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FY 2009 Budget Justification
 

Interdisciplinary, Community-Based Linkages:

Allied Health and Other Disciplines

  FY 2007
Actual
FY 2008
Enacted
FY 2009
Estimate
FY 2009 +/-
FY 2008
BA $3,960,000 $8,803,000 --- ($8,803,000)

Authorizing Legislation: Section 755 of the Public Health Service Act (Chiropractic Demonstration Projects Grant Program, Grant Program to Support Graduate Psychology Education); Section 340 G of the Public Health Service Act (State Oral Health Workforce Grant Program)

FY 2009 Authorization Expired
Allocation Method Competitive Grants

Program Description and Accomplishments
Under Allied Health and Other Disciplines, funds support the Allied Health Projects Grant Program, the Chiropractic Demonstration Project Grant Program, and Grants to Support Graduate Psychology Education.

The Allied Health Projects Grant Program makes grants to eligible entities to assist them in meeting the costs associated with expanding or establishing an allied health professions program

Chiropractic Demonstration Project grants support research in which chiropractors and physicians collaborate to identify and provide effective treatments for spinal and/or lower back conditions.

Graduate Psychology Education grants support post-baccalaureate education within accredited psychology training programs, in collaboration with two or more medical or behavioral health disciplines. The purpose of the program is to train psychologists in behavioral and mental health to work with individuals and families in medically underserved areas. Eligible entities include accredited health profession schools, universities, and other public or private nonprofit entities, including faith-based and community-based organizations.

The State Oral Health Workforce Grant Program, funded under Section 340 G of the Public Health Service Act, provides the opportunity for States to implement a range of innovative approaches to improve access to oral health services. Eligible applicants include Governor-appointed State government entities.

Under Allied Health and Other Disciplines, awards were made in FY 2007 to support four Chiropractic Demonstration Project grants (totaling $1,802,228) and eighteen (18) Grants to Support Graduate Psychology Education (totaling $1,802,071). Chiropractic Demonstration Project grants support research in which chiropractors and physicians collaborate to identify and provide effective treatments for spinal and/or lower back conditions. A total of 28 chiropractors have participated in the four demonstration projects.

In FY 2007, recipients of grants in the Graduate Psychology Education program provided interdisciplinary training to 94 students in psychology internships, doctoral programs, and post-doctoral training programs. On average 62 percent of trainees upon graduation go to work in medically underserved communities, providing much needed services.

The State Program to Support Oral Health Workforce Activities began in Fiscal Year 2006 with the awarding of a total of $2,000,000 to support 18 grants.

Most of the Health Professions’ Title VII and VIII programs were reviewed as a unit in 2002 using the Program Assessment Rating Tool (PART). These programs, in the aggregate, received a rating of Ineffective. This program was included in that assessment. See Summary of Request.

Funding includes costs associated with grant reviews, processing of grants through the Grants Administration Tracking and Evaluation System (GATES) and HRSA’s electronic handbook, and follow-up performance reviews.

Funding History

FY 2004 $11,849,000
FY 2005 $11,753,000
FY 2006 $3,957,000
FY 2007 $3,960,000
FY 2008 $8,803,000

Budget Request
The FY 2009 Request does not request funding for this program. The budget focuses on activities that fund the placement of more doctors, nurses, and other health care professionals in the regions of the country that face shortages. Many of the community based interdisciplinary training programs using telemedicine and other distance learning education and training techniques have been institutionalized and will continue to provide training in the future. In addition, evaluations have not linked the Health Professions training grants to changes in supply, distribution, and minority representation of physicians and other health professionals.

# Key Outputs FY 2004 Actual FY 2005 Actual FY 2006 FY 2007 FY 2008
Enacted
FY 2009
Target
Out-Year Est
Target Actual Actual Target
  Number of graduates 2,388   2,388 NA -- NA -- -- -- NA
  No. of URM graduates 972 972 NA -- NA -- -- -- NA
  Percent of URM grads 41 41 NA -- NA -- -- -- NA
  No. of grads entering
practice in MUCs
1,150 1,150 NA -- NA -- -- -- NA
  Percent of grads
entering practice in
MUCs
48 48 NA -- NA -- -- -- NA
Graduate Geropsychology
  Number of Grantees NA 7 -- -- -- -- -- -- NA
Graduate Psychology
  Number of Grantees NA 20 NA 20 NA 18 18 -- NA
  Number of Trainees NA INA NA INA NA 94 94 -- NA
  Number of Graduates NA INA NA INA NA 86 86 -- NA
  Number of Graduates in MUCs NA INA NA INA NA 54 54 -- NA
  Percent of Graduates in MUCs NA INA NA INA NA 62% 62% -- NA
Oral Health Workforce
  Number of Grantees NA NA NA 18 NA 18 36 -- NA
Chiropractic Demonstration Projects
  Number of awards 3 3 NA 4 NA 4 4 -- NA
  No. of chiros. involved
in research projects
21 21 NA 28 NA 28 28 -- NA
Podiatry
  Number of Grantees 2 2 NA -- NA -- -- -- NA
  Appropriated Amount
($ Million)
$11.85   $11.75   $3.96   $3.96 $8.80  

NA – Not Applicable