2001 Program Data Report Ryan White CARE Act Title III Early Intervention Services Health Resources and Services Administration HIV/AIDS Bureau Ryan White CARE Act Title III Early Intervention Services Program Data Report 2001

2001 Program Data Report Ryan White CARE Act Title III Early Intervention Services Overview Title III awarded 310 EIS grants in Of these, 248 submitted program data for 2001.* More than 150,000 people received essential HIV-related primary health care services from Title III EIS grantees Two-thirds of patients served were racial/ethnic minorities Women comprised 30 percent of patients served 61 percent of new patients had incomes equal to or below the federal poverty level ($17,650 for a family of four in 2001) 42 percent of new patients did not have any health insurance * 58 grantees were new in 2001 and not required to submit program data; 4 grantees failed to submit program data in 2001.

2001 Program Data Report Ryan White CARE Act Title III Early Intervention Services Number of Patients Served by Reporting Grantees * Individuals may have attended more than one outreach session. As a result, counts may be duplicated.

2001 Program Data Report Ryan White CARE Act Title III Early Intervention Services Percent of Grantees by Type of Organization, 2001 (N= 248)

2001 Program Data Report Ryan White CARE Act Title III Early Intervention Services Special Populations Targeted by Grantees (N=248) Although Title III EIS programs serve persons from all population groups, grantees may target services to specific populations in their communities that they have identified as most in need of HIV-related care. Special populations targeted by grantees in 2001 include: 72% 71% 61% 46% 26% 23%

2001 Program Data Report Ryan White CARE Act Title III Early Intervention Services Number of Individuals/Patients/Clients Served by Service Category* * All counts are unduplicated with the exception of those reported for outreach. A patient is an HIV-positive person who receives at least one primary health care service during the reporting period; A client is someone who is HIV-infected or affected and receives case management and eligibility assistance. An individual is someone who receives counseling, testing, and/or outreach services.

2001 Program Data Report Ryan White CARE Act Title III Early Intervention Services Male Primary Health Care Patients by Race/Ethnicity (N = 109,883)

2001 Program Data Report Ryan White CARE Act Title III Early Intervention Services Female Primary Health Care Patients by Race/Ethnicity (N = 45,613)

2001 Program Data Report Ryan White CARE Act Title III Early Intervention Services Number of Primary Health Care Patients Served by Race/Ethnicity * Other includes Asian, Native Hawaiian/Pacific Islander, and Native American/Alaskan Native.

2001 Program Data Report Ryan White CARE Act Title III Early Intervention Services Number of HIV+ Patients Served by Age (N=153,849)* * Age data were unknown, unreported, or missing for 3,954 patients receiving primary health care services in 2001.

2001 Program Data Report Ryan White CARE Act Title III Early Intervention Services Number of Primary Health Care Patients Served by Age

2001 Program Data Report Ryan White CARE Act Title III Early Intervention Services Exposure Category by Race/Ethnicity for Male Primary Health Care Patients (N=109,823)* * Race/ethnicity data missing for 60 male patients. ** Other includes hemophilia or coagulation disorder,blood transfusion, components or tissue, perinatal transmission and other or unknown risk.

2001 Program Data Report Ryan White CARE Act Title III Early Intervention Services Exposure Category by Race/Ethnicity for Female Primary Health Care Patients (N=45,613) * Other includes hemophilia or coagulation disorder,blood transfusion, components or tissue, perinatal transmission and other or unknown risk.

2001 Program Data Report Ryan White CARE Act Title III Early Intervention Services Stage of Disease for New Adult and Adolescent Patients* (N = 30,872) 500 (n= 9,301) (n= 10,887) 200 (n=10,684) CD4 + Lymphocyte Count for New Clients * The Title III program data report requests stage of disease information for NEW Title III patients at point of entry into primary health care. CD4 + Lymphocyte Count data are available for 87% of new patients reported. Stage of Disease for New Clients Asymptomatic HIV Infection Symptomatic Conditions With AIDS Indicator Conditions 51% (n=15,871) 24% (n=7,346) 25% (n=7,655)

2001 Program Data Report Ryan White CARE Act Title III Early Intervention Services Household Incomes for New Primary Health Care Patients (N = 30,287)* * Income data missing for 5,305 new primary health care patients ** Federal poverty level is $17,650 for a family of four in 2001

2001 Program Data Report Ryan White CARE Act Title III Early Intervention Services Source of Payment for New Primary Health Care Patients* * The Title III program data report requests source of payment information for NEW primary health care patients only. ** Includes TriCare/CHAMPUS, Veterans Administration, health care programs for incarcerated individuals, and other public programs

2001 Program Data Report Ryan White CARE Act Title III Early Intervention Services Expenditures by Service Category, 2001 In 2001, grantees expended $121,410,475 in Title III funds to provide early intervention services to clients. Eighty-five percent of all 2001 Title III EIS funds were spent on primary health care services including medical, subspecialty care, dental, nutrition, outpatient mental health and outpatient substance abuse treatment, and pharmacy services; laboratory and other tests for diagnosis and treatment planning; HIV counseling and testing, and the cost of making and tracking referrals for medical care.

2001 Program Data Report Ryan White CARE Act Title III Early Intervention Services Expenditures by Service Category * Other services include case management and eligibility assistance, outreach, social work, prevention education and harm reduction and other Title III-eligible optional services.

2001 Program Data Report Ryan White CARE Act Title III Early Intervention Services Expenditures by Service Category, From 2000 to 2001, total Title III expenditures increased by 31%. Title III funds expended for primary health care services increased by 32% from 1999 to 2000 and 31% from 2000 to Title III expenditures for other services, which decreased by 9% between 1999 and 2000, increased by 26% in Since 1999, total Title III expenditures increased by 61%, while expenditures for primary health care increased by 73% and expenditures for other EIS services increased 14%.

2001 Program Data Report Ryan White CARE Act Title III Early Intervention Services Expenditures by Service Category,

2001 Program Data Report Ryan White CARE Act Title III Early Intervention Services 1999 – 2001 Expenditures and Number of Patients Served Number of Clients (in thousands) * PHC = Primary Health Care