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Research Meets Practice and Beyond: Clinical Implementation of HIV Rapid Testing. Dissemination Workshop October, 2009 Louise Haynes, MSW Beverly Holmes, MSW LRADAC, Columbia, SC. “The Bridge” NIDA Clinical Trials Network 2000-2010.

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research meets practice and beyond clinical implementation of hiv rapid testing

Research Meets Practice and Beyond:Clinical Implementation of HIV Rapid Testing

Dissemination Workshop

October, 2009

Louise Haynes, MSW

Beverly Holmes, MSW

LRADAC, Columbia, SC

slide3
LRADAC participated in CTN0018 and 19 (Safer Sex Protocols) and CTN0032 (HIV Rapid Testing)
  • In process of piloting implementation of HIV risk reduction counseling and on site rapid testing
  • Site PI and RA/Study Coordinator
  • Describe process of transitioning from research to clinical practice
case study successful clinical implementation of hiv risk reduction intervention
Case StudySuccessful CLINICAL Implementation of HIV Risk Reduction Intervention
  • Integrated into routine clinic practices
  • Acceptability to clients
  • Leadership support
  • Champion (Beverly Holmes)
opportunities
Opportunities
  • Initiative to implement HIV testing in public CTPs
  • Joint project between SSA and State Health Dept
  • Funding available but little implementation
  • LRADAC recognized for having experience and knowledge to promote implementation
  • Approval from the State Health Dept
    • CLIA Waiver
    • Training
    • Testing Kits
    • Set up procedures for confirmatory testing and linkage to care
    • SOPs
organizational change
Organizational Change
  • Detox as pilot (not eligible for participation in CTN0032)
  • CTN032 staff
  • Buy in from detox staff
  • Full agency implementation in January 2010
nuts and bolts
Nuts and Bolts
  • Screening on detox unit
  • Appointments
  • Counseling and testing in offices
    • Fingerstick
    • Respect 2 Counseling
  • Testing approximately 7 clients per week
client demographics
Client Demographics
  • Detox:
    • 20 to 25% Female
    • 40 to 50% African American
  • Clients tested consistent with detox population
  • CTN 0032 at LRADAC (adult outpatient)
    • 45% Female
    • 56% AA
  • LRADAC Adult Outpatient:
    • 39% Female
    • 56% AA
conclusions
Conclusions
  • Research Experience in CTN can lead to improvement in agency’s treatment program
  • Potential to reach beyond agency – state wide implementation
  • Importance of RRTC and agency support
for more information contact
For more information contact:
  • Beverly Holmes: holmesbe@musc.edu
  • Louise Haynes: hayneslf@musc.edu
thanks
Thanks
  • LRADAC
  • Lisa Metsch, Lauren Gooden, lead team of CTN0032
  • Kathleen Brady, PI, Southern Consortium