518 An Integrated Model of HIV Care for High Risk

Slide1: 

An integrated model of HIV care for high-risk youth Sherilyn Adams, LCSW Dina Wilderson, PhD

Continuum of Support: 

Continuum of Support

HIV Services Overview: 

HIV Services Overview Service continuum includes: Outreach Testing Prevention Housing Medical care Supportive services

HIV Services Overview: 

HIV Services Overview Serves youth 13-24 targeting: Homeless or marginally housed MSM, especially MSM of color Male-to-female transgender individuals Intravenous drug users Women of color

HIV Prevention: 

HIV Prevention Outreach Information Prevention supplies Referrals to testing Linkages to care

HIV Prevention: 

HIV Prevention Testing Conventional Testing Rapid Testing Linkages to care Ongoing training and quality control

HIV Testing: 

HIV Testing 26% change 34% change

HIV Prevention: 

HIV Prevention Program sites HIV risk assessments Referrals Individual risk reduction counseling HIV groups Condoms and lube Testing and counseling

HIV Prevention: 

HIV Prevention Linkages to care Housing for HIV+ youth Medical care Case Management Supportive services

HIV Prevention: 

HIV Prevention HIV Risk Assessments - 327 Individual Risk Reduction – 868 youth HIV Prevention Groups – 311

HIV Care: 

HIV Care Aftercare: Scattered site housing and comprehensive case management Assisted Care: On-site housing and 24 hour care HIV Specialty Clinic: Outpatient care and treatment

HIV Care – Gender: 

HIV Care – Gender

HIV Care – Ethnicity: 

HIV Care – Ethnicity

HIV Care – Sexual Orientation: 

HIV Care – Sexual Orientation

HIV Care - Presenting Issues: 

HIV Care - Presenting Issues 80% have received mental health counseling 58% have a history of psychiatric care 32% have a history of psychiatric hospitalization

HIV Care – Presenting Issues: 

HIV Care – Presenting Issues

Program Components : 

Program Components Supportive Services Education and Employment Mental Health Services Substance Use Services

Program Components: 

Program Components Housing As a Treatment Modality Continuum of housing programs Provides stabilization Increases capacity to receive wrap-around services

Program Components: 

Program Components Case management Client-centered individual planning Symptom management Support and referrals Peer Advocates and Peer Counselors Provide support Role models

Coordination of Care: 

Coordination of Care Collaborators: Asian Pacific Islander Wellness Center Bayview Hunter’s Point Foundation BAY Positives Black Coalition on AIDS CAL - PEP San Francisco Department of Public Health Community Health Programs for Youth University of California at San Francisco Division of Adolescent Medicine Division of Internal Medicine

Research & Evaluation: 

Research & Evaluation Data collection: Demographic information Presenting issues Service utilization Client feedback Reassessment and follow-up

Research & Evaluation: 

Research & Evaluation Data analysis: Outcome measurement for grant reporting Validation of anecdotal knowledge Identification of service gaps and trends Effectiveness of program services Program evaluation

Research & Evaluation: 

Research & Evaluation Formal evaluation process Participatory Quantitative and qualitative Benchmarks Annual review

Research and Policy: 

Research and Policy Research Adolescent Trials Network/Connect to Protect Policy HIV Planning Council Methamphetamine Task Force

Program Innovations: 

Program Innovations Future Track Life skills and job training program for HIV positive youth Basic job skills (hard and soft skills) Advanced training – internship opportunity in HIV Prevention field

Street START: 

Street START Collaborative research project with UCSF and San Francisco DPH Feasibility of integrating STI screening and HIV testing into street outreach

Program Innovations: 

Program Innovations Social marketing campaign Rapid HIV testing First in CA targeted to high-risk youth

Slide30: 

Questions/Comments

Contact Info: 

Contact Info Sherilyn Adams - Executive Director sadams@larkinstreetyouth.org Dina Wilderson - Director of Research, Evaluation, and Technology dwilderson@larkinstreetyouth.org Larkin Street Youth Services 1138 Sutter Street San Francisco, CA 94109