Closing service and surveillance gaps for urban AI/an adults at risk for HIV/aids - friendship house will implement its proposed project - closing service and surveillance gaps for urban AI/an…

Closing service and surveillance gaps for urban AI/an adults at risk for HIV/aids - friendship house will implement its proposed project - closing service and surveillance gaps for urban AI/an adults at risk for HIV/aids - in response to the MAI high risk populations initiative. Through this project, we will serve american indians and alaska natives living in the SAN francisco BAY area, a population with a disproportionately high incidence of SUD and/or COD, factors that contribute to their high risk for contracting HIV/aids and viral hepatitis. Using culturally-informed and evidence-based practices, we will provide SUD treatment and recovery, screen and test for both HIV and viral hepatitis, and ensure linkage to appropriate care. Friendship house builds upon recent experience implementing a 5-year TCE-HIV grant from samhsa awarded in 2017, through which we integrated HIV and viral hepatitis rapid testing as part of our intake and screening and facilitated linkages and referrals to treatment, provided by partners and through telemedicine services. Friendship house will serve 212 people annually and 1,060 total throughout the lifetime of the project. The following are goals and measurable objectives of our proposed project: goal 1: increase surveillance and awareness of HIV and HCV among urban AI/an adults, through our residential SUD treatment program. Objective 1A: during initial intake, 100% of residential SUD clients and partners shall be offered rapid HIV and HCV (180 individuals reached annually) objective 1B: 90% will choose to receive on-site testing within 4 weeks (or 162 individuals tested annually). Goal 2: increase surveillance and awareness of SUD, HIV and HCV among the broader community of urban AI/an adults, through community events and public health outreach. Objective 2A: promote HIV and HCV awareness at events and gatherings for the broader urban AI/an community, resulting in 50 additional individuals being rapid-tested annually. Objective 2B: refer at least 25 individuals annually to the friendship house residential SUD program, with at least 50% seeking treatment in the 6 months after referral. Goal 3: create linkages/ensure treatment for individuals with preliminary and confirmed positive HIV or HCV tests. Objective 3A: 100% who have a preliminary positive HIV or HCV test result will be informed within 24 hours and receive immediate referral to confirmatory testing. Objective 3B: 100% who test positive will be offered case management and health navigation, connecting them with service providers and available benefits. Objective 3C: 80% who test positive will have begun a treatment plan within 90 days. Goal 4: decrease the incidence of HIV and HCV among urban AI/an adults by addressing behavioral health needs and by incorporating health education during residential SUD treatment. Objective 4A: during initial intake, 90% of clients will be screened for CO-occurring mental health conditions and the need for medication-assisted treatment. Objective 4B: by the end of their first month in residence, 90% of clients will have an individualized service plan that includes behavioral health care, cultural connection, and peer-based supports. Objective 4C: 90% of clients (162 annually) will attend trauma-informed risk-reduction, sexual health and safer SEX health education group classes during residential SUD treatment. Objective 4D: 80% of these clients will indicate better understanding of factors that contribute to their SUD and potential risk for HIV and HCV. Objective 4E: 70% of clients will enroll in peer-based support systems during residential SUD treatment and continue to participate for at least 6 months after being discharged.