Innovative HIV Intervention Program for Puerto Ricans in New York City
"Explore the C.rate program, a holistic intervention aiming to enhance health outcomes for HIV+ Puerto Ricans with substance abuse history in NYC. Learn about group-level interventions, key components, and the strategy behind this crucial initiative."
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Presentation Transcript
CRATE WHERE HEALING, KNOWLEDGE AND ACCEPTANCE COMES TOGETHER
Project Description The C rate program is an intervention that attempts to improve the health outcomes among HIV+ Puerto Ricans with a history of substance abuse who are out of care and currently reside in New York City. (Harlem, Upper Manhattan and South Bronx).
Group Level Intervention Development of Health Promoters/Promotores de Salud This is a structured educational intervention that is delivered at the group level It s purpose is to educate Puerto Rican PLWA about the disease, stigma and the culturally specific barriers faced by this demographic when accessing health care
Intervention Components 1)Training and targeted outreach: 2)Linkage to care/navigation services: 3) Education and support:
Why we chose this intervention strategy? A review of the Literature suggests the urgent need to implement HIV education at the community level. This is also borne out in the rate of new HIV infections in this population. The surveillance data also suggest that this population would benefit from an intervention that links them to care.
How will the intervention educate members of this community and facilitate linkage and retention?
INTERVENTION DESCRIPTION Retention in Care Internal/External Outreach Linkage HEALTHPROMOTER RECRUITMENT (1.0 FTE PEERTRAINER/ SUPERVISOR, .50 FTE OUTREACHSUPERVISOR, IN-KINDDIRECTOR OF OUTREACH) L LINKAGE INKAGE TO (.15 FTE PN PROGRAM COORDINATOR, 1/0 FTE PATIENT NAVIGATOR) TOC CARE ARE T TARGETED ARGETEDC CASE H HEALTH EALTHP PROMOTERS (25 PEERS, 1.0 FTE PEER TRAINER/SUPERVISOR, .50 FTE OUTREACH SUPERVISOR) ASEF FINDING INDING BY ROMOTERS R RETENTION ETENTION IN IN C CARE (1.0 FTE PATIENT NAVIGATOR, 25 PEERS, 1.0 FTE PEER TRAINER/ SUPERVISOR) BY ARE T TRAINING RAINING OF P PROMOTERS ROMOTERS/P /PROMOTOR ES ES DE DE S SALUD (1.0 FTE PEER TRAINER/ SUPERVISOR) OF H HEALTH EALTH ROMOTOR ALUD N NAVIGATION AVIGATIONS SERVICES (25 PEERS, 1.0 FTE PATIENT NAVIGATOR) ERVICES Follow-up for a total of 4 medical visits (3-months) by Navigator Train 4-cohorts of 6-7 HIV+ individuals in care (recruit 10- 12 per cycle for attrition) CSP Peer Training Cylces 3 times per week x 52 weeks, reach 1,200 people ARTAS Intervention with 40 Out-of-Care HIV+ Escorts by PN Pt. Call Center run by Peers/PN Health Promoters connect 2 out-of- care HIV+ each to LTC Bi-monthly 1:1 engagement with Health Promoters Total of 25 Latino, HIV-positive Health Promoters 5 sessions per client (200 sessions) with PN HU Primary Care (appointment reminder/Reengage ment) Participation in 12- week Health Education/Social Support Series with Peer Trainer/ Supervisor (3 cycles, social activities, graduation) Health Promoter 1:1 supervision with Peer Trainer/ Supervisor (bi- weekly, peer development plan review) 4 weeks; 12 sessions; 3 days a week; 3 hrs a day HU El Faro CustimizedText Messaging to track medical visits Connection to Support Services Plus Monthly Booster Trainings (group supervision) with Peer Trainer/ Supervisor Social Marketing
Health Education and Outreach by meeting people where they are at! Puerto Rican Festival, Bronx NY
Intervention Staff John Molina BS MPA Program Coordinator More than 10 years of experience in community health C rate Program Coordinator C rate creator Developer of the anti- stigma campaign
Elizabeth Perez Medina MPH Peer Trainer/Supervisor Experience: HIV/AIDS international research and community health work C rate Peer Training Sessions facilitator Engage clients in HIV education and health education/risk reduction. Oversees the retention in care component and follow up with client Providing peers with ongoing health literacy information and activities in which they can increase their knowledge on HIV topics in order to impact the target population.
Awilda Serrano Outreach Supervisor Over 12 years of experience as an outreach community worker in NYC Responsible for the day-to-day management/ dissemination of outreach and marketing Strategies Responsible for establishing new relationships with community partners and stakeholders
Contact information: C rate Program: Phone: (212) 289-2378 ext 1205 email: curate@harlemunited.org 290 Lenox Avenue, Lower Level New York, NY 10027
