SPIPA EXPANDING THE CIRCLE OF CARE

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SPIPAEXPANDING THE CIRCLE OF CARE

• Jen Olson, MPH
• Karina K. Uldall, MD, MPH

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PROJECT OVERVIEW

• South Puget Intertribal Planning Agency
• Squaxin Island
• Shoalwater Bay
• Nisqually
• Tribal BEAR Project
• NW AIDS Education and Training Center

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PROJECT OVERVIEW

• Advisory Board
• Members of the target population
• Direct service providers
• Administrators/Policy planners
• Tribal Teams
• Outreach worker
• Youth leader

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PROJECT GOALS

• Increase the number of HIV American Indians
  receiving comprehensive and culturally relevant
  care
• Increase awareness of HIV risk factors among
  tribal members
• Increase the number of individuals who know their
  HIV status
• Facilitate entry of HIV positive individuals into
  primary care

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COMMUNITY INTERVENTION

• What is the knowledge and sensitivity regarding
  HIV/AIDS among tribal team members?
• Staff pre/post tests
• What is the HIV/AIDS knowledge, attitudes,
  beliefs and behaviors among community members?
• Community surveys
• Focus groups

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OUTREACH INTERVENTION

• What is the outreach clients knowledge of HIV
  risk factors, community resources and willingness
  to be tested?
• Individual/group outreach forms
• How much time is needed to engage clients? To
  facilitate HIV testing?
• Individual/group outreach forms
• HIV testing/results form

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HIV/AIDS CARE

• For HIV seropositive individuals, what are the
  barriers and facilitators to entering HIV primary
  care?
• Focus groups

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ISSUES AFFECTING HIV/AIDS SERVICE DELIVERY

• Stigma
• Privacy/Confidentiality
• Expertise
• Access
• Knowledge
• Co-Morbidities

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INTERVENTION STRATEGIES

• Public Awareness Campaign
• Individual Outreach
• Group Outreach
• Evaluation Feedback

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CONTACT INFORMATION

• Karina K. Uldall, MD, MPH
• Assistant Professor, University of Washington
  Department of Psychiatry
• [phone]
• keegan_at_u.washington.edu