Gay And Lesbian Community Center Of Southern Nevada Inc

SOUTHERN NEVADA COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAM - PROJECT ABSTRACT SUMMARYTHE GAY AND LESBIAN COMMUNITY CENTER OF SOUTHERN NEVADA, INC. (THE CENTER), IN COOPERATION WITH TWO SUBCONTRACTORS, AND OTHER COMMUNITY PARTNER ORGANIZATIONS, IS SERVING AS THE APPLICANT AGENCY TO CONDUCT THE SOUTHERN NEVADA COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAM SERVING LAS VEGAS, CLARK COUNTY IN SOUTHERN NEVADA. SINCE 1992, THE CENTER HAS OPERATED AS THE PREMIER COMMUNITY-BASED, NON-PROFIT ORGANIZATION WHOSE MISSION SUPPORTS AND PROMOTES ACTIVITIES DIRECTED AT FURTHERING THE WELL-BEING, POSITIVE IMAGE, AND HUMAN RIGHTS OF THE LESBIAN, GAY, BISEXUAL, TRANSGENDER, COMMUNITY, ITS ALLIES, AND LOW TO MODERATE INCOME RESIDENTS IN SOUTHERN NEVADA. THE SPECIFIC SERVICE AREA OF SOUTHERN NEVADA ENCOMPASSES CLARK COUNTY AND ITS FIVE METROPOLITAN JURISDICTIONS INCLUDING THE CITIES OF LAS VEGAS, NORTH LAS VEGAS, HENDERSON, BOULDER CITY AND MESQUITE. CLARK COUNTY IS THE MOST POPULOUS OF NEVADA'S 17 COUNTIES, AND IS THE NATION'S GEOGRAPHICALLY13TH-LARGEST COUNTY, PROVIDING SERVICES TO MORE THAN 2.3 MILLION CITIZENS AND NEARLY 46 MILLION VISITORS A YEAR (2019), PRIMARILY IN LAS VEGAS.THE ?CLARK COUNTY ENDING THE HIV EPIDEMIC PLAN 2020-2026? SHOWS THAT AS OF 2019, NEVADA RANKED THIRD IN THE NATION FOR THE PERCENT OF THE POPULATION IDENTIFYING AS LGBTQ, AT 5.5 PERCENT. CLARK COUNTY CONTAINS 73 PERCENT OF NEVADA'S POPULATION AND 78 PERCENT OF LGBTQ RESIDENTS. NEVADA HAS THE HIGHEST RATE (16.6) OF NEW HIV INFECTIONS IN THE WESTERN U.S. CLARK COUNTY, THE MOST POPULOUS COUNTY IN NEVADA, HAS A NEW HIV INFECTION RATE OF 19.8, HIGHER THAN THE OVERALL STATE RATE. ONLY 41% OF CLARK COUNTY'S POPULATION HAS EVER BEEN TESTED FOR HIV; ONLY 11% HAD BEEN TESTED IN THE PAST YEAR. APPROXIMATELY ONE IN FIVE PEOPLE LIVING WITH HIV IN CLARK COUNTY IS UNAWARE OF THEIR STATUS.A CHRONIC LACK OF SUFFICIENT RESOURCES HAS PREVENTED THE FULL EXPANSION AND ENHANCEMENT OF HIV SERVICES AT THE CENTER. CDC FUNDS WILL ASSIST US TO DEVELOP AND IMPLEMENT TRULY COMPREHENSIVE, HIGH-IMPACT HIV PREVENTION SERVICES, MAKING A SIGNIFICANT DIFFERENCE IN THE QUANTITY/QUALITY OF HIV SERVICES AND SIGNIFICANTLY REDUCING THE SCOPE OF THE HIV EPIDEMIC IN SOUTHERN NEVADA. OBJECTIVES ARE TO INCREASE IDENTIFICATION OF HIV DIAGNOSES, REFERRAL FOR PRE-EXPOSURE PROPHYLAXIS (PREP) AND NON-OCCUPATIONAL POST-EXPOSURE PROPHYLAXIS (PEP) SERVICES, PROMOTE EARLIER ENTRY TO HIV CARE, AND PROVIDE INCREASED CONSISTENCY OF CARE.OUR APPROACH ADDRESSES BOTH COMPREHENSIVE HIV CORE PROGRAM STRATEGIES/ACTIVITIES AND OPERATIONAL PROGRAM STRATEGIES/ACTIVITIES. THE PROJECT ENCOMPASSES: 1) EXPANDED OUTREACH/RECRUITMENT EFFORTS TO INCREASE TESTING AND ACCESS TO CARE FOR HIV POSITIVE PERSONS; 2) INCREASED USE OF SOCIAL NETWORKS TO REACH TARGET POPULATIONS, PARTICULARLY AFRICAN AMERICAN MSM; 3) EXPANDED HEALTHCARE SERVICES TO PROVIDE ON-SITE TREATMENT FOR HIV POSITIVE PERSONS; AND, 4) EXPANDED RISK REDUCTION EDUCATION PROGRAMS. SHORT TERM OUTCOMES INCLUDE: INCREASING THE NUMBER PERSONS WHO ARE AWARE OF THEIR HIV STATUS BY AN ESTIMATED 39 PERCENT; AND INCREASING THE NUMBER OF PERSONS WHO RECEIVE INTEGRATED SCREENINGS FOR STDS, AND VIRAL HEPATITIS BY AN ESTIMATED 39 PERCENT.SUBCONTRACTORS INCLUDE: SILVER STATE EQUALITY TO CONDUCT ELEMENTS OF OUR OPERATIONAL STRATEGY AND RM PARK CONSULTING, LLC, TO SERVE AS DATA MANAGER/PROJECT EVALUATOR. SILVER STATE EQUALITY IS A NEVADA-BASED PROGRAM AFFILIATED WITH EQUALITY CALIFORNIA AND EQUALITY CALIFORNIA INSTITUTE, THE NATION?S LARGEST STATEWIDE LGBTQ+ CIVIL RIGHTS ORGANIZATION. OUR DATA MANAGER/PROJECT EVALUATOR IS A REGISTERED NURSE WITH BACKGROUND AND EXPERIENCE IN HIV SERVICES, AND EXTENSIVE EXPERIENCE IN FEDERAL GRANT DATA COLLECTION, ANALYSIS AND REPORTING. SHE WILL BE RESPONSIBLE FOR WORKING WITH PROJECT STAFF AND WITH CDC TO COLLECT, ANALYZE AND REPORT REQUIRED PROJECT PERFORMANCE DATA.

EMPOWER BEHAVIORAL HEALTH: A MINORITY HEALTH SYNDEMIC RESPONSE - THE GAY AND LESBIAN COMMUNITY CENTER OF SOUTHERN NEVADA (THE CENTER) PROPOSES TO IMPLEMENT THE EMPOWER BEHAVIORAL HEALTH: A MINORITY HEALTH SYNDEMIC RESPONSE PROJECT. THIS INITIATIVE WILL ENABLE THE AGENCY TO DEVOTE SIGNIFICANT RESOURCES TO EXPANDING ITS CAPACITY TO SERVE CLIENTS WITH HIV/STIS AND/OR SUBSTANCE USE DISORDER (SUD)/CO-OCCURRING DIAGNOSES (COD). IN PARTNERSHIP WITH THREE COLLABORATORS, THE CENTER WILL SERVE 380+ INDIVIDUALS THROUGH INTENSIVE, INTEGRATED SUD AND HIV/STI PREVENTION, EDUCATION, AND TREATMENT, PLUS ADDITIONAL EDUCATION/PREVENTION OFFERINGS FOR POPULATIONS AT ELEVATED RISK FOR BOTH. THE AGENCY WILL ALSO BOLSTER ITS CAPACITY TO PERFORM QUALITY CARE AND RESPOND TO THE SUD AND HIV/STI SYNDEMIC IN CLARK COUNTY, NEV. (EHE PRIORITY JURISDICTION). THE POPULATIONS OF FOCUS ARE: 1) BLACK, LATINO, AND AMERICAN INDIAN/ALASKAN NATIVE MEN WHO HAVE SEX WITH MEN (MSM); 2) YOUTH AGED 13-24 YEARS; AND 3) PEOPLE WHO INJECT DRUGS (PWID). PARTICIPANTS WILL BE LOCATED IN CLARK COUNTY, NEVADA (AN EHE PRIORITY JURISDICTION). PER AGENCY DATA, 38% OF PARTICIPANTS WILL BE WHITE, 21% WILL BE BLACK, 7% WILL BE ASIAN, 2% WILL BE NATIVE AMERICAN/ALASKA NATIVE, 1% WILL BE NATIVE HAWAIIAN/PACIFIC ISLANDER, AND 29% WILL BE SOME OTHER RACE. ALSO, 30% WILL BE HISPANIC. ABOUT 71% OF CLIENTS WILL BE MALE, AND 29% WILL BE FEMALE. ABOUT ONE-THIRD (33%) WILL IDENTIFY AS GAY OR LESBIAN, AND 44% AS HETEROSEXUAL. MORE THAN ONE QUARTER (28.8%) WILL BE MEN WHO HAVE SEX WITH MEN (MSM). ENGLISH IS THE PRIMARY LANGUAGE SPOKEN BY 66.3% OF COUNTY RESIDENTS. EMPOWER BEHAVIORAL HEALTH WILL SERVE AT LEAST 380 INDIVIDUALS DURING THE FIVE-YEAR PROJECT PERIOD (YEAR 1: 50; YEAR 2: 60; YEAR 3: 75; YEAR 4: 90; YEAR 5: 105). SERVICES WILL BE TAILORED TO THE INDIVIDUAL NEEDS OF CLIENTS WHO LIVE WITH OR ARE AT RISK FOR SUD AND/OR HIV/STIS. THE CENTER’S NEWLY-EXPANDED CARE TEAM WILL PROVIDE SUBSTANCE USE PREVENTION AND TREATMENT SERVICES (CREATION OF AN INTENSIVE OUTPATIENT PROGRAM TO INCLUDE OUTREACH, SCREENING/ASSESSMENT FOR SUD/COD, CLINICAL TREATMENT, MAT/MOUD); HIV/STI PREVENTION, EDUCATION, AND TREATMENT; CASE MANAGEMENT; PEER SUPPORT; AND HARM REDUCTION SERVICES. IN COMPLEMENT, THE AGENCY WILL STRENGTHEN ITS INFRASTRUCTURE TO PERFORM QUALITY CARE AND RESPOND TO THE LOCAL SUD AND HIV/STI SYNDEMIC THROUGH ACTIVITIES LIKE AN ORGANIZATIONAL READINESS ASSESSMENT AND EMPLOYEE TRAINING AND WORKFORCE DEVELOPMENT. THE AGENCY WILL ALSO IMPLEMENT FOUR ALLOWABLE ACTIVITIES: A COMMUNICATION CAMPAIGN, A CONTINGENCY MANAGEMENT PROGRAM, RECOVERY HOUSING (VIA PARTNERS), AND SUPPORTIVE COUNSELING/MOTIVATIONAL INTERVIEWING. GOALS: (1) INCREASE ACCESS TO HOLISTIC, INTEGRATED SYNDEMIC PREVENTION AND TREATMENT FOR SUD/OUD/CO-OCCURRING BEHAVIORAL HEALTH CONDITIONS AND HIV/STIS. BUILD A MODEL CENTERED ON REACHING/SERVING SEXUAL, GENDER, RACIAL, AND ETHNIC MINORITY POPULATIONS AT ELEVATED RISK FOR SYNDEMIC HEALTH DISPARITIES. ABRIDGED OBJECTIVES INCLUDE A) INCREASE THE CENTER’S LINKAGE TO CARE STAFF BY 50%; B) INCREASE INDIVIDUALS TESTED FOR HIV/STIS BY 20% BY THE END OF THE FIVE-YEAR TERM; C) INCREASE INDIVIDUALS PARTICIPATING IN RECOVERY GROUPS 33% BY THE END OF THE FIVE YEARS; (D) INCREASE INDIVIDUALS PARTICIPATING IN PEER SUPPORT SERVICES BY 33% AT THE END OF FIVE YEARS; (E) BY THE END OF YEAR ONE, 53% OF CLIENTS LINKED TO RECOVERY HOUSING WILL EXIT THEIR HOUSING PROGRAM SUCCESSFULLY; AND (F) AT LEAST 75% OF IOP CLIENTS WILL PARTICIPATE SUCCESSFULLY IN CONTINGENCY MANAGEMENT. (2) INCREASE THE CENTER’S CAPACITY AND OVERALL COMMUNITY CAPACITY TO IDENTIFY INDIVIDUALS AT-RISK FOR SYNDEMIC SUD/OUD/COD AND HIV/STIS, LINK THEM INTO HOLISTIC INDIVIDUALIZED TREATMENT, AND SIMULTANEOUSLY STRENGTHEN PREVENTION EFFORTS. ABRIDGED OBJECTIVES INCLUDE A) INCREASE HARM REDUCTION REACH BY INCREASING DISPENSES FROM VENDING MACHINES BY 30% INCREASE BY THE END OF THE FIVE-YEAR TERM; B) INCREASE HARM REDUCTION REACH BY INCREASING UNITS OF NALOXONE AND FENTANYL TEST STRIPS DISTRIBUTED BY 10%.

PURPOSE: THE YOUTH HOMELESSNESS DEMONSTRATION PROGRAM (YHDP) AIMS TO SUPPORT SELECTED COMMUNITIES IN DEVELOPING AND IMPLEMENTING A COORDINATED COMMUNITY APPROACH TO PREVENTING AND ENDING YOUTH HOMELESSNESS. THE POPULATION TO BE SERVED BY THIS DEMONSTRATION PROGRAM IS YOUTH EXPERIENCING HOMELESSNESS, INCLUDING UNACCOMPANIED AND PREGNANT OR PARENTING YOUTH. THE DEMONSTRATION HAS SEVEN PRIMARY OBJECTIVES: • BUILD NATIONAL MOMENTUM. • PROMOTE EQUITY IN THE DELIVERY AND OUTCOMES OF HOMELESS ASSISTANCE. • HIGHLIGHT THE IMPORTANCE OF YOUTH LEADERSHIP. • EVALUATE THE COORDINATED COMMUNITY APPROACH. • EXPAND CAPACITY. • EVALUATE PERFORMANCE MEASURES. • ESTABLISH A FRAMEWORK FOR THE FEDERAL PROGRAM AND TECHNICAL ASSISTANCE COLLABORATION. BEGINNING IN 2016, NEW YHDP COMMUNITIES ARE SELECTED THROUGH A COMPETITIVE PROCESS DEPENDING ON THE ANNUAL FUNDING PROVIDED BY CONGRESS. A MAP OF CURRENTLY FUNDED YHDP SITES IS AVAILABLE AT THE LINK TITLED MAP OF YHDP-FUNDED COC (UNDER YHDP COMMUNITIES) AT HTTPS://WWW.HUDEXCHANGE.INFO/PROGRAMS/YHDP/.; ACTIVITIES TO BE PERFORMED: ELEVEN TYPES OF ASSISTANCE MAY BE PROVIDED THROUGH THE YHDP: 1. ACQUISITION OF REAL PROPERTY (INCLUDING STRUCTURES) FOR USE IN THE PROVISION OF HOUSING OR SUPPORTIVE SERVICES; 2. REHABILITATION OF STRUCTURES TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; 3. NEW CONSTRUCTION, INCLUDING THE BUILDING OF A NEW STRUCTURE OR BUILDING AN ADDITION TO AN EXISTING STRUCTURE FOR USE AS SUPPORTIVE HOUSING; 4. LEASING OF A NEW STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; 5. RENTAL ASSISTANCE, WHICH MAY BE SHORT-TERM, MEDIUM-TERM, OR LONG-TERM, AS WELL AS TENANT-BASED, PROJECT-BASED, OR SPONSOR-BASED, FOR TRANSITIONAL OR PERMANENT HOUSING; 6. SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; 7. OPERATING COSTS OF SUPPORTIVE HOUSING; 8. COSTS OF IMPLEMENTING AND OPERATING HOMELESS MANAGEMENT INFORMATION SYSTEM (HMIS); 9. PROGRAM ADMINISTRATIVE COSTS; 10. RELOCATION COSTS; AND 11. INDIRECT COSTS IN ACCORDANCE WITH 2 CFR PART 200, AS APPLICABLE. NO ASSISTANCE PROVIDED UNDER THIS PROGRAM (OR ANY STATE OR LOCAL GOVERNMENT FUNDS USED TO SUPPLEMENT THIS ASSISTANCE) MAY BE USED TO REPLACE STATE OR LOCAL FUNDS PREVIOUSLY USED, OR DESIGNATED FOR USE, TO ASSIST HOMELESS PERSONS OR PERSONS AT-RISK OF HOMELESSNESS.; EXPECTED OUTCOMES: AS A RESULT OF DEVELOPING AND IMPLEMENTING A COORDINATED COMMUNITY APPROACH TO PREVENTING AND ENDING YOUTH HOMELESSNESS, THERE WILL BE: • SIGNIFICANT DECREASE IN THE NUMBER OF YOUTH EXPERIENCING HOMELESSNESS. • INCREASED INCOME, EDUCATION, HEALTH, AND SOCIAL/EMOTIONAL WELL-BEING OF PARTICIPANTS. • COMMUNITY-LEVEL UNDERSTANDING OF THE NUMBER AND NEEDS OF YOUTH AT-RISK OF AND EXPERIENCING HOMELESSNESS. • NEW OR IMPROVED PARTNERSHIPS BETWEEN YOUTH-SERVING ORGANIZATIONS IN THE COMMUNITY.; INTENDED BENEFICIARIES: HOMELESS UNACCOMPANIED YOUTH (AGE 24 AND YOUNGER) AND HOMELESS YOUTH (AGE 24 AND YOUNGER) WITH CHILDREN.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

THE GRANTS FOR OUTREACH AND SERVICES TO UNDERSERVED POPULATIONS (UNDERSERVED PROGRAM) WAS STATUTORILY CREATED IN THE VIOLENCE AGAINST WOMEN REAUTHORIZATION ACT OF 2013 (VAWA 2013) TO DEVELOP AND IMPLEMENT OUTREACH STRATEGIES TARGETED AT ADULT OR YOUTH VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, OR STALKING IN UNDERSERVED POPULATIONS, AND TO PROVIDE VICTIM SERVICES TO MEET THE NEEDS OF SUCH POPULATIONS. GRANT FUNDS MAY BE USED TO: 1) WORK WITH FEDERAL, STATE, TRIBAL, TERRITORIAL, AND LOCAL GOVERNMENTS, AGENCIES, AND ORGANIZATIONS TO DEVELOP OR ENHANCE POPULATION SPECIFIC VICTIM SERVICES; 2) STRENGTHEN THE CAPACITY OF UNDERSERVED POPULATIONS TO PROVIDE POPULATION SPECIFIC VICTIM SERVICES; 3) STRENGTHEN THE CAPACITY OF TRADITIONAL VICTIM SERVICE PROVIDERS TO PROVIDE POPULATION SPECIFIC VICTIM SERVICES; 4) STRENGTHEN THE EFFECTIVENESS OF CRIMINAL AND CIVIL JUSTICE INTERVENTIONS BY PROVIDING TRAINING FOR LAW ENFORCEMENT, PROSECUTORS, JUDGES, AND OTHER COURT PERSONNEL ON DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, OR STALKING IN UNDERSERVED POPULATIONS; 5) WORK IN COOPERATION WITH AN UNDERSERVED POPULATION TO DEVELOP AND IMPLEMENT OUTREACH, EDUCATION, PREVENTION, AND INTERVENTION STRATEGIES THAT HIGHLIGHT AVAILABLE RESOURCES AND THE SPECIFIC ISSUES FACED BY VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, OR STALKING FROM UNDERSERVED POPULATIONS; OR, 6) STRENGTHEN THE RESPONSE OF SOCIAL AND HUMAN SERVICES BY PROVIDING POPULATION-SPECIFIC TRAINING FOR SERVICE PROVIDERS ON DOMESTIC VIOLENCE, DATING VIOLENCE SEXUAL ASSAULT, OR STALKING IN UNDERSERVED POPULATIONS. ELIGIBLE APPLICANTS ARE LIMITED TO: POPULATION SPECIFIC ORGANIZATIONS OR VICTIM SERVICE PROVIDERS THAT ARE (1) DEAF PROGRAMS (2) LESBIAN, GAY, BISEXUAL, AND TRANSGENDER (LGBT) ORGANIZATIONS, (3) ORGANIZATIONS SERVING UNDERSERVED RELIGIOUS POPULATIONS, (4) DISABILITY PROGRAMS, OR (5) ORGANIZATIONS SERVING CERTAIN UNDERSERVED RACIAL AND ETHNIC POPULATIONS. THE GAY AND LESBIAN COMMUNITY CENTER (THE CENTER) SERVES THE LGBTQ+ COMMUNITY OF SOUTHERN NEVADA WITH VARIOUS SERVICES. ANNUALLY, THE CENTER PROVIDES RESOURCES AND SERVICES TO AROUND 172 VICTIMS OF CRIME. TO INCREASE EFFORTS TO SERVE SURVIVORS IN THE LGBTQ+ COMMUNITY, THE CENTER WILL LAUNCH PROJECT RESILIENCE AND EMPOWERMENT FOR LGBTQ+ YOUTH AND FAMILIES WITH THE PURPOSE OF PROVIDING ADVOCACY TO LGBTQ+ YOUTH AND FAMILIES, PROVIDE WORKSHOPS FOR YOUTH AND FAMILIES, PROVIDE TRAININGS FOR EDUCATORS, AND LAUNCH AN ONLINE HUB FOR PROJECT CAN INCLUDING ACCESS TO AN ARRAY OF RESOURCES SUCH AS EDUCATIONAL MATERIALS. ADVOCACY PROGRAMMING WILL INCLUDE CRISIS HOTLINE OPERATION, ONSITE ADVOCACY, AND EMERGENCY SHELTER PROVISION. TRAININGS AND EDUCATIONAL MATERIALS WILL INCLUDE TOPICS SUCH AS PREVENTION & INTERVENTION AND ADVOCACY ENHANCEMENT.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - ADDRESS: 401 S. MARYLAND PARKWAY, LAS VEGAS, NV 89101 PROJECT DIRECTOR NAME: DR. LEANA RAMIREZ CONTACT PHONE NUMBERS: 702-476-9436 EMAIL ADDRESS: LRAMIREZ@THECENTERLV.ORG WEBSITE ADDRESS: HTTPS://THECENTERLV.ORG/ GRANT PROGRAM FUNDS REQUESTED: $149,992 THE GAY AND LESBIAN COMMUNITY CENTER OF SOUTHERN NEVADA (THE CENTER) PROPOSES A HIV CARE INNOVATION PROJECT. THE PROPOSED ACTIVITY IS COORDINATION OR INTEGRATION OF HIV PRIMARY CARE WITH ORAL HEALTH AND/OR BEHAVIORAL HEALTH CARE. IN COLLABORATION WITH THE COMMUNITY COUNSELING CENTER, THE UNIVERSITY OF NEVADA, LAS VEGAS SCHOOL OF DENTAL MEDICINE, AND THE HUNTRIDGE FAMILY CLINIC, THE CENTER WILL CREATE AND IMPLEMENT STRATEGIES, POLICIES, AND PROCEDURES TO SEAMLESSLY PROVIDE HIV PRIMARY CARE, ORAL HEALTH CARE, AND BEHAVIORAL HEALTH CARE IN LAS VEGAS, NEVADA.