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Alzheimer's Disease Community Assistance Program

Grant to a New York Nonprofit for the Statewide
Delivery of Services to the Alzheimer's Community

Agency Type:

State

Funding Source:

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New York State Department of Health (DOH), Office of Health Insurance Programs (OHIP), Division of Long Term Care, Bureau of Community Integration and Alzheimer’s Disease, Alzheimer’s Disease Program (ADP)

LOI Date:

11/23/17

Deadline Date:

01/03/18 4:00 PM ET

Description:

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Grant to a New York nonprofit community organization to meet the needs of state residents affected by Alzheimer’s disease. Applicants are strongly encouraged to submit a letter of interest by November 23. Applicants must prequalify on the online grants system to be eligible to submit an application. The services provided under this program are designed to postpone or prevent nursing home placements. The selected recipient will ensure the delivery of Alzheimer’s services statewide.

Introduction:

The New York State Department of Health (Department), Office of Health Insurance Programs (OHIP), Division of Long Term Care, Bureau of Community Integration and Alzheimer’s Disease, Alzheimer’s Disease Program (ADP) announces the availability of funding for the Alzheimer’s Disease Community Assistance Program (AlzCAP). This initiative will support Public Health Law, Article 20-A, Section 2005 and 2006 which expressed intent to encourage and foster home and community-based assistance through an existing network of not-for-profit organizations whose primary mission is to respond to the needs of New York State’s Alzheimer’s disease community. The Department is responsible for overseeing the implementation of this program and ensuring that services are effectively delivered statewide. The services provided under this program are designed to postpone or prevent nursing home placements.

In New York State (NYS), approximately 390,000 individuals 65 years and older are living with Alzheimer’s disease and other dementias (AD/D) and this number will rise to 460,000 by the year 2025. The diagnosis of AD/D affects not only individuals with AD/D, but also their caregivers. In 2016, there were approximately one million unpaid caregivers in NYS who provided over 1 billion hours of care. According to the Centers for Disease Control and Prevention, caregivers for persons with AD/D are at increased risk for anxiety, depression, and poorer quality of life compared to those who care for people with other chronic conditions.

The ADP provides funding and support to organizations that work to decrease the burden of AD/D on individuals, caregivers, and families throughout NYS. The goal of the program is to promote early diagnosis of AD/D, delay the institutionalization of individuals with AD/D, and maintain the best quality of life for New Yorkers with AD/D and their caregivers, family members and support networks.

Project Description:

The Department anticipates funding one application submitted by an organization that clearly demonstrates the ability to provide the required core services that address the needs of individuals with AD/D and their caregivers.

Applicants are required to provide directly and/or arrange for the provision of the following core services in all 62 NYS counties:

1. Care Consultation

An initial or follow up care consultation is a service where one or more caregivers, family members and/or members of the individual’s support network and, when appropriate, the care recipient, formally meet or confer with a trained professional to seek assistance pertaining to the caregiver’s and/or care recipient’s needs. Each care consultation incorporates a personalized assessment, service plan development or updating, and trouble-shooting. In addition, it considers and incorporates individuals with AD/D and caregiver needs, resource access management, continuity in care, and linkages/referrals to community services. These discussions should lead to the development of a summary of care recommendations.

Care consultations should be completed in-person, by phone, or virtually, preferably in a manner allowing for face-to-face interaction. Caregivers should always be given the option of an in-person care consultation, and it is expected that at least 25% of care consultations provided under this program will be in-person.

2. Support Groups

A support group is designed to provide emotional support, information, resources, and a platform for individuals with AD/D and/or their caregivers to share strategies and lessons learned with others experiencing similar situations under a skilled facilitator. Facilitators can be either professional staff or trained volunteers. Support groups can be conducted in person, virtually and/or via telephone. When designing support groups, the specific needs of the communities to be served, including cultural considerations, language preference, and time of day the groups are offered, should be carefully considered.

Examples of the target audiences for support groups which would be supported by this RFA include, but are not limited to:

-Spouses and partners
-Adult children
-Young adults
-Teens
-Caregivers with common characteristics (language, culture, etc.)
-Caregivers caring for individuals with specific types of AD/D
-Caregivers caring for individuals in specific stages of AD/D
-Individuals living with AD/D

3. Caregiver Education and Training

Education and training programs provide necessary knowledge and information to enable the caregiver and others from an individual with AD/D’s support network to navigate through the progression of AD/D. Programs deliver education and training on a range of subjects to better prepare the caregiver for his/her caregiving role; these topics may include, but are not limited to, AD/D and its progression, behavior management strategies and interventions, communication strategies, coping skills, care and financial planning, resource availability, and caregiver wellness.

4. Caregiver Access to Assistance and Support

A system that allows caregivers 24-hours-a-day/7 days a week access to a staff person well versed in AD/D and caregiving issues is required. This system will ensure that caregivers can receive information, help or support at any time. A process must also be established to guarantee timely follow-up.

5. Community-Based Education, Awareness and Outreach

Community-based education, awareness and outreach efforts ensure that the community-at-large understands AD/D and how it affects individuals diagnosed with AD/D, their caregivers and other individuals in their support network; the importance of early diagnosis, treatment, and clinical trials; the value of appropriate planning after an AD/D diagnosis; and the benefits of utilizing the services offered through the Department’s ADP contractors, including the applicant and its community partners.

Descriptions of required services include:

-Community-based education is provided to the public on topics such as how to recognize signs and symptoms; basic information about AD/D; and specific services that the organization offers to address the needs of individuals with AD/D and their caregivers.

-Community awareness includes both general and targeted community-based efforts to ensure that the public-at-large understands how to recognize AD/D and how it affects the diagnosed individuals, their caregivers and support network; the importance of early diagnosis, treatment, and clinical trials; the value of appropriate planning after the diagnosis; and the benefits of utilizing the services offered through an organization and its community partners. Efforts to reach underserved communities and populations are particularly important.

-Community outreach involves reaching targeted communities and populations to provide information and promote services. Both active outreach and passive outreach methods must be used. Active outreach efforts include, but are not limited to, in person meetings with community leaders and stakeholders, presentations, and maintaining a physical presence in the community of interest. Passive outreach includes, but is not limited to, social media, brochure distribution, mailings, radio and television spots.

6. Training for Important Constituencies

Training specifically designed for important constituencies has, as its goal, the promotion of dementia- friendly and well-informed communities.

Important constituencies reached should include, but are not limited to:

-Service Providers: home health care workers, day program, adult and residential care facilities staff, and ombudsmen;

-Faith-based Communities: clergy, interfaith councils, parish nurses, faith leaders, and congregational support networks;

-Community Gatekeepers: persons who encounter individuals with AD/D in the general community including pharmacists; bank tellers; mail carriers; lawyers, financial planners, volunteer outreach program personnel such as “Meals on Wheels” drivers; community leaders; cultural organizations; customer service staff; human resources professionals and Employee Assistance Program staff; and

-First Responders: police, fire, EMT, and ambulance personnel.

7. Engagement Activities for Underserved Communities

Identification of and targeted outreach to underserved communities and culturally competent provision of the core services to these communities are critical components of the scope of work under this initiative.

Communities are groups of people who share common interests, concerns, or identities. These communities may or may not be geographically or spatially connected. Underserved communities face a set of circumstances which cause certain groups to experience greater challenges relative to others without those circumstances. Underserved communities are not based solely upon the inherent attributes of the individuals in the community.

Activities should be designed to serve individuals who may experience challenges related, but not limited, to:

-Isolation
-English as a second language
-Minority or ethnic group membership
-Intellectual, developmental and/or physical disabilities or mental illness
-Sexual orientation and/or gender identification
-Low socioeconomic status
-Cultural isolation
-Younger/early onset of AD/D

Project Expectations:

The Department will fund a proposal submitted by an applicant that clearly demonstrates the ability to provide the required core support services and other components as described in Section I-A. Project Description in all 62 NYS counties.

The organization funded under this Request for Applications (RFA) should utilize existing caregiver support resources in the community and collaborate and coordinate with appropriate service providers to create a complementary, non-duplicative service model.

Applicants may subcontract some or all components of the scope of work. Those applicants that propose subcontracting are required to identify subcontracting agencies during the application process. Applicants that plan to subcontract are expected to state in the application the specific components of the scope of work to be performed through subcontracts. Applicants should note that the lead organization (contractor) will have overall responsibility for all contract activities and deliverables, including those performed by subcontractors, and will be the primary contact for the Department. In addition, approval of the proposed subcontract agreement(s) by the Department will be required prior to the Department entering into a contract with the lead organization.

All subcontractors are required to provide Letters of Commitment describing their mission; scope of work specific to this grant; and counties that they will serve.

Specific program expectations are as follows:

Create a robust and diversified program of support services statewide:

Applicants are required to ensure that the following core services, as defined in Section I-A. Project Description, are available and accessible in sufficient quantity within each of the 62 NYS counties:

-Care Consultation
-Support Groups
-Caregiver Education and Training
-Caregiver Access to Assistance and Support
-Community Education, Awareness and Outreach
-Training for Important Constituencies

Demonstrate strong working relationships with appropriate community-based organizations:

The selected applicant will be expected to have strong working relationships with relevant community- based organizations to ensure that caregivers of individuals diagnosed with AD/D are referred to appropriate community supports and services.

Avoidance of duplication of efforts with existing service providers will be achieved through:
-Building upon existing relationships, developing new relationships, and working collaboratively with organizations which provide support services to caregivers and individuals with AD/D, and those which provide services to underserved populations statewide. These relationships should include demonstrated collaborations with the Department’s current ADP contractors and other NYS service systems (i.e., NYS Office for the Aging [NYSOFA] networks).
-Demonstrated collaborations with multiple relevant local organizations.
-Demonstrated ability to raise awareness of and provide culturally competent outreach activities and
caregiver support services to underserved communities statewide.

Conduct intensive outreach efforts to underserved communities:

The selected applicant will be expected to promote the availability and benefits of caregiver support services through outreach approaches to caregivers in underserved communities statewide.

These approaches may include, but are not limited to:
-Coordinated outreach activities using coalitions of local volunteers who are familiar with the underserved community and its residents.
-Provision of culturally appropriate information and educational materials to residences, community events, senior centers and local gatherings to raise awareness of AD/D and the availability and benefits of caregiver supports and services.
-Identification and training of community leaders and other key community stakeholders about the importance of early diagnosis of AD/D and available support services for individuals with AD/D and their caregivers.
-Educational workshops in community-based organizations serving hard-to-reach populations.

Participate in a comprehensive program evaluation:

The selected applicant will be expected to submit program progress reports on a quarterly basis or more often as requested using the Department’s templates and processes to aid in program monitoring and evaluation.

Quarterly reports will be used to collect information on project accomplishments, challenges, progress towards reaching measurable outcomes, and products developed. Grantees will be expected to report on the specific progress towards each of the program’s goals and objectives.

When reporting accomplishments, grantees will be asked to employ a range of strategies for measuring and reporting progress on systems development; numbers of families and caregivers who receive services; partnership and stakeholder involvement; and impact of services and other relevant outcomes.

Evaluation of this initiative will be a joint collaboration between the Department and the State University at Albany School of Public Health.

The selected applicant will be required to:
-Respond to quantitative and qualitative requests about program services;
-Complete progress reports on a quarterly basis or more often as requested;
-Work closely with Department and State University at Albany School of Public Health staff on program evaluation; and
-Require community partners to participate in evaluation efforts.

GrantWatch ID#:

GrantWatch ID#: 182474

Estimated Total Program Funding:

$23,835,000

Number of Grants:

It is anticipated that an award will be made to one community-based not-for-profit organization.

Estimated Size of Grant:

The award will provide $4,767,000 per year, for five years (for a total of $23,835,000).

Term of Contract:

It is expected that contracts resulting from this RFA will have the following time period: July 1, 2018 through June 30, 2023.

Continued funding throughout this 5-year period is contingent upon availability of funding and state budget appropriations.

Additional Eligibility Criteria:

Eligible applicants must be not-for-profit organizations located in New York State, whose primary purpose is the provision of support services related to AD/D.

Applicants must have a minimum of three years’ experience in demonstrating capacity to provide or arrange for the provision of the core services outlined in this RFA for individuals with AD/D and their caregivers in all 62 NYS counties.

Applicants that propose subcontracting for all or a portion of the core services should do so only with organizations which have demonstrated the capacity to provide support services to individuals with AD/D and their caregivers.

Pre-Application Information:

Prospective applicants are strongly encouraged to complete and submit a letter of interest. Prospective applicants may also use the letter of interest to receive notification when updates/modifications are posted, including responses to written questions. Letters of interest should be submitted via the Grants Gateway in the Pre-Submission Uploads section of the online application.

Submission of a letter of interest is not a requirement or obligation upon the applicant to submit an application in response to this RFA. Applications may be submitted without first having submitted a letter of interest.

Applications must be submitted online via the Grants Gateway.

All not-for-profit vendors subject to prequalification are required to prequalify on the Grants Gateway prior to grant application and execution of contracts.

Applications received from not-for-profit applicants that have not Registered and are not Prequalified in the Grants Gateway on the application due date listed on the cover of this RFA cannot be evaluated.

Prospective grantees are strongly encouraged to submit their applications at least 48 hours prior to the due date and time. This will allow sufficient opportunity for the applicant to obtain assistance and take corrective action should there be a technical issue with the submission process.

Key Dates:
-Release Date: November 10, 2017
-Letter of Interest/Intent Due: November 23, 2017
-Questions Due: November 30, 2017
-Questions, Answers and Updates Posted (on or about): December 8, 2017
-Applications Due: January 3, 2018 by 4:00 PM

This opportunity may be viewed on the Grants Gateway:
https://grantsgateway.ny.gov/IntelliGrants_NYSGG/module/nysgg/goportal.aspx?NavItem1=3

Contact Information:

Before starting your grant application, please review the funding source's website listed below for updates/changes/addendums/conferences/LOIs.

Questions of a technical nature can be addressed in writing or via telephone by contacting:

Erin Fay
518-486-6562
erin.fay@health.ny.gov

All substantive questions must be submitted in writing or via email to:

Elizabeth Berberian, Director
(518) 486-6562
alzrfa@health.ny.gov

Alzheimer’s Disease Program
New York State Department of Health
One Commerce Plaza
99 Washington Avenue
Albany, New York 12210

Funding or Pin Number:

RFA # 17491 / Grants Gateway # DOH01-ALZCAP-2018

URL for Full Text (RFP):

Geographic Focus:

USA: New York City;   New York