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SPNS Initiative: SURE Housing Initiative (2022-2026)
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MORE: Mobile Outreach Retention and Engagement
A tailored service delivery model, which includes increasing access to supportive services and providing HIV care services in community settings.Resource updated 09/14/2023
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Bridging the System Developers and HIV Program Gap
Informal peer-to-peer discussion on RSR data management approaches.Resource updated 04/06/2023
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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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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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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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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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HIV and STI Surveillance Data Systems Linkage in Four Health Departments: Results and Lessons Learned
Results of linkages of HIV and STI surveillance data in four health departments across 10 time points, with lessons learned.
Resource (Conference Presentation) updated 09/14/2023
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The Time is Now: Implementing Innovative Housing Model for People with HIV to Improve Health Outcomes
Review of a SPNS data integration project that opened the door for innovating how people with HIV are being prioritized through the new HUD housing prioritization mandates.
Resource (Conference Presentation) updated 09/14/2023
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Leveraging Health Information Exchanges to Reengage Hardest-to-reach People with HIV
Overview of program that leverages health information exchange to mobilize community-based outreach teams to find and reengage patients in care.
Resource (Conference Presentation) updated 09/14/2023
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Reducing Administrative Burdens by Engaging Subrecipients to Develop Data Systems that Work: Tampa, Dallas, Atlanta
Part A recipients share their ingredients of success to use stakeholder engagement of their subrecipients to plan system innovations and data interfaces that improve data accuracy, reduce administrative burdens, and improve end-user satisfaction.
Resource (Conference Presentation) updated 09/14/2023
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Improving Reengagement in Care Using a Community Health Worker Model: Evidence from New Orleans
Lessons learned from an EMA-wide effort to embed community health workers in RWHAP Part A agencies to improve retention in care.
Resource (Conference Presentation) updated 09/14/2023
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Operation BRAVE: Ending the Epidemic by Achieving Health Equity through Patient Navigation
Review of a patient navigation model and its three components.
Resource (Conference Presentation) updated 09/14/2023
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Empowerment through Health Education and Peer Support: Vivir Inspirar Defender Amar
Ideas for how to replicate a conference, developed by and for people with HIV, can create a safe space to address the ongoing needs of the community at large.
Resource (Conference Presentation) updated 09/14/2023
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Long-Term Survivors Support Group
This 12-week pilot program focused on addressing the needs of long-term survivors.
Resource (Conference Presentation) updated 09/14/2023
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Project Strength Through Youth Livin' Empowered (STYLE) 2.0
STYLE 2.0 is a multi-component intervention designed to help reduce stigma and social isolation for Black gay, bisexual, and other men who have sex with men. The intervention relies on health care navigators who facilitate linkage and engagement activities. They also connect clients to behavioral health providers who conduct motivational interviewing, as well as to a mobile application that supports all intervention activities. STYLE 2.0 participation has been associated with positive trends across HIV care continuum outcomes, including retention in care and increased viral suppression.Resource from the RWHAP Best Practices Compilation updated on 11/30/2023
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weCare Social Media Intervention
In weCare, a cyber health educator sent personalized messages through text, web-based apps, and Facebook to enrolled youth who identified as gay, bisexual, or other men who have sex with men (MSM), or transgender women, and who either had a new diagnosis of HIV or were not in care at the time of enrollment. Messages were personalized to each participant’s needs and were designed to support them as they navigated complicated health care systems as well as other challenges that affect care engagement (e.g., transportation, disclosure). The cyber health educator also moderated and posted information about health and well-being on an optional secret Facebook page that some participants chose to join. Participants were less likely to miss medical appointments and more likely to be virally suppressed after 12 months of the intervention.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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Navigator Case Management for People Leaving Jail
The Navigator Case Management intervention helps people with HIV who are incarcerated and are leaving to return to the community. The intervention uses harm reduction, case management, and motivational interviewing techniques to promote healthy behaviors. Enhanced case management including peer support and connection to other needed services both immediately before and after release supports increased linkage to and retention in HIV care for people transitioning to the community from jail.Resource from the RWHAP Best Practices Compilation updated on 01/19/2024