Prestera Center For Mental Health

PRESTERA CENTER'S CMHC INITIATIVE - THE PRESTERA CMHC INITIATIVE FOCUSES ON SUPPORTING & RESTORING THE DELIVERY OF CLINICAL SERVICES THAT WERE IMPACTED BY COVID-19 AND TO EFFECTIVELY ADDRESS THE NEEDS OF THOSE WITH SED/SMI/COD LOCATED IN CABELL, MASON, LINCOLN, WAYNE, KANAWHA, PUTNAM, BOONE AND CLAY COUNTIES IN WEST VIRGINIA ALL OF WHICH SUFFER FROM COVID-EXACERBATED MENTAL HEALTH, STIGMA, OVERDOSE AND SOCIAL DETERMINANTS OF HEALTH. THE INITIATIVE WILL SERVE 1,750 CLIENTS (750-Y1, 1000-Y2). PROJECT GOALS (INTERVENTIONS/STRATEGIES) ARE TO SUPPORT/RESTORE THE DELIVERY OF CLINICAL SERVICES IMPACTED BY THE COVID-19 PANDEMIC & EFFECTIVELY ADDRESS THE NEEDS OF THOSE WITH SED/SMI/COD BY (1) ENHANCING THE TARGET AREA CRISIS RESPONSE VIA (A) PARTNERING WITH THE HELP4WV CRISIS LINE TO PROVIDE CRISIS/SUICIDE CALL FOLLOW-UP; (B) HIRING 8 OUTREACH WORKERS TO PROVIDE CRISIS OUTREACH/FOLLOW-UP WITH 100% OF CLIENTS REFERRED BY COMMUNITY PARTNERS; (C) CONDUCTING COMMUNITY OUTREACH EFFORTS TO PROMOTE MENTAL HEALTH AWARENESS; (D) HIRING A MENTAL HEALTH FIRST AID TRAINER TO TRAIN COMMUNITY MEMBERS HOW TO HELP OTHERS WITH MENTAL HEALTH DIFFICULTIES & REDUCE STIGMA; (E) OPTIMIZING THE AGENCY WEBSITE FOR MOBILE DEVICES; (F) HIRING 3 TRIAGE STAFF TO WORK EVENINGS & WEEKENDS ON THE 24-HOUR PRESTERA WEBSITE CHAT BOX; (G) ASSISTING CRIMINAL JUSTICE CRISIS REFERRALS. (2) INITIATING RURAL TELEHEALTH-ENABLED SATELLITE SITES VIA (A) CONDUCTING A NEEDS ASSESSMENT TO DETERMINE THE BEST LOCATIONS FOR RURAL SATELLITE SITES WHICH PROVIDE SERVICES VIA TELEHEALTH; (B) EXECUTING MOUS WITH THE 3 SELECTED SITES; (C) PURCHASING THE NECESSARY TELEHEALTH SUPPLIES FOR SATELLITE SITES; (D) SERVING CLIENTS AT RURAL SATELLITE SITES. (3) RECOVERING THE PRESTERA WORKFORCE LOST DUE TO COVID VIA (A) HIRING 2 RECRUITERS TO ATTRACT 100 STAFF EACH TO RESTORE PRE-COVID SERVICE CAPACITY; (B) PURCHASING AN HR SYSTEM TO STREAMLINE STAFF REQUIREMENTS AND THE HIRING PROCESS; (C) EXECUTING A LETTER OF COMMITMENT WITH THE WV HIGHER EDUCATION POLICY COMMISSION TO EXPAND HIRING OPPORTUNITIES; (D) HIRING 4 LPNS TO SERVE CLIENTS; (E) HIRING 4 THERAPISTS TO SERVE CLIENTS; (F) INITIATING EVIDENCE-BASED TRAINING OF STAFF TO BE DETERMINED BY AN AGENCY NEEDS ASSESSMENT. (4) RETAINING THE PRESTERA WORKFORCE VIA (A) COMPLETING A STAFF WELLNESS/RETENTION NEEDS ASSESSMENT & BUILDING A STAFF RETENTION/WELLNESS PLAN; (B) IMPLEMENTING THE RETENTION/WELLNESS PLAN; (C) IMPLEMENTING EVIDENCE-BASED MINDFULNESS-BASED STRESS REDUCTION (MBSR) WITH STAFF; (D) ARRANGING TOBACCO CESSATION SERVICES FOR STAFF TO IMPROVE OVERALL STAFF HEALTH; (E) INITIATING A STAFF WELLNESS STIPEND; (F) MEASURING THE IMPACT OF THE STAFF WELLNESS STIPEND VIA A PRE & POST STIPEND SURVEY TO DETERMINE IMPACT. (5) IMPROVING CLIENT OUTCOMES TO INCLUDE: (A) SERVING 1,750 CLIENTS; (B) CLIENT IMPROVED MENTAL HEALTH FUNCTIONING; (C) CLIENT USE OF THE CHESS RECOVERY APP; (D) SUBSTANCE USE REDUCTION; (E) CLIENT RETENTION; (F) ENSURING EQUAL ACCESS/SERVICE USE/OUTCOMES AMONG DISPARITY GROUPS. (6) SUSTAINING THE INITIATIVE VIA (A) HIRING/TRAINING A PROJECT DIRECTOR & COORD. TO MANAGE PROJECT/ENSURE SERVICES SUSTAINABILITY & (B) INITIATING AN ADVISORY BOARD TO ENSURE PARTNER SATISFACTION/SERVICE SUSTAINABILITY.

PRESTERA CCBHC-IA INITIATIVE - THE PRESTERA CBHC-IA INITIATIVE ENHANCES AND IMPROVES THE CURRENT PRESTERA CCBHC PROGRAM IN CABELL, MASON, LINCOLN, WAYNE, KANAWHA, PUTNAM, BOONE AND CLAY COUNTIES IN WEST VIRGINIA. THE POPULATION SUFFERS FROM HIGH RATES OF SUD, OVERDOSE, POOR PHYSICAL AND MENTAL HEALTH, FAMILY ISSUES, LACK OF WORKFORCE CAPACITY AND POOR SOCIAL HEALTH DETERMINANTS. PROJECT GOALS (INTERVENTIONS/STRATEGIES) INCLUDE: (1) INCREASE ACCESS TO AND AVAILABILITY OF HIGH-QUALITY SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF THE COMMUNITY BY (A) HIRING A CCBHC PROJECT DIRECTOR TO LEAD THE PROGRAM AND ADVISORY BOARD;(B) COMPLETING THE COMMUNITY NEEDS ASSESSMENT; (C) IMPLEMENTING THE NEEDS ASSESSMENT-DRIVEN STAFFING/SERVICE PLANS; (D) UPDATING THE SAMHSA REQUIRED CCBHC ATTESTATION AFTER EACH NEEDS ASSESSMENT; (E) IMPROVE CLIENT ACCESS AND SERVICE AVAILABILITY BY PURCHASING STAFF I-PADS AND LEASING VEHICLES TO SUPPORT SERVING CLIENTS IN HOMES/COMMUNITY. (2) SUPPORT CLIENT RECOVERY FROM MENTAL HEALTH AND SUD VIA COMPREHENSIVE COMMUNITY-BASED MENTAL AND SUD TREATMENT/SUPPORTS BY IMPROVING AGENCY CORE CCBHC CRITERIA SERVICES BY (A) CONTINUING TO PROVIDE ALL 9 CORE CCBHC CRITERIA SERVICES; (B) INITIATING AN ADULT MOBILE CRISIS TEAM WHICH RESPONDS TO MENTAL HEALTH CRISIS ALONG WITH EMS SERVICES; (C) LEVERAGING THE NEEDS ASSESSMENT TO IMPLEMENT A SOCIAL DETERMINANTS OF HEALTH ASSESSMENT; (D) SHORTENING THE AGENCY INTAKE PROCESS; (E) HIRING MENTORS FOR ADOLESCENT CLIENTS AND A CHILDREN'S THERAPIST; (F) HIRING HILDRENL'S COMMUNIT HEALTH WORKERS TO WORK WITH PROVIDERS AND PSYCHIATRIC/MEDICAL HOSPITALS TO FACILITATE ACCESS/FOLLOW-UP AND CONNECT CHILDREN TO SERVICES; (G) PROVIDING OTC MEDICINE FOR UNDERINSURED/UNINSURED CLIENTS; (H) IMPROVING FAMILY SUPPORT SERVICES BY HIRING FAMILY PEERS; AND (I) IMPROVING SERVICES TO VETERANS. (3) USE EVIDENCE-BASED PRACTICES THAT ADDRESS THE NEEDS OF THE INDIVIDUALS THE CCBHC SERVES BY IMPLEMENTING THE NEEDS ASSESSMENT-DRIVEN TRAINING PLAN. (4) CONTINUALLY WORK TO MEASURE CCBHC INITIATIVE SERVICE QUALITY BY MONITORING CLIENT OUTCOMES BY (A) SERVING 7K CLIENTS; (B) MEASURING IMPLEMENTED SCREENING OUTCOMES; (C) CLIENTS EXPERIENCING SIGNIFICANT IMPROVEMENT IN NOMS MENTAL HEALTH OUTCOMES AT 6-MONTHS; (D) 30% OF CLIENTS IMPROVING 1 PHYSICAL HEALTH MEASURE BY DISCHARGE; (E) CLIENTS REDUCING SUBSTANCE USE BY 10% AT 6-MONTH INTERVIEW; (F) 80% OF CLIENTS REMAINING IN TREATMENT FOR AT LEAST 6-MONTHS; AND (G) MONITORING DISPARITY GROUP OUTCOMES TO ENSURE EQUAL SERVICE USE/ACCESS/OUTCOMES. (5) CONTINUALLY WORK TO IMPROVE CCBHC INITIATIVE SERVICE QUALITY VIA EXPANDING INFRASTRUCTURE BY (A) INTEGRATING WITH THE STATE-WIDE HIE TO IMPROVE CARE TRANSITION; (B) INTEGRATING WITH THE WEHR FOR CLIENT LAB DATA; (C) CONTINUE TO MAINTAIN AND EXPAND CARE COORDINATION AGREEMENTS WITH PARTNERS; (D) PURCHASING AN EHR BUSINESS INTELLIGENCE ENHANCEMENT TO ENABLE EFFICIENT CCBHC MEASURE REPORTING; AND (E) IMPLEMENTING A CCBHC-WIDE DATA-DRIVEN CQI PLAN FOR CLINICAL SERVICES AND MANAGEMENT BY HIRING A QA COORDINATOR AND NURSE QUALITY SPECIALIST. (6) MEANINGFULLY INVOLVE CLIENTS AND FAMILY MEMBERS ON THEIR OWN CARE AND THE BROADER GOVERNANCE OF THE PRESTERA CCBHC INITIATIVE BY (A) ENSURING THAT 51% OF THE ADVISORY BOARD ARE CLIENTS/FAMILY MEMBERS; (B) MEANINGFULLY INVOLVING CLIENTS, FAMILY MEMBERS & CAREGIVERS IN THE NEEDS ASSESSMENT DESIGN, IMPLEMENTATION AND EVALUATION; (C) REVIEWING AGENCY POLICIES/PROCEDURES AND (D) INVOLVING CLIENTS/FAMILIES IN REVIEWING THE AGENCY SATISFACTION SURVEY. (7) SUSTAIN THE PRESTERA CCBHC INITIATIVE BY (A) WORKING TO BECOME STATE-CERTIFIED CCBHC; (B) CREATING AND ANNUALLY UPDATING A SUSTAINABILITY PLAN; (C) HIRING AN EVALUATION SPECIALIST TO SUPPORT THE TRANSITION TO VALUE-BASED CARE AND (D) INITIATING A BILLING CONTRACT TO ENABLE PRESTERA COMPUTER SYSTEMS TO HANDLE PROSPECTIVE PAYMENT BILLING.

WEST VIRGINIA REGIONAL PARTNERSHIP-2 FOR CHILDREN AND FAMILIES IMPACTED BY SUBSTANCE ABUSE - BOONE, KANAWHA, RALEIGH AND WYOMING COUNTIES

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM - MEDICATION ASSISTED TREATMENT ACCESS - ADDRESS: PRESTERA CENTER, 3375 US RT 60 E, HUNTINGTON WV 25705 PROJECT DIRECTOR'S NAME: KEN FITZWATER CONTACT PHONE NUMBER: 304.525.7851, EXTENSION 5007 E-MAIL: KEN.FITZWATER@PRESTERA.ORG WEBSITE ADDRESS: WWW.PRESTERA.ORG ALL GRANT FUNDS REQUESTED: $1,000,000.00 PRESTERA CENTER FOR MENTAL HEALTH SERVICES, INC PROPOSES TO ADD NEW MEDICATION ASSISTED TREATMENT (MAT) ACCESS POINTS THAT SERVE ADULTS EIGHTEEN YEARS AND OLDER WITH OPIOID USE DISORDER (OUD) AND/OR ALCOHOL USE DISORDER (AUD) ACROSS SIX RURAL WEST VIRGINIA COUNTIES: BOONE, MASON, LINCOLN, CLAY, MONROE AND SUMMERS COUNTIES. THESE COUNTIES ARE EACH PHYSICALLY LOCATED IN HRSA-DESIGNATED RURAL AREAS (AS DEFINED BY THE RURAL HEALTH GRANTS ELIGIBILITY ANALYZER). THESE COUNTIES WERE SELECTED BECAUSE THERE ARE EITHER FEW OR NO MAT PROVIDERS CURRENTLY LOCATED IN EACH COUNTY. ESTABLISHING ONE NEW MAT ACCESS POINT IN EACH OF SIX RURAL COUNTIES, INCREASING MAT CAPACITY AND SUSTAINING MAT SERVICES IN THESE RURAL COUNTIES ARE CONSISTENT WITH HRSA’S AND PRESTERA’S MISSION, GOALS AND PURPOSES. WEST VIRGINIA (WV) HAS LED THE US IN OVERDOSE DEATHS PER CAPITA FOR THE PAST DECADE WHILE POSSESSING THE LOWEST RATES OF ACCESS TO EVIDENCE-BASED LIFE-SAVING MEDICATION ASSISTED TREATMENT (MAT).1 WV HAS THE HIGHEST ANNUAL DRUG MORTALITY RATE PER-CAPITA IN THE NATION2, THE HIGHEST OVERDOSE RATES IN THE NATION3, THE HIGHEST RATE OF NEONATAL ABSTINENCE SYNDROME BIRTHS (AT 48.1 PER 1,000 LIVE BIRTHS IN WV COMPARED TO THE NATIONAL AVERAGE OF 7.1 PER 1,000 LIVE BIRTHS NATIONWIDE)4, AND THE HIGHEST NUMBER OF PRESCRIPTION PHARMACEUTICALS AND OPIOIDS DISTRIBUTED PER CAPITA IN THE US5. THE REASONS FOR HIGH LEVELS OF OPIOID AND OTHER SUBSTANCE USE COULD BE A COMBINATION OF APPALACHIAN CULTURAL FACTORS, INCLUDING HIGH RATES OF POVERTY, A CONSISTENTLY DEPRESSED ECONOMY, LACK OF EDUCATION, A HIGH LEVEL OF PRESCRIBING AND DISPENSING OPIOIDS AND OTHER PRESCRIPTION DRUGS6 AND LITTLE TO NO ACCESS TO MEDICATIO N ASSISTED TREATMENT SERVICES IN THESE VERY RURAL COUNTIES. PRESTERA CENTER PROPOSES A PARTNERSHIP WITH A SISTER COMPREHENSIVE COMMUNITY BEHAVIORAL HEALTH CENTER, FMRS, INC (NAMED FOR THE FOUR COUNTIES THEY SERVE: FAYETTE, MONROE, RALEIGH AND SUMMERS COUNTIES IN WEST VIRGINIA). FMRS WILL PROVIDE ONE NEW MAT ACCESS POINT LEADING TO MAT SERVICES IN EACH OF THEIR RURAL CLINIC LOCATIONS IN MONROE AND SUMMERS COUNTIES IN WV. PRESTERA WILL PROVIDE NEW MAT ACCESS POINTS AND SERVICES IN LINCOLN, CLAY, BOONE AND MASON COUNTIES. EVIDENCE-BASED PRACTICES ARE USED IN PARTNERSHIP WITH CLIENTS TO CULTIVATE OPTIMAL OUTCOMES. PRESTERA CENTER AND FMRS HAVE A RICH HISTORY OF COLLABORATION AND PARTNERSHIP AS 2 OF 13 ORIGINAL COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTERS IN WEST VIRGINIA DATING BACK TO US PRESIDENT KENNEDY’S “MENTAL HEALTH ACT” THAT STARTED PRESTERA CENTER IN 1967 AND FMRS IN 1968. BOTH FMRS AND PRESTERA CENTER POSSESS THE KNOWLEDGE, EXPERIENCE AND EXPERTISE TO IMPLEMENT NEW MAT ACCESS POINTS AND MAT SERVICES ACROSS SIX WV COUNTIES, AND SUSTAIN THE SERVICES LONG AFTER THE GRANT FUNDS HAVE EXPIRED.

PRESTERA ASSERTIVE COMMUNITY TREATMENT PROGRAM - THE PRESTERA ASSERTIVE COMMUNITY TREATMENT INITIATIVE (PACT) ESTABLISHES A HIGH-FIDELITY ACT PROGRAM FOR TRANSITION-AGED YOUTH & ADULTS WITH SMI/SED WITH THE GOAL OF IMPROVING BEHAVIORAL HEALTH OUTCOMES IN KANAWHA & PUTNAM COUNTIES IN WEST VIRGINIA WHOSE POPULATION SUFFERS FROM HIGH OPIOID OVERDOSE DEATH RATES, HIGH RATES OF FOSTER CARE USE & POOR SOCIAL DETERMINANTS OF HEALTH. THE PROJECT WILL SERVE 300 CLIENTS (50 (Y1), 55 (Y2), 60 (Y3), 65 (Y4), 70 (Y5)). PROJECT GOALS (INTERVENTIONS/STRATEGIES) INCLUDE: (1) ESTABLISH A RECOVERY-ORIENTED ACT PROGRAM FOR TRANSITION-AGED YOUTH AND ADULTS WITH SMI OR SED BY (A) DEVELOPING STANDARDIZED POLICIES AND PROCEDURES FOR PROGRAM ADMISSION, SERVICE PROVISION & CARE TRANSITION; (B) EXPANDING WORKFORCE CAPACITY TO PROVIDE ACT TO TRANSITIONAL YOUTH BY HIRING: PROJECT DIRECTOR, THERAPIST, CASE MANAGERS, PROVIDER, NURSE, TEAM LEADER & PEER RECOVERY SUPPORT SPECIALIST; (C) DEVELOPING AN ACT IMPLEMENTATION TRAINING PLAN; (D) IMPLEMENTING THE ACT IMPLEMENTATION TRAINING PLAN; (E) IMPLEMENT THE CORE SERVICES OF AN ACT PROGRAM & (F) ASSESSING THE NEEDS OF CRIMINAL JUSTICE INVOLVED TRANSITIONAL YOUTH IN THE COMMUNITY AND THE NEED FOR ASSOCIATED ADAPTATIONS TO THE ACT MODEL. (2) IMPLEMENT THE ACT PROGRAM TO FIDELITY TO ENSURE HIGH QUALITY SERVICES FOR TRANSITION-AGED YOUTH AND ADULTS WITH SMI OR SED BY (A) HIRING AN ACT EVALUATOR TO EVALUATE THE PROGRAM; (B) DEVELOPING AN EVALUATION PLAN THAT INCLUDES ADHERENCE TO THE HIGH FIDELITY TMACT TOOL; (C) IMPLEMENTING THE EVALUATION PLAN TO ENSURE ADHERENCE TO THE HIGH FIDELITY TMACT TOOL; (D) ENSURING THAT ALL ACT SERVICES ARE PROVIDED IN LINE WITH ORGANIZATIONAL POLICIES AND PROCEDURES VIA THE TMACT HIGH-FIDELITY TOOL & (E) COMPLETING A TMACT FIDELITY ASSESSMENT REVIEW & ACT EVALUATION ANNUALLY. (3) IMPROVE BEHAVIORAL HEALTH OUTCOMES FOR TRANSITION-AGED YOUTH AND ADULTS WITH SMI OR SED BY (A) SERVING 300 CONSUMERS; (B) EMPOWERING CONSUMERS TO EXHIBIT A STATISTICALLY SIGNIFICANT DECREASE IN SUBSTANCE MISUSE AT 6-MONTH FOLLOW-UP; (C) EMPOWERING CONSUMERS TO HAVE STATISTICALLY SIGNIFICANT IMPROVEMENT IN NOMS MENTAL HEALTH OUTCOMES AT 6-MONTH FOLLOW-UP; (D) EMPOWERING CONSUMERS TO HAVE STATISTICALLY SIGNIFICANT REDUCTION IN PSYCHIATRIC HOSPITALIZATION USAGE AT 6-MONTH FOLLOW-UP; (E) EMPOWERING CONSUMERS TO HAVE STATISTICALLY SIGNIFICANT IMPROVEMENT IN COMMUNITY INVOLVEMENT AT 6-MONTH FOLLOW-UP; (F) EMPOWERING CONSUMERS TO REMAIN IN TREATMENT FOR AT LEAST 6-MONTHS THROUGHOUT THE LIFE OF THE GRANT; (G) MONITORING DISPARITY GROUP OUTCOMES TO ENSURE EQUAL ACCESS/SERVICE/OUTCOMES/RETENTION & (H) ESTABLISHING CULTURALLY COMPETENT REFERRAL PATHWAYS FOR AFRICAN AMERICAN & LGBTQI+ YOUTH. (4) MAINTAIN THE ACT PROGRAM FOR TRANSITION-AGED YOUTH AND ADULTS WITH SMI OR SED BY (A) FORMING AN ACT STAKEHOLDER GROUP OF KEY COMMUNITY STAKEHOLDERS; (B) DEVELOPING A CONTINUITY OF OPERATIONS AND SUSTAINABILITY PLAN & (C) WORKING WITH MEDICAID TO IDENTIFY OUTCOMES REQUIRED TO SUSTAIN THE PROGRAM.

PRESTERA CENTER CCBHC SERVICE EXPANSION GRANT - THE PRESTERA CENTER CCBHC/SERVICE EXPANSION GRANT WILL IMPROVE ACCESS TO SERVICES BY INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE SERVICES, EXPANDING ADULT AND CHILD PSYCHIATRIC SERVICES, AND GROWING COMMUNITY SERVICES TO IMPROVE SOCIAL DETERMINANTS OF HEALTH, INCLUDING TRANSPORTATION, EMPLOYMENT AND HOMELESS SERVICES, OFFERED WITHOUT REGARD TO AN INDIVIDUAL’S ABILITY TO PAY. THE PROJECT ALSO INCLUDES OBTAINING CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC STATUS IN CABELL AND KANAWHA COUNTIES WITHIN FOUR MONTHS AND THROUGHOUT THE PRESTERA SERVICE AREA (8 COUNTIES TOTAL) WITHIN ONE YEAR. TECHNICAL ASSISTANCE FUNDING WILL SUPPORT DATA SYSTEM IMPROVEMENTS AND TRAINING IN EVIDENCE-BASED PRACTICES AND SUPPORTS FOR MILITARY PERSONNEL. COMPARED TO WEST VIRGINIA AND THE US, THE AREA HAS A HIGH NUMBER OF RESIDENTS WITH MENTAL HEALTH NEEDS (20.6 % OF RESIDENTS EXPERIENCED A MENTAL ILLNESS IN ONE YEAR). OVER 3,000 UN-DUPLICATED CLIENTS WILL RECEIVE PROJECT SERVICES OVER TWO YEARS.

SHAPING THE FUTURE OF CHRONIC HOMELESSNESS

PRESTERA CENTER AND WEST VIRGINIA'S REGIONAL PARTNERSHIP 3 TO INCREASE THE WELL-BEING OF, AND TO IMPROVE THE PERMANENCY OUTCOMES FOR, CHILDREN AND FAMILIES AFFECTED BY OPIOIDS AND SUBSTANCE ABUSE

WEST VIRGINIA REGIONAL PARTNERSHIP FOR CHILDREN AND FAMILIES IMPACTED BY SUBSTANCE ABUSE

BRIGHT

PRESTERA CENTER'S WORKFORCE SUPPORT

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

PRESTERA CENTER'S TECHNOLOGY ASSISTED CARE (TAC).

APPALACHIAN REENTRY ASSISTANCE PROGRAM (ARA)

PRESTERA CENTER'S LOGAN COUNTY (WV) PREVENTION COALITION, LOGAN, WV - PRESTERA CENTER FOR MENTAL HEALTH SERVICES INC. IS THE COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER APPLYING FOR DRUG-FREE COMMUNITIES (DFC) GRANT FUNDS FOR ITS LOGAN COUNTY (WEST VIRGINIA) PREVENTION COALITION. LOGAN COUNTY IS A DISADVANTAGED RURAL COUNTY IN SOUTHERN WEST VIRGINIA. LOGAN COUNTY HAS A LONG HISTORY OF OF SUBSTANCE USE PROBLEMS. THE LOGAN COUNTY PREVENTION COALITION'S MISSION IS TO PROMOTE HEALTHY AND SAFE COMMUNITIES THROUGHOUT LOGAN COUNTY BY REDUCING ALCOHOL AND DRUG USE AMONG YOUTH. THE GOALS OF THE PROPOSED PROJECT ARE TO 1) INCREASE COLLABORATION BETWEEN THE COALITION AND COMMUNITY MEMBERS; AND 2) REDUCE NICOTINE, UNDERAGE DRINKING, AND MARIJUANA USE AMONG YOUTH. THE COALITION HAS PARTNERED WITH ALL 12 SECTORS TO CREATE COMMUNITY CHANGE IN LOGAN COUNTY. PRESTERA CENTER IS REQUESTING $125,000 PER YEAR IN DFC FUNDING FOR PREVENTION ACTIVITIES IN LOGAN COUNTY, WEST VIRGINIA.

APPALACHIAN REENTRY ASSISTANCE PROGRAM (ARA)

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - PROJECT ABSTRACT: PRESTERA PINECREST ROOF REPLACEMENT PROJECT OVERVIEW:THE PRESTERA PINECREST ROOF REPLACEMENT PROJECT IS A CRITICAL INITIATIVE TO REPLACE THE DETERIORATING ROOF OF THE PRESTERA PINECREST FACILITY, A VITAL RECOVERY CAMPUS FOR INDIVIDUALS WITH SUBSTANCE USE DISORDERS (SUD). THIS INFRASTRUCTURE UPGRADE WILL ENSURE THE SAFETY, FUNCTIONALITY, AND LONGEVITY OF OUR FACILITY, ALLOWING US TO CONTINUE PROVIDING ESSENTIAL SERVICES TO OUR COMMUNITY IN A SAFE AND SUPPORTIVE ENVIRONMENT. NEEDS TO BE ADDRESSED: THE EXISTING ROOF HAS SURPASSED ITS EXPECTED LIFESPAN AND SHOWS SIGNIFICANT SIGNS OF WEAR, INCLUDING LEAKS AND DAMAGED RUBBER ROOFING. THESE ISSUES JEOPARDIZE THE SAFETY AND COMFORT OF RESIDENTS AND STAFF, POTENTIALLY DISRUPTING RECOVERY PROGRAMS. ROOF DETERIORATION THREATENS THE BUILDING'S INTEGRITY, LEADING TO WATER DAMAGE AND STRUCTURAL PROBLEMS. REPLACING THE ROOF IS ESSENTIAL TO PREVENT FURTHER DAMAGE, MAINTAIN A SAFE ENVIRONMENT, AND UPHOLD THE QUALITY OF CARE WE PROVIDE. PROPOSED ACTIVITIES • ASSESSMENT AND PLANNING: CONDUCT A THOROUGH EVALUATION OF THE CURRENT ROOF AND DEVELOP A COMPREHENSIVE REPLACEMENT PLAN, INCLUDING MATERIALS, TIMELINES, AND BUDGET. • PROCUREMENT: SELECT A QUALIFIED ROOFING CONTRACTOR THROUGH A COMPETITIVE BIDDING PROCESS, ENSURING COMPLIANCE WITH REGULATORY AND SAFETY STANDARDS. • ROOF REPLACEMENT: REMOVE THE OLD ROOF, INSTALL NEW MATERIALS, AND ADDRESS NECESSARY STRUCTURAL REPAIRS. THIS PHASE WILL MINIMIZE DISRUPTION TO DAILY OPERATIONS AND ENSURE SAFETY. • QUALITY ASSURANCE: IMPLEMENT INSPECTIONS AND QUALITY CHECKS THROUGHOUT THE PROJECT TO ENSURE THE NEW ROOF MEETS ALL SPECIFICATIONS. INDEPENDENT INSPECTORS WILL VERIFY THE QUALITY OF WORKMANSHIP AND MATERIALS USED. • FINALIZATION: COMPLETE A FINAL INSPECTION, ADDRESS ANY ISSUES, AND FORMALLY CONCLUDE THE PROJECT WITH COMPREHENSIVE DOCUMENTATION AND CERTIFICATION OF COMPLETION. POPULATION GROUP(S) TO BE SERVED: THE PINECREST FACILITY INCLUDES 39 LOW RENT EFFICIENCY APARTMENTS AND 60 BEDS FOR OUR SHORT-TERM 28-DAY RESIDENTIAL ADDICTION TREATMENT PROGRAM. THE 28-DAY PROGRAM SERVES MEN AND WOMEN, 18 YEARS OR OLDER, WITH A SUBSTANCE USE DISORDER (SUD) LIVING IN WEST VIRGINIA. IT INTEGRATES EVIDENCE-BASED TREATMENT INTERVENTIONS, ENSURING CONSISTENCY AND SEAMLESS TRANSITIONS ACROSS LEVELS OF CARE. SERVICES INCLUDE INDIVIDUAL, FAMILY, AND GROUP THERAPY, EDUCATIONAL/VOCATIONAL GOAL COMPLETION, DRUG AND ALCOHOL TESTING, CASE MANAGEMENT, PSYCHIATRIC EVALUATION AND TREATMENT, TRANSPORTATION, MEDICAL REFERRALS, AND MEDICATION-ASSISTED TREATMENT (MAT) FOR SUD WHEN INDICATED. THE PROGRAM ALSO OFFERS THERAPEUTIC INTERVENTIONS, 12-STEP SUPPORT MEETINGS, AND VOCATIONAL TRAINING AND/OR PLACEMENT. THE LOW RENT EFFICIENCY APARTMENTS PROVIDE PERMANENT, SAFE, AND AFFORDABLE EFFICIENCY APARTMENTS FOR SINGLE ADULTS WITH NO CURRENT DRUG OR ALCOHOL USE. WEEKLY DRUG AND ALCOHOL SCREENINGS, ALONG WITH APARTMENT INSPECTIONS AND MAINTAINING A SOBER STATUS, ARE REQUIREMENTS OF RESIDENCY. IMPACT AND BENEFITS THE SUCCESSFUL ROOF REPLACEMENT WILL HAVE SEVERAL SIGNIFICANT BENEFITS: • IMPROVED LIVING CONDITIONS • ENHANCED FACILITY INTEGRITY • EXPANSION OF PROGRAMMING • COST SAVINGS • COMMUNITY TRUST CONCLUSION THE PRESTERA PINECREST ROOF REPLACEMENT PROJECT IS A VITAL INITIATIVE THAT WILL ENSURE THE SAFETY, FUNCTIONALITY, AND SUSTAINABILITY OF A KEY FACILITY WITHIN OUR SERVICE NETWORK. BY INVESTING IN THIS PROJECT, WE ARE INVESTING IN THE WELL-BEING AND RECOVERY OF INDIVIDUALS BATTLING SUBSTANCE USE DISORDERS. THIS PROJECT REFLECTS OUR ONGOING COMMITMENT TO MAINTAINING THE HIGHEST STANDARDS OF CARE AND ENSURING THE LONG-TERM VIABILITY OF OUR FACILITIES. WITH YOUR SUPPORT, WE CAN CONTINUE TO MAKE A SIGNIFICANT DIFFERENCE IN THE LIVES OF THOSE WE SERVE.

STARS: SUBSTANCE TREATMENT AVAILABLE TO RURAL STUDENTS

SUPPORTIVE HOUSING NEW

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

PURPOSE: THE CONTINUUM OF CARE (COC) PROGRAM IS DESIGNED TO PROMOTE COMMUNITY-WIDE COMMITMENT TO THE GOAL OF ENDING HOMELESSNESS; PROVIDE FUNDING FOR EFFORTS BY NONPROFIT PROVIDERS, STATES, AND LOCAL GOVERNMENTS TO QUICKLY HOUSE HOMELESS INDIVIDUALS AND FAMILIES WHILE MINIMIZING THE TRAUMA AND DISLOCATION CAUSED TO HOMELESS INDIVIDUALS, FAMILIES, AND COMMUNITIES BY HOMELESSNESS; PROMOTE ACCESS TO AND EFFECTIVE UTILIZATION OF MAINSTREAM PROGRAMS BY HOMELESS INDIVIDUALS AND FAMILIES; AND OPTIMIZE SELF-SUFFICIENCY AMONG INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. THE MOST RECENT COC AWARD ANNOUNCEMENT LISTING AWARDS BY STATE AND COC IS ACCESSIBLE AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/AWARDS. SELECT THE LINK UNDER THE FUNDING AND AWARD INFORMATION SECTION FOR THE APPROPRIATE FISCAL YEAR.; ACTIVITIES TO BE PERFORMED: CONTINUUM OF CARE PROGRAM FUNDS MAY BE USED TO PAY FOR THE ELIGIBLE COSTS USED TO ESTABLISH AND OPERATE PROJECTS UNDER FIVE PROGRAM COMPONENTS: (1) PERMANENT HOUSING, WHICH INCLUDES PERMANENT SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES, AND RAPID REHOUSING; (2) TRANSITIONAL HOUSING; (3) SUPPORTIVE SERVICES ONLY; (4) HOMELESS MANAGEMENT INFORMATION SYSTEMS (HMIS), AND (5) IN SOME CASES, HOMELESSNESS PREVENTION. THIRTEEN TYPES OF ASSISTANCE MAY BE PROVIDED THROUGH THE CONTINUUM OF CARE (COC) PROGRAM: (1) COC PLANNING ACTIVITIES/COSTS FOR DESIGNING AND CARRYING OUT A COLLABORATIVE PROCESS FOR THE DEVELOPMENT OF AN APPLICATION TO HUD; (2) UNITED FUNDING AGENCY (UFA) COSTS FOR FISCAL CONTROL AND ACCOUNTING NECESSARY TO ASSURE THE PROPER DISBURSAL OF, AND ACCOUNTING FOR, FEDERAL FUNDS AWARDED TO SUBRECIPIENTS UNDER THE CONTINUUM OF CARE PROGRAM, (3) ACQUISITION OF REAL PROPERTY (INCLUDING STRUCTURES) FOR USE IN THE PROVISION OF HOUSING OR SUPPORTIVE SERVICES; (4) REHABILITATION OF STRUCTURES TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (5) NEW CONSTRUCTION, INCLUDING THE BUILDING OF A NEW STRUCTURE OR BUILDING AN ADDITION TO AN EXISTING STRUCTURE FOR USE AS SUPPORTIVE HOUSING; (6) LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (7) RENTAL ASSISTANCE, WHICH MAY BE SHORT-TERM, MEDIUM-TERM, OR LONG-TERM, AS WELL AS TENANT-BASED, PROJECT-BASED, OR SPONSOR-BASED, FOR TRANSITIONAL OR PERMANENT HOUSING; (8) SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; (9) OPERATING COSTS OF SUPPORTIVE HOUSING; (10) COSTS OF IMPLEMENTING AND OPERATING HMIS; (11) PROJECT ADMINISTRATIVE COSTS; (12) RELOCATION COSTS; AND (13) INDIRECT COSTS IN ACCORDANCE WITH 2 CFR PARTS 200, AS APPLICABLE. IN ADDITION TO USING GRANT FUNDS FOR THE ELIGIBLE COSTS DESCRIBED ABOVE, RECIPIENTS AND SUBRECIPIENTS IN CONTINUUMS OF CARE DESIGNATED AS HIGH PERFORMING COMMUNITIES MAY ALSO USE GRANT FUNDS TO PROVIDE HOUSING RELOCATION AND STABILIZATION SERVICES AND SHORT- AND/OR MEDIUM-TERM RENTAL ASSISTANCE TO INDIVIDUALS AND FAMILIES AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT THE INDIVIDUAL OR FAMILY FROM BECOMING HOMELESS. LIMITATION ON USE OF FUNDS: NO ASSISTANCE PROVIDED UNDER PROGRAM (OR ANY STATE OR LOCAL GOVERNMENT FUNDS USED TO SUPPLEMENT THIS ASSISTANCE) MAY BE USED TO REPLACE STATE OR LOCAL FUNDS PREVIOUSLY USED, OR DESIGNATED FOR USE, TO ASSIST HOMELESS PERSONS OR PERSONS AT-RISK OF HOMELESSNESS.; EXPECTED OUTCOMES: DECREASE IN THE NUMBER INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS, MORE SPECIFICALLY USING PERFORMANCE INDICATORS SUCH AS THE LENGTH OF TIME HOMELESS, RETURNS TO HOMELESSNESS OVER TIME, AND EXITS TO PERMANENT HOUSING. COC PERFORMANCE PROFILE REPORTS CAN BE FOUND AT HTTPS://WWW.HUDEXCHANGE.INFO/PROGRAMS/COC/COC-PERFORMANCE-PROFILE-REPORTS/.; INTENDED BENEFICIARIES: INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

TELEMEDICINE GRANT

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

COMMUNITY FACILITY GRANTS