**WISDOM FROM THE FIELD: WORKING WITH THE RE-ENTRY POPULATION**

**FACT SHEET: LAKEVIEW CENTER, INC.**

I.  **Organization History:**

Lakeview Center, Inc. (LCI) is a not-for-profit organization that began
54 years ago, (1954) as a small guidance clinic (Escambia County Child
Guidance Clinic). Since then, LCI has substantially expanded to become
one of the first comprehensive community mental health centers in the
southeastern region of the United States. Today, LCI is a comprehensive
community behavioral health center that provides nearly 600,000 services
annually to approximately 24,000 people and employment for over 2,200
staff. The Behavioral Health Services (BHS) division was added to LCI in
the early 1970s. BHS services include: Adult residential substance abuse
(S/A) treatment (ART); DUI School; Medically supervised residential
detoxification unit; Outpatient S/A treatment; Methadone programs;
24-hour telephone Crisis Counseling Service; Avalon Center
(multi-service facility, Santa Rosa Co.); Day/night treatment (including
co-occurring disorders); Drug Court Programs; Families First Network
(FFN, protective services), Strengthening Families (EBI S/A prevention)
Program (funded by Drug Free Communities, Office of the Governor), and
several other substance abuse and mental health programs.

The Specialty Services Department (SSD) is a component of the LCI's
Behavioral Health Services division. SSD is the component which oversees
the SAMHSA/CSAP funded Minority S/A-HIV-Hepatitis SPF (SHAPE) program.

II. **Program Overview:**

The **SHAPE** (**S**ubstance-abuse, **H**IV/Hepatitis **A**ssessment &
**P**revention **E**ducation) **Program** was developed in relation to
the risk and protective theory of prevention, for substance abuse and
health related behaviors. Each individual is exposed to risk and
protective factors for substance abuse and health related behaviors in
the domains of individual, family, peer, school, community and society.
Evidence based interventions (VOICES/HIV Education, *Say It Straight* &
Liver Wellness/Hepatitis 101) are utilized to provide program
participants with the tools to aid them in preventing or reducing
problem behaviors. The program also recognizes that individuals are at
various stages of readiness for change. Each intervention is designed to
reach the individual at these various levels and a motivational
enhancement approach is utilized in working with the program's target
populations (Minority Adults and Re-entry Minority Adults).

Services provided by SHAPE include the provision of: Evidence-based
prevention interventions (noted above); Free rapid HIV testing &
development of individualized risk-reduction plans (for intervention
participants & the community at-large); Linkage to: Hepatitis testing &
treatment services, substance abuse treatment programs and HIV primary
care programs; and Community education and awareness campaigns.

Program implementation was conducted in alignment with SPF guiding
principles. The area needs assessment (conducted by contracted
assessment consultants) was utilized to guide the selection and
implementation of the (above noted) evidence based interventions. A
work-plan with timeline for program implementation was completed with
assigned tasks, due dates, specified activities for task completion and
responsible parties. The University of Miami (TPEG) was contracted as
the evaluation consultant for the program prior to implementation. UM
conducts quarterly monitoring visits and provide written quarterly
evaluations.

III. **Highlights and Lessons Learned:**

**Highlights**

-   The SHAPE Program is the sole provider of *rapid* HIV testing
    services in a three county area.

-   Rapid HIV testing has been provided for 450+ persons in the 2 years
    since implementation began.

-   Reached 101% of target baseline for educational interventions.

-   Maintaining an 87% retention rate (baseline to exit).

**Lessons Learned**

-   A wide array of input in tool development (assessment) is incredibly
    beneficial.

-   Community assessments should strive to differentiate between
    respondent *interest* in educational services and their *intent to
    access* those services.

-   Incentives are extremely helpful in increasing completion rates for
    6 month prevention follow-ups.

-   A significant percentage of the community knows very little about
    the liver, in general, and even less about Hepatitis specifically.

-   Providing [rapid]{.underline} HIV testing greatly increases testing
    numbers.

-   Combining risk reduction planning with rapid testing decreases risk
    behaviors.

-   Associating HIV risks with Hepatitis risks during HIV testing
    increases numbers accessing Hepatitis screening.

-   Incentives are necessary to interest participants in showing up for
    multiple health-related education sessions (note: *knowledge* alone
    is not enough). However, the definition of "incentive" varies
    depending on the audience.

IV. **Contact Information:**

+--------------+---------------------------+---------------------------+
| Project      | Irvin J. Williams, Ph.D., | 1221 W. Lakeview Ave.,    |
| Director:    | CAP                       | Bldg. H                   |
|              |                           |                           |
|              | Vice President Diversity  | Pensacola, FL 32501       |
|              |                           |                           |
|              | > Director Specialty      | Office: (850) 469-3552    |
|              | > Services                |                           |
|              |                           | Fax: (850) 595-1420       |
+--------------+---------------------------+---------------------------+
| Project      | Cindy C. McLaughlin,      | 6425 N. Pensacola Blvd.   |
| Coordinator: |                           |                           |
|              | MPA, CAPP, IHPLF          | Bldg. 1, Suite 5          |
|              |                           |                           |
|              | Special Programs          | Pensacola, FL 32505       |
|              | Coordinator               |                           |
|              |                           | Office: (850) 494-7171    |
|              |                           |                           |
|              |                           | Fax: (850) 494-7174       |
+--------------+---------------------------+---------------------------+