PROJECT ABSTRACT Project Title: The HOME Program (FY 2022 Part D WICY Competing Continuation) -HRSA-22-037 - Harlem Hospital Center – Grant #: H12HA24878 Organization: Harlem Family Center at NYC Health + Hospitals/Harlem, New York, New York Address: 506 Lenox Avenue, MLK 16-119, New York, NY 10037 Project Director: Aracelis D. Fernandez, MD, FAAP Telephone: 212-939-4040, Fax: 212-939-4050, Email: firstname.lastname@example.org NYC Health +Hospitals/Harlem (formerly known as Harlem Hospital) is a cultural institution that has proudly served the minority community of Central Harlem (CH) since 1887. It is located in one of the poorest and medically disadvantaged communities in the US, with one of the highest rates of HIV-infection. The Harlem Family Center (HFC) is a family-centered primary care comprehensive center providing direct care and treatment to children, adolescents, adults and families infected and affected by HIV since the beginning of the epidemic. HFC has been a New York State Department Designated AIDS Center since 2001 and offers a full spectrum of specialized HIV services in one site including: community centered HIV testing and counseling; inpatient and outpatient HIV medical care; inpatient and outpatient mental health and substance abuse treatment, OB/GYN care, nutrition, dental, medical case management and social services. The specific service campus is located at Lenox Ave/ West 135th Street and serves CH in the following zip codes: 10026, 10027, 10030, 10037 and 10039. We are requesting a 4-year funding amount of $1,547,164. HFC serves an overwhelmingly minority WICY target population with 80% African Americans. Our proposed project will serve WICY with a specific emphasis on perinatally-infected youth transitioning to adult care, minority young MSM and foreign-born African mothers. The WICY population served by our program was 436 in 2018, 469 in 2019 and 547 in 2020. HFC has the capacity to serve 800 WICY patien
ts. Part D funded staff will provide services to 240 WICY in CY 2022. The demographics of the HFC staff mirror the target population, with 70% percentage of the staff ethnic minorities, 80% women, and 5% sexual minorities. Key qualifications of the staff include over 3 decades of leadership and experience responding to the AIDS epidemic. Significant disparities in access to HIV care and HIV-related mortality exist for the underserved of CH. The challenges in implementing the proposed project include the social barriers of poverty, crime, substance abuse and homelessness in the target area and the changing fiscal environment for public health care services. The HFC will efficiently utilize existing funding resources and innovate with community partners and peer programming. The major objective for the CY 2022 project period is to maintain the program’s current enrollment, continue to use evidence-informed intervention Centralized HIV Services for youth, implement the evidence-based intervention Project Yes! to reduce internalized stigma among use; and provide outreach that will increase the WICY awareness and engagement in our supportive services. HFC will also provide comprehensive safety net under the Harlem’s Own Medical Empowerment for Positives (HOME) Program of supportive services including: OB/GYN linkages towards prevention of maternal transmission of HIV, peer empowerment programming, family and women’s health education and social support group activities.