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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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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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Providing Gender-Affirming Care
Review of gender-affirming care issues, including key terminology, best practices in hormone therapy management, epidemiology of HIV in transgender populations, and strategies to improve HIV care and prevention in transgender communities.Resource (Conference Presentation) updated 09/14/2023
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TransActivate
Bienestar developed TransActivate to improve timely engagement and retention in HIV care among Latina transgender women. Linkage coordinators/peer navigators use a strengths-based approach to help clients reach their goals of entering and staying in medical care to ultimately reach viral suppression.Resource from the RWHAP Best Practices Compilation updated on 02/12/2024
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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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Text Me, Girl!
Text Me, Girl! is a text messaging intervention that aims to improve linkage to and retention in HIV care, increase adherence to HIV medications, and improve viral suppression and other health outcomes among transgender women ages 18–34 years. The intervention supports young transgender women with HIV, particularly those experiencing barriers to care such as periods of homelessness and/or incarceration, substance misuse, or engaging in sex work. Text Me, Girl! participation was associated with statistically significant improvements in antiretroviral therapy uptake and adherence, and self-reported viral suppression.Resource from the RWHAP Best Practices Compilation updated on 04/01/2024
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After Hours Drop-In Clinic
Howard Brown Health established a specialized drop-in clinic and support groups, and implemented organizational initiatives to provide culturally relevant and gender-affirming services for transgender and non-binary people, including transgender women of color. The goal of this intervention was to optimize engagement in HIV services and primary care. From 2012-2021, the number of transgender and non-binary people served in primary care at Howard Brown Health more than tripled. In addition, after 24 months, participants were more likely to have been prescribed ART and to be virally suppressed than at baseline.Resource from the RWHAP Best Practices Compilation updated on 02/20/2024
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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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Key Program Characteristics from Three Effective Ryan White-Funded Rapid ART Sites in the U.S.
Results of SPNS initiative's virtual field visits to identify rapid ART implementation insights in RWHAP settings across the U.S.
Resource (Conference Presentation) updated 09/14/2023
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The Science of Implementing Equity: Utilizing an Implementation Science Framework to Improve Equity
Review of challenges, facilitators, and best practices for routine screening, linkage, and rapid ART in two emergency departments, including during COVID-19.
Resource (Conference Presentation) updated 09/14/2023
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Rapid Start Collaborative Initiative: Enhancing Access to Care for People with HIV in Virginia
Review of rapid antiretroviral treatment programs implemented at 15 Virginia RWHAP sites, including insights and future quality improvement activities focused on the Ending the Epidemic initiative.
Resource (Conference Presentation) updated 12/11/2023
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Closing Linkage-to-Care Gaps for Clients in Ryan White Program Clinics: The SPNS Rapid Start Initiative
Description of various models in the RWHAP SPNS Rapid Start initiative and data on their impact, using initiative-wide data.
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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How AETCs, Emergency Departments, and Health Jurisdictions Can Identify and Treat HIV, HCV, and Syphilis
Review of challenges, facilitators, and best practices for routine screening, linkage, and rapid ART in two emergency departments, including during COVID-19.
Resource (Conference Presentation) updated 09/14/2023
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Same Day Start – Linkage to Care and Initiating Antiretrovirals after Rapid Reactive HIV Result
Same Day Start rapid ART program in Kansas City, under which 74 percent of participants reaching viral suppression.
Resource (Conference Presentation) updated 09/14/2023
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Ending the HIV Epidemic through a Rapid stART Community-Wide Implementation and Beyond
Discussion on how to leverage CAREWare data integration to develop an innovative data reporting tool to assist with a community-wide Rapid stART protocol
Resource (Conference Presentation) updated 09/14/2023
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A Rapid stART Jurisdiction-Wide Approach in the Pursuit of Ending the HIV Epidemic
Discussion of how to leverage a learning collaborative methodology to plan, implement, and sustain a jurisdiction-wide Rapid stART initiative.
Resource (Conference Presentation) updated 09/14/2023