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Motivation-Based Ou= treach to Young MSMs of Color
Wayne State University
Detroit, MI

Outline

HIV Epidemiology

HIV Epidemiology

Horizons Project

Horizons Project’s Continuum of Care

Horizons Project Te= am Picture

Intervention

Field Outreach Plus= MI

Internet Outreach P= lus MI

Additional Programm= ing

Local Evaluation:  Process

Local Evaluation:  Outcome

Expected Challenges=

Questions

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Motivation-Based Ou= treach to Young MSMs of Color
Wayne State University
Detroit, MI
YMSM of Color SPNS = Initiative
Grantee Meeting
Washington, DC
01/25/2005

Outline
HIV Epidemiology
Description of Hori= zons Project
Continuum of Care
Team Picture=
Intervention=
Local Evaluation
Expected Challenges=
Questions

HIV Epidemiology
The Michigan Depart= ment of Community Health (MDCH) HIV/AIDS Surveillance Section estimates that as of October 2004 there were 16,200 people (1,850 ages 13-24 years) living with HIV/AIDS in the state of Michigan.
Approximately 68% o= f the Michigan HIV/AIDS cases reside in the Detroit Metropolitan Area (DMA).
There are an estima= ted 1,260 adolescent/young adult cases in the DMA (795 estimated cases (13-24 yrs) = in the city of Detroit).

HIV Epidemiology
Although the popula= tion of African Americans in Michigan is 14%, they comprise 57% of all reported HIV/AIDS cases.
As of January 2004,= in the DMA, MSM was the primary mode of transmission for 67% of the cases for 13 –19 = year old males (18% unknown) and 80% of the cases for 20 –24 year old males (1= 3% unknown).

Horizons Project
The Horizons Project (established in 1991) is dedicated to providing direct care services to H= IV+ adolescents and young adults ages 13-24 and HIV prevention services to at-risk youth.
The Horizons Projec= t has continued to grow as the only comprehensive HIV/AIDS program in Michigan focusing on youth.
Wayne State Univers= ity (WSU) and the Detroit Medical Center (DMC) serve as fiduciaries.

Horizons Project’s Continuum of Care

Horizons Project Te= am Picture

Intervention
Motivation-Based Ou= treach (Outreach plus MI)
Motivational Interv= iewing (MI)*
“Client-centered, d= irective method for enhancing intrinsic motivation to change by exploring and resolving ambivalence.”
       (*Miller & Rollnick (1991, 2= 002)
Focus on HIV C&= T and returning for test results

Field Outreach Plus= MI
Provide MI during f= ield outreach to encourage HIV C&T (youth may/may not test).
Conduct 2nd MI session to encourage return for test results (explore options for rapid o= ral testing).
Simultaneous with r= isk reduction plan

Internet Outreach P= lus MI
Phase I
Develop online surv= eys that focus on barriers to HIV C&T
Recruitment for onl= ine surveys
Invitations and Inc= entives
Phase II
Provide MI online d= uring outreach to encourage HIV C&T (youth may/may not come in for testing)= .
Conduct 2nd MI session to encourage return for test results (explore options for rapid o= ral testing).
Simultaneous with r= isk reduction plan

Additional Programm= ing
Link to care for HI= V+ African-American YMSMs
Linked to Comprehen= sive Continuum of Care
Linked to MI for en= rollment and engagement in care
Work with clients u= ntil ready to enter care
Prevention programm= ing for HIV- African-American YMSMs
Brother to Brother<= /font>
Three-session behav= ioral intervention aimed at reducing HIV infection among African-American gay a= nd bisexual men.

Local Evaluation:  Process
Systematic examinat= ion of the delivery of the intervention
Study retention (i.= e. attendance, number who did not complete the intervention, loss to follow-= up, etc.)
Number, type, and d= uration of outreach contacts
Content of the outr= each encounter
Number of unduplica= ted youth contacted

Local Evaluation:  Outcome
Peer outreach plus = MI versus peer outreach alone in the field.
Peer outreach plus = MI versus peer outreach alone via the Internet.

Expected Challenges=
Making contact with= YMSMs during field outreach.
Making contact with= DL/YMSMs via Internet outreach.
Getting youth to en= roll in research (i.e. completing questionnaires, following youth for follow-up, etc.)
IRB issues related = to Internet outreach:
Ethical and Legal i= ssues

Questions

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------=_NextPart_01C554BD.BF142DD0 Content-Location: file:///C:/B133E6B5/WSU_files/master15.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C554BD.BF142DD0 Content-Location: file:///C:/B133E6B5/WSU_files/pres.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C554BD.BF142DD0 Content-Location: file:///C:/B133E6B5/WSU_files/v3_slide0001.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" Wayne State University Detroit, MI
<= /td> <= /td> <= /td> = <= /td> <= /td>
Motivation-Based Outreach to
Young MSMs of Color
Wayne State University
Detroit, MI
<= /td> <= /td> <= /td> <= /td>
YMSM of Color SPNS Initiative
Grantee Meeting
Washington, DC
Wayne State University Detroit, MI
Outline
<= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td>
Ř HIV Epidemiology
Ř Description of Horizons Project
Ř Continuum of Care
Ř Team Picture
Ř Intervention
Ř Local Evaluation
Ř Expected Challenges
Ř Questions
------=_NextPart_01C554BD.BF142DD0 Content-Location: file:///C:/B133E6B5/WSU_files/v3_master14_background.gif Content-Transfer-Encoding: base64 Content-Type: image/gif R0lGODlh3AFlAXcAMSH+GlNvZnR3YXJlOiBNaWNyb3NvZnQgT2ZmaWNlACH5BAEAAAAALAAAAADb AWQBhAAAAABorgB3ygB4ygB5zAB7zgB6zQB80gB70AB/1QB90wCB2QCA1wCD3ACF3wCG4ACH4gCI 5AECAwECAwECAwECAwECAwECAwECAwECAwECAwECAwECAwECAwECAwECAwX/YCCOZGmeaKqubOu+ cCzPdG3feK7vfO//wKBwSCwaj8ikcslsOp/QqHRKrVqv2Kx2y+16v+CweEwum8/otHrNbrvf8Lh8 Tq/b7/i8fs/v+/+AgYKDhIWGh4iJiouMjY6PkJGSk5SVlpeYmZqbnJ2en6ChoqOkpaanqKmqq6yt rq+wsbKztLW2t7i5uru8vb6/wMHCw8TFxsfIycrLzM3Oz9DR0tPU1dbX2Nna29zd3t/g4eLj5OXm 5+jp6uvs7e7v8PHy8/T19vf4+fr7/P3+/wADChxIsKDBgwgTKlzIsKHDhxAjSpxIsaLFixgzatzI saPHjyBDihxJsqTJkyhT/6pcybKly5cwY8qcSbOmzZs4c+rcybOnz59AgwodSrSo0aNIkypdyrSp 06dQo0qdSrWq1atYs2rdyrWr169gw4odS7as2bNo06pdy7at27dw48qdS7eu3bt48+rdy7ev37+A AwseTLiw4cOIEytezLix48eQI0ueTLmy5cuYM2vezLmz58+gQ4seTbq06dOoU6tezbq169ewY8ue Tbu27du4c+vezbu379/AgwsfTry48ePIkytfzry58+fQo0ufTr269evYs2vfzr279+/gw4sfT768 +fPo06tfz769+/fw48ufT7++/fv48+vfz7+///8ABijggAQWaOCBCCao4JCCDDbo4IMQRijhhBRW aOGFGGao4YYcdujhhyCGKOKIJJZo4okopqjiiiy26OKLMMYo44w01mjjjTjmqOOOPPbo449ABink kEQWaeSRSCap5JJMNunkk1BGKeWUEgmQ3wAD4EcAAfgVYAB+ByCAXwIK4LcAA/g1gN8DDtwHAQT3 RRABlXTWaeedeOap554RhQAAOw== ------=_NextPart_01C554BD.BF142DD0 Content-Location: file:///C:/B133E6B5/WSU_files/v3_slide0003.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" Wayne State University Detroit, MI
HIV Epidemiology
<= /td> = = <= /td>
Ř The Michigan Department of Community Health
(MDCH) HIV/AIDS Surveillance Section estimates
that as of October 2004 there were 16,200 people
(1,850 ages 13-24 years) living with HIV/AIDS in the
state of Michigan.
Ř Approximately 68% of the Michigan HIV/AIDS
cases reside in the Detroit Metropolitan Area (DMA).
Ř There are an estimated 1,260 adolescent/young adult
cases in the DMA (795 estimated cases (13-24 yrs) in
the city of Detroit).
------=_NextPart_01C554BD.BF142DD0 Content-Location: file:///C:/B133E6B5/WSU_files/v3_slide0004.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" Wayne State University Detroit, MI
HIV Epidemiology
<= /td> = <= /td> <= /td> <= /td> <= /td>
Ř Although the population of African Americans
in Michigan is 14%, they comprise 57% of all
reported HIV/AIDS cases.
Ř As of January 2004, in the DMA, MSM was
the primary mode of transmission for 67% of
the cases for 13 –19 year old males (18%
unknown) and 80% of the cases for 20 –24
year old males (13% unknown).
------=_NextPart_01C554BD.BF142DD0 Content-Location: file:///C:/B133E6B5/WSU_files/v3_slide0013.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" Wayne State University Detroit, MI
Horizons Project
<= /td> = = <= /td>
Ř The Horizons Project (established in 1991) is
dedicated to providing direct care services to
HIV+ adolescents and young adults ages 13-24
and HIV prevention services to at-risk youth.
Ř The Horizons Project has continued to grow as
the only comprehensive HIV/AIDS program in
Michigan focusing on youth.
Ř Wayne State University (WSU) and the Detroit
Medical Center (DMC) serve as fiduciaries.
------=_NextPart_01C554BD.BF142DD0 Content-Location: file:///C:/B133E6B5/WSU_files/v3_slide0009.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" Wayne State University Detroit, MI
Horizons Project’s Continuum of Care<= br>
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Horizons Project Team Picture
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Field Outreach Plus MI
<= /td> <= /td> <= /td> = <= /td> <= /td>
Ř Provide MI during field outreach to encourage
HIV C&T (youth may/may not test).
Ř Conduct 2nd MI session to encourage return for
test results (explore options for rapid oral
testing).
l Simultaneous with risk reduction plan
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Internet Outreach Plus MI
<= /td> <= /td> <= /td> <= /td> = <= /td> <= /td> <= /td> <= /td> =
Ř Phase I
l Develop online surveys that focus on barriers to HIV C&T
l Recruitment for online surveys
• Invitations and Incentives
Ř Phase II
l Provide MI online during outreach to encourage HIV C&T
(youth may/may not come in for testing).
l Conduct 2nd MI session to encourage return for test results
(explore options for rapid oral testing).
• Simultaneous with risk reduction plan
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Additional Programming
<= /td> <= /td> <= /td> <= /td> <= /td> = <= /td> <= /td> <= /td>
Ř Link to care for HIV+ African-American YMSMs
l Linked to Comprehensive Continuum of Care
l Linked to MI for enrollment and engagement in care
l Work with clients until ready to enter care
Ř Prevention programming for HIV- African-American
YMSMs
l Brother to Brother
• Three-session behavioral intervention aimed at reducing HIV
infection among African-American gay and bisexual men.
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Local Evaluation:  Process
<= /td> <= /td> <= /td> <= /td> = <= /td> <= /td> <= /td>
Ř Systematic examination of the delivery of the
intervention
Ř Study retention (i.e. attendance, number who
did not complete the intervention, loss to
follow-up, e= tc.)
Ř Number, type, and duration of outreach
contacts
Ř Content of the outreach encounter
Ř Number of unduplicated youth contacted
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Local Evaluation:  Outcome
<= /td> = <= /td>
Ř Peer outreach plus MI versus peer
outreach alone in the field.
Ř Peer outreach plus MI versus peer
outreach alone via the Internet.
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Expected Challenges
<= /td> <= /td> <= /td> <= /td> <= /td> = <= /td> <= /td>
Ř Making contact with YMSMs during field
outreach.
Ř Making contact with DL/YMSMs via Internet
outreach.
Ř Getting youth to enroll in research (i.e.
completing questionnaires, following youth for
follow-up, etc.)
Ř IRB issues related to Internet outreach:
l Ethical and Legal issues
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Questions
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Motivation-Based Outreach to You= ng MSMs of Color
Wayne State University
Detroit, MI
YMSM of Color SPNS Initiative <= /div>
Grantee Meeting
Washington, DC
01/25/2005
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Outline
ØHIV Epidemiology
ØDescription of Horizons Project
ØContinuum of Care
ØTeam Picture
ØIntervention
ØLocal Evaluation
ØExpected Challenges
ØQuestions
Ø
Ø<= /span>
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HIV Epidemiology
ØThe Michigan Department of Community Health (MD= CH) HIV/AIDS Surveillance Section estimates tha= t as of October 2004 there were 16,200 people (1,= 850 ages 13-24 years) living with HIV/AIDS in the sta= te of Michigan. 
ØApp= roximately 68% of the Michigan HIV/AIDS cases reside in the Detr= oit Metropolitan Area (DMA).
ØThe= re are an estimated 1,260 adolescent/young adult cas= es in the DMA (795 estimated cases (13-24 yrs) in the= city of Detroit).
Ø
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HIV Epidemiology
ØAlthough the population of African Americans = in Michigan is 14= %, they comprise 57% of all reported HIV/AIDS cases. ØAs of January 200= 4, in the DMA, MSM was the primary mode of transmission for 67% of = the cases for 13 –19 year old males (18% unknown) and 80% of the cases for 20 –24 = year old males (1= 3% unknown).
Ø
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Horizons Project
ØThe Horizons Proj= ect (established in 1991) is dedicated to providing direct care services to HIV+ adolescents and young adults ages 13-24 and HIV prevention services to at-risk youth.
ØThe Horizons Proj= ect has continued to grow as the only comprehensive HIV/AIDS progra= m in Michigan focusing on youth.
ØWayne State Unive= rsity (WSU) and the Detroit Medical Center (DMC) serve as fiduciaries.=
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Horizons Project’s Continuum of Care=
Other Medical Sites
Serving HIV-Positive
Youth
 C&T
Sites
Horizons C&T
Horizons Community
Outreach Events
Horizons Street Outreach
to At-Risk Youth
Horizons Peer
Advocacy
Horizons Case Finding:
Agency/Street Outreach
Alternative Outreach
 
Community Agencies
and Resources
HIV+
HIV+
Primary Medical Care
Medical Specialty Care
Nursing Services&#= 13;
Health Education&#= 13;
Social Work Services
Case Management= 3;
Ongoing Advocacy&#= 13;
Mentoring
Consumer Involvement
Therapeutic Activities
Transportation = ;
Adherence Services
Psychological Serv= ices
Psychiatric Consultation
Education and Training
Retention Interventions
Horizons
Care Team
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Horizons Project Team Picture
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