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Opiod Use Disorder
Review of opioid use disorder among people with HIV and (treatment options.Resource (Conference Presentation) updated 09/14/2023
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TransActivate
Bienestar developed TransActivate to improve timely engagement and retention in HIV care among Latina transgender women. Linkage coordinators/peer navigators use a strengths-based approach to help clients reach their goals of entering and staying in medical care to ultimately reach viral suppression.Resource from the RWHAP Best Practices Compilation updated on 02/12/2024
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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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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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Maricopa County Jail Project: Providing HIV Service to People Who Are Incarcerated
Partnership between jail staff and public health prevention staff created new data communication systems and bundled services for clients upon release.Resource updated 07/16/2024
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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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Integrating Behavioral Health into Primary HIV Care — Covering the Bases
Review of a tool to implement routine behavioral health screening, diagnosis, and treatment in an HIV primary care clinic.
Resource (Conference Presentation) updated 09/14/2023
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How AETCs, Emergency Departments, and Health Jurisdictions Can Identify and Treat HIV, HCV, and Syphilis
Review of challenges, facilitators, and best practices for routine screening, linkage, and rapid ART in two emergency departments, including during COVID-19.
Resource (Conference Presentation) updated 09/14/2023
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Improving Linkage to Care for Persons with HIV and HCV Using Digital Media
Three multimedia projects to improve linkage to care between SUD and SSP clinics and outside providers.
Resource (Conference Presentation) updated 09/14/2023
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Addressing Substance Use Disorders to Accelerate EHE Progress: The Power of HIV Community Stakeholder Perspectives
Review of an interactive survey used to gain insight into addressing substance use disorders that most impact the HIV care continuum and opportunities for the method to be used in planning.
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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Behavioral Health Screener and E-health Intervention Implementation within a Multi-county HIV Medical Case Management System
Use of a behavioral health screener for RWHAP case management clients in Chicago and surrounding counties.
Resource (Conference Presentation) updated 09/14/2023
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Sustainable Strategies for Strengthening Systems of Care for People with HIV and Opioid Use Disorder
Discussion of technical assistance provided to nine states on HIV and OUD system barriers, lessons learned, and sustainable strategies that states are using to address challenges.
Resource (Conference Presentation) updated 09/14/2023
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Evaluating System-level Change in Care Coordination among People with HIV and Opioid Use Disorder
Review of a SPNS initiative to improve system-level capacity to provide comprehensive care for people with HIV and Opioid Use Disorders (OUD), featuring a semistructured tool developed to measure state HIV/OUD coordination across 11 domains.
Resource (Conference Presentation) updated 09/14/2023
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State Strategies in Action: Building Relationships with Your State Medicaid Agency to Support Peer Services
Description of the role of peers in care for people with HIV and OUD and how a state’s Medicaid program can fund peer services.Resource updated 09/19/2023
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Health Centers on the Front Lines Podcast: Status Neutral
Review of concept of status neutral (access to HIV services regardless of HIV status).Resource updated 10/24/2023
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Addressing STIs: Ask. Test. Treat. Repeat.
Nine sites implemented four evidence-based interventions, collectively known as Addressing STIs: Ask.Test.Treat.Repeat. The four intervention components are audio computer-assisted self-interview sexual history taking, patient self-collection of urogenital and extragenital site chlamydia/gonorrhea nucleic acid amplification test specimens, sexual and gender minority welcoming indicators, and provider training, with the overall goal to routinize STI screening, testing, and treatment in primary care. The interventions increased routine STI screening and testing of bacterial STIs based on reported behavioral risk.Resource from the RWHAP Best Practices Compilation updated on 05/14/2024
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Integration of Comprehensive HIV Medical Care with Addiction Services
Intervention to create a safe place for delivering stigma-free, trauma-informed and integrated HIV, addiction medicine and behavioral health services under a single roof.Resource updated 04/03/2024
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Guide for Developing HIV and Opioid Use Disorder Service Inventories and Using Geographic Mapping
Considerations for how state agency staff can develop and maintain an accessible, HIV and opioid use disorder (OUD) service inventory.Resource updated 01/05/2024