River Region Human Services, Inc

Minority Engagement in Treatment & Services (METS) - River Region Human Services [RRHS], Experienced Provider of Hiv Prevention and Ccbhc Provider of Integrated Behavioral and Primary Care for Underserved Populations, Will Implement the Minority Engagement in Treatment and Services [mets] Project. Population of Focus: Adults With Elevated Hiv Risk, or Hiv+ Status, With Co-occurring Behavioral Health Conditions and Patterns of Substance Abuse That Heighten Risk for Hiv Infection, Including Veterans. Catch-ment Area/demographic Profile: the City of Jacksonville, FL, and Duval County, Total Area Population Is 957,955 With 61% White, 31% African American, and 10.5% Hispanic. Most Mets Project Enrollees Will Be From 6 Zip Codes in Jacksonville’s Urban Core, With a Total Popula-tion of 110,841 Persons. This Area Has the Greatest Concentration of African Americans, at 76%, and These Zip Codes Have Elevated STD Prevalence & Hiv Risk [32202, 32204, 32206, 32208, 32209, 32254]. Demographics Are: 48% Male, 52% Female, 76% Black, 20% White/non-hispanic, 3% Hispanic and 1% Other. an Estimated 8% of Households Identify as Gay or Lesbian. Within These Zip Codes, Nearly 37% of Families Are Living Below the Poverty Level Compared to 13.4% for Duval County Overall. Strategies/interventions Include Mobile Testing in Community Hotspots, Hiv Prevention Interventions, Intensive Case Management to Link High Risk and Hiv+ Enrollees With Integrated and Co-located Hiv Primary Care, Cod Screening and Treatment, Trau-ma-informed Interventions, and a Full Range of Substance Abuse Treatment. Goals and Objectives: Goal 1: Expand and Enhance Outreach to Increase the Number of Racial/ethnic Minority Persons at High-risk for Hiv/aids Who Are Tested for Hiv and Screened for Substance Use, Cod, and Hep-atitis. Objective 1.1: Provide Hiv and Hepatitis Testing, Cod Screening, and Engagement in In-tegrated Hiv/cod/hep Treatment Services to 90 High-risk Minority Persons Annually for a Total of 450 Individuals Served Over the Five-year Project Period. Objective 1.2: Match Each Enrollee With at Least 2 Supportive, Harm Reduction Interventions, Such as Respect, Prime for Life, Voices, Seeking Safety, and Smart, That Reduce Psychological Distress and Hiv Risk Behav-iors, as Measured by Staff Logs, the Gpra, and Pre- and Post-tests Specific to the Interventions. Goal 2: Increase the Number of High-risk Individuals Participating in Integrated Hiv Primary Care and Substance Abuse Treatment Interventions. Objective 2.1: Provide 100% of Project Enrollees an Individualized Treatment Plan That Integrates Hiv Primary Care With Substance Abuse Treatment and That Documents Screening for Cod and Other Behavioral Health Disorders, and Linkage With Accessible Treatment and Case Management, as Measured by the RRHS Electronic Medical Record. Objective 2-2: Utilizing the CDC Model Steps to Care, 90% of Enrollees Will Participate in Pa-tient Navigation, Hiv Self-management Skills, and Care Coordination Groups in the Integrated Treatment Setting, as Measured by the Electronic Medical Record.and Steps to Care Documentation Tools. Goal 3: Through Intensive Case Management, Enhance Retention in Integrated Hiv Care and Substance Abuse Treatment. Objective 3.1: Ensure That at Least 90% of Hiv-positive Persons En-gage in Intensive Case Management for 6 Months to a Year, as Measured by the Gpra and the Electronic Medical Record. Objective 3.2: Ensure That at Least 80% of Hiv-positive Persons Are Retained in Integrated Care for 6 Months to 1 Year, as Measured by the Gpra and the Electronic Medical Record. the Mets Project Will Serve 90 Unduplicated Clients in Each Project Year, for a Total of 450 Over the 5 Years.