Transaction Description:
ASCLM/ALLIANCE SUPPORTIVE OPIOID ADDICTION RECOVERY (SOAR) PROGRAM - AIDS SERVICE CENTER OF LOWER MANHATTAN DBA ALLIANCE FOR POSITIVE CHANGE PROPOSES THE SUPPORTIVE OPIOID ADDICTION RECOVERY (SOAR) PROGRAM TO SERVE LOW-INCOME, HETEROSEXUAL AND LGBTQ+, CIS- AND TRANSGENDER PERSONS AGES 18 AND OLDER DIAGNOSED WITH OPIOID USE DISORDER (OUD) IN NYC AND SEEKING/RECEIVING MEDICATION ASSISTED TREATMENT (MAT). BASED ON OUR CURRENT HARM REDUCTION CASELOAD, WE ANTICIPATE MAINLY SERVING PEOPLE OF COLOR (40% HISPANIC OF ANY RACE, 35% BLACK, 5% ASIAN, 20% NON-HISPANIC WHITE), MOSTLY (78%) MALE. MANY OF THE PEOPLE TO BE SERVED LIVE WITH COMORBIDITIES AND SYSTEMIC INEQUITIES, E.G., HIV, VIRAL HEPATITIS, MENTAL HEALTH ISSUES, HOMELESSNESS, JUSTICE SYSTEM INVOLVEMENT, POVERTY, AND INSUFFICIENT ACCESS TO QUALITY MEDICAL AND BEHAVIORAL HEALTHCARE AND SUBSTANCE USE TREATMENT. ALLIANCE WILL IMPLEMENT A HUB SERVICE MODEL BASED OUT OF OUR LOWER EAST SIDE HARM REDUCTION CENTER (LESHRC), IN WHICH WE WILL EXPAND PROVIDER HOURS AND DROP-IN SPACE DURING THE FIRST YEAR. SERVICES WILL BE EXPANDED TO OUR MIDTOWN MANHATTAN HEADQUARTERS, EAST HARLEM, AND EAST VILLAGE SITES IN THE SECOND, THIRD, AND FOURTH YEARS OF THE PROJECT. THE GEOGRAPHIC CATCHMENT SERVICE AREA WILL ENCOMPASS NYC'S FIVE BOROUGHS; HOWEVER, BASED ON PAST EXPERIENCE, A SIGNIFICANT NUMBER WILL HAIL FROM MANHATTAN COMMUNITIES HIT HARDEST BY THE OUD CRISIS, I.E., EAST HARLEM AND LOWER EAST SIDE/CHINATOWN (COMMUNITY BOARD 3). ALLIANCE WILL SERVE AT LEAST 100 INDIVIDUALS IN YEAR 1, 150 IN EACH OF THE FOLLOWING 3 YEARS, AND 100 IN YEAR 5, REACHING AT LEAST 650 INDIVIDUALS OVER THE LIFE OF THE PROJECT. DRIVING THE PROJECT'S OUTREACH, PROJECT STAFF AND CRPA PEERS WILL CONDUCT VENUE-BASED OUTREACH AND RECRUITMENT BASED ON OUR PEERS' KNOWLEDGE AND COMMUNITY-LEVEL INSIGHTS SHARED BY MANHATTAN COMMUNITY BOARD 3. AS INDIVIDUALS ARE RECRUITED, THE PROGRAM MANAGER/COUNSELOR WILL CONDUCT CLINICAL ASSESSMENTS TO ESTABLISH EACH PARTICIPANT'S DIAGNOSIS AND OUD SEVERITY LEVEL USING DSM-5 DIAGNOSTIC CRITERIA TO DETERMINE THE OPTIMAL LEVEL OF CARE FOR EACH PARTICIPANT'S NEEDS. THE PROJECT WILL UTILIZE BUPRENORPHINE TREATMENT FOR OUD, AN MAT FOR PEOPLE WITH OUD, IN CONJUNCTION WITH RSS SUCH AS COUNSELING AND OTHER BEHAVIORAL THERAPIES. IN ADDITION, THE PROJECT WILL UTILIZE MOTIVATIONAL INTERVIEWING AND COGNITIVE BEHAVIORAL THERAPY TO PROMOTE INCREASED ADHERENCE RATES, SELF-EFFICACY AND IMPROVED MENTAL HEALTH AMONG PARTICIPANTS. ONE 10-SESSION CYCLE OF THE EVIDENCE-BASED HARM REDUCTION INTERVENTION (EBI) SEEKING SAFETY WILL BE OFFERED EACH YEAR OF THE PROJECT'S LIFESPAN, REACHING A CORE GROUP OF AT LEAST 8 PEOPLE EACH YEAR. FIVE STORYTELLING VIDEOS FOR THE COMMUNITY MOBILIZATION AND RISK REDUCTION EBI COMMUNITY PROMISE WILL BE RECORDED IN EACH PROJECT YEAR. THE PROJECT WILL ATTAIN THE FOLLOWING GOALS: 1) EXPAND MOUD OUTREACH/EDUCATION SERVICES PROVIDED BY ALLIANCE. 2) INCREASE ACCESS TO/AVAILABILITY OF MOUD. 3) INCREASE KNOWLEDGE AND INCREASE COPING SKILLS OF PARTICIPANTS WHO ARE ADDRESSING BOTH TRAUMA AND SUBSTANCE USE. 4) REDUCE INCIDENCE OF OVERDOSE AMONG ALL OUD PARTICIPANTS. 5) FACILITATE LONG-TERM OUD RECOVERY. 6) IMPROVE ACCESS TO AND USAGE OF SERVICES THAT ADDRESS HIV, VIRAL HEPATITIS, AND POVERTY-RELATED SOCIAL DETERMINANTS OF HEALTH (SDH) THAT IMPEDE RECOVERY. OUTCOME MEASURES INCLUDE: 1) PERSONS SEEKING RECOVERY SUPPORT SERVICES WILL BE MEASURED ON WHETHER THEY MAINTAINED RECOVERY AFTER 6 MONTHS POST-PROGRAM COMPLETION. 2) PERSONS SEEKING ASSISTANCE WITH SUBSTANCE USE REDUCTION WILL BE MEASURED ON WHETHER THERE WAS REDUCTION IN SUBSTANCE USE UTILIZATION AFTER 6 MONTHS POST-PROGRAM COMPLETION. 3) PSYCHOSOCIAL CHANGE WILL BE MEASURED VIA NUMBER OF REPORTED DEPRESSION DAYS, ANXIETY DAYS, QUALITY OF LIFE SCORE, SELF-SATISFACTION, AND PARTICIPATION IN RSS ACTIVITIES. 4) PROGRAM EFFICACY WILL BE MEASURED BY ASSESSING LINKAGE TO CARE AND PARTICIPATION IN PROGRAM COMPONENTS.
