Topic: Part F – SPNS Models of Care
Special Projects of National Significance (SPNS) carry out research and evaluation in order to identify models of HIV/AIDS care that can then be adopted by other HIV/AIDS programs. SPNS focuses on various issues under multi-year initiatives typically comprised of a small set of project sites and a national evaluation center to coordinate their investigations.
- See IHIP: Integrating HIV Innovative Practices for tested and proven HIV strategies.
- Use the interactive Grantee Map in the Ryan White Community.
- Learn more on the HRSA HIV/AIDS Bureau website.
Guidelines and Manuals
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U.S. Department of Health and Human ServicesMarch 2017
Federal guidelines for treatment, prevention and care of HIV disease and opportunistic infections.
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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.
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HRSA HIV/AIDS BureauDecember 2016
HRSA’s HIV/AIDS Bureau guidance and requrements for grantees of the Ryan White HIV/AIDS Program on such topics as eligibility, allowable use of funds, and clarifications of legislative requirements.
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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.
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HRSA HIV/AIDS BureauNovember 2013Performance measures to help Ryan White HIV/AIDS programs monitor and improve the quality of care they deliver.
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TARGET CenterMarch 2013
Protocols for delivery of HIV/AIDS medical and supportive services, developed by various state and local entities funded under the Ryan White HIV/AIDS Program.
Webinars and Training
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HRSA HIV/AIDS BureauNovember 2016
Slide presentations for workshop sessions held at the 2016 Ryan White Conference.
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HRSA HIV/AIDS BureauOctober 2015
Notice of Funding Opportunity (NOFO) announcements from HRSA’s HIV/AIDS Bureau for the Ryan White HIV/AIDS Program (RWHAP).
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HRSA HIV/AIDS BureauSeptember 2015Presentation materials for HRSA sessions convened at USCA 2015, convened in Washington, D.C. September 10-13, 2015.
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HRSA HIV/AIDS BureauMay 2015
Resources and training to assist Ryan White grant recipients in administering their Ryan White HIV/AIDS Program (RWHAP) grants.
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HRSA HIV/AIDS BureauJanuary 2014
The goal of Integrating HIV Innovative Practices (IHIP) is to enable health care providers to implement proven innovations within their own practices and clinics.
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HRSA HIV/AIDS BureauOctober 2013
Orientation tutorial on the Ryan White HIV/AIDS Program.
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HRSA HIV/AIDS BureauSeptember 2013
This session explains how to build a new jail linkage program and what to consider for expanding an existing one.
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HRSA HIV/AIDS BureauSeptember 2013
Overview of jails and public health opportunities within correctional settings and key findings from the SPNS Enhancing Jail Linkages Initiative.
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HRSA HIV/AIDS BureauSeptember 2013
This curriculum is meant to inform implementation of a new jail linkage program and to assist organizations in expanding their current jail work.
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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.
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HRSA HIV/AIDS BureauMay 2013
This Webinar is the second of a three-part series synthesizing successful practices to engage hard-to-reach populations into HIV primary care.
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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.
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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
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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.
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HRSA HIV/AIDS BureauNovember 2012
Presentations from the 2012 Ryan White Grantee meeting.
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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
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Oregon Health and Science University (OHSU) and the Multnomah County HIV Health Services Center (HHSC)August 2009A buprenorphine treatment agreement that the counselor or provider would review with the patient prior to initiating buprenorphine
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University of California, San FranciscoJanuary 2009This collection contains the tools, forms, and resources developed or utilized by the UCSF BEEHIVE program (integrated buprenorphine–HIV/AIDS program), a participant in the HRSA SPNS Buprenorphine project.
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The CORE Center, Cook County Health and Hospitals SystemJanuary 2009This collection of program materials contains the education materials, tools and forms developed for the SPNS Buprenorphine (BUP) Project. They include 1) BUP Patient Face Sheet, 2) BUP Script, and 3) BUP Patient Flyer.
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Miriam Hospital Immunology CenterJanuary 2009
Tools, protocols, and educational materials developed by a participant in the SPNS Buprenorphine Project.
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University of Connecticut, Center for Health, Intervention, and PreventionJanuary 2007
Tools to help clinics implement HIV prevention (risk reduction) with their HIV-positive patients, using such techniques as brief motivational interviewing and a plan of action for patients. OPTIONS was field-tested by Ryan White SPNS projects.
Reports and Best Practices
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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.
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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.
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HRSA HIV/AIDS BureauDecember 2016
Client-level data reports and other regular data reports on the Ryan White HIV/AIDS Program (RWHAP).
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Office of National AIDS PolicyJuly 2015
Goals and plan of action for combatting HIV/AIDS in the United States.
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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.
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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.
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HRSA HIV/AIDS BureauMarch 2014
Periodic newsletter on happenings with the Ryan White Special Projects of National Significance (SPNS) program, administered by HRSA’s HIV/AIDS Bureau.
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HRSA HIV/AIDS BureauMarch 2014
Compilation of SPNS grantee experiences with peer models and how they can be used in various care settings.
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HRSA HIV/AIDS BureauDecember 2013
The goal of this pocket guide is to provide a condensed reference tool for primary care providers and oral health care teams working to improve efforts and outcomes regarding engagement and retention in oral health care for people living with HIV/AIDS (PLWHA).
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HRSA HIV/AIDS BureauSeptember 2013
This guide is intended for organizations, agencies, and individuals considering strengthening connections between community and jail health care systems to improve continuity of care for recently incarcerated HIV-positive individuals.
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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.
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HIV/AIDS BureauJuly 2012
Special issue of Public Health Reports journal presenting findings from the SPNS Oral Health Initiative. Fifteen sites are featured.
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Boston University School of Public HealthMay 2012
Utilization and cost estimates for delivery of HIV/AIDS oral health care for use by policymakers and providers as they factor in the cost of service expansion for these services.
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Boston University School of Public HealthMay 2012
Lessons learned on developing oral health services for people living with HIV/AIDS, based upon experiences of a SPNS national research and evaluation demonstration project.
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HRSA HIV/AIDS BureauApril 2012
This report highlights projects found to offer highly effective (and replicable) approaches to integrating buprenorphine-based medication-assisted treatment into HIV/AIDS primary care.
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HRSA HIV/AIDS BureauMarch 2010
Examination of costs and outcomes associated with different types of outreach encounters to bring individuals living with HIV/AIDS into care, as conducted under a SPNS Outreach Initiative examining innovations in HIV/AIDS care.
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HRSA HIV/AIDS BureauJanuary 2010
Review of program costs and program outcomes for a Ryan White SPNS Caribbean Peer Promoter Initiative.
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Boston University School of Public HealthOctober 2009
Lessons learned in engaging and retaining PLWHA in oral health care.
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Emory UniversityJanuary 2009
Ryan White SPNS initiative (2007-2012) examining innovative methods for linking persons living with HIV/AIDS who are in jail settings or have been recently released from local jail facilities to primary medical care and ancillary services.
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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.
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Boston University School of Public HealthJanuary 2008
Roles of dental case managers and other oral health staff in recruiting, engaging, and retaining patients in oral and other HIV/AIDS care through scheduling, transportation support, building relationships, and other techniques.
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HRSA HIV/AIDS BureauJanuary 2007
Report reviews activities under a HRSA/CDC funded SPNS Initiative to support demonstration projects within correctional facilities and communities that develop models of comprehensive surveillance, prevention, and health care activities for HIV, STIs, TB, substance abuse, and hepatitis.
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UCSF Center for AIDS Prevention StudiesJanuary 2007
The SPNS Prevention with Positives Initiative was designed to address the need for prevention interventions targeting people living with HIV receiving treatment in clinical care.
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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.
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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.
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New York Academy of MedicineJanuary 2006
This SPNS initiative goal was to assess innovative interventions to increase adherence to antiretroviral treatment (ART) among underserved populations.
Websites
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HRSA HIV/AIDS BureauApril 2017
HRSA/HAB administers The Ryan White HIV/AIDS Program, the largest Federal program focused exclusively on HIV/AIDS care.
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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.
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HRSA HIV/AIDS BureauOctober 2015This project traces the history of the Ryan White HIV/AIDS Program, the largest federal program focused on HIV/AIDS care, featuring a timeline, the legislation, video and audio insights and more.
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Boston University School of Public HealthNovember 2012
Strategies and lessons learned from SPNS oral health initiative grantees on effective ways to engage and retain clients in HIV oral health care.
