Not listed BLACK FAMILY DEVELOPMENT, INC. CCBHC - ABSTRACT PROJECT NAME: INTEGRATED HOPE AND HEALING CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) PROJECT SUMMARY: THE INTEGRATED HOPE AND HEALING CCBHC IS A NEIGHBORHOOD-CENTRIC MOBILE AND PHYSICAL CLINIC IN 2 WESTSIDE NEIGHBORHOODS AND 3 EASTSIDE NEIGHBORHOODS, USING HARM REDUCTION, EVIDENCE-BASED PRACTICES, INNOVATIVE RECOVERY SUPPORTS, AND WARM TRANSFERS TO DESIGNATED COLLABORATING ORGANIZATIONS, TO MEASURABLY REDUCE HEALTH DISPARITIES, WHILE INCREASING POSITIVE SOCIAL DETERMINANTS OF HEALTH. POPULATION TO BE SERVED (DEMOGRAPHICS AND CLINICAL CHARACTERISTICS): BFDI TARGETED WESTERN ZIP CODES ARE 48228 AND 48235, AND THE EASTERN ZIP CODES ARE 48205, 48224, AND 48234. THE TARGETED ZIP CODES HAVE 12-20% OF DETROITER'S WHO HAVE NOT ACCESSED HEALTH INSURANCE AND/OR ACCESS TO SERVICES; 90% OF THE TARGET POPULATION IS BLACK, AND 8% LATINO; 30% OF RESIDENTS ARE BELOW THE FEDERAL POVERTY LEVEL, WITH 47% OF RESIDENTS BEING 50% BELOW POVERTY STANDARDS; AND 17% OF WORK-AGE RESIDENTS ARE UNEMPLOYED. FURTHERMORE, 7% OF THE POPULATION IDENTIFY AS LGBTQIA2+. SELECTED ZIP CODES ARE NEGATIVELY IMPACTED BY LACK OF TRANSPORTATION TO ACCESS CARE. STRATEGIES AND INTERVENTIONS: EVIDENCE-BASED SCREENING AND ASSESSMENT TOOLS. PROJECT WILL USE ASSESSMENT TOOLS DEEMED EFFECTIVE WITH THE TARGET POPULATION: UNCOPE, DRUG AND ALCOHOL PROBLEM (DAP) QUICK SCREEN, PATIENT HEALTH QUESTIONNAIRE (PHQ), GENERALIZED ANXIETY DISORDER-7 (GAD-7), CHILD AND ADOLESCENT FUNCTIONING ASSESSMENT SCALE (CAFAS), MENTAL ILLNESS AND ADDICTION SCREENING (MIDAS), AND LOCUS (LEVEL OF CARE UTILIZATION SYSTEM), THE COLUMBIA-SUICIDE SEVERITY RATING SCALE, THE DRUG ABUSE SCREENING TOOL, AND THE MICHIGAN ALCOHOL SCREENING TEST. EVIDENCE-BASED INTERVENTIONS. EVIDENCE-BASED CLINICAL INTERVENTIONS INCLUDE, BUT ARE NOT LIMITED TO: COGNITIVE BEHAVIORAL THERAPY (CBT), TRAUMA - FOCUSED CBT, PARENT MANAGEMENT TRAINING - OREGON, PARENTING THROUGH CHANGE, WRAPAROUND, CONTINGENCY MANAGEMENT, RESTORATIVE PRACTICES, AND MOTIVATIONAL INTERVIEWING, MEASUREMENT-BASED CARE SCREENS AND ASSESSMENTS. PROJECT GOALS AND MEASURABLE OBJECTIVES: GOAL 1: DECREASE BEHAVIORAL HEALTH DISPARITIES THROUGH ACCESSIBLE, HIGH QUALITY, COMMUNITY-CONNECTED CONTINUUMS OF CARE TO MOBILITY-LIMITED RESIDENTS IN 5 DETROIT NEIGHBORHOODS. OBJECTIVES: (1) 1500 BEHAVIORAL HEALTH AND PHYSICAL HEALTH SCREENINGS AND RECOVERY PLANS AS EVIDENCED BY COMPLETED SCREENINGS AND PLANS IN THE BFDI ELECTRONIC HEALTH RECORD. (2) 80% OF UNINSURED INDIVIDUALS WILL ACQUIRE HEALTH INSURANCE, AS EVIDENCED BY RESULTS OF THEIR HEALTH SCREENS, COMPLETED CONSENTS FOR ONGOING SERVICES, AND POST-SERVICE ACCESS QUESTIONNAIRE. (3) 75% OF INDIVIDUALS NOT RECEIVING TREATMENT SERVICES AND SCREEN POSITIVE FOR BEHAVIORAL HEALTH WILL CONSENT TO SERVICES. GOAL 2: IMPROVE HEALTH OUTCOMES WITHIN 5 RESOURCE-LIMITED NEIGHBORHOODS. OBJECTIVES: (1) ESTABLISH MEDICAL AND BEHAVIORAL HEALTH HOMES FOR UNDERSERVED RESIDENTS. (2) 70% OF INDIVIDUALS IN ACTIVE TREATMENT WILL MEASURABLY INCREASE THEIR LEVEL OF FUNCTIONING. NUMBER OF PEOPLE SERVED ANNUALLY AND DURING PROJECT DURATION: 375 ANNUALLY; 1500 TOTAL $1.0m 6/30/26 Not listed BLACK FAMILY DEVELOPMENT, INC. CCBHC - ABSTRACT PROJECT NAME: INTEGRATED HOPE AND HEALING CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) PROJECT SUMMARY: THE INTEGRATED HOPE AND HEALING CCBHC IS A NEIGHBORHOOD-CENTRIC MOBILE AND PHYSICAL CLINIC IN 2 WESTSIDE NEIGHBORHOODS AND 3 EASTSIDE NEIGHBORHOODS, USING HARM REDUCTION, EVIDENCE-BASED PRACTICES, INNOVATIVE RECOVERY SUPPORTS, AND WARM TRANSFERS TO DESIGNATED COLLABORATING ORGANIZATIONS, TO MEASURABLY REDUCE HEALTH DISPARITIES, WHILE INCREASING POSITIVE SOCIAL DETERMINANTS OF HEALTH. POPULATION TO BE SERVED (DEMOGRAPHICS AND CLINICAL CHARACTERISTICS): BFDI TARGETED WESTERN ZIP CODES ARE 48228 AND 48235, AND THE EASTERN ZIP CODES ARE 48205, 48224, AND 48234. THE TARGETED ZIP CODES HAVE 12-20% OF DETROITER'S WHO HAVE NOT ACCESSED HEALTH INSURANCE AND/OR ACCESS TO SERVICES; 90% OF THE TARGET POPULATION IS BLACK, AND 8% LATINO; 30% OF RESIDENTS ARE BELOW THE FEDERAL POVERTY LEVEL, WITH 47% OF RESIDENTS BEING 50% BELOW POVERTY STANDARDS; AND 17% OF WORK-AGE RESIDENTS ARE UNEMPLOYED. FURTHERMORE, 7% OF THE POPULATION IDENTIFY AS LGBTQIA2+. SELECTED ZIP CODES ARE NEGATIVELY IMPACTED BY LACK OF TRANSPORTATION TO ACCESS CARE. STRATEGIES AND INTERVENTIONS: EVIDENCE-BASED SCREENING AND ASSESSMENT TOOLS. PROJECT WILL USE ASSESSMENT TOOLS DEEMED EFFECTIVE WITH THE TARGET POPULATION: UNCOPE, DRUG AND ALCOHOL PROBLEM (DAP) QUICK SCREEN, PATIENT HEALTH QUESTIONNAIRE (PHQ), GENERALIZED ANXIETY DISORDER-7 (GAD-7), CHILD AND ADOLESCENT FUNCTIONING ASSESSMENT SCALE (CAFAS), MENTAL ILLNESS AND ADDICTION SCREENING (MIDAS), AND LOCUS (LEVEL OF CARE UTILIZATION SYSTEM), THE COLUMBIA-SUICIDE SEVERITY RATING SCALE, THE DRUG ABUSE SCREENING TOOL, AND THE MICHIGAN ALCOHOL SCREENING TEST. EVIDENCE-BASED INTERVENTIONS. EVIDENCE-BASED CLINICAL INTERVENTIONS INCLUDE, BUT ARE NOT LIMITED TO: COGNITIVE BEHAVIORAL THERAPY (CBT), TRAUMA - FOCUSED CBT, PARENT MANAGEMENT TRAINING - OREGON, PARENTING THROUGH CHANGE, WRAPAROUND, CONTINGENCY MANAGEMENT, RESTORATIVE PRACTICES, AND MOTIVATIONAL INTERVIEWING, MEASUREMENT-BASED CARE SCREENS AND ASSESSMENTS. PROJECT GOALS AND MEASURABLE OBJECTIVES: GOAL 1: DECREASE BEHAVIORAL HEALTH DISPARITIES THROUGH ACCESSIBLE, HIGH QUALITY, COMMUNITY-CONNECTED CONTINUUMS OF CARE TO MOBILITY-LIMITED RESIDENTS IN 5 DETROIT NEIGHBORHOODS. OBJECTIVES: (1) 1500 BEHAVIORAL HEALTH AND PHYSICAL HEALTH SCREENINGS AND RECOVERY PLANS AS EVIDENCED BY COMPLETED SCREENINGS AND PLANS IN THE BFDI ELECTRONIC HEALTH RECORD. (2) 80% OF UNINSURED INDIVIDUALS WILL ACQUIRE HEALTH INSURANCE, AS EVIDENCED BY RESULTS OF THEIR HEALTH SCREENS, COMPLETED CONSENTS FOR ONGOING SERVICES, AND POST-SERVICE ACCESS QUESTIONNAIRE. (3) 75% OF INDIVIDUALS NOT RECEIVING TREATMENT SERVICES AND SCREEN POSITIVE FOR BEHAVIORAL HEALTH WILL CONSENT TO SERVICES. GOAL 2: IMPROVE HEALTH OUTCOMES WITHIN 5 RESOURCE-LIMITED NEIGHBORHOODS. OBJECTIVES: (1) ESTABLISH MEDICAL AND BEHAVIORAL HEALTH HOMES FOR UNDERSERVED RESIDENTS. (2) 70% OF INDIVIDUALS IN ACTIVE TREATMENT WILL MEASURABLY INCREASE THEIR LEVEL OF FUNCTIONING. NUMBER OF PEOPLE SERVED ANNUALLY AND DURING PROJECT DURATION: 375 ANNUALLY; 1500 TOTAL $0 5/26/26 Not listed BLACK FAMILY DEVELOPMENT, INC. CCBHC - ABSTRACT PROJECT NAME: INTEGRATED HOPE AND HEALING CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) PROJECT SUMMARY: THE INTEGRATED HOPE AND HEALING CCBHC IS A NEIGHBORHOOD-CENTRIC MOBILE AND PHYSICAL CLINIC IN 2 WESTSIDE NEIGHBORHOODS AND 3 EASTSIDE NEIGHBORHOODS, USING HARM REDUCTION, EVIDENCE-BASED PRACTICES, INNOVATIVE RECOVERY SUPPORTS, AND WARM TRANSFERS TO DESIGNATED COLLABORATING ORGANIZATIONS, TO MEASURABLY REDUCE HEALTH DISPARITIES, WHILE INCREASING POSITIVE SOCIAL DETERMINANTS OF HEALTH. POPULATION TO BE SERVED (DEMOGRAPHICS AND CLINICAL CHARACTERISTICS): BFDI TARGETED WESTERN ZIP CODES ARE 48228 AND 48235, AND THE EASTERN ZIP CODES ARE 48205, 48224, AND 48234. THE TARGETED ZIP CODES HAVE 12-20% OF DETROITER'S WHO HAVE NOT ACCESSED HEALTH INSURANCE AND/OR ACCESS TO SERVICES; 90% OF THE TARGET POPULATION IS BLACK, AND 8% LATINO; 30% OF RESIDENTS ARE BELOW THE FEDERAL POVERTY LEVEL, WITH 47% OF RESIDENTS BEING 50% BELOW POVERTY STANDARDS; AND 17% OF WORK-AGE RESIDENTS ARE UNEMPLOYED. FURTHERMORE, 7% OF THE POPULATION IDENTIFY AS LGBTQIA2+. SELECTED ZIP CODES ARE NEGATIVELY IMPACTED BY LACK OF TRANSPORTATION TO ACCESS CARE. STRATEGIES AND INTERVENTIONS: EVIDENCE-BASED SCREENING AND ASSESSMENT TOOLS. PROJECT WILL USE ASSESSMENT TOOLS DEEMED EFFECTIVE WITH THE TARGET POPULATION: UNCOPE, DRUG AND ALCOHOL PROBLEM (DAP) QUICK SCREEN, PATIENT HEALTH QUESTIONNAIRE (PHQ), GENERALIZED ANXIETY DISORDER-7 (GAD-7), CHILD AND ADOLESCENT FUNCTIONING ASSESSMENT SCALE (CAFAS), MENTAL ILLNESS AND ADDICTION SCREENING (MIDAS), AND LOCUS (LEVEL OF CARE UTILIZATION SYSTEM), THE COLUMBIA-SUICIDE SEVERITY RATING SCALE, THE DRUG ABUSE SCREENING TOOL, AND THE MICHIGAN ALCOHOL SCREENING TEST. EVIDENCE-BASED INTERVENTIONS. EVIDENCE-BASED CLINICAL INTERVENTIONS INCLUDE, BUT ARE NOT LIMITED TO: COGNITIVE BEHAVIORAL THERAPY (CBT), TRAUMA - FOCUSED CBT, PARENT MANAGEMENT TRAINING - OREGON, PARENTING THROUGH CHANGE, WRAPAROUND, CONTINGENCY MANAGEMENT, RESTORATIVE PRACTICES, AND MOTIVATIONAL INTERVIEWING, MEASUREMENT-BASED CARE SCREENS AND ASSESSMENTS. PROJECT GOALS AND MEASURABLE OBJECTIVES: GOAL 1: DECREASE BEHAVIORAL HEALTH DISPARITIES THROUGH ACCESSIBLE, HIGH QUALITY, COMMUNITY-CONNECTED CONTINUUMS OF CARE TO MOBILITY-LIMITED RESIDENTS IN 5 DETROIT NEIGHBORHOODS. OBJECTIVES: (1) 1500 BEHAVIORAL HEALTH AND PHYSICAL HEALTH SCREENINGS AND RECOVERY PLANS AS EVIDENCED BY COMPLETED SCREENINGS AND PLANS IN THE BFDI ELECTRONIC HEALTH RECORD. (2) 80% OF UNINSURED INDIVIDUALS WILL ACQUIRE HEALTH INSURANCE, AS EVIDENCED BY RESULTS OF THEIR HEALTH SCREENS, COMPLETED CONSENTS FOR ONGOING SERVICES, AND POST-SERVICE ACCESS QUESTIONNAIRE. (3) 75% OF INDIVIDUALS NOT RECEIVING TREATMENT SERVICES AND SCREEN POSITIVE FOR BEHAVIORAL HEALTH WILL CONSENT TO SERVICES. GOAL 2: IMPROVE HEALTH OUTCOMES WITHIN 5 RESOURCE-LIMITED NEIGHBORHOODS. OBJECTIVES: (1) ESTABLISH MEDICAL AND BEHAVIORAL HEALTH HOMES FOR UNDERSERVED RESIDENTS. (2) 70% OF INDIVIDUALS IN ACTIVE TREATMENT WILL MEASURABLY INCREASE THEIR LEVEL OF FUNCTIONING. NUMBER OF PEOPLE SERVED ANNUALLY AND DURING PROJECT DURATION: 375 ANNUALLY; 1500 TOTAL $0 5/26/26 Not listed BLACK FAMILY DEVELOPMENT, INC. CCBHC - ABSTRACT PROJECT NAME: INTEGRATED HOPE AND HEALING CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) PROJECT SUMMARY: THE INTEGRATED HOPE AND HEALING CCBHC IS A NEIGHBORHOOD-CENTRIC MOBILE AND PHYSICAL CLINIC IN 2 WESTSIDE NEIGHBORHOODS AND 3 EASTSIDE NEIGHBORHOODS, USING HARM REDUCTION, EVIDENCE-BASED PRACTICES, INNOVATIVE RECOVERY SUPPORTS, AND WARM TRANSFERS TO DESIGNATED COLLABORATING ORGANIZATIONS, TO MEASURABLY REDUCE HEALTH DISPARITIES, WHILE INCREASING POSITIVE SOCIAL DETERMINANTS OF HEALTH. POPULATION TO BE SERVED (DEMOGRAPHICS AND CLINICAL CHARACTERISTICS): BFDI TARGETED WESTERN ZIP CODES ARE 48228 AND 48235, AND THE EASTERN ZIP CODES ARE 48205, 48224, AND 48234. THE TARGETED ZIP CODES HAVE 12-20% OF DETROITER'S WHO HAVE NOT ACCESSED HEALTH INSURANCE AND/OR ACCESS TO SERVICES; 90% OF THE TARGET POPULATION IS BLACK, AND 8% LATINO; 30% OF RESIDENTS ARE BELOW THE FEDERAL POVERTY LEVEL, WITH 47% OF RESIDENTS BEING 50% BELOW POVERTY STANDARDS; AND 17% OF WORK-AGE RESIDENTS ARE UNEMPLOYED. FURTHERMORE, 7% OF THE POPULATION IDENTIFY AS LGBTQIA2+. SELECTED ZIP CODES ARE NEGATIVELY IMPACTED BY LACK OF TRANSPORTATION TO ACCESS CARE. STRATEGIES AND INTERVENTIONS: EVIDENCE-BASED SCREENING AND ASSESSMENT TOOLS. PROJECT WILL USE ASSESSMENT TOOLS DEEMED EFFECTIVE WITH THE TARGET POPULATION: UNCOPE, DRUG AND ALCOHOL PROBLEM (DAP) QUICK SCREEN, PATIENT HEALTH QUESTIONNAIRE (PHQ), GENERALIZED ANXIETY DISORDER-7 (GAD-7), CHILD AND ADOLESCENT FUNCTIONING ASSESSMENT SCALE (CAFAS), MENTAL ILLNESS AND ADDICTION SCREENING (MIDAS), AND LOCUS (LEVEL OF CARE UTILIZATION SYSTEM), THE COLUMBIA-SUICIDE SEVERITY RATING SCALE, THE DRUG ABUSE SCREENING TOOL, AND THE MICHIGAN ALCOHOL SCREENING TEST. EVIDENCE-BASED INTERVENTIONS. EVIDENCE-BASED CLINICAL INTERVENTIONS INCLUDE, BUT ARE NOT LIMITED TO: COGNITIVE BEHAVIORAL THERAPY (CBT), TRAUMA - FOCUSED CBT, PARENT MANAGEMENT TRAINING - OREGON, PARENTING THROUGH CHANGE, WRAPAROUND, CONTINGENCY MANAGEMENT, RESTORATIVE PRACTICES, AND MOTIVATIONAL INTERVIEWING, MEASUREMENT-BASED CARE SCREENS AND ASSESSMENTS. PROJECT GOALS AND MEASURABLE OBJECTIVES: GOAL 1: DECREASE BEHAVIORAL HEALTH DISPARITIES THROUGH ACCESSIBLE, HIGH QUALITY, COMMUNITY-CONNECTED CONTINUUMS OF CARE TO MOBILITY-LIMITED RESIDENTS IN 5 DETROIT NEIGHBORHOODS. OBJECTIVES: (1) 1500 BEHAVIORAL HEALTH AND PHYSICAL HEALTH SCREENINGS AND RECOVERY PLANS AS EVIDENCED BY COMPLETED SCREENINGS AND PLANS IN THE BFDI ELECTRONIC HEALTH RECORD. (2) 80% OF UNINSURED INDIVIDUALS WILL ACQUIRE HEALTH INSURANCE, AS EVIDENCED BY RESULTS OF THEIR HEALTH SCREENS, COMPLETED CONSENTS FOR ONGOING SERVICES, AND POST-SERVICE ACCESS QUESTIONNAIRE. (3) 75% OF INDIVIDUALS NOT RECEIVING TREATMENT SERVICES AND SCREEN POSITIVE FOR BEHAVIORAL HEALTH WILL CONSENT TO SERVICES. GOAL 2: IMPROVE HEALTH OUTCOMES WITHIN 5 RESOURCE-LIMITED NEIGHBORHOODS. OBJECTIVES: (1) ESTABLISH MEDICAL AND BEHAVIORAL HEALTH HOMES FOR UNDERSERVED RESIDENTS. (2) 70% OF INDIVIDUALS IN ACTIVE TREATMENT WILL MEASURABLY INCREASE THEIR LEVEL OF FUNCTIONING. NUMBER OF PEOPLE SERVED ANNUALLY AND DURING PROJECT DURATION: 375 ANNUALLY; 1500 TOTAL $0 5/26/26 Not listed BLACK FAMILY DEVELOPMENT, INC. CCBHC - ABSTRACT PROJECT NAME: INTEGRATED HOPE AND HEALING CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) PROJECT SUMMARY: THE INTEGRATED HOPE AND HEALING CCBHC IS A NEIGHBORHOOD-CENTRIC MOBILE AND PHYSICAL CLINIC IN 2 WESTSIDE NEIGHBORHOODS AND 3 EASTSIDE NEIGHBORHOODS, USING HARM REDUCTION, EVIDENCE-BASED PRACTICES, INNOVATIVE RECOVERY SUPPORTS, AND WARM TRANSFERS TO DESIGNATED COLLABORATING ORGANIZATIONS, TO MEASURABLY REDUCE HEALTH DISPARITIES, WHILE INCREASING POSITIVE SOCIAL DETERMINANTS OF HEALTH. POPULATION TO BE SERVED (DEMOGRAPHICS AND CLINICAL CHARACTERISTICS): BFDI TARGETED WESTERN ZIP CODES ARE 48228 AND 48235, AND THE EASTERN ZIP CODES ARE 48205, 48224, AND 48234. THE TARGETED ZIP CODES HAVE 12-20% OF DETROITER'S WHO HAVE NOT ACCESSED HEALTH INSURANCE AND/OR ACCESS TO SERVICES; 90% OF THE TARGET POPULATION IS BLACK, AND 8% LATINO; 30% OF RESIDENTS ARE BELOW THE FEDERAL POVERTY LEVEL, WITH 47% OF RESIDENTS BEING 50% BELOW POVERTY STANDARDS; AND 17% OF WORK-AGE RESIDENTS ARE UNEMPLOYED. FURTHERMORE, 7% OF THE POPULATION IDENTIFY AS LGBTQIA2+. SELECTED ZIP CODES ARE NEGATIVELY IMPACTED BY LACK OF TRANSPORTATION TO ACCESS CARE. STRATEGIES AND INTERVENTIONS: EVIDENCE-BASED SCREENING AND ASSESSMENT TOOLS. PROJECT WILL USE ASSESSMENT TOOLS DEEMED EFFECTIVE WITH THE TARGET POPULATION: UNCOPE, DRUG AND ALCOHOL PROBLEM (DAP) QUICK SCREEN, PATIENT HEALTH QUESTIONNAIRE (PHQ), GENERALIZED ANXIETY DISORDER-7 (GAD-7), CHILD AND ADOLESCENT FUNCTIONING ASSESSMENT SCALE (CAFAS), MENTAL ILLNESS AND ADDICTION SCREENING (MIDAS), AND LOCUS (LEVEL OF CARE UTILIZATION SYSTEM), THE COLUMBIA-SUICIDE SEVERITY RATING SCALE, THE DRUG ABUSE SCREENING TOOL, AND THE MICHIGAN ALCOHOL SCREENING TEST. EVIDENCE-BASED INTERVENTIONS. EVIDENCE-BASED CLINICAL INTERVENTIONS INCLUDE, BUT ARE NOT LIMITED TO: COGNITIVE BEHAVIORAL THERAPY (CBT), TRAUMA - FOCUSED CBT, PARENT MANAGEMENT TRAINING - OREGON, PARENTING THROUGH CHANGE, WRAPAROUND, CONTINGENCY MANAGEMENT, RESTORATIVE PRACTICES, AND MOTIVATIONAL INTERVIEWING, MEASUREMENT-BASED CARE SCREENS AND ASSESSMENTS. PROJECT GOALS AND MEASURABLE OBJECTIVES: GOAL 1: DECREASE BEHAVIORAL HEALTH DISPARITIES THROUGH ACCESSIBLE, HIGH QUALITY, COMMUNITY-CONNECTED CONTINUUMS OF CARE TO MOBILITY-LIMITED RESIDENTS IN 5 DETROIT NEIGHBORHOODS. OBJECTIVES: (1) 1500 BEHAVIORAL HEALTH AND PHYSICAL HEALTH SCREENINGS AND RECOVERY PLANS AS EVIDENCED BY COMPLETED SCREENINGS AND PLANS IN THE BFDI ELECTRONIC HEALTH RECORD. (2) 80% OF UNINSURED INDIVIDUALS WILL ACQUIRE HEALTH INSURANCE, AS EVIDENCED BY RESULTS OF THEIR HEALTH SCREENS, COMPLETED CONSENTS FOR ONGOING SERVICES, AND POST-SERVICE ACCESS QUESTIONNAIRE. (3) 75% OF INDIVIDUALS NOT RECEIVING TREATMENT SERVICES AND SCREEN POSITIVE FOR BEHAVIORAL HEALTH WILL CONSENT TO SERVICES. GOAL 2: IMPROVE HEALTH OUTCOMES WITHIN 5 RESOURCE-LIMITED NEIGHBORHOODS. OBJECTIVES: (1) ESTABLISH MEDICAL AND BEHAVIORAL HEALTH HOMES FOR UNDERSERVED RESIDENTS. (2) 70% OF INDIVIDUALS IN ACTIVE TREATMENT WILL MEASURABLY INCREASE THEIR LEVEL OF FUNCTIONING. NUMBER OF PEOPLE SERVED ANNUALLY AND DURING PROJECT DURATION: 375 ANNUALLY; 1500 TOTAL $0 5/26/26