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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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Healthy Divas: E2i
Healthy Divas focuses on empowering transgender women with HIV to achieve their personal health goals. Three sites implemented the intervention as part of the E2i initiative funded through the RWHAP Part F SPNS program from 2017 through 2021. Both engagement in HIV care and having an antiretroviral therapy prescription improved significantly for clients 12 months after enrollment in Healthy Divas.Resource from the RWHAP Best Practices Compilation updated on 04/18/2024
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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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The Black MSM Initiative: Protocol for Program Evaluation
Introductory paper describing the Black MSM Initiative and the protocol for the multisite evaluation.Resource updated 01/31/2023
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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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Text Me, Girl!
Text Me, Girl! is a text messaging intervention that aims to improve linkage to and retention in HIV care, increase adherence to HIV medications, and improve viral suppression and other health outcomes among transgender women ages 18–34 years. The intervention supports young transgender women with HIV, particularly those experiencing barriers to care such as periods of homelessness and/or incarceration, substance misuse, or engaging in sex work. Text Me, Girl! participation was associated with statistically significant improvements in antiretroviral therapy uptake and adherence, and self-reported viral suppression.Resource from the RWHAP Best Practices Compilation updated on 04/01/2024
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After Hours Drop-In Clinic
Howard Brown Health established a specialized drop-in clinic and support groups, and implemented organizational initiatives to provide culturally relevant and gender-affirming services for transgender and non-binary people, including transgender women of color. The goal of this intervention was to optimize engagement in HIV services and primary care. From 2012-2021, the number of transgender and non-binary people served in primary care at Howard Brown Health more than tripled. In addition, after 24 months, participants were more likely to have been prescribed ART and to be virally suppressed than at baseline.Resource from the RWHAP Best Practices Compilation updated on 02/20/2024
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Cuyahoga County Ryan White HIV/AIDS Planning Council
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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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Assessing Perceptions and Preferences around Long-acting Injectables
Description of an implementation science project to facilitate equitable access to benefits from LAI ART options.Resource (Conference Presentation) updated 09/14/2023
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Rapid Start Collaborative Initiative: Enhancing Access to Care for People with HIV in Virginia
Review of rapid antiretroviral treatment programs implemented at 15 Virginia RWHAP sites, including insights and future quality improvement activities focused on the Ending the Epidemic initiative.
Resource (Conference Presentation) updated 12/11/2023
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Implementing an Academic Detailing Program during a Pandemic: Strategies, Best Practices, and Lessons Learned
Three state AIDS Education and Training Centers discuss their experiences implementing academic detailing programs in orcer to increase adoption of evidence-based practices.
Resource (Conference Presentation) updated 09/14/2023
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Using Practice Transformation in Clinic and Outreach Settings to Respond to an HIV Outbreak
HIV capacity-building and outbreak response using practice transformation.
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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Developing Customized Geographic Maps to Enhance Technical Assistance Provisions to Strengthen EHE-funded Jurisdictions' EHE Plans
Review of data and novel data visualization techniques wee used to engage jurisdictions in describing their RWHAP service delivery network and identify enduring disparities to inform development of more responsive systems.
Resource (Conference Presentation) updated 09/14/2023
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The Journey of the Stigma and Resilience Coalition to End Intersectional Stigma in HIV Settings
Review of how to address intersectional stigma to improve HIV care engagement and retention and approaches to stigma reduction for healthcare providers and people with HIV.
Resource (Conference Presentation) updated 09/14/2023
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Ending the HIV Epidemic through a Rapid stART Community-Wide Implementation and Beyond
Discussion on how to leverage CAREWare data integration to develop an innovative data reporting tool to assist with a community-wide Rapid stART protocol
Resource (Conference Presentation) updated 09/14/2023
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A Rapid stART Jurisdiction-Wide Approach in the Pursuit of Ending the HIV Epidemic
Discussion of how to leverage a learning collaborative methodology to plan, implement, and sustain a jurisdiction-wide Rapid stART initiative.
Resource (Conference Presentation) updated 09/14/2023
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Strengthening Data Use and Data Systems for EHE Linkage to Care Strategies: EHE Jurisdictions' Reflections
Approaches and lessons learned to optimally identify data sources and get data systems ready to implement and monitor EHE linkage-to-care strategies, including working with data systems like CAREWare and Provide Enterprise.
Resource (Conference Presentation) updated 09/14/2023