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Pay it Forward Transitional Care Coordination
One Stop Career Center of Puerto Rico (OSCC-PR) implemented Pay it Forward to increase workforce capacity to connect Puerto Ricans with HIV to community-based HIV care and social supports following release from jail. Pay it Forward included training of OSCC-PR staff in the Transitional Care Coordination model. Eighty percent of clients who were supported by Pay it Forward in Puerto Rico were still in HIV care 12 months after release.Resource from the RWHAP Best Practices Compilation updated on 05/07/2024
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Beyond the Walls: Building Foundation for Jail Linkage Programs
Effective models and best practices for connection to care for justice-involved individuals.Resource updated 05/15/2024
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Transitional Care Coordination: From Jail Intake to Community HIV Care Intervention
Transitional Care Coordination (TCC) connects people with HIV who are incarcerated with a transitional care coordinator to facilitate access to HIV primary care and other community-based services and supports, following their transition from jail back to the community. TCC aims to establish vital linkages between jail-based and community-based HIV care, and may be implemented by community-based organizations, clinics, health departments, or jails.Resource from the RWHAP Best Practices Compilation updated on 02/02/2024
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Performance Measures and the HIVQM
Review of use of the HIVQM to enter HAB performance measures and monitor progress in improving health outcomes for people with HIV.Resource updated 11/29/2023
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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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LINK LA
LINK LA is a 12-session, 24-week peer navigation intervention for people with HIV who are scheduled to be released from incarceration. LINK LA peer navigators focus on behavioral changes that promote medication adherence and retention in care, while providing social support and facilitating communication with medical providers. LINK LA showed improvements in linkage to and retention in HIV care and viral suppression among people with HIV re-entering the community after incarceration.Resource from the RWHAP Best Practices Compilation updated on 01/03/2024
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Maricopa County Jail Project: Providing HIV Service to People Who Are Incarcerated
Partnership between jail staff and public health prevention staff created new data communication systems and bundled services for clients upon release.Resource updated 05/15/2024
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The Road to Dissemination: Session 2 - Starting the Journey: Mapping a Route to your Planned Destination
Steps to the documentation and dissemination of an agency's HIV interventions, part of the four-part series, The Road to Dissemination.Resource updated 05/15/2024
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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
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Hosting a CAREWare Network
Options for outlining roles and responsibilities in hosting a CAREWare network as part of the planning process.Resource updated 09/19/2023
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Telemedicine to Achieve HIV Viral Suppression in Incarcerated People in Tennessee – 9-year retrospective (2010 – 2018)
In collaboration with Tennessee Department of Corrections, we developed and implemented a stepwise HIV telemedicine program to optimize viral suppression in the state prisons during 2010-2018. Clinic attendance increased from 50 percent to 90 percent during full implementation. Viral suppression increased from 30 percent in 2010 to 90 percent in 2018.
Resource (Conference Presentation) updated 09/14/2023
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Corrections and community for continuity of HIV care upon re-entry
Development of a referral processes for persons re-entering the community from incarceration (in SOAR program), with referrals prior to release, resulting in higher rate of first appointments within 30-days; challenges for linkage to care through SOAR remain after release.
Resource (Conference Presentation) updated 09/14/2023
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Correctional Health Linkage Interventions Toolkit
Training materials and a curriculum on implementing a project to enhance HIV health services between community and jail settings, based on insights from the SPNS initiative, Enhancing Linkages to HIV Primary Care & Services in Jail Settings.Informational updated 05/16/2024
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RSR In Focus: The RSR Provider Report: Clients by ZIP Code
This RSR in Focus provides guidance on the ZIP Code requirement and strategies for creating the report.Resource updated 02/08/2024
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RWHAP Technical Assistance Resources
This resource provides an overview of each TA provider resourceResource updated 04/12/2024
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DISQ Office Hours: Gender-Affirming Data Collection
DISQ “Office Hours” are technical assistance opportunities that allow Ryan White HIV/AIDS Program (RWHAP) recipient and provider staff to talk with their peers in an informal setting about specific technical challenges and solutions. These hour-long calls include a short presentation by a RWHAP recipient or provider about their data management approach.
Resource updated 07/13/2023
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Software Options for the RSR
This video is designed to support RWHAP recipients and providers in exploring software options to create their RSR Client-Level Data XML file.Resource updated 03/21/2024
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RSR Training Video Series
This series of videos covers the fundamental concepts behind the Ryan White Services Report (RSR) for new and experienced grantees.
Resource updated 01/29/2024
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HRSA HAB Program Letter on Expungement Services for People with HIV Who Have Had Legal System Involvement
Dear Ryan White HIV/AIDS Program Colleagues,
News Article updated on 06/07/2024