Axess Family Services Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

VA IS PROVIDING CAPITAL AARP FUNDING TO REDUCE CONGREGRATE LIVING AND CREATE INDIVIDUAL LIVING UNITS FOR HOMELESS VETERANS.

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.

THIS AWARD FUNDS THE APPROVED 2024?25 RSVP PROGRAM. YOUR 2024?25 STATUTORY MATCH IS 10% AND YOUR BUDGETARY MATCH IS 30.00%. THIS IS YEAR 1 OF AN ADMINISTRATIVE RENEWAL; THE FIRST THREE-YEAR CYCLE OF THIS GRANT WAS PERFORMED UNDER GRANT 21SRCOH002. THIS GRANT IS SCHEDULED TO RECOMPETE FOR THE PROJECT PERIOD BEGINNING APRIL 1, 2027. THIS AWARD IS APPROVED TO ADD $2,500 IN ONE-TIME ADDITIONAL FUNDS FOR TRAVEL RELATED TO TRAINING IN FY 24.

THIS AWARD FUNDS THE APPROVED 2024?25 FGP PROGRAM. YOUR 2024?25 STATUATORY MATCH IS 10.00%, AND YOUR BUDGETARY MATCH IS 10.01%. THIS AWARD IS APPROVED TO ADD $2,500 IN ONE-TIME ADDITIONAL FUNDS FOR TRAVEL RELATED TO TRAINING IN FY 24. THIS AWARD FUNDS YEAR 2; YEAR 1 WAS PERFORMED UNDER GRANT 23SFCOH001. THIS GRANT IS SCHEDULED TO RENEW FOR THE PROJECT PERIOD BEGINNING JULY 1, 2026.

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

THIS AWARD FUNDS THE APPROVED 2024?25 SCP PROGRAM. YOUR 2024?25 STATUTORY MATCH IS 10.00% AND YOUR BUDGETARY MATCH IS 10.01% THIS AWARD IS APPROVED TO ADD $2,500 IN ONE-TIME ADDITIONAL FUNDS FOR TRAVEL RELATED TO TRAINING IN FY 24. THIS AWARD FUNDS YEAR 3; YEARS 1 AND 2 WERE PERFORMED UNDER GRANT 22SCCOH002. THIS GRANT IS SCHEDULED TO RENEW FOR THE PROJECT PERIOD BEGINNING JULY 1, 2025.

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - AXESSPOINTE COMMUNITY HEALTH CENTERS IS PROPOSING TO EXPAND BEHAVIORAL HEALTH SERVICES WITH FUNDING FROM HRSA’S FISCAL YEAR 2024 BEHAVIORAL HEALTH SERVICE EXPANSION OPPORTUNITY. THIS PROPOSAL WILL ADDRESS A COMMUNITY-WIDE NEED FOR INCREASED MENTAL HEALTH (MH) AND SUBSTANCE USE DISORDER (SUD) SERVICES TO SUPPORT UNDER-RESOURCED POPULATIONS IN TRUMBULL AND MAHONING COUNTIES IN OHIO AT TWO OF AXESSPOINTE’S LOCATIONS IN THIS REGION. AXESSPOINTE IS A CURRENT HEALTH CENTER PROGRAM RECIPIENT, WITH A GRANT NUMBER OF 6 H80CS00117-23-02. ACCORDING TO THE 2022 TRUMBULL AND MAHONING COUNTY COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA), MENTAL HEALTH WAS IDENTIFIED AS A MAJOR AREA OF CONCERN, WITH APPROXIMATELY 1 IN 6 ADULTS REPORTING AT LEAST TWO WEEKS OF POOR MENTAL HEALTH A MONTH. OF THOSE REPORTING POOR MENTAL HEALTH, 45.4% DID NOT RECEIVE TREATMENT, WITH THOSE RATES EVEN HIGHER IN WARREN (55.6%) AND YOUNGSTOWN (53.5%). THE CHNA ALSO INDICATED THAT ONLY 15% OF RESPONDENTS RECEIVED TREATMENT FOR DRUG USE WITH ONLY 11.1% IN WARREN AND 6.5% IN YOUNGSTOWN. ACCORDING TO 2022 UDS DATA, THERE ARE AN ESTIMATED 89,453 LOW-INCOME INDIVIDUALS IN TRUMBULL AND MAHONING COUNTIES THAT ARE NOT BEING REACHED BY A HEALTH CENTER. HEALTH CENTER PENETRATION OF THE LOW-INCOME POPULATION IS 15% AND IS 6% FOR THE TOTAL POPULATION OF THE PROPOSED SERVICE AREA. WITH AN AVERAGE UNMET NEEDS SCORE (UNS) OF 17 OUT OF 20, AXESSPOINTE CAN INCREASE ACCESS TO CARE IN THIS REGION. UNDER THE PROPOSED GRANT PROGRAM, AXESSPOINTE WILL WORK TO ADDRESS THESE NEEDS AND MEET TWO MAIN OBJECTIVES: 1) INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES AND 2) INCREASE THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD. FUNDS WILL BE USED TO EXPAND MH AND SUD/MOUD SERVICES THROUGH THE ADDITION OF A PSYCHIATRIC PHARMACIST, MEDICAL DOCTOR, NURSE PRACTITIONER, LICENSED INDEPENDENT SOCIAL WORKER, CHEMICAL DEPENDENCY COUNSELOR ASSISTANT, AND COMMUNITY HEALTH WORKER, ALL OF WHOM WILL FOCUS ON BEHAVIORAL HEALTH SERVICES FOR PATIENTS WITH MH AND SUD NEEDS. THE EXPANDED TEAM WILL SERVE 5,000 PATIENTS EACH YEAR THROUGH THIS PROGRAM, INCLUDING 4,550 PATIENTS RECEIVING MH SERVICES AND 250 PATIENTS RECEIVING SUD/MOUD SERVICES. PROPOSED SERVICES INCLUDE COMPREHENSIVE ASSESSMENTS, PSYCHIATRY, COUNSELING, MEDICATION MANAGEMENT AND THE PROVISION OF MOUDS, AND DEDICATED CASE MANAGEMENT. MH AND SUD SERVICES WILL BE EXPANDED AND INTEGRATED INTO PRIMARY CARE, ENHANCING OVERALL QUALITY AND EFFECTIVENESS OF HEALTHCARE DELIVERY. AS A RESULT, WE WILL SEE 1) IMPROVED PATIENT OUTCOMES INCLUDING TREATMENT ADHERENCE AND SYMPTOM MANAGEMENT; 2) EARLY INTERVENTION AND PREVENTION OF MH AND SUD CONCERNS; 3) INCREASED ACCESS TO CARE INCLUDING REDUCED WAIT TIMES AND INCREASED AVAILABILITY OF PROVIDERS; 4) ENHANCED COLLABORATION AND COMMUNICATION AMONG PROVIDERS; AND 5) STIGMA REDUCTION THROUGH THE INTEGRATION OF BEHAVIORAL HEALTH SERVICES WITHIN THE PRIMARY CARE SETTING. THE POPULATION OF FOCUS FOR THIS PROJECT IS ADULTS WITH MH AND/OR SUD. SUBPOPULATIONS FOR THE PROJECT INCLUDE UNDERSERVED POPULATIONS WHO ARE ON MEDICAID AND/OR AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, RURAL POPULATIONS, MINORITY POPULATIONS, AND OTHER GROUPS WHO MAY EXPERIENCE HIGHER RATES OF MH AND SUD CONDITIONS. INDIVIDUALS EXPERIENCING SOCIAL RISK FACTORS SUCH AS UNSTABLE HOUSING, FOOD INSECURITY, LIMITED ACCESS TO TRANSPORTATION, LANGUAGE BARRIERS, AND THOSE WHO ARE UNDER OR UNINSURED WILL ALSO BE ADDRESSED. THROUGH EXPANDED SERVICES PROVIDED BY OUR EXPERIENCED TEAM OF PROVIDERS, AXESSPOINTE COMMUNITY HEALTH CENTERS WILL EXPAND MH AND SUD SERVICES, IMPROVE PATIENT OUTCOMES, AND PROVIDE COMPREHENSIVE PATIENT-CENTERED CARE TO THOSE WITH MH AND SUD CONDITIONS.

THIS AWARD FUNDS THE APPROVED 2026?27 FGP PROGRAM. YOUR 2026?27 STATUTORY MATCH IS 10% AND YOUR BUDGETARY MATCH IS 10.09%.

ARRA - CAPITAL IMPROVEMENT PROGRAM

THIS AWARD FUNDS THE APPROVED 2026?27 SCP PROGRAM. YOUR 2026?27 STATUTORY MATCH IS 10% AND YOUR BUDGETARY MATCH IS 10.03%.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

VA IS PROVIDING CASE MANAGEMENT FUNDING TO INCREASE HOUSING STABILIITY FOR VETERANS BY WORKING WITH COMMUNITY ORGANIZATIONS THAT OFFER FOCUSED HOUSING STABILITY SERVICES.

PURPOSE OF THE PROJECT THE PURPOSE OF THIS PROJECT IS TO DELIVER A COMPREHENSIVE HOMELESS VETERANS REINTEGRATION PROGRAM (HVRP) WITHIN THE OHIO BALANCE OF STATE CONTINUUM OF CARE SPECIFICALLY FOR PORTAGE AND LORAIN COUNTIES, AND THE ENTITLEMENT CONTINUUMS OF CARE LOCATED IN MAHONING COUNTY, AND STARK COUNTY. THE PROGRAM WILL SUPPORT VETERANS WHO ARE EXPERIENCING OR AT RISK OF HOMELESSNESS BY PROVIDING CAREER EXPLORATION, JOB-DRIVEN TRAINING, UNSUBSIDIZED EMPLOYMENT PLACEMENT, AND COORDINATED SUPPORTIVE SERVICES. THROUGH A CLIENT-CENTERED, IN-PERSON SERVICE MODEL AND STRONG WORKFORCE AND HOUSING PARTNERSHIPS, THE PROJECT WILL HELP VETERANS SECURE STABLE EMPLOYMENT IN HIGH-DEMAND OCCUPATIONS, INCREASE EARNED INCOME, AND ACHIEVE LONG-TERM HOUSING STABILITY.ACTIVITIES TO BE FUNDED BY THE GRANT IF AWARDED, HVRP FUNDS WILL SUPPORT, A FULL-TIME PROGRAM MANAGER, AND FOUR FULL-TIME EMPLOYMENT SPECIALISTS, ONE FOR EACH OF THE COUNTIES WE SERVE, WHICH ARE PORTAGE, LORAIN, STARK, AND MAHONING COUNTIES, TO DELIVER OUTREACH, INTAKE, ELIGIBILITY DETERMINATION, ASSESSMENT, INDIVIDUALIZED EMPLOYMENT PLANNING, CASE MANAGEMENT, JOB PLACEMENT COORDINATION, AND FOLLOW-UP SERVICES FOR VETERANS EXPERIENCING OR AT RISK OF HOMELESSNESS. GRANT FUNDS WILL ALSO SUPPORT TARGETED OUTREACH AND ENGAGEMENT ACTIVITIES, TO CONNECT PARTICIPANTS TO JOB-DRIVEN TRAINING, IN-DEMAND EMPLOYMENT OPPORTUNITIES, AND SUPPORTIVE SERVICES NECESSARY TO ACHIEVE EMPLOYMENT AND HOUSING STABILITY.INTENDED BENEFICIARIES OF THE PROJECT THE INTENDED BENEFICIARIES ARE VETERANS WHO ARE EXPERIENCING HOMELESSNESS OR AT RISK OF HOMELESSNESS RESIDING IN PORTAGE, LORAIN, MAHONING, AND STARK COUNTIES. THE PROGRAM WILL PRIMARILY SERVE OLDER VETERANS, VETERANS WITH DISABILITIES, AND LOW-INCOME VETERANS FACING BARRIERS SUCH AS LIMITED WORK HISTORY, TRANSPORTATION CHALLENGES, HEALTH OR BEHAVIORAL HEALTH CONDITIONS, AND HOUSING INSTABILITY. APPROXIMATELY 100 VETERANS PER YEAR WILL RECEIVE INDIVIDUALIZED EMPLOYMENT AND SUPPORTIVE SERVICES DESIGNED TO PROMOTE ECONOMIC SELF-SUFFICIENCY AND HOUSING STABILITY.EXPECTED OUTCOMES OF THE PROJECT THROUGH OUR PARTNERSHIPS WITH THE WITH THE BOSCOC, STARK COUNTY COC, MAHONING YOUNGSTOWN COC, AND OHIO OFFICE OF WORKFORCE DEVELOPMENT, OUR EXPECTED OUTCOMES FOR THIS PROGRAM INCLUDE INCREASED EMPLOYMENT AND EARNED INCOME FOR PARTICIPATING VETERANS, IMPROVED EMPLOYMENT READINESS, AND ENHANCED JOB RETENTION. THE PROGRAM ANTICIPATES ACHIEVING A 65 PERCENT PLACEMENT RATE, INCREASED EMPLOYMENT RATES IN THE SECOND AND FOURTH QUARTERS AFTER EXIT, AND MEASURABLE WAGE AND HOURS-WORKED GAINS. OVERALL, VETERANS WILL REDUCE RELIANCE ON EMERGENCY SYSTEMS, IMPROVE HOUSING STABILITY, AND PROGRESS TOWARD LONG-TERM SELF-SUFFICIENCY CONSISTENT WITH HVRP PERFORMANCE MEASURES AND LOCAL LABOR MARKET CONDITIONS.KEY PARTNERSHIPS AFS S KEY PARTNERSHIPS FOR THIS PROJECT INCLUDE THE OHIO OFFICE OF WORKFORCE DEVELOPMENT AND THEIR JVSG-FUNDED DISABLED VETERANS OUTREACH PROGRAM SPECIALISTS, THE OHIO BALANCE OF STATE CONTINUUM OF CARE, STARK COUNTY CONTINUUM OF CARE, MAHONING YOUNGSTOWN CONTINUUM OF CARE. WE ALSO PARTNER WITH OUR AGENCY S SUPPORTIVE SERVICES FOR VETERAN FAMILIES (SSVF), VA GRANT AND PER DIEM (GPD) PROGRAMS, HUD-VASH, AND THE VETERANS SERVICE COMMISSIONS. THESE PARTNERSHIPS SUPPORT COORDINATED OUTREACH, REFERRALS, EMPLOYMENT SERVICES, HOUSING ASSISTANCE, AND CONTINUITY OF CARE FOR PARTICIPATING VETERANS.PROVIDE ALL OTHER NON-HVRP FUNDING THAT WOULD SUPPORT THIS PROSPECTIVE GRANT, IF APPLICABLE AXESS FAMILY SERVICES DOES NOT CURRENTLY RECEIVE OTHER HVRP-SPECIFIC FUNDING. HOWEVER, THE ORGANIZATION OPERATES VETERAN-SPECIFIC TRANSITIONAL HOUSING PROGRAMS IN PORTAGE, LORAIN, STARK, AND MAHONING COUNTIES THAT ARE SUPPORTED BY NON-HVRP FUNDING SOURCES. THESE PROGRAMS ALREADY INTEGRATE EMPLOYMENT REFERRALS AND SUPPORTIVE SERVICES AS PART OF ROUTINE SERVICE DELIVERY, ALLOWING THE EXISTING SHELTERS TO COMPLEMENT AND SUPPORT THE PROPOSED HVRP ACTIVITIES.

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

THIS AWARD APPROVES THE FISCAL YEAR 2024 VISTA SUPPORT GRANT AS DESCRIBED IN THE APPROVED PROJECT APPLICATION NARRATIVE AND BUDGET.

VA IS PROVIDING CASE MANAGEMENT FUNDING TO INCREASE HOUSING STABILIITY FOR VETERANS BY WORKING WITH COMMUNITY ORGANIZATIONS THAT OFFER FOCUSED HOUSING STABILITY SERVICES.

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM