Unity Center

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EARLY HEAD START EXPANSION

THE INDYEAST PROMISE NEIGHBORHOOD INITIATIVE WILL CREATE A PIPELINE OF SERVICES TO IMPROVE THE EDUCATIONAL OUTCOMES OF CHILDREN LIVING AND ATTENDING SCHOOL IN THE TARGETED GEOGRAPHY.

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HEALTH CENTER CLUSTER

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EARLY HEAD START/CHILD CARE PARTNERSHIP

EARLY HEAD START CHILD CARE PARTNERSHIP-CALIFORNIA

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HEALTH CENTER CLUSTER

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HEALTH CENTER PROGRAM

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LOWER HUDSON VALLEY HEALTHY FAMILIES AND RELATIONSHIPS INTIATIVE

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ACCESS HEALTH INSURANCE NAVIGATORS FOR MICHIGAN

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EARLY HEAD START CHILD CARE PARTNERSHIP- CALIFORNIA

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EARLY HEAD START EXPANSION

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EARLY HEAD START GRANT

HEPATITIS C ELIMINATION FOR GREATER DETROIT - “RISE: REGIONAL INITIATIVE TO SUPPRESS AND ELIMINATE HCV” WILL EXPAND ACCESS TO HEPATITIS C VIRUS (HCV), HUMAN IMMUNODEFICIENCY VIRUS (HIV), AND SEXUALLY TRANSMITTED INFECTION (STI) TESTING, TREATMENT, AND RECOVERY SUPPORT AMONG AT-RISK POPULATIONS. THROUGH MOBILE MEDICAL OUTREACH, INTEGRATED BEHAVIORAL HEALTH, AND PEER-LED NAVIGATION, THIS INITIATIVE WILL PROVIDE WRAPAROUND CARE TO COMMUNITIES IMPACTED BY THE SYNDEMIC OF HCV, SUBSTANCE USE, AND HOMELESSNESS. THE PROJECT SEEKS TO CURE HEPATITIS C IN 100 INDIVIDUALS ANNUALLY BY DELIVERING EVIDENCE-BASED TREATMENT ALONGSIDE COMPREHENSIVE, PERSON-CENTERED SERVICES TO IMPROVE OVERALL HEALTH OUTCOMES AND QUALITY OF LIFE. THE ARAB COMMUNITY CENTER FOR ECONOMIC AND SOCIAL SERVICES (ACCESS), AS LEAD APPLICANT, WILL COLLABORATE WITH WAYNE HEALTH MOBILE UNITS, FAMILIES AGAINST NARCOTICS (FAN), STRATEGIES TO OVERCOME OBSTACLES AND AVOID RECIDIVISM (SOOAR), LIVE RITE RECOVERY HOUSING, ALPHA RECOVERY HOUSING, AND STREET OUTREACH TEAMS TO BRING SERVICES DIRECTLY TO COMMUNITY MEMBERS. ALL PARTNERS CURRENTLY PROVIDE THE CORE SERVICES OUTLINED IN THIS PROPOSAL INCLUDING MOBILE HEALTHCARE, LOW-BARRIER INFECTIOUS DISEASE AND SUBSTANCE USE TREATMENT, HARM REDUCTION, RECOVERY HOUSING, AND PEER RECOVERY SUPPORT ENABLING EFFICIENT AND SEAMLESS PROJECT IMPLEMENTATION FROM DAY ONE. THE INITIATIVE TARGETS INDIVIDUALS AT HIGHEST RISK OF CONTRACTING AND TRANSMITTING HCV, INCLUDING PEOPLE WHO USE SUBSTANCES, THOSE EXPERIENCING HOMELESSNESS, AND INDIVIDUALS LIVING WITH SERIOUS MENTAL ILLNESS. EFFORTS WILL FOCUS ON SOUTHEAST MICHIGAN’S TRI-COUNTY REGION OF WAYNE, OAKLAND, AND MACOMB COUNTIES, WITH PARTICULAR EMPHASIS ON DETROIT, WHERE HCV RATES, OVERDOSES, AND BARRIERS TO CONSISTENT CARE REMAIN HIGH. THIS REGION FACES SIGNIFICANT ECONOMIC CHALLENGES, HOUSING INSTABILITY, AND LIMITED BEHAVIORAL HEALTH AND SUBSTANCE USE TREATMENT AVAILABILITY. KEY SERVICES INCLUDE COMMUNITY-BASED HCV, HIV, AND STI OUTREACH AND SCREENING; SAME-DAY INITIATION OF HCV, HIV, STI, AND SUBSTANCE USE TREATMENT; MEDICATION ADHERENCE SUPPORT; RECOVERY COACHING AND NAVIGATION; AND COMMUNITY HEALTH WORKER CARE COORDINATION. THE PROJECT WILL EMPLOY EVIDENCE-BASED, EVIDENCE-INFORMED, AND COMMUNITY-DEFINED PRACTICES TO DELIVER LOW-BARRIER, TRAUMA-INFORMED, AND PERSON-CENTERED CARE. CORE STRATEGIES INCLUDE THE AASLD/IDSA SIMPLIFIED HCV TREATMENT PROTOCOL TO EXPAND TREATMENT ACCESS; TRAUMA-INFORMED CARE TO ADDRESS CHRONIC TRAUMA; AND INTEGRATED MEDICATION-ASSISTED TREATMENT (MAT) WITH BEHAVIORAL HEALTH SERVICES FOR CO-OCCURRING CONDITIONS. EVIDENCE-INFORMED INTERVENTIONS INCLUDE MOBILE OUTREACH AND ENGAGEMENT; MODIFIED DIRECTLY OBSERVED THERAPY (MDOT) TO PROMOTE ADHERENCE; AND MOBILE HARM REDUCTION SERVICES PROVIDING SAFER USE SUPPLIES, EDUCATION, AND LINKAGE TO CARE. COMMUNITY-DEFINED APPROACHES SUCH AS PEER RECOVERY COACHING AND COMMUNITY HEALTH WORKER ENGAGEMENT WILL ENHANCE TRUST, CONTINUITY, AND SUSTAINED CARE THROUGH LIVED EXPERIENCE AND CULTURALLY RESPONSIVE SUPPORT. THE PROJECT AIMS TO CURE HCV IN 100 INDIVIDUALS ANNUALLY, INCREASE ACCESS TO BEHAVIORAL HEALTH AND RECOVERY SERVICES, AND REDUCE NEW INFECTIONS THROUGH EVIDENCE-BASED HARM REDUCTION AND TREATMENT. OVER THE INITIAL TWO-YEAR PERIOD, THE INITIATIVE PLANS TO ENGAGE OVER 2,000 INDIVIDUALS, SCREEN 1,820 FOR HCV, INITIATE TREATMENT IN ALL ELIGIBLE PARTICIPANTS, AND PROVIDE RECOVERY HOUSING TO 100 INDIVIDUALS. ADDITIONAL OBJECTIVES INCLUDE DISTRIBUTING 2,500 BASIC NEEDS SUPPLIES ANNUALLY, OFFERING TRANSPORTATION ASSISTANCE TO PARTICIPANTS FACING BARRIERS, AND PROVIDING NURSE-LED CARE COORDINATION AND INCENTIVES TO PROMOTE FOLLOW-UP AND ADHERENCE.

SUPPORTIVE HOUSING PROGRAM

H/S: PA22 ALL PROGRAM ACTIVIT. INCL. CHILDREN WITH DISABILITIES; PA20 TRNG & TECH ASSIST.

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COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

CONTINUUM OF CARE PROGRAM

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CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) SERVICE EXPANSION - PERMIACARE PROPOSES THE PROJECT "CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) SERVICE EXPANSION" UNDER FUNDING OPPORTUNITY ANNOUNCEMENT NO. SM-21-013. THIS PROJECT FOCUSES ON INCREASING ACCESS TO CRITICALLY NEEDED CCBHC SERVICES FOR MEDICAID, LOW-INCOME, AND UNINSURED RESIDENTS IN AN EIGHT-COUNTY REGION ACROSS RURAL WEST TEXAS. 6 OF THE 8 COUNTIES LIE WITHIN 100 KILOMETERS OF THE U.S./MEXICO BORDER. THE PROJECT'S TARGET POPULATION IS ADULTS AND CHILDREN DEALING WITH NEEDS RELATED TO MENTAL HEALTH, SUBSTANCE USE DISORDER, AND/OR SERIOUS EMOTIONAL DISTURBANCE. PERMIACARE PROPOSES TO DELIVER SERVICES TO 2000 INDIVIDUALS IN YEAR ONE OF THE PROJECT AND 2500 INDIVIDUALS IN YEAR TWO OF THE PROJECT: 4500 INDIVIDUALS OVER THE PROJECT'S LIFE. THE POPULATION IN THE PROPOSED SERVICE AREA HAS NUMEROUS UNMET NEEDS, INCLUDING ACCESS TO MENTAL HEALTH CARE, ACCESS TO SUBSTANCE USE DISORDER TREATMENT, DISPROPORTIONATE OUTCOMES AMONG PRIMARY HEALTH RELATED MEASURES AS COMPARED TO THE STATE, AND ACCESS DIFFICULTIES FOR SYSTEMS RELATED TO SOCIAL DETERMINANTS OF HEALTH. THE INTERVENTIONS PROPOSED BY PERMIACARE TO MEET THESE NEEDS INCLUDE INCREASING THE NUMBER OF PROVIDERS OF SUBSTANCE USE DISORDER TREATMENT, PSYCHIATRIC TREATMENT, PRIMARY CARE SCREENING, CARE COORDINATION, PEER SERVICES, AND PSYCHIATRIC HOSPITALIZATION FOLLOW-UP. REGARDING THE REGION'S NEED FOR SUBSTANCE USE DISORDER TREATMENT, PERMIACARE WILL USE STAFF ENHANCEMENT TO DELIVER TREATMENT TO 80 INDIVIDUALS IN THE FIRST PROJECT YEAR AND 120 INDIVIDUALS IN THE SECOND PROJECT YEAR. REGARDING THE REGION'S NEED FOR MENTAL HEALTH TREATMENT, PERMIACARE WILL USE STAFF ENHANCEMENT TO PROVIDE CARE FOR 220 INDIVIDUALS IN PROJECT YEAR ONE AND 260 INDIVIDUALS IN PROJECT YEAR TWO. REGARDING THE NEED RELATED TO POOR PERFORMANCE ON PRIMARY HEALTH METRICS, PERMIACARE WILL USE STAFF ENHANCEMENT TO PROVIDE ENHANCED PRIMARY CARE SCREENING AND REFERRAL SERVICES TO 2000 PATIENTS IN THE FIRST PROJECT YEAR AND 2500 PATIENTS IN THE SECOND PROJECT YEAR. FOR THE NEED RELATED TO ACCESS TO SYSTEMS FOR SOCIAL DETERMINANTS OF HEALTH, PERMIACARE WILL USE STAFF ENHANCEMENT TO PROVIDE CARE COORDINATION SERVICES TO 450 INDIVIDUALS IN THE FIRST PROJECT YEAR AND 500 INDIVIDUALS IN THE SECOND PROJECT YEAR. PERMIACARE PROPOSES THE FOLLOWING MEASURABLE OBJECTIVES, 5% IMPROVEMENT IN THE ACHIEVEMENT OF TREATMENT PLAN OBJECTIVES FOR INDIVIDUALS RECEIVING SUBSTANCE USE DISORDER TREATMENT IN THE SECOND PROJECT YEAR ABOVE A BASELINE ESTABLISHED IN YEAR ONE, IMPROVEMENT ON SCORES FOR ASSOCIATED NEED DOMAINS FOR 15% OF PATIENTS RECEIVING PEER/CARE COORDINATION SERVICES ABOVE A BASELINE ESTABLISHED IN YEAR ONE, AND PROVISION OF CONTINUITY OF CARE FOLLOW UP WITHIN SEVEN DAYS FOR 50% OF INDIVIDUALS DISCHARGED FROM STATE HOSPITALS IN BOTH PROJECT YEARS.

BILINGUAL AND BICULTURAL CERTIFIED COMMUNITY BEHAVIORAL HEALTH SERVICES FOR SOUTHEAST MICHIGAN - THE ARAB COMMUNITY CENTER FOR ECONOMIC AND SOCIAL SERVICES, A PROVIDER OF BIDIRECTIONAL BEHAVIORAL AND PRIMARY CARE IN SOUTHEAST MICHIGAN, WILL INCREASE THE TOTAL NUMBER OF SOUTHEAST MICHIGAN ADULTS AND CHILDREN, STRUGGLING WITH SERIOUS MENTAL ILLNESS AND SUBSTANCE USE DISORDERS, WHO HAVE ACCESS TO AND UTILIZE PERSON-CENTERED TREATMENT. THE TWO-YEAR PROJECT WILL PARTICULARLY TARGET THE LARGE, MARGINALIZED ARAB AMERICAN COMMUNITY, INCLUDING THOSE WHO ARE RESETTLED REFUGEES AND OTHER VULNERABLE IMMIGRANTS. THE PROPOSED PROJECT WILL ANNUALLY SERVE AT LEAST 4,000 UNDUPLICATED PEOPLE. THE PROJECT WILL SIGNIFICANTLY ENHANCE ACCESS’S CAPACITY TO DELIVER COMPREHENSIVE, BILINGUAL TREATMENT IN THE TWO COMMUNITIES WHERE ARAB AMERICANS PREDOMINATE (DEARBORN AND STERLING HEIGHTS), DURING BUSINESS AND NON-BUSINESS HOURS, AND UTILIZING AN ETHNIC SELF-HELP MODEL. THE PROJECT FEATURES THE FOLLOWING INNOVATIONS: - EXPANDED USE PEER SUPPORT STAFF TO REACH AND ENGAGE INDIVIDUALS WHO, FOR REASONS OF LANGUAGE AND CULTURE, DO NOT SEEK CARE FROM TRADITIONAL MENTAL HEALTH PROVIDERS - SPECIALIZED BEHAVIORAL HEALTH CARE TEAM TO FLEXIBLY TREAT RECENTLY RESETTLED REFUGEES AND OTHER VULNERABLE IMMIGRANT COMMUNITIES - RESTRUCTURING THE ORGANIZATION’S CASE MANAGEMENT PROGRAM BETTER ADDRESS SOCIAL DETERMINANTS OF HEALTH AND CULTURALLY SPECIFIC CONSUMER PREFERENCES - IMPROVE THE CAPACITY OF ACCESS’S STERLING HEIGHTS OFFICE TO MEET CCBHC QUALITY CRITERIA ACCESS WILL IMPLEMENT ALL OF THE CCBHC REQUIRED ACTIVITIES AT THE SCOPE AND STANDARDS OUTLINED IN THE CCBHC CRITERIA COMPLIANCE CHECKLIST IN PURSUIT OF THE FOLLOWING OBJECTIVES: 1. INCREASE THE NUMBER OF INDIVIDUALS WHO RECEIVE INTEGRATED MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT FROM TWO COMMUNITY-BASED LOCATIONS, FROM 2,430 DURING 2020 TO 4,000 BY THE END OF 2022, INCLUDING 3,200 ARAB AMERICANS WITH SMI/SED, SUD, AND COD. 2. IMPLEMENT LINGUISTICALLY AND CULTURALLY CUSTOMIZED, EVIDENCE-BASED SERVICE DELIVERY TO IMPROVE CONSUMER 6-MONTH RETENTION IN TREATMENT FROM 55% DURING 2020 TO AT LEAST 75% BY THE END OF THE PROJECT PERIOD. 3. LAUNCH AND MAINTAIN A SPECIALIZED, BILINGUAL / BICULTURAL TEAM THAT ANNUALLY REACHES AND ADDRESSES THE COMPLEX ACCULTURATIVE AND POST-TRAUMATIC BEHAVIORAL HEALTH NEEDS OF 220 RESETTLED REFUGEES AND OTHER VULNERABLE IMMIGRANT GROUPS.

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H/S:PA22 ALL PROGRAM ACTIVIT. INCL. CHILDREN WITH DISABILITIES; PA20 TRNG & TECH ASSIST.

EDUCATIONAL OPPORTUNITY CENTERS OF PA IS A 501C3 NONPROFIT THAT PROPOSES TO SERVE 2,233 PARTICIPANTS IN THE NORTHEASTERN PENNSYLVANIA TARGET AREA AS IDENTIFIED IN THIS GRANT PROPOSAL.

TEXOMA COMMUNITY CENTER CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC

ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING, AND MISCELLANEOUS GRANTS

ACCESS HEALTH INSURANCE NAVIGATORS FOR MICHIGAN

HEALTH CENTER PROGRAM

EDUCACATIONAL OPPORTUNITY CENTERS OF PENNSYLVANIA

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MADISON EMPOWERING RESPONSIBILITY IN TEENS - MERIT CITYWIDE COMPREHENSIVE PREGNANCY PREVENTION PROJECT