Evidence-informed interventions that produce optimal HIV care outcomes (jail transitional care, buprenorphine, patient navigation and peer support for women of color)
Under Ryan White HIV/AIDS Program funding, substance abuse services (outpatient) are medical or other treatment and/or counseling to address substance abuse problems (i.e., alcohol and/or legal and illegal drugs) in an outpatient setting by a physician or under the supervision of a physician, or by other qualified personnel.
Resources 113
Best Practices and Emerging Models
- Dissemination of Evidence Informed-Interventions Project (DEII)
- 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.
- SPNS Black MSM InitiativeResources to facilitate the replication or adaption of successful interventions for engaging Black MSM in HIV medical care, behavioral health care, and support services and improving their health outcomes.
- Center for Innovation and EngagementCollection of implementation guides on evidence-informed best practices in HIV care delivery.
- University of Texas Health, San Antonio, SPNS HCV Cure among People of Color with HIVSlides with summaries of the SPNS initiative, Curing Hepatitis C among People of Color Living with HIV including: evaluation questions; dissemination activities; and site reports.
- 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)Highlights from projects that offer highly effective (and replicable) approaches to integrating buprenorphine-based medication-assisted treatment into HIV/AIDS primary care.
- Evidence-Informed Interventions (E2i)Integrated buprenorphine treatment is an evidence-informed intervention to safely reduce opioid use disorder and improve HIV health outcomes among people with HIV.
- Center for Innovation and EngagementIntervention consisting of on-site buprenorphine treatment guided by an experienced HIV physician who is trained to incorporate motivational interviewing techniques into routine medical visits to provide substance use behavior counseling.
- Dissemination of Evidence Informed-Interventions Project (DEII)Buprenorphine intervention informed and adapted from the best practice findings of a past SPNS initiative that yielded successful HIV care continuum outcomes among client participants.
- Evidence-Informed Interventions (E2i)SBIRT is an evidence-based system-level integrated care approach to identify, reduce, and prevent patterns of substance use that put the health of people with HIV at risk.
- Evidence-Informed Interventions (E2i)Tailored Motivational Interviewing (TMI) is an evidence-based intervention that provides brief motivational interviewing sessions to encourage engagement in HIV care and treatment.
Resources
- AETC National Coordinating Resource Center (NCRC)
HIV clinical training resources for HRSA's AIDS Education and Training Centers Program.
- 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.
- Strengthening Systems of Care for People with HIV and Opioid Use DisorderTerms describing key concepts and components of the HIV and opioid use disorder (OUD) care and treatment systems.
- Strengthening Systems of Care for People with HIV and Opioid Use DisorderConsiderations for how state agency staff can develop and maintain an accessible, HIV and opioid use disorder (OUD) service inventory.
- Strengthening Systems of Care for People with HIV and Opioid Use DisorderTool to support state health departments in identifying opportunities for enhanced coordination between HIV and OUD funding and service provision.
- Strengthening Systems of Care for People with HIV and Opioid Use DisorderDescription of the role of peers in care for people with HIV and OUD and how a state’s Medicaid program can fund peer services.
- Strengthening Systems of Care for People with HIV and Opioid Use DisorderTool for addressing stigma in relation to systems-level policies and practices that can improve individual level interventions.
- Strengthening Systems of Care for People with HIV and Opioid Use DisorderGuide on how to coordinate HIV/HCV treatment with substance use treatment and recovery.
- Strengthening Systems of Care for People with HIV and Opioid Use DisorderDescription of two states' approaches to building and supporting an HIV and opioid use disorder (OUD) workforce and considerations for investing in a collaborative workforce.
- Strengthening Systems of Care for People with HIV and Opioid Use DisorderThis library includes various substance use screening tools. These tools are intended to provide a valid and reliable snapshot of a client 's substance use, which may point toward a need for further assessment and specialized support.
- Strengthening Systems of Care for People with HIV and Opioid Use DisorderDiscussion guide to elicit a conversation about language, stigma, and discrimination as a means of strengthening care systems.
- Centers for Disease Control and Prevention (CDC)
Federal agency within HHS responsible for promotion of health and well-being of Americans.
- SAMHSA
U.S. federal agency that leads public health efforts to advance the behavioral health of the nation.
- 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.
- National Council for Behavioral Health
Resources on integrating primary care with behavioral health services to better address mental health and substance use needs.
- AETC National Coordinating Resource Center (NCRC)
An evidence-based online curriculum for healthcare providers and trainers of health care providers on HIV/HCV co-infection among people of color.
- Massachusetts Department of Public Health
Medical case management acuity tool to assess severity of needs of clients living with HIV in various areas of functioning and categories of severity.
- Cleveland/Lorain/Elyria TGA
Tools developed by a Part A program to monitor programs and services.
- University of California, San Francisco
Resources for integrating buprenorphine treatment within HIV/AIDS programs.
- Duke University, University of North Carolina at Chapel Hill
Sixteen-question tool to screen for mental health and substance abuse conditions, takes under 15 minutes to administer. Developed under multiple Federal funding sources including HRSA. Excel file includes manual and electronic scoring tools, followed by scoring key.
Training Modules
- HRSA HIV/AIDS Bureau (HAB)
Resources on HCV treatment among HIV coinfected patients.
- HRSA HIV/AIDS Bureau (HAB)
Training manual for agencies seeking to improve delivery of dental care service to people with HIV, based on insights from the SPNS Innovations in Oral Health Care Initiative.
- IHIP
Curriculum instructions to implement best practices from the SPNS Innovations in Oral Health Care Initiative.
- HRSA HIV/AIDS Bureau (HAB)
Summary of insights in Creating Innovative Oral Health Care Programs training manual, based on insights from SPNS Innovations in Oral Health Care Initiative.
- HRSA HIV/AIDS Bureau (HAB)
References in Creating Innovative Oral Health Care Programs training manual, based on insights from SPNS Innovations in Oral Health Care Initiative.
- HRSA HIV/AIDS Bureau (HAB)
- HRSA HIV/AIDS Bureau (HAB)
Review of the contents of Creating Innovative Oral Health Care Programs training manual for agencies seeking to improve delivery of dental care service to people with HIV, based on insights from the SPNS Innovations in Oral Health Care Initiative.
- HRSA HIV/AIDS Bureau (HAB)
Review of the SPNS Innovations in Oral Health Care Initiative and the models studies in order to prepare this Creating Innovative Oral Health Care Programs training manual.
- HRSA HIV/AIDS Bureau (HAB)
Factors that help oral health programs sustain operations, based on insights from SPNS Innovations in Oral Health Care Initiative. Chapter in Creating Innovative Oral Health Care Programs training manual.
- HRSA HIV/AIDS Bureau (HAB)
Recap of data on oral health needs for people with HIV and HRSA oral health programs. Chapter in Creating Innovative Oral Health Care Programs training manual, based on insights from the SPNS Innovations in Oral Health Care Initiative.
- HRSA HIV/AIDS Bureau (HAB)
Interview guide for determining dental care needs of people with HIV. Chapter in Implementing Oral Health Care into HIV Primary Care Settings, presenting insights from the SPNS Innovations in Oral Health Care Initiative.
- HRSA HIV/AIDS Bureau (HAB)
Instructional design of curriculum to implement best practices from the SPNS Innovations in Oral Health Care Initiative. Introductory chapter of Implementing Oral Health Care into HIV Primary Care Settings.
- HRSA HIV/AIDS Bureau (HAB)
Organizational models used to develop oral health care services for people with HIV, from the SPNS Innovations in Oral Health Care Initiative. Chapter in Implementing Oral Health Care into HIV Primary Care Settings.
- HRSA HIV/AIDS Bureau (HAB)
Review of oral health care considerations for people with HIV, from the SPNS Innovations in Oral Health Care Initiative. Introductory chapter of Implementing Oral Health Care into HIV Primary Care Settings.
- HRSA HIV/AIDS Bureau (HAB)
Module on common barriers to oral health care encountered by people with HIV and the intersection of oral health and HIV disease. Chapter in Implementing Oral Health Care into HIV Primary Care Settings, presenting insights from the SPNS Innovations in Oral Health Care Initiative.
- HRSA HIV/AIDS Bureau (HAB)
Review of models from the SPNS Innovations in Oral Health Care Initiative. Chapter in Implementing Oral Health Care into HIV Primary Care Settings, presenting insights
- HRSA HIV/AIDS Bureau (HAB)
Terminology on oral health and HIV disease. Chapter in Implementing Oral Health Care into HIV Primary Care Settings, presenting insights from the SPNS Innovations in Oral Health Care Initiative.
- HRSA HIV/AIDS Bureau (HAB)
Visual and descriptive examples of common oral health diseases. Chapter in Implementing Oral Health Care into HIV Primary Care Settings, presenting insights from the SPNS Innovations in Oral Health Care Initiative.
- HRSA HIV/AIDS Bureau (HAB)
Facts and myths on oral health and HIV disease, organized as training tests. Chapter in Implementing Oral Health Care into HIV Primary Care Settings, presenting insights from the SPNS Innovations in Oral Health Care Initiative.
- HRSA HIV/AIDS Bureau (HAB)
Review of oral health and HIV care programs that utilize a dental case manager, patient navigator, or outreach worker as part of their program model. Chapter in Implementing Oral Health Care into HIV Primary Care Settings, presenting insights from the SPNS Innovations in Oral Health Care Initiative.
- HRSA HIV/AIDS Bureau (HAB)
Module presenting recommendations for providers seeking to educate their patients about the components of a basic oral health care plan. Chapter in Implementing Oral Health Care into HIV Primary Care Settings, presenting insights from the SPNS Innovations in Oral Health Care Initiative.
- HRSA HIV/AIDS Bureau (HAB)
Module to help dental care providers understand how peers can be helpful in engaging people with HIV in care and to familiarize themselves with a possible tool to use in peer education and training. Chapter in Implementing Oral Health Care into HIV Primary Care Settings, presenting insights from the SPNS Innovations in Oral Health Care Initiative.
- HRSA HIV/AIDS Bureau (HAB)
- HRSA HIV/AIDS Bureau (HAB)
Journal articles on enhancing 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)
Lessons learned from the SPNS initiative Enhancing Linkages to HIV Primary Care & Services in Jail Settings.
- IHIP
Insights on providing continuity of HIV care for persons transitioning from jail to community settings, in Creating a Jail Linkage Program training manual, based on the SPNS Enhancing Linkages to HIV Primary Care & Services in Jail Settings Initiative.
- HRSA HIV/AIDS Bureau (HAB)
Overview of the HIV epidemic in the U.S., the national strategy, and SPNS initiative to identify models of care. Part of the training manual, Innovative Approaches to Engaging Hard-to-Reach Populations Living with HIV/AIDS into Care.
- HRSA HIV/AIDS Bureau (HAB)
Review of barriers to HIV care. Part of the training manual, Innovative Approaches to Engaging Hard-to-Reach Populations Living with HIV/AIDS into Care.
- HRSA HIV/AIDS Bureau (HAB)
Review of SPNS initiatives to identify models of HIV care that are summarized in the training manual, Innovative Approaches to Engaging Hard-to-Reach Populations Living with HIV/AIDS into Care.
- HRSA HIV/AIDS Bureau (HAB)
Review of select models of HIV care (e.g., outreach, motivational interviewing, case management). Part of the training manual, Innovative Approaches to Engaging Hard-to-Reach Populations Living with HIV/AIDS into Care.
- HRSA HIV/AIDS Bureau (HAB)
Summary of considerations for agencies to consider prior to undertaking replication of HIV care models. Part of the training manual, Innovative Approaches to Engaging Hard-to-Reach Populations Living with HIV/AIDS into Care.
- HRSA HIV/AIDS Bureau (HAB)
Recap of contents of training manual, Innovative Approaches to Engaging Hard-to-Reach Populations Living with HIV/AIDS into Care.
- HRSA HIV/AIDS Bureau (HAB)
Part of the training manual, Innovative Approaches to Engaging Hard-to-Reach Populations Living with HIV/AIDS into Care.
- HRSA HIV/AIDS Bureau (HAB)
Collection of additional resources on HIV care engagement. Part of the training manual, Innovative Approaches to Engaging Hard-to-Reach Populations Living with HIV/AIDS into Care.
- HRSA HIV/AIDS Bureau (HAB)
Citations for the training manual, Innovative Approaches to Engaging Hard-to-Reach Populations Living with HIV/AIDS into Care.
- HRSA HIV/AIDS Bureau (HAB)
Review of the content (e.g., training design, handouts) of the curriculum to educate staff and other stakeholders on how to replicate models of care to engage and retain hard-to-reach populations into HIV medical care. Part of the tools in Innovative Approaches to Engaging Hard-to-Reach Populations Living with HIV/AIDS into Care.
- IHIP
Manual to help health care providers adapt SPNS models addressing how to engage hard-to-reach people with HIV (PWH) into care within their current operations.
- HRSA HIV/AIDS Bureau (HAB)
Overview of the HIV/AIDS epidemic in the United States, particularly within marginalized and underserved populations. Part of the tools in Innovative Approaches to Engaging Hard-to-Reach Populations Living with HIV/AIDS into Care.
- HRSA HIV/AIDS Bureau (HAB)
Overview of the HIV continuum of care. Part of the tools in Innovative Approaches to Engaging Hard-to-Reach Populations Living with HIV/AIDS into Care.
- HRSA HIV/AIDS Bureau (HAB)
Overview of various SPNS models for possible replication. Part of the tools in Innovative Approaches to Engaging Hard-to-Reach Populations Living with HIV/AIDS into Care.
- HRSA HIV/AIDS Bureau (HAB)
Overview of the health system navigation/ retention in care model of care. Part of the tools in Innovative Approaches to Engaging Hard-to-Reach Populations Living with HIV/AIDS into Care.
- HRSA HIV/AIDS Bureau (HAB)
Overview to foster discussion about the motivational interviewing model of care. Part of the tools in Innovative Approaches to Engaging Hard-to-Reach Populations Living with HIV/AIDS into Care.
- HRSA HIV/AIDS Bureau (HAB)
Overview to foster discussion about the in-reach model of care. Part of the tools in Innovative Approaches to Engaging Hard-to-Reach Populations Living with HIV/AIDS into Care.
- HRSA HIV/AIDS Bureau (HAB)
Overview to foster discussion about the HIV Interventions in Jails initiative model of care. Part of the tools in Innovative Approaches to Engaging Hard-to-Reach Populations Living with HIV/AIDS into Care.
- HRSA HIV/AIDS Bureau (HAB)
Overview to foster discussion about the Social Marketing Campaigns/Social Networking Channels model of care. Part of the tools in Innovative Approaches to Engaging Hard-to-Reach Populations Living with HIV/AIDS into Care.
- HRSA HIV/AIDS Bureau (HAB)
Ideas on small ways that agencies can jumpstart implementation of their selected model(s) of care. Part of the tools in Innovative Approaches to Engaging Hard-to-Reach Populations Living with HIV/AIDS into Care.
- IHIP
Frequently asked questions about buprenorphine care; chapter in the Integration of Buprenorphine into HIV Primary Care document.
- IHIP
Design of curriculum to provide physicians with the information they need to educate their clinic staff and other stakeholders about integrating medication-assisted treatment (MAT) with buprenorphine into HIV primary care.
- IHIP
Resources on opioid treatment. Part of the curriculum, Integration of Buprenorphine into HIV Primary Care Settings
- IHIP
Module to assess provider community's awareness and perspectives on opioid use risks among clients as a decision point on whether to undertake integration of buprenorphine use within the HIV clinic. Chapter in the curriculum, Integration of Buprenorphine into HIV Primary Care Settings.
- IHIP
Review of the terminology of addiction, opioid use, and MAT, in order to enhance staff understanding of how buprenorphine treatment fits into the larger treatment picture and improve their health literacy on the subject. Chapter in the curriculum, Integration of Buprenorphine into HIV Primary Care Settings.
- IHIP
Overview of addiction and medication-assisted addiction treatment, including buprenorphine and methadone. Chapter in the curriculum, Integration of Buprenorphine into HIV Primary Care Settings.
- IHIP
Review of the SPNS Buprenorphine Initiative, the reasons behind its funding, and its overall findings across grantee sites. Chapter in the curriculum, Integration of Buprenorphine into HIV Primary Care Settings.
- IHIP
Review of major steps required to get going in buprenorphine certification and administration (e.g., prescribing, administration, staffing). Chapter in the curriculum, Integration of Buprenorphine into HIV Primary Care Settings.
- IHIP
Module (factsheet) quick reference guide to providers and staff on frequently asked questions and answers regarding buprenorphine treatment. Chapter in the curriculum, Integration of Buprenorphine into HIV Primary Care Settings.
- IHIP
Group activity to allow clinic staff to practice patient-provider role playing, providing the instructor with an opportunity to identify any communication or cultural competency issues that may need addressing Chapter in the curriculum, Integration of Buprenorphine into HIV Primary Care Settings.
- IHIP
Endnotes and references for training manual, Integration of Buprenorphine into HIV Primary Care Settings.
- IHIP
Background on addiction and review of risk behaviors tied to opioid abuse. Introductory chapter in the training manual, Integration of Buprenorphine into HIV Primary Care Settings.
- IHIP
Review of data on the efficacy of buprenorphine. Chapter in the training manual, Integration of Buprenorphine into HIV Primary Care Settings.
- IHIP
Findings from the SPNS initiative, Integrating Buprenorphine into HIV Primary Care Settings; chapter in the training manual, Integration of Buprenorphine into HIV Primary Care Settings.
- IHIP
Start-up activities to integrate buprenorphine treatment into primary care; chapter in the training manual, Integration of Buprenorphine into HIV Primary Care Settings.
- IHIP
Clinical considerations and tools for integrating buprenorphine treatment in a primary care setting; chapter in the training manual, Integration of Buprenorphine into HIV Primary Care Settings.
- IHIP
Criteria to consider when contemplating buprenorphine treatment with patients; chapter in the training manual, Integration of Buprenorphine into HIV Primary Care Settings.
- IHIP
- IHIP
Overview of training manual and curriculum (along with webinars) on integrating opioid addiction treatment using buprenorphine.
- IHIP
Overview of training manual on integrating buprenorphine treatment into HIV primary care.
- IHIP
Review of opioid addiction treatment, specifically buprenorphine, and its variance from methadone and naltrexone opioid addiction treatment options. Chapter in the curriculum, Integration of Buprenorphine into HIV Primary Care Settings.
- IHIP
Slides for use in educating patients about opioid addiction and opioid addiction treatment. Chapter in the curriculum, Integration of Buprenorphine into HIV Primary Care Settings.
Webinars and Training
- IHIPThe webinar features two interventions designed to improve linkage to and retention in care and improve health outcomes: one on integrating HIV and addiction services and one on delivery of early intervention services for persons with HIV and STI diagnoses.
- NMACThis webinar presented by ELEVATE NMAC Team and JSI will focus on promoting the application of Harm Reduction Principles among PWH employed in HIV Service Delivery System.
- Technical Assistance Provider Innovation Network (TAP-in)Recordings of the TAP-in webinars on topics critical to the Ending the HIV Epidemic Initiative.
- NASTAD
Review of strategies to support Ryan White core medical and support service access/delivery within and/or in combination with local syringe services programs (SSPs).
- 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).
- 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.
- National Center for Innovation in HIV Care
Review of research on the causes of higher trauma prevalence among People with HIV. The relationship of trauma symptoms to decreased engagement in HIV services, and best practices in trauma-informed care.
- NASTAD
Insights on supporting access to substance use treatment medications and related services for clients served by Ryan White Part B and AIDS Drug Assistance Programs (ADAPs).
- National Center for Innovation in HIV Care
Review of syringe access service delivery, principles of harm reduction, and models of how programs at community-based organizations have been successful.
- 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).