Pryor St

HIV EMERGENCY RELIEF PROJECT GRANTS - I. PROJECT ABSTRACT: RYAN WHITE HIV/AIDS PROGRAM (RWHAP) PART A HIV EMERGENCY RELIEF GRANT PROGRAM: ATLANTA ELIGIBLE METROPOLITAN AREA (EMA). H89HA00007 FULTON COUNTY GOVERNMENT, 141 PRYOR STREET, SW, ATLANTA, GA 30303. JEFF CHEEK, DIRECTOR. PHONE: 404-612-0789, JEFF.CHEEK@FULTONCOUNTYGA.GOV, WWW.ENDHIVATL.ORG. FUNDS REQUESTED: $30,893,716 INCLUDING $2,993,579 IN MINORITY AIDS INITIATIVE FUNDING FOR A TOTAL OF $33,887,295. OVERVIEW OF THE ATLANTA EMA: THE ATLANTA EMA IS COMPRISED OF 20 COUNTIES: BARROW, BARTOW, CARROLL, CHEROKEE, CLAYTON, COBB, COWETA, DEKALB, DOUGLAS, FAYETTE, FORSYTH, FULTON, GWINNETT, HENRY, NEWTON, PAULDING, PICKENS, ROCKDALE, SPALDING, AND WALTON, COVERING 6,297 SQUARE MILES. THE EMA HAS A POPULATION OF 5,906,655, WHICH REPRESENTS 55% OF THE STATE’S POPULATION OF 10,722,325. IN THE EMA, RACE IS DISTRIBUTED AS FOLLOWS: WHITE 44%, BLACK 34%, AND HISPANIC/LATINX ETHNICITY (OF ANY RACE) CONSTITUTES 11% OF THE EMA POPULATION. EPIDEMIOLOGIC AND DEMOGRAPHIC OVERVIEW OF HIV EPIDEMIC: IN 2022, THE NUMBER OF PERSONS LIVING WITH HIV (PLWH) IN THE EMA WAS 44,599, AN INCREASE OF 7% FROM 2020. OF THESE PERSONS, 79% (35,087) WERE MALE, 20% (8,723) WERE FEMALE, AND 2% (752) WERE TRANSGENDER; 69% (30,780) WERE BLACK, 15% (6,569) WERE WHITE, AND 9% (4,005) WERE HISPANIC; 68% (30,376) OF PLWH HAD MSM EXPOSURE, 22% (8,902) HAD HETEROSEXUAL CONTACT, 4% (1,934) HAD INJECTION DRUG USE EXPOSURE; 3% (1,489) WERE AMONG THE 15-24 AGE GROUP, 45% (19,849) WERE 25-44, 34% (4,987) WERE 45-59, 18% (8,200) WERE 60 AND OVER. ATLANTA HAD THE THIRD HIGHEST RATE OF NEW HIV DIAGNOSES NATIONWIDE, WITH 1,723 PERSONS WERE NEWLY DIAGNOSED IN 2022. GEOGRAPHIC INFORMATION: IN 2022, 79% OF THE EMA'S PLWH WERE IN THE URBAN CORE OF THE EMA; WITH FULTON COUNTY HAVING 38% (16,969) OF THE TOTAL PLWH, DEKALB COUNTY 23% (10,218), COBB COUNTY 9% (4,016), AND GWINNETT COUNTY 9% (4,103). SOME ZIP CODES IN THE URBAN CORE HAVE NUMBERS OF PLWH THAT ARE FOUR TO THIRTEEN TI MES HIGHER THAN THE NATIONAL AVERAGE. THE ATLANTA EMA FUNDED EIGHTEEN SERVICE PROVIDERS IN FY2024 INCLUDING FIVE AGENCIES WITH MINORITY AIDS INITIATIVE (MAI) FUNDING. HIV/AIDS CORE AND SUPPORT SERVICES ARE GEOGRAPHICALLY DISPERSED AND ACCESSIBLE TO HIV/AIDS CLIENTS THROUGHOUT THE EMA. THE COMPREHENSIVE SYSTEM OF CARE: DURING 2022, THE EMA SERVED 16,570 RYAN WHITE PART A CLIENTS. FUNDING SUPPORTS THE CONTINUUM OF CARE THROUGH A COMPREHENSIVE RANGE OF CORE SERVICES: OUTPATIENT AMBULATORY HEALTH SERVICES INCLUDING MEDICATIONS THROUGH 15 HEALTHCARE FACILITIES; PREVENTATIVE AND RESTORATIVE ORAL HEALTH; MEDICAL CASE MANAGEMENT SERVICES; MENTAL HEALTH SERVICES AND MEDICATIONS; SUBSTANCE ABUSE SERVICES; HEALTH INSURANCE PREMIUM AND COST SHARING ASSISTANCE; AND MEDICAL NUTRITION THERAPY. OTHER ESSENTIAL SUPPORT SERVICES WHICH FACILITATE PRIMARY CARE ACCESS AND RETENTION INCLUDE: NON-MEDICAL CASE MANAGEMENT; REFERRALS TO HEALTH CARE AND SUPPORT SERVICES (INCLUDING HEALTH INSURANCE NAVIGATION); PSYCHOSOCIAL SUPPORT (INCLUDING PATIENT NAVIGATION); MEDICAL TRANSPORTATION (INCLUDING RIDE-SHARE); OTHER PROFESSIONAL SERVICES (FOR LEGAL SERVICES), FOOD BANK/HOME DELIVERED MEALS, EMERGENCY FINANCIAL ASSISTANCE, LINGUISTICS AND CHILD CARE. THESE VARIOUS CORE AND SUPPORT SERVICES ARE OFTEN CO-LOCATED WITHIN THE PRIMARY CARE FACILITIES. SERVICES FOR DISPROPORTIONATELY IMPACTED SUBPOPULATIONS SUPPORTED BY MAI FUNDS ARE DIRECTED TO OUTPATIENT AMBULATORY HEALTH SERVICES TO IMPROVE HEALTH OUTCOMES FOR MINORITY POPULATIONS WITH A PARTICULAR EMPHASIS ON BLACK MALES 25-44, BLACK FEMALES 25-44, AND TRANS-IDENTIFIED PERSONS AGED 25-44. OVERALL VIRAL SUPPRESSION RATE: 2022 SURVEILLANCE DATA SHOWS 65% OF PLWH IN THE EMA ARE VIRALLY SUPPRESSED UP FROM 64% IN 2020. DATA FOR RYAN WHITE PART A SHOWS 84% OF PLWH IN FY2023 ARE VIRALLY SUPPRESSED UP FROM 78% IN FY2021.

HIV EMERGENCY RELIEF PROJECT GRANTS

HIV EMERGENCY RELIEF PROJECT GRANTS - I. PROJECT ABSTRACT: RYAN WHITE HIV/AIDS PROGRAM (RWHAP) PART A HIV EMERGENCY RELIEF GRANT PROGRAM: ATLANTA ELIGIBLE METROPOLITAN AREA (EMA). H89HA00007 FULTON COUNTY GOVERNMENT, 141 PRYOR STREET, SW, ATLANTA, GA 30303. JEFF CHEEK, DIRECTOR. PHONE: 404-612-0789, JEFF.CHEEK@FULTONCOUNTYGA.GOV, WWW.ENDHIVATL.ORG. FUNDS REQUESTED: $30,893,716 INCLUDING $2,993,579 IN MINORITY AIDS INITIATIVE FUNDING FOR A TOTAL OF $33,887,295. OVERVIEW OF THE ATLANTA EMA: THE ATLANTA EMA IS COMPRISED OF 20 COUNTIES: BARROW, BARTOW, CARROLL, CHEROKEE, CLAYTON, COBB, COWETA, DEKALB, DOUGLAS, FAYETTE, FORSYTH, FULTON, GWINNETT, HENRY, NEWTON, PAULDING, PICKENS, ROCKDALE, SPALDING, AND WALTON, COVERING 6,297 SQUARE MILES. THE EMA HAS A POPULATION OF 5,906,655, WHICH REPRESENTS 55% OF THE STATE’S POPULATION OF 10,722,325. IN THE EMA, RACE IS DISTRIBUTED AS FOLLOWS: WHITE 44%, BLACK 34%, AND HISPANIC/LATINX ETHNICITY (OF ANY RACE) CONSTITUTES 11% OF THE EMA POPULATION. EPIDEMIOLOGIC AND DEMOGRAPHIC OVERVIEW OF HIV EPIDEMIC: IN 2022, THE NUMBER OF PERSONS LIVING WITH HIV (PLWH) IN THE EMA WAS 44,599, AN INCREASE OF 7% FROM 2020. OF THESE PERSONS, 79% (35,087) WERE MALE, 20% (8,723) WERE FEMALE, AND 2% (752) WERE TRANSGENDER; 69% (30,780) WERE BLACK, 15% (6,569) WERE WHITE, AND 9% (4,005) WERE HISPANIC; 68% (30,376) OF PLWH HAD MSM EXPOSURE, 22% (8,902) HAD HETEROSEXUAL CONTACT, 4% (1,934) HAD INJECTION DRUG USE EXPOSURE; 3% (1,489) WERE AMONG THE 15-24 AGE GROUP, 45% (19,849) WERE 25-44, 34% (4,987) WERE 45-59, 18% (8,200) WERE 60 AND OVER. ATLANTA HAD THE THIRD HIGHEST RATE OF NEW HIV DIAGNOSES NATIONWIDE, WITH 1,723 PERSONS WERE NEWLY DIAGNOSED IN 2022. GEOGRAPHIC INFORMATION: IN 2022, 79% OF THE EMA'S PLWH WERE IN THE URBAN CORE OF THE EMA; WITH FULTON COUNTY HAVING 38% (16,969) OF THE TOTAL PLWH, DEKALB COUNTY 23% (10,218), COBB COUNTY 9% (4,016), AND GWINNETT COUNTY 9% (4,103). SOME ZIP CODES IN THE URBAN CORE HAVE NUMBERS OF PLWH THAT ARE FOUR TO THIRTEEN TI MES HIGHER THAN THE NATIONAL AVERAGE. THE ATLANTA EMA FUNDED EIGHTEEN SERVICE PROVIDERS IN FY2024 INCLUDING FIVE AGENCIES WITH MINORITY AIDS INITIATIVE (MAI) FUNDING. HIV/AIDS CORE AND SUPPORT SERVICES ARE GEOGRAPHICALLY DISPERSED AND ACCESSIBLE TO HIV/AIDS CLIENTS THROUGHOUT THE EMA. THE COMPREHENSIVE SYSTEM OF CARE: DURING 2022, THE EMA SERVED 16,570 RYAN WHITE PART A CLIENTS. FUNDING SUPPORTS THE CONTINUUM OF CARE THROUGH A COMPREHENSIVE RANGE OF CORE SERVICES: OUTPATIENT AMBULATORY HEALTH SERVICES INCLUDING MEDICATIONS THROUGH 15 HEALTHCARE FACILITIES; PREVENTATIVE AND RESTORATIVE ORAL HEALTH; MEDICAL CASE MANAGEMENT SERVICES; MENTAL HEALTH SERVICES AND MEDICATIONS; SUBSTANCE ABUSE SERVICES; HEALTH INSURANCE PREMIUM AND COST SHARING ASSISTANCE; AND MEDICAL NUTRITION THERAPY. OTHER ESSENTIAL SUPPORT SERVICES WHICH FACILITATE PRIMARY CARE ACCESS AND RETENTION INCLUDE: NON-MEDICAL CASE MANAGEMENT; REFERRALS TO HEALTH CARE AND SUPPORT SERVICES (INCLUDING HEALTH INSURANCE NAVIGATION); PSYCHOSOCIAL SUPPORT (INCLUDING PATIENT NAVIGATION); MEDICAL TRANSPORTATION (INCLUDING RIDE-SHARE); OTHER PROFESSIONAL SERVICES (FOR LEGAL SERVICES), FOOD BANK/HOME DELIVERED MEALS, EMERGENCY FINANCIAL ASSISTANCE, LINGUISTICS AND CHILD CARE. THESE VARIOUS CORE AND SUPPORT SERVICES ARE OFTEN CO-LOCATED WITHIN THE PRIMARY CARE FACILITIES. SERVICES FOR DISPROPORTIONATELY IMPACTED SUBPOPULATIONS SUPPORTED BY MAI FUNDS ARE DIRECTED TO OUTPATIENT AMBULATORY HEALTH SERVICES TO IMPROVE HEALTH OUTCOMES FOR MINORITY POPULATIONS WITH A PARTICULAR EMPHASIS ON BLACK MALES 25-44, BLACK FEMALES 25-44, AND TRANS-IDENTIFIED PERSONS AGED 25-44. OVERALL VIRAL SUPPRESSION RATE: 2022 SURVEILLANCE DATA SHOWS 65% OF PLWH IN THE EMA ARE VIRALLY SUPPRESSED UP FROM 64% IN 2020. DATA FOR RYAN WHITE PART A SHOWS 84% OF PLWH IN FY2023 ARE VIRALLY SUPPRESSED UP FROM 78% IN FY2021.

HIV EMERGENCY RELIEF PROJECT GRANTS

HIV EMERGENCY RELIEF PROJECT GRANTS

DESCRIPTION:THIS ACTION PROVIDES FUNDING IN THE AMOUNT OF $3,452,972.00 TO ASSIST FULTON COUNTY, GEORGIA IN IMPLEMENTING ITS PROJECT TO PROVIDE SEWER SERVICE FOR CHATTAHOOCHEE HILLS, GEORGIA, AS DIRECTED IN THE 2023 CONSOLIDATED APPROPRIATIONS ACT OR AS IDENTIFIED IN AN APPROVED TECHNICAL CORRECTION IF ONE HAS BEEN APPROVED FOR THIS PROJECT. ACTIVITIES:THE ACTIVITIES TO BE PERFORMED INCLUDE THE EXECUTION AND IMPLEMENTATION OF A SANITARY SEWER PUMP STATION PROJECT. WORKPLAN ACTIVITIES CONSIST OF INSTALLING A PUMP STATION, FORCE MAIN, AND GRAVITY SEWER CONNECTION TO THE EXISTING SANITARY SEWER SYSTEM. SUBRECIPIENT:NO SUBAWARDS ARE INCLUDED IN THIS ASSISTANCE AGREEMENT.OUTCOMES:THE ANTICIPATED DELIVERABLES INCLUDE A NEW PUMP STATION AND CONVEYANCE SANITARY SEWER SYSTEM WHICH CONNECTS TO THE EXISTING SANITARY SEWER SYSTEM THAT CONVEYS UNTREATED WASTEWATER TO THE TREATMENT PLANT. THE EXPECTED OUTCOMES INCLUDE CLEAN AND SAFE GROUND WATER WITHOUT THE USE OF SEPTIC TANKS. THE INTENDED BENEFICIARIES INCLUDE THE RESIDENTS OF THE CHATTAHOOCHEE HILLS IN THE STATE OF GEORGIA.

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WITH THE BUREAU OF JUSTICE ASSISTANCE SAKI 2024 GRANT AWARD, FULTON COUNTY SAKI OBJECTIVES ARE THE FOLLOWING: STAFF FULLY INVESTIGATE THE HIGH NUMBER OF CASES WITH DNA PROFILES AND COMBINED DNA INDEX SYSTEM HITS AND FINDING INCIDENT REPORTS PROVING THAT A CRIME OCCURRED; TEST FULTON PARTIALLY TESTED KITS; AND STAFF WORKING WITH MULTIDISCIPLINARY WORKING GROUP TO TRAIN POLICE ON TRAUMA-CENTERED VICTIMS, TO INCLUDE COLLEGE CAMPUSES, AND TRANSPORTATION OF KITS.

ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA ? RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B - ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA — RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B

PURPOSE: THE YOUTH HOMELESSNESS DEMONSTRATION PROGRAM (YHDP) AIMS TO SUPPORT SELECTED COMMUNITIES IN DEVELOPING AND IMPLEMENTING A COORDINATED COMMUNITY APPROACH TO PREVENTING AND ENDING YOUTH HOMELESSNESS. THE POPULATION TO BE SERVED BY THIS DEMONSTRATION PROGRAM IS YOUTH EXPERIENCING HOMELESSNESS, INCLUDING UNACCOMPANIED AND PREGNANT OR PARENTING YOUTH. THE DEMONSTRATION HAS SEVEN PRIMARY OBJECTIVES: • BUILD NATIONAL MOMENTUM. • PROMOTE EQUITY IN THE DELIVERY AND OUTCOMES OF HOMELESS ASSISTANCE. • HIGHLIGHT THE IMPORTANCE OF YOUTH LEADERSHIP. • EVALUATE THE COORDINATED COMMUNITY APPROACH. • EXPAND CAPACITY. • EVALUATE PERFORMANCE MEASURES. • ESTABLISH A FRAMEWORK FOR THE FEDERAL PROGRAM AND TECHNICAL ASSISTANCE COLLABORATION. BEGINNING IN 2016, NEW YHDP COMMUNITIES ARE SELECTED THROUGH A COMPETITIVE PROCESS DEPENDING ON THE ANNUAL FUNDING PROVIDED BY CONGRESS. A MAP OF CURRENTLY FUNDED YHDP SITES IS AVAILABLE AT THE LINK TITLED MAP OF YHDP-FUNDED COC (UNDER YHDP COMMUNITIES) AT HTTPS://WWW.HUDEXCHANGE.INFO/PROGRAMS/YHDP/.; ACTIVITIES TO BE PERFORMED: ELEVEN TYPES OF ASSISTANCE MAY BE PROVIDED THROUGH THE YHDP: 1. ACQUISITION OF REAL PROPERTY (INCLUDING STRUCTURES) FOR USE IN THE PROVISION OF HOUSING OR SUPPORTIVE SERVICES; 2. REHABILITATION OF STRUCTURES TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; 3. NEW CONSTRUCTION, INCLUDING THE BUILDING OF A NEW STRUCTURE OR BUILDING AN ADDITION TO AN EXISTING STRUCTURE FOR USE AS SUPPORTIVE HOUSING; 4. LEASING OF A NEW STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; 5. 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; 6. SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; 7. OPERATING COSTS OF SUPPORTIVE HOUSING; 8. COSTS OF IMPLEMENTING AND OPERATING HOMELESS MANAGEMENT INFORMATION SYSTEM (HMIS); 9. PROGRAM ADMINISTRATIVE COSTS; 10. RELOCATION COSTS; AND 11. INDIRECT COSTS IN ACCORDANCE WITH 2 CFR PART 200, AS APPLICABLE. NO ASSISTANCE PROVIDED UNDER THIS 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: AS A RESULT OF DEVELOPING AND IMPLEMENTING A COORDINATED COMMUNITY APPROACH TO PREVENTING AND ENDING YOUTH HOMELESSNESS, THERE WILL BE: • SIGNIFICANT DECREASE IN THE NUMBER OF YOUTH EXPERIENCING HOMELESSNESS. • INCREASED INCOME, EDUCATION, HEALTH, AND SOCIAL/EMOTIONAL WELL-BEING OF PARTICIPANTS. • COMMUNITY-LEVEL UNDERSTANDING OF THE NUMBER AND NEEDS OF YOUTH AT-RISK OF AND EXPERIENCING HOMELESSNESS. • NEW OR IMPROVED PARTNERSHIPS BETWEEN YOUTH-SERVING ORGANIZATIONS IN THE COMMUNITY.; INTENDED BENEFICIARIES: HOMELESS UNACCOMPANIED YOUTH (AGE 24 AND YOUNGER) AND HOMELESS YOUTH (AGE 24 AND YOUNGER) WITH CHILDREN.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

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COMMUNITY DEVELOPMENT BLOCK GRANTS/ENTITLEMENT GRANTS

ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA ? RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B - ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA — RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B

FULTON COUNTY SUPERIOR COURT, LOCATED IN ATLANTA, GEORGIA, IS REQUESTING FUNDS TO EXPAND TREATMENT ACCESS IN ADULT TREATMENT COURT. THE FULTON COUNTY ACCOUNTABILITY COURTS SERVE INDIVIDUALS PRE-ADJUDICATION AND POST-ADJUDICATION AND WILL SERVE 260 TOTAL PARTICIPANTS WITH THESE GRANT FUNDS OVER THE LIFE OF THE GRANT. THE PURPOSE OF THIS PROPOSAL, THE PEER AND CARE EXPANSION PROJECT, IS TO SCALE UP FULTON COUNTY ACCOUNTABILITY COURTS CAPACITY TO FULLY INTEGRATE EVIDENCE-BASED PEER MENTORING IN THE EXISTING 18 TO 24 MONTH TRACK AND IN THE NEW 12 MONTH DIVERSION TRACK, WHICH SERVES A HIGH-NEED/MODERATE-RISK GROUP OF PARTICIPANTS WHO CURRENTLY DO NOT HAVE ACCESS TO SUBSTANCE ABUSE SERVICES AND QUALIFY FOR PRE-INDICTMENT ENTRY TO THE PROGRAMS. THE EXPECTED OUTCOMES OF THE PROJECT INCLUDE INCREASED PROGRAM ENROLLMENT AND TREATMENT COMPLIANCE, REDUCED RECIDIVISM, AND REDUCED SUBSTANCE USE AMONG PARTICIPANTS WITH SUBSTANCE USE DISORDERS, THEREBY INCREASING THE LIKELIHOOD OF SUCCESSFUL LONG-TERM RECOVERY.

HIV EMERGENCY RELIEF PROJECT GRANTS - I. PROJECT ABSTRACT: RYAN WHITE HIV/AIDS PROGRAM (RWHAP) PART A HIV EMERGENCY RELIEF GRANT PROGRAM: ATLANTA ELIGIBLE METROPOLITAN AREA (EMA). H89HA00007 FULTON COUNTY GOVERNMENT, 141 PRYOR STREET, SW, ATLANTA, GA 30303. JEFF CHEEK, DIRECTOR. PHONE: 404-612-0789, JEFF.CHEEK@FULTONCOUNTYGA.GOV, WWW.ENDHIVATL.ORG. FUNDS REQUESTED: $30,893,716 INCLUDING $2,993,579 IN MINORITY AIDS INITIATIVE FUNDING FOR A TOTAL OF $33,887,295. OVERVIEW OF THE ATLANTA EMA: THE ATLANTA EMA IS COMPRISED OF 20 COUNTIES: BARROW, BARTOW, CARROLL, CHEROKEE, CLAYTON, COBB, COWETA, DEKALB, DOUGLAS, FAYETTE, FORSYTH, FULTON, GWINNETT, HENRY, NEWTON, PAULDING, PICKENS, ROCKDALE, SPALDING, AND WALTON, COVERING 6,297 SQUARE MILES. THE EMA HAS A POPULATION OF 5,906,655, WHICH REPRESENTS 55% OF THE STATE’S POPULATION OF 10,722,325. IN THE EMA, RACE IS DISTRIBUTED AS FOLLOWS: WHITE 44%, BLACK 34%, AND HISPANIC/LATINX ETHNICITY (OF ANY RACE) CONSTITUTES 11% OF THE EMA POPULATION. EPIDEMIOLOGIC AND DEMOGRAPHIC OVERVIEW OF HIV EPIDEMIC: IN 2022, THE NUMBER OF PERSONS LIVING WITH HIV (PLWH) IN THE EMA WAS 44,599, AN INCREASE OF 7% FROM 2020. OF THESE PERSONS, 79% (35,087) WERE MALE, 20% (8,723) WERE FEMALE, AND 2% (752) WERE TRANSGENDER; 69% (30,780) WERE BLACK, 15% (6,569) WERE WHITE, AND 9% (4,005) WERE HISPANIC; 68% (30,376) OF PLWH HAD MSM EXPOSURE, 22% (8,902) HAD HETEROSEXUAL CONTACT, 4% (1,934) HAD INJECTION DRUG USE EXPOSURE; 3% (1,489) WERE AMONG THE 15-24 AGE GROUP, 45% (19,849) WERE 25-44, 34% (4,987) WERE 45-59, 18% (8,200) WERE 60 AND OVER. ATLANTA HAD THE THIRD HIGHEST RATE OF NEW HIV DIAGNOSES NATIONWIDE, WITH 1,723 PERSONS WERE NEWLY DIAGNOSED IN 2022. GEOGRAPHIC INFORMATION: IN 2022, 79% OF THE EMA'S PLWH WERE IN THE URBAN CORE OF THE EMA; WITH FULTON COUNTY HAVING 38% (16,969) OF THE TOTAL PLWH, DEKALB COUNTY 23% (10,218), COBB COUNTY 9% (4,016), AND GWINNETT COUNTY 9% (4,103). SOME ZIP CODES IN THE URBAN CORE HAVE NUMBERS OF PLWH THAT ARE FOUR TO THIRTEEN TI MES HIGHER THAN THE NATIONAL AVERAGE. THE ATLANTA EMA FUNDED EIGHTEEN SERVICE PROVIDERS IN FY2024 INCLUDING FIVE AGENCIES WITH MINORITY AIDS INITIATIVE (MAI) FUNDING. HIV/AIDS CORE AND SUPPORT SERVICES ARE GEOGRAPHICALLY DISPERSED AND ACCESSIBLE TO HIV/AIDS CLIENTS THROUGHOUT THE EMA. THE COMPREHENSIVE SYSTEM OF CARE: DURING 2022, THE EMA SERVED 16,570 RYAN WHITE PART A CLIENTS. FUNDING SUPPORTS THE CONTINUUM OF CARE THROUGH A COMPREHENSIVE RANGE OF CORE SERVICES: OUTPATIENT AMBULATORY HEALTH SERVICES INCLUDING MEDICATIONS THROUGH 15 HEALTHCARE FACILITIES; PREVENTATIVE AND RESTORATIVE ORAL HEALTH; MEDICAL CASE MANAGEMENT SERVICES; MENTAL HEALTH SERVICES AND MEDICATIONS; SUBSTANCE ABUSE SERVICES; HEALTH INSURANCE PREMIUM AND COST SHARING ASSISTANCE; AND MEDICAL NUTRITION THERAPY. OTHER ESSENTIAL SUPPORT SERVICES WHICH FACILITATE PRIMARY CARE ACCESS AND RETENTION INCLUDE: NON-MEDICAL CASE MANAGEMENT; REFERRALS TO HEALTH CARE AND SUPPORT SERVICES (INCLUDING HEALTH INSURANCE NAVIGATION); PSYCHOSOCIAL SUPPORT (INCLUDING PATIENT NAVIGATION); MEDICAL TRANSPORTATION (INCLUDING RIDE-SHARE); OTHER PROFESSIONAL SERVICES (FOR LEGAL SERVICES), FOOD BANK/HOME DELIVERED MEALS, EMERGENCY FINANCIAL ASSISTANCE, LINGUISTICS AND CHILD CARE. THESE VARIOUS CORE AND SUPPORT SERVICES ARE OFTEN CO-LOCATED WITHIN THE PRIMARY CARE FACILITIES. SERVICES FOR DISPROPORTIONATELY IMPACTED SUBPOPULATIONS SUPPORTED BY MAI FUNDS ARE DIRECTED TO OUTPATIENT AMBULATORY HEALTH SERVICES TO IMPROVE HEALTH OUTCOMES FOR MINORITY POPULATIONS WITH A PARTICULAR EMPHASIS ON BLACK MALES 25-44, BLACK FEMALES 25-44, AND TRANS-IDENTIFIED PERSONS AGED 25-44. OVERALL VIRAL SUPPRESSION RATE: 2022 SURVEILLANCE DATA SHOWS 65% OF PLWH IN THE EMA ARE VIRALLY SUPPRESSED UP FROM 64% IN 2020. DATA FOR RYAN WHITE PART A SHOWS 84% OF PLWH IN FY2023 ARE VIRALLY SUPPRESSED UP FROM 78% IN FY2021.

HOME INVESTMENT PARTNERSHIPS PROGRAM

THE FULTON COUNTY DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES, IN PARTNERSHIP WITH THE FULTON COUNTY SHERIFFS OFFICE, PROPOSES THIS PRIORITY 1A CO-RESPONDER PROGRAM (CORE) TO SERVE ADULTS IN FULTON COUNTY, GEORGIA EXPERIENCING BEHAVIORAL HEALTH CRISES WITH A FOCUS ON INDIVIDUALS WITH MENTAL HEALTH DISORDERS OR CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDERS. FULTON COUNTY IS THE MOST POPULOUS OF THE STATES 159 COUNTIES WITH 1,079,105 CITIZENS, INCLUDING AREAS WITH DEEP TIES TO DISCRIMINATORY REDLINING AND HISTORICAL MARGINALIZATION. THE CORE TEAM WILL INCLUDE A BEHAVIORAL HEALTH CLINICIAN AND A SHERIFFS DEPUTY WHO WILL RESPOND TO 911 AND 988 BEHAVIORAL HEALTH CRISES USING CULTURALLY COMPETENT AND TRAUMA-INFORMED CRISIS DE-ESCALATION TECHNIQUES. WITHIN 24 HOURS OF CRISIS STABILIZATION, A PEER SUPPORT SPECIALIST WILL FOLLOW-UP WITH EACH INDIVIDUAL AND PROVIDE WARM HANDOFFS TO COMMUNITY-BASED SUPPORTS AND RESOURCES FOR WRAPAROUND SERVICES. THE CORE PROGRAM WILL REDUCE CRISIS RESPONSE TIMES BY 30%, PROVIDE TRAINING TO AT LEAST 50 FULTON COUNTY FIRST RESPONDERS, AND CONDUCT OUTREACH TO AT LEAST 1,000 FULTON COUNTY RESIDENTS THROUGH ENGAGING IN COMMUNITY-BASED EDUCATIONAL EVENTS. FORMAL PROGRAM EVALUATION WILL BE CONDUCTED BY THE ATLANTA-BASED RESEARCH AND EVALUATION FIRM, APPLIED RESEARCH SERVICES. THERE ARE NO PLANNED CONFERENCE ACTIVITIES FOR THE RECOMMENDED AWARD.

FULTON COUNTY JUVENILE COURT (FCJC), IN PARTNERSHIP WITH ADDITIONAL SUPPORTING FULTON COUNTY AGENCIES AND ENGAGED COMMUNITY PARTNERS FROM ALL SECTORS, WILL IMPLEMENT THE FULTON COUNTY YOUTH INTERVENTION PLANNING PROGRAM (YIP) THAT WILL CONVENE THE PLANNING COUNCIL OF COMMUNITY STAKEHOLDERS (PCCS) TO: (I) IDENTIFY AND EVALUATE CURRENT INTERVENTION PROGRAMS FOR YOUTH (AGES 12-17) WITHIN FULTON COUNTY THAT ARE AIMED TO REDUCE INVOLVEMENT WITH THE JUSTICE SYSTEM; (II) IDENTIFY STRATEGIES FOR COST SAVINGS AND OPPORTUNITIES FOR IMPACT REINVESTMENTS INTO PROGRAMS AND INITIATIVES WITH PROVEN RESULTS; AND (III) ESTABLISH A CONTINUUM OF CARE FRAMEWORK THAT SUPPORTS THE DECARCERATION AND DIVERSION OF AT-RISK YOUTH WITHIN THE SERVICE AREA. THE PCCS WILL BE LED BY DR. VOLKAN TOPALLI, AN EXPERT ON URBAN VIOLENCE, DRUG MARKETS, YOUTH CRIME, AND COMMUNITY CRIME PREVENTION AND A PROFESSOR OF CRIMINAL JUSTICE AND CRIMINOLOGY AT THE ANDREW YOUNG SCHOOL OF POLICY STUDIES AT GEORGIA STATE UNIVERSITY (GSU). THE GSU RESEARCH TEAM WILL IMPLEMENT A 3-PHASE APPROACH TO INCLUDE INTERVIEWS WITH AT-RISK AND JUSTICE-INVOLVED YOUTH AND THEIR FAMILIES, COMMUNITY-BASED SERVICE PROVIDERS CURRENTLY RECEIVING REFERRALS FROM FCJC, AND ADDITIONAL COMMUNITY-BASED ORGANIZATIONS THAT HAVE NOT YET BEEN VETTED BY THE COURT BUT ARE PROVIDING KNOWN IMPACTS TO THE COMMUNITY. ADDITIONAL QUANTITATIVE DATA ANALYSES WILL FOLLOW THE CARDIFF VIOLENCE PROGRAM MODEL AND WILL INCLUDE GEOGRAPHICALLY IDENTIFIED TREND DATA FROM FULTON COUNTY AND CONSTITUENT MUNICIPALITY AGENCIES AND ADMINISTRATIVE DATA FROM FCJC. THE FINAL DELIVERABLES INCLUDE: (1) AN ASSET MAP OF ALL IDENTIFIED RESOURCES AND PROGRAMS WITHIN THE COUNTY; (2) AN INTERNET DASHBOARD/DATABASE TO BE USED BY FCJC AND FULTON COUNTY CITIZENS TO LOCATE MUCH-NEEDED EFFECTIVE SERVICE PROVIDERS WITHIN COMMUNITIES THROUGHOUT THE COUNTY; (3) A FINAL REPORT WITH FINDINGS FROM ALL PROGRAM EVALUATIONS THAT IDENTIFIES STRENGTHS AND AREAS FOR IMPROVEMENT; AND (4) AN ONLINE TRAINING CURRICULUM TO INCREASE THE CAPACITY OF COMMUNITY-BASED SERVICE PROVIDERS TO COLLECT, ANALYZE, AND REPORT PARTICIPANT DATA TO INCREASE FUND DEVELOPMENT EFFORTS AND LONG-TERM SUSTAINABILITY. INTENDED BENEFICIARIES INCLUDE FULTON COUNTY AGENCIES AND CITIZENS, ALONG WITH OTHER JURISDICTIONS THROUGHOUT THE STATE THAT COULD IMPLEMENT A SIMILAR METHOD OF ESTABLISHING AN EFFECTIVE CONTINUUM OF CARE FOR AT-RISK AND JUSTICE-INVOLVED YOUTH AND THEIR FAMILIES.

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.