The RWHAP Best Practices Compilation gathers and disseminates interventions that improve outcomes along the HIV care continuum. Explore the Compilation to find inspiration and new ideas for improving the care of people with HIV. Learn more about the Best Practices Compilation and submit your innovation today for possible inclusion.
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The Tobacco Use Reduction in People Living with HIV Project was initiated in 2015 by the Michigan Department of Health & Human Services' Tobacco Section. Tobacco cessation services were integrated into the clinical care delivered at various AIDS Service Organizations, and also offered outside of regularly scheduled medical appointments, such as during support groups and educational classes. The percentage of people with HIV who reported using tobacco products saw a statistically significant reduction from 2015 to 2017.
Emerging Intervention
People with HIV
Beyond the care continuum
Support service delivery model
MI
The intervention integrated supportive employment services, housing services, and HIV care for clients receiving case management services and with unmet housing and employment needs. Evaluation of the program showed improvements in employment rates, participant confidence in being able to hold onto a job, household median income, participants’ living situations, and self-perception of homelessness status.
Emerging Intervention
People who are unstably housed
Beyond the care continuum
Support service delivery model; Data utilization approach
Paterson, NJ
+LOVE is an integrated case management intervention with behavioral health and crisis support to enhance and improve HIV care and outcomes for Black gay, bisexual, and other men who have sex with men. An evaluation of +LOVE showed improvements in retention in care.
Evidence-Informed Intervention
Black gay and bisexual men; Black/African American people; Gay, bisexual, and other men who have sex with men (MSM)
Retention in HIV medical care; Beyond the care continuum
Support service delivery model; Use of technology and mobile health
New Orleans, LA
HHOME offers mobile HIV primary care, behavioral health care, and connection to housing services to people with HIV experiencing homelessness. A centralized HHOME team acts as a hub to meet clients where they are, refer them to housing and support services, and provide ongoing case management and HIV primary care services. Clients participating in HHOME experienced increased retention in care, viral suppression, and connection to stable housing.
Evidence-Informed Intervention
People who are unstably housed; People with substance use disorder; People with diagnosed mental illness
Retention in HIV medical care; Viral suppression; Beyond the care continuum
Clinical service delivery model; Support service delivery model
San Francisco, CA
Project Vogue provided community-based care coordination, HIV care, and behavioral health services to Black men who have sex with men (MSM) within New York City’s House & Ball community to address the unique cultural barriers that Black MSM experience when trying to access care. Project Vogue participants were linked to behavioral health services as well as to non-clinical supportive services, such as food and housing assistance.
Emerging Intervention
Black/African American people; Black gay and bisexual men
Beyond the care continuum
Outreach and reengagement activities; Support service delivery model
New York City, NY
This intervention to rapidly re-house people with HIV was implemented at multiple New York City shelters and was associated with significant improvements in viral suppression.
Evidence-Based Intervention
People who are unstably housed
Viral suppression; Beyond the care continuum
Support service delivery model
New York, NY
The RWHAP Part F SPNS program funded the Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations initiative from 2012–2017, to provide coordinated housing supports and HIV, behavioral and mental health care to people experiencing homelessness. Nine funded demonstration sites created partnerships with housing providers, integrated behavioral health and HIV care, and provided intensive patient navigator services. A multi-demonstration site evaluation found that, compared to baseline, participants were more likely to be virally suppressed after 12 months in the intervention.
Evidence-Based Intervention
People who are unstably housed
Retention in HIV medical care; Prescription of antiretroviral therapy; Viral suppression; Beyond the care continuum
Support service delivery model
Pasadena, San Diego County, San Francisco, CA
New Haven, CT
Jacksonville, FL
Cumberland, Hoke, Harnett, Johnston, and Sampson Counties, NC
Multnomah County, OR
Dallas and Harris Counties, TX
This referral-based oral health model used dental navigators to connect clients to a large network of dentists, which facilitated scheduling of appointments.
Emerging Intervention
All clients
Beyond the care continuum
Support service delivery model
Seattle, WA
Avenue 360 Health and Wellness, a Federally Qualified Health Center, and AIDS Foundation Houston, a community-based AIDS Service Organization, implemented Project CORE. This intervention aimed to improve health outcomes for people with HIV through the coordination of supportive employment and housing services. Through Project CORE, 39% of participants were placed in housing and 39% gained employment.
Emerging Intervention
People who are unstably housed
Linkage to HIV medical care; Beyond the care continuum
Support service delivery model
Houston, TX
Yale Community Health Care Van and Clinic, and Liberty Community Services, Inc., empowered clients to set and achieve employment and housing goals, as well as strengthened the ability of community-based organizations to provide related services. This initiative known as Project HERO was implemented between 2017 and 2020 as part of the HIV, Housing, and Employment SPNS initiative.
Emerging Intervention
People who are unstably housed
Retention in HIV medical care; Beyond the care continuum
Support service delivery model
New Haven, CT