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Beyond the Pouch: DIS in the 21 st Century. Dawn Broussard, MPH Sr. Public Health Advisor Chicago Department of Public Health STD/HIV Prevention and Care Program. DIS Roles Defined ~ mid-1960’s.
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Beyond the Pouch:DIS in the 21st Century Dawn Broussard, MPH Sr. Public Health Advisor Chicago Department of Public Health STD/HIV Prevention and Care Program
DIS Roles Defined ~ mid-1960’s • “A new public health professional, the venereal disease investigator, was introduced in the 1940’s. These investigators, in interviewing venereal disease patients, searched out the many sex contacts of each known infection back to the incubation period”.
Oh, the places you’ll go… • Public and Private Hospitals • Corrections • Drug Treatment • Adolescent Programming • Outreach • Bioterrorism/Emergency Efforts • Other HD units
On-site surveillance STD infection control Case management Formal and informal training of staff Interpret results and recommend treatment HIV/Hepatitis counseling and testing Prevention education Health promotion Specimen collection Movement of individuals (corrections, drug treatment) Liaison between agency and HD Other duties as assigned… DIS Duties Revisited
“Indigenous” DIS • Hired by agency • Trained by health department • Dual reporting to agency and HD supervisor • Same performance indicators as HD DIS • Participate in trainings, staff meetings and chalk talks
Howard Brown Health Center • The Midwest’s largest LGBT health center • In 2003, reported 28% of MSM syphilis cases in Chicago • Approximately 7,500 clients annually
Advantages to HD and Agency • Fewer restrictions on how, when and where they work • Financial savings • Indirect costs, fringe benefits may be less • Strengthens ties between HD and agency • Expands recruitment opportunities, career ladder for both sides
Advantages • Better received by clients • Clinical and case management services in same location • Perceived as more empathetic, less judgmental • Not viewed as “government” interference in personal life • Providers encourage clients to see HBHC DIS • On-site referrals to social services
Conclusion • DIS are not relics from another era • “Indigenous” DIS can enhance program’s ability to reach specific target populations • DIS have a unique skill set that allows them to take on numerous roles • DIS continue to provide STD programs with the flexibility needed to respond to changing priorities
AcknowledgementsAndrew DelicataJan HilandGus CondaLisa Varella For More Information: Dawn Broussard Phone: (312) 747-3447 Email: broussard_dawn@cdph.org