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Curriculum updated on 09/01/2013
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Creating a Jail Linkage Program: Training Manual
Lessons learned from the SPNS Enhancing Linkages to HIV Primary Care & Services in Jail Settings Initiative.Resource updated 08/29/2022
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Creating a Jail Linkage Program: Curriculum
This curriculum is meant to inform implementation of a new jail linkage program and to assist organizations in expanding their current jail work.
Target audiences include AIDS service organizations, community-based organizations, Ryan White HIV/ AIDS Program grantees and providers, and local health departments.
Jail health administrators may find the information herein to be helpful in discussions around establishing or modifying a jail linkage program; however, they are not the primary audience for this guide.
Resource updated 03/12/2024
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Women of Color: Enhancing Access
Implementation guide for HIV providers on addressing the unique needs of women of color living with HIV.
Resource updated 05/15/2024
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Best Practices for HIV Interventions in Jails: Pocket Guide
This guide is intended for those seeking to strengthen connections between community and jail health care systems, including improving the continuity of care for recently incarcerated HIV-positive individuals.Resource updated 05/16/2024
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Engaging and Retaining People Living with HIV/AIDS in Oral Health Care: Pocket Guide
Pocket guide for primary care providers and oral health care teams working to improve efforts and outcomes regarding engagement and retention in oral health care for people with HIV.Resource updated 11/06/2023
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ED Alert
The goals of the Emergency Department and Hospital-Based Data Exchange for Real-Time Data to Care (ED Alert) intervention are to reengage people with HIV in care and to improve viral suppression rates. This is achieved using a real-time data exchange system that connects clients presenting to the emergency department with health department linkage specialists. ED Alert increased viral load testing and viral suppression over six months following a provider visit in the post-intervention period.Resource from the RWHAP Best Practices Compilation updated on 03/18/2024
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YGetIt? Program
The YGetIt? Program engaged youth and young adults with HIV in care through three components: a health management mobile application (GET!), Peer Engagement Educator Professionals (PEEPs), and a graphic serial (Tested). Tested received over 200,000 views, and viral suppression rates among YGetIt? participants increased from 79% to 86% over the course of the program.Resource from the RWHAP Best Practices Compilation updated on 03/18/2024
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Coordination of Supportive Employment and Housing Services
The intervention integrated supportive employment services, housing services, and HIV care for clients receiving case management services and with unmet housing and employment needs. Evaluation of the program showed improvements in employment rates, participant confidence in being able to hold onto a job, household median income, participants’ living situations, and self-perception of homelessness status.Resource from the RWHAP Best Practices Compilation updated on 04/29/2024
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Patient-Centered Appointment Reminders
Allegheny Health Network implemented Patient-Centered Appointment Reminders over a five-month period to improve engagement in care for people with HIV. This intervention included text message reminders, a process for identifying and addressing barriers to care, home visits, and outreach to patients after missed appointments. Compared to the pre-intervention cohort, the post-intervention group showed a significant decrease in clinic no-show rates.Resource from the RWHAP Best Practices Compilation updated on 05/20/2024
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Addressing Hepatitis C among People with HIV Fact Sheet
This fact sheet outlines interventions and resources for Ryan White agencies to level up their screening, testing, and treatment programs.Resource updated 05/17/2024
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POP-UP
POP-UP provides low-barrier comprehensive HIV primary care, substance use services, mental health services, and case management to people who are homeless and unstably housed with the goal of retaining clients in care and improving viral suppression. Among POP-UP participants, 44% who were unstably housed and not virally suppressed at the start of the study were virally suppressed 12 months after enrollment.Resource from the RWHAP Best Practices Compilation updated on 05/24/2024
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Golden Compass
Golden Compass aims to serve the unique needs of older adults with HIV using a comprehensive care model designed to address comorbidities that arise with older age. Golden Compass helps address the large, yet preventable, gaps in knowledge about geriatric HIV care, resulting in high rates of patient and provider satisfaction and substantial provider reach.Resource from the RWHAP Best Practices Compilation updated on 06/20/2024
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Taking Care of Me
Taking Care of Me is a video- and poster-based intervention to promote prompt ART initiation and medication adherence for people with HIV. The video and posters are designed for use in HIV clinics, drawing on the example of similar initiatives launched in public health clinic waiting rooms that aim to reduce incidence of sexually transmitted infections. A trial testing the efficacy of Taking Care of Me found that clients exposed to the video were more likely to be prescribed ART and reach viral suppression.Resource from the RWHAP Best Practices Compilation updated on 06/21/2024
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Rapid ART Start Protocol
The Rapid ART Start Protocol focuses on helping veterans with a new HIV diagnosis access ART and comprehensive treatment as soon as possible. A retrospective cohort study showed positive outcomes, including decreases in the time to first appointment, the time to ART initiation, and the time to reach viral suppression. In addition, patients receiving the intervention were more likely to reach viral suppression compared to patients seen pre-intervention at the same clinic.Resource from the RWHAP Best Practices Compilation updated on 06/21/2024
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Suppression Bundle
This nine-month program tailored services for people with HIV by bundling three to five evidence-informed care strategies for each client, such as mental health referrals, transportation assistance, appointment reminders, and pill boxes. A primary care physician, case manager, and pharmacist coordinated with each client to address their specific needs. After the intervention, 70.1% of previously non-suppressed clients were virally suppressed.Resource from the RWHAP Best Practices Compilation updated on 06/11/2024
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Rise
Rise was implemented to address ART adherence issues among Black people with HIV. Through Rise, peer counselors used motivational interviewing techniques, leveraged Medication Event Monitoring System data to monitor and promote adherence, and connected participants to support services to address unmet needs. A randomized controlled trial showed that Rise participants were more likely to be adherent to ART than non-participants.Resource from the RWHAP Best Practices Compilation updated on 06/11/2024
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Improving Reengagement in Care: A Community Health Worker Model
In 2021, the City of New Orleans employed five CHWs to work with RWHAP Part A-funded agencies on reengaging eligible clients back into care. From February 2021 through April 2022, CHWs attempted to contact 1,215 clients disconnected from care; 207 of these attended a primary care appointment and re-entered care, a 17% success rate at reengaging clients back into care.Resource from the RWHAP Best Practices Compilation updated on 07/02/2024
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CoRECT
CoRECT was a data to care project to identify and reengage people with HIV who were newly out of care. It included a clinic and health department data reconciliation process to identify missed laboratory results or appointments and create the out-of-care list, case discussions via telephone to review the combined list, and field epidemiologist outreach to assist clients with making appointments, securing transportation, and arranging referrals. The intervention employed strengths-based case management techniques and motivational interviewing to contact identified people within 30 days, reengage them in care, and reduce time to viral suppression.Resource from the RWHAP Best Practices Compilation updated on 03/19/2024
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Stronger Together
Stronger Together uses counseling to increase engagement in and improve the quality of HIV care available for serodiscordant male couples. Through three in-person and additional “booster” sessions over an 18-month period, Stronger Together gave couples a space to work with an HIV professional to improve treatment adherence and keep both people healthy. Stronger Together participants were more likely to adhere to ART than those in a control group.Resource from the RWHAP Best Practices Compilation updated on 04/12/2024