Name of OMH Grant Program: HIV/AIDS Health Improvement for Re-entering Ex-offenders Initiative (HIRE)
Initial Year of Funding: 2009
Project Period (Number of Years): 3
- Grantee Organization Name: City of Dallas Environmental and Health Services
- Organization Address (Street, City, State, Zip): 1500 Marilla Street, Dallas, TX 75201
- Organization website URL (if any): http://dallascityhall.com/
- Brief Description of the Organization: The City of Dallas, Environmental and Health Services Department (EHS) is responsible for carrying out many of the City’s social service programs, which includes: public health services, community centers, crisis intervention, and homeless services.
GRANT PROJECT INFORMATION
- Title of Grant Project: Project ReConnect
- Amount of OMH Award: $250,000
- Name of Project Director: Justus Bolo
BRIEF DESCRIPTION OF GRANT PROJECTCurrently, there are coordination gaps in the continuity and transition planning of services provided to the people suffering from HIV/AIDS who are in the pre- and post-release system from the Dallas County Jail. Traditional modes of accessibility to existing services are not effective for this group. The purpose of Project ReConnect was to facilitate the successful reintegration of HIV/AIDS Impact Offenders released from the Dallas County Jail System into their communities. Impact Offenders were defined as chronically homeless, treatment- and shelter-resistant individuals within the Dallas central business district.
The project established and implemented a county-wide transitional planning system that included discharge case managers who oversaw a pre-release component of the re-entry process for HIV/AIDS Impact Offenders. The project also assisted in the development, implementation, and support of transitional programs that can effectively facilitate the post-release reentry process for HIV/AIDS Impact Offenders by ensuring the use of available services, such as case management, transitional housing, educational and vocational development, job placement, substance abuse aftercare, support groups, and family services. In addition, a county-wide network of programs and agencies were established in order to build broad-based collaborations and partnerships that promote service integration.
Through the implementation of the transitional program, Project ReConnect expected to see a decrease in HIV/AIDS cases caused by misinformation, reduced HIV/AIDS deaths from lack of treatment, reduced recidivism, and reduced costs associated with local criminal justice processing.
The project was evaluated through various performance measures, including the percentage of participants who continued on their schedules of medication as well as the percentage of participants who recidivate at different time intervals post-release to the program. Data was collected from participants, affiliated practitioners from partner agencies, and through official statistical data. The evaluation included an analysis of time in care, adequacy of referral agencies, and other process efficiency measures.
Key program findings reported throughout the grant period:
- Intensive case management provided. Seventy (of an expected 100) unduplicated HIV/AIDS-positive clients received these intensive case management, including substance abuse, mental health, and HIV/AIDS health maintenance services). Of these clients, 29 ex-offenders were placed in affordable subsidized housing; 50 were referred for employment; all received transportation assistance and food vouchers.
- Basic case management provided. A total of 1,718 ex-offenders received at least one of the following services: anger management, substance abuse, mental health, HIV/AIDS health maintenance, HIV/AIDS education, family and social integration, housing, employment, transportation assistance, food vouchers, identification, referrals, and follow-up.
- Access to Job Readiness Program increased. Of the 84 clients who were referred to the program, 27 enrolled, 12 completed the program and nine found jobs.
- HIV testing and knowledge of serostatus among at-risk populations increased. There were 7,188 participants who were tested; 46 new positive cases were found and linked to care.
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 populations.
- Health System and Life Experience: Improve health and health care 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
- AHS-1.1 Increase the proportion of persons with medical insurance
- AHS-3 Increase the proportion of persons with a usual primary care provider
- AHS-5.1 Increase the proportion of persons of all ages who have a specific source of ongoing care
- AHS-5.2 Increase the proportion of children and youth aged 17 years and under who have a specific source of ongoing care
- AHS-5.3 Increase the proportion of adults aged 18 to 64 years who have a specific source of ongoing care
- AHS-5.4 Increase the proportion of adults aged 65 years and older who have a specific source of ongoing care
- AHS-6.1 Reduce the proportion of persons who are unable to obtain or delay in obtaining necessary medical care, dental care, or prescription medicines
- AHS-6.2 Reduce the proportion of persons who are unable to obtain or delay in obtaining necessary medical care
- AHS-6.3 Reduce the proportion of persons who are unable to obtain or delay in obtaining necessary dental care
- AHS-6.4 Reduce the proportion of persons who are unable to obtain or delay in obtaining necessary prescription medicines