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SPNS Initiative: SURE Housing Initiative (2022-2026)
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Screening, Brief Intervention, and Referral to Treatment (SBIRT): E2i
SBIRT is designed to screen clients for drug and alcohol use, educate clients on the risks of use, and connect them to substance use treatment services if necessary. SBIRT is an evidence-informed intervention that has been adapted by HIV experts in collaboration with community members to improve health outcomes among people with HIV. Two sites implemented SBIRT as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017–2021. Among the clients enrolled in SBIRT, the percentage with a prescription of antiretroviral therapy (ART) and who reached viral suppression both increased significantly.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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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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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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Leveraging Federal Partnerships to Support and Enhance Networks for Older Adults Who are Aging with HIV
Overview of the RWHAP, strategies to improve assessing and addressing the healthcare and psychosocial needs of older adults who are aging in the RWHAP, and perspectives on how to engage older adults with HIV.Resource updated 06/09/2022
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Let's talk about achieving cultural reflectiveness in your Planning Council/Planning Body (PC/PB)!
Description of how Planning Councils/Planning Bodies (PC/PBs) can move toward achieving cultural reflectiveness and responsiveness.Resource updated 01/05/2024
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Project ACCEPT
Project ACCEPT is designed to improve engagement and retention in medical care for youth ages 16 to 24 years with newly diagnosed HIV. The educational and skill-building intervention was deployed at four demonstration sites and increased rates of medication use and appointment adherence in comparison to a control group. Although originally developed for cisgender youth, Project ACCEPT may be adapted for gender-diverse people.Resource from the RWHAP Best Practices Compilation updated on 01/03/2024
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Achieving Reflectiveness: A Roadmap to Instill Cultural-Responsiveness as a Life-Long Learning Process in Your PC/PB (Part 2)
How to instill cultural competence and create actively inclusive environments in your PC/PB through every learning opportunity.Resource updated 01/05/2024
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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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Viviendo Valiente: Multi-Level Intervention Linking Latinos to HIV Care
Multi-level messaging intervention focused on linking Latinos with HIV to high quality HIV primary care in Dallas County, Texas. Individual-, group- and community-level strategies.Resource updated 10/13/2023
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Text Me, Girl!: Transgender-Specific Text Messaging to Support Care Engagement
Ninetyday theory-based, transgender-specific, automated text-messaging intervention designed to improve engagement, retention, and health outcomes along the HIV care continuum.Resource updated 02/07/2024
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Tailored Motivational Interviewing for Youth
Five clinics implemented Tailored Motivational Interviewing (TMI) to better serve young people with HIV as part of a RWHAP Part F SPNS initiative. Motivational interviewing is a well-documented approach to engage youth in care and facilitate behavior change in a variety of contexts. Clients participating in TMI received integrated HIV medical care and TMI, and demonstrated improved engagement in care and health outcomes.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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Smile! The Next Horizon in Improving Oral Health Care
Innovative ways that the provision of oral health care can improve retention and re-engagement in care and improve healthcare outcomes.
Resource (Conference Presentation) updated 09/14/2023
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Utilizing Social Justice Approaches via the Roots of Health Inequity Course to Help End the HIV Epidemic
Review of activities from the Roots of Health Inequity course that demonstrate how to implement social justice approaches in public health practice that can be used within the RWHAP and context of Ending the HIV Epidemic.
Resource (Conference Presentation) updated 09/14/2023
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Youth in Rural Communities: Unique Needs and Approaches to Engagement, Adherence, and Service Delivery
Overview of data on youth with HIV, their needs and programs in rural communities, and implementing initiatives to reach youth and retain them in care.
Resource (Conference Presentation) updated 09/14/2023
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Providing Gender-Affirming Care to People with HIV
Overview of the gender-affirming care and treatment services available through the RWHAP and The Fenway Institute.
Resource (Conference Presentation) updated 09/14/2023
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Plenary: Innovation (Ending the HIV Epidemic, National HIV/AIDS Strategy)
Applying the HIV/AIDS Bureau implementation science framework; trauma-informed care in dental settings; and review of an organization's status-neutral approach to care .
Resource (Conference Presentation) updated 09/14/2023
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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