HomeMy WebLinkAbout1998-11-09 99-3 ORDER-----------------Council Action ----------------------`----
Date November 9. 1998 item Na. 99-3
Item/Subject: Grant Renewal -- Sexually Transmitted Disease Clinic
Responsible Department: Health and Welfare
This is the renewal for the STD Grant. This grant rune from
1/1/99 to 12/31/99. Funding for the year is $108,900. This
is level with last year's funding. For your information a
copy of the goals and objectives for the grant is attached.
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AedgnedM CowNor Crowley November 9, 1998
_ CITY OF BANGOR
(RU) @rbVri.._^uthr tafng the city Ns ger to Narrate a Grant Agreement with
th_e__D_ep t : offfutax, Services — Sernially Transmitted Disease CliviC
BY We City Commas of the City of Braver:
ORDERED,
THAT
the City Manager is authorized to apply for and accept from
the State of Maine, Department of Human Services, Bureau of Health a grant
in the amount of $108,900 for continuation of STD/HIV services to be
administered by the City of Bangor, Department of Health and Welfare for
the period 1/1/99 to 12/31/99.
IN CITY COUNCIL
November 9; 1998 99-3
Passed: 0 R 0 E R
.r Titley Authorizing the City manager to
CITY qLERK I Execute a Grant Agreement with the
�J Department of Human Services - Sexually
fiademiiEed'6idedse'Clinic". .
Auipmaed to
99-3
Page 9 of 31
STATE OF MAME PROGRAM: Bangor STD/HIV Clinic
DEPARTMENT OF HUMAN SERVICES
BUREAU OF HEALTH Grant Dates: 1/1/99-12/31/99
Program Goals, Objectives, and Strategies:
PERFORMANCE GOAL: The health and well- being of Maine people will be
promoted through the prevention and control of sexually tansmitted diseases.
Performance Indicator Title
Increase prevention of sexually transmitted diseases.
Performance Indicator
Fifty adolescents, age 14-19, will demonstrate an increased awareness of personal risk
for STDs and of the HIV and STD inter -relationship.
Sguaind
L Provide ten educational programsrpresentations to adolescents in their
environments such as schools, shelter programs, etc.
2. Develop and utilize pre- and port -test questionnaires assessing personal risks for
HIV and STD and knowledge about the HIV and STD imer-relationship.
Performance Measurement
Pre- and post-test questionnaires will be compared and assessed for documentation of
increased awareness of Forecast HIV and STD risks and the HIV and STD inter-
relationship.
PERFORMANCE GOAL: The health and well -being of Maine people will be promoted
through the prevention and control of sexually transmitted diseases.
Performance Indicator Tale
Increase control of sexually transmitted diseases.
Performance Indicator
Treat 100°/ of persons with early syphilis, gonorrhea, and chlsmydia.
rate ie
I. Receive Mons of early syphilis, gonorrhea and cblamydia from private and public
providers either directly or through HIV/STD Control Program.
2. Contact reporting provider for locating information, testio& and treatment
information and for permission to interview.
3. Assist withtreatmem and management if requested.
Pe[Earmance Mensuration
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Disease/treatment logs will serve as tools for measurement All reported cases ofearly
syphilis, gonorrhea and chlamydia will be counted and compared with numbers of those
treated.
PERFORMANCE GOAL: The health and well-being of Maine people will be promoted
through the prevention and control of sexually transmitted diseases.
Performance Indicator Title
Increase control of sexually transmitted diseases.
Perfunsomwe Indicator
Test and treat 100% of males who are positive for gonorrhea also for chlamydia.
Stmeeier
1. Receive reports of gonorrhea from private and public providers either directly or
through the W WSTD Control program.
2. Encourage and assist with, upon request, all males testing positive for gonorrhea
to be tested and concvrmmtly treated for chlamydia.
3. All males tested at the Clinic for gonorrhea will simultaneously be tested for
chlamydia. Any client treated for positive gonorrhea will receive co -treatment for
chlamydia.
Performance Moscrement
Clinic statistical data will compare the number of males tested for gonorrhea with the
umber of those who are tested for chlamydia. IN'ormazion will be reported quarterly.
DiseasNueatment logs will document co -treated individuals and the percentage of
gonorrhea positive males who are co -treated for chlamydia will be reported.
PERFORMANCE GOAL: The health and well-being of Maine people will be
promoted through the prevention and control of sexually transmitted diseases.
Performance Indicator Title
Increase control of sexually transmitted diseases.
Performance Indicator
Increase the number of adolescents tested for chlamydia by 10% above the'9g baseline
Strategies
1. Continue current practice of encouraging testing to 100% of adolescents who
present for initial visit at clinic and achieving a test me of 50%.
2. Mail informational letter about Clinic services, with referral cards, to junior and
senior high school health teachers and school nurses in the greater Bangor area.
3. Collaborate with at least one adolescent serving agency to provide awareness
training and recruitment of additional adolescent clients for chlamydia screening.
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Performance Measurement
Using 1998 data for chlamydia testing of adolescents at Clinic as baseline, compare 1999
data of chlamydia testing of adolescents at Clinic.
PERFORMANCE GOAL: The health and well-being of Maine people will be promoted
through the prevention and control of sexually transmitted diseases.
Performance Indicator Tide
Increase control of sexually transmitted diseases.
Performance Indicator
Increase testing and treatment of named partners to reported STDs by 10"0 over 1998
baseline.
StraS te¢ies
1. Contact reporting provider for report information and permission to interview
within two working days of report.
2. Contact reported client within two working days of obtaining permission to
interview.
3. Interview for sexual contacts over the period of time established by DIS
guidelines.
4. Initiate contact notification attempts on all identified contacts requiring notification
within twenty-four hours ofreceiving locating information.
5. Follow 1000/6 ofreported early syphilis to assure adequate treatment.
6. 75% of named contacts to reportable STD will be located and treated.
1. 95% of in-state gonorrhea comatts identified will be located, examined, and
treated.
8. 90% of persons presenting to the STD Clinic for initial visits will have RPR test
for syphilis.
Peformance Measurement
Using 1998 data for disease follow-up as baseline, compare 1999 data for disease follow-
up.
PERFORMANCE GOAL: The health of all Maine people will be improved by
promoting behaviors, community building, knowledge mayor attitudes that reduce risks of
HMV infection.
performance l di
Increase behaviors that reduce the risk of IRV transmission.
Fifty percent (50%) of clients returning for post-test counseling will report attempts to
reduce their risk for HIV infection, such as specific safer -sex practices, or other related
harm reduction/risk reduction steps.
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Stratee es
1. Supervise the provision of anonymous HIV antibody counseling and testing,
providing 750 tests during calendar year 1999.
I During protest counseling:
assist client in identifying risky behaviors
' If risky behaviors exist, assist client in formulating a realistic, incremental risk
reduction plan
" provide risk reduction information and outside referral as appropriate
" document counseling session on counselor intake form.
3. During post-test counseling:
' determine clients initial adherence to the risk -reduction plan outlined at the pre-test
session
' help client to identify additional needs concerning risk -reduction, retesting, o
outside referrals
" document counseling session on counselor intake form.
Performance Measurement
Counselor intake forms will serve as the measurement tool for the above performance
indicator. Information documented regarding the pre-test session will be reviewed for risk
behaviors, risk reduction plan, and related referrals. Information noted on the form
regarding post-test sessions will be reviewed for elements of behavior change. The
percentage ofihose clients who term for results and report adherence to at least one risk
reduction/harm reduction step will be noted.
PERFORMANCE GOAL: The health of all Maine people will be improved by
promoting behaviors, community building, knowledge and/or attitudes that reduce risk of
MV infection.
Kat onal
Cnoup level interventions provide education and support in group settings to promote and
reinforce safer behaviors and to provide interpersonal skills training in negotiating and
sustaining appropriate behavior change to persons at increased risk or already infected.
The esperience of this Clinic is that this type of outreach is effective end well received.
Pah rmance Indicator Title
Increase behaviors that reduce the risk of HIV infection.
performance Indicabur
400/, of women contacted through outreach programs targeted to women who are
incarcerated and/or women in substance abuse recovery programs will demonstrate intent
to reduce risky behaviors.
Stratinue
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I. Provide 20 outreach presentations for incarcerated women and/or women in
substance abuse recovery programs.
2. Presentations to include information about STDs and HIV and modes of
menstruation, opportunity for dialog to identify factors that contribute to risk
taking and strategies to reduce dsk-taking behaviors, offers of 1 a individual risk
reduction counseling.
3. Coupons for free STDMIV screenings will be provided to women attending
presentations.
4. Provide individual risk reduction counseling to interested woman at high risk for
HIV. 60%ofwomm receiving individual risk redumion wuoseling will report m
increase in their use ofrisk reduction practices
5. Individual risk reduction counseling will include: intake interview with assessment
of HIV risk behavior, self -designed, time limited prevention plan, and discharge or
reformulation of plan.
6. Individuals will be identified and recruited for risk reduction counseling through
outreach presentations delivered at agencies serving women at risk (substance
abuse recovery agencies, homeless and domestic violence shelters, wrtectional
facilities, etc.)
Performance Measurement
A staffcompleted post -presentation farm will document the number of women receiving
risk reduction information and the number of those expressing intent to implement at least
one behavior change to reduce risks. Percent of coupons redeemed each quarter will be
noted.
Client care plans will be used to measure the impact of prevention case management.
Documented achievement of one risk reduction step will be counted as a successthl
behavior change.
PERFORMANCE GOAL: HIV ifec[ed persons in Maine will have reduced morbidity
and mortality through increased access to early medical intervention.
Performance Indicator T' 1
Increase access to early medical intervention.
Performance Indicator
50% of consumers testing positive for HIV Antibody at this site will access case
management services within one month of receiving positive test results.
Smarm
1. Supervise the provision of anonymous HIV antibody counseling and testing,
providing 750 tests during calendar year 1999.
2. During pre -ten counseling:
" discuss the importance of early medical intervention to all clients
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' clients will be informed of available medical and case management services at this
agency and in the community.
3. During post-test counseling:
discuss the importance of early medical intervention with all clients testing positive
• discuss and provide written material describing available medical and case
management services
" provide assistance with scheduling an appointment with a case manager for clients
who decline services at the time of receiving result
' document counseling session on counselor intake form.
Performance Measurement
Counselor intake forms will serve as the measurement tool for the above performance
indicator. The number of clients who meet with a case manager and schedule a follow-up
conduct will be tabulated and reported.
PERFORMANCE GOAL: HIV infected persons will have reduced morbidity and
mortality through increased access to early medical intervention.
Performance Indicator Title
Increase access to early medical intervention.
Pefformance Indicator
Manage heabhcme for at least three (3) HIV infected persons through the HIV Well Care
Clin c.
rat 'es
I. Provide initial immune system testing and immunization updates for persons who
are HlVinfected.
2. Offer Hepatitis A vaccine and annual flu vaccine for all Well Care Clinic clients and
newly HBV diagnosed clients of Bangor STDdfIV test site.
3. Manage/treat HIV infection to attain optimal health maintenance.
4. Act as a resource for other providers treating patients with HIV infection.
Performance Measureme
Well Care Clinic activity log will record number of patients served through Well Care
Clinics, number of vaccines administered, and number of clinic visits.
PROCESS OBJECTIVES
1. Continue participation in the HIV seroprevalence study conducted by CDC.
' All STD Clinic attendees having a serological test for syphilis will be included in
double blinded seroprevalence testing for HIV Ab.
" All clinic attendees presenting at initial visit will be asked to complete a
Questionnaire assessing HIV risk.
2. Provide community education on STD/HIV.
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* Present accurate, up to date information about STDMIV to community schools,
groups, etc.
Maintain availability as training site for medical personnel from Family Practice
program, Family Planning, schools of nursing, etc.
3. Operate a gonorrhea screening program for area medical providers.
Provide to area medical providers materials for GC screening including culture
materials, incubators, etc.
' Provide courier services to participating providers to pick up cultures and deliver
to SID lab for reading and reporting.