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Women Organized to Respond to Life Threatening Diseases

Women Organized to Respond to Life Threatening Diseases

414 13th Street, 2nd Floor
Oakland, CA 94612

Phone: (510) 986-0340
Fax: (510) 986-0341
Title: Linkage Improvement for Network Clients
Project Director: Bridget Hughes
Target Population: Black/African American, Hispanic/ Latino
Health Issues: HIV/AIDS
Age Group: Adolescents, Adults

The goal of Linkage Improvement for Network Clients is to improve health outcomes for hard-to-reach HIV positive women, youth and fathers, primarily African American and Latino, living in Alameda and Contra Costa Counties. The grantee works in collaboration with The Family Care Network (FCN), an existing community coalition of which it is a member, and two other FCN member organizations-- Alameda County Medical Center HIV Services and East Bay AIDS Center--to more effectively link the target population with available health and social services.

Specific objectives are to improve access to health care, promote healthier behavior, and increase utilization of health and social services available through the FCN network. These are accomplished through Client Navigators, who seek out hard-to-reach out-of-care clients, patients who are lost to followup, and people just testing HIV positive, and work toward developing a trusting relationship and rapport with them with the goal of the clients returning to or entering care. Navigators work one-on-one with clients to assess needs, information gaps and barriers to care; and get them engaged in care with FCN’s network of services. Plans on how to use services that will help achieve better health and quality of life are developed with each client, and health education provided in formal or informal sessions on such topics as how HIV is transmitted to sex and drug partners, HIV symptoms and progression, condom usage, and effective interaction with medical providers. The Navigators help the clients face and understand the realities of having HIV, providing information on harm reduction, new treatment options, and access to medical and social services. They provide referrals and followup for clients, schedule appointments, accompany them to appointments, make reminder calls, follow up with providers to identify when appointments are missed, and actively seek out clients to ensure they make the next appointment. Two series of Treatment Support group sessions are conducted per year for clients newly entering into treatment, and all are invited to use the applicant’s AIDS Resources Library. Approximately 145 clients receive health education, treatment support and harm reduction coaching each year.

Content Last Modified: 1/6/2006 1:09:00 PM
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