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HomeMy WebLinkAbout2001-12-10 02-45 ORDERItem No 112-49 Date: 12-10-02 Item/Subject: ORDER, Authorizing Renewal of a Grant for the STD Clinic/ HIV Prevention Responsible Department: Health 6 Welfare Commentary: This is the renewal for the HIV Prevention Grant. This grant runs from 1/1/02 to 12/31/02. Funding for the year is $10,646. For your information a copy of the goals and objectives for the grant is attached. - /k Department Head Mary er's Comments: mf/,�[,m_ ,r� 1 City Manager Jluisociated Ilk Y/KWM fr I Butlllnt Approval: France Director Legal Approval: I Passage _ First Reading Page 1 oF7 Referral 02-65 By the O'l y Cwnc / of Me cry of &n9w. ORDERED, THAT Me City Manager is hereby authorized to apply for and adept from the State of Maine, Department of Human Services, Bureau of Health a grant of $10,606 for HIV Prevenban W be administered by the City of Bangor, Health and Welfare Department for the period ]anuary 1, 2002 to December 31, 2002. AssigaWw Countibr Allen December 10, 2001 CITY OF BANGOR (TIRE.) : Order, Authorising the City Manager to Execute a Grant Agreement with the Department of Human Services — HN Prevention Grant By the O'l y Cwnc / of Me cry of &n9w. ORDERED, THAT Me City Manager is hereby authorized to apply for and adept from the State of Maine, Department of Human Services, Bureau of Health a grant of $10,606 for HIV Prevenban W be administered by the City of Bangor, Health and Welfare Department for the period ]anuary 1, 2002 to December 31, 2002. In CITY COUNCIL December 10, 2001 Panned c 02-65 Title, Authorizing the City Manager in Execute a Grant Agreement with the Departnent of Human SerVltes - MV Prevention Grant Assigned to Councilor MCI // 02-45 State of Maine Program: HIV Prevention Department of Human Services bureau of Health Grant Dates: 01/01/02-12/31/02 HIV PREVENTION PROGRAM PLAN PERFORMANCE GOAL NI: The health of all Maine people will be improved by promoting behaviors, attitudes, skills, community noms, and/or knowledge that reduce the risk of HIV infection. PERFORMANCE U DICATOR TITLE: Increase attitudes that reduce the risk of HIV transmission. PERFORMANCE BgDICATOR: Increase by 10% over 2001 baseline (125) the number of women contacted through our outreach program targeting women who are incarcerated and/or women in substance abuse recovery programs who demonstrate intent to reduce risky behaviors. This will be measured using a pre and post-test questionnaire at each session. 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 aur interventions. The group composition will change over time as new membersjoin and other members leave as they complete their rehab stay. Wheneverpossible,wewillutilize HIV positive speakers to discuss personal perspectives on living with HIV. Information discussed will include accurate up-to-date information about HIV transmission and statistics, opportunity for dialog to identify personal risk assessment for HIV and individualized strategies to reduce risk-taking behaviors, and availability and accessibility of 1:1 individual risk reduction counseling (IRRC). Safer sex supplies will be made available and thew wmect 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. Provide IRRC to interested women identified at high risk for HIV. 3. IRRC wild include intake interview with HIV risk assessment, selfdesigra d, time- limitedprevenfionplanenddischmgeorreformulafionofplan. Womenwillbe identified and recruited for IRRC through outreach efforts at agencies serving woman (substance abuse recovery programs, mental health agencies, conectional facilities) and recipients of am partner connecting and referral services. 4. Coupons for free lJdV/STD testing will be provided to all women attending our outreach presentations. We propose to serve 140 persons with this activity PERFORMANCE MEASUREMENT: A staff completed post -intervention form will document the number of women receiving risk reduction information and the number of than expressing intent to implement at least one behavior change to reduce risks. 02-65 Utilizing data from group level interventions provided in 2001, we will compare the percentage of women contacted who report intent on reduce HIV risk behaviors. Care planswillbeusedtomeumdieimpactof]RRC. Documentedachievementofonerisk reduction step at discharge from IRRC will be counted as a successful behavior change and intervention Percent of coupons redeemed each quarter will be noted and will document an awareness of personal risk for HIV and of the STD/HIV interrelationship. This will be compared with baseline data of number of coupons redeemed during this intervention in 2001. INVOLVEMENT OF MEMBERS OF PRIORITIZED POPULATION: Women who take part is our outreach presentations will be asked to provide feedback to the presenters in terms ofinformation provided, safer sex supplies needed, and time and place ofpresenmtions. The presenters will document ay suggestions fir changes in the program cement or the way it is presented. At the end of each outreach educational presentation women will be asked to complete an evaluation of the program. In 2001 a small group of women from one of the rehab facilities agreed to serve as a planing group and took pan is offering suggestions to the presenter from all of the women in the program. No financial support is needed for the planning group as the presevtermavelsm their program and meets with them during a regulady, scheduled time. These meetings are held quarterly. PERFORMACNCE GOAL #2: The health of all Maine people will be improved by promoting behaviors, skills, community norms, shuttles and/or knowledge that reduce the risk of HIVmfxtion. PERFORMANCE INDICATOR TITLE: Increase attitudes that reduce the risk of HIV transmission. PERFORMANCE INDICATOR: 95% of 10 persons who arenewly diagnosed with EBV or who are partners of newly identified HIV positive persons will demonstrate curate knowledge about HIV transmission and report intent to reduce risky behaviors. The number of persons served will be reported quarterly. STRATEGIES: 1. Receive reports from providers orfrom the Bureau of Health of newly diagnosed HMV infections in the five county area that we serve. In offering 1:1 follow-up and partner counseling and refmal services to ay individual testing positive for ERV or to partners or newly identified HIV positive persons, we will provide accurate, current information about HIV transmission and individualized risk reduction counseling and support. 2. Offer IRRC to persons identified as infected or as partners to infected persons. Components of IRRC are listed above. 3. Offer free safer sex products and'accurete information on their correct use to identified HIV infected persons and their partners. Offer free testing to partners of HIV infected persons. Offer ongoing support and appropriate referrals for additional D2�5 support and case management for identified HIV positive individuals and their partners. We propose to serve ten persons with this activity. PERFORMANCE MEASUREMENT: Staff completed forms will be maintained to document intervention activities with HIV infected persons and their partners. Steps identified toward behavior change will be documented and one reported behavior change implemented will be counted as a successful intervention. Care plans will be used to a== the effectiveness of IRRC as described above. Records of safer sex products and tests provided w recipients of our intervention will be maintained and reported quarterly. Referrals will be reported quarterly. Information gathered will serve as baseline dam for similar force endeavors. INVOLVEMENT OF PRIORITIZED POPULATIONS: We will solicit input form the HIV positive persons and the partners that we contact throughout The year. Any suggestions that we receive will be documented. Any changes to the program or our method of providing services bared on Nese suggestions will be docmnented and reported quarterly. PERFORMANCE GOAL#3: The health of all Maine people will be improved by promoting behaviors, skills, community norms, attitudes and/or knowledge that reduce the risk of HIV infection. PERFORMANCE INDICATOR TITLE: Increase knowledge that reduces the risk of HIV transmission. PERFORMANCE INDICATOM 50% of 125 individuals receiving outreach street intervention services will verbalize an awareness of HIV risks and deramo ate knowledge of risk reduction by accepting risk reduction information and safer sex producafmmtheoutunwhworkers. The numberofpersons servedwillbe reported quarterly. STRATEGIES: 1. Collaborate with the local adolescent shelter to provide HIV education topes educators to foster communication with homeless adolescents who are recipients of then ooreach efforts. We will provide ongoing training to the pea educators regarding HIV transimodon, 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. Provide safer sex supplies such as condoms, dental dams, female condoms and lubricant to adolescent shelter outreach workers to distribute to the target population. Printed, graphic and reading level appropriate materials explaining proper usage will be provided will all safer sex supplies. We will also provide information relative on IRV risks associated with substance abuse. These supplies will be made available not only to those adolescents on the street, but also to the adolescents shying at the shelter. 02— 5 We propose to serve 125 persons with this activity PERFORMANCE MEASUREMENT: Outreach staff will record and report the umbers of individuals served via street outreach activities. Outreach smO's verbal feedback regarding the acceptance of their interventions will serve as the measurement toolmatbisactivity. This Information will guide the development of the outreach program and serve as baseline data for future activities. INVOLVEMENT OF PRIORITIZED POPULATIONS: We will actively recruit adolescents to serve on a planning and advisory board. We will meet quarterly with them at Shaw House. Any suggestions or recommendations will be documented. In 2001 we were able to find a small group of individuals willing to meet with us and discuss this program. We will confines these groups in 20112. PERFORMANCEGOALMO: The health ofall Maine people will be improved by promoting behaviors, attitudes, skills, community norms, and/or knowledge that reduce the risk of HIV infection. PERFORMANCE INDICATOR TITLE: Increase behaviors that reduce the risk of HIV transmission. PERFORMANCE INDICATOR: 30%of 100 people receiving wupom for free HIV/STD testing will be redeemed m the clinic. The number of persons served will be reported quarterly. STRATEGIES: 1. Coupons for fice STD/HIV testing will be given to all persons attending our outreach educational presentations, including youth served by the outreach staff. 2. Clinic staffwi l make every effort to make appoinhnents available to persons who contact an following an outreach Incarnation as quickly and as flexibly as possible to best suit the person's needs. We propose to serve 35 People with this activity. PEUT)RMANCEMEASUREMENT: The percentageofwupoasredeemed willbe wrdedandreported. Redeemedcouponswilldemon wawarenessofpersoaal HlV risks and efforts to team HHV situs. Protest counseling will foster the opportunity to provide more intensive individual level intervention through individualized dsk assessment and risk reduction plan formulation. Each coupon redeemed will count as successful intervention. This information will some as a baseline for future activities. INVOLVEMENT OF PRIORITIZED POPULATIONS: We will ask each person redeeming a coupon for input regarding how to best serve their needs (what times and what days are best for appointments, whether walk-in testing would be more helpful). We will use this input to help guide fuNre developments in this activity. 02- 5 PERFORMANCE GOAL MS:: The health of all Maine people will be improved by promoting behaviors, attitudes, skills, community amts, and/or knowledge that reduce the risk of HIV infection. PERFORMANCE INDICATOR TITLE: Increase attitudes that reduce the risk of HIV transmission. PERFORMANCE INDICATOR: 75% of 150 persons served in our youth -targeted group interventions will demonstrate intent to practice risk reduction behaviors. The numbers of persons served will be reported quarterly. STRATEGY: Provide group -level interventions with agencies serving high risk adolescents to provide accurate information about HlV tmnavission and risk reduction. We will also provide information about safer sex supplies and their proper uses. Agencies that we will attempt to collaborate with will include the local youth detention facility and Penobscot Job Corps. When possible, we will provide safer sex supplies to recipients of am efforts. This is not always possible since some agencies (the juvenile detention facility) impose restrictions on bringing material to their service population. We propose to serve 150 persons with this activity. PERFORMANCE MEASUREMENT: Pre -and port -intervention questimusaireswill assess the effectiveness of our group -level intervention with youth. We can not always use questionnaires however, as the juvenile detention facility forbids the adolescevta to haveanywritingimplements. We will ask questions at the beginning and end ofeach session in this setting to attempt to address this issue. Completed questionnaires will identify recipients' intent to incorporate personal risk reduction behaviors. INVOLVEMENT OF PRIORITIZED POPULATIONS: We will continue to attempt to have a small group ofyouth serve as upturning and advisory board. We will ask for feedback at every presentation regarding how to improve our efforts.