We’ll be starting in just a few minutes. Please put your phone on mute by pressing *6 on your phone. Also, take a moment to type your name & which organization you represent in the chat box on the right-hand side. If you do not see a phone icon, please click on the “Communication” menu, select “Teleconference” then “Join Teleconference” and input the number to the phone you’d like to use for this conference. [numbers only, no characters, no extensions, i.e., , NOT (916) ] If you encounter any technical difficulties, please contact Pete Ramirez at (916) or or Calvin Lee at (916) or Welcome! As a reminder, to view this webinar correctly, please make sure to use Internet Explorer as your browser. Thank you.

 Presentation w/participants on mute (*6) Questions may be submitted via chat throughout webinar and will be answered after the presentation Use the chat feature to introduce yourself and your organization  Discussion & Q/A We will read questions submitted via chat You may unmute your phone by pressing *6 to ask questions after the presentation  Recorded Webinar will be posted on OA’s website Questions will be added to FAQ  If you encounter any technical difficulties, please contact: Pete Ramirez at (916) or or Fidel Encarnacion at (916) or Welcome

Syringe Service Programs & California AIDS Clearinghouse FOA Webinar November 10, 2011 California Department of Public Health, Office of AIDS

Tier I Activities Testing Linkage to care Partner services Risk assessment, linkages to services and behavioral interventions for HIV+ people HIV treatment adherence Syringe services programs Syringe services programs Policy initiatives – Surveillance data use – Leveraging SAMHSA HIV set- aside funds – Healthcare reform planning Condom distribution & syringe supply bank Condom distribution & syringe supply bank State community planning

Tier I Activity: Syringe Services Programs

Federal Policy Change Federal ban on funding of syringe exchange lifted in December, 2009 CDC, HRSA and SAMHSA have put in place new policies to allow states and directly funded CBOs to fund SEPs

Federal Policy Change Funds are for Syringe Services Programs (SSPs) which include: – Syringe exchange programs – Promotion of nonprescription sale of syringes (NPSS) in pharmacies – Syringe disposal for injection drug users (IDUs) – Policy OA categorizes SSPs as a Tier I activity.

Changes to CA Law AB 604 will allow CDPH/OA to authorized syringe exchange programs after regulations are in place SB 41 allows pharmacies to sell syringes without a prescription – Puts the pilot program, the Disease Prevention Demonstration Project, on hold – Pharmacy participation is optional – No registration is required – Adults may now possess up to 30 syringes if acquired from an authorized source – Clarifies that SEPs and physicians are authorized sources of NPSS

The California AIDS Clearinghouse (CAC) OA’s CAC program was created to provide free, appropriate and culturally sensitive HIV/AIDS/STD materials to LHJs, CBOs and other non-profit agencies/programs in California that conduct HIV/AIDS structural, individual, and group-level risk reductions. From , CAC was contracted to and administered by the LA Gay & Lesbian Center. In 2009, due to funding reductions, CAC was brought in-house to OA.

CAC Currently Provides: Educational Materials Catalog Condoms

CAC – Educational Materials Catalog A collection of HIV/AIDS/STD education materials available in printed, CD, and DVD formats. Materials are a combination of purchases from 3 rd party vendors (ETR, Channing-Bete, etc), distribution agreements, design/development collaborations and OA in-house developed pieces. All materials in the catalog have been focus-grouped and approved by a statewide HIV/AIDS Materials Review Panel using CDC guidelines. =

The CAC Catalog

CAC - Condom Distribution Distribute 1,000,000 condoms a year Distribution to all LHJs, CBOs, and other HIV/AIDS programs in CA conducting HIV/AIDS risk-reduction interventions. Condoms are free of charge and available on an “as- needed” basis. No limit on how many times an entity can order in a year, so long as they expend their previous order. Kimono was the brand of condom (CA-branded wrapper). No restrictions on specific populations for distribution, however each entity is asked to identify, on the order form, which target population they will be distributing the condoms to.

From July 2012, CAC Will Be Providing: Educational Materials Catalog CondomsSyringe Bank

Condom Distribution Starting July 2012 Distribution will be to venues within the California Project Area (CPA) that directly serve people at highest-risk for HIV infection and/or people who are HIV+. OA operations advisors will work with the 18 Identified venues who want to participate will register with their LHJ and be given a username and password by OA to order condoms directly from OA, via a website shopping cart function. Additional venues can be added to the distribution partnership, but will need to be approved by both their LHJ and OA first. Condoms will be LifeStyles brand, and free of charge. funded LHJs to identify at least 10 of these venues in their jurisdictions. Non- funded LHJs in the CPA will not be expected to identify a set amount of venues, though we encourage them to find venues that would like to participate.

Syringe Bank Starting July 2012 Will supplement supplies of authorized SEPs to prevent gaps in services. Will include both syringes and disposal containers. Will have a simple application procedure. Amount of supplies available to each SEP likely will be based on volume of syringes distributed. Opportunity to provide input via survey: contact

Things to Start Thinking About Now...  What are some well known venues that would like to partner with us in distributing condoms for free to their clients? Start some exploratory conversations with them. (High-risk venues including: Sex Clubs, Bathhouses, Night Clubs, Bars, LGBT centers, health clinics, etc.)  What are some ways to support syringe access and disposal that can fit well within any community? (Emphasis on disposal, education, law enforcement safety, etc.)

Upcoming Webinars The following webinars will be held from 3-4pm on the dates listed below:  November 17 - Tier II Activities (Social Marketing, HE/RR for High Risk Negatives, Hepatitis C Testing, PrEP)  December 8 – Putting it all Together

If you have any questions or feedback at any time before or after the webinars please send them to: Further Questions and/or Comments