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3. Early Identification of Individuals with HIV/AIDS (EIIHA) Legislative References: Ryan White Part B Legislation:Ryan White Part B Legislation: “develop a comprehensive plan – ”“develop a comprehensive plan – ” “describing the estimated number of individuals within the State with HIV/AIDS who do not know their status” “describing activities undertaken by the State to find the individuals described in subparagraph (A) and to make such individuals aware of their status” “describing the manner in which the State will provide undiagnosed individuals who are made aware of their status with access to medical treatment for their HIV/AIDS” “describing efforts to remove legal barriers, including State laws and regulations, to routine testing” 3

4. Early Identification of Individuals with HIV/AIDS (EIIHA): The identifying, counseling, testing, informing, and referring of diagnosed and undiagnosed individuals to appropriate services, as well as linking newly diagnosed HIV positive individuals to care. 4

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10. Counseling & TestingReferral ServicesLinkage to Care Health Literacy/Education EIIHA/Unmet Need Cycle & The Cascade EARLY INTERVENTION SERVICES O UTREACH C ARE & ART Out of Care: Aware (Unmet Need) Out of Care: Aware (Unmet Need) & Unaware (EIIHA) 62/100 HIV positive individuals are LINKED to care 41/100 HIV positive individuals STAY IN CARE 80/100 HIV positive individuals are AWARE of their Status 59/100 HIV positive individuals FALL OUT OF CARE 36/100 HIV positive individuals RECEIVE ART 28/100 HIV positive individuals are VIRAL SUPPRESSED

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13. Health Departments Emergency Rooms Substance Abuse Programs Mental Health Programs Detention Facilities STD Clinics Homeless Shelters Counseling and Testing Sites Example Key Points of Entry Federally Qualified Health Centers Private Healthcare Providers Prevention Programs

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