Black Brothers Esteem 0510

San Francisco AIDS FoundationBlack Brothers EsteemBuilding Community, One Brother at a Time : 

San Francisco AIDS Foundation Black Brothers Esteem Building Community, One Brother at a Time May 2007

Black Brothers Esteem: 

Black Brothers Esteem Context Historical Research SFAF Ends Statements Community Programs Goals BBE Goals BBE Staffing BBE Activities BBE Successes Spirituality Project Lessons Learned

BBE Historical Summary: 

BBE Historical Summary Qualitative Interview Survey 1996-1997 SFAF/UCSF CAPS PARTNERSHIP SFAF Funded Qualitative interviews with 200 MSMs Substance Users White, African American, Latinos HIV positive and Negative Safe men

PREVENTION SUMMARY: 

PREVENTION SUMMARY QIS FINDINGS Condom used sometimes but not always Sex fulfilled nonsexual need or difficulty--loneliness --Fantasy Island dynamic High-risk sex and drugs used to help feel desirable and accepted Indigent men used sex as currency -- sex drug exchange Disclosing HIV status discouraged –stigma Guessing/assumption strategies. to determine HIV serostatus

PREVENTION SUMMARY: 

PREVENTION SUMMARY QIS II Target additional middle class MSMs African American American, Latino, Whites HIV positive and negative Safe men Substance users

PREVENTION SUMMARY: 

PREVENTION SUMMARY QIS II Findings: Difficult to navigate sex culture Anonymous sex discouraged information sharing, including HIV Body image complicated sexual choices Situation dictated risk strategies 100% condom use useless message Expectation on partner to disclose HIV status New drugs not primary influence

PREVENTION SUMMARY: 

PREVENTION SUMMARY QIS II Findings: Gay cultural racially segregated Men of color objectified Men of color de-racialized More focus on broader cultural, social influences on sexual behavior Address broader life issues Accept that men are not going to use condoms at times Men looking for seroconcordance to have sex without condoms Men using calculation to determine partner HIV status but faulty

PREVENTION SUMMARY: 

PREVENTION SUMMARY Prevention Strategies: Gay Life and BBE launched in 1997 Community gatherings, workshops, I:1 counseling, media campaigns

SFAF Ends Statements: 

SFAF Ends Statements Decrease the impact of HIV in SF and the Bay Area Create programs that are innovative, measurable, and replicable grounded in the intersection of evidence, research and practice. Utilize sound research methodologies to discover programmatic opportunities where SFAF can deliver innovative solutions for care and prevention Rationalize programs with metrics Package and extend programs to other communities locally, nationally and globally Exhibit leadership in the Science & Policy arenas Research is stimulated and effected as an external force and on the pandemic Public policies promote and public funding supports ending the pandemic and human suffering caused by HIV

Community Programs: 

Community Programs

Community Programs : 

Community Programs Mission: Promote health and community-wide well being among sexually active and substance using men (MSM) in San Francisco and the Bay Area who are living with or affected by HIV/AIDS.

Community Program Goals: 

Community Program Goals Health To reduce health disparities influenced by race, ethnicity, socioeconomic and immigration status and substance use behaviors for MSM populations in San Francisco & the Bay Area. Community-Wide Well-Being To increase community well-being through the development of positive social capital by confronting multiple stigmas, negative community norms, and lack of social support systems for MSM populations in San Francisco & the Bay Area. Intervention Development To improve department programs through the adaptation of evidence-based interventions, implementation of additional research and appropriate theoretical application and dissemination of current programs designed for MSM populations in San Francisco & the Bay Area

BBE Goals: 

BBE Goals Sexual Health Decrease exposures to HIV Increase awareness & practice of sexual harm reduction strategies Increase access and awareness of STD screening, HIV testing, and vaccinations Increase people’s ability to have embodied, consensual, and pleasurable sex Mental Health Decrease isolation for high-risk groups Increase awareness and utilization of culturally competent MH services Decrease social stigma associated with utilization of MH services Increase individual positive self-esteem, self-efficacy and self-concept Increase awareness of interrelationship among mind, body and spirit (Bio-Psycho-Social-Sexual health) Physical Health Increase access to and utilization of primary medical care Increase utilization of and adherence to HAART and other HIV care regimens Increase utilization of and adherence to other preventative and life-enhancing regimens Decrease the negative consequences of substance use

Community Well Being: 

Community Well Being Community Health Decrease in social stigma associated with sexuality Decrease in stigma associated with HIV/AIDS, Substance use, Race/Ethnicity. Gender Identity, Immigration status or linguistic ability, Age, and physical appearance. Increase social support for discussing sexuality Promote community norms that support community health Enhance community-wide capacity to negotiate complex sexual health and substance use issues Community Development Provide skills and opportunities for individual to positively impact community health Promote development of social capital (connectedness, common rules/norms, reciprocity, and trust)

Intervention Development: 

Intervention Development Evidence based Utilize current research and logic models to inform development of models, programs, and interventions Conduct evidence based evaluation of models, programs, and interventions Conduct formative research to enhance understanding of high-risk populations Utilize innovative media and methods to enhance program effectiveness Model Dissemination Develop curricula of effective models, programs, and interventions to other jurisdictions Raise awareness of and disseminate effective models, programs, and interventions to other jurisdictions

Black Brothers Esteem: 

Black Brothers Esteem Provide variety of individual, group and community focused interventions Individual counseling Drop In/Support Group Substance Abuse Support Group Workshops Leadership Retreat Community Development Projects

Black Brothers Esteem Staff: 

Black Brothers Esteem Staff

BBE Staffing: 

BBE Staffing

BBE Activities: 

BBE Activities Primary Point of Client Entry (Word of Mouth) Secondary Point of Entry

Slide21: 

Colors of Recovery Many Men, Many Voices Healthy Relationships Brothers in Worship Spirituality LGBT Pride, MLK Rally Spirituality Forum & Brochure Social capital development

BBE Spirituality Project: 

BBE Spirituality Project Health Outcomes of Project: Reduced isolation Increased coping skills Increased connection to AfAm community Decreased stress Decreased substance use Increased self-esteem

BBE Lessons Learned: 

BBE Lessons Learned Integrated multi-level programming maximizes synergies/impact Community Development has a long term/upstream impact Mind-Body-Spirit approach essential for African Americans Leverage client assets – resiliency, spirituality, socialization, intelligence Client driven programming Culturally competent staff – all black gay men Teach up, not down

BBE Lessons Learned: 

BBE Lessons Learned Organizational infrastructure essential Consistency and quality are key

BBE Single Session Group Goals: 

BBE Single Session Group Goals