Mississippi Public Health Institute

GULF COAST HEALTHY FAMILIES, MOTHERS AND BABIES INITIATIVE

STATE MATERNAL HEALTH INNOVATION PROGRAM

SHARING HEALTH, EDUCATION AND AWARENESS (SHEA) INITIATIVE

MISSISSIPPI PERINATAL QUALITY COLLABORATIVE - THE MISSISSIPPI PUBLIC HEALTH INSTITUTE IS APPLYING FOR COMPONENT A UNDER THE CDC NOFO ‘STATEWIDE PERINATAL QUALITY COLLABORATIVES’ (CDC-RFA-DP22-2207) TO ADDRESS PERSISTENT POOR MATERNAL AND INFANT HEALTH OUTCOMES. MISSISSIPPI HAS PERSISTENTLY HELD SOME OF THE POOREST PERINATAL HEALTH OUTCOMES IN THE UNITED STATES. THE 2020 MS INFANT MORTALITY RATE WAS 8.3 DEATHS/1,000 LIVE BIRTHS, SIGNIFICANTLY EXCEEDING THE US RATE OF 5.6 DEATHS/1,000 LIVE BIRTHS. THIS IS LARGELY DRIVEN BY MISSISSIPPI’S HIGH PRETERM BIRTH RATE OF 14.2%, WHICH INCLUDES A SIGNIFICANT RACIAL DISPARITY OF 18% PRETERM BIRTHS AMONG BLACK INFANTS AND 12% FOR WHITE. MATERNAL HEALTH INDICATORS ARE EQUALLY CONCERNING. MATERNAL HEALTH INDICATORS ARE EQUALLY CONCERNING. BETWEEN 2013 AND 2017, THE PREGNANCY-RELATED MORTALITY RATIO IN MS REACHED 33.2 DEATHS PER 100,000 LIVE BIRTHS. THE MISSISSIPPI PERINATAL QUALITY COLLABORATIVE (MSPQC) SEEKS TO IMPROVE THESE MATERNAL AND INFANT HEALTH OUTCOMES BY ADVANCING EVIDENCE-BASED, DATA-DRIVEN QUALITY IMPROVEMENT INITIATIVES STATEWIDE. ESTABLISHED IN 2014, THE MSPQC IS MISSISSIPPI’S FIRST COLLABORATIVE QUALITY IMPROVEMENT (QI) PROGRAM THAT HAS INTEGRATED THE EFFORTS OF MULTIPLE STAKEHOLDERS TO ADDRESS KEY DRIVERS OF POOR BIRTH OUTCOMES. CURRENTLY, MSPQC IS LEADING STATEWIDE INITIATIVES TO: 1) REDUCE SEVERE MATERNAL MORBIDITY AND MORTALITY RESULTING FROM INEQUITABLE TREATMENT OF WOMEN DURING THE BIRTHING EXPERIENCE, 2) REDUCE SEVERE MATERNAL MORBIDITY DUE TO SEVERE MATERNAL HYPERTENSION AND CARDIOVASCULAR DISEASE, AND 3) REDUCE PRIMARY CESAREAN DELIVERIES AMONG LOW-RISK MOTHERS. UNDER THE AFOREMENTIONED ANNOUNCEMENT, MSPQC WILL PROGRESSIVELY ENHANCE ITS CAPACITY TO LEAD STATEWIDE QUALITY IMPROVEMENT INITIATIVES. THE PRIMARY STRATEGIES MSPQC WILL USE TO REACH ITS GOALS OF REDUCING MATERNAL AND INFANT MORBIDITY AND MORTALITY INCLUDE: 1) FURTHER BUILDING AND STRENGTHENING THE CAPACITY OF MSPQC TO IMPROVE THE QUALITY OF PERINATAL CARE STATEWIDE, 2) SEEKING TO ENGAGE ALL BIRTHING FACILITIES STATEWIDE TO IMPROVE PERINATAL OUTCOMES, 3) SUPPORTING FACILITIES TO IMPLEMENT QUALITY IMPROVEMENT (QI) INITIATIVES, 4) BUILDING AND STRENGTHENING DATA SYSTEMS TO IMPROVE THE IDENTIFICATION AND DOCUMENTATION OF DISPARITIES, 5) ENGAGING PATIENTS AND COMMUNITIES IN QI INITIATIVES, AND 6) BUILDING PARTNERSHIPS BUILDING MEANINGFUL PARTNERSHIPS TO DISSEMINATE BEST PRACTICES, EXPAND KNOWLEDGE AND IMPROVE CARE FOR FAMILIES ACROSS THE STATE MSPQC WILL WORK WITH LOCAL PARTNERS INCLUDING THE MS CHAPTERS ACOG, AAP, AWHONN AND ACNM, THE MISSISSIPPI HOSPITAL ASSOCIATION, BLUE CROSS BLUE SHIELD OF MS, THE UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, AND COMMUNITY PARTNERS TO IMPLEMENT STATEWIDE QI INITIATIVES IN BOTH MATERNAL AND INFANT HEALTH. MSPQC WILL ACTIVELY WORK WITH KEY NATIONAL PARTNERS INCLUDING AIM AND THE NATIONAL NETWORK OF PERINATAL QUALITY COLLABORATIVES TO EXECUTE BEST PRACTICES AS A PQC, USE PROVEN STRATEGIES TO DRIVE CHANGE AND LEARN FROM AND SHARE WITH OTHER STATES.

MISSISSIPPI YOUTH FIVE COUNTY REGION FOR ENHANCING NARCOTIC, DRUG, AND SUBSTANCE USE AWARENESS - MY FRENDS - MISSISSIPPI YOUTH FIVE-COUNTY REGION FOR ENHANCING NARCOTIC, DRUG, AND SUBSTANCE USE AWARENESS (MY FRENDS) THE MISSISSIPPI PUBLIC HEALTH INSTITUTE (MSPHI) AND ITS PARTNERS PROPOSE TO LAUNCH MY FRENDS (MS YOUTH FIVE-COUNTY REGION FOR ENHANCING NARCOTIC, DRUG, AND SUBSTANCE USE AWARENESS), WHICH WILL DIRECTLY SERVE 3000 YOUTH AND YOUNG ADULTS TOTAL (600 PER YEAR) AND REACH ANOTHER 40,000 OVER FIVE YEARS WITH MEDIA MESSAGING. GROUPS WILL BE DEMOGRAPHICALLY DIVERSE BY AGE, GENDER, AND RACE-ETHNICITY. PRIORITIZING A RANGE OF ENVIRONMENTAL STRATEGIES TO INCLUDE POPULATION-BASED INTERVENTIONS, MEDIA MESSAGING, AND POLICY INNOVATIONS, MY FRENDS WILL HELP REDUCE THE ONSET AND PROGRESSION OF SUBSTANCE MISUSE AND ITS RELATED PROBLEMS BY SUPPORTING THE DEVELOPMENT AND DELIVERY OF SUBSTANCE MISUSE PREVENTION AND MENTAL HEALTH PROMOTION SERVICES WITHIN THE HINDS, MADISON, RANKIN, SCOTT, AND WARREN CATCHMENT AREA AS WELL AS AMONG THE MISSISSIPPI BAND OF CHOCTAW INDIANS (MBCI) IN NEARBY EAST CENTRAL MS. FOCAL POPULATIONS WILL INCLUDE YOUTH AND YOUNG ADULTS AGES 9-20 FOR UNDERAGE DRINKING ALONG WITH MARIJUANA, OPIOID, AND STIMULANT (MOST) USE/MISUSE PREVENTION FOR YOUTH AND YOUNG ADULTS. MISSISSIPPI (MS) EXHIBITS THE MOST PRONOUNCED NEGATIVE SOCIAL INDICATORS IN THE US, INCLUDING THE NATION’S MOST LIMITED ACCESS TO MENTAL HEALTH SERVICES. MS YOUTH AND YOUNG ADULTS ALSO FACE MANY DEVELOPMENTAL HURDLES. MS’S CHILD POVERTY RATE (28.1%) IS COUPLED WITH AN EARLY AGE OF ALCOHOL ONSET AND ELEVATED UNDERAGE DRINKING, MARIJUANA, OPIOID, AND STIMULANT RISKS. THE COMMUNITIES TO BE SERVED BY MY FRENDS HAVE ELEVATED DRUG USE RATES, PARTICULARLY FOR HIGH SCHOOL JUNIORS AND SENIORS, COUPLED WITH LAX PERCEPTIONS OF HARM. NEARLY TWO-THIRDS OF SURVEYED MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS PERCEIVE NO RISK OR MINIMAL RISK ASSOCIATED WITH HEAVY ALCOHOL USE. ABOUT HALF HAVE SIMILARLY MISGUIDED VIEWS ABOUT THE PERCEIVED RISKS ASSOCIATED WITH REGULAR MARIJUANA USE. THESE PROBLEMS ARE MAGNIFIED BY MS’S PERMISSIVE CLIMATE TOWARD ALCOHOL USE AND UNDERAGE DRINKING. MS HAS NO KEG REGISTRATION POLICY AND LEGALLY PERMITS MINORS AGES 18-20 YEARS OLD TO DRINK BEER AND WINE AT HOME WITH A PARENT OR GUARDIAN. THE FIVE JACKSON-AREA COUNTIES AND MBCI COMMUNITIES HAVE SUFFICIENT NEARNESS TO PERMIT SIMULTANEOUS SERVICE, BUT EACH HAS DISTINCTIVE FEATURES. LEAST AFFLUENT HINDS AND SCOTT CONTRAST WITH MORE AFFLUENT MADISON, WHILE MOSTLY WHITE RANKIN IS DISTINCT FROM MOSTLY AFRICAN AMERICAN HINDS AND APPRECIABLY HISPANIC SCOTT COUNTY. URBANIZED HINDS STANDS IN DISTINCTION TO MORE RURAL MADISON AND SCOTT. THE MBCI WILL ADD TO THIS DIVERSE MIX OF COMMUNITIES AND CULTURES. MY FRENDS WILL USE A COMPARATIVE IMPLEMENTATION AND EVALUATION DESIGN TO TEST THE EFFICACY OF INTERVENTIONS ACROSS DISTINCT BUT ADJACENT LOCALES THAT ARE ALL HIGH-NEED, LOW-CAPACITY. MY FRENDS WILL BE GOVERNED BY SPF, A COMMUNITY ENGAGEMENT MODEL GROUNDED IN PUBLIC HEALTH PRINCIPLES, DATA-DRIVEN PROTOCOLS, AND EVIDENCE-BASED SERVICES DELIVERED TO HIGH-RISK UNDERSERVED COMMUNITIES. MY FRENDS WILL: (1) REDUCE UNDERAGE DRINKING AMONG CATCHMENT AREA YOUTH AGES 9-20. (2) REDUCE MARIJUANA, OPIOID, AND STIMULANT (MOST) USE/MISUSE FOR CATCHMENT AREA HIGH SCHOOL AND COLLEGE STUDENTS. (3) REDUCE SCHOOL-RELATED DRUG USE CONSEQUENCES. (4) INCREASE THE PERCEIVED RISK OF HARM ASSOCIATED WITH ALL PRIORITY SUBSTANCES. (5) TRACK AND EVALUATE PREVENTION PROGRAMMING. (6) REDUCE BEHAVIORAL HEALTH DISPARITIES. (7) ESTABLISH ROBUST DATA SYSTEMS. (8) IMPROVE THE LOCAL DRUG PREVENTION INFRASTRUCTURE FOR COALITION FUNCTIONING, PREVENTION MESSAGING, AND POLICY DEVELOPMENT. EVIDENCE-BASED PRACTICES (EBPS) WILL INCLUDE, AMONG OTHERS, ALCOHOL.EDU, POLICY INNOVATIONS (E.G., KEG REGISTRATION), SOCIAL HOST ENFORCEMENT, MEDIA MESSAGING, PROJECT STICKER SHOCK, AND HAZELDEN’S ALTERNATE ROUTES.

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION - PROJECT ABSTRACT – NOFO PG 13-14 1. TITLE – MS SOUTHWEST SUBSTANCE & OPIOID ABUSE RESPONSE PROGRAM 2. REQUESTED AWARD AMOUNT - $999,816.00 3. MISSISSIPPI PUBLIC HEALTH INSTITUTE 4. 829 WILSON DRIVE SUITE C RIDGELAND, MS 39157 5. PUBLIC HEALTH NON-PROFIT 6. PROJECT DIRECTOR: ANNALYN WHITT, PROGRAM MANAGER AT MSPHI 7. EMAIL: AWHITT@MSPHI.ORG PHONE: 601-398-4406 8. NO CURRENT RCORP AWARD 9. NO EIN EXCEPTION REQUEST 10. HOW THE APPLICANT FIRST LEARNED ABOUT THE FUNDING OPPORTUNITY: GRANTS.GOV 11. 4 MEMBERS (INCLUDING MSPHI) MISSISSIPPI COMMUNITY HEALTH WORKERS ASSOCIATION, SOUTHWEST MS COMMUNITY MENTAL HEALTH -A CLEAR PATH, MSU SOUTHWEST REGIONAL EXTENSION SERVICE, & THE 6TH DISTRICT JUDICIAL INTERVENTION COURT 12. NO PREVIOUS RCORP AWARD 13. TARGET POPULATION DESCRIPTION: - LESS THAN 0.25% OF THE TARGET AREA IDENTIFY AS FEMALE, AMERICAN INDIAN/ALASKAN NATIVE. - THIS PROJECT TARGETS PREGNANT, PARENTING, AND PARENTING-AGED WOMEN WITH SUD/OUD IN 7 SOUTHWESTERN MISSISSIPPI COUNTIES BY PARTNERING WITH BEHAVIORAL HEALTH PROVIDERS, COMMUNITY HEALTH WORKERS, LOCAL LAW ENFORCEMENT, DOMESTIC VIOLENCE SHELTERS, AND OTHER COMMUNITY ORGANIZATIONS TO DECREASE STIGMA AGAINST WOMEN WITH SUD/OUD, PREVENT SUD/OUD, AND INCREASE ACCESS TO SUD/OUD TREATMENT AND RECOVERY. EVIDENCE-BASED PRACTICES, PREVENTION EFFORTS, PROFESSIONAL TRAININGS, AND STIGMA REDUCTION COMMUNICATION CAMPAIGNS ALL DIRECTLY ADDRESS HARMFUL STIGMA AGAINST PREGNANT AND PARENTING WOMEN WITH OUD/SUD AND SEEK TO IMPROVE HEALTH DISPARITIES. 14. TARGET SERVICE AREA: 7 HRSA-DESIGNATED RURAL COUNTIES IN MISSISSIPPI: ADAMS, AMITE, CLAIBORNE FRANKLIN, JEFFERSON, PIKE, & WALTHALL 15. DOES THE TARGET SERVICE AREA OVERLAP WITH EXISTING RCORP? NO BRIEF SUMMARY: MSPHI IS FORMING A CONSORTIUM OF LOCAL, REGIONAL AND STATE PARTNERS TO WORK IN SOUTHWEST MS IN ORDER TO PROVIDE RESOURCES THAT WILL CREATE AND SUSTAIN NEW SUBSTANCE USE DISORDER AND OPIOID USE DISORDER SUPPORT, TREATMENT, AND RECOVERY SER VICES FOR THE PRIORITY COUNTIES. USING THE STRENGTHS OF EXISTING SERVICES, MSPHI AND ITS CONSORTIUM MEMBERS WILL DEPLOY INTERVENTIONS THAT FOCUS ON WORKFORCE DEVELOPMENT FOR COMMUNITY HEALTH WORKERS, DMH COUNSELORS, PATIENT SUPPORT SPECIALISTS, AND HEALTH CARE PROVIDERS IN ADAMS, AMITE, CLAIBORNE, FRANKLIN, JEFFERSON, PIKE, AND WALTHALL COUNTIES. THE AIM IS TO BRING SERVICES TO PREGNANT AND PARENTING WOMEN AT RISK OR WITH SUBSTANCE USE DISORDER, SPECIFICALLY, OPIOID USE DISORDER, IDENTIFIED THROUGH VARIOUS REFERRAL SOURCES. THE OVERARCHING GOAL IS TO CREATE A SUSTAINABLE, INTEGRATED, MULTI-DISCIPLINARY MENTAL AND PHYSICAL HEALTH CARE SYSTEM THAT REDUCES MORBIDITY AND MORTALITY OF SUBSTANCE USE DISORDER AND OPIOID USE DISORDER IN PREGNANT AND PARENTING WOMEN IN PRIORITY RURAL COUNTIES.

THE RURAL DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING PROGRAM (RURAL PROGRAM) IS AUTHORIZED BY 34 U.S.C. 12341. RURAL PROGRAM FUNDS ARE USED TO SUPPORT PROGRAMS THAT: 1) IDENTIFY, ASSESS, AND APPROPRIATELY RESPOND TO CHILD, YOUTH, AND ADULT VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, DATING VIOLENCE, AND STALKING IN RURAL COMMUNITIES; 2) ESTABLISH AND EXPAND VICTIM SERVICES IN RURAL COMMUNITIES TO CHILD, YOUTH, AND ADULT VICTIMS; 3) INCREASE THE SAFETY AND WELL-BEING OF WOMEN AND CHILDREN IN RURAL COMMUNITIES, BY (A) DEALING DIRECTLY AND IMMEDIATELY WITH DOMESTIC VIOLENCE, SEXUAL ASSAULT, DATING VIOLENCE, AND STALKING; AND (B) CREATING AND IMPLEMENTING STRATEGIES TO INCREASE AWARENESS AND PREVENT THESE CRIMES; AND 4) DEVELOP, EXPAND, IMPLEMENT, AND IMPROVE THE QUALITY OF SEXUAL ASSAULT FORENSIC MEDICAL EXAMINATION OR SEXUAL ASSAULT NURSE EXAMINER PROGRAMS. GRANTEES MUST USE AT LEAST ONE OF THE FOLLOWING STRATEGIES IN IMPLEMENTING THEIR PROJECTS: 1) IMPLEMENT, EXPAND, AND ESTABLISH COOPERATIVE EFFORTS AND PROJECTS AMONG LAW ENFORCEMENT OFFICERS, PROSECUTORS, VICTIM SERVICE PROVIDERS, AND OTHER RELATED PARTIES TO INVESTIGATE AND PROSECUTE INCIDENTS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING; 2) PROVIDE TREATMENT, COUNSELING, ADVOCACY, LEGAL ASSISTANCE, AND OTHER LONG-TERM AND SHORT-TERM VICTIM AND POPULATION SPECIFIC SERVICES TO ADULT AND MINOR VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING IN RURAL COMMUNITIES; 3) WORK IN COOPERATION WITH THE COMMUNITY TO DEVELOP EDUCATION AND PREVENTION STRATEGIES DIRECTED TOWARD SUCH ISSUES; 4) DEVELOP, ENLARGE, OR STRENGTHEN PROGRAMS ADDRESSING SEXUAL ASSAULT; AND 5) DEVELOP PROGRAMS AND STRATEGIES THAT FOCUS ON THE SPECIFIC NEEDS OF VICTIMS OF WHO RESIDE IN REMOTE RURAL AND GEOGRAPHICALLY ISOLATED AREAS. THROUGH THIS NEW OVW RURAL PROGRAM PROJECT, THE MISSISSIPPI PUBLIC HEALTH INSTITUTE (MSPHI), IN PARTNERSHIP WITH HAVEN HOUSE DOMESTIC VIOLENCE SHELTER, THE PROSECUTING ATTORNEY OF WARREN COUNTY, AND THE WARREN COUNTY SHERIFFS OFFICE, WILL IMPLEMENT THE MISSISSIPPI DOMESTIC VIOLENCE RURAL PARTNERSHIP PROJECT. THIS VICTIM SERVICES, LAW ENFORCEMENT, AND PROSECUTION PROJECT ADDRESSES THE FOLLOWING PURPOSE AREAS: 1, 2, AND 3 FOR WARREN, SHARKEY, ISSAQUENA, AND YAZOO COUNTIESFOUR RURAL, UNDERSERVED COUNTIES IN MISSISSIPPIS DELTA REGION. SPECIFIC ACTIVITIES WILL INCLUDE: 1) ESTABLISHING A COORDINATED, MULTIDISCIPLINARY DOMESTIC VIOLENCE HIGH RISK TEAM TO IDENTIFY AND RESPOND TO HIGH-RISK CASES USING EVIDENCE-BASED PRACTICES, INCLUDING THE LETHALITY ASSESSMENT PROTOCOL; 2) SUPPORTING TRAUMA-INFORMED SERVICES SUCH AS ADVOCACY, EMERGENCY SHELTER, TELEHEALTH-BASED COUNSELING, PEER SUPPORT, AND HOUSING ASSISTANCE; AND 3) TRAINING FOR LOCAL SHELTER STAFF TO INCREASE KNOWLEDGE ON THE SIGNS OF MENTAL HEALTH AND SUBSTANCE USE DISORDERS.

HELPING EMPOWER, ADVOCATE, AND REACH THE DELTA (HEARD) - THE MISSISSIPPI PUBLIC HEALTH INSTITUTE (MSPHI) PROGRAM HEARD (HELPING EMPOWER, ADVOCATE, AND REACH THE DELTA) WILL INCREASE ENGAGEMENT IN CARE FOR ADULT BLACK FEMALES (AGES 18 AND OVER), INCLUDING CISGENDER, TRANSGENDER, NONBINARY, AND GENDERQUEER/FLUID INDIVIDUALS LIVING WITH OR AT HIGH RISK FOR CONTRACTING HIV/AIDS, STIS, VH, OR AT-RISK FOR SUBSTANCE USE DISORDER (SUD) OR MENTAL HEALTH (MH) CONDITIONS IN THE MISSISSIPPI (MS) DELTA. POPULATION DEMOGRAPHICS INCLUDE 74% BLACK, 24% WHITE, AND 2% HISPANIC. TWENTY-NINE (29.8%) ARE LIVING IN POVERTY, 13.7% LIVE WITHOUT HEALTH INSURANCE, AND THE MEDIAN HOUSEHOLD INCOME IS $37,898. THE GEOGRAPHIC CATCHMENT AREA WHERE SERVICES WILL BE DELIVERED IS THE 18-COUNTY MS DELTA. IN PROJECT YEAR 1, MSPHI WILL PRIORITIZE TWO HIGH-POVERTY, UNDERSERVED COUNTIES, LEFLORE AND WASHINGTON, WITH OUTREACH EXTENDING INTO ALL DELTA COUNTIES. MSPHI WILL EXPAND SERVICES AND INCREASE COMMUNITY ANCHORS IN THE FOLLOWING TWO YEARS TO REACH ALL OF THE MS DELTA. HEARD WILL INCREASE ENGAGEMENT IN CARE FOR BLACK FEMALES WHO ARE LIVING WITH OR AT HIGH RISK FOR CONTRACTING HIV/AIDS, STIS, VH, OR AT RISK FOR SUD OR MH CONDITIONS IN THE MS DELTA. HEARD EXPECTS TO SERVE 135 INDIVIDUALS IN YEAR ONE, 202 IN YEAR TWO, AND 303 IN YEAR THREE, TOTALING 640 CLIENTS. GOAL 1: INCREASE ACCESS TO CULTURALLY APPROPRIATE, WOMEN-AND FAMILY-CENTERED, TRAUMA-INFORMED HIV/VIRAL HEPATITIS SERVICES, INCLUDING HIV AND HEPATITIS B AND C TESTING AMONG BLACK FEMALES LIVING IN MS DELTA. OBJ 1.1: ACROSS THE FULL GRANT TERM (FGT), PROVIDE HIV/HBV/HCV COUNSELING, TESTING, AND LINKAGES (CTL) TO AT LEAST 640 CLIENTS FROM THE PRIORITY POPULATION AND THEIR PARTNERS. OBJ 1.2: BY SEPT. 2027, REFER 100% OF HIV- PERSONS TO PRE-EXPOSURE PROPHYLAXIS (PREP) AND 100% OF THOSE WHO TEST POSITIVE FOR CONFIRMATORY TESTING AND SUPPORTIVE CLINICAL CARE. OBJ 1.3: BY SEPT. 2027, REFER 100% OF CLIENTS WHO ARE HIV+ OR AT HIGH RISK FOR HIV INTO CHOOSING LIFE: EMPOWERMENT, ACTION, RESULTS! (CLEAR). GOAL 2: EXPAND ACCESS TO SERVICES AND INCREASE ENGAGEMENT IN CARE TO REDUCE SUD AND MH SYMPTOMS AMONG BLACK FEMALES WHO ARE LIVING WITH OR AT HIGH RISK FOR CONTRACTING HIV/AIDS, STIS, VH, OR AT RISK FOR SUD OR MH CONDITIONS LIVING IN MS DELTA. OBJ 2.1: PRE-SCREEN 640 CLIENTS FOR ALCOHOL, DRUG USE, AND HIV/AIDS USING SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT). OBJ 2.2: INCREASE THE NUMBER OF INDIVIDUALS LINKED TO SOCIAL SUPPORT AND SUBSTANCE USE TREATMENT SERVICES BY REFERRING 100% OF THOSE WHOSE SBIRT SCORE INDICATES A REFERRAL NEED. OBJ 2.3: DISTRIBUTE AT LEAST 75 NALOXONE AND FENTANYL KITS IN PROJECT YEAR (PY) 1, 85 KITS IN PY2, AND 100 KITS IN PY3 USING PROGRAM REFERRAL RECORDS. OBJ 2.4: BY SEPT. 2027, REFER TO MH PROMOTION AND/OR TREATMENT 100% OF CLIENTS WITH CO-OCCURRING MH ISSUES AND SUD, AS INDICATED BY THEIR SBIRT SCORE. GOAL 3: EDUCATE AND EMPOWER BLACK FEMALES TO INCREASE THEIR AWARENESS OF SAFER SEX PRACTICES (E.G., CONDOM USE) AND MAKE INFORMED DECISIONS ABOUT THEIR BEHAVIORAL HEALTH, INCLUDING TRAUMA-RELATED RISK BEHAVIORS. OBJ 3.1: PROVIDE HIV PREVENTION/INTERVENTION USING THE SAFE IN THE CITY PROGRAM TO 500 CLIENTS ANNUALLY. OBJ 3.2: HOLD AT LEAST 3 SISTA PROGRAMS ANNUALLY IN THE MS DELTA TO PREVENT HIV TRANSMISSION BY PROMOTING CONSISTENT CONDOM USE. OBJ 3.3: INCREASE HIV AWARENESS BY PROVIDING THE HIV KNOWLEDGE QUESTIONNAIRE–18 (HIV KQ-18) TO 640 WOMEN WITHIN THE PRIORITY POPULATION. GOAL 4: INCREASE THE CAPACITY OF COMMUNITY ANCHORS TO ASSIST BLACK FEMALES WHO ARE LIVING WITH OR AT HIGH RISK FOR CONTRACTING HIV/AIDS, STIS, VH, OR AT RISK FOR SUD OR MH CONDITIONS. OBJ. 4.1: BY SEPT. 2027, ACHIEVE A 50% EXPANSION IN COMMUNITY ANCHORS BY INCREASING MEMBERS, AS MEASURED BY THE NUMBER OF NEW SIGNED LETTERS OF COMMITMENT. OBJ. 4.2: BY SEPT. 2025, PROVIDE CAPACITY-BUILDING TRAINING IN HIV AND SUD TRAUMA-INFORMED APPROACHES TO 90% OF COMMUNITY ANCHORS, AS MEASURED BY ATTENDANCE ROSTERS, TO REDUCE SUD/MH STIGMA AND INCREASE KNOWLEDGE.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-OVERDOSE RESPONSE