Brandywine Counseling & Community Services, Inc

Hep C Free - Project Abstract: Hep C Free Delaware Brandywine Counseling and Community Services (BCCS) Will Implement Hep C Free Delaware. This Pilot Will Deliver Statewide, Low-threshold Care Integrating Rapid HCV Testing, Same-day Treatment, and Behavioral Health Services for Individuals With Sud And/or Smi, Including Those Experiencing Homelessness. the Program Will Serve 200 Individuals Annually (600 Total) and Cure HCV in 51-100 People Each Year. the Population of Focus Includes Adults (18+) Statewide Who Are Disproportionately Impacted by Hepatitis C (HCV) Due to Current or Past Injection Drug Use, Co-occurring Substance Use And/or Mental Health Disorders (sud/smi), and Homelessness. Delaware Reports Over 5,600 Individuals Living With Chronic HCV, With Prevalence Sharply Higher Among People Who Inject Drugs (kahal & Rutan, 2020; University of Washington, 2025). Based on the Demographics of HCV Prevalence, the Population Served Will Be Predominantly Male, With Racial and Ethnic Characteristics Reflecting Delaware's Demographics – 60.4% White, 10.5% Hispanic (u.s. Census Bureau, 2025). Homelessness, Behavioral Health Needs, and High Rates of Uninsurance Compound Care Access Barriers. Hep C Free Delaware Will Address These Challenges With Trauma-informed, Mobile, and Low-threshold Care Strategies Targeting Individuals Who Are Unsheltered or Disconnected From Traditional Healthcare. Key Interventions Include HCV Rna Point-of-care Testing, Daa-based Treatment, Hiv/sti Screening and Prevention, Fda-approved Mat, Mental Health Counseling, and Care Coordination. the Program Will Use Bccs’s Nextstep Electronic Health Record and Submit Data via Spars, Employing a Cascade of Care Evaluation Model. Services Will Be Provided at Four Fixed Clinic Sites and Through a Mobile Treatment Unit. Goals Are to: (1) Increase the Number of Individuals Cured of HCV; (2) Reduce the Incidence of HCV and Hiv in Delaware Through Outreach and Prevention; (3) Address the Intersection of Sud, Smi, Infectious Diseases, and Homelessness; (4) Reduce Infectious Diseases and Conditions, Including Hiv/aids, Sti’s, Viral Hepatitis, and Tuberculosis, as Appropriate; and (5) Increase Access to Peer Support and Care Coordination. Measurable Objectives Include Serving at Least 200 Individuals Annually, Providing Same-day HCV Screening, Testing, and Treatment With a Goal of Curing HCV in 51–100 Participants Each Year. All Clients Will Be Assessed for Co-occurring Mental Health and Substance Use Disorders, and 100% Who Are Eligible for and Consent to Participate Will Receive Integrated, Evidence-based Treatment With Care Coordination and Peer Support. the Program Will Offer Screening for HCV, Hiv, Stis, Hepatitis A/b/c, and Tuberculosis to All Participants, Ensuring Immediate Linkage to Care for Those Who Test Positive and Prevention Education for Those Who Test Negative. at Least 75% of Clients Will Demonstrate Reduced Symptoms or Harmful Behaviors by Six Months Post-treatment. Mobile Outreach Will Engage Unsheltered Individuals Across the State, While Prevention and Education Campaigns Will Be Implemented in Each of Delaware’s Three Counties.