Engaging Young Black

MSM

July 30, 2013

For Audio: Dial-in#: 866.394.2346 Participant Code: 397 154 6368#

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Welcome & Overview- 5 mins Engaging Young Black MSM,

30 mins Panel Discussion on

Engagement, 20 mins Wrap-up & Evaluation, 5 minsMichael Hager

in+care Campaign ManagerNational Quality CenterNew York, NYmichael@nationalqualitycenter.org

Conversation opportunities throughout webinar

Agenda

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For more information: www.incarecampaign.org

This Partners in+care webinar is offered as part of the in+care Campaign.

The in+care Campaign is a national effort to improve retention in HIV care.

Webinars are one of many Partners in+care activities designed to engage people living with HIV/AIDS and their allies in the in+care Campaign.

Welcome & Overview

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This is a “public event.” If you have confidentiality concerns:

Your names appear on-line in the list of webinar registrants -consider just listening to the audio or to viewing the webinar at a later time, after it is posted at www.incarecampaign.org

All webinars are recorded - do not use identifying information when asking questions

Participation Guidelines

For Audio: Dial-in#: 866.394.2346 Participant Code: 397 154 6368#

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Actively participate and write your questions into the chat area during the presentation; we will also have a “pop up” question exercise, and will pause for conversation during the webinar

Do not put us on hold Mute your line if you are not speaking (press

*6, to unmute your line press #6) The slides and recording of this and other

Partners in+care webinars are available for playback and group presentations at www.incarecampaign.org – “Resources” tabFor Audio: Dial-in#: 866.394.2346 Participant Code: 397 154 6368#

Participation Guidelines

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Learning Objectives

At the end of this webinar you will know:

Methods to engage marginalized communities to support retention

How testing and prevention dovetails with linkage and retention

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Visit www.incarecampaign.org

Pop-up Question

YesNo

Engaging Young Black MSM

Is your clinic having a difficult time engaging and

retaining young Black MSM?

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Visit www.incarecampaign.org

Pop-up Question

YesNo

I don’t know

Engaging Young Black MSM

Do you think linkage and retention begins

with testing and prevention?

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The Treatment Cascade

20% are unaware of their infection

38% aren’t linked to care

Funded under CDC PS11-1113CANDII, Inc. DBA ACCESS AIDS Care

Norfolk, VA

Engaging Young Black MSM in HIV Prevention & Testing

Community Needs

Lack of Self-Efficacy re: condom usageLow perception of risk Social isolation leads to need for love and

companionship (even if risky)Lack of social support for positive health

behaviors

Community Needs

Coping with stigma from intersecting identities◦As an African American◦As an African American male◦As an African American gay/bi male◦As an HIV+ African American gay/bi male

LIFE’s VisionEncourage young black men to protect

themselves and always practice safer sex to stop the spread of HIV/AIDS

Encourage young black men to be comfortable with being gay or bi or being HIV+ and to know that it’s ok to be who you are

Encourage the discussion of safer sex and HIV prevention as a regular thing in the community

InterventionsEnhanced HIV Testing with PCC

◦Rapid HIV Testing◦Personalized Cognitive Counseling (if eligible)

Community PROMISE◦Role Model Stories◦Peer Advocates

CRCS with CLEAR◦5 Core Sessions◦At least one menu domain

Our ApproachBuild community with peers to reduce

feelings of isolation and stress◦Create safe space◦Community mobilization events

Teach and reinforce sexual health to community members◦Counseling & Testing (w/PCC)◦LIFE Stories◦Peer advocates

Our ApproachAffirm identity as African American gay

and bisexual men and offset negative messages◦LIFE Stories◦CLEAR

Events

Tribute Night—Feb. ‘12Hit List Ball—June ‘12Family Reunion Kiki Ball—Aug.’12World AIDS Day Ball—Dec. ‘12Tribute Night—Feb. ‘13Movie Night: Paris is Burning—Feb. ‘13Website Launch Party—Apr. ‘13Sexual Education Workshop—May ‘13

Events

Events

Incorporate HIV Prevention into EventsIncrease access to rapid HIV testingNormalize HIV testing behaviorRole model story distributionRole model/Peer advocate recruitment

Role Model Stories

http://youtu.be/r2PRx8zpjx8www.life757.org

Counseling & Testing

# Tested

New HIV+

% Pos. %Linked

Yr. 1 107 5 4.67% 80%

Mid-Yr. 2 87 7 8.04% 57%

Personalized Cognitive Counseling

# Repeat Testers

# PCC

Yr. 1 87 29Mid-Yr. 2 72 13

CLEAR--Choosing Life: Empowerment, Action, Results!

Evidence-based interventionIndividual level intervention

◦HIV+ African American MSM, 16-29 yrs. old or◦Sexual partner of target population

5 required core sessions1-2 menu sessions

Core Sessions

1: Getting to Know Each Other2: Creating a Vision for the Future3: Stressors and SMART Problem- Solving4: Exploring Different Types of Communication5: Putting it All Together

Menu Sessions

Sexual RiskSubstance Use RiskHealth care and Self careAdherenceDisclosureStigma

Wrap Up Session

Discuss maintenance strategiesReflect on intervention experienceClosureIncentive

CRCS w/CLEAR

# Served

# Completed

Core

% Complete

Yr. 1 21 9 48%

Mid-Yr. 2 17 12 71%

Total 28 21 75%

CLEAR Menu Sessions

Out of 26 clients served◦31%--Disclosure◦23%--Health care & Self care◦19%--Substance Use Risk◦15%--Sexual Risk◦8%--Stigma◦4%--Adherence

Condom Distribution

# to HR Neg/Unk

# to HIV+

# @ CLI

Yr. 1 4677 330 (2960)

Mid-Yr. 2 14807 705 (14517)

Unique Strategies

Special Testing Incentives◦Ultimate Dinner Date◦Testing Wars @ World AIDS Day Ball◦Marsha Ambrosia Concert Meet & Greet

Social Media/Website◦Facebook◦Grindr/Jack’d◦LIFE757 Website

Facebook Stats

241 Likes260 Reached this week10 People talking about this

Phone App Outreach

Website

Next StepsSocial Marketing Campaigns

◦HIV Testing◦Condom Usage

Xtra LoveGlove

Xtra LoveGlove

View his videos on the ACCESS AIDS Care YouTube Channel

Or “Friend” Him

NHTD 2013

• About 50 people

• 11 Tested for Gonorrhea/Chlamydia

• 13 Tested for Syphilis

• 3 HIV

Contact InformationACCESS AIDS Care

Norfolk, VA

Irma Hinkle, M.S.WPrograms Director

ihinkle@accessaids.org757-640-0929, ext. 216

Robyn Wilson, M.Ed.Program Manager

rwilson@accessaids.org757-640-0929, ext. 228

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Engaging Young Black MSMPanel Discussion - Introduction

Irma Hinkle, M.S.W.Programs DirectorACCESS AIDS CareNorfolk, VAihinkle@accessaids.org

Robyn WilsonProgram ManagerACCESS AIDS CareNorfolk, VArwilson@accessaids.org

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Let us know your experiences in the chat room!

How can we improve retention by focusing on the left side of

the Treatment Cascade?

Speaking from Experience:Engaging Young Black MSM

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Let us know your experiences in the chat room!

What is the most important lesson learned from engaging the communities you seek to

serve?

Speaking from Experience:Engaging Young Black MSM

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Visit www.incarecampaign.org

Pop-up Question

More likely than before I watched this programNo more or less likely than before I watched this

programLess likely than before I watched this program

Adapting to our Success

How likely are you to reevaluate the way you

address engaging young Black MSM?

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