Dance Inc

HEAD START AND EARLY HEAD START

HEAD START AND EARLY HEAD START

HEAD START EARLY HEAD START

IVI LIGHT VEHICLE ENABLING RESEARCH PRGM X

DEVELOPMENT OF VEHICLE TO INFRASTRUCTRE

HEAD START/EARLY HEAD START

INTEGRATED CARE FOR KIDS (INCK)

STRENGTHENING FAMILY GUIDANCE ASSOCIATION OF ETHIOPIA SEXUAL AND REPRODUCTIVE HEA

WRAPAROUND NEW HAVEN. A CARE MODEL THAT ADDRESSES MEDICAL AND BEHAVIORAL HEALTH CARE NEEDS, INTEGRATES SERVICES ACROSS MULTIPLE HEALTH CARE INSTITUTI

COMMUNITY DEVELOPMENT BLOCK GRANT- PRICE COMPETITION

HEAD START AND EARLY HEAD START

V2V SYSTEMS ENGINEERING

OZARK GUIDANCE CENTER'S CMHC PROJECT - THE OZARK GUIDANCE CENTER'S CMHC PROJECT WILL FOCUS ON INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI), CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED); AND INDIVIDUALS WITH CO-OCCURRING MENTAL ILLNESS AND SUBSTANCE USE DISORDERS (COD). OZARK GUIDANCE CENER IS THE STATE CONTRACTED COMMUNITY MENTAL HEALTH CENTER SERVING 8 COUNTIES IN NORTHWEST ARKANSAS. AS WITH MANY COMMUNITY MENTAL HEALTH CENTERS ACROSS THE NATION, THE COVID-19 PANDEMIC PRESENTED UNIQUE CHALLENGES THAT HACE HINDERED THE AGENCY'S ABILITY TO ADEQUATELY SERVE THE CLIENT POPULATION. THROUGHT THE PROJECT, OZARK GUIDANCE WILL WORK TO BETTER ADDRESS THE BEHAVIORAL HEALTH NEEDS OF INDIVIDUALS WITH SED, SMI, AND COD BY RESTORING AND ENHANCING THE DELIVERY OF CLINICAL SERVICES THAT WERE IMPACTED BY COVID-19. THE AGENCY'S CAPACITY TO SERVE THE POPULATION WILL BE INCREASED THROUGH IMPLEMENTATION OF REQUIRED ACTIVITIES AS WELL AS THE FOLLOWING GOALS. GOAL 1) EXPAND OZARK GUIDANCE'S CAPACITY TO SUPPORT CONSUMERS BY HIRING ADDITIONAL STAFF. GOAL 2) INCREASE ACCESS TO SERVICES. GOAL 3) BUILD STAFF CAPACITY THROUGH TRAINING, EDUCATION, AND TECHNOLOGY. THROUGHT THIS PROJECT, OZARK GUIDANCE PROPOSES TO SERVE AT LEAST 500 INDIVIDUALS PER YEAR (1,000 INDIVIDUALS OVER THE LENGTH OF THE PROJECT).

WESTERN ARKANSAS COUNSELING AND GUIDANCE CENTER CMHC COVID-19 SERVICE RESTORATION AND ENHANCEMENT PROJECT - THE CMHC GRANT FUNDS THE WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER (WACGC) CCBHC TO RESTORE AND ENHANCE SERVICES IMPACTED BY THE COVID-19 PANDEMIC TO 1,000 INDIVIDUALS IN 6 ARKANSAS COUNTIES WITH MENTAL AND/OR BEHAVIORAL HEALTH DISORDERS, INCLUDING OPIOID AND OTHER SUBSTANCE ABUSE DISORDERS. THE WACGC CCBHC CATCHMENT AREA IS COMPRISED OF 6 PREDOMINANTLY RURAL COUNTIES IN WESTERN ARKANSAS: CRAWFORD, FRANKLIN, LOGAN, POLK, SCOTT AND SEBASTIAN. THE DIVERSE GEOGRAPHIC AREA IS EXTREMELY RURAL WITH THE URBANIZATION CONCENTRATED IN FORT SMITH. ALL 6 COUNTIES ARE HRSA-DESIGNATED MEDICALLY UNDERSERVED AREAS AND HEALTH PROFESSIONAL SHORTAGE AREAS IN THE PRIMARY HEALTH AND BEHAVIORAL HEALTH DOMAINS. THE CATCHMENT AREA IS RACIALLY AND ETHNICALLY DIVERSE AT ABOUT 83% WHITE, 7% BLACK OR AFRICAN-AMERICAN, 5% ASIAN, AND 2% NATIVE AMERICAN. MOREOVER, ABOUT 14% OF RESIDENTS ARE HISPANIC. THE TARGET POPULATION IS COMPRISED OF CHILDREN (0+) WITH SED AND PERSONS OF ALL AGES WHO HAVE OR ARE AT RISK FOR: 1) SMI, 2) SUD, INCLUDING OPIOID DISORDERS, AND 3) COD. THE COVID-19 PANDEMIC HAS CREATED A PLETHORA OF BARRIERS AND SERVICE GAPS AFFECTING THE AVAILABILITY OF EARLY INTERVENTION AND TIMELY ACCESS OF PHYSICAL AND MENTAL HEALTH TREATMENT FOR INDIVIDUALS DEALING WITH CRISES, SED, SMI, SUD AND/OR COD. THE PANDEMIC AND SUBSEQUENT SERVICE GAPS HAVE WORSENED PRE-EXISTING MENTAL HEALTH CONDITIONS IN OUR TARGET POPULATION DUE TO AN OVERALL DECLINE IN AVAILABILITY AND THUS UTILIZATION OF CRISIS SERVICES SERVICES DUE TO INACCESSIBILITY OF SERVICES; AGENCY CLOSURES; REDUCTIONS IN STAFFING AND SERVICE DELIVERY; MENTAL HEALTH PROFESSIONAL AND THERAPIST COMPASSION FATIGUE, BURNOUT, AND TURNOVER; AND RESIDENTS CONTINUED GENERAL FEAR OF CONTRACTING COVID. SCHOOL-BASED GROUPS AND SERVICES HAVE BEEN SHUTTERED; CRISIS SCREENINGS HAVE DECLINED; THE AVAILABILITY OF CSU BEDS HAS BEEN HALVED; THE NUMBER OF NEW ADMISSIONS TO THE AGENCY IS DOWN 50% FROM 1 YEAR AGO; JAIL ADMISSIONS HAVE DECREASED; ADULT AND CHILD DAY TREATMENT PROGRAMS HAVE BEEN CLOSED FOR SAFETY; AND GROUP THERAPY HAS NOT RESUMED AGENCY-WIDE, INCLUDING GROUP THERAPY AT SCHOOL, INPATIENT, OUTPATIENT, AND THOSE FOR SUD AND COD. THE MEASURABLE GOALS AND OBJECTIVES OF THE PROJECT ADDRESS FIVE MAIN ARES OF NEED IN THE WAKE OF THE PANDEMIC: 1) SERVICE GAPS FOR WALK-IN CLIENTS IN NEED OF IMMEDIATE CARE; 2) CRISIS STABILIZATION AND CRISIS RESPONSE; 3) SCHOOL-BASED SERVICES; 4) CASELOAD REDUCTIONS, COMPASSION FATIGUE AND BURNOUT; AND 5) TRAINING FOR CLINICAL AND NON-CLINICAL STAFF. WACGC WILL RESTORE SERVICES TO 1,000 PEOPLE IN THE TARGET POPULATIONS (Y1: 500; Y2: 500), THROUGH THE HIRING OF 43 CLINICAL AND NON-CLINICAL PERSONNEL (Y1,Y2); ENHANCEMENT OF THE CURRENT TECHNOLOGICAL INFRASTRUCTURE (Y1); RENOVATION OF PHYSICAL SPACE AT THE FORT SMITH CAMPUS TO CREATE CONFIDENTIAL SPACE FOR TELEHEALTH APPOINTMENTS AND FOR THE INTERN CLINIC (Y1); RE-ESTABLISH COMMUNITY PARTNERSHIPS WITH LEOS, JAILS, AND COURTS (Y1,Y2); THE CREATION OF AN INTERN CLINIC FOR BSW AND MSW STUDENTS (Y1); AND THROUGH EXTENSIVE EBP TRAINING FOR CLINICAL AND NON-CLINICAL STAFF INCLUDING ACT TEAM, TRAUMA-INFORMED CARE, PLAY THERAPY, ACT, ETC. (Y1,Y2) IN AN EFFORT TO BETTER EQUIP STAFF TO DEAL WITH THE ONGOING MENTAL HEALTH CRISES CAUSED BY THE PANDEMIC.

PROJECT FORWARD (FACING OBSTACLES IN RELATIONSHIPS AND WORK WITH ACTION, RESOURCES, DIRECTION) EXPANSION INTO NASSAU AND WESTERN SUFFOLK COUNTIES, NY TO OUTREACH, ENGAGE, AND EDUCATE AT-RISK ADULTS.

MEDICAID ENTITLEMENT FOR NORTHERN MARIANA IS -FY 2008 1 QUARTER - T19

AA (II) HIGH SCHOOLS; AA (IV) MARRIAGE PREPARATION; AA (V) MARRIAGE ENHANCEMENT; AA (VI) DIVORCE REDUCTION; AA (VII) MARRIAGE MENTORING; & AA(I) PUBL

HEALTHY MARRIAGE DEMONSTRATION, PRIORITY AREA 1

FAMILY SERVICE AND GUIDANCE CENTER CMHC APPLICATION 2021 - FAMILY SERVICE AND GUIDANCE CENTER (FSGC) WILL PROVIDE MENTAL HEALTH (MH) SERVICES FOR 500 CHILDREN (2-22) AND FAMILIES IN YEAR 1 AND 500 IN YEAR 2, INCLUDING CHILDREN AND YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED) AND CO-OCCURRING DISORDERS (COD). THE CATCHMENT AREA IS SHAWNEE COUNTY, KANSAS, INCLUDING THE CITY OF TOPEKA. FSGC WILL EXPAND NEEDED SERVICES, STRENGTHEN SUSTAINABILITY, IMPROVE QUALITY, AND ENHANCE CARE INTEGRATION. THE TOTAL POPULATION IN THE CATCHMENT AREA IS 176,875, OF WHOM 73.5% ARE WHITE, 7.7% ARE BLACK, 1.4% ARE NATIVE AMERICAN, 1.6% ARE ASIAN, AND 12.8% ARE HISPANIC. ABOUT 23.3% ARE 18 OR YOUNGER. OF THESE, ABOUT 13% ARE LIVING IN POVERTY (ROBERT WOOD JOHNSON FOUNDATION (RJWF), 2021). THE PROJECT DIRECTOR AND EVALUATOR WILL COLLABORATE TO ENSURE THE PROJECT HITS PLANNED BENCHMARKS. FSGC HAS BEEN SERVING SHAWNEE COUNTY AND NORTHEAST KANSAS SINCE 1904. FSGC IS THE ONLY COMMUNITY MENTAL HEALTH CENTER IN KANSAS THAT FOCUSES ITS RESOURCES AND EXPERTISE ON THE UNIQUE MENTAL HEALTH NEEDS OF CHILDREN. THE EXISTING NEED FOR CHILDREN’S MH AND RELATED SERVICES WAS SIGNIFICANT PRIOR TO THE PANDEMIC AND HAS BEEN EXACERBATED BY IT. TO EXPAND AND IMPROVE SERVICES, FSGC HAS IDENTIFIED THE FOLLOWING GOAL AND OBJECTIVES. GOAL 1: TO EXPAND NEEDED BEHAVIORAL HEALTH (BH) SERVICES INCLUDING MH, SUD, AND COD AND RELATED SUPPORTS FOR CHILDREN AND YOUTH IN THE CATCHMENT AREA. OBJECTIVE 1: PROVIDE MH AND RELATED SERVICES TO 500 UNDUPLICATED YOUTH AND FAMILIES IN YEAR 1 AND 500 IN YEAR 2 RETAINING AT LEAST 50% IN APPROPRIATE TREATMENT IDENTIFIED IN AN INDIVIDUAL TREATMENT PLAN. OBJECTIVE 2: DURING YEAR 1, EXPAND CRISIS SERVICES TO 125 ADDITIONAL CLIENTS BY ADDING 4 FTE CLINICAL AND SUPPORT STAFF; 80% OF INDIVIDUALS RECEIVING CRISIS SERVICES WILL BE RETAINED AS APPROPRIATE IN OUTPATIENT CARE AT MONTH SIX. OBJECTIVE 3: DURING YEAR 1, PROVIDE INTEGRATED COD SERVICES FOR 75 CLIENTS BY ADDING 2.6 FTE CLINICAL AND SUPPORT STAFF; 75 % OF YOUTH WILL BE RETAINED IN INTEGRATED COD TREATMENT SERVICES FOR 6 MONTHS. OBJECTIVE 4: DURING YEAR 1, EXPAND SCHOOL SERVICES TO AN ADDITIONAL 75 CLIENTS BY ADDING 2 FTE CLINICAL AND RECOVERY STAFF; 75 % OF YOUTH WILL DEMONSTRATE AT LEAST ONE FUNCTIONAL IMPROVEMENT AS MEASURED BY PRE/POST TESTING AT MONTH 6. OBJECTIVE 5: DURING YEAR 2, ENHANCE CROSS-SYSTEM EFFICIENCY AND COORDINATION BY CREATING AND IMPLEMENTING 3 TRAININGS FOR FSGC, CHILD WELFARE PROVIDERS, AND JUVENILE JUSTICE PROVIDERS. OBJECTIVE 6: DURING YEAR 1, EXPAND CLINICAL AND RECOVERY SUPPORTS TO AN ADDITIONAL 225 CLIENTS BY ADDING 7.5 FTE MEDICAL, CLINICAL, AND SUPPORT POSITIONS; 75 % OF YOUTH WILL BE RETAINED IN TREATMENT SERVICES FOR 6 MONTHS. OBJECTIVE 7: DURING THE FUNDING PERIOD, IMPROVE STAFF MH BY ADDING MONTHLY WELLNESS ACTIVITIES IN ACCORD WITH SAMHSA’S NATIONAL CHILD TRAUMATIC STRESS NETWORK RECOMMENDATIONS. OBJECTIVE 8: UPON NOTICE OF AWARD, INITIATE QUARTERLY WORKING GROUP MEETINGS TO ACHIEVE KANSAS CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) DESIGNATION BY YEAR 2, QUARTER 3. OBJECTIVE 9: DURING YEAR 1, FSGC WILL IMPROVE ITS AGGREGATED CHILD AND ADOLESCENT FUNCTIONAL ASSESSMENT SCALE (CAFAS) SCORE BY 3 POINTS AT MONTH 12.

CCBHC EXPANSION INTO HIGH-NEEDS AREAS OF NASSAU COUNTY, NY: TO REACH/SERVE 1,400 ADDITIONAL HIGH NEEDS INDIVIDUALS (MANY UNINSURED)WITH BEHAVIORAL HEALTH SERVICES OVER TWO YEARS

WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER CCBHC EXPANSION PROJECT

CCBHC'S CONTINUATION IN RURAL PENNSYLVANIA

PROJECT FORWARD PROGRAM (FACING OBSTACLES IN RELATIONSHIPS AND WORK WITH ACTION, RESOURCES, DIRECTION)

WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER: CCBHC IMPROVEMENT, ENHANCEMENT & SUSTAINABILITY OF SERVICES IN WESTERN ARKANSAS - WACGC WILL IMPROVE AND ENHANCE ITS CURRENT SLATE OF CCBHC SERVICES TO 505 NEW CLIENTS IN THE TARGET POPULATION - CHILDREN (0+) WITH SED AND PERSONS OF ALL AGES WHO ARE AT RISK OF: 1) SMI 2) SUD, 3) COD AND 4) INDIVIDUALS WITH MENTAL HEALTH ISSUES ALSO AT RISK FOR CHRONIC HEALTH CONDITIONS IN THEIR 6-COUNTY CATCHMENT AREA IN WESTERN ARKANSAS. SPECIFIC ATTENTION WILL BE GIVEN TO INDIVIDUALS WHO IDENTIFY AS VETERAN OR MINORITY (RACE, ETHNICITY, GENDER, AND ECONOMIC). WACGC CCBHC SERVES 6 COUNTIES IN THE WESTERN MOST PORTION OF ARKANSAS: CRAWFORD, FRANKLIN, LOGAN, POLK, SCOTT, AND SEBASTIAN. MOST OF THE DIVERSE GEOGRAPHIC AREA IS EXTREMELY RURAL WITH THE URBANIZATION CONCENTRATED IN FORT SMITH, THE 3RD LARGEST CITY IN ARKANSAS (POPULATION 88,404; U.S. CENSUS, 2022). ALL 6 COUNTIES ARE HRSA-DESIGNATED MEDICALLY UNDERSERVED AREAS AND HEALTH PROFESSIONAL SHORTAGE AREAS IN THE PRIMARY HEALTH AND BEHAVIORAL HEALTH DOMAIN. THE 6-COUNTY CATCHMENT AREA IS 79% NON-HISPANIC WHITE, 11% HISPANIC, 4% NON-HISPANIC BLACK / AFRICAN AMERICAN, 2% ASIAN, 2% NATIVE AMERICAN, AND 3% MULTIRACIAL. OVER 18,000 (7%) VETERANS ARE IN THE CATCHMENT AREA. ACROSS THE 6 COUNTIES, ABOUT 16% OF PEOPLE ARE IN POVERTY, 14% ARE EXPERIENCING SEVERE HOUSING PROBLEMS, 24% OF CHILDREN ARE IN POVERTY AND 72% ARE ELIGIBLE FOR FREE OR REDUCED LUNCH (COUNTY RANKINGS, 2022). FURTHER, 15% DRINK ALCOHOL EXCESSIVELY, 19% ARE FOOD INSECURE, 26% ARE IN POOR TO FAIR HEALTH, 17% EXPERIENCE FREQUENT PHYSICAL DURESS, 20% EXPERIENCE FREQUENT MENTAL DURESS, AND 13% ARE UNINSURED (2022 COUNTY RANKINGS).TO MEET THE CONTINUED NEEDS OF THE CLIENTS OF THE WACGC CCBHC WE HAVE IDENTIFIED 4 MAIN GOALS. GOAL 1: IMPROVE AND ENHANCE THE CURRENT SLATE OF SERVICES FOR THE TARGET POPULATION IN THE CATCHMENT AREA THROUGH TARGETED BEHAVIORAL HEALTH EQUITY ACTIVITIES INCLUDING THE RETENTION OF PCC STAFF (Y1-4) AND THE MOBILE BEHAVIORAL HEALTH UNIT (Y1-4). WE WILL INCREASE THE PROVISION AND SCOPE OF SERVICES OFFERED BY WACGC TO THE TARGET POPULATION THROUGH PCC, ACT, AND MOBILE CRISIS TEAMS (Y1-4). PROVIDE ADDITIONAL AND ON-GOING EBP TRAINING, INCLUDING TRAUMA INFORMED CARE, RECOVERY CARE, TARGETED CASE MANAGEMENT, SUD TREATMENT TO ALL CLINICAL STAFF INVOLVED IN THE CARE OF THE TARGET POPULATION (Y1-4). GOAL 2: EXPAND PCP SERVICES AT THE FORT SMITH CAMPUS BY 10%, TO CHILDREN AGES 5+ (Y2-4), TO INCLUDE GENERAL WELLNESS EXAMS FOR CLIENTS (Y2-4) AND TO INCLUDE ASSESSING FOR, AND TREATMENT OF, CHRONIC HEALTH CONDITIONS FOR CLIENTS 5+ (Y2-4). GOAL 3: INCREASE ACCESSIBILITY FOR HISTORICALLY UNDERREPRESENTED AND UNDER RESOURCED COMMUNITIES THROUGH MOBILE BEHAVIORAL CARE COORDINATION AND SERVICES BY USING THE MOBILE HEALTH UNIT 3 DAYS PER WEEK (Y1-4) IN TARGETED CATCHMENT AREAS TO CREATE A CONTINUUM OF CARE. GOAL 4: IDENTIFY AND IMPROVE UNDERLYING SOCIAL DETERMINANTS OF HEALTH (SDOH) FOR TARGET POPULATION THROUGH THE IMPLEMENTATION OF ASSESSMENT OF SDOH (Y1-4), RISK STRATIFICATION (Y2-4) AND CARE PATHWAYS (CPW) (Y2-4). WE WILL IMPLEMENT RISK STRATIFICATION PROCEDURES TO ADDRESS IDENTIFIED GAPS IN SDOH AND CPWS TO INDIVIDUALLY ADDRESS SDOH AND CREATE CARE PLANS FOR CLIENTS AT GREATEST RISK. FINALLY, WE WILL RAISE AWARENESS ABOUT THE SOCIAL CHALLENGES THAT OUR CLIENTS ARE FACING AND ACTION THAT CAN BE TAKEN TO CREATE MORE SUPPORTIVE ENVIRONMENTS FOR HEALTH ACROSS OUR CATCHMENT AREA AND THE STATE. FINALLY, TO SUSTAIN OUR CCBHC WE ARE IMPLEMENTING MORE EBPS FOR THE REDUCTION OF COSTLY RESOURCES, HOSPITALIZATIONS, AND JAIL TIME FOR CLIENTS USING THE MOST BEHAVIORAL HEALTH SERVICES. RISK STRATIFICATION REDUCES USE OF RESOURCES THROUGH OPTIMIZING CARE FOR INDIVIDUALS BASED ON THEIR RISK LEVELS. CPWS OPTIMIZE RESOURCE ALLOCATION AND ARE COST-EFFECTIVE AS THEY PROVIDE MORE STREAMLINED APPROACHES TO TARGET INDIVIDUAL'S HEALTHCARE NEEDS WHILE ELIMINATING UNNECESSARY PROCEDURES.

SOUTHWEST GUIDANCE CENTER CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER PROJECT - SOUTHWEST GUIDANCE CENTER (SWGC) IS A CMHC LOCATED IN LIBERAL, KANSAS, THAT SEEKS CCBHC STATUS TO EXPAND BEHAVIORAL HEALTHCARE IN FOUR RURAL SOUTHWEST KANSAS COUNTIES. SWGC WILL IMPLEMENT SUBSTANCE USE DISORDER/CO-OCCURRING DISORDER SERVICES AND INCREASE THE NUMBER OF INDIVIDUALS WHO SUCCESSFULLY ACCESS COMPREHENSIVE BEHAVIORAL HEALTH SERVICES TO 1,155 OVER FOUR YEARS ESPECIALLY WITHIN THE HISPANIC AND VETERAN COMMUNITIES. POPULATION TO BE SERVED: SWGC IS A NONPROFIT CMHC AND THE PRIMARY BEHAVIORAL HEALTH SERVICES PROVIDER IN FOUR SOUTHWEST KANSAS COUNTIES. THE 2,924 SQUARE MILE CATCHMENT AREA IS CONSIDERED FRONTIER OR RURAL AND IS CHARACTERIZED BY HIGH RATES OF INDIVIDUALS WITH SERIOUS MENTAL ILLNESS, SUBSTANCE USE DISORDERS, AND A DISPROPORTIONATELY HIGH PERCENTAGE OF IMMIGRANTS. THE TOTAL COMBINED POPULATION OF SWGC’S CATCHMENT AREA IS 34,730, AND OF THIS, 51% OF INDIVIDUALS ARE HISPANIC-LATINX, AND 47% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. ANY ADULT, ADOLESCENT, OR CHILD IS ELIGIBLE FOR SERVICES AT SWGC, REGARDLESS OF DIAGNOSIS OR ABILITY TO PAY. THE VETERAN AND HISPANIC COMMUNITIES WITHIN SWGC’S CATCHMENT AREA FACE SOCIAL, LINGUISTIC, CULTURAL, AND SOCIOECONOMIC BARRIERS IN ACCESS TO QUALITY BEHAVIORAL HEALTHCARE. SINCE 2019, SWGC COMPLETED 2,444 INTAKES, OF WHICH 67% WERE HISPANIC INDIVIDUALS AND 2% WERE VETERANS. DEPRESSION, ANXIETY, BIPOLAR DISORDER, AND ADJUSTMENT DISORDER WERE THE MOST COMMON DIAGNOSES. STRATEGIES/INTERVENTIONS: SWGC WILL DIRECTLY PROVIDE CRISIS MENTAL HEALTH SERVICES; SCREENING, ASSESSMENT, AND DIAGNOSIS; PATIENT-CENTERED TREATMENT PLANNING; COMPREHENSIVE AND EVIDENCE-BASED OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE SERVICES; TARGETED CASE MANAGEMENT; PSYCHIATRIC REHABILITATION SERVICES; PEER SUPPORT, COUNSELOR SERVICES, AND FAMILY SUPPORTS; SCREENING AND MONITORING OF KEY HEALTH INDICATORS AND HEALTH RISKS; AND SERVICES FOR VETERANS, ACTIVE DUTY MILITARY MEMBERS, AND THEIR FAMILIES. GOALS AND OBJECTIVES: TO INCREASE THE NUMBER OF INDIVIDUALS ACCESSING BEHAVIORAL HEALTH SERVICES, AND TO MEET THE GROWING NEED FOR SUD TREATMENT SERVICES WITHIN THE CATCHMENT AREA, SWGC PLANS TO: 1) INCREASE ITS ORGANIZATIONAL CAPACITY TO DELIVER AND TRACK HIGH-QUALITY CCBHC SERVICES; 2) PROVIDE SUBSTANCE USE DISORDER TREATMENT SERVICES AND RECOVERY-ORIENTED COMMUNITY-BASED SUPPORTS FOR INDIVIDUALS IN SOUTHWEST KANSAS; AND 3) INCREASE CCBHC SERVICE PENETRATION INTO THE POPULATION AREA OF FOCUS AND PROVIDE HIGH-QUALITY, TARGETED SERVICES FOR INDIVIDUALS BELONGING TO A MINORITY SUBPOPULATION THAT EXPERIENCES DISPARITIES IN ACCESSING CARE. SWGC WILL INCREASE SERVICE DELIVERY BY SERVING 810 UNDUPLICATED INDIVIDUALS IN YEAR 1, 77 IN YEAR 2, 115 IN YEAR 3, AND 153 IN YEAR 4, FOR A TOTAL OF 1,155 UNDUPLICATED INDIVIDUALS IN THE 4-YEAR GRANT PERIOD.

WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER: CRAWFORD COUNTY CCBHC PLANNING, DEVELOPMENT & IMPLEMENTATION PROJECT - WACGC CRAWFORD COUNTY WILL BECOME A STAND-ALONE CCBHC PROVIDER. WE WILL SERVE 375 NEW CLIENTS IN THE TARGET POPULATION - CHILDREN (4+) WITH, OR AT RISK FOR, SED, AND PERSONS OF ALL AGES WHO HAVE OR ARE AT RISK FOR: 1) SMI, 2) SUD, AND 3) COD AS WELL AS PERSONS OF ALL AGES IN CRISIS IN THE COUNTY, ADULTS IN THE COUNTY MHTC, AND JUSTICE INVOLVED ADULTS PRE- AND POST-RELEASE. SPECIFIC ATTENTION WILL BE GIVEN TO VETERAN, MINORITIES, AND THOSE AT RISK FOR MAJOR HEALTH ISSUES. CRAWFORD COUNTY IS A PREDOMINATELY RURAL AREA IN THE WESTERN MOST PORTION OF ARKANSAS WITH A POPULATION OF 60,378 AND URBANIZATION CONCENTRATED IN VAN BUREN (POP. 23,600) (U.S. CENSUS, 2022). CRAWFORD COUNTY IS A HRSA-DESIGNATED MEDICALLY UNDERSERVED AREA AND HEALTH PROFESSIONAL SHORTAGE AREA IN THE PRIMARY HEALTH AND BEHAVIORAL HEALTH DOMAIN. THE CATCHMENT AREA IS 83.5% NON-HISPANIC WHITE, 8.5% HISPANIC, 1.5% NON-HISPANIC BLACK / AFRICAN AMERICAN, 1.5% ASIAN, 2.5% NATIVE AMERICAN, AND 3.5% MULTIRACIAL. THE MEDIAN HOUSEHOLD INCOME IN THE CATCHMENT AREA IS $48,980 COMPARED TO $49,724 FOR THE STATE AND NEARLY $65,000 FOR THE U.S. (CENSUS, 2022). ACROSS THE COUNTY, ABOUT 14.5% OF PEOPLE ARE IN POVERTY, 13% ARE EXPERIENCING SEVERE HOUSING PROBLEMS, 20% OF CHILDREN ARE IN POVERTY AND 64% ARE ELIGIBLE FOR FREE OR REDUCED LUNCH (COUNTY RANKINGS, 2022). FURTHER, 16% DRINK ALCOHOL EXCESSIVELY, 17% ARE FOOD INSECURE, 25% ARE IN POOR TO FAIR HEALTH, 17% EXPERIENCE FREQUENT PHYSICAL DURESS, 19% EXPERIENCE FREQUENT MENTAL DURESS, AND 13% OF ADULTS ARE UNINSURED (2022 COUNTY RANKINGS). THE SUICIDE RATE IN THE COUNTY IS 24 PER 100,000 PERSONS AND THE DRUG OVERDOSE RATE IS 17.5 PER 100,000 PERSONS. THE NUMBER OF OPIOID SCRIPTS DISPENSED PER 100 PERSONS IN CRAWFORD COUNTY FOR 2020 WAS 51.4. TO MEET THE NEEDS OF THE TARGET POPULATION IN CRAWFORD COUNTY WE HAVE IDENTIFIED 4 GOALS. GOAL 1: RAISE THE STANDARD OF CARE IN CRAWFORD COUNTY BY MEETING ALL CCBHC CRITERIA, EXPANDING THE PROVISIONS AND SCOPE OF SERVICES BY 25%, HIRING ADDITIONAL STAFF, ADDRESSING ACCESSIBILITY BARRIERS, AND PROVIDING EBP TRAINING FOR ALL CLINICIANS AND STAFF AND INTEGRATED BEHAVIORAL HEALTH SERVICE THAT PROMOTES BEHAVIORAL HEALTH EQUITY, PROVIDES TRAUMA INFORMED CARE AND IS RECOVERY ORIENTED. GOAL 2: INCREASE THE SCOPE AND PROVISION OF TARGETED CASE MANAGEMENT BY IMPLEMENTING AN ASSERTIVE COMMUNITY TREATMENT (ACT) FOR CRAWFORD COUNTY MENTAL HEALTH TREATMENT COURT (MHTC), COLLABORATE WITH LAW ENFORCEMENT, MEDICAL PROVIDERS, AND THE MHTC TO IDENTIFY AND SERVE 50 CLIENTS IN NEED OF ACT SERVICES, AND TRAINING FOR RECOVERY CARE, TARGETED CASE MANAGEMENT, AND SUD/COD TREATMENT. GOAL 3: CREATE A CONTINUUM OF CARE FOR HISTORICALLY UNDERSERVED POPULATIONS THROUGH STANDARDIZED PROCEDURES FOR IDENTIFYING INMATES IN NEED OF MENTAL AND BEHAVIORAL HEALTH SERVICES, COLLABORATIVELY CREATING TARGETED CASE MANAGEMENT AND RE-ENTRY PLANS WITH INMATES IDENTIFIED AS IN NEED OF RE-ENTRY SERVICES. GOAL 4: IDENTIFY AND IMPROVE UNDERLYING SOCIAL DETERMINANTS OF HEALTH FOR THE TARGET POPULATION THROUGH STANDARDIZED ASSESSMENT (Y1-4), IMPLEMENTATION OF RISK STRATIFICATION PROCEDURES AND CPWS TO INDIVIDUALLY ADDRESS SDOH AND CREATE CARE PLANS FOR CLIENTS AT GREATEST RISK. FINALLY, RAISE AWARENESS AMONG LOCAL AND STATE COMMUNITY LEADERS, STAKEHOLDERS, AND ORGANIZATIONS ABOUT THE SOCIAL CHALLENGES THAT CLIENTS ARE FACING AND WHAT ACTIONS CAN BE TAKEN TO IMPROVE IN THE COMMUNITY TO CREATE MORE SUPPORTIVE ENVIRONMENTS FOR HEALTH. WE WILL JOIN AND PARTICIPATE IN THE CCBHC ADVISORY GROUP OF CCBHCS IN ARKANSAS AND COLLABORATE ON EFFORTS WITH DHS AND THE ARKANSAS LEGISLATURE ON BILLING REFORM AND OTHER NEEDED CHANGES, IN ADDITION TO WORK THAT WILL BE DONE INTERNALLY TO ENSURE THAT OUR CCBHC SERVICES REMAIN SUSTAINABLE PAST THE END OF THE GRANT PERIOD.

CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC EXPANSION GRANT - CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) – PLANNING, DEVELOPMENT, AND IMPLEMENTATION GRANT PROGRAM AT THE GUIDANCE CENTER (TGC) IS CRAFTED TO ENSURE A COMPREHENSIVE RANGE OF EVIDENCE BASED BEHAVIORAL HEALTH SERVICES AND PROGRAMS ARE MADE AVAILABLE TO CITIZENS OF OUR SERVICE AREA. WITH A FOCUS ON IMMEDIATE ACCESSIBILITY, HIGH QUALITY, AND OUTCOME-BASED SOLUTIONS, OUR CLIENTS ACHIEVE AND SUSTAIN OVERALL IMPROVED MENTAL WELLNESS. IN ADDITION, WE SEEK TO PROVIDE APPROPRIATE HEALTH SCREENING AND EARLY INTERVENTION TO ENSURE COORDINATION WITH OTHER HEALTH PROVIDERS IN THE COMMUNITY. TGC'S CCBHC EXPANSION GRANT WILL SERVE THE POPULATIONS OF LEAVENWORTH, ATCHISON, AND JEFFERSON COUNTIES IN KANSAS. WE PLAN TO SERVE APPROXIMATELY 4,000 UNDUPLICATED CLIENTS ANNUALLY. TGC'S PATIENT POPULATION INCLUDES CHILDREN WHO EXPERIENCE SERIOUS EMOTIONAL DISTURBANCE (SED), ADULTS WITH SEVERE AND PERSISTENT MENTAL ILLNESS (SPMI), AND CLIENTS WITH SUBSTANCE USE DISORDER (SUD). WE HAVE AN ACCESS CLINIC AVAILABLE FIVE DAYS A WEEK FOR WALK-IN CLIENTS. TGC IS THE PRIMARY BEHAVIORAL HEALTH PROVIDER IN THE REGION AND WE SEE ALL CLIENTS REGARDLESS OF THEIR ABILITY TO PAY. TGC'S MEDICAL SERVICES PROVIDE PSYCHIATRIC MEDICATION MANAGEMENT, PSYCHOTROPIC INJECTIONS, AND CLINICAL MONITORING FOR ADVERSE EFFECTS THROUGH ON-SITE AND TELEHEALTH PROVIDERS. OUR LEAVENWORTH LOCATION HAS AN ON-SITE PHARMACY. TGC PROVIDES 24/7 CRISIS RESPONSE, STABILIZATION, AND CRISIS PLANNING SERVICES. QMHPS PROVIDE SCREENING, ASSESSMENT, INCLUDING RISK ASSESSMENT AND CRISIS PLANNING, DIAGNOSIS SERVICES AND PATIENT-CENTERED AND FAMILY-CENTERED TREATMENT PLANNING. TGC HAS ROBUST PROGRAMMING FOR CHILDREN AND ADULTS INCLUDING CASE MANAGEMENT, TARGETED CASE MANAGEMENT, EDUCATION SERVICES, CARE COORDINATION SERVICES, PSYCHOSOCIAL PROGRAMMING, PEER SUPPORT SERVICES, PARENT SUPPORT, RESPITE CARE, AND RECOVERY SERVICES. TGC HAS THREE GOALS FOR THIS GRANT. FIRST, WE WILL INCREASE POPULATION PENETRATION FOR INTEGRATED HEALTHCARE SERVICES THROUGH THE CCBHC MODEL OF CARE WHICH INVOLVES SERVICE EXPANSION, INCLUDING THE DEVELOPMENT OF ASSERTIVE COMMUNITY TREATMENT (ACT) AND MEDICATION ASSISTED THERAPY (MAT) SERVICES. SECOND, WE WILL INCREASE HUMAN RESOURCE CAPACITIES TO PROMOTE THE ATTRACTION AND RETENTION OF QUALIFIED MENTAL HEALTH PROFESSIONALS (QMHPS) THROUGH INCREASED WAGES AND STRATEGIC RECRUITING EFFORTS. OUR THIRD AND FINAL GOAL IS TO WILL PROMOTE POSITIVE BEHAVIORAL HEALTH THROUGH TRAINING IN THE CCBHC MODEL OF CARE. TGC WILL TRAIN ALL STAFF DURING YEAR 1 IN THE FOLLOWING TRAININGS: TRAUMA-INFORMED CARE, RECOVERY-ORIENTED CARE, CLIENT-CENTERED CARE, DIVERSITY TRAINING, AND MILITARY CULTURE TRAINING. ULTIMATELY, TRANSITIONING TO THE CCBHC CARE MODEL WILL ALLOW TGC TO BECOME THE PREMIER PROVIDER OF MENTAL HEALTH AND WELLNESS SERVICES IN NORTHEAST KANSAS, BUILT UPON SCIENTIFICALLY SOUND PRACTICES AND SUSTAINABLE STATE AND FEDERAL FUNDING.

IMPROVEMENT AND ADVANCEMENT OF CCBHC BEHAVIORAL HEALTH SERVICES FOR 1,400 HIGH-NEEDS INDIVIDUALS EXPERIENCING HEALTH DISPARITIES IN NASSAU COUNTY, NY - WITH CONSUMER AND FAMILY INPUT, CENTRAL NASSAU GUIDANCE & COUNSELING SERVICES (CN GUIDANCE) WILL, THROUGH A PROPOSED CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) ADVANCEMENT PROJECT, HARNESS 50 YEARS OF BEHAVIORAL HEALTH EXPERIENCE TO IMPROVE ACCESS TO HIGH-QUALITY MENTAL HEALTH AND SUBSTANCE USE TREATMENT SERVICES TO POPULATIONS IN NASSAU COUNTY (NY) FACING THE GREATEST (PANDEMIC-EXACERBATED) HEALTH DISPARITIES. CN GUIDANCE WILL USE SAMHSA FUNDING TO IMPROVE ACCESS AND TREATMENT TO REACH AND SERVE: (1) INDIVIDUALS WITH SERIOUS MENTAL ILLNESS; (2) INDIVIDUALS WITH SUBSTANCE USE DISORDERS, INCLUDING OPIOID USE DISORDER; (3) CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE; (4) INDIVIDUALS WITH CO-OCCURRING MENTAL AND SUBSTANCE USE DISORDERS; AND (5) INDIVIDUALS EXPERIENCING A MENTAL HEALTH OR SUBSTANCE USE-RELATED CRISIS LIVING IN THE MOST HEALTH-CHALLENGED LOCALITIES ACROSS NASSAU COUNTY. OUR TARGET POPULATION IS DISPROPORTIONALLY COMPOSED OF BLACK AND LATINX RESIDENTS WHO ARE UN/UNDER-INSURED AND RESIDING IN MOSTLY SEGREGATED, LOWER-INCOME COMMUNITIES. OUR PROGRAM WILL INCLUDE SUPPORTS FOR SOCIAL DETERMINANTS OF HEALTH. IN COORDINATION WITH TWO DESIGNATED COLLABORATING ORGANIZATIONS (LONG ISLAND FEDERALLY QUALIFIED HEALTH CENTERS FOR PRIMARY CARE AND SOUTH SHORE CHILD GUIDANCE CENTER FOR OVERNIGHT CRISIS SUPPORT), OUR CLINICAL TEAM WILL USE NINE RECOVERY-ORIENTED EVIDENCED-BASED PRACTICES (EBPS), PROVEN EFFECTIVE AMONG EACH TARGETED SEGMENT OF OUR LOCAL POPULATION: (1) PEER SUPPORT—IMPROVED WITH THE CROSS-TRAINING AND CERTIFICATION OF PEERS IN BOTH MENTAL HEALTH AND SUBSTANCE USE TO PROVIDE COMPREHENSIVE SUPPORT; (2) MOTIVATIONAL INTERVIEWING; (3) INTEGRATED TREATMENT FOR CO-OCCURRING DISORDERS; (4) MEDICATION ASSISTED TREATMENT/THERAPY (MAT)—ADVANCED BY THE ADDITIONAL OPTION OF SUBLOCADE (INJECTIONS), WHICH IS LESS SUSCEPTIBLE TO DIVERSION THAN PILLS; (5) COGNITIVE BEHAVIORAL THERAPY (CBT); (6) FAMILY PSYCHOEDUCATION; (7) WELLNESS MANAGEMENT & RECOVERY (WMR); (8) INDIVIDUAL PLACEMENT AND SUPPORT; AND (9) STRUCTURED TRAUMA-INFORMED CARE MODELS, INCLUDING SEEKING SAFETY. IT WILL BE THE INCREASING INTEGRATION AND CO-USE OF THESE NINE EBPS THAT WILL ADVANCE STRONGER BEHAVIORAL AND PHYSICAL HEALTH OUTCOMES TO LOCAL CONSUMERS. OUR OVERARCHING GOAL IS TO IMPROVE HEALTH OUTCOMES FOR MARGINALIZED INDIVIDUALS IN OUR COMMUNITY EXPERIENCING DISPARITIES IN HEALTH CARE. A SAMPLING FROM OUR 13 RECOVERY-ORIENTED GOALS AND CORRELATING OBJECTIVES COMPRISES THE FOLLOWING MILESTONES BY GRANT END (YEAR FOUR): (1) INCREASE NUMBER OF AT-RISK PERSONS RECEIVING MENTAL HEALTH AND SUBSTANCE USE SCREENINGS / ASSESSMENTS BY CONDUCTING =700 SCREENINGS/ASSESSMENTS USING EVIDENCE-BASED TOOLS; (2) INCREASE CAPACITY TO PROVIDE COMMUNITY-BASED CRISIS RESPONSE AND EQUITY-BASED STABILIZATION SERVICES BY ASSURING 700+ NEW CONSUMERS GAIN ACCESS TO 24/7 MOBILE CRISIS DE-ESCALATION SERVICES; (3) IMPROVE MENTAL HEALTH OF CONSUMERS BY REDUCING RISK OF DEPRESSION AND SUICIDAL BEHAVIORS AMONG CONSUMERS: 40%+, DURING OR FOLLOWING INTERVENTION, WILL SHOW REDUCED SYMPTOMS PER PHQ-9/PHQ-A OR COLUMBIA SUICIDE SEVERITY RATING SCALE SCREENINGS; AND (4) IMPROVE SOCIAL DETERMINANTS OF HEALTH FACTORS BY BOOSTING BY 15% THE NUMBER OF CONSUMERS WHO REPORT STABLE HOUSING BY GRANT END, WHILE INCREASING EMPLOYMENT (20+ WITH JOBS) AMONG CONSUMERS BY YEAR 2. WE EXPECT TO SERVE 300 UNDUPLICATED INDIVIDUALS IN YEAR ONE, 375 IN YEAR TWO, 375 IN YEAR THREE, AND 350 IN YEAR FOUR, WITH A TOTAL OF 1,400 SERVED ACROSS THE LIFETIME OF THIS CCBHC IMPROVEMENT AND ADVANCEMENT PROJECT.

FY 2022 CCBHC-IA GRANT - THE GUIDANCE CENTER IS SEEKING TO CONTINUE THE DEVELOPMENT AND ENHANCEMENT OF SERVICES AND PROGRAMS INITIATED UNDER PREVIOUS CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) PROJECTS, INCLUDING THE 2016 PILOT PROGRAM IN PENNSYLVANIA, AND THE 2020 EXPANSION GRANT, THROUGH THE 2022 CCBHC IMPROVEMENT AND EXPANSION GRANT (FY 2022 CCBHC-IA GRANT). THE INTENT OF THIS PROJECT IS TO CONTINUE OUR EFFORTS TO TRANSFORM THE WAY BEHAVIORAL HEALTH AND SUBSTANCE ABUSE TREATMENT IS PROVIDED IN RURAL MCKEAN COUNTY, PA BY OFFERING INNOVATIVE, COMPREHENSIVE, EVIDENCE-BASED CARE TO ANY CHILD OR ADULT IN NEED, REGARDLESS OF THEIR ABILITY TO PAY OR THEIR PLACE OF RESIDENCE. THE GUIDANCE CENTER EXPECTS TO SERVE 4348 CONSUMERS ANNUALLY AND 5339 INDIVIDUALS ACROSS THE FOUR-YEAR SPAN OF THE CCBHC-IA GRANT. AS IS COMMON WITH MUCH OF APPALACHIA, RESIDENTS IN OUR CATCHMENT AREA TEND TO EXPERIENCE HIGH LEVELS OF POVERTY, HIGH RATES OF MENTAL HEALTH AND SUBSTANCE USE DISORDERS, AND INSUFFICIENT HEALTH CARE AVAILABILITY TO MEET PHYSICAL AND BEHAVIORAL HEALTH NEEDS. TO ADDRESS THE GAP BETWEEN DEMAND AND AVAILABILITY, THE GUIDANCE CENTER HAS IDENTIFIED SEVERAL STRATEGIES FOR IMPROVING ACCESS TO CARE INCLUDING TRANSITIONING TO A SAME-DAY ACCESS MODEL FOR EVALUATIONS, STRENGTHENING PARTNERSHIPS AND INNOVATING PROCESSES FOR IMPROVING RECRUITMENT AND RETENTION OF QUALIFIED STAFF, AND ADDING MORE GROUP TREATMENT OPTIONS. WE ALSO AIM TO ELEVATE OUR DELIVERY OF CRISIS SERVICES BY HIRING ADDITIONAL STAFF, INTENSIFYING TRAINING, INCORPORATING ADDITIONAL MEANS FOR CONSUMERS TO ACCESS CRISIS SERVICES, AND ENHANCING COLLABORATION WITH FIRST RESPONDERS AND OTHER COMMUNITY PARTNERS. UNDER THIS PROJECT, THE GUIDANCE CENTER WILL ADVANCE OUR USE OF MEASUREMENT-BASED CARE AND EVIDENCED-BASED PRACTICES (EBPS) TO PROVIDE RECOVERY-ORIENTED TREATMENT THAT IS BUILT AROUND THE INDIVIDUAL NEEDS, PREFERENCES, AND VALUES OF OUR CONSUMERS. IN ADDITION TO ADVANCING THEIR TRAINING IN THE WIDE ARRAY OF EBPS CURRENTLY AVAILABLE, PROVIDERS WILL RECEIVE ADDITIONAL TRAINING IN EBPS THAT SPECIFICALLY ADDRESS THE NEEDS OF UNDERSERVED INDIVIDUALS, INCLUDING THE GERIATRIC POPULATION, THE LGBTQ+ COMMUNITY, AND VETERANS AND MILITARY FAMILIES. OUR REGION IS RANKED IN THE TOP 25% OF "MOST DISADVANTAGED" AREAS BY THE AREA DEPRIVATION INDEX AND RESULTS FROM RECENT SURVEYS AND FOCUS GROUPS CONDUCTED BY BRADFORD REGIONAL MEDICAL CENTER FOUND THAT IN THE PAST YEAR, 30.8% OF RESPONDENTS WENT WITHOUT NEEDED MEDICAL CARE, 60% DIDN'T RECEIVE CARE BECAUSE OF LACK OF LOCAL PROVIDERS/SPECIALISTS AND 63.6% IDENTIFIED ACCESS TO QUALITY HEALTHCARE AS A TOP COMMUNITY PROBLEM. AS PART OF A COMMUNITY-WIDE TEAM SEEKING TO IMPROVE SOCIAL DETERMINANTS OF HEALTH FOR RESIDENTS IN OUR CATCHMENT AREA, THE GUIDANCE CENTER WILL IMPROVE CARE COORDINATION AND ENRICH THE QUALITY AND FREQUENCY OF COLLABORATION BETWEEN LOCAL HEALTH CARE PROVIDERS AND OTHER COMMUNITY PARTNERS, INCLUDING THE VETERAN'S ADMINISTRATION, SCHOOLS, AND CRIMINAL JUSTICE SYSTEMS. TO INCREASE OPPORTUNITIES FOR CONSUMERS TO BE DIRECTLY INVOLVED WITH POLICY-MAKING, PROGRAM DEVELOPMENT, AND OPERATIONAL DECISION-MAKING PROCESSES, THE GUIDANCE CENTER WILL INCREASE THE PERCENTAGE OF CONSUMERS/FAMILY MEMBERS INVOLVED WITH ADVISORY WORK GROUPS AND AGENCY COMMITTEES, UTILIZE MEASUREMENT-BASED DATA AND CONSUMER FEEDBACK TO IMPROVE THE QUALITY OF THE SERVICES OFFERED, AND UPGRADE OUR HEALTH INFORMATION TECHNOLOGY TO ALLOW CONSUMERS TO MORE EASILY ACCESS THEIR OWN HEALTH RECORD AND TO IMPROVE OUR ABILITY TO MEANINGFULLY COORDINATE CARE AND SHARE HEALTH INFORMATION ACROSS PROVIDER SYSTEMS.

THE PURPOSE OF COOPERATIVE AGREEMENT PROJECT (CAP) 0005 IS TO PROVIDE GOVERNMENT SUPPORT TO CRASH AVOIDANCE METRICS PARTNERS, LLC FOR THE SECURITY CREDENTIAL MANAGEMENT SYSTEM (SCMS) PROOF-OF-CONCEPT (POC) OPERATIONS PROJECT. THIS RESEARCH WILL ESTABLISH AN OPERATIONAL VERSION OF THE SCMS POC THAT WILL PROVIDE SECURITY FOR VEHICLE-TO-VEHICLE (V2V) AND VEHICLE-TO-INFRASTRUCTURE (V2I) COMMUNICATION TECHNOLOGY.

SEE NOTICE OF AWARD, ATTACHMENT 1 - TERMS AND CONDITIONS, ATTACHMENT D-STATEMENT OF WORK, ABSTRACT.

SOUTH SHORE GUIDANCE CENTER CCBHC EXPANSION WILL INCREASE ACCESS TO TRAUMA-INFORMED OUTPATIENT MH/SUD SERVICES; IMPROVE HEALTH AND MONITORING OUTCOMES; EXPAND CRISIS SERVICES FOR CHILDREN AND ADULTS. - SOUTH SHORE CHILD GUIDANCE (SSCGC) PROPOSES TO EXPAND ITS CURRENT SERVICES THROUGH THE CCBHC DELIVERY MODEL TO SERVE CHILDREN, ADOLESCENTS, AND ADULTS WITH SERIOUS MENTAL ILLNESS (SMI), SUBSTANCE USE DISORDER (SUD), AND/OR CO-OCCURRING DISORDERS (COO), AS WELL AS CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED). OUR POPULATION OF FOCUS IS FOREIGN-BORN RESIDENTS WITH HISTORIES OF TRAUMA, LIMITED ENGLISH PROFICIENCY, AND POVERTY. OUR PROJECT GOALS AND OBJECTIVES ARE ALIGNED WITH THE CCBHC'S PRIORITIES OF INCREASING ACCESS, STABILIZING INDIVIDUALS IN CRISIS, AND PROVIDING NEEDED SERVICES FOR THOSE WITH THE MOST COMPLEX MENTAL HEALTH (MH) DISORDERS AND SUD. OUR SPECIFIC GOALS INCLUDE INCREASING ACCESS TO CULTURALLY COMPETENT, TRAUMA-INFORMED OUTPATIENT BEHAVIORAL HEALTH (BH) SERVICES; IMPROVING HEALTH MONITORING AND OUTCOMES; EXPANDING SERVICES FOR INDIVIDUALS WITH SUD AND COO, ESPECIALLY THOSE WITH TRAUMA HISTORIES; AND INCREASING CRISIS INTERVENTION BH SERVICES. WE PLAN TO ACHIEVE THESE GOALS THROUGH INCREASING THE AVAILABILITY, TIMELINESS, AND QUALITY OF OUR SERVICES. OUR STRATEGIES INCLUDE EXPANDING OUR CAPACITY FOR PROVIDING OUTPATIENT BH TREATMENTS, ESPECIALLY FOR CHILDREN, THROUGH INCREASING OUR CLINIC AND SCHOOL DISTRICT-BASED CLINICAL TEAMS; EXPANDING OUR CRISIS INTERVENTION SERVICES THROUGH INCREASING OUR SERVICE HOURS FOR OUR MOBILE CRISIS TEAM; ENHANCING OUR CLINICIANS' TRAINING IN CULTURAL COMPETENCE, EVIDENCE-BASED, TRAUMA-FOCUSED PSYCHOTHERAPIES AND OTHER EVIDENCED-BASED PRACTICES; PROVIDING TRAUMA-INFORMED SERVICES FOR CLIENTS WITH MH, SUD, COO, SED AND SMI; INITIATING BH SERVICES FOR ACTIVE MILITARY PERSONNEL AND VETERANS; INCREASING SCREENING OF PHYSICAL HEALTH FACTORS AND CONDITIONS, SUCH AS HIV, HEPATITIS, AND TOBACCO USE, AND BEHAVIORAL HEALTH FACTORS AND CONDITIONS, INCLUDING POST-TRAUMATIC STRESS SYMPTOMS AND ILLICIT SUBSTANCE USE; FORMALIZING OUR PARTNERSHIPS WITH LONG ISLAND FQHC, CENTRAL NASSAU GUIDANCE, AND OTHER DESIGNATED COLLABORATING ORGANIZATIONS (DCOS); AND BEGINNING TO UTILIZE A HEALTH INFORMATION EXCHANGE WITH OUR DCOS TO BETTER MANAGE CLIENT CARE TRANSITIONS. DURING YEARS 1 AND 2 OF THE PROPOSED GRANT, WE WILL SERVE 2,385 AND 3,000 CLIENTS RESPECTIVELY; THE TOTAL NUMBER OF CLIENTS TO BE SERVED DURING THIS PROJECT IS 5,385. WE WILL MEASURE OUR SUCCESS WITH 10 QUALITY METRICS, INCLUDING INCREASING THE NUMBERS AND PERCENTAGES OF OUR CLIENTS WHO ARE SCREENED FOR HIV, VIRAL HEPATITIS, SUBSTANCE USE, AND TRAUMA HISTORIES; THE NUMBERS AND PERCENTAGES OF CLIENTS WHO UNDERGO AN ANNUAL PRIMARY CARE EXAM; AND THE NUMBERS OF OUR CLINICIANS WHO RECEIVE CERTIFICATION IN EVIDENCE-BASED, TRAUMA-FOCUSED THERAPIES.

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.

TGC CCBHC-E 2020

IMPROVING ACCESS TO BEHAVIORAL HEALTH FOR THE UNDERSERVED OF WESTCHESTER COUNTY

EXPANDING ENHANCED ACCESS TO COMPREHENSIVE CARE IN WESTCHESTER COUNTY - THE GUIDANCE CENTER OF WESTCHESTER (TGCW) PROPOSES CONTINUED CCBHC IMPROVEMENT AND ADVANCEMENT WITH FUNDING OF THIS PROPOSAL. WITH THIS FUNDING, WE WILL SERVE ADULTS AND CHILDREN SEEKING BEHAVIORAL HEALTH SERVICES IN THE MOST ETHNICALLY DIVERSE COMMUNITY OF WESTCHESTER, FOR POPULATIONS EXPERIENCING GREATER DISPARITIES, CHALLENGING SDOH, AND IN A MUA/HPSA. THE COVID-19 PANDEMIC HAS EXASPERATED WORKFORCE SHORTAGES AND THE MENTAL HEALTH AND TRAUMATIC EXPERIENCES OF OUR COMMUNITY. TGCW WILL EXPAND AWARENESS OF OUR SERVICES AND INCREASE WALK-IN ACCESS IN TWO LOCATIONS; ENHANCE OUTREACH, ENGAGEMENTS AND PEER SUPPORT SERVICES TO OVERCOME BARRIERS TO TREATMENT; EXPAND ACCESS TO INTEGRATED PRIMARY CARE, INCLUDING SCREENING AND MONITORING FOR HIV AND HEPATITIS; EXPAND ACCESS TO TARGETED CASE MANAGEMENT, INCLUDING INTENSIVE COMMUNITY-BASED MENTAL HEALTH CARE FOR PARTICIPANTS AND VETERANS; AND IMPROVE WORKFORCE ENGAGEMENT AND TRAINING. TGCW MEETS ALL SAMHSA CCBHC REQUIREMENTS, AND SEVERAL WILL BE IMPROVED AND ENHANCED WITH THIS FUNDING. EVIDENCE-BASED PRACTICES ARE UTILIZED THROUGHOUT OUR SERVICE SYSTEM, AND WE WORK TO ENSURE ALL PRACTICES ARE CULTURALLY RESPONSIVE AND ENGAGING TO THE MULTICULTURAL COMMUNITY WE SERVE. TGCW'S MISSION IS TO IMPROVE THE WELL-BEING OF PEOPLE OF ALL AGES THROUGH INNOVATIVE AND EFFECTIVE PROGRAMS THAT ENABLE EVERYONE TO LEARN, WORK, AND THRIVE. FOUNDED IN 1942, TGCW OFFERS PROGRAMS IN SIX AREAS: COLLEGE AND CAREER DEVELOPMENT, EARLY CHILDHOOD EDUCATION, SUBSTANCE USE TREATMENT, VOCATIONAL ASSESSMENT, HOUSING WITH CASE MANAGEMENT, AND MENTAL HEALTH SERVICES. TGCW SERVES OVER 5,000 PEOPLE EACH YEAR, HAS A BUDGET OF $23 MILLION, AND HAS 242 DEDICATED EMPLOYEES. TGCW HAS A ROBUST DATA COLLECTION AND QUALITY IMPROVEMENT STRUCTURE AND FOLLOWS STRICT HIPPA PRIVACY, SECURITY, AND DATA CONFIDENTIALITY PROTOCOLS. TGCW SYSTEMATICALLY COLLECTS, ABSTRACTS, AND ANALYZES DATA TO INFORM QUALITY INITIATIVES RELATED TO HEALTHCARE ACCESS, OPERATIONS, CLINICAL OUTCOMES, AND CLIENT PERCEPTIONS OF CARE. WE WILL EXTEND THE SAME ROBUST DATA COLLECTION AND REPORTING PROCESS AND TOOLS TO THE DATA COLLECTION AND PERFORMANCE MEASUREMENT REQUIRED FOR THIS ENHANCEMENT.

OGC CCBHC EXPANSION PROJECT - THE OGC CCBHC EXPANSION PROJECT SEEKS TO DEVELOP AN ASSERTIVE COMMUNITY TREATMENT TEAM (ACT) AND INTEGRATED CARE CLINIC TO ENHANCE ITS COMPREHENSIVE SERVICE ARRAY TO MORE FULLY MEET THE NEEDS OF THE INDIVIDUALS IN WASHINGTON AND BENTON COUNTIES. THE POPULATIONS OF FOCUS INCLUDE THE SERIOUSLY MENTALLY ILL WITH CO-OCCURRING HEALTH AND/OR SUBSTANCE USE DIAGNOSES AND THE GROWING MARSHALLESE AND LATINX COMMUNITIES. ARKANSAS HAS THE LARGEST POPULATION OF MARSHALLESE OUTSIDE THE MARSHALL ISLANDS AND A GROWING LATINX POPULATION BOTH ATTRACTED BY LOW UNEMPLOYMENT AND FACTORY WORK. WASHINGTON AND BENTON COUNTIES ARE THE HOME TO SEVERAL LARGE EMPLOYERS (INCLUDING WALMART AND TYSON FOODS) AND HAVE A POPULATION OF OVER 500,000. WHILE THIS IS A MORE DEMOGRAPHICALLY DIVERSE AREA OF ARKANSAS IT IS ALSO REFLECTIVE OF THE STATE’S LARGE NUMBER OF SERIOUSLY MENTALLY ILL INCLUDING THOSE WITH SUBSTANCE USE PROBLEMS. ARKANSAS RATE OF SERIOUS MENTAL ILLNESS IS HIGHER THAN THE US AVERAGE. AND, STRIKINGLY, IN 2017 ARKANSAS WROTE 105.4 OPIOID PRESCRIPTIONS FOR EVERY 100 PERSONS AT NEARLY DOUBLE THE US AVERAGE. OGC HAS BEGUN A MEDICATION ASSISTED TREATMENT TO INCLUDE BUPRENORPHINE AND SUBOXONE AND HAS 13 CLIENTS CURRENTLY. THIS GRANT WOULD FURTHER DEVELOP THE PROGRAM AND PROVIDE RURAL OUTREACH OPPORTUNITIES. OGC’S BEHAVIORAL HEALTH AGENCY IN BAXTER COUNTY WILL ACT AS A DESIGNATED COLLABORATING AGENCY PROVIDE OPIOID TREATMENT IN THIS UNDERSERVED RURAL AREA OF THE STATE. HEALTH DISPARITY ESPECIALLY IN THE FORM OF POVERTY CONTRIBUTES TO THE HIGH RATE OF HEALTH PROBLEMS INCLUDING OBESITY, HYPERTENSION, AND DIABETES. WHILE THERE ARE OTHER PROVIDERS IN THIS AREA, THE CARE AVAILABLE FOR THE SERIOUSLY MENTALLY ILL POPULATION IS FRAGMENTED. THERE ARE NO ACT TEAMS OR INTEGRATED CARE CLINICS - DESIGNED TO MEET THE NEEDS OF THE SERIOUSLY MENTALLY ILL. IN ADDITION TO DEVELOPING AN ACT TEAM, OGC WILL PARTNER WITH TWO FEDERALLY QUALIFIED HEALTH CENTERS TO PROVIDE INTEGRATED CARE. OGC SERVED 15,361 UNDUPLICATED CLIENTS IN WASHINGTON AND BENTON COUNTIES IN 2018 AND 2019 COMBINED. WHILE ALL OF WASHINGTON AND BENTON COUNTY CLIENTS WILL BEGIN RECEIVING CCBHC SERVICES BY THE END OF THE FOURTH MONTH OF THIS PROJECT, THIS PROJECT PLANS TO FOCUS ON A SUBSET OF APPROXIMATELY 500 INDIVIDUALS OVER TWO YEARS. SELECT GOALS AND OBJECTIVES OF THIS PROJECT INCLUDE: GOAL 1. DEVELOP ACT TEAM SERVICES THAT PROMOTE STABILIZATION AND RECOVERY FROM MENTAL ILLNESS OBJECTIVE 1. BY THE END OF YEAR ONE, THERE WILL BE A 25% REDUCTION IN HOSPITALIZATIONS FOR CLIENTS SUPPORTED BY AN ACT TEAM, MEASURED FROM THE PREVIOUS YEAR GOAL 2. IMPROVE THE MENTAL AND PHYSICAL HEALTH OF ADULTS WITH SERIOUS MENTAL ILLNESS THROUGH INTEGRATED SERVICES OBJECTIVE 1. BY THE END OF THE FIRST YEAR, CLIENT PHQ SCORES WILL DECREASE BY AN AVERAGE OF 25%. GOAL 3. INCREASE ACCESS TO COMMUNITY MENTAL AND SUBSTANCE USE DISORDER TREATMENT SERVICES TO TARGET POPULATIONS. OBJECTIVE 1. PROVIDE PEER OUTREACH TO 100% QUALIFYING LATINX AND MARSHALLESE CLIENTS BY THE END OF FIRST SIX MONTHS.

THIS NEW PROJECT ORDER NO.00001 UNDER COOPERATIVE AGREEMENT NO. DTNH22-14-H-00449 "DEVELOPMENT OF VEHICLE-TO-VEHICLE CRASH AVOIDANCE AND OTHER VEHICLE SAFETY TECHNOLOGIES" IS PART OF THE VEHICLE TO VEHICLE COMMUNICATIONS RESEARCH BEING JOINTLY CONDUCTED BY NHTSA AND THE RITA ITS JOINT PROGRAM OFFICE.

CCBHC EXPANSION GRANT

CCBHC TRANSFORMATION PROJECT - THE FAMILY SERVICES AND GUIDANCE CENTER (FSGC) OF TOPEKA’S PROPOSED PROJECT, CCBHC TRANSFORMATION, SEEKS TO EXPAND ACCESS TO COMPREHENSIVE, EVIDENCE-BASED, TRAUMA-INFORMED AND PERSON AND FAMILY CENTERED CARE AMONG AN UNDERSERVED POPULATION OF FOCUS: CHILDREN, YOUTH AND YOUNG ADULTS WITH SERIOUS EMOTIONAL DISTURBANCE(SED), SERIOUS MENTAL ILLNESS(SMI), SUBSTANCE USE DISORDERS (SUD) AND CO-OCCURRING DISORDERS (COD) IN SHAWNEE COUNTY, KS. NATIONALLY, ONLY 40% OF YOUTH <18 AND 33% OF YOUNG ADULTS 18-25 WHO NEED BEHAVIORAL HEALTH CARE RECEIVE IT (SAMHSA.GOV), AND FSGC IS THE ONLY CERTIFIED COMMUNITY MENTAL HEALTH CENTER THAT PROVIDES PSYCHIATRY AND CERTAIN OTHER BH SERVICES TO YOUTH UNDER 18 IN THE CATCHMENT AREA (CA) OF SHAWNEE COUNTY. THE CA HAS HIGHER RATES OF POVERTY THAN STATE AVERAGES, WITH 53% OF STUDENTS QUALIFYING FOR FREE/REDUCED LUNCH (KIDS COUNT). NEARLY 25% OF KS YOUNG ADULTS AGED 18-25 REPORTED ILLICIT DRUG USE IN THE PAST 30 DAYS (2019-20 NSDUH). COVID HAS AMPLIFIED EXISTING BH PROFESSIONAL SHORTAGES (PRE-COVID: 1.7 PER 100,000 RESIDENTS) WHILE GREATLY INCREASING NEED. TRANSITION AGED YOUTH (TAY) AGED 16-25 ARE AT PARTICULAR RISK OF BECOMING LOST TO CARE, DESPITE HIGH RATES OF BH NEED AND RISK, INCLUDING LIKELIHOOD OF 1ST EPISODE PSYCHOSIS. FSGC’S PROPOSED PROJECT WILL HIRE AND RETAIN CLINICAL STAFF, IN ORDER TO DECREASE WAIT TIMES FROM INTAKE TO FIRST OUTPATIENT APPOINTMENT TO 10 DAYS OR LESS, IMPROVING ACCESS TO MH, SUD AND COD CARE TO MEETING GROWING NEED IN THE CA. HIRING WILL INCREASE ACCESS TO TARGETED CASE MANAGEMENT (TCM) TO 80% OF CONSUMERS WHO ENTER CARE THROUGH OR FREQUENTLY USE CRISIS SERVICES IN YEAR 1, AND TO 80% OF CONSUMERS WITH COD AND OF TAYS IN YEAR 2. FSGC IS EXPANDING ACCESS TO INTEGRATED SUD AND MH CARE, AN EVIDENCE BASED PRACTICE, WITH 100 ADDITIONAL TREATMENT HOURS PROVIDED TO CONSUMERS WITH COD IN YEAR 1, AS WELL AS OTHER RECOVERY ORIENTED SERVICES AND TREATMENT PLANNING. WE WILL TRAIN STAFF IN THE UNIQUE NEEDS OF TAYS, INCLUDING RECOGNIZING AND RESPONDING TO FIRST EPISODE PSYCHOSIS, BUILDING SKILLS FOR INDEPENDENT LIVING, AND TRANSITION PLANNING. EXPANSIONS TO THE TAY PROGRAM WILL INCLUDE: HIRING A TAY PEER SPECIALIST, INCREASE ACCESS TO TCM AND ENSURE PERSON-IDENTIFIED GOALS ARE INCLUDED IN TAY TREATMENT PLANS, INCLUDING GOALS FOR ADULT/INDEPENDENT LIVING. WE WILL IMPLEMENT ONSITE HEALTH SCREENINGS BY TRAINING OUTPATIENT CLINICIANS AND DIRECT SERVICE STAFF TO COLLECT AND MONITOR KEY HEALTH INDICATORS, WITH OVERSIGHT PROVIDED BY AN ADVANCED PRACTICE NURSE PRACTITIONER (APRN). THESE SERVICE IMPROVEMENTS WILL BE SUPPORTED BY IMPLEMENTING A NEW ELECTRONIC HEALTH RECORD (EHR), DESIGNED TO ENHANCE CARE COORDINATION AND TRANSITION PLANNING BY PROVIDING POINT OF SERVICE ACCESS TO CONSUMER RECORDS, TREATMENTS AND TRANSITION PLANS, AND FACILITATE COLLECTION OF ENCOUNTER, OUTCOME AND QUALITY DATA ON THE BACK END. WE WILL IMPLEMENT A YOUTH, FAMILY AND COMMUNITY ADVISORY BOARD, INCLUDING AT LEAST TWO TAYS, TO GUIDE PROJECT AND OTHER FSGC ACTIVITIES. SUPERVISION WILL ENSURE FIDELITY TO THE MANY EVIDENCE-BASED PRACTICES SELECTED FOR USE AT FSGC. THE TRANSITION TO A CCBHC STRUCTURE WILL BE OVERSEEN BY A PROJECT DIRECTOR WITH OVER 20 YEARS’ EXPERIENCE IN COMMUNITY MENTAL HEALTH QUALITY IMPROVEMENT, WHO WILL LEAD AN INTERNAL CCBHC WORKING GROUP TO ENSURE COMPLIANCE WITH ALL STATE AND CCBHC CERTIFICATION CRITERIA. WE WILL SERVE A TOTAL OF AT LEAST 625 UNDUPLICATED CONSUMERS WITH 125 SERVED IN YEAR 1; 150 IN YEAR 2; 175 IN YEAR 3; AND 200 IN YEAR 4.

COMMUNITY MENTAL HEALTH CENTERS GRANT PROGRAM - THE COMMUNITY MENTAL HEALTH CENTERS (CMHC) GRANT PROGRAM AT THE GUIDANCE CENTER (TGC) IS CRAFTED TO ENSURE A COMPREHENSIVE RANGE OF EVIDENCE BASED BEHAVIORAL HEALTH SERVICES AND PROGRAMS ARE MADE AVAILABLE TO CITIZENS OF OUR SERVICE AREA. WITH A FOCUS ON IMMEDIATE ACCESSIBILITY, HIGH QUALITY, TRAUMA-INFORMED AND OUTCOME-BASED SOLUTIONS, OUR CLIENTS ACHIEVE AND SUSTAIN OVERALL IMPROVED MENTAL WELLNESS. IN ADDITION, WE SEEK TO PROVIDE APPROPRIATE HEALTH SCREENING AND EARLY INTERVENTION. TGC'S CCBHC EXPANSION GRANT WILL SERVE THE POPULATIONS OF LEAVENWORTH, ATCHISON, AND JEFFERSON COUNTIES IN KANSAS. WITH SAMHSA FUNDS, WE PLAN TO SERVE APPROXIMATELY 1,000 UNDUPLICATED CLIENTS ANNUALLY. TGC'S PATIENT POPULATION INCLUDES CHILDREN WHO EXPERIENCE SERIOUS EMOTIONAL DISTURBANCE (SED), ADULTS WITH SEVERE AND PERSISTENT MENTAL ILLNESS (SPMI), AND CLIENTS WITH SUBSTANCE USE DISORDER (SUD). WE HAVE AN ACCESS CLINIC AVAILABLE FIVE DAYS A WEEK FOR WALK-IN CLIENTS AND 24 HOUR, 7 DAY A WEEK CRISIS SERVICES AVAILABLE. TGC IS THE PRIMARY BEHAVIORAL HEALTH PROVIDER IN THE REGION AND WE SEE ALL CLIENTS REGARDLESS OF THEIR ABILITY TO PAY. TGC'S MEDICAL SERVICES PROVIDE PSYCHIATRIC MEDICATION MANAGEMENT, PSYCHOTROPIC INJECTIONS, AND CLINICAL MONITORING FOR ADVERSE EFFECTS THROUGH ON-SITE AND TELEHEALTH PROVIDERS. OUR LEAVENWORTH LOCATION HAS AN ON-SITE PHARMACY. TGC PROVIDES 24/7 CRISIS RESPONSE, STABILIZATION, AND CRISIS PLANNING SERVICES. QMHPS PROVIDE SCREENING, ASSESSMENT, AND DIAGNOSIS SERVICES AND PATIENT-CENTERED TREATMENT PLANNING. TGC HAS ROBUST PROGRAMMING FOR CHILDREN AND ADULTS. TGC HAS FIVE GOALS FOR THIS GRANT. FIRST, WE WILL INCREASE WAGES OF CURRENT AND PROSPECTIVE EMPLOYEES TO PROMOTE THE ATTRACTION AND RETENTION OF QUALIFIED PERSONNEL. OUR OBJECTIVES FOR THIS GOAL ARE TO REDUCE THE PERCENTAGE OF EMPLOYEE TURNOVER ATTRIBUTED TO SALARIES THROUGH THE CREATION OF MORE COMPETITIVE SALARY AND BENEFITS PACKAGES BY 30% IN YEAR 1, ATTRACT AND RETAIN QUALIFIED PERSONNEL BY CREATING MORE COMPETITIVE SALARY AND BENEFIT PACKAGES TO REDUCE THE NUMBER OF OPEN POSITIONS BY 30% IN YEAR 1, AND REDUCE THE NUMBER OF CLIENT TRANSFERS TO OTHER PROVIDERS BY 30% BY END OF YEAR 1. OUR SECOND GOAL IS TO INCREASE ACCESS TO MEDICATION MANAGEMENT AND NURSING SERVICES TO CURRENT AND PROSPECTIVE PATIENT POPULATIONS. OUR OBJECTIVES ARE TO HIRE A FULLTIME MEDICAL DIRECTOR/CHILD PSYCHIATRIST WITHIN FOUR MONTHS OF THE GRANT AWARD, HIRE A FULLTIME REGISTERED NURSE WITHIN SIXTY DAYS OF THE GRANT AWARD, AND TO INCREASE PSYCHIATRY APPOINTMENT AVAILABILITY BY 50% BY THE END OF YEAR 1. OUR THIRD GOAL IS EXPAND ACCESS TO OUTPATIENT THERAPY AND CRISIS SERVICES FOR SED STUDENTS IN SCHOOLS. OUR OBJECTIVES FOR THIS GOAL ARE TO WILL HIRE FIVE SCHOOL-BASED THERAPISTS TO WORK ONSITE AT LOCAL SCHOOLS BY THE END OF YEAR 1, TRAIN ALL YOUTH CASE MANAGEMENT STAFF IN TRAUMA-INFORMED CRISIS INTERVENTION FOR SCHOOL-BASED CLIENTS BY THE END OF YEAR 1, AND TO SEE 150 MORE SED STUDENTS FOR OUTPATIENT THERAPY AS EVIDENCED BY CLIENT CASELOAD NUMBERS. OUR FOURTH GOAL IS TO EXPAND CLIENT ACCESS TO TELEHEALTH SERVICES. OUR OBJECTIVES FOR THE FOURTH GOAL ARE TO INCREASE THE NUMBER OF ZOOM LICENSES TO INCLUDE ALL DIRECT SERVICE PROVIDERS BY THE END OF YEAR 1 AND TO HIRE A LICENSED PRACTICAL NURSE TO ASSIST CLIENTS WITH TELEHEALTH PROVIDER VISITS WITHIN SIXTY DAYS OF THE GRAND AWARD. OUR FIFTH AND FINAL GOAL IS TO INCREASE ACCESS TO CASE MANAGEMENT TO THE LEAVENWORTH SPMI HOMELESS POPULATION. OUR OBJECTIVES FOR THIS ARE TO HIRE AN ADULT CASE MANAGER FOR THE LEAVENWORTH INTERFAITH COMMUNITY OF HOPE HOMELESS SHELTER WITHIN TWO MONTHS OF THE GRANT AWARD AND TO PROVIDE CASE MANAGEMENT SERVICES TO 10 SPMI HOMELESS SHELTER CLIENTS AS EVIDENCED BY CLIENT CASELOAD NUMBERS.

CAMP CONNECTED VEHICLE SAFETY SYSTEM SECURITY CREDENTIAL MANAGEMENT SYSTEM PROOF OF CONCEPT IMPLEMENTATION PROJECT

OZARK GUIDANCE CENTER BOONE COUNTY CCBHC-PDI PROJECT - THE PURPOSE OF THE BOONE COUNTY CCBHC-PDI PROJECT IS TO EXPAND ACCESS TO COMMUNITY-BASED MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT AND SUPPORT AS WELL AS INTEGRATED CARE FOR INDIVIDUALS WITH MENTAL OR SUBSTANCE USE DISORDERS WHO SEEKS CARE, INCLUDING THOSE WITH SERIOUS MENTAL ILLNESSES (SMI), SUBSTANCE USE DISORDERS (SUD), INCLUDING OPIOID USE DISORDER; CHILDREN AND ADOLESCENTS WITH A SERIOUS EMOTIONAL DISTURBANCE (SED); INDIVIDUALS WITH A CO-OCCURRING DISORDER (COD); AND INDIVIDUALS EXPERIENCING A MENTAL HEALTH OR SUBSTANCE USE-RELATED CRISIS BY IMPLEMENTING A NEW CCBHC CLINIC IN BOONE COUNTY, ARKANSAS. OZARK GUIDANCE CENTER (OGC) AN AFFILIATE OF ARISA HEALTH IS THE STATE CONTRACTED COMMUNITY MENTAL HEALTH CENTER SERVING 8 COUNTIES IN NORTHWEST ARKANSAS. OGCS CATCHMENT AREA IS INCLUSIVE OF THE OZARK MOUNTAINS REGION, AN AREA PLAGUED WITH MANY PROBLEMS SUCH POOR HEALTH, AND MYRIAD ISSUES RELATED TO SUBSTANCE USE AND MENTAL ILLNESS. THE PROPOSED PROJECT WILL TARGET BOONE COUNTY. BOONE COUNTY IS LOCATED IN THE NORTH-CENTRAL PART OF THE STATE. THE PRIMARY SITE FOR SERVICES PROVIDED THROUGH THE PROPOSED PROJECT IS 103 E. CRANDALL AVE, HARRISON AR 72601. IN BOONE COUNTY, SOCIAL DETERMINANTS OF HEALTH CONTRIBUTE TO A WIDE VARIETY OF HEALTH DISPARITIES AND INEQUITIES AND HAVE SIGNIFICANTLY AFFECTED RESIDENTS WELL-BEING AND QUALITY OF LIFE. WITH AN ESTIMATED POPULATION OF 37,890, BOONE COUNTY HAS A 13.6 % POVERTY RATE AND HAS A DISABILITY RATE OF 14.2%. THE COUNTYS CHALLENGES ARE FURTHER COMPLICATED BY FACTORS THAT INFLUENCE THE COUNTYS OVERALL POPULATION HEALTH INCLUDING SMOKING (22.6%), ADULTS WITH FREQUENT MENTAL DISTRESS (19.0%), DEATHS OF DESPAIR (50.5/100K), ADULTS IN POOR GENERAL HEALTH (23.6%), PREVALENCE OF HEART DISEASE (6.8%), DIABETES PREVALENCE (10.1%), OBESITY PREVALENCE (33%), PREVENTABLE HOSPITAL ADMISSIONS AMONG MEDICARE BENEFICIARIES (3,939/100K), AND 10% OF THE POPULATION WITH NO HEALTH INSURANCE. ADDITIONALLY, BOONE COUNTY HAS A DOCUMENTED HOMELESS POPULATION OF 390 AND BOONE COUNTYS VIOLENT CRIME RATE (551.2/100K) OVER DOUBLES THE NATIONAL VIOLENT CRIME RATE OF 204.5/100K, OPIOID DISPENSING RATE OF 81.20 PER 100 PEOPLE, AND 464 NARCOTIC ARRESTS IN 2020-2021. THROUGH THE BOONE COUNTY CCBHC-PDI PROJECT OZARK GUIDANCE CENTER AIMS TO IMPROVE BEHAVIORAL HEALTH CARE FOR CHILDREN AND ADULTS. TO THIS END, OZARK GUIDANCE HAS IDENTIFIED 4 PROJECT GOALS. GOAL 1: INCREASE ACCESS TO, AND AVAILABILITY OF, HIGH-QUALITY COMPREHENSIVE BEHAVIORAL HEALTH SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF BOONE COUNTY RESIDENTS WITH SMIS, SEDS, SUDS AND CODS. GOAL 2: SUPPORT RECOVERY FROM MENTAL HEALTH AND SUBSTANCE USE DISORDER CHALLENGES BY PROVIDING CCBHC SERVICES AND SUPPORTS IN BOONE COUNTY. GOAL 3: DELIVER INTEGRATED CARE FOR BEHAVIORAL HEALTH AND PHYSICAL HEALTH RISKS AND NEEDS. GOAL 4: ENSURE SUSTAINABILITY OF CCBHC SERVICES IN THE TARGETED AREAS. THE PROJECT WILL HAVE A SPECIFIC FOCUS ON ADDRESSING BEHAVIORAL HEALTH DISPARITIES THAT EXIST FOR RACIAL, ETHNIC AND GENDER MINORITIES INCLUDING MARSHALLESE, LATIN AMERICANS, AND MEMBERS OF THE LGBTQIA+ COMMUNITY. MOREOVER, THE PROJECT WILL IMPROVE OUTCOMES THROUGH THE PROVISION OF EVIDENCE-BASED SERVICES AND MEASUREMENT-BASED CARE WHICH WILL HELP ENSURE SUSTAINABILITY OF SERVICES. IT IS EXPECTED THAT 75 INDIVIDUALS WILL BE SERVED ANNUALLY AND 300 INDIVIDUALS OVER THE PROJECT PERIOD. OGC IS REQUESTING $4 MILLION TO IMPLEMENT THIS PROJECT.

KANZA CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC PLANNING, DEVELOPMENT, AND IMPLEMENTATION GRANT (CCBHC-PDI) - PROJECT NAME: KANZA CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC PLANNING, DEVELOPMENT, AND IMPLEMENTATION GRANT (CCBHC-DPI) PROJECT SUMMARY: KANZA MENTAL HEALTH & GUIDANCE CENTER, INC. IS A COMMUNITY MENTAL HEALTH CENTER (CMHC) IN NORTHEASTERN KANSAS THAT PROPOSES TO ESTABLISH A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC). THIS WILL ENABLE THE AGENCY TO EXPAND AND ENHANCE ACCESS TO COMPREHENSIVE, COORDINATED BEHAVIORAL HEALTH SERVICES FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI), SERIOUS EMOTIONAL DISTURBANCE (SED), SUBSTANCE USE DISORDER (SUD), AND CO-OCCURRING DISORDERS (COD) IN BROWN, DONIPHAN, JACKSON, AND NEMAHA COUNTIES. KANZA SEEKS TO ADDRESS HEALTH DISPARITIES FACED BY INDIVIDUALS WHO ARE UNINSURED AND UNDER-INSURED AND BY THREE POPULATIONS OF FOCUS: AMERICAN INDIANS, VETERANS, AND INDIVIDUALS EXPERIENCING HOMELESSNESS. AS A LICENSED CMHC AND THE ONLY CRISIS RESOURCE IN THE FOUR-COUNTY AREA AVAILABLE 24/7, KANZA PROVIDES MANY OF THE REQUIRED CCBHC SERVICES, THOUGH THERE IS A NEED TO EXPAND THESE TO MORE INDIVIDUALS AND PROVIDE WHOLE-PERSON INTEGRATED AND COORDINATED CARE. KANZA PROPOSES TO ENHANCE EXISTING SERVICES AND ADD ADDITIONAL SERVICES TO MEET CCBHC CRITERIA BY FOCUSING ON ORGANIZATION CAPACITY, INCLUDING HIRING ADDITIONAL STAFF, PROVIDING STAFF TRAINING IN CULTURAL COMPETENCY AND EVIDENCE-BASED PRACTICES (EBPS) RELEVANT TO THE TARGET POPULATIONS, AND IMPLEMENTING A NEW ELECTRONIC HEALTH RECORD (EHR) SYSTEM, PLUS EXPANDING ITS MOBILE CRISIS SERVICES AND SUD SERVICES. POPULATION TO BE SERVED: KANZA SERVES INDIVIDUALS WITH SMI, SED, SUD, AND COD THROUGH FOUR OFFICE LOCATIONS IN BROWN, DONIPHAN, JACKSON, AND NEMAHA COUNTIES IN KANSAS. ALL FOUR FEDERALLY-RECOGNIZED AMERICAN INDIAN TRIBES IN KANSAS ARE LOCATED IN THE REGION. BROWN AND JACKSON COUNTIES, IN PARTICULAR, HAVE LARGE AMERICAN INDIAN POPULATIONS (9.5% AND 8.9%, RESPECTIVELY). APPROXIMATELY 2,766 VETERANS LIVE IN THE REGION, REPRESENTING 1.7% OF THE STATE’S TOTAL VETERAN POPULATION. ADDITIONALLY, THE RATES OF RESIDENTS UNDER THE AGE OF 65 WITHOUT HEALTH INSURANCE IN THREE OF THE FOUR COUNTIES EXCEED THE NATIONAL AVERAGE. THROUGH THIS PROJECT, KANZA WILL EMPHASIZE REACHING AND SERVING INDIVIDUALS WHO EXPERIENCE SIGNIFICANT BARRIERS TO ACCESSING THE SERVICES THEY NEED; THIS INCLUDES THOSE WHO ARE UNINSURED OR UNDER-INSURED, AN INCREASING NUMBER OF THE AGENCY’S CLIENTS THAT ARE FROM LOW-INCOME HOUSEHOLDS AND EXPERIENCING HOMELESSNESS, AS WELL AS AMERICAN INDIANS AND VETERANS. STRATEGIES/INTERVENTIONS: GRANT FUNDS WILL SUPPORT THE EXPANSION OF SERVICES OFFERED AND THE USE OF EBPS, SUCH AS ASSERTIVE COMMUNITY TREATMENT (ACT), MEDICATION-ASSISTED TREATMENT (MAT), AND INDIVIDUAL PLACEMENT AND SUPPORT (IPS). MOST SIGNIFICANTLY, KANZA WILL ENHANCE ITS EXISTING MOBILE CRISIS SERVICES, INCREASING ACCESS TO INDIVIDUALS REGARDLESS OF THEIR LOCATION, AND SUD SERVICES, PROVIDING ASSESSMENT AND TREATMENT TO FIT INDIVIDUAL NEEDS. KANZA WILL BUILD ORGANIZATIONAL CAPACITY THROUGH ADDITIONAL FULL-TIME AND CONTRACTED PART-TIME PERSONNEL, TARGETED STAFF TRAINING, AND A NEW EHR THAT WILL IMPROVE DATA COLLECTION AND PATIENT OUTCOME TRACKING. GOALS AND OBJECTIVES: THE GOALS OF THIS PROJECT ARE TO INCREASE ORGANIZATIONAL CAPACITY TO DELIVER AND TRACK HIGH-QUALITY CCBHC SERVICES; TO INCREASE CCBHC SERVICE PENETRATION INTO AND PROVIDE HIGH-QUALITY SERVICES FOR THE TARGETED POPULATIONS; AND TO IMPROVE ACCESS TO CARE THROUGH ENHANCED MOBILE CRISIS SERVICES AND SUD SERVICES TO INDIVIDUALS IN THE REGION. KANZA PROPOSES TO SERVE A TOTAL OF 1,575 UNDUPLICATED INDIVIDUALS THROUGHOUT THE FOUR-YEAR PERIOD OF PERFORMANCE.

OUR PROJECT WILL SPECIFICALLY TARGET THE NEEDS OF OUR POF TO INCREASE ACCESS AND ADDRESS THEIR BH AND SOCIAL DETERMINANT OF HEALTH (SDOH) DISPARITIES. - SOUTH SHORE GUIDANCE CENTER (SSGC) IS AN OUTPATIENT BEHAVIORAL HEALTH (BH) CLINIC LICENSED BY NEW YORK (NY) TO PROVIDE MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES FOR CHILDREN AND ADULTS IN NASSAU COUNTY. SSGC SERVES INDIVIDUALS OF ALL AGES, REGARDLESS OF THEIR ABILITY TO PAY AND WAS CERTIFIED AS A CERTIFIED COMMUNITY BH CLINIC (CCBHC) IN 2021. IN 2022, SSGC PROVIDED BH SERVICES TO MORE THAN 3,500 CHILDREN AND ADULTS IN THE MOST DIVERSE AND ECONOMICALLY DISTRESSED COMMUNITIES OF NASSAU COUNTY. SSGC'S POPULATION OF FOCUS (POF) CONSISTS OF THE LARGE NUMBER OF FOREIGN BORN CHILDREN AND ADULTS IN THE TOWNS OF BALDWIN, FREEPORT, HEMPSTEAD, ROOSEVELT AND UNIONDALE WHO LACK ENGLISH PROFICIENCY AND ARE UNDERSERVED FOR BH TREATMENT FOR SEVERE EMOTIONAL DISTRESS (SED), SERIOUS MENTAL ILLNESS (SMI), SUD MH, AND TRAUMA. OUR PROJECT WILL SPECIFICALLY TARGET THE NEEDS OF OUR POF TO INCREASE ACCESS AND ADDRESS THEIR BH AND SOCIAL DETERMINANTS OF HEALTH (SDOH) DISPARITIES. OUR CCBHC IMPROVEMENT AND ADVANCEMENT PROJECT WILL FURTHER INCREASE ACCESS, PATIENT ENGAGEMENT, AND CARE COORDINATION FOR CHILDREN AND ADULTS IN NASSAU COUNTY'S MOST UNDERSERVED COMMUNITIES, PARTICULARLY FOR THOSE WHO ARE FOREIGN BORN AND LACK ENGLISH PROFICIENCY. OUR MEASURABLE OBJECTIVES ALIGN WITH THREE MAIN GOALS: (1) INCREASE ACCESS TO INTEGRATED SERVICES FOR INDIVIDUALS WITH COMPLEX NEEDS INCLUDING SDOH NEEDS; (2) FURTHER EXPAND ACCESS TO CULTURALLY APPROPRIATE SERVICES, PARTICULARLY FOR CHILDREN AND THEIR FAMILIES; AND (3) EXPAND MEANINGFUL CONSUMER INVOLVEMENT IN CCBHC PROGRAMMING AND PLANNING EFFORTS. UNDER THIS PROJECT, SSGC WILL IMPLEMENT ALL REQUIRED ACTIVITIES, INCLUDING (1) LOOKING ACROSS CURRENT CCBHC SERVICES TO ADOPT AND COMPLY WITH REVISED CRITERIA PUBLISHED BY SAMHSA; (2) PROVIDE ALL NINE CORE CCBHC SERVICES DIRECTLY OR IN PARTNERSHIP; (3) CONDUCT REQUIRED COMMUNITY NEEDS ASSESSMENTS; (4) COMPLETE AN ATTESTATION DEMONSTRATING SSGC HAS MET ALL CCBHC CERTIFICATION CRITERIA; (5) IMPLEMENT STRATEGIES TO MEANINGFULLY INVOLVE CONSUMERS AND FAMILY MEMBERS IN THE PLANNING AND DEVELOPMENT OF CCBHC PROGRAMMING AND SERVICES; (6) IMPLEMENT ADDITIONAL CCBHC SUSTAINABILITY STRATEGIES: AND (7) PARTICIPATE IN SAMHSA CCBHC TECHNICAL ASSISTANCE ACTIVITIES. SSGC WILL ALSO IMPLEMENT THE ALLOWED ACTIVITY OF MEASUREMENT BASED CARE FOR ALL PATIENTS SERVED BY OUR CCBHC.

FORTIFICATION OF COMMUNITY MENTAL HEALTH SERVICES, NASSAU/SUFFOLK (NY) - WORKING WITH PARTNERS, LED BY CN GUIDANCE & COUNSELING SERVICES—A COMMUNITY-BASED BEHAVIORAL HEALTH CENTER IN A REGION SEVERELY IMPACTED BY COVID-19—THIS PROJECT WILL UPHOLD LOCAL CAPACITY TO DELIVER AND ENHANCE CLINICAL SERVICES TO EFFECTIVELY ADDRESS THE NEEDS OF INDIVIDUALS WITH SERIOUS EMOTIONAL DISTURBANCE (SED), SERIOUS MENTAL ILLNESS (SMI), AND INDIVIDUALS WITH CO-OCCURRING DISORDERS (COD, INCLUDING SUBSTANCE USE). COMPARED TO OUR REGION’S GENERAL POPULATION, OUR TARGET POPULATION DISPROPORTIONATELY COMPRISES ADULTS, ADOLESCENTS, AND CHILDREN WHO ARE ECONOMICALLY DISADVANTAGED AND WHO FACE UNMET NEEDS THAT INCLUDE: TIMELY ACCESS TO BEHAVIORAL HEALTH INTERVENTION, (B) TREATMENT FOR THE MENTAL HEALTH IMPACT OF THE PANDEMIC; (C) TREATMENT FOR WORSENING OF PRE-EXISTING MENTAL HEALTH AND SUBSTANCE USE CONDITIONS; (D) ACCESS TO TIMELY MEDICATIONS (INCLUDING INJECTABLES); AND/OR (E) INCREASED CRISIS RESOURCES AND OTHER MENTAL HEALTH / SUBSTANCE USE SERVICES THAT FEEL EASY AND SAFE TO ACCESS. THE DESIRED OUTCOMES FOR THIS PROGRAM ARE: (A) UNINTERRUPTED AND EXTENSIVE OUTREACH TO THE POPULATION OF FOCUS; (B) UNINTERRUPTED OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE TREATMENT AND REFERRAL TO OTHER NEEDED SERVICES, TO BE RECEIVED BY THE POPULATION OF FOCUS; (C) INCREASED NUMBER OF INDIVIDUALS IN THE MENTAL HEALTH AND RELATED WORKFORCE TRAINED IN MENTAL HEALTH-RELATED PRACTICES AND ACTIVITIES; AND (D) RESILIENCE OF KEY INDICATORS SPANNING RETENTION IN TREATMENT, HOUSING STABILITY, SOCIAL CONNECTEDNESS, AND OTHER SOCIAL DETERMINANTS OF HEALTH. THIS FUNDING WILL ENABLE CN GUIDANCE/OUR COMMUNITY TO: (1) PROVIDE UNINTERRUPTED OUTPATIENT SERVICES FOR LOCAL INDIVIDUALS WITH SED, SMI, AND COD; (2) BOOST INFRASTRUCTURE TO PROVIDE TELEHEALTH; (3) PROVIDE TRAUMA-INFORMED, EVIDENCE-BASED SCREENING, ASSESSMENT, DIAGNOSIS, AND TREATMENT PLANNING AND DELIVERY; (4) PROVIDE CLINICAL AND RECOVERY SUPPORT SERVICES; (5) DEVELOP AND PROVIDE RESOURCES TO ADDRESS THE MENTAL HEALTH NEEDS OF BEHAVIORAL HEALTH CLINIC STAFF; (6) EXPAND THE CAPACITY TO ADDRESS CRISIS/EMERGENCY RESPONSE; AND (7) EXPAND CAPACITY OF CRISIS BEDS AND ASSOCIATED SUPPORTS. IN A COORDINATED WAY, THIS PROJECT WILL USE EVIDENCE-BASED TOOLS (SUCH AS THE COLUMBIA SUICIDE SEVERITY RATING SCALE, PHQ-9, DAST, AND AUDIT-C) TO SCREEN INDIVIDUALS IN THE POPULATION OF FOR POSSIBLE SUBSTANCE USE DISORDERS (ALCOHOL, OPIOIDS, AND VARIOUS OTHERS), DEPRESSION, SUICIDE RISK, AND/OR CO-OCCURRING DISORDERS. IT WILL ALSO DEPLOY EVIDENCE-BASED PRACTICES IN BEHAVIORAL HEALTH (TAILORED TO EACH CLIENT), INCLUDING BUT NOT LIMITED TO: (1) STANLEY-BROWN SAFETY PLAN; (2) MOTIVATIONAL INTERVIEWING; (3) PEER SUPPORT; AND/OR (4) INTEGRATED TREATMENT FOR CO-OCCURRING DISORDERS, INCLUDING LINKAGE TO MEDICATION-ASSISTED TREATMENT (MAT) WHEN APPROPRIATE. OVER TWO YEARS, THIS PROJECT WILL CONTACT/ENGAGE 1,000 INDIVIDUALS EXPERIENCING SED, SMI, OR COD, SERVING AT LEAST 600 OF THEM WITH OUTPATIENT BEHAVIORAL HEALTH SERVICES, PROVIDING 100% OF CLIENTS WITH TRAUMA-INFORMED CARE AND OFFERING ALL CLIENTS A CHOICE OF RECEIVING SERVICES VIA AUDIO OR AUDIO-VISUAL HIPAA-COMPLIANT TELEHEALTH.

TRAUMA INFORMED ANTI-RACIST (TIAR) WHOLE FAMILY APPROACH TO CARE. - CLIFFORD BEERS (CB), A 107 YEAR OLD INSTITUTION PROVIDING TRAUMA INFORMED MENTAL HEALTH SERVICES FOR CHILDREN AND ADULTS THROUGHOUT THE LIFESPAN HAS BEEN STRATEGICALLY GROWING ITS WHOLE FAMILY, TRAUMA INFORMED INTEGRATED CARE, MODEL OF CARE DESIGNED TO REDUCE CHRONIC STRESS. FOCUSING OUR WORK ON THE SYSTEMIC AND STRUCTURAL CHANGES RELATED TO THE DELIVERY OF MENTAL HEALTH SERVICES, THIS PROJECT PROPOSES TO DEVELOP AND IMPLEMENT AND INFUSE ANTI-RACIST TRAINING IN OUR MODEL OF CARE, DEVELOPING A TOOL KIT FOR REPLICATION OF TRAUMA INFORMED ANTI-RACIST (TIAR) WHOLE FAMILY APPROACH TO CARE. THE MAIN PURPOSE OF THE PROJECT IS TO INTEGRATE WHOLE FAMILY ANTI-RACIST THINKING AND SOCIAL DETERMINANTS OF HEALTH PERSPECTIVE IN TRAUMA-INFORMED SERVICE SYSTEM DESIGN, TO ENSURE THE TRAUMA TREATMENTS ARE RESPONSIVE TO INEQUITY, SENSITIVE TO SYSTEMIC RACISM AND CARE IS CONTEXTUALIZED TO THE NEEDS OF THE PEOPLE SERVED. CB AND ITS PROJECT COLLABORATORS (JOHNS HOPKINS PEDIATRIC INTENSIVE CARE COLLABORATIVE, KPJR FILMS, COMMUNITY HEALING NETWORK, THE CT MISSIONARY BAPTIST CONVENTION, AND MASHANTUCKET TRIBAL NATION) WILL WORK TO INFUSE TRAUMA TREATMENT WITH AN ANTI-RACIST PERSPECTIVE, PROVIDING MULTIPLE OPPORTUNITIES FOR TRAINING, EDUCATION, AND TECHNICAL ASSISTANCE WITH THE GOAL OF WIDE-SCALE DISSEMINATION AND IMPLEMENTATION OF EFFECTIVE, ANTI-RACIST EVIDENCE-BASED TREATMENT AND SERVICE APPROACHES IN CHILD AND FAMILY TRAUMA. CB AND ITS PARTNERS WILL SERVE AS A CONTINUING RESOURCE FOR TRAINING, CONSULTATION, AND TECHNICAL ASSISTANCE TO SERVICE PROVIDERS AND FAMILY/YOUTH AFFECTED BY TRAUMATIC EVENTS. PROJECT GOALS ARE: 1: MENTAL HEALTH SYSTEMS REDESIGNED WITH A WHOLE FAMILY, TRAUMA INFORMED, AND ANTI-RACIST (TIAR) PERSPECTIVE TO INCREASE ACCESS; 2: DELIVER ACCESSIBLE TRAUMA-INFORMED, CLIENT/FAMILY-CENTERED EVIDENCE-BASED, ANTI-RACIST MENTAL HEALTH SERVICES FOR BLACK, INDIGENOUS PEOPLE OF COLOR (BIPOC) CHILDREN AND FAMILIES; 3: CREATE A FAITH-BASED TIAR MODEL OF CARE TO BE DISSEMINATED WITHIN THE CT BIPOC; 4: DEVELOP AND SUSTAIN AN INFRASTRUCTURE TO SUPPORT ANTI-RACIST STRUCTURES AND SYSTEMS, PROMOTING EQUITY, DIVERSITY AND INCLUSION; GOAL 5: ENGAGE AND PARTNER WITH THE COMMUNITY TO ACHIEVE RACIAL JUSTICE BY PROMOTING EQUITY IN HEALTH AND WELL-BEING. THE FOLLOWING ACTIVITIES ARE PROPOSED: 1). BUILD ON PICC BREAKTHROUGH SERIES ON ANTI-RACIST PEDIATRIC INTEGRATED CARE AND EXPAND TO INCLUDE TIAR MENTAL HEALTH SERVICES; 2). DESIGN WITH THE CMS INTEGRATED CARE FOR KIDS (INCK) PARTNERS SYSTEMS OF CARE FOR CHILDREN AND FAMILIES TIAR APPROACHES AND TRAIN PARTNERS IN TIAR SERVICE DESIGN. DEVELOP A REPLICATION MODEL OF THE TIAR CURRICULUM FOR INCK AND OTHER PROVIDERS FOR THEIR USE. 3). DEVELOP AND PRESENT A TRAINING CURRICULUM ON ANTI-RACIST SYSTEMS OF CARE, LIBERATION PSYCHOLOGY, BLACK PSYCHOLOGY, FOR PROVIDERS, EDUCATORS AND COMMUNITIES ACROSS CT, AND THE U.S; 4). WORK WITH FAITH BASED COMMUNITIES ON CREATING MENTAL HEALTH SYSTEMS OF CARE FOR THEIR CONGREGANTS. OVER THE FIVE YEAR GRANT PERIOD, THE PROGRAM EXPECTS TO PROVIDE TRAINING TO OVER 2000 MENTAL HEALTH PROFESSIONS.

VEHICLE TO VEHICLE SAFETY SYSTEM SECURITY CREDENTIAL MANAGEMENT SYSTEM PROOF OF CONCEPT IMPLEMENTATION PROJECT

VEHICLE TO VEHICLE COMMUNICATIONS RESEARCH-PHASE 2

CAMP V2V COMMUNICATIONS RESEARCH

FGC MOBILE MAT UNIT - FAMILY GUIDANCE CENTERS, INC. IS A NOT-FOR-PROFIT COMMUNITY-BASED ORGANIZATION THAT IS LICENSED TO PROVIDE RESIDENTIAL AND OUTPATIENT MEDICATION ASSISTED TREATMENT (MAT) AND OTHER SUBSTANCE USE DISORDER (SUD) TREATMENT SERVICES BY THE ILLINOIS DEPARTMENT OF HUMAN SERVICES, DIVISION OF SUBSTANCE USE PREVENTION AND RECOVERY (IDHS/SUPR). THE POPULATION OF FOCUS OF OUR MAT-PDOA GRANT IS ADULT RESIDENTS OF CITY OF CHICAGO PREDOMINANTLY MINORITY COMMUNITY AREAS WHO ARE DIAGNOSED WITH OPIOID USE DISORDERS (OUD) AND ARE CLINICALLY APPROPRIATE FOR SOME FORM OF MAT. THE CATCHMENT AREA OF OUR MAT-PDOA GRANT WILL BE THE 21 COMMUNITY AREAS THAT COMPRISE THE MAJOR PORTIONS OF THE WEST AND SOUTH SIDES OF THE CITY. THESE COMMUNITY AREAS HAVE A TOTAL RESIDENT POPULATION OF 698,545, WITH 17 HAVING PREDOMINANTLY AFRICAN AMERICAN POPULATIONS AND THE REMAINING FOUR HAVING PREDOMINANTLY LATINX POPULATIONS. THE PRIMARY GOAL OF OUR SAMHSA/CSAT MAT-PDOA GRANT IS TO EXPAND ACCESS TO MAT AMONG MEMBERS OF OUR POPULATION OF FOCUS THROUGH ESTABLISHMENT OF A MOBILE UNIT THROUGH WHICH ALL THREE FDA-APPROVED MEDICATIONS FOR THE TREATMENT OF OUD WILL BE AVAILABLE, AS WELL AS NALOXONE KIT DISTRIBUTION. OVER THE FIVE YEARS OF SAMHSA/CSAT FUNDING, AN UNDUPLICATED COUNT OF AT LEAST 1,900 ADULTS IN OUR POPULATION OF FOCUS WILL BE ADMITTED TO THE EXPANDED MAT AND RECOVERY SUPPORT SERVICES. THESE TARGETED CHICAGO COMMUNITY AREAS RANK RELATIVELY HIGH IN A COMPARATIVE STUDY OF MULTIDIMENSIONAL SOCIOECONOMIC HARDSHIP. EVIDENCE IS PROVIDED OF THE SEVERE LEVEL OF HEALTH DISPARITIES THAT ARE COMMON AMONG RESIDENTS OF OUR CATCHMENT AREA, TO INCLUDE RATES OF OPIOID OVERDOSE DEATHS THAT ARE SUBSTANTIALLY HIGHER THAN THE CHICAGO CITYWIDE RATE. DRIVEN BY FACTORS SUCH AS JOB LOSS, SOCIAL ISOLATION, AND ANXIETY, SUDS IN GENERAL HAVE INCREASED DRAMATICALLY IN THESE COMMUNITIES DURING THE COVID-19 PANDEMIC. WHILE THERE ARE “BRICK AND MORTAR” OPIOID TREATMENT PROGRAM (OTP) CLINICS IN THESE TARGETED COMMUNITIES, INNOVATIVE OUTREACH APPROACHES ARE NEEDED TO EFFECTIVELY EXPAND MAT ACCESS OPPORTUNITIES FOR PERSONS WITH OUD IN THESE AREAS. THE PROPOSED MOBILE UNIT WILL COMPLY WITH BOTH U.S, DRUG ENFORCEMENT ADMINISTRATION AND STATE OF ILLINOIS REQUIREMENTS, AND IS DESIGNED TO SERVE AS AN IN-PERSON RESPONSE DIRECTLY IN THE COMMUNITY TO THOSE NEEDING ACCESS TO MAT. THE SCREENING, COMPREHENSIVE ASSESSMENT, AND SUPPORT REFERRAL SERVICES THAT WILL BE AVAILABLE THROUGH THE MOBILE UNIT ARE DESCRIBED IN OUR APPLICATION. THESE SERVICES WILL INCLUDE SCREENING FOR CO-OCCURRING MENTAL HEALTH ISSUES AND TOBACCO PRODUCT USE. A SUMMARY IS PROVIDED OF FGC’S ORGANIZATIONAL AND STAFF QUALIFICATIONS AND EXPERIENCE. THIS SUMMARY INCLUDES MENTION OF FGC’S SUCCESSFUL PARTICIPATION IN PREVIOUS SAMSHA/CSAT AWARDS. A PLAN IS PROVIDED WHICH COMMITS TO COMPLIANCE WITH SAMHSA/CSAT GPRA DATA COLLECTION AND PERFORMANCE MEASUREMENT EXPECTATIONS. FGC IS REQUESTING $525,000 IN MAT-PDOA FUNDING IN EACH OF FIVE YEARS. THE PROPOSED MOBILE UNIT SERVICES WILL BE COORDINATED WITH RELATED LOCAL AND IDHS/SUPR PROGRAMS AND INITIATIVES TO IN PART AVOID ANY DUPLICATION OF EFFORT AND RESOURCES.

EVENING/WEEKEND MOBILE TEAM: A PROGRAM OF OUTREACH, ENGAGEMENT, MEDICATION-ASSISTED TREATMENT AND RECOVERY SUPPORT FOR VULNERABLE INDIVIDUALS FACING OPIOID USE DISORDER (OUD) ON LONG ISLAND, NY. - PROJECT NAME: EVENING/WEEKEND MOBILE TEAM: MEDICATION-ASSISTED TREATMENT. WORKING ACROSS 13+ COMMUNITY PARTNERS, LED BY A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC, THIS PROJECT WILL EXPAND/ENHANCE ACCESS TO MEDICATION-ASSISTED TREATMENT (MAT) AND ACCOMPANYING PSYCHOSOCIAL SERVICES FOR VULNERABLE RESIDENTS WHO FACE AN OPIOID USE DISORDER (OUD), OFTEN WITH CO-OCCURRING MENTAL HEALTH AND OTHER SUBSTANCE USE DISORDERS, LIVING ACROSS NASSAU AND SUFFOLK COUNTIES (NY). COMPARED TO THE COUNTY’S GENERAL POPULATION, OUR TARGET POPULATION DISPROPORTIONATELY COMPRISES INDIVIDUALS AND PERSONS OF LOWER INCOME, LESS EDUCATION, LESS HOUSING STABILITY, AND MORE INVOLVEMENT WITH THE CRIMINAL JUSTICE SYSTEM. THE DESIRED OUTCOMES FOR THIS PROGRAM ARE: (1) AN INCREASE IN THE NUMBER OF INDIVIDUALS WITH OUD RECEIVING MAT; AND (2) A DECREASE IN ILLICIT OPIOID DRUG USE AND PRESCRIPTION MISUSE AT SIX-MONTH FOLLOW-UP. THIS FUNDING WILL LAUNCH AND SUPPORT A NEW EVENING AND WEEKEND MOBILE TEAM OF CLINICIANS AND PEERS—FILLING SERVICE GAPS—TO (1) CONDUCT OUTREACH, (2) IDENTIFY PERSONS IN POTENTIAL NEED OF MAT, (3) ADMINISTER SCREENINGS AND ASSESSMENTS USING EVIDENCE-BASED TOOLS, (4) BUILD MOTIVATION FOR TREATMENT (THROUGH PEER PRE-ENGAGEMENT AND MOTIVATIONAL INTERVIEWING), (5) DELIVER MAT AND TREATMENT FOR CO-OCCURRING DISORDERS TO THOSE WHO CLINICALLY QUALIFY, AND (6) SUPPORT CLIENTS IN THEIR TREATMENT AND RECOVERY, WHILE CONDUCTING STRUCTURED GPRA INTERVIEWS AT INTAKE, 6 MONTHS POST-INTAKE, AND DISCHARGE. FURTHER, THIS PROGRAM AIMS TO REDUCE DIVERSION OF MAT MEDICATIONS BY BOOSTING AVAILABILITY OF (AND INTEREST IN) LONG-ACTING INJECTABLE MEDICATIONS. IN A COORDINATED WAY, THIS PROJECT WILL SCREEN INDIVIDUALS ACROSS RISK-COMMUNITIES USING TARGETED EVIDENCE-BASED TOOLS THAT IDENTIFY POSSIBLE OPIOID AND OTHER SUBSTANCE USE DISORDERS, ALCOHOL USE DISORDER, DEPRESSION, AND SUICIDE RISK. IT WILL ALSO DEPLOY (AT LEAST) THE FOLLOWING 7 EVIDENCE-BASED PRACTICES IN BEHAVIORAL HEALTH, WELL SUITED FOR OUR TARGET POPULATION: (1) FDA-APPROVED TYPES OF MEDICATION-ASSISTED TREATMENT/THERAPY (MAT) FOR OUD; (2) PEER SUPPORT; (3) MOTIVATIONAL INTERVIEWING; (4) INTEGRATED TREATMENT FOR CO-OCCURRING DISORDERS; (5) COGNITIVE BEHAVIORAL THERAPY (CBT); (6) FAMILY PSYCHOEDUCATION; AND (7) TRAUMA-INFORMED CARE. OVER FIVE YEARS, THIS PROJECT WILL REACH 3,500 INDIVIDUALS VIA OUTREACH, ULTIMATELY ENROLLING AND METHODICALLY SERVING 460 PERSONS (80, 100, 100, 100, AND 80 IN YEARS 1-5 RESPECTIVELY) BY DELIVERING MEDICATION-ASSISTED TREATMENT AND/OR OTHER FORMS OF OPIOID USE DISORDER TREATMENT AND/OR INTEGRATED TREATMENT FOR CO-OCCURRING MENTAL HEALTH DISORDERS. BEYOND INCREASING THE # OF PERSONS RECEIVING MAT AND DECREASING ILLICIT OPIOID USE AND RX MISUSE AMONG PERSONS SERVED, A SAMPLING OF THE MEASURABLE OBJECTIVES WE INCLUDE IN OUR PLAN ARE: CONDUCTING = 3,000 BEHAVIORAL HEALTH SCREENINGS/ASSESSMENTS USING EVIDENCE-SUPPORTED PROTOCOLS; ENGAGING = 80% OF THOSE PERSONS SEEKING SERVICES WITH PEER SUPPORT WITHIN 24 HOURS OF REQUEST; INCREASING THE PERCENTAGE OF ENGAGED OUD CLIENTS WHO RECEIVE MAT FROM 50% TO 70%; AND OFFERING INJECTABLE MEDICATIONS TO AT LEAST 80% OF INDIVIDUALS RECEIVING MAT.

GCC OSF MAI DIVERSION AND REENTRY

EPCGC MENTAL HEALTH STARTS WITH ME: INCREASING ACCESS TO EFFECTIVE TRAUMA AND GRIEF FOCUSED TREATMENT AND SERVICE SYSTEMS FOR CHILDREN, ADOLESCENTS AND THEIR FAMILIES LIVING IN EL PASO COUNTY. - THE OVERARCHING GOAL OF THE MENTAL HEALTH STARTS WITH ME/LA SALUD MENTAL EMPIEZA CONMIGO (MHSM) PROGRAM IS TO INCREASE ACCESS TO EFFECTIVE TRAUMA AND GRIEF FOCUSED TREATMENT AND SERVICE SYSTEMS FOR CHILDREN, ADOLESCENTS AND THEIR FAMILIES LIVING IN EL PASO COUNTY, LOCATED IN THE SOUTHWEST CORNER OF TEXAS ALONG THE U.S./MEXICO BORDER. UNINSURED/UNDERINSURED SCHOOL-AGED CHILDREN/YOUTH (3-17 YRS) WHO DEMONSTRATE SIGNIFICANT LEVELS OF TRAUMA, GRIEF, AND DISPARITIES IN MENTAL HEALTH SERVICES WILL BE SERVED WITH A SPECIAL EMPHASIS ON SERVING CHILDREN AND YOUTH AND ATTENDING THE RURAL CLINT AND SAN ELIZARIO SCHOOL DISTRICTS SITUATED ON THE U.S./MEXICO BORDER. EL PASO COUNTY IS THE 9TH LARGEST COUNTY IN TEXAS WITH A POPULATION OF 867,947 (2021); 82.9% IDENTIFIED AS HISPANICS. MORE THAN A QUARTER OF THE POPULATION IS UNDER AGE 18 OF WHICH 28% LIVES IN POVERTY, 36% OF ADOLESCENT REPORT DEPRESSIVE SYMPTOMS, AND 75% OF CHILDREN ARE REPORTED TO HAVE EXPERIENCED MULTIPLE TRAUMAS (U.S. CENSUS BUREAU, ACS, 2021; WORKFORCE SOLUTIONS BORDERPLEX, 2020; TEXAS ADOLESCENT MENTAL HEALTH FACT SHEETS, 2015). APPROXIMATELY 60,000 YOUTH (6-17 YRS) WERE IDENTIFIED WITH MENTAL HEALTH NEEDS; APPROXIMATELY 3,000 OF THOSE HAD A SUBSTANCE USE DISORDER. EL PASO JUVENILE PROBATION DEPARTMENT (JPD) REPORTED 55% OF JUVENILE REFERRALS IN 2019 HAD A BEHAVIORAL HEALTH NEED. PASO DEL NORTE HEALTH FOUNDATION REPORTS 7.3 CASES OF SUBSTANTIATED CHILD ABUSE PER 1,000 CHILDREN IN 2020. APPROXIMATELY 25,000 EL PASO COUNTY YOUTH (0-17 YRS) IN 2019 (MEADOWS MENTAL HEALTH POLICY INSTITUTE, 2021) EXPERIENCED THREE OR MORE ACES PLACING THEM AT HIGHER RISK FOR HEALTH PROBLEMS LATER IN LIFE, INCLUDING MENTAL ILLNESS. ACES ARE A MULTISYSTEMIC PUBLIC HEALTH ISSUE AFFECTING CHILDREN, FUTURE GENERATIONS, AND THE COMMUNITY AT LARGE. EL PASO IS THE LOCATION OF THE NATION’S DEADLIEST MASS SHOOTING IN 2019 FOLLOWED BY THE 2023 SHOOTING AT THE CIELO VISTA MALL IN THE SAME SHOPPING COMPLEX, ONE OF THE LARGEST OUTBREAKS OF COVID-19, AND IS AT THE FOREFRONT OF IMMIGRATION ISSUES INCLUDING FAMILY SEPARATION, DETENTION, AND DEPORTATION. THE PROGRAM WILL SERVE 1,000 UNDUPLICATED CHILDREN AGES 3-17 AND THEIR FAMILIES WITH DIRECT SERVICES INCLUDING TRAUMA AND GRIEF AWARENESS EDUCATION, SCREENING, ASSESSMENT, TREATMENT, AND TARGETED CASE MANAGEMENT SERVICES OVER FIVE YEARS. IN THE FIRST YEAR THE PROGRAM WILL SERVE 60 CHILDREN/FAMILIES WITH DIRECT CARE SERVICES AND IN YEARS TWO TO FIVE 120 FAMILIES WILL BE SERVED. AN ADDITIONAL 60 FAMILIES IN YEAR ONE AND 120 IN YEARS TWO THROUGH FIVE WILL BE SERVES WITH TRAUMA AWARENESS AND EDUCATION PRESENTATIONS/WORKSHOPS. THE PROJECT WILL LEAD A REGIONAL, TRAUMA-INFORMED CONSORTIUM OF CARE, THE WEST TEXAS TRAUMA INFORMED CARE CONSORTIUM (WTTICC), IN PROVIDING TRAININGS, WORKFORCE DEVELOPMENT, AND POLICY ALIGNMENT OPPORTUNITIES TO BUILD THE COMMUNITY’S ABILITY TO IDENTIFY AND CONNECT YOUTH AND FAMILIES TO TRAUMA-INFORMED AND GRIEF-FOCUSED CARE. A TOTAL OF 460 COMMUNITY PROVIDERS AND CHILD SERVING ENTITIES, 60 IN YEAR ONE AND 100 IN YEARS TWO THROUGH FIVE, WILL OBTAIN TRAUMA AND GRIEF AWARENESS EDUCATION AND/OR PROFESSIONAL DEVELOPMENT IN TRAUMA AND GRIEF SPECIFIC MODALITIES. THE PROGRAM GOALS INCLUDE: GOAL 1: IMPROVE THE COMMUNITY’S TRAUMA AND GRIEF AWARENESS AND THE ABILITY TO RESPOND AND SUPPORT YOUTH AGES 3 TO 17 AND THEIR FAMILIES’ EXPERIENCING TRAUMA AND GRIEF LIVING IN EL PASO COUNTY. GOAL 2: IMPROVE EARLY IDENTIFICATION OF YOUTH AGES 3 TO 17 THAT HAVE EXPERIENCED TRAUMA AND GRIEF ACROSS EL PASO COUNTY THROUGH OUTREACH, COORDINATED SCREENING, AND ASSESSMENT. GOAL 3: INCREASE ACCESS TO EVIDENCE-BASED BEHAVIORAL HEALTH INTERVENTION, TREATMENT, AND TARGETED CASE MANAGEMENT SERVICES FOR EL PASO COUNTY CHILDREN, YOUTH, AND FAMILIES EXPERIENCING TRAUMA AND GRIEF. GOAL 4: SUPPORT THE DEVELOPMENT OF AN EL PASO COUNTY TRAUMA-INFORMED AND GRIEF-FOCUSED SYSTEMS OF CARE FOR CHILDREN, YOUTH, AND FAMILIES.

ESTABLISHING ASSERTIVE COMMUNITY TREATMENT AT KANZA MENTAL HEALTH & GUIDANCE CENTER, INC. IN BROWN, DONIPHAN, JACKSON, AND NEMAHA COUNTIES IN RURAL NORTHEAST KANSAS - KANZA MENTAL HEALTH & GUIDANCE CENTER, INC. A NON-PROFIT COMMUNITY MENTAL HEALTH CENTER SERVING BROWN, DONIPHAN, JACKSON, AND NEMAHA COUNTIES IN RURAL NORTHEAST KANSAS IS ESTABLISHING AN ASSERTIVE COMMUNITY TREATMENT (ACT) PROGRAM FOR ADULTS AND TRANSITIONAL-AGED YOUTH AGES 18 YEARS AND OLDER WHO EXPERIENCE SERIOUS MENTAL ILLNESS OR SEVERE EMOTIONAL DISTURBANCE AND WHO ARE EXPERIENCING OR AT-RISK OF HOSPITALIZATION, HOMELESSNESS, OR INCARCERATION DUE TO COMPLEX MENTAL HEALTH CHALLENGES. ACT IS AN EVIDENCE-BASED PROGRAM DESIGNED TO PROVIDE COMPREHENSIVE COMMUNITY-BASED SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS THROUGH A DEDICATED MULTIDISCIPLINARY TREATMENT TEAM WHO PROVIDES FREQUENT CONTACTS AND SUPPORTS. THE PROJECT AIMS TO SERVE 50 PERSONS IN ITS FIRST YEAR, AND 100 PERSONS ANNUALLY THEREAFTER, FOR A TOTAL OF 450 PEOPLE SERVED THROUGH THE PROJECT FROM SEPTEMBER 2023-2028. THE PROJECT GOALS INCLUDE 1) ESTABLISHING AN OPERATIONAL, HIGH-FIDELITY ACT PROGRAM TO BETTER MEET THE NEEDS OF THE POPULATION OF FOCUS WHO ARE AT RISK OF HOSPITALIZATION, HOMELESSNESS, OR INCARCERATION; 2) IMPROVE THE QUALITY OF LIFE AND FUNCTIONING OF INDIVIDUALS SERVED BY PROVIDING THEM WITH RECOVERY-ORIENTED, PERSON-CENTERED CARE AND SUPPORT THEY NEED TO LIVE INDEPENDENTLY IN THEIR COMMUNITIES OF CHOICE. THE OBJECTIVES INCLUDE 1) YEARS 1-5, ENROLL NO LESS THAN THE NUMBER OF INDIVIDUALS TO BE SERVED ANNUALLY; 2) COMPLETE COMPREHENSIVE ASSESSMENT AND AN INDIVIDUALIZED CARE PLAN WITH EACH CLIENT WITHIN 30 DAYS OF ENROLLMENT TO REDUCE SYMPTOM SEVERITY BY AT LEAST 25% WITHIN 6 MONTHS OF ENROLLMENT; 3) PROVIDE WEEKLY HOME AND COMMUNITY-BASED CONTACTS WITHIN 30 DAYS OF ENROLLMENT EACH YEAR TO REDUCE HOSPITALIZATION, HOMELESSNESS, AND INCARCERATION RATES BY 50%; 4) REACH 80% OR HIGHER FIDELITY IN THE ACT PROGRAM BY END OF YEAR 2 AND MAINTAIN THROUGH YEARS 3-5; 5) INCREASE REDUCTION IN HOMELESSNESS, HOSPITALIZATIONS, INCARCERATION, MORTALITY, AND SUBSTANCE OVERDOSES COMPARED TO THE YEAR BEFORE PROGRAM IMPLEMENTATION STARTING IN YEARS 1-2 AND REACHING AT LEAST 50% REDUCTION IN YEARS 3-5; 6) YEARS 2-5, WITHIN 6 MONTHS OF ENROLLMENT, THE ACT TEAM WILL COLLABORATE WITH AT LEAST 5 COMMUNITY PARTNERS OF EACH CLIENT; 7) YEARS 2-5, THE ACT TEAM WILL PROVIDE RECOVERY- AND TRAUMA-INFORMED TRAINING TO AT LEAST 100 COMMUNITY MEMBERS WITH THE GOAL OF INCREASING EDUCATION AND AWARENESS OF MENTAL HEALTH AND STIGMA; 8) YEARS 2-5, WITHIN 12 MONTHS OF ENROLLMENT, SUPPORT AT LEAST 80% OF CLIENTS IN ACHIEVING AT LEAST ONE PERSONAL GOAL RELATED TO RECOVERY, HOUSING, EMPLOYMENT, EDUCATION, OR CRIMINAL JUSTICE INVOLVEMENT.

RURAL WEST TEXAS ZERO SUICIDE INITIATIVE

HUMANIZATION, PRODUCTION, AND PK/PD CHARACTERIZATION OF ANTI-TIP1 ANTIBODY AGAINST NON-SMALL CELL LUNG CANCER

INTEGRATED DELIVERY OF HIV SERVICES IN SEXUAL AND REPRODUCTIVE HEALTH CLINICS TARGETTING KEY AND PRIORITY POPULATIONS IN CONFIDENTIAL STI CLINICS FOR COMMERCIAL SEX WORKERS IN ETHIOPIA UNDER THE PRESI

GCC KEYS MINORITY AIDS INITIATIVE

WILL COUNTY (ILLINOIS) ADULT DETENTION FACILITY ORP PROJECT

CN GUIDANCE NCTSI III COMMUNITY TREATMENT AND SERVICE CENTER FOR LONG ISLAND (NY) CHILDREN AND FAMILIES WITH TRAUMA - THROUGH OUR PROJECT, CN GUIDANCE & COUNSELING SERVICES AND PARTNERS (FCA, EPIC/SOUTH SHORE, AND HCC) WILL SERVE NASSAU AND SUFFOLK COUNTY (NY) CHILDREN, ADOLESCENTS, AND FAMILIES LARGELY FROM UNDERSERVED / UNDER-RESOURCED COMMUNITIES WHO HAVE EXPERIENCED TRAUMATIC EVENTS THROUGH EVIDENCE-BASED PRACTICES INFORMED BY CHILD HELP PARTNERSHIP, A NCTSI CATEGORY III TREATMENT AND SERVICE ADAPTATION (TSA) CENTER. POPULATION(S) TO BE SERVED THROUGH OUR PROJECT INCLUDE: DEMOGRAPHICS — AT-RISK CHILDREN AND ADOLESCENTS, INCLUDING THOSE FROM RACIALLY AND ETHNICALLY DIVERSE URBAN AND SUBURBAN COMMUNITIES, RESIDING IN NASSAU AND SUFFOLK COUNTIES (FOR EXAMPLE, ACCORDING TO THE NYS DEPARTMENT OF EDUCATION, 75% (5,145) OF THE CHILDREN ENROLLED IN THE HEMPSTEAD PUBLIC SCHOOL DISTRICT IN OUR SERVICE AREA SPEAK SPANISH). LIKE CN GUIDANCE, OUR PARTNERS FAMILY & CHILDREN’S ASSOCIATION (FCA), EPIC LONG ISLAND AND SOUTH SHORE CHILD GUIDANCE CENTER (EPIC/SOUTH SHORE), AND HISPANIC COUNSELING CENTER (HCC) ALL CURRENTLY SERVE MANY OF THE MOST VULNERABLE RESIDENTS OF LONG ISLAND, AND TOGETHER WE WILL USE EXISTING REFERRAL RELATIONSHIPS TO IDENTIFY AND ADDRESS HEALTH DISPARITIES FOR DISPARATE POPULATIONS SERVED. TARGETED HOTSPOTS WILL INCLUDE THOSE FACING SERVICE GAPS, HIGH VULNERABILITY, POOR HEALTH, AND HIGH AVOIDABLE ED USAGE AS IDENTIFIED IN A ROBUST COMMUNITY HEALTH NEEDS ASSESSMENT 2022-2024 FROM NY’S LARGEST HEALTHCARE PROVIDER, NORTHWELL HEALTH. CLINICAL CHARACTERISTICS — CHILDREN AND YOUTH WHO HAVE EXPERIENCED COMPLEX TRAUMA (E.G., ADVERSE CHILDHOOD EXPERIENCES (ACES), GRIEF, DISASTER- AND COVID-RELATED, RACE-BASED, HATE-BASED, HISTORIC, AND COMPLEX PHYSICAL AND EMOTIONAL TRAUMA), INCLUDING THOSE WHO ARE AT RISK FOR OR WHO HAVE BEEN DIAGNOSED WITH A MENTAL HEALTH DISORDER OR SERIOUS EMOTIONAL DISTURBANCE DEFINED BY A DSM IV DIAGNOSIS. STRATEGIES/INTERVENTIONS OUR PROJECT WILL IMPLEMENT INCLUDE TRAUMA-INFORMED APPROACHES TO: (A) NON-CLINICAL OUTREACH/ENGAGEMENT SERVICES TO SUPPORT TARGET POPULATIONS, (B) SHORT-TERM / INTERIM CLINICAL SERVICES TO REDUCE OR PREEMPT LONGER-TERM CARE NEED, AND (C) CUSTOM REFERRAL PATHWAYS TO LONG-TERM CHILD SERVING PROGRAMS. PROGRAMMATIC COMPONENTS WILL INCLUDE: PEER SERVICES (BOTH YOUTH PEER AND FAMILY PEER ADVOCATES), SCREENING, DIAGNOSTIC ASSESSMENT, CARE MANAGEMENT, THERAPY, PREVENTION, REFERRAL PATHWAYS (IN/OUT), AND TRAINING OF COMMUNITY PARTNERS. PROJECT GOALS AND MEASURABLE OBJECTIVES OF OUR PROJECT INCLUDE: (1) INCREASE THE NUMBER OF AT-RISK INDIVIDUALS (CHILDREN/FAMILY MEMBERS) RECEIVING EVIDENCE-BASED PRACTICES, (2) IMPROVE ORGANIZATIONAL CAPACITY TO PROVIDE EVIDENCE-BASED SCREENINGS IN THE COMMUNITY, (3) INCREASE CAPACITY FOR PROVIDING EVIDENCE-BASED, TRAUMA-INFORMED TREATMENT TO INDIVIDUALS WHO SCREEN POSITIVE FOR TRAUMATIC EXPERIENCES, (4) CONDUCT OUTREACH ACTIVITIES DESIGNED TO PROMOTE KNOWLEDGE OF AVAILABLE MENTAL HEALTH RESOURCES IN THE LONG ISLAND REGION, (5) PROMOTE CONTINUITY OF CARE FOR VULNERABLE CHILDREN AND FAMILIES THROUGH INTER-AGENCY COOPERATION, (6) IMPROVE DAILY FUNCTIONING AMONG AT-RISK CHILDREN AND FAMILIES, (7) MONITOR AND MITIGATE HOUSING INSECURITY AMONG INDIVIDUALS AND FAMILIES SERVED THROUGH THIS GRANT, (8) ADDRESS EDUCATION CONCERNS AMONG THOSE SERVED WITH GRANT FUNDING, (9) ASSESS CRIMINAL JUSTICE SYSTEM IMPACTS, (10) IMPROVE THE DEGREE OF SOCIAL / COMMUNITY CONNECTION AMONG CHILDREN SERVED THROUGHOUT THE GRANT PERIOD, AND (11) PROVIDE QUALITY CARE TO RECIPIENTS OF GRANT SERVICES, IN ORDER TO PROMOTE POSITIVE PERCEPTION OF TRAUMA-RELATED TREATMENT NUMBER OF PEOPLE TO BE SERVED ANNUALLY = ~300-375 NUMBER OF PEOPLE TO BE SERVED THROUGHOUT THE LIFETIME OF THE PROJECT = 1750

TRAUMA INFORMED SYSTEM OF CARE: MID FAIRFIELD SCHOOL BASED INITIATIVE (ELEMENTARY SCHOOL PROGRAM EXPANSION) - MID-FAIRFIELD CHILD GUIDANCE CENTER (MFCGC) NCTSI III PROJECT IS A COLLABORATIVE EFFORT OF THE MFCGC, THE NORWALK PUBLIC SCHOOLS (NPS), THE CHILD HEALTH AND DEVELOPMENT INSTITUTE (CHDI), AND NORWALK ACTS. THE PROJECT IS TITLED: TRAUMA INFORMED SYSTEM OF CARE: MID FAIRFIELD SCHOOL BASED INITIATIVE (ELEMENTARY SCHOOL PROGRAM EXPANSION). THE PURPOSE OF THE PROJECT IS TO EXPAND AND ENHANCE MENTAL HEALTH SERVICES IN THREE SCHOOLS IN THE NPS. THE THREE SCHOOLS SELECTED WILL BE HIGH NEED SCHOOLS (HIGH PERCENTAGES OF STUDENTS IDENTIFIED AS ECONOMICALLY DISADVANTAGED, ETC.). THE FOUNDATION FOR THE PROJECT IS THE INCORPORATION OF TRAUMA INFORMED PRACTICES IN SCHOOLS TO PROMOTE AN UNDERSTANDING OF THE IMPACT OF CURRENT AND PAST EXPERIENCES ON THE SCHOOL AGED YOUTH’S CURRENT BEHAVIOR AND MENTAL HEALTH. THIS PRACTICE PROMOTES POSITIVE, PRO-ACTIVE STRATEGIES TO INCREASE AND ENHANCE STUDENT ENGAGEMENT WHICH SUPPORT THE DEVELOPMENT OF OVERALL MENTAL HEALTH. THE PROPOSED PROGRAM MODEL IS BASED ON THE MULTI-TIERED SYSTEM OF SUPPORT (MTSS) FRAMEWORK WHICH PROMOTES INCREASING AWARENESS OF MENTAL HEALTH ISSUES THROUGH EDUCATION AT THE LOWEST LEVEL TO PROVIDING MORE INTENSIVE DIRECT SERVICES FOR SCHOOL-AGED YOUTH AT THE HIGHEST LEVEL OF NEED. THE PROJECT WILL ALSO USE EVIDENCE-BASED CURRICULA AND DATA-BASED DECISION MAKING TO PROVIDE A CLEAR FRAMEWORK TO ADDRESS MENTAL HEALTH AND BEHAVIOR ISSUES WHILE PROMOTING A HEALTHY SCHOOL CLIMATE AND CULTURE. THE GOALS OF THE PROJECT ARE: 1) INCREASE EQUITABLE ACCESS TO TRAUMA FOCUSED SERVICES TO NPS ELEMENTARY STUDENTS. 2) PROVIDE INTENSIVE HIGH FIDELITY WRAPAROUND CARE COORDINATION FOR NPS STUDENTS AND THEIR FAMILIES. 3) INCREASE AWARENESS AND UNDERSTANDING OF TRAUMA OF INDIVIDUALS INTERACTING WITH SCHOOL-AGED YOUTH TO UNDERSTAND AND DETECT THE SIGNS AND SYMPTOMS OF TRAUMA. THE OBJECTIVES TO ACCOMPLISH THESE GOALS INCLUDE: THE DEVELOPMENT AND IMPLEMENTATION OF A COMPREHENSIVE WORKFORCE DEVELOPMENT TRAINING PLAN AT THE PARTICIPATING SCHOOLS; PROMOTE INCREASED COLLABORATION BETWEEN THE NPS AND MFCGC; AND PROVIDE ASSISTANCE AND TRAINING TO THE THREE PARTNER SCHOOLS TO ENSURE PROJECT GOALS ARE IMPLEMENTED WITH FIDELITY. FUNDS FROM THIS PROJECT WILL BE ALLOCATED TO THE THREE PARTNER SCHOOLS TO INCREASE THE NUMBER OF MENTAL HEALTH PROVIDER AND MENTAL HEALTH SERVICES AVAILABLE TO STUDENTS. DURING YEAR 1 OF THE PROJECT, BETWEEN 55-60 STUDENTS REQUIRING BRIEF INTERVENTIONS AND/OR MORE INTENSIVE MENTAL HEALTH SERVICES WILL BE SERVED AND DURING YEARS 2-5 BETWEEN 85-90 STUDENTS PER YEAR WILL BE PROVIDED WITH THESE SERVICES. BETWEEN 395-420 STUDENTS WILL BE SERVED DURING THE 5-YEAR FUNDING PERIOD.

OBJECTIVE TEST PROCEDURE DEVELOPMENT

THE HEALTHY EXPERIENCES AND RELATIONSHIPS THAT SUPPORT (HEARTS) PROJECT

CENTRAL NASSAU GUIDANCE AND COUNSELING SERVICES' PBHCI PROJECT

THE MORRIS A. WESSEL PROGRAM FOR MILITARY FAMILIES

PRIMARY AND BEHAVIORAL HEALTH CARE INTEGRATION

PRIMARY AND BEHAVIORAL HEALTH CARE INTEGRATION (PBHCI)

BECOMING A MAN (BAM)

SUNDANCE INSTITUTE HUMANITIES FELLOWSHIP [THE PURPOSE OF THIS PROGRAM IS TO PROVIDE A YEAR OF DIRECT, UNRESTRICTED MONTHLY STIPENDS TO SUPPLEMENT THE INCOME OF MEDIA-MAKERS WORKING ON A HUMANITIES-DRIVEN PROJECT, WHOSE WORK AND LIVELIHOODS HAVE BEEN NEGATIVELY IMPACTED BY THE COVID-19 PANDEMIC.] [PURPOSE: EMERGENCY RELIEF FOR MEDIA-MAKERS WORKING ON HUMANITIES-DRIVEN PROJECTS. ACTIVITIES TO BE PERFORMED: ADMINISTRATION OF A GRANTMAKING PROGRAM COMPRISED OF 20 12-MONTH STIPENDS OF $60,000. THIS PROGRAM WILL ALSO CONVENE HUMANITIES ADVISORS TO SUPPORT AND MENTOR FELLOWS AS THEY DEVELOP HUMANITIES-FOCUSED PROJECTS. EXPECTED OUTCOMES: EMERGENCY RELIEF TO 20 HUMANITIES FILMMAKERS. INTENDED BENEFICIARIES: UNDEREMPLOYED HUMANITIES FILMMAKERS. SUBRECIPIENT ACTIVITIES: DEVELOPMENT OF HUMANITIES FILM PROJECTS DISRUPTED BY THE CORONAVIRUS PANDEMIC.]

FGC MAI SERVICES FOR HIGH-RISK CHICAGO MINORITY RESIDENTS - FAMILY GUIDANCE CENTERS, INC. IS A NOT-FOR-PROFIT COMMUNITY-BASED ORGANIZATION THAT IS LICENSED BY THE STATE OF ILLINOIS TO PROVIDE RESIDENTIAL AND OUTPATIENT MEDICATION ASSISTED TREATMENT (MAT) AND OTHER SUBSTANCE USE DISORDER (SUD) TREATMENT SERVICES. THE POPULATION OF FOCUS OF OUR MAI-HIGH RISK POPULATIONS GRANT IS AFRICAN AMERICAN ADULT RESIDENTS OF CITY OF CHICAGO WEST AND SOUTH SIDE COMMUNITY AREAS WHO ARE AT RISK OF, OR LIVING WITH HIV/AIDS, AND ARE DIAGNOSED WITH OPIOID USE DISORDERS (OUD). OVER THE FIVE YEARS OF SAMHSA/CSAT FUNDING, AN UNDUPLICATED COUNT OF AT LEAST 1,400 MINORITY ADULTS WHO ARE ADMITTED TO FGC MAT SERVICES WILL RECEIVE EXPANDED HIV AND VIRAL HEPATITIS (VH) TESTING, REFERRAL, PREVENTION, AND TREATMENT SERVICES. CHICAGO IS IN COOK COUNTY, ILLINOIS WHICH IS AMONG THE LOCALITIES LISTED IN THIS NOFO THAT HAVE BEEN HARDEST HIT BY THE HIV EPIDEMIC. PRIORITY WILL BE PLACED ON INCLUSION OF PERSONS IN OUR TARGET POPULATION WHO REPORT INJECTION DRUG USE. THE CATCHMENT AREA OF OUR MAI GRANT WILL BE 27 OF CHICAGO’S 77 COMMUNITY AREAS THAT COMPRISE THE MAJOR PORTIONS OF THE WEST AND SOUTH SIDES OF THE CITY. IN 2020 THESE COMMUNITIES HAD A TOTAL POPULATION OF 666,900 WITH A RACE/ETHNIC BREAKDOWN OF 84.1% (533,503) AFRICAN AMERICAN, 7.0% LATINX, 3.7% WHITE NON-HISPANIC (NH) 2.7% OTHER/MIXED RACE (U.S. CENSUS BUREAU, 2020). HIGH-RISK LATINX ADULT RESIDENTS WITH OUD WILL ALSO BE ELIGIBLE FOR PARTICIPATION IN THIS GRANT. ACCORDING TO THE U.S. CENSUS AMERICAN COMMUNITY SURVEY, WHILE 51.2% OF CHICAGO RESIDENTS IDENTIFY AS FEMALE, 57.6% OF RESIDENTS IN OUR CATCHMENT AREA IDENTIFY AS FEMALE. THE COMMUNITIES IN OUR CATCHMENT AREA COLLECTIVELY HAD A 2020 POPULATION RATE OF NEW DIAGNOSED HIV INFECTIONS THAT WAS OVER 75% HIGHER THAN THE CHICAGO CITYWIDE RATE, AND A POPULATION RATE OF PLWHI THAT WAS NEARLY 30% HIGHER THAN THE CHICAGO CITYWIDE RATE. NH BLACKS ACCOUNTED FOR 48% OF THE LATE HIV DIAGNOSES IN THE CITY IN 2020, AND 55% OF THE NH BLACK PLWHI DURING THAT YEAR WERE VIRALLY SUPPRESSED, COMPARED TO 71% OF THE CITY’S WHITE PLWHI. THIS DATA, COUPLED WITH THE RELATIVELY HIGHER RATES OF NEW HIV INFECTIONS AND PLWHI AMONG RESIDENTS OF THE COMMUNITIES IN OUR CATCHMENT AREA ARE SEEN TO PROVIDE EVIDENCE OF THE HIV/AIDS RACIAL MINORITY-BASED EARLY DIAGNOSIS AND CARE SERVICE GAPS THAT THIS GRANT IS DESIGNED TO ADDRESS. ALL THREE FORMS OF FDA-APPROVED MEDICATIONS FOR THE TREATMENT OF OUD WILL BE AVAILABLE TO PARTICIPANTS, AND BOTH OUTPATIENT AND INTENSIVE OUTPATIENT WILL BE AVAILABLE BASED UPON CLINICAL DIAGNOSTIC FINDINGS. THE ROUTINE ASSESSMENT PROCESS WILL INCLUDE SCREENING FOR COOCCURRING MENTAL HEALTH ISSUES, HISTORIES OF TRAUMA, AND TOBACCO USE. FGC STAFF WILL OFFER HIV AND VIRAL HEPATITIS (VH) TESTING TO EACH ADMITTED PARTICIPANT, AS WELL AS THEIR DRUG USING AND/OR SEXUAL PARTNERS. PERSONS WHO TEST POSITIVE FOR HIV AND/OR VH WILL BE REFERRED FOR TREATMENT TO UNIVERSITY OF ILLINOIS (UI) HEALTH CLINICS LOCATED IN OUR CATCHMENT AREA. PERSONS WHO TEST NEGATIVE FOR HIV WILL BE REFERRED TO UI HEALTH CLINICS FOR PRE-EXPOSURE PROPHYLAXIS (PREP) AND POST EXPOSURE PROPHYLAXIS (PEP) SERVICES. THE MAT SERVICES PROVIDED TO PARTICIPANTS WILL BE ENHANCED THROUGH USE OF THE MOTIVATIONAL INTERVIEWING AND SEEKING SAFETY EVIDENCE-BASED PRACTICES. A SUMMARY IS PROVIDED OF FGC’S ORGANIZATIONAL AND KEY STAFF QUALIFICATIONS AND EXPERIENCE. A PLAN IS PROVIDED WHICH COMMITS TO COMPLIANCE WITH SAMHSA/CSAT GPRA DATA COLLECTION AND PERFORMANCE MEASUREMENT EXPECTATIONS, AS WELL AS THE COLLECTION OF DATA TO ASSESS ACHIEVEMENT OF THIS GRANT’S EXPANDED HIV/VH TESTING, REFERRAL, PREVENTION, AND TREATMENT OBJECTIVES. FGC IS REQUESTING $500,000 IN MAI-HIGH RISK POPULATIONS FUNDING IN EACH OF FIVE YEARS. THE PROPOSED SERVICES WILL BE COORDINATED WITH RELATED ILLINOIS DEPARTMENT OF HUMAN SERVICES, DIVISION OF SUBSTANCE USE PREVENTION AND RECOVERY INITIATIVES.

ENHANCING TRAUMA-INFORMED OUTPATIENT CARE FOR VULNERABLE AND UNDER-REPRESENTED YOUTH AND MENTAL HEALTH STAFF IN RESPONSE TO A NATIONWIDE SYNDEMIC - THE PROJECT AIMS TO INCREASE ACCESSIBILITY TO SYNDEMIC-INFORMED MENTAL HEALTH SERVICES TO YOUTH AGES 0-17 AND THEIR FAMILIES (700 YEAR 1 AND 900 YEAR 2). THESE EFFORTS INVOLVE TRAUMA-INFORMED EDUCATION TO SCHOOL PERSONNEL, PARENT PARTNER SUPPORT AND OUTREACH TO AT LEAST 300 IMPACTED FAMILIES EACH YEAR, AND EXPANDING TELEHEALTH ACCESS. TRAINING AND SUPPORT TO 122 CLINICIANS, SUPERVISORS, MANAGERS, AND ADMINISTRATORS IS INCLUDED TO ADDRESS BURNOUT AND SYNDEMIC TRAUMA ALSO IMPACTING PROVIDERS. THE DEMOGRAPHICS OF YOUTH AND FAMILIES IN NEED IN OUR CATCHMENT AREAS ARE AS FOLLOWS (AVERAGE OF 2 SERVICE PLANNING AREAS): 8.65% AGES 0-5; 17.35% AGES 6-17; 54.3% LATINX; 16.6% WHITE; 21.1% AFRICAN AMERICAN; 8.55% ASIAN; 0.55% NATIVE HAWAIIAN/OPI; 0.15% AMERICAN INDIAN/ALASKAN NATIVE: 25.45% OF HOUSEHOLDS WITH INCOMES <100% OF FEDERAL POVERTY LEVEL (FPL); 31.35% OF INCOMES <300% OF FPL THAT ARE FOOD INSECURE; 60.1% OF CAREGIVERS WITH A STRONG SENSE OF COMMUNITY; AND 5.95% OF YOUTH AGES 3-17 THAT TRIED TO ACCESS MENTAL HEALTH CARE. NATIONALLY, WE KNOW THAT RATES OF TRAUMA, ANXIETY, AND DEPRESSION ARE INCREASING DUE TO THE PANDEMIC. 2019 DATA REFLECTED THE FOLLOWING NEEDS ACROSS CALIFORNIA: 5.5% OF MENTAL HEALTH HOSPITALIZATIONS AMONG CHILDREN AGES 5-19; A LARGER NEED BY ETHNICITY WITH 33.4% OF HISPANIC/LATINX YOUTH, 35.4% NATIVE HAWAIIAN/PACIFIC ISLANDER YOUTH, 32.5% MULTIRACIAL YOUTH, 29.3% ASIAN YOUTH, 24.7% AFRICAN AMERICAN YOUTH, AND 28.1% WHITE YOUTH REPORTED EXPERIENCING DEPRESSION RELATED SYMPTOMS AND EXPERIENCES PRE-PANDEMIC. RATES OF DEPRESSION BY ETHNICITY IN LOS ANGELES UNIFIED AND PARAMOUNT UNIFIED SCHOOL DISTRICTS, RESPECTIVELY WERE AS FOLLOWS: 24.8% AND 20% AFRICAN AMERICAN, 34.1% AND 50% ASIAN, 32.8% AND 35.4% HISPANIC/LATINX, 32.7% AND 47.7% MULTIRACIAL, AND 31.1% AND 30.8% WHITE. ALTHOUGH SCHOOL DISTRICT DATA WAS NOT AVAILABLE FOR LONG BEACH OR LYNWOOD, THE 2019 LONG BEACH COMMUNITY HEALTH ASSESSMENT FOUND THAT 19.5% OF ADULTS EXPERIENCED DOMESTIC VIOLENCE AND 10.4% HAD SERIOUS PSYCHOLOGICAL DISTRESS. IN ADDITION, THE VIOLENT CRIME RATE WHICH CONTRIBUTES TO TRAUMA AND DEPRESSION WAS 614.3 INCIDENTS PER 100,000 RESIDENTS IN 2018, THE SECOND HIGHEST IN A DECADE. WE HAVE 9 KEY OBJECTIVES, FOUR OF WHICH INVOLVE INCREASING SCHOOL-BASED REFERRALS AN AVERAGE OF 68.5% OVER TWO YEARS. THE OTHER OBJECTIVES INVOLVE TRAINING 122 STAFF IN CE-CERT AND POLYVAGAL THEORY AND PRACTICE TO HELP THEM MANAGE COMPASSION BURNOUT AND RESPOND BETTER TO SED YOUTH, PROVIDING PARENT PEER SUPPORT AND CONDUCTING OUTREACH EVENTS TO STIGMATIZED POPULATIONS, AND TRAINING SCHOOL PERSONNEL ON THE NEUROSEQUENTIAL MODEL OF EDUCATION TO ENHANCE TRAUMA-INFORMED REACTIONS. WE WILL INCREASE TELEHEALTH CAPABILITIES BY PROVIDING PORTABLE STATIONS IN OUR SCHOOLS AND CLINICS, OFFER A WIDE-RANGE OF EVIDENCE-BASED PRACTICES FOR SED IN THE OFFICE AND COMMUNITY, AND ASSESS FOR TRAUMA RELATED TO THE SYNDEMIC.

GUIDANCE/CARE CENTER OUTREACH PROGRAM

MID FAIRFIELD / NORWALK PUBLIC SCHOOLS: COMPREHENSIVE MENTAL HEALTH AND WELLNESS SERVICES & SUPPORTS INITIATIVE - MID-FAIRFIELD CHILD GUIDANCE CENTER (ALSO REFERRED TO AS MID-FAIRFIELD COMMUNITY CARE CENTER (MID-FAIRFIELD)) FY2024 CONGRESSIONALLY DIRECTED SPENDING PROJECT IS A COLLABORATIVE EFFORT OF MID-FAIRFIELD AND NORWALK PUBLIC SCHOOLS (NPS) (ADDITIONAL PROJECT PARTNERS INCLUDE BUT ARE NOT LIMITED TO THE CHILD HEALTH AND DEVELOPMENT INSTITUTE (CHDI), CITY OF NORWALK COMMUNITY SERVICES DEPARTMENT, AND NORWALK ACTS). THE PROJECT IS TITLED: MID-FAIRFIELD / NORWALK PUBLIC SCHOOLS: COMPREHENSIVE MENTAL HEALTH AND WELLNESS SERVICES & SUPPORTS INITIATIVE. THE PURPOSE OF THE PROJECT IS TO HELP CLOSE THE GAP IN EQUITABLE ACCESS TO COMPREHENSIVE MENTAL HEALTH AND WELLNESS SERVICES AND SUPPORTS BY BUILDING UPON OUR CURRENT PARTNERSHIP WITH NORWALK PUBLIC SCHOOLS (NPS) TO IMPROVE, EXPAND, ENHANCE, AND AUGMENT THE ARRAY OF MENTAL HEALTH SERVICES PROVIDED TO STUDENTS, PARENTS/CAREGIVERS (FAMILIES), AND TEACHERS/SUPPORT STAFF. EMBEDDING SUPPORT WITHIN SCHOOLS REDUCES BARRIERS THAT MANY FAMILIES EXPERIENCE WHEN SEEKING MENTAL HEALTH SERVICES FOR THEIR CHILDREN. IN ADDITION TO PROVIDING DIRECT COUNSELING (E.G., INDIVIDUAL, FAMILY, GROUP THERAPIES) AND WRAPAROUND CARE COORDINATION, DIRECTLY TO STUDENTS AND FAMILIES, MID FAIRFIELD WILL PROVIDE CONSULTATION AND COACHING (E.G., TIERED INTERVENTIONS, TRAININGS (TRAUMA, SOCIAL-EMOTIONAL TOOLS AND STRATEGIES)) TO TEACHERS/SUPPORT STAFF TO BUILD A FOUNDATION AND FRAMEWORK THAT CREATES SAFE AND SUPPORTIVE SCHOOL ENVIRONMENTS THAT FOSTER RESILIENCE AND RECOVERY WHICH ARE CRITICAL FOR IMPROVING STUDENT OUTCOMES. THE PROPOSED PROGRAM MODEL IS BASED ON THE MULTI-TIERED SYSTEM OF SUPPORT (MTSS) FRAMEWORK WHICH PROMOTES INCREASING AWARENESS OF MENTAL HEALTH ISSUES THROUGH EDUCATION AT THE LOWEST LEVEL TO PROVIDING MORE INTENSIVE DIRECT SERVICES FOR SCHOOL-AGES YOUTH AT THE HIGHEST LEVEL OF NEED. MID-FAIRFIELD WILL DEPLOY LICENSED CLINICIANS, CARE COORDINATORS, AND MENTAL HEALTH CONSULTANTS (ENGLISH- AND/OR SPANISH-SPEAKING) TO BE HIRED AND SUPERVISED BY MID FAIRFIELD AND EMBEDDED WITHIN IDENTIFIED NPS SCHOOLS. THE PROJECT WILL ALSO USED EVIDENCED BASED CURRICULA AND DATA-BASED DECISION MAKING TO PROVIDE A CLEAR FRAMEWORK TO ADDRESS MENTAL HEALTH AND BEHAVIOR ISSUES WHILE PROMOTING A HEALTH SCHOOL CLIMATE AND CULTURE.

MEDICAID ENTITLEMENT FOR N. MARIANA ISLANDS - FY 2008 QUARTER 4 - T21

HEALTHY MARRIAGES AND RELATIONSHIPS PROGRAM (PROJECT FORWARD) TO SERVE 900+ ADULTS AT-RISK IN NASSAU, QUEENS AND SUFFOLK COUNTIES, NY WITH OUTREACH, ENGAGEMENT, AND RELATIONSHIP EDUCATION - CENTRAL NASSAU GUIDANCE & COUNSELING SERVICES WILL IMPLEMENT PROJECT FORWARD (FACING OBSTACLES IN RELATIONSHIPS AND WORK WITH ACTION, RESOURCES, DIRECTION) TO SERVE ADULTS IN NASSAU, SUFFOLK, AND QUEENS COUNTIES. THE PROJECT WILL PROVIDE MARRIAGE AND RELATIONSHIP EDUCATION USING LOVE NOTES 4.1 AND MIND MATTERS CURRICULA, CASE MANAGEMENT, AND ECONOMIC STABILITY SERVICES. THE PROGRAM WILL SERVE INDIVIDUAL ADULTS EXPERIENCING MENTAL HEALTH AND SUBSTANCE USE DISORDERS, LOW-INCOME INDIVIDUALS, SINGLE PARENTS, AND THOSE WITH CRIMINAL JUSTICE INVOLVEMENT. OVER THE FIVE-YEAR PROJECT PERIOD, PROJECT FORWARD WILL SERVE 900+ ADULTS THROUGH WORKSHOPS, CASE MANAGEMENT, AND JOB AND CAREER ADVANCEMENT SERVICES.

EVALUATING A COGNITIVE BEHAVIORAL APPROACH FOR IMPROVING LIFE OUTCOMES OF UNDER SERVED YOUNG WOMEN: A RANDOMIZED EXPERIMENT IN CHICAGO

THE OTHER SIDE OF THE FENCE OFFENDER RE-ENTRY PROGRAM

THE OTHER SIDE OF THE FENCE

THIS EDA INVESTMENT SUPPORTS THE KESHET DANCE COMPANY WITH RENOVATING THEIR EXISTING KESHET IDEAS AND INNOVATION CENTER (KIIC) FACILITY TO CREATE ADDITIONAL WORK, MAKERSPACE, AND AUDIENCE/CUSTOMER ENGAGEMENT SPACES IN ALBUQUERQUE, NEW MEXICO. THE PROJECT WILL WORK TO IMPROVE THE ECONOMIC CONDITIONS OF UNDERSERVED POPULATIONS AND FURTHER ADVANCE A DIVERSE LOCAL CREATIVE ECONOMY BY PROVIDING FREE/LOW-COST BUSINESS DEVELOPMENT RESOURCES/TRAINING TO IMPROVE SKILLS IN ENTREPRENEURSHIP; PRODUCT-TO-MARKET SUPPORT SERVICES AND SPACES TO INCREASE SALES; BUSINESS RESIDENCY AND RESOURCE CENTER; AND OTHER INITIATIVES WHICH WILL SUPPORT SMALL BUSINESS DEVELOPMENT IN THE AREA. ONCE COMPLETED, THE PROJECT WILL PROMOTE ENTREPRENEURSHIP, BOLSTER JOB CREATION, AND PROMOTING ECONOMIC GROWTH AND RESILIENCY THROUGHOUT THE REGION.

THE OTHER SIDE OF THE FENCE

MEETING THE NEEDS OF CLIENTS WITH SMI, SED, COD AND ENHANCING STAFF MENTAL HEALTH - CHILD GUIDANCE & FAMILY SOLUTIONS (CGFS) STRIVES TO PROVIDE TRAUMA INFORMED AND EVIDENCE-BASED OUTPATIENT SERVICES TO CLIENTS WITH SED, SMI AND COD WHO RESIDE IN SUMMIT COUNTY, OHIO. CGFS IS ALSO DEDICATED TO RECOGNITION AND PREVENTION OF STAFF BURNOUT AND COMPASSION FATIGUE, WHICH IS COMMON AMONG MENTAL HEALTH CARE PROVIDERS. CGFS GOALS INCLUDE UTILIZING A HIPAA COMPLIANT TELEHEALTH PLATFORM TO OFFER CONFIDENTIAL MENTAL HEALTH TREATMENT SERVICES; PROVIDING OUTPATIENT MENTAL HEALTH SERVICES WITH WRAP-AROUND SUPPORTS SUCH AS CASE MANAGEMENT, GROUP SERVICES, PSYCHIATRIC SERVICES AND RESPITE CARE; CONDUCTING TRAUMA INFORMED SCREENING, ASSESSMENT AND TREATMENT MODALITIES; PROVIDING CASE MANAGEMENT SERVICES FOR ALL CLIENTS WHO NEED EXTRA SUPPORT; PROVIDING THERAPEUTIC TOOLS, SUPPLIES AND TRAININGS TO IMPROVE STAFF'S MENTAL HEALTH AND WELLBEING; AND INCREASING EDUCATION, AWARENESS AND SCHOOL/COMMUNITY OUTREACH AS A MEANS OF IMPROVING MENTAL HEALTH AWARENESS. CGFS WILL PROVIDE HIPAA COMPLIANT ZOOM LICENSES FOR ALL CLINICAL STAFF, AS MANY CLIENTS CONTINUE TO REQUEST THE USE OF TELEHEALTH PLATFORMS DUE TO THE COVID-19 PANDEMIC. SYMPTOM SCREENERS SUCH AS THE PHQ-9, CPSS-V AND GAD-7 WILL BE USED AT ONSET OF TREATMENT, EVERY 3 MONTHS AND AT TERMINATION OF TREATMENT TO ASSESS PROGRESS FOR CLIENTS WITH SEC, SMI AND COD. CGFS SEEKS TO REDUCE THE RISK OF SUICIDE, OUT OF HOME PLACEMENT, SEXUAL REOFFENDING AND SUBSTANCE USE IN AT LEAST 75% OF CLIENTS SERVED. CGFS WILL ENSURE A WELL-TRAINED TEAM OF MENTAL HEALTH PROVIDERS ARE AVAILABLE TO PROVIDE SERVICES TO ALL CLIENTS BY OFFERING TRAININGS IN DBT, CPT, MI, TF-CBT, PLAY THERAPY, GRIEF, SUBSTANCE USE TREATMENT, THE IMPACT OF TRAUMA ON NEURODEVELOPMENT AND THE IMPACT OF COVID-19 ON MENTAL HEALTH. CASE MANAGERS WILL HAVE ACCESS TO ONGOING EDUCATION AND CONSULTATION TO ENHANCE THEIR SKILLS TO EQUIP THEM WITH THE ABILITY TO PROVIDE SUPPORT TO CLIENTS AND FAMILIES EXPERIENCING SED, SMI AND COD. CGFS WILL FOCUS ON PROVIDING TRAININGS, ITEMS AND ACTIVITIES THAT ASSIST STAFF WITH THEIR MENTAL WELL-BEING. THIS WILL INCLUDE TRAINING ON SELF-CARE, BURNOUT AND COMPASSION FATIGUE; SELF-CARE ITEMS ON SITE SUCH AS STRESS BALLS, CHAIR MASSAGERS AND HEATING PADS; AND SELF-CARE ACTIVITIES SUCH AS SPA PACKAGES, TICKETS TO SPORTING EVENTS AND GYM MEMBERSHIPS. CLINICAL SUPERVISORS WILL RECEIVE SPECIALIZED TRAINING TO ASSESS AND PREVENT STAFF BURNOUT. SURVEYS WILL BE CONDUCTED ON A BI-ANNUAL BASIS TO ASSESS STAFF'S MENTAL WELLNESS AND NEEDS FOR ONGOING INTERVENTION AND SUPPORT. CGFS STAFF WILL PROVIDE OUTREACH AND EDUCATION TO AT LEAST 5 SCHOOL DISTRICTS PER YEAR TO INCREASE EDUCATION SURROUNDING MENTAL WELLNESS. OUTREACH AND EDUCATION EFFORTS WILL BE PROVIDED TO OTHER COMMUNITY ENTITIES QUARTERLY. CGFS WILL SERVE AT LEAST 300 UNDUPLICATED INDIVIDUALS PER YEAR FOR A TOTAL OF 600 INDIVIDUALS BY THE END OF YEAR TWO.

IMPROVING MENTAL HEALTH SERVICES AT HAMDEN PUBLIC SCHOOLS

ENGAGES PERSONS 55 AND OLDER IN SUPPORTIVE SERVICE TO CHILDREN IN NEED

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

EFFECT OF SCANCAP TECHNOLOGY ON MEDICATION ADHERENCE AND HYPERTENSION OUTCOMES

DEVELOPMENT AND DISSEMINATION GRANT PROGRAM

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

084799147 8952728000180 FAIRFIELD AVE.

PROJECT CREATE (COVID RECOVERY, EQUITY, AND TRAINING EXCELLENCE) - THE GUIDANCE CENTER OF WESTCHESTER (TGCW) PROPOSES TO DEVELOP PROJECT CREATE (COVID RECOVERY, EQUITY, AND TRAINING EXCELLENCE) TO SERVE 200 INDIVIDUALS WITH SERIOUS EMOTIONAL DISTURBANCES (SED), SERIOUS MENTAL ILLNESSES (SMI), AND CO-OCCURRING DISORDERS (COD) WHO ARE LIVING IN WESTCHESTER COUNTY OVER THE 2-YEAR GRANT-FUNDED PROGRAM (100 EACH YEAR). WE WILL PRIORITIZE SERVICES FOR RACIAL/ETHNIC MINORITY POPULATIONS OF ALL AGES, CHILDREN AND YOUTH, AND THE HISTORICALLY UNDERSERVED COMMUNITIES OF YONKERS, MOUNT VERNON, AND NEW ROCHELLE. WE WILL ENGAGE INDIVIDUALS USING A COMBINATION OF COMMUNITY AND CLINIC-BASED SERVICES AND SUPPORTS PROVIDED IN WESTCHESTER COUNTY'S HARDEST-HIT COMMUNITIES DURING THE COVID-19 PANDEMIC, SUPPORTING A NO WRONG DOOR APPROACH TO CARE. GIVEN THE DISPROPORTIONATE AND EXPANSIVE IMPACT OF COVID-19 ON OUR TARGET COMMUNITIES, WESTCHESTER COUNTY - SPECIFICALLY YONKERS, MOUNT VERNON, AND NEW ROCHELLE - IS EXPERIENCING A BEHAVIORAL HEALTH (BH) CRISIS THAT OUR SYSTEM NEEDS SIGNIFICANT SUPPORT TO EFFECTIVELY ADDRESS. THROUGH PROJECT CREATE, TGCW WILL BOLSTER AND EXPAND OUR EXISTING CLINICAL AND WRAPAROUND SERVICES IN ORDER TO MEET THE NEEDS OF INDIVIDUALS WITH SED, SMI, AND COD OF ALL AGES IN WESTCHESTER COUNTY. IN ADDITION, PROJECT CREATE WILL PROVIDE TRAINING AND MENTAL HEALTH SUPPORT TO 34 STAFF MEMBERS WORKING IN TGCW'S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER (CCBHC) PROGRAM, WHICH IS INCLUSIVE OF OUR COMMUNITY AND SCHOOL-BASED CLINIC SITES, IN ORDER TO ADDRESS THEIR SECONDARY TRAUMA AND BUILD RESILIENCY SO THAT THEY CAN CONTINUE TO SERVE OUR COMMUNITIES. WE WILL SEEK TO ACCOMPLISH THE FOLLOWING GOALS: 1. ADDRESS THE BH AND TRAUMA NEEDS OF CHILDREN WITH SED AND THEIR FAMILIES IN ORDER TO PREVENT ADVERSE OUTCOMES AS THEY MOVE INTO ADULTHOOD. 2. PROVIDE BH TREATMENT AND RECOVERY SUPPORTS FOR INDIVIDUALS WITH SMI, COD, AND SED IN WESTCHESTER COUNTY, PROMOTING ACCESS FOR COMMUNITIES EXPERIENCING BOTH BH AND PANDEMIC STRESSES. 3. STRENGTHEN AND SUPPORT TGCW'S WORKFORCE SO THEY CAN CONTINUE TO SUPPORT OUR COMMUNITIES.

ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING, AND MISCELLANEOUS GRANTS

KESHET IDEAS & INNOVATIO

NEUROACCESS: A FOCUSED ULTRASOUND SYSTEM FOR SONOBIOPSY OF THE BRAIN - PROJECT SUMMARY CORDANCE MEDICAL AIMS TO ADDRESS AN UNMET CRITICAL NEED IN THE MANAGEMENT OF BRAIN TUMOR PATIENTS THROUGH THE DEVELOPMENT OF THE NEUROACCESS™ SYSTEM. THIS FOCUSED ULTRASOUND DEVICE IS DESIGNED FOR SAFE, TEMPORARY, AND NON-INVASIVE BLOOD-BRAIN BARRIER (BBB) OPENING, ENABLING A NOVEL LIQUID BIOPSY TECHNIQUE TERMED SONOBIOPSY™. THE MAJOR OBSTACLE TO THE WIDESPREAD CLINICAL ADOPTION OF LIQUID BIOPSIES FOR BRAIN TUMORS IS THE BBB, WHICH RESTRICTS THE PASSAGE OF CIRCULATING FREE DNA (CFDNA) FROM THE BRAIN TUMOR INTO THE BLOODSTREAM. THE LONG-TERM GOAL IS TO TRANSFORM THE CLINICAL MANAGEMENT OF MALIGNANT BRAIN TUMOR PATIENTS BY PROVIDING TIMELY AND CRITICAL MOLECULAR INFORMATION FOR THERAPY SELECTION, MONITORING DISEASE PROGRESSION, AND AIDING IN THE DIFFERENTIATION BETWEEN TRUE PROGRESSION AND PSEUDO-PROGRESSION. THE OVERALL OBJECTIVE OF THE PROPOSED FDA- CLEARANCE CLINICAL TRIAL IS TO DEMONSTRATE THE SAFETY AND EFFICACY OF SONOBIOPSY USING THE NEUROACCESS SYSTEM. WE WILL RECRUIT 70 PATIENTS WITH EITHER RECURRENT PRIMARY BRAIN TUMORS, SUCH AS GLIOBLASTOMA (GBM), OR NEW BRAIN METASTASES. WE HAVE STRONG PRELIMINARY DATA THAT DEMONSTRATES THE DEVICE'S SAFETY AND PRECISION IN BBB OPENING THROUGH RIGOROUS PRE-CLINICAL TESTING AND EVALUATION IN LARGE ANIMAL MODELS. TWO SPECIFIC AIMS GUIDE THE TRIAL: 1) TO DEMONSTRATE THE SAFETY AND EFFICACY OF SONOBIOPSY IN PRIMARY BRAIN TUMORS BY ACHIEVING SAFE BBB OPENING AND SIGNIFICANTLY INCREASING CFDNA CONCENTRATIONS ABOVE THE LIMIT-OF-DETECTION OF 10NG/ML; AND 2) TO VALIDATE THE TECHNIQUE IN SECONDARY BRAIN TUMORS BY DETECTING NOVEL OR PRIVATE MUTATIONS IN AT LEAST 20% OF THE SONOBIOPSY SPECIMENS COMPARED TO BASELINE, USING TRUNCAL GENOMICS TO CONFIRM SPECIFICITY. THIS PROJECT IS INNOVATIVE BECAUSE IT OFFERS A NON-INVASIVE, COST-EFFECTIVE, AND COMMUNITY-CENTRIC SOLUTION, SETTING THE STAGE FOR WIDESPREAD ADOPTION OF SONOBIOPSY. THE PROPOSED RESEARCH IS SIGNIFICANT BECAUSE IT HAS THE POTENTIAL TO CATALYZE THE ACCUMULATION OF TRANSLATIONAL SONOBIOPSY KNOWLEDGE AND ULTIMATELY ADVANCE THE DIAGNOSIS AND TREATMENT OF BRAIN TUMORS. THE PROJECT ALIGNS WITH CORDANCE MEDICAL'S MISSION TO DEVELOP INNOVATIVE SOLUTIONS FOR NEUROLOGIC DISEASES AND IS BACKED BY A SEASONED TEAM OF MEDICAL DEVICE LEADERS. RECOGNIZING THE IMPORTANCE OF THE REGULATORY PATH, CORDANCE MEDICAL HAS OBTAINED AN FDA BREAKTHROUGH DEVICE DESIGNATION FOR THIS APPLICATION AND HAS BEEN ENROLLED INTO FDA TAP IN ALIGNMENT WITH OBTAINING A CLASS II CLEARANCE. BY ENABLING THE REGULAR ACQUISITION OF TUMOR GENETIC AND MOLECULAR SIGNATURES WITHOUT THE NEED FOR INVASIVE PROCEDURES, THE NEUROACCESS SYSTEM STANDS TO SUBSTANTIALLY IMPROVE BRAIN TUMOR MANAGEMENT ACROSS VARIOUS HEALTHCARE SETTINGS.

THE CLIFFORD BEERS CLINIC (CB) IS SEEKING TO UNDERTAKE A PROACTIVE, PUBLIC HEALTH APPROACH TO THE ISSUE OF SCHOOL SAFETY AND VIOLENCE PREVENTION BY ESTABLISHING AND IMPLEMENTING A COMPREHENSIVE AND SYSTEMATIC COMMUNITY-BASED THREAT ASSESSMENT SYSTEM THAT USES EARLY INTERVENTIONS TO KEEP STUDENTS SAFE IN NEW HAVEN, CT. THE GOAL IS TO INTERVENE EARLIER, BEFORE AN ISSUE OR INCIDENT BECOMES A CRISIS. NEW HAVEN IS THE SECOND-LARGEST CITY IN CT. 42.4% ARE BLACK/AFRICAN-AMERICAN, 13.7% ARE WHITE NON-HISPANIC, AND 40.2% ARE HISPANIC. DATA INDICATES THAT UTILIZATION OF MENTAL HEALTH SERVICES OF NEW HAVEN CHILDREN IS LOWER THAN STATEWIDE AVERAGES, DUE TO LACK OF ACCESS TO SERVICES. NEW HAVEN HAS MORE MINORITY STUDENTS THAN THE STATEWIDE AVERAGE, HAVE HIGHER RATES OF CHRONIC ABSENTEEISM, HIGHER POVERTY RATES, AND LOWER 4-YEAR GRADUATION RATES THAN STATEWIDE AVERAGES. THE PROPOSED PROJECT, CALLED THE COMMUNITY BASED THREAT ASSESSMENT SYSTEM, IS COMPRISED OF THE FOLLOWING COMPONENTS: 1) IMPLEMENT A MULTI-DISCIPLINARY STUDENT THREAT ASSESSMENT SYSTEM TO HELP SCHOOL PERSONNEL IDENTIFY, ASSESS AND SUPPORT STUDENTS WHO PRESENT A POTENTIAL RISK FOR VIOLENCE TOWARD OTHERS; AND 2) PROMOTE STUDENT MENTAL WELLNESS THROUGH THE IMPLEMENTATION OF APPROPRIATE INTERVENTIONS AND REFERRALS, WITH A FOCUS ON YOUTH SUICIDE/BULLYING/HARASSMENT PREVENTION EFFORTS IN SCHOOLS. THE PROPOSED PROGRAM WILL UTILIZE THE STRUCTURED ASSESSMENT OF VIOLENCE RISK IN YOUTH (SAVRY) RISK ASSESSMENT INSTRUMENT DESIGNED TO STRUCTURE APPRAISALS OF VIOLENCE RISK AND RISK MANAGEMENT PLANS FOR ADOLESCENTS. IN THE PROJECT, THE CB IS COLLABORATING WITH THE NEW HAVEN PUBLIC SCHOOLS, THE NEW HAVEN POLICE DEPARTMENT, THE CT VIOLENCE INTERVENTION PROJECT, AND THE SUPERIOR COURT FOR JUVENILE MATTERS -JUDICIAL BRANCH, STATE OF CT.

SBIR PHASE II: TRANSCRANIAL DYNAMIC FOCUSED ULTRASOUND FOR THE NON-INVASIVE OPENING OF THE BLOOD-BRAIN BARRIER (BBB)

FOSTER GRANDPARENT PROGRAM

TRANSITIONAL LIVING PROJECT

CONTINUUM OF CARE PROGRAM

INCARCERATION AND REINCARCERATION IS AN AMERICAN EPIDEMIC, WITH A DEVASTATING IMPACT ON INDIVIDUALS, THEIR FAMILIES, AND THEIR COMMUNITIES. RESEARCH IS CLEAR THAT SUBSTANCE USE DISORDER IS A KEY FACTOR LEADING TO RECIDIVISM. FORMERLY INCARCERATED INDIVIDUALS SUFFER SUBSTANCE USE DISORDER AT A DRASTICALLY HIGHER RATE THAN THE GENERAL POPULATION, WITH 82 PERCENT OF MISSOURI INCARCERATED INDIVIDUALS REPORTING A MODERATE TO SEVERE SUBSTANCE USE PROBLEM.         INCARCERATION RESULTS IN SIGNIFICANT BARRIERS TO MAINTAINING SOBRIETY, INCLUDING STABLE HOUSING, TRANSPORTATION, EDUCATION, UNEMPLOYMENT, LEGAL ISSUES, REPORTING REQUIREMENTS, INTERPERSONAL RELATIONSHIP SKILLS, AND MEDICAL AND MENTAL HEALTH CHALLENGES. THESE BARRIERS BEGIN PRIOR TO RELEASE FROM INCARCERATION, AND CURRENT SERVICES ARE TOO DISJOINTED, UNDERFUNDED, OR LIMITED IN TIME AND SCOPE TO TRULY EQUIP JUSTICE-INVOLVED INDIVIDUALS TO MAINTAIN SOBRIETY AND AVOID REINCARCERATION.         CONCORDANCE AIMS TO DRAMATICALLY REDUCE REINCARCERATION RATES BY PRECISELY EXECUTING OUR HOLISTIC, INTEGRATED, EVIDENCE-INFORMED RE-ENTRY PROGRAM. CONCORDANCE’S COMPREHENSIVE MODEL – DEVELOPED AFTER YEARS OF RESEARCH – BEGINS SIX MONTHS PRE-RELEASE AND CONTINUE ONE YEAR AFTER RELEASE, OFFERING CONTINUITY THROUGH THE TRANSITION FROM INCARCERATION BACK INTO THE COMMUNITY. EACH ENROLLEE INITIALLY RECEIVES SEVERAL ASSESSMENTS TO EVALUATE THEIR OVERALL NEED, AND, FROM THERE, CREATES AN INDIVIDUALIZED LIFE PLAN AND NOW – NEXT – LATER CAREER BLUEPRINT THAT GUIDES THEIR CUSTOMIZED CONCORDANCE PROGRAMMING. PARTICIPANTS RECEIVE EVIDENCE-BASED BEHAVIORAL HEALTH & WELLNESS INTERVENTIONS, AND HOLISTIC SUPPORT SERVICES IN EMPLOYMENT & JOB READINESS AND COMMUNITY & LIFE SKILLS.         PRIOR TO RELEASE, CONCORDANCE WORKS INSIDE THE PRISON INSTITUTIONS IN COOPERATION WITH THE DEPARTMENT OF CORRECTIONS, AND AFTER RELEASE PARTICIPANTS RECEIVE FULL TIME DAILY PROGRAMMING AT THE CONCORDANCE CENTER. FOR PARTICIPANTS REQUIRING ADDITIONAL SOBRIETY SUPPORT, CONCORDANCE FACILITATES MEDICALLY-ASSISTED TREATMENT AND OPERATES THE CONCORDANCE HOUSE, A SOBER LIVING RESIDENTIAL FACILITY AVAILABLE TO PARTICIPANTS AS NEEDED. THIS COMPREHENSIVE SOBRIETY PROGRAMMING IS PROVING EFFECTIVE – OF ALL THE PARTICIPANTS SERVED POST-RELEASE IN 2020, OVER 90% OF PARTICIPANTS DRUG SCREENS WERE NEGATIVE FOR SUBSTANCE USE.         TO DATE, CONCORDANCE HAS SERVED OVER 900 PARTICIPANTS AND HAS REDUCED REINCARCERATION AMONGST THOSE SERVED BY OVER 40%, ALONG WITH A HOST OF POSITIVE SOBRIETY OUTCOMES. CONCORDANCE’S MODEL HAS BEEN ACCREDITED BY CARF INTERNATIONAL AND RESULTS HAVE BEEN VALIDATED BY AN INDEPENDENT QUASI-EXPERIMENTAL DESIGN ANALYSIS (WITH SIMILAR FINDINGS EXPECTED FROM A RANDOMIZED CONTROLLED TRIAL CONCLUDING IN 2021).         WITH THIS GRANT, CONCORDANCE AIMS TO FURTHER DEPLOY AND GROW THIS PROVEN MODEL TO PROVIDE JUSTICE-INVOLVED ADULTS RETURNING TO THE ST. LOUIS AREA WITH THE TRAINING AND WRAP-AROUND SERVICES NEEDED TO MAINTAIN SOBRIETY AND AVOID REINCARCERATION.

CONTINUUM OF CARE PROGRAM

KUMU HULA (HULA TEACHER) 'UNIKI (TRAINING AND GRADUATION) PILOT PROJECT

AMERICAN RESCUE PLAN

ENGAGES PERSONS 55 AND OLDER IN SUPPORTIVE SERVICE TO CHILDREN IN NEED

THIS GRANT PROGRAM SUPPORTS THE DEVELOPMENT AND OPERATION OF NONPROFIT, NONGOVERNMENTAL TRIBAL DOMESTIC VIOLENCE, AND SEXUAL ASSAULT COALITIONS. RECOGNIZED TRIBAL COALITIONS MAY USE FUNDING FROM THE TRIBAL COALITIONS PROGRAM TO: 1) INCREASE AWARENESS OF DOMESTIC VIOLENCE AND SEXUAL ASSAULT AGAINST INDIAN OR NATIVE HAWAIIAN WOMEN; 2) ENHANCE THE RESPONSE TO VIOLENCE AGAINST INDIAN OR NATIVE HAWAIIAN WOMEN AT THE FEDERAL, STATE, AND TRIBAL LEVELS; 3) IDENTIFY AND PROVIDE TECHNICAL ASSISTANCE TO COALITION MEMBERSHIP AND TRIBAL COMMUNITIES OR NATIVE HAWAIIAN COMMUNITIES TO ENHANCE ACCESS TO ESSENTIAL SERVICES TO INDIAN OR NATIVE HAWAIIAN WOMEN VICTIMIZED BY DOMESTIC AND SEXUAL VIOLENCE, INCLUDING SEX TRAFFICKING; AND 4) ASSIST INDIAN TRIBES OR NATIVE HAWAIIAN COMMUNITIES IN DEVELOPING AND PROMOTING STATE, LOCAL, AND TRIBAL LEGISLATION AND POLICIES THAT ENHANCE BEST PRACTICES FOR RESPONDING TO VIOLENT CRIMES AGAINST INDIAN OR NATIVE HAWAIIAN WOMEN, INCLUDING THE CRIMES OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, SEX TRAFFICKING, AND STALKING. WITH THIS FUNDING SEVEN DANCERS COALITION (SDC) WILL SERVE 8 FEDERALLY RECOGNIZED TRIBES IN NEW YORK, AS WELL AS TRIBAL COMMUNITIES LOCATED IN RURAL, SUBURBAN, AND THE URBAN AREAS. SDC WILL PROVIDE MEMBERS, ALLIES, AND TRIBAL GOVERNMENTS WITH SERVICES, TRAINING AND TECHNICAL ASSISTANCE SUPPORT FOR CAPACITY BUILDING, EDUCATION, PREVENTION, PUBLIC AWARENESS, POLICY AND SYSTEMS CHANGE, AND INFORMATION TO COMBAT DOMESTIC VIOLENCE, SEXUAL ASSAULT AND TRAFFICKING OF NATIVE WOMEN.SDC WILL 1) PROVIDE SERVICES, SUPPORT, AND TECHNICAL ASSISTANCE TO MEMBER TRIBES; 2) PROVIDE NATION TO NATION SUPPORT FOR CREATION OF A DV PROGRAM AND NATIVE SPECIFIC AND CULTURALLY RELEVANT COMMUNITY-BASED RESOURCES;3) PROVIDE PUBLIC EDUCATION AND AWARENESS PRESENTATIONS ON DOMESTIC VIOLENCE, SEXUAL ASSAULT, TEEN DATING VIOLENCE AWARENESS, STALKING AND SEX TRAFFICKING; 4) PROVIDE VICTIM-CENTERED ADVOCATE SELF-CARE PROGRAMMING; AND 5) HOST A CULTURAL SAFETY WORKSHOP FOUR TIMES A YEAR TO EDUCATE NON-NATIVE SERVICE PROVIDERS. THE TIMING FOR PERFORMANCE OF THIS AWARD IS 12 MONTHS.

COVID-19 EMERGENCY RESPONSE FOR SUICIDE PREVENTION GRANTS

TLP

EMPOWER LIFE ON LONG ISLAND - EMERGENCY SUICIDE PREVENTION (COVID 19)

ENGAGES PERSONS 55 AND OLDER IN VOLUNTEER SERVICE IN THEIR COMMUNITIES

AN ESTIMATED 750 RSVP VOLUNTEERS WILL SERVE. OF THIS NUMBER, 249 RSVP VOLUNTEERS WILL BE PLACED IN OUTCOME ASSIGNMENTS. SOME OF THEIR ACTIVITIES WILL INCLUDE OPERATING VITA (VOLUNTEER INCOME TAX ASSISTANCE) SITES OFFERING FREE TAX PREPARATION AND ELECTRONIC FILING OF FEDERAL AND STATE INCOME TAX RETURNS FOR SENIORS AND FAMILIES WITH MODEST INCOMES, PROVIDING INFORMATION TO MEDICARE BENEFICIARIES TO AID THEM IN CHOOSING HEALTH INSURANCE, AND WORKING TO REDUCE HUNGER. THE PRIMARY FOCUS AREA OF THIS PROJECT IS ECONOMIC OPPORTUNITY. AT THE END OF THE THREE-YEAR GRANT, RSVP VOLUNTEERS WILL BE PREPARING AND FILING INCOME TAX RETURNS RESULTING IN $5 MILLION IN REFUNDS. THE CNCS FEDERAL INVESTMENT OF $248,342 WILL BE SUPPLEMENTED BY $109,000 IN MATCHING FUNDS.

DROPLET BASED SCREENING OF MOLECULAR LIBRARIES IN A MICROFLUIDIC DEVICE

FAMILY GUIDANCE CENTER OF WARREN COUNTY-INCREASING ACCESS, IMPROVING QUALITY - THE FAMILY GUIDANCE CENTER OF WARREN COUNTY IS SEEKING TO INCREASE ACCESS TO AND IMPROVE THE QUALITY OF COMMUNITY MENTAL, SUBSTANCE USE DISORDER AND PRIMARY CARE SERVICES IN WARREN COUNTY, NEW JERSEY. THE PROGRAM WILL PROVIDE COMPREHENSIVE 24/7 ACCESS TO COMMUNITY-BASED MENTAL, SUBSTANCE USE DISORDER SERVICES, CO-OCCURRING DISORDERS AND LINKAGES TO PHYSICAL HEALTHCARE SERVICES IN ALL SIX OF THE FAMILY GUIDANCE CENTER LOCATIONS. IN PARTNERSHIP WITH OUR DESIGNATED COMMUNITY ORGANIZATIONS (DCOS), THE POPULATIONS TO BE SERVED ARE OLDER ADULTS (55+), INDIVIDUALS WITH UNTREATED HEPATITIS THROUGH DRUG USE, HIGH SCHOOL STUDENTS AND MINORITY POPULATIONS INCLUDING LATINOS AND THE LESBIAN, GAY, BISEXUAL, TRANSGENDER, AND QUEER (LGBTQ) COMMUNITY.

AN ESTIMATED 750 RSVP VOLUNTEERS WILL SERVE. OF THIS NUMBER, 256 RSVP VOLUNTEERS WILL BE PLACED IN OUTCOME ASSIGNMENTS. SOME OF THEIR ACTIVITIES WILL INCLUDE OPERATING VITA (VOLUNTEER INCOME TAX ASSISTANCE) AND TCE (TAX COUNSELING FOR THE ELDERLY) SITES OFFERING FREE PREPARATION AND ELECTRONIC FILING OF FEDERAL AND STATE INCOME TAX RETURNS FOR SENIORS AND FAMILIES WITH MODEST INCOMES; PROVIDING ASSISTANCE TO PERSONS WITH MEDICARE (BOTH AGED AND DISABLED); AND REDUCING HUNGER. THE PRIMARY FOCUS AREA OF THIS PROJECT IS ECONOMIC OPPORTUNITY. AT THE END OF THE THREE-YEAR GRANT, RSVP VOLUNTEERS WILL BE PREPARING AND FILING INCOME TAX RETURNS RESULTING IN $5 MILLION IN REFUNDS. THE CNCS FEDERAL INVESTMENT OF $255,882 WILL BE SUPPLEMENTED BY $109,878 IN MATCHING FUNDS.

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

AMERICAN RESCUE PLAN

STOP UNDERAGE DRINKING/DRUGS DOWNRIVER (SUDDS) COALITION

FAMILY GUIDANCE CENTER OF WARREN COUNTY

RADAR COMMUNITY-BASED COALITION ADDRESSING YOUTH SUBSTANCE USE

MENTORING, CASE MANAGEMENT, EMPLOYMENT SERVICES, AND WRAP-AROUND SUPPORTIVE SERVICES FOR TRANSITIONING OFFENDERS.

CONTINUUM OF CARE PROGRAM

MENTORING PROGRAM GRANTS

TECHNICAL MANAGEMENT OF THE CONNECTED VEHICLE SAFETY SYSTEM SECURITY CREDENTIAL MANAGEMENT SYSTEM, PROOF OF CONCEPT

BASIC CENTER PROGRAM

BASIC CENTER PROGRAM

THE GUIDANCE CENTER MHFA TRAINING - THE GUIDANCE CENTER INTENDS TO UTILIZE THE MENTAL HEALTH AWARENESS TRAINING (MHAT) GRANT FUNDING TO EXPAND THE AVAILABILITY AND ACCESSIBILITY OF MENTAL HEALTH AND SUBSTANCE USE SUPPORT SERVICES BY PROVIDING THE EVIDENCE-BASED MENTAL HEALTH FIRST AID (NHFA) TRAINING TO A WIDE VARIETY OF ORGANIZATIONS THROUGHOUT OUR RURAL CATCHMENT AREA, WHICH INCLUDES NORTHERN PENNSYLVANIA, THE SOUTHERN TIER OF NEW YORK STATE, AND THE ALLEGANY TERRITORY OF THE SENECA NATION OF INDIANS. THE GUIDANCE CENTER MHFA TRAINING WILL INCLUDE BOTH INDIVIDUAL MHFA FOR YOUTH AND ADULTS AS WELL AS TRAINER CERTIFICATION, ENABLING PARTNERING ORGANIZATIONS TO SUSTAIN TRAINING AND AWARENESS EFFORTS. IN PARTNERSHIP WITH LOCAL PUBLIC SCHOOLS, ONE GOAL IS TO ALSO HAVE A SITE CERTIFIED TO PROVIDE MENTAL HEALTH FIRST AID FOR TEENS. RECENT COMMUNITY NEEDS ASSESSMENTS INDICATE THAT THE GROWTH OF DEMAND FOR BEHAVIORAL HEALTH INTERVENTION AND SUBSTANCE USE TREATMENT IN OUR REGION HAS FAR OUTPACED THE LIMITED RESOURCES AVAILABLE TO PROVIDE THOSE NEEDED SERVICES. OUR RURAL POPULATION STRUGGLES WITH HIGH RATES OF POVERTY AND SOCIAL DETERMINANTS OF HEALTH THAT PLACE US IN THE TOP 25% OF "MOST DISADVANTAGED AREAS" ACCORDING TO THE AREA DEPRIVATION INDEX AND ACCESS TO TREATMENT CONTINUES TO BE A SIGNIFICANT BARRIER FOR MANY RESIDENTS IN OUR REGION. INCREASING THE NUMBER OF COMMUNITY MEMBERS WHO ARE TRAINED TO RECOGNIZE AND RESPOND TO THE NEEDS OF INDIVIDUALS LIVING WITH, OR AT RISK FOR DEVELOPING MENTAL ILLNESS, SUBSTANCE USE DISORDERS, AND SUICIDE IS A CRUCIAL COMPONENT OF ADDRESSING THE CURRENT TREATMENT DISPARITIES EXPERIENCED BY INDIVIDUALS AND FAMILIES IN OUR CATCHMENT AREA. OUR PRIMARY MHAT GRANT OBJECTIVE IS TO PROVIDE MENTAL HEALTH FIRST AID (MHFA) TRAINING TO A WIDE VARIETY OF COMMUNITY PARTNER ORGANIZATIONS, INVOLVING ORGANIZATIONS AND AGENCIES THAT WORK WITH UNDERSERVED POPULATIONS INCLUDING INDIGENOUS PEOPLE, YOUTH, VETERANS, LGBTQIA+ INDIVIDUALS, PEOPLE LIVING WITH DISABILITIES, AND GERIATRIC POPULATIONS. THE GUIDANCE CENTER WILL ALSO OFFER MHFA TRAINING TO EDUCATIONAL INSTITUTIONS OF ALL LEVELS, MEDICAL CARE PROVIDERS, COUNTY WORKERS, LAW ENFORCEMENT AGENCIES, RELIGIOUS GROUPS, LOCAL BUSINESSES, AND ANY OTHER ORGANIZATION WHO WOULD LIKE TO PARTNER WITH US IN ORDER TO ENHANCE THE ABILITY FOR THEIR MEMBERS TO FEEL COMFORTABLE PROVIDING MHFA TO THOSE WITH WHOM THEY INTERACT. WE ESTIMATE THAT IN THE FIRST YEAR AT LEAST 70 INDIVIDUALS WILL RECEIVE TRAINING; YEAR TWO APPROXIMATELY 150 AND IN YEAR THREE OVER 240. AS SUCH, OVER THE SPAN OF THE GRANT, IS OUR INTENT TO TRAIN 460 OR MORE INDIVIDUALS AND AT LEAST 30 MHFA TRAINERS.

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

RELEASED FUNDS FOR YEAR FOUR OF THE GRANT PROGRAM.

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

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

CONTINUUM OF CARE PROGRAM

AWARD PURPOSE TO REVAMP AND IMPROVE THE CONCORDANCE WORKPLACE SIMULATION AND TRAINING IN ORDER TO BETTER SERVE PARTICIPANTS AND IMPROVE THEIR ABILITY GET AND RETAIN EMPLOYMENT. ACTIVITIES PERFORMED REVISE THE CONCORDANCE WORKPLACE SIMULATION AND JOB TRAINING CURRICULUM RENOVATE THE CONCORDANCE SIMULATION WORKSPACE ACQUIRE INDUSTRIAL EQUIPMENT AND A COMMERCIAL KITCHEN TO USE FOR WORKFORCE TRAINING IMPLEMENT NEW CURRICULUM AND HAVE PARTICIPANTS GO THROUGH THE REVISED SIMULATION REVIEW THE NEW CURRICULUM TO ENSURE QUALITY AND FIDELITY DELIVERABLES 80% PASS RATE FOR PARTICIPANTS WHO ATTEMPT NCRC CERTIFICATION TESTS 95% JOB PLACEMENT RATE FOR PARTICIPANTS THAT COMPLETE WORKPLACE SIMULATION TRAINING PARTICIPANTS WILL HAVE A 90 DAY RETENTION RATE WITH THE SAME EMPLOYER OF OVER 80% 90% OF HIRING PARTNERS WILL SAY THEY ARE SATISFIED WITH THE QUALITY OF WORK PROVIDED BY CONCORDANCE PARTICIPANTS 20% REINCARCERATION RATE AMONGST CONCORDANCE PARTICIPANTS INTENDED BENEFICIARY INDIVIDUALS IN ST. LOUIS CITY, ST. LOUIS COUNTY, AND ST. CHARLES COUNTY REENTERING FOLLOWING INCARCERATION SUBRECIPIENT ACTIVITIES N/A

LIBRARIANS FOR THE 21ST CENTURY

PROMISE NEIGHBORHOODS

GRAND AVENUE LEARNING CORRIDOR PARTNERSHIP

WARREN HILLS COMMUNITY COALITION TO REDUCE SUBSTANCE USE AMONG YOUTH

PREPARED TO RESPOND: A PROGRAM TO DELIVER FREE, EVIDENCE-BASED MENTAL HEALTH FIRST AID TRAINING TO 2,300+ ADULTS ACROSS LONG ISLAND, NY WHO OFTEN SERVE CHILDREN OR ADULTS, INCLUDING VETERANS. - THE PREPARED TO RESPOND 5-YEAR INITIATIVE WILL TRAIN 2,300 ADULTS WHO REGULARLY INTERACT WITH RESIDENTS OF LONG ISLAND, NY TO IDENTIFY AND DE-ESCALATE MENTAL HEALTH CRISES AND ISSUES. TRAINEES WILL COMPRISE RECEPTIVE GROUPS OF SCHOOL PERSONNEL (INCLUDING TEACHERS), LAW ENFORCEMENT AND EMERGENCY SERVICES PERSONNEL, HEALTHCARE WORKERS, TEAM MEMBERS OF AREA SOUP KITCHENS AND FOOD PANTRIES, GOVERNMENT-SERVICE EMPLOYEES, VETERANS, AND PEOPLE WHO ROUTINELY INTERACT WITH VETERANS, INCLUDING FAMILY MEMBERS. OUR POPULATION OF FOCUS—THE END-BENEFICIARIES OF THOSE RECEIVING TRAINING—IS THE GENERAL PUBLIC (CHILDREN AND ADULTS) WHO WILL BENEFIT FROM A MORE WIDESPREAD ABILITY OF EVERYDAY SERVICE PROVIDERS AND NEIGHBORS WHO CAN RECOGNIZE AND RESPOND TO SIGNS AND SYMPTOMS OF MENTAL ILLNESS AND/OR A MENTAL HEALTH CRISIS. OUR CATCHMENT AREA IS NASSAU AND SUFFOLK COUNTIES, NY. THIS HIGHLY POPULATED SUBURBAN, MIXED DEMOGRAPHIC REGION EAST OF NEW YORK CITY MATCHES THE SERVICE AREA OF OUR NONPROFIT AGENCY, CN GUIDANCE & COUNSELING SERVICES (LEAD APPLICANT), A MAJOR PROVIDER OF INTEGRATED MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES IN THE REGION. WE ALSO HAVE 15+ SIGNED PARTNERS COMMITTED TO THIS INITIATIVE. EVEN PRIOR TO SPIKING MENTAL DISTRESS DURING THE COVID CRISIS OF 2020 TO PRESENT, OUR REGION HAS SUFFERED FROM DISPROPORTIONATE PREVALENCE OF SERIOUS MENTAL HEALTH CONDITIONS THAT RESULT IN EMERGENCY ROOM USAGE AND/OR INPATIENT HOSPITALIZATION. AMONG ALL ELEVEN REGIONS ACROSS NY STATE, LONG ISLAND (L.I.) WAS SHOWN, BY THE NEW YORK STATE OFFICE OF MENTAL HEALTH (OMH) IN A 2016 DSRIP (DELIVERY SYSTEM REFORM INCENTIVE PAYMENT) REPORT, TO HAVE THE HIGHEST PERCENTAGES OF: (1) ER VISITS FOR BIPOLAR DISORDER, SCHIZOPHRENIA, AND CHRONIC STRESS AND ANXIETY DIAGNOSES; (2) INPATIENT ADMISSIONS FOR BIPOLAR DISORDER; AND (3) INPATIENT ADMISSIONS FOR OPIOID USE DISORDER. IN 2020, OPIOID OVERDOSES SPIKED 40%-50% COMPARED TO YEAR-PRIOR, REVERSING TWO YEARS OF PROGRESS IN BOTH L.I. COUNTIES AGAINST A BATTLE THAT HAS CLAIMED MORE THAN 4,000 LIVES SINCE 2010. SINCE THIS IS A FEDERALLY DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA, TRAINING INDIVIDUALS ACROSS OUR AREA IN THE BASICS OF MENTAL HEALTH FIRST AID WILL SAVE AND IMPROVE LIVES. THE PROJECT WILL ADDRESS CURRENT NEEDS BY DELIVERING 6+ HOURS OF EVIDENCE-BASED MENTAL HEALTH FIRST AID TRAINING TO EACH OF 2,300 INDIVIDUALS. THOSE TRAINED WILL BE DISTINGUISHED BY: (A) THEIR DAILY CONTACT WITH THE PUBLIC (CHILDREN AND/OR ADULTS), INCLUDING WITH VULNERABLE POPULATIONS; (B) THEIR RECEPTIVITY TO RECEIVING TRAINING AND ACTING ON IT; AND (C) THE COMMITMENTS OF SIGNED PARTNERING ORGANIZATIONS WHO WILL ENGAGE MORE SUCH INDIVIDUALS (AND WHEN THEY ARE EMPLOYERS, FREE UP TIME FOR THESE INDIVIDUALS TO ATTEND 6+ HOURS OF TRAINING). TRAINING COHORTS WILL RANGE IN SIZE FROM 5 TO 30. VIA DATA COLLECTION, WE WILL REPORT ON THE NUMBER OF PEOPLE THAT TRAINEES HAVE REFERRED TO MENTAL HEALTH RESOURCES IN THE PERIODS FOLLOWING EACH INDIVIDUAL’S TRAINING. THIS INITIATIVE WILL SERVE 4,300+ PEOPLE: 2,300 INDIVIDUALS TRAINED PLUS 2,000+ INDIVIDUALS LIKELY TO BE REFERRED TO MENTAL HEALTH SERVICES BY THE TRAINEES IN MONTHS/YEARS AFTER THE TRAINING.

SEC. 9007 REAP-RENEW ENERGY SYS GRANTS (MAN)

THE NORTHPORT/EAST NORTHPORT COMMUNITY DRUG AND ALCOHOL TASK FORCE

BASIC CENTER PROGRAM

NORTHEAST INTEGRATED HEALTH PATHWAYS TO IMPACT SOCIAL DETERMINANTS FOR HEALTH OUTCOMES - NORTHEAST INTEGRATED HEALTH (NIH) ACTIVELY WORKS TO FOSTER AN INCLUSIVE ENVIRONMENT THAT RECOGNIZES THE VALUE AND CONTRIBUTIONS OF ALL PERSONS REGARDLESS OF RACE, ETHNICITY, NATIONAL ORIGIN, GENDER, RELIGION, AGE, MARITAL STATUS, SEXUAL ORIENTATION, GENDER IDENTITY OR DISABILITY. THE 1,000 CONSUMERS TO BE SERVED DURING THE FIRST YEAR OF FUNDING, LARGELY CONSIST INDIVIDUALS WHO HAVE BEEN DIAGNOSED WITH A SERIOUS MENTAL ILLNESS (SMI), PERSONS OF ALL AGES WITH LIFE-LONG INTELLECTUAL AND/OR DEVELOPMENTAL DISABILITIES, INDIVIDUALS RETURNING TO THE COMMUNITY FROM IN-PATIENT FACILITIES OR OTHER DEPENDENT LIVING SITUATIONS, YOUTH AGING OUT OF FOSTER CARE, HOMELESS INDIVIDUALS, VETERANS AND OTHER FAMILIES IN DISTRESS. THESE ARE ALL INDIVIDUALS WHO HAVE AN IDENTIFIABLE SED, SMI AND/OR SUD DIAGNOSIS. THESE CHRONIC, LIFE-LONG ILLNESS ARE MOST OFTEN COUPLED WITH POVERTY, CO-MORBIDITY ISSUES, HISTORY OF TRAUMA, UNSTABLE HOUSING AND UNDER EMPLOYMENT. THIS PROJECT WILL HAVE A HEAVY EMPHASIS ON TARGETING VETERANS AND THE LGBTQIA POPULATION. NIH’S REVIEW OF THE DATA DEMONSTRATES A NEED AT AN EPIDEMIC LEVEL TO PROVIDE VALUE ADDED SERVICE AND SUPPORT TO OUR COMMUNITY. SERVICES WILL BE PROVIDED ON DETROIT’S EASTSIDE COVERING THE MI-13 CONGRESSIONAL DISTRICT IN WAYNE COUNTY, AND RESIDENTS OF SOUTHEASTERN MACOMB COUNTY. FOR THOSE WHO SEEK SERVICES, TREATMENT IS OFTEN SILOED INTO EITHER BEHAVIORAL HEALTH OR PHYSICAL HEALTH. THROUGH THIS CCBHC FUNDING OPPORTUNITY, WE WILL PROVIDE COORDINATED CARE TO THE UN- AND UNDERINSURED AND UNDERSERVED WHO WILL BENEFIT FROM TREATMENT, INCREASE THE NUMBER OF THOSE IN TREATMENT AND BETTER COORDINATE THEIR CARE AND SERVICES. THERE ARE A FEW PROVIDERS ON THE EAST SIDE OF WAYNE COUNTY THAT OFFER SIMILAR SERVICES, HOWEVER NONE WITH THE HISTORY OR COMPREHENSIVE PROGRAMMING THAT NIH PROVIDES. OUR PROPOSED PROGRAM INCLUDES A FOCUS ON INTEGRATED CARE COORDINATION AND SPECIALIZED SUD TREATMENT TO IMPROVE HEALTH OUTCOMES FOR THE SED, SUD AND/OR SMI POPULATION. IN PARTNERSHIP WITH PROVIDERS WHO SERVICE THIS VERY COMPLEX POPULATION, WE AIM TO ASSIST PERSONS IN IMPROVING THE OVERALL QUALITY OF THEIR LIFE BY PROVIDING A MUCH-NEEDED TOTAL HEALTH RESOURCE. THIS INCLUDES COMPREHENSIVE INTEGRATED SERVICES -- FROM EMPLOYMENT SUPPORTS TO HOUSING AND PRIMARY CARE OPTIONS. SERVICES ARE OPEN TO ALL PERSONS WHO DEMONSTRATE A NEED AND THEY CAN BENEFIT FROM THESE SUPPORTS. THE GOALS OF OUR PROJECT ARE: INCREASE SAME-DAY ACCESS TO SERVICES FOR ADULTS WITH SEVERE MENTAL ILLNESS &/OR SUBSTANCE USE DISORDERS TO REDUCE HOSPITALIZATION AND INCARCERATION RATES; INCREASE COMPREHENSIVE SCREENING AND RN CARE COORDINATION FOR PARTICIPANTS TO IMPROVE OUTCOMES RELATED TO HEALTH AND WELL BEING; AND IMPROVE ENGAGEMENT IN CCBHC SERVICES WITH UNDERSERVED INDIVIDUALS AND SPECIAL POPULATIONS INCLUDING VETERANS, YOUTH WITH SUD, LGBTQIA+, AT-RISK FOR HIV, AND MEDICALLY COMPLEX. OVER THE TWO YEARS OF THE GRANT, WE ARE PROPOSING TO SERVE 2,000 UNDUPLICATED CONSUMERS.

HIGH GROWTH

THE ALVIN AILEY DANCE FOUNDATION WILL MAKE BALLET ARCHIVAL MATERIAL ACCESSIBLE FOR RESTAGING BY OTHER DANCE COMPANIES. PROJECT ACTIVITIES WILL INCLUDE CATALOGING AND DIGITIZING THE NECESSARY TECHNICAL INFORMATION TO RESTAGE THE BALLETS, COLLECTING AND ANALYZING DRAMATURGICAL CONTENT ON EACH BALLET FOR HISTORIC PRESERVATION, AND DETERMINING THE RIGHTS HOLDERS FOR EACH WORK FOR FUTURE LICENSING OPPORTUNITIES WITH OTHER PROFESSIONAL DANCE COMPANIES AND EDUCATIONAL INSTITUTIONS. THIS COLLECTED MATERIAL, ALONG WITH A MINI DOCUMENTARY WITH DANCER AND PRODUCTION STAFF INTERVIEWS, WILL COMPRISE A “DANCE CAPSULE” THAT WILL BE AVAILABLE THROUGH A NEW ONLINE PORTAL.

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

CAROL M. WHITE PHYSICAL EDUCATION PROGRAM

MATERNAL AND CHILD HEALTH SERVICES

TO SUPPORT FILM EXCHANGE A PARTNERSHIP BETWEEN U.S. AND INTERNATIONAL FILMMAKERS TO EXHIBIT THEIR FILMS IN THE U.S AND SEVERAL COUNTRIES.

TO SUPPORT FILM FORWARD: ADVANCING CULTURAL DIALOGUE, A PARTNERSHIP BETWEEN U.S. AND INTERNATIONAL FILMMAKERS TO EXHIBIT THEIR FILMS IN THE U.S AND S

BIG BROTHERS BIG SISTERS OF JEFFERSON, ELK, AND MCKEAN COUNTIES

HIGHER EDUCATION EMERGENCY RELIEF FUND - FIPSE

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

THE ROCK SCHOOL'S ROCKREACH PROGRAM--AN ARTS EDUCATION AND OUTREACH PROGRAM FOR INNER-CITY YOUTH

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

INCREASE THE TOTAL ESTIMATED COST FOR THIS PROJECT

COMPASSION CAPITAL FUND (CCF) DEMONSTRATION PROGRAMS

OPTIMIZING NON-INVASIVE FOCUSED ULTRASOUND FOR BRAIN TUMOR LIQUID BIOPSY IN A RAT GLIOMA MODEL - PHASE I - SUMMARY THE NEUROACCESS SYSTEM REPRESENTS A PIONEERING APPROACH TO ADDRESS THE UNMET CRITICAL NEED FOR EFFECTIVE BLOOD-BASED MOLECULAR CHARACTERIZATION IN BRAIN CANCER PATIENTS. BY UTILIZING FOCUSED ULTRASOUND AND MICROBUBBLES TO OPEN THE BLOOD-BRAIN BARRIER NON-INVASIVELY, IT ALLOWS BIOMARKERS SUCH AS CELL-FREE DNA (CFDNA) INTO THE SYSTEMIC CIRCULATION, FACILITATING LIQUID BIOPSY IN CONDITIONS WHERE BIOPSIES WITH TRADITIONAL TECHNIQUES ARE DIFFICULT TO OBTAIN. THE OVERALL OBJECTIVE OF THIS STUDY IS TO ENSURE THE OPTIMIZED SAFETY AND EFFICACY OF THE NEUROACCESS SYSTEM IN ENABLING LIQUID BIOPSIES (LB) FOR BRAIN TUMOR PATIENTS. THE STUDY COMPRISES THREE AIMS: FIRSTLY, TO DEMONSTRATE THE SAFETY OF REPEATED BBB OPENING (BBBO) IN HEALTHY RATS WITH VARIABLE INTRA-TREATMENT DELAYS. SECONDLY, TO OPTIMIZE BBBO VOLUME AND TRANSMIT SEQUENCE IN DISEASED RATS, ASSESSING THE INCREASE IN MUTANT EGFR BIOMARKERS IN PERIPHERAL CIRCULATION. FINALLY, TO OPTIMIZE THE SENSITIVITY AND SPECIFICITY OF THE LB METHOD BY CONFIRMING BBBO AND MEASURING BIOMARKER LEVELS IN BOTH HEALTHY AND TUMOR-BEARING RATS. SUCCESS CRITERIA INCLUDE STATISTICALLY SIGNIFICANT BIOMARKER CONCENTRATION INCREASES AND CONFIRMED SAFE BBBO. OUR LONG-TERM GOAL IS TO SIGNIFICANTLY IMPROVE THE MANAGEMENT AND OUTCOMES OF BRAIN TUMOR PATIENTS THROUGH RELIABLE AND NON-INVASIVE LIQUID BIOPSIES. TISSUE BIOPSIES ARE DIFFICULT TO OBTAIN FOR BRAIN TUMOR PATIENTS OTHER THAN IN AN INVASIVE MANNER AND/OR WHEN SURGERY IS PERFORMED. LIQUID BIOPSIES ARE NOT CURRENTLY USED BECAUSE THE BLOOD-BRAIN BARRIER PREVENTS BIOMARKERS FROM MIGRATING FROM BRAIN TISSUE INTO THE CIRCULATION SYSTEM. THE NEUROACCESS SYSTEM ADDRESSES THIS CHALLENGE BY ENABLING NON-INVASIVE LIQUID BIOPSIES. EXISTING RESEARCH INCLUDING DATA FROM STUDIES ON HUMANS, DEMONSTRATES THE POTENTIAL AND FEASIBILITY OF SAFE BLOOD-BRAIN BARRIER OPENINGS FOR THE PURPOSES OF LIQUID BIOPSY, HOWEVER THE NEUROACCESS DEVICE MAKES THE APPROACH FEASIBLE AND PRACTICAL. THIS PROJECT PROPOSES INNOVATIVE TECHNIQUES TO INCREASE THE RELIABILITY, SENSITIVITY, AND SPECIFICITY OF THE FOCUSED ULTRASOUND BASED LIQUID BIOPSY METHOD. THE PROPOSED RESEARCH IS SIGNIFICANT BECAUSE IT TACKLES THE COMPLEXITIES OF BRAIN TUMOR DIAGNOSTICS, AIMING TO BRING SUBSTANTIAL IMPROVEMENTS IN THE DETECTION AND MANAGEMENT OF BRAIN TUMORS. THE SUCCESSFUL IMPLEMENTATION OF THE NEUROACCESS SYSTEM HAS THE POTENTIAL TO SHIFT THE PARADIGM IN BRAIN TUMOR TREATMENT, ALIGNING WITH THE URGENT NEEDS OF PATIENTS. NCI PHASE I SBIR CONFIDENTIAL PAGE 2 OF 12 AIMS PAGE AND RESEARCH PLAN DRAFT

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

NATIONAL LEADERSHIP GRANTS - MUSEUMS

TO SUPPORT FILM FORWARD IV AND PLANNING FOR FILM FORWARD V, AN INTERNATIONAL FILM EXCHANGE PROGRAM.

THE SEVEN DANCERS COALITION (SDC) WILL EXPAND ITS WORK TO SERVE EIGHT (8) TRIBES IN THE UNDERSERVED SERVICE AREA OF SOUTH AND EASTERN NEW YORK STATE INCLUDINGNATIVE AMERICAN POPULATIONS, ON AND OFF THE RESERVATION COMMUNITIES OFSAINT REGIS MOHAWK TRIBE (INCLUDES HALF OF THE RESERVATION IN THE UNITED STATES AND HALF IN CANADA), TONAWANDA BAND OF SENECAS, TUSCARORA NATION, CAYUGA NATION, ONONDAGA NATION, SENECA NATION OF INDIANS, SHINNECOCK NATION, AND UNKECHAUG NATION. SDC PROVIDES SERVICESAND TECHNICAL ASSISTANCE SUPPORT FOR TRIBES DEVELOPINGGRANT DELIVERABLES;CREATION AND ENHANCEMENTOF TRIBAL SPECIFIC DOMESTIC VIOLENCE RESPONSE PROGRAM;AND CULTURALLY SPECIFICSPECIFIC AND CULTURALLY RELEVANT COMMUNITY-BASED RESOURCES. SDC PROVIDES PRESENTATIONS AND EDUCATION ON TOPICS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, TEEN DATING VIOLENCE AWARENESS, STALKING, AND SEX TRAFFICKING. SDC ALSO PROVIDES RESOURCES ON CURRENT LEGISLATION,TRAINING FOR LAW ENFORCEMENT THROUGHOUT NEW YORK STATE, AND SUPPORT TO DIRECT SERVICES PROVIDERS TO IDENTIFY APPROPRIATERESOURCES FOR SURVIVORS.

CONTINUUM OF CARE PROGRAM

PREPARED TO RESPOND: A PROGRAM TO DELIVER FREE, EVIDENCED-BASED MENTAL HEALTH FIRST AID TRAINING TO 1,000 ADULTS ACROSS LONG ISLAND, NY WHO OFTEN SERVE CHILDREN OR ADULTS (INCL. VETERANS)

2018 TRIBAL DOMESTIC VIOLENCE AND SEXUAL ASSAULT COALITION PROGRAM

2013 TRIBAL DOMESTIC VIOLENCE AND SEXUAL ASSAULT COALITION PROGRAM

TGC DFC CONTINUATION APPLICATION YEAR 7 (10/31/2020-10/30/2021)

YOUTH BUILD

SEVEN DANCERS COALITION

JACOB'S PILLOW ARCHIVES DIGITIZATION OF THE MOVING IMAGE COLLECTION FROM 1992.2009. [TO SUPPORT A LARGE-SCALE DIGITIZATION PROJECT OF ONE-OF-A-KIND PHYSICAL MEDIA FROM THE PILLOW?S EXTENSIVE ARCHIVES. THIS THREE-YEAR PROJECT WILL FOCUS PRIMARILY ON A COLLECTION OF 3,336 MOVING IMAGES (PERFORMANCES, TALKS, CLASSES, ORAL HISTORIES, SPECIAL EVENTS, AND MORE) RECORDED FROM 1992 THROUGH 2010, THAT CURRENTLY EXIST ON OBSOLETE PHYSICAL MEDIA AND ARE ONLY ACCESSIBLE ON-SITE AT JACOB?S PILLOW IN BECKET, MA. ADDITIONAL MATERIALS TO BE DIGITIZED INCLUDE PHOTOGRAPHS, CORRESPONDENCE, AND OTHER PAPER AND PHOTOGRAPHIC MATERIALS; THESE ASSETS WILL PROVIDE INVALUABLE CONTEXTUALIZATION TO THE MOVING IMAGES. THIS DIGITIZATION WORK WILL MAKE IT POSSIBLE TO SIGNIFICANTLY GROW OUR EXISTING ONLINE RESOURCE JACOB?S PILLOW DANCE INTERACTIVE, WILL DRAMATICALLY INCREASE ACCESS TO THESE UNIQUE RESOURCES, AND WILL ADDRESS CRITICAL PRESERVATION NEEDS.]

THE HAUDENOSAUNEE COALITION FOR WOMEN'S EMPOWERMENT

TRIBAL DOMESTIC VIOLENCE AND SEXUAL ASSAULT PROGRAM

BEGINNING FARMER EDUCATION AND OUTREACH AT AN ORGANIC FARM SHOOL.

2016 TRIBAL DOMESTIC VIOLENCE AND SEXUAL ASSAULT COALITIONS. A COALITION TO END THE VIOLENCE AGAINST NATIVE WOMEN.

RECOGNIZED COALITIONS MAY USE FUNDING FROM THE TRIBAL COALITIONS PROGRAM TO: 1) INCREASE AWARENESS OF DOMESTIC VIOLENCE AND SEXUAL ASSAULT AGAINST INDIAN WOMEN; 2) ENHANCE THE RESPONSE TO VIOLENCE AGAINST INDIAN WOMEN AT THE FEDERAL, STATE, AND TRIBAL LEVELS; 3) IDENTIFY AND PROVIDE TECHNICAL ASSISTANCE TO COALITION MEMBERSHIP AND TRIBAL COMMUNITIES TO ENHANCE ACCESS TO ESSENTIAL SERVICES TO INDIAN WOMEN VICTIMIZED BY DOMESTIC AND SEXUAL VIOLENCE, INCLUDING SEX TRAFFICKING; AND 4) ASSIST INDIAN TRIBES IN DEVELOPING AND PROMOTING STATE, LOCAL, AND TRIBAL LEGISLATION AND POLICIES THAT ENHANCE BEST PRACTICES FOR RESPONDING TO VIOLENT CRIMES AGAINST INDIAN WOMEN, INCLUDING THE CRIMES OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, SEX TRAFFICKING, AND STALKING.    THE TIMING FOR PERFORMANCE OF THIS AWARD IS 12 MONTHS.

TO SUPPORT FILM FORWARD III, WHICH SUPPORTS U.S. AND INTERNATIONAL FILMMAKER EXCHANGE, ALLOWING THEM TO EXHIBIT THEIR FILMS IN THE U.S AND SEVERAL CO

071260202 10952728000PO BOX 11818

2019 GRANTS TO TRIBAL DOMESTIC VIOLENCE AND SEXUAL ASSAULT COALITIONS

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

BASIC CENTER PROGRAM

2017 GRANT TO TRIBAL DOMESTIC VIOLENCE AND SEXUAL ASSAULT COALITIONS PROGRAMS

CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION PROGRAMS

SUBSTANCE ABUSE PREVENTION & TREATMENT BLOCK GRANT

FY 2015 GRANTS TO TRIBAL DOMESTIC VIOLENCE AND SEXUAL ASSAULT COALITIONS PROGRAM

CNMI FY 2011 STRATEGIC PREVENTION FRAMEWORK STATE PREVENTION ENHANCEMENT GRANTS

ENGAGES PERSONS 55 AND OLDER IN VOLUNTEER SERVICE IN THEIR COMMUNITIES

INCREASING PARTICIPATION AT AN ORGANIC FARM SCHOOL

SEE NOTICE OF AWARD, ATTACHMENT 1 - TERMS AND CONDITIONS, ATTACHMENT D, STATEMENT OF WORK, ABSTRACT.

THE MATTER OF ORIGINS

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

ELDER ABUSE PREVENTION INTERVENTIONS PROGRAM - GUIDANCE CAROLINA PROPOSES A 36-MONTH INITIATIVE TO REDUCE ADULT MALTREATMENT IN GUILFORD COUNTY BY EXPANDING ITS ELDER JUSTICE CARE MANAGEMENT (EJCM) PROGRAM AND FORMALLY INTEGRATING THE EVIDENCE BASED RISE-APS MODEL. THE OVERARCHING GOAL IS TO BUILD A CLIENT-CENTERED ADULT MALTREATMENT RESPONSE SYSTEM IN NORTH CAROLINA THAT BRIDGES THE GAP BETWEEN SHORT-TERM APS CRISIS INTERVENTION AND LONGER-TERM, COORDINATED CARE. THE OBJECTIVES OF THE PROJECT ARE TO INCREASE CAPACITY BY ADDING THREE FULL-TIME ELDER JUSTICE CARE MANAGERS TO SERVE AT LEAST 640 HIGH-RISK OLDER ADULTS; TO INTEGRATE THE RISE-APS MODEL TO STRENGTHEN PERSON LED SERVICE DELIVERY; TO IMPROVE COORDINATION ACROSS SYSTEMS BY EMBEDDING EJCM STAFF AT THE GUILFORD COUNTY FAMILY JUSTICE CENTER AND PARTNERING WITH APS, LAW ENFORCEMENT, LEGAL AID, HEALTHCARE PROVIDERS, AND COMMUNITY ORGANIZATIONS; AND TO DELIVER INDIVIDUALIZED CARE PLANS THAT ADDRESS CLIENT SAFETY, HOUSING, HEALTHCARE, AND FINANCIAL STABILITY. PROJECT STAFF WILL RECEIVE RISE-APS TRAINING AND USE ITS EVIDENCE-BASED TOOLS, INCLUDING MOTIVATIONAL INTERVIEWING, TEAMING, SUPPORTED DECISION-MAKING, AND STRUCTURED OUTCOME TRACKING, TO ENGAGE CLIENTS AND, WHEN SAFE AND APPROPRIATE, INVOLVE CAREGIVERS OR ALLEGED ABUSERS IN THE PROCESS. THE ANTICIPATED OUTCOMES OF THE PROJECT INCLUDE REDUCED RECURRENCE OF ADULT MALTREATMENT, IMPROVED SAFETY AND MORE STABLE LIVING CONDITIONS, INCREASED CLIENT AUTONOMY AND DECISION-MAKING, AND BETTER MENTAL HEALTH AND SOCIAL CONNECTION. THESE OUTCOMES WILL BE MEASURED THROUGH VALIDATED ASSESSMENTS, ONGOING CASE TRACKING, AND COMPARATIVE ANALYSIS SUPPORTED BY THE RISE COLLABORATIVE. THE PROJECT WILL ALSO CONTRIBUTE TO NATIONAL ELDER JUSTICE EFFORTS THROUGH THE PRODUCTION OF OUTCOME REPORTS AND PROFESSIONAL PRESENTATIONS, OFFERING A SCALABLE, EVIDENCE-INFORMED MODEL FOR REPLICATION AND SYSTEMS CHANGE.