Public Health Institute

GHFP II

NATIONAL CENTER FOR WORKFORCE, INFRASTRUCTURE AND DATA SYSTEMS - THE COVID-19 PANDEMIC HAS LAID BARE LONG-STANDING INEQUITIES AMONG POPULATIONS, WEAKNESSES WITHIN AN ANTIQUATED PUBLIC HEALTH INFRASTRUCTURE AND LIMITED PROGRESS IN SUPPORTING AND ENHANCING A CAPABLE PUBLIC HEALTH WORKFORCE REFLECTING DIVERSITY OF THOSE THEY SERVE (I.E., RACE, ETHNICITY, GENDER AND SEXUAL IDENTITY, CULTURAL BACKGROUND AND SPOKEN/WRITTEN LANGUAGES). PUBLIC HEALTH INFRASTRUCTURE MUST BE TRANSFORMED BY EQUIPPING STATE, TRIBAL, LOCAL AND TERRITORIAL PUBLIC HEALTH AGENCIES TO STRATEGICALLY ADDRESS COMPLEX, INTERRELATED SOCIAL AND ECONOMIC SYSTEMS WHICH LEAD TO DISPROPORTIONALLY POOR HEALTH OUTCOMES FOR MARGINALIZED POPULATIONS; TO ENHANCE CROSS-SECTOR COLLABORATION; AND TO AND MODERNIZE DATA SYSTEMS. THE NATIONAL NETWORK OF PUBLIC HEALTH INSTITUTES (NNPHI) WILL LAUNCH THE NATIONAL CENTER FOR WORKFORCE, INFRASTRUCTURE AND DATA SYSTEMS, WHICH WILL PROVIDE CAPACITY BUILDING ASSISTANCE FOR THE 111 HEALTH AGENCIES AWARDED UNDER COMPONENT A OF CDC-RFA-OE22-2203-STRENGTHENING U.S. PUBLIC HEALTH INFRASTRUCTURE, WORKFORCE, AND DATA SYSTEMS. THE NATIONAL CENTER WILL ASSIST HEALTH DEPARTMENTS IN IMPLEMENTING KEY COMPONENT A STRATEGIES (E.G., RECRUITING, ONBOARDING, TRAINING AND RETAINING STAFF; ENHANCING FOUNDATIONAL CAPABILITIES; AND MODERNIZING DATA INFRASTRUCTURE) BY PROVIDING TRAINING AND TECHNICAL ASSISTANCE; EVALUATING THE OVERALL INITIATIVE; SUPPORTING DATA MODERNIZATION; AND COORDINATING AND COMMUNICATING ACROSS ALL COMPONENT A & COMPONENT B RECIPIENTS. NNPHI AND ITS PUBLIC HEALTH INSTITUTES HAVE DOCUMENTED ASSOCIATIONS WITH MANY STLT AGENCIES. THE NATIONAL CENTER ENGAGES PUBLIC HEALTH INSTITUTES AS INNOVATION HUBS AND NATIONAL PARTNER ORGANIZATIONS REPRESENTING THE LARGEST WORKFORCE SEGMENTS. OVER THE 5-YEAR INITIATIVE, IT WILL ACCELERATE PREVENTION, PREPAREDNESS, AND RESPONSE TO EMERGING THREATS; IMPROVE OTHER PUBLIC HEALTH OUTCOMES; AND INCREASE ACHIEVEMENT OF COMPONENT A GRANT OUTCOMES AND STRENGTHEN A RECIPIENTS’ CAPACITY. IN COLLABORATION WITH THE PUBLIC HEALTH TRAINING CENTER NETWORK AND AN EXPERT REVIEW WORKGROUP REPRESENTATIVE OF THE BROAD PUBLIC HEALTH WORKFORCE, NNPHI IS IN THE FINAL STAGES OF DEVELOPING A PUBLIC HEALTH RACIAL JUSTICE COMPETENCY MODEL (RJCM). THE RJCM GROUNDS PRACTITIONERS IN A SHARED UNDERSTANDING OF HOW RACISM SHOWS UP IN PUBLIC HEALTH PRACTICE. PUBLIC HEALTH PRACTITIONERS CAN USE THIS MODEL TO ENSURE TRAININGS, JOB DESCRIPTIONS, PERFORMANCE APPRAISALS, AND OTHER POLICIES/ PRACTICES ARE EQUITY-CENTERED; AND TO INCREASE THE COMPETENCY OF THE PUBLIC HEALTH WORKFORCE TO ADDRESS HEALTH DISPARITIES AND REDUCE THE RACIAL HEALTH EQUITY GAP. THE NATIONAL CENTER WILL GROUND ALL ITS WORK IN THE RJCM.

SUSTAINING TECHNICAL AND ANALYTIC RESOURECES - STAR

MODIFICATION NO.9 TO ADD INCREMENTAL FUNDING IN THE AMOUNT OF $102 424 385.00; ADD LANGUAGE TO PROGRAM DESCRIPTION AND CORRECT MOD NO. 8.

BUILDING THE FUTURE WORKFORCE: A NATIONAL INITIATIVE TO ADVANCE THE STRATEGIC CAPACITY OF PUBLIC HEALTH AGENCIES AND SYSTEMS (CATEGORY B)

COG NCORP RESEARCH BASE

STRENGTHENING GLOBAL PUBLIC HEALTH WORKFORCE CAPACITY IN PARTNERSHIP WITH ACADEMIA - 2017

CHILDREN'S ONCOLOGY GROUP PEDIATRIC EARLY PHASE CLINICAL TRIAL NETWORK

NATIONAL DATA CENTER FOR CHILD DEATH REVIEW

EPIDEMIOLOGY OF ALCOHOL PROBLEMS

EXPANSION OF PEPFAR ACTIVITIES: PUBLIC HEALTH LABORATORY SUPPORT

THIS NEW CDC NOTICE OF FUNDING OPPORTUNITY (NOFO) # CDC-RFA-GH18-1808 IS A FOLLOW-ON TO PREVIOUS NOFOS GRANTED TO EPHI SINCE 2007 UNDER NUMBERS PS07-729 AND GH13-1313 WITH THE CURRENT FUNDING DUE TO E

CALIFORNIA'S PARTICIPATION IN THE NATIONAL CANCER PREVENTION AND CONTRO PROGRAM

STRENGTHEN & IMPROVE THE NATION'S PUB HLT CAPACITY THROUGH PUB HLT INST & PUB HLT

PUBLIC PREVENTION HEALTH FUND: COMMUNITY TRANSFORMATION GRANTS

CNP HEALTHY MEALS INCENTIVE

THE PURPOSE OF THIS REQUISITION IS TO AWARD THE MINORITY SERVING INSTITUTE FELLOWSHIP COOPERATIVE AGREEMENT.

PPHF 2013: OSTLTS PARTNERSHIPS - CBA OF THE PUBLIC HEALTH SYSTEM

CALIFORNIA OCCUPATIONAL SAFETY AND HEALTH SURVEILLANCE

HEALTH CARE INNOVATION CHALLENGE

CRESCENT CITY BEACON COMMUNITY (CCBC)

STRENGTHENING CAPACITY FOR LABORATORY SYSTEMS, STRATEGIC INFORMATION, AND TECHNICAL LEADERSHIP IN PUBLIC HEALTH FOR THE NATIONAL HIV RESPONSE

COMMUNITY-BASED WORKFORCE TO INCREASE COVID-19 VACCINATIONS IN UNDERSERVED COMMUNITIES

PPHF 2013: OSTLTS PARTNERSHIPS - CBA OF THE PUBLIC HEALTH SYSTEM

COMMUNITY-BASED WORKFORCE TO BUILD COVID-19 VACCINE CONFIDENCE

CATEGORY B: CHRONIC DISEASE SPECIALISTS

IN 2014, CDC STARTED SUPPORTING THE GOVERNMENT OF ETHIOPIA TO BUILD ETHIOPIA'S CAPACITY TO ACHIEVE THE INTERNATIONAL HEALTH REGULATION (IHR) (2005) TARGETS THROUGH IMPLEMENTING THE GLOBAL HEALTH SECUR

CDC-RFA-IP21-2113

PEDIATRIC ENVIRONMENTAL HEALTH SPECIALTY UNITS NATIONAL PROGRAM OFFICE

PROTECTING AND IMPROVING PUBLIC HEALTH IN ETHIOPIA: BUILDING AND STRENGTHENING PUBLIC HEALTH IMPACT, SYSTEMS, CAPACITY AND SECURITY

ORLEANS TEEN PREGNANCY PREVENTION PROJECT

CDC-RFA-IP21-2113

NATIONAL INSTITUTE ON DISABILITY AND REHABILITATION RESEARCH - DISABILITY AND REHABILITATION RESEARCH PROJECTS

HEALTHY RELATIONSHIPS AND ECONOMIC SECURITY FOR CALIFORNIA'S CENTRAL VALLEY YOUTH

PACIFIC ADA CENTER

PACIFIC ADA CENTER

EXPANSION OF PEPFAR ACTIVITIES: STRENGTHENING CAPACITY FOR LABORATORY SYSTEMS

INNOVATIVE STATE AND LOCAL PUBLIC HEALTH STRATEGIES TO PREVENT AND MANAGE DIABETES AND HEART DISEASE AND STROKE

BUILDING CAPACITY FOR NATIONAL PUBLIC HEALTH INSTITUTES REGIONALLY THROUGH THE ZAMBIA NATIONAL PUBLIC HEALTH INSTITUTE - 2022 - ZNPHI WILL IMPLEMENT EFFECTIVE SURVEILLANCE, LABORATORY, RESPONSE, AND CAPACITY BUILDING FUNCTIONS TO ENHANCE THE WELL-BEING OF PEOPLE IN ZAMBIA. THE INSTITUTE WILL EFFICIENTLY MANAGE ITS RESPONSIBILITIES THROUGH TRANSPARENT AND DATA-DRIVEN DECISION-MAKING, ROBUST ORGANIZATIONAL CAPACITIES, AND EFFECTIVE INTERNAL/EXTERNAL STAKEHOLDER COMMUNICATION. IT WILL ALSO WORK WITH OTHER GOVERNMENT ENTITIES TO IMPLEMENT PUBLIC HEALTH STRENGTHENING ACTIVITIES. LIKEWISE, IT WILL WORK WITH OTHER NATIONAL PUBLIC HEALTH INSTITUTES OR MINISTRIES OF HEALTH IN THE REGION TO DEVELOP OR STRENGTHEN THEIR PUBLIC HEALTH CAPACITIES AND FUNCTIONS. THE STRATEGIES ARE DESIGNED TO BE TRANSFORMATIVE FOR THE NPHI INCLUDE PARTNERSHIP DEVELOPMENT, PLANNING FOR IMPLEMENTATION; ORGANIZATIONAL CAPACITY STRENGTHENING, CONSULTATION AND TECHNICAL SUPPORT, MANAGEMENT SUPPORT, AND INSTITUTIONALIZATION PLANNING OF THE NPHI TO BE A CRITICAL COMPETENT ALONG WITH OTHER GOVERNMENTAL ORGANIZATIONS

THIS AWARD FUNDS THE APPROVED 2024-2025 AMERICORPS NATIONAL DIRECT FIXED AMOUNT PROGRAM. THE LEGAL APPLICANT CHANGED FROM CIVIC WELL TO PUBLIC HEALTH INSTITUTE.THIS AWARD IS A FIXED AMOUNT GRANT AT $25,000 PER MSY. NO MEMBER MAY ENROLL PRIOR TO THE APPROVED START DATE OF THE MEMBER ENROLLMENT PERIOD.

PPHF-13-CALIFORNIA ENVIRONMENTAL PUB HLTH TRACKING PROGRAM-NETWORK IMPLEMENTATION

NNPHI EMERGENCY TECHNICAL ASSISTANCE AND COORDINATED HUB SERVICES (TACHS)

CATEGORY B: CHRONIC DISEASE SPECIALISTS

COG NCTN INTEGRATED TRANSLATIONAL SCIENCE CENTER FOR HEMATOPOIETIC MALIGNANCIES IN CHILDREN

ILLINOIS STATE PHYSICAL ACTIVITY AND NUTRITION PROGRAM (ISPAN)

EPIDEMIOLOGY OF ALCOHOL PROBLEMS

GULF COAST HEALTHY FAMILIES, MOTHERS AND BABIES INITIATIVE

CALIFORNIA ENVIRONMENTAL HEALTH TRACKING PROGRAM

COLLABORATIVE DEFINING THE NATURAL HISTORY OF INBORN ERRORS OF METABOLISM

NATIONAL DATA CENTER FOR CHILD DEATH REVIEW

TECHNICAL ASSISTANCE FOR RESPONSE TO PUBLIC HEALTH OR HEALTHCARE CRISES - 2018

THE NATIONAL CHILD DEATH REVIEW RESOURCE CENTER

IMPT SECRETARIAT

DISABILITY REHABILITATION RESEARCH PROJECTS

HERITABLE DISORDERS

CROSS-NATIONAL ANALYSIS OF ALCOHOL & INJURY

OT11-1101, APPLIED PUBLIC HEALTH LEADERSHIP TRAINING PROGRAM

AFFORDABLE CARE ACT (ACA) PUBLIC HEALTH TRAINING CENTERS

IMPROVING CLINICAL AND PUBLIC HEALTH OUTCOMES THROUGH NATIONAL PARTNERSHIPS TO PREVENT AND CONTROL EMERGING AND RE-EMERGING INFECTIOUS DISEASE THREATS - IN RECENT YEARS, EMERGING (E.G., EBOLA, SARS) AND RE-EMERGING INFECTIOUS DISEASES (E.G., MEASLES) HAVE TESTED PUBLIC HEALTH SYSTEM CAPACITY AT EVERY RESPONSE LEVEL, WITH COVID-19 BRINGING GREATER ATTENTION TO THE STATE OF OUR FRAGMENTED PUBLIC HEALTH INFRASTRUCTURE. THE NATIONAL NETWORK OF PUBLIC HEALTH INSTITUTES (NNPHI) IS THE OFFICIAL ORGANIZATION THAT REPRESENTS MORE THAN 40 MEMBER PUBLIC HEALTH INSTITUTES, AFFILIATE MEMBERS AND EMERGING INSTITUTES IN MORE THAN 30 STATES SPANNING ALL TEN DEPARTMENT OF HEALTH AND HUMAN SERVICES REGIONS. NNPHI IS ALSO THE HOME OF THE NATIONAL COORDINATING CENTER FOR PUBLIC HEALTH TRAINING (NCCPHT), CONVENING A NETWORK OF 10 UNIVERSITY-BASED REGIONAL PUBLIC HEALTH TRAINING CENTERS (RPHTCS) LOCATED AT ACCREDITED SCHOOLS OF PUBLIC HEALTH AND 40 LOCAL EDUCATION SITES. THROUGH THE RAPID DEPLOYMENT OF OUR DISTRIBUTIVE CAPACITY NETWORK OF PUBLIC HEALTH INSTITUTES AND PUBLIC HEALTH TRAINING CENTERS, NNPHI WILL IMPLEMENT ITS PREVENTING AND CONTROLLING EMERGING INFECTIOUS DISEASES INITIATIVE (?PCEID INITIATIVE?). THE PCEID INITIATIVE WILL PROVIDE CRITICAL PROCESS AND CONTENT EXPERTISE TO SUPPORT THE HEALTH STRATEGIST WORKFORCE IN PREVENTING AND CONTROLLING EMERGING AND RE-EMERGING INFECTIOUS DISEASES. NNPHI WILL INFORM AND ADAPT GUIDANCE, AS WELL AS DEVELOP TRAINING, IN ORDER TO PREVENT AND CONTROL EMERGING AND RE-EMERGING INFECTIOUS DISEASES. IN STRENGTHENING THE U.S. PUBLIC HEALTH SYSTEM RESPONSE TO EMERGING AND RE-EMERGING INFECTIOUS DISEASES, NNPHI EXPECTS TO SEE POSITIVE OUTCOMES INCLUDING THE DEVELOPMENT OF NEW EXISTING INFECTIOUS DISEASE PREVENTION AND CONTROL RESOURCES, AND INCREASING THE NUMBER OF HEALTH WORKERS WHO ARE TRAINED AND UNDERSTAND BEST PRACTICES FOR THE PREVENTION AND CONTROL OF EMERGING INFECTIOUS DISEASES.

REGIONAL GENETICS NETWORKS

RACIAL AND ETHNIC APPROACHES TO COMMUNITY HEALTH US

SECONDHAND HARMS FROM ALCOHOL & DRUGS: IMPACTS ON FAMILIES AND COMMUNITIES ACROSS THE US - SECONDHAND HARMS FROM ALCOHOL—ALSO CALLED ALCOHOL’S HARMS TO OTHERS—NEGATIVELY AFFECT USERS’ CHILDREN, PARTNERS, EXTENDED FAMILIES, FRIENDS, NEIGHBORS, AND COMMUNITIES. IN CONTRAST TO ALCOHOL-RELATED HARMS, A COMPREHENSIVE EMPIRICAL INVENTORY OF TYPES, RATES AND IMPACTS OF SECONDHAND HARM FROM DRUGS IN THE US HAS BEEN ENTIRELY LACKING. AS STATES AND COMMUNITIES GRAPPLE WITH CHALLENGES POSED BY LEGALIZATION OF RECREATIONAL MARIJUANA, THE WORSENING OPIOID CRISIS AND THE COVID-19 PANDEMIC, UNDERSTANDING HOW USE OF DIFFERENT DRUGS (ALONE AND IN COMBINATION WITH ALCOHOL) IMPACTS FAMILIES AND COMMUNITIES TAKES ON NEW IMPORTANCE TO INFORM POLICIES AND PROGRAMS TO MINIMIZE HARM. THIS STUDY, SECONDHAND HARMS FROM ALCOHOL & DRUGS: IMPACTS ON FAMILIES AND COMMUNITIES ACROSS THE US, WILL BUILD UPON A PRIOR NIAAA-FUNDED STUDY OF ALCOHOL’S HARM TO OTHERS (R01AA022791) TO FILL THIS GAP. WE PROPOSE TO DEVELOP, FIELD AND ANALYZE THE 2023 US ALCOHOL AND DRUG HARM TO OTHERS SURVEY, A REPRESENTATIVE ADULT POPULATION SURVEY FOCUSED ON A KEY SET OF HARMS EXPERIENCED BY VICTIMS OF OTHERS’ USE OF PREVALENT SUBSTANCES INCLUDING ALCOHOL, TOBACCO, MARIJUANA, OPIOID PAINKILLERS, HEROIN, COCAINE AND METHAMPHETAMINE. USING GEOCODED SELF-REPORT DATA, WE WILL ASSESS PREVALENCE OF SECONDHAND IMPACTS OF EACH SUBSTANCE AND OF MULTIPLE SUBSTANCE USE; RATES AND SEVERITY OF HARMS FROM DIFFERENT TYPES OF “OTHERS” (SPOUSES/PARTNERS, FAMILY MEMBERS, CO-WORKERS, FRIENDS AND STRANGERS); MENTAL AND PHYSICAL HEALTH IMPACTS; AND RISK FACTORS INCLUDING VICTIMS’ PERSONAL CHARACTERISTICS AND OWN SUBSTANCE USE, AS WELL AS THEIR NEIGHBORHOOD, COMMUNITY AND STATE CONTEXTS. THE AIMS ARE TO: (1) DOCUMENT PREVALENCE, OVERLAP AND TRENDS IN SECONDHAND HARMS FROM ALCOHOL AND DRUGS, (2) EXAMINE CONTEXTS CONTRIBUTING TO SECONDHAND HARMS, AND (3) ASSESS IMPACTS OF SECONDHAND HARMS FROM ALCOHOL AND DRUGS ON MENTAL AND PHYSICAL HEALTH AND QUALITY OF LIFE. BASED ON OUR EXPERIENCE DESIGNING AND ANALYZING NATIONAL SURVEYS, WE PROPOSE TO CONDUCT A COMPREHENSIVE SURVEY TO COLLECT DETAILED DATA ON SECONDHAND ALCOHOL AND DRUG HARMS, AND ANALYZE THESE USING ADVANCED STRATEGIES, INCLUDING SOME CO-ANALYSIS WITH EXISTING DATA ON SECONDHAND HARMS COLLECTED BEFORE AND DURING THE COVID-19 PANDEMIC. MAJOR PROJECT INNOVATIONS WILL BE TO GENERATE COMPREHENSIVE US POPULATION ESTIMATES OF SPECIFIC SECONDHAND DRUG HARMS, COLLECT NEW LONGITUDINAL DATA, AND STUDY TRENDS IN ALCOHOL AND MARIJUANA HARMS. A CONCEPTUAL INNOVATION IS TO INVESTIGATE THE ROLE OF BOTH MACRO (NEIGHBORHOODS, STATE CONTEXTS) AND MICRO (DRINKING CONTEXTS, SOCIAL RELATIONSHIPS) ENVIRONMENTS VIS A VIS SECONDHAND HARMS FROM ALCOHOL AND SPECIFIC DRUGS. DESPITE IMPORTANCE FOR PREVENTION, FEW STUDIES HAVE IDENTIFIED ENVIRONMENTAL CONTEXTS IN WHICH SECONDHAND HARMS FROM ALCOHOL AND VARIOUS DRUGS OCCUR. WE WILL EXAMINE HOW ENVIRONMENTS MAY CONTRIBUTE TO (OR MINIMIZE) SPECIFIC HARMS FOR WOMEN AND OTHER HIGH-PRIORITY GROUPS (RACIAL/ETHNIC MINORITIES AND SEXUAL/GENDER MINORITIES). DOCUMENTING TYPES, OVERLAP AND SEVERITY OF SECONDHAND HARMS FROM ALCOHOL AND DRUGS HAS GREAT PRACTICAL UTILITY FOR PREVENTION AND PROMISES TO INFORM FUTURE DEVELOPMENT OF EFFECTIVE PUBLIC HEALTH POLICIES.

GENETIC SERVICES PROJECT

RANDOMIZED TRIAL OF INTENSIVE MI TO IMPROVE DRINKING OUTCOMES AMONG WOMEN

STATE MATERNAL HEALTH INNOVATION PROGRAM

REDUCING OFFENDERS' HIV RISK: MI ENHANCED CASE MANAGEMENT WITH DRUG-FREE HOUSING

EFFECTS OF SPIRITS PRIVATIZATION ON ALCOHOL PRICES AND ALCOHOL-RELATED HARMS

THE HOSPITAL COLLABORATIVE STRATEGIC APPROACH TO ADVANCING HEALTH EQUITY FOR BLACK RESIDENTS WITH OR AT RISK FOR DIABETES IN WAYNE COUNTY, MICHIGAN - COMPONENT IDENTIFICATION: MICHIGAN PUBLIC HEALTH INSTITUTE (MPHI) IS APPLYING FOR COMPONENT B. HIGH-NEED COUNTY WHERE WORK WILL OCCUR & POPULATION: WAYNE COUNTY, MI. POPULATION REACH OF PROJECT: 674,000 BLACK ADULTS. PRIORITY POPULATION: BLACK PEOPLE IN WAYNE COUNTY, MI LIVING WITH OR AT RISK FOR DIABETES THE BLACK ADULT POPULATION IN WAYNE COUNTY, MI IS DISPROPORTIONATELY AFFECTED BY TYPE 2 DIABETES AND POVERTY. THE GOAL OF “THE HOSPITAL COLLABORATIVE STRATEGIC APPROACH TO ADVANCING HEALTH EQUITY FOR BLACK RESIDENTS WITH OR AT RISK FOR DIABETES IN WAYNE COUNTY, MICHIGAN” PROJECT IS TO DECREASE RISK FOR TYPE 2 DIABETES AMONG ADULTS WITH PREDIABETES AND IMPROVE SELF-CARE PRACTICES, QUALITY OF CARE, AND EARLY DETECTION OF COMPLICATIONS. THE PROJECT WILL REACH 674,000 BLACK ADULT RESIDENTS. THE CENTER FOR HEALTH EQUITY PRACTICE-DETROIT HEALTH INNOVATIONS AT THE MICHIGAN PUBLIC HEALTH INSTITUTE (MPHI) IS SERVING AS THE APPLICANT/HEALTH EQUITY BACKBONE ORGANIZATION, AND THE HOSPITAL COLLABORATIVE OF SOUTHEAST MICHIGAN IS SERVING AS THE COMMUNITY-BASED ORGANIZATIONS. THE COLLABORATIVE INCLUDES FOUR MAJOR HEALTH SYSTEMS—ASCENSION, CORE WELL HEALTH, HENRY FORD HEALTH SYSTEM, AND TRINITY HEALTH, IN ADDITION TO THE NATIONAL KIDNEY FOUNDATION OF MICHIGAN. THE PROJECT WILL MAXIMIZE AN EXISTING INFRASTRUCTURE DEVELOPED BETWEEN THE MICHIGAN PUBLIC HEALTH INSTITUTE AND THE HOSPITAL COLLABORATIVE, WHICH WILL SUPPORT THE PROJECT IN REACHING 674,000 BLACK ADULTS IN WAYNE COUNTY. FIVE STRATEGIES WILL BE IMPLEMENTED: (1) STRENGTHEN SELF-CARE PRACTICES BY IMPROVING ACCESS, APPROPRIATENESS, AND FEASIBILITY OF DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT SERVICES FOR BLACK ADULT RESIDENTS IN WAYNE COUNTY. (2) INCREASE ENROLLMENT AND RETENTION OF PRIORITY POPULATIONS IN THE NATIONAL DIABETES PREVENTION PROGRAM (NATIONAL DPP) LIFESTYLE INTERVENTION AND THE MDPP BY IMPROVING ACCESS, APPROPRIATENESS, AND FEASIBILITY OF THE PROGRAMS. (3) IMPROVE SUSTAINABILITY OF COMMUNITY HEALTH WORKERS BY BUILDING OR STRENGTHENING A SUPPORTIVE INFRASTRUCTURE TO EXPAND THEIR INVOLVEMENT IN EVIDENCE-BASED DIABETES PREVENTION AND MANAGEMENT PROGRAMS AND SERVICES. (4) IMPROVE THE CAPACITY OF THE DIABETES WORKFORCE TO ADDRESS FACTORS RELATED TO THE SOCIAL DETERMINANTS OF HEALTH THAT IMPACT HEALTH OUTCOMES FOR PRIORITY POPULATIONS WITH OR AT RISK FOR DIABETES. (5) CAPTURE THE VOICE OF THE BLACK COMMUNITY THROUGH STORYTELLING ABOUT PREDIABETES AND DIABETES TO ADVANCE HEALTH EQUITY. THE OUTCOMES OF THE PROJECT WILL BE: - INCREASE IN NUMBER OF ORGANIZATIONS IMPLEMENTING EVIDENCE-BASED DIABETES PREVENTION AND MANAGEMENT PROGRAMS BY CONVENING FOUR HEALTH SYSTEMS ALONG WITH A KEY CBO, TO PROVIDE COLLECTIVE IMPACT THAT USE A COORDINATED SYSTEM TO IMPROVE ACCESS, APPROPRIATENESS AND FEASIBILITY OF DIABETES SELF-MANAGEMENT EDUCATE AND SUPPORT THE PRIORITY POPULATION IN WAYNE COUNTY. - OFFER INCREASED TAILORING OF DPP WITH 100% BLACK POPULATION, LED BY A BLACK LIFESTYLE COACH WITH A FOCUS ON EQUITY. - INCREASE IN # OF PATIENTS REFERRED TO RESOURCES BY ENGAGING STAKEHOLDERS TO REFER BLACK RESIDENTS WITH OR AT RISK FOR DIABETES TO SUPPORT-COUPLING PROGRAMS. - INCREASED SDOH SCREENINGS IN CLINICAL SETTINGS THROUGH EDUCATION AND TRAININGS FOR CLINICAL PROVIDERS ON SDOH SCREENINGS. - INCREASED PARTICIPATION IN DPP AND THE MDPP BY 35%, WITH A 30% (4TH MONTH), 40% (7TH MONTH), AND 30% (10TH MONTH) RETENTION RATES OF NATIONAL DPP LIFESTYLE INTERVENTIONS AND THE MDPP. - INCREASED MULTI-DIRECTIONAL COMMUNICATION BETWEEN CLINICAL AND COMMUNITY RESOURCES USING 10 CHWS IN WAYNE COUNTY AS PROVIDER POINT OF CONTACT.

COOK COUNTY COLLABORATION TO ADVANCE REACH, EQUITY AND SYSTEMS FOR DIABETES PREVENTION & MANAGEMENT (COOK COUNTY CARES) - PREDIABETES AND DIABETES ARE LEADING PUBLIC HEALTH PROBLEMS IN COOK COUNTY, ILLINOIS, WITH 9.9% OF ADULTS DIAGNOSED WITH DIABETES AND AN ESTIMATED 1.3 MILLION ADULTS WITH PREDIABETES. THROUGHOUT CHICAGO AND COOK COUNTY, THERE ARE DISPARITIES IN DIABETES PREVALENCE BY RACE/ETHNICITY, INCOME AND DISABILITY. WORKING TO PREVENT AND MANAGE DIABETES IN HIGH-RISK PRIORITY POPULATIONS AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH IS VITAL TO IMPROVING HEALTH AND EQUITY. IN RESPONSE TO COMPONENT B OF THE NOTICE OF FUNDING OPPORTUNITY, THE COOK COUNTY COLLABORATION TO ADVANCE REACH, EQUITY AND SYSTEMS FOR DIABETES PREVENTION AND MANAGEMENT (COOK COUNTY CARES) PROJECT AIMS TO DECREASE THE RISK OF TYPE 2 DIABETES AMONG ADULTS WITH PREDIABETES, IMPROVE SELF-CARE PRACTICES AND QUALITY OF CARE FOR PEOPLE WITH TYPE 2 DIABETES, AND WORK TO DECREASE BODY MASS INDEX (BMI) FOR CHILDREN AND CAREGIVERS IN HIGH-RISK POPULATIONS IN COOK COUNTY, ILLINOIS. TO ACHIEVE THIS, THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) WILL INCREASE CAPACITY AND DEVELOP SYSTEMS TO LAUNCH AND SCALE A CONTINUUM OF DIABETES PREVENTION AND MANAGEMENT PROGRAMS. IPHI WILL 1) LEVERAGE PARTNERSHIPS WITH ORGANIZATIONS WORKING IN PRIORITY COMMUNITIES TO CULTURALLY TAILOR THE PROGRAM RECRUITMENT, DELIVERY AND RETENTION EFFORTS; AND 2) DEVELOP COUNTY-WIDE AND/OR REGIONAL SYSTEMS DESIGNED TO SUSTAIN AND SUPPORT LONG-TERM GROWTH OF DIABETES PREVENTION AND MANAGEMENT PROGRAMS. LED BY IPHI, COOK COUNTY CARES WILL BUILD ON SUCCESSES IN LAUNCHING, EXPANDING, AND CREATING PATHWAYS TO NDPP SUSTAINABILITY IN CHICAGO THAT WERE FUNDED BY THE CDC 1817 COOPERATIVE AGREEMENT. IPHI WILL EXPAND EFFORTS GEOGRAPHICALLY TO PRIORITY POPULATIONS IN SUBURBAN COOK COUNTY AND BROADEN THE CONTINUUM OF SERVICES AVAILABLE TO INCLUDE DSMES (NOFO STRATEGY 1) AND FAMILY-CENTERED CHILDHOOD OBESITY INTERVENTION PROGRAMS (NOFO STRATEGY 8) IN ADDITION TO NDPP (NOFO STRATEGY 5) IN CULTURALLY TAILORED AND ACCESSIBLE WAYS FOR PROGRAM PARTICIPANTS. THE PROJECT WILL ALSO INCREASE THE DIABETES WORKFORCE’S CAPACITY TO ADDRESS SDOH (NOFO STRATEGY 13). IPHI PROPOSES TO WORK IN COOK COUNTY, ILLINOIS AS THE “HIGH NEED” COUNTY FOR THIS PROPOSAL, REACHING NEARLY A THIRD OF THE 5.1 MILLION RESIDENTS WHO MEET THE PROPOSED PRIORITY POPULATION CRITERIA OF PEOPLE WHO IDENTIFY AS BLACK, INDIGENOUS, PEOPLE OF COLOR (BIPOC), PEOPLE WITH LOWER INCOMES, AND PEOPLE WHO LIVED IN IDENTIFIED GEOGRAPHIES THAT HAVE DIABETES RATES OVER 10% AND SOCIAL-VULNERABILITY INDICES IN THE TOP 40% OF THE STATE OF ILLINOIS.

NATIONAL RESOURCE CENTER FOR ADVANCING POLICY AS A PUBLIC HEALTH INTERVENTION TO REDUCE MORBIDITY, MORTALITY AND DISPARITIES IN HIV, VIRAL HEPATITIS, STDS, AND TB - NATIONAL NETWORK OF PUBLIC HEALTH INSTITUTES COMPONENT 2 PROPOSAL FOR FUNDING OPPORTUNITY CDC-RFA-PS-23-0009: ADVANCING POLICY AS A PUBLIC HEALTH INTERVENTION TO REDUCE MORBIDITY, MORTALITY AND DISPARITIES IN HIV, VIRAL HEPATITIS, STDS, AND TUBERCULOSIS PROJECT ABSTRACT IN THE UNITED STATES, MUCH OF THE STRUCTURAL INEQUALITY THAT DRIVES HEALTH DISPARITIES ACROSS RACE, SEX, GENDER, ETHNICITY, SEXUAL ORIENTATION, ABILITY, AND SOCIO-ECONOMIC CLASS ARISES FROM OPERATION OF THE LAW. THERE ARE LAWS THAT PERPETUATE INEQUITY IN ALL SOCIAL STRUCTURES, INCLUDING HOUSING, HEALTHCARE, EDUCATION, AND BEYOND. IN PUBLIC HEALTH, THESE FACTORS ARE IDENTIFIED AS SOCIAL DETERMINANTS OF HEALTH—CONDITIONS IN THE PLACES PEOPLE LIVE, LEARN, WORK, AND PLAY THAT AFFECT A WIDE RANGE OF HEALTH AND QUALITY-OF-LIFE RISKS AND OUTCOMES. AS A RESULT, INEQUITIES IN THESE AREAS TRANSLATE DIRECTLY TO DISPARITIES IN HEALTH. REDUCING HEALTH DISPARITIES AND DECREASING THE MORBIDITY AND MORTALITY OF DISEASES CAN REDUCE HEALTHCARE COSTS, IMPROVE GOVERNMENTAL EFFICIENCY AND ACCOUNTABILITY, AND IMPROVE THE OVERALL HEALTH OF A POPULATION. IN ORDER TO DECREASE THE MORTALITY, MORBIDITY, AND DISPARITIES OF HIV, VIRAL HEPATITIS, STDS, AND TB IN U.S. POPULATIONS EXPERIENCING HEALTH DISPARITIES, AND IN RESPONSE TO COMPONENT 2 OF THE NOTICE OF FUNDING OPPORTUNITY, NNPHI WILL CREATE A TECHNICAL ASSISTANCE COORDINATION AND RESOURCE CENTER (“RESOURCE CENTER”) TO PROVIDE BOTH PROACTIVE AND RESPONSIVE TECHNICAL ASSISTANCE TO LEADERS MAKING DECISIONS IN PUBLIC HEALTH IN STATE, LOCAL, TRIBAL, AND TERRITORIAL JURISDICTIONS NAVIGATING COMPLEX LAW AND POLICY ISSUES. ALL TA ACTIVITIES (INCLUDING TA REQUESTS, TA TRIAGE, AND DOCUMENTATION OF TA PROVISION) WILL BE HOUSED WITHING A CUSTOMIZED SALESFORCE-BASED SYSTEM DESIGNED TO STREAMLINE THE EXPERIENCE OF REQUESTORS, PROVIDERS, THE PROJECT TEAM, AND CDC TEAM MEMBERS. THE RESOURCE CENTER WILL BE STAFFED BY A DIVERSE CADRE OF SUBJECT MATTER EXPERTS (SMES) SERVING AS TECHNICAL ASSISTANCE (TA) PROVIDERS WITH EXPERTISE IN IMPLEMENTING POLICY-BASED INTERVENTIONS AT EVERY JURISDICTIONAL LEVEL TO ADDRESS HEALTH DISPARITIES. NNPHI PROPOSES AN INITIAL SLATE OF SMES WITH EXPANSIVE KNOWLEDGE OF LAW AND POLICY IMPLEMENTATION CONSIDERATIONS ACROSS MULTIPLE JURISDICTIONS, WITH THE ABILITY TO QUICK IDENTIFY AND CONTRACT WITH ADDITIONAL SMES SHOULD TA REQUESTS INDICATE A NEED FOR BROADER OR DIFFERENT EXPERTISE. TA PROVIDERS WILL UTILIZE TWO APPROACHES TO MEETING THE NEEDS OF PUBLIC HEALTH DECISIONMAKERS: 1) RESPOND TO INDIVIDUAL TA REQUESTS WITH TAILORED SUPPORT; AND 2) CREATE RESOURCES BASED ON EVIDENCE-BASED BEST AND PROMISING PRACTICES AND THE EVER-EVOLVING POLICY LANDSCAPE OF NEW AND PROPOSED LEGISLATION, UPDATED DATA FROM VARIED SOURCES, AND ALL NEW RESOURCES PRODUCED BY COMPONENT 1. LEVERAGING THE NATIONAL REACH OF OUR PUBLIC HEALTH INSTITUTE NETWORK, WITH 47 INSTITUTES PROVIDING PUBLIC HEALTH SERVICES AND PARTNERSHIPS IN ALL FIFTY STATES PLUS WASHINGTON, DC AND PUERTO RICO, NNPHI WILL DISSEMINATE ALL RESOURCES COMPILED AND PRODUCED DURING THE PROJECT INCLUDING SUCCESS STORIES FROM PARTICIPANTS; PROACTIVELY REACH OUT TO JURISDICTIONS ACROSS THE COUNTRY TO INCREASE AWARENESS OF TA OFFERINGS AND OPPORTUNITIES; AND CONVENE STAKEHOLDERS IN COLLABORATION WITH CDC VIA REGIONAL WEBINARS, FACILITATED CONVERSATIONS, AND LEARNING LABS. NNPHI WILL EVALUATE PROJECT SUCCESS BY TRACKING TA METRICS, TA RECIPIENT SATISFACTION, DISSEMINATION METRICS, LEGISLATION RELEVANT TO PROJECT TOPICS, AND PUBLIC HEALTH DATA SETS PUBLISHED DURING THE PROJECT.

LOTUS PROJECT: IMPROVING TRAUMA-INFORMED CARE AND PREVENTION FOR ASIAN CHILDREN AND FAMILIES - IN THE COLLABORATION OF TWO KEY AGENCIES, PUBLIC HEALTH INSTITUTE (PHI) AND RICHMOND AREA MULTI-SERVICES (RAMS), THE LOTUS PROJECT AIMS TO PROVIDE TRAINING, EDUCATION, AND TECHNICAL ASSISTANCE BASED ON THE WIDE-SCALE DISSEMINATION AND IMPLEMENTATION OF EFFECTIVE, EVIDENCE-BASED TREATMENT AND SERVICE APPROACHES IN CHILD TRAUMA SPECIFIC TO ASIA AMERICAN AND ASIAN IMMIGRANT (AAAI) POPULATIONS. THE ISSUES OF TRAUMA-INFORMED CARE AND PREVENTION FOR AAAI CHILDREN AND FAMILIES HAVE BEEN NEGLECTED AND A LARGE NUMBER OF AAAI HAVE BEEN SUFFERING FROM TRAUMATIC EXPERIENCE BECAUSE SAMHSA'S EBPS DO NOT ADDRESS CULTURAL ISSUES SPECIFIC TO AAAI AND VERY FEW SERVICE AGENCIES ARE EQUIPPED TO EFFICIENTLY PROVIDE SERVICES TO AAAI. CULTURAL ISSUES AMONG AAAI (E.G., STIGMA, SHAME, AND LANGUAGE BARRIERS) MUST BE ADDRESSED THROUGH COORDINATED EFFORTS AMONG HEALTH SERVICE AGENCIES. DUE TO THE COVID-19 PANDEMIC, AAAI HAVE BEEN EXPOSED TO VIOLENCE AND HARASSMENT. AAAI CHILDREN ARE SUFFERING FROM THE TRAUMA CAUSED BY VIOLENCE AND HARASSMENT. THE LOTUS PROJECT WILL SERVE AS A CONTINUING RESOURCE FOR TRAINING, CONSULTATION, AND TECHNICAL ASSISTANCE TO SERVICE PROVIDERS, OFFICERS OF CHILD-SERVING SYSTEMS, AND AAAI AND OTHER RACIAL/ETHNIC COMMUNITIES AFFECTED BY TRAUMATIC EVENTS INCLUDING THOSE DUE TO THE PANDEMIC. THE MEASURABLE OBJECTIVES ARE: 1) TO RECRUIT AND FORMALIZE A NETWORK OF SERVICE PROVIDERS, SCHOOL TEACHERS, PUBLIC OFFICERS, AND RESEARCHERS (45 MEMBERS IN YEAR 01, 60 EACH IN YEAR 02 TO 04, AND 30 IN YEAR 05; TOTAL OF 255 MEMBERS); 2) TO PROVIDE TRAINING, EDUCATION, AND TECHNICAL ASSISTANCE THROUGH WORKSHOPS IN SELECTED CITIES (2 CITIES A YEAR FROM YEAR 02 TO 05; TOTAL OF 8 WORKSHOPS); 3) TO PROVIDE TRAINING, EDUCATION, AND TECHNICAL ASSISTANCE THROUGH WEBINARS (4 WEBINARS A YEAR FROM YEAR 02 TO 05; TOTAL OF 16 WEBINARS); 4) TO PROVIDE INDIVIDUAL CONSULTATION TO SERVICE PROVIDERS (12 CONSULTATIONS A YEAR FROM YEAR 02 TO 05; TOTAL OF 48 CONSULTATIONS); 5) TO DEVELOP AND MAINTAIN THE PROJECT WEBSITE AND RESPOND TO INQUIRIES (TOTAL OF 2,400 WEB-SITE CLICKS AND 240 RESPONSES); 6) TO EXPAND IMPLEMENTATION OF TRAUMA INTERVENTIONS TO NEW POPULATIONS (2 NEW POPULATIONS A YEAR; TOTAL OF 8 NEW POPULATIONS); 7) TO COLLABORATE WITH OTHER NCTSI II CENTERS AND TECHNICAL ASSISTANCE CENTERS (TOTAL OF 8 COLLABORATION PROJECTS); 8) TO ENGAGE WITH KEY STAKEHOLDERS IN DEVELOPING, IMPLEMENTING, AND MONITORING PROJECT ACTIVITIES THROUGH CAB MEETINGS (4 CAB MEETINGS A YEAR; TOTAL OF 20 CAB MEETINGS); 9) TO DEVELOP ADDITIONAL INTERVENTION PRODUCTS (2 PROTOCOLS/MANUALS, 4 TRAINING MATERIALS, 4 VIDEOS, AND 4 WEBSITES); 10) TO CONDUCT PROCESS EVALUATION (EVERY MONTH) AND OUTCOME EVALUATION (END OF EACH PROJECT YEAR); 11) TO DEVELOP 5 ASSESSMENT TOOLS SPECIFIC TO AAAI CHILDREN (TOTAL OF 5 ASSESSMENT TOOLS); 12) TO ENGAGE IN ADVOCACY ACTIVITIES (CONTACTING 4 AGENCIES A YEAR FROM YEAR 02 TO 05, TOTAL OF 16 AGENCIES). THE LOTUS PROJECT WILL ADDRESS COMPELLING SERVICE NEEDS (E.G., TRAUMA DUE TO THE PANDEMIC) AND FILL LARGE GAPS IN TRAUMA-INFORMED CARE AND PREVENTION SERVICES FOR AAAI CHILDREN AND FAMILIES AND WILL HAVE A SIGNIFICANT IMPACT ON IMPROVING THEIR HEALTH AND WELL-BEING THROUGH EFFICIENT COORDINATION AND DISSEMINATION EFFORTS.

EVIDENCE BASED SOBER LIVING HOUSES: A MULTI-LEVEL ANALYSIS

NAT'L ENVIRONMENTAL PUBLIC HEALTH TRACKING PROGRAM- NETWORK IMPLEMENTATION

INTENSIVE MOTIVATIONAL INTERVIEWING FOR METHAMPHETAMINE DEPENDENCE

MODERNIZING ENVIRONMENTAL PUBLIC HEALTH TRACKING TO ADVANCE ENVIRONMENTAL HEALTH SURVEILLANCE - CALIFORNIA FACES A MULTITUDE OF ENVIRONMENTAL HEALTH CHALLENGES, INCLUDING POOR AIR QUALITY, PESTICIDE USE, RISKS FROM CLIMATE CHANGE, AND ENVIRONMENTAL HEALTH DISPARITIES IN BOTH URBAN AND RURAL COMMUNITIES THROUGHOUT THE STATE. IN THIS APPLICATION, TRACKING CALIFORNIA WILL BUILD ON ITS LONG HISTORY OF DELIVERING ENVIRONMENTAL HEALTH DATA AND COMMUNICATIONS THAT IMPACT PUBLIC HEALTH AND REDUCE HEALTH DISPARITIES. WE INTEND TO MODERNIZE OUR DATA INFRASTRUCTURE TO MOST EFFICIENTLY MAINTAIN AND VISUALIZE NATIONALLY CONSISTENT DATA AND MEASURES; ADDRESS GAPS AND LIMITATIONS IN EXISTING DATA WITH INPUT FROM STAKEHOLDERS; ENSURE DATA QUALITY ACROSS INDICATORS; AND CONTINUE TO CONDUCT ROUTINE ANALYSES TO IDENTIFY AND RESPOND TO LOCAL AND STATE ENVIRONMENTAL HEALTH ISSUES. AS WE FOCUS ON MODERNIZING OUR DATA PIPELINE AND TECHNICAL PORTAL, WE WILL CONTINUE TO ENHANCE OUR EXISTING DATA INFORMATION SYSTEMS. WE WILL CONTINUE TO ENGAGE WITH OUR TRACKING IMPLEMENTATION ADVISORY, A DIVERSE REPRESENTATION OF CALIFORNIA COMMUNITIES AND ENVIRONMENTAL HEALTH ORGANIZATIONS, TO INFORM PROGRAMMATIC ACTIVITIES AND PUBLIC HEALTH ACTIONS. WE WILL CONTINUE TO BE A STATE AND NATIONAL LEADER ON EMERGING ENVIRONMENTAL HEALTH ISSUES, INCLUDING HARMFUL ALGAL BLOOMS, CLIMATE-RELATED HEALTH RISKS, AND COMMUNITY ENGAGEMENT IN ENVIRONMENTAL HEALTH RESEARCH.

GH13-1313: EXPANSION OF PEPFAR ACTIVITIES: STRENGTHENING CAPACITY FOR LABORATORY SYSTEMS

EPIDEMIOLOGY OF DRINKING AND DISORDERS IN BORDER VS. NON-BORDER CONTEXTS

ILLINOIS STATE PHYSICAL ACTIVITY AND NUTRITION (ISPAN) PROGRAM - THE ILLINOIS STATE PHYSICAL ACTIVITY AND NUTRITION (ISPAN) PROGRAM WILL LEVERAGE THE SYSTEMS SUPPORTS, INFRASTRUCTURE AND CAPACITY ESTABLISHED THROUGH THE FIRST ROUND OF ISPAN FUNDING, AND A DEEP NETWORK OF PARTNERS ENGAGED THROUGH THE ILLINOIS ALLIANCE TO PROMOTE OPPORTUNITIES FOR HEALTH (IAPOH), A STATEWIDE MULTISECTOR CHRONIC DISEASE PREVENTION COALITION, TO DRIVE STATE-LEVEL POLICY/SYSTEMS CHANGE AND SUPPORT REGIONAL IMPLEMENTATION OF ACTIVITIES TO IMPROVE DIETARY AND PHYSICAL ACTIVITY BEHAVIORS AND REDUCE DISPARITIES IN CHRONIC HEALTH CONDITIONS, ESPECIALLY AMONG PRIORITY POPULATIONS. LED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), IN COLLABORATION WITH THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH (IDPH) AND OTHER STATE AGENCIES, AND THE EXPANSIVE IAPOH PARTNER NETWORK, THE ISPAN INITIATIVE WILL WORK TO ALIGN INITIATIVES AND ENSURE THE EQUITABLE IMPLEMENTATION OF SPAN STRATEGIES STATEWIDE WHILE ALSO PROVIDING FUNDING AND TECHNICAL ASSISTANCE TO AT LEAST TWO PRIORITY GEOGRAPHIC REGIONS TO ADVANCE COMMUNITY-TAILORED, CULTURALLY-RESPONSIVE IMPLEMENTATION OF NUTRITION AND PHYSICAL ACTIVITY INTERVENTIONS IN COMMUNITIES. IAPOH WILL LEVERAGE THE SPAN INITIATIVE TO EMPLOY A COLLECTIVE IMPACT MODEL GROUNDED IN HEALTH EQUITY APPROACHES TO CENTER COMMUNITY VOICE AND ENHANCE DECISION-MAKING POWER BY COMMUNITY-BASED ORGANIZATIONS (CBOS) AND COALITIONS IN DRIVING SPAN IMPLEMENTATION. PRIORITY REGIONS WILL USE HEALTH EQUITY ASSESSMENT FINDINGS TO IMPLEMENT STRATEGY APPROACHES TAILORED TO THE UNIQUE NEEDS, ASSETS, AND CIRCUMSTANCES OF THE COMMUNITIES THEY SERVE. THIS ENHANCED STATEWIDE INFRASTRUCTURE AND TAILORED REGIONAL APPROACHES WILL RESULT IN INCREASED ACCESS TO NOURISHING FOODS THROUGH THE IMPLEMENTATION OF FOOD SERVICE GUIDELINES, FRUIT/VEGGIE VOUCHER AND RX PROGRAMS, INCREASED CHEST/BREASTFEEDING CONTINUITY OF CARE, IMPROVED POLICIES, PLANS AND COMMUNITY DESIGN CHANGES THAT INCREASE PHYSICAL ACTIVITY (PA), AND IMPROVED PRACTICES BY CHILDCARE PROVIDERS THAT SUPPORT NUTRITION, PA AND FARM TO ECE. THESE ACTIVITIES WILL LEAD TO THE LONG-TERM PROJECT OUTCOMES OF IMPROVED HEALTH BEHAVIORS AND OUTCOMES, AND REDUCED HEALTH DISPARITIES IN CHRONIC CONDITIONS. IPHI, A NON-PROFIT 501(C)3, ADDRESSES CRITICAL PUBLIC HEALTH ISSUES AND ADVANCES INNOVATION THROUGH DOZENS OF COLLABORATIONS AND PARTNERSHIPS. WITH A $10 MILLION PLUS BUDGET, IPHI HAS THE ORGANIZATIONAL, ADMINISTRATIVE, AND PROGRAMMATIC CAPABILITIES TO COMPLETE THE NOFO ACTIVITIES, INCLUDING LEADING LARGE, COMPLEX SYSTEMS CHANGE AND CAPACITY-BUILDING PROJECTS, ENGAGING PARTNERS IN COLLABORATION, CONTRACTING, AND MONITORING DELIVERABLES AND COMPLIANCE. IPHI CURRENTLY MANAGES TWO (CDC) FEDERAL COOPERATIVE AGREEMENTS.

CULTIVA LA SALUD: CULTIVATING HEALTH EQUITY IN CALIFORNIA'S SAN JOAQUIN VALLEY

ENHANCING EFFECTIVENESS RESEARCH ON RECOVERY HOUSING FOR PERSONS PRESCRIBED MEDICATION FOR OPIOID USE DISORDER - PROJECT SUMMARY/ABSTRACT SAFE AND STABLE HOUSING IS WIDELY RECOGNIZED AS CRITICAL TO RECOVERY FROM ALCOHOL AND DRUG USE DISORDERS GENERALLY, BUT IT MAY BE EVEN MORE CRITICAL TO RECOVERY FROM OPIOID USE DISORDERS (OUD). ADDICTION TO OPIOIDS IS ASSOCIATED WITH CHANGES IN THE STRUCTURE AND FUNCTION OF THE BRAIN. THESE CHANGES MAY TAKE MONTHS OR YEARS TO RESOLVE, ALL THE WHILE LEAVING INDIVIDUALS VULNERABLE TO RELAPSE, WHICH IS ALL TOO OFTEN DEADLY. IT MAY ALSO LEAD TO UNEMPLOYMENT, CRIMINAL JUSTICE INVOLVEMENT, AND SOCIAL ISOLATION, WHICH PRESENT ADDITIONAL IMPEDIMENTS TO RECOVERY. RECOVERY HOUSING CAN OFFER INVALUABLE SUPPORT IN THE EARLY PHASES OF RECOVERY BY PROVIDING STRUCTURE AND MINIMIZING EXPOSURE TO CONDITIONED CUES AND OTHER TRIGGERS FOR RELAPSE. IT CAN ALSO SET THE STAGE FOR LONG- TERM GAINS BY INTEGRATING RESIDENTS INTO NEW PEER COMMUNITIES THAT ARE SUPPORTIVE OF RECOVERY AND CAN HELP AS THEY FACE CHALLENGES IN DAILY LIFE. UNFORTUNATELY, RESEARCH ON THE OUTCOMES OF RESIDENTS IN RECOVERY FROM OUD, PARTICULARLY THOSE BEING TREATED WITH MEDICATIONS IS LIMITED. FURTHER, THERE IS LITERATURE THAT SUGGESTS THAT INDIVIDUALS BEING TREATED WITH MEDICATIONS FOR OUD (MOUD) MAY EXPERIENCE BARRIERS TO RECOVERY HOUSING DUE TO NEGATIVE ATTITUDES TOWARDS MOUD AND LACK OF RECOVERY HOUSING THAT IS EQUIPPED TO SUPPORT PERSONS ON MEDICATION. THIS APPLICATION SEEKS TO ENHANCE INFRASTRUCTURE TO CONDUCT EFFECTIVENESS RESEARCH ON RECOVERY HOUSING FOR PERSONS TREATED WITH MOUD. SPECIFICALLY, IT AIMS TO: (1) DEVELOP A NETWORK OF DIVERSE STAKEHOLDERS DEDICATED TO EXPANDING ACCESS TO RECOVERY HOUSING FOR PERSONS PRESCRIBED MOUD AND CONDUCTING RESEARCH ON IT; (2) INCREASE CAPACITY OF RECOVERY HOUSING THAT IS EQUIPPED TO SUPPORT RESIDENTS WHO ARE PRESCRIBED MOUD AND TO PARTICIPATE IN EFFECTIVENESS RESEARCH AS WELL AS RESEARCHERS WHO ARE TRAINED TO CONDUCT IT; (3) PROVIDE RESOURCES AND OPPORTUNITIES TO JUNIOR INVESTIGATORS AND THOSE WHO MAY BE NEW TO RECOVERY HOUSING RESEARCH TO COLLABORATE WITH RECOVERY HOUSING RESEARCHERS TO EXPAND THE EVIDENCE BASE ON RECOVERY HOUSING FOR PERSONS TREATED WITH MOUD. TO ACHIEVE THESE AIMS, THE PROPOSED TEAM WILL ESTABLISH AN ADVISORY BOARD COMPRISED OF LEADING RESEARCHERS AND MEMBERS OF NATIONAL TREATMENT, RECOVERY, AND RECOVERY HOUSING ORGANIZATIONS TO ESTABLISH A LARGE MULTI-STAKEHOLDER NETWORK OF PROVIDERS AND RESEARCHERS. THE TEAM WILL ALSO HOST A WEBINAR SERIES WITH INTENSIVE YEAR-LONG TRACKS FOR RECOVERY HOUSING PROVIDERS AND RESEARCHERS NEW TO THE FIELD AND FOSTER OPPORTUNITIES FOR THESE RESEARCHERS TO NETWORK WITH PROVIDERS AND OTHER RESEARCHERS AT CONFERENCES. FINALLY, MEMBERS OF THE TEAM WILL MENTOR PILOT STUDIES WITH JUNIOR AND NEW RECOVERY HOUSING RESEARCHERS TO DEVELOP NEW TOOLS AND ESTABLISH THE FEASIBILITY OF INNOVATIVE RESEARCH METHODS AND RESEARCH IN NOVEL SETTINGS TO FILL KEY GAPS IN THE LITERATURE. FINDINGS FROM THESE PILOT STUDIES WILL BE DISSEMINATED TO THE LARGER MULTI-STAKEHOLDER NETWORK TO IMPROVE PRACTICE AND LAUNCH WIDER SCALE EFFECTIVENESS RESEARCH.

PEER HELPING, RETENTION, AND RELAPSE IN SOBER LIVING HOUSES

SHARING HEALTH, EDUCATION AND AWARENESS (SHEA) INITIATIVE

DISABILITY AND REHABILITATION RESEARCH PROGRAM

A NATIONAL LONGITUDINAL STUDY OF THE IMPACT OF COVID-19 ON RECOVERY RESIDENCES

USE OF COMMUNITY-BASED MAPPING AND MONITORING TO REDUCE AIR POLLUTION EXPOSURES

BUILDING AND STRENGTHENING PUBLIC HEALTH SYSTEMS FOR HIV AND PUBLIC HEALTH SURVEILLANCE, RESPONSE, AND CONTROL IN MALAWI UNDER THE PRESIDENT'S EMERGENCY PLAN FOR AIDS RELIEF (PEPFAR) - 2023

NATIONAL TRAINING CENTER FOR SCHOOL HEALTH ADDRESSING PRIORITIES 1, 2, 3 AND 5

SUBSTANCE AND NON-PRESCRIBED HORMONE USE AMONG TRANSMEN

FACES FOR THE FUTURE COALITION: A MENTORSHIP MODEL TO ADVANCE COLLABORATIVE PIPELINES FOR STUDENT SUCCESS

ASSOCIATION OF THE IN UTERO EXPOSOME WITH LIFE-COURSE COGNITION AND PRODROMAL ALZHEIMER'S DISEASE IN MIDLIFE. - WE PROPOSE TO DISCOVER OPPORTUNITIES FOR ALZHEIMER’S DISEASE (AD) PREVENTION AT MULTIPLE POINTS IN THE LIFE- COURSE: BEFORE BIRTH, ADOLESCENCE, AND IN MIDLIFE. WE HYPOTHESIZE THAT IN UTERO EXPOSURE TO ENVIRONMENTAL TOXICANTS LEADS TO COGNITIVE DYSFUNCTION IN MIDLIFE THAT IS ACCOMPANIED BY CHANGES IN THE SERUM METABOLOME AND BLOOD BIOMARKERS ASSOCIATED WITH COGNITIVE DYSFUNCTION AND PRODROMAL AD. WE PROPOSE THAT METABOLOMICS WILL REVEAL NOVEL, ACTIONABLE MIDLIFE BIOMARKERS FOR AD PREVENTION FOR PERSONS AT INCREASED RISK FOR AD. OUR PREVIOUS STUDIES SHOW THAT DECLINE IN COGNITION IS LINKED TO DECLINE IN PLASMA GLUTATHIONE (GSH), WHICH IS BEST REPRESENTED IN STORED PLASMA BY ASSOCIATED CHANGES IN PYRIMIDINE AND MITOCHONDRIAL ENERGY METABOLISM; AND THAT MILD COGNITIVE IMPAIRMENT IS LINKED TO GSH-RELATED METHIONINE AND CYSTEINE METABOLISM, PATHWAYS LINKED TO UDP-SUGARS (PYRIMIDINE AND GALACTOSE METABOLISM) AND TYROSINE METABOLISM. EACH OF THESE PATHWAYS IS ACTIONABLE, PROVIDING A SECURE FOUNDATION TO TEST THESE PATHWAYS AS MECHANISMS FOR BIOLOGICAL RESPONSES TO ENVIRONMENTAL EXPOSURE WHICH COULD MEDIATE NEUROCOGNITIVE OUTCOMES. THIS PROSPECTIVE STUDY LEVERAGES A 50+ YEAR FOLLOW-UP OF A SUBSET OF THE CHILD HEALTH AND DEVELOPMENT STUDIES (CHDS) BIRTH COHORT THAT WAS DESIGNED TO INVESTIGATE DEVELOPMENTAL ORIGINS OF HEALTH DISPARITIES; N ~400 OFFSPRING WERE EXAMINED IN MIDLIFE WITH PRIOR FOLLOW-UP IN CHILDHOOD AND ADOLESCENCE. THIS STUDY HAS AVAILABLE MATERNAL, PRENATAL, AND OFFSPRING MIDLIFE BIOSPECIMENS AS WELL AS LIFE-COURSE SOCIAL FACTORS, ANTHROPOMETRY, AND HEALTH STATUS, AND IS 40% BLACK. WE WILL USE HIGH RESOLUTION GC-MS AND LC-MS TO MEASURE EXPOSURES AND THE METABOLOME IN BOTH TARGETED AND UNTARGETED ANALYSIS. THIS IS AN EFFICIENT USE OF EXISTING DATA AND BIOSPECIMENS; NO NEW HUMAN DATA COLLECTION IS REQUIRED. OUR TRANSDISCIPLINARY TEAM (EPIDEMIOLOGY, COHN; METABOLOMICS & EXPOSOMICS, JONES; NEUROTOXICOLOGY, RICHARDSON) HAS COLLABORATED PREVIOUSLY ENSURING FEASIBILITY. AIM 1 WILL IDENTIFY ASSOCIATIONS OF PRENATAL EXPOSURES (PESTICIDES, PAHS, AND NOVEL EXPOSURES) WITH MIDLIFE 50-YEAR AD-RELATED OUTCOMES AND ALTERED METABOLIC RESPONSE. AIM 2 WILL IDENTIFY POTENTIALLY ACTIONABLE BIOMARKERS BY IDENTIFYING ASSOCIATIONS BETWEEN ALTERED MIDLIFE METABOLOME AND AD-RELATED OUTCOMES. AIM 3 WILL DETERMINE IF ADOLESCENT COGNITION: A) IS ASSOCIATED WITH THE PRENATAL EXPOSOME, B) PREDICTS MIDLIFE AD- RELATED OUTCOMES, C) MEDIATES ASSOCIATIONS OF THE PRENATAL EXPOSOME WITH MIDLIFE AD-RELATED OUTCOMES. THIS UNIQUE STUDY CAN DISCOVER MECHANISMS THAT LINK THE EARLY LIFE ENVIRONMENT TO AD AND IDENTIFY MIDLIFE INTERVENTIONS THAT MAY MITIGATE EARLY LIFE INSULTS.

MARIPOSA TARGETED CAPACITY EXPANSION (TCE) FOR TRANSWOMEN OF COLOR IN ALAMEDA AND SAN FRANCISCO COUNTY

FRAMEWORK TO ADDRESS HEALTH DISPARITIES THROUGH COLLABORATIVE POLICY EFFORTS: ESTABLISHING A COORDINATING CENTER FOR HEALTH EQUITY POLICY

SEXUAL ORIENTATION DIFFERENCES: PREVALENCE & CORRELATES OF SUBSTANCE USE & ABUSE

FACES FOR THE FUTURE COALITION, A PROGRAM OF PUBLIC HEALTH INSTITUTE, PROPOSES TO IMPLEMENT THE PUBLIC HEALTH YOUTH CORPS MENTORSHIP PROGRAM FOR YOUTH AFFECTED BY SUBSTANCE USE DISORDER. FACES FOR THE FUTURE COALITION, A PROGRAM OF PUBLIC HEALTH INSTITUTE, PROPOSES TO IMPLEMENT THE PUBLIC HEALTH YOUTH CORPS MENTORSHIP PROGRAM FOR YOUTH AFFECTED BY SUBSTANCE USE DISORDER. THE PURPOSE IS TO ADDRESS INCREASING RATES OF SUBSTANCE USE DISORDER AND DEATH BY OVERDOSE AMONG ADOLESCENTS AGES 15-19 IN MEDICALLY UNDERSERVED AREAS (MUAS) BY MATCHING PHYC MENTEES WITH ADULT MENTORS TRAINED IN TRAUMA INFORMED PRACTICE, MENTAL HEALTH FIRST AID, AND SUBSTANCE MISUSE INTERVENTION. THE PROGRAM WILL OPERATE IN SACRAMENTO, SAN FRANCISCO, SOUTH ALAMEDA COUNTY, OAKLAND, AND SAN DIEGO, CALIFORNIA, AS WELL AS IN ALBUQUERQUE, NM AND DETROIT, MI FOR A TOTAL OF 600 STUDENTS ACTIVATED IN RURAL AND URBAN MUAS DURING THE 36-MONTH GRANT PERIOD. PROJECT ACTIVITIES INCLUDE IN-PERSON AND PHONE INTERACTIONS BETWEEN MENTOR MATCHES TO HELP MENTEES NAVIGATE VARIOUS CHALLENGES AND LIFE CIRCUMSTANCES; TRAINING TO SUPPORT ADOLESCENTS AS FACES PHYC PEER SUBSTANCE MISUSE EDUCATORS; JOB SHADOWING OPPORTUNITIES IN HEALTH; AND CERTIFICATIONS FOR YOUTH IN OPIOID OVERDOSE INTERVENTION WITH THE ADMINISTRATION OF NARCAN, MENTAL HEALTH FIRST AID, CPR/BASIC LIFE SUPPORT, AND STOP THE BLEED TOURNIQUET TRAINING. THE PROGRAM WILL PROVIDE EXISTING FACES CORE COMPONENTS OF SERVICES AS WELL, INCLUDING: PUBLIC HEALTH CAREER EXPOSURE, ACADEMIC ENRICHMENT, AND WELLNESS SUPPORT INCLUDING CONNECTION TO COMMUNITY RESOURCES TO ADDRESS ENVIRONMENTAL STRESSORS AND CRISIS WHEN NEEDED. EXPECTED OUTCOMES INCLUDE SUBSTANCE MISUSE PREVENTION, INCREASED CONFIDENCE FOR YOUTH PARTICIPANTS, AND RETENTION OF MULTILINGUAL, MULTICULTURAL YOUTH IN THE HEALTH CAREER PIPELINE.

THE MICHIGAN PUBLIC HEALTH INSTITUTE (MPHI) PROPOSES TO IMPLEMENT THE INGHAM COUNTY PEACEMAKER FELLOWSHIP ENHANCEMENT AND EXPANSION. THE PURPOSE IS TO REDUCE GUN VIOLENCE IN THE COMMUNITY OF INGHAM COUNTY, MICHIGAN (INCLUDING THE CITIES OF LANSING AND EAST LANSING) BY PROVIDING EVIDENCE-BASED PRACTICES TO YOUNG ADULTS WHO ARE AT HIGH RISK OF BEING PERPETRATORS OR VICTIMS OF GUN VIOLENCE, TARGETING AGES 1325. THE PEACEMAKER FELLOWSHIP USES A COMBINATION OF DATA ANALYSIS AND STREET OUTREACH TO IDENTIFY AND RECRUIT INDIVIDUALS WHO ARE AT HIGH RISK OF BEING INVOLVED IN GUN VIOLENCE, INCLUDING THOSE WHO HAVE A HISTORY OF VIOLENT BEHAVIOR, HAVE BEEN VICTIMS OF VIOLENCE IN THE PAST, ARE AFFILIATED WITH GANGS OR OTHER HIGH-RISK GROUPS, OR HAVE OTHER RISK FACTORS THAT MAKE THEM MORE LIKELY TO BE INVOLVED IN GUN VIOLENCE. THE STRATEGY IS AN 18-MONTH, PERSONALIZED FELLOWSHIP THAT INVOLVES CREDIBLE MESSENGERS FROM THE IMPACTED COMMUNITIES WHO PROVIDE THE FOLLOWING SERVICES IN TARGETED HOTSPOTS TO ENGAGE PARTICIPANTS: STREET OUTREACH, MENTORING, INTENSIVE CASE MANAGEMENT, LIFE SKILLS TRAINING, COGNITIVE BEHAVIORAL THERAPY, AND INTENSIVE PARTICIPANT SUPPORT THROUGH SEVEN DAILY TOUCHPOINTS. THE PEACEMAKER FELLOWSHIP PROGRAM ALSO FACILITATES COMMUNITY PARTNERSHIPS AND ENGAGEMENT TO PROMOTE NEIGHBORHOOD SAFETY AND SOCIAL COHESION WHILE AVOIDING MASS INCARCERATION AS THE PRIMARY SOLUTION. IF AWARDED, MPHI PLANS TO DOUBLE THE NUMBER OF PARTICIPANTS IN INGHAM COUNTY BY ENHANCING CURRENT GUN VIOLENCE REDUCTION EFFORTS IN THE CITY OF LANSING AND EXPANDING STAFF CAPACITY AND THE IMPLEMENTATION OF EVIDENCE-BASED GUN VIOLENCE REDUCTION PRACTICES TO THE CITY OF EAST LANSING. THIS APPLICATION PROPOSES A 1-YEAR PLANNING AND 2-YEAR IMPLEMENTATION EFFORT OVER THE COURSE OF 36 MONTHS.

ALCOHOL'S HARM TO OTHERS: MULTINATIONAL CULTURAL CONTEXTS AND POLICY IMPLICATIONS

IMPACTS OF RECREATIONAL MARIJUANA LEGALIZATION AND RETAIL OUTLETS IN WASHINGTON: UNIQUE PERSPECTIVES FROM SURVEY AND COUNTY MORTALITY DATA

MARIPOSA PROJECT FOR TRANSWOMEN OF COLOR IN ALAMEDA AND SAN FRANCISCO COUNTIES - THROUGH A COLLABORATION OF THE HEALTH INTERVENTION PROJECTS FOR UNDERSERVED POPULATIONS (HIPUP) OF THE PUBLIC HEALTH INSTITUTE (PHI) AND THE LYON MARTIN HEALTH SERVICES (LMHS), MARIPOSA PROJECT FOR TRANSWOMEN OF COLOR IN ALAMEDA AND SAN FRANCISCO COUNTIES AIMS TO INCREASE ENGAGEMENT IN CARE WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD) WHO ARE AT RISK FOR, OR LIVING WITH HIV AND RECEIVE HIV PRIMARY CARE. MARIPOSA PROJECT WILL ENGAGE WITH THE POPULATION OF HIGH-RISK TRANSWOMEN OF COLOR, PROVIDE EVIDENCE-BASED INTERVENTION PROGRAMS (EBPS) [MOTIVATIONAL ENHANCEMENT INTERVENTION (MEI) AND TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY (TF-CBT)] TO REDUCE SUBSTANCE USE AND HIV RISK BEHAVIORS AND PROMOTE HEALTH AND WELL-BEING, AND LINK CLIENTS TO APPROPRIATE COMMUNITY-BASED BEHAVIORAL HEALTH SERVICES, INCLUDING TRANS-SENSITIVE AND TRAUMA-INFORMED SUD AND COD TREATMENT, HIV/VIRAL HEPATITIS (VH) TESTING, PREP OR HIV PRIMARY CARE, VACCINATION OF HEP B, AND PRIMARY HEALTH CARE AT LMHS, AS WELL AS PEER-LED RECOVERY SUPPORT GROUPS AND STABLE HOUSING AND EMPLOYMENT (SHE) AND OTHER TRANS SUPPORT PROGRAMS AT HIPUP. MARIPOSA PROJECT WILL ATTAIN THE FOLLOWING MEASURABLE OBJECTIVES: 1) CONDUCT COMMUNITY- AND ONLINE OUTREACH AND MAKE A TOTAL OF 6,750 CONTACTS WITH HIGH-RISK TRANSWOMEN OF COLOR IN ALAMEDA AND SAN FRANCISCO COUNTIES; 2) SCREEN ELIGIBILITY FOR A TOTAL OF 4,050 TRANSWOMEN, AND IF THEY ARE SCREENED OUT OR DECLINE TO ENROLL IN MARIPOSA PROJECT, PROVIDE REFERRALS FOR HIV/HEP TESTING AND OTHER HEALTH AND SOCIAL SERVICES AT LMHS OR OTHER COLLABORATING AGENCIES; 3) ENROLL A TOTAL OF 540 ELIGIBLE AND CONSENTED TRANSWOMEN OF COLOR INTO MARIPOSA PROJECT (CASE MANAGEMENT WITH MEI SESSIONS AND REFERRALS/NAVIGATION TO SERVICE PROGRAMS), COMPLETE INTAKE ASSESSMENT AND HIV AND HEP TESTING, AND PROVIDE REFERRALS AND NAVIGATION SERVICES FOR TREATMENT AT LMHS; 4) ENROLL 54 NEWLY DIAGNOSED HIV POSITIVE CLIENTS OR THOSE KNOW HIV POSITIVE STATUS BUT DROP OUT FROM CARE INTO HIV PRIMARY CARE AT LMHS; 5) ENROLL 270 NEWLY DIAGNOSED HIV NEGATIVE CLIENTS OR THOSE NOT ADHERING TO PREP INTO PREP PROGRAM AT LMHS; 6) ENROLL 108 CLIENTS WHO ARE DIAGNOSED SUD OR COD INTO TREATMENT PROGRAMS AT LMHS THAT ARE BASED ON TF-CBT; 7) ENROLL 270 CLIENTS INTO RECOVERY SUPPORT GROUPS (ALL CLIENTS ARE ENCOURAGED TO ENROLL); 8) ENROLL 270 CLIENTS INTO SHE OR OTHER TRANS SUPPORT PROGRAMS; 9) ATTAIN 486 CLIENTS (90%) TO COMPLETE MARIPOSA PROJECT (5 MEI SESSIONS AND OTHER SUPPORT PROGRAMS AND/OR SUD/COD TREATMENT PROGRAMS) AND THE EXIT ASSESSMENT; 10) RETAIN 432 CLIENTS (80%) TO COMPLETE THE 6-MONTH FOLLOW-UP ASSESSMENT; 11) CONDUCT A TOTAL OF 60 MONTHLY PROCESS EVALUATIONS; 12) CONDUCT A TOTAL OF 5 OUTCOME EVALUATIONS (END OF EACH PROJECT YEAR); 13) DISSEMINIATE PROJECT EXPERIENCE AND FINDINGS THROUGH 10 COMMUNITY FORUMS (TWICE A YEAR) AND POSTING ON THE PROJECT'S WEBSITE AND SNS (A TOTAL OF 2,850 CLICKS). MARIPOSA PROJECT IS AN IDEAL EXPANSION AND ENHANCEMENT OF OUR CURRENT SERVICES FOR TRANSWOMEN OF COLOR WHO ARE STRUGGLING WITH HIV/AIDS, SUBSTANCE USE, AND MENTAL HEALTH PROBLEMS AND A LACK OF COORDINATION OF THESE VITAL PREVENTION AND TREATMENT SERVICES.

PEDIGREE: PRENATAL ENVIRONMENTAL DETERMINANTS OF INTERGENERATIONAL RISK

ALCOHOL'S HARMS TO OTHERS AMONG US ADULTS: INDIVIDUAL AND CONTEXTUAL EFFECTS

TRANS WELLNESS SERVICE INTEGRATION (TWSI) PROJECT FOR GENDER NON-BINARY PEOPLE (GNBP) IN ALAMEDA AND SAN FRANCISCO COUNTIES - IN COLLABORATION WITH THE LYON MARTIN HEALTH SERVICES (LMHS), THE TRANS WELLNESS SERVICE INTEGRATION (TWSI) PROJECT AS PART OF THE HEALTH INTERVENTION PROJECTS FOR UNDERSERVED POPULATIONS (HIPUP), PUBLIC HEALTH INSTITUTE (PHI) AIMS TO IMPLEMENT HIV, SUBSTANCE ABUSE, AND MENTAL HEALTH PREVENTION AND TREATMENT PROGRAMS FOR GENDER NON-BINARY PEOPLE (GNBP) IN ALAMEDA AND SAN FRANCISCO COUNTIES, CALIFORNIA. TWSI INTERVENTIONS WILL BE BASED ON EBPS: MOTIVATIONAL ENHANCEMENT INTERVENTION (MEI) AND TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY (TF-CBT). THROUGH DIRECT AND ONLINE OUTREACH, WE WILL RECRUIT HIGH RISK GNBP ADULTS INCLUDING TRANSWOMEN, TRANSMEN, AND GENDER NON-BINARY PEOPLE AND PROVIDE INTAKE ASSESSMENT, HIV/HEP TESTING, AND REFERRALS FOR PREVENTION (E.G., PREP AND VACCINATION) AND TREATMENT (ART) AT LMHS. PEER COUNSELORS WILL WORK WITH CLIENTS TO REDUCE HIV RISK AND SUBSTANCE USE BEHAVIORS AND PROMOTE MENTAL HEALTH AND ACCESS TO GNBP SUPPORT SERVICES [E.G., STABLE HOUSING AND EMPLOYMENT (SHE)] BASED ON MEI AND PEER SUPPORT GROUPS. AFTER COMPLETING MEI SESSIONS, CLIENTS WHO DO NOT SHOW IMPROVEMENT WILL BE REFERRED TO PROFESSIONAL COUNSELING BASED ON MEI AND/OR TF-CBT. WE WILL PROVIDE COMPREHENSIVE REFERRAL AND NAVIGATION SERVICES FOR HIV/HEP TREATMENT AND OTHER HEALTH AND SOCIAL SERVICES THAT ARE SENSITIVE TO GNBP. ALSO, WE WILL DISSEMINATE PROJECT ACTIVITIES AND FINDINGS THROUGH OUR PROJECT WEBSITE AND SNS TO INCREASE AWARENESS AND KNOWLEDGE FOR HIV AND SUBSTANCE ABUSE PREVENTION AND TREATMENT AND MENTAL HEALTH PROMOTION FOR GNBP. WE WILL ATTAIN THE FOLLOWING MEASURABLE OBJECTIVES: 1) DEVELOP AND COMPLETE 12 MEMORANDUM OF AGREEMENTS (MOAS) WITH COLLABORATING SERVICE AGENCIES; 2) ESTABLISH THE COMMUNITY ADVISORY BOARD (CAB) AND MEET QUARTERLY; 3) CONDUCT COMMUNITY- AND ONLINE OUTREACH AND MAKE 5,250 CONTACTS WITH HIGH-RISK GNBP IN ALAMEDA AND SAN FRANCISCO COUNTIES; 4) SCREEN ELIGIBILITY FOR 3,150 GNBP AND PROVIDE REFERRALS FOR PREVENTION AND TREATMENT; 5) ENROLL 420 GNBP INTO TWSI, CONDUCT INTAKE ASSESSMENT, AND HIV AND HEP TESTING; 6) PROVIDE ALL 420 CLIENTS WITH PEER COUNSELING/CASE MANAGEMENT; 7) ENROLL 42 NEWLY DIAGNOSED HIV CLIENTS OR THOSE DROPPED OUT INTO HIV PRIMARY CARE; 8) ENROLL 140 CLIENTS INTO PREP; 9) SCREEN FOR SUBSTANCE USE AND MENTAL HEALTH DISORDERS FOR 210 CLIENTS; 10) ENROLL 106 CLIENTS INTO PROFESSIONAL COUNSELING; 11) 110 CLIENTS ENROLL IN PEER SUPPORT GROUPS; 12) 378 CLIENTS COMPLETE PEER/PROFESSIONAL COUNSELING AND THE EXIT INTERVIEW; 13) 336 CLIENTS (80%) COMPLETE THE 6-MONTH FOLLOW-UP ASSESSMENT; 14) CONDUCT 48 PROCESS EVALUATION; 15) CONDUCT 4 OUTCOME EVALUATION; 16) 210 CLIENTS SIGNIFICANTLY REDUCE HIV RISK AND/OR SUBSTANCE USE BEHAVIORS AND/OR MENTAL HEALTH PROBLEMS AT 6-MONTH FOLLOW-UP COMPARED WITH THE INTAKE ASSESSMENT; 17) DISSEMINATE PROJECT FINDINGS AND EXPERIENCE THROUGH 8 COMMUNITY FORUMS AND ONLINE (2,250 CLICKS ON OUR PROJECT WEBSITE OR POSITING ON SNS). TWST IS AN IDEAL EXPANSION AND ENHANCEMENT OF OUR CURRENT SERVICES FOR GNBP WHO ARE STRUGGLING WITH HIV/AIDS, SUBSTANCE USE, AND MENTAL HEALTH PROBLEMS AND A LACK OF COORDINATION OF THESE VITAL PREVENTION AND TREATMENT SERVICES.

SCREENING AND BRIEF INTERVENTION IN THE ED AMONG MEXICAN-ORIGIN YOUNG ADULTS

DISCRIMINATORY MECHANISMS IN EARLY-ONSET AND LETHAL PROSTATE CANCER - REPROGRAMMING OF CONVENTIONAL MITOCHONDRIAL FUNCTION IS A KEY COMPONENT OF CARCINOGENESIS AND PROSTATE CANCER AGGRESSIVENESS. WE HYPOTHESIZE THAT KEY DISCRIMINATORY MECHANISMS IN EARLY-ONSET AND LETHAL PROSTATE CANCER OCCUR THROUGH ENVIRONMENTAL EXPOSURES IN EARLY DEVELOPMENT AND IN YOUNG ADULT LIFE WHICH REPROGRAM MITOCHONDRIAL FUNCTION, CAUSING OR ENABLING EARLY-ONSET AND FATAL PROSTATE CANCER. RATIONALE AND INNOVATION. WHILE MECHANISMS CANNOT BE PROVEN BY RETROSPECTIVE ANALYSES, OUR ACCESS TO REPOSITORY SAMPLES COLLECTED IN YOUNG MEN (MEDIAN AGE 34) YEARS BEFORE PROSTATE CANCER ONSET, AND ALSO PERI-CONCEPTUAL PATERNAL AND MATERNAL PREGNANCY REPOSITORY SAMPLES FOR MEN WHO LATER DEVELOPED EARLY- ONSET PROSTATE CANCER, ENABLE US TO APPLY POWERFUL ANALYTICAL CAPABILITIES TO LINK PREDICTIVE METABOLIC SIGNATURES OF OUTCOME WITH CONCURRENT PROSPECTIVE MEASURES OF EXPOSURES. THIS CREATES AN UNPRECEDENTED OPPORTUNITY TO TEST THE CENTRAL HYPOTHESIS THAT ENDOCRINE-DISRUPTING EXPOSURES IN EARLY DEVELOPMENT AND YOUNG ADULTHOOD ARE ASSOCIATED WITH METABOLIC SIGNATURES OF MITOCHONDRIAL REPROGRAMMING AND SUBSEQUENT EARLY-ONSET (< AGE 60) AND LETHAL PROSTATE CANCER. IF CORRECT, FINDINGS WILL PROVIDE A FOUNDATION FOR PREVENTION STRATEGIES TO AUGMENT PROTECTIVE PATHWAYS AND BLOCK RISK PATHWAYS. DESIGN. THE STUDY POPULATION IS A 60 Y TWO-GENERATION FOLLOW-UP OF THE CHILD HEALTH AND DEVELOPMENT STUDIES (CHDS) COHORT, A UNIQUE REPRESENTATIVE SAMPLE OF ALAMEDA COUNTY CA IN THE 1960’S WITH A SIZEABLE AFRICAN AMERICAN POPULATION. THIS DESIGN ALLOWS US TO ADDRESS DISPARITIES IN RISK. AIM 1 IS A METABOLOME-WIDE ASSOCIATION STUDY (MWAS) TO TEST THE HYPOTHESIS THAT MITOCHONDRIA-ASSOCIATED METABOLIC SIGNATURES IN PRE- DIAGNOSTIC SERUM OF YOUNG ADULT MEN PREDICT SUBSEQUENT LETHAL PROSTATE CANCER IN AFRICAN AMERICAN AND NON- AFRICAN AMERICANS IN THE CHDS FATHER’S GENERATION. AIM 2 IS AN EXPOSOME-WIDE ASSOCIATION STUDY (EXWAS) TO TEST THE HYPOTHESIS THAT PRE-DIAGNOSTIC SERUM OF YOUNG ADULT MEN CONTAIN ENDOCRINE-DISRUPTING CHEMICALS ASSOCIATED WITH LETHAL PROSTATE CANCER IN AFRICAN AMERICANS AND NON-AFRICAN AMERICANS IN THE CHDS FATHER’S GENERATION. AIM 3 USES PATERNAL PERI-CONCEPTUAL SERUM AND MATERNAL PREGNANCY SERUM TO TEST FOR METABOLIC SIGNATURES AND ENVIRONMENTAL EXPOSURES THAT PREDICT EARLY-ONSET PROSTATE CANCER IN CHDS SONS’ GENERATION. THIS RESEARCH WILL HAVE SUSTAINED IMPACT BY SHOWING, IN A RACE-SPECIFIC MANNER, WHETHER MITOCHONDRIAL METABOLIC PATHWAYS VARY WITH EARLY-ONSET AND LETHAL PROSTATE CANCER RISK DECADES BEFORE CANCER ONSET, WHETHER THESE CHANGES ASSOCIATE WITH CONCURRENT ENVIRONMENTAL EXPOSURES, AND WHETHER MULTI-GENERATIONAL ASSOCIATIONS OCCUR BETWEEN METABOLIC OR ENVIRONMENTAL EXPOSURES AND EARLY-ONSET PROSTATE CANCER. THE STUDY HAS THE POTENTIAL TO DISTINGUISH THE TIME IN THE LIFE-COURSE WHEN PREVENTION IS MOST EFFECTIVE. RESULTS WILL HELP DEFINE MEN WHO WILL BENEFIT FROM INTENSE SCREENING AND ACCELERATE PREVENTION WITH CRITICAL RELEVANCE TO AFRICAN AMERICANS WHO HAVE UNACCEPTABLY HIGH RISK OF EARLY-ONSET AND LETHAL PROSTATE CANCER.

NATIONAL TELEHEALTH RESOURCE CENTER PROGRAM

HAWAI?I KUPUNA SUPPORT NAVIGATOR PROGRAM - HAWAI¿I KUPUNA SUPPORT NAVIGATOR PROGRAM

CALIFORNIA WATER: ASSESSMENT OF TOXINS FOR COMMUNITY HEALTH (CALWATCH)

SUBST. ABUSE AND HIV PREVENTION FOR HIGH RISK API MSM IN ALAMEDA AND SAN FRANCISCO CNTY

IMPROVING THE WELLNESS FOR ASIAN YOUTH 2 (IWAY2) PROJECT IN ALAMEDA COUNTY, CA - IN THE COLLABORATION OF THE HEALTH INTERVENTION PROJECTS FOR UNDER-SERVED POPULATIONS (HIPUP)/PUBLIC HEALTH INSTITUTE (PHI) AND KOREAN COMMUNITY CENTER FOR THE EAST BAY (KCCEB), IMPROVING THE WELLNESS FOR ASIAN YOUTH 2 (IWAY2) AIMS TO PROVIDE TRAUMA-INFORMED TREATMENT AND OTHER SERVICES [E.G., YOUTH EMPOWERMENT PROGRAMS (YEPS)] TO REDUCE PSYCHOLOGICAL SYMPTOMS AND BEHAVIORAL PROBLEMS AND PROMOTE HEALTH AND WELL-BEING FOR ASIAN CHILDREN IN ALAMEDA COUNTY, CA. IWAY2, AN EXPANSION OF OUR CURRENT SUCCESSFUL IWAY PROJECT, WILL TARGET ASIAN CHILDREN (12 TO 18 YEARS OLD) AND THEIR FAMILIES WHO HAVE HAD TRAUMATIC EXPERIENCES DUE TO THE COVID-19 RELATED VIOLENCE AND HARASSMENT AGAINST ASIANS, REFUGEE/IMMIGRATION PROCESS, CHILD ABUSE, AND OTHER TRAUMATIC EVENTS (E.G., EXPOSURE TO WAR AND DISASTER). IN COLLABORATION WITH STAKEHOLDERS, LOCAL CBOS, INCLUDING NCTSI CATEGORY II AND III CENTERS, AND THE PUBLIC HEALTH DEPARTMENT AND OTHER CHILD-SERVING AGENCIES, WE WILL CONDUCT COMMUNITY AND ONLINE OUTREACH AND RECRUIT THE TARGETED ASIAN CHILDREN WHO ARE SUFFERING FROM TRAUMA. COUNSELORS AND HEALTH EDUCATORS WILL PROVIDE TRAUMA-INFORMED TREATMENT AND OTHER SERVICES (E.G., YEPS) BASED ON SAMHSA’S EBPS (IFACES AND TF-CBT) AND MONITOR THE PROGRESS OF CLIENTS. WE WILL EVALUATE THE EFFICACY OF IWAY2 UTILIZING GPRA/SPARS AND LOCAL MEASURES. BASED ON THE COLLABORATION WITH LOCAL SERVICE PROVIDERS, WE WILL ALSO FACILITATE SYSTEM-LEVEL CHANGES IN CHILD-SERVING SYSTEMS TO IMPROVE ACCESS, USE, AND OUTCOMES OF TRAUMA-INFORMED TREATMENT AND OTHER SERVICES AND IMPROVE BEHAVIORAL HEALTH DISPARITIES. IWAY2 AIMS TO ATTAIN THE FOLLOWING MEASURABLE OBJECTIVES: 1) 20,000 CONTACTS THROUGH COMMUNITY AND ONLINE OUTREACH (3,200 IN YEAR 01; 4,800 EACH IN YEAR 02, 03, AND 04; 2,400 IN YEAR 05); 2) 5,000 SCREENINGS FOR ELIGIBILITY (800 IN YEAR 01; 1,200 EACH IN YEAR 02, 03, AND 04; 600 IN YEAR 05); 3) 1,000 REFERRAL SERVICES TO COLLABORATING AGENCIES (160 IN YEAR 01; 240 EACH IN YEAR 02, 03, AND 04; 120 IN YEAR 05); 4) 250 ASIAN CHILDREN ENROLLING IN COUNSELING (TF-CBT) AND YEPS (IFACES) (COUNSELING PROGRAM: 20 IN YEAR 01; 30 EACH IN YEAR 02, 03, AND 04; 15 IN YEAR 05; YEPS: 20 IN YEAR 01; 30 EACH IN YEAR 02, 03, AND 04; 15 IN YEAR 05); 5) 225 COMPLETION OF THE COUNSELING OR YEPS AND EXIT ASSESSMENT (225 CHILDREN: 36 IN YEAR 01, 54 EACH IN YEAR 02, 03, AND 04, AND 27 IN YEAR 05); 6) 200 COMPLETION OF THE 6-MONTH FOLLOW-UP ASSESSMENT (32 IN YEAR 01, 48 EACH IN YEAR 02, 03, AND 04, AND 24 IN YEAR 05); 7) 20 TRAININGS FOR SERVICE PROVIDERS AND COUNTY/STATE AGENCIES (E.G., CHILD PROTECTION AGENCY) ON TRAUMA-INFORMED TREATMENT AND OTHER SERVICES (4 TRAININGS IN EACH PROJECT YEAR); AND 8) 10 COLLABORATION PROJECTS WITH NCTSI-CATEGORY II TSA CENTERS. RESULTS OF THE PROCESS AND OUTCOME EVALUATION WILL BE REPORTED TO SAMHSA AND THE TARGETED COMMUNITIES THROUGH THE PROJECT WEBSITE, COMMUNITY FORUMS, AND NEWSLETTERS. THROUGH DIRECT INDIVIDUAL AND SYSTEM LEVEL INTERVENTIONS, IWAY2 WILL HAVE A SIGNIFICANT IMPACT ON INCREASING ACCESS, USE, AND OUTCOMES OF TRAUMA-INFORMED TREATMENT AND OTHER SERVICES FOR ASIAN CHILDREN AND FAMILIES WHO ARE SUFFERING FROM TRAUMA BUT HAVE BEEN NEGLECTED BY MENTAL HEALTH AND OTHER SERVICE PROVIDERS.

TRAUMA, SUBSTANCE USE, AND INCARCERATION OVER THE LIFECOURSE: IDENTIFYING SOCIAL SUPPORTS TO PROMOTE RESILIENCY IN A US NATIONAL COHORT STUDY - PROJECT SUMMARY RACIAL DISPARITIES IN US INCARCERATION RATES ARE GREATEST AMONG EMERGING ADULTS (AGES 18-25), AND TRAUMA EXPOSURE IS NEARLY UNIVERSAL IN INCARCERATED POPULATIONS. GIVEN THE STRIKING OVERREPRESENTATION OF BLACK AND HISPANIC AMERICANS IN THE US CRIMINAL LEGAL SYSTEM FOR SUBSTANCE USE OFFENSES, AND HIGH PREVALENCE OF CANNABIS AND OTHER ILLICIT DRUG USE AMONG INCARCERATED POPULATIONS, RESEARCH IS NEEDED TO FURTHER UNDERSTANDING OF THE RELATIONSHIP BETWEEN TRAUMA AND THE COURSE OF CANNABIS AND OTHER DRUG USE FROM ADOLESCENCE (AGES 12-17) TO EARLY MID-ADULTHOOD (AGES 33-42) AND TO HIGHLIGHT CRITICAL INTERVENTION OPPORTUNITIES. WE RECOGNIZE THE DISPROPORTIONATE BURDEN OF CHILDHOOD ADVERSITIES AND VIOLENCE EXPOSURES AMONG BLACK AND HISPANIC GROUPS, YET FEW STUDIES HAVE CONSIDERED RACIAL AND ETHNIC DIFFERENCES IN ASSOCIATIONS BETWEEN CHILDHOOD ADVERSITY AND SUBSTANCE USE. FURTHERMORE, VIRTUALLY NO RESEARCH HAS EXAMINED DISPARITIES IN ADULT TRAUMA EXPOSURES AND SUBSTANCE USE, AND THEIR RELEVANCE TO INCARCERATION. ADDRESSING THE AFOREMENTIONED GAPS, THIS STUDY INVESTIGATES RACE AND ETHNICITY DIFFERENCES IN TRAUMA EXPOSURES DURING AN UNDERSTUDIED DEVELOPMENTAL PERIOD, EMERGING ADULTHOOD, AND HOW TRAUMA MAY INFLUENCE RISK FOR INCARCERATION THROUGH CANNABIS AND OTHER DRUG USE. THIS SECONDARY ANALYSIS STUDY LEVERAGES DATA FROM THE NATIONAL LONGITUDINAL STUDY OF ADOLESCENT TO ADULT HEALTH (ADD HEALTH) AND INTEGRATES A LIFECOURSE APPROACH INTO AN ECOLOGICAL FRAMEWORK TO EXAMINE TRAUMA EXPOSURES FOUND PREVALENT IN MINORITIZED COMMUNITIES (COMMUNITY VIOLENCE EXPOSURE AND INTIMATE PARTNER VIOLENCE). OUR FIRST AIM IS TO EXAMINE RACE AND ETHNICITY DIFFERENCES IN LONGITUDINAL ASSOCIATIONS BETWEEN ADULT TRAUMA, CANNABIS AND OTHER DRUG USE, AND INCARCERATION, ACCOUNTING FOR CHILDHOOD ADVERSITY. THE SECOND AIM IS TO INVESTIGATE RACE AND ETHNICITY-SPECIFIC LIFECOURSE PATHWAYS FROM TRAUMA EXPOSURE TO INCARCERATION. WE INNOVATE BY EMPLOYING PROPENSITY SCORING METHODS AND MARGINAL STRUCTURAL MODELING TO DETERMINE CAUSAL AND CUMULATIVE EFFECTS OF ADULT TRAUMA EXPOSURES ON INCARCERATION RISK, SETTING US APART FROM EXTANT TRAUMA RESEARCH THAT CONCENTRATES PRIMARILY ON CHILDHOOD ADVERSITIES. OUR THIRD AIM WILL USE MODERATED CAUSAL MEDIATION TO IDENTIFY SALIENT RACE AND ETHNICITY-SPECIFIC SOCIAL SUPPORTS (ADULT MENTORSHIP, FAITH-BASED ENGAGEMENT, MENTAL HEALTH SERVICE USE) WITHIN THE NEIGHBORHOOD ENVIRONMENT THAT MOST STRONGLY ATTENUATE EFFECTS OF TRAUMA ON CANNABIS AND OTHER DRUG USE AND, ULTIMATELY, INCARCERATION RISK. THE OBJECTIVES OF THIS PROJECT ARE DIRECTLY RELEVANT TO NIDA’S RACIAL EQUITY INITIATIVE TO IMPROVE MINORITY HEALTH AND REDUCE INEQUITIES THE US. FINDINGS FROM THIS EPIDEMIOLOGIC STUDY WILL BE USED FOR TRANSLATION TO PREVENTION SCIENCE AND HAVE GREAT POTENTIAL TO INFORM MEANINGFUL DEVELOPMENT OF CULTURALLY-TAILORED AND DEVELOPMENTALLY-APPROPRIATE MULTILEVEL INTERVENTIONS IN US SUBPOPULATIONS AT ELEVATED RISK FOR INCARCERATION. DOING SO CAN HELP PREVENT YOUNG PEOPLE’S FURTHER ENTRENCHMENT IN THE CRIMINAL LEGAL SYSTEM AND ALLEVIATE THE HARMFUL CONSEQUENCES OF MASS INCARCERATION ON FAMILIES AND IN THEIR COMMUNITIES.

INTER-RELATIONSHIPS BETWEEN LIFE-COURSE ALCOHOL PATTERNS AND HEALTH CONDITIONS

SUGAR ALERT - EVALUATING SAN FRANCISCO'S SUGAR SWEETENED BEVERAGE ADVERTISING WARNING LABEL ORDINANCE

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

CALIFORNIA SICKLE CELL DATA COLLECTION PROGRAM - SURVEILLANCE TO INFORM ALL STAKEHOLDERS

MICHIGAN PREVENTING ADVERSE CHILDHOOD EXPERIENCES - DATA TO ACTION

HEALTH INTERVENTION PROJECT FOR TRANSGENDER WOMEN (HIPTW)

ASSISTANCE TO FIREFIGHTERS GRANT

STRENGTHENING ENVIRONMENTAL HEALTH ? BUILDING CAPACITY FOR A MORE DIVERSE AND REPRESENTATIVE WORKFORCE - STRENGTHENING ENVIRONMENTAL HEALTH - BUILDING CAPACITY FOR A MORE DIVERSE AND REPRESENTATIVE WORKFORCE

MICHIGAN ESSENTIALS FOR CHILDHOOD: PREVENTING ADVERSE CHILDHOOD EXPERIENCES THROUGH DATA TO ACTION

DISRUPTING PATHWAYS FROM EARLY ADVERSITY TO ADULT SUBSTANCE ABUSE: IDENTIFYING EDUCATION RESILIENCE FACTORS IN DIVERSE GROUPS

MUTUAL HELP ALTERNATIVES FOR ALCOHOL PROBLEMS: BENEFITS AND CAUSAL MECHANISMS

CALIFORNIA SICKLE CELL DATA COLLECTION PROGRAM

ASSISTANCE TO FIREFIGHTERS GRANT

IDENTIFYING MODIFIABLE INFLUENCES ON ALCOHOL PROBLEMS IN HIGH-RISK NEIGHBORHOODS

FIRE PREVENTION AND SAFETY

WHAT IS RECOVERY?

MICHIGAN SUDDEN UNEXPECTED INFANT DEATH AND SUDDEN DEATH IN THE YOUNG CASE REGISTRY

TOBACCO CONTROL POLICY ANALYSIS & INTERVENTION EVALUATION IN CHINA AND TANZANIA

MISSISSIPPI PERINATAL QUALITY COLLABORATIVE - THE MISSISSIPPI PUBLIC HEALTH INSTITUTE IS APPLYING FOR COMPONENT A UNDER THE CDC NOFO ‘STATEWIDE PERINATAL QUALITY COLLABORATIVES’ (CDC-RFA-DP22-2207) TO ADDRESS PERSISTENT POOR MATERNAL AND INFANT HEALTH OUTCOMES. MISSISSIPPI HAS PERSISTENTLY HELD SOME OF THE POOREST PERINATAL HEALTH OUTCOMES IN THE UNITED STATES. THE 2020 MS INFANT MORTALITY RATE WAS 8.3 DEATHS/1,000 LIVE BIRTHS, SIGNIFICANTLY EXCEEDING THE US RATE OF 5.6 DEATHS/1,000 LIVE BIRTHS. THIS IS LARGELY DRIVEN BY MISSISSIPPI’S HIGH PRETERM BIRTH RATE OF 14.2%, WHICH INCLUDES A SIGNIFICANT RACIAL DISPARITY OF 18% PRETERM BIRTHS AMONG BLACK INFANTS AND 12% FOR WHITE. MATERNAL HEALTH INDICATORS ARE EQUALLY CONCERNING. MATERNAL HEALTH INDICATORS ARE EQUALLY CONCERNING. BETWEEN 2013 AND 2017, THE PREGNANCY-RELATED MORTALITY RATIO IN MS REACHED 33.2 DEATHS PER 100,000 LIVE BIRTHS. THE MISSISSIPPI PERINATAL QUALITY COLLABORATIVE (MSPQC) SEEKS TO IMPROVE THESE MATERNAL AND INFANT HEALTH OUTCOMES BY ADVANCING EVIDENCE-BASED, DATA-DRIVEN QUALITY IMPROVEMENT INITIATIVES STATEWIDE. ESTABLISHED IN 2014, THE MSPQC IS MISSISSIPPI’S FIRST COLLABORATIVE QUALITY IMPROVEMENT (QI) PROGRAM THAT HAS INTEGRATED THE EFFORTS OF MULTIPLE STAKEHOLDERS TO ADDRESS KEY DRIVERS OF POOR BIRTH OUTCOMES. CURRENTLY, MSPQC IS LEADING STATEWIDE INITIATIVES TO: 1) REDUCE SEVERE MATERNAL MORBIDITY AND MORTALITY RESULTING FROM INEQUITABLE TREATMENT OF WOMEN DURING THE BIRTHING EXPERIENCE, 2) REDUCE SEVERE MATERNAL MORBIDITY DUE TO SEVERE MATERNAL HYPERTENSION AND CARDIOVASCULAR DISEASE, AND 3) REDUCE PRIMARY CESAREAN DELIVERIES AMONG LOW-RISK MOTHERS. UNDER THE AFOREMENTIONED ANNOUNCEMENT, MSPQC WILL PROGRESSIVELY ENHANCE ITS CAPACITY TO LEAD STATEWIDE QUALITY IMPROVEMENT INITIATIVES. THE PRIMARY STRATEGIES MSPQC WILL USE TO REACH ITS GOALS OF REDUCING MATERNAL AND INFANT MORBIDITY AND MORTALITY INCLUDE: 1) FURTHER BUILDING AND STRENGTHENING THE CAPACITY OF MSPQC TO IMPROVE THE QUALITY OF PERINATAL CARE STATEWIDE, 2) SEEKING TO ENGAGE ALL BIRTHING FACILITIES STATEWIDE TO IMPROVE PERINATAL OUTCOMES, 3) SUPPORTING FACILITIES TO IMPLEMENT QUALITY IMPROVEMENT (QI) INITIATIVES, 4) BUILDING AND STRENGTHENING DATA SYSTEMS TO IMPROVE THE IDENTIFICATION AND DOCUMENTATION OF DISPARITIES, 5) ENGAGING PATIENTS AND COMMUNITIES IN QI INITIATIVES, AND 6) BUILDING PARTNERSHIPS BUILDING MEANINGFUL PARTNERSHIPS TO DISSEMINATE BEST PRACTICES, EXPAND KNOWLEDGE AND IMPROVE CARE FOR FAMILIES ACROSS THE STATE MSPQC WILL WORK WITH LOCAL PARTNERS INCLUDING THE MS CHAPTERS ACOG, AAP, AWHONN AND ACNM, THE MISSISSIPPI HOSPITAL ASSOCIATION, BLUE CROSS BLUE SHIELD OF MS, THE UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, AND COMMUNITY PARTNERS TO IMPLEMENT STATEWIDE QI INITIATIVES IN BOTH MATERNAL AND INFANT HEALTH. MSPQC WILL ACTIVELY WORK WITH KEY NATIONAL PARTNERS INCLUDING AIM AND THE NATIONAL NETWORK OF PERINATAL QUALITY COLLABORATIVES TO EXECUTE BEST PRACTICES AS A PQC, USE PROVEN STRATEGIES TO DRIVE CHANGE AND LEARN FROM AND SHARE WITH OTHER STATES.

TELEHEALTH RESOURCE CENTER GRANT PROGRAM

REGIONAL GENETICS NETWORKS

HEALTH INTERVENTION PROJECTS FOR UNDERSERVED POPULATIONS (HIPUP)

TOBACCO CONTROL POLICY ANALYSIS & INTERVENTION EVALUATION IN CHINA AND INDONESIA

FY10 NATIONAL UMBRELLA COOPERATIVE AGREEMENT PROGRAM (NUCA)

MISSISSIPPI YOUTH FIVE COUNTY REGION FOR ENHANCING NARCOTIC, DRUG, AND SUBSTANCE USE AWARENESS - MY FRENDS - MISSISSIPPI YOUTH FIVE-COUNTY REGION FOR ENHANCING NARCOTIC, DRUG, AND SUBSTANCE USE AWARENESS (MY FRENDS) THE MISSISSIPPI PUBLIC HEALTH INSTITUTE (MSPHI) AND ITS PARTNERS PROPOSE TO LAUNCH MY FRENDS (MS YOUTH FIVE-COUNTY REGION FOR ENHANCING NARCOTIC, DRUG, AND SUBSTANCE USE AWARENESS), WHICH WILL DIRECTLY SERVE 3000 YOUTH AND YOUNG ADULTS TOTAL (600 PER YEAR) AND REACH ANOTHER 40,000 OVER FIVE YEARS WITH MEDIA MESSAGING. GROUPS WILL BE DEMOGRAPHICALLY DIVERSE BY AGE, GENDER, AND RACE-ETHNICITY. PRIORITIZING A RANGE OF ENVIRONMENTAL STRATEGIES TO INCLUDE POPULATION-BASED INTERVENTIONS, MEDIA MESSAGING, AND POLICY INNOVATIONS, MY FRENDS WILL HELP REDUCE THE ONSET AND PROGRESSION OF SUBSTANCE MISUSE AND ITS RELATED PROBLEMS BY SUPPORTING THE DEVELOPMENT AND DELIVERY OF SUBSTANCE MISUSE PREVENTION AND MENTAL HEALTH PROMOTION SERVICES WITHIN THE HINDS, MADISON, RANKIN, SCOTT, AND WARREN CATCHMENT AREA AS WELL AS AMONG THE MISSISSIPPI BAND OF CHOCTAW INDIANS (MBCI) IN NEARBY EAST CENTRAL MS. FOCAL POPULATIONS WILL INCLUDE YOUTH AND YOUNG ADULTS AGES 9-20 FOR UNDERAGE DRINKING ALONG WITH MARIJUANA, OPIOID, AND STIMULANT (MOST) USE/MISUSE PREVENTION FOR YOUTH AND YOUNG ADULTS. MISSISSIPPI (MS) EXHIBITS THE MOST PRONOUNCED NEGATIVE SOCIAL INDICATORS IN THE US, INCLUDING THE NATION’S MOST LIMITED ACCESS TO MENTAL HEALTH SERVICES. MS YOUTH AND YOUNG ADULTS ALSO FACE MANY DEVELOPMENTAL HURDLES. MS’S CHILD POVERTY RATE (28.1%) IS COUPLED WITH AN EARLY AGE OF ALCOHOL ONSET AND ELEVATED UNDERAGE DRINKING, MARIJUANA, OPIOID, AND STIMULANT RISKS. THE COMMUNITIES TO BE SERVED BY MY FRENDS HAVE ELEVATED DRUG USE RATES, PARTICULARLY FOR HIGH SCHOOL JUNIORS AND SENIORS, COUPLED WITH LAX PERCEPTIONS OF HARM. NEARLY TWO-THIRDS OF SURVEYED MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS PERCEIVE NO RISK OR MINIMAL RISK ASSOCIATED WITH HEAVY ALCOHOL USE. ABOUT HALF HAVE SIMILARLY MISGUIDED VIEWS ABOUT THE PERCEIVED RISKS ASSOCIATED WITH REGULAR MARIJUANA USE. THESE PROBLEMS ARE MAGNIFIED BY MS’S PERMISSIVE CLIMATE TOWARD ALCOHOL USE AND UNDERAGE DRINKING. MS HAS NO KEG REGISTRATION POLICY AND LEGALLY PERMITS MINORS AGES 18-20 YEARS OLD TO DRINK BEER AND WINE AT HOME WITH A PARENT OR GUARDIAN. THE FIVE JACKSON-AREA COUNTIES AND MBCI COMMUNITIES HAVE SUFFICIENT NEARNESS TO PERMIT SIMULTANEOUS SERVICE, BUT EACH HAS DISTINCTIVE FEATURES. LEAST AFFLUENT HINDS AND SCOTT CONTRAST WITH MORE AFFLUENT MADISON, WHILE MOSTLY WHITE RANKIN IS DISTINCT FROM MOSTLY AFRICAN AMERICAN HINDS AND APPRECIABLY HISPANIC SCOTT COUNTY. URBANIZED HINDS STANDS IN DISTINCTION TO MORE RURAL MADISON AND SCOTT. THE MBCI WILL ADD TO THIS DIVERSE MIX OF COMMUNITIES AND CULTURES. MY FRENDS WILL USE A COMPARATIVE IMPLEMENTATION AND EVALUATION DESIGN TO TEST THE EFFICACY OF INTERVENTIONS ACROSS DISTINCT BUT ADJACENT LOCALES THAT ARE ALL HIGH-NEED, LOW-CAPACITY. MY FRENDS WILL BE GOVERNED BY SPF, A COMMUNITY ENGAGEMENT MODEL GROUNDED IN PUBLIC HEALTH PRINCIPLES, DATA-DRIVEN PROTOCOLS, AND EVIDENCE-BASED SERVICES DELIVERED TO HIGH-RISK UNDERSERVED COMMUNITIES. MY FRENDS WILL: (1) REDUCE UNDERAGE DRINKING AMONG CATCHMENT AREA YOUTH AGES 9-20. (2) REDUCE MARIJUANA, OPIOID, AND STIMULANT (MOST) USE/MISUSE FOR CATCHMENT AREA HIGH SCHOOL AND COLLEGE STUDENTS. (3) REDUCE SCHOOL-RELATED DRUG USE CONSEQUENCES. (4) INCREASE THE PERCEIVED RISK OF HARM ASSOCIATED WITH ALL PRIORITY SUBSTANCES. (5) TRACK AND EVALUATE PREVENTION PROGRAMMING. (6) REDUCE BEHAVIORAL HEALTH DISPARITIES. (7) ESTABLISH ROBUST DATA SYSTEMS. (8) IMPROVE THE LOCAL DRUG PREVENTION INFRASTRUCTURE FOR COALITION FUNCTIONING, PREVENTION MESSAGING, AND POLICY DEVELOPMENT. EVIDENCE-BASED PRACTICES (EBPS) WILL INCLUDE, AMONG OTHERS, ALCOHOL.EDU, POLICY INNOVATIONS (E.G., KEG REGISTRATION), SOCIAL HOST ENFORCEMENT, MEDIA MESSAGING, PROJECT STICKER SHOCK, AND HAZELDEN’S ALTERNATE ROUTES.

THE LOUISIANA INTEGRATED CENTER FOR CARE, SUPPORTIVE SERVICES AND COMMUNITY HEALTH (LA ICCSSCH)

PROSPECTIVE PERSONAL BIOMARKERS OF LATE-STAGE AND LETHAL PROSTATE CANCER IN AFRICAN AMERICANS

UNDERSTANDING LONGITUDINAL RELATIONSHIPS BETWEEN COVID-19 PANDEMIC OUTCOMES AND ALCOHOL USE AND PROBLEMS FROM 2019 TO 2020 AND 2021 FOR THE U.S. POPULATION AND VULNERABLE GROUPS. - ABSTRACT THE COVID-19 (C19) PANDEMIC HAS UPENDED AMERICAN LIVES WITH FAR-REACHING CONSEQUENCES FOR HEALTH AND WELL-BEING, AND HAS DISPROPORTIONATELY IMPACTED RACIAL/ETHNIC MINORITIES AND OTHER VULNERABLE COMMUNITIES. STUDIES FROM THE EARLY PANDEMIC PERIOD HAVE OBSERVED INCREASES IN ALCOHOL USE AND HEAVY DRINKING, AND THESE BEHAVIORS AND THEIR CONSEQUENCES ON PHYSICAL AND MENTAL HEALTH ARE EXPECTED TO PERSIST WELL AFTER THE PANDEMIC SUBSIDES. THUS FAR, HOWEVER, THERE IS A DEARTH OF NATIONALLY-REPRESENTATIVE, LONGITUDINAL DATA ON THE PANDEMIC'S EFFECTS ON ALCOHOL AND DRUG USE AND MENTAL HEALTH THAT BUILD ON BASELINE PRE-PANDEMIC DATA. THE ALCOHOL RESEARCH GROUP AND ITS P50 ALCOHOL RESEARCH CENTER HAVE CONDUCTED A SERIES OF NATIONAL ALCOHOL SURVEYS (NAS) FOR FORTY YEARS. WE CONDUCTED THE 14TH EDITION OF THE NAS (N14) BEGINNING IN 2019 AND COMPLETED IT ON APRIL 20, 2020, AND IN EARLY 2021 WE CONDUCTED A NAS COVID SUPPLEMENT SURVEY (N14C) AS A FOLLOW-UP OF N14 (BASELINE) RESPONDENTS. WITH THIS RAPID-RESPONSE R01 APPLICATION WE ARE PROPOSING TO CONDUCT A 3RD WAVE OF DATA COLLECTION OF N14 AND N14C RESPONDENTS (TERMED N14C2) TO BUILD A NATIONALLY-REPRESENTATIVE COHORT WITH 3 SURVEY TIME-POINTS. WITH PRE-C19 DATA FROM THE FIRST WAVE OF DATA COLLECTION, N14, AND TWO FOLLOW-UP SURVEYS COVERING THE FIRST (N14C) AND SECOND (N14C2) YEARS FOLLOWING INITIAL EFFORTS TO CONTROL C19 SPREAD IN THE US, WE WILL BE ABLE TO RIGOROUSLY ASSESS THE FINANCIAL, SOCIAL, AND HEALTH IMPACTS OF THE C19 PANDEMIC ON ALCOHOL AND OTHER DRUG (AOD) USE AND PROBLEMS. WE WILL INVESTIGATE THE POTENTIAL IMPACT OF INCREASED ALCOHOL USE ON THE COURSE OF CONSEQUENCES OF THE PANDEMIC, SUCH AS JOB LOSS, SOCIAL CONTACT AND MENTAL HEALTH OUTCOMES. WE ALSO PROPOSE TO EXAMINE ALCOHOL USE AND C19-RELATED PRECAUTIONARY BEHAVIORS SUCH SOCIAL DISTANCING, AND VACCINATION UPTAKE. WE WILL CONTEXTUALIZE THE ANALYSIS BY INCLUDING GEOCODED DATA LINKED TO OUR SURVEY DATA TO ALLOW US TO EXAMINE THESE ASSOCIATIONS IN RELATION TO RELEVANT C19-RELATED STATE POLICIES, AVAILABLE ALCOHOL PURCHASING OPTIONS, AND OTHER AREA CONDITIONS THAT MAY AFFECT AOD USE AND PROBLEMS. FINALLY, WE PROPOSE TO APPLY MIXED METHODS TO UNDERSTAND IN DEPTH ALCOHOL USE EXPERIENCES DURING THE PANDEMIC AND PERCEIVED NEED, BARRIERS, FACILITATORS AND PLANS FOR SEEKING SUPPORT AMONG HEAVY DRINKERS IN SUBGROUPS DISPROPORTIONATELY AFFECTED BY THE PANDEMIC, NAMELY BLACKS, LATINOS, AND SEXUAL MINORITIES. TO ACCOMPLISH THIS WE PLAN TO RECRUIT A PURPOSIVE SUBSAMPLE FOR SEMI-STRUCTURED QUALITATIVE INTERVIEWS FOLLOWING THE N14C2 SURVEY. TAKEN TOGETHER, THIS PROJECT WILL IDENTIFY AND CHARACTERIZE THOSE AT AN INCREASED RISK OF DEVELOPING AOD PROBLEMS, POOR MENTAL HEALTH, AND PROLONGED C19 IMPACTS, AND DETERMINE FEATURES OF ENVIRONMENTS INCLUDING REGULATIONS THAT INCREASE OR MITIGATE THESE RISKS, AIMING TO INFORM MODIFIABLE INTERVENTIONS AND POLICIES.

TELEHEALTH RESOURCE CENTER GRANT PROGRAM

THE MICHIGAN PUBLIC HEALTH INSTITUTE (MPHI) IS THE APPLICANT FOR THE ADVANCE PEACE DEMONSTRATION FIELD EXPERIMENT: ARE PEACEMAKER FELLOWSHIPS THAT INCORPORATE NEW INNOVATIONS AND ARE IMPLEMENTED WITH FIDELITY EFFECTIVE AT REDUCING CYCLICAL & RETALIATORY GUN VIOLENCE? PROJECT. THIS PROJECT FALLS UNDER CATEGORY 2 (C-BJA-202400071-PROD). THE BUDGET REQUEST IS $1,000,000. THE PURPOSE IS TO ASSESS THE IMPACT OF AN INNOVATIVE CVIPI STRATEGY, CALLED A PEACEMAKER FELLOWSHIP, ON REDUCING CYCLICAL AND RETALIATORY GUN VIOLENCE IN TARGETED URBAN CITIES USING A QUASI-EXPERIMENTAL DESIGN THAT WILL COMPARE INTERVENTION COHORTS FROM THREE CITIES WITH MATCHED CONTROL COHORTS FROM THE SAME CITIES. GOALS AND ACTIVITIES ARE TO IMPLEMENT A DEMONSTRATION FIELD EXPERIMENT TO DETERMINE IF FELLOWSHIPS IMPLEMENTED WITH HIGH LEVELS OF FIDELITY ARE EFFECTIVE IN REDUCING CYCLICAL AND RETALIATORY GUN VIOLENCE AMONG FELLOWSHIP PARTICIPANTS WHO ARE ACTIVE FIREARM OFFENDERS AND WHO HAVE AVOIDED THE REACH OF LAW ENFORCEMENT. THIS WILL BE ACCOMPLISHED BY ENGAGING AT LEAST 100 FELLOWS WHO ARE ACTIVE FIREARM OFFENDERS IN THE FELLOWSHIP AND OFFERING THEM EVIDENCE-BASED PRACTICES (STREET OUTREACH, MENTORING, INTENSIVE TRANSFORMATIVE MENTORING, LIFE SKILLS TRAINING, COGNITIVE BEHAVIORAL THERAPY, AND SUBSIDIZED EMPLOYMENT) AND TOUCHPOINTS (LIFE MANAGEMENT ACTION PLAN GOALS, DAILY CHECK-INS, SOCIAL SERVICES NAVIGATION, TRANSFORMATIVE TRAVEL, ELDERS CIRCLE, INTERNSHIP OPPORTUNITIES, AND LIFE MAP ACTION PLAN MILESTONE ALLOWANCE). THE FELLOWSHIP RECRUITS THE MOST LETHAL INDIVIDUALS AT THE CENTER OF GUN VIOLENCE IN A COMMUNITY, PROVIDES THEM WITH SEVEN-DAYS-A-WEEK MENTORING AND SUPPORTIVE RELATIONSHIPS USING STREET OUTREACH WORKERS, AND DELIVERS SERVICES AND SUPPORTS TO THEM DURING AN 18-MONTH PROGRAM. PROJECT PARTNERS ARE THE CENTER FOR GLOBAL HEALTHY CITIES AT UC BERKELEY, ADVANCE PEACE, AND THREE ORGANIZATIONS IMPLEMENTING THE PEACEMAKER FELLOWSHIP IN POMONA, CALIFORNIA; STOCKTON, CALIFORNIA; AND FORT WORTH, TEXAS. OUTCOMES AND PRODUCTS TO BE SHARED INCLUDE A FINAL RESEARCH REPORT THAT IDENTIFIES RESEARCH FINDINGS, PRESENTATION AT A NATIONAL CRIMINAL JUSTICE AND/OR PUBLIC HEALTH CONFERENCE, PUBLISHED ARTICLE IN PEER-REVIEWED CRIMINAL JUSTICE AND/OR PUBLIC HEALTH JOURNAL, AND SUBMISSION OF RESEARCH FINDINGS TO THE NATIONAL INSTITUTE OF JUSTICES CRIMESOLUTIONS CLEARINGHOUSE. BENEFICIARIES ARE INDIVIDUALS ACTIVELY INVOLVED IN CYCLICAL AND RETALIATORY GUN VIOLENCE IN POMONA, CALIFORNIA; STOCKTON, CALIFORNIA; AND FORT WORTH, TEXAS. THE PROJECT WILL INCLUDE COMMUNITY-BASED ACTIVITIES (59%) AND RESEARCH ACTIVITIES (41%).

UNDERSTANDING RACIAL DISPARITIES IN HEAVY DRINKING OVER THE LIFE COURSE

ADVANCE PEACE LANSING/INGHAM PEACEMAKER FELLOWSHIP IN LANSING, MICHIGAN IN RESPONSE TO INCREASING FIREARM VIOLENCE IN LANSING, MICHIGAN, THE MICHIGAN PUBLIC HEALTH INSTITUTE (MPHI) IS SEEKING $1 MILLION TO PARTNER WITH THE CITY OF LANSING, THE INGHAM COUNTY HEALTH DEPARTMENT, THE LANSING POLICE DEPARTMENT, THE INGHAM COUNTY SHERIFF’S OFFICE, ADVANCE PEACE, AND LOCAL COMMUNITY PARTNERS OVER A 3-YEAR PERIOD TO ESTABLISH THE ADVANCE PEACE, LANSING/INGHAM PEACEMAKER FELLOWSHIP. ADVANCE PEACE IS AN EVIDENCE-BASED CRIME PREVENTION STRATEGY THAT HAS BEEN IDENTIFIED BY PRESIDENT JOE BIDEN AND ATTORNEY GENERAL MERRICK GARLAND AS A MODEL TO BE REPLICATED. THE GOALS OF THE PEACEMAKER FELLOWSHIP ARE TO 1) PROVIDE INTENSIVE CASE MANAGEMENT SERVICES AND SUPPORTS TO 50 YOUTH AND YOUNG ADULTS WHO ARE AT HIGHEST RISK OF PERPETRATING OR BEING VICTIMS OF FIREARM VIOLENCE AND 2) REDUCE VIOLENT CRIMES IN CENSUS TRACK 37 BY 40 PERCENT. TO ACCOMPLISH THESE GOALS, FELLOWSHIP NEIGHBORHOOD CHANGE AGENTS WILL CONDUCT DAILY STREET OUTREACH IN TARGETED NEIGHBORHOOD HOTSPOTS TO ENGAGE YOUTH AND YOUNG ADULTS IN THE PEACEMAKER FELLOWSHIP. FELLOWSHIP MEMBERS WILL BE PROVIDED WITH AN ARRAY OF RESEARCH-BASED SERVICES, INCLUDING CASE MANAGEMENT, REFERRALS TO MENTAL HEALTH SERVICES, INTERGENERATIONAL MENTORING, TRANSFORMATIVE TRAVEL, AND PAID INTERNSHIPS. THIS WILL BE A $2 MILLION INITIATIVE; A TOTAL OF $902,000 HAS ALSO BEEN COMMITTED BY OTHER PARTNERS (INGHAM COUNTY, CITY OF LANSING, PROJECT SAFE NEIGHBORHOODS, AND THE LANSING HOUSING COMMISSION) TO SUPPORT THE PEACEMAKER FELLOWSHIP. THE TARGET NEIGHBORHOOD FOR THE PEACEMAKER FELLOWSHIP IS IN A QUALIFIED OPPORTUNITY ZONE LOCATED IN THE SOUTHWEST DISTRICT OF LANSING THAT COMPRISES THE SOUTH MARTIN LUTHER KING JR. BLVD. CORRIDOR IN CENSUS TRACT 37. THIS AREA IS IN THE 48911-ZIP CODE. THE TARGET POPULATION FOR THIS PROGRAM ARE INDIVIDUALS AGES 10 TO 24 WHO HAVE BEEN IDENTIFIED AS THE PERPETRATORS OF GUN VIOLENCE. THE CITY OF LANSING HAS ALSO EXPENDED $380,000 IN COMMUNITY DEVELOPMENT BLOCK GRANT FUNDS TO ERECT A YOUTH FOOTBALL STADIUM AND TOWN SQUARE IN THIS AREA. THE APPLICATION INCLUDES A LETTER OF SUPPORT FROM THE UNITED STATES ATTORNEY’S OFFICE AND OTHER KEY STAKEHOLDERS AND IS ALSO BEING SUPPORTED WITH A PROJECT SAFE NEIGHBORHOODS GRANT. IF AWARDED, A FULL-TIME PROJECT COORDINATOR WILL BE HIRED TO ENSURE THE SUCCESS OF THE PEACEMAKER FELLOWSHIP. PROJECT METRICS WILL BE MONITORED AND EVALUATED BY THE CENTER FOR CULTURALLY RESPONSIVE ENGAGEMENT AT MPHI TO ASSESS AND ADDRESS CRIME TRENDS IN TARGETED HOTSPOT AREA.

THE PUBLIC HEALTH INSTITUTE'S (PHI) MISSION IS TO GENERATE AND PROMOTE RESEARCH, LEADERSHIP AND PARTNERSHIPS TO BUILD CAPACITY FOR STRONG PUBLIC HEALTH POLICY, PROGRAMS, SYSTEMS AND PRACTICES. THE PROPOSED VISTA PROJECT -- VISTA VOLUNTEERS WORKING IN COMMUNITIES TO REVERSE THE RAVAGES OF THE OPIOID EPIDEMIC -- ALIGNS WITH THE HEALTH FUTURES FOCUS AREA. THE VISTA VOLUNTEERS WORKING IN COMMUNITIES TO REVERSE THE RAVAGES OF THE OPIOID EPIDEMIC PROJECT WILL SEEK TO ENHANCE CAPACITY AND BUILD SUSTAINABILITY INTO A STATEWIDE NETWORK OF OPIOID SAFETY COALITIONS SO THEY HAVE ENOUGH MOMENTUM AND INFRASTRUCTURE TO CONTINUE WORKING UNTIL THE OPIOID DEATH RATE SIGNIFICANTLY DROPS, AND UNTIL ALL CALIFORNIANS CAN ACCESS ADDICTION TREATMENT WITHIN 30-MINUTE DRIVE OF THEIR HOME. THE PROJECT EXPECTS TO BENEFIT INDIVIDUALS TOTAL WHO ARE MISUSING OPIOIDS, WHO HAVE CONSIDERED MISUSING OPIOIDS, WHO HAVE ASSISTED OTHERS IMPROPERLY OBTAIN OPIOIDS, WHO ARE FAMILY MEMBERS OF THOSE USING OPIOIDS, OR WHO ARE EDUCATING OTHERS ABOUT THE DANGERS OF IMPROPER OPIOID USE. THE PRIMARY FOCUS OF THE VISTA MEMBERS WILL BE TO CONDUCT COMMUNITY ASSESSMENTS, FOSTER COMMUNITY AWARENESS AND ENGAGEMENT, AND EXPAND AND STRENGTHEN PARTNERSHIPS. UP TO FORTY (40) VISTA MEMBERS AND TWO (2) VISTA LEADERS WILL CONTRIBUTE TO THE GOALS OF THE PROJECT BY PERFORMING ACTIVITIES SUCH AS CONDUCTING AN ENVIRONMENTAL SCAN OF COMMUNITY CONTEXT AND NEED; EXPANDING COMMUNITY KNOWLEDGE AND SUPPORT OF THE PROGRAM EFFORT; STRENGTHENING PARTNERSHIPS AND EXPANDING NETWORKS; DEVELOPING AND EXPANDING A DIVERSIFIED FUNDING STREAM; IMPROVING MATERIALS THAT SUPPORT PROGRAMMING; CONDUCTING OUTREACH FOR PARTICIPANT RECRUITMENT; ASSESSING RESULTS OF PROGRAM OFFERINGS; IMPROVING OR EXPANDING PROGRAM DELIVERY; UTILIZING TECHNOLOGY TO DEVELOP SYSTEMS FOR ORGANIZATIONAL EFFECTIVENESS; AND EXPANDING THE POOL OF VOLUNTEERS TO ASSIST WITH SERVICE DELIVERY, OVER THE COURSE OF THE THREE-YEAR PROJECT. BY THE CLOSE OF THE THREE-YEAR EFFORT, PHI ANTICIPATES THAT 2,200 STAFF AND COMMUNITY VOLUNTEERS WILL RECEIVE TRAINING AND 80 ORGANIZATIONS WILL RECEIVE CAPACITY BUILDING SERVICE AS A RESULT OF THE WORK OF THE VISTA MEMBERS.

THE PURPOSE OF THE PROPOSED RESEARCH IS TO REDUCE WILDFIRE SMOKE EXPOSURES AND HEALTH RISKS AMONG AGRICULTURAL WORKERS AND OTHER LOW-INCOME FAMILIES BY DESIGNING AND FIELD TESTING AN AFFORDABLE AND EFFECTIVE PARTICLE FILTRATION SYSTEM FOR ROOFTOP EVAPORATIVE COOLERS. PARTICIPANT ENGAGEMENT STRATEGY WILL BE USED TO EVALUATE THE SYSTEM AND IDENTIFY POTENTIAL BARRIERS TO WIDESPREAD USE. THE PROJECT WILL (1) DESIGN A FILTER THAT IS EFFECTIVE, EASY TO INSTALL, AND AFFORDABLEAND (2) TEST THE FILTER IN THE HOMES OF AGRICULTURAL WORKERS IN THE SAN JOAQUIN VALLEY, WITH CONTINUOUS MONITORING OF INDOOR AND OUTDOOR PARTICULATE MATTER CONCENTRATIONS, AND MORE INTENSIVE TESTING IN A SUBSET OF HOMESAND (3) IMPLEMENT A PARTICIPANT ENGAGEMENT STRATEGY TO EVALUATE EVAPORATIVE COOLER FILTRATION SYSTEMS AND IDENTIFY POTENTIAL BARRIERS TO WIDESPREAD USE. THE EXPECTED OUTCOME OF PROJECT IS TO PRODUCE AN AFFORDABLE AND EFFECTIVE FILTER DESIGN THAT COULD BE MASS-PRODUCED AFTER THE END OF THE GRANT FOR HOMES WITH EVAPORATIVE COOLERS IN THE WESTERN U.S., THEREBY PROTECTING PEOPLE FROM WILDFIRE SMOKE EXPOSURE. DIRECT BENEFICIARIES OF THIS RESEARCH INCLUDE THE SCIENTIFIC COMMUNITY AND LOW-INCOME PEOPLE AFFECTED BY WILDFIRE SMOKE EXPOSURE. CENTRAL CALIFORNIA ENVIRONMENTAL JUSTICE NETWORK WILL ENGAGE PARTICIPANTS AND DISTRIBUTE MONITORS AND FILTERS TO PARTICIPANTS. ILLINOIS INSTITUTE OF TECHNOLOGY WILL LEAD THE PILOTING, DESIGNING, TESTING AND DEPLOYMENT OF THE FILTRATION SYSTEMS. THE UNIVERSITY OF COLORADO BOULDER WILL FACILITATE THE DESIGN ADVISORY GROUP. THE UNIVERSITY OF CALIFORNIA SAN FRANCISCO WILL ADMINISTER HEALTH SURVEYS TO THE PARTICIPANTS.

CO-OCCURRENT MUTATIONS IN CHROMATIN REGULATORS DEFINE GENETICALLY DISTINCT FORMS OF CANCER

RACIAL DISPARITIES IN ACCESS TO APPROPRIATE ALCOHOL TREATMENT SERVICES

CULTIVA LA SALUD: CULTIVATING HEALTH EQUITY IN CALIFORNIA'S SAN JOAQUIN VALLEY

CHICAGO'S ENHANCED COMPREHENSIVE HIV PREVENTION PLANNING INITIATIVE

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION - PROJECT ABSTRACT – NOFO PG 13-14 1. TITLE – MS SOUTHWEST SUBSTANCE & OPIOID ABUSE RESPONSE PROGRAM 2. REQUESTED AWARD AMOUNT - $999,816.00 3. MISSISSIPPI PUBLIC HEALTH INSTITUTE 4. 829 WILSON DRIVE SUITE C RIDGELAND, MS 39157 5. PUBLIC HEALTH NON-PROFIT 6. PROJECT DIRECTOR: ANNALYN WHITT, PROGRAM MANAGER AT MSPHI 7. EMAIL: AWHITT@MSPHI.ORG PHONE: 601-398-4406 8. NO CURRENT RCORP AWARD 9. NO EIN EXCEPTION REQUEST 10. HOW THE APPLICANT FIRST LEARNED ABOUT THE FUNDING OPPORTUNITY: GRANTS.GOV 11. 4 MEMBERS (INCLUDING MSPHI) MISSISSIPPI COMMUNITY HEALTH WORKERS ASSOCIATION, SOUTHWEST MS COMMUNITY MENTAL HEALTH -A CLEAR PATH, MSU SOUTHWEST REGIONAL EXTENSION SERVICE, & THE 6TH DISTRICT JUDICIAL INTERVENTION COURT 12. NO PREVIOUS RCORP AWARD 13. TARGET POPULATION DESCRIPTION: - LESS THAN 0.25% OF THE TARGET AREA IDENTIFY AS FEMALE, AMERICAN INDIAN/ALASKAN NATIVE. - THIS PROJECT TARGETS PREGNANT, PARENTING, AND PARENTING-AGED WOMEN WITH SUD/OUD IN 7 SOUTHWESTERN MISSISSIPPI COUNTIES BY PARTNERING WITH BEHAVIORAL HEALTH PROVIDERS, COMMUNITY HEALTH WORKERS, LOCAL LAW ENFORCEMENT, DOMESTIC VIOLENCE SHELTERS, AND OTHER COMMUNITY ORGANIZATIONS TO DECREASE STIGMA AGAINST WOMEN WITH SUD/OUD, PREVENT SUD/OUD, AND INCREASE ACCESS TO SUD/OUD TREATMENT AND RECOVERY. EVIDENCE-BASED PRACTICES, PREVENTION EFFORTS, PROFESSIONAL TRAININGS, AND STIGMA REDUCTION COMMUNICATION CAMPAIGNS ALL DIRECTLY ADDRESS HARMFUL STIGMA AGAINST PREGNANT AND PARENTING WOMEN WITH OUD/SUD AND SEEK TO IMPROVE HEALTH DISPARITIES. 14. TARGET SERVICE AREA: 7 HRSA-DESIGNATED RURAL COUNTIES IN MISSISSIPPI: ADAMS, AMITE, CLAIBORNE FRANKLIN, JEFFERSON, PIKE, & WALTHALL 15. DOES THE TARGET SERVICE AREA OVERLAP WITH EXISTING RCORP? NO BRIEF SUMMARY: MSPHI IS FORMING A CONSORTIUM OF LOCAL, REGIONAL AND STATE PARTNERS TO WORK IN SOUTHWEST MS IN ORDER TO PROVIDE RESOURCES THAT WILL CREATE AND SUSTAIN NEW SUBSTANCE USE DISORDER AND OPIOID USE DISORDER SUPPORT, TREATMENT, AND RECOVERY SER VICES FOR THE PRIORITY COUNTIES. USING THE STRENGTHS OF EXISTING SERVICES, MSPHI AND ITS CONSORTIUM MEMBERS WILL DEPLOY INTERVENTIONS THAT FOCUS ON WORKFORCE DEVELOPMENT FOR COMMUNITY HEALTH WORKERS, DMH COUNSELORS, PATIENT SUPPORT SPECIALISTS, AND HEALTH CARE PROVIDERS IN ADAMS, AMITE, CLAIBORNE, FRANKLIN, JEFFERSON, PIKE, AND WALTHALL COUNTIES. THE AIM IS TO BRING SERVICES TO PREGNANT AND PARENTING WOMEN AT RISK OR WITH SUBSTANCE USE DISORDER, SPECIFICALLY, OPIOID USE DISORDER, IDENTIFIED THROUGH VARIOUS REFERRAL SOURCES. THE OVERARCHING GOAL IS TO CREATE A SUSTAINABLE, INTEGRATED, MULTI-DISCIPLINARY MENTAL AND PHYSICAL HEALTH CARE SYSTEM THAT REDUCES MORBIDITY AND MORTALITY OF SUBSTANCE USE DISORDER AND OPIOID USE DISORDER IN PREGNANT AND PARENTING WOMEN IN PRIORITY RURAL COUNTIES.

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

NATIONAL FETAL, INFANT AND CHILD DEATH REVIEW CENTER PROGRAM

ASSISTANCE TO FIREFIGHTERS GRANT

CALIFORNIA ENVIRONMENTAL HEALTH TRACKING PROGRAM

A PARTNERSHIP FOR CLINICIAN EHR USE AND QUALITY OF CARE

CORONAVIRUS TELEHEALTH RESOURCE CENTERS

CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION PROGRAMS

INTEGRATING PREVENTION AND INTERVENTION: A SCHOOL HEALTH CENTER PROGRAM TO PROMOTE HEALTHY ADOLESCENT RELATIONSHIPS

PARTNERSHIP FOR MCH LEADERSHIP COMMUNITY

HEALTH INTERVENTION PROJECTS FOR UNDERSERVED POPULATIONS (HIPUP)

MARIPOSA II FOR TRANS YOUTH OF COLOR IN ALAMEDA AND SAN FRANCISCO COUNTY

INFLAMMATION AND ALCOHOL-RELATED RACIAL/ETHNIC HEALTH DISPARITIES

THE MAUI COALITION FOR DRUG-FREE YOUTH IS FOCUSED ON THE PREVENTION OF YOUTH SUBSTANCE USE IN WAILUKU, HAWAII, 96793.

MODULE A: SURVEILLANCE AND HEALTH PROMOTION FOR SICKLE CELL DISEASE

FAMILY PROFESSIONAL PARTNERSHIP/CSHCN

LOCAL FARMERS ARE VITAL TO THE HEALTH OF THEIR COMMUNITIES BY GROWING HEALTHY LOCAL PRODUCE, EMPLOYING COMMUNITY MEMBERS, AND BUILDING COMMUNITY RESILIENCE. DESPITE THESE CONTRIBUTIONS, THEY FACE CHALLENGES SECURING INSTITUTIONAL CONTRACTS DUE TO PREFERENCE FOR LARGE NATIONAL FIRMS PRESENTING LOWEST- COST BIDS. FOODSHED, A FARMER-OWNED AGGREGATION AND DISTRIBUTION COOPERATIVE IN SAN DIEGO, WORKS AT THE INTERSECTION OF FARM VIABILITY AND CLIMATE-SMART PRACTICES TO PROMOTE LOCAL FOOD EQUITY. FOODSHED SUPPORTS 60 SMALL FARMS68 ARE SOCIALLY DISADVANTAGED AND BIPOC PRODUCERSAND DISTRIBUTES 80 OF THEIR PRODUCE TO HISTORICALLY UNDERSERVED COMMUNITIES. DESPITE THESE STRIDES, THEIR EFFORTS ARE EXCLUSIVELY GRANT-FUNDED.TO ENSURE FINANCIAL VIABILITY, COMMERCIAL AND INSTITUTIONAL CONTRACTS MUST BE ESTABLISHED. THIS BACKDROP COMES AS THE FOOD AS MEDICINE MOVEMENT IS GAINING TRACTION WITHIN HEALTHCARE AND LOCAL GOVERNMENT, PROVIDING NEW FUNDING OPPORTUNITIES, INCLUDING MEDI-CALS CALAIM MEDICALLY SUPPORTIVE FOOD NUTRITION INITIATIVES. THE FOOD AS MEDICINE MOVEMENT ALSO PRESENTS A PROMISING OPPORTUNITY FOR PROMOTING HEALTH EQUITY BY ADDRESSING FOOD AND NUTRITION INSECURITIES, WHICH ARE ROOT CAUSES OF CHRONIC DISEASES THAT CONTRIBUTE TO 50 OF DEATHS IN SAN DIEGO COUNTY. THE PUBLIC HEALTH ALLIANCE OF SOUTHERN CALIFORNIA (ALLIANCE) WILL CULTIVATE PARTNERSHIPS AND HELP ESTABLISH CONTRACTS BETWEEN FARMS AND INSTITUTIONS TO SUPPORT LOCAL FARMERS. THE ALLIANCE IS A COALITION OF 11 LOCAL HEALTH JURISDICTIONS WITH DEEP EXPERTISE IN HEALTH, FOOD SYSTEMS, EQUITABLE CONTRACTING PROCESSES, AND TRANSFORMING DATA INTO ACTION. THE ALLIANCE IS EXPERTLY POSITIONED TO TRANSFORM THE CONNECTIONS BETWEEN FARMERS AND HEALTHCARE INSTITUTIONS TO SUPPORT A RESILIENT LOCAL FOOD SYSTEM AND ENHANCE COMMUNITY HEALTH EQUITY.

ASSOCIATION OF THE IN UTERO EXPOSOME WITH LIFE-COURSE COGNITION AND PRODROMAL ALZHEIMER'S DISEASE IN MIDLIFE. - WE PROPOSE TO DISCOVER OPPORTUNITIES FOR ALZHEIMER’S DISEASE (AD) PREVENTION AT MULTIPLE POINTS IN THE LIFE- COURSE: BEFORE BIRTH, ADOLESCENCE, AND IN MIDLIFE. WE HYPOTHESIZE THAT IN UTERO EXPOSURE TO ENVIRONMENTAL TOXICANTS LEADS TO COGNITIVE DYSFUNCTION IN MIDLIFE THAT IS ACCOMPANIED BY CHANGES IN THE SERUM METABOLOME AND BLOOD BIOMARKERS ASSOCIATED WITH COGNITIVE DYSFUNCTION AND PRODROMAL AD. WE PROPOSE THAT METABOLOMICS WILL REVEAL NOVEL, ACTIONABLE MIDLIFE BIOMARKERS FOR AD PREVENTION FOR PERSONS AT INCREASED RISK FOR AD. OUR PREVIOUS STUDIES SHOW THAT DECLINE IN COGNITION IS LINKED TO DECLINE IN PLASMA GLUTATHIONE (GSH), WHICH IS BEST REPRESENTED IN STORED PLASMA BY ASSOCIATED CHANGES IN PYRIMIDINE AND MITOCHONDRIAL ENERGY METABOLISM; AND THAT MILD COGNITIVE IMPAIRMENT IS LINKED TO GSH-RELATED METHIONINE AND CYSTEINE METABOLISM, PATHWAYS LINKED TO UDP-SUGARS (PYRIMIDINE AND GALACTOSE METABOLISM) AND TYROSINE METABOLISM. EACH OF THESE PATHWAYS IS ACTIONABLE, PROVIDING A SECURE FOUNDATION TO TEST THESE PATHWAYS AS MECHANISMS FOR BIOLOGICAL RESPONSES TO ENVIRONMENTAL EXPOSURE WHICH COULD MEDIATE NEUROCOGNITIVE OUTCOMES. THIS PROSPECTIVE STUDY LEVERAGES A 50+ YEAR FOLLOW-UP OF A SUBSET OF THE CHILD HEALTH AND DEVELOPMENT STUDIES (CHDS) BIRTH COHORT THAT WAS DESIGNED TO INVESTIGATE DEVELOPMENTAL ORIGINS OF HEALTH DISPARITIES; N ~400 OFFSPRING WERE EXAMINED IN MIDLIFE WITH PRIOR FOLLOW-UP IN CHILDHOOD AND ADOLESCENCE. THIS STUDY HAS AVAILABLE MATERNAL, PRENATAL, AND OFFSPRING MIDLIFE BIOSPECIMENS AS WELL AS LIFE-COURSE SOCIAL FACTORS, ANTHROPOMETRY, AND HEALTH STATUS, AND IS 40% BLACK. WE WILL USE HIGH RESOLUTION GC-MS AND LC-MS TO MEASURE EXPOSURES AND THE METABOLOME IN BOTH TARGETED AND UNTARGETED ANALYSIS. THIS IS AN EFFICIENT USE OF EXISTING DATA AND BIOSPECIMENS; NO NEW HUMAN DATA COLLECTION IS REQUIRED. OUR TRANSDISCIPLINARY TEAM (EPIDEMIOLOGY, COHN; METABOLOMICS & EXPOSOMICS, JONES; NEUROTOXICOLOGY, RICHARDSON) HAS COLLABORATED PREVIOUSLY ENSURING FEASIBILITY. AIM 1 WILL IDENTIFY ASSOCIATIONS OF PRENATAL EXPOSURES (PESTICIDES, PAHS, AND NOVEL EXPOSURES) WITH MIDLIFE 50-YEAR AD-RELATED OUTCOMES AND ALTERED METABOLIC RESPONSE. AIM 2 WILL IDENTIFY POTENTIALLY ACTIONABLE BIOMARKERS BY IDENTIFYING ASSOCIATIONS BETWEEN ALTERED MIDLIFE METABOLOME AND AD-RELATED OUTCOMES. AIM 3 WILL DETERMINE IF ADOLESCENT COGNITION: A) IS ASSOCIATED WITH THE PRENATAL EXPOSOME, B) PREDICTS MIDLIFE AD- RELATED OUTCOMES, C) MEDIATES ASSOCIATIONS OF THE PRENATAL EXPOSOME WITH MIDLIFE AD-RELATED OUTCOMES. THIS UNIQUE STUDY CAN DISCOVER MECHANISMS THAT LINK THE EARLY LIFE ENVIRONMENT TO AD AND IDENTIFY MIDLIFE INTERVENTIONS THAT MAY MITIGATE EARLY LIFE INSULTS.

MICHIGAN SUDDEN UNEXPECTED INFANT DEATH AND SUDDEN DEATH IN THE YOUNG CASE REGISTRIES

PREPARING A COMPUTERIZED TOOL FOR PREVENTING PRENATAL DRINKING FOR A LARGER TRIAL

ASSISTANCE TO FIREFIGHTERS GRANT

EFFECTS OF DISADVANTAGE AND PROTECTIVE RESOURCES ON ALCOHOL-RELATED DISPARITIES

TELEHEALTH RESOURCE CENTER GRANT PROGRAM

DRINKING PATTERNS & ETHNICITY: IMPACT ON MORTALITY RISKS

SUSTAINING INFLUENZA SURVEILLANCE NETWORKS AND RESPONSE TO SEASONAL AND PANDEMIC

THE PUBLIC HEALTH INSTITUTE (PHI) ADVANCES THE PUBLIC'S HEALTH BY PROVIDING THE TECHNICAL AND ADMINISTRATIVE CAPACITY TO EFFECTIVELY RESPOND TO PUBLI

THE PUBLIC HEALTH INSTITUTE(PHI) AND THE REGIONAL ASTHMA MANAGMENT & PREVENTION (RAMP) PHI AND RAMP PROPOSE TO INCREASE THE NUMBER OF SCHOOL-BASED HEALTH CENTERS (SBHCS) ACROSS THE NATION THAT INCORPORATE ASTHMA ENVIRONMENTAL INTERVENTIONS INTO THEIR CHRONIC DISEASE MANAGEMENT SERVICES. SBHCS CAN CAPITALIZE ON THEIR LOCATION IN THE SCHOOL SETTING AND REGULAR CONTACT WITH STUDENTS AND PARENTS TO MORE EFFECTIVELY REDUCE ASTHMA TRIGGERS. PHI AND RAMP ALSO PROPOSE TO SUPPORT EFFORTS FOR ADVANCING SUSTAINABLE FINANCING FOR IN-HOME ASTHMA CARE THROUGH A NETWORK OF ASTHMA ADVOCATES AND OTHER STAKEHOLDERS WORKING TO RAISE AWARENESS ABOUT IN-HOME ASTHMA EDUCATION AND ENVIRONMENTAL ASSESSMENTS AND TO IDENTIFY THE RANGE OF OPTIONS AVAILABLE TO SECURE SUSTAINABLE FINANCING FOR IN-HOME ASTHMA CARE SERVICES.

CALIFORNIA WORKERS' COMPENSATION SURVEILLANCE

ALCOHOL CONSUMPTION & MORTALITY IN THE US 1950-2000

FAMILY PROFESSIONAL PARTNERSHIP/CSHCN

INCREASING SPIRITS USE AND ALCOHOL-RELATED MORTALITY IN THE US: ANALYSES OF MORTALITY RATE RELATIONSHIPS WITH BEVERAGE-SPECIFIC PER CAPITA CONSUMPTION AND POLICIES - MORTALITY AND MORBIDITY FROM ALCOHOL-RELATED CAUSES HAS INCREASED DRAMATICALLY SINCE 1999 AND PARTICULARLY SINCE 2010 WITH ADDITIONAL STEEP INCREASES SEEN DURING 2020 AND 2021. DIFFERENTIAL MORTALITY RATE CHANGES BY SEX, AGE AND EDUCATIONAL ATTAINMENT GROUP HAVE OCCURRED. THIS PROPOSAL WILL PROVIDE NEW ANALYSES OF ALCOHOL-RELATED MORTALITY IN THE US NEEDED TO UNDERSTAND AND ADDRESS THESE CHANGES. ANALYSES WILL FOCUS PARTICULARLY ON PER CAPITA CONSUMPTION (PCC) OF SPIRITS, WHICH HAS ALSO RISEN STEEPLY DURING THE SAME PERIOD AND HAVE BEEN PREVIOUSLY FOUND TO BE MORE STRONGLY LINKED TO ALCOHOL-RELATED DEATHS THAN BEER OR WINE. MORTALITY CAUSE GROUPS INCLUDE ALL-CAUSE, 100% ALCOHOL-ATTRIBUTABLE CAUSES, CIRRHOSIS, SUICIDE, MOTOR VEHICLE ACCIDENTS, OTHER UNINTENTIONAL INJURIES, ISCHEMIC HEART DISEASE, DEMENTIA AND CANCERS. ANALYSES WILL ALSO MAKE USE OF THE MORE DETAILED INFORMATION AVAILABLE ON DEATH CERTIFICATES IN ICD-10 SINCE 1999 TO CONSIDER SCIENTIFICALLY JUSTIFIED SUBGROUP DIFFERENCES IN ALCOHOL CONSUMPTION AND POLICY IMPACTS ON MORTALITY RATES, WHICH COULD NOT BE ESTIMATED IN EARLIER DATA. AIM 1 WILL ADDRESS STATE-LEVEL BEVERAGE PCC AND SUBTYPE TRENDS DOCUMENTING STATE DIFFERENCES. AIM 2 WILL UPDATE THE US LITERATURE ON ASSOCIATIONS BETWEEN TOTAL AND BEVERAGE-SPECIFIC PCC AND MORTALITY RATES BY CAUSE GROUP, WHERE THERE HAVE BEEN STRONGER RELATIONSHIPS WITH SPIRITS PCC FOR SOME CAUSES AND EXTEND THESE ANALYSES TO CONSIDER SEX-SPECIFIC SUBPOPULATIONS, SUCH AS EDUCATIONAL ATTAINMENT GROUPS, WHERE SCIENTIFICALLY JUSTIFIED. IN AIM 3 WE WILL ADDRESS THE UNDERSTUDIED ISSUE OF POLICIES THAT DIFFERENTIATE BETWEEN BEVERAGE TYPES, SPECIFICALLY CONSIDERING MORE RECENT TAX INCREASES ONLY ON SPIRITS AND POLICIES INCREASING AVAILABILITY OF SPIRITS, SPECIFICALLY INTO GROCERY STORES. ANALYSES WILL ALSO UTILIZE NEW ESTIMATES OF STATE TAX RATES THAT INCLUDE SPIRITS CONTROL STATES FOR THE FIRST TIME IN 1968-2024 STATE PANEL MODELS OF POLICY EFFECTS ON ALCOHOL-RELATED MORTALITY CAUSES. STATE POLICY ENVIRONMENTS WILL BE CLASSIFIED IN TERMS OF MORE RESTRICTIVE TREATMENT OF SPIRITS AND ANALYSES WILL CONSIDER DIFFERENTIAL IMPACTS OF TOTAL AND BEVERAGE-SPECIFIC PCC ON MORTALITY RATES ACROSS THE CLASSIFIED GROUPS. ALTHOUGH NATIONAL AND STATE ALCOHOL POLICIES NEARLY ALWAYS INCLUDE HIGHER TAX RATES AND MORE RESTRICTIONS ON SPIRITS SALES, THERE IS A LACK OF CONSENSUS AMONG RESEARCHERS AND POLICY EXPERTS REGARDING THIS IMPORTANT ISSUE. TOGETHER, THESE ANALYSES WILL PROVIDE UP-TO-DATE EVIDENCE OF ALCOHOL’S IMPACT ON MORTALITY WITH ATTENTION TO BEVERAGE TYPES AND SCIENTIFICALLY-JUSTIFIED POPULATION SUBGROUPS, EVIDENCE OF THE EFFECTIVENESS OF SPECIFIC SPIRITS-FOCUSED POLICIES AND OF A POLICY ENVIRONMENT TARGETING SPIRITS. HYPOTHESIS TESTING WILL FOCUS ON EXPECTATIONS OF STRONGER ASSOCIATIONS BETWEEN SPIRITS PCC AND MORTALITY CAUSES AND EFFECTIVENESS OF SPECIFIC SPIRITS-FOCUSED POLICIES. IF HYPOTHESES ARE SUPPORTED, US POLICYMAKERS, RESEARCHERS AND COMMUNITY MEMBERS WILL HAVE TIMELY RESEARCH FINDINGS TO SUPPORT THE STRENGTHENING OF ALCOHOL POLICIES SUCH AS INCREASING TAXES AND REDUCING ACCESS TO ALCOHOL BY KEEPING SPIRITS AND RTDS OUT OF GROCERY STORES.

THE PUBLIC HEALTH INSTITUTE (PHI), AND THE NATIONAL CENTER FOR HEALTHY HOUSING (NCHH) AIMS TO EDUCATE THE GENERAL PUBLIC ABOUT INDOOR AIR QUALITY CONCERNS AND EQUIP SPECIFIC STAKEHOLDERS TO TAKE ACTIONS TO REDUCE POTENTIAL ASTHMA RISKS IN HOMES. THIS PROJECT WILL 1) INCREASE THE NUMBER OF STATE ENVIRONMENTAL, PUBLIC HEALTH, AND MEDICAID PROGRAMS WORKING COLLABORATIVELY TO SUPPORT IN-HOME ASTHMA INTERVENTIONS; 2) INCREASE THE NUMBER OF HEALTH PLANS SERVING MEDICAID POPULATIONS THAT REIMBURSE IN-HOME INTERVENTIONS; 3) BUILD STATE, TRIBAL, AND LOCAL CAPACITY TO DELIVER AND SUSTAIN IN-HOME ENVIRONMENTAL ASTHMA INTERVENTIONS THROUGH TECHNICAL ASSISTANCE AND TRAINING.

ASSESSING THE ROLE OF CANNABIS IN SOBER LIVING HOUSES - PROJECT SUMMARY SOME STUDIES SUGGEST THAT CANNABIS IS A SAFER SUBSTITUTE FOR OTHER SUBSTANCES, INCLUDING FOR THOSE WITH SUBSTANCE USE DISORDERS (SUD). HISTORICALLY, SOBER LIVING HOUSES (SLHS) HAVE BEEN ABSTINENCE-BASED ENVIRONMENTS FOR INDIVIDUALS IN RECOVERY TO LIVE WITH OTHERS IN RECOVERY, YET MIXED EVIDENCE REGARDING CANNABIS SUBSTITUTION ALONG WITH RAPIDLY CHANGING LAWS HAVE LEFT SLHS IN A DIFFICULT POSITION REGARDING POLICIES RELATED TO CANNABIS USE AMONG RESIDENTS. FURTHERMORE, FEW STUDIES HAVE EXAMINED CANNABIS USE AMONG SPECIFIC POPULATIONS OF INDIVIDUALS WITH SUD OR AMONG THOSE EMBARKING ON RECOVERY FROM SUD. THE PROPOSED STUDY, ASSESSING THE ROLE OF CANNABIS IN SOBER LIVING HOUSES WILL ADDRESS THESE ISSUES VIA THREE SPECIFIC AIMS: AIM 1 WILL EXAMINE HOW CANNABIS USE IS RELATED TO ALCOHOL OR OTHER DRUG USE, MENTAL HEALTH, AND RECOVERY CAPITAL OUTCOMES AMONG SLH RESIDENTS. AIM 2 WILL ASSESS WHY INDIVIDUALS WHO LIVE IN SLHS USE CANNABIS, MEDICAL CANNABIS USE, HOW THESE ARE RELATED TO OUTCOMES, AND HOW THESE ALIGN WITH THEIR RECOVERY AND LIVING IN AN ABSTINENCE-BASED ENVIRONMENT. AIM 3 WILL IDENTIFY THE RANGE OF CURRENT CANNABIS USE POLICIES AND PRACTICES IN SLHS AND BEGIN TO DEVELOP AN SLH POLICY ASSESSMENT TOOL. THIS STUDY REQUIRES THE RECRUITMENT OF SLHS (N=35), SLH MANAGERS, AND SLH RESIDENTS (N=400; 200 IN RECENT CANNABIS USE GROUP, 200 IN NON-RECENT CANNABIS USE GROUP). AIM 1 INVOLVES FOLLOWING A PROSPECTIVE COHORT OF 400 RESIDENTS, WHERE EXPOSURE IS DEFINED BY CANNABIS USE IN THE PAST 30 DAYS, AND COLLECTING DATA LONGITUDINALLY OVER THREE TIME POINTS ACROSS 12 MONTHS FROM BOTH THE USE AND NON-USE GROUPS. AIM 1 ANALYSES ARE ALL QUANTITATIVE. AIM 2 IS MIXED METHODS AND INVOLVES (1) QUANTITATIVE ANALYSES ASSESSING HOW REASONS AND MOTIVATIONS FOR CANNABIS USE ARE RELATED TO OUTCOMES AND (2) QUALITATIVE INTERVIEWS FOCUSED ON MOTIVATIONS FOR CANNABIS USE AND VIEWS REGARDING CANNABIS’ ROLE IN RECOVERY. A FOCUS OF AIM 2 IS MEDICAL CANNABIS USE. FINALLY, AIM 3 INVOLVES QUALITATIVE INTERVIEWS WITH HOUSE MANAGERS TO DOCUMENT SLH CANNABIS POLICIES. AFTER ANALYSES FOR ALL AIMS ARE COMPLETE, WE WILL HOLD FOCUS GROUPS WITH HOUSE MANAGERS, RESIDENTS, AND OUR COMMUNITY ADVISORY BOARD TO INTERPRET FINDINGS, DEVELOP FUTURE RESEARCH QUESTIONS, AND BEGIN FORMING RECOMMENDATIONS FOR DISSEMINATION TO SLHS. THE DEFINITION OF SUD RECOVERY IS EVOLVING, AND HOW CANNABIS USE MIGHT AFFECT SPECIFIC SUBPOPULATIONS OF INDIVIDUALS WITH SUD, E.G., SLH RESIDENTS, REMAINS AN OPEN QUESTION AS RESEARCH ON CANNABIS USE IN OTHER POPULATIONS MIGHT NOT APPLY TO THIS POPULATION. THUS, IF SLHS BASE POLICIES ON RESEARCH FROM OTHER POPULATIONS, SOME RESIDENTS MIGHT RISK THEIR RECOVERY EFFORTS. AS MORE STATES LEGALIZE CANNABIS AND THE TENSION INCREASES BETWEEN PROPONENTS OF ABSTINENCE AND HARM REDUCTION, THE QUESTION OF HOW SLH OPERATORS SHOULD ADDRESS CANNABIS IS BECOMING MORE PRESSING. THIS PROJECT WILL ALSO BE THE FIRST TO DOCUMENT CANNABIS USE POLICIES IN SLHS, INCLUDING ISSUES AND CHALLENGES FACED BY HOUSE MANAGERS IN IMPLEMENTING THESE POLICIES. FINDINGS WILL ENABLE SERVICE PROVIDERS TO DEVELOP POLICIES THAT BEST SUPPORT SLH RESIDENTS AND MANAGERS.

A STUDY OF ENTEROPATHOGENIC BACTERIA TRANSMITTED FROM ANIMALS TO HUMANS

IN UTERO ORGANOCHLORINE EXPOSURE & BREAST DENSITY

DESCRIPTION:THIS AGREEMENT PROVIDES FUNDING TO THE PUBLIC HEALTH INSTITUTE (PHI), SPECIFICALLY FOR THEIR REGIONAL ASTHMA MANAGEMENT AND PREVENTION (RAMP) PROJECT. SPECIFICALLY, THE RECIPIENT WILL WORK TO BUILD UPON THE SUCCESSES OF THEIR CURRENT COOPERATIVE AGREEMENT XA-840216-01 TO IMPROVE THE CAPACITY OF STATES AND COMMUNITIES (E.G. MUNICIPALITIES, NEIGHBORHOODS, TRIBES) TO EXPAND AND SUSTAIN IN-HOME ENVIRONMENTAL ASTHMA INTERVENTIONS THROUGH POLICY AND SYSTEMS CHANGE. PHI'S TECHNICAL ASSISTANCE (TA) WILL BUILD THE CAPACITY OF ORGANIZATIONS TO FOCUS THEIR ASTHMA WORK WITHIN THE CONTEXT OF IEDOH TO HELP REDUCE DISPARITIES BY: USING DATA TO PRIORITIZE IN-HOME ASTHMA INTERVENTIONS; DEVELOPING INFRASTRUCTURE-BUILDING COLLABORATION ACROSS SECTORS; SUPPORTING THE ACCESS TO, DELIVERY AND FINANCING OF IN-HOME ASTHMA INTERVENTIONS; AND MAKING THESE INTERVENTIONS MORE SUSTAINABLE THROUGH POLICY AND SYSTEMS CHANGE. PHI WILL SUPPORT ORGANIZATIONS AND ADVANCE THE FIELD BY PROVIDING INDIVIDUALIZED TA, FACILITATING OPPORTUNITIES FOR PEER LEARNING, PRODUCING TOOLS IN RESPONSE TO NEEDS, AND SHARING STORIES ABOUT SUCCESSES, CHALLENGES, AND LESSONS LEARNED.ACTIVITIES:THE ACTIVITIES INCLUDE: PROVIDING INDIVIDUALIZED TECHNICAL ASSISTANCE (TA) TO BUILD THE CAPACITY OF STATES AND COMMUNITIES; PROVIDING PEER LEARNING OPPORTUNITIES; DOCUMENTING STORIES ABOUT SUCCESSES, CHALLENGES, AND LESSONS LEARNED; CONDUCTING PRESENTATIONS FOR STATES AND COMMUNITIES NATIONWIDE; PRODUCING TOOLS RESPONDING TO THE FIELD'S EMERGING NEEDS AND BUILDING THE MOMENTUM AROUND THIS WORK; AND EXPANDING PHI-RAMP'S COMMUNITY HEALTH WORKER (CHW) WORKSHOPS NATIONALLY TO BUILD WORKFORCE CAPACITY.SUBRECIPIENT:THE NATIONAL CENTER FOR HEALTHY HOUSING (NCHH), WHOSE ROLE IN THE PROPOSED SCOPE OF WORK COMPLIES WITH EPA'S SUBAWARD POLICY, WILL SERVE AS A PARTNER IN THIS AGREEMENT. NCHH WILL WORK WITH PHI ON THE FOLLOWING ACTIVITIES: PROVIDING INDIVIDUALIZED TECHNICAL ASSISTANCE (TA) TO BUILD THE CAPACITY OF STATES AND COMMUNITIES; PROVIDING PEER LEARNING OPPORTUNITIES; DOCUMENTING STORIES ABOUT SUCCESSES, CHALLENGES, AND LESSONS LEARNED; CONDUCTING PRESENTATIONS FOR STATES AND COMMUNITIES NATIONWIDE; AND PRODUCING TOOLS RESPONDING TO THE FIELD'S EMERGING NEEDS AND BUILDING THE MOMENTUM AROUND THIS WORK.OUTCOMES:THE ANTICIPATED DELIVERABLES INCLUDE: STATES AND COMMUNITIES RECEIVING TECHNICAL ASSISTANCE (TA); PEER LEARNING EVENTS; STORIES SHARED WITH THE FIELD; CAPACITY-BUILDING PRESENTATIONS CONDUCTED; TOOLS PRODUCED AND DISSEMINATED TO OVER 10,000 PEOPLE IN THE FIELD; NEW PARTICIPANTS SIGNED UP TO RECEIVE COMMUNITY HEALTH WORKER (CHW) WORKSHOP NOTICES; AND CHW WORKSHOPS HELD. THE EXPECTED OUTCOMES INCLUDE: INCREASED NATIONAL-SCALE CAPACITY TO ADDRESS INDOOR ENVIRONMENTAL DETERMINANTS OF HEALTH (IEDOH) THROUGH SUSTAINABLE IN-HOME ASTHMA ENVIRONMENTAL INTERVENTIONS; INCREASED CAPACITY/ENGAGEMENT OF ASTHMA HOME VISITORS IN EFFORTS TO ADDRESS IEDOH THROUGH SUSTAINABLE IN-HOME ASTHMA ENVIRONMENTAL INTERVENTIONS; AND INCREASE THE NUMBER OF STATES, PLANS, AND COMMUNITIES WITH POLICIES AND SYSTEMS THAT INCREASE ACCESS TO IN-HOME ASTHMA ENVIRONMENTAL INTERVENTIONS. THE INTENDED BENEFICIARIES INCLUDE: LOW-INCOME INDIVIDUALS AND PEOPLE WITH POORLY CONTROLLED ASTHMA; COMMUNITY HEALTH WORKERS (CHWS) AND SIMILAR HOME VISITORS; STATES AND COMMUNITIES WHO ARE LOOKING TO BUILD AND SUSTAIN IN-HOME ENVIRONMENTAL ASTHMA INTERVENTIONS THROUGH POLICY AND SYSTEMS CHANGE; AND OTHER STATES AND COMMUNITIES WHO WILL GAIN ENTHUSIASM AND MOMENTUM FOR THESE INTERVENTIONS.

FINDING METABOLOMIC SIGNATURES IN PREGNANCY THAT PREDICT BREAST CANCER 60-YEAR PROSPECTIVE STUDY IN THE CHILD HEALTH AND DEVELOPMENT STUDIES PREGNANCY COHORT

CYPRESS RESILIENCE PROJECT: A PARTNERSHIP AT PUBLIC HEALTH INSTITUTE SUPPORTING CALIFORNIA'S OVERDOSE PREVENTION NETWORKS WITH MENTAL HEALTH FIRST AID TRAINING - SUMMARY: CYPRESS RESILIENCE PROJECT AND CALIFORNIA OPIOID PREVENTION NETWORK (COPN), TWO PROGRAMS OF PUBLIC HEALTH INSTITUTE, WILL PARTNER TO PROVIDE MENTAL HEALTH FIRST AID (MHFA) CERTIFICATION TO 6000 MEMBERS OF COPN’S LOCAL OPIOID OVERDOSE PREVENTION COALITIONS. MHFA IS AN EVIDENCE-BASED CURRICULUM THAT HELPS PARTICIPANTS RECOGNIZE THE SIGNS AND SYMPTOMS OF MENTAL HEALTH CHALLENGES, INTERVENE IN A CRISIS, AND CONNECT PEOPLE TO APPROPRIATE SUPPORT. POPULATIONS TO BE SERVED: CYPRESS WILL PROVIDE MHFA CERTIFICATION FOR MEMBERS OF COPN’S 46 LOCAL COALITIONS AND THEIR EXTENDED NETWORKS. THESE COALITIONS ARE LOCATED IN 43 OF CALIFORNIA’S 58 COUNTIES AND SERVE 85%, OR 33 MILLION, OF CALIFORNIA’S NEARLY 40 MILLION PEOPLE. COPN SUPPORTS COALITIONS, ORGANIZATIONS, AND INDIVIDUALS WORKING AT THE FOREFRONT OF CALIFORNIA’S OVERDOSE EPIDEMIC USING A MULTI-SECTOR APPROACH. COALITION MEMBERS REPRESENT LAW ENFORCEMENT, FIRST RESPONDERS, DOCTORS AND OTHER HEALTH PROFESSIONALS, LIBRARIANS, TEACHERS, CITY OFFICIALS, CLERGY, AND STAFF AT DRUG TREATMENT CENTERS AMONG OTHERS. COALITIONS SERVE DIVERSE POPULATIONS IN MANY FEDERALLY-RECOGNIZED MEDICALLY UNDERSERVED AREAS AND HEALTH PROFESSIONAL SHORTAGE AREAS, INCLUDING LAKE, EL DORADO, HUMBOLDT, AND SAN BENITO COUNTIES. STRATEGIES/INTERVENTIONS: MHFA IS AN EVIDENCE-BASED PUBLIC EDUCATION PROGRAM OPERATED BY THE NATIONAL COUNCIL FOR BEHAVIORAL HEALTH THAT CONFERS A 3-YEAR CERTIFICATION TO PARTICIPANTS UPON SUCCESSFUL COMPLETION OF THE TRAINING COURSE. THE CURRICULUM TEACHES PARTICIPANTS TO RECOGNIZE THE SIGNS AND SYMPTOMS OF MENTAL ILLNESS, IDENTIFY RESOURCES IN THEIR COMMUNITIES FOR INDIVIDUALS EXPERIENCING MENTAL HEALTH AND SUBSTANCE USE CHALLENGES, AND SAFELY DE-ESCALATE MENTAL HEALTH OR SUBSTANCE USE CRISES, INCLUDING HOW TO INTERVENE DURING AN OVERDOSE USING THE RECOVERY POSITION AND NALOXONE. IN ADDITION TO CERTIFYING COPN COALITION MEMBERS IN MHFA, CYPRESS WILL IMPLEMENT A COMPREHENSIVE MENTAL HEALTH AWARENESS TRAINING PLAN THAT INCLUDES REGION-SPECIFIC TEMPLATES AND REFERRAL GUIDES. PROJECT GOALS/MEASURABLE OBJECTIVES: CYPRESS WILL BEGIN TRAINING WITHIN ONE MONTH OF RECEIVING FUNDS, AT A RATE OF 1200 INDIVIDUALS PER GRANT YEAR. THE OVERALL GOAL IS TO INCREASE THE CAPACITY OF THE COPN COALITIONS TO RESPOND TO MENTAL HEALTH CHALLENGES THAT MAY CONTRIBUTE TO SUBSTANCE ABUSE AND OPIOID OVERDOSE. BY SEPTEMBER 29, 2026, CYPRESS WILL HAVE CERTIFIED 6,000 INDIVIDUALS IN MENTAL HEALTH FIRST AID THROUGH COPN. BY SEPTEMBER 29, 2026, 80% OF MHFA PARTICIPANTS TRAINED UNDER THIS PROJECT WILL REPORT INCREASED CONFIDENCE IN THEIR ABILITY TO ASSIST AN INDIVIDUAL EXPERIENCING A MENTAL HEALTH CHALLENGE OR CRISIS. BY SEPTEMBER 29, 2026, 60% OF MHFA PARTICIPANTS TRAINED UNDER THIS PROJECT WILL REPORT INCREASED ABILITY TO CONNECT INDIVIDUALS THEY SERVE WITH PROFESSIONAL HELP FOR MENTAL HEALTH AND SUBSTANCE USE DISORDERS.

MARIPOSA TARGETED CAPACITY EXPANSION (TCE) FOR TRANSWOMEN OF COLOR IN ALAMEDA AND SAN FRANCISCO COUNTY

THE RURAL DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING PROGRAM (RURAL PROGRAM) IS AUTHORIZED BY 34 U.S.C. 12341. RURAL PROGRAM FUNDS ARE USED TO SUPPORT PROGRAMS THAT: 1) IDENTIFY, ASSESS, AND APPROPRIATELY RESPOND TO CHILD, YOUTH, AND ADULT VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, DATING VIOLENCE, AND STALKING IN RURAL COMMUNITIES; 2) ESTABLISH AND EXPAND VICTIM SERVICES IN RURAL COMMUNITIES TO CHILD, YOUTH, AND ADULT VICTIMS; 3) INCREASE THE SAFETY AND WELL-BEING OF WOMEN AND CHILDREN IN RURAL COMMUNITIES, BY (A) DEALING DIRECTLY AND IMMEDIATELY WITH DOMESTIC VIOLENCE, SEXUAL ASSAULT, DATING VIOLENCE, AND STALKING; AND (B) CREATING AND IMPLEMENTING STRATEGIES TO INCREASE AWARENESS AND PREVENT THESE CRIMES; AND 4) DEVELOP, EXPAND, IMPLEMENT, AND IMPROVE THE QUALITY OF SEXUAL ASSAULT FORENSIC MEDICAL EXAMINATION OR SEXUAL ASSAULT NURSE EXAMINER PROGRAMS. GRANTEES MUST USE AT LEAST ONE OF THE FOLLOWING STRATEGIES IN IMPLEMENTING THEIR PROJECTS: 1) IMPLEMENT, EXPAND, AND ESTABLISH COOPERATIVE EFFORTS AND PROJECTS AMONG LAW ENFORCEMENT OFFICERS, PROSECUTORS, VICTIM SERVICE PROVIDERS, AND OTHER RELATED PARTIES TO INVESTIGATE AND PROSECUTE INCIDENTS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING; 2) PROVIDE TREATMENT, COUNSELING, ADVOCACY, LEGAL ASSISTANCE, AND OTHER LONG-TERM AND SHORT-TERM VICTIM AND POPULATION SPECIFIC SERVICES TO ADULT AND MINOR VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING IN RURAL COMMUNITIES; 3) WORK IN COOPERATION WITH THE COMMUNITY TO DEVELOP EDUCATION AND PREVENTION STRATEGIES DIRECTED TOWARD SUCH ISSUES; 4) DEVELOP, ENLARGE, OR STRENGTHEN PROGRAMS ADDRESSING SEXUAL ASSAULT; AND 5) DEVELOP PROGRAMS AND STRATEGIES THAT FOCUS ON THE SPECIFIC NEEDS OF VICTIMS OF WHO RESIDE IN REMOTE RURAL AND GEOGRAPHICALLY ISOLATED AREAS. THROUGH THIS NEW OVW RURAL PROGRAM PROJECT, THE MISSISSIPPI PUBLIC HEALTH INSTITUTE (MSPHI), IN PARTNERSHIP WITH HAVEN HOUSE DOMESTIC VIOLENCE SHELTER, THE PROSECUTING ATTORNEY OF WARREN COUNTY, AND THE WARREN COUNTY SHERIFFS OFFICE, WILL IMPLEMENT THE MISSISSIPPI DOMESTIC VIOLENCE RURAL PARTNERSHIP PROJECT. THIS VICTIM SERVICES, LAW ENFORCEMENT, AND PROSECUTION PROJECT ADDRESSES THE FOLLOWING PURPOSE AREAS: 1, 2, AND 3 FOR WARREN, SHARKEY, ISSAQUENA, AND YAZOO COUNTIESFOUR RURAL, UNDERSERVED COUNTIES IN MISSISSIPPIS DELTA REGION. SPECIFIC ACTIVITIES WILL INCLUDE: 1) ESTABLISHING A COORDINATED, MULTIDISCIPLINARY DOMESTIC VIOLENCE HIGH RISK TEAM TO IDENTIFY AND RESPOND TO HIGH-RISK CASES USING EVIDENCE-BASED PRACTICES, INCLUDING THE LETHALITY ASSESSMENT PROTOCOL; 2) SUPPORTING TRAUMA-INFORMED SERVICES SUCH AS ADVOCACY, EMERGENCY SHELTER, TELEHEALTH-BASED COUNSELING, PEER SUPPORT, AND HOUSING ASSISTANCE; AND 3) TRAINING FOR LOCAL SHELTER STAFF TO INCREASE KNOWLEDGE ON THE SIGNS OF MENTAL HEALTH AND SUBSTANCE USE DISORDERS.

LOUISIANA TRAINING EXPANSION NETWORK (L-TEN) FOR MENTAL HEALTH - THE L-TEN PROJECT SEEKS TO UTILIZE THE MENTAL HEALTH AWARENESS TRAINING (MHAT) GRANT TO IMPLEMENT A MENTAL HEALTH AWARENESS TRAINING PROGRAM, USING A NATIONAL EVIDENCE-BASED PROGRAM, MENTAL HEALTH FIRST AID (MHFA), AND BUILD ROBUST LOCALIZED REFERRAL SYSTEMS IN BOTH RURAL AND URBAN COMMUNITIES OF LOUISIANA. IN PARTNERSHIP WITH THE STATE OF LOUISIANA, OFFICES OF BEHAVIORAL HEALTH (LA OBH) AND COMMUNITY DEVELOPMENT (LA OCD), LOUISIANA COMMUNITY AND TECHNICAL COLLEGE SYSTEM (LCTCS), AND LOUISIANA RURAL HEALTH ASSOCIATION (LRHA), L-TEN WILL IMPLEMENT 60 VIRTUAL AND IN-PERSON MENTAL HEALTH FIRST AID TRAININGS ACROSS LOUISIANA, TRAINING 1,500 INDIVIDUALS. THIS PROGRAM WILL FOCUS ON 11 LOUISIANA PARISHES (COUNTIES), WHICH RANGE FROM URBAN TO RURAL AND NATURAL DISASTER-PRONE AREAS. ONE COMMON THREAD TIES THESE COMMUNITIES TOGETHER, EACH PRIORITIZED AREA IS HOME TO AN LCTCS MAIN CAMPUS. TARGETED PARISHES INCLUDE: BOSSIER, EAST BATON ROUGE, RAPIDES, ORLEANS, OUACHITA, TERREBONNE, TANGIPAHOA, ST. BERNARD, WEBSTER, ASCENSION, AND CALCASIEU. MOST OF THE TARGETED PARISHES ARE RURAL. THE POPULATIONS OF FOCUS INCLUDE: LCTCS SCHOOL PERSONNEL (ADMINISTRATIVE, SECURITY, COACHES, INSTRUCTORS/FACULTY, PROGRAM LEADS), AND STUDENTS; LRHA MEMBERS, INCLUDING RURAL HEALTH CENTER (RHC) PRIMARY CARE PROVIDERS, ANCILLARY STAFF, ADMINISTRATION AND SECURITY, AND INDIVIDUALS SERVED. THE LA OCD – CASEWORKERS THAT SERVE POPULATIONS AFFECTED BY DISASTER AND EMERGENCIES. INDIVIDUALS SERVED BY THESE ENTITIES, INCLUDE VETERANS AND RESERVE OFFICER TRAINING CORPS (ROTC), EDUCATORS/TEACHERS, AND INDIVIDUALS IMPACTED BY DISASTERS AND EMERGENCY EVENTS, BOTH YOUTH AND ADULT, AND RURAL AND URBAN. THE GOALS OF L-TEN ARE TO INCREASE CAPACITY OF INDIVIDUALS AND PARTNERS TO RECOGNIZE SIGNS AND SYMPTOMS OF MENTAL ILLNESS AND TO SAFELY DE-ESCALATE A CRISIS, TO INCREASE THE NUMBER OF MHFA TRAINING OPPORTUNITIES TO INDIVIDUALS WORKING IN RURAL HEALTH CENTERS, COMMUNITY AND TECHNICAL COLLEGES, DISASTER CASEWORKERS, AND VETERANS, AND TO INCREASE ACCESS TO MENTAL HEALTH AND SUBSTANCE USE DISORDER RESOURCES, SUPPORT SYSTEMS, AND REFERRALS IN LOUISIANA. PROJECT OBJECTIVES INCLUDE UTILIZING 8 CERTIFIED ADULT MHFA INSTRUCTORS AND UP TO 3 YOUTH MHFA INSTRUCTORS; TRAIN A MINIMUM OF 1,500 INDIVIDUALS IN MHFA (200 IN YR 1, 325 IN YR 2, 325 IN YR 3, 325 IN YR4, 325 IN Y5); TRACK AND ASSESS THE NUMBER OF INDIVIDUALS REFERRED TO SUPPORTIVE AND/OR MENTAL HEALTH SERVICES, AND CREATE AND DISSEMINATE A MENTAL HEALTH RESOURCE, SERVICE SUPPORT, AND REFERRAL INFORMATION GUIDE AND MATERIALS.

ASSISTANCE TO FIREFIGHTERS GRANT

REACH FOR COMM. ORGANIZATIONS TO RESPOND & EVALUATE (REACH CORE)

MARIPOSA II FOR TRANS YOUTH OF COLOR IN ALAMEDA AND SAN FRANCISCO COUNTY

DISAGGREGATING ASIAN AMERICANS AND PACIFIC ISLANDERS TO IDENTIFY MECHANISMS OF ADOLESCENT SUICIDE RISK: THE ROLE OF SCHOOL STRESSORS, ALCOHOL, SLEEP, AND SCHOOL/COMMUNITY CONTEXTS - ABSTRACT ADOLESCENT SUICIDE IS A CRITICAL ISSUE THAT WARRANTS IMMEDIATE ATTENTION SINCE IT IS THE LEADING CAUSE OF DEATH AMONG AAPI ADOLESCENTS AGES 15-19. AS ONE OF THE MOST DIVERSE U.S. RACIAL/ETHNIC MINORITY GROUPS, AAPIS ARE OFTEN OVERLOOKED BECAUSE AS AN AGGREGATE, THEY APPEAR TO HAVE LOWER RATES THAN OTHER RACIAL/ETHNIC GROUPS. WHEN DISAGGREGATED, SOME AAPI GROUPS SHOW SIGNIFICANTLY HIGHER SUICIDE RATES THAN NON-HISPANIC WHITES. CONTINUING TO AGGREGATE AAPIS WILL ONLY PERPETUATE THE HIDDEN PROBLEMS OF ADOLESCENT SUICIDE AND MASK AAPI'S DIFFERENT ETHNIC GROUP HISTORIES, SETTLEMENT EXPERIENCES, SOCIOECONOMIC POSITIONS, AND HEALTH BEHAVIORS, WHICH MAY CONTRIBUTE TO HIGHER SUICIDE RISK. RECOGNIZING THE HETEROGENEITY IN AAPIS AND THEIR DIVERSE SOCIOCULTURAL CONTEXTS, THIS STUDY AIMS TO EXAMINE INDIVIDUAL- AND CONTEXTUAL-LEVEL RISK AND PROTECTIVE FACTORS THAT MAY INFLUENCE AND HELP EXPLAIN VARIATIONS IN ADOLESCENT SUICIDE RISK IN EIGHT AAPI GROUPS: ASIAN INDIANS, CHINESE, FILIPINOS, JAPANESE, KOREANS, PACIFIC ISLANDERS, SOUTHEAST ASIANS (I.E., HMONG, CAMBODIANS, LAOTIANS), AND VIETNAMESE. IN THIS, WE HEED THE NIMH AND NIMHD'S CALL FOR RESEARCH TO IDENTIFY DRIVERS OF MENTAL HEALTH DISPARITIES USING A MULTILEVEL LENS THAT LINKS INDIVIDUALS TO SOCIOCULTURAL ENVIRONMENTS AND MACROLEVEL INFLUENCES. APPLYING THE SOCIAL ECOLOGICAL MODEL AND INFORMED BY MINORITY AND STRESS PROCESS THEORIES, OUR STUDY INVESTIGATES SALIENT SCHOOL- RELATED STRESSORS OF ACADEMIC PERFORMANCE AND RACE-RELEVANT BULLYING. WE WILL EXAMINE THE ROLES OF ALCOHOL USE, MARIJUANA USE AND INSUFFICIENT SLEEP – THE LATTER TWO RISING IN PREVALENCE – AS POTENTIALLY MODIFIABLE RESPONSES TO THESE STRESSORS, THAT ALSO VARY IN PREVALENCE ACROSS AAPI SUBGROUPS AND GENDER. CAPITALIZING ON SURVEY DATA FROM THE LARGEST U.S. SCHOOL SYSTEM AND WITH THE LARGEST AAPI STUDENT POPULATION, THIS STUDY WILL ENTAIL SECONDARY DATA ANALYSIS OF ADOLESCENT SURVEYS LINKED WITH SCHOOL ADMINISTRATOR SURVEYS OF TEACHER/STAFF PERCEPTIONS OF SCHOOL CLIMATE, SCHOOL ADMINISTRATIVE DATA OF STUDENT COMPOSITION AND ACADEMIC PERFORMANCE, AND COMMUNITY DATA OF AAPI DEMOGRAPHIC AND SOCIOECONOMIC CONDITIONS. FOR EACH AAPI SUBGROUP-BY-GENDER, THIS STUDY WILL ADDRESS THREE AIMS: (1) EXAMINE THE RELATIONSHIPS BETWEEN SCHOOL-RELATED STRESSORS (I.E., POOR GRADES, BULLYING) AND SUICIDE RISK, AND ASSESS HOW THESE RELATIONSHIPS VARY BY SCHOOL AND COMMUNITY CONTEXTS (I.E., SCHOOL CLIMATE, CO-ETHNIC DENSITY, DISADVANTAGE), (2) ASSESS THE EXTENT TO WHICH ALCOHOL USE, MARIJUANA USE AND SLEEP INDIVIDUALLY MODIFY AND MEDIATE THESE ASSOCIATIONS WITH SUICIDE RISK, AND (3) ILLUMINATE INTERVENTION LEVERS BY ESTIMATING THE REDUCTION IN SUICIDE RISK AT THE POPULATION LEVEL ASSOCIATED WITH CHANGES IN STRESSORS AND RISK BEHAVIORS, AND THE ADDED REDUCTION ASSOCIATED WITH ENHANCED PROTECTIVE CONTEXTS. THIS RESEARCH WILL ADDRESS NOVEL QUESTIONS ABOUT RACE-RELEVANT STRESSORS AND RISK BEHAVIORS ON SUICIDE RISK, AND HOW THESE MECHANISMS VARY ACROSS THE EIGHT AAPI GROUPS AND GENDER. FINDINGS WILL INFORM A MIXED-METHODS R01 PROPOSAL TO LINK THESE STRESSORS AND RISK BEHAVIORS WITH PSYCHOPATHOLOGICAL FACTORS IN ORDER TO GAIN A RICHER UNDERSTANDING OF RISK AND RESILIENCY MECHANISMS WITHIN SCHOOLS AND COMMUNITIES TO BEST GUIDE SUICIDE INTERVENTIONS FOR AAPI ADOLESCENTS.

ASSISTANCE TO FIREFIGHTERS GRANT

REACH FOR COMM. ORGANIZATIONS TO RESPOND & EVALUATE (REACH CORE)

ALCOHOL AND TOBACCO USE AND DESISTANCE AMONG ASIAN AMERICANS: A LIFECOURSE EXAMINATION OF CRITICAL PERIODS AND SUBGROUP DISPARITIES

DRINKING PATTERNS, LIFESTYLE FACTORS & CHRONIC CONDITIONS IN ASIAN AMERICANS

COMMUNITY IMPACT ON ADOPTION OF SOBER LIVING HOUSES

SEXUAL ORIENTATION AND CORRELATES OF ALCOHOL PROBLEMS

ADDICTION RECOVERY RESIDENCES TO IMPROVE HEALTH OUTCOMES IN HIGH-RISK MEN

NEIGHBORHOOD SOCIOECONOMIC STATUS AND ALCOHOL OUTCOMES: MODERATORS AND MEDIATORS