Catholic Charities (CC) of the Archdiocese of Miami, Inc. is proposing a Minority AIDS Initiative to increase the engagement in care for 100 individuals annually, for a total of 500 individuals throughout the lifetime of the project. The program will reduce the prevalence of substance use disorders, HIV and viral Hepatitis while increasing access and linkages to HIV treatment for racial and ethnic underrepresented individuals with a SUD that are living with HIV.
The target population are racially and ethnically underrepresented individuals residing in Miami-Dade County who have substance use disorders (SUD) and/or co-occurring substance use and mental disorders (COD) who are also at risk for, or are living with, HIV or viral Hepatitis. This five-year project will include outreach and referrals, screening and assessment, case management, evidence-based treatment, testing, medical health and medication supports, Recovery Supportive Housing for Spanish speaking clients, and partnering with our established collaborating partners, including the two Ryan White providers, Miami Beach Community Health Center and Care Resource.
The first goal of the project is to increase engagement in care for medically underserved minorities to reduce the high-risk behaviors that may contribute to Substance Use Disorder (SUD) or HIV and Hepatitis by;
1) Providing comprehensive, coordinated, evidenced-based services to 500 unduplicated individuals across the 5-year funding period, with at least 50% being underserved Spanish speaking clients;
2) Providing rapid HIV and Hepatitis C testing along with RESPECT: Brief and Enhanced Client-focused HIV Prevention Counseling Interventions to 100% of clients at-risk of HIV and Hepatitis and engaging in SUD/COD services, as well as their partners, and refer for Post-Exposure Prophylaxis (PEP) testing;
3) Providing coordination of care that includes education and referral for PrEP, HIV and Hepatitis treatment, primary medical care providers, mental health, pharmacy services, Medication Assisted Treatment, and recovery support to 90% of clients engaging in high-risk behaviors with SUD/COD.
4) 70% of clients participating in SUD/COD services will complete treatment;
5) 70% of clients completing treatment will exhibit decreased mental health symptoms at discharge, and 70% of those will maintain improvements/show additional decreases at 6-months post admission;
6) Of the clients having an SUD and completing treatment, 90% will be substance-free during the 30 days prior to discharge, and 60% of those will report a reduction in difficulties related to drug abuse at 6-months post admission; and
7) 100% of HIV positive clients will be linked to HIV medical care.
The second goal is to reduce the disparity in availability of SUD/COD recovery supportive housing and recovery services for Spanish speaking clients at high risk for HIV and Hepatitis by; 1) Expanding Recovery Supportive Housing for Spanish speaking clients who have completed residential treatment and are high-risk of HIV/Hepatitis and homelessness, for 24 clients annually for five years;
2) Expanding recovery supportive services including culturally appropriate outpatient treatment, case management and peer support services for 24 Spanish speaking clients annually for five years; and
3) Providing case management services to ensure that 70% of Spanish speaking clients will remain in supportive or permanent housing at three (3) month follow-up.