Horizon Health Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

EXPANSION AND CONTINUATION OF CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) SERVICES

CCBHC I&A GRANT - AS A CCBHC-IA GRANT AWARDEE, HORIZON HEALTH SERVICES (HHS) WILL EXPAND AND ENHANCE OUR CCBHC SERVICES TO SERVE ALL INDIVIDUALS ACROSS THE LIFESPAN IN NEED OF BEHAVIORAL HEALTHCARE IN THE EAST SIDE OF BUFFALO CITY (EAST BUFFALO), ERIE COUNTY, NEW YORK (NY), WITH A PARTICULAR FOCUS ON ADDRESSING BH DISPARITIES FOR BLACK INDIVIDUALS WITH CRIMINAL JUSTICE (CJ) INVOLVEMENT AND/OR TRANSITIONING FROM INPATIENT, EMERGENCY DEPARTMENT (ED), OR RESIDENTIAL TREATMENT. HHS' PROJECT GOALS ARE TO: (1) IMPROVE TARGETED CASE MANAGEMENT (TCM) FOR THOSE WHO ARE NON-HEALTH HOME (HH) ELIGIBLE OR REFUSE TO PARTICIPATE IN HH; (2) INCREASE THE CAPACITY OF THE CLINIC TO MEET THE MEDICAL AND MEDICATION NEEDS OF OUR PATIENTS; AND (3) REDUCE THE RATE OF NEVER EVENTS (OVERDOSE/SUICIDE ATTEMPT/PATIENT DEATH). WE WILL ADDRESS THESE GOALS BY STRATEGICALLY AND PROACTIVELY OUTREACHING AND ENGAGING PATIENTS, ESPECIALLY THOSE COMING FROM A HIGHER LEVEL OF CARE OR THE CJ SYSTEM. SPECIFICALLY, WE WILL: (1) HIRE 1 FTE TARGETED CASE MANAGER; (2) OFFER TCM TO 90% OF ELIGIBLE PATIENTS; (3) PROVIDE TARGETED OUTREACH TO 90% PATIENTS COMING FROM A HIGHER LEVEL OF CARE; AND (4) SCREEN 90% OF NEW PATIENTS FOR HEALTH-RELATED SOCIAL NEEDS (HRSN). WE EXPECT THAT 50% OF ELIGIBLE PATIENTS WILL RECEIVE TCM IN EACH YEAR OF THE GRANT PERIOD. TO IMPROVE PATIENT ACCESS TO MEDICATION AND MEDICAL MONITORING, WE WILL HIRE 1 FTE NURSE, 1 FTE POPULATION HEALTH SPECIALIST, AND 1.3 FTE PSYCHIATRIC NURSE PRACTITIONER (PNP) TO PROVIDE MEDICATION CONSULTATION/EDUCATION TO 75% OF PATIENTS PRESCRIBED BH RX AND PRIMARY CARE SCREENING AND MONITORING, INCLUDING REFERRAL TO ONGOING PRIMARY CARE, TO 75% OF PATIENTS WHO ARE NOT CONSISTENTLY CONNECTED TO PRIMARY CARE. THROUGH IMPROVED MONITORING AND TCM, HHS AIMS TO REDUCE THE RATE OF NEVER EVENTS BY 20% AS WELL AS IMPROVE HEDIS RATES FOR FOLLOW-UP AFTER HOSPITALIZATION FOR MENTAL ILLNESS (FUH), HIGH-INTENSITY CARE FOR SUD (FUI), ED VISIT FOR MENTAL ILLNESS (FUM), AND ED VISIT FOR ALCOHOL AND OTHER DRUG ABUSE OR DEPENDENCE (FUA) RATES BY 25% OVER THE GRANT PERIOD. WE WILL COLLABORATE WITH TWO FQHCS, EVERGREEN HEALTH AND COMMUNITY HEALTH CENTER OF BUFFALO (CHCB), TO PROVIDE PRIMARY CARE SERVICES TO HHS PATIENTS IN NEED OF FURTHER TREATMENT FOR MEDICAL CONDITIONS, INCLUDING ONGOING MONITORING OF HEALTH NEEDS AND HIV AND HEP SCREENINGS AND CARE. WE WILL ALSO PARTNER WITH THE CRISIS SERVICES OF ERIE COUNTY (CSE) TO OFFER THE FULL RANGE OF 24/7 CRISIS SERVICES; RESTORATION SOCIETY TO PROVIDE PSYCHOSOCIAL REHABILITATION (PSR) AND OTHER PEER-SUPPORTED SERVICES; HORIZON VILLAGE'S TERRACE HOUSE TO PROVIDE SUD CRISIS STABILIZATION; AND ENDEAVOR HEALTH SERVICES TO PROVIDE CLUBHOUSES AND PERSONALIZED RECOVERY ORIENTED SERVICES (PROS) TO HHS PATIENTS. THE PROJECT WILL SERVE 300 UNDUPLICATED INDIVIDUALS IN THE FIRST YEAR OF THE PROJECT AND 450 INDIVIDUALS FOR EACH YEAR THEREAFTER, FOR A TOTAL OF 1,650 INDIVIDUALS OVER THE COURSE OF THE PROJECT.

ESTABLISHMENT OF CCBHC SERVICES

YUMA CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC - HORIZON HEALTH AND WELLNESS (HHW) PLANS TO IMPLEMENT THE CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER (CCBHC) PROGRAM IN OUR OUTPATIENT CLINIC IN YUMA, YUMA COUNTY, AZ. WE WILL PROVIDE A COMPREHENSIVE ARRAY OF INTEGRATED OUTPATIENT SERVICES EMBRACING THE PRINCIPLES OF THE CCBHC MODEL TO IMPROVE THE HEALTH OUTCOMES OF THE PEOPLE WE SERVE. WE WILL BUILD ON OUR COMMUNITY BASED MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES TO MORE CONSISTENTLY AND BROADLY INCORPORATE EVIDENCE-BASED PRACTICES, ENGAGEMENT OF AT-RISK INDIVIDUALS INCLUDING MILITARY/VETERANS AND THE MOST VULNERABLE COMMUNITY MEMBERS, ACCESSIBLE SERVICES, AND IMPROVED COORDINATION OF CARE WITH THE GREATER SYSTEM. WE WILL PROVIDE IMPROVED ACCESS TO HIGH QUALITY CARE EVEN IN THE MOST RURAL CLINIC, ADDRESSING SOCIAL DETERMINANTS OF HEALTH BARRIERS. HHW IS A NON-PROFIT 501(C)(3) INTEGRATED HEALTH CARE AGENCY LICENSED BY THE STATE OF ARIZONA. OUR YUMA CLINIC IS A FEDERALLY QUALIFIED HEALTH CENT AND WE HAVE BEEN PROVIDING SERVICES THERE FOR OVER 40 YEARS. ORIGINALLY SERVICES FOCUSED ON BEHAVIORAL HEALTH (BH) AND SUBSTANCE USE (SU) DISORDER TREATMENT PRIMARILY, BUT OVER THE YEARS HAS EXPANDED TO INCLUDE, INTEGRATED PRIMARY CARE, RESIDENTIAL TREATMENT AND MORE. IN ADDITION TO SERVICE EXPANSION, WE HAVE ALSO BEEN IMPROVING UPON THE QUALITY OF CARE PROVIDED, ADDING BEST PRACTICES INCLUDING TRAUMA-INFORMED CARE, MEDICALLY ASSISTED TREATMENT (MAT) FOR SU DISORDERS, WRAP-AROUND SERVICES FOR CHILDREN AND FAMILIES AND COMMUNITY-BASED PROGRAMS FOR IMPROVED ACCESS TO CARE. OUR CCBHC CLINIC WILL SERVE YUMA WHICH IS A LARGE RURAL COUNTY LOCATED ON THE BORDER OF MEXICO AND THE UNITED STATES. YUMA HAS A POPULATION OF 95,550 PER THE 2020 CENSUS. YUMA HAS A HIGH POVERTY LEVEL AND HIGH UNEMPLOYMENT RATE. THE GOALS OF THIS PROJECT ARE TO: 1) IMPROVE PATIENT HEALTH OUTCOMES THROUGH IMPROVED EVIDENCE-BASED SERVICES AND CARE COORDINATION AND 2) INCREASE THE NUMBER OF AT RISK COMMUNITY MEMBERS, (INCLUDING MILITARY/VETERANS, YOUTH, AND INDIVIDUALS WHO EXPERIENCED A CRISIS EPISODE) WHO ACCESS BH, SU AND PRIMARY CARE SERVICES 3)DECREASE THE NUMBER OF DRUG OVERDOSES IN YUMA COUNTY BY 25% THROUGH PROVISION OF EVIDENCE BASED PRACTICES FOR SUBSTANCE USE TREATMENT. OBJECTIVES INCLUDE: 1) 25% INCREASE IN PATIENTS RECEIVING MAT TREATMENT; 2) 25% INCREASE IN INDIVIDUALS RECEIVING SUICIDE PREVENTION TRAINING; 3) 50% INCREASE IN VETERANS/MILITARY ENGAGEMENT AFTER CRISIS EPISODES; 4) 25% INCREASE IN OUTREACH AND ENGAGEMENT TO INDIVIDUALS AFTER A CRISIS EPISODE; 5) 20% INCREASE IN PATIENTS RECEIVING INTEGRATED BEHAVIORAL AND PRIMARY CARE SERVICES; 6) 10% PER YEAR INCREASE IN BH/SU PATIENTS SERVED. INTERVENTIONS WILL INCLUDE SU AND MAT TREATMENT, FAMILY CENTERED SERVICE PLANNING, PEER AND FAMILY SUPPORT COMBINED WITH CLINICAL AND/OR PSYCHIATRIC SERVICES, TRAUMA-INFORMED EVIDENCE BASED CLINICAL PROGRAMS, SUICIDE PREVENTION, SCHOOL-BASED PROGRAMS, MOBILE CRISIS AND CRISIS OUTREACH AND ENGAGEMENT, CASE MANAGEMENT, PRIMARY CARE AND CARE COORDINATION. OVER THE 4-YEAR PERIOD WE WILL SERVE 6500 PATIENTS, STARTING AT 1000 IN YEAR 1 AND EXPANDING TO 1500 YEAR 2, 2000 YEAR 3 AND 2000 YEAR 4.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM - MEDICATION ASSISTED TREATMENT ACCESS - ADDRESS: 450 W ADAMSVILLE RD, FLORENCE AZ 8513 PROJECT DIRECTOR: ELENA MCGROARTY, LPC CONTACT PHONE NUMBER: (480) 983-0065 X 29315 EMAIL ADDRESS: ELENA.MCGROARTY@HHWAZ.ORG WEBSITE ADDRESS: WWW.HHWAZ.ORG GRANT FUNDS REQUESTED: $3,000,000 HORIZON HEALTH AND WELLNESS (HHW) UTILIZES BEST AND PROMISING PRACTICES TO PROVIDE CULTURALLY RESPONSIVE, WHOLE PERSON, COMPREHENSIVE, INTEGRATED PRIMARY MEDICAL CARE, BEHAVIORAL HEALTH AND CHRONIC DISEASE MANAGEMENT, THAT IMPROVE HEALTH AND WELLNESS OUTCOMES FOR RESIDENTS IN THE RURAL AND UNDERSERVED COMMUNITIES WE SERVE. HHW’S FULL CONTINUUM OF SERVICES IS OFFERED IN THE OFFICE, VIRTUALLY AND IN HOMES OR OTHER COMMUNITY LOCATIONS. HHW MEETS THE PATIENT WHERE THEY ARE BEST SERVED AND BASED ON THE RESOURCES THE PATIENT HAS AVAILABLE. HHW PROPOSES TO PROVIDE A NEW MEDICATION ASSISTED TREATMENT (MAT) ACCESS POINT IN FLORENCE, ARIZONA. FLORENCE IS A RURAL COMMUNITY THAT IS LIMITED IN BOTH BEHAVIORAL HEALTH AND PRIMARY CARE PROVIDERS AND CURRENTLY HAS NO PROVIDER OR AGENCY THAT PROVIDES MAT. THE NEW ACCESS POINT WILL ALSO SERVE THE COMMUNITY OF COOLIDGE, ARIZONA WHICH ALSO DOES NOT HAVE A MAT PROVIDER AND IS VERY LIMITED IN BEHAVIORAL HEALTH AND PRIMARY CARE PROVIDERS. THESE COMMUNITIES ARE SMALL RURAL AREAS WITH POPULATIONS OF 26,785 IN FLORENCE AND 13,739 IN COOLIDGE. EDUCATION LEVELS ARE LOW IN THESE COMMUNITIES AND POVERTY IS HIGH; IN ADDITION, THE COMMUNITIES BOTH HAVE A HIGH UNINSURED POPULATION WHICH CONTRIBUTES TO THE LACK OF ACCESS TO MAT AND HEALTHCARE IN GENERAL. HHW WILL PROVIDE MAT SERVICES AT THE HHW CLINIC LOCATED IN FLORENCE, ARIZONA. THE MAT PROGRAM WILL PROVIDE COMPREHENSIVE AND INTEGRATED SUBSTANCE USE TREATMENT SERVICES WHICH WILL NOT ONLY PROVIDE MAT, BUT ASSESSMENT, INTENSIVE OUTPATIENT, STANDARD OUTPATIENT, PEER SUPPORT AND PRIMARY CARE SERVICES. MAT WILL BE PROVIDED FOR BOTH OPIOID USE DISORDER (OUD) AND ALCOHOL USE DISORDER (AUD). ALL SERVICES WILL BE TRAUMA INFORMED AND WILL INCLUDE TH E EVIDENCE-BASED INTERVENTIONS OF COGNITIVE BEHAVIORAL THERAPY (CBT) AND MOTIVATIONAL INTERVIEWING. HIGHER LEVELS OF CARE SUCH AS RESIDENTIAL AND INPATIENT CAN ALSO BE ACCOMMODATED BY HHW IF MEDICALLY NECESSARY. HHW WILL SERVE INDIVIDUALS IN THE FLORENCE AND COOLIDGE COMMUNITIES DIAGNOSED WITH AN OUD OR AUD WITH A PRIMARY FOCUS ON INDIVIDUALS RELEASED FROM THE PINAL COUNTY DETENTION CENTER AND INDIVIDUALS WITH EITHER A HOSPITAL OR EMERGENCY ROOM ADMIT DUE TO SUBSTANCE USE. HHW PROJECTS TO SERVE 350 INDIVIDUALS OVER THE COURSE OF THIS GRANT PERIOD.

MATCONNECT - THROUGH HORIZON HEALTH SERVICES' (HHS') MATCONNECT PROGRAM, WE WILL EXPAND AND ENHANCE ACCESS TO MEDICATIONS FOR OPIOID USE DISORDER (MOUD) TREATMENT AND RECOVERY SUPPORT SERVICES (RSS) FOR INDIVIDUALS WITH OPIOID USE DISORDER (OUD) WHO ARE LIVING IN NIAGARA AND GENESEE COUNTIES, NY, WHERE - ACCORDING TO THE NEW YORK STATE DEPARTMENT OF HEALTH - OPIOID BURDEN IS AMONG THE HIGHEST IN THE STATE. WE WILL PRIORITIZE ENGAGEMENT OF INDIVIDUALS LIVING IN RURAL AREAS IN THE TWO COUNTIES, AS WELL AS THOSE WITH A HISTORY OF CRIMINAL JUSTICE SYSTEM INVOLVEMENT. OUR FOCUS POPULATION INCLUDES PEOPLE LIVING WITH OUD FROM DIVERSE BACKGROUNDS. WE ANTICIPATE THAT 81% OF OUR MATCONNECT PATIENTS WILL BE WHITE, 7% BLACK, AND THE REMAINDER EITHER BIRACIAL OR OF OTHER RACES. WE ANTICIPATE 4% OF PATIENTS WILL BE HISPANIC. WE HAVE INITIATED OUTREACH TO THE TONAWANDA INDIAN RESERVATION OF THE TONAWANDA SENECA NATION, AND ARE CAREFULLY ASSESSING HOW WE CAN WORK TOGETHER TO SUPPORT THEIR OUD NEEDS IN A CULTURALLY SENSITIVE AND APPROPRIATE WAY. AS SUCH, WE EXPECT A SMALL PERCENTAGE OF OUR PATIENTS WILL BE FROM THIS COMMUNITY. THROUGH OUR MATCONNECT PROGRAM, HHS WILL HIRE THREE PRESCRIBERS WHO WILL PROVIDE MOUD, INCLUDING BUPRENORPHINE, SUBOXONE, AND VIVITROL. WE WILL OFFER SAME-DAY INDUCTION ASSESSMENTS, MOUD PRESCRIPTIONS, AND INSTRUCTIONS FOR A HOME INDUCTION, AS WELL AS SERVE AS A RESOURCE FOR ONGOING MOUD TREATMENT. OUR PRESCRIBERS WILL WORK COLLABORATIVELY WITH EACH PATIENT, ALONG WITH HHS' COUNSELING STAFF AND STATE-CERTIFIED PEER SPECIALIST TO INTEGRATE MOUD WITH COMPREHENSIVE PSYCHOSOCIAL SERVICES, COUNSELING, BEHAVIORAL THERAPIES, RSS, AND OTHER CLINICALLY APPROPRIATE SERVICES THAT ARE PROVIDED IN ALIGNMENT WITH EACH PATIENT'S NEEDS AND RECOVERY GOALS. OVERALL, OUR PROGRAM WILL OFFER MOUD AND INDIVIDUALIZED RSS TO 950 INDIVIDUALS LIVING WITH OUD IN OUR TWO-COUNTY REGION, INCLUDING 100 IN YEAR 1, 175 IN YEAR 2, 200 IN YEAR 3, 225 IN YEAR 4, AND 250 IN YEAR 5. OUR GOALS AND MEASURABLE OBJECTIVES INCLUDE: (1) INCREASE ACCESS TO MOUD AND RSS FOR INDIVIDUALS IN NIAGARA AND GENESEE COUNTIES VIA THE FOLLOWING OBJECTIVES: 1.1: ENGAGE 950 INDIVIDUALS IN OUR PROGRAM OVER THE FIVE YEAR GRANT PERIOD; 1.2: 80% OF INDIVIDUALS WILL RECEIVE MOUD SERVICES WITHIN FIVE BUSINESS DAYS AFTER REFERRAL; 1.3: 80% OF INDIVIDUALS SERVED WILL MEET WITH THE PEER SPECIALIST WITHIN 48 BUSINESS HOURS OF MATCONNECT ENGAGEMENT; AND 1.4: 75% OF PATIENTS WHO ENGAGE IN MOUD WILL ALSO BE ENGAGED IN HHS' INDIVIDUAL, GROUP, AND/OR FAMILY COUNSELING SERVICES WITHIN TWO WEEKS OF ENROLLMENT. (2) DECREASE ILLICIT OPIOID USE AND PRESCRIPTION OPIOID MISUSE AMONG INDIVIDUALS WE SERVE THROUGH THE PROVISION OF EVIDENCE-BASED, FDA-APPROVED MOUD VIA THE FOLLOWING: 2.1: 80% OF INDIVIDUALS SERVED WILL IMPROVE THEIR QUALITY OF LIFE AND RECOVERY CAPITAL AFTER 3 MONTHS OF ENGAGEMENT; AND 2.2: 75% OF PEOPLE SERVED WILL REDUCE THEIR MISUSE OF OPIOIDS AFTER SIX MONTHS. (3) REDUCE ACCIDENTAL OVERDOSE EVENTS FROM ILLICIT OPIOID USE AND PRESCRIPTION OPIOID MISUSE AMONG PATIENTS THROUGH THE FOLLOWING OBJECTIVES: 3.1: 100% OF PATIENTS SERVED WILL BE OFFERED TRAINING IN OVERDOSE RESPONSE, ALONG WITH NALOXONE AND FENTANYL TEST STRIPS, WITHIN 2 WEEKS OF ENGAGEMENT; 3.2: WHEN AN ACCIDENTAL OVERDOSE OCCURS, HHS WILL ENGAGE OUR INCIDENT RESPONSE POLICY 100% OF THE TIME; AND 3.3: 65% OF PATIENTS WHO INDICATE IN THEIR BASELINE GPRA INTERVIEW THAT THEY EXPERIENCED AN OVERDOSE IN THE PAST 30 DAYS WILL NOT REPORT EXPERIENCING AN OVERDOSE IN THE LAST 30 DAYS AT THEIR 6-MONTH OR DISCHARGE GPRA INTERVIEW, WHICHEVER COMES FIRST. DATA COLLECTION AND MEASUREMENT PROCEDURES WILL BE DELINEATED IN A COMPREHENSIVE CQI PLAN, INCLUDING THE USE OF STANDARDIZED INSTRUMENTS PER AN ESTABLISHED TIMELINE.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CHILDHOOD TRAUMA AND RESILIENCY (CTR) PROGRAM - THROUGH HORIZON HEALTH SERVICES' (HHS') PROPOSED CHILDHOOD TRAUMA AND RESILIENCY (CTR) PROGRAM, HHS WILL INCREASE ACCESS TO EFFECTIVE, EVIDENCE-BASED TRAUMA- AND GRIEF-FOCUSED TREATMENT FOR CHILDREN, ADOLESCENTS, AND THEIR FAMILIES WHO EXPERIENCE TRAUMATIC EVENTS. OUR TARGET POPULATION IS CHILDREN AND ADOLESCENTS AGES 8-17 IN ERIE AND NIAGARA COUNTIES, NY WHO SCREEN POSITIVELY FOR TRAUMA USING THE ADVERSE CHILDHOOD EXPERIENCES QUESTIONNAIRE, ALONG WITH THEIR CAREGIVERS. TO REDUCE DISPARITIES IN TREATMENT ACCESS/OUTCOMES, WE WILL ACTIVELY SEEK TO ENGAGE CHILDREN AND ADOLESCENTS WHO ARE LIVING IN UNDERSERVED AND/OR UNDER-RESOURCED COMMUNITIES WITHIN THE TWO COUNTIES, AND LGBTQI+ ADOLESCENTS. A RECENT SURVEY OF BUFFALO PUBLIC SCHOOL (ERIE COUNTY) STUDENTS REVEALED THAT 1/3 HAVE WITNESSED A VIOLENT CATASTROPHIC EVENT. THROUGH OUR CTR PROGRAM, HHS WILL EXPAND OUR LICENSED CLINICIAN AND PSYCHIATRY CAPACITY, WHILE PROVIDING STAFF EXTENSIVE ADVANCED TRAININGS TO SUPPORT THE DELIVERY OF HIGH QUALITY, EFFECTIVE SERVICES TO MEET OUR COMMUNITIES' GROWING TRAUMA-RELATED NEEDS. WE WILL OFFER 465 CHILDREN AND THEIR FAMILIES A COMPREHENSIVE ARRAY OF EVIDENCE-BASED PRACTICES, PROVIDING DIRECT MENTAL HEALTH AND TRAUMA-RELATED TREATMENT AND SUPPORT SERVICES, OVER THE 5-YEAR GRANT PROGRAM. THIS INCLUDES 65 CHILDREN AND ADOLESCENTS IN YEAR 1, ALONG WITH 100 UNDUPLICATED CHILDREN AND ADOLESCENTS IN YEARS 2-5. OUR GOALS AND OBJECTIVES INCLUDE: (1) IMPROVE ACCESS TO EVIDENCE-BASED TRAUMA TREATMENT FOR CHILDREN AND ADOLESCENTS IN ERIE AND NIAGARA COUNTIES VIA THE FOLLOWING OBJECTIVES: 1.1: BY THE END OF MONTH 4, HIRE 3 CLINICIAN FTES AND A PART TIME (0.6 FTE) CHILD PSYCHIATRIST; 1.2: 100% OF CHILDREN AND ADOLESCENTS SERVED AT OUR THREE CTR CLINIC SITES WILL BE OFFERED A TRAUMA SCREENING USING THE ACE QUESTIONNAIRE WITHIN THREE VISITS; 1.3: REDUCE THE WAIT TIME FOR A CHILD/ADOLESCENT'S FIRST VISIT WITH A CLINICIAN AT EACH CTR SERVICE SITE BY 30% BY THE END OF YEAR 1, BY 50% BY THE END OF YEAR 2, AND BY 75% BY THE END OF YEAR 3; AND 1.4: 100% OF CHILDREN, ADOLESCENTS, AND FAMILIES SERVED WILL BE OFFERED A CONNECTION TO HHS' FAMILY PEER ADVOCATE WITHIN 30 DAYS TO ADDRESS THEIR WRAPAROUND SERVICE NEEDS. (2) RAISE THE STANDARD OF CARE FOR CHILDREN AND ADOLESCENTS EXPERIENCING TRAUMA IN ERIE AND NIAGARA COUNTIES VIA THE FOLLOWING: 2.1: 100% OF CLINICAL STAFF WORKING AT OUR THREE CTR SITE LOCATIONS WILL RECEIVE ADVANCED TRAINING TO DELIVER TWO OR MORE OF OUR SELECTED EBPS BY THE END OF THE FIVE-YEAR GRANT PERIOD; 2.2: AT THE END OF EACH YEAR OF THE GRANT, THE PROJECT DIRECTOR WILL IMPLEMENT AN ASSESSMENT OF FIDELITY FOR EACH OF OUR SELECTED EBPS; 2.3: 100% OF CHILDREN, ADOLESCENTS, AND FAMILIES ENROLLED IN CTR WILL BE SERVED USING ONE OR MORE OF OUR SELECTED EBPS; AND 2.4: PROVIDE FOUR EDUCATIONAL SESSIONS TO EXTERNAL PARTNERS DURING EACH YEAR OF THE GRANT PROGRAM ON THE IMPACT OF TRAUMA AND HOW TO IDENTIFY/REFER CHILDREN AND ADOLESCENTS IN NEED OF SUPPORT. (3) REDUCE THE IMPACT OF TRAUMA ON THE WELLBEING OF CHILDREN AND ADOLESCENTS SERVED BY OUR CTR PROGRAM BY ACCOMPLISHING THE FOLLOWING OBJECTIVES: 3.1: AFTER 6 MONTHS OF CTR ENGAGEMENT, 60% OF CHILDREN AND ADOLESCENTS WHO SCREEN POSITIVELY ON THE SCREEN FOR CHILD ANXIETY RELATED DISORDERS WILL HAVE A DECREASE IN THEIR ANXIETY-BASED SYMPTOMS AND BEHAVIORS ASSOCIATED WITH TRAUMA; 3.2: 60% OF CHILDREN AND ADOLESCENTS SERVED (AGES 11+) WHO SCREEN POSITIVELY ON THE PATIENT HEALTH QUESTIONNAIRE FOR ADOLESCENTS WILL HAVE A DECREASE IN THEIR DEPRESSION-RELATED SYMPTOMS AFTER 6 MONTHS OF ENGAGEMENT WITH CTR; 3.3: 100% OF THE FAMILIES OF CHILDREN AND ADOLESCENTS WHO WE SERVE THROUGH CTR WILL BE OFFERED FAMILY THERAPY USING ONE OF OUR EBPS WITHIN ONE MONTH; AND 3.4: 80% OF CHILDREN/ADOLESCENTS ENROLLED WITH CTR WILL RETURN TO STABLE/BASELINE RISK BY THE TIME OF THEIR PLANNED DISCHARGE. DATA COLLECTION AND MEASUREMENT PROCEDURES WILL BE DELINEATED IN A COMPREHENSIVE CQI PLAN, INCLUDING THE USE OF STANDARDIZED TOOLS.

SUBSTANCE ABUSE-FREE EDUCATION/INTERVENTION & REFERRAL (SAFER) PROGRAM - THROUGH HORIZON HEALTH SERVICES' (HHS) PROPOSED SUBSTANCE ABUSE-FREE EDUCATION/INTERVENTION & REFERRAL (SAFER) PROGRAM, HHS WILL EXPAND AND ENHANCE ACCESS TO THE EVIDENCE-BASED SBIRT PUBLIC HEALTH MODEL FOR ADOLESCENTS AND YOUNG ADULTS IN MIDDLE AND HIGH SCHOOLS AS WELL AS COLLEGE TO REDUCE UNDERAGE DRINKING, OPIOID, AND OTHER SUBSTANCE USE AND THE CONSEQUENT NEGATIVE HEALTH IMPACTS. OUR FOCUS POPULATION IS WESTERN NEW YORK ADOLESCENTS AND YOUNG ADULTS AGED 10-25 - WITH THE MAJORITY FALLING BETWEEN AGES 12-21 - IN THE ERIE, GENESEE, AND NIAGARA COUNTIES CATCHMENT AREA WHO ARE PROVIDED SERVICES AT OUR NEW YORK STATE (NYS) OFFICE OF MENTAL HEALTH-LICENSED SCHOOL-BASED CLINICS. TO REDUCE DISPARITIES IN TREATMENT ACCESS AND OUTCOMES, WE WILL ACTIVELY SEEK TO ENGAGE ADOLESCENTS AND YOUNG ADULTS FROM UNDERSERVED AND MARGINALIZED POPULATIONS INCLUDING LGBTQ+. RECENT DATA FROM THE NYS YOUTH RISK BEHAVIORAL SURVEILLANCE SYSTEM SHOWS 23% OF HIGH SCHOOLERS REPORTED DRINKING ALCOHOL IN THE PAST MONTH AND IN ERIE COUNTY, ONE DISTRICT RELATES THAT >10% OF THEIR HIGH SCHOOLERS REPORT REGULARLY VAPING. HHS RECOGNIZES THREE MAJOR PROBLEMS/AREAS OF NEED AMONG THE FOCUS POPULATION IN OUR CATCHMENT AREA: 1) RATES OF ALCOHOL AND OTHER DRUG USE (AOD) AMONG ADOLESCENTS AND YOUNG ADULTS ARE RISING; 2) THERE IS A LACK OF ACCESS TO TIMELY AOD INTERVENTION AND TREATMENT BY AN ADEQUATE AND CULTURALLY-AWARE BEHAVIORAL HEALTH WORKFORCE; AND 3) RATES OF POOR OUTCOMES ASSOCIATED WITH ADOLESCENT AND YOUNG ADULT AOD ARE INCREASING SUCH AS PERSISTENT ALCOHOL AND SUBSTANCE USE DISORDERS IN ADULTHOOD. OUR GOALS AND OBJECTIVES - ALIGNED WITH THE AFOREMENTIONED AREAS OF NEED - INCLUDE: 1) INCREASE THE NUMBER OF ADOLESCENTS AND YOUNG ADULTS WHO ARE SCREENED WITH AN EVIDENCE-BASED TOOL FOR UNDERAGE DRINKING, OPIOID USE, AND OTHER SUBSTANCE USE + TOBACCO. 2) IMPROVE TIMELY ACCESS TO AND AVAILABILITY OF EVIDENCE-BASED, CULTURALLY APPROPRIATE AOD INTERVENTION AND TREATMENT SERVICES FOR SAFER PARTICIPANTS. 3) REDUCE NON-DEPENDENT ALCOHOL AND SUBSTANCE USE BEFORE IT RESULTS IN AOD DISORDERS THAT CONTINUE INTO ADULTHOOD, POTENTIALLY CAUSING A MULTITUDE OF HEALTH AND SOCIAL PROBLEMS. THROUGH OUR SAFER PROGRAM, HHS WILL AUGMENT OUR LICENSED SCHOOL-BASED CLINICIAN CAPACITY AND PROVIDE EVIDENCE-BASED TRAINING TO SUPPORT THE DELIVERY OF SBIRT SCREENINGS AND SERVICES TO MEET OUR CATCHMENT AREA'S GROWING AOD NEEDS. WE WILL OFFER 900 ADOLESCENTS AND YOUNG ADULTS OVER 5 YEARS SCREENING FOR AOD, AND POSSIBLE CO-OCCURRING MENTAL HEALTH CONDITIONS, UTILIZING VALIDATED SCREENING TOOLS. FOR ADOLESCENTS AND YOUNG ADULTS WHO SCREEN POSITIVE, BRIEF INTERVENTION WILL BE PROVIDED WHICH EMPLOYS MOTIVATIONAL INTERVIEWING TECHNIQUES TO INCREASE INSIGHT AND AWARENESS ABOUT SUBSTANCE USE TO INSPIRE BEHAVIOR CHANGE. REFERRAL TO TREATMENT MAY BE INDICATED FOR INDIVIDUALS PRESENTING WITH AOD BEYOND WHAT THE SCHOOL-BASED CLINIC CAN SUPPORT. FOR ADOLESCENTS AND YOUNG ADULTS REFERRED TO TREATMENT, MULTIPLE EVIDENCE-BASED PRACTICES MAY BE APPLIED GIVEN EACH INDIVIDUAL'S UNIQUE DIAGNOSIS(ES) AND TREATMENT PLAN. IN ADDITION TO SBIRT SERVICES PROVIDED BY CLINICIANS, ADOLESCENTS AND YOUNG ADULTS WILL HAVE ACCESS TO A CASE MANAGER TO COORDINATE WRAPAROUND SUPPORTIVE SERVICES, A FAMILY LIAISON TO ASSIST FAMILIES AS THEY CONTEMPLATE AND APPROACH TREATMENT AS WELL AS WITH THEIR CULTURAL/LINGUISTIC NEEDS, AND YOUTH PEER SUPPORT THROUGH A COMMUNITY-BASED PARTNERSHIP. THE SAFER PROGRAM WILL PLACE SIGNIFICANT EMPHASIS ON OUTREACHING TO UNDERSERVED/MINORITY SEGMENTS OF OUR CATCHMENT AREA TO OFFER SBIRT SERVICES IN ADDITIONAL ADOLESCENT- AND YOUNG ADULT-SERVING SETTINGS OVER THE COURSE OF THE PROGRAM TO MAXIMIZE HEALTH EQUITY. BY THE END OF SAFER, WE AIM TO EXPAND THE UPTAKE OF SBIRT INTO ROUTINE HEALTHCARE ENCOUNTERS AT OUR PARTICIPATING SITES. DATA COLLECTION/MEASUREMENT PROCEDURES WILL BE DELINEATED IN A COMPREHENSIVE CQI PLAN, INCLUDING THE USE OF STANDARDIZED INSTRUMENTS PER AN ESTABLISHED TIMELINE.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS - HORIZON HEALTH SERVICES, INC. (HHS) IS A FEDERALLY QUALIFIED HEALTH CENTER THAT HAS BEEN PROVIDING ESSENTIAL HEALTHCARE SAFETY NET SERVICES IN A RURAL SETTING FOR THE PAST 45 YEARS. HHS PROVIDES PRIMARY MEDICAL, DENTAL, BEHAVIORAL HEALTH, AND PHARMACY SERVICES TO UNINSURED, UNDERINSURED, AND OTHER VULNERABLE PATIENTS. THE CURRENT SERVICE AREA IS DEFINED PREDOMINANTLY AS ISLE OF WIGHT, SOUTHAMPTON, SUSSEX, AND SURRY COUNTIES IN VIRGINIA. HHS CURRENTLY OPERATES THREE MEDICAL CENTERS (IVOR, SURRY, WAVERLY), ONE DENTAL CENTER (IVOR), AND ONE OPEN-DOOR RETAIL PHARMACY (WAVERLY). LIMITED BEHAVIORAL HEALTH SERVICES ARE CURRENTLY PROVIDED BY ONE LICENSED CLINICAL SOCIAL WORKER, SHARED ACROSS ALL SERVICE LOCATIONS. IN 2023, HHS RENDERED CARE TO 5,188 PATIENTS ACROSS 16,370 VISITS. HHS IS SEEKING TO ENHANCE AND EXPAND THE SERVICES THAT IT CURRENTLY PROVIDES AT ITS WAVERLY MEDICAL CENTER LOCATION IN SUSSEX COUNTY. THE CURRENT BUILDING IS IN DIRE NEED OF REPLACEMENT. THE AGING BUILDING, CONSTRUCTED IN THE 1960’S, IS IN NEED OF MAJOR REPAIRS/RENOVATION. THE INTERIOR IS OUTDATED, AND THE POOR PHYSICAL CONDITION OF THE FACILITY DETERS NOT ONLY SOME PATIENTS BUT HINDERS RECRUITMENT/RETENTION OF QUALIFIED HEALTHCARE PROFESSIONALS AS WELL. THE CURRENT APPROXIMATE 3,000 SQ. FT. BUILDING IS TOO SMALL TO MEET THE GROWING PATIENT DEMAND AND ACCOMMODATING THE INCREASING NUMBER OF PATIENTS/VISITS HAS BECOME CHALLENGING. WAVERLY MEDICAL CENTER HAS SEEN A 13% INCREASE IN PATIENT VISITS OVER THE PAST FIVE YEARS. IN ADDITION, MORE STAFFING HAS BEEN ADDED TO SERVE THE GROWING NUMBER OF PATIENTS. THE ORGANIZATION LOOKED INTO THE POSSIBILITY OF ADDING ON TO THE EXISTING BUILDING BUT FOUND THAT THE CURRENT STRUCTURE COULD NOT SUPPORT A SECOND STORY AND THE SMALL FOOTPRINT OF THE PROPERTY DID NOT ALLOW FOR SINGLE-STORY EXPANSION. CURRENTLY, THIS LOCATION PROVIDES ONLY PRIMARY CARE SERVICES BUT THERE IS A SIGNIFICANT NEED FOR DENTAL AND BEHAVIORAL HEALTH SERVICES IN SUSSEX CO UNTY. THERE ARE CURRENTLY NO OTHER PROVIDERS OF THESE SERVICES WITHIN THE COUNTY. THERE ARE 10,763 PEOPLE IN SUSSEX COUNTY (2021 CENSUS BUREAU) WITHOUT READILY ACCESSIBLE DENTAL OR MENTAL HEALTH SERVICES. 1,875 OF THEM LIVE IN WAVERLY ALONE. THE LACK OF SPACE IN THE CURRENT BUILDING PROHIBITS THE ORGANIZATION FROM ADDING THESE MUCH-NEEDED SERVICES IN THE CURRENT FACILITY. TO ADDRESS THESE GROWING CONCERNS, HORIZON PLANS TO CONSTRUCT A NEW, LARGER WAVERLY HEALTH CENTER THAT WILL PROVIDE MORE SPACE TO ENHANCE ACCESS TO THE EXISTING PRIMARY CARE PRACTICE AND ALLOW THE ADDITION OF DENTAL AND BEHAVIORAL HEALTH SERVICES (TO INCLUDE SUBSTANCE ABUSE SERVICES), ALL UNDER ONE ROOF. HORIZON SERVES A POPULATION ADVERSELY AFFECTED BY POVERTY, UNEMPLOYMENT, LOW EDUCATION/LITERACY LEVELS, GEOGRAPHIC/TRANSPORTATION BARRIERS, AND SOCIAL ISOLATION. IT HAS A HIGH MINORITY POPULATION. ACCORDING TO THE U.S. CENSUS BUREAU, 56.1% OF THE POPULATION IN SUSSEX COUNTY IS BLACK, COMPARED TO THE STATE AVERAGE OF 19.9%. THE RATE OF PERSONS LIVING IN POVERTY IN SUSSEX COUNTY IS SUBSTANTIALLY HIGHER THAN STATE AND NATIONAL AVERAGES. SIMILARLY, SUSSEX COUNTY EXCEEDS BOTH STATE AND NATIONAL UNEMPLOYMENT AND NON-INSURED RATES AND HAS A HIGHER THAN STATE AVERAGE ELDERLY POPULATION. SIMPLY STATED, HHS’ WAVERLY MEDICAL CENTER PROVIDES CARE TO SOME OF THE MOST VULNERABLE PATIENTS IN THE COMMONWEALTH OF VIRGINIA. SUSSEX AND SURROUNDING COMMUNITIES HAVE LONG BEEN FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS AND HEALTH PROFESSIONAL SHORTAGE AREAS. THIS PROJECT WOULD ALLOW HHS THE SPACE NEEDED TO ADD MORE HEALTHCARE PROFESSIONALS AND ADD ADDITIONAL SERVICES… TO REACH MORE PEOPLE AND AFFECT MORE LIVES. CPF/CDS FUNDING WILL BE USED TOWARDS THE SITE WORK AND BUILDING CONSTRUCTION COSTS OF THE NEW WAVERLY HEALTH CENTER. PRELIMINARY DISCUSSIONS WITH ARCHITECTS AND CONCEPTUAL PLANS INDICATE AN IDEAL BUILDING SIZE OF APPROXIMATELY 29,000 SQ. FT. WITH AN ESTIMATED PROJECT COST OF $17,421,322.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

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

HORIZON HEALTH ZERO SUICIDE PROGRAM - THE HORIZON HEALTH ZERO SUICIDE PROGRAM WILL PROVIDE SUICIDE INTERVENTION AND PREVENTION SERVICES BASED ON THE ZERO SUICIDE METHOD TO RURAL PINAL COUNTY ARIZONA. OVER THE COURSE OF THE GRANT WE WILL SERVE 1800 INDIVIDUALS OFFERING BOTH DIRECT INTERVENTION, FOLLOW UP AND ONGOING SERVICES AS WELL AS TRAININGS TO COMMUNITY LEADERS AND COMMUNITY MEMBERS WITH THE GOAL OF IDENTIFYING AT RISK INDIVIDUALS AND PREVENTING SUICIDE ATTEMPTS. THE GOALS OF THIS PROGRAM ARE: 1. INCREASE THE NUMBER OF PINAL COUNTY RESIDENTS THAT ARE SCREENED AND EVALUATED FOR SUICIDE POTENTIAL 2. CONNECT INDIVIDUALS TO TREATMENT WITH INTAKE OCCURRING WITHIN 24 HOURS OF RISK ASSESSMENT 3. INCREASE THE WORKFORCE AND COMMUNITY EXPERIENCE, EDUCATION, AND TRAINING REGARDING SUICIDE PREVENTION. HORIZON WILL UTILIZE SEVERAL EVIDENCE-BASED PRACTICES FOR THIS PROGRAM, INCLUDING ASIST AND SAFETALK TRAININGS, SEVERAL SCREENING AND RISK ASSESSMENT TOOLS AND THE TREATMENT MODALITIES OF DBT, CBT-SP AND PEER SUPPORT. ALL SERVICES AND TRAININGS WILL BE PROVIDED IN A TRAUMA INFORMED CARE APPROACH WITH A FOCUS AND EFFORT ON CLOSING BOTH THE SERVICE GAPS AS WELL AS THE GAPS OF INEQUITY IN THE RURAL POPULATION OF FOCUS.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

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

CAPITAL DEVELOPMENT

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

RURAL HIT NETWORK PROGRAM

RURAL HEALTH INFORMATION TECHNOLOGY WORKFORCE PROGRAM

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

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

MH ALERT - THROUGH OUR PROPOSED MH ALERT PROGRAM, HORIZON HEALTH SERVICES (HHS) WILL TRAIN ADULT INDIVIDUALS TO: 1) RECOGNIZE MENTAL HEALTH (MH)/SUICIDAL SIGNS/SYMPTOMS; 2) SAFELY DE-ESCALATE CRISIS SITUATIONS; AND, 3) REFER PERSONS-IN-NEED TO COMMUNITY-BASED MH SERVICES AND TREATMENT. OUR POPULATION OF FOCUS TO BE TRAINED (TRAINEES) INCLUDES FACULTY, STAFF, COACHES, AND PARENTS/GUARDIANS AT THREE (3) SCHOOLS; AND, EMPLOYEES AND ADULT PROGRAM PARTICIPANTS AT SIX (6) WORKPLACES. OUR POPULATION BEING IMPACTED BY THE TRAININGS INCLUDES STUDENTS AGED 10-19 AT THE SCHOOLS; AND, EMPLOYEES AND ADULTS/YOUTH WITH WHOM TRAINEES INTERACT AT THE WORKPLACES. OUR CATCHMENT AREA IS ERIE AND NIAGARA COUNTIES AND WE WILL ACTIVELY SEEK TO ENGAGE ADDITIONAL, DIVERSE SCHOOL, WORKPLACE, AND COMMUNITY-ORGANIZATION PARTNERS THROUGHOUT THE 3-YEAR PROGRAM. A RECENT, MASS SHOOTING INCIDENT WITHIN OUR CATCHMENT AREA HAS INCREASED WHAT WERE ALREADY-ELEVATED RATES OF ANXIETY AND OTHER MH SYMPTOMS/INCIDENTS OBSERVED OVER THE LAST SEVERAL YEARS. CONCURRENTLY, THERE IS A SHORTAGE OF RESOURCES IN ENVIRONMENTS WHERE NEED IS THE GREATEST WITH 62% OF SCHOOLS IN ERIE COUNTY REPORTING NO PREVENTION PROGRAMMING AND AN UPTICK IN REQUESTS RECEIVED BY HHS FOR WORKPLACE PROGRAMS. TO ADDRESS THE NEED, HHS WILL OFFER 1,000 ADULTS MH AWARENESS TRAINING USING THE FOLLOWING UN-MODIFIED EVIDENCE-BASED PRACTICES (EBP): QUESTION, PERSUADE, REFER (QPR), AN EBP TO REDUCE SUICIDAL BEHAVIORS AND SAVE LIVES BY PROVIDING PROVEN SUICIDE PREVENTION TRAINING, AND MENTAL HEALTH FIRST AID (MHFA), AN EBP TRAINING COURSE THAT TEACHES PARTICIPANTS ABOUT MH/SUD AND HOW TO INTERVENE. OUR GOALS AND OBJECTIVES INCLUDE: (1) INCREASE ACCESS TO INFORMATION/EDUCATION ABOUT MH DISORDERS AND SUICIDE PREVENTION THROUGH EVIDENCE-BASED TRAININGS: 1.1. IDENTIFY FOUR QUALIFIED STAFF TO CONDUCT TRAININGS; 1.2-1.3. FOUR QUALIFIED STAFF BECOME CERTIFIED QPR GATEKEEPER INSTRUCTORS, AND CERTIFIED MHFA INSTRUCTORS; 1.4. ALL ENTITIES SUBMITTING LETTERS OF COMMITMENT WILL HOST QPR TRAININGS BY OUR CERTIFIED INSTRUCTORS RESULTING IN APPROXIMATELY 18 GROUPS OF 20 TRAINEES FOR AN APPROXIMATE TOTAL OF 365 INDIVIDUALS TRAINED ANNUALLY (PRORATED TO 270 FOR YEAR 1); 1.5 ALL PARTNERS SUBMITTING LETTERS OF COMMITMENT WILL BE OFFERED FULL-DAY MHFA TRAINING FOLLOWING COMPLETION OF QPR TRAINING; 1.6. FOLLOWING TRAININGS, 100% OF EXIT SURVEYS RECEIVED BACK WILL REPORT INCREASED KNOWLEDGE OF SUBJECT MATTER. (2) IMPROVE LINKAGE/CONNECTION TO MH TREATMENT/SERVICES/RESOURCES FOR POPULATIONS IMPACTED BY TRAININGS: 2.1. DURING QPR TRAININGS, 100% OF TRAINEES WILL BE GIVEN CONTACT INFORMATION FOR COMMUNITY-BASED TREATMENT/SERVICES/RESOURCES TO DISCUSS WITH AND DISTRIBUTE TO THE POPULATION IMPACTED AS THEY OBSERVE MH SIGNS/SYMPTOMS. 2.2. CULTIVATE AND ACTIVELY MAINTAIN RELATIONSHIPS/COMMUNICATION WITH CURRENT/NEW SCHOOLS, WORKPLACES, AND COMMUNITY-BASED ORGANIZATIONS TO OPTIMIZE USE OF TREATMENT REFERRAL MECHANISMS. DATA COLLECTION AND MEASUREMENT PROCEDURES WILL BE CONDUCTED ON A QUALITY-TESTED, SECURE DATA MANAGEMENT SYSTEM WITH REPORTING OCCURRING COMMENSURATE WITH THE INDICATED TIMELINE.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HHW DRUG-FREE COMMUNITIES (DFC) SUPPORT PROGRAM - THE STANDUP AJ COALITION IS A COMMUNITY SUBSTANCE MISUSE PREVENTION COALITION LOCATED IN APACHE JUNCTION, ARIZONA ON THE FAR EAST OUTSKIRTS OF THE PHOENIX METRO AREA. STANDUP AJ PLANS TO ADDRESS YOUTH SUBSTANCE USE THROUGH A MULTI-SECTOR APPROACH USING A SET OF COMMUNITY-BASED STRATEGIES AND ACTION ITEMS TO REDUCE THE PREVALENCE AND IMPACT OF THE TARGET SUBSTANCES. STRATEGIES TO INCREASE COMMUNITY COLLABORATION AND COALITION CAPACITY INCLUDE INCREASING MEMBER RECRUITMENT, INCREASING MEMBER INVOLVEMENT IN IMPLEMENTATION OF THE ACTIVITIES AND ENHANCING SKILLS OF THE COALITION MEMBERS AND KEY PARTNERS THROUGH TOPICAL TRAININGS ON BEST PRACTICES IN PREVENTION SCIENCE. STRATEGIES TO REDUCE YOUTH SUBSTANCE USE FOR THE TARGET SUBSTANCES AND ASSOCIATED PUBLIC HEALTH PROBLEMS INCLUDE PROVIDING INFORMATION, ENHANCING SKILLS, PROVIDING SUPPORT AND CHANGING CONSEQUENCES TO ADDRESS THE RISK AND PROTECTIVE FACTORS OF PERCEIVED RISK OF SUBSTANCE USE, LACK OF PARENT-CHILD CONVERSATIONS, YOUTH COPING AND RESILIENCY SKILLS AND YOUTH ENGAGEMENT IN PROSOCIAL ACTIVITIES. ANTICIPATED OUTCOMES OF THIS PROJECT INCLUDE: (1) STANDUP AJ CONTINUING ON ITS PATH TO BECOMING A WELL-FUNCTIONING, EFFECTIVE COALITION WITH INCREASED MEMBERSHIP AND A STRONGER KNOWLEDGE BASE IN AREAS RELATED TO PREVENTION SCIENCE; (2) AN INCREASE IN YOUTH, CAREGIVER AND COMMUNITY AWARENESS OF YOUTH SUBSTANCE USE; (3) AN INCREASE IN YOUTH PERCEIVED RISKS OF TARGET SUBSTANCES; (4) AN INCREASE IN YOUTH INVOLVEMENT IN PROSOCIAL ACTIVITIES AND THEIR PERCEIVED VALUE OF THIS INVOLVEMENT; AND (5) AN INCREASE IN YOUTH COPING, RESILIENCY AND SELF-REGULATION SKILLS. BY 2027, STANDUP AJ ANTICIPATES A REDUCTION IN USE OF THE TARGET SUBSTANCES AND A REDUCTION IN SUBSTANCE USE DISPARITIES AMONG OUR YOUTH RELATED TO MENTAL HEALTH, RESILIENCY FACTORS AND UNMITIGATED TRAUMA AND ACES. USING TRAUMA INFORMED, EVIDENCE BASED STRATEGIES, STANDUP AJ WILL STRIVE TO CREATE A POSITIVE CULTURE THAT ALLOWS YOUTH TO THRIVE IN AN ENVIRONMENT WHERE EVERYONE BELIEVES THEY ARE CAPABLE OF SUCCESS, ADDRESS MENTAL HEALTH AND SOCIAL EMOTIONAL LEARNING TO INCREASE YOUTH RESILIENCE, AND THROUGH IT ALL INCREASE THE CAPABILITIES OF THE COALITION THROUGH CONTINUALLY ASSESSING THE NEEDS OF THE COMMUNITY, ADJUSTING STRATEGIES AS NEEDED, EVALUATING WHAT WE HAVE DONE, AND PLAN STRATEGICALLY BASED ON THE EVALUATION RESULTS. STANDUP AJ WILL STAND TOGETHER WITH OUR COMMUNITY AND YOUTH PROMOTING POSITIVE HEALTHY LIFE CHOICES AND BUILDING BRIGHT FUTURES.

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

RURAL EMS RESILIENCE AND RESPONSE INITIATIVE - IN RESPONSE TO THE CRITICAL NEED FOR ENHANCED EMERGENCY MEDICAL SERVICES (EMS) FOR INDIVIDUALS EXPERIENCING MENTAL HEALTH AND SUBSTANCE USE CRISES IN RURAL AREAS, OUR PROJECT, TITLED RURAL EMS RESILIENCE AND RESPONSE INITIATIVE, AIMS TO STRENGTHEN THE CAPACITY OF EMS PERSONNEL TO PROVIDE TRAUMA-INFORMED CARE AND FACILITATE CONNECTIONS TO TREATMENT AND SUPPORT SERVICES. SERVING THE RURAL POPULATION OF EDGAR COUNTY, ILLINOIS, CHARACTERIZED BY DIVERSE DEMOGRAPHICS AND PREVALENT SOCIOECONOMIC CHALLENGES, OUR PROJECT WILL IMPLEMENT COMPREHENSIVE TRAINING PROGRAMS AND ESTABLISH INNOVATIVE PROTOCOLS TO ADDRESS THE UNIQUE NEEDS OF THIS UNDERSERVED COMMUNITY. OUR STRATEGIES INCLUDE TRAINING EMS PERSONNEL ON MENTAL HEALTH AND SUBSTANCE USE DISORDERS, NALOXONE ADMINISTRATION, MOTIVATIONAL INTERVIEWING, AND WARM HANDOFFS TO PEER SUPPORT SPECIALISTS. ADDITIONALLY, WE WILL ACQUIRE ESSENTIAL EMERGENCY MEDICAL SERVICES EQUIPMENT, DEVELOP REPORTING PROCEDURES FOR OVERDOSE INCIDENTS, AND ENSURE ONGOING PROFESSIONAL DEVELOPMENT FOR EMS STAFF. THROUGH PARTNERSHIPS WITH LOCAL ORGANIZATIONS SUCH AS ROSC, CARE AND THE HRC LIVING ROOM PROGRAM, AND COLLABORATION WITH REGIONAL TRAINING RESOURCES, WE AIM TO MAXIMIZE THE REACH AND EFFECTIVENESS OF OUR INTERVENTIONS. THE GOALS OF OUR PROJECT ARE TO IMPROVE THE QUALITY OF EMERGENCY RESPONSE FOR INDIVIDUALS WITH MENTAL HEALTH AND SUBSTANCE USE CONCERNS, REDUCE STIGMA SURROUNDING THESE ISSUES WITHIN THE EMS COMMUNITY, AND INCREASE ACCESS TO TIMELY AND APPROPRIATE CARE FOR RURAL RESIDENTS. MEASURABLE OBJECTIVES INCLUDE TRAINING ALL EMS PERSONNEL TO FACILITATE WARM HANDOFFS FOR 100% OF ALL PATIENTS WITH MENTAL HEALTH AND SUBSTANCE USE CONCERNS, AND REPORTING OVERDOSE INCIDENTS TO PUBLIC HEALTH AUTHORITIES WITHIN 72 HOURS. OVER THE PROJECT'S DURATION, WE ANTICIPATE PROVIDING EMS TRAINING TO OVER 100 INDIVIDUALS ANNUALLY AND OVER 200 INDIVIDUALS THROUGHOUT THE ENTIRETY OF THIS PROJECT FOSTERING LONG-TERM IMPROVEMENTS IN EMERGENCY RESPONSE AND COMMUNITY WELL-BEING.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT ABSTRACT SUMMARY APPLICANT: HORIZON HEALTH CARE, INC. PROJECT DIRECTOR NAME: WADE ERICKSON, CEO ADDRESS: 109 N MAIN STREET HOWARD, SD 57349 PHONE: (605) 772-4525 EMAIL: WERICKSON@HORIZONHEALTHCARE.ORG WEBSITE: HTTP://HORIZONHEALTHCARE.ORG REQUESTED FUNDING: $600,000 PROGRAM GRANT NUMBER: H80CS00135 PROJECT ABSTRACT SUMMARY: HORIZON HEALTH CARE (HORIZON), IS A PRIVATE, NON-PROFIT 501C(3) FEDERALLY QUALIFIED HEALTH CENTER WITH 31 CLINICAL SITES ACROSS 22 SOUTH DAKOTA (SD) COMMUNITIES. WITH A NETWORK SPANNING OVER 28,000 SQUARE MILES OF RURAL AND FRONTIER REGIONS, HORIZON ADDRESSES THE UNIQUE HEALTH CHALLENGES OF RURAL POPULATIONS THROUGH COMMUNITY-DRIVEN, EQUITABLE, AND CULTURALLY SENSITIVE CARE. HORIZON PROVIDES 95,000 MEDICAL, DENTAL, AND BEHAVIORAL HEALTH VISITS TO 27,000 PATIENTS ANNUALLY. NEARLY 4,300 BEHAVIORAL HEALTH VISITS ARE CONDUCTED EACH YEAR, PRIMARILY VIA TELEHEALTH TECHNOLOGY. COMPREHENSIVE, AFFORDABLE HEALTHCARE IS PROVIDED TO GEOGRAPHICALLY UNIQUE AND CULTURALLY DIVERSE POPULATIONS, INCLUDING SIX OF THE NINE NATIVE AMERICAN RESERVATIONS IN THE STATE. HORIZON OUTREACH EFFORTS FOCUS ON INDIVIDUALS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL), MINORITIES, ELDERLY, AND THE UNINSURED/UNDERINSURED. INDIVIDUALS LIVING AT OR BELOW THE 200% FPL COMPRISE APPROXIMATELY 33% OF HORIZON’S PATIENTS. HORIZON HAS A NETWORK OF INTERPRETER SERVICES AND TELEMEDICINE TECHNOLOGY TO SUPPORT NEARLY 3,000 NON-ENGLISH SPEAKING PATIENTS. HORIZON IS COMMUNITY-DRIVEN AND UPHOLDS THE MISSION OF MEETING THE MOST PERTINENT HEALTH NEEDS OF RURAL COMMUNITIES. ACROSS SD, MENTAL/BEHAVIORAL HEALTH DISORDERS DISPROPORTIONATELY IMPACT RURAL POPULATIONS. ADULTS ACROSS ALL AGE GROUPS HAD HIGHER RATES OF MENTAL ILLNESS, AND MAJOR DEPRESSIVE EPISODES COMPARED TO THE US POPULATION. THE RATE OF 3-17 YEAR OLDS WITH ANXIETY OR DEPRESSION HAS MORE THAN DOUBLED SINCE 2016 WHILE THE NUMBER OF HIGH SCHOOL STUDENTS WHO REPORTED FEELING SAD/HOPELESS INCRE ASED FROM 22% IN 2013 TO 36% IN 2019. WITH THE FIFTH HIGHEST SUICIDE RATE IN THE NATION, SUICIDE DEATHS INCREASED BY 31% OVER THE LAST DECADE AND ARE THE LEADING CAUSE OF DEATH FOR 10-29 YEAR OLDS IN THE STATE. THE SUICIDE RATE FOR THE NATIVE AMERICAN POPULATION IS 2.7 TIMES HIGHER THAN THE WHITE POPULATION. ALCOHOL IS THE MOST COMMON SUBSTANCE USE DISORDER IN SD AND IS THE FIFTH HIGHEST RATE IN THE NATION. SD MOTHERS REPORTING THE USE OF ILLICIT DRUGS THE MONTH BEFORE BECOMING PREGNANT IS RISING, AND 7% OF ALL MOTHERS USED DURING PREGNANCY. OVER THE PAST DECADE, OPIOID RELATED DEATHS IN SD HAVE NEARLY DOUBLED AND OVERDOSE DEATHS FROM ALL DRUGS INCREASED BY 78%. NATIVE AMERICAN OVERDOSE RATES WERE 3 TIMES HIGHER THAN WHITE RATES. HORIZON PROVIDES CLINICAL SERVICES IN 8 OF THE 12 COUNTIES WITH THE HIGHEST SUICIDE RATES AND IN ALL 8 COUNTIES WITH THE HIGHEST ALCOHOL-RELATED DEATH RATES. 100% OF COUNTIES WITHIN THE HORIZON SERVICE AREA ARE PROFESSIONAL MENTAL HEALTH SHORTAGE AREAS, MEETING ONLY 28% OF THE OVERALL NEED. MORE THAN HALF OF ADULTS WITH MENTAL ILLNESS RECEIVED NO TREATMENT, WHILE 60% OF YOUTH WITH A MAJOR DEPRESSIVE EPISODE DID NOT RECEIVE TREATMENT. WITH THE BEHAVIORAL HEALTH SERVICE EXPANSION PROJECT, HORIZON PROPOSES TO EXPAND MENTAL AND BEHAVIORAL HEALTH SERVICES, INCLUDING SUBSTANCE USE TREATMENT, TO INCREASE THE NUMBER OF PATIENTS RECEIVING CARE AND DECREASE THE RACIAL AND ETHNIC DISPARITIES ACROSS RURAL COMMUNITIES. THROUGH INCREASED PUBLIC AWARENESS AND EXPANDED TELEHEALTH CAPABILITIES, HORIZON WILL ENSURE PATIENTS IN RURAL AREAS HAVE EQUITABLE ACCESS TO MENTAL HEALTH CARE AND SUBSTANCE USE TREATMENT. UTILIZING HORIZON’S FOOTPRINT, CASE MANAGEMENT FRAMEWORK, AND TELEHEALTH NETWORK, HOLISTIC CARE MANAGEMENT WILL BE REINFORCED THROUGH THE UTILIZATION OF COMMUNITY HEALTH WORKERS, BEHAVIORAL HEALTH TECHNICIANS, AND LICENSED BEHAVIORAL HEALTH PROFESSIONALS. EXPANDED PATIENT EDUCATION AND ENHANCED PROVIDER TRAINING WILL ENSURE SIGNIFICANT IMPROVEMENTS IN ACCESS TO CARE.

ARRA - CAPITAL IMPROVEMENT PROGRAM

TELEMEDICINE GRANT

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

TELEMEDICINE GRANT

FY 2023 EXPANDING COVID-19 VACCINATION

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

TELEMEDICINE GRANT

FY 2023 BRIDGE ACCESS PROGRAM

DLT OPIOID GRANTS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

ENGAGES PERSONS 55 AND OLDER IN VOLUNTEER SERVICE IN THEIR COMMUNITIES

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RETIRED AND SENIOR VOLUNTEER PROGRAM

COMMUNITY FACILITY GRANTS

ENGAGES PERSONS 55 AND OLDER IN VOLUNTEER SERVICE IN THEIR COMMUNITIES

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

FY 2023 BRIDGE ACCESS PROGRAM

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

COMMUNITY FACILITY GRANTS

ESTABLISHMENT OF CCBHC SERVICES

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM