HIV counseling and testing occurs in a wide range of contexts in the Ryan White HIV/AIDS Program. Situations as diverse as community outreach, partner testing, pregnancy, and labor and delivery call for special counseling approaches on the part of clinical staff. The technology of testing has continued to evolve with rapid tests, oral tests, and home tests. Finally, legal requirements for offering and documenting tests in a health care settings have also shifted in many states and jurisdictions.
- Center for Innovation and EngagementCollection of implementation guides on evidence-informed best practices in HIV care delivery.
- Partnerships for Care (P4C): Health Departments and Health Centers Collaborating to Improve HIV Health OutcomesHRSA 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.
- Culturally Appropriate Interventions of Outreach, Access and Retention among Latino/a Populations Initiative: Intervention MonographsSPNS Latino Access Initiative, UCSF Center for AIDS Prevention Studies
Monographs describing interventions for the engagement and retention of Latinos in HIV care.
- SPNS Systems Linkages Project
Insights from a multi-state demonstration and evaluation of innovative models for linkages to and retention in HIV care.
- 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.
- Best Practices CompilationNine sites implemented four evidence-based interventions, collectively known as Addressing STIs: Ask.Test.Treat.Repeat. The four intervention components are audio computer-assisted self-interview sexual history taking, patient self-collection of urogenital and extragenital site chlamydia/gonorrhea nucleic acid amplification test specimens, sexual and gender minority welcoming indicators, and provider training, with the overall goal to routinize STI screening, testing, and treatment in primary care. The interventions increased routine STI screening and testing of bacterial STIs based on reported behavioral risk.
- Best Practices CompilationThe Oregon Health Authority awarded contracts to local public health authorities across the state to work with community partners to integrate early intervention services and outreach services, link people to HIV care, and provide support to help clients reach viral suppression. Quick linkage to care resulted in a median of 57 days to viral suppression for Early Intervention Services and Outreach clients in 2019.
- Best Practices CompilationJumpstART launched in 2016 as part of New York State’s Ending the Epidemic initiative, changing the service delivery model of eight sexual health clinics to include an initial prescription of ART after an HIV diagnosis and prior to linkage to the community provider. Between November 2016 and September 2018, 60% of JumpstART clients received ART on the same day as diagnosis. JumpstART clients were also more likely to reach viral suppression within three months compared to non-JumpstART clients.
- Center for Innovation and EngagementProject to increase HIV awareness through outreach and testing events on college campuses and in the larger community through partnerships and care linkages.
- Best Practices CompilationThe Maricopa Jail Project was implemented by five jails to decrease the wait time between incarceration and/or diagnosis to the start of treatment, and to better support clients to reach viral suppression. Maricopa hired a nurse practitioner to manage access and case manage across the jail system. The initiative was successful in increasing the number of clients who were virally suppressed.
- Center for Innovation and Engagement
- AETC National Coordinating Resource Center (NCRC)
HIV clinical training resources for HRSA's AIDS Education and Training Centers Program.
- SPNS Sexually Transmitted Infections InitiativeTools to help clinics improve screening, testing, and treatment of common bacterial STIs among people with HIV or at risk for HIV.
- National Clinician Consultation Center
Healthcare providers can receive no-cost expert clinical consultation in HIV prevention & care, HCV treatment, and substance use management.
- University of Washington
Online clinician training platform with evidence-based core competency training on HIV prevention, screening, diagnosis, care, and key populations.
- U.S. Department of Health and Human Services
U.S. HIV-related treatment guidelines, drug database, and glossary.
- U.S. Department of Health and Human Services
Federal guidelines for treatment, prevention and care of HIV disease, opportunistic infections, and common co-infections.
- Yale University School of Medicine
Guide on how to implement an opt-out HIV testing program in a jail setting.
- Maricopa County Jail Project IHIP Presentation: Providing HIV Service to People Who Are IncarceratedIHIPPartnership between jail staff and public health prevention staff created new data communication systems and bundled services for clients upon release.
- Centers for Disease Control and Prevention (CDC)
Federal agency within HHS responsible for promotion of health and well-being of Americans.
- Center for Engaging Black MSM across the Care Continuum
Web training site to educate providers on the delivery of HIV health care services for black men who have sex with men to enhance engagement/retention in care.
- 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.
- Technical Assistance Provider Innovation Network (TAP-in)Review of concept of status neutral (access to HIV services regardless of HIV status).