR PARTICIPANT OUTCOMES, INCLUDING RATES OF HOMELESSNESS, RECIDIVISM AND HOSPITALIZATION. TO TRACK THE SUCCESS AND SUSTAINABILITY OF THE AOT PROGRAM, WE WILL MEASURE THE FOLLOWING OBJECTIVES: MEDICATION COMPLIANCE, TREATMENT PLAN COMPLIANCE, ACTIVE SERVICE UTILIZATION, AND REFERRALS TO COMMUNITY PARTNERS. WE ANTICIPATE SERVING 204 UNDUPLICATED CLIENTS OVER THE AWARD PERIOD: YEAR 1 (51 CLIENTS), YEAR 2 (51 CLIENTS), YEAR 3 (51 CLIENTS) AND YEAR 4 (51 CLIENTS).

SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC. DBA REGIONAL MENTAL HEALTH CTR HIT

INTEGRATING CARE FOR BETTER HEALTH

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

BUILDING AND EXPANDING ACCESS TO CRISIS AND OUTPATIENT NETWORKS (BEACON) PROGRAM - BERT NASH CMHC’S BEACON PROGRAM HAS THREE PRIMARY GOALS: 1) INCREASE USAGE OF BERT NASH’S BEHAVIORAL HEALTH CRISIS AND OUTPATIENT SERVICES BY POPULATIONS OF FOCUS, 2) INCREASE PARTICIPANT WELLBEING, AND 3) INCREASE STAFF TRAINING IN EVIDENCE-BASED PRACTICES AND CULTURAL COMPETENCIES. THE PROGRAM WILL ANNUALLY SERVE AT LEAST 200 UNDUPLICATED INDIVIDUALS WITH SMI AND COD IN DOUGLAS COUNTY, KANSAS. POPULATIONS OF FOCUS INCLUDE INDIVIDUALS WHO ARE:1) AT HIGHER RISK OF INSTITUTIONAL PLACEMENT OR INCARCERATION, 2) HOMELESS OR AT RISK OF HOMELESSNESS, AND/OR 3) UNINSURED OR UNDERINSURED, AS WELL AS 4) INDIVIDUALS IN ALL THREE OF THESE POPULATION AREAS WHO EXPERIENCE MENTAL HEALTH DISPARITIES DUE TO RACE, ETHNICITY, GENDER, OR SEXUAL ORIENTATION. OBJECTIVES FOR GOAL 1 INCLUDE: INCREASING THE NUMBER OF REFERRALS FROM BERT NASH’S MOBILE CRISIS RESPONSE TEAM AND CRISIS RESPONSE PARTNERS BY 10% BY END OF Y1 AND 20% BY END OF Y2; INCREASING THE NUMBER OF UNDUPLICATED INDIVIDUALS TREATED WITH/THROUGH HIPAA-COMPLIANT TECHNOLOGY-BASED THERAPEUTIC TOOLS BY 10% BY END OF Y1 AND 20% BY END OF Y2; INCREASING THE NUMBER OF UNDUPLICATED INDIVIDUALS SERVED BY BEACON BY AT LEAST 50% FROM Y1 TO Y2; INCREASING THE NUMBER OF PARTICIPANTS ENGAGED WITH PSYCHIATRIC SERVICES AND TAKING MEDICATION AS PRESCRIBED TO 75% BY THE END OF Y2; DECREASING BY 50% THE NUMBER OF PARTICIPANTS USING EMERGENCY SERVICES FOR PSYCHIATRIC PROBLEMS BY END OF Y2; INCREASING PARTICIPANT USAGE OF COMMUNITY-BASED SERVICES TO 60% BY THE END OF Y2; AND ENSURING 80% OF ALL PARTICIPANTS AGREE OR STRONGLY AGREE WITH PERCEPTION OF CARE MEASURES BY THE END OF Y2. OBJECTIVES FOR GOAL 2 INCLUDE: 80% OF PARTICIPANTS REPORT IMPROVED QUALITY OF LIFE, REDUCED MENTAL HEALTH SYMPTOMS, NON-EXISTENT OR REDUCED SUBSTANCE ABUSE IN PRIOR 30-DAYS, AND NON-EXISTENT OR REDUCED CRIMINAL JUSTICE CONTACTS BY THE END OF Y2; 60% REPORT INCREASED STABILITY IN HOUSING, INCREASED SOCIAL CONNECTEDNESS, AND INCREASED CONNECTEDNESS TO EDUCATION AND EMPLOYMENT OPPORTUNITIES BY END OF Y2; 80% RECEIVE SUPPORT FROM A SOAR CASE MANAGER BY END OF Y2. OBJECTIVES FOR GOAL 3 INCLUDE: 4 STAFF TRAINED IN EVIDENCE-BASED BEHAVIORAL HEALTH CRISIS CARE, TRAUMA-INFORMED CARE, THE RECOMMENDED STANDARD CARE FOR PEOPLE WITH SUICIDE RISK, AND SHARED DECISION-MAKING IN MENTAL HEALTHCARE WITHIN 4 MONTHS OF GRANT AWARD; 2 STAFF TRAINED IN BEHAVIORAL HEALTH SERVICES FOR THOSE WHO ARE HOMELESS, PERMANENT SUPPORTIVE HOUSING MODELS, SUPPORTED EDUCATION MODELS, AND SUPPORT EMPLOYMENT MODELS WITHIN 4 MONTHS OF GRANT AWARD; STAFF TRAINED IN SOAR MODEL WITHIN 4 MONTHS OF GRANT AWARD; 8 PSYCHIATRIC RESIDENTS TRAINED IN EVIDENCE-BASED PRACTICES AND GIVEN REAL-WORLD EXPERIENCE BY END OF Y2; BERT NASH STAFF INCREASE AWARENESS OF STRESSORS AND ATTENTION TO SELF-CARE BY END OF Y2; AND BERT NASH STAFF ARE TRAINED IN CULTURAL COMPETENCY AND ENGAGED IN ORGANIZATION-WIDE CULTURAL COMPETENCY IMPROVEMENTS BY END OF Y2.

TRAUMA RESILIENCE YOUTH PROGRAM (TRYP) - PROJECT NAME AND SUMMARY: AURORA COMMUNITY MENTAL HEALTH CENTER, D/B/A AURORA MENTAL HEALTH CENTER (AUMHC) PROPOSES FUNDING THROUGH THE NATIONAL CHILD TRAUMATIC STRESS INITIATIVE - CATEGORY 3 TO EXPAND AND ENHANCE THE TRAUMA RESILIENCE YOUTH PROGRAM (TRYP) TO PROVIDE TREATMENT NEEDS SPECIFIC TO CULTURAL ADAPTATIONS AND IMPLEMENTATION IN A SERVICE SYSTEM THAT EFFECTIVELY ENGAGES AND RETAINS REFUGEE, IMMIGRANT, AND ASYLEE POPULATIONS IN COLORADO. POPULATION TO BE SERVED: CHILDREN AND FAMILIES WHO ARE IMMIGRANTS, REFUGEES, AND ASYLEE WHO ARE IN NEED OF EFFECTIVE, CULTURALLY COMPETENT AND LINGUISTICALLY ACCESSIBLE THERAPEUTIC SERVICES TO RECOVER FROM TRAUMA AND RE-ENGAGE IN ACTIVITIES THAT SUPPORT HEALTH DEVELOPMENT. STRATEGIES AND INTERVENTIONS: WE WILL INTEGRATE BEST PRACTICES FOR REFUGEE AND IMMIGRANT POPULATIONS TO ELEVATE OUR STANDARD OF CARE, BUILDING OUR STAFF EXPERIENCE, EVIDENCE-BASED TREATMENT MODALITIES, AND POPULATION HEALTH MANAGEMENT CAPACITY. KEY ACTIVITIES INCLUDE: PROVIDING OUTREACH AND ENGAGEMENT STRATEGIES TO INCREASE PARTICIPATION IN AND ACCESS TO TREATMENT AND PREVENTION SERVICES; PROVIDING DIRECT EVIDENCE-BASED MENTAL DISORDER TREATMENT AND SERVICES INCLUDING SCREENING, ASSESSMENT, CASE MANAGEMENT, THERAPY, AND PREVENTION; COLLABORATING WITH OTHER NCTSI CENTERS TO IMPROVE ENGAGEMENT AND OUTCOMES FOR YOUTH THAT HAVE EXPERIENCED TRAUMA; PROVIDE SERVICES TO POPULATIONS OF CHILD-SERVING SYSTEMS; AND CONDUCT A PROGRAM EVALUATION TO TRYP WHICH WILL BE SUBMITTED AND SHARED WITH SAMHSA BY THE END OF THE PROJECT PERIOD. PROJECT GOALS AND MEASURABLE OBJECTIVES: GOAL 1 IS TO INCREASE TRYP CAPACITY TO DELIVER CULTURALLY AND LINGUISTICALLY APPROPRIATE THERAPEUTIC SERVICES TO IMPROVE THE MENTAL AND PHYSICAL HEALTH OF REFUGEES AND IMMIGRANTS IN THE AURORA COMMUNITY. TRYP WILL HIRE TWO NEW CLINICIANS, IDENTIFY ENHANCEMENTS FOR THE ELECTRONIC HEALTH RECORD TO IMPROVE DOCUMENTATION, MONITORING, AND CLIENT OUTCOMES, AND WILL DEVELOP A SUSTAINABLE FINANCIAL PLAN FOR HEALTH NAVIGATOR SERVICES. GOAL 2 IS TO INCREASE CAPACITY FOR AN IMPLEMENTATION OF THE TRAUMA SYSTEMS THERAPY FOR REFUGEES (TST-R) INCLUDING MEETING FIDELITY IN EACH OF THE FOUR TIERS. TRYP WILL COLLABORATE WITH BOSTON CHILDREN'S HOSPITAL TO TRAIN TRYP CLINICIANS IN TST-R, DEVELOP AND OFFER TST-R TRAININGS TO AUMHC STAFF AND PARTNERS, AND ESTABLISH FIDELITY OF EACH TST-R TIER. GOAL 3 IS TO DEVELOP AND PILOT A COLLABORATIVE TWO-GENERATION (2GEN) APPROACH TO ENHANCE FAMILY WELL-BEING BY INTENTIONALLY AND SIMULTANEOUSLY WORKING WITH REFUGEE AND IMMIGRANT CHILDREN AND THEIR CAREGIVERS. THIS WILL INCLUDE ASSESSING FEASIBILITY OF IMPLEMENTING A 2GEN MODEL, IDENTIFYING TREATMENT OPTIONS THROUGH A FAMILY SYSTEMS APPROACH, INTEGRATING AN ADULT REFUGEE-SERVING CLINICIAN TO THE TRYP TEAM, AND PILOTING THE MODEL WITH UP TO 10 FAMILIES, EVALUATING ITS EFFECTIVENESS AND CAPACITY.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

SOUTHERN BLUESTONE HEALTH CENTER

HEALTH HOME -- AURORA MENTAL HEALTH CENTER

INTEGRATING CARE FOR BETTER HEALTH IN APPALACHIAN OHIO

PROJECT HIP (HEALTH IS PRIMARY)

MAT ACCESS FOR RURAL APPALACHIANS (MARA)

VA IS PROVIDING PER DIEM FUNDING TO ASSIST WITH THE OPERATIONAL COSTS ASSOCIATED WITH TRANSITIONAL HOUSING BEDS FOR HOMELESS VETERANS.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? NEONATAL ABSTINENCE SYNDROME - RURAL COMMUNITIES OPIOID RESPONSE PROGRAM – NEONATAL ABSTINENCE SYNDROME

SOUTHEAST WIPA PROJECT FOR OHIO

COVA / SOUTHEAST WIPA PROJECT FOR OHIO

SAFE START AURORA

RECOVERY SERVICES

PROJECT BRIDGE: ENHANCED SERVICES FOR REFUGEE & IMMIGRANT YOUTH

SAMHSA MAT EXPANSION

CONTINUUM OF CARE PROGRAM

PURPOSE: THE CONTINUUM OF CARE (COC) PROGRAM IS DESIGNED TO PROMOTE COMMUNITY-WIDE COMMITMENT TO THE GOAL OF ENDING HOMELESSNESS; PROVIDE FUNDING FOR EFFORTS BY NONPROFIT PROVIDERS, STATES, AND LOCAL GOVERNMENTS TO QUICKLY HOUSE HOMELESS INDIVIDUALS AND FAMILIES WHILE MINIMIZING THE TRAUMA AND DISLOCATION CAUSED TO HOMELESS INDIVIDUALS, FAMILIES, AND COMMUNITIES BY HOMELESSNESS; PROMOTE ACCESS TO AND EFFECTIVE UTILIZATION OF MAINSTREAM PROGRAMS BY HOMELESS INDIVIDUALS AND FAMILIES; AND OPTIMIZE SELF-SUFFICIENCY AMONG INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. THE MOST RECENT COC AWARD ANNOUNCEMENT LISTING AWARDS BY STATE AND COC IS ACCESSIBLE AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/AWARDS. SELECT THE LINK UNDER THE FUNDING AND AWARD INFORMATION SECTION FOR THE APPROPRIATE FISCAL YEAR.; ACTIVITIES TO BE PERFORMED: CONTINUUM OF CARE PROGRAM FUNDS MAY BE USED TO PAY FOR THE ELIGIBLE COSTS USED TO ESTABLISH AND OPERATE PROJECTS UNDER FIVE PROGRAM COMPONENTS: (1) PERMANENT HOUSING, WHICH INCLUDES PERMANENT SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES, AND RAPID REHOUSING; (2) TRANSITIONAL HOUSING; (3) SUPPORTIVE SERVICES ONLY; (4) HOMELESS MANAGEMENT INFORMATION SYSTEMS (HMIS), AND (5) IN SOME CASES, HOMELESSNESS PREVENTION. THIRTEEN TYPES OF ASSISTANCE MAY BE PROVIDED THROUGH THE CONTINUUM OF CARE (COC) PROGRAM: (1) COC PLANNING ACTIVITIES/COSTS FOR DESIGNING AND CARRYING OUT A COLLABORATIVE PROCESS FOR THE DEVELOPMENT OF AN APPLICATION TO HUD; (2) UNITED FUNDING AGENCY (UFA) COSTS FOR FISCAL CONTROL AND ACCOUNTING NECESSARY TO ASSURE THE PROPER DISBURSAL OF, AND ACCOUNTING FOR, FEDERAL FUNDS AWARDED TO SUBRECIPIENTS UNDER THE CONTINUUM OF CARE PROGRAM, (3) ACQUISITION OF REAL PROPERTY (INCLUDING STRUCTURES) FOR USE IN THE PROVISION OF HOUSING OR SUPPORTIVE SERVICES; (4) REHABILITATION OF STRUCTURES TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (5) NEW CONSTRUCTION, INCLUDING THE BUILDING OF A NEW STRUCTURE OR BUILDING AN ADDITION TO AN EXISTING STRUCTURE FOR USE AS SUPPORTIVE HOUSING; (6) LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (7) RENTAL ASSISTANCE, WHICH MAY BE SHORT-TERM, MEDIUM-TERM, OR LONG-TERM, AS WELL AS TENANT-BASED, PROJECT-BASED, OR SPONSOR-BASED, FOR TRANSITIONAL OR PERMANENT HOUSING; (8) SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; (9) OPERATING COSTS OF SUPPORTIVE HOUSING; (10) COSTS OF IMPLEMENTING AND OPERATING HMIS; (11) PROJECT ADMINISTRATIVE COSTS; (12) RELOCATION COSTS; AND (13) INDIRECT COSTS IN ACCORDANCE WITH 2 CFR PARTS 200, AS APPLICABLE. IN ADDITION TO USING GRANT FUNDS FOR THE ELIGIBLE COSTS DESCRIBED ABOVE, RECIPIENTS AND SUBRECIPIENTS IN CONTINUUMS OF CARE DESIGNATED AS HIGH PERFORMING COMMUNITIES MAY ALSO USE GRANT FUNDS TO PROVIDE HOUSING RELOCATION AND STABILIZATION SERVICES AND SHORT- AND/OR MEDIUM-TERM RENTAL ASSISTANCE TO INDIVIDUALS AND FAMILIES AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT THE INDIVIDUAL OR FAMILY FROM BECOMING HOMELESS. LIMITATION ON USE OF FUNDS: NO ASSISTANCE PROVIDED UNDER PROGRAM (OR ANY STATE OR LOCAL GOVERNMENT FUNDS USED TO SUPPLEMENT THIS ASSISTANCE) MAY BE USED TO REPLACE STATE OR LOCAL FUNDS PREVIOUSLY USED, OR DESIGNATED FOR USE, TO ASSIST HOMELESS PERSONS OR PERSONS AT-RISK OF HOMELESSNESS.; EXPECTED OUTCOMES: DECREASE IN THE NUMBER INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS, MORE SPECIFICALLY USING PERFORMANCE INDICATORS SUCH AS THE LENGTH OF TIME HOMELESS, RETURNS TO HOMELESSNESS OVER TIME, AND EXITS TO PERMANENT HOUSING. COC PERFORMANCE PROFILE REPORTS CAN BE FOUND AT HTTPS://WWW.HUDEXCHANGE.INFO/PROGRAMS/COC/COC-PERFORMANCE-PROFILE-REPORTS/.; INTENDED BENEFICIARIES: INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - AURORA MENTAL HEALTH CENTER (AUMHC) IS THE COMMUNITY MENTAL HEALTH CENTER SERVING THE CITY OF AURORA. AUMHC CURRENTLY OPERATES ACUTE BEHAVIORAL HEALTHCARE SERVICES AT THREE SEPARATE LOCATIONS: WALK-IN CRISIS AND A 16-BED CRISIS STABILIZATION UNIT ON THE ANSCHUTZ MEDICAL CAMPUS; CONNECT TO CARE WALK-IN ACCESS POINT AT 791 CHAMBERS ROAD; AND WITHDRAWAL MANAGEMENT SERVICES AT 1290 S. POTOMAC. THESE DISPARATE LOCATIONS REQUIRE FIRST RESPONDERS AND THE PUBLIC TO DETERMINE WHICH LOCATION TO ACCESS, CREATING UNNECESSARY CONFUSION, AS WELL AS THE NEED TO MOVE CLIENTS ACROSS SITES WHEN NEEDED. THE PROPOSED “ACUTE CARE CENTER DESIGN” PROJECT WILL SUPPORT THE DESIGN-ONLY PHASE OF A NEW 50,000 SQUARE FOOT ACUTE CARE CENTER. THE NEW FACILITY WILL BE BUILT AT 1290 S. POTOMAC STREET IN AURORA, WHICH IS OWNED BY AUMHC, AND WILL CO-LOCATE THE ABOVE PROGRAMS FOR CRISIS, SUBSTANCE USE DISORDER, AND IMMEDIATE ACCESS TO SERVICES. SPECIFIC DESIGN-ONLY ACTIVITIES FUNDED THROUGH THIS PROJECT WILL INCLUDE: 1) PROJECT MANAGEMENT: PROJECT OVERSIGHT, INCLUDING ASSISTANCE OBTAINING THE HIGHEST QUALITY DESIGN, ENGINEERING, AND CONSTRUCTION VENDORS FOR THE PROJECT; FACILITATING PERMITTING; AND MONITORING TIMELINE; AND 2) ARCHITECTURAL DESIGN: CREATION OF BUILDING DRAWINGS FOR THE ACUTE CARE CENTER. VENDOR, DAVIS PARTNERSHIP, WAS SELECTED THROUGH SOLICITATION PROCESS IN MAY 2022.

CONTINUUM OF CARE PROGRAM

COLORADO METRO AREA MENTORING INITIATIVE

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

MENTORING ENHANCEMENT PARTNERSHIP

INCREASING ACCESS TO SERVICES FOR RESIDENTS OF WARREN AND CLINTON COUNTIES OHIO - INCREASING ACCESS TO SERVICES FOR RESIDENTS OF WARREN AND CLINTON COUNTIES OHIO. ADJOINING COUNTIES ARE URBAN POPULATIONS OFFERING AN INCREASED AMOUNT OF SERVICES. OUR COUNTIES HAVE NO PUBLIC TRANSPORTATION RESOURCES. AS A RESULT ACCESS IS LIMITED. HAVING THE CAPACITY TO TAKE SERVICES TO MORE RURAL PORTIONS OF OUR COUNTIES IS CRUCIAL. ACCESS TO PRIMARY CARE IS LIMITED AS IS THE NUMBER OF PROVIDERS. OUR AREA HAS BEEN SEVERELY IMPACTED BY THE OPIOID CRISIS. THE ABILITY TO PROVIDE SERVICES TO THE MOST VULNERABLE OF OUR CITIZENS IS IMPERATIVE FOR THE AREA'S GROWTH AND STABILITY. WARREN AND CLINTON COUNTIES HAVE A HIGH CONCENTRATION OF PERSON'S WITH HIGH SCORES ON THE SCALE OF ADVERSE CHILDHOOD EXPERIENCES. TREATMENT IS A LARGE COMPONENT OF DEVELOPING RESILIENCY AND PROMOTING POSITIVE COMMUNITY OUTCOMES.

CONTINUUM OF CARE PROGRAM

VA IS PROVIDING PER DIEM FUNDING TO ASSIST WITH THE OPERATIONAL COSTS ASSOCIATED WITH TRANSITIONAL HOUSING BEDS FOR HOMELESS VETERANS.

CONTINUUM OF CARE PROGRAM

ACTOUTREACH

PROJECT BRIDGE: ENHANCED SERVICES FOR REFUGEE & IMMIGRANT YOUTH

COVID-19 SUICIDE PREVENTION NEWPORT COUNTY, RI

TECHNOLOGY MAKEOVER

VA IS PROVIDING PER DIEM FUNDING TO ASSIST WITH THE OPERATIONAL COSTS ASSOCIATED WITH TRANSITIONAL HOUSING BEDS FOR HOMELESS VETERANS.

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES

CONTINUUM OF CARE PROGRAM

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

SAN LUIS VALLEY PREVENTION COALITION-ALAMOSA COUNTY

TEENS IN HARTFORD PROMOTING SOBER YOUTH

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

CONTINUUM OF CARE PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

BASIC CENTER PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HEALTH CENTER INFRASTRUCTURE SUPPORT

THE BEHAVIORAL HEALTH INFORMATION TECHNOLOGY ENHANCEMENT (B-HITE)

HOMELESS ASSISTANCE

PROJECT HAP: HOUSING ASSISTANCE PROGRAM & SUPPORTIVE SERVICES FOR VICTIMS OF DOMESTIC VIOLENCE

NORTHEAST ARKANSAS MENTAL HEALTH AWARENESS TRAINING EXPANSION PROJECT - THIS PROJECT IS DESIGNED TO CREATE A MORE RESPONSIVE ENVIRONMENT FOR INDIVIDUALS WHO EXHIBIT MENTAL HEALTH ISSUES, PARTICULARLY THOSE WHO EXPERIENCE SERIOUS MENTAL ILLNESS, SERIOUS EMOTIONAL DISTURBANCE, SUBSTANCE USE DISORDERS, AND TRAUMA. THE GEOGRAPHIC AREA FOR THE PROJECT IS A 20-COUNTY CATCHMENT AREA THAT MOSTLY BORDERS THE MISSISSIPPI DELTA REGION, AND INCLUDES THE FOLLOWING ARKANSAS COUNTIES: CLAY, CRAIGHEAD, CRITTENDEN, CROSS, FULTON, GREENE, INDEPENDENCE, IZARD, JACKSON, LAWRENCE, LEE, MISSISSIPPI, MONROE, PHILLIPS, POINSETT, RANDOLPH, SHARP, ST. FRANCIS, WHITE, AND WOODRUFF. THE OVERALL AIMS OF THIS PROJECT ARE TO (A) INCREASE COMMUNITY AWARENESS OF MENTAL ILLNESS, (B) INCREASE CAPACITY FOR, AND PROVIDE, MENTAL HEALTH AWARENESS TRAINING, AND (C) ESTABLISH COMMUNITY LINKAGES WHERE INDIVIDUALS ARE REFERRED TO APPROPRIATE TREATMENT AND SERVICES. WE WILL FIRST BUILD UPON OUR CURRENT CAPACITY BY ENSURING ADDITIONAL INDIVIDUALS ARE TRAINED IN MENTAL HEALTH FIRST AID (MHFA), QUESTION-PERSUADE-REFER (QPR), AND CRISIS INTERVENTION TEAM (CIT) TRAINING. IN ADDITION TO MENTAL HEALTH AWARENESS, WE PLAN TO INCORPORATE TRAUMA-INFORMED APPROACHES INTO OUR TRAINING SESSIONS BECAUSE OF ITS RELEVANCE IN BOTH THE MENTAL HEALTH ARENA AND THE COVID-19 PANDEMIC. WE WILL THEN PARTNER WITH VARIOUS COMMUNITY GROUPS AND AGENCIES TO PROVIDE THAT TRAINING MORE BROADLY ACROSS THE CATCHMENT AREA, WHICH IN TURN WILL INCREASE KNOWLEDGE AND CONFIDENCE IN THOSE TRAINED SO THEY ARE BETTER EQUIPPED TO ASSIST PERSONS WITH MENTAL ILLNESS AS THEY ENCOUNTER THEM. ACROSS THE 5 YEARS OF GRANT FUNDING, THIS APPROACH IS EXPECTED TO RESULT IN HUNDREDS OF INDIVIDUALS WHO ARE ABLE TO RECOGNIZE THE SIGNS OF MENTAL ILLNESS AND KNOW HOW TO REFER INDIVIDUALS TO APPROPRIATE RESOURCES AS NEEDED. IN THE LONGER TERM, THIS MORE RESPONSIVE MENTAL HEALTH ENVIRONMENT WILL LEAD TO IMPROVED ACCESS TO SERVICES, AND SUBSEQUENT OUTCOMES, FOR THOSE WITH MENTAL ILLNESS IN THE CATCHMENT AREA. THE PURPOSE OF THE PROPOSED PROJECT IS TO CREATE A MORE RESPONSIVE MENTAL-HEALTH ENVIRONMENT FOR INDIVIDUALS IN THE 20-COUNTY CATCHMENT AREA BY INCREASING CAPACITY FOR, AND PROVIDING, MENTAL HEALTH AWARENESS TRAINING AND SUPPORT, AND ESTABLISHING COMMUNITY LINKAGES WHERE INDIVIDUALS ARE REFERRED TO APPROPRIATE TREATMENT AND SERVICES. THE SPECIFIC GOALS OF THE PROJECT INCLUDE (1) INCREASING THE CAPACITY OF INDIVIDUALS IN THE AREA OF FOCUS TO RECOGNIZE THE SIGNS AND SYMPTOMS OF MENTAL DISORDERS IN ADULTS AND YOUTH, ESPECIALLY SERIOUS MENTAL ILLNESS (SMI) AND SERIOUS EMOTIONAL DISTURBANCE (SED), (2) INCREASE COMMUNITY AWARENESS AND KNOWLEDGE OF MENTAL ILLNESS AND WORK TO REDUCE STIGMA ASSOCIATED WITH THAT ILLNESS, (3) ESTABLISH AND ENHANCE COMMUNITY LINKAGES TO TRAIN, RESPOND, AND REFER INDIVIDUALS WITH SIGNS AND SYMPTOMS OF MENTAL ILLNESS TO APPROPRIATE SERVICES, (4) DEVELOP AND IMPLEMENT A MENTAL HEALTH AWARENESS TRAINING PLAN FOR CONSISTENCY AND SUSTAINABILITY. THROUGHOUT THE 5-YEAR GRANT PERIOD, WE PROPOSE TO SERVE 500 INDIVIDUALS (100 EACH YEAR).

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? NEONATAL ABSTINENCE SYNDROME

HEALTHCARE ACCESS

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

BASIC CENTER PROGRAM

CONTINUUM OF CARE PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

CONTINUUM OF CARE PROGRAM

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED AND STATE PARTNERSHIP MARKETPLACES

WYOMING COUNTY PREVENTION COALITION

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

STREET OUTREACH PROGRAM

PAIR (PEER ALLIANCE IN RE-ENTRY)MENTORING PROGRAM

STUMP THE VIOLENCE YOUTH LEADERSHIP INSTITUTE

AMHR CINAS 2024-2026

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

NORTHEAST ARKANSAS MENTAL HEALTH AWARENESS TRAINING PROJECT

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

WORK INCENTIVE PLANNING AND ASSISTANCE PROJECT

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HOMELESS ASSISTANCE

PURPOSE: THE CONTINUUM OF CARE (COC) PROGRAM IS DESIGNED TO PROMOTE COMMUNITY-WIDE COMMITMENT TO THE GOAL OF ENDING HOMELESSNESS; PROVIDE FUNDING FOR EFFORTS BY NONPROFIT PROVIDERS, STATES, AND LOCAL GOVERNMENTS TO QUICKLY HOUSE HOMELESS INDIVIDUALS AND FAMILIES WHILE MINIMIZING THE TRAUMA AND DISLOCATION CAUSED TO HOMELESS INDIVIDUALS, FAMILIES, AND COMMUNITIES BY HOMELESSNESS; PROMOTE ACCESS TO AND EFFECTIVE UTILIZATION OF MAINSTREAM PROGRAMS BY HOMELESS INDIVIDUALS AND FAMILIES; AND OPTIMIZE SELF-SUFFICIENCY AMONG INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. THE MOST RECENT COC AWARD ANNOUNCEMENT LISTING AWARDS BY STATE AND COC IS ACCESSIBLE AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/AWARDS. SELECT THE LINK UNDER THE FUNDING AND AWARD INFORMATION SECTION FOR THE APPROPRIATE FISCAL YEAR.; ACTIVITIES TO BE PERFORMED: CONTINUUM OF CARE PROGRAM FUNDS MAY BE USED TO PAY FOR THE ELIGIBLE COSTS USED TO ESTABLISH AND OPERATE PROJECTS UNDER FIVE PROGRAM COMPONENTS: (1) PERMANENT HOUSING, WHICH INCLUDES PERMANENT SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES, AND RAPID REHOUSING; (2) TRANSITIONAL HOUSING; (3) SUPPORTIVE SERVICES ONLY; (4) HOMELESS MANAGEMENT INFORMATION SYSTEMS (HMIS), AND (5) IN SOME CASES, HOMELESSNESS PREVENTION. THIRTEEN TYPES OF ASSISTANCE MAY BE PROVIDED THROUGH THE CONTINUUM OF CARE (COC) PROGRAM: (1) COC PLANNING ACTIVITIES/COSTS FOR DESIGNING AND CARRYING OUT A COLLABORATIVE PROCESS FOR THE DEVELOPMENT OF AN APPLICATION TO HUD; (2) UNITED FUNDING AGENCY (UFA) COSTS FOR FISCAL CONTROL AND ACCOUNTING NECESSARY TO ASSURE THE PROPER DISBURSAL OF, AND ACCOUNTING FOR, FEDERAL FUNDS AWARDED TO SUBRECIPIENTS UNDER THE CONTINUUM OF CARE PROGRAM, (3) ACQUISITION OF REAL PROPERTY (INCLUDING STRUCTURES) FOR USE IN THE PROVISION OF HOUSING OR SUPPORTIVE SERVICES; (4) REHABILITATION OF STRUCTURES TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (5) NEW CONSTRUCTION, INCLUDING THE BUILDING OF A NEW STRUCTURE OR BUILDING AN ADDITION TO AN EXISTING STRUCTURE FOR USE AS SUPPORTIVE HOUSING; (6) LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (7) RENTAL ASSISTANCE, WHICH MAY BE SHORT-TERM, MEDIUM-TERM, OR LONG-TERM, AS WELL AS TENANT-BASED, PROJECT-BASED, OR SPONSOR-BASED, FOR TRANSITIONAL OR PERMANENT HOUSING; (8) SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; (9) OPERATING COSTS OF SUPPORTIVE HOUSING; (10) COSTS OF IMPLEMENTING AND OPERATING HMIS; (11) PROJECT ADMINISTRATIVE COSTS; (12) RELOCATION COSTS; AND (13) INDIRECT COSTS IN ACCORDANCE WITH 2 CFR PARTS 200, AS APPLICABLE. IN ADDITION TO USING GRANT FUNDS FOR THE ELIGIBLE COSTS DESCRIBED ABOVE, RECIPIENTS AND SUBRECIPIENTS IN CONTINUUMS OF CARE DESIGNATED AS HIGH PERFORMING COMMUNITIES MAY ALSO USE GRANT FUNDS TO PROVIDE HOUSING RELOCATION AND STABILIZATION SERVICES AND SHORT- AND/OR MEDIUM-TERM RENTAL ASSISTANCE TO INDIVIDUALS AND FAMILIES AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT THE INDIVIDUAL OR FAMILY FROM BECOMING HOMELESS. LIMITATION ON USE OF FUNDS: NO ASSISTANCE PROVIDED UNDER PROGRAM (OR ANY STATE OR LOCAL GOVERNMENT FUNDS USED TO SUPPLEMENT THIS ASSISTANCE) MAY BE USED TO REPLACE STATE OR LOCAL FUNDS PREVIOUSLY USED, OR DESIGNATED FOR USE, TO ASSIST HOMELESS PERSONS OR PERSONS AT-RISK OF HOMELESSNESS.; EXPECTED OUTCOMES: DECREASE IN THE NUMBER INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS, MORE SPECIFICALLY USING PERFORMANCE INDICATORS SUCH AS THE LENGTH OF TIME HOMELESS, RETURNS TO HOMELESSNESS OVER TIME, AND EXITS TO PERMANENT HOUSING. COC PERFORMANCE PROFILE REPORTS CAN BE FOUND AT HTTPS://WWW.HUDEXCHANGE.INFO/PROGRAMS/COC/COC-PERFORMANCE-PROFILE-REPORTS/.; INTENDED BENEFICIARIES: INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

CONTINUUM OF CARE PROGRAM

SEE NOTICE OF AWARD, ATTACHMENT 1 - TERMS AND CONDITIONS, ATTACHMENT D STATEMENT OF WORK, ABSTRACT.

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

THE BEHAVIORAL HEALTH INFORMATION TECHNOLOGY ENHANCEMENT (B-HITE)

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

SUPPORTIVE HOUSING NEW

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

SUPPORTIVE HOUSING PROGRAM

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

RETIRED AND SENIOR VOLUNTEER PROGRAM

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES

METRO BOSTON RUNAWAY AND HOMELESS YOUTH NETWORK

FY 2023 EXPANDING COVID-19 VACCINATION

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

ENGAGES PERSONS 55 AND OLDER IN VOLUNTEER SERVICE IN THEIR COMMUNITIES

CONTINUUM OF CARE PROGRAM

SUPPORTIVE HOUSING PROGRAM

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM