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North Carolina State Bridge Counselor

North Carolina State Bridge Counselor. Dee Simmons Public Health Advisor. SBC & spbc. State Bridge Counselor (6) Special Populations Bridge Counselor (3). What do we do ?. Assist in linking newly diagnosed clients into care Locate, re-engage and link out of care /lost to care clients

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North Carolina State Bridge Counselor

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  1. North CarolinaState Bridge Counselor Dee Simmons Public Health Advisor

  2. SBC & spbc • State Bridge Counselor (6) • Special Populations Bridge Counselor (3)

  3. What do we do ? • Assist in linking newly diagnosed clients into care • Locate, re-engage and link out of care /lost to care clients • Identify and address client barriers to care • Verify Care Status • Make appropriate client referrals

  4. Referral Process • North Carolina Electronic Disease Surveillance System (NCEDSS) Referrals from Disease Intervention Specialist (DIS) Referrals from SPBC Prison Releasee Referrals from SBC Regions / SBC Transfer

  5. Referral Process • CAREWare Referrals from ID Providers / Network of Care Referrals from CAREWare Providers

  6. Referral process • NC ECHO (North Carolina Engagement in Care Database for HIV Outreach) 8,778 client records (Out of Care) Ehars (Enhanced HIV/AIDS Reporting System) HMAP (HIV Medication Assistance Program) formerly ADAP Medicaid NCEDSS CAREWare

  7. Barriers to care • Stigma • Transportation • Fear • Lack of Support/Family Care • Denial/Depression • No Insurance/Under Insured • Poverty • Concern about side effects of medication • Job Conflict/Time off Work • Inconveniently located medical services • Substance Abuse • Mental Health • Unstable Housing • Conflicting Urgencies

  8. QUESTIONS ?

  9. Dee Simmons • CDC Public Health Advisor • Division of Public Health, Communicable Disease Branch • North Carolina Department of Health and Human Service • 919-755-3142 office line (direct) • 919-733-2030, ext. 3142   office • demeatrice.simmons@dhhs.nc.gov

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