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Improving Community and Venue-based Linkage and Retention in Care

Improving Community and Venue-based Linkage and Retention in Care . Toni Young. Community Education Group. CEG targets Wards 6, 7 & 8 community aiming to increase: HIV testing; HCV testing; Knowledge about HIV/AIDS, HCV, S.A;

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Improving Community and Venue-based Linkage and Retention in Care

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  1. Improving Community and Venue-based Linkage and Retention in Care Toni Young

  2. Community Education Group CEG targets Wards 6, 7 & 8 community aiming to increase: • HIV testing; • HCV testing; • Knowledge about HIV/AIDS, HCV, S.A; • Utilization of HIV/HCV treatment, substance abuse treatment programs, and mental health care; • Workforce skills; • Collaboration among primary care and support services throughout the DMV region.

  3. Strategies Key Elements • Enlist and train CHAMPS • Referrals to ancillary services • HIV/HCV CTR services • Provide individuals with intensive training to gain employment skills • Referrals for continuity of care services • Increase collaboration among primary care and support services agencies • HIV/HCV Confirmatory Testing Assistance • Social Network Testing Model • Health Belief Model • Motivational Interviewing and Stages of Change • Substance Abuse Support Groups

  4. CEG Testing Linkage to Care 2009 • 2,824 rapid HIV tests • 75 preliminary positive results (2.6%) • 0 linked to care

  5. CEG Testing and Linkage to Care 2010 • 6,487 rapid HIV tests • 153 preliminary positive results (2.4%) • 146 linked to care (96%)

  6. CEG Testing and Linkage to Care 2011 • 10,480 rapid HIV tests • 175 preliminary positive results (1.7%) • 168 linked to care (96%)

  7. CEG 2011 Results • Model: Normalize Attitudes and De-Stigmatize HIV Screening • CEG uses peer/paraprofessionals to provide linkage to care services • CEG reports it may take up to 10 attempts before someone agrees to engage in medical care • These clients had CD4 counts ranging from 22 – 1,081 with a mean CD4 count of 508 • Paper published in AIDS by DC DOH and GWU indicates cohort studied and followed between 2004 – 2008 experienced 57.4% viral suppression • Dissemination • 2011 abstract approved for CDC National Prevention Conference poster presentation • 2012 abstract approved for IAC poster presentation • Project supported in part by Gilead Sciences HIV FOCUS initiative

  8. HEALTH INFORMATION VIRTUAL EXCHANGE (HIVE)

  9. Welcome

  10. HIVE Dashboard

  11. Challenges • Developer that had way more knowledge and control that didn’t allow us to be able to foresee any issues • Federal partners and CDC-having them grant us to access

  12. THANK YOU Contact A. Toni Young tyoung@communityeducationgroup.org 3233 Pennsylvania Ave, SE Washington DC, 20020 202-543-2376 www.communityeducationgroup.org

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