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SPNS Initiative: Innovative Intervention Strategies (2iS) (2022-2025)
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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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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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Screening, Brief Intervention, and Referral to Treatment (SBIRT): E2i
SBIRT is designed to screen clients for drug and alcohol use, educate clients on the risks of use, and connect them to substance use treatment services if necessary. SBIRT is an evidence-informed intervention that has been adapted by HIV experts in collaboration with community members to improve health outcomes among people with HIV. Two sites implemented SBIRT as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017–2021. Among the clients enrolled in SBIRT, the percentage with a prescription of antiretroviral therapy (ART) and who reached viral suppression both increased significantly.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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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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Integrating Buprenorphine Treatment for Opioid Use Disorder in HIV Primary Care
Three participating clinics—MetroHealth, the University of Kentucky Bluegrass Care Clinic, and Centro Ararat—participated in a RWHAP Part F SPNS initiative from 2016 through 2019 to implement integrated buprenorphine treatment and HIV care. Research has shown that care integration improves HIV outcomes, engagement in substance use disorder treatment, and quality of life for people with HIV. Clients participating in this intervention received integrated opioid use disorder (OUD) and HIV care to improve retention in care, viral suppression, and engagement in OUD treatment.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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Telehealth Strategies to Maximize HIV Care
Identify and maximize the use of telehealth strategies that are most effective in HIV care. Project period: 2022-2025.RWHAP Technical Assistance Provider updated on 09/15/2023
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An Evolution of Telemedicine: Innovative Care Approaches in Response to the COVID-19 Pandemic
Development of telehealth services to patients with SARS-CoV-2 infection, including diagnostic testing, telephone evaluation, home pulse oximetry, monoclonal antibodies, and follow-up for patients through video assessments and the contributions to successful outcomes.Resource (Conference Presentation) updated 09/14/2023
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Evolution of Telehealth and the Revenue Cycle – Lessons from UPMC and a Ryan White Clinic
Description of how the agency standardized the complicated charge capture of telemedicine visits, from scheduling to billing to payment, in a rapidly evolving environment.
Resource (Conference Presentation) updated 09/14/2023
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Ensuring Equitable Access to Smartphone-based Tele-mental Health Care to Non-urban People with HIV during the COVID-19 Pandemic
Description of telehealth implementation through a clinic-deployed smartphone application.
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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Telehealth Implementation at a Midwest HIV Clinic
The University of Nebraska Medical Center/Nebraska Medicine (UNMC/NM) Specialty Care Center (SCC) is the largest provider of comprehensive HIV care—including primary and HIV-focused medical services as well as multiple support services—in Nebraska. In March 2020, at the onset of the COVID-19 pandemic, the clinic integrated telehealth into its care delivery model to continue serving patients beyond the clinic structure, and developed algorithms that allowed any team member to quickly identify a patient's eligibility for a telehealth visit. The algorithms include the date of the most recent office visit, stability of HIV disease, most recent viral load and CD4 count, and antiretroviral therapy (ART) refill histories as a proxy for medication adherence. Overall, viral suppression rates remained high for all patients regardless of visit type, indicating that telehealth is a successful alternative to in-person visits for providing HIV care.Resource from the RWHAP Best Practices Compilation updated on 03/23/2024
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Viviendo Valiente
Viviendo Valiente aims to reduce ethnic disparities in HIV care and outcomes by providing culturally responsive services to the Latino/a community, specifically to people of Mexican descent. It is a multi-level intervention, featuring individual-, group-, and community-level activities, that links people to HIV care, offers HIV education and health literacy in group sessions, and promotes community-level testing for HIV and other sexually transmitted infections (STIs). Viviendo Valiente had positive impacts on HIV testing, retention in care, viral suppression, and client satisfaction.Resource from the RWHAP Best Practices Compilation updated on 04/15/2024
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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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HIV Clinical Pharmacist Services
The HIV Clinical Pharmacist Services intervention shortens the time between referral to and engagement in care by allowing newly referred clients to see pharmacists in addition to other clinical providers for their initial appointment. This intervention is supported by findings from a retrospective cohort study that took place from 2013 to 2017 at a RWHAP-funded clinic. In addition to significantly decreasing the time between referral and initial visit, clients who saw a pharmacist also experienced shortened time to antiretroviral therapy initiation and viral suppression compared to those who only saw non-pharmacist providers.Resource from the RWHAP Best Practices Compilation updated on 11/01/2023
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Issue Brief: Using Participatory Art Approaches to Promote Health and Empower Client Voice
Use of participatory arts to generate dialogue and engage individuals in receiving health care and participating in community activities.Resource updated 01/08/2024
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Project nGage
Project nGage is a support intervention approach that offers participants an initial 90-minute session with a social work interventionist and a participant support confidant to develop a tailored care and support plan. The social work interventionist then offers four follow-up sessions to each participant to discuss progress on the care and support plan. Project nGage was evaluated in a randomized controlled trial from 2012 to 2015: participants in the intervention were more likely to have at least three HIV primary care visits in the last 12 months than those who received usual care.Resource from the RWHAP Best Practices Compilation updated on 11/30/2023
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Telemedicine Implementation at a Midwestern HIV Clinic During COVID-19: One Year Outcomes
This HIV clinic evaluated effectiveness of telemedicine for selected patients during the first year of the COVID-19 pandemic, and found overall viral suppression and retention in care rates were not adversely impacted by switch to telemedicine. They also noted similar rates of telemedicine utilization across demographic criteria.
Resource (Conference Presentation) updated 09/14/2023
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Checklist for Evaluating HIV Telehealth Care
The rationale, methodology, and implementation of New York State's Checklist for Evaluating HIV Telehealth Care as used by HIV providers to assess the quality of their telehealth services.
Resource (Conference Presentation) updated 09/14/2023