Jwch Institute Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

WESLEY BEHAVIORAL HEALTH AND WELLNESS PROGRAM (WBHWP) - PROJECT NAME/SYNOPSIS: WESLEY BEHAVIORAL HEALTH AND WELLNESS PROGRAM JWCH’S PROPOSED PROJECT AIMS TO REDUCE HEALTH DISPARITIES BY PROVIDING COMPREHENSIVE, COORDINATED BEHAVIORAL HEALTH CARE BY ESTABLISHING A NEW CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC). THE NEW CLINIC WILL OUTREACH TO INDIVIDUALS NEEDING BEHAVIORAL HEALTH CARE, SCREEN/ASSESS FOR MENTAL AND SUBSTANCE USE DISORDERS, SUPPORT RECOVERY FROM MENTAL ILLNESS/SUD BY PROVIDING ACCESS TO HIGH QUALITY MENTAL/SUD SERVICES, REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. POPULATIONS TO BE SERVED: THE POPULATION OF FOCUS WILL INCLUDE HOMELESS AND UNSTABLY HOUSED MEN AND WOMEN OF ALL AGES AND THEIR FAMILIES WHO ARE EXPERIENCING SUBSTANCE USE DISORDERS (SUD), INCLUDING THOSE WITH SERIOUS MENTAL ILLNESS, SUD, INCLUDING OPIOID USE; CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED), AND INDIVIDUALS EXPERIENCING A MENTAL OR SUBSTANCE USE-RELATED CRISIS IN THE SKID ROW AREA OF DOWNTOWN/METRO LOS ANGELES. JWCH (WESLEY HEALTH) WILL PROVIDE MENTAL AND SUD SERVICES TO THE ABOVE LISTED POPULATION OF FOCUS IN THE WESLEY BEHAVIORAL HEALTH AND WELLNESS CENTER TO BE PROVIDED OUT OF THE NEWLY ACQUIRED BUILDING LOCATED ON 515 CROCKER ST. LOS ANGELES, CA, 90013. THE PROPOSED SITE IS LOCATED NEXT TO JWCH’S LARGEST MEDICAL CLINIC FOR THE HOMELESS, CENTER FOR COMMUNITY HEALTH. THE METRO LA AREA REPRESENTS THE HIGHEST % OF PAST MONTH BINGE ALCOHOL USE, AGES 18-25: 38.5%. THE SKID ROW/METRO AREA OF LA IS WIDELY RECOGNIZED AS THE MOST DENSELY CONCENTRATED AREA WITH PERSONS WITH MENTAL DISORDERS. MORE THAN HALF (56.9%) OF LAC RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. AMONG MEDICAID ELIGIBLE INDIVIDUALS, 50.3% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME (U.S. CENSUS, 2020). STRATEGIES AND INTERVENTIONS: JWCH WILL UTILIZE THE FOLLOWING EVIDENCE-BASED INTERVENTIONS: (1) COGNITIVE BEHAVIORAL THERAPY (CBT), (2) MOTIVATIONAL INTERVIEWING, AND (3) INTENSIVE CASE MANAGEMENT. PROJECT GOALS/OBJECTIVES: GOAL: THIS PROJECT WILL INCREASE ACCESS AND ENGAGEMENT IN BEHAVIORAL HEALTH CARE AND REDUCE THE IMPACT OF SUD AND MENTAL ILLNESS. THROUGH THE LIFE OF THE PROJECT JWCH WILL REACH 1,490 TOTAL PERSONS OF THE POPULATIONS OF FOCUS NEEDING BEHAVIORAL HEALTH SERVICES. OBJECTIVES: THE ABOVE GOAL WILL BE ACHIEVED THROUGH THE FOLLOWING PROJECT OBJECTIVES. - OBJECTIVE 1: BY THE END OF YEAR 1, JWCH WILL PROVIDE 100 TARGETED INDIVIDUALS WITH MENTAL HEALTH SERVICES (YR1: 100, YRS 2-3: 180). - OBJECTIVE 2: BY THE END OF YEAR 1, JWCH WILL PROVIDE 130 INDIVIDUALS WITH SUBSTANCE USE DISORDER SERVICES (YR1: 130, YRS 2-4: 240). *A MINIMUM OF 60% OF CLIENTS RECEIVING MENTAL AND SUD SERVICES WILL RECEIVE CASE MANAGEMENT TO HELP COORDINATE CARE. *A MINIMUM OF 110 CLIENTS WILL RECEIVE MENTAL/ SUD CRISIS INTERVENTION, ANNUALLY.

CAPITAL DEVELOPMENT

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

JWCH TCE/HIV PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

CULTURALLY-AFFIRMING, RESPONSIVE EMPOWERMENT PROJECT (CARE) - CDC NOFO PS21-2102PROJECT ABSTRACT SUMMARYAPPLICANT ORGANIZATION: JWCH INSTITUTE, INC. (JWCH)PROJECT TITLE: CULTURALLY?AFFIRMING, RESPONSIVE, EMPOWERMENT PROJECT (CARE) PROJECTJWCH, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IS APPLYING FOR CDC?RFA?PS21?2102.JWCH PROPOSES TO TARGET AFRICAN AMERICAN AND LATINO/HISPANIC MSM ANDTRANSGENDERED WOMEN (TRANSWOMEN) OF AGE 18 AND ABOVE, WHO ARE HOMELESS, UNSTABLYHOUSED, OR LOW INCOME IN THE DOWNTOWN (SKID ROW), SOUTH AND EAST LOS ANGELES AREAS OF LOSANGELES COUNTY (LAC). THE TARGET GROUPS INCLUDE PERSONS LIVING WITH HIV AND HIGH?RISK NEGATIVEINDIVIDUALS. HIV IN LAC CONTINUES TO DISPROPORTIONATELY IMPACT GAY, BISEXUAL, AND OTHER MENWHO HAVE SEX WITH MEN (MSM) OF COLOR REPRESENTING THE HIGHEST NUMBER OF THOSE INFECTED ATMORE THAN 86% (INCLUDES MSM WHO INJECT DRUGS) OF THE COUNTY?S EPIDEMIC. IT IS IMPORTANT TOADDRESS HIV?RELATED HEALTH DISPARITIES AMONG THESE POPULATIONS IN LA COUNTY BECAUSE THEYCARRY THE HIGHEST BURDEN OF DISEASE AND NEW INFECTIONS. APPROXIMATELY 2,000 PEOPLE ARE NEWLYINFECTED WITH HIV ANNUALLY AND 9,500 OF WHOM ARE UNAWARE OF THEIR HIV INFECTION.THIS PARTNERSHIP INITIATIVE PROPOSES TO COMBAT HIV THROUGH OUR CULTURALLY?AFFIRMING, RESPONSIVEEMPOWERMENT PROJECT (CARE), WHICH IS DIRECTLY ALIGNED WITH THE ENDING THE HIV EPIDEMIC (EHE)PLAN AND CDC?S HIGH?IMPACT HIV PREVENTION PROGRAM. CARE PROJECT PROPOSES TO ACHIEVE THEABOVE STATED OUTCOMES THROUGH A CULTURALLY AND LINGUISTICALLY COMPETENT, LOCALLY FOCUSED,COMPREHENSIVE MODEL, WHICH WILL IMPLEMENT POPULATION?SPECIFIC INTERVENTIONS SUPPORTED BYCDC AND THE LOCAL HEALTH DEPARTMENT: 1) DIAGNOSE: TARGETED HIV/STD TESTING (1,300) ANDINTEGRATED STD/HCV SCREENING USING SOCIAL NETWORK STRATEGIES AND OTHER OUTREACH STRATEGIES INGAY BATHHOUSES AND FESTIVALS, AND MOBILE UNIT TESTING; 2) TREAT: LINKAGE/RE?ENGAGEMENT OFPLWH INTO HIV MEDICAL CARE TO INCLUDE LINKAGE TO CARE (LTC) (80), INITIATION OF ART USINGPARTNERSHIP FOR HEALTH (50), REFERRALS TO PARTNER S ERVICES (40), AND WEB APPLICATIONS(POZTRACKER); 3)PREVENT: SERVICES FOR HRN PERSONS INCLUDING COMMUNITY PROMISE AND REFERRALSTO PREP/NPEP (300); 4) CONDOM DISTRIBUTION (10,000); AND 4) RESPOND: COLLABORATION WITH THELOCAL HEALTH DEPARTMENT TO IMPROVE HIV PLANNING SUING CLUSTERED MAPPING.EXPECTED DISTAL OUTCOMES WILL INCLUDE THE FOLLOWING: 1) REDUCE HIV TRANSMISSION; 2) INCREASE THENUMBER OF HIV?POSITIVE PERSONS WITH SUPPRESSED VIRAL LOAD; 3) INCREASE THE NUMBER OF HRNPERSONS RECEIVING PREP AND/OR NPEP; 4) INCREASE THE NUMBER OF HIV?POSITIVE AND HRN PERSONSWHO USE CONDOMS.JWCH REQUESTS $521,050 IN FUNDING TO CARRY OUT THE ABOVE ACTIVITIES.

HIV/AIDS, SUBSTANCE ABUSE SERVICES

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

LOS ANGELES SUBSTANCE USE AND MENTAL DISORDERS TREATMENT PROJECT (LAST) - SUMMARY: JWCH'S LOS ANGELES SUBSTANCE USE AND MENTAL DISORDERS TREATMENT PROJECT (LAST), IN PARTNERSHIP WITH WEINGART CENTER, AIMS TO CONTINUE EFFORTS BEGUN WITH THREE PREVIOUS FUNDING CYCLES (2007-22) TO INCREASE ENGAGEMENT IN CARE FOR RACIAL AND ETHNIC UNDERREPRESENTED PERSONS WITH SUBSTANCE USE DISORDER AND/OR CO-OCCURRING PSYCHIATRIC DISORDERS; AND REDUCE ACQUISITION OF INFECTIOUS DISEASES (HIV, VIRAL HEPATITIS) ACHIEVED THROUGH THE USE OF EVIDENCE-BASED PRACTICES. SERVICES WILL BE PROVIDED AT THE LARGEST CLINIC DEDICATED TO HOMELESS HEALTHCARE IN CALIFORNIA, JWCH CENTER FOR COMMUNITY HEALTH, LOCATED IN THE HEART OF SKID ROW LOS ANGELES. PROJECT NAME: LOS ANGELES SUBSTANCE USE AND MENTAL DISORDERS TREATMENT PROJECT (LAST) POPULATION: THE POPULATION OF FOCUS IS BLACK/AFRICAN-AMERICAN AND HISPANIC/LATINX MEN AND WOMEN EXPERIENCING HOMELESSNESS OR ARE UNSTABLY HOUSED, OF AGE 18 AND ABOVE, INCLUSIVE OF (BASED ON LOCAL EPIDEMIOLOGY DATA ON HIV) THE UNDER-RESOURCED POPULATION OF GAY, BISEXUAL MEN, AND MEN WHO HAVE SEX WITH MEN (MSM), IN LOS ANGELES SKID ROW WHO ARE AT RISK FOR OR EXPERIENCING SUBSTANCE USE DISORDER OR CO-OCCURRING MENTAL DISORDERS. SERVICES WILL BE PROVIDED IN SKID ROW LOS ANGELES AT THE LARGEST CLINIC DEDICATED TO HOMELESS HEALTHCARE IN CALIFORNIA, JWCH CENTER FOR COMMUNITY HEALTH. DRUG/ALCOHOL OVERDOSE IS THE LEADING CAUSE OF DEATH AMONG PEOPLE EXPERIENCING HOMELESSNESS IN LOS ANGELES COUNTY (LAC PUBLIC HEALTH IN 2021). IN SKID ROW, BLACK PEOPLE REPRESENT 59%, LATINX 23%, AND GAY/BISEXUAL/GENDER NONCONFORMING PERSONS 8%, OF THE PEOPLE EXPERIENCING HOMELESSNESS (LAHSA 2021). STRATEGIES AND INTERVENTIONS: JWCH WILL CONDUCT THESE EVIDENCE-BASED PRACTICES: 1) MATRIX MODEL INTENSIVE OUTPATIENT SUBSTANCE USE DISORDER TREATMENT; TRAUMA-INFORMED 2) SEEKING SAFETY SUBSTANCE USE AND CO-OCCURRING MENTAL DISORDERS TREATMENT; 3) INTENSIVE CASE MANAGEMENT; AND 4) COMMUNITY PROMISE, A PEER-DRIVEN COMMUNICATION CAMPAIGN FOCUSED ON REDUCING STIGMA RELATED TO HIV, SUD/COD. THIS PROJECT WILL PROVIDE HIV/VIRAL HEPATITIS TESTING AND LINKAGE TO CARE/TREATMENT/CURE/HEPATITIS VACCINATION, LINKAGE TO PREVENTION SERVICES (PREP), SCREENING FOR COD; AND REFERRALS TO PRIMARY CARE, BEHAVIORAL HEALTH, AND OTHER HEALTH/SOCIAL SERVICE RESOURCES. PROJECT GOALS/OBJECTIVES: GOAL: THROUGH THE LIFE OF THE PROJECT JWCH WILL REACH THE POPULATIONS OF FOCUS AT RISK FOR OR EXPERIENCING SUD/COD AND NEEDING ANCILLARY HEALTH, MEDICAL AND SOCIAL SERVICES. - OBJECTIVE 1: BY THE END OF EACH PROJECT YEAR, JWCH WILL DELIVER MATRIX MODEL INTENSIVE OUTPATIENT SUBSTANCE USE DISORDER TREATMENT TO 88 PERSONS OF THE POPULATIONS OF FOCUS, 418 OVER THE LIFE OF THE PROJECT; - OBJECTIVE 2: BY THE END OF EACH PROJECT YEAR, JWCH WILL PERFORM 400 RAPID HIV PRELIMINARY ANTIBODY TESTS TO THE POPULATIONS OF FOCUS, 1900 OVER THE LIFE OF THE PROJECT; 100% OF PERSONS TESTING HIV+ WILL RECEIVE INTENSIVE CASE MANAGEMENT AND BE LINKED TO HIV CARE WITHIN 30 DAYS WITH HIGH RISK NEGATIVES LINKED TO PREVENTION SERVICES (PREP); - OBJECTIVE 3: BY THE END OF EACH PROJECT YEAR, JWCH WILL PERFORM 100 RAPID HBV/HCV TESTS TO THE POPULATIONS OF FOCUS, 475 OVER THE LIFE OF THE PROJECT; 80% OF THOSE TESTING POSITIVE WILL BE LINKED TO CARE/TREATMENT/CURE.

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

SERVICES GRANT PROGRAM FOR RESIDENTIAL TREATMENT FOR PREGNANT AND POSTPARTUM WOMEN (PPW) - SYNOPSIS: JWCH’S PPW PROGRAM SERVICES AIM TO TREAT SUBSTANCE USE DISORDERS FOR PREGNANT, POSTPARTUM, AND PARENTING WOMEN AGED 18 AND OLDER. THIS WILL BE ACHIEVED THROUGH THE DELIVERY OF TRAUMA-INFORMED COMPREHENSIVE SUD TREATMENT SERVICES, HARM REDUCTION AND RECOVERY SUPPORT SERVICES DELIVERED IN BOTH OUTPATIENT AND RESIDENTIAL SETTINGS. SERVICES WILL INCLUDE BUT ARE NOT LIMITED TO OUTREACH, SCREENING, ASSESSMENT, TREATMENT PLANNING, MENTAL HEALTH AND SUD COUNSELING, HARM REDUCTION INCLUDING CONNECTION TO MAT AND SYRINGE EXCHANGE, RECOVERY SUPPORT SERVICES INCLUDING PEER SUPPORT, RECOVERY BRIDGE HOUSING AND INTENSIVE OUTPATIENT SERVICES, AND SUPPLEMENTAL SERVICES FOR WOMEN IN TREATMENT, MINOR CHILDREN, PARTNERS, FATHERS, AND FAMILY, PER WOMAN’S REQUEST. POPULATION: THE POPULATION OF FOCUS WILL BE PREGNANT, POSTPARTUM, AND PARENTING WOMEN AGED 18+, WITH SUD. THIS WILL INCLUDE HOMELESS, LOW-INCOME, REENTRY FROM JAIL OR PRISON, AND OTHER HIGH-NEED WOMEN. WOMEN IN THE CATCHMENT AREA ARE PRIMARILY HISPANIC, BLACK, LOW-INCOME, UNSTABLY HOUSED, AND WITH LOW EDUCATION LEVELS. THE POPULATION OF FOCUS EXPERIENCES BARRIERS TO ACCESSING SUD TREATMENT, BEHAVIORAL HEALTH, AND SOCIAL SERVICES. IN 2020, 20.4% OF WOMEN FROM THE AREA STATED THAT THEY NEEDED HELP WITH EMOTIONAL, MENTAL OR SUBSTANCE MISUSE ISSUES AND ONLY 12.3% OF WOMEN SAW A HEALTH PROVIDER TO ADDRESS THESE. JWCH’S PPW PROGRAM IS UNIQUE IN THAT IT PROVIDES A COMPREHENSIVE WHOLE PERSON APPROACH TO TREATMENT AND ALLOWS WOMEN TO ENTER TREATMENT WHILE CONTINUING TO RESIDE WITH THEIR YOUNG CHILDREN, A FACTOR THAT FEW PROGRAMS IN THE AREA ADDRESS. STRATEGIES AND INTERVENTIONS: JWCH WILL PROVIDE COMPREHENSIVE SUD TREATMENT, HARM REDUCTION AND RECOVERY SUPPORT SERVICES AND WILL UTILIZE THE FOLLOWING EVIDENCE-BASED INTERVENTIONS:(1) SEEKING SAFETY, (2) NURTURING PARENTING PROGRAM, (3) CELEBRATING FAMILIES, (4) HELPING WOMEN RECOVER, AND 5) MOTIVATIONAL INTERVIEWING (6) PEER RECOVERY SUPPORT SERVICES AND (7) INTENSIVE CASE MANAGEMENT. GOALS: JWCH WILL SERVE 35 WOMEN, 20 OF THEIR CHILDREN, AND 25 ADULT FAMILY MEMBERS, FATHERS, AND PARTNERS ANNUALLY (TOTAL OF 175 WOMEN, 100 CHILDREN AND 125 FAMILY/FATHERS/PARTNERS OVER THE COURSE OF THE FIVE-YEAR PROJECT PERIOD). THE PRIMARY GOALS ARE TO REDUCE/ELIMINATE SUBSTANCE ABUSE AMONG PARTICIPANTS, INCREASE PARTICIPANT AND FAMILY (CHILD, FATHERS, PARTNERS, OTHER FAMILY) WELLBEING BY MEETING THE HOLISTIC NEEDS OF PARTICIPANTS AND FAMILY MEMBERS THROUGH PROGRAM SERVICES AND LINKAGE TO ADDITIONAL SERVICES, ADDRESS CHILD ABUSE AND NEGLECT CONCERNS BY PROVIDING PARENTING EDUCATION AND INTERVENTION, AND AIDING IN PARTNER AND FAMILY RENUNCIATION WITH MINOR CHILDREN. OBJECTIVES: THE FOLLOWING WILL BE COMPLETED ANNUALLY: 1) PROVIDE 35 PARTICIPANTS WITH SCREENING/ASSESSMENT AND DEVELOP INDIVIDUALIZED SERVICE PLANS (175 TOTAL DURING 5 YEAR PROJECT), PROVIDE 35 PARTICIPANTS WITH COMPREHENSIVE TRAUMA INFORMED COUNSELING AND TREATMENT, HARM REDUCTION, RECOVERY SUPPORT, AND THERAPEUTIC ACTIVITIES (175 TOTAL), 3) PROVIDE HARM REDUCTION PROGRAMING AND LINKAGE TO NEEDED SERVICES (175 TOTAL), 4) PROVIDE 35 PARTICIPANTS WITH LINKAGES TO HEALTH/SUPPORTIVE SERVICES (175 TOTAL), 5) PROVIDE 20 CHILDREN WITH SCREENING/ASSESSMENT THERAPEUTIC SERVICES, CHILDCARE AND REFERRALS FOR HEALTH/SUPPORTIVE SERVICES (100 TOTAL), 5) PROVIDE 25 FAMILY MEMBERS WITH SCREENING/ASSESSMENT THERAPEUTIC SERVICES, AND REFERRALS FOR HEALTH/SUPPORTIVE SERVICES (125 TOTAL), 6) CONNECT 35 PARTICIPANTS TO OUTPATIENT SERVICES AND RECOVERY BRIDGE HOUSING UPON COMPLETION OF RESIDENTIAL TREATMENT (175 TOTAL), 7) INCREASE COMMUNITY OUTREACH BY BUILDING 2 NEW PARTNERSHIPS ANNUALLY (10 TOTAL).

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

JWCH MTSH RESIDENTIAL SUBSTANCE ABUSE TREATMENT PROGRAM

HIV/SUBSTANCE ABUSE CAPACITY BUILDING INITIATIVE

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

SERVICES GRANT PROGRAM FOR RESIDENTIAL TREATMENT FOR PREGNANT AND POSTPARTUM WOMEN (SHORT TITLE: PPW.

LOS ANGELES SUBSTANCE ABUSE/COD TREATMENT PROJECT (LAST) AIMED AT MSM AND HOMELESS PERSONS IN LOS ANGELES COUNTY

EXPANSION OF JWCH INSTITUTE'S MEDICATION ASSISTED TREATMENT PROGRAM FOR HOMELESS INDIVIDUALS

HEALTH CENTER INFRASTRUCTURE SUPPORT

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

YOUNG MEN'S CONNECTION - SUBSTANCE USE/HIV/STI/VH PREVENTION PROJECT - SAMHSA NOFO: SP-25-005. PREVENTION NAVIGATOR PROJECT NAME: JWCH YOUNG MEN’S CONNECTION (YMC) PROJECT SYNOPSIS: THE JWCH YMC PROJECT'S PURPOSE IS TO PROVIDE SUBSTANCE USE AND HIV PREVENTION SERVICES TO RACIAL AND ETHNIC MINORITY POPULATIONS AT HIGH-RISK FOR SUBSTANCE USE DISORDERS (SUDS) AND HIV INFECTION. THIS WILL BE ACHIEVED THROUGH OUTREACH, SUD AND HIV PREVENTION EDUCATION, HIV/STI/VIRAL HEPATITIS TESTING, REFERRALS TO SUD AND HIV CARE AND TREATMENT SERVICES, EDUCATION FOR PROVIDERS ON SUD AND HIV CARE AND TREATMENT SERVICES, AS WELL AS PREP/PEP, AND COMMUNITY LEVEL PREVENTION CAMPAIGNS USING COMMUNITY PROMISE. POPULATION: THE PRIORITY POPULATION WILL BE UNSTABLY HOUSED AFRICAN AMERICAN/BLACK AND HISPANIC/LATINX MEN HAVING SEX WITH MEN (MSM0, OF AGES 18-35 WHO RESIDE IN SPA 4 (DOWNTOWN LA TO EAST HOLLYWOOD) OF LA COUNTY. STRATEGIES AND INTERVENTIONS: USING THE STRATEGIC PREVENTION FRAMEWORK (SPF) MODEL, JWCH WILL USE TWO COMMUNITY HEALTH WORKERS TO IMPLEMENT THE FOLLOWING EVIDENCE-BASED INTERVENTIONS: (1) OUTREACH (PHYSICAL AND VIRTUAL), (2) SUD/HIV PREVENTION EDUCATION, (3) EDUCATION TO SUD AND HIV CARE AND TREATMENT PROVIDERS, (4) REFERRALS TO SUD/HIV/STI CARE/TREATMENT SERVICES, (5) HIV/STI/HEP TESTING, AND (6) EDUCATION CAMPAIGNS USING COMMUNITY PROMISE, A COMMUNICATION CAMPAIGN FOCUSED ON REDUCING STIGMA RELATED TO SUD/HIV, TO REACH INDIVIDUALS OF PRIORITY POPULATIONS. PROJECT GOALS: 1. TO REDUCE SUBSTANCE USE AMONG THE POPULATION OF FOCUS 2. TO INCREASE ACCESS AND ENGAGEMENT IN CARE AND OPTIMIZE HEALTH OUTCOMES FOR RACIAL AND ETHNIC MINORITIES AT RISK FOR SUD AND HIV; 3. TO REDUCE HIV-RELATED HEALTH DISPARITIES BY STRENGTHENING INTEGRATION OF CARE THROUGH CASE MANAGEMENT; 4. TO REDUCE NEW HIV INFECTIONS, AND PROVIDE TREATMENT TO PERSONS WITH HEPATITIS B/C INFECTIONS; 5. TO ADDRESS HIV THROUGH THE ENDING THE HIV EPIDEMIC IN THE U.S. INITIATIVE AND THE NATIONAL HIV/AIDS STRATEGY WITH A KEY FOCUS ON INCREASING THE NUMBER OF PEOPLE WHO ARE HIV POSITIVE WHO RECEIVE HIV-RELATED HEALTH CARE.

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

SUBSTANCE ABUSE AND HIV PRVN SRVCS FOR AT-RISK RACIAL/ETHNIC MINORITY

LOS ANGELES HIV/SUBSTANCE USE DISORDER INTEGRATION PROJECT (LA HIP), PROVIDING SUBSTANCE ABUSE TREATMENT AND HIV PREVENTION AND TESTING TO PERSONS AT HIGH RISK FOR ACQUIRING HIV, INCLUDING MEN HAVING

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

HUMAN IMMUNODEFICIENCY VIRUS(HIV)PREVENTION PROJECTS FOR CBO

FY 2023 EXPANDING COVID-19 VACCINATION

SERVICES GRANT PROGRAM FOR RESIDENTIAL TREATMENT FOR PREGNANT AND POSTPARTUM WOMEN (SHORT TITLE: PPW

PROJECT PRIDE, THE PURPOSE OF WHICH IS TO INCREASE ENGAGEMENT IN CARE FOR LATINO YOUNG MEN WHO HAVE SEX WITH MEN (LMSM) (18-29), MSM INDIVIDUALS (30+) AND TRANSGENDER WOMEN

FISCAL YEAR 2025 EXPANDED HOURS. - HEALTH CENTER PROGRAM GRANT NUMBER: H80CSO6673. NEEDS TO BE ADDRESSED: JWCH PROPOSES TO EXPAND ITS HOURS OF OPERATION AT OUR CLINICS IN METRO LOS ANGELES’ SERVICE PLANNING AREA 4, CENTER FOR COMMUNITY HEALTH (CCH), AND WESLEY HEALTH CENTERS- VERMONT (WHC- VERMONT) TO ADDRESS PATIENT MEDICAL, DENTAL, MENTAL HEALTH, SUBSTANCE USE DISORDER TREATMENT, AND OTHER SOCIAL SERVICE NEEDS. ACCORDING TO GEOCARE NAVIGATOR, THE TOTAL POPULATION OF OUR SERVICE AREA IN METRO LA (SKID ROW/EAST HOLLYWOOD) IS 560,495. NEARLY HALF (47%) ARE CONSIDERED LOW-INCOME, 85% IDENTIFY AS RACIAL/ETHNIC MINORITIES AND 16% ARE UNINSURED COMPARED TO 10% OF COUNTY RESIDENTS (US CENSUS BUREAU). WITHIN THIS AREA, JWCH OPERATES SEVERAL PRIMARY HEALTH CENTERS IN SKID ROW AND EAST HOLLYWOOD THAT SPECIALIZE IN HOMELESS HEALTHCARE, AS THIS AREA HAS THE LARGEST CONCENTRATION OF CHRONICALLY HOMELESS INDIVIDUALS IN THE COUNTY AND THE NATION. ACCORDING TO THE LAHSA 2023 HOMELESS COUNT, 31% OF HOMELESS PEOPLE IN THE AREA HAVE A SUBSTANCE USE DISORDER (SUD) COUPLED WITH 28% WHO HAVE A SERIOUS MENTAL ILLNESS, AND MANY HAVE FALLEN OUT OF CARE DUE TO CIRCUMSTANCES RELATED TO HOMELESSNESS. THIS GROUP EXPERIENCES UNIQUE BARRIERS TO ACCESS, INCLUDING EXTREME POVERTY, AND MINORITIES, PARTICULARLY BLACK/AFRICAN AMERICANS ARE OVERREPRESENTED AS EXPERIENCING HOMELESSNESS COMPARED TO THEIR PROPORTION OF THE COUNTY POPULATION (37% COMPARED TO 9%). THE COMBINATION OF SDOH INCLUDING POVERTY, HOMELESSNESS, CO-OCCURRING MENTAL HEALTH AND PHYSICAL DISABILITIES, CULTURAL AND LINGUISTIC BARRIERS, LIMITED ACCESS TO TRANSPORTATION AND RESOURCES, AS WELL AS OTHER FACTORS PRESENT EXTRAORDINARY BARRIERS TO ACCESSING HEALTH CARE FOR THESE POPULATIONS. IN RESPONSE TO THIS NEED, THE PROPOSED PROJECT WILL IMPROVE ACCESS TO CARE FOR THIS POPULATION BY INCREASING ITS HOURS OF OPERATION. PROPOSED SERVICES: JWCH PROVIDES COMPREHENSIVE MEDICAL AND DENTAL SERVICES, OPTOMETRY, CHIROPRACTIC CARE, CASE MANAGEMENT, MENTAL HEALTH, PODIATRY, HIV TREATMENT, HIV AND STD TESTING, LABORATORY, RADIOLOGY, SUBSTANCE USE DISORDER TREATMENT, STREET MEDICINE, ON-SITE PHARMACY SERVICES, OUTREACH, AND PATIENT NAVIGATION SERVICES. THROUGH THIS PROJECT, JWCH WILL EXTEND THE HOURS OF AVAILABLE CARE BY 16 HOURS PER WEEK AT CCH AND 24 HOURS A WEEK AT WHC—VERMONT (A TOTAL OF 40 HOURS). THIS WILL INCLUDE EVENING AND WEEKEND APPOINTMENT AVAILABILITY AT BOTH CLINICS. THE SERVICES AVAILABLE DURING THESE EXTENDED HOURS WILL INCLUDE PRIMARY MEDICAL CARE, DENTAL CARE, PHARMACY, LABORATORY DIAGNOSTICS, RADIOLOGY/X-RAY, MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT, PSYCHIATRY, AND ENHANCED CARE MANAGEMENT (ECM) SUPPORT TO IMMEDIATE HOUSING RESOURCES, AND MORE. POPULATION SERVED: THIS PROJECT WILL SERVE THE HOMELESS AND THE GENERAL UNDERSERVED POPULATION OF METRO LOS ANGELES. THIS INCLUDES CHILDREN, ADULTS, AND OLDER ADULTS WHO IDENTIFY AS ETHNIC/RACIAL MINORITIES INCLUDING THOSE WITH LINGUISTIC BARRIERS, LGBTQ+, LOW-INCOME, IMPOVERISHED, AND UNINSURED OR UNDERINSURED.

CAPITAL DEVELOPMENT

AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

SUBSTANCE ABUSE AND HIV PRVN SRVCS FOR AT-RISK RACIAL/ETHNIC MINORITY

ARRA - INCREASE SERVICES TO HEALTH CENTERS

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

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

ACCELERATING CANCER SCREENING - PROJECT DIRECTOR NAME: AL BALLESTEROS CONTACT PHONE NUMBERS: 323-201-4516 EXT. 3017 (VOICE), 323-215-0170 (FAX) EMAIL ADDRESS: ABALLESTEROS@JWCH.ORG WEBSITE: WWW.JWCHINSTITUTE.ORG GRANT FUNDS REQUESTED: $500,000 HEALTH CENTER PROGRAM GRANT #: (H80CS06673) SUMMARY OF PROPOSED SERVICES AND PARTNERSHIP(S): JWCH IS PARTNERING WITH NCI-DESIGNATED CANCER CENTER, CITY OF HOPE, FOR THIS PROJECT WITH THE GOAL OF INCREASING ACCESS AND ADDRESSING BARRIERS TO CERVICAL, BREAST AND COLORECTAL CANCER SCREENING AND REFERRAL TO CARE AND TREATMENT. OUR MULTI-COMPONENT PROGRAM WILL INCLUDE: (1) TEAM-BASED PATIENT NAVIGATION OF CANCER SCREENING, ABNORMALITIES, DIAGNOSTICS, AND TREATMENT, LEVERAGING EXISTING INFRASTRUCTURE AND RESOURCES TO RESOLVE MEDICAL, SOCIAL, AND SYSTEM BARRIERS TO SCREENING AND FOLLOW-UP CARE; (2) A PUBLIC HEALTH CAMPAIGN TITLED CANCER SCREENING FOR LIFE, INVOLVING LINGUISTICALLY AND CULTURALLY RESPONSIVE IN REACH AND OUTREACH STRATEGIES FOR EXISTING PATIENTS (E.G., TEXT MESSAGES, PATIENT PORTAL ENGAGEMENT, POINT OF CARE MESSAGES, NEWSLETTER) AND MULTIETHNIC COMMUNITY OUTREACH (E.G., COMMUNITY EVENTS, MEDIA, NEWSPAPERS); (3) EXPANDED ACCESS TO SCREENING THROUGH PARTNERSHIP WITH CITY OF HOPE’S MOBILE CANCER SCREENING UNIT; (4) QUALITY IMPROVEMENT WITH ENHANCED WORKFORCE TRAINING AND CLINICAL WORKFLOWS TO FACILITATE ROUTINIZED PROCEDURES FOR SCREENING AND FOLLOW-UP AND DATA COLLECTION AND MONITORING OF ABNORMAL SCREENING TESTS; (5) TECHNICAL UPGRADES TO SUPPORT CANCER EPIDEMIOLOGIC DATA MINING, AND ROBUST PATIENT NAVIGATION TRACKING, REGISTRIES, AND ELECTRONIC MEDICAL RECORD INTEGRATION. OBJECTIVE 1: CERVICAL CANCER SCREENING WILL INCREASE FROM 51.38% (9,983/19,428) TO 67% FOR A MINIMUM GOAL OF 13,061 FEMALE PATIENTS SCREENED BY 2023. - OBJECTIVE 1A: INCREASE THE NUMBER OF PATIENTS ASSISTED WITH ACCESSING APPROPRIATE FOLLOW-UP CARE (E.G., DIAGNOSTIC SERVICES, THERAPIES, CLINICAL TRIALS) WITHIN 30 DAYS OF RECEIVING AN ABNORMAL CERVICAL CANCER SCREENING TEST RESULT FROM 71.43% (50/70) TO 90% BY DECEMBER 31, 2023. OBJECTIVE 2: BREAST CANCER SCREENING WILL INCREASE FROM 61.52% (5,380/8,745) TO 79% FOR A MINIMUM GOAL OF 6,994 FEMALE PATIENTS SCREENED BY DECEMBER 31, 2023. - OBJECTIVE 2A: INCREASE THE NUMBER OF PATIENTS ASSISTED WITH ACCESSING APPROPRIATE FOLLOW-UP CARE (E.G., DIAGNOSTIC SERVICES, THERAPIES, CLINICAL TRIALS) WITHIN 30 DAYS OF RECEIVING AN ABNORMAL BREAST CANCER SCREENING TEST RESULT TO 90% BY DECEMBER 31, 2023. OBJECTIVE 3: COLORECTAL CANCER SCREENING WILL INCREASE FROM 43.54% (7,602/ 17,458 AMONG ADULTS AGES 50-75 YEARS) TO 60.5 (10,474/17,458 AMONG ADULTS AGES 45-75) WITH A MINIMUM GOAL OF 10,474 PATIENTS AGES 45-75 SCREENED BY 2023. - OBJECTIVE 3.A: INCREASE THE NUMBER OF PATIENTS ASSISTED WITH ACCESSING APPROPRIATE FOLLOW-UP CARE (E.G., DIAGNOSTIC SERVICES, THERAPIES, CLINICAL TRIALS) WITHIN 30 DAYS OF RECEIVING AN ABNORMAL COLORECTAL CANCER SCREENING TEST RESULT TO 90% BY DECEMBER 31,2023. NEEDS TO BE ADDRESSED: THE PRIMARY FOCUS OF THIS PROJECT IS TO PROVIDE COMMUNITY OUTREACH, INCREASE CERVICAL, BREAST, AND COLORECTAL CANCER SCREENING, IMPROVE DETECTION, REFERRAL TO CARE, AND PROVIDE INCREASED TREATMENT SERVICES TO UNDERSERVED POPULATIONS. THIS PROJECT WILL ALSO ADDRESS PATIENT BARRIERS TO ACCESSING CARE AND SOCIAL DETERMINANTS OF HEALTH INCLUDING ENROLLMENT INTO HEALTH INSURANCE BENEFITS AND PROVIDING MENTAL HEALTH AND EMOTIONAL SUPPORT TO PATIENTS, FAMILY AND CAREGIVERS. POPULATION GROUP(S) TO BE SERVED: THIS PROJECT WILL REACH LOW-INCOME HISPANIC/LATINO, AFRICAN AMERICAN AND OTHER PERSONS OF COLOR IN JWCH’S SERVICE AREA THROUGHOUT LOS ANGELES COUNTY, INCLUDING REMOTE/RURAL COMMUNITIES IN THE ANTELOPE VALLEY. THIS POPULATION ALSO INCLUDES A SUBSTANTIAL HCH POPULATION EXPERIENCING HOMELESSNESS IN SKID ROW AND METRO LOS ANGELES.

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE - DEMONSTRATION/IMPLEMENTATION SITES

HOMELESS ASSISTANCE

HEALTH CARE AND OTHER FACILITIES

HOMELESS ASSISTANCE

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - ADDRESS: 6336 FLORENCE AVENUE, BELL GARDENS, CA 90201 PROJECT DIRECTOR NAME: DR. ANA ORTIZ, DDS CONTACT PHONE NUMBERS (VOICE, FAX) 323.201.4516 FAX: 323.215.0245 EMAIL ADDRESS: AORTIZ@JWCH.ORG WEBSITE ADDRESS: WWW.JWCHINSTITUTE.ORG GRANT PROGRAM FUNDS REQUESTED: $300,000 SUMMARY: JWCH INSTITUTE, INC. (JWCH) RESPECTFULLY REQUESTS SUPPORT FOR OUR NEW DENTAL CLINIC LOCATED IN THE CITY OF BELL GARDENS, WITHIN CONGRESSIONAL DISTRICT 40. JWCH OPERATES A PRIMARY CARE CLINIC IN BELL GARDENS, WHICH PRIMARILY SERVES LOW INCOME AND HISPANIC/LATINO PATIENTS. PRIOR TO OPENING OUR BELL GARDENS DENTAL CLINIC, WE HAD TO REFER PATIENTS WITH ORAL HEALTH NEEDS TO OUR NEARBY DENTAL CLINICS IN THE CITIES OF LYNWOOD AND NORWALK. OUR PATIENTS PRIMARILY TRAVEL BY BUS OR FOOT TO ACCESS THEIR CARE, AND THE NEED TO TRAVEL OUTSIDE THEIR COMMUNITY FOR ORAL HEALTH CARE POSED A BARRIER TO ACCESS. TO MEET EXISTING PATIENT AND COMMUNITY NEEDS, JWCH OPENED THIS 3200 SQ. FT. DENTAL CLINIC WHICH PROVIDES 8 DENTAL OPERATORIES, AN X-RAY ALCOVE, STERILIZATION AREA AND A LABORATORY. PROJECT NAME: WESLEY HEALTH CENTERS- BELL GARDENS DENTAL CLINIC POPULATION: THIS FUNDING WILL BENEFIT THE LOCAL COMMUNITY OF BELL GARDENS AND SURROUNDING RESIDENTS (MONTEBELLO, BELL, SOUTH GATE, HUNTINGTON PARK) WHO ARE PRIMARILY LOW-INCOME HISPANIC/LATINO FOUND WITHIN CONGRESSIONAL DISTRICT CA040. THIS NEW DENTAL CLINIC WILL EXPAND ACCESS TO ORAL HEALTH SERVICES TO LOW-INCOME RESIDENTS AND COMMUNITIES OF COLOR. JWCH INSTITUTE. IT IS ESTIMATED THAT THIS FUNDING WILL SERVE APPROXIMATELY 9,800 PERSONS IN THE COMING THREE YEARS, WITH MORE BEING SERVED IN FUTURE YEARS.

FY 2023 BRIDGE ACCESS PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

HEALTH CARE AND OTHER FACILITIES

HEALTHY MEDIA PROJECT

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

HEALTH CARE AND OTHER FACILITIES

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

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

JWCH TCE/HIV PROGRAM