Grants
for this initiative were awarded
to the applicants listed below.
The abstracts provide both contact
information and a brief description
of their project.
Access
Community Health Project
Community Health Outreach Program
1501 S. California Avenue
Chicago, IL 60608
Project
Period: 2002-2006
Target
Population: Active substance
abusers, commercial sex workers,
individuals being released from
jails and prisons, and other hard-to-reach
individuals chronically not in
care.
Description:
This project will evaluate a current
intervention that provides primary
HIV care in community locations
and links HIV infected individuals
to social services. The goal will
be to determine refinements during
Phase 2 that could improve health
outcomes. Current activities during
phase 1 include Ainreach"
to clients of partner agencies
to ensure enrollment in care,
provision of primary care health
services, benefits counseling
and referrals, and outreach to
high-risk populations in the community.
Intensive case management will
be added and evaluated during
phase 2. Organizational partners
include a local needle exchange
program, social service agency
for commercial sex workers, an
agency serving men who are leaving
incarceration, a consortium of
HIV case management programs in
Northern Illinois, two drug treatment
programs, an established AIDS
service organization, and an emergency
food cupboard for HIV infected
persons. Findings will be disseminated
via meetings with local HIV services
planning bodies, educational sessions
for case managers in the region,
presentations at local and national
conferences, and submission of
manuscripts for publication in
professional journals.
Evaluation
Strategies: Evaluation during
phase 1 will compare patient demographic
and services utilization data
using CDC's EpiInfo software,
and conduct chart audits using
a HRSA-created chart audit tool.
The goal is to determine the individual
and intervention characteristics
associated with appropriate and
successful primary care for the
target population. The evaluation
will assess (a) service penetration
of HIV primary care programs with
regard to the target population,
(b) barriers to HIV primary care
accessibility, and acceptance
of risk reduction measures within
the target population.
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Health
Services Center (formerly
AIDS Service Center)
Targeted HIV Outreach Model Development
P.O. Box 1392
Anniston, AL 36202
Project
Period: 2002-2006
Target
Population: Uninsured African-Americans
living with HIV disease in rural
Northeast Alabama
Description:
This project will evaluate a current
initiative that seeks to bring
the target population into care
via activities which educate about
susceptibility and severity of
HIV infection, potential benefits
of enrollment into care, and strategies
for overcoming barriers to care.
Phase 1 activities will consist
of: intensive counseling at intake
regarding the experience of symptomatic
HIV infection, viewing of an educational
video regarding HAART, and counseling
regarding management of therapeutic
side effects, obtaining support
services, and meeting survival
needs. A phase 2 intervention
will be designed to enhance enrollment
and retention into care by deploying
current clients as peer counselors
and training them to become key
influencers in local social networks.
An organizational partner in the
project is Jacksonville State
University, located in the project's
current geographic target area.
Evaluation
Strategies: Evaluation activities
during phase 1 will focus on compliance
with the planned program model,
monitoring and describing services
provided, and documentation of
outcomes with regard to the use
of emergency medical services,
keeping of medical appointments,
adherence to medication regimens,
and abstinence from substance
abuse.
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Blacks
Assisting Blacks Against AIDS
Case Finding Initiative
625 N. Euclid, Suite 320
St.
Louis, MO 63108-1660
Project
Period: 2002-2006
Target
Population: HIV infected African-Americans
living in St. Louis, MO, and East
St. Louis, IL.
Description:
This project will evaluate
the current Case Finding Initiative
that targets African-American
neighborhoods in St. Louis and
East St. Louis via augmented outreach,
counseling and testing, and case
management services. Phase 1 objectives
are increase the number of persons
enrolled in case management, improve
client self-efficacy, enhance
positive beliefs in health care
services, improve knowledge of
treatment regimens, and advance
provider-client communications.
Phase 2 will implement a refined
Case Finding Initiative model
based upon evaluation findings.
Key organizational partners are
local health departments in St.
Louis, MO, and East St. Louis,
IL, and St. Louis University.
Results will be disseminated via
a newsletter, web site, and brochure,
and via presentations at SPNS
national meetings.
Evaluation
Strategies: Evaluation during
both phases will examine the following
questions: the accessibility of
outreach services to clients,
ability of outreach to facilitate
access to primary care, effectiveness
in reaching the target population,
accessibility of ancillary services
as a result of outreach, reduction
in number of appointments not
kept because of outreach, change
in knowledge of treatment regimens,
and change in health beliefs.
Evaluation activities will examine
client characteristics upon intake,
and monitor activities and outcomes
described in case management and
medical records.
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Care
Resource
Treatment Access Project
1320 S. Dixie Highway, Suite 485
Coral Gables, FL 33146
Project Period: 2002-2006
Target
Population: African-American
and Latino HIV-infected adults
in the downtown, northeast, and
HOML (Hialeah, Opa-Locha, and
Miami Lakes) neighborhoods of
Miami-Dade County, FL.
Description:
This project will focus on
an existing intervention of concentrated
outreach and physician referrals
that seek to increase use of services
by persons not in care or sporadically
in care and improve retention
in care. During Phase 1 HIV infected
persons not in care will be enrolled
in a case management based treatment
intervention via focused outreach,
provider referral, and social
marketing of the agency's program.
A revised intervention will be
developed for phase 2 with the
intent of increasing the target
population's (a) adherence to
established care plans, (b) engagement
in services as a result of referrals,
(c) satisfaction with case management
services, (d) participation in
preventative health care services,
and (e) ongoing participation
in the program. An organizational
partner in the project is the
Department of Epidemiology and
Public Health of the University
of Miami. Results will be disseminated
local HIV services planning bodies,
and state and federal entities
with an interest in retaining
HIV infected persons in care.
Evaluation
Strategies: Phase 1 activities
will focus on incorporation of
process measures to evaluate program
fidelity, adding impact evaluation
activities, enhancing data management
and analysis, integrating process
and impact evaluation efforts,
and coordinating cross-site evaluations.
Phase 2 evaluation will build
on that of phase 1, intensively
evaluating and comparing outputs
and outcomes to the phase 1 experience.
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Charles
R. Drew University School of Medicine
and Science
Focused Intervention and Access
for HIV Positive Minorities
1621 E. 120th Street
Los Angeles, CA 90059
Project Period: 2002-2006
Target
Population: HIV infected persons
of color, especially African-Americans
and Latinos
Description:
This project will evaluate an
existing intervention in the grantee's
OASIS clinic that uses HIV-infected
peers to identify HIV-infected
individuals and bring them into
treatment and/or prevention interventions,
as warranted. Activities during
Phase 1 will consist of outreach
to bring into case management
services, enrollment in primary
care, referral to outside support
services to assist clients with
overcoming barriers to care, and
use of client incentives when
engagement in care is maintained.
Activities in Phase 2 will consist
of implementing and evaluating
a refined intervention that will
seek to bring clients into treatment
earlier, test and treat for co-morbidities,
and increase treatment adherence.
Findings will be disseminated
via meetings with local HIV providers,
presentations at professional
conferences, and publications
in professional journals.
Evaluation
Strategies: Based upon a Total
Quality Improvement model, the
evaluation in Phase 1 will identify
strengths and weaknesses of the
current intervention and plan
modifications. An evaluation team
will identify programmatic activities
and strategies, and conduct a
process evaluation of the project
by collecting, organizing, and
analyzing meeting agendas, minutes,
agency literature, and community
activities. Client-level characteristics
and outcomes will be evaluated
through a review of contact logs
and community level indicators
with regard to outreach and contacts
in the target population.
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Fenway
Community Health Center
Connecting HIV Positive Men to
Care
7 Haviland Street, Boston, MA
02115
Project
Period: 2002-2006
Target
Population: HIV infected Men
of Color who have sex with other
men (especially those who do not
identify as gay or bisexual),
are commercial sex workers, are
prisoners or ex-prisoners, are
substance abusers, and/or are
transgender or transsexual.
Description:
This project will evaluate current
case finding and outreach interventions
that occur internally at the grantee
or in conjunction with organizational
partners. Phase 1 activities consist
of outreach to persons who show
evidence of high risk behavior
and referral to the Center for
risk reduction services, screening
of all Center clients with regard
to sexual and substance abuse
histories to assess risk for HIV
infection, counseling and testing
of all persons with high risk
profiles, referral into care for
those who are HIV infected, prompt
enrollment of referrals into case
management, patient education
by health care providers with
regard to the nature of HIV infection,
and telephone and/or in-person
follow-up by case managers or
outreach workers to those who
miss appointments or who become
lost to care. Phase 2 will refine
the current intervention by strengthening
staff capabilities to maintain
patients in care and adding use
of HIV infected peers in outreach
work. Organizational partners
in the project include Men of
Color Against AIDS, Span, and
Victory Programs.
Evaluation
Strategies: Phase 1 will evaluate
current activities to determine
(a) their fidelity to best practices
models, (b) process evaluation
to ensure that program implementation
is occurring according to plans,
and (c) overall impact on participant
level outcomes. Evaluation activities
will consist of: assessment of
programmatic interventions' fidelity
to best practices models, process
evaluation to ensure that implementation
takes place according to the plan,
and examination of case management
and medical records with regard
to client-level outcomes. Evaluation
during Phase 2 will conduct more
intensive evaluation of activities
with regard to enrollment and
retention into care.
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Harm
Reduction Services, Inc.
Peer-Based HIV/AIDS Outreach and
Case Management for Under Served
Populations
3647 40th Street
Sacramento, CA 95817
Project
Period: 2002-2006
Target
Population: Injection Drug
Users, Commercial Sex Workers,
and Others at High Risk
Description:
This project will evaluate the
effectiveness of a continuum of
street outreach, education, counseling
and testing, transitional street
side case management, and ongoing
office-based care. Particular
focus will be given to reaching
those in the target population
who face barriers of mental illness,
extreme poverty, homelessness,
and cultural blocks. Phase 1 will
include street outreach to build
rapport, assess risk, initiate
risk reduction, and enroll in
comprehensive HIV specialty care
and case management. Specific
objectives of this phase are to
help the target population progressively
reduce the incidence of risky
behaviors, gain a more positive
impression of the healthcare system
and knowledge of how to use it,
and remove logistical barriers
to obtaining services. Phase 2
will continue these activities
with an enhancement to provide
easier access to medical care
for people in remote neighborhoods
and/or those with significant
barriers. An organizational partner
in the project is the Center for
AIDS Research. Information will
be disseminated through the local
Title I planning council, the
local AIDS Education and Training
Center, and other HIV/AIDS organizations
with which the grantee has working
relationships.
Evaluation
Strategies: The Phase 1 evaluation
will seek to describe medical
and psychosocial outcomes from
the existing case management intervention
(ASCRAP"), and identify strategies
for improvement. Further, the
Phase 1 evaluation will seek to
create a standardized evaluation
instrument for collecting qualitative
data on the content of case management
sessions, and develop an evaluation
dataset based on socio-demographic,
service delivery, and medical
indicators currently being collected
by project participants. Phase
2 evaluations will seek to monitor
the effectiveness of the revised
case management model with regard
to improving long term health
outcomes among those who are under
served and/or not regularly engaged
in care.
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The
Miriam Hospital
Project Bridge
164 Summit Avenue, Providence,
RI 02906
Project
Period: 2002-2006
Target
Population:
Seropositive ex-offenders
recently released from incarceration.
Description:
This
project will evaluate an existing
intervention (Project Bridge)
with ex-offenders to assess use
of primary care and barriers to
care, current health outcomes,
and the impact of available support
services. Phase 1 activities seek
to: reduce relapse among substance
abusers, increase the use of clinical
services, and teach new skills
that will help to stabilize life
situations. A phase 2 intervention
will refine the current one by
adding skills-building groups
focusing on health-seeking behaviors,
motivational interviewing for
engaging in substance abuse treatment,
and extension of the current enrollment
period to cover brief periods
of reincarceration. The Phase
2 intervention will also add detainees
in the local jail to the target
population. Collaborators include:
AIDS Care Ocean State, the AIDS
Project of Rhode Island, the Brown
University AIDS Program, the Stanley
Street Treatment and Resource
Center, the local Traveler's Aid
Society, and Family Services,
Inc. Findings will be disseminated
through journal articles, published
brochures, and presentations at
local, regional, and national
conferences.
Evaluation
Strategies: Evaluation
activities during Phases 1 and
2 will consist of consultation
among service providers, evaluation
of existing client data, examining
outcome data contained in medical
records, individual interviews
with provider staff, and surveying
and interviewing clients.
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Montefiore
Medical Center
Outreach and Intervention Program
to Reach HIV Infected Persons
Living in Bronx, NY, Single Room
Occupancy Hotels
3544 Jerome Avenue, Bronx, NY
10467
Project
Period: 2002-2006
Target
Population: Residents of Single
Room Occupancy Hotels
Description:
This project will evaluate
and refine a current program of
integrated harm reduction and
medical outreach occurring in
Bronx, NY which seeks to transform
sporadic health care users into
regular and continual users, and
to retain participants in care.
Phase 1 objectives are to: engage
the target population in services,
create a complete initial patient
medical data base, and develop
treatment plan for those enrolled.
Phase 2 activities will focus
on revising pre-engagement outreach
activities, expand in-home medical
and mental health services, and
retain participants once they
are permanently housed. Goals
for Phase 2 include increasing
participant "stability"
in adherence to treatment, improve
mental health outcomes, reduce
disease progression, and improve
overall quality of life. Montefiore
Medical Center's Department of
Family Medicine and Community
Health and CitiWide Harm Reduction,
Inc., will be organizational partners
in the project. Dissemination
of results will occur via presentations
at professional meetings and conferences,
preparation of manuscripts for
publication, participation in
local training activities, and
participation in ongoing HRSA
activities.
Evaluation
Strategies: The Phase 1 evaluation
focus on determining outcomes
from the existing intervention
and identifying strategies for
improvement. 150 current participants
will be interviewed three times
during a six month period, using
survey formats already available
at SPNS-related web sites, to
which a limited number of local
items will be added. Data from
these surveys will be supplemented
by clinical and case management
data currently in a database managed
by CitiWide Harm Reduction. Finally,
the grantee plans to develop a
"stability index" that
can be used in Phase 2 to measure
participant changes during the
course of the project, and identify
additional areas for project quality
improvement.
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Multnomah
County Health Department, Oregon
Care Link Evaluation
1120 SW Fifth Avenue, 14th Floor
Portland, OR 97204
Project Period: 2002-2006
Target
Population: Persons living
with HIV infection or AIDS who
have not received care within
six months of diagnosis or who
have fallen out of care.
Description:
This project will evaluate the
effectiveness of Care Link, an
outreach intervention that uses
peers to contact individuals,
break down barriers to care, and
motivate individuals to seek care.
Phase 1 activities will evaluate
the Care Link model and conduct
a community planning process to
determine refinements that can
be implemented and evaluated during
phase 2. Objectives during phase
1 include increasing: client knowledge
about HIV and treatment options,
client self-efficacy, client self-support,
client skills and motivation,
and readiness to enroll in services.
The organizational partner in
this project is the Cascade AIDS
Project. Results will be disseminated
via publications in journals and
presentations at professional
conferences.
Evaluation
Strategies: Evaluation activities
during Phase 1 will seek to validate
the program theory of Care Link,
develop profiles of HIV infected
individuals who are out of care,
and (via the multi-site evaluation)
estimate the impact of Care Link
on out-of-care individuals in
relation to other outreach models.
The evaluation will examine case
management and clinical data,
and gather qualitative data via
interviews and surveys with clients
and staff.
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University
of Miami School of Medicine
Caring Connections
1695 NW 9th Avenue, Room 3308
(D-21)
Miami, FL 33136
Project Period: 2002-2006
Target
Population: Seropositive women
and children who are not in care
or are underserved in the Miami
Family Care Program (MFCP) of
the Univ. of Miami/Jackson Memorial
Medical Center.
Description:
This project will conduct
a structural, process, output,
and outcome evaluation of the
current MFC program and to develop
a new or refined intervention
(ACaring Connections " that
will improve enrollment and participation
in HIV care. The current (phase
1) intervention is based upon
a social work case management
model. Its objectives for women
are to (a) enroll in primary care
within six weeks of receiving
a diagnosis of HIV infection,
(b) maintain in care via a minimum
of three primary care visits yearly,
(c) re-enroll those lost to care,
and (d) reconnect with women who
may be Alost in the system"
because they are receiving care
from other providers in the HIV
care system. Objectives for children
in Phase 1 are to enroll in care
within six weeks of receiving
a diagnosis of HIV infection,
and screen and monitor children
born to HIV infected mothers via
a minimum of three primary care
visits yearly. The Phase 2 intervention
will be derived from CDC models
for HIV prevention that emphasize
stages of behavioral change. Objectives
for this phase are to increase
the minimum number of primary
care visits for each target population
to four, increase adherence to
medication regimes and scheduled
appointments, and increase the
percentage of pregnant women who
adhere to ZDV protocols before
and after giving birth. The grantee's
Departments of Psychiatry and
Behavioral Sciences, Obstetrics
and Gynecology, and Pediatrics
will be the main organizational
entities for the project. Community
participants will include: the
local Salvation Army, a homeless
services provider, two African-American
churches, Mujer, Inc., two Haitian
community organizations, and local
substance abuse treatment providers.
Results will be disseminated via
reports, papers, and presentations
at local and national meetings,
and via professional journal articles.
Evaluation
Strategies: Evaluation during
Phases 1 and 2 will consist of
analysis of existing data collected
from outreach activities and clinical
service providers, chart reviews
of clients with regard to certain
biological markers that show slowing
or progression of disease and
notes on patient behavior (whether
recommended treatments were accepted,
etc.), interviews with clients
that have been lost to care, and
client satisfaction data currently
collected.
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UCLA
School of Medicine
Intervention for Outreach and
Access to Care
911 Broxton Avenue, 1st Floor
Los Angeles, CA 90095
Project Period: 2002-2006
Target
Population: Commercial sex
workers, runaway youth, the homeless,
undocumented workers, gang members,
teen parents, women of childbearing
age, adult and adolescent MSMs
of color and transgendered/transsexual
persons of color in the South
Central, Hollywood, West Hollywood,
East LA, and downtown neighborhoods
of Los Angeles.
Description:
This project will evaluate an
existing intervention (phase 1)
that provides testing, counseling,
and care services to the target
population, with the objectives
of increasing (a) positive attitudes
toward health care, belief in
the efficacy of treatment, (c)
perceived availability of health
care services, and (d) use of
health care services. Once evaluated,
the grantee will develop and implement
a refined intervention (phase
2) featuring enhanced outreach
and case-management, with the
goal of improving access to care
and health outcomes as a result
of services provided. An organizational
partner for the project is Drew
University's Mobile HIV Outreach
Program (MoHOP). Results will
be disseminated via conference
calls, presentations at local
and national meetings, and reports
to other SPNS program grantees.
Evaluation
Strategies: Evaluation during
Phases 1 and 2 will be conducted
using existing intake and medical
record data with regard to client
characteristics, services provided,
and client level outcomes. Particular
attention will be given to identifying
barriers to care and strategies
that could be or have been employed
to remove such.
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University
of Texas Health Sciences Center
Peer-Based Targeted HIV Outreach
and Intervention
7271 Wurzbach, Suite 220
San Antonio, TX 78240
Project Period: 2002-2006
Target
Population: HIV African-American
and Latino Men of Color in San
Antonio, TX, who are Sexually
Active with other Men (MSM)
Description:
This project will evaluate an
existing intervention that seeks
to identify and bring the target
population into care, especially
medical care. The phase 1 intervention
uses HIV infected MSM of color
to link persons not in care into
the existing medical care and
social services system, and reestablish
links to persons who have been
lost to care. The goal is to bring
such persons into services earlier
in their disease stage and maintain
their participation in the care
system. Specific objectives are
to enhance client perceptions
about the importance of early
entry into care, and improve coordination
between outreach, counseling and
testing, and medical care. Phase
2 of the project will refine the
existing intervention based upon
evaluation findings. BEAT AIDS,
a local service provider, and
FFACTS, a local clinic, will be
organizational partners in the
project. Findings will be initially
disseminated via presentations
to local service providers, to
be followed by presentations at
regional and national meetings
and conferences.
Evaluation
Strategies: Evaluation during
both phases will analyze process
and client level data collected
via intake and case management
tracking forms, review medical
chart data, and conduct feedback
via interviews with clients and
service providers. Evaluation
will center around out-of-care
client characteristics, primary
care needs, barriers to care,
the impact of peer-based outreach
interventions, characteristics
of program interventions and service
system structures, and links between
primary care services and quality
of care measures.
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University
of Washington, Department of Psychiatry
Konnect II Client Advocacy Program
University of Washington, Box
356560
Seattle WA 98195
Project Period: 2002-2006
Target
Population: Seropositive adults
of color who are not enrolled
in primary care, or are sporadic
users of primary care.
Description:
This project will evaluate
a current community-based intervention,
Konnect II, which uses Client
Advocates and Peer Supporters
to engage the target population
in care. The objectives of engagement
in care via Konnect II are improved
health status, reduction of high-risk
behaviors, and improved functioning
in areas of personal relationships
and employment. The Phase 2 intervention
will implement new or refined
strategies to address the unmet
needs and barriers to primary
care identified in the Phase 1
evaluation, using an Assertive
Community Treatment team approach.
Enhanced services envisioned for
Phase 2 include additional community
nursing, psychiatric services,
and specialized medicine. The
major organizational partner in
the project is the People of Color
Against AIDS Network, which conducts
the current Konnect II intervention.
Dissemination of results will
occur at local service provider
planning meetings, at professional
conferences, and at meetings of
grantees in this SPNS initiative.
Evaluation
Strategies: The goal of the
Konnect II evaluation is to determine
barriers to care and strategies
to overcome barriers, demonstrate
the programs facility in establishing
long term relationships with service
providers, and improve the Konnect
II staffs technical ability to
conduct program evaluation. Phase
1 evaluation will be conducted
using instruments disseminated
by the SPNS program during 2000.
Client level characteristics and
client-level outcomes will be
assessed.
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Wayne
State University
Evaluating the Horizons Project's
Targeted HIV Outreach and Interventions
Children's Hospital Department
of Psychiatry
3901 Beaubien Blvd.
Detroit, MI 48201
Project Period: 2002-2006
Target
Population: HIV Infected Youth
who are not enrolled in primary
care
Description:
This project will evaluate the
Horizons Project, currently funded
by SPNS, in which outreach activities,
peer advocacy, individualized
case management, and mental health
services are provided to decrease
levels of mental health distress
and substance abuse among HIV
infected youth and improve their
overall health and well-being.
Specific objectives for phase
1 are to increase the number of
HIV infected youth who are reached
via outreach, increase the number
of such youth who enroll with
Horizons for case management and
peer advocacy, and increase the
number of youth lost to care who
are contacted via outreach activities.
Phase 2 activities will consist
of implementing a revised phase
1 model and adding the treatment
mechanism of motivational interviewing,
with the goal of enhancing engagement
in treatment. Key organizational
players in the project are the
Children's Hospital of Michigan
and the Michigan Department of
Community Health. Results will
be disseminated via local meetings
with providers, presentations
at national conferences, and submission
of articles for publication.
Evaluation
Strategies: The phase 1 evaluation
will focus on comprehensively
describing outreach contacts,
medical and psycho-social outcomes,
and qualitatively describing barriers
to care. This will be supplemented
by data from focus groups of clients
and of staff. Process evaluation
will be conducted by entering
data from logbooks, and medical
and case management records into
HRSA's CAREware.
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Well
Being Institute
Women's Access to Care Program
3800 Woodward Avenue, Suite 218
Detroit, MI 48201
Project Period: 2002-2006
Target
Population: HIV infected women
who have been lost to follow-up
in health care, and are predominantly
substance abusers, mentally ill,
African-American, living in poverty,
and/or facing other barriers to
obtaining health care.
Description:
This project will evaluate
the Personalized Nursing LIGHT
model as it helps women cope with
barriers to care and sustain involvement
in care. During phase 1, the grantee
will evaluate the model's impact
in two existing projects, an HIV
adherence study and a sex worker
study, funded from other sources.
The goal is to identify correlates
and antecedents of success and
weakness in the current programs,
and to refine an intervention
to be used in a revised Phase
2 intervention, which will undergo
more intensive evaluation. The
phase 2 intervention seeks to
improve the recruitment rate of
the target population, increase
the number of woemn retained in
the project, improve mental heatlh,
decrease substance abuse, and
improve individual overall well
being. Partners in the project
are the Infectious Disease Clinic
at the Wayne State University
School of Medicine, Detroit Central
City Community Mental Health,
Inc., and the Detroit LIGHT House
Substance Abuse Treatment Program.
Results will be presented to local
and national audiences that have
an interest and need to reach
the same or similar target population.
Evaluation
Strategies: A core assessment
battery used in the existing HIV
adherence study will be used to
conduct outcome evaluation with
regard to physical health, mental
health, substance abuse, sexual
practices, and use of services.
Process evaluation will be conducted
via reviews of AIndividual Service
Records" maintained by clinical
staff. Indices constructed from
these records will assess fidelity
to the intervention and intervention
"dosage" variables as
they relate to outcomes.
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Whitman-Walker
Clinic
Retaining HIV+ Clients in Care
1407 S Street, NW
Washington, DC 20009
Project Period: 2002-2006
Target
Population: Adult Latinos/Latinas
who are seeking HIV-oriented primary
care, and African-American adults
who know of their HIV infection,
but only sporadically seek or
have dropped out of primary care.
Description:
This project will evaluate two
current interventions: an Adherence
Clinic, and a Latino/Latina Care
project. Currently, the project
will seek to: Phase 1 activities
will include pre-appointment phone
calls to assess and remove barriers
to service that may exist, telephone
and in-person follow-up by staff
when appointments are missed,
outreach to clients being seen
in emergency rooms, outreach to
other HIV service organizations
that do not provide clinical services,
monitoring of paperwork related
to ADAP, Medicaid, and SSI, client
advocacy, and accompanying clients
to appointments for support services.
Phase 1 activities will also include
planning to refine the current
interventions (based upon evaluation
findings), and recruitment of
additional participants to implement
a refined intervention. Phase
2 will include implementation
of the refined intervention, with
an emphasis on meeting mental
health and addictions treatment
needs. Findings will be disseminated
at local conferences and through
abstracts and papers submitted
to national conferences.
Evaluation
Strategies: The evaluation
in phase 1 will seek to determine
the effectiveness of these interventions
in improving client's lives and
health status. Process evaluation
will be based on periodic comparisons
of project records and the project
work plan. Outcome evaluation
will be based upon weekly project
team reviews, periodic client
satisfaction surveys, and comparisons
of data with regard to client
self-care behavior and self-efficacy
at baseline enrollment to data
collected at six and twelve month
intervals after enrollment.
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