Gaudenzia, Inc.

GAUDENZIA, INC. CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC-PDI) - AS ONE OF THE LARGEST NONPROFIT PROVIDERS SERVING INDIVIDUALS LIVING WITH SUBSTANCE USE DISORDERS (SUD) AND CO-OCCURRING DISORDERS (COD) IN THE MID-ATLANTIC REGION, GAUDENZIA IS APPLYING TO BECOME A CCBHC AT OUR PARK HEIGHTS, MD CLINIC. THROUGH OUR CCBHC, WE WILL SERVE INDIVIDUALS OF ALL AGES IN NEED OF BEHAVIORAL HEALTH (BH) SERVICES WHO ARE LIVING IN OUR CATCHMENT AREA OF BALTIMORE CITY, INCLUDING INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI), SUD, SERIOUS EMOTIONAL DISTURBANCE (SED), COD, AND THOSE EXPERIENCING A MENTAL HEALTH (MH) OR SUBSTANCE USE RELATED CRISIS. THE CORNERSTONE OF OUR CCBHC WILL BE A HARM REDUCTION, RECOVERY-ORIENTED APPROACH THAT MEETS EACH INDIVIDUAL WHERE THEY ARE AND ENGAGES THEM AROUND THEIR OWN, SELF-IDENTIFIED RECOVERY GOALS. THROUGH OUR CCBHC, WE WILL SEEK TO ADDRESS DISPARITIES FOR TWO PRIORITY POPULATIONS: HOMELESS INDIVIDUALS/FAMILIES AND INDIVIDUALS LIVING WITH BH NEEDS WHO ARE INVOLVED IN THE CRIMINAL JUSTICE (CJ) SYSTEM. WE WILL SERVE 2,100 CLIENTS OVER THE FOUR YEAR PROGRAM, INCLUDING 300 IN Y1, 400 IN Y2, 600 IN Y3, AND 800 IN Y4. WE WILL ACHIEVE THE FOLLOWING GOALS AND OBJECTIVES: GOAL 1: BECOME A CCBHC IN ALIGNMENT WITH ALL 2023 CCBHC CRITERIA, INCLUDING: 1.A: HIRE OUR CCBHC TEAM WITHIN 4 MONTHS OF AWARD; 1.B: 100% OF CLIENT-FACING CCBHC STAFF WILL BE TRAINED IN OUR CCBHC CORE CURRICULUM, INCLUDING OUR SELECTED EVIDENCE BASED PRACTICES (EBP) WITHIN 6 MONTHS OF AWARD; 1.C: INITIATE A COMMUNITY ADVISORY BOARD (CAB), INCLUSIVE OF INDIVIDUALS REPRESENTING OUR TARGET POPULATIONS WITHIN 6 MONTHS OF AWARD; 1.D: BEGIN DELIVERING THE FOLLOWING 5 SERVICES WITHIN 6 MONTHS OF AWARD: SCREENING/ASSESSMENT, TREATMENT PLANNING, PRIMARY CARE SCREENING/MONITORING, TARGETED CASE MANAGEMENT, AND PEER SUPPORT; AND 1.E: BEGIN DELIVERING THE REMAINING 4 SERVICES WITHIN 12 MONTHS OF AWARD: CRISIS RESPONSE, OUTPATIENT MH/SUD TREATMENT, PSYCHIATRIC REHABILITATION, AND SERVICES FOR VETERANS. GOAL 2: IMPROVE THE HEALTH AND BH OF INDIVIDUALS WITH SMI, SUD, SED, AND COD SERVED BY OUR CCBHC, INCLUDING: 2.A: 100% OF CLIENTS SERVED WITH SUD WHO ARE CLINICALLY APPROPRIATE WILL BE OFFERED MAT, IN COMBINATION WITH PSYCHOTHERAPY SUPPORT SERVICES; 2.B: 75% OF CLIENTS WILL COMPLETE THEIR CARE PLAN BY THE TIME THEY ARE DISCHARGED FROM OUR CCBHC; 2.C: 60% OF CLIENTS SERVED WHO SCORE 8 OR MORE ON THE GENERALIZED ANXIETY DISORDER-7 (GAD-7) DURING THEIR INITIAL ASSESSMENT WILL REDUCE THEIR RISKS RELATED TO ANXIETY AFTER SIX MONTHS OF ENGAGEMENT; 2.D: 60% OF CLIENTS SERVED WITH SUD WILL DECREASE THEIR SUBSTANCE USE/RISKS AND INCREASE THEIR PROTECTIVE FACTORS AFTER SIX MONTHS OF ENGAGEMENT; AND 2.E: 60% OF CLIENTS SERVED WHO SCORE OVER 5 ON THE PATIENT HEALTH QUESTIONAIRE-9 (PHQ-9) DURING THEIR INITIAL ASSESSMENT WILL REDUCE THEIR PHQ-9 SCORE AFTER SIX MONTHS OF ENGAGEMENT. GOAL 3: REDUCE DISPARITIES IN SERVICE ACCESS AND BH OUTCOMES FOR OUR PRIORITY POPULATIONS OF HOMELESS INDIVIDUALS AND FAMILIES AND THOSE IMPACTED BY THE CJ SYSTEM WHO ARE LIVING WITH BH NEEDS, INCLUDING 3.A: PARTNER WITH 4 EXTERNAL PARTNERS DURING EACH GRANT YEAR SERVING THESE PRIORITY POPULATIONS, PROVIDING THEM WITH INFORMATION ABOUT OUR CCBHC PROGRAM AND HOW TO REFER INDIVIDUALS TO THE PROGRAM; 3.B: 100% OF INDIVIDUALS WHO ARE HOMELESS AND/OR UNSTABLY HOUSED, AS WELL AS INDIVIDUALS WHO ARE BEING DISCHARGED FROM CJ SETTINGS, WILL BE OFFERED A CONNECTION TO OUR CARE COORDINATORS TO ADDRESS THEIR HOUSING RELATED NEEDS; 3.C: 100% OF INDIVIDUALS IN OUR PRIORITY POPULATIONS WILL BE OFFERED A CONNECTION TO PEER-LED GROUP SESSIONS; AND 3.D: 70% OF CCBHC CLIENTS WHO ARE MANDATED TO TREATMENT DUE TO CJ INVOLVEMENT WILL SUCCESSFULLY COMPLETE THEIR TREATMENT MANDATES.

DRIVING RECOVERY IN PENNSYLVANIA - GAUDENZIA INC. WILL IMPLEMENT DRIVING RECOVERY IN PA (DRS-PA) TO EXPAND AND ENHANCE ACCESS TO MOBILE MEDICATION-ASSISTED TREATMENT (MAT) SERVICES FOR 80 ADULTS ANNUALLY (400/5 YEARS) WITH AN OPIOID USE DISORDER (OUD) SEEKING OR RECEIVING MAT IN RURAL, MEDICALLY UNDERSERVED NORTHERN COUNTIES IN CENTRAL PENNSYLVANIA (PA). THE PROJECT WILL ALSO SERVE AT LEAST 40 FAMILY MEMBERS/SIGNIFICANT OTHERS (SOS) ANNUALLY (200/5 YEARS). POPULATION OF FOCUS (POF)-ADULTS 18 YEARS OF AGE AND OLDER WITH AN OUD OR CO-OCCURRING OUD AND MENTAL HEALTH DISORDER (COD) IN NEED OF TREATMENT AND CLINICALLY-APPROPRIATE FOR MAT. PRIORITY WILL BE GIVEN TO ADULTS REENTERING THE COMMUNITY FROM JAIL/PRISON; THOSE WITH PRIOR UNSUCCESSFUL OPIOID DETOXIFICATIONS OR HISTORY OF ACCIDENTAL DRUG OVERDOSE; THOSE WHO ARE HOMELESS, MILITARY VETERANS, PREGNANT WOMEN, WOMEN WITH CHILDREN, LGBTQ+; AND THOSE WITH OR HIGH RISK FOR HIV/AIDS/HEPATITIS. THE PROJECT WILL PLACE SPECIAL EMPHASIS ON RECRUITING RACIAL AND ETHNIC UNDERREPRESENTED ADULTS WHO ARE OFTEN ISOLATED IN RURAL COUNTIES IN CENTRAL PA TO REDUCE THE IMPACT OF BEHAVIORAL HEALTH PROBLEMS AND DISPARITIES. INTERVENTIONS: DR-PA CREATES A SEAMLESS TRANSITION BETWEEN VARIOUS LEVELS OF CARE STARTING WITH ENHANCED OUTREACH, ACCESS TO MAT SUPPORTED BY OUTPATIENT AND INTENSIVE OUTPATIENT TREATMENT AND RECOVERY SUPPORT. IT PROVIDES LOW-THRESHOLD, LOW BARRIER CLINICAL CARE AND HARM REDUCTION SERVICES AIMED AT INCREASING MAT ACCESS FOR PEOPLE AT HIGHEST RISK OF OVERDOSE DEATH. IT COMPRISES EVIDENCE-BASED PRACTICES THAT INCLUDE BUT ARE NOT LIMITED TO COMPREHENSIVE ASAM ASSESSMENT, MOTIVATIONAL ENHANCED INTERVIEWING (MI) AND THERAPY (MET), COGNITIVE BEHAVIORAL THERAPY (CBT) AND PEER-BASED RECOVERY GROUPS INCLUDING 12-STEP AND SMART RECOVERY. THESE WILL BE INTEGRATED WITH MEDICAL CARE/PSYCHIATRIC SERVICES REFERRALS; RELAPSE PREVENTION THERAPY; TRAUMA INFORMED CARE; WRAP-AROUND AND RECOVERY SUPPORT SERVICES INCLUDING CASE MANAGEMENT; AFTERCARE; FAMILY EDUCATION AND REFERRAL SERVICES; ACCESS TO SUPPORTIVE TRANSITIONAL AND PERMANENT HOUSING, AFTERCARE AND PEER RECOVERY COACHING. GOALS: THE OVERARCHING GOAL OF THIS PROJECT IS TO INCREASE THE NUMBER OF INDIVIDUALS WITH OUD/ COD RECEIVING MAT, DECREASE ILLICIT OPIOID DRUG USE AND PRESCRIPTION OPIOID MISUSE AMONG PARTICIPANTS, INCREASE TREATMENT RETENTION AND MAT ADHERENCE FOR 400 ADULTS LIVING IN RURAL, MEDICALLY UNDERSERVED COUNTIES IN CENTRAL PA. DR-PA’S MEASURABLE OUTCOMES AT 6-MONTHS INCLUDE: 1. EXPAND/ENHANCE ACCESS TO MAT OVER 5 YEARS FOR 400 ADULTS (80 PER YEAR) WITH AN OUD/COD IN CENTRAL PA. 2. DECREASE OPIOID USE AND PRESCRIPTION OPIOID MISUSE BY 75%. 3. DECREASE ALCOHOL, MARIJUANA, AND OTHER DRUG USE BY 75%. 4. IMPROVE OR MAINTAIN BEHAVIORAL/MEDICAL OUTCOMES FOR PARTICIPANTS FOR AT LEAST 65% OF CLIENTS RELATED TO HEALTH, HOUSING, EDUCATIONAL, MEDICAL/HEALTH, SOCIAL CONNECTEDNESS, EMPLOYMENT, AND BEHAVIORAL/SOCIAL CONSEQUENCES. 5. INCREASE AND ENHANCE RECOVERY SUPPORT SERVICES FOR ALL DR-PA PARTICIPANTS (100%) AND RETAIN 60% OF THEM IN RECOVERY SUPPORT SERVICES FOR AT LEAST 6 MONTHS.

RESIDENTIAL TREATMENT FOR PREGNANT AND POSTPARTUM WOMEN (PPW) - HOUSE OF HEALING, GAUDENZIA INC. WILL PROVIDE A COMPREHENSIVE CONTINUUM OF EVIDENCE-BASED SUBSTANCE USE DISORDER (SUD) TREATMENT, RECOVERY SUPPORT, CASE MANAGEMENT, AND HARM REDUCTION SERVICES FOR 150 HIGH RISK PREGNANT AND POSTPARTUM WOMEN (PPW) IN RURAL PENNSYLVANIA. GAUDENZIA WILL EMPLOY A FAMILY-CENTERED APPROACH TO ALSO SERVE APPROXIMATELY 300 CUSTODIAL AND NON-CUSTODIAL CHILDREN OF THE PPWS AND 300 OF THEIR FAMILY MEMBERS. POPULATION OF FOCUS: THE POF ARE 150 LOW-INCOME PREGNANT AND UP TO 12-MONTHS POSTPARTUM WOMEN, AGE 18 AND OVER, WITH A SUD INCLUDING WOMEN WITH A CO-OCCURRING SUD AND MENTAL HEALTH DISORDER (COD), WOMEN WITH CRIMINAL JUSTICE SYSTEM INVOLVEMENT (CJS), AND WOMEN WITH, OR AT HIGH RISK FOR HIV/AIDS AND HEPATITIS AND 300 OF THEIR MINOR CHILDREN, AGE 17 AND UNDER. WE WILL ALSO REACH OUT TO UNDERSERVED RACIAL AND ETHNIC MINORITY WOMEN, WHO ARE OFTEN ISOLATED IN RURAL AREAS OF PA. SERVICES WILL BE PROVIDED TO 300 FATHERS OF THE CHILDREN, PARTNERS OF THE WOMEN, AND OTHER FAMILY MEMBERS AND CHILDREN WHO DO NOT RESIDE IN THE TREATMENT FACILITY. TARGET AREA: THE HOUSE OF HEALING RESIDENTIAL TREATMENT PROGRAM FOR WOMEN AND CHILDREN IS LOCATED IN ERIE, PA AND ACCEPTS ADMISSIONS FROM RURAL COUNTIES IN WESTERN PA INCLUDING CLEARFIELD; CRAWFORD; FOREST; JEFFERSON; POTTER; VENANGO; AND WARREN COUNTIES. STRATEGIES/INTERVENTIONS: THE HOUSE OF HEALING STAFF WILL PROVIDE EVIDENCE-BASED, FAMILY-CENTERED RESIDENTIAL TREATMENT SERVICES FOR PPW WITH SUD AND CODS; MEDICATION ASSISTED TREATMENT (MAT); ADULT AND PEDIATRIC MEDICAL CARE/PSYCHIATRIC SERVICES; SUD PREVENTION/HARM REDUCTION SERVICES; GENDER-RESPONSIVE, TRAUMA-INFORMED CARE; WRAP-AROUND AND RECOVERY SUPPORT SERVICES. SERVICES FOLLOW A PLAN OF SAFE CARE AND INCLUDE CASE MANAGEMENT; CHILDCARE; PARENTING SKILLS GROUPS; VOCATIONAL AND EMPLOYMENT SERVICES, LIFE SKILL BUILDING; AFTERCARE PLANNING AND FOLLOW-UP, FAMILY EDUCATION, COUNSELING, AND REFERRAL SERVICES; AND SUPPORTIVE TRANSITIONAL AND PERMANENT HOUSING. AGE APPROPRIATE SERVICES FOR CHILDREN AND SERVICES TO FAMILIES AND SIGNIFICANT OTHERS (SOS) WILL ALSO BE PROVIDED. GAUDENZIA WILL UTILIZE A FORMAL STEERING COMMITTEE TO ENSURE THAT CONSUMERS AND COLLABORATORS HAVE A VITAL ROLE IN DEVELOPING AND IMPLEMENTING THE PROJECT. GOALS: THE OVERARCHING GOAL IS TO ADDRESS THE NEEDS OF THE PPW AND TO PROVIDE SERVICES TO IMPROVE CHILD WELL-BEING AND PRESERVE AND SUPPORT THE PPWS FAMILY UNIT WHILE PROVIDING A PATHWAY TO RECOVERY. USING CLEAR MEASURABLE OBJECTIVES TO BE ACHIEVED WITHIN 6-MONTH OF INTAKE: 1. INCREASE SAFE AND HEALTHY PREGNANCIES AND POSITIVE BIRTH OUTCOMES FOR 100%; 2. DECREASE THE USE/MISUSE OF PRESCRIPTION AND ILLICIT DRUGS, ALCOHOL, AND TOBACCO BY 90%; 3. IMPROVE THE MENTAL AND PHYSICAL HEALTH OF THE WOMEN AND HER CHILDREN BY 80%; 4. IMPROVE PARENTING SKILLS/FAMILY FUNCTIONING/ECONOMIC STABILITY, AND QUALITY OF LIFE BY 80%; 5. DECREASE INVOLVEMENT IN AND EXPOSURE TO CRIME, VIOLENCE, AND NEGLECT BY 75%; AND 6. RETAIN A MINIMUM OR 75% OF THE WOMEN IN RECOVERY SUPPORT SERVICES.

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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.

COMMUNITY TREATMENT SERVICES IN THE BALTIMORE, MD AREA. IGF::OT::IGF

COMMUNITY TREATMENT SERVICES IN THE BALTIMORE, MD AREA. IGF::OT::IGF

COMMUNITY TREATMENT SERVICES IN THE BALTIMORE, MD AREA. IGF::OT::IGF

COMMUNITY TREATMENT SERVICES IN THE BALTIMORE, MD AREA. IGF::OT::IGF

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