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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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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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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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How EHE Jurisdictions Can Increase Uptake of Long Acting Injectables for HIV Treatment
Review of the efficacy of LAIs and implementation activities undertaken by agencies.Resource updated 04/07/2023
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Anal Cancer Screening: Multidisciplinary Approaches and Impactful Outcomes
Two-part presentation, with Part 1 review of research regarding the efficacy of anal cancer screening and active treatment of HSIL or high-grade squamous intraepithelial lesions in adults with HIV over 35 years old and Part 2 on a multidisciplinary approach to screening and the importance of consumer voices in guiding screening services.Resource (Conference Presentation) updated 09/14/2023
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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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Adapting Outreach Services: Discreet HIV Testing for Rural Kentucky MSM Populations and More
Outreach strategies to better serve rural MSM populations impacted by cultural, geographic, and resource-related barriers to HIV testing.
Resource (Conference Presentation) updated 09/14/2023
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Conceptualizing and Implementing Mental Health and Behavioral Health Services in the SPNS Black MSM Initiative
Review of the SPNS demonstration site efforts to understand and integrate mental and behavioral health services and address the unmet needs of Black MSM.
Resource (Conference Presentation) updated 09/14/2023
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Final Findings from the SPNS Black MSM Initiative Multi-site Evaluation
Final Findings from the SPNS Black MSM Initiative Multi-site Evaluation.
Resource (Conference Presentation) updated 09/14/2023
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Replicating Evidence-Informed Interventions: Toolkit Showcase from the E2i Initiative
Overview of RWHAP SPNS E2i Initiative implementation materials.
Resource (Conference Presentation) updated 09/14/2023
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Project Vogue Implementation Guide
Components of an intervention focused on BMSM with HIV who have not yet been successfully maintained in care.Resource updated 10/18/2023
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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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Positive Peers Mobile App
The Positive Peers app motivates youth and young adults with HIV to stay engaged in HIV care through self-management tools and virtual support. Although specific outcomes vary by age group, individuals who used the app were more likely to attend their medical appointments, receive labs, and reach viral suppression.Resource from the RWHAP Best Practices Compilation updated on 11/14/2023
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New York City HIV Care Coordination Program
The New York City HIV Care Coordination Program is a structural intervention that combines multiple strategies, including multidisciplinary care coordination, patient navigation, and personalized health education to address client medical and social needs. Multiple evaluations of the program consistently show improvements in viral suppression and engagement in care, especially for people with a new diagnosis of HIV or who are out of care.Resource from the RWHAP Best Practices Compilation updated on 11/14/2023
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JumpstART
JumpstART launched in 2016 as part of New York State’s Ending the Epidemic initiative, changing the service delivery model of eight sexual health clinics to include an initial prescription of ART after an HIV diagnosis and prior to linkage to the community provider. Between November 2016 and September 2018, 60% of JumpstART clients received ART on the same day as diagnosis. JumpstART clients were also more likely to reach viral suppression within three months compared to non-JumpstART clients.Resource from the RWHAP Best Practices Compilation updated on 12/15/2023
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Enlaces Por La Salud
Enlaces Por La Salud is an HIV linkage, navigation, and education program for Mexican men and transgender women. The intervention is grounded in a transnational framework for providing cultural context to support the delivery of one-on-one educational sessions to Latina(o/x) people with a new HIV diagnosis, as well as people with HIV who are not yet retained in care. After 12 months, the majority of people participating in Enlaces Por La Salud were retained in care and reached viral suppression.Resource from the RWHAP Best Practices Compilation updated on 02/06/2024