Aids Project Los Angeles Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

ACCION MUTUA/SHARED ACTION CAPACITY BUILDING ASSISTANCE PROGRAM FOR COMMUNITY BAS

HEALTHY HIM: A COMPREHENSIVE, INTEGRATED HIV PREVENTION INITIATIVE TO REDUCE NEW HIV INFECTIONS AMONG MSM OF COLOR AGES 18-39 IN LOS ANGELES COUNTY, CALIFORNIA - APLA HEALTH & WELLNESS (APLA H&W) - ONE OF THE NATION?S OLDEST AND MOST EXPERIENCED GRASSROOTS HIV PREVENTION AND SERVICE AGENCIES - REQUESTS FUNDING THROUGH THE CDC?S FY 2021 COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAMS FOR COMMUNITY-BASED ORGANIZATIONS (PS21-2102) TO IMPLEMENT HEALTHY HIM, AN INNOVATIVE, COMPREHENSIVE HIV PREVENTION INITIATIVE DESIGNED TO SIGNIFICANTLY REDUCE THE NUMBER AND INCIDENCE OF NEW HIV INFECTIONS IN LOS ANGELES (LA) COUNTY, CALIFORNIA. HEALTHY HIM WILL WORK TO PREVENT HIV AMONG MEN WHO HAVE SEX WITH MEN (MSM) OF COLOR AGES 18-39, WITH A FOCUS ON AFRICAN AMERICAN AND LATINX MSM, THE TWO GROUPS MOST DISPROPORTIONATELY IMPACTED BY THE LOCAL HIV CRISIS. HEALTHY HIM WILL IMPLEMENT AN INTEGRATED MATRIX OF HIGH-IMPACT HIV PREVENTION ACTIVITIES WORKING OUT OF THREE NEIGHBORHOOD-BASED APLA H&W LOCATIONS SITUATED IN THE HARDEST-HIT AREAS OF LA COUNTY: THE GLEICHER / CHEN HEALTH CENTER IN THE BALDWIN HILLS REGION; THE AGENCY?S LONG BEACH HEALTH CENTER; AND APLA H&W?S NEWEST HEALTH CENTER ON THE CAMPUS OF THE MARTIN LUTHER KING / CHARLES R. DREW MEDICAL CENTER IN SOUTH LOS ANGELES. HEALTHY HIM WILL APPLY STATE-OF-THE-ART FINDINGS AND EMERGING STRATEGIES TO CONNECT WITH AND ENGAGE THE HIGHEST-RISK MSM OF COLOR IN LA COUNTY IN ORDER TO BOTH PREVENT NEW HIV INFECTIONS AND CONNECT HIV-POSITIVE MSM TO CULTURALLY COMPETENT, HIGH QUALITY HIV MEDICAL SERVICES. KEY 5-YEAR OBJECTIVES OF THE PROGRAM INCLUDE: A) CONDUCTING AT LEAST 2,000 GRANT-FUNDED HIV TESTS; B) PROVIDING AT LEAST 25% OF HIV TESTS (N = 500) IN THE FORM OF HOME TEST KITS; C) IDENTIFYING AT LEAST 40 NEWLY DIAGNOSED HIV-POSITIVE PERSONS; D) CONDUCTING AT LEAST 1,125 INTEGRATED HIV / STD SCREENINGS; E) LINKING AT LEAST 90% OF PERSONS WITH NEWLY DIAGNOSED HIV TO MEDICAL CARE WITHIN 30 DAYS; F) LINKING AT LEAST 75% OF PERSONS WITH NEWLY DIAGNOSED HIV TO MEDICAL CARE WITHIN 14 DAYS; G) IDENTIFYING AND LINKING TO HIV MEDICAL CARE AT LEAST 20 PREVIOUSLY DIAGNOS ED, OUT-OF-CARE PERSONS WITH HIV; H) REFERRING 100% OF NEWLY AND PREVIOUSLY DIAGNOSED PERSONS WITH HIV TO PARTNER SERVICES; I) REFERRING 100% OF HIV-NEGATIVE PERSONS IDENTIFIED THROUGH THE CDC PROGRAM TO PREP SERVICES; J) ENSURING LINKAGE OF AT LEAST 300 HIV-NEGATIVE PERSONS TO PREP SERVICES; AND K) DISTRIBUTING AT LEAST 37,500 CONDOMS, THE MAJORITY AS PART OF SAFE SEX KITS.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

APLA-SHARED ACTION CAPACITY BLDG ASSISTANCE FOR HEALTH DEPTS

EL SALUDABLE!, A COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAM FOR YOUNG LATINX MEN WHO HAVE SEX WITH MEN IN LOS ANGELES COUNTY, CALIFORNIA

APLA-SHARED ACTION CAPACITY BLDG ASSISTANCE FOR HEALTH DEPTS

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

HIV PREVENTION SERVICES FOR YOUNG TRANSGENDER PERSONS OF COLOR AND THEIRPARTNERS REGARDLESS OF AGE, GENDER, AND RACE/ETHNICITY.

AIDS PROJECT LOS ANGELES INC. (APLA)

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

HUMAN IMMUNODEFICIENCY VIRUS (HIV) PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANI

PURPOSE: THE CONTINUUM OF CARE (COC) PROGRAM IS DESIGNED TO PROMOTE COMMUNITY-WIDE COMMITMENT TO THE GOAL OF ENDING HOMELESSNESS; PROVIDE FUNDING FOR EFFORTS BY NONPROFIT PROVIDERS, STATES, AND LOCAL GOVERNMENTS TO QUICKLY HOUSE HOMELESS INDIVIDUALS AND FAMILIES WHILE MINIMIZING THE TRAUMA AND DISLOCATION CAUSED TO HOMELESS INDIVIDUALS, FAMILIES, AND COMMUNITIES BY HOMELESSNESS; PROMOTE ACCESS TO AND EFFECTIVE UTILIZATION OF MAINSTREAM PROGRAMS BY HOMELESS INDIVIDUALS AND FAMILIES; AND OPTIMIZE SELF-SUFFICIENCY AMONG INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. THE MOST RECENT COC AWARD ANNOUNCEMENT LISTING AWARDS BY STATE AND COC IS ACCESSIBLE AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/AWARDS. SELECT THE LINK UNDER THE FUNDING AND AWARD INFORMATION SECTION FOR THE APPROPRIATE FISCAL YEAR.; ACTIVITIES TO BE PERFORMED: CONTINUUM OF CARE PROGRAM FUNDS MAY BE USED TO PAY FOR THE ELIGIBLE COSTS USED TO ESTABLISH AND OPERATE PROJECTS UNDER FIVE PROGRAM COMPONENTS: (1) PERMANENT HOUSING, WHICH INCLUDES PERMANENT SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES, AND RAPID REHOUSING; (2) TRANSITIONAL HOUSING; (3) SUPPORTIVE SERVICES ONLY; (4) HOMELESS MANAGEMENT INFORMATION SYSTEMS (HMIS), AND (5) IN SOME CASES, HOMELESSNESS PREVENTION. THIRTEEN TYPES OF ASSISTANCE MAY BE PROVIDED THROUGH THE CONTINUUM OF CARE (COC) PROGRAM: (1) COC PLANNING ACTIVITIES/COSTS FOR DESIGNING AND CARRYING OUT A COLLABORATIVE PROCESS FOR THE DEVELOPMENT OF AN APPLICATION TO HUD; (2) UNITED FUNDING AGENCY (UFA) COSTS FOR FISCAL CONTROL AND ACCOUNTING NECESSARY TO ASSURE THE PROPER DISBURSAL OF, AND ACCOUNTING FOR, FEDERAL FUNDS AWARDED TO SUBRECIPIENTS UNDER THE CONTINUUM OF CARE PROGRAM, (3) ACQUISITION OF REAL PROPERTY (INCLUDING STRUCTURES) FOR USE IN THE PROVISION OF HOUSING OR SUPPORTIVE SERVICES; (4) REHABILITATION OF STRUCTURES TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (5) NEW CONSTRUCTION, INCLUDING THE BUILDING OF A NEW STRUCTURE OR BUILDING AN ADDITION TO AN EXISTING STRUCTURE FOR USE AS SUPPORTIVE HOUSING; (6) LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (7) 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; (8) SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; (9) OPERATING COSTS OF SUPPORTIVE HOUSING; (10) COSTS OF IMPLEMENTING AND OPERATING HMIS; (11) PROJECT ADMINISTRATIVE COSTS; (12) RELOCATION COSTS; AND (13) INDIRECT COSTS IN ACCORDANCE WITH 2 CFR PARTS 200, AS APPLICABLE. IN ADDITION TO USING GRANT FUNDS FOR THE ELIGIBLE COSTS DESCRIBED ABOVE, RECIPIENTS AND SUBRECIPIENTS IN CONTINUUMS OF CARE DESIGNATED AS HIGH PERFORMING COMMUNITIES MAY ALSO USE GRANT FUNDS TO PROVIDE HOUSING RELOCATION AND STABILIZATION SERVICES AND SHORT- AND/OR MEDIUM-TERM RENTAL ASSISTANCE TO INDIVIDUALS AND FAMILIES AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT THE INDIVIDUAL OR FAMILY FROM BECOMING HOMELESS. LIMITATION ON USE OF FUNDS: NO ASSISTANCE PROVIDED UNDER 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: DECREASE IN THE NUMBER INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS, MORE SPECIFICALLY USING PERFORMANCE INDICATORS SUCH AS THE LENGTH OF TIME HOMELESS, RETURNS TO HOMELESSNESS OVER TIME, AND EXITS TO PERMANENT HOUSING. COC PERFORMANCE PROFILE REPORTS CAN BE FOUND AT HTTPS://WWW.HUDEXCHANGE.INFO/PROGRAMS/COC/COC-PERFORMANCE-PROFILE-REPORTS/.; INTENDED BENEFICIARIES: INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

CBA (HIV) PREVENTION SERVICES FOR RACIAL/ETHNIC MINORITY POPULATIONS

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

DRUG INTERVENTION CREATING EXCEPTIONAL LIVES (D.I.C.E. LIVES)

CAPACITY BUILDING ASSISTANCE FOR

AIDS PROJECT LOS ANGELES HEALTH & WELLNESS (APLA H&W) PROPOSES IMPACT, A SUBSTANCE ABUSE AND HIV PREVENTION NAVIGATOR PROGRAM FOR AFRICAN-AMERICAN AND LATINO YOUNG (18-24 YEARS OLD) MEN

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - APLA HEALTH & WELLNESS (APLA HEALTH), PROPOSES TO EXPAND ACCESS TO BEHAVIORAL HEALTH FOR THE LOW-INCOME COMMUNITIES SERVED; THE LGBTQ+ POPULATION, INDIVIDUALS LIVING WITH AND/OR AT RISK FOR HIV, AND THE GENERAL LOW-INCOME RESIDENTS LIVING NEAR OUR HEALTH CENTERS. APLA HEALTH’S GRANT NUMBER IS H80CS26614. OUR MISSION IS TO RESTORE DIGNITY AND TRUST WITHIN UNDERSERVED COMMUNITIES BY PROVIDING WORLD-CLASS EMPOWERING HEALTHCARE AND SUPPORT SERVICES. SINCE 1983, APLA HEALTH HAS REMAINED STEADFAST IN ITS COMMITMENT TO ENDING THE HIV/AIDS EPIDEMIC THAT HAS EXPANDED TO NOW OPERATE NINE SERVICE DELIVERY SITES. WE ARE LEADERS IN ADVOCATING FOR POLICY THAT POSITIVELY IMPACT THE LGBTQ+ AND HIV COMMUNITIES. THE BEHAVIORAL HEALTH SERVICES EXPANSION (BHSE) FUNDING IN THE AMOUNT OF $600,000 IN YEAR 1 AND $500,000 IN YEAR 2, WILL SUPPORT EXPANSION OF OUR MENTAL HEALTH (MH), SUBSTANCE USE DISORDER (SUD), AND MEDICATIONS FOR OPIOID USE DISORDER (MOUD) SERVICES. MORE SPECIFICALLY, WE WILL CREATE A NEW POSITION, A FULL-TIME DIRECTOR OF SUD/MOUD SERVICES TO WORK AS PART OF OUR INTEGRATED BEHAVIORAL HEALTH TEAM TO ENSURE THE AVAILABILITY OF SUD/MOUD SERVICES TO ALL PATIENTS ACROSS OUR NETWORK. WE HAVE A HISTORY OF SUCCESS IN INTEGRATING BEHAVIORAL HEALTH AMONG OUR PATIENT POPULATION, INCREASING MH PATIENTS FROM 744 IN CY 2022 TO 944 PATIENTS IN CY 2023, AN INCREASE OF 27%. DURING CY 2023, 44 PATIENTS RECEIVED MOUD FOR OPIOID USE DISORDER FROM OUR FULL-TIME PHYSICIAN THAT IS CERTIFIED IN THE SUBSPECIALTY OF ADDICTION MEDICINE (ADM) ALONG WITH BEING CERTIFIED AS AN HIV SPECIALIST. WHILE APLA HEALTH HAS HISTORICALLY ADDRESSED SUD ISSUES AMONG OUR PATIENTS WHEN INDICATED, OUR PROPOSED BHSE PROJECT WILL IMPLEMENT A ROBUST NEW ASSESSMENT AND INTAKE PROCESS TO CAPTURE PATIENT DATA FOR SUD SPECIFIC ISSUES AND REFER PATIENTS FOR TREATMENT. UPDATED WORKFLOWS WILL BE DEVELOPED AND IMPLEMENTED FOR SUD/MOUD BY OUR PHYSICIAN CHAMPION. A FINAL GOAL OF THE BHSE PROJECT WILL BE TO INTRODUCE AND DEPLOY OUTPATIENT GROUP THERAPY AND EDUCATION SERVICES FOR SUD WITH THE INTENT TO INITIATE AN INTENSIVE OUTPATIENT PROGRAM (IOP) THAT SERVES JUSTICE-INVOLVED AND OTHER LOW-INCOME INDIVIDUALS. THE COMMUNITIES SERVED BY APLA HEALTH FACE DISCRIMINATION, STIGMA, AND STRUGGLE, ESPECIALLY CONCERNING THEIR ACCESS TO CULTURALLY COMPETENT, HIGH QUALITY CARE. OUR PATIENTS ENCOMPASS ALL RACES, ETHNICITIES, AND SOCIAL CLASSES. APLA HEALTH’S SERVICE AREA IS LOCATED IN THE HEAVILY-POPULATED, URBAN CORE OF LOS ANGELES THAT CRISSCROSSES A SIGNIFICANT PORTION OF LOS ANGELES COUNTY. RESEARCH SHOWS THAT PEOPLE WITH HIV HAVE A HIGHER CHANCE OF DEVELOPING MOOD, ANXIETY, AND COGNITIVE DISORDERS. FOR EXAMPLE, DEPRESSION IS ONE OF THE MOST COMMON MENTAL HEALTH CONDITIONS FACED BY PEOPLE WITH HIV. ANOTHER EXAMPLE IS THAT SUDS ARE MORE PREVALENT AMONG PEOPLE WITH HIV THAN THE GENERAL POPULATION. FOR INDIVIDUALS LIVING WITH HIV WHO EXPERIENCE A CO-OCCURRING SUD, EFFECTIVE SUD TREATMENT IMPROVES BOTH HIV- AND SUD-RELATED OUTCOMES. LGBTQ+ INDIVIDUALS ARE AT INCREASED RISK FOR VARIOUS BEHAVIORAL HEALTH ISSUES. FOR EXAMPLE, LGBTQ+ INDIVIDUALS ARE MORE THAN TWICE AS LIKELY AS HETEROSEXUAL INDIVIDUALS TO HAVE A MENTAL HEALTH DISORDER IN THEIR LIFETIME. THEY ARE 2.5 TIMES MORE LIKELY TO EXPERIENCE DEPRESSION, ANXIETY, AND SUBSTANCE MISUSE COMPARED WITH HETEROSEXUAL INDIVIDUALS. DATA FROM THE 2020 NATIONAL SURVEY ON DRUG USE AND HEALTH SUGGEST THAT SUBSTANCE USE PATTERNS REPORTED BY SEXUAL MINORITY ADULTS DIFFER FROM THOSE REPORTED BY HETEROSEXUAL ADULTS. IN 2020, APPROXIMATELY 41.3% OF SEXUAL MINORITY ADULTS 18 AND OLDER REPORTED PAST-YEAR MARIJUANA USE, COMPARED TO 18.7% OF THE OVERALL ADULT POPULATION. APPROXIMATELY 6.7% OF SEXUAL MINORITY ADULTS IN 2020 MISUSED OPIOIDS IN THE PAST YEAR, COMPARED TO 3.6% OF THE OVERALL ADULT POPULATION. THE SURVEY ALSO FOUND THAT, IN 2020, APPROXIMATELY 21.8% OF SEXUAL MINORITY ADULTS HAD AN ALCOHOL USE DISORDER IN THE PAST YEAR, COMPARED TO 11.0% I N THE OVERALL POPULATION.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

DRUG INTERVENTION CREATING EXCEPTIONAL LIVES (D.I.C.E. LIVES)

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

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

AIDS PROJECT LOS ANGELES HEALTH AND WELLNESS (APLA H AND W) PROPOSES IMPACT, A SUBSTANCE ABUSE AND HIV PREVENTION NAVIGATOR PROGRAM FOR AFRICAN-AMERICAN AND LATINO YOUNG (18-24 YEARS OLD) MEN

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

LOW INCOME TAXPAYER CLINIC

LOW INCOME TAXPAYER CLINIC

LOW INCOME TAXPAYER CLINIC

FY 2023 BRIDGE ACCESS PROGRAM

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE