1 / 20

Positive Prevention Intervention Center African-American Prevention Intervention Network

WPIC Conference Call April 23, 2003. Positive Prevention Intervention Center African-American Prevention Intervention Network Jackson State University Mississippi Urban Research Center. What is Prevention With Positives?.

forrest-beck
Download Presentation

Positive Prevention Intervention Center African-American Prevention Intervention Network

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. WPIC Conference Call April 23, 2003 Positive Prevention Intervention Center African-American Prevention Intervention Network Jackson State University Mississippi Urban Research Center

  2. What isPrevention With Positives? • PWP involves any HIV prevention intervention that is targeted specifically towards HIV-positive people. • The focus is on helping HIV-positive people prevent the transmission of HIV to others and to prevent them from contracting STDs.

  3. What is the Purpose of Prevention With Positives? • In January 2001, the CDC released its 5-year HIV Prevention Strategic Plan. In order to to accomplish the overarching national goals put forth in the plan, it became necessary to develop new strategies to reduce new HIV infections. • The focus of the Prevention With Positives initiative is easily found in Goal 1, Objective 1 of the CDC’s 5 year plan, “Among people living with HIV, increase the proportion who consistently engage in behaviors that reduce risk for HIV transmission or acquisition.”

  4. Prevention Issues for HIV PositivePeople of Color • Clients want services that offer an overall wellness model with a focus on staying healthy and looking good, not just HIV/AIDS-related issues • Clients desire programs that aren’t clinic-based and that are separate (programmatically and geographically) from treatment and care programs • Prevention services should be integrated with other HIV and other drug abuse services. Staff at other service providers should be made aware of prevention issues and programs. • Programs should offer social events to help reduce isolation, build a sense of community and meet other HIV+ persons for friendship and dating. • Services need to be culturally appropriate (ethnicity, gender, language and sexual orientation etc.), building on the uniqueness of each community. • Programs need more access to mental health services.

  5. Key Concepts to be Considered in Prevention With Positives Interventions • Norms and Assumptions • Condoms/Barrier Methods Issues/Skills • Relationship Issues • Disclosure Issues/Skills • Negotiation Issues/Skills • Coping Issues/Skills • Psychosocial Issues and Risk • Substance Uses and Sex • Injection Risk Behavior • Reproductive Health Issues • Medical Care: Access, Assessment and Monitoring • Adherence to Treatment and Care • Trust/Distrust of the Medical System/Providers

  6. Comprehensive Prevention Programming for HIV Positive Persons should address: • Transportation • Medical/Treatment adherence • Child care • Location of the program/intervention • Time of day • Mental health needs/concerns • Social needs • Privacy/Disclosure issues • Culturally competent materials • Desire for fun activities and interesting materials • Incentives that match the participants’ needs • Drug use/abuse issues

  7. Formative Research Strategies Used in PWP Programs/Interventions • Conducting focus groups, individual interviews, and community forums with HIV+ members of potential target populations such as young MSM, MSM of color, heterosexual men of color, substance abusers, women, and transgendered persons • Needs Assessment with positive persons that you already have contact with; ask clear questions about what they feel their barriers are to prevention • Conducting focus groups, individual interviews, and round-table discussions between prevention and care providers • Conducting mail-based surveys of target populations and prevention and care providers

  8. Assessment Methods forUse With Groups • Community Mapping • Facilities Mapping • Causal Flow Charts • Problem Trees • Chapati Diagrams • Free Listing

  9. Factors That InfluencePrevention Behavior Prevention With Positives interventions need to address the following factors that influence HIV prevention: • Anticipated Outcomes (cost/benefit) • Norms (social pressure) • Self-Standards (self-image) • Emotion (feelings) • Self-Efficacy (view of self as capable of doing something)

  10. Existing Prevention WithPositives Curricula • Short-term group intervention (Center for AIDS Intervention Research, Medical College of Wisconsin) • Supporting client disclosure of HIV status (California STD/HIV Prevention Training Center) • Integration of psychotherapy, social events, and community building (Asian & Pacific Islander Wellness Center, San Francisco) • Three-part intervention for HIV+ African-American MSM (AIDS Project of the East Bay, Alameda) • Skills-building workshops for HIV+ monolingual Latino MSM (Bienestar Human Services, Los Angeles)

  11. Prevention integration with HIV care and treatment (California Office of AIDS, Early Intervention Program) • Social Marketing (HIV Stops With Me, Los Angeles, San Francisco, Boston) • Internet chatroom-based interventions (AIDS Project of the Ozarks) • Group intervention for HIV+ women in non-urban communities (Rollins School of Public Health, Emory University) • HIV+ Injection Drug Users (Center for AIDS Prevention Studies, San Francisco)

  12. HIV+ Jail Inmates: Pre- and post-release (The Homembase Project, San Francisco) • Linking HIV+ Teens to Care (UCLA Center for HIV Identification, Prevention, and Treatment Services) • LIFE: Learning Immune Function Enhancement (Shanti San Francisco) • PHIPP: Prevention for HIV Infected Persons Project (State of California, Los Angeles, State of Maryland, San Francisco, State of Wisconsin)

  13. Key Elements of aSuccessful PWP Program • Thorough Formative Research (Conduct focus groups, needs assessment, individual interviews and community forums with HIV positive persons and service providers) • Culturally Competent Materials (Derived from formative research information; Consult with Capacity-Building Assistance Providers to ensure cultural competence)

  14. The Goal of Positive PIC Increase utilization of evidence-based or “promising” prevention interventions for HIV positive persons in minority populations by: • Establishing and or strengthening linkages between CBA providers and expert behavioral science and prevention services researchers and expert providers or “promising” or effective prevention interventions for HIV positive persons • Increasing and ensuring related expert technical assistance to CBOs and other prevention and care providers serving HIV positive persons

  15. Identifying effective interventions for HIV positive persons for dissemination and utilization by CBOs • Adapting “promising” or evaluated prevention interventions and services for racial/ethnic minority HIV positive persons • Increasing related competencies of CBA providers and their consultants, and • Increasing the number of CBOs that deliver effective, “promising” or evaluated prevention interventions for HIV positive persons

  16. What can Positive PIC do for CBOs? • Provide Capacity Building Assistance to help CBOs develop, design, implement and evaluate an existing or new Prevention With Positives Program (Priority Area 2) • Conduct Prevention With Positives Skills Building Course for health department employees & area CBOs

  17. Overview of Prevention With Positives Skills Building Course • Interventions • Behavior Change • Program Evaluation • Designing a PWP Program • Implementation of a PWP Program • Strategies for Reaching HIV Infected Persons • Legal and Ethical Issues • Linking Prevention With Care • Federal Agencies that Serve HIV Positive Persons

  18. Prevention With Positives Capacity-Building Assistance Providers • Jackson State University – African-American populations (866)-JSU-MURC (578-6827) • PROCEED, Inc. – Hispanic/Latino populations (908)-351-7727 • API American Health Forum – Asian/Pacific Islander populations (415) 954-9970 • NNAAPC – Native American populations (510) 444-2051

  19. Additional Resources • Centers for Disease Control and Prevention, (CDC) www.cdc.gov www.cdc.gov • HIV/AIDS Bureau of the Health Resources and Services Administration, (HAB/HRSA) www.hab.hrsa.gov • National Association of People With AIDS, (NAPWA) www.napwa.org • Substance Abuse and Mental Health Services Administration, (SAMHSA) www.samhsa.gov

  20. Contact Information Positive Prevention Intervention Center African-American Prevention Intervention Network Mississippi Urban Research Center P.O. Box 17309 Jackson, MS 39056 1-866-JSU-MURC Dr. Mark Colomb mcolomb@murc.org Rosalind Stewart rstewart@murc.org

More Related