Black women at are increased risk HIV of infection compared to women in general. In 2022 in Alabama, over half of HIV people living with HIV were Black, almost a quarter were women, and 1 in 5 were unaware of their status. This data supports a need for HIV prevention interventions among youth and adults in the state.
This 20-minute workshop explores how cultural competency and community-based participatory practice (CBPP) models are being implemented to center community voices and ensure public health interventions are both relevant and affirming. Strategies include peer-led engagement, wellness-themed mini-balls, and house-based dialogues that allow for honest conversations around HIV, stigma, and care. Participants will be introduced to the CBPP model and the Cultural Competence Continuum as guiding frameworks for equity-driven outreach.
This session will introduce a pleasure-based approach to sexual heath and provide guidance on asking affirming, inclusive questions for patients who are queer, trans, poly, or engaged in kink. We will discuss current treatment options to managed decreased libido, painful frontal/vaginal sex, and erectile dysfunction. We will review opportunities for a collaborative treatment approach with mental health and primary care providers in combining mental health medications with HIV prevention and treatment medications, including injectables.
Provide creative ways to go beyond the clinic walls to reach the underserved population. To teach individuals "Out of the box thinking" to get them introduced to PreP and HIV treatment.
This session explores how sex-positive, pleasure-centered approaches enhance HIV and STI prevention – especially for people living with HIV and communities greatly impacted by HIV. We discuss the benefits of this approach and highlight an innovative initiative based in community voices and engagement: San Francisco Department of Public Health (SFDPH)’s Have Good Sex campaign, which promotes sexual empowerment, inclusivity, and self-directed care through home-based testing. Centering the needs of communities disproportionately impacted by HIV, this program affirms sexual health and well-being through messaging that centers pleasure and autonomy.
This session will share retrospective results from SHIF’s 8 Year history, as well as SHIF’s community engagement strategies, developed to intentionally address the common mismatch between public health programs and community needs that often hamper impact. This session will both describe SHIF’s robust community engagement strategies, as well as recommendations to adapt such strategies for similar programming.
This presentation will provide an in-depth overview of our agency’s innovative street outreach strategies for HIV prevention and treatment across Texas. We focus on connecting with populations often labeled as “hard to reach” through a combination of trauma-informed care and peer navigation, designed to foster trust and engagement. Our approach prioritizes immediacy—once we identify individuals in need, we work to link them to HIV care or initiate PrEP within 24 hours, and often on the same day. We are leading the effort for prompt diagnosis and linkage to care in Texas when individuals in many areas have to wait days, even weeks, for a doctor's appointment.
The Church Needs HR: Healing and Health Resources for Queer Faith Spaces is an educational and advocacy initiative reframing the role of religion in LGBTQIA health. While public health spaces have made progress in HIV prevention and harm reduction, they often neglect the spiritual realities of queer individuals—especially those from Black and Brown communities—who continue to experience both harm and hope within faith-based contexts.
This session explores the experience of Us Helping Us while equipping participants with the tools and strategies to overcome barriers to HIV prevention by developing effective, community-centered PrEP services. Facilitators will guide attendees through experiential learning and hands-on activities, demonstrating how to establish partnerships, develop tailored PrEP protocols, and address common challenges such as client engagement, stigma, and resource constraints in a resource-limited setting. By the end of this interactive session, participants will be prepared to transform their respective organizations into a "one-stop shop" that eliminates access barriers and contributes to the goal of ending the HIV epidemic by 2030.
This session explores the use of interactive storytelling within community theater as a tool to engage audiences on HIV and other STI prevention, focusing on PrEP usage and combating social determinants of health. The session examines and challenges the effectiveness of storytelling in raising awareness, changing attitudes, and promoting health behaviors among diverse communities.
In 2023, 1,686 people were newly diagnosed with HIV in New York City, with Brooklyn reporting the highest rate and 19% concurrent AIDS diagnoses. To address these disparities, the NYU Langone Family Health Centers’ Community Medicine Program (CMP)—a collaboration with the NYC shelter system—integrated medical services directly within shelters to improve outcomes among unstably housed individuals. After piloting a part-time patient navigator to support HIV-positive patients with linkage and retention in care, the program demonstrated early success and secured a grant in December 2024 to expand into a status-neutral navigation model.
What happens when wisdom meets innovation, and lived experience meets digital fluency? This dynamic, intergenerational and interracial session explores how people across decades and racial identities navigate dating, disclosure, and desire in the age of PrEP, U=U, and mobile technology.
This study highlights the importance of culturally responsive, age-appropriate interventions and underscores the need for comprehensive structural strategies to reduce disparities and promote equitable sexual health outcomes for aging populations.
This session explores how CTCA blends peer-led support, expressive arts, cultural rituals, and critical consciousness to foster emotional wellness, increase HIV care retention, and support prevention. Participants will engage with evidence-based strategies and real-world examples demonstrating CTCA’s success in improving health outcomes while affirming identity and restoring community connection.
This study examines media bias and stigma in Florida news coverage of HIV-related arrests from 2010 to 2020. A systematic content analysis of 129 news articles revealed disproportionate racial and gender portrayals, with Black men overrepresented as perpetrators despite data showing White women constitute the majority of those arrested. Findings indicate widespread use of stigmatizing language and sensationalized reporting, which amplify public misconceptions about HIV transmission and criminalization.
This presentation will provide an overview of the current landscape of crystal meth use among Black queer men and examine the contextual and cultural factors that contribute to substance use patterns and treatment disparities. Drawing from clinical experience, research, and community-based insights, this session highlights strategies for delivering affirming, culturally competent, and trauma-informed care.
Understanding that the complexity and segmentation of the healthcare system can pose unique challenges to providing medical care in non-traditional settings in the United States, a formative evaluation was conducted to assess the feasibility, acceptability, and effectiveness, and whether enrolled clients completed the care cascade measured by four performance indicators: linkage to care, treatment initiation, treatment completion, and achievement of SVR-12.
This session will review the project design and provide an overview of preliminary project outcomes, specifically focusing on the unique role State Health Agencies are equipped to fulfill when seeking to generate registries, verify eligibility, and engage individuals. Finally, the session will discuss how these activities have informed the development of a syndemic framework aimed at ending HCV with strategies focused on disrupting transmission in real time while also addressing HIV and STIs.
People who use drugs (PWUDs) face structural barriers to access prevention and care for hepatitis C (HCV) infection. While many inpatient substance use treatment programs (ISUTPs) often screen for HCV, few provide treatment, leading to missed opportunities for care. This presentation will introduce a client-centered telehealth model, initiating HCV treatment during detoxification and rehabilitation to enhance early engagement and ensure continuity of care.
Hepatitis C virus (HCV) remains a serious public health concern in the U.S., especially among high-risk groups. While social support is thought to influence health outcomes, its role in HCV diagnosis is less clear. Using pre-pandemic NHANES data (2017–March 2020), this study explored whether limitations in social support measured by self-reported access to routine care and inability to obtain needed medical care were associated with HCV screening outcomes among high-risk adults.
This presentation addresses the intersection of issues in health equity and justice, versus health advocacy and policy, to identify and contradict the significant misdirection and fatal errors of science in recent opioid prescribing guidelines of the US CDC and Veterans Administration with a critical review of published clinical and demographic data on safety and effectiveness of prescription opioid analgesic pain relievers.
Recent research has highlighted the significant success the harm reduction approach has had in reducing death and disease from opioid use, however these programs often rest on assumptions of access to treatment for infectious diseases, mental health conditions, and basic primary care services that are often not accessible to individuals who use drugs. Access is limited by stigma, transportation issues, complexity of health conditions, and many other barriers, and this life saving treatment is often unavailable to the most vulnerable individuals.
Contingency Management (CM) is a behavioral intervention option for stimulant use that involves immediate, tangible rewards to individuals to reinforce positive self-identified behavior change. In 2023, in response to rising rates of stimulant overdose deaths, California became the first state in the U.S. to offer CM as a benefit through public insurance. Having already embraced CM over two decades prior through the Positive Reinforcement Opportunity Project (PROP)—originally designed for men who have sex with men to reduce sexually transmitted infections through reducing methamphetamine use—San Francisco was well positioned to expand this model, and over the last two years expanded CM to more than a dozen programs throughout the city benefitting diverse populations.
Holy Cross Health in Fort Lauderdale, Florida, is advancing health equity through a comprehensive, community-based approach to HIV prevention and care, STI and Hepatitis C screening, and LGBTQ+ health. Broward County remains one of the nation’s HIV epicenters, with 579 new diagnoses in 2022, far exceeding the national average. Despite this, 96.2 percent of people living with HIV in the county know their status, and 80.8 percent are linked to care within one month. Holy Cross Health’s initiatives, such as community outreach, HIV self-testing, and culturally competent education, are designed to meet the needs of LGBTQ+ individuals who are disproportionately affected by these conditions. The program is led by community advocates and LGBTQ+ healthcare professionals who step beyond traditional clinical roles to engage directly with the community. This session will explore the program’s design, implementation, and measurable impact, offering a replicable model for other health systems.
This session centers on using research, community engagement, and social innovation to address these systemic inequities. Drawing from the qualitative study Exploring Interventions to Improve Healthcare Access for LGBTQ+ Individuals, it highlights trauma-informed strategies from organizations like the Los Angeles LGBT Center. Their peer-led, culturally responsive models and harm reduction frameworks offer promising approaches for transforming service delivery and improving outcomes.
In this conversation, we expand the frame to ask: What do we mean when we say chemsex? Who gets included, and who doesn’t? What does that reveal about or conceptualiztion of chem sex and the risk involved? We’ll explore how people of all genders and sexualities engage in sex and substance use, and how experiences of disability, chronic illness, trauma, and marginalization shape those choices. We’ll look beyond the typical substances to include alcohol, cannabis, cocaine, mushrooms, and other drugs that are often excluded from chem sex conversations. We’ll ask: What is a substance? What is sex? And how do race, gender, class, and ableism shape our assumptions about “risk,” “pleasure,” and “safety”?
This SYNC session will lead attendees through the OUTSafe curriculum and resources, offering providers in the field an essential tool to address older adult victimization and a guide for creating safe spaces and safer institutions for older LGBTQ+ adults.
To address the intersecting epidemics of HIV, Hepatitis C (HCV), and syphilis in Miami-Dade County, Baptist Health South Florida (BHSF) expanded its innovative Electronic Health Record (EHR) syndemic screening model across multiple emergency departments in 2024. Building on the success of Homestead Hospital (HH) and West Kendall Baptist Hospital’s (WKBH) routine HIV/HCV screening program, Baptist Main Hospital (BMH) and South Miami Hospital (SMH) implemented scalable workflows and smart syphilis screening algorithms into their EHR. This expansion was supported by strategic public-private partnerships with hospital leadership and the Florida Department of Health in Miami-Dade County (DOH-Miami-Dade) which provided a dedicated Disease Intervention Specialists (DIS) to ensure timely linkage to care and prevention services.
This presentation provides an update on federal reproductive healthcare and access litigation and policy, and highlights strategies for systems change, including policy reforms, advocacy, research, collaboration, and capacity-building to address the implications of unequal access to sex education.
Understanding how BMSM, who represent less than 1% of the U.S. population, but account for over one-third of new HIV infections annually, practice seroadaptation can inform new interventions to improve their engagement in HIV services. To this end, we conducted a qualitative study (called the “PhotoUStudy”), which was guided by a conceptual model, the BMSM Intersectional Identity Framework Over the Life Course (BMSM Identity Framework). Thirty-six BMSM who lived in/accessed health services in Washington, D.C., aged 18-65, were recruited into a five-day photovoice activity and follow-up interview.
Participants will learn “how-to” techniques for initiating and guiding conversations about sexual history through a lens of prevention, risk reduction, and patient-centered care. The presentation will emphasize creating a safe, respectful, and non-judgmental environment that encourages patients to ask questions and engage openly. Special attention will be given to the unique challenges faced in rural communities, where stigma, limited resources, and lack of formal education can further inhibit discussions about sexual health.
Evidence shows there are gaps in clinicians’ skills in providing comprehensive sexual health care across diverse populations. Simulation in clinical training has emerged as an effective pedagogy to facilitate student learning of knowledge, skills, and attitudes on a variety of healthcare topics. Faculty at the University of Rochester School of Nursing developed a sexual health simulation for three graduate nurse practitioner (NP) programs (Adult-Gerontology, Family, and Pediatric Primary Care).
This session will explore what it means to communicate with a sex positive lens with older adults living with HIV, with particular attention to language, imagery, and a cross-generational understanding of sexuality. We will then apply those skills and develop some ideas for outreach and communication geared towards the priority population of the attendees.
Holy Cross Health in Broward County, Florida, has developed a comprehensive, community-embedded care model that integrates HIV treatment with aging services, behavioral health, and chronic disease management. This peer- and community health worker–led, equity-focused approach is designed to address disparities among LGBTQ+ individuals, people of color, and those experiencing economic hardship. The model emphasizes cultural humility, trauma-informed care, and whole-person wellness. This session will explore how this integrated framework improves outcomes and offers a scalable solution for reimagining HIV care for aging LGBTQ+ populations.
This presentation will highlight how to build a successful HIV testing program in the community. These are not abstract methods, but concrete steps to provide a clear plan on creating an HIV testing program that will ensure more people will have access to free, rapid testing.
This presentation will discuss the opportunities for implementing linkage to comprehensive services by assessing populations who are seen in the ED testing for STIs, including syphilis and HIV. We will explore the operations of identifying eligible patients, including our collaborations with the public health department, our Infectious Disease Clinic, and our Title V Clinic. We will highlight what is going well and discuss areas of improvement.
This presentation will also review the successes and challenges of launching a rapid PrEP program in an ED setting.
In 2006, the CDC shared revised guidance recommending HIV testing be provided to individuals 13-64 years of age, regardless of risk, in all health-care settings unless patients opt out of the service. This approach, known as Routine Opt-Out HIV Testing (ROOT), is key in identifying persons with undiagnosed HIV, persons previously testing positive but not engaged in HIV care or virally suppressed, and persons testing negative that could be referred to preventative services.
As part of the Hillsborough Health Equity Plan, a formative research initiative was conducted to increase the uptake of pre-exposure prophylaxis (PrEP) among Black and Latinx men who have sex with men (MSM) aged 25–34 in Hillsborough County, Florida. The study explored patient and provider experiences within on-demand care settings, such as urgent care clinics and emergency departments (EDs), where opportunities for PrEP intervention are often missed.
In collaboration with Columbia Psychiatry and New York Public Library, the community mental health project was created to address the impact of mental health on the Black and Afro-Latino communities in NYC, especially during and right after the COVID-19 pandemic. The intervention aims to engage the community in discussion around mental health and thus minimize stigma and advocate for innovative strategies to increase the utilization of mental health services within the community.
The employment landscape for PLWH in the Hartford Transitional Grant Area (TGA) presents significant challenges. According to the 2022 Statewide Needs Assessment Survey, 54.46% of PLWH were unemployed, with 59.46% unemployment within the TGA. Among respondents, 78% of individuals over 50 lacked access to career and life skills training, limiting their ability to secure stable, fulfilling employment.
This session will provide an overview of how Deaf Community Advocacy Network (Deaf C.A.N.!) Deaf HIV Program addresses the unique challenges of PWLH who are Deaf, Deafblind, and Hard of Hearing navigating Ryan White Services. Through provider assessments and cultural competency training, client assessments and workshops to improve health literacy on HIV prevention and HIV treatment, and workshops for interpreters to increase their understanding of ever growing HIV terminology such as viral load suppression and U=U, Deaf C.A.N.! has expanded their case management services from 7 counties in the Detroit Metropolitan Area to the entire state of Michigan, increased partnerships, and improved client satisfaction
The purpose of this study is to address the health inequities among key populations living with HIV through a community-based participatory research (CBPR) mixed-methods study designed to adapt and pilot-test STEPS to Care (StC), a CDC-endorsed evidence-based intervention. This intervention consists of three person-centered, evidence-informed strategies to improve retention in HIV care, adherence to antiretroviral therapies, and reduce viral load, which include: Patient Navigation, Care Team Coordination, and HIV Self-Management.
In the US and globally, there have been two secular events exogenous to the HCV epidemic that has impacted HCV negatively. The first is well documented with the accompanying rise in the Opioid epidemic resulting in the uptick in HCV infections particularly among the population younger than the baby boomer generation. The second is the advent of COVID-19 that caused disruptions in testing, linkage and treatment of people living with Hepatitis C. We showcase the impact COVID 19 had on our testing program in Alabama.
This study aims to assess the follow-up eligibility of individuals with HCV presumed LTFU. Pre-contact investigation (PCI) to assess ineligibility, including due to death or outdated contact information, was encouraged. Data came from the patient registries of 23 of 30 grant-funded organizations in different clinical, community and geographical settings. Data sources included patient, state, prison, and public records.
This presentation traces the Ohio FOCUS HIV/HCV Partnership evolution, from early setbacks and outdated policies to transformative progress made possible through adaptive strategies, including the integration of a mobile testing model in partnership with Central Outreach Wellness Center. The model brought walk-in, judgment-free care directly to those most at risk, helping remove barriers to treatment. Additional partners, such as Ohio University, enhanced capacity through data coordination and evaluation.
The Target4 project partners with the University of Kentucky’s Bluegrass Care Clinic to integrate Hepatitis C telehealth services into syringe services programs throughout the commonwealth to address access barriers, improve treatment outcomes, and progress Hepatitis C elimination efforts in the Commonwealth. This presentation will discuss the process used to integrate telehealth services into the harm reduction environment in partnership with the local health departments, and share outcomes, successes, and lessons learned along the way.
This presentation will explore the process and findings of this landscape analysis, sharing some key case study videos and highlighting the various creative ways that programs have integrated MAT treatment into existing models even if they do not have a prescribing provider onsite. Participants will become familiarized with the meaning and significance of low barriers services in an MAT setting, and will discuss various ways that MAT programs have been successful in preventing overdose and improving the overall health and wellness of their clients through provision of MAT.
The opioid and stimulant epidemics continue to pose major public health challenges in the U.S., claiming over 107,500 lives in 2023 despite a slight 3% decline in overdose deaths—the first decrease since 2018 (CDC). This evolving crisis requires close collaboration between physicians and law enforcement to continue to decrease and cease these preventable deaths.
This session dives into how a Syringe Exchange Program in the Twin Cities, Minnesota, tackled the alarming reality of drug overdoses not decreasing locally, despite what the CDC and the Minnesota Department of Health (MDH) reports on national trends. In our community, we faced significant challenges with the government’s data collection, which only takes into consideration 911 calls, EMS and Police reports for data collection.
This conversation centers harm reduction not as a checklist, but as a justice-rooted framework, a commitment to dignity, autonomy, and survival in a world that often withholds those things. We’ll explore how harm is exacerbated by systems of criminalization, medical neglect, stigma, and control, especially for people who use drugs, sell sex, live with chronic illness, or navigate poverty, racism, and ableism. We’ll interrogate how harm reduction gets watered down, co-opted, or professionalized into meaninglessness, and what it means to reclaim it as a radical, liberatory practice.
In April 2024, San Diego County launched its Harm Reduction Services Program (HRSP), the region’s first government-run syringe service initiative. Designed to address the intersecting crises of overdose, HIV, and hepatitis C among people who use drugs, HRSP operates through a mobile delivery model, providing low-barrier, stigma-free services in underserved communities identified through a comprehensive Community Readiness Assessment.
This session includes an overview of LGBTQ+ reproductive health disparities, systemic barriers faced by LGBTQ+ clients navigating reproductive health services, and actionable steps organizations and providers can take to provide affirming, inclusive care.
This presentation explores strategies for effective LGBTQIA+ health promotion and community engagement amid a shifting sociopolitical landscape. Drawing on recent case studies, grassroots initiatives, and community-led research, we examine the ways in which LGBTQIA+ individuals and organizations are responding to policy rollbacks and social hostility. We highlight inclusive health interventions, mutual aid networks, and coalition-building as mechanisms for advocacy and care.
In 2022 Victory Programs opened its doors to The Victory Connector, a new drop in space in the Mass and Cass neighborhood. A neighborhood that was already home to methadone clinics, Boston Medical Center (the city hospital), Harm Reduction Providers and two homeless shelters. What could Victory Programs do that was different and meeting an unmet need?
LGBTQ+ students in U.S. colleges experience disproportionately high rates of mental health disorders and HIV vulnerability—risks exacerbated in rural and Appalachian regions by structural stigma, provider shortages, and limited-service access. Despite this convergence, few interventions integrate mental health and HIV prevention in campus settings.
This presentation offers a clinical and social work-centered approach to addressing the mental health needs of Black LGBTQIA+ men through trauma-informed, culturally responsive, and identity-affirming strategies. This session will explore how toxic stress stemming from early-life adversity impacts emotional regulation, relationship-building, and self-worth. Special emphasis will be placed on how systemic oppression, societal stigma, and the lack of culturally competent mental health services heighten these challenges.
This session will train health professionals to become effective advocates for gender-affirming care at the institutional, state, and federal levels. Amid growing legislative, administrative, and regulatory challenges to transgender health care, health professionals have a unique role and responsibility to advocate for inclusive, evidence-based policies. This session will provide participants with actionable tools to address barriers to care, counter misinformation, and build coalitions to support gender-affirming care access.
This presentation shares early findings from ANA\California’s LGBTQIA+ Equity in Nursing initiative, led by Advocacy Institute Fellows Dr. Bri DuBose (2024) and Misty Mandeville (2025). The taskforce—formed in January 2024 and composed of nursing leaders, clinicians, and subject-matter experts—designed a structured assessment to benchmark organizational culture, knowledge, reporting comfort, DEIB infrastructure, and hiring practices related to LGBTQIA+ equity.
The North Jersey Community Research Initiative (NJCRI) conducted a retrospective chart review to evaluate real-world utilization of oral and long-acting injectable PrEP (LA-Cabotegravir) among individuals accessing services between 2024 and 2025. NJCRI serves a predominantly Black and Brown, urban population in Newark, NJ, many of whom face housing instability, food insecurity, and limited access to affirming healthcare.
The U.S. has approved long-acting injectable PrEP options such as cabotegravir (Apretude) and lenacapavir (Yzugo), yet major challenges remain around equitable access, demand generation, and health-system readiness. This project explores what the United States can learn from low- and middle-income countries (LMICs) that successfully expanded injectable contraceptives, an intervention with striking parallels to injectable PrEP.
Since 2018, Texas has faced a steep rise in syphilis cases particularly among marginalized groups such as Hispanic and non-Hispanic Black individuals. These findings are parallel to HIV trends in Texas. This model merges surveillance with proactive prevention and clinical coordination, targeting individuals at heightened HIV risk. Ongoing data collection on patient demographics, barriers, and facilitators will optimize implementation and elevate prevention outcomes in underserved communities.
Strengthening OBGYN capacity to integrate PrEP into routine care is critical to reducing HIV incidence and advancing health equity for Black women in Mississippi. Findings will guide a forthcoming statewide, grant-funded initiative to scale PrEP delivery in women’s health settings, supporting the Ending the HIV Epidemic Initiative’s goals and addressing persistent disparities in HIV prevention access and outcomes.
Adolescents and young adults (AYA) living with human immunodeficiency virus (HIV) experience significant challenges with healthcare engagement. This population experiences lower rates of retention in care compared to their adult counterparts, resulting in poor adherence to antiretroviral therapy, higher viral load, and lower CD4 counts that negatively impact their health.
This study explored how involvement with a multidisciplinary healthcare team impacts healthcare engagement and identified facilitators and barriers to retention of care from the perspectives of AYA living with HIV.
Recent data from the U.S estimated that over half (57%) of transgender women (TW), aged 50+, are living with HIV. Findings lacked analysis by age, gender, and race/ethnicity, but found 62% HIV prevalence among Black trans women, suggesting potential HIV disparities for older TW of color. This study focused on HIV outcomes and health services access for TW aged 50 and older, making important contributions to the context of care for this population sub-group, who shoulder disproportionately high HIV prevalence. Findings highlight the critical role of support services in HIV care engagement and the potential for expanded access and intergenerational peer support programs to ameliorate HIV-related disparities based on age and race.
In this session, participants will learn about the core elements of a community -based syndemic approach to HIV care engagement to enhance capacity to support PLWH throughout the HIV care continuum. This workshop will demonstrate how community health workers improve involvement in comprehensive prevention services.
This interactive session will explore a novel, community-anchored model developed by the Midwest D-CFAR Scientific Working Group to engage historically underrepresented populations in HIV research and service delivery—specifically Black-led organizations, rural communities, individuals impacted by homelessness, harm reduction practitioners, and direct service providers.
Beyond the Red Ribbon will allow participants to reimagine HIV/STI prevention and service provision through a sex positive lens. Attendees will develop an understanding of sex positivity and examine the necessity for incorporating an individualized, person-centered approach to sexual health. This presentation aims to enhance service providers’ ability to engage clients/patients in topics such as sexual behavior and expression, non-traditional relationship structures (e.g., polyamory, swinging, and other forms of non-monogamy), and self-care, along with HIV/STI prevention and treatment.
This systematic review explores the role of CAB + RPV-LA injectables in antiretroviral therapy (ART), with a focus on patient-reported outcomes from five key clinical trials.
This session presents data from the National Substance Use and Mental Health Services Survey (2023) conducted by the Substance Abuse and Mental Health Services Administration to present the current state of availability of testing and treatment services for HIV, HCV, and STIs.
A translational research project implemented at a Sacramento County sexual health center to reduce barriers to Hepatitis C virus (HCV) treatment. To address elevated prevalence of Hepatitis C in the area, Sacramento County Public Health’s Sexual Health Clinic (SHC) opted to participate in a research project to develop and implement organizational supports and workflows to improve rates of HCV treatment for patients served in this setting.
Expanded screening for hepatitis C virus (HCV) infection aims to improve awareness of diagnosis, yet treatment uptake remains suboptimal due to structural, social, and individual-level barriers. People who use drugs face further challenges in accessing HCV treatment due to fragmented care, stigma, and limited support. Strategies to overcome these challenges are needed to improve health equity and achieve HCV elimination. We developed a quality improvement pilot project to integrate expedited DAA initiation, defined as prescribing of DAA during hospital admission.
The Department of Health and Human Services developed a National Strategic Plan to eliminate hepatitis C (HCV) as a public health threat by 2030. However, many barriers to accessing care remain. Pharmacists have increasingly played a role in the treatment of HCV and can support patients and care teams with navigating barriers at multiple steps along the care cascade. The Collaborative Drug Therapy Management (CDTM) model offers a strategy to leverage expertise of embedded pharmacists to improve HCV treatment access and outcomes.
Michigan's hepatitis C (HCV) cases have been on the decline since 2022, due to several coordinated efforts including, eliminating Medicaid restrictions, partnering with a pharmaceutical company to offer low-cost direct acting-antivirals (DAA), to hiring an academic detailer to educate medical students and providers, to creating a hepatitis C disease intervention specialist (DIS) program to link individuals to care.
This presentation will share key outcomes, implementation strategies, lessons learned, and future adaptations aimed at reducing barriers and promoting employment equity for TGNC youth. Us Helping Us is also exploring opportunities to expand the program and its impact.
'Out of Gender Conversations’ is an interactive training and workshop developed to offer insight, awareness, and care guidance for those providing care for LGBTQ+, gender variant communities and people.
Using Oregon’s All-Payer All-Claims dataset (2016–2023), this analysis examines GAC utilization among transgender and gender-diverse adolescents, identifying disparities by insurance type, age, and sex assigned at birth—even within one of the nation’s most affirming policy environments. Quantitative findings are contextualized with lived experience: the journey of raising a ten-year-old transgender son, illustrating, through narrative and video excerpts, how timely, evidence-based, and affirming care fosters gender euphoria, confidence, safety, and family cohesion.
Hillcrest Children and Family Center, a community-based behavioral health organization in Washington, DC, implemented the Certified Community Behavioral Health Clinic (CCBHC) model to expand access and reduce disparities among underserved populations. Serving largely Black and LGBTQ+ communities, Hillcrest’s CCBHC initiative provides an integrated platform for behavioral health, primary care, and prevention services. This framework has strengthened culturally responsive care and enabled the agency to leverage programs, including Ryan White–funded HIV prevention and treatment, to advance health equity and justice.
Cool Kids Carry Narcan is a rural overdose prevention initiative led by Berkshire Harm Reduction, a program of Berkshire Health Systems in western Massachusetts. Designed to address geographic and racial inequities in naloxone access, the project currently installs and maintains 124 public NaloxBoxes while pairing distribution with community training and stigma-reduction campaigns.
The Empowerment Circle is a peer-led recovery support group serving individuals impacted by substance use, trauma, HIV, and systemic health disparities across the broader community—including LGBTQ+ populations, returning citizens, older adults, and people with lived experience of homelessness. What makes this model unique is its inclusive approach: while centering recovery, it intentionally brings together diverse participants in a shared healing space.
Queen City Harm Reduction (QCHR) is the only organization expressly centered around harm reduction principles and syringe access in Mecklenburg County, North Carolina, where the city of Charlotte is based, and seeks to minimize the harms associated with substance use and other intersecting conditions such as sex work, justice involvement, and homelessness. QCHR proactively educates peers and the community on drug user health promoting prevention of infectious disease, overdose, and compassionate care.
This session explores the emerging evidence supporting yoga and other healing modalities as a complementary harm reduction tool, particularly in underserved or high-risk populations. Drawing on interdisciplinary research, community-based programs, and trauma-informed frameworks, it underscores alternative healing modalities potential to serve not as a replacement for clinical treatment but as an accessible, empowering adjunct that supports individual agency, healing, and long-term well-being.
This presentation explores the evolution of HIV prevention through the perspective of a Black woman, Community Health Advocate, and clinical research participant deeply engaged in advancing PrEP (pre-exposure prophylaxis) innovation. While biomedical advancements from daily oral PrEP to long acting injectables have expanded prevention options, Black communities remain underrepresented in research and disproportionately impacted by persistent barriers to access. Through a lived-experience narrative, this session examines how medical mistrust, historical trauma, and unequal power dynamics shape community attitudes toward clinical research and preventive care.
Closing the loop on Social Determinants of Health ensures that referrals to supportive services such as housing, food and mental health are not only initiated but also completed, tracked, and resolved, This approach strengthens care coordination, reduces barriers to retention, and promotes health equity by addressing non-medical factors that impact overall well being.
As a nation, we had made great strides in protecting the basic rights of LGBTQ+ persons including their access to appropriate, quality care. For Kentucky LGBTQ+ persons, the passage of Kentucky SB 150 in 2023, progressively began the stripping away of these rights thus putting their well-being and even their lives at risk.
Despite the wide availability of antiretroviral therapy (ART) as an effective treatment option for HIV, a substantial portion of people with HIV (PWH) in the United States remain out of care or inconsistently take their medications, leading to an unsuppressed viral load despite diagnosis—a critical gap that undermines both individual health outcomes and public health objectives.
This session provides a five-step roadmap for integrating HCV care into primary care practice. Attendees will learn how to conduct reflex-based screening, stage fibrosis using labs or portable tools, select treatment regimens aligned with AASLD-IDSA guidelines, navigate medication access barriers, and monitor patients through to sustained virologic response (SVR).
In today’s climate of burnout, fear, and fragmentation, leadership requires more than strategy—it calls for presence, relational courage, and embodiment. Leading from the Body introduces a trauma-informed leadership model rooted in somatic awareness and relational intelligence. This approach recognizes that trauma is not only cognitive—it is emotional, non-verbal, and stored in the nervous system. As such, healing and leadership must begin in the body. This interactive session explores how lived experience and embodied presence shape culture, relationships, and organizational change.
Congenital syphilis is a completely preventable condition that imposes a significant clinical and financial burden on our current strained healthcare system. In response to rising infection rates in Miami-Dade County, Homestead Hospital (HH) implemented an innovative, Electronic Health Record-integrated Syphilis Screening Algorithm in 2019, embedded within its existing routine HIV and Hepatitis C testing infrastructure.
This conference is supported, in part, by independent educational grants from ineligible companies. A full list of supporters is available here. All accredited content has been developed and delivered in accordance with the ACCME Standards for Integrity and Independence and the criteria of Joint Accreditation for Interprofessional Continuing Education™, and is free of commercial bias.