Project Grant H79TI085218

MAI-HIGH RISK POPULATIONS - SUMMARY. METRO INCLUSIVE HEALTH, INC. AN ACCREDITED BEHAVIORAL HEALTH AND HIV MEDICAL PROVIDER WITH 29 YEARS OF EXPERIENCE AND A PROVEN TRACK RECORD OF SERVING THE POPULATION OF FOCUS, PROPOSES TO IMPLEMENT THE PROPOSED PROJECT COMPREHENSIVE ACCESS TO RECOVERY AND EMPOWERMENT (CARE) PROGRAM TO INCREASE ENGAGEMENT IN CARE FOR RACIAL AND ETHNIC UNDERREPRESENTED INDIVIDUALS WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD) WHO ARE AT RISK FOR, OR ARE LIVING WITH HIV/AIDS AND RECEIVE HIV/AIDS SERVICES/TREATMENT AND RESIDE IN HILLSBOROUGH OR PINELLAS COUNTIES, FL. METRO WILL LEVERAGE ITS ENTIRE HIV CONTINUUM OF CARE TO ENSURE IMMEDIATE LINKAGE AND CARE COORDINATION. PROJECT NAME: PROJECT CARE. POPULATION: AGES 18+ IN NEED OF SUD AND/OR COD OUTPATIENT TREATMENT; 100% TRAUMA-INVOLVED; 40% COD; 10% HIV+; 3% VIRAL HEPATITIS+; 80% AFRICAN AMERICAN; 5% MULTIRACIAL; 15% HISPANIC/LATINX; 70% MALE (YMSM/MSM/BISEXUAL); 20% FEMALE; 10% TRANSGENDER. STRATEGIES AND INTERVENTIONS: BEHAVIORAL HEALTH SCREENING AND ASSESSMENT, TRAUMA-INFORMED SUD AND/OR COD OUTPATIENT TREATMENT (IN-PERSON AND TELEHEALTH VIDEOCONFERENCING) COUPLED WITH STRENGTH-BASED CASE MANAGEMENT AND CARE COORDINATION, HIV, VIRAL HEPATITIS TESTING, DIAGNOSIS AND LINKAGE TO HIV/AIDS CASE MANAGEMENT, HIV MEDICAL CARE AND ART, PREP; PRIMARY CARE; AND WRAPAROUND CULTURALLY AND TRAUMA-INFORMED PEER RECOVERY SUPPORT AND LINKAGES TO HOUSING, EDUCATION/EMPLOYMENT. EBPS: MOTIVATIONAL INTERVIEWING (MI); MOTIVATIONAL ENHANCEMENT THERAPY (MET); STRENGTH-BASED CASE MANAGEMENT (SBCM); HIV NAVIGATION SERVICES (FOR HIV+); TRAUMA FOCUSED COGNITIVE BEHAVIORAL THERAPY (TF-CBT); COGNITIVE BEHAVIORAL THERAPY; COGNITIVE PROCESSING THERAPY (CPR); CONTINGENCY MANAGEMENT; AFFIRMATIVE THERAPY (TRANSGENDER); FAMILY PSYCHOEDUCATION (SIGNIFICANT OTHERS); MAT/MOUD; MANY MEN MANY VOICES (3MV); AND WELLNESS RECOVERY ACTION PLAN (WRAP). GOALS: 1) PREVENT NEW HIV INFECTIONS AND INCREASE ENGAGEMENT IN CARE; 2) IMPROVE HIV-RELATED HEALTH OUTCOMES OF RACIAL/ETHNIC MINORITIES LIVING WITH HIV; 3) REDUCE HIV-RELATED DISPARITIES AND HEALTH INEQUITIES; 4) IMPROVE ABSTINENCE; 5) ENSURE INDIVIDUALIZED TRAUMA-INFORMED RECOVERY-ORIENTED WRAPAROUND CARE; 6) IMPROVE CARE COORDINATION AND TREATMENT RETENTION; AND 7) ACHIEVE INTEGRATED, COORDINATED EFFORTS THAT ADDRESS THE HIV EPIDEMIC. MEASURABLE OBJECTIVES: 1) 100% OF CLIENTS SCREENED FOR SUD/COD, HIV, AND VIRAL HEPATITIS AT INTAKE AND 100% OF DRUG-USING AND/OR SEXUAL PARTNERS WILL BE LINKED TO HIV AND VIRAL HEPATITIS TESTING; 2) 100% OF CLIENTS TESTING HIV NEGATIVE WILL BE IMMEDIATELY LINKED TO PREP AND HIV RISK REDUCTION EDUCATION; 3) 100% OF CLIENTS TESTING HIV + WILL BE IMMEDIATELY LINKED TO HIV/AIDS TREATMENT; 4) 100% OF CLIENTS WILL BE SCREENED FOR VIRAL HEPATITIS AND WILL BE IMMEDIATELY LINKED TO HEPATITIS (B AND C) VACCINATION; 5) 80% WILL IMPROVE ABSTINENCE; 6) 80% WILL IMPROVE HEALTH/BEHAVIORAL/SOCIAL CONSEQUENCES 7) 80% OF CLIENTS WILL IMPROVE SOCIAL CONNECTEDNESS AND RETENTION; 8) 80% OF CLIENTS WILL IMPROVE EDUCATION AND/OR EMPLOYMENT STATUS; 9) 80% WILL REDUCE CRIMINAL JUSTICE INVOLVEMENT; 10) 80% OF CLIENTS REPORTING HOUSING NEEDS WILL IMPROVE HOUSING STABILITY; 11) 80% WILL BE RETAINED IN CARE; AND 12) 100% TIMELY BIANNUAL REPORTING. # TO BE SERVED: 50 (YEAR(S) 1-5), TOTALING 250 WITHIN FIVE YEARS.