Project Grant H79SM086211

SERVICE INTEGRATION - SUMMARY. METROPOLITAN CHARITIES, INC. (D.B.A. METRO INCLUSIVE HEALTH, INC., REFERRED TO AS METRO HEREAFTER), AN ACCREDITED BEHAVIORAL HEALTH AND HIV MEDICAL PROVIDER WITH 29 YEARS OF EXPERIENCE AND A PROVEN TRACK RECORD OF EFFECTIVELY SERVING THE POPULATION OF FOCUS WILL IMPLEMENT THE MINORITY AIDS INITIATIVE SERVICE INTEGRATION PROGRAM TO EXPAND AND ENHANCE ACCESSIBLE, EVIDENCE-BASED, CULTURALLY APPROPRIATE MENTAL HEALTH AND COD TREATMENT THAT IS INTEGRATED WITH HIV PRIMARY CARE AND PREVENTION SERVICES TO HELP REDUCE THE CO-OCCURRING EPIDEMICS OF HIV, HEPATITIS, AND MENTAL HEALTH DISORDERS, REDUCE INCIDENCES OF HIV AND IMPROVE OVERALL HEALTH OUTCOMES FOR AT-RISK RACIAL, ETHNIC MINORITIES WITH A MH/COD. PROJECT NAME: MINORITY AIDS INITIATIVE SERVICE INTEGRATION. POPULATION(S) TO BE SERVED: ADULTS (AGES 18+) DIAGNOSED WITH A MENTAL HEALTH DISORDER OR CO-OCCURRING DISORDER (COD) BASED ON ASAM PLACEMENT CRITERIA; 69% MALE (MSM); 30% FEMALE; 1% TRANSGENDER; 80% AFRICAN AMERICAN; 15% HISPANIC/LATINX; 5% MULTIRACIAL; AND 6% LGBTQ+; LIVING WITH OR AT RISK FOR HIV AND/OR HEPATITIS RESIDING IN HILLSBOROUGH AND PINELLAS COUNTIES. INTERVENTIONS: 1) PROVIDE EASILY ACCESSIBLE HIV AND HEPATITIS PREVENTION SERVICES (E.G., SCREENING, RISK ASSESSMENT, PREVENTION COUNSELING, HIV AND HEPATITIS TESTING, REFERRAL TO PRE-EXPOSURE PROPHYLAXIS (PREP), HEPATITIS VACCINATION) WITHIN METRO'S BEHAVIORAL HEALTH CARE SETTING; 2) PROVIDE CULTURALLY-INFORMED EVIDENCE-BASED TREATMENT AND PRACTICES FOR INDIVIDUALS WITH MH OR COD THAT ARE TRAUMA-INFORMED, RECOVERY-ORIENTED, AND CULTURALLY APPROPRIATE; 3) PROVIDE PEER SUPPORT SERVICES FOR INDIVIDUALS WITH MH/COD; 4) IMPLEMENT OUTREACH STRATEGIES THAT EFFECTIVELY TARGET THE POPULATIONS OF FOCUS AND INFORM OF SERVICE INTEGRATION IN COMMUNITY AND USING SOCIAL MARKETING; 5) PROVIDE CASE MANAGEMENT AND CARE COORDINATION TO COORDINATE ALL LEVELS OF CARE, INCLUDING BEHAVIORAL HEALTH, PRIMARY CARE, HIV AND HEPATITIS TREATMENT AND SUPPORTIVE SERVICES (HOUSING, BENEFITS, EMPLOYMENT), INCLUDING TRANSITIONS TO THE COMMUNITY FOLLOWING INPATIENT HOSPITALIZATION OR ER VISITS; AND 6) DEVELOP SEAMLESS SERVICE INTEGRATION COORDINATING THE FOLLOWING CARE ON-SITE AT METRO: (A) PRIMARY HIV TREATMENT AND CARE, INCLUDING RYAN WHITE SERVICES; (B) REFERRALS AND LINKAGES TO FOLLOW-UP CARE AND TREATMENT FOR INDIVIDUALS WITH VIRAL HEPATITIS (B OR C); (C) REFERRALS AND LINKAGES TO PREP; AND (D) REFERRALS AND LINKAGES TO PRIMARY CARE SERVICES. EBPS: TRAUMA-INFORMED MH/COD STANDARDIZED SCREENING/ASSESSMENT (AUDIT, CAGE-AID, PHQ-9, GAD-7, TRAUMA SYMPTOM CHECKLIST 40); MI; STRENGTHS-BASED CM; TF-CBT; EMDR; AFFIRMATIVE THERAPY; WRAP; 3MV; AND HIV NAVIGATION SERVICES. GOALS: 1) EXPAND ACCESS TO HIV AND HEPATITIS PREVENTION SERVICES (E.G., SCREENING, RISK ASSESSMENT, PREVENTION COUNSELING, HIV AND HEPATITIS TESTING, REFERRAL TO PRE-EXPOSURE PROPHYLAXIS (PREP), HEPATITIS VACCINATION); 2) EXPAND ACCESS AND INCREASE HIV AND HEPATITIS TESTING ON-SITE IN RACIAL AND ETHNIC HIGH-RISK COMMUNITIES; 3) REDUCE BEHAVIORAL HEALTH DISPARITIES AND IMPROVE MENTAL HEALTH FUNCTIONING WITH EXPANDED ACCESS TO CULTURALLY-INFORMED EVIDENCE-BASED TREATMENT THAT IS TRAUMA-INFORMED, RECOVERY-ORIENTED, AND CULTURALLY APPROPRIATE; 4) FACILITATE PEER SUPPORT SERVICES. MEASURABLE OBJECTIVES: 1) 80% WILL IMPROVE MENTAL HEALTH FUNCTIONING; 2) 80% WILL REDUCE TRAUMA SYMPTOMS/VIOLENCE; 3) 80% WILL IMPROVE STABILITY IN HOUSING; 4) 80% WILL IMPROVE EDUCATION/EMPLOYMENT STATUS; 5) 80% WILL REDUCE CJ INVOLVEMENT; 6) 80% WILL REPORT HIGH PERCEPTIONS OF CARE; 7) 80% WILL IMPROVE SOCIAL CONNECTEDNESS, AND 100% WILL RECEIVE HIV-SPECIFIC MEASURES. # TO BE SERVED: 65 UNDUPLICATED INDIVIDUALS EACH YEAR, TOTALING 260 IN FOUR YEARS.