Sunday, December 22, 2024
12/22/2024
In Metro Detroit, Michigan, colorectal cancer (CRC) screening and drug overdose (DO) disparities are pervasive and multifactorial. In Wayne County, MI (includes Detroit) 57.7% of CRC is diagnosed at a late stage; in the Detroit metro area, 29% of residents are without appropriate colorectal screening. The State is also experiencing a public health opioid epidemic and drug overdose crisis. In 2022, there were 2,442 deaths of opioid overdose, accounting for 81% of DO deaths. Disparities in SDOH, specifically access to healthcare and social and community context, are major contributing factors fueling decreased CRC screening rates and DO deaths. This proposal leverages the strength of existing reciprocal relationships with Wayne State University (WSU) College of Nursing (CON), primary care delivery systems in medically underserved communities, and partnerships with community organizations to address these disparities. Our overarching goal is to reduce barriers in CRC screening rates and drug overdoses in metro Detroit within African American and Middle Eastern North African (MENA) communities. The B.R.I.D.G.E (Building Relationships to Impact Disparities and Generate Equity) program leverages the impact of nurses as trusted messengers and implements quality improvement initiatives at clinics, with providers, various service organizations, and in communities to improve health outcomes. We will, in this 4-year project, 1. Partner with 5 community clinics in medically underserved metropolitan Detroit to address known SDOH barriers (e.g., transportation, health literacy, medical mistrust) by implementing Quality Improvement (QI) projects designed to increase CRC screening and/or decrease incidence of drug overdose deaths. (Healthcare Access and Quality) 2. Address, through our B.R.I.D.G.E program, transportation barriers for high-risk persons in need of colonoscopies by partnering with Karmanos Cancer Institute, The Huda Clinic, and local caregiver agencies to provide caregiver accompanied transportation to/from colonoscopies. (Healthcare Access and Quality) 3. Train 20 registered nurses who represent and live among the population of interest, who will serve as trainers in Mental Health First Aid (MHFA) and Narcan Administration (NA) with the aim of increasing health promotion and disease prevention efforts in Detroit metro underserviced communities. (Social and Community Context) 4. Train, annually, 50 community members in MHFA and NA to equip lay persons with skills for early identification and intervention of substance use disorder (SUD). (Social and Community Context) 5. Train, annually 50 healthcare providers/direct care workers in Screening, Brief Intervention and Referral to Treatment (SBIRT) and 100 providers in SDOH disparities, CRC and OD to improve health outcomes (Healthcare Access and Quality) 6. Leverage established partnerships with 6 trusted Southeast MI community-based nursing service organizations (NSO) to address health literacy and expand community education to address SDOH, CRC, and OD disparities. (Healthcare Access and Quality) 7. Expand partnerships with 10 trusted influential community-based minority organizations including faith-based organizations, across all project years, to increase CRC and OD awareness among their members and the community. (Social and Community Context) 8. Through collaboration, WSUCON, Karmanos Cancer Institute, Primary Care delivery systems and CBOs, through our Advisory Board, will advocate for a free colonoscopy program in Michigan for high- risk, uninsured patients. (Healthcare Access and Quality) 9. Develop a 4-year multimedia awareness campaign addressing CRC Screening and OD for metro Detroit. (Social and Community Context) We are seeking funding spanning four years to address the needs of medically underserved metro Detroit communities. Additionally, we aim to enhance the capabilities of our partners to sustain project programs and activities post-grant.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).