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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 07/09/2024
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Enhanced Housing Placement Assistance
This intervention to rapidly re-house people with HIV was implemented at multiple New York City shelters and was associated with significant improvements in viral suppression.Resource from the RWHAP Best Practices Compilation updated on 11/02/2023
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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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Innovative HIV Care Strategies for Priority Populations: Housing First and Positive Peers Interventions
Review of two interventions that focus on priority populations affected by the HIV epidemic: youth and people with HIV who are experiencing homelessness or unstable housing.Resource updated 07/17/2024
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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
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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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Our WORK: Women and Infant Supportive Housing Demonstration Project
Our Women Organizing Resources and Knowledge (WORK) is supportive housing demonstration project developed to address and reduce gaps in resources for low-income women with HIV with children. Learn best practices and lessons learned through the development and implementation project.
Resource (Conference Presentation) updated 09/14/2023
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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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Maintaining housing stability among PWH in the NY EMA during COVID-19
The COVID-19 public health emergency (PHE) exacerbated homelessness and housing instability. NY EMA Planning staff worked collaboratively to address homelessness as a driving force of poorer health outcomes for people living with HIV. This presentation will illustrate community planning processes for addressing housing-related barriers among RWHAP consumers during the PHE.
Resource (Conference Presentation) updated 09/14/2023
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Expanding Mobile EHE HIV Interventions for COVID-19 Vaccination and STD/HCV Testing for PWID in Baltimore
Creation on pop-up mobile clinics, created in partnership with an established Syringe Support Program (SSP) and academic organizations, to provide one stop STI/HCV/HIV testing and COVID-19 vaccination for people experiencing substance use/homelessness, who have increased risks for these conditions.
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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The Intersection of Housing and HIV Institute 101: Addressing Housing in HIV Prevention and Care
Description of the impact of unstable housing and homelessness on HIV health outcomes, including lessons learned from HIV outbreak response efforts.
Resource (Conference Presentation) updated 09/14/2023
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The Intersection of Housing and HIV Institute 201: Integrating Housing Services with HIV Services
Resources for housing, HIV prevention, and HIV care and treatment, including funding structures and partnerships that address barriers that impact HIV health outcomes.
Resource (Conference Presentation) updated 09/14/2023
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The Intersection of Housing and HIV Institute 301: Comprehensive Services to Maximize Health Outcomes
Jurisdictions and service providers discuss challenges to implementing comprehensive HIV and housing models and innovative service delivery models that address barriers faced by people with HIV who are unstably housed and homeless.
Resource (Conference Presentation) updated 09/14/2023