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Created: 05/27/2015 Last updated: 06/01/2015 Page 1 General information Organization ASU Foundation Contact First name Lisa Contact Last name Roubal-Brown Contact e-mail lisa.roubal-brown@asu.edu Contact phone number 602-496-1234 Address Street 550 North 3rd Street City Phoenix State AZ ZIP Code 85004 From what tribe is the organization requesting the grant? Tohono O’odham Nation Total grant amount request 75,000 The Gila River Indian Community offers multi-year awards. If your organization is requesting a multi-year grant for this project or program from the Gila River Indian Community, enter the amount to be requested each year. Amount Year 1 (Gila River Indian Community Only) Year 2 (Gila River Indian Community Only) Year 3 (Gila River Indian Community Only) Year 4 (Gila River Indian Community Only) Year 5 (Gila River Indian Community Only) 1 of 1 Tohono O’odham Nation Proposal Narrative A) Explain the perceived need and explain how the proposal will address that need. According to the Department of Economic Security’s Homelessness in Arizona, Annual Report 2013, one in every 235 Arizonans (over 28,000 individuals) experienced homelessness in that year. This reflects an increase of 12.8% from 2011. Homeless individuals are more likely to experience serious illness, depression and mental illness, and a lack of available healthcare has contributed significantly to high levels of unemployment, substance abuse and dependence on social welfare services. In a 2013 survey conducted by ASU’s Morrison Institute for Public Policy, 40% of survey respondents (homeless residents of Maricopa County) said they had used health care services in the last six months, and 38% reported having had an ER experience in the past year. 56% reported that they had been on AHCCCS (state supported health insurance) or other form of insurance in the past year. Respondents also reported the following general reasons for their homelessness: • Health (39%) • Substance Abuse (25%) • Medical (non-mental) (16%) • Alcohol use (16%) • Drug Use (11%) A group of students from ASU, Northern Arizona University (NAU), and the University of Arizona (U of A) conceived the idea for the Student Health Outreach for Wellness Community (SHOW) Initiative in June of 2013. They envisioned the project as a service-learning program, dedicated to positively addressing homelessness through the operation of a student run, interprofessional practice and education (IPP/IPE) health clinic – the first of its kind in Arizona. Since that time, student, community, and volunteer support for the initiative has grown tremendously, and more than 150 students from 16 professional units across the three universities have worked together with faculty and community partners on its design and development. The initiative now includes Primary Care; Community Health Education & Outreach; Research on Homeless Health Indicators and Outcomes; and Workforce Training and Education. The SHOW Clinic will open in 2015 on the Maricopa County Department of Public Health (MCDPH) Human Services Campus (HSC) in downtown. The clinic will provide free health services to individuals experiencing homelessness during weekends when such care is rarely available outside of emergency care facilities. The clinic will also provide hands-on experience for students who will become leaders in health care and health education. Services are provided to the homeless on this campus during the week by Health Care for the Homeless (HCH) – however, no weekend services are currently provided, and more than 1,000 homeless clients are left without a source of non-emergency care. As a result, many end up seeking emergent care for non-emergent situations. SHOW will reduce the overall costs of homeless-related medical care by significantly decreasing the number of non-emergency hospital visits, calls to 911 and reliance on EMT services. The average cost of a one-day stay in the hospital is approximately $1,700. SHOW will also provide specialty services including physical therapy, occupational therapy, behavioral health assessment, and behavioral health coaching. These services will grant our community’s most vulnerable population access to a quality of health care that has not previously been made available to them, in turn fulfilling an essential element of ending chronic homelessness. B) Describe the population who will benefit from the proposal if approved. SHOW will be, first and foremost, a safe and accessible health center for homeless individuals in Maricopa County. The homeless community is perhaps the most vulnerable and low-income segment of our community’s population. SHOW will assist in minimizing health disparities providing comprehensive, high quality care. This clinic will have a direct impact on the lives of vulnerable and underserved individuals in our community through the services offered and the sharing of lessons learned with the larger community. SHOW’s target population is comprised of approximately 5,200 clients currently receiving clinical services on the HSC during the week. The demographic breakdown is as follows: Total # of Patients – 5,019 Race: Hawaiian/Pacific Islander – 18 (< 1%) Black/African American – 1,257 (25%) Native American/Alaskan Native – 195 (3.8%) White – 3,515 (70%) More than one race – 34 (< 1%) Ethnicity: Hispanic (inclusive of the above racial categories) – 4,374 87% Other: 13% Insurance: Medicaid – 432 (8.6%) Private Insurance - 9 (< 1%) Uninsured – 4,715 (94%) Most Frequent Services Rendered Diabetes Mellitus – 340 patients, 2,333 visits Asthma – 562 patients, 1,610 visits Overweight & Obesity – 388 patients, 1,015 visits Mental Health & Substance Abuse – 1,420 patients, 3,174 visits C) Include a budget of the requested funds, with the total amount requested clearly notated. The ASU Foundation for A New American University asks the Tohono O’odham Nation to consider a $75,000 request from the College of Nursing & Health Innovation at ASU to support the SHOW Community Health Initiative. A budget is listed below: D) List any other funding requests that have been made for this or substantially related proposals and provide the status of those requests. Funding requests for SHOW have been approved by the Josiah Macy Jr. Foundation, the Diane and Bruce Halle Family Foundation, Mercy Maricopa Integrated Care, and the BHHS Legacy Foundation. Funding amounts from these organizations, which total 163,080, are included above. Dignity Health is currently reviewing a $100,000 proposal. In addition, the Hearst Foundation and the Hickey Family Foundation both declined funding requests due to limited availability of funds. E) Indicate whether the entity has already received a 12% distribution from the Tohono O’odham Nation or other Arizona tribes, along with the amount and date awarded. The ASU Foundation for A New American University has not received a 12% distribution for the College of Nursing & Health Innovation at ASU to support the SHOW Community Health Initiative. F) Identify a designated contact person and alternate contact person for follow-up, including e-mail address, phone number, mailing address, and fax number for these persons. Designated Contact Person Lisa Roubal-Brown, Assistant Development Eric Spicer, Director of Development, Officer Eric.spicer@asu.edu Lisa.roubal-brown@asu.edu P: 602-496-2301 P: 602-496-1238 550 N. 3rd Street 550 N. 3rd Street Phoenix, AZ 85004 Phoenix, AZ 85004 F: 602-496-0544 F: 602-496-0544 Alternate Contact Person G) Indicate which priority area (from the above list) the proposal falls under. Health Care H) If the proposal is from a non-profit organization, include the name of the city, town, or county an agreement will be made with if funds are granted. Maricopa County