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Link-up Rx
Link-Up Rx is a data to care (D2C) program that aims to increase retention in care and viral suppression among people with HIV by using prescription refill information to decrease the length of time between refills and reduce antiretroviral therapy (ART) interruption.Resource updated 09/14/2023
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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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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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Collaborative Care Management: E2i
Collaborative Care Management (CoCM) integrates mental health and primary care, with a care team of a primary care provider, behavioral health care manager, and psychiatric consultant. Together they provide comprehensive and coordinated care to people with HIV who have co-occurring depression or other psychiatric disorders. Four sites implemented CoCM as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017–2021. CoCM led to statistically significant increases in antiretroviral therapy (ART) prescription and viral suppression.Resource from the RWHAP Best Practices Compilation updated on 01/03/2024
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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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The New York HIV and Aging Service Directive: A New Model Developed by Aging People with HIV
In response to data showing suboptimal outcomes for aging people with HIV, the HIV Health and Human Services Planning Council Consumers Committee developed a new service directive aimed at addressing the unique and intersectional needs of aging people with HIV.Resource (Conference Presentation) updated 09/14/2023
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HIV/Aging Institute 101: Understanding the Medical Conditions and Psychosocial Needs of Older Adults with HIV Who Are Aging in the Ryan White HIV/AIDS Program
Review of medical conditions and psychosocial needs facing aging clients who are living with HIV and HRSA initiatives.
Resource (Conference Presentation) updated 09/14/2023
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HIV/Aging Institute 201: Integrating Geriatric Services into the RWHAP Clinic
The role of the geriatrician and various staff roles in conducting screenings/assessments and integration of aging services in a clinic.
Resource (Conference Presentation) updated 09/14/2023
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HIV/Aging Institute 301: Accessing Community Resources for People Aging with HIV
Review of community aging resources and partnerships.
Resource (Conference Presentation) updated 09/14/2023
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Designing a Remote Support Group Intervention for Women with HIV during the COVID-19 Pandemic
Key insights and design considerations on the impact of the COVID-19 pandemic on a women's HIV clinic and on the design of a hybrid (face-to-face/remote), group-based psycho-educational and support intervention for women at risk for falling out of HIV care.
Resource (Conference Presentation) updated 09/14/2023
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Living Longer, Living Better: Improving Mental Fitness for People over 50 with HIV at Ryan White Clinic
Model developed by an agency to identify and address neuropsychological challenges of older clients living with HIV.
Resource (Conference Presentation) updated 09/14/2023
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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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Basics of Medicare Eligibility/Enrollment for RWHAP Clients: Training/Partnerships
Overview of Medicare eligibility and enrollment for people with HIV and support and training options available to agencies and people with HIV, including persons aging with HIV.
Resource (Conference Presentation) updated 09/14/2023
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Implementation and Outcomes of a Multidisciplinary Breastfeeding Program for Women with HIV
Features and outcomes of a program for exclusively breastfed infants followed in a multidisciplinary program for women with HIV.
Resource (Conference Presentation) updated 09/14/2023
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Turning Toward Technology: Integrating Digital Health Tools into HIV Care Programs for Black Women
Review of activities under the Black Women First SPNS Initiative that utilize technology and electronic health eHealth).
Resource (Conference Presentation) updated 09/14/2023
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Centering Racial Justice in Our Organizations to Reduce HIV Inequities
The Black Women First Initiative leads participants in building a mutual understanding of racial justice issues.
Resource (Conference Presentation) updated 09/14/2023
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Building Equity for Older Adults
Review of an initiative that identifies common barriers to client access and engagement and develops customized care interventions for adults aged 50 and older.
Resource (Conference Presentation) updated 09/14/2023
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Cultivating Growth: Home-based Behavioral Health and Supportive Housing across Oregon's Balance of State
Review of the Oregon model of integrating intensive case management, behavioral health, in-home and other wrap-around services with housing assistance and its replication potential in other jurisdictions.
Resource (Conference Presentation) updated 09/14/2023
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Incorporation of Nested Multidisciplinary Clinics into an HIV Primary Care Clinic for Emerging Co-morbidities
New Orleans clinic experiences with nested multidisciplinary clinics to serve older patients living with HIV.
Resource (Conference Presentation) updated 09/14/2023