Harlem United provides comprehensive, quality Primary Care services to our most vulnerable populations.  Our patients often have multiple diagnoses such as HIV, mental illness, substance use and chronic illnesses such as Hepatitis C and Hypertension. Our team strives to provide sensitive, compassionate, integrated care in a professional atmosphere. Upper Room AIDS Ministry was awarded a Healthcare for the Homeless Grant by HRSA effective May 2010. The grant allows us to expand our mission and serve clients who are both HIV positive and negative. The services provided are primary care, dental care, psychiatry and supportive case management. Recently, the name of the program was changed to Holistic Community Healthcare due to the merger HCH and Treatment for the Homeless merger. As a result, clients can also receive substance use pre-treatment services. The El Faro Center on East 116^th Street, which is fully staffed with bilingual Spanish/English-speaking staff. 

Services Include:

• Comprehensive Primary Care Services
• HIV specialist care
• Women’s Health
• Psychiatry
• Psychotherapy
• Care Coordination
• Directly observed therapy program (DOT) for greater adherence assistance
• Adherence counseling
• Prevention with positives counseling with medical providers
• Referrals to outside specialty services
• Nursing education
• Amida Care enrollment
• Amida Care mental health specialist
• Hypertensive care
• Diabetes management
• Hepatitis C counseling and treatment
• Referrals to outside specialty services

Building Bridges provides mental health services to PLWHA with mental illness or substance abuse disorders in order to increase their level of functioning and reduce various barriers to access and engagement in HIV primary medical care. The ultimate goal is to promote optimal health outcomes, thus facilitating clients’ overall well-being and quality of life from a holistic approach.

Services Provided:

• Individual counseling
• Couples counseling
• Family counseling
• Support and education groups
• Home visits (to provide individual, couple, or family mental health counseling) are available to clients who are home-bound 

Adult Day Health Care Center West is a multi-service program designed to enable people living with HIV/AIDS to live healthier, longer, more independent lives. We address clients’ issues within a community that is responsive and caring and thus postpones or obviates the need for long-term hospitalization or residential health care. The goals of the ADHCs include the elimination of barriers to care, improvement in treatment adherence, and reduced hospitalizations. Our team strives to provide sensitive, compassionate, integrated care in a professional atmosphere. The AHDCs provide a community for traditionally marginalized individuals with minimal bio psychosocial supports outside of the ADHC Programs. The Adult Day Health Care model is premised on the hypothesis that it can level the playing field and render HIV treatment for our clients as effectively as treatment delivered to the general population. This is achieved by keeping our clients as healthy as possible while they are living in independent settings.

The goals of the ADHCs include the elimination of barriers to care, improvement in treatment adherence, and reduced hospitalizations. Our team strives to provide sensitive, compassionate, integrated care in a professional atmosphere. The AHDCs provide a community for traditionally marginalized individuals with minimal bio psychosocial supports outside of the ADHC Programs. The Adult Day Health Care model is premised on the hypothesis that it can level the playing field and render HIV treatment for our clients as effectively as treatment delivered to the general population. This is achieved by keeping our clients as healthy as possible while they are living in independent settings.

Services Provided:

• HIV general medical services
• Nursing services
• Sick call visits
• Case management services
• Food and Nutrition services
• Social services (housing, legal, family support, etc.)
• Counseling for HIV risk reduction
• Directly observed therapy program (DOT) for greater adherence assistance
• Harm reduction services
• Referrals for dental services and sub-specialty care including GYN care
• Mental health and psychiatric services
• Pastoral counseling for any client requesting such services

El Faro is a multi-service programs designed to enable people living with HIV/AIDS to live healthier, longer, more independent lives. We address clients’ issues within a community that is responsive and caring and thus postpones or obviates the need for long-term hospitalization or residential health care.

The goals of the ADHCs include the elimination of barriers to care, improvement in treatment adherence, and reduced hospitalizations. Our team strives to provide sensitive, compassionate, integrated care in a professional atmosphere. The AHDCs provide a community for traditionally marginalized individuals with minimal bio psychosocial supports outside of the ADHC Programs. The Adult Day Health Care model is premised on the hypothesis that it can level the playing field and render HIV treatment for our clients as effectively as treatment delivered to the general population. This is achieved by keeping our clients as healthy as possible while they are living in independent settings.

Services Provided:

• The Adult Day Health Care Program provides a comprehensive range of services in a community-based, non-institutional setting. General medical care including treatment adherence support, nursing care, rehabilitative services, nutritional services, case management, HIV risk reduction, substance abuse, and mental health services are among the services provided. El Faro is a bilingual program available to members that are Spanish speaking.

• HIV general medical services
• Nursing services
• Sick call visits
• Case management services
• Art Therapy
• Support groups
• Food and Nutrition services
• Social services (housing, legal, family support, etc.)
• Counseling for HIV risk reduction
• Directly observed therapy program (DOT) for greater adherence assistance
• Harm reduction services
• Referrals for dental services and sub-specialty care including GYN care
• Mental health and psychiatric services
• Pastoral counseling for any client requesting such services

Our dental clinic was created in response to our clients’ need for quality dental care. (Good dental care is key to maintaining the health of people with HIV/AIDS.) Our clients requested a full-service dental clinic that was easy to access for historically underserved and special needs population. In August 2003, through a partnership with Columbia University, Harlem United opened a state-of-the-art dental facility which offers a variety of comprehensive services, including the following:

Services Provided:

• Diagnostic X-rays and Exams
• Preventive Care (cleanings and oral hygiene instruction)
• Emergency Care (treatment of acute pain and swelling)
• Restorations (fillings)
• Endodontics (root canals utilizing newest techniques)
• Prosthodontics (fixed and removable dentures)
• Periodontics (gum treatment)
• Oral Surgery (extractions)
• Referrals to Outside Specialists for Complex Surgical Procedures

The COBRA Community Follow-Up Program (COBRA) is an expansion of the scope of AIDS-related services offered at Harlem United. COBRA provides comprehensive family-centered intensive case management services, including home visitation and advocacy in the community, for adults living with HIV/AIDS. The goals of COBRA are to increase access to HIV-related services and medical care, prevent or delay institutionalization including hospitalization, and foster independence and self-sufficiency for clients. COBRA also provides services to clients' children up to age three.

• Intensive case management
• Access to HIV and STD information, counseling, and testing
• Access to social, mental health, or substance use services to prevent or delay institutionalization or hospitalization
• Continuity of healthcare and appropriate follow-up
• Access to social services to enhance client independence and self-sufficiency
• Access to appropriate additional services to support the client and his/her family
• Coordination among service providers to eliminate duplication of services

Anusky Mojica, Managing Director
212-860-0820 ext. 2655
amojica@harlemunited.org

Harlem United has three mental health programs providing a wide range of services for persons living with HIV/AIDS.

Building Bridges is funded as a performance-based contract by Public Health Solutions, and is designed to provide mental health services to PLWHA with mental illness or substance abuse disorders in order to increase their level of functioning and reduce various barriers to access and engagement in HIV primary medical care. The ultimate goal is to promote optimal health outcomes, thus facilitating clients' overall well-being and quality of life

The Enhanced Mental Health II program provides individual psychotherapy to clients in need of long-term treatment. This program works in collaboration with the medical clinics at the Willis Green Health Center and the El Faro Center and is funded by the AIDS Institute.

The Mobile Mental Health program is funded by SAMHSA. It provides high-quality culturally competent, mental health services to HIV/AIDS clients who are dually or triply diagnosed. Therapy is conducted in traditional and non-traditional settings in the form of crisis/brief interventions, short-term (three months) and long-term (six months) therapy, and therapeutic groups. In order to be eligible, clients must manifest symptoms of mental health decompensation, such as isolating shifts in mood, agitation, anxiety, sadness, nervousness, sleep disturbances, suicidal thoughts or expressions, difficulty concentrating, coping with change, relationship/family conflicts, physical and/or sexual abuse and reports of domestic violence.

• Individual counseling
• Couples counseling
• Family counseling
• Brief Psychotherapy
• Support and education groups
• Medication Management
• Mental Health and Substance Abuse/Use Assessments
• Crisis Intervention
• Treatment Adherence
• Risk Reduction Education
• Initial and 6 Month Reassessment (NOMS)
• Spanish speaking counseling is available

Toby Mailman

tmailman@harlemunited.org

The Food and Nutrition Program provides comprehensive food and nutrition services including initial and on-going assessments, appropriate interventions and on-going monitoring to PLWHA. Services include individual- and group-level nutritional education, congregate meals, and pantry bags. Nutritional education provides clients with strategies for improving their nutrition based on their health status, life skills and other mediating factors.

Services Provided:
• Congregate meals
• Pantry bags
• Nutrition services
• Linkage to primary care
• Pantry bags provided to dependent children under the age of 18, living with the index client

Willis Green Health Center (West Side), 123-125 West 124th Street, 1st Floor Monday through Friday 5:00 pm to 7:00 pm

Health Homes, 104-106 East 126th Street, 3rd Floor Monday & Wednesday 9:00 am to 2:00 pm, Friday 12:00 pm to 4:00 pm

For more information, please contact Lauren Fales at (212)316-7045 or lfales@harlemunited.org

If further assistance is needed, please contact Kevin Rente at (212)803-2850 x2891 or krente@harlemunited.org

The Harm Reduction/Recovery Readiness and Relapse Prevention Program (H4RP) serves people living with HIV/AIDS, as well as people who are HIV negative, all of whom struggle with chronic substance use, high risk behavior, homelessness and poverty. Services are generally designed for clients who are in preparation, action and maintenance, or relapse stages of recovery.

• Individual and group Harm Reduction counseling on sexual risk reduction, IDU risk reduction, HIV and/or Hepatitis C secondary prevention, etc
• Screening and referral for substance use treatment (e.g. buprenorphine treatment, Methadone, detox, residential rehab, SEP's)
• Medical treatment plan adherence
• Expanded Syringe Access Program (ESAP)
• Other referrals to community-based services as needed

MONDAY

• 10:30am-3pm—W. 22nd & Surf Ave (Coney Island, Brooklyn)
• 10am-4pm—Mt. Hope & Jerome Ave (Bronx)

TUESDAY

• 10am-4pm—123rd & Park Ave (Manhattan)
• 10am-3:30pm—Classon Ave & Fulton St (Bed Stuyvesant , Brooklyn)

THURSDAY

• 10am-12pm—Classon Ave & Fulton St (Bed Stuyvesant, Brooklyn)
• 10:30am-3pm—W. 22nd & Surf Ave (Coney Island, Brooklyn)
• 1—3:30pm—South 5th St & Marcy Ave (Williamsburg, Brooklyn)

FRIDAY

• 8:00am-4:00pm—E. Tremont between 3rd Ave & Cross Bronx Expressway (Bronx)
• 10am-4pm—164th St & Prospect Ave (Bronx)

SATURDAY

• 11-4:30PM—South 5th St & Marcy Ave (Williamsburg, Brooklyn)

Victoria Washington, Program Director
212-531-1300 ext. 2430
vwashington@harlemunited.org

The Testing Services Department aims to identify and test at-risk populations in Upper Manhattan and the South Bronx for HIV, STIs and hepatitis C. The Testing Department offers both initial, rapid testing and follow-up confirmatory tests for HIV. We have trained phlebotomists to draw blood for STI and hepatitis C screening.  We employ a variety of recruitment strategies to get people tested; including alternative venues, targeted outreach, and social networks.  Testing services targets multiple populations (high-risk heterosexuals, high-risk and HIV-positive women of color, active substance users and LGBT) through New York City, New York State and CDC-Federal contracts.

Services Provided:

• Rapid HIV/HCV Testing
• Syphilis, Gonorrhea and Chlamydia blood testing
• Confirmatory HIV/HCV Testing
• Vaccinations for HAV/HBV
• Peer Training Program
• CDC based Evidence Based interventions for HIV + and High Risk Negative Women
• WILLOW/SHIELD/VOCES,VOICES
• Social Networks
• Expanded Syringe Access Program
• Overdose Prevention
• Comprehensive Risk Counseling Services
• Referral and connection to drug treatment programs
• Referral and connection to support services programs
• Mobile based testing
• Volunteer and Internship Program