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"Expanding Comprehensive Care: Enhancing Substance Use and Mental Health Services for High-Risk LGBTQ+ BIPOC Youth at the Ali Forney Center in NYC"

Award Number: H79TI088051
ORGANIZATION: CENTER FOR SUBSTANCE ABUSE TREATMENT
OPDIV: SAMHSA
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 09/30/2024
PERIOD OF PERFORMANCE END DATE: 09/29/2029

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"Expanding Comprehensive Care: Enhancing Substance Use and Mental Health Services for High-Risk LGBTQ+ BIPOC Youth at the Ali Forney Center in NYC" - The Ali Forney Center (AFC), the largest provider of comprehensive services and housing for homeless lesbian, gay, bisexual, transgender, and questioning (LGBTQ+) young people in New York City (NYC) and the nation, will expand treatment programming to increase engagement in care for racial/ethnic minority youth with substance use disorders (SUD) and/or co-occurring substance use and mental disorders (COD) who are at high risk for HIV or are HIV positive and receiving services/treatment. The population of focus for this proposed project is unhoused LGBTQ+ BIPOC youth (Black, Indigenous, and Persons of Color) ages 18-24 with SUD and/or COD, who are at high risk for HIV infection. Gay and bisexual males are two to three times more likely to use illicit drugs compared to their straight peers, and about one-third of gay males and bisexual males had a substance use disorder (SUD) in the past year. Substance use increases the risk of individuals developing comorbid or co-occurring mental disorders (COD). LGBTQ+ individuals are also at a higher risk of contracting diseases such as HIV due to intravenous drug use and risky sexual behaviors. According to the National Institute on Drug Abuse, the most effective treatment for SUDs is one that also addresses CODs. Furthermore, SUD treatment, especially one that also addresses CODs, can help prevent HIV transmission and lead to improvements in viral load. Current research highlights that in response to the disparities related to these issues for sexual minorities and racial and ethnic minorities, treatment needs to address the unique challenges these individuals face. However, only 7.4% of programs across the county offer specialized services. In NYC, no existing programs or service providers are providing these critical services specifically to unhoused LGBTQ+ youth. For the focus population, experiencing homelessness compounds the challenges these individuals are already at an increased risk for while also significantly impacting their access to the affirming, comprehensive care they need. AFC is one of the only providers of housing and support services specifically for unhoused LGBTQ+ youth in NYC. A lack of affirming facilities where LGBTQ+ youth feel safe leads to individuals who prefer street homelessness and remain at high risk of the associated challenges. The need to provide this care for unhoused LGBTQ+ youth is, quite simply, lifesaving and critical. The overall purpose of the proposed pilot project is to sustain and expand AFC's array of integrated services and supports to improve behavioral and mental health care and HIV/viral hepatitis (VH) treatment for unhoused LGBTQ+ youth. The proposed pilot project, SUD and HIV/HCV Prevention and Treatment Services for Unhoused LGBTQ+ Youth, is designed to increase access to and engagement in substance use prevention, substance use disorder (SUD) treatment, and HIV/viral hepatitis prevention and treatment services specifically for unhoused LGBTQ+ BIPOC youth ages 18-24 with SUD and/or COD, who are at high risk for HIV infection. This grant will fund Intensive Case Management (ICM) staff and one existing therapist. It will also allow AFC to expand the program and hire a Peer Hire Counselor to better support those with SUD/COD.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $0 )
2026	2025	ALI FORNEY CENTER	307 W 38TH ST FL 2	NEW YORK	NY	10018	NEW YORK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	2	1/13/2026	TERMINATION	$0
2026	2025	ALI FORNEY CENTER	307 W 38TH ST FL 2	NEW YORK	NY	10018	NEW YORK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	2	1/15/2026	OTHER REVISION	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $699,990 )
2025	2025	ALI FORNEY CENTER	307 W 38TH ST FL 2	NEW YORK	NY	10018	NEW YORK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	2	9/23/2025	NON-COMPETING CONTINUATION	$699,990
														Subtotal = $699,990

Issue Date FY: 2024 ( Subtotal = $699,990 )
2024	2024	ALI FORNEY CENTER	307 W 38TH ST FL 2	NEW YORK	NY	10018	NEW YORK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	9/24/2024	NEW	$699,990
														Subtotal = $699,990

Grand Total All Awards = $1,399,980

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"Expanding Comprehensive Care: Enhancing Substance Use and Mental Health Services for High-Risk LGBTQ+ BIPOC Youth at the Ali Forney Center in NYC"

Award Number: H79TI088051

ORGANIZATION: CENTER FOR SUBSTANCE ABUSE TREATMENT

OPDIV: SAMHSA

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 09/30/2024

PERIOD OF PERFORMANCE END DATE: 09/29/2029

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