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32 Years: Ryan White HIV/AIDS Program
August 18, 2022 marks the 32nd anniversary of the Ryan White HIV/AIDS Program.Blog updated 10/04/2022
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Opiod Use Disorder
Review of opioid use disorder among people with HIV and (treatment options.Resource (Conference Presentation) updated 09/14/2023
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Black MSM Behavioral Health Initiative
SPNS-sponsored project to evaluate four evidence-informed behavioral health interventions and/or models of care to engage, link, and retain Black MSM with HIV in medical care and supportive services. Project period: 2018-2022.RWHAP Technical Assistance Provider updated on 03/04/2024
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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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Tailored Motivational Interviewing: E2i
Tailored Motivational Interviewing (TMI) delivers brief motivational interviewing counseling sessions customized to encourage people with HIV to engage in HIV care, take HIV medications as prescribed, and improve other health-related behaviors. Three sites implemented TMI as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017 to 2021. Clients who participated in TMI had significant improvement in engagement in care, prescription of antiretroviral therapy, retention in care, and viral suppression.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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The Black MSM Initiative: Protocol for Program Evaluation
Introductory paper describing the Black MSM Initiative and the protocol for the multisite evaluation.Resource updated 01/31/2023
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Text Messaging Intervention to Improve Antiretroviral Adherence among HIV-Positive Youth: E2i
The Text Messaging Intervention to Improve Antiretroviral Adherence among HIV-Positive Youth (TXTXT) is designed to keep young people, particularly young, Black, gay, bisexual, same-gender loving, and other men who have sex with men, engaged in HIV medical care, by delivering personalized, daily, interactive text messages that remind them to take their antiretroviral therapy as prescribed. Two sites implemented TXTXT as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017–2021. The intervention resulted in a statistically significant improvement in engagement in HIV care.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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E-VOLUTION
E-VOLUTION is a two-way text messaging intervention, originally developed by Washington University School of Medicine and piloted at Project ARK. The intervention focuses on improving health outcomes for youth, particularly young Black men who have sex with men. E-VOLUTION was designed for people ages 18-29 who have HIV and are receiving clinical care but require support to remain adherent. E-VOLUTION was evaluated and found to improve viral suppression and retention in care rates.Resource from the RWHAP Best Practices Compilation updated on 02/12/2024
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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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SPNS Black MSM Initiatives: The Intersection of COVID-19, Civil Unrest, and HIV
Discussion of the SPNS Black MSM Initiatives challenges and solutions to addressing program and client engagement disruptions.
Resource (Conference Presentation) updated 09/14/2023
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Integrating Behavioral Health into Primary HIV Care — Covering the Bases
Review of a tool to implement routine behavioral health screening, diagnosis, and treatment in an HIV primary care clinic.
Resource (Conference Presentation) updated 09/14/2023
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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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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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Long-acting Injectable HIV Treatment Implementation and Coordination
Overview of the policies, procedures, and protocols developed by an ADAP and Part C clinic to establish access to antiretrovirals, including long-acting cabotegravir/rilpivirine.
Resource (Conference Presentation) updated 09/14/2023
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Improving Linkage to Care for Persons with HIV and HCV Using Digital Media
Three multimedia projects to improve linkage to care between SUD and SSP clinics and outside providers.
Resource (Conference Presentation) updated 09/14/2023