Thursday, May 1, 2025
5/1/2025
Project Health/Projecto Salud: A Campus Approach: Minority AIDS Initiative - The Gandara (GC) Project Health/Projecto Salud: Campus Program integrates primary and infectious disease care within a Hispanic minority-focused behavioral health clinic (MH/SUD) with the clear aim to provide HIV/HCV prevention and treatment coordination to individuals with high social and health disparities in Springfield, MA. The project is based on the principles of integrating social needs into health care: including clear aim, model testing and cede control1. The Population of focus is primarily Hispanic minorities with SMI, SUD, DOD who are at the high risk of contracting, or are living HIV/AIDS or Hepatitis. Nearly 5000 individuals are served at the clinics annually (85% Hispanic or mixed race, 12% African Americans, women 56%, men 44%), including 2500 meet the target eligibility criteria. Interventions will embed the program into an existing PCBHI program with the same target population to access co-located Primary and Infectious Disease (ID) screening, testing, treatment, prevention and education services and connection to community linkages. A multi-disciplinary team (PC, ID, psychiatrist, medication prescribers, MI/SUD clinicians, care coordinator, outreach case managers and peers) supports engagement in harm reduction, treatment and services sufficient to support health, housing, economic and social, family and community connections. The project uses the Integrated Dual Disorders Treatment (IDDT) EBP, an integrated bio-psychosocial and ecological approach, with systems-wide trauma informed care. Motivational Interviewing (MI); and Stages of Change facilitates successful engagement and a collaborative treatment effort. An Outreach/Case Manager/Peer team supports individual goal setting/achievement and linkages to community services (MAT, adherence support, other medical and dental, benefits, housing, recovery and relapse prevention, vocational/employment placement, and wellness services. Core Goals /Measurable Objectives include: 1) Increase access to an integrated care model with coordinated PC/ID/BH/HH services, universal practices for outreach, risk screening, prevention, education, testing and care protocols. 2) Comprehensive IDDT based services through staff hiring, training, in-house protocols for treatment and enrollment (by Month 4), prevention/ education, care coordination and case management/peer support. 3) Enhance & track integrated systems methods to support effective treatment, recovery services and wraparound supports among hard to treat/engage /retain individuals, by gathering cross-sector information through 1:1 interviews and focus groups to better understand the need, barriers and challenges providers and consumers to create a community education and collaboration initiative. 4) Track and report outcomes through data collection, and assessment of participants and program services, data analysis, and reporting outcomes to staff/agency for program and quality improvement. Numbers Served: 400 individuals across the 4 years: Y1=80, Y2=120, Y3=120, and Y4=80. Individuals receiving annual: Enhanced Risk screening: 1500, Prevention/education: 750; Rapid testing: 600.
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