Care Resource Community Health Centers Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HIMPACT (HIV MANAGED THROUGH PREVENTION AND ACCESS TO CARE AND TREATMENT) - FOR OVER 37 YEARS CARE RESOURCE HAS PROVIDED PREVENTION AND ESSENTIAL SUPPORT SERVICES TO THOSE IMPACTED WITH HIV/AIDS, AND HIV PRIMARY CARE IN THE LAST 21. PROJECT HIMPACT (HIV MANAGED THROUGH PREVENTION AND ACCESS TO CARE AND TREATMENT) WILL OFFER AND EVALUATE A COMPREHENSIVE HIGH IMPACT PREVENTION (HIP) PROGRAM TO BOTH HIV-POSITIVE AND HIGH-RISK NEGATIVE MSM, REGARDLESS OF AGE, RACE/ETHNICITY AND WHO FACE THE MOST SEVERE BURDEN OF HIV IN PLACES DISPROPORTIONATELY AFFECTED BY THE EPIDEMIC IN THE COUNTIES OF MIAMI-DADE AND BROWARD. OUR EXPERIENCE PROVIDING HIP PROGRAMMING, THE CURRENT JURISDICTIONAL HIV PREVENTION PLANS IN MIAMI-DADE AND BROWARD, AND THE ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA (EHE) INITIATIVE, WILL GUIDE AND INFORM CARE RESOURCE?S PROPOSAL UNDER FUNDING OPPORTUNITY ANNOUNCEMENT PS21-2102 FOR THE CREATION AND IMPLEMENTATION OF A CULTURALLY COMPETENT PREVENTION PROGRAM THAT EMPOWERS PRIORITIZED POPULATIONS TO SUCCESSFULLY NAVIGATE THE ENTIRE HIV CONTINUUM OF CARE.MIAMI-DADE AND BROWARD COUNTIES CONTINUE TO BE SIGNIFICANTLY AFFECTED BY THE HIV/AIDS EPIDEMIC. DESPITE THE OVERALL DECLINE IN REPORTED CASES, BOTH COUNTIES REPORTED A COMBINED TOTAL OF 1,805 HIV CASES IN 2019, 39.4% OF THE STATEWIDE TOTAL. IN THIS AREA, MSM INDIVIDUALS COMPRISE 51% OF LIVING AIDS CASES AND 54.7% OF LIVING HIV CASES. THIS HIGH-PRIORITY POPULATION CONSTITUTES THE LARGEST SINGLE RISK BEHAVIOR CATEGORY FOR NEW CASES IN THE LOCAL RYAN WHITE PROGRAM SYSTEM OF CARE, AS CONSISTENTLY IDENTIFIED AND TARGETED BY ALL AVAILABLE STATE AND LOCAL JURISDICTIONAL HIV PREVENTION PLANS. PROJECT HIMPACT WILL SUPPORT THE GOALS OF THE ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA (EHE): 1) REDUCE THE NUMBER OF NEW HIV INFECTIONS, 2) INCREASE ACCESS TO CARE AND IMPROVED HEALTH OUTCOMES FOR PEOPLE LIVING WITH HIV/AIDS, INCLUDING VIRAL SUPPRESSION AND 3) REDUCE HEALTH DISPARITIES. THIS PROJECT WILL OFFER THE FOLLOWING HIP PREVENTION SERVICES DURING THE 5-YEAR PROJECT PERIOD ( AT LEAST 50 % OF THE DELIVERABLES DURING YEAR 1): 1) COMPREHENSIVE HIV PROGRAM: 1) PROVIDE HIV CTR TO AT LEAST 660 MSM, RESULTING IN THE IDENTIFICATION OF AT LEAST 14 NEWLY DIAGNOSED MSM AND AT LEAST 18 PREVIOUSLY HIV DIAGNOSED MSM AND INTEGRATED STD SCREENING TO 200 MSM; 2) PREVENTION WITH POSITIVES: A) LINK TO HIV CARE AND TREATMENT WITHIN 30 DAYS AT LEAST 29 MSM, PROVIDE MEDICATION ADHERENCE, A BEHAVIORAL HEALTH INTERVENTION LIKE CLEAR, ARTAS AS A LINKAGE AND RETENTION STRATEGY AND TO OTHER PREVENTION AND ESSENTIAL SUPPORT SERVICES, AND B) REFERRAL TO PARTNER SERVICES; 3) PREVENTION WITH NEGATIVES: A) REFER 100 MSM TO PREP AND 15 TO NPEP, B) PROVIDE AT LEAST 200 STI TESTS TO THE TARGET POPULATION AND C) ASSESS AND REFER 400 MSM FOR OTHER PREVENTION AND ESSENTIAL SUPPORT SERVICES; D) DISTRIBUTE 32,000 CONDOMS TO BOTH HIV POSITIVE AND NEGATIVE MSM; AND E) CONDUCT A COMPREHENSIVE EVALUATION AND PERFORMANCE AND MEASUREMENT OF PROJECT HIMPACT. 2. OPERATIONAL PROGRAM THROUGH A) PROMOTION, OUTREACH AND RECRUITMENT: TRADITIONAL OUTREACH, SOCIAL MEDIA AND INTERNET OUTREACH, B) COMMUNITY ENGAGEMENT GROUP (CEG), AND C) HIV PLANNING GROUP. CARE RESOURCE REQUESTS $470,000 TO IMPLEMENT PROJECT HIMPACT IN THE COUNTIES OF MIAMI-DADE AND BROWARD.

OPTYMISM (OPPORTUNITIES FOR HIV PREVENTION TARGETING YOUNG MEN IDENTIFIED AS HAVING SEX WITH MEN)

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

PS10-1003 HIV PREVENTION PROJECTS FOR CBO'S

PROJECT STRENGTH (STATUS-NEUTRAL TRANSGENDER-SERVING ORGANIZATIONS ENDING TOGETHER HIV) - WITH ALMOST 4 DECADES PROVIDING HIV PREVENTION AND SUPPORT SERVICES AND 23 YEARS PROVIDING HIV CARE IN THE COUNTIES OF MIAMI-DADE AND BROWARD, CARE RESOURCE IS SOUTH FLORIDA’S OLDEST HIV/AIDS COMMUNITY-BASED ORGANIZATION AND AN FQHC SINCE 2009. PROJECT STRENGTH (STATUS-NEUTRAL TRANSGENDER-SERVING ORGANIZATIONS ENDING TOGETHER HIV), A COLLABORATIVE BETWEEN CARE RESOURCE (TG CLINIC) AND VARIOUS TG CBOS, WILL OFFER A COMMUNITY-TO-CLINIC, STATUS NEUTRAL, HIV PREVENTION AND CARE SERVICE MODEL TO THE PRIORITY POPULATION OF TRANSGENDER (TG) PERSONS, IN PARTICULAR TRANSGENDER WOMEN (TGW), LIVING IN THE AREA OF MIAMI-DADE AND BROWARD WHICH, ACCORDING TO CDC, IS NUMBER 1 IN TERMS OF HIV INFECTION RATES IN THE NATION. WHILE HIV INCIDENCE DATA ABOUT TG PERSONS ARE HARD TO COME BY, IT’S ESTIMATED, ACCORDING TO THE 2018 HUMAN RIGHTS REPORT, LIVING AT RISK: TRANSGENDER WOMEN, HIV, AND HUMAN RIGHTS IN SOUTH FLORIDA, THAT AT LEAST 23% OF ALL TG PERSONS MAY BE LIVING WITH HIV. FURTHERMORE, TG PERSONS ARE IDENTIFIED BY THE STATE AS A “KEY POPULATION” TO RECEIVE HIV SERVICES. THEREFORE, INFORMED BY THE HIV NATIONAL STRATEGIC PLAN, 2021-2025 (HIV PLAN) AND IN SUPPORT OF THE GOALS OF THE ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA (EHE), PROJECT STRENGTH WILL ESTABLISH A SAFE, WELCOMING, CULTURALLY AND LINGUISTICALLY APPROPRIATE TRANS MEDICAL HOME THAT INTEGRATES IN A ONE-STOP-SHOP HIV PREVENTION AND CARE, AS WELL AS TRANSGENDER-DRIVEN HEALTH SERVICES, WITH A FOCUS ON ACCESS TO HORMONE REPLACEMENT THERAPY AND TRANSITION-RELATED CARE. THE END GOALS FOR THIS PROJECT AND TG PERSONS ARE TO: A) PREVENT NEW HIV INFECTIONS; B) IMPROVE HIV-RELATED OUTCOMES FOR TG PERSONS); C) REDUCE HIV-RELATED DISPARITIES AND HEALTH INEQUITIES AMONG TG PERSONS; AND D) IMPROVE TRANSGENDER-FOCUSED HEALTH CARE SERVICES. THIS WILL BE ACHIEVED THROUGH THE FOLLOWING STRATEGIES, ACTIVITIES, AND OUTCOMES (TO BE MET OR EXCEEDED AFTER YEAR I): 1) PROVIDE INTEGRATED HIV TESTING, STATUS-NEUTRAL HIV PREVENTION AND CARE, AND COMPREHENSIVE TG HEALTH SERVICES TO TG PERSONS THROUGH TG CBO AND CLINIC COLLABORATIVES: A) INCREASED HIV TESTING AMONG TG PERSONS; B) INCREASED HIV DIAGNOSES AMONG TG PERSONS WHO ARE UNAWARE OF THEIR HIV STATUS; C) INCREASED ACCESS TO STI, HEPATITIS TREATMENT AND VACCINATION; D) INCREASED PREP INITIATION BY PREP-ELIGIBLE TG PERSONS; E) INCREASED NPEP INITIATION BY NPEP-ELIGIBLE TG PERSONS; F) INCREASED ADHERENCE TO PREP BY TG PERSONS; G) INCREASED PERSISTENCE WITH PREP BY TG PERSONS; H) INCREASED RAPID ART INITIATION BY TG PERSONS DIAGNOSED WITH HIV; I) INCREASED LINKAGE TO HIV CARE BY TG PERSONS DIAGNOSED WITH HIV; J) INCREASED RETENTION IN HIV CARE BY TG PERSONS DIAGNOSED WITH HIV; K) INCREASED CAPACITY OF TG CLINIC AND TG CBO TO PROVIDE OR LINK TG PERSONS IN HIV PREVENTION AND CARE, AS WELL AS COMPREHENSIVE TG HEALTH SERVICES; L) INCREASED VIRAL SUPPRESSION AMONG TG PERSONS DIAGNOSED WITH HIV. 2) SUPPORT USE OF MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES AND OTHER ESSENTIAL SUPPORT SERVICES BY TG PERSONS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH: M) INCREASED RECEIPT/LINKAGE BY TG PERSONS OF SUBSTANCE USE SERVICES AND OTHER ESSENTIAL SUPPORT SERVICES. 3) PROVIDE SERVICES THAT ARE CULTURALLY AND LINGUISTICALLY RESPONSIVE FOR TG PERSONS AND FOR BLACK AND HISPANIC PERSONS: N) INCREASED CULTURAL AND LINGUISTIC RESPONSIVENESS FOR TG PERSONS IN TG CBOS AND TG CLINIC. 4) PARTICIPATE IN A NATIONAL LEARNING COLLABORATIVE FOR RECIPIENTS TO SHARE BEST PRACTICES AND LESSONS LEARNED FOR COMMUNITY-TO-CLINIC, STATUS-NEUTRAL, COMPREHENSIVE TG HEALTH SERVICES: O) INCREASED UNDERSTANDING OF BEST PRACTICES AND LESSONS LEARNED BY TG PROVIDERS ABOUT COMMUNITY-TO-CLINIC, STATUS-NEUTRAL, AND COMPREHENSIVE TG HEALTH CARE SERVICES. CARE RESOURCE REQUESTS $500,000 A YEAR TO IMPLEMENT PROJECT STRENGTH IN THE COUNTIES OF MIAMI-DADE AND BROWARD, FL WHILE SERVING AT LEAST 375 TG PERSONS IN YEAR 1

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR YOUNG MEN OF COLOR WHO HAVE SEX WITH MEN AND Y

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

YOUNG MEN OF COLOR WHO HAVE SEX WITH MEN PREVENTION & EMPOWERMENT PROJECT (YPEP)

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

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

CAPITAL DEVELOPMENT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

YOUNG MEN OF COLOR WHO HAVE SEX WITH MEN PREVENTION & EMPOWERMENT PROJECT (YPEP)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS