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 82
Southern Nevada Rapid stART improves access to immediate prescription of ART in the region. Led by the Office of HIV within Clark County Social Service, Rapid stART was initially developed and implemented at 28 sites to link clients to a prescribing HIV provider within seven days of their HIV diagnosis, and included a Rapid stART Response Team to support clients through the process. The Rapid stART program has increased linkage to HIV medical care, initiation of ART within seven days, and viral suppression.
Emerging intervention
People with a new diagnosis of HIV
Linkage to HIV medical care; Prescription of antiretroviral therapy; Viral suppression
Clinical service delivery model; Data utilization approach; Quality improvement
NV
Multicomponent Support Strategies was implemented during the COVID-19 pandemic shelter-in-place order. Ward 86 Clinic staff and trained volunteers provided outreach to 1,816 clients about the availability of various supports, including in-person medical care, mental health and substance use services, medication delivery, food assistance, housing support services, and Positive Health Onsite Program for Unstably Housed People (POP-UP), a low-barrier high-intensity drop-in program. Results showed that viral suppression increased at a faster rate after Multicomponent Support Strategies was implemented.
Evidence-informed intervention
All clients; People who are unstably housed; People experiencing food insecurity
Viral suppression
Outreach and reengagement activities; Support service delivery model
San Francisco, CA
INFINI-T is a program designed to reach young transgender women of color with HIV and retain them in care through peer advocates who provided case management. These peer advocates facilitated social support sessions with the goal of alleviating the negative impacts of psychosocial factors like history of trauma, stigma, and discrimination. Clients were more likely to be virally suppressed and retained in care after 12 months of participating in the intervention.
Evidence-informed intervention
Transgender women; Women of color; Youth ages 13 to 24
Retention in HIV medical care; Viral suppression
Outreach and reengagement activities
Brooklyn, NY
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
The Rapid ART Start Protocol focuses on helping veterans with a new HIV diagnosis access ART and comprehensive treatment as soon as possible. A retrospective cohort study showed positive outcomes, including decreases in the time to first appointment, the time to ART initiation, and the time to reach viral suppression. In addition, patients receiving the intervention were more likely to reach viral suppression compared to patients seen pre-intervention at the same clinic.
Evidence-informed intervention
People with a new diagnosis of HIV
Linkage to HIV medical care; Prescription of antiretroviral therapy; Viral suppression
Clinical service delivery model
Atlanta, GA
Taking Care of Me is a video- and poster-based intervention to promote prompt ART initiation and medication adherence for people with HIV. The video and posters are designed for use in HIV clinics, drawing on the example of similar initiatives launched in public health clinic waiting rooms that aim to reduce incidence of sexually transmitted infections. A trial testing the efficacy of Taking Care of Me found that clients exposed to the video were more likely to be prescribed ART and reach viral suppression.
Evidence-informed intervention
All clients
Prescription of antiretroviral therapy; Viral suppression
Outreach and reengagement activities
Huntsville, AL
Atlanta, GA
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
Through the Test & Treat Rapid Access (TTRA) Program, clients with a new HIV diagnosis in Miami-Dade County can access ART, receive other services and counseling, start enrolling in RWHAP, and connect to HIV primary care during the initial visit. At Borinquen Health Care Center, one of the clinical sites participating in TTRA, 76% of clients were virally suppressed within three months of receiving a rapid ART start, and 95% were retained in care for 12 months.
Evidence-informed intervention
People with a new diagnosis of HIV; People with HIV who are not in care
HIV diagnosis; Linkage to HIV medical care; Prescription of antiretroviral therapy; Viral suppression
Clinical service delivery model
Miami-Dade County, FL
OPT-In For Life is a social media-based intervention that promotes advancement along the HIV care continuum for young adults (ages 18 to 34) with HIV. During the 18-month intervention, OPT-In For Life used multiple social media platforms and a mobile application to provide HIV-related and positive lifestyle resources. Young adults enrolled in OPT-in For Life demonstrated improved retention in HIV care and higher rates of viral suppression after participation.
Evidence-informed intervention
Young adults ages 25 to 34; Youth ages 13 to 24
Retention in HIV medical care; Viral suppression
Use of technology and mobile health
PA
The YGetIt? Program engaged youth and young adults with HIV in care through three components: a health management mobile application (GET!), Peer Engagement Educator Professionals (PEEPs), and a graphic serial (Tested). Tested received over 200,000 views, and viral suppression rates among YGetIt? participants increased from 79% to 86% over the course of the program.
Emerging intervention
Youth ages 13 to 24; Young adults ages 25 to 34
Viral suppression
Use of technology and mobile health
Long Island , NY
