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SPNS Initiative: SURE Housing Initiative (2022-2026)
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Maricopa County: Expanding Jail Services & Improving Health for Incarcerated People with HIV
The Maricopa County Jail Project was implemented by five jails and uses a nurse practitioner to manage service access and case management across the jail system.Resource updated 10/13/2023
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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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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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PATH to Jobs: Expanding Employment Opportunities for People with HIV as Peer Navigators and Community Health Workers
Workforce development initiative that creates opportunities for low-income New Yorkers with shared lived experiences to reenter the workforce.
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 Vogue Implementation Guide
Components of an intervention focused on BMSM with HIV who have not yet been successfully maintained in care.Resource updated 10/18/2023
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Positive Peers Mobile App
The Positive Peers app motivates youth and young adults with HIV to stay engaged in HIV care through self-management tools and virtual support. Although specific outcomes vary by age group, individuals who used the app were more likely to attend their medical appointments, receive labs, and reach viral suppression.Resource from the RWHAP Best Practices Compilation updated on 11/14/2023
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TransActivate: HIV Care Engagement for Transgender Latinas
Project to enhance the provision of HIV care for Latina transgender women in Los Angeles County.Resource updated 01/17/2024
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Best Practices Highlight: New York City Medical Home Model
A New York City HIV medical home model has documented significant improvements in care re-engagement and viral suppression.Blog updated 08/23/2023
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The Village Project
The Village Project is an intensive case management-based intervention that harnesses peer navigation and integrated behavioral health services to improve the health outcomes of young Black gay, bisexual, and men who have sex with men. The Village Project was associated with increased retention in care and viral suppression.Resource from the RWHAP Best Practices Compilation updated on 02/28/2024
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The Alexis Project
The Alexis Project used social network recruiting and engagement, peer navigation, and contingency management to reach and engage transgender women of color with HIV who were not engaged in HIV care. Participation in the 18-month intervention improved linkage to care and viral suppression.Resource from the RWHAP Best Practices Compilation updated on 02/28/2024
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A Selection of Community Engagement Tools
Access these National Academy of Medicine and RWHAP consumer engagement tools.News Article updated on 06/23/2023 -
Bottom-Up Project
The Bottom-Up Project is a multi-organizational initiative focused on leveraging health information exchange data and peer navigation. Using real-time clinical data, in combination with linkage to HIV care and social services, the Bottom-Up Project locates and reengages people with HIV who are not currently in medical care and are not virally suppressed. Through this collaboration, over half of patients on the lost-to-follow-up list were found and invited to enroll in the linkage to care/reengagement program.Resource from the RWHAP Best Practices Compilation updated on 01/03/2024
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Creating a Culture of Trauma-Informed Care
Lehigh Valley Health Network Comprehensive Health Services implemented a trauma-informed approach to care delivery, including training staff on how trauma can affect people’s health and how microaggressions in healthcare environments can potentially trigger trauma responses. This approach positively impacted care delivery and the program’s retention in care rate.Resource from the RWHAP Best Practices Compilation updated on 11/01/2023
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Co-Locating Care Management Staff and Peers in Medical Clinics
This medical-community partnership worked to link clients to care and decrease missed appointments and used peer navigators to successfully re-engage clients in care.Resource from the RWHAP Best Practices Compilation updated on 01/17/2024
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Leveraging Electronic Health Records to Collect and Integrate Outcomes-Based Data in Care
Gay Men’s Health Crisis updated its data management process to better document housing and employment service outcomes. Enhancements to the Electronic Health Record contributed to positive housing, employment, and viral suppression outcomes for clients.Resource from the RWHAP Best Practices Compilation updated on 11/01/2023