The Montrose Center will serve at least 30/year gay and bi men and transwomen African American and Latino 18 years old and older in Harris County, Texas who engage in chemsex putting them at very high risk for contracting and transmitting HIV and hepatitis. Participants will be living with HIV or at high risk of contracting HIV through sexual activity. Chemsex means the participant has been sexually active, often without condoms or other protect, while using drugs. The project will used an enhanced Integrated Treatment Program (E-ITP) adding Sexual Health in Recovery (SHIR) component.
SHIR will include education about sexual health addressing the frequent interaction between sexual behavior and substance use disorders. The particular drugs used include methamphetamine, GHB/GBL, MDMA, cocaine, ketamine and sometimes erectile dysfunction medication.
Goal 1 Begin providing HIV/hepatitis testing & linkage services the 4th mo of the contract.
Obj. 1-1 By the end of the 3rd month the QI team will update all on-site testing protocols and train the Prevention Specialist on EITP-SHIR study protocols..
Goal 2 Begin providing EITP-SHIR services the 4th mo of the contract.
Obj. 2-1 Consistent with ITP process evaluation protocol, monthly, during the 1st 4 mos of funding, the QI team will complete the ITP readiness assessment checklist to determine preparedness to begin service delivery. The QI team consists of the Center’s ED & CAC, and the UTHealth Evaluator.
Obj. 2-2 By the end of the 3rd mo, the QI team will train recovery coaches as well as community agencies that serve as a referral source to services on how to refer and link potential consumers for EITP-SHIR intake.
Goal 3 Enroll and retain 30 unduplicated clients each year for a total of 150 unduplicated clients.
Obj. 3-1 At mo 4, enroll on average 2.7 new consumers in EITP-SHIR, so that 150 new consumers are enrolled in EITP-SHIR by the end of year 4 + month 3 and able to complete 6-month follow-up assessments.
Obj. 3-2 At mo 4, complete the intake/initial evaluation process for 90% of new consumers within 10 business days.
Obj. 3-3 At mo 6, retain at least 80% of consumers who enroll in EITP-SHIR for a minimum of 6 mos.
Obj. 3-4 At 1-, 3- and 6-mos from baseline, 80% of consumers will complete follow-up assessments.
Obj. 3-5 At mo. 4, identify the most common SUD and MH diagnoses among participants enrolled in EITP-SHIR.
Goal 4 Implement a quality improvement process.
Obj. 4-1 At mo 5, the QI team will participate in monthly process and quality improvement meetings to review analyses and use findings to inform changes to service delivery protocols, documenting changes and the reason for the changes.
Obj. 4-2 Consistent with EITP-SHIR process evaluation protocol, by the end of the 6th mo and thereafter every six mos, the QI team will collect process improvement data using the integrated fidelity scale, general organizational index, and various measures of cultural competency.
Obj. 4-3 Every 6 mos, the QI team will facilitate a community advisory meeting, review results of available analyses and solicit recommendations for program improvement, documenting changes and the reason for the changes.