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HomeMy WebLinkAbout2001-01-08 01-84 ORDER01-84 Rem/Subject: — -----_COUNCIL ACTION ------ —____.________.__ Date hnnary 8.2001 Health & Welfare Commentary: This is the renewal for an STD Grant to provide services to adolescents; and omen who are at risk for HIV. This grant runs from 1/114to 12/31ML Funding for the year is $10,606. For your information a copy of the program plan for the grant is attached. V;f4 /. f Legal Approval: /ku WO Solicitor X Passage First Reading Page 1 Of Referral MSIPCdt0C0MciI0T Vanda tx ]anuzq a, zom pr CITY OF BANGOR (II LE.) ORDER, Authorizingthe Citv Manager torant Agreement i the ent Human ervic II Tr n mi Disease lini Adolescents and Women at Risk of HN By me Qty Chun fl of Me Qfy ofBargm: omal THAT, the City Manager Is authorized to apply for and accept from the Stare of Maine, Department of Human Services, Bureau of Health a grant In the amount of $10,646 far cormnuation of services to adolescents and women at risk of HN to be administered by the City of Bangor, Department of Health and Welfare far the period 1/1/01 to 12/31/01. SL cin CO GIL Jemuvy B. 2001 Passed J S4 CL68[ # 01-M MTLEJ asset to Egecute mseyth tbe tediBeni- Seto a - Sexually ..sifteODsease Clinic Moleseuts and Women at Risk of HIV 01 - Page 9 OF 27 . State of Maine Program: nxv Prevention Department of Human Services Bureau of Health Grant Dates: 1/1/o2 - 12/31/oa PROGRAMPI : a. Perform="Goa l: The health of all Maine people will be improved by Promoting behaviors, attitudes, community building, and/or knowledge that reduce the risk of HIV infection Rationale: Group level interventions provide education and support in group settings to promote and reinforce safer behaviors and to provide interpersonal skills staining in negotiating and sustaining appropriate behavior change to persons at increased risk or already infected with HMV. The experience of this clinic is that this type of outreach is effective and well received. Performance Indicator Title: Increase attitudes that reduce the risk of HIV transmission. b. Performance Indicator Increase by l0% over 2000 baseline (105) the number of women contacted through am outreach program targeting women who are incarcerated and/or women in substance abuse recovery programs who demonstrate intent to reduce risky behaviors. n Strat�e 'es: 1. Provide 12 monthly group level interventions for incarcerated women and/or women in substance abuse recovery programs. Information about the high ornelation of substance abuse and women's risks for HIV will be focus of our intervention. The group composition will change over time as new membersjoin and other members leave as they complete their rehab smy. Whenever possible, we will utilize HIV positive speakers to discuss personal perspective on experience with HIV. Information discussed will include accurate up-to-date informmion 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 (IARC). Safer sex Products will be demonstrated and the correct use of Nem will be taught We will also dialog about factors that contribute to risk-taking and do some skills building around safer sex negotiation and communication - 2. Provide IARC to interested woman identified at high risk for HIV. 3. IRRC will include intake interview with HIV risk assessment, self -designed, th te- lirnited prevention plan and discharge or reformulation of plan. Women will be identified and recruited for IRRC through outreach efforts at agencies serving women 01— Page 10 OF 27. (substance abuse recovery programs, programs serving consumers of mental health services, correctional facilities) and recipients of our partner notification services. 4. Coupons for free HIV/SM testing will be provided to all woman receiving am Intervention services. d. Performance Measurement: A staff completed post-intervantion form will document the number of women receiving risk reducfion information and the number of those expressing intent to implement at least one behavior change to reduce risks. Utilizing data from group level imervantions providod in 2000, we will wrap= the percentage of women wnmcted who report intent to reduce HIV risk behaviors. Care plans will be used to measure the impact of IRRC. Documented achievement of one risk reduction step at the 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 2000. Performance Goal: The health of all Maine people will be improved by promoting behaviors, attitudes, community building, and/or knowledge that reduce the risk of HIV infection. a. Performance Indicator Title: Increase attitudes that reduce the risk of HMV transmission. It. Performancelndieetor:90% of 10 persons whome newly diagnosed with HIV or who are partners of newly identified HIV positive persons will demonstrate accurate knowledge about HIV transmission and report intent to reduce risky behaviors. C. Stras�te figs: 1. Receive reports from providers or from the Bureau of Health of newly diagnosed HlV infections in the five county area which we serve. In offering 1:1 follow-up and parmer notification services to any individual testing positive for HIV or to patters of newly identified HIV positive persons, we will provide s rcurat , current information about HIV transmission and individualized risk connecting and support. 2. Offer IRRC to persons identified as infected or as partners to infected persons. Components of MC are listed above. 3. Offer free safer sex products and accurate information on thein correct use identified HIV infected individuals and their partners. Offer free testing to partners of HIV infected individuals. Offer ongoing support and approprime referrals for additional support and case management for identified HIV positive individuals and thew parmem. d. Performance Measurement: Smffcompleted forms will be maintained to document intervention activides with HIV infected persons and their partners. Sapsidenfified toward behavior change will be documented and one reported behavior change implemented will be counted as a successful intervention. 01-94 Page 11 -F 27 Care plans will be used to measure the effectiveness of IRRC as described above. Records of safer sex products and tests provided to recipients of our intervention will be maintained and reported quarterly. Referrals will be reported quarterly. Information gathered will serve as baseline data for similar funve endeavors. a. Performance Goa l: The Health of Maine people will be improved by promoting behaviors, attitudes, community building, mad/or knowledge the reduce the risk ofFIN infection. Ratio e:20'n of reported AIDS cases in Maine have occurred among people less than 30 years old, meaning that many were infected while is their teens. Recent scientific evidence shows a strong link between infection with a sexually transmitted disease and HN transmission. High chlamydia uses= Ong teenage girls to Maine indicate behaviors that put them at risk for HMV. Forty five percent of 1998 reported chlamydia cases were among females between 15 and 19 years old. Interventions fm the homeless population that are prioritized in the CPG Prevention Plan include training providers about HIV prevention and distributing safer sex products into accessible locations. Performance Indicator Tide: Increase knowledge that reduces the risk of HIV transmission. It. Performance Indicator 40%of75 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. C. Stras>�: I. Collaborate wits the local adolescent shelter to provide HIV education training to pen educators to foster communication with homeless adolescents who are recipients Of their outreach efforts. Peer educators/outneach workers will gain accurate, current knowledge information regrading HIV tmnsnission, the relationship of substance abuse and HlV risk taking tisk reduction and proper we of safer sex products. This training will enable outreach workers to share this infornmtion in an extension of their current outreach efforts to high-risk adolescents. Referral information for other services will be provided when appropriate. 2. Provide safer sex products such as condoms, dental dams and lubricant to adolescent shelter outreach workers to distribute to the target population. Printed and graphic materials explaining thew proper use will be provided with all risk reduction products. Also provided will be printed and graphic infonnefion relative to HN risks associated with substance abuse. These products will be made available not only to Nose onthe street, but also for the shelter to have a supply on site for their residents. d. Performance Measurement: A minimum of two outreach staff person will be trained in HIV prevention and use of safer sex products. Outreach staff will record and report Ne numbers of individuals served via street outreach activities. Outreach 01-84 Page 12 of 27 staffs verbal feedback regarding the acoeptnmce of their interventions will serve az the oseasummenttool for this activity. This information will guide the development of the outreach program for street youth and serve as baseline data for future activities. Performance Indicator Title: Increase behaviors that reduce the risk of MV transmission- b. ransmissionb. Performance Incheator:20% of 74 persons receiving coupons for free testing will be redeemed at the Clinic. ' C. Ste: 1. Coupons for free HIV/SM testing will be given to street nonsuch workers to make available to youth they serve. d. Performance Measurement The percentage of coupons received Will be recorded and reported. Redeemed coupons will demonstrate awareness of personal HIV risk and effort to discover Made. Resulting pre-test counseling will foster the opportunity to Provide more intensive individual level intervention through individualized risk risk assessment and risk reduction plan formulation. Each coupon redeemed will count as successful intervention. This information will serve as baseline data for future activities. Performance Indicator Title: Increase anhudes that reduce the risk of HIV transmission. b. Performance Indicate :75% of 120 persons served in our youth—targeted group level interventions who demonstrate intent to practice risk reduction behaviors. c. Sts> ruteav: I Provide gmuP-level intervention with agencies serving high risk adolescents to Provide accwete information about MV transmission and risk reduction behaviors. We will also provide =more information about safer sex products add their current uses. Agencies with which we will attempt to collaborate in this activity include the local youth detemion facility and the Penobscot Sob Corps Program. When possible, we will provide safer sex products to recipients of our efforts. This is not always possible since some agencies (thejuvaNle detention facility) impose restrictions on bringing materials to their service population. d. Performance Measurement: Pre -and post -intervention questionnaires will assess the effectiveness of my group -level interventions with youth when possible. Some of the agencies with which we work impose restrictions on materials accessible to the service population (the youth detention facility) making it impossible to poll the recipients for evaluation. Completed questionnaires will identify recipients' intent to incorporate personal risk reduction behaviors.