West Alabama Aids Outreach Inc

THE CARE AND ACCESS FOR RURAL ENGAGEMENT (CARES) PROJECT - THE CARE AND ACCESS FOR RURAL ENGAGEMENT (CARES) PROJECT BUILDS ON THE ONGOING WORK AND EXISTING STRONG COMMUNITY PARTNERSHIPS BY FIVE HORIZONS HEALTH SERVICES TO EXPAND HIV AND SUBSTANCE USE PREVENTION AND CARE IN 53 COUNTIES ACROSS WEST AND SOUTH ALABAMA (37 COUNTIES) AND EAST MISSISSIPPI (16 COUNTIES). THE PROJECT AREA INCLUDES OVER 2.1 MILLION PEOPLE, REPRESENTING ABOUT 26% OF THE COMBINED POPULATION OF ALABAMA AND MISSISSIPPI AND IS MAINLY RURAL. MOST OF THE RESIDENTS IN THE TARGET AREA ARE LISTED AS BEING IN PERSISTENT POVERTY. BY THE END OF THE PROJECT, WE WILL REACH APPROXIMATELY 80,000 INDIVIDUALS AND PROVIDE HIV TESTS, SUBSTANCE USE/MENTAL HEALTH ASSESSMENT TO OVER 12,000 INDIVIDUALS. THE CARES PROJECT WILL EXPAND CARE TO MAINLY UNDERSERVED RURAL POPULATIONS IN ALABAMA AND EAST MISSISSIPPI, BY ADDRESSING THE SALIENT BARRIERS TO CARE AND PREVENTION AMONG INDIVIDUALS WITH OR AT RISK OF HIV AND ITS RELATED COMORBIDITIES INCLUDING SU/MHD. THE FOLLOWING GOALS AND OBJECTIVES WILL GUIDE THE PROJECT: GOAL 1: REDUCE NEW HIV INFECTIONS AND RELATED COMORBIDITIES BY INCREASING ACCESS TO SCREENING, TESTING, AND CARE FOR INDIVIDUALS AT RISK FOR HIV, THROUGH TARGETED OUTREACH EFFORTS AND REDUCING BARRIERS TO CARE RESULTING IN EARLY ACCESS TO TREATMENT AND PREVENTION. BY THE END OF THE PROJECT, THE CARES OUTREACH TEAM WILL CONDUCT OUTREACH EVENTS IN ALL 53 COUNTIES AND REACH AT LEAST 80,000 PEOPLE FROM MEDICALLY UNDERSERVED RACIAL AND ETHNIC COMMUNITIES DISPROPORTIONATELY AFFECTED BY HIV/AIDS AND HIV-RELATED DISPARITIES. BY THE END OF YEAR 5, THE OUTREACH TEAM WILL OFFER PRELIMINARY HIV TESTING TO ALL INDIVIDUALS ATTENDING OUTREACH EVENTS OR VISITING FHHS, RESULTING IN AT LEAST 12,000 OF INDIVIDUALS (15%) ATTENDING OUTREACH EVENTS OR VISITING FHHS CLINICS GETTING TESTED FOR HIV. BY THE END OF YEAR 5, THE CASE MANAGEMENT TEAM WILL ENSURE THAT AT LEAST 95% OF CLIENTS SCREENING POSITIVE FOR HIV AT ANY OF OUR EVENTS RECEIVE CONFIRMATORY HIV TESTING AND 95% OF THOSE CONFIRMED TO BE POSITIVE ARE LINKED TO AND MAINTAINED IN HIV CARE. GOAL 2: REDUCE SU/MHD RISK AMONG INDIVIDUALS WITH OR AT RISK OF HIV, BY IMPLEMENTING AN ONGOING STRATEGY TO REACH AND PROVIDE EVIDENCE-BASED SU/MHD SERVICES. OBJECTIVES: BY THE END OF YEAR 5, THE OUTREACH TEAM WILL OFFER SCREENING FOR SU/MHD AS INDICATED TO INDIVIDUALS WITH OR AT RISK FOR HIV ATTENDING OUTREACH EVENTS FHHS, RESULTING IN AT LEAST 15% OF ATTENDEES BEING SCREENED FOR SU/MHD. BY THE END OF YEAR 5, THE BEHAVIORAL HEALTH TEAM (BHT) WILL DIAGNOSE AND DEVELOP AN INDIVIDUALIZED TREATMENT PLAN FOR AT LEAST 80% OF INDIVIDUALS WHO SCREEN POSITIVE FOR SU/MHDS. BY THE END OF YEAR 5, THE BHT WILL CONNECT 100% OF INDIVIDUALS RECEIVING A DIAGNOSIS FOR SU/MHD TO THE IN-HOUSE TREATMENT TEAM OR PARTNER AGENCIES AND ENSURE THAT AT LEAST 80% RECEIVE EVIDENCE-BASED TREATMENT AND ARE MAINTAINED IN CARE. GOAL 3: REDUCE RISK FOR NEW INFECTIONS FOR HIV AND OTHER STIS BY INCREASING ACCESS TO PREP, POST-EXPOSURE PROPHYLAXIS (PEP), AND STI TREATMENT AND CARE TO INDIVIDUALS AT RISK FOR HIV AND /OR STI. BY THE END OF YEAR 5, INDIVIDUALS IDENTIFIED AS BEING AT RISK FOR HIV WILL BE PROVIDED WITH SUPPORTS INCLUDING EDUCATION, CASE MANAGEMENT AND REFERRAL TO IN-HOUSE PREP AND STI TREATMENT AND CARE TO ENSURE THAT AT LEAST 50% OF INDIVIDUALS AT RISK AND ELIGIBLE ARE INITIATED AND MAINTAINED IN PREP AND/OR STI TREATMENT AND CARE. BY THE END OF YEAR 5, 100% OF INDIVIDUALS REPORTING INCREASED RISK FOR HIV WILL BE PROVIDED SUPPORTS INCLUDING EDUCATION, CASE MANAGEMENT AND REFERRAL TO HIV CLINIC TO RECEIVE PEP SERVICES, INCLUDING BEING PROVIDED WITH PEP MEDICATION WITHIN 72 HOURS TO ENSURE THAT AT LEAST 95% OF IDENTIFIED INDIVIDUALS AT RISK DUE TO EXPOSURE ARE INITIATED ON PEP AND MAINTAINED IN CARE. BY THE END OF YEAR 5, 100% OF INDIVIDUALS TESTED POSITIVE FOR VIRAL HEPATITIS B AND C WILL BE REPORTED TO THE DEPARTMENT OF PUBLIC HEALTH. GOAL 4: CONDUCT PROGRAM EVALUATION TO MEASURE PERFORMANCE ON OBJECTIVES AND PROGRAM SUCCESS.

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - ADDRESS: FIVE HORIZONS DENTAL CLINIC, 3050 MCGEHEE RD, MONTGOMERY, AL 36111 PROJECT DIRECTOR: LORI WILSON, DDS, DMS CONTACT #S: VOICE – 334 239-9692 FAX – 334 239-9505 EMAIL: LWILSON@FIVEHORIZONS.ORG WEBSITE: WWW.FIVEHORIZONS.ORG CATEGORY: INFRASTRUCTURE DEVELOPMENT PROJECT SUMMARY: EXPANSION OF DENTAL CLINIC SERVICES IS CONTINGENT UPON ADDITIONAL AND UPDATED EQUIPMENT. A RECENT POLICY IMPLEMENTATION REFERS ALL NEW HIV PATIENTS FOR AN ORAL HEALTH EXAM AT INTAKE. THIS WILL INCREASE THE NUMBER OF PATIENTS AND PROCEDURES, PROVIDING HIGH-QUALITY HIV ORAL CARE IN THE DENTAL CLINIC. ADDITIONAL AND UPDATED EQUIPMENT IS NEEDED TO ACCOMMODATE THE INCREASE IN THE NUMBER OF PATIENTS AND TO ELEVATE THE LEVEL OF SERVICES PROVIDED. GRANT FUNDS REQUESTED: $149,147

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - PROJECT ABSTRACT: FY 2022 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM PROJECT TITLE: EXTENDING HORIZONS TELEHEALTH PROGRAM ORGANIZATION NAME: FIVE HORIZONS HEALTH SERVICES – STARKVILLE ADDRESS: 807 MS-12 W; STARKVILLE, MS 39759 PROJECT DIRECTOR: JAMIL DAWSON, MBA CONTACT PHONE: (662) 268-6278 CONTACT FAX: (662) 320-8575 EMAIL ADDRESS: JDAWSON@FIVEHORIZONS.ORG WEBSITE ADDRESS: HTTPS://WWW.FIVEHORIZONS.ORG/STARKVILLE FUNDS REQUESTED: $84,040 FUNDING PREFERENCE: RURAL POPULATION PROJECT CATEGORY: INFRASTRUCTURE DEVELOPMENT PROJECT ACTIVITY: TELEMEDICINE A. SUMMARY OF REQUEST FIVE HORIZONS HEALTH SERVICES – STARKVILLE (FHHS-S), LOCATED IN STARKVILLE, MISSISSIPPI, IS REQUESTING FUNDING IN THE AMOUNT OF $84,040 FROM THE HEALTH SERVICES RESOURCE ADMINISTRATION’S (HRSA) RYAN WHITE HIV/AIDS PROGRAM PART C CAPACITY DEVELOPMENT PROGRAM. FHHS-S PROPOSES TO BUILD A TELEMEDICINE INFRASTRUCTURE THROUGH WHICH MEDICAL AND SOCIAL SERVICES MAY BE PROVIDED TO PLWH ACROSS A 16-COUNTY AREA IN RURAL MISSISSIPPI WHERE BARRIERS-TO-CARE SUCH AS A LACK OF TRANSPORTATION PREVENT PLWH FROM ACCESSING HIV SERVICES AND PREVENTION EFFECTIVE RETENTION IN CARE. B. TARGET POPULATION FHHS-S PROVIDES HIV TESTING AND TREATMENT SERVICES ACROSS A 9,515 SQUARE MILE AREA OF EAST MISSISSIPPI. POVERTY IN THIS AREA IS SIGNIFICANT AS THE MEDIAN INCOME IS LOWER THAN THAT OF THE WHOLE OF MISSISSIPPI. PLWH IN THIS AREA FACE ADDITIONAL BARRIERS TO HIV CARE SUCH AS STIGMA, LOW HEALTH LITERACY, GEOGRAPHIC ISOLATION/DISTANCE, AND LACK OF PUBLIC TRANSPORTATION SERVICES. THE PERCENTAGE OF THE POPULATION IN THIS SERVICE AREA WHO ARE EITHER BLACK/AFRICAN AMERICAN, WOMEN, OR YOUNG ADULTS ARE HIGHER THAN THE STATE AVERAGES. THIS IS NOTEWORTHY AS EACH OF THESE POPULATIONS ARE TRADITIONALLY UNDERSERVED AND DISPROPORTIONATELY AFFECTED BY HIV/AIDS. C. NEEDS TO BE ADDRESSED A PRIMARY REASON CITED BY PLWH FOR THEIR INABILITY TO ACCESS AND REMAIN IN HIV CARE IS A LACK OF TRANSPORTATION. THE PROPOSED PROJECT W ILL ALLOW FHHS-S TO ELIMINATE THAT BARRIER TO CARE BY LEVERAGING TECHNOLOGY TO ENSURE ALL PLWH RECEIVE THE HIV SERVICES THEY NEED. THIS PROJECT WILL LEAD TO A) IMPROVED APPOINTMENT ADHERENCE, B) IMPROVED VIRAL SUPPRESSION RATES, C) AND PREVENTION OF HEW HIV CASES THROUGH THE CONCEPT OF UNDETECTABLE = UNTRANSMITTABLE. D. PROPOSED SERVICES THE PROPOSED PROJECT WILL ALLOW FHHS-S TO HIV PRIMARY MEDICAL CARE, MEDICAL AND NON-MEDICAL CASE MANAGEMENT SERVICES, OUTREACH SERVICES, AND LINKAGE AND RETENTION SERVICES TO PLWH IN HIGH-RISK COMMUNITIES VIA TELEHEALTH HARDWARE/SOFTWARE.