Name and Population of Focus: The “Prodigy Project” (Prodigy) will increase engagement in substance misuse and HIV prevention navigation services for a total of 475 (75 Y1, 100 Y2 – Y5) racial and ethnic minority individuals ages 13 to 24 at highest risk for HIV and substance use disorder (SUD), namely African American and Latino young men who have sex other men of color (YMSMC) (the population of focus - POF).
Strategies and Interventions: Family Health Centers of San Diego (FHCSD) will target the POF served across our networks of care, including our clean syringe exchange program (CSEP), City College and Teen Health Center clinics, Youth Counseling Center (YCC), HIV and viral hepatitis (VH) prevention programs, and through outreach to our partners’ programs. Broad deployment of this peer-based navigation model, using the evidence-based Social Network Strategy, Popular Opinion Leader and PROMISE interventions, will ensure a large, diverse and high-need population of YMSMC are exposed to Prodigy’s educational messages and engage in navigation to care for HIV and substance misuse.
Project Goals and Measurable Objectives: 1) Develop a culturally-competent public messaging and awareness marketing campaign; 2) Increase awareness among the POF of the risk of substance misuse among individuals with HIV, the importance of care and treatment, and risk behaviors and HIV prevention strategies by implementing a public messaging and marketing campaign; and 3) Engage the POF in the spectrum of navigation, HIV prevention, HIV care, and SUD treatment. Key objectives are summarized as follows: (A minimum of) 750 outreach encounters annually (total 3,560) will be conducted among the POF through in-person and online outreach; 3,000 persons annually (total 14,250) from the POF will be exposed to the education and awareness campaign through digital marketing strategies; 400 persons annually (total 1,900) from the POF will attend an educational outreach event, of whom at least 90% will demonstrate increased knowledge of substance misuse and HIV risk; 25 providers annually (total 118) who are SUD treatment or healthcare providers will be trained on HIV prevention and linkage to care, of whom 90% will demonstrate increased knowledge of HIV prevention and linkage to care; 420 persons annually (total 1,995) from the POF will complete an HIV test and be screened for substance misuse; a minimum of 100 persons annually (total 475) from the POF will receive navigation and complete the SAMSHA Youth Questionnaire; 80% of persons identified as HIV-positive who accept navigation will complete their first scheduled HIV medical appointment within 2 weeks of results disclosure; 80% of HIV-positive POF receiving navigation and medical care at FHCSD will complete a second medical appointment; 100% of persons receiving navigation will be screening for VH and referred to services as needed; and, 80% of persons receiving navigation services and with risk for substance misuse will attend an appointment with the Substance Use Disorder Counselor.