H79TI088314

CURE-HCV: COMMUNITY-BASED UPTAKE OF RAPID EVALUATION AND HCV TREATMENT - THE UNIVERSITY OF FLORIDA (UF) IS LAUNCHING CURE-HCV, A BOLD, COMMUNITY-DRIVEN PILOT TO ELIMINATE HEPATITIS C AMONG NORTH CENTRAL FLORIDA'S POPULATIONS FACING THE GREATEST HEALTH BURDEN. DESIGNED TO DELIVER SAME-DAY HCV TESTING AND TREATMENT, CURE-HCV MEETS PEOPLE WHERE THEY ARE - ON THE STREET, IN EMERGENCY ROOMS, AND IN RECOVERY CENTERS WITHIN COMMUNITIES AFFECTED BY HOMELESSNESS, SUBSTANCE ABUSE DISORDER (SUD), AND SERIOUS MENTAL ILLNESS (SMI). THIS INNOVATIVE INITIATIVE WILL BE IMPLEMENTED ACROSS MULTIPLE UF SITES, INCLUDING THE MOBILE OUTREACH CLINIC AND STREET MEDICINE PROGRAM, EMERGENCY DEPARTMENT (ED), AND FLORIDA RECOVERY CENTER, IN PARTNERSHIP WITH UF HEALTH AND COMMUNITY-BASED ORGANIZATIONS. THE CATCHMENT AREA INCLUDES GAINESVILLE - WHICH HAS ONE OF THE HIGHEST RATES OF UNSHELTERED HOMELESSNESS IN THE UNITED STATES - AND WILL EXPAND TO JACKSONVILLE, AN AREA WITH HIGH HIV PREVALENCE AND SIGNIFICANT SUBSTANCE USE CHALLENGES. OVER THREE YEARS, WE AIM TO CURE 180-225 INDIVIDUALS WITH HCV, INCLUDING 55-65 PATIENTS IN YEAR 1 AND 60-80 IN EACH OF YEARS 2 AND 3. THE TARGET POPULATION COMPRISES INDIVIDUALS EXPERIENCING HOMELESSNESS (GREATER THAN 70%), THOSE WHO ARE UNINSURED (GREATER THAN 20%), AND A SMALL PROPORTION WITH INSURANCE (LESS THAN 10%), PRIMARILY MEDICAID. THE PROGRAM WILL PROVIDE SAME-DAY, POINT-OF-CARE HCV AND RAPID HIV TESTING, ALONG WITH SAME-DAY HCV TREATMENT INITIATION FOR THOSE WHO TEST POSITIVE. TO OVERCOME BARRIERS TO TREATMENT INITIATION, ALL ELIGIBLE PATIENTS WILL RECEIVE A 14-DAY STARTER COURSE OF HCV THERAPY ON THE SAME DAY THEY TEST POSITIVE FOR HCV RNA. WHILE PATIENTS BEGIN THE INITIAL COURSE, APPLICATIONS WILL BE SUBMITTED TO THE MANUFACTURER’S PATIENT ASSISTANCE PROGRAM OR INSURANCE PRIOR AUTHORIZATION TO OBTAIN THE REMAINING TREATMENT. WORKING CLOSELY WITH COMMUNITY HEALTH WORKERS, PATIENTS EXPERIENCING HOMELESSNESS WILL RECEIVE TAILORED SUPPORT, INCLUDING DAILY DIRECTLY OBSERVED THERAPY OR LESS FREQUENT MEDICATION REFILLS EVERY 2-4 DAYS, BASED ON INDIVIDUAL STABILITY AND PREFERENCE. NON-HOMELESS PATIENTS WILL BE FOLLOWED BY THE UF HCV CLINIC (IN-PERSON OR VIA TELEHEALTH), WHICH WILL SERVE AS A CENTRAL HUB FOR CLINICAL OVERSIGHT AND SUPPORT. INTEGRATED CARE AND CARE COORDINATION WILL BE PROVIDED IN COLLABORATION WITH UF HEALTH AND COMMUNITY-BASED PARTNERS, OFFERING WRAPAROUND SERVICES AND REFERRALS FOR ADDICTION, SUD, AND SMI. CURE-HCV REPRESENTS A CRITICAL STEP TOWARD COMMUNITY-BASED HCV ELIMINATION IN NORTH CENTRAL FLORIDA. THIS PROJECT HAS THE POTENTIAL TO REDUCE THE INCIDENCE OF HCV AND HIV IN COMMUNITIES AND ADDRESS THE INTERSECTING CHALLENGES OF SUD, SMI, AND HOMELESSNESS IN PRIORITY POPULATIONS. THE CURE-HCV TEAM BRINGS TOGETHER THE EXPERTISE, INFRASTRUCTURE, AND PARTNERSHIPS NECESSARY TO IMPLEMENT THE PROGRAM EFFECTIVELY AND GENERATE IMPACTFUL REAL-WORD EVIDENCE TO GUIDE FUTURE STRATEGIES.

University Of Florida

SAMHSA WAS GIVEN THE AUTHORITY TO ADDRESS PRIORITY SUBSTANCE ABUSE TREATMENT, PREVENTION AND MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE THROUGH ASSISTANCE (GRANTS AND COOPERATIVE AGREEMENTS) TO STATES, POLITICAL SUBDIVISIONS OF STATES, INDIAN TRIBES AND TRIBAL ORGANIZATIONS, AND OTHER PUBLIC OR NONPROFIT PRIVATE ENTITIES. UNDER THESE SECTIONS, CSAT, CMHS AND CSAP SEEK TO EXPAND THE AVAILABILITY OF EFFECTIVE SUBSTANCE ABUSE TREATMENT AND RECOVERY SERVICES AVAILABLE TO AMERICANS TO IMPROVE THE LIVES OF THOSE AFFECTED BY ALCOHOL AND DRUG ADDITIONS, AND TO REDUCE THE IMPACT OF ALCOHOL AND DRUG ABUSE ON INDIVIDUALS, FAMILIES, COMMUNITIES AND SOCIETIES AND TO ADDRESS PRIORITY MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE AND ASSIST CHILDREN IN DEALING WITH VIOLENCE AND TRAUMATIC EVENTS THROUGH BY FUNDING GRANT AND COOPERATIVE AGREEMENT PROJECTS. GRANTS AND COOPERATIVE AGREEMENTS MAY BE FOR (1) KNOWLEDGE AND DEVELOPMENT AND APPLICATION PROJECTS FOR TREATMENT AND REHABILITATION AND THE CONDUCT OR SUPPORT OF EVALUATIONS OF SUCH PROJECTS, (2) TRAINING AND TECHNICAL ASSISTANCE, (3) TARGETED CAPACITY RESPONSE PROGRAMS (4) SYSTEMS CHANGE GRANTS INCLUDING STATEWIDE FAMILY NETWORK GRANTS AND CLIENT-ORIENTED AND CONSUMER RUN SELF-HELP ACTIVITIES AND (5) PROGRAMS TO FOSTER HEALTH AND DEVELOPMENT OF CHILDREN, (6) COORDINATION AND INTEGRATION OF PRIMARY CARE SERVICES INTO PUBLICLY-FUNDED COMMUNITY MENTAL HEALTH CENTERS AND OTHER COMMUNITY-BASED BEHAVIORAL HEALTH SETTINGS

93.243 - Substance Abuse and Mental Health Services Projects of Regional and National Significance

Division of Grants Management [HHS - SAMHSA]

Gainesville, Florida 326115500 United States

Single Zip Code

Hepatitis C Elimination Initiative Pilot (TI-25-005)

Amendment Since initial award the total obligations have increased 92% from $2,519,931 to $4,836,720.