Brandywine Counseling & Community Services Inc

HEP C FREE - PROJECT ABSTRACT: HEP C FREE DELAWARE BRANDYWINE COUNSELING AND COMMUNITY SERVICES (BCCS) WILL IMPLEMENT HEP C FREE DELAWARE. THIS PILOT WILL DELIVER STATEWIDE, LOW-THRESHOLD CARE INTEGRATING RAPID HCV TESTING, SAME-DAY TREATMENT, AND BEHAVIORAL HEALTH SERVICES FOR INDIVIDUALS WITH SUD AND/OR SMI, INCLUDING THOSE EXPERIENCING HOMELESSNESS. THE PROGRAM WILL SERVE 200 INDIVIDUALS ANNUALLY (600 TOTAL) AND CURE HCV IN 51-100 PEOPLE EACH YEAR. THE POPULATION OF FOCUS INCLUDES ADULTS (18+) STATEWIDE WHO ARE DISPROPORTIONATELY IMPACTED BY HEPATITIS C (HCV) DUE TO CURRENT OR PAST INJECTION DRUG USE, CO-OCCURRING SUBSTANCE USE AND/OR MENTAL HEALTH DISORDERS (SUD/SMI), AND HOMELESSNESS. DELAWARE REPORTS OVER 5,600 INDIVIDUALS LIVING WITH CHRONIC HCV, WITH PREVALENCE SHARPLY HIGHER AMONG PEOPLE WHO INJECT DRUGS (KAHAL & RUTAN, 2020; UNIVERSITY OF WASHINGTON, 2025). BASED ON THE DEMOGRAPHICS OF HCV PREVALENCE, THE POPULATION SERVED WILL BE PREDOMINANTLY MALE, WITH RACIAL AND ETHNIC CHARACTERISTICS REFLECTING DELAWARE'S DEMOGRAPHICS – 60.4% WHITE, 10.5% HISPANIC (U.S. CENSUS BUREAU, 2025). HOMELESSNESS, BEHAVIORAL HEALTH NEEDS, AND HIGH RATES OF UNINSURANCE COMPOUND CARE ACCESS BARRIERS. HEP C FREE DELAWARE WILL ADDRESS THESE CHALLENGES WITH TRAUMA-INFORMED, MOBILE, AND LOW-THRESHOLD CARE STRATEGIES TARGETING INDIVIDUALS WHO ARE UNSHELTERED OR DISCONNECTED FROM TRADITIONAL HEALTHCARE. KEY INTERVENTIONS INCLUDE HCV RNA POINT-OF-CARE TESTING, DAA-BASED TREATMENT, HIV/STI SCREENING AND PREVENTION, FDA-APPROVED MAT, MENTAL HEALTH COUNSELING, AND CARE COORDINATION. THE PROGRAM WILL USE BCCS’S NEXTSTEP ELECTRONIC HEALTH RECORD AND SUBMIT DATA VIA SPARS, EMPLOYING A CASCADE OF CARE EVALUATION MODEL. SERVICES WILL BE PROVIDED AT FOUR FIXED CLINIC SITES AND THROUGH A MOBILE TREATMENT UNIT. GOALS ARE TO: (1) INCREASE THE NUMBER OF INDIVIDUALS CURED OF HCV; (2) REDUCE THE INCIDENCE OF HCV AND HIV IN DELAWARE THROUGH OUTREACH AND PREVENTION; (3) ADDRESS THE INTERSECTION OF SUD, SMI, INFECTIOUS DISEASES, AND HOMELESSNESS; (4) REDUCE INFECTIOUS DISEASES AND CONDITIONS, INCLUDING HIV/AIDS, STI’S, VIRAL HEPATITIS, AND TUBERCULOSIS, AS APPROPRIATE; AND (5) INCREASE ACCESS TO PEER SUPPORT AND CARE COORDINATION. MEASURABLE OBJECTIVES INCLUDE SERVING AT LEAST 200 INDIVIDUALS ANNUALLY, PROVIDING SAME-DAY HCV SCREENING, TESTING, AND TREATMENT WITH A GOAL OF CURING HCV IN 51–100 PARTICIPANTS EACH YEAR. ALL CLIENTS WILL BE ASSESSED FOR CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDERS, AND 100% WHO ARE ELIGIBLE FOR AND CONSENT TO PARTICIPATE WILL RECEIVE INTEGRATED, EVIDENCE-BASED TREATMENT WITH CARE COORDINATION AND PEER SUPPORT. THE PROGRAM WILL OFFER SCREENING FOR HCV, HIV, STIS, HEPATITIS A/B/C, AND TUBERCULOSIS TO ALL PARTICIPANTS, ENSURING IMMEDIATE LINKAGE TO CARE FOR THOSE WHO TEST POSITIVE AND PREVENTION EDUCATION FOR THOSE WHO TEST NEGATIVE. AT LEAST 75% OF CLIENTS WILL DEMONSTRATE REDUCED SYMPTOMS OR HARMFUL BEHAVIORS BY SIX MONTHS POST-TREATMENT. MOBILE OUTREACH WILL ENGAGE UNSHELTERED INDIVIDUALS ACROSS THE STATE, WHILE PREVENTION AND EDUCATION CAMPAIGNS WILL BE IMPLEMENTED IN EACH OF DELAWARE’S THREE COUNTIES.

SUPPORT FOR TREATMENT AND RECOVERY SERVICES (STARS) (MAT-PDOA) - BRANDYWINE COUNSELING AND COMMUNITY SERVICES, INC. (BCCS) WILL IMPLEMENT SUPPORT FOR TREATMENT AND RECOVERY SERVICES (STARS) A MEDICATION-ASSISTED TREATMENT (MAT) PROGRAM TO EXPAND AND ENHANCE ACCESS TO MAT SERVICES FOR ADULTS WITH AN OPIOID USE DISORDER (OUD) RESIDING IN RURAL AND UNDERSERVED COUNTIES IN THE STATE OF DELAWARE. STARS WILL EXPAND AND ENHANCE MAT SERVICES FOR 75 ADULTS ANNUALLY (375 OVER FIVE YEARS). POPULATION OF FOCUS IS ADULTS WITH AN OUD (WITH OUR WITHOUT A CO-OCCURRING MENTAL HEALTH DISORDER) IN NEED OF OUD TREATMENT. PRIORITY WILL BE GIVEN TO ADULTS WITH UNSUCCESSFUL OPIOID DETOXIFICATIONS OR HISTORY OF DRUG OVERDOSE EXPERIENCES; THOSE REENTERING THE COMMUNITY FROM INCARCERATION; THOSE WHO ARE HOMELESS, VETERNS, WOMEN WITH CHILDREN, HIV POSITIVE, INTRAVENOUS DRUG USERS, AND MEMBERS OF THE LGBTQ COMMUNITY. STARS PLACES SPECIAL EMPHASIS ON TARGETING RACIAL AND ETHNIC MINORITIES TO REDUCE THE IMPACT OF BEHAVIORAL PROBLEMS AND DISPARITIES. INTERVENTIONS: STARS WILL EXPAND AND ENHANCE MAT SERVICES IN KENT AND SUSSEX COUNTIES TO PROVIDE OUD INTEGRATED CARE. EVIDENCE-BASED PRACTICES INCLUDE, BUT ARE NOT LIMITED TO: ASAM ASSESSMENT, MOTIVATIONAL ENHANCEMENT THERAPY, COGNITIVE BEHAVIORAL THERAPY, PEER RECOVERY SUPPORT, AND 12-STEP AND OTHER SELF-HELP APPROACHES. THESE WILL BE INTEGRATED WITH OUTREACH, PREVENTION EDUCATION, RE-ENGAGEMENT, AND CARE COORDINATION TO FACILITATE ACCESS TO OUD AND MAT SERVICES INCLUDING MOBILE SERVICES AND TRANSITION BETWEEN THE VARIOUS LEVELS OF OUD/MAT TREATMENT; INCORPORATE RELAPSE PREVENTION THERAPY; TRAUMA-INFORMED CARE; WRAP-AROUND AND RECOVERY SUPPORT SERVICES; AND PEER RECOVERY COACHING. GOALS: OVERARCHING GOAL IS TO INCREASE THE NUMBER OF INDIVIDUALS WITH OUD (WITH OR WITHOUT A CO-OCCURRING MENTAL HEALTH DISORDER) RECEIVING MAT BY 375 ADULTS, DECREASE ILLICIT OPIOID DRUG USE AND PRESCRIPTION OPIOID MISUSE AMONG PARTICIPANTS AT SIX-MONTH FOLLOW-UP, AND ENHANCE TREATMENT AND RECOVERY SUPPORT SERVICES FOR ADULTS LIVING IN RURAL, MEDICALLY-UNDERSERVED COUNTIES IN DELAWARE. STARS MEASURABLE OUTCOMES AT SIX MONTHS INCLUDE: 1. EXPAND AND ENHANCE ACCESS TO MAT FOR 375 ADULTS WITH AN OUD IN SOUTHERN DELAWARE OF FIVE (5) YEARS. 2. DECREASE OPIOID USE AND PRESCRIPTION OPIOID MISUSE BY 75%. 3. INCREASE ABSTINENCE RATE OF ALCOHOL, MARIJUANA, AND OTHER DRUGS BY 75%. 4. IMPROVE OR MAINTAIN BEHAVIORAL AND MEDICAL OUTCOMES FOR PARTICIPANTS FOR AT LEAST 65% OF CLIENTS RELATED TO HEALTH, HOUSING, EDUCATIONAL, MEDICAL/HEALTH, SOCIAL CONNECTEDNESS, EMPLOYMENT, AND BEHAVIORAL AND SOCIAL CONSEQUENCES. 5. INCREASE AND ENHANCE RECOVERY SUPPORT SERVICES AND RETAIN 80% OF PARTICIPANTS IN RECOVERY SUPPORT SERVICES FOR AT LEAST SIX MONTHS.

PROJECT IMPACT (INDIVIDUALS MATTER PEOPLE ACCESSING CARE AND TREATMENT)

COMMUNITY OUTREACH AND PREVENTION EDUCATION (COPE)

INDIVIDUALS MATTER; PEOPLE ACCESSING CARE AND TREATMENT (IMPACT) A COMPREHENSIVE INTEGRATED PROJECT TO ENHANCE SUD AND COD TREATMENT FOR RACIAL/ETHNIC MINORITIES AT RISK FOR OR LIVING WITH HIV/AIDS

MAI - HIGH RISK POPULATIONS: BCCS PROJECT IMPACT (INDIVIDUALS MATTER: PEOPLE ACCESSING CARE AND TREATMENT) - BRANDYWINE COUNSELING AND COMMUNITY SERVICES, INC. (BCCS) PROPOSES TO IMPLEMENT THE PROJECT IMPACT (INDIVIDUALS MATTER: PEOPLE ACCESSING CARE AND TREATMENT), A COMPREHENSIVE INTEGRATED PROGRAM TO ENHANCE SUBSTANCE USE DISORDER (SUD) TREATMENT FOR RACIAL/ETHNIC MINORITIES AT HIGH RISK FOR OR HIV POSITIVE IN NEW CASTLE COUNTY, DELAWARE ESPECIALLY BLACK AND HISPANIC INDIVIDUALS WHO REPRESENT 74% OF ALL HIV INFECTIONS IN THE COUNTY. IMPACT WILL SERVE 90 ADULTS PER YEAR OR 450 ADULTS IN FIVE YEARS. POPULATION OF FOCUS: IMPACT WILL SERVE 1) MEN WHO HAVE SEX WITH MEN AGES 18 AND OVER; 2) GAY, BISEXUAL, AND TRANSGENDER INDIVIDUALS; AND 3) ADULT HETEROSEXUAL WOMEN AND MEN WHO ARE AT RISK FOR, OR INFECTED WITH, HIV AND/OR VIRAL HEPATITIS AND MAY ALSO BE CHALLENGED BY SUBSTANCE USE DISORDER (SUD) AND CO-OCCURRING MENTAL HEALTH DISORDERS (COD). IMPACT WILL PLACE SPECIAL EMPHASIS ON ENGAGING AND TREATING RACIAL/ETHNIC MINORITIES WHO ARE DISPROPORTIONATELY AFFECTED BY HIV/AIDS AND VIRAL HEPATITIS IN DELAWARE TO REDUCE THE IMPACT OF BEHAVIORAL HEALTH PROBLEMS, REDUCE RISK AND INCIDENCE OF HIV, AND INCREASE ACCESS TO TREATMENT FOR THESE INDIVIDUALS. STRATEGIES: IMPACT INCLUDES AN INTERCONNECTED DESIGN OF SERVICES TO CREATE A SEAMLESS TRANSITION AT VARIOUS STAGES OF READINESS TO ENTER SUD TREATMENT, RELATED MEDICAL TREATMENT, AND RELATED CASE MANAGEMENT AND RECOVERY SUPPORT SERVICES. IMPACT WILL ENGAGE CLIENTS VIA BCCS' SUD AND MEDICATION ASSISTED TREATMENT (MAT) PROGRAMS, THROUGH RELATIONSHIPS WITH AIDS-SERVING ORGANIZATIONS (ASO) IN DELAWARE, AS WELL AS THROUGH "STREET-LEVEL" AND WEB-BASED OUTREACH STRATEGIES. ALL WILL BE OFFERED HIV, HCV, AND HBV TESTING AND LINKED TO BCCS' ON-SITE INFECTIOUS DISEASE AND PSYCHIATRIC CLINICS WHEN APPROPRIATE. ADDITIONALLY, IMPACT WILL IMPLEMENT THE COMMUNITY-FRIENDLY HEALTH RECOVERY PROGRAM (CHRP) - A FOUR-SESSION EVIDENCE-BASED INTERVENTION DESIGNED TO REDUCE HIV RISKY BEHAVIORS AMONG DRUG USERS IN TREATMENT. GOALS: THE OVERARCHING GOAL IS TO REDUCE SUD, COD'S, HIV/AIDS, HEPATITIS AND OTHER RELATED PROBLEMS AMONG RACIAL/ETHNIC MINORITY ADULTS. GOAL 1: INCREASE ACCESS TO AND RETENTION IN TREATMENT FOR BEHAVIORAL HEALTH PROBLEMS - AT LEAST 80% OF CLIENTS WILL COMPLETE PRESCRIBED TREATMENT/SERVICES. GOAL 2: REDUCE NEW HIV AND VIRAL HEPATITIS INFECTIONS - REDUCE CLIENT SUBSTANCE USE ESPECIALLY INJECTING DRUG USE BY 75%. GOAL 3: IMPROVE OUTCOMES FOR BEHAVIORAL HEALTH CLIENTS AT RISK OF OR LIVING WITH HIV - AT LEAST 65% OF IMPACT CLIENTS WILL EXPERIENCE IMPROVED CRIMINAL JUSTICE, SUBSTANCE ABUSE, MENTAL HEALTH, HOUSING, EDUCATIONAL, MEDICAL/HEALTH, SOCIAL CONNECTEDNESS, EMPLOYMENT, AND BEHAVIORAL/SOCIAL CONSEQUENCES. GOAL 4: INCREASE RECOVERY SUPPORT SERVICES - RETAIN A MINIMUM OF 70% OF PARTICIPANTS IN AFTERCARE/RECOVERY SUPPORT SERVICES FOR AT LEAST SIX (6) MONTHS. GOAL 5: INCREASE LINKAGE TO HIV/HEP MEDICAL CARE - AT LEAST 75% OF HIV AND/OR HEP POSITIVE PARTICIPANTS WILL ADHERE TO BOTH BEHAVIORAL AND MEDICAL TREATMENT.

SAFETY NET SERVICES

STEP: SUPPORT, TREATMENT, ENGAGEMENT, AND PREVENTION

TARGETED CAPACITY EXPANSION: PROVIDING MEDICATION ASSISTED TREATMENT THROUGH COPE (COMMUNITY OUTREACH AND PREVENTION EDUCATION)

CONTINUATION OF A PROSTITUTION DIVERSION PROGRAM IN DELAWARE

SPF-PFS - BCCS, INC. - RESIST THE RISK: A SUBSTANCE MISUSE PREVENTION PROGRAM (RTR)

BCCS PORTABLE CLINICAL CARE PROJECT (PCCP) - BRANDYWINE COUNSELING & COMMUNITY SERVICES, INC. (BCCS) PROPOSES TO IMPLEMENT A PORTABLE CLINICAL CARE PROJECT (PCCP) TO PROVIDE COMPREHENSIVE AND INTEGRATED BEHAVIORAL HEALTH, HUMAN IMMUNODEFICIENCY VIRUS (HIV) AND VIRAL HEPATITIS TESTING AND TREATMENT, MENTAL HEALTH TREATMENT, HARM REDUCTION & PREVENTION SERVICES, LOW-BARRIER SUBSTANCE USE DISORDER (SUD) TREATMENT, CARE/CASE MANAGEMENT, AND BASIC PRIMARY MEDICAL CARE TO UNDERSERVED POPULATIONS EXPERIENCING UNSHELTERED HOMELESSNESS THROUGHOUT THE STATE OF DELAWARE. THE PCCP'S POPULATION OF FOCUS (POF) IS EXCLUSIVELY PEOPLE EXPERIENCING UNSHELTERED HOMELESSNESS THROUGHOUT THE STATE OF DELAWARE (THE PCCP CATCHMENT AREA). THE PCCP WILL UTILIZE A SYNDEMIC APPROACH TO HEALTHCARE DELIVERY - FOCUSING ON INFECTIOUS DISEASES - AND WILL LITERALLY SERVE THE POF "WHERE THEY ARE", INCLUDING OUTDOOR AND/OR PUBLIC LOCATIONS WHERE THE POF CONGREGATE SUCH AS ENCAMPMENTS, IN PARKS AND UNDER BRIDGES, TRANSIT STATIONS (BUS AND TRAIN TERMINALS), AND IN PLACES NOT MEANT FOR HABITATION. THE PCCP WILL SERVE A MINIMUM OF 75 UNDUPLICATED INDIVIDUALS PER PROJECT YEAR, FOR A TOTAL OF 225 INDIVIDUALS OVER THREE YEARS. BY EMBRACING A SYNDEMIC APPROACH, THE RECOGNIZED KEY STRATEGY OF PCCP IMPLEMENTATION IS THE PROVISION OF LOW-BARRIER SUBSTANCE USE DISORDER (SUD) TREATMENT; HIV AND VIRAL HEPATITIS TESTING AND TREATMENT; STI TESTING AND TREATMENT; HIV/STI PREVENTION AND EDUCATION, MENTAL HEALTH CARE; AND HARM REDUCTION SERVICES. GOALS INCLUDE, BUT ARE NOT LIMITED TO, INCREASING ACCESS TO AND RETENTION IN PRIMARY MEDICAL AND SUBSTANCE USE DISORDER TREATMENT IN POF, REDUCE RATES OF NEW INFECTIONS OF HIV, HEPATITIS, STI'S AND REDUCE AND INCREASE RATES OF TREATMENT IN ACTIVE INFECTIONS, REDUCE RATES OF SUBSTANCE ABUSE IN POF BY INCREASING ACCESS TO CARE AND FOCUSING ON CO-OCCURRING DISORDERS, INCREASE PEER RECOVERY SUPPORT SERVICES THROUGH COMPREHENSIVE CASE MANAGEMENT FOCUSING ON POF'S SOCIAL DETERMINANTS OF HEALTH NEEDS, AND DOCUMENT AND DISSEMINATE BEST PRACTICES AND "LESSONS LEARNED".

PREVENTION PROGRAMMING SERVING ETHNIC MONITORY YOUTH AND YOUNG ADULTS IN DE

BCCS ATDC PROGRAM AND CAPACITY ENHANCEMENT PROJECT - BRANDYWINE COUNSELING AND COMMUNITY SERVICES, INC. (BCCS) IS PROPOSING THE IMPLEMENTATION OF AN ATDC PROGRAM AND CAPACITY ENHANCEMENT PROJECT WITH FUNDING FROM THE U.S. DEPARTMENT OF SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) THROUGH ITS NOTICE OF FUNDING OPPORTUNITY (NOFA) NO. TI-24-004 ENTITLED GRANTS TO EXPAND SUBSTANCE USE DISORDER TREATMENT CAPACITY IN ADULT AND FAMILY TREATMENT DRUG COURTS (SHORT TITLE: SAMHSA TREATMENT DRUG COURTS). BCCS IS PROPOSING TO IMPLEMENT EVIDENCE-BASED PROGRAMMATIC ENHANCEMENTS TO EXPAND SUBSTANCE USE DISORDER (SUD) TREATMENT AND RECOVERY SUPPORT SERVICES IN DELAWARE'S ESTABLISHED COURT OF COMMON PLEAS DUI TREATMENT COURT. THROUGH THIS FUNDING OPPORTUNITY, SAMHSA RECOGNIZES THE NEED FOR TREATMENT INSTEAD OF INCARCERATION FOR INDIVIDUALS WITH SUDS. BCCS WILL PROVIDE PREVENTION, HARM REDUCTION, TREATMENT, AND RECOVERY SERVICES FOR INDIVIDUALS WITH SUD REFERRED TO BCCS BY DELAWARE'S DUI COURT. OBJECTIVES OF THE EXPANSION INCLUDE IMPROVED RATES OF ABSTINENCE FROM SUBSTANCE USE, INCREASED RATES OF HOUSING STABILITY, IMPROVED RATES OF EMPLOYMENT STATUS, INCREASED SOCIAL CONNECTEDNESS, AND REDUCED RATES CRIMINAL JUSTICE INVOLVEMENT AND RECIDIVISM IN ENROLLED PARTICIPANTS. THROUGH THIS EXPANSION OF SUD TREATMENT AND RECOVERY SERVICES, BCCS WILL SCREEN AND ASSESS CLIENTS FOR THE PRESENCE OF SUD AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS AND USE INFORMATION OBTAINED FROM THE SCREENING AND ASSESSMENT TO DEVELOP CULTURALLY AND LINGUISTICALLY APPROPRIATE PREVENTION, HARM REDUCTION, TREATMENT SERVICES; SCREEN FOR INFECTIOUS DISEASES FOR WHICH THOSE WITH SUDS ARE AT HIGH RISK, INCLUDING, BUT NOT LIMITED TO, HUMAN IMMUNODEFICIENCY VIRUS (HIV), VIRAL HEPATITIS (HEPATITIS A, B, AND C), AND SYPHILIS AND PROVIDE APPROPRIATE REFERRAL AND FOLLOW-UP TO ENSURE TREATMENT IF SCREENING TESTS INDICATE INFECTION, AND VACCINATION FOR THOSE INFECTIOUS DISEASES FOR WHICH A VACCINE IS AVAILABLE; PROVIDE EVIDENCE-BASED AND CULTURALLY AND LINGUISTICALLY APPROPRIATE TREATMENT SERVICES TO MEET THE UNIQUE NEEDS OF DIVERSE POPULATIONS AT RISK (TREATMENT SERVICES WILL INCLUDE THE USE OF FDA-APPROVED MEDICATIONS IN THE TREATMENT OF OPIOID USE DISORDER AND MEDICATION MANAGEMENT IN OUTPATIENT, DAY TREATMENT (INCLUDING OUTREACH-BASED SERVICES) AND INTENSIVE OUTPATIENT); PROVIDE PEER RECOVERY SUPPORT SERVICES THAT PROVIDE EMOTIONAL AND PRACTICAL SUPPORT TO MAINTAIN CLIENT/PARTICIPANT REMISSION; PROVIDE FAMILY ENGAGEMENT OPPORTUNITIES (E.G., PARENTING CLASSES, FATHERHOOD PROGRAMMING, FAMILY-CENTERED OR RELATIONAL-BASED THERAPY, ETC.); PROVIDE COMPREHENSIVE CASE MANAGEMENT PLANS THAT DIRECTLY ADDRESS RISKS FOR RECIDIVISM, AS DETERMINED BY VALIDATED RISK ASSESSMENTS, AND INCLUDE DELIVERY OR FACILITATION OF SERVICES TO APPROPRIATE CLIENTS, INCLUDING SUBSTANCE USE AND COGNITIVE BEHAVIORAL INTERVENTIONS, TO ADDRESS NEEDS AND REDUCE THOSE RISKS (CASE MANAGEMENT WILL INCLUDE ASSISTING ELIGIBLE UNINSURED CLIENTS WITH APPLYING FOR HEALTH INSURANCE); PROVIDE LANGUAGE ACCESS SERVICES (TO INCLUDE INTERPRETATION, TRANSLATION, DISABILITY ACCOMMODATIONS, AND ACCESSIBILITY) TO SUPPORT REQUIRED ACTIVITIES, AS APPLICABLE AVAILABLE FUNDING IS $400,000 PER YEAR FOR FIVE (5) YEARS, FOR A TOTAL OF $2M. BCCS WILL SERVE A MINIMUM OF FORTY (40) REFERRED SUPERIOR COURT DIVERSION DRUG COURT PARTICIPANTS PER PROGRAM YEAR FOR A TOTAL OF TWO-HUNDRED (200) UNDUPLICATED PARTICIPANTS.

CONTINUOUS COMMUNITY-CARE MOBILE TREATMENT (CCMT) - THROUGH FY21 CONGRESSIONALLY DIRECTED SPENDING FUNDS SPONSORED BY SENATOR CHRIS COONS, AND IN COLLABORATION WITH GIBNEY MOBILE HEALTHCARE, BRANDYWINE COUNSELING AND COMMUNITY SERVICES, INC. (BCCS) PROPOSES TO IMPLEMENT ITS STATEWIDE CONTINUOUS COMMUNITY CARE MOBILE TREATMENT (CCMT) SERVICES WHICH WILL DIRECTLY AND POSITIVELY IMPACT THE MEDICAL AND BEHAVIORAL HEALTH OUTCOMES OF DELAWARE'S MOST SOCIO- AND ECONOMICALLY-MARGINALIZED POPULATIONS. WHITE THE CCMT WILL TREAT ANYONE WHO REQUESTS TREATMENT, THE CCMT'S POPULATIONS OF FOCUS INCLUDES THOSE DELAWAREANS WHO ARE UNSHELTERED OR IMMINENTLY HOMELESS, THOSE WITH SERIOUS MENTAL ILLNESS, THOSE WITH SUBSTANCE USE DISORDER (SUD), THOSE EXPERIENCING ANY COMBINATION OF CO-OCCURRING DISORDERS, VETERANS, MEMBERS OF THE LGBTQ+ COMMUNITY, ETHNIC MINORITIES, AND PREGNANT WOMEN WITH SUD'S. AT MINIMUM, 300 INDIVIDUALS WILL BE SERVED WITHIN THE FIRST 12 MONTHS OF CCMT PROJECT IMPLEMENTATION. THE OVERARCHING GOAL OF THE CCMT IS TO REDUCE THE HISTORICAL DISPARITIES AND INEQUITIES OF ACCESS TO QUALITY MEDICAL AND BEHAVIORAL HEALTHCARE IN HARD-TO-REACH GEOGRAPHICAL AREAS AND MARGINALIZED POPULATIONS. THE CCMT REPRESENTS DELAWARE'S FIRST STATEWIDE MOBILE HEALTH COLLABORATIVE BETWEEN MEDICAL PROFESSIONALS AND BEHAVIORAL HEALTH (SUD AND MENTAL ILLNESS) TREATMENT PROVIDERS. IT IS MODELED AFTER BOTH BCCS' STATEWIDE HOMELESS STREET OUTREACH PROGRAMMING AND ITS STATEWIDE HARM REDUCTION SYRINGE SERVICES PROGRAM (SSP). THE CCMT WILL HAVE ACCESS TO THE SSP'S ESTABLISHED, FIXED, AND REGULARLY SCHEDULED SITES (OF WHICH THERE ARE THIRTY-THREE THROUGHOUT DELAWARE; AND IT WILL ENCOMPASS THE FLEXIBILITY AND EXPERIENCE OF THE HOMELESS STREET OUTREACH TEAM WHICH IS COMFORTABLE ENGAGING UNSHELTERED INDIVIDUALS IN NON-TRADITIONAL SETTINGS OR WHERE HOMELESS INDIVIDUALS CONGREGATE (HOMELESS ENCAMPMENTS, UNDER BRIDGES, TRANSPORTATION CENTERS, PUBLIC PARKS, ETC.) AS WELL AS ENGAGE INDIVIDUALS IN COMMUNITIES KNOWN FOR HIGH RATES OF CRIME (SHOOTINGS, OUTDOOR DRUG DEALING, PROSTITUTION, ETC.). CCMT SERVICES INCLUDE - BUT IS CERTAINLY NOT LIMITED TO - THE DISTRIBUTION OF NARCAN (OVERDOSE-REVERSING MEDICATION), PROVIDE TESTING AND PREVENTION EDUCATION FOR HIV, HEP C, AND PREGNANCY, CONDUCT POINT OF CARE MEASUREMENTS FOR BLOOD PRESSURE AND DIABETES, OFF FLU VACCINATIONS, AND COVID-19 TESTING AND VACCINATIONS, DISTRIBUTE HEALTH "KITS", PROVIDE WOUND CARE AND WOUND CARE EDUCATION (IN RESPONSE TO THE XYLAZINE CRISIS), AND PROVIDE LINKAGE TO TREATMENT AND SERVICES WHICH ADDRESS ALL SOCIAL DETERMINANTS OF HEALTH. AS A MOBILE UNIT, THE CCMT WILL MEET THE CLIENTS IN NEED "WHERE THEY ARE" THROUGHOUT ALL THREE COUNTIES IN DELAWARE.

PREVENTION PROGRAMMING SERVING ETHNIC MONITORY YOUTH AND YOUNG ADULTS IN DE

TARGETED CAPACITY EXPANSION THROUGH THE USE OF TECHNOLOGY ASSISTED CARE (TCE-TAC)

INDIVIDUALS MATTER; PEOPLE ACCESSING CARE AND TREATMENT (IMPACT) A COMPREHENSIVE INTEGRATED PROJECT TO ENHANCE SUD AND COD TREATMENT FOR RACIAL/ETHNIC MINORITIES AT RISK FOR OR LIVING WITH HIV/AIDS

TARGETED CAPACITY EXPANSION THROUGH THE USE OF TECHNOLOGY ASSISTED CARE (TCE-TAC)

CREATION OF A PROSTITUTION DIVERSION PROGRAM IN DELAWARE

RESIDENTIAL TREATMENT FOR PREGNANT AND POSTPARTUM WOMEN AND CHILDREN IN DELAWARE

COMMUNITY OUTREACH AND PREVENTION EDUCATION (COPE)

PROJECT IMPACT (INDIVIDUALS MATTER; PEOPLE ACCESSING CARE AND TREATMENT)