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Transitional Care Coordination: From Jail Intake to Community HIV Care Intervention
Transitional Care Coordination (TCC) connects people with HIV who are incarcerated with a transitional care coordinator to facilitate access to HIV primary care and other community-based services and supports, following their transition from jail back to the community. TCC aims to establish vital linkages between jail-based and community-based HIV care, and may be implemented by community-based organizations, clinics, health departments, or jails.Resource from the RWHAP Best Practices Compilation updated on 02/02/2024
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Replicating Innovative HIV Care Strategies to Priority Populations: Transgender Women and Latinos of Mexican Origin
Review of two interventions to improve link clients to care and improve health outcomes, focusing on transgender women and persons of Mexican origin.Resource updated 04/02/2024
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HOME: Homeless Health Outreach Mobile Engagement
HHOME is a mobile care and systems intervention that helps connect vulnerable and homeless individuals in San Francisco to rapid HIV treatment.Resource updated 02/12/2024
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KC Life 360: Employment-Focused Intervention to Link Clients to Support Services and Housing
KC Life 360 is an employment-focused intervention that utilizes the intersection between employment services, HIV care and treatment, and housing to improve health outcomes of people with HIV.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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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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Collaboration with Rural FQHCs to Increase Equitable Access to HIV Prevention and Care
Collaboration work that increased equitable access to HIV, Hepatitis C, and STD prevention, testing, treatment, and care services for rural residents.
Resource (Conference Presentation) updated 09/14/2023
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Utilizing the Medical Legal Partnership Model to Provide Legal Services Improving Outcomes for RWHAP Patients
Attorneys from the Ryan White Legal Project at Indiana Legal Services, Inc. discuss how the medical legal partnership model enhances service delivery to RWHAP patients.
Resource (Conference Presentation) updated 09/14/2023
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Integrating Medical/Behavioral Care for People Taking PrEP: Collaborating for HIV Prevention
Outline of an approach to HIV pre-exposure prophylaxis (PrEP) in health centers that incorporates and builds upon the strengths of medical and behavioral health clinicians.
Resource (Conference Presentation) updated 09/14/2023
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Ending the HIV Epidemic on the U.S.-Mexico Border: An AETC-led Federal Training Center Collaborative
Insights from the AETC U.S.-Mexico Border AETC Steering Team (UMBAST) team's work in providing HIV-related training along the border, a region with some for poorest health outcomes in the U.S.
Resource (Conference Presentation) updated 09/14/2023
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Best Practices in Data Sharing between Ryan White HIV/AIDS Program Recipients and HIV Surveillance
Approaches and best practices in data sharing.
Resource (Conference Presentation) updated 09/14/2023
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Sustainable Strategies for Strengthening Systems of Care for People with HIV and Opioid Use Disorder
Discussion of technical assistance provided to nine states on HIV and OUD system barriers, lessons learned, and sustainable strategies that states are using to address challenges.
Resource (Conference Presentation) updated 09/14/2023
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HIV Outbreak in West Virginia: The Importance of Collaboration and Partnerships
Discussion of diverse partnerships developed to successfully treat a homeless population with addiction and newly diagnosed HIV as well as the service delivery challenges faced by an out-of-state Part C clinic.
Resource (Conference Presentation) updated 09/14/2023
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Collaborating and Innovating with Emergency Departments to End the HIV Epidemic: Experiences from Tarrant County
Description of how an EHE program partnered with an emergency department and other stakeholders to reduce the time to ART from over 30 days to three days or same-day rapid ART.
Resource (Conference Presentation) updated 09/14/2023
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Equip+Edify+Engage: Black Faith Leaders Lighting the Way toward the End of the HIV Epidemic
Presentation of the New Haven/Fairfield Ryan White Part A Program's EHE process to recruit faith leaders, establish a guiding coalition, support a “by them, for them” planning process, and identify public and private funding resources.
Resource (Conference Presentation) updated 09/14/2023
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Promoting the Best Practices Compilation: The Ambassador Toolkit
Even with around 100 entries, there's still room to grow for the Best Practices Compilation of effective interventions.News Article updated on 02/13/2024 -
Co-locating Care Management Staff and Peers in Medical Clinics Implementation Guide
This guide details components of a program establishing a medical-community partnership to facilitate a linkage to care program reengaging HIV clients in care and decreasing missed appointments.Resource updated 10/13/2023
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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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Replicating Innovative HIV Care Strategies in the RWHAP
Webinar series featuring HIV care innovations developed under HRSA SPNS projects.Resource updated 04/02/2024