Project Vida Health Center

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

ARRA - FACILITY INVESTMENT PROGRAM

BE YOU: BORDER TEEN PREGNANCY PREVENTION PROGRAM - PROJECT VIDA HEALTH CENTER, INC. (PVHC), A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) SERVING THE LOW-INCOME, UNINSURED AND MARGINALIZED RESIDENTS IN EL PASO COUNTY, TEXAS, IS PROPOSING A PROJECT THAT WILL IMPLEMENT EVIDENCED-BASED PROGRAMS IN THREE SETTINGS: 1) SCHOOL DISTRICTS, 2) COMMUNITY, AND 3) HEALTH CARE SETTING. THE SERVICE AREAS IS EL PASO COUNTY, WHICH INCLUDES THE SCHOOL DISTRICTS TARGETED AS WELL AS COLONIAS ON AND NEAR THE U.S/MEXICAN BORDER. THE COLONIAS, AND THE BORDER REGION AS A WHOLE, ARE AMONG THE POOREST AREAS IN THE U.S. IN EL PASO COUNTY, EL PASO HAS EXCEPTIONALLY HIGH RATES OF SEXUALLY TRANSMITTED INFECTIONS (STI), AND IN PARTICULAR SYPHILIS, AND A TEEN BIRTH RATE THAT IS SIGNIFICANTLY HIGHER THAN THE STATE OR NATIONAL RATES DEMONSTRATING THE NEED FOR INCREASED EVIDENCE-BASED PROGRAMS, PARTICULARLY SERVING HIGH-RISK GROUPS AND COMMUNITIES. PVHC HAS NEARLY 30 YEARS’ EXPERIENCE IN SERVING THE EL PASO COMMUNITY IN VARIOUS FASHIONS- COMMUNITY HEALTH, TEEN PREGNANCY PREVENTION, POPULATION HEALTH, COLONIAS ENVIRONMENTAL ISSUES, HOUSING ACCESS, ECONOMIC DEVELOPMENT, HEALTH AND FITNESS, WELL-BEING AND SOCIAL JUSTICE-ALLOWING FOR SEAMLESS OPPORTUNITY TO LEVERAGE AN EXISTING NETWORK OF RELATIONSHIPS/PARTNERSHIPS WITH STUDENTS, PARENTS, TEACHERS, ISDS AND LOCAL ORGANIZATIONS WITH A SHARED FOCUS. THIS PROJECT WILL ADDRESS BARRIERS THAT HINDER EL PASO ADOLESCENTS FROM OBTAINING OPTIMAL HEALTH, WITH A SPECIFIC FOCUS ON TEEN PREGNANCY PREVENTION AND THE REDUCTION OF STIS AND HIV, BY EQUIPPING AND THEREBY IMPROVING THEIR SOCIAL SYSTEM SUPPORTS USING A SYSTEMS THINKING METHODOLOGY. THE PROJECT’S PRIMARY GOALS WILL BE TO 1) ENSURE THAT AREAS WITH THE GREATEST NEED ARE TARGETED TO PROMOTE EQUITY IN REACHING OPTIMAL HEALTH AND PREVENTING TEEN PREGNANCY AND STIS; 2) INCORPORATE YOUTH, CAREGIVER, AND YOUTH-SERVING PROFESSIONAL VOICES INTO THE DESIGN, IMPLEMENTATION, AND MONITORING OF THE PROJECT; AND 3) REPLICATE WITH FIDELITY EFFECTIVE PROGRAMS AND SUPPORTIVE SERVICES THAT ARE CULTURALLY APPROPRIATE, AGE-APPROPRIATE, MEDICALLY ACCURATE, AND TRAUMA-INFORMED. PVHC HAS IDENTIFIED FIVE STRATEGIES TO AFFECT SYSTEM CHANGE IN THE TARGETED AREA: 1) EVIDENCED-BASED PRACTICES; 2) STUDENT ASSISTANCE SERVICES; 3) CAPACITY DEVELOPMENT; 4) COMMUNICATIONS; 5) NAVIGATION SERVICES. ON AN ANNUAL BASIS, PVHC EXPECTS TO REACH 5000 STUDENTS AND 500 CAREGIVERS WITH EVIDENCED-BASED PROGRAMS.

OPTIMALLY CHANGING THE MAP FOR TEEN PREGNANCY - AH-TP1-20-001

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

PROVIDING OPPORTUNITY WHILE ESTABLISHING RESILIENCY 4-UTH (POWER 4-UTH),

INTEGRATED CARE FOR HOMELESS INDIVIDUALS IN EL PASO, TEXAS

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

COMMUNITY HEALTH WORKER TRAINING PROGRAM - PROJECT VIDA HEALTH CENTER, 3607 RIVERA AVE. EL PASO, TEXAS 79905-2415 AIDA PONCE 915-249-8419 A.PONCE@PVIDA.NET WWW.PVIDA.NET PVHC IS SUBCONTRACTING AND PARTNERING WITH FAMILIAS TRIUNFADORAS, INC. TO ADDRESS THE CHW WORKFORCE SYSTEM IN EL PASO AND INFLUENCE CHANGE. THE PROPOSED PROJECT WILL UTILIZE A SYSTEM CHANGE APPROACH TO ACHIEVE ITS GOALS AND OBJECTIVES. IT WILL BE IMPLEMENTED IN EL PASO COUNTY SINCE THE MAJORITY OF EL PASOANS LIVE IN UNDERSERVED COMMUNITIES, ESPECIALLY CLOSER TO THE BORDER WITH MEXICO. EL PASO HAS AN OVERALL MODERATE TO HIGH VULNERABILITY INDEX OF ALMOST 0.8 WITH THE HIGHEST BEING 1. OVER THE THREE YEAR GRANT PERIOD THE PROJECT WILL CERTIFY 70 NEW CHW WITH AN ENHANCED CURRICULUM, UPSKILL 25 EXISTING CHW WITH A NEWLY DEVELOPED CURRICULUM THAT ENCOMPASSES PUBLIC HEALTH CORE COMPETENCIES, REGISTER AND AND ENROLL 25 PARTICIPANTS IN THE APPRENTICESHIP PROGRAM, AND ASSIST IN JOB PLACEMENTS FOR 75% OF CERTIFIED CHW IN COLLABORATION WITH A NETWORK OF LOCAL PARTNERS SUCH AS WORKFORCE SOLUTIONS BORDERPLEX. THE PROJECT WILL HAVE ONE-6 MONTHS COHORT OF NEW CHW CERTIFICATION IN YEAR 1, AND TWO-6 MONTH COHORTS IN YEAR 2 & 3. FOR THE UPSKILLING OF EXISTING CHW THE PROJECT WILL HAVE ONE-3 MONTH COHORT FOR YEAR 1AND TWO-3 MONTH COHORTS FOR YEARS 2 & 3. APPRENTICESHIPS WILL BE 12 MONTHS LONG AND WILL OPEN ONCE A YEAR. DURING YEAR 1 A TOTAL OF 20 PARTICIPANTS WILL BE SERVED ACROSS ALL PROGRAMS, DURING YEAR 2 & 3 A TOTAL OF 50 PARTICIPANTS WILL BE SERVED ACROSS ALL PROGRAMS FOR A TOTAL OF 120 PARTICIPANTS SERVED OVER THE THREE YEARS. THE PROJECT WILL REQUIRE A 6 MONTH RAMP-UP PERIOD. THE PROJECT WILL BE IMPLEMENTED BY THE PROJECT DIRECTOR, DATA COLLECTION COORDINATOR, FAMILIAS TRIUNFADORAS, INC. SCHOOL DIRECTOR, CAPACITY DEVELOPMENT SCHOOL SPECIALIST, APPRENTICESHIP CASE WORKER, STUDENT CASE WORKERS, AND STAFF LEVERAGED FROM PVHC AND FAMILIAS TRIUNFADORAS, INC. THE PROPOSED PROJECT WILL DRAW FROM THE STRENGTHS OF PVHC AND FAMIL IAS TRIUNFADORAS, INC. TO ADDRESS THE CHW WORKFORCE SYSTEM IN EL PASO AND INFLUENCE CHANGE. PVHC IS A PATIENT CENTERED MEDICAL HOME, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND THE LARGEST EMPLOYER OF CHW IN THE EL PASO AREA FOR THE LAST 10 YEARS. PVHC PROVIDES INTEGRATED CARE SERVICES TO LOW-INCOME AND VULNERABLE POPULATIONS INDEPENDENTLY OF THEIR ABILITY TO PAY OR IMMIGRATION STATUS. IT IS CURRENTLY SERVING EL PASO, HUDSPETH AND CULBERSON COUNTIES, WITH CLINICS LOCATED IN COLONIAS AND AREAS OF GREAT NEED. SINCE ITS INCEPTION PVHC HAS RECOGNIZED THE IMPORTANCE OF THE WORK CHW DO AND HAS WORKED DILIGENTLY IN GROWING ITS CHW WORKFORCE AND TRAINING THEM TO ENHANCE THEIR CAPACITIES AND FULFILL THEIR ASSIGNED ROLES. FAMILIAS TRIUNFADORAS, INC, HAS 12 YEARS OF EXPERIENCE IN CERTIFYING NEW CHW AND PROVIDING CEUS TO CHWS, THEY HAVE SERVED THE COMMUNITY OF SAN ELIZARIO, AND ITS VULNERABLE POPULATIONS WHO OFTEN LIVE IN THE COLONIAS OF THE AREA SINCE 2008. THEY HAVE A STRONG NETWORK OF PARTNERSHIPS, ARE IDENTIFIED BY THE COMMUNITY, HAVE A ROBUST NETWORK OF CHW AND ARE COMMUNITY INFLUENCERS. BOTH PVHC AND FAMILIAS TRIUNFADORAS, INC. HAVE A STRONG NETWORK OF PARTNERSHIPS THAT WILL CONTINUE TO EXPAND THROUGHOUT THE LENGTH OF THE PROJECT. THE STRENGTHS AND EXPERIENCE OF BOTH ORGANIZATIONS WILL ENABLE THE PROJECT TO MEET ITS GOALS, AND ADDRESS THE SYSTEM LEVERAGE POINTS THROUGH PARTNERSHIPS, ADVOCACY AND ENGAGEMENT OF VULNERABLE POPULATIONS. TOTAL FUNDS REQUESTED ARE $1,500,000.

PERSONAL RESPONSIBILITY EDUCATION PROGRAM (PREP) COMPETITIVE GRANTS UNDER THE AFFORDABLE CARE ACT (ACA), PROJECT VIDA TOP

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - H80CS04287 PROJECT VIDA HEALTH CENTER (PVHC) IS A FEDERALLY QUALIFIED HEALTH CENTER INCORPORATED IN 2003 AND SERVING THE LOW-INCOME AND HOMELESS RESIDENTS IN EL PASO, TX. PVHC HAS 25 YEARS’ EXPERIENCE PROVIDING RELATIONSHIP-BASED, RECOVERY-ORIENTED TRAUMA AND CULTURALLY INFORMED INTEGRATED MEDICAL, BEHAVIORAL, AND ORAL HEALTHCARE. PVHC PROPOSES TO MITIGATE ONGOING BARRIERS AND CHALLENGES THAT JI-R INDIVIDUALS HAVE AFTER RELEASE FROM THE WEST TEXAS BEHAVIORAL HEALTH RESIDENTIAL TREATMENT CENTER (WTBHRTC). PVHC WILL PROVIDE A CONTINUUM OF MEDICAL, BEHAVIORAL, AND SUBSTANCE USE DISORDER CARE FOR ACUTE AND CHRONIC CONDITIONS AND ACCESS TO PEER RECOVERY SUPPORT SERVICES. THE FOCUS POPULATION IS THOSE JAILED AT WTBHRTC DUE TO SUBSTANCE USE-RELATED CHARGES SERVING 2 YEARS OR LESS, OF WHICH 88% ARE MINORITIES. UNMET NEEDS INCLUDE NO HEALTH INSURANCE, SUBSTANCE USE AND MENTAL HEALTH DISORDERS WITH HIGH RISK OF DRUG OVERDOSE, LACK OF STABLE/AFFORDABLE HOUSING, FRAYED RELATIONSHIPS, LITTLE/NO INCOME, EMPLOYMENT, OR TRANSPORTATION. PVHC PROPOSES TO USE EVIDENCE-INFORMED STRATEGIES AND SEVERAL INNOVATIONS TO ACHIEVE POSITIVE RESULTS. PVHC’S OBJECTIVES ARE TO AVERT ACCIDENTAL OVERDOSE, STABILIZE HEALTH AND BASIC NEEDS, ENHANCE PATIENTS’ RECOVERY ENVIRONMENT, AND REDUCE THE CHANCE OF RECIDIVISM WITH THE FOLLOWING ELEMENTS: 1. PRE- AND POST-RELEASE ACCESS TO PVHC’S PEER RECOVERY SUPPORT SPECIALISTS 2. COLLABORATIVE CONTINUITY OF CARE TRANSITION PLANNING ACROSS JAIL, HEALTH CENTER, AND OTHER HEALTH SYSTEMS 3. ACCESS TO HEALTHCARE, INCLUDING OVERDOSE PREVENTION, ASSESSMENT AND TREATMENT OF MEDICAL AND BEHAVIORAL HEALTH CONDITIONS, AND ACCESS TO MEDICATIONS FOR OPIOID OR ALCOHOL USE DISORDERS, NARCAN, INSULIN, HYPERTENSION, AND PSYCHOTROPIC MEDICATIONS 4. WITHIN THE FIRST 2 WEEKS, HEALTH EVALUATIONS BY PVHC MEDICAL AND BEHAVIORAL PROVIDERS TO IDENTIFY ACUTE AND CHRONIC PHYSICAL, BEHAVIORAL, AND ORAL HEALTH ISSUES, INCLUDING SCREENING FOR SEXUALLY TRANSMITTED INFECTIONS, INCLUDING HIV AND HEPATITIS A, B, C; DIAGNOSES, TREATMENT, AND ACCESS TO MEDICATIONS 5. ACCESS TO STABLE HOUSING, BUS PASSES, AND MEDICATIONS FOR MOUD AND MENTAL HEALTH CONDITIONS PVHC GATHERED INPUT FROM INTERNAL AND EXTERNAL STAKEHOLDERS, INCLUDING PEOPLE WITH LIVED EXPERIENCE IN THE JUSTICE SYSTEM, DETERMINING THE OPIOID/FENTANYL CRISIS IS A PRECIPITATING FACTOR AND RECOVERY IS PROBABLE WITH THE PROPOSED MODEL. PVHC WILL FORM A RECOVERY TEAM ADVISORY BOARD WITH 51% OF THE MEMBERSHIP HAVING LIVED EXPERIENCE IN THE JUSTICE SYSTEM AND INCLUDE PATIENTS, COMMUNITY MEMBERS, THE CARCERAL AUTHORITY, COMMUNITY PARTNERS, AND PVHC STAFF. THE GOAL IS TO REVIEW DATA AND MAKE COURSE CORRECTIONS WHILE EMPOWERING PEOPLE IN RECOVERY. PVHC IS WORKING WITH A COLLABORATIVE THAT INCLUDES FOUR UNIVERSITIES TO REDUCE OVERDOSE IN EL PASO’S HOMELESS POPULATION, WHICH DEVELOPED A UNIQUE COMPREHENSIVE ASSESSMENT AND GEOMAPPING TOOL, STILL IN BETA FORMAT, CALLED ATLAS. PVHC WILL USE THIS NEW TOOL THAT ALLOWS PEER RECOVERY SPECIALISTS, PVHC TEAM MEMBERS, AND RESEARCHERS TO ACCESS GEO-MAP AT THE CENSUS-TRACT LEVEL OF HIGH-RISK OVERDOSE SECTIONS OF THE CITY TO DEPLOY PVHC RESOURCES WITH THE GOAL OF AVERTING OVERDOSES. GOALS OF THE PROJECT: 1. REDUCE THE RATE OF FATAL OVERDOSES FROM 80% TO 20% IN PEOPLE RELEASED FROM WTBHRTC IN THE FIRST 2 WEEKS AFTER RELEASE WITH PVHC’S EDUCATION AND HARM REDUCTION AND RECOVERY SUPPORT 2. OFFER PRE-RELEASE CARE PLANNING TO 100% OF PARTICIPANTS 3. WITHIN TWO WEEKS OF RELEASE, LINK 100% OF PARTICIPANTS WITH COMPREHENSIVE SCREENING AND ASSESSMENT AND INTEGRATED HEALTHCARE AND RECOVERY SERVICES 4. MITIGATE SOCIAL DETERMINANTS OF HEALTH BY OFFERING SUPPORTIVE HOUSING OPTIONS TO 100% OF INDIVIDUALS AS CLINICALLY INDICATED POST-RELEASE AND BUS PASSES TO 100% OF PARTICIPANTS 5. UTILIZE PEER RECOVERY SUPPORT SPECIALISTS AS POINT PERSONS FOR THE TRANSITION FROM INCARCERATION TO RELEASE, INCLUDING ONGOING SCREENINGS, ASSESSMENTS, AND CARE MANAGEMENT 6. SERVE 300 INDIVIDUALS

ARRA - NEW ACCESS POINTS

PROJECT VIDA - PERSONAL RESPONSIBILITY EDUCATION PROGRAM IN EL PASO, TX

CANUTILLO TEEN WELLNESS INITIATIVE

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - HEALTH CENTER PROGRAM GRANT NUMBER: H80CS04287 PROJECT VIDA HEALTH CENTER OF EL PASO, TEXAS, IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) INCORPORATED IN 2003 AND PROVIDES RELATIONSHIP-BASED AND CULTURALLY SENSITIVE CARE TO “MAKE A COMMUNITY WHOLE.” EL PASO, TEXAS, IS SITUATED IN A DISTINCTIVE PART OF NORTH AMERICA, THE FAR WESTERN PART OF TEXAS ADJOINING THE STATE OF NEW MEXICO TO ITS NORTH AND NORTHWEST AND THE COUNTRY OF MEXICO TO ITS SOUTH AND SOUTHWEST. THE TOTAL POPULATION OF THE EL PASO, CULBERSON, AND HUDSPETH COUNTIES SERVICE AREA IS 875,527 (US CENSUS, 2023), WITH EL PASO COUNTY COMPRISING 99.4% OF THE POPULATION. PROJECT VIDA HEALTH CENTER IS A RECOGNIZED PARTNER IN THE EL PASO AREA, BRINGING TREMENDOUS EXPERIENCE TO SUCCESSFULLY IMPLEMENT MEDICAL, BEHAVIORAL, DENTAL, AND SIGNIFICANT CLINICAL CARE SUPPORT SERVICES. VIDA MEANS “LIFE” IN SPANISH, AND PVHC’S TAGLINE IS “LIFE IN COMMUNITY.” THEY USE A RELATIONSHIP-BASED, CULTURALLY INFORMED, RECOVERY-FOCUSED CARE SYSTEM TO IMPROVE HEALTH. PVHC ENGAGES AND CELEBRATES DIVERSITY AMID EL PASO’S BI-LINGUAL AND BI-CULTURAL ENVIRONMENT WHILE FOCUSING ON THE NEEDS AND POSSIBILITIES OF THE UNDERSERVED AND OFTEN MARGINALIZED PERSONS IN A HISTORICALLY LOW-INCOME AREA. PROJECT VIDA HEALTH CENTER’S PATIENT POPULATION HAS A HIGH LEVEL OF SOCIAL DETERMINANTS THAT CAN CAUSE NEGATIVE HEALTH IMPACTS, SUCH AS VERY LOW INCOME, MINORITY STATUS, AND LACK OF HEALTH INSURANCE; LIKELY, THE NEED GAP IS HIGHER THAN HRSA’S AVERAGE. PVHC’S 2023 UDS IDENTIFIED THAT 95% OF PATIENTS HAVE MINORITY STATUS, WITH 92% HISPANIC/LATINO/A, 6% NON-HISPANIC WHITE, AND 2% OTHER. ALMOST HALF, 49%, PREFER A LANGUAGE OTHER THAN ENGLISH. 48% OF PATIENTS DO NOT HAVE HEALTH INSURANCE, 28% HAVE PRIVATE INSURANCE, 19% HAVE MEDICAID, AND 6% HAVE MEDICARE. PVHC PATIENTS HAVE VERY LOW INCOME, WITH 97% IDENTIFYING INCOME AT OR BELOW 200% OF POVERTY AND 73% OF PATIENTS’ INCOME BELOW THE POVERTY LINE. THIS IS PRIMARILY A HARD-WORKING POPULATION IN LOW-WAGE JOBS; 70% OF THE PATIENT POPULATION IS OF WORKING AGE, 21% ARE CHILDREN, AND ALMOST 9% ARE ELDERLY. TWELVE PERCENT OF PVHC’S PATIENT POPULATION IDENTIFIED AS HOMELESS. COMMUNITY MEMBERS AND LEADERS THROUGHOUT THE REGION CONTINUE TO IDENTIFY SUBSTANCE USE DISORDERS AS AMONG THE BIGGEST HEALTH ISSUES FACING THE SERVICE AREA, WITH HIGH RATES OF PREVENTABLE OVERDOSES, TEEN SUICIDES, AND HIGH RATES OF UNTREATED SUBSTANCE USE AND MENTAL HEALTH ISSUES. EL PASO’S RATIO OF POPULATION TO BEHAVIORAL HEALTH CARE PROVIDERS IS ALMOST THREE TIMES THE NATIONAL AVERAGE, HIGHLIGHTING THE NEED FOR MORE PROVIDERS AND CLINICAL CARE SUPPORT STAFF. JUST IN PVHC’S PATIENT POPULATION, IT IS PROJECTED THAT UP TO 1,480 CURRENT PATIENTS MAY HAVE A CLINICAL NEED FOR MENTAL HEALTH SERVICES, AND 1,989 WITH A CLINICAL NEED FOR SUBSTANCE USE DISORDER SERVICES THAT ARE NOT IN TREATMENT. SEEKING TO ADDRESS THIS SIGNIFICANT GAP IN SERVICES IN ITS PATIENT POPULATION AND THE COMMUNITY AT LARGE, PROJECT VIDA HEALTH CENTER (PVHC) PROPOSES TO LEVERAGE ITS NEW PSYCHIATRY RESIDENCY PROGRAM AND UTILIZE RESIDENTS TO CLINICALLY MANAGE PATIENTS WITH MENTAL HEALTH (MH), SUBSTANCE USE DISORDER (SUD) CONDITIONS INCLUDING THE MEDICATIONS FOR OPIOID USE DISORDER (MOUD). INTERESTED PRIMARY CARE PROVIDERS AT PVHC WILL ALSO BE INVITED TO LEARN AND MANAGE PATIENTS NEEDING MOUD, RESULTING IN A NEW PROGRAM OFFERING THAT WILL, OVER TIME, ADDRESS THE MH/SUD/MOUD UNMET TREATMENT NEEDS OF PVHC’S EXISTING AND NEW PATIENTS. IN ADDITION, THREE PART-YEAR PEER RECOVERY SPECIALISTS AND THREE SUBSTANCE USE THERAPISTS WILL BE ADDED TO PRIMARILY WORK WITH STUDENTS AT SOME OF THE 35 PUBLIC SCHOOLS WHERE PVHC PROVIDES SUPPORT AND CLINICAL SERVICES. BY THE END OF 2025, PROJECT VIDA HEALTH CENTER ANTICIPATES SERVING 50 MORE PATIENTS WITH MEDICATIONS FOR OPIOID USE DISORDERS (MOUD), 170 MORE PATIENTS WITH OTHER SUBSTANCE ABUSE DISORDER CARE, AND 625 MORE PATIENTS WITH MENTAL HEALTH DISORDERS.

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

HEALTH CARE AND OTHER FACILITIES

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

CONTINUUM OF CARE PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - FY 2023 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM THIS PROPOSAL DESCRIBES A FRAMEWORK TO ENHANCE HIV CARE INNOVATION BY ADDRESSING GAPS IN THE DIAGNOSTIC, LINKAGE, AND RETENTION COMPONENTS OF THE LOCAL HIV CARE CONTINUUM. THE FRAMEWORK WILL BE USED TO LINK EXISTING AND FUTURE HIV PATIENTS WITH DENTAL AND BEHAVIORAL HEALTH SERVICES, AND TO STRENGTHEN THE HIV CARE CONTINUUM AT PVHC. BY INVOLVING THE TARGET POPULATION DIRECTLY IN THE PLANNING AND DEVELOPMENT OF THIS ACTIVITY, WE HOPE TO FORM STANDARD OPERATING PROCEDURES FOR RYAN WHITE PATIENTS THAT WILL IMPROVE PATIENT ACCESS TO QUALITY MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE. WE WILL ACCOMPLISH THIS UTILIZING A MODIFIED APPROACH TO THE CRESCENTCARE HIV INTERVENTION STRATEGY DEVELOPED BY NASTAD, AND WILL MONITOR OUR PERFORMANCE IN IMPROVING HIV CORE INITIATIVES, PATIENT DIAGNOSIS RATES, TREATMENT RATES, AND UTILIZATION OF DENTAL AND BEHAVIORAL HEALTH SERVICES. PROJECT VIDA IS REQUESTING A TOTAL OF $149,869 IN FEDERAL FUNDING FOR THIS PROJECT. SINCE OUR SERVICE AREA EXTENDS INTO HUDSPETH COUNTY, WHERE WE SERVE A RURAL POPULATION, WE ARE REQUESTING A RURAL AREA FUNDING PREFERENCE.

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

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM