Toolkit to help Health Centers expand the provision of HIV services.
People with HIV often have a range of medical and support needs that may be met more efficiently when agencies work together. Collaboration takes various forms, like referral arrangements, planning (e.g., sharing of data, participation in planning), common fiscal/grants management processes, single intake/eligibility systems, and sharing/adoption of best practices in HIV service delivery.
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Best Practices and Emerging Models
- HRSA Bureau of Primary Health Care (BPHC), Centers for Disease Control and Prevention (CDC)
- IHIPHHOME is a mobile care and systems intervention that helps connect vulnerable and homeless individuals in San Francisco to rapid HIV treatment.
- IHIPKC Life 360 is an employment-focused intervention that utilizes the intersection between employment services, HIV care and treatment, and housing to improve health outcomes of people with HIV.
- IHIPThe Maricopa County Jail Project was implemented by five jails and uses a nurse practitioner to manage service access and case management across the jail system.
- Center for Innovation and EngagementCollection of implementation guides on evidence-informed best practices in HIV care delivery.
- SPNS Latino Access Initiative, UCSF Center for AIDS Prevention Studies
Monographs describing interventions for the engagement and retention of Latinos in HIV care.
- HRSA HIV/AIDS Bureau (HAB)
Examination of potential areas for bi-directional sharing between the U.S. Ryan White HIV/AIDS Program (RWHAP) and the President’s Emergency Plan for AIDS Relief.
- HRSA/SPNS Workforce Initiative
Insights on operating Care Teams: multidisciplinary collection of providers who work together to meet multiple patient needs to improve care delivery and outcomes. Best practices cover: preparation, staffing, buy-in, formalization, and adaptability.
- SPNS Transgender Women of Color Initiative
Innovative models for linking and retaining transgender women of color in HIV care, developed by a multi-site demonstration project.
- Center for Advancing Health Policy and Practice
Insights from a HRSA SPNS initiative on care coordinator/patient navigation interventions for vulnerable populations.
- SPNS Systems Linkages Project
Insights from a multi-state demonstration and evaluation of innovative models for linkages to and retention in HIV care.
- Boston University School of Social Work Center for Innovation in Social Work and Health
SPNS innovative and replicable HIV service delivery models using HIV+ peers.
- AIDS Alliance for Children Youth and Families
Resource for programs interested in developing or expanding outreach services to identify HIV-positive youth and engage and retain them in care.
- The HIV, Housing & Employment ProjectAvenue 360 Health & Wellness offers a medical home for patients and AIDS Foundation Houston coordinates employment training and resources. These agencies believe that coordination is the key to breaking down barriers to health care in their community.
- Center for Innovation and EngagementThe Clinic-Based Surveillance-Informed (CBSI) intervention combines clinic and health department surveillance data to identify people with HIV who are out of care and re-engage and retain them in HIV care.
- The HIV, Housing & Employment ProjectCoordination of health care with housing and employment services through regular meetings, formal agreements, and a Linkage Coordinator.
- The HIV, Housing & Employment ProjectPartnership between employment services and Ryan White HIV/AIDS Program providers to foster case coordination among medical care and social service providers, including a screening and referral system for housing and employment needs and services individualized for specific patient needs.
- Center for Innovation and EngagementProject STYLE increases awareness about HIV through outreach and testing events on college campuses and in the larger community, development of partnerships, and fostering of linkages to HIV care.
Resources
- In It Together
Health literacy training initiative to help health professionals incorporate health literacy approaches into their services.
- HRSA HIV/AIDS Bureau (HAB)
Tools on ways to expand/replicate innovative models of oral health care for people with HIV.
- HRSA HIV/AIDS Bureau (HAB)
Toolkit for implementing a program to support HIV-positive youth transitioning from adolescent to adult HIV care.
- Yale University School of Medicine
Guide on how to implement an opt-out HIV testing program in a jail setting.
- HRSA/SPNS Workforce Initiative
A stepwise practice transformation approach for health care organizations seeking to add HIV care or to increase services for people with HIV.
- HRSA HIV/AIDS Bureau (HAB)
Guide to best practices for enhancing services to youth with HIV to better outcomes in both retention and viral load suppression.
- HRSA HIV/AIDS Bureau (HAB)
Insights on ways that HIV care programs have improved health outcomes along the HIV care continuum.
Training Modules
Structural changes that health departments can make to facilitate integrated approaches to HIV care and prevention. Part of the Integrated HIV Prevention and Care Planning Online Resource Guide.
The five stages of preparing a care/prevention integrated plan (organize and prepare; prioritize; implement; monitor and make improvements; communicate and share progress). Section in the Integrated HIV Prevention and Care Planning Online Resource Guide.
- IHAP TA Center
Examples of sections within a care/prevention integrated plan (epidemiologic overview; continuum; resource inventory; assessing needs; data; plans; collaboration and involvement). Section in the Integrated HIV Prevention and Care Planning Online Resource Guide.
- HRSA HIV/AIDS Bureau (HAB)
Resources on HCV treatment among HIV coinfected patients.
- HRSA HIV/AIDS Bureau (HAB)
Training materials and a curriculum on implementing a project to enhance HIV health services between community and jail settings, based on insights from the SPNS initiative, Enhancing Linkages to HIV Primary Care & Services in Jail Settings Initiative.
- HRSA HIV/AIDS Bureau (HAB)
Learning tools on how to engage hard-to-reach people with HIV into care, including a training manual (for adapting SPNS models); a curriculum (for training staff); and webinars on key topics.
- IHIP
Overview of training manual and curriculum (along with webinars) on integrating opioid addiction treatment using buprenorphine.
Webinars and Training
- HRSA HIV/AIDS Bureau (HAB)
Pre-application webinars for Notice of Funding Opportunity (NOFO) announcements from HRSA's HIV/AIDS Bureau for the Ryan White HIV/AIDS Program (RWHAP).
- IHIPWebinar series featuring HIV care innovations developed under the HRSA HIV/AIDS Bureau’s Special Projects of National Significance (SPNS) program. Sessions share insights on how to replicate SPNS interventions.
- IHIPPresentation on an intervention to expand HIV workforce capacity through the use of strategic community-based partnerships.
- IHIPReview of Practice Transformation/Transformative Models (PTMs) to improve delivery of HIV services.
- HRSA HIV/AIDS Bureau (HAB)Highlight of two programs that successfully engaged in HIV care clients who are hard-to-reach and serve via delivery of HIV primary care, behavioral health, and housing.
- HRSA HIV/AIDS Bureau (HAB)Learn how two successful programs are addressing homelessness and housing instability and behavioral health disorders, improving client engagement and retention in care, and observing improved rates of viral suppression.
- IHIPTested resources for implementing jail linkage programs and assisting organizations in expanding their current jail work. Includes a manual, curriculum, fact sheets, and webinars.
- 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.
- 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).
Conference Presentations
Collaborative Research
Presenters:
John Sapero, Tom Butcher, Nancy Kingwood
2022 National Ryan White Conference on HIV Care & Treatment
Tarrant County HIV Administrative Agency
Presenters:
James d'Etienne, Thomas Donohoe, Douglas White, Lisa Muttiah, Afiba Agovi
2022 National Ryan White Conference on HIV Care & Treatment
Marshall University School of Medicine
Presenters:
Kara Willenburg, Melanie Nace, Anndrea Rogers
2022 National Ryan White Conference on HIV Care & Treatment
Sustainable Strategies for Strengthening Systems of Care for People with HIV and Opioid Use Disorder
JSI Research & Training Institute
Presenters:
Molly Higgins-Biddle, Juli Powers, Isabel Evans, Liz Sweet
2022 National Ryan White Conference on HIV Care & Treatment
HRSA HIV/AIDS Bureau
Presenters:
Ruchi Mehta, AJ Jones, Debbie Isenberg, Leslie Frank, Elisabeth Meyer, Isabella Warmbrunn, Claire Novotny, Gretchen Regier, Weston Stokey
2022 National Ryan White Conference on HIV Care & Treatment