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DTSTART;TZID=America/New_York:20260319T141500
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DTSTAMP:20260507T031908
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UID:10000103-1773929700-1773935100@syncconference.org
SUMMARY:Implementation of Routine Opt-Out HIV Testing across the University of California-San Diego Health Systems
DESCRIPTION: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. \nAlthough ROOT has contributed to increased HIV testing across the United States\, wide-scale implementation across San Diego County has been slow. As part of the Ending the HIV Epidemic Initiative (EHE)\, the County of San Diego partnered with the University of California-San Diego (UCSD) to implement a systems-level strategy to integrate ROOT activities across multiple UCSD departments. ROOT was first implemented at UCSD’s Children’s Emergency Department\, Student Health Services\, and Urgent Care\, with Internal Medicine\, Family Medicine\, and Obstetrics and Gynecology outpatient settings added in the second half of the year. \nIn the first year of the program\, 11\,766 HIV screening tests were completed\, yielding four new HIV infections in which patients were linked to care within two weeks. Successful implementation of this project required large-scale operational changes\, increased inter-departmental communication\, and buy-in from department champions spearheading efforts with front-line staff. Lessons from this implementation can be used to support other agencies in increasing ROOT efforts\, leading to increased detection of HIV infections\, timely access to care\, reduced transmission\, and progress made towards meeting local EHE goals.
URL:https://syncconference.org/agenda/implementation-of-routine-opt-out-hiv-testing-across-the-university-of-california-san-diego-health-systems/
LOCATION:Studio F
CATEGORIES:Power of Prevention,Track Session
ATTACH;FMTTYPE=image/jpeg:https://syncconference.org/wp-content/uploads/2026/01/TrackHero-HIVPrevention.jpg
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DTSTART;TZID=America/New_York:20260319T104500
DTEND;TZID=America/New_York:20260319T121500
DTSTAMP:20260507T031908
CREATED:20260120T171624Z
LAST-MODIFIED:20260306T181103Z
UID:10000172-1773917100-1773922500@syncconference.org
SUMMARY:Inaugural Year Highlights from the Harm Reduction Services Program: San Diego County’s First Government-Run Syringe Service Program
DESCRIPTION: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. Services provided include sterile syringe access and disposal\, safer sex and smoking supplies\, naloxone distribution and education\, fentanyl and xylazine test strips\, HIV and hepatitis C testing and linkage to care\, basic medical consults\, and connection with housing\, transportation\, mental health\, and substance use treatment services. \nIn alignment with harm reduction principles\, HRSP does not require any formal identification and prioritizes meeting participants where they’re at\, with dignity and respect. In its first year\, HRSP reached 618 unique participants and facilitated 1\,823 program visits. Nearly 75% of program participants are unhoused\, underscoring the importance of the program’s personal care supplies. Notably\, in 63% of program visits\, participants reported collecting supplies for others in addition to themselves\, highlighting HRSP’s extended reach into the community. Over the course of the year\, a total of 2\,305 boxes of naloxone were dispensed\, and 517 overdose reversals were reported by program participants. These early outcomes reflect both the program’s meaningful impact and its success in building trust within the community. As HRSP enters its second year\, the program continues to grow while remaining grounded in its commitment to providing compassionate\, person-centered care for San Diego County residents.
URL:https://syncconference.org/agenda/inaugural-year-highlights-from-the-harm-reduction-services-program-san-diego-countys-first-government-run-syringe-service-program/
LOCATION:Potomac B
CATEGORIES:Track Session
ATTACH;FMTTYPE=image/jpeg:https://syncconference.org/wp-content/uploads/2026/01/TrackHero-DrugUserHealth.jpg
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