Bienestar Inc

PROJECT CUIDATE...POR TU SALUD IS TO PROVIDE EDUCATIONAL AND CLINICAL FAMILY PALNNING SERVICES TO PERSON BETWEEN THE AGE

HCV ELIMINATION AND INTEGRATED CARE FOR HIGH-NEED COMMUNITIES IN LOS ANGELES COUNTY - PROJECT TITLE: HCV ELIMINATION AND INTEGRATED CARE FOR HIGH-NEED COMMUNITIES IN LOS ANGELES COUNTY PUBLIC SUMMARY: BIENESTAR HUMAN SERVICES (BIENESTAR) WILL IMPLEMENT AN INNOVATIVE, COMMUNITY-BASED HEPATITIS C VIRUS (HCV) ELIMINATION INITIATIVE ACROSS LOS ANGELES COUNTY, CALIFORNIA. THE PROJECT WILL DELIVER SAME-DAY HCV TESTING AND TREATMENT, INTEGRATED BEHAVIORAL HEALTH CARE, AND PEER-LED SUPPORT TO LOW-INCOME, UNINSURED, AND UNDERINSURED COMMUNITIES IN NEED. THE INITIATIVE TARGETS POPULATIONS HEAVILY IMPACTED BY HCV, HIV, SUBSTANCE USE, HOMELESSNESS, AND MENTAL ILLNESS. BY PROVIDING WHOLE PERSON SUPPORTS TO INDIVIDUALS WITH COMPLEX NEEDS, BIENESTAR AIMS TO CURE HCV AND IMPROVE LONG-TERM HEALTH OUTCOMES. WE ESTIMATE THAT 100 INDIVIDUALS WILL BE SERVED ANNUALLY THROUGH THIS HIGH-IMPACT MODEL.

INCREMENTAL FUNDING AND CHANGES IN KEY PESONNEL SECTION

BIENESTAR CCBHC FOR LATINX/LGBTQ POPULATIONS OF EAST LOS ANGELES - PROJECT SUMMARY: BIENESTAR HUMAN SERVICES (BIENESTAR) IS APPLYING FOR CCBHC-PDI FUNDING AS THERE IS GREATER DEMAND FOR ACUTE BEHAVIORAL HEALTHCARE CARE IN EAST LOS ANGELES THAN CAN BE PROVIDED BY EXISTING RESOURCES. THIS SERVICE GAP, SPECIFICALLY FOR THE TREATMENT OF LOW-INCOME POPULATIONS WITH SMI, SED, SUD, AND/OR COD, CAN BE REDUCED WITH OUR PROPOSED CCBHC. GEOGRAPHIC CATCHMENT AREA: LOS ANGELES COUNTY’S SERVICE PLANNING AREA (SPA) 7. PROJECT NAME: BIENESTAR CCBHC FOR LATINX/LGBTQ POPULATIONS OF EAST LOS ANGELES POPULATIONS TO BE SERVED: LOW-INCOME LATINX LGBTQ RESIDENTS OF LOS ANGELES COUNTY SERVICE PLANNING AREA (SPA) 7, INCLUDING PERSONS WITH SMI, SED, SUD, OR COD. SPA 7 HAS HIGHER RATES OF POVERTY, A LARGER PERCENT OF THE POPULATION THAT IS LATINX, AND A LARGER PERCENT OF THE POPULATION THAT IS LGBTQ THAN LOS ANGELES COUNTY AS A WHOLE. NUMBER TO BE SERVED: YEAR 1: 75; YEAR 2: 75; YEAR 3: 75 YEAR 4: 75; LIFE OF PROJECT: 300 PROJECT STRATEGIES/INTERVENTIONS: BIENESTAR WILL USE A COMBINATION OF SEVERAL EVIDENCE-BASED- INTERVENTIONS, INCLUDING COGNITIVE BEHAVIORAL THERAPY (CBT), EYE MOVEMENT DESENSITIZATION AND REPROCESSING (EMDR), MEDICATED-ASSISTED TREATMENT (MAT) AND MOTIVATIONAL INTERVIEWING (MI). THESE INTERVENTIONS AND SCREENINGS WILL BE PROVIDED IN ENGLISH AND SPANISH. PROJECT GOALS AND MEASURABLE OBJECTIVES: OUR GOALS INCLUDE A REDUCTION IN THE RISK FOR SUICIDE, PREVENTION OF DEATH BY SUICIDE; REDUCTION IN PROBLEM USE OF ALCOHOL AND/OR OPIATES; AND AN INCREASE IN ACCESS TO MH SERVICES, INCLUDING IMPROVING AWARENESS OF SERVICES. MEASURABLE OBJECTIVES ARE AS FOLLOWS: (1) FOR EACH YEAR, SCREEN 400 CLIENTS, USING THE COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS) AT CLINICA BIENESTAR AND THE CCBHC; (2) FOR EACH YEAR, THOSE ASSESSED TO BE AT-RISK FOR PSYCHOLOGICAL DISTRESS OR SUICIDE WILL BE REFERRED TO CCBHC FOR TREATMENT; 100% WILL DEVELOP A CRISIS PLAN; (3) FOR EACH GRANT YEAR, 65% OF CCBHC PATIENTS WILL HAVE REDUCED RISK FOR PSYCHOLOGICAL DISTRESS AND REDUCED RISK FOR SUICIDE BY IMPROVEMENTS IN K10 AND C-SSRS SCORES BETWEEN ASSESSMENTS; (4) FOR EACH YEAR, 100.0% OF THOSE SCREENED AT-RISK FOR SUD, WILL RECEIVE A REFERRAL FOR CCBHC SERVICES; OF THOSE REFERRED, 75% WILL YIELD AN ATTENDED APPOINTMENT; (5) FOR EACH YEAR, 65% OF CCBHC PATIENTS WITH PROBLEM ALCOHOL USE WILL HAVE REDUCED FREQUENCY OF USE AS DEMONSTRATED BY IMPROVEMENT BETWEEN ASSESSMENTS; (6) FOR EACH YEAR, 30% OF CCBHC PATIENTS DETERMINED TO HAVE PROBLEM USE OF OPIATES WILL HAVE REDUCED FREQUENCY OF USE AS DEMONSTRATED BY IMPROVEMENT BETWEEN ASSESSMENTS; (7) FOR EACH YEAR, SCREEN 400 CLIENTS, USING THE KESSLER PSYCHOLOGICAL DISTRESS SCALE (K10) AT CLINICA BIENESTAR AND THE CCBHC; (8) EACH YEAR, 100% OF CLIENTS WITH A HIGH-RISK K10 SCREENING, WILL BE PROVIDED A C-SSRS SCREENING AND REFERRAL TO THE CCBHC; (9) EACH YEAR, 100% OF CLIENTS WITH AN AT-RISK K10 SCREENING, WILL BE PROVIDED A REFERRAL FOR CCBHC SERVICES; OF THOSE REFERRED, 75% WILL YIELD AN ATTENDED APPOINTMENT; AND (10) FOR EACH YEAR, WE WILL REACH 500 INDIVIDUALS VIA SOCIAL MEDIA, REGARDING AVAILABILITY OF CCBHC SERVICES AND FOR LANGUAGE APPROPRIATE HEALTH EDUCATION.

HIV CARE AND TREATMENT ACTIVITY

CUIDATE POR TU SALUD IS A TITLLE X FAMILY PLANNING PROJECT THAT PROVIDES AN ARRAY OF CONFIDENTIAL PREVENTIVE HEALTH SERVICES TO THE POPULATION IN NEED OF THE SAN JUAN METROPOLITAN STATISTICAL AREA.

NUEVO AMANECER (NEW DAWN)

CUIDATE POR TU SALUD IS A TITLE X FAMILY PLANNING PROJECT THAT PROVIDES AN ARRAY OF CONFIDENTIAL PREVENTIVE HEALTH SERVICES TO THE POPULATION IN NEED

BIENESTAR POR VIDA - PROJECT ABSTRACTPROJECT TITLE: BIENESTAR POR VIDABIENESTAR HUMAN SERVICES IS APPLYING FOR CDC FUNDING, PROPOSING TO PROVIDE COMPREHENSIVE HIGH IMPACT HIV PREVENTION PROGRAMMING TO LATINX MSM IN LOS ANGELES COUNTY IN FIVE SERVICES PLANNING AREAS: SPAS 2, 3, 4, 7 AND 8 BIENESTAR?S GOAL IN THIS PROJECT IS TO PROVIDE AN ARRAY OF SERVICES THAT WILL CONTRIBUTE TO THE END OF THE HIV EPIDEMICTARGET POPULATIONS AND NEEDS TO BE ADDRESSED: THE TARGETED MINORITY AT-RISK POPULATIONS FOR COMPREHENSIVE HIGH IMPACT PREVENTION?MSM OF COLOR?ARE AT INCREASING RISK AND VULNERABILITY FOR HIV, HAVE LOW ACCESS TO HIV MEDICAL TREATMENT AND SUPPORT SERVICES AND SUFFER STIGMATIZATION. FACTORS ASSOCIATED WITH DELAYED ENTRY INTO CARE ARE: LIMITED ACCESS TO PROVIDERS, POVERTY AND INABILITY TO PAY FOR HEALTH CARE, LACK OF FAMILY/SOCIAL SUPPORT, LACK OF HEALTH INSURANCE, LACK OF KNOWLEDGE ABOUT HIV, STIGMA, LANGUAGE DIFFERENCES, CONCERNS ABOUT CONFIDENTIALITY, IMMIGRATION STATUS AND CULTURAL BELIEFS AND PRACTICES. OUTCOMES: BIENESTAR POR VIDA PROPOSES TO IMPLEMENT THE MOST COST-EFFECTIVE AND SCALABLE INTERVENTIONS TARGETED TO THE AREAS AND ?SOCIAL GEOGRAPHIES? OF THOSE POPULATIONS MOST HEAVILY AFFECTED BY HIV TO:-INCREASE NUMBER OF PERSONS WHO ARE AWARE OF THEIR HIV STATUS-INCREASE INTEGRATED SCREENINGS DELIVERED-INCREASE LEVELS OF ART/HIV MEDICAL CARE AMONG NEWLY DIAGNOSED HIV-POSITIVE PERSONS -INCREASE LEVELS OF ART/HIV MEDICAL CARE AMONG PREVIOUSLY DIAGNOSED HIV-POSITIVE PERSONS, NOT-IN-CARE-INCREASE ACCESS TO PARTNER SERVICES -INCREASE REFERRALS TO PREP AND NPEP AND NUMBER OF PREP PRESCRIPTIONS FOR THOSE AT HIGH HIV RISK-INCREASE AVAILABILITY OF CONDOMS-PARTICIPATE IN LAC DPH AND COMMUNITY COLLABORATIONS TO DETECT AND ADDRESS NEW HIV CLUSTERSOUR INNOVATIONS IN STRIVING TO ACCOMPLISH THESE OUTCOMES ARE 1) EXTENSIVE AND CREATIVE USE OF TELEHEALTH, VIRTUAL CARE AND E-PRESCRIBING; 2) USE OF INCENTIVES TO ACHIEVING PROGRAM MILESTONES; 3) ENHANCE ADHERENCE TO HIV CARE BY USE OF STRENGTH BASED CASE MANAGEMENT WITH OUR EXISTING ARTAS PROGRAM; AND 4) EXTENSIVE USE OF PEER SUPPORT.METHODS: BIENESTAR POR VIDA AS PROPOSED WILL BE AN INTEGRATED SYSTEM OF HIGH IMPACT PREVENTION, WILL COLLABORATE WITH COMMUNITY HIV MEDICAL ORGANIZATIONS, WILL CONNECT WITH HARD-TO-REACH MINORITY POPULATIONS FOR ACCESS TO CARE AND SUPPORT AND WILL USE PROVEN PREVENTION MEASURES: CONDOM DISTRIBUTION, HIV TESTING AND LINKAGE TO CARE, MEDICATIONS (ART, NPEP AND PREP), ACCESS TO CONDOMS, PREVENTION PROGRAMS TARGETED AT PEOPLE WITH HIV AND THEIR PARTNERS AND TO PEOPLE AT HIGH RISK FOR HIV INFECTION, MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT, ACCESS TO STERILE NEEDLES AND INTEGRATED SCREENING AND TREATMENT FOR STIS, VIRAL HEPATITIS AND TB. THE PROGRAM WILL UTILIZE EBP MODELS: COMMUNITY PROMISE, SBIRT, ARTAS, SBCM, PEER SUPPORT AND SSP. THE TARGET POPULATION WILL RECEIVE CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES THAT EMPHASIZE PROGRAM DOMAINS: DIAGNOSE, TREAT, PREVENT AND RESPOND.

CLINICA BIENESTAR

NUEVO AMANECER PROGRAM? A CULTURALLY RESPONSIVE SUBSTANCE USE AND CO-OCCURRING MENTAL HEALTH DISORDER TREATMENT PROGRAM FOR LATINO MEN WHO HAVE SEX WITH MEN (MSM).

NUEVO AMANECER L.A. - PROJECT ABSTRACT PROJECT TITLE: NUEVO AMANECER L.A. BIENESTAR IS PROPOSING TO UTILIZE MAI FUNDING TO EXPAND SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING MENTAL DISORDERS (COD) SERVICES FOR LOW-INCOME, VULNERABLE, MEDICALLY UNDERSERVED RACIAL/ETHNIC MINORITIES WITH AN EMPHASIS ON LATINX AND LGBTQ+ RESIDENTS IN LOS ANGELES COUNTY (LAC). BIENESTAR NUEVO AMANECER L.A. (NEW DAWN L.A.) WILL INCREASE SUD/BEHAVIORAL HEALTH (BH) STAFF TO SERVE MORE CLIENTS WITHIN CURRENT PRACTICES AT ITS EAST LA, SOUTH LA, SAN FERNANDO VALLEY, AND HOLLYWOOD SITES. BIENESTAR ALSO WILL BEGIN PROVIDING SUD SERVICES FROM ITS POMONA SITE, WHICH CURRENTLY ONLY OFFERS BH SERVICES. FINALLY, THIS EXPANSION WILL ENABLE BIENESTAR TO OFFER BH AND SUD SERVICES VIA TELEHEALTH ORIGINATION FROM ITS LONG BEACH SITE. BIENESTAR’S POPULATIONS OF FOCUS ARE THE RACIAL AND ETHNIC MINORITIES THROUGHOUT LAC WHO ARE AT HIGH RISK FOR SUD/COD AND/OR AT RISK OR LIVING WITH HIV AND/OR HEPATITIS. BIENESTAR’S EXPERTISE, DEVELOPED OVER THREE DECADES FOCUSES ON ADDRESSING EMERGING HEALTH NEEDS AFFECTING LATINX AND LGBTQ+ RESIDENTS, ESPECIALLY THOSE WHO ARE LOW-INCOME, WITHOUT MEDICAL INSURANCE, AND UNDOCUMENTED. BIENESTAR WILL REFER HIV-POSITIVE CLIENTS IDENTIFIED THROUGH ITS TESTING PROGRAMS TO ITS CLINICAL PARTNER, THE AIDS HEALTHCARE FOUNDATION (AHF), FOR HIV TREATMENT. FOR CLIENTS TESTING POSITIVE FOR HEPATITIS, BIENESTAR WILL REFER THEM TO VIA CARE COMMUNITY HEALTH (VIA CARE), A FEDERALLY QUALIFIED HEALTH CENTER, FOR TREATMENT. IN YEAR TWO, BIENESTAR PLANS TO DELIVER BOTH HEPATITIS AND HIV TREATMENT DIRECTLY AT CLINICA BIENESTAR, BIENESTAR’S OUTPATIENT MEDICAL CLINIC LOCATED AT THE EAST LOS ANGELES OFFICE. CLIENTS TESTING NEGATIVE FOR HIV AND/ OR HEPATITIS WILL BE REFERRED TO PREP SERVICES AT VIA CARE FOR THE FIRST THREE MONTHS OF PROJECT FUNDING, UNTIL JANUARY 2023 WHEN BIENESTAR WILL HAVE TWO FULL YEARS’ EXPERIENCE PROVIDING PREP SERVICES AND WILL ASSUME THE PROVISION OF PREP SERVICES. PROJECT CLIENTS ALSO WILL HAVE ACCESS TO BIENTESTAR’S HIV/HEPATITIS PREVENTION EDUCATION AND HARM REDUCTION PROGRAMS (E.G., SYRINGE EXCHANGE, SAFE SEX SUPPLIES). CONSISTENT WITH THE NATIONAL HIV/AIDS STRATEGY, PRIMARY CARE, MENTAL HEALTH, COUNSELING AND TESTING, OUTREACH, CASE MANAGEMENT, AND PATIENT RETENTION STRATEGIES USED BY BIENESTAR ARE DESIGNED TO REDUCE HIV-RELATED HEALTH DISPARITIES. THE TREATMENT APPROACHES THAT WILL BE IMPLEMENTED BY BIENESTAR INCLUDE COGNITIVE BEHAVIORAL THERAPY, MOTIVATIONAL INTERVIEWING, AND EYE MOVEMENT DESENSITIZATION AND REPROCESSING, ALL EVIDENCE-BASED PRACTICES (EBP) FOR THE TREATMENT OF LATINX AND OTHERS WITH SUD AND/ OR COD. THE CHOICE OF EBPS IS INTENDED TO REDUCE CLIENTS’ SUBSTANCE ABUSE, DECREASE SYMPTOMS OF MENTAL DISORDER/ILLNESS, EXPOSE CLIENTS TO A SOBER COMMUNITY TO REINFORCE THEIR RECOVERY, AND YIELD IMPROVED HIV AND VIRAL HEPATITIS RETENTION, ADHERENCE, AND VIRAL SUPPRESSION OUTCOMES. SEE THE TABLE BELOW FOR CLIENT PROJECTIONS FOR THIS PROJECT: NUMBER OF UNDUPLICATED INDIVIDUALS TO BE SERVED WITH GRANT FUNDS YEAR 1:60 YEAR 2: 80 YEAR 3: 80 YEAR 4:100 YEAR 5:100 TOTAL: 420

RURAL SELF-HELP HOUSING TECHNICAL ASSIST

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

SAN BERNARDINO MPOWERMENT PROGRAM

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

FARM LABOR HOUSING LOANS AND GRANTS SECTION 516

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

HUMAN IMMUNODEFICIENCY VIRUS(HIV) PREVENTION PROJECTS FOR COMMUNITY BASED ORGS

HIV PREVENTION PROJECTS FOR YOUNG MEN OF COLOR MSM AND YOUNG TRANSGENDER

BIENESTAR HUMAN SERVICES PREVENTION NAVIGATOR PROGRAM

BIENESTAR?S MI MY LIFE/MY POWER, MI VIDA/MI PODER MITIGATES RISKS FOR SUBSTANCE USE AND HIV INFECTION FACED BY YOUTH OF COLOR IN EAST AND SOUTH LOS ANGELES.

FARM LABOR HOUSING LOANS AND GRANTS SECTION 516

FARM LABOR HOUSING LOANS AND GRANTS SECTION 516

HUMAN IMMUNODEFICIENCY VIRUS(HIV)PREVENTION PROJECTS FOR CBO

FARM LABOR HOUSING LOANS AND GRANTS SECTION 516

SAFER

NUEVO AMANECER PROGRAMA CULTURALLY RESPONSIVE SUBSTANCE USE AND CO-OCCURRING MENTAL HEALTH DISORDER TREATMENT PROGRAM

CUIDATE POR TU SALUD IS A TITLE X FAMILY PLANNING PROJECT THAT PROVIDES AND ARRAY OF CONFIDENTIAL PREVENTIVE HEALTH SERVICES TO THE POPULATION IN NEED OF THE SAN JUAN METROPOLITAN STATISTICAL AREA.

FARM LABOR HOUSING LOANS AND GRANTS SECTION 516

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

ACCESS TO CD4 TESTS AT PROFAMILIA

BIENESTAR'S MI MY LIFE/MY POWER, MI VIDA/MI PODER MITIGATES RISKS FOR SUBSTANCE USE AND HIV INFECTION FACED BY YOUTH OF COLOR IN EAST AND SOUTH LOS ANGELES

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - PROJECT ABSTRACT PROJECT TITLE: FY 2022 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM APPLICANT ORGANIZATION NAME: BIENESTAR HUMAN SERVICES ADDRESS: 5326 E. BEVERLY BLVD. LOS ANGELES, CA 90022 PROJECT DIRECTOR NAME: BRENDAN O’CONNELL CONTACT PHONE NUMBER: (866)590-6411 X124 EMAIL ADDRESS: BOCONNELL@BIENESTAR.ORG WEBSITE: WWW.BIENESTAR.ORG GRANT REQUEST: $150,000 CATEGORY: HIV CARE INNOVATION ACTIVITY: RAPID ANTIRETROVIRAL THERAPY (ART) SUMMARY OF THE PROPOSED ACTIVITY AND INTENDED IMPACT: BIENESTAR HUMAN SERVICES (BIENESTAR) IS AN HIV-FOCUSED PROVIDER OF 26 MEDICAL AND NON-MEDICAL PROGRAMS SUCH AS GENERAL PRIMARY MEDICAL CARE; BEHAVIORAL HEALTHCARE; SCREENING FOR HIV, SEXUALLY TRANSMITTED INFECTIONS (STIS), AND HEPATITIS C; A SYRINGE EXCHANGE PROGRAM; AND PRESCRIPTION OF PRE-EXPOSURE PROPHYLAXIS (PREP) AND POST-EXPOSURE PROPHYLAXIS (PEP) MEDICATION. THIS APPLICATION IS TO EXPAND BIENESTAR’S SCOPE OF SERVICES FROM PREVENTION TO ALSO INCLUDE TREATMENT, THEREBY REDUCING FRAGMENTATION OF CARE BY ELIMINATING THE NEED TO REFER TREATMENT SERVICES TO ANOTHER ENTITY. FUNDING WILL BE USED TO IMPLEMENT RAPID ANTIRETROVIRAL THERAPY (ART) WITH THE INTENDED IMPACTS BEING: (1) ONE PROVIDER SERVING LOW-INCOME POPULATIONS WILL BE TRAINED IN RAPID ART; (2) LINKAGE TO RAPID ART WITHIN 72-HOURS OF HIV DIAGNOSIS FOR 100% OF NEWLY-DIAGNOSED PATIENTS; AND (3) PROVISION OF RAPID ART FOR 30 PATIENTS BY THE END OF THE PROJECT PERIOD. NEEDS TO BE ADDRESSED/ POPULATION GROUP(S) TO BE SERVED: BIENESTAR OPERATES SIX POINT OF CARE LOCATIONS, IN SIX OF THE EIGHT LOS ANGELES COUNTY SERVICE PLANNING AREAS (SPAS). BIENESTAR’S POPULATION OF FOCUS ARE LOW-INCOME, VULNERABLE, MEDICALLY UNDERSERVED RACIAL/ETHNIC MINORITIES THAT ARE RESIDENTS OF SPA 7, AND WHO ARE LIVING WITH, OR AT RISK-FOR, HIV/AIDS, AND IN NEED OF PRIMARY AND SPECIALTY CARE SERVICES. SPECIFICALLY, BIENESTAR HAS A HISTORY OF SERVING UNDOCUMENTED INDIVIDUALS. DATA FROM THE LOS ANGELES COUNTY DEPARTMENT OF P UBLIC HEALTH, HIV EPIDEMIOLOGY PROGRAM’S ANNUAL SURVEILLANCE REPORT 2020, DEMONSTRATES THAT THERE WERE 3,545 PEOPLE LIVING WITH HIV/AIDS IN SPA 7 WITH 129 NEW DIAGNOSES. AFRICAN AMERICANS AND LATINOS ARE DISPROPORTIONALLY IMPACT BY HIV,1 WHICH IS NOTABLE AS 75.3% OF THE POPULATION IDENTIFIES AS AFRICAN AMERICAN OR LATINO. ADDITIONALLY, THE LATEST AMERICAN COMMUNITY SURVEY SHOWS THAT 14.9% (ROUGHLY 130,000 INDIVIDUALS) OF THE SERVICE AREA’S RESIDENTS HAVE INCOMES BELOW THE 100% FEDERAL POVERTY GUIDELINES, 9.3% ARE UNINSURED, 32.2% ARE FOREIGN-BORN, AND 57.2% SPEAK SPANISH IN THEIR HOME WITH 44.5% OF THOSE INDIVIDUALS REPORTING THAT THAT CANNOT SPEAK ENGLISH “VERY WELL”. ALL OF THE AFOREMENTIONED CHARACTERISTICS ARE RESTRICTIVE FACTORS TO HEALTHCARE ACCESS THAT ARE ADDRESSED VIA BIENESTAR’S DISCOUNTED PROGRAMS AND BILINGUAL AND MULTICULTURAL STAFF. PROPOSED SERVICES: BIENESTAR HAS SELECTED THE RAPID ART PROGRAM FOR INDIVIDUALS WITH AN HIV DIAGNOSIS ACTIVITY, WHICH IS A HEALTH SYSTEM INTERVENTION TO FACILITATE ART INITIATION AS SOON AS POSSIBLE AFTER DIAGNOSIS, BY ADDRESSING STRUCTURAL BARRIERS. RAPID INITIATION OF ART FOR HIV WILL BE SUCCESSFULLY INCORPORATED INTO BIENESTAR’S EXISTING PROGRAMS FOR ROUTINE TESTING AND LINKAGE TO CARE AND IS THE NEXT LOGICAL STEP IN BIENESTAR’S ORGANIZATIONAL GROWTH. BIENESTAR’S ROBUST HIV TESTING, EDUCATION, SUPPORT, AND LINKAGE PROGRAMS, WILL PROVIDE THE NECESSARY INFRASTRUCTURE AND RESOURCES TO IMPLEMENT RAPID ART FOR TREATMENT OF HIV.

HIV MOBILE RAPID TESTING IN EAST LOS ANGELES

FOCUS ON FUTURE LEADERS AND EMPOWERMENT OF UNDERSERVED COMMUNITIES.

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

CLINICA BIENESTAR