Collection of implementation guides on evidence-informed best practices in HIV care delivery.
Cultural Competency
People who feel understood, respected, and valued are more likely to stay in care. The resources in this collection address ways that clinics and other service providers can identify and address bias to improve communication with diverse clients.
Best Practices
- Center for Innovation and Engagement
- HRSA Bureau of Primary Health Care (BPHC), Centers for Disease Control and Prevention (CDC)Toolkit to help Health Centers expand the provision of HIV services.
- AIDS Action Foundation
Workbooks describing ways to help connect people living with HIV/AIDS to medical care. Estos cuadernos describen la manera de asistir a conectar personas que viven con VIH/SIDA con el sistema médico.
- IHIPNinetyday theory-based, transgender-specific, automated text-messaging intervention designed to improve engagement, retention, and health outcomes along the HIV care continuum.
- IHIPMulti-level messaging intervention focused on linking Latinos with HIV to high quality HIV primary care in Dallas County, Texas. Individual-, group- and community-level strategies.
- SPNS Latino Access Initiative, UCSF Center for AIDS Prevention Studies
Monographs describing interventions for the engagement and retention of Latinos in HIV care.
- SPNS Transgender Women of Color Initiative
Innovative models for linking and retaining transgender women of color in HIV care.
- National Center for Innovation in HIV Care
Exploration of the unique challenges that older adults living with HIV may face and steps for agencies to consider in response.
- IHIP
Implementation guide for HIV providers on addressing the unique needs of women of color living with HIV.
- Next Step and Mass CARE
Guidebook for multiple audiences that outlines steps for transitioning youth from pediatric care to adult services.
- HRSA HIV/AIDS Bureau (HAB)
Case studies examining the effectiveness of models of peer support for Caribbean immigrants living with HIV in the U.S.
- Best Practices CompilationHispanic and Latino clients served by the team received culturally responsive care and linkages to external community resources, with resulting greater retention in care and improved viral suppression rates.
- Center for Innovation and EngagementTeam that provides comprehensive culturally and linguistically appropriate HIV primary care and services to Hispanic/Latino people with HIV who speak Spanish as their primary language.
- Best Practices CompilationTen organizations across the U.S. integrated Community Health Workers (CHWs) into their multidisciplinary care teams. Enrolled clients had statistically significant improvements in viral suppression, antiretroviral therapy prescription, and appointment attendance after six months in the program.
- Center for Innovation and EngagementTips on delivery of HIV care among various populations and with varied interventions.
- Best Practices CompilationRise was implemented to address ART adherence issues among Black people with HIV. Through Rise, peer counselors used motivational interviewing techniques, leveraged Medication Event Monitoring System data to monitor and promote adherence, and connected participants to support services to address unmet needs. A randomized controlled trial showed that Rise participants were more likely to be adherent to ART than non-participants.
- Best Practices CompilationSBIRT is designed to screen clients for drug and alcohol use, educate clients on the risks of use, and connect them to substance use treatment services if necessary. SBIRT is an evidence-informed intervention that has been adapted by HIV experts in collaboration with community members to improve health outcomes among people with HIV. Two sites implemented SBIRT as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017–2021. Among the clients enrolled in SBIRT, the percentage with a prescription of antiretroviral therapy (ART) and who reached viral suppression both increased significantly.
- Best Practices CompilationViviendo Valiente aims to reduce ethnic disparities in HIV care and outcomes by providing culturally responsive services to the Latino/a community, specifically to people of Mexican descent. It is a multi-level intervention, featuring individual-, group-, and community-level activities, that links people to HIV care, offers HIV education and health literacy in group sessions, and promotes community-level testing for HIV and other sexually transmitted infections (STIs). Viviendo Valiente had positive impacts on HIV testing, retention in care, viral suppression, and client satisfaction.
Resources
- NASTAD
Review of the basics of trauma and modules on trauma-informed approaches in the delivery of HIV care.
- University of Washington
Online clinician training platform with evidence-based core competency training on HIV prevention, screening, diagnosis, care, and key populations.
- In It Together
Health literacy training initiative to help health professionals incorporate health literacy approaches into their services.
Clinical care guides for various populations (based upon their racial, ethnic, and gender characteristics) and specific conditions.
- SPNS Improving Care and Treatment Coordination Black Women with HIVUse of participatory arts to generate dialogue and engage individuals in receiving health care and participating in community activities.
- ACE TA Center
Glosè referans rapid sa a ofri esplikasyon ki fasil pou konprann nan langaj tout moun kapab konprann konsènan ekspresyon ak fraz ki gen pou wè ak enskripsyon nan swen sante pou founisè swen VIH yo.
- ACE TA Center
Use esta guía de referencia rápida para explicar términos y frases confusas y aumentar la comprensión del cliente sobre los términos técnicos comunes usados durante el proceso de inscripción.
- NMAC
The purpose of the ESCALATE training program is to facilitate transformative and relational change in Ryan White HIV/AIDS Programs (RWHAP) and the communities they serve.
- SPNS Improving Care and Treatment Coordination Black Women with HIVInnovative strategies for delivery of bundled interventions for improving health outcomes for Black women with HIV during COVID-19.
- Indian Health Service (IHS)Primary care guide for IHS clinicians outlining initial and follow-up care for patients with HIV.
- Dissemination of Evidence Informed-Interventions Project (DEII)Esta es una serie de seis videos animados breves que brinda educación específica sobre el VIH para pacientes y está destinada especialmente a mujeres de color que viven con el VIH.
- University of California, San Francisco
Resources on transgender health (e.g., guidelines, training).
- ACE TA Center
Una vez que los clientes del RWHAP se inscriben en un seguro médico, es posible que necesiten ayuda para entender cómo funciona su cobertura, sobre todo si nunca han tenido una.
- U.S. Department of Health and Human Services
Federal resources on discrimination and health care privacy protections.
- ACE TA Center
Es posible que algunos clientes del RWHAP todavía tengan preguntas o inquietudes sobre la inscripción en coberturas médicas.
- Futures Without Violence, HRSA
Web-based toolkit on ways for agencies to establish partnerships to address intimate partner violence (IPV).
- Howard Brown Health Center
Curriculum for nurses teaching cultural competency in the care of LGBT older adults.
- National Minority AETCGuide and promising practices that address cultural competency for specific racial/ethnic populations.
Training Modules
- Center for Engaging Black MSM across the Care Continuum
Provider training on the delivery of HIV health care services for black men who have sex with men to enhance engagement/retention in care.
- IHIP
Tools to help health care providers adapt SPNS models within their existing operations in order to better engage hard-to-reach people with HIV into care.
Webinars
- HRSA HIV/AIDS Bureau (HAB)HRSA HIV/AIDS Bureau DMHAP stakeholder calls with the RWHAP Part A and EHE Initiative stakeholder community at large.
- The Bronx Health and Housing Corporation
Webinar series on ways to improve HIV primary care patient outcomes for Latinos/as who are incarcerated or have a history of incarceration, with a case study sub-analysis of transnationalism among Puerto Ricans.
Conference Presentations
Atrium Health
Anna Jacobs, Mindy Sampson, Leigh Medaris, Jacob Schulte, Joseph Erato, Christopher Polk
2022 National Ryan White Conference on HIV Care & Treatment
HRSA
Alex Keuroghlian, Dana Hines, Paul Sacamano, Jamie Weinand
2022 National Ryan White Conference on HIV Care & Treatment
HRSA
Sombo Pujeh, Gem Daus, Sonya Hunt Gray, Jasmine Akuffo
2022 National Ryan White Conference on HIV Care & Treatment
Open Health Care Clinic
Jamie Roques, William Spatafora
2020 National Ryan White Conference on HIV Care & Treatment