Care Foundation

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

TENANT RESOURCE NETWORK PROGRAM

ELIMINATING DISPARITIES IN PERINATAL HEALTH

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

ELIMINATING DISPARITIES IN PERINATAL HEALTH

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

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

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

AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

THE AGRI CAMP ACTIVITY AIMS TO DEVELOP A PARTNERSHIP BETWEEN THE AGRICULTURAL INDUSTRY SECTOR, STUDENTS, AND YOUNG PROFESSIONALS THROUGH HANDS-ON AND INNOVATIVE AGRICULTURAL TRAINING AND SKILL BUILDING. INCLUSIVE, SUSTAINABLE ECONOMIC SECURITY AND GROWTH IN THE AGRICULTURAL SECTOR WILL THUS BE PROMOTED THROUGH MARKET-ORIENTED WORKFORCE DEVELOPMENT.

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

EARLY INTERVENTION SERVICES

PREVENTING HOSPITALIZATIONS IN VERY HIGH-RISK PATIENTS.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

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

CONSTRUCT STEAM PLANT

NORTH CAROLINA RURAL HOSPITAL COVID SUPPORT

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

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

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA)

GUIDANCE/CARE CENTER FY22 CCBHC-PDI - GUIDANCE/CARE CENTER’S PROPOSAL TO BE A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) WILL SERVE 415 CLIENTS BY THE END OF THE GRANT PERIOD IN MONROE COUNTY, FLORIDA (50 YR1, 150 YR2 AND YR3, 65 YR4). WITH THE PROPOSED CCBHC FUNDING, G/CC WILL UNDERGO A SYSTEM TRANSFORMATION THAT WILL BRING FRAGMENTED SERVICES TOGETHER TO DELIVER THEM IN A COORDINATED MANNER ACROSS MULTIPLE DISCIPLINES, INCLUDING PRIMARY CARE, BEHAVIORAL HEALTH, MENTAL HEALTH, AND PSYCHIATRY. G/CC HAS IDENTIFIED THE POPULATION OF FOCUS AS ANY INDIVIDUAL WITH A MENTAL HEALTH OR SUBSTANCE USE DISORDER (SUD) WHO SEEKS CARE, INCLUDING THOSE WITH A SERIOUS MENTAL ILLNESS (SMI) OR AN OPIOID USE DISORDER (OUD); CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED); INDIVIDUALS WITH CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDERS (COD); AND INDIVIDUALS EXPERIENCING A MENTAL HEALTH OR SUBSTANCE USE-RELATED CRISIS. GOAL 1: INCREASE THE AVAILABILITY OF AND ACCESS TO HIGH-QUALITY MENTAL HEALTH AND SUD SERVICES IN MONROE COUNTY, FL. OBJECTIVE 1.1: BY SEPTEMBER 2026, PROVIDE HIGH-QUALITY, INTEGRATED OUTPATIENT MENTAL HEALTH AND SUD SERVICES TO 415 CHILDREN, ADOLESCENTS, AND ADULTS (Y1=45; Y2, 3=150; Y4=65). OBJECTIVE 1.2: BY SEPTEMBER 2026, 85% OF CLIENTS WILL RECEIVE PRIMARY CARE SCREENING AND MONITORING FOR BMI, BLOOD PRESSURE, HIV/VH, AND TOBACCO USE. OBJECTIVE 1.3: BY SEPTEMBER 2026, 85% OF CLIENTS WITH TRAUMA SYMPTOMS WILL RECEIVE SEEKING SAFETY. OBJECTIVE 1.4: BY SEPTEMBER 2026, 85% OF CLIENTS WITH AN SUD WILL RECEIVE RELAPSE PREVENTION THERAPY. OBJECTIVE 1.5: BY SEPTEMBER 2026, 70% OF CLIENTS WILL COMPLETE TREATMENT SUCCESSFULLY. GOAL 2: IMPROVE THE BEHAVIORAL, MENTAL HEALTH, AND SOCIAL FUNCTIONING OF CHILDREN, ADOLESCENTS, AND ADULTS WITH MENTAL HEALTH AND SUBSTANCE USE DISORDERS RESIDING IN MONROE COUNTY, FL. OBJECTIVE 2.1: BY SEPTEMBER 2026, 80% OF CLIENTS WITH AN SUD WILL ELIMINATE OR REDUCE SUBSTANCE USE WITHIN 6 MONTHS, AND 70% WILL MAINTAIN IMPROVEMENTS AT DISCHARGE MEASURED BY THE NOMS. OBJECTIVE 2.2: BY SEPTEMBER 2026, 80% OF CLIENTS WILL EXHIBIT FEWER MENTAL HEALTH SYMPTOMS WITHIN 6 MONTHS, AND 70% WILL MAINTAIN IMPROVEMENTS AT DISCHARGE MEASURED BY THE PCL-5, CFARS/FARS, AND NOMS. OBJECTIVE 2.3: BY SEPTEMBER 2026, 80% OF CLIENTS COMPLETING SERVICES AND NOT HAVING STABLE LIVING ARRANGEMENTS AT INTAKE WILL HAVE STABLE LIVING ARRANGEMENTS AT DISCHARGE MEASURED BY THE NOMS. OBJECTIVE 2.4: BY SEPTEMBER 2026, 80% OF CLIENTS COMPLETING SERVICES WILL BE IN AN EDUCATIONAL/VOCATIONAL PROGRAM OR EMPLOYED AT DISCHARGE MEASURED BY THE NOMS. OBJECTIVE 2.5: BY SEPTEMBER 2026, 75% OF CLIENTS WITH HYPERTENSION OR PRESENTING AS UNDER/OVERWEIGHT WILL FALL WITHIN NORMAL LIMITS AT 6 MONTHS, AND 65% WILL MAINTAIN THE IMPROVEMENTS AT DISCHARGE MEASURED BY BLOOD PRESSURE AND BMI.

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

AAD-HS 3104

HOMELESS PREVENTION

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

HOMELESS PREVENTION

KENTUCKY SUPPORTED EMPLOYMENT PROGRAM (KY SEP)

EARLY INTERVENTION SERVICES

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

PRIMARY CARE TRAINING AND ENHANCEMENT-COMMUNITY PREVENTION AND MATERNAL HEALTH

TRANSFORMING CLINICAL PRACTICES INITIATIVE - SAN

DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA)

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM - MEDICATION ASSISTED TREATMENT ACCESS

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

PEPFAR MULTI-COUNTRY AIDS RELIEF

FAMILY TREE - PROJECT SUMMARY: WESTCARE CALIFORNIA, INC.’S (WCCA) FAMILY TREE (TREATMENT AND RECOVERY ENHANCEMENT AND EXPANSION) PROGRAM WILL ENHANCE AND EXPAND COMPREHENSIVE TREATMENT, EARLY INTERVENTION, AND RECOVERY SUPPORT SERVICES FOR LOW-INCOME, PRIMARILY LATINO, ADOLESCENTS (AGES 12-18) WITH SUBSTANCE USE DISORDERS (SUD) AND CO-OCCURRING MENTAL HEALTH DISORDERS (COD) AND THEIR FAMILIES/PRIMARY CAREGIVERS IN KINGS COUNTY, CALIFORNIA. PROJECT NAME: FAMILY TREE POPULATION(S) TO BE SERVED: LOW-INCOME, PRIMARILY LATINO, ADOLESCENTS (AGES 12-18) WITH SUD/COD AND THEIR FAMILIES/PRIMARY CAREGIVERS STRATEGIES/INTERVENTIONS: WCCA WILL DELIVER OUTPATIENT TREATMENT, WRAPAROUND SERVICES, AND CASE MANAGED COMMUNITY-BASED SUPPORT SERVICES. PROJECT GOALS AND MEASURABLE OBJECTIVES: GOAL 1: INCREASE ACCESS TO CARE BY PROVIDING CULTURALLY COMPETENT AND YOUTH-CENTERED EVIDENCED-BASED SUD/COD TREATMENT TO PRIMARILY MINORITY YOUTH (AGES 12-18) AND THEIR FAMILIES. OBJECTIVE 1.1: PROVIDE A-CRA/ACC TO 450 UNDUPLICATED YOUTH ACROSS THE 5-YEAR FUNDING PERIOD. OBJECTIVE 1.2: PROVIDE SEEKING SAFETY TO 80% OF THE YOUTH HAVING TRAUMA-RELATED SYMPTOMS. OBJECTIVE 1.3: REFER 85% OF YOUTH AND THEIR FAMILY MEMBERS FOR ADDITIONAL SERVICES AS NEEDED. OBJECTIVE 1.4: 75% OF THE YOUTH WILL COMPLETE A-CRA/ACC. OBJECTIVE 1.5: 80% OF YOUTH COMPLETING TREATMENT WILL BE ALCOHOL AND DRUG FREE DURING THE 30 DAYS PRIOR TO DISCHARGE. OBJECTIVE 1.6: 80% OF YOUTH COMPLETING TREATMENT WILL EXHIBIT DECREASED DEPRESSION AND ANXIETY SYMPTOMS AT DISCHARGE. OBJECTIVE 1.7: 70% OF YOUTH COMPLETING SEEKING SAFETY WILL REPORT REDUCED TRAUMA SYMPTOMS AT DISCHARGE. GOAL 2: ENHANCE THE SOCIAL AND BEHAVIORAL HEALTH FUNCTIONING OF PRIMARILY MINORITY YOUTH (12-18) AND THEIR FAMILIES. OBJECTIVE 2.1: 80% OF YOUTH SUCCESSFULLY COMPLETING TREATMENT WHO DID NOT HAVE STABLE LIVING ARRANGEMENTS AT ADMISSION WILL HAVE STABLE LIVING ARRANGEMENTS AT DISCHARGE. OBJECTIVE 2.2: 80% OF YOUTH COMPLETING TREATMENT WILL BE IN AN EDUCATIONAL OR VOCATIONAL PROGRAM, BE SEEKING EMPLOYMENT ACTIVELY, OR BE EMPLOYED AT DISCHARGE. OBJECTIVE 2.3: 80% OF YOUTH COMPLETING TREATMENT WILL NOT ENGAGE IN NEW CRIMINAL ACTIVITY AT DISCHARGE. OBJECTIVE 2.4: 80% OF YOUTH COMPLETING TREATMENT WILL HAVE IMPROVED SOCIAL CONNECTEDNESS AT DISCHARGE. OBJECTIVE 2.5: 80% OF YOUTH WILL UTILIZE ER SERVICES LESS AND HAVE FEWER HOSPITALIZATIONS FOR SUD/COD AT DISCHARGE.

THE VILLAGE SOUTH LIFE YOUTH AND FAMILY TREE - THE VILLAGE SOUTH (TVS) IS REQUESTING $2,723,821 OVER 5 YEARS TO SUPPORT TVS’S YOUTH AND FAMILY TREE PROJECT (LIFE – LIVING INVOLVES FAMILY EMPOWERMENT) THAT WILL PROVIDE EARLY INTERVENTION, RECOVERY SUPPORT SERVICES AND COMPREHENSIVE SUD/COD OUTPATIENT TREATMENT TO PRIMARILY LATINO AND OTHER MINORITY YOUTH (12-25 YEARS), AND THEIR FAMILIES/PRIMARY CAREGIVERS IN MIAMI-DADE AND BROWARD COUNTIES, FLORIDA. ADOLESCENTS AND TRANSITIONAL-AGE YOUTH WILL HAVE SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS (COD). TVS WILL OFFER THESE PROGRAMS IN COORDINATION WITH LOCAL SCHOOL DISTRICTS AND OTHER COMMUNITY-BASED, YOUTH-SERVING ORGANIZATIONS. THE PROJECT WILL PROVIDE COMPREHENSIVE TREATMENT, EARLY INTERVENTION, AND RECOVERY SUPPORT SERVICES TO 450 UNIQUE INDIVIDUALS OVER THE 5-YEAR PROJECT PERIOD, INCLUDING 50 INDIVIDUALS IN YEAR 1 AND 100 INDIVIDUALS IN YEARS 2 THROUGH 5. LIFE WILL IMPLEMENT EVIDENCE-BASED PROGRAMS TO SUPPORT INDIVIDUALS AND THEIR FAMILIES OR CAREGIVERS IN ATTAINING SOBRIETY AND MAINTAINING RECOVERY. PROJECT GOALS AND OBJECTIVES INCLUDE: GOAL 1: INCREASE ACCESS TO CARE BY PROVIDING CULTURALLY COMPETENT AND YOUTH-CENTERED EVIDENCED-BASED SUD/COD TREATMENT TO PRIMARILY MINORITY YOUTH (AGES 12-25) AND THEIR FAMILIES TO DECREASE SUBSTANCE MISUSE AND MENTAL HEALTH SYMPTOMS AND REDUCE HEALTH DISPARITIES. 1.1: PROVIDE A-CRA/ACC TO 450 UNDUPLICATED YOUTH ACROSS THE 5-YEAR FUNDING PERIOD. 1.2: PROVIDE SEEKING SAFETY TO 80% OF THE YOUTH HAVING TRAUMA-RELATED SYMPTOMS. 1.3: REFER 85% OF YOUTH AND THEIR FAMILY MEMBERS FOR ADDITIONAL SERVICES AS NEEDED. 1.4: 75% OF THE YOUTH WILL COMPLETE A-CRA/ACC. 1.5: 80% OF YOUTH COMPLETING TREATMENT WILL BE ALCOHOL AND DRUG FREE DURING THE 30 DAYS PRIOR TO DISCHARGE, AND 70% OF THOSE WILL BE ALCOHOL AND DRUG FREE AT 3/6-MONTHS POST ADMISSION. 1.6: 80% OF YOUTH COMPLETING TREATMENT WILL EXHIBIT DECREASED DEPRESSION AND ANXIETY SYMPTOMS AT DISCHARGE, AND 70% OF THOSE WILL MAINTAIN IMPROVEMENTS/SHOW ADDITIONAL DECREASES AT 3/6-MONTHS POST ADMISSION. 1.7: 70% OF YOUTH COMPLETING SEEKING SAFETY WILL REPORT REDUCED TRAUMA SYMPTOMS AT DISCHARGE, AND 70% OF THOSE WILL MAINTAIN THE IMPROVEMENTS/SHOW ADDITIONAL DECREASES AT 3/6-MONTHS POST ADMISSION. GOAL 2: ENHANCE THE SOCIAL AND BEHAVIORAL HEALTH FUNCTIONING OF PRIMARILY MINORITY YOUTH (12-25) AND THEIR FAMILIES. 2.1: 80% OF YOUTH SUCCESSFULLY COMPLETING TREATMENT WHO DID NOT HAVE STABLE LIVING ARRANGEMENT AT ADMISSION WILL HAVE STABLE LIVING ARRANGEMENTS AT DISCHARGE, AND 70% OF THOSE WILL MAINTAIN THEIR LIVING ARRANGEMENTS AT 3/6-MONTHS POST ADMISSION. 2.2: 80% OF YOUTH COMPLETING TREATMENT WILL BE IN AN EDUCATIONAL/VOCATIONAL PROGRAM, BE SEEKING EMPLOYMENT ACTIVELY, OR BE EMPLOYED AT DISCHARGE, AND 70% WILL CONTINUE TO REMAIN ENROLLED, COMPLETE THEIR EDUCATION/TRAINING, OR REMAIN EMPLOYED AT 3/6-MONTHS POST ADMISSION. 2.3: 80% OF YOUTH COMPLETING TREATMENT WILL NOT ENGAGE IN NEW CRIMINAL ACTIVITY AT DISCHARGE, AND 70% WILL NOT RECIDIVATE AT 3/6-MONTHS POST ADMISSION. 2.4: 80% OF YOUTH COMPLETING TREATMENT WILL HAVE IMPROVED SOCIAL CONNECTEDNESS AT DISCHARGE, AND 70% WILL MAINTAIN THESE IMPROVEMENTS AT 3/6-MONTHS POST ADMISSION. 2.5: 80% OF YOUTH WILL UTILIZE ER SERVICES LESS AND HAVE FEWER HOSPITALIZATIONS FOR SUD AND MENTAL HEALTH AT DISCHARGE, AND 70% OF THOSE WILL MAINTAIN/INCREASE THIS REDUCTION AT 3/6-MONTHS POST ADMISSION.

WESTCARE GULFCOAST MAT - WESTCARE GULFCOAST-FLORIDA, INC. (WC-GC) IS REQUESTING $2,625,000 OVER 5 YEARS TO SUPPORT THE WESTCARE GULFCOAST MAT PROJECT (MAT-PDOA) TO ENHANCE AND EXPAND ACCESS TO MEDICATION-ASSISTED TREATMENT FOR ADULTS WITH LIMITED RESOURCES DIAGNOSED WITH OPIOID USE DISORDERS (OUD) IN PINELLAS AND PASCO COUNTIES, FLORIDA. THIS PROJECT WILL HELP DECREASE ILLICIT OPIOID DRUG USE AND PRESCRIPTION DRUG MISUSE AND SERVE A MINIMUM OF 70 INDIVIDUALS ANNUALLY, 350 INDIVIDUALS OVER THE 5-YEAR PROJECT PERIOD, USING RECOVERY SUPPORT SERVICES (RSS), EVIDENCE-BASED PRACTICES, AND FDA-APPROVED MEDICATIONS, INCLUDING BUPRENORPHINE PRODUCTS, BUPRENORPHINE/NALOXONE PRODUCTS, AND INJECTABLE NALTREXONE. WC-GC WILL SERVE ADULTS (18 AND OVER) WITH OPIOID USE DISORDERS (OUD) AND/OR ADULTS WITH CO-OCCURRING OUD AND MENTAL HEALTH DISORDERS IN PINELLAS AND PASCO COUNTIES, FLORIDA. PINELLAS COUNTY IS THE MOST DENSELY POPULATED COUNTY IN FLORIDA AND HAD THE HIGHEST RATE OF NON-FATAL OPIOID OVERDOSES IN Q4 2019 AT 69.38 PER 100,000 PEOPLE. INDIVIDUALS WILL BE IDENTIFIED AND RECRUITED FOR PROGRAM PARTICIPATION FROM WC-GC PROGRAMS AS WELL AS FROM COMMUNITY-BASED PARTNER ORGANIZATIONS. PROGRAM PARTICIPATION IS OPEN TO ANY INDIVIDUAL WITH OUD WHO SEEKS MAT SERVICES. WC-GC ANTICIPATES THE MAJORITY OF PROGRAM PARTICIPANTS WILL BE RECRUITED FROM TWO EXISTING WC-GC PIPELINES: INDIVIDUALS REFERRED BY FLORIDA’S SIXTH JUDICIAL CIRCUIT DRUG COURTS (PINELLAS AND PASCO COUNTIES, FL), INCLUDING VETERANS TREATMENT COURT TO WESTCARE’S RESIDENTIAL AND OUTPATIENT TREATMENT PROGRAMS AND FROM WESTCARE’S EMERGENCY HOMELESS SHELTER, A TURNING POINT. A TURNING POINT IS THE ONLY INEBRIATE-RECEIVING SHELTER IN THE GREATER TAMPA BAY AREA AND SERVES AS A GATEWAY TO TREATMENT SERVICES FOR NEARLY 1000 HOMELESS INDIVIDUALS ANNUALLY. WESTCARE GULFCOAST MAT WILL ALSO COMPLEMENT WC-GC’S OTHER SAMHSA-FUNDED WORKFORCE SUPPORT PROGRAM THAT SUPPORTS INDIVIDUALS TO FIND AND ADVANCE EMPLOYMENT WHILE MAINTAINING RECOVERY. GOALS & OBJECTIVES: GOAL 1: INCREASE THE NUMBER OF INDIVIDUALS WITH OUD RECEIVING MAT SERVICES IN PINELLAS & PASCO COUNTIES, FL. OBJECTIVE 1.1: EXPAND EXISTING OUTREACH STRATEGIES IN TWO RESOURCE-LIMITED COUNTIES BY SERVING 350 UNDUPLICATED OUD INDIVIDUALS (70 INDIVIDUALS ANNUALLY). OBJECTIVE 1.2: 100% OF CLIENTS ADMITTED FOR MAT WILL HAVE AN INDIVIDUALIZED TREATMENT PLAN (ITP) WITHIN 30 DAYS OF ADMISSION. OBJECTIVE 1.3: 65% OF CLIENTS ACHIEVING MEDICAL STABILIZATION WILL COMPLETE THE PROGRAM. GOAL 2: DECREASE ILLICIT AND PRESCRIPTION OPIOID USE AT SIX-MONTH FOLLOW-UP TO INTAKE. OBJECTIVE 2.1: 70% OF CLIENTS WILL BE FREE FROM ILLICIT OPIOID DRUG USE AND PRESCRIPTION DRUG MISUSE AND DIVERSION OF MEDICATION SIX MONTHS POST INTAKE. OBJECTIVE 2.2: 70% OF OUD CLIENTS WILL ADJUST OR REDUCE THEIR DOSAGE OF MEDICATION BY 6- MONTHS POST INTAKE. GOAL 3: PROVIDE FDA-APPROVED MEDICATIONS FOR MAINTENANCE OF OUD AND COMPREHENSIVE PSYCHOSOCIAL AND PEER RSS. OBJECTIVE 3.1: 90% OF CLIENTS COMPLETING TREATMENT WILL HAVE STABLE LIVING SITUATIONS AT DISCHARGE AND 6-MONTHS POST INTAKE. OBJECTIVE 3.2: 65% DECREASED MH SYMPTOMS AT DISCHARGE; 70% WILL MAINTAIN/DECREASE AT 6-MONTHS. OBJECTIVE 3.3: 80% OF CLIENTS COMPLETING MAT WILL NOT ENGAGE IN NEW CRIMINAL ACTIVITY, AND 70% WILL NOT RECIDIVATE AT SIX MONTHS POST INTAKE (GPRA).

RESIDENCY TRAINING IN PRIMARY CARE

OUR WESTCARE MATTERS - WESTCARE CALIFORNIA, INC.’S PROPOSED PROGRAM, OUR WESTCARE MATTERS, WILL EXPAND ACCESS TO MEDICATION-ASSISTED TREATMENT (MAT) FOR UNDERSERVED POPULATIONS IN FRESNO COUNTY, CALIFORNIA. SPECIFICALLY, THE PROGRAM WILL TARGET LATINX AND BLACK MALE AND FEMALE ADULTS (18 AND OVER) WHO HAVE A PRESCRIPTION DRUG AND OPIOID ADDICTION DISORDER (PDOA). TO MEET ELIGIBILITY CRITERIA FOR THIS PROGRAM, PARTICIPANTS MUST: 1) HAVE A MODERATE TO SEVERE OPIOID USE DISORDER (OUD); 2) BE MOTIVATED TO BENEFIT FROM MAT AND RECOVERY SUPPORT SERVICES (RSS); AND 3) BE ENROLLED CONCURRENTLY IN A RESIDENTIAL OR OUTPATIENT SUBSTANCE USE DISORDER (SUD) TREATMENT PROGRAM, EITHER AT WESTCARE OR ANOTHER TREATMENT PROVIDER. THE PROGRAM WILL HAVE MULTIPLE PATHWAYS OF ENTRY, INCLUDING WESTCARE’S EXISTING PROGRAMS FOR OUTPATIENT AND RESIDENTIAL SUD TREATMENT AND WITHDRAWAL MANAGEMENT. EXTERNAL REFERRAL SOURCES WILL INCLUDE EMERGENCY DEPARTMENTS AT LOCAL HOSPITALS, DRUG COURTS, AND CORRECTIONS INSTITUTIONS. THE GEOGRAPHIC CATCHMENT AREA TARGETS FRESNO COUNTY BUT WILL ALSO SERVE PARTICIPANTS COMING TO FRESNO FOR TREATMENT FROM NEARBY NEIGHBORING COUNTIES. THE PROGRAM WILL INCLUDE A FULL COMPLEMENT OF MAT SERVICES IN BOTH OUTPATIENT AND RESIDENTIAL SETTINGS IN COMBINATION WITH COMPREHENSIVE OUD PSYCHOSOCIAL SERVICES, RECOVERY SUPPORT SERVICES (RSS), AND OTHER CLINICALLY APPROPRIATE SUPPORTS FOR INDIVIDUALS TO ACHIEVE AND MAINTAIN ABSTINENCE FROM OPIOIDS. OUR WESTCARE MATTERS WILL SERVE 50 PARTICIPANTS EACH IN YEARS ONE AND TWO, 75 PARTICIPANTS EACH IN YEARS THREE AND FOUR, AND 100 PARTICIPANTS IN YEAR FIVE, FOR A TOTAL OF 350 PARTICIPANTS SERVED OVER THE FIVE-YEAR GRANT TERM. THE PROGRAM WILL UTILIZE FDA-APPROVED MEDICATIONS, INCLUDING BUPRENORPHINE/NALTREXONE, ORAL NALTREXONE, INJECTABLE NALTREXONE, AND EXTENDED-RELEASE INJECTABLE SUBCUTANEOUS BUPRENORPHINE. THE APPROPRIATE MEDICATION WILL BE PRESCRIBED BY WCCA’S DATA-WAIVERED PRESCRIBERS BASED ON A COMPREHENSIVE CLINICAL ASSESSMENT AND DIAGNOSIS. THE PRIMARY GOALS OF THE PROGRAM, EACH WITH MEASURABLE OBJECTIVES, ARE: 1) INCREASE THE NUMBER OF INDIVIDUALS RECEIVING FDA-APPROVED MEDICATIONS FOR THE MAINTENANCE TREATMENT OF OUD IN FRESNO COUNTY, CALIFORNIA; 2) DECREASE ILLICIT OPIOID USE AND PRESCRIPTION OPIOID MISUSE; AND 3) IMPROVE PARTICIPANT OUTCOMES BY COMBINING MAT WITH COMPREHENSIVE PSYCHOSOCIAL AND PEER RECOVERY SUPPORT SERVICES (RSS).

PURPOSE: TO PROVIDE HOUSING USING THE HOUSING FIRST APPROACH WITH MASTER LEASING AND OFFER COMPREHENSIVE (VOLUNTARY) SUPPORT SERVICES FOR PLWH EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY IN TARRANT COUNTY, TEXAS.; ACTIVITIES TO BE PERFORMED: MASTER-LEASING, SUPPORTIVE SERVICES, PERMANENT HOUSING PLACEMENT; EXPECTED OUTCOMES: MASTER-LEASING - 25 HOUSEHOLDS, SUPPORTIVE SERVICES - 25 HOUSEHOLDS, PERMANENT HOUSING PLACEMENT - 25 HOUSEHOLDS.; INTENDED BENEFICIARIES: LOW-INCOME PEOPLE WITH HIV; SUBRECIPIENT ACTIVITIES: N/A

WC-CA WECARE PROGRAM

WESTCARE GULFCOAST WORKFORCE SUPPORT

PURPOSE: TO EXPAND AND ENHANCE THE CAPACITY OF THE LIVING ROOM, A PROJECT OF WESTCARE CALIFORNIA, TO DELIVER COMPASSIONATE, INNOVATIVE HOUSING AND SUPPORTIVE SERVICES FOR LOW-INCOME PEOPLE LIVING WITH HIV IN FRESNO COUNTY, CALIFORNIA.; ACTIVITIES TO BE PERFORMED: TENANT-BASED RENTAL ASSISTANCE, MASTER LEASING, SHORT-TERM RENTAL, MORTGAGE AND UTILITY ASSISTANCE, SUPPORTIVE SERVICES, PERMANENT HOUSING PLACEMENT.; EXPECTED OUTCOMES: TENANT-BASED RENTAL ASSISTANCE - 20 HOUSEHOLDS, MASTER LEASING - 23 HOUSEHOLDS, SHORT-TERM RENTAL, MORTGAGE AND UTILITY ASSISTANCE - 48 HOUSEHOLDS, SUPPORTIVE SERVICES - 91 HOUSEHOLDS, AND PERMANENT HOUSING PLACEMENT - 25 HOUSEHOLDS.; INTENDED BENEFICIARIES: LOW-INCOME PEOPLE WITH HIV, PARTICULARLY BLACK AND HISPANIC/LATINX PERSONS UNDER THE AGE OF 30; SUBRECIPIENT ACTIVITIES: N/A

ARRA - CAPITAL IMPROVEMENT PROGRAM

ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING, AND MISCELLANEOUS GRANTS

GCC OSF MAI DIVERSION AND REENTRY

WCNV CONNECTIONS: A FATHERHOOD FIRE PROGRAM

TRAUMA-INFORMED MINISTRY MODEL (TIMM) - CLERGY AND THEIR CONGREGATIONS HAVE A UNIQUE OPPORTUNITY TO AFFECT MENTAL HEALTH DISPARITIES BY BECOMING A TRAUMA-INFORMED FAITH COMMUNITY. WESTCARE FOUNDATION WILL DEVELOP AND DISSEMINATE AN EFFECTIVE, CULTURALLY RESPONSIVE TRAUMA-INFORMED MINISTRY MODEL (TIMM) TO 620 CONGREGATIONS NATIONALLY, AND ENABLE CLERGY TO USE THEIR PLATFORMS TO BUILD BRIDGES BETWEEN FORMAL AND INFORMAL CARE SYSTEMS AND PROMOTE INDIVIDUAL AND COMMUNAL TRAUMA RECOVERY. THE NEGATIVE IMPACT OF UNMITIGATED ADVERSE CHILDHOOD EXPERIENCES (ACE) AND ASSOCIATED TOXIC TRAUMATIC STRESS ON HEALTH, WELL-BEING, OPPORTUNITY, PROSPERITY, AND LONGEVITY HAS LONG BEEN RECOGNIZED, AND IT IS ESPECIALLY PRONOUNCED IN COMMUNITIES OF COLOR. DUE TO ONGOING STRUCTURAL AND SYSTEMIC RACISM, BLACK AND LATINX POPULATIONS ARE SIGNIFICANTLY MORE LIKELY TO EXPERIENCE ONE OR MORE ACES THAN WHITE AMERICANS. AT THE SAME TIME, THEY HAVE SIGNIFICANTLY LESS ACCESS TO PROFESSIONAL TRAUMA-INFORMED CARE; INSTEAD, MANY TURN TO THEIR MINISTERS AND FAITH COMMUNITIES FOR COMFORT AND HELP. CLERGY, HOWEVER, FEEL AND ARE ILL-EQUIPPED TO RESPOND TO CONGREGANTS’ NEEDS AND LACK KNOWLEDGE OF AND ACCESS TO LOCAL TREATMENT RESOURCES. WESTCARE FOUNDATION, INC. WILL BRING TOGETHER TRAUMA AND CAPACITY-BUILDING EXPERTS AS WELL AS FAITH-AND COMMUNITY-BASED ORGANIZATIONS TO ALLEVIATE THESE NEEDS VIA THREE GOALS: 1) PRODUCE AN EFFECTIVE ADAPTATION OF FOUNDATIONAL AND SKILLS-FOCUSED TIC CURRICULA (NCTSN 12 CORE CONCEPTS, PSYCHOLOGICAL FIRST AID, SKILLS FOR PSYCHOLOGICAL RECOVERY, NONVIOLENT CRISIS INTERVENTION) AS THE BASIS FOR TRAUMA-INFORMED MINISTRY IN FAITH-BASED SETTINGS IN COMMUNITIES OF COLOR; 2) DEVELOP, IMPLEMENT, AND TEST TIMM IN 20 FAITH COMMUNITIES IN THE SAN ANTONIO PROMISE ZONE IN TEXAS; AND 3) ROLL-OUT OF TIMM INTO 600 ADDITIONAL CONGREGATIONS SERVING COMMUNITIES OF COLOR NATIONWIDE. IN ADDITION TO SEEKING TO COLLABORATE WITH THE NATIONAL CHILDHOOD TRAUMATIC STRESS NETWORK, WE WILL WORK CLOSELY WITH LOCAL AND NATIONAL FAITH-BASED ALLIANCES AND MENTAL HEALTH ORGANIZATIONS, BOTH GRASS ROOT AND PROFESSIONAL, TO ENGAGE AND ENROLL CONGREGATIONS IN RELEVANT TRAINING, TECHNICAL ASSISTANCE, LEARNING COLLABORATIVE, AND SELF-CARE OPPORTUNITIES AND BUILD REFERRAL AND COLLABORATION BETWEEN HOUSES OF WORSHIP AND TREATMENT PROVIDER. WE WILL DEVELOP AND MAKE AVAILABLE A TIMM MANUAL AND TOOLKIT, AND USE RELEVANT CONFERENCES (E.G., THE PATHWAYS TO HOPE CONFERENCE) AND LEARNING PLATFORMS (E.G., THE NATIONAL FAITH-BASED PREVENTION ALLIANCE) TO BOTH PROMOTE THE PROJECT AND OFFER TIMM TRAINING AND RESOURCES. USING A PARTICIPATORY APPROACH, TIMM WILL INITIALLY BE DEVELOPED AND TESTED IN THE SAN ANTONIO PROMISE ZONE, A PREDOMINATELY BLACK AND LATINX NEIGHBORHOOD THAT IS AFFECTED BY GREAT SOCIAL DISADVANTAGES, BUT THAT ALSO IS HOME TO MANY VIBRANT FAITH COMMUNITIES THAT ARE READY TO PARTICIPATE. WORKING WITHIN THE PROMISE ZONE WILL ENABLE US TO ENSURE THAT TIMM WILL REFLECT THE CULTURAL AND SPIRITUAL CHARACTERISTICS AND PREFERENCES OF THE COMMUNITIES WE ARE LOOKING TO SERVE. AS WE PROGRESS THROUGH THE PROJECT AND ENCOUNTER POPULATIONS OF OTHER FAITHS, WE WILL CONTINUE TO ADAPT TIMM MATERIALS TO ENSURE CULTURAL RESPONSIVENESS.

VA HAS AWARDED A CAPITAL GRANT TO CREATE NEW TRANSITIONAL HOUSING BEDS FOR HOMELESS VETERANS.

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

ANE - NURSE PRACTITIONER RESIDENCY PROGRAM

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAMS FOR COMMUNITY-BASED ORGANIZATIONS - THE PURPOSE OF THE VILLAGE SOUTH (TVS) COMPREHENSIVE HIGH-IMPACT HIV PREVENTION (HIP) PROGRAM IS TO INCREASE CAPACITY AND CONSISTENCY OF CARE IN MIAMI-DADE AND BROWARD COUNTIES. THE TVS HIP PROGRAM ALIGNS WITH THE CDC GOALS, EMPLOYS THE CDC?S HIGH-IMPACT PREVENTION APPROACH, AND PROMOTES HEALTHY EQUITY IN ACCORDANCE WITH THE NATION?S ENDING THE HIV EPIDEMIC INITIATIVE (EHE): A PLAN FOR AMERICA ? DIAGNOSE, TREAT, PREVENT, AND RESPOND. THROUGH TARGETED INITIATIVES IN CONJUNCTION WITH STATE AND LOCAL HEALTH DEPARTMENTS IN MIAMI-DADE AND BROWARD COUNTIES, FL, TVS WILL ACHIEVE THE GOALS SET BY EHE TO REDUCE ALL NEW HIV INFECTIONS BY 75% IN 5 YEARS AND BY 90% BY 2030 BY DIAGNOSING HIV AS EARLY AS POSSIBLE, TREATING HIV QUICKLY AND EFFECTIVELY, PREVENTING NEW HIV CASES, AND RESPONDING QUICKLY TO HIV CLUSTERS TO PREVENT NEW CASES. MIAMI-DADE AND BROWARD COUNTIES IN SOUTH FLORIDA HAVE AMONG THE HIGHEST NEW INFECTION RATES IN THE COUNTRY. THE RATE OF INFECTION IN MIAMI-DADE COUNTY IS 41.7 (2019, FLORIDA DEPARTMENT OF HEALTH). THE RATE IN BROWARD COUNTY IS 32.4 (2019, FLORIDA DEPARTMENT OF HEALTH).THE TVS HIP PROGRAM PREVENTS THE SPREAD OF HIV INFECTION THROUGH THE DELIVERY OF SCIENCE-BASED, CULTURALLY SENSITIVE HIV TESTING AND SUCCESSFUL LINKAGES TO PREVENTION AND MEDICAL SERVICES, INCLUDING BEHAVIORAL HEALTH AND BIOMEDICAL INTERVENTIONS. THE PROPOSED COOPERATIVE AGREEMENT WITH THE CDC WILL INCREASE HIV TESTING AND REFERRALS TO PARTNER SERVICES, LINK PERSONS WITH HIV TO MEDICAL CARE AND ANTIRETROVIRAL THERAPY (ART), PROVIDE ESSENTIAL SUPPORT SERVICES, AND INCREASE PROGRAM MONITORING AND ACCOUNTABILITY TO ENSURE THE HIGHEST QUALITY SERVICES FOR THE TARGET POPULATION. THE TVS HIP PRIORITY POPULATION IS HETEROSEXUAL MEN AND WOMEN AGE 13 YEARS AND OLDER, INCLUDING BOTH BLACK AND LATINO HIGH-RISK HETEROSEXUAL MEN AND WOMEN.BY JUNE 30, 2026 TVS WILL CONDUCT 5,400 HIV TESTS TO INCREASE AWARENESS OF HIV STATUS; SCREEN 1,913 (35.4%) PERSONS FOR STDS (SYPHILIS, CHL AMYDIA, GONORRHEA), VIRAL HEPATITIS, AND TUBERCULOSIS IN CONJUNCTION WITH PS21-2102-FUNDED TESTING; IDENTIFY 1,750 (32.4%) PERSONS NEWLY DIAGNOSED WITH HIV THROUGH PS21-2102-FUNDED TESTING; PROVIDE ARTAS TO 1,575 (90%) PERSONS NEWLY DIAGNOSED WITH HIV AND TO 90% OF THOSE PREVIOUSLY DIAGNOSED BUT NOT-IN-CARE; PROVIDE CLEAR TO 790 (50%) PERSONS NEWLY DIAGNOSED WITH HIV AND TO 50% OF THOSE PREVIOUSLY DIAGNOSED; LINK 1,575 (90%) OF PERSONS NEWLY DIAGNOSED TO HIV MEDICAL CARE WITHIN 30 DAYS; LINK OR RE-ENGAGE 90% OF PERSONS PREVIOUSLY DIAGNOSED, NOT IN CARE, TO HIV MEDICAL CARE WITHIN 30 DAYS; REFER 1,750 (100%) PERSONS NEWLY DIAGNOSED WITH HIV TO PARTNER SERVICES; REFER 100% OF PERSONS PREVIOUSLY DIAGNOSED WITH HIV TO PARTNER SERVICES; REFER 100% OF HIV-NEGATIVE PERSONS TO PREP; AND DISTRIBUTE 15,000 CONDOMS THROUGHOUT MIAMI-DADE AND BROWARD COUNTIES, FL.

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

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

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

VILLAGE FIT PPW - THE VILLAGE SOUTH FAMILIES IN TRANSITION (FIT) PROGRAM IN BROWARD AND MIAMI-DADE, FL WILL EXPAND RESIDENTIAL SUBSTANCE ABUSE TREATMENT, PREVENTION, AND RECOVERY SERVICES TO 100 PREGNANT AND POSTPARTUM WOMEN (PPW) (20 ANNUALLY). FIT WILL PROVIDE TRAUMA-INFORMED SERVICES TO STABILIZE, STRENGTHEN, PRESERVE, AND REUNITE FAMILIES FOR THE WOMEN, MINOR CHILDREN, FATHERS OF THE CHILDREN, AND EXTENDED FAMILY MEMBERS. THE POPULATION FOCUS IS UNDERSERVED LOW-INCOME, MINORITY PPW, AGE 18+, AND THEIR MINOR CHILDREN, AGE 17 AND UNDER. FIT WILL IMPLEMENT THE FOLLOWING GUIDELINES AND PRACTICES FOR TREATMENT: SUBSTANCE ABUSE TREATMENT: ADDRESSING THE SPECIFIC NEEDS OF WOMEN; CLINICAL GUIDANCE FOR TREATING PPW WITH OPIOID USE DISORDER AND THEIR INFANTS; IMPROVING TREATMENT FOR DRUG-EXPOSED INFANTS; ENHANCING MOTIVATION FOR CHANGE IN SUBSTANCE USE DISORDER; GOAL 1: INCREASE THE AVAILABILITY OF AND ACCESS TO EVIDENCE-BASED SUD TREATMENT, RECOVERY SUPPORT SERVICES, AND HARM REDUCTION INTERVENTIONS TO REDUCE SUBSTANCE USE/MISUSE THE MISUSE USE AMONG PREGNANT AND POSTPARTUM WOMEN (PPW). OBJECTIVE 1.1: BY 9/2027, PROVIDE COMPREHENSIVE SUD TREATMENT, RECOVERY SUPPORT SERVICES, AND HARM REDUCTION INTERVENTIONS TO 100 PPW. OBJECTIVE 1.2: BY 9/2027, 75% OF PPW WILL COMPLETE RESIDENTIAL TREATMENT SUCCESSFULLY, AND 70% OF THOSE WILL COMPLETE OUTPATIENT TREATMENT. OBJECTIVE 1.3: BY 9/2027, 80% OF PPW COMPLETING TREATMENT WILL BE SUBSTANCE FREE DURING THE 30 DAYS PRIOR TO DISCHARGE, AND 70% OF THOSE WILL REMAIN SUBSTANCE FREE AT 6-MONTHS POST ADMISSION. GOAL 2: INCREASE HEALTHY PREGNANCIES, IMPROVE BIRTH OUTCOMES, AND REDUCE RELATED EFFECTS OF MATERNAL DRUG USE ON INFANTS AND CHILDREN. OBJECTIVE 2.1: BY SEPTEMBER 2027, 100% OF PREGNANT WOMEN WILL RECEIVE PRENATAL CARE FOR THE REMAINDER OF THEIR PREGNANCY AND ATTEND 100% OF THEIR PRENATAL APPOINTMENTS. OBJECTIVE 2.2: BY 9/2027, 100% OF THE WOMEN DELIVERING WHILE IN THE PROGRAM WILL HAVE DRUG-FREE BIRTHS. OBJECTIVE 2.3: BY 9/2027, 80% OF THE WOMEN COMPLETING TREATMENT WILL DECREASE THE POTENTIAL FOR CHILD ABUSE/NEGLECT AT DISCHARGE, AND 70% WILL MAINTAIN THESE IMPROVEMENTS AT 6-MONTHS POST INTAKE AS EVIDENCED BY THE CHILD ABUSE POTENTIAL INVENTORY. OBJECTIVE 2.4: BY 9/2027, 80% OF THE CHILDREN WITH BEHAVIORAL PROBLEMS WILL DECREASE SYMPTOMS, AND 70% WILL MAINTAIN THESE IMPROVEMENTS AS EVIDENCED BY THE CHILD BEHAVIOR CHECKLIST. GOAL 3: REDUCE THE BEHAVIORAL, MENTAL HEALTH, AND SOCIAL CONSEQUENCES RELATED TO SUBSTANCE USE/MISUSE AMONG PPW. OBJECTIVE 3.1: 9/2027, 80% COMPLETING SERVICES WHO HAVE ANXIETY, DEPRESSION, OR TRAUMA SYMPTOMS AT INTAKE WILL EXHIBIT FEWER SYMPTOMS AT DISCHARGE, AND 70% OF THOSE WILL MAINTAIN THE IMPROVEMENTS OR SHOW ADDITIONAL DECREASES AT 6-MONTHS POST ADMISSION ASSESSED BY THE GPRA AND PCL-5. OBJECTIVE 3.2: BY 9/2027, 80% OF WOMEN COMPLETING TREATMENT WILL HAVE IMPROVED PARENTING ATTITUDES AT DISCHARGE, AND 70% WILL MAINTAIN THE IMPROVEMENTS AT 6-MONTHS POST INTAKE AS EVIDENCED BY THE ADULT ADOLESCENT PARENTING INVENTORY. OBJECTIVE 3.3: BY 9/2027, 80% OF PPW COMPLETING TREATMENT WILL HAVE STABLE PERMANENT HOUSING AT DISCHARGE, AND 70% OF THOSE WILL MAINTAIN THEIR LIVING ARRANGEMENTS AT 6-MONTHS POST INTAKE MEASURED BY GPRA. OBJECTIVE 3.4: BY 9/2027, 80% COMPLETING SERVICES WILL BE IN AN EDUCATIONAL/VOCATIONAL PROGRAM OR EMPLOYED AT DISCHARGE, AND 70% WILL CONTINUE TO REMAIN ENROLLED, COMPLETE THEIR EDUCATION/TRAINING, OR REMAIN EMPLOYED AT 6-MONTHS POST ADMISSION MEASURED BY GPRA. OBJECTIVE 3.5: BY 9/2027, 80% COMPLETING SERVICES WILL INCREASE SOCIAL CONNECTEDNESS AT DISCHARGE, AND 70% WILL MAINTAIN THESE IMPROVEMENTS AT 6-MONTHS POST INTAKE MEASURED BY GPRA. OBJECTIVE 3.6: BY 9/2027, 80% COMPLETING SERVICES WILL NOT ENGAGE IN NEW CRIMINAL ACTIVITY AT DISCHARGE, AND 70% WILL NOT RECIDIVATE AT 6-MONTHS POST INTAKE MEASURED BY GPRA.

ADVANCED NURSING EDUCATION- NURSE PRACTITIONER RESIDENCY FELLOWSHIP PROGRAM

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

INTEGRATED SUBSTANCE USE DISORDER (SUD) TRAINING PROGRAM

BEAT HIV/AIDS (BEHAVIORAL, EDUCATIONAL AND TREATMENT)

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - PROJECT TITLE: CAHABA - UAB FAMILY MEDICINE RESIDENCY - FRONTIER TRACK APPLICANT ORGANIZATION NAME: CAHABA MEDICAL CARE FOUNDATION ADDRESS: 405 BELCHER STREET PROJECT DIRECTOR NAME: DR. JOHN B. WAITS, MD, FAAFP CONTACT PHONE NUMBERS (VOICE, FAX): 205-277-2367/205-316-7675 EMAIL ADDRESS: JOHN.WAITS@CAHABAMEDICALCARE.COM WEBSITE ADDRESS, IF APPLICABLE: WWW.CAHABAMEDICALCARE.COM LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION, IF APPLICABLE: THCGME IF REQUESTING A FUNDING PREFERENCE, PRIORITY, OR SPECIAL CONSIDERATION AS OUTLINED IN SECTION V. 2. OF THE PROGRAM-SPECIFIC NOFO, PLEASE INDICATE HERE. HPSA/MUC/RURAL NAME OF THE TRAINING PROGRAM: CAHABA-UAB FAMILY MEDICINE RESIDENCY - FRONTIER TRACK DISCIPLINE OF THE RESIDENCY PROGRAM: FAMILY MEDICINE TYPE OF APPLICATION: EXPANSION ELIGIBILITY OF ENTITY TYPE: FEDERALLY QUALIFIED HEALTH CENTER (FQHC), CAHABA MEDICAL CARE FOUNDATION (CMC). THERE IS A PARTNERSHIP WITH UAB SCHOOL OF MEDICINE FOR EDUCATIONAL PURPOSES. HOWEVER, ALL FISCAL AND OPERATIONAL MANAGEMENT IS HANDLED BY CMC ALONE. YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: 2013 ORGANIZATION WEBSITE ADDRESS: WWW.CAHABAMEDICALCARE.COM BRIEF OVERVIEW OF THE RESIDENCY PROGRAM: CAHABA MEDICAL CARE (CMC) IS A COMMUNITY HEALTH CENTER (FQHC) AND TEACHING HEALTH CENTER (THCGME) FAMILY MEDICINE RESIDENCY WITH 12 RESIDENTS PER YEAR, THAT HAS HAD A TRACK RECORD OF OPENING AN FQHC-BASED RURAL RESIDENCY IN 2013 (CENTREVILLE, BIBB COUNTY, AL) AND EXPANDED TO A SECOND TRACK BASED IN AN URBAN FQHC IN 2018 (WEST END, BIRMINGHAM, JEFFERSON COUNTY, AL). CMC AS A WHOLE HAS 19 SITES AND HAS BEEN AWARDED THE “ACCESS ENHANCER” AWARD FROM HRSA 4 YEARS IN A ROW. ADDITIONALLY, WE HAVE PLACED 68% OF OUR GRADUATES IN HPSAS OR UNDERSERVED COMMUNITIES. THEREFORE, WE ARE PROPOSING TO EXPAND OUR CURRENT 12-12-12 RESIDENCY PROGRAM TO 16-16-16 BY ADDING A 4-4-4 RURAL TRAINING TRACK (RTT) – THE CAHABA-UAB FAMILY MEDICINE RESIDENCY - FRONTIER TRACK – IN T WO OF THE MOST REMOTE AND UNDERSERVED AREAS OF OUR STATE; MARION (PERRY COUNTY) AND CAMDEN (WILCOX COUNTY). OUR MEASURABLE OBJECTIVES AND OUTCOMES INCLUDE DEVELOPING ALREADY EXISTING RELATIONSHIPS IN BESSEMER, MARION, AND CAMDEN, AS WELL AS LEVERAGING OUR OWN INTERNAL GME EXPERTISE AT CMC TO CREATE A PIPELINE OF PRIMARY CARE PHYSICIANS READY TO HELP COMBAT PRIMARY CARE PHYSICIANS SHORTAGES IN RURAL ALABAMA. WE WILL USE THE “1+2 RTT” FORMAT, WHERE THE FIRST YEAR OF GRADUATE MEDICAL EDUCATION OCCURS IN AN URBAN AREA (UAB MEDICAL WEST IN BESSEMER, JEFFERSON COUNTY, AL), FOLLOWED BY AN INNOVATIVE, AUTHENTIC, AND HEAVILY MENTORED 2 YEARS IN THE FRONTIER COUNTIES OF PERRY AND WILCOX. TOTAL FTE POSITION REQUESTED TO BE FUNDED: 4-4-4 FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR AY 2022-2023: 4-0-0

HEALTHY ALTERNATIVES REQUIRE TRANSITIONS (HART)

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

BEAT HIV/AIDS - WESTCARE CALIFORNIA, INC.’S PROPOSED PROGRAM, BEAT HIV/AIDS, WILL INCREASE ENGAGEMENT IN CARE FOR A POPULATION OF FOCUS CONSISTING OF LOW-INCOME RACIAL AND ETHNIC MINORITY ADULTS WITH SUBSTANCE USE DISORDERS (SUD) OR CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS (COD) WHO ARE LIVING WITH OR AT HIGH-RISK FOR CONTRACTING HIV/AIDS IN FRESNO COUNTY, CALIFORNIA. THE HIGHEST RISK POPULATIONS IN FRESNO INCLUDE MEN WHO HAVE SEX WITH MEN (MSM) AND INTRAVENOUS DRUG USERS (IDU). PARTICIPANTS FOR THE PROPOSED PROGRAM WILL BE IDENTIFIED VIA INTERNAL REFERRALS FROM WESTCARE’S RESIDENTIAL AND OUTPATIENT SUD TREATMENT PROGRAMS, AS WELL AS EXTERNAL REFERRALS FROM COMMUNITY PARTNERS. STAFF WILL ASSESS CLIENTS USING THE PTSD CHECKLIST-5 (PCL-5) FOR TRAUMA, THE HIV KNOWLEDGE QUESTIONNAIRE (45-ITEM VERSION – HIV KQ-45) FOR HIV KNOWLEDGE, AND THE ASAM CRITERIA FOR SUBSTANCE USE. THE TREATMENT TEAM WILL USE THE RESULTS FROM THE ASSESSMENT TOOLS TO WORK WITH EACH CLIENT TO CREATE AN INDIVIDUALIZED SERVICE PLAN. A SINGLE, COMPREHENSIVE PLAN WILL INTEGRATE THE GOALS AND OBJECTIVES FOR SUBSTANCE USE WITH THE GOALS AND OBJECTIVES FOR MENTAL HEALTH TREATMENT, PRIMARY CARE, AND HIV/HBV/HCV RISK REDUCTION, TO PREVENT PARALLEL AND UNCOORDINATED TREATMENT. ALL PARTICIPANTS WILL RECEIVE CASE MANAGEMENT SERVICES WITH LINKAGES TO HIV PRIMARY CARE, HEPATITIS TREATMENT, PREP, AND RECOVERY SUPPORTS INCLUDING HOUSING, VOCATIONAL TRAINING, JOB PLACEMENT, LITERACY, EDUCATION, PUBLIC BENEFITS, AND OTHER VITAL SERVICES NEEDED TO ACHIEVE STABILITY. BEAT PROGRAM STAFF WILL PROVIDE INDIVIDUALIZED LINKAGES TO EACH CLIENT DEPENDING UPON THEIR NEEDS USING A LINKAGE MODEL RATHER THAN A REFERRAL MODEL TO ENSURE THE CLIENT RECEIVES THE SERVICES. CLIENTS WILL PARTICIPATE IN RESIDENTIAL SUD TREATMENT FOR 90 DAYS AND THEN STEP DOWN INTO OUTPATIENT SERVICES AND SOBER LIVING FOR ANOTHER 90 DAYS. ALTHOUGH MOST PARTICIPANTS WILL RECEIVE SUD/COD TREATMENT SERVICES AT WESTCARE THROUGH DRUG MEDI-CAL, A SMALL PORTION OF THE GRANT BUDGET WILL BE ALLOTTED TO COVER RESIDENTIAL BED DAYS FOR THOSE PARTICIPANTS WHO ARE UNINSURED/UNDERINSURED. PARTICIPANTS ENGAGED IN SUD/COD TREATMENT WILL PARTICIPATE IN GROUP AND INDIVIDUAL COUNSELING SESSIONS FOLLOWING EVIDENCE-BASED, MANUALIZED CURRICULA (SEEKING SAFETY AND LIVING IN BALANCE). ALL CLIENTS WILL RECEIVE INTEGRATED HIV/HBV/HCV TESTING FOLLOWING A STRUCTURED PROTOCOL IN ACCORDANCE WITH STATE AND LOCAL REQUIREMENTS AND CDC RECOMMENDATIONS. WHEN AN INDIVIDUAL RECEIVES A PRELIMINARY POSITIVE HIV TEST RESULT, WESTCARE WILL PROVIDE IMMEDIATE POST-TEST COUNSELING AND CONTACT THE FRESNO DEPARTMENT OF PUBLIC HEALTH (FDPH) TO PROVIDE A CONFIRMATORY TEST PRIOR TO THE INDIVIDUAL LEAVING THE SITE. CLIENTS WILL ALSO RECEIVE ENHANCED CASE MANAGEMENT SERVICES, LINKAGE WITH RYAN WHITE SERVICES, AND LINKAGE WITH THE SPECIAL SERVICES CLINIC AT COMMUNITY REGIONAL MEDICAL CENTER FOR HIV PRIMARY CARE. ANY CLIENT WHO TESTS POSITIVE FOR VIRAL HEPATITIS (HBV/HCV) WILL BE LINKED WITH CLINICA SIERRA VISTA FOR HBV/HCV TREATMENT. WESTCARE IS PARTNERED WITH AND WILL LINK TO AVITA PHARMACY TO PROVIDE PREP SERVICES FOR CLIENTS WHO SCREEN NEGATIVE FOR HIV. ADDITIONALLY, ALL CLIENTS WILL RECEIVE CLEAR – AN EVIDENCE-BASED HIV PREVENTION AND HEALTH PROMOTION CURRICULUM – DURING CASE MANAGEMENT SESSIONS, AND ALL CLIENTS WILL COMPLETE THE FIVE (5) CORE SESSIONS. FINALLY, CLIENTS WILL BE LINKED WITH WESTCARE’S ALUMNI SUPPORT GROUP DURING STEP DOWN COUNSELING IN OUTPATIENT AND THE AFTERCARE PHASE. SOBER LIVING HOMES WILL BE OFFERED DURING THE STEP-DOWN PHASE OF TREATMENT AND CLIENTS WILL BE ASSISTED IN LOCATING A SOBER LIVING ENVIRONMENT. WESTCARE’S BEAT HIV/AIDS PROGRAM WILL SERVE 300 PARTICIPANTS OVER THE 5-YEAR GRANT TERM. THE PROGRAM’S PRIMARY GOALS ARE TO INCREASE ENGAGEMENT IN CARE AND REDUCE THE SPREAD OF HIV/HBV/HCV. AT LEAST 70% OF CLIENTS WILL SHOW REDUCTIONS IN SUBSTANCE USE AND HIGH-RISK BEHAVIORS, IMPROVEMENTS IN THEIR MENTAL HEALTH, AND INCREASED

ASSIST VETERANS AND THEIR FAMILIES TRANSITIONING FROM MILITARY TO CIVILIAN LIFE IN RURAL AREAS THROUGHOUT THE US

TARGETED GRANTS: METHAMPHETAMINE AND OTHER SUBSTANCE ABUSE

WORKFORCE TRAINING

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION, IF APPLICABLE: THCGME IF REQUESTING A FUNDING PREFERENCE, PRIORITY, OR SPECIAL CONSIDERATION AS OUTLINED IN SECTION V. 2. OF THE PROGRAM-SPECIFIC NOFO, INDICATE HERE: HPSA, MUA/P NAME OF THE TRAINING PROGRAM: CAHABA - UAB FAMILY MEDICINE RESIDENCY - HIGHLANDS TRACK DISCIPLINE OF THE RESIDENCY PROGRAM: FAMILY MEDICINE TYPE OF APPLICATION: EXPANSION ELIGIBLE ENTITY TYPE: FEDERALLY QUALIFIED HEALTH CENTER (FQHC), CAHABA MEDICAL CARE FOUNDATION (CMC). THERE IS A PARTNERSHIP WITH UAB HEERSINK SCHOOL OF MEDICINE FOR EDUCATIONAL PURPOSES; HOWEVER, ALL FISCAL AND OPERATIONAL MANAGEMENT IS HANDLED BY CMC ALONE. YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: 2013 ORGANIZATION WEBSITE ADDRESS: HTTPS://WWW.CAHABAFAMILYMEDICINE.COM/ OVERVIEW: CAHABA MEDICAL CARE (CMC) IS A COMMUNITY HEALTH CENTER (FQHC) AND TEACHING HEALTH CENTER (THCGME) FAMILY MEDICINE RESIDENCY WITH 12 RESIDENTS PER YEAR, THAT HAS HAD A TRACK RECORD OF OPENING AN FQHC-BASED RURAL RESIDENCY IN 2013 (CENTREVILLE, BIBB COUNTY, AL), EXPANDED TO A SECOND TRACK BASED IN AN URBAN FQHC IN 2018 (WEST END, BIRMINGHAM, JEFFERSON COUNTY, AL), AND IN 2022 EXPANDED TO A THIRD TRACK BASED IN A RURAL FQHCS IN MARION, PERRY COUNTY, AL/CAMDEN, WILCOX COUNTY, AL. CMC AS A WHOLE HAS 22 SITES SERVING MULTIPLE RURAL AND URBAN UNDERSERVED COMMUNITIES THROUGHOUT ALABAMA AND HAS BEEN AWARDED THE “ACCESS ENHANCER” AWARD FROM HRSA 4 YEARS IN A ROW. ADDITIONALLY, WE HAVE PLACED 68% OF OUR GRADUATES IN HPSAS OR UNDERSERVED COMMUNITIES. THEREFORE, WE ARE PROPOSING TO EXPAND OUR CURRENT 12-12-12 RESIDENCY PROGRAM BY ADDING A 4-4-4-4 URBAN TRAINING TRACK – THE CAHABA-UAB FAMILY MEDICINE RESIDENCY - HIGHLANDS TRACK – IN BIRMINGHAM, JEFFERSON COUNTY, AL. OUR MEASURABLE OBJECTIVES AND OUTCOMES INCLUDE DEVELOPING ALREADY EXISTING RELATIONSHIPS IN BIRMINGHAM, AS WELL AS LEVERAGING OUR OWN INTERNAL GME EXPERTISE AT CMC TO CREATE A PIPELINE OF PRIMARY CARE PHYSICIAN S READY TO HELP COMBAT PRIMARY CARE PHYSICIAN SHORTAGES IN ALABAMA. RESIDENTS WILL BE INVOLVED IN CARING FOR AN UNDERSERVED URBAN COMMUNITY IN JEFFERSON COUNTY AS WELL AS BE IMMERSED IN MULTIPLE INNOVATIVE CURRICULAR ELEMENTS ONGOING AT UAB HIGHLANDS INCLUDING TELEMEDICINE, INTEGRATED BEHAVIORAL HEALTH, AND A COMPREHENSIVE LIFESTYLE MEDICINE CURRICULUM. THE RESIDENTS WILL ALSO BE A PART OF THE ACGME’S LENGTH OF TRAINING PILOT PROGRAM - ADVANCING INNOVATION IN RESIDENCY EDUCATION (AIRE) THAT LENGTHENS FAMILY TRAINING FROM THREE TO FOUR YEARS. TOTAL RESIDENT FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR ALL POST-GRADUATE YEARS OF TRAINING, E.G., 12 (4-4-4) RESIDENT FTE ABOVE THE BASELINE RESIDENT FTES TRAINED BY THE PROGRAM IN AY 2018-2019: 16 (4-4-4-4) RESIDENT FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR AY 2022- 2023, E.G., 4 (4-0-0): 4 (4-0-0-0) ROTATION SITES: STATE IF RESIDENTS WITHIN THE APPLICANT RESIDENCY PROGRAM WILL PERFORM ROTATIONS AT A HOSPITAL ROTATION SITE(S) THAT HAS NOT PROVIDED RESIDENT TRAINING IN ANY PRIOR ACADEMIC YEAR: UAB HOSPITAL - HIGHLANDS, 1201 11TH AVENUE SOUTH, BIRMINGHAM, AL 35205

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

GCC KEYS MINORITY AIDS INITIATIVE

VILLAGE HART MAI-HRP - WESTCARE-THE VILLAGE SOUTH’S HEALTHY ALTERNATIVES REQUIRE TRANSITIONS (HART) PROGRAM WILL SERVE 230 UNDUPLICATED RACIAL/ETHNIC MINORITY ADULT MALES (40 YRS. 1, 5; 50 YRS. 2-4). HART WILL PROVIDE CULTURALLY APPROPRIATE, CLIENT-CENTERED SUD/COD OUTPATIENT TREATMENT, HARM REDUCTION AND RECOVERY SUPPORT SERVICES THAT FOCUS ON MSM POPULATIONS IN BROWARD AND MIAMI-DADE COUNTIES; COUNTIES IDENTIFIED AS LOCALITIES HARDEST HIT BY THE HIV EPIDEMIC. THE HART USES SEVERAL EVIDENCE-BASED TREATMENT MODELS TO OPTIMIZE EACH CLIENT’S SUCCESS IN TREATMENT AND SUCCESS IN LIFE. FOLLOWING THE FOUR DIMENSIONS OF RECOVERY, HART WILL ADDRESS EVERY ASPECT OF THE PERSON’S LIFE—BEHAVIORAL, SOCIAL, CULTURAL, MEDICAL, COGNITIVE, VOCATIONAL, AND EDUCATIONAL—IN THE RECOVERY PROCESS. WITH THESE WELL-CHOSEN INTERVENTIONS, TREATMENT AND RECOVERY SUPPORT SERVICES WILL HELP CLIENTS MAKE BEHAVIORAL CHANGES TO REDUCE THEIR RISK OF RELAPSE. GOAL 1: INCREASE THE AVAILABILITY OF, ACCESS TO, AND ENGAGEMENT IN EVIDENCE-BASED TREATMENT SERVICES TO REDUCE SUBSTANCE USE/MISUSE AND THE RELATED HEALTH CONSEQUENCES. OBJECTIVE 1.1: BY SEPTEMBER 2027, PROVIDE INTENSIVE, INTEGRATED OUTPATIENT SUD TREATMENT USING A-CRA/CRA AND ACC TO 230 ETHNIC MINORITY ADULTS AGED 18 YEARS OR OLDER (30 IN YEARS 1 AND 5; 50 IN YEARS 2-4) LIVING IN MIAMI-DADE AND BROWARD COUNTIES. OBJECTIVE 1.2: BY SEPTEMBER 2027, 80% OF CLIENTS WILL COMPLETE TREATMENT MEASURED BY THE DISCHARGE REASON. OBJECTIVE 1.3: BY SEPTEMBER 2027, 80% COMPLETING TREATMENT WILL BE SUBSTANCE FREE DURING THE 30 DAYS PRIOR TO DISCHARGE, AND 70% OF THOSE WILL REMAIN SUBSTANCE FREE AT 6-MONTHS POST ADMISSION. OBJECTIVE 1.4: BY SEPTEMBER 2027, OFFER HIV/STD/HV TESTING AND COUNSELING TO 100% OF THE CLIENTS AND THEIR DRUG-TAKING/SEXUAL PARTNERS, REFER 100% OF POSITIVES FOR CONFIRMATORY TESTING, AND LINK 85% OF POSITIVES TO CARE USING ARTAS. OBJECTIVE 1.5: BY SEPTEMBER 2027, LINK 85% OF HIGH-RISK HIV NEGATIVES TO PREP. OBJECTIVE 1.6: BY SEPTEMBER 2027, PROVIDE CLEAR TO 80% OF THOSE WHO ARE AT-RISK OR POSITIVE FOR HIV. OBJECTIVE 1.7: BY SEPTEMBER 2027, 50% OF PERSONS COMPLETING CLEAR WILL REPORT HAVING FEWER SEXUAL PARTNERS AND LESS UNPROTECTED SEX WITHIN THE 30 DAYS PRIOR TO DISCHARGE, AND 70% OF THOSE WILL CONTINUE TO EXHIBIT DECREASED RISK BEHAVIORS AT 6-MONTHS POST ADMISSION. OBJECTIVE 1.8: BY SEPTEMBER 2027, 80% COMPLETING CLEAR WILL HAVE INCREASED KNOWLEDGE OF HIV RISK BEHAVIORS AT DISCHARGE MEASURED BY THE HIV-KQ-45. GOAL 2: REDUCE THE BEHAVIORAL AND SOCIAL CONSEQUENCES RELATED TO SUBSTANCE USE/MISUSE BY INCREASING ACCESS TO AND AVAILABILITY OF RECOVERY SUPPORT SERVICES. OBJECTIVE 2.1: BY SEPTEMBER 2027, 80% COMPLETING SERVICES WHO HAVE ANXIETY, DEPRESSION, OR TRAUMA SYMPTOMS AT INTAKE WILL EXHIBIT FEWER SYMPTOMS AT DISCHARGE, AND 70% OF THOSE WILL MAINTAIN THE IMPROVEMENTS OR SHOW ADDITIONAL DECREASES AT 6-MONTHS POST ADMISSION ASSESSED BY THE GPRA, PCL-5, AND MODIFIED MINI. OBJECTIVE 2.2: BY SEPTEMBER 2027, 80% COMPLETING SERVICES AND NOT HAVING STABLE LIVING ARRANGEMENT AT INTAKE WILL HAVE STABLE LIVING ARRANGEMENTS AT DISCHARGE, AND 70% OF THOSE WILL MAINTAIN THEIR LIVING ARRANGEMENTS AT 6-MONTHS POST INTAKE MEASURED BY GPRA. OBJECTIVE 2.3: BY SEPTEMBER 2027, 80% COMPLETING SERVICES WILL HAVE IMPROVED SOCIAL CONNECTEDNESS AT DISCHARGE, AND 70% WILL MAINTAIN THESE IMPROVEMENTS AT 6-MONTHS POST INTAKE MEASURED BY GPRA. OBJECTIVE 2.4: BY SEPTEMBER 2027, 80% COMPLETING SERVICES WILL BE IN AN EDUCATIONAL/VOCATIONAL PROGRAM OR EMPLOYED AT DISCHARGE, AND 70% WILL CONTINUE TO REMAIN ENROLLED, COMPLETE THEIR EDUCATION/TRAINING, OR REMAIN EMPLOYED AT 6-MONTHS POST ADMISSION MEASURED BY GPRA. OBJECTIVE 2.5: BY SEPTEMBER 2027, 80% COMPLETING SERVICES WILL NOT ENGAGE IN NEW CRIMINAL ACTIVITY AT DISCHARGE, AND 70% WILL NOT RECIDIVATE AT 6-MONTHS POST INTAKE MEASURED BY GPRA.

VA HAS AWARDED A CAPITAL GRANT TO CREATE NEW TRANSITIONAL HOUSING BEDS FOR HOMELESS VETERANS.

INTERNAL MEDICINE RESIDENCY PROGRAM AT SOUTHERN REGIONAL MEDICAL CENTER AFFILIATION WITH MOREHOUSE SCHOOL OF MEDICINE

OPENING DOORS TO HOUSING AND WELLNESS: A PROGRAM FOR HOUSING, SUD/COD TREATMENT AND SUPPORTIVE SERVICES FOR HOMELESS INDIVIDUALS AND FAMILIES IN FRESNO, CALIFORNIA

RECOVERY-ENHANCED ADDICTION COUNSELING IN-HOME MEDICATION ASSISTED TREATMENT PROGRAM (REACH MAT) - THE VILLAGE SOUTH, INC. WILL PROVIDE 200 UNINSURED ADULTS, WHO ARE RESIDENTS OF BROWARD COUNTY, FLORIDA AND HAVE BEEN DIAGNOSED WITH AN OPIOID USE DISORDER, WITH EVIDENCE-BASED MEDICATION-ASSISTED AND PSYCHOSOCIAL TREATMENT AND RECOVERY SUPPORTS. THE POPULATION OF FOCUS INCLUDES A MAJORITY OF WOMEN WHO ARE PREGNANT AND/OR PARENTS TO YOUNG CHILDREN. TO REDUCE ACCESS BARRIERS, SERVICES WILL PRIMARILY BE DELIVERED AT CLIENTS’ HOMES AND VIA TELEHEALTH. THE VILLAGE SOUTH, A SUBSIDIARY OF THE NATIONAL WESTCARE FOUNDATION, PROVIDES A FULL CONTINUUM OF SUD PREVENTION, TREATMENT, AND RECOVERY SUPPORT SERVICES IN THE MIAMI, FL, METROPOLITAN AREA. BROWARD COUNTY IS THE SECOND MOST POPULOUS COUNTY IN FLORIDA, WITH SIGNIFICANT RACIAL AND ETHNIC DIVERSITY: 30.1% ARE AFRICAN AMERICAN/BLACK AND 30.4% OF RESIDENTS IDENTIFY AS LATINX. IN 2019, 12.3% OF BROWARD RESIDENTS LIVED IN POVERTY, WITH INCOME INEQUALITY ON THE RISE. IN 2019, 17% OF FLORIDA RESIDENTS UNDER THE AGE OF 65 HAD NO HEALTH INSURANCE. BROWARD COUNTY HAS SEEN DRAMATIC INCREASES IN OPIOID USE DISORDER AND ITS CONSEQUENCES OVER THE PAST DECADE, WITH FUNDING FOR MEDICATION-ASSISTED TREATMENT (MAT) LIMITED. THE VILLAGE SOUTH SEEKS TO EXPAND THE CAPACITY OF ITS EXISTING RECOVERY-ENHANCED ADDICTION COUNSELING IN-HOME MEDICATION ASSISTED TREATMENT PROGRAM (REACH MAT) TO PROVIDE MAT AND CONCURRENT PSYCHOSOCIAL TREATMENT AND RECOVERY SUPPORTS TO 40 UN- OR UNDERINSURED ADULT WOMEN AND MEN PER GRANT YEAR. IN PARTICULAR, THE VILLAGE WILL FOCUS PROPOSED SERVICES ON PREGNANT/POST-PARTUM WOMEN (PPPW) AND THOSE WITH YOUNG CHILDREN AGES 0-5, TO ADDRESS THEIR NEED FOR FAMILY-FOCUSED TREATMENT THAT TAKES INTO ACCOUNT THE SAFETY AND WELL-BEING OF THEIR CHILDREN. THE VILLAGE SOUTH HAS WELL-ESTABLISHED LINKAGES WITH HOSPITALS AND CHILD WELFARE ENTITIES, WHICH WILL SERVE AS CRITICAL REFERRAL SOURCES. REACH MAT WILL ADHERE TO THE AGENCY’S EFFECTIVE CLINICAL PATHWAY, WHICH IS BASED ON SAMHSA TIP 63. FOLLOWING ASSESSMENT AND DIAGNOSIS BY A TEAM OF THERAPIST AND PHYSICIAN, CLIENTS ARE CLOSELY MONITORED AND SUPPORTED THROUGHOUT MAT INDUCTION, STABILIZATION, AND MAINTENANCE. FOR PPPW, MAT WILL BE BASED ON SAMHSA CLINICAL GUIDANCE FOR TREATING PREGNANT AND PARENTING WOMEN WITH OPIOID USE DISORDER AND THEIR INFANTS, AND THE PRESCRIBER WILL WORK CLOSELY WITH OBSTETRIC HEALTHCARE PROVIDERS TO ENSURE OPTIMAL CARE FOR MOTHER AND CHILD. THE VILLAGE HAS PROVEN DRUG DIVERSION/MISUSE MITIGATION STRATEGIES IN PLACE. MAT WILL BE COMBINED WITH PSYCHOSOCIAL TREATMENT THAT INCLUDES EVIDENCE-BASED PRACTICES, STRENGTHS-BASED CASE MANAGEMENT, AND RECOVERY SUPPORT SERVICES, DELIVERED BY A DEDICATED REACH MAT TEAM. TO REDUCE ACCESS AND RETENTION BARRIERS, A MAJORITY OF SERVICES WILL BE DELIVERED AT THE CLIENT’S HOME AND VIA TELEHEALTH, REDUCING TRANSPORTATION AND CHILDCARE ISSUES. AS A RESULT, THE VILLAGE EXPECTS HIGH LEVELS OF ENGAGEMENT AND RETENTION, SIGNIFICANT REDUCTIONS IN OPIOID USE AND ASSOCIATED SYMPTOMS, AND IMPROVED CLIENT OUTCOMES IN TERMS OF PSYCHOSOCIAL FUNCTIONING, RECIDIVISM, AND EMPLOYMENT.

MODIFIED THERAPEUTIC COMMUNITY FOR CHRONIC PUBLIC INEBRIATES W/CO-OCCURRING DISORDERS

WESTCARE KENTUCKY BREAKING THE CYCLING - SERVICES FOR THE BENEFIT OF HOMELESS INDIVIDUALS

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

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

HOMELESS PREVENTION

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

PRIMARY CARE TRAINING AND ENHANCEMENT

HEALTH CENTER INFRASTRUCTURE SUPPORT

SUPPORTIVE HOUSING PROGRAM

CAREER & TECHNICAL EDUCATION

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

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

PRIMARY AND BEHAVIORAL HEALTH CARE INTEGRATION

INTEGRATED SUBSTANCE USE DISORDER (SUD) TRAINING PROGRAM

THE VILLAGE SOUTH FAMILIES IN TRANSITION PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM - I. PROJECT ABSTRACT - PROJECT TITLE: PART C HIV EARLY INTERVENTION SERVICES PROGRAM - APPLICANT ORGANIZATION NAME: AIDS HEALTHCARE FOUNDATION - ADDRESS: 4300 BAYOU BLVD., SUITE 17D PENSACOLA, FL 32509 - PROJECT DIRECTOR NAME: DAWN AVERILL, PROJECT DIRECTOR - CONTACT PHONE NUMBERS: VOICE: (850) 470-8071, EXT. 53002 / FAX: (888) 972-2281 - E-MAIL ADDRESS: DAWN.AVERILL@AIDSHEALTH.ORG - WEB SITE ADDRESS: WWW.AIDSHEALTH.ORG - GRANT PROGRAM FUNDS REQUESTED: $350,000 PER YEAR - FUNDING PREFERENCES REQUESTED: INCREASED BURDEN AND UNDERSERVED AREA THE AIDS HEALTHCARE FOUNDATION (AHF) IS PROPOSING A PROJECT IS TO PROVIDE COMPREHENSIVE PRIMARY HEALTH CARE AND SUPPORT SERVICES IN AN OUTPATIENT SETTING FOR LOW INCOME, UNINSURED, AND UNDERINSURED PLWH. AHF WILL PROVIDE CTR SERVICES, LINKAGE TO PRIMARY HEALTH CARE AND SUPPORT SERVICES, REFERRAL TO CARE AND SUPPORTIVE SERVICES, RETENTION IN CARE, MONITORING VIRAL SUPPRESSION/ART, OUTPATIENT/AMBULATORY HEALTH SERVICES, MEDICAL CASE MANAGEMENT, TREATMENT ADHERENCE SERVICES, RISK REDUCTION COUNSELING, AND A RANGE OF SUPPORT SERVICES. THE PROJECT WILL SERVE THE ESCAMBIA COUNTY, FL. NEEDS TO BE ADDRESSED: AHF’S PROJECT WILL ADDRESS GAPS IN THE LOCAL HIV CARE CONTINUUM ON DIAGNOSIS OF HIV INFECTION, LINKAGE TO CARE, RETENTION IN CARE, RECEIPT OF ART, AND THE ACHIEVEMENT OF VIRAL SUPPRESSION. THE SERVICE AREA EXPERIENCES HIGHER RATES OF HIV/AIDS THAN STATEWIDE RATES IN FLORIDA. IN ESCAMBIA COUNTY, THE HIV INCIDENCE RATE (PER 100,000) WAS 13.0 (42 CASES) IN 2019 (2020 DATA ARE PRELIMINARY AND HAVE NOT BEEN ADJUSTED FOR POPULATION); THE RATE WAS 16.7 IN 2018 AND 21.4 IN 2017. THE INCIDENCE RATE OF AIDS DIAGNOSES (PER 100,000) WAS 7.4 (24 CASES), FAR EXCEEDING THE STATEWIDE RATE OF 8.8; THE RATE WAS 7.9 IN 2018 AND 10.2 IN 2017 (SEE TABLE 1). IN 2019, THERE WERE 1,365 PLWH IN ESCAMBIA COUNTY, FOR A RATE OF 422.7/100,000 (0.42%). FULLY 718 OF THE 1,365 (53%) PLWH IN ESCAMBIA COUNTY WERE BLACK, MORE THAN DOUBL E THE PROPORTION OF THE GENERAL POPULATION. IN THE SERVICE AREA, MSM HAVE BEEN MOST IMPACTED BY HIV, ACCOUNTING FOR 57% OF NEW CASES AND 54% OF PLWH, WHILE HETEROSEXUAL TRANSMISSION ACCOUNTED FOR 36% OF NEW CASES AND 35% OF PLWH. PROPOSED SERVICES: KEY SERVICES WILL INCLUDE: LINKAGE TO PRIMARY HEALTH CARE AND SUPPORT SERVICES, REFERRAL TO CARE AND SUPPORTIVE SERVICES, RETENTION IN CARE, MONITORING VIRAL SUPPRESSION/ART, OUTPATIENT/AMBULATORY HEALTH SERVICES, MEDICAL CASE MANAGEMENT, TREATMENT ADHERENCE SERVICES, RISK REDUCTION COUNSELING, AND A RANGE OF SUPPORT SERVICES. POPULATION GROUPS TO BE SERVED: AHF’S TARGET POPULATIONS—PLWH IN THE DESIGNATED SERVICE AREA OF ESCAMBIA COUNTY—ARE UNDERSERVED AND EXPERIENCE DISPROPORTIONATELY POORER HEALTH OUTCOMES; THE SPECIFIC SUBPOPULATIONS THAT HAVE THE GREATEST NEEDS FOR RECEIVING RWHAP PART C FUNDED SERVICES INCLUDE MINORITY POPULATIONS (BLACK AND HISPANIC), MEN WHO HAVE SEX WITH MEN (MSM), TRANSGENDER INDIVIDUALS, DRUG USERS, RECENTLY INCARCERATED PERSONS, AND WOMEN OF COLOR; AHF WILL ALSO TARGET PLWH CURRENTLY NOT IN CARE.

WESTCARE GEORGIA TARGETED CAPACITY EXPANSION: SUBST ABUSE TREAT. FOR RACIAL/ETHNIC MINORITY WOMEN

PROJECT STYLE (STRENGTHENING TRANSITIONAL YOUTHS' LIFE EXPERIENCES)

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA)

TELEHEALTH RESOURCE CENTER GRANT PROGRAM

THE ECONOMIC AND QUALITY OF LIFE IMPACT OF REMOTE TECHNOLOGIES ON HIGH RISK PATIENTS AND THEIR CAREGIVERS

WESTCARE ILLINOIS (WC-IL) STRATEGIC PREVENTION FRAMEWORK - PARTNERSHIPS FOR SUCCESS

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-IMPACT - ADDRESS: 405 BELCHER STREET, CENTREVILLE, AL 35042-2946 PROJECT DIRECTOR NAME: CHARITY LAISTER EMAIL ADDRESS: CHARITY.LAISTER@CAHABAMEDICALCARE.COM CONTACT PHONE NUMBERS (VOICE): (205) 926-2992 X 7053 (FAX): (205) 316-7675 WEBSITE ADDRESS: WWW.CAHABAMEDICALCARE.COM SUMMARY: CAHABA MEDICAL CARE FOUNDATION (CMC), A FEDERALLY QUALIFIED HEALTH CENTER SERVING CENTRAL ALABAMA, WILL EXPAND ITS EFFORTS TO ADDRESS THE FOUR GOALS OF THE RCORP-IMPACT PROGRAM: SERVICE DELIVERY, WORKFORCE, SUPPORTIVE SERVICES, AND SUSTAINABILITY FOCUSING ITS WORK AND ATTENTION ON ACTIVITIES WITHIN BIBB, CHILTON, WILCOX, AND PERRY COUNTIES WHERE ACCESS TO CARE FOR SUD/OUD IS VERY LIMITED. NEEDS ADDRESSED: EXPAND SUBSTANCE USE TREATMENT SERVICES IN WILCOX, CHILTON, AND BIBB COUNTIES BY HIRING ADDITIONAL BEHAVIORAL HEALTH PROVIDERS AND COMMUNITY HEALTH WORKERS TO PROVIDE TREATMENT FOR INDIVIDUALS WITH SUD AS WELL AS BY EXPANDING TRAINING IN MEDICATION ASSISTED TREATMENT WITH BUPRENORPHINE FOR CMC’S MEDICAL PROVIDERS INITIATE SUBSTANCE USE TREATMENT SERVICES IN PERRY COUNTY WITH THE ADDITION OF BEHAVIORAL HEALTH PROVIDERS AS WELL AS MEDICAL PROVIDERS ABLE TO PROVIDE MEDICATION ASSISTED TREATMENT EXPAND SUBSTANCE USE RECOVERY SERVICES IN CHILTON AND BIBB COUNTIES BY CONSTRUCTING A SUBSTANCE USE DISORDER TREATMENT ROOM AND CAREER CENTER WITHIN THE CAHABA MEDICAL CARE PRIMARY CARE CLINIC IN CHILTON COUNTY AND ITS COMMUNITY CENTER IN BIBB COUNTY. EMPLOY QUALIFIED SUBSTANCE USE DISORDER TREATMENT COUNSELORS, SOCIAL WORKERS, AND ADMINISTRATIVE STAFF. STRENGTHEN THE WORKFORCE ECOSYSTEM BY CREATING ACCESS WITHIN THE PRIMARY CARE CLINIC TO COMPUTERS AND BROADBAND INTERNET FOR ONLINE WORKFORCE DEVELOPMENT TRAINING VIA THE JEFFERSON STATE COMMUNITY COLLEGE ONLINE ADULT EDUCATION, ALABAMA CAREER ESSENTIALS, AND THE MOBILIZING ALABAMA PATHWAYS PROGRAMS. PROVIDE TRANSPORTATION VOUCHERS FOR CMC PATIENTS NEEDING TRANSPORTATION TO PARTICIPATE IN THE ON-CAMPUS WORK KEYS AND CA REER PATHWAYS HANDS-ON PROGRAM SPONSORED BY JEFFERSON STATE COMMUNITY COLLEGE. CREATE A NETWORK OF MEDICAL, BEHAVIORAL HEALTH, JUSTICE-INFORMED, AND EDUCATIONAL ENTITIES WHO WORK TOGETHER TO ADVANCE THE CARE OF THOSE WITH SUD / OUD PROVIDE AN INTEGRATED, COMPREHENSIVE, “ONE-STOP SHOP” FOR PATIENTS WITH SUD/ \OUD TO RECEIVE TREATMENT AND RECOVERY SUPPORT WITHIN THE RURAL SERVICE AREA CARED FOR BY CAHABA MEDICAL CARE PROPOSED SERVICES TREATMENT, RECOVERY, AND SOCIAL SUPPORT SERVICES TARGET POPULATION(S): INDIVIDUALS, THEIR FAMILIES, AND CAREGIVERS WHO ARE LIVING IN HRSA-DESIGNATED RURAL, UNDERSERVED AREAS IN BIBB, CHILTON, PERRY, AND WILCOX COUNTIES IN ALABAMA WHO ARE AT RISK OF SUD, EXPERIENCING SYMPTOMS OF SUD, IN TREATMENT FOR SUD, OR IN RECOVERY FOR SUD.

HEALTH OF WOMEN AND GIRLS IN YELLOWSTONE COUNTY, MONTANA

DEVELOPMENT OF SYSTEMS FOR TRAUMA-RESPONSE EDUCATION AND SUPPORTIVE SOLUTIONS (DE-STRESS) IN YELLOWSTONE COUNTY AND EASTERN MONTANA

WESTCARE GEORGIA THE WOMEN'S PLACE SERVICES FOR HOMELESS WOMEN - WESTCARE GEORGIA’S THE WOMEN’S PLACE PROGRAM WILL PROVIDE SUBSTANCE USE DISORDER TREATMENT, CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS TREATMENT, AND RECOVERY SUPPORT SERVICES TO HOMELESS WOMEN IN THE CITY OF ATLANTA AND FULTON COUNTY, GA. GOAL 1: INCREASE ACCESS TO CULTURALLY APPROPRIATE, WOMAN-CENTERED SUBSTANCE USE DISORDER TREATMENT TO REDUCE ALCOHOL AND SUBSTANCE MISUSE AMONG HOMELESS ADULT MINORITY WOMEN. OBJECTIVES 1.1: PROVIDE EVIDENCE-BASED INTENSIVE, INTEGRATED OUTPATIENT TREATMENT TO 270 WOMEN (45 IN YEARS 1 & 5; 60 IN YEARS 2-4). 1.2 75% OF WOMEN WILL COMPLETE THE PROGRAM SUCCESSFULLY. 1.3 75% OF WOMEN WILL BE SUBSTANCE FREE DURING THE 30 DAYS PRIOR TO DISCHARGE, AND 70% WILL REMAIN ABSTINENT AT 6-MONTHS POST INTAKE AS EVIDENCED BY GPRA. GOAL 2: ENHANCE SOCIAL AND BEHAVIORAL HEALTH FUNCTIONING AMONG HOMELESS ADULT MINORITY WOMEN. OBJECTIVES 2.1 80% OF THE WOMEN WHO SUCCESSFULLY COMPLETE TREATMENT WILL OBTAIN STABLE HOUSING AT DISCHARGE, AND 70% WILL MAINTAIN THEIR LIVING ARRANGEMENTS AT 6-MONTHS POST DISCHARGE AS EVIDENCED BY THE GPRA. 2.2 80% OF THE WOMEN WHO COMPLETE TREATMENT WILL HAVE IMPROVED SOCIAL CONNECTEDNESS AT DISCHARGE, AND 70% WILL MAINTAIN THESE IMPROVEMENTS AT 6-MONTHS POST INTAKE AS EVIDENCED BY GPRA. 2.3 80% OF THE WOMEN WHO COMPLETE TREATMENT WILL ENROLL IN AN EDUCATIONAL/VOCATIONAL PROGRAM, BE ACTIVELY SEEKING EMPLOYMENT, OR BE EMPLOYED AT DISCHARGE, AND 70% WILL CONTINUE TO REMAIN ENROLLED, COMPLETE THEIR EDUCATION/ TRAINING, OR REMAIN EMPLOYED 6-MONTHS POST INTAKE AS EVIDENCED BY THE GPRA. 2.4 80% OF THE WOMEN WHO COMPLETE TREATMENT AND WHO HAD MENTAL HEALTH SYMPTOMS AT ADMISSION WILL EXHIBIT DECREASED SYMPTOMS AT DISCHARGE, AND 70% WILL MAINTAIN IMPROVED MENTAL HEALTH FUNCTIONING AT 6-MONTHS POST INTAKE AS EVIDENCED BY THE GPRA, PCL-5, AND MODIFIED MINI SCREEN.

RYAN WHITE PART C OUTPATIENT EIS PROGRAM - I. PROJECT ABSTRACT - PROJECT TITLE: PART C HIV EARLY INTERVENTION SERVICES PROGRAM - APPLICANT ORGANIZATION NAME: AIDS HEALTHCARE FOUNDATION - ADDRESS: 1701 N. MILLS AVENUE ORLANDO, FL 32803 - PROJECT DIRECTOR NAME: SHAUNDIA WHITE, PROJECT DIRECTOR - CONTACT PHONE NUMBERS: VOICE: (407) 204-7000 EXT. 3413 / FAX: (888) 972-2281 - E-MAIL ADDRESS: SHAUNDIA.WHITE@AIDSHEALTH.ORG - WEB SITE ADDRESS: WWW.AIDSHEALTH.ORG - GRANT PROGRAM FUNDS REQUESTED: $350,000 PER YEAR - FUNDING PREFERENCES REQUESTED: INCREASED BURDEN AND UNDERSERVED AREA THE AIDS HEALTHCARE FOUNDATION (AHF) IS PROPOSING A PROJECT IS TO PROVIDE COMPREHENSIVE PRIMARY HEALTH CARE AND SUPPORT SERVICES IN AN OUTPATIENT SETTING FOR LOW INCOME, UNINSURED, AND UNDERINSURED PLWH. AHF WILL PROVIDE CTR SERVICES, LINKAGE TO PRIMARY HEALTH CARE AND SUPPORT SERVICES, REFERRAL TO CARE AND SUPPORTIVE SERVICES, RETENTION IN CARE, MONITORING VIRAL SUPPRESSION/ART, OUTPATIENT/AMBULATORY HEALTH SERVICES, MEDICAL CASE MANAGEMENT, TREATMENT ADHERENCE SERVICES, RISK REDUCTION COUNSELING, AND A RANGE OF SUPPORT SERVICES. THE PROJECT WILL SERVE THE PINELLAS COUNTY, FL. NEEDS TO BE ADDRESSED: AHF’S PROJECT WILL ADDRESS GAPS IN THE LOCAL HIV CARE CONTINUUM ON DIAGNOSIS OF HIV INFECTION, LINKAGE TO CARE, RETENTION IN CARE, RECEIPT OF ART, AND THE ACHIEVEMENT OF VIRAL SUPPRESSION. THE SERVICE AREA EXPERIENCES HIGHER RATES OF HIV/AIDS THAN STATEWIDE RATES IN FLORIDA. IN PINELLAS COUNTY, THE HIV INCIDENCE RATE (PER 100,000) WAS 19.7 (193 CASES) IN 2019; THE RATE WAS 18.4 IN 2018 AND 18.7 IN 2017. THE INCIDENCE RATE OF AIDS DIAGNOSES (PER 100,000) WAS 9.1 (89 CASES), EXCEEDING THE STATEWIDE RATE OF 8.8; THE RATE WAS 8.8 IN 2018 AND 9.7 IN 2017. IN 2019, THERE WERE 4,853 PLWH IN PINELLAS COUNTY, FOR A RATE OF 495.4.7/100,000 (0.5%). AFRICAN AMERICANS ACCOUNTED FOR 70 OF THE 193 (36%) OF NEWLY REPORTED HIV CASES IN PINELLAS COUNTY IN 2019, AND 30 OF THE 89 (34%) NEWLY REPORTED AIDS CASES, SHOWING THE NEED FOR INCREASED ACCESS TO TESTING AND TREATMENT. IN THE SERVICE AREA, 36% OF NEWLY DIAGNOSED PERSONS ARE BLACK, DESPITE COMPRISING JUST 10% OF THE OVERALL POPULATION. FULLY 1,513 OF THE 4,853 (31%) PLWH IN PINELLAS COUNTY WERE BLACK, OVER THREE TIMES THE OVERALL POPULATION. HIV DISPARITIES IN WOMEN ARE PARTICULARLY PRONOUNCED AS AFRICAN AMERICAN WOMEN REPRESENT 55% OF ALL FEMALE HIV CASES EACH YEAR IN FLORIDA, DESPITE MAKING UP 16% OF THE FEMALE POPULATION STATEWIDE. IN THE SERVICE AREA, MSM HAVE BEEN MOST IMPACTED BY HIV, ACCOUNTING FOR 64% OF NEW CASES AND 63% OF PLWH, WHILE HETEROSEXUAL TRANSMISSION ACCOUNTED FOR 22% OF NEW CASES AND 22% OF PLWH. PROPOSED SERVICES: KEY SERVICES WILL INCLUDE: LINKAGE TO PRIMARY HEALTH CARE AND SUPPORT SERVICES, REFERRAL TO CARE AND SUPPORTIVE SERVICES, RETENTION IN CARE, MONITORING VIRAL SUPPRESSION/ART, OUTPATIENT/AMBULATORY HEALTH SERVICES, MEDICAL CASE MANAGEMENT, TREATMENT ADHERENCE SERVICES, RISK REDUCTION COUNSELING, AND A RANGE OF SUPPORT SERVICES. POPULATION GROUPS TO BE SERVED: AHF’S TARGET POPULATIONS—PLWH IN THE DESIGNATED SERVICE AREA OF PINELLAS COUNTY—ARE UNDERSERVED AND EXPERIENCE DISPROPORTIONATELY POORER HEALTH OUTCOMES; THE SPECIFIC SUBPOPULATIONS THAT HAVE THE GREATEST NEEDS FOR RECEIVING RWHAP PART C FUNDED SERVICES INCLUDE MINORITY POPULATIONS (BLACK AND HISPANIC), MEN WHO HAVE SEX WITH MEN (MSM), TRANSGENDER INDIVIDUALS, DRUG USERS, RECENTLY INCARCERATED PERSONS, AND WOMEN OF COLOR; AHF WILL ALSO TARGET PLWH CURRENTLY NOT IN CARE. AHF WILL TARGET ITS SERVICES IN SOUTHERN PINELLAS COUNTY, AN UNDERSERVED AREA WITH A LARGE AFRICAN-AMERICAN POPULATION.

GUIDANCE/CARE CENTER OUTREACH PROGRAM

WESTCARE CALIFORNIA

CIRCLE OF WELLNESS INITIATIVE: TARGETING THE CHRONIC DISEASE EPIDEMIC IN CALIFORNIA (COW)

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

WESTCARE GEORGIA, INC. MINORITY AIDS INITIATIVE: SUBSTANCE USE DISORDER (SUD) PREVENTION AND TREATMENT PILOT PROGRAM - PROJECT NAME: WCGA PROJECT IMPACT WESTCARE GEORGIA WILL TAKE A SYNDEMIC APPROACH TO PROVIDING SUBSTANCE USE PREVENTION SERVICES; SUBSTANCE USE DISORDER (SUD) TREATMENT; AND HIV, STI, AND VIRAL HEPATITIS PREVENTION SERVICES, TESTING, VACCINATION, AND LINKAGE TO TREATMENT. POPULATIONS SERVED: THE PROPOSED POPULATION OF FOCUS IS YOUTH AND ADULTS AGES 13 AND OLDER IN THE ATLANTA-SANDY SPRINGS-ALPHARETTA METROPOLITAN STATISTICAL AREA (THE ATLANTA METRO AREA) OF GEORGIA WHO ARE PARTICULARLY VULNERABLE TO OR LIVING WITH HIV/AIDS, INCLUDING GAY AND BISEXUAL MEN, MEN WHO HAVE SEX WITH MEN OR MEN AND WOMEN FROM RACIAL/ETHNIC MINORITIES, BLACK WOMEN, AND PEOPLE WHO INJECT DRUGS (PWID). STRATEGIES/INTERVENTIONS: THE PROGRAM WILL PROVIDE SUBSTANCE USE PREVENTION SERVICES; SUBSTANCE USE DISORDER (SUD) TREATMENT; AND HIV, STI, AND VIRAL HEPATITIS PREVENTION SERVICES, TESTING, VACCINATION, AND LINKAGE TO TREATMENT. WCGA WILL USE A VARIETY OF EVIDENCE-BASED CURRICULUMS, INCLUDING MOTIVATIONAL INTERVIEWING, COGNITIVE BEHAVIORAL THERAPY, STRENGTHS-BASED CASE MANAGEMENT, PREVENTURE, LIVING IN BALANCE, ANTI-RETROVIRAL TREATMENT AND ACCESS TO SERVICES, AND MAKING PROUD CHOICES. GOALS AND OBJECTIVES: GOAL 1: EXPAND CAPACITY IN METRO ATLANTA TO PROVIDE SUBSTANCE USE PREVENTION, SUD TREATMENT, AND HIV AND VIRAL HEPATITIS PREVENTION AND TREATMENT SERVICES TO RESIDENTS 13 YEARS OR OLDER WITH A FOCUS ON GAY AND BISEXUAL MEN, MEN WHO HAVE SEX WITH MEN OR MEN AND WOMEN FROM RACIAL/ETHNIC MINORITIES, BLACK WOMEN, AND PEOPLE WHO INJECT DRUGS (PWID). OBJECTIVE 1.1: PROVIDE HIV COUNSELING, TESTING, AND LINKAGE (CTL) TO 900 INDIVIDUALS (Y1 = 100; Y2-5 = 200 ANNUALLY). OBJECTIVE 1.2: PROVIDE HEPATITIS C TESTING TO 650 INDIVIDUALS (Y1 = 50; Y2-5 = 150 ANNUALLY). OBJECTIVE 1.3: PROVIDE SYPHILIS TESTING TO 450 INDIVIDUALS (Y1 = 50; Y2-5 = 100 ANNUALLY) OBJECTIVE 1.4: PROVIDE SUBSTANCE USE PREVENTION OR SUD/CO-OCCURRING TREATMENT TO 400 INDIVIDUALS (Y1 & 5 = 50; Y2-4 = 100 ANNUALLY). OBJECTIVE 1.5: LINK 70% OF THOSE WHO TEST POSITIVE FOR HIV OR VH OR WHO NEED SUBSTANCE USE OR MENTAL HEALTH SERVICES TO APPROPRIATE CARE AND TREATMENT. GOAL 2: IMPROVE FUNCTIONING AMONG METRO ATLANTA RESIDENTS, AGED 13 AND OLDER, WHO ARE PARTICULARLY VULNERABLE TO OR LIVING WITH HIV/AIDS. OBJECTIVE 2.1: 80% OF PARTICIPANTS WILL REMAIN ABSTINENT OR REDUCE/ELIMINATE SUBSTANCE USE DURING THE 30 DAYS PRIOR TO DISCHARGE, AND 70% WILL REMAIN ABSTINENT OR FURTHER REDUCE/ELIMINATE SUBSTANCE USE AT 6-MONTHS POST ADMISSION AS MEASURED BY THE GPRA. OBJECTIVE 2.2: 80% OF THE PARTICIPANTS WHO COMPLETE THE PROGRAM WILL BE ATTENDING A SCHOOL/VOCATIONAL PROGRAM OR HAVE EMPLOYMENT AT DISCHARGE, AND 70% OF THOSE WILL REMAIN ENROLLED OR EMPLOYED AT 6-MONTHS POST ADMISSION AS MEASURED BY THE GPRA. OBJECTIVE 2.3: 80% OF THE PARTICIPANTS COMPLETING THE PROGRAM WILL HAVE STABLE LIVING ARRANGEMENTS AT DISCHARGE, AND 70% WILL MAINTAIN THE LIVING ARRANGEMENT 6-MONTHS POST ADMISSION AS MEASURED BY THE GPRA. OBJECTIVE 2.4: 80% OF THE PARTICIPANTS COMPLETING THE PROGRAM WILL HAVE INCREASED SOCIAL CONNECTEDNESS AT DISCHARGE, AND 70% WILL MAINTAIN THEIR SOCIAL CONNECTEDNESS AT 6-MONTHS POST ADMISSION AS MEASURED BY THE GPRA. GOAL 3: REDUCE RISK TAKING BEHAVIOR AND INCREASE KNOWLEDGE RELATED TO THE TRANSMISSION OF HIV, HEPATITIS, AND STDS. OBJECTIVE 3.1: 80% OF THE YOUTH COMPLETING PROJECT STYLE WILL EXHIBIT DECREASED SEXUAL RISK-TAKING BEHAVIOR, INCLUDING FEWER UNSAFE SEXUAL CONTACTS AND FEWER SEXUAL PARTNERS AT DISCHARGE AND WILL CONTINUE TO EXHIBIT DECREASED RISK-TAKING BEHAVIOR AT 3 MONTHS POST COMPLETION. OBJECTIVE 3.2: 80% OF THE YOUTH COMPLETING PROJECT STYLE WILL INCREASE KNOWLEDGE OF RISK BEHAVIORS RELATED TO ACQUIRING HIV AND STDS AS MEASURED BY THE HIV KQ 18 AND THE SEXUALLY TRANSMITTED DISEASE KNOWLEDGE QUESTIONNAIRE.

TARGETED CAPACITY EXPANSION PRGRAM

WESTCARE GEORGIA SEXUAL RISK AVOIDANCE PROGRAM FOR METRO ATLANTA- RISEUP

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-IMPACT - WESTCARE KENTUCKY AND THE APPALACHIAN RECOVERY CARE NETWORK WILL PROVIDE SERVICES IN THE RURAL TARGET SERVICE AREA OF PIKE AND LETCHER COUNTIES. ALL OF PIKE AND LETCHER COUNTIES ARE HRSA-DESIGNATED RURAL AREAS. THIS AREA IS LOCATED IN EASTERN KENTUCKY IN RURAL APPALACHIA. THE POPULATION TO BE SERVED INCLUDES: 1) INDIVIDUALS WHO ARE AT RISK FOR, HAVE BEEN DIAGNOSED WITH, AND/OR ARE IN TREATMENT AND/OR RECOVERY FOR OPIOID USE DISORDER (OUD); 2) THEIR FAMILIES AND/OR CAREGIVERS; AND 3) OTHER COMMUNITY MEMBERS WHO RESIDE IN THE RURAL AREA. THE DATA FOCUS AREA WILL BE JUSTICE-INVOLVED ADULTS. THE GOALS OF THE PROJECT ARE TO 1) ESTABLISH AND COORDINATE COMPREHENSIVE SUBSTANCE USE DISORDER (SUD) TREATMENT WITH A FOCUS ON OPIOID USE DISORDER (OUD) AND RECOVERY SERVICES, RESIDENTIAL AND OUTPATIENT TREATMENT AND COUNSELING, WRAPAROUND SUPPORT SERVICES, AND PEER SUPPORT; 2) TO DEVELOP A RESPONSIVE AND QUALIFIED WORKFORCE IN RURAL APPALACHIA IN EASTERN TENNESSEE INCLUDING PEER SUPPORT SPECIALISTS AND CLINICAL PROFESSIONALS OFFERING DIVERSE SERVICES; 3) TO ESTABLISH AND ENHANCE COORDINATION OF SUPPORTIVE SOCIAL SERVICES AND WRAPAROUND CARE TO ENSURE RURAL ADULTS IMPACTED BY SUD/OUD HAVE SUSTAINED, LONG-TERM RECOVERY THROUGH THE WORK OF THE APPALACHIAN RECOVERY CARE NETWORK WITH REPRESENTATIVES FROM LOCAL, DIVERSE SERVICE SECTORS, AND 4) TO DEVELOP INNOVATIVE, MULTI-SECTORAL APPROACHES TO FUNDING SUSTAINABILITY, COMMUNITY SUPPORT AND THE CONTINUATION OF RCORP IMPACT SERVICES BEYOND THE INITIAL 4-YEAR PROJECT PERIOD. THE APPALACHIAN RECOVERY CARE NETWORK COMPRISES FOUR COMMUNITY ORGANIZATIONS THAT COLLABORATE AND COORDINATE SERVICES. THE NETWORK INCLUDES BEHAVIORAL HEALTH, SUBSTANCE USE TREATMENT, MEDICATION ASSISTED TREATMENT (MAT), PRIMARY HEALTHCARE, RECOVERY SERVICES, TRANSITIONAL HOUSING, HARM REDUCTION, PREVENTION, AND EDUCATION TO PROVIDE WHOLE-PERSON, TRAUMA-INFORMED, EVIDENCE-BASED SERVICES TO ADDRESS THE HIGH RATES OF OPIOID AND SUBSTANCE USE OVERDO SES, DEATHS, AND MISUSE IN RURAL EASTERN KENTUCKY. THIS PROJECT WILL EXPAND AND ENHANCE EXISTING SERVICES THAT CONTRIBUTE TO A COMPREHENSIVE SYSTEM OF CARE. SERVICES INCLUDE OUTPATIENT SUD/OUD TREATMENT; TELEHEALTH SERVICES; PRIMARY HEALTH CARE; PSYCHIATRIC/PSYCHOLOGICAL CARE; OUTREACH; SCREENING; CASE MANAGEMENT AND ASSESSMENT; COUNSELING; CO-OCCURRING DISORDER TREATMENT AND MENTAL HEALTH CARE; MOBILE UNIT SERVICES TO BRING SERVICES DIRECTLY TO PEOPLE; SUD/OUD PREVENTION AND EDUCATION, LIFE SKILLS AND SUPPORT SERVICES, PEER SUPPORT SERVICES, RECOVERY SUPPORT; ADDICTION SUPPORT GROUPS, VOCATIONAL AND EDUCATION SERVICES ALONG WITH EVALUATION AND PERFORMANCE IMPROVEMENT SERVICES. KENTUCKY HAS ONE OF THE HIGHEST OPIOID OVERDOSE MORTALITY RATES IN THE UNITED STATES. THE MOUNTAINOUS TERRAIN, NARROW VALLEYS, AND RIVER FLOODING HAVE LED TO GEOGRAPHIC ISOLATION THAT HINDERS TRANSPORTATION AND DEVELOPMENT, RESULTING IN DIFFICULTY IN ACHIEVING ECONOMIC DEVELOPMENT, HEALTH, AND EDUCATIONAL GOALS. AFTER DECADES OF DEPENDENCE ON A COAL ECONOMY, THESE COUNTIES ARE EXPERIENCING OUTMIGRATION AS MANY PEOPLE LEAVE THE AREA SEARCHING FOR SELF-SUSTAINING EMPLOYMENT OPPORTUNITIES. THE AREA IS A SIGNIFICANT CENTER OF ILLEGAL DRUG PROSECUTION, MANUFACTURING, IMPORTATION, OR DISTRIBUTION; STATE, LOCAL, AND TRIBAL LAW ENFORCEMENT AGENCIES HAVE COMMITTED RESOURCES TO RESPOND TO THE DRUG TRAFFICKING PROBLEM IN THE AREA, THEREBY INDICATING A DETERMINATION TO RESPOND AGGRESSIVELY TO THE PROBLEM; DRUG-RELATED ACTIVITIES IN THE AREA ARE HAVING A SIGNIFICANT HARMFUL IMPACT IN THE AREA AND REFLECTS THE DAY TO DAY DRUG-RELATED ACTIVITIES THE TARGET POPULATION MUST ENDURE.

CONNECTING KIDS TO COVERAGE HEALTHY KIDS 2022 OUTREACH AND ENROLLMENT COOPERATIVE AGREEMENTS - PRESERVING PROGRESS - PRESERVING PROGRESS AS THE END OF THE COVID-19 PUBLIC HEALTH EMERGENCY (PHE) DRAWS NEARER, THE SITUATION WITH VIRGINIA’S CHIP AND MEDICAID PROGRAMS (FAMIS PROGRAMS) CAN BE CHARACTERIZED AS A “BEST OF TIMES, WORST OF TIMES” SCENARIO. VIRGINIA IS MAKING GREAT PROGRESS ADDRESSING COVERAGE DISPARITIES AND INEQUITIES. THE STATE RECENTLY EXPANDED FAMIS/MEDICAID (F/M) ELIGIBILITY (COVERAGE OF UNDOCUMENTED PREGNANT PEOPLE, EXTENSION OF POST-PARTUM COVERAGE FROM 60 DAYS TO 12 MONTHS, ELIMINATION OF THE 40 QUARTER RULE) AND ADDED DENTAL SERVICES FOR ADULTS. COMBINED WITH MEDICAID EXPANSION, EFFECTIVE JANUARY 1, 2019, NOW IS THE BEST OF TIMES FOR THE NEARLY 2 MILLION VIRGINIANS WHO RELY ON THIS IMPORTANT COVERAGE. THE END OF THE PHE THREATENS MUCH OF THE ENROLLMENT PROGRESS ACHIEVED SINCE 2019. SIGNIFICANT DISENROLLMENT, ADDED TO THE LARGE NUMBERS OF ELIGIBLE CHILDREN, PARENTS AND PREGNANT PEOPLE NOT YET COVERED, WOULD QUICKLY BECOME THE WORST OF TIMES FOR THESE FAMILIES. THE VIRGINIA HEALTH CARE FOUNDATION (VHCF) WILL USE HEALTHY KIDS 2022 (HK) FUNDS ($1,486,611 OVER 3 YEARS) AND ITS SEASONED, PRODUCTIVE APPLICATION ASSISTERS (AAS) TO PREVENT INAPPROPRIATE COVERAGE LOSS (PARTICULARLY FOR AFRICAN-AMERICAN, HISPANIC AND OTHER VIRGINIANS OF COLOR, LIKELY TO BE DISPROPORTIONATELY DISENROLLED), PRESERVE THE PROGRESS VIRGINIA HAS MADE IN THE LAST 3 YEARS, AND ENROLL MORE OF THOSE ELIGIBLE, BUT UNCOVERED. HK-FUNDED AAS WILL WORK IN 9 OF THE VIRGINIA LOCALITIES WITH THE HIGHEST NUMBERS OF UNINSURED F/M-INCOME-ELIGIBLE CHILDREN (ALEXANDRIA, ARLINGTON, FAIRFAX, HENRICO, LOUDOUN, PRINCE WILLIAM, NORFOLK, RICHMOND CITY, VIRGINIA BEACH). TOGETHER, THEY ARE HOME TO 43% OF THE STATE’S F/M INCOME-ELIGIBLE, UNINSURED CHILDREN (18,236) (US CENSUS, SMALL AREA HEALTH INSURANCE ESTIMATES, 2019) AND THOUSANDS OF INCOME-ELIGIBLE PARENTS AND PREGNANT PEOPLE. AAS WILL PROVIDE 1:1 APPLICATION ASSISTANCE TO ENROLL OR RENEW F/M COVERAGE FOR 5,832 VIRGINIANS DURING THE 3-YEAR CA PERIOD. F/M OUTREACH AND ENROLLMENT (O&E) ALIGNS PERFECTLY WITH VHCF’S MISSION TO INCREASE ACCESS TO PRIMARY HEALTH CARE FOR UNINSURED AND MEDICALLY-UNDERSERVED VIRGINIANS. MAXIMIZING THE NUMBER ENROLLED IN STATE-SPONSORED HEALTH INSURANCE IS A CORE GOAL IN VHCF’S STRATEGIC PLAN. THE FOUNDATION HAS LED VIRGINIA’S PRIVATE SECTOR F/M O&E FOR 23 YEARS, AND HAS DEVELOPED SUBSTANTIAL O&E EXPERIENCE AND A DEEP KNOWLEDGE-BASE. VHCF HAS TRAINED, SUPPORTED AND COACHED MORE THAN 200 AAS SINCE 1999, WHO HAVE ENROLLED/RETAINED MORE THAN 128,500 VIRGINIANS (MOSTLY CHILDREN AND PREGNANT PEOPLE). VHCF WILL MAXIMIZE ENROLLMENT AND RETENTION OF ELIGIBLE CHILDREN, PARENTS AND PREGNANT PERSONS IN F/M WITH A 2-GENERATION APPROACH, HELPING HOUSEHOLD MEMBERS OF ALL AGES APPLY FOR OR RENEW COVERAGE. AAS WILL USE BOTH BEST PRACTICES AND INNOVATIVE STRATEGIES, ENGAGE IN EFFECTIVE PARTNERSHIPS, AND MONITOR RESULTS TO ACHIEVE GOALS. CLEAR, CONSISTENT MESSAGING THROUGHOUT THE YEAR REGARDING F/M (VALUE, ELIGIBILITY CRITERIA, BENEFITS, APPLICATION/RENEWAL PROCESS, #ENROLL365) AND FREE, 1:1 APPLICATION ASSISTANCE, VIRTUAL AND IN-PERSON, WILL BE USED. VIRGINIA HAS MADE EXCITING PROGRESS EXPANDING ELIGIBILITY AND SERVICES IN F/M SINCE 2019, ATTRACTING MORE ENROLLEES AND PLAYING AN IMPORTANT ROLE IN BRIDGING RACIAL AND DEMOGRAPHIC HEALTH COVERAGE DISPARITIES. VHCF AIMS TO MAXIMIZE ENROLLMENT/RENEWALS THROUGH 1:1 APPLICATION ASSISTANCE AND ENSURING LOCAL PARTNERS/STAKEHOLDERS ARE PREPARED FOR THE COMING TSUNAMI OF RENEWALS. HK FUNDS WILL CONTINUE THE WORK OF EXPERIENCED, VALUED AND PRODUCTIVE AAS IN COMMUNITIES WITH HIGH NUMBERS OF POTENTIALLY-ELIGIBLE CHILDREN, PARENTS AND PREGNANT PEOPLE; THEIR FOCUS WILL BE ON THOSE WITH LOWER EDUCATION LEVELS, THOSE WHO DO NOT SPEAK ENGLISH WELL AND/OR ARE AT DISPROPORTIONATE RISK OF BEING INAPPROPRIATELY DISENROLLED FROM F/M.

CONNECTING KIDS TO COVERAGE (CKC) HEALTHY KIDS 2019 OUTREACH AND ENROLLMENT COOPERATIVE AGREEMENTS

KENTUCKY MEDICATION ASSISTED TREATMENT - TOGETHER ERADICATING RELIANCE ON SUBSTANCES (KY MATTERS)

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

TELEHEALTH RESOURCE CENTER GRANT PROGRAM

HIV AIDS PREVENTION, CARE AND TREATMENT PROGRAM SERVING VENEZUELAN MIGRANTS IN COLOMBIA

EVIDENCE-BASED TELE-EMERGENCY NETWORK GRANT PROGRAM

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

YOUTH - YOUNG OFFENDER

PURPOSE: THE LEAD-BASED PAINT HAZARD REDUCTION (LHR) GRANT PROGRAM IS TO MAXIMIZE THE NUMBER OF CHILDREN UNDER THE AGE OF SIX PROTECTED FROM LEAD POISONING BY ASSISTING STATES, CITIES, COUNTIES/PARISHES, NATIVE AMERICAN TRIBES OR OTHER UNITS OF LOCAL GOVERNMENT IN UNDERTAKING COMPREHENSIVE PROGRAMS TO IDENTIFY AND CONTROL LEAD-BASED PAINT HAZARDS IN ELIGIBLE PRIVATELY-OWNED RENTAL OR OWNER-OCCUPIED HOUSING POPULATIONS. IN ADDITION, THERE IS HEALTHY HOMES SUPPLEMENTAL FUNDING AVAILABLE THAT IS INTENDED TO ENHANCE THE LEAD-BASED PAINT HAZARD CONTROL ACTIVITIES BY COMPREHENSIVELY IDENTIFYING AND ADDRESSING OTHER HOUSING HAZARDS THAT AFFECT OCCUPANT HEALTH. INFORMATION ABOUT WHERE THE SUPPLEMENTAL FUNDING CAN BE USED CAN BE FOUND AT. HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/HEALTHY_HOMES/PROJECT_DESCRIPTIONS; ACTIVITIES TO BE PERFORMED: PROGRAM FUNDS WILL BE AWARDED TO APPLICANTS TO ACCOMPLISH THE FOLLOWING OBJECTIVES: A. TARGETED UNITS: TARGET LEAD HAZARD CONTROL EFFORTS IN HOUSING UNITS WHERE CHILDREN LESS THAN 6 YEARS OF AGE ARE AT GREATEST RISK OF LEAD POISONING (PRE-1960, AND, ESPECIALLY, PRE-1940 CONSTRUCTION), WHICH HAS HISTORICALLY INCLUDED CHILDREN IN LOW-INCOME AND MINORITY NEIGHBORHOODS, TO REDUCE THE LIKELIHOOD OF ELEVATED BLOOD LEAD LEVELS IN THESE CHILDREN. B. COST EFFECTIVENESS: UTILIZE COST-EFFECTIVE LEAD HAZARD CONTROL METHODS AND APPROACHES THAT ENSURE THE LONG-TERM SAFETY OF THE BUILDING OCCUPANTS. C. CAPACITY: BUILD LOCAL CAPACITY OF TRAINED AND CERTIFIED INDIVIDUALS AND FIRMS TO ADDRESS LEAD HAZARDS SAFELY AND EFFECTIVELY DURING LEAD HAZARD CONTROL, RENOVATION, REMODELING, AND MAINTENANCE ACTIVITIES. ANOTHER CORE ELEMENT FOR CAPACITY INCLUDES THE DEVELOPMENT OF COMPREHENSIVE, COMMUNITY-BASED APPROACHES TO INTEGRATING THIS GRANT PROGRAM WITHIN OTHER LOCAL INITIATIVES THROUGH PUBLIC AND PRIVATE PARTNERSHIPS THAT ADDRESS HOUSING RELATED HEALTH AND SAFETY HAZARDS AND/OR SERVE LOW-INCOME FAMILIES WITH CHILDREN UNDER THE AGE OF SIX (6). D. AFFIRMATIVE MARKETING: ESTABLISH AND IMPLEMENT A DETAILED PROCESS OF MONITORING AND ENSURING THAT UNITS MADE LEAD-SAFE ARE AFFIRMATIVELY MARKETED, AND PRIORITY GIVEN, TO FAMILIES WITH CHILDREN UNDER AGE 6 YEARS FOR NOT LESS THAN THREE YEARS. E. DATA COLLECTION: GATHER PRE- AND POST-TREATMENT DATA THAT SUPPORTS AND VALIDATES LEAD HAZARD CONTROL INVESTMENTS. PROGRAM DATA COLLECTED SHOULD SUPPORT THE EVALUATION OF GRANT PROGRAM ACTIVITIES AND OUTCOMES. F. TARGETED OUTREACH AND EDUCATION: CONDUCTING TARGETED OUTREACH, AFFIRMATIVE MARKETING, EDUCATION OR OUTREACH PROGRAMS ON LEAD HAZARD CONTROL AND LEAD POISONING PREVENTION DESIGNED TO INCREASE THE ABILITY OF THE APPLICANT TO DELIVER THE SPECIFIED LEAD HAZARD CONTROL SERVICES THROUGH THIS PROGRAM; INCLUDING EDUCATING OWNERS OF ELIGIBLE RENTAL PROPERTIES, TENANTS, AND OTHERS ON THE BENEFITS AND EXPECTATIONS OF PARTICIPATING IN THIS PROGRAM PROVIDED BY "TITLE X" OF THE RESIDENTIAL LEAD-BASED PAINT HAZARD REDUCTION ACT OF 1992.; EXPECTED OUTCOMES: TO IDENTIFY AND CLEAN UP DANGEROUS LEAD IN LOW-INCOME FAMILIES’ HOMES WHERE LOW-INCOME FAMILIES WERE CHILDREN 6 AND UNDER RESIDE. THESE INVESTMENTS WILL PROTECT FAMILIES AND CHILDREN BY TARGETING SIGNIFICANT LEAD AND HEALTH HAZARDS IN OVER 3,700 LOW-INCOME HOMES FOR WHICH OTHER RESOURCES ARE NOT AVAILABLE.; INTENDED BENEFICIARIES: TO ASSIST STATES, CITIES, COUNTIES/PARISHES, NATIVE AMERICAN TRIBES OR OTHER UNITS OF LOCAL GOVERNMENT IN UNDERTAKING COMPREHENSIVE PROGRAMS TO IDENTIFY AND CONTROL LEAD-BASED PAINT HAZARDS IN ELIGIBLE PRIVATELY-OWNED RENTAL OR OWNER-OCCUPIED HOUSING POPULATIONS WERE CHILDREN UNDER 6 RESIDE.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

HUMAN IMMUNODEFICIENCY VIRUS(HIV) PREVENTION PROJECTS FOR COMMUNITY BASED ORGS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

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

THE OTHER SIDE OF THE FENCE OFFENDER RE-ENTRY PROGRAM

THE OTHER SIDE OF THE FENCE

POWER- BLDG RENOVATIONS

THE OTHER SIDE OF THE FENCE

BUILDING A LONG-TERM FALLS PREVENTION NETWORK FOR CALIFORNIA?S ELDERS ? CIRCLE OF CARE

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - O CLAYTON COUNTY CURRENTLY LACKS CAPACITY AND ACCESS OF CARE TO EFFICIENTLY ADDRESS ITS MENTAL HEALTH AND PSYCHIATRIC RELATED NEEDS. THE NUMBERS OF EMERGENCY ROOM VISITS, HOSPITALIZATIONS, AND DEATHS ATTRIBUTED TO MANAGEABLE OR EVEN PREVENTABLE MENTAL HEALTH INCIDENTS ARE REFLECTIVE OF THE OVERALL CURRENT SOCIOECONOMIC STATE OF THE COUNTY, LACK OF MENTAL HEALTH PROVIDERS, AND HEAVY BURDEN ON THE COMMUNITY TO ADDRESS THE NEEDS OF PSYCHIATRIC PATIENTS WITH LIMITED RESOURCES. THUS, SRMC HAS MADE IT A PRIORITY TO IMPROVE THE MENTAL HEALTH OF THE COMMUNITY. THIS STARTS WITH ENSURING PATIENTS WHO SEEK CARE FOR MENTAL HEALTH AND SUBSTANCE ABUSE RECEIVE THE INITIAL TREATMENT THEY SO DESPERATELY NEED WHEN ARRIVING AT SOUTHERN REGIONAL MEDICAL CENTER'S EMERGENCY DEPARTMENT. FUNDING THE HOLD UNIT AND STAFFING NEEDS FOR TWO YEARS WILL GIVE THE HOSPITAL THE TIME TO ABSORB THE COST OF THIS UNIT IN ITS GENERAL OPERATING BUDGET. O SOUTHERN REGIONAL MEDICAL CENTER SERVES ATLANTA’S SOUTHERN CRESCENT, WITH 75% OF THE POPULATION SERVED LOCATED IN CLAYTON COUNTY. MANY RESIDENTS SUFFER FROM MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES, EXACERBATED BY A LACK OF INSURANCE AND LIMITED POOL OF MENTAL HEALTH PROFESSIONALS TO TURN FOR HELP. WITH NOWHERE ELSE TO TURN, RESIDENTS SHOW UP AT THE EMERGENCY DEPARTMENT FOR ASSISTANCE WHERE SRMC HAS LIMITED RESOURCES FOR THOSE WITH MENTAL HEALTH PROBLEMS. O FEDERAL FUNDING IS REQUESTED BECAUSE THOSE SERVED BY THE SOUTHERN REGIONAL MEDICAL CENTER ARE IN CRISIS. THE DEPARTMENT OF HEALTH AND HUMAN SERVICE'S HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATED PORTIONS OF SRMC'S SERVICE AREA AS A MEDICALLY UNDERSERVED AREA, AN AREA WHERE A SHORTAGE OF MEDICAL HEALTH SERVICES EXISTS. ACCESS TO QUALITY HEALTH CARE SERVICES IMPACTS THE HEALTH OF AN INDIVIDUAL — THEIR OVERALL PHYSICAL, SOCIAL, AND MENTAL HEALTH — AS WELL AS THE OVERALL COMMUNITY. BARRIERS TO SERVICES WILL DELAY INDIVIDUALS FROM RECEIVING APPROPRIATE CARE AND NEEDED PREVENTATIVE SERVICES, PLACE A FINANCIAL BURDEN ON INDIVIDUALS AS WELL AS THE COMMUNITY, AND LEAD TO HOSPITALIZATIONS THAT COULD HAVE BEEN PREVENTED O THE HOLD UNIT WILL FREE UP SPACE IN THE ED FOR OTHER EMERGENCIES. THE BEHAVIORAL HOLD AREA WILL SPECIALIZE TO PROVIDE, CARE, AND SERVICES FOR THOSE WHO SHOW UP TO SRMC'S ED. SRMC WILL HIRE STAFF INCLUDING NURSES, SOCIAL WORKERS, AND OTHER SERVICES TO SUPPORT PATIENTS FACING A MENTAL HEALTH AND/OR SUBSTANCE ABUSE CRISIS. THEIR STAY AT SRMC WILL INCLUDE THE CRISIS MANAGEMENT PATIENTS REQUIRE UNTIL A MORE SUITABLE PLACEMENT IS FOUND, WHETHER AT IN-TREATMENT FACILITY OR FROM AN OUTPATIENT MENTAL HEALTH CARE PROVIDER. O THE CAPITAL BUDGET SUPPORTS $4,115,719, WHICH INCLUDES A 10% CONTINGENCY OF $374,156. AN OPERATIONAL LOSS IS EXPECTED FOR THE INITIAL YEARS OF OPERATION RELATED TO START UP AND INCREASED LABOR EXPENSE PARTICULARLY IN NURSING POST COVID.

WESTCARE ILLINOIS WORKFORCE SUPPORT PROGRAM - IN PARTNERSHIP, WESTCARE ILLINOIS AND CENTRAL STATES SER WILL PROVIDE INTEGRATED SUBSTANCE USE DISORDER (SUD) AND WORKFORCE DEVELOPMENT SERVICES FOR ADULTS DIAGNOSED WITH SUD AND IN NEED OF WORKFORCE DEVELOPMENT ASSISTANCE. THE PRIMARY GEOGRAPHIC CATCHMENT AREA IS LITTLE VILLAGE NEIGHBORHOOD (SOUTH LAWNDALE AREA OF CHICAGO) AND CITY OF MARKHAM (SOUTH SUBURBS OF CHICAGO), ILLINOIS. INDIVIDUALS IN SUD TREATMENT AND RECOVERY TO LIVE INDEPENDENTLY AND PARTICIPATE IN THE WORKFORCE. GOAL 1: PROVIDE TRAUMA INFORMED EVIDENCE-BASED SUBSTANCE USE DISORDER TREATMENT TO ADULTS LIVING IN COOK COUNTY, IL WITH A PRIMARY FOCUS ON THE SOUTH LAWNDALE AND MARKHAM GEOGRAPHIC AREAS. OBJECTIVE 1.1: PROVIDE EVIDENCE-BASED SUD TREATMENT SERVICES TO 470 INDIVIDUALS (70 INDIVIDUALS IN YEAR 1; 100 INDIVIDUALS ANNUALLY IN YEARS 2-5). OBJECTIVE 1.2: 100% OF ENROLLED INDIVIDUALS WILL DEVELOP AN INDIVIDUALIZED STRENGTH-BASED TREATMENT PLAN. OBJECTIVE 1.3: 75% OF CLIENTS WILL SUCCESSFULLY COMPLETE THE PROGRAM. OBJECTIVE 1.4: 75% OF CLIENTS WILL BE SUBSTANCE FREE DURING THE 30 DAYS PRIOR TO DISCHARGE AND 70% WILL REMAIN ABSTINENT DURING THE 30 DAYS PRIOR TO THE 6-MONTHS POST INTAKE AS EVIDENCED BY DRUG TEST RESULTS AND DOCUMENTED BY GPRA. GOAL 2: PROVIDE EVIDENCE-BASED SUPPORTIVE EMPLOYMENT TRAINING TO ALLOW INDIVIDUALS TO LIVE INDEPENDENTLY AND PARTICIPATE IN THE WORKFORCE. OBJECTIVE 2.1: PROVIDE EVIDENCE-BASED SUPPORTIVE EMPLOYMENT SERVICES TO 470 INDIVIDUALS (70 IN YEAR 1; 100 ANNUALLY IN YEARS 2-5). OBJECTIVE 2.2: 100% OF APPLICANTS WILL RECEIVE SCREENING FOR PROGRAM APPROPRIATENESS USING WIOA’S COMPREHENSIVE APPLICATION. OBJECTIVE 2.3: 90% OF PARTICIPANTS WILL BE ASSESSED USING THE CASAS WORK READINESS ASSESSMENT TOOL. OBJECTIVE 2.4: 90% OF PARTICIPANTS WILL BE ASSESSED USING ILLINOIS WORKNET’S SKILLS AND INTEREST SURVEY. OBJECTIVE 2.5: 90% OF ENROLLED INDIVIDUALS WILL DEVELOP AN INDIVIDUALIZED STRENGTH-BASED TREATMENT PLAN. OBJECTIVE 2.6: 70% OF CLIENTS WILL SUCCESSFULLY COMPLETE THE PROGRAM. OBJECTIVE 2.7: 90% OF THE CLIENTS COMPLETING SERVICES WILL BE IN AN EDUCATIONAL/VOCATIONAL PROGRAM, SEEKING EMPLOYMENT, OR EMPLOYED AT DISCHARGE, AND 70% WILL CONTINUE TO REMAIN ENROLLED, COMPLETE THEIR EDUCATION/TRAINING, OR REMAIN EMPLOYED AT 6-MONTHS POST ADMISSION AS EVIDENCED BY THE GPRA. OBJECTIVE 2.8: 80% OF THE CLIENTS COMPLETING SERVICES AND NOT HAVING STABLE LIVING ARRANGEMENT AT ADMISSION WILL HAVE STABLE LIVING ARRANGEMENTS AT DISCHARGE, AND 70% OF THOSE WILL MAINTAIN THEIR LIVING ARRANGEMENTS AT 6-MONTHS POST INTAKE AS EVIDENCED BY THE GPRA. EVIDENCE-BASED PRACTICES INCLUDE THE SEVEN CHALLENGES, MOTIVATIONAL INTERVIEWING, SEEKING SAFETY, TRANSFORMING IMPOSSIBLE TO POSSIBLE: A JOB READINESS CURRICULUM FOR THE WORKFORCE DEVELOPMENT FIELD, AND CAREER FOUNDATIONS MAKING YOUR EDUCATION WORK FOR YOU.

HIV PREV. PROJ. FOR YMSM AND YOUNGTRANSGENDER PERSONS OF COLOR

CONNECTIONS 2.0: STRENGTHENING FATHERS, FAMILIES, AND FUTURES - WESTCARE NEVADA WILL IMPLEMENT A COMPREHENSIVE FATHERHOOD PROGRAM SERVING BOTH COMMUNITY FATHERS AND REENTRY FATHERS IN CLARK COUNTY, NEVADA. THE PROJECT WILL PROVIDE EVIDENCE-INFORMED WORKSHOPS ON HEALTHY RELATIONSHIPS, POSITIVE PARENTING, AND ECONOMIC STABILITY, ALONG WITH INDIVIDUALIZED CASE MANAGEMENT, PEER MENTORING, AND EMPLOYMENT NAVIGATION SERVICES. WESTCARE NEVADA WILL SERVE AT LEAST 900 FATHERS OVER THE FIVE-YEAR PROJECT PERIOD, WITH SERVICES DELIVERED AT THE NORTH LAS VEGAS COMMUNITY CORRECTIONAL CENTER FOR REENTRY FATHERS AND AT WESTCARE NEVADA'S TREATMENT FACILITIES FOR COMMUNITY FATHERS IMPACTED BY SUBSTANCE USE DISORDERS.

TRANSITIONAL LIVING PROGRAM

NURSE EDUCATION, PRACTICE, QUALITY, AND RETENTION - INTERPROFESSIONAL COLLBORATIVE PRACTICE

WESTCARE GEORGIA, INC. THE WOMANS PLACE PROJECT

PRIMARY CARE TRAINING AND ENHANCEMENT

VA SUPPORTIVE SERVICES FOR VETERAN FAMILIES PROGRAM

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - ADDRESS: 405 BELCHER STREET, CENTREVILLE, AL 35042-2946 PROJECT DIRECTOR NAME: JOHN B. WAITS, MD EMAIL ADDRESS: JOHN.WAITS@CAHABAMEDICALCARE.COM CONTACT PHONE NUMBERS (VOICE): 205-312-8080 (FAX): (205) 316-7675 WEBSITE ADDRESS: WWW.CAHABAMEDICALCARE.COM HCP GRANT NUMBER: H80CS24177 SUMMARY: CAHABA MEDICAL CARE FOUNDATION (CMC) SEEKS FUNDING THROUGH THE HRSA FISCAL YEAR (FY) 2025 QUALITY IMPROVEMENT FUND – TRANSITIONS IN CARE FOR JUSTICE-INVOLVED POPULATIONS (QIF-TJI) TO ENHANCE AND EXPAND ITS SERVICES AIMED AT FACILITATING THE TRANSITION OF JUSTICE-INVOLVED INDIVIDUALS REENTERING THE COMMUNITY (JI-R). THIS INITIATIVE FOCUSES ON IMPROVING ACCESS TO COMMUNITY-BASED, HIGH-QUALITY PRIMARY CARE SERVICES WITHIN 90 DAYS OF RELEASE FROM INCARCERATION, ADDRESSING THIS VULNERABLE POPULATION'S CRITICAL AND COMPLEX HEALTHCARE NEEDS. PARTNERING WITH THE BIBB COUNTY COURT SYSTEM AND THE BIBB COUNTY CORRECTIONAL FACILITY, CMC AIMS TO IMPLEMENT A COMPREHENSIVE CARE TRANSITION PROGRAM TO MITIGATE HEALTH DISPARITIES FOR THOSE RELEASED FROM PRISON. JUSTICE-INVOLVED INDIVIDUALS OFTEN HAVE ACUTE HEALTHCARE NEEDS AND FACE CHALLENGES SUCH AS A LACK OF EDUCATION ON THEIR MEDICATIONS AND DIAGNOSED CONDITIONS, FREQUENT MISDIAGNOSES, AND INCONSISTENT TREATMENT REGIMENS. BY INTEGRATING EVIDENCE-BASED MODELS AND PILOTING INNOVATIVE APPROACHES, CMC WILL CONNECT OR RECONNECT JI-R INDIVIDUALS TO OUR FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) AND OTHER LOCAL HEALTHCARE FACILITIES. THE CORE OF THIS PROGRAM WILL LEVERAGE CMC’S ROBUST BEHAVIORAL HEALTH AND SOCIAL SERVICES DEPARTMENTS TO ENSURE A SEAMLESS TRANSITION FOR JI-R INDIVIDUALS. OUR MULTIDISCIPLINARY TEAM WILL PROVIDE PERSONALIZED CARE COORDINATION, HEALTH EDUCATION, AND SOCIAL SUPPORT SERVICES TO ADDRESS THE UNIQUE NEEDS OF EACH INDIVIDUAL BY: CONDUCTING THOROUGH COMPREHENSIVE HEALTH ASSESSMENTS, SDOH SCREENINGS, AND MEDICAL, BEHAVIORAL HEALTH, AND SUBSTANCE USE SCREENINGS PRE-RELEASE TO IDENTIFY AND DOCUMENT EXISTING HEALTH CONDITIONS, MEDICATION NEEDS, AND ANY IMMEDIATE HEALTH CONCERNS AT THE JAIL. DEVELOPING PERSONALIZED CARE PLANS THAT OUTLINE POST-RELEASE HEALTHCARE MANAGEMENT, MEDICATION ADHERENCE STRATEGIES, AND NECESSARY FOLLOW-UP APPOINTMENTS WITH PRIMARY CARE PROVIDERS AT CMC WHERE THEY WILL BE SEEN WITHIN 2-4 WEEKS DEPENDING ON THEIR PERSONALIZED RISK ASSESSMENT AND MEDICAL ACUITY. OFFERING BEHAVIORAL HEALTH SUPPORT, INCLUDING COUNSELING AND THERAPY, TO ADDRESS THE HIGH PREVALENCE OF MENTAL HEALTH ISSUES AND SUBSTANCE USE DISORDERS AMONG JI-R INDIVIDUALS THROUGH CMC’S BEHAVIORAL HEALTH TEAM WITH APPOINTMENTS SCHEDULED WITHIN 2 WEEKS OF DISCHARGE. ASSISTING WITH ACCESS TO ESSENTIAL SOCIAL SERVICES SUCH AS HOUSING, FOOD, EMPLOYMENT, AND TRANSPORTATION THROUGH THE CMC COMMUNITY CENTER THAT ARE CRITICAL FOR THE HOLISTIC WELL-BEING AND SUCCESSFUL REINTEGRATION OF JI-R INDIVIDUALS. OFFERING EACH PATIENT, AT THE TIME OF RELEASE, AN OPPORTUNITY TO MEET WITH A CHW AND PROVIDER TO DISCUSS THEIR MEDICATIONS, DIAGNOSES, AND CARE PLAN IN A HEALTH-LITERATE WAY. BY ADDRESSING BOTH HEALTHCARE AND SOCIAL DETERMINANTS OF HEALTH, CMC’S PROGRAM AIMS TO REDUCE RECIDIVISM AND PROMOTE LONG-TERM HEALTH AND STABILITY FOR JI-R INDIVIDUALS. THE PROGRAM WILL EMPLOY A RIGOROUS EVALUATION FRAMEWORK TO ASSESS ITS IMPACT, INCLUDING HEALTHCARE UTILIZATION RATES, ADHERENCE TO CARE PLANS, AND OVERALL HEALTH OUTCOMES. CMC’S INITIATIVE ALIGNS WITH HRSA’S MISSION TO IMPROVE HEALTH OUTCOMES FOR UNDERSERVED POPULATIONS BY ENSURING THAT JUSTICE-INVOLVED INDIVIDUALS RECEIVE THE NECESSARY SUPPORT TO TRANSITION SMOOTHLY BACK INTO SOCIETY. WITH HRSA’S QIF-TJI FUNDING, CMC WILL BUILD UPON ITS EXISTING INFRASTRUCTURE TO PILOT THIS INNOVATIVE PROGRAM OF AN INTEGRATED TRANSITION PLAN FOR MEDICAL AND BEHAVIORAL HEALTH WITHIN A RURAL COURT SYSTEM, ULTIMATELY CREATING A SCALABLE MODEL THAT CAN BE REPLICATED IN OTHER COMMUNITIES FACING SIMILAR CHALLENGES.

PREVENTION NAVIGATION FOR RACIAL AND ETHNIC MINORITIES IN CHICAGO

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING, AND MISCELLANEOUS GRANTS

WESTCARE WASHINGTON TRANSITION TO TRUST (TTT) PROGRAM

VA SUPPORTIVE SERVICES FOR VETERAN FAMILIES PROGRAM

TRANSITIONAL LIVING PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

CHILDREN'S HEALTH INSURANCE PROGRAM OUTREACH AND ENROLLMENT GRANT

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

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

THE RURAL DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

AWARD PURPOSE HVRP IS AN EMPLOYMENT-FOCUSED COMPETITIVE GRANT PROGRAM THAT FOCUSES EXCLUSIVELY ON OBTAINING COMPETITIVE EMPLOYMENT FOR VETERANS EXPERIENCING OR AT-RISK OF HOMELESSNESS. ACTIVITIES PERFORMED EMPLOYMENT SERVICES, JOB TRAINING DELIVERABLES HVRP GRANT RECIPIENTS WILL PROVIDE EMPLOYMENT SERVICES AND JOB TRAINING TO VETERANS EXPERIENCING HOMELESSNESS WHICH WILL RESULT IN THE VETERANS EARNING INCOME AND LONG TERM JOB STABILITY AS EVIDENCED BY JOB PLACEMENT RATES, AND EARNINGS INCOME AFTER EXITING THE PROGRAM. INTENDED BENEFICIARY VETERANS AT RISK OF OR EXPERIENCING HOMELESSNESS. GRANT RECIPIENTS MAY ALSO CHOOSE TO FOCUS SERVICES TO VETERANS TRANSITIONING FROM INCARCERATION, HOMELESS FEMALE VETERANS AND/OR HOMELESS VETERANS WITH CHILDREN. SUBRECIPIENT ACTIVITIES RECIPIENTS GENERALLY DON'T SUB-AWARD FUNDS.

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

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

CONNECTING KIDS TO COVERAGE OUTREACH AND ENROLLMENT GRANT

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

AMERICORPS FIXED AMOUNT GRANT

HIV CLINICAL TRAINING TRACKS IN PRIMARY CARE RESIDENCY PROGRAMS - PROJECT TITLE: STRIVE (SPECIALIZED TRAINING IN RESIDENCY FOR HIV EXCELLENCE) ADDRESS: 405 BELCHER STREET, CENTREVILLE, AL 35042-2946 PROJECT DIRECTOR NAME: DR. JOHN B. WAITS, MD, CPE, FAAFP CONTACT PHONE NUMBERS (VOICE): (205) 312-8080 (FAX): (205) 316-7675 EMAIL ADDRESS: JOHN.WAITS@CAHABAMEDICALCARE.COM WEBSITE ADDRESS, IF APPLICABLE: WWW.CAHABAMEDICALCARE.COM LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION, IF APPLICABLE: HTR PROGRAM FUNDING PREFERENCE REQUESTED SUMMARY: THE CAHABA MEDICAL CARE FOUNDATION (CMC) PROPOSES THE HIV CLINICAL TRAINING PROGRAM FOR PRIMARY CARE PHYSICIANS (HTR PROGRAM) TO ADDRESS SIGNIFICANT GAPS IN HIV CARE AND TREATMENT IN UNDERSERVED COMMUNITIES THROUGHOUT THE UNITED STATES. THIS PROJECT AIMS TO ENHANCE THE COMPETENCY OF FAMILY MEDICINE RESIDENTS, NURSE PRACTITIONER RESIDENTS, AND PHARMACY RESIDENTS IN PROVIDING HIGH-QUALITY, CULTURALLY COMPETENT HIV CARE. NEEDS TO BE ADDRESSED: MANY PARTS OF THE UNITED STATES, INCLUDING THE STATE OF ALABAMA, CONTINUES TO FACE HIGH RATES OF HIV PREVALENCE WITH LIMITED ACCESS TO SPECIALIZED HIV CARE. STIGMA, LACK OF ANONYMITY, AND INSUFFICIENT TRAINING FOR HEALTHCARE PROVIDERS EXACERBATE THESE ISSUES, LEADING TO INADEQUATE CARE AND MANAGEMENT FOR INDIVIDUALS LIVING WITH HIV, ESPECIALLY AMONG MINORITY POPULATIONS. PROPOSED SERVICES: THE HTR PROGRAM WILL IMPLEMENT A COMPREHENSIVE TRAINING CURRICULUM, DEVELOPED IN CONSULTATION WITH HIV CARE EXPERTS AND INSTRUCTIONAL DESIGN EXPERTS, TO PROVIDE RESIDENTS WITH FOUNDATIONAL AND EVIDENCE-BASED MEDICAL KNOWLEDGE AND UP-TO-DATE CLINICAL PRACTICES IN HIV TREATMENT AND MANAGEMENT. THIS CURRICULUM INCLUDES ONLINE INSTRUCTIONAL MATERIALS IN PARTNERSHIP WITH MEDMASTERY. ADDITIONALLY, RESIDENTS WILL GAIN PRACTICAL EXPERIENCE THROUGH INTEGRATION INTO AN INTERDISCIPLINARY HIV CLINIC, ALLOWING THEM TO WORK ALONGSIDE EXPERIENCED HIV CARE PROVIDERS, SOCIAL WORKERS, PHARMACISTS, AND MENTAL HEALTH PROFESSIONALS. THE PROGRAM WILL ALSO FACILITATE SUBSPECIALTY ROTATIONS WITH INFECTIOUS DISEASE AND HIV SPECIALISTS TO ADDRESS CO-INFECTIONS, PARTICULARLY HEPATITIS B AND C. POPULATION GROUPS TO BE SERVED: THE PRIMARY BENEFICIARIES OF THIS PROGRAM ARE MINORITY INDIVIDUALS AND NATIVE AMERICANS WITH HIV OR AT INCREASED RISK, RESIDING IN THE WEST CENTRAL ALABAMA HEALTH DISTRICT AND THE JEFFERSON COUNTY HEALTH DISTRICT. THE PROGRAM SPECIFICALLY TARGETS UNDERSERVED, LOW-INCOME, AND RURAL COMMUNITIES, WITH A FOCUS ON REDUCING HEALTH DISPARITIES AND IMPROVING THE QUALITY OF HIV CARE IN THESE REGIONS. BY ADDRESSING THESE CRITICAL GAPS IN TRAINING AND CARE, THE HTR PROGRAM AIMS TO BUILD A SUSTAINABLE, KNOWLEDGEABLE HEALTHCARE WORKFORCE CAPABLE OF PROVIDING COMPREHENSIVE AND EMPATHETIC CARE TO THOSE LIVING WITH HIV IN CENTRAL ALABAMA.

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM - 1) APPLICANT ORGANIZATION INFORMATION: PARIS AND HENRY COUNTY HEALTHCARE FOUNDATION, 301 TYSON AVENUE, PARIS, TN 38242. FACILITY/ENTITY TYPE: 501(C)(3) NONPROFIT ORGANIZATION; FISCAL AGENT; WEBSITE: HTTPS://WWW.HCMC-TN.ORG/ABOUT-HCMC/HENRY-COUNTY-HEALTHCARE-FOUNDATION/ 2) DESIGNATED PROJECT DIRECTOR, NETWORK DIRECTOR, AND KEY STAFF MATTHEW A. STANDRIDGE, PROJECT DIRECTOR OF TELEHEALTH SYSTEMS, 731-644-8580; MASTANDRIDGE@HCMC-TN.ORG RACHEL LYNN MATLOCK, NETWORK DIRECTOR OF TELEHEALTH SYSTEMS, 731-644-8300; RLMATLOCK@HCMC-TN.ORG VICTORIA DAUGHRITY, DIRECTOR OF MARKETING & PUBLIC RELATIONS, 731-644-8266; TDAUGHRITY@HCMC-TN.ORG 3) RURAL HEALTH NETWORK DEVELOPMENT PROJECT PROJECT TITLE: GROWWELL TN NETWORK TELEHEALTH EXPANSION PROJECT GOAL: TO EXPAND ACCESS TO TELEHEALTH SERVICES AND ADDRESS UNMET NEEDS FOR BEHAVIORAL AND MENTAL HEALTH, OBESITY PREVENTION, OBESITY-RELATED CHRONIC DISEASE MANAGEMENT, AND DIGITAL HEALTH LITERACY FOR YOUTH AND ADULTS IN A 17-COUNTY AREA IN RURAL WEST TENNESSEE. FOCUS AREAS: TELEHEALTH EXPANSION; REMOTE PATIENT MONITORING (RPM); DIGITAL HEALTH LITERACY. 4) TARGET PATIENT POPULATION: THE TARGET POPULATION IS 471,313 RESIDENTS IN 17 RURAL COUNTIES IN WEST TN. RESIDENTS HAVE LEVELS OF POVERTY, OBESITY, MENTAL AND BEHAVIORAL HEALTH, CANCER AND CHRONIC DISEASES THAT ARE HIGHER THAN THE REST OF TENNESSEE AND THE UNITED STATES. 5) NETWORK MEMBERS NETWORK NAME: GROWWELL TN NETWORK TOTAL NUMBER OF MEMBER ORGANIZATIONS: 5 FACILITY/ENTITY TYPES: FOUR HEALTHCARE ENTITIES: HARDEMAN COUNTY COMMUNITY HEALTH CENTER, LIFESPAN HEALTH, INC., HENRY COUNTY MEDICAL CENTER, METHODIST LE BONHEUR COMMUNITY OUTREACH. ONE NONPROFIT ENTITY: PARIS AND HENRY COUNTY HEALTHCARE FOUNDATION 6) NETWORK PROJECT ACTIVITIES/SERVICES: EXPANDING TELEHEALTH SERVICES INTO FOUR RURAL COUNTIES AND 23 SCHOOLS PREVIOUSLY UNSERVED WHILE MAINTAINING TELEHEALTH SERVICES AT EXISTING HEALTH SITES; PILOTING REMOTE PATIENT MONITORING; AND PROVIDING DIGITAL HEA LTH LITERACY SERVICES. 7) EXPECTED OUTCOMES: I. IMPROVING ACCESS AND II. EXPANDING CAPACITY AND SERVICES: THE PROJECT WILL EXPAND TELEHEALTH SERVICES AND INTRODUCE RPM AND DIGITAL LITERACY EDUCATION INTO NEW SETTINGS, NEW GEOGRAPHIC AREAS AND PATIENT POPULATIONS NOT SERVED BEFORE; III. ENHANCING OUTCOMES: TELEHEALTH AND REMOTE PATIENT MONITORING WILL INCREASE THE CAPACITY OF PROVIDERS TO REACH AND MORE EFFECTIVELY MONITOR VULNERABLE POPULATIONS, THEREBY IMPROVING HEALTH AND BEHAVIORAL HEALTH OUTCOMES. IV. SUSTAINABILITY: THE PROPOSED PROJECT WILL IMPROVE THE COST EFFICIENCY OF NETWORK MEMBERS THROUGH SHARED STAFFING AND RESOURCES, WHICH WILL HELP INSURE SUSTAINABILITY OF SERVICES. 8) CAPACITY TO SERVE RURAL UNDERSERVED POPULATIONS: THREE NETWORK MEMBERS (HENRY COUNTY MEDICAL CENTER, HARDEMAN COUNTY COMMUNITY HEALTH CENTER AND LIFESPAN HEALTH) ARE LOCATED IN AND SERVE RURAL AREAS. METHODIST LE BONHEUR COMMUNITY OUTREACH HAS A 15-YEAR HISTORY OF PROVIDING MOBILE HEALTH AND SCHOOL NURSE SERVICES IN RURAL WEST TN SCHOOL DISTRICTS. 9) FUNDING PREFERENCE: 17 COUNTIES ARE PRIMARY CARE AND MENTAL HEALTH LOW INCOME HPSAS: BENTON, CARROLL, CHESTER, CROCKETT, DECATUR, DYER, GIBSON, HARDEMAN, HARDIN, HAYWOOD, HENDERSON, HENRY, MCNAIRY, TIPTON, OBION, WAYNE, WEAKLEY. TWO COUNTIES (WAYNE AND HARDEMAN) ARE WHOLE GEOGRAPHIC HPSAS. EIGHT COUNTIES ARE GEOGRAPHIC MENTAL HEALTH HPSAS: BENTON, CARROLL, CROCKETT, DYER, GIBSON, HENRY, OBION, AND WEAKLEY.

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

WESTCARE NEVADA, INC., A 501C3 NONPROFIT ORGANIZATION, IS REQUESTING $900,000 FOR PROJECT REANUDAR (SPANISH FOR RESTART) , A REENTRY INITIATIVE, TO PROVIDE COMPREHENSIVE ASSESSMENTS, COMMUNITY-BASED SUBSTANCE USE DISORDER (SUD) TREATMENT, INTENSIVE CASE MANAGEMENT, AND A WIDE RANGE OF WRAPAROUND SERVICES FOR 131 ADULT MEN AND WOMEN, WITH A FOCUS ON RACIAL AND ETHNIC MINORITIES, DIAGNOSED WITH SUD OR CO-OCCURRING MENTAL HEALTH DISORDER (COD) AND RETURNING TO THE COMMUNITY AFTER INCARCERATION IN CLARK COUNTY, NEVADA. WCNV COLLABORATES WITH THE NORTH LAS VEGAS COMMUNITY CORRECTIONAL CENTER, CLARK COUNTY DETENTION, THE NORTH LAS VEGAS CITY JAIL, AND THE LAS VEGAS CITY JAIL IN THE PROVISION OF REENTRY SUBSTANCE USE DISORDER TREATMENT AND CO-OCCURRING MENTAL HEALTH SERVICES TO ADULTS, FEMALE AND MALE (MOUS OBTAINED). THE LATEST BASELINE RECIDIVISM RATE, JUNE 2021, BY THE NEVADA DEPARTMENT OF CORRECTIONS (NDOC) SHOWS NEVADA’S CURRENT RECIDIVISM RATE (THOSE WHO ARE REINCARCERATED WITHIN 36 MONTHS) IS 24.36%.  RECIDIVISM IS INFLUENCED BY MANY FACTORS, ALTHOUGH DATA IS NOT TRACKED BY ETHNICITY NOR RACE.  NDOC PRISON RECIDIVISM REPORT STATES, FEMALES AND MALES DIFFER IN THEIR LIKELIHOOD TO RETURN TO CUSTODY. WHEN THE OFFENDER IS A MALE, THE PREDICTIVE PROBABILITY INCREASES BY 11.15% COMPARED TO A FEMALE, AND FOR EACH ADDITIONAL TEN YEARS OF AGE, THE PROBABILITY DECREASES 6.31%. SEX AND AGE AT TIME OF RELEASE ARE ALWAYS SIGNIFICANT; HOWEVER, AS AGE INCREASES, THE LIKELIHOOD OF RETURNING DECREASES. FOR EXAMPLE, FOR THE 17- 26 AGE GROUP, THE PREDICTIVE PROBABILITY THAT A FEMALE RETURNS IS 25.17%, WHILE FOR A MALE THE PROBABILITY IS 40.72%. A DRASTIC DECLINE IS PREDICTED FOR THE 37- 46 YEARS OF AGE GROUP, WITH THE PROBABILITIES DECLINING TO 9.80% FOR FEMALES AND TO 18.70% FOR MALES. CLIENTS ENTERING WCNV SERVICES THEY FIRST RECEIVE PHYSICAL, MENTAL, AND BEHAVIORAL HEALTH SCREENS ADMINISTERED BY AN APPROPRIATELY LICENSED PROVIDER. IF AN INDIVIDUAL SCREENS POSITIVE FOR A SUBSTANCE USE DISORDER(S) DURING THE ENTRANCE EVALUATION ASSESSMENT AND TRIAGE SCREEN, AN ASAM ASSESSMENT IS USED TO ASCERTAIN SPECIFIC TYPE(S) OF DRUG(S) USED, CONSUMPTION LEVEL, AND IMPACT ON FUNCTIONS OF DAILY LIVING TO BEST DETERMINE LEVEL OF SEVERITY AND COURSE OF TREATMENT. ADDITIONAL TOOLS TO DETERMINE MENTAL HEALTH DISORDER(S) INCLUDE BUT ARE NOT LIMITED TO: DSM 5 CROSS-CUTTING MEASURE, PHQ-9, AND COLUMBIA SUICIDE SEVERITY RATING SCALE. THE SCREENING AND ASSESSMENT TOOLS USED ALSO PROVIDE ADEQUATE INFORMATION TO INDICATE THE PROBABILITY OF DEPENDENCE OR ABUSE AS DEFINED BY DSM 5.

WESTCARE KENTUCKY, INC. (WCKY) WILL IMPLEMENT AND SUSTAIN AN EVIDENCE-BASED VOCATIONAL TRAINING AND EMPLOYMENT PROGRAM WITH SUPPORTIVE SERVICES FOR ADULTS IN JAIL-BASED PROGRAMS IN EASTERN KENTUCKY. THE PROGRAM WILL BE OFFERED IN THE PIKE COUNTY DETENTION CENTER IN PIKEVILLE. THE PROGRAM WILL FOCUS ON SERVING HIGH-RISK INDIVIDUALS CURRENTLY IN SUBSTANCE USE DISORDER TREATMENT AND RECOVERY. REENTRY AND COMMUNITY-BASED SERVICES WILL BE OFFERED THROUGH WCKY’S LOCAL FACILITIES IN PIKE COUNTY. TRANSITIONAL LIVING WILL BE OFFERED AT WCKY’S PERRY CLINE SHELTER. THE PROJECT WILL SERVE THE HIGH-RISK RURAL AREAS OF PIKE, FLOYD, AND LETCHER COUNTIES AND SUPPORT THE SURROUNDING 5TH CONGRESSIONAL DISTRICT IN THE APPALACHIAN MOUNTAINS. GOAL 1: PROVIDE CAREER TRAINING AND REINTEGRATION SERVICES TO REENTERING ADULTS IN PIKE, FLOYD & LETCHER COUNTIES. OBJECTIVE 1.1: EXPAND SERVICES IN THREE RURAL, RESOURCE-LIMITED COUNTIES, SERVING 150 UNDUPLICATED INDIVIDUALS DURING THE 36-MONTH PROJECT PERIOD. OBJECTIVE 1.2: 100% OF PARTICIPANTS WILL RECEIVE INDIVIDUALIZED CAREER PLANNING SERVICES RESULTING IN AN INDIVIDUALIZED SERVICES PLAN (ISP) WITHIN 30 DAYS OF ENTERING THE PROGRAM. OBJECTIVE 1.3: 65% OF PARTICIPANTS WILL SUCCESSFULLY COMPLETE THE PROGRAM. GOAL 2: EASE COMMUNITY REINTEGRATION AND IMPROVE JOB READINESS, EMPLOYMENT, AND PROGRAM RETENTION FOR REENTRY POPULATION IN PIKE, FLOYD AND LETCHER CO. OBJECTIVE 2.1: 90% OF PARTICIPANTS WILL RECEIVE SERVICES AS IDENTIFIED AS NEEDING, INCLUDING JOB READINESS ASSESSMENTS, INDIVIDUALIZED CASE PLANS, AND EMPLOYMENT SERVICES; 80% OF PARTICIPANTS WILL REMAIN ACTIVE IN THE PROGRAM AFTER REENTRY. OBJECTIVE 2.2: 70% OF CLIENTS WILL ATTEND 70% OF SCHEDULED SESSIONS. OBJECTIVE 2.3: 70% OF CONSUMERS WHO RECEIVE MRT WILL DEMONSTRATE REDUCTIONS IN CRIMINAL THINKING; 70% WHO COMPLETE MRT WILL NOT RECIDIVATE WITHIN 12 MONTHS OF RELEASE FROM INCARCERATION. OBJECTIVE 2.4: 100% OF CLIENTS WILL RECEIVE AN ASSESSMENT FOR CO-OCCURRING DISORDERS AND THOSE IN NEED WILL RECEIVE COORDINATED DELIVERY OF COD SERVICES WITHIN THE FIRST 30 DAYS OF TREATMENT AS REFLECTED IN THE EHR. GOAL 3: IMPROVE AND EXPAND REENTRY CAREER TRAINING PROGRAMS INFORMED BY LABOR MARKET NEEDS IN PIKE, FLOYD, AND LETCHER CO. OBJECTIVE 3.1: DEVELOP A PROJECT ACTION PLAN WITHIN 6 MONTHS OF RECEIVING FINAL BUDGET APPROVAL. OBJECTIVE 3.2: MONITOR LABOR MARKET NEEDS IN EACH COUNTY BY ATTENDING CHAMBER OF COMMERCE MEETINGS EACH QUARTER. OBJECTIVE 3.3:  UPDATE ACTION PLAN ANNUALLY WITH INPUT FROM COMMUNITY PARTNERS. OBJECTIVE 3.4: DEVELOP AT LEAST 5 PARTNERSHIPS WITH LOCAL EMPLOYERS PER YEAR. OBJECTIVE 3.5: TRAIN CORRECTIONS AND SERVICE PROVIDER LEADERSHIP AND STAFF IN CAREER TRAINING PROGRAMMING BY CONDUCTING 2 SESSIONS PER YEAR.

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

ARRA - INCREASE SERVICES TO HEALTH CENTERS

WESTCARE GEORGIA POWER (PREVENTION, OUTREACH, WELLNESS, EMPOWER AND RESOURCES) PROGRAM

THE VILLAGE LIFE PROGRAM

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

MEDICAL ACCESS AND CHIP REAUTHORIZATION ACT (MACRA) FUNDING OPPORTUNITY: CONNECTING KIDS TO COVERAGE: OUTREACH AND ENROLLMENT COOPERATIVE AGREEMENTS

PROJECT STYLE (STRENGTHENING TRANSITIONAL YOUTHS LIFE EXPERIENCES)

PROMISE ZONE STRATEGIC PREVENTION FRAMEWORK PARTNERSHIPS FOR SUCCESS (PZ SPF PS)

DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA)

RURAL NEVADA TELEHEALTH PROGRAM

SAN ANTONIO, TEXAS PROMISE ZONE PREVENTION NAVIGATORS HELPING HIGH-RISK YOUTH AND YOUNG ADULTS TO PREVENT SUBSTANCE MISUSE AND RELATED HIV TRANSMISSION

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM - NAME OF THE GRADUATE MEDICAL TRAINING PROGRAM: THE SOUTHERN REGIONAL MEDICAL CENTER INTERNAL MEDICINE RESIDENCY PROGRAM DISCIPLINE OF THE RESIDENCY PROGRAM: PRIMARY CARE TYPE OF APPLICATION: NEW AWARD ELIGIBLE ENTITY TYPE: ACCREDITED PRIMARY CARE RESIDENCY PROGRAM GME CONSORTIUM YEAR STARTED: JULY 2024 ORGANIZATION’S WEBSITE: HTTPS://SOUTHERNREGIONAL.ORG/ TOTAL FTE POSITIONS TO BE FUNDED: 45 (15-15-15) FOR AY 2025-2027 ROTATION SITES: THE SOUTHERN REGIONAL MEDICAL CENTER INTERNAL MEDICINE RESIDENCY PROGRAM OPERATES AS A GME CONSORTIUM AT THE FOLLOWING ROTATION SITES: THE COMMUNITY HEALTH CENTER AT SOUTHERN REGIONAL MEDICAL CENTER (THE COMMUNITY-BASED AMBULATORY PATIENT CARE CENTER), PIEDMONT RHEUMATOLOGY CONSULTANTS, NEUROLOGY ASSOCIATES, CITY OF HOPE, SOUTHERN REGIONAL’S DIABETES & ENDOCRINOLOGY CENTER, EMORY HEART AND VASCULAR CENTER AT EXECUTIVE PARK, AND ONE ADDITIONAL SITE TO BE DETERMINED. OVERVIEW OF THE RESIDENCY PROGRAM: FOR MORE THAN 50 YEARS, SOUTHERN REGIONAL MEDICAL CENTER SERVED CLAYTON COUNTY AND THE METROPOLITAN ATLANTA AREA. WITH A DIVERSE POPULATION OF MORE THAN 5.1 MILLION IN THE ATLANTA REGION, THERE IS A CRITICAL NEED FOR PRIMARY CARE SERVICES TO DECREASE MORTALITY AND MORBIDITY IN UNDERSERVED COMMUNITIES. CLAYTON COUNTY, GEORGIA, LOCATED IN THE SOUTHERN CRESCENT OF METROPOLITAN ATLANTA, IS DESIGNATED A HEALTHCARE PROFESSIONAL SHORTAGE AREA (HPSA) AND MEDICALLY UNDERSERVED AREA (MUA), IDENTIFYING A SHORTAGE OF 40 PRIMARY CARE FULL-TIME EQUIVALENTS. TO ANSWER THE PRIMARY CARE NEEDS OF THOUSANDS OF LOW-INCOME RESIDENTS AND THE SHORTAGE OF HEALTHCARE WORKERS IN THE LOCAL UNDERSERVED COMMUNITIES, SOUTHERN REGIONAL RECENTLY OPENED THE COMMUNITY HEALTH CENTER TO HOUSE THE SOUTHERN REGIONAL MEDICAL CENTER INTERNAL MEDICINE RESIDENCY PROGRAM (SRMC INTERNAL MEDICINE RESIDENCY PROGRAM). THE RESIDENCY PROGRAM IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME). THE RESIDENCY PROGRAM'S MISSION IS TO TRAIN DIVERSE AND COMPASSIONATE PHYSICIANS THROUGH A DIVERSE RANGE OF CLINICAL AND EDUCATIONAL EXPERIENCES AND TO FOSTER THE CONTINUED QUEST FOR SELF-IMPROVEMENT AND KNOWLEDGE THAT LEADS TO ADVANCING HEALTHCARE AND WELL-BEING AMONG OUR RESIDENTS AND WITHIN THE COMMUNITY THEY SERVE. THE PRIMARY GOAL OF THE PROGRAM IS TO PROVIDE COMPREHENSIVE COMMUNITY-FOCUSED MULTI-SPECIALTY TRAINING THAT ATTRACTS GRADUATING RESIDENTS TO REMAIN WITHIN THE COMMUNITY, WHETHER IN PRIVATE PRACTICE, SERVING IN LOCAL CLINICS, OR SERVING IN THE HOSPITAL SETTING, THEREBY FULFILLING THEIR PURPOSE, GIVING BACK TO THEIR COMMUNITY AND CLOSING THE GAP IN HEALTHCARE INEQUITY.

HOMELESS COORDINATION OF CARE PROJECT

WESTCARE KENTUCKY OFFENDER REENTRY PROGRAM

COVID-19 EMERGENCY RESPONSE FOR SUICIDE PREVENTION GRANTS

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

DLT GRANTS - CARES ACT - EDUCATIONAL

OFFENDER REENTRY PROGRAM - PROJECT RESTART: A REENTRY INITIATIVE

AWARD PURPOSE HVRP IS AN EMPLOYMENT-FOCUSED COMPETITIVE GRANT PROGRAM THAT FOCUSES EXCLUSIVELY ON OBTAINING COMPETITIVE EMPLOYMENT FOR VETERANS EXPERIENCING OR AT-RISK OF HOMELESSNESS. ACTIVITIES PERFORMED EMPLOYMENT SERVICES, JOB TRAINING DELIVERABLES HVRP GRANT RECIPIENTS WILL PROVIDE EMPLOYMENT SERVICES AND JOB TRAINING TO VETERANS EXPERIENCING HOMELESSNESS WHICH WILL RESULT IN THE VETERANS EARNING INCOME AND LONG TERM JOB STABILITY AS EVIDENCED BY JOB PLACEMENT RATES, AND EARNINGS INCOME AFTER EXITING THE PROGRAM. INTENDED BENEFICIARY VETERANS AT RISK OF OR EXPERIENCING HOMELESSNESS. GRANT RECIPIENTS MAY ALSO CHOOSE TO FOCUS SERVICES TO VETERANS TRANSITIONING FROM INCARCERATION, HOMELESS FEMALE VETERANS AND/OR HOMELESS VETERANS WITH CHILDREN. SUBRECIPIENT ACTIVITIES RECIPIENTS GENERALLY DON'T SUB-AWARD FUNDS.

RELEASED FUNDS FOR YEAR FOUR OF THE GRANT PROGRAM.

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM - ADDRESS: 405 BELCHER STREET, CENTREVILLE, AL 35042-2946 PROJECT DIRECTOR NAME: JOHN WAITS MD EMAIL ADDRESS: JOHN.WAITS@CAHABAMEDICALCARE.COM CONTACT PHONE NUMBERS (VOICE): 205-312-8080 | (FAX): 205-316-7675 WEBSITE ADDRESS: WWW.CAHABAMEDICALCARE.COMELIGIBLE ENTITY/FACILITY TYPE (FOR EXAMPLE, RURAL HOSPITAL. SEE ELIGIBILITY.): FQHC PROGRAM PATHWAYS: GENERAL PRIMARY CARE AND HIGH NEED SPECIALTY PATHWAY RESIDENCY RESIDENCY MEDICAL SPECIALTIES: FAMILY MEDICINE RESIDENCY FORMAT. RURAL TRACK PROGRAM EXPANSION (ADDING NEW RURAL TRAINING SITE OR SITES TO EXISTING PROGRAM) SPONSORING INSTITUTION NAME, LOCATION, AND ACGME SPONSOR PROGRAM CODE (IF APPLICABLE): CAHABA MEDICAL CARE FOUNDATION, CENTREVILLE, AL, 1200100727 RURAL TARGET COUNTY OR COUNTIES: BUTLER FUNDING AMOUNT REQUESTED: $750,000 PROGRAM SUSTAINABILITY OPTION: OPTION 1: HOSPITAL “NEW” RESIDENCY PROGRAM PROJECTED TOTAL NUMBER OF RESIDENTS: 4-4-4 EXPECTED ACGME ACCREDITATION AND FIRST RESIDENT MATRICULATION DATES: AUGUST 1, 2029 LIST OF RECENT HRSA AWARDS RECEIVED WITHIN THE LAST 5 YEARS: T9C42294 AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM D5839725 PRIMARY CARE TRAINING AND EDUCATION - RESIDENCY TRAINING IN PRIMARY CARE (PCTE-RTPC) T3442128 PRIMARY CARE TRAINING AND ENHANCEMENT-COMMUNITY PREVENTION AND MATERNAL HEALTH (PCTE-PCMH) H8H44965 FY2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION (PCHP) T9C45651 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM (THCGME) T9C46041 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM (THCGME) T6245934 INTEGRATED SUBSTANCE USE DISORDER (SUD) TRAINING PROGRAM (ISTP) Q8M49126 QUALITY IMPROVEMENT FUND - MATERNAL HEALTH (QIF-MH) T9C49301 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM (THCGME) T9C49302 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM (THCGME) T6249309 INTEGRATED SUBSTANCE USE DISORDER (SUD) TRAINING PROGRAM (ISTP) P1349599 RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM (RRPDP) T5949627 ADVANCED NURSING EDUCATION- NURSE PRACTITIONER RESIDENCY FELLOWSHIP PROGRAM (ANE-NPR) H2E50157 SERVICE EXPANSION - SCHOOL-BASED SERVICE SITES (SBSS) T9153253 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM (THCGME) T9153219 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM (THCGME) T9153226 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM (THCGME) T9125777 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM (THCGME) P0653491 RYAN WHITE HIV/AIDS PROGRAM (RWHAP) PART C CAPACITY DEVELOPMENT PROGRAM DE353714 RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (RCORP) - IMPACT H8N54116 FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION (BHSE) UU454378 HIV CLINICAL TRAINING TRACKS IN PRIMARY CARE RESIDENCY PROGRAMS (HTR PROGRAM) Q8J54475 QUALITY IMPROVEMENT FUND - TRANSITION IN CARE OF JUSTICE-INVOLVED POPULATIONS NARRATIVE: CAHABA MEDICAL CARE FOUNDATION (CMC) PROPOSES EXPANDING ITS FAMILY MEDICINE RURAL RESIDENCY TRAINING PROGRAM WITH THE ADDITION OF ITS 5TH TRACK. THIS RURAL TRACK EXPANSION WOULD OCCUR IN COLLABORATION WITH THE REGIONAL HOSPITAL OF CENTRAL ALABAMA IN GREENVILLE, BUTLER COUNTY, ALABAMA, TO SERVE THE INDIVIDUALS IN THIS UNDERSERVED RURAL COUNTY DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA. CMC WILL ALSO CONTINUE TO WORK CLOSELY WITH UAB WHICH IS A PARTNER WITH CMC’S CURRENT RESIDENCY TRACKS PROVIDING CRITICAL HOSPITAL ROTATIONS AND ELECTIVE EXPERIENCES FOR RESIDENTS. THIS PROJECT WILL INCREASE ACCESS TO PRIMARY CARE AND EXPAND RURALLY-BASED RESIDENCY EDUCATION. IN ADDITION TO THE RESIDENCY, CMC WILL ESTABLISH A NEW FQHC CLINIC IN GREENVILLE BY THE END OF PROGRAM YEAR 2. THIS CLINIC WILL SERVE AS THE CONTINUITY CLINIC SITE FOR RESIDENTS AND A LONG-TERM HOME FOR NEW PHYSICIANS PRACTICING IN RURAL ALABAMA. CMC WILL PARTNER WITH THE REGIONAL HOSPITAL OF CENTRAL ALABAMA AND OTHER LOCAL STAKEHOLDERS TO IMPLEMENT THIS TRAINING PIPELINE, EXPAND PRIMARY CARE ACCESS, AND BUILD A SUSTAINABLE HEALTH WORKFORCE.

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM