2008 HIV CONFERENCE Emerging Trends & Technologies in Partner Services
AIDS Project of Central Iowa <ul><li>Collaborations </li></ul><ul><ul><li>Care & Prevention </li></ul></ul><ul><li>Curricu...
Collaborations in Care <ul><li>Ryan White Part C Clinics (Primary Health Care, University of Iowa Virology Clinic) </li></...
Collaborations in Care, cont. <ul><li>Local drug and alcohol treatment centers (Broadlawns, Mecca, Mercy First Step, Unite...
Collaborations in Prevention HIV Counseling, Testing & Referral <ul><li>All Iowa AIDS Benefit </li></ul><ul><li>Blazing Sa...
Collaborations in Prevention Outreach & Education (RMS Distribution) <ul><li>Addiction Recovery Knoxville </li></ul><ul><l...
Collaborations in Prevention Partnerships <ul><li>All Iowa AIDS Benefit – testing at Benefit </li></ul><ul><li>Center for ...
Using Curricula to Identify New Positives <ul><li>Be The Cure </li></ul><ul><ul><li>Peer Advocates </li></ul></ul><ul><ul>...
Peer Advocates <ul><li>Members of the target population </li></ul><ul><li>Role model positive behavior change </li></ul><u...
Role Model Stories <ul><li>Personal accounts of behavior change, including testing and disclosure </li></ul><ul><li>In the...
 
Social Network Testing <ul><li>Higher positivity rate with higher-risk population] </li></ul><ul><li>Move through large so...
Using the Internet to Identify New Positives <ul><li>www.bethecure.info </li></ul><ul><li>Internet outreach </li></ul>
www.bethecure.info <ul><li>Much like outreach of staff and peer advocates </li></ul><ul><li>Stage and information-specific...
Internet Outreach <ul><li>Manhunt partner notification </li></ul><ul><li>Gay.com chat </li></ul><ul><li>Facebook on the ho...
Using Outreach Events to Identify New Positives <ul><li>National HIV Testing Day </li></ul><ul><li>PRIDE </li></ul><ul><li...
Contact Information <ul><li>Rhea Van Brocklin, Care Services Supervisor </li></ul><ul><li>AIDS Project of Central Iowa </l...
Polk County Health Department Services <ul><li>STD Testing </li></ul><ul><li>HIV Testing (rapid available $25 fee) </li></...
Polk County Special Projects <ul><li>Drake University – HIV Testing </li></ul><ul><li>Gay Pride (Urine Screens, possible s...
Polk County Outreach Services <ul><li>Agape (Urine Screens) </li></ul><ul><li>Bernie Lorenz Halfway House (HIV/Hep) </li><...
In the Works for Polk County Health <ul><li>Multiple Family Planning Satellite Clinics </li></ul><ul><ul><li>Park Fair Mal...
Local Example of IPN <ul><li>Positive Chlamydia/Gonorrhea - untreated </li></ul><ul><ul><li>Client tested positive at priv...
Local Example of IPN <ul><li>HIV Example Case </li></ul><ul><ul><li>Client tested due to PCRS in 2007 </li></ul></ul><ul><...
Local Example of IPN <ul><li>HIV case.  Tested through private doctor </li></ul><ul><li>Provided spread sheet of partners ...
 
 
 
 
Contact Information <ul><li>Beth Dooley, Polk County Health Department </li></ul><ul><li>1907 Carpenter Avenue, Des Moines...
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2008 Iowa HIV Conference

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Presented at the 2008 Iowa HIV Conference with IDPH and Polk County Health Department about future trends in HIV partner services.

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  • A.     (1)Collaborations are vital to the success of our current clients in both prevention and care, and in identifying new infections in the community. Outreach is conducted in both care and prevention departments to make our services more accessible to the community. a.       (2)Care The purpose of the care partnerships is to ensure that newly diagnosed HIV+ clients are referred to The Project for HIV case management and client advocacy. We work closely with the following agencies to ensure that newly diagnosed individuals and all people living with HIV in our service area have access to resources such as medical care, medications, stable housing and HIV specific information and support. Working with physicians and medical staff to keep clients adherent to meds and care, advocate for client when he/she not comfortable with regimen, encourage open communication with physicians, Dual referrals for health care/case management and supportive services. b.      Polk County Health Department &amp; Planned Parenthood A Project case manager is present when HIV-positive results are given and offers a direct link to care services at client’s request. Interagency collaboration – referrals from clients who use the food pantry and case management services to get their partners tested
  • Local drug and alcohol treatment centers (Broadlawns, Mecca, Mercy First Step, United Community Services, Center for Behavioral Health, Lutheran Dual Diagnosis Unit); Correctional Facilities (Polk County Jail, Fort Des Moines Men’s Corrections, Women’s Correctional Facility) Staff presentations are oriented toward general HIV education, identifying new infections, and providing linkages for HIV+ individuals who aren’t in care. Homeless shelters/low-income housing (Churches United, YMCA, YWCA, Oakridge); Agencies targeting services to people of color (Neighborhood Health Initiative, Hispanic Educational Resources, Hola Center, Urban Dreams, Latino Service Providers, Creative Visions, and Oakridge Neighborhood Services) Outreach is oriented toward general HIV education, identifying new infections, and providing linkages for HIV+ individuals who aren’t in care. Lutheran Services in Iowa Refugee Cooperative LSI refers HIV+ refugees to case management that is designed to assist clients in accessing and maintaining health care and supportive services.
  • The purpose of prevention partnerships is to identify HIV+ individuals through HIV counseling, testing and referral; provide Hepatitis C counseling and testing; provide Hepatitis A/B vaccination; assist clients in stage-based risk reduction planning; and to refer clients to additional services within our agency (Care Services) and the community (STD testing, substance abuse treatment, family planning, etc.) We provide a variety of services at many locations in Des Moines and the surrounding communities to identify new positives and help them access care.
  • Peer advocates assist us in reaching the hardest-to-reach populations, including active IDU, MSM who do not identify, and sex workers. Our prevention specialists recruit individuals from the target population who have large social networks, feel comfortable talking to their peers about HIV, and are in the contemplation stage or higher in terms of HIV risk reduction. Peer advocates model behavior change and have many times brought in their peers to get tested for HIV and Hepatitis C, get Hep A/B vaccinations, and participate in our prevention programs.
  • Role Model Stories are personal accounts from the target population that explain how they have taken steps to lower their risk for transmitting HIV and how their decisions have positively affected their lives. The stories are stage-based and in the language and culture of the target population. They are distributed by peer advocates and outreach staff. We have written several stories that encourage HIV testing, HIV status disclosure and partner notification. (Include in handout MSM #82 Jumping In, HRH #70 Tested)
  • Social Network Testing: Employ this strategy much like the Be The Cure Program. Nationwide, 6% positivity rate compared to the average of .5-1% Recruiters are identified: Members of the target population with large networks, including high-risk peers Role model testing – “If I can do it, you can do it” – and often provides support to peers – “I’ll go with you to do it” Incentives are vital to success of program: Central Iowa Shelter (Churches United) we identified a positive who wanted to get tested b/c of the $5 incentive she heard about through “a friend” who was one of our recruiters. Recruiter gets an incentive for completing the interview process where he/she identifies high risk individuals to come in for testing; recruitment cards are given to the recruiter to give to these individuals; when the high risk peer comes in to test, they give the card to staff and they get an incentive and the recruiter gets an incentive for the successful referral
  •   Stage-based information for individuals who access our site, much like speaking to outreach staff or peer advocate. Will ask you a series of questions to lead you to the appropriate role model stories and referral information/links. Anonymous, can email our prevention staff directly. Mike Flaherty, our HIV+/MSM prevention specialist, has had several successful referrals as a result of email communication, including individuals who had been informed their partners tested positive.
  • All internet outreach receives prior approval before implementation. With all internet outreach, we continuously post the hours and locations we will be conducting testing, especially in the bar communities. Have had several testing clients at the bars who decided to come to testing b/c it was at an outreach location. Manhunt – created Be The Cure profile and email/IM online clients We don’t solicit, we only leave the page open and welcome people to IM us Partner notification is set up automatically through Manhunt – separate from our agency. Manhunt sends anonymous emails to partners. We are there for support. We have actually tested and counseled individuals who were reached through the Manhunt partner notification service. Gay.com: Similar to manhunt, but IM is conducted more often than email Facebook:    We are also exploring the possibility of conducting outreach on Facebook. Many PAs and people we run into during outreach mention Facebook as a useful tool to access high-risk individuals and distribute information about events and services.  
  • Events: an integral part of our outreach services These outreach events are a way for the community to access confidential testing without having to come to our office. Mass testing events such PRIDE and National HIV Testing Day normalize testing in communities where HIV is still considered a taboo topic. Also, testing events have strengthened our partnerships with other service organizations such as PCHD and Planned Parenthood to ensure we do not duplicate services in the community.
  • 2008 Iowa HIV Conference

    1. 1. 2008 HIV CONFERENCE Emerging Trends & Technologies in Partner Services
    2. 2. AIDS Project of Central Iowa <ul><li>Collaborations </li></ul><ul><ul><li>Care & Prevention </li></ul></ul><ul><li>Curriculum </li></ul><ul><ul><li>Be The Cure & Social Network Testing </li></ul></ul><ul><li>Internet </li></ul><ul><li>Events </li></ul>
    3. 3. Collaborations in Care <ul><li>Ryan White Part C Clinics (Primary Health Care, University of Iowa Virology Clinic) </li></ul><ul><li>Private Practice HIV Specialists (Iowa Health Physicians, CIC Associates, VA) </li></ul><ul><li>Testing Sites for Positive Referrals (Planned Parenthood, Polk County Health Department) </li></ul><ul><li>Interagency Collaboration </li></ul>
    4. 4. Collaborations in Care, cont. <ul><li>Local drug and alcohol treatment centers (Broadlawns, Mecca, Mercy First Step, United Community Services, Center for Behavioral Health, Lutheran Dual Diagnosis Unit); Correctional Facilities (Polk County Jail, Fort Des Moines Men’s Corrections, Women’s Correctional Facility) </li></ul><ul><li>Homeless shelters/low-income housing (Churches United, YMCA, YWCA, Oakridge) </li></ul><ul><li>Agencies targeting services to people of color (Neighborhood Health Initiative, Hispanic Educational Resources, Hola Center, Urban Dreams, Latino Service Providers, Creative Visions, and Oakridge Neighborhood Services) </li></ul><ul><li>Lutheran Services in Iowa Refugee Cooperative  </li></ul>
    5. 5. Collaborations in Prevention HIV Counseling, Testing & Referral <ul><li>All Iowa AIDS Benefit </li></ul><ul><li>Blazing Saddle </li></ul><ul><li>Center for Behavioral Health </li></ul><ul><li>Central Iowa Shelter </li></ul><ul><li>Corinthian Church </li></ul><ul><li>Creative Visions </li></ul><ul><li>Drake </li></ul><ul><li>Hansen House </li></ul><ul><li>Harbor of Hope </li></ul><ul><li>House of Mercy </li></ul><ul><li>Impulse Nightclub </li></ul><ul><li>Iowa Homeless Youth Center </li></ul><ul><li>La Clinica </li></ul><ul><li>Lighthouse Church </li></ul><ul><li>MECCA </li></ul><ul><li>New Directions </li></ul><ul><li>Oakridge </li></ul><ul><li>Raccoon River Clothing Optional Resort </li></ul><ul><li>Salvation Army </li></ul><ul><li>St. Paul AME Transformations House </li></ul><ul><li>The Garden </li></ul><ul><li>United Community Services </li></ul><ul><li>Urban Dreams </li></ul><ul><li>Women’s Correctional Facility </li></ul>
    6. 6. Collaborations in Prevention Outreach & Education (RMS Distribution) <ul><li>Addiction Recovery Knoxville </li></ul><ul><li>Boesselman’s Truckstop </li></ul><ul><li>Bidwell Riverside Food Pantry </li></ul><ul><li>Buddy’s Corral </li></ul><ul><li>Catholic Charities </li></ul><ul><li>Double Deuce </li></ul><ul><li>Drake </li></ul><ul><li>EFR </li></ul><ul><li>Elim Fellowship Church </li></ul><ul><li>Grubb YMCA </li></ul><ul><li>Hy-Vee Pharmacies </li></ul><ul><li>Java Joes </li></ul><ul><li>Lara’s Bakery </li></ul><ul><li>Liberty Gifts </li></ul><ul><li>LSI </li></ul><ul><li>Lutheran DDU </li></ul><ul><li>Making Connections </li></ul><ul><li>Mars Café </li></ul><ul><li>Mercy First Step </li></ul><ul><li>PHC Homeless Outreach </li></ul><ul><li>Polk County Jail </li></ul><ul><li>PROS </li></ul><ul><li>Randolph Hotel </li></ul><ul><li>Ritual Café </li></ul><ul><li>Romantix </li></ul><ul><li>Shalom Zone </li></ul><ul><li>Sisters on Target </li></ul><ul><li>St. Paul AME </li></ul><ul><li>The Gallery </li></ul><ul><li>VA </li></ul><ul><li>Visitation Church </li></ul><ul><li>Willkie House </li></ul><ul><li>YMCA </li></ul><ul><li>YWCA </li></ul>
    7. 7. Collaborations in Prevention Partnerships <ul><li>All Iowa AIDS Benefit – testing at Benefit </li></ul><ul><li>Center for Liver Disease - Nat. Testing Day, HCV referrals </li></ul><ul><li>EFR – Latino Heritage Festival </li></ul><ul><li>Family Planning Council - Nat. Testing Day </li></ul><ul><li>First Friday Breakfast Club – MSM testing referrals </li></ul><ul><li>IDPH </li></ul><ul><li>IHYC – Nat. Testing Day </li></ul><ul><li>Iowa Digestive Disease Center - Nat. Testing Day, HCV referrals </li></ul><ul><li>Latino Service Providers – prevention referrals </li></ul><ul><li>MECCA – Hepatitis subcontract </li></ul><ul><li>NHI - Nat. Testing Day </li></ul><ul><li>PCHD – new diagnoses referrals, Natl. Testing Day </li></ul><ul><li>Planned Parenthood - new diagnoses referrals, Natl. Testing Day </li></ul><ul><li>Primary Health Care – CRCS and prevention referrals w/ PLWHIV, Nat. Testing Day </li></ul><ul><li>Red Cross – Natl. Testing Day </li></ul><ul><li>Urban Dreams – Natl. Testing Day, WAD </li></ul>
    8. 8. Using Curricula to Identify New Positives <ul><li>Be The Cure </li></ul><ul><ul><li>Peer Advocates </li></ul></ul><ul><ul><li>Role Model Stories </li></ul></ul><ul><li>Social Network Testing </li></ul>
    9. 9. Peer Advocates <ul><li>Members of the target population </li></ul><ul><li>Role model positive behavior change </li></ul><ul><li>Reach the highest-risk individuals </li></ul><ul><li>Refer to services </li></ul>
    10. 10. Role Model Stories <ul><li>Personal accounts of behavior change, including testing and disclosure </li></ul><ul><li>In the language of target population </li></ul><ul><li>Attractive materials distributed during outreach </li></ul>
    11. 12. Social Network Testing <ul><li>Higher positivity rate with higher-risk population] </li></ul><ul><li>Move through large social networks </li></ul><ul><li>Use of recruiters and incentives </li></ul>
    12. 13. Using the Internet to Identify New Positives <ul><li>www.bethecure.info </li></ul><ul><li>Internet outreach </li></ul>
    13. 14. www.bethecure.info <ul><li>Much like outreach of staff and peer advocates </li></ul><ul><li>Stage and information-specific </li></ul><ul><li>Email as a useful referral and communication tool </li></ul>
    14. 15. Internet Outreach <ul><li>Manhunt partner notification </li></ul><ul><li>Gay.com chat </li></ul><ul><li>Facebook on the horizon </li></ul>
    15. 16. Using Outreach Events to Identify New Positives <ul><li>National HIV Testing Day </li></ul><ul><li>PRIDE </li></ul><ul><li>MSM carwash events at the Garden, Blazing Saddle (identified two positives) </li></ul><ul><li>National Black HIV Awareness Day </li></ul><ul><li>National Latino AIDS Awareness Day </li></ul><ul><li>AIAB (identified one positive) </li></ul>
    16. 17. Contact Information <ul><li>Rhea Van Brocklin, Care Services Supervisor </li></ul><ul><li>AIDS Project of Central Iowa </li></ul><ul><li>711 E. 2 nd St </li></ul><ul><li>Des Moines, IA 50309 </li></ul><ul><li>515-284-0245 </li></ul><ul><li>515-282-7787 (fax) </li></ul><ul><li>[email_address] </li></ul>
    17. 18. Polk County Health Department Services <ul><li>STD Testing </li></ul><ul><li>HIV Testing (rapid available $25 fee) </li></ul><ul><li>Family Planning Services </li></ul><ul><li>Childhood Immunizations </li></ul><ul><li>Breast & Cervical Cancer Screening </li></ul><ul><li>Travel Clinic </li></ul><ul><li>Diabetes Screening </li></ul><ul><li>Lead Program </li></ul><ul><li>Infectious Disease Follow-Up </li></ul>
    18. 19. Polk County Special Projects <ul><li>Drake University – HIV Testing </li></ul><ul><li>Gay Pride (Urine Screens, possible syphilis testing) </li></ul><ul><li>National HIV Testing Day (June 27 th ) Free HIV Rapid Testing & Hepatitis Screens </li></ul><ul><li>World AIDS Day – Free Rapid Testing </li></ul>
    19. 20. Polk County Outreach Services <ul><li>Agape (Urine Screens) </li></ul><ul><li>Bernie Lorenz Halfway House (HIV/Hep) </li></ul><ul><li>Bethel Mission (HIV/Hep) </li></ul><ul><li>Broadlawns Pediatric Clinic (Urine Screens) </li></ul><ul><li>Catholic Worker House (HIV/Hep) </li></ul><ul><li>Churches United Shelter (HIV/Hep) </li></ul><ul><li>Door of Faith Mission (HIV/Hep) </li></ul><ul><li>Fort Des Moines Corrections OWI Program (HIV/Hep) </li></ul><ul><li>Meyer Hall (HIV/Hep/Urine Screens) </li></ul><ul><li>Polk County Jail (Urine Screens) </li></ul>
    20. 21. In the Works for Polk County Health <ul><li>Multiple Family Planning Satellite Clinics </li></ul><ul><ul><li>Park Fair Mall </li></ul></ul><ul><li>Brochures for Outreach (syphilis) </li></ul><ul><li>Internet Partner Notification </li></ul><ul><li>My Space Page </li></ul>
    21. 22. Local Example of IPN <ul><li>Positive Chlamydia/Gonorrhea - untreated </li></ul><ul><ul><li>Client tested positive at private physician </li></ul></ul><ul><ul><li>Multiple attempts made to contact (phone calls, letters, field visits) </li></ul></ul><ul><ul><li>Look ups conducted found client on My Space </li></ul></ul><ul><ul><li>Sent two emails through My Space account </li></ul></ul><ul><ul><li>Client responded to email </li></ul></ul><ul><ul><li>Client treated at PCHD and interviewed for partners </li></ul></ul>
    22. 23. Local Example of IPN <ul><li>HIV Example Case </li></ul><ul><ul><li>Client tested due to PCRS in 2007 </li></ul></ul><ul><ul><li>Interviewed obtained 7 partners </li></ul></ul><ul><ul><li>Most met through internet sites </li></ul></ul><ul><ul><li>David Novak assisted from MA </li></ul></ul><ul><ul><li>Emails sent to partner from MA gay.com acct. </li></ul></ul><ul><ul><li>Partner located and tested </li></ul></ul>
    23. 24. Local Example of IPN <ul><li>HIV case. Tested through private doctor </li></ul><ul><li>Provided spread sheet of partners </li></ul><ul><li>All met through the internet, various sites </li></ul><ul><li>Client assisted in informing partners. Two other individuals tested positive from the list he provided. </li></ul>
    24. 29. Contact Information <ul><li>Beth Dooley, Polk County Health Department </li></ul><ul><li>1907 Carpenter Avenue, Des Moines, IA </li></ul><ul><li>515-286-3743 </li></ul><ul><li>[email_address] </li></ul><ul><li>Diane Behle, IA Dept of Public Health </li></ul><ul><li>1907 Carpenter Avenue, Des Moines, IA </li></ul><ul><li>515-286-3554 </li></ul><ul><li>[email_address] </li></ul>

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