Project Achievements and Lessons Learned
1994 through 1999

Health Resources and Services Administration
HIV/AIDS Bureau's Special Projects of National Significance


Cooperative Agreement Achievements and Lessons Learned

Work Group Index for Achievements and Lessons Learned

Community-Based Organizations

Project

Project Description

Major Project Achievements

Major Lessons Learned

Center for Community Health, Education, and Research (CCHER)

The CCHER Haitian Community AIDS Outreach Project was a culturally competent psychosocial educational-counseling and case management program that has addressed the emotional and educational needs of HIV-positive Haitians in Boston.

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The Fortune Society

The Fortune Society delivered culturally and linguistically appropriate services to symptomatic HIV-positive prisoners and ex-offenders.

N/A

N/A

Larkin Street Youth Center

LSYC reduced barriers to care and assisted homeless street youth in accessing psychosocial and medical services and provided a housing facility for youth with advanced stages of HIV disease.

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Outreach, Inc.

Outreach, Inc. offered a wide array of comprehensive services to African American substance abusers with HIV/AIDS residing in or around housing developments and actively linked these clients to medical care.

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PROTOTYPES WomensLink

PROTOTYPES WomensLink reduced barriers and increased access to care for women living with HIV/AIDS through the provision of a comprehensive, “seamless” continuum of care and services and tight linkages to medical providers.

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Well-Being Institute Women’s Intervention Program

Through comprehensive, community-based services coordinated by nurse case managers, the Well-Being Institute reduced access barriers for substance abusing, HIV-positive women with tight linkages to medical providers to ensure services.

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Comprehensive University-Based Health Care Programs

Project

Project Description

Major Project Achievements

Major Lessons Learned

University of Nevada School of Medicine

The University of Nevada School of Medicine prevented or slowed wasting syndrome experienced by individuals living with HIV/AIDS through the provision of integrated and comprehensive healthcare.

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University of Vermont and State Agricultural College

The University of Vermont & State Agricultural College reduced barriers to care experienced by individuals living with HIV in rural areas by providing integrated and comprehensive healthcare clinics throughout Vermont.

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Washington University School of Medicine

The Helena Hatch Special Care Center (HHSCC) – in the Division of Infectious Diseases – provided coordinated, comprehensive care to adolescent and adult women with HIV/AIDS.

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Managed Care Models

Project

Project Description

Major Project Achievements

Major Lessons Learned

AIDS Healthcare Foundation

AHF operated four healthcare centers to provide direct medical services to individuals living with HIV/AIDS under a capitated system of care.

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East Boston Neighborhood Health Center

EBNHC provided coordinated, non-fragmented, comprehensive care to individuals with HIV/AIDS while developing a capitated system of care.

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Johns Hopkins University School of Medicine

The Johns Hopkins University reduced financial barriers to adequate care for HIV/AIDS patients without comprising the quality of care by providing care under capitated financing.

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New York State Department of Health, AIDS Institute

The New York State AIDS Institute studied information related to cost, utilization and access to care as persons with HIV/AIDS transitioned from fee-for-service to a managed care environment.

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Visiting Nurse Association Foundation (VNAF)

VNAF’s Transprofessional Model used an interdisciplinary, care management approach – a blend of curative and palliative services – to improve services for end-stage AIDS patients.

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Training and Infrastructure Development

Project

Project Description

Major Project Achievements

Major Lessons Learned

Center for Women Policy Studies

The Metro DC Collaborative for Women with HIV – a collaboration with PROTOTYPES – reduced barriers to care for women with HIV through organizational collaboration and inclusion of women with HIV, their providers, and advocates in policy development.

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Emory University School of Medicine

Emory University developed and implemented educational models for increasing, improving, and updating knowledge about HIV infection and treatment among Georgia's correctional healthcare providers.

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Health Initiatives for Youth

HIFY provided training to health and human service providers on offering developmentally and culturally appropriate care for HIV-affected youth and young adults ages 12-25.

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Hektoen Institute/Cook County Hospital

The project worked to insure HIV education, counseling and testing by consent in all family planning and perinatal sites in Cook County (at 69 hospitals) to guarantee on-going care for identified women living with HIV and their families.

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Indiana Community AIDS Action Network ICAAN helped to reduce discriminatory barriers to employment, care, housing, and other social services faced by individuals living with HIV/AIDS. Click here. Click here.
Interamerican College of Physicians and Surgeons ICPS expanded access to health services for HIV-positive Hispanic populations by training Hispanic healthcare providers active in screening, testing, counseling and managing their patients at-risk or already HIV infected.

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Michigan Protection and Advocacy Service The MPAS project trained community advocates throughout the state on HIV/AIDS issues to improve service delivery systems with an emphasis placed on the legal rights of individuals with HIV/AIDS.

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Missouri Department of Health The Missouri Department of Health developed and implemented an “Integrated Model of Care” for individuals with HIV/AIDS multiply diagnosed with a mental illness and/or substance abuse problems.

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State University of New York at Brooklyn

The project at SUNY Brooklyn increased counseling and testing of pregnant women and perinatal AZT protocols.

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University of Colorado Health Sciences Center

This project evaluated the impact and cost effectiveness of alternate innovative educational methodologies for increasing service delivery to at-risk and HIV-seropositive individuals in rural areas.

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University of Mississippi Medical Center

This project provided clinical training for rural healthcare providers with a computer-based distance learning system.

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University of Texas Health Sciences Center

The University of Texas helped to positively impact changes in the service delivery systems for families living with, or affected by, HIV/AIDS throughout South Texas.

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University of Washington AIDS Education and Training Center

This project educated primary care providers, mental health staff, and volunteers to develop, test, and evaluate strategies for increasing, improving, and updating knowledge about HIV neuropsychiatric illness with specific emphasis on delirium and its treatment.

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Evaluation and Dissemination Center

Project

Project Description

Major Project Achievements

Major Lessons Learned

The Measurement Group – PROTOTYPES Evaluation and Dissemination Center

The Measurement Group – PROTOTYPES Evaluation and Dissemination Center (EDC) has provided a range of consultation and technical assistance to the Cooperative Agreement Projects.

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