Wellness Foundation

HEALTH CENTER PROGRAM

PROJECT INTEGRATED SYSTEMS OF CARE - COASTAL BEND WELLNESS FOUNDATION (CBWF), A COMMUNITY BASED NON-PROFIT ORGANIZATION AND FEDERALLY QUALIFIED HEALTH CENTER IN CORPUS CHRISTI, TEXAS, HAS IDENTIFIED A NEED FOR LONG-TERM RECOVERY SUPPORT FROM SUBSTANCE ABUSE AND ADDICTION. THE TARGET AREA IS DISPROPORTIONALLY AFFECTED BY SUBSTANCE ABUSE AND MENTAL HEALTH PROBLEMS AGGRAVATED BY A SHORTAGE OF MENTAL HEALTH PROFESSIONALS IN THE AREA AND LACK OF RECOVERY SUPPORT SERVICES. TO ADDRESS THIS, CBWF PROPOSES TO IMPLEMENT PROJECT INTEGRATED SYSTEMS OF CARE (ISC)’S WITH THE MAIN GOAL OF ENHANCING AND EXPANDING CBWF’S CURRENT SERVICES BY INCREASING ACCESS TO, AND IMPROVING THE QUALITY OF, MENTAL HEALTH, SUBSTANCE USE TREATMENT, AND PHYSICAL HEALTH SERVICES BY BECOMING A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC. PROJECT ISC WILL PROVIDE PERSON- AND FAMILY-CENTERED INTEGRATED AND CO-LOCATED MENTAL, BEHAVIORAL, AND PHYSICAL HEALTH SERVICES TO RESIDENTS OF NUECES, JIM WELLS, SAN PATRICIO, ARANSAS, AND KLEBERG COUNTIES. PROJECT ISC WILL PROVIDE ACCESS TO SERVICES INCLUDING 24/7 CRISIS INTERVENTION SERVICES FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI) OR SUBSTANCE USE DISORDERS (SUD), INCLUDING OPIOID USE DISORDERS; CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED); AND INDIVIDUALS WITH CO-OCCURRING MENTAL AND SUBSTANCE DISORDERS (COD). PROJECT ISC WILL ACCOMPLISH THE FOLLOWING MEASURABLE GOALS: 1) BY 01/01/22, DEVELOP AND IMPLEMENT A MOBILE CRISIS INTERVENTION PROGRAM, TO INCLUDE A TRAINING CURRICULUM FOR THE MOBILE CRISIS INTERVENTION TEAM (MCIT). 2) BY 8/29/23, PROJECT ISC WILL ENROLL A TOTAL OF 300 UNDUPLICATED INDIVIDUALS (225 ADULTS, 75 ADOLESCENTS) INTO TREATMENT INCLUDING THE FOLLOWING EVIDENCE-BASED PRACTICES: ACT, CBT MATRIX MODEL, IT, TREM, M-TREM, PATIENT NAVIGATION, AND PRIMARY HEALTH SERVICES. 3) 11/15/21, DEVELOP AND IMPLEMENT A DATA COLLECTION AND PERFORMANCE MEASUREMENT PLAN TO ASSESS PROGRAM EFFECTIVENESS, ENSURE QUALITY OF SERVICES PROVIDED, IDENTIFY SUCCESSES, IMPLEMENT NEEDED IMPROVEMENTS, AND REPORT ON KEY OUTCOME MEASURES. TO FULFILL THE PURPOSE OF THE GRANT, CBWF WILL ASSIGN/HIRE EXPERIENCED AND COMPETENT STAFF THAT INCLUDES A PROJECT DIRECTOR (PD), MEDICAL DIRECTOR (MD), 2 LICENSED PROFESSIONAL COUNSELORS (LPC), 2 PSYCHIATRIC NURSE PRACTITIONERS (PNP), A PEDIATRIC NURSE PRACTITIONER (NP), A REGISTERED NURSE (RN), 3 MEDICAL ASSISTANTS (MA), 2 LICENSED CHEMICAL DEPENDENCY COUNSELORS (LCDC), 3 PATIENT NAVIGATORS/CASE MANAGERS (CM) AND A DIETICIAN.

HEALTH CENTER PROGRAM

HART (HIV AIDS RESOURCES OF TEXAS) - COASTAL BEND WELLNESS FOUNDATION (CBWF), IN PARTNERSHIP WITH THE SAN ANTONIO AIDS FOUNDATION (SAAF), WILL ENHANCE AND EXPAND TARGETED HIV TESTING SERVICES AIMED AT REACHING MINORITY MSM WHO ARE AT GREATEST RISK FOR HIV AND UNAWARE OF THEIR HIV STATUS. CBWF PROPOSES TO IMPLEMENT HIV/AIDS RESOURCES OF TEXAS (H.A.R.T.), A CAREFULLY TAILORED COMPREHENSIVE HIV PREVENTION CORE PROGRAM AND AN OPERATION PROGRAM BASED ON THE FOUR PILLARS (DIAGNOSE, TREAT, PREVENT, RESPOND). THIS WILL INCLUDE PROMOTION, OUTREACH/ENGAGEMENT, COMMUNITY ENGAGEMENT AND FORMAL PARTNERSHIPS WITH THE NUECES COUNTY HEALTH DEPARTMENT, SAN ANTONIO METRO HEALTH, HIV PLANNING GROUP, AND OTHER LOCAL COMMUNITY STAKEHOLDERS. THE EXPECTED OUTCOMES, IN LINE WITH THE FOUR PILLARS, ARE DETAILED AS FOLLOWS: H.A.R.T. WILL INCREASE PERSONS WHO ARE AWARE OF THEIR HIV STATUS BY PROVIDING A TOTAL OF 4,000 HIV TESTS; AS WELL AS INCREASING RECEIPT OF INTEGRATED SCREENING BY OFFERING SCREENINGS FOR OTHER STD?S DURING ALL HIV TESTING AND AT ALL TESTING EVENTS. REGARDING TREATMENT, H.A.R.T. PLANS TO INCREASE RECEIPT OF HIV MEDICAL CARE AND ART AMONG PERSONS NEWLY DIAGNOSED WITH HIV OR PREVIOUSLY DIAGNOSED, NOT-IN-CARE, WITHIN 30 DAYS BY UTILIZING ARTAS AND HIV NAVIGATION SERVICES. H.A.R.T. WILL FURTHER SUPPORT HIV POSITIVE PERSONS BY PROVIDING INCREASED ACCESS TO PARTNER SERVICES AND OTHER SUPPORT SERVICES FOR NEWLY OR PREVIOUSLY DIAGNOSED INDIVIDUALS. H.A.R.T. PREVENTION EFFORTS WILL BE CENTERED AROUND INCREASED ACCESS TO PREP/NPEP; INCREASING AVAILABILITY OF CONDOMS; AND PROVIDING EVIDENCE-BASED RISK-REDUCTION BEHAVIORAL INTERVENTIONS. SPECIFICALLY, 80% OF MSM?S WHO ARE REPEAT HIV TESTERS WILL ENGAGE IN PERSONALIZED COGNITIVE COUNSELING AND 6,000 INDIVIDUALS (1,200/YR) WITH OR AT RISK FOR ACQUIRING HIV WILL ENGAGE IN PROMISE. TO IMPROVE RESPONSE TO HIV CLUSTERS AND OUTBREAKS, H.A.R.T. WILL FORMALIZE COLLABORATION WITH LOCAL HEALTH DEPARTMENTS IN BOTH REGIONS TO FACILITATE DATA-TO-CARE EFFORTS AND RA PID RESPONSE TO CLUSTER DETECTIONH.A.R.T. WILL FOLLOW A COMPREHENSIVE EVALUATION AND PERFORMANCE MEASURES PLAN TO ASSESS THE EFFECTIVENESS OF THE PROGRAM STRATEGIES AND PERFORM QUALITY ASSURANCE AND IMPROVEMENT ACTIVITIES. THE PLAN WILL BE FINALIZED IN CLOSE COLLABORATION WITH PARTNERS, LOCAL HEALTH DEPARTMENTS, MEMBERS OF THE CONSUMER ADVISORY BOARD, AND THE REPRESENTATIVE FROM THE HIV PLANNING GROUP.PROGRAM STAFFING PLAN CONSISTS OF ONE OUTREACH SPECIALIST AND ONE PATIENT NAVIGATOR HIRED BY SAAF AND A PRINCIPAL INVESTIGATOR, PROJECT MANAGER, TWO PREVENTION NAVIGATORS (PN); 1 OUTREACH SPECIALISTS, AND 1 SOCIAL MEDIA SPECIALIST HIRED BY CBWF.

PROJECT ROAD (RECOVERY FROM OPIOID ADDICTION AND DEPENDENCE) - THE COASTAL BEND WELLNESS FOUNDATION (CBWF) PROPOSES TO IMPLEMENT PROJECT ROAD (RECOVERY FROM OPIOID ADDICTION AND DEPENDENCE) AT THEIR FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER TO EXPAND/ENHANCE ACCESS TO MEDICATION-ASSISTED TREATMENT (MAT) SERVICES FOR ADULTS WHO MEET DSM-5 CRITERIA OPIOID ABUSE OR DEPENDENCE AND WHO WOULD BENEFIT FROM MAT AND RECOVERY SUPPORT SERVICES. THE DESIRED OUTCOMES FOR THIS PROGRAM ARE: 1) AN INCREASE IN THE NUMBER OF INDIVIDUALS WITH OUD RECEIVING MAT, 2) A DECREASE IN ILLICIT OPIOID DRUG USE AND PRESCRIPTION OPIOID MISUSE AT SIX-MONTH FOLLOW-UP, AND 3) AN IMPROVEMENT IN THE QUALITY OF LIFE OF PATIENTS RECEIVING MAT AT CBWF’S CLINIC. PROJECT ROAD WILL ACHIEVE THESE OUTCOMES BY EXPANDING ITS USE OF BUPRENORPHINE/NALOXONE, AN FDA APPROVED MEDICATION FOR THE MAINTENANCE TREATMENT OF OPIOID USE DISORDER, AND COLLOCATING MAT, PRIMARY HEALTH, MENTAL/BEHAVIORAL HEALTH, AND RECOVERY SERVICES AT CBWF’S CLINIC. PROJECT ROAD WILL ALLOW ENHANCEMENT OF SERVICES BY USING EXTENDED RELEASE, LONG-ACTING INJECTABLE BUPRENORPHINE FORMULATIONS. CBWF SEEKS FUNDING WITH THE ULTIMATE GOAL TO DEVELOP AND SUSTAIN THE ORGANIZATIONAL STRUCTURE TO ENHANCE AND EXPAND THEIR CURRENT MAT PROGRAM. CBWF WILL EXPAND AND ENHANCE ITS MAT PROGRAM BY ACCOMPLISHING THE FOLLOWING MEASURABLE GOALS: 1) BY JANUARY 30, 2021, STRENGTHEN AGENCY CAPACITY, WORKFORCE, PARTNERSHIPS, AND REVIEW/MODIFY POLICY/PROCEDURES NECESSARY TO EXPAND AND ENHANCE SERVICES. 2) BY DECEMBER 30, 2021, PROJECT ROAD WILL BEGIN COMMUNITY ENGAGEMENT AND PROJECT PROMOTION, TARGETING OPIOID USERS, AS WELL AS PRIMARY CARE PROVIDERS. 3) BY SEPTEMBER 29, 2026, PROJECT ROAD WILL HAVE PROVIDED 150 NEW OPIOID USERS WITH MAT AND SUPPORT SERVICES AT CBWF’S CLINIC. 4) BY SEPTEMBER 29, 2026, PROJECT ROAD WILL CONDUCT MAT IN-SERVICE/TRAINING TO 250 HEALTHCARE WORKERS IN THE COMMUNITY. 5) BY DECEMBER 30, 2021, AND BIANNUALLY THEREAFTER, EVALUATOR AND PD WILL IMPLEMENT A QUALITY IMPROVEMENT PLAN TO DETERMINE IF THE DESIRED GOALS ARE ACHIEVED AND IF ADJUSTMENTS NEED TO BE MADE. TO ACCOMPLISH THESE GOALS AND FULFILL THE PURPOSE OF THE GRANT, CBWF WILL IMPLEMENT THE FOLLOWING EVIDENCE-BASED PRACTICES: COGNITIVE BEHAVIORAL THERAPY, LIVING IN BALANCE, AND SEEKING SAFETY. PROJECT ROAD WILL ASSIGN/HIRE EXPERIENCED AND COMPETENT STAFF THAT INCLUDES A MEDICAL DIRECTOR, PROJECT DIRECTOR, PROJECT COORDINATOR, LICENSED CHEMICAL DEPENDENCY COUNSELOR, A REGISTERED NURSE, A RECOVERY COACH, AND AN EXPERIENCED EXTERNAL EVALUATOR.

PHASES - PROVIDING HIV/AIDS AND SUBSTANCE ABUSE EXPANSION SERVICES

PHASES (PROVIDING HIV/AIDS AND SUBSTANCE-ABUSE EXPANSION SERVICES) - THE PURPOSE OF PROJECT PHASES (PROVIDING HIV/AIDS AND SUBSTANCE-ABUSE EXPANSION SERVICES) IS TO INCREASE ENGAGEMENT IN CARE FOR RACIAL/ETHNIC UNDERREPRESENTED INDIVIDUALS WITH SUBSTANCE USE DISORDER (SUD) OR A CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD) WHO ARE AT RISK FOR, OR ARE LIVING WITH, HIV/AIDS AND RECEIVE HIV/AIDS SERVICES. PROJECT PHASES WILL FOCUS ON PROMOTING POSITIVE BEHAVIORAL HEALTH FOR RACIAL/ETHNIC MINORITY ADULTS BY IMPLEMENTING EVIDENCE-BASED INTERVENTIONS AND A WORK PLAN THAT IS RECOVERY-ORIENTED, TRAUMA-INFORMED, AND EQUITY-BASED. PARTICIPANTS WILL BE RECRUITED FROM CBWF’S SERVICE AREA: TEXAS’S HEALTH REGION 11 (A 11,000 SQ. MILE AREA), COMPRISED OF 12 SEMI-URBAN AND RURAL COUNTIES: NUECES, SAN PATRICIO, REFUGIO, LIVE OAK, JIM WELLS, DUVAL, BEE, BROOKS, MCMULLEN, KENEDY, KLEBERG, AND ARANSAS. CBWF WILL ASSIGN/HIRE EXPERIENCED AND COMPETENT STAFF INCLUDING A PROJECT DIRECTOR (PD), PROJECT COORDINATOR (PC), ONE LICENSED PROFESSIONAL COUNSELOR (LPC), ONE PEER SUPPORT SPECIALIST (PSS), TWO CARE COORDINATORS (CC), AND AN EXTERNAL EVALUATOR. THE PROPOSED EVIDENCE-BASED INTERVENTIONS ARE: LIVING IN BALANCE, SEEKING SAFETY, COGNITIVE BEHAVIORAL THERAPY, FUNDAMENTALS OF COUNSELING AND TESTING, AND PERSONALIZED COGNITIVE COUNSELING. THE ANTICIPATED MEASURABLE GOALS AND OBJECTIVES ARE DETAILED BELOW: 1) BEGINNING JANUARY 2023, PHASES WILL CONDUCT 50 OUTREACH CONTRACTS A MONTH TARGETING THE TARGET POPULATION 2) BEGINNING JANUARY 2023, PHASES WILL PERFORM 25 HIV/HEPATITIS SCREENINGS PER MONTH 3) BEGINNING JANUARY 2023, PHASES WILL SCREEN 325 CLIENTS FOR COD (50 YEAR 1, 75 YEARS 2-4, AND 50 YEAR 5) AND PROVIDE TREATMENT 4) BEGINNING JANUARY 2023, 325 MINORITY ADULTS WITH SUD OR COD (50 YR. 1; 75 YR.2 THRU YR.4, 50 YR.5) WILL PARTICIPATE IN THE LIVING IN BALANCE, SEEKING SAFETY, AND CBT EBPS. 5) BEGINNING JANUARY 2023, PHASES WILL ADMINISTER BASELINE GPRA TO ALL CLIENTS UPON ENROLLMENT (325 FOR THE LIFE OF THE PROGRAM – 50 YR.1, 75 YRS.2-4, 50 YR5

PROJECT HIP (HIV INTEGRATED SERVICES)

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

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

PROJECT BESOS - PROJ. BRINGING EVERYONE OUTREACH SERVICES

HOMELESS INITIATIVE PROGRAM (HIP) - THE COSTAL BEND WELLNESS FOUNDATION (CBWF), LOCATED IN CORPUS CHRISTI, TEXAS, IS A NONPROFIT FQHC AND A COMMUNITY BEHAVIORAL HEALTH CENTER, SERVING THE TEXAS COASTAL BEND CATCHMENT AREA. PROJECT HOMELESS INITIATIVE PROGRAM (HIP) WILL TARGET INDIVIDUALS, INCLUDING YOUTH, AND FAMILIES WITH SUD/COD WHO ARE EXPERIENCING HOMELESSNESS. CLIENTS WILL BE RECRUITED FROM THE TEXAS COASTAL BEND AREA ENCOMPASSING THE SEMI-URBAN AND RURAL COUNTIES OF NUECES, SAN PATRICIO, KLEBERG, AND ARANSAS. ACCORDING TO THE 2022 PIT THE AREA HAS EXPERIENCED A 70% INCREASE IN HOMELESSNESS FROM 254 INDIVIDUALS IN 2021 TO 433 IN 2022. HIP WILL PROVIDE COMPREHENSIVE, COORDINATED, AND EVIDENCE- BASED TREATMENT AND SERVICES FOR INDIVIDUALS, INCLUDING YOUTH, AND FAMILIES WITH SUBSTANCE USE DISORDERS (SUDS) OR CO-OCCURRING MENTAL HEALTH CONDITIONS AND SUDS (CODS) WHO ARE EXPERIENCING HOMELESSNESS. THIS PROGRAM SUPPORTS THE DEVELOPMENT AND/OR EXPANSION OF THE LOCAL IMPLEMENTATION OF A COMMUNITY INFRASTRUCTURE THAT INTEGRATES BEHAVIORAL HEALTH TREATMENT, PEER SUPPORT, RECOVERY SUPPORT SERVICES, AND LINKAGES TO SUSTAINABLE PERMANENT HOUSING. PROJECT HIP WILL FOCUS ON 1) BEHAVIORAL HEALTH OUTREACH, TREATMENT, AND RECOVERY-ORIENTED SERVICES; 2) COORDINATION OF HOUSING AND SERVICES TO SUPPORT THE IMPLEMENTATION AND/OR ENHANCE LONG-TERM SUSTAINABILITY OF INTEGRATED COMMUNITY SYSTEMS THAT PROVIDE PERMANENT HOUSING AND SUPPORTIVE SERVICES; AND 3) EFFORTS TO ENGAGE AND CONNECT INDIVIDUALS WITH SUD/COD, WHO ARE EXPERIENCING HOMELESSNESS TO RESOURCES FOR HEALTH INSURANCE, MEDICAID, AND MAINSTREAM BENEFITS PROGRAMS. A TOTAL OF 250 CLIENTS WILL BE SERVED OVER THE SPAN OF 5 YEARS. THIS WILL BE ACCOMPLISHED WITH A STAFFING PLAN TO INCLUDE A PROJECT DIRECTOR, PROJECT COORDINATOR, RECOVERY PEER SUPPORT SPECIALIST, LICENSED PROFESSIONAL COUNSELOR, AND A SOAR CERTIFIED CASE MANAGER. AN EXTERNAL EVALUATOR WILL BE CONTRACTED TO ASSIST WITH DATA MANAGEMENT, ANALYSES, AND REPORTING. HIP WILL ENSURE A CULTURALLY AND LINGUISTICALLY DIVERSE STEERING COMMITTEE IS DEVELOPED AND REMAINS ACTIVE IN THE COMMUNITY AND PROJECT.

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

PROJECT PRIDE

PHASES - PROVIDING HIV AIDS AND SUBSTANCE ABUSE EXPANSION/ENHANCEMENT SERVICES

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

PROJECT RUSH (REALISTIC UNDERSTANDING OF SEXUAL HEALTH) - PROJECT R.U.S.H. (REALISTIC UNDERSTANDING OF SEXUAL HEALTH) IS AN INNOVATIVE COMMUNITY INTERVENTION TO EDUCATE HIGH SCHOOL YOUTH AND THEIR FAMILIES IN THE CREATION OF AN ENVIRONMENT THAT ENCOURAGES HEALTHY ADOLESCENCE AND TO ADDRESS YOUTH SEXUAL RISK HOLISTICALLY OR ACROSS THE INTERRELATED FACTORS THAT PROMOTE OPTIMAL HEALTH AND RESULT IN HEALTHY DECISION-MAKING AND TEEN PREGNANCY PREVENTION. PROJECT R.U.S.H. IS A PARTNERSHIP BETWEEN COASTAL BEND WELLNESS FOUNDATION AND PILLAR TO PROVIDE SERVICES THROUGHOUT 16 COUNTIES IN SOUTH TEXAS: ARANSAS, BEE, BROOKS, DUVAL, JIM HOGG, JIM WELLS, KENEDY, KLEBERG, LIVE OAK, MCMULLEN, NUECES, REFUGIO, SAN PATRICIO, STARR, WEBB, AND ZAPATA. TOGETHER, THESE TWO INSTITUTIONS ARE PROPOSING TO IMPLEMENT. PROJECT R.U.S.H. (REALISTIC UNDERSTANDING OF SEXUAL HEALTH), A PROJECT DESIGNED TO REPLICATE AND SCALE UP THE EVIDENCE-BASED APPROACH, ?TOOL TO ASSESS THE CHARACTERISTICS OF EFFECTIVE SEX AND STD/HIV EDUCATION PROGRAMS? TO IMPLEMENT THE EVIDENCE-BASED CURRICULUM, ?MAKING PROUD CHOICES!? YOUTH AGED 15-19 ARE REPORTED AS BEING THE MOST VULNERABLE TO TEEN PREGNANCY, STDS, MULTIPLE PARTNERS, AND OTHER RISKS ASSOCIATED WITH SEXUAL ACTIVITY. THE U.S. TEEN POPULATION IS ESTIMATED AT 41,731,233 COMPARED TO TEXAS, ESTIMATED AT 1,876,283, WHICH IS 4.4% OF THE TOTAL U.S. TEEN POPULATION. IN 2016, TEXAS RANKED 4 OUT OF 51 ON TEEN BIRTH RATES AMONG FEMALES AGED 15-19, WITH A RANK OF 1 REPRESENTING THE HIGHEST RATE AND 51 REPRESENTING THE LOWEST RATE. THE TEEN BIRTH RATE IN 2016 FOR FEMALES AGED 15-19 IN TEXAS WAS 31.0 COMPARED TO U.S. TEEN BIRTH RATE 20.3. IN THE PROPOSED 16 COUNTY SERVICE DELIVERY AREA, 5.4% OF ALL LIVE BIRTHS WERE AMONG FEMALES AGED 15-19 IN 2016. THE TEEN BIRTH RATE AMONG TARGET POPULATION IN THE PROPOSE 16 COUNTIES RANGED FROM 42.7 TO 114.7. IN 2017, LESBIAN, GAY, AND BISEXUAL STUDENTS WERE AT GREATER RISK OF EXPERIENCING SEXUAL RISK FACTORS. YOUTH WHO IDENTIFIED AS LESBIAN, GAY, OR BISEXUAL (LGB) W ERE 62% MORE LIKELY TO HAVE 4 OR MORE SEXUAL PARTNERS DURING THEIR LIFETIME. LGBT YOUTH WERE 54% LESS LIKELY TO HAVE USED A CONDOM OR EFFECTIVE BIRTH CONTROL. PROJECT R.U.S.H. WILL SUPPORT LGBTQ YOUTH BY CREATING INCLUSIVENESS AND EQUITY IN THE SEXUAL AND REPRODUCTIVE HEALTH PROGRAMS SELECTED. PROJECT R.U.S.H. INTENDS TO INCREASE THE NUMBER OF YOUTH, AGED 15-19, WHO CHANGE THEIR BEHAVIOR IN A SUSTAINABLE MANNER THAT YIELDS A REDUCTION IN THEIR RISK OF BECOMING INFECTED WITH HIV AND OTHER STDS, AND THEIR RISK FOR PREGNANCY AND INCREASE THE LEVEL OF COLLABORATION AMONG YOUTH, FAMILIES, AND COMMUNITY PARTNERS ENGAGED IN HIV AND OTHER STDS, AND PREGNANCY PREVENTION WITHIN THE TARGET 16 COUNTIES IN SOUTH TEXAS. THIS WILL BE ACCOMPLISHED THROUGH DIRECT TARGETED OUTREACH, USAGE OF EVIDENCE-BASED EDUCATIONAL INTERVENTIONS, COMMUNITY COALITION EFFORTS, AND PROVEN SERVICE NAVIGATION TACTICS. PROJECT R.U.S.H. WILL DELIVER THE EVIDENCE-BASED EDUCATION, MAKING PROUD CHOICES! TO AN ESTIMATED 1,000 YOUTH AGES 15-19. PROJECT R.U.S.H. WILL ENGAGE AN ESTIMATED 10,000 YOUTH, FAMILIES, AND COMMUNITY PARTNERS THROUGH OUTREACH, COMMUNITY MOBILIZATION ACTIVITIES, AND EDUCATIONAL PRESENTATIONS. BY DELIVERING EVIDENCE-BASED, TAILORED, COMPREHENSIVE SEXUAL HEALTH EDUCATION, PROJECT R.U.S.H WILL ADDRESS PROTECTIVE FACTORS ACROSS YOUTH, FAMILY/CAREGIVERS, AND AT THE SYSTEMS-LEVEL TO REDUCE EXPOSURE TO RISK AND ENCOURAGING BEHAVIOR THAT PREVENTS NEGATIVE OUTCOMES, SUCH AS HIV, STDS, AND TEEN PREGNANCY. PROJECT R.U.S.H.?S GOAL IS TO ACHIEVE THE FOLLOWING OUTCOME MEASURES: A STATISTICALLY SIGNIFICANT REDUCTION IN TEEN PREGNANCY, NEW STD AND HIV INFECTIONS, DIAGNOSED BEHAVIORAL HEALTH AND SUBSTANCE USE ISSUES, AND OTHER SOCIAL DETERMINANTS OF HEALTH THAT SERVE AS BARRIERS FOR IMPROVEMENT IN THE TARGETED AREAS WITHIN THE POPULATION OF FOCUS UNDER THIS PROJECT.

RED CORD INITIATIVE

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

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - COASTAL BEND WELLNESS FOUNDATION (CBWF), A COMMUNITY BASED NON-PROFIT ORGANIZATION AND FEDERALLY QUALIFIED HEALTH CENTER IN CORPUS CHRISTI, TEXAS, HAS IDENTIFIED A NEED FOR MENTAL HEALTH AND LONG-TERM RECOVERY SUPPORT FROM SUBSTANCE USE DISORDERS. THE TARGET AREA IS DISPROPORTIONALLY AFFECTED BY SUBSTANCE ABUSE AND MENTAL HEALTH PROBLEMS AGGRAVATED BY A SHORTAGE OF MENTAL HEALTH PROFESSIONALS IN THE AREA AND LACK OF RECOVERY SUPPORT SERVICES. TO ADDRESS THIS, CBWF RECEIVED A SAMHSA GRANT TO BECOME A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC WITH THE MAIN GOAL OF ENHANCING AND EXPANDING SERVICES BY INCREASING ACCESS TO, AND IMPROVING THE QUALITY OF, MENTAL HEALTH, SUBSTANCE USE TREATMENT, AND PHYSICAL HEALTH SERVICES. CBWF WAS SUCCESSFUL IN RECEIVING THE CERTIFICATION BUT FUNDING FROM SAMHSA DID NOT CONTINUE. THE PROJECT IS NOW IN THE PROCESS OF BEING DOWNSIZED WITH KEY COMPONENTS SUCH AS CASE MANAGEMENT SERVICES BEING ENDED, SINCE THESE ARE NOT SUSTAINABLE WITHOUT EXTERNAL FUNDING. THEREFORE, CBWF IS PROPOSING THE CONTINUATION AND EXPANSION OF PROJECT INTEGRATED SYSTEMS OF CARE (ISC), WHICH WILL ALLOW CBWF TO MAINTAIN ITS CURRENT MENTAL HEALTH AND SUBSTANCE MISUSE PROGRAMS AND EXPAND SERVICES TO INCREASE THE NUMBER OF PEOPLE ACCESSING CARE. THE PROJECT WILL PROVIDE PERSON- AND FAMILY-CENTERED INTEGRATED AND CO-LOCATED MENTAL, BEHAVIORAL, AND PHYSICAL HEALTH SERVICES TO RESIDENTS OF NUECES, JIM WELLS, SAN PATRICIO, ARANSAS, AND KLEBERG COUNTIES. PROJECT ISC WILL PROVIDE ACCESS TO SERVICES FOR INDIVIDUALS WITH MENTAL ILLNESS (SMI) OR SUBSTANCE USE DISORDERS (SUD), INCLUDING OPIOID USE DISORDERS; AND INDIVIDUALS WITH CO-OCCURRING MENTAL AND SUBSTANCE DISORDERS (COD). THE PROPOSED PROJECT SEEKS TO EXPAND OUR BEHAVIORAL HEALTH SERVICES THROUGH THE FOLLOWING INITIATIVES: 1. INCREASED ACCESS TO CARE: WE AIM TO INCREASE THE AVAILABILITY OF COUNSELING AND THERAPY SESSIONS BY HIRING ADDITIONAL LICENSED THERAPISTS AND COUNSELORS. THIS WILL RED UCE WAIT TIMES FOR APPOINTMENTS AND ENSURE THAT INDIVIDUALS CAN ACCESS TIMELY SUPPORT WHEN NEEDED. 2. OUTREACH AND EDUCATION: WE PLAN TO ENHANCE COMMUNITY OUTREACH EFFORTS TO RAISE AWARENESS ABOUT MENTAL HEALTH ISSUES AND REDUCE THE STIGMA SURROUNDING SEEKING HELP. THIS WILL INVOLVE HOSTING WORKSHOPS, SEMINARS, AND INFORMATIONAL SESSIONS IN COLLABORATION WITH LOCAL SCHOOLS, COMMUNITY CENTERS, AND HEALTHCARE PROVIDERS. 3. TELEHEALTH SERVICES: RECOGNIZING THE IMPORTANCE OF FLEXIBILITY AND ACCESSIBILITY, WE INTEND TO ESTABLISH TELEHEALTH SERVICES TO REACH INDIVIDUALS WHO MAY FACE BARRIERS TO IN-PERSON CARE, SUCH AS TRANSPORTATION CHALLENGES OR RURAL RESIDENCY. 4. SPECIALIZED PROGRAMS: WE WILL DEVELOP SPECIALIZED PROGRAMS TAILORED TO MEET THE UNIQUE NEEDS OF SPECIFIC POPULATIONS, INCLUDING THE LGBT+ COMMUNITY, SENIORS, AND INDIVIDUALS FROM MARGINALIZED COMMUNITIES.

MENTORING PROGRAM GRANTS

FALLS PREVENTION

HEALTH CENTER INFRASTRUCTURE SUPPORT

FOOTHILLS HEALTHY COMMUNITY COALITION DFC PROJECT

PHASES - PROVIDING HIV AIDS AND SUBSTANCE ABUSE EXPANSION/ENHANCEMENT SERVICES

COMMUNITY FACILITY GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - PROJECT TITLE: FY 2025 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM COASTAL BEND WELLNESS FOUNDATION 2882 HOLLY ROAD CORPUS CHRISTI, TX 78415 PROJECT DIRECTOR: ANDREA HARROD PHONE NUMBER: 361-814-2001 EXT. 238 FAX NUMBER: 361-883-1998 ANDREAH@CBWELLNESS.ORG WWW.CBWELLNESS.ORG CBWF SEEKS FUNDING OF $150,000 FOR A ONE-YEAR PROJECT PERIOD TO SUPPORT AN HIV CARE INNOVATION ACTIVITY FOCUSED ON DEVELOPING STRATEGIC PARTNERSHIPS TO ADDRESS THE COMPLEX CHALLENGES OF RE-ENGAGING THOSE WITH HIV WHO HAVE FALLEN OUT OF CARE AND EARLY LINKAGE TO PRIMARY HIV CARE. CBWF WILL IMPLEMENT TRAINING AND CAPACITY BUILDING WITH ORGANIZATIONS BEYOND THE TRADITIONAL HEALTHCARE SETTING TO ACCESS HARD-TO-REACH POPULATIONS AND PROVIDE A MORE WHOLE PERSON CARE SUPPORT SYSTEM. CBWF WILL TRAIN COMMUNITY HEALTH WORKERS AND/OR PEER NAVIGATORS FROM THE COMMUNITY WITH SKILLS TO IDENTIFY AND ENGAGE THOSE WITH HIV, EMPHASIZING CULTURALLY COMPETENT CARE AND CONFIDENTIALITY. CBWF WILL IMPLEMENT EVIDENCE-BASED INTERVENTIONS TO TRAIN HIV-POSITIVE PEERS TO SUPPORT AND NAVIGATE CARE SYSTEMS, OFFERING MENTORSHIP AND FOSTERING TRUST WITHIN THE COMMUNITY. CBWF WILL DEVELOP AND PROMOTE TOOLS, TRAINING, AND RESOURCES FOR PRIMARY CARE PROFESSIONALS, BEHAVIORAL HEALTH PROFESSIONALS, TREATMENT FACILITIES, SOCIAL SERVICE ORGANIZATIONS PROVIDING HOUSING AND EMPLOYMENT SERVICES, AND OTHER COMMUNITY ORGANIZATIONS SERVING WITH THOSE PRIORITY POPULATIONS WITH HIV AND THOSE GROUPS AT HIGHEST RISK FOR HIV INFECTION. BY LEVERAGING THE TRUST AND REACH OF THESE NON-TRADITIONAL PARTNERS, CBWF WILL CREATE MORE EFFECTIVE, CULTURALLY COMPETENT, AND SUSTAINABLE PATHWAYS TO RE-ENGAGEMENT, ENSURING THAT PEOPLE WITH HIV RECEIVE THE COMPREHENSIVE CARE THEY NEED TO ACHIEVE OPTIMAL HEALTH OUTCOMES. THE PROPOSED ACTIVITIES WILL INCREASE LINKAGE TO HIV CARE, RECEIPT OF HIV CARE, AND RETENTION IN HIV CARE. CBWF REQUESTS FUNDING PREFERENCE BASED ON QUALIFICATIONS FOR PROVIDING CARE SERVICES IN A RURAL AREA.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

WELLNESS WEB

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

TO SUPPORT THE CREATION OF A PUBLIC MURAL BY ARTIST GUILLERMO AVALOS.

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

FOOTHILLS HEALTHY COMMUNITY COALITION DFC PROJECT

PROJECT PRIDE