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On May 11, HRSA’s HIV/AIDS Bureau released a program letter encouraging RWHAP ADAP recipients to include medications for SUDs, including buprenorphine for OUD, and naloxone for opioid overdose prevention, on ADAP formularies.News Article updated on 05/15/2023
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Integration of Comprehensive HIV Medical Care with Addiction Services
Intervention to create a safe place for delivering stigma-free, trauma-informed and integrated HIV, addiction medicine and behavioral health services under a single roof.Resource updated 04/03/2024
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Telehealth Implementation at a Midwest HIV Clinic
The University of Nebraska Medical Center/Nebraska Medicine (UNMC/NM) Specialty Care Center (SCC) is the largest provider of comprehensive HIV care—including primary and HIV-focused medical services as well as multiple support services—in Nebraska. In March 2020, at the onset of the COVID-19 pandemic, the clinic integrated telehealth into its care delivery model to continue serving patients beyond the clinic structure, and developed algorithms that allowed any team member to quickly identify a patient's eligibility for a telehealth visit. The algorithms include the date of the most recent office visit, stability of HIV disease, most recent viral load and CD4 count, and antiretroviral therapy (ART) refill histories as a proxy for medication adherence. Overall, viral suppression rates remained high for all patients regardless of visit type, indicating that telehealth is a successful alternative to in-person visits for providing HIV care.Resource from the RWHAP Best Practices Compilation updated on 03/23/2024
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Guide for Developing HIV and Opioid Use Disorder Service Inventories and Using Geographic Mapping
Considerations for how state agency staff can develop and maintain an accessible, HIV and opioid use disorder (OUD) service inventory.Resource updated 01/05/2024
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STI Implementation Plan Released
HHS has released an implementation plan on specific actions for entities to take in preventing and treating sexually transmitted infections (STI).News Article updated on 06/13/2023 -
State Strategies in Action: Building Relationships with Your State Medicaid Agency to Support Peer Services
Description of the role of peers in care for people with HIV and OUD and how a state’s Medicaid program can fund peer services.Resource updated 09/19/2023
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Navigator Case Management for People Leaving Jail
The Navigator Case Management intervention helps people with HIV who are incarcerated and are leaving to return to the community. The intervention uses harm reduction, case management, and motivational interviewing techniques to promote healthy behaviors. Enhanced case management including peer support and connection to other needed services both immediately before and after release supports increased linkage to and retention in HIV care for people transitioning to the community from jail.Resource from the RWHAP Best Practices Compilation updated on 01/19/2024
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Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations
The RWHAP Part F SPNS program funded the Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations initiative from 2012–2017, to provide coordinated housing supports and HIV, behavioral and mental health care to people experiencing homelessness. Nine funded demonstration sites created partnerships with housing providers, integrated behavioral health and HIV care, and provided intensive patient navigator services. A multi-demonstration site evaluation found that, compared to baseline, participants were more likely to be virally suppressed after 12 months in the intervention.Resource from the RWHAP Best Practices Compilation updated on 11/13/2023
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Innovative HIV Care Strategies for People with HIV with Co-occurring Conditions
The 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.Resource updated 05/15/2024
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CQII Eliminating Disparities Due to Substance Use Issues - Core Interventions
Core interventions related to addressing substance use in order to eliminate disparities in viral suppression rates.Resource updated 09/14/2023
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Integrating Services to Address the Syndemics of HIV, STIs, Substance Use Disorder, and Viral Hepatitis
Review of how to integrate services using a syndemic approach in order to collectively address HIV, STIs, viral hepatitis, and substance use disorders.Resource updated 03/23/2023
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Postpartum Retention and Engagement Quality Improvement Initiative
The University of Mississippi Medical Center implemented a Postpartum Retention and Engagement Quality Improvement Initiative in 2017 to improve linkage to care, retention in care, and viral suppression among postpartum women with HIV. This intervention uses a combination of care coordination, printed materials, case management services, and improved collaboration and coordination between the Adult Special Care Clinic, which provides comprehensive HIV medical care, and a Perinatal HIV Program. The comprehensive intervention significantly improved retention in HIV care and increased viral suppression at both six and 12 months postpartum.Resource from the RWHAP Best Practices Compilation updated on 11/14/2023
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A Systems Approach to an Integrated HIV and Opioid Use Disorder Workforce
Description of two states' approaches to building and supporting an HIV and opioid use disorder (OUD) workforce and considerations for investing in a collaborative workforce.Resource updated 09/19/2023
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HIV and OUD Service and Funding Matrices Guide and Template
Tool to support state health departments in identifying opportunities for enhanced coordination between HIV and OUD funding and service provision.Resource updated 04/18/2024
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Expanding access to substance use and mental health services for HIV patients in Alabama
The objective of this study is to assess key stakeholders, including patients, for readiness to adopt a new standard of care. Because many people with HIV in Alabama experience low literacy, low income, and are racial minorities, data suggests they will experience greater barriers to healthcare information technology, like PROs and Telehealth.
Resource (Conference Presentation) updated 09/14/2023
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Multilevel Facilitators and Barriers to Cervical Cancer Screening in Women Living with HIV: A Qualitative Study
Overview of barriers and facilitators to Pap test utilization for women with HIV who receive RWHAP Part D services. Using the Socio-Ecological Model, the individual, interpersonal, community, and healthcare system level barriers and facilitators are explored.
Resource (Conference Presentation) updated 09/14/2023
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Assessing Need for Primary Care Services at a Needle Exchange Program: Safe Recovery
Project to determine the feasibility of integrating primary care services into syringe exchange programs.
Resource (Conference Presentation) updated 09/14/2023
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National HIV Curriculum 3rd Edition Launched
After extensive reviews and updates, the National HIV Curriculum 3rd Edition launched on September 1 to start a new 3-year CE accreditation period.News Article updated on 09/27/2023 -
Integration of Buprenorphine into HIV Primary Care Settings Toolkit
Overview of training manual, curriculum, and webinars related to on integrating opioid addiction treatment using buprenorphine.Informational updated 04/03/2024
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Best Practices Approaches 100
There are, as of February 6, 2024, a total of 98 HIV care interventions in HRSA's Best Practices Compilation.News Article updated on 02/06/2024