Intercambios Puerto Rico Inc

PUERTO RICO GBHI PROGRAM - SUMMARY. INTERCAMBIOS PUERTO RICO (IPR) IS PROPOSING A PROGRAM TO PROVIDE COMPREHENSIVE, COORDINATED, AND EVIDENCE-BASED TREATMENT AND SERVICES FOR INDIVIDUALS WITH SUDS OR CODS WHO ARE EXPERIENCING HOMELESSNESS. IPR WILL TARGET SERVE THE PUERTO RICO METROPOLITAN AREA AND EASTERN PUERTO RICO. IPR WILL SERVE 50 UNDUPLICATED INDIVIDUALS ANNUALLY WITH GRANT FUNDS AND 250 OVER THE ENTIRE PROJECT PERIOD. PROJECT NAME. PUERTO RICO GBHI PROGRAM POPULATIONS TO BE SERVED. IPR’S POPULATION OF FOCUS (POF) WILL BE INDIVIDUALS, INCLUDING YOUTH, AND/OR FAMILIES WITH SUDS OR CODS, WHO ARE EXPERIENCING HOMELESSNESS. IN PARTICULAR, IPR WILL TARGET INJECTION DRUG USERS, SEX WORKERS, LGBTTQ POPULATION, AND PEOPLE WITH A POSITIVE DIAGNOSIS OF HIV OR HCV. THE CATCHMENT AREA WHERE SERVICES WILL BE DELIVERED WILL BE THE PUERTO RICO METROPOLITAN AREA (SAN JUAN, BAYAMON, CAROLINA, CATAÑO, GUAYNABO, TOA BAJA AND TRUJILLO ALTO) AND THE EASTERN PUERTO RICO METROPOLITAN AREA (CANÓVANAS, RIO GRANDE, LOÍZA, LUQUILLO, FAJARDO, NAGUABO, HUMACAO, JUNCOS, GURABO AND CAGUAS); THESE AREAS HAVE THE HIGHEST RATES OF SUD/COD IN PUERTO RICO. STRATEGIES/INTERVENTIONS. IPR’S PROGRAM ACTIVITIES WILL INCLUDE: 1) OUTREACH AND OTHER ENGAGEMENT STRATEGIES TO UNSHELTERED AND SHELTERED POPULATIONS TO INCREASE ACCESS TO, AND PARTICIPATION AND RETENTION IN, HARM REDUCTION, CASE MANAGEMENT, TREATMENT, AND RECOVERY SUPPORT SERVICES; 2) DIRECT SUD AND MENTAL HEALTH TREATMENT; 3) ACCESS TO MOUD SERVICES; 4) EVIDENCE-BASED HARM REDUCTION PRACTICES; 5) CASE MANAGEMENT THAT INCLUDES CARE COORDINATION/SERVICE DELIVERY PLANNING; AND 6) STAFF WITH LIVED EXPERTISE TO PROVIDE PROJECT SERVICES; 7) RECOVERY SUPPORT SERVICES; 8) IDENTIFYING SUSTAINABLE PERMANENT HOUSING; 9) AND DEVELOPING A STEERING COMMITTEE, IPR WILL PROVIDE 6 EBPS: SBIRT, COGNITIVE BEHAVIOR THERAPY (CBT), SEEKING SAFETY, MOTIVATIONAL INTERVIEWING (MI), RELAPSE PREVENTION THERAPY (RPT), AND TRAUMA INFORMED CARE IN BEHAVIORAL HEALTH SETTINGS. IPR WILL ALSO IMPLEMENT HIV TESTING AND SCREENING AND REFERRAL TO FQHCS FOR HEPATITIS C TESTING, AND HIV AND HEPATITIS C TREATMENT, AND IN-REACH SERVICES. PROJECT GOALS AND MEASURABLE OBJECTIVES. THE PROGRAM’S GOAL IS TO IMPROVE ACCESS TO AND DELIVERY OF COORDINATED, COMPREHENSIVE SERVICES TO REDUCE SUBSTANCE USE AND IMPROVE HOUSING STABILITY. OBJECTIVES FOR THE PROPOSED PROGRAM INCLUDE THE FOLLOWING. OBJECTIVE 1: CONDUCT OUTREACH AND ENGAGEMENT STRATEGIES TO ENROLL AT LEAST 50 PROGRAM PARTICIPANTS PER YEAR. OBJECTIVE 2: PROVIDE EVIDENCE-BASED SUD AND MENTAL HEALTH TREATMENT SERVICES TO 50 ENROLLED CLIENTS PER YEAR. OBJECTIVE 3: INCREASE ACCESS TO MOUD TREATMENT SERVICES FOR AT LEAST 85% OF CLIENTS IN NEED OF SERVICES PER YEAR. OBJECTIVE 4: PROVIDE EVIDENCE-BASED HARM REDUCTION PRACTICES FOR AT LEAST 50 CLIENTS PER YEAR. OBJECTIVE 5: PROVIDE CASE MANAGEMENT SERVICES TO AT LEAST 50 PROGRAM PARTICIPANTS PER YEAR. OBJECTIVE 6: PROVIDE RECOVERY SUPPORT SERVICES FOR AT LEAST 80% OF PROGRAM PARTICIPANTS;. OBJECTIVE 7: ASSIST IN THE PLACEMENT OF 85% OF PROGRAM PARTICIPANTS IN NEED OF SERVICES IN PERMANENT HOUSING THROUGH COORDINATION WITH HOMELESS SERVICE ORGANIZATIONS AND HOUSING PROVIDERS. OBJECTIVE 8: CONVENE A CULTURALLY AND LINGUISTICALLY DIVERSE STEERING COMMITTEE CONSISTING OF AT LEAST 8 MEMBERS TO MEET QUARTERLY TO MONITOR AND ADVISE ON THE PROGRAM GOALS.

BUILDING COMMUNITIES OF RECOVERY IN PUERTO RICO - SUMMARY. INTERCAMBIOS PUERTO RICO (IPR) IS PROPOSING A PROGRAM TO INCREASE DEVELOPMENT, ENHANCEMENT, EXPANSION, AND DELIVERY OF RECOVERY SUPPORT SERVICES (RSS) AS WELL AS PROMOTION OF AND EDUCATION ABOUT RECOVERY AT A COMMUNITY LEVEL IN PUERTO RICO. IPR WILL SERVE 200 UNDUPLICATED INDIVIDUALS ANNUALLY AND 600 OVER THE PROJECT PERIOD AND WILL PROVIDE TRAININGS 45 AGENCIES OVER THE PROJECT PERIOD. PROJECT NAME. BUILDING COMMUNITIES OF RECOVERY IN PUERTO RICO POPULATIONS TO BE SERVED. IPR’S POPULATION OF FOCUS (POF) WILL BE PERSONS WITH SUBSTANCE USE DISORDERS (SUD) AND CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD), FOCUSING ON INDIVIDUALS IN NEED OF LONG-TERM RECOVERY SUPPORT SERVICES. THE PROGRAM WILL BE LOCATED IN PUERTO RICO AND WILL FOCUS ON THE EASTERN AREA OF THE ISLAND IN YEAR ONE, EXPANDING INTO THE SAN JUAN METROPOLITAN AREA IN YEAR TWO AND BEYOND. STRATEGIES/INTERVENTIONS. IPR’S PROGRAM ACTIVITIES WILL INCLUDE: 1) PEER RECOVERY SUPPORT SERVICES (PRSS), WHICH WILL INCLUDE MONTHLY RECOVERY COACHING SESSIONS, AND ACCESS TO INTERNAL HARM REDUCTION AND MEDICATION-ASSISTED TREATMENT SERVICES, WORKFORCE DEVELOPMENT, PEER ACCOMPANIMENT, AND ONGOING SUPPORT; IPR’S PEER RECOVERY COACHES WILL PROVIDE PRSS; 2) IPR WILL PROVIDE SUPERVISION, TRAINING, AND MENTORSHIP TO THE PEER RECOVERY COACHES PROVIDING PRSS AND OUTREACH; 3) IPR WILL PROVIDE CULTURALLY APPROPRIATE, TRAUMA-INFORMED, AND EVIDENCE-BASED RSS THAT DIRECTLY ASSIST INDIVIDUALS AND FAMILIES TO RECOVER FROM SUD AND COD; 4) IPR WILL ESTABLISH PARTNERSHIPS BETWEEN DIVERSE RECOVERY NETWORKS, RECOVERY COMMUNITY ORGANIZATIONS, AND OTHER RECOVERY COMMUNITY PARTNERS; 5) IPR WILL PROVIDE EVIDENCE-BASED HARM REDUCTION PRACTICES SUCH AS RAPID FENTANYL TEST STRIP DISTRIBUTION, OVERDOSE EDUCATION, NALOXONE, AND OTHER OVERDOSE REVERSAL MEDICATIONS; 6) IPR WILL ASSESS FOR AND RESPOND TO THE NEEDS OF INDIVIDUALS AND FAMILIES SERVED BY THE PROGRAM WHO ARE AT RISK FOR OR EXPERIENCING HOMELESSNESS; AND 7) IPR WILL CONDUCT PUBLIC EDUCATION, WORKFORCE DEVELOPMENT FOR TRAINING PEER RECOVERY COACHES, AND COMMUNITY OUTREACH ON ISSUES RELATING TO SUD, COD, AND RECOVERY. IPR WILL ALSO IMPLEMENT MOTIVATIONAL INTERVIEWING (MI), TRANSTHEORETICAL MODEL, GROUP PEER SUPPORT (GPS). PROJECT GOALS AND MEASURABLE OBJECTIVES. THE PROGRAM’S GOAL IS THE DEVELOPMENT, ENHANCEMENT, EXPANSION, AND DELIVERY OF RECOVERY SUPPORT SERVICES (RSS) AS WELL AS PROMOTION OF AND EDUCATION ABOUT RECOVERY AT A COMMUNITY LEVEL. THE PROGRAM’S OBJECTIVES INCLUDE: 1) PROVIDE PRSS, DESIGNED AND DELIVERED BY INDIVIDUALS WITH LIVED EXPERIENCE, TO ADDITIONAL 200 PERSONS FROM THE POPULATION OF FOCUS PER YEAR; 2) PROVIDE SUPERVISION, TRAINING AND MENTORSHIP TO 100% OF INDIVIDUALS PROVIDING PRSS SERVICES EACH YEAR; 3) PROVIDE CULTURALLY APPROPRIATE, TRAUMA-INFORMED AND EVIDENCE-BASED RECOVERY SUPPORT SERVICES (RSS) TO AN ADDITIONAL 200 PERSONS FROM THE POPULATION OF FOCUS PER YEAR; 4) BUILD CONNECTIONS AND COLLABORATIONS AMONG SUBSTANCE USE AND MENTAL DISORDER TREATMENT PROGRAMS, FAITH-, ACADEMIC- AND COMMUNITY-BASED ORGANIZATIONS, AND HOSPITALS THROUGH AT LEAST 12 NETWORKING/TRAINING/TA PRESENTATIONS PER YEAR TO PROMOTE PRSS TO PROGRAM PARTICIPANTS AND OTHER STAKEHOLDERS PER YEAR; 5) PROVIDE HARM REDUCTION SERVICES TO 90% OF CLIENTS IN NEED OF HARM REDUCTION SERVICES PER YEAR; 6) PROVIDE SERVICES TO ADDRESS RISKS OF HOMELESSNESS FOR 90% OF PARTICIPANTS ASSESSED AS AT RISK FOR OR EXPERIENCING HOMELESSNESS; 7) CONDUCT A SOCIAL MARKETING CAMPAIGN DESIGNED TO REDUCE DISCRIMINATION AND NEGATIVE ATTITUDES CONCERNING PEOPLE WITH ADDICTION AND IN RECOVERY FROM DRUG/ALCOHOL ADDICTION, REACHING AT LEAST 7,500 PERSONS ANNUALLY; 8) PROVIDE ONGOING TRAINING AND WORKFORCE DEVELOPMENT FOR AT LEAST 95% OF PEER RECOVERY COACHES.

PUERTO RICO TARGETED CAPACITY EXPANSION: SPECIAL PROJECTS - SUMMARY. INTERCAMBIOS PUERTO RICO (IPR) IS PROPOSING A PROGRAM TO ADDRESS THE HIGH RATES OF SUBSTANCE USE DISORDER (SUD) AND/OR CO-OCCURRING DISORDER (COD) AMONG COMMUNITIES WITH A HIGH PREVALENCE OF THESE DISORDERS IN EASTERN PUERTO RICO. THIS PROGRAM WILL SERVE INDIVIDUALS 21 AND OLDER WHO HAVE OR ARE AT RISK OF SUD OR COD, PARTICULARLY THOSE EXPERIENCING POVERTY OR HOMELESSNESS AND WHO LACK ACCESS TO HEALTHCARE OR TREATMENT OPTIONS IN EASTERN PUERTO RICO, WITH A FOCUS ON THE LUQUILLO, FAJARDO, AND CEIBA MUNICIPALITIES, WITH POTENTIAL TO INCLUDE OTHER NEARBY AREAS SUCH AS HUMACAO. IPR WILL SERVE 150 INDIVIDUALS IN YEAR 1, AND 175 INDIVIDUALS PER YEAR IN YEARS 2 AND 3, TO SERVE A TOTAL OF 500 INDIVIDUALS THROUGH THIS PROJECT. PROJECT NAME. PUERTO RICO TARGETED CAPACITY EXPANSION: SPECIAL PROJECTS POPULATIONS TO BE SERVED. THE POPULATION OF FOCUS (POF) WILL BE INDIVIDUALS 21 AND OLDER WHO HAVE OR ARE AT RISK OF SUD OR COD, PARTICULARLY THOSE EXPERIENCING POVERTY OR HOMELESSNESS AND WHO LACK ACCESS TO HEALTHCARE OR TREATMENT OPTIONS. THE GEOGRAPHIC CATCHMENT AREA WHERE SERVICES WILL BE DELIVERED IS EASTERN PUERTO RICO, WITH A FOCUS ON THE LUQUILLO, FAJARDO, AND CEIBA MUNICIPALITIES, WITH POTENTIAL TO INCLUDE OTHER NEARBY AREAS SUCH AS HUMACAO. STRATEGIES/INTERVENTIONS. PROGRAM ACTIVITIES WILL INCLUDE: 1) SCREENING FOR SUD/COD AND RISK FOR SUICIDE; 2) TREATMENT OF SUD/COD; 3) SERVICES THAT REDUCE SUBSTANCE-RELATED HARM; 4) TOBACCO CESSATION; 5) CASE MANAGEMENT/PEER SUPPORT SERVICES; 6) COMMUNITY ENGAGEMENT ACTIVITIES; AND 7) THE PURCHASE OF FENTANYL TEST STRIPS, XYLAZINE TEST STRIPS, AND FDA-APPROVED OPIOID OVERDOSE REVERSAL MEDICATIONS. IPR WILL ALSO IMPLEMENT 3 EBPS: MOTIVATIONAL INTERVIEWING (MI), TRANSTHEORETICAL MODEL, AND GROUP PEER SUPPORT (GPS). PROJECT GOALS AND MEASURABLE OBJECTIVES. IPR’S PROGRAM GOAL IS TO IMPROVE HEALTH OUTCOMES AMONG THE POF BY EXPANDING ACCESS TO AND ENHANCING THE QUALITY OF INTEGRATED, EVIDENCE-BASED SERVICES FOR INDIVIDUALS WITH SUD. IPR’S MEASURABLE OBJECTIVES ARE TO: 1) CONDUCT OUTREACH AND ENGAGEMENT, REACHING 250 MEMBERS OF THE POF PER YEAR; 2) ENROLL AT LEAST 150/175 PARTICIPANTS INTO PROGRAM SERVICES PER YEAR; 3) CONDUCT SCREENING AND ASSESSMENT OF 90% PARTICIPANTS PER YEAR FOR SUD, COD, AND RISK FOR SUICIDE; 4) PROVIDE TRAUMA-INFORMED, LOW-BARRIER, EVIDENCE-BASED SUD AND MENTAL HEALTH TREATMENT SERVICES TO 90% ENROLLED PARTICIPANTS PER YEAR; 5) PROVIDE CASE MANAGEMENT SERVICES, REFERRAL, NAVIGATION SERVICES, AND LINKAGES TO SERVICES FOR 90% PARTICIPANTS PER YEAR; 6) PROVIDE PEER SUPPORT SERVICES FOR 80% PARTICIPANTS PER YEAR; 7) PROVIDE EVIDENCE-BASED HARM REDUCTION EDUCATION, SUPPLIES, AND SERVICES FOR AT LEAST 90% OF THE POF PER YEAR FOR ALL THAT MEET CRITERIA/MEET NEED FOR THIS SERVICE; 8) DISTRIBUTE NALOXONE AND OTHER OPIOID OVERDOSE REVERSAL MEDICATIONS, DRUG CHECKING EQUIPMENT, AND OVERDOSE PREVENTION EDUCATION TO 90% INDIVIDUALS PER YEAR; AND 9) PROVIDE TOBACCO CESSATION SERVICES TO AT LEAST 90% INDIVIDUALS PER YEAR.