Synchronicity

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.

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.

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.

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.

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.

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 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.

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.

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?

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.

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 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.