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SPNS Initiative: SURE Housing Initiative (2022-2026)
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32 Years: Ryan White HIV/AIDS Program
August 18, 2022 marks the 32nd anniversary of the Ryan White HIV/AIDS Program.Blog updated 10/04/2022
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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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Cognitive Processing Therapy: E2i
Cognitive Processing Therapy (CPT) is an evidence-based, cognitive behavioral treatment for posttraumatic stress disorder. Through individual or group sessions of CPT, clients learn to recognize and challenge unhelpful thoughts and beliefs related to trauma. Positive Impact Health Centers and Western North Carolina Community Health Services implemented CPT as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017 to 2021. While not statistically significant, CPT participants had increased engagement in care and retention in care from enrollment to 12 months.Resource from the RWHAP Best Practices Compilation updated on 11/22/2023
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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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Recognizing Quality in Ryan White Part A Medical Case Management Services: A Value-based Payment Pilot Test
Review of a value-based payment system for medical case management.
Resource (Conference Presentation) updated 09/14/2023
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Enhancing Trauma-informed HIV Care through Collaboration and Routine Behavioral Health Screening
Collaboration to enhance trauma-informed care, featuring: creation of a rapid response team, digital behavioral health assessment, trauma education, and de-escalation training.
Resource (Conference Presentation) updated 09/14/2023
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Are We There Yet? Fine-tuning Your Budget Navigation System
Framework for effective financial management and compliance with HRSA HAB National Fiscal Monitoring Standards, including timely decision-making and other features.
Resource (Conference Presentation) updated 09/14/2023
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Cap on Charges: Lessons Learned and Efforts to Improve Efficiency
Overview of successes and challenges of implementing a sliding fee scale and an efficient cap-on-charges process by a RWHAP clinic.
Resource (Conference Presentation) updated 09/14/2023
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Integrating Trauma-informed Care into Three, Distinct HIV Care Settings: Successes and Promising Practices
Integrating trauma-informed care (TIC) using an implementation science lens.
Resource (Conference Presentation) updated 09/14/2023
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Trauma-informed Approaches to the RWHAP: Centering Healing and Resilience
Overview of the updated Trauma-informed Approaches (TIA) Toolkit, which includes tools and assessment to support RWHAP parts in implementing TIA and centering healing and resilience.
Resource (Conference Presentation) updated 09/14/2023
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Creating Fiscally Innovative Approaches to End the HIV Epidemic
Review of innovative financial and administrative processes adopted during the COVID-19 pandemic to ensure continuation of operations by RWHAP sub-recipients.
Resource (Conference Presentation) updated 09/14/2023
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Trauma-informed Leadership and Supervision: An Approach to Healing During Times of Unrest
Review of trauma-informed leadership and supervision as a strategy to re-think leadership and build equitable, trauma-informed, healing environments.
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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Use of RWHAP Funds for Health Care Coverage Costs
Overview of RWHAP payment for clients’ health care coverage costs (insurance assistance).Resource updated 09/19/2023
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Ryan White Conference Database Expands
A searchable database is now available to access slides and videos from HRSA Ryan White Conferences stretching back to 2020.Blog updated 03/28/2024
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Positively Connected for Health (PC4H)
The PC4H initiative employs a mobile app and a digital literacy workshop to improve engagement, retention in care, and medication adherence for young people with HIV. These strategies aim to reach young people who are disproportionately affected by HIV, including young men who have sex with men, young transgender women, and youth of color, with a focus on serving people who know their status but are inconsistently engaged in care. Developed by Children’s Hospital of Philadelphia and Philadelphia FIGHT, PC4H was evaluated through the RWHAP Part F SPNS Social Media Initiative. The evaluation found that PC4H had positive impacts on retention in care and viral suppression.Resource from the RWHAP Best Practices Compilation updated on 11/17/2023