Gateway Community Services

CCBHC IMPROVEMENT AND ADVANCEMENT (CCBHC IA) - GATEWAY COMMUNITY SERVICES, INC. (GATEWAY) IS A LICENSED, CARF ACCREDITED, AND SAMHSA APPROVED CCBHC IN JACKSONVILLE, FLORIDA THAT PROVIDES COMPREHENSIVE SUBSTANCE USE, MENTAL HEALTH, AND INTEGRATED PRIMARY CARE SERVICES. DUVAL COUNTY AND THE CITY OF JACKSONVILLE HAVE HAD A CONSOLIDATED GOVERNMENT SINCE 1968 – PRESENTING A UNIQUE ASSET FOR IMPLEMENTING LOCAL, COMPREHENSIVE PROGRAMS. THE CCBHC IMPROVEMENT AND ADVANCEMENT PROGRAM WILL MAINLY BE IMPLEMENTED IN DUVAL COUNTY AND OPERATE OUT OF GATEWAY’S MAIN CAMPUS AT 555 STOCKTON ST. THE IDENTIFIED POPULATIONS OF FOCUS INCLUDE LOW-INCOME INDIVIDUALS AND FAMILIES WITH SEVERE MENTAL ILLNESS, SEVERE SUBSTANCE USE DISORDERS, MENTAL HEALTH AND PRIMARY CARE HEALTH NEEDS. THROUGH EVALUATION OF THE CURRENT CCBHC PROGRAM LAUNCHED IN 2021 THROUGH FUNDING FROM SAMHSA THROUGH FOA SM-20-012, GATEWAY HAS IDENTIFIED THE FOLLOWING SERVICE GAPS IN THE AREA: 1) LACK OF INTEGRATED CARE COORDINATION BETWEEN PARTNERS LEADING TO BARRIERS TO FOLLOW-UP CARE AND DECREASES IN PATIENT ENGAGEMENT; AND 2) NEED FOR ADDITIONAL MENTAL HEALTH SERVICES FOR ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCES. THE GROWING NUMBER OF INDIVIDUALS NEEDING BOTH MENTAL HEALTH AND SUBSTANCE USE TREATMENT HIGHLIGHTS THE NEED FOR INTEGRATED CARE IN THE COMMUNITY. EXPANDING EVIDENCE-BASED PREVENTION POLICIES, PROGRAMS, AND PRACTICES THAT AIM TO REDUCE RISK FACTORS AND STRENGTHEN PROTECTIVE FACTORS RELATED TO YOUTH ARE CRITICALLY NEEDED THE PROGRAM EXPECTS TO SERVE 1,425 OVER THE FOUR-YEAR PERIOD, SERVING 450 INDIVIDUALS IN YEAR 1 AND 325 INDIVIDUALS EACH IN YEAR 2, YEAR 3 AND YEAR 4. THE OVERALL GOAL OF THE PROGRAM IS TO IMPROVE AND ADVANCE ACCESS TO AND AVAILABILITY OF HIGH-QUALITY SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF THE COMMUNITY.

GATEWAY CCBHC EXPANSION GRANT - THE PROPOSED PROJECT WILL BE TARGETING VULNERABLE, LOW-INCOME INDIVIDUALS AND FAMILIES WITH SEVERE MENTAL ILLNESS, SEVERE SUBSTANCE USE DISORDERS AND CO-OCCURRING DISORDERS, AND WITH PRIMARY HEALTH NEEDS IN THE GREATER JACKSONVILLE, FLORIDA AREA. BY BECOMING A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC, GATEWAY WILL INCREASE ACCESS TO BEHAVIORAL AND PRIMARY HEALTH CARE TO IMPROVE THE QUALITY OF COMMUNITY MENTAL AND SUBSTANCE USE DISORDER TREATMENT SERVICES. THESE SERVICES WILL PRIMARILY BE PROVIDED IN DUVAL COUNTY, FLORIDA AT 555 STOCKTON STREET, JACKSONVILLE, FLORIDA 32204 WHILE SOME MENTAL HEALTH AND PRIMARY HEALTH SERVICES WILL BE PROVIDED AT DESIGNATED COLLABORATING ORGANIZATIONS IN THE COUNTY. TRANSPORTATION WILL BE PROVIDED TO AND FROM THESE SERVICE LOCATIONS TO DECREASE THE BARRIER OF ACCESS AND TRANSPORTATION. THE PRIMARY PURPOSE OF THIS PROJECT IS TO ENHANCE ACCESS TO INTEGRATED BEHAVIORAL AND PRIMARY HEALTH SERVICES TO THOSE WITH THE MOST SEVERE MENTAL ILLNESS, SEVERE SUBSTANCE USE DISORDERS AND CO-OCCURRING PRIMARY HEALTH DISORDERS WHO ARE IN NEED OF TREATMENT AND RECOVERY SERVICES IN JACKSONVILLE, FLORIDA. GATEWAY CURRENTLY SERVES AROUND 300 PATIENTS A YEAR THROUGH ITS OUTPATIENT PROGRAM. AS A CCBHC AND WITH ITS DCOS, GATEWAY EXPECTS TO SERVE AN ADDITIONAL 600-900 PATIENTS’ A YEAR TOTALING 1200 – 1600 PATIENTS OVER THE ENTIRE PROJECT PERIOD. THIS EXPANSION GRANT WILL ALLOW GATEWAY TO PROVIDE ADDITIONAL OUTPATIENT BEHAVIORAL HEALTH SERVICES ONSITE AND PROVIDE PHYSICAL HEALTH SERVICES IN PARTNERSHIP WITH AN FQHC. THE PROPOSED PROJECT ALIGNS EXISTING EFFORTS TO EFFICIENTLY AND EFFECTIVELY USE RESOURCES TO SERVE THE MOST VULNERABLE INDIVIDUALS IN OUR AREA.

HIGH IMPACT PROJECT FOR MEN (HIP MEN)

THE RIGHT PROJECT: RE-ENTRY INTERVENTIONS GENERATING HEALTH AND TREATMENT

HEALTHY, SAFE AND SOBER - THE HEALTHY, SAFE AND SOBER (HSS) PROGRAM WILL TAKE PLACE IN THE LOCALITY OF DUVAL COUNTY, FLORIDA – A RECOGNIZED AREA HARDEST HIT BY THE HIV PANDEMIC. THE PURPOSE OF THIS PROGRAM IS TO INCREASE ENGAGEMENT IN CARE FOR RACIAL AND ETHNIC UNDERREPRESENTED INDIVIDUALS WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS (COD) WHO ARE AT RISK FOR, OR ARE LIVING WITH HIV/AIDS AND RECEIVE HIV/AIDS SERVICES/TREATMENT. THE IDENTIFIED POPULATIONS OF FOCUS INCLUDE RACIAL AND ETHNIC UNDERREPRESENTED INDIVIDUALS WITH A SUBSTANCE USE (SUD) OR CO-OCCURRING DISORDER (COD) WHO ARE AT RISK FOR, OR WHO ARE LIVING WITH HIV/AIDS. SPECIFICALLY, THE PROGRAM WILL TARGET YOUNG INDIVIDUALS, AGES 18-29, WHO IDENTIFY AS LGBTQ+, AND WHO MEET THE ABOVE CRITERIA. DUVAL COUNTY RANKS 5TH IN THE STATE FOR NEW HIV CASES. OF THE 6,566 LIVING WITH HIV IN 2020, ONLY 83% WERE LINKED TO CARE, 74% REMAINED IN CARE, AND 64% WERE VIRALLY SUPPRESSED. SERVICE GAPS INCLUDE THE NEED FOR CASE MANAGEMENT, CARE COORDINATION, AND TREATMENT FOR SUD/CODS TO PROMOTE TREATMENT ADHERENCE AND ACCESS TO CARE TO LOWER UNSAFE BEHAVIORS AND INCREASE THE PERCENTAGE OF INDIVIDUALS LIVING WITH HIV THAT ARE VIRALLY SUPPRESSED. THE HSS PROGRAM IS THE ONLY SUBSTANCE USE AND MENTAL HEALTH PROGRAM IN DUVAL COUNTY OFFERING COMPREHENSIVE, COORDINATED SUD/COD CARE WITH HIV PROVIDERS IN THE AREA. THE PROGRAM WILL SERVE APPROXIMATELY 205 UNDUPLICATED INDIVIDUALS THROUGHOUT THE ENTIRE GRANT WITH 35 BEING SERVED IN YEAR ONE AND FIVE AND 45 BEING SERVED IN YEARS TWO THROUGH FOUR. THE HEALTHY, SAFE AND SOBER PROGRAM IS INFORMED BY LOCAL, STATE AND NATIONAL NEEDS ASSESSMENTS, AND LOCAL, STATE AND NATIONAL LEVEL GOALS AND OBJECTIVES. THE STATEMENT OF NEED IDENTIFIES THE FOLLOWING GAPS IN SERVICE AND NEEDS FOR SERVICE ENHANCEMENT FOR THE TARGET POPULATION: 1) INCREASED TREATMENT CAPACITY FOR SUD/COD FOR INDIVIDUALS LIVING WITH OR AT RISK OF CONTRACTING HIV; 2) NEED FOR SUPPORTIVE, AFFORDABLE AND SOBER HOUSING TO INCREASE TREATMENT ADHERENCE AND VIRAL SUPPRESSION; AND 3) NEED FOR INCREASED CARE COORDINATION, CASE MANAGEMENT, AND PEER SERVICES TO COORDINATE CARE ACROSS THE NETWORK ENSURING HIGHER RATES OF ENGAGEMENT IN SERVICES AND INCREASE POSITIVE OUTCOMES. OVERARCHING GOAL: IMPROVE HIV-RELATED HEALTH OUTCOMES FOR RACIAL AND ETHNIC MINORITY COMMUNITIES WITH SUD/COD, SPECIFICALLY YOUNG LGBTQ MINORITY INDIVIDUALS ACROSS THE SEXUAL AND GENDER SPECTRUM WITHIN THE GEOGRAPHIC CATCHMENT AREA.

SERVICES, TREATMENT AND RECOVERY (STAR) IN HOUSING

PROJECT ETC.: ENHANCING SERVICES TO TRAUMATIZED CHILDREN

WOMENS RECOVERY PROGRAM-PPW

WOMEN'S RECOVERY PROGRAM FOR PREGNANT & POSTPARTUM WOMEN

HEALTHY SAFE AND SOBER (HSS)

CONNECT EXPANSION PROJECT

INTEGRATING RECOVERY SUPPORT SERVICES WITH TREATMENT

SEEKING TREATMENT AND RECOVERY STAR

SERVICES, TREATMENT AND RECOVERY (STAR) IN HOUSING

GATEWAY CONNECT

TRANSITIONAL LIVING PROGRAM

FAMILY CSAAT

HEALTHY SAFE AND SOBER (HSS)

STREET OUTREACH PROGRAM

BASIC CENTERS

TRANSITIONAL LIVING PROGRAM

STREET OUTREACH PROGRAM

BASIC CENTER PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

WOMEN'S RECOVERY PROGRAM-PPW

HIGH IMPACT PROJECT FOR MEN (HIP MEN)

SERVICES, TREATMENT AND RECOVERY (STAR) IN HOUSING