2019 Ryan White HIV/AIDS Program CLINICAL CONFERENCE

Retention Initiatives and the National HIV/AIDS Strategy

National HIV / AIDS Strategy (NHAS)

• Reducing New HIV Infections • Increasing Access to Care and Improving Outcomes

 Improving linkage into care and retention to achieve viral suppression that can reduce transmission risk  Increase a diverse workforce trained to provide specialty care  Support comprehensive, coordinated, patient-centered care

• Reducing HIV Related Disparities and Health Inequities • Achieve A More Coordinated NationalResponse

Patient Care and Retention Program Assessment for Patient Care and Retention Intervention

HighRisk

ModerateRisk

LowRisk

No reliableTransportation

InconsistentTransportation

KARTS for transportation

UnstableHousing/Homeless

Recentchange inhousing

HasStableHousing

InvalidContactInformation

Changeincontact information

SocialMedia/validcontact

Food Insecurity/Resources

Decreasein foodstamps

Adequatefood/Nutrition

ADAPrecipient/high co-pay NotdivulgingHIV status fam.

Lackofsupportsystembut insured/on parent’s insurance

Familyawareofstatus Fully insured

MentalHealth/currentsubstanceabuse(opioids)

Historyof treatmentformentalhealth/ substanceabuse

Nosubstanceabuse issues

Missedatleast2 consecutivevisits.“Frequent Fliers”

FrequentFlier

Nomissedvisits inprevious12months

Missed1medicalvisit in6mos.Withoutreason (Stigma, fear,denial)

Rescheduledat least1medicalvisit in6 monthswithout identifiedbarrier

Rescheduledat least1medicalvisit in12months without identifiedbarrier

IncreasedVLorno longervirallysuppressed

Virallysuppressedbutadmitsstigma,fear, acceptingdx.

VirallySuppressed

High Risk Patient Care And Retention Program Demographics 2014-2018

Total

HighRisk

BeforePCARP

ViralSuppression

2013

2014

2015

2016

2017

2018 ViralSuppression 2014 2015___ _ 2016__ 2017 2018_____

(12mos)

(24mos) (36mos) (48mos) (60mos)

Total 282 (N%) 145(51%) 160(57%) 160(57%) 152(54%) 142(50%) 69% 104 (72%) 126 (79%) 132(83%) 128(84%) 132(92%)

Age:meanyrs 38 48 47 46 44 47

Female-T 107(38%) 64(44%) 71 (44%) 71(44%) 68(45%) 66(46%) 175(62%) 81(56%) 89 (56%) 89(56%) 84(55%) 76(54%) MSM 88(50%) 36(44%) 46 (52%) 42(47%) 38(45%) 37(49%) Race Non-white 243 (86%) 131(89%) 143 (89%) 143(89%) 135(88%) 126(89%) White 39(14%) 14 (11%) 17 (11%) 17(11%) 17(11%) 16(11%) Male

38 (59%) 55(77%) 61(86%) 56(82%) 60(91%) 66 (81%) 71(80%) 71(80%) 72(86%) 72(95%) 29 (81%) 38(83%) 31(74%) 35(92%) 35(95%)

91 (69%) 110 (85%) 121(85%) 113(84%) 117(93%) 13 (93%) 16 (94%) 11(65%) 15(88%) 15(94%)

SocialMedia

51 (37%) 57 (36%) 59(36%) 66(43%) 65(41%) 65%

37 (73%) 46(82%) 48(81%) 56(85%) 56(86%)

Fb/Text/Glide Voxer/Appt.App

#FoodVisits

94(65%) 103 (64%) 100(63%) 112(74%) 46(32%) 73%

67 (71%) 84 (81%) 80(80%) 98(87%) 39(85%)

SM/F

73(50%) 80 (50%) 102(64%) 103(68%) 82(58%)

57 (78%) 68(85%) 79(77%) 83(81%) 70(85%)