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ASPIRE: Accelerating Substance use and Psychiatric screening among individuals at risk or HIV-infected and facilitated Referral via the Emergency Department

Award Number: H79TI080732
ORGANIZATION: CENTER FOR SUBSTANCE ABUSE TREATMENT
OPDIV: SAMHSA
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES

Group Awards By Issue Date FY or Funding FY:

View Award Abstract

Individuals with substance use disorders (SUDs) in the Cincinnati, Ohio region, especially racial/ethnic minorities, experience disparities with regards to the prevalence of co-occurring mental health disorders (CODs), Human Immunodeficiency Virus (HIV), and Hepatitis C Virus (HCV). Despite increased prevalence for these conditions among racial/ethnic minorities, service gaps remain across the substance use care continuum from initial screening through engagement and retention in appropriate treatment. Project ASPIRE (Accelerating Substance use and Psychiatric screening among Individuals at-risk or HIV-infected and facilitated Referral via the Emergency Department) will address health disparities related to the syndemic involving substance use, mental health disorders, and HIV infection. The central premise of Project ASPIRE is that individuals with SUDs and CODs, particularly racial/ethnic minorities, are not reliably screened and linked to needed SUD treatment. Project ASPIRE will leverage a high-volume, urban emergency department (ED) in conjunction with its affiliated infectious diseases treatment center (IDC) and addiction sciences division (ASD) treatment center to accomplish the following primary goals: 1) Implement screening among patients identified as at-risk for HIV or with HIV infection, most of whom are racial/ethnic minorities, to identify SUDs and CODs; 2) Utilize a multicomponent, comprehensive linkage service with an innovative combination of early, intensive, and sustained efforts to link these patients to culturally-tailored SUD/COD treatment as well as HIV and HCV treatment, housing assistance, and other services as needed; and 3) Seamlessly convert linkage services into retention services for SUD/COD treatment within the ASD after patients are successfully linked, maintaining continuity of case-manager and peer-navigator services when possible. Secondarily, we will leverage the ED Project ASPIRE program component to recognize patients presenting for emergency care via an electronic health record alert who have not been linked or have fallen out of HIV or substance abuse care. Measurable objectives for Project ASPIRE include measures to assess each of the project’s primary and secondary goals (e.g., number of patients: screened for SUD/COD, linked to SUD treatment, retained in SUD treatment). Project ASPIRE utilizes an approach informed by SAMHSA’s Screening, Brief Intervention, and Referral to Treatment (SBIRT) evidence-based practice and will significantly impact the ability to screen and provide an intensive, sustained linkage-to-care intervention to address the needs of predominantly minority populations with substance use and co-occurring mental health disorders who are at high risk for HIV or HIV positive in the Cincinnati, Ohio region.


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: 2024 ( Subtotal = $0 )
2024	2020	UNIVERSITY OF CINCINNATI	2600 CLIFTON AVE	CINCINNATI	OH	45220	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	3	3/13/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2022	UNIVERSITY OF CINCINNATI	2600 CLIFTON AVE	CINCINNATI	OH	45220	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	003	5	3/3/2023	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
2023	2022	UNIVERSITY OF CINCINNATI	2600 CLIFTON AVE	CINCINNATI	OH	45220	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	002	5	1/25/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	UNIVERSITY OF CINCINNATI	2600 CLIFTON AVE	CINCINNATI	OH	45220	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	005	5	6/7/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	UNIVERSITY OF CINCINNATI	2600 CLIFTON AVE	CINCINNATI	OH	45220	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	004	5	3/9/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	UNIVERSITY OF CINCINNATI	2600 CLIFTON AVE	CINCINNATI	OH	45220	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	5	12/23/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	UNIVERSITY OF CINCINNATI	2600 CLIFTON AVE	CINCINNATI	OH	45220	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	4	12/21/2022	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $504,443 )
2022	2022	UNIVERSITY OF CINCINNATI	2600 CLIFTON AVE	CINCINNATI	OH	45220	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	5	8/26/2022	NON-COMPETING CONTINUATION	$504,443
														Subtotal = $504,443

Issue Date FY: 2021 ( Subtotal = $503,187 )
2021	2021	UNIVERSITY OF CINCINNATI	2600 CLIFTON AVE	CINCINNATI	OH	45220	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	002	4	8/5/2021	NON-COMPETING CONTINUATION	$503,187
2021	2021	UNIVERSITY OF CINCINNATI	2600 CLIFTON AVE	CINCINNATI	OH	45220	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	003	4	9/10/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	UNIVERSITY OF CINCINNATI	2600 CLIFTON AVE	CINCINNATI	OH	45220	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	3	5/5/2021	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
2021	2019	UNIVERSITY OF CINCINNATI	2600 CLIFTON AVE	CINCINNATI	OH	45220	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	2	2/8/2021	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
														Subtotal = $503,187

Issue Date FY: 2020 ( Subtotal = $486,956 )
2020	2020	UNIVERSITY OF CINCINNATI	2600 CLIFTON AVE	CINCINNATI	OH	45220	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	003	3	7/20/2020	NON-COMPETING CONTINUATION	$486,956
2020	2019	UNIVERSITY OF CINCINNATI	2600 CLIFTON AVE	CINCINNATI	OH	45220	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	2	10/9/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2018	UNIVERSITY OF CINCINNATI	2600 CLIFTON AVE	CINCINNATI	OH	45220	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	1	10/11/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2018	UNIVERSITY OF CINCINNATI	2600 CLIFTON AVE	CINCINNATI	OH	45220	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	002	1	11/15/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $486,956

Issue Date FY: 2019 ( Subtotal = $485,003 )
2019	2019	UNIVERSITY OF CINCINNATI	2600 CLIFTON AVE	CINCINNATI	OH	45220	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	002	2	9/10/2019	SUPPLEMENT FOR EXPANSION	$25,000
2019	2019	UNIVERSITY OF CINCINNATI	2600 CLIFTON AVE	CINCINNATI	OH	45220	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	2	7/25/2019	NON-COMPETING CONTINUATION	$460,003
2019	2018	UNIVERSITY OF CINCINNATI	2600 CLIFTON AVE	CINCINNATI	OH	45220	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	1/11/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $485,003

Issue Date FY: 2018 ( Subtotal = $467,716 )
2018	2018	UNIVERSITY OF CINCINNATI	2600 CLIFTON AVE	CINCINNATI	OH	45220	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	1	9/27/2018	SUPPLEMENT FOR EXPANSION	$25,000
2018	2018	UNIVERSITY OF CINCINNATI	2600 CLIFTON AVE	CINCINNATI	OH	45220	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	9/11/2018	NEW	$442,716
														Subtotal = $467,716

Grand Total All Awards = $2,447,305

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ASPIRE: Accelerating Substance use and Psychiatric screening among individuals at risk or HIV-infected and facilitated Referral via the Emergency Department

Award Number: H79TI080732

ORGANIZATION: CENTER FOR SUBSTANCE ABUSE TREATMENT

OPDIV: SAMHSA

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

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