Wellness Web 2.0 Coastal Bend Wellness Foundation, Corpus Christi, TX Alison Johnson, Project Director Hillary Vallejo, Project Coordinator All-Sites Meeting | June 15, 2017

Intervention Review ARTAS Adaptation Enrollment Mobile Wellness - Client Paperwork - Consent Forms - ACASI ARTAS Adaptation - One-on-one text messaging w/ staff - Linkage to Care Focus - Time Limited Mobile Wellness - Programmed text messages - Retention focus - 12 weeks

Implementation: ARTAS Adaptation Enrollments: 27 ARTAS sessions: No engagements: 4 people Session 1: 9 people Session 2: 8 people Session 3: 5 people Session 4: 2 people Linked to care: 18 people Text messages sent: Staff has sent 344 ARTAS-related messages Clients have sent 282 ARTAS-related messages Topic discussed: Retention in care Regular Check-In Skills Building Following-up on previous conversations Utilization of support services

Implementation: Mobile Wellness Mobile Wellness Touchpoints: Client enrolled directly into Mobile Wellness: 5 Total clients enrolled in Mobile Wellness: 10 Platform has sent 1350 automated educational messages Staff has sent 829 messages (non-ARTAS related) Topics covered: Top topic covered: Retention in Care Other topics: Following up on previous conversation Regular check-in Skills building Utilization of support services

Implementation: Successes & Challenges Clients who engage with staff tend to be open Challenges: Some clients difficult to engage Dept. of Criminal Justice Transition Centers Transient

Implementation: Sample Conversation CBWF: Did you have any questions or concerns about switching doctors? Client: O no , maybe a little cause I had really great rapport with my old doctor Kinda was a parent to me That's understandable. Most doctors tend to be parental since they are taking care of their patients. Why are you concerned about the rapport with a new doctor? Just scared , idk I guess it's just telling my condition and then kinda almost nervous of everything Something you keep secret in a way and then you have to tell your story again and it's kinda hard when it's a stranger. I'm sure once uli meet them I will feel better I understand that it can be scary telling new people your status, especially doctors, but we are here to help. You have nothing to be afraid of. :) : What are you most nervous about with the new doctor? Who is your new doctor by the way? Yes but still it's the nerves Idk yet I think I find out this Thursday Ah ok. Our doctors are all amazing to work with and they will help make this process as smooth as possible. :) So far staff seems nice We try to be lol. No we are. We are dedicated to help everyone with their health needs. So did you have any questions for your doctor when you meet Thursday? Nope I have a list lol Just overall general questions Lol that's good that you have a list to ask your doctors. Most people think of questions beforehand then always forget to ask them before. Do you have any questions for me before we end the session? No I think I'm food

In-Reach: Clinical Services Quarterly report Pulled from eClinical Looking for gap in care or not virally suppressed 79 eligible patients reported Report is cross-referenced with ARIES report

In-Reach: Client Services Quarterly report: Pulled ARIES 19 clients reported Clients called and/or scheduled home visits New client intake process WellnessWeb staff are first point of contact for ALL new HIV+ clients Total unsuccessful screens: 58 Majority ineligible due to age range Screenings w/ new process: 38 WellnessWeb eligible found: 12 # enrolled: 9

Youth Advisory Board Involvement Youth Groups: YNOT of CBWF YNOT Youth Advisory Board South Texas Teen Leadership Involvement: Surveys - feedback on marketing messages Group discussions – improving outreach to youth

Review Marketing Message Samples BEFORE AFTER

Reviewed Marketing Message Samples BEFORE AFTER

Advertising Samples

Expanding Service Area Laredo Health Department Laredo DIS Laredo Numbers: 57% of PLWH were retained in care 48% of PLWH were virally suppressed

Outreach & Recruitment: Successes & Challenges Focusing on all aspects of the care continuum and not just linkage to care New collaboration and screening process with our Client Services department Challenges: Contacting out of care clients Clients meeting age criteria Clients qualifying for ARTAS and linkage to care portion of intervention

Discussion Alison Johnson, Project Director alisonj@cbwellness.org | 361.814.2001 Hillary Vallejo, Project Coordinator hillaryv@cbwellness.org | 361.814.2001 | 361.425.2936