Introduction
Partners for HOME (“PfH”), on behalf of the Atlanta Continuum of Care (CoC), releases this grant application for a direct service provider to provide permanent supportive housing (PSH) medical and mental health services to individuals experiencing homelessness in the City of Atlanta. PfH is a nonprofit organization that serves as the Collaborative Applicant for the Atlanta Continuum of Care (CoC) — a Housing and Urban Development (HUD) program that promotes community-wide commitment to the goal of ending homelessness and provides funding for efforts by nonprofit providers and state and local governments to quickly rehouse people impacted by homelessness. Its mission is to coordinate a comprehensive crisis response system to end homelessness in the City of Atlanta. Partners for HOME does not discriminate based on race, color, religion, gender, sexual orientation, national origin, age, or disabilities in hiring practices or service provision.
Project Overview
On-Site Medical and Mental Health Provider:
This opportunity requests an experienced medical and behavioral health provider to deliver on-site, dedicated services to 30 households. Services shall include, but not be limited to, 24/7 on-site staffing with clinical and non-clinical personnel, supervised by a licensed Medical Director (NP, PA, MD, or DO). The staffing model will include licensed clinicians, nurses, and behavioral health specialists trained in trauma-informed care.
The provider will deliver comprehensive medical, behavioral health, and supportive services designed to promote stability, recovery, and quality of life. Services will include immediate screenings and assessments at intake, individualized care plans developed within 24 hours, medication management in compliance with state regulations, and daily monitoring of patient well-being. The care team will also provide intensive support with activities of daily living, access to nutritious meals, incident management, and individualized nutrition and health plans when needed.
Further, the provider will facilitate access to long-term medical, behavioral health, and case management services, ensuring continuity of care through established partnerships with hospitals, health systems, and Continuums of Care. Patients will receive direct support navigating health systems, transportation to appointments, and linkage to primary care and medical homes. Staff will connect patients to peer support, harm reduction, recovery services, and housing resources.
The program will offer patient-centered, wrap-around services that integrate medical care, behavioral health, and social supports. All services will be intensive, responsive to individual needs, and delivered in a trauma-informed, culturally responsive manner to help patients achieve stability, recovery, and improved health outcomes.
Anticipated Award
Agencies are requested to submit a budget proposal.
