Peer Navigation Program for people newly diagnosed with HIV
Upcoming SlideShare
Loading in...5

Peer Navigation Program for people newly diagnosed with HIV



Glen Bradford, BC PWA, presented at the 2010 Gay Men's Health Summit.

Glen Bradford, BC PWA, presented at the 2010 Gay Men's Health Summit.



Total Views
Views on SlideShare
Embed Views



3 Embeds 33 19 12 2



Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
Post Comment
Edit your comment

    Peer Navigation Program for people newly diagnosed with HIV Peer Navigation Program for people newly diagnosed with HIV Presentation Transcript

    • Background information about people newly diagnosed with HIV (ND/HIV)
    • Models in diabetes and cancer based health care have been exploring supportive education bridges to...
      • fill the gap after getting a new diagnoses,
      • delay disease progression and
      • improve access to treatment and community based programs.
      BCPWA has two new models designed to address similar goals for people newly diagnosed with HIV.
      Year 1: Workshop Series for Gay Men
      Newly Diagnosed with HIV
      Year 2: Workshop Series for People
      Newly Diagnosed with HIV
      Year 3: Development of Peer Navigators
    • 2 Overall Project Goals
      Educate people ND/HIV about the value of care and treatment.
      Prevent disease progression and transmission.
      • Stopping or reversing disease
      progression saves lives.
      • Engage people when they
      are highly infectious,
      depressed and at risk for
      transmitting the virus.
      Key influences:
      • Antiretrovirals are perceived as being
      asbad as HIV itself.
      • The healthcare system can be confusing
      and disempowering.
      • HIV Organizations can seem
      • Doctors lack the time to educate patients
      with basic HIV knowledge.
    • Project Vision
      Promote HIV as a manageable chronic illness by...
      • Accurate
      • Demystify
      • Hopeful
      • Realistic
      providing the right information,
      • Non-clinical, accessible
      • Relevant to the new cohort
      • Newly diagnosed with HIV
      • Information naïve and “triggered” to learn
      • Don’t know they are HIV+
      for a targeted group of people,
      • Safer sex talk during a crisis point is ineffective and
      insensitive. (partner notification and safer sex)
      • Where you are on the disease continuum
      when newly diagnosed is important.
      at the right time.
    • Structure
      Peer Navigators
      Workshop Series
      • A series of three - one to one
      discussions designed to educate and
      • People ND/HIV direct their
      own care and support needs.
      • Navigator assess needs and guides
      the process under which they gain
      knowledge and skills about their
      • A two day series of workshops
      designed to educate and empower.
      • More structured, less self directed.
      • Share and ask questions with others
      who are ND/HIV.
      • Decreases shame based isolation.
      • Both provide a safe and confidential space.
    • Curriculum content is the same in both programs.
      • the new realities of living with HIV as an chronic illness – dispelling
      myths and misconceptions,
      • the basics of HIV disease – disease progression, transmission, sex and risk
      • treatment information – when to start treatment, medication options and how
      to manage side effects,
      • safer sex and other STIs – harm reduction ideas,
      • disclosure – strategies for meeting both the legal obligations and the
      personal challenges of sharing one’s HIV status with others,
      • navigating the complexities of self care strategies,
      • Doctors - finding appropriate HIV care in your community,
      understanding your blood work, and the importance of a “relationship”
      with your Doctor.
    • Benefits of Newly Diagnosed Services
      • “Supportive education bridges” combine support and education initiatives.
      (Elements of peer counselling, treatment information, personalized wellness planning)
      • Building trust with a knowledgeable peer creates a trusting entry point and
      easier access into treatment and complementary programs
      and services within our agency and throughout HIV and non-HIV
      • Participant feedback indicated they feel more connected to a topic by a
      peer rather than by a “professional”.
      • Using inclusive language instead of jargon or medical terminology can
      make the topic more approachable and easier to understand.
      • Increases referrals between community partners - IDC, Social Workers,
      other ASOs, Public Health Nurses and Doctors.
      • Increasingly, an immediate response is preferred over asking people to
      wait until we have enough participants for a workshop.
    • Lessons learned from Workshop
      Workshops in Vancouver:
      • Lag time between first contact and day one workshop is too long.
      • Committing to two full days is more intimidating than parcelling out
      information in portions.
      Workshops outside Vancouver:
      • Geographic isolation makeslogistics such as transportation, hotel and
      child care expenses more difficult to get people together over a
      weekend workshop.
      • HIV stigma in smaller communities is pervasive. Isolation does not
      mean anonymous. Potential participants are hyper sensitive to
      “group” events that out them as HIV+.
      • People active in their addiction or with severe mental health
      issues do not do well in a workshop environment.
    • Lessons learned from Peer Navigators
      • Participants are lacking the benefits of sharing their story with more
      people in a similar situation.
      • Participant and peer navigator need to get to a “relatable and trusting”
      interaction with each other quickly, in order for “real” conversation to
      • Paid staff in smaller communities use a one-to-one model using
      elements of a navigator skill set but may not be knowledgeable on
      newly diagnosed issues. Providing front line workers with current newly
      diagnosed information would be more helpful and economically
    • Being HIV+ isn’t the only stigma, seeking help can be a stigma aw well.
      In Summary
      • Early HIV detection is important to prevent disease progression
      and HIV transmission.
      • HIV+ people that spiraloff the grid at point of diagnosis increase
      the likelihood of HIV transmission, disease progression and
      health care costs.
      • Educate that HIV as a manageable chronic illness for the third cohort
      while continuing to meet the care needs of previous cohorts.
      • HIV+ people are more likely to make healthy choices for themselves
      and others when given HIV information that is time sensitive, relatable,
      and relevant.
      • Community based newly diagnosed programming compliments formal
      health care systems.