Eastern Maine Healthcare Systems

BANGOR BEACON COMMUNITY PROJECT TO IMPROVE PATIENT CARE AND REDUCE HEALTHCARE COSTS VIA THE MEANINGFUL USE OF HEALTH INF

RESEARCH IN HUMAN CANCER FOR ILMPROVED DIAGNOSIS, PROGNOSIS AND INNOVATION OF THERAPEUTICS STRATEGIES

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - NORTHERN LIGHT AR GOULD HOSPITAL (ARG) WILL REPLACE AND UPGRADE ITS AGING RADIATION TREATMENT EQUIPMENT FOR CANCER PATIENTS, THE ONLY OF ITS KIND IN AROOSTOOK COUNTY A REGION WITH 67,255 PEOPLE (2022) RURALLY SITUATED ON 6,828 SQUARE MILES. THE REPLACEMENT OF THIS EQUIPMENT AND ITS SUPPORTING INFRASTRUCTURE IS CONSISTENT WITH ARG’S PROPOSED CDS PROJECT AS ORIGINALLY PRESENTED. FOR MOST PATIENTS, RADIATION THERAPY IS DELIVERED DAILY, FIVE DAYS A WEEK FOR SEVERAL WEEKS. TRAVELING FOR CANCER CARE CAN BE EXPENSIVE, EXHAUSTING, AND COMPLICATED TO ORGANIZE JUST WHEN PATIENTS ARE FEELING THEIR MOST VULNERABLE AND EXPERIENCING SIDE EFFECTS OF THEIR DISEASE AND TREATMENT. THOSE FROM THE ST. JOHN VALLEY (NORTHERN AROOSTOOK COUNTY) ALREADY TRAVEL A SIGNIFICANT DISTANCE TO RECEIVE CARE IN PRESQUE ISLE (CENTRAL AROOSTOOK COUNTY), WITH SOME DRIVING AS MANY AS ONE HUNDRED MILES TO GET HERE. IF THEY WERE TO HAVE TO TRAVEL TO BREWER (THE LOCATION OF THE NEXT NEAREST RADIATION TREATMENT CENTER) FOR TREATMENT, THIS WOULD NECESSITATE A THREE-HUNDRED-MILE COMMUTE OR SEVERAL DAYS AWAY FROM HOME TO BE CLOSE TO TREATMENT. OUR HEALTHCARE COMMUNITY ALSO RELIES ON THE MULTI-DISCIPLINARY CANCER CARE SERVICES PROVIDED AT ARG AND HAVE ALREADY PLEDGED THEIR SUPPORT OF THIS FUNDING REQUEST. WE HAVE SIGNED LETTERS OF SUPPORT FROM THE LEADERS OF NORTHERN MAINE MEDICAL CENTER, CARY MEDICAL CENTER, AND HOULTON REGIONAL HOSPITAL, AS WELL AS FROM THE AROOSTOOK DISTRICT PUBLIC HEALTH COUNCIL. BY REPLACING OUR LINEAR ACCELERATOR (LINAC), NOT ONLY WILL WE BE KEEPING RADIATION THERAPY ACCESSIBLE IN THE AROOSTOOK COUNTY REGION, BUT WITH NEWER, IMPROVED TECHNOLOGY COMES GREATER PRECISION AND THE ABILITY TO DELIVER NEEDED TREATMENT OVER A SHORTER TIME. THIS PROJECT WILL PURCHASE A NEW LINAC, WHICH PROVIDES CRITICAL, LIFESAVING, PALLIATIVE, OR PAIN REDUCING RADIATION THERAPY FOR CANCER PATIENTS ACROSS AROOSTOOK COUNTY AND INSTALL IT IN THE PLACE OF ARG’S CURRENT LINAC WHICH IS REACHING THE END OF ITS USEFUL LIFE. THE PROJECT WILL ALSO INCLUDE THE REPLACEMENT OF SPECIALIZED HINGES ON THE RADIATION TREATMENT ROOM DOOR AS WELL UPGRADES TO THE HVAC AND ELECTRICAL SYSTEM TO ACCOMMODATE THE INCREASED COOLING REQUIREMENTS FOR THE OPERATION OF THE NEW UNIT. THE TARGET POPULATION FOR THIS PROJECT IS ALL RESIDENTS OR AROOSTOOK COUNTY, MAINE, REQUIRING RADIATION THERAPY TREATMENT.

NORTHERN MAINE RURAL COLLABORATIVE FOR HEALTHY COMMUNITIES

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

RESEARCH IN HUMAN CANCER FOR IMPROVED DIAGNOSIS, PROGNOSIS AND INNOVATION OF THERAPEUTIC STRATEGIES

RESEARCH IN HUMAN CANCER FOR IMPROVED DIAGNOSIS, PROGNOSIS, AND INNOVATION OF THERAPEUTIC STRATEGIES

NORTHERN MAINE RURAL COLLABORATIVE FOR HEALTHY COMMUNITIES

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION - AN AGING AND RURAL STATE, MAINE HAS AN OLDER POPULATION AND A HIGH PREVALENCE OF AGE-ASSOCIATED COGNITIVE DISORDERS, AS WELL AS LITTLE ACCESS TO DEMENTIA SPECIALISTS. WAIT TIMES OF 18 MONTHS TO SEE A DEMENTIA SPECIALIST ARE NOT UNUSUAL. BESIDES THE WAIT, LONG TRAVEL DISTANCES TO SEE SPECIALISTS IS ANOTHER OBSTACLE TO CARE. THE OBJECTIVES OF THE PROGRAM ARE BASED ON THREE RECOGNIZED NEEDS: THE NEED FOR EQUITABLE ACCESS TO HIGH-QUALITY CARE REGARDLESS OF SETTING; THE NEED FOR IMPROVED COORDINATED, INTERDISCIPLINARY, AND INTERINSTITUTIONAL COLLABORATION; AND THE NEED FOR THE INTEGRATION OF EVIDENCE-BASED DEMENTIA CARE AND CLINICAL RESEARCH. TO ADDRESS THE PROBLEM, NORTHERN LIGHT ACADIA HOSPITALS RURAL DEMENTIA CARE TRAINING PROJECT IS DESIGNED TO INCREASE ACCESS TO DEMENTIA SPECIALISTS AND REDUCE DEPENDENCE ON SPECIALTY CLINICS BY INCREASING THE CAPABILITIES OF NON-SPECIALISTS. THE PROGRAM WILL DEVELOP TRAINING MATERIALS FOR ACUTE AND CHRONIC CARE SETTINGS, DEVELOP A STATE-WIDE CLINICAL CONSORTIUM OF DEMENTIA SPECIALISTS TO TRIAGE CASES, CREATE A REGISTRY FOR PERSONS WITH ALZHEIMER’S DISEASE AND RELATED DISORDERS (ADRD), AND TRAIN TWO SUBSPECIALISTS IN GERIATRIC NEUROPSYCHIATRY. ALL OF THESE OBJECTIVES HAVE BEEN IDENTIFIED AS HIGH PRIORITY GOALS BY STAKEHOLDERS IN THE RECENTLY REVISED MAINE CENTER FOR DISEASE CONTROL AND PREVENTION (MECDC) MAINE STATE PLAN FOR ALZHEIMER’S DISEASE. THE PROJECT WILL ESTABLISH A PROGRAM THAT WILL IMPROVE ACCESS TO SPECIALISTS AND IMPROVE ASSESSMENT AND CARE OF DEMENTIA IN PRIMARY AND COMMUNITY CARE SYSTEMS. OUTREACH WILL BE EXTENDED TO ENGAGE UNDERREPRESENTED COMMUNITIES IN TRAINING AND HEALTHY BRAIN AGING LIFESTYLE. THE PROJECT, DESIGNED TO LEAD A DEMENTIA TRAINING PROGRAM FOR OUTPATIENT AND HOSPITAL-BASED PROVIDERS IN PREDOMINANTLY RURAL COUNTIES, HAS THE CAPACITY TO REACH OVER 700 HEALTHCARE PROFESSIONALS IN THESE REGIONS TO ENHANCE DEMENTIA CARE COMPETENCIES AND RESOURCES, AND SUBSEQUENTLY INCREASING PATIENT ACCESS AND IMPROVING HEALTH EQUITY. INVITATION WILL BE SHARED WITH PROVIDERS ACROSS THE NORTHERN LIGHT HEALTH SYSTEM, AND BEYOND, TO PARTICIPATE IN PROJECT INITIATIVES. THE PROGRAM WILL PROVIDE ENDURING EDUCATIONAL RESOURCES FOR PRIMARY CARE AND OTHER PROVIDERS FOR ON-GOING REFERENCE. THESE RESOURCES WILL INCLUDE A MULTI-LAYERED WEBPAGE WITH ASSESSMENT TOOLS, CARE PATHWAY ALGORITHMS EMBEDDED IN THE ELECTRONIC MEDICAL RECORD, INSTRUCTIONAL VIDEOS FOR ON-GOING LEARNING, OPTIONS TO COMMUNICATE WITH THE DEMENTIA SPECIALTY CARE TEAM AND LISTS OF COMMUNITY RESOURCES. HANDS-ON CAREGIVERS IN HOSPITAL, POST-ACUTE AND LONG-TERM CARE SETTINGS WILL ALSO BENEFIT. FOR A LASTING STATE-WIDE IMPACT, THE PROJECT WILL OPERATIONALIZE INFRASTRUCTURE TO PROMOTE COLLABORATION AMONG KEY CLINICAL AND SCIENTIFIC GROUPS TO LEVERAGE EXISTING TALENT, AND CRITICALLY, ALSO ATTRACT NEW, EARLY CAREER CLINICIANS AND SCIENTISTS. SUPPORTING THE LONG-TERM IMPACT OF THIS INITIATIVE, TWO EARLY-CAREER NURSE PRACTITIONERS WILL BE TRAINED AND DEVELOP DEMENTIA-SPECIALTY SKILLS. THE PROJECT WILL CREATE AN ACCREDITED GERIATRIC NEUROPSYCHIATRY FELLOWSHIP FOR PHYSICIANS.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER (EMMC) 489 STATE STREET, BANGOR, ME 04401 PROJECT DIRECTOR: CHRISTOPHER LAIRD CONTACT PHONE NUMBER: 207-973-8560 EMAIL ADDRESS: CLAIRD@NORTHERNLIGHT.ORG HTTPS://NORTHERNLIGHTHEALTH.ORG/EASTERN-MAINE-MEDICAL-CENTER LOCATED AT 489 STATE STREET IN BANGOR, MAINE, EASTERN MAINE MEDICAL CENTER DBA NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER (EMMC) IS A NOT-FOR-PROFIT, 411-BED HEALTHCARE FACILITY. EMMC IS A COMPREHENSIVE REFERRAL CENTER FOR MORE THAN 500,000 MAINE RESIDENTS, MANY OF WHOM RESIDE IN RURAL COMMUNITIES LOCATED IN THE CENTRAL, EASTERN, AND NORTHERN TWO-THIRDS OF THE STATE. EMMC IS ONE OF ONLY TWO HEALTH CARE FACILITIES IN THE STATE EQUIPPED TO PROVIDE ADVANCED TERTIARY AND QUATERNARY CARE SERVICES – INCLUDING A FULLY-EQUIPPED CORONARY CARE AND CARDIAC SURGERY UNIT, TWO INTENSIVE CARE UNITS (ICUS), NEONATAL AND PEDIATRIC ICUS, A JOINT COMMISSION-CERTIFIED PRIMARY STROKE CENTER, A 32-BED EMERGENCY DEPARTMENT, AND AN ACS-CERTIFIED LEVEL II CENTER/REGIONAL REFERRAL CENTER. MORE THAN HALF OF THE HOSPITALS IN MAINE RELY UPON EMMC TO PROVIDE SPECIALTY SERVICES FOR THEIR PATIENT POPULATIONS, INCLUDING ADVANCED VENTILATOR CARE FOR LIFE-THREATENING COVID-19 INFECTIONS. THE NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER VENTILATOR PROJECT REPLACES EMMC’S AGING AND END OF LIFE INPATIENT VENTILATORS WITHIN THE CRITICAL CARE, INTENSIVE CARE AND OTHER HIGH ACUITY CARE CLINICAL AREAS THROUGHOUT THE HOSPITAL. FORTY-TWO UNITS WILL REPLACE THE PRIOR FLEET TO MEET THE CURRENT AND FUTURE NEEDS OF COMMUNITIES WE SERVE. THE TOTAL PROJECT COST IS $1,198,000. EMMC’S CDS REQUEST IS $1,198,000 TO SUPPORT THE TOTAL EQUIPMENT COST.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THIS PROJECT WILL SUPPORT EASTERN MAINE MEDICAL CENTER DBA NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER (EMMC) TO RENOVATE A LEASED SPACE FOR THE PURPOSE OF CREATING AN ONCOLOGY SURVIVORSHIP PROGRAM LOCATED AT 43 WHITING HILL ROAD, BREWER, ME, 04412. THE SPACE IS A LEASED SPACE WITHIN AN EASTERN MAINE HEALTHCARE SYSTEMS DBA NORTHERN LIGHT HEALTH (NLH) OWNED BUILDING. ONCOLOGY SURVIVORSHIP PROGRAMS ENHANCE THE QUALITY OF HEALTH CARE EXPERIENCE AND SURVIVAL RATES FOR CANCER PATIENTS BY PROVIDING PHYSICAL, EDUCATIONAL, PSYCHOSOCIAL, AND FUNCTIONAL SUPPORT. THIS SURVIVORSHIP CLINIC, SERVING THE GREATER NORTHEAST REGION OF MAINE, WILL PROVIDE HOLISTIC CARE FOR SEVERAL HUNDRED CANCER SURVIVORS ANNUALLY IN THIS PREDOMINANTLY RURAL AND UNDERSERVED REGION. ADDITIONALLY, CREATING A SURVIVORSHIP CENTER WILL INCREASE THE REGIONAL HEALTHCARE NETWORK’S CAPACITY TO SERVE ONCOLOGY PATIENTS BY TRANSITIONING THE CARE CONTINUUM FROM MEDICAL ONCOLOGISTS TO SPECIALTY, SURVIVORSHIP TEAMS. IN A REGION WHERE MANY COMMUNITIES ARE MEDICALLY UNDERSERVED, INCREASING PROVIDER CAPACITY AND SUPPORTING THE HEALTHCARE WORKFORCE IS A BENEFIT TO THE OVERALL HEALTHCARE ENVIRONMENT FOR PATIENTS AND PROVIDERS ALIKE. THIS SURVIVORSHIP CLINIC WILL BE THE ONLY ONE OF ITS KIND FOR OVER 150 MILES TO THE NORTH AND EAST OF BANGOR. THE ACTIVITIES DESCRIBED IN THIS APPLICATION ALIGN WITH THE FUNDING REQUESTED TO CREATE A CLINICAL SPACE FOR THE EMMC CANCER SURVIVORSHIP PROGRAM. PROPOSED RENOVATIONS WILL INCLUDE THE ALTERATION OF AN EXISTING LEASED SPACE TO CREATE THREE EXAM ROOMS THAT CAN BE USED TO PROVIDE CLINICAL OR INTEGRATED CARE. ALSO AVAILABLE WILL BE TWO CONSULT ROOMS, A WAITING ROOM/FLEXIBLE GROUP ACTIVITIES SPACE, AND ADMINISTRATIVE STAFF SPACE INCLUDING OFFICES/SHARED-WORK LOCATIONS, REGISTRATION, AND SCHEDULING. THIS SPACE WILL BE A RELAXING AND SUPPORTIVE SPACE FOR THE PROVISION OF HEALTH CARE SERVICES WITH ADDITIONAL SPACES FOR HOLISTIC AND INTEGRATED MEDICINE PRACTICES. THE TAR GET POPULATION OF THIS INITIATIVE IS ONCOLOGY PATIENTS IN MAINE.

PORTLAND AREA RESIDENTIAL SERVICES CONSORTIUM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - NORTHERN LIGHT BLUE HILL HOSPITAL 57 WATER STREET, BLUE HILL, ME 04614 PROJECT DIRECTOR: TIMOTHY DOAK CONTACT PHONE NUMBER: 207.275.1525 EMAIL ADDRESS: TDOAK@NORTHERNLIGHT.ORG HTTPS://WWW.NORTHERNLIGHTHEALTH.ORG/BLUE-HILL-HOSPITAL BLUE HILL MEMORIAL HOSPITAL, DOING BUSINESS AS NORTHERN LIGHT BLUE HILL HOSPITAL (NL BLUE HILL HOSPITAL), WILL CONSTRUCT A NEW EMERGENCY DEPARTMENT TO PROVIDE ESSENTIAL ACCESS TO EMERGENCY SERVICES FOR THE BLUE HILL PENINSULA AND LARGER HANCOCK COUNTY, MAINE. NL BLUE HILL HOSPITAL IS INTEGRAL TO THE TOWN AND PENINSULA, AS WELL AS A CRITICAL COMPONENT OF NORTHERN LIGHT HEALTH’S REGIONAL RURAL HEALTH CARE MODEL SERVING HANCOCK COUNTY AND BEYOND. THE HOSPITAL FACILITY WAS INCREASINGLY IN NEED OF REPAIRS AND COSTLY TO MAINTAIN DUE TO ITS AGE. COST ESTIMATES FOUND THAT THE COST TO REPAIR EXCEEDED THE COST TO REPLACE. FURTHER ANALYSIS CONFIRMED BOTH THE NEED TO RIGHT-SIZE THE HOSPITAL FACILITY TO SUSTAIN INPATIENT BEDS IN HANCOCK COUNTY, PARTICULARLY TO CARE FOR THE AGING POPULATION, AS WELL AS THE NEED TO PRESERVE 24/7 EMERGENCY CARE ON THE BLUE HILL PENINSULA – WHERE A PATIENT’S TRIP TO THE HOSPITAL MAY BEGIN WITH A LONG BOAT RIDE FROM ONE OF THE MANY ISLANDS NL BLUE HILL HOSPITAL SERVES. CONGRESSIONALLY DIRECTED SPENDING ($1 MILLION) WILL SUPPORT COSTS RELATED TO THE CONSTRUCTION OF THE NEW EMERGENCY DEPARTMENT. THE COSTS OF BUILDING OUT THE NEW EMERGENCY DEPARTMENT WITHIN THE NEW NL BLUE HILL HOSPITAL TOTAL $1,817,696. THE REMAINING $817,696 IN CONSTRUCTION COSTS WILL BE SUPPORTED THROUGH OTHER SOURCES, PRINCIPALLY PRIVATE PHILANTHROPY. NL BLUE HILL HOSPITAL’S NEW 4,360 SQUARE FOOT EMERGENCY DEPARTMENT (ED), WITH 24/7 COVERAGE, WILL BE CONSTRUCTED AT THE REAR OF A NEW 21,272 SQUARE FOOT HOSPITAL TO BE SITUATED ON THE FRONT PORTION OF THE EXISTING HOSPITAL CAMPUS ABUTTING WATER STREET. THIS ED LOCATION WILL PROVIDE READY ACCESS FOR AMBULANCE TRANSPORT AS WELL AS TO THE ONSITE HELIPAD FOR RAPID TRANSFER TO TERTIARY CARE. THE NEW ED WILL HAVE FIVE EXAM ROOMS, INCLUDING AN EXAM ROOM WITH NEGATIVE PRESSURE CAPABILITY FOR WHEN SUCH ISOLATION IS NEEDED, AND ONE LARGER EXAM ROOM TO ACCOMMODATE MORE COMPLEX SITUATIONS. AT THE TRIAGE STATION INSIDE THE ENTRANCE TO THE EMERGENCY DEPARTMENT, PATIENTS WILL BE DIRECTED TO THE APPROPRIATE EXAM ROOM OR THE ED WAITING AREA. THE ED ALSO INCLUDES A MEDICATIONS ROOM, SHARED OFFICE FOR CLINICIANS, NURSES’ STATION, CLINICIAN DICTATION AREA WITH DIRECT CONNECTION TO THE NORTHERN LIGHT HEALTH ELECTRONIC HEALTH RECORD SYSTEM, SOILED AND CLEAN UTILITIES AND OTHER SUPPORT SPACES, AND ACCESSIBLE RESTROOMS. IMAGING SERVICES WILL BE LOCATED ADJACENT TO THE ED. THE NL BLUE HILL HOSPITAL ED FACILITIES ARE APPROPRIATELY SIZED BASED ON PROJECTED INDUSTRY TRENDS, DEMOGRAPHIC CHANGES, AND NORTHERN LIGHT HEALTH’S STREAMLINED REGIONAL RURAL HEALTH CARE MODEL, DESIGNED TO SUSTAIN ACCESS TO ESSENTIAL CARE IN THE FACE OF INCREASING NUMBERS OF RURAL HOSPITAL CLOSURES ACROSS THE COUNTRY.

SEE NOTICE OF AWARD, ATTACHMENT 1 - TERMS AND CONDITIONS, ATTACHMENT D, STATEMENT OF WORK, ABSTRACT

HEALTHY SEBASTICOOK VALLEY DRUG FREE COMMUNITY COALITION

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - NORTHERN LIGHT C.A. DEAN HOSPITAL 364 PRITHAM AVE, GREENVILLE, ME 04441 PROJECT DIRECTOR: MARIE VIENNEAU CONTACT PHONE NUMBER: 207.695.5271 EMAIL ADDRESS: MVIENNEAU@NORTHERNLIGHT.ORG HTTPS://WWW.NORTHERNLIGHTHEALTH.ORG/C-A-DEAN-HOSPITAL NORTHERN LIGHT C.A. DEAN (CA DEAN) MUST CLOSE ITS HOSPITAL-BASED MAMMOGRAPHY SERVICE AT THE END OF 2021. THE MAMMOGRAPHY EQUIPMENT IS 15 YEARS OLD AND AT THE END OF ITS CLINICALLY USEFUL LIFE. THE IMAGES ARE NO LONGER OF THE HIGHEST CLINICAL QUALITY. IN 2017 C.A. DEAN HOSPITAL PERFORMED 450 MAMMOGRAMS, THIS HAS DECREASED TO A VOLUME OF 160 PER YEAR DUE TO THE AGE OF THE MAMMOGRAPHY EQUIPMENT. THE RURAL MOBILE MAMMOGRAPHY VEHICLE WILL BE LOCATED AT C.A. DEAN HOSPITAL AND TRAVEL TO RURAL LOCATIONS IN PISCATAQUIS AND SOMERSET COUNTIES PROVIDING LOCAL ACCESS TO MAMMOGRAPHY SERVICES. THE NORTHERN LIGHT C.A. DEAN RURAL MOBILE MAMMOGRAPHY PROJECT WILL PROVIDE 3-D MAMMOGRAPHY SCREENING SERVICES IN RURAL LOCATIONS THROUGHOUT PISCATAQUIS AND PORTIONS OF SOMERSET COUNTIES IN MAINE VIA THE USE OF A PURPOSE-BUILT MOBILE MAMMOGRAPHY VEHICLE WITH A STATE-OF-THE-ART MOBILE MAMMOGRAPHY SCREENING SUITE INSTALLED. THE UNIT IS FULLY MOBILE AND ABLE TO GENERATE ITS OWN POWER AS WELL AS OPERATE OUTSIDE OF CA DEAN’S OR MAYO’S WI-FI INFRASTRUCTURE BY STORING EXAMS AND TRANSMITTING THEM UPON RETURNING TO EITHER CA DEAN OR MAYO. CONGRESSIONALLY DIRECTED SPENDING WILL COVER THE COST OF A VEHICLE DESIGNED FOR MOBILE MAMMOGRAPHY SERVICES AND THE COST OF THE MAMMOGRAPHY AND INFORMATION SYSTEMS (IS) SUPPORT EQUIPMENT. PROJECT COSTS ARE DETAILED IN THE EQUIPMENT LIST BELOW: MOBILE MAMMOGRAPHY VEHICLE – $622,223; 3-D MAMMOGRAPHY EQUIPMENT – $332,491; MOVABLE WEATHERPROOF ACCESSWAY – $30,000; AND NEEDED MISC. SUPPORT EQUIPMENT SUCH AS IS TECHNOLOGY – $3,100, AND WHEELCHAIRS – $14,200. THE TOTAL PROJECT REQUEST IS $1,002,014 FROM ITS HOME BASE AT CA DEAN IN GREENVILLE, MAINE, THE MOBILE MAMMOGRAPHY UNIT WILL TRAVEL THROUGHOUT PISCAT AQUIS COUNTY AND NEARBY AREAS TO HEALTH CENTERS, COMMUNITY CENTERS, CHURCHES, AND SIMILAR LOCATIONS ON A SET SCHEDULE TO CONDUCT MAMMOGRAPHY SCREENINGS. DURING THE REGION’S HARSH WINTERS, THE UNIT WILL RESIDE AT CA DEAN TO PROTECT THE SENSITIVE EQUIPMENT FROM DAMAGE, WHILE CONTINUING TO SERVE THE GREENVILLE AREA, WHICH LACKS OTHER MAMMOGRAPHY RESOURCES. THE MOVABLE WEATHERPROOF WALKWAY WILL SHELTER PATIENTS AS THEY TRANSFER FROM CA DEAN TO THE MOBILE UNIT WHEN PARKED THERE. THE UNIT WILL ALSO BE ABLE TO OVERNIGHT AT CA DEAN’S SISTER HOSPITAL, NORTHERN LIGHT MAYO HOSPITAL, IN DOVER-FOXCROFT, MAINE AS NEEDED TO DOWNLOAD EXAM DATA INTO NORTHERN LIGHT HEALTH’S PICTURE ARCHIVING AND COMMUNICATION SYSTEM (PACS), A MEDICAL IMAGING TECHNOLOGY WHICH PROVIDES ECONOMICAL STORAGE AND CONVENIENT ACCESS TO IMAGES FROM MULTIPLE MODALITIES, BEFORE DEPARTING TO CONTINUE SERVING RURAL COMMUNITIES.

NURSE EDUCATION, PRACTICE, QUALITY AND RETENTION SIMULATION EDUCATION TRAINING PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

TELEHEALTH NETWORK GRANT PROGRAM

PUBLIC HEALTH PREPAREDNESS AND RESPONSE PLANNING FOR LONG-TERM CARE FACILITIES, H

PISCATAQUIS YOUTH SUBSTANCE USE PREVENTION COALITION- PREVENTING YOUTH USE OF ALCOHOL AND TOBACCO IN PISCATAQUIS COUNTY, MAINE

MAINE YOUTH MENTAL HEALTH AWARENESS TRAINING (MYMHAT) - THE MAINE YOUTH MENTAL HEALTH AWARENESS TRAINING (MYMHAT) PROJECT WILL PROVIDE YOUTH MENTAL HEALTH FIRST AID AND MENTAL HEALTH FIRST AID TRAININGS (YMHFA & MHFA) TO ADULTS WHO CARE FOR (OR HAVE CONTACT WITH) SCHOOL-AGED YOUTH, THE POPULATION OF FOCUS (POF). WITHIN THE POF, SUBPOPULATIONS IDENTIFIED INCLUDE LGBTQ2S+ AND BLACK, INDIGENOUS & COMMUNITIES OF COLOR (BIPOC), INCLUDING MAINE’S IMMIGRANT/REFUGEE POPULATIONS. THERE ARE APPROXIMATELY 37,038 SCHOOL-AGED YOUTH IN PENOBSCOT AND ANDROSCOGGIN COUNTIES IN MAINE, THE GEOGRAPHIC CATCHMENT AREAS WHERE TRAININGS AND SERVICES WILL BE DELIVERED. BOTH COUNTIES CONTAIN MULTIPLE, DESIGNATED MENTAL HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS). THE GOALS ARE TO 1) INCREASE THE CAPACITY, CONFIDENCE, AND MOTIVATION OF ADULTS WHO CARE FOR SCHOOL-AGED YOUTH, TO IDENTIFY MENTAL HEALTH NEEDS WITHIN THAT POPULATION, FACILITATE REFERRALS TO CARE, AND RESPOND TO CRISIS SITUATIONS, INCLUDING SUICIDE OR SUICIDAL IDEATION, 2) TO INCREASE THE CAPACITY OF THOSE ADULTS TO BE BETTER ABLE TO IDENTIFY THEIR OWN MENTAL HEALTH NEEDS, ALONG WITH THE MENTAL HEALTH NEEDS OF ADULT CAREGIVERS OF SCHOOL-AGED YOUTH WITH WHOM THEY HAVE CONTACT, IN ORDER TO FACILITATE APPROPRIATE REFERRALS TO CARE AND RESPOND TO CRISES, AND 3) TO INCREASE ACCESS TO REFERRAL PATHWAYS FOR PEOPLE IN MENTAL HEALTH CRISIS, AND LINK THE POF TO MENTAL HEALTH RESOURCES AND SERVICES. THE NUMBER OF INDIVIDUALS WHO WILL RECEIVE EVIDENCE-BASED TRAININGS THROUGHOUT THE FIVE-YEAR LIFETIME OF THIS PROJECT ARE 270 IN YEAR 1, AND 750 PER YEAR FOR YEARS 2-5, WITH A TOTAL OF 3270 INDIVIDUALS RECEIVING TRAININGS. THE MEASURABLE OBJECTIVES OF MYMHAT INCLUDE: BY 1/31/2022 TO TRAIN AND CERTIFY 8 INSTRUCTORS IN YMHFA & MHFA; BY YEAR 5 TO PROVIDE 109 YMHFA AND/OR MHFA TRAININGS; BY YEAR 5 DISTRIBUTE 1,930 ACADIA CARES/RACES PACKAGES TO SCHOOLS AND COMMUNITY PARTNERS AS ADDITIONAL MENTAL HEALTH SUPPORT RESOURCES; BY YEAR 5 TO INCREASE BY 65% A) YMHFA PARTICIPANT CONFIDENCE, CAPACITY, AND MOTIVATION TO IDENTIFY AND RESPOND TO MENTAL HEALTH NEEDS OF SCHOOL-AGED YOUTH, INCLUDING RESPONDING TO/DE-ESCALATING CRISIS SITUATIONS, B) YMHFA PARTICIPANT KNOWLEDGE OF HOW AND WHERE TO MAKE MENTAL HEALTH REFERRALS FOR SCHOOL-AGED YOUTH, C) MHFA PARTICIPANT CONFIDENCE, CAPACITY, AND MOTIVATION TO IDENTIFY AND RESPOND TO THEIR OWN MENTAL HEALTH NEEDS, OR THE MENTAL HEALTH NEEDS OF ADULT CAREGIVERS OF SCHOOL-AGED YOUTH WITH WHOM THEY HAVE CONTACT, INCLUDING RESPONDING TO OR DE-ESCALATING CRISIS SITUATIONS AND D) MHFA PARTICIPANT KNOWLEDGE OF HOW AND WHERE TO MAKE MENTAL HEALTH REFERRALS FOR ADULTS; BY YEAR 1 NORTHERN LIGHT BEHAVIORAL HEALTH RESOURCE CENTER (BHRC) WILL DEVELOP THE CAPACITY TO ACCEPT REQUESTS FOR YOUTH AND ADULT MENTAL HEALTH REFERRALS GENERATING FROM COMMUNITY-BASED PARTNERS IN ANDROSCOGGIN AND PENOBSCOT COUNTIES; BY YEAR 5 BHRC WILL REFLECT SCALED INCREASES PER YEAR FOR ADDITIONAL COMMUNITY-BASED REFERRALS FOR ADULTS AND YOUTHS IN ANDROSCOGGIN AND PENOBSCOT COUNTIES TO APPROPRIATE CLINICAL OR COMMUNITY-BASED MENTAL HEALTH SERVICES (BREAKDOWN OF YEARLY TARGETS IN MYMHAT NARRATIVE).

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

MAKWI: WABANAKI INTERTRIBAL INITIATIVE TO RECOVERY

RURAL NORTHERN BORDER REGION OUTREACH PROGRAM - ADDRESS: 43 WHITING HILL RD., BREWER, ME 04412 TYPE: RURAL HEALTH CARE SYSTEM WEBSITE: HTTPS://NORTHERNLIGHTHEALTH.ORG/ PROJECT DIRECTOR NAME & TITLE: ERIN HAMMOND, TALENT ACQUISITION SPECIALIST PHONE: 207-879-3426 E-MAIL: EHAMMOND@NORTHERNLIGHT.ORG OTHER KEY STAFF NAME & TITLE: TBD, STUDENT SUCCESS NAVIGATOR PROJECT TITLE: RURAL NORTHERN MAINE RESPIRATORY THERAPY PROGRAM (RNMRTP) PROJECT GOAL: TO SUPPORT & STRENGTHEN MATRICULATION, RETENTION, GRADUATION, & SUCCESSFUL EMPLOYMENT OF PARTICIPANTS FROM A COARC ACCREDITED RESPIRATORY THERAPY (RT) PROGRAM SERVING RURAL NORTHERN MAINE. OBJECTIVES: -TO FORMALIZE RNMRTP NETWORK TO ENSURE A STRONG, MULTI-SECTOR, CONSORTIUM COMMITTED TO BUILDING & SUSTAINING THE PROJECT. -TO SUPPORT KVCC'S COARC PROGRAM TO INCREASE AVAILABILITY VIA A HYBRID REMOTE & IN-PERSON MODALITY WITH A FOCUS ON STUDENT SUPPORT, RETENTION, & SUSTAINABILITY. -TO IMPLEMENT & ENHANCE A COORDINATED OUTREACH AND RECRUITMENT PROGRAM TO EDUCATE DIVERSE/UNDERSERVED POPULATIONS ABOUT THE RESPIRATORY THERAPY (RT) PROFESSION & THE AVAILABLE RNMRTP. -TO HIRE & ONBOARD REGISTERED RESPIRATORY THERAPISTS (RRTS) IN RURAL HEALTH CARE SETTINGS WITH A FOCUS ON RETENTION & PROFESSIONAL GROWTH. PROPOSED SERVICE AREA: TARGET SERVICE AREA OF FIVE FULLY RURAL MAINE COUNTIES LOCATED IN THE RURAL NORTHERN BORDER REGIONAL COMMISSION (NBRC) REGION: HANCOCK, KENNEBEC, PISCATAQUIS, SOMERSET, AND AROOSTOOK. AREA THAT WILL BE POSITIVELY IMPACTED BY THIS PROJECT SPANS NINE MAINE COUNTIES IN NBRC REGION: AROOSTOOK, HANCOCK, WASHINGTON, KNOX, PISCATAQUIS, PENOBSCOT, SOMERSET, KENNEBEC, AND WALDO. TARGET POPULATION: RNMPTP POPULATION TO BE SERVED INDIVIDUALS WITH RESPIRATORY HEALTH NEEDS LIVING IN THE SERVICE AREA. RNMRTP WILL RECRUIT AND TRAIN TARGET POPULATION OF YOUNG ADULTS & ADULTS IN SERVICE AREA WHO ARE INTERESTED IN SECURING RT EDUCATION & EMPLOYMENT. FOCUS AREA : THIS PROJECT ADDRESSES THE SIGNI FICANT NEED FOR RESPIRATORY THERAPY SERVICES IN MAINE'S RURAL NORTHERN BORDER COMMUNITIES. SIGNED MOU HEALTHCARE & HEALTHCARE EDUCATION CONSORTIUM PARTNERS: NORTHERN LIGHT (NL) EASTERN MAINE MEDICAL CENTER, NL A.R. GOULD HOSPITAL, NL BLUE HILL HOSPITAL, NL C.A. DEAN HOSPITAL, NL INLAND HOSPITAL, NL MAYO HOSPITAL, NL MAINE COAST HOSPITAL, NL SEBASTICOOK VALLEY HOSPITAL, NORTHERN LIGHT HEALTH (NLH), KENNEBEC VALLEY COMMUNITY COLLEGE (KVCC), NORTHERN MAINE COMMUNITY COLLEGE (NMCC). SUBMISSION OF THIS APPLICATION (INCL. ATTACHMENT 6) SERVES AS AN ATTESTATION THAT AT LEAST 66% OF CONSORTIUM MEMBERS ARE LOCATED IN A HRSA DESIGNATED RURAL AREA. PROJECT ACTIVITIES: RNMRTP WILL RECRUIT INDIVIDUALS TO PARTICIPATE IN TRAINING TO BECOME RRTS. PARTICIPANTS WILL RECEIVE SUPPORT IN ACCESSING RT EDUCATION AT KVCC'S COARC ACCREDITED PROGRAM. PARTICIPATING NETWORK ORGANIZATIONS WILL RECEIVE HELP TO PARTICIPATE IN OR TO DEVELOP AN “EARN TO LEARN” PROGRAM WHEREIN EXISTING OR NEW EMPLOYEES CAN RECEIVE AN EDUCATION WHILE MAINTAINING EMPLOYMENT WITHIN THE HEALTH CARE ORGANIZATION. PARTICIPATING STUDENTS WILL BE SUPPORTED BY A STUDENT SUCCESS NAVIGATOR (SSN) TO ADDRESS & OVERCOME BARRIERS TO THEIR EDUCATION. OUTCOMES: INCREASED # OF RRTS AND RT SERVICES IN SERVICE AREA. INCREASED EFFICIENCIES IN RURAL HEALTHCARE. INCREASED RNMRTP SUSTAINABILITY. CAPACITY TO SERVE UNDERSERVED POPULATIONS: ALL 11 RNMRTP PARTNERS HAVE SIGNED THE MOU & HAVE FORMAL & INFORMAL PARTNERSHIPS. ALL ARE LOCATED IN THE NBRC REGION AND SERVE THE TARGET AREA & POPULATION DESCRIBED ABOVE IN THE PROVISION OF HEALTH CARE AND HEALTH CARE EDUCATION. 81.8% OF PARTNERS ARE HRSA DESIGNATED RURAL AND ALL HAVE LOCAL BOARDS AND COMMITTEES. APPLICANT NLH IS MAINE’S ONLY INTEGRATED HEALTH CARE SYSTEM AND HAS LONG-STANDING EXPERIENCE IN SUPPORT OF RURAL HEALTH CARE PROVISION. NLH LEARNED ABOUT THIS FUNDING OPPORTUNITY VIA A HRSA NEWS RELEASE. APPLICANT IS ELIGIBLE FOR A FUNDING PREFERENCE BASED ON QUALIFICATION 2: MUC/MUP AND DOCUMENTATION IS INCLUDED IN ATTACHMENT 10.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - ADDRESS OF PROJECT: 44 OHIO STREET, BANGOR, ME 04401 APPLICANT ADDRESS: 175 FORE RIVER PARKWAY, PORTLAND, ME 04102 PROJECT DIRECTOR NAME: MELISSA SKAHAN CONTACT PHONE NUMBERS (OFFICE,): 1 207 879 3000 EMAIL ADDRESS: SKAHANM@NORTHERNLIGHT.ORG PROJECT WEBSITE ADDRESS: HTTPS://NORTHERNLIGHTHEALTH.ORG/MCAULEY-RESIDENCE APPLICANT WEBSITE ADDRESS: HTTPS://NORTHERNLIGHTHEALTH.ORG/MERCY-HOSPITAL LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION, IF APPLICABLE: CONGRESSIONALLY DIRECTED SPENDING (CDS): CONSTRUCTION PROJECTS (HRSA-22-134) - $510,000 THE MCAULEY RESIDENCE, IS A LEASED SPACE THAT HOUSES WOMEN WITH SUBSTANCE USE DISORDER (SUD), AND THEIR YOUNG CHILDREN, IN A THERAPEUTIC ENVIRONMENT. THE BUILDING AND GROUNDS ARE LOCATED AT 44 OHIO STREET IN BANGOR, MAINE. THIS PROJECT WILL INVOLVE THE IMPROVEMENT AND RECONFIGURATION OF THE INTERIOR SPACES OF THE MCAULEY RESIDENCE AS WELL AS MODIFICATIONS AND BUILDING REPAIR TO THE EXTERIOR OF THE RESIDENCE AND GROUNDS. CONSTRUCTION WILL OCCUR IN THE MAIN RESIDENCE, PORCH AREA, AND EXTERIOR GROUNDS. EXTERIOR ACTIVITIES WILL INCLUDE THE ADAPTATION OF EXISTING OUTDOOR SPACE TO ENHANCE OUTDOOR THERAPEUTIC ACTIVITIES FOR CHILDREN, THE INSTALLATION OF AN AMERICANS WITH DISABILITIES ACT (ADA) ACCESSIBLE RAMP FOR STROLLERS AND WHEELCHAIRS, A FENCED AND FALL-SAFE PLAYGROUND WITH A CLIMBER, A MUSIC STATION, AND A SWING-SET INCLUDING ADA AND AGE-APPROPRIATE SWINGS. ADDITIONAL EXTERNAL REPAIRS WILL INCLUDE THERMAL AND MOISTURE PROTECTION TO TWO SECTIONS OF BUILDING ROOF (LIVING ROOM AND PORCH. INTERIOR IMPROVEMENTS AND RENOVATIONS WILL INCLUDE ADAPTATIONS TO PROVIDE SAFE SPACES FOR THERAPEUTIC INTERVENTIONS, INCLUDING PLAY THERAPY AND ART THERAPY, FOR CHILDREN LIVING AT THE MCAULEY RESIDENCE. ADDITIONAL INTERIOR SPACE WILL BE RENOVATED AND EQUIPPED WITH WORKSTATIONS TO PROVIDE AN ACCESSIBLE FAMILY LEARNING LAB FOR WOMEN ENGAGED IN HIGHER EDUCATION AND FOR CHILDREN TO ACCESS REMOTE LEARNING ACTIVITIES. I NTERIOR FINISHES INCLUDING WINDOW TREATMENTS, DOORS, PAINTING, AND ACCESS CONTROLS WILL SUPPORT THE ACCESSIBILITY, UTILITY, COMFORT, AND SAFETY OF RESIDENTS AND STAFF. ALL RENOVATIONS WILL BE MADE TO COMPLY WITH ACCESSIBILITY REQUIREMENTS UNDER THE ADA AND LOCAL BUILDING CODES. THE PROJECT WILL ADDRESS HEATING, VENTILATION, AND AIR-CONDITIONING (HVAC) MODIFICATIONS VIA THE INSTALLATION OF HEAT-PUMPS (AND ASSOCIATED WIRING). ALL CDS FUNDING WILL BE UTILIZED SOLELY TO MAKE INTERIOR AND EXTERIOR RENOVATIONS AND SPACE DEVELOPMENT IN ORDER TO DELIVER FAMILY LEARNING OPPORTUNITIES FOR WOMEN WITH SUD AND THERAPEUTIC INTERVENTIONS FOR CHILDREN. THE POTENTIAL FOR MCAULEY’S TWO GENERATIONAL PROGRAM TO EXPAND ONSITE LEARNING LAB OPPORTUNITIES AS WELL AS PROVIDE ART AND PLAY THERAPY WITH NEW INDOOR AND OUTDOOR SPACES WILL ADD SIGNIFICANT VALUE TO FAMILIES AS THEY PURSUE REUNIFICATION, TRAUMA-INFORMED CARE, AND RECOVERY.

DISTANCE LEARNING GRANT

VIDEOCONFERENCE CBT FOR RURAL BREAST CANCER SURVIVORS WITH COGNITIVE COMPLAINTS

EVALUATING THE EFFECTIVENESS OF AN HIT SELF-MANAGEMENT PROGRAM FOR CHRONIC DISEAS

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

A CHILDHOOD OBESITY PROJECT: REGIONAL COLLABORATIVE TO REDUCE THE RATE OF CHILDHO

HEALTHYSV LOCAL DRUG CRISIS PROGRAM - THE HEALTHYSV COALITION (HEALTHYSV) WILL USE CARA LDC FUNDING TO REDUCE OPIOID, METHAMPHETAMINE, AND/OR PRESCRIPTION DRUG USE/MISUSE AMONG YOUTH AND CHANGE THE CULTURE AND CONTEXT REGARDING ACCEPTABILITY OF YOUTH OPIOID, METHAMPHETAMINE, AND/OR PRESCRIPTION DRUG USE/MISUSE. HEALTHYSV SERVES A POPULATION OF 20,473 INDIVIDUALS LIVING IN RURAL TOWNS WITHIN PENOBSCOT AND SOMERSET COUNTIES, MAINE. IN THIS REGION KNOWN AS SEBASTICOOK VALLEY, RATES OF OPIOID USE (12.2%) AND METHAMPHETAMINE USE (1.8%) AMONG YOUTH AGES 12-18 ARE HIGHER THAN NATIONAL AVERAGES (0.3% AND 0.2% RESPECTIVELY). THE TARGET POPULATION ARE SEBASTICOOK VALLEY YOUTH AGES 12-18 WHO LIVE AND ATTEND SCHOOL WITHIN DISTRICTS RSU19 AND MSAD53 (APPROXIMATELY 2,000 YOUTH). WITHIN THIS ARE SUB-POPULATIONS WHO FACE HIGH LEVELS OF HEALTH DISPARITIES, ARE AT HIGHER RISK FOR SUBSTANCE MISUSE, AND OFTEN HAVE LESS COMMUNITY SUPPORT RESOURCES THAN URBAN-LOCATED PEERS. THESE INCLUDE: ?YOUTH WHO IDENTIFY AS LESBIAN, GAY, OR BISEXUAL (APPROXIMATELY 17.2% PER 2019 MIYHS)?YOUTH WITH 4 OR MORE ACES EXPERIENCES (25% PER 2019 MIYHS) ?YOUTH IDENTIFYING AS BLACK, NATIVE AMERICAN, ASIAN, NATIVE HAWAIIAN, OTHER (2.8%, CENSUS) ?YOUTH WITH MENTAL HEALTH CONCERNS AND/OR SUICIDAL IDEATION (~23%-29% PER 2018 CHNA)PURPOSE: RESPONDING TO IDENTIFIED COMMUNITY NEEDS, AND BUILDING ON A COMMITTED NETWORK OF COALITION PARTNERS, HEALTHYSV WILL FOCUS ON CHANGING THE CULTURE OF ACCEPTANCE OF ILLEGAL DRUG USE, IMPROVING AWARENESS OF AND RESPONSE TO CHILD ABUSE, AND IMPROVING SUPPORT FOR YOUTH.HEALTHYSV WILL USE THE SEVEN STRATEGIES FOR COMMUNITY-LEVEL CHANGE TO MEET ITS PROJECT GOALS AND OBJECTIVES. MEASURABLE OBJECTIVES REFLECTED IN THE 12-MONTH ACTION PLAN ARE 1) BY JUNE 2022, INCREASE THE PERCENTAGE OF YOUTH PERCEPTION OF HARM OR RISK OF PRESCRIPTION DRUG MISUSE AND/OR OPIOID USE FROM 13.9% TO 16.9%; 2) BY JUNE 2022, INCREASE THE PERCENT OF YOUTH WHO STATE PARENTAL DISAPPROVAL OF PRESCRIPTION DRUG MISUSE AND/OR OPIOID USE FROM 3.8% TO 6.8% 3) BY JUNE 2022, DECREASE THE PERCENT OF HIGH SCHOOL STUDENTS REPORTING LIFETIME PRESCRIPTION DRUG MISUSE FROM 12.2% TO 9.2% 4) BY JUNE 2022, DECREASE THE PERCENT OF HIGH SCHOOL STUDENTS REPORTING LIFETIME METHAMPHETAMINE USE FROM 1.8% TO .8% 5) BY JUNE 2022, DECREASE THE PERCENT OF MIDDLE SCHOOL STUDENTS REPORTING 30-DAY PRESCRIPTION DRUG MISUSE FROM 3.5% TO 2.5. OUR PROJECTED SHORT AND INTERMEDIATE TERM OUTCOMES INCLUDE: INCREASED COMMUNITY AWARENESS OF YOUTH SUBSTANCE USE; INCREASED COMMUNITY EDUCATION ON SIGNS/SYMPTOMS, RISKS, AND HARM OF YOUTH SUBSTANCE USE; INCREASED OUTREACH TO ENHANCE SECTOR ENGAGEMENT IMPACTED BY COVID; INCREASED YOUTH RESILIENCY AND REFUSAL SKILLS THROUGH INCREASED ACCESS TO EVIDENCE-BASED PROGRAMMING, INCREASED OPPORTUNITY FOR YOUTH PARTICIPATION AND PROMOTION OF DRUG-FREE LIVING ACTIVITIES; DECREASED EASE AND AVAILABILITY FOR YOUTH TO ACCESS OPIOIDS, PRESCRIPTION DRUGS, AND/OR METHAMPHETAMINES; INCREASED AWARENESS OF ACES IN SCHOOLS; INCREASED EDUCATOR AND COMMUNITY UNDERSTANDING AROUND YOUTH EXPERIENCING TRAUMA AND ROOT-CAUSES OF NEGATIVE BEHAVIORS; INCREASED PROTECTIVE FACTORS IN FAMILIES; INCREASED RESILIENCE-BUILDING ACTIVITIES AND CURRICULUM FOR YOUTH WITHIN CLASSROOM SETTINGS; AND INCREASED EDUCATOR AND COMMUNITY KNOWLEDGE OF AVAILABLE YOUTH MENTAL HEALTH RESOURCES.

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTHY SEBASTICOOK VALLEY DRUG FREE COMMUNITY SUPPORT PROGRAM

HEALTH CARE AND OTHER FACILITIES

TELEMEDICINE GRANT

TELEMEDICINE GRANT

PISCATAQUIS YOUTH SUBSTANCE USE PREVENTION COALITION'S STOP PISCATAQUIS YOUTH DRINKING: A PROJECT TO REDUCE YOUTH ACCESS AND INCREASE AWARENESS OF CONSEQUENCES FROM ALCOHOL USE. - NORTHERN LIGHT MAYO HOSPITAL 897 W MAIN STREET, DOVER-FOXCROFT, ME 04426 PROJECT DIRECTOR: HILLARY STARBIRD CONTACT PHONE NUMBER: 207.564.4184 EMAIL ADDRESS: HSTARBIRD@NORTHERNLIGHT.ORG HTTPS://WWW.NORTHERNLIGHTHEALTH.ORG/MAYO MRH CORP., (DBA NORTHERN LIGHT MAYO HOSPITAL (MAYO)) IN COORDINATION WITH THE PISCATAQUIS YOUTH SUBSTANCE USE PREVENTION COALITION (PYSUP) HAS DEVELOPED A PROGRAM TO MEET THE SIGNIFICANT NEED IN THE POPULATION OF FOCUS TO REDUCE THE ADVERSE EFFECTS OF ALCOHOL CONSUMPTION BY YOUTH. THE POPULATION OF FOCUS (POF) FOR OUR PROPOSED PROJECT IS YOUTH AGED 12-20 RESIDING IN PISCATAQUIS COUNTY, MAINE WHO INDICATE A VERY LOW PERCEPTION OF RISK RELATED TO UNDERAGED ALCOHOL, INCLUDING LOW PERCEPTION OF RISK FROM CONSUMPTION OF FIVE OR MORE DRINKS. CORRESPONDINGLY, THIS POF INDICATES HIGHER THAN STATE AVERAGES FOR PAST-30-DAY CONSUMPTION OF “5 OR MORE DRINKS AT ONE TIME”. THE POF ALSO REFLECTS CONCERNINGLY HIGH PERCENTAGES OF YOUTH WHOSE PEER PERCEPTION OF DISAPPROVAL OF ALCOHOL USE IS LITTLE OR NOT WRONG. GIVEN THE MARGINS OF ERROR IN THE 2020 CENSUS, WE ESTIMATE THE POF TO BE 1600 INDIVIDUALS. ALL LOCATIONS IN PISCATAQUIS COUNTY, WHERE THIS POF RESIDES, ARE DESIGNATED RURAL AND ELIGIBLE FOR RURAL HEALTH GRANTS ACCORDING TO THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). SUBSTANCE USE PREVENTION RESOURCES ARE SCARCE AND COMMUNITY PARTNERS RELY ON STRONG COLLABORATION WITH MULTI-SECTOR ORGANIZATIONS TO REACH REMOTE TOWNS AND RESIDENTS THE PYSUP COALITION WILL UTILIZE THE STOP ACT GRANT TO ACHIEVE ITS GOAL OF REDUCING YOUTH ALCOHOL USE AND INCREASING YOUTH PERCEPTION OF RISK OF BEING CAUGHT. TO ACHIEVE THIS GOAL THE PYSUP COALITION WILL DEVELOP A 12-MONTH ACTION PLAN EACH YEAR OF FUNDING THAT IS RESPONSIVE TO THE MIYHS DATA, AND WHICH IS IN COORDINATION WITH LOCAL DFC ACTIVITIES. COMPLIANCE CHECKS WILL ENHANCE PROTECTION AGAINST YOUTH OBTAINING ALCOHOL AND TWO TOWNHALL MEETINGS AND SEASONAL MAILERS AND INFORMATIONAL CAMPAIGNS WILL SUPPORT COMMUNITY MEMBERS’ EDUCATION REGARDING YOUTH ALCOHOL USE. PARTNERSHIPS WITH LOCAL AND STATE AGENCIES WILL ENHANCE ACCESS, REDUCE BARRIERS, AND IMPROVE CONNECTIONS BETWEEN SYSTEMS AND SERVICES THAT PREVENT YOUTH ALCOHOL USE. TIPS TRAININGS WILL BE PROVIDED TO ALCOHOL RETAILERS AND SERVERS AND STAFF OF AREA ESTABLISHMENTS. THE COALITION’S SECOND OBJECTIVE OF DECREASING YOUTHS’ PERCEPTIONS OF THE LIKELIHOOD THAT THEY WILL NOT BE CAUGHT BY LAW ENFORCEMENT WILL BE ACHIEVED VIA PARTY PATROLS PROVIDED BY LAW ENFORCEMENT PARTNERS, SOCIAL MEDIA CAMPAIGNS, AND EDUCATION FROM THE LAW ENFORCEMENT OFFICIALS PROVIDED AT TOWN HALLS. THE WORK PLAN/TIMELINE OF THIS STOP ACT GRANT APPLICATION HAS BEEN CRAFTED TO BE COMPLEMENTARY TO THE ACTIVITIES ALREADY FUNDED UNDER PYSUP’S DFC GRANT ACTIVITIES WITH NO PROGRAMMATIC, BUDGETARY, OR COMMITMENT OF PERSONNEL TIME OVERLAP.

TELEMEDICINE GRANT

HEALTHYSV STOP GRANT PROJECT: REDUCING YOUTH ALCOHOL USE, INCREASING PERCEPTION OF HARM, AND CHANGING SOCIAL NORMS AROUND UNDERAGE DRINKING. - NORTHERN LIGHT SEBASTICOOK VALLEY HOSPITAL 447 NORTH MAIN STREET, PITTSFIELD, MAINE 04967 PROJECT DIRECTOR: SHERRY TARDY CONTACT PHONE NUMBER: 207.487.4085 EMAIL ADDRESS: STARDY@NORTHERNLIGHT.ORG HTTPS://WWW.NORTHERNLIGHTHEALTH.ORG/SVH SEBASTICOOK VALLEY HEALTH DBA NORTHERN LIGHT SEBASTICOOK VALLEY HOSPITAL (SVH) ON BEHALF OF THE HEALTHY SEBASTICOOK VALLEY (HEALTHYSV) COALITION HAS DEVELOPED A PROGRAM TO MEET THE SIGNIFICANT NEED IN THE POPULATION OF FOCUS TO REDUCE THE ADVERSE EFFECTS OF ALCOHOL CONSUMPTION BY YOUTH. THE POPULATION OF FOCUS (POF) FOR OUR PROPOSED PROJECT IS YOUTH AGED 12-18 RESIDING IN THE SEBASTICOOK VALLEY REGION OF MAINE (BURNHAM, CORINNA, DETROIT, DIXMONT, ETNA, HARTLAND, NEWPORT, PALMYRA, PITTSFIELD, PLYMOUTH, AND ST. ALBANS) WHO INDICATE AN EXCEPTIONALLY LOW PERCEPTION OF RISK RELATED TO UNDERAGED ALCOHOL USE, INCLUDING LOW PERCEPTION OF RISK FROM THE CONSUMPTION OF 1 TO 2 DRINKS DAILY. THIS POF INDICATES HIGHER THAN STATE AVERAGES FOR MIDDLE SCHOOL STUDENT PAST 30-DAY CONSUMPTION OF ONE DRINK OF ALCOHOL. THE SOCIAL NORMS AROUND UNDERAGE DRINKING IN THIS POF REFLECT A HIGH PERCENTAGE OF STUDENTS REPORTING THAT THEIR PARENTS ACCEPT ALCOHOL USE (1-2 DRINKS PER DAY). MORE THAN 70% OF SEBASTICOOK VALLEY, WHERE THIS POF RESIDES, ARE DESIGNATED RURAL AND ELIGIBLE FOR RURAL HEALTH GRANTS ACCORDING TO THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION. SUBSTANCE USE PREVENTION AND TREATMENT RESOURCES ARE SCARCE AND COMMUNITY PARTNERS RELY ON STRONG COLLABORATION WITH MULTI-SECTOR ORGANIZATIONS TO REACH REMOTE TOWNS AND RESIDENTS. HEALTHYSV WILL USE THE STOP ACT GRANT TO REDUCE YOUTH ALCOHOL USE AND INCREASE YOUTH PERCEPTION OF RISK ASSOCIATED WITH DAILY ALCOHOL CONSUMPTION. TO ACHIEVE THIS GOAL HEALTHYSV WILL DEVELOP A 12-MONTH ACTION PLAN EACH YEAR THAT IS RESPONSIVE TO THE MAINE INTEGRATED YOUTH HEALTH SURVEY DATA. IMPLEMENTATION OF THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION STICKER SHOCK INITIATIVE TO INCREASE AWARENESS OF RISKS FOR ADULTS PURCHASING ALCOHOL FOR MINORS AND REMIND RETAILERS TO FOLLOW STATE OF MAINE CARDING LAWS. TWO TOWN HALL MEETINGS AND SIX DIGITAL MEDIA CAMPAIGNS WILL SUPPORT COMMUNITY MEMBERS’ EDUCATION REGARDING YOUTH ALCOHOL USE. PARTNERSHIPS WITH LOCAL AND STATE AGENCIES WILL ENHANCE ACCESS, REDUCE BARRIERS, AND IMPROVE CONNECTIONS BETWEEN SYSTEMS AND SERVICES THAT PREVENT YOUTH ALCOHOL USE. TRAINING FOR INTERVENTION PROCEDURES WILL BE PROVIDED TO ALCOHOL RETAILERS, SERVERS, AND STAFF OF AREA ESTABLISHMENTS. HEALTHYSV WILL CHANGE SOCIAL NORMS, INCREASING PERCEPTION OF RISK ASSOCIATED WITH DAILY USE OF ALCOHOL VIA THE STICKER SHOCK INITIATIVE AND PARTNERING WITH LOCAL SCHOOL DEPARTMENTS TO PROMOTE EVIDENCE-BASED CURRICULUMS TO REDUCE YOUTH SUBSTANCE USE. THE WORK PLAN/TIMELINE OF THIS STOP ACT GRANT APPLICATION HAS BEEN CRAFTED TO COMPLEMENT THE ACTIVITIES ALREADY FUNDED UNDER HEALTHYSV CARA LOCAL DRUG CRISIS GRANT, WITH NO PROGRAMMATIC, BUDGETARY, OR COMMITMENT OF PERSONNEL TIME OVERLAP.

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

HEALTHY SEBASTICOOK VALLEY CARA LOCAL DRUG CRISIS GRANT

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

TELEMEDICINE GRANT

TELEMEDICINE GRANT

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

TELEMEDICINE GRANT

TELEMEDICINE GRANT

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

HOMELESS ASSISTANCE

DRUG-FREE COMMUNITIES (DFC) SUPPORT PROGRAM ? NON-COMPETING CONTINUATION. - DRUG-FREE COMMUNITIES (DFC) SUPPORT PROGRAM - NON-COMPETING CONTINUATION.

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

CDC-RFA-CE21-2106

TELEMEDICINE GRANT