Project Grant H79TI085161

VILLAGE HART MAI-HRP - WESTCARE-THE VILLAGE SOUTH'S HEALTHY ALTERNATIVES REQUIRE TRANSITIONS (HART) PROGRAM WILL SERVE 230 UNDUPLICATED RACIAL/ETHNIC MINORITY ADULT MALES (40 YRS. 1, 5; 50 YRS. 2-4). HART WILL PROVIDE CULTURALLY APPROPRIATE, CLIENT-CENTERED SUD/COD OUTPATIENT TREATMENT, HARM REDUCTION AND RECOVERY SUPPORT SERVICES THAT FOCUS ON MSM POPULATIONS IN BROWARD AND MIAMI-DADE COUNTIES; COUNTIES IDENTIFIED AS LOCALITIES HARDEST HIT BY THE HIV EPIDEMIC. THE HART USES SEVERAL EVIDENCE-BASED TREATMENT MODELS TO OPTIMIZE EACH CLIENT'S SUCCESS IN TREATMENT AND SUCCESS IN LIFE. FOLLOWING THE FOUR DIMENSIONS OF RECOVERY, HART WILL ADDRESS EVERY ASPECT OF THE PERSON'S LIFE-BEHAVIORAL, SOCIAL, CULTURAL, MEDICAL, COGNITIVE, VOCATIONAL, AND EDUCATIONAL-IN THE RECOVERY PROCESS. WITH THESE WELL-CHOSEN INTERVENTIONS, TREATMENT AND RECOVERY SUPPORT SERVICES WILL HELP CLIENTS MAKE BEHAVIORAL CHANGES TO REDUCE THEIR RISK OF RELAPSE. GOAL 1: INCREASE THE AVAILABILITY OF, ACCESS TO, AND ENGAGEMENT IN EVIDENCE-BASED TREATMENT SERVICES TO REDUCE SUBSTANCE USE/MISUSE AND THE RELATED HEALTH CONSEQUENCES. OBJECTIVE 1.1: BY SEPTEMBER 2027, PROVIDE INTENSIVE, INTEGRATED OUTPATIENT SUD TREATMENT USING A-CRA/CRA AND ACC TO 230 ETHNIC MINORITY ADULTS AGED 18 YEARS OR OLDER (30 IN YEARS 1 AND 5; 50 IN YEARS 2-4) LIVING IN MIAMI-DADE AND BROWARD COUNTIES. OBJECTIVE 1.2: BY SEPTEMBER 2027, 80% OF CLIENTS WILL COMPLETE TREATMENT MEASURED BY THE DISCHARGE REASON. OBJECTIVE 1.3: BY SEPTEMBER 2027, 80% COMPLETING TREATMENT WILL BE SUBSTANCE FREE DURING THE 30 DAYS PRIOR TO DISCHARGE, AND 70% OF THOSE WILL REMAIN SUBSTANCE FREE AT 6-MONTHS POST ADMISSION. OBJECTIVE 1.4: BY SEPTEMBER 2027, OFFER HIV/STD/HV TESTING AND COUNSELING TO 100% OF THE CLIENTS AND THEIR DRUG-TAKING/SEXUAL PARTNERS, REFER 100% OF POSITIVES FOR CONFIRMATORY TESTING, AND LINK 85% OF POSITIVES TO CARE USING ARTAS. OBJECTIVE 1.5: BY SEPTEMBER 2027, LINK 85% OF HIGH-RISK HIV NEGATIVES TO PREP. OBJECTIVE 1.6: BY SEPTEMBER 2027, PROVIDE CLEAR TO 80% OF THOSE WHO ARE AT-RISK OR POSITIVE FOR HIV. OBJECTIVE 1.7: BY SEPTEMBER 2027, 50% OF PERSONS COMPLETING CLEAR WILL REPORT HAVING FEWER SEXUAL PARTNERS AND LESS UNPROTECTED SEX WITHIN THE 30 DAYS PRIOR TO DISCHARGE, AND 70% OF THOSE WILL CONTINUE TO EXHIBIT DECREASED RISK BEHAVIORS AT 6-MONTHS POST ADMISSION. OBJECTIVE 1.8: BY SEPTEMBER 2027, 80% COMPLETING CLEAR WILL HAVE INCREASED KNOWLEDGE OF HIV RISK BEHAVIORS AT DISCHARGE MEASURED BY THE HIV-KQ-45. GOAL 2: REDUCE THE BEHAVIORAL AND SOCIAL CONSEQUENCES RELATED TO SUBSTANCE USE/MISUSE BY INCREASING ACCESS TO AND AVAILABILITY OF RECOVERY SUPPORT SERVICES. OBJECTIVE 2.1: BY SEPTEMBER 2027, 80% COMPLETING SERVICES WHO HAVE ANXIETY, DEPRESSION, OR TRAUMA SYMPTOMS AT INTAKE WILL EXHIBIT FEWER SYMPTOMS AT DISCHARGE, AND 70% OF THOSE WILL MAINTAIN THE IMPROVEMENTS OR SHOW ADDITIONAL DECREASES AT 6-MONTHS POST ADMISSION ASSESSED BY THE GPRA, PCL-5, AND MODIFIED MINI. OBJECTIVE 2.2: BY SEPTEMBER 2027, 80% COMPLETING SERVICES AND NOT HAVING STABLE LIVING ARRANGEMENT AT INTAKE WILL HAVE STABLE LIVING ARRANGEMENTS AT DISCHARGE, AND 70% OF THOSE WILL MAINTAIN THEIR LIVING ARRANGEMENTS AT 6-MONTHS POST INTAKE MEASURED BY GPRA. OBJECTIVE 2.3: BY SEPTEMBER 2027, 80% COMPLETING SERVICES WILL HAVE IMPROVED SOCIAL CONNECTEDNESS AT DISCHARGE, AND 70% WILL MAINTAIN THESE IMPROVEMENTS AT 6-MONTHS POST INTAKE MEASURED BY GPRA. OBJECTIVE 2.4: BY SEPTEMBER 2027, 80% COMPLETING SERVICES WILL BE IN AN EDUCATIONAL/VOCATIONAL PROGRAM OR EMPLOYED AT DISCHARGE, AND 70% WILL CONTINUE TO REMAIN ENROLLED, COMPLETE THEIR EDUCATION/TRAINING, OR REMAIN EMPLOYED AT 6-MONTHS POST ADMISSION MEASURED BY GPRA. OBJECTIVE 2.5: BY SEPTEMBER 2027, 80% COMPLETING SERVICES WILL NOT ENGAGE IN NEW CRIMINAL ACTIVITY AT DISCHARGE, AND 70% WILL NOT RECIDIVATE AT 6-MONTHS POST INTAKE MEASURED BY GPRA.