Fiscal Year 2025 Expanded Hours. - Health Center Program Grant Number: H80CSO6673. Needs to be Addressed: JWCH proposes to expand its hours of operation at our clinics in Metro Los Angeles’ Service Planning Area 4, Center for Community Health (CCH), and Wesley Health Centers- Vermont (WHC- Vermont) to address patient medical, dental, mental health, substance use disorder treatment, and other social service needs. According to GeoCare Navigator, the total population of our service area in Metro LA (Skid Row/East Hollywood) is 560,495. Nearly half (47%) are considered low-income, 85% identify as racial/ethnic minorities and 16% are uninsured compared to 10% of County residents (US Census Bureau). Within this area, JWCH operates several primary health centers in Skid Row and East Hollywood that specialize in homeless healthcare, as this area has the largest concentration of chronically homeless individuals in the county and the nation. According to the LAHSA 2023 Homeless Count, 31% of homeless people in the area have a substance use disorder (SUD) coupled with 28% who have a Serious Mental Illness, and many have fallen out of care due to circumstances related to homelessness. This group experiences unique barriers to access, including extreme poverty, and minorities, particularly Black/African Americans are overrepresented as experiencing homelessness compared to their proportion of the County population (37% compared to 9%). The combination of SDOH including poverty, homelessness, co-occurring mental health and physical disabilities, cultural and linguistic barriers, limited access to transportation and resources, as well as other factors present extraordinary barriers to accessing health care for these populations. In response to this need, the proposed project will improve access to care for this population by increasing its hours of operation. Proposed Services: JWCH provides comprehensive medical and dental services, optometry, chiropractic care, case management, mental health, podiatry, HIV treatment, HIV and STD testing, laboratory, radiology, substance use disorder treatment, street medicine, on-site pharmacy services, outreach, and patient navigation services. Through this project, JWCH will extend the hours of available care by 16 hours per week at CCH and 24 hours a week at WHC—Vermont (a total of 40 hours). This will include evening and weekend appointment availability at both clinics. The services available during these extended hours will include primary medical care, dental care, pharmacy, laboratory diagnostics, radiology/x-ray, mental health and substance use disorder treatment, psychiatry, and Enhanced Care Management (ECM) support to immediate housing resources, and more. Population Served: This project will serve the homeless and the general underserved population of Metro Los Angeles. This includes children, adults, and older adults who identify as ethnic/racial minorities including those with linguistic barriers, LGBTQ+, low-income, impoverished, and uninsured or underinsured.