Tuesday, April 29, 2025
4/29/2025
Project RSPCT - The HealthRIGHT 360 (HR360) Project Rainbow Screening and Providing Connections to Treatment (RSPCT) will improve access to substance use disorder (SUD) treatment for LGBTQ adults in the San Francisco Bay Area, California, by providing SUD screening for patients seen at Lyon Martin Health Services (LMHS), the foremost healthcare provider for LGBQ women and transgender/gender non-binary individuals in San Francisco. The primary strategy of Project RSPCT will be the Screening, Brief Intervention, and Referral to Treatment (SBIRT) model, an evidence-based practice that enables clinicians to screen for SUD in a clinical setting, and, if necessary, engage the patient in a brief conversation and refer them to further treatment. SAMHSA currently estimates that between 20% and 30% of LGBTQ people will experience substance abuse at some time in their lives; the 2015 National Survey on Drug Use and Health found that 39.1% of sexual minority adults had used an illicit drug within the past year, compared to 17.1% of heterosexual adults. In the Bay Area, 10% of LGBTQ individuals surveyed said they needed SUD services in the past year, but only 6% were able to access them. The goal of Project RSPCT is to increase the capacity of community-based providers in San Francisco to remove common barriers to SUD treatment for LGBTQ individuals struggling with substance use. The six objectives that will demonstrate success are as follows: 1. offer SBIRT to 100% of new LMHS patients. (If consent is granted, screenings will be done once or twice yearly, as clinically appropriate); 2. implement systems to offer SBIRT to 80% of existing LMHS patients by the end of the three-year project period (30% by the end of the first year, 60% by the end of the second year, and 80% by the end of the third year); 3. train primary care and behavioral health staff in HR360's San Francisco-based SUD treatment programs on LGBTQ cultural competency in SUD treatment within three months of program implementation, with annual refreshers; 4. train primary care staff at LMHS to deliver brief interventions and necessary SUD treatment that can be delivered in a primary care setting, such as medication-assisted treatment (MAT) for opiate use disorders and other SUDs; 5. collaborate with at least four (4) external providers in annual providers' meetings to improve the system of referral between LMHS, SUD treatment services, and other human services agencies that are culturally competent to work with LGBTQ individuals; and 6. twenty five percent (25%) of LGBTQ clients who screen positive for SUD/COD will be engaged with appropriate services, determined via follow up appointments, client self-report, and/or communication with referred service providers. Project RSPCT will serve a total of 4,471 unduplicated individuals over the three-year project period (1,490 unduplicated clients per year).
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).