Aspire Health Partners Inc

AHP- CCBHC-IA GRANT - ASPIRE HEALTH PARTNERS' (ASPIRE) PROPOSED CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC - IMPROVEMENT AND ADVANCEMENT (CCBHC-IA)) PROJECT WILL SERVE INDIVIDUALS IN ORANGE AND SEMINOLE COUNTIES, FLORIDA WITH A MENTAL AND/OR SUBSTANCE USE DISORDER. THE PROJECT WILL PROVIDE ENHANCED AND EXPANDED OUTPATIENT PRIMARY CARE SERVICES TARGETING INDIVIDUAL WITH OPIOID USE DISORDER RECEIVING MEDICATION ASSISTED TREATMENT. THIS PROJECT WILL ADDRESS THE NEEDS OF THE COMMUNITY BY INCREASING SYSTEM CAPACITY; PROVIDING SCREENING, MONITORING, AND TREATMENT OF CHRONIC HEALTH CONDITIONS; AND ENHANCING MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT BY INTEGRATING CULTURALLY APPROPRIATE PRIMARY CARE SERVICES INTO THE TREATMENT REGIMEN. THE PROPOSED PROJECT WILL ENHANCE SERVICES AT ASPIRE'S EXISTING PRIMARY CARE OUTPATIENT CLINIC (PCOC) LOCATED AT ASPIRE'S PRINCETON PLAZA CAMPUS IN ORANGE COUNTY. THE PRINCETON PLAZA PCOC IS CO-LOCATED WITH ASPIRE'S ACCESS CENTER; CENTRAL RECEIVING CENTER; IN-PATIENT ACUTE CARE UNIT; MEDICATION CLINIC; MOBILE RESPONSE TEAM; AND OTHER OUTPATIENT AND CASE MANAGEMENT SERVICES. THE PROPOSED PROJECT WILL ALSO FUND THE CREATION OF TWO (2) ADDITIONAL PCOCS. ONE WILL BE CO-LOCATED AT ASPIRE'S ORLANDO COUNSELING CENTER (OCC) IN ORANGE COUNTY. OCC IS THE SITE OF ASPIRE'S MAT CLINIC AND HIV OVERLAY SERVICES DEPARTMENTS. THE SECOND CLINIC WILL BE CO-LOCATED AT ASPIRE'S FERNWOOD CAMPUS IN SEMINOLE COUNTY. FERNWOOD HOUSES ASPIRES OUTPATIENT TREATMENT, CASE MANAGEMENT AND HIV OVERLAY SERVICES IN SEMINOLE COUNTY. THE FERNWOOD FACILITY IS ALSO THE SITE OF A SATELLITE MAT CLINIC. BY CO-LOCATING THE NEW PCOCS WITH OTHER ASPIRE BEHAVIORAL HEALTHCARE SERVICES, PARTICULARLY MAT CLINICS, THE PROJECT WILL BE BETTER ABLE TO ADDRESS THE UNMET NEEDS AND SERVICE GAPS IN THE COMMUNITY AMONG INDIVIDUALS WITH MENTAL HEALTH, SUBSTANCE USE AND CO-OCCURRING DISORDERS. THE PROJECT GOALS ARE TO 1) INCREASE THE NUMBER OF PATIENTS SERVED AT ASPIRE'S EXISTING PRIMARY CARE OUTPATIENT CLINIC; 2) ESTABLISH A NEW PRIMARY CARE OUTPATIENT CLINIC CO-LOCATED WITH ASPIRE'S MEDICATION ASSISTED TREATMENT (MAT) PROGRAM TO SERVE CLIENTS WITH OPIATE USE DISORDER; AND 3) ESTABLISH A NEW PRIMARY CARE OUTPATIENT CLINIC IN SEMINOLE COUNTY TO PROVIDE PRIMARY CARE SERVICES TO PATIENTS SEEKING TREATMENT FOR BEHAVIORAL HEALTH CONDITIONS. THE PROJECTS OBJECTIVES ARE 1) PROVIDE PRIMARY CARE SERVICES TO 900 UNDUPLICATED ADULTS OVER THE LIFETIME OF THE GRANT; 2) 90% OF PARTICIPANTS IN THE MEDICATION ASSISTED TREATMENT PROGRAM FOR AT LEAST 30 DAYS, WILL BE ASSESSED FOR, AND REFERRED TO, PRIMARY CARE SERVICES; 3) 90% OF CLIENTS REFERRED TO PRIMARY CARE SERVICES WILL BE SEEN BY A PROVIDER WITHIN 7 DAYS; 4) 90% OF PARTICIPANTS REFERRED TO PRIMARY CARE SERVICES WILL RECEIVE SCREENING FOR HYPERTENSION, DIABETES, OBESITY, TOBACCO USE, AND HYPERCHOLESTEROLEMIA WITHIN 30 DAYS OF REFERRAL; AND 5) 75% OF PARTICIPANTS IN THE PROGRAM WILL DEMONSTRATE IMPROVED FUNCTIONING AT THE SIX-MONTH FOLLOW-UP (POST-INTAKE), AS MEASURED BY THE NOMS AND OTHER LOCAL SCALES. THE ASPIRE CCBHC IA PROJECT WILL SERVE100 UNDUPLICATED INDIVIDUALS IN YEAR 1; 200 IN YEAR 2; 300 IN YEAR 3; AND 300 IN YEAR 4; FOR TOTAL OF 900 UNDUPLICATED INDIVIDUALS SERVED OVER THE YEAR LIFE OF THE GRANT.

AHP - CCBHC EXPANSION GRANT - THE PROPOSED CCBHC EXPANSION GRANT FOR ASPIRE HEALTH PARTNERS (ASPIRE) WILL SERVE INDIVIDUALS WITH MENTAL HEALTH, SUBSTANCE USE AND CO-OCCURRING DISORDERS RESIDING IN ORANGE AND SEMINOLE COUNTIES, FLORIDA. THE 2 COUNTIES ARE PART OF THE GREATER ORLANDO METROPOLITAN AREA AND HAVE A COMBINED POPULATION OF 1,776,280. THE PROPOSED PROJECT IS DESIGNED TO CLOSE EXISTING GAPS IN THE EXISTING CONTINUUM OF SERVICES AVAILABLE FOR INDIVIDUALS WITH MENTAL HEALTH, SUBSTANCE USE AND CO-OCCURRING DISORDERS. THE PROJECT WILL INCLUDE: A MOBILE RESPONSE TEAM (MRT) TO PROVIDE 24-HOUR MOBILE CRISIS SERVICES FOR ADULTS THAT ARE EXPERIENCING STRESSFUL, TRAUMATIC, OR DEMANDING SITUATIONS THAT IF NOT ADDRESSED QUICKLY, COULD TURN INTO A CRISIS OR EMERGENT SITUATION; A 23-HOUR EXTENDED OBSERVATION UNIT (EOU) FOR INDIVIDUALS IN CRISIS THAT CAN BE STABILIZED IN LESS THAN 24-HOURS; AND A PRIMARY CARE OUTPATIENT CLINIC (PCOC) THAT INTEGRATES PRIMARY CARE SERVICES WITH THE DELIVERY OF BEHAVIORAL HEALTH CARE. THE PROJECT WILL A MINIMUM OF 1,845 INDIVIDUALS IN YEAR 1, AN ESTIMATED 3,800 INDIVIDUALS IN YEAR 2, FOR A TOTAL OF 5,645 OVER THE 2-YEAR LIFE OF THE GRANT. THE PROJECT ANTICIPATES SERVING INDIVIDUALS WHO MIRROR THOSE CURRENTLY BEING SERVED IN ASPIRE'S CONTINUUM OF BEHAVIORAL HEALTH SERVICES. OF APPROXIMATELY 35,000 UNIQUE INDIVIDUALS SERVED EACH YEAR: 55% ARE MALE AND 45% ARE FEMALE; 10% ARE 19-24 YEARS OLD, 22% ARE 25-25 YEARS OLD, 22% ARE 36 - 5- YEARS OLD AND 18% ARE OVER THE AGE OF 50; 28.5% HAVE A DEPRESSIVE DISORDER, 27.8% HAVE A SCHIZOPHRENIA AND PSYCHOTIC DISORDER, 16.9% HAVE BIPOLAR DISORDERS, 9% HAVE OPIOID DISORDER, 8.3% HAVE OTHER SUBSTANCE USE DISORDERS, AND 6.1% HAVE TRAUMA AND STRESS RELATED DISORDERS. IN TERMS OF RACE AND ETHNICITY: 41% ARE WHITE/CAUCASIAN, 31% ARE BLACK/AFRICAN-AMERICAN, 13% ARE HISPANIC, AND 4% AE MULTI-RACIAL. THE MEASURABLE OBJECTIVES FOR THE ASPIRE CCBHC EXPANSION GRANT INCLUDE: 1) THE ADULT MRT WILL RESPOND TO CRISIS REFERRALS IN 60 MINUTES OR LESS FOR 80% OF MOBILE EPISODES; 2) 75% OF INDIVIDUALS LINKED OR REFERRED BY AN MRT WILL SUCCESSFULLY COMPLETE TREATMENT; 3) 80% OF INDIVIDUALS ADMITTED TO AN EOU WILL NOT NEED INPATIENT CARE WITHIN 72-HOURS OF EOU PLACEMENT; 4) 75% OF EOU PLACEMENTS WILL BE CONNECTED TO AN APPROPRIATE LEVEL OF CARE; 5) 75% OF INDIVIDUALS REFERRED TO THE PCOC WILL BE SEEN WITHIN 72 HOURS.

VA IS PROVIDING CAPITAL AARP FUNDING TO REDUCE CONGREGRATE LIVING AND CREATE INDIVIDUAL LIVING UNITS FOR HOMELESS VETERANS.

ASPIRE ACT TEAM EXPANSION & ENHANCEMENT PROJECT

VA IS PROVIDING PER DIEM FUNDING TO ASSIST WITH THE OPERATIONAL COSTS ASSOCIATED WITH TRANSITIONAL HOUSING BEDS FOR HOMELESS VETERANS.

VA IS PROVIDING PER DIEM FUNDING TO ASSIST WITH THE OPERATIONAL COSTS ASSOCIATED WITH TRANSITIONAL HOUSING BEDS FOR HOMELESS VETERANS.

VA IS PROVIDING PER DIEM FUNDING TO ASSIST WITH THE OPERATIONAL COSTS ASSOCIATED WITH TRANSITIONAL HOUSING BEDS FOR HOMELESS VETERANS.

VA IS PROVIDING PER DIEM FUNDING TO ASSIST WITH THE OPERATIONAL COSTS ASSOCIATED WITH TRANSITIONAL HOUSING BEDS FOR HOMELESS VETERANS.

POSITIVELY EMPOWERED PROGRAM

ASPIRE TREE - THE ASPIRE TREE PROJECT FOR TRANSITIONAL AGED YOUTH WILL TARGET MALES AND FEMALES BETWEEN THE AGES OF 16 - 25 IN ORANGE AND SEMINOLE COUNTY. FLORIDA. THE PROJECT WILL PROVIDE OUTPATIENT TREATMENT SERVICES TO YOUTH WITH SUBSTANCE USE, MENTAL HEALTH AND CO-OCCURRING DISORDER USING THE ADOLESCENT-COMMUNITY REINFORCEMENT APPROACH (A-CRA). THE PROJECT WILL SERVE 550 TRANSITIONAL AGED YOUTH, OVER THE LIFE OF THE GRANT; 70 IN YEAR 1 AND 120 IN EACH SUBSEQUENT YEAR. THE INITIATIVE WILL TARGET THOSE AT HIGHEST RISK OF SUBSTANCE ABUSE OR DEPENDENCE WHO ARE EXPERIENCING PROBLEMS ASSOCIATED WITH SUBSTANCE USE INCLUDING EMOTIONAL, PHYSICAL, LEGAL, SOCIAL OR ACADEMIC ISSUES. PROJECT PARTICIPANTS MAY BE INVOLVED IN THE CRIMINAL JUSTICE OR CHILD WELFARE SYSTEMS OR THEY MAY BE FACING DISCIPLINARY ACTION AT SCHOOL. ADDITIONALLY, THE INITIATIVE WILL TARGET YOUTH MEETING THE CRITERIA FOR A-CRA, AS IDENTIFIED IN THE TRANSITION AGE YOUTH COMMUNITY REINFORCEMENT APPROACH FOR TRANSITION AGE YOUTH CANNABIS USERS, CANNABIS YOUTH TREATMENT (CYT) SERIES, VOL. 1 (SAMHSA, 2001). THE GOALS OF THE ASPIRE TREE PROJECT ARE: 1) INCREASE THE UNDUPLICATED NUMBER OF TRANSITIONAL AGED YOUTH IN ORANGE AND SEMINOLE COUNTIES RECEIVING EVIDENCE-BASED OUTPATIENT TREATMENT SERVICES; 2) INCREASE ACCESS, ENGAGEMENT, AND RETENTION IN TREATMENT SERVICES AMONG TRANSITIONAL AGED YOUTH IN ORANGE AND SEMINOLE COUNTIES; AND 3) PROVIDE A FULL CONTINUUM OF TREATMENT AND ANCILLARY SERVICES TO PROMOTE THE HEALTH, PHYSICAL, SOCIAL AND COGNITIVE DEVELOPMENT OF TRANSITIONAL AGED YOUTH. THE PROJECT'S MEASURABLE OBJECTIVES INCLUDE: AT LEAST 60% OF YOUTH ADMITTED TO THE PROGRAM WILL SUCCESSFULLY COMPLETE THE TREATMENT PROGRAM; 75% OF THE YOUTH IN THE PROGRAM FOR AT LEAST 30 DAYS WILL INCREASE ABSTINENCE FROM THE USE OF ALCOHOL, MARIJUANA, AND OTHER SUBSTANCES; 75% OF YOUTH WITH CHILDREN, AND PARENTS/CAREGIVERS OF YOUTH ENROLLED IN THE PROGRAM FOR AT LEAST 30 DAYS, WILL DEMONSTRATE IMPROVED PARENTING SKILLS AND FAMILY FUNCTIONING; 100% OF YOUTH SUCCESSFULLY COMPLETING THE PROGRAM WILL BE LINKED WITH STABLE HOUSING AT THE TIME OF DISCHARGE; 100% OF YOUTH IN THE PROGRAM FOR AT LEAST 30 DAYS, WILL BE LINKED TO APPROPRIATE EDUCATIONAL AND EMPLOYMENT SERVICES; 75% OF THE YOUTH IN THE PROGRAM FOR AT LEAST 30 DAYS, WILL DECREASE INVOLVEMENT IN AND EXPOSURE TO CRIME AND VIOLENCE; 75% OF TREE PARTICIPANTS SUCCESSFULLY COMPLETING TREATMENT WILL DEMONSTRATE IMPROVED FUNCTIONING AS MEASURED BY THE FARS AND THE DLA-20; 100% OF YOUTH IN THE PROGRAM FOR AT LEAST 30 DAYS, WILL BE LINKED TO APPROPRIATE HEALTH SERVICES.

LAKESIDE PRIMARY AND BEHAVIORAL HEALTH CARE INTEGRATION

ASPIRE HEALTH PARTNERS - MINORITY AIDS INITIATIVE (AHP-MAI) - THE ASPIRE HEALTH PARTNERS - MINORITY AIDS INITIATIVE (AHP-MAI) WILL SERVE UNDERREPRESENTED RACIAL AND ETHNIC MINORITY ADULT MALES AND FEMALES, WITH SUBSTANCE USE DISORDERS AND/OR CO-OCCURRING DISORDERS WHO ARE AT RISK FOR, OR ARE LIVING WITH, HIV/AIDS AND RECEIVE HIV/AIDS SERVICES/TREATMENT. THE CATCHMENT AREA FOR THE PROJECT WILL BE THE ORLANDO MSA WITH A SPECIFIC EMPHASIS ON SERVING INDIVIDUALS LIVING IN ORANGE COUNTY, FLORIDA. THE AHP-MAI WILL PROVIDE OUTREACH, SUD/COD COUNSELING, CASE MANAGEMENT AND PEER SUPPORT SERVICES TO A MINIMUM OF 60 INDIVIDUALS PER YEAR FOR AN ESTIMATED 300 INDIVIDUALS OVER THE 5-YEAR LIFE OF THE GRANT. PROJECT GOALS INCLUDE EXPANDING THE COMMUNITY'S CAPACITY TO PROVIDE A COMPREHENSIVE AND INTEGRATED ARRAY OF CULTURALLY APPROPRIATE SUBSTANCE USE AND HIV TREATMENT SERVICES; INCREASING ACCESS TO SCREENING AND TESTING FOR HIV AND VIRAL HEPATITIS; INCREASE ACCESS TO SCREENING AND ASSESSMENT OF SUBSTANCE USE DISORDERS, AND ENGAGEMENT AND RETENTION IN TREATMENT AND OTHER SUPPORTIVE SERVICES; AND REDUCE THE RATE OF TRANSMITTAL OF INFECTIOUS DISEASE.

VA IS PROVIDING PER DIEM FUNDING TO ASSIST WITH THE OPERATIONAL COSTS ASSOCIATED WITH TRANSITIONAL HOUSING BEDS FOR HOMELESS VETERANS.

YOUTH - POSITIVELY EMPOWERED PROGRAM (Y-PEP)

VA IS PROVIDING PER DIEM FUNDING TO ASSIST WITH THE OPERATIONAL COSTS ASSOCIATED WITH TRANSITIONAL HOUSING BEDS FOR HOMELESS VETERANS.

ASPIRE'S CIT EXPANSION PROJECT - ASPIRE'S CIT EXPANSION PROJECT WILL PROVIDE MENTAL HEALTH AWARENESS TRAINING TO ORANGE COUNTY, FL LAW ENFORCEMENT OFFICERS TO PREPARE THEM TO RESPOND TO INDIVIDUALS WHO ARE IN CRISIS. THE PROJECT WILL PROVIDE MONTHLY CRISIS INTERVENTION TEAM (CIT) TRAININGS, AS WELL AS ASSISTANCE WITH THE IMPLEMENTATION AND DELIVERY OF AN INTRODUCTORY OVERVIEW TO MENTAL HEALTH RESPONSE TO ALL INDIVIDUALS ATTENDING THE LOCAL POLICE ACADEMY AT THE VALENCIA COLLEGE OF PUBLIC SAFETY. ALL LAW ENFORCEMENT AGENCIES IN ORANGE COUNTY WILL BE SERVED. TRAININGS WILL INCLUDE INFORMATION ON RECOGNIZING THE SIGNS AND SYMPTOMS OF MENTAL ILLNESS, INCLUDING SUBSTANCE USE AND CO-OCCURRING DISORDERS, COMMONLY PRESCRIBED PSYCHIATRIC MEDICATIONS, TRAUMA, ADVERSE CHILDHOOD EXPERIENCES, VETERANS AND PTSD, AUTISM, ALZHEIMER'S AND OLDER ADULT MENTAL HEALTH, INPUT AND PERSONAL STORIES FROM CONSUMERS, OFFICER MENTAL WELLNESS, AND DE-ESCALATION EDUCATION AND ROLE-PLAY PRACTICE. PROJECT GOALS INCLUDE: 1) EXPAND THE CAPACITY OF LOCAL LAW ENFORCEMENT TO RESPOND TO MENTAL HEALTH CRISIS CALLS IN A MANNER THAT REDUCES TRAUMA AND PROMOTES OFFICER AND COMMUNITY SAFETY; 2) BUILD OFFICER UNDERSTANDING OF COMMON SYMPTOMS OF MENTAL HEALTH AND SUBSTANCE USE DISORDERS AND THE BEST WAYS TO COMMUNICATE WITH THOSE INDIVIDUALS; 3) DIVERT INDIVIDUALS EXPERIENCING MENTAL HEALTH CRISES FROM UNNECESSARY ENTRY INTO THE CRIMINAL JUSTICE SYSTEM. PROJECT OBJECTIVE INCLUDE: 1) PROVIDE 40 HOUR CIT TRAINING TO 360 OFFICERS FROM LOCAL LAW ENFORCEMENT AGENCIES PER YEAR FOR FIVE YEARS; 2) PROVIDE MENTAL HEALTH AWARENESS TRAINING TO 100% OF NEW RECRUITS THAT COMPLETE THE LOCAL POLICE ACADEMY FOR A TOTAL OF 200 RECRUITS TRAINED PER YEAR; 3) 80% OF OFFICERS WHO COMPLETE THE FULL 40-HOUR CIT TRAINING WILL SHOW IMPROVED UNDERSTANDING OF INDIVIDUALS WITH MH AND SUDS AS EVIDENCED BY ACHIEVING AN 80% OR HIGHER SCORE ON THE POST-TEST; 4) 75% OF YEARLY STAKEHOLDER SURVEYS WILL REPORT AN INCREASE IN REFERRALS TO SERVICES FROM LAW ENFORCEMENT OFFICERS WHO HAVE COMPLETED CIT TRAININGS. ASPIRE'S CIT EXPANSION ANTICIPATES SERVING APPROXIMATELY 560 OFFICERS PER YEAR, FOR AT TOTAL OF 2,700 INDIVIDUALS SERVED DURING THE FIVE YEAR LIFE OF THE GRANT.

SUICIDE PREVENTION GRANTS ARE AWARDED TO ELIGIBLE ENTITIES TO MEET THE NEEDS OF ELIGIBLE INDIVIDUALS AND THEIR FAMILIES THROUGH OUTREACH, PROVISION OR COORDINATION OF SUICIDE PREVENTION SERVICES, AND CONNECTION TO VA AND COMMUNITY RESOURCES AS DESCRIBED IN 38 CFR PART 78 (HTTPS://WWW.ECFR.GOV/CURRENT/TITLE-38/CHAPTER-I/PART-78?TOC=1)

POSITIVELY EMPOWERED PROGRAM

SUICIDE PREVENTION GRANTS ARE AWARDED TO ELIGIBLE ENTITIES TO MEET THE NEEDS OF ELIGIBLE INDIVIDUALS AND THEIR FAMILIES THROUGH OUTREACH, PROVISION OR COORDINATION OF SUICIDE PREVENTION SERVICES, AND CONNECTION TO VA AND COMMUNITY RESOURCES AS DESCRIBED IN 38 CFR PART 78 (HTTPS://WWW.ECFR.GOV/CURRENT/TITLE-38/CHAPTER-I/PART-78?TOC=1)

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION