AIDS Alabama, Inc. (AAI) proposes to implement the Living in Balance Project, a co-located (multiple services provided under the physical and administrative infrastructure of AAI) and integrated (multidisciplinary service coordinator) care model that includes psychiatric services; nursing; substance use treatment; vocational/recreational rehabilitation; HIV/STI prevention, testing, and treatment; PrEP assessment and treatment; linkage to care; peer support services; permanent housing support/planning/placement; and case management to people with or who have indicators for HIV/AIDS and have a Substance Use Disorder (SUD) diagnosis or Co-Occurring Diagnosis substance use and mental health disorder(s) (COD). The Living in Balance Project will target disproportionately impacted populations in the Greater Birmingham Area and fill existing gaps in services for minority individuals, and LGBTQ+ individuals identified through existing AAI programs and community partners.
The Living in Balance Project will include provisions to fully integrate care to ensure participants report improvements in substance use symptoms and major life areas, linked to HIV care (through AAI or partner agencies), and linked to PrEP evaluation and care if appropriate.
The Living Well Project will include three (3) unique levels of intervention tailored to the participant's individual needs focused on improving health outcomes.
1. Level 1 - The Rectory and Living in Balance Chemical Addiction Intensive Outpatient Program is an Alabama Department of Mental Health (ADMH) certified Substance Use Program. The program is open to adults aged 19 and up who are HIV-positive. Enrolled participants will have access to individual/family/group substance use therapy, mental health evaluation and therapy, case management, peer support, and linkage to medical care. Participants will be continuously monitored and assessed to ensure they meet the medical necessity requirements for this level of care. AAI anticipates serving three hundred fifty (350) individuals in this level of care over the course of the grant, with a retention rate of 75%.
2. The Living Well Outpatient Center (LWOC) is an ADMH-certified mental health and substance use program. The program is open to adults aged 19 and up who are living with or have indications for HIV/AIDS. LWOC can provide assessment/evaluation for mental health and substance use treatment, psychiatric evaluation and medication management/monitoring, nursing assessment, peer support, case management, psychoeducational groups, and linkage to additional services. Participants will be continuously monitored ad assessed to ensure they are appropriate for and benefit from services. AAI anticipates reaching five hundred (500) individuals over the course of the grant.
3. Level III - The Living Well Health Clinic will provide testing, education, and treatment to individuals in the community. The Living Well Health Clinic provides state-of-the-art HIV testing and treatment, STD/STI testing and treatment, and PrEP assessment and treatment to anyone over the age of 18 who has indications for acquiring HIV/AIDS; regardless of sex, race, gender, sexual orientation, gender expression, economic status, or ability to pay. The Clinic also operates a Mobile Medical Unit, allowing AAI to reach underserved and homeless individuals in the Greater Birmingham area. AAI anticipates reaching five thousand (5,000) individuals over the course of the grant.
The Living Well Project will provide psychiatric, nursing, behavioral, peer support, and case management services using programs recognized by NREPP, including Living in Balance, Intensive Case Management, and Motivational Interviewing. The program is designed to improve engagement, maintenance, and access to mental health, substance use, medical, case management, peer support, housing, and vocational skills.