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SPNS Initiative: SURE Housing Initiative (2022-2026)
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HOME: Homeless Health Outreach Mobile Engagement
HHOME is a mobile care and systems intervention that helps connect vulnerable and homeless individuals in San Francisco to rapid HIV treatment.Resource updated 02/12/2024
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KC Life 360: Employment-Focused Intervention to Link Clients to Support Services and Housing
KC Life 360 is an employment-focused intervention that utilizes the intersection between employment services, HIV care and treatment, and housing to improve health outcomes of people with HIV.Resource updated 10/13/2023
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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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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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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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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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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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Utilizing the Medical Legal Partnership Model to Provide Legal Services Improving Outcomes for RWHAP Patients
Attorneys from the Ryan White Legal Project at Indiana Legal Services, Inc. discuss how the medical legal partnership model enhances service delivery to RWHAP patients.
Resource (Conference Presentation) updated 09/14/2023
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Integrating Medical/Behavioral Care for People Taking PrEP: Collaborating for HIV Prevention
Outline of an approach to HIV pre-exposure prophylaxis (PrEP) in health centers that incorporates and builds upon the strengths of medical and behavioral health clinicians.
Resource (Conference Presentation) updated 09/14/2023
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Ending the HIV Epidemic on the U.S.-Mexico Border: An AETC-led Federal Training Center Collaborative
Insights from the AETC U.S.-Mexico Border AETC Steering Team (UMBAST) team's work in providing HIV-related training along the border, a region with some for poorest health outcomes in the U.S.
Resource (Conference Presentation) updated 09/14/2023
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Best Practices in Data Sharing between Ryan White HIV/AIDS Program Recipients and HIV Surveillance
Approaches and best practices in data sharing.
Resource (Conference Presentation) updated 09/14/2023
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Sustainable Strategies for Strengthening Systems of Care for People with HIV and Opioid Use Disorder
Discussion of technical assistance provided to nine states on HIV and OUD system barriers, lessons learned, and sustainable strategies that states are using to address challenges.
Resource (Conference Presentation) updated 09/14/2023
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Integration of Clinical Service Utilization and Outcome Data in Community-Based Organization Service Planning
Description of how an alliance built capacity to integrate clinical data into service delivery planning as part of a systems-level learning collaborative.
Resource (Conference Presentation) updated 09/14/2023
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HIV Outbreak in West Virginia: The Importance of Collaboration and Partnerships
Discussion of diverse partnerships developed to successfully treat a homeless population with addiction and newly diagnosed HIV as well as the service delivery challenges faced by an out-of-state Part C clinic.
Resource (Conference Presentation) updated 09/14/2023