Innovative Ways to Fund Harm Reduction Allan Clear August 16, 2017 - - PowerPoint PPT Presentation

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Aug 21, 2022 400 likes •565 views

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

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August 16, 2017

Innovative Ways to Fund Harm Reduction

Allan Clear Office of Drug User Health, AIDS Institute July 11, 2017

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August 16, 2017 2

NYS SEPs REST OF NEW YORK STATE

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August 16, 2017 3

NYS SEPs NEW YORK CITY

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August 16, 2017 4

4,557 5,183 5,151 18,782 19,188 19,447

5,000 10,000 15,000 20,000 25,000 30,000

2014 2015 2016

Total SEP Participants

Under 30 30 and Over

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August 16, 2017 5

4,820,176 6,022,488 7,447,613

2014 2015 2016

SYRINGES FURNISHED

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August 16, 2017 6

Harm Reduction/Syringe Exchange Program Initiative Funding 2017-2018

NYS BASE FUNDING YIDU HUB PrEP STATE COLA

$9,332,961 $1,080,000 $2,806,667 Total Funding $14,265,506 $200,000 $845,878

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August 16, 2017 7

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 $11,685,925 $12,080,502 $12,702,023

$11,000,000 $11,200,000 $11,400,000 $11,600,000 $11,800,000 $12,000,000 $12,200,000 $12,400,000 $12,600,000 $12,800,000

2014-15 2015-16 2016-17

HARM REDUCTION/SYRINGE EXCHANGE PROGRAM INITIATIVE FUNDING

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August 16, 2017 8

2,209 4,071 4,469 670 1,035 2,171 775 645 1,838 2,267

5,891 5,569 9,531 7,870 10,511 16,508 14,344 12,698 14,878 9,742

5,000 10,000 15,000 20,000 25,000 2014 Q4 2015 Q1 2015 Q2 2015 Q3 2015 Q4 2016 Q1 2016 Q2 2016 Q3 2016 Q4 2017 Q1

Responders Trained

Law Enforcement Fire/EMS School and Library Community Responders

18,119 11,202 15,677 8,651 12,724 21,411 16,519 14,142 8,358 Total Since Program’s Inception in 2006 = >180,00 12,701

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August 16, 2017 9

$371,000 $1,493,100 $3,013,850 $4,384,730 $8,050 $368,550 $322,350 $540,050 $311,850 $1,194,200 $2,258,900 $2,331,350 $0 $1,000,000 $2,000,000 $3,000,000 $4,000,000 $5,000,000 $6,000,000 $7,000,000 $8,000,000

FY 2013 FY 2014 FY 2015 FY 2016

Growth in Cost of Naloxone Furnished by Broad Agency Category

Addiction Services Agencies Law Enforcement All Other Agencies

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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

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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

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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

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August 16, 2017 13

Drug User Health Hubs

Hubs

EMS Emergency Department Family Law Enforcement

Syringes Buprenorphine Naloxone Hepatitis C Care

Stigma Free Zones

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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