Shepherd Center

RERC ON ICT ACCESS FOR MOBILE REHABILITATION (MREHAB)

NATIONAL INSTITUTE ON DISABILITY AND REHABILITATION RESEARCH - SPINAL CORD INJURY MODEL DEMONSTRATIONS

SOUTHEASTERN REGIONAL SPINAL CORD INJURY MODEL SYSTEMS (SR-SCIMS)

SOUTHEASTERN REGIONAL SPINAL CORD INJURY MODEL SYSTEM (SR-SCIMS)

LIVEWELL - RERC - THE RERC FOR COMMUNITY LIVING, HEALTH AND FUNCTION

APP FACTORY TO SUPPORT HEALTH AND FUNCTION OF PEOPLE WITH DISABILITIES

LIVEWELL - RERC - THE RERC FOR COMMUNITY LIVING, HEALTH AND FUNCTION

GEORGIA MODEL BRAIN INJURY SYSTEM (GAMBIS) - THE SHEPHERD CENTER AND THE GEORGIA VOCATIONAL REHABILITATION AGENCY (GVRA) ARE PARTNERING TO LEAD THE GEORGIA MODEL BRAIN INJURY SYSTEM (GAMBIS). THE MISSION OF GAMBIS IS TO IMPROVE THE EMPLOYMENT, FINANCIAL, HEALTH, AND COMMUNITY PARTICIPATION OUTCOMES OF INDIVIDUALS WITH TBI, AND PARTICULARLY FOR MINORITY AND UNDERSERVED POPULATIONS. THE GOAL OF OUR SITE-SPECIFIC PROJECT, “IMPROVING EMPLOYMENT OUTCOMES OF PERSONS WITH MODERATE/SEVERE TBI,” IS TO VALIDATE NOVEL VOCATIONAL REHABILITATION (VR) INTERVENTIONS THAT ARE COORDINATED BETWEEN HOSPITAL-BASED (I.E., SHEPHERD CENTER) AND STATE VR PROGRAMS (I.E., GVRA). THE GAMBIS OBJECTIVES ARE TO: (1) ENROLL 35+ PARTICIPANTS IN THE TBIMS NDB ANNUALLY AND CONDUCT FOLLOW-UP ASSESSMENTS; (2) IDENTIFY THE MOST CLINICALLY AND FINANCIALLY EFFECTIVE VR SERVICES FOR INDIVIDUALS WITH THE MOST SIGNIFICANT TBIS (I.E., SITE-SPECIFIC PROJECT); (3) IDENTIFY PREDICTORS OF SUCCESSFUL REHABILITATION OUTCOMES THAT ARE AMENABLE TO TREATMENT (I.E., PERSONAL RESOURCES, COMMUNITY RESOURCES, SOCIOCULTURAL VARIABLES) FOR INDIVIDUALS WITH TBI FROM MINORITY AND UNSERVED POPULATIONS (I.E., COLLABORATIVE PROJECT); AND (4) TRANSLATE KNOWLEDGE AND DEVELOP MATERIALS TAILORED FOR EACH STAKEHOLDER. THE ANTICIPATED OUTCOMES INCLUDE: (A) IMPROVED EMPLOYMENT AND FINANCIAL OUTCOMES FOR INDIVIDUALS WITH THE MOST SIGNIFICANT TBIS; (B) DECREASED STATE FINANCIAL EXPENDITURES (I.E., VR COSTS, SSDI EXPENDITURES); (C) A NATIONAL MODEL FOR COORDINATED HOSPITAL- AND STATE VR PROGRAMS; (D) EVIDENCE TO SUPPORT FINANCIAL REIMBURSEMENT OF HOSPITAL-BASED VR SERVICES (E.G., PRIVATE INSURANCE; MEDICARE/ MEDICAID); AND 5) SUPPORT FOR INCREASED ON-THE-JOB-TRAINING INTERVENTIONS BY STATE VR PROGRAMS. ANTICIPATED PRODUCTS WILL INCLUDE ACADEMIC PUBLICATIONS IN PEER-REVIEWED JOURNALS, PROFESSIONAL PRESENTATIONS AT REHABILITATION CONFERENCES (WITH OUR PARTNER, THE NATIONAL COUNCIL FOR VOCATIONAL REHABILITATION ADMINISTRATORS), AND VR INTERVENTION MANUALS FOR STAT E VOCATIONAL REHABILITATION PROGRAM PROVIDERS.

CALIBRATING TRANSCUTANEOUS SPINAL STIMULATION FOR SPASTICITY, PAIN, AND MOTOR FUNCTION IN SCI - PROGRAM DIRECTOR/PRINCIPAL INVESTIGATOR (LAST, FIRST, MIDDLE): FIELD-FOTE, EDELLE CARMEN PROJECT SUMMARY / ABSTRACT WHILE THE INCIDENCE OF SPINAL CORD INJURY (SCI) MAY NOT BE AS HIGH AS OTHER NEUROLOGICAL DISORDERS SUCH AS STROKE, MANY WITH SCI ARE YOUNG ADULTS WHO CAN EXPECT TO LIVE WITH DISABILITY FOR 35 – 50 YEARS. FOR THIS REASON, EVEN SMALL REDUCTIONS OF IMPAIRMENT AND IMPROVEMENTS IN FUNCTION CAN HAVE A SIGNIFICANT IMPACT ON HEALTH, QUALITY OF LIFE, AND SOCIAL PARTICIPATION AFTER SCI. SPASTICITY CAN BE A SIGNIFICANT PROBLEM FOR PERSONS WITH SCI, FOR EXAMPLE, THE MUSCLE SPASMS ASSOCIATED WITH SPASTICITY CAN BE SO STRONG THAT, DESPITE HAVING SUFFICIENT MOTOR FUNCTION TO USE A LIGHTWEIGHT MANUAL WHEELCHAIR, SOME INDIVIDUALS MUST BE SECURED IN A CUMBERSOME POWER CHAIR TO AVOID BEING THROWN FROM THE CHAIR BY THEIR SPASMS. MANAGEMENT OF SPASTICITY IS CHALLENGING; IT IS TYPICALLY TREATED WITH ANTISPASMODICS THAT ACT AS CENTRAL NERVOUS SYSTEM DEPRESSANTS, WITH NEGATIVE SIDE-EFFECTS SUCH AS DROWSINESS, LETHARGY, AND MUSCLE WEAKNESS. IN ADDITION TO SPASTICITY, MANY INDIVIDUALS WITH SCI HAVE NEUROPATHIC PAIN. THE PROBLEMS OF SPASTICITY AND PAIN ARE IN ADDITION TO THE MUSCLE PARESIS THAT IS THE HALLMARK OF SCI. TSS OFFERS AN ACCESSIBLE APPROACH TO ACHIEVING ACTIVATION OF MULTIPLE SPINAL LEVELS SIMULTANEOUSLY, MODULATING THE SPINAL NEURAL CIRCUITS THAT UNDERLIE SPASTICITY, PAIN, AND MOTOR FUNCTION. THE PROPOSED STUDIES CALIBRATING TRANSCUTANEOUS SPINAL STIMULATION (TSS) FOR SPASTICITY, PAIN, AND MOTOR FUNCTION IN SCI HAVE THE POTENTIAL TO MAKE A MEANINGFUL IMPACT ON THESE PROBLEMS. IT IS POSSIBLE THAT TSS CAN OFFER A VALUABLE, AND CLINICALLY ACCESSIBLE FORM OF NEUROMODULATION WITH THE BENEFITS OF PROVIDING A: 1) NON-PHARMACOLOGICAL APPROACH FOR MANAGING SPASTICITY, 2) NON-PHARMACOLOGICAL INTERVENTION FOR MANAGEMENT OF PAIN, AND 3) STRATEGY TO IMPROVE VOLITIONAL MOTOR FUNCTION IN PERSONS WITH SCI. HOWEVER BEFORE TSS CAN BE CONSIDERED A VIABLE FORM OF CLINICALLY ACCESSIBLE NEUROMODULATION, MUCH NEEDS TO BE LEARNED ABOUT DOSE-RESPONSE RELATIONSHIPS REGARDING INTENSITY, FREQUENCY, AND PATTERN OF STIMULATION, AND HOW THESE INFLUENCE SPASTICITY, NOCICEPTIVE RESPONSES, AND VOLITIONAL MOTOR OUTPUT. THESE STUDIES WILL BE THE FOUNDATION FOR LARGER STUDIES COMPARING TSS TO COMMONLY PRESCRIBED PHARMACEUTICALS, AFTER COMPLETION OF THE FOLLOWING AIMS: SPECIFIC AIM 1 (PHASE 1; YEAR 1) QUANTIFY EARLY AND LATE WITHIN-SESSION EFFECTS ON SPASTICITY OF 50HZ TSS APPLIED AT EACH OF 3 DIFFERENT INTENSITIES (0.8XRT, 0.8XRT-BURST, 1.2XRT) TO INFORM PHASE 2. SPECIFIC AIM 2 (PHASE 2; YEARS 2–5) QUANTIFY EARLY, LATE, CUMULATIVE AND PERSISTENT MULTI-SESSION EFFECTS ON SPASTICITY OF 3 DIFFERENT TSS FREQUENCY CONDITIONS (30HZ, 50HZ, 80HZ; AT THE INTENSITY/PATTERN) SPECIFIC AIM 3 (PHASE 2; YEARS 2–5) QUANTIFY EARLY, LATE, AND PERSISTENT EFFECTS ON NOCICEPTION OF 3 DIFFERENT TSS FREQUENCY CONDITIONS (30HZ, 50HZ, 80HZ) SPECIFIC AIM 4 (PHASE 2; YEARS 2–5) QUANTIFY PER-STIMULATION, EARLY, AND PERSISTENT EFFECTS ON LOWER EXTREMITY MUSCLE STRENGTH AND MOTOR CONTROL OF 3 DIFFERENT TSS FREQUENCY CONDITIONS (30HZ, 50HZ, 80HZ) OMB NO. 0925-0001/0002 (REV. 01/18 APPROVED THROUGH 03/31/2020) PAGE 1 CONTINUATION FORMAT PAGE

REACTIVATING NEURAL CIRCUITS WITH CLINICALLY ACCESSIBLE STIMULATION TO RESTORE HAND FUNCTION IN PERSONS WITH TETRAPLEGIA

EXPANDING ACCESS TO MTBI TREATMENT FOR VETERANS AND SERVICE MEMBERS WITH CO-OCCURRING SUBSTANCE USE

SPINAL CORD INJURY MODEL DEMONSTRATIONS

DOSE-RESPONSE EFFECTS OF WHOLE BODY VIBRATION ON SPASTICITY AND WALKING IN SCI

INTENSIVE REHABILITATION RESEARCH GRANT WRITING WORKSHOPS IN THE UNITED STATES (TIGRR)

THE SHEPHERD CENTER BENEFITS NAVIGATOR PROGRAM:A WORK INCENTIVES PLANNING AND ASSISTANCE (WIPA) PROJECT FOR DISABLED GEORGIANS

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

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

FY23-CFP-SHEPHERD CENTER INC.

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

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

SPINAL CORD INJURY MODEL SYSTEMS PROGRAM

SOUTHEASTERN REGIONAL SPINAL CORD INJURY MODEL SYSTEM (SR-SCIMS) - ABSTRACT THE SOUTHEASTERN REGIONAL SPINAL CORD INJURY MODEL SYSTEM (SR-SCIMS) PROVIDES COMPREHENSIVE, MULTIDISCIPLINARY REHABILITATION AND LIFELONG FOLLOW-UP DESIGNED TO MEET THE EVOLVING NEEDS OF INDIVIDUALS WITH SPINAL CORD INJURY (SCI) ACROSS THE CONTINUUM OF CARE. AS ONE OF THE NATION'S LONGSTANDING SCI MODEL SYSTEMS, SR-SCIMS INTEGRATES EXEMPLARY CLINICAL CARE, LONGITUDINAL OUTCOMES RESEARCH, INNOVATIVE REHABILITATION RESEARCH, KNOWLEDGE TRANSLATION, AND COMMUNITY ENGAGEMENT TO IMPROVE HEALTH, FUNCTION, COMMUNITY LIVING, AND PARTICIPATION. THESE ACTIVITIES ADVANCE THE MISSION OF THE NATIONAL INSTITUTE ON DISABILITY, INDEPENDENT LIVING, AND REHABILITATION RESEARCH (NIDILRR) BY GENERATING AND TRANSLATING EVIDENCE THAT IMPROVES OUTCOMES AND EXPANDS ACCESS TO EVIDENCE-BASED REHABILITATION. DURING THE UPCOMING 2026-31 CYCLE, SR-SCIMS WILL CONTRIBUTE 150 NEW CASES (20% OF WHICH WILL BE NON-TRAUMATIC CASES) TO THE NATIONAL SCI DATABASE AND APPROXIMATELY 2,000 LONGITUDINAL FOLLOW-UP ASSESSMENTS AT PRESCRIBED POST-INJURY INTERVALS. THESE CONTRIBUTIONS WILL STRENGTHEN ONE OF THE WORLD'S FOREMOST LONGITUDINAL SCI DATASETS AND PROVIDE EVIDENCE TO INFORM REHABILITATION PRACTICE, POLICY, AND LONG-TERM HEALTH AND PARTICIPATION AFTER SCI. OUR PARTICIPATORY ACTION RESEARCH (PAR) ADVISORS INCLUDE INDIVIDUALS WITH SCI REPRESENTING A BROAD RANGE OF INJURY LEVELS, INJURY SEVERITIES, FUNCTIONAL ABILITIES, AND LIFE STAGES. AS ACTIVE PARTNERS THROUGHOUT SR-SCIMS ACTIVITIES, THEY WILL PROVIDE CRITICAL INPUT ON RESEARCH PRIORITIES, STUDY DESIGN, DISSEMINATION, KNOWLEDGE TRANSLATION, AND CONSUMER ENGAGEMENT, ENSURING OUR WORK ADDRESSES ISSUES OF GREATEST IMPORTANCE TO THE SCI COMMUNITY. GUIDED BY STAKEHOLDER INPUT, OUR RESEARCH PROJECTS ADDRESS TWO NIDILRR PRIORITY DOMAINS: HEALTH AND FUNCTION, AND COMMUNITY LIVING AND PARTICIPATION. OUR COLLABORATIVE PROJECT ADDRESSES A CRITICAL CHALLENGE AFFECTING PEOPLE WITH SCI WHO HAVE THE GREATEST SUPPORT NEEDS: LAPSES IN ATTENDANT CARE. FOR INDIVIDUALS WHO CANNOT INDEPENDENTLY TRANSFER FROM BED TO WHEELCHAIR, A DISRUPTION IN ATTENDANT CARE IS NOT MERELY AN INCONVENIENCE; IT CAN BE LIFE-THREATENING. YET LITTLE IS KNOWN ABOUT THE FREQUENCY, CAUSES, PREDICTORS, AND CONSEQUENCES OF THESE DISRUPTIONS. OUR OBJECTIVE IS TO IDENTIFY THESE FACTORS AND MODIFIABLE RISKS THAT CAN GUIDE IMPROVEMENTS IN ATTENDANT CARE SYSTEMS, SERVICE DELIVERY, WORKFORCE PLANNING, AND PUBLIC POLICY. BY IMPROVING ESSENTIAL SUPPORT SERVICES, THIS PROJECT ADVANCES COMMUNITY LIVING AND PARTICIPATION WHILE PROTECTING THE HEALTH AND WELL-BEING OF PEOPLE WITH SCI WHO HAVE THE GREATEST SUPPORT NEEDS AND WHO DEPEND ON PERSONAL ASSISTANCE. OUR SITE-SPECIFIC PROJECT ADDRESSES THE LIMITED OPPORTUNITIES FOR PEOPLE WITH SCI TO ACCESS COMMUNITY-BASED PROGRAMS DESIGNED TO IMPROVE WALKING AFTER DISCHARGE FROM REHABILITATION. THE OBJECTIVE IS TO EVALUATE THE FEASIBILITY, ENGAGEMENT, AND PRELIMINARY EFFICACY OF A NOVEL, TASK-SPECIFIC MOTOR SKILL TRAINING PROGRAM DELIVERED IN A COMMUNITY SETTING USING A LOW-RESOURCE MODEL. BY EMPHASIZING MOTOR LEARNING OVER PERSONNEL- AND TECHNOLOGY-INTENSIVE REHABILITATION, THIS SCALABLE INTERVENTION AIMS TO IMPROVE WALKING, ENHANCE HEALTH AND FUNCTION, INCREASE PARTICIPATION, AND EXPAND ACCESS TO EVIDENCE-BASED TRAINING BEYOND SPECIALIZED CENTERS. SR-SCIMS WILL COLLABORATE CLOSELY WITH OTHER SCI MODEL SYSTEMS AND THE MODEL SYSTEMS KNOWLEDGE TRANSLATION CENTER (MSKTC) TO TRANSLATE RESEARCH INTO PRACTICE THROUGH SCIENTIFIC DISSEMINATION, PROFESSIONAL EDUCATION, CONSUMER RESOURCES, AND STAKEHOLDER PARTNERSHIPS. COLLECTIVELY, SR-SCIMS WILL GENERATE KNOWLEDGE THAT IMPROVES REHABILITATION AND SUPPORT SERVICES, INFORMS CLINICAL PRACTICE AND PUBLIC POLICY, STRENGTHENS COMMUNITY PARTICIPATION AND INDEPENDENT LIVING, IMPROVES LONG-TERM HEALTH AND FUNCTION, AND EXPANDSACCESS TO EFFECTIVE EVIDENCE-BASED INTERVENTIONS FOR PEOPLE WITH SCI.

FIELD INITIATED

COMPARING TRANSITION SUPPORT INTERVENTIONS FOR FAMILY CAREGIVERS OF ABI PATIENTS

FIELD INITIATED

DISABILITY AND REHABILITATION RESEARCH PROJECTS

THE BENEFITS NAVIGATOR PROGRAM AT SHEPHERD CENTER

DRRP PROJECT FOR ADVANCING COLLABORATIVE TRANSLATION FOR MHEALTH APPS TO SUPPORT HEALTH AND FUNCTION OF PEOPLE WITH DISABILITIES - SHEPHERD CENTER, IN PARTNERSHIP WITH MASSACHUSETTS GENERAL BRIGHAM/SPAULDING REHABILITATION HOSPITAL (MGB/SRH) AND THE UNIVERSITY OF MICHIGAN, PROPOSE THIS 5-YEAR GRANT TO 1) CONDUCT TRANSLATION ACTIVITIES FOR THREE MOBILE HEALTH (MHEALTH) APPS TO SUPPORT THE HEALTH AND FUNCTION OF PEOPLE WITH DISABLING CONDITIONS (BURN INJURY, SCLERODERMA AND TRAUMATIC BRAIN INJURY) DEVELOPED WITH SUPPORT FROM RECENT GRANTS FROM THE NATIONAL INSTITUTE ON DISABILITY, INDEPENDENT LIVING AND REHABILITATION RESEARCH (NIDILRR), AND 2) CONDUCT RESEARCH ON TRANSLATION STRATEGIES FOR MHEALTH APPS FOR PEOPLE WITH DISABILITIES. THE GOAL IS TO EXPAND UTILIZATION OF THE FUNDED MHEALTH APPS TO GREATER NUMBERS OF TARGET USERS AND NEW SETTINGS AND EXPAND UNDERSTANDING OF TRANSLATION STRATEGIES FOR MHEALTH APPS FOR PEOPLE WITH DISABILITIES. OBJECTIVES: 1) IDENTIFY TRANSLATION NEEDS FOR 3 NIDILRR FUNDED MHEALTH APPS FOR USERS WITH TARGET DISABLING CONDITIONS IN DIVERSE SETTINGS; 2) DEVELOP TRANSLATION PLANS FOR 3 MHEALTH APPS, 3) DEVELOP MEASURES TO EVALUATE ADOPTION/USE; 4) DOCUMENT AND DISSEMINATE TRANSLATION METHODS UTILIZED; AND 5) ENHANCE PARTNERSHIP WITH TARGET USERS AND STAKEHOLDERS. MEASURABLE OUTCOMES: 1) EXPANDED USE OF MHEALTH APPS BY TARGET USERS WITH DISABILITIES; 2) IMPROVED HEALTH AND FUNCTION OUTCOMES BY TARGET USERS; 3) CHANGES IN PRACTICE AND SYSTEMS TO IMPROVE OUTCOMES FOR TARGET USERS; 4) EXPANDED NETWORKS OF TARGET MHEALTH APP USERS, CLINICIANS AND COLLABORATING ORGANIZATIONS; 5) ENHANCED UNDERSTANDING OF TRANSLATION METHODS FOR MHEALTH APPS. PRODUCTS WILL INCLUDE 1) TRANSLATION PLANS CO-DEVELOPED WITH COLLABORATORS AND TARGET USERS, 2) INFORMATION PRODUCTS (TRAINING MATERIALS, WEBSITE, PEER-REVIEWED ARTICLES AND PRESENTATIONS) TO SUPPORT TRANSLATION OF SELECTED MHEALTH APPS FOR TARGET USERS, 3) RESEARCH PRODUCTS ON TRANSLATION STRATEGIES FOR MHEALTH APPS.

FIELD INITIATED PROGRAM

BENEFITS NAVIGATOR: WORK INCENTIVES PLANNING AND ASSISTANCE FOR DISABLED GEORGIANS

BENEFITS NAVIGATOR: WORK INCENTIVES PLANNING AND ASSISTANCE FOR DISABLED GEORGIANS

BENEFITS NAVIGATOR: WORK INCENTIVES PLANNING AND ASSISTANCE FOR DISABLED GEORGIANS

BENEFITS NAVIGATOR: WORK INCENTIVES PLANNING AND ASSISTANCE FOR DISABLED GEORGIANS

FIELD INITIATED

HEALTH CARE AND OTHER FACILITIES

INFLUENCE OF NEUROMODULATORY INPUT ON ANKLE CONTROL AND SPASTICITY IN PERSONS WITH SPINAL CORD INJURY.

CONTINUUM OF CARE PROGRAM

PURPOSE: THE CONTINUUM OF CARE (COC) PROGRAM IS DESIGNED TO PROMOTE COMMUNITY-WIDE COMMITMENT TO THE GOAL OF ENDING HOMELESSNESS; PROVIDE FUNDING FOR EFFORTS BY NONPROFIT PROVIDERS, STATES, AND LOCAL GOVERNMENTS TO QUICKLY HOUSE HOMELESS INDIVIDUALS AND FAMILIES WHILE MINIMIZING THE TRAUMA AND DISLOCATION CAUSED TO HOMELESS INDIVIDUALS, FAMILIES, AND COMMUNITIES BY HOMELESSNESS; PROMOTE ACCESS TO AND EFFECTIVE UTILIZATION OF MAINSTREAM PROGRAMS BY HOMELESS INDIVIDUALS AND FAMILIES; AND OPTIMIZE SELF-SUFFICIENCY AMONG INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. THE MOST RECENT COC AWARD ANNOUNCEMENT LISTING AWARDS BY STATE AND COC IS ACCESSIBLE AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/AWARDS. SELECT THE LINK UNDER THE FUNDING AND AWARD INFORMATION SECTION FOR THE APPROPRIATE FISCAL YEAR.; ACTIVITIES TO BE PERFORMED: CONTINUUM OF CARE PROGRAM FUNDS MAY BE USED TO PAY FOR THE ELIGIBLE COSTS USED TO ESTABLISH AND OPERATE PROJECTS UNDER FIVE PROGRAM COMPONENTS: (1) PERMANENT HOUSING, WHICH INCLUDES PERMANENT SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES, AND RAPID REHOUSING; (2) TRANSITIONAL HOUSING; (3) SUPPORTIVE SERVICES ONLY; (4) HOMELESS MANAGEMENT INFORMATION SYSTEMS (HMIS), AND (5) IN SOME CASES, HOMELESSNESS PREVENTION. THIRTEEN TYPES OF ASSISTANCE MAY BE PROVIDED THROUGH THE CONTINUUM OF CARE (COC) PROGRAM: (1) COC PLANNING ACTIVITIES/COSTS FOR DESIGNING AND CARRYING OUT A COLLABORATIVE PROCESS FOR THE DEVELOPMENT OF AN APPLICATION TO HUD; (2) UNITED FUNDING AGENCY (UFA) COSTS FOR FISCAL CONTROL AND ACCOUNTING NECESSARY TO ASSURE THE PROPER DISBURSAL OF, AND ACCOUNTING FOR, FEDERAL FUNDS AWARDED TO SUBRECIPIENTS UNDER THE CONTINUUM OF CARE PROGRAM, (3) ACQUISITION OF REAL PROPERTY (INCLUDING STRUCTURES) FOR USE IN THE PROVISION OF HOUSING OR SUPPORTIVE SERVICES; (4) REHABILITATION OF STRUCTURES TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (5) NEW CONSTRUCTION, INCLUDING THE BUILDING OF A NEW STRUCTURE OR BUILDING AN ADDITION TO AN EXISTING STRUCTURE FOR USE AS SUPPORTIVE HOUSING; (6) LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (7) RENTAL ASSISTANCE, WHICH MAY BE SHORT-TERM, MEDIUM-TERM, OR LONG-TERM, AS WELL AS TENANT-BASED, PROJECT-BASED, OR SPONSOR-BASED, FOR TRANSITIONAL OR PERMANENT HOUSING; (8) SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; (9) OPERATING COSTS OF SUPPORTIVE HOUSING; (10) COSTS OF IMPLEMENTING AND OPERATING HMIS; (11) PROJECT ADMINISTRATIVE COSTS; (12) RELOCATION COSTS; AND (13) INDIRECT COSTS IN ACCORDANCE WITH 2 CFR PARTS 200, AS APPLICABLE. IN ADDITION TO USING GRANT FUNDS FOR THE ELIGIBLE COSTS DESCRIBED ABOVE, RECIPIENTS AND SUBRECIPIENTS IN CONTINUUMS OF CARE DESIGNATED AS HIGH PERFORMING COMMUNITIES MAY ALSO USE GRANT FUNDS TO PROVIDE HOUSING RELOCATION AND STABILIZATION SERVICES AND SHORT- AND/OR MEDIUM-TERM RENTAL ASSISTANCE TO INDIVIDUALS AND FAMILIES AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT THE INDIVIDUAL OR FAMILY FROM BECOMING HOMELESS. LIMITATION ON USE OF FUNDS: NO ASSISTANCE PROVIDED UNDER PROGRAM (OR ANY STATE OR LOCAL GOVERNMENT FUNDS USED TO SUPPLEMENT THIS ASSISTANCE) MAY BE USED TO REPLACE STATE OR LOCAL FUNDS PREVIOUSLY USED, OR DESIGNATED FOR USE, TO ASSIST HOMELESS PERSONS OR PERSONS AT-RISK OF HOMELESSNESS.; EXPECTED OUTCOMES: DECREASE IN THE NUMBER INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS, MORE SPECIFICALLY USING PERFORMANCE INDICATORS SUCH AS THE LENGTH OF TIME HOMELESS, RETURNS TO HOMELESSNESS OVER TIME, AND EXITS TO PERMANENT HOUSING. COC PERFORMANCE PROFILE REPORTS CAN BE FOUND AT HTTPS://WWW.HUDEXCHANGE.INFO/PROGRAMS/COC/COC-PERFORMANCE-PROFILE-REPORTS/.; INTENDED BENEFICIARIES: INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - SHEPHERD CENTER, INC. LOCATED IN ATLANTA, GEORGIA, IS A 152-BED PRIVATE, NOT-FOR-PROFIT HOSPITAL SPECIALIZING IN MEDICAL TREATMENT, RESEARCH, AND REHABILITATION FOR PEOPLE WITH SPINAL CORD INJURY, BRAIN INJURY, STROKE, MULTIPLE SCLEROSIS, AND OTHER NEUROMUSCULAR CONDITIONS. SHEPHERD CENTER IS THE LARGEST SPECIALIZED REHABILITATION HOSPITAL FOR THIS UNIQUE PATIENT POPULATION IN THE NATION AND PATIENTS TRAVEL FROM ACROSS THE NATION TO SHEPHERD CENTER FOR ITS INNOVATIVE BRAND OF NEUROREHABILITATION. ROUGHLY 70% OF OUR PATIENTS ARE INJURED DUE TO TRAUMA AND THEY PRESENT TO US WITH MULTIPLE INJURIES. THE COVID PANDEMIC HAS DIMINISHED THE ABILITY OF NURSING PROGRAMS TO PROVIDE ONSITE CLINICAL PRACTICUMS THUS OPPORTUNITIES FOR CLINICAL EXPERIENCES ARE NOT READILY AVAILABLE. ORIENTATION OF A NEW GRADUATE NURSE IS LESS COMPREHENSIVE RESULTING IN A FEWER SKILLS AND DIMINISHED CONFIDENCE. ANOTHER CHALLENGE IS PREPARING CLINICIANS FOR EMERGENCIES SUCH AS CARDIAC ARREST THAT MAY LEAD TO PROFOUNDLY NEGATIVE CONSEQUENCES FOR PATIENTS INCLUDING BUT NOT LIMITED TO LOSS OF LIFE. FORTUNATELY, MANY OF THESE EVENTS ARE RARE. HOWEVER, BECAUSE THEY ARE RARE, HOSPITAL STAFF INCLUDING PHYSICIANS, NURSES AND RESPIRATORY THERAPISTS HAVE LITTLE CHANCE TO PRACTICE THE SKILLS NEEDED IN THESE EMERGENCIES. SIMULATION LABS ARE THE BEST ALTERNATIVE TO HANDS ON EXPERIENCE AND ESSENTIAL TO CLINICIANS’ TRAINING. SHEPHERD CENTER’S CLINICAL STAFF REQUIRE SPECIALIZED TRAINING FOR OUR DIVERSE POPULATION. SPECIFICALLY ADDRESSING LIFE THREATING SITUATIONS ONLY SEEN IN A SPINAL CORD OR BRAIN INJURED POPULATION. MOST OF THIS TRAINING IS TYPICALLY NOT OFFERED THROUGH TRADITIONAL ACADEMIC PROGRAMS SO CLINICAL STAFF HAVE NEVER EVEN BEEN EXPOSED TO MANY SKILLS. ACCESS TO A MANNEQUIN THAT CAN SIMULATE THESE EMERGENCIES WILL GIVE OUR STAFF PRACTICE IN SKILLS ESSENTIAL TO ADDRESSING THESE CONDITIONS. SHEPHERD CENTER IS REQUESTING FUNDS TO PURCHASE 2 SOPHISTICATED MEDICAL MANNEQUINS. THESE MANN EQUINS WILL BE ADDED TO SHEPHERD CENTER'S SIMULATION LAB AND WILL BE USED TO TRAIN PHYSICIANS, NURSING AND THERAPY STAFF AT SHEPHERD AS WELL AS PROVIDE COMMUNITY TRAINING.

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

SUPPORTIVE HOUSING NEW

THE 2011INTERNATIONAL CONFERENCE ON SPINAL CORD MEDICINE AND REHABILITATION

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM