Forsyth St

POLICING ALTERNATIVES & DIVERSION INITIATIVE - CARE NAVIGATION - ATLANTA/FULTON COUNTY PREARREST DIVERSION IS SEEKING A TOTAL OF $1,500,000 IN GRANT FUNDING, PAYABLE OVER FIVE YEARS. THE POLICING ALTERNATIVE & DIVERSION (PAD) INITIATIVE WILL UTILIZE THE GRANT FUNDING TO SUPPORT OUR CARE NAVIGATION EFFORTS TO SUPPORT INDIVIDUALS EXPERIENCING HOMELESSNESS IN METRO ATLANTA. THE PROJECT WILL SERVE APPROXIMATELY 750 INDIVIDUALS DURING THE FIVE-YEAR GRANT PERIOD. PAD PROVIDES OUTREACH AND CASE MANAGEMENT FOR PEOPLE WHO ARE EXPERIENCING EXTREME POVERTY, PROBLEMATIC SUBSTANCE USE, OR MENTAL HEALTH CONCERNS. THROUGH PROACTIVE OUTREACH TO INDIVIDUALS REFERRED THROUGH THE CITY OF ATLANTA 311 LINE AS WELL AS PRE-ARREST DIVERSION FROM LAW ENFORCEMENT, PAD ENGAGES PEOPLE WHO ARE DISCONNECTED FROM COMMUNITY SUPPORTS, VULNERABLE TO CRIMINAL LEGAL SYSTEM CONTACT, AND OFTEN EXCLUDED FROM TRADITIONAL S SERVICES. THE OVERWHELMING MAJORITY (95%) OF PEOPLE WHO PAD SERVES ARE EXPERIENCING HOMELESSNESS AT THE TIME OF INITIAL ENGAGEMENT. PAD WORKS WITH EACH PERSON ENROLLED INTO CARE NAVIGATION SERVICES TO DEVELOP INDIVIDUAL SERVICE PLANS (ISPS) THAT SUPPORT THEIR GOALS USING A TRAUMA-INFORMED, HARM-REDUCTION-BASED FRAMEWORK. WHILE WE WORK ALONGSIDE OUR PARTICIPANTS THROUGH COMMUNITY-BASED CASE MANAGEMENT, WE ALSO PROVIDE DIRECT SERVICES INCLUDING EMERGENCY HOUSING AND FACILITATE WARM CONNECTIONS TO TREATMENT, HEALTHCARE, AND OTHER SERVICES. OUR SERVICES DO NOT EXCLUDE PEOPLE WITH PRIOR CRIMINAL CONVICTIONS, ACTIVE SUBSTANCE USE, OR UNTREATED MENTAL HEALTH CONDITIONS AND ARE NOT TIME-LIMITED.

POLICING ALTERNATIVES & DIVERSION INITIATIVE - CARE NAVIGATION - ATLANTA/FULTON COUNTY PREARREST DIVERSION IS SEEKING A TOTAL OF $1,500,000 IN GRANT FUNDING, PAYABLE OVER FIVE YEARS. THE POLICING ALTERNATIVE & DIVERSION (PAD) INITIATIVE WILL UTILIZE THE GRANT FUNDING TO SUPPORT OUR CARE NAVIGATION EFFORTS TO SUPPORT INDIVIDUALS EXPERIENCING HOMELESSNESS IN METRO ATLANTA. THE PROJECT WILL SERVE APPROXIMATELY 750 INDIVIDUALS DURING THE FIVE-YEAR GRANT PERIOD. PAD PROVIDES OUTREACH AND CASE MANAGEMENT FOR PEOPLE WHO ARE EXPERIENCING EXTREME POVERTY, PROBLEMATIC SUBSTANCE USE, OR MENTAL HEALTH CONCERNS. THROUGH PROACTIVE OUTREACH TO INDIVIDUALS REFERRED THROUGH THE CITY OF ATLANTA 311 LINE AS WELL AS PRE-ARREST DIVERSION FROM LAW ENFORCEMENT, PAD ENGAGES PEOPLE WHO ARE DISCONNECTED FROM COMMUNITY SUPPORTS, VULNERABLE TO CRIMINAL LEGAL SYSTEM CONTACT, AND OFTEN EXCLUDED FROM TRADITIONAL S SERVICES. THE OVERWHELMING MAJORITY (95%) OF PEOPLE WHO PAD SERVES ARE EXPERIENCING HOMELESSNESS AT THE TIME OF INITIAL ENGAGEMENT. PAD WORKS WITH EACH PERSON ENROLLED INTO CARE NAVIGATION SERVICES TO DEVELOP INDIVIDUAL SERVICE PLANS (ISPS) THAT SUPPORT THEIR GOALS USING A TRAUMA-INFORMED, HARM-REDUCTION-BASED FRAMEWORK. WHILE WE WORK ALONGSIDE OUR PARTICIPANTS THROUGH COMMUNITY-BASED CASE MANAGEMENT, WE ALSO PROVIDE DIRECT SERVICES INCLUDING EMERGENCY HOUSING AND FACILITATE WARM CONNECTIONS TO TREATMENT, HEALTHCARE, AND OTHER SERVICES. OUR SERVICES DO NOT EXCLUDE PEOPLE WITH PRIOR CRIMINAL CONVICTIONS, ACTIVE SUBSTANCE USE, OR UNTREATED MENTAL HEALTH CONDITIONS AND ARE NOT TIME-LIMITED.

A-RMI (THE ANIZ REHOUSING FOR THE MENTALLY ILL PROGRAM) - THE SELECTED POPULATION FOCUS FOR THE A-RMI PROGRAM (ANIZ REHOUSING FOR THE MENTALLY ILL) IS DISADVANTAGED AFRICAN-AMERICANS AGE ZERO AND OVER IN ATLANTA, GA. ANIZ SERVES OVER 2,700 MEMBERS ANNUALLY, PRIMARILY IN METRO ATLANTA. IT ADDITIONALLY CONDUCTS STREET OUTREACH AND REACHES 2,200 INDIVIDUALS THROUGH BRIEF CONTACT SBIRTS, PROVIDING HIV TESTING TO OVER A 1,000 ANNUALLY. THE A-RMI PROJECT WILL SERVE MEMBERS OF THE ATLANTA POPULATION WHO ARE EXPERIENCING UNSTABLE HOUSING. ANIZ IS THE ONLY WRAPAROUND HARM REDUCTION SERVICE PROVIDER IN GEORGIA WHICH ELIMINATES THE PRECONDITION OF SOBRIETY FOR STABLE HOUSING. ANIZ WRAPAROUND SERVICES PROVIDE CASE MANAGEMENT, HOLISTIC HARM REDUCTION SERVICES, MENTAL HEALTH COUNSELING AND EMOTIONAL SUPPORT AND THERAPY, AND TRAUMA-INFORMED CARE. PARTICIPANTS HAVE ACCESS TO HEALTH CARE THROUGH THE ANIZ, INC. ON-SITE 340B CLINIC AS WELL AS REFERRALS TO PRIMARY CARE, LINKAGE TO GOVERNMENT BENEFITS SUCH AS MEDICAID, SNAP, AND LOCAL GOVERNMENT RESOURCES. ANIZ OPERATES ON A HOLISTIC HARM REDUCTION APPROACH THROUGH TRAUMA-INFORMED CARE. ANIZ WORKS TO LINK INDIVIDUALS TO HEALTH CARE AND SUPPORT SERVICES SO THAT THE CYCLE TRAUMA IS BROKEN. ANIZ UTILIZES SEVERAL EVIDENCE-BASED PRACTICES (EBPS) TARGETED SPECIFICALLY TO THE MEMBER’S NEEDS, RISK ANALYSIS, AND TRAUMA. FOR THE PURPOSES OF THE A-RMI PROGRAM, THE PROCESSES ARE ALREADY IN PLACE. FOR SUD COD UHIS, THERE ARE THREE LEVELS BASED ON ASSESSMENT: LOW, MODERATE, AND HIGH RISK. FOR SUD SED AND SMI, THEY ARE CLASSIFIED AS MINIMALLY, MODERATELY, OR SEVERELY IMPAIRED. FOR LOW RISK/MODERATELY IMPAIRED, THE THERAPEUTIC STRATEGY IS TO PROVIDE FEEDBACK, MENTAL AND EMOTIONAL WELLNESS COUNSELING, EDUCATION, REINFORCE HOLISTIC HARM REDUCTION AND OFFER POSITIVE REINFORCEMENT AND SUPPORT AND REFERRAL TO A COUNSELOR. FOR MODERATE RISK/IMPAIRMENT, THE THERAPEUTIC STRATEGY IS TO PROVIDE BRIEF INTERVENTIONS, MENTAL AND EMOTIONAL WELLNESS COUNSELING INCLUDING FEEDBACK, ADVICE, ASSESSMENT OF READINESS TO CHANGE, ASSISTANCE IN CHANGING. FOR HIGH RISK/SEVERE IMPAIRMENT, THE THERAPEUTIC STRATEGY IS TO PROVIDE BRIEF INTERVENTION AND REFERRAL TO SPECIALTY TREATMENT. THE GOAL OF A REFERRAL IS TO ASSURE THAT THE INDIVIDUAL CONTACTS A SPECIALIST FOR TREATMENT, AS THE SCREENING INDICATES THAT THEIR SUBSTANCE ISSUES MAY BE TOO SEVERE TO BE MANAGED WITH ONLY BRIEF INTERVENTION/REQUIRE ADDITIONAL ASSESSMENTS TO DETERMINE THE SEVERITY OF THE PROBLEM. SEVERELY EMOTIONALLY DISTURBED AND MENTALLY ILL ARE LINKED TO MEDICAL CARE FOR TREATMENT AND MEDICATION. ANIZ WRAPAROUND SERVICES PROVIDE CASE MANAGEMENT, HOLISTIC HARM REDUCTION SERVICES, MENTAL HEALTH COUNSELING AND EMOTIONAL SUPPORT AND THERAPY, AND TRAUMA-INFORMED CARE. PARTICIPANTS HAVE ACCESS TO HEALTH CARE THROUGH THE ANIZ, INC. ON-SITE 340B CLINIC AS WELL AS REFERRALS TO PRIMARY CARE, LINKAGE TO GOVERNMENT BENEFITS SUCH AS MEDICAID, SNAP, AND LOCAL GOVERNMENT RESOURCES.

A-RMI (THE ANIZ REHOUSING FOR THE MENTALLY ILL PROGRAM) - THE SELECTED POPULATION FOCUS FOR THE A-RMI PROGRAM (ANIZ REHOUSING FOR THE MENTALLY ILL) IS DISADVANTAGED AFRICAN-AMERICANS AGE ZERO AND OVER IN ATLANTA, GA. ANIZ SERVES OVER 2,700 MEMBERS ANNUALLY, PRIMARILY IN METRO ATLANTA. IT ADDITIONALLY CONDUCTS STREET OUTREACH AND REACHES 2,200 INDIVIDUALS THROUGH BRIEF CONTACT SBIRTS, PROVIDING HIV TESTING TO OVER A 1,000 ANNUALLY. THE A-RMI PROJECT WILL SERVE MEMBERS OF THE ATLANTA POPULATION WHO ARE EXPERIENCING UNSTABLE HOUSING. ANIZ IS THE ONLY WRAPAROUND HARM REDUCTION SERVICE PROVIDER IN GEORGIA WHICH ELIMINATES THE PRECONDITION OF SOBRIETY FOR STABLE HOUSING. ANIZ WRAPAROUND SERVICES PROVIDE CASE MANAGEMENT, HOLISTIC HARM REDUCTION SERVICES, MENTAL HEALTH COUNSELING AND EMOTIONAL SUPPORT AND THERAPY, AND TRAUMA-INFORMED CARE. PARTICIPANTS HAVE ACCESS TO HEALTH CARE THROUGH THE ANIZ, INC. ON-SITE 340B CLINIC AS WELL AS REFERRALS TO PRIMARY CARE, LINKAGE TO GOVERNMENT BENEFITS SUCH AS MEDICAID, SNAP, AND LOCAL GOVERNMENT RESOURCES. ANIZ OPERATES ON A HOLISTIC HARM REDUCTION APPROACH THROUGH TRAUMA-INFORMED CARE. ANIZ WORKS TO LINK INDIVIDUALS TO HEALTH CARE AND SUPPORT SERVICES SO THAT THE CYCLE TRAUMA IS BROKEN. ANIZ UTILIZES SEVERAL EVIDENCE-BASED PRACTICES (EBPS) TARGETED SPECIFICALLY TO THE MEMBER’S NEEDS, RISK ANALYSIS, AND TRAUMA. FOR THE PURPOSES OF THE A-RMI PROGRAM, THE PROCESSES ARE ALREADY IN PLACE. FOR SUD COD UHIS, THERE ARE THREE LEVELS BASED ON ASSESSMENT: LOW, MODERATE, AND HIGH RISK. FOR SUD SED AND SMI, THEY ARE CLASSIFIED AS MINIMALLY, MODERATELY, OR SEVERELY IMPAIRED. FOR LOW RISK/MODERATELY IMPAIRED, THE THERAPEUTIC STRATEGY IS TO PROVIDE FEEDBACK, MENTAL AND EMOTIONAL WELLNESS COUNSELING, EDUCATION, REINFORCE HOLISTIC HARM REDUCTION AND OFFER POSITIVE REINFORCEMENT AND SUPPORT AND REFERRAL TO A COUNSELOR. FOR MODERATE RISK/IMPAIRMENT, THE THERAPEUTIC STRATEGY IS TO PROVIDE BRIEF INTERVENTIONS, MENTAL AND EMOTIONAL WELLNESS COUNSELING INCLUDING FEEDBACK, ADVICE, ASSESSMENT OF READINESS TO CHANGE, ASSISTANCE IN CHANGING. FOR HIGH RISK/SEVERE IMPAIRMENT, THE THERAPEUTIC STRATEGY IS TO PROVIDE BRIEF INTERVENTION AND REFERRAL TO SPECIALTY TREATMENT. THE GOAL OF A REFERRAL IS TO ASSURE THAT THE INDIVIDUAL CONTACTS A SPECIALIST FOR TREATMENT, AS THE SCREENING INDICATES THAT THEIR SUBSTANCE ISSUES MAY BE TOO SEVERE TO BE MANAGED WITH ONLY BRIEF INTERVENTION/REQUIRE ADDITIONAL ASSESSMENTS TO DETERMINE THE SEVERITY OF THE PROBLEM. SEVERELY EMOTIONALLY DISTURBED AND MENTALLY ILL ARE LINKED TO MEDICAL CARE FOR TREATMENT AND MEDICATION. ANIZ WRAPAROUND SERVICES PROVIDE CASE MANAGEMENT, HOLISTIC HARM REDUCTION SERVICES, MENTAL HEALTH COUNSELING AND EMOTIONAL SUPPORT AND THERAPY, AND TRAUMA-INFORMED CARE. PARTICIPANTS HAVE ACCESS TO HEALTH CARE THROUGH THE ANIZ, INC. ON-SITE 340B CLINIC AS WELL AS REFERRALS TO PRIMARY CARE, LINKAGE TO GOVERNMENT BENEFITS SUCH AS MEDICAID, SNAP, AND LOCAL GOVERNMENT RESOURCES.

APPAL (ANIZ PREVENTION PROGRAM FOR AFRICAN-AMERICAN/MINORITY LGBTQ+ INDIVDUALS) - THE SELECTED POPULATION FOCUS FOR APPAL (ANIZ PREVENTION PROGRAM FOR AFRICAN-AMERICAN/MINORITY LGBTQ+ INDIVIDUALS) IS THE DISADVANTAGED AFRICAN-AMERICAN QUEER POPULATION INCLUDING BISEXUAL AND TRANS, AGE 18-45 IN ATLANTA, GA UNDER 150% AMI. IN TOTAL, 2,970 INDIVIDUALS WILL BE IMPACTED BY THIS PROGRAM OVER A 5-YEAR PERIOD. THE GOALS OF THE PROJECT WILL BE TO CONDUCT HIV OUTREACH MINORITY LGBTQ+ INDIVIDUALS (HEREAFTER, ALWAYS IN METROPOLITAN ATLANTA) AT RISK FOR HIV/STI AND SUD. THE PROJECT WILL CONDUCT OUTREACH TO 500 INDIVIDUALS IN THE FIRST YEAR AND REACH 600 BY THE END OF THE FIFTH YEAR. TO ENROLL AND PROVIDE HIV EDUCATION AND PREVENTION SERVICES TO 400 MINORITY LGBTQ+ INDIVIDUALS REACHING 500 BY THE FIFTH YEAR; TO CONDUCT HIV/STI TESTING FOR A TOTAL OF 2,970 MINORITY LGBTQ+ INDIVIDUALS; TO PROVIDE NAVIGATION SERVICES INCLUDING LINKAGE AND SUPPORT SERVICES TO 2,245 MINORITY LGBTQ+ INDIVIDUALS OVER THE COURSE OF THE PROJECT. TO ENROLL 400 INDIVIDUALS IN THE FIRST YEAR FOR SUD INTERVENTION, HIV PREVENTION INCLUDING EDUCATION AND PREP, AND HARM REDUCTION COUNSELING, REACHING 500 BY THE FIFTH YEAR. IT WILL PROVIDE COUNSELING AND ACCESS TO MEDICATION FOR 40 HIV INFECTED INDIVIDUALS IN THE FIRST YEAR AND REACH 100 INDIVIDUALS BY THE FIFTH YEAR. IT WILL LINK 400 ENROLLED INDIVIDUALS TO A PCP IN THE FIRST YEAR AND REACH 500 INDIVIDUALS BY THE FIFTH YEAR. IT WILL PROVIDE REHOUSING FOR 40 HOMELESS LGBTQ+ INDIVIDUALS IN THE FIRST YEAR AND REACH 100 INDIVIDUALS BY THE FIFTH YEAR. THE CORE OF THE ANIZ WRAPAROUND SERVICE MODEL IS ASSERTIVE COMMUNITY TREATMENT (ACT). THE BASIS FOR ASSERTIVE COMMUNITY TREATMENT IS THE IDEA THAT PEOPLE WILL RECEIVE THE BEST CARE WHEN THEIR MENTAL CARE AND HEALTHCARE PROVIDERS WORK TOGETHER AS A TEAM. IT IS A MODEL WHICH PROVIDES FLEXIBLE TREATMENT WITH A MULTIDISCIPLINARY APPROACH TO SUPPORT CLIENTS IN ALL ASPECTS OF THEIR LIFE. THIS INCLUDES THERAPY, SOCIAL SUPPORT, EMPLOYMENT, MEDICATION, AND/OR HOUSING. BASED ON THE EVALUATION, THE TREATMENT PLAN WILL MOVE THE INDIVIDUAL IS THROUGH THE TRANS-THEORETICAL MODEL (STAGES OF CHANGE) SIX STAGES OF CHANGE: PRE-CONTEMPLATION, CONTEMPLATION, PREPARATION, ACTION, MAINTENANCE, AND TERMINATION. SOCIAL COGNITIVE THEORY (SCT) IS APPLIED TO THE ENVIRONMENT, SITUATION, OBSERVATIONAL LEARNING, BEHAVIORAL CAPABILITY, REINFORCEMENT, OUTCOME EXPECTANCIES, SELF-EFFICACY AND RECIPROCAL DETERMINISM. BRIEF INTERVENTIONS (SINGLE OR MULTIPLE SESSIONS) IS OFFERED IN THE SUD TREATMENTS INCLUDING A) MOTIVATIONAL INTERVIEWING (MI). MI IS A COUNSELING METHOD THAT HELPS PEOPLE RESOLVE AMBIVALENT FEELINGS AND INSECURITIES TO FIND THE INTERNAL MOTIVATION INDIVIDUALS NEED TO CHANGE THEIR BEHAVIOR; B) MOTIVATIONAL ENHANCEMENT THERAPY, (MET). IN ALL COUNSELING SESSIONS, THE COUNSELOR WILL RELY ON DIALECTICAL BEHAVIOR THERAPY. DIALECTICAL BEHAVIOR THERAPY (DBT) IS A FORM OF COGNITIVE BEHAVIORAL THERAPY (CBT). ITS MAIN GOALS IS TO TEACH PEOPLE HOW TO LIVE IN THE MOMENT, DEVELOP HEALTHY WAYS TO COPE WITH STRESS, REGULATE THEIR EMOTIONS, AND IMPROVE THEIR RELATIONSHIPS WITH OTHERS, THUS “BREAKING” THE CYCLE OF CAUSE AND EFFECT.

APPAL (ANIZ PREVENTION PROGRAM FOR AFRICAN-AMERICAN/MINORITY LGBTQ+ INDIVDUALS) - THE SELECTED POPULATION FOCUS FOR APPAL (ANIZ PREVENTION PROGRAM FOR AFRICAN-AMERICAN/MINORITY LGBTQ+ INDIVIDUALS) IS THE DISADVANTAGED AFRICAN-AMERICAN QUEER POPULATION INCLUDING BISEXUAL AND TRANS, AGE 18-45 IN ATLANTA, GA UNDER 150% AMI. IN TOTAL, 2,970 INDIVIDUALS WILL BE IMPACTED BY THIS PROGRAM OVER A 5-YEAR PERIOD. THE GOALS OF THE PROJECT WILL BE TO CONDUCT HIV OUTREACH MINORITY LGBTQ+ INDIVIDUALS (HEREAFTER, ALWAYS IN METROPOLITAN ATLANTA) AT RISK FOR HIV/STI AND SUD. THE PROJECT WILL CONDUCT OUTREACH TO 500 INDIVIDUALS IN THE FIRST YEAR AND REACH 600 BY THE END OF THE FIFTH YEAR. TO ENROLL AND PROVIDE HIV EDUCATION AND PREVENTION SERVICES TO 400 MINORITY LGBTQ+ INDIVIDUALS REACHING 500 BY THE FIFTH YEAR; TO CONDUCT HIV/STI TESTING FOR A TOTAL OF 2,970 MINORITY LGBTQ+ INDIVIDUALS; TO PROVIDE NAVIGATION SERVICES INCLUDING LINKAGE AND SUPPORT SERVICES TO 2,245 MINORITY LGBTQ+ INDIVIDUALS OVER THE COURSE OF THE PROJECT. TO ENROLL 400 INDIVIDUALS IN THE FIRST YEAR FOR SUD INTERVENTION, HIV PREVENTION INCLUDING EDUCATION AND PREP, AND HARM REDUCTION COUNSELING, REACHING 500 BY THE FIFTH YEAR. IT WILL PROVIDE COUNSELING AND ACCESS TO MEDICATION FOR 40 HIV INFECTED INDIVIDUALS IN THE FIRST YEAR AND REACH 100 INDIVIDUALS BY THE FIFTH YEAR. IT WILL LINK 400 ENROLLED INDIVIDUALS TO A PCP IN THE FIRST YEAR AND REACH 500 INDIVIDUALS BY THE FIFTH YEAR. IT WILL PROVIDE REHOUSING FOR 40 HOMELESS LGBTQ+ INDIVIDUALS IN THE FIRST YEAR AND REACH 100 INDIVIDUALS BY THE FIFTH YEAR. THE CORE OF THE ANIZ WRAPAROUND SERVICE MODEL IS ASSERTIVE COMMUNITY TREATMENT (ACT). THE BASIS FOR ASSERTIVE COMMUNITY TREATMENT IS THE IDEA THAT PEOPLE WILL RECEIVE THE BEST CARE WHEN THEIR MENTAL CARE AND HEALTHCARE PROVIDERS WORK TOGETHER AS A TEAM. IT IS A MODEL WHICH PROVIDES FLEXIBLE TREATMENT WITH A MULTIDISCIPLINARY APPROACH TO SUPPORT CLIENTS IN ALL ASPECTS OF THEIR LIFE. THIS INCLUDES THERAPY, SOCIAL SUPPORT, EMPLOYMENT, MEDICATION, AND/OR HOUSING. BASED ON THE EVALUATION, THE TREATMENT PLAN WILL MOVE THE INDIVIDUAL IS THROUGH THE TRANS-THEORETICAL MODEL (STAGES OF CHANGE) SIX STAGES OF CHANGE: PRE-CONTEMPLATION, CONTEMPLATION, PREPARATION, ACTION, MAINTENANCE, AND TERMINATION. SOCIAL COGNITIVE THEORY (SCT) IS APPLIED TO THE ENVIRONMENT, SITUATION, OBSERVATIONAL LEARNING, BEHAVIORAL CAPABILITY, REINFORCEMENT, OUTCOME EXPECTANCIES, SELF-EFFICACY AND RECIPROCAL DETERMINISM. BRIEF INTERVENTIONS (SINGLE OR MULTIPLE SESSIONS) IS OFFERED IN THE SUD TREATMENTS INCLUDING A) MOTIVATIONAL INTERVIEWING (MI). MI IS A COUNSELING METHOD THAT HELPS PEOPLE RESOLVE AMBIVALENT FEELINGS AND INSECURITIES TO FIND THE INTERNAL MOTIVATION INDIVIDUALS NEED TO CHANGE THEIR BEHAVIOR; B) MOTIVATIONAL ENHANCEMENT THERAPY, (MET). IN ALL COUNSELING SESSIONS, THE COUNSELOR WILL RELY ON DIALECTICAL BEHAVIOR THERAPY. DIALECTICAL BEHAVIOR THERAPY (DBT) IS A FORM OF COGNITIVE BEHAVIORAL THERAPY (CBT). ITS MAIN GOALS IS TO TEACH PEOPLE HOW TO LIVE IN THE MOMENT, DEVELOP HEALTHY WAYS TO COPE WITH STRESS, REGULATE THEIR EMOTIONS, AND IMPROVE THEIR RELATIONSHIPS WITH OTHERS, THUS “BREAKING” THE CYCLE OF CAUSE AND EFFECT.

PAD MENTAL HEALTH TRAINING PROGRAM - THE POLICING ALTERNATIVES AND DIVERSION INITIATIVE WILL UTILIZE GRANT FUNDING TO EXPAND ITS TRAINING STRATEGY TO INCLUDE A MENTAL HEALTH AWARENESS TRAINING PROGRAM THAT WILL BE MADE AVAILABLE TO THE PUBLIC THROUGH MONTHLY INTERACTIVE TRAININGS CO-HOSTED WITH PARTNERING AGENCIES AND COMMUNITY ORGANIZATIONS. IN ADDITION, QUARTERLY TRAININGS WILL BE PROVIDED TO THE STAFF OF HOUSING AND SOCIAL SERVICE PARTNER AGENCIES AS WELL AS THE STAFF OF FULTON COUNTY SUPERIOR COURT. THE PRIORITY AUDIENCE FOR TRAINING WILL BE PEOPLE WHO FREQUENTLY INTERACT WITH PEOPLE WHO ARE EXPERIENCING UNMET MENTAL HEALTH NEEDS AND WHO ARE WELL-POSITIONED TO OFFER SUPPORT AND REFERRALS TO APPROPRIATE COMMUNITY RESOURCES. WE ANTICIPATE TRAINING APPROXIMATELY 240 INDIVIDUAL EACH YEAR FOR A TOTAL OF 720 DURING THE OVERALL PROJECT PERIOD. THE PROPOSED TRAININGS WILL PROVIDE THE TOOLS TO RECOGNIZE AND ADDRESS MENTAL HEALTH CONCERNS, AND TO DE-ESCALATE POTENTIAL CRISIS SITUATIONS ALONG WITH OFFERING EDUCATION ON NAVIGATING THE COMMUNITY'S MENTAL HEALTH LANDSCAPE, INCLUDING REFERRING INDIVIDUALS IN NEED TO SPECIFIC BEHAVIORAL HEALTH PROVIDERS. PAD HAS IDENTIFIED THREE LOCAL BEHAVIORAL HEALTH PARTNERS WHO HAVE AGREED TO ACCEPT REFERRALS FOR SERVICES FROM INDIVIDUALS WHO RECEIVE TRAINING. THE TARGETED CAPACITY-BUILDING RESULTING FROM THIS TRAINING STRATEGY WILL ADVANCE THE WIDESPREAD DISSEMINATION AND UTILIZATION OF COMMUNITY-BASED RESOURCES AS A VIABLE ALTERNATIVE TO POLICE INVOLVEMENT, ARREST AND INCARCERATION.

PAD MENTAL HEALTH TRAINING PROGRAM - THE POLICING ALTERNATIVES AND DIVERSION INITIATIVE WILL UTILIZE GRANT FUNDING TO EXPAND ITS TRAINING STRATEGY TO INCLUDE A MENTAL HEALTH AWARENESS TRAINING PROGRAM THAT WILL BE MADE AVAILABLE TO THE PUBLIC THROUGH MONTHLY INTERACTIVE TRAININGS CO-HOSTED WITH PARTNERING AGENCIES AND COMMUNITY ORGANIZATIONS. IN ADDITION, QUARTERLY TRAININGS WILL BE PROVIDED TO THE STAFF OF HOUSING AND SOCIAL SERVICE PARTNER AGENCIES AS WELL AS THE STAFF OF FULTON COUNTY SUPERIOR COURT. THE PRIORITY AUDIENCE FOR TRAINING WILL BE PEOPLE WHO FREQUENTLY INTERACT WITH PEOPLE WHO ARE EXPERIENCING UNMET MENTAL HEALTH NEEDS AND WHO ARE WELL-POSITIONED TO OFFER SUPPORT AND REFERRALS TO APPROPRIATE COMMUNITY RESOURCES. WE ANTICIPATE TRAINING APPROXIMATELY 240 INDIVIDUAL EACH YEAR FOR A TOTAL OF 720 DURING THE OVERALL PROJECT PERIOD. THE PROPOSED TRAININGS WILL PROVIDE THE TOOLS TO RECOGNIZE AND ADDRESS MENTAL HEALTH CONCERNS, AND TO DE-ESCALATE POTENTIAL CRISIS SITUATIONS ALONG WITH OFFERING EDUCATION ON NAVIGATING THE COMMUNITY'S MENTAL HEALTH LANDSCAPE, INCLUDING REFERRING INDIVIDUALS IN NEED TO SPECIFIC BEHAVIORAL HEALTH PROVIDERS. PAD HAS IDENTIFIED THREE LOCAL BEHAVIORAL HEALTH PARTNERS WHO HAVE AGREED TO ACCEPT REFERRALS FOR SERVICES FROM INDIVIDUALS WHO RECEIVE TRAINING. THE TARGETED CAPACITY-BUILDING RESULTING FROM THIS TRAINING STRATEGY WILL ADVANCE THE WIDESPREAD DISSEMINATION AND UTILIZATION OF COMMUNITY-BASED RESOURCES AS A VIABLE ALTERNATIVE TO POLICE INVOLVEMENT, ARREST AND INCARCERATION.

PAD MENTAL HEALTH TRAINING PROGRAM - THE POLICING ALTERNATIVES AND DIVERSION INITIATIVE WILL UTILIZE GRANT FUNDING TO EXPAND ITS TRAINING STRATEGY TO INCLUDE A MENTAL HEALTH AWARENESS TRAINING PROGRAM THAT WILL BE MADE AVAILABLE TO THE PUBLIC THROUGH MONTHLY INTERACTIVE TRAININGS CO-HOSTED WITH PARTNERING AGENCIES AND COMMUNITY ORGANIZATIONS. IN ADDITION, QUARTERLY TRAININGS WILL BE PROVIDED TO THE STAFF OF HOUSING AND SOCIAL SERVICE PARTNER AGENCIES AS WELL AS THE STAFF OF FULTON COUNTY SUPERIOR COURT. THE PRIORITY AUDIENCE FOR TRAINING WILL BE PEOPLE WHO FREQUENTLY INTERACT WITH PEOPLE WHO ARE EXPERIENCING UNMET MENTAL HEALTH NEEDS AND WHO ARE WELL-POSITIONED TO OFFER SUPPORT AND REFERRALS TO APPROPRIATE COMMUNITY RESOURCES. WE ANTICIPATE TRAINING APPROXIMATELY 240 INDIVIDUAL EACH YEAR FOR A TOTAL OF 720 DURING THE OVERALL PROJECT PERIOD. THE PROPOSED TRAININGS WILL PROVIDE THE TOOLS TO RECOGNIZE AND ADDRESS MENTAL HEALTH CONCERNS, AND TO DE-ESCALATE POTENTIAL CRISIS SITUATIONS ALONG WITH OFFERING EDUCATION ON NAVIGATING THE COMMUNITY'S MENTAL HEALTH LANDSCAPE, INCLUDING REFERRING INDIVIDUALS IN NEED TO SPECIFIC BEHAVIORAL HEALTH PROVIDERS. PAD HAS IDENTIFIED THREE LOCAL BEHAVIORAL HEALTH PARTNERS WHO HAVE AGREED TO ACCEPT REFERRALS FOR SERVICES FROM INDIVIDUALS WHO RECEIVE TRAINING. THE TARGETED CAPACITY-BUILDING RESULTING FROM THIS TRAINING STRATEGY WILL ADVANCE THE WIDESPREAD DISSEMINATION AND UTILIZATION OF COMMUNITY-BASED RESOURCES AS A VIABLE ALTERNATIVE TO POLICE INVOLVEMENT, ARREST AND INCARCERATION.

PAD MENTAL HEALTH TRAINING PROGRAM - THE POLICING ALTERNATIVES AND DIVERSION INITIATIVE WILL UTILIZE GRANT FUNDING TO EXPAND ITS TRAINING STRATEGY TO INCLUDE A MENTAL HEALTH AWARENESS TRAINING PROGRAM THAT WILL BE MADE AVAILABLE TO THE PUBLIC THROUGH MONTHLY INTERACTIVE TRAININGS CO-HOSTED WITH PARTNERING AGENCIES AND COMMUNITY ORGANIZATIONS. IN ADDITION, QUARTERLY TRAININGS WILL BE PROVIDED TO THE STAFF OF HOUSING AND SOCIAL SERVICE PARTNER AGENCIES AS WELL AS THE STAFF OF FULTON COUNTY SUPERIOR COURT. THE PRIORITY AUDIENCE FOR TRAINING WILL BE PEOPLE WHO FREQUENTLY INTERACT WITH PEOPLE WHO ARE EXPERIENCING UNMET MENTAL HEALTH NEEDS AND WHO ARE WELL-POSITIONED TO OFFER SUPPORT AND REFERRALS TO APPROPRIATE COMMUNITY RESOURCES. WE ANTICIPATE TRAINING APPROXIMATELY 240 INDIVIDUAL EACH YEAR FOR A TOTAL OF 720 DURING THE OVERALL PROJECT PERIOD. THE PROPOSED TRAININGS WILL PROVIDE THE TOOLS TO RECOGNIZE AND ADDRESS MENTAL HEALTH CONCERNS, AND TO DE-ESCALATE POTENTIAL CRISIS SITUATIONS ALONG WITH OFFERING EDUCATION ON NAVIGATING THE COMMUNITY'S MENTAL HEALTH LANDSCAPE, INCLUDING REFERRING INDIVIDUALS IN NEED TO SPECIFIC BEHAVIORAL HEALTH PROVIDERS. PAD HAS IDENTIFIED THREE LOCAL BEHAVIORAL HEALTH PARTNERS WHO HAVE AGREED TO ACCEPT REFERRALS FOR SERVICES FROM INDIVIDUALS WHO RECEIVE TRAINING. THE TARGETED CAPACITY-BUILDING RESULTING FROM THIS TRAINING STRATEGY WILL ADVANCE THE WIDESPREAD DISSEMINATION AND UTILIZATION OF COMMUNITY-BASED RESOURCES AS A VIABLE ALTERNATIVE TO POLICE INVOLVEMENT, ARREST AND INCARCERATION.

A-RMI (THE ANIZ REHOUSING FOR THE MENTALLY ILL PROGRAM) - THE SELECTED POPULATION FOCUS FOR THE A-RMI PROGRAM (ANIZ REHOUSING FOR THE MENTALLY ILL) IS DISADVANTAGED AFRICAN-AMERICANS AGE ZERO AND OVER IN ATLANTA, GA. ANIZ SERVES OVER 2,700 MEMBERS ANNUALLY, PRIMARILY IN METRO ATLANTA. IT ADDITIONALLY CONDUCTS STREET OUTREACH AND REACHES 2,200 INDIVIDUALS THROUGH BRIEF CONTACT SBIRTS, PROVIDING HIV TESTING TO OVER A 1,000 ANNUALLY. THE A-RMI PROJECT WILL SERVE MEMBERS OF THE ATLANTA POPULATION WHO ARE EXPERIENCING UNSTABLE HOUSING. ANIZ IS THE ONLY WRAPAROUND HARM REDUCTION SERVICE PROVIDER IN GEORGIA WHICH ELIMINATES THE PRECONDITION OF SOBRIETY FOR STABLE HOUSING. ANIZ WRAPAROUND SERVICES PROVIDE CASE MANAGEMENT, HOLISTIC HARM REDUCTION SERVICES, MENTAL HEALTH COUNSELING AND EMOTIONAL SUPPORT AND THERAPY, AND TRAUMA-INFORMED CARE. PARTICIPANTS HAVE ACCESS TO HEALTH CARE THROUGH THE ANIZ, INC. ON-SITE 340B CLINIC AS WELL AS REFERRALS TO PRIMARY CARE, LINKAGE TO GOVERNMENT BENEFITS SUCH AS MEDICAID, SNAP, AND LOCAL GOVERNMENT RESOURCES. ANIZ OPERATES ON A HOLISTIC HARM REDUCTION APPROACH THROUGH TRAUMA-INFORMED CARE. ANIZ WORKS TO LINK INDIVIDUALS TO HEALTH CARE AND SUPPORT SERVICES SO THAT THE CYCLE TRAUMA IS BROKEN. ANIZ UTILIZES SEVERAL EVIDENCE-BASED PRACTICES (EBPS) TARGETED SPECIFICALLY TO THE MEMBER’S NEEDS, RISK ANALYSIS, AND TRAUMA. FOR THE PURPOSES OF THE A-RMI PROGRAM, THE PROCESSES ARE ALREADY IN PLACE. FOR SUD COD UHIS, THERE ARE THREE LEVELS BASED ON ASSESSMENT: LOW, MODERATE, AND HIGH RISK. FOR SUD SED AND SMI, THEY ARE CLASSIFIED AS MINIMALLY, MODERATELY, OR SEVERELY IMPAIRED. FOR LOW RISK/MODERATELY IMPAIRED, THE THERAPEUTIC STRATEGY IS TO PROVIDE FEEDBACK, MENTAL AND EMOTIONAL WELLNESS COUNSELING, EDUCATION, REINFORCE HOLISTIC HARM REDUCTION AND OFFER POSITIVE REINFORCEMENT AND SUPPORT AND REFERRAL TO A COUNSELOR. FOR MODERATE RISK/IMPAIRMENT, THE THERAPEUTIC STRATEGY IS TO PROVIDE BRIEF INTERVENTIONS, MENTAL AND EMOTIONAL WELLNESS COUNSELING INCLUDING FEEDBACK, ADVICE, ASSESSMENT OF READINESS TO CHANGE, ASSISTANCE IN CHANGING. FOR HIGH RISK/SEVERE IMPAIRMENT, THE THERAPEUTIC STRATEGY IS TO PROVIDE BRIEF INTERVENTION AND REFERRAL TO SPECIALTY TREATMENT. THE GOAL OF A REFERRAL IS TO ASSURE THAT THE INDIVIDUAL CONTACTS A SPECIALIST FOR TREATMENT, AS THE SCREENING INDICATES THAT THEIR SUBSTANCE ISSUES MAY BE TOO SEVERE TO BE MANAGED WITH ONLY BRIEF INTERVENTION/REQUIRE ADDITIONAL ASSESSMENTS TO DETERMINE THE SEVERITY OF THE PROBLEM. SEVERELY EMOTIONALLY DISTURBED AND MENTALLY ILL ARE LINKED TO MEDICAL CARE FOR TREATMENT AND MEDICATION. ANIZ WRAPAROUND SERVICES PROVIDE CASE MANAGEMENT, HOLISTIC HARM REDUCTION SERVICES, MENTAL HEALTH COUNSELING AND EMOTIONAL SUPPORT AND THERAPY, AND TRAUMA-INFORMED CARE. PARTICIPANTS HAVE ACCESS TO HEALTH CARE THROUGH THE ANIZ, INC. ON-SITE 340B CLINIC AS WELL AS REFERRALS TO PRIMARY CARE, LINKAGE TO GOVERNMENT BENEFITS SUCH AS MEDICAID, SNAP, AND LOCAL GOVERNMENT RESOURCES.

APPAL (ANIZ PREVENTION PROGRAM FOR AFRICAN-AMERICAN/MINORITY LGBTQ+ INDIVDUALS) - THE SELECTED POPULATION FOCUS FOR APPAL (ANIZ PREVENTION PROGRAM FOR AFRICAN-AMERICAN/MINORITY LGBTQ+ INDIVIDUALS) IS THE DISADVANTAGED AFRICAN-AMERICAN QUEER POPULATION INCLUDING BISEXUAL AND TRANS, AGE 18-45 IN ATLANTA, GA UNDER 150% AMI. IN TOTAL, 2,970 INDIVIDUALS WILL BE IMPACTED BY THIS PROGRAM OVER A 5-YEAR PERIOD. THE GOALS OF THE PROJECT WILL BE TO CONDUCT HIV OUTREACH MINORITY LGBTQ+ INDIVIDUALS (HEREAFTER, ALWAYS IN METROPOLITAN ATLANTA) AT RISK FOR HIV/STI AND SUD. THE PROJECT WILL CONDUCT OUTREACH TO 500 INDIVIDUALS IN THE FIRST YEAR AND REACH 600 BY THE END OF THE FIFTH YEAR. TO ENROLL AND PROVIDE HIV EDUCATION AND PREVENTION SERVICES TO 400 MINORITY LGBTQ+ INDIVIDUALS REACHING 500 BY THE FIFTH YEAR; TO CONDUCT HIV/STI TESTING FOR A TOTAL OF 2,970 MINORITY LGBTQ+ INDIVIDUALS; TO PROVIDE NAVIGATION SERVICES INCLUDING LINKAGE AND SUPPORT SERVICES TO 2,245 MINORITY LGBTQ+ INDIVIDUALS OVER THE COURSE OF THE PROJECT. TO ENROLL 400 INDIVIDUALS IN THE FIRST YEAR FOR SUD INTERVENTION, HIV PREVENTION INCLUDING EDUCATION AND PREP, AND HARM REDUCTION COUNSELING, REACHING 500 BY THE FIFTH YEAR. IT WILL PROVIDE COUNSELING AND ACCESS TO MEDICATION FOR 40 HIV INFECTED INDIVIDUALS IN THE FIRST YEAR AND REACH 100 INDIVIDUALS BY THE FIFTH YEAR. IT WILL LINK 400 ENROLLED INDIVIDUALS TO A PCP IN THE FIRST YEAR AND REACH 500 INDIVIDUALS BY THE FIFTH YEAR. IT WILL PROVIDE REHOUSING FOR 40 HOMELESS LGBTQ+ INDIVIDUALS IN THE FIRST YEAR AND REACH 100 INDIVIDUALS BY THE FIFTH YEAR. THE CORE OF THE ANIZ WRAPAROUND SERVICE MODEL IS ASSERTIVE COMMUNITY TREATMENT (ACT). THE BASIS FOR ASSERTIVE COMMUNITY TREATMENT IS THE IDEA THAT PEOPLE WILL RECEIVE THE BEST CARE WHEN THEIR MENTAL CARE AND HEALTHCARE PROVIDERS WORK TOGETHER AS A TEAM. IT IS A MODEL WHICH PROVIDES FLEXIBLE TREATMENT WITH A MULTIDISCIPLINARY APPROACH TO SUPPORT CLIENTS IN ALL ASPECTS OF THEIR LIFE. THIS INCLUDES THERAPY, SOCIAL SUPPORT, EMPLOYMENT, MEDICATION, AND/OR HOUSING. BASED ON THE EVALUATION, THE TREATMENT PLAN WILL MOVE THE INDIVIDUAL IS THROUGH THE TRANS-THEORETICAL MODEL (STAGES OF CHANGE) SIX STAGES OF CHANGE: PRE-CONTEMPLATION, CONTEMPLATION, PREPARATION, ACTION, MAINTENANCE, AND TERMINATION. SOCIAL COGNITIVE THEORY (SCT) IS APPLIED TO THE ENVIRONMENT, SITUATION, OBSERVATIONAL LEARNING, BEHAVIORAL CAPABILITY, REINFORCEMENT, OUTCOME EXPECTANCIES, SELF-EFFICACY AND RECIPROCAL DETERMINISM. BRIEF INTERVENTIONS (SINGLE OR MULTIPLE SESSIONS) IS OFFERED IN THE SUD TREATMENTS INCLUDING A) MOTIVATIONAL INTERVIEWING (MI). MI IS A COUNSELING METHOD THAT HELPS PEOPLE RESOLVE AMBIVALENT FEELINGS AND INSECURITIES TO FIND THE INTERNAL MOTIVATION INDIVIDUALS NEED TO CHANGE THEIR BEHAVIOR; B) MOTIVATIONAL ENHANCEMENT THERAPY, (MET). IN ALL COUNSELING SESSIONS, THE COUNSELOR WILL RELY ON DIALECTICAL BEHAVIOR THERAPY. DIALECTICAL BEHAVIOR THERAPY (DBT) IS A FORM OF COGNITIVE BEHAVIORAL THERAPY (CBT). ITS MAIN GOALS IS TO TEACH PEOPLE HOW TO LIVE IN THE MOMENT, DEVELOP HEALTHY WAYS TO COPE WITH STRESS, REGULATE THEIR EMOTIONS, AND IMPROVE THEIR RELATIONSHIPS WITH OTHERS, THUS “BREAKING” THE CYCLE OF CAUSE AND EFFECT.

APPAL (ANIZ PREVENTION PROGRAM FOR AFRICAN-AMERICAN/MINORITY LGBTQ+ INDIVDUALS) - THE SELECTED POPULATION FOCUS FOR APPAL (ANIZ PREVENTION PROGRAM FOR AFRICAN-AMERICAN/MINORITY LGBTQ+ INDIVIDUALS) IS THE DISADVANTAGED AFRICAN-AMERICAN QUEER POPULATION INCLUDING BISEXUAL AND TRANS, AGE 18-45 IN ATLANTA, GA UNDER 150% AMI. IN TOTAL, 2,970 INDIVIDUALS WILL BE IMPACTED BY THIS PROGRAM OVER A 5-YEAR PERIOD. THE GOALS OF THE PROJECT WILL BE TO CONDUCT HIV OUTREACH MINORITY LGBTQ+ INDIVIDUALS (HEREAFTER, ALWAYS IN METROPOLITAN ATLANTA) AT RISK FOR HIV/STI AND SUD. THE PROJECT WILL CONDUCT OUTREACH TO 500 INDIVIDUALS IN THE FIRST YEAR AND REACH 600 BY THE END OF THE FIFTH YEAR. TO ENROLL AND PROVIDE HIV EDUCATION AND PREVENTION SERVICES TO 400 MINORITY LGBTQ+ INDIVIDUALS REACHING 500 BY THE FIFTH YEAR; TO CONDUCT HIV/STI TESTING FOR A TOTAL OF 2,970 MINORITY LGBTQ+ INDIVIDUALS; TO PROVIDE NAVIGATION SERVICES INCLUDING LINKAGE AND SUPPORT SERVICES TO 2,245 MINORITY LGBTQ+ INDIVIDUALS OVER THE COURSE OF THE PROJECT. TO ENROLL 400 INDIVIDUALS IN THE FIRST YEAR FOR SUD INTERVENTION, HIV PREVENTION INCLUDING EDUCATION AND PREP, AND HARM REDUCTION COUNSELING, REACHING 500 BY THE FIFTH YEAR. IT WILL PROVIDE COUNSELING AND ACCESS TO MEDICATION FOR 40 HIV INFECTED INDIVIDUALS IN THE FIRST YEAR AND REACH 100 INDIVIDUALS BY THE FIFTH YEAR. IT WILL LINK 400 ENROLLED INDIVIDUALS TO A PCP IN THE FIRST YEAR AND REACH 500 INDIVIDUALS BY THE FIFTH YEAR. IT WILL PROVIDE REHOUSING FOR 40 HOMELESS LGBTQ+ INDIVIDUALS IN THE FIRST YEAR AND REACH 100 INDIVIDUALS BY THE FIFTH YEAR. THE CORE OF THE ANIZ WRAPAROUND SERVICE MODEL IS ASSERTIVE COMMUNITY TREATMENT (ACT). THE BASIS FOR ASSERTIVE COMMUNITY TREATMENT IS THE IDEA THAT PEOPLE WILL RECEIVE THE BEST CARE WHEN THEIR MENTAL CARE AND HEALTHCARE PROVIDERS WORK TOGETHER AS A TEAM. IT IS A MODEL WHICH PROVIDES FLEXIBLE TREATMENT WITH A MULTIDISCIPLINARY APPROACH TO SUPPORT CLIENTS IN ALL ASPECTS OF THEIR LIFE. THIS INCLUDES THERAPY, SOCIAL SUPPORT, EMPLOYMENT, MEDICATION, AND/OR HOUSING. BASED ON THE EVALUATION, THE TREATMENT PLAN WILL MOVE THE INDIVIDUAL IS THROUGH THE TRANS-THEORETICAL MODEL (STAGES OF CHANGE) SIX STAGES OF CHANGE: PRE-CONTEMPLATION, CONTEMPLATION, PREPARATION, ACTION, MAINTENANCE, AND TERMINATION. SOCIAL COGNITIVE THEORY (SCT) IS APPLIED TO THE ENVIRONMENT, SITUATION, OBSERVATIONAL LEARNING, BEHAVIORAL CAPABILITY, REINFORCEMENT, OUTCOME EXPECTANCIES, SELF-EFFICACY AND RECIPROCAL DETERMINISM. BRIEF INTERVENTIONS (SINGLE OR MULTIPLE SESSIONS) IS OFFERED IN THE SUD TREATMENTS INCLUDING A) MOTIVATIONAL INTERVIEWING (MI). MI IS A COUNSELING METHOD THAT HELPS PEOPLE RESOLVE AMBIVALENT FEELINGS AND INSECURITIES TO FIND THE INTERNAL MOTIVATION INDIVIDUALS NEED TO CHANGE THEIR BEHAVIOR; B) MOTIVATIONAL ENHANCEMENT THERAPY, (MET). IN ALL COUNSELING SESSIONS, THE COUNSELOR WILL RELY ON DIALECTICAL BEHAVIOR THERAPY. DIALECTICAL BEHAVIOR THERAPY (DBT) IS A FORM OF COGNITIVE BEHAVIORAL THERAPY (CBT). ITS MAIN GOALS IS TO TEACH PEOPLE HOW TO LIVE IN THE MOMENT, DEVELOP HEALTHY WAYS TO COPE WITH STRESS, REGULATE THEIR EMOTIONS, AND IMPROVE THEIR RELATIONSHIPS WITH OTHERS, THUS “BREAKING” THE CYCLE OF CAUSE AND EFFECT.

APPAL (ANIZ PREVENTION PROGRAM FOR AFRICAN-AMERICAN/MINORITY LGBTQ+ INDIVDUALS) - THE SELECTED POPULATION FOCUS FOR APPAL (ANIZ PREVENTION PROGRAM FOR AFRICAN-AMERICAN/MINORITY LGBTQ+ INDIVIDUALS) IS THE DISADVANTAGED AFRICAN-AMERICAN QUEER POPULATION INCLUDING BISEXUAL AND TRANS, AGE 18-45 IN ATLANTA, GA UNDER 150% AMI. IN TOTAL, 2,970 INDIVIDUALS WILL BE IMPACTED BY THIS PROGRAM OVER A 5-YEAR PERIOD. THE GOALS OF THE PROJECT WILL BE TO CONDUCT HIV OUTREACH MINORITY LGBTQ+ INDIVIDUALS (HEREAFTER, ALWAYS IN METROPOLITAN ATLANTA) AT RISK FOR HIV/STI AND SUD. THE PROJECT WILL CONDUCT OUTREACH TO 500 INDIVIDUALS IN THE FIRST YEAR AND REACH 600 BY THE END OF THE FIFTH YEAR. TO ENROLL AND PROVIDE HIV EDUCATION AND PREVENTION SERVICES TO 400 MINORITY LGBTQ+ INDIVIDUALS REACHING 500 BY THE FIFTH YEAR; TO CONDUCT HIV/STI TESTING FOR A TOTAL OF 2,970 MINORITY LGBTQ+ INDIVIDUALS; TO PROVIDE NAVIGATION SERVICES INCLUDING LINKAGE AND SUPPORT SERVICES TO 2,245 MINORITY LGBTQ+ INDIVIDUALS OVER THE COURSE OF THE PROJECT. TO ENROLL 400 INDIVIDUALS IN THE FIRST YEAR FOR SUD INTERVENTION, HIV PREVENTION INCLUDING EDUCATION AND PREP, AND HARM REDUCTION COUNSELING, REACHING 500 BY THE FIFTH YEAR. IT WILL PROVIDE COUNSELING AND ACCESS TO MEDICATION FOR 40 HIV INFECTED INDIVIDUALS IN THE FIRST YEAR AND REACH 100 INDIVIDUALS BY THE FIFTH YEAR. IT WILL LINK 400 ENROLLED INDIVIDUALS TO A PCP IN THE FIRST YEAR AND REACH 500 INDIVIDUALS BY THE FIFTH YEAR. IT WILL PROVIDE REHOUSING FOR 40 HOMELESS LGBTQ+ INDIVIDUALS IN THE FIRST YEAR AND REACH 100 INDIVIDUALS BY THE FIFTH YEAR. THE CORE OF THE ANIZ WRAPAROUND SERVICE MODEL IS ASSERTIVE COMMUNITY TREATMENT (ACT). THE BASIS FOR ASSERTIVE COMMUNITY TREATMENT IS THE IDEA THAT PEOPLE WILL RECEIVE THE BEST CARE WHEN THEIR MENTAL CARE AND HEALTHCARE PROVIDERS WORK TOGETHER AS A TEAM. IT IS A MODEL WHICH PROVIDES FLEXIBLE TREATMENT WITH A MULTIDISCIPLINARY APPROACH TO SUPPORT CLIENTS IN ALL ASPECTS OF THEIR LIFE. THIS INCLUDES THERAPY, SOCIAL SUPPORT, EMPLOYMENT, MEDICATION, AND/OR HOUSING. BASED ON THE EVALUATION, THE TREATMENT PLAN WILL MOVE THE INDIVIDUAL IS THROUGH THE TRANS-THEORETICAL MODEL (STAGES OF CHANGE) SIX STAGES OF CHANGE: PRE-CONTEMPLATION, CONTEMPLATION, PREPARATION, ACTION, MAINTENANCE, AND TERMINATION. SOCIAL COGNITIVE THEORY (SCT) IS APPLIED TO THE ENVIRONMENT, SITUATION, OBSERVATIONAL LEARNING, BEHAVIORAL CAPABILITY, REINFORCEMENT, OUTCOME EXPECTANCIES, SELF-EFFICACY AND RECIPROCAL DETERMINISM. BRIEF INTERVENTIONS (SINGLE OR MULTIPLE SESSIONS) IS OFFERED IN THE SUD TREATMENTS INCLUDING A) MOTIVATIONAL INTERVIEWING (MI). MI IS A COUNSELING METHOD THAT HELPS PEOPLE RESOLVE AMBIVALENT FEELINGS AND INSECURITIES TO FIND THE INTERNAL MOTIVATION INDIVIDUALS NEED TO CHANGE THEIR BEHAVIOR; B) MOTIVATIONAL ENHANCEMENT THERAPY, (MET). IN ALL COUNSELING SESSIONS, THE COUNSELOR WILL RELY ON DIALECTICAL BEHAVIOR THERAPY. DIALECTICAL BEHAVIOR THERAPY (DBT) IS A FORM OF COGNITIVE BEHAVIORAL THERAPY (CBT). ITS MAIN GOALS IS TO TEACH PEOPLE HOW TO LIVE IN THE MOMENT, DEVELOP HEALTHY WAYS TO COPE WITH STRESS, REGULATE THEIR EMOTIONS, AND IMPROVE THEIR RELATIONSHIPS WITH OTHERS, THUS “BREAKING” THE CYCLE OF CAUSE AND EFFECT.

APPAL (ANIZ PREVENTION PROGRAM FOR AFRICAN-AMERICAN/MINORITY LGBTQ+ INDIVDUALS) - THE SELECTED POPULATION FOCUS FOR APPAL (ANIZ PREVENTION PROGRAM FOR AFRICAN-AMERICAN/MINORITY LGBTQ+ INDIVIDUALS) IS THE DISADVANTAGED AFRICAN-AMERICAN QUEER POPULATION INCLUDING BISEXUAL AND TRANS, AGE 18-45 IN ATLANTA, GA UNDER 150% AMI. IN TOTAL, 2,970 INDIVIDUALS WILL BE IMPACTED BY THIS PROGRAM OVER A 5-YEAR PERIOD. THE GOALS OF THE PROJECT WILL BE TO CONDUCT HIV OUTREACH MINORITY LGBTQ+ INDIVIDUALS (HEREAFTER, ALWAYS IN METROPOLITAN ATLANTA) AT RISK FOR HIV/STI AND SUD. THE PROJECT WILL CONDUCT OUTREACH TO 500 INDIVIDUALS IN THE FIRST YEAR AND REACH 600 BY THE END OF THE FIFTH YEAR. TO ENROLL AND PROVIDE HIV EDUCATION AND PREVENTION SERVICES TO 400 MINORITY LGBTQ+ INDIVIDUALS REACHING 500 BY THE FIFTH YEAR; TO CONDUCT HIV/STI TESTING FOR A TOTAL OF 2,970 MINORITY LGBTQ+ INDIVIDUALS; TO PROVIDE NAVIGATION SERVICES INCLUDING LINKAGE AND SUPPORT SERVICES TO 2,245 MINORITY LGBTQ+ INDIVIDUALS OVER THE COURSE OF THE PROJECT. TO ENROLL 400 INDIVIDUALS IN THE FIRST YEAR FOR SUD INTERVENTION, HIV PREVENTION INCLUDING EDUCATION AND PREP, AND HARM REDUCTION COUNSELING, REACHING 500 BY THE FIFTH YEAR. IT WILL PROVIDE COUNSELING AND ACCESS TO MEDICATION FOR 40 HIV INFECTED INDIVIDUALS IN THE FIRST YEAR AND REACH 100 INDIVIDUALS BY THE FIFTH YEAR. IT WILL LINK 400 ENROLLED INDIVIDUALS TO A PCP IN THE FIRST YEAR AND REACH 500 INDIVIDUALS BY THE FIFTH YEAR. IT WILL PROVIDE REHOUSING FOR 40 HOMELESS LGBTQ+ INDIVIDUALS IN THE FIRST YEAR AND REACH 100 INDIVIDUALS BY THE FIFTH YEAR. THE CORE OF THE ANIZ WRAPAROUND SERVICE MODEL IS ASSERTIVE COMMUNITY TREATMENT (ACT). THE BASIS FOR ASSERTIVE COMMUNITY TREATMENT IS THE IDEA THAT PEOPLE WILL RECEIVE THE BEST CARE WHEN THEIR MENTAL CARE AND HEALTHCARE PROVIDERS WORK TOGETHER AS A TEAM. IT IS A MODEL WHICH PROVIDES FLEXIBLE TREATMENT WITH A MULTIDISCIPLINARY APPROACH TO SUPPORT CLIENTS IN ALL ASPECTS OF THEIR LIFE. THIS INCLUDES THERAPY, SOCIAL SUPPORT, EMPLOYMENT, MEDICATION, AND/OR HOUSING. BASED ON THE EVALUATION, THE TREATMENT PLAN WILL MOVE THE INDIVIDUAL IS THROUGH THE TRANS-THEORETICAL MODEL (STAGES OF CHANGE) SIX STAGES OF CHANGE: PRE-CONTEMPLATION, CONTEMPLATION, PREPARATION, ACTION, MAINTENANCE, AND TERMINATION. SOCIAL COGNITIVE THEORY (SCT) IS APPLIED TO THE ENVIRONMENT, SITUATION, OBSERVATIONAL LEARNING, BEHAVIORAL CAPABILITY, REINFORCEMENT, OUTCOME EXPECTANCIES, SELF-EFFICACY AND RECIPROCAL DETERMINISM. BRIEF INTERVENTIONS (SINGLE OR MULTIPLE SESSIONS) IS OFFERED IN THE SUD TREATMENTS INCLUDING A) MOTIVATIONAL INTERVIEWING (MI). MI IS A COUNSELING METHOD THAT HELPS PEOPLE RESOLVE AMBIVALENT FEELINGS AND INSECURITIES TO FIND THE INTERNAL MOTIVATION INDIVIDUALS NEED TO CHANGE THEIR BEHAVIOR; B) MOTIVATIONAL ENHANCEMENT THERAPY, (MET). IN ALL COUNSELING SESSIONS, THE COUNSELOR WILL RELY ON DIALECTICAL BEHAVIOR THERAPY. DIALECTICAL BEHAVIOR THERAPY (DBT) IS A FORM OF COGNITIVE BEHAVIORAL THERAPY (CBT). ITS MAIN GOALS IS TO TEACH PEOPLE HOW TO LIVE IN THE MOMENT, DEVELOP HEALTHY WAYS TO COPE WITH STRESS, REGULATE THEIR EMOTIONS, AND IMPROVE THEIR RELATIONSHIPS WITH OTHERS, THUS “BREAKING” THE CYCLE OF CAUSE AND EFFECT.

A-RMI (THE ANIZ REHOUSING FOR THE MENTALLY ILL PROGRAM) - THE SELECTED POPULATION FOCUS FOR THE A-RMI PROGRAM (ANIZ REHOUSING FOR THE MENTALLY ILL) IS DISADVANTAGED AFRICAN-AMERICANS AGE ZERO AND OVER IN ATLANTA, GA. ANIZ SERVES OVER 2,700 MEMBERS ANNUALLY, PRIMARILY IN METRO ATLANTA. IT ADDITIONALLY CONDUCTS STREET OUTREACH AND REACHES 2,200 INDIVIDUALS THROUGH BRIEF CONTACT SBIRTS, PROVIDING HIV TESTING TO OVER A 1,000 ANNUALLY. THE A-RMI PROJECT WILL SERVE MEMBERS OF THE ATLANTA POPULATION WHO ARE EXPERIENCING UNSTABLE HOUSING. ANIZ IS THE ONLY WRAPAROUND HARM REDUCTION SERVICE PROVIDER IN GEORGIA WHICH ELIMINATES THE PRECONDITION OF SOBRIETY FOR STABLE HOUSING. ANIZ WRAPAROUND SERVICES PROVIDE CASE MANAGEMENT, HOLISTIC HARM REDUCTION SERVICES, MENTAL HEALTH COUNSELING AND EMOTIONAL SUPPORT AND THERAPY, AND TRAUMA-INFORMED CARE. PARTICIPANTS HAVE ACCESS TO HEALTH CARE THROUGH THE ANIZ, INC. ON-SITE 340B CLINIC AS WELL AS REFERRALS TO PRIMARY CARE, LINKAGE TO GOVERNMENT BENEFITS SUCH AS MEDICAID, SNAP, AND LOCAL GOVERNMENT RESOURCES. ANIZ OPERATES ON A HOLISTIC HARM REDUCTION APPROACH THROUGH TRAUMA-INFORMED CARE. ANIZ WORKS TO LINK INDIVIDUALS TO HEALTH CARE AND SUPPORT SERVICES SO THAT THE CYCLE TRAUMA IS BROKEN. ANIZ UTILIZES SEVERAL EVIDENCE-BASED PRACTICES (EBPS) TARGETED SPECIFICALLY TO THE MEMBER’S NEEDS, RISK ANALYSIS, AND TRAUMA. FOR THE PURPOSES OF THE A-RMI PROGRAM, THE PROCESSES ARE ALREADY IN PLACE. FOR SUD COD UHIS, THERE ARE THREE LEVELS BASED ON ASSESSMENT: LOW, MODERATE, AND HIGH RISK. FOR SUD SED AND SMI, THEY ARE CLASSIFIED AS MINIMALLY, MODERATELY, OR SEVERELY IMPAIRED. FOR LOW RISK/MODERATELY IMPAIRED, THE THERAPEUTIC STRATEGY IS TO PROVIDE FEEDBACK, MENTAL AND EMOTIONAL WELLNESS COUNSELING, EDUCATION, REINFORCE HOLISTIC HARM REDUCTION AND OFFER POSITIVE REINFORCEMENT AND SUPPORT AND REFERRAL TO A COUNSELOR. FOR MODERATE RISK/IMPAIRMENT, THE THERAPEUTIC STRATEGY IS TO PROVIDE BRIEF INTERVENTIONS, MENTAL AND EMOTIONAL WELLNESS COUNSELING INCLUDING FEEDBACK, ADVICE, ASSESSMENT OF READINESS TO CHANGE, ASSISTANCE IN CHANGING. FOR HIGH RISK/SEVERE IMPAIRMENT, THE THERAPEUTIC STRATEGY IS TO PROVIDE BRIEF INTERVENTION AND REFERRAL TO SPECIALTY TREATMENT. THE GOAL OF A REFERRAL IS TO ASSURE THAT THE INDIVIDUAL CONTACTS A SPECIALIST FOR TREATMENT, AS THE SCREENING INDICATES THAT THEIR SUBSTANCE ISSUES MAY BE TOO SEVERE TO BE MANAGED WITH ONLY BRIEF INTERVENTION/REQUIRE ADDITIONAL ASSESSMENTS TO DETERMINE THE SEVERITY OF THE PROBLEM. SEVERELY EMOTIONALLY DISTURBED AND MENTALLY ILL ARE LINKED TO MEDICAL CARE FOR TREATMENT AND MEDICATION. ANIZ WRAPAROUND SERVICES PROVIDE CASE MANAGEMENT, HOLISTIC HARM REDUCTION SERVICES, MENTAL HEALTH COUNSELING AND EMOTIONAL SUPPORT AND THERAPY, AND TRAUMA-INFORMED CARE. PARTICIPANTS HAVE ACCESS TO HEALTH CARE THROUGH THE ANIZ, INC. ON-SITE 340B CLINIC AS WELL AS REFERRALS TO PRIMARY CARE, LINKAGE TO GOVERNMENT BENEFITS SUCH AS MEDICAID, SNAP, AND LOCAL GOVERNMENT RESOURCES.

APPAL (ANIZ PREVENTION PROGRAM FOR AFRICAN-AMERICAN/MINORITY LGBTQ+ INDIVDUALS) - THE SELECTED POPULATION FOCUS FOR APPAL (ANIZ PREVENTION PROGRAM FOR AFRICAN-AMERICAN/MINORITY LGBTQ+ INDIVIDUALS) IS THE DISADVANTAGED AFRICAN-AMERICAN QUEER POPULATION INCLUDING BISEXUAL AND TRANS, AGE 18-45 IN ATLANTA, GA UNDER 150% AMI. IN TOTAL, 2,970 INDIVIDUALS WILL BE IMPACTED BY THIS PROGRAM OVER A 5-YEAR PERIOD. THE GOALS OF THE PROJECT WILL BE TO CONDUCT HIV OUTREACH MINORITY LGBTQ+ INDIVIDUALS (HEREAFTER, ALWAYS IN METROPOLITAN ATLANTA) AT RISK FOR HIV/STI AND SUD. THE PROJECT WILL CONDUCT OUTREACH TO 500 INDIVIDUALS IN THE FIRST YEAR AND REACH 600 BY THE END OF THE FIFTH YEAR. TO ENROLL AND PROVIDE HIV EDUCATION AND PREVENTION SERVICES TO 400 MINORITY LGBTQ+ INDIVIDUALS REACHING 500 BY THE FIFTH YEAR; TO CONDUCT HIV/STI TESTING FOR A TOTAL OF 2,970 MINORITY LGBTQ+ INDIVIDUALS; TO PROVIDE NAVIGATION SERVICES INCLUDING LINKAGE AND SUPPORT SERVICES TO 2,245 MINORITY LGBTQ+ INDIVIDUALS OVER THE COURSE OF THE PROJECT. TO ENROLL 400 INDIVIDUALS IN THE FIRST YEAR FOR SUD INTERVENTION, HIV PREVENTION INCLUDING EDUCATION AND PREP, AND HARM REDUCTION COUNSELING, REACHING 500 BY THE FIFTH YEAR. IT WILL PROVIDE COUNSELING AND ACCESS TO MEDICATION FOR 40 HIV INFECTED INDIVIDUALS IN THE FIRST YEAR AND REACH 100 INDIVIDUALS BY THE FIFTH YEAR. IT WILL LINK 400 ENROLLED INDIVIDUALS TO A PCP IN THE FIRST YEAR AND REACH 500 INDIVIDUALS BY THE FIFTH YEAR. IT WILL PROVIDE REHOUSING FOR 40 HOMELESS LGBTQ+ INDIVIDUALS IN THE FIRST YEAR AND REACH 100 INDIVIDUALS BY THE FIFTH YEAR. THE CORE OF THE ANIZ WRAPAROUND SERVICE MODEL IS ASSERTIVE COMMUNITY TREATMENT (ACT). THE BASIS FOR ASSERTIVE COMMUNITY TREATMENT IS THE IDEA THAT PEOPLE WILL RECEIVE THE BEST CARE WHEN THEIR MENTAL CARE AND HEALTHCARE PROVIDERS WORK TOGETHER AS A TEAM. IT IS A MODEL WHICH PROVIDES FLEXIBLE TREATMENT WITH A MULTIDISCIPLINARY APPROACH TO SUPPORT CLIENTS IN ALL ASPECTS OF THEIR LIFE. THIS INCLUDES THERAPY, SOCIAL SUPPORT, EMPLOYMENT, MEDICATION, AND/OR HOUSING. BASED ON THE EVALUATION, THE TREATMENT PLAN WILL MOVE THE INDIVIDUAL IS THROUGH THE TRANS-THEORETICAL MODEL (STAGES OF CHANGE) SIX STAGES OF CHANGE: PRE-CONTEMPLATION, CONTEMPLATION, PREPARATION, ACTION, MAINTENANCE, AND TERMINATION. SOCIAL COGNITIVE THEORY (SCT) IS APPLIED TO THE ENVIRONMENT, SITUATION, OBSERVATIONAL LEARNING, BEHAVIORAL CAPABILITY, REINFORCEMENT, OUTCOME EXPECTANCIES, SELF-EFFICACY AND RECIPROCAL DETERMINISM. BRIEF INTERVENTIONS (SINGLE OR MULTIPLE SESSIONS) IS OFFERED IN THE SUD TREATMENTS INCLUDING A) MOTIVATIONAL INTERVIEWING (MI). MI IS A COUNSELING METHOD THAT HELPS PEOPLE RESOLVE AMBIVALENT FEELINGS AND INSECURITIES TO FIND THE INTERNAL MOTIVATION INDIVIDUALS NEED TO CHANGE THEIR BEHAVIOR; B) MOTIVATIONAL ENHANCEMENT THERAPY, (MET). IN ALL COUNSELING SESSIONS, THE COUNSELOR WILL RELY ON DIALECTICAL BEHAVIOR THERAPY. DIALECTICAL BEHAVIOR THERAPY (DBT) IS A FORM OF COGNITIVE BEHAVIORAL THERAPY (CBT). ITS MAIN GOALS IS TO TEACH PEOPLE HOW TO LIVE IN THE MOMENT, DEVELOP HEALTHY WAYS TO COPE WITH STRESS, REGULATE THEIR EMOTIONS, AND IMPROVE THEIR RELATIONSHIPS WITH OTHERS, THUS “BREAKING” THE CYCLE OF CAUSE AND EFFECT.