FROST’D at Harlem United is the department in the Community Health Services Division that serves active and recovering injection and other drug users. We provide street-based harm reduction services including syringe exchange, overdose prevention, screening for HIV and hepatitis C, STI assessment, and referrals for drug treatment, medical care and other supportive services. We also provide office-based psychotherapy for people living with HIV/AIDS.

Services Provided:

• Harm Reduction education and counseling
• Syringe exchange
• Alcohol and other Drug (AOD) counseling
• Rapid HIV Testing
• Overdose Prevention Education and Counseling (narcan kits)
• Hepatitis C testing, education, counseling, and treatment referrals
• STI assessment and testing
• Recovery support, individual and group
• Mental health counseling
• Groups for HIV+
• Sex worker support and education
• Safe injection supplies/crack safety kits
• Safer sex materials
• Food pantry/snacks
• Referrals to substance use treatment, medical care, psychiatry, housing and other ancillary services

290 Lenox Avenue, Lower Level // East Side Clinic @ 179 East 11th Street

Monday through Friday 9:00 am to 5:00 pm, Saturdays 11:00 am to 4:30pm

Harm Reduction Program Hours at ADHC West Monday, Tuesday, Thursday, Friday from 5:00 pm to 7:00 pm (See end of description for more detail on Harm Reduction Hours)

For more information, please contact Karen Lerman at (212)924-3733 x 1277 or klerman@frostd.org

For information on field-based services, please call (212)924-3733

Harm Reduction Program Hours: 

Monday

• 10:30am-3pm—W. 22nd & Surf Ave (Coney Island, Brooklyn)
• 10am-2:30pm—Mt. Hope & Jerome Ave (Bronx)

Tuesday

• 10am-4pm—123rd & Park Ave (Manhattan)
• 10.30am-3:00pm—Brighton 4th and Brightwater court (Brighton Beach)

Thursday

• 10:30am-3:30pm—Classon Ave & Fulton St (Bedstuy, Brooklyn)
• 10:30am-3pm—W. 22nd & Surf Ave (Coney Island, Brooklyn)

Friday

• 8:00am -3:00pm—E. Tremont between 3rd Ave & Cross Bronx Expwy (Bronx)
• 10am-1pm—164th St & Prospect  Ave (Bronx)

Saturday

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

Note: underlined times reflect syringe exchange schedule; other harm reduction services provided at the two additional sites.

The H4RP program conducts outreach and services to clients at primarily street-based locations, seeking to engage HIV+ substance users (including those in stages of recovery with the potential for relapse) into a variety of harm reduction, recovery readiness and relapse prevention interventions, including counseling and testing for HIV for potentially eligible clients. The interventions provided include counseling and testing for HIV, individual and group alcohol and other drug (AOD) education and counseling, individual low-threshold AOD counseling and education, screening, assessment and referrals for STIs and drug treatment (including SEP and other harm reduction efforts), individual overdose prevention training, and referrals to substance abuse treatment, medical care, and other ancillary services. The program is geared toward lessening the incidence of HIV and other blood borne diseases among hard to engage individuals, assertively assisting referral and maintenance in health care and other services, and documenting access and maintenance in care. Specific target populations include people living with and at risk for HIV/AIDS, current and former substance users and injection drug users (IDUs), sex workers, the homeless, men who have sex with men (MSM), and the transgender community.

Services Provided:

• Harm Reduction education and counseling
• Alcohol and other Drug (AOD) counseling
• Rapid HIV Testing
• Overdose Prevention Education and Counseling (narcan kits)
• Hepatitis C testing, education, counseling, and treatment referrals
• STI assessment and testing
• Groups for HIV+
• Sex worker support and education
• Safer sex materials
• Food pantry/snacks
• Referrals to substance use treatment, medical care, psychiatry, housing and other ancillary services

NOTE: The SEP and H4RP programs are integrated programs that work in tandem with one another to provide an expanded scope of harm reduction programming

Recovery Support Services (RSS) offers pre-and post-treatment services to complement participants’ journey towards or sustainment of recovery. As such, participants may enter the program at any given level of readiness towards effecting behavior change. Many participants are just beginning to think about changing their substance using habits, while others have successfully emerged from treatment and are looking for assistance in maintaining their recovery. RSS is set up to offer a menu of services to participants, all of which are targeted to meet individuals where they are in their stage of change. This program is unique in that it offers a strong holistic component, including yoga and meditation training and auricular acupuncture.. Such holistic components support clients in their path towards recovery. To this end, staff honors the mind, body, and spirit of program participants and understand the importance of incorporating holistic components into more traditional frameworks of substance abuse pre-and post-treatment. 

Services Provided:

• Recovery support, individual and group
• Mental health counseling
• Peer Recovery Coaching
• Referrals to substance use treatment, medical care, psychiatry, housing and other ancillary services

The Ryan White Mental Health (RWMH) program offers mental health counseling to HIV positive individuals, couples, and families in a private office setting. This confidential harm reduction psychotherapy is supportive and non-judgmental and clients set the agenda for what they wish to discuss. There are no barriers to service; clients do not have to have private insurance or Medicaid. Clients come from all five boroughs and can access the services whether or not they belong to any other internal or external program. Medicaid is not billed so services are not duplicative with any other Medicaid or other insurance-funded care. Referrals are accepted from anyone wishing to refer, and clients are welcome to call on their own for a consultation. Clinician is also available to make home and hospital visits.

Services Provided:

• Mental health counseling

• Referrals to substance use treatment, medical care, psychiatry, housing and other ancillary services

By offering appropriate services for active injection drug users, the Syringe Exchange Program addresses the changing needs of these individuals as they work towards improved health. The program provides participants with access to a full range of sterile injection materials that reduce the risk of both blood borne virus transmission and bacterial infection, as well as safe means of disposal for used materials. Services are provided to six neighborhoods in three boroughs by two mobile units at set times and locations (see previous page). In addition to sterile injection materials, the program offers a wide range of health education and promotion services designed to meet the needs of injection drug users in the neighborhoods we serve. These services include individual risk reduction assessments and counseling sessions, overdose prevention trainings and naloxone distribution, buprenorphine education, referrals, safer sex materials and education, and HIV, Hepatitis C and STI testing.

Services Provided:

• Syringe Exchange
• Harm Reduction education and counseling
• Alcohol and other Drug (AOD) counseling
• Rapid HIV Testing
• Overdose Prevention Education and Counseling (narcan kits)
• Hepatitis C testing, education, counseling, and treatment referrals
• STI assessment and testing
• Sex worker support and education
• Safe injection supplies/crack safety kits
• Safer sex materials
• Food pantry/snacks
• Referrals to substance use treatment, medical care, psychiatry, housing and other ancillary services

The Vocational Education Program, located at 289 St. Nicholas Avenue, is designed to assist HATSS clients interested in employment and/or pursuing their education with free vocational and educational counseling, support, training, and information and referrals to external vocational or educational programs, in order to help them meet their goals and achieve a higher level of functioning and independence. 

Services Provided (in English and Spanish):

Support

• Weekly vocational and educational case management/counseling
• Weekly support groups
• Client Advocacy through case conferences, escorts to external providers, etc.

Skills Building

• Computer training labs
• GED prep classes
• ESOL (English for Speakers of Other Languages)
• Assistance with resume and cover letter writing
• Job interviewing skills
• Filling out job applications
• Searching for jobs on the internet
• Overcoming barriers to employment and keeping employment (e.g. time management, conflict resolution and other professional development skills)

Opportunities

• Stipend positions in administration, maintenance, and as peer specialists
• Job placement and tracking
• Referrals for external GED, ESOL, ACCESS-VR, other specialized vocational training programs, literacy programs, and college

A collaborative of 4 organizations led by Harlem United, including Washington Heights CORNER Project, National Black Leadership Commission on AIDS, and Dominican Women's Development Center.

• WILLOW (Multi-Session targeting HIV+ Women)
• SHIELD (Multi-Session targeting active and former Female Drug Users)
• Voices/Voces (One Session targeting high-risk individuals on condom negotiation skills)
• Safety Counts (Multi-session targeting active substance users)
• Volunteer Program
• Peer Education Training and Service

David Lopez, Managing Director
212-289-2378 ext 279
dlopez@harlemunited.org
www.uptownhealthlink.org

Addresses the changing needs of these individuals as they work towards improved health. Developed as a harm reduction initiative aimed at limiting the spread of HIV and Hepatitis C among injection drug users, the effectiveness and cost-effectiveness of syringe exchange programs for reducing HIV infection and risk behaviors among injection drug users has been well established. The program provides participants with access to a full range of sterile injection materials that reduce the risk of both blood borne virus transmission and bacterial infection, as well as safe means of disposal for used materials.

Services are provided to six neighborhoods in three boroughs by two mobile units at set times and locations. In addition to sterile injection materials, we offer a wide range of health education and promotion services designed to meet the needs of injection drug users in the neighborhoods we serve.

These services include individual risk reduction assessments and counseling sessions, overdose prevention trainings, buprenorphine education, mental health counseling, referrals, safer sex materials and education, and HIV and Hepatitis C testing. We work with participants to move them towards improved health one step at a time.

available via Peer Delivered Syringe Exchange (PDSE) on Mondays from 9-2 and Fridays from 11-4.

SEP/Harm Reduction Schedule (*SEP sites)

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)

Karen Lerman, Managing Director
212-924-3733 x 277
klerman@frostd.org
www.frostd.org

Offers pre-and post-treatment services to complement participants' journey towards or sustainment of recovery. As such, participants may enter the program at any level of readiness towards effecting behavior change. Many participants are just beginning to think about changing their substance using habits, (and are thus in the pre-contemplative or contemplative stages in the stages of change model), while others have successfully emerged from treatment and are looking for assistance in maintaining their recovery (and are in the maintenance stage of the continuum).

Our program is set up to offer a full menu of services to participants, targeted to meet them wherever they are in their stage of change. To this end, the program is cyclical, as opposed to linear. We understand that relapse is a natural part of recovery, as is fluctuation through the cycle of recovery, readiness and recovery.

This program is unique in that it offers a strong holistic component, including yoga and meditation training, auricular acupuncture, and reiki energy work. Such holistic components support clients in their path towards recovery. Staff honor the mind, body, and spirit of program participants and understand the importance of incorporating holistic components into more traditional frameworks of substance abuse pre-and post-treatment.

All programs offer referrals to medical, dental, substance use treatment, and other ancillary services.

Karen Lerman, Managing Director
212-924-3733 x 277
klerman@frostd.org
www.frostd.org

H4RP program conducts outreach and services to clients at street-based locations, seeking to engage HIV+ substance users (including those in stages of recovery with the potential for relapse) into a variety of harm reduction, recovery readiness and relapse prevention interventions, including counseling and testing for HIV for potentially eligible clients. Many of our clients suffer from substance abuse, mental illness and other disorders, and live in emergency and transitional housing in large part due to these illnesses.

The interventions provided include counseling and testing for HIV, individual and group alcohol and other drug (AOD) education and counseling, individual low-threshold AOD counseling and education, screening, assessment and referrals for STIs and drug treatment (including SEP and other harm reduction efforts), individual overdose prevention training, crisis intervention, escort, and referrals.

The program is geared toward lessening the incidence of HIV and other blood-borne diseases among hard to engage individuals, assertively assisting referral and maintenance in health care and other services, and documenting access and maintenance in care. Specific target populations include people living with and at risk for HIV/AIDS, current and former substance users and injection drug users (IDUs), sex workers, the homeless, men who have sex with men (MSM), and the transgender community.

All programs offer referrals to medical, dental, substance use treatment, and other ancillary services.

Karen Lerman, Managing Director
212-924-3733 x 277
klerman@frostd.org www.frostd.org

Harlem United provides free educational presentations to the community. If your group (church group, school, community group, etc.) would like an educational presentation on HIV, STIs, Viral Hepatitis, Stigma Reduction (LGBT-focused) please contact us to schedule.

David Lopez, Managing Director
212-289-2378 ext 279
dlopez@harlemunited.org

Peer Training Programs (for people living with or affected by HIV, substance use and Hepatitis C), a 5 week program offered in English and French (for West African immigrants). Graduates of the peer training program conduct outreach, education, patient navigation and recovery support.

• WILLOW: a 4 week 4 -session training for HIV-positive women. Women who complete this training feel empowered, take control of their health,
• SHIELD: a 3 Week 6 session training for women with history of substance use and their drug using partners. Participants who complete this training receive harm and risk reduction strategies to decrease their risk for HIV and other STI infections.

David Lopez, Managing Director
212-289-2378 ext 279
dlopez@harlemunited.org

Services Provided:

• Supportive Case Management (for 30-90 days)
• Intake/Needs Assessment
• Service Planning
• Supportive Counseling
• Substance Use Counseling
• Health Education/Risk Reduction Planning
• Reassessments
• Referral Management
• Escorts to Medical Appointments, Mental Health, Housing and all other appointments
• Patient Navigation
• Re-engagement Activities
• Health Care Advocacy
• Escorts to Medical Appointments
• Supportive Services
• Housing Placement Education and Assistance (individual and groups)
• Housing Advocacy
• Entitlements Assistance (individual and groups)
• Entitlements Advocacy
• Enrollment into ADAP/APIC/Health Coverage
• Treatment Adherence Education and Counseling (individual and groups)
• Treatment Adherence Advocacy
• Other types of advocacy including but not limited to child care and legal issues
• Mental Health Counseling (individual, couples, and groups)
• Psychosocial Assessments and Counseling
• Referrals to Psychiatric and Additional Mental Health Services
• Support Groups (English, Spanish & French)

290 Lenox Avenue, Lower Level / East Side Clinic @ 179 East 116th St. / West Side Clinic @ 123-125 East 124th St.

Monday through Friday 9:00 am to 5:00 pm For more information, please contact ATC at (212)289-2378.