Unity Outreach Inc

LE BONHEUR BE PROUD! BE RESPONSIBLE! MEMPHIS!(TIER 1B)

ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING, AND MISCELLANEOUS GRANTS

RYAN WHITE TITLE IV WOMEN, INFANTS, CHILDREN, YOUTH AND AFFECTED FAMILY MEMBERS AIDS HEALTHCARE

RYAN WHITE TITLE IV WOMEN, INFANTS, CHILDREN, YOUTH AND AFFECTED FAMILY MEMBERS AIDS HEALTHCARE

BE PROUD! BE RESPONSIBLE! MEMPHIS!

DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA)

RYAN WHITE TITLE IV PROGRAM

LE BONHEUR'S CHANGING HIGH-RISK ASTHMA IN MEMPHIS THROUGH PARTNERSHIP (CHAMP) PROGRAM

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAMS FOR COMMUNITY-BASED ORGANIZATIONS - METHODIST LE BONHEUR COMMUNITY OUTREACHCOMPREHENSIVE HIGH IMPACT PREVENTION (CHIP) THE GEOGRAPHIC CONTEXT FOR THIS APPLICATION IS THE MEMPHIS TRANSITIONAL GRANT AREA (MEMPHIS TGA), WHICH IS COMPRISED OF EIGHT COUNTIES: SHELBY, FAYETTE AND TIPTON IN WEST TENNESSEE; CRITTENDEN IN EASTERN ARKANSAS; AND DESOTO, MARSHALL, TATE AND TUNICA COUNTIES IN NORTH MISSISSIPPI. THE MEMPHIS TGA HAS A POPULATION OF APPROXIMATELY 1.3 MILLION. THE MOST POPULOUS COUNTY IS SHELBY COUNTY (POP. 937,750), WHICH INCLUDES THE CITY OF MEMPHIS, POPULATION 654,876. IN 2016, AFRICAN AMERICANS MADE UP 46% OF THE MEMPHIS TGA POPULATION BUT ACCOUNTED FOR 90% OF NEWLY DIAGNOSED HIV CASES. NEW HIV DIAGNOSES IN THE TGA BY RISK CATEGORY WERE HIGHEST AMONG THOSE REPORTING UNKNOWN OR UNIDENTIFIED RISK (42%) FOLLOWED BY MEN WHO HAVE SEX WITH MEN (39%), AND HETEROSEXUAL TRANSMISSION (18%). ADDITIONALLY, NEW HIV DIAGNOSES HAVE GROWN AMONG ADOLESCENTS AND YOUNG ADULTS (15-34 YEARS OF AGE), INCREASING FROM 57% TO 63% OF ALL NEW CASES BETWEEN 2012 AND 2016 (SHELBY COUNTY HEALTH DEPARTMENT, 2017). THE APPLICANT, METHODIST LE BONHEUR COMMUNITY OUTREACH (MLCO), IS A CURRENT CDC CHIP GRANTEE (CDC-PS15-1502). MLCO IS REQUESTING FUNDING TO CONTINUE AND ENHANCE ITS COMMUNITY HIV NETWORK?S TESTING, OUTREACH AND PREVENTION SERVICES FOR HIGH RISK HETEROSEXUAL AFRICAN AMERICANS AND HISPANICS, TWO MINORITY GROUPS IN THE MEMPHIS TGA MOST SEVERELY IMPACTED BY HIV. THE CONTINUED AND ENHANCED PROGRAM WILL PRIMARILY SERVE AFRICAN AMERICAN AND HISPANIC INDIVIDUALS BETWEEN AGES 13-49 WITHIN THE HETEROSEXUAL AND ?UNKNOWN? RISK CATEGORIES. THE COMMUNITY HIV NETWORK (NETWORK) HAS SUCCESSFULLY SERVED THESE TARGET POPULATIONS FOR MORE THAN 20 YEARS THROUGH HIGH IMPACT COMMUNITY-BASED TESTING, ARTAS, PROMISE AND REFERRALS TO HIV MEDICAL AND SOCIAL AND ESSENTIAL SERVICES PROVIDERS. OVER THE FIVE YEAR PROJECT PERIOD, THE NETWORK WILL IMPLEMENT SERVICES AND WORK IN COLLABORATION WITH HEALTH DEPARTMENTS AND OTHER CO MMUNITY HIV PROVIDERS TO ACHIEVE THE FOLLOWING OUTCOMES: ?CONDUCT 6,500 HIV TESTS WITH 75% OF TESTS CONDUCTED AMONG THE TARGET POPULATION?IDENTIFICATION OF 135 NEW HIV INFECTIONS AND 40 PREVIOUSLY IDENTIFIED PERSONS WITH HIV?REFERRALS TO STD SCREENING FOR ALL HIV-POSITIVE PERSONS IDENTIFIED AND FOR 3,750 HIGH RISK NEGATIVE (HRN) PERSONS?90% OF NEW AND PREVIOUSLY DIAGNOSED PERSONS WILL BE LINKED TO HIV MEDICAL CARE WITHIN 30 DAYS?100% OF NEW AND PREVIOUSLY DIAGNOSED WITH HIV PERSONS WILL BE REFERRED FOR PARTNER SERVICES?50,000 FREE CONDOMS WILL DISTRIBUTED TO HIV-POSITIVE AND HRN PERSONS; AND ?3750 HRN PERSONS WILL BE REFERRED TO PREP AND RECEIVE NAVIGATION SUPPORT.

PURPOSE: THE OVERALL PURPOSE OF THE OLDER ADULT HOME MODIFICATION PROGRAM (OAHMP) IS TO ASSIST EXPERIENCED NONPROFIT ORGANIZATIONS, STATE AND LOCAL GOVERNMENTS, AND PUBLIC HOUSING AUTHORITIES IN UNDERTAKING COMPREHENSIVE PROGRAMS THAT MAKE SAFETY AND FUNCTIONAL HOME MODIFICATIONS REPAIRS AND RENOVATIONS TO MEET THE NEEDS OF LOW-INCOME ELDERLY HOMEOWNERS. THE GOAL OF THE HOME MODIFICATION PROGRAM IS TO ENABLE LOW-INCOME ELDERLY PERSONS TO REMAIN IN THEIR HOMES THROUGH LOW-COST, LOW BARRIER, HIGH IMPACT HOME MODIFICATIONS TO REDUCE OLDER ADULTS’ RISK OF FALLING, IMPROVE GENERAL SAFETY, INCREASE ACCESSIBILITY, AND TO IMPROVE THEIR FUNCTIONAL ABILITIES IN THEIR HOME. THIS WILL ENABLE OLDER ADULTS TO REMAIN IN THEIR HOMES, THAT IS, TO “AGE IN PLACE,” RATHER THAN MOVE TO NURSING HOMES OR OTHER ASSISTED CARE FACILITIES.; ACTIVITIES TO BE PERFORMED: HUD’S OFFICE OF LEAD HAZARD CONTROL AND HEALTHY HOMES IS MAKING AVAILABLE GRANT FUNDS AND TRAINING RESOURCES TO NON-FEDERAL ENTITIES. UNDER THE OAHMP AWARD, EXPERIENCED NONPROFIT ORGANIZATIONS, STATE AND LOCAL GOVERNMENTS, AND PUBLIC HOUSING AUTHORITIES WILL DELIVER HOME MODIFICATION SERVICES TO QUALIFIED BENEFICIARIES. THE OAHMP MODEL FOCUSES ON LOW-COST, HIGH-IMPACT HOME MODIFICATIONS. EXAMPLES OF THESE HOME MODIFICATIONS INCLUDE INSTALLATION OF GRAB BARS, RAILINGS, AND LEVER-HANDLED DOORKNOBS AND FAUCETS, AS WELL AS THE INSTALLATION OF ADAPTIVE EQUIPMENT, SUCH AS TEMPORARY RAMP, TUB/SHOWER TRANSFER BENCH, HANDHELD SHOWER HEAD, RAISED TOILET SEAT, RISERS FOR CHAIRS AND SOFAS, AND NON-SLIP STRIPS FOR TUB/SHOWER OR STAIRS. THE OAHMP MODEL PRIMARILY RELIES ON THE EXPERTISE OF A LICENSED OCCUPATIONAL THERAPIST (OT) TO ENSURE THAT THE HOME MODIFICATION ADDRESSES THE CLIENT’S SPECIFIC GOALS AND NEEDS AND PROMOTES THEIR FULL PARTICIPATION IN DAILY LIFE ACTIVITIES. THE OT IS TRAINED TO EVALUATE CLIENTS’ FUNCTIONAL ABILITIES AND THE HOME ENVIRONMENT AND HAS KNOWLEDGE OF THE RANGE OF LOW-COST, HIGH-IMPACT ENVIRONMENTAL MODIFICATIONS AND ADAPTIVE EQUIPMENT USED TO OPTIMIZE THE HOME ENVIRONMENT AND INCREASE INDEPENDENCE. THE GRANTEES, WHICH ARE EXPERIENCED IN PROVIDING SERVICES TO SENIORS, WILL DELIVER HOME MODIFICATION SERVICES TO MORE THAN 1,900 SENIOR FAMILIES IN BOTH URBAN COMMUNITIES AND COMMUNITIES WITH SUBSTANTIAL RURAL POPULATIONS.; EXPECTED OUTCOMES: PROVIDED THROUGH HUD’S OLDER ADULTS HOME MODIFICATION PROGRAM (OAHMP), THESE GRANTS ENABLE LOW-INCOME ELDERLY PERSONS TO REMAIN IN THEIR HOMES THROUGH LOW-COST, LOW BARRIER, HIGH IMPACT HOME MODIFICATIONS TO REDUCE OLDER ADULTS’ RISK OF FALLING, IMPROVE GENERAL SAFETY, INCREASE ACCESSIBILITY, AND IMPROVE THEIR FUNCTIONAL ABILITIES IN THEIR HOME. THESE INVESTMENTS WILL DELIVER HOME MODIFICATION SERVICES TO MORE THAN 1,900 SENIOR FAMILIES TO ENABLE OLDER ADULTS TO REMAIN IN THEIR HOMES – TO “AGE IN PLACE” – RATHER THAN MOVE TO NURSING HOMES OR OTHER ASSISTED CARE FACILITIES.; INTENDED BENEFICIARIES: THE OAHMP PROVIDE FUNDING TO EXPERIENCED NON-PROFITS, STATES, LOCAL GOVERNMENTS, AND PUBLIC HOUSING AGENCIES FOR SAFETY AND FUNCTIONAL HOME MODIFICATION REPAIRS TO MEET THE NEEDS OF LOW-INCOME ELDERLY HOMEOWNERS TO ENABLE THEM TO REMAIN IN THEIR RESIDENCES AT LEAST ONE HALF OF THE FUNDS SHALL BE AVAILABLE TO COMMUNITIES WITH SUBSTANTIAL RURAL POPULATIONS. INTENDED TO BENEFIT ELIGIBLE LOW-INCOME HOMEOWNERS WHO ARE AT LEAST 62 YEARS OLD FOR WORK IN THEIR PRIVATE PRIMARY RESIDENCE.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

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

PURPOSE: ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING/CONGRESSIONAL DIRECTED SPENDING AWARDS ARE AUTHORIZED UNDER THE CONSOLIDATED APPROPRIATIONS ACT, 2022 PUBLIC LAW 117-328 AND THE EXPLANATORY STATEMENT FOR DIVISION L OF THAT ACT. PROJECTS SELECTED FOR COMMUNITY PROJECT FUNDING/CONGRESSIONAL DIRECTED SPENDING ARE LISTED IN THE JOINT EXPLANATORY STATEMENT (JES) THAT ACCOMPANIES A SPECIFIC FISCAL YEAR’S APPROPRIATIONS ACT OR CONGRESSIONAL RECORD. THE JES LISTS PROJECT, RECIPIENT, STATE, AMOUNT AND CONGRESSIONAL SPONSOR.; ACTIVITIES TO BE PERFORMED: ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING AWARD PROJECTS INCLUDE A WIDE VARIETY OF ACTIVITIES THAT RESULT IN ECONOMIC DEVELOPMENT OR COMMUNITY DEVELOPMENT OUTCOMES. HUD WILL NOT KNOW THE FULL SCOPE OF THE PROJECT UNTIL THE RECIPIENT SUBMITS THE REQUIRED PROJECT NARRATIVE AND CONFIRMS ALIGNMENT WITH THE LANGUAGE AS PROVIDED IN THE CONGRESSIONAL RECORD. TO FIND THE DETAILS OF THE GRANT AWARD AS WRITTEN WITHIN THE CONGRESSIONAL RECORD USE THE FOLLOWING LINK AND PATH SELECTIONS TO GET TO THE DESCRIPTION OF THE ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING GRANTS HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/EDI-GRANTS, SELECT THE FISCAL YEAR OF INTEREST, SCROLL DOWN TO PROGRAM LAWS AND REGULATIONS, UNDER FISCAL YEAR 20XX CONSOLIDATED APPROPRIATIONS ACT, 20XX: CONGRESSIONAL RECORD (JOINT EXPLANATORY STATEMENT).; EXPECTED OUTCOMES: COMPLETION OF THE PROJECT AS DESCRIBED IN THE JOINT EXPLANATORY STATEMENT (JES) PROJECT DESCRIPTION AND SUBSEQUENT APPROVED PROJECT NARRATIVE.; INTENDED BENEFICIARIES: THE PROJECT BENEFICIARIES ARE THE INDIVIDUALS AND/OR ORGANIZATIONS THAT ARE AWARDED GRANT FUNDS OR SERVED BY THE ENTITIES THAT ARE AWARDED GRANT FUNDS AS IDENTIFIED IN THE JES RECIPIENT OR PROJECT DESCRIPTION SECTIONS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

OPENING DOORS/HEART - METHODIST LE BONHEUR COMMUNITY OUTREACH WILL IMPLEMENT THE EVIDENCE-BASED FAMILY FOUNDATIONS CURRICULUM TO SERVE UNMARRIED WOMEN 18 YEARS AND OLDER WHO ARE PREGNANT OR PARENTING, AND THEIR CO-PARENTS IN SHELBY COUNTY, TENNESSEE. THE PROJECT WILL PROVIDE 8-10 GROUP CLASSES TEACHING COMMUNICATION SKILLS, CONFLICT RESOLUTION, AND EMOTIONAL INTIMACY SKILLS, WHILE PROMOTING THE BENEFITS OF MARRIAGE. PARTICIPANTS WILL ALSO RECEIVE COMPREHENSIVE NEEDS ASSESSMENTS AND UP TO ONE YEAR OF CASE MANAGEMENT SERVICES TO ADDRESS SOCIAL, ECONOMIC, HEALTH, HOUSING, EDUCATIONAL, AND LEGAL NEEDS. THE PROGRAM WILL SERVE 1,400 INDIVIDUALS OVER FIVE YEARS, WITH 420 COMPLETING AT LEAST 90% OF WORKSHOP SESSIONS.

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RYAN WHITE CARE ACT TITLE IV ADOLESCENT INITIATIVE

DELTA REGION MATERNAL CARE COORDINATION PROGRAM - PROJECT ABSTRACT APPLICANT: METHODIST LE BONHEUR COMMUNITY OUTREACH (MLCO) 600 JEFFERSON AVENUE MEMPHIS, TN 38105 ENTITY TYPE: HOSPITAL-AFFILIATED NONPROFIT HTTPS://WWW.METHODISTHEALTH.ORG/HEALTHCARE-SERVICES/COMMUNITY-OUTREACH/ APPLICANT’S PROJECT DIRECTOR/CONTACT: CINDY HOGG, DIRECTOR HEALTH SERVICES, CINDY.HOGG@MLH.ORG DELTA MATERNAL CARE COORDINATION PROJECT DIRECTOR: DENISE BOND, GBOND350@GMAIL.COM PROJECT OVERVIEW: THE PURPOSE OF GROWWELL NETWORK’S DELTA MATERNAL CARE COORDINATION PROJECT IS TO IMPROVE AND INCREASE ACCESS TO CARE FOR PREGNANT WOMEN AND NEW MOTHERS DURING AND AFTER PREGNANCY. SPECIFIC OBJECTIVES ARE TO: DEPLOY TWO TRAINED REGIONAL NAVIGATORS TO SCREEN, REFER AND LINK PREGNANT WOMEN AND THEIR PROVIDERS TO EXISTING RESOURCES AND PROGRAMS IN THE REGION; PROMOTE UNIVERSAL SCREENING(S) BY PROVIDERS AND HOME VISITATION PROGRAMS FOR PREGNANT AND POSTPARTUM WOMEN, WITH REFERRALS AND LINKAGE TO SERVICES FOR THOSE IDENTIFIED TO BE AT RISK; CREATE AN ONLINE AND/OR TELEPHONIC GROWWELL MATERNAL REFERRAL PORTAL OR CALL CENTER FOR PREGNANT WOMEN; PROVIDE OB-GYN PROVIDERS AND PATIENT EDUCATION AND ACCESS TO TELEHEALTH AND REMOTE PATIENT MONITORING TECHNOLOGY; SUPPORT EXPANSION OF RURAL HOSPITAL AND RURAL HEALTH CLINIC PERINATAL EDUCATION; SUPPORT REFERRALS AND LINKAGE THROUGH REGIONAL NETWORK NAVIGATORS TO MOBILE HEALTH UNIT PRENATAL AND POSTPARTUM CARE VISITS; PROMOTE AND SUPPORT UTILIZATION OF DEVELOPMENT DYAD MODELS; PROVIDE OUTREACH AND EDUCATION ON HEALTHY NUTRITION AND LIFESTYLES TO REDUCE RISK OF OBESITY, DIABETES, AND HYPERTENSION COMPLICATIONS DURING AND AFTER PREGNANCY. PROPOSED SERVICE REGION: THE WEST TENNESSEE SERVICE REGION INCLUDES 18 WHOLE COUNTIES AND ONE COUNTY (*) WHERE ONLY ONE RURAL CENSUS TRACT MAY RECEIVE SERVICES: BENTON, CARROLL, CHESTER, DECATUR, DYER, GIBSON, HARDEMAN, HARDIN, HAYWOOD, HENDERSON, HENRY, LAKE, LAUDERDALE, MADISON* (47113001608), MCNAIRY, OBION, TIPTON, WEAKLEY AND CROCKETT. TARGET POPULA TION: THE TARGET POPULATION IS PREGNANT WOMEN, THOSE WITHIN ONE YEAR OF THE BIRTH OF A CHILD, INTER-CONCEPTION WOMAN, INFANTS AND FAMILIES IN THE 18-COUNTY RURAL SERVICE REGION. NETWORK PARTNERSHIPS: METHODIST LE BONHEUR COMMUNITY OUTREACH IS A HEALTH CARE ENTITY AS ARE HENRY COUNTY MEDICAL CENTER, HARDEMAN COUNTY COMMUNITY HEALTH CENTER, AND LIFESPAN HEALTH. MLCO AND THE NETWORK ATTEST THAT AT LEAST 66% OF THE NETWORK MEMBERS WITH SIGNED LETTERS OF COMMITMENT ARE PHYSICALLY LOCATED IN A HRSA-DESIGNATED RURAL AREA. PROJECT ACTIVITIES WILL RESULT IN: • LOWER RATES OF PREGNANCY-RELATED AND PREGNANCY-ASSOCIATED DEATHS • REDUCED AND BETTER MANAGED HYPERTENSION AND CHRONIC DISEASE IN WOMEN OF CHILDBEARING AGE • REDUCED RATES OF SUICIDE AND HOMICIDE AMONG WOMEN OF CHILDBEARING AGE • REDUCED RATES OF INFANT MORTALITY, PRE-TERM BIRTHS AND LOW-BIRTHWEIGHT BABIES CAPACITY FOR SERVING RURAL UNDERSERVED POPULATIONS: MLCO HAS SERVED RURAL SCHOOLS IN WEST TENNESSEE FOR MORE THAN 20 YEARS AND IS THE LEAD APPLICANT. THE OTHER NETWORK MEMBERS INCLUDE A RURAL HOSPITAL AND TWO FEDERALLY QUALIFIED HEALTH CENTERS WHICH ARE WELL-ESTABLISHED IN THE REGION. THE GROWWELL TN NETWORK PARTNERS HAVE COLLABORATED AND PROVIDED SERVICES TO THE REGION FOR MORE THAN TEN YEARS. FUNDING PREFERENCE: METHODIST LE BONHEUR HEALTHCARE IS REQUESTING A FUNDING PRIORITY. THE PROPOSED PROJECT WILL DELIVER COORDINATED PERINATAL HEALTH CARE SERVICES IN THE FOLLOWING COUNTIES OR PARISHES AND CENSUS TRACTS WITH A MCTA OF 20 OR HIGHER BASED ON DESIGNATED GEOGRAPHIC PRIMARY CARE HPSAS: HAYWOOD (21), LAUDERDALE (24), OBION/WEAKLEY (20), CARROLL (20) AND LAKE (21).

SEE NOTICE OF AWARD, ATTACHMENT 1 - TERMS AND CONDITIONS, ATTACHMENT D - STATEMENT OF WORK, ABSTRACT.

ENGAGES PERSONS 55 AND OLDER IN SUPPORTIVE SERVICES TO ADULTS WITH SPECIAL NEEDS

SUPPORTING EVIDENCE-BASED HOME VISITATION PROGRAM TO PREVENT CHILD MALTREATMENT

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UPWARD BOUND PROGRAM

FY 2020 CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER - COMC - ABSTRACT SUMMARY AS NEVADA IS TITLED “THE WORST STATE FOR PEOPLE WITH MENTAL HEALTH CHALLENGES” AND IS IDENTIFIED AS ONE OF THE NATION’S TOP LOCALITIES HARDEST HIT BY MENTAL ILLNESS AND CO-OCCURRING DISORDERS, CONSEQUENCES ASSOCIATED WITH A FAILURE TO TAKE A COLLABORATIVE APPROACH TO TREATMENT ARE SEVERE (MENTAL HEALTH AMERICA). THE COMMUNITY OUTREACH MEDICAL CENTER (COMC) PLANS TO IMPLEMENT AN INTEGRATED CARE MODEL BYWAY ESTABLISHING A CERTIFIED COMMUNITY BEHAVIOR HEALTH CENTER (CCBHC) TO MEDIATE A FRAGMENTED SYSTEM OF COLLABORATIVE SERVICES. NEARLY 100,000 OF THE MOST IMPOVERISHED NEVADANS RESIDE WITHIN A 6-MILE RADIUS OF COMC, IDENTIFIED AS THE AT-RISK COMMUNITY AND CATCHMENT AREA. THE PROJECT, THE COMC CCBHC, INTENDS TO INCREASE ACCESS TO CARE AND COMPREHENSIVE SERVICES TO AT LEAST 2800 FY1 INDIVIDUALS WITHIN THE CATCHMENT AREA AND SERVE AT LEAST 4200 INDIVIDUALS DURING THE SECOND YEAR OF GRANT FUNDING. PROJECT GOALS INCLUDE: OBTAINING CCBHC CERTIFICATION, INCREASING ACCESS TO CARE AND COMPREHENSIVE SERVICES TO INDIVIDUALS WITHIN THE CATCHMENT AREA, EXECUTING AN INTEGRATED CARE MODEL, CREATING AN EFFECTIVE CRISIS RESPONSE MODEL AND DEVELOPING PROGRAM EFFORTS TO ENSURE INCREASED ACCESS AND CONTINUITY OF CARE FOR SPECIALTY POPULATION. MEASURABLE OBJECTIVES INCLUDE: CONDUCTING PATIENT NEEDS ASSESSMENT EACH FISCAL YEAR END AND INCREASING NUMBER OF INDIVIDUALS RECEIVING MENTAL HEALTH/SUBSTANCE USE DISORDER SERVICES RECEIVING PRIMARY CARE SCREENINGS FOR KEY INDICATORS BY 20%. STRONG EVIDENCE SUGGESTS AN INTEGRATED CARE MODEL IS EFFICACIOUS FOR THE RECOVERY OF MENTAL ILLNESS AND CO-OCCURRING DISORDERS. UNFORTUNATELY, ACCESS TO CARE REMAINS A STRONG BARRIER TO CARE FOR THE SNR AND IMPACTS THE PREVALENCE OF UNTREATED MENTAL ILLNESS. NEVADA’S WORKFORCE SHORTAGE, THE STATE’S FAILURE TO IMPLEMENT SUSTAINABLE PROGRAMS AND COMMUNITY MEMBERS STRUGGLING TO ACQUIRE ADEQUATE HEALTH INSURANCE ARE CORRELATIVE FACTORS THAT IMPEDE ACCESS TO CARE. THE PROJECT PLANS TO EMPLOY AN INTEGRATED CARE TEAM (ICT), A MULTI-DISCIPLINARY TEAM THAT ESTABLISHES TREATMENT PLANS AND BENCHMARKS TO PROVIDE A PERSON-CENTERED, HOLISTIC APPROACH TO RECOVERY. COMC’S CCBHC WILL COLLABORATE WITH DESIGNATED COLLABORATING ORGANIZATIONS TO RESPOND TO BEHAVIORAL CRISES/ACUTE BEHAVIORAL INCIDENCES AND MANAGE AND TREAT MENTAL ILLNESS AND CO-OCCURRING DISORDERS. TO ASSIST WITH ACHIEVING RECOVERY STATUS, THE ICT WILL IMPLEMENT THE FOLLOWING TOOLS AND ADDITIONAL EVIDENCE-BASED PRACTICES (EBPS) AS DEEMED NECESSARY: COGNITIVE BEHAVIORAL THERAPY (CBT), SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) AND MOTIVATIONAL INTERVIEWING. SUSTAINABILITY EFFORTS ARE IMPERATIVE TO CONTINUED CARE. A COMPREHENSIVE QUALITY ASSURANCE PLAN WILL ENSURE COMPLIANCE TO QUALITY IMPROVEMENT INITIATIVES AND GRANT REQUIREMENTS; PERFORMANCE OUTCOMES WILL OPERATE AS QUALITY SERVICE INDICATORS. DIVERSIFIED FUNDING SOURCES, TO INCLUDE MEDICAID REIMBURSEMENTS, WILL CONTRIBUTE TO PROGRAM SUSTAINABILITY EFFORTS. BY HIGHLIGHTING MENTAL HEALTH TREATMENT AS AN EQUAL COMPONENT TO OVERALL HEALTH AND IMPLEMENTING AN INTEGRATED CARE SYSTEM, BARRIERS TO ADHERING TO IMPROVED HEALTH OUTCOMES WILL DIMINISH, ULTIMATELY IMPROVING THE HEALTH OF NEVADANS.

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YOUTH BUILD

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

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA) - METHODIST LE BONHEUR COMMUNITY OUTREACH (MLCO), THE LEAD APPLICANT ORGANIZATION FOR THE GROWWELL TN-DELTA RURAL HEALTH INITIATIVE REQUESTS $2,886,804 IN FUNDING SUPPORT OVER A THREE-YEAR GRANT PERIOD (2026-2029) TO EXPAND OBESITY AND DIABETES PREVENTION AND SELF-MANAGEMENT SERVICES FOR RURAL POPULATIONS IN 19 COUNTIES OF THE MISSISSIPPI DELTA REGION OF WEST TENNESSEE (TENNESSEE SERVICE REGION A). OTHER GROWWELL TN-DELTA RURAL HEALTH INITIATIVE MEMBERS THAT WILL PARTICIPATE IN THE PROJECT INCLUDE PARIS HENRY COUNTY HEALTHCARE FOUNDATION, HENRY COUNTY MEDICAL CENTER, HARDEMAN COUNTY COMMUNITY HEALTH CENTER, UNIVERSITY OF TENNESSEE EXTENSION SERVICE, AND 13 RURAL SCHOOL DISTRICTS. THE GROWWELL TN NETWORK PARTNERS HAVE COLLABORATED AND PROVIDED SERVICES TO THE REGION FOR OVER 13 YEARS. ALL PROGRAMS OF THE NETWORK ARE DELIVERED IN PARTNERSHIP WITH STATE AND COUNTY AGENCIES, SCHOOLS, HEALTHCARE PROVIDERS, AND COMMUNITY-BASED AGENCIES THROUGHOUT THE TENNESSEE DELTA. FOCUS AREAS FOR THE PROJECT ARE OBESITY AND DIABETES PREVENTION AND MANAGEMENT FOR ADULTS AND YOUTH. THE TARGET POPULATION INCLUDES ADULTS AND CHILDREN IN RURAL COMMUNITIES IN THE REGION’S ELIGIBLE COUNTIES WHO HAVE OR ARE AT RISK FOR OBESITY AND DIABETES BASED ON LIFESTYLE AND OTHER FACTORS. IT IS ANTICIPATED THAT THE PROJECT WILL SERVE 7,115 PEOPLE ACROSS ALL PROGRAMS. THE PROJECT WILL UTILIZE MULTIPLE EVIDENCE-BASED AND PROMISING PRACTICE MODELS, INCLUDING CARE COORDINATION, THE NATIONAL DIABETES PREVENTION PROGRAM, PHARMACY ASSISTANCE, SCHOOL-BASED HEALTH SERVICES, CASE MANAGEMENT, MOTIVATIONAL INTERVIEWING, COGNITIVE BEHAVIORAL THERAPY, REFERRALS FOR BEHAVIORAL HEALTH SERVICES, GROUP HEALTH EDUCATION ON HEALTHY LIFESTYLES, AND 85210 EVERY DAY!, AN ADAPTATION OF THE 5210 LET'S GO! MODEL. IN ADDITION, PARTNERS WILL WORK TO BUILD NETWORK MEMBERS AND CAPACITY TO DELIVER OBESITY AND DIABETES PREVENTION AND MANAGEMENT SERVICES, INCLUDING PROFESSIONAL DEVELOPMENT, PROGRAM EVALUATION, QUALITY IMPROVEMENT AND SUSTAINABILITY PLANNING. THE EXPECTED LONG-TERM IMPACT OF THE PROPOSED PROGRAMS AND ACTIVITIES IS THE EMPOWERMENT OF FAMILIES TO OVERCOME ACCESS BARRIERS TO HEALTHY LIFESTYLES AND PRIMARY HEALTH CARE, THEREBY OPTIMIZING POPULATION HEALTH. THIS WILL INCLUDE INCREASED PUBLIC/PATIENT AWARENESS OF THE SERIOUS NATURE AND RISKS OF OBESITY IN CAUSING CHRONIC DISEASES, GREATER UNDERSTANDING OF WAYS TO PREVENT OBESITY AND DIABETES THROUGH HEALTHY LIFESTYLES, INCREASED AVAILABILITY AND PARTICIPATION IN PROGRAMS THAT FIGHT OBESITY AND DIABETES, AND IMPROVED ACCESS TO CLINICAL INTERVENTIONS FOR CHILDREN AND ADULTS IDENTIFIED WITH OBESITY, DIABETES AND/OR RELATED DISEASES. THE COLLECTIVE AIM OF THESE SERVICES AND PROGRAMS WILL BE TO REDUCE MORBIDITY AND MORTALITY AND IMPROVE THE HEALTH STATUS OF RURAL WEST TENNESSEE RESIDENTS.

SHELBY COUNTY EITC IMPACT PROJECT

SENIOR COMPANION PROGRAM

LE BONHEUR CHILDREN’S HOSPITAL PROPOSES TO IMPLEMENT E-SHIFT (SUPPORTING AND HEALING INDIVIDUALS FROM TRAUMA), AN EXPANSION OF THE CURRENT LE BONHEUR TRAUMA CENTER’S HOSPITAL VIOLENCE INTERVENTION PROGRAM (HVIP), IN COLLABORATION WITH COMMITTED PARTNERS TO MEET THE CRITICAL NEEDS OF CHILDREN WHO ARE VICTIMS OF VIOLENCE. THE PURPOSE OF THE PROJECT IS TO EXPAND LE BONHEUR’S CURRENT COMMUNITY‐BASED VIOLENCE PREVENTION AND RECOVERY SERVICES INCLUDING HVIP WRAPAROUND SERVICES TO JUSTICE‐INVOLVED YOUTH TO PREVENT VIOLENT INJURIES, TRAUMA RECIDIVISM AND FURTHER INVOLVEMENT IN THE JUVENILE COURT SYSTEM. THE APPLICANT, METHODIST LE BONHEUR COMMUNITY OUTREACH, IS A NONPROFIT SUBSIDIARY OF LE BONHEUR WITH 30 YEARS’ EXPERIENCE IN ADMINISTERING FEDERAL GRANTS. DURING THE FIRST SIX MONTHS OF THE GRANT, PROJECT PARTNERS WILL CONVENE A MULTI‐DISCIPLINARY PLANNING TEAM TO RESEARCH AND DEVELOP EVIDENCE-BASED STRATEGIES TO SUPPORT CHILDREN EXPOSED TO VIOLENCE. THE BLUEPRINT WILL OUTLINE STRATEGIES ALONG THE PREVENTION AND INTERVENTION CONTINUUM TO ADDRESS RISK AND PROTECTIVE FACTORS FOR CHILDREN, FAMILIES AND COMMUNITIES DISPROPORTIONATELY EXPOSED TO VIOLENCE AND TRAUMA. CONCURRENTLY, PROJECT PARTNERS WILL EXPAND AND IMPLEMENT SERVICES FOR 60 OR MORE ENROLLED E-SHIFT PARTICIPANTS ANNUALLY, INCLUDING: MENTAL HEALTH COUNSELING PROVIDED BY THE BRAIN CENTER AT THE UNIVERSITY OF MEMPHIS (UOFM); COMMUNITY VIOLENCE INTERVENTION AND MENTORING BY 901 BLOC SQUAD (A CULTURALLY SPECIFIC ORGANIZATION AND SUBGRANTEE FOR CONSIDERATION UNDER PRIORITY 1B); GUN SAFETY (BE SMART AND STOP THE BLEED TRAINING); PARTICIPATION IN VIOLENCE PREVENTION EVENTS; AND HOSTING COMMUNITY VIOLENCE SUMMITS IN YEARS TWO AND THREE OF THE GRANT. THE SERVICE AREA FOR THE PROJECT IS THE CITY OF MEMPHIS, WITH A FOCUS ON MORE THAN A DOZEN VIOLENCE-IMPACTED ZIP CODES. PROJECT BENEFICIARIES WILL BE CHILDREN/YOUTH (AGES 8-17) WHO ARE ENROLLED THROUGH THE HVIP OR VIA THE SHELBY COUNTY JUVENILE COURT CEASEFIRE PROGRAM. YOUNGER AT-RISK SIBLINGS OF HVIP AND CEASEFIRE PARTICIPANTS WILL ALSO BE ELIGIBLE FOR THE PROGRAM. THE MULTI-DISCIPLINARY PLANNING TEAM INCLUDES REPRESENTATIVES FROM: 901 BLOC SQUAD, UNIVERSITY OF MEMPHIS (UOFM) PUBLIC SAFETY INSTITUTE, CITY OF MEMPHIS GROUP VIOLENCE INTERVENTION PROGRAM, SHELBY COUNTY JUVENILE COURT CEASEFIRE PROGRAM, SHELBY COUNTY HEALTH DEPARTMENT’S CURE VIOLENCE PROGRAM, MEMPHIS ALLIES (YOUTH VILLAGES), THE URBAN CHILD INSTITUTE, UNIVERSITY OF MEMPHIS LE BONHEUR TRAUMA SERVICES, THE UTHSC CENTER FOR YOUTH ADVOCACY AND WELL‐BEING, MEMPHIS SHELBY COUNTY SCHOOLS, MEMPHIS POLICE DEPARTMENT, MEMPHIS CHILD ADVOCACY CENTER, AND UOFM DEPARTMENTS OF CRIMINOLOGY AND SOCIAL WORK.

OLDER ADULTS HOME MODIFICATION GRANT PROGRAM

036835676 10952728000840 WEST AUSTIN AVENUE

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.

COMMUNITY ECONOMIC DEVELOPMENT PROJECT

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

ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING, AND MISCELLANEOUS GRANTS

HOMELESS PREVENTION

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.

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.

**AWARDS ISSUED PRIOR TO JANUARY 20, 2025, WERE FUNDED UNDER PREVIOUS ADMINISTRATIONS AND MAY NOT REFLECT THE PRIORITIES AND POLICIES OF THE CURRENT ADMINISTRATION.** THE GOAL OF THIS PROJECT IS TO ADDRESS RISING FOOD SECURITY NEEDS AMONG NAVAJO INDIVIDUALS AND ENHANCE THE RESILIENCE OF FOOD AND HEALTHCARE SYSTEMS IN THE NAVAJO REGION. NAVAJO NATION HAS FACED DISPROPORTIONATELY HIGH RATES OF COVID, PROFOUNDLY IMPACTING ON INDIVIDUALS AND HOUSEHOLDS, AS WELL AS FOOD AND HEALTHCARE SYSTEMS. COVID-19 HAS CAUSED PROFOUND DISRUPTIONS IN HEALTHCARE DELIVERY AND ACCESS TO HEALTHY FOOD, PARTICULARLY DUE TO THE VAST RURAL GEOGRAPHY OF THE NAVAJO NATION.WITH GUSNIP SUPPORT, OUR ORGANIZATION - COMMUNITY OUTREACH AND PATIENT EMPOWERMENT - HAS SUPPORTED THE IMPLEMENTATION OF THE NAVAJO FRUIT AND VEGETABLE PRESCRIPTION PROGRAM (FVRX) IN 14 HEALTHCARE FACILITIES, 2 COMMUNITY-BASED HEALTH PROGRAMS AND 26 STORES CURRENTLY PARTICIPATING IN THE PROGRAM. SINCE THE PANDEMIC ONSET, MANY NAVAJO PARTNERS HAVE EXPRESSED APPRECIATION OF OUR PRODUCE PRESCRIPTION PROGRAM (PPR) AS A VITAL RESOURCE FOR HOUSEHOLDS NAVIGATING COVID. GUSCCR WILL EXPAND THE FVRX PROGRAM, ALLOWING US TO EXPAND ENROLLMENT ELIGIBILITY AND INTRODUCE FLEXIBLE AND VIRTUAL SYSTEMS FOR PROGRAM DELIVERY AND EVALUATION. THIS PROPOSAL IS HIGHLY ALIGNED WITH GUSCCR OBJECTIVES BY PROVIDING IMMEDIATE AND CRITICAL SUPPORT TO COMMUNITY MEMBERS WHILE SIMULTANEOUSLY SUPPORTING PARTNERS - HEALTH CARE FACILITIES, STORES, GROWERS - TO ACHIEVE LONG-TERM RECOVERY AND CROSS-SECTOR SYSTEMS STRENGTHENING.

MEMPHIS CHILD HOUSING ADVOCACY INITIATIVE

CAROL M. WHITE PHYSICAL EDUCATION PROGRAM

THE PURPOSE IS TO REACH, EDUCATE, AND SUPPORT HISTORICALLY UNDERSERVED PRODUCERS, INCLUDING SOCIALLY DISADVANTAGED, LIMITED RESOURCE, AND BEGINNING FARMERS IN LA, MO, AND MS.

HOMELESS VETERANS (HVRP)

BOTH HISTORICAL AND PRESENT-DAY FACTORS CONTRIBUTE TO HIGH RATES OF FOOD INSECURITY INNAVAJO NATION. LONG-STANDING HISTORICAL POLICIES, INCLUDING MILITARY DESTRUCTION OF LOCAL NATIVEFOOD SOURCES AND DIVERSION OF WATER SOURCES, HAVE UNDERMINED TRADITIONAL AGRICULTURAL PRACTICES.1VAST GEOGRAPHY (27,000 SQUARE MILES) AND LIMITED INFRASTRUCTURE (78% OF PUBLIC ROADS AREUNPAVED) POSE FORMIDABLE BARRIERS TO FOOD ACCESS. WITH ONLY 13 GROCERY STORES ON THERESERVATION, IT IS COMMON FOR NAVAJO RESIDENTS TO DRIVE 400 MILES ROUND TRIP TO BUY FOOD.FINALLY, OPPORTUNITIES FOR ECONOMIC DEVELOPMENT ARE FEW: 43.6% LIVE BELOW THE FEDERAL POVERTYLINE 3 AND 64%-70% OF INCOME GENERATED WITHIN NAVAJO NATION IS SPENT OFF-RESERVATION, WITH ASIGNIFICANT PORTION SPENT ON FOOD.COMMUNITY OUTREACH AND PATIENT ENGAGEMENT (COPE) WORKS WITH COMMUNITY PARTNERS TOUNDERSTAND HOW FOOD INSECURITY AFFECTS LOCAL COMMUNITY MEMBERS AND IMPLEMENT SOLUTIONS.FROM 2012 TO 2014, COPE PARTNERED WITH NAVAJO COMMUNITY HEALTH REPRESENTATIVES (CHRS) TODESIGN AND CONDUCT 250+ SURVEYS, 30 IN-DEPTH INTERVIEWS, AND A DOZEN STAKEHOLDER MEETINGS;FINDINGS REVEALED THAT MOST FAMILIES TRAVEL MORE THAN ONE HOUR TO BUY GROCERIES, AND A QUARTER OFFAMILIES (26%) ONLY SHOP ONCE A MONTH. A MAJORITY OF HOUSEHOLDS (57%) INDICATED THEY WEREUNABLE TO ACCESS ENOUGH FRUITS AND VEGETABLES, WITH REASONS FOR LACK OF ACCESS REPORTED AS HIGHCOST (66% OF RESPONDENTS) AND DIFFICULTY KEEPING PRODUCE FRESH (61%). THESE FINDINGS ALIGNWITH PUBLISHED DATA INDICATING THAT 75% OF NAVAJO HOUSEHOLDS MAY FACE FOOD INSECURITY. AS ARESULT, MANY NAVAJO RESIDENTS RELY INSTEAD ON LOW-COST, SHELF-STABLE, HIGH-CALORIE FOODS.UNRELIABLE ACCESS TO HEALTHY FOODS IS DRIVING UP RATES OF OBESITY, DIABETES, AND CARDIOVASCULARDISEASE ACROSS NAVAJO NATION. THE UNITED STATES DEPARTMENT OF AGRICULTURE (USDA) CLASSIFIESNAVAJO NATION AS A FOOD DESERT. COMPARED TO 9.3% OF THE OVERALL US ADULT POPULATION, ONE INFIVE NAVAJO ADULTS (APPROXIMATELY 25,000 TOTAL) HAS DIABETES, ANDA FURTHER 75,000 ARE PREDIABETIC.9,10 CONSISTENT ACCESS TO AFFORDABLE HEALTHY FOOD IS CRITICAL TO ADDRESSING THESE PUBLICHEALTH PROBLEMS, PARTICULARLY FOR NAVAJO YOUTH WHO ARE FACING SOME OF THE HIGHEST RATES OFTYPE 2 DIABETES IN THE COUNTRY. THIS IS OF PARTICULAR SALIENCE AS 50% OF THE POPULATION OFNAVAJO NATION IS UNDER 29 YEARS OF AGE, AND 20% ARE BETWEEN THE AGES OF 10-19 YEARS,REPRESENTING THE LARGEST AGE GROUP.13IN RESPONSE TO THESE PUBLIC HEALTH THREATS, THERE HAS BEEN GROWING MOMENTUM AMONG LEADERS AND COMMUNITY ADVOCATES TO STRENGTHEN FOOD SYSTEMS AND PROMOTE HEALTH AND WELLNESS IN NAVAJO NATION. SINCE 2014, COPE HAS PARTNERED WITH 14 HEALTHCARE FACILITIES, TWO COMMUNITY-BASED HEALTH PROGRAMS AND 26 STORES TO IMPLEMENT THE NAVAJO FVRX PROGRAM. THIS IS THE FIRST FVRX PROGRAM IN A RURAL NATIVE COMMUNITY. WHOLESOME WAVE (FOUNDED BY GUS SCHUMACHER)HAS PROVIDED AND CONTINUES TO PROVIDE TECHNICAL ASSISTANCE TO COPE FOR PROGRAM IMPLEMENTATION.BUILDING ON EXISTING FORMAL AGREEMENTS WITH NAVAJO AREA INDIAN HEALTH SERVICES, WE APPROACHEDCLINICAL SITES TO EXPLORE THEIR INTEREST IN OFFERING FVRX AT THEIR SITES. ALL SITES AGREED TO PARTICIPATE,FORMING PROVIDER TEAMS AND IMPLEMENTING FVRX. COPE HAS ALSO BEEN APPROACHED BY TRIBAL HEALTH PROGRAMS AND HOME VISITATION PROGRAMS. IN TOTAL, WE HAVE TRAINED 17 TEAMS THAT OFFER FVRX PROGRAMS TO NAVAJO FAMILIES.THE PROGRAM REQUIRES THAT PROVIDER TEAMS MUST:INCLUDE MATERNAL/CHILD HEALTHCARE PROVIDERS AND HEALTH PROMOTION SPECIALISTS; ANDHAVE LEADERSHIP APPROVAL (E.G. DEPARTMENT SUPERVISOR) TO DELIVER FVRX.TO CONTINUE FVRX, TEAMS MUST MEET PROGRAM STANDARDS INCLUDING: SUCCESSFUL PARTICIPANTENROLLMENT AND RETENTION; MONTHLY HEALTH PROMOTION SESSIONS AND VOUCHER DISBURSEMENTS; ACTIVETEAM PARTICIPATION IN REGIONAL FVRX MEETINGS; AND TIMELY COLLECTION OF EVALUATION DATA.A KEY FACTOR FOR FVRX SUCCESS HAS BEEN EMBRACING LOCAL STORES AS VALUABLE ASSETS IN THENAVAJO FOOD SYSTEM. BECAUSE THEY ARE OFTEN THE ONLY FOOD SOURCE FOR MILES, LOCAL STORES CAN BEPROFOUND DRIVERS OF POSITIVE CHANGE. AMONG 22 MANAGERS SURVEYED IN AN EPI-AID REPORTAUTHORED BY THE NAVAJO NATION AND CDC, 91% WERE INTERESTED IN OFFERING MORE HEALTHY FOODS,BUT DESCRIBED BARRIERS OF LIMITED SUPPLIERS AND LOW CONSUMER DEMAND. COPE WORKS WITHRETAILERS (E.G. GROCERY STORES, CHAIN AND INDEPENDENTLY-OWNED CONVENIENCE STORES, TRADING POSTS)TO MAKE STORE IMPROVEMENTS BY RESEARCHING DISTRIBUTORS, MAKING LAYOUT CHANGES, TRAINING STAFF ONPRODUCE HANDLING AND FVRX SYSTEMS AND PROVIDING MARKETING MATERIALS. USDA GUSNIP FUNDS WOULD ALLOW US TO CONTINUE TO FUND THE FVRX PROGRAM FOR NAVAJO FAMILIES RESIDING IN NEW MEXICO WITH THE GOAL OF INCREASING THE PURCHASE OF FRUITS AND VEGETABLES AND PROVIDING THE EDUCATIONAL SUPPORT TO CHANGE CONSUMPTION BEHAVIORS THAT HAVE DIRECTLY CONTRIBUTED TO THE HIGH RATE OF DIABETES ON THE RESERVATION.

MENTAL HEALTH FIRST AID TRAINING - METHODIST LE BONHEUR HEALTHCARE (MLH), A NONPROFIT HEALTHCARE SYSTEM SERVING MEMPHIS AND SHELBY COUNTY, TN AND THE MID-SOUTH REGION, AIMS TO ESTABLISH THE LIVING WELL NETWORK MENTAL HEALTH FIRST AID (MHFA) PROJECT TO PROVIDE MHFA USA® TRAINING FOR 3,100 MLH ASSOCIATES AND COMMUNITY PARTNERS. THE PROJECT WILL SERVE URBAN AND RURAL ADULTS AND YOUTH THROUGH MHFA INTERVENTIONS AND REFERRALS FOR BEHAVIORAL SERVICES OVER A 5-YEAR PROJECT PERIOD. THE GEOGRAPHIC FOCUS OF THE PROGRAM IS SHELBY COUNTY (POP. 937,750) AND THE CITY OF MEMPHIS (POP. 654,876), WHERE AN ESTIMATED 85% OF THE POPULATION TO BE SERVED RESIDES. SHELBY COUNTY’S POPULATION IS 52.7% AFRICAN AMERICAN, SIX PERCENT (6%) HISPANIC, AND THE COUNTY HAS AN OVERALL POVERTY LEVEL OF 21.4%. METHODIST LE BONHEUR HEALTHCARE DOCUMENTED IN ITS 2019 COMMUNITY NEEDS ASSESSMENT SIGNIFICANT NEEDS FOR MENTAL HEALTH EDUCATION AND SERVICES IN SHELBY COUNTY EVEN BEFORE THE COVID PANDEMIC, AND THESE NEEDS HAVE ONLY INCREASED OVER THE LAST YEAR, PARTICULARLY AMONG LOW-INCOME COMMUNITIES OF COLOR WHO HAVE BEEN MOST SEVERELY IMPACTED. MENTAL HEALTH NEEDS IN SUBURBAN AND RURAL COUNTIES ARE ALSO SIGNIFICANT, AND WILL BE ADDRESSED THROUGH MLH HOSPITALS AND OUTPATIENT CLINICS SERVING THESE POPULATIONS, AND IN 10 RURAL SCHOOL DISTRICTS SERVED THROUGH METHODIST LE BONHEUR’S SCHOOL AND BEHAVIORAL HEALTH PROGRAMS. RURAL HEALTHCARE PARTNERS IN THE PROJECT ARE THE WEST TENNESSEE DELTA CONSORTIUM, INCLUDING HENRY COUNTY MEDICAL CENTER IN PARIS, TN, AND TWO RURAL FEDERALLY QUALIFIED HEALTH CENTERS. THE PROJECT GOAL IS TO INCREASE THE CAPACITY OF MLH AND ITS COMMUNITY AND REGIONAL PARTNERS THROUGH MHFA TRAINING TO ASSIST AND REFER PERSONS WITH MENTAL HEALTH OR SUBSTANCE ABUSE ISSUES TO LICENSED BEHAVIORAL HEALTH SERVICES. THE LIVING WELL (LWN) MHFA PROJECT OBJECTIVES ARE TO TRAIN AT LEAST 21 MLH ASSOCIATES AND PARTNER AGENCY EMPLOYEES TO BECOME CERTIFIED MHFA INSTRUCTORS. A PROJECT COORDINATOR AND 20 OTHER MHFA INSTRUCTORS WILL TEACH 150 MHFA CLASSES, TRAINING AT LEAST 3,100 “FIRST AIDERS” TO DELIVER THE MHFA EVIDENCE-BASED INTERVENTION. FIRST AIDERS WILL LEARN HOW TO CONNECT INDIVIDUALS WITH IDENTIFIED MENTAL HEALTH PROBLEMS TO THE LWN, WHICH PROVIDES ASSESSMENTS, SUPPORT AND REFERRALS TO A NETWORK OF LOCAL AND REGIONAL BEHAVIORAL, MENTAL HEALTH AND SUBSTANCE ABUSE COUNSELING, SERVICES AND TREATMENT. THROUGH THE MHFA PROJECT, THE LWN AIMS TO INCREASE THE NUMBER OF INDIVIDUALS IT REFERS BY AT LEAST 20% ANNUALLY PER YEAR OVER THE FIVE YEAR PROJECT TO 5,000 OR MORE REFERRALS BY THE END OF THE PROJECT PERIOD. OTHER PROJECT STRATEGIES INCLUDE: COMMUNITY OUTREACH AND EDUCATION IN LOW INCOME URBAN COMMUNITIES BY A NONPROFIT SUBRECIPIENT, GREENWOOD VILLAGES CDC; MHFA TRAINING FOR FAITH-BASED ORGANIZATIONS THROUGH THE MLH CONGREGATIONAL HEALTH NETWORK; TRAINING MLH AND RURAL PARTNER EMTS; COLLABORATION WITH SCHOOL DISTRICTS TO OFFER YOUTH MHFA TRAINING; TRAINING HOME VISITATION WORKERS AND PRIMARY CARE STAFF IN MLH AND RURAL HEALTH CLINICS; AND ESTABLISHMENT OF AN ADVISORY GROUP TO HELP GUIDE PROJECT DEVELOPMENT, IMPLEMENTATION AND SUSTAINABILITY.

MATERNAL PRODUCE PRESCRIPTION PROGRAM - INDIGENOUS POPULATIONS DEMONSTRATE IMMENSE RESILIENCE AND COMMUNITY STRENGTH THAT HAVE ENABLED THEM TO MAINTAIN THEIR SELF-RELIANCE, DESPITE HISTORICAL AND STRUCTURAL CHALLENGES. NAVAJO NATION, SPANS MORE THAN 27,400 SQUARE MILES ACROSS ARIZONA, NEW MEXICO, AND UTAH. SINCE 2014, COMMUNITY OUTREACH AND PATIENT EMPOWERMENT (COPE) HAS WORKED TO LEVERAGE COMMUNITY STRENGTHS TO ADDRESS THE STRUCTURAL CHALLENGES TO HEALTHY FOOD ACCESS THROUGH THE NAVAJO FRUIT AND VEGETABLE PRESCRIPTION PROGRAM (NAVAJO FVRX), WHICH CONNECTS NAVAJO NATION MEMBERS WITH CLINICALLY REFERRED PRODUCE PRESCRIPTIONS AND NUTRITION EDUCATION GROUNDED IN NAVAJO FOOD TRADITIONS, TEACHINGS, AND VALUES. THROUGH THE NAVAJO MATERNAL PRODUCE PRESCRIPTION PROGRAM (NAVAJO MP3), COMMUNITY OUTREACH AND PATIENT EMPOWERMENT (COPE) WILL EXPAND ITS ESTABLISHED FRUIT AND VEGETABLE PRESCRIPTION (FVRX) PROGRAM, TO INCORPORATE A TAILORED MATERNAL TRACK SUPPORTING PREGNANT AND POSTPARTUM WOMEN AND THEIR FAMILIES ACROSS NAVAJO NATION. COPE WILL ENROLL PREGNANT WOMEN RECRUITED THROUGH PRENATAL CARE AT PARTNER HEALTH FACILITIES GALLUP INDIAN MEDICAL CENTER AND NORTHERN NAVAJO MEDICAL CENTER AND THROUGH WIC. WOMEN ARE ELIGIBLE IF THEY PARTICIPATE IN SNAP OR WIC, HAVE MEDICAID OR CHIP COVERAGE, OR SCREEN AS FOOD INSECURE. HEALTH CARE PROVIDERS WILL REFER WOMEN AT THEIR FIRST PRENATAL VISIT FOR ENROLLMENT TO BE PRIORITIZED BEFORE 16 WEEKS GESTATION. EACH PARTICIPANT WILL RECEIVE A MONTHLY PRODUCE PRESCRIPTION FROM ENROLLMENT THROUGH EIGHT MONTHS POSTPARTUM, REDEEMABLE AT ANY OF 25 PARTICIPATING RETAILERS, INCLUDING GROCERY STORES, CONVENIENCE STORES, TRADING POSTS, AND FARMERS MARKETS. PARTICIPANTS WILL RECEIVE MONTHLY NUTRITION EDUCATION USING COPE'S HEALTHY MOMS, HAPPY BABIES CURRICULUM, ADAPTED WITH NAVAJO TERMINOLOGY AND EXPANDED FOR THIS PROJECT TO ADD PRENATAL AND POSTPARTUM MODULES COVERING PRENATAL NUTRITION, GESTATIONAL WEIGHT GAIN, BREASTFEEDING AND INFANT FEEDING, AND CHRONIC DISEASE PREVENTION. COPE'S HEALTHY NAVAJO STORES INITIATIVE WILL SUPPORT RETAILERS WITH PRODUCE STOCKING, ESPECIALLY IN THE SMALL STORES FAMILIES RELY ON DAILY, AND ITS GROWERS INITIATIVE WILL CONNECT NAVAJO PRODUCERS TO PROGRAM DEMAND. COPE WILL MEASURE FRUIT AND VEGETABLE INTAKE, HOUSEHOLD FOOD SECURITY, GESTATIONAL WEIGHT GAIN, MATERNAL HEALTH, AND BIRTH OUTCOMES USING THE RE-AIM FRAMEWORK, LEVERAGING CLINICAL AND BIRTH OUTCOME DATA FROM ITS HEALTHCARE PARTNERS. ITS PATIENT AND FAMILY ADVISORY COUNCIL WILL GUIDE DESIGN AND DISSEMINATION. TARGETS INCLUDE AN INCREASE IN FRUITS AND VEGETABLES CONSUMPTION, REDUCTION IN THE SHARE OF HOUSEHOLDS SCREENING FOOD INSECURE, AND MONTHLY REDEMPTION OF AT LEAST 70%. NAVAJO MP3 ADVANCES MAKE AMERICA HEALTHY AGAIN PRIORITIES BY INTEGRATING NUTRITION ACCESS INTO MATERNAL HEALTH CARE.

ENGAGES PERSONS 55 AND OLDER IN SUPPORTIVE SERVICES IN THEIR COMMUNITIES.

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