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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Displaying 1 - 10 of 21
This nine-month program tailored services for people with HIV by bundling three to five evidence-informed care strategies for each client, such as mental health referrals, transportation assistance, appointment reminders, and pill boxes. A primary care physician, case manager, and pharmacist coordinated with each client to address their specific needs. After the intervention, 70.1% of previously non-suppressed clients were virally suppressed.
Evidence-Informed Intervention
People with HIV
Viral suppression
Support service delivery model
Kansas City, KS
POP-UP provides low-barrier comprehensive HIV primary care, substance use services, mental health services, and case management to people who are homeless and unstably housed with the goal of retaining clients in care and improving viral suppression. Among POP-UP participants, 44% who were unstably housed and not virally suppressed at the start of the study were virally suppressed 12 months after enrollment.
Evidence-Informed Intervention
People who are unstably housed
Retention in HIV medical care; Viral suppression
Clinical service delivery model
San Francisco, CA
Allegheny Health Network implemented Patient-Centered Appointment Reminders over a five-month period to improve engagement in care for people with HIV. This intervention included text message reminders, a process for identifying and addressing barriers to care, home visits, and outreach to patients after missed appointments. Compared to the pre-intervention cohort, the post-intervention group showed a significant decrease in clinic no-show rates.
Evidence-Informed Intervention
People with HIV
Retention in HIV medical care
Clinical service delivery model
PA
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
Through 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.
Emerging Intervention
American Indian/Alaska Native people; People who inject drugs (PWID); People who are unstably housed
HIV diagnosis; Linkage to HIV medical care
Clinical service delivery model
Minneapolis, MN
Stronger Together uses counseling to increase engagement in and improve the quality of HIV care available for serodiscordant male couples. Through three in-person and additional “booster” sessions over an 18-month period, Stronger Together gave couples a space to work with an HIV professional to improve treatment adherence and keep both people healthy. Stronger Together participants were more likely to adhere to ART than those in a control group.
Evidence-Based Intervention
People with HIV; Gay, bisexual, and other men who have sex with men (MSM)
Prescription of antiretroviral therapy
Clinical service delivery model
Atlanta, GA
Boston, MA
Chicago, IL
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
The HIV Clinical Pharmacist Services intervention shortens the time between referral to and engagement in care by allowing newly referred clients to see pharmacists in addition to other clinical providers for their initial appointment. This intervention is supported by findings from a retrospective cohort study that took place from 2013 to 2017 at a RWHAP-funded clinic. In addition to significantly decreasing the time between referral and initial visit, clients who saw a pharmacist also experienced shortened time to antiretroviral therapy initiation and viral suppression compared to those who only saw non-pharmacist providers.
Evidence-Informed Intervention
People with HIV; People with a new diagnosis of HIV
Linkage to HIV medical care; Prescription of antiretroviral therapy; Viral suppression
Clinical service delivery model; Systems/structural interventions
Oklahoma City, OK
The Undetectables is a client-centered model of integrated care that uses innovative, superhero-themed, anti-stigma social marketing, agency cultural change, and a toolkit of evidence-based antiretroviral therapy adherence strategies to support treatment adherence and viral suppression among people with HIV. A two-year demonstration project evaluation showed a significant increase in the proportion of clients who were virally suppressed from 39% to 62%.
Emerging Intervention
People with diagnosed mental illness; People who are unstably housed; People experiencing food insecurity; People who use drugs; People with a history of trauma
Viral suppression
Clinical service delivery model; Systems/structural interventions
New York City, NY