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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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