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Services and Outreach to the Latino Community

Services and Outreach to the Latino Community. Diana Vasquez, RN, MPA Interim Director, Care Services Office of AIDS Programs and Policy Department of Health Services March 9, 2004. DISEASE DATA.  Latino/a AIDS Incidence (1/1/2001-12/31/2002): 1,218 (44.1%) of 2,762 diagnoses

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Services and Outreach to the Latino Community

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  1. Services and Outreach to the Latino Community Diana Vasquez, RN, MPA Interim Director, Care Services Office of AIDS Programs and Policy Department of Health Services March 9, 2004

  2. DISEASE DATA Latino/a AIDS Incidence (1/1/2001-12/31/2002): 1,218 (44.1%) of 2,762 diagnoses Latino/a AIDS Prevalence (as of 12/31/2002): 6,743 (37.5%) of 17,971 AIDS cases Latino/a HIV (not AIDS) Prevalence (as of 12/31/2002): 11,601 (43.0%) of 26,957 of HIV

  3. LATINO/A SERVICE UTILIZATION (1-12/2003) Total Unduplicated Latino Clients . . . . . . . . . . . . . . 9,935 Of all Latino Clients Receiving Services, Proportion Receiving these Types of Services

  4. LATINO/A SERVICE UTILIZATION (1-12/2003) MEDICAL OUTPATIENT SERVICES Represents every Service Planning Area (SPA)

  5. LATINO/A SERVICE UTILIZATION (1-12/2003) CASE MANAGEMENT SERVICES Represents every Service Planning Area (SPA)

  6. LATINO/A SERVICE UTILIZATION (1-12/2003) MENTAL HEALTH SERVICES Represents every Service Planning Area (SPA)

  7. LATINO/A SERVICE UTILIZATION (1-12/2003) ORAL HEALTH SERVICES Represents every Service Planning Area (SPA)

  8. CLINICAL SNAPSHOTS LAC+USC Rand Schrader Clinic (5P21) All % of total clients

  9. CLINICAL SNAPSHOTS LAC+USC Maternal Child Adolescent (MCA) All % of total clients

  10. CLINICAL SNAPSHOTS El Proyecto del Barrio All % of total clients

  11. ADDRESSING THE NEEDS OF LATINO/As FY 2002 Needs Assessment: 48% of the PLWH/A reported that a major barrier to the their care was the inability to communicate or interact with their service provider Title VI of the Civil Rights Act of 1964/ California’s 1973 Dymally-Alatorre Bilingual Services Act: requires health care facilities receiving federal/state funding to provide competent interpretation services

  12. ADDRESSING THE NEEDS OF LATINO/As Improving Translation/Interpretation: Healthcare Interpreter Training— Comprehensive curriculum for basic interpreting skills  Healthcare and medical terminology Translation Services— All key documents translated into Spanish Modification of Standards— Demonstrate cultural/linguistic competency  Medical outpatient providers expected to engage/use bilingual staff

  13. ADDRESSING THE NEEDS OF LATINO/As Expanding Service Delivery: Mobile Dental Clinics— Moving services into the two remaining SPAs without oral health services Mobile Medical Clinics— Increasing services and availability for hard-to-reach, especially Latino, populations

  14. ADDRESSING THE NEEDS OF LATINO/As Enhancing Trainings: Incorporating “Multi-Cultural Sensitivity: Under-standing and Expanding Cultural Norms” into prevention case management, case management certification and counseling/testing trainings— Client-centered perspective  Defines culture and oppression  Explores belief systems  Exercises to uncover/examine biases

  15. ADDRESSING THE NEEDS OF LATINO/As Developing New Models of Care for Underserved Populations: TB Adherence Study—  23% of TB cases in Latino communities  Tracking sample population to ensure follow-up/adherence  Studying co-morbidity/psychosocial behavior DART (Directly Administered Anti-Retroviral Therapy—  “Directly observed”, observing clients taking meds  Intensive case management regularly assessing and addressing barriers to adherence

  16. ADDRESSING THE NEEDS OF LATINO/As Developing New Models of Care for Underserved Populations (cont.): CDP (Corrections Demonstration Project)—  Transitional case management, HIV education and risk reduction, treatment adherence within the jails SPNS Prevention with Positives—  Incorporating prevention messages into medical outpatient appointments  Assess and tailor prevention messages to client risk behaviors  Providing regular “prevention prescriptions”

  17. ADDRESSING THE NEEDS OF LATINO/As Developing New Models of Care for Underserved Populations (cont.): Prevention of Perinatal HIV Transmission Project—  Peer health educators (“promotoras”) trainings  Dissemination of social marketing campaigns  Directed at women of childbearing age SPNS Young MSM of Color (proposing)—  Integrated case management, outreach and peer support activities for target population

  18. ADDRESSING THE NEEDS OF LATINO/As Systemic Coordination of Services: Establishing Service Provider Networks (SPNs) to coordinate local services Requiring “liked referrals” and follow-up Cross-Title collaboration efforts SPNS HIV Interface Technology Systems (HITS)—  Immediate referral from disclosure into care  Easing entry into care  Reminders and follow-up from counselors and care professionals

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