Tag: Capacity Building

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.

Older adults living with HIV—especially Black gay men aged 50 and over—face compounding challenges including stigma, fragmented care, and under-resourced behavioral health services. This session highlights strategies from the Aging and HIV Institute (A&H), a California-based think tank dedicated to bridging HIV and aging service systems.

This interactive session explores the intersection of aging, race, gender identity, and sexuality through the lens of Black LGBTQ+/SGL individuals living with HIV. Drawing from lived experiences and frameworks like Aging While Black by Raymond Jetson, the session redefines aging not as decline, but as a site for power, healing, and systemic transformation.

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.

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 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.

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.

This presentation will outline the current understanding of BV as a dysbiosis, the role of sexual transmission in pathogenesis, and the recent findings of the Australian StepUp* Trial. Practical suggestions will be offered regarding designing and implementing a policy to provide partner therapy for BV in clinical settings in the United States based on the experience at a walk in public Sexual Health Clinic.

Herpes simplex virus (HSV) is one of the most common yet misunderstood sexually transmitted infections, often framed through a deficit-based lens emphasizing stigma, fear, and distress. This presentation issues a strengths-based call to action; reimagining HSV prevention, treatment, and care as opportunities to foster resilience, agency, and self-compassion among patients and providers.

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 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 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.

Hepatitis C virus (HCV) coinfection is associated with poor health outcomes for persons with HIV (PWH). Although higher HIV viral suppression rates have been reported among PWH who participate in Ryan White services, studies have not assessed effects on HCV coinfection.

Emergency departments (EDs) serve as a critical access point for medically underserved populations, including individuals with substance use disorders (SUD), co-occurring psychiatric disorders (COD), and those at elevated risk for HIV. This presentation aims to describe a publicly funded HIV prevention and health services program co-located in two affiliated urban Midwestern EDs, to describe any differences among patients who did and did not receive HIV testing, and to discuss strategies for leveraging Health Promotion Advocates (HPAs) in ED settings.

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.