Ali Forney Center

SUBSTANCE USE DISORDER TREATMENT FOR RACIAL/ETHNIC MINORITY POPULATIONS AT HIGH RISK FOR HIV/AIDS

THE ALI FORNEY CENTER SAMHSA TREATMENT PROGRAM

TREATMENT SERVICES FOR HOMELESS YOUTH IN NYC

EXPANSION OF SA TX., MH TX. & HIV & VH TESTING FOR LGBTQ

"EXPANDING COMPREHENSIVE CARE: ENHANCING SUBSTANCE USE AND MENTAL HEALTH SERVICES FOR HIGH-RISK LGBTQ+ BIPOC YOUTH AT THE ALI FORNEY CENTER IN NYC" - THE ALI FORNEY CENTER (AFC), THE LARGEST PROVIDER OF COMPREHENSIVE SERVICES AND HOUSING FOR HOMELESS LESBIAN, GAY, BISEXUAL, TRANSGENDER, AND QUESTIONING (LGBTQ+) YOUNG PEOPLE IN NEW YORK CITY (NYC) AND THE NATION, WILL EXPAND TREATMENT PROGRAMMING TO INCREASE ENGAGEMENT IN CARE FOR RACIAL/ETHNIC MINORITY YOUTH WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD) WHO ARE AT HIGH RISK FOR HIV OR ARE HIV POSITIVE AND RECEIVING SERVICES/TREATMENT. THE POPULATION OF FOCUS FOR THIS PROPOSED PROJECT IS UNHOUSED LGBTQ+ BIPOC YOUTH (BLACK, INDIGENOUS, AND PERSONS OF COLOR) AGES 18-24 WITH SUD AND/OR COD, WHO ARE AT HIGH RISK FOR HIV INFECTION. GAY AND BISEXUAL MALES ARE TWO TO THREE TIMES MORE LIKELY TO USE ILLICIT DRUGS COMPARED TO THEIR STRAIGHT PEERS, AND ABOUT ONE-THIRD OF GAY MALES AND BISEXUAL MALES HAD A SUBSTANCE USE DISORDER (SUD) IN THE PAST YEAR. SUBSTANCE USE INCREASES THE RISK OF INDIVIDUALS DEVELOPING COMORBID OR CO-OCCURRING MENTAL DISORDERS (COD). LGBTQ+ INDIVIDUALS ARE ALSO AT A HIGHER RISK OF CONTRACTING DISEASES SUCH AS HIV DUE TO INTRAVENOUS DRUG USE AND RISKY SEXUAL BEHAVIORS. ACCORDING TO THE NATIONAL INSTITUTE ON DRUG ABUSE, THE MOST EFFECTIVE TREATMENT FOR SUDS IS ONE THAT ALSO ADDRESSES CODS. FURTHERMORE, SUD TREATMENT, ESPECIALLY ONE THAT ALSO ADDRESSES CODS, CAN HELP PREVENT HIV TRANSMISSION AND LEAD TO IMPROVEMENTS IN VIRAL LOAD. CURRENT RESEARCH HIGHLIGHTS THAT IN RESPONSE TO THE DISPARITIES RELATED TO THESE ISSUES FOR SEXUAL MINORITIES AND RACIAL AND ETHNIC MINORITIES, TREATMENT NEEDS TO ADDRESS THE UNIQUE CHALLENGES THESE INDIVIDUALS FACE. HOWEVER, ONLY 7.4% OF PROGRAMS ACROSS THE COUNTY OFFER SPECIALIZED SERVICES. IN NYC, NO EXISTING PROGRAMS OR SERVICE PROVIDERS ARE PROVIDING THESE CRITICAL SERVICES SPECIFICALLY TO UNHOUSED LGBTQ+ YOUTH. FOR THE FOCUS POPULATION, EXPERIENCING HOMELESSNESS COMPOUNDS THE CHALLENGES THESE INDIVIDUALS ARE ALREADY AT AN INCREASED RISK FOR WHILE ALSO SIGNIFICANTLY IMPACTING THEIR ACCESS TO THE AFFIRMING, COMPREHENSIVE CARE THEY NEED. AFC IS ONE OF THE ONLY PROVIDERS OF HOUSING AND SUPPORT SERVICES SPECIFICALLY FOR UNHOUSED LGBTQ+ YOUTH IN NYC. A LACK OF AFFIRMING FACILITIES WHERE LGBTQ+ YOUTH FEEL SAFE LEADS TO INDIVIDUALS WHO PREFER STREET HOMELESSNESS AND REMAIN AT HIGH RISK OF THE ASSOCIATED CHALLENGES. THE NEED TO PROVIDE THIS CARE FOR UNHOUSED LGBTQ+ YOUTH IS, QUITE SIMPLY, LIFESAVING AND CRITICAL. THE OVERALL PURPOSE OF THE PROPOSED PILOT PROJECT IS TO SUSTAIN AND EXPAND AFC'S ARRAY OF INTEGRATED SERVICES AND SUPPORTS TO IMPROVE BEHAVIORAL AND MENTAL HEALTH CARE AND HIV/VIRAL HEPATITIS (VH) TREATMENT FOR UNHOUSED LGBTQ+ YOUTH. THE PROPOSED PILOT PROJECT, SUD AND HIV/HCV PREVENTION AND TREATMENT SERVICES FOR UNHOUSED LGBTQ+ YOUTH, IS DESIGNED TO INCREASE ACCESS TO AND ENGAGEMENT IN SUBSTANCE USE PREVENTION, SUBSTANCE USE DISORDER (SUD) TREATMENT, AND HIV/VIRAL HEPATITIS PREVENTION AND TREATMENT SERVICES SPECIFICALLY FOR UNHOUSED LGBTQ+ BIPOC YOUTH AGES 18-24 WITH SUD AND/OR COD, WHO ARE AT HIGH RISK FOR HIV INFECTION. THIS GRANT WILL FUND INTENSIVE CASE MANAGEMENT (ICM) STAFF AND ONE EXISTING THERAPIST. IT WILL ALSO ALLOW AFC TO EXPAND THE PROGRAM AND HIRE A PEER HIRE COUNSELOR TO BETTER SUPPORT THOSE WITH SUD/COD.

HOMELESS ASSISTANCE

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

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SUBSTANCE ABUSE AND HIV PREVENTION NAVIGATION PROGRAM FOR RACIAL/ETHNIC MINORITY HOMELESS LGBTQ YOUTH

CONTINUUM OF CARE PROGRAM

COMPREHENSIVE PREVENTION AND INTERVENTION SERVICES FOR HOMELESS LGBTQ YOUTH AND YOUNG ADULT SURVIVORS OF SEXUAL ASSAULT, DOMESTIC VIOLENCE, DATING

CONTINUUM OF CARE PROGRAM

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HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

STREET OUTREACH PROGRAM

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HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

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HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

TRANSITIONAL HOUSING AND SUPPORTIVE SERVICES ASSISTANCE FOR VICTIMS OF HUMAN TRAFFICKING

TRANSITIONAL HOUSING FOR LESBIAN, GAY, BISEXUAL, TRANSGENDER OR QUEER/QUESTINING YOUNG PEOPLE WHO ARE VICTIMS OF SEXUAL ASSAULT, DOMESTIC VIOLENCE,

SERVICES FOR HOMELESS LESBIAN, GAY, BISEXUAL, TRANSGENDER, QUEER AND/OR QUESTIONING YOUTH VICTIMS OF TRAFFICKING

YOUTH SERVICES PROGRAM

YOUTH HOMELESSNESS DEMONSTRATION PROGRAM

YOUTH HOMELESSNESS DEMONSTRATION PROGRAM

EXPANSION OF SA TX., MH TX. & HIV & VH TESTING FOR LGBTQ

HOMELESS ASSISTANCE