Project Grant G2846261

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - 1. PROJECT TITLE: HEALTHWORKS ACT 2. REQUESTED AWARD AMOUNT: $2,000,000 3. APPLICANT ORGANIZATION NAME: BRATTLEBORO MEMORIAL HOSPITAL 4. APPLICANT ORGANIZATION ADDRESS: 17 BELMONT AVENUE, BRATTLEBORO, VT 05301 5. APPLICANT ORGANIZATION FACILITY TYPE: COMMUNITY HOSPITAL 6. PROJECT DIRECTOR NAME AND TITLE: REBECCA BURNS, DIRECTOR OF COMMUNITY INITIATIVES 7. PROJECT DIRECTOR CONTACT INFORMATION: 802-257-8325 RBURNS@BMHVT.ORG 8. DATA COORDINATOR NAME AND TITLE TO BE HIRED, HEALTHWORKS ACT DATA COORDINATOR 9. DATA COORDINATOR CONTACT INFORMATION (PHONE AND EMAIL) TO BE HIRED 10. EIN/DUNS NUMBER EXCEPTION REQUEST IN ATTACHMENT 8 ?: NO 11. HOW THE APPLICANT FIRST LEARNED ABOUT THE FUNDING OPPORTUNITY HRSA-22-061: HRSA GRANTEE, THE WINDHAM COUNTY CONSORTIUM ON SUBSTANCE USE (COSU) 12. NUMBER OF CONSORTIUM MEMBERS & LIST OF CONSORTIUM MEMBERS: FOUR. APPLICANT ORGANIZATION BRATTLEBORO MEMORIAL HOSPITAL AND MEMBERS BRATTLEBORO RETREAT, HEALTH CARE & REHABILITATION SERVICES, AND GROUNDWORKS COLLABORATIVE 13. IS THE APPLICANT ORGANIZATION A PREVIOUS OR CURRENT RCORP AWARD RECIPIENT OR CONSORTIUM MEMBER? YES. CONSORTIUM MEMBER FY18 RCORP-PLANNING AND CONSORTIUM MEMBER FY19 RCORP-IMPLEMENTATION. 14. INDICATE IF APPLICANT ORGANIZATION INTENDS TO APPLY FOR FY22 RCORP- IMPLEMENTATION? NO. 15. DOES THE TARGET SERVICE AREA OVERLAP WITH THE SERVICE AREAS OF THE NORTHERN BORDER REGIONAL COMMISSION, THE DELTA REGIONAL AUTHORITY, OR THE APPALACHIAN REGIONAL COMMISSION? YES. THE TARGET SERVICE AREA OF WINDHAM COUNTY, VERMONT IS A PART OF THE NORTHERN BORDER REGIONAL COMMISSION SERVICE AREA. 16. RCORP-BHS TARGET SERVICE AREA : A. FULLY RURAL COUNTIES: PROVIDE THE COUNTY NAME AND STATE WINDHAM COUNTY, VERMONT B. PARTIALLY-RURAL COUNTIES: PROVIDE COUNTY NAME, STATE, AND THE RURAL CENSUS TRACT (LIST OF RURAL CENSUS TRACTS) N/A 17. BRIEF DESCRIPTION OF THE TARGET POPULATION THE TARGET POPULATION FOR THIS PROJECT IS ADULT RESIDENTS OF THE HIGH -RISK RURAL COUNTY OF WINDHAM COUNTY, VERMONT WITH BEHAVIORAL HEALTH CONDITIONS, INCLUDING CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS, WHO ARE ALSO EXPERIENCING HOMELESSNESS. THIS TARGET POPULATION HAS HISTORICALLY SUFFERED FROM POORER HEALTH OUTCOMES, HEALTH DISPARITIES, AND OTHER INEQUITIES. .4% OF VERMONT'S POPULATION IS NATIVE AMERICAN OR ALASKAN NATIVE ALONE.