Project Grant R01MH136903

The U.S. National Institute of Mental Health (NIMH) awarded a $469,291 Project Grant under the Mental Health Research Grants program (CFDA 93.242) to the Research Foundation of the City University of New York (RFCUNY), doing business as RFCUNY - Hunter College. This 5-year project aims to harness data science and a machine learning algorithm to improve outcomes along the HIV care continuum for a highly vulnerable population of people living with HIV. Specifically, the project will apply a predictive algorithm developed by RFCUNY's community-based partner to strategically deliver comprehensive care management and care coordination services to those most likely to experience emergency department visits or hospitalizations. The project will rigorously evaluate the effectiveness of this targeted, "just-in-time" implementation strategy on reducing emergency department utilization, improving viral suppression, and enhancing retention in HIV care. Additionally, the study will assess the feasibility, reach, adoption, and maintenance of the algorithm-driven care management approach across multiple service providers.