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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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Innovative HIV Care Strategies to Support Individuals Who Are Unstably Housed
Two interventions (KC Life 360 and HHOME) that provide layers of supportive services for people with HIV who are unstably housed.Resource updated 05/15/2024
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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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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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Cognitive Processing Therapy: E2i
Cognitive Processing Therapy (CPT) is an evidence-based, cognitive behavioral treatment for posttraumatic stress disorder. Through individual or group sessions of CPT, clients learn to recognize and challenge unhelpful thoughts and beliefs related to trauma. Positive Impact Health Centers and Western North Carolina Community Health Services implemented CPT as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017 to 2021. While not statistically significant, CPT participants had increased engagement in care and retention in care from enrollment to 12 months.Resource from the RWHAP Best Practices Compilation updated on 11/22/2023
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Text Messaging Intervention to Improve Antiretroviral Adherence among HIV-Positive Youth: E2i
The Text Messaging Intervention to Improve Antiretroviral Adherence among HIV-Positive Youth (TXTXT) is designed to keep young people, particularly young, Black, gay, bisexual, same-gender loving, and other men who have sex with men, engaged in HIV medical care, by delivering personalized, daily, interactive text messages that remind them to take their antiretroviral therapy as prescribed. Two sites implemented TXTXT as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017–2021. The intervention resulted in a statistically significant improvement in engagement in HIV care.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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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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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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Telehealth Strategies to Maximize HIV Care
Identify and maximize the use of telehealth strategies that are most effective in HIV care. Project period: 2022-2025.RWHAP Technical Assistance Provider updated on 09/15/2023
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SURE Housing Initiative
SPNS initiative on development of housing-related intervention strategies for three populations with HIV experiencing unstable housing: LGBTQ+; people ages 13-24); and people who have been justice involved. Project period: 2022-2025.RWHAP Technical Assistance Provider updated on 06/24/2024
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SPNS Black MSM Initiatives: The Intersection of COVID-19, Civil Unrest, and HIV
Discussion of the SPNS Black MSM Initiatives challenges and solutions to addressing program and client engagement disruptions.
Resource (Conference Presentation) updated 09/14/2023
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Technical Assistance Overview, Case Studies, and Evaluation Findings from the Enhancing Linkage of STI and HIV Surveillance Data SPNS Initiative
Technical assistance framework and activities, jurisdictions' experiences, and evaluation findings from the HRSA HAB Enhancing Linkage of STI and HIV Surveillance Data in the RWHAP SPNS initiative.
Resource (Conference Presentation) updated 09/14/2023
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Evidenced-Based Interventions to Improve Routine Screening and Testing of Bacterial Sexually Transmitted Infections
Results of SPNS evidence-based bacterial STI screening and testing interventions implemented in nine RWHAP-funded clinics in three jurisdictions with higher national incidence rates.
Resource (Conference Presentation) updated 09/14/2023