Fiscal Year 2025 Expanded Hours. - Health Center Program grant number: H80CS00768 Brief description of the proposed project: The mission of the Institute for Family Health, one of the largest federally qualified health center (FQHC) networks in New York State (NYS), is to provide high-quality, patient-centered primary health care in communities historically neglected due to racism and poverty. The Institute is committed to improving access to our primary care, behavioral health, dental care and social support services among underserved populations. With HRSA Expanded Hours funding, we propose to increase the number of operating hours at two of our health centers: the Pine Street Family Health Center (140 Pine St, Kingston, NY 12401-4948) and the Institute for Family Health at CASES (Center for Alternative Sentencing and Employment Services (CASES) Nathaniel Clinic, 2090 Adam Clayton Powell, Jr. Boulevard, New York, NY 10035-1217). Needs to be addressed: There is significant need to increase access to care by expanding health center hours at our CASES and Pine Street sites. The Institute collaborates with CASES, a non-profit organization that serves individuals involved in the criminal legal system, to offer integrated primary health care services at the Nathaniel Clinic in the high-need and low-income community of Harlem. Justice-involved individuals experience an increased burden of chronic physical conditions (e.g., diabetes, hypertension, asthma and cardiovascular disease), multimorbidity (more than two illnesses or diseases occurring at the same time), and mental health and substance use disorders (SUD). In addition, the Institute opened the Pine Street site in November 2023. Pine Street is our newest health center location in the Mid-Hudson Valley, and our second location in Ulster County’s Kingston, NY. Many Mid-Hudson residents are burdened with health problems that are prevalent in low-income rural and semi-rural areas, including chronic diseases, health access challenges, a high burden of undiagnosed or untreated mental health conditions and a disproportionate share of opioid use disorder and related overdoses. Proposed services and how proposal for increasing hours of operation will meet identified needs in the community: There is significant need to expand access to Institute health center services and improve the health and wellbeing of the CASES and Pine Street sites’ surrounding communities. We will expand hours at the CASES Nathaniel Clinic, where we currently provide primary care services twice a week. This will give justice-involved individuals in the underserved community of Harlem increased opportunities to access high-quality, integrated primary care. Additionally, our Pine Street site currently provides primary care from 8am-5pm Monday-Friday, behavioral health care from 9am-5:30pm Monday-Friday, as well as social support services. Expanding hours at this site will give underserved residents of Ulster County additional access to these essential services. Population to be served: The Institute’s Pine Street site is located in a HRSA-designated Primary Care Health Professional Shortage Areas (HPSA), and the CASES Nathaniel Clinic is located in a Primary Care and Mental Health HPSA, as well as a Medically Underserved Area/Population. Harlem is a low-income area with a predominantly Latinx and Black population. Many residents live below the poverty line, have low educational attainment and experience poor health outcomes. In Ulster County, the Institute is one of the very few providers accepting patients regardless of their ability to pay. As such, we treat a disproportionate number of individuals from underserved communities compared to the county’s general population.