Capstone

HEALTH CENTER CLUSTER

HEAD START AND EARLY HEAD START

HEAD START/HANDICAPPED SERVICES - FULL YEAR/PART DAY

HEAD START AND EARLY HEAD START

HEALTH CENTER CLUSTER

HEAD START AND EARLY HEAD START

ADVANCED MICROTURBINE SYSTEM

TAS::89 0321::TAS NEW EE COMBINED HEAT AND POWER AWARD, "HIGH EFFICIENCY 370KW MICROTURBINE WITH INTEGRAL HEAT RECOVERY

RECOVERY ACT GREEN JOBS

EARLY HEAD START/CHILD CARE PARTNERSHIP

EARLY HEAD START CHILD CARE PARTNERSHIP: CAPSTONE CARE

FUEL FLEXIBLE TURBINE SYSTEM

VERMONT FAMILY MATTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING, AND MISCELLANEOUS GRANTS

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

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

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - CAPSTONE HEALTH, A NURSE-MANAGED COMMUNITY HEALTH CENTER, OPERATES ACROSS WALKER AND WINSTON COUNTY, ALABAMA SINCE 2001. SINCE ACHIEVING GRANTEE STATUS IN 2007, CAPSTONE HEALTH HAS BEEN DEDICATED TO DELIVERING COMPREHENSIVE CARE THROUGH ITS SEVEN PATIENT CARE LOCATIONS WHICH INCLUDE TWO SCHOOL-BASED SERVICE SITES, TWO PHARMACIES, AND FIVE PRIMARY CARE CENTERS AND IS CURRENTLY A PATIENT CENTERED MEDICAL HOME (PCMH) RECOGNIZE BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). FOR MORE THAN TWO DECADES, CAPSTONE HEALTH HAS DEMONSTRATED REMARKABLE RESILIENCE IN THE FACE OF NUMEROUS CHALLENGES. HOWEVER, THE COVID-19 PANDEMIC HAS UNDERSCORED A CRITICAL NEED TO EXPAND ITS BEHAVIORAL HEALTH TEAM. THE RURAL SETTING FURTHER EXACERBATES THE SCARCITY OF MENTAL HEALTH PROVIDERS, MAKING THIS EXPANSION EVEN MORE URGENT IN THE WAKE OF THE PANDEMIC. WALKER COUNTY REMAINS AT THE FOREFRONT OF OVERDOSE EVENTS AND DEATHS SINCE THE OPIOID EPIDEMIC FIRST BECAME HEADLINE NEWS. MANY OF THE COUNTY’S RURAL COMMUNITIES DO NOT HAVE ACCESS TO GENERAL HEALTH CARE, MUCH LESS TREATMENT FOR OPIOID USE DISORDER TREATMENT. THIS PROPOSED PROJECT AIMS TO ADDRESS THE CRITICAL SHORTAGE OF MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES IN WALKER AND WINSTON COUNTIES, ALABAMA. OUR OBJECTIVES ARE TWOFOLD: FIRST, CAPSTONE HEALTH SEEKS TO ENHANCE ACCESS TO COMPREHENSIVE MENTAL HEALTH CARE, ENSURING THAT MORE INDIVIDUALS RECEIVE THE SUPPORT AND TREATMENT THEY NEED. SECOND, CAPSTONE HEALTH AIMS TO EXPAND ITS CAPACITY TO DELIVER HIGH-QUALITY SUD SERVICES, ADDRESSING THE PRESSING ISSUE OF SUBSTANCE ABUSE THAT HAS BEEN EXACERBATED BY THE OPIOID EPIDEMIC. WALKER COUNTY EPITOMIZES THE CHALLENGES FACED BY THE APPALACHIAN COAL MINING COMMUNITIES STILL GRAPPLING WITH THE LONG-TERM IMPACTS OF THE OPIOID EPIDEMIC. ALARMING STATISTICS HIGHLIGHT THE SIGNIFICANT HEALTHCARE GAP IN THESE IMPOVERISHED RURAL AREAS. ALABAMA LEADS THE NATION IN OPIOID PRESCRIBING RATES, AND WALKER COUNTY ONC E HAD THE HIGHEST DEATH RATE DUE TO DRUG POISONING. HIGH LEVELS OF POVERTY IN THE COUNTY HAVE LED TO AN INCREASED RISK OF MANY CHRONIC CONDITIONS, INADEQUATE NUTRITION, LACK OF HEALTHCARE ACCESS, GREATER ACADEMIC ACHIEVEMENT GAPS, AND DEPRESSION. WALKER COUNTY RESIDENTS EXPERIENCED POOR PHYSICAL AND MENTAL HEALTH DAYS AT HIGHER RATES THAN THE ALABAMA AVERAGE, AND THIS ISSUE IS ESPECIALLY SIGNIFICANT IN A RURAL COMMUNITY ALREADY DESIGNATED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AS MEDICALLY UNDERSERVED. ACCORDING TO THE ROBERT WOOD JOHNSON COUNTY HEALTH RANKINGS, ADULTS IN WALKER COUNTY REPORTED POOR MENTAL HEALTH ON 6.2 DAYS OF THE PREVIOUS 30 DAYS, COMPARED TO THE NATIONAL AVERAGE OF 4.8 DAYS OF THE PREVIOUS 30 DAYS. THE HIGH RATES OF DEPRESSION AMONG MEDICARE RECIPIENTS AND SUBSTANCE ABUSE STRUGGLES AMONG MEDICAID RECIPIENTS UNDERSCORE THE URGENT NEED FOR COMPREHENSIVE BEHAVIORAL HEALTH SERVICES. ADDITIONALLY, WALKER COUNTY RANKS 37TH OUT OF 220 COUNTIES MOST AT RISK FOR AIDS OR HEPATITIS C ACCORDING TO THE CDC AND HAS ONE OF THE HIGHEST RATES OF DRUG-RELATED OVERDOSES IN ALABAMA BASED ON PUBLIC HEALTH DATA. IN RESPONSE, CAPSTONE HEALTH IS AMPLIFYING EFFORTS TO STRENGTHEN ITS BEHAVIORAL HEALTH TEAM, AIMING TO MAKE A MEANINGFUL IMPACT ON THE COMMUNITY'S WELL-BEING. THIS INITIATIVE INCORPORATES RECRUITING ADDITIONAL MENTAL HEALTH PROFESSIONALS INCLUDING COUNSELORS, SOCIAL WORKERS, AND SUBSTANCE ABUSE TREATMENT PROVIDERS AS WELL AS ADDRESSING WAGE DISPARITIES TO ATTRACT AND RETAIN A HIGH-QUALITY WORKFORCE. WITH THE REQUESTED FUNDING, CAPSTONE HEALTH WILL IMPLEMENT THE STRATEGIES DETAILED IN THIS APPLICATION TO PROVIDE EQUITABLE ACCESS TO ESSENTIAL MENTAL HEALTH AND SUD SERVICES, ULTIMATELY IMPROVING THE HEALTH OUTCOMES AND QUALITY OF LIFE FOR THE MOST VULNERABLE POPULATIONS IN OUR COMMUNITY.

HEALTH CENTER INFRASTRUCTURE SUPPORT

AMERICAN RESCUE PLAN

FY 2023 EARLY CHILDHOOD DEVELOPMENT

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

WOMEN'S BUSINESS OWNERSHIP ASSISTANCE-RENEWAL

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

VALUE- ADDED AGRICULTURAL PRODUCT MARKET DEVELOPMENT GRANTS

ARRA - CAPITAL IMPROVEMENT PROGRAM

VALUE- ADDED AGRICULTURAL PRODUCT MARKET DEVELOPMENT GRANTS

RCDG - VALUE-ADDED PRODUCT MARKET DEVELOPMENT GRANTS

HEAD START / EARLY HEAD START

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

CAPSTONE COMMUNITY ACTION AND ITS FOUR PARTNERING COMMUNITY ACTION AGENCIES EMPOWER INDIVIDUALS AND FAMILIES ACROSS VERMONT TO RISE OUT OF POVERTY. THE MICRO BUSINESS DEVELOPMENT PROGRAM IS A STATEWIDE COLLABORATIVE TARGETING LOW AND VERY LOW INCOME VERMOTERS, INCLUDING WOMEN, PEOPLE WITH DISABILITIES, NEW AMERICANS AND PEOPLE WHO ARE FORMERLY INCARCERATED.

CSBG SUPPORTED BY THE AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009

FY 2023 EXPANDING COVID-19 VACCINATION

PRIME TRACK #1 - TECHNICAL ASSISTANCE

ARRA - INCREASE SERVICES TO HEALTH CENTERS

CSBG - T/TA STATE EXEMPLARY PRACTICES PROJECTS (EPPS)

WOMEN'S BUSINESS OWNERSHIP ASSISTANCE

WOMEN'S BUSINESS OWNERSHIP ASSISTANCE-RENEWAL

CSBG-TRAINING & TECHNICAL ASSISTANCE PROGRAM EARNED INCOME TAX CREDIT (EITC)

TANGIBLE ASSETS AFI PROGRAM

TO MITIGATE ECONOMIC IMPACT ON OUR STUDENTS BY THE COVID-19 PANDEMIC

ASSETS FOR INDEPENDENCE DEMONSTRATION PROGRAM

ASSETS FOR INDEPENDENCE DEMONSTRATION PROGRAM (IDA)

LAMP VALUE ADDED PRODUCER GRANT--MANDATORY

ASSETS FOR INDEPENDENCE DEMONSTRATION PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

ASSETS FOR INDEPENDENCE (AFI) PROGRAM

HOUSING COUNSELING ASSISTANCE PROGRAM

COMPREHENSIVE HSG

COMPREHENSIVE HSG

CSBG T&TA CAPACITY BLDG. FOR ONGOING CSBG PROGRAM AND STRATEGIC PLANNING

HSNG COUNSEL ASSIST GRANTS

ASSETS FOR INDEPENDENCE DEMONSTRATION PROGRAM

HSNG COUNSEL ASSIST GRANTS

ASSETS FOR INDEPENDENCE DEMONSTRATION PROGRAM

ASSETS FOR INDEPENDENCE (AFI) DEMONSTRATION PROGRAM

ASSETS FOR INDEPENDENCE PROGRAM

VERMONT AFI PROGRAM NETWORK

VERMONT ASSETS FOR INDEPENDENCE PROGRAM

ASSETS FOR INDEPENDENCE PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

LOW INCOME TAXPAYER CLINIC

LOW INCOME TAXPAYER CLINIC

LOW INCOME TAXPAYER CLINIC

LOW INCOME TAXPAYER CLINIC

LOW INCOME TAXPAYER CLINIC

COSTS ASSOCIATED WITH SIGNIFICANT CHANGES TO THE DELIVERY OF INSTRUCTION DUE TO COVID-19.

FUNDS WILL BE USED TO ASSIST STUDENTS NEGATIVELY IMPACTED BY THE COVID-19 CRISIS.

RBDG RURAL BUSINESS COOP RURAL ENTERPRISE GRANT

RBDG RURAL BUSINESS COOP RURAL ENTERPRISE GRANT

RURAL BUSINESS ENTERPRISE GRANTS

HOUSING COUNSELING

HOUSING COUNSELING

LOW INCOME TAXPAYER CLINIC

HOUSING COUNSELING ASSISTANCE PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - CAPSTONE RURAL HEALTH CENTER PRIMARY LOCATION: 5947 HIGHWAY 269, PARRISH, ALABAMA 35580 EXECUTIVE DIRECTOR: DR. F. DAVID JONES 205-832-8515 (P); 205-265-2994 (F) WWW.CAPSTONECLINIC.ORG AMOUNT REQUESTED: $725,000 CAPSTONE RURAL HEALTH CENTER IS REQUESTING FUNDS FOR A REPLACEMENT CLINIC IN NAUVOO, ALABAMA. THE CURRENTLY LEASED CLINIC IS INSUFFICIENT FOR SPACE AND ACCESSIBILITY. THE NEW REPLACEMENT CLINIC WILL HAVE THE ADDITIONAL SQUARE FOOTAGE FOR ADDITIONAL PROVIDERS, EXAM SPACE, AND BETTER PHARMACY SPACE. CAPSTONE RURAL HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER, HAS SERVED IN THIS AREA SINCE 2015 AND TREATS PATIENTS FROM A WIDE GEOGRAPHICAL REACH. THIS CLINIC WILL CONTINUE TO PROVIDE MEDICAL CARE, PHARMACY SERVICES, COUNSELING SERVICES, AND TRANSPORTATION IN THE SERVICE AREA. WHILE THE CLINIC SERVES RESIDENTS WITH VARIOUS INSURANCE INCLUDING MEDICARE AND MEDICAID IT IS UNIQUELY POSITIONED TO SERVE THE POOR AND UNINSURED ON A SLIDING FEE BASED UPON INCOME. THE COMMUNITY IS PROUD OF ITS CLINIC AND WILL BE ENERGIZED BY THE NEW FACILITY. THE CAPSTONE PHARMACY-NAUVOO WILL ALSO BE RELOCATED TO THE NEW FACILITY. THE CAPSTONE PHARMACY-NAUVOO FILLS MORE THAN 2400 PRESCRIPTIONS EACH MONTH. AS A PARTICIPANT IN HRSA’S 340B DRUG PRICING PROGRAM, THE PHARMACY REDUCES THE BURDEN OF MEDICATION COSTS FOR OUR UNINSURED PATIENTS. THE PHARMACY IS CURRENTLY LOCATED ON THE SECOND FLOOR OF THE CLINIC. ALTHOUGH CAPSTONE ENSURES THAT ALL SERVICES ARE ACCESSIBLE TO EVERYONE, THIS LOCATION PRESENTS CHALLENGES. THE NEW FACILITY WILL BE A SINGLE-LEVEL STRUCTURE AND WILL INCLUDE A 500-SQUARE-FOOT PHARMACY TO ADEQUATELY PROVIDE SPACE FOR 1 PHARMACIST AND 2 PHARMACY TECHNICIANS. THE NEW CAPSTONE-NAUVOO WILL HAVE THE CAPACITY TO LOWER THE UNMET NEEDS OF THE LOW-INCOME POPULATION BY CONTINUING PROGRESS TO PROVIDE INTEGRATED CARE AT THE NAUVOO FACILITY. MORE IMPORTANTLY, CAPSTONE RURAL HEALTH CENTER WILL HAVE THE INFRASTRUCTURE TO SERVE NAUVOO AND NORTH ERN WALKER COUNTY FOR YEARS TO COME. BY RELOCATING THE CURRENT SERVICE SITE, CAPSTONE RURAL HEALTH CENTER IS ABLE TO CONTINUE TO BE A RESOURCE FOR THIS COMMUNITY TO BETTER SERVE THIS ISOLATED SECTION OF WALKER COUNTY.

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS