Thursday, November 21, 2024
11/21/2024
Project Name: STOPP-Pro (STOPP-P) program Amount Requested: $499,395 annually for a five year total of $2,496,976 Summary of project: The Borinquen Health Care Center, Inc. (BHCC) DBA Borinquen Medical Centers (BMC) STOPP-Pro (STOPP-P) program, high-risk substance users who are HIV positive and/or Hepatitis A, B, or C positive will be immediately linked to care at BMC and offered integrated health services. All STOPP-P clients will receive culturally competent, integrated behavioral and medical health care and services via BMC’s indigenous staff. Services include: outreach, peer support/education, outpatient substance use disorder (SUD) and/or co-occurring substance use and mental disorders (COD); intensive outpatient treatment; medication assisted therapy (MAT); referral and linkage to residential SUD treatment facilities; access and linkage to BMC psychiatric services, specialty medical services, Ryan White case management, and community support services, such as housing and employment assistance, with collaboration from our community partners. Miami Dade County (MDC), the service area, leads the nation in new HIV infections and qualifies as a locality hardest hit by the HIV epidemic. The target population for STOPP-P includes high-risk Hispanic and Black (African-American and Haitian) young and adult men having sex with men (YMSM and MSM), homeless men and women (including transgendered individuals) and LGBTQ individuals in MDC. BMC has served the culturally diverse MDC communities of Wynwood, Allapatah, Little River, Little Havana, Overtown, North Miami, North Miami Beach, Kendall, West Dade, Sweetwater, Flagami and Little Haiti since 1972. The population served is underserved, low-income, and has a high percentage of uninsured individuals, minorities, and limited English-speaking. BMC will also recruit patients from the Ryan White program. Access to care is a barrier since MDC has both Health Professional Shortage Areas and Medically Underserved Areas/Populations from primary care, mental health and dental care. (HRSA 2022) BMC’s patient population is underserved and almost entirely minority (86%). BMC has provided culturally competent, effective SUD and COD services, as well as HIV and Hepatitis testing, counseling and linkage through its STOPP program since 2017. Current services will be enhanced by: 1) creating and implementing a STOPP-P client dashboard for effective case management, tracking and management of outcomes, and to inform program decision making including the need for any program modifications; 2) improving internal referrals from Ryan White services and primary care by implementing the use of PHQ-9, AUDIT and DAST-10 as part of the intake and case management process for these programs. Currently patients self-identify as needing services. STOPP uses these EBP screening tools in the intake process already. Implementing them across BMC services will identify patients needing STOPP-P services for immediate care engagement. These tools are in the EHR system and internal training with case managers and providers will help them adopt these tools in their workflow; 3) hire a peer educator to provide education, outreach, and support services; 4) implement contingency management to help bolster patient success; and 5) improve the use of motivational interviewing in the center through technical assistance and training. The goal is to increase engagement in care for 175 (875 over five years) racial and ethnic underrepresented individuals annually with SUDs and/or CODs who are at risk for, or are living with HIV/AIDS and receive HIV/AIDS services/treatment in MDC. Objectives: 1)Improve data infrastructure to strengthen case management and reporting; 2) Target populations who do not know their HIV/Hepatitis status to increase awareness of HIV status and engage more individuals in care; 3) Increase the number of people with HIV/and/or Hepatitis A, B or C from the target population who receive specialty medical care a
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).
