Name of OMH Grant Program: Curbing HIV/AIDS Transmission Among High-Risk Minority Youth and Adolescents (CHAT)
Initial Year of Funding: FY 2009
Project Period (Number of Years): 3
- Grantee Organization Name: The Hetrick-Martin Institute
- Organization Address (Street, City, State, Zip): 2 Astor Place, New York City, NY 10003
- Organization website URL (if any): http://www.hmi.org/
- Brief Description of the Organization: Hetrick Martin Institute (HMI) is the nation’s first and largest agency dedicated to serving lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth. It is HMI’s mission to reduce the severe disparities faced by LGBTQ youth, by working with and assisting such youth, ages 12-21 from more than 200 zip codes across the New York City area, through a catalogue of positive programming that reinforces self-esteem as they transition into healthy, productive individuals.
GRANT PROJECT INFORMATION
- Title of Grant Project: Joining Forces Initiative
- Amount of OMH Award: $247,874
- Name of Project Director: Lillian Rivera
BRIEF DESCRIPTION OF THE GRANT PROJECT
The purpose of the Joining Forces Initiative (JFI) was to deliver a unique peer outreach and education program to LGBTQ youth ages 12-21 in the NYC metropolitan area. JFI conducted a number of workshops led by peer educators; initiated several events outside of HMI which were conveyed to youth via social media; hosted testing events; and utilized social media projects and posts as a content-sharing site about all things related to sexuality. The purpose of the social media projects and posts was to share content including, but not limited to, sharing links about HIV facts and safe-sex practices, and what was learned from the JFI program. JFI established a network of organizations to support and increase instant access to safer sex information, HIV testing, HIV counseling, and AIDS treatment utilizing new application technologies (i.e., Facebook and YouTube).
The long-term goal was to reduce HIV testing and treatment disparities among LGBTQ youth. The goals to be reached by the end of the grant included:
- Increasing the number of organizations that provide instant access to HIV/AIDS information,
- Increasing the number of community organizations with integrated service provisions,
- Increasing general knowledge of risk behavior and HIV/AIDS, and
- Increasing HIV and STI testing and knowledge of serostatus.
The grantee employed a process and outcome evaluation using a single group, pre-post design. Evaluation data were collected using standardized pre- and post- HIV/AIDS knowledge and skill-building workshop assessment forms, a Network Coalition Survey to track the number of networks/partnerships formed that target high-risk minority adolescents, administrative data to track the number of outreach/education activities (including workshops, vignettes, text messaging and website usage), and data on the number of counseling/screening services provided. In addition, analytics were recorded to measure Facebook traffic, text tracking, and the number of HIV screenings.
Key program findings reported throughout the grant period:
- Increased number of individuals tested and aware of their HIV serostatus and STI status. By the end of the project, 286 youth were tested for HIV and 100 percent of those youth received their results. Additionally, 391 youth were tested for STIs and 86 percent of those youth received their results.
- Increased STI and HIV/AIDS awareness and knowledge via peer-led workshops on STI and HIV/AIDS awareness. In workshop post-tests, 49.3 percent (N=517), compared to the previous 42.4 percent (N=635), of youth understood that having an STI increased your risk for HIV/AIDS. 35.2 percent of youth knew that health care providers always test for HIV infection when blood tests are administered (up from 27.9 percent), and 82.6 percent of youth answered correctly when asked whether a person could get a STI from oral sex (up from 75.3 percent).
- Changed behavior of youth (i.e. increase likelihood of being testing for STIs and HIV/AIDS). In the workshop post-test, 49.3 percent (N=517) of youth reported that they are more likely to get tested for STIs in the next year and 49.1 percent of youth reported that they are more likely to get tested for HIV in the next year.
RELATED NATIONAL PARTNERSHIP FOR ACTION TO END HEALTH DISPARITIES GOALS
- Awareness: Increase awareness of the significance of health disparities, their impact on the nation, and the actions necessary to improve health outcomes for racial, ethnic, and other disparities population.
- Health System and Life Experience: Improve health and healthcare outcomes for racial and ethnic minorities and for underserved populations and communities.
RELATED HEALTHY PEOPLE 2020 OBJECTIVES & SUBOBJECTIVES
- HIV-3 Reduce the rate of HIV transmission among adolescents and adults
- HIV-4 Reduce new AIDS cases among adolescents and adults
- HIV-5 Reduce new AIDS cases among adolescent and adult heterosexuals
- HIV-6 Reduce new AIDS cases among adolescent and adult men who have sex with men
- HIV-7 Reduce new AIDS cases among adolescents and adults who inject drugs
- HIV-8.2 Reduce new cases of perinatally acquired AIDS
- HIV-11 Increase the proportion of persons surviving more than 3 years after a diagnosis with AIDS
- HIV-12 Reduce deaths from HIV infection
- HIV-13 Increase the proportion of persons living with HIV who know their serostatus
- HIV-14.1 Increase the proportion of adolescents and adults who have been tested for HIV in the past 12 months
- HIV-14.3 Increase the proportion of pregnant women who have been tested for HIV in the past 12 months
- HIV-14.4 Increase the proportion of adolescents and young adults who have been tested for HIV in the past 12 months
- HIV-15 Increase the proportion of adults with tuberculosis (TB) who have been tested for HIV
- HIV-16 Increase the proportion of substance abuse treatment facilities that offer HIV/AIDS education, counseling, and support
- HIV-17.1 Increase the proportion of sexually active unmarried females aged 15 to 44 years who use condoms
- HIV-17.2 Increase the proportion of sexually active unmarried males aged 15 to 44 years who use condoms
- STD-1.1 Reduce the proportion of females aged 15 to 24 years with Chlamydia trachomatis infections attending family planning clinics
- STD-1.2 Reduce the proportion of females aged 24 years and under with Chlamydia trachomatis infections enrolled in a National Job Training Program
- STD-1.3 Reduce the proportion of males aged 24 years and under with Chlamydia trachomatis infections enrolled in a National Job Training Program
- STD-3.1 Increase the proportion of sexually active females aged 16 to 20 years enrolled in Medicaid plans who are screened for genital Chlamydia infections during the measurement year
- STD-3.2 Increase the proportion of sexually active females aged 21 to 24 years enrolled in Medicaid plans who are screened for genital Chlamydia infections during the measurement year
- STD-4.1 Increase the proportion of sexually active females aged 16 to 20 years enrolled in commercial health insurance plans who are screened for genital Chlamydia infections during the measurement year
- STD-4.2 Increase the proportion of sexually active females aged 21 to 24 years enrolled in commercial health insurance plans who are screened for genital Chlamydia infections during the measurement year
- STD-6.1 Reduce gonorrhea rates among females aged 15 to 44 years
- STD-7.1 Reduce sustained domestic transmission of primary and secondary syphilis among females
- STD-7.2 Reduce sustained domestic transmission of primary and secondary syphilis among males
- STD-8 Reduce congenital syphilis
- STD-10 Reduce the proportion of young adults with genital herpes infection due to herpes simplex type 2