Sunday, November 24, 2024
11/24/2024
Syndemic Approach to Prevention at Centerstone (SAP-C) will take a syndemic approach to advance equity for racial/ethnic minority communities, especially all Black female identities, experiencing disparities related to HIV, viral hepatitis, STIs, substance use, substance use disorders, and/or any mental health condition. SAP-C services will be delivered in DeSoto, Hillsborough, Manatee, Pinellas, and Sarasota counties, FL; reach 3,500; and serve an unduplicated 300 persons (Y1: 80; Yrs. 2-3: 110/yr.). SAP-C’s population to be served includes persons from among 1,181,165 catchment area racial/ethnic minority (REM) individuals, who comprise 49% male and 51% female individuals, with 17% uninsured, in poverty, and with less than a high school diploma. Subpopulations of area REMs include an estimated 96,000 at risk for homelessness, 2,000 experiencing homelessness, and migrant workers in 87 area migrant housing sites. The 205,799 focus population Black female identities comprise 1.4% transgender/nonbinary and 5% ethnically Hispanic persons, with higher rates of poverty (17%), of unemployment (6%), without a high school diploma (10%), and with no health insurance (14%), as compared to the catchment area. These disparities, as well as expected risk factors among REM (e.g., 21% reported Adverse Childhood Experiences, 71%, racial discrimination), contribute to a higher risk of syndemic conditions (i.e., HIV, viral hepatitis [VH], sexually transmitted infections [STIs], substance use [SU] and substance use disorders [SUD], and/or any mental health [MH] conditions). Among area REMs, an estimated 92,000 have SUD; 110,000 any mental illness (AMI); 9,200 HIV; 13,230 VH; and 10,630 STIs. An anticipated 9,600 focus population individuals are expected to have SUD; 42,000 AMI; 2,000 HIV; 1,300 VH; and 3,290 STIs. SAP-C’s strategies/interventions will be trauma-informed, culturally-appropriate, and evidence-based, and guided by SAMHSA’s Strategic Prevention Framework and national guidelines (e.g., National HIV/AIDs Strategy). To address HIV/VH/STI risks, project will use Sister-to Sister and MPowerment. Motivational Interviewing and Cognitive Behavioral Therapy will be used to address SU/SUD/MH conditions. For health education, project will implement Whole Health Action Management, and Mental Health First Aid will be used to train anchors. SAP-C’s goals include: 1) Develop an infrastructure to implement/sustain a multi-pronged, syndemic approach to enhance prevention systems/services; 2) Provide evidence-based and culturally responsive prevention education/outreach/interventions for syndemic conditions; 3) Provide SU prevention/psychosocial support/health education for participants; 4) Advance equity in BH health outcomes for REM communities, including all Black female identities, who are at risk for/living with HIV; and 5) Develop/disseminate a model for replication. SAP-C will achieve the following measurable objectives: form a Steering Committee comprised of 20% of REM; conduct resource mapping and develop Strategic, Evaluation, and Sustainability Plans for 5 counties; expand relationships with 50 anchors; identify 7 agencies who will provide PrEP, PEP, HIV, VH, and STI treatment; enhance 2 agency procedures that initiate cultural norm shifts and prioritize syndemic efforts; develop 15 prevention resources tailored to REM/subpopulations; conduct outreach among 3,500; reach 100,000 people via social media; train 50 anchors; provide harm reduction education to 500 stakeholders; distribute 520 OD reversal kits; conduct support groups at 5 anchor sites; and produce 3 publications/presentations for model dissemination. SAP-C will develop a Prevention Plan for 300 participants; of those, 100% will receive, as appropriate, screening; indicated testing; linkage to needed services, including PrEP, PEP and HIV/VH/STI treatment; health care; and transportation and non-cash incentives.
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).
