Under Ryan White HIV/AIDS Program funding, substance abuse services (outpatient) are medical or other treatment and/or counseling to address substance abuse problems (i.e., alcohol and/or legal and illegal drugs) in an outpatient setting by a physician or under the supervision of a physician, or by other qualified personnel.
Best Practices
- SPNS Black MSM InitiativeResources to facilitate the replication or adaption of successful interventions for engaging Black MSM in HIV care.
- Center for Innovation and EngagementCollection of implementation guides on evidence-informed best practices in HIV care delivery.
- AIDS Action Foundation
Workbooks describing ways to help connect people living with HIV/AIDS to medical care. Estos cuadernos describen la manera de asistir a conectar personas que viven con VIH/SIDA con el sistema médico.
- IHIPIntervention to create a safe place for delivering stigma-free, trauma-informed and integrated HIV, addiction medicine and behavioral health services under a single roof.
- University of Texas Health, San Antonio, SPNS HCV Cure among People of Color with HIVSlides with summaries of the SPNS initiative, Curing Hepatitis C among People of Color Living with HIV including: evaluation questions; dissemination activities; and site reports.
- Center for Advancing Health Policy and Practice
Insights from a HRSA SPNS initiative on care coordinator/patient navigation interventions for vulnerable populations.
- HRSA HIV/AIDS Bureau (HAB)
Resources to assist Ryan White HIV/AIDS Program and other HIV clinics to integrate buprenorphine programs within primary care settings.
- HRSA HIV/AIDS Bureau (HAB)Highlights from projects that offer highly effective (and replicable) approaches to integrating buprenorphine-based medication-assisted treatment into HIV/AIDS primary care.
- Best Practices CompilationBuprenorphine Treatment for Opioid Use Disorder in HIV Primary Care is an integrated care approach designed to reduce opioid use and overdose while improving client engagement in HIV care. Greater Lawrence Family Health Center and Med Centro, Inc. implemented this integrated care approach as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017–2021. Clients who participated in this intervention received integrated care—treatment for opioid use disorder (OUD) and HIV in a single setting—to improve retention in care, viral suppression, and engagement in OUD treatment.
- Best Practices CompilationClínica Bienestar (Spanish for “Wellness Clinic”) was developed to provide comprehensive, integrated HIV primary care services to Spanish-speaking and bilingual people of Puerto Rican ancestry, with HIV who inject drugs. Clínica Bienestar is a multilevel, multipronged intervention combining evidence-based practices in behavioral health and HIV medical care with a transnational approach to care. Clínica Bienestar positively impacted retention in HIV medical care and viral suppression.
- Evidence-Informed Interventions (E2i)Integrated buprenorphine treatment is an evidence-informed intervention to safely reduce opioid use disorder and improve HIV health outcomes among people with HIV.
- Center for Innovation and EngagementIntervention consisting of on-site buprenorphine treatment guided by an experienced HIV physician who is trained to incorporate motivational interviewing techniques into routine medical visits to provide substance use behavior counseling.
- Best Practices CompilationThree participating clinics—MetroHealth, the University of Kentucky Bluegrass Care Clinic, and Centro Ararat—participated in a RWHAP Part F SPNS initiative from 2016 through 2019 to implement integrated buprenorphine treatment and HIV care. Research has shown that care integration improves HIV outcomes, engagement in substance use disorder treatment, and quality of life for people with HIV. Clients participating in this intervention received integrated opioid use disorder (OUD) and HIV care to improve retention in care, viral suppression, and engagement in OUD treatment.
- Dissemination of Evidence Informed-Interventions Project (DEII)Buprenorphine intervention informed and adapted from the best practice findings of a past SPNS initiative that yielded successful HIV care continuum outcomes among client participants.
- Best Practices CompilationBy integrating comprehensive HIV medical care with addiction services and medication protocols for substance use disorder (SUD), clients with HIV and SUD saw improvements in retention in care and viral suppression.
- Best Practices CompilationThe 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.
- Best Practices CompilationThrough the Practice Transformation Project, the Native American Community Clinic and Midwest AIDS Education and Training Center developed strategies to increase testing and linkage to care within the American Indian/Alaska Native population, and for those who inject drugs and are experiencing homelessness. These ongoing efforts have increased HIV testing rates by 10 percentage points through harm reduction, community outreach, and culturally sensitive strategies.
- Best Practices CompilationSBIRT is designed to screen clients for drug and alcohol use, educate clients on the risks of use, and connect them to substance use treatment services if necessary. SBIRT is an evidence-informed intervention that has been adapted by HIV experts in collaboration with community members to improve health outcomes among people with HIV. Two sites implemented SBIRT as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017–2021. Among the clients enrolled in SBIRT, the percentage with a prescription of antiretroviral therapy (ART) and who reached viral suppression both increased significantly.
- Evidence-Informed Interventions (E2i)SBIRT is an evidence-based system-level integrated care approach to identify, reduce, and prevent patterns of substance use that put the health of people with HIV at risk.
- Evidence-Informed Interventions (E2i)Tailored Motivational Interviewing (TMI) is an evidence-based intervention that provides brief motivational interviewing sessions to encourage engagement in HIV care and treatment.
Resources
- AETC National Coordinating Resource Center (NCRC)
HIV clinical training resources for HRSA's AIDS Education and Training Centers Program.
- National Clinician Consultation Center
Healthcare providers can receive no-cost expert clinical consultation in HIV prevention & care, HCV treatment, and substance use management.
- University of Washington
Online clinician training platform with evidence-based core competency training on HIV prevention, screening, diagnosis, care, and key populations.
- Strengthening Systems of Care for People with HIV and Opioid Use DisorderTerms describing key concepts and components of the HIV and opioid use disorder (OUD) care and treatment systems.
- Strengthening Systems of Care for People with HIV and Opioid Use DisorderConsiderations for how state agency staff can develop and maintain an accessible, HIV and opioid use disorder (OUD) service inventory.
- Strengthening Systems of Care for People with HIV and Opioid Use DisorderTool to support state health departments in identifying opportunities for enhanced coordination between HIV and OUD funding and service provision.
- Strengthening Systems of Care for People with HIV and Opioid Use DisorderDescription of the role of peers in care for people with HIV and OUD and how a state’s Medicaid program can fund peer services.
- Strengthening Systems of Care for People with HIV and Opioid Use DisorderTool for addressing stigma in relation to systems-level policies and practices that can improve individual level interventions.
- Strengthening Systems of Care for People with HIV and Opioid Use DisorderGuide on how to coordinate HIV/HCV treatment with substance use treatment and recovery.
- Strengthening Systems of Care for People with HIV and Opioid Use DisorderDescription of two states' approaches to building and supporting an HIV and opioid use disorder (OUD) workforce and considerations for investing in a collaborative workforce.
- Strengthening Systems of Care for People with HIV and Opioid Use DisorderThis library includes various substance use screening tools. These tools are intended to provide a valid and reliable snapshot of a client 's substance use, which may point toward a need for further assessment and specialized support.
- Strengthening Systems of Care for People with HIV and Opioid Use DisorderDiscussion guide to elicit a conversation about language, stigma, and discrimination as a means of strengthening care systems.
- Centers for Disease Control and Prevention (CDC)
Federal agency within HHS responsible for promotion of health and well-being of Americans.
- SAMHSA
U.S. federal agency that leads public health efforts to advance the behavioral health of the nation.
- Dissemination of Evidence Informed-Interventions Project (DEII)Esta es una serie de seis videos animados breves que brinda educación específica sobre el VIH para pacientes y está destinada especialmente a mujeres de color que viven con el VIH.
- National Council for Behavioral Health
Resources on integrating primary care with behavioral health services to better address mental health and substance use needs.
- AETC National Coordinating Resource Center (NCRC)
An evidence-based online curriculum for healthcare providers and trainers of health care providers on HIV/HCV co-infection among people of color.
- Massachusetts Department of Public Health
Medical case management acuity tool to assess severity of needs of clients living with HIV in various areas of functioning and categories of severity.
- Cleveland/Lorain/Elyria TGA
Tools developed by a Part A program to monitor programs and services.
- University of California, San Francisco
Resources for integrating buprenorphine treatment within HIV/AIDS programs.
- Boston University School of Social Work Center for Innovation in Social Work and Health
Cross-disciplinary training curriculum to increase knowledge and awareness of the relationship between HIV infection and substance use. Also available in Spanish (Version en español).
Training Modules
- HRSA HIV/AIDS Bureau (HAB)
Resources on HCV treatment among HIV coinfected patients.
- HRSA HIV/AIDS Bureau (HAB)
Training manual for agencies seeking to improve delivery of dental care service to people with HIV, based on insights from the SPNS Innovations in Oral Health Care Initiative.
- IHIP
Curriculum instructions to implement best practices from the SPNS Innovations in Oral Health Care Initiative.
- IHIP
- IHIP
Lessons learned from the SPNS initiative Enhancing Linkages to HIV Primary Care & Services in Jail Settings.
- IHIP
Manual to help health care providers adapt SPNS models addressing how to engage hard-to-reach people with HIV (PWH) into care within their current operations.
- IHIP
Frequently asked questions about buprenorphine care; chapter in the Integration of Buprenorphine into HIV Primary Care document.
- IHIP
- IHIP
Overview of training manual on integrating buprenorphine treatment into HIV primary care.
Webinars
- HRSA HIV/AIDS Bureau (HAB)
Webinars and other special events by HRSA's HIV/AIDS Bureau.
- IHIPThe webinar features two interventions designed to improve linkage to and retention in care and improve health outcomes: one on integrating HIV and addiction services and one on delivery of early intervention services for persons with HIV and STI diagnoses.
- NMACThis webinar presented by ELEVATE NMAC Team and JSI will focus on promoting the application of Harm Reduction Principles among PWH employed in HIV Service Delivery System.
- Technical Assistance Provider Innovation Network (TAP-in)Recordings of the TAP-in webinars on topics critical to the Ending the HIV Epidemic Initiative.
- NASTAD
Review of strategies to support Ryan White core medical and support service access/delivery within and/or in combination with local syringe services programs (SSPs).
- NASTAD
Insights on supporting access to substance use treatment medications and related services for clients served by Ryan White Part B and AIDS Drug Assistance Programs (ADAPs).