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HELP: The Implementation Process: Lessons for the Future

This publication outlines the successful implementation process of the HOPE program in Lithuania, focusing on participant feedback, program outcomes, and future developments in HIV/AIDS case management. The adaptation for the local setting, trainings of trainers, and curriculum changes are discussed, along with the impact on beneficiaries and changes in attitudes and practices. The text emphasizes the importance of networking, project implementation, and ongoing education and training in the field.

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HELP: The Implementation Process: Lessons for the Future

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  1. HELP:The Implementation Process: Lessons for the Future Andrius Lošakevičius

  2. Adaptation for the local setting • Trainings of trainers, providing a team of local trainers for further program development; • Curriculum changes accordingly participant responses; • 3 universities involved: • Vilnius university; • Mykolas Romeris university; • Klaipeda university. • All organization levels introduced the program.

  3. Future development • Policy level; • Organization level; • Individual level.

  4. Participants Evaluation of HOPE program:Beneficiaries • Gain of information • Improved specific knowledge (HIV/AIDS; Case Management, social work etc.); • Ideas of improving everyday work and personal life; • Improvement of skills • Active training methods; • Improved project designing and development skills; • Skills on communicating with client; • Social activity • Meeting with colleagues and making new contacts; • Networking possibilities; • Personal benefit • More self-confidence in discussing HIV/AIDS issues; • Diversity of covered topics and different points of view.

  5. Individual level • Different approach to same problems; • Emphasis on attitudes and beliefs; • Widening the scope of professionals; • Client centered approach; • Professional motivation; • Team work inside organization; • Contacting other organizations.

  6. Changes of attitudes • Broaden understanding of the complex nature of HIV/AIDS problem; • Stigma and discrimination revealed; • Better understanding of professional stigma; • Emphasis on collaborative relationship; • More confidence talking about risky behavior, especially targeting youth; • Better understanding of the harm reduction concept; • Enhancing motivation.

  7. Case management implementation • NGO’s and education institutions highly involved; • Case management approach used working with vulnerable target groups: street sex-workers, drug users, offenders, Roma people; • Creating a team in an organization setting for more comprehensive services; • Organizational networking; • Focusing on clients needs and abilities; • Widening professional abilities.

  8. Changes of practice • Improving curriculum in university; • Widening prevention programs for youth; • Creating and developing more effective techniques of needs assessment, service maintaining and program evaluation; • Creating formal and informal networks.

  9. Networking • Drug addiction treatment network; • Penitentiary and drug users treatment; • Child protection network; • Mental health network; • Mother-child network; • Youth actions, kids at risk.

  10. Project implementation • Over 30 project developed during the course; • 12 projects implemented: • 8 projects focused on youth and school children; • 1 educational project for health care specialists; • 2 complex support projects for drug users, sex workers and human trafficking; • Established a harm reduction program in Kaunas city. • Enhanced motivation for project development; • Problem coverage expands.

  11. Trainings and education • Two member of trainers team are Associated professors at Mykolas Romeris university; • HOPE trainers are involved in specific trainings: • VTC for general practitioners; • HIV/TBC co-infection; • Case management approach for harm reduction workers; • P2P program development and involvement in school society; • Family support. • Stigma and discrimination issues emphasized.

  12. Conclusions • HIV/AIDS Case Management approach established in Lithuania; • Universities involved; • Awareness raised; • Focus on client centered approach; • Complex approach to different problem areas; • Network development inside and outside the organizations.

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