Hawaii Health & Harm Reduction Center

Hawaii Health & Harm Reduction Center, doing business as Community Health Outreach Work To Prevent Aids, is a Hawaii-based tax-exempt nonprofit organization that delivers behavioral health services, substance use disorder treatment, and homelessness prevention and support to federal grant programs as a prime recipient (62% of recent awards) and as a sub-recipient under state and federal partners. The organization operates primarily on federal grants from the Department of Housing and Urban Development and the Department of Health and Human Services rather than on federal contracts; it does not hold a prime contract vehicle.

The organization's capability portfolio centers on mental health and addiction treatment services for vulnerable populations in Hawaii. As a prime grant recipient, HHHRC has received three consecutive annual Continuum of Care Program grants from HUD's Assistant Secretary for Community Planning and Development for permanent housing, rapid rehousing, transitional housing, and supportive services, with awards in October 2022, October 2023, and October 2024 for fiscal years 2023, 2024, and 2025 respectively. HHHRC also holds a five-year SAMHSA Center for Substance Abuse Treatment grant awarded September 30, 2023, running through September 29, 2028, for the Adult Reentry Program serving justice-involved adults within four months of reentry from incarceration diagnosed with opioid use disorders; the program expands clinic capacity in Honolulu County and will open new clinics in Hawaii County and Maui County, targeting 2,850 unduplicated clients by the end of the five-year project. A third prime award from SAMHSA, dated September 30, 2024, funds behavioral health services (mental health and substance use disorder treatment) for transgender persons through HHHRC's gender-affirming care and peer program clinic in Honolulu County, with integrated services delivered by a clinical team including an addiction medicine specialist, medical director (APRN-RX), certified substance abuse counselor, and peer specialists.

Customer concentration is narrow and specialized. Four distinct federal agencies account for 92% of recent awards: HUD's Assistant Secretary for Community Planning and Development holds six awards; SAMHSA accounts for three awards; and CDC holds one award. Recent grant sub-award activity places HHHRC as a sub-recipient under the Hawaii Department of Health on substance use disorder continuum of care service array grants (awarded October 2025 and November 2023) and on work to prevent AIDS (awarded September 2023). HHHRC also subcontracts on technical assistance work under the National Association of State Mental Health Program Directors Inc. (awarded May 2024). The organization's footprint across recent years shows modest but consistent activity: one award in 2021, one in 2022, four in 2023, three in 2024, and three in 2025, with combined obligated dollars of $4.7 million. Only one award reaches ultimate completion within the next twenty-four months, limiting near-term recompete exposure.