attachments for los angeles county five year comprehensive hiv plan 2013-2017

Los Angeles County Comprehensive HIV Plan 2013‐2017 | Attachments |Page A‐1

ATTACHMENTS A. List of CDC Required and Recommended Interventions B. Syndemic Cluster Area Maps C. Service Planning Area Maps Showing Syndemic Cluster Area(s) D. Los Angeles County Ryan White Service Definitions E. Matrix of Projects and Programs in Los Angeles County by CDC Intervention F. Estimated Percent of HIV‐Infected Persons In Los Angeles County in Stages of

the HIV Care Continuum


ATTACHMENT A. LIST OF CDC REQUIRED AND RECOMMENDED INTERVENTIONS

Required Interventions Recommended Interventions 1. Routine, opt‐out screening for HIV in clinical settings 15. Condom distribution for the general population2. HIV testing in non‐clinical settings to identify undiagnosed HIV infection 16. HIV and sexual health communication or social marketing campaigns

targeted to relevant audiences 3. Condom distribution prioritized to target HIV‐positive persons and

persons at highest risk of acquiring HIV infection 17. Clinic‐wide or provider‐delivered evidence‐based HIV prevention

interventions for HIV‐positive patients and patients at highest risk of acquiring HIV

4. Provision of Post‐Exposure Prophylaxis (PEP) to populations at greatest risk

18. Community interventions that reduce HIV risk

5. Efforts to change existing structures, policies, and regulations that are barriers to creating an environment for optimal HIV prevention, care, and treatment

19. Behavioral risk screening followed by individual and group‐level evidence‐based interventions for HIV‐negative persons at highest risk of acquiring HIV; particularly those in an HIV‐serodiscordant relationship

6. Implement linkage to HIV care, treatment, and prevention services for those testing HIV positive and not currently in care

20. Integrated hepatitis, TB, and STD testing, partner services, vaccination, and treatment for HIV infected persons, HIV‐negative persons at highest risk of acquiring HIV, and injection drug users according to existing guidelines

7. Implement interventions or strategies promoting retention in or re‐engagement in care for HIV‐positive persons

8. Implement policies and procedures that will lead to the provision of antiretroviral treatment in accordance with current treatment guidelines for HIV‐positive persons

21. Targeted use of HIV and STD surveillance data to prioritize risk reduction counseling and partner services for persons with previously diagnosed HIV infection with a new STD diagnosis and persons with a previous STD diagnosis who receive a new STD diagnosis 9. Implement interventions or strategies promoting adherence to

antiretroviral medications for HIV‐positive persons 10. Implement STD screening according to current guidelines for HIV‐positive

persons 22. For HIV‐negative persons at highest risk of acquiring HIV, broadened

linkages to and provision of services for social factors impacting HIV incidence such as mental health, substance abuse, housing, safety/domestic violence, corrections, legal protections, income generation, and others

11. Implement prevention of perinatal transmission for HIV‐positive persons

12. Implement ongoing partner services for HIV‐positive persons

13. Behavioral risk screening followed by risk reduction interventions for HIV‐positive persons (including those for HIV‐discordant couples) at risk of transmitting HIV

23. Brief alcohol screening and interventions for HIV‐positive persons and HIV‐negative persons at highest risk of acquiring HIV

14. Implement linkage to other medical and social services for HIV‐positive persons

24. Community mobilization to create environments that support HIV prevention by actively involving community members in efforts to raise HIV awareness, building support for and involvement in HIV prevention efforts, motivating individuals to work to end HIV stigma, and encouraging HIV risk reduction among their family, friends, and neighbors


ATTACHMENT B: SYNDEMIC CLUSTER AREA MAPS

• Central Syndemic Cluster Area • South Syndemic Cluster Area • Northwest Syndemic Cluster Area • East Syndemic Cluster Area • North Syndemic Cluster Area


Attachment B1. Syndemic Cluster Area Map: Central Cluster Area


Attachment B2. Syndemic Cluster Area Map: South Cluster Area


Attachment B3. Syndemic Cluster Area Map: Northwest Cluster Area


Attachment B4. Syndemic Cluster Area Map: East Cluster Area


Attachment B5. Syndemic Cluster Area Map: North Cluster Area


ATTACHMENT C. SERVICE PLANNING AREA MAPS SHOWING SYNDEMIC CLUSTER AREAS

• SPA 1: Antelope Valley • SPA 2: San Fernando Valley • SPA 3: San Gabriel Valley • SPA 4: Metro • SPA 5: West • SPA 6: South • SPA 7: East • SPA 8: South Bay


Attachment C1. SPA 1: Antelope Valley Showing Cluster Area(s)


Attachment C2. SPA 2: San Fernando Valley Showing Cluster Area(s)


Attachment C3. SPA 3: San Gabriel Valley Showing Cluster Area(s)


Attachment C4. SPA 4: Metro Showing Cluster Area(s)


Attachment C5. SPA 5: West Showing Cluster Area(s)


Attachment C6. SPA 6: South Showing Cluster Area(s)


Attachment C7. SPA 7: East Showing Cluster Area(s)


Attachment C8. SPA 8: South Bay Showing Cluster Area(s)


ATTACHMENT D. LOS ANGELES COUNTY CARE SERVICES—DEFINITIONS The Los Angeles County Commission on HIV (the Ryan White planning body) has adopted a set of core and support service categories and developed Standards of Care for these categories, which reorganize the Ryan White service categories. Table xx defines and matches the Los Angeles County (LAC) service categories to the relevant Ryan White Service Categories.

LOS ANGELES COUNTY SERVICE CATEGORY

RYAN WHITE CATEGORY CORE/SUPPORT LOS ANGELES COUNTY DEFINITION

Medical Outpatient/Specialty CORE: Outpatient/Ambulatory Medical Care

Medical Outpatient/Specialty is up‐to‐date educational, preventive, diagnostic and therapeutic medical services provided by licensed health care professionals with requisite training in HIV/AIDS including physicians, physician assistants and/or nurse practitioners licensed to practice by the State of California. Medical Specialty services provide consultation, diagnosis and therapeutic services for medical complications beyond the scope of practice of primary medical and nursing care for people living with HIV.

Vision Services: • Optometric Services

CORE: Outpatient/Ambulatory Medical Care

Vision services are optometric services, not including ophthalmologic services. The Commission on HIV is currently working on a service description and standard for this new service category.

Medication Assistance and Access:

• AIDS Drug Assistance Program (ADAP)

• ADAP Enrollment • Local Pharmacy

Program/Drug Reimbursement (LPP/DR)

CORE: ADAP (Part B)

ADAP is a state‐administered program authorized under Part B of the Ryan White Program that provides FDA‐approved medications to low‐income individuals with HIV disease who have limited or no coverage from private insurance, Medicaid, or Medicare.

SUPPORT:Non‐Medical Case Management

ADAP Enrollment assists clients with enrolling in the State‐administered program authorized under Part B of the Ryan White Program that provides FDA‐approved medications to low‐income individuals with HIV disease who have limited or no coverage from private insurance, Medicaid, or Medicare. Enrollment coordinators supervise ADAP services in individual sites.

CORE: Local Pharmacy Services

Local Pharmacy Program/Drug Reimbursement (LPP/DR) provides access to medications for people living with HIV who lack insurance or other means to pay for them. Medications covered under this program must be listed on the current LPP/DR formulary as maintained by the Office of AIDS Programs and Policy and not be covered under ADAP.

Oral Health Care CORE:Oral Health Care

Oral Health Care includes diagnostic, preventive, and therapeutic services provided by general dental practitioners, dental specialists, dental hygienists and auxiliaries, and other trained primary care providers.




Long‐Term & Palliative Care • Skilled Nursing • Hospice

Not a Ryan White Category

Skilled Nursing is 24‐hour nursing care provided to people living with HIVAIDS in a non‐institutional, home‐like environment. Services are provided for persons diagnosed with a terminal or life‐threatening illness and include residential services, medical supervision, 24‐hour skilled nursing and supportive care, pharmacy, dietary and social recreational.

CORE:Hospice Services

Hospice is the provision of palliative services to help patients approach death with dignity and in relative comfort, in a supportive atmosphere surrounded by family members and significant others. Hospice services must be flexible enough to accommodate a client’s changing needs and staff must be appropriately trained, licensed or certified in order to provide those services.

Medical Nutrition Therapy CORE: Medical Nutrition Therapy

Medical Nutrition Therapy is provided by a licensed registered dietitian outside of a primary care visit and includes the provision of nutritional supplements. Medical nutrition therapy provided by someone other than a licensed/registered dietitian should be recorded under psychosocial support services.

Medical Care Coordination: • Medical Case

Management • Non‐Medical Case

Management • Referrals

CORE: Medical Case Management

Case Management, Medical (including treatment adherence) are a range of client‐centered services that link clients with health care, psychosocial, and other services. The coordination and follow‐up of medical treatments is a component of medical case management. These services ensure timely and coordinated access to medically appropriate levels of health and support services and continuity of care, through ongoing assessment of the client’s and other key family members’ needs and personal support systems. Medical case management includes the provision of treatment adherence counseling to ensure readiness for, and adherence to, complex HIV/AIDS treatments. Key activities include (1) initial assessment of service needs; (2) development of a comprehensive, individualized service plan; (3) coordination of services required to implement the plan; (4) client monitoring to assess the efficacy of the plan; and (5) periodic re‐evaluation and adaptation of the plan as necessary over the life of the client. It includes client‐specific advocacy and/or review of utilization of services. This includes all types of case management including face‐to‐face, phone contact, and any other forms of communication.

SUPPORT:Non‐medical Case Management

Non‐Medical Case Management: Case Management, Psychosocial is client‐centered activities through which care for persons living with HIV are coordinated for the purpose of increasing self‐efficacy, facilitating access and linkage to appropriate services and to the continuum of care, increasing access to HIV




Medical Care Coordination Continued…

information and education, and identifying resources and increasing coordination between providers.

SUPPORT: Non‐medical Case Management

Referrals are the act of directing a client to a service in person or through telephone, written, or other type of communication. Referrals may be made within the non‐medical case management system by professional case managers, informally through support staff, or as part of an outreach program.

Mental Health Services: • Mental Health,

Psychiatry • Mental Health,

Psychotherapy

CORE:Mental Health Services

Mental Health, Psychiatry is services that attempt to stabilize mental health conditions while improving and sustaining quality of life and are provided by medical doctors board eligible in psychiatry. Includes client registration/intake; psychiatric assessment; treatment provision – psychiatric medication assessment, prescription and monitoring; and crisis intervention.

CORE:Mental Health Services

Mental Health, Psychotherapy is services that attempt to improve and sustain a client’s quality of life. Includes client intake; bio‐psychosocial assessment; treatment planning; treatment provision in individual, family, conjoint or group modalities, drop‐in psychotherapy groups; and crisis intervention.

Substance Abuse Services: • Residential Substance

Abuse Services • Substance Abuse

Treatment

SUPPORT:Substance Abuse Services, Residential

Residential, Substance Abuse is residential rehabilitation and transitional housing services that assist clients achieve and maintain a lifestyle free of substance abuse and to transition to permanent, stable housing.

CORE:Substance Abuse Services, outpatient

Substance Abuse, Treatment is the provision of medical or other treatment and/or counseling to address substance abuse problems (i.e., alcohol and/or legal and illegal drugs) in an outpatient setting rendered by a physician or under the supervision of a physician, or by other qualified personnel.

Linkage to Care Services: • Treatment Education • Outreach • Counseling and Testing

in Care Settings • Transitional Case

Management

SUPPORT:Treatment Education Services

Treatment Education provides ongoing education and support to ensure compliance with a client’s prescribed treatment regiment and helps identify and overcome barriers to adherence. Includes up‐to‐date information about HIV disease and related illnesses, treatment options and available trials to people living with HIV.

SUPPORT:Outreach Services

Outreach promotes access to and engagement in appropriate services for people newly diagnosed or identified as living with HIV and those lost or returning to treatment. Services include identification, providing information/education and linked referral. When appropriate, outreach workers may accompany clients to initial visits to primary care and/or case management services.




Linkage to Care Services Continued…


Counseling and Testing in Care Settings is confidential or anonymous non‐rapid and/or rapid HIV antibody testing to determine HIV status, pre‐and post‐test or single‐session counseling, provision of appropriate HIV risk reduction interventions based on the client’s risk assessment.

SUPPORT:Non‐medical Case Management Services

Case Management, Transitional is client‐centered activities through which care for special transitional populations (persons making the transition from incarceration to the community and youth who are runaways, homeless or emancipating/emancipated) living with HIV are coordinated.

Benefits Support: • Benefits Specialty • Health Insurance

Premiums and Cost Sharing


Benefits Specialty assists a client’s entry into and movement through care service systems outside of the Ryan White Program‐funded service delivery network. Designed to educate about public and private benefits and entitlement programs and to provide assistance in accessing and securing these benefits.

CORE: Health Insurance Premium/Cost Sharing Assistance

Health Insurance Premiums and Cost Sharing is the provision of financial assistance for eligible individuals living with HIV to maintain a continuity of health insurance or to receive medical benefits under a health insurance program. Includes premium payments, risk pools, co‐payments, and deductibles.

Home‐Based Care: • Home‐based Case

Management • Home Health Care


Case Management, Home‐based is client‐centered case management and social work activities that focus on care for persons living with HIV who are functionally impaired and require intensive home and/or community‐based services.

CORE:Medical Case Management; Home Health Care Services

Home Health Care includes the provision of services in the home by licensed health care workers such as nurses and the administration of intravenous and aerosolized treatment, parenteral feeding, diagnostic testing, and other medical therapies.

Retention in Care Services • Nutrition Support • Legal • Child Care • Medical Transportation • Health Education/Risk

Reduction • Language/Interpretation • Peer Support

SUPPORT:Food Services

Nutrition Support includes the provision of actual food or meals and vouchers to purchase food (e.g., home delivered meals and food banks). Also includes the provision of essential household supplies such as hygiene items and household. It does not include finances to purchase food or meals.

SUPPORT:Medical Transportation Services

Medical Transportation includes conveyance services provided, directly or through voucher, to a client so that he or she may access health care services, including taxi vouchers, bus passes and bus tokens.

SUPPORT:Health Education/Risk

Health Education/Risk Reduction is the provision of services that educate clients with HIV about HIV transmission and how to reduce the risk of HIV transmission including




• Psychosocial Support Retention in Care Services Continued….

Reduction Services information dissemination about medical and psychosocial support services and counseling to help clients with HIV improve their health status.

SUPPORT:Linguistic Services

Language/Interpretation provides language and sign language interpretation services for limited English proficiency (LEP) people living with HIV and their immediate families, who require special assistance in accessing HIV/AIDS services. Language interpretation services must be provided by a qualified interpreter who is able to communicate fluently in both English and the native language of the client. Sign language provided for deaf and/or hard of hearing people living with HIV must be provided by a qualified interpreter who is fluent in American Sign Language.

SUPPORT:Psychosocial Support Services

Peer Support improves access to and retention in primary health care and support services for hard‐to‐reach persons living with HIV through the utilization of specially trained peers.

SUPPORT:Psychosocial Support Services

Psychosocial Support is the provision of support and counseling activities, child abuse and neglect counseling, pastoral care, caregiver support, and bereavement counseling. Includes nutrition counseling provided by a non‐registered dietitian but excludes the provision of nutritional supplements.

SUPPORT:Legal Services

Legal is the provision of services to individuals with respect to powers of attorney, do‐not‐resuscitate orders and interventions necessary to ensure access to eligible benefits, including discrimination or breach of confidentiality litigation as it relates to services eligible for funding under the Ryan White Program. It does not include legal services that arrange for guardianship or adoption of children after the death of their normal caregiver.

SUPPORT:Child Care Services

Child Care is the provision of care for the children of clients who are HIV‐positive while the clients attend medical or other appointments or Ryan White Program‐related meetings, groups, or training. It does not include child care while a client is at work.

Rehabilitation: • Workforce Entry/Re‐

entry • Rehabilitation Services

SUPPORT:Rehabilitative Services

Rehabilitation is provided by a licensed or authorized professional in accordance with an individualized plan of care intended to improve or maintain a client’s quality of life and optimal capacity for self‐care. Services include physical and occupational therapy, speech pathology, and low‐vision training.


Workforce Entry/Re‐entry is designed to assist persons in entering the workforce or returning to work, including career counseling, resume writing, job training and placement.

Respite Care SUPPORT: Respite Care is the provision of community or home‐based, non‐medical assistance




Respite Care designed to relieve the primary caregiver responsible for providing day‐to‐day care of a client with HIV/AIDS.

Housing Supportive Services: • Housing Case

Management • Direct Emergency

Financial Assistance (DEFA)

SUPPORT:Housing Services

Case Management, Housing is designed to assist persons living with HIV/AIDS in locating, acquiring, financing and maintaining affordable and appropriate housing. Includes assessment, search, placement and advocacy

SUPPORT:Housing Services

Direct Emergency Financial Assistance (DEFA) is the provision of short‐term payments to agencies or establishment of voucher programs to assist with emergency expenses related to essential utilities, housing, food (including groceries, food vouchers, and food stamps), and medication when other resources are not available. Includes Short‐term Rent, Mortgage and Utility and Permanent Housing Placement assistance.

Residential Care and Housing: • Emergency Shelters • Transitional Housing • Transitional Residential

Care Facilities • Residential Care

Facilities for the Chronically Ill

• Permanent Supportive Housing


Residential, Transitional is the provision of short‐term assistance to support emergency, temporary or transitional housing to enable an individual or family to gain or maintain medical care. Eligible housing can include both housing that does not provide direct medical or supportive services and housing that provides some type of medical or supportive services such as residential mental health services, foster care, or assisted living residential services. Includes emergency shelter, transitional housing, Adult Residential Facility and Residential Care Facility for the Chronically Ill.


Residential, Permanent is housing and supportive services that assist people living with HIV and their families to adjust to new living arrangements, maintain independent living and coordinate overall housing and services needs. Supportive services include service coordination and mental health and substance abuse counseling and treatment.


ATTACHMENT E. MATRIX OF PROJECTS AND PROGRAMS IN LOS ANGELES COUNTY BY TYPE OF INTERVENTION/SERVICE

Link

LA

Proj

ect (

NIDA

) In

tegr

ated

beh

avio

ral h

ealth

in p

rimar

y ca

re (S

AMHS

A)

Proj

ect E

ngag

e (EC

HPP)

Socia

l Net

work

Tes

ting

(C

DC F

lagsh

ip C

at A

and

CHRP

)

Yout

h Li

nkag

e Wor

kers

(CHL

A)

Dist

rict 2

STD

Pro

ject

(CDC

-HRA

, UUT

, ECH

PP)

Inte

grat

ed C

omm

unity

Plan

ning

(H

RSA,

CDC

, SAM

HSA)

Synd

emic

Plan

ning

and

Geos

patia

l An

alysis

(CD

C F

lagsh

ip &

ECH

PP)

Use o

f sur

veilla

nce d

ata,

data

m

atch

ing,

dat

a sha

ring

(CDC

Flag

ship

Ca

t C an

d EC

HPP)

Use o

f Com

mun

ity E

mbe

dded

Dise

ase

Inve

stig

atio

n Sp

ecial

ists (

CDC

Flag

ship

and

ECHP

P)

Biom

edica

l Inte

rven

tions

: PEP

(C

HRP

and

ECHP

P)

NAV

Prog

ram

(C

DC F

lagsh

ip C

at C

)

PATH

(Inc

lude

s: T

LC+,

PrEP

, & S

ocial

Ne

twor

k Tes

ting)

(CHR

P)

Ryan

Whi

te C

ore &

Sup

port

Serv

ices

(HRS

A)

Hous

ing

Oppo

rtuni

ties f

or P

erso

ns

with

AID

S (H

OPW

A)

Medi

cal C

are C

oord

inat

ion

(H

RSA

and

CHRP

)

Routine, opt-out HIV screening in clinical settings X X X X X X X X

HIV testing in non-clinical settings X X X X Condom distribution prioritized to target HIV-positive (HIV+) persons and persons at high risk X X X X X X X X

Provision of Post-Exposure Prophylaxis X X Efforts to change existing structures, policies, and regulations that are barriers to optimal care and treatment

X X X

X

Link to HIV care, treatment and prevention services for those testing HIV + and not in care X X X X X X X X X

Interventions/ strategies for promoting retention in or re-engagement in HIV care for HIV+ persons

X X X X X X X X

X

Support policies and procedures for ensuring ART provision according to clinical practice guidelines

X

X

Interventions promoting ART treatment adherence for HIV+ persons X X X X X X

STD screening for HIV+ persons X X X X X X Prevention of Perinatal Transmission


Link

LA

Proj

ect (

NIDA

) In

tegr

ated

beh

avio

ral h

ealth

in p

rimar

y ca

re (S

AMHS

A)

Proj

ect E

ngag

e (EC

HPP)

Socia

l Net

work

Tes

ting

(C

DC F

lagsh

ip C

at A

and

CHRP

)

Yout

h Li

nkag

e Wor

kers

(CHL

A)

Dist

rict 2

STD

Pro

ject

(CDC

-HRA

, UUT

, ECH

PP)

Inte

grat

ed C

omm

unity

Plan

ning

(H

RSA,

CDC

, SAM

HSA)

Synd

emic

Plan

ning

and

Geos

patia

l An

alysis

(CD

C F

lagsh

ip &

ECH

PP)

Use o

f sur

veilla

nce d

ata,

data

m

atch

ing,

dat

a sha

ring

(CDC

Flag

ship

Ca

t C an

d EC

HPP)

Use o

f Com

mun

ity E

mbe

dded

Dise

ase

Inve

stig

atio

n Sp

ecial

ists (

CDC

Flag

ship

and

ECHP

P)

Biom

edica

l Inte

rven

tions

: PEP

(C

HRP

and

ECHP

P)

NAV

Prog

ram

(C

DC F

lagsh

ip C

at C

)

PATH

(Inc

lude

s: T

LC+,

PrEP

, & S

ocial

Ne

twor

k Tes

ting)

(CHR

P)

Ryan

Whi

te C

ore &

Sup

port

Serv

ices

(HRS

A)

Hous

ing

Oppo

rtuni

ties f

or P

erso

ns

with

AID

S (H

OPW

A)

Medi

cal C

are C

oord

inat

ion

(H

RSA

and

CHRP

)

Partner services for HIV+ persons X X X X X X X X X Behavioral risk screening and risk reduction for HIV+ persons at risk for HIV transmission X X X X X X X X

Linkage to other medical and social services for HIV+ persons X X X X X

X

Outpatient medical and specialty medical care for HIV+ persons X

Medication assistance (pharmaceutical assistance) and access (ADAP enrollment services) for HIV+ persons

X

Oral health care for HIV+ persons X Vision Services for HIV+ persons X Mental health care for HIV+ persons X Long Term and Palliative Care for HIV+ persons X Home and Community Based Services for HIV+ persons X

Transitional Case Management for recently released HIV+ persons from incarceration X

Benefits Support for HIV+ persons X Substance Abuse Services – Residential for HIV+ persons X

Retention in Care Services for HIV+ persons (Nutrition Support and Transportation) X


Link

LA

Proj

ect (

NIDA

) In

tegr

ated

beh

avio

ral h

ealth

in p

rimar

y ca

re (S

AMHS

A)

Proj

ect E

ngag

e (EC

HPP)

Socia

l Net

work

Tes

ting

(C

DC F

lagsh

ip C

at A

and

CHRP

)

Yout

h Li

nkag

e Wor

kers

(CHL

A)

Dist

rict 2

STD

Pro

ject

(CDC

-HRA

, UUT

, ECH

PP)

Inte

grat

ed C

omm

unity

Plan

ning

(H

RSA,

CDC

, SAM

HSA)

Synd

emic

Plan

ning

and

Geos

patia

l An

alysis

(CD

C F

lagsh

ip &

ECH

PP)

Use o

f sur

veilla

nce d

ata,

data

m

atch

ing,

dat

a sha

ring

(CDC

Flag

ship

Ca

t C an

d EC

HPP)

Use o

f Com

mun

ity E

mbe

dded

Dise

ase

Inve

stig

atio

n Sp

ecial

ists (

CDC

Flag

ship

and

ECHP

P)

Biom

edica

l Inte

rven

tions

: PEP

(C

HRP

and

ECHP

P)

NAV

Prog

ram

(C

DC F

lagsh

ip C

at C

)

PATH

(Inc

lude

s: T

LC+,

PrEP

, & S

ocial

Ne

twor

k Tes

ting)

(CHR

P)

Ryan

Whi

te C

ore &

Sup

port

Serv

ices

(HRS

A)

Hous

ing

Oppo

rtuni

ties f

or P

erso

ns

with

AID

S (H

OPW

A)

Medi

cal C

are C

oord

inat

ion

(H

RSA

and

CHRP

)

Residential Care and Housing Services for HIV+ persons X

Housing Supportive Services for HIV+ persons X Targeted HIV and sexual health social marketing X X X X X Evidence-based clinic-wide prevention interventions for HIV+ persons and persons at risk of acquiring HIV

X X

X

Community interventions that reduce HIV risk X X X X Behavioral risk screening followed by individual and group-level evidence-based interventions for HIV negative persons at high risk, particularly serodiscordant couples

X X X X X X

Integration of hepatitis, TB, STD testing, partner services, vaccine and treatment for HIV negative persons at high risk

X X X X X

X

Targeted use of HIV and STD surveillance data to prioritize risk reduction and partner services X X X X X X X X X X

Broadening linkages and provision of services for social factors influencing HIV incidence for HIV negative persons at high risk

X X X X X X

X

Brief alcohol screening and interventions for HIV+ persons and high-risk HIV negative persons

X X X

X

Community mobilization X X

Lo

ATTACH

os Angeles Co

HMENT F.

ounty Comp

ESTIMATANGELES

prehensive H

TED PERCES COUNTY

HIV Plan 201

ENT OF HIVIN STAGES

3‐2017 | Att

V‐INFECTEDS OF THE H

tachments |

D PERSONHIV CARE C

Page A‐27

S IN LOS CONTINUU

UM

Lo

os Angeles Coounty Compprehensive HHIV Plan 2013‐2017 | Atttachments |Page A‐28

attachments for los angeles county five year comprehensive hiv plan 2013-2017

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