Name of OMH Grant Program: Curbing HIV/AIDS Transmission Among High-Risk Minority Youth and Adolescents (CHAT)
Initial Year of Funding: FY 2009
Project Period (Number of Years): 3
- Grantee Organization Name: Vista Community Clinic
- Organization Address (Street, City, State, Zip): 1000 Vale Terrace, Vista, CA 92084
- Organization website URL (if any): http://www.vistacommunityclinic.org/
- Brief Description of the Organization: Founded in 1972, Vista Community Clinic (VCC) offers primary health care services, including prenatal care, pediatrics, family and internal medicine, dental health, women’s health, and reproductive health to minority, underserved residents of North San Diego County.
GRANT PROJECT INFORMATION
- Title of Grant Project: VCC-CHAT
- Amount of OMH Award: $247,874
- Name of Project Director: Fernando Sañudo
BRIEF DESCRIPTION OF THE GRANT PROJECT
The purpose of the VCC-CHAT project was to build capacity to provide counseling, testing, and referral (CTR) services for high-risk minority youth, improve the infrastructure of youth service agencies to address HIV/AIDS, integrate services among different types of service providers, increase access to services, and change behavior and utilization. This project conducted a range of HIV/AIDS education and prevention activities, including: (1) using a peer-education model to provide HIV educational workshops and referral services; (2) expanding HIV services by recruiting service providers that work with at-risk minority youth; and (3) developing a comprehensive resource directory specific to North San Diego County to include community-based health and social services. Peer educators linked participants to VCC-CHAT social networking web pages, HIV CTR, and HIV primary care. VCC-CHAT also used text messages and micro-blogs, in addition to internet-based social networks, to inform youth about VCC medical services, including VCC HIV CTR, Teen Clinic services, and other social services.
The program expected to see increased awareness and knowledge about HIV/AIDS, a reduction of risky behaviors, an increase in health care access and appropriate utilization of HIV/AIDS services and resources, and the development of formal and informal partnerships among youth-serving agencies in North San Diego County in order to increase access to HIV/AIDS services. To work toward these goals, VCC-CHAT sought to conduct 40 educational workshops for at-risk minority youth, refer 500 youth to HIV CTR services and test at least 300 youth annually, and have at least five youth-service providers incorporate VCC HIV CTR referrals and other social services into their intake and referral process.
A mixed-method, process, outcome, and impact evaluation was conducted to document the achievements of intended outcomes. Both quantitative and qualitative data, such as the number of participants; number of minority youths and adolescents who received education on HIV/AIDS; number of minority youth who understood their HIV risk and exhibited behavioral changes; number of partnerships developed; number of HIV testing/counseling services provided; improved perception of HIV services; and increased utilization of “new technologies” to access health, social, and support services, were collected through document reviews and web-based tracking and monitoring.
Key program findings reported throughout the grant period:
- Increased awareness of HIV testing and HIV status. Throughout the project period of performance, 1,742 youth were tested for HIV (rapid HIV test)—almost double the original goal. Of the two individuals who were found to be HIV positive with confirmatory HIV tests, one moved out of California shortly thereafter and was not tracked, and the other was referred to HIV primary medical care and continued to be engaged in HIV primary medical care and supportive services throughout the program.
- Sexual education and increased general awareness of HIV. Of the 2,943 youth who participated in the 259 workshops, 95 percent increased their knowledge of HIV (with a minimum score of 75 percent to prove proficiency).
- Increased the number of youth referred for services. The project was able to provide 6,511 referrals (counseling, housing, etc.) to local teens and young adults in person, via text message, social networking websites, and referral cards.
- Increased the number of partners participating in activities for at-risk minority youth. The program engaged 33 partners in activities for at-risk minority youth and secured 15 letters of agreement.
RELATED NATIONAL PARTNERSHIP FOR ACTION TO END HEALTH DISPARITIES GOALS
- Awareness: Increase awareness of the significance of health disparities, their impact on the nation, and the actions necessary to improve health outcomes for racial, ethnic, and other disparities population.
- Leadership: Strengthen and broaden leadership for addressing health disparities at all levels.
- Health System and Life Experience: Improve health and healthcare outcomes for racial and ethnic minorities and for underserved populations and communities.
RELATED HEALTHY PEOPLE 2020 OBJECTIVES & SUBOBJECTIVES
- HIV-3 Reduce the rate of HIV transmission among adolescents and adults
- HIV-4 Reduce new AIDS cases among adolescents and adults
- HIV-5 Reduce new AIDS cases among adolescent and adult heterosexuals
- HIV-6 Reduce new AIDS cases among adolescent and adult men who have sex with men
- HIV-7 Reduce new AIDS cases among adolescents and adults who inject drugs
- HIV-12 Reduce deaths from HIV infection
- HIV-13 Increase the proportion of persons living with HIV who know their serostatus
- HIV-14.1 Increase the proportion of adolescents and adults who have been tested for HIV in the past 12 months
- HIV-14.4 Increase the proportion of adolescents and young adults who have been tested for HIV in the past 12 months
- HIV-16 Increase the proportion of substance abuse treatment facilities that offer HIV/AIDS education, counseling, and support
- HIV-17.1 Increase the proportion of sexually active unmarried females aged 15 to 44 years who use condoms
- HIV-17.2 Increase the proportion of sexually active unmarried males aged 15 to 44 years who use condoms
- ECBP-2.7 Increase the proportion of elementary, middle, and senior high schools that provide comprehensive school health education to prevent health problems in unintended pregnancy, HIV/AIDS, and STD infection
- ECBP-3.1 Increase the proportion of elementary, middle, and senior high schools that have health education goals or objectives which address the comprehension of concepts related to health promotion and disease prevention (knowledge)
- ECBP-3.2 Increase the proportion of elementary, middle, and senior high schools that have health education goals or objectives which address accessing valid information and health promoting products and services (skills)
- ECBP-3.3 Increase the proportion of elementary, middle, and senior high schools that have health education goals or objectives which address advocating for personal, family, and community health (skills)
- ECBP-3.5 Increase the proportion of elementary, middle, and senior high schools that have health education goals or objectives which address practicing health-enhancing behaviors and reducing health risks (skills)
- HC/HIT-8.1 Increase the proportion of health-related Websites that meet three or more evaluation criteria disclosing information that can be used to assess information reliability
- HC/HIT-9 Increase the proportion of online health information seekers who report easily accessing health information