Coastal Horizons Center Inc

COASTAL HORIZONS CENTER-CCBHC TO IMPROVE COMMUNITY MENTAL HEALTH SERVICES - COASTAL HORIZONS CENTER PROPOSES TO SERVE CHILDREN AND YOUTH WITH SERIOUS EMOTIONAL DISTURBANCES (SED), ADULTS WITH SEVERE MENTAL ILLNESS (SMI), INDIVIDUALS WITH SUBSTANCE USE DISORDERS (SUD) INCLUDING OPIOID USE DISORDERS (OUD) AND THOSE WITH CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDERS (COD) IN BRUNSWICK, NEW HANOVER, AND PENDER COUNTIES IN THE SOUTHEASTERN COASTAL AREA OF THE STATE AS A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER. ITS GOALS AND OBJECTIVES ARE THE FOLLOWING: GOAL 1. PROVIDE A COMPREHENSIVE ARRAY OF SERVICES TO PEOPLE WITH MENTAL HEALTH AND SUBSTANCE USE DISORDERS AND CO-OCCURRING DISORDERS. OBJECTIVE 1. INCREASE ACCESS TO CRISES SERVICES IN THE SELECTED COUNTIES BY PARTNERING WITH AN EXISTING STATE-SANCTIONED SYSTEM THAT PROVIDES CRISIS BEHAVIORAL HEALTH SERVICES IN THE AREA. OBJECTIVE 2. PROVIDE SCREENING, ASSESSMENT, DIAGNOSIS (INCLUDING RISK ASSESSMENT). OBJECTIVE 3. DEVELOP PATIENT-CENTERED TREATMENT PLANS, INCLUDING RISK ASSESSMENT AND CRISIS PLANNING. OBJECTIVE 4. PROVIDE COMPREHENSIVE OUTPATIENT EBPS FOR CHILDREN AND YOUTH WITH SERIOUS EMOTIONAL DISTURBANCES (SEDS) AND ADULTS WITH SEVERE MENTAL ILLNESS (SMI). OBJECTIVE 4. PROVIDE COMPREHENSIVE OUTPATIENT EBPS FOR CHILDREN AND YOUTH AND ADULTS WITH SUBSTANCE USE DISORDERS (SUDS). GOAL 2. TO PROVIDE SERVICES THAT ARE NOT DIRECTLY PROVIDED BY THE APPLICANT ORGANIZATION. OBJECTIVE 1. TO PARTNER WITH A DCO FOR THE PROVISION OF CRISIS SERVICES. OBJECTIVE 3. TO PARTNER WITH A DCO FOR THE PROVISION OF PSYCHIATRIC REHABILITATION SERVICES. GOAL 3. TO EVALUATE THE PROJECT. OBJECTIVE 1. TO CONDUCT PROCESS EVALUATION. OBJECTIVE 2. TO CONDUCT OUTCOMES EVALUATION. GOAL 3. TO SUSTAIN THE PROJECT. OBJECTIVE 1. TO ESTABLISH AN ADVISORY COMMITTEE. OBJECTIVE 2. TO TRAIN PROVIDERS, ADMINISTRATIVE STAFF, AND OTHER RELEVANT STAKEHOLDERS TO MAXIMIZE REIMBURSEMENT FOR TREATMENT ENCOUNTERS THROUGH PROPER CODING AND BILLING ACROSS INSURANCE TYPES TO ENSURE FINANCIAL SUSTAINABILITY OF SERVICES. OBJECTIVE 3. TO ENHANCE THE ELECTRONIC HEALTH RECORDS SYSTEM (EHR) TO MAXIMIZE CARE COORDINATION AND REIMBURSEMENT OF SERVICES. THE PROPOSED PROJECT WILL SERVE 500 IN THE FIRST YEAR AND 750 IN THE SECOND YEAR FOR A TOTAL OF 1,250 OVER THE TWO-YEAR PERIOD,

COASTAL HORIZONS MAI COC PILOT

COASTAL HORIZONS CENTER'S TARGETED CAPACITY EXPANSION-HIV PROGRAM: SUBSTANCE USE DISORDER TREATMENT FOR RACIAL/ETHNIC MINORITY POPULATIONS AT HIGH RISK FOR HIV/AIDS

REENTRY SYSTEMS FOR EFFECTIVE TREATMENT (RESET)

PRIMARY & BEHAVIORAL HEALTHCARE INTEGRATION TEAM

COASTAL HORIZONS CENTER MINORITY AIDS INITIATIVE FOR HIGH RISK POPULATIONS - COASTAL HORIZONS A PROVIDER OF MENTAL HEALTH AND SUBSTANCE USE PREVENTION, RECOVERY AND TREATMENT SERVICES IN SOUTHEASTERN NORTH CAROLINA, WILL INCREASE ACCESS TO SERVICES FOR INDIVIDUALS WITH SUBSTANCE USE DISORDERS AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH CONDITIONS WHO ARE AT RISK FOR OR WITH HIV AND INCREASE TESTING FOR THOSE AT RISK FOR HEPATITIS B OR C WITHIN THE CATCHMENT AREA OF NEW HANOVER, BRUNSWICK, PENDER, BLADEN AND COLUMBUS COUNTIES. THE PROJECT IS KNOWN AS COASTAL HORIZONS CENTER MINORITY AIDS INITIATIVE FOR HIGH-RISK POPULATIONS. THE PROJECT WILL SERVE 640 ADULTS OVER FIVE YEARS. SERVING 80 IN YR1, 140 IN YR2, 140 IN YR3, 140 IN YR4 AND 140 IN YR5. GOALS AND OBJECTIVES ARE AS FOLLOWS:REDUCE THE PREVALENCE OF SUBSTANCE USE, HIV, AND VIRAL HEPATITIS WITHIN CATCHMENT AREA BY INCREASING ACCESS TO EVIDENCE-BASED SUD PROGRAMS AND SCREENING FOR INFECTIOUS DISEASES. OBJ1 ENHANCE ACCESSIBILITY OF SCREENING THROUGH INCORPORATING PEER SUPPORT SPECIALISTS INTO MOBILE CLINICS TO CONDUCT RAPID TESTING FOR HIV AND HCV AT A MINIMUM OF THREE DAYS PER WEEK, ON AVERAGE THROUGHOUT THE LIFE OF THE PROJECT. OBJ2 INCREASE EVIDENCE-BASED SUD/COD TREATMENT AND RECOVERY SUPPORT SERVICES TO INDIVIDUALS WITH OR AT RISK FOR HIV, INCLUDING SCREENING/ASSESSMENT, OUTPATIENT SERVICES, INTENSIVE OUTPATIENT SERVICES, AND THE USE OF FDA APPROVED MEDICATION FOR TREATMENT OF SUDS AND/OR COD TO 640 PARTICIPANTS. IMPROVE ACCESS TO SCREENING AND LINKAGE TO SERVICES FOR INDIVIDUALS WITH OR CONSIDERED HIGH-RISK FOR HIV OR HEPATITIS B OR C WHO ARE DIAGNOSED WITH A SUBSTANCE USE OR CO-OCCURRING SUD AND MENTAL HEALTH CONDITION. OBJ1 100% OF PROJECT PARTICIPANTS WILL BE SCREENED FOR HIV, HBV, HCV, AND SUD. OBJ2 LINK 100% OF PARTICIPANTS TESTING POSITIVE FOR HIV TO MEDICAL CARE AND CASE MANAGEMENT SERVICES WITHIN 30 DAYS. OBJ3. RETAIN 100% OF PROJECT PARTICIPANTS WHO SCREENED POSITIVE FOR HIV IN MEDICAL CARE. OBJ4. ESTABLISH 50% AVERAGE ENGAGEMENT RATE FOR PROJECT PARTICIPANTS IN HARM REDUCTION SERVICES THROUGH ASSESSING QUARTERLY RAPID TESTING RATES. OBJ5. INCREASE COMMUNITY KNOWLEDGE AND AWARENESS ABOUT THE IMPORTANCE OF SUD, HIV, AND HEPATITIS B AND C SCREENING THROUGH TARGETED EDUCATIONAL CAMPAIGNS/AWARENESS PROGRAMS. INCREASE ENGAGEMENT OF HIGH-RISK POPULATIONS (AT RISK OR LIVING WITH HIV WITH SUD) IN RECOVERY SUPPORT SERVICES OBJ1 BY 6/30/24, 60% OF PROJECT PARTICIPANTS WILL BE ENGAGED IN PEER SUPPORT SERVICES, AND 80% BY 06/30/26, AND 90% BY 09/29/28.OBJ2 INCREASE EFFECTIVE COMMUNICATION AND COLLABORATION BETWEEN SAIOP FACILITATORS AND PEER SUPPORT SPECIALISTS (PSS) TO PROMOTE CONTINUED ENGAGEMENT OF PROJECT PARTICIPANTS IN RECOVERY SUPPORT SERVICES AS EVIDENCE BY COMPLETING A SUCCESSFUL WARM HAND OFF TO PEER SUPPORT SERVICES AFTER PROJECT PARTICIPANTS COMPETE A THREE MONTH SAIOP PROGRAM AS EXHIBITED BY A 50% AVERAGE ENGAGEMENT RATE IN PSS.ESTABLISH A CONTINUOUS QUALITY IMPROVEMENT PROGRAM TO ASSESS PERFORMANCE BASED ON INDIVIDUAL-LEVEL OUTCOMES, PERCEPTION OF CARE AND QUALITY OF CARE. OBJ1 MAINTAIN AN 80% REASSESSMENT RATE FOR PROJECT PARTICIPANTS IN COMPLETING 6-MONTH GPRA INTERVIEWS POST INTAKE OBJ.2 CONDUCT KEY INFORMANT INTERVIEWS/SURVEYS TO ASSESS INCLUSIVITY AND CLIENT SATISFACTION OF SERVICE DELIVERY TO PROVIDE ONGOING INSIGHT TO QUALITY IMPROVEMENT EFFORTS. OBJ3 MONITOR AND EVALUATE ONGOING PROGRAM EFFECTIVENESS: BASED UPON KEY INFORMANT INTERVIEWS/SURVEY PATIENT SATISFACTION SCORES. INCREASE SUSTAINABILITY OF PROJECT INITIATIVES BEYOND GRANT FUNDING. OBJ1 INCREASE THE NUMBER OF ELIGIBLE BILLABLE UNITS BY PEER SUPPORT SPECIALISTS OBJ2 ADVOCATE FOR FUNDING AT THE LOCAL, STATE, AND FEDERAL LEVEL UTILIZING DATA TO SUPPORT PROGRAM NEEDS AND ADVOCATE FOR FUNDING/REIMBURSEMENT RATES. OBJ3 UTILIZE INTERNAL ADVISORY BOARD TO OBTAIN RECOMMENDATIONS TO GUIDE DEVELOPMENT OF A SUSTAINABILITY PLAN OBJ.4 IN YEAR FOUR, IDENTIFY TWO FUNDING OPPORTUNITIES/SOURCES OR ESTABLISH MOAS WITH NEW COMMUNITY PARTNERS TO SUPPORT SUSTAINABILITY

EXPANDING THE LAW ENFORCEMENT ASSISTED DIVERSION (LEAD) PROGRAM IN NEW HANOVER & CUMBERLAND COUNTIES (NC) - COASTAL HORIZONS CENTER (CHC), IN PARTNERSHIP WITH THE NEW HANOVER COUNTY SHERIFF’S OFFICE (NHCSO), THE WILMINGTON POLICE DEPARTMENT (WPD), & FAYETTEVILLE POLICE DEPARTMENT (FPD) PROPOSES TO EXPAND THE TREATMENT & RECOVERY SUPPORT SERVICES PROVIDED BY TWO LAW ENFORCEMENT ASSISTED DIVERSION (LEAD) PROGRAMS LOCATED IN WILMINGTON & FAYETTEVILLE, NC. LEAD “…IS A PRE-ARREST CRIMINAL JUSTICE DIVERSION PROGRAM FOR PEOPLE LIVING IN THE COMMUNITY WHO USE DRUGS & ARE AT RISK OF BEING CHARGED WITH LOW-LEVEL CRIMINAL OFFENSES…” IN ADDITION TO ABOVE PARTNERS, THIS PROJECT WILL BE CARRIED OUT WITH MULTIPLE TREATMENT, HOUSING, EMPLOYMENT, VOCATIONAL, CRIMINAL JUSTICE, & RECOVERY SUPPORT PARTNERS. BOTH LEAD PROGRAMS BEGAN IN THE MID-2000S & SERVE ADULTS (18+) WITH A POSSIBLE SUBSTANCE USE OR CO-OCCURRING DISORDER THAT COME INTO CONTACT WITH NHCSO, WPD, OR FPD (POPULATION OF FOCUS). A POTENTIAL PARTICIPANT CAN BE REFERRED FROM LAW ENFORCEMENT VIA AN ARREST DIVERSION (E.G., ENCOUNTER OCCURS AS PART OF A CRIMINAL INCIDENT) OR A SOCIAL REFERRAL (E.G., CONTACT IN THE COMMUNITY WITH LAW ENFORCEMENT). THE LEAD PROGRAMS WILL PROVIDE EVIDENCE-BASED TREATMENT SERVICES SUCH AS COGNITIVE BEHAVIORAL THERAPY, DIALECTICAL BEHAVIOR THERAPY, ACCEPTANCE COMMITMENT THERAPY, MEDICATION FOR ADDICTION TREATMENT, MOTIVATIONAL INTERVIEWING, SEEKING SAFETY, & MATRIX MODEL. IN ADDITION, PSYCHIATRIC SERVICES, DETOX, ASSERTIVE COMMUNITY TREATMENT TEAMS, RECOVERY HOUSING, EMPLOYMENT, FINANCIAL LITERACY, & TRANSPORTATION WILL BE PROVIDED. CHC WILL CONTINUE TO CO-FACILITATE QUARTERLY MEETINGS OF THE LEAD COORDINATING GROUP (BEHAVIORAL HEALTH PARTNERSHIP WORKGROUP) IN BOTH NHC & CC. THESE GROUPS ARE COMPRISED OF EXECUTIVE REPRESENTATIVES FROM CRIMINAL JUSTICE (I.E., DISTRICT ATTORNEY’S OFFICE, LAW ENFORCEMENT AGENCIES, JUDICIARY) & BEHAVIORAL HEALTH SERVICE PROVIDERS. THESE SAME GROUPS WILL CONDUCT AN EARLY DIVERSION COMMUNITY SYSTEM MAPPING EXERCISE DESIGNED TO IDENTIFY CURRENT INITIATIVES WITHIN NHC & CC AT EACH INTERCEPT (0-5). A FOCUS FOR THESE GROUPS WILL BE TO DEVELOP & MONITOR PROCEDURES OR PROTOCOLS FOR COORDINATION WITH LAW ENFORCEMENT, LOCAL CRISIS, & 988 SYSTEMS ON PRE-ARREST/BOOKING DIVERSION EFFORTS. THE LEAD COORDINATING GROUPS WILL ALSO DEVELOP A CALENDAR OF TRAINING EVENTS TO BE COMPLETED IN THE FIRST 6 MONTHS & OVER THE GRANT PERIOD. THESE TRAININGS WILL TARGET LAW ENFORCEMENT OFFICERS, ATTORNEYS, JUDGES, CIVILIAN FIRST RESPONDERS, PARAPROFESSIONALS & OTHER PROFESSIONALS. THE PROPOSED PROJECT HAS FOUR GOALS: 1) DIVERT ADULTS WITH A MENTAL HEALTH DISORDER OR CO-OCCURRING DISORDER FROM THE CRIMINAL JUSTICE SYSTEM TO COMMUNITY-BASED MENTAL HEALTH, SUBSTANCE USE DISORDER, & OTHER SUPPORTS PRIOR TO ARREST & BOOKING IN A CULTURALLY COMPETENT MANNER; 2) BUILD COLLABORATIVE PARTNERSHIPS AMONG RELEVANT TREATMENT & RECOVERY SUPPORT SERVICES AGENCIES WITHIN NHC & CC; & 3) BUILD COMMUNITY CAPACITY IN ORDER TO BETTER MEET THE NEEDS OF INDIVIDUALS WITH MENTAL HEALTH & CO-OCCURRING DISORDERS THAT COME INTO CONTACT WITH LAW ENFORCEMENT; & 4) EVALUATE THE PROJECT. THE PROPOSED PROJECT WILL SERVE 50 INDIVIDUALS PER YEAR ACROSS THE FIVE-YEAR GRANT PERIOD. THUS, A TOTAL OF 250 ADULTS WILL BE SERVED WITH GRANT FUNDS.

DISASTER RESPONSE GRANT PROGRAM- FOR SCHOOL AGE CHILDREN: TO SERVE YOUTH IN GRADES K TO GRADE 12 IN SCHOOLS LOCATED IN COUNTIES OF BRUNSWICK, PENDER AND NEW HANOVER NC AFFECTED BY HURRICANE FLORENCE.

DISASTER RESPONSE TO HURRICANE FLORENCE - ADULTS, TREATMENT & RECOVERY SUPPORT SERVICES FOR ADULTS RESIDING IN BRUNSWICK, NEW HANOVER, & PENDER COUNTIES NC.

COASTAL HORIZONS CENTER, INC. (CHC) IS SEEKING FUNDING FOR EXPANDING THE REENTRY SYSTEMS FOR EFFECTIVE TREATMENT (RESET) PROGRAM, WHICH OPERATES WITHIN NEW HANOVER COUNTY (NC). RESET’S TARGET POPULATION IS ADULT MEN & WOMEN (18 YEARS +) WITH A SUBSTANCE USE DISORDER OR CO-OCCURRING DISORDER RETURNING TO NEW HANOVER COUNTY (SERVICE AREA) AFTER SERVING A PERIOD OF INCARCERATION IN THE NEW HANOVER COUNTY DETENTION CENTER (NHCDC), CORRECTIONAL PARTNER FOR THIS PROJECT. OVER THE 30-MONTH PROJECT PERIOD, 150 INDIVIDUALS WILL BE SERVED.     THE BASELINE RECIDIVISM RATE IS 10%. THIS WAS CALCULATED USING PROGRAM EVALUATION DATA FROM 89 INDIVIDUALS DISCHARGED FOR 12 MONTHS OR MORE FROM RESET BETWEEN 1/1/2019 – 9/30/2021. OF THESE, 92.1% (N=81) REMAINED CRIME-FREE IN THE TWELVE MONTHS FOLLOWING PROGRAM EXIT.   RESET WILL ADMINISTER THE FOLLOWING SCREENING & ASSESSMENT TOOLS: ORAS-RT TO DETERMINE PARTICIPANTS’ RISK & NEED LEVEL TEXAS CHRISTIAN UNIVERSITY DRUG SCREEN - V WITH OPIOID ADDENDUM (SUBSTANCE USE) CORRECTIONAL MENTAL HEALTH SCREENS FOR WOMEN OR MEN (MENTAL HEALTH) PTSD CHECKLIST-CIVILIAN VERSION (TRAUMA). INDIVIDUALS IN NEED OF A CLINICAL ASSESSMENT IN ANY OF THESE AREAS WILL BE ASSESSED BY LICENSED CHC CLINICIANS USING THE COMPREHENSIVE CLINICAL ASSESSMENT.   THE PRE-RELEASE SERVICES TO BE PROVIDED BY RESET INCLUDE: SCREENING & CLINICAL ASSESSMENT; TRANSITIONAL CASE PLANNING; MORAL RECONATION THERAPY (MRT); MEDICATION FOR ADDICTION TREATMENT (MAT); & CASE MANAGEMENT. THE POST-RELEASE SERVICES WILL INCLUDE: CASE MANAGEMENT; MRT; SUBSTANCE USE DISORDER SERVICES (INCLUDES MAT, INTENSIVE OUTPATIENT, OUTPATIENT, MATRIX MODEL); MENTAL HEALTH TREATMENT SERVICES (INCLUDE CBT, ACT, & DBT); TRAUMA SERVICES - HELPING MEN RECOVER (MEN) & SEEKING SAFETY (WOMEN); ALCOHOL/DRUG SCREENS; HOUSING, EMPLOYMENT, & EDUCATIONAL ASSISTANCE; & PARENTING INSIDE OUT CURRICULUM. IN ADDITION, RESET WILL ASSIST PARTICIPANTS WITH THE COORDINATION OF PRESCRIBED MEDICATIONS.   RESET STAFF WILL RECEIVE TRAINING ON THE ORAS-RT, COMPREHENSIVE CASE MANAGEMENT, PEER SUPPORT CERTIFICATION, HELPING MEN RECOVER, SEEKING SAFETY, AND PROFESSIONAL SELF-CARE.   A MOU IS IN PLACE BETWEEN RESET & THE NHCDC. THE RESET PROGRAM WAS DEVELOPED THROUGH 2ND CHANCE ACT FUNDING RECEIVED BY THE CITY OF WILMINGTON, NC (2014-RW-BX-0012). SINCE ITS INCEPTION, THE PROGRAM HAS EXPANDED IN SEVERAL WAYS: 1) SERVES BOTH MEN AND WOMEN (ORIGINAL PROGRAM SERVED WOMEN ONLY); 2) CASE MANAGER/PEER SUPPORT SPECIALISTS PROVIDE CASE MANAGEMENT SERVICES (ORIGINAL PROGRAM DID NOT EMPLOY PEER RECOVERY SUPPORT SPECIALISTS); 3) OFFERS PARENTING INSIDE OUT (PARENTING CLASS); & 4) OFFERS GENDER-SPECIFIC TRAUMA PROGRAMMING.   BOTH PRIORITY CONSIDERATIONS ARE BEING SOUGHT (SEE PGS. 2, 4, 8, & 15).

OPEN HOUSE TRANSITIONAL LIVING PROGRAM FOR HOMELESS YOUTH IN SOUTHEAST NC REGION

TRANSITIONAL LIVING PROGRAM

CAPE FEAR COALITION FOR A DRUG FREE TOMORROW

COASTAL HORIZONS CENTER MENTAL HEALTH AWARENESS PROJECT. - COASTAL HORIZONS, THE PRIMARY PROVIDER OF MENTAL HEALTH AND SUBSTANCE USE PREVENTION AND TREATMENT SERVICES IN SOUTHEASTERN NORTH CAROLINA, WILL DELIVER EVIDENCE-BASED MENTAL HEALTH AWARENESS TRAINING TO TEACHERS AND SCHOOL PERSONNEL WHO INTERACT WITH CHILDREN/YOUTH IN A SCHOOL SETTING, REPRESENTATIVES FROM LAW ENFORCEMENT AND JUVENILE JUSTICE, PRIMARY CARE PROVIDERS, AND THE GENERAL PUBLIC WHO INTERACT WITH CHILDREN OR YOUTH WITH A SERIOUS EMOTIONAL DISTURBANCE (SED), ADULTS WITH SEVERE MENTAL ILLNESS (SMI) AND THOSE WITH CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDERS (COD). TRAINING WILL BE CONDUCTED IN NEW HANOVER, BRUNSWICK, PENDER, BLADEN AND COLUMBUS COUNTIES. THE PROJECT WILL BE KNOWN AS THE COASTAL HORIZONS CENTER MENTAL HEALTH AWARENESS PROJECT. THE GOALS AND OBJECTIVES OF THE PROPOSED PROJECT ARE AS FOLLOWS: GOAL 1: IMPLEMENT IN-PERSON EVIDENCE-BASED MENTAL HEALTH AWARENESS TRAINING TO ASSIST MEMBERS OF THE COMMUNITY IN RECOGNIZING THE SIGNS AND SYMPTOMS OF MENTAL ILLNESS AND TO RESPOND APPROPRIATELY. OBJECTIVE 1: DEVELOP A MENTAL HEALTH AWARENESS TRAINING PLAN TO INCREASE MENTAL HEALTH AWARENESS AND LITERACY FOR TEACHERS AND RELEVANT SCHOOL PERSONNEL, LAW ENFORCEMENT, DJJ, AND PRIMARY CARE PROVIDERS. OBJECTIVE 2: IMPLEMENT THE PLAN BY DELIVERING MENTAL HEALTH FIRST AID FOR ADULTS AND YOUTH TO ADDRESS AND RECOGNIZE THE SIGNS AND SYMPTOMS OF MENTAL ILLNESS, PROVIDING DE-ESCALATION TECHNIQUES FOR CRISIS/NON-CRISIS SITUATIONS, AND ASSISTING THOSE TRAINED WITH INFORMATION ON MENTAL HEALTH RESOURCES/SERVICES TO LINK INDIVIDUALS WITH MENTAL HEALTH ISSUES WITH THESE RESOURCES. GOAL 2: IDENTIFY RESOURCES AND SUPPORTS FOR THE INDIVIDUALS BEING TRAINED SPECIFIC TO THEIR CATCHMENT COUNTY SO THEY MAY ASSIST THE POPULATION WHO WILL BE SERVED IN GETTING CONNECTED TO NEEDED SERVICES. OBJECTIVE 1: RESEARCH AND COMPILE INFORMATION ON MENTAL HEALTH RESOURCES/SERVICES WITHIN THE CATCHMENT AREAS. OBJECTIVE 2: REFINE AND OBTAIN INFORMATION AND DEVELOP WRITTEN AND ELECTRONIC MATERIALS FOR THOSE TRAINED TO LINK THE INDIVIDUALS WHO WILL BE SERVED, PARTICULARLY THOSE WITH SMI AND/OR SED, TO SERVICES. GOAL 3: ESTABLISH REFERRAL MECHANISMS THAT INCREASE THE ABILITY OF THE INDIVIDUALS TRAINED IN MENTAL HEALTH AWARENESS TRAINING TO REFER AND LINK THE POPULATION OF FOCUS TO MENTAL HEALTH RESOURCES/SERVICES. OBJECTIVE 1: PROVIDE COORDINATED REFERRAL, SERVICES, AND FOLLOW-UP TO THOSE WHO WILL BE SERVED FOR EVIDENCE-BASED SCHOOL- AND COMMUNITY-BASED MENTAL HEALTH RESOURCES AND SERVICES. COASTAL HORIZONS WILL ESTABLISH A REFERRAL LINK FOR SCREENING/ASSESSMENT ON ITS WEBSITE AS A MECHANISM TO INCREASE ACCESSIBILITY TO SERVICES/TREATMENT. OBJECTIVE 2: ESTABLISH RELATIONSHIPS WITH LOCAL BUSINESSES, AND COMMUNITY GROUPS TO BROADEN AND LINK COMMUNITY RESOURCES/SUPPORTS TO THE POPULATION OF FOCUS. THE PROPOSED PROJECT WILL TRAIN 250 INDIVIDUALS ANNUALLY WITH A TOTAL OF 1,250 THROUGHOUT THE FIVE-YEAR PROJECT.

OPEN HOUSE YOUTH SHELTER BASIC CENTER PROGRAM FOR RUNAWAY AND HOMELESS YOUTH IN SOUTHEAST NC REGION

MATERNITY GROUP HOME PROGRAM

BASIC CENTER PROGRAM

THE BASIC CENTER PROGRAM

BASIC CENTER GRANT

COASTAL HORIZONS CENTERS TARGETED CAPACITY EXPANSION-HIV PROGRAM: SUBSTANCE USE DISORDER TREATMENT FOR RACIAL/ETHNIC MINORITY POPULATIONS AT HIGH RISK FOR HIV/AIDS

REDUCE UNDERAGE ALCOHOL USE AND YOUTH PRESCRIPTION DRUG ABUSE IN NEW HANOVER COUNTY.

OPEN HOUSE YOUTH SERVICES STREET OUTREACH PROGRAM FOR HOMELESS AND RUNAWAY YOUTH AND YOUNG ADULTS IN THE SOUTHEAST NC REGION

BASIC CENTER PROGRAM

OVW FY 2013 EDUCATION, TRAINING AND ENHANCED SERVICES TO END VIOLENCE AGAINST AND ABUSE OF WOMEN WITH DISABILITIES PROGRAM

BASIC CENTER PROGRAM - PROVIDING EMERGENCY SHELTER AND SERVICES TO RUNAWAY, HOMELESS YOUTH AGES 6-18. - THE BASIC CENTER PROGRAM (BCP) (CY) PROVIDES TEMPORARY SHELTER AND COUNSELING SERVICES TO YOUTH WHO HAVE LEFT HOME WITHOUT PERMISSION OF THEIR PARENTS OR GUARDIANS, HAVE BEEN FORCED TO LEAVE HOME, OR OTHER HOMELESS YOUTH WHO MIGHT OTHERWISE END UP IN THE LAW ENFORCEMENT OR IN THE CHILD WELFARE, MENTAL HEALTH, OR JUVENILE JUSTICE SYSTEMS. BCPS WORK TO ESTABLISH OR STRENGTHEN COMMUNITY-BASED PROGRAMS THAT MEET THE IMMEDIATE NEEDS OF RUNAWAY AND HOMELESS YOUTH AND THEIR FAMILIES. BCPS PROVIDE YOUTH UNDER 18 YEARS OF AGE WITH EMERGENCY SHELTER, FOOD, CLOTHING, COUNSELING AND REFERRALS FOR HEALTH CARE. BCPS CAN PROVIDE UP TO 21 DAYS OF SHELTER FOR YOUTH AND SEEK TO REUNITE YOUNG PEOPLE WITH THEIR FAMILIES, WHENEVER POSSIBLE, OR TO LOCATE APPROPRIATE ALTERNATIVE PLACEMENTS.

TRANSITIONAL LIVING PROGRAM - PROVIDES SAFE AND STABLE TRANSITIONAL HOUSING TO HOMELESS YOUTH AGES 16-21. - THE TRANSITIONAL LIVING PROGRAM (TLP) (CX) PROVIDES SAFE, STABLE, AND APPROPRIATE SHELTER FOR RUNAWAY AND HOMELESS YOUTH AGES 16 TO UNDER 22 FOR UP TO 18 MONTHS AND, UNDER EXTENUATING CIRCUMSTANCES, CAN BE EXTENDED TO 21 MONTHS. TLPS PROVIDE COMPREHENSIVE SERVICES (E.G., BASIC LIFE SKILLS, EDUCATIONAL AND JOB ATTAINMENT OPPORTUNITIES, COUNSELING) THAT SUPPORTS THE TRANSITION OF HOMELESS YOUTH TO SELF-SUFFICIENCY AND STABLE, INDEPENDENT LIVING.

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

PENDER SUBSTANCE USE PREVENTION PARTNERSHIP - THIS PROPOSAL PLANS TO SERVE PENDER COUNTY IN SOUTHEASTERN NORTH CAROLINA WITH A POPULATION OF 65,737 RESIDENTS. THE FOCUS OF THE PROPOSAL IS TO REDUCE YOUTH SUBSTANCE USE FOR ALCOHOL, NICOTINE, AND PRESCRIPTION MEDICATIONS THROUGH STRATEGIES THAT WILL REDUCE EASY YOUTH ACCESS TO THOSE PRODUCTS AND INCREASE PERCEPTIONS OF RISK FOR YOUTH 12-20 YEARS OLD. STRATEGIES TO REDUCE YOUTH ACCESS INCLUDE SECURE STORAGE AND DISPOSAL OF ALCOHOL, NICOTINE, AND PRESCRIPTION MEDICATIONS AS WELL ENVIRONMENTAL SCANS TO HELP COALITION MEMBERS UNDERSTAND PRODUCTS AVAILABLE IN THE COMMUNITY AND SOURCES OF SOCIAL ACCESS SUCH AS EVENTS AND FESTIVALS. YEAR ONE WILL FOCUS ON NEEDS ASSESSMENT WORK TO UNDERSTAND PRODUCTS OF RISK AND SOURCES OF RISK OUTSIDE OF THE HOME AND PROMOTION OF SECURE HOME STORAGE SOLUTIONS. COMMUNITIES MOBILIZING FOR CHANGE ON ALCOHOL (CMCA) WILL BE UTILIZED TO ASSIST WITH COLLECTING INFORMATION ABOUT LOCAL CONDITIONS THAT CONTRIBUTE TO YOUTH SUBSTANCE USE. DOVER YOUTH2YOUTH WILL BE UTILIZED AS A STRATEGY TO INCREASE YOUTH PERCEPTION OF RISK BY TEAMING WITH THE YOUTH ADVISORY COUNCIL WHO ARE LEARNING TO BE PEER EDUCATORS ABOUT TEEN HEALTH. THIS YOUTH LED EMPOWERMENT MODEL WILL BUILD SKILLS AND CAPACITY IN THE COMMUNITY. PROCESS OUTCOMES: • COLLECT 100 ONE-ON-ONE SURVEYS ABOUT ATTITUDES AND PERCEPTIONS ON UNDERAGED DRINKING IN PENDER • CONDUCT AT LEAST 4 DAYS OF ENVIRONMENTAL SCANS OF COMMUNITY EVENTS AND BUSINESSES TO LEARN MORE ABOUT AVAILABLE PRODUCTS, PROMOTIONS OF PRODUCTS, AND PRACTICES AROUND ACCESS • SHARE AVAILABLE DATA AND OUTCOMES WITH COALITION MEMBERS MONTHLY • DETERMINE SIGNAGE NEEDS BASED ON SCANS ON CMCA TO IMPROVE COMMUNITY COMMITMENT TO REDUCING YOUTH ACCESS TO ALCOHOL • COLLECT 200 COMMUNITY SURVEYS ABOUT SECURE STORAGE AND DISPOSAL OF ALCOHOL AND PRESCRIPTION MEDICATIONS • PROVIDE 200 HOME STORAGE DEVICES SUCH AS MEDICATION LOCKBOXES OR CABINET LOCKS TO SECURE ALCOHOL AND MEDICATION • TRAIN 12-15 YAC YOUTH IN DOVER YOUTH2YOUTH TOOL KIT ON DEVELOPING COMMUNICATION MESSAGES AND CONDUCTING PRESENTATIONS • SUPPORT YAC EVENTS AND EDUCATION CAMPAIGNS AT SCHOOL PRACTICING HART’S LADDER YOUTH ENGAGEMENT AND DOVER YOUTH2YOUTH TOOL KIT • PROVIDE PENDER COUNTY SCHOOL FACILITATOR TRAINING ON CATCH MY BREATH VAPING PREVENTION CURRICULUM • BUILD SUPPORT FOR AND IMPLEMENT COLLECTION OF 300 DFC 4 CORE MEASURES SURVEYS EXPECTED IMPACTS: • REDUCE YOUTH ALCOHOL USE 2% FROM 27.7% TO 25.7% BY 2029 • INCREASE SECURE STORAGE AND DISPOSAL OF MEDICATION 5% FROM 24% TO 29% BY 2029 • REDUCE YOUTH NICOTINE USE BY 2% FROM 21.8% TO 19.8% BY 2029

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

SOBER TRUTH ON PREVENTING UNDERAGE DRINKING ACT GRANT

REDUCE UNDERAGE ALCOHOL USE AND YOUTH PRESCRIPTION DRUG ABUSE IN NEW HANOVER COUNTY.

SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

CONTINUUM OF CARE PROGRAM

DLT OPIOID GRANTS

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

DLT OPIOID GRANTS

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CHC-OTP RAPID HCV SCREENING AND REFERRAL PROJECT

REDUCE AND PREVENT UNDERAGE ALCOHOL USE, YOUTH MISUSE OF PRESCRIPTION MEDICATION, AND ADDRESS FAVORABLE ATTITUDES AND PERCEPTIONS OF MARIJUANA USE.

COASTAL HORIZONS MAI COC SYRINGE SERVICES PROGRAM

HOMELESS ASSISTANCE