Overview: Special Projects of National Significance SPNS

1
Overview Special Projects of National
Significance (SPNS)

• American Indian/Alaska Native HRSA SPNS Grantees
  MeetingNorman, Oklahoma
• October 17 - 18, 2002
• Presented by Kathleen Handley, Ph.D.
• HIV/AIDS Bureau, SPNS

2
Ryan White CARE Act

• Enacted in 1990 to improve quality and
  availability of HIV care for
• low-income, uninsured, and underinsured
  individuals and families
• Includes Titles I, II, III, IV as well as
• AETCs and the HIV/AIDS Dental Reimbursement
  Program
• Special Projects of National Significance (SPNS)

3
What are the Special Projects of National
Significance?

• Grants that fund development of innovative models
  of HIV care that have potential for replication
  locally and nationally
• Each SPNS project is intended to
• Support the development of an innovative model of
  care
• Evaluate the effectiveness of the model in
  assuring access to and use of health services
• Disseminate finding to promote the adoption of
  effective models of care.

4
Why evaluate?

• Refine and strengthen HIV service delivery
• Increase awareness of the unique needs of our
  clients
• Influence policy and funding decisions using
  quantitative and qualitative data from evaluations

5
How does your site fit into SPNS?

• 6 new sites plus a technical assistance center
• develop and evaluate models of care for HIV
  positive or at risk AI/AN populations
• integration of medical services for
  co-morbidities of substance abuse, sexually
  transmitted infections and/or mental illness.

6
Goals of the intervention

• To increase the number of AI/AN substance/alcohol
  abusers at risk for HIV who know their HIV
  status
• To increase the number of multiply diagnosed
  AI/AN who are receiving appropriate and
  consistent health care for HIV infection, STIs,
  substance abuse, and mental illness

7
Goals of the intervention (cont.)

• To increase the number of multiply diagnosed
  AI/AN who are undertaking actions to prevent
  further spreading HIV infection and
• To increase the adherence of multiply diagnosed
  AI/AN to anti-retroviral therapies and other
  prescribed medications.

8
How will the data collection and evaluation be
coordinated?

• Evaluation Center at the University of Oklahoma
  will
• refine and standardize data collection tools for
  evaluation
• provide training and technical assistance to each
  site
• provide data analysis at the end of the grants
  and assist in dissemination

9
Why are we meeting today?

• To understand the goals of the initiative
• To move your project forward to achieve these
  goals
• To build evaluation skills
• To meet your fellow grantees and representatives
  from OU, NNAAPC and HRSA/SPNS