Project Grant G2846303

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - 1. PROJECT TITLE: START WITH ONE RCORP BEHAVIORAL HEALTH PROJECT 2. REQUESTED AWARD AMOUNT: $1,998,903 3. APPLICANT ORGANIZATION NAME: SANILAC COUNTY HEALTH DEPARTMENT 4. APPLICANT ORGANIZATION ADDRESS: 171 DAWSON STREET, SANDUSKY, MI 48471 5. APPLICANT ORGANIZATION FACILITY TYPE: COUNTY PUBLIC HEALTH DEPARTMENT 6. PROJECT DIRECTOR NAME AND TITLE: SHAUNA BOOMS, DIRECTOR OF SUBSTANCE USE SERVICES 7. PROJECT DIRECTOR CONTACT INFORMATION: 810-648-4098, EXT. 101; BOOMSS@SANILACHEALTH.COM 8. DATA COORDINATOR NAME AND TITLE: KAY BALCER, PROJECT CONSULTANT 9. DATA COORDINATOR CONTACT INFORMATION:989-553-2927; BALCERCONSULTING@GMAIL.COM 10. EIN/DUNS NUMBER EXCEPTION REQUEST IN ATTACHMENT 8? (NO) 11. HOW THE APPLICANT FIRST LEARNED ABOUT THE FUNDING OPPORTUNITY: HRSA PROJECT OFFICER 12. NUMBER OF CONSORTIUM MEMBERS & LIST OF CONSORTIUM MEMBERS (INCLUDING THE APPLICANT ORGANIZATION) 16 - DECKERVILLE COMMUNITY HOSPITAL - GREAT LAKES BAY HEALTH CENTER - HILLS & DALES GENERAL HOSPITAL - HURON BEHAVIORAL HEALTH - HURON COUNTY HEALTH DEPARTMENT - HURON INTERMEDIATE SCHOOL DISTRICT - LAPEER COMMUNITY MENTAL HEALTH - LAPEER COUNTY HEALTH DEPARTMENT - LIST PSYCHOLOGICAL SERVICES - MARLETTE REGIONAL HOSPITAL - MCLAREN CARO REGION HOSPITAL - SANILAC COMMUNITY MENTAL HEALTH - SANILAC COUNTY HEALTH DEPARTMENT - TUSCOLA INTERMEDIATE SCHOOL DISTRICT - TUSCOLA BEHAVIORAL HEALTH SYSTEMS - UNITED COMMUNITY ADDICTION NETWORK 13. IS THE APPLICANT ORGANIZATION A PREVIOUS OR CURRENT RCORP AWARD RECIPIENT OR CONSORTIUM MEMBER? FY20 RCORP-IMPLEMENTATION 14. INDICATE IF APPLICANT ORGANIZATION INTENDS TO APPLY FOR FY22 RCORP-IMPLEMENTATION? (YES) 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? (NO) 16. RCORP-BHS TARGET SERVICE AREA (MUST BE EXCLUSIVELY RURAL, AS DEFINED BY THE RURAL HEALTH GRANTS ELIGIBILITY ANALYZER): A. FULLY RURAL COUN TIES: HURON, SANILAC, AND TUSCOLA COUNTIES IN MICHIGAN B. PARTIALLY-RURAL COUNTIES: RURAL CENSUS TRACTS IN LAPEER COUNTY- 2608733200, 26087332500, 26087333500, 26087334000, 26087336500, 26087337000, 2608733750017. 17. BRIEF DESCRIPTION OF THE TARGET POPULATION THE PROJECT AREA INCLUDES FOUR COUNTIES LOCATED IN THE RURAL AREA OF MICHIGAN COMMONLY REFERRED TO AS THE THUMB. ACCORDING TO THE 2020 U.S. CENSUS, THERE ARE 213,188 RESIDENTS LIVING IN THE THUMB REGION WHICH INCLUDES HURON, LAPEER, SANILAC, AND TUSCOLA COUNTIES. HURON, SANILAC, AND TUSCOLA COUNTIES ARE DESIGNATED RURAL IN THEIR ENTIRETY (POPULATION: 124,675). LAPEER COUNTY HAS SEVEN RURAL CENSUS TRACKS (FIGURE 1) AND 29,891 LAPEER COUNTY RESIDENTS (77%) LIVE IN A RURAL AREA. WE ARE REQUESTING AN EXEMPTION TO SERVICE AREA DELIVERY SITES TO INCLUDE ALL OF LAPEER COUNTY AS THE LARGEST CITY HAS A POPULATION OF ONLY 9,023. THERE IS AN ELEVATED LEVEL OF STIGMA AND MISUNDERSTANDING AROUND SUBSTANCE USE DISORDERS. BARRIERS TO ACCESSING OUD/SUD SERVICES ARE COUPLED WITH THE COMMON CHALLENGES FOUND IN RURAL AREAS SUCH AS ACCESS TO CARE BARRIERS, FEWER PROVIDERS, INADEQUATE INSURANCE COVERAGE, POOR HEALTH STATUS, ADVERSE CHILDHOOD EXPERIENCES, AND POVERTY-RELATED SOCIAL DETERMINANTS OF HEALTH. THE AREA HAS A LOWER MEDIAN INCOME, HIGHER UNEMPLOYMENT, AND LOWER EDUCATIONAL STATUS THAN THE STATE OF MICHIGAN. ACCORDING TO THE CENTER FOR ADDICTION, HIGHER RATES OF POVERTY AND UNEMPLOYMENT ARE TWO KEY COMMUNITY-LEVEL RISK FACTORS FOR ADDICTION. THERE IS A HIGH RATE OF INDIVIDUALS WHO ARE SENIORS, VETERANS, AND DISABLED. THE REGION HAS MINIMAL RACIAL OR ETHNIC DIVERSITY. OVER 96% OF THE POPULATION IS WHITE WITH ABOUT 3% OF THE POPULATION OF HISPANIC ETHNICITY. O PERCENTAGE NATIVE AMERICAN: ABOUT PERCENT OF THE POPULATION IS NATIVE AMERICAN AND SO THIS IS NOT A SPECIFIC TARGET GROUP OF OUR PROJECT. WHEN PARTNERS WORK WITH INDIAN AFFAIRS TO IDENTIFY CRITERIA NEEDED TO QUAL