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Program Integration in Texas

  Ann Robbins
  Manager
  HIV/STD Prevention and Care Branch
  Department of State Health Services
State Health Department Organization


                          Division of Prevention
                           and Preparedness



                           Infectious Disease
                           Prevention Section



                          TB/HIV/STD Unit



TB/HIV/STD Epidemiology                            HIV/STD Prevention
    and Surveillance         TB Services
                                                        and Care
Integration of HIV, HCV, Syphilis Testing


 Program Philosophy
 Contractual requirements & Program
  Standards
 Supports
   No increased cost
   Counselor and supervisor training program
    includes information on STD, HIV, and Hepatitis C
   Counselor support materials
   Program data systems
   Follow up varies by test– required protocols for
    interaction with public health
Challenges and Responses
 Challenges
   Rapid testing
   Mission creep and burden
 Responses and Lessons
   Understand mission and value
   Increased administrative and financial
    burden reduces attractiveness
Current Integration Projects
 Integration of TB, HIV, STD surveillance
 Routine HIV testing in TB, substance abuse
  treatment, outpatient mental health
  services;
 HAV & HBV immunization in substance abuse
  and HIV prevention programs for gay men
 Integration and cross training of public
  health staff to create depth of communicable
  disease staff

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Program Collaboration And Service Integration Texas Nhpc

  • 1. Program Integration in Texas Ann Robbins Manager HIV/STD Prevention and Care Branch Department of State Health Services
  • 2. State Health Department Organization Division of Prevention and Preparedness Infectious Disease Prevention Section TB/HIV/STD Unit TB/HIV/STD Epidemiology HIV/STD Prevention and Surveillance TB Services and Care
  • 3. Integration of HIV, HCV, Syphilis Testing  Program Philosophy  Contractual requirements & Program Standards  Supports  No increased cost  Counselor and supervisor training program includes information on STD, HIV, and Hepatitis C  Counselor support materials  Program data systems  Follow up varies by test– required protocols for interaction with public health
  • 4. Challenges and Responses  Challenges  Rapid testing  Mission creep and burden  Responses and Lessons  Understand mission and value  Increased administrative and financial burden reduces attractiveness
  • 5. Current Integration Projects  Integration of TB, HIV, STD surveillance  Routine HIV testing in TB, substance abuse treatment, outpatient mental health services;  HAV & HBV immunization in substance abuse and HIV prevention programs for gay men  Integration and cross training of public health staff to create depth of communicable disease staff