Award detail

ROOM TO ROAM (R2R) - SOUTHERN INDIAN HEALTH COUNCIL INC., IS A FEDERALLY QUALIFIED HEALTH CARE (FQHC) IN SOUTHEASTERN SAN DIEGO COUNTY, CA, THAT SERVES A TRIBAL CONSORTIUM COMPRISED OF SEVEN AMERICAN INDIAN TRIBES, INCLUDING THE: EWIIAAPAAYP BAND OF KUMEYAAY INDIANS, JAMUL INDIAN VILLAGE OF CALIFORNIA, MANZANITA BAND OF THE KUMEYAAY NATION, BARONA BAND OF MISSION INDIANS, CAMPO BAND OF MISSION INDIANS, LA POSTA BAND OF MISSION INDIANS, AND VIEJAS BAND OF KUMEYAAY INDIANS. OF THE ESTIMATED 20,000 NATIVE AMERICANS WHO CONSTITUTE THE TRIBAL COMMUNITIES WITHIN SAN DIEGO COUNTY, SOME RESIDE ON RESERVATION LAND WITH MANY OTHERS LIVING WITHIN THE CITY OF SAN DIEGO. SOUTHERN INDIAN HEALTH COUNCIL, INC. COVERS A SERVICE AREA OF 1,490 SQUARE MILES, INCLUDING THE CITY OF SAN DIEGO AND SPANS FAR INTO THE RURAL SOUTHEAST CORNER OF SAN DIEGO COUNTY. IN SAN DIEGO COUNTY THERE ARE AN ESTIMATED 760,000 YOUTH (0-17 YEARS) AND OF THOSE, 161,000 ARE BETWEEN AGES 13-24. AS OF 2017, SAN DIEGO COUNTY REPORTED 157,823 YOUTH RESIDING IN THE SAN DIEGO EAST COUNTY AREA, WHICH REPRESENTS THE MAJORITY OF THE SOUTHERN INDIAN HEALTH COUNCIL, INC., NON-METRO AREA. SERVICES PROVIDED INCLUDE NUMEROUS HEALTH AND SOCIAL SERVICES IMPLEMENTED THROUGH THEIR MEDICAL CLINIC IN ALPINE, CALIFORNIA. DUE TO THE RURAL AND REMOTE LOCATION OF THE MAJORITY OF THEIR SERVICE AREA, THE ROAMING OUTPATIENT ACCESS MOBILE (ROAM) PROGRAM WAS DEVELOPED. ROAM IS A MOBILE CLINIC PROVIDING OUTPATIENT MEDICAL, DOMESTIC VIOLENCE, AND BEHAVIORAL HEALTH SERVICES THROUGHOUT THE SERVICE AREA. TO ADDRESS THE KNOWN GAPS IN SERVICE PROVISION IN THE RURAL, RESERVATION AREAS, AS WELL AS SPECIFICALLY AMPLIFY OPPORTUNITIES FOR TESTING AND VACCINATION OF THE SUBSTANTIAL POPULATION OF YOUTH 13-24 YEARS OF AGE, THE PURPOSE OF THE PROPOSED PROGRAM, ROOM TO ROAM, IS TO MEET PEOPLE WHERE THEY ARE BY ENHANCING CURRENT ROAM SERVICES. THIS WILL BE DONE BY A HAVING A FULL-TIME LICENSED VOCATIONAL NURSE (LVN) ONBOARD TO PROVIDE HIV RAPID TESTING, HI V COUNSELING, STI RAPID TESTING, HPV VACCINES, PREP AND NPEP PRESCRIPTIONS, AND SEXUAL HEALTH BRIEF INTERVENTIONS. ROOM TO ROAM WILL HAVE EXPANDED HOURS TO INCLUDE EVENINGS, WEEKENDS, AND ATTENDANCE AT YOUTH-ORIENTED EVENTS. FUNDING WILL ALSO AID IN THE CREATION OF A NATIVE YOUTH SEXUAL HEALTH ADVISORY BOARD (NYSHAB) THAT WILL WORK TO DEVELOP AND IMPLEMENT DE-STIGMATIZING SEXUAL HEALTH MESSAGING THROUGH YOUTH-ORIENTED SOCIAL MEDIA CHANNELS TO INCREASE REACH AND USE OF ROOM TO ROAM. FURTHER, ROOM TO ROAM’S OBJECTIVES AND ACTIVITIES EACH YEAR WILL INCLUDE A THREE-PRONG OPERATIONAL PLAN THAT INCLUDES DIAGNOSING VIA RAPID TESTING OF HIV (N=100), HCV (N=100), CHLAMYDIA (N=100), AND SYPHILIS (N=100); AN OPERATIONAL TREATMENT PLAN THAT INCLUDES HIV CASE MANAGEMENT AND COUNSELING, PRESCRIPTIONS FOR PREP/NPEP/PEP (N=100); AND AN OPERATIONAL PREVENTION PLAN THAT INCLUDES PROVIDING FREE GARDASIL9 HPV VACCINES (N=100) TO YOUTH, AND THE DEVELOPMENT OF A NATIVE YOUTH SEXUAL HEALTH ADVISORY BOARD (NYSHAB). TOGETHER THESE ACTIVITIES WILL AID IN AWARENESS BUILDING OF HIV/HCV AND OTHER STIS; INCREASE IN KNOWLEDGE OF HIV/HCV AND OTHER STIS; REDUCTION OF STIGMA ASSOCIATED WITH POSITIVE HEALTH SEEKING BEHAVIORS; AND ULTIMATELY A DECREASE IN NEW HIV/HCV AND OTHER STI INFECTIONS.

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