Miami-Dade County Multidisciplinary Approach Stabilizing Treatment & Empowering Recovery (MASTER) Project - The Multidisciplinary Approach Stabilizing Treatment & Empowering Recovery (MASTER) project aims to increase engagement in care for racial and ethnic minority individuals with substance use disorders (SUD) and/or co-occurring substance use and mental disorders (COD) who are at risk for HIV or are HIV positive and reside in the Miami-Dade County Eligible Metropolitan Area (EMA). Thus, the population of focus for the MASTER project consists of ethnic and/or racial minority injection drug users, men who have sex with men (MSM), and individuals who engage in other high-risk behaviors e.g. sexual relationships with injection drug users, sexual exchange for money or drugs).
According to the Center for Disease Control, Miami-Dade County, the geographic catchment area where services will be delivered, is the Metropolitan Statistical Area (MSA) with the highest rate of HIV incidence in the nation (47.0 per 100,000 population) and third in the nation for AIDS prevalence (18.9 per 100,000 population). As it pertains to the population of focus, the overwhelming majority of the 1,195 new HIV infections in the EMA are among minority individuals, namely Hispanics (59%) and Blacks/African Americans (32%), and the epidemic continues to be driven by MSM, who account for 84% of new HIV diagnoses in the EMA. The highest incidence of COD is found among Blacks/African Americans (34%: SDIS, 2018).
Over a five-year period, the MASTER project intends to provide 1,075 unduplicated, high-risk minority individuals with services including, but not limited to: 1) community outreach; 2) screening; 3) HIV and viral hepatitis testing; 4) comprehensive case management; 5) referrals and linkages to care; and 6) evidence-based outpatient and residential substance abuse treatment. Furthermore, the MASTER project aims to conduct a minimum of 500 screenings per year to identify and enroll at least 150 unduplicated high-risk individuals in appropriate care e.g. SUD treatment, HIV/Hepatitis treatment) in year one, 175 in year two, 200 in year three, 250 in year four, and 300 in year five of the project. The MASTER project will provide SUD/COD treatment and recovery support services for the population of focus through engagement in evidence-based outpatient and/or residential treatment curriculums.
All MASTER project participants deemed appropriate for FDA-approved medication assisted treatment (MAT), will be offered such services. Additionally, all MASTER project participants will be offered recovery support services throughout treatment and post-discharge, including: comprehensive case management, care coordination and housing assistance, primary care and benefits enrollment, and employment services. The MASTER project will refer 100% and link 80% of discharged clients to comprehensive follow-up care resources. Close collaboration with partners including the Borinquen Health Centers; Florida Department of Health; University of Miami Infectious Disease Elimination Act (IDEA Exchange) Needle Exchange Program; Banyan Health Systems; Citrus Health Network; and Certified Peer Specialists, will help to comprehensively serve and provide linkages of care for the population of focus.