Thursday, April 18, 2024
4/18/2024
The goal of the Northern Ohio Recovery Association (NORA) Recover from Addiction to Prevent AIDS (RAP-AIDS) project is to increase engagement in care, in the Greater Cleveland, OH Metropolitan Area, for 360 racial and ethnic underrepresented adults (60 in Year 1 and 75 in Years 2-5) with substance use disorders (SUD) and/or co-occurring substance use and mental disorders (COD) who are at risk for, or are living with HIV/AIDS and receive HIV/AIDS services/treatment. A major feature will be the co-location of a NORA SUD treatment clinic within the medical facility of Federally Qualified Health Center (FQHC) and Ryan White HIV/AIDS Program Medical Provider, Care Alliance Health Center (CAHC). The project will provide SUD/COD treatment, HIV rapid testing, and HIV prevention while CAHC will offer HIV confirmatory testing, viral hepatitis testing, linkage to HIV and VH care, antiretroviral therapy (ART), Pre-Exposure Prophylaxis (PrEP) services for individuals who screen negative for HIV but are at increased risk of becoming infected with HIV, and referral for HBV and HCV treatment. RAP-AIDS will employ the following evidence-based practices: 1) the Matrix Model, a framework that integrates aspects of several treatment approaches, 2) Seeking Safety, a model that considers the context of historical trauma within which a large proportion of both men and women develop SUD/COD, and 3) Motivational Interviewing. RAP-AIDS will also offer two CDC-listed evidence-based HIV prevention programs, one for men (Real Men are Safe (REMAS) and another for women: Sisters Informing Sisters on Topics about AIDS (SISTA). Clients will be provided with an array of recovery support services (RSS) to enhance recovery. Project objectives are 1) Provide 360 individuals over the five-year grant period with SUD and HIV services. 2) Participants will be retained in the project for an average of 60 days.; 3) Participants will demonstrate a significant pre-post decrease in their substance use; 4) A Significant pre-post decrease in the frequency and/or severity of clients’ overall mental health symptoms; 5) Participants will demonstrate a significant pre-post decrease in frequency and/or severity of trauma symptoms; 6) 80% of participants will report interaction with family &/or friends supportive of their recovery at 6 mo. follow-up; 7) 100% of those who remain in the program for 15 days will complete the HIV prevention /education component of the project; 8) Participants completing the HIV prevention /education component of the project will report a pre-post decrease in perceptions of condom use barriers; 9) 80% of participants who complete the HIV prevention /education component of the project will report refraining from engaging in sexual risk behaviors at six-month follow-up; 10) 80% of participants who report, at intake, injection drug use (IDU) in past 30 days, who complete the HIV prevention /education component of the project, will report (at the six-month follow-up) abstinence from IDU or having used a new needle/syringe (in past 30 days); 11) 100% of HIV-negative participants who meet CDC criteria will be provided with information about PrEP and (if interested) referred to a PrEP provider within 30 days of enrollment; 12) 100% of participants will be offered HIV rapid preliminary antibody testing at intake and (if needed) referral for confirmatory testing and treatment for themselves and their partners; and 13) 100% of participants will be offered testing for hepatitis B and C and referred as necessary for treatment.
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).
