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Curriculum updated on 06/01/2021
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Public Health and Primary Care Partnerships
Review of the role federally qualified health centers play in the care of people who are uninsured and medically underserved, including people with HIV.Resource updated 03/15/2023
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AIDS Foundation of Chicago: Safe & Sound Return Partnership
SSRP is a client, provider, and system levels intervention to rapidly connect PLWH recently released from jail/prison to medical, housing, and employment services using a Peer Community Reengagement Specialist model.Resource updated 09/14/2023
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Transgender Health Program Integrated Into HIV Prevention and Care
The Rutgers New Jersey Medical School created a transgender health program and integrated it into their Infectious Disease Practice. The program conducted community outreach to engage transgender men and women in care, trained all staff on gender affirming care, hired transgender staff, provided gender affirming care and hormone treatments onsite, and offered mental health support to patients.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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Integrated Buprenorphine Treatment: E2i Toolkit
Integrated buprenorphine treatment is an evidence-informed intervention to safely reduce opioid use disorder and improve HIV health outcomes among people with HIV.Resource updated 04/08/2024
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AFH/Avenue 360 Project CORE: Coordination of Resources and Employment Services
Avenue 360 Health & Wellness offers a medical home for patients and AIDS Foundation Houston coordinates employment training and resources. These agencies believe that coordination is the key to breaking down barriers to health care in their community.Resource updated 09/14/2023
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Kansas City, MO: KC Life 360
KC Life 360’s same-day intake, informed consent, and one-on-one with an Employment Career Specialist generates awareness of services and benefits across provider networks.Resource updated 09/14/2023
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Integration of Comprehensive HIV Medical Care with Addiction Services
By integrating comprehensive HIV medical care with addiction services and medication protocols for substance use disorder (SUD), clients with HIV and SUD saw improvements in retention in care and viral suppression.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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Rapid Access Initial HIV Appointment and ART Prescription
The Virginia Commonwealth University implemented a clinical quality improvement project to increase linkage to HIV medical care within 30 days and initiation of antiretroviral therapy (ART) at the first visit by making “Rapid Access” appointments available each week for people with newly diagnosed HIV.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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Tailored Motivational Interviewing: E2i Toolkit
Tailored Motivational Interviewing (TMI) is an evidence-based intervention that provides brief motivational interviewing sessions to encourage engagement in HIV care and treatment.Resource updated 06/06/2024
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Screening, Brief Intervention, and Referral to Treatment: E2i Toolkit
SBIRT is an evidence-based system-level integrated care approach to identify, reduce, and prevent patterns of substance use that put the health of people with HIV at risk.Resource updated 09/14/2023
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Meth as a Driver of the HIV Epidemic
Review of the epidemiology of methamphetamine as it relates to HIV, the psychodynamics of meth use, and implications for EHE efforts.Resource updated 10/24/2023
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Dimensions of HIV Prevention and Treatment for Black Women: HRSA Technical Expert Panel Report
Improvement in clinician listening skills, care coordination, and use of peers in care delive
News Article updated on 09/30/2021 -
Peer Engagement to Improve Linkage to Care and Retention in Care for Women and Youth
University Health uses peers and patient navigators to provide support, reduce barriers, and improve linkage and retention to care for women and youth with HIV. Two peers with lived experience were hired as Outreach Specialists to spearhead the program, encourage medication adherence and use of services, and provide mentoring. The intervention was successful in moderately improving the numbers of clients linked to care, retained in care, and virally suppressed.Resource from the RWHAP Best Practices Compilation updated on 11/14/2023
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City of Pasadena: Operation Link
Short-term intensive case management services to link clients to housing, employment, and health care services provided by a team comprised of a Peer Care Navigator, Housing Navigator, and an Employment Navigator.Resource updated 09/14/2023
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City of Paterson: Coordination of Supportive Employment and Housing Services
Smart Care Management data-driven/IT model (e.g., patient portal, real-time dashboard for agencies) to enhance utilization of existing health, housing, and employment services.Resource updated 09/14/2023
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Family Health Centers of San Diego: Coordinated Services Integration Intervention
Coordination of health care with housing and employment services through regular meetings, formal agreements, and a Linkage Coordinator.Resource updated 09/14/2023
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Fenway Health: Housing & Employment Project
Partnership between employment services and Ryan White HIV/AIDS Program providers to foster case coordination among medical care and social service providers, including a screening and referral system for housing and employment needs and services individualized for specific patient needs.Resource updated 09/14/2023
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GMHC: Project HEALTH
Care coordination to link clients to services by assessing client needs, barriers, and stages of change, guided by electronic health records and a modified stages of change tool used to assess housing & employment stages of change.Resource updated 09/14/2023
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Positive Impact Health Centers: H.O.M.E.S.
Housing first model to help people with HIV address their housing instability while working towards obtaining employment and maintaining consistent medical care. Every patient completes an individual service plan, developed in partnership with their case manager.Resource updated 09/14/2023