ABSTRACT
Summary. Abounding Prosperity, Inc. (AP, Inc.) is proposing a program to increase access to mental and co-occurring disorder treatment services that are integrated with HIV primary care and prevention services. The population of focus will be persons with a mental health disorder or COD living with or at risk for HIV and/or hepatitis, in Dallas County, TX. AP, Inc. will serve 120 unduplicated individuals annually and 480 over the entire project period.
Project name. Dallas COD-HIV Program
Populations to be served. The populations of focus (POF) will be individuals, ages 18 and over, of racial and ethnic minorities (primarily black/African American, Hispanic/Latino) with a mental health disorder or co-occurring disorder (COD) living with or at risk for HIV and/or hepatitis; AP, Inc. will focus the program on men who have sex with men (MSM) and transgender women in particular who have co-occurring disorders of HIV, mental health and substance use. The geographic catchment area where services will be delivered is Dallas County, TX.
Strategies/interventions. Program activities will include: 1) HIV and hepatitis prevention services (e.g., screening, risk assessment, prevention counseling, HIV and hepatitis testing, referral to pre- exposure prophylaxis (PrEP), hepatitis vaccination) within a behavioral health care setting; HIV and hepatitis testing will also be provided during outreach activities; 2) provide culturally-informed evidence-based treatment and practices for individuals with mental health disorders or COD that are trauma-informed, recovery-oriented, and culturally appropriate; 3) provide peer support services, including accompaniment and navigation, appointment scheduling assistance, ongoing peer support and mentoring through group and individual activities, and coordination of care within AP, Inc. and with external providers; 4) implement outreach strategies; 5) provide case management services to coordinate all aspects of care, including behavioral health, primary care, HIV and hepatitis treatment, other supportive services (e.g., housing, benefits, employment), and transitions to the community after any hospitalization or emergency room visit; 6) develop additional MOAs with HIV care providers, hepatitis B and C treatment providers, and primary care providers and 7) infrastructure development activities to enhance its EHR and training/workforce development to provide trauma-informed care; AP, Inc. will implement the following EBPs: Personalized Cognitive Counseling (PCC) and Motivational Interviewing (MI).
Project goals and measurable objectives. The program’s goal is to increase access to evidence-based, culturally appropriate mental and co-occurring disorder treatment services that are integrated with HIV primary care and prevention services. The program’s objectives are to: Conduct outreach and recruitment activities, reaching at least 800 persons from the POF per year; Provide HIV and hepatitis screening, risk assessment, prevention counseling, and HIV and hepatitis testing to 120 members of the POF per year; Provide culturally-informed evidence-based treatment and practices for 100 enrolled individuals with COD per year; Provide peer support services for 100 enrolled participants per year; Provide case management services to 100 enrolled participants per year; and Provide referrals for HIV treatment, hepatitis treatment and PrEP services to at least 95% of enrolled participants in need of referrals per year.