239657 Positive and Proactive:Implementing empowerment based programming to engage Urban Young Men who have Sex with Men of color (UYMSMC) in HIV primary care settings

Monday, October 31, 2011: 12:50 PM

Noel Ramirez, MSW, MPH (cand) , Dorothy Mann Center - Immunology - Pediatric HIV/AIDS practice, St. Christopher's Hospital for Children, Philadelphia
Jill Foster, MD , Dorothy Mann Center for Pediatric & Adolescent HIV, Drexel University College of Medicine, Philadelphia, PA
Key Issue: Risk reduction interventions targeting urban HIV positive UYMSMC are often brief (less than 6 weeks) and are facilitated outside of HIV primary medical care facilities. Although these interventions address risky sexual behavior among this population, UYMSMC remain disengaged in medical care and represent a significant portion of people living with HIV and AIDS in the metropolitan Philadelphia area. Lack of long-term programming and limited attention to group programming in HIV care practices result in HIV/AIDS medical practices being unsure of how to retain and engage this hard to reach population in medical care.

Key Points: The Facilitator will present and discuss with the group a pilot program, SWEAT (Sexuality With Education And Truth) conducted in a Pediatric HIV/AIDS practice in Philadelphia. SWEAT is a three-pronged approach to engaging UYMSMC who were identified as lost to HIV care and/or newly diagnosed with HIV. The SWEAT program includes continuous long-term programming: a group level intervention, street team leadership development program and a men's health seminar series. Topics in this discussion will include: 1) exiting programs targeting HIV positive UYMSMC; 2) Responses of UYMSMC from focus group and initial cohort of SWEAT; 3) Responses from staff regarding how programming has increased CQI initiatives; 4) a summary of key process objectives to consider when implementing programming like this in clinical practices.

Implications: Implementing long-term empowerment based leadership development programming in HIV medical practices can garner positive health outcomes among this hard to reach population: increased adherence to ART medications, decreased STI acquisition and successful transition to adult care. Programming such as this is highly beneficial to consumers because it provides them with professional and leadership development opportunities, normalizes the use primary/preventive medical services and offers additional reasons to seek and maintain treatment at their HIV primary care program.

Learning Areas:
Assessment of individual and community needs for health education
Planning of health education strategies, interventions, and programs
Program planning
Public health or related education
Public health or related research
Social and behavioral sciences

Learning Objectives:
Assess the needs of UYMSMC in HIV settings (medical) Formulate an implementation plan for empowerment based UYMSM programming in medical clinics that serve UYMSMC who are HIV positive Discuss the efficacy of programming models that incorporate empowerment and leadership development in behavioral interventions targeting HIV positive UYMSMC with health positive health outcomes

Keywords: Community Involvement, HIV/AIDS

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a full-time Coordinator for Health Education in a Pediatric HIV clinic in Philadelphia. Philadelphia is one of the larger EMA in the East Coast. In addition to this experience, I have had experience working as a social worker for the largest HIV clinic for adults in Philadelphia.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.