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: FACES NY, Inc.
- Organization Address (Street, City, State, Zip): 317 Lenox Avenue, New York City, NY 10027
- Organization website URL (if any): http://www.facesny.org/
- Brief Description of the Organization: FACES NY is a multi-service organization that provides a client-centered, community-focused approach to serving adolescents, adults, their families, and others who need support, especially those impacted by HIV/AIDS, substance abuse, and mental illness.
GRANT PROJECT INFORMATION
- Title of Grant Project: HIRE NY Project
- Amount of OMH Award: $250,000
- Name of Project Director: Antonio Rivera
BRIEF DESCRIPTION OF GRANT PROJECT
Prisoners in the New York State prison system have a higher rate of HIV/AIDS than the general population, and many of these prisoners have co-occurring substance abuse and mental health disorders. The HIRE NY project’s target population was primarily African American, Caribbean, and Latino male and female adult offenders, who were released from a transitional facility located within the five boroughs of New York City (NYC) and who were identified as being at-risk for contracting, or being diagnosed with, HIV, a substance abuse problem and/or a mental health disorder. FACES NY provided a coordinated system of care for re-entry offenders over the three-year project period.
The designated system of care included a coordinated approach to screening and re-entry planning; navigation through the HIV/AIDS treatment and care services environment; health and HIV prevention education and HIV counseling, testing and referral (CTR) services, substance abuse pretreatment, assessment for co-occurring substance abuse and mental health disorders, and appropriate referrals to FACES NY programs and community partners in the NYC area.
The program expected that 80 percent of all clients would have an increased awareness of how to navigatethe healthcare and social service system, 80 percent of their clients would have been referred to culturally and linguistically competent health care and social service providers, and 80 percent of all clients would be able to articulate their health and social service needs to their providers. To successfully achieve coordinated care, the program sought to incorporate 60 health care and social service providers as part of the reentry system of care linkage process.
To evaluate the program, a Quality Assurance Committee was established to conduct internal audits to monitor and assess ongoing client care and address any gaps in service delivery. The grantee also employed a single group, pre-post design for its evaluation. The evaluation focused on assessing the extent to which clients increased their knowledge of the health care system (delivered through trainings), and the extent to which availability of referrals led to increased adherence to treatment and satisfaction with their treatment post-release. Quantitative and qualitative data were collected by conducting follow-up calls with clients and providers to verify referral uptake, convening periodic focus groups with clients, and fielding customer satisfaction questionnaires before and after referrals were provided. Measures of project performance included data on the provision of comprehensive re-entry and supportive services and referrals, treatment adherence, service utilization patterns, and client satisfaction.
Key program findings reported throughout the grant period:
- Increased adherence to HIV treatment plans. The referral/retention rate for primary medical care is 81 percent.
- Decreases in risky behaviors; increases in protective behaviors. The average response rate of clients showed increases in abstinence (N=9); decreases in substance use (N=8); increases in emotional/psychiatric stability (N=15.6); improved support network (N=28.6); and increases in parole compliance (N=-63).
- Increased knowledge and awareness of HIV/AIDS. After completion of health and program promotion presentations for 530 soon-to-be released inmates, surveys indicated that 75 percent of individuals increased knowledge about how HIV/AIDS is prevented and/or treated; 74 percent of individuals had less negative ideas about people with HIV/AIDS; and 76 percent felt more confident about their ability to get additional information or treatment, if necessary.
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.
- Leadership: Strengthen and broaden leadership for addressing health disparities at all levels.
- Health System and Life Experience: Improve health and healthcare outcomes for racial and ethnic minorities and for underserved populations and communities.
- Cultural and Linguistic Competency: Improve cultural and linguistic competency and the diversity of the health-related workforce.
- Data, Research, and Evaluation: Improve data availability and coordination, utilization, and diffusion of research and evaluation outcomes.
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 the number of 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-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-14.4 Increase the proportion of adolescents and young adults who have been tested for HIV in the past 12 months
- 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-5.3 Increase the proportion of adults aged 18 to 64 years 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