1

MINORITY AIDS MINORITY AIDS INITIATIVE INITIATIVE FUNDINGFUNDING

Beverly Watts DavisBeverly Watts DavisSenior Advisor to the AdministratorSenior Advisor to the Administratorbeverly.wattsdavis@samhsa.hhs.govbeverly.wattsdavis@samhsa.hhs.gov240-276-2000240-276-2000

Substance Abuse Substance Abuse and Mental Healthand Mental Health

Services Administration Services Administration (SAMHSA)(SAMHSA)

www.samhsa.govwww.samhsa.gov

Department of Health and Human Services (DHHS)Department of Health and Human Services (DHHS)

“A Life in the Community for Everyone”

2

SAMHSA GOALSSAMHSA GOALS

• Increase the access of racial and ethnic minority communities to HIV prevention, care and treatment services;

• Implement strategies and activities specifically targeted to the highest risk and hardest-to-serve populations, and

• Establish collaboration or partnership or opportunities for programs and/or activities to be integrated

3

SAMHSA HIV/AIDS & Hepatitis SAMHSA HIV/AIDS & Hepatitis Targeted Capacity Expansion Targeted Capacity Expansion

GrantsGrants

The purpose of the CSAT TCE/HIV grant program (63.1M) is to enhance and expand substance abuse treatment and/or outreach and pretreatment services in conjunction with HIV/AIDS services. These grants require that at a minimum, 80% of all clients will be tested for HIV/AIDS.

The purpose of the CSAP TCE/HIV grant program (39.3M) is to assist communities in expanding existing HIV/AIDS and substance abuse prevention services. The purpose of the CMHS HIV/AIDS Minority Mental Health Services grant program (10.2M) is to increase capacity to provide culturally competent mental health treatment services to individuals living with HIV/AIDS.

4

SAMHSA OBJECTIVESSAMHSA OBJECTIVES

•Increase testing of affected populations

•Capacity-building and testing

•Sustainability

5

SAMHSA Projects to meet ObjectivesSAMHSA Projects to meet ObjectivesA. Increase testing of affected populations • Enhancing Substance Abuse Treatment

Services to Address Hepatitis Infection Among IDU’s

• Rapid Testing Initiative

B. Capacity-building and testing• Targeted Capacity Grants• Minority Education Institution (MEI) Initiative• SAMHSA/ONDCP Drug-Free Communities

Support Program (DFCSP) Faith-based Substance Abuse and HIV Prevention Initiative

• Native American Initiative• MSM Curriculum

C. Sustainability through Connectivity • One-SAMHSA Minority HIV/AIDS Initiative (MAI)

Conference• Collaborations with other Federal Agencies

6

HepatitisHepatitis

• Chronic Hepatitis B (HBV) affects the lives of more than 1 million Americans, many of whom do not know that they are infected.

• Chronic Hepatitis B is the underlying cause of an estimated 2,000-4,000 deaths each year from cirrhosis and liver cancer.

• Nearly 1 in 12 Asian American and Pacific Islanders living in the U.S. is HBV-infected, and one-third or more are unaware they are infected.

• Up to 3% of MSM and up to 6% of Intravenous Drug Users (IDUs) are estimated to be chronically infected with HBV compared with three tenths of 1% of the general population of the U.S.

(CDC Division of Viral Hepatitis, STD, and TB Prevention)

7

Hep A&B Vaccination & Hep C Testing Hep A&B Vaccination & Hep C Testing

Prevention Strategies:• Provide an early diagnosis of Hepatitis

infection in drug users involved in Treatment programs and refer HIV+ clients to care and recovery support services.

• Provide testing for Hepatitis C infection in HIV+ clients of substance abuse treatment programs

• Vaccinate for Hepatitis A and B infections with the Twinrix vaccine, followed by referral to Hepatitis care for those individuals who test positive for Hepatitis C infection to reduce the risk of progressive liver disease.

8

OUTCOMESOUTCOMES• CDC-recommended immunizations are occurring

as a ‘one-stop’ patient care service so that patients are effectively immunized against Hepatitis A and B virus that could otherwise result in significant disability or death.

• TWINRIX Vaccine Delivery schedule

48,474 doses of TWINRIX Vaccine delivered to 10 Opioid Treatment Programs (OTPs) in California, Hawaii, Connecticut, Pennsylvania, New York, Massachusetts, Minnesota, and Ohio

All OTPs serve populations that are at least 50% minority

5,700 doses will be shipped by June 30, 2009

• 9,504 individuals received the vaccine to date

9

RAPID TESTING RAPID TESTING

Rapid HIV Testing Initiative416,000 free Rapid Testing kits were distributed from FY 2005-2008 to CSAT and CSAP grantees.

10

Goal: Supports Substance Abuse, HIV, and Hepatitis prevention services on campuses of minority serving institutions using peer educators to increase student awareness and HIV testing and referral.

• Minority Educational Institutions Initiative– This program enhances and strengthens

existing HIV/AIDS and SA Prevention services in Student Health Centers across 12 Historically Black Colleges and Universities (HBCUs), 3 Hispanic Association of Colleges and Universities (HACUs), and 3 Tribal Colleges and Universities (TCUs).

Minority Education Minority Education Initiative (MEI) Initiative (MEI)

11

MEI PartnersMEI Partners

Alabama A&M University, AlabamaBowie State University, MarylandFisk University/Mc Medical College/Tennessee State,

TennesseeFlorida A&M University, FloridaHoward University, Washington, D.C.Mississippi Valley State University, MississippiNortheastern Illinois University, IllinoisPrairie View A&M University, TexasSalish Kootenai College, MontanaSavannah State University, GeorgiaSouthern University at Baton Rouge, LouisianaSouthwestern Indian Polytechnic Institute, New MexicoUniversity of Virgin Islands, U.S. Virgin IslandsUniversity of Texas at San Antonio, TexasVirginia Union University, VirginiaWind River Tribal College, WyomingWinston Salem State University, North Carolina

12

Minority Education InstitutionMinority Education InstitutionInitiativeInitiative

• Each month, half of all full-time college student ages 18-22 binge drink (defined as having five or more drinks in one sitting), abuse prescription drugs and/or abuse illegal drugs” (Gever, 2007).

• Only 6.2 percent of students who meet medical criteria for alcohol or drug abuse or dependence seek help” (The National Center on Addiction and Substance Abuse at Columbia University [NCASACU, 2007, p.11).

• The number of new diagnoses of AIDS cases have increased among Black (non-Hispanic) adolescents, aged 13-24 and 25-29, as compared to their Hispanic, Asian/Pacific Islander, American Indian/Alaska Native, and White (non-Hispanic) counterparts.

13

HIV Testing ActivitiesHIV Testing Activities

• Total number of students tested for the first time (Oct. 1, 2008-Mar. 31, 2009) is 1,295 students.

• The number of HIV Tests conducted from Dec.2005-Mar. 31,2009 is 15,039.

14

Outreach/Awareness ActivitiesOutreach/Awareness Activitiesthrough Student Peer through Student Peer

Educators Educators Conducted 223 Student Peer Educator trainings sessions and trained 970 Student Peer Educators.

Conducted 405 Student Peer-led education programs on campuses that served 81,236 student participants.

Conducted 129 outreach programs utilizing culturally and age appropriate social marketing strategies that reached 128,293 high school students, college faculty, and community members.

18 of the 18 MEI campuses provided HIV testing services on campuses.

15

SAMHSA’s PartnershipsSAMHSA’s Partnerships

• Indian Health Service• Center for Disease Control• Office of Women’s Health• Office of Minority Health• Tom Joyner Foundation• Gina Rivera Foundation

16

Tom Joyner FoundationTom Joyner Foundation

17

Faith-Based InitiativeFaith-Based Initiative

Overview

• The Faith-Based Substance Abuse and HIV Prevention Initiative

Continuation of an existing project that builds the capacity of Drug-free Community Coalitions funded by the Office of National Drug Control Policy (ONDCP) to effectively collaborate with faith-based organizations to lead HIV health promotion and behavior change communication strategies.

Continuation of an existing project that builds the capacity of faith-based organizations to increase substance abuse and HIV education and testing among ex-offenders living in minority communities.

18

OUTREACH ACTIVITIESOUTREACH ACTIVITIES

HIV/AIDS & Substance Abuse Prevention Education Focus in 2008

• 439 Public Service Announcements (PSAs) were produced and 17,922,300 people were reached by PSAs;

• 8,871 persons from FBOs were provided capacity building training and education on HIV/AIDS at 11 Regional Trainings and 5 Faith-based Conferences

• 576,864 persons were reached by direct outreach, counseling and testing referral;

• 1,292 churches were recruited and trained in HIVP and SAP & prisoner reentry assistance, with a total of 99,549 participants;

• 1,921 Peer Educators were trained by 27 Faith-Based organizations.

19

OUTREACH ACTIVITIESOUTREACH ACTIVITIESPrisoner Reentry Focus (1st Half of 2008):• A total of 1,839 Reentrants have received

services in the first half of the program year• 608 Newly Released Reentrants have

received Job/Job Readiness Training• 258 were placed in jobs• 379 have been successfully placed into

housing• 398 have enrolled and currently remain in

GED Programs• 1,028 have received HIV/AIDS and

Substance Abuse Education and/or counseling & testing referrals

• 219 Families have participated in Family Strengthening & Reintegration Programming

20

Native American InitiativeNative American Initiative

Goal – To expand and assist Tribes, Tribal Organizations, and Urban Indian Health Clinics with their efforts to address substance abuse and HIV/AIDS through outreach, education, prevention, screenings, treatment and stigma reduction.

Partners: Navajo AIDS Network, Alaska Native Tribal Health Consortium, San Diego American Indian Health Center, National Native American AIDS Prevention Center, Ti-chee, Native Health, Colorado State University HIV/AIDS Prevention Project, South Puget Intertribal Planning Agency, Northwest Portland Area Indian Health Board, and Native Images.

Accomplishments: Developed an HIV/AIDS Community Readiness Toolkit and Public Awareness Materials for a National Native American HIV Campaign

Testing Strategy: SAMHSA will provide testing kits at no cost to the Native American subcontracting organizations.

21

Native American InitiativeNative American Initiative

Rapid HIV Tests Conducted by Site TypeUrban Indian Health Clinic 315IHS Health Clinic 101Other 496

AIDS Service Organizations (ASO) - 264 Community Based Organizations (CBO) - 137

Community Health Centers (CHC) - 83 Non-Profit Organizations (NPO) – 12

The total number of persons tested for the first time (Sept. 2007-Oct. 2008) is 1,295.

Rapid HIV Testing training provided to 159 Native American providers

22

ONE-SAMHSA INSTITUTEONE-SAMHSA INSTITUTE Grantees from CSAT, CSAP, and CMHS

convene to collaborate, coordinate and leverage resources with other HIV/AIDS service providers to better serve populations at risk of contracting and/or with HIV/AIDS.

Partnership - National Minority AIDS Council 2008 and CDC in 2009 (Expected attendance is 465)

Outcomes – 368 Grantees attended on September 16, 2008 and 92% of these grantees also attended the USCA conference to build their skills, capacity, knowledge and resources.

23

Men Having Sex with Men Men Having Sex with Men (MSM) Curricula(MSM) Curricula

• An online curriculum on substance use disorders and HIV/AIDS for MSM is being developed. Cooperative Agreements are signed with four existing Addiction Technology Transfer Centers (ATTCs) to include Central East, Northeast, Prairie Lands, and Pacific Southwest.

• This curricula will build skills of counselors on how to effectively address the co-risk factors of substance abuse and HIV/AIDS

• A baseline Training Satisfaction Survey will be utilized to measure quality, cultural relevance, and knowledge transfer.