Staten Island Performing Provider System Llc

COMMUNITY HEALTH WORKER TRAINING PROGRAM - PROJECT OVERVIEW THE SI PPS AND THEIR PRIMARY PARTNERS - COMMUNITY HEALTH CENTER OF RICHMOND (CHCR) AND COLLEGE OF STATEN ISLAND (CSI) - ARE PROPOSING A COMMUNITY HEALTH WORKER TRAINING PROGRAM (CHWTP) THAT WILL TRAIN 466 COMMUNITY HEALTH WORKERS (CHWS) OVER THREE YEARS. THE CHWS WILL RECEIVE TRAINING ON CHW CORE COMPETENCIES WITH ON-THE-JOB-TRAINING (OJT) ENRICHMENT OPPORTUNITIES IN: MATERNAL AND CHILD HEALTH (MCH) AT A FEDERALLY QUALIFIED HEALTH CENTER (FQHC); AMBULATORY CARE FOR CHRONIC DISEASE MANAGEMENT AT AREA HOSPITALS; AND BEHAVIORAL HEALTH ACROSS PROVIDER PARTNERS IN THE HIGH NEED AND HIGH DEMAND AREAS OF STATEN ISLAND. WE ARE PROJECTING TRAINING 128 CHWS IN YEAR 1 WITH 20% INCREASES IN YEARS 2 AND 3. MEASURABLE OBJECTIVES ACCOMPLISHED BY THE SI PPS CHWTP PROJECT INCLUDE: - UPDATE AND ENHANCE THE CURRENT CHW PROGRAM TO RESPOND TO EMPLOYER- AND COMMUNITY-NEEDS POST-COVID. - UPDATE AND ENHANCE THE TRAINING CURRICULUM TO REFLECT: -- NEW PUBLIC HEALTH TRAINING NEEDS POST-COVID (AS DETERMINED BY HRSA); -- THREE DISTINCT ON-THE-JOB (OJT) MODULES - MATERNAL AND CHILD HEALTH (MCH, AMBULATORY CARE FOR CHRONIC DISEASE MANAGEMENT, AND BEHAVIORAL HEALTH; AND -- CULTURAL AWARENESS, SOCIAL DETERMINANTS OF HEALTH (SDOH), HEALTH EQUITY, AND HEALTH LITERACY TRAINING FOR BOTH PROJECT TRAINEES AND ALL TRAINING FACILITATORS AND SUPERVISORS. - TRAIN 466 CHWS OVER THE 3-YEAR COURSE OF THE GRANT (128/154/184 IN YEARS 1/2/3). - PROVIDE OJT OPPORTUNITIES FOR 75% OF TRAINEES (96/116/138) - PLACE 25% OF OJT TRAINEES IN PAID APPRENTICESHIP POSITIONS (24/30/34). - INCREASE APPLICATIONS AND TRAINEES BY 20% EACH YEAR TARGETING AT LEAST 60% FROM NORTH SHORE NEIGHBORHOODS EACH YEAR. - GRADUATE 75% OF TRAINEES THROUGHOUT THE GRANT PERIOD (INCLUDING FULFILLING OJT REQUIREMENTS) BY PROVIDING ADDITIONAL SUPPORT SUCH AS MENTORSHIP, TRANSPORTATION STIPENDS, FINANCIAL INCENTIVES, AND JOB PREPARATION. - EVALUATE AND REFINE THE PROGRAMMING THROUGHOUT THE GRANT PERIOD USING TH E SI PPS CENTRALIZED DATA SYSTEM TO ENSURE CHALLENGES ARE ADDRESSED IN REAL TIME. - INCREASE ENGAGEMENT AMONG ALL PARTNERS BY CONVENING MONTHLY MEETINGS. HHS/HRSA CLINICAL PRIORITIES ADDRESSED BY THE SI PPS CHWTP PROJECT INCLUDE: - TAKE ACTIONABLE STEPS TO ACHIEVE HEALTH EQUITY AND IMPROVE PUBLIC HEALTH. - IMPROVE ACCESS TO QUALITY HEALTH SERVICES, ESPECIALLY AS IT PERTAINS TO MCH EFFORTS, AND REDUCING BEHAVIORAL HEALTH CHALLENGES. - FOSTER A HEALTH WORKFORCE AND HEALTH INFRASTRUCTURE ABLE TO ADDRESS CURRENT AND EMERGING NEEDS. THE PROJECT WILL BE ACCOMPLISHED IN PARTNERSHIP WITH THE CHCR AND CSI TO PROVIDE TRADITIONAL, IN-PERSON CLASSROOM TRAINING, AS WELL AS NONTRADITIONAL, VIRTUAL LEARNING FOR THE TRAINEES. CHWS ALSO WILL RECEIVE: ANCILLARY SUPPORT, ENHANCED TRAINING MODULES, AND OJT OPPORTUNITIES IN UP TO THREE ENRICHMENT OPPORTUNITIES. THE SIPPS HAS DESIGNATED A DATA ANALYST/COORDINATOR SPECIFICALLY TO OVERSEE WORKFORCE TRANSFORMATION IN HEALTHCARE WITH A PRIMARY FOCUS ON CHWTP. FOUR HOSPITALS, BEHAVIORAL HEALTH PROVIDERS, AND COMMUNITY-BASED ORGANIZATIONS - INCLUDING CHCR - ON STATEN ISLAND WILL SERVE AS PRIMARY EXPERIENTIAL TRAINING SITES. THE PROJECT WILL LAUNCH SEPTEMBER 15, 2022 AND RUN FOR THREE YEARS, AFTER WHICH ALTERNATIVE FUNDING WILL HAVE BEEN RAISED TO CONTINUE. STATEMENT INDICATING ELIGIBILITY FOR FUNDING PREFERENCE THE MOST RECENT DATA SHOWS 74% OF SI PPS TRAINEES ARE FROM DISADVANTAGED BACKGROUNDS, INCLUDING RACIAL/ETHNIC MINORITIES. 59% GRADUATED AND SELF-REPORTED HEALTH CARE EMPLOYMENT IN MEDICALLY UNDERSERVED COMMUNITIES (MUCS). SEE NEEDS SECTION OF NARRATIVE AND ATTACHMENT 7 FOR MORE INFORMATION ON STATEN ISLAND’S NORTH SHORE NEIGHBORHOODS, THE TARGETED SERVICE AREA FOR THE CHWTP. THE SI PPS AND THEIR PARTNERS REQUEST $2,995,307 OVER THREE YEARS TO FULLY FUND THE PROGRAM AS DESCRIBED.

AWARD PURPOSE THE PURPOSE OF THIS PROGRAM IS TO PROVIDE EQUITY-FOCUSED HEALTHCARE APPRENTICESHIP TRAINING, RAP PLACEMENT, AND CAREER LADDER OPPORTUNITIES FOCUSING ON UNDERSERVED COMMUNITIES IN STATEN ISLAND, NY. ACTIVITIES PERFORMED CONVENE COMMUNITY-BASED ORGANIZATIONS (CBOS), HEALTHCARE PROVIDERS, AND ACADEMIC TRAINING PARTNERS TO PLACE UNDERSERVED POPULATIONS IN HIGH-QUALITY REGISTERED APPRENTICESHIP PROGRAMS (RAPS) THAT INCLUDE CERTIFIED RECOVERY PEER ADVOCATE (CRPA), COMMUNITY HEALTH WORKER (CHW), CERTIFIED NURSING ASSISTANT (CNA), AND HOME HEALTH AIDE (HHA). THROUGH TRAINING, PLACEMENT, OJT LEARNING, AND ONGOING SUPPORT, REGISTERED APPRENTICES (RAS) FROM DIVERSE COMMUNITIES WILL ACHIEVE HEALTHCARE CAREERS PAYING FAMILY-SUSTAINING WAGES WITH A TRAJECTORY TO EVEN GREATER PERSONAL AND PROFESSIONAL SUCCESS. DELIVERABLES 1) TOTAL PARTICIPANTS SERVED (CUMULATIVE 4-YEAR TOTAL) THE TOTAL NUMBER OF INDIVIDUALS WHO HAVE BEEN DETERMINED ELIGIBLE FOR THE PROGRAM AND WHO RECEIVE A DIRECT GRANT-FUNDED SERVICE. ELIGIBLE INDIVIDUALS ARE AT LEAST 16 YEARS OF AGE AND NOT ALREADY ENROLLED IN A RAP AT THE TIME OF INITIAL GRANT SERVICE 500. 2) TOTAL PARTICIPANTS WHO ENROLL IN REGISTERED APPRENTICESHIP PROGRAMS (CUMULATIVE 4-YEAR TOTAL) THE TOTAL NUMBER OF PARTICIPANTS WHO START IN A RAP. THE NUMBER OF TOTAL PARTICIPANTS ENROLLED IN RAPS CANNOT EXCEED TOTAL PARTICIPANTS SERVED 400. 3) TOTAL NUMBER OF PARTICIPANTS WHO COMPLETE A RAP. VERIFICATION REQUIRES A CERTIFICATE OF COMPLETION ISSUED BY THE US DEPT. OF LABOR OR A STATE APPRENTICESHIP AGENCY 320. 4) TOTAL NUMBER OF PARTICIPANTS WHO ENROLL IN A PRE-APPRENTICESHIP SERVED BY ABA GRANT FUNDING (AS APPLICABLE) 5)THE NUMBER OF TOTAL PARTICIPANTS ENROLLED IN A PRE-APPRENTICESHIP CANNOT EXCEED TOTAL PARTICIPANTS SERVED. 500. 5) TOTAL NUMBER OF PARTICIPANTS WHO COMPLETE A PRE-APPRENTICESHIP SERVED BY ABA GRANT FUNDING (AS APPLICABLE) THE NUMBER OF TOTAL PARTICIPANTS COMPLETING A PRE-APPRENTICESHIP CANNOT EXCEED THE TOTAL NUMBER OF PARTICIPANTS WHO ENROLL IN A PRE-APPRENTICESHIP 400. PROGRAM OUTPUTS: 1) TOTAL RAPS CREATED AS A RESULT OF ABA GRANT FUNDING 1. 2) TOTAL RAPS EXPANDED AS A RESULT OF ABA GRANT FUNDING 3. 3) TOTAL PRE-APPRENTICESHIP PROGRAMS CREATED AS A RESULT OF ABA GRANT FUNDING (AS APPLICABLE) 1. 4) TOTAL PRE-APPRENTICESHIP PROGRAMS EXPANDED AS A RESULT OF ABA GRANT FUNDING 3. INTENDED BENEFICIARY LOW-INCOME COMMUNITIES, CAREER SEEKERS, HISTORICALLY MARGINALIZED COMMUNITIES, YOUTH, HISTORICALLY MARGINALIZED YOUTH. SUBRECIPIENT ACTIVITIES TRAINING; EMPLOYER PARTNERS; AND RECRUITMENT, REFERRAL, AND WRAPAROUND SERVICE PARTNERS.

STATEN ISLAND - PARTNERSHIP FOR EARLY DIVERSION (SI-PED) - THE STATEN ISLAND - PARTNERSHIP FOR EARLY DIVERSION (SI-PED) IS A COALITION OF DIRECT SERVICE PROVIDERS AND REPRESENTATIVES OF THE CRIMINAL JUSTICE SYSTEM EXPANDING EARLY DIVERSION ON STATEN ISLAND FOR PEOPLE WITH A MENTAL ILLNESS OF CO-OCCURRING DISORDER (COD). SI-PED TARGETS INFLECTION POINTS THAT COMMONLY LEAD TO ARREST AND INSTITUTES A QUICKER RESPONSE AND ASSESSMENT SYSTEM, WHICH LEADS TO REFERRALS INTO EVIDENCE-BASED PRACTICE EARLY DIVERSION PROGRAMS THROUGH PARTNERS. LED BY THE STATEN ISLAND PERFORMING PROVIDER SYSTEM (SI PPS), THE PROJECT ESTABLISHES A BEHAVIORAL HEALTH PARTNERSHIP WORKING GROUP AMONG THE STAKEHOLDERS ON STATEN ISLAND AND OFFERS MULTIPLE ROUTES TO DIVERSION, ENSURING ACCESS TO EARLY DIVERSION SERVICES BEFORE ARREST AND BOOKING, AND THROUGH COLLABORATIONS THAT ENSURE FIRST CONTACT WITH CRIMINAL JUSTICE SYSTEMS DO NOT LEAD TO A PERMANENT RECORD. THE TARGET POPULATION WILL BE ADULTS WITH A MENTAL ILLNESS OR CO-OCCURRING DISORDER (COD). STATEN ISLAND IS AT THE EPICENTER OF THE OPIOID CRISIS IN NEW YORK, AND EXPANDED EARLY DIVERSION EFFORTS CAN MAKE A SIGNIFICANT IMPACT. THE SI-PED STRATEGY IS TO: PROVIDE QUICK, EFFECTIVE ASSESSMENTS IN CRITICAL POINTS OF INFLECTION THAT OFTEN LEAD TO AN ARREST, BOOKING, AND CRIMINAL RECORD. INFLECTION POINTS INCLUDE THE EMERGENCY ROOM (WHICH OFTEN ENGAGES WITH THOSE EXPERIENCING HOMELESSNESS), THROUGH EMOTIONALLY DISTURBED PERSONS CALLS, THROUGH FIRST CONTACT WITH A NYPD PRECINCT, AND THROUGH THOSE ENGAGING WITH COMMUNITY-BASED DIRECT SERVICE PROVIDERS WHO MAY BE A GOOD FIT FOR THE PROGRAM. ASSESSMENTS WILL INCLUDE IN-PERSON CLINICAL INTERVIEWS AND RESPONSES AS WELL AS TELEHEALTH OPTIONS TO ENSURE QUICK RESPONSES AT ALL TIMES. MAKE REFERRALS INTO COMMUNITY-BASED, EVIDENCE-BASED PRACTICE (EBP) EARLY DIVERSION SERVICES COORDINATED AND LED BY PARTNERS. FOLLOW UP WITH ALL ENGAGED PARTICIPANTS AND ENSURE STRATEGIES ARE EFFECTIVE THROUGH WEEKLY CASE CONFERENCE MEETINGS. BUILD COMMUNITY CAPACITY BY EXPANDING THE BEHAVIORAL HEALTH PARTNERSHIP WORKING GROUP. THIS WORK EXPANDS ON PROJECTS THAT SI PPS AND COLLABORATORS ARE ALREADY WORKING ON, INCLUDING HOPE (HEROIN OVERDOSE PREVENTION AND EDUCATION), A PRE-ARRAIGNMENT DIVERSION PROGRAM DESIGNED TO REDIRECT LOW-LEVEL DRUG OFFENDERS WITH SUBSTANCE USE DISORDER TO COMMUNITY-BASED HEALTH SERVICES, INSTEAD OF JAIL AND PROSECUTION, AND THE HOTSPOTTING THE OPIOID OVERDOSE EPIDEMIC (HOTSPOTTING PROGRAM), WHICH USES DATA TO IDENTIFY AT-RISK INDIVIDUALS FOR AN OVERDOSE AND INSTITUTES PREVENTATIVE CARE. BECAUSE OF THESE COMPLEMENTARY, ONGOING EFFORTS, SI-PED WILL BE ABLE TO LAUNCH QUICKLY AND EFFECTIVELY, EXPANDING THE SCOPE OF EARLY DIVERSION ON STATEN ISLAND. THE PROGRAM’S OBJECTIVES ARE ALIGNED UNDER THREE GOALS: GOAL 1 - INCREASE THE CAPACITY OF STATEN ISLAND ORGANIZATIONS AND AGENCIES TO DIVERT AND CONNECT MORE ADULTS PRIOR TO BOOKING AND CRIMINALIZATION BY CONNECTING AGENCIES, NONPROFITS, AND HOSPITAL SYSTEMS ACROSS THE COMMUNITY; GOAL 2 - INCREASE DIVERSION FOR ADULTS FROM FIRST CONTACT WITH THE CRIMINAL JUSTICE SYSTEMS TO COMMUNITY-BASED MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES; AND GOAL 3 - DECREASE CRIMINALIZATION RATE LEADING TO A CRIMINAL RECORD IN RICHMOND COUNTY. PROJECT NAME: STATEN ISLAND - PARTNERSHIP FOR EARLY DIVERSION (SI-PED) PROJECT GEOGRAPHY: STATEN ISLAND, NEW YORK; RICHMOND COUNTY NUMBER SERVED: 475 ONBOARDED INTO THE PROGRAM, PROGRESSING BY RESPECTIVE YEAR FROM 75, TO 85, TO 95, TO 105, TO 115.

OPIOID WORKFORCE EXPANSION PROGRAM - PARAPROFESSIONAL