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Accelerating Implementation of Long-Acting Injectables
The ALAI UP Project will support the implementation and delivery of LAI ART at eight demonstration sites in EHE jurisdictions across the US providing care to underserved populations and communities of color.RWHAP Technical Assistance Provider updated on 06/11/2024
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Capacity Building for Innovative Program Replication
SPNS initiative focused on building and enhancing the capacity of RWHAP recipients and subrecipients to replicate evidence-informed models of care/interventions among RWHAP jurisdictions. Project period: 2019-2023.RWHAP Technical Assistance Provider updated on 03/04/2024
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HIV Clinical Pharmacist Services
The HIV Clinical Pharmacist Services intervention shortens the time between referral to and engagement in care by allowing newly referred clients to see pharmacists in addition to other clinical providers for their initial appointment. This intervention is supported by findings from a retrospective cohort study that took place from 2013 to 2017 at a RWHAP-funded clinic. In addition to significantly decreasing the time between referral and initial visit, clients who saw a pharmacist also experienced shortened time to antiretroviral therapy initiation and viral suppression compared to those who only saw non-pharmacist providers.Resource from the RWHAP Best Practices Compilation updated on 11/01/2023
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Integrating Services to Address the Syndemics of HIV, STIs, Substance Use Disorder, and Viral Hepatitis
Review of how to integrate services using a syndemic approach in order to collectively address HIV, STIs, viral hepatitis, and substance use disorders.Resource updated 03/23/2023
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A Systems Approach to an Integrated HIV and Opioid Use Disorder Workforce
Description of two states' approaches to building and supporting an HIV and opioid use disorder (OUD) workforce and considerations for investing in a collaborative workforce.Resource updated 09/19/2023
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HIV and OUD Service and Funding Matrices Guide and Template
Tool to support state health departments in identifying opportunities for enhanced coordination between HIV and OUD funding and service provision.Resource updated 04/18/2024
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Substance Use Screening Tools for HIV Service Delivery Settings
This library includes various substance use screening tools. These tools are intended to provide a valid and reliable snapshot of a client 's substance use, which may point toward a need for further assessment and specialized support.Resource updated 06/18/2024
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Words Matter: The Power of Language to Strengthen Services for HIV and Substance Use Disorder
Discussion guide to elicit a conversation about language, stigma, and discrimination as a means of strengthening care systems.Resource updated 09/19/2023
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Simplifying Salvage Antiretroviral Regimens in Treatment-Experienced PLWH
In a single-center restrospective cohort study, patients with extensive treatment experience and history of virologic failure and multi-drug resistance underwent simplification of ARV salvage regimens with a median pill burden reduction of six pills per day. This strategy led to high rates of virologic suppression.
Resource (Conference Presentation) updated 09/14/2023
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HIV Clinic Staff and Community Perspectives on Long-Acting Injectable ART in New York City
The first long-acting injectable antiretroviral therapy (LAI ART) formulation was FDA-approved January 2021. Drawing on the Consolidated Framework on Implementation Research, this mixed methods study assessed knowledge, attitudes, practices, and perceived barriers and facilitators related to implementation of LAI ART in NYC among HIV clinic staff and people with HIV.
Resource (Conference Presentation) updated 09/14/2023
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Attitudes Towards Rapid Start of Antiretroviral Therapy in New Jersey
Review of data on delivery of rapid start of ART among New Jersey providers, including, for example, provision of same-day medical appointments, extended office hours, and comfort administering rapid start with high need patients.
Resource (Conference Presentation) updated 12/11/2023
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The Max Clinic
The Max Clinic, located within the University of Washington’s Harborview Medical Center complex in Seattle, offers walk-in services and incentives to clients reengaging in HIV care, especially those who have not been well served by the traditional health care model—including clients who are experiencing homelessness, or who have mental health and substance use issues. The Max Clinic offers rapid antiretroviral therapy, incentives, a flexible clinical model, and access to comprehensive support services. Max Clinic clients were significantly more likely to reach viral suppression after 12 months than a comparable control group.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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Improving Time to Antiretroviral Therapy Initiation in Newly Diagnosed PLWH in a Nonurban Clinic
Review of rapid ART features to reduce time to ART from 7 to 1.6 days, including pre-visit benefits navigation, manufacturer discount cards, prescribing to in-house pharmacies, email distribution lists, and post-prescriptive follow-up.
Resource (Conference Presentation) updated 09/14/2023
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Assessing Medication Access Barriers in Patients Living with HIV
Virginia quality improvement program that identifies access to medication barriers and provides emergency medication supplies to people with HIV if no timely access is secured.
Resource (Conference Presentation) updated 09/14/2023
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Get READI! Outcomes from 2 years of rapid ART services at a county hospital system
Harris Health System began its Rapid Eligibility and ART Dissemination & Implementation (READI) program in 2019. Here, we present two years of data that examine linkage to care, ART initiation, viral loads, completion of medical visits, and demographics for patients who received READI services and those who did not.
Resource (Conference Presentation) updated 09/14/2023
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Community Co-Creation: Engaging Traditional and Nontraditional Partners in a National Viral Suppression Campaign
HHS process for development of the “I Am a Work of ART” viral suppression campaign, in collaboration with community partners. of the National HIV/AIDS Strategy.
Resource (Conference Presentation) updated 09/14/2023
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Implementing Rapid ART: Provider Resources
Resources that showcase best practices for implementing Rapid Start.Blog updated 09/18/2023
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Integration of Buprenorphine into HIV Primary Care Settings Toolkit
Overview of training manual, curriculum, and webinars related to on integrating opioid addiction treatment using buprenorphine.Informational updated 04/03/2024
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About the Rapid ART DAP Project
Initiative with the goal of identifying, disseminating, and promoting replication of best practices in implementation of Rapid Start services.Organization updated 12/11/2023