WestCare-The Village South’s Healthy Alternatives Require Transitions (HART) program will serve 230 unduplicated racial/ethnic minority adult males (40 yrs. 1, 5; 50 yrs. 2-4). HART will provide culturally appropriate, client-centered SUD/COD outpatient treatment, harm reduction and recovery support services that focus on MSM populations in Broward and Miami-Dade Counties; counties identified as Localities Hardest Hit by the HIV Epidemic. The HART uses several evidence-based treatment models to optimize each client’s success in treatment and success in life. Following the four dimensions of recovery, HART will address every aspect of the person’s life—behavioral, social, cultural, medical, cognitive, vocational, and educational—in the recovery process. With these well-chosen interventions, treatment and recovery support services will help clients make behavioral changes to reduce their risk of relapse. GOAL 1: Increase the availability of, access to, and engagement in evidence-based treatment services to reduce substance use/misuse and the related health consequences. Objective 1.1: By September 2027, provide intensive, integrated outpatient SUD treatment using A-CRA/CRA and ACC to 230 ethnic minority adults aged 18 years or older (30 in Years 1 and 5; 50 in Years 2-4) living in Miami-Dade and Broward Counties. Objective 1.2: By September 2027, 80% of clients will complete treatment measured by the discharge reason. Objective 1.3: By September 2027, 80% completing treatment will be substance free during the 30 days prior to discharge, and 70% of those will remain substance free at 6-months post admission. Objective 1.4: By September 2027, offer HIV/STD/HV testing and counseling to 100% of the clients and their drug-taking/sexual partners, refer 100% of positives for confirmatory testing, and link 85% of positives to care using ARTAS. Objective 1.5: By September 2027, link 85% of high-risk HIV negatives to PrEP. Objective 1.6: By September 2027, provide CLEAR to 80% of those who are at-risk or positive for HIV. Objective 1.7: By September 2027, 50% of persons completing CLEAR will report having fewer sexual partners and less unprotected sex within the 30 days prior to discharge, and 70% of those will continue to exhibit decreased risk behaviors at 6-months post admission. Objective 1.8: By September 2027, 80% completing CLEAR will have increased knowledge of HIV risk behaviors at discharge measured by the HIV-KQ-45.
GOAL 2: Reduce the behavioral and social consequences related to substance use/misuse by increasing access to and availability of recovery support services. Objective 2.1: By September 2027, 80% completing services who have anxiety, depression, or trauma symptoms at intake will exhibit fewer symptoms at discharge, and 70% of those will maintain the improvements or show additional decreases at 6-months post admission assessed by the GPRA, PCL-5, and Modified Mini. Objective 2.2: By September 2027, 80% completing services and not having stable living arrangement at intake will have stable living arrangements at discharge, and 70% of those will maintain their living arrangements at 6-months post intake measured by GPRA. Objective 2.3: By September 2027, 80% completing services will have improved social connectedness at discharge, and 70% will maintain these improvements at 6-months post intake measured by GPRA. Objective 2.4: By September 2027, 80% completing services will be in an
educational/vocational program or employed at discharge, and 70% will continue to remain enrolled, complete their education/training, or remain employed at 6-months post admission measured by GPRA. Objective 2.5: By September 2027, 80% completing services will not engage in new criminal activity at discharge, and 70% will not recidivate at 6-months post intake measured by GPRA.