Child Guidance Center Inc

SOUTH SHORE GUIDANCE CENTER CCBHC EXPANSION WILL INCREASE ACCESS TO TRAUMA-INFORMED OUTPATIENT MH/SUD SERVICES; IMPROVE HEALTH AND MONITORING OUTCOMES; EXPAND CRISIS SERVICES FOR CHILDREN AND ADULTS. - SOUTH SHORE CHILD GUIDANCE (SSCGC) PROPOSES TO EXPAND ITS CURRENT SERVICES THROUGH THE CCBHC DELIVERY MODEL TO SERVE CHILDREN, ADOLESCENTS, AND ADULTS WITH SERIOUS MENTAL ILLNESS (SMI), SUBSTANCE USE DISORDER (SUD), AND/OR CO-OCCURRING DISORDERS (COO), AS WELL AS CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED). OUR POPULATION OF FOCUS IS FOREIGN-BORN RESIDENTS WITH HISTORIES OF TRAUMA, LIMITED ENGLISH PROFICIENCY, AND POVERTY. OUR PROJECT GOALS AND OBJECTIVES ARE ALIGNED WITH THE CCBHC'S PRIORITIES OF INCREASING ACCESS, STABILIZING INDIVIDUALS IN CRISIS, AND PROVIDING NEEDED SERVICES FOR THOSE WITH THE MOST COMPLEX MENTAL HEALTH (MH) DISORDERS AND SUD. OUR SPECIFIC GOALS INCLUDE INCREASING ACCESS TO CULTURALLY COMPETENT, TRAUMA-INFORMED OUTPATIENT BEHAVIORAL HEALTH (BH) SERVICES; IMPROVING HEALTH MONITORING AND OUTCOMES; EXPANDING SERVICES FOR INDIVIDUALS WITH SUD AND COO, ESPECIALLY THOSE WITH TRAUMA HISTORIES; AND INCREASING CRISIS INTERVENTION BH SERVICES. WE PLAN TO ACHIEVE THESE GOALS THROUGH INCREASING THE AVAILABILITY, TIMELINESS, AND QUALITY OF OUR SERVICES. OUR STRATEGIES INCLUDE EXPANDING OUR CAPACITY FOR PROVIDING OUTPATIENT BH TREATMENTS, ESPECIALLY FOR CHILDREN, THROUGH INCREASING OUR CLINIC AND SCHOOL DISTRICT-BASED CLINICAL TEAMS; EXPANDING OUR CRISIS INTERVENTION SERVICES THROUGH INCREASING OUR SERVICE HOURS FOR OUR MOBILE CRISIS TEAM; ENHANCING OUR CLINICIANS' TRAINING IN CULTURAL COMPETENCE, EVIDENCE-BASED, TRAUMA-FOCUSED PSYCHOTHERAPIES AND OTHER EVIDENCED-BASED PRACTICES; PROVIDING TRAUMA-INFORMED SERVICES FOR CLIENTS WITH MH, SUD, COO, SED AND SMI; INITIATING BH SERVICES FOR ACTIVE MILITARY PERSONNEL AND VETERANS; INCREASING SCREENING OF PHYSICAL HEALTH FACTORS AND CONDITIONS, SUCH AS HIV, HEPATITIS, AND TOBACCO USE, AND BEHAVIORAL HEALTH FACTORS AND CONDITIONS, INCLUDING POST-TRAUMATIC STRESS SYMPTOMS AND ILLICIT SUBSTANCE USE; FORMALIZING OUR PARTNERSHIPS WITH LONG ISLAND FQHC, CENTRAL NASSAU GUIDANCE, AND OTHER DESIGNATED COLLABORATING ORGANIZATIONS (DCOS); AND BEGINNING TO UTILIZE A HEALTH INFORMATION EXCHANGE WITH OUR DCOS TO BETTER MANAGE CLIENT CARE TRANSITIONS. DURING YEARS 1 AND 2 OF THE PROPOSED GRANT, WE WILL SERVE 2,385 AND 3,000 CLIENTS RESPECTIVELY; THE TOTAL NUMBER OF CLIENTS TO BE SERVED DURING THIS PROJECT IS 5,385. WE WILL MEASURE OUR SUCCESS WITH 10 QUALITY METRICS, INCLUDING INCREASING THE NUMBERS AND PERCENTAGES OF OUR CLIENTS WHO ARE SCREENED FOR HIV, VIRAL HEPATITIS, SUBSTANCE USE, AND TRAUMA HISTORIES; THE NUMBERS AND PERCENTAGES OF CLIENTS WHO UNDERGO AN ANNUAL PRIMARY CARE EXAM; AND THE NUMBERS OF OUR CLINICIANS WHO RECEIVE CERTIFICATION IN EVIDENCE-BASED, TRAUMA-FOCUSED THERAPIES.

OUR PROJECT WILL SPECIFICALLY TARGET THE NEEDS OF OUR POF TO INCREASE ACCESS AND ADDRESS THEIR BH AND SOCIAL DETERMINANT OF HEALTH (SDOH) DISPARITIES. - SOUTH SHORE GUIDANCE CENTER (SSGC) IS AN OUTPATIENT BEHAVIORAL HEALTH (BH) CLINIC LICENSED BY NEW YORK (NY) TO PROVIDE MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES FOR CHILDREN AND ADULTS IN NASSAU COUNTY. SSGC SERVES INDIVIDUALS OF ALL AGES, REGARDLESS OF THEIR ABILITY TO PAY AND WAS CERTIFIED AS A CERTIFIED COMMUNITY BH CLINIC (CCBHC) IN 2021. IN 2022, SSGC PROVIDED BH SERVICES TO MORE THAN 3,500 CHILDREN AND ADULTS IN THE MOST DIVERSE AND ECONOMICALLY DISTRESSED COMMUNITIES OF NASSAU COUNTY. SSGC'S POPULATION OF FOCUS (POF) CONSISTS OF THE LARGE NUMBER OF FOREIGN BORN CHILDREN AND ADULTS IN THE TOWNS OF BALDWIN, FREEPORT, HEMPSTEAD, ROOSEVELT AND UNIONDALE WHO LACK ENGLISH PROFICIENCY AND ARE UNDERSERVED FOR BH TREATMENT FOR SEVERE EMOTIONAL DISTRESS (SED), SERIOUS MENTAL ILLNESS (SMI), SUD MH, AND TRAUMA. OUR PROJECT WILL SPECIFICALLY TARGET THE NEEDS OF OUR POF TO INCREASE ACCESS AND ADDRESS THEIR BH AND SOCIAL DETERMINANTS OF HEALTH (SDOH) DISPARITIES. OUR CCBHC IMPROVEMENT AND ADVANCEMENT PROJECT WILL FURTHER INCREASE ACCESS, PATIENT ENGAGEMENT, AND CARE COORDINATION FOR CHILDREN AND ADULTS IN NASSAU COUNTY'S MOST UNDERSERVED COMMUNITIES, PARTICULARLY FOR THOSE WHO ARE FOREIGN BORN AND LACK ENGLISH PROFICIENCY. OUR MEASURABLE OBJECTIVES ALIGN WITH THREE MAIN GOALS: (1) INCREASE ACCESS TO INTEGRATED SERVICES FOR INDIVIDUALS WITH COMPLEX NEEDS INCLUDING SDOH NEEDS; (2) FURTHER EXPAND ACCESS TO CULTURALLY APPROPRIATE SERVICES, PARTICULARLY FOR CHILDREN AND THEIR FAMILIES; AND (3) EXPAND MEANINGFUL CONSUMER INVOLVEMENT IN CCBHC PROGRAMMING AND PLANNING EFFORTS. UNDER THIS PROJECT, SSGC WILL IMPLEMENT ALL REQUIRED ACTIVITIES, INCLUDING (1) LOOKING ACROSS CURRENT CCBHC SERVICES TO ADOPT AND COMPLY WITH REVISED CRITERIA PUBLISHED BY SAMHSA; (2) PROVIDE ALL NINE CORE CCBHC SERVICES DIRECTLY OR IN PARTNERSHIP; (3) CONDUCT REQUIRED COMMUNITY NEEDS ASSESSMENTS; (4) COMPLETE AN ATTESTATION DEMONSTRATING SSGC HAS MET ALL CCBHC CERTIFICATION CRITERIA; (5) IMPLEMENT STRATEGIES TO MEANINGFULLY INVOLVE CONSUMERS AND FAMILY MEMBERS IN THE PLANNING AND DEVELOPMENT OF CCBHC PROGRAMMING AND SERVICES; (6) IMPLEMENT ADDITIONAL CCBHC SUSTAINABILITY STRATEGIES: AND (7) PARTICIPATE IN SAMHSA CCBHC TECHNICAL ASSISTANCE ACTIVITIES. SSGC WILL ALSO IMPLEMENT THE ALLOWED ACTIVITY OF MEASUREMENT BASED CARE FOR ALL PATIENTS SERVED BY OUR CCBHC.

EPCGC MENTAL HEALTH STARTS WITH ME: INCREASING ACCESS TO EFFECTIVE TRAUMA AND GRIEF FOCUSED TREATMENT AND SERVICE SYSTEMS FOR CHILDREN, ADOLESCENTS AND THEIR FAMILIES LIVING IN EL PASO COUNTY. - THE OVERARCHING GOAL OF THE MENTAL HEALTH STARTS WITH ME/LA SALUD MENTAL EMPIEZA CONMIGO (MHSM) PROGRAM IS TO INCREASE ACCESS TO EFFECTIVE TRAUMA AND GRIEF FOCUSED TREATMENT AND SERVICE SYSTEMS FOR CHILDREN, ADOLESCENTS AND THEIR FAMILIES LIVING IN EL PASO COUNTY, LOCATED IN THE SOUTHWEST CORNER OF TEXAS ALONG THE U.S./MEXICO BORDER. UNINSURED/UNDERINSURED SCHOOL-AGED CHILDREN/YOUTH (3-17 YRS) WHO DEMONSTRATE SIGNIFICANT LEVELS OF TRAUMA, GRIEF, AND DISPARITIES IN MENTAL HEALTH SERVICES WILL BE SERVED WITH A SPECIAL EMPHASIS ON SERVING CHILDREN AND YOUTH AND ATTENDING THE RURAL CLINT AND SAN ELIZARIO SCHOOL DISTRICTS SITUATED ON THE U.S./MEXICO BORDER. EL PASO COUNTY IS THE 9TH LARGEST COUNTY IN TEXAS WITH A POPULATION OF 867,947 (2021); 82.9% IDENTIFIED AS HISPANICS. MORE THAN A QUARTER OF THE POPULATION IS UNDER AGE 18 OF WHICH 28% LIVES IN POVERTY, 36% OF ADOLESCENT REPORT DEPRESSIVE SYMPTOMS, AND 75% OF CHILDREN ARE REPORTED TO HAVE EXPERIENCED MULTIPLE TRAUMAS (U.S. CENSUS BUREAU, ACS, 2021; WORKFORCE SOLUTIONS BORDERPLEX, 2020; TEXAS ADOLESCENT MENTAL HEALTH FACT SHEETS, 2015). APPROXIMATELY 60,000 YOUTH (6-17 YRS) WERE IDENTIFIED WITH MENTAL HEALTH NEEDS; APPROXIMATELY 3,000 OF THOSE HAD A SUBSTANCE USE DISORDER. EL PASO JUVENILE PROBATION DEPARTMENT (JPD) REPORTED 55% OF JUVENILE REFERRALS IN 2019 HAD A BEHAVIORAL HEALTH NEED. PASO DEL NORTE HEALTH FOUNDATION REPORTS 7.3 CASES OF SUBSTANTIATED CHILD ABUSE PER 1,000 CHILDREN IN 2020. APPROXIMATELY 25,000 EL PASO COUNTY YOUTH (0-17 YRS) IN 2019 (MEADOWS MENTAL HEALTH POLICY INSTITUTE, 2021) EXPERIENCED THREE OR MORE ACES PLACING THEM AT HIGHER RISK FOR HEALTH PROBLEMS LATER IN LIFE, INCLUDING MENTAL ILLNESS. ACES ARE A MULTISYSTEMIC PUBLIC HEALTH ISSUE AFFECTING CHILDREN, FUTURE GENERATIONS, AND THE COMMUNITY AT LARGE. EL PASO IS THE LOCATION OF THE NATION’S DEADLIEST MASS SHOOTING IN 2019 FOLLOWED BY THE 2023 SHOOTING AT THE CIELO VISTA MALL IN THE SAME SHOPPING COMPLEX, ONE OF THE LARGEST OUTBREAKS OF COVID-19, AND IS AT THE FOREFRONT OF IMMIGRATION ISSUES INCLUDING FAMILY SEPARATION, DETENTION, AND DEPORTATION. THE PROGRAM WILL SERVE 1,000 UNDUPLICATED CHILDREN AGES 3-17 AND THEIR FAMILIES WITH DIRECT SERVICES INCLUDING TRAUMA AND GRIEF AWARENESS EDUCATION, SCREENING, ASSESSMENT, TREATMENT, AND TARGETED CASE MANAGEMENT SERVICES OVER FIVE YEARS. IN THE FIRST YEAR THE PROGRAM WILL SERVE 60 CHILDREN/FAMILIES WITH DIRECT CARE SERVICES AND IN YEARS TWO TO FIVE 120 FAMILIES WILL BE SERVED. AN ADDITIONAL 60 FAMILIES IN YEAR ONE AND 120 IN YEARS TWO THROUGH FIVE WILL BE SERVES WITH TRAUMA AWARENESS AND EDUCATION PRESENTATIONS/WORKSHOPS. THE PROJECT WILL LEAD A REGIONAL, TRAUMA-INFORMED CONSORTIUM OF CARE, THE WEST TEXAS TRAUMA INFORMED CARE CONSORTIUM (WTTICC), IN PROVIDING TRAININGS, WORKFORCE DEVELOPMENT, AND POLICY ALIGNMENT OPPORTUNITIES TO BUILD THE COMMUNITY’S ABILITY TO IDENTIFY AND CONNECT YOUTH AND FAMILIES TO TRAUMA-INFORMED AND GRIEF-FOCUSED CARE. A TOTAL OF 460 COMMUNITY PROVIDERS AND CHILD SERVING ENTITIES, 60 IN YEAR ONE AND 100 IN YEARS TWO THROUGH FIVE, WILL OBTAIN TRAUMA AND GRIEF AWARENESS EDUCATION AND/OR PROFESSIONAL DEVELOPMENT IN TRAUMA AND GRIEF SPECIFIC MODALITIES. THE PROGRAM GOALS INCLUDE: GOAL 1: IMPROVE THE COMMUNITY’S TRAUMA AND GRIEF AWARENESS AND THE ABILITY TO RESPOND AND SUPPORT YOUTH AGES 3 TO 17 AND THEIR FAMILIES’ EXPERIENCING TRAUMA AND GRIEF LIVING IN EL PASO COUNTY. GOAL 2: IMPROVE EARLY IDENTIFICATION OF YOUTH AGES 3 TO 17 THAT HAVE EXPERIENCED TRAUMA AND GRIEF ACROSS EL PASO COUNTY THROUGH OUTREACH, COORDINATED SCREENING, AND ASSESSMENT. GOAL 3: INCREASE ACCESS TO EVIDENCE-BASED BEHAVIORAL HEALTH INTERVENTION, TREATMENT, AND TARGETED CASE MANAGEMENT SERVICES FOR EL PASO COUNTY CHILDREN, YOUTH, AND FAMILIES EXPERIENCING TRAUMA AND GRIEF. GOAL 4: SUPPORT THE DEVELOPMENT OF AN EL PASO COUNTY TRAUMA-INFORMED AND GRIEF-FOCUSED SYSTEMS OF CARE FOR CHILDREN, YOUTH, AND FAMILIES.

TRAUMA INFORMED SYSTEM OF CARE: MID FAIRFIELD SCHOOL BASED INITIATIVE (ELEMENTARY SCHOOL PROGRAM EXPANSION) - MID-FAIRFIELD CHILD GUIDANCE CENTER (MFCGC) NCTSI III PROJECT IS A COLLABORATIVE EFFORT OF THE MFCGC, THE NORWALK PUBLIC SCHOOLS (NPS), THE CHILD HEALTH AND DEVELOPMENT INSTITUTE (CHDI), AND NORWALK ACTS. THE PROJECT IS TITLED: TRAUMA INFORMED SYSTEM OF CARE: MID FAIRFIELD SCHOOL BASED INITIATIVE (ELEMENTARY SCHOOL PROGRAM EXPANSION). THE PURPOSE OF THE PROJECT IS TO EXPAND AND ENHANCE MENTAL HEALTH SERVICES IN THREE SCHOOLS IN THE NPS. THE THREE SCHOOLS SELECTED WILL BE HIGH NEED SCHOOLS (HIGH PERCENTAGES OF STUDENTS IDENTIFIED AS ECONOMICALLY DISADVANTAGED, ETC.). THE FOUNDATION FOR THE PROJECT IS THE INCORPORATION OF TRAUMA INFORMED PRACTICES IN SCHOOLS TO PROMOTE AN UNDERSTANDING OF THE IMPACT OF CURRENT AND PAST EXPERIENCES ON THE SCHOOL AGED YOUTH’S CURRENT BEHAVIOR AND MENTAL HEALTH. THIS PRACTICE PROMOTES POSITIVE, PRO-ACTIVE STRATEGIES TO INCREASE AND ENHANCE STUDENT ENGAGEMENT WHICH SUPPORT THE DEVELOPMENT OF OVERALL MENTAL HEALTH. THE PROPOSED PROGRAM MODEL IS BASED ON THE MULTI-TIERED SYSTEM OF SUPPORT (MTSS) FRAMEWORK WHICH PROMOTES INCREASING AWARENESS OF MENTAL HEALTH ISSUES THROUGH EDUCATION AT THE LOWEST LEVEL TO PROVIDING MORE INTENSIVE DIRECT SERVICES FOR SCHOOL-AGED YOUTH AT THE HIGHEST LEVEL OF NEED. THE PROJECT WILL ALSO USE EVIDENCE-BASED CURRICULA AND DATA-BASED DECISION MAKING TO PROVIDE A CLEAR FRAMEWORK TO ADDRESS MENTAL HEALTH AND BEHAVIOR ISSUES WHILE PROMOTING A HEALTHY SCHOOL CLIMATE AND CULTURE. THE GOALS OF THE PROJECT ARE: 1) INCREASE EQUITABLE ACCESS TO TRAUMA FOCUSED SERVICES TO NPS ELEMENTARY STUDENTS. 2) PROVIDE INTENSIVE HIGH FIDELITY WRAPAROUND CARE COORDINATION FOR NPS STUDENTS AND THEIR FAMILIES. 3) INCREASE AWARENESS AND UNDERSTANDING OF TRAUMA OF INDIVIDUALS INTERACTING WITH SCHOOL-AGED YOUTH TO UNDERSTAND AND DETECT THE SIGNS AND SYMPTOMS OF TRAUMA. THE OBJECTIVES TO ACCOMPLISH THESE GOALS INCLUDE: THE DEVELOPMENT AND IMPLEMENTATION OF A COMPREHENSIVE WORKFORCE DEVELOPMENT TRAINING PLAN AT THE PARTICIPATING SCHOOLS; PROMOTE INCREASED COLLABORATION BETWEEN THE NPS AND MFCGC; AND PROVIDE ASSISTANCE AND TRAINING TO THE THREE PARTNER SCHOOLS TO ENSURE PROJECT GOALS ARE IMPLEMENTED WITH FIDELITY. FUNDS FROM THIS PROJECT WILL BE ALLOCATED TO THE THREE PARTNER SCHOOLS TO INCREASE THE NUMBER OF MENTAL HEALTH PROVIDER AND MENTAL HEALTH SERVICES AVAILABLE TO STUDENTS. DURING YEAR 1 OF THE PROJECT, BETWEEN 55-60 STUDENTS REQUIRING BRIEF INTERVENTIONS AND/OR MORE INTENSIVE MENTAL HEALTH SERVICES WILL BE SERVED AND DURING YEARS 2-5 BETWEEN 85-90 STUDENTS PER YEAR WILL BE PROVIDED WITH THESE SERVICES. BETWEEN 395-420 STUDENTS WILL BE SERVED DURING THE 5-YEAR FUNDING PERIOD.

MID FAIRFIELD / NORWALK PUBLIC SCHOOLS: COMPREHENSIVE MENTAL HEALTH AND WELLNESS SERVICES & SUPPORTS INITIATIVE - MID-FAIRFIELD CHILD GUIDANCE CENTER (ALSO REFERRED TO AS MID-FAIRFIELD COMMUNITY CARE CENTER (MID-FAIRFIELD)) FY2024 CONGRESSIONALLY DIRECTED SPENDING PROJECT IS A COLLABORATIVE EFFORT OF MID-FAIRFIELD AND NORWALK PUBLIC SCHOOLS (NPS) (ADDITIONAL PROJECT PARTNERS INCLUDE BUT ARE NOT LIMITED TO THE CHILD HEALTH AND DEVELOPMENT INSTITUTE (CHDI), CITY OF NORWALK COMMUNITY SERVICES DEPARTMENT, AND NORWALK ACTS). THE PROJECT IS TITLED: MID-FAIRFIELD / NORWALK PUBLIC SCHOOLS: COMPREHENSIVE MENTAL HEALTH AND WELLNESS SERVICES & SUPPORTS INITIATIVE. THE PURPOSE OF THE PROJECT IS TO HELP CLOSE THE GAP IN EQUITABLE ACCESS TO COMPREHENSIVE MENTAL HEALTH AND WELLNESS SERVICES AND SUPPORTS BY BUILDING UPON OUR CURRENT PARTNERSHIP WITH NORWALK PUBLIC SCHOOLS (NPS) TO IMPROVE, EXPAND, ENHANCE, AND AUGMENT THE ARRAY OF MENTAL HEALTH SERVICES PROVIDED TO STUDENTS, PARENTS/CAREGIVERS (FAMILIES), AND TEACHERS/SUPPORT STAFF. EMBEDDING SUPPORT WITHIN SCHOOLS REDUCES BARRIERS THAT MANY FAMILIES EXPERIENCE WHEN SEEKING MENTAL HEALTH SERVICES FOR THEIR CHILDREN. IN ADDITION TO PROVIDING DIRECT COUNSELING (E.G., INDIVIDUAL, FAMILY, GROUP THERAPIES) AND WRAPAROUND CARE COORDINATION, DIRECTLY TO STUDENTS AND FAMILIES, MID FAIRFIELD WILL PROVIDE CONSULTATION AND COACHING (E.G., TIERED INTERVENTIONS, TRAININGS (TRAUMA, SOCIAL-EMOTIONAL TOOLS AND STRATEGIES)) TO TEACHERS/SUPPORT STAFF TO BUILD A FOUNDATION AND FRAMEWORK THAT CREATES SAFE AND SUPPORTIVE SCHOOL ENVIRONMENTS THAT FOSTER RESILIENCE AND RECOVERY WHICH ARE CRITICAL FOR IMPROVING STUDENT OUTCOMES. THE PROPOSED PROGRAM MODEL IS BASED ON THE MULTI-TIERED SYSTEM OF SUPPORT (MTSS) FRAMEWORK WHICH PROMOTES INCREASING AWARENESS OF MENTAL HEALTH ISSUES THROUGH EDUCATION AT THE LOWEST LEVEL TO PROVIDING MORE INTENSIVE DIRECT SERVICES FOR SCHOOL-AGES YOUTH AT THE HIGHEST LEVEL OF NEED. MID-FAIRFIELD WILL DEPLOY LICENSED CLINICIANS, CARE COORDINATORS, AND MENTAL HEALTH CONSULTANTS (ENGLISH- AND/OR SPANISH-SPEAKING) TO BE HIRED AND SUPERVISED BY MID FAIRFIELD AND EMBEDDED WITHIN IDENTIFIED NPS SCHOOLS. THE PROJECT WILL ALSO USED EVIDENCED BASED CURRICULA AND DATA-BASED DECISION MAKING TO PROVIDE A CLEAR FRAMEWORK TO ADDRESS MENTAL HEALTH AND BEHAVIOR ISSUES WHILE PROMOTING A HEALTH SCHOOL CLIMATE AND CULTURE.

ENGAGES PERSONS 55 AND OLDER IN SUPPORTIVE SERVICE TO CHILDREN IN NEED

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FOSTER GRANDPARENT PROGRAM

ENGAGES PERSONS 55 AND OLDER IN SUPPORTIVE SERVICE TO CHILDREN IN NEED

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE