Saturday, May 4, 2024
5/4/2024
Centerstone Integrated Treatment, Care, and Prevention (ITCP) will serve 500 unduplicated adults (18+) with serious mental illness (SMI) or co-occurring SMI and substance use disorder (COD) living with or at risk for HIV and/or hepatitis, including racial/ethnic minority communities in Montgomery County, Tennessee (Yr 1: 75; Yrs 2- 3: 150 each; Yr 4: 125). ITCP will provide integrated HIV/hepatitis prevention, SMI/COD treatment, HIV primary care linkages, and other supports at Centerstone's integrated/co-located primary/behavioral health care clinic. Among the 4,761 individuals comprising ITCP’s focus population with SMI, 25% (1,169) have a COD, including the 4% (207) diagnosed with an opioid use disorder. Individuals with SMI have a mortality rate up to 300% higher than the general population and experience disproportionate rates of substance use disorder. The focus population comprises 59% male, 41% female, 73% White, 20% African American and 4% Hispanic/Latino individuals, with 26% experiencing poverty and 6% unemployment. The estimated 6% (286) of focus population individuals with HIV risk worse outcomes due to non-adherence to HIV medication (est. 150 at risk), neuropsychological impairment (est. 143 at risk), etc. Among patients receiving SMI services at Harriet Cohn, approximately 17% (828) have hepatitis C. ITCP subpopulations include the 2.4% among the focus population who are Veterans and the expected 24% involved in the criminal justice system. Among these subpopulations, an estimated 4% of Veterans and up to 41% of individuals involved in the criminal justice system are expected to have hepatitis C. ITCP will implement direct mental and substance use disorder treatment via evidence-based, trauma-informed, and recovery-oriented Integrated Treatment for Co-occurring Disorders (ITCD); peer-led, evidence-informed Whole Health Action Management (WHAM); and evidence-based/informed HIV prevention/care continuity programing via Community-Friendly Healthy Recovery Program (CHRP) and Project Connect. Key ITCP program components include local provider and community collaborations; outreach/engagement; assembly of Advisory Council; screenings/assessments to screen for COD, assess for HIV/viral hepatitis risk, and other health conditions; development of Individual Treatment Plan; provision of HIV/hepatitis testing/prevention services and linkages; provision of SMI/COD treatment and supports, linkages to HIV primary care and other medical care, case management/care coordination, peer supports, and other supportive services (e.g., stable housing, employment assistance, benefits enrollment), sustainability planning; and dissemination of comprehensive evaluation. ITCP goals include: Integrate SMI/COD treatment with HIV primary care and prevention services; Develop infrastructure and capacity to integrate/sustain a comprehensive service continuum; Improve clients’ health status and outcomes; and Develop/disseminate a replicable service model. ITCP will achieve the following measurable objectives: Conduct outreach to 750 individuals to increase participation in/access to services; provide training/workforce development for 250 staff/community providers; Achieve 90% rate of clients knowing their HIV/hepatitis status; Decrease mental health symptomatology by 45%; Increase substance use abstinence by 60%; Assist 100% in need to identify/secure stable housing and employment; Reduce involvement with the criminal justice system by 25%; Decrease risky behavior among 60%; Increase social connectedness by 70%; Increase service access by 90%; and Achieve 80% participant retention. ITCP has secured commitments from partners dedicated to the project’s success and will collaborate with local primary care providers, courts, social service agencies, and other stakeholders.
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).
