Metropolitan Charities Inc

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAMS FOR COMMUNITY-BASED ORGANIZATIONS - METROPOLITAN CHARITIES D.B.A. METRO INCLUSIVE HEALTH "METRO", A COUNCIL ON ACCREDITATION (COA)-ACCREDITED PROVIDER WITH 28 YEARS OF EXPERIENCE AND A PROVEN TRACK RECORD FOR SUCCESSFULLY SERVING HIV-POSITIVE AND HIGH-RISK HIV-NEGATIVE CLIENTS (VIA CDC PS15-1502) SINCE 2015, PROPOSES ITS FIVE-YEAR COMPREHENSIVE HIGH-IMPACT HIV PREVENTION (HIP) PROJECT IN ACCORDANCE WITH THE ENDING THE HIV EPIDEMIC INITIATIVE (EHE): A PLAN FOR AMERICA AND CDC DIVISION OF HIV/AIDS PREVENTION (DHAP) STRATEGIC PLAN. CONSIDERED ONE OF FLORIDA?S PREMIERE COMMUNITY-BASED ORGANIZATIONS, METRO ACHIEVED HRSA FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE (FQHC-LA) STATUS IN APRIL 2020 AND CONTINUALLY STRIVES TO PROMOTE HEALTHY ENVIRONMENTS FOR ALL AND TO FOSTER DIVERSITY WITHIN THE COMMUNITY AS A WHOLE. THE ORGANIZATION?S STRATEGIC PLAN AND HIV CONTINUUM OF CARE ARE DEDICATED TO PROVIDING THE HIGHEST STANDARDS AND QUALITY OF SERVICES TO ALL INFECTED AND AFFECTED BY HIV/AIDS. METRO PROVIDES SERVICES TO OVER 30,600 INDIVIDUALS ANNUALLY AND REACHES TENS OF THOUSANDS MORE THROUGH EDUCATION, PREVENTION AND WELLNESS ACTIVITIES AND LOCAL EVENTS. METRO REMAINS COMMITTED TO SERVING THOSE MOST IN NEED TO HELP POPULATIONS THAT OFTEN ARE ?ABANDONED,? FORGOTTEN, OR IGNORED. ?WE FEEL THIS SETS US WELL APART FROM OTHER SERVICE ORGANIZATIONS AND MOVES US FORWARD FOR THE NEXT GENERATION OF HEALTH CARE,? WRITES METRO?S CHIEF EXECUTIVE OFFICER. FUELED BY THIS PURPOSEFUL VISION OVER THE PAST 28 YEARS, METRO EXPANDED ITS HIV CONTINUUM OF CARE TO PROVIDE THE BEST, HOLISTIC AND EMPATHETIC CARE POSSIBLE. THUS, THE HIP PROJECT DIRECTLY ALIGNS WITH METRO?S VISION OF A WORLD FREE OF HIV AND AIDS AND MOBILIZES ITS MISSION TO PROVIDE PREMIER HIV SERVICES AND OTHER HEALTH AND WELLNESS PROGRAMS TO ENHANCE QUALITY OF LIFE.METRO WILL UTILIZE THE HIGH-IMPACT PREVENTION PROJECT FOR HIV-POSITIVE AND HIGH-RISK HIV-NEGATIVE PERSONS FOR THE PURPOSE OF IMPLEMENTING COMPREHENSIVE HIV PREVENTION PROGRAMS TO REDUCE MORBIDITY, MORTALITY, AND RELATED HEALTH DISPARITIES BY DIAGNOSING HIV AS EARLY AS POSSIBLE; TREATING HIV QUICKLY AND EFFECTIVELY; PREVENTING NEW HIV CASES; AND RESPONDING QUICKLY TO HIV CLUSTERS AND PREVENT NEW CASES AMONG PEOPLE WITH AND AT GREATEST RISK FOR ACQUIRING HIV, INCLUDING BLACKS/AFRICAN AMERICANS; HISPANICS/LATINOS; ALL RACES/ETHNICITIES OF GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WITH MEN (MSM); PEOPLE WHO INJECT DRUGS (PWIDS); AND TRANSGENDER PERSONS 18 YEARS OF AGE AND OLDER. ENGAGEMENT AND RETENTION IN EFFECTIVE BEHAVIORAL HEALTH INTERVENTIONS FOR THOSE RESIDING IN COMMUNITIES MOST AT-RISK IN HILLSBOROUGH AND PINELLAS COUNTIES (TAMPA, ST. PETERSBURG, CLEARWATER-FL MSA). IMMEDIATE ACCESS AND LINKAGE INTO CARE IS A UNIQUE AND CULTURALLY COMPETENT FEATURE OF METRO?S HIP PROJECT, BASED ON ITS ONE-STOP SHOP MODEL OF CARE, FEATURED IN THE ACCOMPANYING FIGURE. METRO CONNECTS HIV POSITIVE AND HIGH-RISK NEGATIVE INDIVIDUALS TO SERVICES AT THE TIME THEY RECEIVE THEIR TEST RESULTS. INDIVIDUALS WHO ARE NEWLY DIAGNOSED ARE SCHEDULED FOR AN ELIGIBILITY APPOINTMENT AND RECEIVE A MEDICAL APPOINTMENT WHEN THEY COME TO OUR OFFICES TO RECEIVE THEIR CONFIRMATORY TEST RESULTS. METRO?S SERVICE DELIVERY INCLUDES SEXUAL HEALTH PREVENTION EDUCATION; MEDICAL AND BEHAVIORAL CASE MANAGEMENT; MENTAL HEALTH AND SUBSTANCE ABUSE COUNSELING (TRAUMA-INFORMED & CULTURALLY APPROPRIATE); PSYCHIATRIC CARE; SOCIAL AND SUPPORT GROUPS; ART, PREP AND NPEP, MEDICAL TREATMENT ADHERENCE; AND MEDICAL EDUCATION ABOUT DIABETES, NUTRITION, HYPERTENSION, HEART DISEASE, ETC., THROUGH WELLNESS CONSULTATIONS PROVIDED BY RNS AND OTHER STAFF. HIP PARTICIPANTS HAVE ACCESS TO ALL OF METRO?S COMPREHENSIVE SERVICES BASED ON PARTICIPANT NEED.

MAI-HIGH RISK POPULATIONS - SUMMARY. METRO INCLUSIVE HEALTH, INC. AN ACCREDITED BEHAVIORAL HEALTH AND HIV MEDICAL PROVIDER WITH 29 YEARS OF EXPERIENCE AND A PROVEN TRACK RECORD OF SERVING THE POPULATION OF FOCUS, PROPOSES TO IMPLEMENT THE PROPOSED PROJECT COMPREHENSIVE ACCESS TO RECOVERY AND EMPOWERMENT (CARE) PROGRAM TO INCREASE ENGAGEMENT IN CARE FOR RACIAL AND ETHNIC UNDERREPRESENTED INDIVIDUALS WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD) WHO ARE AT RISK FOR, OR ARE LIVING WITH HIV/AIDS AND RECEIVE HIV/AIDS SERVICES/TREATMENT AND RESIDE IN HILLSBOROUGH OR PINELLAS COUNTIES, FL. METRO WILL LEVERAGE ITS ENTIRE HIV CONTINUUM OF CARE TO ENSURE IMMEDIATE LINKAGE AND CARE COORDINATION. PROJECT NAME: PROJECT CARE. POPULATION: AGES 18+ IN NEED OF SUD AND/OR COD OUTPATIENT TREATMENT; 100% TRAUMA-INVOLVED; 40% COD; 10% HIV+; 3% VIRAL HEPATITIS+; 80% AFRICAN AMERICAN; 5% MULTIRACIAL; 15% HISPANIC/LATINX; 70% MALE (YMSM/MSM/BISEXUAL); 20% FEMALE; 10% TRANSGENDER. STRATEGIES AND INTERVENTIONS: BEHAVIORAL HEALTH SCREENING AND ASSESSMENT, TRAUMA-INFORMED SUD AND/OR COD OUTPATIENT TREATMENT (IN-PERSON AND TELEHEALTH VIDEOCONFERENCING) COUPLED WITH STRENGTH-BASED CASE MANAGEMENT AND CARE COORDINATION, HIV, VIRAL HEPATITIS TESTING, DIAGNOSIS AND LINKAGE TO HIV/AIDS CASE MANAGEMENT, HIV MEDICAL CARE AND ART, PREP; PRIMARY CARE; AND WRAPAROUND CULTURALLY AND TRAUMA-INFORMED PEER RECOVERY SUPPORT AND LINKAGES TO HOUSING, EDUCATION/EMPLOYMENT. EBPS: MOTIVATIONAL INTERVIEWING (MI); MOTIVATIONAL ENHANCEMENT THERAPY (MET); STRENGTH-BASED CASE MANAGEMENT (SBCM); HIV NAVIGATION SERVICES (FOR HIV+); TRAUMA FOCUSED COGNITIVE BEHAVIORAL THERAPY (TF-CBT); COGNITIVE BEHAVIORAL THERAPY; COGNITIVE PROCESSING THERAPY (CPR); CONTINGENCY MANAGEMENT; AFFIRMATIVE THERAPY (TRANSGENDER); FAMILY PSYCHOEDUCATION (SIGNIFICANT OTHERS); MAT/MOUD; MANY MEN MANY VOICES (3MV); AND WELLNESS RECOVERY ACTION PLAN (WRAP). GOALS: 1) PREVENT NEW HIV INFECTIONS AND INCREASE ENGAGEMENT IN CARE; 2) IMPROVE HIV-RELATED HEALTH OUTCOMES OF RACIAL/ETHNIC MINORITIES LIVING WITH HIV; 3) REDUCE HIV-RELATED DISPARITIES AND HEALTH INEQUITIES; 4) IMPROVE ABSTINENCE; 5) ENSURE INDIVIDUALIZED TRAUMA-INFORMED RECOVERY-ORIENTED WRAPAROUND CARE; 6) IMPROVE CARE COORDINATION AND TREATMENT RETENTION; AND 7) ACHIEVE INTEGRATED, COORDINATED EFFORTS THAT ADDRESS THE HIV EPIDEMIC. MEASURABLE OBJECTIVES: 1) 100% OF CLIENTS SCREENED FOR SUD/COD, HIV, AND VIRAL HEPATITIS AT INTAKE AND 100% OF DRUG-USING AND/OR SEXUAL PARTNERS WILL BE LINKED TO HIV AND VIRAL HEPATITIS TESTING; 2) 100% OF CLIENTS TESTING HIV NEGATIVE WILL BE IMMEDIATELY LINKED TO PREP AND HIV RISK REDUCTION EDUCATION; 3) 100% OF CLIENTS TESTING HIV + WILL BE IMMEDIATELY LINKED TO HIV/AIDS TREATMENT; 4) 100% OF CLIENTS WILL BE SCREENED FOR VIRAL HEPATITIS AND WILL BE IMMEDIATELY LINKED TO HEPATITIS (B AND C) VACCINATION; 5) 80% WILL IMPROVE ABSTINENCE; 6) 80% WILL IMPROVE HEALTH/BEHAVIORAL/SOCIAL CONSEQUENCES 7) 80% OF CLIENTS WILL IMPROVE SOCIAL CONNECTEDNESS AND RETENTION; 8) 80% OF CLIENTS WILL IMPROVE EDUCATION AND/OR EMPLOYMENT STATUS; 9) 80% WILL REDUCE CRIMINAL JUSTICE INVOLVEMENT; 10) 80% OF CLIENTS REPORTING HOUSING NEEDS WILL IMPROVE HOUSING STABILITY; 11) 80% WILL BE RETAINED IN CARE; AND 12) 100% TIMELY BIANNUAL REPORTING. # TO BE SERVED: 50 (YEAR(S) 1-5), TOTALING 250 WITHIN FIVE YEARS.

SERVICE INTEGRATION - SUMMARY. METROPOLITAN CHARITIES, INC. (D.B.A. METRO INCLUSIVE HEALTH, INC., REFERRED TO AS METRO HEREAFTER), AN ACCREDITED BEHAVIORAL HEALTH AND HIV MEDICAL PROVIDER WITH 29 YEARS OF EXPERIENCE AND A PROVEN TRACK RECORD OF EFFECTIVELY SERVING THE POPULATION OF FOCUS WILL IMPLEMENT THE MINORITY AIDS INITIATIVE SERVICE INTEGRATION PROGRAM TO EXPAND AND ENHANCE ACCESSIBLE, EVIDENCE-BASED, CULTURALLY APPROPRIATE MENTAL HEALTH AND COD TREATMENT THAT IS INTEGRATED WITH HIV PRIMARY CARE AND PREVENTION SERVICES TO HELP REDUCE THE CO-OCCURRING EPIDEMICS OF HIV, HEPATITIS, AND MENTAL HEALTH DISORDERS, REDUCE INCIDENCES OF HIV AND IMPROVE OVERALL HEALTH OUTCOMES FOR AT-RISK RACIAL, ETHNIC MINORITIES WITH A MH/COD. PROJECT NAME: MINORITY AIDS INITIATIVE SERVICE INTEGRATION. POPULATION(S) TO BE SERVED: ADULTS (AGES 18+) DIAGNOSED WITH A MENTAL HEALTH DISORDER OR CO-OCCURRING DISORDER (COD) BASED ON ASAM PLACEMENT CRITERIA; 69% MALE (MSM); 30% FEMALE; 1% TRANSGENDER; 80% AFRICAN AMERICAN; 15% HISPANIC/LATINX; 5% MULTIRACIAL; AND 6% LGBTQ+; LIVING WITH OR AT RISK FOR HIV AND/OR HEPATITIS RESIDING IN HILLSBOROUGH AND PINELLAS COUNTIES. INTERVENTIONS: 1) PROVIDE EASILY ACCESSIBLE HIV AND HEPATITIS PREVENTION SERVICES (E.G., SCREENING, RISK ASSESSMENT, PREVENTION COUNSELING, HIV AND HEPATITIS TESTING, REFERRAL TO PRE-EXPOSURE PROPHYLAXIS (PREP), HEPATITIS VACCINATION) WITHIN METRO'S BEHAVIORAL HEALTH CARE SETTING; 2) PROVIDE CULTURALLY-INFORMED EVIDENCE-BASED TREATMENT AND PRACTICES FOR INDIVIDUALS WITH MH OR COD THAT ARE TRAUMA-INFORMED, RECOVERY-ORIENTED, AND CULTURALLY APPROPRIATE; 3) PROVIDE PEER SUPPORT SERVICES FOR INDIVIDUALS WITH MH/COD; 4) IMPLEMENT OUTREACH STRATEGIES THAT EFFECTIVELY TARGET THE POPULATIONS OF FOCUS AND INFORM OF SERVICE INTEGRATION IN COMMUNITY AND USING SOCIAL MARKETING; 5) PROVIDE CASE MANAGEMENT AND CARE COORDINATION TO COORDINATE ALL LEVELS OF CARE, INCLUDING BEHAVIORAL HEALTH, PRIMARY CARE, HIV AND HEPATITIS TREATMENT AND SUPPORTIVE SERVICES (HOUSING, BENEFITS, EMPLOYMENT), INCLUDING TRANSITIONS TO THE COMMUNITY FOLLOWING INPATIENT HOSPITALIZATION OR ER VISITS; AND 6) DEVELOP SEAMLESS SERVICE INTEGRATION COORDINATING THE FOLLOWING CARE ON-SITE AT METRO: (A) PRIMARY HIV TREATMENT AND CARE, INCLUDING RYAN WHITE SERVICES; (B) REFERRALS AND LINKAGES TO FOLLOW-UP CARE AND TREATMENT FOR INDIVIDUALS WITH VIRAL HEPATITIS (B OR C); (C) REFERRALS AND LINKAGES TO PREP; AND (D) REFERRALS AND LINKAGES TO PRIMARY CARE SERVICES. EBPS: TRAUMA-INFORMED MH/COD STANDARDIZED SCREENING/ASSESSMENT (AUDIT, CAGE-AID, PHQ-9, GAD-7, TRAUMA SYMPTOM CHECKLIST 40); MI; STRENGTHS-BASED CM; TF-CBT; EMDR; AFFIRMATIVE THERAPY; WRAP; 3MV; AND HIV NAVIGATION SERVICES. GOALS: 1) EXPAND ACCESS TO HIV AND HEPATITIS PREVENTION SERVICES (E.G., SCREENING, RISK ASSESSMENT, PREVENTION COUNSELING, HIV AND HEPATITIS TESTING, REFERRAL TO PRE-EXPOSURE PROPHYLAXIS (PREP), HEPATITIS VACCINATION); 2) EXPAND ACCESS AND INCREASE HIV AND HEPATITIS TESTING ON-SITE IN RACIAL AND ETHNIC HIGH-RISK COMMUNITIES; 3) REDUCE BEHAVIORAL HEALTH DISPARITIES AND IMPROVE MENTAL HEALTH FUNCTIONING WITH EXPANDED ACCESS TO CULTURALLY-INFORMED EVIDENCE-BASED TREATMENT THAT IS TRAUMA-INFORMED, RECOVERY-ORIENTED, AND CULTURALLY APPROPRIATE; 4) FACILITATE PEER SUPPORT SERVICES. MEASURABLE OBJECTIVES: 1) 80% WILL IMPROVE MENTAL HEALTH FUNCTIONING; 2) 80% WILL REDUCE TRAUMA SYMPTOMS/VIOLENCE; 3) 80% WILL IMPROVE STABILITY IN HOUSING; 4) 80% WILL IMPROVE EDUCATION/EMPLOYMENT STATUS; 5) 80% WILL REDUCE CJ INVOLVEMENT; 6) 80% WILL REPORT HIGH PERCEPTIONS OF CARE; 7) 80% WILL IMPROVE SOCIAL CONNECTEDNESS, AND 100% WILL RECEIVE HIV-SPECIFIC MEASURES. # TO BE SERVED: 65 UNDUPLICATED INDIVIDUALS EACH YEAR, TOTALING 260 IN FOUR YEARS.

PINELLAS RE-LINK

FAMILY CENTERED SERVICES FOR HIV POSITIVE AND AT RISK MINORITIES IN TRANSITION FROM SUBSTANCE ABUSE TREATMENT AND/OR INCARCERATION

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS

READY-TO-RESPOND WITH CTR

TCE-HIV

READY-TO-RESPOND WITH CTR

HEALTH IMPROVEMENT FOR RE-ENTRY POPULATION IN FLORIDA

YOUNG MINDS

NAVIGATING SUCCESS

HIRE

YOUNG MINDS

AMERICAN RESCUE PLAN ACT FUNDING FOR LOOK-ALIKES

M.E.T.R.O.

TCE-HIV

"PARTNERS PLUS" USES PREVENTION WORKSHOPS, COUNSELING, HIV/STD TESTING AND LINKAGE TO CARE TO REDUCE THE SPREAD OF HIV/AIDS AMONG FEMALE PARTNERS OF

WOMEN INCARCERATED - PARTNERS PLUS

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 HEALTH CENTER PROGRAM LOOK-ALIKES: EXPANDING CAPACITY FOR CORONAVIRUS TESTING

FY 2023 BRIDGE ACCESS PROGRAM