Jeff Bailey MPH Jorge Montoya PhD Elvis Rosales MSW (c) Carlos Reynoso

P ROJECT G OAL : I MPROVE THE HEALTH O UTCOMES OF HIV POSITIVE MSM OF M EXICAN ORIGIN LIVING IN L OS A NGELES C OUNTY. Objectives 1. Between September 1, 2014 and November 30, 2017, conduct outreach to inform Latino MSM of Mexican origin of Fuerza Positiva and recruit eligible participants. 2. By November 30, 2017, identify a minimum of 180 HIV positive Latino MSM men of Mexican origin and link to HIV medical care within 30 days of enrollment. 3. By August 31, 2018, provide strength-based HIV care linkage support using a modified version of the Anti-Retroviral Treatment and Access to Services (ARTAS) model for a minimum of 85% of Latino MSM of Mexican origin enrolled in the intervention. 4. By August 31, 2018, provide culturally specific HIV care retention and support services using an adapted version of the Hermanos de Luna y Sol intervention for minimum of 45% of Latino MSM of Mexican origin enrolled in the intervention. 5. By August 31, 2018, provide psychotherapy to address psychological symptoms that may accompany a diagnosis with HIV/AIDS. 6. Between September 1, 2013 and August 31, 2018, implement a comprehensive data collection and evaluation process that effectively tracks the process and outcomes of the proposed initiative

T ARGET P OPULATION : HIV - POSITIVE INDIVIDUALS O F M EXICAN DESCENT WHO ARE : Newly diagnosed : Individuals recently diagnosed with HIV who do not have a medical provider( not in care); Recently diagnosed : Diagnosed seropositive within the past 6 months and not in care; Out of Care : Failing to have at least 2 medical visits 2 months apart in the past 12 months; Sub-optimal care : Failing to have at least 2 medical visits 2 months apart in 6 months; Tenuous Care : Social determinants that create a barrier to staying in care with medical and other health services and contribute to non-adherence to ART.

Potential Client is Identified through Outreach/In-reach Client screened for eligibility Eligible Scope of project is discussed Client Is given consent to participate Eligible Scope of project is discussed Client Is given consent to participate Not Eligible (HIV-positive) Referrals to other Linkage to Care and Case Management programs. Not Eligible (HIV-positive) Referrals to other Linkage to Care and Case Management programs. Follow up at 6,12 & 18 months Strength-based case management (modified ARTAS) Strength-based case management (modified ARTAS) MSE Assessment tool administered Client linked to clinic of choice Not Eligible (HIV-negative) Link to HIV and STD testing services. Not Eligible (HIV-negative) Link to HIV and STD testing services. Retention in care Improved health outcomes Retention in care Improved health outcomes Decline to participate Referrals to other Linkage to Care and Case Management programs. Decline to participate Referrals to other Linkage to Care and Case Management programs. One/one psychotherapy Hermanos de Luna y Sol Referral to support services

I NTEGRATING I NTERVENTION C ONSTRUCTS I NTO T HE P ROGRAM Intervention Constructs Intervention Components Recruitment/ Engagement Timely Entry/ Engagement in Retention and primary Medical Care Outreach Social Media Print Media Strength-Based CM – (ARTAS) Individual Psychotherapy Hermanos de Luna y Sol Stigma XXXX Mistrust XXXX Homophobia XXXX Fatalismo XXX Curandismo XXX Familismo XXX Simpatia XXX Personalismo XXXX

Intervention Update What evidence-based interventions are you adapting? ARTAS, Hermanos How are you documenting the procedures you will use in your intervention? Intervention manual/ P&P What changes have you made in your intervention(s)? Target population & numbers enrolled What challenges are you facing in design/implementation of your intervention? Client database, duplicative efforts What is the timeline for implementation of your intervention(s)? Upon approval of multi-site tool and subsequent IRB approval

CLINICAL PARTNERS Rand Schrader /5P21 Northeast Valley Health Corp. (NEVHC) L.A. Gay & Lesbian (LAGLC) To Help Everyone (T.H.E) Oasis Clinic AIDS Healthcare Foundation Coming soon APLA Health and Wellness Center LAC Service Planning Areas

C ONTACT INFORMATION Jeff Bailey MPHElvis Rosales MSW (c) Principal InvestigatorProject Coordinator (213) (213) Jorge Montoya PhD.Carlos Reynoso Local EvaluatorHealth Education Specialist (213) (213)