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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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Viviendo Valiente: Multi-Level Intervention Linking Latinos to HIV Care
Multi-level messaging intervention focused on linking Latinos with HIV to high quality HIV primary care in Dallas County, Texas. Individual-, group- and community-level strategies.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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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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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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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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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
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Utilizing Social Justice Approaches via the Roots of Health Inequity Course to Help End the HIV Epidemic
Review of activities from the Roots of Health Inequity course that demonstrate how to implement social justice approaches in public health practice that can be used within the RWHAP and context of Ending the HIV Epidemic.
Resource (Conference Presentation) updated 09/14/2023
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Providing Gender-Affirming Care to People with HIV
Overview of the gender-affirming care and treatment services available through the RWHAP and The Fenway Institute.
Resource (Conference Presentation) updated 09/14/2023
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Southern Interventions: Select Best Practices
Interventions applied in Southern locations, with evidence that they improve HIV care outcomes.Blog updated 08/31/2023
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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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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