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News Article updated on 10/01/2021
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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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Central Eligibility for RWHAP Enrollment
Informal peer-to-peer discussion on the Maricopa County integrated eligibility process.Resource updated 09/19/2023
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Community Health Workers: Improving Linkage and Retention in HIV Care
Ten organizations across the U.S. integrated Community Health Workers (CHWs) into their multidisciplinary care teams. Enrolled clients had statistically significant improvements in viral suppression, antiretroviral therapy prescription, and appointment attendance after six months in the program.Resource from the RWHAP Best Practices Compilation updated on 01/03/2024
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Buprenorphine Treatment for Opioid Use Disorder in HIV Primary Care: E2i
Buprenorphine Treatment for Opioid Use Disorder in HIV Primary Care is an integrated care approach designed to reduce opioid use and overdose while improving client engagement in HIV care. Greater Lawrence Family Health Center and Med Centro, Inc. implemented this integrated care approach as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017–2021. Clients who participated in this intervention received integrated care—treatment for opioid use disorder (OUD) and HIV in a single setting—to improve retention in care, viral suppression, and engagement in OUD treatment.Resource from the RWHAP Best Practices Compilation updated on 01/03/2024
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Seeking Safety: E2i
Seeking Safety helps people who have experienced trauma and/or substance use disorder gain safe coping skills through a flexible 12-session intervention. The University of California, San Diego Mother Child Adolescent HIV Program and the Multicultural AIDS Coalition implemented Seeking Safety as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017–2021. Participants had higher rates of retention in care and viral suppression after 12 months of the intervention.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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Project CONNECT: E2i
Project CONNECT uses linkage coordinators to effectively engage people in HIV medical care. It focuses on people with newly diagnosed HIV or people with HIV who are transferring their care or have been out of care. AIDS Taskforce of Greater Cleveland implemented Project CONNECT as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017–2021. Project CONNECT was successful in increasing the number of clients retained in HIV care and who reached viral suppression.Resource from the RWHAP Best Practices Compilation updated on 01/03/2024
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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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Patient-Centered HIV Care Model
The Patient-Centered HIV Care Model (PCHCM) integrates the services of community-based HIV specialized pharmacists and HIV medical providers to deliver patient-centered care for people with HIV. PCHCM expands upon the medication therapy management model by including information sharing between partnered pharmacy and clinic teams; collaborative medication-related action planning between pharmacists, medical providers, and patients; and quarterly follow-up pharmacy visits. Patients participating in the intervention had improved retention in care and viral suppression rates.Resource from the RWHAP Best Practices Compilation updated on 11/26/2023
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E-VOLUTION
E-VOLUTION is a two-way text messaging intervention, originally developed by Washington University School of Medicine and piloted at Project ARK. The intervention focuses on improving health outcomes for youth, particularly young Black men who have sex with men. E-VOLUTION was designed for people ages 18-29 who have HIV and are receiving clinical care but require support to remain adherent. E-VOLUTION was evaluated and found to improve viral suppression and retention in care rates.Resource from the RWHAP Best Practices Compilation updated on 02/12/2024
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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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Women Informing Now: A Two-Year Retrospective Reducing Isolation and Stigma among Women of Color with HIV
Two-year retrospective exploring innovative approaches to reduce stigma and isolation among cis and transgender women of color with HIV, including women with HIV residing in rural areas not connected to care.
Resource (Conference Presentation) updated 09/14/2023
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Collaboration with Rural FQHCs to Increase Equitable Access to HIV Prevention and Care
Collaboration work that increased equitable access to HIV, Hepatitis C, and STD prevention, testing, treatment, and care services for rural residents.
Resource (Conference Presentation) updated 09/14/2023
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Adapting Outreach Services: Discreet HIV Testing for Rural Kentucky MSM Populations and More
Outreach strategies to better serve rural MSM populations impacted by cultural, geographic, and resource-related barriers to HIV testing.
Resource (Conference Presentation) updated 09/14/2023
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Ensuring Equitable Access to Smartphone-based Tele-mental Health Care to Non-urban People with HIV during the COVID-19 Pandemic
Description of telehealth implementation through a clinic-deployed smartphone application.
Resource (Conference Presentation) updated 09/14/2023
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Youth in Rural Communities: Unique Needs and Approaches to Engagement, Adherence, and Service Delivery
Overview of data on youth with HIV, their needs and programs in rural communities, and implementing initiatives to reach youth and retain them in care.
Resource (Conference Presentation) updated 09/14/2023
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Ending the HIV Epidemic in the U.S.: A State-based Approach to Serving Rural Populations
Efforts of HRSA HIV/AIDS Bureau EHE-funded rural state jurisdictions and their unique perspectives on providing HIV care and treatment to rural populations.
Resource (Conference Presentation) updated 09/14/2023
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Utilizing Social Media to Increase Community Engagement in Rural Areas
Social media strategies for community engagement in rural areas in the planning, development, and implementation of HIV care and treatment services.
Resource (Conference Presentation) updated 09/14/2023
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Addressing Rural Health Worker Burnout
Learn about burnout, its impact on health workers in rural communities, approaches to resilience strategies, and resources.Resource updated 09/28/2023
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Innovative Approaches to Engaging Hard-to-Reach PWA into Care Toolkit
Learning tools on how to engage hard-to-reach people with HIV into care, including a training manual (for adapting SPNS models); a curriculum (for training staff); and webinars on key topics.Informational updated 04/03/2024