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Native American Health Center Circle of Healing

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Native American Health Center Circle of Healing

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    1. Native American Health Center Circle of Healing HIV & HIV Prevention Services Presentation by Maritza Penagos

    3. Circle of Healing HIV & HIV Prevention Services in a caring, supportive, culturally rich and community focused environment Derives from the Native American indigenous cosmologies which reverend the healing power of the Sacred Hoop; when all things are connected in the Sacred Hoop, balance and harmony can be attained.

    4. HIV Services: Native American Center of Excellence Primary Medical Care Nurse Case Management Substance Use Services: assessments, counseling, case management, referrals/linkage Psychiatric Services (collaboration with SFCCC) Subcontract with Native American AIDS Project Peer Advocacy Mental Health Services

    5. HIV Services: Holistic Native Network Collaboration with Friendship House SPNS initiative looking at the health outcomes of HIV+ Native Americans receiving comprehensive HIV services HIV Education/CTR to high risk Native Americans Streamlined access to residential treatment services for HIV+ Native Americans

    6. Holistic Native Network 55 clients enrolled 48% describe active substance abuse 44% have CDC defined AIDS 55% fit HUDs homelessness definition 56% identify as AI/AN; 37% as multi-racial AI/AN

    7. HIV & Prevention Services: Cultural Medicine Sweat lodges Weekly beading classes Traditional healers Talking circles Community outreach/cultural events Working closely with other Native organizations Weekly Massage & Acupuncture from IEP

    8. HIV Prevention Services: CDC funded interventions Prevention case management (Wellness Support Counseling) HIV CTR using Oraquick Rapid Test Partnership for Health

    9. HIV Prevention Services: Target Populations MSM, MSM/IDU, IDU and high-risk Heterosexual Native Americans who are HIV negative, or of unknown status High risk Non-Natives HIV+ Native Americans & their partners

    10. Outreach for Prevention Services

    11. Conventional Outreach Shelters & Mayors Project Connect SFCCC Mobile Van (CTR/RT eventually) Friendship House (CTR & PCM) Forensic AIDS Project/County Jail (PCM)

    12. Drop In Center Implemented January, 2005 Holding open space/Cultural Center Weekly beading class Community Events

    13. Community Events Monthly Workshops that blend cultural traditions with HIV Prevention Loving Our Community Weaving Our Traditions Celebration of Life Voices of Bravery

    14. Voices of Bravery

    15. Prevention Case Management Implemented February, 2005 Difficulties In-house referrals Poor (sustained) Retention Ambiguity of PCM

    16. Wellness Support Counseling Accomplishments Risk Reduction Assessments at Friendship House MOU with Forensic AIDS Project Caseload is growing Linking HIV CTR with WSC

    17. HIV Counseling, Testing & Referral/Linkage Implemented March, 2005 Offered at NAHC & off-site at NAAP Expansion: 2006 Friendship House Sacramento & Oakland clinics SAGE & SafeHouse

    18. HIV Testing Weve provided HIV testing since 1991 In the last 5 years: 246% increase in testing 45% of individuals receiving tests are AI/AN 50% of all confirmed positives were to AI/AN Risk Factors for individuals testing positive: MSM, MSM/IDU, IDU

    19. Partnership for Health Implemented January, 2005 At time of audit, June 30, 2005: 45 UDC Average of 5 visits per UDC 42 had received at least one PfH prevention message Average of 2 prevention messages per UDC in the first six months of the intervention

    20. Partnership for Health Are we missing the target? Critical care/drop ins least likely to receive the message Critical care/drop ins: are they the individuals that have lowest adherence to meds and more psychosocial issues that may make them most at-risk of transmission?

    21. Capacity Building Assistance BSSV Program (Dr. Amanda Houston) Evaluation tool for community events NNAAPC Team building & strategic planning Motivational Interviewing

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