Indiana University Health Inc

POISON CONTROL STABILIZATION AND ENHANCEMENT PROGRAM

POISON CONTROL STABILIZATION AND ENHANCEMENT PROGRAM

ZERO SUICIDE IN INDIANA UNIVERSITY HEALTH SYSTEM - THE GOAL OF THE PROPOSED ZERO SUICIDE IN INDIANA UNIVERSITY (IU) HEALTH SYSTEM PROJECT IS TO PREVENT SUICIDES IN INDIANA, PARTICULARLY AMONG INDIVIDUALS AGE 25+, BY RAISING AWARENESS OF SUICIDE, FORMALIZING REFERRAL PROCESSES, AND IMPROVING CARE AND OUTCOMES FOR INDIVIDUAL AT RISK FOR SUICIDE. THE POPULATION TO BE SERVED IS THE ENTIRE STATE OF INDIANA, A STATE IN WHICH THE SUICIDE RATE HAS BEEN INCREASING MORE RAPIDLY THAN THE NATIONAL AVERAGE OVER THE PAST SEVEN YEARS. THE CURRENT INDIANA RATE IS 16.6 (DEFINED AS THE NUMBER OF DEATHS PER 100,000 POPULATION, 2019) COMPARED TO THE CURRENT NATIONAL RATE OF 14.5. THE SUICIDE RATES IN INDIANA AMONG THOSE AGE 25–54 ARE ALSO HIGHER THAN NATIONAL AVERAGES. OBJECTIVES INCLUDE: (1) BY 8/29/2021, IU HEALTH WILL FULLY ESTABLISH A SYSTEM INFRASTRUCTURE ALIGNED WITH THE ZERO SUICIDE FRAMEWORK, INCLUDING ROBUST TRACKING MECHANISMS AND HEALTH CARE WORKFORCE TRAINING; (2) BY 12/30/2020, IU HEALTH WILL IMPLEMENT A COMPREHENSIVE RISK ASSESSMENT/SCREENING AND REASSESSMENT PROCESSES FOR INDIVIDUALS WITH SUICIDAL IDEATION IN ALL 15 OF ITS EMERGENCY DEPARTMENTS (EDS) STATEWIDE; (3) BY 12/30/2020, ENSURE THAT ALL PATIENTS PRESENTING TO IU HEALTH’S 15 EDS WITH SUICIDAL IDEATION ARE CONNECTED WITH APPROPRIATE TREATMENT AND FOLLOW-UP SUPPORT THROUGH EVIDENCE-BASED CARING CONTACTS; (4) BY 4/30/2021, IU HEALTH WILL ESTABLISH MECHANISMS FOR DATA TRACKING AND INDIVIDUALIZED SAFETY PLANNING THAT WILL DEMONSTRATE A REDUCTION IN THE NUMBER OF SUICIDES AND SUICIDE ATTEMPTS AMONG PATIENTS WHO PRESENT TO IU HEALTH’S 15 EDS WITH SUICIDAL IDEATION AND/OR SUICIDE ATTEMPTS; AND (5) BY 8/29/2021, CONNECT AT LEAST 51% OF PATIENTS WHO PRESENT TO IU HEALTH’S 15 EDS WITH SUICIDAL IDEATION AND/OR SUICIDE ATTEMPTS—INCLUDING VETERANS AND INDIVIDUALS WITH SERIOUS MENTAL ILLNESS—WITH OUTPATIENT BEHAVIORAL HEALTH TREATMENT, AND INCREASE THE PERCENTAGE OF CONNECTIONS BY AT LEAST 10% EACH SUBSEQUENT YEAR. IU HEALTH PLANS TO SERVE 21,435 PATIENTS IN YEAR 1 BASED ON THE ANTICIPATED NUMBER OF PATIENT ENCOUNTERS IN THE 15 EDS WITH BEHAVIORAL HEALTH DIAGNOSES (I.E. THE NUMBER TO RECEIVE C-SSR SCREENINGS IN EDS). BASED ON LITERATURE AND INTERNAL DATA, IU HEALTH ANTICIPATES A 37% ANNUAL READMISSION RATE, RESULTING IN 13,507 TO BE SERVED PER YEAR IN YEARS 2-5 FOR A TOTAL OF 83,391 OVER FIVE YEARS. IU HEALTH PLANS TO COLLECT SIX MONTH FOLLOW-UP NATIONAL OUTCOMES MEASURES (NOM) DATA ON AT LEAST 35 PATIENTS IN YEAR 1, 101 IN YEAR 2, AND 203 PER YEAR IN YEARS 3-5, REPRESENTING PATIENTS IN RURAL AREAS THAT WILL RECEIVE MORE INTENSIVE TRANSITION SERVICES THAN PATIENTS IN NON-RURAL AREAS. ALL PATIENTS AT IU HEALTH EDS STATEWIDE WHO PRESENT WITH SUICIDAL IDEATION WILL BE PROVIDED SAFETY PLANNING AND REFERRALS FROM TRAINED HEALTH CARE STAFF.

A RANDOMIZED PLACEBO-CONTROLLED TRIAL OF D-CYCLOSERINE FOR THE ENHANCEMENT OF SOCIAL SKILLS TRAINING PERVASIVE DEVELOPMENT DISORDERS

ADVANCED NURSING EDUCATION - SEXUAL ASSAULT NURSE EXAMINERS PROGRAM - ADDRESS: 340 W. TENTH STREET, INDIANAPOLIS, IN 46202 PROJECT DIRECTOR NAME: BARBRA BACHMEIER, JD, MSN, APRN, NP-C, DF-AFN, FAEN. CONTACT NUMBERS: 317-840-1145 EMAIL ADDRESS: GRANTSADMINISTRATION@IUHEALTH.ORG WEBSITE ADDRESS: IUHEALTH.ORG GRANT PROGRAM FUNDS REQUESTED: $1,393,410 INDIANA UNIVERSITY (IU) HEALTH, IN COLLABORATION WITH THE IU SCHOOL OF NURSING, PROPOSES THE “IU HEALTH AND IU SCHOOL OF NURSING ACADEMIC-PRACTICE PARTNERSHIP FOR FORENSIC NURSING TRAINING, PRACTICE, AND RETENTION” TO INCREASE THE SUPPLY, DISTRIBUTION, AND QUALITY OF THE SEXUAL ASSAULT NURSE EXAMINER (SANE) WORKFORCE THROUGHOUT THE STATE OF INDIANA. ONE IN FIVE WOMEN IN INDIANA HAVE BEEN SEXUALLY ASSAULTED, AND THE STATE RANKS THE 4TH HIGHEST IN THE NATION FOR THE NUMBER OF REPORTED RAPES AMONG HIGH SCHOOL GIRLS. IN ADDITION, THE UNITED HEALTH FOUNDATION RANKED INDIANA 41ST OUT OF 50 IN THE NATION FOR COMMUNITY AND FAMILY SAFETY IN 2021, WITH AN OVERALL VIOLENT CRIME RATE OF 371, DEFINED AS 371 MURDERS, RAPES, ROBBERIES AND AGGRAVATED ASSAULTS PER 100,000 POPULATION. MOREOVER, INDIANA RANKS AMONG THE HIGHEST IN THE NATION FOR CHILD ABUSE AND NEGLECT REPORTS. THE IU HEALTH METHODIST CENTER OF HOPE—THE LEAD ENTITY FOR THIS PROJECT—IS THE BUSIEST FORENSIC NURSING PRACTICE IN THE STATE. AS A LEVEL I TRAUMA CENTER, IU HEALTH METHODIST RECEIVES A HIGH VOLUME OF SEXUAL ASSAULT AND DOMESTIC VIOLENCE CASES, MANY OF WHICH ALSO INVOLVE STABBINGS AND STRANGULATIONS. THE COH HAD 2,053 PATIENT ENCOUNTERS IN 2023, UP FROM 1,710 IN 2022 FOLLOWED BY STEADY INCREASES IN PRIOR YEARS. THE ULTIMATE GOAL OF THIS WORKFORCE TRAINING PROJECT IS TO ENSURE ACCESS TO TIMELY FORENSIC EXAMINATIONS AND PHYSICAL, MENTAL, AND LEGAL CARE FOR ALL SURVIVORS OF SEXUAL ASSAULT AND DOMESTIC VIOLENCE IN INDIANA. TO REACH THIS GOAL, IU HEALTH AND THE IU SCHOOL OF NURSING WILL: • PROVIDE 40-HOUR DIDACTIC SANE TRAINING TO QUALIFIED AND INTERESTED NURSES AT LEAST THREE TIMES PER YEAR TO INCREASE ACCESS TO MEDICAL FORENSIC EXAMS FOR ADULT/ADOLESCENT AND PEDIATRIC SURVIVORS OF SEXUAL ASSAULT AND DOMESTIC VIOLENCE IN INDIANA • PROVIDE ONE-ON-ONE PRECEPTORSHIP THROUGH AN UP-TO-60-HOUR FELLOWSHIP FOR NEW SANES AND UP TO 20 HOURS FOR EXPERIENCED SANES SEEKING MORE TRAINING. • OFFER A VARIETY OF EVIDENCE-BASED CONTINUING EDUCATION OPPORTUNITIES ON AN ONGOING BASIS TO ENABLE SANE TRAINED NURSES TO MAINTAIN AND ADVANCE THEIR SKILLS AND COMPETENCIES. • PROVIDE FINANCIAL SUPPORT FOR NURSES TO ATTEND DIDACTIC, CLINICAL TRAININGS AND CONTINUING EDUCATION OPPORTUNITIES • OFFER ONSITE COMPETENCY ASSESSMENTS AND CASE REVIEWS FOR SANES ACROSS THE STATE TO VALIDATE AND IMPROVE THEIR CLINICAL ASSESSMENT, DOCUMENTATION, AND PHOTOGRAPHY COMPETENCIES. • BUILD A COMMUNITY OF FORENSIC NURSING PRACTICE AMONG SANES IN INDIANA FOR PEER SUPPORT AND SHARING OF BEST PRACTICES THROUGH NETWORKING AND MENTORSHIP. • FOSTER RESILIENCY AND RETENTION AMONG THE SANE WORKFORCE THROUGH RESILIENCE COACHING BY A FORENSIC NURSING EXPERT WHO IS CERTIFIED AS A HEALTH AND WELLBEING COACH. THE TARGET POPULATION FOR THE PROPOSED PROJECT IS APPROXIMATELY 300 FORENSIC NURSES AND NURSING STUDENTS ACROSS INDIANA OVER THE THREE YEAR GRANT PERIOD. TARGETED TRAINEES INCLUDE RNS AND APRNS CURRENTLY IN PRACTICE WITH A VALID NURSING LICENSE IN THE STATE OF INDIANA AND STUDENTS ENROLLED IN A GRADUATE NURSING PROGRAM. THE PROJECT TEAM WILL RECRUIT PARTICIPANTS THROUGH THEIR RESPECTIVE INSTITUTIONAL NETWORKS (IU HEALTH AND IU SCHOOL OF NURSING) AND THROUGH PARTNERSHIPS WITH THE INDIANA EMERGENCY NURSES ASSOCIATION, INDIANA STATE NURSES ASSOCIATION, AND INDIANA RURAL HEALTH ASSOCIATION. IU HEALTH REQUESTS A STATUTORY FUNDING PREFERENCE FOR SUBSTANTIALLY BENEFITING RURAL POPULATIONS (QUALIFICATION 1) AND UNDERSERVED POPULATIONS (QUALIFICATION 2).

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

TELEHEALTH NETWORK GRANT PROGRAM

ADDICTIONS AND PAIN MANAGEMENT PROGRAM - IU HEALTH WEST

CAROL M. WHITE PHYSICAL EDUCATION PROGRAM

TELEMEDICINE GRANT

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

RILEY CENTER FOR TRAUMA AND RESILIENCE (RILEY CTR) - THE RILEY CENTER FOR TRAUMA AND RESILIENCE (RILEY CTR) AT RILEY HOSPITAL FOR CHILDREN/INDIANA UNIVERSITY HEALTH WILL EXPAND TRAUMA-FOCUSED SERVICES FOR CHILDREN AND YOUTH AGES 0–18 AND THEIR FAMILIES THROUGHOUT INDIANA. THE POPULATION OF FOCUS INCLUDES CHILDREN EXPOSED TO MALTREATMENT, FAMILY OR COMMUNITY VIOLENCE, TRAUMATIC GRIEF, SERIOUS INJURY OR ILLNESS, DISASTERS, AND OTHER ACUTE OR CHRONIC TRAUMATIC EVENTS, WITH NEEDS THAT MAY INCLUDE POSTTRAUMATIC STRESS, ANXIETY, DEPRESSION, BEHAVIOR PROBLEMS, DISRUPTED ATTACHMENT, DEVELOPMENTAL CONCERNS, SCHOOL IMPAIRMENT, AND CAREGIVER DISTRESS. RILEY CTR WILL INCREASE ACCESS TO AND COMPLETION OF EVIDENCE-BASED ASSESSMENT AND TREATMENT AND EXPAND STATEWIDE WORKFORCE CAPACITY IN TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY, PARENT-CHILD INTERACTION THERAPY, RISK REDUCTION THROUGH FAMILY THERAPY, AND ATTACHMENT & BIOBEHAVIORAL CATCH-UP. THE PROJECT WILL ALSO STRENGTHEN TRAUMA-INFORMED AND TRAUMA-RESPONSIVE PRACTICES ACROSS CHILD WELFARE, JUVENILE JUSTICE, HEALTHCARE, AND OTHER CHILD-SERVING SYSTEMS, INCLUDING DEVELOPMENT OF AN INDIANA PEDIATRIC TRAUMATIC STRESS SERVICES GUIDE. OVER THE AWARD PERIOD, RILEY CTR WILL PROVIDE DIRECT SERVICES TO 450 YOUTH, TRAIN AT LEAST 175 PROVIDERS IN TRAUMA-FOCUSED INTERVENTIONS, AND PROVIDE TRAUMA-INFORMED TRAINING OR CONTINUING EDUCATION TO 500 PROFESSIONALS WORKING IN YOUTH-SERVING SYSTEMS, FOR AN ESTIMATED MINIMUM REACH OF 1,125 PEOPLE.

CRADLE INDIANAPOLIS

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? NEONATAL ABSTINENCE SYNDROME

IU HEALTH MENTAL HEALTH TRAINING AND VIRTUAL BEHAVIORAL HEALTH SCHOOL SERVICES - THE GOAL OF THE PROPOSED MENTAL HEALTH TRAINING AND VIRTUAL BEHAVIORAL HEALTH SCHOOL SERVICES INDIANA UNIVERSITY (IU) HEALTH SYSTEM PROJECT IS TO PROVIDE MENTAL HEALTH AWARENESS TRAININGS TO SCHOOL PERSONNEL AND COMMUNITY MEMBERS (INCLUDING FIRST RESPONDERS), AS WELL AS PROVIDE TEENAGERS IN RURAL COUNTIES ACCESS TO BEHAVIORAL HEALTH SERVICES. THE POPULATION TO BE SERVED IS ADULTS AND TEENS IN ORANGE AND LAWRENCE COUNTIES IN INDIANA. THREE HIGH SCHOOLS (ORLEANS JR. SR. HIGH SCHOOL, BEDFORD NORTH LAWRENCE HIGH SCHOOL AND EITHER PAOLI HIGH SCHOOL OR SPRINGS VALLEY HIGH SCHOOL) WILL BE TARGETED SPECIFICALLY TO PROVIDE TRAININGS FOR SCHOOL PERSONNEL AND PROVIDE VIRTUAL BEHAVIORAL HEALTH SERVICES TO THE STUDENT POPULATIONS. MENTAL HEALTH AND TRAUMA INFORMED APPROACH TRAININGS WILL TAKE PLACE AT THE THREE HIGH SCHOOLS AND AT LOCAL SITES WITHIN THE COMMUNITIES. BEHAVIORAL HEALTH CARE IS A CRITICAL CHALLENGE IN INDIANA, PARTICULARLY IN RURAL AND MEDICALLY UNDERSERVED AREAS LIKE ORANGE AND LAWRENCE COUNTIES. INDIANA RANKS 39TH (WORST) OF THE 50 STATES FOR PREVALENCE OF MENTAL ILLNESS AND 26TH OF THE 50 STATES FOR ACCESS TO CARE. THE SUICIDE RATE HAS BEEN INCREASING MORE SHARPLY IN INDIANA THAN THE NATIONAL AVERAGE. THE COVID-19 PANDEMIC HAS HAD A NEGATIVE IMPACT ON MENTAL HEALTH AROUND THE WORLD, PARTICULARLY WITH ADOLESCENTS. THE QUARANTINE LEFT STUDENTS ISOLATED IN THEIR HOMES, LEAVING TEENS WITH DEPRESSION, ANXIETY, AND EXPERIENCING NEW LEVELS OF LONELINESS. MENTAL HEALTH AWARENESS TRAINING AND ACCESS TO BEHAVIORAL HEALTH SERVICES ARE IN SERIOUS NEED IN SOUTHERN INDIANA. OBJECTIVES INCLUDE: (1) BY 10/2021 IU HEALTH WILL EVALUATE AND ADJUST CURRENT MENTAL HEALTH TRAINING AND VIRTUAL BEHAVIORAL HEALTH SCHOOL SERVICES PROGRAM INFRASTRUCTURE TO EFFECTIVELY EXPAND AND SUPPORT ADDITIONAL HIGH SCHOOLS IN THE SOUTH CENTRAL REGION; (2) BY 4/2022, IU HEALTH WILL WORK WITH MENTAL HEALTH PROVIDERS AND EXPERTS TO IDENTIFY AND SCHEDULE TRAININGS FOR SCHOOL PERSONNEL AT ALL PROGRAM SITES ON MENTAL HEALTH IMPORTANCE, TRENDS, INTERVENTIONS, REFERRAL PROCESS, AND SERVICES AVAILABLE; (3) BY 4/2022, IU HEALTH WILL RECRUIT AND SELECT A THIRD SCHOOL SITE FOR EXPANSION; (4) BY 9/30/2022, IU HEALTH WILL HAVE (3) MENTAL HEALTH TRAINING AND VIRTUAL BEHAVIORAL HEALTH SCHOOL SERVICES PROGRAM SITES PROVIDING VIRTUAL MENTAL HEALTH SERVICES TO YOUTH IN ORANGE AND LAWRENCE COUNTIES; AND (5) BY 8/30/2025, IU HEALTH WILL HOST AT LEAST 3 TRAININGS A YEAR TO TRAIN COMMUNITY MEMBERS (FIRST RESPONDERS, PARENTS, CAREGIVERS, YOUTH WORKERS) ON YOUTH MENTAL HEALTH FIRST AID AND ADDITIONAL TRAUMA INFORMED APPROACH BEST PRACTICES IN ORANGE AND LAWRENCE COUNTY. A TOTAL OF 350 INDIVIDUALS (TEACHERS, PARENTS, FIRST RESPONDERS, YOUTH WORKERS) WILL BE TRAINED IN YOUTH MENTAL HEALTH FIRST AID AND OTHER TRAUMA INFORMED APPROACHES. THE BREAKDOWN ON NUMBERS SERVED IS AS FOLLOWS: YEAR 1 - 50 INDIVIDUALS; YEAR 2 - 75 INDIVIDUALS, YEAR 3 - 75 INDIVIDUALS, YEAR 4 - 75 INDIVIDUALS, YEAR 5 - 75 INDIVIDUALS.

EDI SPECIAL PROJECTS

POISON CONTROL STABILIZATION AND ENHANCEMENT PROGRAM

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

PROPOSAL ABSTRACT   INDIANA UNIVERSITY HEALTH, INC. (IU HEALTH) IS PLEASED TO SUBMIT THIS APPLICATION WHICH REQUESTS FUNDING FROM THE U.S. DEPARTMENT OF JUSTICE, OFFICE FOR VICTIMS OF CRIME UNDER THE FY 2022 EXPANDING ACCESS TO SEXUAL ASSAULT FORENSIC EXAMS PROGRAM. THE FUNDS REQUESTED IN THIS APPLICATION WILL SUPPORT AN EXPANSION OF SEXUAL ASSAULT NURSE EXAMINER (SANE) CAPABILITIES IN INDIANA WHERE IU HEALTH HAS A PRESENCE, AND WHICH DEMONSTRATE A CURRENT GAP IN SANE CAPACITY.  THIS APPLICATION REQUESTS FUNDING UNDER PRIORITY CONSIDERATION A, AS IT WILL INCREASE THE AVAILABILITY OF SEXUAL ASSAULT NURSE EXAMINERS (SANES) AND ENHANCE STANDARDS OF CARE AND ACCESS TO VICTIM ADVOCACY SERVICES IN TARGETED, HIGHLY RURAL IU HEALTH CRITICAL ACCESS HOSPITALS. THIS APPLICATION REQUESTS A TOTAL OF $473,754.09 IN FUNDING. THE PROPOSED PROJECT WILL SERVE FOUR CRITICAL ACCESS HOSPITALS: IU HEALTH BEDFORD (LAWRENCE COUNTY); IU HEALTH MORGAN (MORGAN COUNTY); IU HEALTH PAOLI (ORANGE COUNTY); AND IU HEALTH TIPTON (TIPTON COUNTY). THE PROJECT IS ALSO DESIGNED TO IMPROVE ACCESS TO PEDIATRIC CARE VIA TELE-CONSULTS FROM IU HEALTH RILEY (MARION COUNTY). THIS PROJECT WILL ACCOMPLISH THE PURPOSE OF THIS PROGRAM THROUGH ADDRESSING THE LACK OF RESOURCES IN EMERGENCY MEDICINE DEPARTMENTS FOR PATIENTS REPORTING SEXUAL ASSAULT IN HIGHLY RURAL AREAS. FIRST, IT WILL ALLOW FOR UTILIZATION OF TELEHEALTH EQUIPMENT IN FOUR IU HEALTH FACILITIES THAT DO NOT CURRENTLY HAVE ACCESS TO SANE EXPERTISE AND SERVICES. THIS EQUIPMENT WILL ALLOW THESE FACILITIES TO CONNECT TO A PROJECT HUB AT IU HEALTH METHODIST HOSPITAL IN INDIANAPOLIS, WHERE TRAINED SANES WILL BE AVAILABLE TO SCREEN PATIENTS TO DETERMINE IF A FULL MEDICAL FORENSIC EXAM IS NEEDED PRIOR TO TRANSFER. SIMULTANEOUSLY, TARGETED SITES WILL RECEIVE TRAINING TO ENHANCE THEIR ABILITIES TO PROVIDE ADVOCATE FOR VICTIMS’ RIGHTS AND SERVICES AND UTILIZE THE TELEHEALTH TECHNOLOGY.  THIS WILL REDUCE THE NUMBER OF PATIENTS WHO ARE TRANSFERRED TO UNDERGO AN EXAM. OUTCOMES INCLUDE: 1) 90% OF SEXUAL ASSAULT AND/OR VIOLENCE VICTIMS WHO ENTER TARGETED IU HEALTH EMERGENCY MEDICINE DEPARTMENTS WILL BE CONNECTED WITH A TELE-SANE FORENSIC NURSE TO RECEIVE CARE THAT ADDRESSES THEIR CRITICAL NEEDS AND INCREASES ACCESS TO VICTIM ADVOCACY SERVICES, AND 2) 75% OF IU HEALTH TEAM MEMBERS SURVEYED IN TARGETED EMERGENCY MEDICINE DEPARTMENTS REPORT UNDERSTANDING AND UTILIZING THE TELE-SANE CONSULT PATHWAY AND SEEING AN INCREASE IN ACCESS TO CARE FOR VICTIMS. INDIANA COALITION AGAINST DOMESTIC VIOLENCE WILL SERVE AS A SUPPORT PARTNER WHEN VICTIMS REQUIRE CONNECTION TO ADDITIONAL SERVICES SUCH AS LEGAL SUPPORT.

HEALTH CARE AND OTHER FACILITIES

HYPOTHERMIC ADAPTATION AND ENDOTHELIAL PROTECTION FROM SEVERE COLD STRESS

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.

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

EARMARK

HOMELESS ASSISTANCE

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM

HEALTH CARE AND OTHER FACILITIES

DLT OPIOID GRANTS

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

EMS TRAINING IN INDIANA UNIVERSITY HEALTH'S SOUTH CENTRAL REGION

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

SYNERGISTIC ANTICANCER EFFECTS OF DOCOSAHEXANOIC ACID AND CURCUMIN

PROSTAGLANDIN E2 SIGNALING AND PROTECTION FROM ENDOPLASMIC RETICULUM STRESS-INDUC

CARES FUNDING FOR POISON CENTERS

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

CONTINUUM OF CARE PROGRAM

LDS - DENTISTRY - LOAN GRANT WITH FUNDS FOR NEW BUDGET PERIOD

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

HEALTH CARE AND OTHER FACILITIES

IKSI: 2ND INTERNATIONAL UROLITHIASIS RESEARCH SYMPOSIUM

LDS - DENTISTRY - PD CHANGES

TELEMEDICINE GRANT

TELEMEDICINE SPECIAL PROJECT GRANTS

ECONOMIC DEVELOPMENT INITIATIVE-SPECIAL PROJECT NEIGHBORHOOD INITIATIVE AND MISCELLANEOUS GRANTS

HEALTH CARE AND OTHER FACILITIES