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NYC DHS Harm Reduction in Shelter Program

Award Number: H79SP082991
ORGANIZATION: CENTER FOR SUBSTANCE ABUSE PREVENTION
OPDIV: SAMHSA
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 05/30/2022
PERIOD OF PERFORMANCE END DATE: 05/29/2025

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NYC DHS Harm Reduction in Shelter Program - Overdose is the leading cause of death among New York City (NYC) Department of Homeless Service (DHS) clients. The NYC Harm Reduction in Shelters Project will build DHS capacity to prevent overdose by developing a Harm Reduction Strategic Plan, training staff in Harm Reduction approaches, and implementing a Peer Program to deliver harm reduction education and referrals, evidenced based interventions and linkage to care for at least 2400 clients at risk during the project period. In 2021, 889 individuals were reported with at least one overdose; of these 178 (20%) had multiple overdoses with a range 2 – 17 in 2021 alone, and 117 (13%) died. From Fiscal Year 2020 to 2021, there was an alarming 81% increase in overdose deaths in homeless persons - likely driven by increasingly potent synthetic opioid contamination in the NYC drug supply (78% screened positive for fentanyl), as well COVID pandemic-related stress. NYC has taken a lead in the field of harm reduction program development with 15 syringe service programs operating for many years - and now the first legal overdose prevention sites in the nation. Unfortunately, DHS clients often do not receive these important harm reduction services as they are not available in or nearby the majority of shelters. Given broader acceptance of the harm reduction approach in NYC, DHS is amenable to updating policies and procedures to deliver harm reduction and evidence-based interventions to prevent overdose and other drug-related harms. Through the proposed NYC Harm Reduction in Shelter Project DHS will: 1) Conduct a needs assessment; 2) Convene a Harm Reduction in Shelters Advisory Council comprised of directly impacted DHS clients, staff, and community and government harm reduction experts; 3) Develop and implement an NYC Harm Reduction in Shelters Strategic Plan; 4) Develop Harm Reduction Training for DHS staff along with an anti-stigma campaign to raise awareness and reinforce training; 5) Supplement the existing naloxone program with fentanyl test strip distribution; and 6) Work with two of the largest substance use-focused shelter providers to hire and train DHS clients as Peers to provide harm reduction education, naloxone and fentanyl test strips, referrals, and linkage to care to reaching at least 2400 DHS clients at risk over the course of the project. DHS anticipates being able to sustain successful interventions after the grant period by updating DHS policies and procedures and adopting the Strategic Plan with realistic goals, measurable indicators and established methods to use DHS data to monitor service delivery and guide program improvements. DHS will integrate harm reduction training into new staff orientation, add fentanyl strips distribution to the existing naloxone program, and establish shelter-specific referral and linkage to care pathways to integrated harm reduction, infectious disease screening and treatment and medications for addiction treatment programs.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = -$10,231 )
2026	2023	NEW YORK CITY DEPARTMENT OF HOMELESS	33 BEAVER ST	NEW YORK	NY	10004	NEW YORK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	2	12/15/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$10,231
														Subtotal = -$10,231

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2023	NEW YORK CITY DEPARTMENT OF HOMELESS	33 BEAVER ST	NEW YORK	NY	10004	NEW YORK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	2	5/1/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2023 ( Subtotal = $796,468 )
2023	2023	NEW YORK CITY DEPARTMENT OF HOMELESS	33 BEAVER ST	NEW YORK	NY	10004	NEW YORK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	004	2	7/11/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	NEW YORK CITY DEPARTMENT OF HOMELESS	33 BEAVER ST	NEW YORK	NY	10004	NEW YORK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	003	2	5/25/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$398,234
2023	2023	NEW YORK CITY DEPARTMENT OF HOMELESS	33 BEAVER ST	NEW YORK	NY	10004	NEW YORK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	002	2	4/27/2023	NON-COMPETING CONTINUATION	$398,234
2023	2022	NEW YORK CITY DEPARTMENT OF HOMELESS	33 BEAVER ST	NEW YORK	NY	10004	NEW YORK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	1	4/11/2023	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
2023	2022	NEW YORK, CITY OF	33 BEAVER ST 17TH FL	NEW YORK	NY	10004	NEW YORK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	10/14/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $796,468

Issue Date FY: 2022 ( Subtotal = $398,234 )
2022	2022	NEW YORK, CITY OF	33 BEAVER ST 17TH FL	NEW YORK	NY	10004	NEW YORK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	5/16/2022	NEW	$398,234
														Subtotal = $398,234

Grand Total All Awards = $1,184,471

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NYC DHS Harm Reduction in Shelter Program

Award Number: H79SP082991

ORGANIZATION: CENTER FOR SUBSTANCE ABUSE PREVENTION

OPDIV: SAMHSA

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 05/30/2022

PERIOD OF PERFORMANCE END DATE: 05/29/2025

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