Project Grant H79TI086845

MINORITY HIV/AIDS PROJECT - SUMMARY - JORDAN COMMUNITY RESIDENTIAL CENTER, IN PARTNERSHIP WITH THE CLEVELAND CLINIC'S INFECTIOUS DISEASE DEPARTMENT PROPOSES TO INCREASE ENGAGEMENT IN SERVICES FOR AFRICAN AMERICAN WOMEN WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD) WHO ARE AT RISK FOR OR AT LIVING WITH HIV/AIDS. A TOTAL OF 40 AFRICAN AMERICAN WOMEN WILL BE SERVED PER YEAR WITH A TOTAL OF 200 RECEIVING SERVICES OVER THE GRANT PERIOD. PROJECT NAME - MINORITY HIV/AIDS PROJECT DEMOGRAPHIC CHARACTERISTICS - A REPRESENTATIVE PARTICIPANT IN THIS PROJECT IS AN ENGLISH SPEAKING, FEMALE, AND AFRICAN AMERICAN. AGES WILL RANGE FROM 18 TO 65 WITH THE AVERAGE AGE BEING 35. WOMEN PRESENTING WITH A DEPENDENCE ON OPIOIDS WILL BE FROM A VARIETY OF SOCIOECONOMIC LEVELS WITH A MAJORITY BEING INDIGENT AND UNINSURED. MOST WILL BE UNEMPLOYED OR EMPLOYED PART-TIME MANY MAY ONLY HAVE A HIGH SCHOOL DIPLOMA OR GED. OFTEN THESE WOMEN WILL BE OR HAVE BEEN INVOLVED WITH OTHER PUBLIC SYSTEMS SUCH AS CHILD WELFARE, PUBLIC ASSISTANCE AND BEHAVIORAL HEALTH SYSTEMS. ALTHOUGH MOST LIST MARITAL STATUS AS SINGLE, MANY OF THESE DEFENDANTS ARE LIKELY TO BE PARENTS AND ARE CHALLENGED TO MEET PARENTAL RESPONSIBILITIES. THEY MAY BE "DOUBLING UP" WITH FAMILY MEMBERS TO AVOID HOMELESSNESS. IT IS ANTICIPATED THAT MOST OF THE POPULATION WILL BE COURT-INVOLVED AND HAVE HISTORIES OF HUMAN TRAFFICKING AND SEXUAL EXPLOITATION. STRATEGIES AND INTERVENTIONS - THE GOAL OF THIS PROPOSED PROJECT IS TO INCREASE ENGAGEMENT IN SERVICES FOR AFRICAN AMERICAN WOMEN WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD) WHO ARE AT RISK FOR OR AT LIVING WITH HIV/AIDS. OBJECTIVE #1: UPON NOTICE OF AWARD, THE PROJECT DIRECTOR WILL CONVENE A PROJECT MANAGEMENT TEAM TO DESIGN, IMPLEMENT, MONITOR, EVALUATE AND SUSTAIN THE MINORITY HIV/AIDS PROJECT. OBJECTIVE #2: BY DECEMBER 30, 2023, TRAIN ALL PROJECT STAFF AND PROJECT MANAGEMENT TEAM REPRESENTATIVES ON THE PREVENTION AND TREATMENT OF INFECTIOUS DISEASES INCLUDING HIV, VIRAL HEPATITIS B AND C. OBJECTIVE 3: BY JANUARY 30, 2024, BEGIN SERVICE DELIVERY BY SCREENING FOR THE PRESENCE OF HIGH-RISK SEXUAL BEHAVIOR, SUBSTANCE USE, MENTAL AND CO-OCCURRING DISORDERS USING EVIDENCE-BASED SCREENING INSTRUMENTS. OBJECTIVE #4: BY JANUARY 30, 2024, BEGIN ENROLLING PARTICIPANTS IN A CONTINUUM OF EVIDENCE-BASED AND TRAUMA-INFORMED SUBSTANCE USE DISORDER TREATMENT, RECOVERY HOUSING AND OTHER RECOVERY SUPPORT SERVICES (40 PARTICIPANTS PER YEAR). OBJECTIVE #5: BY JANUARY 30, 2024 BEGIN PROVIDING ON-SITE HIV RAPID PRELIMINARY ANTIBODY (AND CONFIRMATION TESTING) AND VIRAL HEPATITIS B AND C TESTING, FOLLOW-UP AND MEDICAL CARE TO 40 PROJECT PARTICIPANTS AND THEIR PARTNERS. OBJECTIVE 6: BY JANUARY 30, 2024, OFFER HIV PREVENTION EDUCATION AND REFERRAL FOR PRE-EXPOSURE PROPHYLAXIS (PREP) TO PROJECT PARTICIPANTS' WHO TEST NEGATIVE FOR HIV INFECTION AND POST-EXPOSURE PROPHYLAXIS (PEP) SERVICES FOR INDIVIDUALS WHO ARE INCREASED RISK OF EXPOSURE. OBJECTIVE #7: BY JANUARY 30, 2024, COLLECT AND REPORT GPRA, HBV AND HCV AND OTHER PROGRAM-RELATED DATA FOR THE PURPOSES OF GRANT COMPLIANCE AND CONTINUOUS QUALITY IMPROVEMENT. OBJECTIVE #8: BY JULY 1, 2024, FORM A CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES IN HEALTH AND HEALTHCARE (CLAS) - BEHAVIORAL HEALTH WORKGROUP AND STRATEGIC PLAN WITH ASSIGNMENTS, RESPONSIBILITIES AND TIMELINES TO IMPROVE THE PROVISION OF ALL INDIVIDUALS REGARDLESS OF RACE, ETHNICITY, LANGUAGE, SOCIOECONOMIC STATUS AND OTHER CULTURAL CHARACTERISTIC. NUMBER OF UNDUPLICATED INDIVIDUALS TO BE SERVED WITH GRANT FUNDS YEAR 01 - 40 YEAR 02 - 40 YEAR 03 - 40 YEAR 04 - 40 YEAR 05 - 40 TOTAL - 200