Appal (aniz prevention program for african-american/minority lgbtq+ indivduals) - the selected population focus for appal (aniz prevention program for african-american/minority lgbtq+ individuals)…

Appal (aniz prevention program for african-american/minority lgbtq+ indivduals) - the selected population focus for appal (aniz prevention program for african-american/minority lgbtq+ individuals) is the disadvantaged african-american queer population including bisexual and trans, age 18-45 in atlanta, GA under 150% AMI. In total, 2,970 individuals will be impacted by this program over a 5-year period. The goals of the project will be to conduct HIV outreach minority lgbtq+ individuals (hereafter, always in metropolitan atlanta) at risk for HIV/STI and SUD. The project will conduct outreach to 500 individuals in the first year and reach 600 by the end of the fifth year. To enroll and provide HIV education and prevention services to 400 minority lgbtq+ individuals reaching 500 by the fifth year; to conduct HIV/STI testing for a total of 2,970 minority lgbtq+ individuals; to provide navigation services including linkage and support services to 2,245 minority lgbtq+ individuals over the course of the project. To enroll 400 individuals in the first year for SUD intervention, HIV prevention including education and prep, and harm reduction counseling, reaching 500 by the fifth year. IT will provide counseling and access to medication for 40 HIV infected individuals in the first year and reach 100 individuals by the fifth year. IT will link 400 enrolled individuals to a PCP in the first year and reach 500 individuals by the fifth year. IT will provide rehousing for 40 homeless lgbtq+ individuals in the first year and reach 100 individuals by the fifth year. The core of the aniz wraparound service model is assertive community treatment (act). The basis for assertive community treatment is the idea that people will receive the best care when their mental care and healthcare providers work together as a team. IT is a model which provides flexible treatment with a multidisciplinary approach to support clients in all aspects of their life. This includes therapy, social support, employment, medication, and/or housing. Based on the evaluation, the treatment plan will move the individual is through the trans-theoretical model (stages of change) six stages of change: pre-contemplation, contemplation, preparation, action, maintenance, and termination. Social cognitive theory (SCT) is applied to the environment, situation, observational learning, behavioral capability, reinforcement, outcome expectancies, self-efficacy and reciprocal determinism. Brief interventions (single or multiple sessions) is offered in the SUD treatments including a) motivational interviewing (MI). MI is a counseling method that helps people resolve ambivalent feelings and insecurities to find the internal motivation individuals need to change their behavior; b) motivational enhancement therapy, (met). In all counseling sessions, the counselor will rely on dialectical behavior therapy. Dialectical behavior therapy (DBT) is a form of cognitive behavioral therapy (CBT). Its main goals is to teach people how to live in the moment, develop healthy ways to cope with stress, regulate their emotions, and improve their relationships with others, thus "breaking" the cycle of cause and effect.