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On May 11, HRSA’s HIV/AIDS Bureau released a program letter encouraging RWHAP ADAP recipients to include medications for SUDs, including buprenorphine for OUD, and naloxone for opioid overdose prevention, on ADAP formularies.News Article updated on 05/15/2023
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FY 2023 EHE Reporting Requirements & Carryover - Flexibility Overview
Annual RWHAP Part A and B recipient training, presented by the Ending the HIV Epidemic (EHE) Reporting Requirements Workgroup, within HRSA's HIV/AIDS Bureau.Resource updated 05/26/2023
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Minimize to Maximize: A Cadence of Accountability
The Utah Department of Health and Human Services collaborated with RWHAP Part B-funded medical case managers to improve care and outcomes for clients following Franklin Covey’s 4 Disciplines of Execution: 1) focus on the wildly important goal; 2) act on the lead measures; 3) keep a compelling scoreboard; and 4) create a cadence of accountability. Through intensive case management, regular monitoring, and feedback sessions, the state's RWHAP Part B program's overall viral suppression rate increased from 88.9% in 2020 to 90.4% by December 2021.Resource from the RWHAP Best Practices Compilation updated on 11/13/2023
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Substance Use Screening Tools for HIV Service Delivery Settings
This library includes various substance use screening tools. These tools are intended to provide a valid and reliable snapshot of a client 's substance use, which may point toward a need for further assessment and specialized support.Resource updated 12/04/2023
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Words Matter: The Power of Language to Strengthen Services for HIV and Substance Use Disorder
Discussion guide to elicit a conversation about language, stigma, and discrimination as a means of strengthening care systems.Resource updated 09/19/2023
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Ending the HIV Epidemic in the United States: From Vision to Practice
Opportunity for RWHAP Part B EHE recipients to share and discuss effective approaches to linkage to care, designing successful messaging campaigns and implementing Rapid Start.Resource (Conference Presentation) updated 09/14/2023
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Integration of Comprehensive HIV Medical Care with Addiction Services
Intervention to create a safe place for delivering stigma-free, trauma-informed and integrated HIV, addiction medicine and behavioral health services under a single roof.Resource updated 04/03/2024
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Guide for Developing HIV and Opioid Use Disorder Service Inventories and Using Geographic Mapping
Considerations for how state agency staff can develop and maintain an accessible, HIV and opioid use disorder (OUD) service inventory.Resource updated 01/05/2024
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State Strategies in Action: Building Relationships with Your State Medicaid Agency to Support Peer Services
Description of the role of peers in care for people with HIV and OUD and how a state’s Medicaid program can fund peer services.Resource updated 09/19/2023
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RWHAP Part B and ADAP Succession Planning Guide
Toolkit to assist health departments, specifically RWHAP Part B and ADAPs, to prepare succession plans for staff as they take on new roles.Resource updated 09/19/2023
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Link-Up Rx
Link-Up Rx is a pharmacy-data-based Data to Care program implemented by the Detroit Health Department in partnership with the Michigan Department of Health and Human Services and a specialty pharmacy. Using pharmacy data to identify clients in need of follow-up greatly reduced the amount of time for clients to appear on “not in care” lists compared to traditional D2C approaches. Protocols for a three-tiered outreach and reengagement approach were developed to connect clients back to antiretroviral therapy and HIV care following a missed pharmacy pick-up. Nearly half of identified clients were linked back to their pharmacy or other HIV medical services.Resource from the RWHAP Best Practices Compilation updated on 01/03/2024
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Navigator Case Management for People Leaving Jail
The Navigator Case Management intervention helps people with HIV who are incarcerated and are leaving to return to the community. The intervention uses harm reduction, case management, and motivational interviewing techniques to promote healthy behaviors. Enhanced case management including peer support and connection to other needed services both immediately before and after release supports increased linkage to and retention in HIV care for people transitioning to the community from jail.Resource from the RWHAP Best Practices Compilation updated on 01/19/2024
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Enhanced Patient Navigation for Women of Color
The Enhanced Patient Navigation for Women of Color with HIV intervention uses patient navigators, who are non-medical staff in clinical settings, to reduce barriers to health care and optimize care. The intervention was effective in improving linkage to and retention in care, as well as viral suppression.Resource from the RWHAP Best Practices Compilation updated on 02/28/2024
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Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations
The RWHAP Part F SPNS program funded the Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations initiative from 2012–2017, to provide coordinated housing supports and HIV, behavioral and mental health care to people experiencing homelessness. Nine funded demonstration sites created partnerships with housing providers, integrated behavioral health and HIV care, and provided intensive patient navigator services. A multi-demonstration site evaluation found that, compared to baseline, participants were more likely to be virally suppressed after 12 months in the intervention.Resource from the RWHAP Best Practices Compilation updated on 11/13/2023
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CQII Eliminating Disparities Due to Substance Use Issues - Core Interventions
Core interventions related to addressing substance use in order to eliminate disparities in viral suppression rates.Resource updated 09/14/2023
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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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Integrating Services to Address the Syndemics of HIV, STIs, Substance Use Disorder, and Viral Hepatitis
Review of how to integrate services using a syndemic approach in order to collectively address HIV, STIs, viral hepatitis, and substance use disorders.Resource updated 03/23/2023
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TAVIE Red: Mobile Application for Self-Management
TAVIE Red is a mobile application that aims to improve retention in HIV care and address social determinants of health. It helps case managers connect with clients and uses gamification, a technique with elements of gameplay such as earning points and completing quests, to increase engagement with HIV care and psychological self-care management tools. TAVIE Red participants overwhelmingly reported that the technology helped them manage their HIV diagnosis.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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LA Links (Louisiana Links)
LA Links is a combined data-to-care and client navigation approach that cross-references routinely collected HIV surveillance data with other secondary data sources to identify and locate people with HIV who are not in care, as well as those who are in care, but with high viral loads. Originally implemented in 2013 as part of the Care and Prevention in the United States Demonstration Project, LA Links improved linkage to care, reengagement in care, and viral suppression. Louisiana expanded the program statewide in 2016.Resource from the RWHAP Best Practices Compilation updated on 11/01/2023
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A Systems Approach to an Integrated HIV and Opioid Use Disorder Workforce
Description of two states' approaches to building and supporting an HIV and opioid use disorder (OUD) workforce and considerations for investing in a collaborative workforce.Resource updated 09/19/2023