North Jersey Portable Clinical Care Pilot Project - Summary. The North Jersey Community Research Initiative (NJCRI) is proposing a program to offer comprehensive healthcare for underserved and historically under-resourced populations experiencing unsheltered homelessness through the provision of portable clinical care in New Jersey. NJCRI will serve an average of 1,092 unduplicated individuals annually with grant funds and 3,276 over the entire project period. Project name. New Jersey Portable Clinical Care Pilot Project Populations to be served. NJCRI’s population of focus (POF) will be underserved people experiencing unsheltered homelessness. The geographic catchment area where services will be delivered is the Newark Eligible Metropolitan Area (EMA), which includes the five New Jersey counties of Essex, Morris, Sussex, Union, and Warren. Strategies/interventions. Program activities will include: 1) provide basic primary healthcare services; 2) low barrier SUD treatment; 3) take a syndemic approach to address infectious diseases; 4) provide evidence-based harm reduction education, supplies and services on- site; 5) conduct screening and assessment of mental health conditions and co-occurring mental and SUDs; 6) provide care coordination and case management services to address social determinants of health; and 7) document best practices and lessons learned. NJCRI will also implement the following EBPs: SBIRT; Motivational Interviewing (MI); and Cognitive behavioral therapy (CBT). Project goals and measurable objectives. The program’s goal is to provide comprehensive healthcare for racial and ethnic medically underserved people in New Jersey experiencing unsheltered homelessness through the delivery of portable clinical care delivered outside that is focused on the integration of behavioral health and HIV treatment and prevention services. Objectives include: 1) Conduct outreach and engagement strategies in the catchment area, reaching up to 900 persons from the POF in year 1, 1080 in year 2, and 1,296 in year 3; 2) Provide primary health care services and supplies, reaching at least 900 persons from the POF in year 1, 1,080 in year 2, and 1,296 in year 3; 3) Screen and assess at least 900 persons from the POF for substance use disorders and co-occurring mental and substance use disorders in year 1, 1,080 in year 2, and 1,296 in year 3; 4) Provide SUD and mental health treatment and referral for at least 80% of clients in need of services each year; 5) Screen clients and their drug-using and/or sexual partners on-site for HIV, viral hepatitis, Mpox, STIs and TB, reaching 900 persons from the POF in year 1, 1,080 in year 2, and 1,296 in year 3; 6) Provide peer support and case management to address social determinants of health to 90% of clients per year; 7) Provide evidence-based harm reduction services, including education and distribution of harm reduction supplies, to at least 900 persons from the POF in year 1, 1,080 in year 2, and 1,296 in year 3; 8) Provide mental health screening to at least 900 persons from the POF in year 1, 1,080 in year 2, and 1,296 in year 3; and, 9) provide mental health treatment and referral to at least 80% of clients in need of services per year.