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Best Practices for Reaching and Engaging HIV-Infected Youth in Care

Background<= /font>

Background<= /font>

Questions

Questions

Best Practices<= /b>

Best Practices<= /b>

Best Practices<= /b>

Best Practices<= /b>

Other Critical Prac= tices

Youth-Friendly Prog= rams

Youth-Friendly Prog= rams

Youth-Friendly Prog= rams

Youth-Friendly Prog= rams

Youth-Friendly Prog= rams

Youth-Friendly Prog= rams

Youth-Friendly Prov= iders

Youth-Friendly Prov= iders

Youth-Friendly Prov= iders

Youth-Friendly Prov= iders

What does NOT work<= /a>

What does NOT work<= /a>

Contact:

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Best Practices for Reaching and Engaging HIV-Infected Youth in Care
Eda Valero-Figueira= , PhD
HIV/AIDS Bureau
Division of Communi= ty Based Services

Background<= /font>
The number of youth= infected with HIV continues to increase
This is not evident= in the number of youth served
Lost-to-care rates = remain high

Background<= /font>
Youth-specific HIV = services have evolved, and new players are entering the field
In addition to this= SPNS initiative, the HIV/AIDS Bureau funds 17 youth-specific CARE programs

Questions
What are “best prac= tices” that can be recommended to current and future providers of HIV services to you= ng people?
How can rates of en= gagement and retention of HIV-infected youth in care be improved?

Questions
What constitutes a youth-friendly, youth-sensitive program?
What makes an adult= effective in working with youth?
What are some commo= n strategies that won’t work?

Best Practices<= /b>
High quality servic= es
Comprehensive and c= oordinated care (incl. primary, specialty, dental, mental health, and support servic= es)
Strong protections = to ensure patient confidentiality

Best Practices<= /b>
Targeted outreach a= s a tool to engage and retain youth in care
Immediate or prompt= linkage into care
Strong links to cou= nseling and testing sites

Best Practices<= /b>
24/7 access (accept= ability and accessibility)
Specific clinic hou= rs for youth, and  capacity to handle yo= uth at other times
Culturally competent professional staff choosing to work with youth

Best Practices<= /b>
Client support acti= vities
Links to the broader youth-focused service system
 Youth-oriented educational activities<= /font>

Other Critical Prac= tices
Projects need advis= ory structures that involve youth in developing services
HIV services for yo= uth must be youth-specific and youth-friendly
Community level interventions  provide informatio= n on HIV to youth and help end stigma

Youth-Friendly Prog= rams
Treat youth with re= spect and value their opinions
Educate youth about= their health and their health needs, so that they can make informed decisions

Youth-Friendly Prog= rams
Offer social and co= mmunity support activities that inform and engage youth
Provide individual support,  as well as small group support, and peer support

Youth-Friendly Prog= rams
Are open to the you= th and flexible in attending to their needs
Include activities = that center around psychological health, nutrition, family relationships, intimate relationships, treatment adherence, and housing

Youth-Friendly Prog= rams
 Have links with other community servic= es to ensure that the youth have access to them
Hire peers or almos= t-peers as part of the program staff, and train and support them in their various ro= les and positions

Youth-Friendly Prog= rams
Help to move youth = into stronger positions in which they can assert their independence and contin= ue to grow
Have comfortable env= ironments where youth feel welcome

Youth-Friendly Prog= rams
 Work with youth to plan their transiti= ons
Help develop youth = leadership and decision-making skills through trainings, workshops, and attendance at national and regional conferences

Youth-Friendly Prov= iders
Like youth and are = motivated to work with them
Have sensitivity an= d realistic expectations
Are patient (know i= t takes time to trust)

Youth-Friendly Prov= iders
Demonstrate they are non-judgmental
Are family-friendly= and allow the clients to define their family
Know how to establi= sh and keep healthy relationships

Youth-Friendly Prov= iders
Protect confidentia= lity
Know how to talk an= d listen
Do not seek or expe= ct uniformity, but tend to the needs of each youth

Youth-Friendly Prov= iders
Are willing to give= youth the emotional space they need
Demonstrate patienc= e and tolerance
Like youth and are = motivated to work with them

What does NOT work<= /a>
Assuming staff are = culturally competent because they are demographically similar to your clientele
Mistaking bilingual= ism for cultural competence

What does NOT work<= /a>
Hiring staff who do= not identify with the various youth sub-populations
Hiring staff who ha= ve to “work” at their interactions with youth
Measuring success o= f outreach by rates of seropositivity

Contact:
Eda Valero-Figueira= , PhD
Project Officer
Division of Communi= ty Based Programs
5600 Fishers Lane, = 7A-30
Rockville, MD 20857=
Tel. 301 443-8368
EValeroF@HRSA.GOV

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------=_NextPart_01C554BB.D871A070 Content-Location: file:///C:/0D761913/BestPractices_files/pres.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C554BB.D871A070 Content-Location: file:///C:/0D761913/BestPractices_files/v3_slide0001.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" Slide 1
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Best Practices for Reaching
and Engaging HIV-Infected
Youth in Care
<= /td> <= /td> = <= /td>
Eda Valero-Figueira, PhD
HIV/AIDS Bureau
Division of Community Based Services
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Background
<= /td> = = <= /td> <= /td>
• The number of youth infected with
HIV continues to increase
• This is not evident in the number of
youth served
• Lost-to-care rates remain high
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Background
<= /td> = = <= /td> <= /td>
• Youth-specific HIV services have
evolved, and new players are
entering the field
• In addition to this SPNS initiative,
the HIV/AIDS Bureau funds 17
youth-specific CARE programs
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Questions
<= /td> = <= /td> <= /td>
• What are “best practices” that
can be recommended to current
and future providers of HIV
services to young people?
• How can rates of engagement
and retention of HIV-infected
youth in care be improved?
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Questions
<= /td> = <= /td> <= /td> <= /td> <= /td>
• What constitutes a youth-friendly,
youth-sensitive program?
• What makes an adult effective in
working with youth?
• What are some common strategies
that won’t work?
------=_NextPart_01C554BB.D871A070 Content-Location: file:///C:/0D761913/BestPractices_files/v3_master04_image006.gif Content-Transfer-Encoding: base64 Content-Type: image/gif R0lGODlhBgALAHcAMSH+GlNvZnR3YXJlOiBNaWNyb3NvZnQgT2ZmaWNlACH5BAEAAAAALAAAAgAF AAgAgQAAAAAAAP///wECAwIOhA4We5LCUlBOGTfBAgUAOw== ------=_NextPart_01C554BB.D871A070 Content-Location: file:///C:/0D761913/BestPractices_files/v3_slide0008.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" Slide 1
Best Practices
<= /td> = <= /td> = <= /td>
• High quality services
• Comprehensive and coordinated care
(incl. primary, specialty, dental,
mental health, and support services)
• Strong protections to ensure patient
confidentiality
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Best Practices
<= /td> = <= /td> =
• Targeted outreach as a tool to
engage and retain youth in care
• Immediate or prompt linkage
into care
• Strong links to counseling and
testing sites
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Best Practices
<= /td> = = <= /td> <= /td> <= /td>
• 24/7 access (acceptability and
accessibility)
• Specific clinic hours for youth, and
capacity to handle youth at other times
• Culturally competent professional staff
choosing to work with youth
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Best Practices
<= /td> = = <= /td>
• Client support activities
• Links to the broader youth-
focused service system
•  Youth-oriented educational
activities
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Other Critical Practices
<= /td> <= /td> <= /td> = = <= /td> <= /td>
• <= b>Projects need advisory structures
that involve youth in developing
= services
• HIV services for youth must be
youth-specific and youth-friendly

• Community level interventions
<= b>provide information on HIV to youth
and help end stigma
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Youth-Friendly Programs
<= /td> = = =
• Treat youth with respect and value
their opinions
• Educate youth about their health and
their health needs, so that they can
make informed decisions
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Youth-Friendly Programs
<= /td> <= /td> <= /td> = <= /td>
• Offer social and community support
activities that inform and engage
= youth
• Provide individual support,  as well
as small group support, and peer
= support
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Youth-Friendly Programs
<= /td> = = <= /td> <= /td> <= /td>
• Are open to the youth and flexible in
attending to their needs
• Include activities that center around
psychological health, nutrition,
family relationships, intimate
relationships, treatment adherence,
and housing
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Youth-Friendly Programs
<= /td> = <= /td> = <= /td>
•  Have links with other community<= /font>
services to ensure that the youth
have access to them
• Hire peers or almost-peers as part of
the program staff, and train and
support them in their various roles
and positions
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Youth-Friendly Programs
<= /td> <= /td> = <= /td> <= /td>
• Help to move youth into stronger
positions in which they can assert
their independence and continue to
= grow
• Have comfortable environments
where youth feel welcome
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Youth-Friendly Programs
<= /td> = = <= /td> <= /td>
•  = Work with youth to plan their
transitions
• Help develop youth leadership and
decision-making skills through
trainings, workshops, and attendance
at national and regional conferences
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Youth-Friendly Providers
<= /td> <= /td> <= /td> <= /td> = <= /td>
• Like youth and are motivated to work
with them
• Have sensitivity and realistic
expectations
• Are patient (know it takes time to
= trust)
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Youth-Friendly Providers
<= /td> = = <= /td> <= /td> <= /td>
• Demonstrate they are non-
judgmental
• Are family-friendly and allow the
clients to define their family
• Know how to establish and keep
healthy relationships
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Youth-Friendly Providers
<= /td> <= /td> = <= /td> <= /td>
• Protect confidentiality
• Know how to talk and listen
• Do not seek or expect uniformity,
but tend to the needs of each
= youth
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Youth-Friendly Providers
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What does NOT work
<= /td> <= /td> <= /td> = <= /td>
• Assuming staff are culturally
competent because they are
demographically similar to your
= clientele
• Mistaking bilingualism for cultural
competence
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What does NOT work
<= /td> = <= /td> <= /td>
• Hiring staff who do not identify with
the various youth sub-populations
• Hiring staff who have to “work” at
their interactions with youth
• Measuring success of outreach by
rates of seropositivity
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Contact:
<= /td> <= /td> <= /td> <= /td> <= /td>
Eda Valero-Figueira, PhD
Pr= oject Officer
Di= vision of Community
Ba= sed Programs
56= 00 Fishers Lane, 7A-30
Ro= ckville, MD 20857
Te= l. 301 443-8368
EV= aleroF@HRSA.GOV
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