Aids Action Coalition Of Huntsville

HEALTH CENTER PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

SYSTTYM STRONGER FOR YOURSELF: STRATEGICALLY TARGETED TREATMENT FOR YOUNG MEN

?THE DEN? (PREVIOUSLY CALLED SYSTTYM)TARGETED CAPACITY EXPANSION-HIV PROGRAM: SUBSTANCE USE DISORDER TREATMENT FOR RACIAL/ETHNIC MINORITY POPULATIONS AT HIGH RISK FOR HIV/AIDS

THE DEN - THRIVE ALABAMA'S BEHAVIORAL HEALTHCARE PROGRAM FOR HIGH RISK POPULATIONS - ALABAMA IS AMONG THE STATES HARDEST HIT BY THE HIV EPIDEMIC AND HAS SEEN AN INCREASE IN SUBSTANCE USE AND CO-OCCURRING DISORDERS (SUDS/CODS) SINCE THE ONSET OF THE COVID-19 PANDEMIC. ALABAMA IS ALREADY AMONG THE STATES WITH HIGH RATES OF SUDS/CODS AMONG ITS POPULATION. THE AIDS ACTION COALITION OF HUNTSVILLE D/B/A THRIVE ALABAMA (TA), A 501(C)(3) NON-PROFIT ORGANIZATION, FQHC, AND RYAN WHITE PROVIDER LOCATED IN HUNTSVILLE, ALABAMA, REQUESTS FUNDING FOR TA’S DEN INTENSIVE OUTPATIENT PROGRAM (IOP) TO MEET THE SUD/COD TREATMENT NEEDS OF MINORITY ADULTS AT-RISK OR POSITIVE FOR HIV IN TA’S NORTH ALABAMA SERVICE AREA. THE DEN IOP’S OVERALL GOAL IS TO PROVIDE ACCESSIBLE, EFFECTIVE, EVIDENCE-BASED INTENSIVE OUTPATIENT SUD/COD TREATMENT FOR AT-RISK MINORITY ADULTS THAT ADDRESSES THEIR NEEDS, INCLUDING HIV/HCV/HBV TESTING AND TREATMENT SERVICES, IN A CARING, TRAUMA-INFORMED, AND CULTURALLY COMPETENT ENVIRONMENT. THE DEN IOP WILL PROVIDE ASSERT, A CLINIC-BASED SCREENING AND BRIEF TREATMENT INTERVENTION, TO AT LEAST 120 PARTICIPANTS PER YEAR (600 OVER FIVE YEARS) TO IDENTIFY AND REFER CLIENTS IN NEED OF SUD OR COD TREATMENT TO THE DEN’S IOP OR OTHER PARTNERING RESOURCES. ALL PARTICIPANTS ARE OFFERED TESTS TO SCREEN FOR HIV AND VIRAL HEPATITIS B AND C TESTING AT MULTIPLE POINTS IN THE PROGRAM. THE DEN IOP EXPECTS SIXTY-FIVE OF THOSE SCREENED TO ENTER THE IOP PROGRAM EACH YEAR FOR A TOTAL OF 325 OVER FIVE YEARS. THE DEN IOP USES THE MATRIX MODEL, AN EVIDENCE-BASED PROGRAM ORIGINALLY DESIGNED FOR STIMULANT ABUSE AND DEPENDENCE. DEVELOPED THROUGH 20 YEARS OF EXPERIENCE IN REAL-WORLD TREATMENT SETTINGS, THE MATRIX MODEL IS ALSO USED FOR TREATMENT OF OTHER SUBSTANCE USE DISORDERS INCLUDING OPIOIDS. THE INTERVENTION CONSISTS OF A COGNITIVE BEHAVIORAL APPROACH USING MOTIVATIONAL INTERVIEWING, RELAPSE-PREVENTION GROUPS, EDUCATION GROUPS, SOCIAL-SUPPORT GROUPS, INDIVIDUAL COUNSELING, AND REFERRALS TO NEEDED COMMUNITY RESOURCES (E.G., PRIMARY MEDICAL CARE, HOUSING ASSISTANCE, VOCATIONAL REHABILITATION SERVICES). PATIENTS LEARN ABOUT ISSUES CRITICAL TO ADDICTION AND RELAPSE, RECEIVE DIRECTION AND SUPPORT FROM TRAINED THERAPISTS AND SUBSTANCE USE COUNSELORS, BECOME FAMILIAR WITH SELF-HELP PROGRAMS, AND ARE MONITORED FOR DRUG USE BY URINE AND BREATHALYZER TESTING THE DEN WHICH IS CERTIFIED BY THE ALABAMA DEPARTMENT OF MENTAL HEALTH, HAS OPERATED THROUGH SAMHSA FUNDING FOR THE PAST TEN YEARS. THE DEN PROVIDES EVIDENCE-BASED, TRAUMA-INFORMED, AND CULTURALLY COMPETENT CARE WITH SCREENING, TESTING, AND TREATMENT FOR AT-RISK MINORITY MEN AND WOMEN AND INDIVIDUALS WHO IDENTIFY AS LBGTQIA+ AND MEN WHO HAVE SEX WITH MEN (MSM). THE POPULATIONS OF FOCUS ARE AT HIGH RISK OF HIV AND VIRAL HEPATIS, AND OFTEN LACK ACCESS TO MEDICAL AND BEHAVIORAL HEALTHCARE. IN ADDITION TO SUD/COD TREATMENT THROUGH THE DEN PROJECT, THRIVE ALABAMA HAS THE EXPERIENCE AND RESOURCES TO PROVIDE TREATMENT, CASE MANAGEMENT AND SUPPORT SERVICES FOR CLIENT WHO NEED HIV OR VIRAL HEPATITIS B OR C TREATMENT.

HUMAN IMMUNODEFICIENCY VIRUS(HIV) PREVENTION PROJECTS FOR COMMUNITY BASED ORGS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CAPACITY BUILDING INITIATIVE FOR SA AND HIV PREVENTION SERVICES

HEALTHY CONNECTIONS: PREVENTION EDUCATION WITH FEMALE PARTNERS OF INCARCERATED MEN OR RECENTLY RELEASED MEN

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

HEALTH CENTER INFRASTRUCTURE SUPPORT

THE DEN (PREVIOUSLY CALLED SYSTTYM)TARGETED CAPACITY EXPANSION-HIV PROGRAM: SUBSTANCE

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - THRIVE ALABAMA (TA) SEEKS TO INTEGRATE AND EXPAND EXISTING BEHAVIORAL HEALTH SERVICES (MENTAL HEALTH COUNSELING AND SUD SERVICES INCLUDING MOUD) VIA ACCESS IN ADULT AND PEDIATRIC PRIMARY CARE THROUGH A MULTI-PHASED PLAN. EXPANSION OF MENTAL HEALTH SERVICES WILL INVOLVE INCREASING AVAILABLE COUNSELING SERVICES BY CO-LOCATING COUNSELORS INTO THE ADULT AND PEDIATRIC PRIMARY CARE TEAMS TO PROVIDE SCREENING AND ASSESSMENT, SHORT-TERM COUNSELING, AND REFERRAL AS NEEDED. EXPANSION OF SUD SERVICES WILL INVOLVE BUILDING UPON EXISTING SUD SERVICES BY ADDING 1) A BEHAVIORAL HEALTH PROFESSIONAL WHO CAN PROVIDE SUD SERVICES WITHIN THE PRIMARY CARE ENVIRONMENT, 2) MOUD TREATMENT (INITIALLY THROUGH CONTRACTS WITH LOCAL PROVIDERS), (2) TRAINING TA PROVIDERS TO IMPLEMENT MOUD TREATMENT AND MANAGEMENT.. THE OVERALL GOAL FOR THIS PROJECT IS TO INCREASE PATIENTS’ ACCESS TO MENTAL HEALTH AND SUBSTANCE USE TREATMENT, INCLUDING ACCESS TO MOUDS. CURRENTLY, TA’S BEHAVIORAL HEALTH (BH) CARE DEPARTMENT IS IN A PHYSICALLY SEPARATE LOCATION FROM THE ADULT PRIMARY CARE AND PEDIATRIC HEALTH CARE LOCATIONS. EXISTING BH SERVICES ARE FOR ADULTS ONLY, PRIMARILY GRANT-FUNDED (SAMHSA, VOCA, RYAN WHITE) AND LIMITED TO UNDERSERVED POPULATIONS WITH OR AT HIGH-RISK FOR HIV AND/OR SURVIVORS OF VIOLENT CRIME. OUR BH DEPARTMENT SPECIALIZES IN TRAUMA-INFORMED CULTURALLY COMPETENT CARE. COUNSELING SERVICES INCLUDE A VOCA-FUNDED TRAUMA RECOVERY PROGRAM THAT PROVIDES INDIVIDUAL AND GROUP THERAPY, AND AN INTENSIVE SUD/COD OUTPATIENT PROGRAM CALLED THE DEN FOR PEOPLE AT-RISK FOR HIV WHO ARE RACIAL/ETHNIC MINORITIES OR MEMBERS OF THE LGBTQ+ COMMUNITY. ELIGIBLE INDIVIDUALS HAVE ACCESS TO BH’S CONTRACTED PSYCHIATRIST. WITH CO-LOCATED BEHAVIORAL HEALTH PROFESSIONALS (BHP) EMBEDDED WITH PRIMARY CARE PROVIDERS (PCP) ON SITE, PATIENTS WILL BENEFIT FROM HAVING IMMEDIATE ACCESS TO COUNSELING, WHETHER THEY NEED ONE SESSION OR MULTIPLE SESSIONS. BASED ON SCREENING AND ASSESSMENT, AS PART OF THE PCP TEAM , THE BHPS WILL PROVIDE BRIEF INTERVENTIONS AND COLLABORATE WITH THE CLINICAL STAFF AND PMC SOCIAL WORKERS, WHO WILL FOLLOW UP ON REFERRALS FOR PATIENTS IN NEED OF FURTHER COUNSELING AND SUD TREATMENT. CO-LOCATION OFFERS THE ADDED ADVANTAGE OF CRISIS INTERVENTION BY A BHP, IF NEEDED. CO-LOCATION ALSO WILL HELP MITIGATE THE ISSUE OF LENGTHY WAIT TIMES FOR BH SERVICES, ESPECIALLY FOR LOW-INCOME PATIENTS WHO ARE ON MEDICAID, UNINSURED, OR UNDERINSURED. MANY MENTAL HEALTH PROVIDERS DO NOT ACCEPT MEDICAID OR UNINSURED PATIENTS; THESE PATIENTS RELY UPON STATE OR FEDERAL PROGRAMS AT COMMUNITY-BASED ORGANIZATIONS, WHICH OFTEN HAVE LONG WAIT TIMES DUE TO UNDERSTAFFING. THE WAIT TIME FOR PEDIATRIC COUNSELING CAN BE AS LONG AS NINE MONTHS. DURING PHASE 1, TA WILL INITIATE BH INTEGRATION INTO OUR ADULT PRIMARY CARE WITH 1 FTE BHP, CREATE PROVIDER TRAINING OPPORTUNITIES, AND DEVELOP SUPPORTING INFRASTRUCTURE, PROTOCOLS, AND PROCEDURES. ACTIVITIES WILL INCLUDE: • USE OF EVIDENCE-BASED PRACTICES TO DEVELOP NEW BH PROTOCOLS AND PROCESSES AS NEEDED. • ADAPTATION OF CURRENT PROCEDURES (E.G., SCREENING, REFERRAL, EHR DOCUMENTATION, TREATMENT PLANNING) TO FACILITATE BH INTEGRATION. • DEVELOPMENT OF POLICIES AND PROCEDURES FOR INTEGRATIVE BH SERVICES. • CREATION OF JOB DESCRIPTIONS, APPROPRIATE TRAINING, AND ONBOARDING PROCEDURES FOR STAFF FUNDED BY THIS GRANT. • RECRUITMENT, HIRING, ONBOARDING, AND TRAINING OF FULL-TIME PROJECT STAFF (THE FIRST BHPS FOR ADULT PRIMARY CARE AND ONE BHP FOR PEDIATRICS) • IDENTIFICATION OF PROVIDERS, DEVELOPMENT OF CONTRACTS AND HIRING OF PROVIDER(S) FOR MOUD. • PROVISION OF INTEGRATED MENTAL HEALTH COUNSELING AND SUD SERVICES. IN PHASE 2, TA WILL HIRE AN ADDITIONAL BHP TO CO-LOCATE AND EMBED WITH THE ADULT PRIMARY CARE TEAM AND DEVELOP AND IMPLEMENT MOUD TRAINING FOR TA PROVIDERS..

CAPACITY BUILDING INITIATIVE FOR SA AND HIV PREVENTION SERVICES

2009 WOMEN PARTNERS OF INCARCERATED/RECENTLY RELEASED MEN

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

RYAN WHITE HIV/AIDS PROGRAM PART C EIS COVID-19 RESPONSE

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

SUPPORTIVE HOUSING NEW

FY 2023 BRIDGE ACCESS PROGRAM