Community Care Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

EARLY HEAD START

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

EARLY HEAD START

HEALTH CENTER CLUSTER

EARLY HEAD START

EARLY HEAD START

HEALTH CENTER CLUSTER

TRANSFORMING CLINICAL PRACTICES INITIATIVE - PTN

HEALTH CENTER CLUSTER

SOUTHERN PIEDMONT BEACON COMMUNITY

HCIA II

HEALTH CENTER PROGRAM

HEALTH CENTER CLUSTER

HEALTH CENTER PROGRAM

BUILDING A STATEWIDE CHILD HEALTH ACCOUNTABLE CARE COLLABORATIVE

EARLY HEAD START

STATE AND REGIONAL PRIMARY CARE ASSOCIATIONS

STATE AND REGIONAL PRIMARY CARE ASSOCIATIONS

EARLY HEAD START

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

EARLY HEAD START PROGRAMS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

NORTHKEY CMHC - DUE TO THE COVID-19 PANDEMIC, NORTHKEY COMMUNITY CARE (NORTHKEY) WILL WORK TO RESTORE AND EXPAND THE COMMUNITY MENTAL HEALTH SYSTEM OF CARE ACROSS THE EIGHT COUNTIES OF NORTHERN KENTUCKY, JUST SOUTH OF GREATER CINCINNATI. IN RESPONSE TO EXACERBATED MENTAL HEALTH NEEDS CREATED BY THE PANDEMIC, PROJECT NORTHKEY CMHC WILL INCREASE ACCESS TO THE FULL BEHAVIORAL HEALTH CONTINUUM OF CARE AND SERVE 1,315 CHILDREN AND ADULTS CHALLENGED WITH SED, SMI, AND CODS. AS THE LICENSED REGIONAL COMMUNITY MENTAL HEALTH CENTER, ACCREDITED BY THE JOINT COMMISSION, AND DESIGNATED AS A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC, NORTHKEY WILL IMPLEMENT A TRAUMA AND RESILIENCE-INFORMED CARE APPROACH WITHIN A RACIAL EQUITY FRAMEWORK TO ENSURE THAT AN EFFECTIVE AND CULTURALLY RESPONSIVE SYSTEM OF CARE IS ACHIEVED. THE REGION SERVED BY NORTHKEY REPRESENTS OVER 464,000 INDIVIDUALS IN ONE OF THE HARDEST HIT COMMUNITIES IN THE COUNTRY BY THE OPIOID EPIDEMIC. THE REGION IS ECONOMICALLY DIVERSE, AS 15% OF THE POPULATION IN SIX OF THE EIGHT COUNTIES LIVE BELOW THE POVERTY LEVEL. KENTUCKIANS ARE RANKED AMONG THE LEAST HEALTHY AMERICANS ACROSS MULTIPLE HEALTH OUTCOMES, WHICH IS NOW INTENSIFIED WITH REPORTED INCREASES OF CLINICALLY SIGNIFICANT SYMPTOMS OF DEPRESSION AND ANXIETY OCCURRING DURING THE PANDEMIC. THIS PROJECT WILL: (1) SUPPORT THE RESTORATION OF CLINICAL BEHAVIORAL HEALTH SERVICES TO THOSE CHILDREN, ADULTS, AND FAMILIES WHO WERE ALREADY SUFFERING FROM MENTAL ILLNESS PRIOR TO THE PANDEMIC; (2) EXPAND OUTREACH AND AVAILABILITY OF SERVICES TO THOSE MOST AT-RISK TO FACE NEGATIVE PSYCHOLOGICAL EFFECTS DUE TO THE PANDEMIC; AND (3) STRENGTHEN THE TRAINING AND EDUCATION INFRASTRUCTURE AVAILABLE TO THE BEHAVIORAL HEALTHCARE WORKFORCE TO ADDRESS THEIR OWN MENTAL HEALTH NEEDS AND EXPAND CAPACITY TO MEET ESCALATING COMMUNITY NEEDS IN THE WAKE OF THE PANDEMIC. KEY ACTIVITIES INCLUDE: INCREASING AVAILABILITY OF SCHOOL-BASED SERVICES; EXPANDING HOURS FOR INTENSIVE OUTPATIENT PROGRAMMING; ESTABLISHING JUSTICE-INVOLVED BEHAVIORAL HEALTH TEAMS; IMPLEMENTING A MOBILE INTEGRATED HEALTHCARE CLINIC; CREATING A COORDINATED SPECIALTY CARE TEAM FOR INDIVIDUALS WITH FIRST-EPISODE PSYCHOSIS; OBTAINING ACCREDITATION WITH THE NATIONAL SUICIDE PREVENTION LIFELINE; DELIVERING EDUCATION TO DIRECT SERVICE STAFF, SPECIFIC TO THE EFFECTS OF THE PANDEMIC; AND PROVIDING TRAINING TO SCHOOL AND CHILD WELFARE WORKFORCE STAFF TO ADDRESS THE CHANGING BEHAVIORAL HEALTH NEEDS OF CHILDREN, YOUTH, AND FAMILIES. THIS PROJECT WILL SERVE 565 UNDUPLICATED INDIVIDUALS IN YEAR ONE AND 750 MORE INDIVIDUALS IN YEAR TWO, FOR A TOTAL OF 1,315 OVER THE TWO YEARS. PROJECT NORTHKEY CMHC OBJECTIVES INCLUDE: IN SCHOOL SERVICES AVAILABLE TO SED AND COD POPULATION IN 90% OF THE SCHOOL DISTRICTS; EXPANDED INTENSIVE OUTPATIENT PROGRAMMING ESTABLISHED FOR COD; JUSTICE-INVOLVED BEHAVIORAL HEALTHCARE TEAMS PROVIDING SERVICES TO THE SMI AND COD; A MOBILE INTEGRATED CARE CLINIC TO PROVIDE ACCESS TO INTEGRATED CARE FOR THE SED, SMI, AND COD; COORDINATED SPECIALTY CARE (CSC) TEAM FOR FIRST-EPISODE PSYCHOSIS; CRISIS RESPONSE ACCESS THROUGH ACCREDITATION WITH THE NATIONAL SUICIDE PREVENTION LIFELINE; AND BEHAVIORAL HEALTHCARE TRAINING PROVIDED TO SCHOOL DISTRICTS AND THE REGIONAL CHILD PROTECTION BRANCH.

HEAD START PROJECTS

HEAD START AND EARLY HEAD START

HEAD START AND EARLY HEAD START

HEALTH CENTER PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

PROJECT NORTHKEY CCBHC

THE COMMUNITY CARE ALLIANCE GRANT WILL PROVIDE ENHANCED CLINICAL PROGRAMMING THAT MEETS CCBHC STANDARDS TO ENSURE IMPROVED ACCESS, QUALITY AND OUTCOMES FOR A DIVERSE AT-RISK POPULATION. - CCA WILL CONTINUE TO IMPROVE AND ADVANCE TO BE CERTIFIED AS A FULLY OPERATIONAL CCBHC, PROVIDING THE COMPLETE SCOPE OF CCBHC SERVICES TO INDIVIDUALS REGARDLESS OF ABILITY TO PAY. CCA WILL IMPLEMENT INFRASTRUCTURE ENHANCEMENTS TO IMPROVE OVERALL QUALITY AND COORDINATION OF CARE. CCA WILL ADVANCE FOUR PROGRAM AREAS: PEER SPECIALIST SERVICES, COMPLEX CARE MANAGEMENT SERVICES, MEDTEAM PROGRAMMING, AND EMERGENCY SERVICES PRESCRIBER ACCESS. THESE PROJECTS WILL ADDRESS THE NEEDS OF A WIDE RANGE OF CLIENTS ACROSS THE LIFESPAN, INCLUDING INDIVIDUALS WITH: 1) A MENTAL OR SUBSTANCE USE DISORDER WHO SEEKS CARE, INCLUDING THOSE WITH A SERIOUS MENTAL ILLNESS (SMI), SUBSTANCE USE DISORDERS (SUD), INCLUDING OPIOID USE DISORDER; 2) CHILDREN AND ADOLESCENTS WITH A SERIOUS EMOTIONAL DISTURBANCE (SED); 3) INDIVIDUALS WITH A CO-OCCURRING DISORDER (COD); AND 4) INDIVIDUALS EXPERIENCING A MENTAL HEALTH OR SUBSTANCE USE-RELATED CRISIS. A PRIORITY WILL BE PLACED ON SERVING UNDERSERVED POPULATIONS (HOMELESS, VETERANS, BIPOC, ETC.). THE PROGRAM WILL SERVE PEOPLE WHO RESIDE IN A FIVE-TOWN AREA IN THE NORTHERN AND EASTERN PROVIDENCE COUNTY (RI) THAT COVERS AN AREA OF 131 SQ. MI. AND A POPULATION OF 130,845. IN ADDITION TO THE PROGRAMMATIC-SPECIFIC GOALS OUTLINED IN SECTION B OF THE

PROJECT NORTHKEY CCBHC-IA - THE NORTHKEY CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC IMPROVEMENT AND ADVANCEMENT (CCBHC-IA) PROJECT WILL SUPPORT THE EXPANSION OF INTEGRATED BEHAVIORAL HEALTHCARE TO CHILDREN, ADOLESCENTS, AND ADULTS IN THE EIGHT COUNTY NORTHERN KENTUCKY REGION. EMPHASIS WILL BE PLACED ON OUTREACH AND SERVICE TO INDIVIDUALS WHO FACE BARRIERS RELATED TO INADEQUATE ACCESS TO HEALTHCARE OR WHO BELONG TO HISTORICALLY MARGINALIZED GROUPS. THIS INITIATIVE WILL INCLUDE TRANSPORTATION, PUBLIC EDUCATION, CARE COORDINATION WITH LAW ENFORCEMENT, CRISIS RESPONSE, AND PHYSICAL HEALTH PROMOTION. AS A CCBHC CERTIFIED BY THE COMMONWEALTH OF KENTUCKY AND A JOINT COMMISSION ACCREDITED AND LICENSED REGIONAL COMMUNITY MENTAL HEALTH CENTER, NORTHKEY WILL IMPLEMENT STRATEGIES TO CLOSE THE TREATMENT GAPS THAT EXIST IN NORTHERN KENTUCKY TO ENSURE A COMPREHENSIVE, INTEGRATED, COORDINATED, AND PERSON-CENTERED SYSTEM OF BEHAVIORAL HEALTHCARE IS SUSTAINED. THE REGION SERVED BY NORTHKEY REPRESENTS OVER 470,000 INDIVIDUALS IN A COMMUNITY DEVASTATED BY THE OPIOID EPIDEMIC. THE RACIAL DEMOGRAPHIC IS PRIMARILY WHITE, WITH A BROAD RANGE OF ECONOMIC DIVERSITY ACROSS THE URBAN, SUBURBAN, AND RURAL COUNTIES. THE NUMBER OF KENTUCKIANS REPORTING FREQUENT MENTAL DISTRESS HAS INCREASED, AND CO-OCCURRING PHYSICAL HEALTH CONDITIONS EXACERBATE THE WELL-BEING OF NORTHERN KENTUCKIANS. THE AVERAGE RATIO OF MENTAL HEALTH PROVIDERS IN THE REGION IS ONLY 1,320:1, AS COMPARED TO 390:1 FOR KENTUCKY. SIMILARLY, THE AVERAGE RATIO OF PHYSICAL HEALTH PROVIDERS IS 2,518:1, AS COMPARED TO 1,540:1 FOR KENTUCKY. THERE IS AN URGENT NEED TO ENSURE IMMEDIATE ACCESS TO INTEGRATED BEHAVIORAL HEALTHCARE TO EVERYONE IN THE REGION REGARDLESS OF THEIR ABILITY TO PAY OR PLACE OF RESIDENCE. NORTHKEY'S HEALTH EQUITY AND DIVERSITY COMMITTEE WILL TAKE THE LEAD IN SPECIFICALLY ADDRESSING DISPARITIES THAT EXIST FOR BLACK, INDIGENOUS, PEOPLE OF COLOR (BIPOC); LGBTQ INDIVIDUALS; AND PERSONS OF LOWER SOCIOECONOMIC STATUS. THIS PROJECT WILL: (1) INCREASE THE PENETRATION RATE OF ADULTS AND YOUTH WITH SERIOUS MENTAL ILLNESS, SERIOUS EMOTIONAL DISTURBANCE AND SUBSTANCE USE DISORDERS SERVED BY THE CCBHC, (2) EXPAND SUICIDE PREVENTION OUTREACH, TREATMENT AND CARE COORDINATION EFFORTS FOR ADULTS AND YOUTH IDENTIFIED AT RISK FOR SUICIDE AND (3) INCREASE THE AVAILABILITY OF INTEGRATED PHYSICAL HEALTH AND PRIMARY CARE SUPPORT TO AMELIORATE CHRONIC CO-MORBIDITIES THAT DRIVE POOR HEALTH OUTCOMES. OBJECTIVES FOR THE NORTHKEY CCBHC-IA PROJECT INCLUDE: REDUCE MISSED VISITS BY PROVIDING TRANSPORTATION; EXPAND FINANCIAL AND INSURANCE ENROLLMENT ASSISTANCE; INCREASE PUBLIC EDUCATION TO PROMOTE ACCESS TO SERVICES AND REDUCE STIGMA; INCREASE CARE COORDINATION WITH COMMUNITY PARTNERS TO SUPPORT EFFECTIVE CARE TRANSITIONS; EXPAND THE CONSUMER ADVISORY COUNCIL; PARTNER WITH LAW ENFORCEMENT TO COORDINATE CRISIS CARE; IMPROVE CARE TRANSITIONS WITH REGIONAL HOSPITALS AND EMERGENCY DEPARTMENTS; EXPAND WORKFORCE TO SPECIALIZE IN SCHOOL CRISIS RESPONSE; INCREASE COLLECTION AND MONITORING OF PHYSICAL HEALTH MEASUREMENTS; UTILIZE COMMUNITY HEALTH WORKERS TO PROVIDE HEALTH EDUCATION AND HEALTHCARE NAVIGATION; AND EXPAND PRIMARY CARE SERVICES TO IMPROVE HEALTH OUTCOMES. KEY ACTIVITIES INCLUDE: CONTINUED PARTNERSHIP IN THE KENTUCKY CCBHC DEMONSTRATION PROJECT; SPECIALIZED SERVICES AND CARE COORDINATION FOR MEMBERS AND FAMILY OF THE ARMED FORCES AND VETERANS; MEANINGFUL INVOLVEMENT OF CONSUMERS AND FAMILY MEMBERS IN DESIGN AND EVALUATION OF SERVICES; UPDATED COMMUNITY NEEDS ASSESSMENT; AND THE DEVELOPMENT OF A SUSTAINABILITY PLAN. THIS PROJECT WILL SERVE 1,190 UNDUPLICATED INDIVIDUALS: 275 IN YEAR ONE, 290 IN YEAR TWO, 305 IN YEAR THREE, AND 320 IN YEAR FOUR.

COMMUNITY CARE ALLIANCE CCBHC EXPANSION - COMMUNITY CARE ALLIANCE, INC. (CCA) SEEKS TO ENHANCE AND EXPAND EVIDENCE BASED PRACTICES TO INDIVIDUALS WITH BEHAVIORAL DISORDERS IN THE STATE OF RHODE ISLAND. WITH THREE COLLABORATORS—NEWPORT COUNTY COMMUNITY MENTAL HEALTH CENTER (NCCMHC), THRIVE BEHAVIORAL HEALTH, AND TIDES FAMILY SERVICES, CCA WILL PROVIDE EXPANDED AND ENHANCED CCBHC SERVICES TO 648 PEOPLE IN RHODE ISLAND DURING THE FIRST YEAR OF THE PROJECT. A TOTAL OF 841 (UNDUPLICATED) PEOPLE WILL BE SERVED OVER TWO YEARS. THE PROJECT WILL EXPAND EVIDENCE BASED BEHAVIORAL HEALTH PRACTICES TO OVER 15,800 ADULTS, CHILDREN AND FAMILIES WHO CURRENTLY DO NOT HAVE ACCESS TO THESE SERVICES IN THE FIRST YEAR AND OVER 16,600 OVER THE TWO YEAR GRANT PERIOD. COVERING AN AREA OF 1,214 SQUARE MILES AND A POPULATION OF SLIGHTLY OVER 1 MILLION, (71% WHITE (NON-HISPANIC), 16% HISPANIC, 6% BLACK, AND 7% OTHER, RHODE ISLAND HAS HIGH RATES OF ADULTS WITH SERIOUS MENTAL ILLNESS (SMI), CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCES (SED), PERSONS INVOLVED WITH SUBSTANCE USE AND OPIOID ADDICTION, AS WELL AS HIGH RATES OF BEHAVIORAL DISORDERS AMONG OUR HOMELESS POPULATION AND PEOPLE OF COLOR, WHO ARE EXPERIENCING INCREASES IN SMI, MAJOR DEPRESSIVE EPISODES AMONG ALL AGE GROUPS AND INCREASES IN SUICIDAL THOUGHTS, PLANS AND EVENTS ROSE AMONG YOUNG ADULTS THE PROJECT HAS THREE MAIN GOALS: 1) IMPLEMENT A FULLY OPERATIONAL CCBHC, PROVIDING THE COMPLETE SCOPE OF CCBHC SERVICES TO INDIVIDUALS ELIGIBLE FOR MEDICAID AS WELL AS THOSE WHO ARE UNINSURED OR UNDER INSURED WITHIN 4 MONTHS OF FUNDING. 2) ENHANCE EXISTING CCBHC SERVICES BY EXPANDING/INITIATING 7 EVIDENCE-BASED PRACTICES. EBPS TARGETED FOR EXPANSION INCLUDE: 1) MEDICATION TREATMENT, EVALUATION AND MANAGEMENT (MEDTEAM); 2) MENTAL HEALTH FIRST AID; 3) MOTIVATIONAL INTERVIEWING; 4) BRIEF COGNITIVE BEHAVIORAL THERAPY (CBT); 5) DIALECTICAL BEHAVIORAL THERAPY, 6) ASSERTIVE COMMUNITY TREATMENT (ACT); 7) ENHANCED COGNITIVE BEHAVIORAL THERAPY (E-CBT). 3) IMPLEMENT INFRASTRUCTURE ENHANCEMENTS TO IMPROVE THE OVERALL QUALITY AND COORDINATION OF CARE. ADDITIONAL WORKFORCE DEVELOPMENT AND INFRASTRUCTURE IMPROVEMENTS THAT WILL BE IMPLEMENTED INCLUDE: A) IMPROVEMENTS THAT WILL SUPPORT TELEHEALTH,, A RECOVERY ORIENTED, PERSON-CENTERED EHR THAT SUPPORTS HEALTH IMPROVEMENT ACTIVITIES, PROVIDE CLINICAL DECISION SUPPORT (UTILIZATION MANAGEMENT), ELECTRONICALLY TRANSMIT PRESCRIPTIONS TO THE PHARMACY, AND SEND/RECEIVE COMMON DATA SET FOR ALL SUMMARY-OF-CARE RECORDS, SUPPORT TRANSITIONS OF CARE, AND MEET REQUIRED PRIVACY/SECURITY REQUIREMENTS, INTEGRATION OF OUR EHR WITH MIRAH MEASUREMENT-BASED CARE PORTAL BASED SYSTEM TO SUPPORT CLINICAL AND ORGANIZATIONAL DECISION-MAKING, AND FURTHER TRAINING ON EVIDENCE-BASED PRACTICES LISTED ABOVE AND PRINCIPLES OF CULTURAL COMPETENCE (CLAS STANDARDS), WHICH WILL IMPROVE BOTH THE BEHAVIORAL HEALTH AND HEALTH OUTCOMES OF THE PEOPLE WE SERVE. CCBHC FUNDING WILL ENABLE CCA AND ITS PARTNERS TO DEVELOP A TRAUMA-COMPETENT, INTEGRATED SYSTEM OF CARE WHERE PERSON CENTERED PLANNING, AND RECOVERY-ORIENTED CARE IS THE ORGANIZATIONAL NORM.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

COVER KANSAS NAVIGATOR PROJECT 2021-2024: COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES

EARLY HEAD START ARRA EXPANSION

PRIMARY CARE TRAINING AND ENHANCEMENT-COMMUNITY PREVENTION AND MATERNAL HEALTH

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

EARLY HEAD START/CHILD CARE PARTNERSHIP

HEALTH CENTER CONTROLLED NETWORK - THE COMMUNITY CARE NETWORK OF KANSAS (COMMUNITY CARE) WILL OPTIMIZE HEALTH IT TO IMPROVE CLINICAL QUALITY, PATIENT-CENTERED CARE, AND PROVIDER AND STAFF WELL-BEING AT HEALTH CENTERS PARTICIPATING IN HEALTH CENTER CONNECTIONS (CONNECTIONS), THE ESTABLISHED HEALTH CENTER CONTROLLED NETWORK (HCCN) ORGANIZED AND SUPPORTED BY COMMUNITY CARE. THROUGH THE PROPOSED WORK PLAN ACTIVITIES, CONNECTIONS WILL ASSIST PARTICIPATING HEALTH CENTERS IN LEVERAGING HEALTH IT AND DATA TO DELIVER HIGH-QUALITY, CULTURALLY COMPETENT, EQUITABLE, AND COMPREHENSIVE PRIMARY HEALTH CARE. THE 16 HEALTH CENTERS THAT HAVE COMMITTED TO PARTICIPATE IN THE CONNECTIONS HCCN PROVIDE HEALTH SERVICES ACROSS THE STATE OF KANSAS FROM 71 SITES. UDS REPORTS SHOW THESE HEALTH CENTER PROGRAM AWARD RECIPIENTS SERVED 182,999 PATIENTS DURING 503,318 CLINIC VISITS AND 31,048 VIRTUAL VISITS IN 2020. DEMOGRAPHICS OF THE PATIENTS SERVED BY THESE HEALTH CENTERS FOLLOW. - ETHNICITY: 28% HISPANIC, 69% NON-HISPANIC, 3% UNKNOWN - RACE: 1% ASIAN, 1% HAWAIIAN OR PACIFIC ISLANDER, 11% BLACK/AFRICAN AMERICAN, 2% AMERICAN INDIAN/ALASKA NATIVE, 71% WHITE, 5% MORE THAN ONE RACE, 9% UNKNOWN - POVERTY LEVEL: 41% AT OR BELOW 100% FPL, 13% 101-150% FPL, 12% 151-200% FPL, 10% OVER 200% FPL, 24% UNKNOWN - MEDICAL INSURANCE: 32% UNINSURED, 30% MEDICAID, 11% MEDICARE AND DUALLY ELIGIBLE, 27% PRIVATE INSURANCE ACTIVITIES DEFINED IN THE WORK PLAN FOR THIS PROJECT ARE INTENDED TO ADDRESS THE IDENTIFIED NEEDS OF PARTICIPATING HEALTH CENTERS. THROUGH THE PROPOSED ACTIVITIES, WE AIM TO INCREASE PATIENT AND FAMILY ENGAGEMENT THROUGH DIGITAL HEALTH TOOLS; IMPROVE PATIENT PRIVACY AND CYBERSECURITY POLICIES AND PRACTICES; INCREASE THE USE OF SOCIAL RISK FACTOR DATA TO SUPPORT INTERVENTIONS; PREPARE FOR THE SUBMISSION OF DATA TO UDS+; OPTIMIZE CARE THROUGH THE USE OF DATA INTEGRATED FROM EXTERNAL SOURCES; INCREASE THE USE OF DATA STRATEGIES FOR PERFORMANCE IMPROVEMENT; PROMOTE PROFICIENCY IN THE USE OF DIGITAL HEALTH TOOLS; IMPROVE HEALTH IT USABILITY AND ADOPTION THROUGH FACILITATED INTERVENTION; INCREASE THE COLLECTION OF DISCRETE DATA TO IMPROVE THE HEALTH STATUS OF PHC COMMUNITIES BY REDUCING HEALTH DISPARITIES; AND OPTIMIZE DIGITAL HEALTH TOOLS TO SUPPORT HIGH-FUNCTIONING CARE TEAMS, REDUCE WORKLOADS, AND/OR MAKE CARE MORE EQUITABLE. ALL ACTIVITIES ARE FOCUSED ON OPTIMIZING HEALTH IT FOR IMPROVEMENT.

MEDICATION-ASSISTED TREATMENT-PRESCRIPTION DRUG AND OPIOID ADDICTION - PROJECT TITLE: MEDICATION-ASSISTED TREATMENT – PRESCRIPTION DRUG AND OPIOID ADDICTION APPLICANT ORGANIZATION NAME: APEX COMMUNITY CARE, INC. ADDRESS: 30 WEST ST, DANBURY, CT 06810-7842 AGENCY CONTACT: JILL SCHOENFUSS, CHIEF DEVELOPMENT OFFICER CONTACT NUMBER: (203) 778-2437 E-MAIL ADDRESS: JSCHOENFUSS@APEXCC.ORG WEB SITE ADDRESS: WWW.APEXCC.ORG PROGRAM FUNDS REQUESTED: $525,000.00 PROJECT ABSTRACT APEX COMMUNITY CARE, INC. IS THE APPLICATION UNDER THE SAMHSA NOTICE OF FUNDING OPPORTUNITY MEDICATION-ASSISTED TREATMENT-PRESCRIPTION DRUG AND OPIOID ADDICTION PROGRAM. WITH THIS APPLICATION APEX IS REQUESTING FUNDING TO EXPAND AND ENHANCE ACCESS TO MEDICATION-ASSISTED TREATMENT (MAT) FOR PERSONS WITH AN OPIOID USE DISORDER SEEKING OR RECEIVING MAT IN GREAT DANBURY AND LITCHFIELD COUNTY CONNECTICUT, ESPECIALLY THOSE STIGMATIZED AND DISENFRANCHISED LOCAL ADULT POPULATIONS, SPECIFICALLY COMMUNITIES OF COLOR, ESPECIALLY THE HISPANIC/LATINX AND BLACK COMMUNITIES; LGBTQ FOLX; LOCAL IMMIGRANT POPULATIONS; LOW INCOME INDIVIDUALS; AND THOSE LIVING WITH HIV. APEX IS THEREBY REQUESTING $525,000 FOR EACH YEAR OF THE FIVE YEAR FUNDING CYCLE ON ORDER TO EXPAND THE AGENCY’S MAT PROGRAM BY INCREASING MAT PRESCRIBING STAFF HOURS, HIRING ADDITIONAL CLINICIANS TO PROVIDE BEHAVIORAL HEALTH INTERVENTION AND A BEHAVIORAL HEALTH CASE MANAGER TO CONNECT MAT CLIENTS TO NEEDED SERVICES AND TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, CONDUCTING MINOR RENOVATIONS TO OUR BEHAVIORAL HEALTH FACILITIES TO ACCOMMODATE INCREASED CLINICAL STAFF AND TO SUPPORT A MORE WELCOMING ENVIRONMENT FOR BEHAVIORAL HEALTH/SUBSTANCE USE/MAT CLIENTELE, AND OBTAINING OTHER SUPPLIES AND INFRASTRUCTURE TO SUPPORT PROGRAM EXPANSION. ENHANCED SERVICES WOULD INCLUDE EXPANDED USE OF EVIDENCE BASED PRACTICES WITH MAT CLIENTS. THE DESIRED OUTCOMES FOR THIS PROGRAM ARE: 1) AN INCREASE IN THE NUMBER OF INDIVIDUALS WITH OPIOID USE DISORDER RECEIVING MAT; AND 2) A DECREASE IN ILLICIT OPIOID DRUG USE AND PRESCRIPTION OPIOID MISUSE AT SIX-MONTH FOLLOW-UP. APEX ANTICIPATES SERVING AT LEAST 90 UNDUPLICATED CLIENTS IN YEAR 1; YEAR 2 = 120; YEAR 3 = 150; YEAR 4 = 180; YEAR 5 = 210; FOR AN UNDUPLICATED TOTAL OF = 750 CLIENTS. APEX COMMUNITY CARE, INC., (FORMERLY, AIDS PROJECT GREATER DANBURY, INC.) IS A NONPROFIT (501C3) ORGANIZATION FOUNDED IN 1987. THE MISSION OF APEX COMMUNITY CARE IS TO ADVOCATE FOR AND PROVIDE SERVICES TO PEOPLE LIVING WITH HIV/AIDS, MENTAL HEALTH AND SUBSTANCE USE DISORDERS, THEIR FAMILIES, AND LOVED ONES, AND TO ACTIVELY PROMOTE EDUCATION AND PREVENTION IN THE COMMUNITY. APEX ENVISIONS A WORLD FREE OF STIGMA AND SHAME, WHERE ALL PEOPLE ARE TREATED WITH DIGNITY AND RESPECT AND THEIR VALUE AS AN INDIVIDUAL IS RECOGNIZED AND CELEBRATED. WE WILL WORK RELENTLESSLY AND PASSIONATELY TO HELP THOSE INDIVIDUALS WHO ARE DISENFRANCHISED AND TO CREATE A MORE INCLUSIVE COMMUNITY. APEX COMMUNITY CARE HAS BEEN SERVING WESTERN CONNECTICUT FOR OVER 30 YEARS, HELPING THOUSANDS OF LOCAL RESIDENTS THROUGH OUR SERVICES.

OPTIMIZING THE MEDICAL NEIGHBORHOOD: TRANSFORMING CARE COORDINATION THROUGH THE NORTH CAROLINA COMMUNITY PHARMACY ENHANCED SERVICES NETWORK

HEAD START AND EARLY HEAD START

WESTERN CONNECTICUT HIGH IMPACT HIV PREVENTION PROGRAM - WITH THIS APPLICATION, APEX COMMUNITY CARE, INC. (DUNS #78-679-8074) IS REQUESTING $276,000 PER YEAR OVER A 5-YEAR PERFORMANCE PERIOD TO IMPLEMENT CDC-RFA-PS21-2102 COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAMS FOR COMMUNITY BASED ORGANIZATIONS. THE PROPOSED PROJECT IS EXPECTED TO EXPAND AND ENHANCE OUR EXISTING PREVENTION PROGRAM BY SUBSTANTIALLY IMPROVING APEX?S CAPACITY TO UTILIZE DATA TO IDENTIFY AND ADDRESS GAPS IN THE HIV CARE CONTINUUM, PARTICULARLY GAPS THAT DISPROPORTIONATELY AFFECT MINORITY POPULATIONS, TO DESIGN TARGETED INTERVENTIONS TO ADDRESS THOSE GAPS, AND TO IMPROVE CLIENT CARE.APEX COMMUNITY CARE IS A NONPROFIT (501C3) COMMUNITY BASED ORGANIZATION FOUNDED IN 1987. THE MISSION OF APEX COMMUNITY CARE IS TO ADVOCATE FOR AND PROVIDE SERVICES TO PEOPLE LIVING WITH HIV/AIDS, MENTAL HEALTH AND SUBSTANCE USE DISORDERS, THEIR FAMILIES, AND LOVED ONES, AND TO ACTIVELY PROMOTE EDUCATION AND PREVENTION IN THE COMMUNITY. APEX HAS 33 YEARS OF EXPERIENCE PROVIDING SERVICES TO THE TARGET POPULATION.THE PROJECT PROPOSED IN THIS APPLICATION IS INTENDED TO COMPLIMENT AND EXTEND THE REACH OF EFFORTS IMPLEMENTED BY STATE AND LOCAL HEALTH DEPARTMENTS BY PROVIDING HIGH-IMPACT HIV PREVENTION PROGRAMS IN ORDER TO INCREASE IDENTIFICATION OF HIV DIAGNOSES, REFERRAL FOR PRE-EXPOSURE AND POST-EXPOSURE PROPHYLAXIS (PREP & PEP), EARLIER ENTRY TO HIV CARE, AND INCREASED CONSISTENCY OF CARE. THE TARGET POPULATION WE HAVE CHOSEN TO ADDRESS IS MEN WHO HAVE SEX WITH MEN (MSM), WITH AN EMPHASIS ON MSM OF COLOR, AND INCLUSIVE OF THOSE WHO ARE MALE TO FEMALE TRANSGENDER. WE WILL DELIVER SERVICES TO THIS POPULATION IN THE GEOGRAPHIC AREAS OF GREATER DANBURY AND LITCHFIELD COUNTY.THIS TARGET POPULATION IS IN KEEPING WITH THE PRIORITY POPULATION OUTLINED IN TO ?CONNECTICUT?S INTEGRATED HIV PREVENTION AND CARE PLAN 2017-2021?, WHICH STATES: ?REDUCE NEW HIV DIAGNOSES BY 15% BY 2021 IN THE FOLLOWING GROUPS: MEN WHO HAVE SEX WITH MEN (MSM), AND BLACK/AFRICAN-AMERIC AN/LATINO MEN AND WOMEN.? IN ORDER TO MEET THE NEEDS OF THE TARGET POPULATION, WE PLAN TO HIRE THREE NEW POSITIONS TO IMPLEMENT THE COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAM. WE WILL HIRE A FULL TIME LATINX COMMUNITY PROGRAM COORDINATOR, A PART TIME (0.6 FTE) BLACK COMMUNITY PROGRAM COORDINATOR, AND A FULL TIME PREVENTION NAVIGATOR. BOTH COORDINATORS WILL BE MSM AND/OR DIAGNOSED WITH HIV. THE LATINX PROGRAM COORDINATOR AND THE PREVENTION NAVIGATOR WILL BE BILINGUAL ENGLISH/SPANISH SPEAKING.THE BLACK AND LATINX COMMUNITY PROGRAM COORDINATORS WILL PROVIDE TRAINING TO ALL APEX STAFF MEMBERS TO INCREASE THEIR CULTURAL COMPETENCY, HUMILITY AND SENSITIVITY, TO ASSIST THEM TO BUILD TRUST AND BETTER ENGAGE WITH THE TARGET POPULATION. THEY WILL EXPAND APEX'S OUTREACH TO THE BLACK AND LATINX MSM COMMUNITIES BY PARTNERING WITH ADDITIONAL ORGANIZATIONS AND BUSINESSES WHO HAVE CONTACT WITH THESE COMMUNITIES SUCH AS THOSE WHO SERVE BLACK, LATINX, IMMIGRANT AND LGBTQ POPULATIONS, AND PROVIDE EDUCATION TO THESE PLACES, WHEN INDICATED, TO DECREASE STIGMA OF HIV AND MSM. THE COMMUNITY PROGRAM COORDINATORS WILL ALSO DEVELOP SUPPORT GROUPS FOR BLACK AND LATINX MSM, AS WELL AS GROUPS FOR THEIR SUPPORT NETWORKS. THESE NEW POSITIONS WILL WORK IN CONCERT WITH APEX?S EXISTING PREVENTION PROGRAM AND HIV CARE PROGRAM STAFF TO CARRY OUT HIGH-IMPACT HIV PREVENTION STRATEGIES, INCLUDING THOSE TO ADDRESS DIAGNOSIS, TREATMENT AND PREVENTION.TO ASSIST WITH THE DATA COLLECTION, MANAGEMENT AND EVALUATION REQUIREMENTS OF THIS FUNDING OPPORTUNITY, WE WILL PARTNER WITH RDE SYSTEMS TO IMPLEMENT E2PREVENTION, WHICH IS A COMPLETE, INTEGRATED SYSTEM FOR THE COLLECTION, MANAGEMENT AND ANALYSIS OF DATA FOR HIV PREVENTION, HIV TESTING, AND PREP PROGRAMS. RDE SYSTEMS, MAKER OF THE ECOMPAS? AND E2? SUITE OF SOFTWARE PRODUCTS, HAS BEEN SERVING PUBLIC HEALTH FOR OVER THIRTY YEARS. RDE IS FOCUSED ON THEIR COMMITMENT TO ENDING THE HIV EPIDEMIC, AND SERVING THOSE WHO SERVE PE

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAMS FOR COMMUNITY-BASED ORGANIZATIONS - THE SOUTHWEST CENTER FOR HIV/AIDS (SWC) WILL IMPLEMENT A COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAM IN MARICOPA COUNTY, ARIZONA TARGETED TOWARD HISPANIC/LATINO MEN WHO HAVE SEX WITH MEN (MSM) AGES 13-49, A POPULATION DISPROPORTIONATELY AFFECTED BY ARIZONA?S HIV EPIDEMIC. SWC WILL SUBCONTRACT WITH ONE-N-TEN, AN ORGANIZATION THAT SERVES LGBTQ+ YOUTH, TO SUPPLEMENT SWC?S SERVICES AND REACH INDIVIDUALS UNDER AGE 18. THIS PROJECT WILL HELP INDIVIDUALS AT ALL STAGES OF THE HIV CARE CONTINUUM. SWC?S PS21-2102 PROGRAM WILL DIAGNOSE NEW HIV INFECTIONS; TREAT HIV QUICKLY AND EFFECTIVELY; PREVENT NEW HIV CASES; AND RESPOND QUICKLY TO EMERGING HIV CLUSTERS. THESE EFFORTS WILL HELP THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES REACH ITS GOAL OF REDUCING NEW HIV INFECTIONS BY 75% IN 5 YEARS AND BY 90% BY 2030. THE PROJECT WILL ADDRESS THE NATIONAL HIV EPIDEMIC BY REDUCING NEW INFECTIONS, INCREASING ACCESS TO CARE, AND PROMOTING HEALTH EQUITY FOR PERSONS LIVING WITH HIV OR AT RISK OF HIV INFECTION.THE PURPOSE OF THIS PROJECT IS TO IMPROVE LONG TERM HEALTH OUTCOMES FOR ARIZONANS VULNERABLE TO HIV INFECTION AND UPSET THE STATUS QUO OF THE HIV EPIDEMIC THROUGH HIGH IMPACT HIV PREVENTION ACTIVITIES, INCLUDING: PROVIDING HIV TESTING TO COMMUNITY MEMBERS USING CLINICAL, DRIVE THRU, OUTREACH, AND MAIL ORDER STRATEGIES; LINKING INDIVIDUALS TO SWC?S CLINICIANS FOR HIV MEDICAL CARE, PREP, AND NPEP USING RAPID START PROTOCOLS THAT CONNECT CLIENTS TO PROVIDERS AS QUICKLY AS POSSIBLE; NAVIGATING CLIENTS TO ESSENTIAL SUPPORT SERVICES THAT HELP THEM ACHIEVE VIRAL SUPPRESSION OR ADHERE TO PREP; OPERATING A SAFE SPACE WHERE INDIVIDUALS CAN BUILD COMMUNITY AND ENGAGE IN HIV PREVENTION PROGRAMMING; PARTICIPATING IN OUTREACH AND CONDOM DISTRIBUTION EVENTS THROUGHOUT MARICOPA COUNTY; AND BUILDING PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS AND HEALTH INFRASTRUCTURE, INCLUDING THE ARIZONA DEPARTMENT OF HEALTH SERVICES, RYAN WHITE PART A, AND THE MARICOPA COUNTY DEPARTMENT OF P UBLIC HEALTH. BY THE END OF THE PROJECT ON JUNE 30, 2026, SWC WILL HAVE ACHIEVED THE FOLLOWING OUTCOMES: (1) INCREASED THE NUMBER OF PERSONS WHO KNOW THEIR HIV STATUS BY CONDUCTING 9,000 HIV TESTS AND IDENTIFYING 90 NEWLY DIAGNOSED HIV-POSITIVE INDIVIDUALS (1%); (2) INCREASED THE NUMBER OF INDIVIDUALS RECEIVING INTEGRATED SCREENING BY CONDUCTING 6,300 HIV TESTS (70%) IN WHICH THE CLIENT IS PROVIDED SCREENING FOR SEXUALLY TRANSMITTED INFECTIONS (STIS) (SYPHILIS, GONORRHEA, CHLAMYDIA), VIRAL HEPATITIS, AND/OR TB; (3) INCREASED RECEIPT OF HIV MEDICAL CARE AND ANTIRETROVIRAL THERAPY (ART) AMONG PERSONS NEWLY DIAGNOSED WITH HIV BY LINKING 81 NEWLY DIAGNOSED HIV-POSITIVE INDIVIDUALS (90%) TO MEDICAL CARE WITHIN 30 DAYS OF DIAGNOSIS; (4) INCREASED RECEIPT OF HIV MEDICAL CARE AND ART AMONG PERSONS PREVIOUSLY DIAGNOSED WITH HIV BY IDENTIFYING 20 PREVIOUSLY DIAGNOSED, NOT-IN-CARE, HIV-POSITIVE INDIVIDUALS AND RE-ENGAGING 18 (90%) OF THEM IN MEDICAL CARE WITHIN 30 DAYS; (5) INCREASED ACCESS TO PARTNER SERVICES BY REFERRING 90 NEWLY AND 20 PREVIOUSLY DIAGNOSED HIV-POSITIVE INDIVIDUALS (100%) TO PARTNER SERVICES; (6) INCREASED ACCESS TO PREP BY REFERRING 6,712 (75%) OF THOSE WITH HIV-NEGATIVE TEST RESULTS TO PREP NAVIGATION SERVICES; AND (7) INCREASED AVAILABILITY OF CONDOMS BY DISTRIBUTING 250,000 CONDOMS AND ENSURING ALL PROGRAM PARTICIPANTS ARE OFFERED THEM. SWC WILL EMPLOY INNOVATIVE STRATEGIES AND TECHNIQUES TO ACHIEVE THESE OUTCOMES AND WILL CONTINUOUSLY ADAPT THE PROGRAM TO RESPOND TO THE NEEDS OF THE TARGET POPULATION.

HEAD START AND EARLY HEAD START

HEALTH CENTER CONTROLLED NETWORKS

PPHF ? 2013 - COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED AND STATE PARTNERSHIP EXCHANGES

COMMUNITY CARE ALLIANCE YOUTH AND FAMILY TREE - COMMUNITY CARE ALLIANCE, LOCATED IN WOONSOCKET RI IS A COMBINED BEHAVIORAL HEALTH AND COMMUNITY ACTION PROGRAM SERVING A DIVERSE POPULATION OF OVER 16,000 PEOPLE ANNUALLY. THROUGH ITS YOUTH & FAMILY TREE PROGRAM, CCA WILL STRENGTHEN AND EXPAND THE CONTINUUM OF CARE FOR YOUTH AND TRANSITIONAL AGED YOUTH ENGAGING IN RISKY ALCOHOL AND OTHER SUBSTANCE USE, AS WELL AS OTHER RISKY BEHAVIORS AND/OR WHO HAVE CO-OCCURRING MENTAL HEALTH ISSUES. EMPHASIS IS PLACED UPON IDENTIFYING AND ELIMINATING DISPARITIES FOR FEMALES AND RACIAL AND ETHNIC MINORITIES. BECAUSE SUBSTANCE USE IMPACTS THE ENTIRE FAMILY, SERVICES WILL BE OFFERED TO SUPPORT THE ENTIRE FAMILY, INCLUDING PREVENTION ACTIVITIES, TREATMENT, AND BASIC NEEDS (E.G., FOOD, RENTAL ASSISTANCE, UTILITY ASSISTANCE). BY SUPPORTING THE WHOLE FAMILY, YOUTH ARE EXPECTED TO EXPERIENCE IMPROVED OUTCOMES. THE HARBOUR YOUTH CENTER WILL SERVE AS THE HUB OF SERVICES, BUILDING UPON THE FOUNDATION OF DROP-IN CENTER AND EMPLOYMENT SUPPORT TO ENGAGE YOUTH AND CONNECT THEM TO THE FULL ARRAY OF SUBSTANCE USE AND CO-OCCURRING MENTAL HEALTH SERVICES OFFERED AT CCA. STRONG WORKING ALLIANCES WITH OTHER COMMUNITY PROVIDERS WILL CLOSE ANY GAPS IN ACCESS TO SERVICES. REFERRALS FOR YFT MAY ORIGINATE FROM ANY AGENCY PROGRAM OR COMMUNITY PROVIDER. UPON REFERRAL, YOUTH WILL BE SCREENED. THOSE IDENTIFIED AS ENGAGING IN RISKY BEHAVIOR WILL BE REFERRED TO THE PROGRAM COORDINATOR FOR DISCUSSION OF HOW YFT CAN HELP THEM. FAMILIES WILL BE INVOLVED AT THIS STAGE DEPENDING UPON AGE AND THE CONSENT OF THE PERSON SEEKING SERVICES. A COMPREHENSIVE BIO-PSYCHOSOCIAL ASSESSMENT WILL LEAD TO IDENTIFICATION OF NEEDS ACROSS SEVERAL DOMAINS. THIS INFORMATION WILL BE USED TO BUILD A PERSON-CENTERED RECOVERY PLAN. THE YFT NAVIGATOR WILL ESTABLISH A WORKING ALLIANCE WITH THE YOUTH AND FAMILY, GUIDING THEM THROUGH THE SERVICES AVAILABLE TO THEM. UPON PROGRAM COMPLETION, YOUTH WILL EXPERIENCE AN INCREASE IN STRENGTHS, ENGAGEMENT IN MEANINGFUL ACTIVITY, REDUCED OR ELIMINATED ALCOHOL/SUBSTANCE USE, IMPROVED MENTAL HEALTH AND MORE POSITIVE RELATIONSHIPS WITH FAMILY MEMBERS. YFT WILL ALSO OFFER OTHER SUPPORTIVE SERVICES THAT INCLUDE HIV/HEPATITIS C TESTING, SMOKING PREVENTION AND CESSATION WITH TARGETED EDUCATION FOR PREGNANT WOMEN, AND WILL ENGAGE IN COMMUNITY EDUCATION ACTIVITIES AIMED AT PROMOTING HEALTHY, SUBSTANCE-FREE LIVING BY USING MESSAGING AIMED AT PEOPLE ACROSS THE SPECTRUM OF READINESS FOR CHANGE. ALL OF THESE ACTIVITIES WILL BE COMPLETED IN ACCORDANCE WITH SAMHSA’S EXPECTATIONS, INCLUDING DATA COLLECTION USING THE GPRA AND OTHER OUTCOME TOOLS. THIS DATA WILL BE USED TO INFORM THE SERVICE TEAM REGARDING EFFICACY, PROVIDING USEFUL INFORMATION TO GUIDE PERFORMANCE QUALITY IMPROVEMENT EFFORTS IN ORDER TO ACHIEVE MAXIMUM OUTCOMES.

HEALTH CENTER CONTROLLED NETWORKS

HEALTH CENTER PROGRAM

EARLY HEAD START/CHILD CARE PARTNERSHIP

PHOENIX AND TUCSON HIGH IMPACT HIV PREVENTION

CAPITAL DEVELOPMENT

CITADEL COMMUNITY MENTAL HEALTH CLINIC - CITADEL COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) IS DESIGNED TO NOT ONLY BRING TOGETHER CHEMICAL AND MENTAL HEALTH CARE,BUT TO COORDINATE A PERSON'S TOTAL HEALTH AND SOCIAL SERVICE NEEDS, INCLUDING PHYSICAL HEALTH CARE. IN MANY COMMUNITIES, A PERSON WITH A MENTAL ILLNESS WOULD NEED TO CONTACT SEVERAL DIFFERENT AGENCIES TO OBTAIN SERVICES, AND RARELY COULD THEY OBTAIN BOTH MENTAL AND SUBSTANCE USE DISORDER TREATMENT THROUGH THE SAME AGENCY. CCBHC WILL CHANGE THAT, OFFERING A RANGE OF COORDINATED SERVICES SUCH AS PRIMARY CARE SCREENING, CRISIS MENTAL HEALTH SERVICES AND CASE MANAGEMENT IN ADDITION TO MENTAL AND CHEMICAL HEALTH CARE. IN SHORT, CCBHC WILL SERVE AS A "ONE-STOP-SHOP" FOR BOTH ADULTS AND CHILDREN WHO HAVE TROUBLE OTHERWISE GETTING THE HELP THEY NEED. CCBHC WILL IMPROVE ACCESS, QUALITY, COORDINATION AND CONTINUUM OF CARE TO A MINIMUM OF 500 CLIENTS ANNUALLY, THROUGH THE USE OF EVIDENCE-BASED STANDARDIZED ASSESSMENT TOOLS AND PRACTICES; IMPLEMENTATION OF PERSON CENTERED AND/OR FAMILY CENTERED INFORMED CARE; INCREASE OF CARE COORDINATION AND RECOVERY SUPPORT SERVICES; AND INCLUSION OF YOUTH AND FAMILY/CAREGIVER PARTICIPATION AT ALL LEVELS. THE TARGET POPULATION IS ADULTS AND/OR YOUTH WHO ARE LOCALLY IDENTIFIED WITH PRIORITY GOING TO ADULTS AND/OR YOUTH, AS WELL AS YOUTH INVOLVED IN MULTIPLE SYSTEMS, SUCH AS WELFARE AND JUSTICE SYSTEMS. SERVICES WILL BE DELIVERED THROUGH COLLABORATIONS/PARTNERSHIPS BETWEEN CCBHC AND OTHER COMMUNITY-BASED TREATMENT PROVIDERS AND/OR DCO'S IN THE RIVERSIDE-SAN BERNARDINO-ONTARIO MSA. PEOPLE WHO UTILIZE CCBHC MAY RECEIVE COMPREHENSIVE OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE SERVICES, INCLUDING PROVISION OF PSYCHOTROPIC/ANTI-PSYCHOTIC MEDICATIONS; PSYCHO-THERAPEUTIC INTERVENTIONS; PRIMARY CARE SCREENING AND MONITORING (INCLUDING HIV AND VIRAL HEPATITIS SCREENING); BEHAVIORAL HEALTH SCREENING, ASSESSMENT AND DIAGNOSIS, INCLUDING RISK MANAGEMENT; PSYCHIATRIC REHABILITATION SERVICES; INCLUDING 24-HOUR MOBILE CRISIS TEAMS, EMERGENCY CRISIS INTERVENTION AND CRISIS STABILIZATION; PATIENT-CENTERED TREATMENT/CRISIS PLANNING; TARGETED CASE MANAGEMENT; PEER AND FAMILY SUPPORT; INTENSIVE COMMUNITY BASED TREATMENT SERVICES FOR VETERANS AND MEMBERS OF THE ARMED FORCES; ASSERTIVE COMMUNITY TREATMENT; SOCIAL SUPPORT SERVICES AND/OR CONNECTIONS WITH OTHER SERVICE PROVIDERS. THE OVERALL OBJECTIVE OF THE PROJECT IS TO REDUCE DISPARITIES IN MENTAL HEALTH AND IMPROVE HEALTH OUTCOMES. WE WILL MEET THIS OBJECTIVE BY INCREASING ACCESS TO AND IMPROVING THE QUALITY OF MENTAL AND SUBSTANCE USE DISORDER (SUD) TREATMENT SERVICES, INCLUDING OPIOID USE DISORDERS; PROVIDE ACCESS TO 24/7 CRISIS INTERVENTION SERVICES FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI); CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCES (SED); INDIVIDUALS WITH CO-OCCURRING MENTAL AND SUBSTANCE DISORDERS (COD); AND INCREASE CULTURALLY, LINGUISTICALLY AND LGBTQIA COMPETENT SERVICES. SUCCESS WILL BE MEASURED BASED ON REQUIRED PERFORMANCE MEASURES AS WELL AS VIA ROUTINE CARE NEEDS; TIME TO INITIAL EVALUATION; TIME TO COMPREHENSIVE PERSON-CENTERED AND FAMILY CENTERED DIAGNOSTIC AND TREATMENT PLANNING EVALUATION; DOCUMENTATION OF CURRENT MEDICATIONS IN THE MEDICAL RECORD;L INITIATION AND ENGAGEMENT OF ALCOHOL AND OTHER DRUG DEPENDENCE TREATMENT; ENROLLMENT IN EDUCATION, VOCATIONAL TRAINING AND/OR EMPLOYMENT; HOUSING STATUS; MANAGING ONE'S DISEASE(S) OR SYMPTOMS; MAKING INFORMED HEALTHY CHOICES THAT SUPPORT PHYSICAL AND EMOTIONAL WELL-BEING; CONDUCTING DAILY ACTIVITIES; AND/OR SOCIAL CONNECTEDNESS.

EARLY HEAD START-CHILD CARE PARTNERSHIPS

RYAN WHITE PART C OUTPATIENT EIS PROGRAM - PROJECT TITLE: RWHAP PART C EIS ISP: NEW GEOGRAPHIC SERVICE AREA APPLICANT ORGANIZATION NAME: APEX COMMUNITY CARE, INC. ADDRESS: 30 WEST STREET DANBURY CT 06810 PROJECT DIRECTOR NAME: ALBANA LAME CONTACT PHONE NUMBER: 203-778-2437 EMAIL ADDRESS: ALAME@APEXCC.ORG WEBSITE ADDRESS: WWW.APEXCC.ORG PROGRAM FUNDS REQUESTED: $350,000 FUNDING PREFERENCE: INCREASED BURDEN, UNDERSERVED AREAS PROJECT ABSTRACT WITH THIS APPLICATION, APEX COMMUNITY CARE, INC. (APEX) (DUNS #78-679-8074/ UEI # H8HGNLTJTGG7) IS REQUESTING $350,000 PER YEAR OVER A 3-YEAR PERFORMANCE PERIOD TO IMPLEMENT HRSA-22-016 RYAN WHITE HIV/AIDS PROGRAM PART C EARLY INTERVENTION SERVICES PROGRAM: NEW GEOGRAPHIC SERVICE AREAS. THE PROJECT WOULD SERVE THE PROPOSED NEW SERVICE AREA OF GREATER DANBURY CONNECTICUT, WHICH IS LOCATED IN FAIRFIELD COUNTY. APEX COMMUNITY CARE, INC., (FORMERLY, AIDS PROJECT GREATER DANBURY, INC.) IS A NONPROFIT (501C3) ORGANIZATION FOUNDED IN 1987 BY A GROUP OF LOCAL RESIDENTS MOTIVATED BY A PASSIONATE CONCERN FOR PEOPLE LIVING WITH HIV/AIDS AND THE IMPACT OF THE AIDS PANDEMIC IN THE GREATER DANBURY COMMUNITY. APEX COMMUNITY CARE HAS 34 YEARS OF EXPERIENCE PROVIDING COMPREHENSIVE OUTPATIENT PRIMARY HEALTH CARE AND SUPPORT SERVICES TO PEOPLE WITH HIV LIVING IN WESTERN CONNECTICUT. THE MISSION OF APEX COMMUNITY CARE IS TO ADVOCATE FOR AND PROVIDE SERVICES TO PEOPLE LIVING WITH HIV/AIDS, MENTAL HEALTH AND SUBSTANCE USE DISORDERS, THEIR FAMILIES, AND LOVED ONES, AND TO ACTIVELY PROMOTE EDUCATION AND PREVENTION IN THE COMMUNITY. APEX HAS SIGNIFICANT EXPERIENCE AND PROVEN CAPABILITY IN THE ADMINISTRATION OF FEDERAL FUNDS AND MULTIPLE GRANT AWARDS. ALL ADMINISTRATIVE STAFF ASSIGNED TO THIS PROJECT HAVE EXPERIENCE MANAGING MULTIPLE FEDERAL GRANTS. ACCORDING TO THE CT DEPARTMENT OF PUBLIC HEALTH, IN 2019 THERE WERE 310 PEOPLE LIVING WITH HIV (PLWH) IN GREATER DANBURY CONNECTICUT, WHICH INCLUDES THE CITIES/TOWNS OF BETHEL, BROOKFIELD, DANBURY, NEW FAIRFIE LD, NEWTOWN, REDDING, RIDGEFIELD, AND SHERMAN. THROUGH APEX’S PART A & B FUNDING, WE SERVED ONLY 145 IN 2020. THERE WERE 32 NEWLY DIAGNOSED CASES OF HIV IN GREATER DANBURY FROM 2015-2019. THE TARGET POPULATIONS WE HAVE CHOSEN TO ADDRESS ARE MEN WHO HAVE SEX WITH MEN (MSM), WITH AN EMPHASIS ON MSM OF COLOR, AND INCLUSIVE OF THOSE WHO ARE MALE TO FEMALE TRANSGENDER, AS WELL AS BLACK HETEROSEXUAL WOMEN. THESE TARGET POPULATIONS ARE IN KEEPING WITH THE PRIORITY POPULATIONS OUTLINED IN “CONNECTICUT’S INTEGRATED HIV PREVENTION AND CARE PLAN 2017-2021” APEX WILL USE RWHAP PART C FUNDING TO ADDRESS GAPS AND BARRIERS IN THE CARE CONTINUUM BY PROVIDING COMPREHENSIVE PRIMARY HEALTH CARE AND SUPPORT SERVICES IN AN OUTPATIENT SETTING FOR LOW INCOME, UNINSURED, AND UNDERSERVED PEOPLE WITH HIV. WE PROPOSE TO PROVIDE PRIMARY OUTPATIENT MEDICAL CARE, SUBSTANCE ABUSE OUTPATIENT CARE; AND THE SUPPORT SERVICES OF MEDICAL TRANSPORTATION, EMERGENCY FINANCIAL ASSISTANCE AND FOOD BANK. SUPPORT FOR QUALITY MANAGEMENT ACTIVITIES IS ALSO BEING REQUESTED.

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

MEETING INCREASED COMMUNITY BEHAVIORAL HEALTH NEEDS THROUGH EXPANDED ACCESS - RIVERSIDE COMMUNITY CARE, A NON-PROFIT BEHAVIORAL HEALTHCARE CENTER PROPOSES, MEETING INCREASED COMMUNITY BEHAVIORAL HEALTH NEEDS THROUGH EXPANDED ACCESS, IN RESPONSE TO THE SURGING NEED FOR MENTAL HEALTH AND SUBSTANCE USE SERVICES SINCE THE COVID-19 PANDEMIC. THE PROJECT WILL INCREASE CLINICAL AND PEER STAFF AND EXPAND AVAILABLE HOURS TO MAKE VITAL SERVICES ACCESSIBLE TO HUNDREDS OF PEOPLE WHO ARE CURRENTLY UNABLE TO ACCESS CARE. RIVERSIDE STRETCHED ITS RESOURCES AND PROVIDED 10,000 MORE OUTPATIENT BEHAVIORAL HEALTH SERVICES IN THE HIGH-DEMAND NORWOOD AND MILFORD AREAS OF MASSACHUSETTS TO BETTER ADDRESS COMMUNITY NEED DURING THE FIRST YEAR OF THE PANDEMIC; DESPITE THIS, THE GROWING CALL FOR HELP DEMANDS MORE SUPPORT. THIS PROJECT WOULD ENABLE RIVERSIDE OUTPATIENT CENTERS TO SERVE AT LEAST 300 MORE INDIVIDUALS OF ALL AGES WITH SERIOUS MENTAL ILLNESS (SMI), SEVERE EMOTIONAL DISTURBANCE (SED), AND CO-OCCURRING DISORDERS (COD) EACH YEAR IN THIS 2-YEAR PROGRAM BY ADDING INCREASED CLINICAL, MEDICAL AND PEER PROFESSIONALS, EXPANDING MEDICATION SERVICES AND HOURS, AND ENHANCING TECHNOLOGICAL CAPABILITY TO ADDRESS NEEDS QUICKLY AND THOROUGHLY. EXPANSION OF OUR OUTPATIENT SERVICES IS AT THE CRUX OF OUR PROJECT PROPOSAL. WITH MANY INDIVIDUALS WITH SMI EXPERIENCING EXACERBATION OF SYMPTOMS DURING THE PANDEMIC, THERE ARE ALSO MANY SEEKING BEHAVIORAL HEALTHCARE FOR THE FIRST TIME DUE TO SED. TO ADDRESS BOTH, WE WILL ADD BRIEF TREATMENT THERAPISTS (YOUTH/FAMILY, ADULT, AND TRILINGUAL) WHO UTILIZE EVIDENCE-BASED PRACTICES LIKE CBT TO ADDRESS MILD-MODERATE ANXIETY, DEPRESSION, AND ADJUSTMENT DISORDERS (SED) TO PROVIDE FOCUSED, SHORTER-TERM TREATMENT WITH A HIGH LEVEL OF CARE COORDINATION. THIS ALLOWS OUR OTHER THERAPISTS TO WORK WITH INDIVIDUALS WITH SMI WHO NEED LONGER-TERM TREATMENT. INCREASING ACCESS TO MEDICATION ASSISTED TREATMENT, PARTICULARLY URGENT ACCESS TO INDUCTION, IS KEY TO ADDRESSING INCREASED OPIOID OVERDOSES IN OUR AREA. NURSING AND MEDICAL ASSISTANTS WILL JOIN OUR TEAM TO SUPPORT WITHDRAWAL MANAGEMENT AND MEDICAL CARE COORDINATION. WE WILL ALSO BE EXPANDING OUR PSYCHIATRIC PRESCRIBING AND CONSULTATION CAPACITY DURING EVENINGS AND WEEKENDS THROUGH UTILIZATION OF TELEPSYCHIATRY WITH GENOA HEALTHCARE, OUR DEDICATED PHARMACY PROVIDER. A PEER/RECOVERY COACH WITH LIVED EXPERIENCE WILL BE IN OUR OUTPATIENT MILIEUS, PROVIDING SUPPORT TO INDIVIDUALS FOCUSED ON DECREASING STIGMA AND REMOVING BARRIERS TO CARE. WE WILL ENHANCE OUR TECHNOLOGICAL CAPABILITIES FOCUSED ON INCREASING ACCESS AND QUALITY OF CARE. WE WILL INVEST IN A PLATFORM TO SHARE RECORDS LIKE LABS AND HOSPITAL ADMISSIONS SECURELY AND IN REAL-TIME. TRAINING AND STAFF SUPPORT USING EVIDENCE-BASED PRACTICES WILL PROVIDE THE EDUCATION AND CARE THAT OUR STAFF NEED TO PROVIDE OPTIMAL CARE. WE WILL LEVERAGE THE RIVERSIDE TRAUMA CENTER TO PROVIDE TRAUMA-INFORMED CARE TRAINING AND CONSULTATION, INCLUDING FOCUS ON USING A TRAUMA-INFORMED LENS WITH SBIRT SCREENING. TRAUMA CENTER WILL PROVIDE ACCESS TO EMDR CERTIFICATION TRAINING AND A MONTHLY STAFF COPING GROUP WITH A UNIQUE NERVOUS SYSTEM STABILIZATION APPROACH.

SOUTHWEST CENTER RECOVERY-ORIENTED CULTURALLY-HOLISTIC PROJECT (SWC-ROCH) - PROJECT NAME: SOUTHWEST CENTER – RECOVERY-ORIENTED CULTURALLY HOLISTIC PROJECT. SOUTHWEST CENTER FOR HIV/AIDS (SWC) IS PREPARED TO STRATEGICALLY OUTREACH AND ENGAGE MEDICALLY UNDERSERVED RACIAL AND ETHNIC INDIVIDUALS AT RISK FOR OR LIVING WITH HIV THROUGH DIVERSE PARTNERS AND COMMUNITY LINKAGES. SWC-ROCH PROJECT WILL EXPAND SERVICES FOR SUBSTANCE USE DISORDERS (SUDS)/MENTAL HEALTH CONDITIONS (COD) OFFERING A STATUS-NEUTRAL APPROACH TO DELIVER WHOLE-PERSON CARE – HIV/VIRAL HEP A&C SERVICES IN MARICOPA COUNTY, AZ. POPULATION SERVED: SWC-ROCH PROJECT SPECIFICALLY TARGETS BLACK MEN, LATINO MEN, LATINO YOUTH/YOUNG ADULTS, ANDBLACK WOMEN AT RISK FOR OR LIVING WITH HIV IN MARICOPA COUNTY, ARIZONA (PRIORITY JURISDICTIONS CDC - ENDING THE HIV EPIDEMIC (EHE). STRATEGIES/INTERVENTIONS: OUTREACH, DIVERSE NETWORK CHICANOS POR LA CAUSA AND ONE-N-TEN, TESTING/ENGAGEMENT, CASE MANAGEMENT, PEER NAVIGATORS, SUD/COD TREATMENT, AND EVIDENCE-BASED PRACTICES/SERVICES (E.G., MATRIX MODEL, SMART RECOVERY, COGNITIVE BEHAVIORAL THERAPY, INTENSIVE OUTPATIENT PROGRAMS). GOALS/MEASURABLE OBJECTIVES: GOAL 1) EXPAND ONGOING EFFORTS IN MARICOPA COUNTY, AZ TO STRATEGICALLY ENGAGE MEDICALLY UNDERSERVED RACIAL AND ETHNIC INDIVIDUALS AT RISK FOR OR LIVING WITH HIV BY OFFERING A STATUS-NEUTRAL APPROACH TO DELIVER WHOLE-PERSON CARE – A SYNDEMIC APPROACH – WEAVING ACCESS TO SUBSTANCE USE DISORDERS (SUDS), MENTAL HEALTH CONDITIONS (COD), HIV, AND VIRAL HEPATITIS SERVICES, AND TREATMENTS. OBJECTIVE 1.1. EXPAND OUTREACH STRATEGIC ACTIVITIES IN DIVERSE UNDERSERVED COMMUNITIES TO ENGAGE TARGET POPULATION OFFERING STATUS-NEUTRAL SUDS AND/OR CO-OCCURRING SUDS/COD TREATMENT AND RECOVERY SUPPORT SERVICES AS MEASURED ANNUALLY BY 2 DIVERSE PARTNERSHIPS, 4 OUTREACH ACTIVITIES, 760 UNDUPLICATED CLIENTS, AND 100 REFERRALS FOR SELF-TEST KITS. OBJECTIVE 1.2. EXPAND CAPACITY TO PROVIDE EVIDENCE-BASED SUDS/COD TREATMENT AND RECOVERY SUPPORT SERVICES TARGET POPULATION OFFERING 2 INTENSIVE OUTPATIENT PROGRAMS (IOPS) 1) ADULT IOPS LGBTQIA2S+ AS MEASURED BY 60 ADULTS ANNUALLY SERVED; AND 2) YOUTH IOPS FOR AGES 14-17 AS MEASURED BY 30 YOUTH ANNUALLY SERVED. OBJECTIVE 1.3 PROVIDE EVIDENCE-BASED SUD/COD TREATMENT AND RECOVERY SUPPORT SERVICES FOR TARGET POPULATION AS MEASURED ANNUALLY BY 2,600 OUTPATIENT SERVICES (3 SESSIONS PER WEEK) AND 100 REFERRALS TO VALLEYWISE FDA MEDICATIONS. OBJECTIVE 1.4. OFFER PARTICIPANTS AND THEIR PARTNERS WHO USE DRUGS AND/OR SEXUAL PARTNERS HIV RAPID PRELIM ANTIBODY TESTING RAPID FOURTH-GENERATION HIV TESTING AS MEASURED BY 2,000 HIV TESTS. GOAL 2) SWC AIMS TO REDUCE PREVALENCE OF SUD/COD/HIV/VIRAL HEP A&C INCREASING ACCESS/LINKAGE TO HIV TREATMENT FOR TARGET POPULATION WITH SUDS LIVING WITH HIV. OBJECTIVE 2.1. PROVIDE ON-SITE PRELIM HIV TESTING TO INCREASE LINKAGE WHEN POSITIVE TO CONFIRMATORY TESTING, STATUS-NEUTRAL FOLLOW-UP AS MEASURED ANNUALLY BY 2,000 SCREENINGS/ASSESSMENTS; 250 CLIENTS CONNECTED WITH SUD/COD SERVICES; 20 PRELIMINARY ASSESSMENTS OF CLIENTS CONNECTED TO RYAN WHITE SERVICES; AND 1,000 HEPATITIS B AND C TESTS. OBJECTIVE 2.2. PROVIDE EDUCATION, CASE MANAGEMENT, REFERRALS/ LINKAGES TO PREP SERVICES AS MEASURED BY 300 CLIENTS WITH PREP SERVICES (NEGATIVE HIV) SAME-DAY APPOINTMENTS, 2,000 CLIENTS PREP EDUCATION, AND 50% CLIENTS PREP COMPLIANCE. OBJECTIVE 2.3. PROVIDE EDUCATION, CASE MANAGEMENT, AND REFERRAL/LINKAGES TO PEP SERVICES AS MEASURED BY 55 CLIENTS SAME-DAY APPOINTMENTS WITH SWC PROVIDERS, 55 CLIENTS PEP EDUCATION, AND 55 CLIENTS OFFERED A TRANSITION TO PREP SERVICES. OBJECTIVE 2.4. PROVIDE SUD/COD CERTIFICATIONS FOR EB PRACTICES AND SERVICES INCLUDING MATRIX IOP, SMART RECOVERY AS MEASURED BY COMPLETION OF 2 CERTIFICATION. SWC-ROCH PROJECT WILL PROVIDE 4,300 UNDUPLICATED INDIVIDUALS WITH SERVICES DURING THE 5-YEAR PROJECT PERIOD.

THE TOWN OF BABYLON CARES COLLABORATIVE PROJECT (TOBCCP)

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

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

HEALTH CENTER CONTROLLED NETWORKS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RESTORE HOPE EARLY DIVERSION PROGRAM - BREATHITT, WOLFE, LEE, OWSLEY, LESLIE, LETCHER, KNOTT AND PERRY COUNTY ARE REMOTE RURAL COUNTIES LOCATED IN THE APPALACHIAN REGION OF EASTERN KENTUCKY. THE COUNTIES COMPRISE THE KENTUCKY RIVER REGION, 5TH U.S. CONGRESSIONAL DISTRICT. FOUR ARE DESIGNATED PROMISE ZONE AND OPPORTUNITY ZONE COUNTIES. KENTUCKY HAS THE HIGHEST INCARCERATION RATE OF ADULTS IN THE COUNTRY. DESPITE THE LACK OF POPULATION DENSITY, THE KYHEALTHFACTS DATA SUPPORTS THAT THIS EASTERN KY REGION KEEPS PACE WITH THE MORE URBAN PARTS OF THE STATE, ESPECIALLY WITH DRUG ARRESTS PER 100,000 (REGION 2261 VS STATE 2301). ACCORDING TO MEASURE OF AMERICA (2021), THE DISTRICT RANKS NEXT TO LAST IN THE NATION WITH 23.5% OF YOUTH 16-24 NOT IN SCHOOL NOR EMPLOYED. BREATHITT COUNTY WAS NAMED AMONG THE TOP 50 COUNTIES IN THE NATION AS PRIORITY FOR INTERVENTION WITH 31.6%. STATUS OFFENSE RATES WERE EQUALLY HIGH, 94/1000 FOR THE STATE WITH 151/1000 FOR PERRY COUNTY. THE KY DEPT OF EDUCATION REPORTS THE HOMELESS RATE FOR STUDENTS ARE THE WORST IN THE STATE, WITH HOMELESS RATE FOR STUDENTS IN PERRY (9.2%) MORE THAN TRIPLE THE STATE 3% AVERAGE. THREE OF OUR TARGET COUNTIES CONTINUE TO HAVE JUVENILE INCARCERATION RATES ABOVE STATE NORMS, AND FIVE HAVE RATES OF 10/1000 OR WORSE. THESE EASTERN KENTUCKY COUNTIES CHOSEN FOR INTERVENTION HAVE AN ESTIMATED 2,296 COURT INVOLVED/RE-ENTRY POPULATION, AGES 18-35. THE NUMBER OF KENTUCKY CHILDREN BEING RAISED BY FOSTER/KINSHIP IS TRENDING UPWARD; HAVING INCREASED 75% BETWEEN 2012- 2014 AND 2016-2018. YOUTH AGING OUT OF CARE ARE IN THE EXTREME RISK CATEGORY FOR UNEMPLOYMENT, ADDICTION, SUICIDE, SCHOOL DROPOUT, INCARCERATION, AND EXPLOITATION. GUIDED BY A CONSORTIUM OF SAFETY NET PROVIDERS, IMPLEMENTATION OF DIVERSION EFFORTS IS BEARING FRUIT. KRCC IS PILOTING A TAY GRANT OFFERING SERVICES AND SUPPORTS VIA DROP-IN CENTERS. THESE CENTERS ARE BEGINNING TO BE USED AS CHECK IN POINTS FOR DJJ INVOLVED YOUTH WHO ARE FULFILLING DIVERSION PLANS OR POST RELEASE PLANS. KRCC IS ALSO A TREATMENT PARTNER WITH LOCAL DRUG COURTS, AND WITH KY SENATE BILL 90 PRIORITIZING ADULT NONVIOLENT CRIME OFFENDER DIVERSION, THE PARTNERS ARE PLANNING HOW TO EXTEND THIS PARTNERSHIP WITH COMMONWEALTH ATTORNEY/JUDICIAL AND LAW ENFORCEMENT TO OFFER ADULT TREATMENT DIVERSION OPTIONS TO PREVENT ARRESTS OR INCARCERATION. THE REGION’S SAMHSA EARLY DIVERSION GRANT APPLICATION, RESTORE HOPE, WILL PROVIDE THE RESOURCES TO ENABLE PARTNER MEMBERS IN THE KY RIVER REGION TO BUILD AN OUTREACH AND ASSESSMENT PROCESS WHEREBY BEHAVIORAL HEALTH, LAW ENFORCEMENT AND OTHER SAFETY NET PROVIDERS WILL PARTICIPATE EARLIER IN THE LEGAL PROCESS, MINIMIZING CLIENT CONTACT WITH CRIMINAL JUSTICE, AND OFFERING A SEAMLESS REFERRAL LINK TO APPROPRIATE TREATMENT INTERVENTIONS AND SOCIAL SUPPORTS IN LIEU OF INCARCERATION. SPECIFICALLY, RESTORE HOPE WILL HIRE OUTREACH COORDINATORS TO LEAD A TEAM THAT WILL 1) COMPLETE MAPPING THE DJJ/JUSTICE SYSTEM AND BEHAVIORAL HEALTH SYSTEM TO IDENTIFY MULTIPLE POINTS OF INTERVENTION AND ESTABLISH A PROTOCOL TO UTILIZE THESE POINTS TO IMPROVE EFFECTIVENESS AND EFFICIENCY IN DIVERSIONS 2) ESTABLISH A SCREENING AND ASSESSMENT PROTOCOL TO USE FOR DIVERSION PLANNING WITH BENCHMARKS FOR FIDELITY THAT INCLUDES EARLY INTERVENTION, CLINICIAN PARTICIPATION IN THE EARLY DETENTION/DIVERSION PROCESS AND 3) DEVELOP ADDITIONAL EVIDENCE BASED TREATMENT OPTIONS AS DETERMINED BY GAPS AND IDENTIFIED NEED. WE PROJECT SERVING 125 REFERRALS IN YEAR 1.

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

SEE SUMMARY ABSTRACT ATTACHMENT

COVER KANSAS NAVIGATOR PROJECT 2024-2029

CCWV SCHOOL BASED BEHAVIORAL HEALTH EXPANSION AND SUPPORT - COMMUNITY CARE OF WEST VIRGINIA (CCWV) IS EMBARKING ON A PROJECT TO PROVIDE BEHAVIORAL HEALTH IN ALL OF ITS FIFTY-FOUR SCHOOL BASED WELLNESS CENTER LOCATIONS SPANNING SIX RURAL COUNTIES IN NORTH CENTRAL WEST VIRGINIA. THIS PROJECT WILL DIRECTLY ADDRESS THE MENTAL HEALTH OF ITS ADOLESCENT POPULATION AND IN ADDITION THE EDUCATIONAL, DEVELOPMENTAL, AND/OR TRAUMATIC EFFECTS COVID-19 RELATED ISOLATION HAS HAD ON THIS POPULATION. CCWV WILL BE HIRING BEHAVIORAL HEALTH STAFF FOR EACH AREA TO THAT WILL INCLUDE A TEAM CONSISTING OF AN LICSW, LGSW, AND CASE MANAGER. THESE STAFF WILL INTEGRATE CARE WITH CCWV’S CURRENT PRIMARY CARE PROVIDERS IN THESE SCHOOLS. THESE STAFF MEMBERS WILL WORK WITH OUR SCHOOL SYSTEM PARTNERS TO DEVELOP A PROGRAM BASED ON A HOLISTIC APPROACH TO THE STUDENT’S HEALTH AND WELLBEING USING THE SOCIAL DETERMINANTS OF HEALTH MODEL TO ENSURE ALL THE STUDENTS PHYSICAL, SOCIAL AND EMOTIONAL NEEDS ARE BEING MET. MANY STUDENTS HAVE BEEN ISOLATED THROUGHOUT THE COVID-19 PANDEMIC WHICH HAS LED TO A RISE IN SUICIDE ATTEMPTS AND DEATHS. CCWV WILL DIRECTLY ADDRESS SUICIDE PREVENTION, EATING DISORDERS, TRAUMA ABUSE AND NEGLECT, CHRONIC DISEASE MANAGEMENT, PSYCHIATRIC MEDICATION MANAGEMENT, ANXIETY AND ALL OTHER MENTAL HEALTH NEEDS OF CCWV’S STUDENT POPULATION THE COUNTIES IT SERVES. CCWV WILL ALSO EXPAND THE USE OF THE PAXIS INSTITUTE’S GOOD BEHAVIOR GAME (PAX GBG) WHICH IS A SAMHSA APPROVED EVIDENCE BASED PREVENTION MODEL. CURRENTLY, PAX GBG IS BEING USED IN THREE COUNTIES INCLUDED IN THIS PROJECT. CCWV WILL IMPLEMENT THIS MODEL INTO THE ADDITIONAL THREE COUNTIES AND EXPAND THE USE IN THE THREE EXISTING COUNTIES. THIS WILL BE DIRECTED BY THE PREVENTION SPECIALIST POSITION. CCWV WILL ALSO COLLABORATE WITH ITS SCHOOL SYSTEM PARTNERS TO DEVELOP INTENSIVE OUTPATIENT PROGRAMS IN THE COUNTIES WE SERVE. CCWV CURRENTLY HAS A PROGRAM IN UPSHUR COUNTY THAT SERVES STUDENTS THAT ARE SUFFERING FROM A SUBSTANCE USE DISORDER. THESE STUDENTS REPORT TO A SPECIAL ALTERNATIVE LEARNING LOCATION WHERE THEY RECEIVE TREATMENT AND EDUCATION IN A COMBINED SUPPORTIVE PROGRAM. CCWV IS ALSO WORKING WITH LEWIS COUNTY SCHOOLS TO IMPLEMENT AN ALTERNATIVE LEARNING IOP PROGRAM FOR CHILDREN IN EARLY ELEMENTARY SCHOOL THAT HAVE FACED TRAUMA OR DEVELOPMENT DELAYS FROM SUD HOUSEHOLDS, UNSTABLE LIVING SITUATIONS AND IN SOME CASES WERE EXPOSED TO NEONATAL ABSTINENCE SYNDROME (NAS).

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

EARLY HEAD START

SOUTHWEST CENTER WAYS TO SCALE UP PREVENTION (SWC WSUP) PROJECT - SOUTHWEST CENTER WAYS TO SCALE UP PREVENTION (SWC WSUP) PROJECT WILL PROVIDE AFFIRMING, STIGMA- AND DISCRIMINATION-FREE HIV AND STI PREVENTION AND LINKAGE TO CARE SERVICES FOR FOUR (4) PRIORITY POPULATIONS AND THREE (3) GROUPS OF INTEREST DISPROPORTIONATELY IMPACTED BY THE SYNDEMIC OF HIV/STIS AND FACING HEALTH DISPARITIES IN MARICOPA COUNTY, AZ, A DESIGNATED ENDING THE HIV EPIDEMIC IN THE U.S. (EHE) PRIORITY JURISDICTION. HISTORICALLY AND HOLISTICALLY SOUTHWEST CENTER’S OUTPATIENT SEXUAL HEALTH CLINIC AND EXPERIENCED STAFF CONTINUE TO ADDRESS THE SYNDEMIC OF HIV/STI, VIRAL HEPATITIS, HIGH-RISK SUBSTANCE USE, AND SDOH THAT IMPACT HEALTH DISPARITIES/INEQUITIES FACED BY OUR PRIORITY POPULATIONS AND GROUPS OF INTEREST AS FOLLOWS: 1) MSM, ESPECIALLY OF COLOR; 2) YOUTH (AGES 13 TO 34), ESPECIALLY OF COLOR; 3) GENDER EXPANSIVE PERSONS (E.G., TRANSGENDER, NONBINARY, TWO-SPIRIT, ETC.); 4) INDIVIDUALS WHO USE/HAVE USED SUBSTANCES/DRUGS; AND GROUPS OF INTEREST A) PERSONS OF COLOR; B) PERSONS EXPERIENCING MENTAL HEALTH CHALLENGES; AND C) PERSONS EXPERIENCING HOUSING INSTABILITY/HOMELESSNESS. OUR PROJECT UTILIZES EVIDENCE-BASED/ EVIDENCE-INFORMED (EB/EI) APPROACHES TO ADDRESS BARRIERS TO ACCESS FOR HIV/STI PREVENTION CARE SERVICES. WITH A DUEL-PRONG APPROACH FOR STRATEGY A ACTIVITIES TO STRENGTHEN CLINIC INFRASTRUCTURE AND B ACTIVITIES DESIGNED TO FOSTER STRATEGIC PARTNERSHIPS, SWC IDENTIFIED FIVE (5) GAPS 1) CARE TEAM MEETINGS, 2) PATIENT EXPERIENCE COACH, 3) EMR INFRASTRUCTURE, 4) CASE MANAGEMENT, AND 5) TRANSPORTATION. SWC WSUP PROJECT SHORT-TERM (ST), INTERMEDIATE-TERM (IT), AND LONG-TERM (LT) OUTCOMES ARE: ST1- ENHANCED ADOPTION OF OPTIMAL SEXUAL HEALTH SERVICES AND CLINIC MODELS FOR THE PROVISION OF QUALITY STI-RELATED CLINICAL CARE. ST2- INCREASED UNDERSTANDING OF AND RESPONSIVENESS TO PATIENTS’ EXPERIENCES, SATISFACTION, AND NEEDS. ST3- INCREASED IDENTIFICATION OF NEW HIV AND STI INFECTIONS AND OF PERSONS WITH HIV WHO ARE OUT OF CARE OR NOT VIRALLY SUPPRESSED. ST4- INCREASED PERSONS ELIGIBLE FOR PREP WHO WERE PRESCRIBED PREP AT THE CLINIC. ST5- INCREASED COLLABORATION AND ENGAGEMENT WITH LOCAL PARTNERS AND COMMUNITY MEMBERS TO INFORM SEXUAL HEALTH SERVICE DELIVERY, ESPECIALLY PRIORITY POPULATIONS AFFECTED BY THE HIV/STI SYNDEMIC. IT1- INCREASED RAPID LINKAGE TO HIV MEDICAL CARE FOR PERSONS NEWLY DIAGNOSED WITH HIV IN A SEXUAL HEALTH CLINIC. IT2- INCREASED RECEIPT OF RECOMMENDED, TIMELY STI PREVENTION/TREATMENT INTERVENTIONS FOR PATIENTS AND PARTNERS. IT3- INCREASED RECEIPT OF RAPID ANTIRETROVIRAL THERAPY (ART) IN SEXUAL HEALTH CLINICS FOR PERSONS WITH NEWLY DIAGNOSED HIV. IT4- SUSTAINED COMMUNITY PARTNERSHIPS TO INFORM STRATEGIC EHE PLANNING AND ACTIVITY IMPLEMENTATION. IT5- INCREASED CLINIC CAPACITY TO PROVIDE AFFIRMING, STIGMA- AND DISCRIMINATION-FREE HIV PREVENTION, LINKAGE TO CARE SERVICES. IT6- IMPROVED PATIENT FLOW, INCREASED PATIENT VOLUME AND ABILITY TO SERVE PATIENTS MORE EFFICIENTLY, INCLUDING TIMELY TESTING AND TREATMENT. IT7- INCREASED PREP ADHERENCE AND PERSISTENCE. IT8- INCREASED RE-ENGAGEMENT TO CARE FOR PERSONS WITH HIV WHO ARE OUT OF CARE OR NOT VIRALLY SUPPRESSED. LT1- INCREASED DELIVERY AND UPTAKE OF STIGMA-FREE, QUALITY COMPREHENSIVE SEXUAL HEALTH SERVICES. LT2- INCREASED VIRAL SUPPRESSION AMONG PERSONS WITH HIV. LT3- REDUCED NEW HIV AND STI INFECTIONS. LT4- REDUCED HIV/STI DISPARITIES INCLUDING RACIAL, ETHNIC, GENDER, AND SEXUAL ORIENTATION DISPARITIES. BY UTILIZING EB/EI APPROACHES TO HIV/STI PREVENTION CARE, WE WILL IMPROVE CLINIC EFFICIENCY, ENHANCE EXPRESS SERVICES, IMPROVE CLIENT-CENTERED WHOLE-PERSON CARE, EXPAND EMR WITH PRESS GANEY PATIENT EXPERIENCE PLATFORM, AND IMPLEMENT A RECIPROCAL REFERRAL SYSTEM TO FURTHER FACILITATE TIMELY, COMPASSIONATE CARE. TO GUIDE YEAR 1 EFFORTS, OUR WORK PLAN WILL USE STRATEGY A AND B ACTIVITIES AS WE COLLABORATE WITH THE CDC TO REFINE OUR SWC WSUP WORK PLAN AS IT PROGRESSES TO ENSURE PROJECT EFFORTS UTILIZE A SYNDEMIC APPROACH TO ADDRESS HIV/STIS IN MARICOPA COUNTY.

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

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - FOR MORE THAN 40 YEARS, THE SCIENTIFIC AND MEDICAL COMMUNITIES HAVE BEEN WORKING TO UNDERSTAND HIV/AIDS AND TO DEVELOP DIAGNOSTIC AND TREATMENT METHODS TO BRING THE EPIDEMIC UNDER CONTROL WITH THE GOAL OF ERADICATING THE ILLNESS. MANY DIAGNOSTIC AND TREATMENT ADVANCES HAVE GIVEN NEW HOPE TO THOSE WHO ARE AT RISK FOR CONTRACTING HIV AND TO THOSE WHO ARE LIVING WITH THE DISEASE, MANY OF WHOM CAN LIVE LONG, PRODUCTIVE LIVES. THE CDC’S ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA HAS IDENTIFIED 48 COUNTIES AND 7 STATES, INCLUDING KENTUCKY, WHERE HIV TRANSMISSION OCCURS MOST FREQUENTLY. WHILE THE ENTIRE STATE OF KENTUCKY HAS A HIGH HIV/AIDS BURDEN, THE DIVERSE SERVICE AREA AND HOMELESS POPULATION SERVED BY AACCC HAVE BEEN PARTICULARLY HARD HIT. SOCIAL STIGMA, LACK OF PREVENTION EDUCATION, LIMITED TESTING AND TREATMENT RESOURCES, AND A RELUCTANCE BY SOME IN THE MEDICAL COMMUNITY TO ACKNOWLEDGE THE ISSUE ALL CONTRIBUTE TO THE BARRIERS WHICH PREVENT A SYSTEMATIC APPROACH TO ADDRESSING THE HIV/AIDS EPIDEMIC. WITH THIS PCHP FUNDING, AACCC WILL CREATE PROGRAMS AND SERVICES TO INCREASE AWARENESS AND REDUCE THE STIGMA OF THE DISEASE, TEST AND COUNSEL ALL HEALTH CENTER PATIENTS AT LEAST ONCE AND DEVELOP A COMMUNITY OUTREACH PROGRAM TO EXPAND TESTING TO MORE OF THE SERVICE AREA POPULATION, IDENTIFY PEOPLE WHO COULD BENEFIT FROM PREP MEDICATIONS, AND PROVIDE HIV/AIDS CARE TO PEOPLE WHO TEST POSITIVE. AACCC IS UNIQUELY POSITIONED TO PROVIDE HIV/AIDS SERVICES TO SIX WESTERN KENTUCKY COUNTIES WHICH INCLUDE BOTH URBAN AND RURAL COMMUNITIES (DAVIESS, HANCOCK, HENDERSON, MCLEAN, OHIO AND UNION COUNTIES). AACCC IS AN ESTABLISHED FQHC WITH 46 YEARS OF EXPERIENCE WORKING WITH VULNERABLE POPULATIONS INCLUDING THE HOMELESS, AND LOW-INCOME, MINORITY URBAN AND RURAL COMMUNITIES TO EVALUATE AND RESPOND TO THEIR HEALTH CARE NEEDS. IN 2020, AACCC TREATED 722 UNIQUE INDIVIDUALS AGE15-65 LIVING IN THE SERVICE AREA, AND OVER THE NEXT SEVERAL YEARS WILL TEST AND COUNSEL BOTH E XISTING AND ALL NEW PATIENTS AT LEAST ONCE FOR HIV. OF AACCC’S EXISTING PATIENTS, 4 ARE KNOWN TO BE HIV POSITIVE AND NEARLY 200 ARE CLASSIFIED AS HIGH-RISK AND ELIGIBLE FOR PREP SERVICES, INCLUDING THOSE WHO HAVE TESTED POSITIVE FOR AN STI, THOSE LIVING WITH HEP C, AND THOSE WHO ARE INTRAVENOUS DRUG USERS. CURRENTLY, THERE ARE NO PATIENTS WHO ARE RECEIVING PREP SERVICES INDICATING AN IMMEDIATE OPPORTUNITY TO PROVIDE THIS CARE. AACCC WILL ENHANCE ITS HIGH-RISK SCREENING PROCESS TO BETTER IDENTIFY PATIENTS WHO COULD BENEFIT FROM PREP SERVICES AND WILL WORK TO ESTABLISH TREATMENT PLANS TO HELP ALL IDENTIFIED INDIVIDUALS REMAIN HIV/AIDS FREE. AACCC WILL HAVE TWO FNPS WHO ARE TRAINED AND CERTIFIED TO PROVIDE HIV SPECIFIC CARE. ALL NEWLY DIAGNOSED PATIENTS WILL BE REFERRED TO THESE FNPS AND ANY EXISTING PATIENTS WITH AN HIV DIAGNOSIS CAN CHOOSE TO RECEIVE HIV SPECIFIC CARE AT THE HEALTH CENTER. IN ADDITION, AACCC WILL PROVIDE COMMUNITY TESTING AND EDUCATION EVENTS TO REACH OTHERS IN THE SERVICE AREA WHO DO NOT USE THE HEALTH CENTER FOR PRIMARY CARE. AACCC WILL LEVERAGE ITS ESTABLISHED RELATIONSHIPS AND WILL WORK WITH OTHER COMMUNITY ORGANIZATIONS WHO SERVE POPULATIONS WHERE HIGH-RISK BEHAVIORS EXIST TO SCHEDULE TESTING EVENTS. TESTING WILL BE FREE OF CHARGE, AND INDIVIDUALS WHO SCREEN POSITIVE OR MEET THE CRITERIA FOR PREP WILL BE REFERRED TO THE HEALTH CENTER FOR FOLLOW-UP CARE. TO ENHANCE THE ORGANIZATION’S ABILITY TO DIAGNOSE AND TREAT HIV/AIDS, AACCC WILL EDUCATE ALL PROVIDERS AND STAFF ABOUT HIV/AIDS TO HELP REDUCE THE STIGMA SURROUNDING THE DISEASE, PRESCRIBING PREP, AND TREATING PATIENTS WHO TEST POSITIVE.

YOUTH HOMELESSNESS DEMONSTRATION PROGRAM

HEALTHY MARRIAGE INITIATIVE

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

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

RESEARCH CAPABILITY TO STUDY COMPARATIVE EFFECTIVENESS IN COMPLEX PATIENTS

HEALTH CENTER INFRASTRUCTURE SUPPORT

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

"PATHWAYS TO CARE" WILL EXPAND THE EXISTING DEMENTIA-CAPABLE SERVICES SYSTEM IN SOUTHEAST FLORIDA BY PROVIDING EDUCATION AND RESOURCES FOR INDIVIDUAL

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

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

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

PROMOTING REOPONSIBLE FATHERHOOD

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

VETERANS WORKFORCE INVESTMENT PROGRAM (VWIP)

ARRA - CAPITAL IMPROVEMENT PROGRAM

TRANSITIONAL LIVING PROGRAM

YOUTH HOMELESSNESS DEMONSTRATION PROGRAM

LINDENHURST COMMUNITY CARES COALITION, INC., - TO ESTABLISH AND STRENGTHEN COLLABORATION WITH ALL SECTORS OF OUR COMMUNITY AND TO REDUCE SUBSTANCE MISUSE AMONG YOUTH IN LINDENHURST NY 11757.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - COMMUNITY CARE OF WEST VIRGINIA WILL EXPAND BEHAVIORAL HEALTH FOR BOTH MENTAL HEALTH SERVICES AND TREATMENT FOR A SUBSTANCE USE DISORDER, INCLUDING TREATMENT WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD). THE EXPANDED BEHAVIORAL HEALTH SERVICES WILL FOLLOW AN INTEGRATED CARE MODEL WITH PRIMARY CARE SERVICES TO INCREASE ACCESS TO A CONTINUUM OF WHOLE-PERSON HEALTHCARE. CCWV IS COMMITTED TO IDENTIFYING AND SERVING THOSE IN RURAL, MEDICALLY UNDERSERVED POPULATIONS AND PROVIDING HEALTHCARE SERVICES REGARDLESS OF THE ABILITY TO PAY. THIS EXPANSION WILL ADDRESS THE BARRIERS AND STIGMA ASSOCIATED WITH RECEIVING BEHAVIORAL HEALTH SERVICES. BARRIERS TO CARE OFTEN INCLUDE MULTIPLE SOCIAL DETERMINANTS OF HEALTH, INCLUDING FOOD INSECURITY, LACK OF AFFORDABLE AND STABLE HOUSING, TRANSPORTATION BARRIERS, AND THE LACK OF HEALTH INSURANCE. WITH A WHOLE-PERSON APPROACH, THESE BARRIERS WILL BE MATCHED WITH COMMUNITY-LEVEL SUPPORTIVE SERVICES TO AID IN THE OVERALL WELL-BEING OF THE PATIENT. CCWV WILL FOCUS ON WORKFORCE DEVELOPMENT TO MINIMIZE GAPS IN THE BEHAVIORAL HEALTH WORKFORCE, INCREASE THE NUMBER OF PROVIDERS TRAINED TO RESPOND TO BEHAVIORAL HEALTH NEEDS, AND IMPROVE THE QUALITY OF CARE PROVIDED BY CCWV STAFF.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - UNION COMMUNITY CARE (H8000495) APPLICATION FOR BEHAVIORAL HEALTH SERVICE EXPANSION.

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

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 COC PROGRAM INCLUDES GRANTS THAT ARE AVAILABLE TO SPECIFIC SUBPOPULATIONS OF PEOPLE EXPERIENCING HOMELESSNESS. THE GRANTS SPECIFICALLY SERVE YOUTH, DEFINED AS HOUSEHOLDS WHERE NO PERSON IS OVER THE AGE OF 24 UNDER THE YOUTH HOMELESS DEMONSTRATION PROGRAM (YHDP). THE GOAL OF THE YOUTH HOMELESSNESS DEMONSTRATION PROGRAM (YHDP) IS TO SUPPORT THE DEVELOPMENT AND IMPLEMENTATION OF A COORDINATED COMMUNITY APPROACH TO PREVENTING AND ENDING YOUTH HOMELESSNESS AND SHARING THAT EXPERIENCE WITH AND MOBILIZING COMMUNITIES AROUND THE COUNTRY TOWARD THE SAME END. THE NOTICE OF FUNDING OPPORTUNITY (NOFO) FOR NEW YHDP GRANTS IS FOUND AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/YHDP (CHOOSE THE MOST RECENT YHDP NOFO LISTED). THE NOFO FOR YHDP RENEWALS AND REPLACEMENTS IS FOUND AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/COMPETITION (CHOOSE THE MOST RECENT COC/YHDP RENEWAL OR REPLACEMENT NOFO LISTED).; ACTIVITIES TO BE PERFORMED: THESE GRANTS 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. HOMELESSNESS PREVENTION (IN SOME CASES). ELIGIBLE COSTS WITHIN THESE PROJECTS INCLUDE: 1. LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; 2. 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; 3. SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; 4. OPERATING COSTS OF SUPPORTIVE HOUSING; 5. COSTS OF IMPLEMENTING AND OPERATING HMIS; 6. PROJECT ADMINISTRATIVE COSTS; 7. RELOCATION COSTS; AND 8. 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 YOUTH AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT YOUTH FROM BECOMING HOMELESS. 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 OF YOUTH 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: YOUTH DEFINED AS HOUSEHOLDS WHERE NO PERSON IS OVER THE AGE OF 24; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THE COMMUNITY CARE CLINIC OF FRANKLIN BELIEVES EVERYONE DESERVES BASIC HEALTH CARE. OUR MISSION IS TO PROVIDE FREE PRIMARY HEALTH CARE, INCLUDING EDUCATION AND DISEASE PREVENTION, TO LOW INCOME, UNINSURED MEMBERS OF OUR COMMUNITY. WE ACCEPT PATIENTS WITH UP TO 200% OF FEDERAL POVERTY LEVEL HOUSEHOLD INCOME WHO ARE UNINSURED OR ARE UNDERINSURED WITH HIGH DEDUCTIBLE OR LIMITED MEDICAID COVERAGE. WE ARE SEEKING FUNDING FOR THE PURCHASE OF A FACILITY TO SUPPORT THE GROWTH OF THE CLINIC. THE 2021 MACON COUNTY HEALTH ASSESSMENT STATES THAT ACCESS TO CARE IS A TOP CONCERN FOR MACON COUNTY RESIDENTS. “THE TOLL OF COVID-19 ON THE DIRECT HEALTH OF THE COMMUNITY HAS SHIFTED RESOURCES AND IMPACTED OUR COMMUNITY’S CAPACITY TO RESPOND TO EXISTING HEALTH PRIORITIES. MACON HAS EXPERIENCED AN INFLUX OF NEW RESIDENTS FROM URBAN AREAS. ALTHOUGH THIS HAS HAD A POSITIVE IMPACT ON THE ECONOMY, IT HAS PLACED ADDITIONAL STRAINS ON THE CURRENT HEALTHCARE INFRASTRUCTURE AND HOUSING COSTS. “POVERTY LEVELS IN MACON COUNTY TREND ABOVE THE REGION AND STATE ON AVERAGE, AND POVERTY IN MACON COUNTY IS ALSO UNEVENLY DISTRIBUTED WITH FAMILIES WITH CHILDREN AND MINORITIES FACING GREATER BURDEN.” THE HEALTH CARE SAFETY NET IN WESTERN NORTH CAROLINA IS UNDER TREMENDOUS PRESSURE, ACCORDING TO A PROBLEM IDENTIFIED BY WNC NONPROFIT PATHWAYS, WHICH STATES THAT THE PROBLEM HAS WORSENED SINCE 2021, BECAUSE: “OUR STATE AND WESTERN NC REGION HAVE A LARGE NUMBER OF UNINSURED POPULATION THAT IS GROWING. MANY MACON COUNTY RESIDENTS HAVE URGENT AND ONGOING MEDICAL NEEDS WITHOUT THE RESOURCES TO PAY FOR THEM.” “ACCESS TO CARE AND SERVICES IS A BROAD AREA OF CONCERN IN MACON COUNTY. TO QUOTE ONE RESPONDENT ON THE ISSUE OF ACCESS TO CARE AND SERVICES, THERE ARE AN INADEQUATE NUMBER OF HEALTH CARE PROFESSIONALS IN THE PRIMARY CARE AND SPECIALTY CARE AREAS, ESPECIALLY FOR THE LOW-INCOME MEMBERS OF OUR COMMUNITY. OTHER CONCERNS INCLUDE TRANSPORTATION AND ACCESS TO PRIMARY CARE FACILITIE S FOR THE LOW-INCOME MEMBERS OF OUR COMMUNITY.” INCOME IS ANOTHER CONCERN MENTIONED IN THE MACON COUNTY HEALTH ASSESSMENT: “THE MEDIAN HOUSEHOLD INCOME IN MACON COUNTY WAS $39,593 COMPARED TO THE STATE MEDIAN HOUSEHOLD WHICH IS $48,256; THIS IS A $8,663 DIFFERENCE. THE MEDIAN FAMILY INCOME WAS $48,465 COMPARED TO THE STATE WHICH IS $59,667; THIS IS $11,202 DIFFERENCE.” THE MOST RECENT STUDY SHOWED: THE THREE EMPLOYMENT SECTORS IN MACON COUNTY WITH THE LARGEST PROPORTIONS OF WORKERS WERE RETAIL TRADE, ACCOMMODATIONS AND FOOD SERVICES, AND HEALTH CARE AND SOCIAL ASSISTANCE. MACON COUNTY’S RETAIL TRADE PROVIDED 20.21% TO THE WORKFORCE; AN AVERAGE WEEKLY INCOME OF $509.52. ACCOMMODATION AND FOOD SERVICES PROVIDED 16.11% TO THE WORKFORCE; AN AVERAGE WEEKLY INCOME OF $414.86. HEALTH CARE AND SOCIAL ASSISTANCE PROVIDED 14.07% TO THE WORKFORCE WITH AN AVERAGE WEEKLY INCOME OF $663.13. NOTE THE GAP IN AVERAGE WEEKLY WAGES BETWEEN HEALTH CARE AND SOCIAL ASSISTANCE AND RETAIL TRADE AND ACCOMMODATIONS AND FOOD SERVICES. PERSONS IN RETAIL TRADE AND ACCOMMODATIONS AND FOOD SERVICES TEND TO LACK EMPLOYMENT BENEFITS SUCH AS HEALTH INSURANCE AND RETIREMENT PROGRAMS; MANY IN THESE SECTORS ALSO WORK PART TIME AND SOMETIMES AT MULTIPLE JOBS.” AS OF 2021, 23.2% OF THE POPULATION IN MACON COUNTY IS UNINSURED. “LOW-COST HEALTH SERVICES IN MACON COUNTY INCLUDE PRIMARY CARE AT MACON COUNTY PUBLIC HEALTH WHICH CAN OPERATE ON A SLIDING SCALE FEE AND THE COMMUNITY CARE CLINIC OF FRANKLIN AND HIGHLANDS, WHICH PROVIDE MEDICALLY UNDERSERVED WITH HEALTHCARE.” MORE AND MORE NC PEOPLE ARE IN THE ‘COVERAGE GAP,’ MEANING THEY DON’T MAKE ENOUGH MONEY TO BUY PRIVATE INSURANCE AND AREN’T ELIGIBLE FOR MEDICAID.” AS A SAFETY NET ORGANIZATION, WE HAVE HAD TO QUICKLY ADAPT TO THE DEMANDS OF OUR COMMUNITY, BY IMPLEMENTING ADDITIONAL TELEHEALTH APPOINTMENTS IN ADDITION TO INCREASING THE NUMBER OF IN-PERSON CLINICS.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - SUMMIT COMMUNITY CARE CLINIC (CARE CLINIC) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) (HEALTH CENTER PROGRAM GRANT # H80CS28361) BASED IN FRISCO, CO, 75 MILES WEST OF THE DENVER METROPOLITAN AREA. THE CARE CLINIC HAS FACILITIES IN THREE RURAL AND RURAL RESORT COUNTIES (SUMMIT, LAKE, PARK) IN COLORADO’S CENTRAL ROCKY MOUNTAINS, THROUGH WHICH IT PROVIDES INTEGRATED MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES FOR INDIVIDUALS AND FAMILIES WHO EXPERIENCE ECONOMIC CHALLENGES, CULTURAL AND LINGUISTIC BARRIERS, AND LACK OF HEALTH INSURANCE AMONG OTHER BARRIERS TO CARE. THE MISSION OF SUMMIT COMMUNITY CARE CLINIC IS TO PROVIDE EXCEPTIONAL, INTEGRATED PATIENT-CENTERED CARE THAT IS AVAILABLE TO ALL. THE CARE CLINIC’S PATIENT POPULATION IS LARGELY COMPRISED OF THE UNINSURED WORKING POOR, WITH EMPLOYMENT IN THE LOW-PAYING, SEASONAL RESORT SECTOR. IN 2023, 53.4% OF PATIENTS HAD NO INSURANCE (THE HIGHEST RATE SINCE 2016), AS MEDICAID COVERAGE DIPPED TO 20.9%. MORE THAN 53% OF PATIENTS LIVE AT OR BELOW 200% FPL. APPROXIMATELY 40% OF PATIENTS ARE HISPANIC AND APPROXIMATELY 38.2% SPEAK SPANISH AS THEIR PRIMARY LANGUAGE. IN 2023, 938 PATIENTS RECEIVED MENTAL HEALTH SERVICES AND 389 RECEIVED SUD SERVICES AT THE CARE CLINIC. GIVEN THE REMOTE NATURE OF THE SERVICE AREA, ACCESS TO CARE IS A PRESSING CONCERN. THE PROPOSED PROJECT WILL BUILD UPON AND EXPAND THE CARE CLINIC’S EXISTING BEHAVIORAL HEALTH (BH) AND MEDICATION ASSISTED TREATMENT (MAT) SERVICES TO ADDRESS THE PRESSING NEED FOR INCREASED ACCESS TO COORDINATED MENTAL HEALTH AND SUD SERVICES. BH AND SUD CONTINUE TO BE IDENTIFIED AS TOP CONCERNS IN COMMUNITY HEALTH ASSESSMENTS AND PRIORITIES FOR COMMUNITY ACTION IN ALL THREE COUNTIES GIVEN RATES OF DEPRESSION, SUICIDALITY AND/OR SUBSTANCE ABUSE IN EACH OF THE COUNTIES SERVED THAT EXCEED STATE RATES. SOCIAL FACTORS, RANGING FROM THE ISOLATED, RURAL NATURE OF MUCH OF THE SERVICE AREA TO THE RURAL RESORT ENVIRONMENT OF SUMMIT COUNTY, CREATE UNIQUE CHALLEN GES THAT AFFECT SUBSTANCE ABUSE UTILIZATION AND ACCESS TO MENTAL HEALTH SERVICES. ALL THREE COUNTIES ARE HEALTH PROVIDER SHORTAGE AREAS (HPSAS) FOR MENTAL HEALTH. SEVERAL NEW BH RESOURCES NOW EXIST IN THE SERVICE AREA (E.G. SHARED LAW ENFORCEMENT/BH RESPONSE AND STIGMA REDUCTION EFFORTS); HOWEVER, NEW RESOURCES HAVE ALSO INCREASED FRAGMENTATION, POTENTIALLY CONFUSING CLIENTS ABOUT ACCESS TO SERVICES. THE CARE CLINIC WILL PRIORITIZE FOUR AREAS OF SERVICES, INCLUDING: 1) INCREASING COMMUNITY PARTNER ENGAGEMENT AND COLLABORATION VIA MARKETING, OUTREACH AND MOUS TO SUPPORT IMPROVED REFERRAL PATHWAYS AND ACCESS TO CARE; 2) IMPROVING SUD SERVICE DELIVERY VIA INCREASED LICENSED ADDICTION COUNSELOR (LAC) STAFFING, MEDICAL PROVIDER TRAINING ON MOUD, AND IMPROVED ENGAGEMENT OF PATIENTS IN THE MAT PROGRAM; 3) IMPROVED MEDICAL AND BH INTEGRATION VIA TRAINING, SYSTEMIC IMPROVEMENTS, AND RECRUITMENT OF A BILINGUAL BH PROVIDER; AND 4) IMPROVED ACCESS TO MENTAL HEALTH SERVICES VIA PRODUCTIVITY IMPROVEMENTS INCLUDING EMR IMPROVEMENTS AND IMPROVED WORKFLOWS. THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES WILL BE INCREASED THROUGH REFERRALS FROM COMMUNITY PARTNERS, INCREASED ACCESS TO CARE AS A RESULT OF PRODUCTIVITY IMPROVEMENTS (E.G. SCHEDULE IMPROVEMENTS, DECREASED ADMINISTRATIVE TIME REQUIRED IN THE EMR), AND INCREASED COMMUNITY OUTREACH. THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD, WILL BE INCREASED THROUGH REFERRALS FROM COMMUNITY PARTNERS, INCREASED MOUD TRAINING OF MEDICAL PROVIDERS, INCREASED LAC STAFFING, AND INCREASED COMMUNITY OUTREACH RELATED TO MAT SERVICES.

HEALTH CENTER INFRASTRUCTURE SUPPORT

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

PPHF ? 2013 - COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED AND STATE PARTNERSHIP EXCHANGES

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

FY 2023 EXPANDING COVID-19 VACCINATION

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

YOUTH HOMELESSNESS DEMONSTRATION PROGRAM

FISCAL YEAR 2025 EXPANDED HOURS. - COMMUNITY CARE OF WEST VIRGINIA (CCWV) IS A COMMUNITY-BASED, NON-PROFIT, FEDERALLY QUALIFIED HEALTH CENTER SERVING THE NEEDS OF RURAL, MEDICALLY UNDERSERVED POPULATIONS OF A SIGNIFICANT PORTION OF WEST VIRGINIA. IN TOTAL, CCWV CURRENTLY OPERATES MORE THAN 65 SERVICE DELIVERY SITES, SERVING SOME OF THE MOST RURAL AND GEOGRAPHICALLY ISOLATED SECTIONS OF WEST VIRGINIA. CCWV’S MISSION IS TO HELP ITS COMMUNITIES LIVE THE HEALTHIEST LIVES POSSIBLE BY MEETING THEIR IMMEDIATE AND LONG-TERM HEALTHCARE NEEDS. CCWV HAS BEEN PROVIDING HEALTHCARE TO THE MEDICALLY UNDERSERVED, REGARDLESS OF THEIR ABILITY TO PAY, FOR OVER 40 YEARS, AND IT REMAINS FIRM IN ITS COMMITMENT TO IDENTIFYING AND SERVING THOSE MEDICALLY UNDERSERVED. WITH THIS EXPANDED HOURS OPPORTUNITY, CCWV WILL BE RESPONSIVE TO THE PATIENT POPULATION'S NEEDS BY INCREASING ACCESS TO HEALTHCARE SERVICES IN BRIDGEPORT AND MARLINTON LOCATIONS. AS A RESULT, BARRIERS TO CARE WILL BE REDUCED AS PATIENTS WILL HAVE MORE OPPORTUNITIES TO ENGAGE IN PREVENTATIVE CARE.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

CAPITAL DEVELOPMENT

AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

PRIMARY CARE TRAINING AND ENHANCEMENT -- RESIDENCY TRAINING IN STREET MEDICINE - METHODIST HOSPITAL IN SACRAMENTO PROPOSES TO IMPLEMENT THE PRIMARY CARE TRAINING ENHANCEMENT IN STREET MEDICINE (METHODIST PCTE-SM) PROJECT WITHIN ITS ACGME ACCREDITED AND AWARD-WINNING FAMILY MEDICINE RESIDENCY PROGRAM (FMRP) IN SACRAMENTO. THE POPULATION OF CHRONICALLY HOMELESS PEOPLE IN SACRAMENTO IS THE THIRD LARGEST IN THE NATION - TRAILING ONLY BEHIND LOS ANGELES, CALIFORNIA AND NEW YORK CITY. THE METHODIST PCTE-SM PROJECT PROPOSES TO ENHANCE RESIDENT TRAINING IN PROVIDING COMPREHENSIVE, TRAUMA-INFORMED CARE TO INDIVIDUALS EXPERIENCING HOMELESSNESS, INCLUDING THOSE WITH HISTORIES OF INTERPERSONAL VIOLENCE AND HUMAN TRAFFICKING. THIS PROJECT ADDRESSES THE CRITICAL NEED FOR PRIMARY CARE PHYSICIANS EQUIPPED TO MEET THE COMPLEX MEDICAL, BEHAVIORAL HEALTH, AND SOCIAL NEEDS OF THIS VULNERABLE POPULATION. METHODIST PCTE-SM WILL EXPAND AN EXISTING PARTNERSHIP BETWEEN THE FMRP, COMMUNITY AGAINST SEXUAL HARM (CASH), CITY OF REFUGE, AND THE FAMILY JUSTICE CENTER (FJC) TO CREATE AN INTEGRATED CARE MODEL THAT COMBINES DIDACTIC, WORKSHOP, AND EXPERIENTIAL LEARNING IN STREET MEDICINE. RESIDENTS WILL PARTICIPATE IN A LONGITUDINAL CURRICULUM AND DEDICATED ROTATIONS, WORKING ALONGSIDE INTERPROFESSIONAL TEAMS TO PROVIDE PRIMARY CARE, ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH), AND CONNECT INDIVIDUALS WITH ESSENTIAL RESOURCES IN COMMUNITY SETTINGS. LEARNING OBJECTIVES INCLUDE DEVELOPING PROFICIENCY IN BUILDING RAPPORT WITH MARGINALIZED POPULATIONS, PERFORMING PHYSICAL EXAMS IN CHALLENGING ENVIRONMENTS, NAVIGATING COMPLEX SOCIAL SERVICE SYSTEMS, ADVOCATING FOR PATIENTS' NEEDS, AND UNDERSTANDING THE SOCIAL DETERMINANTS OF HEALTH THAT CONTRIBUTE TO HOMELESSNESS AND HEALTH DISPARITIES. THE CURRICULUM WILL EMPHASIZE CHRONIC DISEASE MANAGEMENT, MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT (INCLUDING MEDICATION-ASSISTED TREATMENT), TRAUMA-INFORMED CARE, AND CULTURAL COMPETENCY AND WILL TRAIN 8 NEW RESIDENTS ANNUALLY. SPECIFIC OUTCOMES INCLUDE: (1) ENHANCED RESIDENT KNOWLEDGE, SKILLS, AND CONFIDENCE IN PROVIDING STREET MEDICINE; (2) STRONGER PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS; (3) INCREASED RESIDENT AWARENESS OF THE IMPACT OF CHRONIC CONDITIONS, MENTAL ILLNESS, SUBSTANCE USE, AND SDOH ON THE UNHOUSED; (4) INTEGRATION OF A SUSTAINABLE STREET MEDICINE PROGRAM WITHIN THE FMRP; AND (5) IMPROVED ACCESS TO PRIMARY CARE SERVICES FOR UNHOUSED INDIVIDUALS IN SACRAMENTO. METHODIST PCTE-SM WILL DISSEMINATE FINDINGS THROUGH CONFERENCE PRESENTATIONS, PUBLICATIONS, AND ONLINE SHARING OF CURRICULUM MATERIALS AND, IF SUCCESSFUL, WILL SEEK TO SUSTAIN THIS PROGRAM FOR THE LONG TERM AND TO REPLICATE THE CURRICULUM AND THE MODEL AT MEDICAL SAFE HAVEN CLINICS THROUGHOUT THE STATE - IN REDDING, SANTA MARIA, AND NORTHRIDGE - AND A NEW SITE IN GILBERT, ARIZONA. METHODIST HOSPITAL'S GRADUATE MEDICAL EDUCATION PROGRAM QUALIFIES FOR FUNDING PREFERENCE BASED ON ITS PLACEMENT RATES FOR GRADUATES IN PRACTICE SETTINGS THAT PRIMARILY FOCUS ON SERVING RESIDENTS OF MEDICALLY UNDERSERVED COMMUNITIES (MUCS).

CHILDREN'S ORAL HEALTHCARE ACCESS PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

BUS/RAIL OPERATOR TRAINING ACADEMY

AMERICAN RESCUE PLAN

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - APPLICANT NAME: COMMUNITY CARE CLINIC OF DARE ADDRESS: 425 W HEALTH CENTER DRIVE, NAGS HEAD, NC 27959-8944 PROJECT DIRECTOR: LYN JENKINS RN BSN, EXECUTIVE DIRECTOR PHONE NUMBERS: VOICE 252-340-2031; FAX 252-255-6352 EMAIL: LYNJENKINS@DARECLINIC.ORG WEBSITE: DARECLINIC.ORG FUNDING REQUEST: CONGRESSIONALLY DIRECTED SPENDING $423,000 PURPOSE: THE PURPOSE OF THE PROPOSED PROJECT IS THE DESIGN AND MODIFICATION OF THE EXISTING COMMUNITY CARE CLINIC OF DARE FACILITY TO INTEGRATE A SAFETY NET DENTAL CLINIC AND PHARMACY. THE PROJECT WILL INCLUDE REDESIGNING THE NORTHWEST END OF THE BUILDING TO INCLUDE THREE TREATMENT ROOMS, LAB, IMAGING ALCOVE, MECHANICAL SPACE, OFFICES, AND PHARMACY. BOTH FIXED AND MOVABLE, NON-DISPENSABLE DENTAL EQUIPMENT WILL BE PURCHASED AND INSTALLED AS PART OF THIS PROJECT. RENOVATION RELATED ACTIVITIES WILL INCLUDE PLUMBING, ELECTRICAL, AND CONSTRUCTION. THE SAFETY NET DENTAL CLINIC WILL ADDRESS THE LACK OF DENTAL ACCESS FOR UNINSURED OR UNDERINSURED, MARGINALIZED ADULTS IN DARE COUNTY AND SURROUNDING COUNTIES. PROPOSED SERVICES INCLUDE GENERAL DENTISTRY ON A SLIDING FEE SCALE AND FREE OR REDUCED COST MEDICATIONS. THE COMMUNITY CARE CLINIC OF DARE'S HEALTH EQUITY CAMPAIGN IS ALIGNED WITH THIS PROJECT TO IMPROVE THE HEALTH OUTCOMES OF MARGINALIZED POPULATIONS. GOALS: TO CREATE A QUALITY SAFETY NET DENTAL CLINIC AND PHARMACY THAT WILL: PROVIDE ORAL HEALTH CARE AND MEDICATION ACCESS TO MARGINALIZED ADULTS IN DARE COUNTY AND SURROUNDING COUNTIES; REDUCE HEALTH DISPARITIES AND PROMOTE HEALTH EQUITY IN MARGINALIZED ADULTS; INTEGRATE ORAL HEALTH INTO MEDICAL CARE FOR OPTIMUM OVERALL HEALTH; ACHIEVE PHARMACOEQUITY WHERE MARGINALIZED ADULTS HAVE ACCESS TO HIGH-QUALITY MEDICATIONS TO MANAGE THEIR PHYSICAL AND MENTAL HEALTH NEEDS. TARGET POPULATION: MARGINALIZED ADULTS IN DARE COUNTY AND SURROUNDING COUNTIES. MEASURABLE OBJECTIVES: WITHIN THE PROPOSED TIMELINE, DESIGN AND RENOVATE EXISTING SPACE AT THE COMMUNITY CARE CLINIC OF DARE TO CREATE A SAFETY NET DENTAL CLINIC AND PHARMACY. BEGIN SERVING PATIENTS WITHIN SIX MONTHS OF THE AWARD APPROVAL. PROVIDE ORAL HEALTH ACCESS TO 1500 MARGINALIZED ADULTS DURING THE FIRST YEAR OF DENTAL CLINIC OPERATIONS. METHODOLOGY: TO ADDRESS THE UNMET ORAL HEALTH NEEDS AND LACK OF MEDICATION ACCESS IN MARGINALIZED ADULTS, COMMUNITY CARE CLINIC OF DARE WILL UTILIZE HRSA FUNDING TO CREATE A SAFETY NET DENTAL CLINIC AND PHARMACY. THE CLINIC WILL LEVERAGE THIS FUNDING TO STATE AND LOCAL ENTITIES TO SUPPORT THE OPERATING COSTS AND ACHIEVE SUSTAINABILITY. EVALUATION: OBJECTIVE DATA REPORTED BY ELECTRONIC DENTAL RECORD, ELECTRONIC MEDICAL RECORD, AND PHARMACY SOFTWARE: NUMBER OF PATIENTS SERVED; IMPROVEMENT IN A1C LEVELS FOR PATIENTS WITH DIABETES AFTER GAINING ACCESS TO DENTAL CARE AND MEDICATIONS; SUBJECTIVE DATA REPORTED THROUGH PATIENT SATISFACTION SURVEYS.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - COVENANT COMMUNITY CARE IS A COMMUNITY HEALTH CENTER SERVING THE PEOPLE OF METRO DETROIT. SINCE OUR ESTABLISHMENT IN 2002, COVENANT HAS EXPANDED TO INCLUDE 3 CLINICAL SITES AND A MOBILE DENTAL PROGRAM. WE CURRENTLY SERVE 18,000 PATIENTS ANNUALLY, INCLUDING 1200 HOMELESS PATIENTS. COVENANT’S GROWTH IS CONSISTENT WITH THE GROWING NEEDS OF THE PATIENTS WE SERVE AND IT IS IN RESPONSE TO THAT NEED THAT WE SEEK FY2024 BEHAVIORAL HEALTH SERVICE EXPANSION FUNDING. A 2023 DETROIT REGIONAL CHAMBER SURVEY FOUND THAT ONLY 13% OF DETROIT RESIDENTS REPORTED EASY ACCESS TO MENTAL HEALTH SERVICES IN THE AREA WHERE THEY LIVE, COMPARED TO 28% OF SUBURBAN DETROIT RESIDENTS. (THE U.S. AVERAGE IS 20%) COVENANT IS PROPOSING TO USE BHSE FUNDING TO EXPAND OUR SERVICES TO YOUTH AND INCREASE ENGAGEMENT AROUND BEHAVIORAL HEALTH CARE FOR PEOPLE EXPERIENCING HOMELESSNESS. WE ALSO WANT TO BETTER PROMOTE OUR SERVICES TO EXISTING COVENANT PATIENTS WHO UTILIZE OUR MEDICAL AND DENTAL SERVICES BUT NOT BEHAVIORAL HEALTH. FINALLY, WE ARE PROPOSING TO REFRESH OUR INTERNAL TRAINING FOR PROVIDERS AND SUPPORT STAFF ON THE IMPORTANCE OF BEHAVIORAL HEALTH REFERRALS, UPDATED SCREENING MEASURES, AND CONTINUED STIGMA REDUCTION. H80CS08738

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

PURPOSE: THE CONTINUUM OF CARE (COC) PROGRAM IS DESIGNED TO PROMOTE COMMUNITY-WIDE COMMITMENT TO THE GOAL OF ENDING HOMELESSNESS; PROVIDE FUNDING FOR EFFORTS BY NONPROFIT PROVIDERS, STATES, AND LOCAL GOVERNMENTS TO QUICKLY HOUSE HOMELESS INDIVIDUALS AND FAMILIES WHILE MINIMIZING THE TRAUMA AND DISLOCATION CAUSED TO HOMELESS INDIVIDUALS, FAMILIES, AND COMMUNITIES BY HOMELESSNESS; PROMOTE ACCESS TO AND EFFECTIVE UTILIZATION OF MAINSTREAM PROGRAMS BY HOMELESS INDIVIDUALS AND FAMILIES; AND OPTIMIZE SELF-SUFFICIENCY AMONG INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. THE COC PROGRAM INCLUDES GRANTS THAT ARE AVAILABLE TO SPECIFIC SUBPOPULATIONS OF PEOPLE EXPERIENCING HOMELESSNESS. THE GRANTS SPECIFICALLY SERVE YOUTH, DEFINED AS HOUSEHOLDS WHERE NO PERSON IS OVER THE AGE OF 24 UNDER THE YOUTH HOMELESS DEMONSTRATION PROGRAM (YHDP). THE GOAL OF THE YOUTH HOMELESSNESS DEMONSTRATION PROGRAM (YHDP) IS TO SUPPORT THE DEVELOPMENT AND IMPLEMENTATION OF A COORDINATED COMMUNITY APPROACH TO PREVENTING AND ENDING YOUTH HOMELESSNESS AND SHARING THAT EXPERIENCE WITH AND MOBILIZING COMMUNITIES AROUND THE COUNTRY TOWARD THE SAME END. THE NOTICE OF FUNDING OPPORTUNITY (NOFO) FOR NEW YHDP GRANTS IS FOUND AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/YHDP (CHOOSE THE MOST RECENT YHDP NOFO LISTED). THE NOFO FOR YHDP RENEWALS AND REPLACEMENTS IS FOUND AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/COMPETITION (CHOOSE THE MOST RECENT COC/YHDP RENEWAL OR REPLACEMENT NOFO LISTED).; ACTIVITIES TO BE PERFORMED: THESE GRANTS 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. HOMELESSNESS PREVENTION (IN SOME CASES). ELIGIBLE COSTS WITHIN THESE PROJECTS INCLUDE: 1. LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; 2. 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; 3. SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; 4. OPERATING COSTS OF SUPPORTIVE HOUSING; 5. COSTS OF IMPLEMENTING AND OPERATING HMIS; 6. PROJECT ADMINISTRATIVE COSTS; 7. RELOCATION COSTS; AND 8. 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 YOUTH AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT YOUTH FROM BECOMING HOMELESS. 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 OF YOUTH 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: YOUTH DEFINED AS HOUSEHOLDS WHERE NO PERSON IS OVER THE AGE OF 24; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD

EARLY HEAD START ARRA EXPANSION

YO STREET OUTREACH PROGRAM REPLACEMENT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

CONTINUUM OF CARE PROGRAM

CAPITAL DEVELOPMENT

HEALTH CARE AND OTHER FACILITIES

CONTINUUM OF CARE PROGRAM

LINDENHURST COMMUNITY CARES COALITION, INC. AREA 11757

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 COC PROGRAM INCLUDES GRANTS THAT ARE AVAILABLE TO SPECIFIC SUBPOPULATIONS OF PEOPLE EXPERIENCING HOMELESSNESS. THE GRANTS SPECIFICALLY SERVE YOUTH, DEFINED AS HOUSEHOLDS WHERE NO PERSON IS OVER THE AGE OF 24 UNDER THE YOUTH HOMELESS DEMONSTRATION PROGRAM (YHDP). THE GOAL OF THE YOUTH HOMELESSNESS DEMONSTRATION PROGRAM (YHDP) IS TO SUPPORT THE DEVELOPMENT AND IMPLEMENTATION OF A COORDINATED COMMUNITY APPROACH TO PREVENTING AND ENDING YOUTH HOMELESSNESS AND SHARING THAT EXPERIENCE WITH AND MOBILIZING COMMUNITIES AROUND THE COUNTRY TOWARD THE SAME END. THE NOTICE OF FUNDING OPPORTUNITY (NOFO) FOR NEW YHDP GRANTS IS FOUND AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/YHDP (CHOOSE THE MOST RECENT YHDP NOFO LISTED). THE NOFO FOR YHDP RENEWALS AND REPLACEMENTS IS FOUND AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/COMPETITION (CHOOSE THE MOST RECENT COC/YHDP RENEWAL OR REPLACEMENT NOFO LISTED).; ACTIVITIES TO BE PERFORMED: THESE GRANTS 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. HOMELESSNESS PREVENTION (IN SOME CASES). ELIGIBLE COSTS WITHIN THESE PROJECTS INCLUDE: 1. LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; 2. 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; 3. SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; 4. OPERATING COSTS OF SUPPORTIVE HOUSING; 5. COSTS OF IMPLEMENTING AND OPERATING HMIS; 6. PROJECT ADMINISTRATIVE COSTS; 7. RELOCATION COSTS; AND 8. 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 YOUTH AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT YOUTH FROM BECOMING HOMELESS. 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 OF YOUTH 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: YOUTH DEFINED AS HOUSEHOLDS WHERE NO PERSON IS OVER THE AGE OF 24; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD

TRANSITIONAL LIVING PROGRAM (TLP) FOR HOMELESS YOUTH IS A SERVICE THAT PROVIDES BOTH HOUSING AND SUPPORT FOR YOU AGES 16-21 WHO ARE EXPERIENCING HOMELESSNESS. - THE TRANSITIONAL LIVING PROGRAM (TLP) (CX) PROVIDES SAFE, STABLE, AND APPROPRIATE SHELTER FOR RUNAWAY AND HOMELESS YOUTH AGES 16 TO UNDER 22 FOR UP TO 18 MONTHS AND, UNDER EXTENUATING CIRCUMSTANCES, CAN BE EXTENDED TO 21 MONTHS. TLPS PROVIDE COMPREHENSIVE SERVICES (E.G., BASIC LIFE SKILLS, EDUCATIONAL AND JOB ATTAINMENT OPPORTUNITIES, COUNSELING) THAT SUPPORTS THE TRANSITION OF HOMELESS YOUTH TO SELF-SUFFICIENCY AND STABLE, INDEPENDENT LIVING.

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CARE AND OTHER FACILITIES

ASSISTANCE TO FIREFIGHTERS GRANT

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.

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

PURPOSE: THE CONTINUUM OF CARE (COC) PROGRAM IS DESIGNED TO PROMOTE COMMUNITY-WIDE COMMITMENT TO THE GOAL OF ENDING HOMELESSNESS; PROVIDE FUNDING FOR EFFORTS BY NONPROFIT PROVIDERS, STATES, AND LOCAL GOVERNMENTS TO QUICKLY HOUSE HOMELESS INDIVIDUALS AND FAMILIES WHILE MINIMIZING THE TRAUMA AND DISLOCATION CAUSED TO HOMELESS INDIVIDUALS, FAMILIES, AND COMMUNITIES BY HOMELESSNESS; PROMOTE ACCESS TO AND EFFECTIVE UTILIZATION OF MAINSTREAM PROGRAMS BY HOMELESS INDIVIDUALS AND FAMILIES; AND OPTIMIZE SELF-SUFFICIENCY AMONG INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. THE COC PROGRAM INCLUDES GRANTS THAT ARE AVAILABLE TO SPECIFIC SUBPOPULATIONS OF PEOPLE EXPERIENCING HOMELESSNESS. THE GRANTS SPECIFICALLY SERVE YOUTH, DEFINED AS HOUSEHOLDS WHERE NO PERSON IS OVER THE AGE OF 24 UNDER THE YOUTH HOMELESS DEMONSTRATION PROGRAM (YHDP). THE GOAL OF THE YOUTH HOMELESSNESS DEMONSTRATION PROGRAM (YHDP) IS TO SUPPORT THE DEVELOPMENT AND IMPLEMENTATION OF A COORDINATED COMMUNITY APPROACH TO PREVENTING AND ENDING YOUTH HOMELESSNESS AND SHARING THAT EXPERIENCE WITH AND MOBILIZING COMMUNITIES AROUND THE COUNTRY TOWARD THE SAME END. THE NOTICE OF FUNDING OPPORTUNITY (NOFO) FOR NEW YHDP GRANTS IS FOUND AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/YHDP (CHOOSE THE MOST RECENT YHDP NOFO LISTED). THE NOFO FOR YHDP RENEWALS AND REPLACEMENTS IS FOUND AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/COMPETITION (CHOOSE THE MOST RECENT COC/YHDP RENEWAL OR REPLACEMENT NOFO LISTED).; ACTIVITIES TO BE PERFORMED: THESE GRANTS 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. HOMELESSNESS PREVENTION (IN SOME CASES). ELIGIBLE COSTS WITHIN THESE PROJECTS INCLUDE: 1. LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; 2. 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; 3. SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; 4. OPERATING COSTS OF SUPPORTIVE HOUSING; 5. COSTS OF IMPLEMENTING AND OPERATING HMIS; 6. PROJECT ADMINISTRATIVE COSTS; 7. RELOCATION COSTS; AND 8. 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 YOUTH AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT YOUTH FROM BECOMING HOMELESS. 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 OF YOUTH 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: YOUTH DEFINED AS HOUSEHOLDS WHERE NO PERSON IS OVER THE AGE OF 24; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

LINDENHURST COMMUNITY CARES COALITION, INC. AREA 11757

HOMELESS ASSISTANCE

ARRA - INCREASE SERVICES TO HEALTH CENTERS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

AMERICAN RESCUE PLAN ACT FUNDING FOR PCAS

COVER KANSAS NAVIGATOR PROJECT 2018-19

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS

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 COC PROGRAM INCLUDES GRANTS THAT ARE AVAILABLE TO SPECIFIC SUBPOPULATIONS OF PEOPLE EXPERIENCING HOMELESSNESS. THE GRANTS SPECIFICALLY SERVE YOUTH, DEFINED AS HOUSEHOLDS WHERE NO PERSON IS OVER THE AGE OF 24 UNDER THE YOUTH HOMELESS DEMONSTRATION PROGRAM (YHDP). THE GOAL OF THE YOUTH HOMELESSNESS DEMONSTRATION PROGRAM (YHDP) IS TO SUPPORT THE DEVELOPMENT AND IMPLEMENTATION OF A COORDINATED COMMUNITY APPROACH TO PREVENTING AND ENDING YOUTH HOMELESSNESS AND SHARING THAT EXPERIENCE WITH AND MOBILIZING COMMUNITIES AROUND THE COUNTRY TOWARD THE SAME END. THE NOTICE OF FUNDING OPPORTUNITY (NOFO) FOR NEW YHDP GRANTS IS FOUND AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/YHDP (CHOOSE THE MOST RECENT YHDP NOFO LISTED). THE NOFO FOR YHDP RENEWALS AND REPLACEMENTS IS FOUND AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/COMPETITION (CHOOSE THE MOST RECENT COC/YHDP RENEWAL OR REPLACEMENT NOFO LISTED).; ACTIVITIES TO BE PERFORMED: THESE GRANTS 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. HOMELESSNESS PREVENTION (IN SOME CASES). ELIGIBLE COSTS WITHIN THESE PROJECTS INCLUDE: 1. LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; 2. 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; 3. SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; 4. OPERATING COSTS OF SUPPORTIVE HOUSING; 5. COSTS OF IMPLEMENTING AND OPERATING HMIS; 6. PROJECT ADMINISTRATIVE COSTS; 7. RELOCATION COSTS; AND 8. 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 YOUTH AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT YOUTH FROM BECOMING HOMELESS. 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 OF YOUTH 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: YOUTH DEFINED AS HOUSEHOLDS WHERE NO PERSON IS OVER THE AGE OF 24; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD

CONTINUUM OF CARE PROGRAM

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.

ARRA - INCREASE SERVICES TO HEALTH CENTERS

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTER CONTROLLED NETWORKS

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - PROJECT TITLE: FY 2022 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM CATEGORY: HIV CARE INNOVATION – COMMUNITY HEALTH WORKERS APPLICANT ORGANIZATION NAME: APEX COMMUNITY CARE, INC. ADDRESS: 30 WEST ST, DANBURY, CT 06810-7842 PROJECT DIRECTOR NAME: ALBANA LAME, CHIEF OPERATING OFFICER CONTACT NUMBER: (203) 778-2437 E-MAIL ADDRESS: ALAME@APEXCC.ORG WEB SITE ADDRESS: WWW.APEXCC.ORG PROGRAM FUNDS REQUESTED: $150,000.00 FUNDING PREFERENCE: UNDERSERVED POPULATIONS, RURAL AREAS PROJECT ABSTRACT APEX COMMUNITY CARE, INC. (APEX) (THE APPLICANT) (DUNS #78-679-8074/UEI # H8HGNLTJTGG7) IS THE APPLICANT UNDER HEALTH RESOURCES AND SERVICES ADMINISTRATION NOTICE OF FUNDING OPPORTUNITY HRSA-22-019, RYAN WHITE HIV/AIDS PROGRAM PART C CAPACITY DEVELOPMENT PROGRAM. WITH THIS APPLICATION, APEX IS REQUESTING FUNDING UNDER THE HIV CARE INNOVATION CATEGORY, FOR THE COMMUNITY HEALTH WORKER (CHW) ACTIVITY, TO STRENGTHEN OUR ORGANIZATIONAL CAPACITY TO RESPOND TO THE CHANGING HEALTH CARE LANDSCAPE, AND TO INCREASE ACCESS TO HIGH QUALITY HIV PRIMARY HEALTH CARE SERVICES FOR LOW INCOME, UNINSURED, AND UNDERSERVED PEOPLE WITH HIV IN GREATER DANBURY AND LITCHFIELD COUNTY CONNECTICUT, ESPECIALLY FOR THOSE LIVING IN RURAL AREAS. THROUGH THIS FUNDING OPPORTUNITY, APEX IS THEREBY REQUESTING $150,000 TO IMPLEMENT CHW SERVICES INTO OUR ORGANIZATION’S RWHAP BY TRAINING ELEVEN (11) APEX STAFF MEMBERS TO BECOME CERTIFIED CHWS IN ORDER TO INCREASE OUR ORGANIZATION’S CAPACITY TO PREVENT NEW HIV INFECTIONS, REDUCE HIV-RELATED HEALTH AND GENDER INEQUITIES, BETTER ADDRESS SOCIAL DETERMINANTS OF HEALTH, AND INCREASE ACCESS TO CARE IN ORDER TO OPTIMIZE HEALTH OUTCOMES FOR PEOPLE WITH HIV, INCLUDING VIRAL SUPPRESSION. BY CERTIFYING THE IDENTIFIED STAFF MEMBERS AS CHWS, THERE IS ALSO FUTURE POTENTIAL FOR THESE SERVICES TO BECOME REIMBURSABLE BY PUBLIC AND PRIVATE INSURANCES. REQUEST FOR FUNDING PREFERENCE. THE APPLICANT IS REQUESTING A FUNDING PREFERENCE FOR RURAL AREAS AND UNDERSERVED POPULATIONS. DESCRIPTION OF THE APPLICANT. APEX COMMUNITY CARE IS A NON-PROFIT 501(C)3 ORGANIZATION THAT HAS BEEN SERVING NORTHWESTERN CONNECTICUT SINCE THE AIDS CRISIS BEGAN IN THE MID 1980’S. APEX CURRENTLY RECEIVES RYAN WHITE PART A FUNDING FROM THE NEW HAVEN ELIGIBLE METROPOLITAN AREA (EMA) AND RYAN WHITE PART B FUNDING FROM CONNECTICUT DEPARTMENT OF PUBLIC HEALTH (DPH). APEX HAS SERVED AS THE LEAD AGENCY FOR PART A FUNDING IN THE CT EMA’S REGION 5, GREATER DANBURY, SINCE THE INCEPTION OF THE EMA’S LEAD-BASED MODEL. APEX HAS CREATED A MODEL OF HIV SERVICE PROVISION AIMED AT ACHIEVING THE GOAL OF ‘GETTING TO ZERO’ (G2Z) IN TERMS OF NEW HIV INFECTIONS. ALL HIV SERVICES ARE PROVIDED AT APEX, EXCEPT FOR ORAL HEALTH SERVICES AND SUBSTANCE USE SERVICES-RESIDENTIAL, WHICH ARE PROVIDED BY SUBCONTRACTORS. APEX ALSO RECEIVES RYAN WHITE PART B FUNDING FROM DPH FOR GREATER DANBURY AND LITCHFIELD COUNTY. APEX HAS 34 YEARS OF EXPERIENCE PROVIDING COMPREHENSIVE OUTPATIENT PRIMARY HEALTH CARE AND SUPPORT SERVICES TO PEOPLE WITH HIV LIVING IN NORTHWESTERN CONNECTICUT. THE MISSION OF APEX COMMUNITY CARE IS TO ADVOCATE FOR AND PROVIDE SERVICES TO PEOPLE LIVING WITH HIV/AIDS, MENTAL HEALTH AND SUBSTANCE USE DISORDERS, THEIR FAMILIES, AND LOVED ONES, AND TO ACTIVELY PROMOTE EDUCATION AND PREVENTION IN THE COMMUNITY. APEX’S PROGRAMS AND ACTIVITIES ARE DESIGNED TO MEET THE GOALS OF THE NATIONAL HIV/AIDS STRATEGY (NHAS) 2020 TO END THE EPIDEMIC: 1) REDUCE NEW INFECTIONS; 2) INCREASE ACCESS TO CARE AND IMPROVE HEALTH OUTCOMES FOR PLWH; 3) REDUCE HIV-RELATED DISPARITIES AND HEALTH INEQUITIES; AND 4) ACHIEVE A COORDINATED NATIONAL RESPONSE TO THE HIV EPIDEMIC.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

THE WANDERING PREVENTION PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE