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SPNS Initiative: Innovative Intervention Strategies (2iS) (2022-2025)
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Innovative HIV Care Strategies to Support Individuals Who Are Unstably Housed
Two interventions (KC Life 360 and HHOME) that provide layers of supportive services for people with HIV who are unstably housed.Resource updated 05/15/2024
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Innovation, Manual-ization + Replication” Capacity Building Technical Assistance
Insights on developing and disseminating implementation tools and resources to support the uptake and replication of innovative HIV care strategies.Resource updated 05/17/2024
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Collaborative Care Management: E2i
Collaborative Care Management (CoCM) integrates mental health and primary care, with a care team of a primary care provider, behavioral health care manager, and psychiatric consultant. Together they provide comprehensive and coordinated care to people with HIV who have co-occurring depression or other psychiatric disorders. Four sites implemented CoCM as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017–2021. CoCM led to statistically significant increases in antiretroviral therapy (ART) prescription and viral suppression.Resource from the RWHAP Best Practices Compilation updated on 01/03/2024
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Cognitive Processing Therapy: E2i
Cognitive Processing Therapy (CPT) is an evidence-based, cognitive behavioral treatment for posttraumatic stress disorder. Through individual or group sessions of CPT, clients learn to recognize and challenge unhelpful thoughts and beliefs related to trauma. Positive Impact Health Centers and Western North Carolina Community Health Services implemented CPT as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017 to 2021. While not statistically significant, CPT participants had increased engagement in care and retention in care from enrollment to 12 months.Resource from the RWHAP Best Practices Compilation updated on 11/22/2023
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Status Neutral Approaches NYC, Texas, and Detroit
Review of the concept of status-neutral and examples of real-world applications from jurisdiction peers and leaders.Resource updated 04/06/2022
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Integration of HCV Treatment within an HIV Clinic
The University of California San Francisco, San Francisco General Hospital HIV Clinic developed a care model to enhance access to hepatitis C virus (HCV) treatment among people with HIV by co-locating care and creating a multidisciplinary team. Developed as part of the RWHAP Part F SPNS Hepatitis C Treatment Expansion Initiative, this model of care led to a considerable decrease in the number of people with HIV who were coinfected with HCV among the patients served by San Francisco General Hospital during the 2010 and 2011 demonstration years.Resource from the RWHAP Best Practices Compilation updated on 05/15/2024
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Beyond the Walls: Building Foundation for Jail Linkage Programs
Effective models and best practices for connection to care for justice-involved individuals.Resource updated 05/15/2024
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Resiliency of Black Women with HIV
Resilient, Black, and Graceful: A Night of a Thousand Words, brought together 30 Black women from greater Atlanta to celebrate and share stories about their lives after being diagnosed.Blog updated 11/15/2022
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Community Health Workers: Improving Linkage and Retention in HIV Care
Ten organizations across the U.S. integrated Community Health Workers (CHWs) into their multidisciplinary care teams. Enrolled clients had statistically significant improvements in viral suppression, antiretroviral therapy prescription, and appointment attendance after six months in the program.Resource from the RWHAP Best Practices Compilation updated on 01/03/2024
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HOME: Homeless Health Outreach Mobile Engagement
HHOME is a mobile care and systems intervention that helps connect vulnerable and homeless individuals in San Francisco to rapid HIV treatment.Resource updated 02/12/2024
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KC Life 360: Employment-Focused Intervention to Link Clients to Support Services and Housing
KC Life 360 is an employment-focused intervention that utilizes the intersection between employment services, HIV care and treatment, and housing to improve health outcomes of people with HIV.Resource updated 10/13/2023
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Telemedicine Implementation at a Midwestern HIV Clinic During COVID-19: One Year Outcomes
This HIV clinic evaluated effectiveness of telemedicine for selected patients during the first year of the COVID-19 pandemic, and found overall viral suppression and retention in care rates were not adversely impacted by switch to telemedicine. They also noted similar rates of telemedicine utilization across demographic criteria.
Resource (Conference Presentation) updated 09/14/2023
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Integrating Buprenorphine Treatment for Opioid Use Disorder in HIV Primary Care
Three participating clinics—MetroHealth, the University of Kentucky Bluegrass Care Clinic, and Centro Ararat—participated in a RWHAP Part F SPNS initiative from 2016 through 2019 to implement integrated buprenorphine treatment and HIV care. Research has shown that care integration improves HIV outcomes, engagement in substance use disorder treatment, and quality of life for people with HIV. Clients participating in this intervention received integrated opioid use disorder (OUD) and HIV care to improve retention in care, viral suppression, and engagement in OUD treatment.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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Telehealth Strategies to Maximize HIV Care
Identify and maximize the use of telehealth strategies that are most effective in HIV care. Project period: 2022-2025.RWHAP Technical Assistance Provider updated on 09/15/2023
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How EHE Jurisdictions Can Increase Uptake of Long Acting Injectables for HIV Treatment
Review of the efficacy of LAIs and implementation activities undertaken by agencies.Resource updated 04/07/2023
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Identifying Key Elements of an Effective Implementation Resource
What are the key elements of your intervention that other providers should be sure to implement?Resource updated 09/19/2023
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An Evolution of Telemedicine: Innovative Care Approaches in Response to the COVID-19 Pandemic
Development of telehealth services to patients with SARS-CoV-2 infection, including diagnostic testing, telephone evaluation, home pulse oximetry, monoclonal antibodies, and follow-up for patients through video assessments and the contributions to successful outcomes.Resource (Conference Presentation) updated 09/14/2023
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Enhancing Trauma-informed HIV Care through Collaboration and Routine Behavioral Health Screening
Collaboration to enhance trauma-informed care, featuring: creation of a rapid response team, digital behavioral health assessment, trauma education, and de-escalation training.
Resource (Conference Presentation) updated 09/14/2023