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Accessing Federal Funds

Accessing Federal Funds. Peace Over Violence Los Angeles, CA Aleisha A. Langhorne, MPH, MHSA Department of Health and Human Services Office on Women’s Health August 11, 2010. One HHS- VAW Activities. Administration for Children and Families (ACF) Administration on Aging ( AoA )

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Accessing Federal Funds

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  1. Accessing Federal Funds Peace Over Violence Los Angeles, CA Aleisha A. Langhorne, MPH, MHSA Department of Health and Human Services Office on Women’s Health August 11, 2010

  2. One HHS- VAW Activities • Administration for Children and Families (ACF) • Administration on Aging (AoA) • Centers for Disease Control and Prevention (CDC) • Health Resources and Services Administration (HRSA) • Indian Health Services (IHS) • National Institutes of Health (NIH) • Office of Population Affairs, Office of Family Planning (OPA) • Office on Women’s Health (OWH) • Office of Adolescent Health (OAH) • Substance Abuse and Mental Health Services Administration (SAMHSA)

  3. What every Federal Funder wants? An Organization with G.I.F.T.S. • Get in on the Ground Floor • Identify innovative approaches to create change • Find ways to Collaborate and Compromise • Take time to Measure • Show how your organization has sustained

  4. Office on Women’s Health Fiscal Investment • 2007- $400K • 2008- $875K • 2009- $2.375M • 2010- $3.325M (1% of Appropriated Funds)

  5. VAW Programs • AIDS-Related Services for Survivors of Domestic Violence • Project Connect: A Coordinated Public Health Initiative to Prevent Violence Against Women • Training for Health Care Professional • End Violence Against Women on College Campuses/Universities • Pilot Initiatives • Women of Faith Advocacy Training Program • Addressing Female Teen Pathways to Violence • Regional Opportunities- Feb. 2011

  6. AIDS-Related Services for Survivors of Domestic Violence (2010-2011) • Training • Domestic Violence Providers and HIV/AIDS Service Providers • Capacity Building • Building Relationships between the providers • Raising Awareness • Regional Workshops • National Meetings

  7. AIDS-Related Services for Survivors of Domestic Violence- Goals • Provide training to community based organizations that directly service victims/survivors of DV • Train counselors and shelter workers to integrate messages about risk of contracting HIV/AIDS in the services they provide to survivors of DV • Develop materials for both group & one-on-one settings • Determine the level of need within the organization • Track counselor and survivor knowledge and behavior changes • Educate HIV/AIDS Service providers on how to: • Provide services in a manner that is sensitive to survivors and/or victims of domestic violence • Develop linkages and self-sustaining relationships between the provider organizations-BUILD CAPACITY

  8. Measuring Success and Challenges • Qualitative Outcomes • Creates an infrastructure of change • Leadership and Staff buy-in • Technical Assistance and Updates • Quantitative Outcome Measures • providers trained • female clients of Domestic Violence CBOs served • women tested • Local Systems Level Change- policy changes within the organizations

  9. Federal Impact for Programming • The intersection of HIV and Violence has become an area of interest by many federally funded programs outside of mandates and policy recommendations. • The Office on Women’s Health incorporates violence as a focus area into all of its HIV Prevention Programs for Women and Girls. • Many national/state funders are implementing work groups which are looking at the impact of STIs on victims and/or survivors of domestic violence.

  10. Health Care Reform* Potential Funding Opportunities • Women's Health Amendment – Well Woman Visit • Additional funding for PREP, Home Visitation and Services for Pregnant/Parenting Victims • Prevention Investments * The information provided for this portion of the presentation was supplied from a non-governmental source and may not be reflective of all current changes.

  11. Women's Health Amendment • In September, all plans must cover preventive health services, and plans cannot require cost sharing or deductibles for these services. •  These services include women’s preventive care and screenings that are recommended by USPSTF, but the new law also gave authority to HRSA to craft comprehensive guidelines for services not already supported by USPSTF. U.S. Preventive Services Task Force (USPSTF)- Agency for Healthcare Research and Quality

  12. Women's Health Amendment (cont.) Women • Well Woman visit • Preconception visit • Assessment and Counseling for Lifetime Exposure Children • Covers Bright Futures services for infants, children and adolescents

  13. Training on DV/SA for Health Providers Services for Pregnant/Parenting Victims • $25 million per year • FOA has come out and awards will be made soon • States are a pass through and AG can apply for intervention and social service support for victims and TA (including to health professionals) • HHS Office of Adolescent Health will administer AG=Attorney General

  14. Preventing Youth Violence and Teen Pregnancy Personal Responsibility Education Program • $75 million annually over five years in mandatory funding for evidence-based teen pregnancy prevention grants for states and tribes • Educational programs must include both abstinence and contraception and three or more adulthood preparation subjects, including healthy relationships.

  15. Preventing Youth Violence and Teen Pregnancy (cont.) Personal Responsibility Education Program • Administered by HHS ACF and OAH • Announcement closed August 2, 2010 • State portion will be at the discretion of the state • Eligible programs – 28 proven programs used in Tier 1 with a little more flexibility to adapt those programs

  16. Maternal, Infant and Early Childhood Home Visiting Programs • $1.5 billion in mandatory spending • Funding for the program starts in FY 2010 and funds must be awarded by September 30th • 25% of awards can be used for promising new program model(s) • 3% to American Indian/Alaska Native

  17. Home Visiting Programs (cont.) • Health reform amended Title V of the Social Security Act to add funding for home visiting programs. • Current appropriations to federal HHS is $100 million in FY 2010; $250 million in FY 2011; $350 million in FY 2012; $400 million in FY 2013 and $400 million in FY 2014 for a total of $1.5 billion in mandatory spending. • Formula funding is based on the number of children in families with income at or below 100% of the federal poverty line as compared to the number of children nationally.

  18. Home Visiting Programs (con’t) • The new law is very prescriptive regarding requirements of the service delivery model or models used. • The Nurse Family Partnership, which seems to meet almost all model requirements has demonstrated effectiveness in reducing child maltreatment but has had mixed results for domestic violence. • The law allow up to 25% of funding to be used for a new program which could address the needs of children and women exposed to DV. • AMCHP has a resource page on home visiting and lists possible choices of home visiting programs to address domestic violence and child maltreatment (brief prepared by FVPF in partnership with the National Child Abuse Coalition) AMCHP = Association of Maternal and Child Health Programs

  19. Home Visiting Programs (con’t) • The needs assessment should identify communities at risk and two risk factors specifically identified in the law are domestic violence and child maltreatment. • The program must demonstrate improvements in multiple benchmarks including prevention of child injuries, abuse, neglect or maltreatment and the reduction in crime or domestic violence.

  20. National Prevention Strategy Project Connect as Public Health Leadership Model Convener/Coalition Builder National Policy Opportunities

  21. Project Connect • Collaboration with the Family Violence Prevention Fund (FVPF) • Two-year initiative designed to improve the health and safety of women and children • Ten sites in nine states • Arizona, California (2 tribes),Georgia, Iowa, Maine, Michigan, Ohio, Texas, Virginia • Policy Shift

  22. Prevention Investment Prevention and Public Health Fund • $15 billion to improve health and reduce health costs in the public and private sector. • A broad range of prevention interventions, including activities to prevent and respond to violence and abuse, and research funding to supplement the existing evidence for assessment of risk factors related to violence prevention and effective interventions could become eligible.

  23. Prevention Investment (cont.) National Prevention, Health Promotion & Public Health Council • Chaired by Surgeon General and Members are Cabinet Heads • Required to submit National Strategy report by March 23, 2011. • President's Executive Order lists domestic violence screenings • Effort to expand to lifetime exposure

  24. Prevention Investment (cont.) National Prevention, Health Promotion & Public Health Council • 25 Member Advisory Group will be created • Include expertise in: (1) worksite health promotion; (2) community services, including community health centers; (3) preventive medicine; (4) health coaching; (5) public health education; (6) geriatrics; and (7) rehabilitation medicine.”

  25. Contact Information Aleisha A. Langhorne, MPH, MHSA Health Scientist Violence Against Women’s Team Leader Office on Women’s Health 200 Independence Ave, SW, Washington, DC 20201 202-401-8325 Aleisha.Langhorne@hhs.gov www.womenshealth.gov/violence/programs/#d

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