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The “ Tools” of Engagement! ( In HIV Care and Treatment Services )

Join us on August 28, 2017, for a workshop on effective tools and strategies in HIV care and treatment services. Learn about motivational interviewing, overcoming barriers to care, and enhancing client engagement. Explore California's integrated plan and ways to build a comprehensive care continuum.

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The “ Tools” of Engagement! ( In HIV Care and Treatment Services )

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  1. The “Tools” of Engagement!(In HIV Care and Treatment Services) Workshop A August 28, 2017 3:30 – 5:00 p.m.

  2. The “Tools” of Engagement!(In HIV Care and Treatment Services) Liz Hall, Facilitator California Office of AIDS Patrick Piper, California Prevention Training Center Building the Care Continuum: Comprehensive Approaches to HIV Care in California August 28-30, 2017 Los Angeles, CA

  3. California’s Integrated Plan Integrated Plan Activities: C3. Improve Linkage of Partners to Care (if HIV Positive), or PrEP & Other HIV Prevention Intervention (if HIV Negative) D3. Expand Use of Patient/Client Navigation Programs D4. Identify Barriers to Linkage to Care & Develop Strategies to Address Them

  4. Workshop Objectives • Participants will demonstrate the proper use of two tools used to help motivate behavior change. • Participants will describe two strategies found to be effective with recruitment and retention of clients in HIV prevention, treatment and care services.

  5. Poll How familiar are you with Motivational Interviewing (MI)? • Very • Somewhat • Vaguely • Not at all

  6. Motivational Interviewing Source: (n.d.). Retrieved November 12, 2015, from https://www.umass.edu/studentlife/sites/default/files/documents/pdf/Motivational_Interviewing_Definition_Principles_Approach.pdf

  7. Principles of MI • 1: Express empathy. • 2: Develop discrepancy.  • 3: Roll with resistance.  • 4: Support self-efficacy

  8. AssessImportance & Confidence Importance – this allows the client to express how compelling the need for this behavior change is to them at the present moment. On a scale of 1 – 9, with 1 being not at all important and 9 being very important, please place an “X” in the box that represents how important it is for you to: Access HIV care and treatment services

  9. Importance High • Explore why client feels importance • Support and validate • Allow client to identify significant others for support • Identify needs to make change happen Low • Explore perception of risk/severity • Identify how beliefs were developed (culture, peers, etc.) • Use scaling question • Educate and correct misinformation

  10. Assess Importance & Confidence Importance – this allows the client to express how compelling the need for this behavior change is to them at the present moment. On a scale of 1 – 9, with 1 being not at al; confident and 9 being very confident, please place an “X” in the box that represents how confident you are that you could: Access HIV care and treatment services

  11. Confidence High • Explore why client feels low confidence • Explore past attempts and outcomes • Identify barriers • Use scaling question • Provide genuine support Low • Explore how client is able to feel confidence • Identify needs to make change happen • Develop plan for action • Provide support

  12. Decisional Balance Grid

  13. Social Network Strategy • HIV-positive and high risk HIV-negative persons are enlisted to identify persons from their social, sexual, and drug using networks who may be at risk for contracting HIV. • Recruiters refer the social, sexual and drug using members of their social network to HIV counseling and testing services. • Those who are HIV-positive, or at very high risk for becoming HIV-positive, are referred to appropriate medical care and prevention services.

  14. HIV Navigation Services • Service to help a person obtain timely, essential and appropriate HIV-related medical and social services to optimize his or her health and prevent HIV transmission and acquisition. • Includes linking persons to health care systems, assisting with health insurance and transportation, identifying and reducing barriers to care, and tailoring health education to the client to influence his or her health-related attitudes and behaviors.  • Often uses peers or paraprofessionals for service delivery

  15. Questions?

  16. Funding • CAPTC receives funding from the Centers for Disease Control & Prevention • The Strategies & Tools presented could be used in the following Ryan White Part B Service Categories: • Outreach Services (HIV Care Program & Minority AIDS Initiative) • Early Intervention Services • Case Management • Health Education/Risk Reduction • Substance Abuse Outpatient Care • Substance Abuse Services

  17. Getting to Zero • Goal 1:Reducing New HIV Infections in California • Goal 2: Increasing Access to Care & Improving Health Outcomes for PLWH in California • Goal 3: Reducing HIV-Related Disparities & Health Inequities in California

  18. Thank you! Patrick Piper, California Prevention Training Center 562-570-4375 Patrick.piper@ucsf.edu

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