H79TI088350

HEP C FREE - PROJECT ABSTRACT: HEP C FREE DELAWARE BRANDYWINE COUNSELING AND COMMUNITY SERVICES (BCCS) WILL IMPLEMENT HEP C FREE DELAWARE. THIS PILOT WILL DELIVER STATEWIDE, LOW-THRESHOLD CARE INTEGRATING RAPID HCV TESTING, SAME-DAY TREATMENT, AND BEHAVIORAL HEALTH SERVICES FOR INDIVIDUALS WITH SUD AND/OR SMI, INCLUDING THOSE EXPERIENCING HOMELESSNESS. THE PROGRAM WILL SERVE 200 INDIVIDUALS ANNUALLY (600 TOTAL) AND CURE HCV IN 51-100 PEOPLE EACH YEAR. THE POPULATION OF FOCUS INCLUDES ADULTS (18+) STATEWIDE WHO ARE DISPROPORTIONATELY IMPACTED BY HEPATITIS C (HCV) DUE TO CURRENT OR PAST INJECTION DRUG USE, CO-OCCURRING SUBSTANCE USE AND/OR MENTAL HEALTH DISORDERS (SUD/SMI), AND HOMELESSNESS. DELAWARE REPORTS OVER 5,600 INDIVIDUALS LIVING WITH CHRONIC HCV, WITH PREVALENCE SHARPLY HIGHER AMONG PEOPLE WHO INJECT DRUGS (KAHAL & RUTAN, 2020; UNIVERSITY OF WASHINGTON, 2025). BASED ON THE DEMOGRAPHICS OF HCV PREVALENCE, THE POPULATION SERVED WILL BE PREDOMINANTLY MALE, WITH RACIAL AND ETHNIC CHARACTERISTICS REFLECTING DELAWARE'S DEMOGRAPHICS – 60.4% WHITE, 10.5% HISPANIC (U.S. CENSUS BUREAU, 2025). HOMELESSNESS, BEHAVIORAL HEALTH NEEDS, AND HIGH RATES OF UNINSURANCE COMPOUND CARE ACCESS BARRIERS. HEP C FREE DELAWARE WILL ADDRESS THESE CHALLENGES WITH TRAUMA-INFORMED, MOBILE, AND LOW-THRESHOLD CARE STRATEGIES TARGETING INDIVIDUALS WHO ARE UNSHELTERED OR DISCONNECTED FROM TRADITIONAL HEALTHCARE. KEY INTERVENTIONS INCLUDE HCV RNA POINT-OF-CARE TESTING, DAA-BASED TREATMENT, HIV/STI SCREENING AND PREVENTION, FDA-APPROVED MAT, MENTAL HEALTH COUNSELING, AND CARE COORDINATION. THE PROGRAM WILL USE BCCS’S NEXTSTEP ELECTRONIC HEALTH RECORD AND SUBMIT DATA VIA SPARS, EMPLOYING A CASCADE OF CARE EVALUATION MODEL. SERVICES WILL BE PROVIDED AT FOUR FIXED CLINIC SITES AND THROUGH A MOBILE TREATMENT UNIT. GOALS ARE TO: (1) INCREASE THE NUMBER OF INDIVIDUALS CURED OF HCV; (2) REDUCE THE INCIDENCE OF HCV AND HIV IN DELAWARE THROUGH OUTREACH AND PREVENTION; (3) ADDRESS THE INTERSECTION OF SUD, SMI, INFECTIOUS DISEASES, AND HOMELESSNESS; (4) REDUCE INFECTIOUS DISEASES AND CONDITIONS, INCLUDING HIV/AIDS, STI’S, VIRAL HEPATITIS, AND TUBERCULOSIS, AS APPROPRIATE; AND (5) INCREASE ACCESS TO PEER SUPPORT AND CARE COORDINATION. MEASURABLE OBJECTIVES INCLUDE SERVING AT LEAST 200 INDIVIDUALS ANNUALLY, PROVIDING SAME-DAY HCV SCREENING, TESTING, AND TREATMENT WITH A GOAL OF CURING HCV IN 51–100 PARTICIPANTS EACH YEAR. ALL CLIENTS WILL BE ASSESSED FOR CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDERS, AND 100% WHO ARE ELIGIBLE FOR AND CONSENT TO PARTICIPATE WILL RECEIVE INTEGRATED, EVIDENCE-BASED TREATMENT WITH CARE COORDINATION AND PEER SUPPORT. THE PROGRAM WILL OFFER SCREENING FOR HCV, HIV, STIS, HEPATITIS A/B/C, AND TUBERCULOSIS TO ALL PARTICIPANTS, ENSURING IMMEDIATE LINKAGE TO CARE FOR THOSE WHO TEST POSITIVE AND PREVENTION EDUCATION FOR THOSE WHO TEST NEGATIVE. AT LEAST 75% OF CLIENTS WILL DEMONSTRATE REDUCED SYMPTOMS OR HARMFUL BEHAVIORS BY SIX MONTHS POST-TREATMENT. MOBILE OUTREACH WILL ENGAGE UNSHELTERED INDIVIDUALS ACROSS THE STATE, WHILE PREVENTION AND EDUCATION CAMPAIGNS WILL BE IMPLEMENTED IN EACH OF DELAWARE’S THREE COUNTIES.

Brandywine Counseling & Community Services

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]

Wilmington, Delaware 198055220 United States

Single Zip Code

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

Amendment Since initial award the total obligations have increased 258% from $1,394,997 to $4,999,991.