Grants Dashboard

The overdose crisis has created unprecedented challenges for individuals, families, and communities. These challenges are compounded for individuals with opioid, stimulant, and/or concurrent substance use disorders, especially for diverse racial/ethnic populations and rural communities that are often underserved. The Wisconsin State Opioid Response (SOR) will focus on expanding access to evidence-based opioid and stimulant use disorder treatment and recovery services, advancing opioid and stimulant use prevention and harm reduction, and reducing opioid and stimulant-related overdose deaths. The SOR-funded initiatives and programs outlined in this application continue to build on the infrastructure and progress made with previous SOR grants and seek to further evolve Wisconsin's response to the opioid epidemic. The Wisconsin Department of Health Services (DHS) completed a needs assessment in May 2024 that identified high-need geographical regions and vulnerable/underserved populations. The assessment was used to prioritize decision making regarding program development and resource allocation to these areas. Due to systemic barriers and social factors, health inequities exist for African American and Native Americans in Wisconsin, as well other minority populations. African Americans are the largest racial minority group in Wisconsin, and predominantly live in southern and southeastern Wisconsin. Wisconsin also contains 11 federally recognized tribes. Tribal lands are located mostly in rural areas of Wisconsin. The top ten high-need counties have large populations of either African Americans or Native Americans. Additionally, half of the identified high-need counties are considered over 60% rural. DHS plans to support 120,000 unduplicated individuals with substance use and overdose prevention services, 3,600 unduplicated individuals with treatment services, and 3,000 unduplicated individuals with recovery support services throughout the three-year grant cycle. The SOR grant will be used for the continuation of community prevention strategies and will expand the number of community events held across the state. It will also aid in the development, evaluation, and distribution of media prevention campaigns to actively target diverse populations such as racial/ethnic minorities, LGBTQI+, youth, older adults, and rural populations. Topics to be addressed will include opioids, counterfeit fentanyl pills, stimulants, and stigma. Statewide distribution of naloxone according to the naloxone saturation plan will occur along with the distribution of drug checking technologies. DHS will seek to increase access to all three forms of medications for opioid use disorder (MOUD) by expanding low threshold MOUD programs to include carceral settings. DHS will target new populations through this grant, such as providing the continuum of care for transition aged youth. The support and expansion for the recovery helpline and website that connects people to addiction recovery resources and services will continue as well as recovery coaching and peer support initiatives. DHS plans to continue training medical professionals to develop highly efficient teams of emergency department (ED) clinicians to deliver best-practice treatment to individuals that present with OUD and provide a robust professional training curriculum on EBPs and implementation to Wisconsin's SUD workforce. Through all of these initiatives, DHS will focus on addressing behavioral health equity and improving identification and delivery of culturally appropriate services to individuals in Wisconsin.

Mothers United Against Violence ("MUA V") was founded in 2002 by a group of individuals who provide support for women, men, youth, family and community members of the Greater Hartford area grieving the loss of their children or loved ones due to violence. MUA Vis incorporated as a 501 c3 not for profit organization and has at its core the mission to serve the needs of the underserved population throughout the greater Hartford region. Mothers United Against Violence has been an advocate since 2002 and has responded to the emotional, spiritual and physical needs of crime victims of color and a population which has long gone unnoticed. MUA V has been an advocate and has accompanied crime victims to appointments within the criminal justice system which has included the State Attorney's office and local law enforcement. MUA V provides direct services in coordinating compassion support groups specifically for mothers but embraces fathers, grandfathers, youth and all other family members with the aim of strengthening the family. In addition, the group strives to help and establish relationships within neighborhoods and to help break the cycles of violence and retaliation. The Circle of Compassion is a subgroup of MUA V and was designed to address and support the pivotal role which mothers often play within the household and more often than not the only parent present. We provide support through peer groups of compassion and consistent encouragement with the support of a professional mental health counsellor. Over the course of 20 years, we have been able to provide direction and assistance for our clients who were interfacing and moving through the court system. These clients are often met with no support and assistance in finding their way through the legal system. The court system is not adequately equipped to provide support for our clients of the underserved community. As the pandemic has exacerbated our system, we have been challenged at every level within the court system and plagued by systemic racism and major inequities as it relates to its interactions with communities of color.

The Commonwealth Healthcare Corporation (CHCC) Behavioral Health Services - Community Guidance Center (CGC), the designated Single State Agency for Substance Abuse Services in the Commonwealth of the Northern Mariana Islands (CNMI), seeks to expand and enhance prevention, treatment, and recovery services to address opioid use disorder (OUD) and substance use disorder (SUD). The project aims to use a data-driven approach to prioritize resources for referrals from various clinics, the criminal justice system, and underserved areas like Tinian, Rota, and isolated villages in Saipan. The initiative will supplement existing funding to ensure positive outcomes and long-term sustainability for substance use disorder (SUD) and (OUD) services. CNMI faces significant challenges in meeting the population's health needs due to a shortage of mental health and SUD providers. There is a critical need for culturally sensitive partnerships and education to combat substance use rates among youth, which are alarmingly high. First responders express fear of administering naloxone, highlighting the urgency for education and de-stigmatization of SUDs. Stigma around mental health and SUD treatment is prevalent. The majority of clients are court-mandated, indicating a high-risk population with complex needs. Our CHCC: BHS - CGC's Addiction Services Unit struggles with high demand and insufficient peer recovery services, necessitating additional staffing to enhance service quality and reach. We will continue expanding evidence-based treatment services and increase outreach to remote islands and villages. Align prevention and outreach activities with existing programs like the Substance Use Block Grant (SUBG) and PDMP. The CHCC: BHS-CGC’s Prevention, Training, and Outreach Unit will educate the community on medication safekeeping and equip schools and first responders with naloxone. Establish a referral process to CHCC: BHS-CGC for psychoeducational counseling and distribute naloxone to patients and their families. We will implement the Matrix for Teens and Young Adults Model to bridge service gaps for transitional youth and young adults. Form a multidisciplinary team to develop personalized treatment plans and train staff in evidence-based practices tailored to this demographic. We plan to enhance our peer recovery services to meet the high demand and improve recovery outcomes through comprehensive support. Through grant resources, this project will serve an estimated 4,500 individuals through the three years under prevention activities and we propose to serve 55 individuals with treatment services in the first project year, serve 65 individuals for the second project year; and serve 65 individuals for the third project year or a total of 185 for the life of this grant. By addressing these gaps and leveraging existing resources, the Commonwealth Healthcare Corporation (CHCC): Behavioral Health Services (BHS) - Community Guidance Center (CGC) aims to create a more robust and effective system for preventing, treating, and recovering from substance use disorders in the CNMI.

The Oregon State Opioid Response (SOR) 4 grant will focus on regions and populations with high rates of opioid and stimulant use disorders, high overdose rates, and low substance use disorder (SUD) treatment participation. Activities will employ a comprehensive youth substance use prevention plan, strengthen overdose prevention and harm reduction resources and services, increase access to treatment and recovery services, and develop the SUD workforce in the state. Prevention activities will include youth-led substance use prevention messaging and school-based prevention programs. Overdose prevention activities will involve partnerships with community organizations and expansion of the state's harm reduction initiative to increase access to overdose prevention supplies, resources, education, and technical assistance. Harm reduction activities will strengthen peer support specialist outreach, community-based overdose reversal medication distribution, and infectious disease screening, testing, and referral. Treatment activities will expand innovative medications for opioid use disorder (MOUD) programs, including supporting MOUD in jails, and provide contingency management implementation training and technical assistance for treatment organizations. Recovery support activities will collaborate with community partners to broaden culturally specific recovery support services. Workforce development activities will bolster peer recovery specialist and counselor training and SUD-focused Project ECHO programming for healthcare professionals. The geographic catchment areas for Oregon's SOR 4 grant include Southwest, Southwest Coast, Portland Tri-County, Eastern, and Northwest Rural regions. Oregon’s SOR 4 activities will target disparities in SUD-services for Black/African American, Native American and Indigenous, LGBTQIA2S+, and youth and young adult populations. Oregon seeks to center equity and the voices and experiences of people with lived experience in its SOR initiatives. All grant activities are in coordination with Oregon’s nine federally recognized tribes and will be delivered with a culturally responsive and trauma-informed approach. Oregon’s overarching SOR 4 goals include the following: • Goal 1 (Prevention): Expand youth-centered substance use prevention messaging and school-based prevention programing in Oregon. • Goal 2 (Overdose Prevention): Expand, strengthen, and increase access to overdose prevention supplies, resources, education, and technical assistance in Oregon. • Goal 3 (Harm Reduction): Expand, strengthen, and increase access to harm reduction resources and services in Oregon. • Goal 4 (Treatment): Expand the statewide SUD treatment system to increase treatment access for individuals with opioid and stimulant use disorders. • Goal 5 (Recovery Support): Expand the statewide recovery support services framework for individuals with opioid and stimulant use disorders. • Goal 6 (Workforce Development): Expand and enhance the statewide SUD workforce. Oregon aims to serve a wide cross-section of the state’s population over the course of SOR 4, serving approximately 9,000 unique individuals (approximately 3,000 each year), including an estimated 7,500 unduplicated individuals through prevention services, 300 unduplicated individuals through treatment services, and 1,200 unduplicated individuals through recovery support services.

The Connecticut Department of Mental Health and Addiction Services (DMHAS), in partnership with numerous State and community-based organizations, proposes to continue a series of targeted responses intended to reduce the negative impact of opioid use on Connecticut citizens and communities. These responses build on the State's evolving recovery-oriented, integrated system of care, helping to continue to shift the focus of care from responding to acute episodes to a prevention and recovery management framework. CT's strategy spans community education and grassroots prevention coalitions, to pre-recovery outreach and engagement, to recovery initiation through active treatment, harm reduction, and recovery support services, and finally, to long-term recovery maintenance. Connecticut's goals and objectives are designed to assist a broad swath of the population in cities and rural areas, who are actively using opioids, are early in recovery, and may have criminal justice involvement, as well as family members and the communites of people using opioids. These goals include: Continue a reduction of opioid overdose deaths and increase of awareness of the danger of opioid use using multi-faceted prevention strategies. These strategies are designed to reach all 3,625,646 of the state's citizens. Increasing and maintaining access to treatment, with a focus on medication assisted interventions, for at-risk populations, including individuals involved in the criminal justice system. Harm reduction focused outreach and engagement to those individuals who are actively using opioids and not yet receiving treatment including individuals who may have been brought to the emergency department due to an opioid overdose. Provision of recovery support for those newly in recovery, including temporary housing, utilizing peer specialists and employment support for individuals in methadone clinics, court involved, or otherwise in need of support in order to progress in their recovery. Connecticut maintains considerable momentum to implement these projects. Community awareness of opioid problems has galvanized local, grass-roots groups into action. Community coalitions including local government leaders, health professionals, educators, police and behavioral health experts have formed to address this epidemic. The legislatively mandated Connecticut Alcohol and Drug Policy Council (ADPC) continues to support recommendations developed by subcommittees in the areas of Prevention, Treatment, Recovery, and Criminal Justice. Numerous proposed SOR projects are the result of the Council's work. These SAMHSA resources are crucial in order to maintain the hard work of these groups.

Project Title: Georgia State Opioid Response (SOR) IV Project. Project Summary: Population to be served are individuals with opioid use disorder (OUD) in high need areas of the state where service capacity is possible, and infrastructure exists to implement SOR funded treatment and recovery services for the population of focus. It is estimated that 1,600 persons with OUD will be served each year of the three-year project for a total of 4,800 persons. In addition, approximately 8,500 a year will receive training and/or prevention services and media campaigns and community engagement activities will reach an additional 1,000,000 over the three-year project period. Building on the current infrastructure for treatment, recovery and prevention services implemented through the Georgia State Opioid Response (SOR) project that began in 2018, Georgia plan to continue to expand the continuum of prevention and recovery-oriented treatment services in high need areas of the state that have providers with capacity and expertise related to OUD. Medication Assisted Treatment (MAT) will continue to be implemented in all areas of Georgia as needed. Like treatment and recovery services, Georgia SOR prevention services will build on activities that have been implemented as part of the SOR 1,2, and 3 projects. Activities will include an expanded media campaign, expanded Naloxone first responder training, implementing a College Adopt a school program, a law enforcement education and training partnership, implementation of Sources of Strength program statewide, and increasing healthcare professionals' education and understanding of the state's opioid crisis. Project goals include: Goal 1: Expand and sustain treatment and recovery support services in high need areas that contain providers with capacity and expertise related to Opioid Use Disorder (OUD). Goal 2: Expand and maintain recovery support services for individuals with OUD. Goal 3: Provide training and education for SOR IV treatment and recovery providers. Goal 4: Continue and expand naloxone distribution to include systems statewide not currently included in current naloxone provision and training. Goal 5: Continue to increase awareness and education about Georgia’s opioid epidemic, preventing opioid abuse and misuse, best practices, and use of naloxone. Goal 6: Continue to increase youth protective factors, reduce risk factors, and improve resistance to substance use and abuse among middle and high school youth. Goal 7: Increase healthcare professionals’ education and understanding of Georgia’s opioid crisis and best practices. Build healthcare professionals’ awareness, knowledge, and skills around PDMP use, overprescribing, maternal substance abuse, and assessing and referring substance abuse and opioid misuse among patients.

This proposal, titled Community Mental Health Authority of Clinton, Eaton, and Ingham (CMHA-CEI) Crisis Stabilization Unit (CSU) Project, is being submitted in response to Notice of Funding Opportunity (NOFO) No. FG-24-099 for FY 2024 Congressional Directive Spending Projects. CMHA-CEI serves the tri-county capital region located in central Michigan which consists of both urban and rural communities (based on the USDA definition of rural) and has a population of 473,177 as of July 1, 2023, with 60% located in Ingham County. The tri-county area lacks secured treatment for those with serious behavioral health issues, which leads to untreated mental health or substance use issues that subsequently draw resources from local hospitals, emergency departments, law enforcement, and the justice system who are already stretched beyond capacity. Jails and prisons spend more money to treat inmates with severe mental illnesses; the number of inpatient beds have dropped substantially in the past quarter-century; the country is experiencing a shortage of mental health professionals, including psychiatrists; and emergency rooms often do not have the resources to treat these individuals. CMHA-CEI is requesting $1,972,000 to provide Crisis Stabilization Unit services to 144 youth and 216 adults by the end of the grant period. The target population includes persons experiencing an acute behavioral health crisis that requires secured treatment to safely manage. The Crisis Stabilization Unit will be operated by a Deputy Medical Director, Psychiatrist, Nurse Practitioner, Nurse Administrator, Registered Nurses, and Mental Health Therapists. The goal for the project is to develop a certified Crisis Stabilization Unit in the tri-county area that will reduce the impact of substance use and mental illness in the community by serving persons experiencing an acute behavioral health crisis which requires secured treatment to safely manage. Objective 1.1.: Receive full certification as a Crisis Stabilization Unit by September 29, 2025. Activity 1.1.1.: Review and modify our Electronic Medical Record as needed in order to fulfill all 72-hour CSU certification data reporting requirements. Activity 1.1.2.: Review and put processes in place to come into compliance with the 72-hour CSU certification requirements pertaining to: Recipient Rights, access and admission, treatment, collaboration with community partners, and discharge planning. Activity 1.1.3.: Submit certification materials. Objective 1.2.: Build capacity to begin providing services by June 1, 2025. Activity 1.2.1.: Hire all necessary staff. Activity 1.2.2.: Develop policies and procedures for clinical practice and administrative processes. Activity 1.2.3.: Train staff on Crisis Stabilization Unit model, policies, and procedures. Activity 1.2.4.: Educate the public, and community partners, about the Crisis Stabilization Unit model through public relations efforts.

The Mental Health and Suicide Awareness Outreach is a collaborative project to bring awareness and education on a variety of mental health challenges residents of Socorro County face. Through training, presentations, and events, community members will learn about the importance of taking care of their mental health and what healthy coping techniques may work for them, how to recognize mental health crises, and where to get help. Socorro County encompasses of rural communities that lack access to mental health services. Community members, including the youth, are struggling with their mental health and may turn to unhealthy coping mechanisms or substances to help them deal with the challenges they face. According to the 2023 Strategies for Success survey, 39% of middle school students and 38% of high school students in Socorro County have reported feeling sad or hopeless in the past 12 months while 34.3% of middle school students and 29.2% of high school students have seriously considered or attempted suicide in the past 12 months. This survey also highlights how substance use and mental health challenges often co-exist. Students who indicated having mental health challenges or crises (feeling sad or hopeless, seriously considered suicide, or had attempted suicide) were more likely to report every kind of substance use compared to the entire sample of both high school and middle school students. Using substance to treat or cope with an underlying mental health condition tends to make the mental health condition worse and is a risk factor for suicide. Socorro County is also seeing similar issues within the adult population. According to the 2022 New Mexico Community Survey, 33% of Socorro County residents self-identified as having mental health problems or drug/alcohol problems in the past year while 14.5% met critical threshold for serious mental illness. The survey also highlighted that 10.6% of residents have had suicidal thoughts while 1.7% of residents had attempted suicide. While the lack of mental health providers and behavioral services is an issue that can’t be addressed in a short amount of time, organizations have to get creative on how they can help provide support in this community. By offering mental health training and awareness presentations, SCOPE and other organizations are giving community members tools and resources to help those in times of crisis. With mental health events and materials, we are helping families create mental health toolkits, empowering them to take charge of their mental health, and reducing the stigma around it . By providing a universal prevention strategy inclusive of community building events and youth outreach opportunities, SCOPE is able to build resilience in our community and provide lasting changes despite the short grant term.

Identifying as LGBTQ+ (lesbian, gay, bisexual, transgender, queer, and questioning) does not result in mental health concerns. However, for many LGBTQ+ people, socioeconomic and cultural conditions negatively impact mental health conditions. Many in the LGBTQ+ community face discrimination, prejudice, denial of civil and human rights, harassment, and family rejection, which can lead to new or worsened mental health symptoms. This is particularly true for those with intersecting racial or socioeconomic identities, which leads to increased risks and prevalence of mental health concerns and substance misuse. Further, finding an identity-affirming healthcare provider can be an extremely difficult process that is often a significant barrier to care due to fear of discrimination. To address these disparities and the unique needs of the LGBTQ+ community, You:Flourish was established in 2021.You:Flourish, operating as an initiative of Mental Health Colorado and Envision:You, is a digital platform designed to support the unique mental health needs of LGBTQ+ community members. You:Flourish (https://youflourish.app/app/home) offers LGBTQ+ individuals access to thoroughly vetted resources aligned around key social determinants of health (community, financial, environment, employment, health, culture) to bolster mental health and overall well-being; facilitates peer-to-peer supports virtually; and provides access to a directory of vetted LGBTQ+ healthcare providers. Currently launched in Colorado as of April 2024, this funding opportunity will support You:Flourish in launching at the national level as well as further enhance and innovate the user experience.

The Clark County Fire Department will use the requested SAMHSA funding to establish a new emergency response program to better address the needs of individuals experiencing acute mental-health crises, with a specific focus on the unhoused population within the community.

Funds will be used to support strategic planning efforts and additional staffing support in order to create strategies for the outreach and recruitment of persons with serious mental illness that are between the ages of 18-35 years old living in Becker and Otter Tail Counties in rural Minnesota. Funds will be used to hire an additional staff person to support our outreach efforts and increase in clients in both club locations. Funds will also be used to hire a project manager (TBD) to assist with the outreach efforts. Dollars will also be used for supplies needed to support community meetings such as food, materials, marketing, etc.

Our Residential Crisis Services provide intensive mental health and support services to adults experiencing, or at risk of, psychiatric crises that jeopardize their ability to function in the community . The program aims to prevent psychiatric inpatient admissions, offer alternatives to hospitalization, shorten inpatient stays, and alleviate the burden on general hospital emergency departments. Clients are connected with community-based services and supports that enable them to return to their previous living situations or secure alternative housing . We provide a home-like environment with targeted services to facilitate safe discharge from Residential Cris i s Services. Additionally, our Respite Care Program offers temporary relief for caregivers, providing a supportive living environment for adults with mental illness, thereby giving caregivers a much-needed break from their responsibilities. Prior to the merger, Safe Harbor underwent extensive renovations, leading to a temporary closure. Compass Center, under Archway Station's operation since September 2023, is still in the early stages of development . Both facilities require essential supplies, updated bedding, and furniture, and our staff need specialized training and certifications, which can be costly. To support these programs as they grow, subsidizing the salaries of shift leaders for six months will be critical. This support will allow us to build both programs to their full potential, ensuring they operate at the highest standard moving forward.

Mercy Family Center (MFC) is expanding access to mental health and substance use disorder services in south-central and southeastern Louisiana by integrating psychiatric care into primary care settings for traditionally underserved populations. The project's overarching goal is to enhance access to mental health services by identifying and treating mental health conditions in collaboration with regional Federally Qualified Health Centers (FQHCs). MFC will achieve this by supporting mental health and substance use disorder interventions and programming in primary care settings through training, consultation, and increasing the availability readily accessible virtual psychiatric care for underserved communities throughout south-central Louisiana. The goals of this collaborative project are to: 1) Increase the knowledge, confidence, and satisfaction of primary care physicians, advanced practitioners, and nurses in providing psychiatric care using this project's collaborative care model, 2) Increase the number of individuals receiving psychiatric care, 3) Demonstrate improvements in mental health functioning for patients referred for psychiatric consultation 4) Improve the understanding among primary care providers on critical mental health topics, and 5) Patients receiving psychiatric care from MFC will express high levels of satisfaction with their treatment and collaborative care with averaged satisfaction scores above '4’ (Likert scale of 1 - 5). Measurable objectives include: Goal #1 (a) By December 31, 2025, primary care providers receiving consultation from psychiatrists will develop treatment plans for patients with a specific psychiatric diagnosis, including medication selection, dosage, and potential side effects. (b) By September 29, 2025, primary care providers receiving consultation from MFC psychiatrists will demonstrate a high level of satisfaction with this project and the Collaborative Care Model. Goal #2 (a) By September 29, 2025, the number of newly referred patients receiving brief MFC psychiatric consultation/care will exceed 100. Goal #3 (a) Demonstrate by September 29, 2025, average overall improvement scores in pre-post measures of depression and anxiety for patients under direct psychiatric care as measured by the PHQ-9 and GAD-7. Goal #4 (a) Throughout the one-year project period, primary care providers will score 80% or higher on a multiple-choice assessment in the instructional area. Goal #5 (a) Patients who receive psychiatric care will express high levels of satisfaction with their care and the collaborative model, with overall averaged satisfaction scores above ‘4’ (Likert scale of 1 – 5). The number of individuals to be served for the project is projected to be 500. MFC will collaborate with two Federally Qualified Health Centers (FQHCs) to enhance and expand mental health and substance abuse services across south-central and southeastern Louisiana, covering multiple parishes with severe shortages of psychiatrists, as indicated by Health Professional Shortage Area (HPSA) scores. According to the Louisiana Health and Human Services 2022 Report Card, Public Health Region 4 in south-central Louisiana has the state's second-highest depression rate at 27.1%. Orleans Parish has the 5th highest homicide rate in the U.S. at 47.0 per 100,000, highlighting the need for trauma-informed care. Louisiana's homicide rate (18.8 per 100,000) is the 3rd highest in the nation. This project, funded by SAMHSA, aims to improve mental health outcomes and reduce violence and suicide rates in the region.

This federal funding will support the Mental and Behavioral Health Access Center at Children’s Wisconsin in helping kids and families assess their mental and behavioral health needs, connect families to appropriate resources and supports, and ensure kids get the care they need. Currently, the Access Center staff supports all families needing mental and behavioral health services including therapy, psychiatry, psychological evaluations, and school-based mental health care. Our mental health programs and offerings are continuously innovating and evolving to help meet the growing and changing mental and behavioral health needs of kids and families. As our programs grow, so does the Access Center, allowing all families the support they need along the way. As new services are added, the Access Center team adjusts and expands to meet the needs of patients and families being served. These funds will help meet the already high demand for services provided by the Access Center and will support our capacity to meet future needs. The Access Center supports any patient seeking mental health services across the state and any patient established with a mental health provider at Children’s, regardless of their demographics or clinical characteristics. Mental and Behavioral Health as a whole saw 34,000 unique patients in 2023 from all parts of the state, all of whom had access to a Care Navigator, if needed. In 2023, 12,010 unique patients were served collectively by the Access Navigator and Care Navigator teams. In 2024 we anticipate a 5% increase, to serve roughly 12,600 unique patients. The project’s goals and objectives ensure families receive timely, quality communication and support from our teams. Throughout the funding period, Navigators will respond to new referrals within one business day, reduce the number of calls that go to voicemail from 6% to 5%, and increase the percentage of successful referral contacts from 76% to 81%. The number of referrals received will be monitored, as well as the number of referrals to a higher level of care agency. The Schedulers will maintain an average wait time of less than one minute for Zoom scheduling and one minute and 30 seconds for phone calls. The number of appointments scheduled will be monitored.

Demand continues to grow for clinically appropriate peer-delivered youth behavioral health support. Lines for Life continues to meet the mental health needs of youth ages 10-24 by offering peer-to-peer youth crisis support and youth development through YouthLine. YouthLine National Expansion will improve access to mental healthcare for youth across the U.S. through capacity expansion, engaging youth from underserved communities in Oregon, and by raising national awareness of the YouthLine help, support, and crisis line. Youth suicide continues to be a crisis in the United States. From 2007 to 2021, suicide rates among youth ages 10-24 increased by almost 40%; 22% of high school students report seriously considering suicide. Mental health issues such as depression, anxiety, social isolation, and stress are most prevalent, with almost 50% of adolescents experiencing some level of distress. There is an urgent need for continuous support and action. Engaging youth in this work offers relatable support to struggling young people, decreases stigma, normalizes help seeking, and allows them to quickly get resources they deserve at school, at home, and in their community. YouthLine has supported youth mental health in Oregon and nationwide for 25 years. Annually, over 200 volunteers, ages 15-24, receive extensive training and mentoring throughout their volunteer experience at YouthLine. Our classroom and community education are well-established and connects with over 15,000 youth annually. In 2023, YouthLine's peer-to-peer crisis line connected with over 24,000 youth – more than doubling contacts over the last 5 years. This growth demonstrates the need to elevate YouthLine’s national presence to directly address barriers to accessing mental health support, facilitate workforce development for the behavioral health field, and address the mental health crisis facing youth in America. Our request of $1,162,238 will support the following YouthLine National Expansion initiatives: • Hire additional FTE to expand YouthLine service hours by 30%, where youth and young adult interns and staff are available as peer-to-peer responders for other youth. • Increase the capacity of our satellite teams in Oregon including Central Oregon, East Portland, and Warm Springs, with a focus on supporting marginalized and distanced youth. • Promote and destigmatize mental health and mental health resources via print materials, social media, and targeted Google Ads to youth, schools, and youth-serving organizations in Oregon and across the United States. • Recruit, train, and mentor additional volunteers, including through our existing work study program to build diversity among volunteers and improve service delivery for youth. • Provide mini-grants to Oregon schools for the implementation of tailored, localized suicide prevention, intervention, and postvention programming. • Explore new site locations, conduct readiness assessments, and develop scalable systems and infrastructure. Performance measurements include: YouthLine contact data; volunteer feedback to measure satisfaction, knowledge, and growth to determine effectiveness of the youth development program; classroom surveys to determine effectiveness of outreach; and quantity, reach, and location to determine the success of information dissemination strategies. Through these continued bold efforts, we hope to engage with over 150,000 youth via classroom education, community outreach, and through each YouthLine call center.

Marshall University School Psychology Program- Equipping Mental Health Providers in Schools, hereinafter referred to as Equipping Providers, addresses an alarming shortage of qualified mental health school personnel in West Virginia (WV) to serve school-aged (PK-12) students with social, emotional, and behavioral needs due to phenomena like prenatal substance exposure, complex traumatic stress, adverse childhood experiences, and/or adverse community environments. School psychologists can partner with families, teachers, school administrators, and other professionals to create safe, healthy, and supportive learning environments that strengthen connections between home, school, and the community. Equipping Providers will enable 15 School Psychology candidates to spend more time in schools providing evidence-based interventions to PK-12 students in high need areas, and it will equip the candidates with the needed assessment tools to provide improved services to children and youth.?Providing stipends to field supervisors will increase mentoring support for candidates, improving the quality of interventions for PK-12 students. The enhanced support will be monitored and assessed through surveys and time logs. The Equipping Providers program will support West Virginia youth by providing school-based mental health services that will increase?access to care, allow for early identification and treatment of mental health issues, reduce behavioral issues, and foster better mental health and academic outcomes for PK-12 students.

Libera Mental Health Support Programs for Middle School Youth will expand mental health support services for the population of focus of 300 unduplicated middle school youth who identify as female or nonbinary within a geographic catchment area of Ohio, Boone, Clay, Cabell, and Kanawha counties in West Virginia.This project will provide 10 week Libera Model groups, an evidence-based approach to supporting and enhancing the mental health of adolescents. The project will also provide mental health empowerment boxes with mental health tools, books, activities, resources, coping skills, and crisis lines to youth to help prevent mental health crises. Two Libera counseling staff members will also become trained as trainers for Applied Suicide Intervention Skills Training (ASIST) in order to respond to crises and train others. Eight Libera staff and fifteen volunteers will be trained in suicide prevention as well. Young girls in America are facing unprecedented challenges related to mental health risks. In 2021, 41.4% of middle school girls in West Virginia reported their mental health was most of the time or always not good. Libera has conducted mental health support groups with middle school youth for over five years in eight counties in West Virginia, and research performed by Dr. Elizabeth Claydon at the WVU School of Public Health shows that Libera Model groups are effective in decreasing symptoms of depression and anxiety, and increasing life satisfaction. Goal 1: Increase the quality of mental health of middle schoolers in the five county geographic catchment of West Virginia through implementation of an evidence-based Libera Model that decreases depressive and anxiety symptoms, and increases life satisfaction. Objective 1: By December 31, 2024, hire two new mental health staff to carry out the above programs; these two new staff and at least five volunteers will have been trained on the selected, evidence-based Libera Model curriculum and Listener training. Objective 2: By January 31, 2025, begin Libera Model groups in the catchment area and sharing of crisis lines, the opportunity to connect with our Libera counselors, and a safe space to share mental health challenges. Objective 3: By June 30, 2025, have two Libera staff members trained as trainers in Applied Suicide Intervention Skills training (ASIST), eight staff trained in ASIST, and by September 29, 2025 at least fifteen other non-staff trained in suicide prevention. Objective 4: By September 29, 2025, at least 100 middle school youth will have completed Libera Model groups, with some youth involved from every county listed. Objective 5: By September 29, 2025, Hope Survey scores indicate that Libera interventions have a positive impact of at least a 10% increase in hope in group participants. Goal 2: Provide take home mental health empowerment boxes that middle school youth can use themselves for calming, coping skills, and improving their own mental health. Objective 1:By March 31, 2025, Libera will create 300 mental health boxes filled with age appropriate books, art therapy, coping skills, mental health tools, and crisis lines. Objective 2: By April 1, 2025, Libera will begin distributing mental health boxes and resources from our Libera resource bus at events and facilities for middle school youth, including group participants. The bus will serve as a space for listening to youth. Objective 3: By September 29, 2025, Libera will provide at least 300 empowerment boxes to 300 unduplicated youth with mental health tools, resources, coping skills, and crisis lines to help prevent mental health crises.

This proposal aims to use a design that features a comprehensive and collaborative approach to injury prevention that prioritizes victim advocacy and case management through the UCM VRP model along with a subcontract with Metropolitan Family Services (MFS) as the organizing community violence intervention partnership to enlist local street outreach, victim advocates and case managers on behalf of this model. This multidisciplinary approach is needed to address social determinants of health and structural characteristics that often provide the context for interpersonal violence reinjury (Adams, Arabian, Edwards, & Tinkoff, 2020; Rosenblatt, Joseph, Derchert, Duncan, Joseph, Stewart, et al., 2019). The partnering agencies, University of Chicago Medicine and Metropolitan Family Services, are committed to prevention efforts to benefit the populations living and working in their collective service areas. Our programmatic focus will be the following zip codes: 60619, 60620, 60621, 60617, and 60649, which encompass the Englewood (Public Equity) and South Deering (Claretian Associates) community areas. Through the proposed design, our inpatient crisis intervention specialist and outpatient case management team will work shoulder to shoulder with our Community Violence Intervention partners to execute the core functions of case management: assessment, planning, linking, and monitoring (Wood & Tully, 2006). This model will strengthen the collaboration and coordination of victim services and case management to prevent re-injury and connect survivors of violence to meaningful opportunities to support their comprehensive care. UCM’s model is rooted in collaboration. Collaboration with community violence intervention organizations and community-based organizations has been essential to share best practices and inform a collective understanding of factors associated with comprehensive recovery for violence survivors. UCM’s VRP works closely with Metropolitan Family Services, Public Equity, and Claretian Associates as a member of Communities Partnering for Peace (CP4P) within the Englewood and South Deering neighborhoods. Communities Partnering 4 Peace (CP4P), convened by Metropolitan Family Services, is a framework that provides a comprehensive, long-term approach to reducing violence and gang activity among the individuals and communities it serves. UCM’s Violence Recovery Program provides critical hospital- and community-based services within the CP4P ecosystem.

The Ballmer Wellness Project (BWP) aims to enhance the capacity of Oregon K12 schools by providing universal and targeted mental health screening programs. The goals of the BWP are to: • Identify students at elevated risk for mental health problems. • Deliver evidence-based preventive interventions to mitigate identified risks. • Disseminate promising practices to Oregon schools seeking to implement universal and/or targeted mental health screening and prevention programs. Building on a year of collaboration with K12 schools, the BWP is part of a broader initiative to increase services focused on early identification and prevention of mental health problems and expand the youth behavioral health workforce. The Ballmer Institute is creating the nation’s first bachelor-level workforce of Child Behavioral Health Specialists (CBHS). Child Behavioral Health (CBH) students are trained to deliver services in early identification (e.g., universal screening), behavioral health promotion (e.g., self-regulation skills as part of social-emotional learning curricula), and prevention (e.g., skills-based groups to reduce anxiety) within Tier I and II levels of the Multi-Tiered System of Support (MTSS) framework. As part of the training program, CBH students complete over 700 hours of applied practice under the supervision of Ballmer Institute clinical faculty. The Ballmer Wellness Program (BWP) offers Ballmer Institute clinical faculty members the opportunity to co-lead school-based behavioral health prevention teams in collaboration with school-based providers. These teams will be responsible for coordinating the screening program at each school; integrating screening into the school’s existing MTSS framework; involving families, educators, and community agencies in the prevention service delivery process; and evaluating and modifying interventions in response to changes in risk status. The BWP helps expand services to students identified as being at elevated risk through the delivery of preventive interventions designed to improve their functioning and reduce the risk of symptom progression and impairment. It also provides a unique opportunity to test a service delivery model where both screening and prevention services are delivered, in part, by an undergraduate-level workforce, thereby accelerating access to prevention resources in Oregon’s schools. The BWP will include youth enrolled in 1st to 8th grades in participating schools in Northeast and Southeast Portland neighborhoods—areas that are historically underserved and have a high proportion of students and families from low-income and racial/ethnic minority backgrounds, including one elementary and four middle schools. Screening will be conducted in two ways: • Universal screening of all students in 1st to 5th grade at an elementary school. • Targeted screening of students in 6th to 8th grade referred by educators, school-based behavioral health professionals, or parents, for suspected mental health concerns in four middle schools. The BWP aims to provide feasibility and preliminary effectiveness data on expanding universal and targeted screening in Oregon schools. The BWP is integrated within the larger implementation and evaluation activities of the Ballmer Institute, which contributes significant existing infrastructure, personnel, and resources to achieve these goals.

The Kauai Resilience Project is a community initiative that works to improve youth mental health and reduce youth suicides on the island of Kauai, Hawaii. The initiative will hire a full time Coordinator and complete action plans for the next phase of work on our Community Action Plan. We will also complete a strategic plan for afterschool access on Kauai.

One World Recovery Network (OWRN), a peer-led, Black-led, woman-led Recovery Community Organization (RCO), will coordinate a National Peer-Run Training and Technical Assistance Center for Addiction Recovery Support (CARS) with efforts driven by a National Steering Committee composed of persons with lived experience in recovery from substance use disorders. CARS aims to play a leading role in successfully integrating recovery support services into a myriad of traditional and non-traditional organizational and community settings and building leadership and capacity to implement recovery support services in underserved and historically excluded communities. OWRN will collaborate with six supporting organizations from the current Peer Recovery Center of Excellence with deep expertise and experience in training and technical assistance (TTA) delivery and recovery support services to implement the project: the University of Missouri Kansas City, the University of Wisconsin, the University of Texas, the National Council for Behavioral Health, the Association for Recovery Schools, and the Association of Recovery in Higher Education. Supporting organizations will also mentor & build the capacity of RCOs and peer-run organizations (PROs) who already provide localized, tailored TTA in their geographic areas. OWRN will establish these RCOs/PROs as Regional Recovery Hubs to provide culturally relevant TTA & expand the engagement of CARS at the grassroots level. Leveraging the capacity of multiple institutions, this peer-run Center will serve four major groups: a) peer support workers and networks, b) RCOs/PROs, c) state officials, including certification boards and single state authorities, and d) other organizations in the ecosystem of recovery. CARS anticipates serving 6,262 individuals over 5 years (Y1-1,000; Y2-1,248; Y3-1,298; Y4-1,348; and Y5-1,368) and will collect performance measures through SAMHSA’s Government Performance and Results Act (GPRA) as well as outcome and process evaluations. Proposed activities will address three major service gaps: 1) the dearth of infrastructure and resources for robust peer workforce development; 2) the need to build recovery-rich communities across myriad service settings and purpose-focused settings; and 3) the shortage of mechanisms to disseminate existing and future recovery support evidence-based practices. Four goals for addressing these gaps are: 1) to enhance the capacity & effectiveness of the general peer workforce by developing & providing targeted TTA in peer support certification, digital recovery, & comprehensive professional support including financing, supervision, workplace culture, & career development; 2) to promote comprehensive recovery solutions across various service settings by developing & providing specialized TTA for court, corrections, & re-entry programs, clinical treatment, recovery housing, & RCOs/PROs; 3) to foster & support recovery in purpose-focused environments by developing & providing specialized TTA for recovery-ready workplaces, recovery in higher education, & recovery in high schools; and 4) to strengthen the foundation of recovery practices by providing comprehensive TTA that supports both research-based evidence & practice-based research across the core topic area. Key activities will include conducting capacity/needs assessments and environmental scans; develop and maintain a web-based resource library; providing TTA to requesters; create and disseminate toolkits, curricula, podcasts, online courses, and other resources; host webinars, policy academies, and other in-person and virtual educational and leadership development events.

PROJECT NAME: WCGA Project Impact WestCare Georgia will take a syndemic approach to providing substance use prevention services; substance use disorder (SUD) treatment; and HIV, STI, and viral hepatitis prevention services, testing, vaccination, and linkage to treatment. Populations served: The proposed population of focus is youth and adults ages 13 and older in the Atlanta-Sandy Springs-Alpharetta Metropolitan Statistical area (the Atlanta Metro area) of Georgia who are particularly vulnerable to or living with HIV/AIDS, including gay and bisexual men, men who have sex with men or men and women from racial/ethnic minorities, Black women, and People who Inject Drugs (PWID). Strategies/Interventions: The program will provide substance use prevention services; substance use disorder (SUD) treatment; and HIV, STI, and viral hepatitis prevention services, testing, vaccination, and linkage to treatment. WCGA will use a variety of evidence-based curriculums, including Motivational Interviewing, Cognitive Behavioral Therapy, Strengths-Based Case Management, PreVenture, Living in Balance, Anti-Retroviral Treatment and Access to Services, and Making Proud Choices. Goals and Objectives: Goal 1: Expand capacity in Metro Atlanta to provide substance use prevention, SUD treatment, and HIV and viral hepatitis prevention and treatment services to residents 13 years or older with a focus on gay and bisexual men, men who have sex with men or men and women from racial/ethnic minorities, Black women, and People who Inject Drugs (PWID). Objective 1.1: Provide HIV Counseling, Testing, and Linkage (CTL) to 900 individuals (Y1 = 100; Y2-5 = 200 annually). Objective 1.2: Provide Hepatitis C testing to 650 individuals (Y1 = 50; Y2-5 = 150 annually). Objective 1.3: Provide syphilis testing to 450 individuals (Y1 = 50; Y2-5 = 100 annually) Objective 1.4: Provide substance use prevention or SUD/Co-Occurring treatment to 400 individuals (Y1 & 5 = 50; Y2-4 = 100 annually). Objective 1.5: Link 70% of those who test positive for HIV or VH or who need substance use or mental health services to appropriate care and treatment. Goal 2: Improve functioning among Metro Atlanta residents, aged 13 and older, who are particularly vulnerable to or living with HIV/AIDS. Objective 2.1: 80% of participants will remain abstinent or reduce/eliminate substance use during the 30 days prior to discharge, and 70% will remain abstinent or further reduce/eliminate substance use at 6-months post admission as measured by the GPRA. Objective 2.2: 80% of the participants who complete the program will be attending a school/vocational program or have employment at discharge, and 70% of those will remain enrolled or employed at 6-months post admission as measured by the GPRA. Objective 2.3: 80% of the participants completing the program will have stable living arrangements at discharge, and 70% will maintain the living arrangement 6-months post admission as measured by the GPRA. Objective 2.4: 80% of the participants completing the program will have increased social connectedness at discharge, and 70% will maintain their social connectedness at 6-months post admission as measured by the GPRA. Goal 3: Reduce risk taking behavior and increase knowledge related to the transmission of HIV, Hepatitis, and STDs. Objective 3.1: 80% of the youth completing Project STYLE will exhibit decreased sexual risk-taking behavior, including fewer unsafe sexual contacts and fewer sexual partners at discharge and will continue to exhibit decreased risk-taking behavior at 3 months post completion. Objective 3.2: 80% of the youth completing Project STYLE will increase knowledge of risk behaviors related to acquiring HIV and STDs as measured by the HIV KQ 18 and the Sexually Transmitted Disease Knowledge Questionnaire.

The Gay and Lesbian Community Center of Southern Nevada (The Center) proposes to implement the Empower Behavioral Health: A Minority Health Syndemic Response project. This initiative will enable the agency to devote significant resources to expanding its capacity to serve clients with HIV/STIs and/or substance use disorder (SUD)/co-occurring diagnoses (COD). In partnership with three collaborators, The Center will serve 380+ individuals through intensive, integrated SUD and HIV/STI prevention, education, and treatment, plus additional education/prevention offerings for populations at elevated risk for both. The agency will also bolster its capacity to perform quality care and respond to the SUD and HIV/STI syndemic in Clark County, Nev. (EHE Priority Jurisdiction). The populations of focus are: 1) Black, Latino, and American Indian/Alaskan Native men who have sex with men (MSM); 2) youth aged 13-24 years; and 3) People who Inject Drugs (PWID). Participants will be located in Clark County, Nevada (an EHE Priority Jurisdiction). Per agency data, 38% of participants will be white, 21% will be Black, 7% will be Asian, 2% will be Native American/Alaska Native, 1% will be Native Hawaiian/Pacific Islander, and 29% will be some other race. Also, 30% will be Hispanic. About 71% of clients will be male, and 29% will be female. About one-third (33%) will identify as gay or lesbian, and 44% as heterosexual. More than one quarter (28.8%) will be men who have sex with men (MSM). English is the primary language spoken by 66.3% of county residents. Empower Behavioral Health will serve at least 380 individuals during the five-year project period (year 1: 50; year 2: 60; year 3: 75; year 4: 90; year 5: 105). Services will be tailored to the individual needs of clients who live with or are at risk for SUD and/or HIV/STIs. The Center’s newly-expanded care team will provide substance use prevention and treatment services (creation of an intensive outpatient program to include outreach, screening/assessment for SUD/COD, clinical treatment, MAT/MOUD); HIV/STI prevention, education, and treatment; case management; peer support; and harm reduction services. In complement, the agency will strengthen its infrastructure to perform quality care and respond to the local SUD and HIV/STI syndemic through activities like an organizational readiness assessment and employee training and workforce development. The agency will also implement four allowable activities: a communication campaign, a contingency management program, recovery housing (via partners), and supportive counseling/motivational interviewing. GOALS: (1) Increase access to holistic, integrated syndemic prevention and treatment for SUD/OUD/co-occurring behavioral health conditions AND HIV/STIs. Build a model centered on reaching/serving sexual, gender, racial, and ethnic minority populations at elevated risk for syndemic health disparities. Abridged objectives include A) increase The Center’s Linkage to Care staff by 50%; B) increase individuals tested for HIV/STIs by 20% by the end of the five-year term; C) increase individuals participating in recovery groups 33% by the end of the five years; (D) increase individuals participating in peer support services by 33% at the end of five years; (E) By the end of year one, 53% of clients linked to recovery housing will exit their housing program successfully; and (F) at least 75% of IOP clients will participate successfully in contingency management. (2) Increase The Center’s capacity and overall community capacity to identify individuals at-risk for syndemic SUD/OUD/COD AND HIV/STIs, link them into holistic individualized treatment, and simultaneously strengthen prevention efforts. Abridged objectives include A) increase harm reduction reach by increasing dispenses from vending machines by 30% increase by the end of the five-year term; B) increase harm reduction reach by increasing units of naloxone and fentanyl test strips distributed by 10%.

The Ali Forney Center (AFC), the largest provider of comprehensive services and housing for homeless lesbian, gay, bisexual, transgender, and questioning (LGBTQ+) young people in New York City (NYC) and the nation, will expand treatment programming to increase engagement in care for racial/ethnic minority youth with substance use disorders (SUD) and/or co-occurring substance use and mental disorders (COD) who are at high risk for HIV or are HIV positive and receiving services/treatment. The population of focus for this proposed project is unhoused LGBTQ+ BIPOC youth (Black, Indigenous, and Persons of Color) ages 18-24 with SUD and/or COD, who are at high risk for HIV infection. Gay and bisexual males are two to three times more likely to use illicit drugs compared to their straight peers, and about one-third of gay males and bisexual males had a substance use disorder (SUD) in the past year. Substance use increases the risk of individuals developing comorbid or co-occurring mental disorders (COD). LGBTQ+ individuals are also at a higher risk of contracting diseases such as HIV due to intravenous drug use and risky sexual behaviors. According to the National Institute on Drug Abuse, the most effective treatment for SUDs is one that also addresses CODs. Furthermore, SUD treatment, especially one that also addresses CODs, can help prevent HIV transmission and lead to improvements in viral load. Current research highlights that in response to the disparities related to these issues for sexual minorities and racial and ethnic minorities, treatment needs to address the unique challenges these individuals face. However, only 7.4% of programs across the county offer specialized services. In NYC, no existing programs or service providers are providing these critical services specifically to unhoused LGBTQ+ youth. For the focus population, experiencing homelessness compounds the challenges these individuals are already at an increased risk for while also significantly impacting their access to the affirming, comprehensive care they need. AFC is one of the only providers of housing and support services specifically for unhoused LGBTQ+ youth in NYC. A lack of affirming facilities where LGBTQ+ youth feel safe leads to individuals who prefer street homelessness and remain at high risk of the associated challenges. The need to provide this care for unhoused LGBTQ+ youth is, quite simply, lifesaving and critical. The overall purpose of the proposed pilot project is to sustain and expand AFC's array of integrated services and supports to improve behavioral and mental health care and HIV/viral hepatitis (VH) treatment for unhoused LGBTQ+ youth. The proposed pilot project, SUD and HIV/HCV Prevention and Treatment Services for Unhoused LGBTQ+ Youth, is designed to increase access to and engagement in substance use prevention, substance use disorder (SUD) treatment, and HIV/viral hepatitis prevention and treatment services specifically for unhoused LGBTQ+ BIPOC youth ages 18-24 with SUD and/or COD, who are at high risk for HIV infection. This grant will fund Intensive Case Management (ICM) staff and one existing therapist. It will also allow AFC to expand the program and hire a Peer Hire Counselor to better support those with SUD/COD.

In response to the U.S. Department of Health and Human Services - Substance Abuse and Mental Health Services Administration (SAMHSA) FY 2024 Minority AIDS Initiative: Substance Use Disorders (SUD) Prevention and Treatment Pilot Program (Short Title: MAI PT Pilot- TI-24-005), PROCEED, Inc. proposes to implement Healthy Connections/Conexiones Saludables (HC/CS). HC/CS is a comprehensive, Spanish bilingual, culturally responsive, and participant centered health and wellness program aimed at addressing multiple syndemics -- substance use disorders, HIV, viral hepatitis (VH), sexually transmitted diseases (STDs) and behavioral health issues impacting individuals and communities and contributing to poorer health outcomes. The population of focus (POF) for HC/CS are racial and ethnic medically underserved individuals, 18 and older, that are at risk for, or living with HIV and/or an SUD, SUD/COD, with emphasis on engaging Black and Latino gay, bisexual, and other men who have sex with men (MSM), men who have sex with men and women (MSMW), Black women, transgender men and women and People who Inject Drugs (PWID) that reside in Essex and Union Counties, NJ. HC/CS will facilitate POF engagement, access and use of medical, health, and human services and supports to reduce the negative health and social impacts from these syndemic conditions. HC/CS will incorporate evidence-based, trauma-informed, resiliency-oriented practices/strategies to address needs of POF at the individual and community levels. Project activities include: • Targeted outreach and engagement of POF in Essex and Union County, NJ. • Environmental scan/Organizational readiness assessment (ORA) to identify existing community substance use, HIV, VH, and STD prevention and treatment assets, strengths, opportunities, and gaps relevant to the program’s goals. • Health Advisory Group comprised of POF, health and human service providers and community stakeholders to promote, advise and inform HC/CS project activities. • HIV, STD, VH screening and testing; mental health, co-occurring disorder screening • SUD and SUD/COD evidence-based prevention and treatment interventions • Formalized partnerships with medical facilities for service referrals and linkage to HIV/STD/VH treatment and/or access to HIV Preexposure Prophylaxis (PrEP) and VH-A and B, Human Papilloma Virus, pneumonia vaccinations. • Harm reduction/overdose prevention education, equipment and supplies, including opioid reversal medication, fentanyl test strips, clean syringes, hygiene and safer sex kits. • Health Navigation, Case Management and Peer Support Services. • Continuous training and workforce development for project staff and partners on HIV, SUD, STD, VH treatments, harm reduction best practices, and the delivery of culturally, linguistically and situationally appropriate health services. Over the five-year project period, it is anticipated that HC/CS will deliver 1500 service encounters to approximately 450 unduplicated POF.