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HRSA
awarded grants under its Special Projects of National
Significance program to the applicants listed
below.
In
addition, the SPNS program awarded one grant to
support a Technical Assistance (TA) Center. The
TA Center addresses the various TA needs of the
intervention site grantees including the development
and refinement of local program intervention and
evaluation plans, adoption and implementation
of evaluation methods and tools, collection, storage
and analysis of data and confidentially/protection
of human subjects issues.
Alaska
Native Tribal Health Consortium
4141
Ambassador Drive
Anchorage, AK 99508
Project
Title: A Regional Approach to Linking Early
HIV Care to Substance Abuse (SA) and Mental Health
(MH) services
Project
Period: 2002-2005
Target
Population: Alaska Natives with substance
abuse and/or mental health problems at high risk
for being or becoming infected with HIV, in three
regions of the state with high incidence of HIV
infection
Description:
This project seeks to strengthen collaboration
collaborations between multidisciplinary providers
of SA and MH services and HIV early intervention
services. The project has three primary goals:
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Increasing the ability of providers to recognize
HIV risks and disease symptoms
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Increasing the number of Alaska Native substance
abuses and/or mental health patients at risk
for HIV infection who know their risks and serostatus
-
Increasing the number of HIV-infected Alaska
Native substance abuses and/or mental health
patients who obtain Title III intervention services
via referrals from SA and MH service providers
Using
cultural models that have been effective in addressing
other health issues, the awardee is seeking to
strengthen the capacity of current service providers
to engage HIV infected persons in care and prevention
services, and is expanding the scope of care and
support services that are available. Evaluation
of the project is being accomplished via a partnership
with Alaska Comprehensive and Specialized Evaluation
Services at the University of Alaska.
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The
Na'Nizhoozhi Center
2205 East Boyd
Gallup, NM 87301
Project
Title: Integrating HIV, Substance Abuse (SA),
and Mental Health (MH) services in the Navajo
Nation
Project
Period: 2002-2005
Target
Population: American Indian (primarily Navajo)
substance users either at high risk for HIV infection
because of sexual behaviors or already living
with HIV infection
Description:
Via a community partnership called the Four Corners
Collaborative, the grantee is integrating HIV,
SA, and MH services by training health care providers
to:
-
screen, counsel, and test persons at risk for
HIV infection
- provide
risk reduction counseling, case management,
and support services for those already infected
- coordinate
care for clients being served in multiple locations
by more than one provider
Once
trained, the initiative will expand counseling
and testing among the target population, and engage
those found to be infected with case management
and support services offered by American Indian
providers. Evaluation is being conducted via a
partnership with the Public Health Program at
the University of New Mexico. Client and system
level data is being examined.
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Robeson
Health Care Corporation
901
n. Chestnut Street
Lumberton, NC 28358
Project
Title: Southeastern North Carolina American
Indian HIV/AIDS Initiative
Project
Period: 2002-2005
Target
Population: American Indians residing in Robeson
County, NC, primarily of the Lumbee tribe.
Description:
The grantee is developing a coordinated network
of culturally-based services to include counseling,
testing, and referral services (CTRS), a Healing
Lodge, and local religious ministries conducted
by lay and clergy leaders. Desired outcomes include:
-
Increasing accurate knowledge in the community
about HIV
-
Increasing use of CTRS by the target population
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Improving the infrastructure of HIV/AIDS services
for the target population
-
Decreasing the amount of time from diagnosis
to engagement in treatment and support by members
of the target population who are HIV infected
-
Improving the ability of the community to provide
culturally competent health interventions and
services
Additional
activities being conducted with the target population
include case management, family advocacy, perinatal
substance abuse counseling, culturally-based HIV
prevention counseling, and early intervention
once a positive diagnosis is obtained. The grantee
is partnering with the Office of Sponsored Research
and Programs at the University of North Carolina
at Pembroke to conduct formative and summative
evaluation.
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South
Puget Intertribal Planning Agency
2970
Southeast Old Olympic Way
Shelton, WA 98584
Project
Title: Expanding the Circle of Care
Project
Period: 2002-2005
Target
Population: Members of the Nisqually, Squaxin
Island, and Shoalwater Bay tribes who are HIV
infected or at increased risk for HIV infection
because of substance abuse and/or mental illness.
Description:
This coalition of tribes is conducting a coordinated
culturally-based outreach and education campaign
to:
-
Increase the number of persons in the target
population who know their serostatus
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Increase the number of those diagnosed with
HIV infection who are receiving comprehensive
and culturally relevant care
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Increase adoption of HIV prevention behaviors
by youth and HIV infected persons in the target
population
The
campaign involves local substance abuse treatment
programs, mental health programs, and health clinics.
The grantee is partnering with the University
of Washington to evaluate the project using baseline
data, annual surveys, and focus groups.
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Urban
Indian Health Board
3124
International Blvd.
Oakland, CA 94601
Project
Title: Holistic Native Network
Project
Period: 2002-2005
Target
Population: HIV infected Native Americans
in the Oakland, CA area
Description:
In partnership with the Native American Health
Center and the Friendship House Association of
American Indians, the applicant is developing
a holistic, integrated, and culturally relevant
HIV/AIDS treatment system that links primary medical
care with substance abuse (SA), mental health
(MH), dental, and social services. Objectives
include:
-
Coordinating primary care with SA and MH treatment
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Increasing adherence to medical treatments for
HIV infection
-
Increasing adherence to SA and MH treatment
plans
- Increasing
use of counseling, testing, and referral services
by Native Americans who are unaware of personal
HIV status
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Increasing use of risk reduction counseling
by Native American substance abusers who are
at high risk for HIV infection
The
grantee is developing a central intake system
and case management information system, conducting
cultural events, offering traditional Native healing,
and implementing a street outreach and community
education campaign to meet the above objectives.
Evaluation
activities will focus on the following outcomes:
-
Increased use of health services by the target
population
-
Increased service coordination among providers
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Reduction in behaviors at high risk for HIV
transmission
-
Improved quality of life for recipients of services
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Yukon
Kuskokwim Health Corporation
P.O.
Box 528
Bethel, AK 99559
Project
Title: Alaska Native Wrap-Around HIV/AIDS
Project
Project
Period: 2002-2005
Target
Population: Individuals from tribes in the
Yukon Kuskokwim Delta who are substance abusers,
infected with STDs, and/or mentally ill who are
also either HIV infected or at risk for becoming
infected.
Description:
Building on a previous SPNS initiative, the grantee
is implementing an intervention with other community
agencies that takes a holistic approach to HIV
testing and care using standardized protocols,
multi-disciplinary teams, active case management,
and resiliency characteristics of Yup'ik/Cup'ik
Eskimo and Athabaskan populations in the target
area. Goals of the project are to:
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Increase the number of Alaska Natives in the
target population who know their serostatus
-
Increase adherence to prescribed HIV primary
care treatments
Proposed
activities include a community-wide media campaign
to promote counseling, testing, and referral services
(CTRS), training of staff in providing CTRS, and
developing multi-disciplinary teams in culturally
specific health concepts that can be used to promote
retention in treatment and adherence to patient
protocols. The grantee is using a self-reliant
model of evaluation to develop local capacity
to conduct evaluation.
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University
of Oklahoma
National
Native American AIDS Prevention Center
Department of Anthropology
3200 Marshall Avenue
Norman, OK 73069
Project
Title: National American Indian/Alaska Native
HIV/AIDS Technical Assistance Center
Project
Period: 2002-2005
Target
Population: Local demonstration project grantees
in the SPNS 2002-05 American Indian/Alaska Native
(AI/AN) Initiative
Description:
The grantee is assisting the SPNS program
office with program implementation and evaluation,
focusing on removing barriers to HIV primary care,
and identifying the best models for integrative
care. Major activities will include:
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Coordination of the initiative via annual meetings,
site visits, a web page, telephone communications,
and an e-mail listserve
- Assistance
with local needs assessment, development of
logic and service delivery models, evaluation
instrument and variable selection, and data
analysis
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Dissemination of outcomes, lessons learned,
and best practices findings
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OF GRANT SITES
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