Improving Health Outcomes for HIV Positive MSM of Mexican Origin
This project aims to enhance health outcomes for HIV positive Latino MSM of Mexican descent in Los Angeles County through outreach, HIV care linkage, culturally specific support services, psychotherapy, and data collection. The target population includes newly diagnosed, recently diagnosed, out of care, sub-optimal care, and tenuous care individuals. Through a comprehensive approach, the initiative seeks to address social determinants and barriers to care, ultimately improving the well-being of the community.
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Presentation Transcript
Jeff Bailey MPH Jorge Montoya PhD Elvis Rosales MSW (c) Carlos Reynoso
PROJECT GOAL: IMPROVETHEHEALTH OUTCOMESOF HIV POSITIVE MSM OF MEXICANORIGIN LIVINGIN LOS ANGELES COUNTY. Objectives 1. Between September 1, 2014 and November 30, 2017, conduct outreach to inform Latino MSM of Mexican origin of Fuerza Positiva and recruit eligible participants. 2. By November 30, 2017, identify a minimum of 180 HIV positive Latino MSM men of Mexican origin and link to HIV medical care within 30 days of enrollment. 3. By August 31, 2018, provide strength-based HIV care linkage support using a modified version of the Anti-Retroviral Treatment and Access to Services (ARTAS) model for a minimum of 85% of Latino MSM of Mexican origin enrolled in the intervention. 4. By August 31, 2018, provide culturally specific HIV care retention and support services using an adapted version of the Hermanos de Luna y Sol intervention for minimum of 45% of Latino MSM of Mexican origin enrolled in the intervention. 5. By August 31, 2018, provide psychotherapy to address psychological symptoms that may accompany a diagnosis with HIV/AIDS. 6. Between September 1, 2013 and August 31, 2018, implement a comprehensive data collection and evaluation process that effectively tracks the process and outcomes of the proposed initiative
TARGET POPULATION: HIV-POSITIVE INDIVIDUALS OF MEXICANDESCENTWHOARE: Newly diagnosed: Individuals recently diagnosed with HIV who do not have a medical provider( not in care); Recently diagnosed: Diagnosed seropositive within the past 6 months and not in care; Out of Care: Failing to have at least 2 medical visits 2 months apart in the past 12 months; Sub-optimal care: Failing to have at least 2 medical visits 2 months apart in 6 months; Tenuous Care: Social determinants that create a barrier to staying in care with medical and other health services and contribute to non-adherence to ART.
Potential Client is Identified through Outreach/In-reach Not Eligible (HIV-positive) Referrals to other Linkage to Care and Case Management programs. Eligible Scope of project is discussed Client Is given consent to participate Client screened for eligibility Not Eligible (HIV-negative) Link to HIV and STD testing services. Decline to participate Referrals to other Linkage to Care and Case Management programs. Follow up at 6,12 & 18 months Strength-based case management Client linked to clinic of choice MSE Assessment tool administered (modified ARTAS) Referral to support services One/one psychotherapy Hermanos de Luna y Sol Retention in care Improved health outcomes
INTEGRATING INTERVENTION CONSTRUCTS INTO THE PROGRAM Intervention Components Intervention Constructs Recruitment/ Engagement Timely Entry/ Engagement in Retention and primary Medical Care Outreach Social Media Print Media Strength-Based CM (ARTAS) Individual Psychotherapy Hermanos de Luna y Sol Stigma X X X X Mistrust X X X X Homophobia X X X X Fatalismo X X X Curandismo X X X Familismo X X X Simpatia X X X Personalismo X X X X
Intervention Update What evidence-based interventions are you adapting? ARTAS, Hermanos How are you documenting the procedures you will use in your intervention? Intervention manual/ P&P What changes have you made in your intervention(s)? Target population & numbers enrolled Client database, duplicative efforts What challenges are you facing in design/implementation of your intervention? What is the timeline for implementation of your intervention(s)? Upon approval of multi-site tool and subsequent IRB approval
CLINICALPARTNERS LAC Service Planning Areas Rand Schrader /5P21 Northeast Valley Health Corp. (NEVHC) L.A. Gay & Lesbian (LAGLC) To Help Everyone (T.H.E) Oasis Clinic AIDS Healthcare Foundation Coming soon APLA Health and Wellness Center
CONTACTINFORMATION Jeff Bailey MPH Principal Investigator (213)201.1483 jbailey@apla.org Elvis Rosales MSW (c) Project Coordinator (213)201.1331 erosales@apla.org Jorge Montoya PhD. Local Evaluator (213)864.8959 jorge@sentientresearch.net Carlos Reynoso Health Education Specialist (213)201.1344 creynoso@apla.org
