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 people with HIV who speak Spanish as their primary language.
El Equipo de Atención Bilingüe/Bicultural incluye tres proveedores latinos: un proveedor de atención primaria de VIH, un educador de pares y un administrador de casos de RWHAP. Este equipo brinda servicios y atención primaria de VIH integrales, cultural y lingüísticamente apropiados, a personas con VIH que hablan español como idioma principal.
About the Project
Priority Population: Hispanic and Latino people with HIV who speak Spanish as their primary language
Setting: HIV Specialty Clinic
Location: Kansas City, MO
Intervention Focus: Retention, Viral Load Suppression
Study Period: 2005-2006
Outcomes, Components, Cost Analysis
Outcomes
- 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. |
Implementation Resources / Recursos de implementación
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
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