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SPNS Initiative: SURE Housing Initiative (2022-2026)
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Black MSM Behavioral Health Initiative
SPNS-sponsored project to evaluate four evidence-informed behavioral health interventions and/or models of care to engage, link, and retain Black MSM with HIV in medical care and supportive services. Project period: 2018-2022.RWHAP Technical Assistance Provider updated on 03/04/2024
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Tailored Motivational Interviewing: E2i
Tailored Motivational Interviewing (TMI) delivers brief motivational interviewing counseling sessions customized to encourage people with HIV to engage in HIV care, take HIV medications as prescribed, and improve other health-related behaviors. Three sites implemented TMI as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017 to 2021. Clients who participated in TMI had significant improvement in engagement in care, prescription of antiretroviral therapy, retention in care, and viral suppression.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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The Black MSM Initiative: Protocol for Program Evaluation
Introductory paper describing the Black MSM Initiative and the protocol for the multisite evaluation.Resource updated 01/31/2023
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Text Messaging Intervention to Improve Antiretroviral Adherence among HIV-Positive Youth: E2i
The Text Messaging Intervention to Improve Antiretroviral Adherence among HIV-Positive Youth (TXTXT) is designed to keep young people, particularly young, Black, gay, bisexual, same-gender loving, and other men who have sex with men, engaged in HIV medical care, by delivering personalized, daily, interactive text messages that remind them to take their antiretroviral therapy as prescribed. Two sites implemented TXTXT as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017–2021. The intervention resulted in a statistically significant improvement in engagement in HIV care.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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E-VOLUTION
E-VOLUTION is a two-way text messaging intervention, originally developed by Washington University School of Medicine and piloted at Project ARK. The intervention focuses on improving health outcomes for youth, particularly young Black men who have sex with men. E-VOLUTION was designed for people ages 18-29 who have HIV and are receiving clinical care but require support to remain adherent. E-VOLUTION was evaluated and found to improve viral suppression and retention in care rates.Resource from the RWHAP Best Practices Compilation updated on 02/12/2024
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Anal Cancer Screening: Multidisciplinary Approaches and Impactful Outcomes
Two-part presentation, with Part 1 review of research regarding the efficacy of anal cancer screening and active treatment of HSIL or high-grade squamous intraepithelial lesions in adults with HIV over 35 years old and Part 2 on a multidisciplinary approach to screening and the importance of consumer voices in guiding screening services.Resource (Conference Presentation) updated 09/14/2023
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SPNS Black MSM Initiatives: The Intersection of COVID-19, Civil Unrest, and HIV
Discussion of the SPNS Black MSM Initiatives challenges and solutions to addressing program and client engagement disruptions.
Resource (Conference Presentation) updated 09/14/2023
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Adapting Outreach Services: Discreet HIV Testing for Rural Kentucky MSM Populations and More
Outreach strategies to better serve rural MSM populations impacted by cultural, geographic, and resource-related barriers to HIV testing.
Resource (Conference Presentation) updated 09/14/2023
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Conceptualizing and Implementing Mental Health and Behavioral Health Services in the SPNS Black MSM Initiative
Review of the SPNS demonstration site efforts to understand and integrate mental and behavioral health services and address the unmet needs of Black MSM.
Resource (Conference Presentation) updated 09/14/2023
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Final Findings from the SPNS Black MSM Initiative Multi-site Evaluation
Final Findings from the SPNS Black MSM Initiative Multi-site Evaluation.
Resource (Conference Presentation) updated 09/14/2023
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Project Strength Through Youth Livin' Empowered (STYLE) 2.0
STYLE 2.0 is a multi-component intervention designed to help reduce stigma and social isolation for Black gay, bisexual, and other men who have sex with men. The intervention relies on health care navigators who facilitate linkage and engagement activities. They also connect clients to behavioral health providers who conduct motivational interviewing, as well as to a mobile application that supports all intervention activities. STYLE 2.0 participation has been associated with positive trends across HIV care continuum outcomes, including retention in care and increased viral suppression.Resource from the RWHAP Best Practices Compilation updated on 11/30/2023
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weCare Social Media Intervention
In weCare, a cyber health educator sent personalized messages through text, web-based apps, and Facebook to enrolled youth who identified as gay, bisexual, or other men who have sex with men (MSM), or transgender women, and who either had a new diagnosis of HIV or were not in care at the time of enrollment. Messages were personalized to each participant’s needs and were designed to support them as they navigated complicated health care systems as well as other challenges that affect care engagement (e.g., transportation, disclosure). The cyber health educator also moderated and posted information about health and well-being on an optional secret Facebook page that some participants chose to join. Participants were less likely to miss medical appointments and more likely to be virally suppressed after 12 months of the intervention.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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Eradicating Racism and Striving for Excellence in HIV Care (ERASE)
ERASE was developed to address the unique needs of Black MSM. Through an intensive case management intervention, peer case managers provide health education and wellness support, and connect clients to medical and behavioral healthcare. ERASE also offers a physical “safe space” for Black MSM to meet with a case manager, access medical services, or connect with peers. Enrollment in ERASE improved retention in HIV care for clients.Resource from the RWHAP Best Practices Compilation updated on 01/09/2024
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Hosting a CAREWare Network
Options for outlining roles and responsibilities in hosting a CAREWare network as part of the planning process.Resource updated 09/19/2023
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Positively Connected for Health (PC4H)
The PC4H initiative employs a mobile app and a digital literacy workshop to improve engagement, retention in care, and medication adherence for young people with HIV. These strategies aim to reach young people who are disproportionately affected by HIV, including young men who have sex with men, young transgender women, and youth of color, with a focus on serving people who know their status but are inconsistently engaged in care. Developed by Children’s Hospital of Philadelphia and Philadelphia FIGHT, PC4H was evaluated through the RWHAP Part F SPNS Social Media Initiative. The evaluation found that PC4H had positive impacts on retention in care and viral suppression.Resource from the RWHAP Best Practices Compilation updated on 11/17/2023
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Project nGage
Project nGage is a support intervention approach that offers participants an initial 90-minute session with a social work interventionist and a participant support confidant to develop a tailored care and support plan. The social work interventionist then offers four follow-up sessions to each participant to discuss progress on the care and support plan. Project nGage was evaluated in a randomized controlled trial from 2012 to 2015: participants in the intervention were more likely to have at least three HIV primary care visits in the last 12 months than those who received usual care.Resource from the RWHAP Best Practices Compilation updated on 11/30/2023
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Behavioral Health Models to Improve HIV Health Outcomes for Black Men Who Have Sex With Men
Resources to facilitate the replication or adaption of successful interventions for engaging Black MSM in HIV care.Resource updated 03/04/2024
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Trends, Patterns, and Factors Associated with HIV Coinfection Among Male Syphilis Cases, 2014-2019, Hawaii
By cross matching registries of HIV and other sexually transmitted infections, this study found 27.1% of male syphilis cases were coinfected with HIV and 31.8% of those coinfected were not virally suppressed. This suggests ongoing sexual risk behaviors and the potential for HIV transmission among male syphilis cases.
Resource (Conference Presentation) updated 09/14/2023