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North Carolina State Bridge Counselor
Dee Simmons Public Health Advisor
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SBC & spbc State Bridge Counselor (6)
Special Populations Bridge Counselor (3)
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What do we do ? Assist in linking newly diagnosed clients into care
Locate, re-engage and link out of care /lost to care clients Identify and address client barriers to care Verify Care Status Make appropriate client referrals
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Referral Process North Carolina Electronic Disease Surveillance System (NCEDSS) Referrals from Disease Intervention Specialist (DIS) Referrals from SPBC Prison Releasee Referrals from SBC Regions / SBC Transfer
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Referral Process CAREWare
Referrals from ID Providers / Network of Care Referrals from CAREWare Providers
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Referral process NC ECHO (North Carolina Engagement in Care Database for HIV Outreach) 8,778 client records (Out of Care) Ehars (Enhanced HIV/AIDS Reporting System) HMAP (HIV Medication Assistance Program) formerly ADAP Medicaid NCEDSS CAREWare
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Barriers to care Stigma Transportation Fear
Lack of Support/Family Care Denial/Depression No Insurance/Under Insured Poverty Concern about side effects of medication Job Conflict/Time off Work Inconveniently located medical services Substance Abuse Mental Health Unstable Housing Conflicting Urgencies
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QUESTIONS ?
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Dee Simmons CDC Public Health Advisor Division of Public Health, Communicable Disease Branch North Carolina Department of Health and Human Service office line (direct) , ext. 3142 office
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