PROJECT SPARC

YEAR 05

Substance Abuse/HIV/HepatitisPrevention forAdultsReentering the Community

Community Pediatrics PresenterTeshina Mattson

Drew Russell

PurposeTo 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 PediatricsThe Bexar County Misdemeanor & Felony Drug CourtsThe Bexar County Substance Abuse Treatment FacilitiesVarious 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

Method

• Strategic Prevention Framework

1) Needs Assessment2) Capacity assessment3) Planning4) Implementation5) Evaluation

• Sustainability

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

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

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)

SPARC Re-Entry Curriculum 1 Session

• Sessions total duration: 2 hours

1) HIV & Hepatitis Prevention2) Education3) Skills Building

MeasuresProcess Measures

Service delivery (what, when, how much, to whom)Pre-test/post-test knowledgeCurriculum fidelitySatisfaction survey

Outcome Measures

Baseline, exit, and follow-up GPRA-plus survey

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

Recruitment: Target EnrollmentTable 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

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)

Recruitment: Demographics

Retention in Intervention Primary Incentives:

SAMHSA: $10 gift card at local grocery store per classParticipant ConvenienceDetailed CalendarStaff Follow-up & Dedication

Secondary Incentives:Strong Relationships with CollaboratorsExcused early from Drug CourtVoucher - 3 hours off Community Service (6 hrs SP)Voucher - $10 off fines

Retention: Class attendance

0

20

40

60

80

100

120

0 cl 1 cl 2 cl 3 cl 4 cl 5 cl Brief class

Drug Court & SP (N=230)

Re-entry (N=136)

Retention: Service Satisfaction

93

93.2

93.4

93.6

93.8

94

94.2

94.4

94.6

94.8

I will use the information learned in class in my every day life

I learned how to protect myself from HIV

I would recommend this class to my friends

Percentage Satisfied

Retention for Outcome MeasuresIncentives

$20 local grocery store gift card at 3-month & 6-month follow-upParticipant Convenience

StrategiesTracking Form Data BaseStrong Relationships with CollaboratorsStaff Follow-up & Dedication

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%

Lessons Learned

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 RussellData Manager: Irene Mangan

Survey Administrator: Delma JohnsonAdministrative Support: Candi Pieper

Acknowledgements

Bexar County Drug Court TeamJudge Alfonso Alonso

Judge Ernie GlennRoberto Ruiz & Diana Zamarron,

DC Coordinators

ProvidersAlamo Medical Research

San Antonio AIDS Foundation & Hope Action Care

THANK YOU