Pancare Of Florida Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - 1. PROJECT TITLE: RURAL COMMUNITIES OPIOID RESPONSE PROGRAM–BEHAVIORAL HEALTH CARE SUPPORT 2. REQUESTED AWARD AMOUNT: $500,000 FOR EACH OF 4 PROJECT PERIOD YEARS 3. APPLICANT ORGANIZATION NAME: PANCARE OF FLORIDA, INC. 4. APPLICANT ORGANIZATION ADDRESS: 403 E. 11TH ST., PANAMA CITY, FL 32401-3409 5. APPLICANT ORGANIZATION FACILITY TYPE: FEDERALLY QUALIFIED HEALTH CENTER (FQHC) 6. PROJECT DIRECTOR NAME AND TITLE: SHANNON LAWTON, PROJECT DIRECTOR 7. PROJECT DIRECTOR CONTACT INFORMATION: 850-747-5272 EXT.37, SLAWTON@PANCAREFL.ORG 8. DATA COORDINATOR NAME AND TITLE: TO BE HIRED, DATA COORDINATOR 9. DATA COORDINATOR CONTACT INFORMATION: TO BE HIRED 10. EIN/DUNS NUMBER EXCEPTION REQUEST IN ATTACHMENT 8? (Y/N): NO 11. HOW THE APPLICANT FIRST LEARNED ABOUT THE FUNDING OPPORTUNITY: GRANTS.GOV 12. NUMBER OF CONSORTIUM MEMBERS & LIST OF CONSORTIUM MEMBERS: 7 – PANCARE, BIG BEND HEALTH COUNCIL, FLORIDA DEPARTMENT OF HEALTH - JACKSON AND WASHINGTON COUNTIES, LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA, INC., PANHANDLE AREA EDUCATIONAL CONSORTIUM, GULF COUNTY EMS, AND INNOVATIVE CHARITIES OF NW FLORIDA. 13. IS THE APPLICANT ORGANIZATION A PREVIOUS OR CURRENT RCORP AWARD RECIPIENT OR CONSORTIUM MEMBER? YES, FY20 RCORP-PLANNING AND FY21 RCORP-IMPLEMENTATION 14. INDICATE IF APPLICANT ORGANIZATION INTENDS TO APPLY FOR FY22 RCORP- IMPLEMENTATION? (Y/N): NO 15. DOES THE TARGET SERVICE AREA OVERLAP WITH THE SERVICE AREAS OF THE NORTHERN BORDER REGIONAL COMMISSION, THE DELTA REGIONAL AUTHORITY, OR THE APPALACHIAN REGIONAL COMMISSION? (Y/N): NO 16. RCORP-BHS TARGET SERVICE AREA: A. FULLY RURAL COUNTIES: CALHOUN, FRANKLIN, GULF, JACKSON, LIBERTY, AND WASHINGTON COUNTIES, FLORIDA B. PARTIALLY-RURAL COUNTIES: NONE 17. BRIEF DESCRIPTION OF THE TARGET POPULATION: THERE ARE 122,147 RESIDENTS OF THE 6-COUNTY REGION. NEARLY HALF (43.1%), AN ESTIMATED 52,762 INDIVIDUALS, LIVE WITH INCOMES BELOW 200% FPG, A GREATER PERCENTAGE THAN IN THE STATE (32.9%) OR US (29.8%) (AMERICAN COMMUNITY SURVEY: 2016-2020, CENSUS BUREAU, 2021). DRUG-INDUCED MORTALITY IN THE SERVICE AREA HAS DOUBLED BETWEEN 2015 AND 2020, FROM 9.3 TO 18.0 PER 100,000 (AGE-ADJUSTED; WONDER, CDC, 2011-2015; 2016-2020). AN ESTIMATED 17,223 INDIVIDUALS AGED 12 AND OLDER IN THE SERVICE AREA HAVE A SUBSTANCE USE DISORDER, INCLUDING 3,383 YOUTH. FLORIDA SAW A 37% INCREASE IN DRUG-RELATED OVERDOSE DEATHS BETWEEN 2019 AND 2020, FUELED BY THE INCREASED AVAILABILITY OF FENTANYL (FENTANYL-RELATED DEATHS DOUBLED) AND DESPAIR RELATED TO THE COVID-19 PANDEMIC. MANY ILLICIT DRUGS OTHER THAN OPIOIDS, SUCH AS COCAINE OR AMPHETAMINES, ARE BEING CUT WITH FENTANYL (“FLORIDA SECOND IN NATION FOR OVERDOSE DEATHS,” WUSF PUBLIC MEDIA, 7/21/2022). THERE ARE VERY FEW MAT PROVIDERS IN THE SERVICE AREA AND NONE IN JACKSON AND LIBERTY COUNTIES (SAMHSA BUPRENORPHINE TREATMENT PRACTITIONER LOCATOR, ACCESSED 2/9/2021). MANY INDIVIDUALS LACK THE RESOURCES TO OBTAIN SERVICES IN OTHER MORE URBAN AREAS. WHILE 5.6% OF ALL SERVICE AREA RESIDENTS LACK ACCESS TO A PRIVATE VEHICLE FOR TRANSPORTATION, THIS INCREASES TO 16.7% AMONG BLACK RESIDENTS (AMERICAN COMMUNITY SURVEY: 2016-2020, 2015-2019, CENSUS BUREAU, 2021). LESS THAN 1% OF THE SERVICE AREA POPULATION IS AMERICAN INDIAN AND THIS IS NOT A TARGET POPULATION (AMERICAN COMMUNITY SURVEY: 2016-2020, CENSUS BUREAU, 2021).

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

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

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

PANCARE SCHOOL-BASED DISASTER RECOVERY SERVICES PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT TITLE: FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION (BHSE) APPLICANT ORGANIZATION NAME: PANCARE OF FLORIDA, INC. HEALTH CENTER PROGRAM GRANT NUMBER: H80CS06452 ADDRESS: 403 EAST 11TH STREET PANAMA CITY, FL 32401-3409 CONTACT PHONE NUMBER (VOICE): 850-747-5599 WEBSITE ADDRESS: WWW.PANCAREFL.ORG PROGRAM FUNDS REQUESTED IN THE APPLICATION: THIS APPLICATION REQUESTS A TOTAL OF $1,100,000 IN BHSE FUNDING, WITH $600,000 FOR YEAR 1 AND $500,000 FOR YEAR 2. PANCARE OF FLORIDA (PANCARE), A NON-PROFIT COMMUNITY HEALTH CENTER, HAS BEEN PROVIDING ACCESSIBLE, AFFORDABLE, HIGH-QUALITY, PATIENT-FOCUSED PRIMARY HEALTH CARE TO RESIDENTS OF BAY, WALTON, LIBERTY, CALHOUN, WASHINGTON, HOLMES, FRANKLIN, JACKSON, AND GULF COUNTIES IN THE FLORIDA PANHANDLE ON THE NORTHERN GULF COAST SINCE 2005. IN 2023, PANCARE SERVED 50,609 TOTAL PATIENTS VIA 132,743 TOTAL ENCOUNTERS (7,724 VIRTUAL) FROM 29 SERVICE-DELIVERY LOCATIONS (INCLUDING 11 MOBILE UNITS AND 2 SCHOOL-BASED SITES) INCLUDING 2,359 PATIENTS WITH MENTAL HEALTH (MH) SERVICES, 293 PATIENTS WITH SUBSTANCE USE DISORDER (SUD) SERVICES, AND 19 PATIENTS WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD) (2023 UDS). NEED: PANCARE PRIORITIZES SERVICES TO LOW-INCOME RESIDENTS IN THE SERVICE AREA. RESIDENTS IN THESE HIGH-NEED COMMUNITIES FACE MULTIPLE BARRIERS TO HEALTH CARE, INCLUDING LACK OF CONVENIENT ACCESS POINTS FOR CARE, LACK OF FAMILY OR SOCIAL SUPPORTS TO ACCESS CARE, AND LACK OF UNDERSTANDING REGARDING THE BENEFITS OF PREVENTIVE CARE, AMONG OTHERS. INCREASED ACCESS TO MH AND SUD SERVICES IN THE REGION IS OF PARAMOUNT IMPORTANCE. AS A PRIMARY POINT OF ACCESS IN ITS SERVICE AREA FOR ANY HEALTH CARE NEED, PANCARE IS WELL-POSITIONED TO ADDRESS BARRIERS TO CARE AND PROVIDE ACCESS TO A CONTINUUM OF BEHAVIORAL HEALTH (BH) SERVICES THAT INCLUDES TREATMENT AND RECOVERY SUPPORT. RESIDENTS OF THE PANCARE SERVICE AREA ARE EXPERIENCING RECORD LEVELS OF MH AND SUD. ADULTS REPORT AN AVERAGE OF 5.5 POOR MENTAL HEALTH DAYS PER MONTH, COMPARED TO 4.5 IN FL AND 4.5 NATIONALLY, WHILE 17.2% REPORT BEING IN MENTAL DISTRESS MORE THAN HALF THE MONTH, COMPARED TO 13.0% IN FL AND 15.0% IN THE US (COUNTY HEALTH RANKINGS, RWJF, 2024). THE SUICIDE MORTALITY RATE IS 19.4, MUCH HIGHER THAN THE STATE (14.1) AND NATIONAL (13.8) RATES (ALL MORTALITY RATES ARE PER 100,000, AGE-ADJUSTED) (WONDER, CDC, 2016-2020). NEARLY A QUARTER (20.5% OR 65,220) OF ADULTS REPORT A MENTAL ILLNESS, WHILE 5.7% (18,083) HAVE A SERIOUS MENTAL ILLNESS (SERVICE AREA ESTIMATES BASED ON STATE-LEVEL RATES) (NATIONAL SURVEY OF DRUG USE AND HEALTH, SAMHSA, 2021-2022). SERVICES: PANCARE IS REQUESTING FUNDING TO SUPPORT EXPANDED BH SERVICES, INCREASING ACCESS TO MH, SUD, AND MOUD SERVICES FOR THE TARGET POPULATION. CURRENT DEMAND FOR THESE SERVICES EXCEEDS CAPACITY OF PROVIDERS. PANCARE WILL INCREASE SERVICES TO: BAY DISTRICT SCHOOLS, IN REACHING STUDENTS WITH SUD NEEDS; DOORWAYS OF NORTHWEST FLORIDA IN REACHING HOMELESS INDIVIDUALS WITH BH AND SUD NEEDS IN BAY, JACKSON, CALHOUN, GULF, AND WASHINGTON COUNTIES; NWF HEALTH IN REACHING MORE FOSTER CHILDREN AND UNINSURED INDIVIDUALS IN NEED OF BH SERVICES IN WALTON COUNTY; AND BASIC OF NW FLORIDA TO BETTER SERVE HIV AND HEP-C PATIENTS IN NEED OF BH AND SUD SERVICES. IN SUPPORT OF THESE SERVICES, PANCARE IS PROPOSING TO HIRE 2.0 FTE LCSW, 3.0 FTE CASE MANAGERS, 2.0 FTE PEER RECOVERY SPECIALISTS, AND 1.0 FTE PSYCH NP. POPULATION GROUP: PANCARE’S PROPOSED BHSE EXPANSION WILL INCREASE THE NUMBER OF PATIENTS PROVIDED WITH BH SERVICES BY THE END OF THE PROJECT PERIOD (2025), INCLUDING A TOTAL OF 2,800 MH SERVICES PATIENTS, 550 SUD SERVICES PATIENTS, AND 70 PATIENTS RECEIVING MOUD SERVICES. PANCARE ESTIMATES AN INCREASE OF 250 UNDUPLICATED NEW HEALTH CENTER PATIENTS. THIS WILL SUPPORT THE BHSE PROGRAM PURPOSE OF INCREASING THE NUMBER OF PATIENTS WHO ACCESS MH AND SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD. THIS WILL INCLUDE MSAW.

FISCAL YEAR 2023 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS (CARE)

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE - PANCARE OF FLORIDA, INC. (PANCARE) PROPOSES TO IMPLEMENT THE MENTAL HEALTH AWARENESS TRAINING (MHAT) PROJECT IN BAY COUNTY, FLORIDA. THE PRIMARY POPULATIONS OF FOCUS FOR THIS APPLICATION ARE YOUTH AGES 6 TO 17 ENROLLED IN BDS (26,000 STUDENTS) AND ADULTS AGE 18 AND OLDER (148,284 ADULTS) (BDS, 2021; AMER. COMM. SURVEY, CENSUS, 2019). TO REACH YOUTH, PANCARE WILL IMPLEMENT YOUTH MENTAL HEALTH FIRST AID (YMHFA) TRAINING FOR SCHOOL STAFF, FACULTY, STUDENTS AND PARENTS ENGAGED WITH BAY DISTRICT SCHOOLS (BDS) AND THE BDS POLICE FORCE. ALL OF THE OFFICERS ON THE BDS POLICE FORCE SERVE IN LOCAL SCHOOLS. TO REACH ADULTS, PANCARE WILL IMPLEMENT ADULT MHFA TRAINING FOR PANCARE PROVIDERS AND STAFF, OTHER MEDICAL PROVIDERS IN THE REGION AND THEIR STAFF AND PATIENTS, AND THE GENERAL PUBLIC. PRIMARY STRATEGIES TO BE EMPLOYED INCLUDE TRAINING IN YOUTH AND ADULT MENTAL HEALTH AWARENESS, IDENTIFICATION OF YOUTH AND ADULTS WITH MENTAL ILLNESS, AND DE-ESCALATION TECHNIQUES; DEVELOPMENT OF A CRISIS INTERVENTION TEAM; STRENGTHENING OF COMMUNITY REFERRAL PATHWAYS FOR INDIVIDUALS WITH THE SIGNS OR SYMPTOMS OF MENTAL ILLNESS; AND COMMUNITY EDUCATION REGARDING MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) RESOURCES INCLUDING DEVELOPMENT OF AN ONLINE RESOURCE DIRECTORY.

TELEMEDICINE GRANT

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 EARLY CHILDHOOD DEVELOPMENT

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

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

ARRA - CAPITAL IMPROVEMENT PROGRAM

DLT GRANTS - SUBSTANCE USE DISORDER - MEDICAL

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-OVERDOSE RESPONSE

FY 2023 BRIDGE ACCESS PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

DLT OPIOID GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

COMMUNITY FACILITY GRANTS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE HIV/AIDS PROGRAM PART C EIS COVID-19 RESPONSE

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS