Mountain Comprehensive Care Center Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

FATHERHOOD FIRE PROGRAM

EASTERN KY CCBHC-IA PROJECT - MOUNTAIN COMPREHENSIVE CARE CENTER WILL IMPLEMENT THE EASTERN KY CCBHC-IA PROJECT TO IMPROVE ACCESS TO COMMUNITY-BASED MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT, SUPPORT, AND 24/7 CRISIS SERVICES FOR THE POPULATION OF FOCUS COMPRISED OF ANYONE ACROSS THE LIFESPAN, INCLUDING THOSE WITH SMI, SUD, COD, SED, AND PERSONS EXPERIENCING A MENTAL HEALTH OR SUD-RELATED CRISIS, WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY OR PLACE OF RESIDENCE AS TARGETED TO THE GEOGRAPHICAL CATCHMENT AREA OF FLOYD, JOHNSON, MAGOFFIN, MARTIN, PIKE, BOURBON, CLARK, HARRISON, LETCHER, AND PERRY COUNTIES IN KENTUCKY, LOCATED IN AND ADJACENT TO APPALACHIA. POPULATION: MCCC WILL SERVE PERSONS OF ALL AGES IN THE TARGETED 10-COUNTY REGION OF FLOYD, JOHNSON, MAGOFFIN, MARTIN, PIKE, BOURBON, CLARK, HARRISON, LETCHER, AND PERRY COUNTIES LOCATED IN EASTERN KENTUCKY WITH MENTAL, SUBSTANCE USE, AND CO-OCCURRING DISORDERS, INCLUDING THOSE WITH THE MOST SERIOUS AND COMPLEX ISSUES SUCH AS SMI, SUD, COD, SED AND SUBPOPULATIONS THAT ARE RURAL, LOW-INCOME, AND IDENTIFY AS LGBTQ+, AN INCREASING UNDERSERVED GROUP. THE SERVICE AREA EXPERIENCES SIGNIFICANT ECONOMIC DISPARITIES INCLUDING HIGH RATES OF POVERTY, UNEMPLOYMENT, AND BASIC NEED INSECURITY. LIKEWISE, THE POPULATION EXPERIENCES HIGH RATES OF TRAUMA AND MENTAL HEALTH DISORDERS WITH THE REGION ALSO AMONG THE HIGHEST RATES IN KY FOR OVERDOSE DEATHS, OPIOID PRESCRIPTIONS, AND NAS WITH CULTURAL STIGMA IMPACTING THE PERCEIVED NEED FOR CARE. INTERVENTIONS: MCCC WILL PROVIDE A COMPREHENSIVE COLLECTION OF SERVICES THAT IS INTEGRATED, COORDINATED, PERSON-CENTERED, AND PROVIDES THE NEEDED TREATMENT AND RECOVERY SUPPORT SERVICES FOR THOSE WITH THE MOST SERIOUS AND COMPLEX MENTAL AND SUBSTANCE USE DISORDERS. MCCC WILL INTEGRATE ADDITIONAL SERVICES THROUGH AGENCY AND COMMUNITY RESOURCES TO ENSURE A HOLISTIC APPROACH THAT EMPHASIZES RECOVERY, WELLNESS, TRAUMA-INFORMED CARE, AND BEHAVIORAL HEALTH AND PRIMARY CARE INTEGRATION WITH CARE COORDINATION AND CASE MANAGEMENT. KEY EBPS INCLUDE MOTIVATIONAL INTERVIEWING, COGNITIVE BEHAVIORAL THERAPY, TRAUMA-FOCUSED CBT, SOLUTIONS-FOCUSED BRIEF THERAPY, EMDR, MEDICATION ASSISTED TREATMENT, AND TRAUMA-INFORMED CARE. GOALS & OBJECTIVES: MCCC WILL SERVE 300 UNDUPLICATED PERSONS IN YEAR 1 AND 400 ANNUALLY IN YEARS 2-4 FOR A TOTAL OF 1,500 OVER THE FOUR-YEAR PROJECT PERIOD. GOALS ARE TO: 1) INCREASE THE HEALTH OF PERSONS OF ALL AGES WITH MENTAL HEALTH AND/OR SUD (INCLUDING SERIOUS/COMPLEX) IN THE TARGETED SERVICE AREA BY EXPANDING ACCESS TO EVIDENCE-BASED COMMUNITY BEHAVIORAL HEALTH CARE; 2) IMPROVE STABILITY BY PROVIDING AND/OR COORDINATING ACCESS TO COMPREHENSIVE RECOVERY SUPPORT SERVICES; AND 3) IMPROVE THE AGENCY’S INFRASTRUCTURE TO PROVIDE HIGH-QUALITY COMMUNITY BEHAVIORAL HEALTH SERVICES BY ENSURING USE OF CCBHC CRITERIA, CONSUMER-INPUT, AND CQI. OBJECTIVES INCLUDE: BY THE END OF EACH YEAR MCCC STAFF WILL HAVE PROVIDED EVIDENCE-BASED OUTPATIENT BEHAVIORAL HEALTHCARE SO THAT 50% OF CLIENTS OF THE TARGETED POPULATION SERVED WILL SHOW IMPROVEMENT IN THEIR MENTAL HEALTH FUNCTIONING AND 60% WILL DECREASE USE OF ALCOHOL AND/OR PRESCRIPTION, ILLICIT OR OTHER HARMFUL SUBSTANCES; PROVIDED AND/OR COORDINATED: HOUSING RESOURCES SO THAT 60% OF CLIENTS OF THE TARGETED POPULATION SERVED WHO ARE HOMELESS OR PRECARIOUSLY HOUSED WILL IMPROVE THEIR HOUSING STATUS; WELLNESS AND RECOVERY SUPPORTS SO THAT 60% WILL PARTICIPATE IN SOME TYPE OF RECOVERY AND/OR PEER SUPPORT SERVICE; AND WRAPAROUND SUPPORT SERVICES SO THAT 50% WILL IMPROVE THEIR EDUCATION/EMPLOYMENT STATUS AND/OR ACCESS TO BENEFITS; AND INFRASTRUCTURE SUPPORTS TO ENSURE COMPLIANCE WITH CCBHC CRITERIA AND TO MEET QUARTERLY WITH THE ADVISORY WORK GROUP TO GUIDE IMPLEMENTATION, SERVICES, CQI AND ADDRESS THE NEEDS OF SUBPOPULATIONS FACING DISPARITIES. MOREHEAD STATE UNIVERSITY WILL CONDUCT THE EVALUATION AND PARTICIPATE IN THE NATIONAL EVALUATION, AS REQUIRED.

EASTERN KY CCBHC EXPANSION

BIG SANDY COMMUNITY BEHAVIORAL HEALTH CLINIC EXPANSION PROJECT

EASTERN KY CMHC PROJECT - THROUGH THE EASTERN KY CMHC PROJECT, MOUNTAIN COMPREHENSIVE CARE CENTER, A KY CMHC, WILL SUPPORT AND RESTORE THE DELIVERY OF CLINICAL SERVICES THAT WERE IMPACTED BY THE COVID-19 PANDEMIC AND EFFECTIVELY ADDRESS THE NEEDS OF PERSONS WITH SERIOUS EMOTIONAL DISTURBANCE (SED), SERIOUS MENTAL ILLNESS (SMI), AND CO-OCCURRING SED/SMI AND SUBSTANCE USE DISORDERS ACROSS FLOYD, JOHNSON, MAGOFFIN, MARTIN, PIKE, KNOTT, LESLIE, LETCHER AND PERRY COUNTIES, KY. POPULATION: MCCC WILL SERVE INDIVIDUALS OF ALL AGES IN THE TARGETED EASTERN KY REGION WITH SED, SMI AND COD. THE AREA CONSISTENTLY FACES CHRONIC HEALTH CONDITIONS INCLUDING MENTAL DISORDERS, ADDICTION, POVERTY AND SOCIOECONOMIC DISPARITIES. MOREOVER, INADEQUATE INFRASTRUCTURE, A LACK OF HEALTH CARE ACCESS COMPOUNDED BY DISTANCE AND LITTLE PUBLIC TRANSPORTATION, NEGLECTED HEALTH, AND A DISTRUST OF PUBLIC HEALTH MADE THE REGION DISPROPORTIONATELY IMPACTED BY COVID. INTERVENTIONS: THROUGH COMPREHENSIVE SERVICES AVAILABLE ACROSS 12 OUTPATIENT CLINICS, SCHOOLS, JAIL-BASED PROGRAMS, AND TELEHEALTH, MCCC WILL CREATE ACCESS, STABILIZE PEOPLE IN CRISIS, AND PROVIDE AGE, DEVELOPMENTALLY AND CULTURALLY-COMPETENT TREATMENT AND RECOVERY SUPPORTS, AS WELL AS ADDRESS THE MENTAL HEALTH NEEDS OF STAFF. AS A CMHC, HCH PROVIDER AND VICTIM SERVICES AGENCY, MCCC WILL INTEGRATE ADDITIONAL SERVICES THROUGH AGENCY AND COMMUNITY RESOURCES TO ENSURE A HOLISTIC APPROACH TO CARE. KEY EBPS INCLUDE: CBT, CBT-SUICIDE PREVENTION (SP), TRAUMA-FOCUSED CBT, MOTIVATIONAL INTERVIEWING (MI), MI-SP, AND TRAUMA-INFORMED CARE. GOALS & OBJECTIVES: MCCC WILL SERVE 400 UNDUPLICATED PERSONS IN YEAR 1 AND 400 IN YEAR 2 FOR A TOTAL OF 800 OVER THE PROJECT. GOALS ARE TO: 1) IMPROVE THE HEALTH OF PERSONS WITH SED, SMI AND COD (IN TARGET REGION) BY EXPANDING ACCESS TO EVIDENCE-BASED CRISIS SERVICES AND BEHAVIORAL HEALTH CARE; 2) IMPROVE THE STABILITY OF PERSONS WITH SED, SMI AND COD BY PROVIDING AND/OR COORDINATING ACCESS TO HOLISTIC RECOVERY SUPPORTS; AND 3) IMPROVE THE AGENCY’S INFRASTRUCTURE TO PROVIDE HIGH-QUALITY CRISIS, BEHAVIORAL HEALTH CARE, AND RECOVERY SUPPORTS BY PROVIDING STAFF TRAINING, RESOURCES, AND CQI. OBJECTIVES ACCOMPLISHED BY THE END OF EACH YEAR INCLUDE: MCCC STAFF WILL HAVE PROVIDED TREATMENT SO THAT 400 CLIENTS (TARGET POPULATION) ARE SERVED; PROVIDED CRISIS SERVICES AND OUTPATIENT, SCHOOL-BASED AND JAIL-BASED BEHAVIORAL HEALTH CARE SO THAT 65% REPORT IMPROVED MH FUNCTIONING AND 65% REPORT ABSTINENCE FROM SUBSTANCE USE; 50 MCCC STAFF WILL HAVE RECEIVED TRAINING AND/OR RESOURCES SO THAT CRISIS SERVICES AND BEHAVIORAL HEALTH CARE CAN BE ACCESSED THROUGH TELEHEALTH; MCCC STAFF WILL HAVE COORDINATED WRAPAROUND SERVICES SO THAT 70% ARE ACTIVELY RETAINED AT 6-MONTH FOLLOW-UP AND COORDINATED PEER SUPPORT/RECOVERY SERVICES SO THAT 70% REPORT POSITIVE SOCIAL CONNECTIONS; 120 MCCC STAFF WILL HAVE RECEIVED TRAINING TO IMPROVE THE QUALITY OF CRISIS SERVICES AND/OR BEHAVIORAL HEALTH CARE AND RECOVERY SUPPORTS, AND RECEIVED TRAINING AND/OR RESOURCES TO ADDRESS THEIR OWN MENTAL HEALTH NEEDS; AND 25 MCCC STAFF WILL HAVE RECEIVED TRAINING TO WORK WITH SCHOOLS TO ADDRESS YOUTH AT RISK FOR SED; AND CONDUCT PMT MEETINGS TO MONITOR SERVICES/CQI. MOREHEAD STATE UNIVERSITY WILL CONDUCT THE EVALUATION.

MCCC FATHERHOOD INITIATIVE

PROJECT LAUNCH - MOUNTAIN COMPREHENSIVE CARE CENTER (MCCC) WILL IMPLEMENT PROJECT LAUNCH TO PROMOTE THE WELLNESS OF YOUNG CHILDREN, FROM BIRTH TO 8 YEARS OF AGE, BY ADDRESSING THE SOCIAL, EMOTIONAL, COGNITIVE, PHYSICAL, AND BEHAVIORAL ASPECTS OF THEIR DEVELOPMENT, AND PREPARE THEM TO THRIVE IN SCHOOL AND BEYOND AS WELL AS DISSEMINATE EFFECTIVE AND INNOVATIVE EARLY CHILDHOOD MENTAL HEALTH PRACTICES AND SERVICES TO THE CATCHMENT AREA TO INCLUDE 36 COUNTIES IN EASTERN KY WHILE ALSO ENSURING INCLUSION OF RACIAL AND ETHNIC MINORITY FAMILIES AND UNDERSERVED POPULATIONS. POPULATION: THE TARGETED CATCHMENT AREA INCLUDES THE AREA DEVELOPMENT DISTRICTS OF BIG SANDY (FLOYD, JOHNSON, MAGOFFIN, MARTIN, PIKE COUNTIES), BLUEGRASS (BOURBON, CLARK, ESTILL, FAYETTE, GARRARD, HARRISON, JESSAMINE, MADISON, POWELL), BUFFALO TRACE (FLEMING, LEWIS, MASON, ROBERTSON), CUMBERLAND (CLAY, HARLAN), FIVCO (BOYD, CARTER, ELLIOTT, GREENUP, LAWRENCE), GATEWAY (BATH, MENIFEE, MONTGOMERY, MORGAN, ROWAN), AND KY RIVER (BREATHITT, KNOTT, LESLIE, LETCHER, PERRY, WOLFE). THE POPULATION IS ANTICIPATED TO INCLUDE 88.1% WHO IDENTIFY AS WHITE, 5.7% BLACK, 3.2% MULTI-RACIAL, 1.5% ASIAN, 1.2% OTHER RACE, 0.2% NATIVE AMERICAN, 0.04% PACIFIC ISLANDER, AND 3.4% HISPANIC. MALES WILL ACCOUNT FOR 49.5%, FEMALES 50.5%, WITH 3.4% OF ADULTS WHO IDENTIFY AS LGBTQ+ WITH 26% RAISING CHILDREN. POVERTY, ACES, HEALTH DISPARITIES AND CRISIS ARE KEY FACTORS AFFECTING CHILDREN/FAMILIES. INTERVENTIONS: PROJECT STAFF WILL DEVELOP PARTNERSHIPS SO CHILDREN CAN ACCESS SCREENINGS, ASSESSMENTS, INTERVENTIONS, AND CARE TO QUICKY IDENTIFY AND ADDRESS ANY CONCERNS WHILE ALSO TRAINING PARENTS/GUARDIANS. THE PROJECT WILL ALSO TRAIN PRIMARY CARE PROVIDERS TO INTEGRATE BEHAVIORAL HEALTH CARE WHILE WORKING WITH EARLY CARE AND EDUCATIONAL PROVIDERS TO CONDUCT MENTAL HEALTH CONSULTATIONS AND SERVICES TO MEET THE NEEDS OF THEIR PROGRAMS. THE PROJECT WILL DEVELOP A YOUNG CHILD WELLNESS COUNCIL TO COORDINATE CARE BETWEEN CHILD/FAMILY SYSTEMS AND PROGRAMS, AND EDUCATE THE PUBLIC ABOUT EARLY CHILD DEVELOPMENT AND MENTAL HEALTH CARE. SERVICES WILL BE CULTURALLY/LINGUISTICALLY COMPETENT, AGE/DEVELOPMENTALLY APPROPRIATE, TRAUMA-INFORMED AND INDIVIDUALIZED TO EACH FAMILY. GOALS: MCCC WILL PROVIDE SERVICES FOR 75 CHILDREN/FAMILIES IN YEAR 1 INCREASING TO AT LEAST 150 ANNUALLY IN YEARS 2-5 (675 TOTAL). GOALS FOR THE TARGETED POPULATION INCLUDE: 1) IMPROVE THE WELLNESS OF YOUNG CHILDREN BY IDENTIFYING AND ADDRESSING CONCERNS RELATED TO THE SOCIAL, EMOTIONAL, COGNITIVE, PHYSICAL, AND BEHAVIORAL ASPECTS OF THEIR DEVELOPMENT, AND PROMOTING RESILIENCE; 2) IMPROVE THE CAPACITY OF ADULT CAREGIVERS TO PROMOTE HEALTHY SOCIAL/EMOTIONAL DEVELOPMENT BY DISSEMINATING EFFECTIVE/INNOVATIVE EARLY CHILDHOOD MENTAL HEALTH PRACTICES AND SERVICES; AND 3) IMPROVE EQUITABLE AND INCLUSIVE ACCESS TO HIGH QUALITY EDUCATION, CARE, AND RESOURCES, AND ENSURE EFFECTIVE PROJECT OPERATION BY IMPLEMENTING A YCWC AND CQI. OBJECTIVES ACHIEVED BY END OF EACH PROJECT YEAR INCLUDE: 1.1) PROVIDED SCREENING, ASSESSMENT, INTERVENTION, AND/OR REFERRALS SO 60% SHOW IMPROVEMENT IN THEIR FUNCTIONAL STATUS [AT 6-MONTH FOLLOW-UP]; 1.2) PROVIDED MENTAL HEALTH CONSULTATION IN EARLY CARE AND EDUCATION SO 60% SHOW IMPROVEMENT IN THEIR CAREGIVER OR RECOVERY ENVIRONMENT; 2.1) PROVIDED TRAINING ON HEALTHY, SAFE, SECURE ENVIRONMENTS FOR YOUNG CHILDREN SO 60% SHOW IMPROVEMENT IN THEIR PARENT/CARETAKER RELATIONSHIP OR INVOLVEMENT; 2.2) PROVIDED KNOWLEDGE, SKILLS, AND RESOURCES TO PARTNERS TO ADDRESS YOUNG CHILDREN’S/CAREGIVERS’ BEHAVIORAL HEALTH NEEDS WITHIN PRIMARY CARE SETTINGS THROUGH 16 TRAININGS; 3.1) CONDUCTED YCWC MEETINGS 4 TIMES/YEAR TO SUPPORT THE PROJECT AND IMPROVE COLLABORATION ACROSS CHILD/FAMILY-SERVING SYSTEMS/PROGRAMS; 3.2) MONITORED RACE, ETHNICITY, AND OTHER DATA AT LEAST 4 TIMES/YEAR TO ENSURE EQUITY/INCLUSION AMONG BIPOC POPULATIONS AND REVISE OUTREACH; 3.3) CONDUCTED CQI MEETINGS 4 TIMES/YEAR TO MONITOR GOALS/OBJECTIVES, DISPARITIES, AND ADJUST AS NEEDED.

BIG SANDY OPTIMAL HEALTH TEEN PREGNANCY PREVENTION PROGRAM - MOUNTAIN COMPREHENSIVE CARE CENTER (MCCC) IS REQUESTING $1,500,000 ANNUALLY OVER A 3-YEAR PROJECT PERIOD TO IMPLEMENT THE BIG SANDY OPTIMAL HEALTH TEEN PREGNANCY PREVENTION (TPP) PROGRAM TO IMPROVE THE OPTIMAL HEALTH OF YOUTH AGES 10-19 AND TO REDUCE TEEN PREGNANCY AND SEXUALLY TRANSMITTED INFECTIONS THROUGH A SYSTEMS THINKING APPROACH THAT REPLICATES EFFECTIVE TPP AND BEHAVIORAL HEALTH PROGRAMS WITH FIDELITY INCLUDING EVIDENCE-BASED AND TRAUMA INFORMED EDUCATION COUPLED WITH A COMPREHENSIVE ARRAY OF PROGRAM SPECIFIC AND COMMUNITY-BASED SERVICES WITHIN THE RURAL BIG SANDY REGION OF EASTERN KENTUCKY: A 1,989 SQUARE MILE AREA IN CENTRAL APPALACHIA COMPRISED OF FLOYD, JOHNSON, MAGOFFIN, MARTIN AND PIKE COUNTIES.WHILE THE NATION CONTINUES TO SEE DECLINING TEEN PREGNANCY RATES, THE BIG SANDY REGION, LOCATED IN THE CENTRAL APPALACHIA REGION OF KENTUCKY, CONTINUES TO BE STAGNANT AND NOT DECLINING AT THE SAME RATE AS THE REST OF THE COUNTY. RATES FOR 2015-2017 AVERAGED 46.5 PER 1,000 FEMALES AGES 15-19 WITH FLOYD AT 55.9, JOHNSON 30.3, MAGOFFIN HIGHEST AT 57.3, MARTIN AT 50.7 AND PIKE AT 38.2 ? ALL OF WHICH ARE HIGHER THAN KENTUCKY AT 29.7 AND MORE THAN DOUBLES (228%) THE U.S. AT 20.4 ALTHOUGH RATES FOR THE NATION HAVE FURTHER DROPPED TO 17.4.THE TPP WILL SERVE ANY ELIGIBLE YOUTH WITHIN THE SERVICE AREA AND WILL SPECIFICALLY TARGET THE FOLLOWING HIGH-RISK POPULATIONS FOUND TO HAVE THE GREATEST NEED AND DISPARITIES AS THE BIG SANDY REGION EXPERIENCES SIGNIFICANT HEALTH, ECONOMIC, AND SOCIAL CHALLENGES: 1) YOUTH INVOLVED IN THE CHILD WELFARE SYSTEM; AND 2) YOUTH STRUGGLING WITH BEHAVIORAL HEALTH ISSUES, INCLUDING MENTAL HEALTH AND SUBSTANCE USE DISORDERS. MCCC ANTICIPATES THAT THERE ARE APPROXIMATELY 2,400 YOUTH WHO FIT INTO ONE OR BOTH OF THE PROPOSED POPULATIONS OF FOCUS WITHIN THE SERVICE AREA, WITH 600 REQUIRED TO BE SERVED ON AN ANNUAL BASIS AND 1,800 SERVED OVER THE LIFE OF THE GRANT THROUGH REPLICATION OF AN EFFECTIVE PROGRAM, AND ALL LIKELY TO REC EIVE AT LEAST ONE OR MORE SUPPORTIVE SERVICES. THESE ROBUST SERVICE NUMBERS WILL BE ACCOMPLISHED THROUGH UTILIZING COMMUNITY PARTNERSHIPS AND AN APPROPRIATE NUMBER OF TPP STAFF TO PROVIDE CULTURALLY AND AGE APPROPRIATE, MEDICALLY ACCURATE, AND TRAUMA-INFORMED EFFECTIVE PROGRAMS. POPULATION NUMBERS WILL BE UPDATED AS NEW COMMUNITY AND PROGRAM LEVEL DATA IS AVAILABLE TO ENSURE A SATURATION OF AT LEAST 25% OF THE POPULATION OF FOCUS ON A CONTINUOUS BASIS.THIS GRANT WOULD ALLOW MCCC TO UTILIZE MULTIPLE LEVERAGE POINTS TO SATURATE THE BIG SANDY REGION WITH EFFECTIVE PROGRAMS AND SUPPORTIVE SERVICES FOCUSED ON CHANGING INDIVIDUAL ATTITUDES, EFFICACY, AND BEHAVIORS, AS WELL AS IMPROVING COMMUNITY-LEVEL KNOWLEDGE AND ATTITUDES. AS SUCH, MCCC HAS DETERMINED THAT IT WILL: 1) IMPLEMENT DIRECT TPP SERVICES, INCLUDING: MENTAL HEALTH AND SUBSTANCE ABUSE COUNSELING/THERAPY, PEER MENTORING, CASE MANAGEMENT, FAMILY STRENGTHENING, AND BUILDING SOCIAL/EMOTIONAL CAPITAL IN YOUTH INCLUSIVE OF YOUTH-LED STRATEGIES WITH THE EXPRESS PURPOSE OF IMPROVING THE OPTIMAL HEALTH OF YOUTH WITHIN THE TAG FRAMEWORK; 2) PROVIDE TPP EDUCATION (REDUCING THE RISK) THROUGHOUT THE SERVICE AREA TO REDUCE TEEN PREGNANCY AND SEXUALLY TRANSMITTED INFECTIONS THROUGH A SYSTEMS THINKING APPROACH THAT REPLICATES EBPS AND TRAUMA INFORMED PROGRAMS WITH FIDELITY; 3) DELIVER TPP EDUCATION TRAINING OPPORTUNITIES FOR PROGRAM EDUCATION PARTNERS; AND 4) OVERSEE THE TPP ADVISORY COUNCIL COMPROMISED OF COMMUNITY PARTNERS, YOUTH PARTICIPANTS AND THEIR FAMILIES TO ENSURE THE TPP INCORPORATES INPUT FROM YOUTH, PARENTS/CAREGIVERS, AND THE COMMUNITY THROUGHOUT THE PLANNING, IMPLEMENTATION AND EVALUATION OF THE PROJECT TO DRIVE A RESPONSIVE AND TRANSFORMATIVE PROJECT THAT BEST MEETS THE NEEDS OF THE POPULATION AND TO IMPLEMENT A CQI PLAN WITH FIDELITY.

COMMUNITIES OF HOPE PROGRAM

MOUNTAIN COMPREHENSIVE CARE CENTER SAMHSA FY23 ACT PROGRAM - MCCC IS APPLYING FOR FUNDING UNDER THE FY23 ASSERTIVE COMMUNITY TREATMENT (ACT) PROGRAM TO EXPAND THE ORGANIZATION’S CURRENT ACT PROGRAMMING FOR TRANSITION-AGED YOUTH AND ADULTS WITH SERIOUS MENTAL ILLNESS (SMI) OR SERIOUS EMOTIONAL DISTURBANCE (SED). THE NEED FOR THIS PROJECT AND THE EXPANSION AND MAINTENCE OF PROGRAMMING STEMS FROM THE INCREASE IN MENTAL ILLNESS THAT HAS BEEN SEEN DUE TO DIRECT IMPACTS OF THE COVID-19 PANDEMIC, COMPOUNDED BY THE RURAL COMMUNITY AND THE STAFFING CHALLENGES IN FINDING LICENSED BEHAVIORAL HEALTH PROVIDERS THAT CAN PROVIDE THE CARE RESIDENTS NEED AT AN AFFORDABLE COST WITHIN THE COMMUNITY. OBJECTIVE 1: BY THE END OF THE 5-YEAR GRANT PERIOD, AT LEAST 70% OF CONSUMERS WILL REDUCE THEIR USE OF INPATIENT SERVICES (E.G., RESIDENTIAL, HOSPITALIZATION) AS A RESULT OF SMI OR COD. OBJECTIVE 2: BY THE END OF THE 5-YEAR GRANT PERIOD, AT LEAST 60% OF CONSUMERS WILL REDUCE THEIR SUBSTANCE USE. OBJECTIVE 3: BY THE END OF THE 5-YEAR GRANT PERIOD, AT LEAST 65% OF CONSUMERS WILL REDUCE THEIR RATE OF HOSPITALIZATION THROUGH INTEGRATED PRIMARY HEALTH CARE OFFERED BY MCCC. OBJECTIVE 4: BY THE END OF THE 5-YEAR GRANT PERIOD, AT LEAST 40% OF CONSUMERS WHO SMOKE WILL ENGAGE IN TOBACCO CESSATION SERVICES TO REDUCE THEIR PAST 30-DAY USE. OBJECTIVE 5: BY THE END OF THE 5-YEAR GRANT PERIOD, AT LEAST 70% OF CONSUMERS WILL REDUCE THE NUMBER OF DAYS OF HOMELESSNESS. OBJECTIVE 6: BY THE END OF THE 5-YEAR GRANT PERIOD, AT LEAST 65% OF CONSUMERS WILL INCREASE THEIR USE OF RECOVERY/PEER SUPPORT SERVICES. OBJECTIVE 7: BY THE END OF THE 5-YEAR GRANT PERIOD, AT LEAST 60% OF CONSUMERS WILL IMPROVE THEIR EMPLOYMENT STATUS AND/OR ACCESS TO DISABILITY BENEFITS. OBJECTIVE 8: BY THE END OF THE 5-YEAR GRANT PERIOD, AT LEAST 80% OF CONSUMERS WILL INCREASE THEIR ACCESS TO ELIGIBLE PUBLIC BENEFITS/HEALTH INSURANCE. OBJECTIVE 9: EXPAND THE ORGANIZATION’S CURRENT ACT PROGRAM, IDENTIFYING BEST PRACTICES AND LESSONS LEARNED FROM THE ORGANIZATION’S CURRENT PROGRAMMING, EXPANDING ACCESS TO ACT SERVICES BY AT LEAST 330 CONSUMERS OVER THE FIVE-YEAR PROGRAM. OBJECTIVE 10: REVIEW THE ORGANIZATION’S STANDARDIZED POLICIES AND PROCEDURES FOR PROGRAM ADMISSION, SERVICE PROVISION, AND TRANSITIONS TO A LESS INTENSIVE LEVEL OF CARE, AS APPROPRIATE, REVIEWING THESE POLICIES BY END OF THE FIRST YEAR OF FUNDING AND CONTINUOUSLY REVIEWING OVER THE COURSE OF FUNDING AND BEYOND. OBJECTIVE 11: EXPAND CORE ACT SERVICES, INCLUDING COMPREHENSIVE ASSESSMENT, CRISIS, ILLNESS MANAGEMENT/RECOVERY, INDIVIDUAL SUPPORTIVE THERAPY, SUD TREATMENT, PEER/FAMILY SUPPORT, EMPLOYMENT PROGRAMMING, ASSISTANCE WITH DAILY LIVING, ENHANCING SUPPORT NETWORKS, CASE COORDINATION AND PSYCHOTROPIC MEDICATION SERVICES, INCREASING THE NUMBER OF ACTIVE ATTENDEES IN PROGRAMMING BY AT LEAST 50 IN THE FIRST YEAR. OBJECTIVE 12: ENHANCE A SUSTAINABILITY PLAN THAT WILL EQUIP PROVIDERS WITH THE KNOWLEDGE, SKILLS AND RESOURCES TO ADDRESS SMI AND SED AND CONNECT WITH VULNERABLE POPULATIONS TO REDUCE MORTALITY AND HOSPITALIZATIONS. OBJECTIVE 13: MCCC WILL CONDUCT BASIC ACT TRAINING, UTILIZING THE SAMHSA USING MULTIMEDIA TO INTRODUCE YOUR EBP TOOL, ACROSS COMMUNITY ORGANIZATIONS, PROVIDING AT LEAST 10 TRAININGS EACH YEAR OF PROGRAMMING. OBJECTIVE 14: MCCC WILL CONDUCT MORE INTENSIVE TRAINING FOR MCCC STAFF INCLUDING THE SAMHSA TRAINING FRONTLINE STAFF AND EVALUATING YOUR PROGRAM SESSIONS, ENSURING 100% OF APPLICABLE STAFF HAVE ACCESS TO INTENSIVE ACT TRAINING TO CARRY OUT THEIR DAILY JOB FUNCTIONS. OBJECTIVE 15: MCCC WILL ENHANCE THE ORGANIZATION’S SUSTAINABILITY PLAN THAT WILL FOCUS ON ENSURING ALL SERVICES ARE BILLED MONTHLY UNDER MEDICAID BILLING RATES, MONITOR CHANGES ACROSS BILLABLE SERVICES AND WORK TO IDENTIFY STATE AND FEDERAL FUNDING TO CONTINUE THE EXPANSION OF THIS PROGRAM. NUMBER OF UNDUPLICATED INDIVIDUALS TO BE SERVED WITH AWARD FUNDS YEAR 1: 50, YEAR 2: 70, YEAR 3: 70, YEAR 4: 70, YEAR 5: 70

CENTRAL KY MAT PROGRAM - MOUNTAIN COMPREHENSIVE CARE CENTER (MCCC) WILL EXPAND ACCESS TO THE CENTRAL KY MEDICATION-ASSISTED TREATMENT (MAT) PROGRAM FOR HOMELESS AND VERY LOW-INCOME PERSONS, AGES 18 AND OVER, WITH AN OPIOID USE DISORDER SEEKING OR RECEIVING MAT IN BOURBON, CLARK AND HARRISON COUNTIES SITUATED IN EAST CENTRAL KY WITH CLARK LOCATED IN CENTRAL APPALACHIA AND BOURBON AND HARRISON ADJACENT. MAT WILL BE SUPPORTED BY PSYCHOSOCIAL SERVICES, INTEGRATED PRIMARY/MENTAL CARE, AND WRAPAROUND SERVICES TO SUPPORT ACCESS TO AND RETENTION IN RECOVERY. POPULATION: MCCC WILL SERVE HOMELESS AND VERY LOW-INCOME PERSONS WITH AN OPIOID USE DISORDER SEEKING OR RECEIVING MAT AT THE HOMEPLACE CLINICS SERVING BOURBON, CLARK AND HARRISON COUNTIES, A REGION OF SIGNIFICANT BEHAVIORAL HEALTH DISPARITIES INCLUDING HIGH RATES OF OPIOID OVERDOSES AND HOSPITALIZATIONS AS COMPOUNDED BY THE COVID-19 PANDEMIC. IT IS ANTICIPATED THAT ALL CLIENTS WILL BE AGE 18 OR OLDER. WITHIN THE POPULATION, IT IS ANTICIPATED THAT MANY CLIENTS WILL HAVE CO-OCCURRING MENTAL HEALTH DISORDERS AND CO-MORBID MEDICAL CONDITIONS. INTERVENTIONS: IN ADDITION TO MAT USING FDA-APPROVED MEDICATIONS, THE SERVICE MODEL WILL UTILIZE THE PATIENT CENTERED MEDICAL HOME WHILE ADJUNCT PSYCHOSOCIAL SERVICES WILL UTILIZE THE EVIDENCE-BASED PRACTICES OF COMPREHENSIVE OPIOID RESPONSE WITH TWELVE STEPS, COGNITIVE BEHAVIORAL THERAPY, MOTIVATIONAL INTERVIEWING, AND TRAUMA-INFORMED CARE. THESE EBPS HAVE BEEN SHOWN TO BE EFFECTIVE FOR THE TARGETED POPULATION AND FOR ADDRESSING SUD/OUD AND COD. THE PROJECT WILL ALSO INTEGRATE PRIMARY CARE, CASE MANAGEMENT/CARE COORDINATION, AND PEER SUPPORTS TO ENSURE A HOLISTIC SERVICES APPROACH WHILE OFFERING 3 MONTHS OF FOLLOW-UP UPON EXIT. GOALS & OBJECTIVES: MCCC WILL SERVE 60 UNDUPLICATED PARTICIPANTS IN YEAR 1 MOVING TO 120 ANNUALLY IN YEARS 2-5 FOR A TOTAL OF 540 SERVED OVER THE 5-YEAR PROJECT PERIOD. GOALS ARE TO IMPROVE THE HEALTH OF THE TARGETED POPULATION BY EXPANDING ACCESS TO EVIDENCE-BASED MAT ALONG WITH COMPREHENSIVE OUD PSYCHOSOCIAL SERVICES; IMPROVE STABILITY BY ENHANCING ACCESS TO COMPREHENSIVE RECOVERY AND WRAPAROUND SUPPORT SERVICES; AND IMPROVE EFFECTIVE PROJECT IMPLEMENTATION AND EVALUATION BY CONDUCTING CQI. BY THE END OF EACH PROJECT YEAR, PROGRAM PARTICIPANTS OF THE TARGETED POPULATION WILL MEET THE FOLLOWING OBJECTIVES: 1) 70% WILL REPORT ABSTINENCE FROM ILLICIT OPIOID DRUG USE AND PRESCRIPTION OPIOID MISUSE; 2) 65% WILL REPORT A STABLE LIVING ARRANGEMENT; 3) 60% WILL REPORT EMPLOYMENT, PARTICIPATION IN THE EMPLOYMENT PROCESS OR RECEIPT OF DISABILITY BENEFITS; 4) 70% WILL STILL BE ACTIVELY PARTICIPATING/RETAINED IN SERVICES AT THE 6-MONTH FOLLOW-UP; AND 5) 70% WILL REPORT POSITIVE SOCIAL CONNECTIONS. THROUGHOUT THE 5-YEAR GRANT PERIOD, THE TEAM WILL ACHIEVE A SIX-MONTH FOLLOW UP RATE OF AT LEAST 80%, AND THE PROJECT DIRECTOR WILL CONDUCT AT LEAST QUARTERLY PROJECT MANAGEMENT TEAM MEETINGS WITH MCCC AND COMMUNITY AGENCIES TO COORDINATE AND MONITOR TREATMENT/SYSTEMS LINKAGES, AND GOALS, OBJECTIVES, AND OUTCOMES. MOREHEAD STATE UNIVERSITY WILL CONDUCT AN INDEPENDENT PROJECT EVALUATION INCLUDING OUTCOME EVALUATION AND LOCAL PERFORMANCE ASSESSMENT.

MOUNTAIN CENTER (COMPREHENSIVE OPIOID RECOVERY CENTER) - MOUNTAIN COMPREHENSIVE CARE CENTER WILL IMPLEMENT MOUNTAIN CENTER TO PROVIDE A FULL SPECTRUM OF TREATMENT, HARM REDUCTION, AND RECOVERY SUPPORTS TO ADDRESS THE OPIOID EPIDEMIC AND ENSURE ACCESS TO ALL 3 FDA APPROVED MEDICATIONS FOR OPIOID USE DISORDER. THE POPULATION OF FOCUS INCLUDES INDIVIDUALS WITH SUBSTANCE/OPIOID USE OR CO-OCCURRING DISORDERS, AND WHO ARE NOT COVERED BY PUBLIC OR COMMERCIAL HEALTH INSURANCE OR FOR WHOM COVERAGE HAS BEEN FORMALLY DETERMINED TO BE UNAFFORDABLE, OR FOR SERVICES THAT ARE NOT SUFFICIENTLY COVERED BY AN INDIVIDUAL’S HEALTH INSURANCE PLAN. POPULATION: THE CATCHMENT AREA INCLUDES KY’S 120 COUNTIES WITH AN EMPHASIS ON THE 54 RURAL COUNTIES WITHIN APPALACHIA WHICH HAVE RATES OF AGE-ADJUSTED DRUG OVERDOSE DEATHS WELL ABOVE THE U.S. AVERAGE. DEMOGRAPHICS OF THE POPULATION ARE ANTICIPATED TO INCLUDE: 94.9% WHITE, 2.2% MULTIRACIAL, 1.8% BLACK, 0.5% OTHER RACE, 1.7% HISPANIC, 0.7% WITH LEP; 53% MEN, 46% WOMEN, 1% TRANSGENDER, 8% LGBTQ+, AND 100% AGES 18+. THE TARGETED AREA EXPERIENCES ECONOMIC DISPARITIES WITH USE OF OPIOIDS, STIMULANTS, AND POLYSUBSTANCES ALONG WITH CO-OCCURRING DEPRESSION AND/OR ANXIETY. IT IS DEDUCED THAT MOST WILL BE UNINSURED OR UNDERINSURED REGARDING NEEDED TREATMENT AND/OR RECOVERY SUPPORTS. INTERVENTIONS: MCCC WILL PROVIDE A FULL CONTINUUM OF TREATMENT, HARM REDUCTION, AND RECOVERY SERVICES DIRECTLY THROUGH MOUNTAIN CENTER. ALL CLIENTS WILL ENTER THE RESIDENTIAL PROGRAM WITH TRANSFER OF CARE TO ONSITE INTENSIVE OUTPATIENT TREATMENT OR DISCHARGE TO THE COMMUNITY AND PARTICIPATION IN OUTPATIENT TREATMENT AND/OR RECOVERY GROUPS. INTERVENTIONS ACROSS ALL LEVELS OF CARE INCLUDE TRAUMA-INFORMED CARE, MOTIVATIONAL INTERVIEWING, MOUD, INDIVIDUAL AND GROUP THERAPY, PARENTING CLASSES, ANGER MANAGEMENT, FAMILY COUNSELING (UPON REQUEST), PARTICIPATION IN SUPPORT GROUPS, PEER/RECOVERY SUPPORTS, AND AFTERCARE PLANNING. EBPS INCLUDE MI, MOUD, COGNITIVE BEHAVIORAL THERAPY (SEEKING SAFETY, LIVING IN BALANCE), AND PEER SUPPORT SERVICES. MCCC WILL INTEGRATE MENTAL AND PRIMARY HEALTH CARE, CARE COORDINATION, ENROLLMENT IN BENEFITS, PEER/RECOVERY SUPPORTS, AND OFFER FOLLOW-UP UPON EXIT. FURTHER, STAFF WILL EDUCATE ON OVERDOSE PREVENTION/MEDICATIONS AS WELL AS DISTRIBUTE MEDICATIONS TO THE POPULATION, FAMILIES, AND COMMUNITY WHILE ALSO CONDUCTING OUTREACH AND DISSEMINATING PROJECT INFORMATION. GOALS: MCCC WILL SERVE 120 CLIENTS YEARLY IN YEARS 1 & 4 WITH 180 IN YEARS 2 & 3 (TOTAL 600). GOALS FOR THE TARGETED POPULATION INCLUDE: 1) IMPROVE HEALTH BY PROVIDING TRAUMA-INFORMED AND EVIDENCE-BASED HARM REDUCTION SERVICES, COMPREHENSIVE BEHAVIORAL HEALTH TREATMENT/ACCESS TO MOUD, AND INTEGRATED PRIMARY CARE; 2) IMPROVE STABILITY BY PROVIDING AND/OR COORDINATING COMPREHENSIVE FAMILY/PERSON-CENTERED RECOVERY SERVICES; AND 3) ESTABLISH AN EQUITABLE AND EFFECTIVE INFRASTRUCTURE, AND ENSURE PROVISION OF INCLUSIVE AND HIGH-QUALITY SERVICES. OBJECTIVES ACHIEVED BY END OF EACH PROJECT YEAR INCLUDE: 1.1) CONDUCTED OUTREACH/HARM REDUCTION SO 120 ARE SERVED IN YEARS 1 & 4 AND 180 IN YEARS 2 & 3; 1.2) COORDINATED ACCESS TO INDIVIDUALIZED OUD/SUD TREATMENT (FDA MEDICATIONS) SO 60% REPORT A REDUCTION IN SUBSTANCE USE [AT 6-MONTH FOLLOW-UP]; 1.3) INTEGRATED MENTAL DISORDERS TREATMENT SO 50% OR LESS REPORT ANY MH SYMPTOMS; 1.4) PROVIDED LINKAGES TO PRIMARY CARE SO 65% REPORT HEALTH AS “GOOD” OR ABOVE; 2.1) PROVIDED AND/OR COORDINATED ACCESS TO PEER SUPPORTS SO 60% REPORT POSITIVE SOCIAL CONNECTIONS; 2.2) COORDINATED ACCESS TO FAMILY/RECOVERY SUPPORTS SO 50% REPORT ENGAGEMENT IN EMPLOYMENT/EDUCATION, AND/OR BENEFITS ENROLLMENT; 2.3) PROVIDED PERSON-CENTERED CARE COORDINATION SO 50% REPORT HOUSING STABILITY AND 60% NO FURTHER ARRESTS; 3.1) ENSURED PUBLIC ACCESS TO SUD/OUD/COD RESOURCES; 3.2) MONITORED INDICATORS OF ENROLLEES EACH QUARTER TO ENSURE EQUITY/INCLUSION AND REVISE ENGAGEMENT AS NEEDED; 3.3) CONDUCTED MEETINGS QUARTERLY TO COORDINATE SERVICES, MONITOR GOALS/OBJECTIVES, CQI, AND DEVELOP A SUSTAINABILITY PLAN.

STRENGTHENING & ASSISTING FAMILIES IN EASTERN KY (SAFE)

BIG SANDY HEALTHY WORKFORCE PROGRAM

BIG SANDY OFFENDER REENTRY PROGRAM

SERENITY HOUSE - THROUGH SERENITY HOUSE, MOUNTAIN COMPREHENSIVE CARE CENTER (MCCC) WILL PROVIDE COMPREHENSIVE RESIDENTIAL SUD TREATMENT, RECOVERY SUPPORT AND HARM REDUCTION SERVICES FOR THE POPULATION OF FOCUS TO INCLUDE LOW-INCOME PREGNANT OR POSTPARTUM WOMEN (PPW), AGES 18+, WHO HAVE A SUD OR CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDER, AND HAVE LIMITED ACCESS TO QUALITY SERVICES. REQUIRED SERVICES WILL ALSO BE PROVIDED FOR MINOR CHILDREN, PARTNERS AND EXTENDED FAMILY MEMBERS OF PPW AND CHILDREN, AS REQUESTED BY PPW. WHILE SERENITY IS LOCATED IN MARTIN COUNTY, KY, THE SERVICE AREA WILL INCLUDE ALL OF KY’S 120 COUNTIES WITH AN EMPHASIS ON THE 54 RURAL COUNTIES WITHIN APPALACHIA WHICH EXPERIENCE THE GREATEST DISPARITIES. POPULATION: THE PROJECT WILL TARGET RURAL, LOW-INCOME WOMEN, AGES 18 AND OVER, WHO ARE PREGNANT OR POSTPARTUM AND HAVE A SUD OR COD, THEIR MINOR CHILDREN (AGES 17 AND UNDER) AND PARTNERS OR OTHER FAMILY MEMBERS WHO CHOOSE TO PARTICIPATE IN SERVICES. THE PROJECT WILL INCLUDE ALL OF KY’S 120 COUNTIES WITH AN EMPHASIS ON SERVING THE 54 RURAL COUNTIES WITHIN THE APPALACHIAN REGION. METHAMPHETAMINES, MARIJUANA, NON-PRESCRIPTION OPIOIDS, IDU, AND POLYSUBSTANCE USE ARE THE DRUGS OF CHOICE WHILE CO-OCCURRING ISSUES SUCH AS ANXIETY, DEPRESSION, AND A HISTORY OF TRAUMATIC EXPERIENCES ARE ALSO PREVALENT. STRATEGIES/INTERVENTIONS: THE PROJECT WILL UTILIZE THE EVIDENCE-BASED PRACTICES OF MOTIVATIONAL INTERVIEWING, COMPREHENSIVE OPIOID RESPONSE WITH TWELVE STEPS (AS COORDINATED WITH THE AGENCY’S HOMEPLACE CLINIC FOR MAT), LIVING IN BALANCE, SEEKING SAFETY, AND COGNITIVE BEHAVIORAL THERAPY WHICH IS PREVALENT IN THESE INTERVENTIONS AS WELL AS IN THE MATRIX FAMILY PROGRAM AND IN ADDRESSING CO-OCCURRING MENTAL HEALTH AND TRAUMA. ALL INTERVENTIONS WILL BE CONDUCTED THROUGH A TRAUMA-INFORMED CARE APPROACH AND WILL BE CULTURALLY AND LINGUISTICALLY-COMPETENT. TREATMENT WILL BE INTEGRATED WITH MENTAL HEALTH CARE, VICTIM SERVICES, HEALTH CARE, CASE MANAGEMENT, PEER AND RECOVERY-ORIENTED SUPPORTIVE SERVICES, AND CHILD AND FAMILY SERVICES. GOALS & OBJECTIVES: MCCC WILL SERVE 24 PPW, 27 CHILDREN, AND 12 FAMILY MEMBERS FOR A TOTAL OF 63 PERSONS ANNUALLY AND 315 PERSONS ACROSS THE 5-YEAR PROJECT PERIOD INCLUDING 120 PPW, 135 CHILDREN, AND 60 FAMILY MEMBERS. GOALS INCLUDE: 1) IMPROVE THE HEALTH OF LOW-INCOME PPW BY EXPANDING ACCESS TO COMPREHENSIVE, INTEGRATED AND EVIDENCE-BASED SUD TREATMENT, MENTAL HEALTH AND PRIMARY HEALTH CARE; 2) IMPROVE STABILITY (OF THE TARGETED POPULATION) BY EXPANDING ACCESS TO HOLISTIC RECOVERY AND WRAPAROUND SUPPORTIVE SERVICES; 3) REDUCE HEALTH CARE DISPARITIES FOR MINOR CHILDREN, FATHERS OF CHILDREN, PARTNERS OR OTHER FAMILY MEMBERS OF LOW-INCOME PPW BY INTEGRATING EVIDENCE-BASED SERVICES; AND 4) IMPROVE EFFECTIVE PROJECT IMPLEMENTATION AND EVALUATION BY CONDUCTING CQI. KEY OBJECTIVES FOR PPW SERVED BY THE END OF EACH PROJECT PERIOD INCLUDE: 70% DECREASED USE OF PRESCRIPTION DRUGS, ALCOHOL, ILLICIT AND OTHER HARMFUL DRUGS; 50% DECREASED PSYCHOLOGICAL/EMOTIONAL PROBLEMS; 70% IMPROVED HEALTH; 50% PARTICIPATED IN THE WORKFORCE OR EMPLOYMENT/EDUCATION PROCESS AND/OR RECEIVED ELIGIBLE BENEFITS; 70% HAD POSITIVE SOCIAL CONNECTIONS; 75% DEVELOPED A PCP TO IDENTIFY/ADDRESS THEIR ONGOING RECOVERY NEEDS/SOCIAL DETERMINANTS OF HEALTH; 27 CHILDREN OF PPW WERE LINKED TO DESIRED CARE; 12 FATHERS OF CHILDREN, PARTNERS OR OTHER FAMILY MEMBERS OF PPW WERE LINKED TO DESIRED CARE; 70% IMPROVED FUNCTIONING AND/OR FAMILY REUNIFICATION, AS APPROPRIATE; AND THROUGHOUT THE 5-YEAR PROJECT PERIOD MCCC STAFF WILL HAVE COORDINATED WITH ITS QUICK RESPONSE TEAM TO CONDUCT EVIDENCE-BASED HARM REDUCTION SERVICES AND LINK PPW TO THE PROJECT; AND CONDUCTED QUARTERLY PROJECT MANAGEMENT TEAM MEETINGS TO COORDINATE/MONITOR SERVICES, STATUS OF GOALS/OBJECTIVES/OUTCOMES, AND ENSURED CQI. THE UNIVERSITY OF KY WILL CONDUCT AN INDEPENDENT EVALUATION OF THE PROJECT.

NATIONAL CHILD TRAUMATIC STRESS INITIATIVE ? CATEGORY III, COMMUNITY TREATMENT AND SERVICE CENTERS(HOPE INITIATIVE) - MOUNTAIN COMPREHENSIVE CARE CENTER (MCCC), A CURRENT NCTSI-III GRANTEE, WILL CONTINUE THE HOPE INITIATIVE TO INCREASE ACCESS TO AND PROVIDE EVIDENCE-BASED AND TRAUMA-FOCUSED TREATMENT AND SERVICES FOR CHILDREN/ADOLESCENTS BIRTH TO AGE 17 AND THEIR FAMILIES WHO EXPERIENCE TRAUMATIC EVENTS WITHIN THE 8 ADJACENT COUNTIES OF BREATHITT, FLOYD, JOHNSON, KNOTT, MAGOFFIN, MARTIN, PERRY AND PIKE COUNTIES LOCATED IN EASTERN KY AND CENTRAL APPALACHIA. POPULATION: THE POPULATION OF FOCUS IS CHILDREN/ADOLESCENTS BIRTH TO AGE 17 AND THEIR FAMILIES WHO EXPERIENCE TRAUMATIC EVENTS WITHIN THE 8 TARGETED COUNTIES. THE POPULATION WILL BE RURAL AND INCLUDES AT-RISK POPULATIONS, LGBTQ AND THOSE WITH COMPLEX TRAUMA (E.G., EXPOSURE TO PARENTAL BEHAVIORAL HEALTH ISSUES, DOMESTIC VIOLENCE, CHILD ABUSE, PARENTAL DEPLOYMENT OR INCARCERATION), AND DEMOGRAPHICALLY WILL MIRROR THE GENERAL PUBLIC. BASED ON DATA FROM THE CURRENT PROJECT, IT IS ANTICIPATED THAT 35% OF YOUTH MAY BE MALE, 63% FEMALE, AND 2% TRANSGENDER OR GENDER FLUID. ALL COUNTIES ARE RURAL, “DISTRESSED,” AND AMONG THE NATION’S WORST 10% FOR ECONOMIC INEQUITIES. INTERVENTIONS: MCCC WILL USE THE EVIDENCE-BASED PRACTICES OF TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY, COGNITIVE BEHAVIORAL THERAPY, AND CHILD-PARENT PSYCHOTHERAPY AS WELL AS ENSURING A TRAUMA-INFORMED CARE APPROACH TO ALL SERVICES. MCCC WILL CONDUCT COMPREHENSIVE, CULTURALLY-APPROPRIATE OUTREACH AND TRAINING FOR CHILD-SERVING SYSTEMS AND COMMUNITY PARTNERS TO INCREASE ACCESS TO TRAUMA-FOCUSED CARE AS WELL AS PROVIDE DIRECT OUTPATIENT EVIDENCE-BASED AND TRAUMA-FOCUSED TREATMENT AND SERVICES INCLUDING THERAPY, CARE MANAGEMENT, PREVENTION, WRAPAROUND SERVICES AND FOLLOW-UP FOR UP TO 6 MONTHS POST DISCHARGE TO ENSURE ONGOING STABILITY. GOALS/OBJECTIVES: THE PROJECT WILL SERVE 150 YOUTH IN YEAR 1 AND 200 ANNUALLY IN YEARS 2-5 FOR A TOTAL OF 950 OVER THE 5-YEAR PERIOD. GOALS ARE TO INCREASE ACCESS TO EFFECTIVE TRAUMA-FOCUSED TREATMENT AND SERVICES SYSTEMS FOR CHILDREN/ADOLESCENTS (0-17) AND THEIR FAMILIES WHO EXPERIENCE OR WITNESS TRAUMATIC EVENTS; IMPROVE PROVISION OF EFFECTIVE TRAUMA-FOCUSED TREATMENT AND SERVICES SYSTEMS; AND MAINTAIN EFFECTIVE PROJECT IMPLEMENTATION AND EVALUATION BY CONDUCTING CQI ACTIVITIES. OBJECTIVES INCLUDE: TRAINING 5 LOCAL, REGIONAL AND/OR STATE SERVICES SYSTEMS AND COMMUNITY PARTNERS ANNUALLY ABOUT TRAUMA, SERVICES, IDENTIFICATION, AND REFERRAL PROTOCOLS; COLLABORATE QUARTERLY WITH NCTSI CENTERS TO DEVELOP, ADVANCE AND ADAPT INTERVENTIONS TO IMPROVE ENGAGEMENT/OUTCOMES FOR TRAUMATIZED YOUTH; CONDUCT 150 SCREENINGS AND ASSESSMENTS IN YEAR 1, AND 200 ANNUALLY IN YEAR 2-5, TO IDENTIFY PARTICIPANTS IN NEED OF TREATMENT/SERVICES AND CONNECT TO THE APPROPRIATE CARE; PROVIDE DIRECT EVIDENCE-BASED OUTPATIENT MENTAL DISORDER TREATMENT, CARE MANAGEMENT, THERAPY, PREVENTION, ADVOCACY, WRAPAROUND SERVICES SO THAT 70% OF CLIENTS SERVED SHOW AN IMPROVEMENT IN THEIR SOCIAL AND/OR BEHAVIORAL FUNCTIONING; PROVIDE AND/OR COORDINATE TRAINING IN EVIDENCE-BASED PRACTICES FOR 10 PROJECT STAFF; AND CONDUCT QUARTERLY PROJECT MANAGEMENT TEAM MEETINGS TO MONITOR OUTCOMES, AND ENSURE CQI. MOREHEAD STATE UNIVERSITY WILL CONDUCT AN INDEPENDENT PROJECT EVALUATION INCLUDING PROCESS AND OUTCOMES EVALUATION.

MCCC ZERO SUICIDE INITIATIVE

SERENITY HOUSE (SERVICES GRANT PROGRAM FOR RESIDENTIAL TREATMENT FOR PPW)

CHILD TRAUMATIC STRESS INITIATIVE

MCCC FAMILY HOPE PROJECT

PATHWAYS HOME - MOUNTAIN COMPREHENSIVE CARE CENTER WILL IMPLEMENT THE PATHWAYS HOME PROJECT TO OFFER COMPREHENSIVE, COORDINATED, AND EVIDENCE-BASED SERVICES FOR INDIVIDUALS, YOUTH, AND FAMILIES WITH SMI, SED OR COD WHO ARE EXPERIENCING HOMELESSNESS OR AT IMMINENT RISK IN THE SERVICE AREA OF FLOYD, JOHNSON, LAWRENCE, MAGOFFIN, MARTIN, MORGAN, PIKE, AND ROWAN COUNTIES IN EASTERN KY. POPULATION: BASED ON DATA FROM THE KY BALANCE OF STATE COC, WHICH SERVES THE CATCHMENT AREA AND WILL COORDINATE WITH MCCC ON OUTREACH, TREATMENT, AND SERVICES, IT IS SURMISED THAT 85% OF THE TARGETED POPULATION WILL IDENTIFY AS WHITE WITH MINORITY POPULATIONS HIGHER THAN THE GENERAL PUBLIC INCLUDING 12% BLACK, 2% MULTIRACIAL, 1% OTHER RACES, 2% HISPANIC, AND 0.5% LEP. MEN WILL ACCOUNT FOR 58%, WOMEN 41%, TRANSGENDER 1%, LGBTQ+ 6%, AND VETERANS 3%. REGARDING AGE, 67% WILL BE ADULTS AGES 25+, 6% TRANSITIONAL-AGE YOUTH (AGES 18-24), AND 27% FAMILIES (61% CHILDREN/YOUTH, 39% ADULTS). THE PROJECT WILL TARGET UNDERSERVED PERSONS WHO ARE RURAL, IDENTIFY AS LGBTQ+, AND DEVELOP INCLUSIVE STRATEGIES TO INCREASE ACCESS FOR RACIAL AND ETHNIC MINORITIES. LOCATED IN EASTERN KY AND APPALACHIA, THE TARGETED POPULATION IS ANTICIPATED TO EXPERIENCE EVEN MORE DISPARITIES THAN THE GENERAL POPULATION WHICH IS STILL SIGNIFICANTLY IMPACTED BY POVERTY, UNEMPLOYMENT, AND RECENT CRISIS ACROSS THE SERVICE AREA. INTERVENTIONS: STAFF WILL CONDUCT OUTREACH/ENGAGE POTENTIAL PARTICIPANTS USING TRAUMA-INFORMED CARE AND MOTIVATIONAL INTERVIEWING. ASSESSMENT WILL INCLUDE THE VI-SPDAT, PSYCHOSOCIAL ASSESSMENT, AND LOCUS/CASSI WHILE USING HOUSING FIRST TO LINK CLIENTS WITH HOUSING AND DESIRED TREATMENT/RECOVERY SERVICES AS OUTLINED IN A PERSON-CENTERED PLAN. LINKAGES WILL BE MADE TO EXISTING AGENCY RESIDENTIAL, IOP, AND OUTPATIENT TREATMENT PROGRAMS WITH EBPS TO INCLUDE HOUSING FIRST, MI, COGNITIVE BEHAVIORAL THERAPY, PHARMACOTHERAPY, PEER SUPPORTS, AND MEDICATION ASSISTED TREATMENT. MCCC WILL COORDINATE PRIMARY CARE AND KEY INTERVENTIONS SUCH AS PHARMACOTHERAPY AND MAT WITH ITS HOMEPLACE CLINICS WHILE ALSO OFFERING CASE MANAGEMENT, BENEFITS ENROLLMENT, PEER/COMMUNITY/RECOVERY SUPPORTS, AND AFTERCARE UPON EXIT. GOALS: MCCC WILL SERVE 40 CLIENTS IN YEAR 1 AND 60 ANNUALLY IN YEAR 2-5 (TOTAL 280). GOALS FOR THE TARGETED POPULATION INCLUDE: 1) IMPROVE HEALTH BY ENGAGING WITH AND COORDINATING CARE TO EVIDENCE-BASED AND POPULATION-SPECIFIC BEHAVIORAL HEALTH AND PRIMARY HEALTH CARE; 2) IMPROVE STABILITY BY PROVIDING AND/OR COORDINATING CASE/CARE MANAGEMENT, RECOVERY, AND HOUSING SUPPORTS; AND 3) IMPROVE EQUITABLE, INCLUSIVE, AND EFFECTIVE PROJECT IMPLEMENTATION AND EVALUATION BY CONDUCTING CQI. OBJECTIVES ACHIEVED BY END OF EACH PROJECT YEAR INCLUDE: 1.1) CONDUCTED INCLUSIVE OUTREACH/ENGAGEMENT SO AT LEAST 40 ARE SERVED IN YEAR 1 AND 60 ANNUALLY IN YEARS 2-5; 1.2) COORDINATED ACCESS TO INDIVIDUALIZED MENTAL HEALTH AND COD TREATMENT (AND FDA-APPROVED MEDICATIONS) SO 50% OR LESS REPORT ANY MH OR COD SYMPTOMS [AT 6-MONTH FOLLOW-UP]; 1.3) PROVIDED LINKAGES TO INTEGRATED PRIMARY CARE SO 65% REPORT HEALTH AS “GOOD” OR ABOVE; 2.1) PROVIDED AND/OR COORDINATED ACCESS TO PEER SUPPORTS SO 60% REPORT POSITIVE SOCIAL CONNECTIONS; 2.2) COORDINATED ACCESS TO RECOVERY SUPPORT SERVICES SO 50% REPORT ENGAGEMENT IN EMPLOYMENT/EDUCATION, AND/OR BENEFITS ENROLLMENT; 2.3) PROVIDED PERSON-CENTERED CASE MANAGEMENT SERVICES SO 50% REPORT HOUSING STABILITY AND 60% NO FURTHER ARRESTS; 3.1) MONITORED INDICATORS OF ENROLLEES EACH QUARTER TO ENSURE EQUITY/INCLUSION AMONG ALL GROUPS AND REVISE OUTREACH AS NEEDED; 3.2) CONDUCTED STEERING COMMITTEE MEETINGS AT LEAST QUARTERLY TO COORDINATE SERVICES, MONITOR GOALS/OBJECTIVES, AND CQI. MSU WILL CONDUCT AN INDEPENDENT EVALUATION.

CLINICAL SERVICES

BIG SANDY MAT PROGRAM

BIG SANDY ALCOHOL & OTHER DRUG PREVENTION PROGRAM

VA HAS AWARDED A CAPITAL GRANT TO CREATE NEW TRANSITIONAL HOUSING BEDS FOR HOMELESS VETERANS.

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

MOUNTAIN COMPREHENSIVE CARE CENTER (MCCC)

PIKEVILLE INTEGRATED CARE CLINIC

BIG SANDY ADULT REENTRY PROGRAM - MOUNTAIN COMPREHENSIVE CARE CENTER (MCCC) WILL IMPLEMENT THE BIG SANDY ADULT REENTRY PROGRAM TO EXPAND SUD TREATMENT AND RELATED RECOVERY AND REENTRY SERVICES TO SENTENCED ADULTS IN THE BIG SANDY REGIONAL DETENTION CENTER (BSRDC) WHO HAVE BEEN ASSESSED OR DIAGNOSED AS HAVING A SUD AND/OR COD AND MEET PROJECT CRITERIA AS WELL AS ADULTS AT RISK OF BEING RE-INCARCERATED DUE TO A PROBATION/PAROLE VIOLATION. THE CATCHMENT AREA INCLUDES FLOYD, JOHNSON, LAWRENCE, MAGOFFIN, MARTIN, MORGAN, AND PIKE COUNTIES IN RURAL EASTERN KENTUCKY. POPULATION: THE POPULATION IS SENTENCED ADULTS IN THE BSRDC WHO HAVE BEEN ASSESSED OR DIAGNOSED AS HAVING A SUD AND/OR COD; EITHER SENTENCED TO AND SERVING AT LEAST 1 MONTH IN THE BSRDC OR ARE ON PROBATION/PAROLE AND AT RISK OF BEING RE-INCARCERATED DUE TO A PROBATION/PAROLE VIOLATION; FOR THOSE INCARCERATED, BE WITHIN 4 MONTHS OF RELEASE TO RECEIVE SERVICES IN THE BSRDC; AND UPON IMMEDIATE RELEASE, BE LINKED TO COMMUNITY-BASED TREATMENT. THE POPULATION WILL BE SIMILAR TO CLIENTS IN MCCC’S CURRENT ORP WITH INTAKE DATA FINDING 69% HAD A DIPLOMA/HIGHER, 22% EMPLOYED, 51% HOUSING INSTABILITY, 68% ANXIETY, 60% DEPRESSION, 79% USING ALCOHOL/ILLICIT DRUGS, 19% IDU, AND SOCIOECONOMIC DISPARITIES. WHILE A HIGH PERCENTAGE WILL BE WHITE DUE TO ITS LOCATION IN CENTRAL APPALACHIA, THE PROJECT WILL ENSURE EQUITY/INCLUSION. IT IS ESTIMATED 60% WILL BE MEN, 40% WOMEN, 3.4% LGBTQ+ WITH 90% ARRESTED ON ALCOHOL/DRUG-RELATED CHARGES. INTERVENTIONS: IN TANDEM WITH CORRECTIONS STAFF, ALL CLIENTS WILL BE ASSESSED FOR SUD AND/OR COD AND CRIMINOGENIC NEEDS PER THE KYRAS (INCLUDES RNR) AND PSYCHOSOCIAL ASSESSMENT. MCCC WILL CONDUCT PRE/POST-RELEASE SERVICES AND COORDINATE WITH ITS ARRAY OF TREATMENT PROGRAMS IMMEDIATELY UPON RELEASE. EVIDENCE-BASED PRACTICES INCLUDE MOTIVATIONAL INTERVIEWING, MATRIX MODEL FOR CRIMINAL JUSTICE POPULATIONS, SEEKING SAFETY, LIVING IN BALANCE, AND MOUD/MAT WITH ALL INTERVENTIONS USING TRAUMA-INFORMED CARE. MCCC WILL LINK PARTICIPANTS TO TESTING AND TREATMENT FOR INFECTIOUS DISEASES THROUGH ITS HOMEPLACE CLINICS ALONG WITH PRIMARY CARE, WHILE ALSO PROVIDING CASE MANAGEMENT/TRANSITION PLANNING, PEER SUPPORTS, RECOVERY/REENTRY SERVICES, ENROLLMENT IN BENEFITS/INSURANCE AND OTHER NEEDS PER PERSON-CENTERED CASE MANAGEMENT PLANS AND PERSON-CENTERED TREATMENT PLANS WITH AFTERCARE OFFERED UPON DISCHARGE FROM TREATMENT. GOALS: MCCC WILL SERVE 70 CLIENTS ANNUALLY FOR A TOTAL OF 350 OVER THE FIVE-YEAR PERIOD. GOALS FOR THE TARGETED POPULATION INCLUDE: 1) IMPROVE HEALTH BY IMPLEMENTING A CONTINUUM OF JAIL AND COMMUNITY-BASED, COORDINATED, EVIDENCE-BASED, AND POPULATION-SPECIFIC SUD/COD TREATMENT AND ACCESS TO PRIMARY CARE; 2) IMPROVE STABILITY BY PROVIDING AND/OR COORDINATING COMPREHENSIVE CASE MANAGEMENT, RECOVERY, AND REENTRY SERVICES; AND 3) IMPROVE EQUITABLE AND EFFECTIVE PROJECT IMPLEMENTATION AND EVALUATION BY CONDUCTING CQI. OBJECTIVES ACHIEVED BY END OF EACH PROJECT YEAR INCLUDE: 1.1) PROVIDE SUD TREATMENT INCLUDING FDA-APPROVED MEDICATIONS/MEDICATIONS MANAGEMENT SO 70% REPORT ABSTINENCE FROM SUBSTANCE USE [AT 6-MONTH FOLLOW-UP]; 1.2) INTEGRATE MENTAL DISORDERS TREATMENT, FOR THOSE ASSESSED WITH COD, SO 50% REPORT A REDUCTION IN MH SYMPTOMS; 1.3) LINK TO INTEGRATED PRIMARY CARE, INCLUDING SCREENING FOR INFECTIOUS DISEASES, REFERRAL, AND FOLLOW-UP TO TREATMENT, AND DENTAL CARE SO 70% REPORT HEALTH AS “GOOD” OR ABOVE; 2.1) PROVIDE/COORDINATE ACCESS TO PEER SUPPORTS SO 70% REPORT POSITIVE SOCIAL CONNECTIONS; 2.2) COORDINATE ACCESS TO RECOVERY SUPPORTS SO 50% REPORT ENGAGEMENT IN EMPLOYMENT AND/OR BENEFITS ENROLLMENT; 2.3) PROVIDE PERSON-CENTERED CASE MANAGEMENT PLANNING/SERVICES SO 65% REPORT HOUSING STABILITY AND 70% NO ARRESTS; 3.1) MONITOR RACE, ETHNICITY, SEXUAL ORIENTATION, AND GENDER IDENTITY OF ENROLLEES QUARTERLY TO ENSURE EQUITY/INCLUSION AMONG POPULATIONS; 3.2) CONDUCT PMT MEETINGS QUARTERLY TO COORDINATE SERVICES, MONITOR OUTCOMES, CQI, AND ADJUST. MSU WILL CONDUCT AN INDEPENDENT EVALUATION.

THE HOPE INITIATIVE

RURAL SEXUAL ASSAULT DOMESTIC VIOLENCE DATING VIOLENCE AND STALKING PROGRAM(BIG SANDY SEXUAL ASSAULT ASSISTANCE PROGRAM)

BIG SANDY ASSISTED OUTPATIENT TREATMENT PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

NORTHEASTERN KY ADULT COMMUNITY REENTRY PROGRAM

ON REQUEST FROM THE SCHOOL BOARD, MOUNTAIN COMPREHENSIVE CARE CENTER, INC. WILL PARTNER WITH PIKE COUNTY SCHOOL DISTRICT, PIKE COUNTY SHERIFF, AND MOREHEAD STATE UNIVERSITY (SUBRECIPIENT) TO IMPLEMENT A PIKE COUNTY SCHOOL VIOLENCE PREVENTION INITIATIVE THAT NOT ONLY STRENGTHENS SCHOOL CAPACITY FOR VIOLENCE ASSESSMENT, REPORTING, AND RESPONSE, BUT ALSO CREATES AND MODELS A CULTURE OF SAFETY AND INCLUSION AMONG TEACHERS AND STUDENTS. THE PROJECT WILL ESTABLISH BEHAVIORAL THREAT ASSESSMENT AND INTERVENTION TEAMS THAT INCLUDE LAW ENFORCEMENT, SCHOOL RESOURCE OFFICERS, BEHAVIORAL HEALTH PERSONNEL, SCHOOL STAFF, AND COMMUNITY STAKEHOLDERS; TRAIN AT LEAST 90% OF SCHOOL-BASED THERAPISTS (SBTS) ON THE PSYCHOSOCIAL EVALUATION THREAT RISK ASSESSMENT AND 50% OF TEACHERS ON THE ASK SUICIDE SCREENING QUESTIONNAIRE ACROSS ALL PARTICIPATING SCHOOLS; AND REVIEW AND ADJUST BEHAVIORAL THREAT ASSESSMENT PROTOCOL TO INCORPORATE LESSONS LEARNED AND FEEDBACK TO IMPROVE THREAT IDENTIFICATION AND RESPONSE EFFECTIVENESS BY 15% YEAR OVER YEAR. THE PROJECT WILL HOST ONE STUDENT ASSEMBLY AT EACH SCHOOL WITH TEACHERS, SBTS, AND AT LEAST 60% OF STUDENTS ON BULLYING PREVENTION, SUICIDE PREVENTION, AND INTERVENTION IN MENTAL HEALTH CRISES; IMPLEMENT AND BEGIN GREEN DOT/IT'S MY SPACE PROGRAMMING IN PIKE COUNTY MIDDLE AND HIGH SCHOOLS; AND FACILITATE COLLABORATION BETWEEN TRAINED SCHOOL PERSONNEL AND EXISTING STUDENT COUNCILS OR CLUBS TO EMBED LONG-TERM SAFETY AND WELLNESS STRATEGIES INTO SCHOOL CULTURE. THE PROJECT WILL CONDUCT AT LEAST TWO TRAINING SESSIONS FOR SBTS AND TEACHERS TO ENSURE ONGOING COMPETENCY AND ADHERENCE TO SAFETY PROTOCOLS; PROVIDE ONE-ON-ONE SUPPORT AND COUNSELING FOR STUDENTS EXPOSED TO OR EXPERIENCING VIOLENCE; HOST A JOINT TRAINING SEMINAR ANNUALLY FOR THE SHERIFF'S DEPARTMENT, SCHOOL RESOURCE OFFICERS, AND SBTS ON EVIDENCE-BASED INTERVENTION AND RESPONSE TO STUDENT VIOLENCE; AND HOST QUARTERLY PROJECT MANAGEMENT TEAM MEETINGS TO ENGAGE STAKEHOLDERS IN CONTINUOUS QUALITY IMPROVEMENT.

DLT OPIOID GRANTS

BIG SANDY ASSISTED OUTPATIENT TREATMENT PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

THE RURAL DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING PROGRAM (RURAL PROGRAM) IS AUTHORIZED BY 34 U.S.C. 12341. RURAL PROGRAM FUNDS ARE USED TO SUPPORT PROGRAMS THAT: 1) IDENTIFY, ASSESS, AND APPROPRIATELY RESPOND TO CHILD, YOUTH, AND ADULT VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, DATING VIOLENCE, AND STALKING IN RURAL COMMUNITIES; 2) ESTABLISH AND EXPAND VICTIM SERVICES IN RURAL COMMUNITIES TO CHILD, YOUTH, AND ADULT VICTIMS; 3) INCREASE THE SAFETY AND WELL-BEING OF WOMEN AND CHILDREN IN RURAL COMMUNITIES, BY (A) DEALING DIRECTLY AND IMMEDIATELY WITH DOMESTIC VIOLENCE, SEXUAL ASSAULT, DATING VIOLENCE, AND STALKING; AND (B) CREATING AND IMPLEMENTING STRATEGIES TO INCREASE AWARENESS AND PREVENT THESE CRIMES; AND 4) DEVELOP, EXPAND, IMPLEMENT, AND IMPROVE THE QUALITY OF SEXUAL ASSAULT FORENSIC MEDICAL EXAMINATION OR SEXUAL ASSAULT NURSE EXAMINER PROGRAMS. GRANTEES MUST USE AT LEAST ONE OF THE FOLLOWING STRATEGIES IN IMPLEMENTING THEIR PROJECTS: 1) IMPLEMENT, EXPAND, AND ESTABLISH COOPERATIVE EFFORTS AND PROJECTS AMONG LAW ENFORCEMENT OFFICERS, PROSECUTORS, VICTIM SERVICE PROVIDERS, AND OTHER RELATED PARTIES TO INVESTIGATE AND PROSECUTE INCIDENTS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING; 2) PROVIDE TREATMENT, COUNSELING, ADVOCACY, LEGAL ASSISTANCE, AND OTHER LONG-TERM AND SHORT-TERM VICTIM AND POPULATION SPECIFIC SERVICES TO ADULT AND MINOR VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING IN RURAL COMMUNITIES; 3) WORK IN COOPERATION WITH THE COMMUNITY TO DEVELOP EDUCATION AND PREVENTION STRATEGIES DIRECTED TOWARD SUCH ISSUES; 4) DEVELOP, ENLARGE, OR STRENGTHEN PROGRAMS ADDRESSING SEXUAL ASSAULT; AND 5) DEVELOP PROGRAMS AND STRATEGIES THAT FOCUS ON THE SPECIFIC NEEDS OF VICTIMS OF WHO RESIDE IN REMOTE RURAL AND GEOGRAPHICALLY ISOLATED AREAS. THROUGH THIS CONTINUATION OVW RURAL PROGRAM PROJECT, MOUNTAIN COMPREHENSIVE CARE CENTER, IN PARTNERSHIP WITH TURNING POINT DOMESTIC VIOLENCE SERVICES, APPALACHIAN RESEARCH & DEFENSE FUND OF KY, FLOYD COUNTY SHERIFFS OFFICE, JOHNSON COUNTY SHERIFFS OFFICE, PIKE COUNTY SHERIFFS OFFICE, MAGOFFIN COUNTY SHERIFFS OFFICE, AND BIG SANDY AREA COMMUNITY ACTION PROGRAM, WILL CONTINUE TO IMPLEMENT THE BIG SANDY SEXUAL ASSAULT ASSISTANCE PROGRAM. THIS VICTIM SERVICE AND SANE/SART PROJECT ADDRESSES THE FOLLOWING PURPOSE AREAS: 1, 2, AND 3 FOR FLOYD, JOHNSON, MAGOFFIN, MARTIN AND PIKE COUNTIES WHICH COMPRISE THE BIG SANDY REGION LOCATED IN EASTERN KENTUCKY AND WITHIN RURAL APPALACHIA. SPECIFIC ACTIVITIES WILL INCLUDE: 1) INCREASING THE SAFETY AND WELL-BEING OF RURAL CHILD, YOUTH, AND ADULT VICTIMS OF SEXUAL ASSAULT AND OTHER FORMS OF IPV, INCLUDING UNDERSERVED POPULATIONS, THROUGH PROVISION OF THE HEALING PLACE SEXUAL ASSAULT CRISIS CENTER AND IMMEDIATE, SHORT AND LONG-TERM SERVICES; 2) IMPROVING THE COMMUNITY RESPONSE TO RURAL CHILD, YOUTH, AND ADULT VICTIMS OF SEXUAL ASSAULT AND OTHER FORMS OF IPV THROUGH EXPANSION OF A REGIONAL SART, SAIC, CCR; AND 3) INCREASING ACCESS TO SERVICES FOR RURAL CHILD, YOUTH, AND ADULT VICTIMS OF SEXUAL ASSAULT AND OTHER FORMS OF IPV, INCLUDING UNDERSERVED POPULATIONS, THROUGH ENHANCED TRAINING FOR COMMUNITY PARTNERS AND APPROPRIATE OUTREACH STRATEGIES.

THE RURAL DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING PROGRAM (RURAL PROGRAM) IS AUTHORIZED BY 34 U.S.C. § 12341. RURAL PROGRAM FUNDS ARE USED TO SUPPORT PROGRAMS THAT: A) IDENTIFY, ASSESS, AND APPROPRIATELY RESPOND TO CHILD, YOUTH, AND ADULT VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING IN RURAL COMMUNITIES; B) ESTABLISH AND EXPAND VICTIM SERVICES IN RURAL COMMUNITIES FOR CHILD, YOUTH, AND ADULT VICTIMS; AND/OR C) INCREASE THE SAFETY AND WELL-BEING OF WOMEN AND CHILDREN IN RURAL COMMUNITIES BY DEALING DIRECTLY AND IMMEDIATELY WITH DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING, AND CREATING AND IMPLEMENTING STRATEGIES TO INCREASE AWARENESS AND PREVENT THESE CRIMES. GRANTEES MUST USE AT LEAST ONE OF THE FOLLOWING STRATEGIES IN IMPLEMENTING THEIR PROJECTS: A) IMPLEMENT, EXPAND, AND ESTABLISH COOPERATIVE EFFORTS AND PROJECTS AMONG LAW ENFORCEMENT OFFICERS, PROSECUTORS, VICTIM SERVICE PROVIDERS, AND OTHER RELATED PARTIES TO INVESTIGATE AND PROSECUTE INCIDENTS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING; B) PROVIDE TREATMENT, COUNSELING, ADVOCACY, LEGAL ASSISTANCE, AND OTHER LONG- AND SHORT-TERM ASSISTANCE TO ADULT AND MINOR VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING IN RURAL COMMUNITIES; C) WORK IN COOPERATION WITH THE COMMUNITY TO DEVELOP EDUCATION AND PREVENTION STRATEGIES DIRECTED TOWARD SUCH ISSUES; D) DEVELOP, ENLARGE, OR STRENGTHEN PROGRAMS ADDRESSING SEXUAL ASSAULT; AND E) DEVELOP PROGRAMS AND STRATEGIES THAT FOCUS ON THE SPECIFIC NEEDS OF VICTIMS WHO RESIDE IN REMOTE RURAL AND GEOGRAPHICALLY ISOLATED AREAS.    THE TIMING FOR PERFORMANCE OF THIS AWARD IS 36 MONTHS.

ASSERTIVE ADOLESCENT & FAMILY TREATMENT PROGRAM

SOUTHEAST KY REENTRY PROGRAM

LOCAL COMMUNITY-BASED WORKFORCE TO INCREASE COVID-19 VACCINE ACCESS

MOUNTAIN COMPREHENSIVE CARE CENTER, INC. WILL DEVELOP AND IMPLEMENT A BIG SANDY REGION VIOLENCE PREVENTION PROGRAM IN THE EASTERN KENTUCKY COUNTIES OF FLOYD, JOHNSON, MARTIN, MAGOFFIN, AND PIKE COUNTIES. IN ADDITION TO RECENT COMMUNITY VIOLENCE, THESE CENTRAL APPALACHIAN COUNTIES SUFFER FROM LONGSTANDING SOCIOECONOMIC, EDUCATIONAL, AND HEALTH CHALLENGES INCLUDING GENERATIONAL POVERTY, GENERATIONAL SUBSTANCE USE, LOW EDUCATIONAL ATTAINMENT, LIMITED EMPLOYMENT OPPORTUNITIES, HIGH RATES OF CHILD ABUSE/NEGLECT, HIGH LEVELS OF PHYSICAL/BEHAVIORAL HEALTH ISSUES, AND LIMITED RESOURCES TO ADDRESS THEM ALL. THE PURPOSE OF THIS PROJECT IS TO INTERVENE IN AND PREVENT INDIVIDUAL, FAMILY, AND COMMUNITY VIOLENCE, AS WELL AS PROVIDE TREATMENT AND RECOVERY SUPPORT TO CHILDREN AND YOUTH EXPOSED TO VIOLENCE. THE PROGRAM WILL ALSO PROVIDE SERVICES TO FAMILIES IMPACTED BY VIOLENCE RELATED TO OPIOID USE AND OTHER SUBSTANCE USE DISORDERS WITH THE GOAL OF IMPROVING BOTH FAMILY OUTCOMES AND COMMUNITY HEALTH, WELLNESS, AND SAFETY. THIS PROJECT WILL EXTEND MOUNTAIN COMPREHENSIVE CARE CENTERS CAPACITY TO PROVIDE CRISIS INTERVENTION AND SUPPORTIVE SERVICES BY SERVING A MINIMUM OF 300 HIGH-RISK, HIGH-NEED YOUTH UNDER 18 AND THEIR FAMILIES. MOUNTAIN COMPREHENSIVE CARE CENTER WILL PARTNER WITH LOCAL SCHOOLS, COUNTY COURT SERVICES, LOCAL POLICE, THE REGIONAL YOUTH COUNCIL, AND ADDITIONAL COMMUNITY-BASED PROGRAMS THAT SUPPORT COMMUNITY HEALTH AND VIOLENCE PREVENTION. CENTRAL FEATURES OF THE PROJECT INCLUDE PREVENTION PROGRAMMING THAT WILL BE TARGETED AT PARENTS, CAREGIVERS AND YOUTH, SUPPORTING THEIR ACCESS TO BEHAVIORAL HEALTH PROGRAMMING AND NEEDED SERVICES TO SUPPORT RECOVERY AND HEALING. THE VIOLENCE PREVENTION PROGRAM WILL ACHIEVE THE FOLLOWING GOALS: 1) BUILD COMMUNITY INFRASTRUCTURE AND CAPACITY TO RESPOND TO AND SUPPORT CHILDREN EXPOSED TO VIOLENCE; 2) INCREASE PROTECTIVE FACTORS PRESENT IN THE COMMUNITY TO REDUCE THE TRAUMATIC IMPACT OF YOUTH EXPOSURE TO VIOLENCE, AND PREVENT FUTURE VIOLENCE, DELINQUENCY, AND VICTIMIZATION; AND 3) BUILD COMMUNITY CAPACITY TO DEVELOP AND IMPLEMENT PREVENTION AND EARLY INTERVENTION STRATEGIES TO SUPPORT YOUTH EXPOSED TO VIOLENCE TO ENHANCE WELLNESS AND HEALING.

BIG SANDY COMMUNITY INTEGRATION PROGRAM

THE HOPE INITIATIVE

BIG SANDY SUICIDE PREVENTION PROGRAM

BRIDGING SAFE ACCESS TO BIG SANDY (DISABILITIES GRANT PROGRAM)

BIG SANDY CHILDREN & YOUTH IN-HOME SERVICES PROGRAM

PRIMARY ACTIVITIES: MOUNTAIN COMPREHENSIVE CARE CENTER (MCCC), WITH THE ROWAN COUNTY DETENTION CENTER (RCDC), ROWAN COUNTY SHERIFF’S DEPARTMENT, AND COMMONWEALTH OF KY 21ST JUDICIAL DISTRICT COURTS (WHILE COORDINATING WITH THE DIVISION OF PROBATION & PAROLE WHO WAS UNABLE TO PROVIDE AN MOA DUE TO DEPARTMENTAL POLICIES), WILL ADDRESS THE CRITICAL NEED FOR REENTRY IN NORTHEASTERN KENTUCKY BY SERVING 150 ELIGIBLE PARTICIPANTS OVER THE 36-MONTH PROJECT PERIOD.      GOALS ARE TO: 1) IMPLEMENT EVIDENCE-BASED, COGNITIVE BEHAVIORAL, CASE MANAGEMENT, RECOVERY AND WRAPAROUND SERVICES TO SUCCESSFULLY REINTEGRATE ADULT OFFENDERS FROM THE RCDC TO THE TARGETED COUNTIES IN RURAL NORTHEASTERN KY AND REDUCE RECIDIVISM; AND 2) DEVELOP PARTNERSHIPS AMONG COMMUNITY AND FAITH-BASED ORGANIZATIONS, CORRECTIONS, COMMUNITY SUPERVISION, LAW ENFORCEMENT AND OTHER KEY STAKEHOLDERS BY COORDINATING A COMPREHENSIVE AND HOLISTIC REENTRY PROCESS FOR THE TARGETED POPULATION. OUTCOMES INCLUDE IMPROVED EDUCATIONAL AND/OR ECONOMIC STATUS, REDUCED SUBSTANCE USE, IMPROVED ACCESS TO RECOVERY SUPPORTS (PRIMARY CARE, MENTAL HEALTH CARE, HOUSING, INSURANCE/BENEFITS), IMPROVED ACCESS TO FAMILY SERVICES, DECREASED RECIDIVISM, INCREASED ACCESS TO REENTRY SERVICES, AND INCREASED COORDINATION AMONG IDENTIFIED PARTNERS.      UPON REFERRAL, MCCC WILL CONDUCT A VALIDATED RISK ASSESSMENT TO IDENTIFY CRIMINOGENIC NEEDS/RISK AND SUPPLEMENT WITH THE PSYCHOSOCIAL/SUBSTANCE ABUSE ADDENDUM TO IDENTIFY TREATMENT/REENTRY NEEDS AND APPROPRIATE MATCH OF SERVICES TO RISK LEVEL, DOSAGE AND INTENSITY. PROJECT STAFF, WITH THE REENTRY TEAM AND PARTICIPANT, WILL DEVELOP AN INDIVIDUAL CASE/REENTRY PLAN. PRE-RELEASE, MCCC WILL PROVIDE EVIDENCE-BASED, COGNITIVE BEHAVIORAL, AND BEHAVIORAL HEALTH TREATMENT INCLUDING COGNITIVE BEHAVIORAL THERAPY, MEDICATION ASSISTED TREATMENT, MOTIVATIONAL INTERVIEWING, GENDER-RESPONSIVE AND TRAUMA-INFORMED CARE, AND CASE MANAGEMENT. POST-RELEASE SERVICES INCLUDE THESE SAME INTERVENTIONS WITH TREATMENT THROUGH MCCC OUTPATIENT AND HCH CLINICS PAIRED WITH PEER SUPPORTS, CASE MANAGEMENT/CARE COORDINATION, AND COMPREHENSIVE RECOVERY/REENTRY SERVICES. THE PROJECT WILL ADDRESS BOTH PRIORITIES INCLUDING EVIDENCE-BASED INTERVENTIONS AND WORKING WITH MOREHEAD STATE UNIVERSITY FOR EVALUATION.      DELIVERABLES: THE PROJECT WILL SUBMIT AN ACTION PLAN AND FINAL REPORT.      SERVICE AREA: THE PROJECT WILL PROVIDE PRE-RELEASE SERVICES IN THE RCDC, A REGIONAL JAIL, WITH POST-RELEASE SERVICES TARGETING PARTICIPANTS RETURNING TO THE RURAL KENTUCKY COUNTIES OF BATH, CARTER, ELLIOTT, FLEMING, LEWIS, MENIFEE, MONTGOMERY, MORGAN, AND ROWAN.      WHO BENEFITS: THE PROJECT WILL SERVE 150 MEDIUM TO HIGH-RISK ADULTS AS VALIDATED BY LS/CMI, AGES 18 OR OLDER, CONVICTED AS AN ADULT, HOUSED IN THE RCDC, AND RETURNING TO COUNTIES WITHIN THE SERVICE AREA. THE PROJECT WILL TARGET OFFENDERS SLATED TO BE INCARCERATED FOR AT LEAST 3 MONTHS TO BEGIN PRE-RELEASE SERVICES.      PRIORITY: THE PROJECT WILL ADDRESS 1(A) EQUITY/ACCESS PER PAGE 14 OF THE NARRATIVE.

MOUNTAIN COMPREHENSIVE CARE CENTER, INC (MCCC) WILL USE FUNDING TO DEVELOP COORDINATED PREVENTION AND INTERVENTION STRATEGIES FOR YOUTH AND THEIR FAMILIES WHO HAVE BEEN IMPACTED BY OPIOIDS AND OTHER SUBSTANCES. MCCC WILL HELP 250 HIGH-RISK YOUTH, AND THEIR FAMILIES, WITH IN-HOME TREATMENT AND RECOVERY SERVICES, CREATE A SAFE HOME ENVIRONMENT, PREVENT OUT OF HOME PLACEMENTS, ASSIST WITH REUNIFICATION, AND IMPROVE FAMILY FUNCTIONING USING HOLISTIC WRAPAROUND SERVICES.

THE PURPOSE OF THIS PROPOSED CATEGORY 1 HVRP, OPERATED BY MOUNTAIN COMPREHENSIVE CARE CENTER, INC. (MCCC), IS TO ENABLE ELIGIBLE VETERANS WHO MEET THE REQUIREMENTS OF THE FOA INCLUDING VETERANS WHO ARE HOMELESS, RECENTLY RELEASED FROM INCARCERATION, AND AT RISK OF HOMELESSNESS TO RECEIVE APPROPRIATE OUTREACH, COMPREHENSIVE CLIENTBASED ASSESSMENTS AND PLANNING, ROBUST EMPLOYMENT SERVICES WHICH MEET VETERANS WHERE THEY ARE ON THEIR CAREER PATHWAY, ADJUNCT SUPPORTIVE SERVICES WHICH SUPPORT EMPLOYMENT GOALS, JOB TRAINING, JOB DEVELOPMENT, JOB PLACEMENT, AND FOLLOWUP TO SUCCESSFULLY REENTER THE WORKFORCE AND REACH THEIR FULL EMPLOYMENT POTENTIAL AND OBTAIN HIGHQUALITY CAREER OUTCOMES. MCCC HVRP STAFF WILL ENSURE THE PROJECT INCORPORATES BEST PRACTICES, INCLUDING FLEXIBILITY (INPERSON, VIRTUAL, SOCIALLY DISTANCED, HYBRID MODELS), AND A PERSONCENTERED CASE MANAGEMENT APPROACH TO HELP THESE VETERANS ACHIEVE ECONOMIC PROSPERITY, ADDRESS HISTORICAL INEQUITIES, AND PROVIDE EQUITABLE ACCESS AND OUTCOMES TO MARGINALIZED SUBPOPULATIONS OF VETERANS.ACTIVITIES TO BE FUNDED BY THE GRANT: THROUGH BEST PRACTICES, FLEXIBLE APPROACHES, PERSONCENTERED CASE MANAGEMENT, AND EQUITABLE AND INCLUSIVE SERVICES THE PROJECT WILL OFFER: 1) OUTREACH, RECRUITMENT, AND ENGAGEMENT INCLUDING AMONG UNSHELTERED AND SHELTERED VETERANS 2) INTAKE, COMPREHENSIVE ASSESSMENTS, CASE MANAGEMENT AND DEVELOPMENT OF AN INDIVIDUAL EMPLOYMENT PLAN 3) LINKAGES WITH EDUCATIONAL RESOURCES, COMPREHENSIVE EMPLOYMENT AND JOB TRAINING (INCLUDING WITH THE AJCS), AND JOB DEVELOPMENT AND PLACEMENT 4) LINKAGES WITH SUPPORT SERVICES TO ADDRESS THE NEEDS WHICH AFFECT EMPLOYMENT AS WELL AS HELP VETERANS ENROLL IN VA AND PUBLIC BENEFITS 5) ENGAGE WITH EMPLOYERS TO DEVELOP A ROBUST PLACEMENT SYSTEM AND 6) DEVELOP AN AFTERCARE PLAN AND PROVIDE FOLLOWUP AND ADJUSTMENT SERVICES TO ENHANCE JOB PLACEMENT AND RETENTION. INTENDED BENEFICIARIES OF THE PROJECT: THE PROJECT WILL SERVE 85 ELIGIBLE VETERANS ANNUALLY (TOTAL 225 OVER THREEYEAR PROJECT PERIOD) THROUGH CATEGORY 1 (HVRP) AND WHO MEET THE REQUIREMENTS OF THE FOA INCLUDING VETERANS WHO ARE HOMELESS, RECENTLY RELEASED FROM INCARCERATION, AND AT RISK OF HOMELESSNESS. KEY SUBPOPULATIONS OF ELIGIBLE HVRP VETERANS ARE ANTICIPATED TO INCLUDE 18 EPISODIC HOMELESS, 8 FEMALE, 22 WITH FAMILIES, 2 IVTP, AND 15 RACIAL ETHNIC MINORITY VETERANS. OUTCOMES OF THE PROJECT: PER THE PLANNED GOALS CHART FOR THE 3YEAR PROJECT PERIOD, MCCC IS PROPOSING THE FOLLOWING REQUIRED PERFORMANCE INDICATORS: 255 PARTICIPANTS ENROLLED (85 ANNUALLY) 15.50 AVERAGEHOURLY WAGE AT PLACEMENT 66.3 PLACEMENT RATE FOR EMPLOYED EXITED 4,252 COST PER PLACEMENT 53.7 OF PARTICIPANTS IN UNSUBSIDIZED EMPLOYMENT IN 2ND QUARTER AFTER EXIT FROMPROGRAM AND 44.6 IN THE 4TH QUARTER AFTER EXIT AND 7,417 MEDIAN QUARTERLY EARNINGS OF PARTICIPANTS IN UNSUBSIDIZED EMPLOYMENT IN THE 2ND QUARTER AFTER EXIT FROM PROGRAM. ALSO,THE PROJECT WILL PROVIDE TRAINING TO AT LEAST 80 OF ENROLLED PARTICIPANTS. KEY PARTNERSHIPS: 1) KY RIVER FOOTHILLS VOLUNTEERS OF AMERICA (SSVF) 2) HUNTINGTON VA HOMELESS RESOURCE CENTER VAMC, LEXINGTON VA HOMELESSVETERANS UNIT VAMC, KDVA (FEDERAL STATE VA RESOURCES) 3) OPERATION JOB READY VETERANS, NESTLE COMPANY, WEBESCO, QUALEX, LEGGIT PLATT, TOPY, BLUE STAR PLASTICS, ETL AVIATION,NEXTGEN, RAJ TRUCKING, USPS, HINKLE CONSTRUCTION (TRAINING, EMPLOYMENT) 4) KY OVR VA VOCATIONAL REHABILITATION (TRAINING, EMPLOYMENT SUPPORT) 5) AJCS: EKCEP, CUMBERLANDS,TENCO, BLUEGRASS (EDUCATION, TRAINING, EMPLOYMENT, LVER, DVOP) 6) GARY SINISE FOUNDATION (RESOURCES) 7) KY NABVETSSUBRECIPIENT ACTIVITIES: NARECIPIENT OF OTHER FUNDING: NA

MOUNTAIN HAVEN: BASIC CENTER PROGRAM

EASTERN KY MENTAL HEALTH AWARENESS TRAINING PROGRAM - MOUNTAIN COMPREHENSIVE CARE CENTER (MCCC) WILL IMPLEMENT THE EASTERN KY MENTAL HEALTH AWARENESS TRAINING PROGRAM, WHICH IS A COMPREHENSIVE STRATEGY TO PREPARE AND TRAIN PUBLIC SAFETY WORKERS; VETERANS, ARMED SERVICES MEMBERS, AND THEIR FAMILIES; THE GENERAL PUBLIC; AND ADULTS WHO INTERACT WITH YOUTH ON HOW TO APPROPRIATELY AND SAFELY RESPOND TO ADULTS AND YOUTH WITH MENTAL DISORDERS, INCLUDING INDIVIDUALS WITH SMI/SED, AND MAKE REFERRALS TO COMMUNITY RESOURCES AND TREATMENT WITHIN THE 23 COUNTIES IN CENTRAL APPALACHIA WHICH COMPRISE THE AREA DEVELOPMENT DISTRICTS OF BIG SANDY, FIVCO, GATEWAY, AND KY RIVER. POPULATION: MCCC WILL TARGET ITS TRAINING TO THE POPULATIONS OF: 1) PUBLIC SAFETY WORKERS WHO NEED TRAINING TO UNDERSTAND MENTAL DISORDERS SO THEY CAN APPROPRIATELY RESPOND TO CALLS, INCIDENTS, AND CRISIS WITHOUT COMPROMISING SAFETY, AND RESPOND TO FELLOW WORKERS. 2) VETERANS, ARMED SERVICES MEMBERS, THEIR FAMILIES, AND STAFF OF VETERAN-SERVICE AGENCIES WHO MAY ENCOUNTER PERSONS AT HEIGHTEN RISK FOR MENTAL ILLNESS/ADDICTION BUT MAY NOT HAVE THE KNOWLEDGE TO HELP THEM OVERCOME STIGMA AND ENGAGE IN TREATMENT. 3) GENERAL PUBLIC/RURAL POPULATION AS PERVASIVE STIGMA SURROUNDS AWARENESS, SUPPORT AND TREATMENT OF MENTAL ILLNESS. 4) ADULTS WHO INTERACT WITH YOUTH, INCLUDING TRAINING SCHOOL AND YOUTH-AGENCY PERSONNEL, AND PARENTS/CAREGIVERS TO ENSURE THEY ARE INFORMED ABOUT THE IMPORTANCE OF EARLY IDENTIFICATION, INTERVENTION AND SUPPORT. INTERVENTIONS: THE PROJECT WILL UTILIZE THE EVIDENCE-BASED INTERVENTIONS OF MENTAL HEALTH FIRST AID (MHFA) ALONG WITH SELECTED SUBPOPULATION MODULES (PUBLIC SAFETY, VETERANS, RURAL, OPIOIDS), AND YOUTH MENTAL HEALTH FIRST AID (YMHFA) TO TRAIN THE TARGETED FOUR POPULATIONS. GOALS & OBJECTIVES: MCCC WILL TRAIN 300 INDIVIDUALS IN MHFA AND/OR YMHFA IN YEAR 1 AND 400 ANNUALLY IN YEARS 2-5 FOR A TOTAL OF 1,900 INDIVIDUALS TRAINED OVER THE FIVE-YEAR PROJECT PERIOD. GOALS ARE TO INCREASE THE CAPACITY OF INDIVIDUALS WITHIN THE BIG SANDY, FIVCO, GATEWAY AND KY RIVER AREA DEVELOPMENT DISTRICTS TO APPROPRIATELY AND SAFELY RESPOND TO INDIVIDUALS WITH A MENTAL OR CO-OCCURRING DISORDER INCLUDING SMI AND SED; AND MAINTAIN EFFECTIVE PROJECT IMPLEMENTATION AND EVALUATION BY CONDUCTING CONTINUOUS QUALITY IMPROVEMENT ACTIVITIES. OBJECTIVES INCLUDE: 1) BY THE END OF YEAR 1, MCCC STAFF WILL HAVE TRAINED 300 INDIVIDUALS, AND 400 INDIVIDUALS ANNUALLY IN YEARS 2-5, IN ADULT AND/OR YOUTH MENTAL HEALTH FIRST AID AS WELL AS HAVE EDUCATED 300 INDIVIDUALS IN YEAR 1, AND 400 INDIVIDUALS ANNUALLY IN YEARS 2-5 ABOUT RESOURCES THAT ARE AVAILABLE FOR INDIVIDUALS WITH A MENTAL DISORDER INCLUDING LINKAGES TO APPROPRIATE TREATMENT AND SERVICES; AND 2) THROUGHOUT THE 5-YEAR GRANT PERIOD, MCCC STAFF WILL CONDUCT AT LEAST QUARTERLY COMMUNITY COALITION MEETINGS TO COORDINATE/MONITOR SERVICES, SUSTAINABILITY, AND STATUS OF GOALS, OBJECTIVES, OUTCOMES AS WELL AS TRACK ACTIVITIES RELATED TO THE TRAINING OF THE MENTAL HEALTH/RELATED WORKFORCE, TRAINING DEVELOPED FOR SUBPOPULATIONS, AND NUMBER OF INDIVIDUALS REFERRED TO MENTAL HEALTH AND/OR RELATED SERVICES. MOREHEAD STATE UNIVERSITY WILL CONDUCT AN INDEPENDENT EVALUATION OF THE PROJECT.

BIG SANDY CHILDREN & YOUTH IN-HOME SERVICES PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

MOUNTAIN HAVEN: BASIC CENTER PROGRAM

MOUNTAIN TRANSITIONAL LIVING PROGRAM

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

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

SERENITY HOUSE (SERVICES GRANT PROGRAM FOR RESIDENTIAL TREATMENT FOR PPW)

MOUNTAIN HAVEN (BASIC CENTER PROGRAM)

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - PROJECT TITLE: MOUNTAIN COMPREHENSIVE CARE CENTER FY24 QIF-TJI PROJECT DIRECTOR: RACHEL WILLOUGHBY CONTACT PHONE NUMBER: 606-886-8572 EXT. 4319 CONTACT EMAIL ADDRESS: RACHEL.WILLOUGHBY@MTCOMP.ORG HEALTH CENTER PROGRAM GRANT NUMBER: H80CS24692 WEBSITE: HTTPS://WWW.MTCOMP.ORG/ ADDRESS: 104 S. FRONT AVENUE CITY & STATE: PRESTONSBURG, KY MOUNTAIN COMPREHENSIVE CARE CENTER, INC. (MCCC) IS A CARF ACCREDITED, 501C3 NON-PROFIT ORGANIZATION ESTABLISHED IN 1963 AND THE REGION'S ONLY HEALTHCARE FOR THE HOMELESS PROGRAM (HCH), COMMUNITY MENTAL HEALTH CENTER, RAPE CRISIS CENTER, AND SEXUAL ASSAULT CRISIS CENTER FOR VICTIMS OF RAPE, SEXUAL ASSAULT, DOMESTIC VIOLENCE, AND CHILD ABUSE. AS AN AGENCY, MCCC PROVIDES A CONTINUUM OF HEALTH AND BEHAVIORAL HEALTH SERVICES TO OVER 40,000 CHILDREN, ADULTS, AND FAMILIES ANNUALLY - MANY OF WHOM ARE UNDERSERVED POPULATIONS WITH HEALTH DISPARITIES. MCCC IS COMMITTED TO PROVIDING QUALITY, COST-EFFECTIVE CARE TO PATIENTS IN RURAL KENTUCKY BY EXPANDING ACCESS TO JAIL- AND COMMUNITY-BASED HEALTH SERVICES TO INDIVIDUALS DISPROPORTIONATELY AFFECTED BY CRIME, SUBSTANCE USE, AND POOR HEALTH OUTCOMES. MCCC HAS EXPERIENCE SERVING JI-R INDIVIDUALS IN APPALACHIAN KY THROUGH THREE CURRENTLY OPERATIONAL REENTRY PROGRAMS SERVING RESIDENTS OF SEVEN APPALACHIAN COUNTIES. QIF-TJI PROGRAMMING WILL IMPLEMENT THESE BEST PRACTICES AND LESSONS LEARNED TO SERVE INDIVIDUALS TRANSITIONING FROM INCARCERATION INTO THE COMMUNITIES OF PIKE AND JOHNSON COUNTIES. CRITICAL HEALTH NEEDS TO BE ADDRESSED THROUGH PROGRAMMING INCLUDE MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT NEEDS, REDUCING RISK OF OVERDOSE, MANAGING CHRONIC CONDITIONS, AND THE PREVENTION, SCREENING, DIAGNOSIS, AND TREATMENT OF HCV, HIV, AND OTHER INFECTIOUS DISEASES. MCCC WILL ALSO FACILITATE CASE MANAGEMENT SERVICES AND COLLABORATE WITH COMMUNITY PARTNERS TO ADDRESS HEALTH RELATED SOCIAL NEEDS, INCLUDING HOUSING INSECURITY, FOOD INSECURITY, FINANCIAL STRAIN, LACK OF TRANSPORTATION, INTIMATE PARTNER VIOLENCE, AND OTHER NEEDS AS IDENTIFIED. TO ADEQUATELY ADDRESS INDIVIDUAL NEEDS, MCCC WILL CONTINUE ITS CURRENT PARTNERSHIP WITH PIKE COUNTY DETENTION CENTER AND DEVELOP ITS PARTNERSHIP WITH JOHNSON COUNTY DETENTION CENTER TO COORDINATE CLIENT SCREENING, ASSESSMENT, AND TRANSITIONS IN CARE TO COMMUNITY-BASED PROVIDERS AS THEY PREPARE FOR REENTRY. MCCC WILL ALSO PARTNER WITH SANDY VALLEY TRANSPORTATION SERVICES, PAINTSVILLE HOUSING AUTHORITY, HOUSING AUTHORITY OF PIKEVILLE, AND OTHER COMMUNITY-BASED PROVIDERS IN ORDER TO MEET CLIENTS’ HEALTH-RELATED SOCIAL NEEDS POST-RELEASE. OTHER PROGRAM ACTIVITIES WILL INCLUDE THE PROVISION OF: - HEALTH EVALUATION(S), TO IDENTIFY ACUTE AND CHRONIC PHYSICAL HEALTH, BEHAVIORAL HEALTH, OR ORAL HEALTH ISSUES AND ASSOCIATED NEEDS. - CASE MANAGEMENT SERVICES, INCLUDING REENTRY PLANNING, REFERRALS TO SPECIALITY CARE, AND CONNECTING J-IR INDIVIDUALS WITH FEDERAL, STATE AND LOCAL BENEFITS PROGRAMS TO ADDRESS CRITICAL HEALTH AND HEALTH-RELATED NEEDS. - PRIMARY HEALTH SERVICES INCLUDING DIAGNOSIS, TREATMENT, AND MEDICATION MANAGEMENT. - IMMUNIZATIONS AND/OR INFECTIOUS DISEASE SCREENINGS. - BEHAVIORAL HEALTH SERVICES, INCLUDING MAT/MOUD AND PEER RECOVERY SUPPORT. - PHARMACEUTICAL SERVICES, INCLUDING MEDICATION MANAGEMENT AND MAT. - PREVENTIVE DENTAL SERVICES. - TRANSPORTATION SERVICES. THROUGH HRSA QIF-TJI FUNDING, MCCC WILL: - INCREASE THE NUMBER OF JI-R INDIVIDUALS WHO RECEIVE IN-SCOPE HEALTH CENTER SERVICES POST-INCARCERATION. - IMPROVE HEALTH OUTCOMES FOR JI-R INDIVIDUALS TRANSITIONING INTO THE COMMUNITY. - REDUCE RECIDIVISM AMONG PARTICIPANTS BY IMPROVING REENTRY OUTCOMES.

THE GRANTS TO IMPROVE THE CRIMINAL JUSTICE RESPONSES TO DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING GRANT PROGRAM IS AUTHORIZED BY 34 U.S.C. 10461-10465 AND IMPLEMENTED THROUGH REGULATIONS AT 28 C.F.R. PART 90, SUBPART D. THE PROGRAM FOSTERS VICTIM SAFETY AND OFFENDER ACCOUNTABILITY IN CASES OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING BY ENCOURAGING STATE, LOCAL, AND TRIBAL GOVERNMENTS AND COURTS TO WORK COLLABORATIVELY WITH COMMUNITY PARTNERS TO IDENTIFY PROBLEMS AND SHARE IDEAS THAT WILL RESULT IN EFFECTIVELY RESPONDING TO THESE CRIMES. AN INTEGRAL COMPONENT OF THIS PROGRAM IS THE DEVELOPMENT, REVITALIZATION, OR ENHANCEMENT OF A COORDINATED COMMUNITY RESPONSE THAT BRINGS TOGETHER CRIMINAL JUSTICE AGENCIES, VICTIM SERVICES PROVIDERS, AND COMMUNITY-BASED ORGANIZATIONS THAT RESPOND TO DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING. GRANTS TO IMPROVE THE CRIMINAL JUSTICE RESPONSE (ICJR) PROJECT BY MOUNTAIN COMPREHENSIVE CARE CENTER, IN PARTNERSHIP WITH MAGOFFIN & MARTIN COUNTY FISCAL COURTS, MAGOFFIN & MARTIN COUNTY SHERIFF'S OFFICE, TURNING POINT DV SERVICES, APPALACHIAN RESEARCH & DEFENSE FUND OF KY, IMPLEMENTED IN MAGOFFIN & MARTIN COUNTIES, KENTUCKY, ADDRESSES ICJR PURPOSE AREAS: 5, 8, 11, 17, 18, 19, 21. ADDITIONALLY, THIS PROJECT ADDRESSES OVW PRIORITY AREA 3: SERVICES TO SEXUAL ASSAULT SURVIVORS. SPECIFIC ACTIVITIES INCLUDE: 1) LEGAL ADVOCACY AND LEGAL ASSISTANCE FOR VICTIMS; 2) FUNDING A DEPUTY TO INVESTIGATE SITUATIONS OF IPV, SERVE/ DOCUMENT PROTECTIVE ORDERS, AND FOLLOW-UP IN COURT; 3) SUPPORT CONTRACTUALSANE TO PROVIDE TRAUMA-INFORMED SEXUAL ASSAULT CARE INCLUDING EVIDENCE COLLECTION; AND 4) DEVELOPMENT OF BROCHURESFOROUTREACH AND REPORTS TO DOCUMENT LESSONSLEARNEDANDBESTPRACTICES FOR A RURAL SITE.

THE TRANSITIONAL HOUSING ASSISTANCE GRANTS FOR VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING PROGRAM (TRANSITIONAL HOUSING PROGRAM) IS AUTHORIZED BY 34 U.S.C. 12351. THE PRIMARY PURPOSE OF THE TRANSITIONAL HOUSING PROGRAM IS TO PROVIDE AID TO VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING WHO ARE HOMELESS, AS DEFINED BY 34 U.S.C. 12473(6), OR IN NEED OF TRANSITIONAL HOUSING OR OTHER HOUSING ASSISTANCE, AS A RESULT OF THEIR VICTIMIZATION, AND FOR WHOM EMERGENCY SHELTER SERVICES OR OTHER CRISIS INTERVENTION SERVICES ARE UNAVAILABLE OR INSUFFICIENT. THE PROGRAM SUPPORTS HOLISTIC, SURVIVOR-CENTERED APPROACHES TO PROVIDING TRANSITIONAL HOUSING AND SUPPORT SERVICES THAT MOVE INDIVIDUALS INTO PERMANENT HOUSING AND HELP THEM SECURE EMPLOYMENT AND INTEGRATE INTO A COMMUNITY. THE MOUNTAIN COMPREHENSIVE CARE CENTER, INC., IS A NON-PROFIT ORGANIZATION LOCATED IN PRESTONSBURG, KENTUCKY, A RURAL REGION OF THE STATE. THE ORGANIZATION WILL PROVIDE 20 SCATTERED SITE RESIDENCES FOR 20 SURVIVORS AND THEIR FAMILIES THROUGH PRIVATE LANDLORD HOUSING UNITS. THE MOUNTAIN COMPREHENSIVE CARE CENTER, INC., WILL COLLABORATE WITH ITS 14 PARTNERS, THE TURNING POINT DOMESTIC VIOLENCE SERVICES; APPALACHIAN RESEARCH AND DEFENSE FUND OF KENTUCKY; EASTERN KY CONCENTRATED EMPLOYMENT PROGRAM; BIG SANDY AREA COMMUNITY ACTION PROGRAM; BIG SANDY AREA DEVELOPMENT DISTRICT; SANDY VALLEY TRANSPORTATION SERVICES; BIG SANDY HEALTH CARE; HOUSING AUTHORITY OF PAINTSVILLE; HOUSING AUTHORITY OF PIKEVILLE; PRESTONSBURG HOUSING AUTHORITY; FLOYD COUNTY SHERIFFS OFFICE; JOHNSON COUNTY SHERIFFS OFFICE; MAGOFFIN COUNTY SHERIFFS OFFICE; PIKE COUNTY SHERIFFS OFFICE TO PROVIDE A HOLISTIC, VICTIM-CENTERED AND MULTIDISCIPLINARY APPROACH TO TRANSITIONAL HOUSING NEEDS IN THE COMMUNITY. THIS CONTINUATION PROJECT WILL USE FUNDS TO PROVIDE BOTH HOUSING AND SUPPORTIVE SERVICES TO MOVE SURVIVORS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, OR STALKING WHO ARE HOMELESS OR IN NEED OF HOUSING ASSISTANCE TO PERMANENT HOUSING. THE PROJECT WILL ASSIST CLIENTS FOR AN ANTICIPATED MINIMUM OF 6 MONTHS AND A MAXIMUM LENGTH OF 24 MONTHS. THE GRANT ACTIVITIES WILL BE TAILORED TO MEET THE NEEDS OF THE SURVIVORS. THE RANGE OF OPTIONAL SUPPORT SERVICES INCLUDES: RENTAL AND UTILITY ASSISTANCE, CASE MANAGEMENT, SAFETY PLANNING, MEDICAL AND LEGAL ADVOCACY, TRANSPORTATION, CAREER COUNSELING, FINANCIAL AND CREDIT COUNSELING, SUPPORT GROUPS, INDIVIDUAL COUNSELING, JOB TRAINING, EDUCATION ATTAINMENT, AND HOUSING ADVOCACY. THE PROJECT WILL ALSO HIRE 0 ADDITIONAL STAFF MEMBERS TO IMPLEMENT THE PROGRAM AND PROVIDE FOLLOW-UP SERVICES FOR AT LEAST 3 MONTHS ONCE PERMANENT HOUSING IS SECURED.

MAGOFFIN/MARTIN ADVOCACY AND SUPPORT PROGRAM

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

HOMELESS VETERANS (HVRP)

EASTERN KENTUCKY STREET OUTREACH PROGRAM

MAGOFFIN/MARTIN ADVOCACY & SUPPORT PROGRAM

THE GRANTS FOR OUTREACH AND SERVICES TO UNDERSERVED POPULATIONS (UNDERSERVED PROGRAM) WAS STATUTORILY CREATED IN THE VIOLENCE AGAINST WOMEN REAUTHORIZATION ACT OF 2013 (VAWA 2013) TO DEVELOP AND IMPLEMENT OUTREACH STRATEGIES TARGETED AT ADULT OR YOUTH VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, OR STALKING IN UNDERSERVED POPULATIONS, AND TO PROVIDE VICTIM SERVICES TO MEET THE NEEDS OF SUCH POPULATIONS. GRANT FUNDS MAY BE USED TO: 1) WORK WITH FEDERAL, STATE, TRIBAL, TERRITORIAL, AND LOCAL GOVERNMENTS, AGENCIES, AND ORGANIZATIONS TO DEVELOP OR ENHANCE POPULATION SPECIFIC VICTIM SERVICES; 2) STRENGTHEN THE CAPACITY OF UNDERSERVED POPULATIONS TO PROVIDE POPULATION SPECIFIC VICTIM SERVICES; 3) STRENGTHEN THE CAPACITY OF TRADITIONAL VICTIM SERVICE PROVIDERS TO PROVIDE POPULATION SPECIFIC VICTIM SERVICES; 4) STRENGTHEN THE EFFECTIVENESS OF CRIMINAL AND CIVIL JUSTICE INTERVENTIONS BY PROVIDING TRAINING FOR LAW ENFORCEMENT, PROSECUTORS, JUDGES, AND OTHER COURT PERSONNEL ON DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, OR STALKING IN UNDERSERVED POPULATIONS; OR 5) WORK IN COOPERATION WITH AN UNDERSERVED POPULATION TO DEVELOP AND IMPLEMENT OUTREACH, EDUCATION, PREVENTION, AND INTERVENTION STRATEGIES THAT HIGHLIGHT AVAILABLE RESOURCES AND THE SPECIFIC ISSUES FACED BY VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, OR STALKING FROM UNDERSERVED POPULATIONS. ELIGIBLE APPLICANTS ARE LIMITED TO: POPULATION SPECIFIC ORGANIZATIONS OR VICTIM SERVICE PROVIDERS THAT ARE (1) DEAF PROGRAMS (2) LESBIAN, GAY, BISEXUAL, AND TRANSGENDER (LGBT) ORGANIZATIONS, (3) RELIGIOUS MINORITY ORGANIZATIONS, AND (4) DISABILITY PROGRAMS.

THROUGH THIS AWARD, MOUNTAIN COMPREHENSIVE CARE CENTER (MCCC) WILL BUILD INTERNAL CAPACITY TO SERVE TRAFFICKING VICTIMS IN THE BIG SANDY REGION OF CENTRAL APPALACHIA KENTUCKY. ADDITIONALLY, MCCC WILL TRAIN INTERNAL AND NEW HIRE STAFF ON ENGAGING WITH AND SUPPORTING TRAFFICKING VICTIMS, AND, THROUGH ITS COMMUNITY-BASED PARTNERSHIPS, LAW ENFORCEMENT AND OTHER ORGANIZATIONS, GROW THE SAFETY NET OF PROVIDERS WHO ARE ENGAGED IN PROVIDING INCLUSIVE, SUPPORTIVE AND COMPLEMENTARY PROGRAMMING. MCCC WILL ENGAGE ITS STAFF IN TRAIN-THE-TRAINER PROGRAMMING THAT WILL SUPPORT THE TRAINING OF LAW ENFORCEMENT AND MCCC STAFF TO RECOGNIZE TRAFFICKING AND CONNECT VICTIMS TO THE SERVICES THEY NEED. MCCC WILL ALSO LEVERAGE ITS ORGANIZATIONAL PROGRAMMING, INCLUDING THAT OF THE HEALING PLACE AND STREET OUTREACH PROGRAMS, TO ENHANCE COLLABORATION OF COMMUNITY ORGANIZATIONS AND BUILD MCCCS CAPACITY TO SUPPORT VICTIMS AND LINK THEM TO HEALTHCARE SERVICES.

PIKEVILLE INTEGRATED CARE CLINIC

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

EASTERN KENTUCKY STREET OUTREACH PROGRAM

BIG SANDY TRANSITIONAL HOUSING PROGRAM

HEALTHCARE ACCESS

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

HOMELESS VETERANS (HVRP)

BIG SANDY COMMUNITY INTEGRATION PROGRAM

BIG SANDY REGION YOUTH MENTAL HEALTH LITERACY PROJECT

EASTERN KY MENTAL HEALTH AWARENESS TRAINING PROGRAM

UTILIZING ITS CURRENT HEALING PLACE SEXUAL ASSAULT CRISIS CENTER AND SHELTER FACILITIES, MOUNTAIN COMPREHENSIVE CARE CENTER, INC. (MCCC) PROPOSES TO ENSURE INDIVIDUALS FLEEING DOMESTIC VIOLENCE SITUATIONS WITH COMPANION ANIMALS ARE ABLE TO SECURE SAFE, TEMPORARY SHELTER AND ARE SUPPORTED IN FINDING SAFE, LONG-TERM HOUSING. THE PROGRAM WILL SERVE INDIVIDUALS FLEEING DOMESTIC VIOLENCE SITUATIONS AND THEIR COMPANION ANIMALS IN THE FIVE APPALACHIAN KENTUCKY COUNTIES OF FLOYD, JOHNSON, MARTIN, MAGOFFIN, AND PIKE. IN PARTNERSHIP WITH OVC, MCCC WILL ACCOMPLISH THREE PRIMARY GOALS: 1) SECURE THE SAFETY OF COMPANION ANIMALS THROUGH TEMPERATURE-CONTROLLED HOUSING, HANDLER SAFETY EDUCATION, AND MEDICAL SERVICES AS NEEDED; 2) PROVIDE EMERGENCY, SHORT-TERM, AND TRANSITIONAL SHELTER AND HOUSING ASSISTANCE FOR VICTIMS OF CRIME SEEKING SHELTER WITH A COMPANION ANIMAL; AND 3) PROVIDE SUPPORT SERVICES TO ASSIST CLIENTS IN LOCATING AND SECURING SAFE HOUSING FOR VICTIMS FLEEING A SITUATION OF DOMESTIC VIOLENCE AND THE VICTIMS COMPANION ANIMAL(S). UNDER GOAL 1, MCCC WILL INSTALL SIX TEMPERATURE-CONTROLLED KENNELS AT THE HEALING PLACE SO THAT UP TO SIX COMPANION ANIMALS CAN BE SHELTERED WITH THEIR OWNERS AT CURRENT FACILITIES. MCCC WILL ENSURE THE SAFETY OF ALL SHELTERED INDIVIDUALS AND COMPANION ANIMALS BY REQUESTING VET/VACCINATION RECORDS AND FACILITATING VACCINATION AND/OR ACCESS TO MEDICATION AS NEEDED. UNDER GOAL 2, MCCC WILL PROVIDE SHELTER TO A MINIMUM OF 15 VICTIMS WITH COMPANION ANIMALS IN YEAR 1 AND 25 IN YEARS 2 AND 3 (65 TOTAL), AND PROVIDE PET SAFETY TRAINING, WHICH INCLUDES HYGIENE, SAFE HANDLING, AND SHELTER POLICIES SO THAT 100% OF INDIVIDUALS SHELTERED WITH COMPANION ANIMALS COMPLETE TRAINING. UNDER GOAL 3, MCCC WILL PROVIDE ASSISTANCE LOCATING AND SECURING HOUSING SO THAT 80% OF INDIVIDUALS SEEKING HOUSING ARE ABLE TO SECURE LONG-TERM HOUSING WITHIN ONE YEAR OF ENGAGING IN SHELTER/HOUSING SERVICES.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-OVERDOSE RESPONSE

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.

BIG SANDY TRANSITIONAL HOUSING PROGRAM

CONTINUUM OF CARE PROGRAM

FLOYD COUNTY TRANSITIONAL HOUSING PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

VA IS PROVIDING FUNDING TO ASSIST WITH THE OPERATIONAL COSTS ASSOCIATED WITH CASE MANAGEMENT SERVICES FOR HOMELESS VETERANS.

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

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

CONTINUUM OF CARE PROGRAM

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

HOMELESS VETERANS (HVRP)

HOMELESS VETERANS (HVRP)

MENTORING FOR A 2ND CHANCE (M2C) PROJECT

HOMELESS VETERANS (HVRP)

FY 2023 EXPANDING COVID-19 VACCINATION

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS VETERANS (HVRP)

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

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

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.

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

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

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

FY 2023 BRIDGE ACCESS 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

MOUNTAIN PATHWAYS HOME - MOUNTAIN COMPREHENSIVE CARE CENTER WILL IMPLEMENT THE MOUNTAIN PATHWAYS HOME PROJECT TO PROVIDE COMPREHENSIVE, COORDINATED, AND EVIDENCE-BASED TREATMENT, RECOVERY-ORIENTED SERVICES, AND ACCESS TO HOUSING FOR INDIVIDUALS, INCLUDING YOUTH, AND FAMILIES WITH SUD OR COD WHO ARE EXPERIENCING HOMELESSNESS AS IT EXPANDS THE LOCAL INFRASTRUCTURE ACROSS THE SERVICE AREA OF FLOYD, JOHNSON, LAWRENCE, MAGOFFIN, MARTIN, MORGAN, PIKE, AND ROWAN COUNTIES IN KY. POPULATION: BASED ON DATA FROM THE KY BALANCE OF STATE COC, WHICH SERVES THE CATCHMENT AREA, IT IS SURMISED THAT 85% OF THE TARGETED POPULATION WILL IDENTIFY AS WHITE WITH MINORITY POPULATIONS HIGHER THAN THE GENERAL PUBLIC INCLUDING 12% BLACK, 2% MULTIRACIAL, 1% OTHER RACES, 2% HISPANIC, AND 0.5% LEP. MEN WILL ACCOUNT FOR 58%, WOMEN 41%, TRANSGENDER 1%, LGBTQ+ 6%, AND VETERANS 3%. IN TERMS OF AGE, 67% WILL BE ADULT INDIVIDUALS OVER AGE 24, 6% TRANSITIONAL-AGE YOUTH (AGES 18-24), AND 27% WILL BE FAMILIES (61% CHILDREN/YOUTH, 39% ADULTS). LOCATED IN EASTERN KY AND THE CENTRAL APPALACHIAN REGION, THE TARGETED POPULATION IS ANTICIPATED TO EXPERIENCE EVEN MORE DISPARITIES THAN THE GENERAL POPULATION – WHICH IS STILL SIGNIFICANTLY IMPACTED BY POVERTY, HIGH UNEMPLOYMENT, AND RECENT FLOODING CAUSING CRISIS ACROSS THE REGION. INTERVENTIONS: STAFF WILL CONDUCT OUTREACH AND ENGAGE POTENTIAL PROGRAM PARTICIPANTS USING TRAUMA-INFORMED CARE ALONG WITH MOTIVATIONAL INTERVIEWING (MI). ASSESSMENT WILL INCLUDE THE VI-SPDAT, PSYCHOSOCIAL ASSESSMENT, AND ASAM WHILE USING HOUSING FIRST TO LINK CLIENTS WITH HOUSING AND DESIRED TREATMENT AND RECOVERY-ORIENTED SERVICES AS OUTLINED IN A PERSON-CENTERED PLAN. EVIDENCE-BASED PRACTICES INCLUDE HOUSING FIRST, MI, COGNITIVE BEHAVIORAL THERAPY (INCLUDING SEEKING SAFETY AND LIVING IN BALANCE), PEER SUPPORT SERVICES, AND MEDICATIONS FOR OPIOID USE DISORDER/MEDICATION ASSISTED TREATMENT (MOUD/MAT). MCCC WILL LINK CLIENTS TO PRIMARY HEALTH CARE THROUGH ITS HOMEPLACE CLINICS WHILE ALSO PROVIDING CASE MANAGEMENT/CARE COORDINATION, ENROLLMENT IN BENEFITS, PEER/COMMUNITY/RECOVERY SUPPORTS, AND AFTERCARE UPON EXIT. GOALS: MCCC WILL SERVE 40 CLIENTS IN YEAR 1 AND 60 ANNUALLY IN YEAR 2-5 (TOTAL 280). GOALS FOR THE TARGETED POPULATION INCLUDE: 1) IMPROVE HEALTH BY ENGAGING WITH AND COORDINATING CARE TO EVIDENCE-BASED AND POPULATION-SPECIFIC BEHAVIORAL HEALTH TREATMENT AND PRIMARY HEALTH CARE; 2) IMPROVE STABILITY BY PROVIDING AND/OR COORDINATING COMPREHENSIVE CASE MANAGEMENT, RECOVERY AND HOUSING SUPPORT SERVICES; AND 3) IMPROVE EQUITABLE AND EFFECTIVE PROJECT IMPLEMENTATION AND EVALUATION BY CONDUCTING CQI. OBJECTIVES ACHIEVED BY END OF EACH PROJECT YEAR INCLUDE: 1.1) CONDUCTED ENGAGEMENT/HARM REDUCTION SERVICES SO 40 ARE SERVED IN YEAR 1 AND 60 ANNUALLY IN YEARS 2-5; 1.2) COORDINATED ACCESS TO INDIVIDUALIZED SUD TREATMENT (AND FDA-APPROVED MEDICATIONS) SO 60% REPORT ABSTINENCE FROM SUBSTANCE USE AND/OR ALCOHOL [AT 6-MONTH FOLLOW-UP]; 1.3) INTEGRATED MENTAL DISORDERS TREATMENT SO 50% OR LESS REPORT ANY MH SYMPTOMS; 1.4) PROVIDED LINKAGES TO INTEGRATED PRIMARY CARE SO 65% REPORT HEALTH AS “GOOD” OR ABOVE; 2.1) PROVIDED AND/OR COORDINATED ACCESS TO PEER SUPPORTS SO 60% REPORT POSITIVE SOCIAL CONNECTIONS; 2.2) COORDINATED ACCESS TO RECOVERY SUPPORT SERVICES SO 50% REPORT ENGAGEMENT IN EMPLOYMENT/ EDUCATION, AND/OR BENEFITS ENROLLMENT; 2.3) PROVIDED PERSON-CENTERED CASE MANAGEMENT PLANNING AND SERVICES SO 50% REPORT HOUSING STABILITY AND 60% NO FURTHER ARRESTS; 3.1) MONITORED INDICATORS OF ENROLLEES EACH QUARTER TO ENSURE EQUITY/INCLUSION AMONG ALL GROUPS AND REVISE OUTREACH AS NEEDED; 3.2) CONDUCTED STEERING COMMITTEE MEETINGS AT LEAST QUARTERLY TO COORDINATE SERVICES, MONITOR GOALS/OBJECTIVES, AND CQI. MSU WILL CONDUCT AN INDEPENDENT EVALUATION.

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

BIG SANDY PARTNERSHIP TO SUPPORT INCARCERATED SURVIVORS OF SEXUAL ABUSE

BIG SANDY REGION YOUTH MENTAL HEALTH LITERACY PROJECT

FY 2014 DISABILITY GRANT PROGRAM