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.
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 session explores how affirmation-based intervention models — grounded in cultural pride, self-preservation, and community affirmation — are essential to ending the HIV endemic. Using a community engagement and harm reduction framework, we discuss the historical roots of disconnection, and how strategic investments in culturally affirming outreach and education are critical. We offer models and approaches that center community affirmation, mental health support, and intergenerational healing as HIV prevention tools.
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.
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.
