1. Research Meets Practice and Beyond: Clinical Implementation of HIV Rapid Testing Dissemination Workshop October, 2009 Louise Haynes, MSW Beverly Holmes, MSW LRADAC, Columbia, SC

2. “The Bridge” NIDA Clinical Trials Network 2000-2010

3.  LRADAC participated in CTN0018 and 19 (Safer Sex Protocols) and CTN0032 (HIV Rapid Testing)  In process of piloting implementation of HIV risk reduction counseling and on site rapid testing  Site PI and RA/Study Coordinator  Describe process of transitioning from research to clinical practice

4. Case Study Successful CLINICAL Implementation of HIV Risk Reduction Intervention  Integrated into routine clinic practices  Acceptability to clients  Leadership support  Champion (Beverly Holmes)

5. Opportunities  Initiative to implement HIV testing in public CTPs  Joint project between SSA and State Health Dept  Funding available but little implementation  LRADAC recognized for having experience and knowledge to promote implementation  Approval from the State Health Dept CLIA Waiver CLIA Waiver Training Training Testing Kits Testing Kits Set up procedures for confirmatory testing and linkage to care Set up procedures for confirmatory testing and linkage to care SOPs SOPs

6. Organizational Change  Detox as pilot (not eligible for participation in CTN0032)  CTN032 staff  Buy in from detox staff  Full agency implementation in January 2010

7. IMPLEMENTATION

8. Nuts and Bolts  Screening on detox unit  Appointments  Counseling and testing in offices Fingerstick Fingerstick Respect 2 Counseling Respect 2 Counseling  Testing approximately 7 clients per week

9. Client Demographics  Detox: 20 to 25% Female 20 to 25% Female 40 to 50% African American 40 to 50% African American  Clients tested consistent with detox population  CTN 0032 at LRADAC (adult outpatient) 45% Female 45% Female 56% AA 56% AA  LRADAC Adult Outpatient: 39% Female 39% Female 56% AA 56% AA

10. Conclusions  Research Experience in CTN can lead to improvement in agency’s treatment program  Potential to reach beyond agency – state wide implementation  Importance of RRTC and agency support

11. For more information contact:  Beverly Holmes: holmesbe@musc.edu holmesbe@musc.edu  Louise Haynes: hayneslf@musc.edu

12. Thanks  LRADAC  Lisa Metsch, Lauren Gooden, lead team of CTN0032  Kathleen Brady, PI, Southern Consortium