1. IDUHA Hepatitis C Peer Navigation Program Brooklyn Hep C Task Force Meeting Brooklyn Borough Hall March 9, 2016 Viral Hepatitis Surveillance, Prevention & Control NYC Department of Health Nirah Johnson, LMSW, Program Manager njohnso2@health.nyc.govnjohnso2@health.nyc.gov Diana Diaz Muñoz, MPH, Program Coordinator ddiazmunoz@health.nyc.govddiazmunoz@health.nyc.gov

2. Statement of Need NYC Department of Health estimates 146, 000 people are living with chronic hepatitis C (Hep C) in New York City People with history of injection drug use are at highest risk of Hep C infection Direct request from peer navigators of the Hep C Testing and Linkage to Care Health Alliance Increase and support staffing to focus on Hep C services and care One program dedicated fully to linkage to Hep C Care

3. Program Overview Goals: Prevent new infections Get people living with Hep C into medical care  cure! Eligibility: People at risk of Hep C infection or re-infection People living with Hep C (RNA+) Implementation: Funded by NYC Council FY2015 and FY2016 15 NYC Syringe Exchange/Harm Reduction Programs 2 Peer Navigators per site Appointed Harm Reduction Coalition to provide monthly Peer Navigation training and assistance

4. Organizations Involved 1.After Hours Project 2.AIDS Center for Queens County 3.Boom! Health 4.Community Health Action of Staten Island 5.Family Services Network of New York Inc. 6.Harlem United 7.Housing Works 8.Lower East Side Harm Reduction Center 9.New York Harm Reduction Educators 10.Positive Health Project 11.Praxis Housing Initiatives 12.Safe Horizon Streetwork Project 13.St. Ann’s Corner of Harm Reduction 14.VOCAL-NY 15.Washington Heights CORNER Project

5. Peer Navigation Services Outreach & Health Coaching Linkage to Medical Care & Accompaniment Peers work with supervisor to link Hep C positive patients into appropriate medical care. Peers accompany patients to Hep C testing, test results, and medical visit as needed. If patient falls out of care or services, Peers assist with return to care as needed.

6. Health Coaching

8. Linkage to Care

9. Participants can be referred to: Hepatitis C medical care programs providing quality services on-site or established MOU Check Hep C patient navigation Montefiore Harlem United BOOM!Health/HELP PSI After Hours/Community Health Care Network Bellevue Project INSPIRE care coordination Montefiore Mount Sinai HepCap: Hep C Care & Treatment for Uninsured (Free Care) Mount Sinai All programs can be found in Site Locator www.NYC.gov/health/sitelocator Text LIVER to 877 877 NYC Liver Health App (Free on iphone and Android)

10. Program Objectives Each site will enroll 100 people at risk or living with Hep C (1500 total) 100% of people enrolled will receive health coaching and prevention services 50% unknown Hep C status will be antibody tested 75% Hep C antibody positive will be RNA tested 75% Hep C RNA positive will attend a medical visit

11. Milestones FY2015: People enrolled 1,683 Received Hep C health promotion 100% Linked to harm reduction services 86% Participants who did not know their status and completed antibody testing 51% Antibody positive participants who completed RNA testing 45% Participants who tested RNA positive attended their Hep C medical visit 67% FY2016: People enrolled as of January 2016 731

12. Final Thoughts Peer navigators can find people at risk for Hep C and facilitate access to care To connect and collaborate with the Hep C Peer Navigation programs in Brooklyn, contact: Hector Quinones (After Hours Project) hquinones@afterhoursproject.org Paula Santiago (VOCAL-NY) paula@vocal-ny.org Fanta Capers (Family Services Network of New York) fcapers@fsnny.org Encourage City Council to fund these programs again next year!