1. PROJECT SPARC
Substance Abuse/HIV/Hepatitis
Prevention for
Adults
Reentering the
Community
Community Pediatrics Presenter
Teshina Mattson
Drew Russell YEAR 05

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. Method
• Strategic Prevention
Framework
1) Needs Assessment
2) Capacity assessment
3) Planning
4) Implementation
5) Evaluation
• Sustainability

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. 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. 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. SPARC Re-Entry Curriculum
1 Session
• Sessions total duration: 2 hours
1) HIV & Hepatitis Prevention
2) Education
3) Skills Building

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. 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. 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. 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. 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. 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. 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. 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. 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. Lessons Learned

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. 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. THANK YOU