First Nations Community Health Source Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

NEW MEXICO TRIBAL PREVENTION PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

URBAN INDIAN GRANT

SPECIAL DIABETES PROGRAMS FOR INDIANS

NEW MEXICO TRIBAL PREVENTION PROJECT

FNCH?S RESPONSE TO SAMHSA?S MAT-PDOA RFA (TI-21-006) TO EXPAND MAT SERVICES FOR PRESCRIPTION AND OPIOID-ADDICTED PATIENTS IN THE CITY OFALBUQUERQUE, NEW MEXICO. - THE PROPOSED MAT-PDOA INITIATIVE WILL BE IMPLEMENTED THROUGHOUT FIRST NATIONS COMMUNITY HEALTHSOURCE’S FEDERALLY QUALIFIED HEALTH CENTER SERVICE DELIVERY MODEL, WHICH INCLUDES FOUR PRIMARY CARE AND TRADITIONAL HEALING/WELLNESS CLINICS LOCATED IN THE SOUTHEAST HEIGHTS NEIGHBORHOOD OF THE CITY OF ALBUQUERQUE, NEW MEXICO THAT DELIVER COMPREHENSIVE PRIMARY MEDICAL, DENTAL, BEHAVIORAL HEALTH, AND WELLNESS SERVICES TO OVER 23,000 PRIMARILY LOW-INCOME, MEDICALLY INDIGENT URBAN INDIAN AND HISPANIC INDIVIDUALS AND FAMILIES, AS WELL AS A LARGE HOMELESS POPULATION. FNCH WILL SERVE 586 NEW MAT PATIENTS TO BE SERVED IN ADDITION TO THE EXISTING 226 MAT PATIENTS SERVED IN CY2020. FNCH IS PROPOSING TO SIGNIFICANTLY EXPAND ITS EXISTING MEDICATION ASSISTED TREATMENT PROGRAM TO INCLUDE USE OF FDA-APPROVED MEDICATIONS, COUNSELING, SCREENING AND ASSESSMENT AND OUTREACH, WITH THE ADDITION OF PEER RECOVERY SUPPORT AND TELEHEALTH SERVICES, WITHIN A FULLY INTEGRATED PRIMARY CARE / BEHAVIORAL HEALTH MODEL. FNCH WILL HIRE AN ADDITIONAL 0.8 FTE PRESCRIBING PSYCHIATRIST WITH AN EXISTING DATA 2000 WAIVER. NEW STAFF HIRED INCLUDES 1.0 FTE PEER SUPPORT RECOVERY WORKER, 1.0 FTE MAT CASE MANAGER/CHW, AND 0.5 FTE BH COUNSELOR (YEAR 2) TO PROVIDE COMPREHENSIVE MAT SERVICES TO AN ADDITIONAL 100 OPIOID AND PRESCRIPTION DRUG-ADDICTED PATIENTS IN YEAR ONE. IN ADDITION, FNCH WILL EMPLOY A 0.5 FTE PROJECT DIRECTOR, 1.0 FTE PEER SUPPORT RECOVERY WORKER, 1.0 FTE BH CLINICIAN, AND 0.2 EVALUATION AND DATA COORDINATOR TO EXPAND ITS MAT SERVICES.

NEW MEXICO TRIBAL PREVENTION PROJECT

DIABETES PREVENTION AND TREATMENT PROGRAM - FIRST NATIONS COMMUNITY HEALTHSOURCE'S (FNCH) SDPI PROGRAM AIMS TO PROVIDE DIABETES TREATMENT AND PREVENTION ACTIVITIES TO REDUCE DIABETES RISK AND COMPLICATIONS SECONDARY TO DIABETES AMONG THE URBAN AI/AN COMMUNITY OF ALBUQUERQUE, NEW MEXICO. FNCH IS A TITLE V URBAN INDIAN HEALTH CENTER THAT PROVIDES COMPREHENSIVE AND INTEGRATED PRIMARY CARE, BEHAVIORAL HEALTH, DENTAL, AND TRADITIONAL HEALING SERVICES AND AN ARRAY OF SUPPORT SERVICES THAT ADDRESS HEALTH DISPARITIES EXPERIENCED BY FNCH'S URBAN AI/AN PATIENT POPULATION. FNCH WILL FOCUS ON FOOT CARE, AN SDPI DIABETES BEST PRACTICE WITH A MINIMUM OF 50 AI/ANS USING THE REQUIRED CRITICAL MEASURES RELATED TO THIS BEST PRACTICE. ADDITIONALLY, FNCH WILL WORK TO ADDRESS VISION CARE, ORAL HEALTH, NUTRITION EDUCATION, AND DEPRESSION SCREENINGS AND WILL PROVIDE COMMUNITY-BASED DIABETES PREVENTION EDUCATION TO AI/AN. THE ANNUAL DIABETES OUTCOME AUDIT REPORT AND INTERNAL MONTHLY REPORTS WILL TRACK PROGRAM PERFORMANCE IN THESE ACTIVITIES AND MEASURES TO ENSURE FNCH MEETS ITS GOALS AND OBJECTIVES.

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

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

DOMESTIC VIOLENCE PREVENTION PROGRAM

COMMUNITY BASED MODEL OF PHN CASE MANAGEMENT SERVICES

HUMAN TRAFFICKING ADVOCACY AND SUPPORT PROJECT

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTHY MARRIAGE DEMONSTRATION, PRIORITY AREA 8

NATIVE CONNECTIONS PROJECT

THE SUICIDE PREVENTION PROJECT WILL PROVIDE SUICIDE ASSESSMENTS, INTERVENTION, REFERRALS AND SUICIDE PREVENTION EDUCATION TO 500 AMERICAN INDIANS IN

DOMESTIC VIOLENCE PREVENTION PROJECT

FIRST NATIONS SUICIDE PREVENTION PROJECT

ARRA - CAPITAL IMPROVEMENT PROGRAM

COMMUNITY HEALTH AND WELLNESS PROJECT

OWH HIV PREVENTION PROGRAM FOR YOUNG WOMEN ATTENDING MINORITY INSTITUTIONS (SIPI).

HIV PROJECT - THE HIV PROJECT'S (HP) GOAL IS TO REDUCE HIV/HCV INFECTION RATES BY INCREASING THE QUANTITY AND QUALITY OF HIV/HCV PREVENTION, TESTING, AND TREATMENT SERVICES AVAILABLE TO AI/ANS IN NEW MEXICO. AN ESTIMATED 100 HIV/HCV TESTS WILL BE TARGETED ANNUALLY FOR A TOTAL OF 300 AT THE END OF THREE YEARS. HP’S VISION IS TO PREVENT NEW HIV/HCV INFECTIONS AND IMPROVE THE QUALITY OF LIFE OF PLWHAS BY REDUCING HIV-RELATED HEALTH DISPARITIES AND HEALTH INEQUITIES. PROJECT OBJECTIVES CONSIST OF THE FOLLOWING: (1) BY THE END OF THE PROJECT PERIOD, AT LEAST 95% OF AI/AI WHO RECEIVED HIV/HCV TESTING WITH COUNSELING SERVICES AND PREP AND SSE EDUCATION WILL HAVE EXPERIENCED INCREASES IN THEIR KNOWLEDGE AND UNDERSTANDING OF HIV/HCV, PREP, AND SSE AS MEASURED BY A PRE-AND POST-TEST SURVEY; (2) BY THE END OF THE PROJECT PERIOD,100% OF THE AI/ANS WHO TESTED POSITIVE FOR HIV/HCV WILL HAVE BEEN LINKED TO TREATMENT WITHIN ONE MONTH OF THEIR POSITIVE TEST, AND 100% OF THESE INDIVIDUALS WILL HAVE BEEN OFFERED MEDICAL AND NON-MEDICAL CASE MANAGEMENT SERVICES TO INCREASE RETENTION AND ENGAGEMENT IN CARE AND TREATMENT ADHERENCE. CASE MANAGEMENT SERVICES WILL ASSIST PLWHAS WITH THEIR UNMET HIV-RELATED NEEDS AND MAXIMIZE THEIR QUALITY OF LIFE AND HEALTH OUTCOMES; AND (3) BY THE END OF THE PROJECT PERIOD, HP WILL HAVE PARTICIPATED IN AT LEAST FOUR COMMUNITY EVENTS ANNUALLY IN PARTNERSHIP WITH OTHER ORGANIZATIONS TO REDUCE HIV/HCV STIGMA AND DISCRIMINATION. HP WILL HAVE DISSEMINATED HIV/HCV EDUCATIONAL MATERIALS WITH HIV/HCV TESTING AND TREATMENT RESOURCES. ADDITIONALLY, A PROJECT EVALUATION WILL BE COMPLETED TO ASSESS THE EFFECTIVENESS OF HP IN ACHIEVING ITS GOALS AND OBJECTIVES.

EMERGENCY RESPONSE FOR SUICIDE PREVENTION PROJECT - FIRST NATIONS COMMUNITY HEALTHSOURCE (FNCH), AN URBAN INDIAN ORGANIZATION AND FEDERALLY QUALIFIED HEALTH CENTER, WILL CONDUCT THE EMERGENCY RESPONSE FOR SUICIDE PROJECT (ERSP) TO PROVIDE SUICIDE SCREENINGS, EDUCATION, AND COMPREHENSIVE CLINICAL CARE TO A MINIMUM OF 500 HIGH-RISK INDIVIDUALS AT THE END OF 16 MONTHS. THE TARGET POPULATION WILL CONSIST OF THE MOST VULNERABLE SUICIDE-RISK POPULATIONS IMPACTED BY COVID-19 IN THE GEOGRAPHIC CATCHMENT AREA OF ALBUQUERQUE, NEW MEXICO. THE TARGET POPULATION WILL BE LOW-INCOME, MINORITY, AND HOMELESS COMMUNITY ADULT MEMBERS THAT INCLUDE SUBPOPULATIONS OF AMERICAN INDIANS AND INDIVIDUALS WHO EXPERIENCE HOMELESSNESS/PRECARIOUSLY HOUSED, VICTIMS OF DOMESTIC VIOLENCE, LACK HEALTH INSURANCE OR ARE ON MEDICAID, LIVE AT OR BELOW THE FEDERAL PROVIDER'S LEVELS AND/OR ARE ESSENTIAL SERVICE WORKERS. THE TARGET POPULATION EXPERIENCES HIGH RATES OF POVERTY, UNEMPLOYMENT, LACK OF HOUSING, NO HEALTH INSURANCE, LOW LEVELS OF EDUCATION, AND A HIGH RATE OF CHRONIC HEALTH CONDITIONS. THE ONSET OF THE COVID-19 PANDEMIC SIGNIFICANTLY INCREASES THEIR RISKS FOR SUBSTANCE USE, DEPRESSION, AND SUICIDE. ERSP WILL OFFER A FULL CONTINUUM OF SUICIDE PREVENTION AND CLINICAL TREATMENTS RANGING FROM EDUCATION, SUICIDE SCREENINGS, BRIEF INTERVENTION, BRIEF TREATMENT, CLINICAL CARE, RAPID FOLLOW UP FROM INPATIENT/EMERGENCY FACILITIES, FOLLOW UP FROM HEALTH/BEHAVIORAL HEALTH PROGRAMS, AND/OR LINKAGES TO HIGHER LEVELS OF CARE. ERSP WILL INCORPORATE EVIDENCE-BASED PRACTICES INCLUDING SBIRT, COGNITIVE BEHAVIOR THERAPY, EMDR, MORAL RECONATION THERAPY, MEDICATION ASSISTED TREATMENT, SEEKING SAFETY, TRAUMA-INFORMED CARE, AND MATRIX MODEL, TO NAME A FEW. ERSP'S GOAL IS TO INCREASE FNCH'S CAPACITY TO REDUCE/PREVENT SUICIDE AND SUICIDE ATTEMPTS DURING THE COVID-19 PANDEMIC. MEASURABLE OUTCOMES WILL BE ALIGNED WITH SAMHSA'S GPRA MEASURES AND WILL INCLUDE THE NUMBER OF INDIVIDUALS SERVED, TYPES OF SERVICES PROVIDED, THE NUMBER OF INDIVIDUALS WHO RECEIVED CASE MANAGEMENT SERVICES, THE NUMBER OF INDIVIDUALS WHO EXPERIENCED IMPROVEMENTS IN THEIR DEPRESSION AND SUICIDE RISKS, AND THE NUMBER AND OUTCOMES OF THE SUICIDE TRAININGS PROVIDED. ERSP WILL PARTNER WITH COMMUNITY COLLABORATORS TO SUPPORT COMMUNITY-WIDE SUICIDE AWARENESS AND PREVENTION.

HOUSING ASSISTANCE PROGRAM

FIRST NATIONS COMMUNITY HEALTHSOURCE (FNCH), NEW MEXICO’S TITLE V URBAN INDIAN HEALTH CENTER, WILL USE THE FUNDING FROM THIS AWARD TO CONTINUE THE OPERATION OF EDUCATION AND ADVOCACY AGAINST SEX TRAFFICKING (EAST) PROJECT, BY: (1) CONTINUING TO EMPLOY A 1.0 FTE LEAD CASE MANAGER, AND TWO 1.0 FTE CASE MANAGERS TO PROVIDE CASE MANAGEMENT, FINANCIAL ASSISTANCE, REFERRALS, AND OTHER SUPPORTIVE SERVICES TO AMERICAN INDIAN AND ALASKA NATIVE VICTIMS OF HUMAN TRAFFICKING; (2) CONDUCTING COMMUNITY OUTREACH AND EDUCATION ACTIVITIES TO GENERATE AWARENESS OF THE NEEDS OF AMERICAN INDIAN AND ALASKA NATIVE VICTIMS OF HUMAN TRAFFICKING IN AND AROUND ALBUQUERQUE, NM AND TRIBAL COMMUNITIES ACROSS THE STATE; (3) SUPPORTING ITS CONTINUED COLLABORATIVE PARTNERSHIPS WITH KEY STATE, FEDERAL, AND TRIBAL GOVERNMENT STAKEHOLDERS CHARGED WITH RESPONDING TO HUMAN TRAFFICKING IN INDIAN COUNTRY; AND (4) PROVIDING TRAINING TO A MULTIDISCIPLINARY GROUP OF PROFESSIONALS WHO MAY COME INTO CONTACT WITH VICTIMS OF HUMAN TRAFFICKING.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

BEHAVIORAL HEALTH SERVICES COVID-19 PROJECT

THE PROJECT WILL REDUCE THE INCIDENCE OF HIV/AIDS AMONG AI/ANS AND IMPROVE THE QUALITY OF LIFE BY INCREASING THE NUMBER OF AI/ANS WHO KNOW THEIR HIV/

MEDICAID ENROLLMENT PROJECT

FIRST NATIONS COMMUNITY HEALTHSOURCE WILL CONDUCT THE SEX TRAFFICKING ADVOCACY AND SUPPORT PROJECT

RURAL TRIBAL COVID-19 RESPONSE

ARRA - INCREASE SERVICES TO HEALTH CENTERS

BEHAVIORAL HEALTH SERVICES COVID-19 PROJECT

URBAN INDIAN GRANT

DOMESTIC VIOLENCE PREVENTION INITIATIVE: SEXUAL ASSAULT PROJECTS EXPANSION; COMMUNITY DEVELOPED MODELS

DEMENTIA SCREENING PROJECT - WITHIN THE NEXT THREE YEARS, FIRST NATIONS COMMUNITY HEALTHSOURCE WILL CONDUCT THE DEMENTIA SCREENING PROJECT (DSP), A COMPREHENSIVE INITIATIVE DESIGNED TO ENHANCE THE QUALITY OF CARE FOR URBAN AMERICAN INDIAN AND ALASKA NATIVE (AI/AN) ELDERS. THIS PROJECT AIMS TO IMPLEMENT AN EVIDENCE-BASED, CULTURALLY SENSITIVE, AND INTEGRATED DEMENTIA SCREENING AND EDUCATION PROGRAM SPECIFICALLY TARGETING 100 AI/AN ELDERS AGED 50 AND OLDER IN ALBUQUERQUE, NEW MEXICO. THE GOAL IS TO ACCURATELY IDENTIFY INDIVIDUALS WHO MAY BE AT RISK OF DEVELOPING DEMENTIA OR WHO ARE ALREADY EXPERIENCING SYMPTOMS AND EFFECTIVELY LINK THEM TO APPROPRIATE CARE SERVICES. KEY PROJECT COMPONENTS WILL INCLUDE DEMENTIA SCREENINGS AND TAILORED EDUCATIONAL WORKSHOPS THAT WILL INFORM PARTICIPANTS AND THEIR CARETAKERS ABOUT THE SIGNS OF DEMENTIA, TREATMENT OPTIONS, AND AVAILABLE RESOURCES. INTERDISCIPLINARY ASSESSMENTS WILL BE CONDUCTED BY COMMUNITY HEALTH WORKERS, ENSURING THAT EACH ELDER RECEIVES A HOLISTIC EVALUATION. REFERRALS WILL BE MADE TO PARTNERING ORGANIZATIONS FOR INDIVIDUALS WHO SCREEN POSITIVE FOR COGNITIVE DECLINE FOR FURTHER DIAGNOSTIC AND CLINICAL ASSESSMENTS, EARLY INTERVENTION STRATEGIES, AND TREATMENT PROGRAMS. DSP WILL UTILIZE THE TRADITIONAL WELLNESS PROGRAM TO OFFER CULTURAL SERVICES, INCLUDING CULTURALLY RELEVANT ACTIVITIES THAT MAY HELP DELAY COGNITIVE DECLINE, THEREBY FOSTERING A SENSE OF COMMUNITY AND BELONGING AMONG PARTICIPANTS. ADDITIONALLY, THE PROJECT WILL PROVIDE CASE MANAGEMENT SERVICES TO ADDRESS ESSENTIAL SOCIAL DETERMINANTS OF HEALTH, INCLUDING ACCESS TO TRANSPORTATION, HOUSING STABILITY, AND NUTRITION, THEREBY SUPPORTING THE OVERALL WELL-BEING OF PARTICIPANTS AND THEIR CAREGIVERS. TO ENHANCE COMMUNITY AWARENESS, DSP WILL CONDUCT TRAINING, EDUCATION, AND COMMUNITY OUTREACH ACTIVITIES THAT INCLUDE CULTURALLY APPROPRIATE EDUCATIONAL MATERIALS FOCUSED ON DEMENTIA. A PROJECT EVALUATION WILL BE CONDUCTED AT VARIOUS STAGES THROUGHOUT IMPLEMENTATION TO ENSURE THE EFFECTIVENESS OF DSP. THIS EVALUATION WILL ASSESS WHETHER DSP IS MEETING ITS STATED GOALS AND OBJECTIVES, TRACK PROGRESS AGAINST ESTABLISHED TIMELINES, AND IDENTIFY ANY BARRIERS THAT MAY IMPEDE PROJECT PERFORMANCE OR AREAS THAT REQUIRE FURTHER IMPROVEMENT.

BUILDING BRIDGES MENTORING PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

2008 REQUEST FOR APPLICATIONS FOR THE HIV PREVENTION PROGRAM FOR YOUNG WOMEN ATTENDING MINORITY INSTITUTIONS- HISTORICAL

FIRST NATIONS COMMUNITY HEALTHSOURCE DOMESTIC VIOLENCE PREVENTION INITIATIVE: DOMESTIC VIOLENCE

HIV PREVENTION AND ENGAGEMENT IN CARE PROJECT

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

TBH COVID-19

FY 2023 BRIDGE ACCESS PROGRAM

HIV PREVENTION FOR URBAN AMERICAN INDIANS

PROJECT BEACON

HIV PREVENTION FOR URBAN AMERICAN INDIANS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

MENTORING CHILDREN OF PRISONERS