NATIVE AMERICAN HEALTH CENTER San Francisco

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NATIVE AMERICAN HEALTH CENTERSan Francisco

• Parousha Zand R.N.
• Director of HIV Services
• Karen Saylors PhD.
• Project Evaluator

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History of HIV Services

• 1985 first HIV/AIDS patients
• 1993 funded by IHS for RN Case management
• 1999 Dental HIV program
• 2001 Mental Health HIV program under
  direction of Nelson Jim
• 2002 SPNS initiative

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Key Components

• HIV Primary Care HIV Testing
• HIV Dental Care
• Family Child Guidance mental health and
  substance abuse services
• Friendship House residential substance abuse
  program

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Current HIV Primary Care Program

• 60 clients served annually
• 90 Native American
• 86 Male clients, 8 Female, 6 Transgender
• 30 on Anti-retroviral therapy

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Main Characteristics of Target Population

• Majority MSM
• Hx or Current IDU
• Triple Diagnosed HIV/Mental/Substance
• Urban/Rural Migration
• Multi-tribal, multi-racial, multi-cultural
• Identity issues

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Logic Model Mental Health
Mental Health Services
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Logic Model Outreach/Case Finding
Outreach Case Finding Services
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Logic Model Substance Use Abuse
Substance Use Abuse
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Logic Model Case Management
Holistic Case Management
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Logic Model Primary Care
HIV Primary Care
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Logic Model HIV Dental Care
Dental Care
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Logic Model Cultural Interventions
Cultural interventions