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Research Meets Practice and Beyond: Clinical Implementation of HIV Rapid Testing

Research Meets Practice and Beyond: Clinical Implementation of HIV Rapid Testing. Dissemination Workshop October, 2009 Louise Haynes, MSW Beverly Holmes, MSW LRADAC, Columbia, SC. “The Bridge” NIDA Clinical Trials Network 2000-2010.

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Research Meets Practice and Beyond: Clinical Implementation of HIV Rapid Testing

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  1. Research Meets Practice and Beyond:Clinical Implementation of HIV Rapid Testing Dissemination Workshop October, 2009 Louise Haynes, MSW Beverly Holmes, MSW LRADAC, Columbia, SC

  2. “The Bridge”NIDA Clinical Trials Network2000-2010

  3. LRADAC participated in CTN0018 and 19 (Safer Sex Protocols) and CTN0032 (HIV Rapid Testing) • In process of piloting implementation of HIV risk reduction counseling and on site rapid testing • Site PI and RA/Study Coordinator • Describe process of transitioning from research to clinical practice

  4. Case StudySuccessful CLINICAL Implementation of HIV Risk Reduction Intervention • Integrated into routine clinic practices • Acceptability to clients • Leadership support • Champion (Beverly Holmes)

  5. Opportunities • Initiative to implement HIV testing in public CTPs • Joint project between SSA and State Health Dept • Funding available but little implementation • LRADAC recognized for having experience and knowledge to promote implementation • Approval from the State Health Dept • CLIA Waiver • Training • Testing Kits • Set up procedures for confirmatory testing and linkage to care • SOPs

  6. Organizational Change • Detox as pilot (not eligible for participation in CTN0032) • CTN032 staff • Buy in from detox staff • Full agency implementation in January 2010

  7. IMPLEMENTATION

  8. Nuts and Bolts • Screening on detox unit • Appointments • Counseling and testing in offices • Fingerstick • Respect 2 Counseling • Testing approximately 7 clients per week

  9. Client Demographics • Detox: • 20 to 25% Female • 40 to 50% African American • Clients tested consistent with detox population • CTN 0032 at LRADAC (adult outpatient) • 45% Female • 56% AA • LRADAC Adult Outpatient: • 39% Female • 56% AA

  10. Conclusions • Research Experience in CTN can lead to improvement in agency’s treatment program • Potential to reach beyond agency – state wide implementation • Importance of RRTC and agency support

  11. For more information contact: • Beverly Holmes: holmesbe@musc.edu • Louise Haynes: hayneslf@musc.edu

  12. Thanks • LRADAC • Lisa Metsch, Lauren Gooden, lead team of CTN0032 • Kathleen Brady, PI, Southern Consortium

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