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 & 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.