Curriculum of educational sessions to promote client engagement and retention in HIV care in order to increase overall rates of viral suppression, based on evidence informed practices, including motivational interviewing, to address identified gaps 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 54
Guidelines and Manuals
- Abt Associates
- AETC National Coordinating Resource Center (NCRC), University of Washington
Online clinician training platform with evidence-based core competency training on HIV prevention, screening, diagnosis, care, and key populations.
Clinical care guides for various populations (based upon their racial, ethnic, and gender characteristics) and specific conditions.
- HRSA HIV/AIDS Bureau (HAB)
Tools on ways to expand/replicate innovative models of oral health care for people with HIV.
Webinars and Training
- Technical Assistance Provider Innovation Network (TAP-In)Insights for entities seeking to create or strengthen rapid ART.
- IHIP, HRSA HIV/AIDS Bureau (HAB)
Discussion of how two SPNS sites supported Latino clients of Puerto Rican and Mexican descent move along the HIV care continuum. Includes focus on MSM as well as persons with substance use challenges.
- IHIP, HRSA HIV/AIDS Bureau (HAB)
Discussion of two SPNS projects that effectively engaged Latinos of Mexican descent (with focus on MSM) in HIV testing and linkage to care.
- IHIP, HRSA HIV/AIDS Bureau (HAB)
Review 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.
- Dissemination of Evidence Informed-Interventions Project (DEII)
Preliminary data and lessons learned from the pre-implementation and early-implementation phases of initiatives featured in the DEII project (buprenorphine, women of color, peer support, jail transitional care).
- 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.
- 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.
- HRSA HIV/AIDS Bureau (HAB)
Review of how a community-based organization and an FQHC successfully engaged and retained transgender women of color in HIV care.
- HRSA HIV/AIDS Bureau (HAB)
Approaches to effectively engaging and retaining transgender women of color in HIV care.
- Evidence-Informed Interventions (E2i)
Overview of E2i and its goal to identify and provide support for the implementation of evidence-informed interventions to reduce HIV-related health disparities and improve health outcomes.
- National Center for Innovation in HIV Care
Review of research on the impact of unstable/lack of housing on HIV care outcomes.
- National Center for Innovation in HIV Care
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).
- HRSA HIV/AIDS Bureau (HAB)
Resources on implementing jail linkage programs and assisting organizations in expanding their current jail work.
- HRSA HIV/AIDS Bureau (HAB)
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.
- HRSA HIV/AIDS Bureau (HAB)
Resources to assist Ryan White and other HIV clinics to integrate buprenorphine programs within primary care settings.
- HRSA HIV/AIDS Bureau (HAB)
Facilitator's training curriculum and slides on educating service providers about HIV/AIDS-related stigma. There are five modules with participant training exercises.
- 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).
Tools and Job Aids
- Dissemination of Evidence Informed-Interventions Project (DEII)Series of six brief, animated videos with HIV-specific patient education tailored for women of color 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.
- ACE TA Center
Aprè kliyan yo fin enskri nan asirans sante, li enpòtan pou asire yo kenbe pwoteksyon yo an pandan tout ane a.
- ACE TA Center
Afich pou ede kliyan yo konprann sa yo sa yo bezwen pou kenbe pwoteksyon asirans yo pandan tout ane a. Chak afich montre yon tarif ak yon imaj diferan epi yo te kreye yo pou yo enprime an koulè.
- NASTAD
Review of the basics of trauma and modules on trauma-informed approaches in the delivery of HIV care.
- 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)
Methods that involve persons with HIV to help link others into care.
- 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.
- Boston University School of Social Work Center for Innovation in Social Work and Health, HRSA HIV/AIDS Bureau (HAB)
Training compendium for agencies seeking to develop programs that utilize peers to help engage and retain other people with HIV in care. Also en Espanol: Componentes Esenciales para la Capacitación y Éxito de los Trabajadores Pares (Peers)
- HRSA HIV/AIDS Bureau (HAB), Boston University School of Social Work Center for Innovation in Social Work and Health
Toolkit for planning a peer training program for HIV-positive peers who work to engage and retain people with HIV in health care.
Reports and Best Practices
- Dissemination of Evidence Informed-Interventions Project (DEII)
Evidence-informed interventions that produce optimal HIV care outcomes (jail transitional care, buprenorphine, patient navigation and peer support for women of color)
- Center for Quality Improvement and Innovation (CQII)
Interventions tested and implemented by participating agencies of the end+disparities ECHO Collaborative national quality improvement initiative to address HIV disparities among Ryan White HIV/AIDS Program funded grant recipients.
- SPNS Latino Access Initiative, UCSF Center for AIDS Prevention Studies
Monographs describing interventions for the engagement and retention of Latinos in HIV care.
- SPNS Social Media Initiative
Intervention monographs and implementation manuals from demonstration sites participating in the SPNS project, Use of Social Media to Improve Engagement, Retention, and Health Outcomes along the HIV Care Continuum.
- HRSA HIV/AIDS Bureau (HAB)
Review of an intervention focused on client re-engagement in HIV care.
- NASTAD
Ideas for RWHAP Part B/ADAPs to support access to medications and tailor related services for Black/African American men living with HIV.
- Center for Advancing Health Policy and Practice
Insights from a HRSA SPNS initiative on care coordinator/patient navigation interventions for vulnerable populations.
- HRSA HIV/AIDS Bureau (HAB)
Insights on ways that HIV care programs have improved health outcomes along the HIV care continuum.
- 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.
- HRSA HIV/AIDS Bureau (HAB)
Implementation guide for HIV providers on addressing the unique needs of women of color living with HIV.
- HRSA HIV/AIDS Bureau (HAB)
Compilation of SPNS grantee experiences with peer models and how they can be used in various care settings.
- National Minority AETC
BE SAFE is a framework that uses culturally pluralistic content and perspectives based on the following six core elements:
- 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)
Examination 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.
- AIDS Action Foundation
Estos cuadernos describen la manera de asistir a conectar personas que viven con VIH/SIDA con el sistema médico.
- 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.
- 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.
Websites
- AETC National Coordinating Resource Center (NCRC)
HIV clinical training resources for the AIDS Education and Training Centers (AETC) Program (e.g., library of tools by topic and populations, calendar of events, directory of AETCs, clinician consultation resources).
- 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.
- Center for Engaging Black MSM across the Care Continuum
Online resource to enhance care interactions experienced by Black MSM.