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Infiltrating the Mainstream - the Queensland Experience
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Infiltrating the Mainstream - the Queensland Experience


Chris Howard (Regional Coordinator, Central & Northern Queensland Positive Directions) explores the mainstreaming of HIV in Queensland, using an integrated service delivery model which addresses …

Chris Howard (Regional Coordinator, Central & Northern Queensland Positive Directions) explores the mainstreaming of HIV in Queensland, using an integrated service delivery model which addresses mainstreaming on an individual, service and structural level.

This presentation was given at the AFAO Positive Services Forum 2012.

Published in Health & Medicine , Business
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  • 1. Infiltrating the MainstreamThe Queensland Experience Chris HowardRegional Coordinator (Central & Northern QLD) Positive Directions
  • 2. Positive Directions Program Funded by Queensland Health Care Coordination, Information & Referral Services Access and Advisory Services (Nutrition and Mental Health) Community Nurses (Clinical Support) Client Liaison Officers (Psychosocial Support) Regional Offices and Outreach Services
  • 3. Growing trend towards mainstream service delivery Epidemiology Geographic & demographic considerations Resource constraints
  • 4. Positive Directions response to mainstreaming Review and reorientation of Service Delivery Model Integration across levels: – INDIVIDUAL – SERVICE – SYSTEMIC Program restructure Process & resource development
  • 5. Mainstreaming on all levelsSustained and effective mainstreaming of HIV requires: Coordinated action across all levels A commitment of human and financial resources Strategic and collaborative arrangements Advocacy Education and information provision
  • 6. Mainstreaming - Individual LevelSelf Management Framework Skills Knowledge Motivation Self-efficacy ResourcesAddressing Barriers History and experiences of service provision Internalised stigma and fear Disclosure Individual issues that impact service engagement
  • 7. Mainstreaming - Service LevelProfessional Integration Multidisciplinary teams Care Coordination Training & Development Practice FrameworksOrganisational Integration Programming In-service education to mainstream providers Partnerships – QPSB Client Care Fund
  • 8. Education to Mainstream Services Build HIV knowledgeable and sensitive work force Tailored to individual and service need Regionally targeted to address service delivery gaps Partnered with QPSB Ongoing support and liaison from PD multidisciplinary team to individuals and teams working with PLHIV
  • 9. Mainstreaming – Systemic Level Recognising and responding to the drivers of change in the operating environment National/State Strategies – frame of reference Reporting unmet needs and service provision gaps Research Partnerships & Education Peak Bodies Strategic, collaborative partnerships
  • 10. Summary A shift towards mainstreaming HIV in Queensland has been necessitated by geographic & demographic considerations, epidemiology, resource constraints and changes in HIV management. Successful mainstreaming requires an integrated response at individual, service and systemic levels. Sustained change cannot be achieved without building capacity, skills and knowledge at all levels. Mainstreaming requires a commitment of resources and the embedding of HIV into the strategic and operational planning processes of services and organisations.