Innovative Ways to Fund Harm Reduction Allan Clear August 16, 2017 Office of Drug User Health, AIDS Institute July 11, 2017
August 16, 2017 2 NYS SEPs REST OF NEW YORK STATE
August 16, 2017 3 NYS SEPs NEW YORK CITY
August 16, 2017 4 Total SEP Participants 30,000 25,000 20,000 19,188 18,782 19,447 15,000 10,000 4,557 5,000 5,151 5,183 0 2014 2015 2016 Under 30 30 and Over
August 16, 2017 5 SYRINGES FURNISHED 7,447,613 6,022,488 4,820,176 2014 2015 2016
August 16, 2017 6 Harm Reduction/Syringe Exchange Program Initiative Funding 2017-2018 NYS BASE $9,332,961 FUNDING Total Funding $14,265,506 YIDU $1,080,000 HUB $2,806,667 STATE COLA PrEP $845,878 $200,000
August 16, 2017 7 HARM REDUCTION/SYRINGE EXCHANGE PROGRAM INITIATIVE FUNDING $12,800,000 $12,702,023 $12,600,000 $12,400,000 $12,200,000 $12,080,502 $12,000,000 $11,800,000 $11,685,925 $11,600,000 $11,400,000 $11,200,000 $11,000,000 2014-15 2015-16 2016-17 NOTE: 2014-15 Included RW Part A Funding (NYCDOHMH) $1,512,446 2015-16 Included RW Part A Funding (NYCDOHMH) $699,715 That Ended 2/2015 State Funding Added YIDU, PREP And HUB In 2016-17
August 16, 2017 8 Responders Trained 25,000 Total Since Program’s Inception in 2006 = >180,00 21,411 20,000 18,119 16,519 15,677 15,000 14,142 12,724 16,508 12,701 11,202 9,531 14,878 10,000 14,344 8,651 8,358 5,569 12,698 9,742 10,511 5,891 5,000 7,870 4,469 4,071 2,209 2,171 2,267 1,838 1,035 775 670 645 0 2014 Q4 2015 Q1 2015 Q2 2015 Q3 2015 Q4 2016 Q1 2016 Q2 2016 Q3 2016 Q4 2017 Q1 Law Enforcement Fire/EMS School and Library Community Responders
August 16, 2017 9 Growth in Cost of Naloxone Furnished by Broad Addiction Services Agencies Agency Category Law Enforcement All Other Agencies $8,000,000 $7,000,000 $2,331,350 $6,000,000 $2,258,900 $5,000,000 $540,050 $4,000,000 $1,194,200 $322,350 $311,850 $4,384,730 $3,000,000 $368,550 $2,000,000 $8,050 $3,013,850 $1,493,100 $1,000,000 $371,000 $0 FY 2013 FY 2014 FY 2015 FY 2016
August 16, 2017 10 Co-location • Extension clinics – Part time/full time – New York Harm Reduction Educators, ACR- Syracuse • Medicaid expansion waiver – – Washington Heights Corner Project
August 16, 2017 11 Medicaid State Plan Amendment • Development of a Treatment Plan • Individual/Group Supportive Counseling • Medication management and Treatment Adherence Counseling • Psychoeducation – Support groups
August 16, 2017 12 Melded Funding Streams • RW Part A for mental health and EBIs • State Targeted Response to Opioids – SAMHSA NYS Office of Alcohol and Substance Abuse Services NYS Department of Health, AIDS Institute Hubs programming
August 16, 2017 13 Drug User Health Hubs Emergency Family Stigma Department Free Law EMS Zones Enforcement Hubs Syringes Buprenorphine Naloxone Hepatitis C Care
August 16, 2017 14 HCV Testing • HCV Testing program – Programs get test kit. Programs that have infrastructure to draw blood also have the opportunity to offer onsite HCV RNA testing. This is done free of charge to the program. We cover the shipping of those specimens to the lab. • In return the programs must offer testing, conduct active linkage to care, tracking linkage to care referrals and submit data
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