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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. 4?—;e aft n�t c Head manager'a Comments Associated Infornation:G r604�Aa8VAV�* %9S�JI M I Finance DireCtor Legal Approval: til. city SOI " tOY mmnncea £ox:r�_.._ Page 1 of 9 99-3 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 OF 31 99-3 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. Page 11 of 31 99-3 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. 31 99-3 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 13 of 31 99-3 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 14 of 31 99-3 ' 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. Page 15 of 31 99-3 * 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.