Project SPARC MAI SAMHSA Houston Presentation

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Project SPARC MAI SAMHSA Houston Presentation

  1. 1. PROJECT SPARC Substance Abuse/HIV/Hepatitis Prevention for Adults Reentering the Community Community Pediatrics Presenter Teshina Mattson Drew Russell YEAR 05
  2. 2. Purpose  To implement the five steps of SAMHSA’s Strategic Prevention Framework for the San Antonio/Bexar County catchment area under the collaborative efforts of:  The University of Texas Health Science Center San Antonio- Division of Community Pediatrics  The Bexar County Misdemeanor & Felony Drug Courts  The Bexar County Substance Abuse Treatment Facilities  Various community agencies and planning groups  To reduce or prevent substance abuse, HIV, and hepatitis in minority and minority reentry populations by providing an evidenced-based integrated Substance Abuse/HIV/Hepatitis prevention intervention
  3. 3. Method • Strategic Prevention Framework 1) Needs Assessment 2) Capacity assessment 3) Planning 4) Implementation 5) Evaluation • Sustainability
  4. 4. Outcome Goals Goal 1: Prevent/reduce use of and problems associated with substance use Goal 2: Reduce risk of HIV and HCV among SPARC participants Goal 3: Enhance psychosocial and legal outcomes among SPARC participants
  5. 5. Services • Linkages to ancillary preventive care: – Twin RX (vaccine protection against Hep A and B) – Hepatitis C screening and referrals – HIV testing and counseling • Substance abuse, HIV, and hepatitis prevention curriculum
  6. 6. SPARC Drug Court Intervention- 5 sessions Sessions – 2 hours each 1) HIV education 2) Hepatitis education 3) Risk Reduction 4) Substance Abuse Education (Prevention) 5) Substance Abuse Education (Coping Skills)
  7. 7. SPARC Re-Entry Curriculum 1 Session • Sessions total duration: 2 hours 1) HIV & Hepatitis Prevention 2) Education 3) Skills Building
  8. 8. Measures  Process Measures  Service delivery (what, when, how much, to whom)  Pre-test/post-test knowledge  Curriculum fidelity  Satisfaction survey  Outcome Measures  Baseline, exit, and follow-up GPRA-plus survey
  9. 9. Recruitment: Target Population • Minority men & women • Ages 18 years & older • Three subgroups: – Participant of Bexar County Drug Courts – Participant of Bexar County Substance Abuse Treatment Facility – Sexual partners of either group
  10. 10. Recruitment: Target Enrollment Table 1: Enrollment Breakdown Participants Yr 1 Yr 2 Yr 3 Yr 4 Yr 5 Total Drug Court - 0 50 50 50 22 172 Sexual partners 0 10 10 10 6 36 Re-entry 0 45 45 45 20 155 Total 0 105 105 105 48 363
  11. 11. Recruitment: Demographics Drug Court Participants & Sexual Partners – N=230 – Mean age: 33.75 (range 17-61) – 52% male – 56% white; 22% black; 21.3% other – 57% Hispanic (N=131) Re-Entry Participants – N=138 – Mean age: 30 (range 19-63) – 87% male – 61% white; 17% black; 25% other – 70% Hispanic (N=97)
  12. 12. Retention in Intervention Primary Incentives:  SAMHSA: $10 gift card at local grocery store per class  Participant Convenience  Detailed Calendar  Staff Follow-up & Dedication Secondary Incentives:  Strong Relationships with Collaborators  Excused early from Drug Court  Voucher - 3 hours off Community Service (6 hrs SP)  Voucher - $10 off fines
  13. 13. Retention: Class attendance 120 Drug Court & SP (N=230) 100 Re-entry 80 (N=136) 60 40 20 0 0 cl 1 cl 2 cl 3 cl 4 cl 5 cl Brief class
  14. 14. Retention: Service Satisfaction Percentage Satisfied 94.8 94.6 94.4 94.2 94 93.8 93.6 93.4 93.2 93 I will use the information learned in I learned how to protect myself from I would recommend this class to my class in my every day life HIV friends
  15. 15. Retention for Outcome Measures  Incentives  $20 local grocery store gift card at 3-month & 6- month follow-up  Participant Convenience  Strategies  Tracking Form  Data Base  Strong Relationships with Collaborators  Staff Follow-up & Dedication
  16. 16. Retention Rates  Total Enrolled = 397/363 (+34)  Drug Court = 218/172 (+46)  Jail, Re-entry = 144/155 (-11)  Sexual Partners 35/36 (-1)  Baseline = 109.36%  Exit = 93.65%  Follow = 92.39%
  17. 17. Lessons Learned
  18. 18. SPARC Staff Principal Investigator: Anthony Scott, Ph.D. Co-PI: Judge Al Alonso Project Evaluator: Nancy Amodei, Ph.D. Project Manager: Teshina Mattson Educators: April Biasiolli & Drew Russell Data Manager: Irene Mangan Survey Administrator: Delma Johnson Administrative Support: Candi Pieper
  19. 19. Acknowledgements Providers Alamo Medical Research San Antonio AIDS Foundation & Hope Action Care Bexar County Drug Court Team Judge Alfonso Alonso Judge Ernie Glenn Roberto Ruiz & Diana Zamarron, DC Coordinators
  20. 20. THANK YOU

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