Damien Center Inc

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

LATINX PREVENTION PROGRAM - PROJECT ABSTRACT SUMMARYTHE DAMIEN CENTER, A 501(C)3 COMMUNITY-BASED ORGANIZATION LOCATED IN INDIANAPOLIS, IN, PROPOSES TO PROVIDE THE LATINX PREVENTION PROGRAM TO LATINX MSM (MEN WHO HAVE SEX WITH MEN) IN MARION COUNTY, INDIANA, A COUNTY THAT HAS BEEN IDENTIFIED AS ONE OF 48 COUNTIES NATIONWIDE THAT HAS BEEN HARDEST HIT BY THE HIV EPIDEMIC BY THE CDC. DAMIEN CENTER?S LATINX PREVENTION PROGRAM WILL REDUCE NEW HIV INFECTIONS IN THE COUNTY, INCREASE ACCESS TO CARE, AND PROMOTE HEALTH EQUITY FOR LATINX MSM, A POPULATION THAT IS BOTH UNDERSERVED AND HEAVILY IMPACTED BY HIV AS WELL AS DISPARITIES IN CARE. THIS WILL BE ACHIEVED BY INCREASING DAMIEN CENTER?S CAPACITY FOR HIV TESTING AND REFERRALS TO PARTNER SERVICES FOR THE TARGET POPULATION; LINKING ADDITIONAL LATINX PERSONS TO MEDICAL CARE, ART, SSPS, PREP, AND SUPPORTIVE SERVICES; AND INCREASING PROGRAM MONITORING AND ACCOUNTABILITY.DAMIEN CENTER WILL ACHIEVE THE FOLLOWING SHORT-TERM OUTCOMES DURING THE GRANT PERIOD UNDER EACH OF THE FOUR ENDING THE EPIDEMIC INITIATIVE PROGRAM PILLARS: DIAGNOSE?INCREASED PERSONS WHO ARE AWARE OF THEIR HIV STATUS?INCREASED RECEIPT OF INTEGRATED SCREENINGSTREAT?INCREASED RECEIPT OF HIV MEDICAL CARE AND ART AMONG PERSONS WITH NEWLY DIAGNOSED HIV?INCREASE RECEIPT OF HIV MEDICAL CARE AND ART AMONG PERSONS WITH PREVIOUSLY DIAGNOSED HIV, NOT IN CARE?INCREASED ACCESS TO PARTNER SERVICES PREVENT ?INCREASED ACCESS TO PREP?INCREASED AVAILABILITY OF CONDOMSRESPOND?INCREASED HEALTH DEPARTMENT AND COMMUNITY ENGAGEMENT FOR CLUSTER DETECTION AND RESPONDEACH OF THESE SHORT TERM OUTCOMES WILL CONTRIBUTE TO THE OVERALL LONG-TERM OUTCOMES OF THE PROJECT, INCLUDING: REDUCED NEW HIV INFECTIONS; IMPROVED HEALTH OUTCOMES FOR PERSONS WITH DIAGNOSED HIV; REDUCED HIV-RELATED HEALTH DISPARITIES; AND REDUCED DEATH AMONG PERSONS WITH DIAGNOSED HIV.

HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS

YTG PREVENTION PROGRAM

REDUCING SUBSTANCE ABUSE AND HIV TRANSMISSION AMONG EX-OFFENDERS

CARE (COMPREHENSIVE ACCESS TO RECOVERY AND EMPOWERMENT) - DAMIEN CENTER, INC. WILL IMPLEMENT THE CARE (COMPREHENSIVE ACCESS TO RECOVERY AND EMPOWERMENT) PROJECT TO INCREASE ENGAGEMENT IN CARE FOR RACIAL AND ETHNIC UNDERREPRESENTED INDIVIDUALS AGES 18+ WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS (COD) WHO ARE AT RISK FOR OR LIVING WITH HIV/AIDS. CARE WILL BE PROVIDED IN THE INDIANAPOLIS TRANSITIONAL GRANT AREA, WHICH INCLUDES MARION COUNTY, INDIANA, AND NINE SURROUNDING COUNTIES. MARION COUNTY IS AN EHE PRIORITY JURISDICTION. THE PRIMARY POPULATION FOR CARE IS SERVING THOSE RACIAL/ETHNIC MINORITIES MOST IMPACTED BY HIV, INCLUDING GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WITH MEN (MSM), TRANSGENDER INDIVIDUALS, AND THOSE HIV NEGATIVE INDIVIDUALS AT INCREASED RISK FOR HIV ACQUISITION WHO ARE BLACK AND/OR LATINO/HISPANIC. THESE GROUPS ARE PRIORITIZED IN THE MARION COUNTY INDIANA ENDING THE EPIDEMIC PLAN, WHICH EMPHASIZES THE NEED FOR PRIORITIZATION OF THOSE MOST IMPACTED BY SOCIAL INEQUITIES, THOSE WHO EXPERIENCE THE GREATEST BARRIERS, WHO HAVE THE LEAST ACCESS, THOSE WHO ARE AFRAID TO COME FORWARD FOR CARE DUE TO STIGMA, MISTRUST, AND TRAUMATIZATION. THE OVERARCHING GOAL OF CARE IS TO REDUCE SUBSTANCE USE DISORDER (SUD), CO-OCCURRING SUD/MENTAL HEALTH CONDITIONS (CODS), HIV/AIDS, HEPATITIS AND OTHER RELATED PROBLEMS AMONG RACIAL/ETHNIC MINORITY ADULTS. TO ACHIEVE THIS, CARE WILL MEET THREE PRIMARY GOALS FOR CLIENTS THAT ARE REFERRED INTERNALLY AND PARTICIPATE IN DAMIEN CENTER AND DAMIEN CARES IN-HOUSE PROGRAMMING. 1) EXPAND TREATMENT AND RECOVERY SERVICES FOR THOSE WITH SUD AND COD 2) INCREASE LINKAGES TO AND UTILIZATION OF PRIMARY HIV CARE AND ANTIRETROVIRAL THERAPY 3) REDUCE THE INCIDENCE OF NEW HIV AND HEPATITIS B AND C INFECTIONS EACH OF THESE GOALS INCLUDES NUMEROUS MEASURABLE OBJECTIVES. A TOTAL OF 171 INDIVIDUALS WILL BE SERVED THROUGH INTERNAL SUD TREATMENT AND 1,450 THROUGH HIV/STI AND HEPATITIS TESTING THROUGHOUT THE FIVE-YEAR PROGRAM. THIS INCLUDES: - SUD OR COD SCREENING AND RISK ASSESSMENT FOR 300 INDIVIDUALS ANNUALLY (250 IN Y1) - SUD/COD TREATMENT SERVICES TO 36 INDIVIDUALS ANNUALLY (27 IN Y1) - PEER RECOVERY SUPPORT TO 36 INDIVIDUALS ANNUALLY (27 IN Y1) - HIV TESTING FOR 300 INDIVIDUALS ANNUALLY (250 IN Y1) - HEPATITIS TESTING FOR 300 INDIVIDUALS ANNUALLY (250 IN Y1) - PREP FOR ALL INDIVIDUALS AT HIGH RISK FOR HIV AND LINKAGES TO HIV/HEPATITIS TREATMENT SERVICES FOR CLIENTS WHO TEST POSITIVE. THESE GOALS AND OUTPUTS WILL BE ACHIEVED THROUGH THE IMPLEMENTATION OF SEVERAL EVIDENCE-BASED AND BEST PRACTICES, INCLUDING PROVISION OF AN INTENSIVE OUTPATIENT PROGRAM, MOTIVATIONAL INTERVIEWING, COGNITIVE BEHAVIORAL THERAPY, ACCEPTANCE AND COMMITMENT THERAPY, MEDICATION ASSISTED TREATMENT, AND PEER RECOVERY SERVICES.

INDY OUTREACH NAVIGATION (ION) PROGRAM

HEALTH CENTER PROGRAM - PROJECT TITLE: DAMIEN CENTER – NEW ACCESS POINT ORGANIZATION NAME: DAMIEN CENTER PROJECT DIRECTOR: ALAN WITCHEY CONTACT PHONE NUMBER: 317-632-0123 X 266 CONTACT EMAIL ADDRESS: AWITCHEY@DAMIEN.ORG WEBSITE: HTTPS://DAMIEN.ORG PROPOSED SERVICE DELIVERY SITE ADDRESS: 1420 E WASHINGTON ST., INDIANAPOLIS, IN 46201 FUNDING REQUEST: $650,000 NEEDS TO BE ADDRESSED DAMIEN CENTER’S NEW ACCESS POINT (NAP) PROJECT WILL EXPAND AFFORDABLE, ACCESSIBLE, AND HIGH-QUALITY PRIMARY HEALTH CARE TO UNDERSERVED COMMUNITIES IN MARION COUNTY, INDIANA, WITH A SPECIFIC FOCUS ON ZIP CODE TABULATION AREAS (ZCTA) 46218 AND 46201. MARION COUNTY AND THE SURROUNDING REGION EXPERIENCE HEALTH, WELLBEING, AND ECONOMIC DISPARITIES BY RACE, ETHNICITY, AND GEOGRAPHY. THE PROPOSED SERVICE AREA IS WITHIN AN OPPORTUNITY ZONE. THE MOST RECENT UNMET NEEDS SCORE TOOL REPORTS AN UNMET NEEDS SCORE OF 87.37 (ZCTA 46218 AND 46201) AND A HEALTH CENTER PENETRATION RATE FOR THE TOTAL POPULATION OF 40.5% FOR THE PROPOSED SERVICE AREA. DAMIEN CENTER WILL ADDRESS HEALTH DISPARITIES FOR THE POPULATION WITHIN THE SERVICE AREA RELATED TO 29% OF THE POPULATION LIVING BELOW POVERTY, 22.5% WITHOUT A HIGH SCHOOL DIPLOMA, 19% WITHOUT ACCESS TO TRANSPORTATION, AND 15% UNINSURED. DAMIEN CENTER IS UNIQUELY POSITIONED TO SIGNIFICANTLY INCREASE ACCESS TO QUALITY COMPREHENSIVE PRIMARY CARE IN AN AREA WITH AN INCREDIBLY HIGH UNMET NEED, AS DEMONSTRATED THROUGH YEARS OF BUILDING TRUST WITHIN THE COMMUNITY AS A PROVIDER OF QUALITY CARE AND SERVICES IN A SAFE, WELCOMING, AND INCLUSIVE ENVIRONMENT. FURTHERMORE, IN THE MOST RECENT FISCAL YEAR, THE NUMBER OF PATIENT REQUESTS FOR PRIMARY CARE SERVICES HAS INCREASED 237%, INDICATING A RAPIDLY INCREASING LOCALIZED NEED. PROPOSED SERVICES AND POPULATION TO BE SERVED NEW ACCESS POINT FUNDING WILL MAKE IT POSSIBLE FOR DAMIEN CENTER TO EXPAND SERVICES TO INCLUDE ONSITE DENTAL, OPTOMETRY, WELL CHILD, AND GYNECOLOGICAL SERVICES AS WELL TO INCREASE THE PROVISION OF SUBSTANCE USE DISORDER THERAPY AND EXPAND ACCESS TO PRIMARY CARE IN THE PROPOSED SERVICE AREA. SERVICES ARE IN ADDITION TO DAMIEN CENTER’S ALREADY ROBUST CLINICAL AND SUPPORTIVE SERVICES. THE PROPOSED NAP SITE WILL ALLOW DAMIEN CENTER TO REACH AN ADDITIONAL 2,000 PATIENTS IN THE FIRST FULL YEAR, OR PERIOD OF PERFORMANCE, ALL OF WHOM ARE CURRENTLY WITHOUT A MEDICAL HOME AND EXPERIENCE HEALTH DISPARITIES DUE TO SOCIOECONOMIC DETERMINANTS OF HEALTH, INCLUDING LOW-INCOME, DISABILITY, AND/OR MINORITY STATUS. BY END OF CALENDAR YEAR 2026, DAMIEN CENTER ANTICIPATES PROVIDING HEALTH CENTER PROGRAM SERVICES TO AT LEAST 5,021 UNDUPLICATED PATIENTS THROUGH ITS PROPOSED NAP SITE, ACCOUNTING FOR 30,631 PATIENT VISITS. SERVICES ARE PROVIDED ON A SLIDING-SCALE FEE SCHEDULE, A PATIENT IS NEVER TURNED AWAY FOR LACK OF ABILITY TO PAY, AND BOTH TRANSPORTATION AND TRANSLATION SERVICES ARE AVAILABLE ENSURING ALL PATIENTS MEANINGFUL ACCESS TO HEALTH CENTER SERVICES. ABOUT DAMIEN CENTER DAMIEN CENTER WAS FOUNDED IN 1987 AND PROVIDES A WIDE VARIETY OF SUPPORTIVE, MEDICAL, PHARMACEUTICAL, AND PREVENTION SERVICES IN CENTRAL INDIANA. DAMIEN CENTER IS A LONGTIME RECIPIENT OF RYAN WHITE HIV/AIDS PROGRAM PARTS A, B, C AND MAI, FUNDING AS WELL AS FUNDING THROUGH SAMHSA, HUD, CDC, DOJ AND MANY OTHER SOURCES. DAMIEN CENTER OPENED ITS MEDICAL CLINIC IN 2015, FOCUSING ON INDIVIDUALS LIVING WITH HIV AND THOSE AT RISK FOR HIV SEEKING PREP SERVICES. SINCE THAT TIME THE CLINIC HAS EXPANDED TO SERVE OTHER HIGH NEED POPULATIONS IN THE COMMUNITY, INCLUDING THOSE EXPERIENCING HOMELESSNESS, LIVING IN PUBLIC HOUSING, LIVING WITH HEPATITIS C, SEEKING GENDER AFFIRMING CARE, AND DISENFRANCHISED POPULATIONS WHO NEED A SAFE PLACE FOR PRIMARY CARE. DAMIEN CENTER’S MISSION IS TO BE A TRUSTED PARTNER IN PROVIDING HEALTHCARE, SUPPORTIVE SERVICES, EDUCATION, AND ADVOCACY FOR ALL PEOPLE LIVING WITH OR AT RISK FOR HIV AND ANY PERSON SEEKING A SAFE AND WELCOMING HOME FOR CARE.

HOUSING ASSISTANCE PROGRAM FOR VICTIMS OF HUMAN TRAFFICKING

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM