Bee the Vibe: Don't Get Stung - Mile High Council on Alcoholism and Drug Abuse, dba Mile High Behavioral Healthcare (MHBHC), a nonprofit, community-based organization in Denver, Colorado, proposes to provide harm-reduction services to prevent opioid overdose and HIV, hepatitis C (HCV), and other sexually transmitted infections (STIs) in two geographic catchment areas; 1) the Denver metro area and 2) Summit County, which is a rural mountain area. MHBHC's proposed project, Bee the Vibe (Don't get stung by your addiction), will serve a total of 240 people ages 16 and older through this three-year program (80 unduplicated individual service encounters each year of the project). MHBHC estimates that 75% of those served will live in the Denver metro area and one- quarter will live in Summit County, a medically underserved area and a rural area as designated by Office of Rural Health Policy. Bee the Vibe will serve four discrete target populations: 1) members of the underserved lesbian, gay, bisexual, transgender or queer (LGBTQ+) community of any race and gender identity; 2) people experiencing homelessness (PEH); 3) women who are at risk of an opioid overdose, specifically women who are experiencing homelessness and are pregnant or postpartum; and 4) adolescents who are at elevated risk of an overdose or STI.
Bee the Vibe's overarching goal is to provide culturally relevant and informed prevention activities that reduce overdoses, help control the spread of infectious diseases and reduce health disparities in its target populations and geographic catchment areas. Its objectives are to: 1) By month 36, serve at least 216 LGBTQ+ clients by providing them with overdose prevention and safer-sex education; educating them about Colorado's Good Samaritan laws; distributing naloxone to LGBTQ+ clients who are at elevated risk of an overdose; providing information about and referrals to PrEP for clients at risk of HIV; testing at least 300 people for HIV and linking them to HIV medical care, if positive; testing at least 150 people for HCV; testing at least 200 people for STIs; referring 30 people to MAT/linkage to care; distributing 1,500 safer-sex kits and 300 safer-injection kits (bleach, cotton, information about how to inject safely and clean IDU paraphernalia); and distributing 200 fentanyl testing strips; 2) By month 36, served at least 24 high-risk Summit County residents by providing them with overdose prevention education; educating them about Colorado's Good Samaritan laws; referring 30 resident to MAT/linkage linkage to care; distributing naloxone to those who are at elevated risk of an overdose; distributing 500 safer-sex kits and 100 safer-injection kits; and distributing 100 fentanyl testing strips; 3) By month 36, serve at least 100 PEH by providing them with overdose prevention education; educating them about Colorado's Good Samaritan laws; distributing naloxone to PEH who are at elevated risk of an overdose; referring 15 PEH to MAT/linkage to care; distributing 200 safer-sex kits and 150 safer-injections kits; and distributing 100 fentanyl testing strips; 4) By month 36, serve at least 100 women by distributing naloxone to women who are at elevated risk of an overdose; educating them about Colorado's Good Samaritan laws; providing information about and referrals to PrEP for women at high risk of HIV; referring 30 women to MAT/linkage to care; distributing 100 safer-sex kits and 50 safer-injection kits; and distributing 200 fentanyl testing strips; 5) By month 36, serve 50 16- to 18 year-old, high-risk youth by providing each with a health education session on scientifically accurate sexual health risk-reduction education and overdose prevention. 6) By month 36, create and publish at least 72 messages as part of a public communication campaign that reduces the stigma of substance use and encourages participation in harm-reduction activities.