Foundcare Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

COMPREHENSIVE SERVICES FOR REDUCING HIV INFECTIONS AMONG BLACKS/AFRICAN AMERICANS IN PALM BEACH COUNTY, FLORIDA - FOUNDCARE, INC. IS PROPOSING TO REDUCE THE NUMBER OF NEW HIV INFECTIONS AMONG BLACKS/AFRICAN AMERICANS IN PALM BEACH COUNTY, FLORIDA BY IMPLEMENTING A HIGH IMPACT HIV PREVENTION PROGRAM THAT INCLUDES TARGETED HIV TESTING, LINKAGE TO CARE FOR THOSE WHO ARE NEWLY DIAGNOSED OR LIVING WITH HIV AND OUT OF CARE, PROVIDING ACCESS TO OTHER PREVENTION AND SUPPORT SERVICES, AND CONDOM DISTRIBUTION. FOUNDCARE PROPOSES TO TEST 3,240 BLACKS/AFRICAN AMERICANS OVER THE FIVE-YEAR GRANT PERIOD AND LINK AT LEAST 36 NEWLY DIAGNOSED OR LIVING WITH HIV AND OUT OF CARE INTO HIV MEDICAL SERVICES. FOUNDCARE IMPLEMENTS A TEST AND TREAT APPROACH TO LINK PEOPLE INTO HIV MEDICAL CARE WITHIN 72 HOURS OF RECEIVING AND HIV POSITIVE TEST RESULT, WHENEVER POSSIBLE. THESE ACTIVITIES WILL TAKE PLACE THROUGHOUT PALM BEACH COUNTY IN TARGETED AREAS AS DETERMINED BY A COMMUNITY ENGAGEMENT COMMITTEE CONSISTING OF MEMBERS OF THE TARGET POPULATION WHO ADVISE FOUNDCARE ON ITS HIV PREVENTION SERVICES. FOUNDCARE WILL COLLECT AND REPORT DATA ON EACH ACTIVITY AND MONITOR PROGRAM PROGRESS ON A MONTHLY BASIS.

DURING THE GRANT PERIOD, THE FOUNDCARE ONESTOP CARE PROJECT WILL INCREASE ACCESS TO INTEGRATED CARE THAT IS CULTURALLY RELEVANT AND TRAUMA-INFORMED (TI), FOR 1,500 UNDUPLICATED B/AA AND H/L ADULTS IN - FOUNDCARE ONESTOP CARE PROJECT DURING THE FOUR-YEAR SAMHSA MAI-SI GRANT PERIOD FOUNDCARE’S ONESTOP CARE PROJECT WILL INCREASE ACCESS TO INTEGRATED CARE FOR 1,500 UNDUPLICATED BLACK/AFRICAN AMERICAN AND HISPANIC/LATINO ADULTS IN PALM BEACH COUNTY (PBC), FLORIDA WITH A MENTAL HEALTH DISORDER OR CO-OCCURRING DISORDER WHO ARE LIVING WITH OR AT RISK FOR HIV AND/OR HEPATITIS. EACH YEAR OF THE PROJECT, ONESTOP CARE WILL SERVE 250 OF THESE INDIVIDUALS WITH CULTURALLY RELEVANT AND TRAUMA-INFORMED SCREENING, ASSESSMENT, TREATMENT, CASE MANAGEMENT, AND RECOVERY SUPPORT SERVICES. PBC IS AMONG 50 IDENTIFIED LOCALITIES IN THE U.S. THAT HAS BEEN HARDEST HIT BY THE HIV EPIDEMIC. ONESTOP CARE WILL INTEGRATE SEVERAL STRATEGIES USING VARIOUS EVIDENCE-BASED PRACTICES AND INTERNAL FOUNDCARE DEPARTMENTS TO PROVIDE SERVICES. STRATEGIES INCLUDE INFORMATION SYSTEMS UPGRADES, TARGETED OUTREACH, BRIEF SCREENING TECHNIQUES TO ASSESS SERVICE NEEDS, ASSESSMENT TO INDIVIDUALIZE TREATMENT, TREATMENT FOR MENTAL HEALTH/PRIMARY CARE/SUBSTANCE USE, AND TRAUMA-INFORMED (TI) CASE MANAGEMENT AND RECOVERY SERVICES. BELOW ARE THE ANTICIPATED GOALS AND OBJECTIVES THE ONESTOP PROJECT WILL MEET DURING THE GRANT PERIOD. TABLE 3. GOALS & OBJECTIVES GOALS OBJECTIVES GOAL 1: PROVIDE INTEGRATED CARE TO B/AA & H/L ADULTS FOR BEHAVIORAL HEALTH, HIV AND HEPATITIS PRIMARY CARE, AND PREVENTION SERVICES IN PBC. 1A. BY THE END OF THE 4-YR. GRANT PERIOD, ONESTOP CARE WILL PROVIDE 1,500 B/AA AND H/L ADULTS WITH INTEGRATED TI CARE FOR BEHAVIORAL HEALTH, HIV/HEPATITIS PRIMARY CARE, AND PREVENTION SERVICES. 1B. BY THE END OF THE 1ST GRANT YEAR, FOUNDCARE WILL COMPLETE AN INFORMATION SYSTEMS UPGRADE TO ENHANCE EXISTING INFRASTRUCTURE AND PRODUCE INTEGRATED EFFICIENCIES ACROSS ALL PROGRAMS. GOAL 2: INCREASE AWARENESS OF BEHAVIORAL HEALTH CARE FOR B/AA & H/L ADULTS IN PALM BEACH COUNTY AT RISK FOR HIV/HEPATITIS. 2A. BY THE END OF THE 4-YR. GRANT PERIOD, ONESTOP CARE WILL PARTICIPATE IN 20 OUTREACH EVENTS AT LOCAL HOSPITALS, PRIMARY CARE PROVIDERS, & COMMUNITY EVENTS TO INCREASE AWARENESS OF PROJECT SERVICES IN COMMUNITIES OF COLOR. 2B. BY THE END OF THE 4-YR. GRANT PERIOD, ONESTOP CARE WILL CONTACT 10K INDIVIDUALS THROUGH OUTREACH ACTIVITIES & DISSEMINATE ORAL/WRITTEN INFORMATION ABOUT MH/COD/HIV/HEP. GOAL 3. INCREASE ACCESS TO INTEGRATED BEHAVIORAL HEALTH, HIV AND HEPATITIS PRIMARY CARE, AND PREVENTION SERVICES FOR B/AA AND H/L ADULTS IN PALM BEACH COUNTY. 3A. BY THE END OF THE 1ST GRANT YR., ONESTOP CARE WILL TRANSLATE ALL PROGRAM MATERIALS TO SPANISH AND HAITIAN CREOLE. 3B. BY THE END OF THE 4-YR. GRANT PERIOD, ONESTOP CARE WILL PROVIDE 1,500 B/AA AND H/L ADULTS WITH SCREENING AND RAPID TESTING FOR BEHAVIORAL HEALTH AND HIV/HEPATITIS DIAGNOSIS. GOAL 4: DECREASE BEHAVIORAL HEALTH DISPARITIES IN PALM BEACH COUNTY. 4A. BY THE END OF THE FOUR-YR. GRANT PERIOD, ONESTOP CARE WILL PROVIDE TI BEHAVIORAL HEALTH SERVICES TO 70% OF B/AA AND H/L ADULTS AT RISK FOR OR DIAGNOSED WITH HIV/HEP THAT ALSO SCREEN AS POSITIVE FOR A MENTAL HEALTH AND/OR SUBSTANCE USE DIAGNOSIS. 4B. BY THE END OF THE 4-YR. GRANT PERIOD, 80% OF ADULTS WITH CO-OCCURRING MH/COD/HIV/HEP DIAGNOSIS WILL INCREASE THEIR RECOVERY CAPITAL SCORE BY 5-POINTS ON THE RECOVERY CAPITAL INDEX TOOL. 1 CENTERS FOR DISEASE CONTROL AND PREVENTION, “COMBINED HIV DIAGNOSES FOR 2016-2017.” (2018).

INTEGRATING BEHAVIORAL HEALTH SERVICES WITH HIV PRIMARY CARE IN PALM BEACH COUNTY, FLORIDA

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

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

CAPACITY BLDG INITI FOR SA HIV PREVN SRVC FOR AT-RISK RAC/ETH MINORITY YOUNG ADULTS

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - FOUNDCARE, INC., A NONPROFIT FEDERALLY QUALIFIED HEALTH CENTER (FQHC), HAS BEEN SERVING THE PALM BEACH COUNTY, FLORIDA COMMUNITY SINCE 1985 WHEN IT BEGAN AS THE COMPREHENSIVE AIDS PROGRAM OF PALM BEACH COUNTY, INC., A COMMUNITY-BASED HIV/AIDS ORGANIZATION. TODAY, RECOGNIZED AS A PATIENT-CENTERED MEDICAL HOME AND HRSA QUALITY LEADER, FOUNDCARE REMAINS STEADFAST IN ITS COMMITMENT TO FULFILLING THE UNMET HEALTHCARE AND SOCIAL SERVICE NEEDS OF THE MOST VULNERABLE AND UNDERSERVED INDIVIDUALS AND FAMILIES. FOUNDCARE PROUDLY ACHIEVED A PERFECT HRSA OPERATIONAL SITE VISIT SCORE IN FEBRUARY 2024, A REFLECTION OF ITS DEDICATION AND IMPACT. WITH SUPPORT FROM HEALTH CENTER PROGRAM #H80CS26626 FOUNDCARE OPERATES 7 CLINICS AND A MOBILE UNIT. A LOCATION WILL OPEN SOON IN RIVIERA BEACH, IDENTIFIED AS AN AREA OF HIGH UNMET NEED (HRSA UNS SCORE 79.37). SERVICES INCLUDE PEDIATRIC, ADULT, AND GERIATRIC PRIMARY CARE, CHRONIC DISEASE MANAGEMENT, BEHAVIORAL HEALTH SERVICES, DENTISTRY, LABORATORY SERVICES, X-RAYS, ON-SITE PHARMACY, WOMEN'S HEALTH SERVICES AND SCREENING MAMMOGRAPHY, INFECTIOUS DISEASE MANAGEMENT, AND SOCIAL SERVICES. ADDITIONALLY, FOUNDCARE IS THE LARGEST RECIPIENT OF RYAN WHITE HIV/AIDS PROGRAM FUNDING IN PBC, A TESTAMENT TO ITS COMMITMENT TO THE COMMUNITY. THE TARGET POPULATION IS LOW-INCOME UNDERSERVED INDIVIDUALS/FAMILIES, WHO IN LARGE PART EXPERIENCE LINGUISTIC AND CULTURAL ISOLATION, HAVE LIMITED EDUCATION, ARE UNEMPLOYED, ARE SINGLE PARENT HOUSEHOLDS, AND EXHIBIT HIGHER THAN AVERAGE INCIDENTS OF POOR HEALTH INDICATORS. IN RIVIERA BEACH, 69.6% OF ADULTS SELF-IDENTIFY AS HAVING POOR PHYSICAL HEALTH AND 65.6% HAVE POOR MENTAL HEALTH. AT FOUNDCARE, “MENTAL HEALTH IS HEALTH”. FOUNDCARE PRIDES ITSELF ON BEING AN INTEGRATED HEALTHCARE FACILITY THAT REDUCES THE STIGMA AROUND SEEKING MENTAL HEALTH CARE BY OFFERING BEHAVIORAL HEALTH WITHIN A CULTURALLY COMPETENT PRIMARY CARE SETTING. TO SERVE THE AREA'S DIVERSE POPULATION, WHERE 33.8% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME (US CENSUS BUREAU), FOUNDCARE PROVIDES MULTI-LINGUAL SERVICES. THE BEHAVIORAL HEALTH TEAM PROVIDES SCREENING IN THE PRIMARY CARE SETTING, BIOPSYCHOSOCIAL INTAKE WITH A PSYCHOTHERAPIST/PSYCHOLOGIST, INDIVIDUAL THERAPY, PSYCHIATRIC EVALUATION/PSYCHIATRIC MEDICATION MANAGEMENT, AND SUBSTANCE ABUSE ASSESSMENT. CURRENTLY, SUBSTANCE USE DISORDER (SUD) TREATMENT IS OFFERED THROUGH REFERRALS. WITH FUNDING THROUGH THIS PROGRAM, FOUNDCARE WILL LAUNCH “EMPOWERCARE- ENHANCING BEHAVIORAL HEALTH SERVICES” TO EXPAND MENTAL HEALTH AND SUD SERVICES BY ADDING A TEAM OF 2 MENTAL HEALTH PROFESSIONALS, INCLUDING 1 APRN, QUALIFIED FOR MEDICATIONS FOR OPIOID USE DISORDER (MOUD), 3 CARE COORDINATORS, 1 PATIENT ACCESS REPRESENTATIVE, AND 1 MEDICAL ASSISTANT. IN 2023, FOUNDCARE HAD 1000 ADULTS WAITING FOR BEHAVIORAL HEALTH TREATMENT FOLLOWING SCREENING AND OVER 500 ADOLESCENTS WERE SCREENED WITH PHQ-A WHO WILL NOW BE REACHED BY CARE COORDINATORS AND DIRECTED TO BEHAVIORAL HEALTH SERVICES WITHIN FOUNDCARE. OF 2023 BEHAVIORAL HEALTH PATIENTS, 299 (29 CHILDREN) WERE IDENTIFIED THROUGH DAST WITH SUD. ADDITIONALLY, JFK HOSPITAL AND PALM WEST HOSPITAL WILL SEND REFERRALS TO THE EXPANDED SUD AND MOUD TREATMENTS. ACCORDING TO THE FLORIDA DEPT OF HEALTH EMERGENCY DEPARTMENT VISITS FROM MENTAL DISORDERS WERE 1102/100,000 POPULATION IN PBC COMPARED WITH 962/100,000 ACROSS FLORIDA IN 2022. FOUNDCARE’S RYAN WHITE PROGRAM IS SEEING INCREASES IN PEOPLE WHO NEED SUD TREATMENT. UNFUNDED, THESE SUD PATIENTS ARE NOT BEING SERVED AT FOUNDCARE. THIS EXPANSION PROGRAM WILL HELP FILL THAT GAP, ENSURING THAT ENSURING THAT NO ONE IN OUR COMMUNITY IS LEFT BEHIND IN THEIR JOURNEY TO BETTER HEALTH. FOUNDCARE EXPECTS TO INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES FROM 2706 IN 2023 TO 3734 IN 2025 AND THE PATIENTS RECEIVING SUD SERVICES, INCLUDING MOUD, FROM 0 IN 2023 TO 572 IN 2025. THE TOTAL OF ESTIMATED UNDUPLICATED NEW BEHAVIORAL HEALTH SERVICES PATIENTS WILL BE 1600 IN 2025.

FISCAL YEAR 2023 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS (CARE)

CAPACITY BLDG INITI FOR SA HIV PREVN SRVC FOR AT-RISK RAC/ETH MINORITY YOUNG ADUL

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

FY 2023 EXPANDING COVID-19 VACCINATION

HEALTH CARE AND OTHER FACILITIES

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS