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Enhancing Community Linkage and Retention in HIV/HCV Care: Strategies for Success

The Community Education Group (CEG) focuses on improving HIV and HCV testing, treatment access, and retention in care in Wards 6, 7, and 8. Our initiatives include training community health workers (CHAMPS), promoting social network testing, and enhancing collaboration among healthcare providers. We have successfully increased testing rates and linkage to care, reflecting a model that normalizes HIV screening and utilizes peer support to engage individuals in necessary medical treatments. Join us in expanding access to care services and building healthier communities.

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Enhancing Community Linkage and Retention in HIV/HCV Care: Strategies for Success

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  1. Improving Community and Venue-based Linkage and Retention in Care Toni Young

  2. Community Education Group CEG targets Wards 6, 7 & 8 community aiming to increase: • HIV testing; • HCV testing; • Knowledge about HIV/AIDS, HCV, S.A; • Utilization of HIV/HCV treatment, substance abuse treatment programs, and mental health care; • Workforce skills; • Collaboration among primary care and support services throughout the DMV region.

  3. Strategies Key Elements • Enlist and train CHAMPS • Referrals to ancillary services • HIV/HCV CTR services • Provide individuals with intensive training to gain employment skills • Referrals for continuity of care services • Increase collaboration among primary care and support services agencies • HIV/HCV Confirmatory Testing Assistance • Social Network Testing Model • Health Belief Model • Motivational Interviewing and Stages of Change • Substance Abuse Support Groups

  4. CEG Testing Linkage to Care 2009 • 2,824 rapid HIV tests • 75 preliminary positive results (2.6%) • 0 linked to care

  5. CEG Testing and Linkage to Care 2010 • 6,487 rapid HIV tests • 153 preliminary positive results (2.4%) • 146 linked to care (96%)

  6. CEG Testing and Linkage to Care 2011 • 10,480 rapid HIV tests • 175 preliminary positive results (1.7%) • 168 linked to care (96%)

  7. CEG 2011 Results • Model: Normalize Attitudes and De-Stigmatize HIV Screening • CEG uses peer/paraprofessionals to provide linkage to care services • CEG reports it may take up to 10 attempts before someone agrees to engage in medical care • These clients had CD4 counts ranging from 22 – 1,081 with a mean CD4 count of 508 • Paper published in AIDS by DC DOH and GWU indicates cohort studied and followed between 2004 – 2008 experienced 57.4% viral suppression • Dissemination • 2011 abstract approved for CDC National Prevention Conference poster presentation • 2012 abstract approved for IAC poster presentation • Project supported in part by Gilead Sciences HIV FOCUS initiative

  8. HEALTH INFORMATION VIRTUAL EXCHANGE (HIVE)

  9. Welcome

  10. HIVE Dashboard

  11. Challenges • Developer that had way more knowledge and control that didn’t allow us to be able to foresee any issues • Federal partners and CDC-having them grant us to access

  12. THANK YOU Contact A. Toni Young tyoung@communityeducationgroup.org 3233 Pennsylvania Ave, SE Washington DC, 20020 202-543-2376 www.communityeducationgroup.org

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