1. Community-Based Adolescent Recruitment & Engagement Studies
ATN CARES:
Community-Based Adolescent Recruitment & Engagement Studies

2. Structural/Lifetime Risks
Recruiting High-risk HIV-Negative and HIV+ Youth in L.A. and New Orleans
Eligibility based on the structural and behavioral risk factors in youth ages
Behavioral Risks
Sexual behaviors
Substance use
Gender and Sexual identity
Structural/Lifetime Risks
Homelessness
Mental Health hospitalization
Substance abuse treatment

3. Los Angeles Recruitment Sites

4. New Orleans Recruitment Sites

5. Seronegative Youth Demographics

6. Cross-Cutting Themes Same interventions tailored to HIV+ & HIV- youth
Technology-focused, platform agnostic
Evidence-based practices (EBP), not manualized EBI
Cost-feasibility data of the CDC recommended interventions: repeat testing & sustained follow-up; care linkage

8. Intervention Issues Across Studies:
AMMI
Peer Support (Muut)
Coaching

9. Automated Messaging & Monitoring (AMMI)
Five text-message content streatms that participants may opt out of
3 messages Daily - Healthcare, Wellness, Medication Adherence
2 more messages Thurs-Sun - Sexual Health and Substance Use
Participants may decide the time of day, opt-out of each stream
7-question survey that is also sent weekly for monitoring

10. AMMI cont.

11. Weekly SMS Survey Response Trends

12. Online Peer Support
Muut is an open-source, mobile optimized platform we are using to host private, online discussion boards

13. Coaching
The CARES coaching model is client/youth centered, strengths-based approach in which EBPs are applied to content areas
Engage youth 
Strengths Assessment 
Set Goals & Solve Daily Problems 
Leverage Existing Resources & Support (community, family, friends, and providers) 
Fill in gaps in support

18. Skills Common to EBI Used by Coaches
% of Utilization

20. Target Areas Discussed by Coaches
% of Utilization