Austin-Travis County Mental Health And Mental Retardation Center

COMMUNITY MENTAL HEALTH CENTERS GRANT PROGRAM - SINCE 1967, INTEGRAL CARE HAS SUPPORTED THE HEALTH AND WELL-BEING OF CHILDREN AND ADULTS LIVING WITH MENTAL ILLNESS, SUBSTANCE USE DISORDER, AND INTELLECTUAL AND DEVELOPMENTAL DISABILITIES (IDD) IN TRAVIS COUNTY, TEXAS. THE COMMUNITY MENTAL HEALTH CENTERS PROJECT WILL SUPPORT AND RESTORECLINICAL SERVICE DELIVERY AFFECTED BYCOVID-19, EXPANDING ACCESS TO BEHAVIORAL HEALTH SERVICES FOR ADULTS AND CHILDREN IN TRAVIS COUNTY, TX. THE POPULATION OF FOCUS FOR THIS PROJECT INCLUDES ADULTS WITH SEVERE MENTAL ILLNESS (SMI), CHILDREN WITH SEVERE EMOTIONAL DISTURBANCE (SED), AND INDIVIDUALS WITHSUBSTANCE USE DISORDERS(SUD) OR CO-OCCURRING DISORDERS (COD) WHORESIDEIN TRAVIS COUNTY.TO ADDRESS THE NEEDS OF INDIVIDUALS WITH SED, SMI, AND SUD OR COD, INTEGRAL CARE WILL:IMPLEMENT A NEW, FULLY INTEGRATED TELEHEALTH SOLUTION TOOFFER HIPAA-COMPLIANT VIRTUAL CARE;INCREASEINTAKE CAPACITYBY HIRINGADDITIONAL HELPLINE CUSTOMERCARESTAFF, AS WELL AS CLINIC- AND COMMUNITY-BASED INTAKE STAFF;EXPAND OUTPATIENT AND COMMUNITY-BASED SERVICEWITH ADDITIONAL CLINICAL AND COMMUNITY BASED STAFF TO EXPAND LEVEL-OF-CARE SERVICES, ADDITIONAL HOUSING STABILITY SPECIALISTS TO HELP CLIENTS SECURE AND MAINTAIN SAFE, STABLE HOUSING, AND COMMUNITY HEALTH WORKERS TO FOCUS ON WHOLE HEALTH AND WELLNESS;ANDOFFER ENHANCED RECOVERY SUPPORT SERVICESWITHADDITIONAL PEER SUPPORT SPECIALISTSIN OUR CLINICS, THE COMMUNITY, AND ACROSS THE SUBSTANCE USE SERVICES CONTINUUM.THE FIRST GOAL OF THIS PROJECT IS TO EXPAND VIRTUAL AND COMMUNITY-BASED ACCESS CHANNELSFOR INDIVIDUALSWHO HAVE BEENDISPROPORTIONATELY AFFECTED BY THE PANDEMIC,AS WELL AS INDIVIDUALS WITH MEDICAL,SOCIAL,OR OTHER BARRIERS TO CARE. THIS GOAL WILL BEACCOMPLISHEDBY IMPLEMENTING NETSMART TELEHEALTH BYOCTOBER 2021,ANDEXPANDING CLINIC- AND COMMUNITY-BASED TREATMENT SERVICES FOR THE POPULATION OF FOCUS BY JANUARY 2022.THE SECOND PROJECT GOAL IS TO EXPAND OUTPATIENT SERVICES, INCLUDING CLINICAL, COMMUNITY BASED, AND RECOVERY SUPPORT SERVICES, FORINDIVIDUALS WITH SED, SMI, AND COD IN TRAVIS COUNTY,WITH A TARGETED FOCUS ON MINORITY AND UNDERSERVED COMMUNITIES.THIS WILL BE ACHIEVED BY ADDINGBEHAVIORALHEALTH AND PEER RECOVERY SUPPORT STAFF AT EACH CLINIC TO MEET COMMUNITY NEED BY DECEMBER 2021, IMPLEMENTING OUTREACH AND COMMUNITY-BASED INTAKE SERVICES FORMINORITYANDUNDERSERVED COMMUNITIESINTEGRATING PEER SUPPORT SPECIALISTS INTO THREE DESIGNATED SUBSTANCE USE PROGRAMSIMPLEMENTINGWEEKEND-ACCESSIBLE INDIVIDUAL SUBSTANCE USE COUNSELING, AND HIRING AND TRAINING A PEER PROGRAM MANAGER BY DECEMBER 2021. THE FINAL PROJECT GOAL IS TO SUPPORT STAFF WHILE INCREASINGSERVICES, WHICHWILLBE ACCOMPLISHEDBYPROVIDINGCMHC STAFF TRAINING ON THE NEW TELEHEALTH PLATFORM AND PROVIDING INFORMATION ABOUT AVAILABLE MENTAL HEALTH RESOURCES FOR EMPLOYEES BY DECEMBER 2021 AND PROVIDING CARE FOR CULTURE TRAINING TO CMHC STAFF BY SEPTEMBER 2022.

AUSTIN AOT

AMPLIFY CARE THROUGH CCBHC

HEALTHY IMPACTS THROUGH CCBHC - SINCE 1967, INTEGRAL CARE HAS SUPPORTED THE HEALTH AND WELL-BEING OF CHILDREN AND ADULTS LIVING WITH MENTAL ILLNESS, SUBSTANCE USE DISORDER (SUD), AND INTELLECTUAL AND DEVELOPMENT DISABILITIES IN TRAVIS COUNTY, TEXAS. THE "HEALTHY IMPACTS THROUGH CCBHC" PROJECT EXPANDS ACCESS TO A FULLY INTEGRATED SYSTEMS OF CARE, IN THE INTEREST OF IMPROVING THE HEALTH STATUS OF INTEGRAL CARE CLIENTS. THE PROGRAM WILL ENROLL 500 INDIVIDUALS PER YEAR OVER 2 YEARS FOR AN UNDUPLICATED NUMBER OF 1,000 INDIVIDUALS. THE PROJECT WILL FOCUS ON ADULTS AND CHILDREN WHO HAVE A SERIOUS MENTAL ILLNESS, SUD, SERIOUS EMOTIONAL DISTURBANCES, CO-OCCURRING DISORDERS AND/OR CHRONIC MEDICAL CONDITIONS. THESE CONDITIONS ARE OFTEN INTERTWINED AS MORE THAN 77% OF INTEGRAL CARE CLIENTS HAVE MULTIPLE DIAGNOSES. THE COMPLEXITY AND PREVALENCE OF CO-OCCURRING CONDITIONS ARE HIGHER WHEN STRATIFIED BY ECONOMIC STATUS AND RACE/ETHNICITY. INTEGRAL CARE EXPECTS INCREASED DEMAND FOR BEHAVIORAL HEALTH SERVICES AS INDIVIDUALS FEEL THE IMPACTS OF THE COVID-19 PANDEMIC. THEREFORE, THE PRIORITIES FOR THIS PROGRAM ARE TO INCREASE THE LIKELIHOOD OF CONNECTION TO ONGOING AND EQUITABLE CARE. THE PROGRAM WILL FIRST AIM TO REDUCE THE RISK OF SUICIDE AND SELF-HARM AMONG INDIVIDUALS DISCHARGING FROM INPATIENT PSYCHIATRIC HOSPITALIZATION BY EXPANDING AND STRENGTHENING INTEGRAL CARE'S 24/7 HELPLINE, PEER RECOVERY, AND MOBILE CRISIS OUTREACH TEAMS (MCOT) AS MEASURED BY A) ADDING CAPACITY AT THESE ACCESS POINTS; B) TRAINING 100% OF THE PROJECT STAFF ON EVIDENCED-BASED APPROACHES TO ADDRESSING SUICIDALITY, AND C) PROVIDING FOLLOW-UP CARE WITHIN 7 DAYS OF HOSPITAL DISCHARGE FOR 70% OF INDIVIDUALS DISCHARGED FROM A PSYCHIATRIC INPATIENT SETTING. THE PROGRAM WILL ADDRESS THE SOCIAL DRIVERS OF HEALTH AND HEALTH DISPARITIES IDENTIFIED IN THE POPULATION OF FOCUS BY A) ENROLLING 200 INDIVIDUALS MEETING THIS CRITERIA INTO COMPLEX CASE MANAGEMENT SERVICES; B) LINKING 75% OF INDIVIDUALS AND FAMILIES WITH SOCIAL BARRIERS TO SPECIALTY SERVICES SUCH AS LANDLORD OUTREACH, SSI/SSDI BENEFITS AND EMPLOYMENT ASSISTANCE; C) LINKING 75% OF ADULTS AND CHILDREN WITH AN ELEVATED RISK DUE TO CHRONIC MEDICAL CONDITIONS TO COMPREHENSIVE DISEASE MANAGEMENT AND PRIMARY CARE SERVICES, AND D) DECREASING THE RATE OF INPATIENT PSYCHIATRIC ADMISSIONS BY 15% FOR INDIVIDUALS ENROLLED IN COMPLEX CASE MANAGEMENT. THE FINAL GOAL IS TO EXPAND THE AVAILABILITY OF VIRTUAL CARE AND TELEHEALTH SERVICES FOR INDIVIDUALS WITH MEDICAL AND SOCIAL BARRIERS BY A) ESTABLISHING A COUNSELING TEAM TO PROVIDE VIRTUAL AND TELEHEALTH SERVICES EXCLUSIVELY; B) DEVELOPING AN OUTREACH AND ENGAGEMENT CAMPAIGN TO INFORM THE COMMUNITY ON THE AVAILABILITY OF INTEGRAL CARE'S NEWLY ENHANCED VIRTUAL CARE AND TELEHEALTH SERVICES, AND INCREASING THE PERCENT OF VIRTUAL CARE APPOINTMENTS BY 20 PERCENT.

ATCIC HEALTH INTEGRATION PROJECT (HIP)

ADVANCING ZERO SUICIDE AS INTEGRAL TO CARE - INTEGRAL CARE'S "ADVANCING ZERO SUICIDE AS INTEGRAL TO CARE" WILL FULLY IMPLEMENT THE ZERO SUICIDE INTERVENTION AND PREVENTION MODEL THROUGHOUT OUR SYSTEM OF CARE. THE GOAL IS TO REDUCE SUICIDE IDEATION, ATTEMPTS AND DEATHS FOR ADULTS IN TRAVIS COUNTY. INTERVENTIONS WILL BE BASED ON EVIDENCE-BASED PRACTICES THAT HAVE BEEN SHOWN TO REDUCE SUICIDE RISK AND WILL BE USED AND DELIVERED TO SUB-POPULATIONS WHERE GAPS AND DISPARITIES EXIST. THIS INCLUDES RACIAL, ETHNIC, LGBTQIA+, AND INDIVIDUALS OF LIMITED ENGLISH PROFICIENCY (LEP). RESEARCH SHOWS THAT THE RATE OF SUICIDE IN TRAVIS COUNTY HAS FLUCTUATED OVER THE PAST TEN YEARS, WITH A 22% INCREASE IN THE RATE OF SUICIDE BETWEEN 2018 AND 2019 AND A 40% INCREASE IN THE RATE OF SUICIDE FROM 2020 TO 2021. THIS PROJECT WILL REACH 550 INDIVIDUALS OVER THE COURSE OF 5 YEARS - YEAR 1=75. YEAR 2=100. YEAR 3=125. YEAR 4=125. YEAR 5=125. WE WILL ACHIEVE THE FOLLOWING GOALS AND OBJECTIVES: GOAL 1 - REDUCE THE RISK OF SUICIDE IDEATION, ATTEMPTS, AND SELF-HARM AMONG INDIVIDUALS LIVING IN TRAVIS COUNTY BY IMPLEMENTING THE ZERO SUICIDE FRAMEWORK WITHIN THE INTEGRAL CARE SYSTEM. OBJECTIVE A: BY JANUARY 2024, INTEGRAL CARE WILL HAVE RECRUITED AND HIRED 3 SUICIDE CARE SPECIALISTS AND THE PROJECT EVALUATOR. OBJECTIVE B: BY JANUARY 2024, INTEGRAL CARE WILL DESIGN AND IMPLEMENT SUICIDE CARE MANAGEMENT GUIDELINES AND POLICIES. OBJECTIVE C: BY SEPTEMBER 2028, INTEGRAL CARE WILL REDUCE SUICIDE IDEATION, ATTEMPTS AND SELF-HARM FOR PARTICIPANTS SERVICE BY THE SUICIDE CARE SPECIALISTS AS EVIDENCED BY 40% IMPROVEMENT C-SSRS SCORES. OBJECTIVE D: BY APRIL 2024, INTEGRAL CARE WILL DEVELOP OUTREACH AND REFERRAL PATHWAYS WITH 3 PARTNERING ORGANIZATIONS - APD VICTIM SERVICES, TRAVIS COUNTY JAIL BEHAVIORAL HEALTH SERVICES, DELL MEDICAL AND BEHAVIORAL HEALTH SERVICES. GOAL 2 - REDUCE MEASURABLE DISPARITY GAPS IN SUB-POPULATIONS AT RISK OF SUICIDE IN TRAVIS COUNTY. OBJECTIVE A: BY MARCH 2024, INTEGRAL CARE WILL COMPLETE REVIEW OF ALL PLANS AND TRAININGS TO ENSURE HEALTH EQUITY AND CLAS STANDARDS ARE INCORPORATED. OBJECTIVE B: BY SEPTEMBER 2024, INTEGRAL CARE WILL HAVE IMPLEMENTED TARGETED INTERVENTIONS TO ADDRESS DISPARITY GAPS FOR 50% OF IDENTIFIED SUB-POPULATIONS. OBJECTIVE C: BY SEPTEMBER 2028, INTEGRAL CARE WILL HAVE REDUCED DISPARITY GAPS IN SUB-POPULATIONS AT RISK OF SUICIDE SERVED BY 50% AS REFLECTED IN THE ANNUAL INTERNAL POPULATION HEALTH ANALYSIS REPORTS. GOAL 3- INCREASE INTEGRAL CARE'S CAPACITY TO DELIVER EVIDENCE-BASED TREATMENTS TO CLINICAL AND NON-CLINICAL STAFF SERVING POPULATIONS WITH INCREASED RISK OF SUICIDE. OBJECTIVE A: BY JANUARY 2024, INTEGRAL CARE WILL TRAIN THE 3 CLINICAL STAFF SUICIDE CARE SPECIALISTS IN EVIDENCE BASED TRAININGS WHICH INCLUDE: APPLIED SUICIDE INTERVENTION SILLS TRAININGS, COUNSELING ON ACCESS TO LETHAL MEANS, COLUMBIA-SUICIDE SEVERITY RATING SCALE, SAFETY PLANNING INTERVENTION AND CHRONOLOGICAL ASSESSMENT OF SUICIDE EVENTS. OBJECTIVE B: BY SEPTEMBERS 2028, INTEGRAL CARE WILL HAVE TRAINED 50% OF NON-CLINICAL STAFF IN SUICIDE ALERTNESS FOR EVERYONE: TELL, ASK, LISTEN, AND KEEP SAFE. OBJECTIVE C: BY DECEMBER 2023, INTEGRAL CARE WILL HAVE DEVELOPED A TRAINING FOR TOBACCO CESSATION PROGRAMS, ACTIVITIES AND/OR STRATEGIES.

CLINICAL HIGH RISK FOR PSYCHOSIS - THROUGH THE CLINICAL HIGH RISK FOR PSYCHOSIS (CHR-P) PROGRAM, INTEGRAL CARE WILL IMPLEMENT A STEPPED-CARE MODEL TO REDUCE THE DURATIONS OF UNTREATED PSYCHOSIS FOR INDIVIDUALS UNDER THE AGE OF 24 IN TRAVIS COUNTY (AUSTIN), TEXAS. THIS PROJECT WILL IMPLEMENT EVIDENCED-BASED SCREENING AN ASSESSMENT UTILIZING THE PRODROMAL QUESTIONNAIRE-BRIEF (PQB) AND THE STRUCTURED INTERVIEW FOR PRODROMAL SYMPTOMS AND EXPAND INTEGRAL CARE'S COORDINATED SPECIALTY CARE (CSC) SERVICES FOR YOUTH AND YOUNG ADULTS EXPERIENCING PSYCHOSIS. THIS EVIDENCE BASED MODEL FOR TREATING FIRST EPISODE PSYCHOSIS SUPPORTS SHARED DECISION MAKING THROUGH A TEAM OF SPECIALISTS WORKING TOGETHER TO SUPPORT THE CLIENT WITH THEIR NEEDS AND GOALS AND HAS BEEN SHOWN TO RESULT GREATER IMPROVEMENT IN SYMPTOMS, RELATIONSHIPS, QUALITY OF LIFE, WORK/SCHOOL INVOLVEMENT, AND TREATMENT ENGAGEMENT WHEN COMPARED TO TRADITIONAL SERVICES. CSC IS PART OF A CONTINUUM OF BEHAVIORAL HEALTH SERVICES OF VARYING INTENSITY THAT SUPPORT TRANSITION-AGE YOUTH AND HELP THEM REMAIN ENGAGED IN CARE. OUTREACH AND SCREENING EFFORTS WILL BE FOCUSED ON INDIVIDUALS AGES 15-25 AND WILL TARGET THREE GROUPS: NEW AND CURRENT CLIENTS WHO ARE 15 TO 17 YEARS OLD AND HAVE NOT YET TRANSITIONED TO ADULT MENTAL HEALTH SERVICES, NEW CLIENTS WHO ARE 18-25 YEARS OLD AND ENTERING SERVICES THROUGH STANDARD AGENCY PROCESSES (STANDARD INTAKE OR CRISIS), AND INDIVIDUALS BETWEEN THE AGES 15-25 WHO ARE REFERRED FROM SECONDARY OR POST-SECONDARY SCHOOLS. INTEGRAL CARE PLANS TO SERVE 500 INDIVIDUAL ANNUALLY THROUGH THIS PROJECT. BY ENHANCING ITS EXISTING CHR-P PROGRAM AND INCREASING ITS CAPACITY TO DELIVER CSC SERVICES, INTEGRAL CARE CAN IMPROVE ACCESS TO CARE AND REDUCE THE WAIT TIME FOR YOUNG ADULTS AT HIGH RISK OF PSYCHOSIS, THUS IMPROVING CLINICAL PROGNOSIS AND QUALITY OF LIFE OUTCOMES. GOALS FOR THIS PROJECT INCLUDE: ENHANCING CURRENT CHR-P PROGRAM BY HIRING A NEW CLINICAL COORDINATOR AND CASE MANAGER, TRAINING 30 STAFF ANNUALLY IN THE PQB SCREENING AND EXPANDING THE AGE RANGE FOR ELIGIBLE CLIENTS TO INCLUDE 15 YEAR OLDS; INCREASING CAPACITY FOR CSC IN TRAVIS COUNTY BY HIRING ADDITIONAL STAFF TO REDUCE CASELOADS AND ADDING 5 SLOTS FOR CLIENTS; ENSURING STRATEGIES AND STRUCTURES ARE INFORMED BY SYSTEM OF CARE PRINCIPLES BY EXPANDING FAMILY AND YOUTH PARTNERSHIP[S, EXPANDING YOUTH AND FAMILY DRIVEN QUALITY IMPROVEMENT COMMITTEE, ATTENDING ONE PROVIDER MEETING PER YEAR TO PROVIDE INFORMATION ON CHR-P, AND INCORPORATING FAMILIES AND YOUTH IN SHARED DECISION MAKING; AND EXPANDING OUTREACH TO SECONDARY SCHOOLS AND POST SECONDARY EDUCATION WITH OUTREACH TO A MINIMUM OF ONE SECONDARY OR POSTSECONDARY SCHOOL PER QUARTER AND SCREEN ALL REFERRALS FROM THESE INSTITUTIONS.

CLINICAL HIGH RISK PSYCHOSIS

MENTAL HEALTH AWARENESS TRAINING (MHAT) FOR SERVICE PROVIDERS AND FAMILIES OF ARMED SERVICE PERSONAL AND VETERANS. - INTEGRAL CARE, THE LOCAL MENTAL HEALTH AUTHORITY FOR TRAVIS COUNTY, TEXAS, PLANS TO CONTINUE AN EXISTING PROJECT, MENTAL HEALTH AWARENESS TRAINING (MHAT) FOR SERVICE PROVIDERS AND FAMILIES OF ARMED SERVICE PERSONNEL AND VETERANS. THE PROJECT WILL PROVIDE MENTAL HEALTH FIRST AID (MHFA) TRAINING, AS WELL AS COUNSELING ON ACCESS TO LETHAL MEANS (CALM) AND SAFETY PLANNING INTERVENTION (SPI), TO FAMILIES, CAREGIVERS, AND SERVICE PROVIDERS IN CONTACT WITH SERVICE MEMBERS, VETERANS, AND THEIR FAMILIES WHO MAY BE EXPERIENCING MENTAL HEALTH CHALLENGES THAT MAY BE IMPAIRING THEIR FUNCTIONING IN DAILY LIFE ACTIVITIES. INDIVIDUALS TARGETED FOR MENTAL HEALTH AWARENESS TRAINING MAY WORK WITH VETERANS AND ARMED SERVICE MEMBERS IN A COMMUNITY-BASED COUNSELING CENTER, OR HEALTHCARE FACILITY, AND/OR MAY BE CERTIFIED VETERAN PEERS, AND/OR MAY BE A VETERAN'S FAMILY MEMBER OR CAREGIVER. THESE INDIVIDUALS INTERACT ON A DAILY BASIS WITH ARMED SERVICE PERSONNEL AND VETERANS WHO ARE IN NEED OF MULTIPLE COMMUNITY-BASED SERVICES DUE TO THEIR COMPLEX AND CHRONIC TRAUMA. TEXAS IS HOME TO NEARLY 1.7 MILLION VETERANS OF THE ARMED FORCES, MORE THAN ANY OTHER STATE EXCEPT CALIFORNIA. VETERANS WITH MENTAL HEALTH AND SUBSTANCE USE CONDITIONS FACE A NUMBER OF INCREASED RISK FACTORS INCLUDING: CHRONIC HOMELESSNESS, A GREATER RISK OF SUICIDE, A WIDE RANGE OF SERIOUS MEDICAL PROBLEMS, PREMATURE MORTALITY, AND INCARCERATION. UNFORTUNATELY, ONLY ABOUT HALF OF ALL VETERANS WITH A DIAGNOSED BEHAVIORAL HEALTH CONDITION HAVE ACCESSED APPROPRIATE SERVICES, AND EVEN FEWER HAVE RECEIVED ADEQUATE CARE. TRAGICALLY, NATIONAL STATISTICS CURRENTLY REPORT THAT EACH DAY, AN ESTIMATED 22 VETERANS DIE BY SUICIDE. IN TEXAS IN 2019, 511 VETERANS DIED BY SUICIDE. INTEGRAL CARE'S GOALS FOR THIS PROJECT ARE 1) TO INCREASE THE UNDERSTANDING AND RECOGNITION OF THE SIGNS AND SYMPTOMS OF MENTAL ILLNESS AND HOW TO SAFELY AND APPROPRIATELY RESPOND AMONG FAMILIES, CAREGIVERS, AND SERVICE PROVIDERS IN CONTACT WITH ARMED SERVICE PERSONNEL AND VETERAN, 2) TO INCREASE THE KNOWLEDGE OF AVAILABLE COMMUNITY RESOURCES - CRISIS SERVICES, COUNSELING, SUBSTANCE USE, BASIC NEEDS, PRIMARY CARE, HOUSING, SUPPORT GROUPS - IN TRAVIS COUNTY FOR VETERANS AND ARMED SERVICE PERSONNEL AND HOW TO ACCESS THEM, 3) TO INCREASE THE UTILIZATION OF THESE RESOURCES BY THE ARMED SERVICE PERSONNEL AND VETERANS WITH WHOM SERVICE PROVIDERS AND FAMILIES AND CAREGIVERS WORK WITH ON A REGULAR BASIS, AND 4)TO DEVELOP COLLABORATIVE PARTNERSHIPS WITH RELEVANT COMMUNITY AGENCIES AND PROGRAMS TO ASSIST WITH RESPONDING TO MENTAL HEALTH ISSUES AND IMPROVE COORDINATION OF SERVICES TO ARMED SERVICE PERSONNEL, VETERANS, AND THEIR FAMILIES. MEASURABLE OUTCOMES INCLUDE THE FOLLOWING: 1)BY SEPTEMBER 29, 2026 A TOTAL OF 1000 INDIVIDUALS, CONSISTING OF SERVICE PROVIDERS, FAMILIES AND/OR CAREGIVERS (200 EACH YEAR OF THE PROJECT) WILL BE TRAINED IN MHFA; 2) BY SEPTEMBER 29, 2026 100% OF INDIVIDUALS TRAINED IN MHFA WILL RECEIVE A COMPREHENSIVE RESOURCE PACKET CONSISTING OF COMMUNITY SUPPORTS, SUCH AS CRISIS, COUNSELING, MEDICAL CARE, HOUSING, SUPPORT GROUPS, AND EMPLOYMENT SERVICES FOR ARMED SERVICE PERSONNEL AND VETERANS; AND 3) BY SEPTEMBER 29, 2026 75% OF INDIVIDUALS TRAINED IN MHFA WILL REFER AN ARMED SERVICE PERSONNEL OR VETERAN TO A COMMUNITY RESOURCE LISTED IN THEIR RESOURCE PACKET.

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

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

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

MENTAL HEALTH AWARENESS TRAINING (MHAT) FOR SERVICE PROVIDERS & FAMILIES OF ARMED SERVICE PERSONNEL & VETERANS

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

MENTAL HEALTH FIRST AID (MHFA) FOR YOUTH-SERVING ADULTS

CONTINUUM OF CARE PROGRAM

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

FOLLOW-UP SERVICE PROVIDED TO INDIVIDUALS AT RISK OF SUICIDE.

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

THE 10TH ANNUAL CENTRAL TEXAS AFRICAN AMERICAN FAMILY SUPPORT CONFERENCE (CTAAFSC)

HOMELESS ASSISTANCE

MENTAL HEALTH FIRST AID (MHFA) FOR YOUTH-SERVING ADULTS