Monday, April 29, 2024
4/29/2024
The St. Luke’s Roosevelt Hospital Center Coming Home Program’s Prevention Navigator Program will be part of the Institute for Advanced Medicine, located at their Jack Martin Fund Center (JMFC) located in Harlem, NYC and serving Harlem/South Bronx catchment area. The population of focus is people with a history of justice involvement (PWJIH) diagnosed with substance use disorders (SUD) and/or co-occurring substance use and mental health disorders (COD) and living with or at high risk for HIV and/or Hepatitis B/C, primarily African American and Latino, many of whom are also LGBTQ. Our goal is to address health disparities among PWJIH in Harlem/SB through expanded screening and treatment services for HIV, HBV/HCV, STIs, SUDs (including OUD and IDU), and CODs. We aim to provide comprehensive care for 60 PWJIH annually and 300 over the project period, prioritizing people of color (95%) and LGBTQ individuals (25%). By fostering patient empowerment and embracing harm reduction, we strive to reduce stigma, support individuals at every stage of their recovery journey, and create a safe and inclusive healthcare environment. The Harlem/SB incarceration rate is 949/100,000 adults, with 1,347/100,000 reported in Central Harlem. This population aligns with the Minority AIDS Initiative, as NYC’s daily inmate population are 56% Black and 33% Hispanic. In Harlem/SB 83% are people of color, 26% live in poverty, 60% speak a language other than English at home (49% speak Spanish). LGBTQ people are 2x as likely to be arrested; 3x as likely to be incarcerated, and the rates are worse for LGBTQ of color. Harlem/South Bronx has high rates of alcohol related, drug related and psychiatric hospitalizations. Harlem/South Bronx has some of the highest rates of HIV diagnoses in NYC with 30.2/100,000, and 2.7% of the population is living with HIV. Nearly half of NYC inmates report substance abuse and of those with an SUD, half have a diagnosed opioid use disorder (OUD). One-third of those who use opioids pass through the criminal justice system annually. In 2021, 53.5% of NYC’s jail population had MH issues, many with a history of trauma, victimization and abuse. Inmates identified as LGBTQ are further susceptible to MH issues caused by humiliation, stigma, physical and sexual abuse during incarceration. Opioid related overdoses are the leading cause of death after re-entry, often within the first 30 days after release. The strategies and interventions we will be implementing are evidence-based prevention services such as Motivational Interviewing; Cognitive-Based Therapy; Seeking Safety; Wellness Self-Management; Screening, Behavioral Intervention and Referral to Treatment; Mindfulness Based Relapse Prevention; anger management classes; as well as other validated screening tools for substance use and mental health services. The goals will address health disparities among PWJIH in Harlem/SB through expanded screening and treatment services for HIV, HBV/HCV, STIs, SUDs (including OUD and IDU), and CODs. Goal 1: Develop a comprehensive strategic plan to address SU and HIV problems in the Harlem/SB catchment area for PWJIH; Goal 2: Increase the number of PWJIH in Harlem/SB who receive SU and MH services; Goal 3: Enhance the quality/intensity of treatment for clients with SUDs/CODs; Goal 4: Enhance and expand screening, referral and treatment for sexual health services including HIV, STIs and HBV/HCV infection among PWJIH in Harlem/SB; and Goal 5: Enhance prevention navigation services to address SDoH and barriers to care, facilitate linkages to follow-up care, and increase access to critical support services for PWJIH.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
