Friend Incorporated

PA-22 FYPD, PA-25 EARLY HEAD START, PA-20 & PA-1126 T&TA/CDA

HEAD START AND EARLY HEAD START

HEAD START & EARLY HEAD START

HEAD START AND EARLY HEAD START

HEAD START AND EARLY HEAD START

HEAD START AND EARLY HEAD START

EARLY HEAD START

HEALTH CENTER CLUSTER

HEAD START AND EARLY HEAD START

HEALTH CENTER CLUSTER

HEAD START AND EARLY HEAD START

FISH AND WILDLIFE HABITAT RESTORATION IN SOUTHEAST MICHIGAN AREAS OF CONCERN -APPLICANT ORGANIZATION: FRIENDS OF THE DETROIT RIVER (FDR)

HEAD START / EARLY HEAD START

HEAD START AND EARLY HEAD START

HEALTH CENTER CLUSTER

HEAD START AND EARLY HEAD START

FISH AND WILDLIFE HABITAT RESTORATION IN THE DETROIT AND ROUGE RIVER AREAS OF CONCERN.

HEAD START AND EARLY HEAD START

NATIONALWIDE NO-COST GLAUCOMA SCREENING PROJECT USING MOBILE UNITS

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

PROVIDE LIFE-SAVING ASSISTANCE TO IDPS AND HOST COMMUNITIES IN THE OUEST, ARTIBONITE AND CENTRE DEPARTMENTS TO REDUCE MORTALITY AND MORBIDITY AMONG CRISIS-AFFECTED POPULATIONS IN HAITI.

ENGAGING LOW CANOPY NEIGHBORHOODS IN COMMUNITY TREE PLANTING

ORR/DCS RESIDENTIAL SERVICES FOR UAC

ENGAGING INDIGENOUS ORGANIZATIONS TO SUSTAIN AND ENHANCE COMPREHENSIVE CLINICAL S

A COMPARATIVE EFFECTIVENESS TRIAL OF EXTENDED RELEASE NALTREXONE VERSUS EXTENDED-RELEASE BUPRENORPHINE WITH INDIVIDUALS LEAVING JAIL

UNACCOMPANIED ALLIEN CHILDREN

EARLY HEAD START/CHILD CARE PARTNERSHIP

HEALTH CENTER CLUSTER

USAID HOST AND IMPACTED COMMUNITY RESILIENCE ACTIVITY - DEVELOPMENT INNOVATION VENTURES (DIV)

EHS-CC PARTNERSHIP - RHODE ISLAND TITLED PARTNERS (PARTNERING ACROSS RHODE ISLAND TO NURTURE EDUCATIONAL READINESS STATEWIDE)

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE.  ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

FRIENDS OF YOUTH STAFF SECURE PROGRAM FOR UAC

QUALIFIED ARBORICULTURAL WORKFORCE DEVELOPMENT FOR PACIFIC ISLAND DISADVANTAGED COMMUNITIES

THIS PROJECT AIMS TO REVITALIZE THE DETROIT RIVER ECOSYSTEM BY RESTORING CRITICAL COASTAL WETLANDS AND SHORELINE COMPLEXITY AT LAKEWOOD EAST PARK AND CELERON ISLAND TO DIRECTLY SUPPORT NATIVE GREAT LAKES FISH POPULATIONS. BY UTILIZING SUSTAINABLE, NATURAL HABITAT FEATURESINCLUDING THE CONSTRUCTION OF PROTECTIVE SHOALS, THE EXPANSION OF SUBMERGED AQUATIC VEGETATION, AND THE CREATION OF DEEP-WATER HABITATSTHE INITIATIVE WILL PROVIDE ESSENTIAL SPAWNING GROUNDS, NURSERY AREAS, AND SEASONAL REFUGE FOR SPECIES LIKE WALLEYE, WHITEFISH, AND STURGEON. THESE ENHANCEMENTS AT THE RIVERINE AND NEARSHORE LEVELS ARE DESIGNED TO REDUCE HABITAT INSTABILITY AND INCREASE BIODIVERSITY, DIRECTLY CONTRIBUTING TO THE DELISTING OF THE DETROIT RIVER AS AN AREA OF CONCERN (AOC) WHILE SIGNIFICANTLY IMPROVING LONG-TERM OPPORTUNITIES FOR RECREATIONAL FISHING AND COMMUNITY ENGAGEMENT.

PITTSBURGH CANOPY ALLIANCE

HEALTH CENTER CLUSTER

DETROIT RIVER AOC ??? STONY ISLAND HABITAT RESTORATION

EARLY HEAD START CHILD CARE PARTNERSHIP

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

FRIENDS OF YOUTH LONG TERM FOSTER CARE FOR UAC

EARLY HEAD START ? CHILD CARE PARTNERSHIP AND EARLY HEAD START EXPANSION

AMERICAN RESCUE PLAN

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

RESIDENTIAL (LONG TERM FOSTER CARE) SERVICES FOR UNACCOMPANIED CHILDREN

KABUL AMERICAN UNIVERSITY OF AFGHANISTAN BUILDING

INFLATION REDUCTION ACT FOREST JUSTICE IN GREATER GRAND RAPIDS

NEXT GENERATION OF DADS BACK! ACADEMY

THE PROPOSED PROGRAM IS THE NEXT GENERATION OF FOLA'S CURRENT ACF-FUNDED "DADS BACK!" PROGRAM. THE PROGRAM WILL SERVE LOW-INCOME RE-ENTRY FATHERS IN

TEENAGE PREGNANCY PREVENTION, PROJECT AIM REPLICATION FOR MIDDLE SCHOOL STUDENTS

FACILITATING THE IMPLEMENTATION OF INTERIM METHADONE TO INCREASE TREATMENT ACCESS: A MULTI-SITE IMPLEMENTATION TRIAL

ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING, AND MISCELLANEOUS GRANTS

PROVIDES FUNDS TO INVEST IN INNOVATIVE LOCAL ACTIVITIES THAT IMPROVE LOW-INCOME COMMUNITIES

BUPRENORPHINE FOR PROBATIONERS AND PAROLEES: BRIDGING THE GAP INTO TREATMENT

TFBSO-KABUL BUSINESS INCUBATOR PHASE II

CF CONGRESSIONALLY DIRECTED GRANTS

CARES 2.0 FUNDING FOR COVID19. THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

EARLY HEAD START/CHILD CARE PARTNERSHIP

TREATING POLYSUBSTANCE USE IN METHADONE MAINTENANCE: APPLICATION OF NOVEL DIGITAL TECHNOLOGY - ABSTRACT METHADONE IS A HIGHLY EFFECTIVE TREATMENT FOR OPIOID USE DISORDER (OUD), BUT MANY PATIENTS LEAVE TREATMENT PREMATURELY, PLACING THEM AT HIGH RISK OF RELAPSE AND OVERDOSE. EXTENSIVE RESEARCH SHOWS THAT COMORBID COCAINE USE IS ASSOCIATED WITH POOR RETENTION IN METHADONE TREATMENT. THE PROPOSED STUDY WILL EXAMINE A NOVEL INTERVENTION DESIGNED TO IMPROVE METHADONE TREATMENT RETENTION AND OTHER OUTCOMES AMONG PEOPLE WITH OPIOID AND COCAINE POLYSUBSTANCE USE. THE DESIGN IS A 2-ARM RANDOMIZED CONTROLLED TRIAL CONDUCTED OVER A ONE- YEAR PERIOD FOLLOWING METHADONE TREATMENT ENTRY. RETENTION (PRIMARY) AND DRUG USE (SECONDARY) OUTCOMES FOR METHADONE TREATMENT AS USUAL (TAU, N=120) WILL BE COMPARED WITH THE ADDITION OF THE DYNAMICARE HEALTH CONTINGENCY MANAGEMENT APP (TAU+DCM, N=120). DCM IS A PERSONAL DIGITAL THERAPY TOOL PROVIDED AS AN APP ON THE PATIENT’S SMART PHONE. ITS CENTRAL FEATURE IS THE DELIVERY OF EVIDENCE-BASED CONTINGENCY MANAGEMENT THERAPY IN A CONVENIENT, REMOTE, AND FULLY AUTOMATED FASHION THAT ENSURES VALIDITY OF TARGET BEHAVIORS AND IMMEDIACY OF REWARD DELIVERY. TWO TARGET BEHAVIORS RELEVANT TO RETENTION WILL BE THE PRIMARY FOCUS OF THE DCM PROGRAM: 1) ABSTINENCE FROM OPIATES AND COCAINE AS VERIFIED VIA REMOTE ORAL FLUID TESTING, AND 2) MEDICATION PICKUP FROM THE METHADONE PROGRAM AS VERIFIED BY CLINIC RECORDS. PARTICIPANTS IN THE TAU+DCM ARM WILL RECEIVE FINANCIAL REWARDS FOR ACHIEVING THESE PRE-DETERMINED BEHAVIORAL TARGETS OVER A 48-WEEK INTERVENTION PERIOD. COMPREHENSIVE ASSESSMENT OF ALL PARTICIPANTS WILL BE CONDUCTED AT BASELINE, 3-, 6- AND 12-MONTHS. AIM 1: TO DETERMINE THE RELATIVE EFFECTIVENESS OF TAU+DCM COMPARED TO TAU ALONE IN IMPROVING METHADONE TREATMENT RETENTION THROUGH 12-MONTHS POST TREATMENT ENTRY. AIM 2: TO DETERMINE THE RELATIVE EFFECTIVENESS OF TAU+DCM COMPARED TO TAU ALONE IN TERMS OF [AIM 2A] REDUCING OPIOID USE AND COCAINE USE; AND [AIM 2B] IMPROVING OTHER SECONDARY OUTCOMES INCLUDING NON-TARGETED SUBSTANCE USE AND QUALITY OF LIFE THROUGH 12- MONTHS POST TREATMENT ENTRY. AIM 3: TO EXPLORE APP USE PATTERNS, ACCEPTABILITY, AND PERCEIVED VALUE OF THE PERSONALIZED TREATMENT INTERVENTION THROUGH 12-MONTHS POST TREATMENT ENTRY. INNOVATION LIES IN THE PLATFORM AND STRUCTURE OF CM DELIVERY THAT ENSURES TREATMENT FIDELITY WITH AUTOMATION OF REMOTE BEHAVIORAL MONITORING AND REWARD DELIVERY WITHOUT INVOLVEMENT OF CLINICAL STAFF. THIS PROJECT REPRESENTS A NOVEL APPLICATION OF DIGITAL THERAPEUTICS TO ENHANCE THE EFFECTIVENESS OF OUD TREATMENT WITH POLYSUBSTANCE USE. FINDINGS FROM THIS PROJECT CAN IMPROVE THE PUBLIC HEALTH IMPACT OF METHADONE TREATMENT BY IDENTIFYING AN EFFECTIVE AND SCALABLE APPROACH TO ADDRESS POLYSUBSTANCE USE AMONG PATIENTS AT HEIGHTENED RISK OF TREATMENT DROPOUT.

HOMELESS PREVENTION

ADVANCED TRAUMA CARE SUPPORT

CARES FUNDING FOR COVID19. THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

A STATE-OF-THE-ART AUTOMATIC SPEECH RECOGNITION AND CONVERSATIONAL PLATFORM TO ENABLE SOCIALLY ASSISTIVE ROBOTS FOR PERSONS WITH ALZHEIMER'S DISEASE AND RELATED DEMENTIAS - ABSTRACT THIS COMMERCIALIZATION READINESS PILOT (CRP) BY CARE.COACH CORPORATION (MILLBRAE, CA) REQUESTS FUNDS FOR LATE- STAGE RESEARCH AND DEVELOPMENT AND TECHNICAL ASSISTANCE FOR A CONVERSATIONAL TECHNOLOGY DRIVEN BY ARTIFICIAL INTELLIGENCE (AI) THAT WAS DEVELOPED WITH AND FOR OLDER ADULTS, ESPECIALLY THOSE AGING WITH ALZHEIMER’S DISEASE AND RELATED DEMENTIAS (ADRD). PAST WORK HAS RESULTED IN A SOCIALLY ASSISTIVE ROBOT (SAR) AND VIRTUAL HEALTH ASSISTANT OVERSEEN BY HUMANS THAT IMPROVES HEALTH OUTCOMES AND REDUCES LONELINESS IN OLDER ADULTS AT A LOWER COST OF CARE. CUSTOMER LOYALTY IS WORLD-CLASS AND FAR EXCEEDS NET PROMOTOR SCORES (NPS) FOR WELL-KNOWN CONVERSATIONAL AGENTS, ATTESTING TO THE PRODUCT’S COMMERCIAL POTENTIAL. MOREOVER, ACTIVE PHASE II FUNDING (5R44AG0620-14-03) HAS RESULTED IN AN AUTOMATED SPEECH RECOGNITION (ASR) ENGINE THAT IS MORE ACCURATE IN UNDERSTANDING TRULY NATURAL SPEECH BY OLDER ADULTS, INCLUDING THOSE WITH ADRD, THAN MAJOR CONVERSIONAL AI PLATFORMS. THIS IS SIGNIFICANT GIVEN THE INHERENT CHALLENGES THAT THE SPEECH OF OLDER ADULTS, ESPECIALLY OF THOSE WITH ADRD, POSES TO CONVERSATIONAL AI DUE TO NORMAL AGE-RELATED NEUROLOGICAL CHANGES OR BRAIN PATHOLOGY ASSOCIATED WITH ADRD. LEVERAGING THESE ADVANCES AND INNOVATIONS, CARE.COACH IS PREPARING FOR RAPID GROWTH AND HAS ATTRACTED CONSIDERABLE INTEREST FROM INSURERS, CORPORATE DEVELOPMENT ARMS OF LARGE INSURERS, AND TRADITIONAL INVESTORS. TO SUCCESSFULLY SCALE, WE PROPOSE TO RE-PLATFORM OUR CURRENT SYSTEM ON TOP OF AN ENTERPRISE-GRADE, INTEGRATED KNOWLEDGE SOLUTION ENABLED BY KIE, AN OPENSOURCE PLATFORM POWERED BY KIE’S DROOLS/JBPM RULES AND PROCESS ENGINES. THE KIE PLATFORM HAS REVOLUTIONIZED ENTERPRISE OPERATIONS, AND HAS BEEN ADOPTED IN HEALTHCARE TO DRIVE QUALITY AND EFFICIENCY WITH APPLICATIONS RANGING FROM THE ADJUDICATION OF HEALTH INSURANCE CLAIMS TO THE IMPLEMENTATION OF CLINICAL DECISION SUPPORT SYSTEMS. IN ADDITION TO BUSINESS PROCESS AUTOMATION, THE COST OF GOODS SOLD (COGS) WILL COME DOWN WITH FULL CONVERSATIONAL AUTOMATION IN ALLOWABLE USE CASES BY TRAINING AND USING A LARGE LANGUAGE MODEL. BOTH CAPABILITIES WILL BE DEVELOPED IN THE PROPOSED CRP USING STATE-OF-THE-ART TECHNICAL APPROACHES, AND WILL BE EVALUATED FOR PERFORMANCE AND ACCEPTANCE IN A REPLICATION STUDY WITH ADRD PATIENTS IN PARTNERSHIP WITH A HEALTH PLAN AND MEDICAL PROVIDERS THAT SERVE A LARGE, DIVERSE ELDERLY POPULATION. THIS TECHNICAL ASSISTANCE AND LATE-STAGE DEVELOPMENT WILL DELIVER A STATE-OF-THE-ART, CONSUMER-FACING CONVERSA- TIONAL AGENT AND VIRTUAL HEALTH ASSISTANT DRIVEN BY A TECHNOLOGY PLATFORM WITH INDUSTRIAL PRODUCTION AND AUTOMA- TION METHODS THAT ENSURE CONSISTENT AND SCALABLE DIGITAL HEALTH SERVICE DELIVERY AND MANUFACTURING, AND THAT MEET THE HIGHEST SECURITY AND CONSUMER SATISFACTION STANDARDS. THE OVERALL GOAL IS TO IMPROVE THE HEALTH AND WELLBEING OF MILLIONS AMERICANS WITHIN 5 YEARS, INCLUDING THOSE AGING WITH ADRD.

HOMELESS PREVENTION

HIGHER EDUCATION EMERGENCY RELIEF FUND - INSTITUTION PORTION

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

A RANDOMIZED CONTROLLED TRIAL AND COHORT STUDY OF HIV TESTING AND LINKAGE TO CARE

OPIOID USE DISORDER TREATMENT LINKAGE AT STD CLINICS USING BUPRENORPHINE (OUTLAST-B)

HEALTH SERVICES RESEARCH: EXTENDED RELEASE NALTREXONE FOR OPIOID-DEPENDENT YOUTH

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

A COMPARATIVE EFFECTIVENESS TRIAL OF SUBLINGUAL VERSUS EXTENDED-RELEASE BUPRENORPHINE WITH INDIVIDUALS LEAVING A CARCERAL SETTING - ABSTRACT ALTHOUGH PREVIOUS RESEARCH HAS DEMONSTRATED THE EFFECTIVENESS OF INITIATING MEDICATIONS FOR OPIOID USE DISORDER (MOUDS) DURING INCARCERATION, THERE HAS BEEN VERY LITTLE ADOPTION NATIONWIDE OF THIS PRACTICE. EXTENDED-RELEASE BUPRENORPHINE (XR-B) IS A PROMISING INTERVENTION FOR THE TREATMENT OF OUDS IN CARCERAL SETTINGS. INDIVIDUALS WITH OUDS RE-ENTERING THE COMMUNITY ARE AT AN ELEVATED RISK FOR OVERDOSE AND DEATH FROM RELAPSE TO OPIOID USE AMONG OTHER OPIOID-RELATED HARMS. THIS PROPOSAL BUILDS ON THE CURRENT INVESTIGATORS EXPERIENCE CONDUCTING CLINICAL TRIALS USING BOTH XR-B AND SUBLINGUAL-BUPRENORPHINE-NALOXONE (SL-B) WITH INDIVIDUALS IN JAIL AND PRISON. THIS PROPOSED STUDY IS A RANDOMIZED CONTROLLED TRIAL OF XR-B VS. SL-B IN A LARGE METROPOLITAN JAIL. AN OPEN-LABEL DESIGN WILL RANDOMLY ASSIGN 240 ADULTS WITH MODERATE-TO-SEVERE OUDS WHO ARE SOON-TO-BE-RELEASED FROM JAIL TO EITHER XR-B (N = 120) OR SL-B (N = 120) TREATMENT IN JAIL FOLLOWED BY 6-MONTHS OF POST-RELEASE BUPRENORPHINE TREATMENT, A 7-MONTH SAFETY VISIT, AND FINAL LONG-TERM FOLLOW-UP AT 12-MONTHS. THE STUDY HAS THREE AIMS: AIM 1. COMPARE THE EFFECTIVENESS OF XR-B VS. SL-B IN TERMS OF: PRIMARY OUTCOME. (A) ILLICIT OPIOID USE (I. URINE TOXICOLOGY; II. SELF-REPORTED DAYS OF OPIOID USE USING TIMELINE FOLLOWBACK; AND III. TIME TO OPIOID RELAPSE). SECONDARY OUTCOMES. (B) RETENTION IN BUPRENORPHINE TREATMENT (I. DAYS RECEIVING BUPRENORPHINE AND II. TIME TO TREATMENT DROPOUT); (C) OTHER ILLICIT SUBSTANCE USE (I. URINE TOXICOLOGY; II. SELF-REPORTED DAYS OF ILLICIT SUBSTANCE USE USING TIMELINE FOLLOWBACK; (D) OVERDOSE EVENTS (NON-FATAL AND FATAL); (E) QUALITY OF LIFE (I. PHYSICAL HEALTH; II. MENTAL HEALTH); (F) HIV RISK BEHAVIORS (I. SEXUAL RISK BEHAVIOR; II. NEEDLE USE OR SHARING); AND (G) CRIMINAL ACTIVITY (I. CRIME DAYS; II. RE-ARREST; III. TECHNICAL VIOLATIONS; IV. RE-INCARCERATION). AIM 2. TO CALCULATE THE COST TO THE STATE AND/OR JAIL/CITY HEALTH SYSTEM OF IMPLEMENTING XR-B AND SL-B, AND DETERMINE THE RELATIVE VALUE, INCLUDING THE COSTS ASSOCIATED WITH THE INTERVENTIONS IN THE COMMUNITY, FROM A COUNTY AND STATE-POLICYMAKER AND SOCIETAL PERSPECTIVE. AIM 3. EXPLORE BARRIERS AND FACILITATORS TO XR-B/SL-B IMPLEMENTATION IN JAIL: (1) DOSE INDUCTION; (2) DIVERSION AND PROCEDURES FOR REDUCING DIVERSION; (3) CONTINUITY OF CARE AFTER RELEASE OR TRANSFER TO ANOTHER FACILITY; (4) STAFFING (BOTH CUSTODY AND MEDICAL) NEEDS FOR DAILY VERSUS XR-B BUPRENORPHINE DOSING; AND (5) PATIENT PREFERENCE FOR XR-B VERSUS SL-B. THE PROPOSED STUDY WOULD BE INNOVATIVE BECAUSE IT WOULD BE THE FIRST LARGE SCALE RCT IN THE US ASSESSING EFFECTIVENESS AND COST EFFECTIVENESS OF XR-B VERSUS SL-B WITH INDIVIDUALS IN A JAIL WHO ARE RE-ENTERING COMMUNITY. UNDERSTANDING HOW TO EXPAND ACCEPTANCE OF BUPRENORPHINE IN JAILS, HAS FAR-REACHING IMPLICATIONS FOR EXPANDING TREATMENT ACCESS IN JAIL.

LONG-ACTING NALTREXONE FOR PRE-RELEASE PRISONERS: A RANDOMIZED TRIAL OF MOBILE TREATMENT

NORTHERN CALIFORNIA TRIBAL MAT CONSORTIUM - FRIENDSHIP HOUSE WILL DEVELOP AND LEAD THE NORTHERN CALIFORNIA TRIBAL MAT CONSORTIUM IN RESPONSE TO THE GOALS ARTICULATED BY THE MAT-PDOA PROGRAM. THROUGH THIS PROJECT, WE WILL INCREASE ACCESS TO MOUD FOR AMERICAN INDIANS AND ALASKA NATIVES (AI/ANS) LIVING IN URBAN, RURAL AND TRIBAL AREAS OF NORTHERN CALIFORNIA. AS A DIRECT SERVICE PROVIDER, FRIENDSHIP HOUSE WILL LEAD A CONSORTIUM OF TRIBAL HEALTH PROGRAMS OPERATED BY THE INDIAN HEALTH SERVICE AND URBAN INDIAN HEALTH PROGRAMS IN NORTHERN CALIFORNIA. IN DOING SO, WE WILL CREATE A MORE COORDINATED CONTINUUM OF REFERRAL, TREATMENT AND RECOVERY SUPPORT SERVICES FOR AI/ANS EXPERIENCING OPIOID USE DISORDER. THE EPIDEMIC OF OPIOID USE DISORDER HAS DISPROPORTIONATELY IMPACTED AI/ANS, WHO EXPERIENCE THE SECOND HIGHEST RATE OF OPIOID OVERDOSE OF ALL RACIAL/ETHNIC POPULATIONS. UNFORTUNATELY, AI/ANS HAVE POOR ACCESS TO TREATMENT. NATIONALLY 71% OF AI/ANS NOW LIVE IN URBAN AREAS, WITH THAT PERCENTAGE CLOSER TO 90% IN CALIFORNIA. THESE URBAN AREAS LACK CULTURALLY-INFORMED SYSTEMS AND SERVICES. FOR AI/ANS IN RURAL OR TRIBAL AREAS, THEY OFTEN LIVE HOURS AWAY FROM A TRIBAL CLINIC OR PHARMACY, PREVENTING ACCESS TO OUD TREATMENT. THESE ACCESS GAPS ARE NOT UNIQUE TO NORTHERN CALIFORNIA. BY ADDRESSING ACCESS GAPS FOR AI/ANS IN URBAN, RURAL AND TRIBAL AREAS, THE NORTHERN CALIFORNIA TRIBAL MAT CONSORTIUM CAN SERVE AS A NATIONAL MODEL, AND A ROADMAP FOR OTHER REGIONS TO CREATE THEIR OWN TRIBAL MAT CONSORTIUM. AS THE LEAD DIRECT SERVICE PROVIDER, FRIENDSHIP HOUSE WILL EXPAND SCREENING ACROSS A SPRAWLING NORTHERN CALIFORNIA REGION AND INCREASE THE NUMBER OF AI/ANS RECEIVING RESIDENTIAL TREATMENT AT OUR SAN FRANCISCO FACILITY. THIS PROJECT WILL MAKE OUR EXISTING TREATMENT PROGRAM MORE ACCESSIBLE TO AI/ANS LIVING IN MORE REMOTE AREAS, ESTABLISH RECOVERY SUPPORT SERVICES FOR AI/ANS WHEN THEY RETURN TO THEIR COMMUNITIES, AND COORDINATE LONG-TERM MOUD AND BEHAVIORAL HEALTH CARE WITH TRIBAL HEALTH PROGRAMS. FRIENDSHIP HOUSE WILL PROVIDE RESIDENTIAL TREATMENT AND MOUD TO 675 PEOPLE THROUGHOUT THE 5 YEARS OF THE PROJECT. OUR RECOVERY SUPPORT SERVICES WILL REACH AN ADDITIONAL 433 UNDUPLICATED PEOPLE OVER THIS PERIOD. THE FOLLOWING ARE GOALS AND MEASURABLE OBJECTIVES OF OUR PROPOSED PROJECT: GOAL 1: INCREASE ACCESS TO MEDICATION-ASSISTED TREATMENT FOR INDIVIDUALS WITH OUD OBJECTIVE 1A: BY THE END OF YEAR 1, FRIENDSHIP HOUSE WILL HAVE INCREASED THE NUMBER OF ANNUAL INDIVIDUALS SCREENED FOR OUD BY 75% (FROM 500 TO 875). OBJECTIVE 1B: BY THE END OF YEAR 1, FRIENDSHIP HOUSE WILL HAVE INCREASED THE NUMBER OF ANNUAL INDIVIDUALS ADMITTED FOR RESIDENTIAL OUD TREATMENT BY 50% (FROM 70 TO 105). GOAL 2: IMPROVE CARE COORDINATION FOR INDIVIDUALS WITH OUD FROM RURAL OR TRIBAL AREAS OBJECTIVE 2A: FRIENDSHIP HOUSE WILL HAVE INCREASED THE NUMBER OF ANNUAL REFERRALS BY TRIBAL HEALTH PROGRAMS AND COUNTY COURTS BY 50% (FROM 300 TO 450). OBJECTIVE 2B: 90% OF INDIVIDUALS EXITING RESIDENTIAL OUD TREATMENT WILL HAVE STABLE HOUSING AND ACCESS TO LOCAL BEHAVIORAL AND MEDICAL HEALTH CARE. OBJECTIVE 2C: FRIENDSHIP HOUSE WILL HAVE ENGAGED WITH EACH IHS CLINIC TO COLLABORATE ON CARE COORDINATION. GOAL 3: REDUCE RELAPSE RATES AMONG INDIVIDUALS RECEIVING MAT OBJECTIVE 3A: 90% OF INDIVIDUALS IN RESIDENTIAL TREATMENT PROGRAM WILL HAVE CO-CREATED AN INDIVIDUALIZED RECOVERY PLAN BEFORE DISCHARGE FROM RESIDENTIAL TREATMENT. OBJECTIVE 3B: 75% OF INDIVIDUALS IN RECOVERY WILL PARTICIPATE REGULARLY IN PEER-BASED RECOVERY SUPPORT SERVICES FOR AT LEAST 3 MONTHS AFTER DISCHARGE FROM RESIDENTIAL TREATMENT. OBJECTIVE 3C: 90% OF INDIVIDUALS IN RECOVERY WILL HAVE SUCCESSFULLY CONTINUED THEIR PRESCRIBED MAT FOR AT LEAST 3 MONTHS AFTER DISCHARGE FROM RESIDENTIAL TREATMENT.

DADS MAKING A DIFFERENCE

IDENTIFYING SUSPECTED DRUG OVERDOSE DEATHS IN NEAR REAL-TIME USING DATA COLLECTED BY DEATH INVESTIGATORS - THIS STUDY IS PART OF THE NIH’S HELPING TO END ADDICTION LONG-TERM (HEAL) INITIATIVE TO SPEED SCIENTIFIC SOLUTIONS TO THE NATIONAL OPIOID PUBLIC HEALTH CRISIS. THE NIH HEAL INITIATIVE BOLSTERS RESEARCH ACROSS NIH TO IMPROVE TREATMENT FOR OPIOID MISUSE AND ADDICTION. DRUG OVERDOSE DEATH RATES HAVE REACHED A RECORD HIGH. EFFECTIVE RESPONSES TO THE OVERDOSE EPIDEMIC REQUIRE ACCURATE AND TIMELY DRUG OVERDOSE SURVEILLANCE DATA. DEATH CERTIFICATES ARE THE FOUNDATION OF OVERDOSE MORTALITY SURVEILLANCE; HOWEVER, LONG TURNAROUND TIMES FOR ISSUING FINALIZED DEATH CERTIFICATES IN SUSPECTED DRUG-RELATED DEATHS HINDERS SURVEILLANCE ACTIVITIES AND PREVENTS RAPID RESPONSES BY PUBLIC HEALTH PROGRAMS. CORONERS AND MEDICAL EXAMINERS (C/MES) PLAY A CRITICAL ROLE IN GENERATING DATA FOR THE MEDICAL CERTIFICATION SECTION OF DEATH CERTIFICATES. THESE DATA ARE ROUTINELY COLLECTED IMMEDIATELY AFTER THE OVERDOSE FATALITY OCCURS AND PROVIDE AN OPPORTUNITY TO RAPIDLY EXAMINE THE CIRCUMSTANCES OF DEATH AND INFORM TIME-SENSITIVE ACTIVITIES IN RESPONSE TO FATAL OVERDOSES. THE NEW YORK CITY (NYC) OFFICE OF CHIEF MEDICAL EXAMINER (OCME) DEVELOPED A TOOL THAT USES DATA GENERATED DURING DEATH INVESTIGATIONS TO IDENTIFY DRUG OVERDOSE DEATHS IN NEAR REAL-TIME. THIS TOOL, NAMED THE SUSPECTED POTENTIAL OVERDOSE TRACKER (SPOT), USES A SMALL NUMBER OF VARIABLES ROUTINELY COLLECTED BY DEATH INVESTIGATORS IN A RIGOROUS AND REPRODUCIBLE ALGORITHM TO RAPIDLY PREDICT WHETHER A DEATH WAS AN UNINTENTIONAL DRUG OVERDOSE. WHILE PRELIMINARY FINDINGS SHOW THAT SPOT IS HIGHLY PROMISING FOR IDENTIFYING FATAL OVERDOSES IN NEAR REAL-TIME, THERE IS A NEED TO FURTHER ENHANCE THE TOOL, EXAMINE ITS PERFORMANCE ACROSS DIFFERENT SUBPOPULATIONS, AND ASSESS ITS PERFORMANCE AND USABILITY OUTSIDE OF NYC. THUS, THIS STUDY AIMS TO (1) OPTIMIZE SPOT THROUGH ADDITIONAL DATA FROM THE NYC OCME TO IMPROVE PERFORMANCE OF THE TOOL AND DEVELOP ADVANCED FEATURES USING NATURAL LANGUAGE PROCESSING; (2) ASSESS BARRIERS AND FACILITATORS OF ADOPTING SPOT IN PREPARATION FOR ITS DEPLOYMENT THROUGH SEMI-STRUCTURED INTERVIEWS WITH PRIMARY AND SECONDARY USERS OF SPOT DATA; AND (3) EVALUATE THE USABILITY AND PERFORMANCE OF SPOT IN C/ME OFFICES ACROSS NEW YORK STATE, INCLUDING COUNTIES INVOLVED IN THE NIDA-FUNDED HEALING COMMUNITIES STUDY. THE PUBLIC HEALTH IMPLICATIONS OF ADOPTING THIS TOOL ARE SIGNIFICANT: 1) IT ALLOWS FOR NEAR REAL-TIME MONITORING OF OVERDOSE FATALITY LEVELS AND DETECTION OF ATYPICAL PATTERNS; 2) IT PROVIDES A MECHANISM FOR EXPEDITED OUTREACH TO FAMILY AND FRIENDS OF OVERDOSE DECEDENTS WHO MAY BE AT HIGH RISK FOR OVERDOSE; 3) IT ALLOWS FOR IDENTIFICATION OF GAPS IN OVERDOSE RESPONSE PREPAREDNESS AND DATA-DRIVEN DECISION MAKING OF PUBLIC HEALTH AND PUBLIC SAFETY AGENCIES; AND 4) IT AFFORDS OPPORTUNITIES FOR EVALUATION AND CONSISTENT INFORMATION EXCHANGE OF OVERDOSE PREVENTION INTERVENTIONS, PROGRAMS AND POLICIES. IF FOUND SUCCESSFUL, THE SPOT METHODOLOGY CAN BE READILY DISSEMINATED TO OTHER STATES TO ENHANCE SURVEILLANCE OF DRUG OVERDOSE MORTALITY. THIS PROJECT IS HIGHLY RESPONSIVE TO A TOP NIDA RESEARCH PRIORITY, AND DIRECTLY ADDRESSES ONE OF THE NATION’S MOST CHALLENGING PUBLIC HEALTH CRISES.

THE SSVF PROGRAM’S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY’S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

KOA - KNOWLEDGE, OPPORTUNITY, ACHIEVEMENT

ALOHA - ADVANCED LEARNING OPPORTUNITIES = HAWAIIAN ACHIEVEMENT

ENTRY AND ENGAGEMENT IN METHADONE MAINTENANCE TREATMENT

HOMELESS PREVENTION

DESCRIPTION:THIS AGREEMENT PROVIDES FUNDING UNDER THE INFLATION REDUCTION ACT (IRA) TO FRIENDS OF THE CHICAGO RIVER. SPECIFICALLY, THE PROJECT WILL ENSURE COMMUNITY ORGANIZATIONS ARE WORKING MORE DIRECTLY WITH GOVERNMENT STAKEHOLDERS TO ADVANCE A VISION FOR THE IMPLEMENTATION OF MORE EQUITABLE CLIMATE, ENVIRONMENTAL, AND WATERWAYS RELATED TO CITY POLICY. THE PROPOSED WORK REPRESENTS AN OPPORTUNITY FOR DEEPENING ESTABLISHED COMMUNITY, NONPROFIT, AND GOVERNMENT COLLABORATIONS TO ADVANCE INNOVATIVE POLICIES THAT CAN REPAIR PAST INJUSTICE AND CATALYZE THE NEXT PHASE OF COMMUNITY AND WATERWAYS HEALTH. ACTIVITIES:THE ACTIVITIES INCLUDE FULL RIVER TASK FORCE QUARTERLY WORKSHOPS, MONTHLY RIVER EDGE DEVELOPMENT REVIEW WORKING GROUP MEETINGS, RIVER ADVISORY WORKING GROUP MEETINGS, BI-WEEKLY DEPARTMENT OF PLANNING AND DEVELOPMENT COORDINATION MEETINGS, QUARTERLY AGENCY STEERING COMMITTEE MEETINGS, HANDS-ON ACTIVITIES, SITE VISITS, WALKING TOURS AND VISIONING SESSIONS, TRAININGS, FOCUS GROUPS, ACTIVITIES FOR YOUTH, STEWARDSHIP PROGRAMS, AND OTHER ACTIVITIES TO BE DETERMINED BY LOCAL COMMUNITY LEADERS. SUBRECIPIENT:THE SUB-RECIPIENTS/SUBAWARDS WILL PROVIDE THE RIVER TASK FORCE WITH ADMINISTRATIVE SERVICES SUCH AS, GATHERING UPDATES FROM GOVERNMENT AGENCY STAFF FOR SHARING WITH STAKEHOLDERS PRIOR TO FULL RIVER TASK FORCE MEETINGS AND OTHER ENGAGEMENT ACTIVITIES, COORDINATING AND FACILITATING CONSENSUS FOR RIVER STAKEHOLDER FEEDBACK BY COMPILING AND SUMMARIZING INPUT GATHERED FROM THE FIVE COMMUNITY PARTNERS INTO BRIEFING DOCUMENTS FOR GOVERNMENT PARTNERS, CONDUCTING GOVERNMENT AGENCY STAFF COORDINATION MEETINGS AND COMMUNICATIONS TO GOVERNMENT AGENCIES REGARDING RIVER TASK FORCE MEETINGS AND TASKS, AND ENSURING THAT COLLECTED INPUT IS RECEIVED BY AGENCY STAFF, COMMISSIONS, AND ELECTED/APPOINTED OFFICIALS FOR INCORPORATION INTO PLANS, PROJECTS, AND POLICIES.OUTCOMES:THE ANTICIPATED DELIVERABLES INCLUDE IMPLEMENTING NEW POLICIES, PROJECTS, AND/OR ORDINANCES THAT INCORPORATE RIVER TASK FORCE RECOMMENDATIONS, INCREASING THE NUMBER OF CONSTITUENTS WHO PARTICIPATE IN A COMMUNITY-BASED PARTICIPATORY RESEARCH INITIATIVE THAT INFORMS A GOVERNMENT PROCESS AND/OR PRIORITY, INCREASING THE NUMBER OF RESEARCH AND DATA COLLECTION SUMMARIES PUBLISHED AND SHARED WITH GOVERNMENT PARTNERS WITH DATA REFLECTING COMMUNITY OPINIONS AND PREFERENCES, INCREASING THE NUMBER OF EDUCATIONAL FORUMS AND/OR MEETINGS HELD BETWEEN GOVERNMENTAL OFFICIALS AND 11 COMMUNITY MEMBERS, AND INCREASING THE NUMBER OF RIVER EDGE DEVELOPMENTS OR OTHER PROJECTS REVIEWED AND RECEIVED BY THE COLLECTIVE RIVER TASK FORCE. THE EXPECTED OUTCOMES INCLUDE INCREASED NUMBERS OF RIVER TASK FORCE MEETING ATTENDEES AND PARTICIPATION OF INDIVIDUALS FROM DISADVANTAGED COMMUNITIES, EXPANDED KNOWLEDGE OF CITY OF CHICAGO, ILLINOIS, FEDERAL, AND OTHER GOVERNMENTAL ENVIRONMENTAL PUBLIC PROCESSES AMONG DISADVANTAGED COMMUNITIES, MEASURABLY STRONGER RELATIONSHIPS AND TRUST BETWEEN DISADVANTAGED COMMUNITIES AND CITY OF CHICAGO DEPARTMENTS, TRANSPARENT PROCESSES FOR CITY DECISION-MAKING ON ENVIRONMENTAL PROTECTION POLICIES AND GREATER CITY FOCUS ON INCLUSIVITY, INCREASED ACCOUNTABILITY AND COMMUNITY INPUT INTO CITY DECISION-MAKING ON ENVIRONMENTAL PROTECTION POLICIES, ENHANCED CAPACITY IN DISADVANTAGED COMMUNITIES TO BE INVOLVED IN LOCAL, STATE, FEDERAL, AND OTHER GOVERNMENTAL ENVIRONMENTAL PUBLIC PROCESSES, AND NEW ENVIRONMENTAL AND/OR CLIMATE POLICIES DEVELOPED THAT ARE RESPONSIVE TO COMMUNITY NEEDS. THE INTENDED BENEFICIARIES ARE DISADVANTAGED COMMUNITIES.

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

OHIA - OPPORTUNITIES FOR HAWAIIAN IMPROVEMENT AND ACHIEVEMENT

HIGHER EDUCATION EMERGENCY RELIEF FUND - AID GRANT TO STUDENTS

RURAL BEHAVIORAL HEALTH WORKFORCE COORDINATING CENTERS ? NORTHERN BORDER REGION - FRIENDS OF RECOVERY – NEW YORK’S RREAP PROGRAM LEVERAGES AND UTILIZES A STATEWIDE NETWORK OF RURAL RECOVERY PROVIDERS TO PROVIDE EDUCATION, AWARENESS, ADVOCACY, TREATMENT AND PREVENTION SERVICES TO ADDRESS ADDICTION AND SHOWCASE THE POWER OF RECOVERY. THE RREAP PROGRAM UTILIZES A MULTI-SECTORAL APPROACH TO IDENTIFY, ASSESS, AND DEVELOP A RURAL ENGAGEMENT STRATEGIC PLAN THAT EFFECTIVELY WORKS DIRECTLY IN THE DESIGNATED CENSUS TRACK AREAS AS OUTLINED IN HRSA-22-163, RURAL BEHAVIORAL HEALTH WORKFORCE CENTERS- NORTHERN BORDER REGION. FOR-NY’S RREAP PROGRAM BRINGS RELEVANT, CULTURAL AND POPULATION-APPROPRIATE EDUCATION TO BEHAVIORAL HEALTH PROVIDERS TO DIRECTLY ADDRESS THE LACK OF (OR LACK OF ACCESS TO) INFORMATION WHEN WORKING WITH INDIVIDUALS AND FAMILIES THAT ARE IMPACTED BY ADDICTION AND OVERDOSE.

OLA: OPPORTUNITIES FOR LEARNING AND ACHIEVEMENT

DADS BACK! ACADEMY IS A COMPREHENSIVE COMMUNITY-BASED PROGRAM FOR REENTRY FATHERS AND SERVES THE SOUTH LOS ANGELES REGION. - FRIENDS OUTSIDE IN LOS ANGELES COUNTY WILL IMPLEMENT DADS BACK! ACADEMY, A COMPREHENSIVE COMMUNITY-BASED PROGRAM SERVING REENTRY FATHERS IN SOUTH LOS ANGELES. THE PROJECT WILL PROVIDE 73 HOURS OF PRIMARY WORKSHOP CONTENT THROUGH FOUR EVIDENCE-BASED CURRICULA COVERING RESPONSIBLE PARENTING (TYRO DADS AND REENTRY PARENTING), HEALTHY RELATIONSHIPS (WITHIN MY REACH), AND ECONOMIC STABILITY (P2P JOB READINESS). THE PROGRAM WILL SERVE FATHERS WHO ARE REENTERING THE COMMUNITY FROM INCARCERATION IN SOUTH LOS ANGELES, INCLUDING WATTS, INGLEWOOD, LYNWOOD, COMPTON AND SURROUNDING COMMUNITIES. OVER THE FIVE-YEAR PROJECT PERIOD, THE PROGRAM WILL ENROLL 1,125 PARTICIPANTS, WITH 720 EXPECTED TO COMPLETE AT LEAST 90% OF PRIMARY WORKSHOP SESSIONS.

SCOPE AND IMPACT OF METHADONE TAKE-HOME AND TELEHEALTH PRACTICE CHANGES DURING THE COVID-19 PANDEMIC - ABSTRACT METHADONE IS AN EFFECTIVE TREATMENT FOR OPIOID USE DISORDER (OUD) THAT IS DELIVERED IN THE U.S. THROUGH SPECIALIZED OPIOID TREATMENT PROGRAMS (OTPS). SINCE THE INCEPTION OF THE OTP SYSTEM MANY DECADES AGO, FEDERAL REGULATIONS HAVE REQUIRED FREQUENT CLINIC ATTENDANCE TO MONITOR PATIENTS’ RESPONSE TO TREATMENT AND REDUCE THE RISKS OF METHADONE DIVERSION. PATIENTS CAN ONLY ‘EARN’ TAKE-HOME METHADONE AFTER SIGNIFICANT TIME IN TREATMENT WHILE DEMONSTRATING RIGID STANDARDS FOR ADHERENCE AND STABILITY. HOWEVER, THESE CLASSIC REGULATIONS ARE NOT GROUNDED IN STRONG EMPIRICAL EVIDENCE. THE COVID-19 PANDEMIC TRANSFORMED SERVICE DELIVERY PRACTICES AT OTPS. TO REDUCE CROWDING IN CLINICS, SAMHSA REGULATORS SWIFTLY ISSUED REGULATORY EXEMPTIONS THAT GAVE OTPS UNPRECEDENTED DISCRETION TO PROVIDE TAKE-HOME METHADONE DOSES AND DELIVER COUNSELING VIA TELEHEALTH. OTPS WERE SUDDENLY PERMITTED TO DISPENSE UP TO 14 DAYS OF TAKE-HOME METHADONE FOR ‘LESS STABLE’ PATIENTS, AND 28 DAYS FOR ‘STABLE’ PATIENTS. MORE RECENTLY, SAMHSA REAFFIRMED THE REGULATORY EXEMPTIONS AND ANNOUNCED INTENTIONS TO PURSUE PERMANENT REGULATORY REFORM FOR OTPS. HOWEVER, RESEARCH IS NEEDED TO EXAMINE THE SCOPE AND IMPACT OF THESE MAJOR CHANGES TO CARE DELIVERY. THIS STUDY WILL (1) CHARACTERIZE PRACTICE CHANGES AT OTPS FOLLOWING THE COVID-19 PANDEMIC AND THE ISSUANCE OF REGULATORY EXEMPTIONS, (2) EXAMINE THE RELATIONSHIP OF TWO MAJOR PRACTICE CHANGES (EXPANDED TAKE-HOME METHADONE AND TELEHEALTH PRACTICES) AND PATIENT OUTCOMES, (3) DEVELOP A PREDICTION MODEL TO INFORM DECISION- MAKING ABOUT WHEN PATIENTS CAN SAFELY RECEIVE TAKE-HOMES WITHOUT INCREASING RISK OF NEGATIVE OUTCOMES, AND (4) EXAMINE THE RELATIONSHIP BETWEEN EXPANDED TAKE-HOME METHADONE AND METHADONE OVERDOSE DEATHS AT A POPULATION LEVEL. THE STUDY WILL USE CLINICAL AND ADMINISTRATIVE DATA FROM BAYMARK HEALTH SERVICES, THE LARGEST PROVIDER OF OUTPATIENT OUD TREATMENT IN THE U.S., WITH 100 OTPS IN 23 STATES. ADVANCED ANALYTICAL METHODS WILL BE APPLIED TO ANSWER THE RESEARCH QUESTIONS, INCLUDING MULTILEVEL GENERALIZED LINEAR MIXED MODELING, PREDICTIVE MODELING AND SIMULATION METHODS, AND INTERRUPTED TIME SERIES. ALL ANALYSES WILL CONSIDER BEHAVIORAL HEALTH EQUITY AND EXAMINE DISPARITIES WITH RESPECT TO PATIENTS’ SEX, RACE, AND ETHNICITY. THIS STUDY WILL PROVIDE CRITICAL DATA FOR REGULATORS, OTP ADMINISTRATORS, AND PRACTITIONERS. IT WILL YIELD HIGHLY NOVEL DATA TO SUPPORT EVIDENCE-DRIVEN REGULATORY REFORM, AND COULD SHAPE METHADONE TREATMENT DELIVERY OVER THE NEXT DECADE AND BEYOND. THE COVID-19 PANDEMIC AND ASSOCIATED FEDERAL EXEMPTIONS OFFER AN UNPRECEDENTED OPPORTUNITY TO EVALUATE LONG-HELD ASSUMPTIONS ABOUT HOW METHADONE TREATMENT SHOULD BE STRUCTURED TO MAXIMIZE ITS BENEFITS WHILE SAFEGUARDING PATIENTS AND THE PUBLIC FROM UNINTENDED HARM.

PURPOSE: TO PROVIDE GRANTS TO COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS (CDFIS) FOR THE FOLLOWING PURPOSES 1) TO EXPAND LENDING, GRANT MAKING AND INVESTMENT ACTIVITIES IN LOW OR MODERATE INCOME COMMUNITIES AND TO BORROWERS THAT HAVE HISTORICALLY EXPERIENCED SIGNIFICANT UNMET CAPITAL AND FINANCIAL SERVICES NEEDS AND WERE DISPROPORTIONATELY IMPACTED BY THE COVID 19 PANDEMIC; AND 2) TO ENABLE CDFIS TO BUILD ORGANIZATIONAL CAPACITY AND ACQUIRE TECHNOLOGY, STAFF, AND OTHER TOOLS NECESSARY TO ACCOMPLISH THE ACTIVITIES UNDER A CDFI ERP AWARD. PLANNED ACTIVITIES: ELIGIBLE ACTIVITIES INCLUDE FINANCIAL PRODUCTS, FINANCIAL SERVICES, DEVELOPMENT SERVICES, GRANTS, LOAN LOSS RESERVES AND CAPITAL RESERVES THAT MAY BE USED TO MITIGATE THE IMPACT OF THE COVID 19 PANDEMIC ON UNEMPLOYMENT, CHILDCARE, HEALTHCARE, MENTAL HEALTHCARE, AFFORDABLE HOUSING, AFFORDABLE HOUSING FINANCE, SMALL BUSINESS, SMALL FARMS, BROADBAND INTERNET, AND FOOD SUFFICIENCY. IN ADDITION, TO SUPPORT CDFIS IN BUILDING THEIR CAPACITY TO RESPOND TO THE ECONOMIC IMPACT OF COVID 19, CDFI ERP AWARDS MAY BE USED FOR COMPENSATION PERSONAL SERVICES; COMPENSATION FRINGE BENEFITS; PROFESSIONAL SERVICE COSTS; TRAVEL COSTS; TRAINING AND EDUCATION COSTS; EQUIPMENT; SUPPLIES. END GOALS: EXPANDED FINANCING FOR LOW TO MODERATE INCOME COMMUNITIES AND INDIVIDUALS THAT HAVE HISTORICALLY EXPERIENCED SIGNIFICANT UNMET CAPITAL AND FINANCIAL SERVICES NEEDS AND WERE DISPROPORTIONATELY IMPACTED BY THE COVID 19 PANDEMIC INCLUDING SPECIFIC DESIGNATED COVID IMPACTED CDFI ERP ELIGIBLE GEOGRAPHIES AS AREAS THAT MAY BENEFIT FROM CDFI ERP ASSISTANCE. BENEFICIARIES: CERTIFIED CDFIS WHICH MAY BE FOR PROFIT ORGANIZATION, PRIVATE NONPROFIT INSTITUTION/ORGANIZATION, AND OTHER PRIVATE INSTITUTION/ORGANIZATION, AS DEFINED IN 12 C.F.R. 1805, AND LOW AND MODERATE INCOME INDIVIDUALS AND FAMILIES. SUBRECIPIENTS: THERE ARE NO SUBRECIPIENTS FOR THIS PROGRAM. BROADBAND: SPECIFIC ACTIVITIES RELATING TO BROADBAND USAGE ARE NOT KNOWN AT THE TIME OF AWARD. REASON/PURPOSE OF MODIFICATION: NOT APPLICABLE.

SBIRT IN NEW MEXICO

HAPA - HAWAIIAN ACHIEVEMENT AND POSTSECONDARY ACCESS

S.H.A.K.A. - SUSTAINING HAWAIIAN ACADEMIC KNOWLEDGE AND ACHIEVEMENT

ALOHA MAP - MERITORIOUS ACHIEVEMENT PROGRAM

CLOSING SERVICE AND SURVEILLANCE GAPS FOR URBAN AI/AN ADULTS AT RISK FOR HIV/AIDS - FRIENDSHIP HOUSE WILL IMPLEMENT ITS PROPOSED PROJECT – CLOSING SERVICE AND SURVEILLANCE GAPS FOR URBAN AI/AN ADULTS AT RISK FOR HIV/AIDS – IN RESPONSE TO THE MAI HIGH RISK POPULATIONS INITIATIVE. THROUGH THIS PROJECT, WE WILL SERVE AMERICAN INDIANS AND ALASKA NATIVES LIVING IN THE SAN FRANCISCO BAY AREA, A POPULATION WITH A DISPROPORTIONATELY HIGH INCIDENCE OF SUD AND/OR COD, FACTORS THAT CONTRIBUTE TO THEIR HIGH RISK FOR CONTRACTING HIV/AIDS AND VIRAL HEPATITIS. USING CULTURALLY-INFORMED AND EVIDENCE-BASED PRACTICES, WE WILL PROVIDE SUD TREATMENT AND RECOVERY, SCREEN AND TEST FOR BOTH HIV AND VIRAL HEPATITIS, AND ENSURE LINKAGE TO APPROPRIATE CARE. FRIENDSHIP HOUSE BUILDS UPON RECENT EXPERIENCE IMPLEMENTING A 5-YEAR TCE-HIV GRANT FROM SAMHSA AWARDED IN 2017, THROUGH WHICH WE INTEGRATED HIV AND VIRAL HEPATITIS RAPID TESTING AS PART OF OUR INTAKE AND SCREENING AND FACILITATED LINKAGES AND REFERRALS TO TREATMENT, PROVIDED BY PARTNERS AND THROUGH TELEMEDICINE SERVICES. FRIENDSHIP HOUSE WILL SERVE 212 PEOPLE ANNUALLY AND 1,060 TOTAL THROUGHOUT THE LIFETIME OF THE PROJECT. THE FOLLOWING ARE GOALS AND MEASURABLE OBJECTIVES OF OUR PROPOSED PROJECT: GOAL 1: INCREASE SURVEILLANCE AND AWARENESS OF HIV AND HCV AMONG URBAN AI/AN ADULTS, THROUGH OUR RESIDENTIAL SUD TREATMENT PROGRAM. OBJECTIVE 1A: DURING INITIAL INTAKE, 100% OF RESIDENTIAL SUD CLIENTS AND PARTNERS SHALL BE OFFERED RAPID HIV AND HCV (180 INDIVIDUALS REACHED ANNUALLY) OBJECTIVE 1B: 90% WILL CHOOSE TO RECEIVE ON-SITE TESTING WITHIN 4 WEEKS (OR 162 INDIVIDUALS TESTED ANNUALLY). GOAL 2: INCREASE SURVEILLANCE AND AWARENESS OF SUD, HIV AND HCV AMONG THE BROADER COMMUNITY OF URBAN AI/AN ADULTS, THROUGH COMMUNITY EVENTS AND PUBLIC HEALTH OUTREACH. OBJECTIVE 2A: PROMOTE HIV AND HCV AWARENESS AT EVENTS AND GATHERINGS FOR THE BROADER URBAN AI/AN COMMUNITY, RESULTING IN 50 ADDITIONAL INDIVIDUALS BEING RAPID-TESTED ANNUALLY. OBJECTIVE 2B: REFER AT LEAST 25 INDIVIDUALS ANNUALLY TO THE FRIENDSHIP HOUSE RESIDENTIAL SUD PROGRAM, WITH AT LEAST 50% SEEKING TREATMENT IN THE 6 MONTHS AFTER REFERRAL. GOAL 3: CREATE LINKAGES/ENSURE TREATMENT FOR INDIVIDUALS WITH PRELIMINARY AND CONFIRMED POSITIVE HIV OR HCV TESTS. OBJECTIVE 3A: 100% WHO HAVE A PRELIMINARY POSITIVE HIV OR HCV TEST RESULT WILL BE INFORMED WITHIN 24 HOURS AND RECEIVE IMMEDIATE REFERRAL TO CONFIRMATORY TESTING. OBJECTIVE 3B: 100% WHO TEST POSITIVE WILL BE OFFERED CASE MANAGEMENT AND HEALTH NAVIGATION, CONNECTING THEM WITH SERVICE PROVIDERS AND AVAILABLE BENEFITS. OBJECTIVE 3C: 80% WHO TEST POSITIVE WILL HAVE BEGUN A TREATMENT PLAN WITHIN 90 DAYS. GOAL 4: DECREASE THE INCIDENCE OF HIV AND HCV AMONG URBAN AI/AN ADULTS BY ADDRESSING BEHAVIORAL HEALTH NEEDS AND BY INCORPORATING HEALTH EDUCATION DURING RESIDENTIAL SUD TREATMENT. OBJECTIVE 4A: DURING INITIAL INTAKE, 90% OF CLIENTS WILL BE SCREENED FOR CO-OCCURRING MENTAL HEALTH CONDITIONS AND THE NEED FOR MEDICATION-ASSISTED TREATMENT. OBJECTIVE 4B: BY THE END OF THEIR FIRST MONTH IN RESIDENCE, 90% OF CLIENTS WILL HAVE AN INDIVIDUALIZED SERVICE PLAN THAT INCLUDES BEHAVIORAL HEALTH CARE, CULTURAL CONNECTION, AND PEER-BASED SUPPORTS. OBJECTIVE 4C: 90% OF CLIENTS (162 ANNUALLY) WILL ATTEND TRAUMA-INFORMED RISK-REDUCTION, SEXUAL HEALTH AND SAFER SEX HEALTH EDUCATION GROUP CLASSES DURING RESIDENTIAL SUD TREATMENT. OBJECTIVE 4D: 80% OF THESE CLIENTS WILL INDICATE BETTER UNDERSTANDING OF FACTORS THAT CONTRIBUTE TO THEIR SUD AND POTENTIAL RISK FOR HIV AND HCV. OBJECTIVE 4E: 70% OF CLIENTS WILL ENROLL IN PEER-BASED SUPPORT SYSTEMS DURING RESIDENTIAL SUD TREATMENT AND CONTINUE TO PARTICIPATE FOR AT LEAST 6 MONTHS AFTER BEING DISCHARGED.

A RANDOMIZED CLINICAL TRIAL OF SBIRT SERVICES IN SCHOOL-BASED HEALTH CENTERS

A RANDOMIZED TRIAL OF INTERIM METHADONE AND PATIENT NAVIGATION INITIATED IN JAIL

NAVIGATION SERVICES TO AVOID REHOSPITALIZATION (NAVSTAR) AMONG SUBSTANCE ABUSERS

FRIENDS FIRST STARS MENTORING PROGRAM MULTI-STATE INITIATIVE