Chestnut Health Systems Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

IMPROVING RETENTION ACROSS THE OUD SERVICE CASCADE UPON RE-ENTRY FROM JAIL USING RECOVERY MANAGEMENT CHECKUPS

TRIALS COORDINATING CENTER TO REDUCE SUBSTANCE USE, HIV RISK BEHAVIORS, & CRIME

PREVENTING PARENTAL OPIOID AND/OR METHAMPHETAMINE ADDICTION WITHIN DHS-INVOLVED FAMILIES: FAIR

CHESTNUT HEALTH SYSTEMS' CMHC - CHESTNUT HEALTH SYSTEMS (CHESTNUT) POPULATION OF FOCUS (POF) INCLUDES INDIVIDUALS WITH SERIOUS EMOTIONAL DISTURBANCE (SED), SERIOUS MENTAL ILLNESS (SMI), AND CO-OCCURRING DISORDERS (COD) IN THE GEOGRAPHIC CATCHMENT REGION OF MCLEAN, MADISON, ST. CLAIR, LOGAN, MASON, PEORIA, MENARD COUNTIES IN ILLINOIS. THE PURPOSE OF THIS PROJECT IS TO ENSURE THAT INDIVIDUALS AND FAMILIES IN OUR SERVICE AREA WITH SMI, SED, AND/OR COD HAVE ACCESS TO RECOVERY-ORIENTED BEHAVIORAL HEALTH SERVICES INCLUDING CLIENT-CENTERED EVIDENCE-BASED BEHAVIORAL HEALTH (BH) SERVICES. THIS PROJECT WILL HELP CHESTNUT ADDRESS STAFFING AND WORKFORCE DEVELOPMENT NEEDS THAT WILL INCREASE OUTREACH AND ENGAGEMENT WITH CLIENTS, ENHANCE (PEER) RECOVERY SUPPORT SERVICES, INCREASE OUTPATIENT BEHAVIORAL HEALTH COUNSELING, INCREASE SCHOOL BASED MENTAL HEALTH SERVICES AND INCREASE CRISIS RESIDENTIAL CAPACITY. THE PROJECT WILL ALSO INCREASE ACCESS TO CARE BY PROVIDING SUPPORT FOR CHESTNUT’S CENTRAL ACCESS AND INTAKE/ADMISSIONS DEPARTMENTS. CHESTNUT WILL ALSO ATTEND TO THE MENTAL HEALTH NEEDS OF THEIR STAFF BY CREATING A WORK AND WELL-BEING COMMUNITY OF PRACTICE, IN PARTNERSHIP WITH BEHAVIORAL HEALTH & WELLNESS PROGRAM AT THE UNIVERSITY OF COLORADO. THE PROJECT GOALS AND OBJECTIVES ARE DESCRIBED BELOW. CHESTNUT WILL SERVE AND ENROLL 500 UNDUPLICATED CLIENTS INTO THE CMHC EVALUATION GRANT FUNDS IN EACH YEAR OF THE PROJECT AND A TOTAL OF 1,000 OVER THE TWO YEAR PROJECT. THE PROJECT WILL TREAT 1,000 OVER ITS TWO YEAR PROJECT PERIOD. THE PROJECT’S PERIOD IS SEPTEMBER 30, 2021 TO SEPTEMBER 29, 2023 BY ACHIEVING THE PROJECT’S GOALS AND OBJECTIVES, CHESTNUT HEALTH SYSTEMS WILL INCREASE ACCESS TO EVIDENCE-BASED INTERVENTIONS THROUGHOUT THE DEFINED SERVICE AREA WHILE REDUCING THE NEGATIVE CONSEQUENCES OF BEHAVIORAL HEALTH DIFFICULTIES, INCLUDING THOSE FACED BY OUR STAFF. THE PROJECT WILL UTILIZE EVIDENCE BASE PRACTICES IN ITS TREATMENT OF BEHAVIORAL HEALTH. THE PROJECT WILL ALSO HELP SUPPORT JAIL DIVERSION PROGRAMS IN MADISON AND MCLEAN COUNTIES. CHESTNUT ALREADY HAS AN EXTENSIVE HISTORY OF WORKING WITH THE LOCAL CRIMINAL JUSTICE SYSTEM. FUNDS WILL BE UTILIZED FOR A PROJECT EVALUATOR, SIX EARLY INTERVENTION SPECIALISTS, SIX CLINICIANS, OUR ASSOCIATE DIRECTOR OF COURT SERVICES, OUR ASSOCIATE DIRECTOR ACCESS AND ADMISSIONS, SEVEN CENTRAL ACCESS SPECIALISTS, FIVE ADMISSION SPECIALISTS, TWO CRISIS RESIDENTIAL UNIT REGISTERED NURSES (RN) , SEVEN CASE MANAGERS, TWO WORKFORCE ENGAGEMENT SPECIALISTS, TWO COMMUNITY RELATIONS REPRESENTATIVES, ONE GREETERS/RECEPTION FOR AFTERHOURS ADMISSIONS, TWO ON CALL SUPERVISORS, TWO CERTIFIED PEER RECOVERY SUPPORT SPECIALISTS AND ONE MEDICAL OFFICE ASSISTANT. THE PROJECT DIRECTOR, TAMMY RODGERS, IS A KEY STAFF MEMBER FOR THIS PROJECT. HER SALARY/LEVEL OF EFFORT WILL BE PROVIDED IN KIND FOR THIS PROJECT. THE PROJECT IS REQUESTING A TOTAL OF $5,000,000 IN FEDERAL FUNDS FOR THE TWO YEAR PROJECT.

EARLY RE-INTERVENTION EXPERIMENT2(ERI-2)

CHESTNUT HEALTH SYSTEMS? FY 2022 SAMHSA CCBHC-IA APPLICATION. - THE POPULATIONS OF FOCUS (POF) INCLUDE INDIVIDUALS WITH SERIOUS MENTAL ILLNESSES (SMI), SERIOUS EMOTIONAL DISTURBANCES (SED), SUBSTANCE USE DISORDER (SUD) AND PEOPLE WITH CO-OCCURRING SUBSTANCE USE DISORDERS (COD) RESIDING IN THE CHESTNUT HEALTH SYSTEMS (CHESTNUT) CATCHMENT AREA. BY CONTINUING TO PROVIDE AND IMPROVING ACCESS TO SAMHSA CCBHC SERVICES, WE EXPECT TO SEE A CONTINUED INCREASE IN THE USE OF EVIDENCE-BASED PRACTICES (EBPS) THAT REDUCE RISK, IMPROVE HEALTH, AND ENGAGE PEOPLE IN MEANINGFUL STEPS TOWARD RECOVERY. THE GEOGRAPHIC CATCHMENT AREA FOR THE PROJECT REMAINS ST. CLAIR AND MADISON COUNTIES IN ILLINOIS. CHESTNUT’S MISSION IS, “MAKING A DIFFERENCE: IMPROVING QUALITY OF LIFE THROUGH EXCELLENCE IN SERVICE.” TO THIS END, WE CONTINUE TO IMPROVE OUR SERVICES AND BEST PRACTICES TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. THE OVERARCHING GOAL OF OUR PROJECT WILL BE TO MAINTAIN OUR SAMHSA CCBHC CRITERIA, WHILE WE TAKE THE NECESSARY STEPS TO IMPROVE OUR CCBHC SERVICES. WE WILL ALSO MAINTAIN OUR EXISTING FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND COMMUNITY MENTAL HEALTH CENTER (CMHC) CAPACITIES TO PRESERVE OUR INTEGRATION OF SERVICES WHILE SUSTAINING OUR POPULATION HEALTH MANAGEMENT CAPACITIES THAT INCLUDE CONTINUOUS QUALITY IMPROVEMENT. THROUGH THIS PROCESS, WE WILL CONTINUE TO PROVIDE GREATER ACCESS TO EVIDENCE-BASED INTERVENTIONS THAT DECREASE CRISIS-RELATED EVENTS, REDUCE RISK OF PHYSICAL HEALTH PROBLEMS ASSOCIATED WITH THE POF AND ENGAGE THE POF IN MEANINGFUL STEPS TOWARD RECOVERY. PLEASE SEE THE BELOW CHART FOR THE NUMBER OF ADDITIONAL UNDUPLICATED CLIENTS WE WILL SERVE THROUGH THIS PROJECT. THESE CLIENTS WILL ALSO BE THE UNDUPLICATED NUMBER ENTERED INTO NOMS. NUMBER OF UNDUPLICATED INDIVIDUALS SERVED WITH GRANT FUNDS YEAR ONE YEAR TWO YEAR THREE YEAR FOUR TOTAL 200 200 200 200 800 BY FULFILLING THE REQUIREMENTS OF CHESTNUT’S 2020 CCBHC AWARD, CHESTNUT MET THE CRITERIA FOR SAMHSA CCBHC STANDARDS WHILE INCREASING ACCESS TO EVIDENCE-BASED INTERVENTIONS, THUS REDUCING THE NEGATIVE CONSEQUENCES OF BEHAVIORAL HEALTH DIFFICULTIES THROUGHOUT MADISON AND ST. CLAIR COUNTIES.WE WILL USE THE FOLLOWING EBP’S FOR THE PROJECT: 1. ILLINOIS MEDICAID COMPREHENSIVE ASSESSMENT OF NEEDS AND STRENGTHS (IM+CANS); 2. GLOBAL ASSESSMENT OF INDIVIDUAL NEEDS (GAIN); 3. SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT); 4. PATIENT HEALTH QUESTIONNAIRE-9 (PHQ-9); 5. GENERALIZED ANXIETY DISORDER-7 (GAD-7); 6. COLUMBIA SCREENING TOOL (C-SSRS); 7. DAILY LIVING ACTIVITIES 20 (DLA-20); 8. CLINICAL INSTITUTE WITHDRAWAL ASSESSMENT FOR ALCOHOL (CIWA-A); 9. CLINICAL OPIATE WITHDRAWAL SCALE (COWS); 10. MOTIVATIONAL INTERVIEWING (MI); 11. HOUSING FIRST; 6. PERMANENT SUPPORTIVE HOUSING (PSH); 12. COLLABORATIVE CARE; 13. INDIVIDUAL PLACEMENT AND SUPPORT (IPS); 14. SEEKING SAFETY, 15. COMMUNITY REINFORCEMENT APPROACH (CRA), 16. ADOLESCENT COMMUNITY REINFORCEMENT APPROACH (CRA); 17. MENTAL HEALTH FRIST AID (MHFA); 18. YOUTH MENTAL HEALTH FIRST AID (YMHFA); 19. TRAUMA-FOCUSED COGNITIVE BEHAVIOR THERAPY (TFCBT); 20. COGNITIVE BEHAVIORAL INTERVENTION FOR TRAUMA IN SCHOOLS (CBITS); 21. ASSERTIVE COMMUNITY TREATMENT (ACT), 22. HARM REDUCTION, 23.CRITICAL TIME INTERVENTION (CTI) AND 24. SUPPORTED EDUCATION (SE). THE EBPS LISTED ABOVE INCORPORATE SKILLS OF EFFECTIVE ASSESSMENT, ENGAGEMENT, AND THERAPEUTIC ALLIANCE AND HAVE BEEN SUCCESSFULLY USED WITH DIVERSE POPULATIONS. EACH EBP HAS THE ABILITY TO AFFECT THE IDENTIFICATION, SCREENING, ASSESSMENT AND/OR TREATMENT OF SMI, SED, SUD, AND COD, PROVIDING THE TOOLS NEEDED TO REDUCE THE PREVALENCE OF SMI, SED, SUD, AND COD; UNEMPLOYMENT; POVERTY; AND HOMELESSNESS IN THE DEFINED SERVICE AREA. ADDITIONALLY, WE HAVE EXPERIENCED SUCCESS WITH EACH OF THE MODELS LISTED. NONE OF THE EBPS LISTED WILL BE ALTERED IN ANY MANNER. WE ARE REQUESTING $1,000,000 A YEAR FOR THE FOUR YEAR PROJECT T

CHESTNUT HEALTH SYSTEMS' CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) EXPANSION GRANTS

PATHWAYS TO RECOVERY: OLDER SUBSTANCE USERS

CHESTNUT HEALTH SYSTEMS' (IN PARTNERSHIP WITH MCCHS) FY 2022 CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC PLANNING, DEVELOPMENT, AND IMPLEMENTATION GRANT APPLICATION. - CHESTNUT HEALTH SYSTEMS’ (CHESTNUT) AND MCLEAN COUNTY CENTER FOR HUMAN SERVICES’ (MCCHS) POPULATION OF FOCUS (POF) INCLUDES ANY INDIVIDUAL WITH A MENTAL OR SUBSTANCE USE DISORDER WHO SEEKS CARE, INCLUDING THOSE WITH SERIOUS MENTAL ILLNESS (SMI), SUBSTANCE USE DISORDER (SUD) INCLUDING OPIOID USE; CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED); INDIVIDUALS WITH CO-OCCURRING MENTAL AND SUBSTANCE DISORDERS (COD); AND INDIVIDUALS EXPERIENCING A MENTAL HEALTH OR SUBSTANCE USE-RELATED CRISIS IN THE GEOGRAPHIC CATCHMENT REGION OF MCLEAN COUNTY IN ILLINOIS. THE PURPOSE OF THIS PROJECT IS TO TRANSFORM THE LOCAL COMMUNITY BEHAVIORAL HEALTH SYSTEM AND PROVIDE COMPREHENSIVE, COORDINATED BEHAVIORAL HEALTH CARE BY ESTABLISHING A STRATEGIC ALLIANCE BETWEEN TWO NON-PROFIT ORGANIZATIONS, CHESTNUT AND MCCHS. BOTH ORGANIZATIONS ARE CURRENTLY PROVIDING MENTAL HEALTH AND/OR SUBSTANCE USE SERVICES IN THE SAME SERVICE DELIVERY AREA. BOTH ARE INTERESTED IN OBTAINING CCBHC CERTIFICATION AND FORMALIZING OUR COLLABORATION TO ENSURE THAT INDIVIDUALS AND FAMILIES IN OUR SERVICE AREA WITH BEHAVIORAL HEALTH NEEDS HAVE ACCESS TO RECOVERY-ORIENTED, TRAUMA-INFORMED, COORDINATED BEHAVIORAL HEALTH SERVICES INCLUDING CLIENT-CENTERED EVIDENCE-BASED BEHAVIORAL HEALTH (BH) SERVICES. CHESTNUT AND MCCHS PLAN TO SERVE 305 UNDUPLICATED INDIVIDUALS OVER THE COURSE OF THE FOUR-YEAR PROJECT. BY ACHIEVING THE PROJECT’S GOALS AND OBJECTIVES, CHESTNUT AND MCCHS WILL INCREASE ACCESS TO EVIDENCE-BASED INTERVENTIONS THROUGHOUT THE DEFINED SERVICE AREA WHILE REDUCING THE NEGATIVE CONSEQUENCES OF BEHAVIORAL HEALTH DIFFICULTIES, INCLUDING THOSE FACED BY OUR STAFF. WE WILL USE THE FOLLOWING EVIDENCE BASED PRACTICES: 1. COORDINATED SPECIALTY CARE TEAM FOR EARLY SERIOUS MENTAL ILLNESS; 2. ARC (ATTACHMENT, REGULATION, AND COMPETENCY FRAMEWORK); 3. CBT-P (CBT FOR PSYCHOSIS); 4. COGNITIVE BEHAVIORAL THERAPY; 5. DIALECTICAL BEHAVIOR THERAPY; 6. FAMILY PSYCHOEDUCATION; 7. FIRST EPISODE PSYCHOSIS; 8. GROUP TREATMENT FOR SUBSTANCE ABUSE; 9. ILLINOIS MEDICAID COMPREHENSIVE ASSESSMENT OF NEEDS AND STRENGTHS (IM+CANS); 10. LIVING IN BALANCE; 11. MINDFULNESS-BASED SOBRIETY; 12. MOTIVATIONAL INTERVIEWING; 13. NEW-R FOR THE NUTRITION/EXERCISE; 14. SAMHSA ANGER MANAGEMENT FOR SUBSTANCE USE DISORDER AND MENTAL HEALTH CLIENTS; 15. SAMHSA’S 8 DIMENSIONS OF WELLNESS; 16. SOLUTION FOCUSED THERAPY; 19. TEXAS MEDICATION ALGORITHM PROJECT (TMAP); 20. TRAUMA TREATMENT TOOLBOX; 21. TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY; 22. W.H.A.M. (WHOLE HEALTH ACTION MANAGEMENT); 23. WRAP (WELLNESS ACTION RECOVERY PLAN). THE FOLLOWING WILL MAKE UP OR PROJECT TEAM: PROJECT DIRECTOR, TWO CLINICIANS, TWO CASE MANAGERS, TWO MEDICAL OFFICE ASSISTANT, TWO RECOVERY SUPPORT SPECIALIST, ONE DRIVER, ONE QUALITY ASSURANCE SPECIALIST AND A PROJECT EVALUATOR. WE ARE REQUESTING $1,000,000 A YEAR FOR THE FOUR YEAR PROJECT TOTALING $4,000,000 OVER THE ENTIRE PROJECT.

RECOVERY MANAGEMENT CHECKUPS FOR WOMEN OFFENDERS (RMC-WO) EXPERIMENT

DISRUPTING SOCIAL DETERMINANTS OF HEALTH TO IMPROVE SUBSTANCE USE AND MENTAL HEALTH OUTCOMES FOR PARENTS IN RURAL REGIONS - PROJECT SUMMARY/ABSTRACT ALTHOUGH SOCIAL DETERMINANTS OF HEALTH (SDOH) HAVE LONG BEEN RECOGNIZED AS SIGNIFICANT CONTRIBUTORS TO THE QUALITY OF LIFE AND LONG-TERM OUTCOMES FOR INDIVIDUALS, ONLY RECENTLY HAVE PREVENTIVE INTERVENTION EFFORTS BEGUN TO TARGET POOR SDOH DIRECTLY AS A METHOD FOR ACHIEVING IMPROVED HEALTH OUTCOMES. LITTLE REMAINS KNOWN ABOUT INTERVENTIONS THAT DISRUPT THE ONGOING NEGATIVE EFFECT OF POOR SDOH OR HOW TO INTERVENE ON MALLEABLE SDOH (E.G., EMPLOYMENT) IN THE CONTEXT OF NON-MALLEABLE SDOH (E.G., RURAL REGION). THIS APPLICATION, DISRUPTING SOCIAL DETERMINANTS OF HEALTH TO IMPROVE SUBSTANCE USE AND MENTAL HEALTH OUTCOMES FOR PARENTS IN RURAL REGIONS, IS DIRECTLY RESPONSIVE TO NIDA RFA DA-22-036 AND SEEKS TO TEST THE MULTI-LEVEL, MULTI-COMPONENT FAMILIES ACTIVELY IMPROVING RELATIONSHIPS (FAIR) INTERVENTION TO PREVENT “OPIOID USE DISORDER, AND COMORBID CONDITIONS BY INTERVENING ON SOCIAL DETERMINANTS OF HEALTH (SDOH).” LEVERAGING A NATURALLY OCCURRING ROLL OUT OF FAIR ACROSS FIVE RURAL OREGON COUNTIES, PARENTS (N = 250) WHO ARE REFERRED TO FAIR WILL BE RECRUITED TO PARTICIPATE. OREGON IS THE IDEAL SETTING FOR THIS PROJECT—DATA RELEASED IN JANUARY 2022 RANKS THE STATE AS LEADING THE NATION IN OPIOID AND METHAMPHETAMINE USE, MENTAL HEALTH DISORDERS AND SUICIDE. PARTICIPATING COUNTIES, THOUGH ALL RURAL, ARE DISTINCT IN THEIR COUNTY HEALTH METRICS, PROVIDING THE OPPORTUNITY TO EXAMINE THE INFLUENCE OF OUTSIDE STRUCTURAL CONDITIONS ON INTERVENTION TARGETS AND SUBSEQUENT PREVENTION OUTCOMES. CONSENTING PARENTS WILL REPORT WEEKLY ON THEIR SDOH NEEDS FOR 18 MONTHS, REGARDLESS OF WHETHER THEY ARE ENGAGED IN SERVICES. WHEN ENGAGED, THEIR FAIR CLINICIAN ALSO WILL BE PROBED WEEKLY FOR A REPORT OF INTERVENTION STRATEGIES USED TO ADDRESS SDOH. INTERVENTIONS WILL NOT BE MANIPULATED BUT WILL BE OBSERVED AS THEY NATURALLY OCCUR. PARENTS WILL BE ASSESSED FOR OPIOID AND METHAMPHETAMINE USE, INCLUDING IV DRUG USE, AND MENTAL HEALTH SYMPTOMS, INCLUDING SUICIDE (IDEATION, INTENTION, ATTEMPT) AT BASELINE, 9-MONTHS, AND 18-MONTHS. TO ASSESS LONGER-TERM PREVENTION OF IV DRUG USE AND SUICIDE, ADMINISTRATIVE HEALTH DATA WILL BE COLLECTED FROM THE TIME OF CONSENT TO 24-42 MONTHS POST-BASELINE. THE INTENSIVE, LONGITUDINAL, SEQUENCING DESIGN WILL ALLOW AN ANALYSIS OF HOW FAIR COMPONENTS (AIM 1) DISRUPT INDIVIDUAL AND SYSTEMIC SDOH AND ESCALATION OF OPIOID AND/OR METHAMPHETAMINE USE AND MENTAL HEALTH DISORDERS; (AIM 2) ARE IMPACTED BY EXTERNAL, STRUCTURAL SDOH; AND (AIM 3) CAN INFLUENCE THE RELATIONSHIP BETWEEN SDOH AND INDIVIDUAL AND SYSTEMIC OUTCOMES ON COSTS, FROM THE PERSPECTIVE OF PROVIDER CLINICS DELIVERING FAIR. OUTCOMES WILL (A) INFORM THE FUTURE SCALE-UP OF FAIR BY PROVIDING AN EMPIRICAL BASIS FOR TARGETING AND SEQUENCING OF PARENT SDOH THROUGHOUT THE COURSE OF TREATMENT, AND THE IMPACT OF THESE CLINICAL DECISIONS ON OUTCOMES AND CLINIC-BORNE COSTS AND (B) PROVIDE GENERALIZABLE KNOWLEDGE OF THE CONSEQUENCES OF TARGETING, OR NOT, POOR SDOH IN THE TREATMENT OF COMORBID OPIOID AND METHAMPHETAMINE USE AND MENTAL HEALTH DISORDERS. THE DISRUPTION OF A PARENT’S POOR SDOH HAS THE POTENTIAL FOR A CASCADE OF POSITIVE OUTCOMES ACROSS GENERATIONS, AND DRIVE A SIGNIFICANT IMPROVEMENT OF PUBLIC HEALTH.

COMBINING EVIDENCE-BASED MENTORING AND SUBSTANCE ABUSE TREATMENT TO IMPROVE OUTCOMES FOR JUSTICE-INVOLVED YOUTH AND THEIR FAMILIES

USING SMARTPHONES TO PROVIDE RECOVERY SUPPORT SERVICES

SMARTPHONE ADDICTION RECOVERY COACH FOR ADOLESCENTS (SARC-A) EXPERIMENT

BUILDING A LASTING FOUNDATION TO ADVANCE ACTIONABLE RESEARCH ON RECOVERY SUPPORT SERVICES FOR HIGH RISK INDIVIDUALS WITH OPIOID USE DISORDER: THE INITIATIVE FOR JUSTICE AND EMERGING ADULT POPULATIONS

RECOVERY MANAGEMENT CHECKUP FOR PRIMARY CARE (RMC-PC) VS. SCREENING BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) EXPERIMENT

TESTING IMPLEMENTATION STRATEGIES TO SCALE-UP A MULTICOMPONENT CONTINUUM OF SERVICE INTERVENTION FOR FAMILIES INVOLVED IN SYSTEMS WITH PARENTAL OPIOID AND METHAMPHETAMINE USE - PROJECT SUMMARY/ABSTRACT NATIONWIDE, 2023 SAW A 9.5% INCREASE IN REPORTS TO CHILD WELFARE (CW), WITH THE MAJORITY RELATED TO PARENT DRUG USE. THIS WAS NOTABLY TRUE IN OREGON, WHERE THE INCREASE IN THE NUMBER OF REPORTS EXCEEDED 13%. WHILE 2024 SAW AN OVERALL DECREASE IN PREDICTED ANNUAL OVERDOSE DEATHS NATIONALLY, OREGON’S PREDICTED RATE INCREASED TO A RECORD HIGH. PARENTS REFERRED TO CW EXPERIENCE A RANGE OF SYSTEM INTERVENTIONS ACROSS THE SEQUENTIAL INTERCEPT MODEL, FROM DIVERSION TO PREVENTIVE SERVICES, TO CHILD REMOVAL INTO FOSTER CARE, AND REUNIFICATION AND COMMUNITY MONITORING. ALONG THIS INTERCEPT, PARENTS ARE REFERRED FOR SERVICES, INCLUDING SUBSTANCE USE AND MENTAL HEALTH TREATMENT, PARENT TRAINING, AND OTHER SOCIAL DETERMINANT OF HEALTH NEEDS. FAMILIES LIVING IN RURAL COUNTIES WITH LIMITED TREATMENT OPTIONS EXPERIENCE MYRIAD BARRIERS TO ACCESSING TREATMENT AND EXITING THE SYSTEM. JUST CARE FOR FAMILIES (JCFF) IS AN EMERGING PRACTICE FOR PARENTS INTERSECTING WITH CW DEVELOPED TO ADDRESS THEIR INTERRELATED SUBSTANCE USE, MENTAL HEALTH, PARENTING, COMMUNITY BUILDING, NAVIGATING SYSTEMS, AND BASIC TREATMENT NEEDS. JCFF HAS BEEN IMPLEMENTED IN FIVE RURAL OREGON COUNTIES WITH THE OPPORTUNITY TO EXPAND INTO OTHERS. CURRENT IMPLEMENTATION CHALLENGES, INCLUDING TRAVEL DISTANCE IN LARGE RURAL COUNTIES AND LACK OF A JCFF EXPERT WORKFORCE TO SUPPORT IMPLEMENTATION, LIMIT JCFF’S CURRENT SCALABILITY. THIS HYBRID TYPE II EFFECTIVENESS-IMPLEMENTATION TRIAL USES AN ADAPTATION OF A STEPPED-WEDGE DESIGN TO TEST CLINICAL OUTCOMES SPANNING INTERCEPTION POINTS WITH THE CW SYSTEM AND IMPLEMENTATION OUTCOMES WHEN JCFF IS DELIVERED WITH THE ADDITION OF A MOBILE APP WITH PROVIDER FEEDBACK ABOUT PARENT APP USAGE. NINE RURAL OREGON COUNTIES, FIVE ACTIVE COUNTIES PREVIOUSLY IMPLEMENTED WITH DEVELOPER SUPPORT, AND FOUR NEW COUNTIES THAT WILL IMPLEMENT WITH NEW JCFF EXPERT SUPPORT HAVE BEEN RECRUITED TO TEST THE (AIM 1) CLINICAL EFFECTIVENESS OF JCFF WHEN DELIVERED WITH AND WITHOUT THE APP. A TOTAL OF 254 PARENTS WITH OPIOID AND/OR METHAMPHETAMINE USE AND INTERSECTION WITH THE CW SYSTEM WILL BE RECRUITED TO PARTICIPATE. PARENTS WILL RECEIVE USUAL SERVICES, JCFF, JCFF WITH THE APP, OR JCFF WITH THE APP AND FEEDBACK. LONGITUDINAL IN-PERSON ASSESSMENTS AT BASELINE, 4-MONTHS, 9-MONTHS, 14-MONTHS, AND 18-MONTHS, AND WEEKLY TEXT ASSESSMENTS OF SOCIAL DETERMINANTS OF HEALTH NEEDS AND CW INTERSECTION WILL TEST THE OVERARCHING PRIMARY AIM OF REDUCTION IN PARENT OPIOID AND METHAMPHETAMINE USE OVER TIME WITH INCREASED TREATMENT ENGAGEMENT, RETENTION, COMPLETION AND DECREASED LENGTH OF CW CASE, RE- ENTRY INTO TREATMENT, AND RECIDIVISM (ARREST, CW RE-REFERRAL). THE (AIM 2) EFFECTIVENESS OF THE JCFF IMPLEMENTATION APPROACH WILL BE TESTED WHEN IMPLEMENTED WITH THE SUPPORT OF NEW JCFF EXPERTS VERSUS DEVELOPER EXPERTS, WITH THE AIM OF EQUAL EFFECTIVENESS. CLINICAL AND IMPLEMENTATION OUTCOMES WILL BE MODELED (AIM 3) TO EXAMINE THE IMPACT THAT ADDING THE APP COULD HAVE ON PROGRAM SUSTAINMENT FOR RURAL PROGRAMS, EXPANDING THE POTENTIAL FOR JCFF TO SCALE UP IN OREGON AND ELSEWHERE, POSITIONING FOR PUBLIC HEALTH IMPACT.

WELLNESS OUTREACH NETWORK (WON)

VOLUNTEER TELEPHONE CONTINUING CARE FOR ADOLESCENTS WITH AOD USE DISORDERS

JEFFERSON COUNTY YOUTH AND FAMILY TREE - CHESTNUT HEALTH SYSTEMS WILL ENHANCE AND EXPAND ITS ADOLESCENT OUTPATIENT SUBSTANCE USE SCREENING, ASSESSMENT, EARLY INTERVENTION, TREATMENT, AND RECOVERY SUPPORT SERVICES IN SCHOOL-BASED SETTINGS. THE POPULATION OF FOCUS IS STUDENTS AND THEIR FAMILIES FROM FIVE HIGH SCHOOLS IN JEFFERSON COUNTY, MISSOURI. RECENT ESTIMATES INDICATE THAT ONLY 6% OF ADOLESCENTS WITH A SUBSTANCE USE DISORDER (SUD) RECEIVED TREATMENT DURING A TIME WHEN THE COUNTY SAW AN ALARMING INCREASE IN SUICIDE. SINCE THE VAST MAJORITY OF ADOLESCENTS ARE ENROLLED IN SCHOOL, THIS IS A PRACTICAL SETTING TO IDENTIFY AND ASSIST THEM. IN FACT, RESEARCH SHOWS THAT BRINGING THESE SERVICES TO YOUTH IN SCHOOLS MAY REDUCE GENDER/ETHNIC DISPARITIES OFTEN FOUND IN SPECIALTY COMMUNITY CLINICS. WE ANTICIPATE THAT PARTICIPANTS IN THIS PROJECT WILL BE 14-18 YEARS OLD AND HAVE SUD, WITH A HIGHER THAN NORMALLY EXPECTED NUMBER PRESENTING WITH MENTAL HEALTH PROBLEMS DRIVEN BY THE EXCEPTIONALLY HIGH RATE OF POSITIVE COVID-19 CASES IN THE COUNTY. STUDENTS REFERRED TO THE PROGRAM WILL BE SCREENED, AND ASSESSED AS INDICATED. STUDENTS ENROLLED IN THE PROGRAM WILL RECEIVE EVIDENCE-BASED SUD TREATMENT AND RECOVERY SUPPORT SERVICES AND, WHEN INDICATED, TRAUMA AND TOBACCO CESSATION TREATMENT. THE PRIMARY GOALS OF THIS PROJECT INCLUDE: 1) INCREASING THE NUMBER OF YOUTH/FAMILIES SERVED WITH EVIDENCE-BASED PRACTICES; 2) IMPROVING RECOVERY OUTCOMES FROM THE USE OF ALCOHOL, TOBACCO, AND OTHER DRUGS; 3) IMPROVING MENTAL HEALTH; AND 4) INCREASING ACCESS TO HEALTH SERVICES FOR UNDERSERVED FAMILIES. THESE GOALS WILL BE ACHIEVED BY IMPLEMENTING THE PROJECT’S MEASURABLE OBJECTIVES: PROVIDE EVIDENCE-BASED SCREENING AND ASSESSMENT; PROVIDE EVIDENCE-BASED, TRAUMA-INFORMED, AND FAMILY FOCUSED EARLY INTERVENTION, OUTPATIENT TREATMENT, AND RECOVERY SUPPORT SERVICES FOR SUBSTANCE USE TO 50 ADOLESCENTS AND THEIR FAMILIES IN YEAR 1 AND 100 ADOLESCENTS AND THEIR FAMILIES EACH YEAR IN YEARS 2 THROUGH 5; PROVIDE EVIDENCE-BASED TOBACCO PREVENTION/CESSATION SERVICES; PROVIDE EDUCATION AND MESSAGING ON MAKING HEALTHY CHOICES TO STUDENTS; DECREASE PARTICIPANT RATES OF SUBSTANCE USE BETWEEN BASELINE AND SIX-MONTH FOLLOW-UP BY AT LEAST 50%; REDUCE PARTICIPANT STRESS BETWEEN BASELINE AND SIX-MONTH FOLLOW-UP FOR AT LEAST 50% OF PARTICIPANTS; REDUCE PARTICIPANT EMOTIONAL PROBLEMS BETWEEN BASELINE AND SIX-MONTH FOLLOW-UP FOR AT LEAST 50% OF PARTICIPANTS; IMPROVE PARTICIPANT LIFE SATISFACTION BETWEEN BASELINE AND SIX-MONTH FOLLOW-UP FOR AT LEAST 50% OF PARTICIPANTS; INITIATE CONNECTION TO MENTAL HEALTH PROGRAMS FOR 100% OF ADOLESCENTS AND FAMILIES IDENTIFIED AS IN NEED; AND INITIATE CONNECTION TO MEDICAL CENTERS FOR 100% OF ADOLESCENTS AND FAMILIES IDENTIFIED AS IN NEED.

SUPPORTING DATA-DRIVEN DECISION-MAKING TO SUPPORT SUBSTANCE USE SERVICE EXPANSION POLICIES AND TO PREVENT OVERDOSES - PROJECT SUMMARY CROSS-SECTOR DECISION MAKERS—SUCH AS COMMUNITY SERVICE PROVIDERS, PUBLIC HEALTH, JUSTICE, ADVOCATES, AND PAYERS—ARE CALLING FOR ACTIONABLE DATA TO BE COLLECTED AND SHARED IN SUSTAINABLE, USEFUL WAYS. OREGON RANKS LAST IN THE U.S. FOR ACCESS TO SUBSTANCE USE SERVICES AND FIRST IN OPIOID AND METHAMPHETAMINE USE. A RECENT STATE- WIDE ANALYSIS ESTIMATED THAT SERVICE GAPS MAY EVEN BE LARGER THAN PREVIOUSLY ESTIMATED. THE PROPOSED STUDY AIMS TO MAKE DATA THAT ARE RELEVANT TO DECISION MAKERS AVAILABLE TO THEM IN EASY-TO-USE FORMATS SO THAT THEY CAN MAKE TIMELY, EVIDENCE-INFORMED DECISIONS TO REDUCE SUBSTANCE USE SERVICE GAPS AND OVERDOSES, AND ULTIMATELY IMPROVE HEALTH. WE WILL LEVERAGE THE ROLL-OUT OF A FIRST-OF-ITS-KIND POLICY IN THE UNITED STATES—BALLOT MEASURE 110 (M110). M110 IS BRINGING UNPRECEDENTED LEVELS OF FUNDING TO EXPAND SERVICES ALIGNED WITH THE PILLARS OF OVERDOSE PREVENTION STATEWIDE, AND IT DECRIMINALIZED THE POSSESSION OF PERSONAL AMOUNTS OF SUBSTANCES. BOTH CRITICS AND ADVOCATES OF M110 HAVE CALLED FOR BETTER DATA TO PROVIDE A HOLISTIC PICTURE OF SUBSTANCE USE SERVICE AND SERVICE- RECIPIENT IMPACTS, AND TO INFORM LOOMING DECISIONS SUCH AS HOW TO ALLOCATE OPIOID SETTLEMENT FUNDS. TO MEET THIS NEED, CONSISTENT WITH GOALS OF THE NIH HELPING TO END ADDICTION LONG-TERM DATA2ACTION PROGRAM CALL FOR INNOVATION PROJECTS WITH CROSS-SECTOR PARTNERSHIPS, WE PROPOSE TO DEVELOP, REFINE, AND TEST A POLICY IMPLEMENTATION STRATEGY—DISCOVERY AND DESIGN SESSIONS (DDS)—TO ENGAGE CROSS-SECTOR DECISION MAKERS IN CONVERSATIONS ABOUT WHAT DATA ARE OF PRIORITY TO THEM AND TO DEVELOP FEASIBLE PROTOCOLS FOR LINKING AND DISSEMINATING DATA THROUGH PRODUCTS THAT THEY CO-DESIGN (E.G., REPORTS, SIMULATIONS, DASHBOARDS). IN THE R61 PHASE, WE WILL STRENGTHEN AND EXPAND EXISTING PARTNERSHIPS WITH FIVE TYPES OF DECISION MAKERS, INCLUDING STATE AGENCIES RESPONSIBLE FOR MONITORING AND/OR IMPLEMENTING M110 AND FOR MAINTAINING A STATEWIDE DATA REPOSITORY. DDS, DDS-GENERATED DATA PRODUCTS, AND CO-DEVELOPED PROTOCOLS FOR DATA SHARING AND FOR STUDY-GENERATED DATA COLLECTION WILL BE REFINED FOR FEASIBILITY AND TESTING. IN THE R33 PHASE, COUNTIES WILL BE CLUSTER RANDOMIZED TO PARTICIPATE IN DDS AND RECEIVE FULLY TAILORED DATA PRODUCTS (N = 18) OR TO LATER RECEIVE PRODUCTS ONLY (N = 18) IN A STEPPED-WEDGE DESIGN. WE WILL: (AIM 1) IDENTIFY WHETHER DDS IS AN EFFICIENT, GENERALIZABLE STRATEGY TO OPTIMIZE POLICY IMPLEMENTATION BASED ON THE COMPARATIVE USABILITY OF DDS-GENERATED DATA PRODUCTS BETWEEN COUNTIES; (AIM 2) TEST THE IMPACT OF DDS ON SUBSTANCE USE SERVICE GAPS AND SERVICE-RECIPIENT OUTCOMES, AS WELL AS CROSS- SECTOR COLLABORATION; AND (AIM 3) EXAMINE WHETHER DDS-GENERATED DATA PRODUCTS ARE ASSOCIATED WITH CONCRETE ACTIONS (E.G., FUNDING) TO STRENGTHEN THE AVAILABILITY AND QUALITY OF EVIDENCE-BASED, CULTURALLY-RESPONSIVE SUBSTANCE USE SERVICES. BASED ON STUDY RESULTS AND PARTNERS’ INPUT, WE WILL PROVIDE STATE DECISION MAKERS WITH RECOMMENDATIONS AND PROTOCOLS FOR SUPPORTING SUSTAINMENT OF STUDY INFRASTRUCTURE AND OUTPUT, INCLUDING: FEASIBLE METHODS FOR PRIORITIZED DATA COLLECTION AND DATA PRODUCT DISSEMINATION, AND THE TRANSFER OF STUDY-GENERATED DATA TO STATE-WIDE DATA INFRASTRUCTURES. THE PROPOSED STUDY HOLDS STRONG POTENTIAL FOR IMMEDIATE, REAL-WORLD IMPACT.

COMMUNITY-ENGAGED RESEARCH RESOURCE CENTER (CERRC): AN A.C.T.I.O.N. FRAMEWORK (ASSESS, COLLABORATE, TECHNICAL ASSISTANCE, IMPLEMENT, OPTIMIZE, NURTURE) - SUBSTANCE USE REMAINS A PUBLIC HEALTH EMERGENCY, WITH DRUG OVERDOSES CLAIMING A LIFE IN THE U.S. EVERY FIVE MINUTES. DESPITE THE EXISTENCE OF PROVEN SUBSTANCE USE TREATMENT AND RECOVERY SERVICES, THERE ARE PERSISTENT BARRIERS TO ACCESS, PARTICIPATION, AND RETENTION, PARTICULARLY AMONG INDIVIDUALS INVOLVED IN THE CRIMINAL LEGAL SYSTEM. SUBSTANCE USE DISORDERS ARE DISPROPORTIONATELY PREVALENT IN THIS POPULATION, AND THE CRIMINAL LEGAL SYSTEM ACCOUNTS FOR OVER ONE-THIRD OF ALL SUBSTANCE USE TREATMENT REFERRALS. HOWEVER, BARRIERS SEVERELY HINDER ACCESS TO EFFECTIVE CARE. ATTEMPTING TO ADDRESS THIS, THE JUSTICE COMMUNITY OVERDOSE INNOVATION NETWORK (JCOIN) IS THE MOST SIGNIFICANT FEDERAL INITIATIVE TO DATE, FOCUSED ON BRINGING TOGETHER RESEARCHERS AND COMMUNITY LEADERS TO STRENGTHEN EFFORTS IN ADDRESSING SUBSTANCE USE SPECIFICALLY WITHIN THE CRIMINAL LEGAL SYSTEM. THIS PROPOSED PROJECT OUTLINES A COMMUNITY ENGAGED RESEARCH RESOURCE CENTER (CERRC) TO SUPPORT JCOIN’S EFFORTS. IT BRINGS TOGETHER A TEAM WITH EXPERTISE IN SUBSTANCE USE AND CRIMINAL LEGAL SYSTEM RESEARCH, AS WELL AS DIRECT AND INDIRECT LIVED EXPERIENCE WITH SUBSTANCE USE AND THE CRIMINAL LEGAL SYSTEM. THE TEAM ALSO HAS EXTENSIVE EXPERIENCE IN COMMUNITY-BASED PARTICIPATORY RESEARCH (CBPR) AND MEANINGFUL COLLABORATION WITH PEOPLE WITH LIVED EXPERIENCE. GUIDED BY THE CULTURAL EXCHANGE MODEL, THIS CERRC AIMS TO ENGAGE PEOPLE WITH LIVED EXPERIENCE, BUILD CAPACITY FOR GREATER INCLUSION OF THEIR VOICES ACROSS ALL LEVELS AND POSITIONS IN THE RESEARCH ENTERPRISE, AND DEVELOP RESOURCES TO ENHANCE COMMUNITY-ENGAGED RESEARCH. AT THE CORE OF THE PROPOSED CERRC IS THE A.C.T.I.O.N. FRAMEWORK, WHICH ORGANIZES THE CERRC’S TEN INTERRELATED ACTIVITIES INTO SIX DOMAINS THAT SPAN ACROSS THE CERRC’S AIMS TO SUPPORT JCOIN AND ADVANCE THE FIELD. THE DOMAINS INCLUDE: ASSESS (ACTIVITIES: ASSESS AND TARGET MEANINGFUL ENGAGEMENT AND CONDUCT NEEDS ASSESSMENTS WITH EACH JCOIN HUB); COLLABORATE (ACTIVITIES: BUILD A COMMUNITY BOARD AND COORDINATE A CERRC FEEDBACK TEAM TO SERVE THE CERRC AND JCOIN); TECHNICAL ASSISTANCE (ACTIVITIES: PROVIDE TAILORED TECHNICAL ASSISTANCE FOR HUB LEADERSHIP, AS WELL AS FOR PEOPLE WITH LIVED EXPERIENCE ENGAGED ACROSS JCOIN); IMPLEMENT (ACTIVITIES: CONDUCT A PATIENT JOURNEY MAPPING STUDY AND THREE OTHER RAPID TURNAROUND RESEARCH PROJECTS); OPTIMIZE (ACTIVITIES: CREATE PUBLIC-FACING KNOWLEDGE TRANSLATIONS, INCLUDING SPOTLIGHT WEBINARS, MICROLEARNING VIDEOS, PRODUCTS, AND A RESOURCE REPOSITORY); AND NURTURE (ACTIVITIES: FACILITATE LEARNING COLLABORATIVES AND A MENTOR PANEL). THE A.C.T.I.O.N. FRAMEWORK ENSURES THAT ALL EFFORTS REINFORCE ONE ANOTHER TO CREATE A COHESIVE AND IMPACTFUL APPROACH. THIS CERRC, LED BY A MULTIDISCIPLINARY TEAM WITH COMPLEMENTARY ACADEMIC AND LIVED EXPERTISE, IS POISED TO GENERATE TRANSFORMATIVE, COMMUNITY-DRIVEN SOLUTIONS THAT ENHANCE OUTCOMES FROM THE JCOIN NETWORK FOR THOSE MOST IMPACTED BY SUBSTANCE USE AND CRIMINAL LEGAL SYSTEM INVOLVEMENT. THIS STUDY IS PART OF THE NIH’S HELPING TO END ADDICTION LONG-TERM (HEAL) INITIATIVE TO SPEED SCIENTIFIC SOLUTIONS TO THE NATIONAL OPIOID PUBLIC HEALTH CRISIS. THE NIH HEAL INITIATIVE BOLSTERS RESEARCH ACROSS NIH TO IMPROVE TREATMENT FOR OPIOID MISUSE AND ADDICTION.

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

CHESTNUT HEALTH SYSTEMS PROJECT WELLNESS

RECOVERY INITIATION AND MANAGEMENT AFTER OVERDOSE (RIMO) EXPERIMENT

RECOVERY MANAGEMENT CHECKUP SCALABILITY AND SUSTAINABILITY (RMC-SS) HYBRID EXPERIMENT: EVALUATING COMPARABILITY OF CLIENT AND IMPLEMENTATION OUTCOMES IN COMMUNITY ORGANIZATIONS POST-ARREST - ABSTRACT INDIVIDUALS WHO ARE INVOLVED IN THE CRIMINAL JUSTICE SYSTEM ARE AT HIGH RISK OF DRUG-RELATED OVERDOSE; THEY ALSO FACE BARRIERS TO ENGAGING IN SUBSTANCE USE DISORDER (SUD) TREATMENT AND RECOVERY SUPPORT SERVICES. RECOVERY MANAGEMENT CHECKUPS (RMC) IS AN EVIDENCE-BASED INTERVENTION FOR LINKING INDIVIDUALS TO TREATMENT AND RECOVERY SERVICES AND PROVIDING ONGOING RECOVERY SUPPORT BASED ON A PUBLIC HEALTH MODEL OF CHRONIC DISEASE MANAGEMENT. RMC USES A STRUCTURED, MOTIVATIONAL-INTERVIEWING BASED PROTOCOL DELIVERED BY LINKAGE MANAGERS THROUGH REGULAR CHECK-UPS. CHESTNUT HEALTH SYSTEMS PROPOSES A HYBRID TYPE 2 EFFECTIVENESS-IMPLEMENTATION TRIAL GUIDED BY THE EXPLORATION, PREPARATION, IMPLEMENTATION, AND SUSTAINABILITY (EPIS) FRAMEWORK THAT WILL: 1) INTEGRATE RMC IN COMMUNITY-BASED PROGRAMS IN FOUR DISCRETE AREAS IN CHICAGO WITH THE HIGHEST RISK OF SUBSTANCE-RELATED FATALITY AND ARREST, AND 2) TEST THE EQUIVALENCE OF CLIENT AND IMPLEMENTATION OUTCOMES FOR RMC DELIVERED BY STAFF IN COMMUNITY PROGRAMS VERSUS CHESTNUT RESEARCH STAFF. STUDY COLLABORATORS INCLUDE COOK COUNTY SHERIFF, SUD TREATMENT PROVIDERS, AND COMMUNITY-BASED SERVICE PROGRAMS (RMC ADOPTERS); A COMMUNITY ADVISORY BOARD OF STAKEHOLDERS WILL PROVIDE INPUT THROUGH ALL STUDY PHASES. APPROXIMATELY 150 PEOPLE WHO REPORT USING OPIOIDS, STIMULANTS, AND/OR ALCOHOL AT LEAST WEEKLY IN THE PAST 90 DAYS WILL BE RECRUITED FROM EACH TARGET AREA, BETWEEN THEIR ARREST AND FIRST COURT APPEARANCE. STUDY PARTICIPANTS WILL BE RANDOMLY ASSIGNED AT A 2:1 RATIO TO RECEIVE RMC FROM EITHER AN RMC ADOPTER OR FROM CHESTNUT RESEARCH STAFF. A MULTI- COMPONENT EXTERNAL FACILITATION STRATEGY WILL BE USED TO IMPLEMENT RMC AT THE FOUR RMC ADOPTER SITES. THIS STRATEGY WILL PROVIDE EQUIVALENT TRAINING AND SUPPORT TO RMC ADOPTERS WITH THAT RECEIVED BY CHESTNUT RESEARCH STAFF THROUGH VIRTUAL TRAINING, AUTOMATED DECISION SUPPORTS, AND ARTIFICIAL INTELLIGENCE-BASED TOOLS. ACROSS STUDY ARMS, RMC WILL BE DELIVERED AT ENROLLMENT AND MONTHS 1, 3, 6, AND 9; INTERVIEWS WILL BE CONDUCTED AT ENROLLMENT AND MONTHS 1, 3, 6, 9, AND 12 TO ASSESS CLIENT OUTCOMES. IMPLEMENTATION PROCESSES AND OUTCOMES WILL BE TRACKED THROUGH FACILITATION INTERACTIONS, SITE VISITS, STAFF SURVEYS, AND QUALITATIVE INTERVIEWS. THE STUDY HAS THE FOLLOWING SPECIFIC AIMS: AIM 1. EVALUATE THE EQUIVALENCE OF RMC PROVIDED BY COMMUNITY ORGANIZATIONS AND RESEARCH TEAMS ON: 1A) DAYS OF ANY SUD TREATMENT (PRIMARY OUTCOME); 1B) STRUCTURAL EQUATION MODELING INVARIANCE OF EFFECTS ON SUD INTERVENTION DOSE (MEDICATION, SUD TREATMENT, MUTUAL-HELP GROUP, OVERDOSE PREVENTION), PUBLIC HEALTH OUTCOMES (SUBSTANCE USE, SUD SYMPTOMS, OVERDOSE, RISK BEHAVIORS), AND PUBLIC SAFETY OUTCOMES (TYPES OF CRIMES, DAYS OF ILLEGAL ACTIVITY). AIM 2. ASSESS THE IMPACT OF THE FACILITATION-BASED STRATEGIES IN SUPPORTING RMC INTEGRATION ACROSS THREE IMPLEMENTATION PHASES, INCLUDING ANALYTICAL SUB-AIMS TO IDENTIFY: 2A) HOW PRE-IMPLEMENTATION AND IMPLEMENTATION-PHASE STRATEGIES IMPACTED FINAL SITE FIDELITY SCORES; 2B) THE IMPACT OF DURATION OF IMPLEMENTATION PHASES AND PROPORTION OF ACTIVITIES COMPLETED ON RMC ADOPTER’S ABILITY AND TIME TO REACH COMPETENCY; AND 2C) ORGANIZATIONAL-LEVEL DETERMINANTS OF RMC SUSTAINMENT PLAN. THIS STUDY IS PART OF THE NIH’S HELPING TO END ADDICTION LONG-TERM (HEAL) INITIATIVE TO SPEED SCIENTIFIC SOLUTIONS TO THE NATIONAL OPIOID PUBLIC HEALTH CRISIS. THE NIH HEAL INITIATIVE BOLSTERS RESEARCH ACROSS NIH TO IMPROVE TREATMENT FOR OPIOID MISUSE AND ADDICTION.

STRATEGIC PREVENTION FRAMEWORK - PARTNERSHIPS FOR SUCCESS IN THE TWIN CITIES OF BLOOMINGTON-NORMAL, ILLINOIS.

REINFORCING THERAPIST PERFORMANCE

RECOVERY MANAGEMENT CHECKUP SCALABILITY AND SUSTAINABILITY (RMC-SS) HYBRID EXPERIMENT: EVALUATING COMPARABILITY OF CLIENT AND IMPLEMENTATION OUTCOMES IN COMMUNITY ORGANIZATIONS POST-ARREST - ABSTRACT INDIVIDUALS WHO ARE INVOLVED IN THE CRIMINAL JUSTICE SYSTEM ARE AT HIGH RISK OF DRUG-RELATED OVERDOSE; THEY ALSO FACE BARRIERS TO ENGAGING IN SUBSTANCE USE DISORDER (SUD) TREATMENT AND RECOVERY SUPPORT SERVICES. RECOVERY MANAGEMENT CHECKUPS (RMC) IS AN EVIDENCE-BASED INTERVENTION FOR LINKING INDIVIDUALS TO TREATMENT AND RECOVERY SERVICES AND PROVIDING ONGOING RECOVERY SUPPORT BASED ON A PUBLIC HEALTH MODEL OF CHRONIC DISEASE MANAGEMENT. RMC USES A STRUCTURED, MOTIVATIONAL-INTERVIEWING BASED PROTOCOL DELIVERED BY LINKAGE MANAGERS THROUGH REGULAR CHECK-UPS. CHESTNUT HEALTH SYSTEMS PROPOSES A HYBRID TYPE 2 EFFECTIVENESS-IMPLEMENTATION TRIAL GUIDED BY THE EXPLORATION, PREPARATION, IMPLEMENTATION, AND SUSTAINABILITY (EPIS) FRAMEWORK THAT WILL: 1) INTEGRATE RMC IN COMMUNITY-BASED PROGRAMS IN FOUR DISCRETE AREAS IN CHICAGO WITH THE HIGHEST RISK OF SUBSTANCE-RELATED FATALITY AND ARREST, AND 2) TEST THE EQUIVALENCE OF CLIENT AND IMPLEMENTATION OUTCOMES FOR RMC DELIVERED BY STAFF IN COMMUNITY PROGRAMS VERSUS CHESTNUT RESEARCH STAFF. STUDY COLLABORATORS INCLUDE COOK COUNTY SHERIFF, SUD TREATMENT PROVIDERS, AND COMMUNITY-BASED SERVICE PROGRAMS (RMC ADOPTERS); A COMMUNITY ADVISORY BOARD OF STAKEHOLDERS WILL PROVIDE INPUT THROUGH ALL STUDY PHASES. APPROXIMATELY 150 PEOPLE WHO REPORT USING OPIOIDS, STIMULANTS, AND/OR ALCOHOL AT LEAST WEEKLY IN THE PAST 90 DAYS WILL BE RECRUITED FROM EACH TARGET AREA, BETWEEN THEIR ARREST AND FIRST COURT APPEARANCE. STUDY PARTICIPANTS WILL BE RANDOMLY ASSIGNED AT A 2:1 RATIO TO RECEIVE RMC FROM EITHER AN RMC ADOPTER OR FROM CHESTNUT RESEARCH STAFF. A MULTI- COMPONENT EXTERNAL FACILITATION STRATEGY WILL BE USED TO IMPLEMENT RMC AT THE FOUR RMC ADOPTER SITES. THIS STRATEGY WILL PROVIDE EQUIVALENT TRAINING AND SUPPORT TO RMC ADOPTERS WITH THAT RECEIVED BY CHESTNUT RESEARCH STAFF THROUGH VIRTUAL TRAINING, AUTOMATED DECISION SUPPORTS, AND ARTIFICIAL INTELLIGENCE-BASED TOOLS. ACROSS STUDY ARMS, RMC WILL BE DELIVERED AT ENROLLMENT AND MONTHS 1, 3, 6, AND 9; INTERVIEWS WILL BE CONDUCTED AT ENROLLMENT AND MONTHS 1, 3, 6, 9, AND 12 TO ASSESS CLIENT OUTCOMES. IMPLEMENTATION PROCESSES AND OUTCOMES WILL BE TRACKED THROUGH FACILITATION INTERACTIONS, SITE VISITS, STAFF SURVEYS, AND QUALITATIVE INTERVIEWS. THE STUDY HAS THE FOLLOWING SPECIFIC AIMS: AIM 1. EVALUATE THE EQUIVALENCE OF RMC PROVIDED BY COMMUNITY ORGANIZATIONS AND RESEARCH TEAMS ON: 1A) DAYS OF ANY SUD TREATMENT (PRIMARY OUTCOME); 1B) STRUCTURAL EQUATION MODELING INVARIANCE OF EFFECTS ON SUD INTERVENTION DOSE (MEDICATION, SUD TREATMENT, MUTUAL-HELP GROUP, OVERDOSE PREVENTION), PUBLIC HEALTH OUTCOMES (SUBSTANCE USE, SUD SYMPTOMS, OVERDOSE, RISK BEHAVIORS), AND PUBLIC SAFETY OUTCOMES (TYPES OF CRIMES, DAYS OF ILLEGAL ACTIVITY). AIM 2. ASSESS THE IMPACT OF THE FACILITATION-BASED STRATEGIES IN SUPPORTING RMC INTEGRATION ACROSS THREE IMPLEMENTATION PHASES, INCLUDING ANALYTICAL SUB-AIMS TO IDENTIFY: 2A) HOW PRE-IMPLEMENTATION AND IMPLEMENTATION-PHASE STRATEGIES IMPACTED FINAL SITE FIDELITY SCORES; 2B) THE IMPACT OF DURATION OF IMPLEMENTATION PHASES AND PROPORTION OF ACTIVITIES COMPLETED ON RMC ADOPTER’S ABILITY AND TIME TO REACH COMPETENCY; AND 2C) ORGANIZATIONAL-LEVEL DETERMINANTS OF RMC SUSTAINMENT PLAN. THIS STUDY IS PART OF THE NIH’S HELPING TO END ADDICTION LONG-TERM (HEAL) INITIATIVE TO SPEED SCIENTIFIC SOLUTIONS TO THE NATIONAL OPIOID PUBLIC HEALTH CRISIS. THE NIH HEAL INITIATIVE BOLSTERS RESEARCH ACROSS NIH TO IMPROVE TREATMENT FOR OPIOID MISUSE AND ADDICTION.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HOMELESS PREVENTION

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION - 1. PROJECT TITLE: RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-IMPLEMENTATION 2. REQUEST AMOUNT: $1,000,000 3. APPLICANT: CHESTNUT HEALTH SYSTEMS 4. ADDRESS: 1003 MARTIN LUTHER KING BLVD BLOOMINGTON, ILLINOIS 61701 5. APPLICANT ORGANIZATION FACILITY TYPE: NOT-FOR-PROFIT BEHAVIORAL HEALTH, CCBHC AND FQHC 6. PROJECT DIRECTOR AND TITLE: DANIEL HUTCHISON, MEDICATION ASSISTED RECOVERY COORDINATOR 7. PROJECT DIRECTOR CONTACT INFORMATION: 618-205-8114; E-MAIL: DDHUTCHISON@CHESTNUT.ORG 8. ARE YOU A CURRENT FY20 OR FY21 RCORP-IMPLEMENTATION AWARD RECIPIENT: NO 9. EIN/DUNS NUMBER EXCEPTION REQUEST: NO 10. LEARNED OF FUNDING OPPORTUNITY: GRANTS.GOV 11. NUMBER OF CONSORTIUM MEMBERS AND LIST OF CONSORTIUM MEMBERS: SIX; CHESTNUT HEALTH SYSTEMS (APPLICANT ORGANIZATION), COMMUNITY RESOURCE CENTER, MACOUPIN COUNTY HEALTH DEPARTMENT, CLINTON COUNTY PROBATION DEPARTMENT, PRAIRIE COUNSELING CENTER AND HEALTH SISTERS HEALTH SYSTEMS (HSHS) ST. JOSEPH HOSPITAL, HIGHLAND. 12. PREVIOUS OR CURRENT CONSORTIUM GRANT RECIPIENT: PREVIOUS, FY19 RCORP-PLANNING 13. BRIEF DESCRIPTION OF THE TARGET POPULATION: INDIVIDUALS IN THE DEFINED SERVICE AREA WHO ARE AT HIGH RISK, IN TREATMENT AND/OR ARE IN RECOVERY FROM OUD. YOUTH/SCHOOL AGED CHILDREN AND ADULTS IN THE SERVICE AREA IN THE FORM OF PREVENTION EDUCATION AND STIGMA REDUCTION. THE MAJORITY OF THE TARGETED POPULATION ARE CAUCASIAN WITH PEOPLE OF COLOR REPRESENTING A SMALL PORTION OF THE TARGET POPULATION. IT IS PROJECTED THAT ZERO PERCENT OF THE TARGETED POPULATION WILL BE NATIVE AMERICAN. 14. TARGET SERVICE AREA: THE IDENTIFIED SERVICE AREA FOR THIS PROJECT INCLUDES THE RURAL TRACTS OF BOND, CLINTON AND MADISON COUNTIES ALONG WITH THE RURAL COUNTY OF MARION. SPECIFIC TARGETED POPULATION(S)/AREAS OF RURAL SERVICE AREAS/CENSUS TRACTS INCLUDE: O SECTION I: SECTION I IS A LIST OF NON-METRO COUNTIES ARRANGED BY STATE. THE ENTIRE AREA OF THESE COUNTIES IS - CONSIDERED RURAL MARION. O SECTION II: IS A LIS T OF METROPOLITAN COUNTIES IN WHICH WE HAVE IDENTIFIED CERTAIN CENSUS TRACTS THAT ARE CONSIDERED RURAL. ONLY THE AREA OF THE IDENTIFIED TRACTS IS CONSIDERED RURAL IN THOSE METROPOLITAN COUNTIES: ? BOND, CLINTON AND MADISON: - BOND COUNTY: 17005951200 , 7005951300 - CLINTON COUNTY : 17027900200, 17027900300, 17027900401, 17027900402, 17027900500, 17027900601 - MADISON COUNTY: 17119403601, 17119403603, 17119403604 15. DOES TARGET SERVICE AREA OVERLAP WITH AN EXISTING FY 19 OR FY 20 RCORP IMPLEMENTATION AWARD RECIPIENT’S SERVICE AREA: NO, HOWEVER OUR SERVICE AREA DOES OVERLAP WITH A FY 2021 RCORP IMPLEMENTATION AWARD THAT IS ALSO SERVING MARION COUNTY ILLINOIS. WE WILL COORDINATE WITH THE AWARDED ORGANIZATION TO ENSURE SERVICE AREAS AND/OR SERVICES ARE COMPLIMENTARY TO EACH OTHER AND NOT DUPLICATED.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - PROJECT TITLE: BELLEVILLE FACILITY RENOVATION PROJECT ADDRESS/LOCATION: CHESTNUT HEALTH SYSTEMS, 12 N 64TH ST BELLEVILLE, IL PROJECT DIRECTOR: RANDY DICKEN CONTACT PHONE NUMBER/EMAIL ADDRESS: 618-512-1835/RDICKEN@CHESTNUT.ORG WEBSITE: WWW.CHESTNUT.ORG CHESTNUT HEALTH SYSTEMS, INC. (“CHESTNUT”) IS THE ANCHOR FOR ALL HIGH NEED AND COMPLEX BEHAVIORAL HEALTH CLIENTS IN MADISON AND ST. CLAIR COUNTIES. IT SERVES RESIDENTS OF ST. CLAIR COUNTY AT ITS FACILITY LOCATED AT 12 NORTH 64TH STREET, BELLEVILLE, ILLINOIS (THE “BELLEVILLE FACILITY”). APPROXIMATELY 150 CLIENTS PASS THROUGH THE BUILDING DAILY. THE BELLEVILLE FACILITY HOUSES 100 EMPLOYEES WHO WORK IN ANY OF 20 DIFFERENT SUBSTANCE USE DISORDER AND MENTAL HEALTH PROGRAMS OPERATED OUT OF THE BUILDING. FURTHER, GENOA PHARMACY LEASES SPACE WITHIN THE BUILDING IN ORDER TO CONVENIENTLY SERVE CHESTNUT’S CLIENTS WHO ARE UNABLE TO EASILY ACCESS A PHARMACY ELSEWHERE; GENOA PHARMACY ALSO HOUSES ITS EMPLOYEES WITHIN THE FACILITY. THE POPULATION WE SERVE OUT OF THE BELLEVILLE FACILITY IS IN DESPERATE NEED OF QUALITY PRIMARY CARE SERVICES TO COMPLEMENT THE BEHAVIORAL HEALTH SERVICES THEY RECEIVE. CHESTNUT HAS A LONG HISTORY OF PROVIDING INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES OUT OF ITS EXISTING TWO SUCCESSFUL FEDERALLY QUALIFIED HEALTH CENTERS: ONE IN MCLEAN COUNTY AND ANOTHER IN MADISON COUNTY. WE PLAN TO ADD A THIRD FEDERALLY QUALIFIED HEALTH CENTER AT THE BELLEVILLE FACILITY TO ADDRESS THIS UNMET NEED AND, IN THE PROCESS, TO ADDRESS PHYSICAL SPACE AND SAFETY ISSUES THAT HAVE PLAGUED THE BELLEVILLE FACILITY FOR YEARS. WE WILL, IN TURN, BE ABLE TO MORE EFFECTIVELY DELIVER MUCH-NEEDED BEHAVIORAL HEALTH AND PRIMARY CARE SERVICES TO THIS INCREDIBLY VULNERABLE POPULATION – SOMETHING THAT WILL ULTIMATELY RESULT IN LESS COST TO SOCIETY.

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

REDUCING OPIOID AND OTHER DRUG USE IN JUSTICE-INVOLVED EMERGING ADULTS USING PARAPROFESSIONAL COACHES (WITH AND WITHOUT LIVED EXPERIENCE) TO DELIVER EFFECTIVE SERVICES IN A NON-TREATMENT SETTING

LEVERAGING PARENTS AND PEER RECOVERY SUPPORTS TO INCREASE RECOVERY CAPITAL IN EMERGING ADULTS WITH POLYSUBSTANCE USE: FEASIBILITY, ACCEPTABILITY, AND SCALING UP OF LAUNCH - THIS STUDY IS PART OF THE NIH’S HELPING TO END ADDICTION LONG-TERM (HEAL) INITIATIVE TO SPEED SCIENTIFIC SOLUTIONS TO THE NATIONAL OPIOID PUBLIC HEALTH CRISIS. THE NIH HEAL INITIATIVE BOLSTERS RESEARCH ACROSS NIH TO IMPROVE TREATMENT FOR OPIOID MISUSE AND ADDICTION. EMERGING ADULTS (EAS; AGED 18-26) HAVE THE HIGHEST RATES OF POLY-SUBSTANCE USE COMPARED TO ALL OTHER AGE GROUPS. THEY HAVE BEEN HIT PARTICULARLY HARD BY THE OPIOID CRISIS, ESTIMATED TO COST THE U.S. $1 TRILLION A YEAR. IN FACT, NEARLY ALL EAS WITH A SUBSTANCE USE PROBLEM REPORT REGULAR USE OF MULTIPLE DRUGS. RECOVERY CAPITAL, OR THE RESOURCES AVAILABLE TO PROMOTE SUBSTANCE USE RECOVERY (E.G., VOCATIONAL/EDUCATIONAL SKILLS, RECOVERY-SUPPORTIVE COMMUNITY) IS ALSO MUCH LOWER FOR EAS COMPARED TO OLDER ADULTS. THIS IS NOT SURPRISING GIVEN THIS DEVELOPMENTAL STAGE OF INSTABILITY AND TRANSITION. UNFORTUNATELY, MOST EAS WITH POLY-SUBSTANCE USE ARE NOT RECEIVING SERVICES, A PROBLEM THAT IS EXACERBATED IN RURAL COMMUNITIES, WHICH OFTEN LACK ACCESS TO ANY BEHAVIORAL HEALTH SERVICES. FURTHER, EAS WHO DO ACCESS SUBSTANCE USE SERVICES ARE UNLIKELY TO RECEIVE EVIDENCE-BASED CARE AND ARE MORE LIKELY TO DROP OUT COMPARED TO OLDER ADULTS. CLEARLY, MORE DEVELOPMENTALLY APPROPRIATE AND ENGAGING SERVICES ARE NEEDED FOR EAS WITH POLY-SUBSTANCE USE, REGARDLESS OF RESIDENCE, BUT PARTICULARLY IN RURAL COMMUNITIES. THIS R34, FROM AN EARLY STAGE INVESTIGATOR, INITIATES RESEARCH TO FILL THIS SERVICE GAP VIA AN INNOVATIVE ADAPTATION OF EXISTING SUBSTANCE USE SERVICES. IT LEVERAGES (1) PARENTS OF EAS AND (2) PEER RECOVERY SUPPORTS (PRS), WHILE ENSURING SERVICES ARE EQUITABLE AND SCALABLE. SUBSTANCE USE SERVICES FOR EAS RARELY INVOLVE PARENTS, BUT THEIR INVOLVEMENT COULD BE THE DIFFERENCE-MAKER FOR SUSTAINING RECOVERY. BEYOND PARENTS, THE LACK OF RECOVERY-FOCUSED PEER SOCIAL SUPPORT IS A MAJOR BARRIER TO SUSTAINED RECOVERY IN EAS. FORTUITOUSLY, CERTIFIED PRS ARE TRAINED TO HELP EAS FIND A RECOVERY PEER COMMUNITY AND POSSIBLY BUILD RECOVERY CAPITAL. THUS, THIS R34 PILOTS A SCALABLE SERVICE FOR EAS, NAMED LAUNCH, THAT INVOLVES BOTH PARENTS AND PRS, THEREBY TARGETING POLY-SUBSTANCE USE FROM TWO CRUCIAL ANGLES. AFTER ADAPTING AND EVALUATING TRAINING PROTOCOLS AND ADHERENCE TOOLS (AIM 1), 24 EAS WITH POLY-SUBSTANCE USE AND THEIR PARENTS WILL BE RECRUITED. PARENTS WILL ENGAGE IN WEB-BASED COACHING TO USE CONTINGENCY MANAGEMENT FOR EMERGING ADULTS (CM-EA), BUILT ON DECADES OF WORK SUPPORTING CM AS A LEADING INTERVENTION FOR POLY-SUBSTANCE USE. CONCURRENTLY, EAS WILL BE RANDOMIZED TO ONE OF TWO CONDITIONS TO WORK WITH A PRS. IN THE FIRST CONDITION, PRS WILL PROVIDE TYPICAL SERVICES, INCLUDING RECOVERY SOCIAL NETWORKING. IN THE SECOND, PRS WILL PROVIDE TYPICAL SERVICES BUT WILL ALSO FURTHER BUILD THE EAS' RECOVERY CAPITAL VIA VOCATIONAL/EDUCATIONAL/ FINANCIAL SKILLS. THE FEASIBILITY AND ACCEPTABILITY OF THE STUDY PROTOCOL AND LAUNCH SERVICES WILL BE ASSESSED (AIM 2). NOTABLY, THIS PROJECT HAS BEEN INFORMED BY COMMUNITY-BASED PARTICIPATORY RESEARCH (CBPR) PRACTICES, WHICH CONTINUE IN THE R34 BY INCORPORATING FEEDBACK FROM EAS WITH LIVED EXPERIENCE IN RECOVERY AND THE PARENT COACH, PRS, AND FAMILIES. FURTHER, TO IMPROVE EVENTUAL UPTAKE, PAYORS/PROVIDERS OF SUBSTANCE USE SERVICES WILL BE INTERVIEWED. SITES FOR A FUTURE LARGE-SCALE ADAPTIVE TRIAL WILL ALSO BE RECRUITED (AIM 3). IF LAUNCH IS ULTIMATELY DEEMED EFFECTIVE, IT WOULD FILL A MAJOR GAP IN THE SUBSTANCE USE SERVICES FIELD BY PROVIDING A HIGHLY SPECIFIED AND INDIVIDUALIZED SERVICE FOR REDUCING RISK AND PROMOTING ADAPTIVE LIFE FUNCTIONING IN EAS WITH POLY-SUBSTANCE USE.

PATH TO REDUCING BURNOUT AMONG PEERS WHO DELIVER HARM REDUCTION SERVICES: IMPROVING WORKFORCE AND SERVICE SYSTEM OUTCOMES THROUGH A COMBINED ELEARNING AND GROUP CONSULTATION INTERVENTION - THIS STUDY IS PART OF THE NIH’S HELPING TO END ADDICTION LONG-TERM (HEAL) INITIATIVE TO SPEED SCIENTIFIC SOLUTIONS FOR THE OVERDOSE EPIDEMIC, INCLUDING OPIOID AND STIMULANT USE DISORDERS. THE NIH HEAL INITIATIVE BOLSTERS RESEARCH ACROSS NIH TO ADDRESS THE NATIONAL OPIOID PUBLIC HEALTH CRISIS AND IMPROVE TREATMENT FOR OPIOID MISUSE AND ADDICTION. MORE THAN 1 MILLION PEOPLE HAVE DIED OF A DRUG-RELATED OVERDOSE SINCE 1999. THE U.S. NATIONAL DRUG CONTROL STRATEGY EMPHASIZES THAT REDUCING OVERDOSES REQUIRES THE EXPANSION OF HARM REDUCTION (HR) SERVICES THAT REDUCE THE NEGATIVE EFFECTS OF SUBSTANCE USE WITHOUT EXPECTING OR REQUIRING ABSTINENCE. UNFORTUNATELY, HR PROVIDERS ARE OFTEN UNDERPREPARED AND UNDER-SUPPORTED WHILE WORKING UNDER STRESSFUL CONDITIONS, PLACING THEM AT HIGH BURNOUT RISK. WHILE ALL HR WORKERS RISK BURNOUT, PEER RECOVERY SUPPORT SPECIALISTS (PRSS) HAVE HIGHER POTENTIAL VULNERABILITY. PRSSS ARE PARAPROFESSIONALS WITH LIVED RECOVERY EXPERIENCE WHO PROVIDE MENTORING, COACHING, EDUCATIONAL, AND SOCIAL SUPPORT SERVICES. BURNOUT AMONG PRSSS CAN RESULT IN POOR JOB PERFORMANCE AND LOWER SERVICE QUALITY WITH SPILLOVER EFFECTS THAT CAN NEGATIVELY IMPACT CLIENT OUTCOMES AT THE INDIVIDUAL AND SYSTEM LEVELS. BURNOUT ALSO PLACES A PRSS’S PERSONAL RECOVERY IN JEOPARDY BY RAISING RELAPSE POTENTIAL. PATH (PEER ADVANCED TRAINING IN HARM REDUCTION) IS A WORKFORCE INTERVENTION THAT USES VIRTUAL EDUCATION AND CASE-BASED LEARNING APPROACHES TO SUPPORT PRSSS WHO DELIVER HR SERVICES. BUILDING ON THIS TEAM'S PRIOR WORK IN HARM REDUCTION SUPPORT DELIVERY AND PEER SUPPORT SERVICES, THIS STUDY WILL TEST PATH’S EFFECTIVENESS AT REDUCING PRSS BURNOUT AND (SECONDARILY) IMPROVING SERVICE QUALITY AND SERVICE SYSTEM OUTCOMES. WE WILL ACCOMPLISH THIS BY LEVERAGING THE CURRENT EFFORTS OF INDIANA—A STATE THAT RANKS HIGH IN OVERDOSES AND IS ACCELERATING SUBSTANTIALLY IN METHAMPHETAMINE USE—TO EXPAND PEER SERVICES. THE STUDY WILL EMPLOY A STEPPED WEDGE DESIGN WITH MIXED METHODS TO ASSESS PATH AMONG A SAMPLE OF 10 RECOVERY WORKS-CERTIFIED RECOVERY COMMUNITY ORGANIZATIONS (RCOS). THE STUDY HAS THE FOLLOWING AIMS: (AIM 1) DEVELOP STAKEHOLDER ENGAGEMENT TO ENHANCE PATH FEASIBILITY, SUSTAINABILITY, AND SCALABILITY; (AIM 2) INVESTIGATE PATH’S IMPACT ON WORKFORCE OUTCOMES (WITH THE PRIMARY OUTCOME BEING BURNOUT); (AIM 3) DETERMINE PATH’S IMPACT ON SERVICE SYSTEM OUTCOMES; (AIM 4) USE A RIGOROUS MIXED METHODS APPROACH TO UNDERSTAND HOW PROCESSES INITIATED BY PATH LEAD TO OBSERVED OUTCOMES. FOLLOWING THE STEPPED-WEDGE APPROACH, 10 ORGANIZATIONS DELIVERING PRSS SERVICES WILL BE ASSIGNED TO ONE OF FIVE COHORTS THAT WILL CROSS OVER INTO THE INTERVENTION PERIOD (I.E., RECEIVE PATH) AT DIFFERENT TIME POINTS. WE EXPECT TO RECRUIT 100 STAFF AND OBTAIN ADMINISTRATIVE DATA FOR 8,640 CLIENTS. THIS PROJECT’S SUCCESS WILL RESULT IN A SUSTAINABLE AND REPLICABLE INTERVENTION FOR REDUCING BURNOUT AND IMPROVING SERVICE QUALITY AND SERVICE SYSTEM OUTCOMES AMONG PRSSS. SUPPORTING THE PRSS WORKFORCE TO DELIVER HR SERVICES CAN LEAD TO CONSIDERABLE POPULATION HEALTH GAINS BY REDUCING BEHAVIORS KNOWN TO RAISE OVERDOSE RISK, AS WELL AS RISKS RELATED TO THE CONTRACTION, TRANSMISSION, AND PROGRESSION OF DISEASES ASSOCIATED WITH SUBSTANCE USE.

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.

CLINICAL SERVICES FOR YOUNG CRIME VICTIMS EXPOSED TO THE OPIOID EPIDEMIC

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

ELDER ABUSE COMPUTERIZED DECISION SUPPORT SYSTEM

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.

REFINING AND PILOT TESTING A DECISION SUPPORT INTERVENTION TO FACILITATE ADOPTION OF EVIDENCE-BASED PROGRAMS TO IMPROVE PARENT AND CHILD MENTAL HEALTH - PROJECT SUMMARY OVER 268,000 CHILDREN ENTERED FOSTER CARE IN THE UNITED STATES DURING FISCAL YEAR 2019 DESPITE THE EXISTENCE OF EVIDENCE-BASED PROGRAMS (EBPS) THAT CAN SUCCESSFULLY PREVENT CHILD MALTREATMENT. EVIDENCE-INFORMED DECISION-MAKING (EIDM) CAN LEAD TO THE ADOPTION OF EBPS THAT ARE LIKELY TO BE SUCCESSFULLY IMPLEMENTED AND RESULT IN THE INTENDED IMPACTS. DESPITE THE EXISTENCE OF EBPS TO PREVENT CHILD MALTREATMENT, EBPS ARE UNDERUTILIZED IN CHILD WELFARE. PROPOSED STUDY ACTIVITIES IN THIS CAREER DEVELOPMENT AWARD RESPOND TO NIMH OBJECTIVE 4.2.C BY DEVELOPING, REFINING, AND PILOTING AN IMPLEMENTATION STRATEGY TO INCREASE EIDM WHEN DECISION MAKERS ARE ADOPTING EBPS TO IMPROVE MENTAL HEALTH AND CHILD WELFARE SERVICES. ACTIVITIES LEVERAGE AN UNPRECEDENTED FEDERAL POLICY OPPORTUNITY TO PREVENT CHILD MALTREATMENT AND TEST IMPLEMENTATION DECISION SUPPORT STRATEGIES IN THE REAL WORLD: THE FAMILY FIRST PREVENTION SERVICES ACT (FFPSA). FFPSA AIMS TO PREVENT CHILD MALTREATMENT AND FOSTER CARE ENTRIES BY PROVIDING FEDERAL FUNDING TO STATES FOR IMPLEMENTING EBPS THAT SUPPORT CHILD AND PARENT MENTAL HEALTH, REDUCE PARENTAL SUBSTANCE MISUSE, AND IMPROVE PARENTING SKILLS. THIS PROJECT ENGAGES DECISION MAKERS FROM FOUR STATES IMPLEMENTING FFPSA TO EXTEND THE CANDIDATE’S PRIOR WORK DEVELOPING AN INNOVATIVE EIDM TOOL TO SUPPORT EBP ADOPTION: OPTIMIZING RESPONSES THROUGH COLLABORATIVE ASSESSMENTS (ORCA). ORCA IS BASED IN MULTI-CRITERIA DECISION ANALYSIS, WHICH PROVIDES A STRUCTURED APPROACH TO REACH QUALITY, EVIDENCE-INFORMED GROUP DECISIONS. GIVEN THAT GROUP DECISIONS WITH TOOLS SUCH AS ORCA BENEFIT FROM FACILITATION, THIS STUDY WILL DEVELOP AND TEST TWO FACILITATION MODALITIES TO ACCOMPANY ORCA: AUTOMATED (ORCA-A) AND LIVE (ORCA-L). IN ADDITION, A WEB-BASED PLATFORM TO HOST THE ORCA TOOL AND THE ORCA-A FACILITATION STRATEGY WILL BE DEVELOPED WITH DECISION MAKERS’ INPUT (AIM 1). THE IMPACT OF ORCA-A AND ORCA-L ON QUALITY OF DECISION EXPERIENCES, PROCESSES, AND OUTCOMES THEN WILL BE TESTED (AIM 2). IMPLEMENTATION PROCESS QUALITY FOR EACH EBP ADOPTED WITH ORCA-A AND ORCA-L WILL BE MONITORED (AIM 3). TO ENHANCE HER STRONG FOUNDATION IN THE IMPLEMENTATION, DECISION, AND SYSTEMS SCIENCES, THE CANDIDATE, DR. GRACELYN CRUDEN, WILL LEVERAGE THESE RESEARCH ACTIVITIES AND TRAINING ACTIVITIES TO EXPAND HER SKILLSET TO INCLUDE: LEADING IMPLEMENTATION STUDIES IN SERVICE SYSTEMS, EMPLOYING A CONTINUUM OF METHODS FOR ENGAGING COMMUNITY MEMBERS, LEVERAGING INTERDISCIPLINARY APPROACHES FOR ELICITING MEMBERS’ PREFERENCES, CONDUCTING ADVANCED SIMULATION MODEL TESTING, AND USING ADVANCED STATISTICS FOR MULTILEVEL, LONGITUDINAL STUDIES. CRUDEN WILL BE MENTORED BY AN OUTSTANDING TEAM LED BY PRIMARY MENTOR DR. LISA SALDANA, WHO IS ACCOMPANIED BY MENTORS DR. JASON CHAPMAN, DR. LINDSEY ZIMMERMAN, DR. R. CHRISTOPHER SHELDRICK, DR. JONATHAN PURTLE, AND CONSULTANTS DR. DAVID VANNESS, AND MS. CLARE ANDERSON. UPON COMPLETION OF THESE ACTIVITIES, CRUDEN WILL BE EQUIPPED TO LEAD AN INTERDISCIPLINARY RESEARCH TEAM THAT WILL SUPPORT QUALITY MENTAL HEALTH AND CHILD WELFARE SERVICES BY INCREASING DECISION MAKERS’ USE OF EIDM.

CONTINUUM OF CARE PROGRAM

THE TEAM 10 COALITIONS

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

DRUG-FREE COMMUNITIES SUPPORT PROGRAM IN THE TWIN CITIES OF BLOOMINGTON-NORMAL, IL

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - CHESTNUT FAMILY HEALTH CENTER (CFHC) SERVES MADISON, ST. CLAIR, AND MCLEAN COUNTIES IN ILLINOIS. THIS PROJECT AIMS TO INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH, SUBSTANCE USE, AND MOUD SERVICES AT IN SCOPE SERVICE SITES. BASED ON FINDINGS FROM THE NATIONAL SURVEY ON DRUG USE AND HEALTH, 8,082 CHILDREN AND YOUTH IN THE MADISON AND ST. CLAIR COUNTIES HAVE A SERIOUS EMOTIONAL DISTURBANCE (SED) AND 17,552 INDIVIDUALS HAVE A SERIOUS MENTAL ILLNESS (SMI). NEARLY 9,000 PEOPLE ARE ESTIMATED TO HAVE AN SMI WITH A CO-OCCURRING SUBSTANCE USE DISORDER. MORE THAN 32,000 PEOPLE IN THE SERVICE REGION ARE ESTIMATED TO HAVE A SUBSTANCE USE CONDITION, AND MOST ARE NOT RECEIVING TREATMENT. BASED ON REGIONAL FINDINGS FROM THE NATIONAL SURVEY ON DRUG USE AND HEALTH, APPROXIMATELY 32,621 PEOPLE IN MADISON AND ST. CLAIR COUNTIES HAVE A SUBSTANCE USE DISORDER. THE SURVEY DATA SHOWS THAT APPROXIMATELY 6,500 INDIVIDUALS RECEIVED SUBSTANCE USE SERVICES BUT MORE THAN 29,000 PEOPLE NEED BUT DO NOT RECEIVE SUBSTANCE USE TREATMENT. THESE ESTIMATES INCLUDE THOSE WHO RECEIVED SOME TREATMENT, INDICATED THEY NEEDED MORE TREATMENT. CFHC WILL UTILIZE AN ADVANCED TEAM-BASED CARE (ATBC) APPROACH TO PROMOTE COMPREHENSIVE INTEGRATED CARE. ATBC SUPPORTS CARE COORDINATION TO INCREASE SHARED DECISION MAKING AND PROVIDE ADDITIONAL SUPPORT AND SERVICES BEFORE THE PATIENT LEAVES THE APPOINTMENT RATHER THAN ADDRESSING NEEDS THROUGH REFERRALS. PATIENTS RECEIVING ATBC WILL PARTICIPATE IN SCREENING, ASSESSMENT, INTERVENTION, AND LINKAGE TO ONGOING PRIMARY CARE, MENTAL HEALTH AND/OR SUBSTANCE USE SERVICES DEPENDING ON THEIR NEED.PATIENTS WITH CO-OCCURRING DISORDERS WILL BE LINKED TO A CO-OCCURRING DISORDERS (COD) CLINICIAN. IN APPOINTMENTS USING ATBC, A PATIENT WILL MEET WITH A MENTAL HEALTH CLINICIAN ALONGSIDE AND IMMEDIATELY FOLLOWING THE PRESCRIBING PROVIDER. THE APPOINTMENT WILL CONSIST OF SCREENING FOR CURRENT INVOLVEMENT IN MENTAL HEALTH OR SUBSTANCE USE SERVICES, DEPRESS ION SCREENING, SUICIDE RISK ASSESSMENT, SAFETY PLANNING, BRIEF TREATMENT, AND COMPLETION OF THE PROTOCOL FOR RESPONDING TO AND ASSESSING PATIENT’S ASSETS, RISKS, AND EXPERIENCES (PRAPARE) AND PSYCHOSOCIAL SKILL DEVELOPMENT. PATIENTS SCREENING POSITIVE AND NOT OTHERWISE RECEIVING SERVICES FOR SUBSTANCE USE WILL BE LINKED TO RECOVERY COACH, MAR PROVIDER AND COD CLINICIAN FOR SUBSTANCE USE TREATMENT. PATIENTS SCREENING POSITIVE FOR DEPRESSION OR OTHER MENTAL HEALTH, OR MODERATE AND/OR HIGH SUICIDE RISK WILL BE LINKED TO CLINICIAN FOR MENTAL HEALTH INTERVENTION. THOSE WITH SOCIAL DRIVERS OF HEALTH NEEDS WILL ENGAGE WITH CLINICIANS FOR PSYCHOSOCIAL SKILL DEVELOPMENT AND SERVICES TO REDUCE THE NEED. CFHC STAFF WILL WORK COLLABORATIVELY WITH SUBSTANCE USE RESIDENTIAL PROGRAMS, LOCAL EMERGENCY DEPARTMENTS AND RECOVERY COACHES TO ASSIST INDIVIDUALS NOT ALREADY ENGAGED IN PRIMARY CARE, PSYCHIATRIC, OR MOUD SERVICES TO ENSURE ACCESS AND PARTICIPATION IN THESE SERVICES, THEREBY INCREASING PATIENTS RECEIVING BOTH MENTAL HEALTH AND SUBSTANCE USE SERVICES AT THE CFHC. CFHC STAFF WILL WORK COLLABORATIVELY WITH COMMUNITY HEALTH NAVIGATORS AND CERTIFIED APPLICATION COUNSELORS TO ASSIST UNINSURED INDIVIDUALS IN APPLYING FOR INSURANCE.

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

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

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

IMPACT, PREDICTORS, AND MEDIATORS OF THERAPIST TURNOVER

IMPROVING TREATMENT ACCESS, RETENTION, AND OUTCOMES FOR RURAL CLIENTS ...

CARES 2.0 FUNDING FOR COVID19. THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

CONTINUUM OF CARE PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

HOMELESS PREVENTION

SUPPORTING DATA-DRIVEN DECISION-MAKING TO SUPPORT SUBSTANCE USE SERVICE EXPANSION POLICIES AND TO PREVENT OVERDOSES - PROJECT SUMMARY CROSS-SECTOR DECISION MAKERS—SUCH AS COMMUNITY SERVICE PROVIDERS, PUBLIC HEALTH, JUSTICE, ADVOCATES, AND PAYERS—ARE CALLING FOR ACTIONABLE DATA TO BE COLLECTED AND SHARED IN SUSTAINABLE, USEFUL WAYS. OREGON RANKS LAST IN THE U.S. FOR ACCESS TO SUBSTANCE USE SERVICES AND FIRST IN OPIOID AND METHAMPHETAMINE USE. A RECENT STATE- WIDE ANALYSIS ESTIMATED THAT SERVICE GAPS MAY EVEN BE LARGER THAN PREVIOUSLY ESTIMATED. THE PROPOSED STUDY AIMS TO MAKE DATA THAT ARE RELEVANT TO DECISION MAKERS AVAILABLE TO THEM IN EASY-TO-USE FORMATS SO THAT THEY CAN MAKE TIMELY, EVIDENCE-INFORMED DECISIONS TO REDUCE SUBSTANCE USE SERVICE GAPS AND OVERDOSES, AND ULTIMATELY IMPROVE HEALTH. WE WILL LEVERAGE THE ROLL-OUT OF A FIRST-OF-ITS-KIND POLICY IN THE UNITED STATES—BALLOT MEASURE 110 (M110). M110 IS BRINGING UNPRECEDENTED LEVELS OF FUNDING TO EXPAND SERVICES ALIGNED WITH THE PILLARS OF OVERDOSE PREVENTION STATEWIDE, AND IT DECRIMINALIZED THE POSSESSION OF PERSONAL AMOUNTS OF SUBSTANCES. BOTH CRITICS AND ADVOCATES OF M110 HAVE CALLED FOR BETTER DATA TO PROVIDE A HOLISTIC PICTURE OF SUBSTANCE USE SERVICE AND SERVICE- RECIPIENT IMPACTS, AND TO INFORM LOOMING DECISIONS SUCH AS HOW TO ALLOCATE OPIOID SETTLEMENT FUNDS. TO MEET THIS NEED, CONSISTENT WITH GOALS OF THE NIH HELPING TO END ADDICTION LONG-TERM DATA2ACTION PROGRAM CALL FOR INNOVATION PROJECTS WITH CROSS-SECTOR PARTNERSHIPS, WE PROPOSE TO DEVELOP, REFINE, AND TEST A POLICY IMPLEMENTATION STRATEGY—DISCOVERY AND DESIGN SESSIONS (DDS)—TO ENGAGE CROSS-SECTOR DECISION MAKERS IN CONVERSATIONS ABOUT WHAT DATA ARE OF PRIORITY TO THEM AND TO DEVELOP FEASIBLE PROTOCOLS FOR LINKING AND DISSEMINATING DATA THROUGH PRODUCTS THAT THEY CO-DESIGN (E.G., REPORTS, SIMULATIONS, DASHBOARDS). IN THE R61 PHASE, WE WILL STRENGTHEN AND EXPAND EXISTING PARTNERSHIPS WITH FIVE TYPES OF DECISION MAKERS, INCLUDING STATE AGENCIES RESPONSIBLE FOR MONITORING AND/OR IMPLEMENTING M110 AND FOR MAINTAINING A STATEWIDE DATA REPOSITORY. DDS, DDS-GENERATED DATA PRODUCTS, AND CO-DEVELOPED PROTOCOLS FOR DATA SHARING AND FOR STUDY-GENERATED DATA COLLECTION WILL BE REFINED FOR FEASIBILITY AND TESTING. IN THE R33 PHASE, COUNTIES WILL BE CLUSTER RANDOMIZED TO PARTICIPATE IN DDS AND RECEIVE FULLY TAILORED DATA PRODUCTS (N = 18) OR TO LATER RECEIVE PRODUCTS ONLY (N = 18) IN A STEPPED-WEDGE DESIGN. WE WILL: (AIM 1) IDENTIFY WHETHER DDS IS AN EFFICIENT, GENERALIZABLE STRATEGY TO OPTIMIZE POLICY IMPLEMENTATION BASED ON THE COMPARATIVE USABILITY OF DDS-GENERATED DATA PRODUCTS BETWEEN COUNTIES; (AIM 2) TEST THE IMPACT OF DDS ON SUBSTANCE USE SERVICE GAPS AND SERVICE-RECIPIENT OUTCOMES, AS WELL AS CROSS- SECTOR COLLABORATION; AND (AIM 3) EXAMINE WHETHER DDS-GENERATED DATA PRODUCTS ARE ASSOCIATED WITH CONCRETE ACTIONS (E.G., FUNDING) TO STRENGTHEN THE AVAILABILITY AND QUALITY OF EVIDENCE-BASED, CULTURALLY-RESPONSIVE SUBSTANCE USE SERVICES. BASED ON STUDY RESULTS AND PARTNERS’ INPUT, WE WILL PROVIDE STATE DECISION MAKERS WITH RECOMMENDATIONS AND PROTOCOLS FOR SUPPORTING SUSTAINMENT OF STUDY INFRASTRUCTURE AND OUTPUT, INCLUDING: FEASIBLE METHODS FOR PRIORITIZED DATA COLLECTION AND DATA PRODUCT DISSEMINATION, AND THE TRANSFER OF STUDY-GENERATED DATA TO STATE-WIDE DATA INFRASTRUCTURES. THE PROPOSED STUDY HOLDS STRONG POTENTIAL FOR IMMEDIATE, REAL-WORLD IMPACT.

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

BUILD IT: AN IMPLEMENTATION TOOL TO INCREASE ACCESS TO EVIDENCE-BASED PREVENTIVE INTERVENTIONS FOR OPIOID USE DISORDERS - PROJECT SUMMARY/ABSTRACT THIS R61/R33 PROJECT, IN RESPONSE TO RFA-DA-24-066 SUBMITTED TO THE NATIONAL INSTITUTE ON DRUG ABUSE (NIDA) AS PART OF THE HELPING TO END ADDICTION LONG-TERM (HEAL) INITIATIVE, AIMS TO DEVELOP AND TEST A DIGITAL IMPLEMENTATION TOOL TO INCREASE IMPLEMENTATION OF SELECTED AND INDICATED PREVENTION PROGRAMS (SIPPS) FOR OPIOID USE DISORDER—THE BUILDING FOR IMPLEMENTATION TOOL (BUILD IT). AS COMMUNITIES STRUGGLE TO ADOPT PROGRAMS TO ADDRESS PUBLIC HEALTH PROBLEMS RELATED TO OPIOID USE DISORDER, IT IS CRITICAL THAT ADVANCES IN KNOWLEDGE ABOUT SUCCESSFUL IMPLEMENTATION ARE MADE AVAILABLE IN PRACTICAL TERMS FOR RAPID DEPLOYMENT TO DECISION-MAKERS WHO ARE POSITIONED TO MAKE IMPLEMENTATION OF PREVENTION EFFORTS HAPPEN. BUILD IT WILL PROVIDE SIPP ADOPTERS, INCLUDING THOSE FROM LOW-RESOURCED ORGANIZATIONS, WITH AN EMPIRICALLY DERIVED ALTERNATIVE TO EXPENSIVE IMPLEMENTATION TECHNICAL ASSISTANCE THAT IS EASILY ACCESSIBLE AND AFFORDABLE. THIS PHASED AWARD WILL ALLOW AN ITERATIVE DEVELOPMENT PROCESS, WITH SEQUENCED INTERACTIONS BETWEEN DATA ANALYSTS, DEVELOPMENTAL ARCHITECTS, AND USERS FOR INPUT, FOLLOWED BY RIGOROUS EVALUATION. BUILD IT WILL SERVE AS AN IMPLEMENTATION SUPPORT TOOL FOR ORGANIZATIONS OR SYSTEMS ADOPTING SIPPS TO PREVENT INITIATION AND ESCALATION OF OPIOID USE, WITH A SPECIFIC EMPHASIS ON HEAL INITIATIVE SIPPS. PROCEDURES FOR THE R61 PHASE INCLUDE TWO PARALLEL PATHS OF ACTIVITY TO DEVELOP BUILD IT AND PREPARE FOR ITS TESTING: (AIM 1) SECONDARY DATA ANALYSES WILL BE CONDUCTED USING A LARGE REPOSITORY OF IMPLEMENTATION PROCESS DATA TO IDENTIFY ACTIVITIES OR COMPONENTS TO INCLUDE AS IMPLEMENTATION RECOMMENDATIONS. RECOMMENDATIONS AND FEEDBACK WILL BE BASED ON TYPE OF PROGRAM BEING IMPLEMENTED AND THE CONTEXT IN WHICH IT IS BEING IMPLEMENTED, SEQUENCING OF ITEMS, VALUE/WEIGHT OF THE ITEMS AND THE ALGORITHMIC STRUCTURE OVER TIME IN THE IMPLEMENTATION PROCESS. (AIM 2) DESIGN, USABILITY, AND REFINEMENT SESSIONS WILL BE CONDUCTED WITH SIPP DEVELOPERS (N = 12) AND COMMUNITY SITE IMPLEMENTERS (N = 10) OVER A SERIES OF ITERATIVE SESSIONS TO INFORM THE USER INTERFACE AND RESOURCES CREATED. THE STAGED ARCHITECTURAL DEVELOPMENT OF BUILD IT WILL RUN ALONGSIDE BOTH PATHS, INTERACTING WITH THEM WHEN NEW EVIDENCE IS LEARNED. IN THE R33 PHASE, THIS PROJECT WILL TEST BUILD IT WITH A SAMPLE OF FORMER, CURRENT, AND FUTURE HEAL-FUNDED AND OTHER SIPP PROGRAMS WHOSE DEVELOPERS (N = 26) AGREE TO INCLUDE BUILD IT AS AN IMPLEMENTATION TOOL IN THEIR SCALE-UP EFFORTS. ANALYSES WILL EXAMINE (AIM 1) IMPLEMENTATION OUTCOMES FOR SITES EXPOSED TO BUILD IT INCLUDING ACHIEVEMENT OF PROGRAM START-UP AND COMPETENCY FOR SUSTAINMENT, AS WELL AS USER FEEDBACK AND (AIM 2) BUILT IT’S ABILITY TO IMPROVE IMPLEMENTATION FIDELITY AND SUBSEQUENT PROGRAM OUTCOMES. FORMAL MEDIATION ANALYSES ARE PROPOSED. BUILD IT IS DIRECTLY RESPONSIVE TO REQUESTS FROM PROGRAM DEVELOPERS AND IMPLEMENTING SITE COMMUNITIES. HAVING AN EASILY ACCESSIBLE, INFORMATIVE, AND EVIDENCE-BASED IMPLEMENTATION TOOL AVAILABLE TO NEWLY ADOPTING SITES SEEKING TO IMPLEMENT SIPPS HAS THE POTENTIAL FOR A SUBSTANTIAL PUBLIC HEALTH IMPACT BY INCREASING THE AVAILABILITY OF PREVENTION FOR COSTLY PUBLIC HEALTH CONSEQUENCES RELATED TO THE OPIOID EPIDEMIC.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

BN PARENTS

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.

COMPUTER ADAPTIVE TESTING METHODS

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.

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.

HOMELESS ASSISTANCE

ST. CLAIR COUNTY YOUTH MENTAL HEALTH FIRST AID PROJECCT

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.

ADOLESCENT OUTPATIENT & CONTINUING CARE STUDY (AOCCS)

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

IMPROVING TREATMENT ACCESS, RETENTION, AND OUTCOMES FOR RURAL CLIENTS ...

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

CARES FUNDING FOR COVID19. THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

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

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

BN PARENTS

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

RECOVERY INITIATION AND MANAGEMENT AFTER OVERDOSE (RIMO) EXPERIMENT

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.

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.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

ADULT DRUG TREATMENT COURTS AND THEIR COMMUNITIES: A RIGOROUS EXAMINATION OF DRUG COURT IMPACT ON COMMUNITY OVERDOSE RATES AND HOW SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH PLAY A ROLE - WITH OVER 100,000 DRUG OVERDOSE DEATHS ANNUALLY, SUBSTANCE USE DISORDER (SUD) AMOUNTS TO A NATIONAL CRISIS. RESEARCH HAS DEMONSTRATED A CONNECTION BETWEEN PUBLIC HEALTH ISSUES, LIKE SUD, AND PUBLIC SAFETY. GIVEN THE COMMUNITY-LEVEL IMPACT OF THE OPIOID EPIDEMIC, ESPECIALLY FOR FATAL OVERDOSES, COMMUNITIES ARE TAKING AN “ALL HANDS ON DECK” APPROACH TO SEEKING SOLUTIONS AND MANY HAVE INVESTED IN DRUG TREATMENT COURTS (DTCS). DTCS EXPLICITLY RECOGNIZE THE CONNECTION BETWEEN THE CRIMINAL LEGAL SYSTEM AND THE SUD TREATMENT SERVICES SYSTEM AND FORM A BRIDGE LINKING INDIVIDUALS INVOLVED IN THE CRIMINAL LEGAL SYSTEM WITH SUD SERVICES IN THE COMMUNITY. THOUGH DTCS HAVE OPERATED FOR OVER 30 YEARS AND NOW SERVE NEARLY TWO-THIRDS OF US COUNTIES, COVERING OVER THREE-QUARTERS OF THE US POPULATION, THEIR IMPACT ON COMMUNITIES IS NOT WELL KNOWN; THIS IS PARTICULARLY TRUE FOR PUBLIC HEALTH OUTCOMES. DTC RESEARCH TO DATE ALMOST UNIVERSALLY PERTAINS TO INDIVIDUAL-LEVEL PARTICIPANT OUTCOMES (E.G., RECIDIVISM, DRUG USE), DEMONSTRATING EFFECTIVENESS AT ONLY AN INDIVIDUAL LEVEL. THE LIMITED PUBLISHED RESEARCH ON COMMUNITY-LEVEL OUTCOMES PRESENTS CONFLICTING FINDINGS AND GENERALLY LACKS RIGOR. HOWEVER, MORE RIGOROUS PRELIMINARY STUDIES RECENTLY INDICATED HIGHER LEVELS OF DRUG POSSESSION ARRESTS ASSOCIATED WITH DTCS, BUT ALSO INDICATE REDUCTIONS IN SERIOUS AND VIOLENT CRIMES, POSSIBLY INDICATING A PREVENTATIVE EFFECT – THAT DTCS MIGHT BE CATCHING PEOPLE EARLY IN THEIR CRIMINAL AND SUBSTANCE USE CAREERS, PREVENTING ESCALATION TO MORE SERIOUS CRIMES AND DRUG USE. EARLY RESEARCH ALSO INDICATES AN ASSOCIATION BETWEEN DTCS AND LOWER FATAL OVERDOSE RATES, THOUGH LACKING THE RIGOROUS METHODS THAT COULD MAKE, AND QUANTIFY, CAUSAL CONNECTIONS, PARTICULARLY CONCERNING THE IMPACT STRUCTURAL AND SOCIAL DETERMINANTS OF HEALTH HAVE ON THIS RELATIONSHIP. GIVEN THE VAST PUBLIC RESOURCES DEVOTED TO DTCS, AND THE SERIOUS IMPACT THEY HAVE ON PEOPLE’S LIVES, IT IS CRUCIAL TO KNOW HOW DTCS AFFECT THE COMMUNITIES IN WHICH THEY SERVE, INCLUDING BOTH PUBLIC HEALTH OUTCOMES LIKE FATAL OVERDOSES. BY LEVERAGING MULTIPLE EXISTING DATABASES THAT ARE LONGITUDINAL AND GEOCODED, THIS R03 AIMS TO ADDRESS THESE GAPS. THE STUDY WILL APPLY THREE SEPARATE QUASI-EXPERIMENTAL METHODS, USING EXISTING DATA TO ITS FULL POTENTIAL, PROVIDING VITAL INFORMATION NEEDED TO EFFECTIVELY ADDRESS THE OPIOID CRISIS. SPECIFICALLY, THE STUDY WILL PROVIDE (A) THE MOST ROBUST EVALUATION OF DTC EFFECTS ON COMMUNITY- LEVEL FATAL OVERDOSES, (B) THE FIRST STUDY TO EXPLORE HOW STRUCTURAL AND SOCIAL DETERMINANTS OF HEALTH AFFECT THIS RELATIONSHIP. WITH THE ULTIMATE GOAL OF SAVING LIVES, THIS R03 WILL PROVIDE CRUCIAL INFORMATION FOR COMMUNITIES DECIDING HOW TO USE OPIOID SETTLEMENT FUNDS, AND SERVE AS AN INITIAL PROOF-OF-CONCEPT FOR A LARGER PROGRAM OF RESEARCH TO HELP COMMUNITY-LEVEL DECISION-MAKERS IMPROVE EFFECTIVENESS AND EFFICIENCY IN BOTH THE SUD TREATMENT SERVICE SYSTEM AND SERVICES WITHIN THE CRIMINAL LEGAL SYSTEM. THIS STUDY IS PART OF THE NIH’S HELPING TO END ADDICTION LONG-TERM (HEAL) INITIATIVE TO SPEED SCIENTIFIC SOLUTIONS TO THE NATIONAL OPIOID PUBLIC HEALTH CRISIS. THE NIH HEAL INITIATIVE BOLSTERS RESEARCH ACROSS NIH TO IMPROVE TREATMENT FOR OPIOID MISUSE AND ADDICTION.

CONTINUUM OF CARE PROGRAM

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

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

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

SUPPORTIVE HOUSING NEW

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

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

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

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