1. Community Engagement and Stigma-Reduction Interventions December 11, 2014 Nicole Chisolm, MPH Evaluation Specialist

2. Core Elements Community Level –Outreach events –Educational events –HIV testing events Individual Level –Anti-Retroviral Treatment and Access to Services (ARTAS) –Strength-based Counseling –Motivational Interviewing (MI) Techniques 2

3. Viviendo Valiente Design 3-phase community assessment included: –a literature review; –focus groups; –and a stakeholders survey. Findings from the community assessment will guide the transnational and cultural elements of the program. 3 Viviendo Valiente Dallas County Map: Priority Zip Codes for Outreach

4. Our Team Principal Investigator: Manisha Maskay, Ph.D. Program Director: Martha Guerrero, B.A. Evaluator: Nicole Chisolm, M.P.H. Promotores de Salud: Juan Gomez, B.S. Firenze Cardeña Data Collection/ Management Specialist: Angelica Ibarra 4

5. Intervention Staff Program Director Directs overall operations of Viviendo Valiente Develops, manages, cultivates stakeholder relationships Supervises Promotores’ activities Promotores de Salud Build relationships/trust within Mexican community groups Work with assigned organizations to plan/deliver programs/events Work closely with internal and external providers to support client’s retention in care 5

6. Staff Training All staff: –Protection of Human Research Participants –HIPAA Privacy & Security Training –Visualization Techniques Promotores de Salud: –Texas Community Health Worker Certification –ARTAS Intervention –Motivational Interviewing –Affordable Care Act Application Counselor Certification Data Collection/ Management Specialist: –Texas Community Health Workers Certification –QSR NVIVO 10 6

7. Linkage & Retention to Clinical Care Linkage to care is facilitated through use of the ARTAS intervention. Retention in care is facilitated using culturally tailored: – Strengths Based Counseling –Motivational Interviewing techniques. 7

8. Program Monitoring Fidelity to the intervention protocols are monitored by: Peer review of client notes Supervisor observation of client encounters Chart audits 8

9. Questions?