Bilingual/Bicultural Care Team Intervention

Summary

The Bilingual/Bicultural Care Team includes three Latino providers: an HIV primary care provider, peer educator, and RWHAP case manager. This team provides comprehensive culturally and linguistically appropriate HIV primary care and services to Hispanic/Latino people with HIV who speak Spanish as their primary language.

Summary

Resumen

Implementation Resources

Implementation Guide

Guía de Implementación

Intervention Outcomes

Outcomes from the intervention conducted in Kansas City, MO include:

• Client appointments increased from a mean of 2.81 visits per year to 5.30 visits per year
• Clients who met treatment guideline criteria for antiretroviral therapy experienced a 31.5% increase in viral suppression

Intervention Components

• Assess Staff Resources
• Secure Stakeholder Buy-in
• Engage and Work with Community/Service Partners
• Recruit Bilingual and Bicultural Staff
• Train Staff and Facilitate Knowledge Exchange
• Engage and Retain Latino people with HIV

Cost Analysis

Total Annual Costs: $330,621.90

Avg. Cost Per Client: $3,884.44

Avg. Personnel Cost Per Client: $2,200

Challenges and Solutions

Challenge	Solution
Limited Provider Availability	Hire bilingual and bicultural providers who are available ≥ 3 days per week.
Meeting Client’s Behavioral Health Care Needs	Budget to include a bilingual, bicultural mental health care provider on the team or partner with local providers.
Client Eligibility	Use copayment assistance programs, a sliding payment scale, or discounts to serve people who are ineligible for RWHAP services.
Contacting Clients	Develop a data sharing agreement with your local health department so you can cross-check their records for clients’ contact information.
Timely Receipt of Lab Reports	An in-house lab and phlebotomist can increase processing time.

Supplementary Resources

Publications

• Impact of a bilingual/bicultural care team on HIV-related health outcomes. For intervention materials, contact Maithe Enriquez ([email protected]), University of Missouri, S327 Sinclair School of Nursing, Columbia, MO 65211

Resources

• Example Cost Analysis Tool for Users of Bilingual/Bicultural Care Team Intervention (PPTX)