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HomeMy WebLinkAbout2002-11-25 03-16 ORDERItem No. oY16 Date: 11-25-02 Item/Subject: ORDER, Auttwnang the City Manager to Execute a Grant Agreement with the Deparhnent of Human Services — SID C inic/HIV Counseling, TeOng & Referral. Responsible Department: Health & Welfare This is the renewal for the STD Qinic/HIV Prevention Grant. This grant runs from 1/1/03 W 12/31/03. Funding for the year is $98,270.. For your information, a copy of the goals and objectives for the grant is attached. . Department Head Recommend approval. [[ Gr �I� City Manager France Director City Solicitor Introduced for Y CbAftot- patssage _ First Rcedirrg page 1 of 7 Referral Aseignadm Camcilsr Oreeoe Nov r 25. 2002 �is'•epu^. ' 4 CITY OF BANGOR (TTTLE.) : Order, AuMorizing Me City tanager to E m a Grant Agreement vmh Me Department of Human Services- SID Clinic/HW Counseling, Testing & Referral ••'.],?:.3..3.7 THAT the City Manager m hereby authorized te apply for and accept from the State of Maim, Department of Human Services, Bureau of Hein a grant of $98,270 for the SID CllnWHW Courrsding, Testing & Referral to be administered by the City of Bangor, Health and Welfare Department for Me period January 1, 2003 to December 31, 2003. IN CITY WINCIL November 25. 2002 Passed CLCRR 0 R D E R ZITLEj dutmrising the City Manager to eeccate 8 Graet Agressinesit with tle Oepartmgt of Munni Services - an C14alc/1110 Counseling Testing d Referral Aealgnedeo Counclbr 070lu State ofMaine Program: HIV Prevention Department of Human Services Bureau ofHealth Gran 'la01/01/03-12/31/03 HIV PREVENTION PROGRAM PLAN The health educators at the Bangor SID Clinic are continuing our prevention efforts at the sites omlirred below forth¢ year2W3. Our prevention effortsare targeted towards caucasian populations, due to the racial make up of our part of the state. Allofom programs are delivered in such a way that persons living with HIV will benefit from the interventions as well as HMV negative persons. PERFORMANCE GOAL #1: The health of all Maine people will be improved by promoting behaviors, scientists, skills, community norms, and/or knowledge that reduce the risk of HIV infection. PERFORMANCE INDICATOR TITLE: Increase attitudes that reduce the risk of 1111f tar s nussion. PERFORMANCE INDICATOR: S WO of 140 women contacted through our outreach program targeting women who are incarcerated and/or women in substance abuse recovery programs (Wellspring) who demonstrate intent m reduce risky behaviors This will be measured using a pre and part -test questionnaire at each session- Our programs will be aimed at caucssirn, female, substance abusers m the age range 18-99. STRATEGIES: 1. Provide 12 monthly group level interventions for incarcerated women and/or women in substance abuse recovery programs. Information about the high correlation of substance abuse and women's risks for HIV will be the focus of our interventions. The group composition will change over time as new members join and other members leave as they complete their rehab stay. Wheneverpossible, we willutilize HIV positive speakers to discuss personal perspectives on living with HW. - Information discussed will include accurate up-to-date information about HIV transmission and statistics, opportunity for dialog W identify personal risk assessment for HW and individualized strategies to reduce risk-taking behaviors, and availability and accessibility of 1:1 individual risk reduction counseling (IARC). Safer sex supplies will be made available and thew correct use will be demonstrated and taught. We will also discuss factors that contribute to risk-taking and do some skills building around safer sex negotiation and communication. 2. All women allending these presentations will be offered l: l intervention. If a woman accepts this offer, appointments will be scheduled either a the STD Clinic or at a location of the client's choice. Referrals will be made as appropriate. 3. Coupons for free MV/STD testing will be provided mall women attending our outreach presentations. We propose to serve 140 persons with this activity. 03-16 PERFORMANCE MEASUREMENT: Pre and post-test questionnaires will be used to measuretheseivterventions. Numbersofpeoplerespondingmdthem=berso£people documenting changes in attitude at post-test will be collected and reported quarterly. Demographic information will also be collected (face, gender, risks, county of residence). Coupons will be offed for free HIV and STD testing. Percent of coupons redeemed each quarter will be noted and will document an awareness ofpersoid risk for HIV and ofthe STDMIVinuncelationship. This will be compared with baseline dais of number of coupons redeemed during this intervention in 2002. PRIORITIZED NEEDS: Free condoms, denial dams; lubricant and information; accurate and specific HIV and STD hansnussion information by professionals; norrualize use of, and increase access to HIV C&T (and STD); assistance in identifying and developing skills for recognition and management of sexual triggers; assistance in recognizing personal risks and developing self efficacy. INVOLVEMENT OF MEMBERS OF PRIORITIZED POPULATION: Women who take part in our outreach presentations will be inked to provide feedback to the presenters in terms of information provided, safer sex supplies needed, and time and piece of presentations. The presenters will document any suggestions for changes in the program contemn or the way itupresented. Attheerdofeachouheacheducatiorm preservation women will be asked m complete an evaluation oftbe program: In 2001 a small group of women from one ofthe rehab facilifles apeed to serve as a plarming group and took pan in offering suggestions to the presenter from all of the women in the program. Nof 'tial support is needed for the planning group as the presenter =vets to then program and meets with them during a regularly scheduled time. These meetings are held quarterly. PERFORMANCE GOAL M: The health of all Maine people will be improved by Interacting behaviors, skills, commodity norms, athmdes and/or knowledge that reduce the risk of HIV infection. PERFORMANCE INDICATORTITLE: Increase anitudes that reduce the risk of HIV transmission. - PERFORMANCE INDICATOR: 75%of 4 persons who me newly diagnosed with HIV or who are partners of newly identified HIV positive persons will demonstrate intent to reduce risky behaviors. The number of persons served will be reported quarterly. Our efforts will be targeting caucasian males and females, ages 11-99. STRATEGIES:. 1. DIS will receive reports firm providers or from the Buresu of Health of newly diagnosed HIV infections in Penobscot County. In offering 19 follow-up and partner counseling and referral services to any individual testing positive for HIV or to panners of newly identified HIV positive persons, we will provide accurate, current information about HIV transmission and individualized risk reduction counseling and support: 03-16 2. Utilizing Ne IRRC model, DIS will. engage with client's over a specified period of time to discuss risks, barriers to reducing risks, and the client's goals. 3. DIS will offer free safer sex products and accurate information on their correct use to identified IlN infected persons and their partners. DlS will offer free testing to Farmers of HIV infected persons. DIS will offer ongoing support and appropriate referrals for additional support and case management for identified HIV positive - individualsandtherparmcrs. 4. This activity differs from HIV CT&R activities in that this activity. is of a longer duration. Interventions will zed t place over a number of sessions, rather than the initial session provided through HIV CT&R - We propose to serve fourpersons with this activity. PERFORMANCE MEASUREMENT: Staffcompleted bums will be maintained to document intervention activities with HIV infected persons and their partners. Steps identified toward infinite change will be documented and one reported alliWde change identified will be counted as a successful intervention. Records of safer set products and basis provided to recipients of am intervention will be maintained and reported quarterly. Referrals will be reported quarterly. Information gathered will serve as baseline data for similar future endeavors. PRIORITIZED NEED: Free condoms, dental dams, lubricant and information; accurate and specific HIV and STD transmission information by professionals; normalize use of, and increase access to HIV C&T (and STD); assistance in identifying and developing skills for recognition and management of sexual triggers; assistance in recognizing personal risks and developing self efficacy. INVOLVEMENT OF PRIORITIZED POPULATIONS: We will solicit input from the HN positive persons and the partners that we contact throughout the year. My suggestions that we receive will be documented. Any changes to the program or our method of providing services based on these suggestions will be documented and reported quarterly. PERFORMANCE GOAL 0: The health ofall Maine people will be improved by promoting behaviors, skills, community norms, attitudes aud/m knowledge that reduce the risk of HN infection Increase knowledge that reduces the risk of HIV transmission. PERFORMANCE INDICATOR: 50% of 120 individuals receiving outreach street intervention services will verbalize an awareness of HIV risks and demonstrate knowledge of risk reduction by accepting risk reduction information and safer sex products from the outreach workers. The number of persons served will lie reported quarterly. Ouncacb willbe targemd toward caucasiaa adolescems (12-24). STRATEGIES OY16 1. STD Clinic sniff will collaborate with the local adolescent shelter (Shaw House)to provide HIV education to peer educators In foster communication with homeless adolescents who are recipientsof their outreach efforts. We will provide ongoing updates to the peer educators regarding HIV transmission, the relationship of substance abuse and HIV risk taking, risk reduction and the proper use of safer sex products. Referrals for other services will be provided when appropriate.. 2. STD Clinic staff will provide safer sex supplies such as condoms, dental dams, female condoms and lubricem to adolescent shelter outreach workers to distribute to da target population Printed, graphic and reading level appropriate materials exptandng proper usage will be provided will all safer sex supplies. We will also provide information relative to HIV risks associated with substance abuse. These supplies will be made available not only to those adolescents on the street, but also to the adolescents staying at the shelter. 3. Coupons for flee SMMIV testing will be given to all persons attending our outreach educational prarntanorvs, including youth served by the outreach staff. 4. Clinic staff will make every effort m make appointments available to persons who contact us fallowing an outreach presentation as quickly and as flexibly as possible to best suit the person's needs. We propose to sae 120 persons with this activity. PERFORMANCE MEASUREMENT: Outreach staff will record and report the - numbers of individuals served via street outreach activities. Written pre and post-test questiomares can not be utilized in this outreach setting, so verbal Pre and post-tests will be used. Presenters will ask a question at the beginning of the session and the same question will be asked at the end. Numbers of people demonstrating a change in knowledge will be documented. This information will guide the development of the outreach promote and serve as baseline data for future activities. Number of coupons redeemed will be recorded and reported quarterly. PRIORITIZED NEED: Free condoms, dental dams, lubricant and informatim; accurate and specific HIV anul STD transmission information by professionals; normalize use of, and increase access to HIV CAT (and STD); assistance in identifying and developing skills for recognition and management of =no triggers; assistance in recognizing farmed risks and developing self efficacy INVOLVEMENT OF PRIORITIZED POPULATIONS: We will actively recruit adolescents to serve on a planning and advisory board. We will meet quarterly with them or Shaw House. Any suggesmse; or recommendations will be documented. In 2002 we re able to find a small group of individuals willing to meet with us and discuss this program. We will continue these groups in 2003. PERFORMANCE GOAL M:: The health of all Maine people will be improved by protecting behaviors, attitudes, skills, community norms, and/or knowledge that reduce the risk of MV infection.. 03-16 PERFORMANCE INDICATOR TITLE: Increase attitudes that reduce the risk of HIV transmission. PERFORMANCE INDICATOR: 70% of 150 persons served in our youth -targeted group inter entions w ll demonstrate interRto pmcdce riskreduction behaviour. The numbers of persons served will be reported quarterly. Orr groups will be aimed at caucasian adolescents (12-24). STRATEGY: STD Clinic staff Provide group -level interventions with agencies serving high risk adolescents to provide accurate information about M transmission and risk reduction. We will also provide information about safer sex supplies and their proper uses. Agencies that we will collaborate with will include the local youth detention fmcility(Mt. View YoutDetention Facility) and Penobscot Job Cotps. When possible, we will provide safer sex supplies to recipients ofour efforts. Thisisnotalwayspossiblesidoo some agencies (the juvenile detemon facility) impose restrictions on bringing material m their service population. We proposeto serve 150 persons with this activity. PERFORMANCE MEASUREMENT: Pre -and post -intervention questionnaires will assess the effectiveness of our group -level intervention with youth. We can not always use questiormaires however, as thejuvenile detention facility forbids the adolescents to have any writing implements. We will ask questions m the beginning and end of each session ro this setting to attempt to address this issue. Completed questionnaires will identify recipients' Intent to change attitudes about risk taking and HIV. PRIORITIZED NEED: Free condoms, dental dams, lubricant and information; accurate and specific HIV and STD tmrumis ran information by professionals; amortize use of, and increase access to HIV C&T (and STD); assistance in identifying and developing skills for recognition and management of sexual triggers; assistance in recognizing. personal risks and developing self efficacy INVOLVEMENT OF PRIORITIZED POPULATIONS: We will continue to have small group of youth serve as aplarming and advisory board. This group will meet quarerly,ormoreo8enifneeded. We will ask for feedback at every presentation regarding how to improve our efforts.