HAWAII HEALTH & HARM REDUCTION CENTER

CLINICAL SERVICES: HHHRC'S CLINICAL SERVICES ARE OVERSEEN BY THE DEPUTY DIRECTOR OF CLINICAL SERVICES (1 FTE) AND ITS MEDICAL DIRECTOR (1 FTE). THESE SERVICES INCLUDE A NUMBER OF MEDICAL PERSONNEL, CASE MANAGERS, AND EMPLOYEES TO OPERATE. THE CARE TEAM PROVIDES SERVICES TO 641 PERSONS LIVING WITH HIV (PLWH) ON OAHU. PLWH ARE ASSISTED WITH LINKAGE TO MEDICAL PROVIDERS, ACCESS TO ANTIRETROVIRAL MEDICATION, APPLICATIONS FOR GENERAL ASSISTANCE, HOUSING REFERRALS, AND ACCESS TO FOOD. ADDITIONALLY, HHHRC'S IN-HOUSE CLINIC, MEDICAL MOBILE UNIT, AND STREET-BASED WOUND CARE PROGRAM SERVES OVER 1200 PATIENTS. HHHRC'S PREP PROGRAM SERVES OVER 300 PATIENTS. THESE SERVICES ARE AVAILABLE TO ALL CLIENTS OF THE AGENCY. HHHRC MEDICAL MOBILE UNIT (MMU) PROVIDED STI TESTING IN WOMEN OF CHILD BEARING AGE TO OUR HOUSELESS COMMUNITY IN REGION 1 (PUNAWAI REST STOP, KALIHI TRANSIT CENTER, SAND ISLAND, WOMEN'S IHS, THOMAS SQUARE, WAIANAE BOAT HARBOR). THE PURPOSE OF THIS TARGETED OUTREACH IS TO DECREASE THE RISK OF CONGENITAL SYPHILIS. THE MMU TEAM WHICH CONSISTS OF A NURSE PRACTITIONER, MEDICAL ASSISTANT AND A SEXUAL HEALTH NAVIGATOR PROVIDES FREE WOUND CARE SERVICE TO OUR HOUSELESS COMMUNITY AS A POINT OF ENGAGEMENT INTO TESTING AND TREATING FOR SEXUALLY TRANSMITTED DISEASES. A TOTAL OF 158 PEOPLE WERE SCREENED FOR STIS, 53% WERE TREATED FOR SYPHILIS, 44% WAS TREATED FOR CHLAMYDIA AND 23% WAS TREATED FOR GONORRHEA. HO'OKAHI LEO KAUHALE PROJECT IS A PROGRAM FOCUSED ON COMMUNAL HOUSING AND SUPPORT FOR INDIVIDUALS OVER THE AGE OF 18 AND COUPLES EXPERIENCING HOMELESSNESS. WE ARE CURRENTLY OPERATING PHASE OF 1 OF THE DEVELOPMENT WHICH HAS 19 SLEEPING UNITS THAT ARE OCCUPIED WITH 24 RESIDENTS INCLUDING 4 COUPLES. 1 UNIT IS AN ADA COMPLIANT UNIT. PHASE 2 WILL ADD IN 30 ADDITIONAL SLEEPING PODS WITH ELECTRICAL AND SEWAGE HOOK UPS. WE ARE PROJECTING PHASE 2 TO OPEN IN LATE SUMMER 2026.

PREVENTION SERVICES: HHHRC'S PREVENTION SERVICES ARE OVERSEEN BY THE DEPUTY DIRECTOR OF PROGRAMS. THESE SERVICES INCLUDE A NUMBER OF MANAGERS AND EMPLOYEES SPANNING 9 PROGRAMS. PREVENTION SERVICES INCLUDE BUT NOT LIMITED TO 1) THE STATEWIDE SYRINGE EXCHANGE PROGRAM THAT EXCHANGED OVER 484,112SYRINGES STATEWIDE, 2) HIV AND HEPATITIS C TESTING AND LINKAGE THAT ADMINISTERED 881 HIV AND HCV TESTS, AND 915 INDIVIDUALS SCREENED FOR STIS 3) THE OVERDOSE PREVENTION PROGRAM (OD2A PROJECT) WHICH TRAINED 1,530 INDIVIDUALS ON NALOXONE AND DISTRIBUTED OVER 4,565 DOSES OF NASAL NALOXONE, 4) THE SMOKING CESSATION PROGRAM WHICH SERVICED 672 CLIENTS, 5) GUIDE ON THE SIDE (GOTS) PROVIDED NAVIGATION AND LONG-TERM CASE MANAGEMENT SERVICES TO 124UNSHELTERED YOUTH EXPERIENCING HOUSELESSNESS AND 100 YOUTH WERE ENROLLED INTO SERVICES, 6) STATEWIDE HOUSING OUTREACH PROGRAM (SHOP) SERVED 950INDIVIDUALS AND ENROLLED 260 INDIVIDUALS INTO SERVICES, AND FOUND TRANSITIONAL/EMERGENCY/PERMANENT HOUSING TO 53 INDIVIDUALS, 8) THE KUA'ANA PROJECT'S TRANSGENDER SERVICES THAT ASSISTED WITH 53 NAME CHANGES, 258 LINKAGE TO HEALTHCARE, AND 9) BEHAVIORAL HEALTH ) PROGRAM SERVED 18 CLIENTS THAT ARE ON PAROLE OR PROBATION AND DIAGNOSED WITH A SUBSTANCE USE DISORDER AND/OR MENTAL HEALTH DIAGNOSIS.