Strengthening Systems of Care for People with HIV & Opioid Use Disorder

In response to the increase in opioid overdose death rate among persons diagnosed with HIV, HRSA established the initiative Strengthening Systems of Care for People with HIV and Opioid Use Disorder (OUD). The project developed tools to improve coordination among HIV and behavioral health/substance use service providers.

Resources were developed by JSI Research & Training Institute, Inc. (JSI), which was funded by HRSA to work with nine states participating in the initiative: Arizona, Iowa, Louisiana, Massachusetts, New Jersey, Rhode Island, Utah, Virginia, and Washington. JSI partnered with NASTAD to implement this initiative, with subject matter expertise from Boston Medical Center.

Read Background on the Project

Demonstration Sites

Map: state partners by number of HIV/HCV outbreak vulnerability counties and Ending the HIV Epidemic: A Plan for America priority jurisdictions

Initiative Products

Access resources by this project (also listed below)

A Guide to Support Individuals with HIV/Hepatitis C in Substance Use Service Settings

Guide on how to coordinate HIV/HCV treatment with substance use treatment and recovery.

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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.

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HIV and OUD Service and Funding Matrices Guide and Template

Tool to support state health departments in identifying opportunities for enhanced coordination between HIV and OUD funding and service provision. 

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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.

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Substance Use Screening Tools for HIV Service Delivery Settings

Collection of substance use screening tools for use in providing a valid and reliable snapshot of a client 's substance use, which may point toward a need for further assessment and specialized support. 

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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. 

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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.

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Interrupting Stigma: A Conceptual Map Depicting Stigma Pathways & Intervening Strategies at the Intersection of HIV and Opioid Use Disorder

Tool for addressing stigma in relation to systems-level policies and practices that can improve individual level interventions.

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Glossary of HIV and Opioid Use Disorder Service Systems Terms

Terms describing key concepts and components of the HIV and opioid use disorder (OUD) care and treatment systems. 

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Contact Information

Project Contacts:

Molly Higgins-Biddle, MPH
Project Director
JSI
Phone
(617) 482-9485
Devon Brown, LMSW, MPH
Communications Lead
JSI

HRSA Contacts:

PO Name
Chau Nguyen, MPH
PO Title
Project Officer

Funding:

Funding Mechanism
Cooperative Agreement

Recipient Organization: JSI, Research & Training Institute, Inc.

Grant number: U90HA33190

Project Period: 9/1/2019-8/31/2022