Projects & Impact

AHP has built its business on applying best practices, many of which we have helped to shape, and real-world, hands-on knowledge to improving systems and business practices for our clients.

In all of the work that we do, we are guided by our mission to improve health and human services systems of care and business operations to help organizations and individuals reach their full potential.

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HIV Capacity Building Initiative: Project Aspire

AHP serves as the evaluator for a Center for Substance Abuse Prevention (CSAP) HIV Capacity Building Initiative (HIV CBI), Project Aspire. The goal of the grant is to prevent and reduce the onset of substance misuse and transmission of HIV/AIDS among at-risk racial/ethnic minority youth and young adults.

Equinox, a multiservice nonprofit organization, will provide evidence-based substance use disorder (SUD) and HIV/Viral Hepatitis (VH) prevention programming, onsite HIV/VH testing, and substance misuse assessment and counseling services to at-risk minority youth in Albany, NY, through its Youth Outreach Center. Peer Youth Leaders will promote engagement and co-facilitate prevention activities including the Say It Straight intervention. AHP will conduct a community needs assessment and assess program performance by documenting and measuring client outcomes and conducting a process evaluation. The needs assessment will include a review of epidemiological data, including prevalence rates, service gaps and disparities, community readiness to change, and capacity to provide SUD, HIV, and VH prevention and treatment services.

Increasing Community Participation Among Adults with Psychiatric Disabilities through Intentional Peer Support (IPS Study)

For the National Institute for Disability, Independent Living, and Rehabilitation Research (HHS), under Grant 90IF0098-01-00, AHP will conduct a study examining the comparative effectiveness of Intentional Peer Support (IPS) in improving community living and participation for adults with psychiatric disabilities. IPS is a peer-developed, theoretically based, manualized approach that is unique in conceptualizing peer support as a relationship-based learning process in the context of personal growth and community-building. The study will compare the outcomes of IPS with those of standard peer support services on dimensions including self-esteem, self-discrimination, social connectedness, community participation, and quality of life.

National Center for Trauma-Informed Care and Alternatives to Restraint and Seclusion (NCTIC)

AHP is a subcontractor to SAMHSA’s National Center for Trauma-Informed Care and Alternatives to Restraint & Seclusion (NCTIC). A diverse team of staff and consultants, many of them trauma survivors and nationally recognized leaders, provide technical assistance (TA) and participate in developing products and materials under this contract. The National Association of State Mental Health Program Directors (NASMHPD) is the prime contractor for NCTIC.
 
NCTIC supports SAMHSA’s commitment to provide information, technical assistance, and support to increase awareness about the impact of trauma on people with mental health or substance use disorders, as well as people served by public health, education, and corrections systems.
 
A key focus of this work has been to promote alternatives to seclusion, restraint, and other coercive interventions to minimize the likelihood of re-traumatization. The use of trauma-informed approaches has therefore been incorporated into a broad range of service systems, with input from trauma survivors’ perspectives in all aspects of the contract. NCTIC is guided by the fundamental beliefs that people with personal experiences of trauma can and do recover and heal; Trauma-Informed Care is the hallmark of effective programs to promote recovery and healing through support from peers, consumers, survivors, ex-patients, and recovering persons and mentoring by providers; and leadership teams of peers and providers charting the course for the implementation of Trauma-Informed Care are essential.
  
The project has made major strides in addressing SAMHSA’s Trauma and Justice Strategic Initiative goals of creating capacity and systems change in the behavioral health and justice systems; implementing and studying trauma-informed approaches throughout health, behavioral health, and related systems; and reducing the impact of disasters on the behavioral health of individuals, families, and communities.
 
Major accomplishments of the project have included the administration of more than 130 technical assistance events in one year, reaching approximately 10,000 individuals between on-site events, webinars, virtual learning networks (VLNs), and consultation. This project was able to leverage funds with multiple organizations willing to help cover costs for presenting training and technical assistance, which resulted in our ability to present so many events, thereby increasing NCTIC’s visibility and shifting thinking in the field.
 
Specialized TA was provided in Baltimore, MD, to stakeholders from 76 different agencies following major unrest in that city after a teen died while in police custody. In addition, a training curriculum, Trauma-Informed Approach: Key Assumptions and Principles, has been developed to provide a framework for understanding trauma and its impact and prevalence, along with the key principles and implementation areas for trauma-informed approaches; and a General Adult Trauma Screening and Brief Response (GATSBR) toolkit is in development to facilitate screening for trauma in primary care.
 
Related resources and publications:

The Intersection of Violence Against Women and HIV/AIDS: A Cross-Training Guide for Service Providers Office of Women’s Health

AHP received a grant from the Office of Women’s Health (OWH) to research, revise, and then implement a pilot cross-training program for community domestic violence and HIV/AIDS agencies in four cities across the United States to enhance their services to vulnerable, abused women who were either infected or at risk for HIV/AIDS. By educating each agency on the subject matter of the other agency and encouraging collaboration between them, AHP’s goal was to ensure that no matter how the woman entered the system for services, whether through the domestic violence or HIV/AIDS door, both issues would be addressed. After recruiting the requisite service agencies in cities in four states, revising the five-part curriculum and developing presentations, AHP conducted web-based and onsite trainings, including joint sessions with both agencies. The project included a final report that will empower OWH to roll out a national training program.