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1994.07.07 : AIDS Care Programs

Contact:  Patricia Campbell, HRSA    (301) 443-3376
Wednesday, Sept. 7, 1994


    $3.7 MILLION IN GRANTS SUPPORT SUCCESSFUL AIDS CARE PROGRAMS


     HHS Secretary Donna E. Shalala today announced that nine
model programs of HIV care delivery will receive $3.7 million in
grant support to expand or duplicate for other populations their
successful service delivery models. 

     The funds are being made available under the Special 
Projects of National Significance program, part of the Ryan White
Comprehensive AIDS Resources Emergency Act.   Both are
administered by the Health Resources and Services
Administration's Bureau of Health Resources Development.

     "These grants focus on clients who might otherwise have
fallen through the cracks.  They include those who are isolated
because they live in rural areas, are minorities, are
incarcerated or whohave mental health problems that also need to
be treated," Secretary Shalala said.

     The special projects program supports research on the 
best ways to deliver health and support services to underserved
and hard to reach populations with HIV/AIDS.

     Today's announced grantees will use their funds to test 
whether the successful care delivery programs they created and
operated can be duplicated in other geographic areas of the
country, or if portions of those programs can be expanded to more
effectively serve minorities and other special populations.

     The grants will support model care programs in seven 
states and the District of Columbia.  The programs range from
refining, disseminating and duplicating a successful case
management system for HIV-positive Native Americans to extending
a model of primary and mental health care for families affected
by HIV.

     Under the CARE Act, which supports the delivery of 
quality health care and support services to low income, uninsured
Americans living with HIV, 10 percent of the funds appropriated
under Title II grants to states are to be used for Special
Projects of National Significance or SPNS.  Since 1991, 36 SPNS
grantees have received more than $20 million under the program.

     HRSA is a U.S. Public Health Service agency within HHS. 

     The nine FY 1994 grantees, and their awards are:


                                - 2 -


o    National Native American AIDS Prevention Center, Oakland, 
     Calif., was awarded $1,376,000 (including $150,000 from
     HRSA's Pediatric HIV/AIDS program) to enhance its advocacy
     oriented case management system in Oklahoma City, Okla., and
     expand the model to 10 sites in Alaska, Hawaii, Arizona,
     North Carolina and New York.  These models will develop care
     networks to serve urban and rural Native Americans with HIV.

o    Indiana State Department of Health, HIV/AIDS Division,
     Indianapolis, received $375,677 to enhance a statewide
     system that integrates mental health services and care
     coordination with individual primary care providers so that
     the mental health needs of people with HIV can be recognized
     and treated. 

o    Protection and Advocacy System, Inc., Albuquerque, N.M.,
     received $247,647 to expand its program of legal services
     and advocacy for HIV patients to three additional western
     states.

o    Multnomah County Health Department, Portland, Ore., received
     $242,117 to duplicate a model integrated mental health and
     HIV primary care services program that was first developed
     by a SPNS-funded project at Boston City Hospital, Boston,
     Mass.  The Multnomah site will test whether this model can
     work in another geographic area and with a different
     population.

o    Children's Hospital National Medical Center, Washington,
     D.C., was awarded $236,136 to collaborate with two other
     organizations that will adapt its model HIV pediatric care
     community education program for community-based professional
     and alternative caregivers who work with youths.

o    Family Planning Council of Southeastern Pennsylvania,
     Philadelphia, received $217,441 to refine training for
     homeworkers so they can meet some of the in-home medical and
     practical needs of people who are living with family members
     who are in the late stages of AIDS.  The goal is to reduce
     hospitalizations and keep families intact for as long as
     possible.

o    Children's Hospital, New Orleans, La., received $218,538 to
     assist two other Louisiana organizations, Friends for Life
     in Baton Rouge and GO CARE in Monroe, duplicate the
     hospital's family-oriented, community-based care program for
     HIV-infected women, children, adolescents and their
     families.

o    The Fortune Society, New York, N.Y., received $250,059 to
     expand the availability of effective counseling, case
                               - 3 -     

     management and other services for HIV-positive prisoners and
     persons recently released from prison by training other
     organizations across the nation to provide these  services. 
     The Fortune Society uses a holistic approach to meet a broad
     range of needs that are critical to stabilizing clients so
     that they can avoid relapse into substance abuse and other
     high-risk behaviors.

o    Montefiore Medical Center, Bronx, N.Y., received $560,876 to
     refine and evaluate two models of integrating HIV/AIDS
     mental health services with primary care, one at St.
     Joseph's Hospital and Medical Center in Paterson, N.J., and
     the second, at a community health center program with
     several sites in the Bronx, New York City.

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