Recovery Incorporated

STATE FISCAL STABILIZATION FUND - EDUCATION GRANTS RECOVERY FUNDS

EDUCATION JOBS FUND

STATE FISCAL STABILIZATION FUND - GOVERNMENT SERVICES

HEALTH CENTER PROGRAM

THE STATE OF ARIZONA HEALTH INFORMATION EXCHANGE

CLERMONT COUNTY FAST TRAC (SYSTEM OF CARE)

NATIONAL PEER RUN TRAINING AND TECHNICAL ASSISTANCE CENTER FOR ADDICTION RECOVERY SUPPORT - ONE WORLD RECOVERY NETWORK (OWRN), A PEER-LED, BLACK-LED, WOMAN-LED RECOVERY COMMUNITY ORGANIZATION (RCO), WILL COORDINATE A NATIONAL PEER-RUN TRAINING AND TECHNICAL ASSISTANCE CENTER FOR ADDICTION RECOVERY SUPPORT (CARS) WITH EFFORTS DRIVEN BY A NATIONAL STEERING COMMITTEE COMPOSED OF PERSONS WITH LIVED EXPERIENCE IN RECOVERY FROM SUBSTANCE USE DISORDERS. CARS AIMS TO PLAY A LEADING ROLE IN SUCCESSFULLY INTEGRATING RECOVERY SUPPORT SERVICES INTO A MYRIAD OF TRADITIONAL AND NON-TRADITIONAL ORGANIZATIONAL AND COMMUNITY SETTINGS AND BUILDING LEADERSHIP AND CAPACITY TO IMPLEMENT RECOVERY SUPPORT SERVICES IN UNDERSERVED AND HISTORICALLY EXCLUDED COMMUNITIES. OWRN WILL COLLABORATE WITH SIX SUPPORTING ORGANIZATIONS FROM THE CURRENT PEER RECOVERY CENTER OF EXCELLENCE WITH DEEP EXPERTISE AND EXPERIENCE IN TRAINING AND TECHNICAL ASSISTANCE (TTA) DELIVERY AND RECOVERY SUPPORT SERVICES TO IMPLEMENT THE PROJECT: THE UNIVERSITY OF MISSOURI KANSAS CITY, THE UNIVERSITY OF WISCONSIN, THE UNIVERSITY OF TEXAS, THE NATIONAL COUNCIL FOR BEHAVIORAL HEALTH, THE ASSOCIATION FOR RECOVERY SCHOOLS, AND THE ASSOCIATION OF RECOVERY IN HIGHER EDUCATION. SUPPORTING ORGANIZATIONS WILL ALSO MENTOR & BUILD THE CAPACITY OF RCOS AND PEER-RUN ORGANIZATIONS (PROS) WHO ALREADY PROVIDE LOCALIZED, TAILORED TTA IN THEIR GEOGRAPHIC AREAS. OWRN WILL ESTABLISH THESE RCOS/PROS AS REGIONAL RECOVERY HUBS TO PROVIDE CULTURALLY RELEVANT TTA & EXPAND THE ENGAGEMENT OF CARS AT THE GRASSROOTS LEVEL. LEVERAGING THE CAPACITY OF MULTIPLE INSTITUTIONS, THIS PEER-RUN CENTER WILL SERVE FOUR MAJOR GROUPS: A) PEER SUPPORT WORKERS AND NETWORKS, B) RCOS/PROS, C) STATE OFFICIALS, INCLUDING CERTIFICATION BOARDS AND SINGLE STATE AUTHORITIES, AND C) OTHER ORGANIZATIONS IN THE ECOSYSTEM OF RECOVERY. CARS ANTICIPATES SERVING 6,262 INDIVIDUALS OVER 5 YEARS (Y1-1,000; Y2-1,248; Y3-1,298; Y4-1,348; AND Y5-1,368) AND WILL COLLECT PERFORMANCE MEASURES THROUGH SAMHSA’S GOVERNMENT PERFORMANCE AND RESULTS ACT (GPRA) AS WELL AS OUTCOME AND PROCESS EVALUATIONS. PROPOSED ACTIVITIES WILL ADDRESS THREE MAJOR SERVICE GAPS: 1) THE DEARTH OF INFRASTRUCTURE AND RESOURCES FOR ROBUST PEER WORKFORCE DEVELOPMENT; 2) THE NEED TO BUILD RECOVERY-RICH COMMUNITIES ACROSS MYRIAD SERVICE SETTINGS AND PURPOSE-FOCUSED SETTINGS; AND 4) THE SHORTAGE OF MECHANISMS TO DISSEMINATE EXISTING AND FUTURE RECOVERY SUPPORT EVIDENCE-BASED PRACTICES. FOUR GOALS FOR ADDRESSING THESE GAPS ARE: 1) TO ENHANCE THE CAPACITY & EFFECTIVENESS OF THE GENERAL PEER WORKFORCE BY DEVELOPING & PROVIDING TARGETED TTA IN PEER SUPPORT CERTIFICATION, DIGITAL RECOVERY, & COMPREHENSIVE PROFESSIONAL SUPPORT INCLUDING FINANCING, SUPERVISION, WORKPLACE CULTURE, & CAREER DEVELOPMENT; 2) TO PROMOTE COMPREHENSIVE RECOVERY SOLUTIONS ACROSS VARIOUS SERVICE SETTINGS BY DEVELOPING & PROVIDING SPECIALIZED TTA FOR COURT, CORRECTIONS, & RE-ENTRY PROGRAMS, CLINICAL TREATMENT, RECOVERY HOUSING, & RCOS/PROS; 3) TO FOSTER & SUPPORT RECOVERY IN PURPOSE-FOCUSED ENVIRONMENTS BY DEVELOPING & PROVIDING SPECIALIZED TTA FOR RECOVERY-READY WORKPLACES, RECOVERY IN HIGHER EDUCATION, & RECOVERY IN HIGH SCHOOLS; AND 4) TO STRENGTHEN THE FOUNDATION OF RECOVERY PRACTICES BY PROVIDING COMPREHENSIVE TTA THAT SUPPORTS BOTH RESEARCH-BASED EVIDENCE & PRACTICE-BASED RESEARCH ACROSS THE CORE TOPIC AREA. KEY ACTIVITIES WILL INCLUDE CONDUCTING CAPACITY/NEEDS ASSESSMENTS AND ENVIRONMENTAL SCANS; DEVELOP AND MAINTAIN A WEB-BASED RESOURCE LIBRARY; PROVIDING TTA TO REQUESTERS; CREATE AND DISSEMINATE TOOLKITS, CURRICULA, PODCASTS, ONLINE COURSES, AND OTHER RESOURCES; HOST WEBINARS, POLICY ACADEMIES, AND OTHER IN-PERSON AND VIRTUAL EDUCATIONAL AND LEADERSHIP DEVELOPMENT EVENTS.

COUNSELING & RECOVERY SERVICES OF OKLAHOMA CMHC - COUNSELING & RECOVERY SERVICES OF OKLAHOMA (CRSOK) PROPOSES TO EXPAND ITS CRISIS SERVICES TO INCLUDE A CRISIS RESPONSE PROGRAM THROUGH THE COMMUNITY MENTAL HEALTH CENTERS (CMHC) GRANT PROGRAM TO TREAT SCHOOL-AGED YOUTH EXPERIENCING BEHAVIORAL HEALTH CRISES. CRSOK IS LICENSED BY THE STATE OF OKLAHOMA AS A MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT FACILITY FOR ADULTS, FAMILIES, AND CHILDREN IN TULSA COUNTY. THERE ARE SIGNIFICANT HEALTH DISPARITIES AMIDST TULSA CHILDREN WITH UNMET BEHAVIORAL HEALTH NEEDS AND AN INCREASING RATE OF CHILDREN'S CRISES DUE TO THE COVID-19 PANDEMIC. CRSOK PROPOSES TO BUILD ON ITS EXISTING CRISIS SERVICES TO INCLUDE IMMEDIATE CRISIS ASSESSMENT, 23:59 CHAIRS, AND TRIAGE TO DIVERT CLIENTS AWAY FROM INPATIENT HOSPITALS AND LAW ENFORCEMENT. WE PLAN TO SERVE 500 INDIVIDUALS EACH YEAR, 1,000 OVER THE LIFE OF THE GRANT. THIS WILL REQUIRE MINIMAL INVESTMENT IN INFRASTRUCTURE, WITH MOST OF OUR INVESTMENT GOING TOWARD RESOURCES THAT WILL PROVIDE DIRECT SERVICES TO OUR CLIENTS. THE FOCUS OF OUR PROPOSED PROJECT IS TO INCREASE ACCESS TO YOUTH IN CRISIS DUE TO THE PANDEMIC AND GET THEM BACK INTO THEIR COMMUNITY WITHOUT FURTHER HARM OR DISTRESS. OUR SELECTED OBJECTIVES ALIGN WITH OUR STATED GOALS: 1) EXPAND THE CAPACITY FOR IMMEDIATE CHILD CRISIS ASSESSMENT, EMERGENCY RESPONSE, AND TRIAGE IN TULSA TO DECREASE THE OVERUTILIZATION OF EMERGENCY ROOMS AND INPATIENT HOSPITALS AND 2) EXPAND INTERNAL CAPACITY FOR CRISIS RESPONSE BY ESTABLISHING A CHILDREN'S CRISIS RESPONSE TEAM. THE OBJECTIVES FOR THIS PROJECT WILL BE ACCOMPLISHED THROUGH THE FRAMEWORK OUTLINED IN THIS GRANT. IT WILL BE LED BY EXPERIENCED AND QUALIFIED PERSONNEL OVERSEEN BY CRSOK'S SENIOR LEADERSHIP AND ADVISED BY THE BOARD OF DIRECTORS. WE WILL MANAGE, MONITOR, AND APPLY OUR DATA COLLECTION AND PERFORMANCE MEASUREMENT TO NOT ONLY MEET REPORTING REQUIREMENTS, BUT ALSO TO INFORM OF BROADER PERFORMANCE ASSESSMENT AND CQI EFFORTS TO ENHANCE OUR PROGRAMS.

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

DETROIT RECOVERY PROJECT CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (DRP CCBHC)

ROSECRANCE JACKSON RECOVERY CENTERS WOODBURY COUNTY CCBHC - PDI - ROSECRANCE JACKSON’S CCBHC PLANNING, DEVELOPMENT, AND IMPLEMENTATION (PDI) INITIATIVE WILL SEEK TO IMPROVE ACCESS TO CRITICAL, COMMUNITY-BASED BEHAVIORAL HEALTH (BH) CARE FOR INDIVIDUALS OF ALL AGES WITH MENTAL (MH) CONDITIONS AND SUBSTANCE USE DISORDERS (SUD) IN WOODBURY COUNTY, IOWA. OUR CCBHC’S CATCHMENT AREA IN WOODBURY COUNTY IS APPROXIMATELY 880 SQUARE MILES ON THE WESTERN EDGE OF IOWA, LOCATED IN THE SIOUXLAND REGION. WE ANTICIPATE THAT OUR CCBHC CLIENT POPULATION WILL BE 69.8% WHITE, 9.5% AMERICAN INDIAN OR ALASKAN NATIVE, AND 6.6% BLACK, AND 6% WILL IDENTIFY AS HISPANIC OR LATINO. FURTHER, 56% WILL BE MALE AND 44% WILL BE FEMALE, WITH LESS THAN 1% OF CLIENTS BEING TRANSGENDER. WE EXPECT 3.6% WILL IDENTIFY AS LGBTQ+. MOST (90%) OF OUR CCBHC CLIENTS WILL BE OVER THE AGE OF 18, WITH ONLY 10% BEING MINORS. THE MAJORITY OF CLIENTS (72%) WILL BE MEDICAID ENROLLEES LIVING AT OR BELOW 133% OF THE FEDERAL POVERTY LINE, AND 25% OF OUR CCBHC CLIENT POPULATION IS EXPECTED TO BE EXPERIENCING HOMELESSNESS. BASED ON THEIR LOW ACCESS TO BH CARE AND COMPLEX, INTERSECTING NEEDS, WE WILL SEEK TO REDUCE DISPARITIES FOR TWO PRIORITY POPULATIONS THROUGH OUR CCBHC PROGRAM: 1) WOMEN WITH SUD WHO ALSO HAVE CHILDREN, WHO WE EXPECT TO REPRESENT ABOUT 20% OF OUR CCBHC CLIENTS SERVED; AND 2) INDIVIDUALS OF ANY AGE WITH BH NEEDS AND ARE INVOLVED WITH THE CRIMINAL JUSTICE (CJ) SYSTEM, WHICH WE EXPECT TO BE ABOUT 40% OF OUR CCBHC CLIENTS SERVED. WE WILL SERVE 1,700 INDIVIDUALS OVER THE GRANT PERIOD, INCLUDING 300 IN Y1, 400 IN Y2, AND 500 IN YS 3 AND 4, RESPECTIVELY. THROUGH OUR CCBHC-PDI INITIATIVE, ROSECRANCE JACKSON SEEKS TO ACHIEVE THE FOLLOWING: GOAL 1: BUILD CAPACITY TO ALIGN WITH THE NEWLY REVISED CCBHC CRITERIA WITHIN ONE YEAR OF GRANT AWARD, INCLUDING: 1.A: ONBOARDING TWO CLINICIANS, TWO CASE MANAGERS, TWO PEER SPECIALISTS, AND A MEDICAL ASSISTANT TO SUPPORT OUR CCBHC SERVICES; 1.B: ATTAINING CHAPTER 24 ACCREDITATION FROM IOWA DEPARTMENT OF HEALTH AND HUMAN SERVICES TO DELIVER OUTPATIENT MH SERVICES; 1.C: ENTERING INTO A DCO AGREEMENT WITH SIOUXLAND MH FOR CCBHC MOBILE CRISIS AND SPECIALTY MH SERVICES; AND 1.D: COMPLETING AN ATTESTATION ILLUSTRATING HOW OUR CCBHC MEETS ALL CRITERIA, AS MEASURED BY PROGRAM RECORDS. GOAL 2: INCREASE ACCESS TO INTEGRATED BH CARE FOR INDIVIDUALS WHO ARE INVOLVED WITH THE CJ SYSTEM, INCLUDING: 2.A: ANNUALLY CONDUCTING SIX OUTREACH AND EDUCATIONAL SESSIONS WITH PARTNERS SERVING THE CJ-INVOLVED POPULATION (E.G., PROBATION, DEPT. OF CORRECTIONS, SUD AND JUVENILE COURTS), TO EDUCATE THEM ABOUT OUR CCBHC; AND 2.B: ESTABLISHING AN AGREEMENT WITH THE WOODBURY COUNTY SHERIFF’S DEPARTMENT TO PROVIDE UNIVERSAL MH AND SUD SCREENING AND CONNECTION TO CARE FOR INDIVIDUALS BEING RELEASED FROM THE COUNTY JAIL. GOAL 3: INCREASE ACCESS TO INTEGRATED BH CARE FOR INDIVIDUALS WHO ARE WOMEN WITH SUD, INCLUDING 3.A: ANNUALLY CONDUCTING SIX OUTREACH AND EDUCATIONAL SESSIONS WITH PARTNERS SERVING WOMEN WITH SUD (E.G., HOSPITALS, CHILD WELFARE, HOUSING PROVIDES, WIC), TO EDUCATE THEM ABOUT OUR CCBHC; AND 3.B: ESTABLISHING A PARTNERSHIP WITH SIOUXLAND COMMUNITY HEALTH CENTER TO PROVIDE TRAINING TO THEIR OBGYN AND PRIMARY CARE PROVIDERS TO SCREEN WOMEN FOR SUD AND CONNECT INDIVIDUALS TO OUR CCBHC FOR CARE WHEN RISKS ARE IDENTIFIED. GOAL 4: IMPROVE BH OUTCOMES FOR WOODBURY COUNTY RESIDENTS LIVING WITH BH NEEDS SERVED BY OUR CCBHC, INCLUDING: 4.A: IMPROVING RETENTION IN OUR CCBHC SERVICES; 4.B: OFFERING OVERDOSE RESPONSE TRAINING AND NARCAN TO 100% OF CLIENTS WITH OUD AND THEIR FAMILIES TO REDUCE RISK OF DEATH FROM OVERDOSE; 4.C: SUPPORTING CLIENTS TO DECREASE THEIR DEPRESSION-RELATED RISKS; AND 4.D: SUPPORTING CLIENTS TO IMPROVE THEIR OVERALL QUALITY OF LIFE.

ONE STOP WELLNESS OF MONROE COUNTY - FINGER LAKES AREA COUNSELING & RECOVERY AGENCY (FLACRA) PROPOSES TO EXPAND ITS CURRENT INTEGRATED CARE SERVICE DELIVERY MODEL THROUGH THE CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) PLANNING, DEVELOPMENT, AND IMPLEMENTATION (PDI) GRANT. CURRENTLY, FLACRA'S EAST AVE CLINIC PROVIDES SERVICES FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI) AND SUBSTANCE USE DISORDERS (SUD) AND IS IN THE APPROVAL PROCESS FOR THE EXPANSION OF SERVICES FOR CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCES (SED) AND IS CURRENTLY DESIGNATED TO PROVIDE SERVICES FOR INDIVIDUALS WITH CO-OCCURRING DISORDERS (COD) AND IS SEEKING SUPPORT TO EXPAND ITS SERVICE. A TOTAL OF 2,761 UNDUPLICATED INDIVIDUALS (ACROSS GRANT YEARS) WILL BE SERVED OVER THE 4-YEAR PERIOD THROUGH THIS CCBHC: YEAR 1- 596, YEAR 2- 665, YEAR 3- 720 AND YEAR 4- 780. THE EAST AVE CLINIC IS APPROVED FOR THE NYS OMH INTEGRATED OUTPATIENT SERVICES (IOS) DESIGNATION AND IS PROVIDING FULLY INTEGRATED SUBSTANCE USE DISORDER TREATMENT AND MENTAL HEALTH SERVICES AND IS PENDING APPROVAL TO SERVE CHILDREN AGES 5 AND OLDER FOR MENTAL HEALTH TREATMENT AND PSYCHIATRIC SUPPORT. AS A RESULT OF OBTAINING THE CURRENT IOS DESIGNATION, SERVICES ALREADY OFFERED INCLUDE SEVERAL OF THE REQUIRED CCBHC CORE SERVICES INCLUDING CARE COORDINATION AND PRIMARY CARE SERVICES. WE WILL EXPAND OUR CCBHC SERVICES THROUGH DESIGNATED COLLABORATING ORGANIZATIONS (DCO) PARTNERSHIPS TO EXTEND CRISIS CARE, PSYCHIATRIC EMERGENCY AND INPATIENT CARE AND PRIMARY CARE SERVICES. SINCE THE PANDEMIC, THE SOCIO-ECONOMIC AND ENVIRONMENTAL FACTORS IN THE CITY OF ROCHESTER SERVICE AREA POPULATIONS HAVE WIDENED HEALTH DISPARITIES AND INEQUITABLE ACCESS TO CARE, AS WELL AS COMPOUNDED TRAUMA AND STRESSORS EXACERBATING BEHAVIORAL HEALTH (BH) AND SUBSTANCE USE DISORDERS (SUD). THE RESIDENTS OF THE MOST SIGNIFICANTLY IMPACTED ZIP CODES IN THE CITY OF ROCHESTER WILL BENEFIT FROM THE ADDITION OF A CCBHC THAT IS INTEGRATED, TRAUMA-INFORMED, RECOVERY-ORIENTED AND OPERATES FROM AN EVIDENCE-BASED AND EQUITY FOCUSED APPROACH. FLACRA HAS EXTENSIVE EXPERIENCE PROVIDING TREATMENT AND RECOVERY SUPPORT FOR MILD TO SERIOUS MENTAL ILLNESS AND SERIOUS EMOTIONAL DISTURBANCES, SUDD AND CO-OCCURRING DISORDERS. THE CCBHC PDI GRANT WILL BE USED TO BUILD ON EXISTING COMPREHENSIVE SERVICES AND EXPAND SUPPORT FOR ADULTS AND CHILDREN WITH THE CLINIC AND THROUGH SCHOOL-BASED SERVICES AND COLLABORATIONS. SERVICES WILL BE GROUNDED IN EVIDENCE-BASED CARE, PERSON-CENTERED PLANNING APPROACHES, ATTENTION TO CULTURAL NORMS AND BELIEFS AND TRAUMA-INFORMED PRACTICES. THE GOALS AND OBJECTIVES OF THE PDI GRANT INCLUDE: (1) IMPLEMENTING AND ENHANCING SERVICES ALIGNED WITH A CCBHC MODEL; (2) INCREASING THE NUMBER OF PROVIDERS WITH DIVERSE SPECIALTY AREAS AND CULTURAL SKILLSETS, TRAINED IN EVIDENCE-BASED INTERVENTIONS SUCH AS COGNITIVE BEHAVIORAL THERAPY (CBT), DIALECTICAL BEHAVIORAL THERAPY FOR ADULTS (DBT) AND ADOLESCENTS (DBT-A), TRAUMA FOCUSED CBT (TF-CBT), CBT FOR PSYCHOSIS (CBTP), FAMILY PSYCHOEDUCATION, SOCIAL SKILLS TRAINING (SST), FUNCTIONAL FAMILY THERAPY (FFT), MATRIX MODEL FOR TEENS AND YOUNG ADULTS, PEER ADVOCACY/SUPPORT, SEEKING SAFETY, LIVING IN BALANCE, COMMUNITY REINFORCEMENT AND FAMILY TRAINING (CRAFT), MOTIVATIONAL INTERVIEWING (MI) AS WELL AS MEDICATION ASSISTED THERAPY (MAT); (3) EXPANDING OFF-SITE SERVICES TO MEET THE BH NEEDS OF CHILDREN AND FAMILIES IN HIGH NEED SCHOOL SETTINGS; (4) INCREASING PEER AND RECOVERY SUPPORT SERVICES; (5) AUGMENTING TECHNOLOGY TO SUPPORT EMR DATA EXTRACTION TO MAKE DATA-DRIVEN DECISIONS THAT IDENTIFY AND IMPROVE PRACTICE PATTERNS, DRIVE QUALITY AND PROMOTE AND INTERDISCIPLINARY TEAM-BASED CARE APPROACH; AND (6) ADHERING TO SPARS AND NOMS REQUIREMENTS AND ACCURACY THROUGH TRACKING PERFORMANCE AND CLINICAL QUALITY METRICS THAT HELP IMPROVE QUALITY OF LIFE PERCEPTIONS, IMPROVE OUTCOMES AND REDUCE DISPARITIES IN BOTH ACCESS AND OUTCOMES.

RECOVERY CONSULTANTS OF ATLANTA CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC - RECOVERY CONSULTANTS OF ATLANTA, INC. (RCA) PROPOSES AN ADVANCEMENT OF ITS CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) TO INCLUDE COMMUNITY-BASED BEHAVIORAL HEALTH SERVICES FOR UNDERSERVED CHILDREN AND FAMILIES IN DEKALB AND FULTON COUNTIES, GEORGIA INCLUDING THOSE WITH CHRONIC HEALTH DISEASES, SERIOUS MENTAL ILLNESS (SMI), SUBSTANCE USE DISORDER (SUD), AND CO-OCCURRING DISORDERS (COD). RCA CURRENTLY PROVIDES EVIDENCE-BASED INTERVENTIONS TO ADULTS WITHIN THE SERVICE AREA INCLUDING PRIMARY AND PREVENTATIVE CARE, BEHAVIORAL HEALTH SERVICES, PEER SUPPORT, TRANSITIONAL HOUSING, AND RECOVERY SUPPORT SERVICES. THROUGH PARTNERSHIPS WITH CORNERS OUTREACH, CBOS AND OTHER COMMUNITY LOCATIONS, RCA WILL EXTEND EVIDENCE-BASED INTERVENTIONS TO WHERE CHILDREN AND FAMILIES ARE MOST COMFORTABLE, AND SERVICES ARE DESPERATELY NEEDED. WITHIN THESE COMMUNITY-BASED SETTINGS, RCA WILL PROVIDE OUTREACH, ENGAGEMENT, CASE MANAGEMENT, AND BEHAVIORAL HEALTH SERVICES TO METRO-ATLANTA CHILDREN AND FAMILIES FOR 100 INDIVIDUALS IN YEAR 1, 115 IN YEAR 2, 125 IN YEAR 3, AND 140 IN YEAR 4 FOR A TOTAL OF 480 INDIVIDUALS SERVED DURING THE GRANT PERIOD. THE GOALS OF THIS CCBHC ADVANCEMENT ARE TO: (1) PROVIDE CHILDREN AND FAMILIES WITH ACCESS TO A FULLY INTEGRATED CARE TEAM INCLUDING CASE MANAGEMENT, PRIMARY CARE, BEHAVIORAL HEALTH CARE, PEER SUPPORT, AND RECOVERY SUPPORT SERVICES; (2) CONTINUE TO OPERATE THE CCBHC PROGRAM IN COMPLIANCE WITH ALL CERTIFICATION CRITERIA; (3) PROVIDE PHYSICAL HEALTH CARE THROUGH SCREENING, MONITORING, AND FOLLOW-UP OF KEY HEALTH INDICATORS TO DECREASE HEALTH RISKS AND IMPROVE PHYSICAL HEALTH OUTCOMES OF THE POPULATION OF FOCUS; (4) PROVIDE BEHAVIORAL HEALTH SCREENING, ASSESSMENT, DIAGNOSIS, AND DEVELOP RECOVERY-ORIENTED TREATMENT PLANS FOR BEHAVIORAL HEALTH, SUD, AND COD; AND (5) DEMONSTRATE CONSISTENT, PERSON AND FAMILY-CENTERED APPROACH IN DELIVERY OF BEHAVIORAL HEALTH AND PRIMARY CARE SERVICES.

MCKINLEY COUNTY CCBHC-PDI PROJECT TO ADDRESS DISPARITIES IMPACTING NATIVE AMERICANS - SANTA FE RECOVERY CENTER, INC. (SFRC) PROPOSES TO ESTABLISH A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) IN MCKINLEY COUNTY, NEW MEXICO (NM), MANAGED BY SFRC’S FOUR CORNERS DETOX RECOVERY CENTER (FCDRC) IN GALLUP. THE POPULATION OF FOCUS ARE THE INDIVIDUALS OF ALL AGES LIVING IN AND AROUND THE COUNTY WITH SERIOUS MENTAL ILLNESS (SMI), SUBSTANCE USE DISORDER (SUD) INCLUDING OPIOID USE; CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCE (SED); INDIVIDUALS WITH CO-OCCURRING MENTAL AND SUBSTANCE USE DISORDERS (COD); AND INDIVIDUALS EXPERIENCING A MENTAL HEALTH OR SUBSTANCE USE-RELATED CRISIS. THE CATCHMENT AREA IS MCKINLEY COUNTY, NM, IN THE HEART OF INDIAN COUNTRY. DESCRIPTION OF SPECIFIC POPULATIONS: WITH A TOTAL POPULATION OF 69,830, 79.9% OF MCKINLEY COUNTY RESIDENTS ARE NATIVE AMERICANS, PRIMARILY OF THE FEDERALLY RECOGNIZED NAVAJO NATION AND ZUNI PUEBLO. HISPANIC RESIDENTS ARE 14.6% OF THE COUNTY’S POPULATION, AND 7.8% ARE WHITE. MCKINLEY COUNTY IS THE STATE’S “UNHEALTHIEST COUNTY" AND HAS NM’S HIGHEST RATE OF CLIENTS RECEIVING “NO TREATMENT” FOR THEIR BEHAVIORAL HEALTH NEEDS AT 36.5%. ACCORDING TO A 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, SURVEY RESPONDENTS INDICATED SUBSTANCE ABUSE (85.7%) AND MENTAL HEALTH PROBLEMS (71.4%) AS THE COUNTY’S TOP TWO HEALTH PROBLEMS – AHEAD OF OBESITY, DIABETES, AND HEART DISEASE. IN YEAR 1, SFRC WILL PROVIDE 700 UNDUPLICATED MCKINLEY COUNTY RESIDENTS A COMPREHENSIVE RANGE OF OUTREACH, SCREENING, ASSESSMENT, TREATMENT, CARE COORDINATION, AND RECOVERY SUPPORTS BY PROVIDING ACCESS TO HIGH-QUALITY MENTAL HEALTH AND SUD SERVICES, REGARDLESS OF AN INDIVIDUAL’S ABILITY TO PAY. THE PROJECT WILL FOCUS ON GROUPS CURRENTLY FACING HEALTH DISPARITIES, AS IDENTIFIED IN A COMMUNITY NEEDS ASSESSMENT TO BE COMPLETED WITHIN SIX MONTHS OF THE PROJECT START DATE. SFRC'S GOALS AND IMPLEMENTATION PLAN ADDRESS THE NINE CORE CCBHC SERVICES AND ALL REQUIRED ACTIVITIES. GOAL 1. SFRC SUCCESSFULLY IMPLEMENTS CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) SERVICES TO ADDRESS INDIVIDUALS’ MENTAL HEALTH AND SUBSTANCE USE DISORDERS IN MCKINLEY COUNTY. GOAL 2. SFRC PROVIDES A COMPREHENSIVE RANGE OF SERVICES, TREATMENT AND RECOVERY SUPPORTS TO IMPROVE CONSUMERS’ PHYSICAL AND BEHAVIORAL HEALTH OUTCOMES. GOAL 3. SFRC INCREASES ACCESS TO HIGH-QUALITY MENTAL HEALTH AND SUD SERVICES, REGARDLESS OF AN INDIVIDUAL’S ABILITY TO PAY.

DRP CCBHC EXPANSION - DETROIT RECOVERY PROJECT (DRP), A CARF ACCREDITED BEHAVIORAL HEALTH HOME, A RECIPIENT OF A 2020 CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC EXPANSION GRANT, IS SEEKING FY 2022 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA), CENTER FOR MENTAL HEALTH SERVICES (CMHS) FUNDING FOR CCBHC IMPROVEMENT AND ADVANCEMENT GRANT (CCBHC-IA) TO CONTINUE EXPANDING AND SOLIDIFYING ITS BEHAVIORAL HEALTH SERVICES. DRP IS LOCATED IN DETROIT, THE LARGEST CITY IN WAYNE COUNTY, MICHIGAN (WC). THE POPULATION OF DETROIT IS 672,000 AND IS A MAJORITY-MINORITY CITY WITH 77% OF ITS RESIDENTS BEING AFRICAN AMERICAN AND 8% BEING LATINX. ACCORDING TO THE DETROIT WAYNE MENTAL HEALTH AUTHORITY 2017-2018 ANNUAL REPORT, PREVALENCE RATE IS FOR SUD 7,879 (10.7%); SMI 39,398 (53.53%), AND SED 12, 274(16.6%). OVER 414,000 OUT OF 1.74 MILLION PERSONS ARE LIVING IN POVERTY WITH WC. DETROIT IS ONE OF THREE MOST IMPOVERISHED COMMUNITIES ABOVE THE NATIONAL AVERAGE FOR POVERTY: DETROIT 39.8% WITH CLOSELY NEIGHBORING CITIES, HIGHLAND PARK 40.9%, AND HAMTRAMCK 50.9%. WITHIN THESE HIGH-RISK COMMUNITIES AND IN OTHER WC AREAS MANY INDIVIDUALS HAVE LIMITED OR NO ACCESS TO A COMPREHENSIVE, INTEGRATED ARRAY OF BEHAVIORAL AND PHYSICAL HEALTH SERVICES DUE TO A LACK OF OR INADEQUATE HEALTH CARE COVERAGE. THE MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES (MDHHS) CARE CONNECT 360 DATA IDENTIFIED THAT OVER 4% OF THE INDIVIDUALS SERVED BY EMS HAVE A CHRONIC COMORBID CONDITION AND 40% HAVE FIVE OR MORE. THIS EQUATES TO APPROXIMATELY 3,500 INDIVIDUALS REQUIRING MORE COMPREHENSIVE INTEGRATED CARE COORDINATION. OTHER SUBPOPULATIONS AT RISK INCLUDING VETERANS AND YOUTH SUICIDE, AS IDENTIFIED BY THE DETROIT WAYNE MENTAL HEALTH AUTHORITY, WITH 25.4% SERIOUSLY CONSIDERING ATTEMPTING SUICIDE AND 18.6% COMMITTING SUICIDE BASED ON THE MICHIGAN PROFILE HEALTH YOUTH 2016-2017 SURVEY. DRP WILL FURTHER EXPAND AND ENHANCE SERVICES TO THE TARGET POPULATION BY 1) INCREASING ACCESS TO PRIMARY AND BEHAVIORAL HEALTH CARE THROUGH DRP CCBHC INTEGRATED SERVICES; 2) ENHANCING CCBHC INFRASTRUCTURE AND SUSTAINABILITY TO SUPPORT THE PROVISION OF AN INTEGRATED CONTINUUM OF CARE; 3) DECREASING OVERDOSE DEATHS THROUGH MAT AND SUD TREATMENT SERVICES AND 4) ENHANCING THE QUALITY OF LIFE FOR INDIVIDUALS IN THE TARGET POPULATION. DRP ANTICIPATES SERVING 950 INDIVIDUALS (150 INDIVIDUALS IN YEAR ONE, 200 IN YEAR 2, AND 300 IN YEARS 3 AND 4 OVER THE FOUR-YEAR PROGRAM. DRP MET THE CCBHC ATTESTATION CRITERIA IN 2021 AND IT IS THE ONLY PEER-LED, PEER-RAN, PEER-DRIVEN ORGANIZATION IN WC THAT IS CONTRACTED, LICENSED AND CURRENTLY PROVIDING A FULL CCBHC CONTINUUM OF SERVICES TO ALL TARGET (SMI, SUD SED, COD, RECOVERY SERVICES) POPULATIONS.

FY 2021 CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC EXPANSION GRANTS - CCBHC EXPANSION GRANTS - FREEDOM HOUSE PROPOSES TO IMPLEMENT A PROJECT THAT WILL SERVE CHILDREN AND YOUTH WITH SERIOUS EMOTIONAL DISTURBANCES (SED), ADULTS WITH SEVERE MENTAL ILLNESS (SMI), INDIVIDUALS WITH SUBSTANCE USE DISORDERS (SUD) INCLUDING OPIOID USE DISORDERS (OUD) AND THOSE WITH CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDERS (COD) PROJECT IN WARREN, ORANGE, AND PERSON COUNTIES IN THE CENTRAL PORTION OF NORTH CAROLINA. FOLLOWING ARE THE GOALS AND OBJECTIVES OF THE PROPOSED PROJECT. GOAL 1: TO INCREASE AVAILABILITY AND ACCESSIBILITY OF SERVICES OBJECTIVE 1: USE MOBILE CRISIS TEAMS IN RURAL COMMUNITIES OBJECTIVE 2: EMBED MOBILE CRISIS TEAMS IN THE COMMUNITY OBJECTIVE 3: INSTITUTE POLICIES TO HAVE MOBILE CRISIS TEAMS WORK SEAMLESSLY WITH FACILITY-BASED CRISIS FOR INTAKE AND ADMISSION WHEN INPATIENT CRISIS AND/OR DETOX IS REQUIRED GOAL 2: TO PROVIDE A COMPREHENSIVE ARRAY OF MEDICAL AND MENTAL HEALTH SERVICES TO SUPPORT LONG TERM WELLNESS AND RECOVERY OBJECTIVE 1: PROVIDE PHYSICAL AND MENTAL HEALTH SCREENINGS, ASSESSMENT, AND DIAGNOSIS WITHIN 48 HOURS OF ADMISSION OBJECTIVE 2: COORDINATE CARE AND PEER SUPPORT SERVICES AS PART OF INPATIENT CRISIS TREATMENT PLANNING OBJECTIVE 3: PROVIDE SCREENINGS FOR HIV, VIRAL HEPATITIS (A, B, AND C), DIABETES AND OTHER CHRONIC MEDICAL CONDITIONS OBJECTIVE 4: INCREASE EARLY INTERVENTION AND EDUCATION ABOUT CHRONIC CO-MOBILITIES THAT NEGATIVELY IMPACT OVERALL HEALTH AND WELLNESS GOAL 3: TO PARTNER WITH LOCAL LAW ENFORCEMENT TO DECREASE EMERGENCY ROOM USAGE FOR MENTAL HEALTH/SUBSTANCE USE CRISIS OBJECTIVE 1. INCREASE AWARENESS AMONG LOCAL LAW ENFORCEMENT OF THE AVAILABILITY AND ACCESSIBILITY OF CRISIS SERVICES, OBJECTIVE 2. CONDUCT AT LEAST THREE MENTAL HEALTH AWARENESS TRAINING EVENTS OBJECTIVE 3. PRODUCE AND DISTRIBUTE BUSINESS CARDS AND/OR FLYERS WITH THE MOBILE CRISIS CALL LINE NUMBER FOR LAW ENFORCEMENT AND EMS. GOAL 4: TO EVALUATE THE PROJECT OBJECTIVE 1. GATHER, ANALYZE, AND MONITOR PROJECT OUTCOMES AGAINST STATED GOALS AND OBJECTIVES OBJECTIVE 2. COLLECT DATA USING THE GPRA INSTRUMENT REQUIRED FOR THE PROJECT. OBJECTIVE 3. ANALYZE AND PRODUCE REPORTS AT LEAST MONTHLY TO DISSEMINATE TO THE PROJECT MANAGEMENT TEAM AND ADVISORY COMMITTEE FOR CONTINUOUS QUALITY IMPROVEMENT GOAL 5: POSITION FREEDOM HOUSE FOR PROJECT SUSTAINABILITY BEYOND THE TWO-YEAR FUNDING BY SECURING ALL CREDENTIALLING AND FUNDER APPROVALS TO BILL FOR SERVICES OBJECTIVE 1. ESTABLISH AN ADVISORY WORK GROUP LED BY THE DIRECTOR OF CREDENTIALLING AND FACILITIES AND COMPRISED OF INDIVIDUALS WITH MENTAL AND SUBSTANCE USE DISORDERS, AND FAMILY MEMBERS TO MEET MONTHLY TO PROVIDE INPUT AND GUIDANCE TO THE CCBHC ON IMPLEMENTATION AND SUSTAINABILITY. OBJECTIVE 2. WORK WITH UTILIZATION MANAGEMENT AND BILLING TO UNDERSTAND AND OVERCOME BARRIERS TO REIMBURSEMENT THE PROPOSED PROJECT WILL SERVE 400 INDIVIDUALS IN THE FIRST YEAR AND 800 IN THE SECOND YEAR FOR A TOTAL OF 1,200 OVER THE GRANT FUNDING PERIOD.

RCA CCBHC EXPANSION

COMMUNITY CENTER FOR INTEGRATED HEALTH

ONE STOP WELLNESS OF THE FINGER LAKES - THE ONE STOP WELLNESS OF THE FINGER LAKES THROUGH OF THE FINGER LAKES AREA COUNSELING AND RECOVERY AGENCY (FLACRA) IS AN ESTABLISHED AND ATTESTED CCBHC SEEKING TO ENGAGE IN THE IMPROVEMENT AND ADVANCEMENT ACTIVITIES TO ENHANCE AND EXPAND SERVICES AT THE CURRENT SITES YATES AND ONTARIO COUNTIES. THE POPULATION(S) OF FOCUS FOR THIS PROJECT IS ADULTS, YOUTH AND CHILDREN WITH A SMI, SED, SUD OR COD, PRIMARILY LOW-INCOME/MEDICAID RECIPIENTS. THE PROJECT WILL CONTINUE, ENHANCE AND EXPAND COMPREHENSIVE CCBHC SERVICES DIRECTLY AND THROUGH DESIGNATED COLLABORATING ORGANIZATIONS AND PARTNERING PROVIDERS. THE KEY CONTEXTS FOR THE GOALS AND OBJECTIVES ARE THE CHARACTERISTICS OF THE POPULATION(S) OF FOCUS, THE SOCIO-ECONOMIC AND ENVIRONMENTAL FACTORS THAT SURROUND THESE POPULATIONS, DISPARITIES AND INEQUITY BROUGHT TO LIGHT DURING THE PANDEMIC AND THE RESULTING TRAUMA AND STRESSORS IMPACTING ON MENTAL WELLNESS AND USE OF SUBSTANCES, HIGHLIGHTING THE NEED FOR AN INTEGRATED, TRAUMA-INFORMED, RECOVERY-ORIENTED AND EQUITY FOCUSED APPROACH. THESE SERVICES WILL BE ENHANCED THROUGH THE ESTABLISHMENT AND EXPANSION OF SCHOOL-BASED SITES AND DEVELOPMENT EVIDENCE-BASED APPROACHES AND PRACTICES, SUCH AS APPLIED BEHAVIORAL ANALYSIS (ABA) TO SERVE THE COHORT OF CHILDREN AND YOUTH WITH SERIOUS BEHAVIORAL CONCERNS. THE ABILITY TO PROVIDE OFF-SITE SERVICES WILL ALLOW FOR SERVICES TO BE PROVIDED AT HOME OR AT ALTERNATIVE SITES, MEETING THE NEEDS OF STUDENTS ON OUT-OF-SCHOOL SUSPENSION DUE TO THEIR BEHAVIORS. THE ADDITION OF SCHOOL-BASED OUTPATIENT SERVICES IS EXPECTED TO SUPPORT SCHOOLS WITH EARLIER TREATMENT INTERVENTIONS AND LINKAGE TO RECOVERY SUPPORT SERVICES BEING MADE AVAILABLE BEFORE CONCERNS ESCALATE TO A LEVEL PROMPTING SUSPENSION. PARTNERSHIPS WILL BE FOSTERED FOR THE ESTABLISHMENT OF PRO-SOCIAL OPPORTUNITIES FOR YOUTH THROUGH RECOVERY CENTERS OR ALTERNATE SITES. FURTHER DEVELOPMENT OF STAFF KNOWLEDGE AND CAPACITY TO EXTRACT DATA FROM THE EHR AND OTHER SYSTEMS TO MAKE DATA-DRIVEN DECISIONS, IDENTIFY AND IMPROVE PRACTICE PATTERNS, DRIVE QUALITY AND PROMOTE AN INTERDISCIPLINARY TEAM APPROACH THROUGH INFORMATION SHARING WITHIN THE EHR WILL OCCUR. ADHERENCE TO SPARS AND NOMS REQUIREMENTS AND ACCURACY AND IDENTIFICATION OF DISPARITIES WILL BE AN AREA OF FOCUS. ADDITIONAL STAFF/CONSULTANT SUPPORT WILL BE NEEDED TO MONITOR FIDELITY TO EBP PRACTICES. A TOTAL OF 1,266 UNDUPLICATED AND 2,961 DUPLICATED (ACROSS GRANT YEARS) INDIVIDUALS WILL BE SERVED BY THE PROJECT OVER THE 4-YEAR PERIOD, YEAR 1: 593, YEAR 2: 682, YEAR 3: 784; YEAR 4: 902. FLACRA IS A NY STATE OFFICE OF MENTAL HEALTH (OMH) AND OFFICE OF ADDICTIONS SERVICES AND SUPPORTS (OASAS) LICENSED PROVIDER OF A RANGE OF SERVICES AT MULTIPLE SITES IN THE FINGER LAKES REGION OF NY, INCLUDING OUTPATIENT CLINICS, CRISIS OVERDOSE RESPONSE, STABILIZATION, DETOXIFICATION, RESIDENTIAL, RECOVERY SUPPORT, CARE MANAGEMENT AND HOME AND COMMUNITY-BASED SERVICES (HCBS). FLACRA IS INNOVATIVE AND THE AGENCY LEAD FOR FINGER LAKES AND SOUTHERN TIER BEHAVIORAL HEALTH CARE COLLABORATIVE (FLST BHCC/IPA) AND AN ACTIVE, FOUNDING MEMBER OF THE FINGER LAKES IPA (FLIPA). SERVICES WILL BE GROUNDED IN PERSON-CENTERED PLANNING APPROACHES, ATTENTION TO THE CULTURAL NORMS AND BELIEFS, AND TRAUMA-INFORMED PRACTICES. EVIDENCE-BASED PRACTICES AND APPROACHES WILL BE USED AS APPROPRIATE TO EACH INDIVIDUAL, INCLUDING MOTIVATIONAL INTERVIEWING, COGNITIVE BEHAVIORAL THERAPY, RATIONAL EMOTIVE BEHAVIOR THERAPY, SOLUTION FOCUSED THERAPY, MATRIX MODEL, SEEKING SAFETY, LIVING IN BALANCE, ABA AND CRAFT. CERTIFIED RECOVERY PEER ADVOCATES (CRPA) AND PEER SPECIALISTS (NYCPS) WILL BE EMBEDDED IN OUTPATIENT AND ALL IN-COMMUNITY AND CO-LOCATED LOCATIONS PROVIDING ADDITIONAL SUPPORT TO INDIVIDUALS AND FAMILIES.

RWJBARNABAS HEALTH SBIRT PROGRAM - THE RWJBARNABAS HEALTH (RWJBH) INSTITUTE FOR PREVENTION AND RECOVERY (IFPR) WILL IMPLEMENT THE SAMHSA FY 2021 SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) PROJECT TO PROVIDE SBIRT SERVICES FOR RWJBH PATIENTS AGES 12 AND OLDER AND TO EXPAND AND ENHANCE THE CONTINUUM OF CARE FOR SUBSTANCE USE DISORDER (SUD) SERVICES. NEW JERSEY HAS STRUGGLED WITH THE SUBSTANCE USE CRISIS IN THE LAST DECADE, WITH A 125.0% INCREASE IN THE NUMBER OF DRUG OVERDOSE DEATHS FROM 2013 TO 2018. RWJBH'S CATCHMENT AREA PRIMARILY CONSISTS OF URBAN AND SUBURBAN LOCALES IN NEW JERSEY. IT IS RACIALLY AND ETHNICALLY DIVERSE, WITH LESS THAN HALF (48.4%) OF THE POPULATION BEING NON-HISPANIC WHITE. APPROXIMATELY ONE-QUARTER (22.7%) OF THE POPULATION IS HISPANIC/LATINO, 15.2% IS BLACK OR AFRICAN-AMERICAN, AND 11.0% IS ASIAN. THE GOALS OF THE SBIRT PROGRAM ARE TO: 1) INSTITUTE A COMPREHENSIVE EDUCATION AND TRAINING PROGRAM TO EDUCATE CLINICAL STAFF ON PROTOCOLS AND BEST PRACTICES OF SBIRT; 2) INCREASE SCREENING AND BRIEF INTERVENTIONS FOR INDIVIDUALS WITH SUD AND THOSE AT RISK FOR DEVELOPING SUD ; 3) EVALUATE THE IMPACT OF SBIRT IN THE EMERGENCY DEPARTMENT, INPATIENT, AND OUTPATIENT SETTINGS ON PATIENT AND SYSTEM OUTCOMES; AND 4) CREATE A SUSTAINABLE SBIRT IMPLEMENTATION PROJECT FOR THE EMERGENCY DEPARTMENT, INPATIENT, AND OUTPATIENT SETTINGS. THE PROJECT WILL UTILIZE FIVE EVIDENCE-BASED PRACTICES-SBIRT, SBIRT TRAINING OF TRAINERS, HILTON ADOLESCENT SBIRT, SBIRT-MOBILE HEALTH AND TELEHEALTH INTERVENTIONS, AND SYSTEMS-LEVEL IMPLEMENTATION OF SBIRT-TO EFFECTIVELY ASSESS AND INTERVENE WITH PATIENTS DISPLAYING MODERATE TO HIGH RISK BEHAVIORS FOR SUD. THE PROJECT PROPOSES TO SERVE 2,250,000 UNDUPLICATED INDIVIDUALS IN YEAR 1, 2,500,000 UNDUPLICATED INDIVIDUALS IN YEAR 2, 3,000,000 UNDUPLICATED INDIVIDUALS IN YEAR 3, 3,000,000 UNDUPLICATED INDIVIDUALS IN YEAR 4, AND 3,000,000 UNDUPLICATED INDIVIDUALS IN YEAR 5. 3,000,000 UNDUPLICATED INDIVIDUALS WILL BE SERVED OVER THE ENTIRE PROJECT PERIOD. THE PROJECT WILL MEASURE PROGRESS TOWARDS GOALS AND OBJECTIVES BY UTILIZING RWJBH'S SHARED ELECTRONIC HEALTH RECORD, THE GPRA TOOL, AND A PARTNERSHIP WITH RTI INTERNATIONAL, WHICH HAS CONDUCTED THREE NATIONAL CROSS-SITE EVALUATION OF SAMHSA'S SBIRT PROGRAM OVER THE LAST TWO DECADES AND WILL SERVE AS THE PROJECT'S EVALUATOR.

CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC AT VETERANS RECOVERY RESOURCES (CCBHC-VRR) - VETERANS RECOVERY RESOURCES (VRR) PROPOSES THE CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC AT VETERANS RECOVERY RESOURCES (CCBHC-VRR) PROJECT TO EXPAND ITS EVIDENCE-BASED MENTAL HEALTH (MH) AND SUD SERVICES TO INDIVIDUALS WITH SMI, SUD, OR COD ALONG WITH CHILDREN AND ADOLESCENTS WITH SED. VRR’S INTERDISCIPLINARY, TRAUMA-INFORMED AND PEER-INFUSED OUTPATIENT TREATMENT PROGRAM SERVES A VIBRANT AND DIVERSE COMMUNITY OF SERVICE MEMBERS, VETERANS, AND THEIR FAMILIES (SMVF) AS WELL AS NON-VETERANS, FIRST RESPONDERS, AND OTHER UNDER-SERVED POPULATIONS IN SOUTHWEST ALABAMA. BY THE END OF THE GRANT PERIOD, VRR WILL PROVIDE WHOLE-PERSON, WHOLE-FAMILY, AND COMMUNITY-BASED CCBHC SERVICES TO 700 UNDUPLICATED INDIVIDUALS IN MOBILE AND BALDWIN COUNTIES (A HEALTH RESOURCES AND SERVICES ADMINISTRATION IDENTIFIED HIGH-NEED AREA) AND BE POISED TO SUSTAIN CCBHC SERVICES IN THE FUTURE. IN ALIGNMENT WITH NEEDS OF THE FOCUS POPULATIONS, PROJECT GOALS INCLUDE: (1) INCREASING TIMELY ACCESS TO ALL CCBHC SERVICES; (2) INCREASING ACCESS TO INTEGRATED MH/SUD TREATMENT WITH PRIMARY CARE SERVICES BY CO-LOCATING AND INTEGRATING SERVICES; (3) ENSURING QUALITY CARE BY PROVIDING EBP EDUCATION AND TRAINING TO STAFF AND MONITORING USE OF EBPS, AND (4) EXPANDING PEER SUPPORT AND COMMUNITY INTEGRATION INTO EVIDENCE-BASED, INTEGRATED PRIMARY CARE. OBJECTIVES TO SUPPORT GOAL 1 INCLUDE PROVIDING ALL REQUIRED CCBHC SERVICES TO FOCUS POPULATIONS; PROVIDING ASSISTED OUTPATIENT TREATMENT (AOT); CONDUCTING EVIDENCE-BASED, AGE-APPROPRIATE SCREENING FOR SUICIDE RISK, DEPRESSION, AND SUD FOR ALL CCBHC ADULTS AND ADOLESCENTS DURING INITIAL INTAKE; ESTABLISHING AN EVIDENCE-BASED PROTOCOL AND FREQUENCY INTERVALS FOR RE-SCREENING CLIENTS, AND IMPLEMENTING AGE-APPROPRIATE SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) FOR ALL CCBHC CLIENTS. OBJECTIVES TO SUPPORT GOAL 2 INCLUDE ESTABLISHING A PARTNERSHIP WITH A PEDIATRIC CLINIC TO PROVIDE PEDIATRIC PRIMARY CARE; ENGAGING A LOCAL EMERGENCY DEPARTMENTS (ED) TO LOCATE PEER SUPPORT SPECIALISTS WITHIN THE CARE SETTING; PROVIDING AGE-APPROPRIATE UNIVERSAL SCREENING FOR OVERWEIGHT/OBESITY AND TOBACCO USE TO ALL CCBHC CLIENTS. OBJECTIVES TO SUPPORT GOAL 3 INCLUDE PROVIDING EDUCATION AND TRAINING TO ALL CCBHC-VRR CLINICAL STAFF ON ACCEPTANCE AND COMMITMENT THERAPY (ACT), PRINCIPLES OF TRAUMA-INFORMED CARE, OTHER EBPS, AND THE FOUNDATIONAL BUILDING BLOCKS OF OUR UNIQUE MODEL SUCH THAT 100% OF VRR CLINICAL STAFF WILL REPORT USE OF AT LEAST TWO EBPS IN YEAR 1, AS MEASURED THROUGH A SEMI-ANNUAL SURVEY. OBJECTIVES TO SUPPORT GOAL 4 INCLUDE CONDUCTING A NEEDS ASSESSMENT USING A COMMUNITY-BASED PARTICIPATORY ACTION RESEARCH APPROACH TO IMPROVE THE QUALITY OF LIVES FOR YOUTH VIA DESIGNING A PEER-TO-PEER PROGRAM FOR YOUTH AND ADVANCING INTEGRATION BETWEEN VRR AND THE COMMUNITY; CREATING A COMMUNITY-INTEGRATION ADVISORY BOARD WITH MEMBERS FROM COMMUNITY-BASED, FAITH-BASED, AND SOCIAL SUPPORT ORGANIZATIONS TO CREATE AN ACTION PLAN FOR VRR COMMUNITY PARTNERSHIPS AND PURSUING A PARTNERSHIP WITH THE JUVENILE COURT SYSTEM TO PLACE A PEER SUPPORT SPECIALIST IN THE COURT SYSTEM TO CONNECT JUVENILES AND FAMILIES TO CCBHC AND OTHER COMMUNITY-BASED SERVICES.

STARK COUNTY SYSTEM OF CARE EXPANSION & SUSTAINABILITY PROJECT

RWJBARNABAS HEALTH INSTITUTE FOR PREVENTION AND RECOVERY - MAT-PDOA - THE RWJBARNABAS HEALTH (RWJBH) INSTITUTE FOR PREVENTION AND RECOVERY (IFPR) WILL PARTNER WITH NEWARK BETH ISRAEL MEDICAL CENTER (NBIMC), CLARA MAASS MEDICAL CENTER (CMMC), RWJBH MEDICAL GROUP, INTEGRITY HOUSE, AND THE CENTER FOR GREAT EXPECTATIONS (CGE) TO IMPLEMENT SAMHSA FY 2022 MEDICATION-ASSISTED TREATMENT - PRESCRIPTION DRUG AND OPIOID ADDICTION (MAT-PDOA) TO EXPAND AND ENHANCE ACCESS TO MEDICATION FOR OPIOID USE DISORDER (MOUD) FOR PERSONS WITH AN OPIOID USE DISORDER (OUD) SEEKING OR RECEIVING MOUD. NBIMC AND CMMC PRIMARILY SERVE THE EASTERN AND SOUTHEASTERN PORTIONS OF ESSEX COUNTY, NEW JERSEY, WHICH IS COMPOSED OF URBAN COMMUNITIES AND SUBURBAN TOWNS. THIS AREA HAS DISPARITIES IN SOCIOECONOMIC STATUS, HEALTH STATUS, AND ACCESS TO SERVICES. ESSEX COUNTY HAS A LARGER PROPORTION OF AFRICAN-AMERICAN AND HISPANIC/LATINO RESIDENTS THAN NEW JERSEY AS A WHOLE-38.0% OF THE POPULATION IS NON-HISPANIC AFRICAN-AMERICAN AND 23.3% OF THE POPULATION IS HISPANIC OR LATINO, COMPARED TO 12.6% AND 20.4% STATEWIDE, RESPECTIVELY. NEW JERSEY HAS STRUGGLED WITH THE OPIOID OVERDOSE CRISIS IN THE PAST DECADE, WITH A 133.8% INCREASE IN DRUG OVERDOSE DEATHS FROM 2013 TO 2021. ESSEX COUNTY HAS BEEN PARTICULARLY AFFECTED, WITH A 208.3% INCREASE IN THE SAME TIMEFRAME. IN 2021, ESSEX COUNTY HAD 407 SUSPECTED OVERDOSE DEATHS, THE MOST IN THE STATE. IN THE SAME YEAR, PROVIDERS IN THE COUNTY WROTE 243,920 OPIOID PRESCRIPTIONS, AND LAW ENFORCEMENT AND EMERGENCY MEDICAL SERVICES ADMINISTERED NALOXONE 2,085 TIMES, A FOURFOLD INCREASE FROM 2015. IN 2020, ESSEX COUNTY HAD THE SECOND HIGHEST NUMBER OF RESIDENTS ADMITTED FOR TREATMENT FOR OPIOID USE. THE GOALS OF THE MAT-PDOA PROGRAM ARE TO: 1) INCREASE THE CAPACITY OF RWJBH STAFF TO PROVIDE MOUD IN COMBINATION WITH COMPREHENSIVE CLINICALLY APPROPRIATE SERVICES FOR INDIVIDUALS WITH OUD SEEKING OR RECEIVING MOUD IN THE EMERGENCY DEPARTMENT (ED), 2) INCREASE THE NUMBER OF INDIVIDUALS WITH OUD RECEIVING MOUD, AND 3) DECREASE ILLICIT OPIOID DRUG USE AND PRESCRIPTION OPIOID MISUSE AMONG INDIVIDUALS WITH OUD RECEIVING MOUD. THE PROJECT WILL UTILIZE THREE EVIDENCE-BASED PRACTICES (EBPS)-BUPRENORPHINE AS TREATMENT FOR OUD, THE EMERGENCY DEPARTMENT-INITIATED BUPRENORPHINE FOR OPIOID USE DISORDER (EMBED) CLINICAL DECISION SUPPORT (CDS) INTERVENTION, AND THE BRIDGE MODEL FOR BUPRENORPHINE INITIATION IN THE ED-TO INCREASE ED STAFF CAPACITY TO ASSESS PATIENTS WITH OUD AND PROVIDE MOUD, INCREASE THE NUMBER OF PATIENTS RECEIVING MOUD, AND IMPROVE PATIENT OUTCOMES. THE PROJECT PROPOSES TO SERVE 360 UNDUPLICATED INDIVIDUALS IN YEAR 1, 420 UNDUPLICATED INDIVIDUALS IN YEAR 2, 480 UNDUPLICATED INDIVIDUALS IN YEAR 3, 540 UNDUPLICATED INDIVIDUALS IN YEAR 4, AND 600 UNDUPLICATED INDIVIDUALS IN YEAR 5, TOTALING 2,400 UNDUPLICATED INDIVIDUALS SERVED OVER THE ENTIRE PROJECT PERIOD WITH GRANT FUNDS. THE PROJECT WILL MEASURE PROGRESS TOWARDS GOALS AND OBJECTIVES BY UTILIZING RWJBH'S ELECTRONIC HEALTH RECORD AND THE GPRA TOOL.

HEALTH RECOVERY SERVICES, INC. - MEDICATION ASSISTED TREATMENT - HEALTH RECOVERY SERVICES, INC. MEDICATION-ASSISTED TREATMENT (HRS-MAT) PROJECT WILL ALLOW HEALTH RECOVERY SERVICES (HRS) TO EXPAND SERVICES IN ATHENS, HOCKING, VINTON, GALLIA, JACKSON, AND MEIGS COUNTIES IN SOCIOECONOMICALLY DISADVANTAGED AND RURAL SOUTHEASTERN OHIO BY PROVIDING MOUD IN COMBINATION WITH PSYCHOSOCIAL SERVICES TO THOSE WITH OUD. THE GEOGRAPHIC CATCHMENT AREA IS LARGELY RURAL AND LOCATED IN APPALACHIAN OHIO. THE COMBINED POPULATION OF ALL SIX COUNTIES IS APPROXIMATELY 192,705, JUST 1.7% OF OHIO’S POPULATION OVER A COMBINED LAND AREA OF 2,232.9 SQUARE MILES. THIS EQUATES TO AN AVERAGE POPULATION DENSITY (FOR THE SIX COUNTIES) OF APPROXIMATELY 87 PEOPLE PER SQUARE MILE. RESIDENTS OF THE SIX COUNTIES ARE PRIMARILY WHITE AND THE PERCENT OF POPULATION LIVING BELOW POVERTY LEVEL IS HIGHER THAN THAT OF THE STATE OF OHIO FOR ALL SIX COUNTIES. THE APPALACHIAN REGION COMPARED TO THE NON-APPALACHIAN REGION HAS SEEN HIGHER RATES OF OPIOID PRESCRIBING AND OPIOID OVERDOSE DEATHS (NATIONAL ASSOCIATION OF COUNTIES AND APPALACHIAN REGIONAL COMMISSION, 2019). OVERPRESCRIBING OF OPIOIDS BY PHYSICIANS AND THE ADDITION OF SYNTHETIC OPIOIDS SUCH AS FENTANYL AND CARFENTANYL TO THE SYSTEM IS CONTINUING TO IMPACT APPALACHIA, ATTRIBUTING INCREASING DRUG OVERDOSE DEATHS (SCHALKOFF ET AL, 2021). ADDITIONALLY, THERE HAS BEEN A GROWING USE OF NITAZENES (ALSO TERMED FRANKENSTEIN OPIOIDS), WHICH ARE SYNTHETIC OPIOIDS THAT CAN BE UP TO 40 TIMES MORE POTENT THAN FENTANYL THAT HAS AFFECTED MEIGS, GALLIA, AND JACKSON COUNTIES (OHIO ATTORNEY GENERAL, 2022). THE GOALS OF HRS-MAT ARE (1) PROVIDE MAT SERVICES, USING FDA-APPROVED MEDICATIONS, COMBINATION WITH COMPREHENSIVE AND EVIDENCE-BASED PSYCHOSOCIAL SERVICES TO AT LEAST 350 (50 IN THE YEAR ONE, AND 75 EACH FOR YEARS TWO THROUGH FIVE) ADDITIONAL PATIENTS; (2) CONDUCT CLINICAL ASSESSMENTS TO DETERMINE PATIENTS MEETING ELIGIBLE CRITERIA FOR MAT; (3) CHECK THE PDMP FOR EACH NEW ADMISSION TO PREVENT MEDICATION DIVERSION; (4) CONDUCT SCREENINGS AND ASSESSMENTS FOR CO-OCCURRING SUBSTANCE USE DISORDERS AND MENTAL HEALTH DISORDERS AND ENSURE ADEQUATE DELIVERY AND COORDINATION OF SERVICES; (5) DEVELOP AND IMPLEMENT OUTREACH AND ENGAGEMENT STRATEGIES TO INCREASE ACCESS TO MOUD AND RELATED SERVICES FOR DIVERSE POPULATIONS WITH OUD IN SOUTHEASTERN OHIO; (6) ENSURE ALL APPLICABLE PRACTITIONERS OBTAIN A DATA WAIVER; (7) BUILD FUNDING MECHANISMS AND SERVICE DELIVERY MODELS WITH RURAL AND RESOURCE-LIMITED AREAS/MUNICIPALITIES AND ORGANIZATIONS TO PROVIDE ROBUST TREATMENT AND RSS TO EFFECTIVELY IDENTIFY, ENGAGE, AND RETAIN INDIVIDUALS IN OUD TREATMENT AND FACILITATE LONG-TERM RECOVERY; (8) USE TELEHEALTH SERVICES OR OTHER INNOVATIVE INTERVENTIONS, AS CLINICALLY APPROPRIATE, TO REACH, ENGAGE, AND RETAIN OUD PATIENTS IN TREATMENT; (9) PROVIDE RSS, INCLUDING PEER RECOVERY SERVICES, DESIGNED TO IMPROVE ACCESS TO AND RETENTION IN MAT AND FACILITATE LONG-TERM RECOVERY FOR MAT PATIENTS; AND (10) PROVIDE HARM REDUCTION SERVICES ON SITE, EITHER SINGULARLY OR IN COLLABORATION WITH A COMMUNITY-BASED HARM REDUCTION ORGANIZATION.

FOUR COUNTY SYSTEMS OF STRENGTH AND WELLNESS - THE FOUR COUNTY SYSTEMS OF STRENGTH AND WELLNESS (4SOSW) PROVIDES INFRASTRUCTURE FOR CARE MANAGEMENT AND SERVICE COORDINATION PLUS AN ARRAY OF BEHAVIORAL HEALTH SERVICES ACROSS A FOUR-COUNTY RURAL REGION OF OHIO.

COUNSELING & RECOVERY SERVICES OF OKLAHOMA CCBHC - COUNSELING & RECOVERY SERVICES OF OKLAHOMA (CRSOK) PROPOSES TO EXPAND ITS CURRENT SERVICES DELIVERY MODEL OF INTEGRATED CARE THROUGH THE CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) EXPANSION GRANT TO SERVE INDIVIDUALS WITH SERIOUS MENTAL HEALTH ILLNESS (SMI) OR SUBSTANCE USE (INCLUDING OPIOID) DISORDERS (SUD); CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCES (SED); AND INDIVIDUALS WITH CO-OCCURRING DISORDERS (COD). CRSOK IS LICENSED BY THE STATE OF OKLAHOMA AS A MENTAL HEALTH (MH) AND SUBSTANCE USE DISORDER (SUD) TREATMENT FOR ADULTS, FAMILIES, AND CHILDREN IN TULSA COUNTY. THERE ARE SIGNIFICANT HEALTH DISPARITIES AMIDST TULSA RESIDENTS WITH UNMET BEHAVIORAL HEALTH NEEDS AND ONE OF THE HIGHEST RATES OF HOMELESSNESS IN THE STATE. CRSOK PROPOSES TO BUILD ON ITS SUBSTANTIAL EXISTING OPERATIONS TO PROVIDE ALL THE REQUIRED CCBHC ACTIVITIES THROUGH EXPANSION OF IN-HOUSE SERVICES AND OUR DCO PARTNERS. THIS WILL REQUIRE MINIMAL INVESTMENT IN INFRASTRUCTURE DEVELOPMENT WITH MOST OF OUR INVESTMENT GOING TOWARD RESOURCES THAT WILL PROVIDE DIRECT SERVICES TO OUR CLIENTS AND EXPAND OUR CARE COORDINATION CAPACITY. THE FOCUS OF OUR PROPOSED PROJECT IS TO INCREASE CLIENT WELLNESS, CARE COORDINATION, AND EXPANDED ACCESS, CONSISTENT WITH THE CCBHC MODEL. OUR SELECTED OBJECTIVES ALIGN WITH OUR FOUR STATED GOALS: 1) EXPAND CAPACITY FOR SCREENING AND MONITORING OF PHYSICAL HEALTH CONDITIONS, 2)IMPROVE CARE COORDINATION WITH PRIMARY CARE PARTNERS, 3) INCREASE TARGETED CASE MANAGEMENT CAPACITY AND SERVICES IN THE INDIVIDUAL PLACEMENT & SUPPORT AND HOUSING FIRST PROGRAMS, 4) INCREASE CLIENTS SERVED IN OUR SUD PROGRAM. CRSOK WILL CONTINUE TO USE EVIDENCE-BASED MODELS TO PROVIDE COMPREHENSIVE OUTPATIENT MH AND SUD DIAGNOSTIC AND TREATMENT PRACTICES. THE OBJECTIVES FOR THIS PROJECT WILL BE ACCOMPLISHED THROUGH THE FRAMEWORK PROVIDED BY THE CCBHC MODEL. IT WILL BE LED BY EXPERIENCED AND QUALIFIED PERSONNEL OVERSEEN BY CRSOK'S SENIOR LEADERSHIP AND ADVISED BY OUR BOARD OF DIRECTORS; A REPRESENTATIVE SAMPLE OF THE INDIVIDUALS SERVED BY THE ORGANIZATION. CRSOK'S PLAN FOR SUSTAINABILITY IS TO SECURE THE PPS RATE AVAILABLE TO CCBHCS IN OKLAHOMA, A DEMONSTRATION STATE. WE WILL MANAGE, MONITOR, AND APPLY OUR DATA COLLECTION AND PERFORMANCE MEASUREMENTS TO NOT ONLY MEET REPORTING REQUIREMENTS, BUT ALSO TO INFORM OUR BROADER PERFORMANCE ASSESSMENT AND CQI EFFORTS TO ENHANCE OUR PROGRAMS. AS A CCBHC, CRSOK WILL BE ABLE TO EXPAND MUCH NEEDED BEHAVIORAL HEALTH SERVICES, SCREENING AND MONITORING FOR PHYSICAL HEALTH ISSUES, EMPLOYMENT SUPPORT AND HOUSING SERVICES FOR TULSANS LIVING WITH MENTAL ILLNESS AND/OR SUBSTANCE USE DISORDERS. WE WILL DO THIS BY INVESTING IN DIRECT CARE SERVICES, PHYSICAL HEALTH SCREENING INFRASTRUCTURE AND COMMUNITY OUTREACH.

NORTHERN OHIO RECOVERY ASSOCIATION CCBHC (N-CCBHC) PROJECT - THE NORTHERN OHIO RECOVERY ASSOCIATION (NORA) PROPOSED NORA CCBHC (N-CCBHC) PROJECT WILL SIGNIFICANTLY EXPAND CAPACITY TO SERVE RESIDENTS OF CUYAHOGA COUNTY WITH SERIOUS MENTAL ILLNESS (SMI) OR SUBSTANCE USE DISORDERS (SUD), INCLUDING OPIOID USE DISORDERS; CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED); AND INDIVIDUALS WITH CO-OCCURRING MENTAL AND SUBSTANCE DISORDERS (COD). NORA WILL QUALIFY FOR CERTIFICATION AS A CCBHC. GRANT FUNDS WILL HELP NORA ADDRESS THE SIGNIFICANT SHORTFALL IN CAPACITY OF CUYAHOGA COUNTY’S BEHAVIORAL HEALTH SERVICES DELIVERY SYSTEM TO MEET THE NEEDS OF ITS MOST VULNERABLE CITIZENS WHOSE PLIGHT IS EXACERBATED BY THEIR RESIDENCE IN ONE OF THE MOST ECONOMICALLY DISTRESSED AREAS IN THE NATION. NORA WILL USE GRANT FUNDS TO ADDRESS THIS SITUATION BY EXPANDING ITS EXISTING SERVICE ARRAY TO INCLUDE SMI SERVICES, AS WELL AS SED SERVICES TARGETED TO DIFFERENT AGE LEVELS: YOUNG CHILDREN (AGES 0-6), SCHOOL AGE (AGES 6-12), AND ADOLESCENTS (AGES 12-17). THE N-CCBHC PROJECT WILL SERVE 355 UNDUPLICATED INDIVIDUALS IN YEAR 1 AND 360 IN YEAR TWO. NORA WILL SUBCONTRACT WITH THE NATIONAL COUNCIL FOR BEHAVIORAL HEALTH FOR TECHNICAL ASSISTANCE TO MEET ALL CCBHC CRITERIA BY THE 4TH MONTH SUBSEQUENT TO GRANT AWARD. NORA WILL ALSO CONTRACT WITH THE CENTER FOR EVIDENCE-BASED PRACTICES (CEBP) AT CASE WESTERN RESERVE UNIVERSITY (CWRU) TO PROVIDE TRAINING IN ASSERTIVE COMMUNITY TREATMENT (ACT) TO PROJECT STAFF TO SERVE THE SMI POPULATION. NORA WILL IMPLEMENT A CONTINUUM OF AGE-SPECIFIC DEVELOPMENTALLY APPROPRIATE EBPS FOR CHILDREN/ADOLESCENTS WITH SED. THE CENTER FOR INNOVATIVE PRACTICE (CIP), ALSO HOUSED AT CWRU, WILL TRAIN PROJECT STAFF IN INTEGRATED CO-OCCURRING TREATMENT (ICT), TO SERVE ADOLESCENTS (AGES 12-17). NORA WILL IMPLEMENT ALTERNATIVES FOR FAMILIES: A CBT TO TREAT CHILDREN, AGES 6-12, , AND EARLY PATHWAYS WILL BE DELIVERED TO CHILDREN, AGES 0 TO 6. SERVING AS DCOS WILL BE 1) FRONTLINE SERVICE, WHICH WILL PROVIDE CRISIS SERVICES AND THE VA NORTHEAST OHIO HEALTHCARE SYSTEM, WHICH WILL ACCEPT REFERRALS OF VETERANS FOR TREATMENT. PROJECT GOALS ARE: 1) ACHIEVE FULL COMPLIANCE WITH CCBHC STANDARDS; 2) EXPAND ACCESS TO BEHAVIORAL HEALTH SERVICES; 3) FILL IN IDENTIFIED GAPS IN PROFESSIONAL STAFF CAPACITY TO SERVE THE NEEDS OF THE TARGET POPULATIONS; 4) EXPAND PROGRAMMING TO SERVE NEW TREATMENT POPULATIONS; 5) PROVIDE CARE COORDINATION FOR EVERY INDIVIDUAL/FAMILY ASSESSED TO BENEFIT FROM THIS SERVICE; 6) IMPROVE PARTICIPANTS' MENTAL HEALTH; 7) DECREASE PARTICIPANTS’ SUBSTANCE USE, AND 9) FOSTER PARTICIPANT SATISFACTION WITH THEIR CARE.

ONE STOP WELLNESS OF THE FINGER LAKES

HEALTH CENTER PROGRAM

RURAL BEHAVIORAL HEALTH WORKFORCE COORDINATING CENTERS ? NORTHERN BORDER REGION

ALLEN COUNTY CHILDREN'S MENTAL HEALTH INITIATIVE - THE MENTAL HEALTH & RECOVERY SERVICES BOARD (MHRSB) OF ALLEN, AUGLAIZE & HARDIN COUNTIES, A GOVERNMENTAL ENTITY FORMED BY THE STATE OF OHIO, PROPOSES TO PARTNER WITH COLEMAN HEALTH SERVICES (CHS) AND OTHER BEHAVIORAL HEALTH PROVIDERS AND COMMUNITY ORGANIZATIONS WITHIN THE ALLEN COUNTY SYSTEM OF CARE TO IMPROVE OUTCOMES FOR 600 CHILDREN, YOUTH AND YOUNG ADULTS, AGES 0-21, WHO EXPERIENCE OR ARE AT RISK FOR SERIOUS EMOTIONAL DISORDERS (SED). THE TARGET POPULATION ARE AT-RISK YOUTH AND THEIR FAMILIES IN ALLEN COUNTY, OHIO, MANY OF WHOM WILL LIVE IN THE CITY OF LIMA, A SMALL RUSTBELT CITY WITH BIG CITY PROBLEMS, INCLUDING POVERTY, STRESSED SINGLE-PARENT FAMILIES, CONCENTRATION OF RACIAL MINORITIES, AND HIGH CRIME RATES, AS WELL AS A PERVASIVELY HIGH LEVEL OF VIOLENCE EXPERIENCED BY YOUTH. ALLEN COUNTY HAS SUFFERED HIGH RATES OF EARLY MORBIDITY AND RANKS #60 OF 88 OHIO COUNTIES ON PHYSICAL AND MENTAL HEALTH MEASURES. IN RECENT YEARS THE RESULTING TRAUMA AND POOR MENTAL HEALTH HAVE BECOME BEHAVIORALLY EXPRESSED THROUGH CHILD-TO-PARENT DOMESTIC VIOLENCE. PARENTS OR CAREGIVERS IN THIS CONSERVATIVE SOCIOPOLITICAL CULTURE, HAVE TRADITIONALLY TURNED TO LAW ENFORCEMENT AT CRISIS POINTS TO DE-ESCALATE FAMILY CONFLICT AND MITIGATE THEIR CHILD'S BAD BEHAVIOR. IN RESPONSE TO RISING NUMBERS OF CHILDREN AS YOUNG AS AGE 7 BEING ARRESTED, DETAINED AND CHARGED WITH DOMESTIC VIOLENCE, THE ALLEN COUNTY COMMON PLEAS COURT, JUVENILE DIVISION, HAS DEVELOPED A DIVERSIONARY PROGRAM. AT THE HEART OF THE PROGRAM IS AN ACCESS CENTER WHERE YOUTH, REFERRED BY POLICE, SCHOOLS, COMMUNITY ORGANIZATIONS, AND DIRECTLY BY PARENTS, ARE SCREENED FOR SED AND ADVERSE CHILDHOOD EXPERIENCES THAT PUT THEM AT RISK FOR SED. MANY OF THESE YOUTH ARE REFERRED TO COMMUNITY-BASED SERVICES AND RESOURCES. WHILE PARENTS PARTICIPATE IN THE ASSESSMENTS, FEW ELECT TO RECEIVE SERVICES THEMSELVES, AND MOST DO NOT RECOGNIZE THE ROLE OF THE FAMILY SYSTEM IN THE YOUTH'S BEHAVIORAL PROBLEMS. SERVICES FOR YOUTH IN THE COMMUNITY FREQUENTLY HAVE WAITING LISTS, AND MANY YOUTH DO NOT RECEIVE THE RECOMMENDED TREATMENT OR SERVICE COORDINATION. THE ALLEN COUNTY CMHI PROJECT WILL PROVIDE CULTURALLY APPROPRIATE FAMILY ADVOCACY AND ENGAGEMENT ACTIVITIES, AS WELL AS CONNECT FAMILIES TO 24/7/365 MOBILE CRISIS SERVICES. THE PROJECT WILL ALSO INCREASE THE CAPACITY OF THE COMMUNITY TO PROVIDE MORE RAPID ACCESS TO YOUTH- AND FAMILY-FOCUSED EVIDENCE-BASED MENTAL HEALTH CARE AND SERVICE COORDINATION, AS WELL AS CONNECTION TO SERVICES FOR PARENTS WITH UNMET BEHAVIORAL HEALTH NEEDS. GOALS INCLUDE IMPROVING FAMILY STABILIZATION, WHILE REDUCING THE OVERRELIANCE ON LAW ENFORCEMENT AND THE JUVENILE JUSTICE DETENTION SYSTEM. THE PROGRAM WILL SEEK TO IMPROVE MENTAL HEALTH AND LIFE OUTCOMES FOR CHILDREN AND YOUTH, HELP YOUTH AND FAMILIES HEAL FROM TRAUMA, AND DEVELOP STRONGER PATHWAYS TO SUCCESSFULLY TRANSITION YOUTH TO ADULT SERVICES, ROLES AND RESPONSIBILITIES. IT ALSO AIMS TO CHANGE THE CULTURE FROM ONE OF PUNISHMENT THAT CAN ITSELF BE TRAUMATIZING, TO ONE THAT RECOGNIZES THAT BAD BEHAVIORS ARE OFTEN SYMPTOMS OF A TREATABLE MENTAL HEALTH CONDITION. THE ALLEN COUNTY FAMILY AND CHILDREN FIRST COUNCIL WILL SERVE AS THE GOVERNING ORGANIZATION FOR THIS SYSTEM-OF-CARE PROGRAM.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM - MEDICATION ASSISTED TREATMENT ACCESS

DRP SBIRT INITIATIVE - DETROIT RECOVERY PROJECT (DRP), AS A LEADING CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) WITHIN MICHIGAN IS SEEKING THE SAMHSA SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) TO IMPLEMENT SCREENING, BRIEF INTERVENTION, AND REFERRAL TO SERVICES (SBIRT) WITH 1,650 ADOLESCENTS AND YOUNG ADULTS (AGES 12 TO 21) AT FOUR PEDIATRIC-SERVING LOCATIONS THROUGHOUT DETROIT, HIGHLAND PARK, AND HAMTRAMCK IN WAYNE COUNTY, MICHIGAN OVER FIVE YEARS. THESE LOCATIONS INCLUDE AN EDUCATIONAL SETTING (DETROIT EDISON COREWELL HEALTH SCHOOL BASED CLINIC), A COMMUNITY CENTER (DURFEE INNOVATION SOCIETY IN DETROIT), AND TWO RECOVERY CENTERS (CALVIN R. TRENT HEALTH & WELLNESS AND THE EASTSIDE HEALTH & WELLNESS CENTERS). DRP WILL ALSO PROVIDE TRAINING TO STAFF, PEER RECOVERY COACHES, AND PARAPROFESSIONALS AT PARTNER ORGANIZATIONS TO CONDUCT SBIRT, RESULTING IN AN ADDITIONAL 100 YOUTH AND YOUNG ADULTS SERVED IN YEAR 4 AND 250 YOUTH AND YOUNG ADULTS SERVED IN YEAR 5 OF THE INITIATIVE, INCREASING DRP'S REACH OVER TIME. THE GOALS OF THE DRP SBIRT PROGRAM ARE: 1) TO INCREASE THE NUMBER OF ADOLESCENTS AND YOUNG ADULTS (AGES 12-21) SCREENED IN WAYNE COUNTY, WHO ARE MODERATE OR HIGH-RISK FOR PSYCHOSOCIAL OR HEALTH CARE PROBLEMS RELATED TO SUBSTANCE USE; 2) TO INCREASE THE NUMBER OF BEHAVIORAL HEALTH PROFESSIONALS, PEER COACHES AND SCHOOL PERSONNEL BEING TRAINED IN THE DETROIT CATCHMENT AREA, TO PROVIDE SBIRT SCREENING WITHIN THEIR SERVICE POPULATIONS, AND 3) ENHANCE THE HEALTH OUTCOMES OF YOUTH AND YOUNG ADULTS PARTICIPATING IN THE DRP SBIRT INITIATIVE. DRP SBIRT WILL PROVIDE TRAUMA-INFORMED SBIRT, LINKAGE TO CARE AND, WRAPAROUND SERVICES TO INDIVIDUALS RESIDING IN THE TARGET COMMUNITY WITH THE GOAL OF REDUCING THE IMPACT OF SUBSTANCE USE DISORDER ON YOUTH, YOUNG ADULTS, AND THEIR FAMILIES. DRP IS EQUIPPED WITH THE EXPERTISE AND EXPERIENCE TO PROVIDE SERVICES THAT ARE TARGETED AND SPECIFIC TO THE POPULATION, REDUCING BARRIERS TO CARE AND INCREASING THE LIKELIHOOD OF SUCCESSFUL RECOVERY.

FAMILY RECOVERY PROJECT CENTRAL

IMPROVE ACCESS TO BEHAVIORAL AND PHYSICAL HEALTH SERVICES BY TRANSFORMING VALEO BEHAVIORAL HEALTH CARE FROM A COMMUNITY MENTAL HEALTH CENTER TO A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC - VALEO BEHAVIORAL HEALTH CARE, INC. WILL IMPROVE ACCESS TO BEHAVIORAL AND PHYSICAL HEALTH SERVICES BY TRANSFORMING VALEO FROM A COMMUNITY MENTAL HEALTH CENTER (CMHC) TO A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC). VALEO'S PRIMARY POPULATION OF FOCUS ARE ADULTS (18+) IN SHAWNEE COUNTY, KANSAS WITH MENTAL HEALTH CONDITIONS, SUBSTANCE USE DISORDERS OR CO-OCCURRING DISORDERS WHO LACK HEALTH INSURANCE COVERAGE, ARE UNDERINSURED, OR CANNOT AFFORD SUBSIDIZED HEALTH INSURANCE, WITH AN EMPHASIS ON INDIVIDUALS WHO ARE 65 AND OLDER, INDIVIDUALS EXPERIENCING HOMELESSNESS, AND THOSE WHO HAVE SERIOUS MENTAL ILLNESS. TOPEKA, THE KANSAS CAPITAL, LIES WITHIN THE BOUNDARIES OF SHAWNEE COUNTY WHICH ENCOMPASSES THE CCBHC SERVICE AREA. SHAWNEE COUNTY IS HOME TO AN ESTIMATED 176,875 RESIDENTS. THERE ARE NO CCBHCS IN THE SERVICE AREA, THOUGH THERE IS ANOTHER CMHC THAT PROVIDES BEHAVIORAL HEALTH SERVICES FOR CHILDREN UP TO 18 YEARS OLD. FOR INDIVIDUALS WITHOUT INSURANCE, VALEO IS ONE OF FOUR PROVIDERS IN THE AREA FOR ADULTS (18+). VALEO IS THE ONLY ADULT PROVIDER WHO WILL PROVIDE SERVICES REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. APPROXIMATELY 17.4% OF THE COUNTY'S POPULATION IS WITHOUT INSURANCE DUE, IN PART, TO KANSAS NOT EXPANDING MEDICAID. THROUGH A SURVEY CONDUCTED BY THE SHAWNEE COUNTY HEALTH DEPARTMENT, RESPONDENTS IDENTIFIED MENTAL HEALTH ISSUES, ALCOHOL/ILLEGAL DRUG ABUSE, PRESCRIPTION DRUG ABUSE/DEPENDENCE, AND OBESITY AS SIGNIFICANT COMMUNITY ISSUES. VALEO WILL SERVE AN ADDITIONAL 2,000 INDIVIDUALS OVER THE COURSE OF THE FOUR-YEAR GRANT PERIOD (500 IN YEAR ONE, 500 IN YEAR TWO, 500 IN YEAR THREE, AND 500 IN YEAR FOUR). THE PROJECT'S FIRST GOAL IS TO INCREASE THE INTEGRATION OF HEALTHCARE SERVICES TO IMPROVE THE OVERALL HEALTH OF THE POPULATION OF FOCUS. OBJECTIVES INCLUDE COLLECTING PRIMARY PROVIDER CARE INFORMATION ON 75% OF CONSUMERS BY THE END OF YEAR ONE AND 100% BY THE END OF YEAR TWO. IN YEAR ONE, 50% OF CONSUMERS WILL RECEIVE PRIMARY CARE SCREENINGS, 75% IN YEAR TWO, 85% IN YEAR THREE, AND 95% IN YEAR FOUR. IN YEAR ONE, 50% OF CONSUMERS WILL RECEIVE CARE COORDINATION, 65% IN YEAR TWO, 75% IN YEAR THREE, AND 95% IN YEAR FOUR. AN ASSERTIVE COMMUNITY TREATMENT (ACT) TEAM WILL BE IMPLEMENTED AND SERVE 25 CONSUMERS IN YEAR ONE, 50 IN YEAR TWO, 75 IN YEAR THREE, AND 100 IN YEAR FOUR. BY YEAR THREE, 50% OF CONSUMERS WITH A BODY MASS INDEX (BMI) OUTSIDE NORMAL PARAMETERS WILL RECEIVE REFERRALS TO APPROPRIATE SUPPORTS, AND 75% WILL RECEIVE REFERRALS BY YEAR FOUR. THE SECOND GOAL IS TO INCREASE TIMELY ACCESS TO SERVICES AND EVIDENCE-BASED PRACTICES TO REDUCE THE NEED FOR MORE RESTRICTIVE LEVELS OF CARE FOR THE POPULATION OF FOCUS. TIME FROM REFERRAL TO SERVICE PROVISION WILL BE DECREASED TO 10 DAYS IN YEAR ONE AND DECREASED TO SEVEN DAYS IN YEAR TWO. SIXTY PERCENT OF CONSUMERS WILL RECEIVE AN EVIDENCE-BASED PRACTICED IN YEAR ONE, 70% IN YEAR TWO, 80% IN YEAR THREE, AND 90% IN YEAR FOUR. VALEO WILL PROVIDE SERVICES TO AN ADDITIONAL 20 INDIVIDUALS 65 YEARS AND OLDER IN YEAR ONE, 40 IN YEAR TWO, 60 IN YEAR THREE, AND 80 IN YEAR FOUR. ACCESS TO SERVICES WILL INCREASE, WITH THE NUMBER OF BILLABLE EVENTS INCREASING BY 10% IN YEAR TWO, 20% IN YEAR THREE, AND 25% IN YEAR FOUR. VALEO WILL ACCOMPLISH THESE OBJECTIVES BY UTILIZING SHORTER-TERM, MORE EFFECTIVE EVIDENCE-BASED PRACTICES, FULLY IMPLEMENTING SAME DAY ACCESS INTAKE, IMPLEMENTING JUST-IN-TIME PSYCHIATRIC PRESCRIBING, UTILIZING A NEW ELECTRONIC HEALTH RECORD WITH A CCBHC MODULE, IMPLEMENTING A FULLY INTEGRATED TREATMENT PLAN, UTILIZING A LEVEL OF CARE INSTRUMENT, ENHANCING AGENCY TRAININGS, EXPANDING THE USE OF SAFETY PLANS, AND IMPROVING ENGAGEMENT OF INDIVIDUALS 65 YEARS AND OLDER.

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

BUILDING RESILIENCE THROUGH INTERVENTION: GROWING HEALTHIER TGTHR (PROJ BRIGHT)

ENHANCED SERVICES TO RESIDENTS AT PROJECT PRIDE, THEIR CHILDREN, THEIR PARTNERS AND EXTENDED FAMILY MEMBERS.

ARCC- ADOLESCENTS IN RECOVERY AND COMMUNITY CONNECTIONS - THE VILLAGE VIRGIN ISLAND PARTNERS IN RECOVERY, INC., (THE VILLAGE) ADOLESCENTS IN RECOVERY AND COMMUNITY CONNECTIONS (ARCC) PROGRAM PURPOSE IS TO PROVIDE EARLY INTERVENTION, RECOVERY SUPPORT SERVICES, AND COMPREHENSIVE SUD/COD OUTPATIENT TREATMENT TO TRADITIONALLY UNDER-SERVED, PRIMARILY MINORITY YOUTH AND THEIR FAMILIES/PRIMARY CAREGIVERS ON THE US VIRGIN ISLANDS. SUBSTANCE USE IS ACCELERATING IN USVI. FENTANYL-INVOLVED OVERDOSE DEATHS HAVE STEADILY INCREASED; FENTANYL DEATHS BALLOONED NEARLY 900% BETWEEN 2016 AND 2017: FROM 12 TO 106. THIS PROJECT WILL INCREASE ACCESS TO CARE BY PROVIDING CULTURALLY COMPETENT AND YOUTH-CENTERED EVIDENCE-BASED SUD/COD TREATMENT AND ENHANCE THE SOCIAL AND BEHAVIORAL HEALTH FUNCTIONING OF PRIMARILY MINORITY YOUTH (12-25) AND THEIR FAMILIES. THIS WILL BE ACCOMPLISHED BY OFFERING THE REQUIRED ACTIVITIES, INCLUDING EVIDENCE-BASED (EBP) OUTPATIENT TREATMENT, WRAPAROUND SERVICES, AND CASE MANAGED COMMUNITY-BASED SUPPORT SERVICES. THIS WILL INCLUDE EXPANSION OF THE EXISTING CONTINUUM OF CARE TO INCLUDE OUTPATIENT SERVICES AND WRAPAROUND CARE WHICH WILL PROVIDE THE YOUTH AND FAMILY WITH EVERYTHING THEY NEED TO BE SUCCESSFUL.

SANTA FE RECOVERY CENTER'S SUBSTANCE USE DISORDER RESIDENTIAL TREATMENT FOR PREGNANT AND POSTPARTUM WOMEN GRANT

THE FRIENDS AND FAMILY CENTER IS NEW CONSTRUCTION FOR PEER RECOVERY SUPPORT FOR YOUTH AND FAMILY AT PORTLAND RECOVERY COMMUNITY CENTER, AND TO EXPAND TRAINING STATEWIDE TRAINING OF RCCS. - THE PORTLAND RECOVERY COMMUNITY CENTER (PRCC) WILL CONSTRUCT THE FRIENDS AND FAMILY CENTER, A NEW 3,275 SQUARE-FOOT FACILITY ON ITS CAMPUS IN PORTLAND, MAINE. THE PROJECT WILL EXPAND ACCESS TO PEER RECOVERY SUPPORT SERVICES, FAMILY RECOVERY SUPPORTS, WORKFORCE DEVELOPMENT, RECOVERY EDUCATION, AND COMMUNITY PROGRAMMING FOR INDIVIDUALS AND FAMILIES IMPACTED BY SUBSTANCE USE DISORDER. PEER SUPPORT IS AN ESSENTIAL COMPONENT OF THE HEALTHCARE SYSTEM, SERVING AS A BRIDGE BETWEEN CLINICAL CARE AND DAILY LIFE AND IMPROVING OVERALL HEALTH OUTCOMES. PRCC IS MAINE'S RECOVERY HUB AND THE STATE'S ONLY NATIONALLY ACCREDITED RECOVERY COMMUNITY ORGANIZATION. THE ORGANIZATION PROVIDES PEER RECOVERY COACHING, RECOVERY SUPPORT GROUPS, TELEPHONE RECOVERY SUPPORT, WORKFORCE DEVELOPMENT, TRAINING, AND COMMUNITY-BASED RECOVERY SERVICES. DEMAND FOR THESE SERVICES HAS GROWN SIGNIFICANTLY IN RECENT YEARS, CREATING A NEED FOR ADDITIONAL SPACE TO SUPPORT RECOVERY COACHING, FAMILY-CENTERED PROGRAMMING, MEETINGS, TRAINING ACTIVITIES, AND COMMUNITY EVENTS. THE FRIENDS AND FAMILY CENTER WILL PROVIDE DEDICATED SPACE FOR RECOVERY COACHING, FAMILY SUPPORT SERVICES, MUTUAL AID MEETINGS, EDUCATIONAL WORKSHOPS, WORKFORCE DEVELOPMENT ACTIVITIES, AND COMMUNITY ENGAGEMENT. THE FACILITY WILL INCLUDE A LARGE EDUCATION AND TRAINING ROOM, CHILDCARE SPACE, MEETING AND CONFERENCE ROOMS, OFFICES, AND OTHER SUPPORT SPACES. DEDICATED CHILDCARE SPACE WILL HELP REDUCE BARRIERS TO PARTICIPATION FOR PARENTS AND CAREGIVERS SEEKING RECOVERY SUPPORT SERVICES AND EDUCATIONAL OPPORTUNITIES. THE PROJECT WILL ALSO CREATE A WELCOMING ENVIRONMENT SPECIFICALLY DESIGNED FOR FAMILIES, CAREGIVERS, YOUTH, AND LOVED ONES AFFECTED BY SUBSTANCE USE DISORDER. THE FACILITY WILL EXPAND OPPORTUNITIES FOR PEER SUPPORT, EDUCATION, CONNECTION, AND RECOVERY-FOCUSED ACTIVITIES WHILE STRENGTHENING RECOVERY SUPPORT INFRASTRUCTURE ACROSS MAINE. FUNDING WILL SUPPORT CONSTRUCTION OF THE FRIENDS AND FAMILY CENTER AND INCREASE PRCC'S CAPACITY TO PROVIDE PEER RECOVERY SUPPORT SERVICES, FAMILY-CENTERED PROGRAMMING, WORKFORCE DEVELOPMENT, AND RECOVERY EDUCATION. THE PROJECT WILL IMPROVE ACCESS TO RECOVERY RESOURCES, STRENGTHEN SUPPORT FOR FAMILIES AFFECTED BY SUBSTANCE USE DISORDER, AND HELP MEET THE GROWING NEED FOR RECOVERY SUPPORT SERVICES THROUGHOUT MAINE.

RURAL BEHAVIORAL HEALTH WORKFORCE COORDINATING CENTERS ? NORTHERN BORDER REGION - FRIENDS OF RECOVERY – NEW YORK’S RREAP PROGRAM LEVERAGES AND UTILIZES A STATEWIDE NETWORK OF RURAL RECOVERY PROVIDERS TO PROVIDE EDUCATION, AWARENESS, ADVOCACY, TREATMENT AND PREVENTION SERVICES TO ADDRESS ADDICTION AND SHOWCASE THE POWER OF RECOVERY. THE RREAP PROGRAM UTILIZES A MULTI-SECTORAL APPROACH TO IDENTIFY, ASSESS, AND DEVELOP A RURAL ENGAGEMENT STRATEGIC PLAN THAT EFFECTIVELY WORKS DIRECTLY IN THE DESIGNATED CENSUS TRACK AREAS AS OUTLINED IN HRSA-22-163, RURAL BEHAVIORAL HEALTH WORKFORCE CENTERS- NORTHERN BORDER REGION. FOR-NY’S RREAP PROGRAM BRINGS RELEVANT, CULTURAL AND POPULATION-APPROPRIATE EDUCATION TO BEHAVIORAL HEALTH PROVIDERS TO DIRECTLY ADDRESS THE LACK OF (OR LACK OF ACCESS TO) INFORMATION WHEN WORKING WITH INDIVIDUALS AND FAMILIES THAT ARE IMPACTED BY ADDICTION AND OVERDOSE.

ONTRACK ROGUE VALLEY?S RESIDENTIAL TREATMENT HOME PROGRAM FOR PREGNANT & POSTPARTUM WOMEN (PPW) AND THEIR MINOR CHILDREN - PROJECT: ONTRACK ROGUE VALLEY’S RESIDENTIAL TREATMENT HOME PROGRAM FOR PREGNANT & POSTPARTUM WOMEN (PPW) & THEIR CHILDREN. SUMMARY: HOME IS A 24-BED SUD RESIDENTIAL TREATMENT FACILITY FOR MOMS WITH THEIR CHILDREN AGES 0-5 DESIGNED TO KEEP FAMILIES UNITED. HOME PROVIDES COMPREHENSIVE SUD TREATMENT, RECOVERY SUPPORT SERVICES, HEALTHCARE, MENTAL HEALTH SERVICES, & HARM REDUCTION INTERVENTIONS FOR PPW ACROSS A CONTINUUM OF SPECIALTY SUD RESIDENTIAL CARE, BASED ON COMPREHENSIVE, INDIVIDUALIZED SCREENINGS & ASSESSMENTS THAT INFORM TREATMENT PLANNING & SERVICE DELIVERY IN A CONTINUOUS CARE MODEL USING EVIDENCE-BASED (EB) PRACTICES. PRIOR TO INTAKE & AFTER DISCHARGE, PPW HAVE ACCESS TO OUTPATIENT CARE & SERVICES THAT ADDRESS SOCIAL DETERMINANTS OF HEALTH. USING A HOLISTIC APPROACH, HOME WILL PROVIDE SUPPLEMENTAL SERVICES & INTERVENTIONS FOR MINOR CHILDREN, PARTNERS & OTHER EXTENDED ADULT FAMILY MEMBERS (AFM) OF THE PPW & CHILDREN, AS REQUESTED BY THE PPW. SERVICES & LOCATIONS ARE ALL ACCESSIBLE FOR WOMEN WITH LOW INCOMES. POPULATION SERVED: HOME SERVES PPW FROM ACROSS OREGON. ON AVERAGE, 75% ARE FROM JACKSON & JOSEPHINE COUNTY, 87% ARE WHITE, 7% HISPANIC/LATINO, 3% AFRICAN AMERICAN/BLACK, 3% INDIGENOUS/NATIVE AMERICAN. NEARLY 100% SPEAK ENGLISH OR ARE BILINGUAL; LESS THAN 1% SPEAK ONLY SPANISH. THE ONLY SEX/GENDER CRITERIA FOR ADMISSION IS IDENTIFYING AS BEING A MOTHER; ~5% IDENTIFY AS LGBTQIA+. AGES RANGES FROM 18-35; 98% ARE ON MEDICAID; 25% ARE UNHOUSED WHEN ENTERING TREATMENT; 44% ARE PREGNANT; 88% RESIDE AT HOME PROGRAM WITH THEIR CHILDREN. STRATEGIES/INTERVENTIONS: HOME PROVIDES DIRECT OUTREACH TO PPW WITH SUD, 24/7 STAFF, INDIVIDUALIZED MULTIDISCIPLINARY CARE TEAMS, A CERTIFIED CHILD CARE CENTER ON SITE, & SUD TREATMENT USING EB PRACTICES & HARM REDUCTION SERVICES FOR PPW & THEIR FAMILIES. UNDER THIS PROJECT ONTRACK SEEKS TO EXPAND ITS PARTNERSHIP WITH OASIS–A HEALTH CLINIC SERVING PARENTS WITH SUDS & THEIR CHILDREN–TO ENHANCE CARE COORDINATION FOR PPW & THEIR CHILDREN. OASIS’ MEDICAL TEAM/OMT WILL PROVIDE PRIMARY MEDICAL, PRENATAL, POSTPARTUM & MAT SERVICES (AS NEEDED) FOR PPW & PEDIATRIC CARE FOR PPW’S CHILDREN. ONTRACK WILL HIRE A WOMEN’S COORDINATOR TO INCREASE CARE COORDINATION, AN ACCESS & UTILIZATION MANAGER TO ENSURE NO SERVICES ARE DENIED DUE TO LACK OF INSURANCE, AND A QUALITY ASSURANCE MEDICATION MANAGER TO MANAGE PPW’S PRESCRIPTIONS. OASIS WILL HIRE AN RN & PEER SUPPORT DOULA TO SUPPORT OMT & PPW, AND OASIS’ CHILDREN’S COORDINATOR WILL PROVIDE DEVELOPMENTALLY APPROPRIATE CHILD SERVICES & EB PARENTING TRAINING & INTERVENTIONS FOR PPW. TO INCREASE EARLY ENGAGEMENT & REDUCE DROPOUT EARLY IN THE RECOVERY PROCESS, ONTRACK & OASIS ARE PARTNERING TO ADD EMERGENCY HOUSING FOR PPW ON THE HOME WAITLIST & CHILD WATCH FOR OUTPATIENT TREATMENT. GOALS: 1) REDUCE SUBSTANCE USE & THE SEVERITY OF ADDICTION BY PROVIDING LOW-BARRIER CONTINUUM OF SUD TREATMENT COORDINATED WITH RECOVERY SUPPORTS. 2) INCREASE CHILD WELL-BEING AND REDUCE ADDICTION-RELATED OUT-OF-HOME PLACEMENTS BY PROVIDING AGE-APPROPRIATE SERVICES TO THE MINOR CHILDREN AND AFM, INCLUDING PRIMARY AND BEHAVIORAL HEALTHCARE, PARENT TRAINING, AND ACCESS TO COMPREHENSIVE SOCIAL SERVICES. 3) IMPROVE OUTCOMES RELATED TO SOCIAL DETERMINANTS OF HEALTH (EDUCATION, STABLE HOUSING, EMPLOYMENT, CHILDCARE) AND SUPPORT SUSTAINED RECOVERY OF PPW BY PROVIDING RECOVERY SUPPORTS & RESOURCES FOR PPW. 4) INCREASE ACCESS TO HARM REDUCTION INTERVENTIONS FOR PPW INCLUDING OUTREACH, EMERGENCY HOUSING, AND FDA-APPROVED OVERDOSE REVERSAL MEDICATIONS. OUTCOMES: HOME WILL ANNUALLY SERVE 30 PPW IN RESIDENTIAL TREATMENT (TO BE INCLUDED IN EVALUATION); 45 MINOR CHILDREN; 10 AFM; 30 ADDITIONAL PPW WITH OUTREACH, OUTPATIENT TREATMENT & HARM REDUCTION SUPPORT. 575 TOTAL OVER 5 YEARS. OUTCOMES: REDUCE SUBSTANCE USE & INCREASE HEALTH OF PPW, PARTNERS & AFM; SUPPORT SUSTAINED RECO

SERENITY RECOVERY CENTERS "BRIDGES TO RECOVERY" IS A PROGRAM THAT BRIDGES INDIVIDUALS STRUGGLING WITH OPIOID USE DISORDER TO RECOVERY THROUGH THE USE OF MEDICATED ASSISTED TREATMENT. - THE BRIDGES TO RECOVERY WILL EXPAND AND ENHANCE SERVICE CAPACITY THROUGHOUT THE MEMPHIS AND SHELBY COUNTY AREA THROUGH THE EXPANSION AND ENHANCEMENT OF MEDICATED ASSISTED TREATMENT FOR ADULT AFRICAN- AMERICAN MEN AND WOMEN STRUGGLING WITH OPIOID USE DISORDERS. SERENITY WILL PROVIDE SUBSTANCE USE DISORDERS TREATMENT, PEER SUPPORT, AND A CONTINUUM OR CARE TO 230 INDIVIDUALS TO WITH THE GOAL OF ENHANCING ACCESS AND ENGAGEMENT FOR THOSE WHO EXPERIENCE BARRIERS TO SERVICES. THE PROJECT WILL SERVE 30 INDIVIDUALS IN THE FIRST YEAR AND 50 INDIVIDUALS IN YEARS TWO- FIVE. THE PROGRAM WILL COLLABORATE WITH COMMUNITY PARTNERS FOR FULL ACCESS TO MEDICAL, PSYCHIATRIST AND ALL FORMS OF MEDICATED ASSISTED MEDICATIONS AS WELL AS FULL CONTINUUM OF CARE FOR SUBSTANCE USE DISORDERS, INCLUDING TELE-HEALTH SERVICES.

ENHANCED MAT PROGRAM - LIFELONG MEDICAL CARE (LIFELONG) PRESENTS THIS PROPOSAL FOR THE ENHANCED MAT PROGRAM. ALAMEDA COUNTY IS EXPERIENCING AN OPIOID CRISIS THAT IS RAPIDLY WORSENING DESPITE DECREASING OPIATE PRESCRIPTIONS AND INCREASING ACCESS TO OPIOID USE DISORDER (OUD) TREATMENT. TO ADDRESS THIS CRISIS, LIFELONG IS PROPOSING TO EXPAND AND ENHANCE ITS MAT SERVICE DELIVERY IN AND SURROUNDING DOWNTOWN OAKLAND AND WEST OAKLAND AT FOUR (4) OF ITS PROGRAMS. THIS PROPOSAL'S POPULATION OF FOCUS ARE MEN AND WOMEN EXPERIENCING HOMELESSNESS WITH OPIATE USE DISORDERS AND CO-OCCURRING SERIOUS MENTAL ILLNESS AND OTHER SUBSTANCE USE DISORDERS. OAKLAND IS HOME TO A LARGE UNSHELTERED AND VULNERABLE HOMELESS POPULATION. LIFELONG WILL PROVIDE ACCESS TO MAT AND ENHANCED SUPPORTIVE SERVICES TO A MINIMUM OF 50 (PRORATED TO 33 IN YEAR 1) INDIVIDUALS EXPERIENCING HOMELESSNESS WITH OUD, AND 233 IN TOTAL. LIFELONG WILL HIRE TWO LICENSED MENTAL HEALTH CLINICIANS (ONE OF WHOM IS THE PROJECT DIRECTOR) AND TWO RECOVERY SUPPORT SPECIALIST (RSS) STAFF TO REACH THE GOALS OF INCREASED OUTREACH, ENGAGEMENT AND RETENTION, AND A REDUCTION IN OPIATE USE AMONG MAT PATIENTS. SERVICES PROVIDED BY THE ENHANCED MAT PROGRAM WILL INCLUDE INDIVIDUAL AND GROUP COUNSELING WITH A FOCUS ON CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS, RECOVERY GROUPS, ACCESS TO TOBACCO CESSATION SERVICES, AND CASE MANAGEMENT THAT INCLUDES ASSISTING PATIENTS WITH ARRANGING AND ATTENDING APPOINTMENTS RELATED TO BENEFITS, HOUSING ASSISTANCE, EMPLOYMENT, MEDICAL CARE, ETC. IN ADDITION, PROGRAM PARTICIPANTS WILL RECEIVE COACHING, EMOTIONAL SUPPORT, AND ACCESS TO THE RECOVERY COMMUNITY, E.G. SELF-HELP GROUPS. MANY OF THESE SERVICES WILL OCCUR AT HOMELESS ENCAMPMENTS AND OTHER LOCATIONS IN THE FIELD. THE ENHANCED MAT PROGRAM WILL USE THE EVIDENCE-BASED PRACTICES (EBP) OF MOTIVATIONAL INTERVIEWING, SEEKING SAFETY AND RELAPSE PREVENTION THERAPY, ALL OF WHICH ARE NORMED FOR THE POPULATION OF FOCUS AND HAVE BEEN SUCCESSFULLY INTEGRATED IN PROGRAMS AT LIFELONG.

HEALTHY LIFERESIDENTIAL, TREATMENT SERVICES FOR PREGNANT AND POSTPARTUM WOMEN, INCLUDING RECOVERY SUPPORT, HARM REDUCTION, MEDICAL CARE COORDINATION, MAT, WITH A COLLABORATION OF PROVIDERS. - TO AMELIORATE BARRIERS TO SERVICE ACCESS FOR SUBSTANCE-USING MINORITY PREGNANT AND POSTPARTUM WOMEN IN THE MEMPHIS AREA, SERENITY RECOVERY CENTERS' HEALTHY LIFE PROJECT WILL CAPITALIZE ON A UNIQUE CITYWIDE COALITION TO EXPAND RESIDENTIAL SUBSTANCE ABUSE TREATMENT FOR LOW-INCOME PREGNANT AND POSTPARTUM WOMEN WITH AN EMPHASIS ON INCREASING ACCESS TO AFRICAN AMERICAN WOMEN AND THEIR MINOR CHILDREN. THIS PROJECT IS A COLLABORATIVE EFFORT DRAWING ON AND EXPANDING, THE SUBSTANCE ABUSE TREATMENT EXPERTISE OF THE LEAD AGENCY, SERENITY RECOVERY CENTERS, WITH CULTURALLY CONGRUENT LINKAGES TO WOMEN'S HEALTH SERVICES PROVIDED BY TRI-STATE COMMUNITY HEALTH CENTER (MEDICAL, OBSTETRICS, AND GYNECOLOGICAL SERVICES, PRENATAL, POSTPARTUM, AND PEDIATRIC HEALTH CARE FOR CHILDREN. ALLIANCE MENTAL HEALTH WILL COLLABORATE WITH SERENITY TO PROVIDE A CARE COORDINATOR TO COORDINATE THE PROVISION OF MENTAL HEALTH SERVICES, MEDICAL DETOXIFICATION, PROVISION OF MAT FOR PREGNANT MOTHERS STRUGGLING WITH OPIOID USE DISORDERS, AND WRAP-AROUND CASE MANAGEMENT. SERENITY WILL REFER MOTHERS AND/OR FAMILY MEMBERS TO ALLIANCE HEALTH CARE FOR CRISIS STABILIZATION AS NEEDED. CHRISTIAN COUNSELING AND CONSULTING WILL PROVIDE EVALUATION, ASSESSMENT, CLINICAL SERVICES, AND CASE MANAGEMENT FOR ALL CHILDREN. LINKED HEARTS AND SYSTEMS WILL PROVIDE COUNSELING AND WELLNESS FOR FATHERS AND/OR PARTNERS. SERENITY'S TREATMENT OPTIONS WILL INCLUDE REFERRAL TO SHELBY COUNTY HEALTH DEPARTMENT FOR SMOKING CESSATION PROGRAMS. PARTICIPANTS WILL HAVE ACCESS TO A FULL ARRAY OF MEDICATED ASSISTED TREATMENT OPTIONS THROUGH REFERRAL TO THE WEST TENNESSEE HUB AND SPOKE MODEL OF CARE AS APART OF THE STATE OPIOID RESPONSE PROGRAMMING THROUGH THE TENNESSEE DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE IF APPROPRIATE FOR SERVICES. A BETOR WAY WILL PROVIDE HARM REDUCTION SERVICES AND EDUCATION TO ALL PARTICIPANTS. A HALLMARK OF THE PROGRAM INVOLVES THE DELIVERY AND IMPLEMENTATION OF KEY SERVICES TO PROVIDE A FULL RECOVERY-ORIENTED SYSTEM OF CARE DESIGNED TO THE SPECIFIC NEEDS OF PREGNANT WOMEN AND THEIR CHILDREN, WITH EMPHASIS ON AFRICAN AMERICAN WOMEN WHO USE SUBSTANCES. THESE EFFORTS WILL BE COUPLED WITH WRAP-AROUND CASE MANAGEMENT SERVICES DESIGNED TO INCREASE ACCESS AND ENGAGEMENT WITH A FULL CONTINUUM OF CULTURALLY APPROPRIATE GENDER-SPECIFIC SUBSTANCE ABUSE AND TRAUMA-BASED SERVICES THAT ARE INCLUSIVE OF DETOXIFICATIONS, RESIDENTIAL, OUTPATIENT, SPECIALIZED CO-OCCURRING DISORDERS, AND TRANSITIONAL HOUSING PROGRAMS. CURRENT EVIDENCE-BASED SUBSTANCE ABUSE TREATMENT EFFORTS WILL BE DRAMATICALLY ENHANCED TO MEET THE NEEDS OF THE POPULATION USING NURTURING PARENT, STRENGTHENING FAMILIES, MOTIVATIONAL INTERVIEWING, HAZELTON CO-OCCURRING DISORDERS CURRICULUMS, AND SPECIAL PROGRAMMING FOR FATHERS AND PARTNERS OF THE CHILDREN AND MOTHERS. EXPANSION EFFORTS WILL SERVE APPROXIMATELY 144 MEMBERS OF THE TARGET POPULATION WITH RESIDENTIAL TREATMENT SERVICES OVER THE FIVE-YEAR LIFE OF THIS PROJECT; APPROXIMATELY 306 NEWBORNS, MINOR CHILDREN, AND PARTNERS WILL ALSO BENEFIT FROM ENHANCED SUPPORT SERVICES.

PROJECT REACH: IMPROVE HIV AND HEP C PREVENTION, SCREENING AND ACCESS TO RECOVERY SERVICES FOR INDIVIDUALS WITH A SUBSTANCE USE DISORDER AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS.

HEART (HEALTH, EMPOWERMENT, ACCEPTANCE, RECOVERY AND TREATMENT) SQUARED - DETROIT IS THE MOST POPULATED CITY IN MICHIGAN, IS PREDOMINATELY BLACK, AND MAINTAINS THE HIGHEST POVERTY RATES. DETROIT ALSO HAS THE HIGHEST HIV INCIDENCE AND PREVALENCE RATES IN MICHIGAN. ADDITIONALLY, DETROIT EXPERIENCES HIGHER RATES OF HIV RISK FACTORS SUCH AS SUBSTANCE USE DISORDERS (SUD), CHRONIC HOMELESSNESS, SEXUALLY TRANSMITTED INFECTIONS (STI?S) AND POVERTY. THE DETROIT RECOVERY PROJECT INC. (DRP) IS A NOT FOR PROFIT,501(C)(3) ORGANIZATION WHOSE MISSION IS TO SUPPORT RECOVERY WHICH STRENGTHENS, REBUILDS, AND EMPOWERS INDIVIDUALS, FAMILIES AND COMMUNITIES WHO ARE EXPERIENCING CO-OCCURRING MENTAL ILLNESS, AND SUD. DRP HAS OPERATED FOR OVER 15 YEARS IN DETROIT, MICHIGAN, WITH A FOCUS ON DETROIT'S EAST SIDE. OVER THE LAST DECADE AND A HALF, DRP HAS PROVIDED MANY HEALTH SERVICES FOR THE COMMUNITY RANGING FROM SUD TREATMENT, HIV TESTING, SUD AND HIV PREVENTION, PRIMARY CARE SERVICES, AND SOCIAL SUPPORT SERVICES. DRP?S HEART SQUARED PROPOSES TO ADDRESS THE NEEDS OF THE UNDER SERVED, AT-RISK POPULATION OF DETROIT'S EAST SIDE OF WAYNE COUNTY, MICHIGAN, WHICH INCLUDES THE CITY OF DETROIT, AND BORDERING CITY, HIGHLAND PARK, MICHIGAN. THE POPULATION HEART SQUARE WILL TARGET ARE PEOPLE WHO USE DRUGS (PWUD), PEOPLE WHO INJECT DRUGS (PWID), INDIVIDUALS WHO ARE ENTERING SUBSTANCE ABUSE DISORDER (SUD) SERVICES, AND THOSE THAT IDENTIFY AS A SEX WORKER. HEART SQUARE WILL REACH THE TARGET POPULATION BY DIRECTLY OUTREACHING IN THE COMMUNITY USING ITS MOBILE OUTREACH UNIT. HEART SQUARED WILL ALSO PROVIDE HIV TESTING AT OTHER LOCAL SUD TREATMENT CENTERS. BY DIRECTLY OUTREACHING TO THESE HIGH-RISK POPULATIONS, HEART SQUARED WILL REMOVE BARRIERS TO HIV STATUS AWARENESS, AND TREATMENT ACCESS, WHILE ALSO PROVIDING SERVICES THAT DECREASE RISK BEHAVIOR. THE OVERARCHING GOALS OF HEART SQUARED ARE ALIGNED WITH THE ENDING THE HIV EPIDEMIC (ETHE) INITIATIVE AND CDC DHAP STRATEGIC PLAN TO: 1) INCREASE DIAGNOSIS BY CONDUCTING HIV TESTING FOR HIGH-RISK POPULA TIONS; PROVIDE INTEGRATED SCREENING FOR VIRAL HEPATITIS AND SEXUALLY TRANSMITTED DISEASE (STD) 2) INCREASE ENGAGEMENT IN TREATMENT BY USING EVIDENCE-BASED PRACTICES TO LINK NEWLY HIV DIAGNOSED INDIVIDUALS TO HIV CARE; RE-ENGAGE INDIVIDUALS THAT THAT WERE PREVIOUSLY DIAGNOSED INTO CARE; REFER INDIVIDUALS TO PARTNER SERVICES; REFER INDIVIDUALS TO PARTNER RISK-REDUCTION SERVICES; REFER INDIVIDUALS TO ESSENTIAL SERVICES SYRINGE SERVICE PROGRAMS (SSPS) 3) PREVENT NEW INFECTIONS BY REFERRING HIV-NEGATIVE INDIVIDUALS TO PEP/NPREP, HIGH-RISK BEHAVIOR REDUCTION SERVICES, REFER TO ESSENTIAL SERVICES SSPS 4) ASSIST LOCAL HEALTH DEPARTMENT IN CLUSTER RESPONSE.

SUBSTANCE ABUSE TREATMENT FOR RACIAL/ETHNIC MINORITY POPULATIONS AT HIGH-RISK FOR HIV/AIDS

SERENITY'S TREATMENT ENGAGEMENT AND ACCESS FOR MINORITIES AT RISK FOR HIV/AIDS(TEAM) PROJECT IS DESIGNED TO EXPAND ACCESS TO SUBSTANCE USE DISORDER TREATMENT TO MINORITIES AT RISK FOR HIV/AIDS. - TO AMELIORATE BARRIERS TO SERVICES FOR RACIAL/ETHNIC MINORITY POPULATIONS, THE SERENITY RECOVERY CENTERS TREATMENT ENGAGEMENT AND ACCESS FOR MINORITIES AT RISK FOR HIV/AIDS PROJECT WILL SEEK TO IDENTIFY, ENGAGE, AND SUPPORT MINORITY ADULTS WITH SUBSTANCE USE DISORDERS IN ACCESSING THE TREATMENT AND RECOVERY SUPPORT SERVICES NEEDED TO SUCCESSFULLY TRANSITION TO HEALTH AND WELLNESS. THIS PROJECT WILL INVOLVE COMPREHENSIVE SERVICES PROVIDED BY THE LEAD AGENCY SERENITY RECOVERY CENTERS AND COLLABORATION FOR MEDICAL SERVICES WITH TRI-STATE COMMUNITY HEALTH CARE, WHICH WILL COORDINATE CARE WITH RYAN WHITE THROUGH THE LEAD AGENCY. CURRENT EVIDENCE-BASED SUBSTANCE USE DISORDER EFFORTS WILL BE ENHANCED TO MEET THE NEEDS OF THE POPULATION. INDIVIDUALS WILL HAVE ACCESS TO RESIDENTIAL, INTENSIVE OUTPATIENT, AND OUTPATIENT TREATMENT FOR SUBSTANCE USE DISORDERS INCLUDING CO-OCCURRING DISORDERS ASSESSMENT, EVALUATION, AND SERVICES. HIV AND HCV EDUCATION AND TESTING WILL BE PROVIDED THROUGH THE LEAD AGENCY AND IN COORDINATION WITH TRI-STATE HEALTH CARE. EXPANSION EFFORTS WILL SERVE APPROXIMATELY 450 INDIVIDUALS WHO RECEIVE OUTREACH, EDUCATION, RESIDENTIAL TREATMENT, INTENSIVE OUTPATIENT, OUTPATIENT, AND OUTREACH SERVICES ANNUALLY.

BIENESTAR (WELL-BEING) PROJECT: MINORITY AIDS INITIATIVE: SUBSTANCE USE DISORDER TREATMENT FOR RACIAL/ETHNIC MINORITY POPULATIONS AT HIGH RISK FOR HIV-AIDS (SHORT TITLE: MAI--HIGH RISK POPULATIONS) - SOUTH TEXAS SUBSTANCE ABUSE RECOVERY SERVICES (STSARS) IS PROPOSING BIENESTAR (WELL-BEING) PROJECT DUE TO AN UNMET NEED OF INCREASING CASES OF SUBSTANCE USE DISORDERS, CO-OCCURRING DISORDERS AND HIV IDENTIFIED IN NUECES COUNTY AMONG UNDERSERVED DISPARATELY IMPACTED HISPANICS. THE POPULATION OF FOCUS ARE HISPANICS WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD) AT HIGH-RISK FOR HIV-AIDS. THIS WILL BE DONE THROUGH THE IMPLEMENTATION AND PROVISION OF CULTURALLY TAILORED SUBSTANCE USE DISORDER (SUD) AND CO-OCCURRING DISORDERS (COD) TREATMENT AND RECOVERY SUPPORT SERVICES, HIV-AIDS TESTING AND CASE MANAGEMENT SERVICES, INCLUDING LINKAGE FOR PREVENTION OF HIV AND TREATMENT DESIGNED TO SUPPORT THE UNMET NEED OF THE POPULATION OF FOCUS. THE GEOGRAPHIC CATCHMENT AREA WHERE SERVICES WILL BE PROVIDED IS PRIMARILY NUECES COUNTY (CORPUS CHRISTI) BUT INCLUDES RURAL COUNTIES: SAN PATRICIO, JIM WELLS, BEE, KLEBERG, AND ARANSAS COMPRISING THE LOCAL MEDICAL SERVICE AREA LOCATED ON THE TEXAS COASTAL BEND. THE CATCHMENT AREA IS DESIGNATED BY HRSA AS MEDICALLY UNDERSERVED AREAS/POPULATIONS (MUA/P). THE PROJECT IS BASED ON THE COORDINATION OF EXISTING RESOURCES AND TO LINK THE POF TO THESE SERVICES. THIS PROJECT'S DIRECT-CARE SERVICES PROPOSED TO BE PROVIDED THROUGH STSARS INCLUDE: MAT, SUPPORT SERVICES, OP TREATMENT, CO-OCCURRING PSYCHIATRIC SUBSTANCE USE DISORDERS (COPSD), CASE- MANAGEMENT, BENEFITS COORDINATION, HIV TESTING, COUNSELING AND LINKAGE TO SERVICES. THE FOLLOWING ARE THE GOALS FOR THE PROJECT: GOAL 1. TO INCREASE ACCESS TO INTEGRATED SUD/COD CARE FOR THE POPULATION OF FOCUS. GOAL 2. TO REDUCE HIV RISK AND INCIDENCE IN THE CATCHMENT AREA. GOAL 3. TO REDUCE THE IMPACT OF BEHAVIORAL HEALTH PROBLEMS AMONG PROJECT PARTICIPANTS THROUGH EXPANSION, COORDINATION AND ENHANCEMENT OF CURRENT SERVICES COMPENDIUM. GOAL 4. TO EFFECTIVELY MONITOR AND EVALUATE THE PROJECT. NUMBER OF UNDUPLICATED INDIVIDUALS TO BE SERVED WITH GRANT FUNDS: MAT: 30 SUD-COD:250 HIV COUNSELING TESTING AND LINKAGE: 500 HEP SCREENS: 250 STSARS BIENESTAR (WELL-BEING) PROJECT IS REQUESTING $500,000.00 PER YEAR FOR A TOTAL OF $2,500.000.00

MAGNOLIA WOMEN'S RECOVERY PROGRAM'S PROJECT WILL IMPROVE ACCESS TO EVIDENCE-BASED MENTAL/BEHAVIORAL SERVICES FOR PRENATAL/POSTPARTUM WOMEN AT HIGH RISK FOR BEHAVIORAL HEALTH ISSUES. - SUMMARY: MAGNOLIA WOMEN’S RECOVERY PROGRAMS (MWRP) SERVES WOMEN IN ALAMEDA COUNTY AS A BLACK, WOMAN-OWNED/OPERATED, MISSION-DRIVEN NONPROFIT DEDICATED TO SUPPORTING MARGINALIZED PREGNANT/POSTPARTUM (P&P) WOMEN NAVIGATING MENTAL/BEHAVIORAL/SUBSTANCE USE DISORDERS, DOMESTIC VIOLENCE, &/OR HOMELESSNESS. MWRP’S COMMUNITY-BASED MATERNAL BEHAVIORAL HEALTH PROGRAM (CBMBH) WILL WORK WITH HEALTHCARE PROVIDERS & ORGANIZATIONS TO IMPROVE ACCESS & REFERRAL PATHWAYS TO EVIDENCE-BASED, TIMELY, & CULTURALLY RELEVANT MATERNAL MENTAL HEALTH & SUBSTANCE USE INTERVENTION & TREATMENT. MWRP WILL COLLABORATE WITH P&P ORGANIZATIONS, REFER INDIVIDUALS IN NEED OF BEHAVIORAL HEALTH CARE TO THE APPROPRIATE ENTITIES, & PROVIDE SHORT-TERM MENTAL HEALTH & SUBSTANCE USE SERVICES TO INDIVIDUALS WHO CANNOT ACCESS CARE. FUNDS REQUESTED: $2,500,000 OVER FIVE-YEAR PERIOD. TARGET POPULATION: PROJECT’S POPULATION OF FOCUS ARE WOMEN IN OAKLAND & HAYWARD AT RISK FOR/EXPERIENCING POVERTY, PERINATAL & POSTPARTUM HEALTH, DOMESTIC VIOLENCE, SUBSTANCE ABUSE, BEHAVIORAL HEALTH, & HOMELESSNESS. POVERTY: IN ALAMEDA COUNTY (AC), 14% OF WOMEN 15-44 (16% OF CHILDREN UNDER 6) LIVE IN POVERTY, INCLUDING 7 OF THE 10 POOREST BAY AREA NEIGHBORHOODS (POVERTY RATES RANGE FROM 47-67%). PREGNANCY & HEALTH: THE BIRTH RATE IS 11 PER 1,000, & THE FERTILITY RATE IS 54 PER 1,000 FEMALES AGED 15-44.4 BLACK WOMEN IN AC EXPERIENCE SEVERE MATERNAL MORBIDITY AT 224.4 PER 10,000, MORE THAN DOUBLE THE CALIFORNIA AVERAGE OF 104.2.4 THE INFANT MORTALITY RATE FOR BLACK INFANTS IN AC IS 8.4 PER 1,000 LIVE BIRTHS, NEARLY DOUBLE THE STATE AVERAGE OF 4.2. 45.1% OF BLACK WOMEN REPORT OFTEN EXPERIENCING RACISM DURING MATERNAL CARE, COMPARED TO 9.1% STATEWIDE, UNDERSCORING SYSTEMIC DISPARITIES. DOMESTIC VIOLENCE: IN AC, AFRICAN AMERICANS ARE FOUR TIMES MORE LIKELY TO BE VICTIMS OF DOMESTIC VIOLENCE (DV), WITH 49% OF ALL DV DEATHS AFFECTING THIS GROUP. NONE OF AC’S FOUR TRANSITIONAL HOUSING FACILITIES EXPLICITLY PROVIDE CULTURALLY RESPONSIVE CARE FOR BLACK OR LATINX WOMEN. DV SURVIVORS ARE THREE TIMES MORE LIKELY TO DEVELOP PTSD, EXHIBIT SUICIDAL IDEATION,1 & FACE ADDICTION RISKS. BEHAVIORAL HEALTH, INCLUDING SUBSTANCE ABUSE: POSTPARTUM DEPRESSIVE SYMPTOMS ARE REPORTED BY 23% OF WOMEN IN AC. 90% OF MWRP RESIDENTS HAVE AN UNADDRESSED MENTAL HEALTH DIAGNOSIS, LEADING TO SELF-MEDICATION, & 40% BATTLE PTSD. OPIOID OVERDOSE & HOSPITALIZATION VISITS AMONG AC RESIDENTS WERE HIGHEST AMONG THOSE RESIDING IN PARTS OF OAKLAND. 32% OF BLACK WOMEN IN AC REPORT PRENATAL DEPRESSIVE SYMPTOMS, OVER DOUBLE THE CA 15% AVERAGE. SIMILARLY, 10% OF AC’S LATINAS REPORT POSTPARTUM DEPRESSIVE SYMPTOMS, VERSUS 13% IN CA. EFFECTS OF COVID: ONE IN 5 OF CA’S 2020 PREGNANCY-RELATED DEATHS WAS FROM COVID. MWRP IMPLEMENTED COVID-SPECIFIC PERINATAL RESIDENTIAL TREATMENT GUIDELINES TO INCREASE SAFETY VIA STRICT QUARANTINE PROTOCOLS & CONTINUOUS CARE DURING OUTBREAKS, INCLUDING DAILY HEALTH MONITORING & MEDICATION MANAGEMENT. GOALS & OBJECTIVES: GOAL 1: IMPROVE ACCESS TO EVIDENCE-BASED, TIMELY, & CULTURALLY RELEVANT MATERNAL HEALTH & SUBSTANCE TREATMENT FOR LOW-INCOME P&P WOMEN AT RISK FOR OR EXPERIENCING BEHAVIORAL HEALTH CONDITIONS, PARTICULARLY THOSE DISPROPORTIONATELY IMPACTED BY COVID, VIA ENHANCED COMMUNITY REFERRAL PATHWAYS & SEAMLESS TRANSITIONS IN CARE. OBJ 1.1: BY Y5, INCREASE EQUITABLE ACCESS TO BEHAVIORAL CARE FOR P&P WOMEN IN HIGH-RISK TARGET AREAS. GOAL 2: IMPROVE HEALTH OUTCOMES FOR P&P WOMEN AT RISK OF BEHAVIORAL HEALTH & SUBSTANCE USE DISORDERS. OBJ 2.1: IMPLEMENT TARGETED INTERVENTIONS: PERSONALIZED FOLLOW-UP, ACCESS TO SUPPORT GROUPS, ENHANCED CASE MANAGEMENT, & TAILORED RESOURCES FOR P&P WOMEN SO THAT RATES OF TREATMENT RETENTION INCREASE FROM BASELINE BY THE END OF YEAR 5. OBJ 2.2: DELIVER HIGH QUALITY TRAINING PROTOCOLS FOR STAFF & HEALTH PROVIDERS WITH TRAUMA-INFORMED TRAINING DEVELOPED WITH PARTICIPANT INPUT. NUMBERS SERVED: Y1: 50; Y2: 75; Y3: 90; Y4: 120; Y5: 150 - TOTAL UNDUPLICATED SERVED: 485

ENHANCING AND EXPANDING TREATMENT FOR HOMELESS INDIVIDUALS

PRO-A WORKFORCE SUPPORT PROJECT

ASSISTED OUTPATIENT TREATMENT PROGRAM FOR INDIVIDUAL'S WITH SERIOUS MENTAL ILLNESS IN SOUTHEAST MICHIGAN - LIVE RITE ASSISTED OUTPATIENT TREATMENT PROGRAM WILL PROVIDE WRAP-AROUND INDIVIDUALIZED SERVICES FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESS TO REDUCE THE INCIDENCE AND DURATION OF PSYCHIATRIC HOSPITALIZATION, HOMELESSNESS, INCARCERATIONS, AND INTERACTIONS WITH THE CRIMINAL JUSTICE SYSTEM WHILE IMPROVING THE HEALTH AND SOCIAL OUTCOMES. LIVE RITE WILL PROVIDE SUPPORTIVE SERIVCES USING EVIDENCE-BASED PRACTICES SUCH AS MOTIVATIONAL INTERVIEWING, COGNITIVE BEHAVORIAL THERAPY, AND SEEKING SAFETY. LIVE RITE PROVIDES THE FOLLOWING PROGRAMS PEER RECOVERY, JOB READINESS, INTENSIVE CASE MANAGEMENT, LIFE SKILLS & EDUCATION, FINANCIAL LITERACY, FAMILY RECOVERY COACHING, SUPPORTIVE SERVICES, AND FOLLOW-UP SERVICES. THE PURPOSE OF THIS PROJECT IS TO INCREASE THE CAPACITY OF LIVE RITE STRUCTURED RECOVERY CORP AND ITS PARTNERS TO PROVIDE APPROPRIATE SERVICES TO ADULTS WHO HAVE BEEN IDENTIFIED AS HAVING SMI. GOAL 1: IMPROVE MENTAL HEALTH COURT SERVICES AND REDUCE CRIME, SUBSTANCE USE, AND HOMELESSNESS BY INCREASING THE AVAILABILITY OF COMPREHENSIVE, TRAUMA-INFORMED, GENDER-SPECIFIC, EVIDENCE-BASED AOT FOR ADULTS WITH SMI IN SOUTHEAST MICHIGAN. OBJECTIVE 1.1 PROVIDE COMPREHENSIVE EVIDENCE-BASED, TRAUMA INFORMED AOT TO 15 INDIVIDUALS IN YEAR 1, 20 IN YEAR 2, AND 30 IN YEARS 3 AND 4. OBJECTIVE 1.2 70% OF CLIENTS WILL SUCCESSFULLY COMPLETE THE TREATMENT PORTION OF THE PROGRAM, AND 80% WILL SUCCESSFULLY COMPLETE AFTERCARE. OBJECTIVE 1.3 100% OF PROGRAM STAFF WILL RECEIVE THE APPROPRIATE LEVEL OF SEEKING SAFETY TRAINING WITHIN THE FIRST 30 DAYS OF EMPLOYMENT. QUARTERLY FIDELITY MONITORING WILL SHOW THAT 98% OF SESSIONS MONITORED ARE FAITHFUL TO THE MODEL. GOAL 2: ENHANCE SOCIAL AND BEHAVIORAL HEALTH FUNCTIONING AMONG ADULTS. OBJECTIVES 2.1 80% WHO COMPLETE OUR PROGRAM WILL HAVE IMPROVED SOCIAL CONNECTEDNESS AT DISCHARGE, AND 70% WILL MAINTAIN THESE IMPROVEMENTS AT 6-MONTHS POST INTAKE AS EVIDENCED BY GPRA. 2.3 80% WHO COMPLETE OUR PROGRAM WILL ENROLL IN AN EDUCATIONAL/VOCATIONAL PROGRAM, BE ACTIVELY SEEKING EMPLOYMENT, OR BE EMPLOYED AT DISCHARGE, AND 70% WILL CONTINUE TO REMAIN ENROLLED, COMPLETE THEIR EDUCATION/TRAINING, OR REMAIN EMPLOYED 6-MONTHS POST INTAKE AS EVIDENCED BY THE GPRA. 2.4 80% WHO COMPLETE OUR PROGRAM AND WHO HAD MENTAL HEALTH SYMPTOMS AT ADMISSION WILL EXHIBIT DECREASED SYMPTOMS AT DISCHARGE, AND 70% WILL MAINTAIN IMPROVED MENTAL HEALTH FUNCTIONING AT 6- MONTHS POST INTAKE AS EVIDENCED BY THE GPRA, PCL-5, AND MODIFIED MINI SCREEN.

BRIDGE TO SUCCESS WORKFORCE (BSW) - PROJECT NAME: BRIDGE TO SUCCESS WORKFORCE (BSW) NORA IS A COMMUNITY-BASED SUBSTANCE ABUSE PREVENTION AND PEER RECOVERY SUPPORT ORGANIZATION THAT SEEKS TO REDUCE THE PROGRESSION AND ONSET OF SUBSTANCE MISUSE AND ITS RELATED PROBLEMS. NORA WILL PARTNER WITH WORKFORCE DEVELOPMENT BOARDS, LABOR UNIONS AND ECONOMIC DEVELOPMENT AGENCIES TO PROVIDE A ONE-STOP TREATMENT, RECOVERY, AND WORKFORCE EXPANSION PROGRAM TO ADULT MEN AND WOMEN WHO ARE HAVE BEEN IMPACTED BY OPIOIDS. POPULATIONS TO BE SERVED: BSW WILL TARGET ADULT MEN AND WOMEN, AGE 18 AND OVER, IN CUYAHOGA AND LORAIN COUNTIES. PARTICIPANTS WILL BE MAJORITY WHITE/CAUCASIAN AND BLACK/AFRICAN AMERICAN. UP TO 70% WILL REPORT CURRENT UNEMPLOYMENT. HALF WILL NOT HAVE COMPLETED HIGH SCHOOL. THE MAJORITY WILL BE POLY-SUBSTANCE USERS. IN 2017, OHIO HAD THE 2ND HIGHEST OPIOID DEATH RATE IN AMERICA. IT IS ESTIMATED THAT THE OPIOID CRISIS KILLS 5,000 PEOPLE – MORE THAN THE NUMBER OF PEOPLE 30 BOEING 747 AIRPLANES CAN HOLD - AND COSTS OHIO BETWEEN $4 AND $5 BILLION EACH YEAR. HALF OF OHIO BUSINESSES REPORT SUFFERING CONSEQUENCES DUE TO SUBSTANCE MISUSE, PRIMARILY RELATED TO ABSENTEEISM, DECREASED PRODUCTIVITY, AND SHORTAGE OF WORKERS. STRATEGIES AND INTERVENTIONS: NORA’S BSW PROJECT WILL TARGET LOW INCOME, OPIOID-IMPACTED INDIVIDUALS AND ENROLL THEM IN A ONE-STOP COMPREHENSIVE SYSTEM OF CARE THAT INTEGRATES WRAPAROUND AND CLINICAL SERVICES. ONCE AN INDIVIDUAL HAS COMPLETED TREATMENT, HE WILL PROGRESS TO THE SECOND PHASE OF THE PROGRAM AND RECEIVE CAREER AND EMPLOYMENT TRAINING. THIS PROJECT WILL BUILD ON CURRENT SUBSTANCE ABUSE TREATMENT INFRASTRUCTURE AND IMPROVE OHIO’S INDUSTRY SECTORS IMPACTED BY THE OPIOID CRISIS BY 1) EXPANDING TREATMENT AND PEER RECOVERY SUPPORT SERVICES, 2) PARTNERING WITH LOCAL ORGANIZATIONS TO PROVIDE WRAPAROUND AND CAREER AND EMPLOYMENT SERVICES, 3) DISSEMINATING COMMUNICATIONS MATERIALS TO REDUCE STIGMA AND RAISE AWARENESS OF OPIOID USE TO EMPLOYERS AND WORKFORCE DEVELOPMENT BOARDS ACROSS OHIO, 4) MONITORING BSW BY COLLECTING AND ANALYZING PARTICIPANT DATA. PROJECT GOALS: OVER THE PROJECT’S LIFETIME, NORA WILL REACH 500 ADULT MEN AND WOMEN (100 PER YEAR FOR YEARS 1-5). GOAL 1: REDUCE OVERDOSE DEATHS AND OPIOID DEPENDENCE BY PROVIDING SUBSTANCE ABUSE TREATMENT AND WRAPAROUND SERVICES; GOAL 2: INCREASE EMPLOYMENT OPPORTUNITIES FOR ADULT MEN AND WOMEN IMPACTED BY OPIOIDS BY COORDINATING LOCAL AND STATEWIDE EMPLOYMENT AND TRAINING ACTIVITIES; GOAL 3: REDUCE SUBSTANCE USE, INCLUDING OPIOID USE, BY ORGANIZING A BSW COMMITTEE COMPRISED OF LABOR UNIONS, ECONOMIC DEVELOPMENT AGENCIES, BUSINESSES, AND WORKFORCE DEVELOPMENT AGENICES; GOAL 4: IMPROVE STATEWIDE EMPLOYMENT AND TRAINING STRATEGIES BY COLLECTING AND REPORTING COMMUNITY-LEVEL DATA WITH STAKEHOLDERS THROUGHOUT OHIO. BY APRIL 31, 2024: 70% OF EARLY-RECOVERY PARTICIPANTS WILL HAVE REPORTED REDUCED USE OF OR ABSTINENCE FROM SUBSTANCE USE (INCLUDING TOBACCO) AT SIX MONTHS POST-INTAKE AND 50% OF EARLY-RECOVERY PARTICIPANTS WILL HAVE MAINTAINED OR INCREASED EMPLOYMENT AT SIX MONTHS POST-INTAKE.

MAI SUD - LIFELONG MEDICAL CARE PROPOSES TO INCREASE ENGAGEMENT IN CARE TO A MINIMUM OF 138 INDIVIDUALS WITHIN THE POPULATION OF FOCUS, WHICH INCLUDES INDIVIDUALS OF RACIAL AND ETHNIC MINORITIES WITH SUD/COD WHO ARE AT RISK FOR, OR ARE LIVING WITH HIV/AIDS AND RECEIVE HIV/AIDS SERVICES/TREATMENT, AND THEIR SEXUAL AND SUBSTANCE USING PARTNERS. SERVICES WILL BE PROVIDED IN ALAMEDA COUNTY, CA. THE PROGRAM WILL HIRE A PROGRAM COORDINATOR WHO WILL PROVIDE DAY-TO-DAY OVERSIGHT OF THE PROGRAM, INCLUDING COORDINATION OF SUD/COD COUNSELING AND CASE MANAGEMENT SERVICES AT VARIOUS SITES, AND TWO CERTIFIED/REGISTERED SUD COUNSELORS. THE PROGRAM COORDINATOR ALONG WITH THE SUD COUNSELORS WILL PROVIDE RAPID HIV TESTING, SUD/COD SERVICES INCLUDING ASSESSMENTS, GROUP AND INDIVIDUAL COUNSELING, CASE MANAGEMENT, AND RECOVERY SUPPORT SERVICESS TO PROGRAM PARTICIPANTS. LIFELONG WILL USE THE EVIDENCE-BASED PRACTICES (EBPS) OF HARM REDUCTION, MOTIVATIONAL INTERVIEWING, SEEKING SAFETY, AND CONTINGENCY MANAGEMENT IN ITS SERVICE DELIVERY. GOALS INCLUDE: INCREASING ENGAGEMENT AND PROVIDING SUD/COD TREATMENT SERVICES INCLUDING ASSESSMENT, INDIVIDUAL AND GROUP COUNSELING, CASE MANAGEMENT, AND RECOVERY SUPPORTS; OFFERING ONSITE/OFFSITE RAPID HIV TESTING AT ENROLLMENT, INCLUDING FOURTH GENERATION HIV DIAGNOSTIC TESTING, LINKAGES TO MEDICAL CARE, AND ACCESS TO PREP; OFFERING VIRAL HEPATITIS (B OR C) TESTING AND LINKAGES TO VACCINES AND TREATMENT; CONDUCTING LOCAL PERFORMANCE ASSESSMENTS AND DOCUMENTATION ACCORDING TO GRANT REQUIREMENTS AND GUIDELINES. OBJECTIVES INCLUDE: - PROVIDING SUD/COD ASSESSMENTS AND EVIDENCE-BASED SUD/COD SERVICES INCLUDING INDIVIDUAL AND GROUP COUNSELING TO A MINIMUM OF 50 INDIVIDUALS ANNUALLY (PRORATED TO 38 IN YEAR 1) - PROVIDING ACCESS TO CASE MANAGEMENT SERVICES INCLUDING BENEFITS COUNSELING, FOOD ASSISTANCE, HOUSING, AND REFERRALS FOR ADDITIONAL TREATMENT AS NEEDED, SUCH AS MEDICATION ASSISTED TREATMENT TO A MINIMUM OF 50 ENROLLED INDIVIDUALS ANNUALLY (PRORATED TO 38 IN YEAR 1) - PROVIDING ACCESS TO RECOVERY SUPPORT SERVICES INCLUDING SELF-HELP SUPPORT GROUPS, EMPLOYMENT AND WORKFORCE DEVELOPMENT TRAINING, AND TRANSPORTATION TO A MINIMUM OF 50 ENROLLED INDIVIDUALS ANNUALLY (PRORATED TO 38 IN YEAR 1) - PROVIDING ONSITE/OFFSITE RAPID HIV TESTING, INCLUDING FOURTH GENERATION HIV DIAGNOSTIC TESTING, AND CONFIRMATORY TESTING TO A MINIMUM OF 50 INDIVIDUALS ANNUALLY (PRORATED TO 38 IN YEAR 1) - PROVIDING ALL ENROLLED CLIENTS WHO HAVE A PRELIMINARY POSITIVE HIV AND CONFIRMATORY HIV TEST WITH CASE MANAGEMENT, AND REFERRALS/LINKAGES TO PRIMARY CARE AS SOON AS POSSIBLE - OFFERING ALL ENROLLED CLIENTS WHO SCREEN NEGATIVE FOR HIV AND ARE AT RISK FOR BECOMING INFECTED WITH HIV ACCESS TO HIV PREVENTION EDUCATION, CASE MANAGEMENT, AND REFERRAL/LINKAGES TO PREP SERVICES - OFFERING ALL ENROLLED CLIENTS TESTING FOR VIRAL HEPATITIS (B OR C) - OFFERING ALL ENROLLED CLIENTS WHO TEST POSITIVE FOR VIRAL HEPATITIS REFERRALS/LINKAGES TO FOLLOW UP CARE AND TREATMENT AS SOON AS POSSIBLE; CLIENTS WHO ARE NON-IMMUNE TO HEPATITIS B WILL BE OFFERED ACCESS TO HEPATITIS B VACCINES - PARTICIPATING IN CROSS-SITE ACTIVITIES, COMPLETING HEALTH DISPARITIES STATEMENT, UPLOADING GPRA DATA, PARTICIPATING IN EVALUATION ACTIVITIES, AND COMPILING DATA FOR SEMI-ANNUAL REPORTS

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS

A BRIGHT APPROACH (TO EARLY CHILDHOOD, PARENTING, AND SUBSTANCE USE) - ABSTRACT: A BRIGHT APPROACH TO EARLY CHILDHOOD, PARENTING, AND SUBSTANCE USE THE INSTITUTE FOR HEALTH AND RECOVERY, INC (IHR), IN COLLABORATION WITH BOSTON UNIVERSITY SCHOOL OF SOCIAL WORK (BUSSW) AND THE SUPPORTING OUR FAMILIES THROUGH ADDICTION AND RECOVERY (SOFAR) CLINIC AT BOSTON MEDICAL CENTER (BMC), PROPOSE “A BRIGHT APPROACH TO EARLY CHILDHOOD, PARENTING, AND SUBSTANCE USE” TO ADDRESS THE NEEDS OF YOUNG CHILDREN SUFFERING FROM TRAUMA AND GRIEF RESULTING FROM PARENTAL SUBSTANCE AND OPIOID MISUSE. THE PROGRAM WILL SERVE 180 CHILDREN (24% BLACK; 49% WHITE; 12% LATINO/A; AND 15% AS MIXED RACE) BIRTH THROUGH AGE 6, (30 IN YEAR 1, 40 ANNUALLY IN YEARS 2-5) AND THEIR PARENTS IN RECOVERY FROM SUD AT THE SOFAR CLINIC. CLINICIANS AND A PEER RECOVERY MENTOR WILL OFFER BRIGHT AND OTHER EVIDENCE-BASED INTERVENTIONS THAT WILL RESULT IN FAMILIES AFFECTED BY SUBSTANCE USE AND THEIR CHILDREN AFFECTED BY THE TRAUMAS OF GRIEF, LOSS, AND SEPARATION FROM PARENTS, TO EXPERIENCE INCREASED ENGAGEMENT AND JOY IN THE PARENT-CHILD RELATIONSHIP, WHILE BUILDING RESILIENCE, MITIGATING TRAUMATIC GRIEF, AND OPTIMIZING CHILD DEVELOPMENT. OVER 50% OF THE FAMILIES SERVED BY SOFAR ARE INVOLVED WITH THE CHILD WELFARE SYSTEM IN MA DUE TO SUBSTANCE USE. BRIGHT (BUILDING RECOVERY THROUGH INTERVENTION: GROWING HEALTHIER TOGETHER), IS A UNIQUE INTERVENTION DEVELOPED IN MASSACHUSETTS OVER FIFTEEN YEARS THAT BUILDS RESILIENCE, RECOVERY AND RELATIONSHIP BETWEEN PARENTS AFFECTED BY SUBSTANCE USE DISORDERS (SUD) AND TRAUMA, AND THEIR YOUNG CHILDREN, AGE NEWBORN THROUGH 6. SOCIAL-EMOTIONAL COMPETENCE, BUILT IN YOUNG CHILDREN THROUGH DEVELOPMENT OF A STRONG CAREGIVER-CHILD RELATIONSHIP, HAS BEEN IDENTIFIED AS THE SINGLE MOST SIGNIFICANT COMPONENT UNDERLYING THE DEVELOPMENT OF RESILIENCE IN CHILDREN. SIMULTANEOUSLY WE WILL OFFER TRAINING IN THE COMPONENTS OF THE BRIGHT INTERVENTION (SCORED AS AN EMERGING PRACTICE BY THE ASSOCIATION OF MATERNAL AND CHILD HEALTH PROGRAMS) TO BUILD THE CAPACITY OF SOFAR STAFF, AND STAFF WITHIN BOSTON MEDICAL CENTER, AS WELL AS OUR REFERRAL SOURCES AND CHILD WELFARE STAFF, TO UNDERSTAND, LEARN, AND REPLICATE KEY COMPONENTS OF THE INTERVENTION WITHIN THEIR PRACTICE WITH RECOVERING FAMILIES. GOALS FOR THIS PROJECT INCLUDE: 1) INCREASE CHILDREN’S STRENGTHS AND MITIGATE EFFECTS OF PARENTAL SUD/MH AND TRAUMA; 2) DECREASE CHILD TRAUMA BY ENHANCING THE QUALITY OF THE PARENT-CHILD RELATIONSHIP; 3) BUILD THE CAPACITY OF SOFAR CLINIC AND OTHER BMC STAFF TO PROVIDE FAMILY-CENTERED, GRIEF FOCUSED, TRAUMA-INFORMED CARE THAT MITIGATES THE EFFECTS OF TRAUMATIC GRIEF AND OPTIMIZES CHILD DEVELOPMENT; 4) BUILD UNDERSTANDING IN THE CHILD WELFARE SYSTEM OF A RELATIONSHIP-BASED, TRAUMA-INFORMED APPROACH TO WORKING WITH FAMILIES AND YOUNG CHILDREN WITH HISTORIES OF SUBSTANCE USE, CO-OCCURRING DISORDERS AND TRAUMA CAN IMPROVE OUTCOME FOR CHILDREN; 5) COLLABORATE WITH NCTSN- CATEGORY II, TREATMENT AND SERVICE ADAPTATION CENTERS, TO DEVELOP, ADVANCE, OR ADAPT INTERVENTIONS TO IMPROVE ENGAGEMENT AND OUTCOMES FOR TRAUMATIZED YOUNG CHILDREN, INCLUDING CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES.

LAUNCH PROJECT TO IMPACT YOUNG CHILDREN'S HEALTH IN NEW MEXICO - SANTA FE RECOVERY CENTER (SFRC) PROPOSES TO DEVELOP AND IMPLEMENT A FIVE-YEAR LAUNCH PROGRAM WHERE IT IS NEEDED MOST – IN NEW MEXICO (NM). NEW MEXICO, WITH ITS MAJORITY MINORITY POPULATION INCLUDING CITIZENS OF 23 FEDERALLY RECOGNIZED TRIBES, RANKS AT OR NEAR THE BOTTOM OF ALL FOUR CATEGORIES USED BY ANNIE E. CASEY KIDS COUNT TO EVALUATE CHILDREN’S WELLNESS. IN EDUCATION, NM RANKS LAST WITH A MEAGER 24% OF ELEMENTARY STUDENTS PROFICIENT IN READING AND 900 K-2 STUDENTS (AGES 5-8) BEING SUSPENDED OR EXPELLED FROM SCHOOL IN ONE YEAR (2021-2022) DUE TO AN “INCREDIBLE SHORTAGE” OF BH PROVIDERS TO HELP PRESCHOOL AND ELEMENTARY SCHOOL FACILITIES ADDRESS PROBLEMATIC BEHAVIOR AND AVOID OUT OF SCHOOL SUSPENSIONS. AGENCY-WIDE TRANSFORMATIONS HAVE BEGUN AT THE STATE’S CHILDREN, YOUTH AND FAMILIES DEPARTMENT (CYFD) AND PUBLIC EDUCATION DEPARTMENT (PED) IN RESPONSE TO CIVIL LAWSUITS ALLEGING SYSTEMIC MALTREATMENT AND INADEQUATE PROVISION OF BEHAVIORAL HEALTH (BH) SERVICES FOR CHILDREN OF MINORITY POPULATIONS. AS PART OF THE KEVIN S SETTLEMENT, CYFD IDENTIFIED A LACK OF SUCCESSFUL “TRANSITIONS OF CHILDREN, YOUTH, AND FAMILIES WITHIN AND ACROSS AGENCY SERVICES” IN ADDITION TO A NEED FOR “COMMUNITY-BASED PARTNERSHIPS USING EVIDENCE-BASED PROGRAMS AND PARENT EDUCATION.” TO ACHIEVE THE 6 OBJECTIVES UNDER GOAL 1 (PROMOTE THE WELLNESS OF YOUNG CHILDREN BY ADDRESSING THEIR FIVE-DOMAIN DEVELOPMENT), SFRC WILL SCREEN/ASSESS 125 YOUNG CHILDREN, PARENTS AND CAREGIVING ADULTS IN YEAR 1 TO IDENTIFY MH/BH ISSUES. TO ACHIEVE THE 6 OBJECTIVES UNDER GOAL 2 (INCREASE ACCESS TO RESOURCES TO DISSEMINATE EFFECTIVE AND INNOVATIVE EARLY CHILDHOOD MH PRACTICES AND SERVICES), SFRC WILL CONDUCT PARENT AND FAMILY TRAINING, PRIMARY CARE PROVIDER TRAINING, AND EARLY CARE AND EDUCATION CONSULTATIONS, AND IT WILL ESTABLISH A YOUNG CHILD WELLNESS COUNCIL (YCWC) WITH THE REQUIRED STAKEHOLDER REPRESENTATION INCLUDING FAMILY MEMBERS. TO ACHIEVE GOAL 3 (REDUCE INEQUITIES AMONG CHILDREN AND FAMILIES OF COLOR), SFRC WILL IMPROVE COORDINATION THROUGH THE YCWC TO SUPPORT EQUITY-FOCUSED ADVOCACY AND DIRECT A PUBLIC AFFAIRS COMMUNICATIONS PLAN TO MAINTAIN A RATE OF AT LEAST 70% OF ALL PROGRAM PARTICIPANTS FROM RACIAL/ETHNIC MINORITY POPULATIONS. TOTAL UNDUPLICATED INDIVIDUALS SERVED IN YEAR 1 IS 355 INDIVIDUALS. FIVE-YEAR TOTAL IS 2,195 UNDUPLICATED INDIVIDUALS. THE PROPOSED PROGRAM OF DIRECT SERVICES, TRAINING, AND IMPROVED COORDINATION AND COLLABORATION WILL ADDRESS UNMET NEEDS WITHIN THE FIVE DOMAINS OF NM CHILDREN'S DEVELOPMENT TO MITIGATE THE IMPACTS OF SYSTEMIC DEFICIENCIES AND IMPLICIT BIAS IN NM, ADVANCE YOUNG CHILDREN’S OVERALL WELLNESS, AND PREPARE THEM TO THRIVE IN SCHOOL AND BEYOND.

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

DRP REDI (REMOVING BARRIERS, ENGAGEMENT IN CARE, DECREASING HIV, INCREASING ACCESS TO RECOVERY AND CARE) - DETROIT RECOVERY PROJECT (DRP) IS LOCATED IN DETROIT, WHERE IT PROVIDES SUBSTANCE USE DISORDER TREATMENT AND PREVENTION SERVICES TO DETROIT, HIGHLAND PARK, AND HAMTRAMCK RESIDENTS. DRP HAS PROVIDED SERVICES TO THIS TRI-CITY AREA FOR OVER 15 YEARS. THE TRI-CITY AREA IS THE MOST POPULATED AREA OF MICHIGAN. IT IS ALSO THE MOST IMPOVERISHED, AND MOST LIKELY TO EXPERIENCE HEALTH DISPARITIES. N DETROIT PERSONS LIVING WITH HIV (PLWH) IS 3.5-FOLD THAT OF THE NEXT HIGHEST COUNTY.9 IN 2018 THERE WERE 787 NEW INCIDENCES OF HIV AND A PREVALENCE RATE OF 683.1 PER 100,000.9,10 HIGHLAND PARK HAS THE HIGHEST HIV PREVALENCE RATE IN MICHIGAN AT 1844.0 PER 100,000, AND AN UNSUPPRESSED RATE FOR HIV OF 40-54%.9,11 DRP IS PROPOSING A NEW PROJECT REDI (REMOVING BARRIERS, ENGAGEMENT IN CARE, DECREASING HIV, INCREASING ACCESS TO RECOVERY AND CARE). THE PURPOSE OF REDI IS TO INCREASE THE NUMBER OF RACIAL/ETHNIC MINORITIES THAT IDENTIFY AS PEOPLE WHO USE DRUGS (PWUD) ENGAGEMENT IN SUD/COD CARE FOR THOSE ARE AT RISK FOR HIV OR LIVING WITH HIV AND TO DECREASE NEW CASES OF HIV IN THE DETROIT, HIGHLAND AND HAMTRAMCK AREA. FIVE GOALS HAVE BEEN IDENTIFIED TO ACHIEVE THIS PURPOSE AND ARE IN LINE WITH THE CDC’S ENDING THE HIV EPIDEMIC (EHE). THE GOALS OF THIS PROJECT ARE: GOAL 1: INCREASE THE NUMBER OF INDIVIDUALS THAT KNOW THEIR HIV AND HCV STATUS AMONG RACIAL/ETHNIC MINORITIES THAT IDENTIFY AS PEOPLE WHO USE DRUGS (PWUD). GOAL 2: DECREASE NEW HIV AND HCV CASES AMONG RACIAL/ETHNIC MINORITIES THAT IDENTIFY AS PEOPLE WHO USE DRUGS (PWUD). GOAL 3: INCREASE LINKAGE TO CARE FOR HIV POSITIVE INDIVIDUALS. GOAL 4: INCREASE LINKAGE TO TREATMENT FOR HCV POSITIVE INDIVIDUALS. GOAL 5: REMOVE BARRIERS AMONG RACIAL/ETHNIC MINORITY INDIVIDUALS ACCESSING SUD INCREASE ACCESS TO HIV, HCV, AND STI TREATMENT. DRP’S REDI WILL BUILD AND MAINTAIN RELATIONSHIPS WITH OTHER COMMUNITY PROVIDERS TO ADDRESS THE NEEDS OF THIS POPULATION. REDI WILL ALSO DO SO USING EVIDENCE-BASED PRACTICES (ARTAS, POL, SNS), AND PEER BASED SERVICES. OVER THE LIFE OF THE GRANT REDI WILL SERVE 350 INDIVIDUALS.

MAI-SI - LIFELONG MEDICAL CARE PROPOSES TO INCREASE ENGAGEMENT IN CARE TO A MINIMUM OF 138 INDIVIDUALS WITHIN THE POPULATION OF FOCUS, WHICH INCLUDES INDIVIDUALS, AGES 18 AND OVER, OF RACIAL AND ETHNIC MINORITIES WITH A MENTAL HEALTH DISORDER OR CO-OCCURRING DISORDER (MH/COD) LIVING WITH OR AT RISK FOR HIV AND/OR HEPATITIS. SERVICES WILL BE PROVIDED AT LIFELONG'S EAST OAKLAND AND ASHBY CLINICS IN ALAMEDA COUNTY, CA. THE PROGRAM WILL HIRE A LICENSED/REGISTERED MENTAL HEALTH CLINICIAN AS THE PROJECT DIRECTOR TO OVERSEE THE PROGRAM AND TO PROVIDE MH/COD SERVICES. THE PROGRAM WILL HIRE TWO CERTIFIED/REGISTERED RECOVERY SUPPORT COUNSELORS TO PROVIDE COUNSELING, COACHING, AND PEER SUPPORT TO PARTICIPANTS IN THE PROGRAM. THE PROGRAM WILL HIRE A COMMUNITY HEALTH WORKER WHO WILL ASSIST THE RECOVERY SUPPORT COUNSELORS IN PROVIDING CASE MANAGEMENT SERVICES, PATIENT NAVIGATION, AND RECOVERY SUPPORT SERVICES TO INDIVIDUALS AT THE CLINICS. LIFELONG WILL USE THE EVIDENCE-BASED PRACTICES (EBPS) OF HARM REDUCTION, MOTIVATIONAL INTERVIEWING, SEEKING SAFETY, AND CONTINGENCY MANAGEMENT IN ITS SERVICE DELIVERY. GOALS INCLUDE: ENHANCING MH/COD TREATMENT SERVICES INCLUDING CASE MANAGEMENT AND RECOVERY SUPPORT SERVICES; OFFERING HIV/HEPATITIS PREVENTION SERVICES INCLUDING SCREENING, CASE MANAGEMENT, AND REFERRALS/LINKAGES TO CARE; IMPLEMENTING OUTREACH ACTIVITIES TO RE-ENGAGE PATIENTS INTO CARE; CONDUCTING LOCAL PERFORMANCE ASSESSMENTS AND DOCUMENTATION ACCORDING TO GRANT REQUIREMENTS AND GUIDELINES. OBJECTIVES INCLUDE: - MH/COD SCREENING AND ASSESSMENT, AND PROVISION OF EVIDENCE-BASED MH/COD SERVICES INCLUDING INDIVIDUAL AND GROUP COUNSELING TO A MINIMUM OF 50 ENROLLED INDIVIDUALS ANNUALLY (PRORATED TO 38 IN YEAR 1) - PROVIDING ACCESS TO CASE MANAGEMENT SERVICES INCLUDING BENEFITS COUNSELING, FOOD ASSISTANCE, HOUSING, AND REFERRALS FOR ADDITIONAL TREATMENT AS NEEDED, SUCH AS MEDICATION ASSISTED TREATMENT TO A MINIMUM OF 50 ENROLLED INDIVIDUALS ANNUALLY (PRORATED TO 38 IN YEAR 1) - PROVIDING ACCESS TO RECOVERY SUPPORT SERVICES INCLUDING EMPLOYMENT AND TRANSPORTATION TO A MINIMUM OF 50 ENROLLED INDIVIDUALS ANNUALLY (PRORATED TO 38 IN YEAR 1) - PROVIDING HIV/HEPATITIS SCREENING TO A MINIMUM OF 50 ENROLLED INDIVIDUALS ANNUALLY (PRORATED TO 38 IN YEAR 1) - PROVIDING ALL ENROLLED PATIENTS WHO HAVE A PRELIMINARY POSITIVE HIV AND CONFIRMATORY HIV TEST WITH CASE MANAGEMENT, REFERRALS/LINKAGES TO PRIMARY CARE WITHIN THE LIFELONG CLINICS - OFFERING ALL ENROLLED PATIENTS WHO SCREEN NEGATIVE FOR HIV AND ARE AT RISK FOR BECOMING INFECTED WITH HIV ACCESS TO HIV PREVENTION EDUCATION, CASE MANAGEMENT, AND REFERRAL/LINKAGES TO ONSITE PREP SERVICES - LINKING ALL ENROLLED PATIENTS WHO TEST POSITIVE FOR VIRAL HEPATITIS TO HEALTHCARE WITHIN THE TWO LIFELONG CLINICS; OFFERING PATIENTS WHO ARE NON-IMMUNE TO HEPATITIS A AND/OR B ACCESS TO HEPATITIS VACCINES. - CREATING AND DISTRIBUTING FLIERS AND POSTERS TO LIFELONG CLINICS AND THE COMMUNITY AND FACILITATING LEARNING GROUPS TO RE-ENGAGE PATIENTS WHO ARE NOT ACTIVELY ENGAGED IN TREATMENT - PARTICIPATING IN CROSS-SITE EVALUATION ACTIVITIES, COMPLETING HEALTH DISPARITIES STATEMENT, UPLOADING GPRA DATA, PARTICIPATING IN EVALUATION ACTIVITIES, AND COMPILING DATA FOR SEMI-ANNUAL REPORTS

THE HEART PROJECT: HEALTH, EMPOWERMENT, ACCEPTANCE, RECOVERY AND TREATMENT

RCA R-CHIPP II - PS21-2102 - GEORGIA CONTINUES TO FACE A CRITICAL PUBLIC HEALTH CRISIS WITH NEWLY AND PREVIOUSLY DIAGNOSED HUMAN IMMUNODEFICIENCY VIRUS (HIV) CASES; A REPORTED 60,346 PEOPLE LIVING WITH HIV RESIDE IN THE STATE?S PUBLIC HEALTH DISTRICTS. FULTON AND DEKALB COUNTIES, WITH THE HIGHEST PREVALENCE RATES, HAVE BEEN FEDERALLY RECOGNIZED AS HIV HIGH-BURDENED AREAS. BLACK/NON-HISPANICS AND MALES HAVE THE HIGHEST RATE OF NEWLY DIAGNOSED HIV AND ARE FURTHER AFFECTED BY EXCEEDING RATES OF CHLAMYDIA, GONORRHEA SYPHILIS AND TUBERCULOSIS. RECOVERY CONSULTANTS OF ATLANTA, INC., (RCA), PROPOSES TO ENHANCE, EXPAND, AND IMPLEMENT A COMPREHENSIVE COMMUNITY-BASED HIGH-IMPACT HIV PREVENTION PROGRAM, R-CHIPP-II, IN FULTON AND DEKALB COUNTIES FOR INDIVIDUALS WITH THE GREATEST RISK OF ACQUIRING AND TRANSMITTING HIV INFECTION TO REDUCE MORBIDITY, MORTALITY, AND RELATED HEALTH DISPARITIES ALIGNED WITH THE JURISDICTIONAL PREVENTION PLAN (JPP) AND THE NATIONAL HIV/AIDS STRATEGY. R-CHIPP-II WILL PROVIDE TARGETED HIV TESTING FOR 11,250 HIGH RISK INDIVIDUALS OF WHICH 75% WILL BE BLACK/NON-HISPANIC, HETEROSEXUAL FEMALES AND MALES, AGES 13-64 LIVING IN FULTON AND DEKALB COUNTIES. THE PROGRAM WILL PROVIDE INTEGRATED SCREENING FOR STIS, VIRAL HEPATITIS, AND TB, NAVIGATION SERVICES FOR LINKAGE AND REENGAGEMENT TO MEDICAL CARE, PREP/NPEP FOR HIGH RISK NEGATIVES, AND CONNECTION WITH EVIDENCE-BASED PREVENTION INTERVENTIONS, RISK REDUCTION, BEHAVIORAL INTERVENTIONS AND ESSENTIAL SUPPORT SERVICES. RCA?S MOBILE MEDICAL UNIT WILL ENHANCE THE PROGRAM?S CAPACITY FOR OUTREACH, VENUE-BASED, AND LARGE-SCALE HIV TESTING ACCESS. THROUGH THESE MULTIPLE TESTING SETTINGS, THE PROGRAM WILL IDENTIFY UNDIAGNOSED CASES HIV+ AND HIGH-RISK NEGATIVES WHO ARE THE GREATEST RISK OF ACQUIRING HIV. THE PROGRAM WILL PROVIDE 100% OF CLIENTS FREE CONDOMS AND DISTRIBUTE MORE THAN 500,000 CONDOMS THROUGH TARGETING TESTING EVENTS AND ITS DISTRIBUTION SITES ACROSS DUAL COUNTIES. THE PROGRAM AIMS TO MINIMIZE BARRIERS TO TESTING A ND TREATMENT FOR THE TARGET POPULATION DISPROPORTIONATELY AFFECT BY THE HIV EPIDEMIC. THROUGH A FOCUSED HIV AWARENESS CAMPAIGN, R-CHIPP_II WILL INCREASE HIGH RISK COMMUNITIES? UNDERSTANDING OF HIV, EFFICACY OF CONDOM USE, RISK BEHAVIORS, AND PREVENTATIVE METHODS TO PROVIDE THE GREATEST IMPACT ON PUBLIC HEALTH, IMPROVE HEALTH FOR RESIDENT, AND REDUCE THE ACQUISITION AND TRANSMISSION OF HIV IN ITS SERVICE DELIVERY AREA. AT THE END OF THE FIVE-YEAR PERFORMANCE PERIOD, RCA ANTICIPATES THE FOLLOWING OUTCOMES: 90% OF INDIVIDUALS TESTED FOR HIV WILL RESIDE IN HIGH-RISK COMMUNITIES AND BECOME AWARE OF THEIR HIV STATUS; 75%OF PERSONS TESTED WILL BE HIGH-RISK BLACK/NON-HISPANIC HETEROSEXUALS, M/F, AGES 13-64; 50 INDIVIDUALS TESTED WILL BE NEWLY DIAGNOSED HIV+; 90% OF INDIVIDUALS TESTED WILL RECEIVE ONE OR MORE INTEGRATED SCREENINGS FOR STDS, VIRAL HEPATITIS, OR TB; 90% OF INDIVIDUALS NEWLY DIAGNOSED HIV+ WILL BE LINKED TO HIV MEDICAL CARE/ART WITHIN 30 DAYS OF DIAGNOSIS; 90% OF PREVIOUSLY DIAGNOSED HIV+ WILL BE LINKED TO HIV MEDICAL CARE/ART WITHIN 30 DAYS OF DIAGNOSIS; 100% NEWLY AND PREVIOUSLY DIAGNOSED HIV-POSITIVE PERSONS REFERRED FOR PARTNER SERVICES; 100% HIGH-RISK AND HRN WILL BE REFERRED TO PREP/NPEP; 90% OF NEWLY DIAGNOSED HIV+ WILL BE LINKED TO ONE OR MORE REQUIRED/RECOMMENDED PREVENTION AND ESSENTIAL SUPPORT SERVICES; 90% OF HRNS WILL BE REFERRED TO ONE OR MORE PESS; 90% OF NEWLY DIAGNOSED HIV+ REFERRED TO A BEHAVIOR INTERVENTION; AND 100% OF CLIENTS WILL HAVE ACCESS TO FREE CONDOMS THROUGH TESTING VENUES OR DISTRIBUTION CENTERS.RCA RESPECTFULLY REQUESTS FUNDING OF $470,000 FROM THE CDC TO ENHANCE AND EXPAND ITS COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAM FOR HIV HIGH BURDENED COMMUNITIES IN FULTON AND DEKALB COUNTIES.

HEALTH EDUCATION FOR YOUTH

H.A.P.P.I.E.R. (HIV/AIDS PREVENTION & PRIMARY CARE FOR INDIVIDUALS ENGAGED IN RECOVERY) PROJECT

NORA READY4LIFE PROJECT - NORTHERN OHIO RECOVERY ASSOCIATION WILL IMPLEMENT THE READY4LIFE PROGRAM TO EQUIP YOUTH WITH RELATIONSHIP, COMMUNICATION, DECISION-MAKING, AND GOAL-SETTING SKILLS NEEDED TO ACHIEVE THE SUCCESS SEQUENCE: COMPLETING HIGH SCHOOL, GETTING A FULL-TIME JOB, AND GETTING MARRIED BEFORE HAVING CHILDREN. THE PROJECT WILL SERVE YOUTH IN GRADES 9-12 IN CLEVELAND AND EAST CLEVELAND, OHIO THROUGH A 17.5-HOUR PRIMARY WORKSHOP USING THE EVIDENCE-BASED LOVE NOTES CURRICULUM AND SOFT SKILLS DEVELOPMENT LESSONS. SUPPLEMENTARY WORKSHOPS WILL INCLUDE CAREER SUCCESS SEQUENCE PLANNING AND ENTREPRENEURSHIP ACTIVITIES. THE PROGRAM WILL SERVE 1,800 YOUTH OVER FIVE YEARS, WITH 1,350 COMPLETING 90% OF THE PROGRAM, STRENGTHENING FAMILY FUNCTIONING AND ECONOMIC STABILITY.

BEHAVIORAL HEALTH WORKFORCE EDUCATION AND TRAINING PROGRAM

PARTNERSHIPS FOR TRAUMA RECOVERY - SURVIVORS OF TORTURE PROGRAM: THIS PROGRAM WILL SUPPORT DIRECT MEDICAL, PSYCHOLOGICAL, SOCIAL, AND LEGAL SERVICES FOR 1,125 SURVIVORS OF TORTURE.

STARR - STREET TEAM FOR HIV/AIDS RISK REDUCTION

THE WHOLE HEALTH PROGRAM

PROJECT YESS (YOUTH ENHANCED SERVICES AND SUPPORT) - THE INSTITUTE FOR HEALTH AND RECOVERY INC. (IHR), IN PARTNERSHIP WITH LUK INC. (LUK), PROPOSES TO ENHANCE AND EXPAND COMPREHENSIVE TREATMENT, EARLY INTERVENTION, AND RECOVERY SUPPORT SERVICES FOR UNDERSERVED ADOLESCENTS AND TRANSITIONAL AGED YOUTHS WHO ARE AT RISK FOR OR WHO HAVE SUBSTANCE USE DISORDER (SUD) OR CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS (COD) AND THEIR FAMILIES IN WORCESTER COUNTY, MASSACHUSETTS. PROJECT YESS (YOUTH ENHANCED SERVICES AND SUPPORT) WILL PROVIDE A COMPREHENSIVE, FAMILY-CENTERED, TRAUMA- INFORMED, EVIDENCE-BASED, COORDINATED, AND INTEGRATED OUTPATIENT SYSTEM OF CARE TO SUPPORT YOUTH AGES 12 - 20. THE GOAL IS TO INTERVENE EARLY AND REDUCE THE DEVELOPMENT OF AND PROGRESSION OF SUBSTANCE USE AND ITS RELATED PROBLEMS WITH A FOCUS ON POPULATIONS THAT HAVE HISTORICALLY LACKED EQUAL ACCESS TO SERVICES OR HAVE HAD MORE SEVERE CONSEQUENCES FROM THEIR SUBSTANCE USE: YOUTH OF COLOR, BILINGUAL YOUTH, FEMALES, AND LGBTQ YOUTH. SUD AND COD ARE A PRESSING PROBLEM FOR WORCESTER COUNTY WITH PREVENTION AND TREATMENT SERVICES FOR YOUTH LACKING. THE COUNTY HAS DIVERSE URBAN AND RURAL COMMUNITIES. WORCESTER COUNTY HAS HIGHER RATES OF EXCESSIVE DRINKING AND ALCOHOL IMPAIRED DRIVING DEATHS AND ONE OF THE HIGHEST OPIOID-RELATED OVERDOSE DEATH RATES IN THE STATE. WHILE DATA ON YOUTH SUD IS LIMITED FOR THE COUNTY, CERTAIN RISK FACTORS FOR YOUTH ARE HIGHER WITH 20% THE STATE’S CHILD WELFARE CASES COMING FROM THE COUNTY DESPITE CONTAINING ONLY 12% OF THE POPULATION. IN 2019, AN ESTIMATED 9,540 YOUTH, AGES 12-20, IN WORCESTER COUNTY NEEDED SUBSTANCE USE TREATMENT, BUT APPROXIMATELY 1,300 ACTUALLY RECEIVED IT. ONCE TREATMENT ENDS, YOUTH FIND FEW ON-GOING SUPPORTS AVAILABLE AS FEW MENTAL HEALTH PROVIDERS IN THE AREA ARE TRAINED ON SUBSTANCE USE. USING EVIDENCE-BASED AND EVIDENCE-INFORMED STRATEGIES, PROJECT YESS WILL PROVIDE A COORDINATED MULTI-SYSTEM FAMILY-CENTERED APPROACH TO 450 YOUTH AND THEIR FAMILIES. PROJECT YESS WILL OUTREACH TO AREA SCHOOLS, COMMUNITY SERVICE AGENCIES, COALITIONS, PROVIDERS, AND STATE AGENCIES TO INCREASE SUD AWARENESS AND ACCESS TO THE PROGRAM. YOUTH INTERESTED IN THE PROGRAM WILL BE SCREENED USING CRAFFT 2.1+ N THAT SCREENS FOR DRUG, TOBACCO/NICOTINE, AND ALCOHOL USE AND PLACED INTO EARLY INTERVENTION/BRIEF COUNSELING, FOR YOUTH WHO SCORE AS LOW OR MODERATE RISK OF SUD/COD, OR ASSESSMENT AND TREATMENT, FOR YOUTH WHO SCORE AS HIGH RISK. CAREGIVERS WILL BE ENGAGED AT EVERY STEP IN THE PROCESS. EARLY INTERVENTION/BRIEF COUNSELING INCLUDES “IDECIDE,” A MASSACHUSETTS-DEVELOPED EARLY INTERVENTION CURRICULUM AND PROJECT AMP, A BRIEF COUNSELING PROGRAM THAT PAIRS YOUTH WITH YOUNG ADULTS WHO SHARE LIVED EXPERIENCE OR NEAR LIVED EXPERIENCE. ASSESSMENT AND TREATMENT INCLUDES ADOLESCENT COMMUNITY REINFORCEMENT APPROACH (A-CRA), A BEHAVIORAL FAMILY-CENTERED THERAPY INTERVENTION THAT FOCUSES ON INCREASING THE FAMILY, SOCIAL, AND EDUCATIONAL/VOCATIONAL REINFORCERS THAT SUPPORT RECOVERY AND WRAP AROUND SERVICES ALONG WITH ASSERTIVE CONTINUING CARE (ACC) RECOVERY SUPPORT INCLUDING WRAP AROUND SERVICES.

DRP FAMILY TREE - DETROIT RECOVERY PROJECT WILL IMPLEMENT THE YOUTH AND FAMILY TREE PROGRAM, A COMPREHENSIVE AND MULTISYSTEM FAMILY APPROACH TO PROVIDE YOUTH (AGES 12-18), TRANSITIONAL AGED YOUTH (AGES 16-25) AND THEIR FAMILIES/PRIMARY CAREGIVERS WITH A SUD OR COD WHO RESIDE IN THE DETROIT-WAYNE COUNTY MI, ASSESSMENTS, EVIDENCE-BASED SUD/COD EDUCATION, EARLY INTERVENTION AND TREATMENT, PEER RECOVERY SUPPORT AND COORDINATION OF CASE MANAGEMENT AND WRAPAROUND SUPPORTIVE SERVICES. THE PROJECT WILL TARGET MINORITY AND UNDERSERVED POPULATIONS AS THE SERVICE AREA HAS A HIGH RATE OF POVERTY, SOCIOECONOMIC, ECONOMIC, AND HEALTH DISPARITIES INCLUDING 22% OF YOUTH WHO REPORTED USING ALCOHOL, 17.1% ILLEGAL DRUGS, AND 8% MARIJUANA IN THE PAST YEAR. INTERVENTIONS: COGNITIVE BEHAVIORAL THERAPY (CBT) AND SCREENING BRIEF INTERVENTION REFERRAL TOOL (SBIRT) INTERVIEWING AND TRAUMA-INFORMED CARE, STRENGTHENING FAMILIES, TOBACCO CESSATION, WHILE INCORPORATING MOTIVATIONAL INTERVIEWING FOR PARTICIPATING FAMILIES, THE PROJECT WILL ALSO INTEGRATE PEER SUPPORTS TOBACCO COUNSELING, MENTAL HEALTH, AND PRIMARY HEALTH CARE, YOUTH AND FAMILY RECOVERY SUPPORT/COUNSELING AND WRAPAROUND SERVICES, CASE/CARE MANAGEMENT AND BENEFITS ADVOCACY Y TO PROMOTE INCREASED ACCESS TO CARE, SERVICE USE, AND IMPROVED OUTCOMES. DRP WILL ENROLL 50 ELIGIBLE PROGRAM PARTICIPANTS IN YEAR 1 OF SERVICE AND 100 EACH CONSECUTIVE YEAR FOR A TOTAL OF 450. PRIMARY GOALS ARE TO IMPROVE THE HEALTH OF THE TARGETED POPULATION BY IMPLEMENTING COMMUNITY-BASED, COORDINATED, INTEGRATED, AND EVIDENCE-BASED BEHAVIORAL HEALTH INTERVENTIONS, EDUCATION AND TREATMENT, AND ACCESS TO PRIMARY HEALTH CARE; IMPROVE STABILITY BY PROVIDING AND/ OR COORDINATING COMPREHENSIVE RECOVERY AND WRAPAROUND SUPPORT SERVICES, AND IMPROVE EFFECTIVE PROJECT IMPLEMENTATION AND EVALUATION BY CONDUCTING CQI ACTIVITIES. BY THE END OF THE 5-YEAR GRANT PERIOD, PARTICIPANTS WILL MEET THE FOLLOWING OBJECTIVES: 1) 65% WILL IMPROVE THEIR SUD OR COD FUNCTIONING; 2) 65% WILL INCREASE ACCESS TO PRIMARY HEALTH CARE AND VICTIM SERVICES; 3) 70% WILL INCREASE ACCESS TO AGE-APPROPRIATE TOBACCO CESSATION INTERVENTIONS; 4) 65% WILL IMPROVE THEIR HOUSING STABILITY; 5) 80% WILL INCREASE THE USE OF WRAPAROUND AND RECOVERY SUPPORT SERVICES; 6) 65% WILL IMPROVE THEIR EDUCATION AND/ OR EMPLOYMENT STATUS AND/ OR ACCESS TO DISABILITY BENEFITS; 7) 80% WILL INCREASE ACCESS TO ELIGIBLE BENEFITS, AND 8) 65% WHO HAVE A PARTICIPATING FAMILY MEMBER WILL INCREASE ACCESS TO PARENTING AND/OR FAMILY INTERVENTIONS FOR THAT MEMBER. BRANDIES UNIVERSITY WILL CONDUCT THE PERFORMANCE ASSESSMENT, WHICH WILL FOCUS ON GPRA MEASURES, IMPLEMENTATION, AND ACHIEVEMENT OF PROJECT GOALS, OBJECTIVES, AND OUTCOMES.

THE NATIONAL CONSUMER TECHNICAL ASSISTANCE CENTER OF DOORS TO WELLBEING

RECOVER FROM ADDICTION TO PREVENT AIDS (RAP-AIDS) PROJECT - THE GOAL OF THE NORTHERN OHIO RECOVERY ASSOCIATION (NORA) RECOVER FROM ADDICTION TO PREVENT AIDS (RAP-AIDS) PROJECT IS TO INCREASE ENGAGEMENT IN CARE, IN THE GREATER CLEVELAND, OH METROPOLITAN AREA, FOR 360 RACIAL AND ETHNIC UNDERREPRESENTED ADULTS (60 IN YEAR 1 AND 75 IN YEARS 2-5) WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD) WHO ARE AT RISK FOR, OR ARE LIVING WITH HIV/AIDS AND RECEIVE HIV/AIDS SERVICES/TREATMENT. A MAJOR FEATURE WILL BE THE CO-LOCATION OF A NORA SUD TREATMENT CLINIC WITHIN THE MEDICAL FACILITY OF FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND RYAN WHITE HIV/AIDS PROGRAM MEDICAL PROVIDER, CARE ALLIANCE HEALTH CENTER (CAHC). THE PROJECT WILL PROVIDE SUD/COD TREATMENT, HIV RAPID TESTING, AND HIV PREVENTION WHILE CAHC WILL OFFER HIV CONFIRMATORY TESTING, VIRAL HEPATITIS TESTING, LINKAGE TO HIV AND VH CARE, ANTIRETROVIRAL THERAPY (ART), PRE-EXPOSURE PROPHYLAXIS (PREP) SERVICES FOR INDIVIDUALS WHO SCREEN NEGATIVE FOR HIV BUT ARE AT INCREASED RISK OF BECOMING INFECTED WITH HIV, AND REFERRAL FOR HBV AND HCV TREATMENT. RAP-AIDS WILL EMPLOY THE FOLLOWING EVIDENCE-BASED PRACTICES: 1) THE MATRIX MODEL, A FRAMEWORK THAT INTEGRATES ASPECTS OF SEVERAL TREATMENT APPROACHES, 2) SEEKING SAFETY, A MODEL THAT CONSIDERS THE CONTEXT OF HISTORICAL TRAUMA WITHIN WHICH A LARGE PROPORTION OF BOTH MEN AND WOMEN DEVELOP SUD/COD, AND 3) MOTIVATIONAL INTERVIEWING. RAP-AIDS WILL ALSO OFFER TWO CDC-LISTED EVIDENCE-BASED HIV PREVENTION PROGRAMS, ONE FOR MEN (REAL MEN ARE SAFE (REMAS) AND ANOTHER FOR WOMEN: SISTERS INFORMING SISTERS ON TOPICS ABOUT AIDS (SISTA). CLIENTS WILL BE PROVIDED WITH AN ARRAY OF RECOVERY SUPPORT SERVICES (RSS) TO ENHANCE RECOVERY. PROJECT OBJECTIVES ARE 1) PROVIDE 360 INDIVIDUALS OVER THE FIVE-YEAR GRANT PERIOD WITH SUD AND HIV SERVICES. 2) PARTICIPANTS WILL BE RETAINED IN THE PROJECT FOR AN AVERAGE OF 60 DAYS.; 3) PARTICIPANTS WILL DEMONSTRATE A SIGNIFICANT PRE-POST DECREASE IN THEIR SUBSTANCE USE; 4) A SIGNIFICANT PRE-POST DECREASE IN THE FREQUENCY AND/OR SEVERITY OF CLIENTS’ OVERALL MENTAL HEALTH SYMPTOMS; 5) PARTICIPANTS WILL DEMONSTRATE A SIGNIFICANT PRE-POST DECREASE IN FREQUENCY AND/OR SEVERITY OF TRAUMA SYMPTOMS; 6) 80% OF PARTICIPANTS WILL REPORT INTERACTION WITH FAMILY &/OR FRIENDS SUPPORTIVE OF THEIR RECOVERY AT 6 MO. FOLLOW-UP; 7) 100% OF THOSE WHO REMAIN IN THE PROGRAM FOR 15 DAYS WILL COMPLETE THE HIV PREVENTION /EDUCATION COMPONENT OF THE PROJECT; 8) PARTICIPANTS COMPLETING THE HIV PREVENTION /EDUCATION COMPONENT OF THE PROJECT WILL REPORT A PRE-POST DECREASE IN PERCEPTIONS OF CONDOM USE BARRIERS; 9) 80% OF PARTICIPANTS WHO COMPLETE THE HIV PREVENTION /EDUCATION COMPONENT OF THE PROJECT WILL REPORT REFRAINING FROM ENGAGING IN SEXUAL RISK BEHAVIORS AT SIX-MONTH FOLLOW-UP; 10) 80% OF PARTICIPANTS WHO REPORT, AT INTAKE, INJECTION DRUG USE (IDU) IN PAST 30 DAYS, WHO COMPLETE THE HIV PREVENTION /EDUCATION COMPONENT OF THE PROJECT, WILL REPORT (AT THE SIX-MONTH FOLLOW-UP) ABSTINENCE FROM IDU OR HAVING USED A NEW NEEDLE/SYRINGE (IN PAST 30 DAYS); 11) 100% OF HIV-NEGATIVE PARTICIPANTS WHO MEET CDC CRITERIA WILL BE PROVIDED WITH INFORMATION ABOUT PREP AND (IF INTERESTED) REFERRED TO A PREP PROVIDER WITHIN 30 DAYS OF ENROLLMENT; 12) 100% OF PARTICIPANTS WILL BE OFFERED HIV RAPID PRELIMINARY ANTIBODY TESTING AT INTAKE AND (IF NEEDED) REFERRAL FOR CONFIRMATORY TESTING AND TREATMENT FOR THEMSELVES AND THEIR PARTNERS; AND 13) 100% OF PARTICIPANTS WILL BE OFFERED TESTING FOR HEPATITIS B AND C AND REFERRED AS NECESSARY FOR TREATMENT.

RCA-MAI - ABSTRACT. RECOVERY CONSULTANTS OF ATLANTA, INC. (RCA), PROPOSES A MINORITY AIDS INITIATIVE SUBSTANCE USE DISORDER TREATMENT FOR RACIAL/ETHNIC MINORITY POPULATIONS AT HIGH-RISK FOR HIV/AIDS (MAI) PROJECT (RCA-MAI). THIS PROJECT WILL ADDRESS HEALTH DISPARITIES AND INCREASE ENGAGEMENT IN CARE OF A POPULATION OF FOCUS (POF) WHO ARE RACIAL AND ETHNIC UNDERREPRESENTED ADULTS WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD) WHO ARE AT RISK FOR OR ARE LIVING WITH HIV/AIDS AND RECEIVE HIV/AIDS SERVICES/TREATMENT. AMONG THE POF ARE INDIVIDUALS WHO MAY EXIST IN UNSTABLE HOUSING, BE CRIMINAL JUSTICE INVOLVED, AND/OR IDENTIFY AS LGBTQ, HETEROSEXUAL FEMALE, OR MALE. THE RCA-MAI WILL SERVE A GEOGRAPHIC CATCHMENT AREA COMPRISED OF ATLANTA COMMUNITIES IN DEKALB, FULTON, AND GWINNETT COUNTIES LISTED AMONG GEORGIA (GA)’S LOCALITIES HARDEST HIT BY THE HIV EPIDEMIC. NATIONALLY, GA RANKS FOURTH FOR THE TOTAL NUMBER OF NEW HIV INFECTIONS AND FIFTH FOR PLWH. AS THE TARGET POPULATION STRUGGLE WITH MENTAL HEALTH, SUD, OR COD AND LACK ACCESS TO BOTH MENTAL HEALTH AND ADDICTION TREATMENT; THESE BARRIERS ARE EXACERBATED BY LIVING IN COMMUNITIES WITH INCREASED RISK FOR HIV. ACROSS THE CATCHMENT AREA, BLACK MALES AGES 20-29 REPRESENT THE PRIMARY DEMOGRAPHICS FOR HIGH PREVALENCE (80.1%) OF ALL NEW HIV DIAGNOSIS AND AMONG MALES AGE 30 AND OLDER THE HIGHEST PREVALENCE OF PLWH (78.1%). HIV INFECTION TRANSMISSION FOR NEW DIAGNOSIS AND PLWH HAS OCCURRED THROUGH MALE-TO-MALE (MSM) SEXUAL CONTACT OR SHARED USE OF CONTAMINATED DRUG-USE MATERIALS. WHILE FEMALES REPRESENTED LOWER PREVALENCE RATES FOR NEW HIV DIAGNOSIS AND PLWH; TRANSMISSION OF HIV IS ATTRIBUTED TO HETEROSEXUAL CONTACT. RCA RECOGNIZES THE NEED TO ADDRESS CRITICAL GAPS IN EARLY HIV TESTING, DIAGNOSIS, AND PREVENTION FOR A TARGET POPULATION WHO ALSO EXPERIENCE HEALTH DISPARITIES AND LACK ENGAGEMENT IN CARE FOR MENTAL HEALTH, SUD OR COD TREATMENT/CARE. THE AGENCY WILL HIRE AND PROVIDE EXTENSIVE TRAINING FOR A CREDENTIALED, INTERDISCIPLINARY 4-FTE PROJECT TEAM WHO WILL IMPLEMENT EVIDENCE-BASED PRACTICES FOR STRATEGIES AND INTERVENTIONS INCLUDING TRAUMA-INFORMED CARE, MOTIVATIONAL ENHANCEMENT THERAPY, PEER RECOVERY SUPPORT SERVICES, ANTI-RETROVIRAL TREATMENT AND ACCESS TO SERVICES, PRE-EXPOSURE PROPHYLAXIS AND POST-EXPOSURE PROPHYLAXIS. THE PROJECT TEAM WILL OFFER RAPID 4TH-GENERATION HIV TESTING AND RAPID HEPATITIS (B/C) TESTING, CONFIRMATORY TESTING AND FOLLOW-UP, THERAPEUTIC INTERVENTIONS, INTENSIVE CASE MANAGEMENT, AND RECOVERY SUPPORT SERVICES FOR 1200 PARTICIPANTS (200/Y1; 250/Y2; 250/Y3; 250/Y4; 250/Y5). PROGRAM GOALS INCLUDE (1) INCREASE CAPACITY AND INFRASTRUCTURE TO REACH, IDENTIFY, AND PROVIDE TREATMENT, RECOVERY, AND SUPPORT SERVICES FOR RACIAL/ETHNIC UNDERREPRESENTED INDIVIDUALS WITH SUD OR COD WHO ARE AT RISK FOR OR ARE PLWH; (2) INCREASE THE NUMBER OF PEOPLE WHO LEARN THEIR HIV STATUS AND RECEIVE LINKAGE TO MEDICAL CARE WITHIN 30 DAYS; AND (3) EXPAND AVAILABILITY AND PROVISION OF RECOVERY-ORIENTED, TRAUMA-INFORMED, AND EQUITY-BASED HEALTH CARE FOR 1,200 RACIAL/ETHNIC UNDERREPRESENTED INDIVIDUALS WITH SUD AND COD AT RISK OF OR LIVING WITH HIV. RCA’S COMMUNITY HEALTH CENTERS (FQHC, HCH, CARF) WILL OFFER COMPREHENSIVE ONSITE SERVICES FOR RAPID HIV/HEPATITIS TESTING AND RISK EDUCATION; INTERNAL LINKAGE TO HIV/HEPATITIS CONFIRMATORY TESTING, SUD/COD ASSESSMENT/EVIDENCE-BASED TREATMENT, INTENSIVE CASE MANAGEMENT WITH BENEFIT NAVIGATION, LINKAGE TO PEER SUPPORT, RECOVERY HOUSING, AND OTHER RECOVERY SUPPORT SERVICES. OTHER PROGRAM ACTIVITIES INCLUDE COMMUNITY OUTREACH TO UNDERREPRESENTED POPULATIONS USING THE RCA MOBILE MEDICAL UNIT AND A COMMUNICATION PLAN FOR SOCIAL MEDIA MESSAGES AND EDUCATIONAL MATERIALS AT COMMUNITY EVENTS TO INCREASE AWARENESS OF HIV PREVENTION, SUD OR COD TREATMENT, AND AVAILABLE SUPPORT SERVICES. RCA RESPECTFULLY REQUESTS SAMHSA FUNDING OF $2,500,000 TO IMPLEMENT THE FIVE-YEAR RCA-MAI PROJECT.

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

FIRST CALL ME AFTER REENTRY

CARES FUNDING FOR COVID19. THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

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

SANTA FE RECOVERY CENTER'S RESIDENTIAL TREATMENT SERVICES EXPANSION FOR PPW - SANTA FE RECOVERY CENTER OPERATES ONE OF A FEW ACCESSIBLE RESIDENTIAL TREATMENT PROGRAMS IN NEW MEXICO FOR THE POPULATIONS OF FOCUS: LOW-INCOME PREGNANT AND POSTPARTUM WOMEN CHALLENGED BY SUBSTANCE USE DISORDERS (SUD) AND THEIR MINOR CHILDREN. THE GEOGRAPHIC CATCHMENT AREA IS THE WESTERN NEW MEXICO (NM) COUNTY OF MCKINLEY AND THE NORTHERN COUNTIES OF SANTA FE AND RIO ARRIBA. IN ITS 2020 TREATMENT GAP ANALYSIS, NEW MEXICO DEPT OF HEALTH IDENTIFIED THE FOLLOWING TREATMENT GAPS: THE NEED TO CONNECT PEOPLE WITH SUD TO AVAILABLE SLOTS FOR EVIDENCE-BASED TREATMENT, AND THE NEED TO MORE EFFECTIVELY INTEGRATE SUD SCREENING INTO PRIMARY CARE AND UTILIZE EDS AND HOSPITALS AS ENTRY POINTS TO CARE. SANTA FE RECOVERY CENTER (SFRC) PROPOSES TO INCREASE ACCESS FOR WOMEN WITH CHILDREN IN RECOVERY BY EXPANDING AND ENHANCING ITS THERAPEUTIC CHILD CARE PROGRAM TO INCLUDE STRENGTHENING ITS REFERRAL PROCESSES WITH HOSPITALS AND OTHER DIRECT SERVICE PROVIDERS TOWARD THE FOLLOWING GOALS AND OBJECTIVES. GOAL 1: PROVIDE COMPREHENSIVE SERVICES FOR PREGNANT AND POSTPARTUM WOMEN WITH SUD AND CO-OCCURRING MENTAL HEALTH DISORDERS (COD) ACROSS THE CONTINUUM OF RESIDENTIAL SETTINGS THAT SUPPORT AND SUSTAIN RECOVERY. OBJECTIVE 1: INCREASE THE NUMBER OF PPW WITH SUD RECEIVING COMPREHENSIVE RESIDENTIAL TREATMENT FOR 90 DAYS BY 10% EACH YEAR, USING 2022-2023 PROGRAM DATA AS BASELINE. OBJECTIVE 2: REFER 80% OF NON-RESIDENTIAL FAMILY MEMBERS EACH YEAR TO CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES INCLUDING LOCAL FAMILY INFANT TODDLER (FIT) PROGRAMS, OTHER COMMUNITY PROVIDERS, AND SFRC’S IOP MAT PROGRAM FOR OPIOID SUD, TRAUMA-INFORMED FAMILY THERAPY, NUTRITION PROGRAM, AND MORE. GOAL 2: INCREASE ACCESS TO TREATMENT AND SERVICES FOR LOW-INCOME PPW WHO HAVE A SUD AND LINK THEM TO SERVICES AND TREATMENT BASED ON THEIR INTEREST. OBJECTIVE 3: PROVIDE OUTREACH IN THE COMMUNITY TO IDENTIFY 20 PPW WHO HAVE A SUD EACH YEAR AND ENGAGE THEM REGARDING TREATMENT USING MOTIVATIONAL INTERVIEWING AND MOTIVATIONAL ENHANCEMENT TECHNIQUES. OBJECTIVE 4: ENGAGE 15 PROGRAM PARTNERS, SECTOR-SPECIFIC ORGANIZATIONS, AND INDIAN HEALTH SERVICE (IHS) PARTNERS VIA A STEERING COMMITTEE ON THE NEED TO SUPPORT THE PPW PROGRAM AND IMPROVE REFERRAL PROCESSES TO LINK PPW WITH SUD TO APPROPRIATE TREATMENT AND SERVICES. SANTA FE RECOVERY CENTER (SFRC) IS A 501C3 NON-PROFIT, CARF (COMMISSION FOR THE ACCREDITATION OF REHABILITATION FACILITIES) ACCREDITED SUBSTANCE USE DISORDER (SUD) PROGRAM BASED IN SANTA FE, NEW MEXICO, WITH OPERATIONS IN GALLUP, NEW MEXICO. IT OFFERS DETOXIFICATION, RESIDENTIAL TREATMENT, EXTENDED RESIDENTIAL TREATMENT, RECOVERY HOUSING, BRIDGE HOUSING, REGULAR AND INTENSIVE OUTPATIENT, AND MEDICATION ASSISTED TREATMENT TO MORE THAN 3,500 CLIENTS ANNUALLY OF DIVERSE SOCIOECONOMIC AND CULTURAL BACKGROUNDS; 50% OF CLIENTS ARE OPIATE ADDICTED. CLIENTS ARE APPROXIMATELY 60% HISPANIC, 30% CAUCASIAN, AND 9% AMERICAN INDIAN. THE MAJORITY OF SFRC’S CLIENTS ARE MEDICAID RECIPIENTS. SFRC RECEIVES MORE OPIOID ADDICTED CLIENTS THAN MOST SUD PROGRAMS STATEWIDE BECAUSE IT UTILIZES SUBOXONE AS A TOOL FOR BOTH DETOX AND RECOVERY MAINTENANCE. USING EVIDENCE-BASED PRACTICES (MI, CBT, MAT, AND CIRCLE OF SECURITY INTERVENTIONS), SFRC PROPOSES TO SERVE 119 UNDUPLICATED INDIVIDUALS IN YEAR 1 AND 705 INDIVIDUALS OVER THE 5-YEAR PROJECT PERIOD.

PPW - LIFELONG PROPOSES ENHANCED SERVICES FOR 150 PREGNANT/POSTPARTUM WOMEN RECEIVING RESIDENTIAL TREATMENT. IN ADDITION TO SUD/COD TREATMENT, RECOVERY SUPPORT, CASE MANAGEMENT, AND HARM REDUCTION SERVICES PROVIDED TO THE WOMEN, THE PROGRAM WILL INCLUDE ACCESS TO SUPPLEMENTAL SERVICES INCLUDING SUD/COD FOR THE MINOR CHILDREN AND ADULT FAMILY MEMBERS (FATHERS OF THEIR CHILDREN, CAREGIVERS, AND PARTNERS). SERVICES WILL BE PROVIDED IN ALAMEDA COUNTY, CA. LIFELONG WILL HIRE AN OUTREACH SPECIALIST WHO WILL CONDUCT OUTREACH AT HOMELESS ENCAMPMENTS, SHELTERS, HOSPITALS, LIFELONG AND OTHER COMMUNITY MEDICAL CLINICS, ETC. WITH THE GOAL OF ENGAGING THE WOMEN IN SUD TREATMENT. LIFELONG WILL USE THE EVIDENCE-BASED PRACTICES (EBPS) OF MOTIVATIONAL INTERVIEWING, SEEKING SAFETY, CELEBRATING FAMILIES!, AND NURTURING PARENTING PROGRAMS IN ITS SERVICE DELIVERY. GOALS INCLUDE: CONDUCTING OUTREACH ACTIVITIES, PROVIDING SUD/COD SERVICES INCLUDING ASSESSMENT, INDIVIDUAL AND GROUP COUNSELING, CASE MANAGEMENT, AND RECOVERY SUPPORTS TO PREGNANT AND POSTPARTUM WOMEN; PROVIDE SUPPLEMENTAL SERVICES FOR MINOR CHILDREN AND FAMILY MEMBERS (FATHERS OF THEIR CHILDREN, PARTNERS, CAREGIVER) OF THE PREGNANT AND POSTPARTUM WOMEN; CONDUCTING LOCAL PERFORMANCE ASSESSMENTS AND DOCUMENTATION ACCORDING TO GRANT REQUIREMENTS AND GUIDELINES. PLANNING AND PROGRAM ACTIVITIES WILL TAKE INTO ACCOUNT A CULTURALLY RESPONSIBLE, GENDER RESPONSIVE, RECOVERY/HARM REDUCTION ORIENTED, TRAUMA-INFORMED, EQUITY-BASED APPROACH. OBJECTIVES INCLUDE: - PROVIDING OUTREACH SERVICES IN THE COMMUNITY, IDENTIFYING WOMEN WHO HAVE AN SUD, AND LINKING THEM TO TREATMENT BASED ON THEIR INTEREST AND ELIGIBILITY. - PROVIDING EVIDENCE-BASED SUD/COD ASSESSMENT AND TREATMENT SERVICES, HARM REDUCTION, RECOVERY SUPPORT SERVICES, AND CASE MANAGEMENT SERVICES TO A MINIMUM OF 150 PREGNANT AND POSTPARTUM WOMEN. - PROVIDING ENHANCED SUPPLEMENTAL SERVICES FOR MINOR CHILDREN AND FAMILY NETWORK MEMBERS (FATHERS OF THEIR CHILDREN, PARTNERS, CAREGIVER, ETC.) OF THE PREGNANT AND POSTPARTUM WOMEN, INCLUDING SUD/COD COUNSELING AND BRIEF INTERVENTIONS, FAMILY THERAPY, THERAPEUTIC CHILDCARE, AND DEVELOPMENTAL ASSESSMENTS. - COMPLETING HEALTH DISPARITIES STATEMENT, UPLOADING GPRA DATA, PARTICIPATING IN EVALUATION ACTIVITIES, AND COMPILING DATA FOR SEMI-ANNUAL REPORTS - MONITOR RACE, ETHNICITY, SEXUAL ORIENTATION, AND GENDER IDENTITY OF ENROLLED CLIENTS AND PRESENT ENROLLMENT TRENDS THROUGH MONTHLY REPORTS, ALLOWING THE TEAM TO ENSURE EQUITY AMONG THE CLIENT POPULATION IN REAL TIME, BY THE RESEARCH AND EVALUATION TEAM.

COMMUNITY HEALTH WORKER TRAINING PROGRAM - ABSTRACT 1121 E. MCNICHOLS DETROIT, MI 48203 KENNYLE JOHNSON (313) 365-3100 KAJOHNSON@RECOVERY4DETROIT.COM WWW.RECOVERY4DETROIT.COM DETROIT RECOVERY PROJECT, INC. (DRP) IS SEEKING $1,000,000 PER YEAR FOR THREE YEARS TO EXPAND ITS PARAPROFESSIONAL TRAINING PROGRAM, CURRENTLY OFFERED THROUGH THE RECOVERY TRAINING INSTITUTE (RTI). THE EXPANSION OF RTI WILL INCLUDE A NEW EDUCATIONAL TRACK OPTION FOR COMMUNITY HEALTH WORKERS (CHW) IN THE METROPOLITAN DETROIT AREA. THE POPULATION IN DETROIT IS PREDOMINANTLY BLACK AND HAS HIGHER HEALTH-RELATED RISK FACTORS THAN IN OTHER PARTS OF THE STATE. THIS IS COMPOUNDED BY COVID-19, AS WELL AS THE MULTIPLE AND COMPLEX BARRIERS RESIDENTS FACE IN ACCESSING HEALTH RESOURCES AND SERVICES. TO RESPOND TO THESE CHALLENGES, DRP WILL IMPLEMENT A CHW TRAINING PROGRAM TO FILL THE GAPS IN SERVICE AND LINK THOSE IN UNDERSERVED COMMUNITIES TO CARE IN DETROIT, MICHIGAN. THE CHW TRAINING IS AN EVIDENCE-BASED APPROACH THAT USES COMMUNITY-BASED HEALTH PROMOTION AND PRINCIPLES OF COMMUNITY ORGANIZATION AND EMPOWERMENT TO ADDRESS HEALTH ISSUES AND TO IMPACT KNOWLEDGE, ATTITUDES, AND BEHAVIORS FROM WITHIN UNDERSERVED COMMUNITIES. THE PROPOSED PROGRAM WILL FOCUS ITS EFFORTS ON THE METROPOLITAN DETROIT AREA, WHERE UNDERSERVED COMMUNITIES COMMONLY LACK ACCESS TO HEALTH CARE SERVICES AND TECHNOLOGY. INDIVIDUALS FROM THESE TARGETED COMMUNITIES WILL BE TRAINED AS CHWS TO CONDUCT OUTREACH, CONNECT INDIVIDUALS TO HEALTH AND SOCIAL SERVICES, AND PROVIDE HEALTH EDUCATION. THE PROGRAM GOALS ARE TO EXPAND THE PUBLIC HEALTH WORKFORCE BY TRAINING 50 PARTICIPANTS ANNUALLY TO BECOME NEWLY CREDENTIALED CHWS, TOTALING 150 CHWS OVER THE THREE-YEAR GRANT PERIOD; ENHANCE THE CHW CURRICULUM TO INCREASE THE SKILLS AND COMPETENCIES OF EXISTING CHWS AND HEALTH WORKERS; INCREASE CHW AND HEALTH SUPPORT WORKER EMPLOYMENT READINESS THROUGH FIELD PLACEMENTS AND APPRENTICESHIPS; ADVANCE HEALTH EQUITY AND SUPPORT FOR UNDERSERVED COMMUNITIES BY INCREASING THE NUMBER OF CHWS. OVER THE LAST SEVEN YEARS, DRP’S RTI HAS BEEN THE LEADER THROUGHOUT METROPOLITAN DETROIT FOR PROVIDING EVIDENCE-BASED PARAPROFESSIONAL TRAININGS TO OVER 400 INDIVIDUALS, RESULTING IN AN INCREASE IN THE NUMBER OF INDIVIDUALS THAT HAVE BECOME CERTIFIED PEER RECOVERY COACHES. DRP’S RTI IS A NATIONALLY REGISTERED APPRENTICESHIP PROGRAM, WHICH ADDS ADDITIONAL SUPPORT FOR THE NEW CHW TRAINING PROGRAM. THE FOLLOWING OBJECTIVES WILL BE ACHIEVED TO ENSURE THE GOALS ARE ACCOMPLISHED. OBJECTIVE 1: DEVELOP (5) CULTURALLY RELEVANT COURSES THAT ARE CULTURALLY APPROPRIATE, TECHNOLOGY BASED AND ADDRESS THE CORE COMPETENCIES FOR CHWS IN OBTAINING THEIR STATE CERTIFICATION. OBJECTIVE 2: PROVIDE 126+ HOURS OF COMPREHENSIVE STATE APPROVED DIDACTIC AND INTERACTIVE CLASSROOM-BASED COURSEWORK TRAINING TO EACH OF THE 50 INDIVIDUALS SERVED ANNUALLY. OBJECTIVE 3: PROVIDE THE REQUIRED 40-HOUR PRACTICAL TRAINING EXPERIENCE TO 50 TRAINEES ANNUALLY THROUGH THE EXPANSION OF THE RECOVERY TRAINING INSTITUTE CHW TRAINING. OBJECTIVE 4: PROVIDE 20+ HOURS OF EVIDENCE-BASED CONTINUING EDUCATION TO 10 CURRENT CHWS ANNUALLY. OBJECTIVE 5: TRAIN 13 CHWS ANNUALLY THROUGH THE DOL REGISTERED CHW APPRENTICESHIP PROGRAM. OBJECTIVE 6: PROVIDE FINANCIAL SUPPORT FOR 50 TRAINEES ANNUALLY. OBJECTIVE 6: IDENTIFY AT MINIMUM 5 INTERNSHIP SITES TO SERVE AS PARTNERS PROVIDING THE REQUIRED 40-HOUR INTERNSHIP FOR UP TO 111 INDIVIDUALS OVER THE FULL DURATION OF THE GRANT. OBJECTIVE 7: EVALUATE THE SUCCESSFUL COMPLETION OF 150 STUDENTS IN THE CHW TRAINING PROGRAM, WHO ARE REFLECTIVE OF THE TARGET COMMUNITY. DRP IS ALSO REQUESTING FUNDING PREFERENCE. OVER THE PAST TWO YEARS, DRP HAS INCREASED THE PARAPROFESSIONAL WORKFORCE IN UNDERSERVED COMMUNITIES BY TRAINING MEMBERS OF THE COMMUNITY TO BECOME CERTIFIED PEER RECOVERY MENTORS (CPRM), WITH OVER 50% OF THEM PASSING THE STATE EXAM EARNING THEIR CPRM CERTIFICATE.

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

COLLABORATION PUSH: PEOPLE UNITED TO STOP HIV

PROJECT RISE

BEHAVIORAL HEALTH WORKFORCE EDUCATION AND TRAINING PROGRAM

THE VETS RECOVER CENTER OF EXCELLENCE IN MOBILE, AL - THE VETS RECOVER CENTER OF EXCELLENCE IN MOBILE, AL IS A SEVEN-ACRE CAMPUS WITH THREE BUILDINGS (32,000SF) AND AMBLE OUTDOOR SPACE FOR RECREATION AND RECOVERY. THIS PROGRAM IS PROJECTED PROVIDE LIFE-SAVING DETOX, RESIDENTIAL, OUTPATIENT TREATMENT AND COMMUNITY INTEGRATION SERVICES TO 11,179 SERVICE MEMBERS, VETERANS, FIRST RESPONDERS AND FAMILY MEMBERS EACH YEAR. AFTER NEARLY $12M INVESTED AND TEN YEARS OF PAINSTAKING DEVELOPMENT, OUR PROGRAMS HAVE BEEN TESTED, EVALUATED AND FOUND EFFECTIVE.

OUR PLACE

STARK COUNTY SYSTEM OF CARE IMPLEMENTATION GRANT

SFRC'S NATIVE AMERICAN-FOCUSED MINORITY AIDS INITIATIVE - SANTA FE RECOVERY CENTER (SFRC) WILL DEVELOP AND IMPLEMENT A MINORITY AIDS INITIATIVE -HIGH RISK POPULATIONS PROJECT AT TWO IMPLEMENTATION SITES IN NORTHERN NEW MEXICO TO ADDRESS THE CRITICAL NEED FOR ENGAGEMENT-FOCUSED TREATMENT AMONG NATIVE AMERICANS AND OTHER UNDERSERVED MINORITY POPULATIONS AT HIGH RISK FOR HIV/AIDS. THE POPULATIONS OF FOCUS ARE THE MINORITY INDIVIDUALS OF ALL GENDERS IN NORTHERN NM WHO NOT ONLY ARE AT RISK FOR (OR ARE LIVING WITH) HIV/AIDS BUT ALSO MEET DSM-5 CRITERIA FOR SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD), AS DETERMINED BY A LICENSED HEALTH PROFESSIONAL. SFRC WILL IMPLEMENT AND MANAGE THE MINORITY AIDS INITIATIVE FROM ITS SANTA FE AND GALLUP, NM FACILITIES. NM DEPT OF HEALTH HAS IDENTIFIED SERVICE GAPS PERTAINING TO A MINORITY AIDS INITIATIVE: LIMITED ACCESS TO PREP AND PEP; LIMITED-TO-NO ACCESS TO COMPREHENSIVE CASE MANAGEMENT AND FACE-TO-FACE CASE MANAGEMENT; AND LIMITED ACCESS TO CULTURALLY SPECIFIC PREVENTION INTERVENTIONS. THE NMDOH HIV PREVENTION PROGRAM CURRENTLY ONLY CONTRACTS WITH FIVE EXTERNAL ORGANIZATIONS, DOWN FROM A PEAK OF 14 PARTNERS ROUGHLY 10 YEARS AGO. ONLY ONE ETHNIC-SPECIFIC PROVIDER IS LEFT IN THIS NETWORK. THIS HAS REDUCED THE NUMBER OF CULTURALLY SPECIFIC PREVENTION INTERVENTIONS AVAILABLE, PARTICULARLY FOR YOUNG GAY/BISEXUAL MEN AND TRANSGENDER WOMEN OF COLOR. SFRC HAS DESIGNED A COMPREHENSIVE PROGRAM TO DELIVER ENGAGEMENT-FOCUSED SERVICES TO A HIGH RISK POPULATION USING A TEAM-BASED CARE MODEL. THE MINORITY AIDS INITIATIVE WILL SERVE 600 UNDUPLICATED INDIVIDUALS ANNUALLY AS A WELL-DESIGNED PROGRAM ENHANCEMENT TO MITIGATE THE IMPACTS OF THE HIV EPIDEMIC AND ADDRESS TARGETED POPULATIONS’ HEALTH DISPARITIES DUE TO THE CATCHMENT AREA’S DEFICIENT RESOURCES AND SERVICE GAPS. GOAL 1: INCREASE KNOWLEDGE OF STATUS FOR MINORITY INDIVIDUALS IN THE TARGETED GEOGRAPHIC REGION. GOAL 2: INCREASE ENGAGEMENT IN CARE FOR THE REGION’S MINORITY INDIVIDUALS WITH SUD/COD AT RISK FOR HIV OR WHO ARE HIV POSITIVE. SFRC'S MAI PROGRAM COORDINATOR (100% LOE) WILL MANAGE THE DAY-TO-DAY STRATEGIES AND ACTIVITIES INCLUDING COMMUNITY ENGAGEMENT CAMPAIGNS AND TARGETED CASE MANAGEMENT FOR HIV PREVENTION, FOR SUD/COD TREATMENT, AND FOR REFERRALS TO THREE HIV/HCV TREATMENT FACILITIES FOR TREATMENT AND FOLLOW UP: GALLUP INDIAN MEDICAL CENTER, UNM TRUMAN HEALTH SERVICES, AND CHRISTUS ST. VINCENT REGIONAL MEDICAL CENTER.

AREAS AFFECTED ARE THE COUNTY OF FAIRFIELD CT INCLUDING THE TOWNS OF BRIDGEPORT, NORWALK, AND STAMFORD. POP. 376,000. AREA TOTAL 107.78 SQ. MILES. - RECOVERY NETWORK OF PROGRAMS, INC. WILL SERVE HOMELESS ADULTS WITH SUBSTANCE USE DISORDERS AND CO-OCCURRING DISORDERS FROM FAIRFIELD COUNTY, CT THROUGH AN “ALL IN ONE” DROP-IN CENTER IN THE CITY OF BRIDGEPORT, CT PROVIDING LOW/NO BARRIER SERVICES, INCLUDING CO-LOCATED PRIMARY CARE, SUD AND COD TREATMENT, PEER SUPPORT, CASE MANAGEMENT, AND ASSISTANCE WITH HOUSING. WITH NO ESTABLISHED PLACE IN THE GREATER BRIDGEPORT AREA WHERE HOMELESS ADULTS WITH SUD AND COD AND NEED SERVICES, CLINICAL AND OTHER, CAN GO FOR HELP AND RESPITE, DESPITE THE FACT THAT THE GREATER BRIDGEPORT AREA HAS THE HIGHEST RATES OF SUBSTANCE USE AND UNINTENTIONAL OVERDOSES IN FAIRFIELD COUNTY. THE CENTER IS A CRUCIAL OUTREACH STRATEGY THAT ADDRESSES THIS NEED. IT WILL BE A LOW/NO BARRIER PUBLIC FOCAL POINT WHERE INDIVIDUALS CAN ACCESS SERVICES AND RESPITE IN A WELCOMING AND RESPECTFUL SPACE. THERE ARE NO APPOINTMENTS, AND THE CENTER WILL WELCOME MEMBERS OF THE POF AND OTHER ADULTS WHO WALK IN. IT WILL BE WITHIN WALKING DISTANCE OF AREA RNP TREATMENT SITES AND ON A BUS LINE. ONE-TO-ONE OUTREACH WILL BE DONE BY PEER OUTREACH SPECIALISTS WHO WILL ENGAGE THE POF TO INTRODUCE THEM TO THE CENTER. THE CATCHMENT AREA, FAIRFIELD COUNTY, IS THE MOST INCOME-UNEQUAL COUNTY IN THE MOST INCOME-UNEQUAL STATE IN THE U.S-CONNECTICUT. WITH A MIX OF RURAL, SUBURBAN, AND URBAN, AND SEVERAL LARGE CITIES, INCLUDING BRIDGEPORT, STAMFORD, AND NORWALK IT HAS A TOTAL POPULATION OF 959,768. THE 2020 CENSUS SHOW THAT THE LARGEST COUNTY RACIAL/ETHNIC GROUPS ARE WHITE (59.8%) FOLLOWED BY HISPANIC (20.5%) AND BLACK (10.7%). 51% OF THE POPULATION IS FEMALE, 49% MALE. MOST PEOPLE OF COLOR LIVE IN STAMFORD, NORWALK, AND BRIDGEPORT. THE REGIONAL PLANNING ASSOCIATION (RPA) SHOWS THE MEDIAN INCOME OF THE TOWNS OF DARIEN ($210,000) AND WESTON ($220,000) IS NEARLY FIVE TIMES THAT OF BRIDGEPORT ($45,000). IN 2021 THE BRIDGEPORT-STAMFORD-NORWALK, METROPOLITAN STATISTICAL AREA (MSA) WAS THE SECOND-LEAST EQUAL PLACE IN THE U.S. IT RANKED FIRST AMONG METRO AREAS. THE GINI INDEX IDENTIFIES THE MSA AS THE SECOND MOST INCOME-UNEQUAL PLACE IN THE US. PROJECT GOAL 1) ESTABLISH A LOW/NO BARRIER DROP-IN CENTER AND EXPAND CASE MANAGEMENT SERVICE TO ENGAGE AND CONNECT THE POF TO EVIDENCE-BASED SUD/COD TREATMENT, HARM REDUCTION SERVICES, CASE MANAGEMENT, AND RECOVERY SUPPORT SERVICES THROUGH A SINGLE POINT OF ACCESS. OBJECTIVES INCLUDE (1) BY THE END OF YEAR 1, 60% OF THE POF ENGAGED WILL RECEIVE SERVICES THROUGH THE CENTER; (2) 95% OF THE POF COMPLETE INTAKES WITHIN 24 HOURS; (3) 50% WILL ACHIEVE 90 DAYS SOBRIETY AT 6-MONTH FOLLOW-UP AND 60% WILL ENGAGE IN RECOVERY SUPPORT RESOURCES ENGAGE, E.G., AA, NA, COUNSELING, ETC. GOAL 2) COLLABORATE WITH THE CAN, SERVICES ORGANIZATIONS, AND HOUSING PROVIDERS, TO SECURE HOUSING FOR THE POF. OBJECTIVES INCLUDE (1) OUTREACH TO CLERGY/CONGREGANTS OF 10 COUNTY FAITH COMMUNITIES PROVIDING EDUCATIONAL MATERIALS ON SUD/COD, HARM REDUCTION, AND HOUSING; REPEAT OUTREACH TO 10 ADDITIONAL CHURCHES EACH YEAR OF THE GRANT; (2) BY THE END OF YEAR 1, 80% OF THOSE WHO ENGAGED WITH OUTREACH EFFORTS WILL HAVE A PATH TO OR WILL ATTAIN PERMANENT HOUSING. IT’S ESTIMATED THAT THE NUMBER OF PEOPLE WHO WILL RECEIVE OUTREACH WILL AVERAGE 90 INDIVIDUALS EACH MONTH; THE NUMBER OF PEOPLE WHO ARE ENGAGED BY OUTREACH EFFORTS TO BE SERVED THROUGH THE CENTER IS NUMBER OF UNDUPLICATED INDIVIDUALS TO BE SERVED WITH AWARD FUNDS YEAR 1 YEAR 2 YEAR 3 YEAR 4 YEAR 5 TOTAL 100 120 145 155 170 690

MUSKINGUM, MORGAN, AND COSHOCTON (MMC) STRATEGIES TO COORDINATE OVERDOSE PREVENTION EFFORTS(SCOPE) PROJECT - THE MUSKINGUM, MORGAN, AND COSHOCTON COUNTIES FIRST RESPONDER PROJECT AIMS TO EQUIP EMERGENCY MEDICAL SERVICE AND FIREFIGHTER FIRST RESPONDERS WHO SERVE THE 136,824 RESIDENTS OF MUSKINGUM, MORGAN, AND COSHOCTON COUNTIES, OHIO WITH TRAINING AND ONGOING TECHNICAL ASSISTANCE THAT WILL ENABLE THEM TO PROVIDE INDIVIDUALS EXPERIENCING SUBSTANCE USE DISORDER AND WHO ARE AT RISK OF OVERDOSE OD, THEIR FAMILIES, LOVED ONES, AND PEERS WITH LIFESAVING NALOXONE, EDUCATION ON NALOXONE USE, OTHER OPIOID MITIGATION RESOURCES AND CONNECTION TO LOCAL HARM REDUCTION, AND SUD TREATMENT AND RECOVERY RESOURCES. THE PROJECT WILL BE LED BY THE MUSKINGUM AREA MENTAL HEALTH RECOVERY SERVICES BOARD WITH SUPPORT FROM UNIVERSITY OF PITTSBURGH PROGRAM EVALUATION AND RESEARCH UNIT AND OTHER PARTNERS AT THE LOCAL LEVEL. THIS INTERVENTION WILL PROVIDE TRAINING AND ONGOING TECHNICAL ASSISTANCE TO 500 EMERGENCY MEDICAL SERVICE RESPONDERS AND 700 FIREFIGHTERS OVER THE COURSE OF THE FOUR GRANT YEARS. SPECIALIZED TRAINING WILL FOCUS ON CHANGING EMS AND FF FRS' PERSPECTIVES ABOUT INDIVIDUALS EXPERIENCING SUD, ADDRESSING BARRIERS AND REDUCING STIGMA TOWARDS SUD, HELPING FIRST RESPONDERS REFRAME THEIR EMOTIONS AND ASSUMPTIONS ABOUT SUD AS A DISEASE, DRAWING UP FIRST RESPONDER INTERNAL MOTIVATION AND EMPATHY AND DEVELOPING HANDS ON SKILLS SUCH AS MOTIVATIONAL INTERVIEWING PRINCIPLES, SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT, AND THE USE OF VALIDATED ASSESSMENTS LIKE DAST 10 AND THE NIDA QUICK SCREEN. AT THE END OF THE TRAINING, PARTICIPATING EMS AND FF FRS IN OHIO WILL BE ABLE TO EFFECTIVELY ADMINISTER AND LEAVE BEHIND NALOXONE, ASSESS PATIENTS' READINESS TO CHANGE, DETERMINE THE BEST COURSE OF ACTION TO REDUCE THE LIKELIHOOD OF A FUTURE OD, CONNECT CONSENTING PATIENTS TO LOCAL TREATMENT AND RECOVERY RESOURCES, AND PROVIDE HARM REDUCTION EDUCATION AND INFORMATION TO INDIVIDUALS AND THEIR SOCIAL NETWORK IN A CULTURALLY COMPETENT AND TRAUMA INFORMED MANNER. IN ADDITION TO TRAINING, PARTICIPATING AGENCIES WILL RECEIVE TECHNICAL ASSISTANCE ON DEVELOPING LEAVE BEHIND POLICIES AND PROTOCOLS AS WELL AS DEVELOPING HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT COMPLAINT DATA SHARING AND CARE COORDINATION PROTOCOLS WITH LOCAL SUD SERVICES. THE OHIO DEPARTMENT OF HEALTH WILL PROVIDE EMS AND FF FR AGENCIES WITH FREE INTRANASAL NALOXONE DOSES WHICH WILL INCLUDE IN A NALOXONE RECOVERY KIT LEFT WITH INDIVIDUALS EXPERIENCING AN ACUTE OD INTERVENTION BY THESE AGENCIES.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - THE STEPWORKS RECOVERY CENTERS' MOBILE PROJECT WILL SERVE ADULTS OVER 18 LIVING IN RURAL AREAS WITHIN CENTRAL KENTUCKY IN HARDIN COUNTY'S REGION. THIS PROJECT WILL PROVIDE BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES TO LOCATIONS IN LARUE, GRAYSON, MARION, BARREN, NELSON, AND PULASKI COUNTIES WITH A TELEHEALTH LINK FOR MEDICATION MANAGEMENT, PRIMARY CARE, MAT, AND INFECTIOUS DISEASE TREATMENT. THE PROJECT'S GOAL IS TO EXPAND BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES TO AREAS THAT HAVE A CRITICAL NEED AND A LACK OF SERVICE PROVIDERS. PEOPLE LIVING IN RURAL AREAS WITH BEHAVIORAL HEALTH NEEDS AND SUBSTANCE USE DISORDERS ARE NOTABLY UNDERSERVED AND DISADVANTAGED. BY COLLABORATING WITH THE SYRINGE SERVICE PROGRAMS (SSPS), OTHER MAT AND ADDICTION SERVICE PROVIDERS, COUNSELING CENTERS, COMMUNITY STAKEHOLDERS, AND THE JUDICIAL SYSTEM, THOSE CLIENTS WHO ARE FREQUENTLY MARGINALIZED OR HAVE ADDITIONAL BARRIERS TO CARE WILL HAVE ESSENTIAL SERVICES. THIS PROJECT WILL PROVIDE TRAUMA-INFORMED CARE FOR SUBSTANCE USE DISORDER AND MENTAL HEALTH ISSUES. THE PROJECT WILL ADDRESS THE SIGNIFICANT PROBLEM OF DIMINISHED ACCESS TO BEHAVIORAL HEALTH CARE FOR VETERANS AND THEIR FAMILIES, HOUSELESS PERSONS, THOSE INVOLVED IN THE CRIMINAL JUSTICE SYSTEM, AND THOSE EXPERIENCING SUBSTANCE USE DISORDER - ALL OF WHOM ARE RURAL RESIDENTS. KEY PRIMARY OUTCOMES WILL INCLUDE: THE TARGETED NUMBER OF PATIENTS WILL ENGAGE WITH THERAPY SERVICES THAT SUPPLEMENT THE SERVICES THEY ARE ALREADY RECEIVING FROM PARTNER ORGANIZATIONS. PATIENTS WHO NEED A HIGHER LEVEL OF CARE WILL RECEIVE REFERRALS. SCREENINGS FOR ADVERSE CHILDHOOD EVENTS AND IMPAIRMENTS IN SOCIAL DETERMINANTS OF HEALTH WILL OCCUR ROUTINELY. SECONDARY OUTCOMES THROUGHOUT THE PROJECT WILL INCLUDE: A DECREASE IN THE NUMBER OF UNDERSERVED PATIENTS IN RURAL TARGET AREAS. A DECREASE IN OVERDOSE FATALITY RATES IN TARGET AREAS. AN INCREASE IN THE NUMBER OF RURAL RESIDENTS CURED FOR HEPATITIS C (HCV) AND ENTERING TRE ATMENT FOR HUMAN IMMUNODEFICIENCY VIRUS (HIV). DATA TO BE TRACKED INCLUDES: THE NUMBER OF INDIVIDUALS REFERRED FOR OR RECEIVING SERVICES ON THE MOBILE UNIT AND THE DEMOGRAPHICS OF EACH. THE NUMBER OF INDIVIDUALS RECEIVING COUNSELING AND PEER SUPPORT SERVICES. NUMBER OF INDIVIDUALS WHO RECEIVE NURSING CARE. THE NUMBER OF RAPID TESTS COMPLETED FOR HIV AND HCV. THE NUMBER OF INDIVIDUALS SUCCESSFULLY LINKED VIA TELEHEALTH TO PRIMARY CARE, MAT, AND OTHER MEDICAL SERVICES. NUMBER AND PERCENTAGE OF INDIVIDUALS REFERRED TO A HIGHER LEVEL OF CARE. THE NUMBER AND PERCENTAGE OF INDIVIDUALS RETAINING SERVICES CONSISTENTLY OVER THREE MONTHS OR MORE. THE NUMBER OF INDIVIDUALS WHO RECEIVE MAT OR MEDICATION MANAGEMENT.

SHELTER/STREET TO HOME

THE ONELIFE PROJECT

FY 2021 COMMUNITY MENTAL HEALTH CENTER (CMHC) GRANT PROGRAM - ABSTRACT FREEDOM HOUSE PROPOSES TO IMPLEMENT A PROJECT THAT WILL ADDRESS THE NEEDS OF INDIVIDUALS WITH SERIOUS EMOTIONAL DISTURBANCES (SED), INDIVIDUALS WITH SEVERE MENTAL ILLNESS (SMI), INDIVIDUALS WITH SUBSTANCE USE DISORDERS (SUD) INCLUDING OPIOID USE DISORDERS (OUD) AND THOSE WITH CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDERS (COD) PROJECT IN ALAMANCE, ORANGE, AND PERSON COUNTIES IN THE CENTRAL PORTION OF NORTH CAROLINA. FOLLOWING ARE THE GOALS AND OBJECTIVES OF THE PROPOSED PROJECT. GOAL 1: TO INCREASE AVAILABILITY AND ACCESSIBILITY TO 24-HOURS A DAY 7-DAYS A WEEK 365-DAYS A YEAR CRISIS SERVICES OBJECTIVE 1: INCREASE MOBILE CRISIS TEAM ENGAGEMENT IN RURAL COMMUNITIES. OBJECTIVE 2: EMBED MOBILE CRISIS TEAMS IN THE COMMUNITY TO ENHANCE DIRECT CRISIS RESPONSE, OBJECTIVE 3: INSTITUTE POLICIES TO HAVE MOBILE CRISIS TEAMS WORK SEAMLESSLY WITH FACILITY-BASED CRISIS FOR INTAKE AND ADMISSION GOAL 2: TO PROVIDE A COMPREHENSIVE ARRAY OF MENTAL HEALTH SERVICES TO SUPPORT LONG TERM WELLNESS AND RECOVERY OBJECTIVE 1: PROVIDE ONGOING TELE-MENTAL HEALTH SERVICE OFFERINGS. OBJECTIVE 2: TRAIN BEHAVIORAL HEALTH PROVIDERS ON HEALTH DISPARITIES OBJECTIVE 3: INCREASE OUTREACH STRATEGIES AND REFERRAL PATHWAYS FOR VULNERABLE ADULTS AND YOUTH GOAL 3: TO PARTNER WITH LOCAL LAW ENFORCEMENT AND MEDICAL TRANSPORTATION TO INCREASE ACCESS TO FACILITY-BASED CRISIS OBJECTIVE 1. INCREASE AWARENESS AMONG 50% OF LOCAL LAW ENFORCEMENT OBJECTIVE 2. CONDUCT AT LEAST THREE MENTAL HEALTH AWARENESS TRAINING EVENTS IN TARGETED AREAS OBJECTIVE 3. PROVIDE TRANSPORTATION TO FACILITY-BASED CRISIS, WHEN NEEDED GOAL 5: POSITION FREEDOM HOUSE FOR PROJECT SUSTAINABILITY BEYOND THE TWO-YEAR FUNDING BY SECURING ALL CREDENTIALLING AND FUNDER APPROVALS TO BILL FOR SERVICES OBJECTIVE 1. ESTABLISH AN ADVISORY WORK GROUP LED BY THE DIRECTOR OF CREDENTIALLING AND FACILITIES AND COMPRISED OF INDIVIDUALS WITH MENTAL AND SUBSTANCE USE DISORDERS, AND FAMILY MEMBERS TO MEET MONTHLY TO PROVIDE INPUT AND GUIDANCE TO THE CCBHC ON IMPLEMENTATION AND SUSTAINABILITY. OBJECTIVE 2. WORK WITH UTILIZATION MANAGEMENT AND BILLING TO UNDERSTAND AND OVERCOME BARRIERS TO REIMBURSEMENT THE PROPOSED PROJECT WILL SERVE 200 INDIVIDUALS IN THE FIRST YEAR AND 200 IN THE SECOND YEAR FOR A TOTAL OF 400 OVER THE GRANT FUNDING PERIOD.

HOMELESS PREVENTION

SHELTER (SUPPORTIVE HOUSING EMPOWERMENT LINKAGE AND TREATMENT FOR ENHANCED RECOVERY)

GBHI - LIFELONG MEDICAL CARE PROPOSES TO PROVIDE SUD/COD TREATMENT AND SERVICES TO A MINIMUM OF 238 INDIVIDUALS WITHIN THE POPULATION OF FOCUS, WHICH INCLUDES INDIVIDUALS, INCLUDING YOUTH AND FAMILIES, WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUD AND MENTAL HEALTH CONDITIONS (COD) WHO ARE EXPERIENCING HOMELESSNESS. SERVICES WILL BE PROVIDED IN ALAMEDA COUNTY, CA. THE PROGRAM WILL HIRE SUD COUNSELORS WHO WILL PROVIDE SUD/COD SERVICES INCLUDING ASSESSMENTS, GROUP AND INDIVIDUAL COUNSELING, CASE MANAGEMENT, AND RECOVERY SUPPORT SERVICES TO PROGRAM PARTICIPANTS. LIFELONG WILL USE THE EVIDENCE-BASED PRACTICES (EBPS) OF HARM REDUCTION, RELAPSE PREVENTION, MOTIVATIONAL INTERVIEWING, SEEKING SAFETY, AND CONTINGENCY MANAGEMENT IN ITS SERVICE DELIVERY. GOALS INCLUDE: CONDUCTING OUTREACH ACTIVITIES, PROVIDING SUD/COD SERVICES INCLUDING ASSESSMENT, INDIVIDUAL AND GROUP COUNSELING, CASE MANAGEMENT, RECOVERY SUPPORTS, AND HOUSING SUPPORTS; CONDUCTING LOCAL PERFORMANCE ASSESSMENTS AND DOCUMENTATION ACCORDING TO GRANT REQUIREMENTS AND GUIDELINES. PLANNING AND PROGRAM ACTIVITIES WILL TAKE INTO ACCOUNT A CULTURALLY RESPONSIBLE, GENDER RESPONSIVE, RECOVERY/HARM REDUCTION ORIENTED, TRAUMA-INFORMED, EQUITY-BASED APPROACH. OBJECTIVES INCLUDE: - CONDUCTING OUTREACH ACTIVITIES AT LEAST TWICE PER WEEK AT LOCAL ENCAMPMENTS, SHELTERS, MOBILE SERVICE DROP-IN EVENTS, AND THE LIFELONG ADELINE RECUPERATIVE CARE SITE TO INCREASE ACCESS, PARTICIPATION, AND RETENTION IN PROGRAM SERVICES. - PROVIDING EVIDENCE-BASED SUD/COD SERVICES INCLUDING INDIVIDUAL AND GROUP COUNSELING TO A TOTAL OF 238 INDIVIDUALS. - PROVIDING ACCESS TO RECOVERY SUPPORT SERVICES INCLUDING RECOVERY HOUSING, CHILDCARE, EMPLOYMENT AND WORKFORCE DEVELOPMENT TRAINING, AND TRANSPORTATION TO A MINIMUM OF 238 INDIVIDUALS. - PROVIDING ACCESS TO CASE MANAGEMENT SERVICES INCLUDING REFERRAL TO PRIMARY CARE, SCREENING FOR INFECTIOUS DISEASES INCLUDING HIV AND VIRAL HEPATITIS (A, B, AND C), MENTAL HEALTH COUNSELING, BENEFITS COUNSELING, FOOD ASSISTANCE, HOUSING, AND REFERRALS FOR ADDITIONAL SUD/COD TREATMENT AS NEEDED, SUCH AS MEDICATION ASSISTED TREATMENT, AND RESIDENTIAL PROGRAMS TO A MINIMUM OF 238 INDIVIDUALS. - IMPLEMENTING BRIEF TOBACCO SCREENING AND ACCESS TO TOBACCO CESSATION TREATMENT INCLUDING NRT TO A MINIMUM OF 238 INDIVIDUALS. - COMPLETING HEALTH DISPARITIES STATEMENT, UPLOADING GPRA DATA, PARTICIPATING IN EVALUATION ACTIVITIES, AND COMPILING DATA FOR SEMI-ANNUAL REPORTS - MONITOR RACE, ETHNICITY, SEXUAL ORIENTATION, AND GENDER IDENTITY OF ENROLLED CLIENTS AND PRESENT ENROLLMENT TRENDS THROUGH MONTHLY REPORTS, ALLOWING THE TEAM TO ENSURE EQUITY AMONG THE CLIENT POPULATION IN REAL TIME, BY THE RESEARCH AND EVALUATION TEAM.

STARK COUNTY SYSTEM OF CARE IMPLEMENTATION GRANT

RCA MAI COC PILOT PROGRAM

RESTORATION RECOVERY CENTER CHOICES - RESTORATION RECOVERY CENTER (RRC) IS SEEKING TO ASSIST INDIVIDUALS EXPERIENCING HOMELESSNESS IN THE CITY OF FITCHBURG, MA WHO DO NOT QUALIFY FOR HOUSING UNDER THE GUIDELINES OF THE CENTRAL MASSACHUSETTS HOUSING ALLIANCE (CMHA) CONTINUUM OF CARE (COC). CMHA COC IS THE PRIMARY HOUSING AUTHORITY ASSISTING INDIVIDUALS EXPERIENCING HOMELESSNESS IN WORCESTER COUNTY, MA IN WHICH THE CITY OF FITCHBURG IS LOCATED. UNDER THE COC REQUIREMENTS FOR HOUSING SUPPORT THERE ARE FOUR QUALIFICATIONS THAT MUST BE MET: 1) THE INDIVIDUAL IS CURRENTLY “STREET HOMELESS”; 2) HAS BEEN HOMELESS FOR THE PAST 12 MONTHS OR HAS BEEN HOMELESS FOR 12 MONTHS OR MORE IN THE PAST 36 MONTHS; 3) HAS A MENTAL OR PHYSICAL DISABILITY; AND 4) IS ON SSI OR SSDI. RRC WILL USE GRANT FUNDS TO ASSIST INDIVIDUALS EXPERIENCING HOMELESSNESS WITH SERVICES WHO WOULD OTHERWISE NOT QUALIFY FOR COC ASSISTANCE. RRC HAS AN ESTABLISHED RELATIONSHIP WITH THE CMHA AND HAS IDENTIFIED AN ADDITIONAL UNSHELTERED HOMELESS POPULATION THAT COULD BENEFIT FROM HOUSING SUPPORTS AND SERVICES. SPECIFICALLY, THE PLAN IS TO: 1) UTILIZE OUTREACH SPECIALISTS TO ENGAGE INDIVIDUALS NOT CURRENTLY ACCESSING EXISTING HOMELESS SERVICES IN THE COMMUNITY; 2) SCREEN AND ASSESS AT-RISK INDIVIDUALS FOR HOUSING NEEDS, SUBSTANCE ABUSE, AND IMMEDIATE OBSTACLES TO RECOVERY THROUGH INTENSIVE CASE MANAGEMENT; 2) INCREASE ACCESS TO HOUSING FOR INDIVIDUALS WHO DO NOT QUALIFY FOR COC ASSISTANCE; AND 3) CONNECT INDIVIDUALS TO INTENSIVE CASE MANAGEMENT AND REFERRALS TO PEER SUPPORT AND RECOVERY COACHES TO ADDRESS SUBSTANCE USE. RESTORATION RECOVERY CENTER WILL SERVE THE HOMELESS POPULATION OF FITCHBURG, MA, AND THE COUNTY OF WORCESTER. FITCHBURG HAS AN ESTIMATED POPULATION OF 41,732 PERSONS. FITCHBURG RESIDENTS ARE 73.3% WHITE, 6.5% BLACK OR AFRICAN AMERICAN, AND 30.0% HISPANIC/LATINO; THE REMAINING RACE GROUPS (E.G., AMERICAN INDIAN/ALASKA NATIVE, ASIAN, NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, OR TWO OR MORE RACES) REPRESENT APPROXIMATELY 13.5% OF THE POPULATION. FITCHBURG’S MEDIAN HOUSEHOLD INCOME (IN 2021 DOLLARS) IS $60,466, $8,555 LOWER THAN THE NATIONAL AVERAGE; 14.6% OF THE POPULATION LIVES IN POVERTY. WORCESTER COUNTY, MA MEDIAN HOUSEHOLD INCOME (IN 2021 DOLLARS) IS $56,746, $12,275 LOWER THAN THE NATIONAL AVERAGE; 19.3% OF THE COUNTY POPULATION LIVES IN POVERTY. UNSHELTERED HOMELESSNESS CONTINUES TO RISE IN MANY AREAS OF THE COUNTRY, INCLUDING FITCHBURG. PRIMARY CONCERNS FACING INDIVIDUALS EXPERIENCING HOMELESSNESS ARE A LACK OF STABLE HOUSING, ACCESS TO BASIC NEEDS, MENTAL AND PHYSICAL HEALTH ISSUES, AND DISCRIMINATION. A RECENT ANALYSIS OF HOMELESSNESS DATA SHOWS THAT PEOPLE EXPERIENCING UNSHELTERED HOMELESSNESS REPORT SIGNIFICANTLY GREATER HEALTH CHALLENGES AND EXPERIENCES OF TRAUMA AND VIOLENCE THAN THEIR SHELTERED PEERS. FOR THOSE UNABLE TO QUALIFY FOR COC ASSISTANCE, THESE CONCERNS ARE UNADDRESSED AND THE LIKELIHOOD THAT THEY WILL BE ABLE TO GET OUT OF THEIR SITUATION ALONE IS EXTREMELY LOW. RESTORATION RECOVERY WILL FILL THIS GAP AND ASSIST THOSE THAT ARE UNABLE TO ACCESS THESE SERVICES AND BREAK THE CYCLE. TO HELP ADDRESS THESE CONCERNS, RRC HOPES TO ENGAGE THE TARGET POPULATION THROUGH THE USE OF THIS GRANT TO ACHIEVE THE FOLLOWING GOALS: 1) INCREASE ACCESS FOR UNSHELTERED HOMELESS TO STABLE AND AFFORDABLE HOUSING; 2) INCREASE ACCESS TO AND PROVIDE DIVERSE SERVICES FOR UNSHELTERED HOMELESS ADULTS THAT SUPPORT THEIR HOUSING, RECOVERY, AND PERSONAL GROWTH GOALS; AND 3) IMPROVE ECONOMIC AND HEALTH SECURITY FOR INDIVIDUALS EXPERIENCING HOMELESSNESS.

ONE STOP WELLNESS INTEGRATED HOUSING SUPPORT TEAM - FINGER LAKES AREA COUNSELING & RECOVERY AGENCY (FLACRA) IS PROPOSING FUNDING FOR THE ONE STOP WELLNESS INTEGRATED HOUSING SUPPORT TEAM TO SUPPORT THE DEVELOPMENT AND IMPLEMENTATION OF AN INNOVATIVE, INTEGRATED TEAM OF PROFESSIONALS INCLUDING PEERS, CARE COORDINATORS AND HOUSING LEADERSHIP TO BUILD A COMPREHENSIVE SYSTEM OF IDENTIFICATION, NAVIGATION, IMMEDIATE ACCESS TO TREATMENTS AND SUPPORT FOR INDIVIDUALS AND FAMILIES STRUGGLING WITH HOMELESSNESS AND BEHAVIORAL HEALTH NEEDS IN THE COC NY-513C , COVERING ONTARIO, SENECA, WAYNE AND YATES COUNTIES OF NEW YORK STATE. FUNDING WILL ASSURE THE BRIDGE AND SUPPORT OF 115 INDIVIDUALS IN THE FIRST YEAR AND 535 INDIVIDUALS EXPERIENCING HOMELESSNESS AND BEHAVIORAL HEALTH OVER THE 5-YEAR PROPOSED GRANT PERIOD , COVERING ONTARIO, SENECA, WAYNE AND YATES COUNTIES OF NEW YORK STATE. FUNDING WILL ASSURE THE BRIDGE AND SUPPORT OF 115 INDIVIDUALS IN THE FIRST YEAR AND 535 INDIVIDUALS EXPERIENCING HOMELESSNESS AND BEHAVIORAL HEALTH OVER THE 5-YEAR PROPOSED GRANT PERIOD WHILE THEY ARE WAITING FOR PERMANENT HOUSING AND TO ASSURE THEY CAN MAINTAIN THAT HOUSING ONCE PLACED. PROJECT GOALS AND OBJECTIVES INCLUDE OUTREACH AND ENGAGEMENT TO SHELTERED AND UNSHELTERED INDIVIDUALS AND FAMILIES, CULTURALLY APPROPRIATE, TRAUMA-INFORMED AND PERSON-CENTERED ACCESS TO BEHAVIORAL HEALTH CARE, HARM REDUCTION ACTIVITIES, CASE MANAGEMENT AND CARE COORDINATION, RECOVERY SUPPORT, DATA COLLECTION AND REVIEW OF PROGRESS BY A CULTURALLY AND LINGUISTICALLY DIVERSE STEERING COMMITTEE. THIS GRANT WILL AFFORD THE RESOURCES NECESSARY FOR THE CROSS-COLLABORATION AND CONTINUED BUILD OF ACCESS TO TREATMENT, COORDINATION OF AND MECHANISMS FOR REFERRAL, IN-PERSON COORDINATION, AND OTHER RESOURCES NECESSARY TO SUPPORT INDIVIDUALS AND FAMILIES IN THE CATCHMENT AREA AND REGION WHO ARE HOMELESS WITH BEHAVIORAL HEALTH CONCERNS AND WILL PROVIDE ONGOING CONNECTIONS TO ASSURE HOUSING PLACEMENT. FLACRA IS A REGIONAL LEADER FOR BOTH HOUSING AND BEHAVIORAL HEALTH TREATMENT AND RECOVERY SERVICES AS WELL AS A PROVIDER OF CARE MANAGEMENT, HOME AND COMMUNITY BASED SERVICES AND RECOVERY COMMUNITY CENTERS IN THE FINGER LAKES REGION. FLACRA IS THE LEAD AGENCY FOR THE FINGER LAKES HOUSING CONSORTIUM (FLHC), COC NY-513, THE LEAD AGENCY FOR FINGER LAKES AND SOUTHERN TIER BEHAVIORAL HEALTH CARE COLLABORATIVE (FLST BHCC) AND IPA, A FOUNDING MEMBER OF FINGER LAKES IPA, A UNIQUE PARTNERSHIP BETWEEN FQHCS AND BEHAVIORAL HEALTH PARTNERS AND IS THE LEAD AGENCY FOR THE STATE OPIOID RESPONSE IN THE FINGER LAKES REGION, BRINGING A TEAM OF BEHAVIORAL HEALTH PROVIDERS TOGETHER IN THE REGION TO CONTINUE TO SUPPORT INCREASED ACCESS AND COORDINATION OF PREVENTION, HARM REDUCTION, TREATMENT AND RECOVERY SERVICES. RECOVERY SERVICES AS WELL AS A PROVIDER OF CARE MANAGEMENT, HOME AND COMMUNITY BASED SERVICES AND RECOVERY COMMUNITY CENTERS IN THE FINGER LAKES REGION. FLACRA IS THE LEAD AGENCY FOR THE FINGER LAKES HOUSING CONSORTIUM (FLHC), COC NY-513, THE LEAD AGENCY FOR FINGER LAKES AND SOUTHERN TIER BEHAVIORAL HEALTH CARE COLLABORATIVE (FLST BHCC) AND IPA, A FOUNDING MEMBER OF FINGER LAKES IPA, A UNIQUE PARTNERSHIP BETWEEN FQHCS AND BEHAVIORAL HEALTH PARTNERS AND IS THE LEAD AGENCY FOR THE STATE OPIOID RESPONSE IN THE FINGER LAKES REGION, BRINGING A TEAM OF BEHAVIORAL HEALTH PROVIDERS TOGETHER IN THE REGION TO CONTINUE TO SUPPORT INCREASED ACCESS AND COORDINATION OF PREVENTION, HARM REDUCTION, TREATMENT AND RECOVERY SERVICES. FLACRAS HOUSING TEAM CURRENTLY USES THE EVIDENCE-BASED HOUSING FIRST MODEL AND WOULD ADD TRAINING FOR THE EVIDENCE-BASED CRITICAL TIME INTERVENTION (CTI) MODEL TO FURTHER SUPPORT POSITIVE OUTCOMES AND HOUSING STABILITY FOR PARTICIPANTS. THIS PROJECT WILL PROVIDE SIGNIFICANT IMPROVEMENTS AND INTERVENTIONS TO SUPPORT THE MUCH-NEEDED COORDINATION BETWEEN BEHAVIORAL HEALTH, HEALTH AND HOUSING, ESPECIALLY FOR THOSE WHO ARE CURRENTLY HOMELESS. THE DEMAND FOR AFFORDABLE, SAFE HOUSING FAR EXCEEDS THE RESOURCES AS THE CONCOMITANT FACTORS OF

THE VILLAGE VIRGIN ISLAND PARTNERS IN RECOVERY - PROJECT HORIZON - THE VILLAGE VI PARTNERS IN RECOVERY PROPOSED PROJECT WILL USE EVIDENCE-BASED METHODS, INCLUDING BOTVIN LST, TO REDUCE THE ONSET AND PROGRESSION OF SUBSTANCE MISUSE AND ITS RELATED PROBLEMS BY SUPPORTING THE DEVELOPMENT AND DELIVERY OF COMMUNITY SUBSTANCE MISUSE PREVENTION AND MENTAL HEALTH PROMOTION SERVICES. THE CATCHMENT AREA IS ST. CROIX, VIRGIN ISLANDS AND THE TARGET POPULATION IS ADOLESCENTS (AGES 13-18) AND TRANSITIONAL AGED YOUTH (AGES 19-24) WHO ARE AT HIGH-RISK TO SUBSTANCE MISUSE AND MENTAL HEALTH PROBLEMS. THE PROPOSED GOALS AND OBJECTIVES INCLUDE: GOAL 1: STRENGTHEN COMMUNITY-LEVEL PREVENTION CAPACITY ON ST. CROIX TO IDENTIFY AND ADDRESS ALCOHOL, TOBACCO, AND MARIJUANA USE AMONG YOUTH AGES 13-24 YEARS. OBJECTIVE 1.1: BY DECEMBER 31, 2022, COMPLETE A COMPREHENSIVE NEEDS ASSESSMENT TO IDENTIFY CURRENT SUBSTANCE USE CONCERNS, NEGATIVE COMMUNITY CONSEQUENCES RELATED TO USE, RISK AND PROTECTIVE FACTORS, AND SUBPOPULATIONS MOST AT-RISK AND/OR UNDERSERVED. OBJECTIVE 1.2: BY MARCH 31, 2023, DEVELOP A DETAILED IMPLEMENTATION PLAN TO REDUCE RISK AND ENHANCE PROTECTIVE FACTORS. OBJECTIVE 1.3: BY SEPTEMBER 2027, DESIGN AND POST 108 PREVENTION MESSAGES (Y1=12; Y2-5=24 ANNUALLY) ON FACEBOOK, INSTAGRAM, OR TWITTER RELATED TO TOBACCO, ALCOHOL, AND MARIJUANA USE. OBJECTIVE 1.4: BY SEPTEMBER 2027, CONDUCT 10 SAFE FESTIVAL (2 ANNUALLY) OBSERVATIONS AND 10 STICKER SHOCK CAMPAIGNS (2 ANNUALLY) TO ENSURE VENDORS COMPLY WITH TOBACCO AND UNDERAGE DRINKING LAWS MEASURED BY CAMPAIGN LOGS. GOAL 2: PREVENT THE ONSET OF OR REDUCE THE PROGRESSION OF TOBACCO, ALCOHOL, AND MARIJUANA USE/MISUSE AMONG YOUTH AGED 13-24 YEARS LIVING ON ST. CROIX. OBJECTIVE 2.1: BY SEPTEMBER 2027, PROVIDE LIFE SKILLS TRAINING (LST) TO 360 YOUTH (Y1=40; Y2-5=80 ANNUALLY) EVIDENCED BY ENROLLMENT RECORDS. OBJECTIVE 2.2: BY SEPTEMBER 2027, 80% OF THE YOUTH WILL COMPLETE LST SUCCESSFULLY EVIDENCED BY THE DISCHARGE STATUS IN THE CLINICAL DATA SYSTEM (CDS). OBJECTIVE 2.3: BY SEPTEMBER 2027, 75% OF THE YOUTH REPORTING SUBSTANCE USE WILL RECEIVE TEEN INTERVENE EVIDENCED BY ENROLLMENT RECORDS. OBJECTIVE 2.4: BY SEPTEMBER 2027, 80% OF THE YOUTH WILL COMPLETE TEEN INTERVENE SUCCESSFULLY. OBJECTIVE 2.5: 80% OF THE YOUTH COMPLETING LST AND/OR TEEN INTERVENE WILL NOT BEGIN USING TOBACCO, ALCOHOL, OR MARIJUANA, REMAIN ABSTINENT, OR REDUCE USE MEASURED BY A PROGRAM SPECIFIC QUESTIONNAIRE AND GPRA. GOAL 3: STRENGTHEN PROTECTIVE FACTORS AND MITIGATE RISK FACTORS AMONG YOUTH AGED 13-24 YEARS LIVING ON ST. CROIX. OBJECTIVE 3.1: BY SEPTEMBER 2027, 80% OF THE YOUTH COMPLETING LST WILL INCREASE THEIR DISAPPROVAL AND PERCEIVED RISK OF HARM OF TOBACCO, ALCOHOL, AND MARIJUANA USE MEASURED BY THE LST PRE/POST-TEST. OBJECTIVE 3.2: BY SEPTEMBER 2027, 80% OF YOUTH COMPLETING LST WILL INCREASE ASSERTIVENESS, SELF-CONTROL, AND/OR RELAXATION SKILLS MEASURED BY THE LST PRE/POST-TEST. OBJECTIVE 3.3: BY SEPTEMBER 2027, 80% OF THE YOUTH COMPLETING LST AND/OR TEEN INTERVENE WILL REMAIN IN SCHOOL MEASURED BY SCHOOL RECORDS. OBJECTIVE 3.4: BY SEPTEMBER 2027, 80% OF YOUTH COMPLETING LST AND/OR TEEN INTERVENE WILL INCREASE THEIR PERCEPTION OF PARENTAL DISAPPROVAL MEASURED BY A PROGRAM SPECIFIC QUESTIONNAIRE. OBJECTIVE 3.5: BY SEPTEMBER 2027, 80% OF YOUTH COMPLETING LST AND/OR TEEN INTERVENE WILL DECREASE THEIR PERCEPTION THAT SUBSTANCE USE IS “COOL” MEASURED BY THE LST PRE/POST-TEST.

ONTRACK, INC

MAT-PDOA (VIDA BUENA PROJECT) - ABSTRACT THE SOUTH TEXAS SUBSTANCE ABUSE RECOVERY SERVICES (STSARS), FOUNDED IN 1969, HAS DEVELOPED A WIDE RANGE OF PROGRAMS TO MEET THE COMMUNITY NEEDS DOCUMENTING SUCCESSFUL OUTCOMES IN EACH PROGRAM. STSARS IS HHSC LICENSED, SAMHSA APPROVED, CARF ACCREDITED (3 YR), DEA AND FDA APPROVED TO PROVIDE MAT. THE PURPOSE OF THE PROPOSED PROJECT IS TO EXPAND AND ENHANCE ACCESS TO THE POPULATION OF FOCUS FOR THE PROVISION OF MEDICATION-ASSISTED TREATMENT (MAT), PSYCHOSOCIAL SERVICES AND RECOVERY SUPPORTS. BY CAREFULLY SELECTING A CULTURALLY RELEVANT NAME, VIDA BUENA (GOOD HEALTH IN SPANISH), A BRIDGE IS EXTENDED ENCOURAGING PARTICIPATION AND INCREASED ACCESS TO SERVICES. THE CATCHMENT AREA FOR THE PROJECT IS NUECES, SAN PATRICIO, JIM WELLS, KLEBERG, AND ARANSAS COUNTIES. THE POPULATION OF FOCUS IS: 1) ADULTS (18 AND OVER) 2) HAVE DIAGNOSABLE/DIAGNOSED OPIOID USE DISORDER (OUD) SEEKING OR RECEIVING MAT 3) LOCATED IN THE CATCHMENT AREA WITH PARTICULAR EMPHASIS ON DISPARATELY IMPACTED HISPANICS. THE FOLLOWING ARE THE PROJECT GOALS: GOAL #1: INCREASE ACCESS TO STSARS MAT WITH COMPREHENSIVE OUD PSYCHOSOCIAL SERVICES TO THE POPULATION OF FOCUS TO REDUCE OPIOID OVERDOSES/POISONING IN THE CATCHMENT AREA. GOAL #2: DECREASE PROJECT PARTICIPANTS ILLICIT OPIOID USE AND PRESCRIPTION OPIOID MISUSE AT 6-MONTH FOLLOW UP. GOAL #3: INCREASE COMMUNITY SUITE OF SERVICES TO BUILD SERVICE DELIVERY MODELS FOR THE POPULATION OF FOCUS IN CENTRAL SEMI-URBAN COUNTY AND OUTLYING RURAL COUNTIES INCLUDED IN THE CATCHMENT AREA. MEETING THESE GOALS WILL ADDRESS THE OVERDOSE FATALITY RATES AND ADDRESS DISPARATE ACCESS AND RISK FACTORS AMONG HISPANIC POPULATION. STSARS PROPOSES TO PROVIDE MAT, PSYCHOSOCIAL SERVICES AND RECOVERY SUPPORT SERVICES TO A TOTAL OF 198 INDIVIDUALS WHO MEET THE CRITERIA. STSARS IS REQUESTING $373,220.02 PER YEAR FOR A TOTAL OF $1,866,100.10.

ORANGE PARTNERSHIPS FOR SUCCESS TO REDUCE AND PREVENT YOUTH SUBSTANCE USE - ORANGE PARTNERSHIP FOR SUCCESS (OPS) PROJECT WILL FOCUS ON REDUCING AND PREVENTING THE ONSET OF YOUTH USE OF ELECTRONIC NICOTINE DELIVERY SYSTEMS (ENDS), TOBACCO AND CANNABIS PRODUCTS THROUGH COMMUNITY COLLABORATION IN ORANGE COUNTY NC. USING STRATEGIC PREVENTION FRAMEWORK AND ENVIRONMENTAL STRATEGIES. REDUCTION AND CESSATION RESOURCES, STUDENT EDUCATION AND YOUTH EMPOWERMENT, OP WILL WORK TO STRENGTHEN PROTECTIVE FACTORS AND REDUCE RISK AMONG MIDDLE AND HIGH SCHOOL STUDENTS. THROUGH COMPREHENSIVE DATA COLLECTION, POLICY ADVOCACY, MERCHANT EDUCATION, ACCESS TO INTERVENTION AND CESSATION RESOURCES, STUDENT EDUCATION AND YOUTH EMPOWERMENT, OP WILL WORK TO STRENGTHEN PROTECTIVE FACTORS AND REDUCE RISK AMONG MIDDLE AND HIGH SCHOOL STUDENTS. THE AREA OF FOCUS INCLUDES THE DIVERSE COMMUNITIES THAT MAKE UP ORANGE COUNTY - THE MORE AFFLUENT, URBAN AREAS OF CHAPEL HILL-CARRBORO AND THE SMALL TOWN OF HILLSBOROUGH, WHICH IS THE COUNTY SEAT, ALONG WITH THE SEVEN TOWNSHIPS IN THE RURAL AREAS. ORANGE COUNTY, NC HAS A POPULATION OF 148,476 WITH 21% OF THE POPULATION BETWEEN THE AGES 5 AND 19. OP'S PRIORITY POPULATION IS MIDDLE AND HIGH SCHOOL STUDENTS WITHIN ORANGE COUNTY'S TWO SCHOOL DISTRICTS, ORANGE COUNTY SCHOOL (OCS) AND CHAPEL HILL-CARRBORO CITY SCHOOL (CHCCS). BETWEEN THE TWO SCHOOL DISTRICTS THERE ARE 19 ELEMENTARY SCHOOLS, 9 MIDDLE SCHOOLS AND 8 HIGH SCHOOLS, SERVING ALMOST 20,000 STUDENTS. ACCORDING TO THE NC YOUTH TOBACCO SURVEY, BETWEEN 2011 AND 2019, PAST 30-DAY USE OF TOBACCO INCREASED 1129% AMONG NC HIGH SCHOOL STUDENTS. THIS INCREASE IN USE OPERATES IN CONJUNCTION WITH A DECREASE IN INDIVIDUAL PERCEPTIONS OF HARM. USING CADCA'S SEVEN STRATEGIES FOR COMMUNITY CHANGE, THERE WILL BE A VARIETY OF STRATEGIES AND INTERVENTIONS IMPLEMENTED OVER THE COURSE OF THE PROJECT. STRATEGIES INCLUDE REDUCING YOUTH ACCESS BY CONDUCTING REGULAR TOBACCO PURCHASE SURVEYS, PROVIDING EDUCATION TO MERCHANTS WHO FAIL, AND CONTINUING TO EXPAND THE YOUTH PREVENTION ALCOHOL AND DRUG ABUSE PREVENTION TEAM (ADAPT) PRESENCE IN MIDDLE AND HIGH SCHOOLS. ADAPT NOT ONLY INCREASES STUDENTS' AWARENESS OF THE RISKS OF SUBSTANCE USE, THE PROGRAM EMPOWERS THEM TO EDUCATE PEERS THROUGH PEER-TO-PEER EDUCATION AND ADVOCACY. ADDITIONALLY, ORANGE PARTNERSHIP WILL ADVOCATE FOR BEST PRACTICES IN STUDENT DATA COLLECTION AND STUDENT DISCIPLINE REFERRALS, AS WELL AS PROVIDE COMPREHENSIVE GUIDES TO RESOURCES AVAILABLE FOR STUDENTS USING TOBACCO AND CANNABIS PRODUCTS. ORANGE PARTNERSHIP PROPOSES TO PREVENT YOUTH SUBSTANCE USE BY INCREASING THE COLLECTION AND REPORTING OF COMMUNITY-LEVEL DATA ON NICOTINE AND CANNABIS RELATED PRODUCTS, DECREASING YOUTH ACCESS THROUGH RETAILERS TO ENDS, NICOTINE AND CANNABIS PRODUCTS, INCREASING THE NUMBER OF STUDENTS WHO ARE AWARE OF HARMS RELATED TO TOBACCO, CANNABIS AND VAPES, INCREASING THE NUMBER OF STUDENTS WHO USE TOBACCO, CANNABIS OR VAPES REFERRED TO APPROPRIATE INTERVENTIONS AND SERVICES. OP WILL MEASURE PROGRESS TOWARDS THESE GOALS USING OUTCOME MEASURES SUCH AS THE NUMBER OF TOBACCO PURCHASE SURVEYS, ENVIRONMENTAL SCANS AND MERCHANT EDUCATION TRAINING. THE EFFECTIVENESS OF THESE MEASURES WILL BE MEASURED THROUGH YOUTH RISK BEHAVIOR SURVEYS, COMMUNITY SURVEYS, THE NUMBER OF STUDENTS INVOLVED IN YOUTH PREVENTION PROGRAMS, THE NUMBER OF RETAILERS RECEIVING MERCHANT EDUCATION, THE NUMBER OF TRAINING ATTENDEES AND PEER EDUCATION RECIPIENTS. THROUGH THIS PROJECT, WE ANTICIPATE SERVING 2705, WITH AN ANTICIPATED ANNUAL REACH OF 4,830,000 MEDIA IMPRESSIONS. THE EXPECTED REACH OF 13,525 WILL BE SERVED OVER THE PROJECT PERIOD.

RECOVERY THROUGH WORK - AS ONE OF THE LARGEST MEDICATION ASSISTED TREATMENT (MAT) PROVIDERS IN PHILADELPHIA, PA, MERAKEY PARKSIDE RECOVERY SEEKS TO INTEGRATE RECOVERY THROUGH WORK, A COMPREHENSIVE WORKFORCE DEVELOPMENT PROGRAM, INTO ITS SUBSTANCE USE DISORDER (SUD)/CO-OCCURRING DISORDER (COD) TREATMENT AT THREE SITES LOCATED IN MEDICALLY UNDERSERVED COMMUNITIES: WEST PHILADELPHIA, GERMANTOWN, AND GREATER NORTHEAST PHILADELPHIA. MERAKEY PARKSIDE RECOVERY PROVIDES EVIDENCE-BASED TREATMENT TO OVER 2,000 UNIQUE INDIVIDUALS/YEAR. 97% OF MERAKEY PARKSIDE CLIENTS INJECT DRUGS. THE MAJORITY OF CLIENTS HAVE A CO-OCCURRING MENTAL HEALTH DISORDER, EXPERIENCE HOUSING INSECURITY, AND HAVE HAD INTERACTIONS WITH THE JUSTICE SYSTEM. 40% OF CLIENTS IDENTIFY AS BLACK OR AFRICAN AMERICAN AND APPROXIMATELY 10% IDENTIFY AS HISPANIC/LATINO. 65% IDENTIFY AS MALE. IN RECENT YEARS, PHILADELPHIA HAS HAD ONE OF THE HIGHEST RATES OF DEATH FROM UNINTENTIONAL DRUG OVERDOSES AMONG THE NATION'S LARGEST CITIES AND COUNTIES. IN 2018, THE CITY RECORDED 1,116 DRUG RELATED DEATHS. OPIOIDS WERE FOUND IN MORE THAN 84% OF THOSE DRUG DEATHS. IN 2020, THOSE NUMBERS CONTINUE TO RISE, AND PHILADELPHIA IS FACING A SERIOUS PUBLIC HEALTH CRISIS. SUD TREATMENT NEEDS TO SUPPORT SUSTAINED RECOVERY BY INCREASING ACCESS TO EMPLOYMENT. BY HOLDING A JOB, INDIVIDUALS ESTABLISH A LEGAL SOURCE OF INCOME, STRUCTURED USE OF TIME, AND IMPROVED SELF-ESTEEM, WHICH IN TURN FOSTERS AND STRENGTHENS RECOVERY. THE FOCUS OF MERAKEY'S PROPOSAL IS TO SUPPORT RECOVERY BY: IMPLEMENTING A PREVOCATIONAL WORKFORCE TRAINING PROGRAM AND WORKFORCE CARE MANAGEMENT TEAM COMPRISED OF CASE MANAGERS, CAREER NAVIGATORS, AND A CERTIFIED PEER SPECIALIST; ASSISTING CLIENTS IN SECURING AND RETAINING EMPLOYMENT; AND INCREASING THE CAPACITY OF EMPLOYERS TO HIRE AND RETAIN THE INDIVIDUALS IN RECOVERY. THE PROGRAM, PREVIOUSLY PILOTED AT MERAKEY'S WEST PHILADELPHIA SITE, IS ALREADY SUPPORTED BY THE LOCAL PHILADELPHIA WORKFORCE BOARD AND ALIGNS WITH THE CITY'S PRIORITY TO REDUCE OPIOID-RELATED FATALITIES AND SUPPORT THOSE IN RECOVERY WITH RETURNING TO THE WORKFORCE. THROUGH THIS PROGRAM, CLIENTS WILL DEVELOP LIFELONG SKILLS AND SOCIAL CONNECTIONS THAT INCREASE ACCESS TO EMPLOYMENT, IMPROVE SOCIAL DETERMINANTS OF HEALTH, AND EMPOWER THEM IN THEIR RECOVERY. THE RECOVERY THROUGH WORK CURRICULUM COVERS A WIDE RANGE OF TOPICS, INCLUDING COMPUTER LITERACY, INTERVIEWING SKILLS, FINANCIAL LITERACY, AND EMOTIONAL INTELLIGENCE. OVER THE FIVE-YEAR GRANT PERIOD, 390 UNIQUE CLIENTS WILL HAVE THE OPPORTUNITY TO ENROLL IN THIS 10-WEEK RECOVERY THROUGH WORK PROGRAM AND RECEIVE THE ASSOCIATED SUPPORTS FROM THE WORKFORCE CARE MANAGEMENT TEAM. IN THE FIRST AND FINAL YEARS, THE PROGRAM WILL SERVE 60 CLIENTS ANNUALLY; IN YEARS TWO AND THROUGH FOUR, 90 CLIENTS ANNUALLY WILL HAVE ACCESS TO THE PROGRAM. IN ADDITION, 125 UNIQUE EMPLOYERS WILL ACTIVELY COLLABORATE WITH THE PROGRAM TO HELP INDIVIDUALS IN RECOVERY OBTAIN SELF-SUSTAINING EMPLOYMENT. BY THE END OF THE FIVE-YEAR GRANT PERIOD, AT LEAST 50 EMPLOYERS WILL RECEIVE EDUCATION AND PARTICIPATE IN ROUND TABLE DISCUSSIONS ABOUT THE IMPORTANCE OF HIRING INDIVIDUALS IN RECOVERY.

AWARD PURPOSE: METHOW SALMON RECOVERY FOUNDATION (MSRF) IS A NON-PROFIT ORGANIZATION AND HAS ACTED AS A PROJECT SPONSOR FOR THE BUREAU OF RECLAMATION (RECLAMATION) IN THE METHOW SUB-BASIN SINCE 2004. DURING THAT PERIOD, MSRF HAS HELPED RECLAMATION CREATE A UNIQUE WORKING COMMUNITY IN THE TWISP COMMUNITY. THE MSRF OFFICE FUNCTIONS AS A COLLABORATIVE CENTER WHERE PROJECT IMPLEMENTERS AND COMMUNITY MEMBERS MEET FREQUENTLY TO IDENTIFY RESTORATION OPPORTUNITIES AND ADDRESS LANDOWNER NEEDS AND CONCERNS RELATED TO HABITAT RESTORATION ACTIONS. THE TWISP OFFICE ALSO PROVIDES OFFICE AND MEETING SPACE FOR THE METHOW WATERSHED ACTION TEAM, METHOW WATERSHED COUNCIL, METHOW BEAVER PROJECT, SEVERAL IRRIGATION COMPANIES, AND FOR THE RECLAMATION AREA LIAISON. ACTIVITIES TO BE PERFORMED INCLUDE: 1.COORDINATE BASIN-WIDE IDENTIFIED PROJECTS2.MANAGE SUGAR REACH PROJECTS3.MANAGE LOWER METHOW REACH PROJECT4.POST-PROJECT PERFORMANCE MONITORING5.WATER EFFICIENCY IRRIGATOR ASSISTANCEEXPECTED DELIVERABLES OR OUTCOMES: THIS PROJECT WILL ALLOW MSRF TO CONTINUE ASSISTING RECLAMATION IN DEVELOPING AND IMPLEMENTING PRIORITIZED PROJECT ACTIONS IN THE METHOW VALLEY, IN PART, TO MEET ITS OBLIGATIONS UNDER THE FEDERAL COLUMBIA RIVER POWER SYSTEM BIOLOGICAL OPINION.INTENDED BENEFICIARIES: MSRF EFFORTS WILL CARRY OUT THE PUBLIC PURPOSE OF MANAGING, DEVELOPING, AND MONITORING IDENTIFIED SALMON AND STEELHEAD HABITAT IMPROVEMENT PROJECTS IN THE METHOW SUB-BASIN. BENEFITS INCLUDE IMPROVED INSTREAM HABITAT COMPLEXITY, REMOVE BARRIERS, INCREASE INSTREAM FLOWS, AND UPGRADE DEFICIENT IRRIGATION SCREENS. SUBRECIPIENT ACTIVITIES (IF KNOWN OR SPECIFIED AT TIME OF AWARD): N A

TARGET GRANTS FOR WELL-BEING /PERMANENCY FOR CHILDREN AFFECTED BY METH./OTHER DRUG ABUSE

NATIONAL CONSUMER AND CONSUMER SUPPORT TECHNICAL ASSISTANCE CENTER OF DOORS TO WELL-BEING - DOORS TO WELLBEING (D2W), A PROJECT OF THE COPELAND CENTER FOR WELLNESS & RECOVERY, WILL PROVIDE TRAINING AND TECHNICAL ASSISTANCE (TTA) TO STRENGTHEN THE U.S. BEHAVIORAL HEALTH PEER WORKFORCE AND SUPPORT INTEGRATION OF PEER-DELIVERED SERVICES ACROSS HEALTHCARE AND HUMAN SERVICE ORGANIZATIONS IN ALL 50 STATES AND U.S. TERRITORIES. D2W WILL EMPHASIZE ORGANIZATIONS SERVING RURAL AND ECONOMICALLY DISTRESSED COMMUNITIES, INDIVIDUALS INVOLVED IN THE CRIMINAL JUSTICE SYSTEM, GRASSROOTS FAITH- AND COMMUNITY-BASED ORGANIZATIONS, AND PEER-RUN ORGANIZATIONS. TTA WILL SERVE ADMINISTRATORS, PEER WORKERS, PEER PROGRAM MANAGERS, AND PEER SUPERVISORS THROUGH IN-PERSON AND ONLINE COURSES, CONSULTATIONS, TRAININGS, WORKSHOPS, CUSTOMIZED ASSISTANCE, AND PEER-TO-PEER LEARNING COMMUNITIES. A NATIONAL ENVIRONMENTAL SCAN AND NEEDS ASSESSMENT WILL GUIDE TTA PRIORITIES AND STRATEGIES. D2W WILL ALSO DEVELOP AND DISSEMINATE CASE STUDIES, FACT SHEETS, NEWSLETTERS, TOOLKITS, AND OTHER RESOURCES TO SUPPORT EFFECTIVE INTEGRATION OF PEER WORKERS AND EVIDENCE-BASED PEER SUPPORT SERVICES FOR INDIVIDUALS WITH MENTAL HEALTH, SUBSTANCE USE, AND CO-OCCURRING CHALLENGES. THE PROJECT WILL CONDUCT AN AVERAGE OF 100 TTA EVENTS ANNUALLY, PRODUCE AND DISSEMINATE AT LEAST 25 TTA PRODUCTS ANNUALLY, AND SERVE 100,000 PEERS AND STAKEHOLDERS ANNUALLY. EVALUATION FINDINGS WILL INFORM CONTINUOUS QUALITY IMPROVEMENT GOALS AND IMPLEMENTATION PLANS.

GROVE HALL GETTING HEALTHIER

WEARABLE TECHNOLOGY TO REDUCE RISK OF DVT AND INCREASE PATIENT COMPLIANCE

PROJECT B.R.I.D.G.E.S.

ODEP DISABILITY GRANTS

BRIDGES

THE SAVED SISTA PROJECT

OPIOID-IMPACTED FAMILY SUPPORT PROGRAM - OWRN PROPOSAL ABSTRACT IN TEXAS, DESPITE GOVERNMENTAL EFFORTS TO CURTAIL OPIOID PRESCRIBING, FATALITIES ATTRIBUTED TO OPIOID-RELATED OVERDOSE CONTINUE TO ESCALATE ANNUALLY. RECOGNIZING THE IMPERATIVE FOR RECOVERY SUPPORT SERVICES FOR INDIVIDUALS AND FAMILIES GRAPPLING WITH SUBSTANCE USE DISORDERS, THE LEGISLATIVE BUDGET BOARD STAFF (2019) UNDERSCORED THE NECESSITY FOR ENHANCED SUPPORT STRUCTURES. ACKNOWLEDGING THIS URGENT NEED, THE STATE OF TEXAS HAS EMBARKED ON A TARGETED OPIOID RESPONSE INITIATIVE, SUPPORTED BY FUNDING FROM THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA). SINCE 2014, ONE WORLD RECOVERY NETWORK (OWRN) HAS BEEN INTEGRAL TO THIS ENDEAVOR. OWRN HAS SPEARHEADED THE ESTABLISHMENT OF A DEPARTMENT OF LABOR (DOL) CREDENTIALED REGISTERED APPRENTICESHIP PROGRAM (RAP) THAT IS AIMED AT FORTIFYING PEER-BASED RECOVERY SUPPORT SYSTEMS, PARTICULARLY WITHIN UNDERSERVED OR REMOTE COMMUNITIES. THE NEED TEXAS, RENOWNED FOR ITS CULTURAL AND EXPERIENTIAL DIVERSITY, PRESENTS A UNIQUE LANDSCAPE NECESSITATING PEER SUPPORT SERVICES THAT ARE NOT ONLY LINGUISTICALLY BUT ALSO CULTURALLY ATTUNED. WITH A POPULACE SPANNING DIVERSE ETHNICITIES AND ENCOMPASSING RURAL FARMING ENCLAVES, RANCHING COMMUNITIES, AND BUSTLING URBAN CENTERS, THE STATE'S MULTIFACETED DEMOGRAPHICS UNDERSCORE THE IMPORTANCE OF CULTURALLY COMPETENT PEER INTERVENTIONS. FOR THIS EFFORT, OWRN SELECTED THREE COUNTIES WITHIN TEXAS THAT ARE MEDICALLY UNDERSERVED COMMUNITIES, WHERE OPIOID USE IS SIGNIFICANT. POPULATIONS SERVED JEFFERSON COUNTY. CHARACTERIZED AS A BORDER COMMUNITY, THE INFLUX OF ILLEGAL DRUGS NECESSITATES ROBUST INTERVENTION STRATEGIES. CULTURALLY ADEPT AND SPANISH-SPEAKING PROVIDERS ARE IMPERATIVE TO ADDRESS THE EVOLVING DEMOGRAPHIC LANDSCAPE. ADDITIONALLY, THE HIGH PREVALENCE OF PRESCRIPTION PAIN MEDICATION USE UNDERSCORES THE NEED FOR COMPREHENSIVE PRIMARY CARE, BEHAVIORAL HEALTH PROVIDERS, RECOVERY, AND PEER ORGANIZATIONS, ALONGSIDE COL LEGIATE RECOVERY PROGRAMS AND TELEHEALTH SERVICES. GRAYSON COUNTY. HOME TO RURAL FARMERS AND RANCHERS, THE POPULATION EXHIBITS A DISPROPORTIONATE RELIANCE ON OPIOIDS TO MANAGE CHRONIC PAIN RESULTING FROM PHYSICAL LABOR. MOREOVER, THE COUNTY FACES HEIGHTENED RISKS OF HIV AND HEPATITIS C OUTBREAKS ATTRIBUTABLE TO THE OPIOID EPIDEMIC. WITH MULTIPLE SETTLEMENTS REACHED WITH RETAIL PHARMACIES AND MANUFACTURERS, THE NEED FOR PRIMARY CARE, BEHAVIORAL HEALTH PROVIDERS, RECOVERY AND PEER ORGANIZATIONS, AND TELEHEALTH SERVICES REMAINS CRITICAL. LUBBOCK COUNTY. AS AN URBAN CENTER, THE PREVALENCE OF FENTANYL USE AND OVERDOSE RATES IS ALARMINGLY HIGH. PROHIBITED HARM REDUCTION PRACTICES NECESSITATE ALTERNATIVE AVENUES TO ADDRESS OPIOID USE DISORDER (OUD). WHILE MEDICATION-ASSISTED TREATMENT (MAT) FACILITIES EXIST, THE DEARTH OF LONG-TERM ADDICTION TREATMENT SUPPORTS POSES A SIGNIFICANT CHALLENGE. TO CATER TO THE NEEDS OF THIS POPULATION, A COMPREHENSIVE ARRAY OF SERVICES IS INDISPENSABLE, ENCOMPASSING PRIMARY CARE, MAT FACILITIES, BEHAVIORAL HEALTH PROVIDERS, RECOVERY AND PEER ORGANIZATIONS, COLLEGIATE RECOVERY PROGRAMS, SCHOOLS, AND TELEHEALTH SERVICES. PROPOSED OWRN CORE SERVICES OWRN WILL PROVIDE THE FOLLOWING SERVICES THROUGH ITS RAP PROGRAM AND THE SUPPORT OF THE HRSA OIFSP GRANT: CULTURALLY ADAPTED CURRICULUM TO MEET THE CULTURAL AND LINGUISTIC NEEDS IN THE IDENTIFIED COMMUNITIES. TRAINING TO TRAINERS, ENSURING THEY ARE WELL VERSED IN NEW CULTURALLY ADAPTED TRAINING ELEMENTS. MARKETING AND OUTREACH TO RECRUIT TRAINEES AND TO SECURE APPRENTICESHIP EMPLOYMENT OPPORTUNITIES. PEER SUPPORT SUPERVISION AND MENTORING THROUGHOUT THE APPRENTICESHIP PROGRAM TO ENSURE TRAINEE SUPPORT AND PROGRAM SUCCESS. ADVISORY COMMITTEE TO MEET BI-MONTHLY TO DISCUSS PROGRAM OUTCOMES AND WORK TOWARD CONSTANT IMPROVEMENT. DATA ANALYSIS AND EVALUATION TO INFORM PROGRAM DECISIONS AND CHANGES THAT WORK TOWARD CONTINUOUS GROWTH AND POSITIVE PROGRAM OUTCOMES.

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

PROPOSAL TO RESTORE AND MANAGE NATIVE OYSTERS TO THE CHESAPEAKE BAY

THE DETROIT RECOVERY PROJECT

SUBSTANCE USE DISORDER TREATMENT FOR RACIAL/ETHNIC MINORITY POPULATIONS AT HIGH RISK FOR HIV/AIDS

AMERICAN RECOVERY AND REINVESTMENT ACT - PCC - AZ JOB HELP HUBS @ YOUR LIBRARY

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

NORD CENTER CCBHC EXPANSION - THE NORD CENTER’S PROJECT WILL INCREASE ACCESS TO AND IMPROVE THE QUALITY OF COMMUNITY MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT IN LORAIN COUNTY, OHIO. THE PROJECT WILL RESULT IN GREATER CAPACITY TO SERVE UNDERSERVED POPULATIONS, IMPROVED ACCESS TO BEHAVIORAL HEALTHCARE, ENHANCEMENTS TO THE COUNTY'S CRISIS RESPONSE AND BETTER HEALTH OUTCOMES FOR CLIENTS VIA THE INTEGRATION OF PRIMARY AND BEHAVIORAL HEALTHCARE. ACTIVITIES INCLUDE: OPENING THREE NEW SERVICE LOCATIONS, INCREASING THE BEHAVIORAL HEALTH WORKFORCE, IMPLEMENTING A 14 BED BEHAVIORAL HEALTH/SUD CRISIS STABILIZATION UNIT AND DEVELOPING THE CAPACITY TO PROVIDE INTEGRATED CARE TO CLIENTS WITH COMPLEX BEHAVIORAL HEALTH, SUD AND PHYSICAL HEALTH NEEDS. THE GOALS OF THE PROJECT ARE TO POSITIVELY IMPACT THE LIVES OF THOSE FACING HEALTH DISPARITIES TO INCREASE ACCESS TO COMPREHENSIVE BEHAVIORAL HEALTH SERVICES, TO IMPLEMENT A CONTINUUM OF CRISIS SERVICES FOR ADULTS, ADOLESCENTS AND CHILDREN AND TO INCREASE THE NUMBER OF CLIENTS ENGAGED AND RETAINED IN RECEIVING EVIDENCE BASED BEHAVIORAL HEALTH, SUD AND PHYSICAL HEALTH SERVICES THAT PROMOTE WELLNESS AND RECOVERY. THE NORD CENTER'S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC EXPECTS TO SERVE A MINIMUM OF 8,800 CLIENTS PER YEAR.

BEHAVIORAL HEALTH WORKFORCE EDUCATION AND TRAINING PROGRAM

EXPAND SUBSTANCE USE TREATMENT CAPACITY IN ADULT DRUG COURT IN PETTIS COUNTY, MISSOURI - THE PURPOSE OF THIS PROJECT IS TO EXPAND SUD TREATMENT AND RECOVERY SUPPORT SERVICES IN THE EXISTING PETTIS COUNTY RECOVERY COURT (PCRC), WHICH USES THE TREATMENT DRUG COURT MODEL TO PROVIDE SUD SERVICES TO PARTICIPANTS (INCLUDING SCREENING, ASSESSMENT, TREATMENT, RECOVERY SUPPORT SERVICES, CASE MANAGEMENT, RECOVERY HOUSING, AND CARE COORDINATION). PCRC TAKES A HOLISTIC PERSPECTIVE AND IT EMBRACES SAMHSA’S FOUR MAJOR DIMENSIONS THAT SUPPORT A LIFE IN RECOVERY (HTTPS://WWW.SAMHSA.GOV/RECOVERY): HEALTH, HOME, PURPOSE, AND COMMUNITY. THE POPULATION OF FOCUS WILL BE INDIVIDUALS OVER 18 YEARS OF AGE WITH SUBSTANCE USE DISORDERS (SUDS) AS THEIR PRIMARY CONDITION, INCLUDING INDIVIDUALS WITH CO-OCCURRING DISORDERS, RESIDING IN PETTIS COUNTY, MISSOURI. FUNDING FROM THIS GRANT WILL BE USED TO SERVE PARTICIPANTS ACCEPTED IN THE PETTIS COUNTY RECOVERY COURT (PCRC). GIVEN THE WHITEMAN AIR FORCE BASE NEARBY, THE HIGH VETERAN AND SERVICE MEMBER POPULATION IN THE AREA, LOCAL SMALL TOWN AND RURAL POPULATION, AND THE GROWING NEWLY SETTLED DIVERSE POPULATION IN PETTIS COUNTY, WE HAVE TAKEN CONSIDERABLE STEPS TOWARDS PLANNING HOW TO BEST SERVE INDIVIDUALS FROM VARIOUS BACKGROUNDS WITH VALUE SENSITIVE CARE. PCRC PLACES SIGNIFICANT IMPORTANCE ON BEST PRACTICES, SERVICES AND SUPPORTS THAT ARE TRAUMA-INFORMED, CULTURALLY SENSITIVE AND APPROPRIATE. THE GEOGRAPHIC CATCHMENT AREA WHERE SERVICES WILL BE DELIVERED IS THE COUNTY OF PETTIS IN MISSOURI. PETTIS COUNTY IS LOCATED IN WEST CENTRAL MISSOURI, CLOSE TO THE WHITEMAN AIR FORCE BASE. POPULATION: 43,188 (CENSUS.GOV). AREA: 686 SQUARE MILES. THE COUNTY SEAT IS SEDALIA, SURROUNDED BY SMALLER RURAL TOWNS WITHIN A 25-MINUTE DRIVE: LA MONTE, SMITHTON, GREEN RIDGE, HOUSTONIA, HUGHESVILLE, AND WINDSOR. POPULATION DEMOGRAPHICS: 83.66% WHITE, 9.3% HISPANIC OR LATINO, 3.5% BLACK OR AFRICAN AMERICAN, 0.9% ASIAN, 0.8% AMERICAN INDIAN/ALASKA NATIVE, 0.4% NATIVE HAWAIIAN/PACIFIC ISLANDER, AND 2.8% REPORTING TWO OR MORE RACES. THIS GRANT WILL HELP US INCREASE ACCESS AND SERVE 40 UNDUPLICATED INDIVIDUALS PER YEAR, MEET THE NEED THROUGH OUR COORDINATED, HOLISTIC, MULTI-SYSTEM APPROACH DESIGNED TO COMBINE THE SANCTIONING POWER OF TREATMENT DRUG COURTS WITH EVIDENCE-BASED TREATMENT AND RECOVERY SUPPORT SERVICES TO BREAK THE CYCLE OF CRIMINAL BEHAVIOR, ALCOHOL AND/OR DRUG USE, AND INCARCERATION. THE SIGNIFICANT DISPARITIES AND BARRIERS TO SERVICES CONTRIBUTE TO KEEPING INDIVIDUALS IN A VICIOUS CYCLE OF INCREASED CRIMINAL ACTIVITY, CONTINUED DRUG USE, IMPRISONMENT, AND THEIR FAMILIES STRUGGLING FROM IMPACT OF ADDITION, INCLUDING LOSS OF PARENTAL FIGURE OR OTHER FAMILY ROLE, LOSS OF INCOME FROM UNEMPLOYMENT AND/OR IMPRISONMENT OF THEIR LOVED ONE STRUGGLING WITH SUD AND/OR COMORBID DISORDERS. THE PROJECT WILL EXPAND THE CAPACITY OF TREATMENT IN THE 18TH JUDICIAL CIRCUIT IN PETTIS COUNTY IN ORDER TO INCREASE ACCESS TO SERVICES FOR OFFENDERS STRUGGLING WITH SUDS. THE PROJECT WILL PROVIDE SERVICES TO 40 UNDUPLICATED PARTICIPANTS PER YEAR AND A TOTAL OF 200 INDIVIDUALS OVER THE ENTIRE PROJECT PERIOD OF FIVE YEARS.

INTEGRATED TREATMENT SERVICES FOR AFRICAN AMERICAN/LATINO INDIVIDUALS

SOS (SISTERS OF SOBRIETY)

PROJECT FORWARD (FAMILY-ORIENTED RESOURCES FOR WOMEN ACCESSING RECOVERY IN DALLAS)

MEMPHIS SUBSTANCE - USING WOMEN'S ACTION TEAM (SWAT)

SISTERS OF SOBRIETY II (SOS II)

NEW HOPE-A COLLABORATION AND CAPACITY BUILDING PROGRAM

SUSANNA'S PLACE: THE VI TCE/HIV FOR MINORITY WOMEN PROJECT

FAMILY RECOVERY PROGRAM - FAMILY MATTERS FAMILY DRUG TREATMENT COURT INITIATIVE - THE FAMILY RECOVERY PROGRAM, INC. (FRP) IS A 501C3 NONPROFIT IN BALTIMORE, MARYLAND. FRP PRIMARILY SERVES BALTIMORE CITY PARENTS; AGE 18 AND OLDER, WITH A CHILD OR CHILDREN UNDER THE AGE OF 13 WHO HAVE BEEN REMOVED FROM THEIR PARENTS’ CARE FOR REASONS RELATED TO SUBSTANCE USE DISORDER (SUD). THE PURPOSE OF FRP IS TO REDUCE A CHILD’S EXPOSURE TO OUT-OF-HOME PLACEMENTS WHEN THAT CHILD IS REMOVED FROM THEIR PARENT’S OR LEGAL GUARDIAN’S (HERE-IN-AFTER “PARENT”) CARE DUE TO THE PARENT’S SUBSTANCE USE DISORDER. THIS NEW FUNDING WILL ALLOW FRP TO IMPLEMENT THE FAMILY MATTERS INITIATIVE TO EXPAND SERVICE TO ADDITIONAL FAMILIES AND TO EXPAND ITS OVERALL SERVICE DELIVERY MODEL. THIS EXPANSION WILL ENABLE US TO INCLUDE ADDITIONAL EVIDENCE-BASED INTERVENTIONS (EBI) AND TO PROACTIVELY LAYER MORE SUPPORT AND ENGAGE EXTENDED FAMILY AND SUPPORT SYSTEMS IN OUR WORK WITH EACH FAMILY. FRP’S COMPREHENSIVE FRAMEWORK WILL ENSURE THE BEST MODALITIES TO SERVE OUR PARENT PARTICIPANTS. FRP WILL EMPLOY THE FOLLOWING EBIS FOR OUR PROGRAMS:(1) MEDICATION FOR OPIOID USE DISORDER (MOUD; (2) MOTIVATIONAL INTERVIEWING; (3) INTENSIVE CASE MANAGEMENT; AND (4) PEER SUPPORT. FRP IS A FAMILY DRUG TREATMENT COURT WORKING WITH BALTIMORE CITY LAWYERS, JUDGES, AND OTHER DIRECT SERVICE PROVIDERS. WE SERVE FAMILIES WHO ARE ELIGIBLE FOR FAMILY TREATMENT COURT. ON AVERAGE, MOST OF OUR PARENTS ENROLLED IN FRP IDENTIFIED AS BLACK/AFRICAN AMERICAN. THEY MAY ALSO BE LOW-INCOME AND EXPERIENCING HOMELESSNESS. THESE ARE TYPICALLY INDIVIDUALS WHO HAVE EITHER LOST CUSTODY OF THEIR CHILDREN OR ARE AT RISK OF LOSING CUSTODY. OUR PROGRAMS ARE DESIGNED TO PROMOTE POSITIVE CHANGES AMONG PARENTS AND PROMOTE THE POSITIVE DEVELOPMENT OF CHILDREN BY EMPLOYING KEY CHARACTERISTICS OF TRAUMA-INFORMED APPROACHES AND PROTECTIVE FACTORS. TO ASSIST PARENTS, FAMILIES, AND CHILDREN ENGAGED IN FAMILY DRUG TREATMENT COURT TO MAKE HEALTHY PERSONAL CHOICES REGARDING THE IMPACT OF SUBSTANCE USE, FRP EMPLOYS AN APPROACH EMBEDDED WITH TRAUMA-INFORMED SERVICES DESIGNED TO BE CULTURALLY APPROPRIATE FOR OUR PARENT PARTICIPANTS. THE OVERARCHING GOAL OF OUR FAMILY MATTERS INITIATIVE IS TO SERVE AN ADDITIONAL 195 FAMILIES OVER A FIVE-YEAR PERIOD BY IMPLEMENTING CULTURALLY APPROPRIATE, EVIDENCE-BASED, EMERGING, AND COMMUNITY-DEFINED BEST PRACTICES, INTERVENTIONS, AND FRAMEWORKS TO ADDRESS SUBSTANCE USE DISORDER, TACKLE MENTAL HEALTH CONCERNS, HELP OUR FAMILIES SECURE AFFORDABLE HOUSING, AND SUCCESSFULLY REUNIFY CHILDREN WITH THEIR BIOLOGICAL PARENT (S). FRP USES A STRENGTHENING FAMILIES APPROACH TO HELP PARENTS AND FAMILIES DEVELOP HEALTHY COMMUNICATION SKILLS AND IMPROVE PARENTS’ DECISION-MAKING SKILLS AND OVERALL FAMILY CONNECTION. SPECIFIC GOALS INCLUDE: GOAL 1 - BY MONTH 12, A MINIMUM OF 70% OF PARENTS’ DRUG AND ALCOHOL TESTS WILL BE NEGATIVE OR EXCUSED POSITIVES DUE TO PRESCRIBED MEDICATIONS. GOAL 2 - BY MONTH 12, A MINIMUM OF 60% OF PROGRAM PARTICIPANTS WILL BE REFERRED TO TREATMENT AS A MEANS OF ASSISTING PARENTS, FAMILIES, AND CHILDREN ENGAGED IN FAMILY DRUG TREATMENT COURT. GOAL 3 - BY MONTH 12, A MINIMUM OF 75% OF PARENTS IDENTIFIED NEEDING MENTAL HEALTH SERVICES WILL BE REFERRED TO OR CONFIRMED AS CURRENTLY ENROLLED WITH A MENTAL HEALTH PROVIDER (WITHIN 30 DAYS OF FRP ENROLLMENT). GOAL 4 - BY MONTH 12, A MINIMUM OF 45% OF FRP CHILDREN WILL BE ON TRACK FOR REUNIFICATION WITH A BIOLOGICAL PARENT, FRP OR NON-FRP, WITHIN 22 MONTHS OF THE PARENT’S ENROLLMENT. (NOTE THAT BASED ON FRP’S EXPERIENCE, THE AVERAGE FULL REUNIFICATION TIME IS APPROXIMATELY 22 MONTHS) GOAL 5 - BY MONTH 12, 100% OF FRP PARENT PARTICIPANTS WILL BE REFERRED TO HOUSING OPPORTUNITIES THAT MAY INCLUDE IN ONE OF OUR FACILITIES AND MAKE HOUSING REFERRALS AS NEEDED. GOAL 6 - BY MONTH 12, 80% OF FRP PARENT PARTICIPANTS' EXTENDED FAMILIES PARTICIPATE IN MONTHLY FAMILY MEETINGS TO DEVELOP A PLAN FOR HEALTHY COMMUNICATION SKILLS, DEVELOP PROBLEM-SOLVING SKILLS, AND EXPLORE HOW TO SUPPORT AND EMPOWER BIRTH PARENTS AND THEIR CHILDREN.

PROJECT SOAR: SPECIALIZING IN OPIATE ADDICTION RECOVERY

OPIOID TREATMENT PROJECT

ADOLESCENT PEER TO PEER RECOVERY SUPPORT PROJECT

PROJECT LOVE DETROIT YOUTH (PROJECT L.D.Y.)

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

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS,

WASHINGTON RECOVERY INFRASTRUCTURE NETWORK (WRIN): BUILDING COMMUNITY-LED RECOVERY INFRASTRUCTURE ACROSS WASHINGTON STATE - THE WASHINGTON RECOVERY ALLIANCE (WRA) WILL IMPLEMENT THE WASHINGTON RECOVERY INFRASTRUCTURE NETWORK (WRIN), A STATEWIDE INITIATIVE STRENGTHENING RECOVERY SUPPORT INFRASTRUCTURE, BENEFITING MORE THAN 8 MILLION RESIDENTS AFFECTED BY SUBSTANCE USE DISORDER (SUD) AND CO-OCCURRING BEHAVIORAL HEALTH CONDITIONS. WRIN WILL NOT PROVIDE DIRECT CLINICAL SERVICES; INSTEAD, IT WILL BUILD THE CAPACITY OF COMMUNITY ORGANIZATIONS, RECOVERY LEADERS, AND CROSS-SECTOR PARTNERS ACROSS URBAN, RURAL, AND TRIBAL COMMUNITIES. THE INITIATIVE INCLUDES FOUR COMPONENTS: COMMUNITY HUBS IN EACH OF THE 39 COUNTIES, 10 REGIONAL RECOVERY COALITIONS FOR REGIONAL COLLABORATION AND PLANNING, STATEWIDE BACKBONE SUPPORT FROM WRA INCLUDING TECHNICAL ASSISTANCE AND LEADERSHIP DEVELOPMENT, AND A STATEWIDE RESOURCE PLATFORM FOR REFERRALS AND INFORMATION SHARING. WRA BRINGS ESTABLISHED EXPERIENCE COORDINATING RECOVERY INFRASTRUCTURE AND WILL PARTNER WITH HEALTHCARE PROVIDERS, BEHAVIORAL HEALTH AGENCIES, EMPLOYERS, SCHOOLS, TRIBAL PARTNERS, AND LOCAL GOVERNMENTS. GOALS ARE TO ESTABLISH COMMUNITY HUBS IN ALL 39 COUNTIES, CONVENE THE 10 REGIONAL RECOVERY COALITIONS, DEVELOP REGIONAL RECOVERY ACTION PLANS, AND LAUNCH THE RESOURCE PLATFORM. SUCCESS WILL BE MEASURED THROUGH HUB AND COALITION ENGAGEMENT, COMPLETION OF ACTION PLANS, PLATFORM UTILIZATION, PARTICIPATION IN TRAINING ACTIVITIES, AND PROGRESS TOWARD LONG-TERM SUSTAINABILITY OF THE STATEWIDE RECOVERY SUPPORT SYSTEM. THE WASHINGTON RECOVERY ALLIANCE (WRA) WILL IMPLEMENT THE WASHINGTON RECOVERY INFRASTRUCTURE NETWORK (WRIN), A STATEWIDE INITIATIVE STRENGTHENING RECOVERY SUPPORT INFRASTRUCTURE, BENEFITING MORE THAN 8 MILLION RESIDENTS AFFECTED BY SUBSTANCE USE DISORDER (SUD) AND CO-OCCURRING BEHAVIORAL HEALTH CONDITIONS. WRIN WILL NOT PROVIDE DIRECT CLINICAL SERVICES; INSTEAD, IT WILL BUILD THE CAPACITY OF COMMUNITY ORGANIZATIONS, RECOVERY LEADERS, AND CROSS-SECTOR PARTNERS ACROSS URBAN, RURAL, AND TRIBAL COMMUNITIES. THE INITIATIVE INCLUDES FOUR COMPONENTS: COMMUNITY HUBS IN EACH OF THE 39 COUNTIES, 10 REGIONAL RECOVERY COALITIONS FOR REGIONAL COLLABORATION AND PLANNING, STATEWIDE BACKBONE SUPPORT FROM WRA INCLUDING TECHNICAL ASSISTANCE AND LEADERSHIP DEVELOPMENT, AND A STATEWIDE RESOURCE PLATFORM FOR REFERRALS AND INFORMATION SHARING. WRA BRINGS ESTABLISHED EXPERIENCE COORDINATING RECOVERY INFRASTRUCTURE AND WILL PARTNER WITH HEALTHCARE PROVIDERS, BEHAVIORAL HEALTH AGENCIES, EMPLOYERS, SCHOOLS, TRIBAL PARTNERS, AND LOCAL GOVERNMENTS. GOALS ARE TO ESTABLISH COMMUNITY HUBS IN ALL 39 COUNTIES, CONVENE THE 10 REGIONAL RECOVERY COALITIONS, DEVELOP REGIONAL RECOVERY ACTION PLANS, AND LAUNCH THE RESOURCE PLATFORM. SUCCESS WILL BE MEASURED THROUGH HUB AND COALITION ENGAGEMENT, COMPLETION OF ACTION PLANS, PLATFORM UTILIZATION, PARTICIPATION IN TRAINING ACTIVITIES, AND PROGRESS TOWARD LONG-TERM SUSTAINABILITY OF THE STATEWIDE RECOVERY SUPPORT SYSTEM. WRIN WILL STRENGTHEN COLLABORATION AMONG RECOVERY COMMUNITY ORGANIZATIONS, HEALTHCARE PROVIDERS, BEHAVIORAL HEALTH AGENCIES, EMPLOYERS, EDUCATIONAL INSTITUTIONS, TRIBAL PARTNERS, LOCAL GOVERNMENTS, AND INDIVIDUALS WITH LIVED EXPERIENCE. BY BUILDING STRONGER CONNECTIONS AMONG THESE PARTNERS, THE INITIATIVE WILL CREATE MORE COORDINATED AND SUSTAINABLE RECOVERY SUPPORT SYSTEMS THROUGHOUT WASHINGTON. PROJECT GOALS ARE TO ESTABLISH COMMUNITY HUBS IN ALL 39 COUNTIES, CONVENE TEN REGIONAL RECOVERY COALITIONS, DEVELOP REGIONAL RECOVERY ACTION PLANS, LAUNCH THE WRIN RESOURCE PLATFORM, EXPAND STATEWIDE TECHNICAL ASSISTANCE AND LEADERSHIP DEVELOPMENT, AND STRENGTHEN CROSS-SECTOR COLLABORATION TO IMPROVE LONG-TERM RECOVERY INFRASTRUCTURE. PROJECT SUCCESS WILL BE MEASURED THROUGH THE ESTABLISHMENT AND ENGAGEMENT OF COMMUNITY HUBS AND REGIONAL RECOVERY COALITIONS, COMPLETION OF REGIONAL RECOVERY ACTION PLANS, UTILIZATION OF THE WRIN RESOURCE PLATFORM, PARTICIPATION IN TECHNICAL ASSISTANCE AND LEADERSHIP DEVELOPMENT ACTIVITIES, GROWTH IN STATEWIDE PARTNERSHIPS, PARTICIPANT SATISFACTION, AND

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

DRP HEART - THE POPULATION OF FOCUS FOR THE PROPOSED INITIATIVE IS RACIAL/ETHNIC MINORITIES THAT IDENTIFY AS PEOPLE WHO USE DRUGS (PWUD) AND THOSE MOST AT-RISK FOR HIV/AIDS OR LIVING WITH HIV, THAT HAVE FALLEN OUT OF CARE, THAT RESIDE IN DETROIT, HIGHLAND PARK, AND HAMTRAMCK AREA. THE PURPOSE OF HEALTH, EMPOWERMENT, ACCEPTANCE, RECOVERY, TREATMENT (HEART) IS TO FURTHER ENGAGE BLACK INDIVIDUALS THAT ARE ENTERING SUD/COD SERVICES, OR IDENTITY AS A PERSON WHO USES DRUGS (PWUD) TO INCREASE ACCESS TO HIV TESTING, HIV PREVENTION TOOLS, HIV LINKAGE TO CARE (LTC), AND TO ENSURE LINKAGE AND RETENTION TO SUD/COD SERVICES. GOAL 1: PROVIDE LINKAGE TO SUD/COD TREATMENT AND/OR RECOVERY SERVICES FOR 80% OF PARTICIPANTS MOST AT RISK FOR HIV. GOAL 2: PREVENT: INCREASE ACCESS TO HIV TESTING AND LINKAGE TO CARE FOR INDIVIDUALS THAT ARE ACCESSING RECOVERY, AND/OR PEOPLE WHO USE DRUGS (PWUD) BY TESTING 625 INDIVIDUALS OVER THE LIFE OF THE GRANT. GOAL 3: DIAGNOSE: USING THE APPROVED DUAL RAPID PROCESS, DRP WILL PROVIDE A SECOND RAPID AB/AG HIV TEST TO CONFIRM THE INDIVIDUAL'S HIV DIAGNOSIS FOR 100% OF ALL PARTICIPANTS THAT RECEIVE AN INITIAL REACTIVE HIV RAPID TEST. GOAL 4: TREAT: ENSURE 100% OF PARTICIPANTS ARE ENGAGED IN HIV CARE WITHIN THE FIRST 30 DAYS OF DIAGNOSIS OR RE-ENGAGEMENT FOR THOSE THAT HAVE FALLEN OUT OF HIV CARE.

THE POINT: PROVIDING OPPORTUNITY FOR WOMEN'S RECOVERY (POWR) - THE POINT: PROVIDING OPPORTUNITY FOR WOMEN'S RECOVERY (POWR) FILLS A CRITICAL GAP IN CABELL COUNTY, WV RECOVERY SUPPORT SERVICES BY BUILDING A RECOVERY FOCUSED COMMUNITY FOR WOMEN SEEKING TO ACHIEVE/MAINTAIN RECOVERY AND FOR DRUG IMPACTED FAMILIES BY OPENING A RECOVERY CAFE IN THE OVERDOSE CAPITOL OF AMERICA: HUNTINGTON, WV (1). POWR PROVIDES FREE TRANSPORTATION & CHILDCARE, PEER RECOVERY SUPPORT, CASE MANAGEMENT, REFERRALS & PRO-RECOVERY SOCIALIZATION. WV HAD THE HIGHEST 2017 AGE-ADJUSTED OVERDOSE STATE DEATH RATE (57.8/100K WV; 21.7/100K US) (2). OVER 20% OF 2017 WV OVERDOSE DEATHS WERE IN CABELL COUNTY (MOST IN WV). 20% OF BABIES BORN AT CABELL-HUNTINGTON HOSPITAL WERE EXPOSED TO DRUGS/MAT IN VITRO. WV CHILD PROTECTIVE SERVICES (CPS) NAMED CABELL A CRISIS COUNTY. TARGET CLIENTS SUFFER FROM HIGH LEVELS OF TRAUMATIC EXPERIENCES & LACK OF RECOVERY MAINTENANCE SUPPORTS IN A HIGH-NEED AREA, MULTI-GENERATIONAL ADDICTION & SYSTEM BARRIERS SUCH AS POVERTY, STIGMA, AND LACK OF TRANSPORTATION, HEALTH CARE & CHILD CARE. POWR WILL SERVE 75 WOMEN SEEKING TO ACHIEVE/MAINTAIN THEIR RECOVERY IN YEAR 1, 100 IN Y2, & 125 IN Y3, & 150 IN Y4, & 200 IN Y5 FOR A TOTAL OF 650 UNDUPLICATED CLIENTS OVER THE PROJECT PERIOD. AT A COST OF $2,308 PER CLIENT SERVED, JUST FOUR DAYS IN DETOX (@ $575/DAY), EXCEEDS THE PER CLIENT COST OF POWR. POWR'S GOALS INCLUDE: 1) INCREASE CAPACITY FOR CABELL COUNTY WOMEN TO ACCESS PEER RECOVERY SUPPORT SERVICES (PRSS) BY IMPLEMENTING EVIDENCE- BASED PROGRAMS/SERVICES LEADING TO LONG TERM RECOVERY; 2) DEMONSTRATE POSITIVE OUTCOMES & DURABILITY OF POWR (MEASURED BY GPRA BASELINE VS. 6 & 12-MONTH FOLLOW-UP); 3) CREATE A NETWORK OF SERVICES TO FORTIFY SUPPORT FOR FAMILIES OF THOSE WITH SUBSTANCE USE DISORDER/CO-OCCURRING SUBSTANCE USE AND MENTAL ILLNESS (SUD/COD); 4) INCREASE CAPACITY OF RECOVERY POINT WV (RPWV) TO INTEGRATE PRSS INTO COMMUNITY PARTNER CARE MODELS TO IMPROVE TARGET CLIENT WHOLE PERSON HEALTH; 5) EXPAND OPPORTUNITY FOR WOMEN IN RECOVERY TO BECOME PEER RECOVERY SUPPORT SPECIALISTS & 6) SUSTAIN POWR SERVICES POST GRANT FUNDING. POWR'S MEASURABLE OBJECTIVES INCLUDE: INITIATING A RECOVERY CAFE; INCREASING CAPACITY TO & PROVIDING WOMEN WITH TRAUMA INFORMED, EVIDENCE-BASED CASE MANAGEMENT AND PRSS; REFERRING CLIENTS TO AN EVER EXPANDING NETWORK OF COMMUNITY PARTNERS; FOLLOWING UP ON REFERRALS TO ENSURE BARRIERS TO SERVICE ARE REMOVED; PROVIDING FREE TRANSPORTATION AND CHILD CARE; REDUCING COMMUNITY STIGMA VIA CLIENT PARTICIPATION IN AN ANNUAL COMMUNITY SERVICE ACTIVITY; ENSURING CLIENTS HAVE IDENTIFICATION (DRIVER'S LICENSES/STATE IDS/ BIRTH CERTIFICATES); IMPROVING CLIENT PERFORMANCE MEASURES; SUPPORTING SUD/COD IMPACTED FAMILIES VIA EDUCATION, SERVICE NAVIGATION, REFERRALS & REFERRAL FOLLOW-UP; ASSISTING CLIENTS WITH TECHNICAL ASPECTS OF FAMILY REUNIFICATION; PROVIDING REQUIRED THERAPY FOR MAT CLIENTS, INTEGRATING POWR REFERRALS INTO COMMUNITY PARTNER REFERRAL PROCESSES; EXPANDING RPWV'S RELATIONS WITH VETERAN PROVIDERS; ENHANCING ACCESS TO RPWV'S RECOVERY COACH CLASS & SUSTAINING SERVICES POST GRANT FUNDING. CABELL COUNTY WOMEN HAVE A DRUG PROBLEM. POWR IS THE SOLUTION.

EXPANSION OF RECOVERY COMMUNITY CENTERS IN CONNECTICUT - WITH THIS FUNDING, THE CONNECTICUT COMMUNITY FOR ADDICTION RECOVERY (CCAR) WILL RELOCATE TWO RECOVERY COMMUNITY CENTERS (RCCS) AND OPEN THREE ADDITIONAL ONES. CCAR WILL ALSO EXPAND HOURS OF OPERATION (EVENINGS AND WEEKENDS) BY INCREASING THE NUMBER OF STAFF IN EACH RCC FROM TWO FTES TO FOUR FTES. BY THE END OF THE PROJECT PERIOD, CCAR WILL HAVE A NETWORK OF EIGHT RCCS (AN INCREASE FROM FIVE) WITH ADDITIONAL HOURS AND STAFF AT EACH SITE. THE RCCS WILL BE STRATEGICALLY LOCATED THROUGHOUT THE STATE TO SUPPORT OUR RECOVERY COACHING SERVICES IN HOSPITAL EMERGENCY DEPARTMENTS, THE DEPARTMENT OF CORRECTION, AND COMMUNITIES WITH HIGH OVERDOSE RATES. IN ADDITION, CCAR WILL PURCHASE PASSENGER VANS TO TRANSPORT RECOVEREES TO AND FROM RECOVERY COMMUNITY CENTERS. WE WILL SERVE PEOPLE IN EARLY RECOVERY, PEOPLE SEEKING RECOVERY, ALONG WITH FAMILY MEMBERS, FRIENDS, AND ALLIES. OUR PRIMARY FOCUS WILL BE ON PEOPLE IN RECOVERY FROM A SUBSTANCE USE DISORDER. PEOPLE WHO PRESENT WITH A PRIMARY MENTAL HEALTH ISSUE WILL BE WELCOMED.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - WITH OVER 30 YEARS OF EXPERIENCE, POWER PROVIDES A CONTINUUM OF TRAUMA-INFORMED DRUG AND ALCOHOL TREATMENT PROGRAMS, SERVING MORE THAN 2500 PEOPLE A YEAR FROM ALLEGHENY COUNTY AND THE SURROUNDING AREAS. WE ARE CREATING A COMPREHENSIVE SUBSTANCE USE DISORDER (SUD) RECOVERY CAMPUS THAT WILL BRING ALL OF OUR SERVICES INTO ONE LOCATION. THE PROJECT INVOLVES RENOVATING A 45,000 SQUARE FOOT THREE-STORY BUILDING LOCATED IN SWISSVALE, PA, NEXT TO POWER’S HALFWAY HOUSE, AND WITHIN WALKING DISTANCE OF PUBLIC TRANSPORTATION. THE BUILDING WAS BUILT IN 1957 AND CONSISTS OF 48,390 SQUARE FEET OVER THREE-LEVELS. RENOVATION BEGINS AUGUST 2022. THE FIRST PHASE OF WORK INCLUDES: INTERIOR DEMOLITION AND RENOVATION OF THE WEST WING; CONSTRUCTION OF AN ACCESSIBLE ENTRYWAY; REPLACEMENT OF ALL MAJOR MECHANICAL SYSTEMS; NEW FLOORING, LIGHTING, AND ACOUSTICAL CEILINGS; AN EXCAVATED COURTYARD, STORMWATER MANAGEMENT, AND REPLACEMENT OF A PAVED SURFACE WITH GRASS. PHASE 1 WILL COMPLETE BY MAY 2023 AND THE POWER CAMPUS WILL OPEN JULY 2023. THE SECOND PHASE WILL BE COMPLETED AFTER THE CAMPUS IS OPEN WITH NO DISRUPTION TO SERVICES. THE CAMPUS WILL HOUSE ALL OF POWER’S PROGRAMS, EXCEPT OUR 26-BED LICENSED, RESIDENTIAL TREATMENT FACILITYWHICH IS LOCATED ACROSS THE LAWN. POWER PROGRAMS AT THE CAMPUS: - INTAKE SERVICES – SCREENING, ASSESSMENT, REFERRAL AND LINKAGE TO TREATMENT FOR WOMEN, MEN, AND ADOLESCENTS. - INTEGRATED DETOX & REHAB – 21-BED WITHDRAWAL MANAGEMENT AND REHABILITATION TREATMENT FOR WOMEN. - INTENSIVE & REGULAR OUTPATIENT – INDIVIDUAL AND GROUP THERAPY TREATMENT FOR WOMEN. - PEER RECOVERY SUPPORT – RECOVERY COACHING BY INDIVIDUALS WITH LIVED EXPERIENCE WITH ADDICTION AND RECOVERY. THE FIRST FLOOR WILL BE OCCUPIED BY COMMUNITY PARTNERS PROVIDING WRAPAROUND SERVICES LIKE HEALTH CARE, WORKFORCE DEVELOPMENT, AND OTHER SERVICES, FOR OUR CLIENTS, AND FOR THE SWISSVALE COMMUNITY. BY BRINGING THESE SERVICES TOGETHER IN ONE LOCATION, WE WILL ELIMINATE BARRIER S THAT INTERFERE WITH ACCESS TO CARE. WOMEN WILL NO LONGER HAVE TO JUGGLE PROVIDERS SPREAD OUT THROUGHOUT THE COUNTY. WOMEN ARE MORE LIKELY TO REMAIN ENGAGED IN THEIR RECOVERY PROCESS, ENHANCING THEIR CHANCES FOR LONG-TERM HEALTH. CREATING THE CAMPUS MEANS JOBS FOR THOSE PLANNING, DESIGNING, AND BUILDING THE CAMPUS. WHEN COMPLETE, THE POWER CAMPUS WILL PROVIDE THE OPPORTUNITY TO EXPAND SERVICES, CREATING MORE JOBS. THERE WILL BE EVENT SPACE AVAILABLE FOR COMMUNITY USE. AND, QUALITY SERVICES WILL BE OFFERED TO ALL, IN WAYS THAT ARE AFFORDABLE AND ACCESSIBLE. IN PENNSYLVANIA, 10 PEOPLE DIE EVERY DAY BECAUSE OF SUD. THE CDC ESTIMATES THAT FOR EVERY ONE WOMAN THAT DIES FROM OVERDOSE, MORE THAN 30 VISIT AN EMERGENCY ROOM AS A RESULT OF THE DISEASE. WHEN MOTHERS ARE ADDICTED, BABIES ARE BORN WITH NEONATAL ABSTINENCE SYNDROME, FAMILIES ARE SEPARATED, AND CHILDREN SUFFER. IN 2019, 2,900 CHILDREN IN PENNSYLVANIA WERE REMOVED FROM THE HOME BECAUSE OF PARENTAL DRUG USE. RESEARCH HAS SHOWN THAT WOMEN OFTEN USE DRUGS DIFFERENTLY, RESPOND TO DRUGS DIFFERENTLY, AND CAN HAVE UNIQUE OBSTACLES TO EFFECTIVE TREATMENT AS SIMPLE AS NOT BEING ABLE TO FIND CHILD CARE OR BEING PRESCRIBED TREATMENT THAT HAS NOT BEEN ADEQUATELY TESTED ON WOMEN. ACCORDING TO NIH, OVER 80% OF WOMEN WITH SUD ARE ALSO VICTIMS OF TRAUMA, MOST OFTEN CHILDHOOD SEXUAL ABUSE OR INTIMATE PARTNER VIOLENCE. WE BELIEVE ALL WOMEN SHOULD HAVE THE CHOICE OF A WOMAN-ONLY ENVIRONMENT FOR THEIR DRUG AND ALCOHOL TREATMENT WHERE THEY CAN FEEL SAFE AND THE TREATMENT IS SPECIFIC TO THEM. CREATING A CAMPUS FOR WOMEN WORKING TO RECLAIM THEIR LIVES FROM ADDICTION WILL BE GOOD FOR THE COMMUNITY. WHEN WOMEN ARE HEALTHY, THEY CAN LEAD LIVES THAT ARE MORE PRODUCTIVE. WHEN MOTHERS ARE HEALTHY, THEY ARE AVAILABLE TO LOVE AND FOSTER THEIR CHILDREN’S GROWTH. WHEN FAMILIES ARE HEALTHY, THERE IS LESS RELIANCE ON PUBLIC SUPPORT SERVICES, LESS CHILDREN ENTERING THE CHILD WELFARE SYSTEM, FEWER

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

PERMANENT SUPPORTIVE HOUSING AND COMMUNITY SERVICES.

PWI

DART PREVENTION COALITION - PFS SOUTHERN OCEAN COUNTY PROGRAM

PROJECT RECOVERY 2.0

PRISONER-RE-ENTRY

EXPANSION OF RECOVERY SUPPORT AND OUTREACH SERVICES

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC EXPANSION GRANT - PROJECT NAME: MFI CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER SUMMARY FOR PUBLICATION: MFI SEEKS CCBHC SUPPORT TO BECOME A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC IN ORDER PROVIDE A COMPREHENSIVE ARRAY OF SERVICES THAT CREATE ACCESS, STABILIZE PEOPLE IN CRISIS, AND PROVIDE THE INTEGRATED TREATMENT OF PHYSICAL, BEHAVIORAL HEALTH, AND RECOVERY SUPPORT SERVICES FOR THOSE WITH THE MOST SERIOUS AND COMPLEX MENTAL AND SUBSTANCE USE DISORDERS AND COMORBID PHYSICAL HEALTH DISORDERS. POPULATION TO BE SERVED: LOW-INCOME, UNDERSERVED, AND UNINSURED RESIDENTS WITHIN THE SERVICE AREA (WESTERN RIVERSIDE COUNTY) WHO ARE MOST IN NEED OF COORDINATED, INTEGRATED QUALITY CARE, AND THOSE WHO ARE COURT-ORDERED TO SERVICES INCLUDING THOSE WITH SERIOUS MENTAL ILLNESS (SMI) OR SUBSTANCE USE DISORDERS (SUD), INCLUDING OPIOID USE DISORDERS; CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED); AND INDIVIDUALS WITH CO-OCCURRING MENTAL AND SUBSTANCE DISORDERS (COD). STRATEGIES AND INTERVENTIONS: EXISTING SERVICES INCLUDE: CRISIS MENTAL HEALTH SERVICES: SCREENING, ASSESSMENT, AND DIAGNOSIS, INCLUDING RISK ASSESSMENT; PATIENT-CENTERED TREATMENT PLANNING; INCLUDING RISK ASSESSMENT AND CRISIS PLANNING; OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE SERVICES; OUTPATIENT CLINIC PRIMARY CARE SCREENING AND MONITORING OF KEY HEALTH INDICATORS AND HEALTH RISK; TARGETED CASE MANAGEMENT; PSYCHIATRIC REHABILITATION SERVICES; AND COMPREHENSIVE COMMUNITY RECOVERY SUPPORTS INCLUDING PEER SUPPORT, COUNSELOR SERVICES, AND FAMILY SUPPORTS. NEW SERVICES TO BE INTRODUCED INCLUDE: INTENSIVE COMMUNITY-BASED MENTAL HEALTH CARE FOR MEMBERS OF THE ARMED FORCES AND VETERANS, CONSISTENT WITH MINIMUM CLINICAL MENTAL HEALTH GUIDELINES (VA HEALTH ADMINISTRATION); AND ASSERTIVE COMMUNITY TREATMENT. GOALS AND MEASURABLE OBJECTIVES: MFI’S GOAL IS TO BECOME A CCBHC TO IMPROVE THE BEHAVIORAL HEALTH OF RIVERSIDE COUNTY CITIZENS BY: PROVIDING INTEGRATED COMMUNITY-BASED PHYSICAL HEALTH, MENTAL AND SUBSTANCE USE DISORDER SERVICES; ADVANCING INTEGRATION OF BEHAVIORAL HEALTH WITH PHYSICAL HEALTH CARE; ASSIMILATING AND UTILIZING EVIDENCE-BASED PRACTICES; EMPLOYING CARE COORDINATION; AND PROMOTING IMPROVED ACCESS TO HIGH QUALITY CARE IN A “PERSON AND FAMILY CENTERED” ENVIRONMENT: BY THE END OF THE GRANT PERIOD: INCREASE COMMUNITY-BASED MENTAL AND SUBSTANCE USE DISORDER SERVICES BY 5 % TO IMPROVE MENTAL HEALTH AND SUD OUTCOMES (ALIGNED TO THOSE NEEDING AND RECEIVING MENTAL HEALTH AND SUD); INCREASE INTEGRATION OF BEHAVIORAL HEALTH WITH PHYSICAL HEALTH CARE BY 25% TO DECREASE THE BARRIERS THOSE WITH MENTAL HEALTH PROBLEMS EXPERIENCE IN RELATION TO HEALTHCARE NEEDS; UTILIZE THREE ADDITIONAL EVIDENCE-BASED PRACTICES TO ACHIEVE RECOVERY AND WELLNESS FOR MENTAL HEALTH AND PHYSICAL HEALTH IMPROVEMENTS IN 70% OF CLIENTS SERVED; PROMOTE IMPROVED ACCESS TO HIGH QUALITY CARE BY REMOVING BARRIER TO CARE SUCH AS TRANSPORTATION, A SHORTAGE OF PRIMARY CARE PHYSICIANS, AND FEW MENTAL HEALTH PROVIDERS FOR INDIVIDUALS. NUMBER PEOPLE SERVED: YEAR 1: 2,036; YEAR 2: 2,138 FOR TOTAL PROJECT OF 4,174

CONSTRUCTION OF A 24-BED RESIDENTIAL TREATMENT FACILITY FOR INDIVIDUALS WITH SUBSTANCE USE AND CO-OCCURRING MENTAL HEALTH DISORDERS - ADDICTIONS RECOVERY CENTER (ARC) IS SEEKING $1.4 MILLION IN COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING (CPF/CDS) FUNDS TO COMPLETE THE CONSTRUCTION OF A NEW 24-BED RESIDENTIAL TREATMENT FACILITY LOCATED IN MEDFORD, OREGON. THE TWO-STORY, 14,707-SQUARE-FOOT FACILITY WILL EXPAND ACCESS TO EVIDENCE-BASED RESIDENTIAL TREATMENT SERVICES FOR INDIVIDUALS WITH SUBSTANCE USE DISORDERS AND CO-OCCURRING MENTAL HEALTH CONDITIONS IN SOUTHERN OREGON, A REGION FACING A SIGNIFICANT SHORTAGE OF RESIDENTIAL TREATMENT CAPACITY. DESIGNED SPECIFICALLY FOR RESIDENTIAL CARE, THE FACILITY INCORPORATES EVIDENCE-INFORMED FEATURES THAT PROMOTE ACCESSIBILITY, PRIVACY, DIGNITY, SAFETY, AND RECOVERY. THE FULLY ADA-ACCESSIBLE BUILDING INCLUDES INDIVIDUAL RESIDENT ROOMS, COUNSELING AND TREATMENT SPACES, LIVING AREAS, AND THERAPEUTIC COMMUNITY ENVIRONMENTS THAT SUPPORT PATIENT ENGAGEMENT, RETENTION, AND POSITIVE TREATMENT OUTCOMES. THE PROJECT WILL SERVE A DIVERSE POPULATION, INCLUDING INDIVIDUALS FROM RURAL AND UNDERSERVED COMMUNITIES, PEOPLE EXPERIENCING HOUSING INSTABILITY, AND POPULATIONS DISPROPORTIONATELY AFFECTED BY SUBSTANCE USE AND BEHAVIORAL HEALTH DISPARITIES. THE TOTAL PROJECT COST IS $7.75 MILLION AND IS SUPPORTED THROUGH A COMBINATION OF STATE, LOCAL, FEDERAL, AND ORGANIZATIONAL INVESTMENTS. TO DATE, $6 MILLION IN FUNDING HAS BEEN SECURED AND ARC HAS COMMITTED AN ADDITIONAL $351,520.52 IN AGENCY FUNDS TO SUPPORT THE PROJECT. THE REQUESTED CPF/CDS FUNDING REPRESENTS THE FINAL INVESTMENT NEEDED TO COMPLETE CONSTRUCTION AND PREPARE THE FACILITY FOR OPERATION. PROJECT COMPLETION IS ANTICIPATED IN DECEMBER 2026. ONCE OPERATIONAL, THE FACILITY WILL SERVE A MINIMUM OF 100 INDIVIDUALS ANNUALLY, INCREASING ACCESS TO HIGH-QUALITY BEHAVIORAL HEALTH TREATMENT IN A REGION WITH SIGNIFICANT UNMET NEED. THE EXPANDED TREATMENT CAPACITY IS EXPECTED TO IMPROVE HEALTH OUTCOMES, REDUCE AVOIDABLE UTILIZATION OF EMERGENCY AND CRISIS SERVICES, AND DECREASE INVOLVEMENT WITH THE CRIMINAL JUSTICE SYSTEM, RESULTING IN LONG-TERM HEALTH AND ECONOMIC BENEFITS FOR SOUTHERN OREGONIANS.

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.

NORTHERN OHIO RECOVERY ASSOCIATION SEXUAL RISK EDUCATION AVOIDANCE PROJECT

ADULT REENTRY PROGRAM - LIFELONG MEDICAL CARE PROPOSES TO INCREASE ENGAGEMENT IN CARE TO A MINIMUM OF 238 INDIVIDUALS WITHIN THE POPULATION OF FOCUS, WHICH INCLUDES SENTENCED ADULTS IN THE CRIMINAL JUSTICE SYSTEM WITH A SUBSTANCE USE DISORDER (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDER, WHO ARE RETURNING TO THEIR FAMILIES AND COMMUNITY FOLLOWING A PERIOD OF INCARCERATION. SERVICES WILL BE PROVIDED IN ALAMEDA COUNTY, CA. THE PROGRAM WILL HIRE A PROJECT DIRECTOR AND AN SUD COUNSELOR WHO WILL PROVIDE SUD/COD SERVICES INCLUDING ASSESSMENTS, GROUP AND INDIVIDUAL COUNSELING, TRANSITION PLANNING, CASE MANAGEMENT, AND RECOVERY SUPPORT SERVICES TO PROGRAM PARTICIPANTS. LIFELONG WILL USE THE EVIDENCE-BASED PRACTICES (EBPS) OF HARM REDUCTION, RELAPSE PREVENTION, MOTIVATIONAL INTERVIEWING, SEEKING SAFETY, AND CONTINGENCY MANAGEMENT IN ITS SERVICE DELIVERY. GOALS INCLUDE: INCREASING ENGAGEMENT AND PROVIDING SUD/COD SERVICES INCLUDING ASSESSMENT, INDIVIDUAL AND GROUP COUNSELING, TRANSITION PLANNING, CASE MANAGEMENT, AND RECOVERY SUPPORTS; CONDUCTING LOCAL PERFORMANCE ASSESSMENTS AND DOCUMENTATION ACCORDING TO GRANT REQUIREMENTS AND GUIDELINES. PLANNING AND PROGRAM ACTIVITIES WILL TAKE INTO ACCOUNT A CULTURALLY RESPONSIBLE, GENDER RESPONSIVE, RECOVERY/HARM REDUCTION ORIENTED, TRAUMA-INFORMED, EQUITY-BASED APPROACH. OBJECTIVES INCLUDE: - ESTABLISHING PROTOCOLS FOR EVALUATING INDIVIDUALS FOR ENTRY INTO THE PROGRAM ENSURING EFFECTIVE SCREENING, ASSESSMENT, AND TRANSITION OF INDIVIDUALS AT RISK OF A PROBATION VIOLATION AND TO ENSURE THAT RACIAL, ETHNIC, SEXUAL AND GENDER MINORITY GROUPS ARE NOT DISPROPORTIONATELY EXCLUDED FROM ENTRY INTO THE PROGRAM. PROVIDING SUD/COD ASSESSMENTS WITHIN THE SANTA RITA JAIL AND AT OTHER LOCATIONS IN THE COMMUNITY TO A MINIMUM OF 238 INDIVIDUALS. - PROVIDING EVIDENCE-BASED SUD/COD SERVICES INCLUDING INDIVIDUAL AND GROUP COUNSELING TO A TOTAL OF 238 INDIVIDUALS. - PROVIDING ACCESS TO RECOVERY SUPPORT SERVICES INCLUDING SELF-HELP SUPPORT GROUPS, EMPLOYMENT AND WORKFORCE DEVELOPMENT TRAINING, AND TRANSPORTATION TO A MINIMUM OF 238 INDIVIDUALS. - PROVIDING ACCESS TO CASE MANAGEMENT SERVICES INCLUDING TRANSITION PLANNING, REFERRAL TO PRIMARY CARE, SCREENING FOR INFECTIOUS DISEASES INCLUDING HIV AND VIRAL HEPATITIS (A, B, AND C), MENTAL HEALTH COUNSELING, BENEFITS COUNSELING, FOOD ASSISTANCE, HOUSING, AND REFERRALS FOR ADDITIONAL SUD/COD TREATMENT AS NEEDED, SUCH AS MEDICATION ASSISTED TREATMENT, AND RESIDENTIAL PROGRAMS TO A MINIMUM OF 238 INDIVIDUALS. - IMPLEMENTING BRIEF TOBACCO SCREENING AND ACCESS TO TOBACCO CESSATION TREATMENT INCLUDING NRT TO A MINIMUM OF 238 INDIVIDUALS. - COMPLETING HEALTH DISPARITIES STATEMENT, UPLOADING GPRA DATA, PARTICIPATING IN EVALUATION ACTIVITIES, AND COMPILING DATA FOR SEMI-ANNUAL REPORTS - MONITOR RACE, ETHNICITY, SEXUAL ORIENTATION, AND GENDER IDENTITY OF ENROLLED CLIENTS AND PRESENT ENROLLMENT TRENDS THROUGH MONTHLY REPORTS, ALLOWING THE TEAM TO ENSURE EQUITY AMONG THE CLIENT POPULATION IN REAL TIME, BY THE RESEARCH AND EVALUATION TEAM.

FY 2023 ADULT REENTRY PROGRAM (AR PROGRAM): THE PURPOSE OF THIS PROGRAM IS TO EXPAND SUBSTANCE USE DISORDER (SUD) TREATMENT TO REENTRY SERVICES FOR THE SENTENCED ADULTS IN THE CRIMINAL JUSTICE SYSTEM. - SOUTH TEXAS SUBSTANCE ABUSE RECOVERY SERVICES (STSARS) IS SUBMITTING PROPOSAL TO THE SAMHSA (SHORT TITLE: AR PROGRAM). THE PROPOSED PROGRAM, 'TRATAMIENTO (TREATMENT) PROGRAM' WAS SELECTED DUE TO AN UNMET NEED OF ADULT REENTRY SERVICES IN NUECES AND SURROUNDING COUNTIES PARTICULARLY AMONG UNDERSERVED DISPARATELY IMPACTED HISPANICS. THE POPULATION OF FOCUS IS PREDOMINATELY HISPANIC CRIMINALLY SENTENCED ADULTS WITH SUD AND/OR COD RETURNING TO THEIR FAMILIES AND COMMUNITY FOLLOWING A PERIOD OF INCARCERATION. THE SENTENCED ADULT MUST MEET THE FOLLOWING CRITERIA TO RECEIVE SERVICES FUNDED UNDER THIS PROGRAM: 1. BE ASSESSED OR DIAGNOSED AS HAVING A SUD AND/OR COD; 2. MUST BE EITHER SENTENCED TO AND SERVING AT LEAST ONE MONTH IN A CORRECTIONAL FACILITY OR ON PROBATION/PAROLE AND AT-RISK OF BEING RE-INCARCERATED IN DUE TO A VIOLATION; 3. FOR THOSE CURRENTLY INCARCERATED, BE WITHIN FOUR MONTHS OF SCHEDULED RELEASE AND 4. BE REFERRED TO TREATMENT UPON IMMEDIATE RELEASE FROM THE CORRECTIONAL FACILITY. THERE ARE CURRENTLY VERY LITTLE TO NO REENTRY SERVICES AND IN PARTICULAR FOR THE LOCAL COUNTY JAILS WHERE INMATES ARE SERVING OUT MUCH OF THEIR SENTENCES IF NOT ALL OF THEIR SENTENCES. NUECES COUNTY IS OVERCROWDED AND FORCED TO HOUSE INMATES AT SURROUNDING COUNTY JAIL FACILITIES. STSARS RECENTLY ENDED AN OFFENDER REENTRY PROGRAM WITH SAMHSA (2021() LEAVING A TREMENDOUS GAP IN SERVICES. THE PROPOSED PROGRAM IS DESIGNED TO HELP FILL SOME OF THE GAPS FOR THE REENTERING POPULATION.

INTEGRATED MAT

MAGNOLIA WOMEN'S RECOVERY PROGRAM - MAGNOLIA WOMEN?S RECOVERY PROGRAM (MWRP) SERVES PREGNANT AND PARENTING WOMEN 18 YEARS AND OLDER WHO WANT TO OVERCOME THEIR COOCCURRING SUBSTANCE USE DISORDERS AND MENTAL HEALTH ISSUES. THEIR MINOR CHILDREN, PARTNERS, AND FAMILY MEMBERS ALSO BENEFIT FROM OUR SERVICES. THE WOMEN STRUGGLE TO OVERCOME UNADDRESSED ADVERSE CHILDHOOD EXPERIENCES THAT HAVE LED THEM INTO CYCLES OF ADDICTION. MWRP WILL SERVE WOMEN IN OUR RESIDENTIAL, GENDER-SPECIFIC, FAMILY-FOCUSED, HEALING-CENTERED, TRAUMA-INFORMED ENVIRONMENT. OUR RESIDENTIAL TREATMENT PROGRAM FOR PREGNANT, POSTPARTUM, AND PARENTING WOMEN WITH CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS WILL CLOSE GAPS AND OFFER ACCESS TO CARE NOT OTHERWISE AVAILABLE TO THEM.

FOSTERING CONNECTIONS TO SUCCESS AND INCREASING ADOPTIONS

TRI-CITIES RECOVERY COMMUNITY

TCE/HIV

SEXUAL AWARENESS AND FUTURE ENGAGEMENT PROJECT

EXPANSION OF THE COMMUNITY RESPONSE INITIATIVE - LOREM IPSUM DOLOR SIT AMET, CONSECTETUR ADIPISCING ELIT. CURABITUR ALIQUAM ODIO A LIGULA VENENATIS, SED PRETIUM MI CONGUE. NULLA JUSTO TELLUS, POSUERE UT MAGNA SIT AMET, MOLLIS MOLESTIE ARCU. VESTIBULUM FRINGILLA, URNA SED INTERDUM VENENATIS, MAURIS RISUS LAOREET ORCI, A ELEIFEND METUS MAGNA DIGNISSIM MI. NULLA VOLUTPAT FACILISIS DOLOR. CLASS APTENT TACITI SOCIOSQU AD LITORA TORQUENT PER CONUBIA NOSTRA, PER INCEPTOS HIMENAEOS. SED VIVERRA EGESTAS EUISMOD. CRAS VARIUS LOBORTIS JUSTO A COMMODO. ALIQUAM PELLENTESQUE DICTUM ACCUMSAN. INTEGER LUCTUS, LACUS VITAE INTERDUM PORTTITOR, ARCU VELIT LAOREET ELIT, VEL MATTIS MASSA VELIT EU IPSUM. SUSPENDISSE ELIT NIBH, RHONCUS SED CONDIMENTUM QUIS, AUCTOR VITAE EROS. ALIQUAM FAUCIBUS QUIS ELIT NEC PELLENTESQUE. DONEC BIBENDUM ORCI ET URNA ALIQUET PLACERAT. ETIAM EU DUI CONDIMENTUM TURPIS VULPUTATE VIVERRA. QUISQUE NIBH SAPIEN, IACULIS UT DIGNISSIM EU, PORTTITOR SED LIGULA. PHASELLUS EGET ELEIFEND NISL. MAURIS ELIT LIGULA, BIBENDUM VEL EST NON, MATTIS SODALES LOREM. CURABITUR FINIBUS LACINIA ANTE, AT SAGITTIS DIAM PORTA EGET. INTEGER MOLESTIE IACULIS LEO SED TINCIDUNT. DUIS AUCTOR HENDRERIT JUSTO, VITAE LOBORTIS ARCU MALESUADA VITAE. DONEC VARIUS QUAM MASSA, A VULPUTATE DIAM VENENATIS ET. CURABITUR AUCTOR MALESUADA JUSTO NEC ALIQUAM. SED UT TRISTIQUE DOLOR. DONEC VITAE LIBERO SED SEM MAXIMUS PORTTITOR. VESTIBULUM EU SAPIEN NUNC. PELLENTESQUE TINCIDUNT EU VELIT SIT AMET ALIQUAM. PELLENTESQUE HABITANT MORBI TRISTIQUE SENECTUS ET NETUS ET MALESUADA FAMES AC TURPIS EGESTAS. VIVAMUS MOLESTIE CONSEQUAT NISI ULLAMCORPER TEMPOR. IN BLANDIT MASSA ET PORTTITOR PLACERAT. PROIN LOREM TURPIS, PORTTITOR QUIS DICTUM ID, MALESUADA UT ELIT. DUIS LOBORTIS LEO CONDIMENTUM, TEMPUS DOLOR SIT AMET, CONSECTETUR MASSA. PELLENTESQUE CURSUS PELLENTESQUE ODIO NEC SUSCIPIT. CRAS CONGUE EX SAPIEN, PULVINAR CONVALLIS SEM PLACERAT SED. NAM GRAVIDA PURUS VEL NIBH TEMPUS CONDIMENTUM. MAURIS PORTTITOR TURPIS SIT AMET SAPIEN MOLLIS FINIBUS. VESTIBULUM FRINGILLA EGESTAS NUNC NON TINCIDUNT. VIVAMUS TRISTIQUE NIBH ET ENIM TEMPUS, ID FAUCIBUS DIAM TRISTIQUE. SUSPENDISSE QUIS ODIO DOLOR. PROIN SIT AMET EUISMOD EX. ETIAM TEMPOR DIGNISSIM ARCU QUIS IACULIS. INTEGER POSUERE VITAE RISUS VEL TINCIDUNT. DONEC PLACERAT AT ERAT ET TINCIDUNT. QUISQUE ID URNA MAURIS. IN HAC HABITASSE PLATEA DICTUMST. QUISQUE LACINIA ARCU VITAE VENENATIS VIVERRA. MORBI NON ORCI NON NISI PLACERAT VESTIBULUM. SED UT LACUS ET SAPIEN LOBORTIS PORTA. PHASELLUS A ORNARE LECTUS, SED SODALES URNA.

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.

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

BUTLER COUNTY OHIO IS IN SOUTHWEST OHIO COMPRISED OF SUBURBAN AND RURAL COMMUNITIES. THE BUTLER COUNTY COSSUP PROJECT AIMS TO INCREASE ACCESS TO TREATMENT AND RECOVERY SUPPORTS SERVICES FOR RESIDENTS OF BUTLER COUNTY THROUGH ENGAGEMENT, DATA COLLECTION, AND RECOVERY SUPPORT ENHANCEMENT. THE PROJECT HAS 4 KEY OBJECTIVES: 1) EXPAND USE AND DATA COLLECTION FOR THE COUNTY-WIDE DATA DASHBOARD, INCLUDING CROSS-SECTOR ANALYSIS AND INTEGRATION OF DATA FROM OTHER SOURCES, TO INFORM STRATEGIES AND POLICIES. 2) ASSESS THE NEEDS OF UNDER-SERVED POPULATIONS ACROSS BUTLER COUNTY AND INCREASE ENGAGEMENT IN SERVICES AMONGST THOSE GROUPS. 3) DECREASE THE NUMBER OF INDIVIDUALS WHO ARE INCARCERATED TO IMPROVE POST SUBSTANCE USE/OVERDOSE OUTCOMES. 4) IMPROVE COMPREHENSIVE CARE TO RESIDENTS OF BUTLER COUNTY IMPACTED BY SUBSTANCE USE. THE BUTLER COUNTY PREVENTION COALITION AND ADDICTION TASK FORCE (BCPCATF) WILL SERVE AS THE MULTI-DISCIPLINARY COORDINATING BODY FOR THE PROJECT. THE BCPCATF WILL WORK IN CONJUNCTION WITH PARTNERS TO IMPLEMENT STRATEGIC ACTIVITIES TO ADDRESS THESE OBJECTIVES. THE BCPCATF WILL WORK WITH COMMUNITY SECTORS TO ENSURE PROPER DATA SHARING AND ALLOW FOR A CROSS-SYSTEM ANALYSIS TO INFORM STRATEGIES AND DECISION MAKING. MIAMI UNIVERSITY WILL COORDINATE WITH THE BCPCATF TO CONVENE LISTENING SESSIONS WITH UNDER-SERVED POPULATIONS IN BUTLER COUNTY TO ASSESS THE NEEDS OF THESE GROUPS AND STRATEGIZE SOLUTIONS FOR INCREASE ENGAGEMENT IN SERVICES. ADDITIONALLY, THE BUTLER COUNTY COSSUP PROJECT WILL IMPLEMENT PEER RECOVERY SUPPORT SERVICES THROUGH THE MISDEMEANOR COURT SYSTEM AND PERMANENT SUPPORTIVE HOUSING TO INCREASE ENGAGEMENT WITH TREATMENT AND RECOVERY SUPPORT SERVICES. THE BUTLER COUNTY COSSUP PROJECT WILL WORK WITH COMMUNITY PARTNERS THROUGH THE COORDINATION OF THE BCPCATF. THROUGH STRATEGIC PLANNING AND SPECIFIC WORKGROUPS, THE PROJECT WILL FOCUS ON COUNTY-WIDE DATA ANALYSIS, ENGAGING AND ASSESSING THE NEEDS OF UNDER-SERVED POPULATIONS, INCREASING ACCESS TO TREATMENT AND RESOURCES FOR MISDEMEANOR JUSTICE INVOLVED INDIVIDUALS, AND PROVIDING COMPREHENSIVE CARE THROUGH THE IMPLEMENTATION OF PEER RECOVERY SUPPORT SERVICES IN SPECIFIC NEEDS AREAS. PARTNER ORGANIZATIONS INCLUDE SUBRECIPIENTS MIAMI UNIVERSITY, COMMUNITY BEHAVIORAL HEALTH, AND THE BUTLER COUNTY GENERAL HEALTH DISTRICT, AS WELL AS THE YWCAHAMILTON AND THE BUTLER COUNTY AREA COURTS.

SBIR PHASE II: BIOELECTRICAL CELL ENRICHMENT, SORTING, AND RECOVERY WITH ON-CHIP SAMPLE PREP AND MONITORING -THE BROADER IMPACT/COMMERCIAL POTENTIAL OF THIS SMALL BUSINESS INNOVATION RESEARCH (SBIR) PHASE II PROJECT IS A LABEL-FREE, BIOLOGICAL SAMPLE PREPARATION AND CELL ISOLATION PLATFORM FOR RECOVERY OF RARE CELLS FROM A VARIETY OF SAMPLE INPUTS. SPECIFICALLY, BY CARRYING OUT SAMPLE PREPARATION, MANIPULATION, AND MONITORING ON A SINGLE CHIP PLATFORM FOR SELECTIVE CELL RECOVERY, THE SAMPLE HANDLING STEPS WILL BE GREATLY REDUCED, THEREBY ENSURING THE MAINTENANCE OF CELL VIABILITY, IMPROVING SAMPLE CONSISTENCY, AND SUSTAINING NATIVE CELL BEHAVIORS. THIS RECOVERED SAMPLE IS ESSENTIAL FOR THE DEVELOPMENT OF CELL-BASED THERAPIES IN REGENERATIVE MEDICINE AND CANCER MANAGEMENT. PERSONALIZED MEDICINE ALSO REQUIRES PRECISION CELL RECOVERIES. THIS SMALL BUSINESS TECHNOLOGY TRANSFER (STTR) PHASE I PROJECT WILL DEVELOP AN ELECTRICALLY FUNCTIONAL MICROFLUIDIC SAMPLE MANIPULATION PLATFORM FOR PHENOTYPE-SELECTIVE RECOVERY OF CELLS, BASED ON THEIR BIOPHYSICAL ATTRIBUTES. SPECIFICALLY, MICROFLUIDIC DESIGNS WILL BE INTEGRATED TO SWAP CELLS FROM COMPLEX BIOLOGICAL INPUTS INTO AN OPTIMIZED BUFFER TO ENABLE CELL MANIPULATION. ALSO, INSTRUMENTATION WILL BE DEVELOPED FOR ON-CHIP MONITORING OF THE SAMPLE DURING VARIOUS STAGES OF THE PHENOTYPE-SELECTIVE CELL RECOVERY PROCESS. FURTHER, A VARIETY OF SAMPLE INPUTS WILL BE VALIDATED ON THE DESIGNED DEVICES TO ENSURE PERFORMANCE, CONSISTENCY, AND RELIABILITY FOR TRANSLATION INTO COMMERCIAL PRODUCT LINES. THIS AWARD REFLECTS NSF'S STATUTORY MISSION AND HAS BEEN DEEMED WORTHY OF SUPPORT THROUGH EVALUATION USING THE FOUNDATION'S INTELLECTUAL MERIT AND BROADER IMPACTS REVIEW CRITERIA.

ROAD RECOVERY FOUNDATION'S MENTORING PROJECT FOR NEW YORK STATE

HOMELESS ASSISTANCE

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

EXISTING PROJECTS SUPPORT

BUILD (BELONG, UNDERSTAND, INSPIRE, LEAD, DEDICATE): A READY4LIFE PROJECT - LIVE RITE STRUCTURED RECOVERY CORP WILL IMPLEMENT THE BUILD YOUTH INITIATIVE, PROVIDING YOUTH AGES 14-24 IN MACOMB COUNTY, MICHIGAN WITH HEALTHY RELATIONSHIP SKILLS AND EMOTIONAL STABILITY TOOLS. THE PROJECT WILL DELIVER THE EVIDENCE-INFORMED LOVE NOTES 4.0 CURRICULUM, TRAUMA-INFORMED MENTORING, JOB READINESS TRAINING THROUGH NU-WAY STAFFING, AND FAMILY COUNSELING AT LIVE RITE'S RECOVERY RESOURCE CENTER. SERVICES WILL BE DELIVERED IN PARTNERSHIP WITH LOCAL COURTS, SCHOOLS, AND BEHAVIORAL HEALTH PROVIDERS, SERVING AT LEAST 30 YOUTH IN YEAR 1 AND SCALING TO 120 YOUTH ANNUALLY BY YEARS 4-5, FOR A TOTAL OF 420 YOUTH OVER THE FIVE-YEAR PROJECT PERIOD.

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

BUILDING RESILIENCE THROUGH INTERVENTION: GROWING HEALTHIER TOGETHER

RCA 2014 GBHI-SSH PROJECT

REENTRY NETWORK FOR EMPOWERING WOMEN (RENEW) PROJECT

YOUNG ADULT RECOVERY DESTINATION (YARD)

TREATMENT FOR HOMELESS

THE VILLAGE VIRGIN ISLANDS PARTNERSHIP RECOVERY HOMELESS PROJECT

INTEGRATED CLIENT-BASED SERVICES FOR DUAL DISORDER HOMELESS PERSONS

PROJECT 3-3-3

WILKES RECOVERY ECO-SYSTEM EXPANSION PROJECT - WILKES COUNTY, ALSO KNOWN AS THE MOONSHINE CAPITAL OF AMERICA AND BIRTHPLACE OF NASCAR RACING, IS IN THE APPALACHIAN REGION OF NORTH CAROLINA. WILKES IS CONSIDERED A RURAL COMMUNITY WHICH HAS BEEN DEVASTATED BY THE CONSEQUENCES OF SUBSTANCE USE AND HEALTH DISPARITIES. AS WORD OF OUR AUTHENTIC SERVICES HAS SPREAD, SO HAS OUR NUMBERS OF OUT OF COUNTY PARTICIPANTS, MOST OF WHOM ARE FROM SURRY AND WATAUGA COUNTIES. THIS RECENT INFLUX IN NON-WILKES PARTICIPANTS FURTHER PROVES THE NEED FOR AN EXPANSION OF OUR SERVICES. THROUGH THE RECOVERY COMMUNITY SERVICES PROGRAM GRANT, WILKES RECOVERY REVOLUTION, INC. WILL ADDRESS THREE SERVICE GAPS THAT MOST AFFECT OUR COMMUNITY: THE LACK OF COMMUNITY ENGAGEMENT AND AWARENESS; LOW ACCESS TO SERVICES; AND TRANSPORTATION BARRIERS. OUR PROJECT WILL PROVIDE PEER RECOVERY SUPPORT SERVICES TO 1,500 INDIVIDUALS WITH SUBSTANCE USE DISORDERS (SUD) OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD), INCLUDING THOSE IN RECOVERY FROM THESE DISORDERS. THESE SERVICES, IN CONJUNCTION WITH CLINICAL TREATMENT SERVICES, ARE AN INTEGRAL COMPONENT OF THE RECOVERY PROCESS FOR MANY PEOPLE AND AS SUCH, WE WILL PARTNER WITH DEVOTED PARTNERS WHO ARE COMMITTED TO SUPPORTING INDIVIDUALS WHO ARE SEEKING LONG-TERM RECOVERY SUPPORT SERVICES (RSS) IN THEIR COMMUNITIES. WILKES RECOVERY REVOLUTION, INC. BELIEVES THAT THROUGH THE WISDOM OF LIVED EXPERIENCES AND SUPPORT OF THIS FUNDING WE WILL CAPITALIZE ON OUR EXISTING PEER RUN SERVICES TO MEET THE NEEDS OF MORE INDIVIDUALS AND CREATE A COMMUNITY WHERE RECOVERY IS NOT ONLY POSSIBLE BUT PROBABLE.

STRATEGIC PREVENTION ALIGNING RECOVERY COMMUNITIES (SPARC) - THE STRATEGIC PREVENTION ALIGNING RECOVERY COMMUNITIES (SPARC) PROJECT IS A COLLABORATIVE EFFORT BETWEEN THE CENTER FOR RECOVERY AND WELLNESS RESOURCES, A GROUP OF GRASSROOTS, COMMUNITY-BASED ORGANIZATIONS AND LOCAL AGENCIES THAT PROVIDE ANCILLARY SERVICES, AND THE NATIONAL INSTITUTE FOR BEHAVIORAL HEALTH TO IMPLEMENT, SUSTAIN, AND IMPROVE SUBSTANCE USE PREVENTION SERVICES FOR YOUNG ADULTS IN HOUSTON WHO ARE UNDERSERVED AND UNDER-RESOURCED. THE LACK OF ACCESS TO PREVENTION AND TREATMENT IS FUELED BY THE DISPROPORTIONATE BURDEN OF THE IMPACT OF THE OPIATE EPIDEMIC WHICH HAS LED TO HOUSTON EXPERIENCING A RECORD NUMBER OF DEATHS FROM OVERDOSE, WITH FENTANYL AS THE PRINCIPAL DRIVER. ALMOST EVERY SUBSTANCE IN HOUSTON IS NOW CUT WITH FENTANYL, WHICH KILLS MORE THAN ONE PERSON EVERY DAY. FATAL DRUG OVERDOSES HAVE INCREASED DRAMATICALLY IN HOUSTON. NEARLY ONE IN FOUR OF THE OVERDOSE DEATHS IN TEXAS OCCUR IN HOUSTON, WHICH HAS THE DUBIOUS DISTINCTION OF HAVING THE HIGHEST RATE IN THE STATE OF TEXAS AND THE ENTIRE SOUTH. ADDITIONALLY, OUR POPULATION IS DISPROPORTIONATELY MADE UP OF FORMERLY INCARCERATED INDIVIDUALS WHOSE LEADING CAUSE OF DEATH IS OVERDOSE, AND INCARCERATED PEOPLE ARE 10 TO 18 TIMES MORE LIKELY TO HAVE A FATAL OVERDOSE THAN THE GENERAL POPULATION. THIS HAS ALSO FUELED A RISE IN HIV PREVALENCE IN THESE COMMUNITIES. HOUSTON HAS ONE OF THE HIGHEST HIV PREVALENCE RATES IN THE COUNTRY AT 848 PER 100,000, WHICH IS 204% HIGHER THAN THE STATE OF TEXAS, 184% OF THE SOUTH, AND 220% OF THE UNITED STATES. WHILE THE PROJECT WILL ACCEPT ANY YOUNG ADULT FROM THE HOUSTON MSA, ACTIVITIES WILL FOCUS ON SUPPORTING YOUNG ADULTS WHO RESIDE IN SPECIFIC NEIGHBORHOODS FOR HIGH-RISK ACTIVITY AND LIMITED ACCESS TO PREVENTION AND RECOVERY SUPPORT SERVICES. THIS PROJECT WILL DEVELOP AND DELIVER COMMUNITY-BASED SUBSTANCE MISUSE PREVENTION AND MENTAL HEALTH PROMOTION SERVICES THAT ARE SPECIFICALLY TAILORED TO FILL THE VOID IN THE MOST UNDERSERVED AND UNDER-RESOURCED COMMUNITIES IN HOUSTON AND ADDRESS THE SPECIFIC NEEDS OF YOUNG ADULTS IN THE MONTROSE (77006, 77098), DOWNTOWN HOUSTON (77002), NORTHEAST HOUSTON NEAR I-610 AND U.S. 59 (77026), SOUTH-CENTRAL HOUSTON (77004), THE FIFTH WARD AREA (77020), AND THE SUNNYSIDE COMMUNITY (77051). THESE SPECIFIC AREAS WILL BE TARGETED DUE TO HIGH CONCENTRATIONS OF RISK FACTORS AND INDIVIDUALS IN NEED OF SUPPORT, WHICH APPEARS TO CO-OCCUR WITH A LACK OF ACCESS TO SUPPORT SERVICES, LOWER LEVELS OF EMPLOYMENT, HIGHER LEVELS OF INCARCERATION AND RE-ENTRY POPULATIONS, HIGH LEVELS OF LOW-INCOME RESIDENTS, AND HIGH LEVELS OF SUBSTANCE USE. THE PROJECT'S OVERARCHING GOALS ARE TO: (1) DEVELOP A COALITION THAT REPRESENTS AND IS HELD ACCOUNTABLE TO THE COMMUNITY TO ADDRESS COMMUNITY-IDENTIFIED SUBSTANCE USE PREVENTION NEEDS FOR OUR YOUNG ADULTS IN HOUSTON; (2) CONDUCT OUTREACH TO IMPROVE AWARENESS, DECREASE STIGMA, AND IMPROVE ACCESS TO SUBSTANCE USE PREVENTION SERVICES; (3) IMPROVE ENGAGEMENT WITH BEHAVIORAL HEALTH SERVICES FOR STUDENTS AND YOUNG ADULTS BY LEVERAGING COMMUNITY RESOURCES; AND (4) EXPAND AND ENHANCE BEHAVIORAL HEALTH SERVICES TO YOUNG ADULTS AND STUDENTS THAT ADDRESS ALL ASPECTS OF WELL-BEING. THE IMPACT OF THIS COLLABORATION WILL BE TO IMPROVE (SHOULD IT BE DECREASE?) RISK FACTORS AND BUTTRESS PROTECTIVE FACTORS TO ENSURE THAT AND YOUNG ADULTS IN HOUSTON, TX HAVE AN OPPORTUNITY TO GROW AND LIVE DRUGFREE AND STRIVE TOWARD HEALTH AND WELLNESS. WE WILL PROVIDE OUTREACH SERVICES TO 5,100 INDIVIDUALS, ENGAGEMENT SERVICES TO 1,275 INDIVIDUALS. FURTHER, A TOTAL OF 340 WILL BE ENROLLED IN SERVICES DURING THE 5-YEAR PROJECT.

RECOVERY SUPPORT SERVICES PROGRAM FOR SALT LAKE COUNTY SPECIALTY COURTS - PROJECT ABSTRACT PROJECT NAME: RECOVERY SUPPORT SERVICES PROGRAM FOR SALT LAKE COUNTY SPECIALTY COURTS APPLICANT ORGANIZATION: UTAH SUPPORT ADVOCATES FOR RECOVERY AWARENESS (USARA) PROJECT SUMMARY: UTAH SUPPORT ADVOCATES FOR RECOVERY AWARENESS (USARA) PROPOSES TO EXPAND AND ENHANCE PEER RECOVERY SUPPORT SERVICES (PRSS) FOR JUSTICE INVOLVED INDIVIDUALS WITH SUBSTANCE USE DISORDERS (SUD) OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD), INCLUDING THOSE IN RECOVERY FROM THESE DISORDERS, WHO ARE PARTICIPATING IN SALT LAKE COUNTY SPECIALTY COURTS, INCLUDING: ADULT FELONY DRUG COURTS, FAMILY RECOVERY COURTS, ALTERNATIVE SUBSTANCE ADDICTION PROGRAM (ASAP) COURTS, AND VETERANS SU/MH COURT. POPULATION TO BE SERVED: 100 UNDUPLICATED PEOPLE WILL BE SERVED ANNUALLY, WITH 500 BEING SERVED OVER THE LIFE OF THE PROJECT, AS EVIDENCED BY GPRA COMPLETION. THE POPULATION OF FOCUS WILL BE INDIVIDUALS OVER THE AGE OF 18 WHO HAVE EXPERIENCED SUBSTANCE MISUSE OR HAVE AN IDENTIFIED SUBSTANCE USE DISORDER (SUD), WHO ARE ENGAGED IN A SALT LAKE COUNTY SPECIALTY COURT PROGRAM AND VOLUNTARILY WANT TO ENGAGE WITH PEER RECOVERY SUPPORT SERVICES (PRSS). IN ADDITION, 200 FAMILY MEMBERS WILL BE SERVED, OR APPROXIMATELY 40 FAMILY MEMBERS PER YEAR. STRATEGIES/INTERVENTIONS: THROUGH THE ACHIEVEMENT OF PROJECT GOALS AND OBJECTIVES, WE PLAN TO: 1) ESTABLISH PEER RECOVERY SUPPORT SERVICES (PRSS) IN PARTNERSHIP WITH THE SALT LAKE COUNTY SPECIALTY COURT SYSTEM; 2) PROVIDE PRSS TO INDIVIDUALS WITH SUD OR COD WHO ARE INVOLVED WITH THE SALT LAKE COUNTY SPECIALTY COURT SYSTEM; 3) INCREASE RECOVERY CAPITAL AND SOCIAL DETERMINANTS OF HEALTH FOR PARTICIPANTS ENGAGED IN USARA’S PRSS PROGRAM; 4) PROVIDE SUPPORT TO FAMILIES OF INDIVIDUALS WITH SUD OR COD IN THE FORM OF SUPPORT GROUP MEETINGS, EDUCATION, AND NAVIGATION SERVICES; AND 5) PROVIDE SUPERVISION, TRAINING, AND MENTORSHIP TO INDIVIDUALS PROVIDING PRSS AND ENGAGE IN OUTREACH TO DIVERSE POPULATIONS FOR BOTH PEER SPECIALISTS AND PEER SUPERVISORS. USARA’S PRSS MODEL IS A STRENGTH-BASED APPROACH THAT CELEBRATES PARTICIPANT SUCCESSES, HELPS PARTICIPANTS ADVOCATE FOR THEMSELVES WHICH INCREASES A FEELING OF PERSONAL EMPOWERMENT VS. FEELING DISEMPOWERED BY THE CRIMINAL JUSTICE PROCESS AND POTENTIAL SANCTIONS FOR COURT PROGRAM VIOLATIONS. ADDITIONAL BENEFITS FOR PARTICIPANTS INCLUDE, FOLLOWING THEIR COMMENCEMENT FROM SPECIALITY COURT, OPPORTUNITIES TO STAY ENGAGED WITH USARA’S PRSS. EACH GRADUATE IS PERSONALLY INVITED TO BECOME INVOLVED IN THE USARA ADDICTION RECOVERY COUNCIL (ARC) WHERE THEY CAN BE AN ADVOCATE FOR THEMSELVES AND OTHERS TO INFLUENCE CHANGES IN SPECIALTY COURT PROGRAMS OR OTHER ISSUES IMPACTING PEOPLE WITH SUDS, CRIMINAL JUSTICE INVOLVEMENT, PUBLIC HEALTH ISSUES, LOCAL AND STATE POLICIES, ETC. SOME PARTICIPANTS MAY WANT TO BECOME A CERTIFIED PEER SUPPORT SPECIALIST THEMSELVES AND USARA WILL ASSIST THEM WITH THE PROCESS AND APPLICATION TO THE STATE OF UTAH.

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.

THE SQUAD OUTREACH INITIATIVE - THE DETROIT RECOVERY PROJECT (DRP) PROPOSES THE "SQUAD" (SAFE, QUICK, UNDERSTANDING, ACCESSIBLE AND DYNAMIC) OUTREACH INITIATIVE TO PROVIDE COMMUNITY-BASED OVERDOSE PREVENTION, SYRINGE SERVICES, AND HARM REDUCTION TO ENHANCE OVERDOSE PREVENTION, REDUCE THE CONSEQUENCES OF SUBSTANCE USE DISORDER (SUD) AND PROVIDE A CONTINUUM OF CARE FOR RACIAL AND ETHNIC MINORITIES AND INDIVIDUALS. THE AREA OF FOCUS FOR THIS INITIATIVE IS THE CITY OF DETROIT, WHICH IS IN SOUTHEAST MICHIGAN, WITHIN WAYNE COUNTY. THE TARGET POPULATION FOR THIS INITIATIVE IS RACIAL AND ETHNIC MINORITY GROUPS, PRIMARILY PEOPLE WHO INJECT DRUGS (PWID) AND PEOPLE WHO USE DRUGS (PWUD). DRP HAS IDENTIFIED A NEED FOR HARM REDUCTION IN THE TARGET AREA DUE TO THE OVERWHELMING DATA CONFIRMING THE RISK, ECONOMIC CONDITIONS, AND AT-RISK BEHAVIORS OF THE CITY'S RESIDENTS. DETROIT IS THE EPICENTER OF OPIOID OVERDOSE AND FATALITIES IN THE STATE. DETROIT IS ALSO MICHIGAN'S MOST POPULOUS CITY AND THE 4TH POOREST CITY IN THE UNITED STATES. IMPACTED BY THE ECONOMIC DOWNTURN, THE CITY AND ITS RESIDENTS HAVE EXPERIENCED HIGH RATES OF POVERTY, JOBLESSNESS, HOMELESSNESS, ADDICTION, CRIME, POOR HEALTH OUTCOMES, AND VERY SLOW RECOVERY. HEALTH DISPARITIES DISPROPORTIONATELY AFFECT THE COMMUNITY DUE TO POLLUTANTS, SMALL LIVING AREAS, LACK OF TRANSPORTATION, FOOD DESERTS, AND LACK OF HEALTHFUL ACTIVITIES, LEADING TO INCREASED RATES OF ASTHMA, CARDIOVASCULAR DISEASE, OBESITY, DIABETES, AND OTHER CHRONIC ILLNESS. HIGH RATES OF POVERTY, LACK OF RESOURCES, HOUSING, AND TRANSPORTATION PERPETUATE THE SEVERITY OF THESE CHRONIC ILLNESSES. THE SQUAD WILL PROVIDE HYBRID SERVICES AND WILL: 1) INCREASE ACCESS TO HARM REDUCTION SERVICES TO THE TARGET COMMUNITY; 2) INCREASE THE NUMBER OF CASUAL USERS ACCESSING HARM REDUCTION SERVICES; 3) DECREASE THE STIGMA ASSOCIATED WITH HARM REDUCTION SERVICES, AND 5) PREVENT INFECTIOUS DISEASE FOR THE TARGET POPULATION AND INDIVIDUALS AT HIGH-RISK WITHIN OUR COMMUNITIES. THE "SQUAD" WILL USE THE FOLLOWING EVIDENCE-BASED STRATEGIES TO IMPLEMENT SERVICES: ANTI-RETROVIRAL TREATMENT AND ACCESS TO SERVICES (ARTAS), WHICH IS AN INDIVIDUAL LEVEL, MULTI-SESSION INTERVENTION; POPULAR OPINION LEADERSHIP (POL), TO EDUCATE KEY PARTICIPANTS AND INCREASE DISSEMINATION OF RISK REDUCTION PRACTICES TO PEERS AND SOCIAL NETWORKING STRATEGY (SNS) TO PROMOTE NEW PARTICIPANTS ACCESSING SERVICES AT THE MOBILE OR FIXED LOCATION. THE "SQUAD" WILL MEET THESE GOALS WITH RESPECTIVE OBJECTIVES AND IMPACT THE LIVES OF PROVIDING SERVICE ENCOUNTERS TO 1350 ANNUALLY, PROVIDE 1850 REFERRALS, AND WILL LINK A TOTAL OF 1200 INDIVIDUALS TO CARE FROM THE TARGET POPULATION THROUGH THESE PROVEN, EVIDENCE-BASED STRATEGIES.

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

ENHANCED VOCATIONAL AND FAMILY SERVICES FOR PREGNANT AND PARENTING WOMEN

RESTORING MENTAL HEALTH CLINICAL SERVICES FOR IN CUYAHOGA COUNTY - THROUGH ITS PROJECT, RESTORING MENTAL HEALTH CLINICAL SERVICES IN CUYAHOGA COUNTY, RECOVERY RESOURCES WILL FACILITATE TIMELY ACCESS TO CLINICAL TREATMENT AND RECOVERY SERVICES FOR RESIDENTS OF CUYAHOGA COUNTY, OHIO WHO HAVE SERIOUS MENTAL ILLNESS OR A CO-OCCURRING DISORDER. THE PROJECT WILL SERVE 400 ADULTS EACH YEAR WHO HAVE HAD INVOLVEMENT WITH THE COUNTY JAIL, LOCAL LAW ENFORCEMENT, AND/OR LOCAL SERVICE PROVIDERS. PROJECT ACTIVITIES WILL ALSO SUPPORT THE MENTAL HEALTH NEEDS OF STAFF. IN CUYAHOGA COUNTY, THE NEED FOR COMMUNITY-BASED MENTAL HEALTH SERVICES REMAINS GREAT. USING DATA COMPILED BY SAMHSA’S NATIONAL SURVEY ON DRUG USE AND HEALTH AND MENTAL HEALTH AMERICA, IT IS ESTIMATED THAT 176,000 ADULTS LIVING IN CUYAHOGA COUNTY HAVE A MENTAL ILLNESS (INCLUDING MORE THAN 47,000 WITH A SERIOUS MENTAL ILLNESS), AND NEARLY 40,000 ARE UNABLE TO RECEIVE TREATMENT. THE PROPOSED PROJECT WILL ENABLE RECOVERY RESOURCES TO RESTORE THE AVAILABILITY OF CLINICAL SERVICES FOR THE LOCAL SMI AND COD POPULATION THROUGH A NEW OUTPATIENT SERVICE AND IN-DEPTH PARTNERSHIPS WITH REFERRAL AGENCIES THAT WILL LINK CLIENTS TO SERVICES AND SUPPORTS. IT WILL ALSO INCREASE ITS FOCUS ON THE MENTAL HEALTH OF ITS STAFF BY DEVELOPING AN AGENCY-WIDE TRAINING PLAN. THROUGH THE PROJECT, RECOVERY RESOURCES WILL PROVIDE CLINICAL SERVICES TO A TOTAL OF 800 INDIVIDUALS WITH SMI AND COD, WHILE ACHIEVING THE FOLLOWING GOALS: GOAL 1: COMPLETE TRAINING ASSESSMENT FOR ALL STAFF TO BUILD A TRAINING CURRICULUM, WHICH WILL MEET THE OBJECTIVE TO TRAIN 100% OF STAFF IN IDENTIFIED KNOWLEDGE SKILLS AND ABILITIES; GOAL 2: INCREASE INTERNAL RESOURCES AND TOOLS FOR STAFF TO ACCESS AND ADDRESS MENTAL HEALTH SELF-CARE BY MEETING THE OBJECTIVE TO IDENTIFY AND TRAIN FIVE STAFF WHO BECOME CHAMPIONS OF AND MENTORS IN MOTIVATIONAL INTERVIEWING; GOAL 3: FORMALIZE THE DEVELOPMENT OF MANAGERIAL SKILLS BY MEETING THE OBJECTIVE TO IDENTIFY 25 HIGH PERFORMING AND MOTIVATED STAFF TO ATTEND MANAGEMENT DEVELOPMENT TRAINING; GOAL 4: INCREASE THE CAPACITY FOR “IN THE MOMENT” RESPONSE AND TREATMENT/DISCHARGE PLANNING FOR CLIENTS INVOLVED WITH COMMUNITY PARTNER AGENCIES BY MEETING OBJECTIVES INCLUDING A) DEVELOPING LINKAGE AND RELEASE PLANS WITH CLIENTS REFERRED BY CUYAHOGA COUNTY JAIL, B) OUTREACHING TO CLIENTS REFERRED BY THE LOCAL CRISIS SERVICE PROVIDER AND PROVIDING LINKAGES/RESOURCE INFORMATION, C) PROVIDING LINKAGES TO COMMUNITY RESOURCES/TREATMENT SERVICES FOR INDIVIDUALS INVOLVED WITH A LOCAL POLICE DEPARTMENT, AND D) ESTABLISH ON-SITE OR TELEHEALTH OPPORTUNITIES FOR ASSESSMENT APPOINTMENTS WITH FOUR ADDITIONAL COMMUNITY PARTNERS; AND GOAL 5: LAUNCH A MENTAL HEALTH DAY TREATMENT PROGRAM FOR INDIVIDUALS STEPPING DOWN FROM INPATIENT CARE OR CRISIS CENTERS AND IN NEED OF HIGH ACUITY PROGRAMMING.

SUPPORTIVE HOUSING PROGRAM

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