Connecting clients to culturally appropriate HIV services using a peer based Health System Navigator...
Sponsored Links
This presentation is the property of its rightful owner.
1 / 12

The Fenway Institute Allison Jones Donald Graham, MSW, LICSW Judy Bradford, Ph.D. PowerPoint PPT Presentation


  • 130 Views
  • Uploaded on
  • Presentation posted in: General

Connecting clients to culturally appropriate HIV services using a peer based Health System Navigator intervention. The Fenway Institute Allison Jones Donald Graham, MSW, LICSW Judy Bradford, Ph.D. SETTING. Boston, MA 7th largest urban area in U.S. Pop = 5.8 million

Download Presentation

The Fenway Institute Allison Jones Donald Graham, MSW, LICSW Judy Bradford, Ph.D.

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Connecting clients to culturally appropriate HIV services using a peer based Health System Navigator intervention

The Fenway Institute

Allison Jones

Donald Graham, MSW, LICSW

Judy Bradford, Ph.D.


SETTING

Boston, MA

  • 7th largest urban area in U.S.

  • Pop = 5.8 million

  • Population is 28% AA, 14% Hisp, 57% White, 8% Asian

    “HIV services for people of color in this town have critical gaps in coordination and care.”

    Gary Daffin, Executive Director,

    Multicultural AIDS Coalition


THEAGENCIES

Multicultural AIDS Coalition (MAC)

  • Annual Budget = $2M

  • Staff = 20 F/T, 7 P/T

  • Historical focus on building capacity within HIV community-based organizations serving communities of color.

Fenway Community Health (FCH)

Annual budget = $13M

Staff = 165

Research staff = 43

Multiuse LGBT-focused Federally Qualified Community Health Center with mature research department.


PROCESS OF PARTNERING

  • The Fenway Institute identifies the Multicultural AIDS Coalition a a partner agency for grant that requires access to communities of color.

  • MAC and Fenway leadership meet and identify common interests:

    • expanding HIV services for communities of color

    • enhancing the research/evaluation capabilities of community-based agencies.

  • Fenway/MAC leadership work together to use MAC experience to identify service gaps in the local continuum of care for people of color.


MAC identified key service gaps, especially:

The lack of coordination/data sharing between different providers

The lack of in-field services to stabilize people into HIV care

SERVICE GAPS


RESPONSE TO SERVICE GAPS

HEALTH SYSTEM NAVIGATION:

A new and untested peer based intervention guiding individuals through the continuum of HIV services, from Prevention through CTR into stabilization in culturally competent HIV care.


WHAT IS HEALTH SYSTEM NAVIGATION?

  • Skill-set, based on proven successful models, that front-line or field staff workers can use to supplement existing skills

  • Staff are systematically trained through the Health System Navigation Training Academy


TRAINING ACADEMY

  • The Health System Navigation Training Academy includes professional training in:

    • motivational interviewing

    • the stages of change theoretical model

    • strengths perspective

    • individual and agency-level data

  • The five day intensive academy ensures that the intervention is understood by all staff and is implemented according to protocol.


GOAL OF HEALTH SYSTEM NAVIGATION

  • The goal of Health System Navigation is to identify HIV+ individuals from underserved populations who are not in care and assist them in stabilizing into HIV medical care.

    • Stability in medical care is defined as visiting a medical provider as often as applicable HIV treatment protocol dictates.


WHAT DO HEALTH SYSTEM NAVIGATORS DO?

  • Identify people at very high risk for HIV and assist these individuals in getting tested

  • Identify HIV+ people who know their status but are not in care

  • Once HIV+ individuals are identified, HSNs work with them one-on-one, connecting them with resources, until they are visiting a medical provider as often as current treatment protocols dictate.

  • Underserved populations being focused on in this project are largely:

    • people of color

    • transgender people

    • injection drug users

    • ex-incarcerated


NEXT STEPS

  • Recruit and train a variety of frontline staff in Boston on the Health Systems Navigation skill-set at the first HSN Training Academy.

  • Train HIV health service agency staff on the value and role of Health Systems Navigation in their continuum of services

  • Identify additional resources to continue to expand the number of staff city-wide following the Health System Navigation process.


NEXT STEPS (cont’d)

  • Identify and secure funding resources for a unique identifier database tracking system:

    • to allow provider-verification of referral usage

    • to help identify unstable clients who need more services

    • to help link unstable clients with in-field stabilization like Health System Navigation without being dependent upon a referral


  • Login