Retaining in Care
Engagement in HIV/AIDS care falls along a continuum, from not being in care at all to being fully engaged, with interim points that reflect inconsistent and non-engagement in care. Varied interventions can enhance care engagement, including peer support, motivational interviewing, and case management. HRSA HAB through the SPNS program and other initiatives identify and evaluate innovative retention approaches, and produce replication materials for those showing the most promise. Many of these interventions focus on populations at most need, including youth, transgender women, and women and MSM of color.
Resources 38
Guidelines and Manuals
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February 2018
Clinical care guides for various populations (based upon their racial, ethnic, and gender characteristics) and specific conditions.
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Dissemination of Evidence Informed-Interventions ProjectNovember 2017
Evidence-informed HIV Care And Treatment Intervention (CATI) packages.
Webinars and Training
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IHIPSeptember 2018
Insights on ways to effectively engage and retain transgender women of color in HIV care.
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Boston University School of Social Work Center for Innovation in Social Work and Health, Abt Associates, HRSA HIV/AIDS Bureau (HAB)August 2018
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IHIPJuly 2018
For many people living with HIV (PLWH), effective treatment begins with stable, secure, and adequate housing.
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IHIPJuly 2018
Evidence-Informed Interventions from the SPNS Transgender Women of Color Initiative.
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Evidence-Informed Interventions (E2i)May 2018
Overview of E2i goal to identify and provide support for the implementation of evidence-informed interventions to reduce HIV-related health disparities and improve health outcomes.
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AETC National Coordinating Resource Center (NCRC)July 2017
Online training platform to meet the core competency knowledge for HIV prevention, screening, diagnosis, and ongoing treatment and care to healthcare providers in the United States.
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National Center for Innovation in HIV CareApril 2017
This webinar outlined the practical impact and cost-effectiveness of housing interventions as HIV prevention and care, and direct participants to resources that can be used to inform HIV housing programming and advocacy.
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National Center for Innovation in HIV CareMarch 2017
This webinar presents successful models for enhancing linkage, retention, and continuity of HIV care for returning citizens.
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National Center for Innovation in HIV CareJanuary 2017
Webinar review of research on housing as a structural intervention with a positive causal correlation to improved health outcomes for people living with HIV, prevention of HIV transmission, and cost effectiveness.
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National Center for Innovation in HIV CareApril 2015
This webinar discusses engaging Boston youth into HIV care and describe how racial justice-focused structural change initiatives can help optimize this work.
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National Center for Innovation in HIV CareMarch 2015
Discussion of how programs can use HIV laboratory surveillance data to identify persons who have fallen out of care in order to guide re-linkage efforts (Data to Care).
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HRSA HIV/AIDS Bureau (HAB)December 2013
Lessons learned, tips, and tools from participants in the SPNS Innovations in Oral Health Care Initiative.
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HRSA HIV/AIDS Bureau (HAB)September 2013
Resources on implementing jail linkage programs and assisting organizations in expanding their current jail work.
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IHIP, HRSA HIV/AIDS Bureau (HAB)January 2013
Tools to help health care providers adapt SPNS models addressing how to engage hard-to-reach people living with HIV/AIDS into care.
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HRSA HIV/AIDS Bureau (HAB)January 2007
Facilitator's training curriculum (and slides) for a two day session designed to educate service providers on how to address HIV/AIDS-related stigma.
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Boston University School of Social Work Center for Innovation in Social Work and HealthAugust 2004
Cross-disciplinary training curriculum to increase knowledge and awareness of the relationship between HIV infection and substance use. Disponible en español: Un caleidoscopio de cuidado y servicios: Respondiendo a los retos del VIH y uso de drogas).
Tools and Job Aids
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HRSA HIV/AIDS Bureau (HAB)September 2018
Guide to best practices for enhancing services to youth living with HIV to better outcomes in both retention and viral load suppression.
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HRSA HIV/AIDS Bureau (HAB)January 2011
Methods that involve persons living with HIV/AIDS to help link other PLWH into care.
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HRSA HIV/AIDS Bureau (HAB)October 2010
Toolkit for implementing a program to support HIV-positive youth transitioning from adolescent to adult HIV care.
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Boston University School of Social Work Center for Innovation in Social Work and Health, HRSA HIV/AIDS Bureau (HAB)August 2009
Training compendium for agencies seeking to develop programs that utilize peers to help engage and retain other people living with HIV/AIDS in care. Componentes Esenciales para la Capacitación y Éxito de los Trabajadores Pares (Peers)
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HRSA HIV/AIDS Bureau (HAB), Boston University School of Social Work Center for Innovation in Social Work and HealthApril 2009
Toolkit for planning a peer training program for HIV-positive peers who work to engage and retain people living with HIV/AIDS in health care.
Reports and Best Practices
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NASTADFebruary 2018
This fact sheet outlines how Ryan White HIV/AIDS Program (RWHAP) Part B programs and AIDS Drug Assistance Programs (ADAPs) can support access to medications and tailor related services for Black/African American men living with HIV.
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Center for Advancing Health Policy and PracticeJanuary 2018
Resources from the SPNS initiative, Building a Medical Home for Multiply-Diagnosed HIV-positive Homeless Populations.
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HRSA HIV/AIDS Bureau (HAB)July 2017
The Improving Health Outcomes: Moving Patients Along the HIV Care Continuum and Beyond series of resource and tools.
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National Center for Innovation in HIV CareJune 2017
Effective models and best practices of linkage to care programs for PLWH who are leaving jail or prison and reentering society.
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HRSA HIV/AIDS Bureau (HAB)March 2017
Resources to support other programs in replicating the evidence-informed interventions of the SPNS Initiative: Systems Linkages and Access to Care for Populations at High Risk of HIV Infection.
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IHIPJanuary 2017
This handbook details New York City Correctional Health Services’ Transitional Care Coordination intervention model, including program planning, implementation steps, and lessons learned.
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IHIPSeptember 2014
Implementation guide for HIV providers on addressing the unique needs of women of color.
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National Minority AETCSeptember 2012
BE SAFE is a framework that uses culturally pluralistic content and perspectives based on these six core elements: Barriers to Care, Ethics, Sensitivity of the Provider, Assessment, Facts, and Encounters.
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Next Step and MassCAREMay 2012
Guidebook for multiple audiences that outlines steps for transitioning youth from pediatric care to adult services.
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HRSA HIV/AIDS Bureau (HAB)March 2010Examination of costs and outcomes associated with different types of outreach encounters to bring individuals living with HIV/AIDS into care, as conducted under a SPNS Outreach Initiative examining innovations in HIV/AIDS care.
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HRSA HIV/AIDS Bureau (HAB)January 2006
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.
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HRSA HIV/AIDS Bureau (HAB)January 2005Resource for programs interested in developing or expanding outreach services to identify HIV-positive youth and engage and retain them in care.
Websites
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AETC National Coordinating Resource Center (NCRC)January 2018
HIV clinical training resources and and collaborative support for the AETC Program.
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Center for Engaging Black MSM across the Care ContinuumJanuary 2017
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.
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Center for Engaging Black MSM across the Care ContinuumJanuary 2017
Online resource to enhance care interactions experienced by Black MSM.