Bay Cove Human Services

CAPE COD CCBHC - THE CAPE COD CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) WILL SERVE AS A MUCH NEEDED SUPPLEMENT TO EXISTING SERVICES BY CREATING A ROBUST CONTINUUM OF INTEGRATED BEHAVIORAL AND PHYSICAL HEALTH SERVICES FOR VULNERABLE POPULATIONS RESIDING IN CAPE COD, MA. OUR TARGET POPULATION WILL BE LOW-INCOME, UNINSURED AND UNDER-INSURED ADULTS WITH SERIOUS MENTAL ILLNESS , SUBSTANCE USE DISORDERS, AND CO-OCCURRING DISORDERS, AND CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE. WE WILL ADDRESS THE IMPACT OF CHALLENGES RELATED TO ACCESS TO CARE FELT BY THE REGION'S MOST VULNERABLE RESIDENTS, WHO FREQUENTLY CONTEND WITH THE OVERWHELMING CIRCUMSTANCES OF LIVING IN POVERTY AND THE INSIDIOUS IMPACTS OF SOCIAL DETERMINANTS OF HEALTH(SDOH). IN MANY WAYS, THERE ARE TWO CAPE CODS – ONE A POPULAR TOURIST DESTINATION THAT SEES UPWARDS OF 5 MILLION VISITORS ANNUALLY AND CATERS TO WEALTHY SEASONAL RESIDENTS AND VISITORS AND THE OTHER A RURAL, INSULAR COMMUNITY OF 228,996 YEAR ROUND RESIDENTS, WITH 14,176 PEOPLE LIVING BELOW THE POVERTY LEVEL. WITH THE WEALTH OF THE REGION HIDING THE PROBLEM, ACCESS TO SERVICES CAN BE MORE CHALLENGING THAN IN PLACES WITH HIGHER POVERTY. BAY COVE HAS BEEN PROVIDING FOR THE URGENT BEHAVIORAL HEALTH (BH) NEEDS FOR CAPE COD AS THE STATE CONTRACTED EMERGENCY SERVICE PROVIDER (ESP) FOR FIVE YEARS WHERE WE PERFORM AN AVERAGE OF 3,000 CRISIS EVALUATIONS ANNUALLY. SINCE 2019, OUR ESP HAS OPERATED A FOLLOW UP PROGRAM FOR INDIVIDUALS WHO HAD SOUGHT CRISIS SERVICES. ENGAGING IN THIS FOLLOW-UP WORK HAS GIVEN US AN IN-DEPTH UNDERSTANDING OF THE DEMAND FOR SERVICES, THE COMMUNITY BH PROVIDER LANDSCAPE AND THE MOST PRESSING SDOH NEEDS OF THE PEOPLE WE SERVE IN THIS COMMUNITY. WHAT WE HAVE SEEN FIRST HAND IS THE LACK OF OPTIONS FOR ONGOING CARE ON CAPE COD DESPITE THE SIGNIFICANT NEED FOR BH SERVICES. GIVEN OUR EXPERIENCE ON THE CAPE, BAY COVE IS WELL POSITIONED TO BE THE IDEAL AGENCY TO SUCCESSFULLY BRING CCBHC SERVICES TO CAPE COD. IN BECOMING A CCBHC, BAY COVE SEEKS TO ADDRESS GAPS BY PROVIDING OPEN ACCESS TO CULTURALLY RESPONSIVE, INTEGRATED BEHAVIORAL HEALTHCARE REGARDLESS OF INSURANCE STATUS. THE CCBHC WILL PROVIDE CRISIS SERVICES, SAME-DAY TREATMENT, PSYCHOPHARMACOLOGY TREATMENT, INTEGRATED PRIMARY CARE, ENHANCED CARE NAVIGATION AND COORDINATION, AND INCREASED OUTREACH EFFORTS AND SUPPORT SERVICES FOR THOSE NOT YET READY TO ENGAGE IN CARE. THE GOALS OF THE PROJECT ARE: 1) TO ADDRESS THE UNDER RESOURCED AND OVERLY IMPACTED CONTINUUM OF CARE FOR CAPE COD RESIDENTS BY BUILDING A BH OUTPATIENT SERVICE LOCATION AT OUR HYANNIS SITE TO BE WOVEN INTO THE EXISTING OVER BURDENED CARE SYSTEM; 2) TO BUILD A ROBUST CCBHC CONTINUUM OF CARE TO FURTHER DEVELOP BAY COVE’S CAPACITY TO RAPIDLY TRIAGE, ASSESS, PRIORITIZE AND ADDRESS THE MOST PRESSING BH NEEDS FOR SERVICES ON THE CAPE; 3) TO DEVELOP AND IMPLEMENT THE INFRASTRUCTURE NECESSARY FOR BAY COVE TO BECOME A CCBHC ON CAPE COD; AND 4) TO EVALUATE THE CAPE COD CCBHC ON SAMHSA AND OTHER QUALITY MEASURES WITH A VIEW TO SUSTAINABILITY. OUR MEASURABLE OBJECTIVES INCLUDE: ESTABLISHING PROTOCOLS AND DATA SHARING AGREEMENTS FOR COLLABORATION WITH OUR DCOS, CHILD AND FAMILY SERVICES AND DUFFY HEALTH CARE AND OUR COMMUNITY SUPPORTERS CAPE COD VET CENTER AND THE NATIONAL ALLIANCE FOR MENTAL ILLNESS; HIRING NEW BH PROFESSIONALS, INCLUDING CLINICIANS, PSYCHIATRISTS, AND COMMUNITY WORKERS; IMPLEMENTING A CO-LOCATED PRIMARY CARE CLINIC; INITIATING BASELINE AND FOLLOW-UP ADMINISTRATION OF NOMS TOOL AND STANDARDIZED MEASURES OF PSYCHIATRIC SYMPTOMS; AND COMPLETING QUARTERLY REPORTS AND ANNUAL OUTCOME EVALUATIONS. WE WILL ENROLL A MINIMUM OF 100 PARTICIPANTS A YEAR, FOR A TOTAL OF A OF 400 CLIENTS THROUGHOUT THE LIFE OF THE PROJECT. THE PROCESS EVALUATION WILL ASSESS PROJECT IMPLEMENTATION IN RELATION TO TIMELINES ON STANDARDIZED MEASURES OF MENTAL HEALTH SYMPTOMS AND QUALITY OF LIFE, AS WELL AS ON NOMS MEASURES AND UTILIZATION OF ACUTE CARE SERVICES.

WEEKEND AND HOLIDAY DISPENSING OF METADONE

PURPOSE: THE DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD), OFFICE OF MULTIFAMILY HOUSING, SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES PROGRAM HELPS EXPAND THE SUPPLY OF INTEGRATED AFFORDABLE HOUSING BY PROVIDING FUNDING FOR THE DEVELOPMENT OF PERMANENT SUPPORTIVE RENTAL HOUSING FOR VERY-LOW-INCOME PERSONS WITH DISABILITIES WHO IS 18 YEARS OF AGE OR OLDER AND LESS THAN 62 YEARS OF AGE. THE PROGRAM PROVIDES FUNDING CALLED CAPITAL ADVANCE, TO CONSTRUCT, ACQUIRE, OR REHABILITATE MULTIFAMILY PROPERTIES THAT SERVE VERY-LOW-INCOME PERSONS WITH DISABILITIES TO LIVE INDEPENDENTLY IN GROUP HOMES OR INTEGRATED HOUSING SETTINGS WITH COMMUNITY-BASED SUPPORT AND SERVICES. THESE UNITS PROVIDE PERSONS WITH DISABILITIES THE OPPORTUNITY TO LIVE WITH DIGNITY AND INDEPENDENCE WITHIN THE COMMUNITY IN AN INTEGRATED ENVIRONMENT THAT PROVIDES ACCESS TO APPROPRIATE AND VOLUNTARY SUPPORTIVE SERVICES. THE PROGRAM TARGETS VULNERABLE PERSONS WITH DISABILITIES WHO NEED AFFORDABLE HOUSING TO EFFECTIVELY ACCESS COMMUNITY-BASED SUPPORT AND SERVICES, SUCH AS CASE MANAGEMENT, HOUSEKEEPING, AND DAILY LIVING ASSISTANCE TO SUCCESSFULLY LIVE INDEPENDENTLY IN THE COMMUNITY. IN ADDITION TO THE CAPITAL ADVANCE, 811 PROPERTIES RECEIVE A RENEWABLE PROJECT RENTAL ASSISTANCE CONTRACT (PRAC) OR PROJECT ASSISTANCE CONTRACT (PAC) WHICH COVERS REASONABLE AND NECESSARY OPERATING EXPENSES BEYOND THE TENANT’S PORTION OF THE RENT. FOR ADDITIONAL INFORMATION ABOUT THESE AWARDS FOLLOW THIS LINK (HTTPS://HUDGIS-HUD.OPENDATA.ARCGIS.COM/) AND SEARCH FOR “811 PROPERTIES” WITHIN THE SEARCH FOR CONTENT OR EXPLORE BY CATEGORY SEARCH BAR.; ACTIVITIES TO BE PERFORMED: APPROXIMATELY 3,000 PROJECT RENTAL ASSISTANCE CONTRACTS (PRAC) AND PROJECT ASSISTANCE CONTRACTS (PAC) PROVIDE RENTAL ASSISTANCE ANNUALLY TO 34,000 HOUSEHOLDS. OWNERS RECEIVE FEDERAL FUNDS FROM HUD TO ADMINISTER THE SECTION 811 RENTAL ASSISTANCE PROGRAM THROUGH THE PRAC/PAC CONTRACTS. THE OWNERS ACCEPT A FAMILY’S APPLICATION FOR RENTAL ASSISTANCE, CONFIRMS THE FAMILY’S ELIGIBILITY FOR ASSISTANCE AND SELECTS THE FAMILY FOR ADMISSION IN ACCORDANCE WITH THE OCCUPANCY HANDBOOK 4350.3 REV-1 (HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/ADMINISTRATION/HUDCLIPS/HANDBOOKS/HSGH/4350.3). THE FAMILY THEN MOVES INTO THE PROPERTY AND EXECUTES THE LEASE AND AGREES TO PROGRAM REQUIREMENTS INCLUDING ANNUAL RECERTIFICATION. THE OWNER SUBMITS FOR PAYMENT OF THE RENTAL ASSISTANCE SUBSIDY MONTHLY ON BEHALF OF THE PARTICIPATING FAMILY. THE FAMILY PAYS 30% OF THEIR ADJUSTED INCOME IN RENT AND UTILITIES AND THE PRAC/PAC CONTRACT PAYS THE BALANCE OF THE CONTRACT RENT TO THE OWNER.; EXPECTED OUTCOMES: APPROXIMATELY 34,000 VERY-LOW-INCOME PERSONS WITH DISABILITIES CONTINUE TO LIVE AS INDEPENDENTLY AS POSSIBLE IN THE COMMUNITY BY SUBSIDIZING RENTAL HOUSING OPPORTUNITIES WHICH PROVIDE ACCESS TO APPROPRIATE SUPPORTIVE SERVICES, AND THE OWNER REMAINS IN COMPLIANCE WITH CAPITAL ADVANCE AGREEMENT AND PRAC\PAC CONTRACT. ADDITIONALLY, THIS PROGRAM HELPS TO EXPAND THE SUPPLY OF INTEGRATED AFFORDABLE HOUSING BY PROVIDING FUNDING FOR THE DEVELOPMENT OF PERMANENT SUPPORTIVE RENTAL HOUSING FOR VERY-LOW-INCOME PERSONS WITH DISABILITIES WHO IS 18 YEARS OF AGE OR OLDER AND LESS THAN 62 YEARS OF AGE.; INTENDED BENEFICIARIES: INDIVIDUALS AND FAMILIES WHO MEET THE ELIGIBILITY CRITERIA OF THE PROGRAM AND PROPERTY AS NOTED IN THE OCCUPANCY HANDBOOK, 4350.3 REV-1, CHAPTER 3 (HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/ADMINISTRATION/HUDCLIPS/HANDBOOKS/HSGH/4350.3) AND SUMMARIZED BELOW ARE THE INTENDED BENEFICIARIES OF THIS PROGRAM. • PROGRAM ELIGIBILITY DETERMINES WHETHER APPLICANTS ARE ELIGIBLE FOR ASSISTANCE. PROGRAM REQUIREMENTS INCLUDE INCOME LIMITS, DISCLOSURE OF SOCIAL SECURITY NUMBERS, CONSENT FORMS, RESTRICTION ON ASSISTANCE TO NONCITIZENS, RESTRICTIONS ON ELIGIBILITY OF STUDENTS FOR SECTION 8 ASSISTANCE, MANDATORY USE OF ENTERPRISE INCOME VERIFICATION SYSTEM (EIV). • PROJECT ELIGIBILITY ESTABLISHES WHETHER APPLICANTS ARE ELIGIBLE TO RESIDE IN A SPECIFIC PROJECT TO WHERE THEY HAVE APPLIED. THREE THINGS MY AFFECT THE MATCH BETWEEN AN APPLICANT AND THE APPLICANT’S ELIGIBILITY FOR OCCUPANCY IN A PARTICULAR PROJECT: 1. THE EXTENT TO WHICH ALL OR SOME OF THE UNITS IN A PROJECT ARE DESIGNATED FOR SPECIFIC FAMILY TYPES, SUCH AS THOSE WHO ARE ELDERLY OR DISABLED; 2. THE PROJECT-SPECIFIC OCCUPANCY STANDARDS ESTABLISHED BY THE OWNER, THE FAMILY SIZE, AND THE UNIT SIZES AVAILABLE IN THE PROJECT; AND 3. IN SOME INSTANCES, A FAMILY’S INTENTION TO LEASE USING A HOUSING-CHOICE VOUCHER SUBSIDY THAT MAY BE USED IN SOME PROJECTS AND NOT IN OTHERS. • TO QUALIFY TO LIVE IN A SECTION 811 PROPERTY, HOUSEHOLDS MUST BE VERY-LOW-INCOME (WITHIN 50 PERCENT OF THE MEDIAN INCOME FOR THE AREA) WITH AT LEAST ONE ADULT MEMBER WITH A DISABILITY (SUCH AS A PHYSICAL OR DEVELOPMENTAL DISABILITY OR SERIOUS MENTAL ILLNESS) WHO IS 18 YEARS OF AGE OR OLDER AND LESS THAN 62 YEARS OF AGE.; SUBRECIPIENT ACTIVITIES: THE RECIPIENT DOES NOT INTEND TO SUBAWARD FUNDS.

IGF::CT::IGF WEEKEND AND HOLIDAY OPIATE SUBSTITUTION SERVICES (IE METHADONE TREATMENT) FOR CAUSEWAY ST CBOC PATIENTS

PURPOSE: THE DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD), OFFICE OF MULTIFAMILY HOUSING, SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES PROGRAM HELPS EXPAND THE SUPPLY OF INTEGRATED AFFORDABLE HOUSING BY PROVIDING FUNDING FOR THE DEVELOPMENT OF PERMANENT SUPPORTIVE RENTAL HOUSING FOR VERY-LOW-INCOME PERSONS WITH DISABILITIES WHO IS 18 YEARS OF AGE OR OLDER AND LESS THAN 62 YEARS OF AGE. THE PROGRAM PROVIDES FUNDING CALLED CAPITAL ADVANCE, TO CONSTRUCT, ACQUIRE, OR REHABILITATE MULTIFAMILY PROPERTIES THAT SERVE VERY-LOW-INCOME PERSONS WITH DISABILITIES TO LIVE INDEPENDENTLY IN GROUP HOMES OR INTEGRATED HOUSING SETTINGS WITH COMMUNITY-BASED SUPPORT AND SERVICES. THESE UNITS PROVIDE PERSONS WITH DISABILITIES THE OPPORTUNITY TO LIVE WITH DIGNITY AND INDEPENDENCE WITHIN THE COMMUNITY IN AN INTEGRATED ENVIRONMENT THAT PROVIDES ACCESS TO APPROPRIATE AND VOLUNTARY SUPPORTIVE SERVICES. THE PROGRAM TARGETS VULNERABLE PERSONS WITH DISABILITIES WHO NEED AFFORDABLE HOUSING TO EFFECTIVELY ACCESS COMMUNITY-BASED SUPPORT AND SERVICES, SUCH AS CASE MANAGEMENT, HOUSEKEEPING, AND DAILY LIVING ASSISTANCE TO SUCCESSFULLY LIVE INDEPENDENTLY IN THE COMMUNITY. IN ADDITION TO THE CAPITAL ADVANCE, 811 PROPERTIES RECEIVE A RENEWABLE PROJECT RENTAL ASSISTANCE CONTRACT (PRAC) OR PROJECT ASSISTANCE CONTRACT (PAC) WHICH COVERS REASONABLE AND NECESSARY OPERATING EXPENSES BEYOND THE TENANT’S PORTION OF THE RENT. FOR ADDITIONAL INFORMATION ABOUT THESE AWARDS FOLLOW THIS LINK (HTTPS://HUDGIS-HUD.OPENDATA.ARCGIS.COM/) AND SEARCH FOR “811 PROPERTIES” WITHIN THE SEARCH FOR CONTENT OR EXPLORE BY CATEGORY SEARCH BAR.; ACTIVITIES TO BE PERFORMED: APPROXIMATELY 3,000 PROJECT RENTAL ASSISTANCE CONTRACTS (PRAC) AND PROJECT ASSISTANCE CONTRACTS (PAC) PROVIDE RENTAL ASSISTANCE ANNUALLY TO 34,000 HOUSEHOLDS. OWNERS RECEIVE FEDERAL FUNDS FROM HUD TO ADMINISTER THE SECTION 811 RENTAL ASSISTANCE PROGRAM THROUGH THE PRAC/PAC CONTRACTS. THE OWNERS ACCEPT A FAMILY’S APPLICATION FOR RENTAL ASSISTANCE, CONFIRMS THE FAMILY’S ELIGIBILITY FOR ASSISTANCE AND SELECTS THE FAMILY FOR ADMISSION IN ACCORDANCE WITH THE OCCUPANCY HANDBOOK 4350.3 REV-1 (HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/ADMINISTRATION/HUDCLIPS/HANDBOOKS/HSGH/4350.3). THE FAMILY THEN MOVES INTO THE PROPERTY AND EXECUTES THE LEASE AND AGREES TO PROGRAM REQUIREMENTS INCLUDING ANNUAL RECERTIFICATION. THE OWNER SUBMITS FOR PAYMENT OF THE RENTAL ASSISTANCE SUBSIDY MONTHLY ON BEHALF OF THE PARTICIPATING FAMILY. THE FAMILY PAYS 30% OF THEIR ADJUSTED INCOME IN RENT AND UTILITIES AND THE PRAC/PAC CONTRACT PAYS THE BALANCE OF THE CONTRACT RENT TO THE OWNER.; EXPECTED OUTCOMES: APPROXIMATELY 34,000 VERY-LOW-INCOME PERSONS WITH DISABILITIES CONTINUE TO LIVE AS INDEPENDENTLY AS POSSIBLE IN THE COMMUNITY BY SUBSIDIZING RENTAL HOUSING OPPORTUNITIES WHICH PROVIDE ACCESS TO APPROPRIATE SUPPORTIVE SERVICES, AND THE OWNER REMAINS IN COMPLIANCE WITH CAPITAL ADVANCE AGREEMENT AND PRAC\PAC CONTRACT. ADDITIONALLY, THIS PROGRAM HELPS TO EXPAND THE SUPPLY OF INTEGRATED AFFORDABLE HOUSING BY PROVIDING FUNDING FOR THE DEVELOPMENT OF PERMANENT SUPPORTIVE RENTAL HOUSING FOR VERY-LOW-INCOME PERSONS WITH DISABILITIES WHO IS 18 YEARS OF AGE OR OLDER AND LESS THAN 62 YEARS OF AGE.; INTENDED BENEFICIARIES: INDIVIDUALS AND FAMILIES WHO MEET THE ELIGIBILITY CRITERIA OF THE PROGRAM AND PROPERTY AS NOTED IN THE OCCUPANCY HANDBOOK, 4350.3 REV-1, CHAPTER 3 (HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/ADMINISTRATION/HUDCLIPS/HANDBOOKS/HSGH/4350.3) AND SUMMARIZED BELOW ARE THE INTENDED BENEFICIARIES OF THIS PROGRAM. • PROGRAM ELIGIBILITY DETERMINES WHETHER APPLICANTS ARE ELIGIBLE FOR ASSISTANCE. PROGRAM REQUIREMENTS INCLUDE INCOME LIMITS, DISCLOSURE OF SOCIAL SECURITY NUMBERS, CONSENT FORMS, RESTRICTION ON ASSISTANCE TO NONCITIZENS, RESTRICTIONS ON ELIGIBILITY OF STUDENTS FOR SECTION 8 ASSISTANCE, MANDATORY USE OF ENTERPRISE INCOME VERIFICATION SYSTEM (EIV). • PROJECT ELIGIBILITY ESTABLISHES WHETHER APPLICANTS ARE ELIGIBLE TO RESIDE IN A SPECIFIC PROJECT TO WHERE THEY HAVE APPLIED. THREE THINGS MY AFFECT THE MATCH BETWEEN AN APPLICANT AND THE APPLICANT’S ELIGIBILITY FOR OCCUPANCY IN A PARTICULAR PROJECT: 1. THE EXTENT TO WHICH ALL OR SOME OF THE UNITS IN A PROJECT ARE DESIGNATED FOR SPECIFIC FAMILY TYPES, SUCH AS THOSE WHO ARE ELDERLY OR DISABLED; 2. THE PROJECT-SPECIFIC OCCUPANCY STANDARDS ESTABLISHED BY THE OWNER, THE FAMILY SIZE, AND THE UNIT SIZES AVAILABLE IN THE PROJECT; AND 3. IN SOME INSTANCES, A FAMILY’S INTENTION TO LEASE USING A HOUSING-CHOICE VOUCHER SUBSIDY THAT MAY BE USED IN SOME PROJECTS AND NOT IN OTHERS. • TO QUALIFY TO LIVE IN A SECTION 811 PROPERTY, HOUSEHOLDS MUST BE VERY-LOW-INCOME (WITHIN 50 PERCENT OF THE MEDIAN INCOME FOR THE AREA) WITH AT LEAST ONE ADULT MEMBER WITH A DISABILITY (SUCH AS A PHYSICAL OR DEVELOPMENTAL DISABILITY OR SERIOUS MENTAL ILLNESS) WHO IS 18 YEARS OF AGE OR OLDER AND LESS THAN 62 YEARS OF AGE.; SUBRECIPIENT ACTIVITIES: THE RECIPIENT DOES NOT INTEND TO SUBAWARD FUNDS.

EXPRESS REPORT: IGF::OT::IGF NURSING HOME CARE

EXPRESS REPORT: IGF::OT::IGF ADHC

EXPRESS REPORT:IGF::CT::IGF ADULT DAY CARE

EXPRESS REPORT: IGF::OT::IGF NURSING HOME CARE

EXPRESS REPORT: ADHC

COUNSELING

EXPRESS REPORT: ADHC

IGF::CT::IGF METHADONE TREATMENT FACILITY SERVICES

EXPRESS REPORT:IGF::CT::IGF ADULT DAY CARE

EXPRESS REPORT: IGF::OT::IGF ADULT DAY HEALTH CARE

CAUSEWAY OUTPATIENT CLINIC FOR METHADONE TREATMENT

EXPRESS REPORT: IGF::OT::IGF ADULT DAY HEALTH CARE

IGF::OT::IGF BASIC ORDERING AGREEMENT FOR ADHC SERVICES.

IGF::OT::IGF ADULT DAY HEALTH CARE