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health habitus integration and motivational interviewing - a novel communication approach
The NYS Office of Mental Health, Division of Integrated Community Services for Children and Families, received a SAMHSA Systems of Care Expansion Grant in 2020 and partnered with CCASE to provide Health Habitus and Motivational Interviewing Training for High Fidelity Wraparound youth peer advocates, family peer advocates, and care managers. CCASE uses an innovative, theory-driven training approach that empowers the peer and care manger workforce, fosters youth and family engagement, heightens humility and self-awareness of trainees, and uses motivational interviewing strategies to help youth and families achieve their goals. More info, contact
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Innovative Spaces & Strategies: Pharmacy Opioid Treatment & Mental Health Services
Identifying more amenable service delivery for persons experiencing social and economic barriers to care is a priority for CCASE and a viable solution to disparties in access and engagement in behavioral health services. Using an implementation science approach to adapt and create new strategies to increase uptake of salient public health services including opoid overdose prevention, opioid treatment services, and mental health screening and linkage to services is underway through a partnership with Allure Specialty Pharmacy, Bronx NYC. More info, contact
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Linking underserved adults with opioid use disorder to treatment using telemedicine and collaborations with Black and Latinx pharmacists
The investigators are collaborating with Black and Latinx independent pharmacy staff to lower barriers to linkage to telemedicine-based buprenorphine treatment and HIV services access by evaluating in-pharmacy screening for opioid use disorder, HIV, and social determinants of health. Pharmacy staff screenings and on-premises tablet devices for individuals without mobile phone access are intended to lower barriers to accessing OUD services (i.e., low-threshold access to telemedicine-based buprenorphine treatment initiation, naloxone dispensation/ overdose prevention counseling) and HIV services access (i.e., HIV testing/ counseling, PrEP/PEP dispensation, HIV treatment re/initiation). Pharm-Link/VBC+ will also include public health-minded pharmacy staff trained in harm-reduction and social determinants of health-focused patient navigation (SDH-PN). Specialized SDH-PN will be based on a SDH checklist (e.g., referrals to food pantries, safe shelter/housing options, support groups, legal aid, public assistance) and pharmacy partnerships with community services staff. More info, contact
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Structural Adversity and Life-Course Social Determinants of Stress Regulation and Epigenetic Aging in Midlife Adults
Through a grant from the National Institute on Aging, this longitudinal research study explores how exposure to structural adversity in the form of stigma and discrimination, socioeconomic disadvantage, and ethnic-racial inequality over the life course affects stress regulation, epigenetic aging, and mental health in Black, Latinx, and white midlife adults. The study also explores resources and characteristics that may confer resilience in the context of adversity. More info, contact
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Tracking Disparities in Suicide & Overdose: Statewide Data Linked to Social Determinants
CCASE is currently analyzing NY Statewide Planning and Research Cooperative (SPARCS) data (years 2005-2017) to identify substance use and mental health indicators of suicide attempts, overdose attempts, and related mortality through linkage to vital records data. Trends by race/ethnicity will be explored and linked with aggregate social determinants data to provide social contextualized interpretation of identified trends in behavioral health mortality and morbidity. More info, contact
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Community Re-entry & Integration for Patients Discharged from a State-Operated Hospital
CCASE has partnered with an NYS Office of Mental Health hospital to examine individual, social, structural and system factors related to successes and challenges of hospital discharge and community integration. Using a mixed methods research design, CCASE launched a 3-phase study with Phase I currently underway with multilevel qualitative assessments completed and being analyzed. As our nation contends with COVID-19, Phase II will soon follow in 2021 which will include baseline survey assessments of discharged patients and 12-month follow-up. More info, contact
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Culturally Response Integrated Harm Reduction Services For Black and LatinX People Who Use Drugs
CCASE is partnering to test the effectiveness of an 8-week integrated Harm Reduction (HR) intervention on participant initiation and engagement of HR services among Black and Latinx People Who Use Drugs (PWUD), compared to services as usual in two mobile Community Harm Reduction Organizations, in Bronx, NYC and New Haven, CT. This integrated HR intervention will provide a care coordinator with lived experience to identify the vulnerabilities in the social determinants for Black and Latinx PWUD and connect them to local partnering organizations for housing, legal, and mental health/substance use treatment. If effective, this intervention could prove a valuable strategy in minimizing morbidity and mortality amongst Black and Latinx PWUD, two historically excluded groups known to be disproportionately affected by the drug overdose crisis, providing a pathway to fuller lives in the community. More info, contact
