Health Affiliates Inc

CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC - PROJECT ABSTRACT THROUGH SAMHSA’S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) PLANNING, DEVELOPMENT, & IMPLEMENTATION GRANT, COMMUNITY MENTAL HEALTH AFFILIATES, INC. (CMHA) WILL FOCUS ON INCREASING ACCESS TO MENTAL HEALTH TREATMENT FOR CHILDREN AND YOUTH AND EXPANDING INTENSIVE CARE COORDINATION FOR ADULTS AND CHILDREN IN ORDER TO EFFECTIVELY ADDRESS THE NEEDS OF ADULTS AND ADOLESCENTS WITH SERIOUS MENTAL ILLNESS (SMI), SUBSTANCE USE DISORDER (SUD), AND CO-OCCURRING DISORDER (COD) AND CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCE (SED) IN THE TARGETED SERVICE AREA. CCBHC SERVICE POPULATION INCLUDES INDIVIDUALS AND FAMILIES ACROSS NEW HAVEN AND LITCHFIELD COUNTY, SPECIFICALLY RESIDING IN: WATERTOWN, WATERBURY, MIDDLEBURY, GOSHEN, NAUGATUCK, NEW HARTFORD, WINSTED, SOUTHBURY, WOLCOTT, THOMASTON, LITCHFIELD, BARKHAMSTED, TORRINGTON, HARWINTON, MORRIS, AND BETHLEHEM. US 2020 CENSUS DATA SHOWS A TARGET POPULATION OF 278,401: 219,603 AGES 18+; 43,840 AGES 6-17; AND 14,958 UNDER AGE 5. CMHA IS AN ENHANCED CARE CLINIC (ECC) AND PROVIDES AN ARRAY OF SERVICES TO THE HISTORICALLY UNDERSERVED POPULATION OF ADULTS, CHILDREN AND FAMILIES IN THE REGION. LAST YEAR, CMHA SERVED 2,306 CONSUMERS IN THIS TARGET AREA: 531 CHILDREN IN OUR OUTPATIENT CHILD GUIDANCE CLINIC; 656 YOUTH VIA ONGOING SCHOOL-BASED SERVICES; 470 ADULTS IN OUTPATIENT/INTENSIVE OP; 1,305 FAMILIES THROUGH OUR HOME-BASED PROGRAMS. MORE THAN 10% OF OUR CLIENTS ARE PRIMARILY SPANISH-SPEAKING, AND THE NUMBER OF PORTUGUESE-SPEAKING CLIENTS HAS INCREASED BY 400% SINCE 2019. A MAJORITY (65%) IDENTIFY AS FEMALE, AND 1% ARE TRANSGENDER/NON-BINARY. THE MAJORITY ARE HETEROSEXUAL (81%), WITH 12% INDICATING LGBTQ+. NEARLY ALL (93%) FALL AT/BELOW 200% OF THE FEDERAL POVERTY LEVEL, AND MOST (90%) HAVE BEEN AFFECTED BY TRAUMA. AGENCY AND COMMUNITY DATA INDICATES A NEED FOR MORE OPEN ACCESS HOURS; CONTINUED SERVICES AND SUPPORTS FOR VETERANS/MILITARY; TARGETED CASE MANAGEMENT (TCM) AND INTENSIVE CARE COORDINATION FOR ADULTS AND CHILDREN; AND INCREASED ACCESS TO TREATMENT FOR CHILDREN AND YOUTH. OUR CCBHC WILL REDUCE DISPARITIES BY ENHANCING ACCESS TO CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES FOR BLACK, HISPANIC AND SPANISH SPEAKING WOMEN, CHILDREN, AND THEIR FAMILIES AFFECTED BY VIOLENCE, TRAUMA, AND POVERTY. CCBHC GOALS INCLUDE: 1) SUPPORT RECOVERY FROM MENTAL ILLNESS AND/OR SUD AMONG TARGET POPULATION ADULTS, CHILDREN AND FAMILIES THROUGH AN EXPANSION OF CLINIC SERVICES AND CONTRACTED 24/7 MOBILE CRISIS SERVICES; 2) REDUCE BEHAVIORAL HEALTH ISSUES, TRAUMA SYMPTOMS, AND SUBSTANCE ABUSE AMONG TARGET POPULATION CHILDREN, ADOLESCENTS, AND ADULTS THROUGH WRAPAROUND SUPPORT AND COMMUNITY-BASED SERVICES AND OUTREACH; 3) REDUCE THE LIKELIHOOD OF CHRONIC DISEASE AND PREMATURE DEATH AMONG TARGET POPULATION ADULTS AND CHILDREN THROUGH CCBHC’S BEHAVIORAL HEALTH HOME AND CONTRACTED PRIMARY CARE; 4) PROMOTE WELLNESS AND RECOVERY AMONG CCBHC CONSUMERS BY PROVIDING PSYCHIATRIC REHABILITATION, PEER AND FAMILY RECOVERY SUPPORTS; 5) EQUIP CCBHC STAFF WITH THE SKILLS TO CONTINUE OFFERING EVIDENCE-BASED PRACTICES THROUGH ADDITIONAL TRAINING; 6) MEET CCBHC GOALS/OBJECTIVES BY CREATING PROJECT MANAGEMENT AND GOVERNANCE STRUCTURES.; 8) IMPLEMENT INFRASTRUCTURE ACTIVITIES AND ASSESSMENTS TO IMPLEMENT AND SUSTAIN CCBHC SERVICES. CMHA’S CCBHC WILL SERVE A TOTAL OF 600 INDIVIDUALS OVER FOUR YEARS.

CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC - THROUGH SAMHSA’S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) IMPROVEMENT AND ADVANCEMENT GRANT, COMMUNITY MENTAL HEALTH AFFILIATES, INC. (CMHA) WILL INCREASE ACCESS TO AND IMPROVE THE QUALITY OF COMMUNITY-BASED BEHAVIORAL HEALTH AND SUBSTANCE USE TREATMENT IN ORDER TO EFFECTIVELY ADDRESS THE NEEDS OF ADULTS, ADOLESCENTS, AND CHILDREN WITH SERIOUS MENTAL ILLNESS (SMI), CO-OCCURRING DISORDER (COD), SUBSTANCE USE DISORDER (SUD), AND SERIOUS EMOTIONAL DISTURBANCE (SED) IN CENTRAL CONNECTICUT. CCBHC SERVICE POPULATION INCLUDES INDIVIDUALS AND FAMILIES IN CMHA’S GREATER NEW BRITAIN SERVICE AREA, WHICH INCLUDES THE LOCALITIES OF: BERLIN, BRISTOL, BURLINGTON, KENSINGTON, NEW BRITAIN, PLAINVILLE, PLYMOUTH, SOUTHINGTON, AND TERRYVILLE. US 2022 CENSUS DATA SHOWS A TARGET POPULATION OF 253,286 WHICH INCLUDES: 148,467 AGES 18-64; 36,721 OVER AGE 65; 55,121 AGES 6-17; AND 12,977 UNDER AGE 5. CMHA IS THE ONLY AGENCY WHICH CURRENTLY PROVIDES CCBHC SERVICES TO A PRIMARILY AND HISTORICALLY UNDERSERVED POPULATION OF ADULTS, CHILDREN AND FAMILIES IN THE CENTRAL CONNECTICUT REGION. LAST YEAR, CMHA SERVED 3,170 CONSUMERS IN THIS TARGET AREA – 2,706 ADULTS 18 AND OVER (INCLUDING 476 AGE 60+); AND 464 CHILDREN AND ADOLESCENTS AGE 1-17. NEARLY HALF (44%) ARE CAUCASIAN, 39% ARE HISPANIC (A MAJORITY ARE PUERTO RICAN), 13% ARE AFRICAN-AMERICAN, AND 4% ARE OTHER/UNKNOWN. MOST (93%) FALL AT/BELOW 200% OF THE FEDERAL POVERTY LEVEL, WITH 67% ON MEDICAID AND 26% ON MEDICARE, AND NEARLY ALL (90%) HAVE BEEN EXPOSED TO TRAUMA. APPROXIMATELY 13% SPEAK SPANISH AS THEIR PRIMARY LANGUAGE. MORE THAN HALF (52%) IDENTIFY AS FEMALE, AND 47% IDENTIFY AS MALE, WITH 1% TRANSGENDER/NONBINARY. THE MAJORITY (81%) ARE HETEROSEXUAL, WITH 12% INDICATING LGBTQ+. AGENCY AND COMMUNITY DATA INDICATES A NEED FOR MORE OPEN ACCESS HOURS; CONTINUED SERVICES AND SUPPORTS FOR VETERANS/MILITARY; TARGETED CASE MANAGEMENT (TCM) AND INTENSIVE CARE COORDINATION FOR ADULTS AGE 60+ AND ARABIC SPEAKING POPULATIONS; AND INCREASED ACCESS TO TREATMENT FOR CHILDREN AND YOUTH. CCBHC GOALS INCLUDE: 1) SUPPORT RECOVERY FROM MENTAL ILLNESS AND/OR SUD AMONG TARGET POPULATION ADULTS, CHILDREN AND FAMILIES THROUGH EXPANDED 24/7 MOBILE CRISIS, OPEN ACCESS CLINIC, AND RESPITE SERVICES; 2) REDUCE BEHAVIORAL HEALTH ISSUES, DISPARITIES, TRAUMA SYMPTOMS, SUICIDE, AND SUBSTANCE USE AMONG TARGET POPULATION CHILDREN, ADOLESCENTS, AND ADULTS THROUGH ENHANCED CLINIC AND COMMUNITY-BASED TREATMENT SERVICES; 3) REDUCE THE LIKELIHOOD OF CHRONIC DISEASE AND PREMATURE DEATH AMONG TARGET POPULATION ADULTS AND CHILDREN THROUGH CCBHC-EMBEDDED INTEGRATED PRIMARY CARE; 4) PROMOTE WELLNESS AND RECOVERY AMONG CCBHC CONSUMERS BY ENHANCING PSYCHIATRIC REHABILITATION, PEER, AND FAMILY RECOVERY SUPPORTS; 5) EQUIP CCBHC STAFF WITH THE SKILLS TO CARE FOR SPECIALIZED POPULATIONS AND REDUCE BEHAVIORAL HEALTH DISPARITIES; 6) MEET CCBHC GOALS/OBJECTIVES BY CREATING PROJECT MANAGEMENT AND GOVERNANCE STRUCTURES; AND 7) IMPLEMENT INFRASTRUCTURE ACTIVITIES AND ASSESSMENTS TO IMPROVE AND SUSTAIN CCBHC SERVICES. CMHA’S CCBHC WILL SERVE A TOTAL OF 700 INDIVIDUALS OVER FOUR YEARS.

CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS

COMMUNITY MENTAL HEALTH CENTERS - THROUGH SAMHSA’S COMMUNITY MENTAL HEALTH CENTERS (CMHC) GRANT PROGRAM, COMMUNITY MENTAL HEALTH AFFILIATES, INC. (CMHA), WILL ENHANCE AND RESTORE CLINICAL SERVICES IMPACTED BY THE COVID-19 PANDEMIC IN ORDER TO EFFECTIVELY ADDRESS THE NEEDS OF ADULTS AND YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED), SERIOUS MENTAL ILLNESS (SMI), AND CO-OCCURRING DISORDER (COD) IN CENTRAL AND NORTHWEST CONNECTICUT. CMHC SERVICE POPULATION INCLUDES INDIVIDUALS AND FAMILIES IN CMHA’S GREATER NEW BRITAIN, WATERBURY, AND TORRINGTON SERVICE AREA, WHICH INCLUDES THE LOCALITIES OF: BERLIN, BRISTOL, BURLINGTON, KENSINGTON, NEW BRITAIN, PLAINVILLE, PLYMOUTH, SOUTHINGTON, TERRYVILLE, TORRINGTON, WATERBURY, AND WINSTED. US CENSUS DATA SHOWS A TARGET POPULATION OF 383,483: 299,620 AGES 18+, 62,404 AGES 5-17. CMHA HAS MORE THAN 45 YEARS’ EXPERIENCE PROVIDING INNOVATIVE, PATIENT-CENTERED AND CULTURALLY-RELEVANT BEHAVIORAL HEALTH TREATMENT TO CENTRAL AND NORTHWEST CONNECTICUT. IN FISCAL YEAR 2020, CMHA SERVED 4,225 CONSUMERS— 3,527 ADULTS OVER AGE 18 AND 698 CHILDREN YOUNGER THAN 18; 43% ARE FROM NEW BRITAIN; 46% ARE CAUCASIAN, 33% ARE LATINA/O (A MAJORITY ARE PUERTO RICAN), 13% ARE AFRICAN-AMERICAN, AND 5% ARE OTHER/UNKNOWN. 91% FALL AT/BELOW 200% OF THE FEDERAL POVERTY LEVEL, WITH 72% ON MEDICAID AND 28% ON MEDICARE. APPROXIMATELY 10% AND .6% SPEAK SPANISH AND POLISH, RESPECTIVELY, AS THEIR PRIMARY LANGUAGE. AGENCY AND COMMUNITY DATA INDICATES A NEED FOR ADDITIONAL TRAUMA-INFORMED TELEHEALTH AND IN PERSON TREATMENT TO SUPPORT INDIVIDUALS EXPERIENCING MENTAL HEALTH ISSUES COMPOUNDED BY THE PANDEMIC. TARGETED OUTREACH IS NEEDED TO ENGAGE NEW AND EXISTING CLIENTS WHO MAY BE HESITANT TO RETURN FOR SERVICES EVEN AS PANDEMIC RESTRICTIONS LIFT. COMMUNITY PARTNERS INCLUDING SCHOOL DISTRICTS AND POLICE DEPARTMENTS HAVE ALSO REACHED OUT TO CMHA FOR EDUCATION AND ASSISTANCE TO SUPPORT INDIVIDUALS IN CRISIS. THE CMHC HAS THE FOLLOWING GOALS: 1) TO REENGAGE AND RETAIN TARGET POPULATION IN CLINICAL, CASE MANAGEMENT, AND WRAPAROUND RECOVERY SUPPORT SERVICES THROUGH ENHANCED TELEHEALTH INFRASTRUCTURE; 2) TO REDUCE BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SYMPTOMS EXACERBATED BY THE PANDEMIC AND IMPROVE FUNCTIONING AMONG ADULTS WITH SMI AND COD BY RESTORING IN PERSON OUTPATIENT AND PSYCHOSOCIAL REHAB SERVICES; 3) TO REDUCE BEHAVIORAL HEALTH AND TRAUMA SYMPTOMS AND IMPROVE FUNCTIONING AMONG SCHOOL-AGED CHILDREN AND ADOLESCENTS AT RISK FOR SED THROUGH DIRECT SERVICES AND SUPPORT FOR SCHOOLS AND PARENTS; 4) TO REDUCE SYMPTOMS OF TRAUMA EXACERBATED BY THE PANDEMIC AND IMPROVE FUNCTIONING AMONGST CMHC CLIENTS BY EXPANDING EVIDENCE-BASED ASSESSMENT AND TREATMENT MODELS; 5) TO DEVELOP AND PROVIDE ADDITIONAL RESOURCES AND INFRASTRUCTURE TO ADDRESS MENTAL HEALTH NEEDS AMONGST CMHC STAFF; 6) TO REDUCE INCIDENCES OF DEATH BY DRUG OVERDOSE, SUICIDE, AND SELF-HARM AMONG TARGET GROUP CHILDREN, ADOLESCENTS AND ADULTS BY IMPROVING RESPONSIVENESS OF LOCAL LAW ENFORCEMENT; 7) TO MEET CMHC GOALS BY CREATING PROJECT MANAGEMENT STRUCTURE. THE CMHC WILL SERVE A TOTAL OF 600 UNDUPLICATED CONSUMERS (YEAR 1= 300; YEAR 2= 300).

MEDICATION ASSISTED TREATMENT - PRESCRIPTION DRUG AND OPIOID ADDICTION (MAT-PDOA) - THROUGH INTENSIVE MAT PERSON APPROACH COMMUNITY TREATMENT (IMPACT), COMMUNITY MENTAL HEALTH AFFILIATES, INC. (CMHA) SEEKS TO ENHANCE AND EXPAND ACCESS TO MEDICATION ASSISTED TREATMENT (MAT), INCREASE THE NUMBER OF INDIVIDUALS WITH OPIOID USE DISORDER (OUD) RECEIVING MAT, AND REDUCE OPIOID USE FOR 400 ADULTS WHO ARE HOMELESS OR AT RISK IN GREATER NEW BRITAIN AND BRISTOL, CT. CMHA HAS MORE THAN 45 YEARS’ EXPERIENCE PROVIDING SUBSTANCE ABUSE AND BEHAVIORAL HEALTH TREATMENT SERVICES TO CENTRAL CONNECTICUT’S RESIDENTS, INCLUDING 20 YEARS DELIVERING CASE MANAGEMENT SERVICES TO HOMELESS/AT RISK INDIVIDUALS WITH CO-OCCURRING DISORDERS, AND MORE THAN 15 YEARS PROVIDING MAT. THE AGENCY’S COMMUNITY SUPPORT AND HOUSING PROGRAMS, WHERE IMPACT WILL BE EMBEDDED, SERVE NEARLY 2,000 INDIVIDUALS ANNUALLY, 60% OF WHOM HAVE AN OUD. AGENCY AND COMMUNITY DATA SHOW A NEED FOR TARGETED SUBSTANCE ABUSE TREATMENT FOR HOMELESS/AT RISK INDIVIDUALS WITH OUD. INDIVIDUALS WHO ARE HOMELESS EXPERIENCE HIGHER RATES OF SUBSTANCE ABUSE AND OPIOID OVERDOSE, AND HOMELESS ADULTS ARE NINE TIMES MORE LIKELY TO DIE FROM AN OPIOID OVERDOSE THAN THEIR HOUSED COUNTERPARTS (BAGGETT, ET AL., 2013). THE RATE OF OPIOID OVERDOSE IN THE PROGRAM’S PROPOSED SERVICE AREA HAS RISEN 61% SINCE 2015 (CT OFFICE OF MEDICAL EXAMINER), AND 48% OF CLIENT DEATHS AT CMHA LAST YEAR WERE DUE TO ACCIDENTAL OVERDOSE. CENTRAL CONNECTICUT HAS SEEN A 44% INCREASE IN HOMELESSNESS OVER THE PAST YEAR (CT CAN PIT COUNT, 2019-20); HOMELESSNESS AMONG CMHA’S CLIENTS ALSO INCREASED 24% OVER THE PAST YEAR. IMPACT HAS THE FOLLOWING GOALS: 1) INCREASE THE NUMBER OF HOMELESS/AT RISK INDIVIDUALS WITH OPIOID USE DISORDER (OUD) RECEIVING MAT THROUGH OUTREACH AND EMBEDDED COMMUNITY SERVICES AT FRIENDSHIP SERVICE CENTER AND SALVATION ARMY IN NEW BRITAIN AND ST. VINCENT DEPAUL SHELTER IN BRISTOL, ENSURING THAT 80% OF PROGRAM PARTICIPANTS ARE RECEIVING MAT BEFORE DISCHARGE; 2) REDUCE OUD AND OVERDOSE AMONG 70% OF HOMELESS/AT RISK PROGRAM PARTICIPANTS THROUGH TREATMENT AND PREVENTION EDUCATION, INCLUDING SIX ANNUAL NARCAN DISTRIBUTION EVENTS AT PARTNER SHELTERS AND THE DISTRIBUTION OF 250 NARCAN KITS ANNUALLY TO THE CLIENTS AND THE COMMUNITY; 3) REDUCE THE LIKELIHOOD OF CHRONIC DISEASE AND PREMATURE DEATH AMONG INDIVIDUALS WITH OUD WHO ARE HOMELESS/AT RISK BY CONNECTING 70% OF PROGRAM PARTICIPANTS WITHOUT A CURRENT PROVIDER TO PRIMARY CARE EACH YEAR; 4) INCREASE ACCESS TO SAFE, STABLE, SOBER HOUSING FOR INDIVIDUALS WITH OUD WHO ARE HOMELESS/AT RISK TO PREVENT FURTHER RELAPSE THROUGH CASE MANAGEMENT AND CONNECTION TO THE STATE’S HOUSING CHOICE VOUCHER PROGRAM; 5) MEET PROJECT GOALS/OBJECTIVES BY CREATING A PROJECT MANAGEMENT STRUCTURE. IMPACT WILL SERVE A TOTAL OF 400 UNDUPLICATED CONSUMERS (YEAR 1= 50; YEAR 2-3= 75; YEAR 4-5= 100).

ENHANCEMENT OF CMHA'S ELECTRONIC MEDICAL RECORDS SYSTEM TO PROMOTE THE EXCHANGE OF CLINICAL DATE

MODIFIED ASSERTIVE COMMUNITY TREATMENT SERVICES FOR CHRONICALLY HOMELESS PERSONS

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - RESPITE SERVICES FOR PERSONS WITH MENTAL ILLNESS AND /OR SUBSTANCE USE DISORDERS OFTEN EXPERIENCE UNNECESSARY AND COSTLY EMERGENCY ROOM VISITS OR INPATIENT STAYS DUE TO A LACK OF ALTERNATIVE SERVICES. THE 6 BED RESPITE WING WILL PROVIDE SHORT-TERM BEDS, PROFESSIONAL SUPERVISION, MEDICATION MANAGEMENT, AND PSYCHIATRIC TREATMENT TO HELP STABILIZE INDIVIDUALS IN PSYCHIATRIC CRISIS AND DIVERT THEM FROM HOSPITAL EMERGENCY ROOMS OR INPATIENT FACILITIES. THE RESPITE WING WILL BE STAFFED 24/7 AND PROVIDE A SAFE AND SECURE ENVIRONMENT. THE RESPITE WING PROJECT WILL BENEFIT ADULTS (AGE 18+) WITH BEHAVIORAL HEALTH/SUBSTANCE ABUSE ISSUES AND SERIOUS MENTAL ILLNESS IN CMHA’S SERVICE AREA, WHICH INCLUDES THE FOLLOWING TOWNS: ANDOVER, AVON, BERLIN, BLOOMFIELD, BOLTON, BRISTOL, BURLINGTON, CANTON, EAST GRANBY, EAST HARTFORD, EAST WINDSOR, ELLINGTON, ENFIELD, FARMINGTON, GLASTONBURY, GRANBY, HARTFORD, HEBRON, KENSINGTON, MANCHESTER, MARLBOROUGH, NEW BRITAIN, NEWINGTON, PLAINVILLE, PLYMOUTH, ROCKY HILL, SIMSBURY, SOMERS, SOUTH WINDSOR, SOUTHINGTON, STAFFORD, SUFFIELD, TOLLAND, VERNON, WEST HARTFORD, WETHERSFIELD, WINDSOR, WINDSOR LOCKS. CONTACT: RAYMOND J GORMAN, PRES&CEO CMHA RGORMAN@CMHACC.ORG 860 826-1358 EXT 1223

DRUG FREE COMMUNITIES

UNDER THIS PROJECT, COMMUNITY MENTAL HEALTH AFFILIATES, INC. WILL PROVIDE CRISIS MENTAL HEALTH, OUTPATIENT, CASE MANAGEMENT, PEER SUPPORT, PSYCHIATRIC REHABILITATION, AND COMMUNITY-BASED CARE TO A PRIMARILY AND HISTORICALLY UNDERSERVED POPULATION OF ADULTS, CHILDREN AND FAMILIES IN CENTRAL AND NORTHWEST CONNECTICUT. CMHA WILL SERVE ADULTS AND YOUTH WHO HAVE EXPERIENCED VIOLENCE, DOMESTIC VIOLENCE, CHILD ABUSE, SEXUAL ABUSE; AND ALL OTHER CATEGORIES OF CRIME VICTIMIZATIONS. THE GOAL OF THE PROJECT IS TO SUPPORT CLIENTS WITH THEIR HOUSING, FOOD AND NUTRITION, CLOTHING, WORKFORCE TRAINING, AND TRANSPORTATION NEEDS.

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

PLYMOUTH LOCAL PREVENTION COUNCIL MENTORING

HOMELESS ASSISTANCE