MONTANA HIV INTEGRATION PROJECT IN BIG SKY COUNTRY

Title X Coverage by Montana Town Title X Clinic Title X Satellite Clinic Helena Great Falls Kalispell Polson Browning Libby Thompson Falls Missoula Havre Malta Sidney Glendive Miles CityBaker Broadus Billings Lewistown Bozeman Dillon Butte Deer Lodge Anaconda Hamilton Columbia Falls Eureka Glasgow Troy

15 Sites Across the State 4 Planned Parenthood Clinics Billings Helen Great Falls Missoula

6 HIV Prevention Sites Bozeman Butte Glendive Kalispell Lewistown Polson

5 Family Planning Clinics Dillon Hamilton Havre Libby Miles City

IMPACTS on TESTING Year 1 – 1,435 total tests –550 rapid tests – 38% –885 serum tests – 62% Year 2 – 2,176 total tests - 52% increase –1,350 rapid tests – 62% –826 serum tests – 38%

Impacts on Testing Year 3 - 2,384 tests (est) Rapid tests – 66% Serum tests – 34 %

Impacts on Training Year 1 Training attendance 136 hours of training available 52 staff attended at least one of these trainings 552 total staff training hours Topics ABC Skills Building Cultural Competency Age Appropriateness HIV Prevention Skills Building

Year 2 Training Training attendance 69 hours of training available 58 staff attended at least one of these trainings 924 total staff training hours Topics ABC Skills Building Cultural Competency Age Appropriateness HIV Prevention, Risk Assessment Skills Building HIV & Meth Use

Year 3 Training One Quarter’s Data 12 hours training available 12 staff attended at least one of the trainings 72 total staff training hours Topics Cultural Competency Age Appropriateness HIV Prevention Skills Building Current Topics in Women & HIV

Clinic Comments Planned Parenthood Sites Attracted younger clients; more gay men Testing numbers increased Ability to provide sliding scale fee Integration = normalizing HIV testing Increase in training and networking opportunities Moving into rapid testing

Family Planning Sites Noticed no change in numbers, clients Best = able to offer the test for free

Combo Sites (HIV/FP) Increased testing numbers Normalization, attitudinal changes All said that this funding was essential to providing this service on a sliding fee scale or free.