Housing Works

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

THE HEALTH OUTREACH UTILIZATION AND SERVICE ENHANCEMENT PROJECT

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.

CONTINUUM OF CARE PROGRAM

TCE-HIV FOR HIGH RISK POPULATIONS

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

BEHAVIORAL HEALTH AND HOUSING SERVICES FOR HOMELESS FAMILIES AND INDIVIDUALS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH OUTREACH, UTILIZATION AND SUPPORT ENHANCEMENT (HOUSE) PROJECT - HOUSING WORKS, INC. (HW) PROPOSES TO ENHANCE ITS HEALTH OUTREACH, UTILIZATION AND SUPPORT ENHANCEMENT (HOUSE) PROJECT, TO CONTINUE TO REACH AND ENGAGE BLACK AND HISPANIC/LATINX MEN WHO HAVE SEX WITH MEN (MSM) AND TRANSGENDER (TG) WOMEN LIVING IN EAST NEW YORK, BROOKLYN (ENY) AND CENTRAL BROOKLYN WHO HAVE A SUBSTANCE USE DISORDER (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDER (COD) AND ARE AT RISK FOR OR ARE LIVING WITH HIV AND/OR HEPATITIS C (HCV). THE PROJECT WILL ENGAGE MEMBERS OF THE HOUSE & BALL COMMUNITY IN NEW YORK CITY (NYC), WITH WHOM HW HAS DEVELOPED A RELATIONSHIP OVER THE LAST SEVERAL YEARS. THIS COMMUNITY IS MADE UP PRIMARILY OF BLACK AND HISPANIC/LATINX MSM AND TG WOMEN OF COLOR. THE POPULATION IS DISPROPORTIONALLY IMPACTED BY HIV/AIDS AND HAS HIGH RATES OF SUBSTANCE USE AND MENTAL HEALTH DISORDERS DUE TO STIGMA, DISCRIMINATION, AND POVERTY. THE HOUSE PROGRAM WILL BE IMPLEMENTED AT HW'S ENY HEALTH CENTER, A DESIGNATED FEDERALLY-QUALIFIED HEALTH CENTER (FQHC) OPERATED BY HW'S HEALTHCARE SUBSIDIARY, HOUSING WORKS COMMUNITY HEALTHCARE (HWCH). HW WILL EXPAND ITS SUCCESSFUL STREET AND VIRTUAL OUTREACH MODEL TO ENGAGE BLACK AND HISPANIC/LATINX MSM AND TG WOMEN IN AN INTEGRATED SUITE OF HIV, VIRAL HEPATITIS, AND COD SCREENING AND ASSESSMENT, LINKAGE TO PRIMARY CARE, MENTAL HEALTH AND SUD TREATMENT (INCLUDING MEDICATION ASSISTED TREATMENT), AND COMPREHENSIVE STATUS NEUTRAL HIV PREVENTION (INCLUDING PREP AND PEP) AND OTHER ESSENTIAL SUPPORT SERVICES (I.E., HOUSING, EMPLOYMENT, LEGAL SERVICES). FUNDING WILL ALSO BE USED TO EXPAND THE SUITE OF EVIDENCE-BASED PROGRAMS (EBPS) OFFERED THROUGH HOUSE. HW WILL CONTINUE TO IMPLEMENT THE PERSONALIZED COGNITIVE COUNSELING (PCC), THE HAVEN (SEEKING SAFETY), TRANSGENDER WOMEN INVOLVED IN STRATEGIES FOR TRANSFORMATION (TWIST) EBPS, AND PLANS TO ADD SAMHSA'S ANGER MANAGEMENT EBP FOR HOUSE PARTICIPANTS AND TRAUMA-INFORMED CARE TRAINING FOR ALL PROGRAM STAFF. OUTREACH AND ENGAGEMENT FOR THE PROGRAM WILL BE DRIVEN PRIMARILY BY HW'S YOUTH AND PREVENTION SERVICES (YPS) UNIT, WHOSE STAFF IS REFLECTIVE OF THE CLIENTS SERVED (INCLUDED YMSM AND TG WOMEN OF COLOR). OUTREACH WILL BE CONDUCTED THROUGH IN-PERSON AND VIRTUAL EVENTS, AS WELL AS SOCIAL MEDIA AND APP-BASED ADVERTISEMENT. HW INITIATES A FORMAL INTAKE AND ASSESSMENT PROCESS WITH ALL RECRUITED CLIENTS. IN ADDITION TO SAMHSA'S GPRA INTAKE INTERVIEW, ALONG WITH THE 6-MONTH FOLLOW UP AND DISCHARGE INTERVIEWS, HW USES EVIDENCE-BASED SCREENINGS FOR MENTAL HEALTH (PHQ-2), SUBSTANCE USE (DAST-10), SOCIAL DETERMINANTS OF HEALTH (PRAPARE), AND POST-TRAUMATIC STRESS DISORDER (PTSD-5). CLIENTS WHO SCREEN POSITIVE FOR SUBSTANCE USE, MENTAL HEALTH DISORDERS, AND/OR PTSD WILL BE REFERRED TO APPROPRIATE TREATMENT AS WELL AS THE AFOREMENTIONED EBPS. DURING INTAKE, STAFF WILL ALSO WORK WITH CLIENTS TO IDENTIFY BARRIERS TO HEALTHCARE AND SUPPORT NEEDS, WITH THIS INFORMATION INFORMING THEIR INDIVIDUAL CARE PLANS. PROGRAM STAFF WILL PROVIDE RAPID HIV AND HCV SCREENING TO CLIENTS. THOSE ENGAGED IN TESTING RECEIVE PRE- AND POST-TEST COUNSELING AND HAVE IMMEDIATE ACCESS TO SERVICES ON-SITE AT HWCH, INCLUDING HIV CARE, PREP SERVICES, BEHAVIORAL HEALTH, AND TELEHEALTH ACCESS TO OTHER PROVIDERS IF NECESSARY. HWCH WILL OFFER SAME-DAY PREP/PEP PROVISION AND WILL PROVIDE PRESCRIPTION STARTER PACKS FOR CLIENTS WITH LIMITED/NO INSURANCE COVERAGE. THE HOUSE PROGRAM WILL SERVE 240 INDIVIDUALS PER YEAR OVER THE FIVE-YEAR PROGRAM PERIOD. ALL (100%) CLIENTS WILL RECEIVE A TAILORED CARE PLAN AND APPROPRIATE REFERRALS TO CARE AND SUPPORT SERVICES; AND 100% OF THOSE TESTING POSITIVE FOR HIV OR HCV WILL BE LINKED TO CARE AND 90% OF THOSE TESTING HIV-NEGATIVE WILL BE REFERRED FROM PREP SERVICES. BY THE END OF THE PROGRAM, HW ANTICIPATES THAT 75% OF ENROLLED CLIENTS WILL COMPLETE A BEHAVIORAL HEALTH REFERRAL AND THAT THERE WILL BE A 10% REDUCTION IN BOTH SUBSTANCE USE AND SYMPTOMS OF DEP

MAT AND SUD SERVICES IN NYC

HEALTH CENTER CLUSTER

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

HOUSING WORKS COMMUNITY HEALTHCARE, INC.

OPTIMIZING VIRTUAL CARE

CARE YOUR WAY - SINCE 1990, HOUSING WORKS (HW) HAS WORKED TIRELESSLY TO PROVIDE SERVICES AND INCREASE HEALTHCARE ACCESS TO HISTORICALLY UNDERSERVED AND MARGINALIZED POPULATIONS IN NEW YORK CITY (NYC). AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) WITH A HEALTH CARE FOR THE HOMELESS PROGRAM, HW PROVIDES PRIMARY, BEHAVIORAL HEALTH, AND SOCIAL CARE SERVICES TO PEOPLE WITH CO-OCCURRING CHRONIC CONDITIONS SUCH AS HIV/AIDS, BEHAVIORAL HEALTH CONDITIONS, SUBSTANCE USE DISORDERS, HOMELESSNESS, AND OTHER SOCIAL SERVICE NEEDS. AS MEDICAID REFORM ADVANCED IN NEW YORK STATE, HW AND OTHER COMMUNITY-BASED PROVIDERS CAME TOGETHER TO ESTABLISH THE ENGAGEWELL INDEPENDENT PRACTICE ASSOCIATION (EW IPA). TODAY, EW IS A WELL-ESTABLISHED NETWORK OF 20 NON-PROFIT ORGANIZATIONS, MANY OF WHOM WERE MEMBERS OF THE ADVOCACY GROUPS, THAT PILOTS AND EVALUATES INNOVATIVE HEALTH EQUITY INTERVENTIONS THAT HOPE TO BREAK THE LINKS BETWEEN POVERTY, STRUCTURAL RACISM, AND POOR HEALTH, AND NEGOTIATES MANAGED CARE CONTRACTS THAT ENHANCE OR EXPAND MEDICAID SERVICES. IN JULY 2022, EW LAUNCHED AN AMBITIOUS, PILOT INITIATIVE, DUBBED “CARE YOUR WAY,” (CYW) INTEGRATING MEDICAL CARE, BEHAVIORAL HEALTH, AND SOCIAL DETERMINANT OF HEALTH (SDOH) SERVICES THROUGH A TARGETED, POPULATION-HEALTH APPROACH USING SMARTPHONE-BASED SDOH SERVICES AND ON-DEMAND VIRTUAL MEDICAL CARE TO ITS HIGHEST-NEED CLIENTS. THE OVERARCHING AND UNIFYING AIM OF EW IS TO IMPROVE HEALTH DISPARITIES BASED ON RACE AND SOCIOECONOMIC STATUS. EW’S CYW MODEL DIRECTLY ADDRESSES HEALTH DISPARITIES EXPERIENCED BY BLACK AND LATINX NEW YORKERS. HW, WITH THE EW IPA AS THE LEAD PROJECT ADMINISTRATOR, SEEKS TO SUPPORT THE CONTINUATION AND SPECIALIZATION OF CYW, WITH A FOCUS ON ADDRESSING TWO LEADING HEALTH INDICATORS (LHIS)—HIGH-BLOOD PRESSURE AND FOOD INSECURITY. IN THE BROADER PUBLIC HEALTH CONTEXT, THE CYW PROJECT INTEGRATES SDOH INTO OUTPATIENT PRIMARY CARE. THIS IS PARTICULARLY SIGNIFICANT FOR UNDERSERVED AND MINORITY POPULATIONS WHO HAVE BEEN SYSTEMICALLY AND HISTORICALLY DENIED ACCESS TO PREVENTIVE HEALTHCARE AND RESOURCES THAT PROMOTE HEALTH. THE LHIS ARE IMPACTED BY HEALTH CARE ACCESS AND QUALITY (SDOH 1) AND ECONOMIC STABILITY (SDOH 2). POVERTY AND SOCIOECONOMIC STRESSORS, LIKE FOOD AND FINANCIAL INSECURITY, ARE COMMON BARRIERS TO INITIATION AND SUSTAINED ENGAGEMENT IN MEDICAL CARE AND BEHAVIORAL HEALTH TREATMENT. THE OVERARCHING GOAL OF THE PROPOSED PROGRAM IS TO DEMONSTRATE THAT THE THREE (3) COMMUNITY LEVEL AND DIGITAL HEALTH INNOVATIONS THAT MAKE UP CYW—FOOD SECURITY, MEDICATION ADHERENCE, AND VIRTUAL MEDICAL SCREENING AND REFERRAL—WHICH ARE AUGMENTED BY DIGITAL HEALTH TECHNOLOGY AND WRAPAROUND COMMUNITY HEALTH WORKER SUPPORT, INCREASE THE USE OF PREVENTIVE HEALTH SERVICES, MAKE PROGRESS TOWARD THE SELECTED LHI TARGETS FOR RACIAL AND ETHNIC MINORITIES, AND IMPROVE THE SELECTED SDOHS. EW IPA WILL ALSO IMPLEMENT A COMPREHENSIVE EVALUATION THAT DEMONSTRATES A PROOF OF CONCEPT AND RETURN ON INVESTMENT TO SUPPORT SUSTAINABILITY AND SCALABILITY THROUGH MANAGED CARE CONTRACTING. OVER THE 4-YEAR PROJECT, 1,200 UNIQUE CLIENTS WILL PARTICIPATE IN WELLTH (MEDICATION ADHERENCE INTERVENTION) AND/OR TANGELO (FOOD SECURITY INTERVENTION), AND EW IPA WILL COMPLETE 1,200 VIRTUAL HEALTH SCREENINGS IN NON-CLINICAL SETTINGS VIA ROCKET DOCTOR (VIRTUAL MEDICAL SCREENING AND REFERRAL INTERVENTION).

TCE-SPECIAL PROJECTS WILL PROVIDE BEHAVIORAL HEALTH SERVICES AND THE T-SISTA AND SEEKING SAFETY INTERVENTIONS TO LGBT ADULTS ACCESSING SERVICES IN MIDTOWN MANHATTAN.

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.

CONTINUUM OF CARE PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

PREVENTION NAVIGATION FOR RACIAL AND ETHNIC MINORITIES IN PUERTO RICO - SUMMARY. INTERCAMBIOS PUERTO RICO (IC) IS PROPOSING A PROGRAM TO PROVIDE SERVICES TO THOSE AT HIGHEST RISK FOR HIV AND SUD, WITH A FOCUS ON THE IMMIGRANT AND LGBTQ COMMUNITIES, INCLUDING YOUTH. IC WILL PROVIDE TRAINING AND EDUCATION AROUND THE RISKS OF SUBSTANCE MISUSE, EDUCATION ON HIV/AIDS, AND NEEDED LINKAGES TO SERVICE PROVISION FOR INDIVIDUALS WITH HIV. IC WILL SERVE 125 UNDUPLICATED INDIVIDUALS ANNUALLY AND 625 OVER THE PROJECT PERIOD. PROJECT NAME. NAVIGATION PUERTO RICO POPULATIONS TO BE SERVED. IC’S POPULATION OF FOCUS (POF) WILL BE THOSE AT HIGHEST RISK FOR HIV AND SUD, WITH A FOCUS ON THE IMMIGRANT AND LGBTQ COMMUNITIES, INCLUDING YOUTH (AGES 18 AND OVER). THE CATCHMENT AREA WILL BE THE PUERTO RICO AREAS OF SAN JUAN, CAGUAS, AND HUMACAO. STRATEGIES/INTERVENTIONS. IC’S PROGRAM ACTIVITIES WILL INCLUDE: 1) IMPLEMENT COMMUNITY-BASED SUBSTANCE MISUSE AND HIV PREVENTION STRATEGIES; 2) DEVELOP AND IMPLEMENT PUBLIC MESSAGING AND AWARENESS CAMPAIGNS ON SUBSTANCE MISUSE AMONG PLWH AND THE IMPORTANCE OF SEEKING CARE AND TREATMENT; 3) PROVIDE OPPORTUNITIES FOR SCREENING AND TESTING FOR HIV AND VIRAL HEPATITIS; 4) PROVIDE NAVIGATION SERVICES TO LINK INDIVIDUALS TO CARE FOR HIV AND SUBSTANCE MISUSE; 5) PROVIDE EDUCATION AND TRAINING TO SUD TREATMENT AND HEALTHCARE PROVIDERS ON THE IMPORTANCE OF SCREENING FOR HIV; AND 6) IMPLEMENT THE FOLLOWING EBPS: MOTIVATIONAL INTERVIEWING, SBIRT (WITH THE CRAFFT), AND ARTAS. PROJECT GOALS AND MEASURABLE OBJECTIVES. THE PROGRAM’S 3 GOALS ARE 1) IMPROVE LOCAL SERVICE PROVIDERS’ UNDERSTANDING OF NEEDS AND ISSUES IN THE COMMUNITY RELATED TO SUBSTANCE ABUSE AND HIV, 2) INCREASE THE NUMBER OF AT-RISK INDIVIDUALS WHO ARE IDENTIFIED, TESTED FOR HIV, AND LINKED WITH HIV CARE, HOUSING AND SUPPORT SERVICES, AND 3) INCREASE THE NUMBER OF AT-RISK INDIVIDUALS WHO ARE IDENTIFIED, TESTED FOR HIV, AND LINKED TO HIV CARE AND OTHER SUPPORT SERVICES. THE PROGRAM’S OBJECTIVES INCLUDE: OFFER TRAININGS AND WORKSHOPS FOR AT LEAST 10 AGENCIES REGARDING THE RISKS OF SUBSTANCE AND HIV IN THE POF AND BEST PRACTICES FOR SERVING THE POF; CONDUCT OUTREACH AND RECRUITMENT ACTIVITIES FOR 250 PERSONS PER YEAR; CONDUCT PUBLIC MESSAGING AND AWARENESS CAMPAIGNS VIA SOCIAL MEDIA AND COMMUNITY EVENTS FOR 1,000 PERSONS PER YEAR; PROVIDE REFERRALS TO HIV, STD, AND HCV TESTING FOR 75 PERSONS PER YEAR; PROVIDE 6 GROUP PREVENTION EDUCATION SESSIONS PER YEAR FOR AT LEAST 30 PROGRAM PARTICIPANTS PER YEAR ON SUBSTANCE MISUSE PREVENTION EDUCATION AND HIV RISK REDUCTION SERVICES; SCREEN AT LEAST 125 PERSONS FROM THE POF PER YEAR FOR SUBSTANCE MISUSE USING EVIDENCE-BASED SCREENING TOOLS; PROVIDE NAVIGATION TO SUD TREATMENT FOR 75% OF PARTICIPANTS; PROVIDE HIV COUNSELING, TESTING, AND REFERRAL SERVICES TO AT LEAST 125 PERSONS IN THE POF EACH YEAR; PROVIDE HCV AND STI SCREENING FOR AT LEAST 50 PERSONS IN THE POF EACH YEAR; PROVIDE NAVIGATION TO HIV CARE SERVICES TO 90% OF PERSONS TESTING HIV POSITIVE PER YEAR; PROVIDE NAVIGATION TO HCV AND STI CARE TO 85% OF PERSONS TESTING POSITIVE PER YEAR; AND PROVIDE ONGOING SUPPORT TO 80% OF HIV-POSITIVE CLIENTS TO ENSURE RETENTION IN CARE.

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

HOUSING WORKS HEALTH IMPROVEMENT FOR RE-ENTERING EX-OFFENDERS INITIATIVE

HIRE

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

CONTINUUM OF CARE PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

TCE-HIV FOR HIGH RISK POPULATIONS

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

SUPPORTIVE HOUSING PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

HEALTH CENTER CLUSTER PLANNING GRANTS

FISCAL YEAR 2025 EXPANDED HOURS. - HOUSING WORKS HEALTH SERVICES III, INC., DOING BUSINESS AS HOUSING WORKS COMMUNITY HEALTHCARE (HWCH), IS PROPOSING AN EXPANDED HOURS PROJECT TO INCREASE HEALTH CENTER OPERATING HOURS TO BETTER MEET CLIENT AND COMMUNITY NEEDS. SPECIFICALLY, HWCH WILL INCREASE HOURS AT ITS FIVE SITES IN NEW YORK CITY (NYC), INCLUDING THE DOWNTOWN BROOKLYN HEALTH CENTER (DBHC), THE EAST NEW YORK COMMUNITY HEALTH CENTER (ENY), THE WESTSIDE HEALTH CENTER (WSHC), THE W. 37TH STREET HEALTH CENTER (W. 37TH), AND THE EAST HARLEM COMMUNITY HEALTH CENTER (EHCHC). EXPANDED HOURS WILL INCLUDE THE FOLLOWING: • DBHC WILL OFFER SATURDAY HOURS (10 AM – 2PM) AND EVENING HOURS (5 PM – 7 PM) ONE EVENING PER WEEK, PROVIDING ADULT AND PEDIATRIC HEALTH CARE SERVICES. • ENY, WHICH CURRENTLY OFFERS SATURDAY HOURS (10 AM – 2 PM) EVERY OTHER SATURDAY, WILL UTILIZE THE FUNDING TO OFFER SATURDAY HOURS EVERY SATURDAY, PROVIDING ADULT HEALTH CARE SERVICES. • WSHC WILL INCREASE HOURS TO OFFER 1 EVENING PER WEEK FROM 5 PM – 7PM, PROVIDING ADULT HEALTH CARE SERVICES. • W. 37TH ST., WHICH IS CO-LOCATED WITH HWCH’S GINNY SHUBERT HARM REDUCTION CENTER, WILL INCREASE HOURS TWO EVENING PER WEEK FROM 5 PM – 8 PM, PROVIDING ACCESS TO HEALTH CARE SERVICES AND BEHAVIORAL HEALTH CARE SERVICES, INCLUDING MEDICATION ASSISTED TREATMENT (MAT). • EHCHC WILL INCREASE HOURS TO OFFER 1 EVENING PER WEEK FROM 5 PM – 7PM, PROVIDING ADULT HEALTH CARE SERVICES. THE FUNDING WILL ALLOW HWCH TO SUPPORT STAFFING AT EACH SITE TO PROVIDE NEEDED HEALTH CARE AND BEHAVIORAL HEALTH SERVICES DURING THE EXPANDED HOURS. STAFFING WILL INCLUDE A CLINICAL PROVIDER (PHYSICIAN, PSYCHIATRIC NURSE PRACTITIONER, ETC.), REGISTERED NURSE, MEDICAL ASSISTANT, PATIENT SERVICES REPRESENTATIVE, AND A CLINIC OPERATIONS MANAGER. HWCH HAS SERVED NYC’S LOW-INCOME AND UNDERSERVED RESIDENTS FOR 34 YEARS. AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) WITH A HEALTHCARE FOR THE HOMELESS DESIGNATION SINCE 1998, HWCH PROVIDES HIGH-QUALITY PRIMARY MEDICAL HEALTH CARE SERVICES, INCLUDING PREVENTION SERVICES, ACUTE CARE, CHRONIC DISEASE TREATMENT, CARE COORDINATION, AND FOLLOW-UP CARE. HWCH EFFECTIVELY ADDRESSES THE NEEDS OF A DIVERSE PATIENT POPULATION, INCLUDING LOW-INCOME AND HOMELESS INDIVIDUALS AND FAMILIES, PEOPLE WITH CHRONIC MENTAL ILLNESS AND/OR SUBSTANCE USE DISORDERS, INDIVIDUALS MANAGING COMPLEX, CHRONIC MEDICAL CONDITIONS INCLUDING HIV/AIDS, AT-RISK YOUTH, AND FORMER OFFENDERS RE-ENTERING THE COMMUNITY. HWCH IS LICENSED AS AN ARTICLE 28 DIAGNOSTIC AND TREATMENT CENTER UNDER THE NEW YORK STATE (NYS) DEPARTMENT OF HEALTH (DOH), AN ARTICLE 31 OUTPATIENT MENTAL HEALTH CLINIC UNDER THE NYS OFFICE OF MENTAL HEALTH (OMH), AND AN ARTICLE 32 OUTPATIENT CHEMICAL DEPENDENCE TREATMENT PROGRAM, UNDER THE NYS OFFICE OF ADDICTION SERVICES AND SUPPORTS (OASAS). THE PROPOSED EXPANDED HOURS PROJECT WILL ENSURE HWCH IS ABLE TO MEET THE HEALTHCARE NEEDS OF ITS CLIENTS AND OTHER COMMUNITY MEMBERS THROUGHOUT ITS SERVICE AREA. ACROSS THE PROPOSED SITES, HWCH HAS A WAIT LIST OF MORE THAN 30 COMMUNITY MEMBERS. FURTHER, MANY OF THESE SITES, INCLUDING THE WSHC AND W. 37TH ST., ARE IN HIGH-TRAFFIC AREAS WITH COMMUNITY MEMBERS WHO ARE ACTIVE SUBSTANCE USERS, AND MAY BE ACCESSING HIV/STI SCREENING AND HARM REDUCTION SERVICES SUCH AS SYRINGE EXCHANGE, AND WOULD BENEFIT FROM IMMEDIATE LINKAGE TO A PROVIDER FOR STI TREATMENT, OR MAT SERVICES. THE EXPANSION OF HOURS TO INCLUDE SATURDAYS WILL SIGNIFICANTLY INCREASE ACCESS TO SERVICES FOR PEDIATRIC PATIENTS AT DBHC, PARTICULARLY FOR SCHOOL-AGED CHILDREN AND WORKING PARENTS, WHO MAY FIND IT DIFFICULT TO ATTEND PEDIATRIC APPOINTMENTS DURING WEEKDAYS. THROUGH THE EXPANDED HOURS PROJECT, HWCH ANTICIPATES ACHIEVING THE FOLLOWING OUTCOMES: INCREASED ACCESS TO SERVICES; INCREASED ENGAGEMENT IN SERVICES; INCREASED RETENTION IN SERVICES; REDUCED EMERGENCY ROOM VISITS; AND ENHANCED CLIENT SATISFACTION.

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

HOMELESS ASSISTANCE

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

SUPPORTIVE HOUSING PROGRAM

HOMELESS ASSISTANCE

SUPP HOUSING TRANS

THE HEALTH OUTREACH UTILIZATION AND SERVICE ENHANCEMENT PROJECT