Services and Outreach to the Latino Community

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Services and Outreach to the Latino Community

• Diana Vasquez, RN, MPA
• Interim Director, Care Services
• Office of AIDS Programs and Policy
• Department of Health Services
• March 9, 2004

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DISEASE DATA
? Latino/a AIDS Incidence (1/1/2001-12/31/2002)
1,218 (44.1) of 2,762 diagnoses ? Latino/a
AIDS Prevalence (as of 12/31/2002) 6,743
(37.5) of 17,971 AIDS cases ? Latino/a HIV
(not AIDS) Prevalence (as of 12/31/2002) 11,601
(43.0) of 26,957 of HIV
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LATINO/A SERVICE UTILIZATION (1-12/2003)
Total Unduplicated Latino Clients . . . . . . .
. . . . . . . 9,935 Of all Latino Clients
Receiving Services, Proportion Receiving these
Types of Services
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LATINO/A SERVICE UTILIZATION (1-12/2003)
MEDICAL OUTPATIENT SERVICES Represents every
Service Planning Area (SPA)
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LATINO/A SERVICE UTILIZATION (1-12/2003)
CASE MANAGEMENT SERVICES Represents every
Service Planning Area (SPA)
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LATINO/A SERVICE UTILIZATION (1-12/2003)
MENTAL HEALTH SERVICES Represents every Service
Planning Area (SPA)
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LATINO/A SERVICE UTILIZATION (1-12/2003)
ORAL HEALTH SERVICES Represents every Service
Planning Area (SPA)
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CLINICAL SNAPSHOTS
LACUSC Rand Schrader Clinic (5P21) All of
total clients
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CLINICAL SNAPSHOTS
LACUSC Maternal Child Adolescent (MCA) All of
total clients
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CLINICAL SNAPSHOTS
El Proyecto del Barrio All of total
clients
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ADDRESSING THE NEEDS OF LATINO/As
? FY 2002 Needs Assessment 48 of the PLWH/A
reported that a major barrier to the their care
was the inability to communicate or interact with
their service provider ? Title VI of the
Civil Rights Act of 1964/ Californias 1973
Dymally-Alatorre Bilingual Services Act
requires health care facilities receiving
federal/state funding to provide competent
interpretation services
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ADDRESSING THE NEEDS OF LATINO/As
Improving Translation/Interpretation ?
Healthcare Interpreter Training ?
Comprehensive curriculum for basic interpreting
skills ? Healthcare and medical terminology ?
Translation Services ? All key documents
translated into Spanish ? Modification of
Standards ? Demonstrate cultural/linguistic
competency ? Medical outpatient providers
expected to engage/use bilingual staff
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ADDRESSING THE NEEDS OF LATINO/As
Expanding Service Delivery ? Mobile Dental
Clinics ? Moving services into the two
remaining SPAs without oral health services ?
Mobile Medical Clinics ? Increasing services
and availability for hard-to-reach,
especially Latino, populations
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ADDRESSING THE NEEDS OF LATINO/As
Enhancing Trainings ? Incorporating
Multi-Cultural Sensitivity Under-standing and
Expanding Cultural Norms into prevention case
management, case management certification and
counseling/testing trainings ? Client-centered
perspective ? Defines culture and oppression ?
Explores belief systems ? Exercises to
uncover/examine biases
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ADDRESSING THE NEEDS OF LATINO/As
Developing New Models of Care for Underserved
Populations ? TB Adherence Study ? 23 of
TB cases in Latino communities ? Tracking
sample population to ensure follow-up/adherence ?
Studying co-morbidity/psychosocial behavior ?
DART (Directly Administered Anti-Retroviral
Therapy ? Directly observed, observing
clients taking meds ? Intensive case management
regularly assessing and addressing barriers
to adherence
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ADDRESSING THE NEEDS OF LATINO/As
Developing New Models of Care for Underserved
Populations (cont.) ? CDP (Corrections
Demonstration Project) ? Transitional case
management, HIV education and risk reduction,
treatment adherence within the jails ? SPNS
Prevention with Positives ? Incorporating
prevention messages into medical outpatient
appointments ? Assess and tailor prevention
messages to client risk behaviors ?
Providing regular prevention prescriptions
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ADDRESSING THE NEEDS OF LATINO/As
Developing New Models of Care for Underserved
Populations (cont.) ? Prevention of Perinatal
HIV Transmission Project ? Peer health
educators (promotoras) trainings ?
Dissemination of social marketing campaigns ?
Directed at women of childbearing age ? SPNS
Young MSM of Color (proposing) ? Integrated
case management, outreach and peer support
activities for target population
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ADDRESSING THE NEEDS OF LATINO/As
Systemic Coordination of Services ?
Establishing Service Provider Networks (SPNs) to
coordinate local services ? Requiring liked
referrals and follow-up ? Cross-Title
collaboration efforts ? SPNS HIV Interface
Technology Systems (HITS) ? Immediate referral
from disclosure into care ? Easing entry into
care ? Reminders and follow-up from counselors
and care professionals