Kentucky Rural Health Information Technology Network Inc

HORIZON HEALTH CCBHC CERTIFICATION PROGRAM - HORIZON HEALTH WILL UTILIZE CCBHC FUNDS TO DEVELOP AND IMPLEMENT A CERTIFIED COMMUNITY BEHAVIORAL HEALTHCARE HEALTH CLINIC (CCBHC) IN RURAL SOUTHEASTERN KENTUCKY. THE TARGET SERVICE AREA FOR THIS PROJECT INCLUDES THREE MENTAL HEALTH PROFESSIONAL SHORTAGE COUNTIES INCLUDING KNOX, LAUREL AND WHITLEY IN SOUTHEASTERN KENTUCKY’S APPALACHIAN REGION. HORIZON HEALTH WILL PROVIDE EVIDENCE-BASED PREVENTION, TREATMENT AND RECOVERY SUPPORTS TO INCREASE ACCESS TO HIGH QUALITY PROGRAMS BY SERVING 400 INDIVIDUALS IN YEAR 1, 250 IN YEAR 2, 250 IN YEAR 3 AND 250 IN YEAR 4 OF THE GRANT PROJECT PERIOD. SPECIFICALLY, WE WILL TARGET OUR SERVICES TOWARDS RESIDENTS OF THE SERVICE AREA WHO HAVE MENTAL ILLNESS OR ARE IMPACTED BY SUD/OUD. OVER THE PAST FOUR YEARS IN KENTUCKY, THE PERCENTAGE OF THE POPULATION WITH A SERIOUS MENTAL ILLNESS HAS RISEN FROM 4.1% TO 5%. AMONG THE MEDICARE POPULATION 19.4% IS DIAGNOSED WITH DEPRESSION COMPARED TO 16.7% NATIONALLY. THE SERVICE AREA HAS A SUICIDE ATTEMPT RATE AND SELF-INJURY RATE (AS REPORTED BY HOSPITALS) OF 63.8 PER 100,000. WHITLEY COUNTY HAS ONE OF THE FOUR HIGHEST RATES OF SUICIDE ATTEMPTS AND SELF-INFLICTED INJURIES IN THE STATE. THE SUICIDE RATE FOR ALL RESIDENTS IS 15.2 PER 100,000 COMPARED TO 12.5 PER 100,000 NATIONALLY. THE SERVICE AREA HAS A TOTAL POPULATION OF 127,354. THE MAJORITY OF THE POPULATION IS WHITE (97.1%) WITH PERSONS AGES 18-64 (60.7%) MAKING UP THE LARGEST DEMOGRAPHIC FOLLOWED BY 15.6% ARE 65 YEARS AND OLDER AND 23.7% OF THE POPULATION IS UNDER THE AGE OF 18. THE POVERTY RATE IN THE REGION OF 26.9% IS OVER 10 PERCENTAGE POINTS HIGHER THAN THE NATIONAL RATE (15,5%) WITH AN INCREDIBLY HIGH RATE OF RESIDENTS LIVING IN EXTREME POVERTY (INCOMES LESS THAN 50% OF THE FEDERAL POVERTY LEVEL) AT 11.2%. GOALS OF THIS PROJECT INCLUDE TO PROVIDE A COMPREHENSIVE RANGE OF OUTREACH, SCREENING, ASSESSMENT, TREATMENT CARE COORDINATION AND RECOVERY SUPPORTS, TO ESTABLISH AN INTEGRATED HEALTHCARE MODEL THAT COMBINES SUD/BEHAVIORAL AND MENTAL HEALTH SERVICES WITH PRIMARY CARE TO DECREASED SUBSTANCE USE TO INCREASE ACCESS TO MENTAL HEALTH SERVICES BY PROVIDING 24/7 ACCESS AND DIRECTED SERVICES TO MEMBERS OF THE ARMED FORCES AND VETERANS, TO DECREASE SUBSTANCE USE IN MINORITY COMMUNITIES BY IMPLEMENTING EVIDENCE-BASED PROGRAMS AND OFFERING CCBHC SERVICES THAT TREAT BEHAVIORAL AND MENTAL HEALTH ISSUES. THE PROGRAM WILL ALSO SEEK TO DECREASE YOUTH SUD IN THE COMMUNITY BY IMPLEMENTING EVIDENCE-BASED PROGRAMS INTO LOCAL SCHOOLS THAT ADDRESS BEHAVIORS THAT MAY LEAD TO INITIATION OF USE. FOCUS ON THE RECOVERY POPULATION WILL INCLUDE AN INCREASE IN RECOVERY AND EMPLOYMENT OUTCOMES AMONG PROGRAM CONSUMERS REENTERING THE WORKFORCE. AND, WE WILL ALSO IMPLEMENT A WIDESPREAD FOCUS ON EDUCATING THE COMMUNITY ON THE POSITIVE EFFECTS OF BEHAVIORAL AND MENTAL HEALTH COUNSELING.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM - MEDICATION ASSISTED TREATMENT ACCESS

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - TITLE: HORIZON HEALTH INTEGRATED HEALTH CARE SUPPORT PROGRAM REQUESTED AWARD AMOUNT: $2,000.000 APPLICANT ORGANIZATION NAME: KENTUCKY RURAL HEALTH INFORMATION TECHNOLOGY NETWORK D/B/A/ HORIZON HEALTH APPLICANT ORGANIZATION ADDRESS: 1019 CUMBERLAND FALLS HWY., STE. B210, CORBIN, KY 40701 APPLICANT ORGANIZATION FACILITY TYPE: NON-PROFIT PROJECT DIRECTOR NAME AND TITLE AND CONTACT INFO: RONDA HUGHES, DIRECTOR OF COMMUNITY ENGAGEMENT, RHUGHES@HORIZONHEALTHKY.ORG606-657-2030 DATA COORDINATOR NAME AND CONTACT INFORMATION SCHUYLER COLE, 606-657-2030 / SCOLE@HORIZONHEALTHKY.ORG EIN/DUNS NUMBER EXCEPTION REQUEST IN ATTACHMENT 8? . 46-2746512. /. 803432066 NO EXCEPTION HOW THE APPLICANT FIRST LEARNED ABOUT THE FUNDING OPPORTUNITY: HRSA PROJECT OFFICER NUMBER (5) AND LIST OF CONSORTIUM MEMBERS: -KRHIT / DBA HORIZON HEALTH -GRACE HEALTH -BARBOURVILLE FAMILY HEALTH -KNOX COUNTY HEALTH DEPARTMENT -LAUREL COUNTY HEALTH DEPARTMENT PREVIOUS OR CURRENT RCORP GRANT RECIPIENT / LIST OF CONSORTIUM MEMBERS YES, HORIZON HEALTH RECEIVED THE FY19 RCORP IMPLEMENTATION GRANT. CONSORTIUM MEMBERS: -KRHIT / DBA HORIZON HEALTH -GRACE HEALTH -CUMBERLAND RIVER BEHAVIORAL HEALTH, INC. -(CUMBERLAND REGION PREVENTION CENTER) -CELEBRATE RECOVERY @ IMMANUAEL BAPTIST CHURCH OF CORBIN, INC. -SUPPORTS CENTER INTERNATIONAL INTEND TO APPLY FOR FY22 RCORP IMPLEMENTATION YES SERVICE AREA OVERLAP NORTHERN BORDER REGION – NO DELTA REGIONAL AUTHORITY – NO APPALACHIAN REGIONAL COMMISSION - YES RCORP BHS SERVICE AREA COUNTIES KNOX, WHITLEY, LAUREL IN KENTUCKY ALL THREE ARE FULLY RURAL BRIEF DESCRIPTION OF THE RCORP BHS TARGET POPULATION THE TARGET SERVICE AREA FOR THIS PROJECT INCLUDES KNOX, LAUREL AND WHITLEY COUNTIES LOCATED IN SOUTHEASTERN KENTUCKY’S APPALACHIAN REGION. ALL THREE COUNTIES ARE FULLY DESIGNATED AS RURAL COUNTIES BY HRSA. LIKE MOST OF THE STATE, THE SERVICE AREA HAS BEEN HEAVILY IMPACTED BY THE OPIOID EPIDEMIC. SPECIFICALLY, WE WILL TARGET OUR SERVICES TOWARDS RESI DENTS OF THE SERVICE AREA WHO HAVE UNMET MENTAL HEALTH NEEDS INCLUDING SUD/OUD. OUR INTERVENTIONS WILL INCLUDE DIRECT SERVICES THROUGH CARE COORDINATION AND COMMUNITY WIDE PREVENTION, OUTREACH AND EDUCATION, AND COLLABORATION INITIATIVES. APPALACHIAN KENTUCKY HAS A RICH CULTURE AND HISTORY, BUT THE REGION HAS FACED MANY STRUGGLES. THE TARGET POPULATION FACES POOR HEALTH OUTCOMES, WHICH ARE COMPOUNDED BY SOCIOECONOMIC AND CULTURAL FACTORS THAT MAKE ACCESSING THE CARE THEY NEED DIFFICULT. THE SERVICE AREA HAS A TOTAL POPULATION OF 127,354. AS WITH MANY RURAL AREAS, THERE IS LIMITED RACIAL AND ETHNIC DIVERSITY. THE POVERTY RATE IN THE REGION IS OVER 10 PERCENTAGE POINTS HIGHER THAN THE NATIONAL RATE WITH AN INCREDIBLY HIGH RATE OF RESIDENTS LIVING IN EXTREME POVERTY (INCOMES LESS THAN 50% OF THE FEDERAL POVERTY LEVEL). WHILE THE UNEMPLOYMENT RATE ACROSS KENTUCKY IS ON PAR WITH THE NATIONAL UNEMPLOYMENT RATE, IT IS MUCH HIGHER IN THE SERVICE AREA AT 6.4% COMPARED TO 4.6% NATIONALLY. IN THE SERVICE AREA, RESIDENTS REPORT AN AVERAGE OF 4.6 MENTALLY UNHEALTHY DAYS REPORTED IN THE LAST 30 DAYS, WHERE THEIR MENTAL HEALTH GOT IN THE WAY OF DAILY LIVING. NEARLY A QUARTER (24.5%) OF THE POPULATION REPORTS THAT THEY LACK SOCIAL AND EMOTIONAL SUPPORT, WHICH IS HIGHER THAN STATE (19.7%) AND NATIONAL (20.7%) RATES. THE RATE OF OVERDOSE MORTALITY WAS 45.5 PER 100,000 WITH THE HIGHEST RATE IN KNOX COUNTY AT 55.3 PER 100,000. THE SERVICE AREA RATE IS COMPARABLE TO THE STATE RATE OF 48.5 BUT SIGNIFICANTLY HIGHER THAN THE NATIONAL RATE OF 28.7 PER 100,000. IN THE PAST THREE YEARS, THERE HAS BEEN AN INCREASED ROLE OF FENTANYL IN OVERDOSE DEATHS. OF ALL OVERDOSE DEATHS, 34% INCLUDED FENTANYL ALONE OR IN COMBINATION WITH HEROIN. IN 2020, FENTANYL OVERDOSE WAS THE LEADING CAUSE OF DEATH AMONG THOSE AGES 18-45, SURPASSING COVID-19, CAR ACCIDENTS, CANCER AND SUICIDE. POOR HEALTH IS A MAJOR FACTOR FOR MANY IN THE SERVICE AREA. NEARLY ON

AWARD PURPOSE:THE PURPOSE OF WORC ROUND 6 IS TO INCREASE ACCESS TO STABLE, HIGH-QUALITY, FAMILY-SUSTAINING JOBS FOR WORKERS IN THE APPALACHIAN, DELTA, AND NORTHERN BORDER REGIONS, INCLUDING THOSE IN CRITICAL SECTORS SUCH AS INFRASTRUCTURE AND CLEAN ENERGY. IMPROVING ACCESS TO THESE GOOD JOBS WILL ENABLE THESE WORKERS TO REMAIN WITHIN THEIR REGION. THIS FOCUS ALSO IS CONSISTENT WITH THE BIDEN-HARRIS ADMINISTRATIONS COMMITMENT TO EXPAND ACCESS TO QUALITY JOBS, AS DEFINED BY THE GOOD JOBS PRINCIPLES, A SHARED FEDERAL VISION OF JOB QUALITY PUBLISHED BY THE DEPARTMENTS OF LABOR AND COMMERCE, AND THE RURAL PARTNERS NETWORK, AN ALL-OF-GOVERNMENT PROGRAM THAT CONNECTS RURAL COMMUNITIES WITH RESOURCES AND FUNDING TO CREATE JOBS, BUILD INFRASTRUCTURE, AND SUPPORT LONG-TERM ECONOMIC MOBILITY.ACTIVITIES PERFORMED:ALLOWABLE PROJECT ACTIVITIES FOR WORC ROUND 6 GRANT AWARD RECIPIENTS INCLUDE WORKFORCE TRAINING ACTIVITIES AND CAREER SERVICES, SUPPORTIVE SERVICES, EMPLOYER SERVICES, STRATEGIC PLANNING ACTIVITIES, AND EQUIPMENT AND RENOVATION PURCHASES.DELIVERABLES:WORC ROUND 6 GRANT AWARD RECIPIENTS IDENTIFY THE TOTAL NUMBER OF ELIGIBLE PARTICIPANTS PROJECTED TO BE ENROLLED DURING THE PERIOD OF PERFORMANCE, AND THE TOTAL NUMBER OF ELIGIBLE PARTICIPANTS PROJECTED TO ENTER GOOD JOBS OR OBTAIN NEW OR ENHANCED EMPLOYMENT AS A RESULT OF THE PROJECT.SEE NOTICE OF AWARD, TERMS AND CONDITIONS, ATTACHMENT D, STATEMENT OF WORK, ABSTRACTINTENDED BENEFICIARY(IES):ELIGIBLE PARTICIPANTS FOR WORC ROUND 6 GRANT AWARDS INCLUDE: 1) NEW ENTRANTS TO THE WORKFORCE: FOR THE PURPOSES OF THIS FOA, THE CATEGORY OF NEW ENTRANTS TO THE WORKFORCE REFERS TO THOSE WHO HAVE NEVER WORKED BEFORE OR WHO HAVE BEEN OUT OF THE WORKFORCE FOR A LONG ENOUGH TIME TO MAKE IT AS IF THEY ARE ENTERING THE WORKFORCE FOR THE FIRST TIME 2) DISLOCATED WORKERS: FOR THE PURPOSES OF THIS FOA, THIS TERM REFERS TO THE DEFINITION FOUND AT SECTION 3(15) OF WIOA AND 3) INCUMBENT WORKERS: FOR THE PURPOSES OF THIS FOA, THIS TERM REFERS TO INDIVIDUALS WHO ARE EMPLOYED BUT NEED EMPLOYMENT AND TRAINING SERVICES TO SECURE FULL-TIME EMPLOYMENT, ADVANCE IN THEIR CAREERS, OR RETAIN THEIR EMPLOYMENT. WITHIN THESE ELIGIBLE PARTICIPANT CATEGORIES (NEW ENTRANTS, DISLOCATED WORKERS, AND INCUMBENT WORKERS), APPLICANTS MUST PRIORITIZE HISTORICALLY MARGINALIZED POPULATIONS AND COMMUNITIES WITHIN THE LOCAL OR REGIONAL ECONOMIC AREA SERVED BY THE GRANT, INCLUDING WOMEN, PEOPLE OF COLOR, JUSTICE-INVOLVED INDIVIDUALS, INDIVIDUALS WITH DISABILITIES, VETERANS, INDIVIDUALS WITH LIMITED ENGLISH PROFICIENCY, INDIVIDUALS WITH A HISTORY OF SUBSTANCE DEPENDENCY OR OTHER BEHAVIORAL HEALTH CONDITIONS, OR OTHER POPULATIONS WHO WILL BENEFIT FROM IMPROVED JOB QUALITY AND CAREER ADVANCEMENT OPPORTUNITIES.SUBRECIPIENT ACTIVITIES:WORC ROUND 6 GRANT AWARD RECIPIENTS MAY PARTNER WITH SUBRECIPIENTS AS WELL AS PROVIDE SERVICES THROUGH AMERICAN JOB CENTERS WITHIN THE AREA COVERED BY THE GRANT AS APPROPRIATE.

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

DLT OPIOID GRANTS

ADULT EDUCATION

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-PSYCHOSTIMULANT SUPPORT

RURAL HEALTH OPIOID PROGRAM

WORKFORCE TRAINING

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-OVERDOSE RESPONSE

RURAL HEALTH OPIOID PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM