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SPNS Initiative: SURE Housing Initiative (2022-2026)
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Text Me, Girl!: Transgender-Specific Text Messaging to Support Care Engagement
Ninetyday theory-based, transgender-specific, automated text-messaging intervention designed to improve engagement, retention, and health outcomes along the HIV care continuum.Resource updated 02/07/2024
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Providing Gender-Affirming Care
Review of gender-affirming care issues, including key terminology, best practices in hormone therapy management, epidemiology of HIV in transgender populations, and strategies to improve HIV care and prevention in transgender communities.Resource (Conference Presentation) updated 09/14/2023
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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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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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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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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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Eradicating Racism and Striving for Excellence in HIV Care (ERASE)
ERASE was developed to address the unique needs of Black MSM. Through an intensive case management intervention, peer case managers provide health education and wellness support, and connect clients to medical and behavioral healthcare. ERASE also offers a physical “safe space” for Black MSM to meet with a case manager, access medical services, or connect with peers. Enrollment in ERASE improved retention in HIV care for clients.Resource from the RWHAP Best Practices Compilation updated on 01/09/2024
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Positive Peers
Mobile app for youth offering information, social networking, and self-management tools to support holistic HIV care.Resource updated 10/13/2023
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Viviendo Valiente
Viviendo Valiente aims to reduce ethnic disparities in HIV care and outcomes by providing culturally responsive services to the Latino/a community, specifically to people of Mexican descent. It is a multi-level intervention, featuring individual-, group-, and community-level activities, that links people to HIV care, offers HIV education and health literacy in group sessions, and promotes community-level testing for HIV and other sexually transmitted infections (STIs). Viviendo Valiente had positive impacts on HIV testing, retention in care, viral suppression, and client satisfaction.Resource from the RWHAP Best Practices Compilation updated on 04/15/2024
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Health Centers on the Front Lines: Be the Change: Black Cisgender and Trans Women, HIV Treatment, & PrEP
Role of health centers in increasing PrEP access and use among women.Resource updated 10/18/2023
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Micro Learning: Black Cisgender and Trans Women, HIV Treatment, & PrEP
Learn how to improve messaging about HIV prevention and care to improve acceptance of services among all Black women.Resource updated 05/10/2023
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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