best practices for hiv prevention among trans people luis gutierrez-mock, ma center of excellence...
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Best Practices for HIV Prevention Among Trans
PeopleLuis Gutierrez-Mock, MA
Center of Excellence for Transgender HealthUniversity of California, San Francisco
Our mission is to increase access to comprehensive, effective, and affirming
healthcare services for trans and gender-variant communities.
National Advisory BoardWe include community perspectives by actively engaging a national advisory body (NAB) of 12 trans identified leaders from throughout the country.
Main Projects
1. CATCH
2. International Project
3. Primary Care Protocols
4. Sheroes Intervention
5. Transitions Project
What is a Best Practice?
Best Practic
e
Experience
Research
Proven Success
Desired Result
Background
1. California Resource Inventory
2. California Service Gap Analysis
3. Data Analysis
1. Ground your work in the Community
2. One size does not fit all
3. Use Multidisciplinary Approaches
4. Get the Facts
5. Look in All the Right Places
6. Increase Access to Health Care
7. Staff Development 8. Advocate
Best Practices for Transgender HIV Prevention
1. Ground Your Work in the Community
Program planning & implementation
Throughout all levels of the program
Peer educators & volunteers
Community feedback
Collaborate with other providers
Bienestar - Los Angeles, CA◦Program based on
formative evaluations◦Addressed linguistic and
cultural needs
2. Race & Ethnicity: One Size Does Not Fit All
El/La - San Francisco, CA Focus on overall well-
being◦Cinema◦Dances◦Artistic Performances
3. Use Multidisciplinary Approaches
Communities
Organizations
Schools
Social Networks
Families
Individuals
4. Get the Facts! Assess, Evaluate & Enhance
Evaluate
Incorporate Findings
Plan Program Changes
Implement
Disseminate Findings
Project STAR – San Diego, CA◦Needs Assessment◦Disseminated data◦Used as an
advocacy tool
5. Look in All the Right Places
TransVision, Tri-City Health Center, Fremont, CA
“We have conducted surveys, oral and rapid testing, and CRCS Counseling in their rooms when it is difficult for them to make it to the agency.”
6. Increase Access to Health Care
Tom Waddell Health Center- San Francisco, CA
Collaborate with local providers who offer:
• Easily accessible or multiple locations
• Services in multiple languages
• Competent trans health & HIV care
• Hormone therapy
7. Invest In Developing and Supporting Your Staff
Prioritize staff development
Build staff capacity
Create opportunities for advancement
TRANS:THRIVE - San Francisco, CA
8. Advocate for Structural & Systemic Changes
Immigration
Health Insurance
HIV Prevention
Housing
Instituto Familiar de la Raza - San Francisco, CA◦Police brutality◦Targeting of trans
female sex workers
Additional Ideas
Incorporate trans inclusive data collection
Hire trans people
Provide trans inclusive health insurance
www.transhealth.ucsf.edu
www.facebook.com/transhealth