La Clinica CAP Grant FY21-23 - 09272021

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DocuSign Envelope ID: C60B747D-14C2-4F7D-B1FE-9C8FB57DABCE Consulting Services Agreement between City of San Leandro and La Clinica de la Raza for CAP Grant: Fuente Wellness Last revised 07/21/2021 Exhibit A – Page 1 of 1 EXHIBIT A SCOPE OF SERVICES Project Goals and Objectives (Describe the project or program and how participants will benefit.): The goal of Fuente Wellness Center Integrated Health Services for Low-Income Youth is to provide low- income youth ages 11-24 in San Leandro with high quality, linguistically and culturally responsive health care services that supports their long-term health and transition to adulthood. Fuente will deliver primary medical, health education, behavioral health, and dental services to at least 105 San Leandro youth at no cost, regardless of insurance status. With funding from the City of San Leandro, the objective of the project will be to offer services designed for the needs of low-income, high-risk, underserved youth at Fuente Wellness Center, including: 1. Provide high-quality, bilingual primary medical, dental, and health education services for youth, targeting vulnerable youth and youth with multiple barriers to care; 2. Deliver behavioral health services ranging from individual assessments and counseling to case management that supports youth in making healthy choices and successfully transitioning to adulthood. Through behavioral health screening assessments, Fuente will identify and connect youth to support services, including depression/anxiety support groups and individual counseling sessions; 3. Expand social media platform to increase engagement with clinic services and promote health topics to raise awareness of mental health, access to local resources, food access, and health services; and 4. Implement two Hunger Vital Sign questions into patient intake form to assess food security and when applicable, connect San Leandro youth to local food resources. Performance Measures Describe how your proposed project will improve the San Leandro community. Provide specific data projections. For example: the number of meals provided or participants served. Program outputs should be measurable and realistic.) 1. By June 30, 2022, La Clínica will provide no-cost medical, dental and health education services to 105 low-income San Leandro youth at Fuente Wellness Center; 2. By June 30, 2022, La Clínica will provide behavioral health services to 15 low-income San Leandro youth at Fuente Wellness Center; 3. By June 30, 2022, La Clínica will ask 105 low-income San Leandro youth two Hunger Vital Sign questions on patient intake forms and connect youth who answer yes to more than one question with a resource guide for accessing healthy food in the area. 4. By June 30, 2022, La Clinica will increase social media engagement on Fuente Wellness Center’s Instagram to 50 followers through which San Leandro youth will receive educational and informative information including but not limited to health services, mental health, local community resources, food assistance, and how to access clinic services. Timelines (Provide a quarterly timeline for the performance measures. For example: 1st Quarter (Jul – Sept) – Provide 100 hot meals to eligible seniors.) Fuente Wellness Center Integrated Health Services for Low-income Youth Timeline 1st Quarter, July 2021 – September 2021, Serve approximately 36 San Leandro youth 2nd Quarter October 2021 – December 2021, Serve approximately 26 San Leandro youth 3rd Quarter January 2022 – March 2022, Serve approximately 31 San Leandro youth 4th Quarter April 2022 – June 2022, Serve approximately 12 San Leandro youth Youth health services tend to peak in the beginning of the school year and in the winter, during the flu season. Summer months typically draw in fewer patients. The estimates above are based on the 2019-2020 fiscal year trends from San Leandro patients. Expenses Grant Request Personnel $26,906 Includes salaries and fringe Operating $5,594 Includes non-personnel and indirect Total Grant Award $32,500 DocuSign Envelope ID: C60B747D-14C2-4F7D-B1FE-9C8FB57DABCE