Bailey House, Inc.

Bailey House Tranquilit Project - Bailey House, Inc.’s (BH) Tranquilit Program Will Engage Transgender (TG) Persons of Color (POC) Ages 18 and Older With a Substance Use Disorder (SUD) And/or a Co-occurring Disorder (COD) Including a Serious Mental Illness (smi), Hiv, and Hepatitis C (HCV) That Work, Congregate, or Live in the Central and East Harlem and Midtown Neighborhoods of Manhattan and the Hunts Point/mount Haven, Highbridge/morrisania, Crotona – Tremont, and Fordham-bronx Park Neighborhoods of the South Bronx. the Economic Conditions in Central and East Harlem and the South Bronx Are Among the Poorest in All of NYC—52% of Residents Live Below 200% of the Federal Poverty Level and Over Half (55%) Experience Rent Budget Where 30% or More of Their Income Is Spent on Rent. While Economic Conditions in Midtown Manhattan Are Better, the Area Serves as a Transportation Hub in Nyc With Many Subway Lines, Bus Terminal, and Penn Station. Given the Number of Individuals Who Flow Through the Area, Midtown Is a Hub for Sex Work, Unsheltered Individuals, and Individuals Who Inject Drugs. BH Uses Its Experience and Relationships Within These Communities to Reach and Engage Those Who Might Not Otherwise Seek Services. LGBT Individuals Experience Sud and Cod at Higher Rates Than the General Population. a Recent Study Found That Sud Diagnoses Were Significantly Elevated Among TG Adults Relative to Their Cisgender Counterparts. a Meta-analysis of Mental Health Among TG Individuals Found Consistent Levels of Depressive Symptoms, Suicidality, Interpersonal Trauma Exposure, Sud, Anxiety, and General Distress. LGBT People May Be Discouraged From Seeking Sud Treatment Because of Negative Experiences in Coming Out to Providers, Anticipating Negative Reactions, or Having Heard About Others’ Bad Experiences. Further, the Priority Population Is Disproportionately Impacted by the Hiv and HCV Epidemics. TG Individuals of All Experience Are Priority Populations in the Nyc Ending the Hiv Epidemic Plan. in 2021, 62 TG People Were Newly Diagnosed With Hiv in Nyc, of Which 92% Were TG Women and 87% Identified as Black or Latinx/hispanic. a Greater Proportion of Newly Diagnosed TG Individuals Were Under 30 Years Old at Age of Diagnoses Compared to Their Non-tg Counterparts. Rates of Viral Suppression (77%) and Sustained Viral Suppression (60%) Among Hiv-positive TG Individuals in Medical Care Were Significantly Lower Than Their Non-tg Counterparts, Indicating a Need to Support Medication Adherence. in 2021, Only One-quarter (26%) of Individuals With a Positive Viral Diagnostic HCV Test Initiated Treatment. Tranquilit Will Provide Services Utilizing an Evidence-based, Harm Reduction, Culturally Sensitive, and Health Equity Approach to Increase Access to and Engagement in Harm Reduction and Hiv Prevention Services and Primary and Behavioral Health Care Among the Priority Population in the Service Area. Informed by Its Experience, BH Will Expand Its Successful Street and Virtual Outreach Model and Person-centered Approach to Engage TG Poc in Comprehensive, Integrated Suite of Harm Reduction Services Including Syringe Exchange, Hiv/hcv Screening, and Trauma-informed Screening and Link Them to Primary Care, Mental Health and Substance Use Treatment, and Comprehensive Status Neutral Hiv Prevention and Other Essential Support Services. BH Will Also Implement the Transgender Women Involved in Strategies for Transformation (TWIST) and Seeking Safety Evidence-based Programs, Implement a Virtual Safe Space, and Support the Youth & Prevention Services Advisory Board to Guide Services Across the Department, Including This Program. Over the Five-year Period, HW Will Engage 525 Individuals: 75 in Year 1, 100 in Years 2 and 3, and 150 in Years 4 and 5 Through Outreach and Hiv/hcv Screening. by the End of the Program, There Will Be a 10% Reduction in Substance Use and Symptoms of Depression and Anxiety, and at Least 90% of Clients With Hiv Will Be Virally Suppressed at Their Last Appointment.