Project Abstract
The purpose of the Leadership Council for Healthy Communities’ (LCHC) Prevention Navigator
Project is to provide expedited services to persons at high risk of substance use disorders (SUD)
and HIV by utilizing a navigation approach to access clinical and community service providers.
The project focuses on racial minorities in the District of Columbia, a hardest hit locality by the
HIV epidemic. Education and training about the risks of SUD and HIV will be provided and the
project will connect high risk individuals to needed linkages for service provisions
The Leadership Council for Healthy Communities, based in the District of Columbia, is an
organization dedicated to African Americans and other minorities achieve health equity. The
LCHC Prevention Navigator Project will provide services to adults (aged 18 years and older) at
high risk for substance use disorders (SUD), especially opioid use disorders (OUD), and/or are at
high risk for HIV/AIDS, and viral hepatitis infection using a navigation approach.
According to the 2014 DC EMA Consumer Survey, mental health issues are the most common cooccurring
condition for people living with HIV. SUD are also addressed through mental health
services or behavioral health services. The survey identified several service gaps or barriers to
care, including (1) cost and availability of housing, (2) dental care, (3) mental health care, (4) cost
of insurance co-pay and premiums, and (5) not enough community health workers or peer support.
With the number of service providers and in view of the service gaps, prevention navigators are
an essential part of connecting high-risk persons with needed services. Providers of other social
determinants of health (SDOH) services are also important to the healthcare infrastructure..
The goals of the project are: (1) Increase awareness of and access to clinical and community
linkages for District of Columbia (DC) residents at high risk for SUD and HIV by implementing
a navigation approach to comprehensive prevention services, (2) Increase the capacity of
participating faith institutions to reduce stigma associated with SUD, HIV/AIDS, HEP, and mental
disorders by engaging their members in evidence-based practices (EBP) that promote culturally
sensitive information, education, and trainings, and (3) Increase capacity of prevention navigators
to coordinate and communicate health benefits of connecting providers of clinical and social
determinants of health (SDOH) services to help reduce risk factors SUD and increase screening
and testing for HIV and HEP. By the end of the first year of operations, LCHC will provide
prevention navigation services including screenings, testing, referrals and/or follow up
documentation for at least 200 persons at high risk of SUD and HIV;1; and implement an
awareness campaign with various communications channels, including print, electronic, and social
media.
The project is expected to serve at least 200 unduplicated persons in the first year, and 1,000 –
1,200 over a five-year period.