Topic: Linking to Care
Guidelines and Manuals
-
HRSA HIV/AIDS BureauMarch 2017
Resources to support other programs in replicating the evidence-informed interventions of the SPNS Initiative: Systems Linkages and Access to Care for Populations at High Risk of HIV Infection.
-
HRSA HIV/AIDS BureauSeptember 2014
While antiretroviral therapy has significantly improved health outcomes and longevity among people living with HIV (PLWH), hepatitis C (HCV) has emerged as a major contributing factor of morbidity and mortality among individuals who are coinfected.
-
HRSA HIV/AIDS BureauApril 2014
This manual was developed to provide clinicians with ready access to practical, current, treatment information so that they may provide quality care to people living with HIV.
Webinars and Training
-
National Center for Innovation in HIV CareMay 2017
In this webinar, Dr. Alex Keuroghlian, MD MPH, will review recent research to help participants understand the causes of higher trauma prevalence among PLWH, as well as the relationship of trauma symptoms to decreased engagement in HIV treatment and preventative services
-
National Center for Innovation in HIV CareApril 2017
In this webinar, Angela Aidala of Columbia University and Ginny Shubert of Housing Works outline the practical impact and cost-effectiveness of housing interventions as HIV prevention and care, and direct participants to resources that can be used to inform HIV housing programming and advocacy.
-
National Center for Innovation in HIV CareMarch 2017
This webinar presents successful models for enhancing linkage, retention, and continuity of HIV care for returning citizens.
-
National Center for Innovation in HIV CareJanuary 2017
This presentation addressed identified how barriers to healthcare access–including stigma by rural healthcare providers and rural healthcare teams–affect the health outcomes of persons living with HIV in the United States and its territories.
-
HRSA HIV/AIDS BureauOctober 2016
This HRSA webinar, Tapping into Data and EMR Systems to ID Out-of-Care Patients & Link Them to Services and How to Establish an HCV Treatment Clinic for Coinfected Patients highlights two evidence-informed care model interventions implemented in Virginia and Missouri.
-
HRSA HIV/AIDS BureauOctober 2016
This HRSA webinar about Successful Interventions in Improving Linkages to Care and Addressing HCV Comorbidity and Coinfection features two evidence-informed HIV care model interventions implemented in Virginia and California, across two Care Continuum stages.
-
National Center for Innovation in HIV CareSeptember 2016In this webinar, Alex S. Keuroghlian, MD, MPH, will discuss the value of behavioral health integration for LGBT patients, and how advancing behavioral health integration in primary care settings can improve patient access, engagement, and both physical and behavioral health outcomes.
-
HRSA HIV/AIDS BureauSeptember 2016
This HRSA webinar, Successful Interventions in Improving HIV Diagnosis and Linkages to Care, highlights two evidence-informed HIV care model interventions implemented in Ohio and Wisconsin, across two Care Continuum stages.
-
National Center for Innovation in HIV Care, National LGBT Health Education CenterJune 2016
The CDC reports that 83% of primary and secondary syphilis cases occur among gay, bisexual, and other men who have sex with men (MSM). With syphilis on the rise, health centers have an opportunity to prevent, screen, and treat syphilis among these vulnerable populations.
-
National Center for Innovation in HIV CareMarch 2016
This webinar explores HIV prevention and treatment interventions in the context of incarceration.
-
HRSA HIV/AIDS Bureau, JSIMarch 2016
This guide provides information and approaches to help providers offer clear HIV care and treatment information to their clients while engaging them in discussions about their desired health outcomes.
-
HRSA HIV/AIDS Bureau, JSIMarch 2016
This series of modules was developed to help community-based trainers implement health literacy interventions in their communities.
-
National Center for Innovation in HIV CareFebruary 2016
The webinar strives to give participants a framework for assessing their own community priorities, resources, and commitment to develop their own strategic goals for action.
-
National Center for Innovation in HIV CareJanuary 2016
This webinar explores the disproportionate impact of HIV on Black and Latino MSM, and on MSM in the South. It also examines racial/ethnic disparities along the HIV continuum of care for MSM, structural factors in vulnerability, and how data can drive resource allocation to more effectively prevent and treat HIV in the U.S.
-
HRSA, CDC, HRSA HIV/AIDS BureauDecember 2015
The National HIV Prevention Conference is sponsored by CDC. HRSA took part in the 2015 meeting to discuss new models to integrate prevention and care for people with HIV, which are presented in the following presentations.
-
National Center for Innovation in HIV CareOctober 2015
This webinar provides background on syringe access service delivery, principles of harm reduction, and models of how programs at community-based organizations have been successful in connecting drug users to HIV screening, prevention, treatment, and care in both urban and rural settings.
-
National Center for Innovation in HIV CareSeptember 2015
This webinar summarizes new research findings and practice guidelines that inform HIV treatment and prevention, identifies barriers to effective HIV screening, prevention, and treatment, and describes ways to overcome these barriers.
-
National Center for Innovation in HIV CareApril 2015
This webinar discusses engaging Boston youth into HIV care and describe how racial justice-focused structural change initiatives can help optimize this work.
-
National Center for Innovation in HIV CareMarch 2015
Discussion of “Data to Care” programs and how HIV clinics, ASOs/CBOs, and departments of health can use surveillance data to inform retention and relinkage efforts.
-
National Center for Innovation in HIV CareDecember 2014
Discussion of the HIV care continuum, how engagement across the continuum impacts prevention, and what this means for ASOs and CBOs.
-
National Quality CenterJuly 2014
This is a comprehensive set of HIV self-management videos, featuring testimonials, conversations, narrative, and animation to provide key messages about HIV and emphasize health literacy concepts.
-
HRSA HIV/AIDS BureauDecember 2013
This training manual synthesizes lessons learned from the federally funded Special Projects of National Significance (SPNS) Innovations in Oral Health Care Initiative (Oral Health Initiative), and has important implications for addressing oral health care among people living with HIV/AIDS (PLWHA)
-
HRSA HIV/AIDS BureauDecember 2013
This curriculum is designed to deliver hands-on instruction to simplify the implementation of best practices from the federally funded Special Projects of National Significance (SPNS) Innovations in Oral Health Care Initiative (Oral Health Initiative).
-
HRSA HIV/AIDS BureauMay 2013
This Webinar was the last of a three-part series synthesizing some of the successful practices in engaging hard-to-reach populations from SPNS population-specific initiatives.
-
HRSA HIV/AIDS BureauApril 2013
A tremendous need exists to engage hard-to-reach populations in HIV/AIDS care. That’s because numerous factors prevent people living with HIV/AIDS (PLWHA)—especially disadvantaged and disproportionately affected populations—from engaging in care or remaining in care.
-
January 2013
This IHIP curriculum provides clinicians, including medical doctors, nursing personnel, care coordinators, case managers, health service navigators, and front desk managers, with the information they need to educate staff and other stakeholders with guidance on how to replicate models of care dev
-
HRSA HIV/AIDS BureauJanuary 2013
This IHIP training manual helps health care providers adapt SPNS models addressing how to engage hard-to-reach people living with HIV/AIDS (PLWHA) into care within their current operations.
-
HRSA HIV/AIDS BureauJanuary 2007
Facilitator’s training curriculum (and slides) for a two day session designed to educate service providers about strategies needed to address HIV/AIDS-related stigma in their communities.
-
Boston University School of Public HealthAugust 2004
Cross-disciplinary training curriculum to increase knowledge and awareness of the relationship between HIV infection and substance use. Disponible en español: Un caleidoscopio de cuidado y servicios: Respondiendo a los retos del VIH y uso de drogas).
Tools and Job Aids
-
UMBASTMarch 2017
Fact sheets to assist providers who have patients leaving the United States for Mexico and Central American countries. Las hojas informativas se desarrollaron para asistir a los proveedores que tienen pacientes que salen de Estados Unidos y regresan a México y sus países en Centro América.
-
National Center for Innovation in HIV CareJuly 2016
This fact sheet looks at organizational barriers to client engagement in care and strategies to address those barriers learned from AIDS United’s Positive Charge Initiative.
-
Oregon Health AuthorityJune 2016
Series of care plan forms to assess clients in terms of intake, assessment, medical case management (e.g., acuity), and care.
-
HRSA HIV/AIDS Bureau, JSIFebruary 2016
Posters and a brochure for care and service providers developed as part of the In It Together: National Health Literacy Project for Black MSM.
-
National Center for Innovation in HIV CareJune 2015
This handout from the National Center for Innovation in HIV Care includes a compilation of articles, webinars, and websites that are especially pertinent to ASOs and CBOs considering organizational restructuring or adopting service models that can improve care for clients along the HIV continuum.
-
Philadelphia Office of HIV PlanningMay 2014
This is a brief assessment tool for counselors and testing staff to use with persons newly-diagnosed with HIV to assess their linkages to care in terms of health coverage, finances, housing, and social supports.
-
Iowa Department of Public HealthSeptember 2011
Care plan agreement form between a client and case manager on the goals and objectives of care (Who, What, Where, How, When, How Often, Progress/Outcome/Date).
-
HRSA HIV/AIDS BureauJanuary 2011
Methods that involve persons living with HIV/AIDS (PLWHA) to help link other PLWHA into primary medical care and other needed services.
-
Hartford Department of Health and Human ServicesFebruary 2010
Form for staff to assess care plan needs of clients, every 6 months, in terms of case management, home health, respite, housing, mental health, substance abuse treatment, legal, and financial assistance.
-
HRSA HIV/AIDS BureauAugust 2009
Building Blocks is a training compendium for agencies seeking to develop programs that utilize peers to help engage and retain other people living with HIV/AIDS in care.
-
HRSA HIV/AIDS BureauApril 2009
Toolkit to assist trainers and program directors in planning a peer training program for HIV-positive peers who work to engage and retain people living with HIV/AIDS in health care.
-
HRSA HIV/AIDS BureauJanuary 2009Conjunto de herramientas para apoyar la contratación, capacitación y supervisión de pares (peers) VIH positivos, en el trabajo de involucrar y retener en la atención médica, a personas viviendo con el VIH/SIDA.
-
Christiana Care Health ServicesJanuary 2009
Clinician assessment tool to use with clients in assessing their readiness to engage in HIV-related primary medical care and adhere to regimens.
-
HRSA HIV/AIDS BureauJanuary 2005
Ideas for enhancing service linkages among agencies in order to improve coordination of services among key points of entry into HIV/AIDS care. Includes a process for building partnerships, overcoming barriers to agency linkages, and creating a Memorandum of Understanding (MOU) documenting agency agreement to work together.
Reports and Best Practices
-
National Center for Innovation in HIV CareJune 2017
This is a resource guide for Ryan White HIV/AIDS Program (RWHAP) funded organizations to provide care to people living with HIV (PLWH) who are leaving prisons and jails and reentering society after incarceration. It describes proven models for linkage to care programs that can help PLWH access healthcare upon release in order to stay healthy, treatment adherent, HIV virally suppressed, and reduce their changes of recidivism.
-
HRSA HIV/AIDS BureauJanuary 2017
This handbook details New York City Correctional Health Services’ Transitional Care Coordination intervention model, including program planning, implementation steps, and lessons learned.
-
HRSA HIV/AIDS BureauDecember 2016
Client-level data reports and other regular data reports on the Ryan White HIV/AIDS Program (RWHAP).
-
Philadelphia Office of HIV PlanningApril 2015
Analysis of HIV prevention and care engagement focus groups with YMSM in Philadelphia.
-
HRSA HIV/AIDS BureauMarch 2015
Update on the SPNS Systems Linkages initiative and its results to date in exploring innovative and effective strategies to link and retain hard-to-reach populations into quality HIV care.
-
HRSA HIV/AIDS BureauSeptember 2014
Across the country, women of color are disproportionately affected by HIV, with many facing a daily battle to fully engage in in HIV primary care.
-
HRSA HIV/AIDS BureauSeptember 2013
This training manual synthesizes lessons learned from the federally funded, innovative Special Projects of National Significance Enhancing Linkages to HIV Primary Care & Services in Jail Settings Initiative, otherwise known as EnhanceLink.
-
National Minority AETCSeptember 2012
BE SAFE is a framework that uses culturally pluralistic content and perspectives based on these six core elements: Barriers to Care, Ethics, Sensitivity of the Provider, Assessment, Facts, and Encounters.
-
NASTADMay 2012
Insights for health departments and adult HIV care providers on the unique issues affecting HIV positive LGBTQ youth, particularly those not perinatally infected.
-
Next Step and MassCAREMay 2012
Guidebook for multiple audiences that outlines steps (called Solutions in the guide) for transitioning youth from pediatric care to adult services.
-
Boston University School of Public HealthOctober 2009
Lessons learned in engaging and retaining PLWHA in oral health care.
-
HRSA HIV/AIDS BureauFebruary 2008
Summary discussion of lessons learned from the HRSA/HAB US-Mexico Border Health Initiative supported through the Ryan White Special Projects of National Significance (SPNS) from 2000 to 2005.
-
HRSA HIV/AIDS BureauOctober 2006
Techniques, case studies, and multiple outreach/intake/monitoring tools on engaging and retaining hard-to-reach PLWHA in care, by the HRSA/SPNS Outreach Initiative.
-
HRSA HIV/AIDS BureauAugust 2006
Summary of findings and recommendations from a 2005 HRSA/HAB consultation meeting on engaging and retaining people with HIV/AIDS in care.
-
HRSA HIV/AIDS BureauJanuary 2006
Estos cuadernos describen la manera de asistir a conectar personas que viven con VIH/SIDA con el sistema médico.
-
HRSA HIV/AIDS BureauJanuary 2005Resource for programs interested in developing or expanding outreach services to identify HIV-positive youth and engage and retain them in care.
-
HRSA HIV/AIDS BureauJanuary 2005
Identificar a jóvenes VIH positivos e iniciarlos en programas de cuidado primarios, es un recurso para aquellos programas interesados en desarrollar o expandir servicios de ayuda social y destinados a identificar juventud VIH positiva, atraerla para participar y conservarla dentro del programa de cuidados primarios.
-
HRSA HIV/AIDS BureauJanuary 2004
Workbooks on ways to help connect people living with HIV/AIDS to medical care.
Websites
-
Center for Engaging Black MSM across the Care ContinuumJanuary 2017
His Health is a website training site to educate providers on the delivery of HIV health care services for Black men who have sex with men (MSM) to enhance engagement and retention in care.
-
JSIJanuary 2017
In It Together: National Health Literacy Project for Black MSM. In It Together is a health literacy training initiative for health care professionals serving black/African American Men who have Sex with Men (MSM).
-
HRSA HIV/AIDS BureauJanuary 2017
Tested and proven strategies on delivery of HIV Care, based upon HRSA HIV/AIDS Bureau Special Projects of National Significance (SPNS) projects.
-
Center for Engaging Black MSM across the Care ContinuumJanuary 2017
Well Versed is an online resource to enhance care interactions experienced by Black MSM. The site presents information and videos for health care providers and patients to help them at each stage of a care interaction.
-
HIV.GOVMay 2015
Enlace principal a recursos clave de sitios del gobierno federal de los EE.UU. en español relacionados con el VIH/SIDA. Incluye servicios de prevención, tratamiento y apoyo.
-
CDCMarch 2015
High-impact HIV prevention interventionsbased upon scientifically proven, cost-effective, and scalable interventions directed to the most vulnerable populations in the geographic areas where HIV prevalence is highest.
-
U.S. Department of Health and Human ServicesJanuary 2015
Portal for HIV/AIDS information from the U.S. federal government-from facts about HIV/AIDS, where to get services, policies and programs and more.
-
HRSA HIV/AIDS Bureau
Quality improvement campaign to improve patient retention in HIV/AIDS care.
