This transformational project puts forward a new clinical model of care to address the needs of those who have ever been diagnosed but are not virally suppressed as well as those not yet diagnosed. Through community collaboration we will be using information and advocacy campaigns as another means to reduce the rate of HIV in Pinellas County. We will measure our success through the 90-90-90-50% cascade model.
Perhaps one of the greatest successes of this project is bringing together the major AIDS service organizations, who are all committed to eliminating HIV in Pinellas County, FL. Collectively, all participants have actively worked together to create this care model. We acknowledge that the success of this model is predicated on a collaborative work model. The success or failure of one part of this proposal is contingent upon all parts working together.
Using the combined strengths of the community partners and major players, an enhancement has been proposed to go above and beyond the current norm of HIV testing, treating and retaining individuals in care; thus, reducing infections and decreasing viral loads. This will require enhancements to our current practices by concurrently:
- Increasing targeted testing by looking at knowledge, attitudes and behaviors
- Increasing linkage services to include intensive case management and a peer approach to identify the more at-risk individual with the more intensive social and environmental barriers to care
- Decrease the window of time with which individuals are tested and then treated to decrease viral loads and infections
- Decrease stigma by increasing social media messaging
- Increase medication services to promote PrEP as a preferred and practiced method to decrease viral loads
- Promote policy changes to reduce stigma and implement best practices as well as continue good works as a method of sustainability