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HIV/AIDS

  • General Information
    • 1-800-541-AIDS
    • 1-800-233-7432 Spanish
  • AIDS Drug Assistance Program (ADAP)
    • 1-800-542-2437
  • HIV Confidentiality Hotline
    • 1-800-962-5065

CEI Program & Services for clinicians

  • (315) 477-8479 or visit www.ceitraining.org
    • Post-Exposure Prophylaxis Hotline (PEP Line)
      • 1-866-637-2342
  • HIV/Hepatitis C
    • 1-866-637-2342
  • STDs
    • 1-866-637-2342

Community Support Services

Supportive Services

The Bureau of Community Support Services oversees the Supportive Services Initiative which has a critical role in ensuring that persons living with HIV/AIDS have the supports necessary for accessing, remaining in, and adhering to health care and treatment despite potential barriers. The intent of this initiative is to improve clinical outcomes with the overall goal of maximizing individual health outcomes.

The Supportive Services Initiative provides grant funding throughout New York State for the following services:

  • Supportive Case Management
  • Comprehensive Case Management
  • Health Education/Risk Reduction
  • Linguistic Services
  • Medical Transportation
  • Psychosocial Support
  • Treatment Education

Supportive Case Management

Supportive Case Management is a multi-step process of coordinating medical and psychosocial services with the goal of removing barriers and facilitating client access to, and retention and participation in HIV medical care and treatment leading to improved health outcomes. The supportive case management model is responsive to the immediate needs of a person living with HIV/AIDS; and is suitable for persons with discrete needs that can be addressed in the short term. Supportive Case Management is also an appropriate service for clients who have completed comprehensive case management but still require a maintenance level of periodic support from a case manager.

Universal standards were developed through a collaborative process to define case management, describe updated models of case management services, and clarify service expectations and program requirements. AIDS Institute Standards for HIV/AIDS Case Management are available online.

Comprehensive Case Management

Comprehensive case management is a proactive model intended to serve persons living with HIV/AIDS who are not Medicaid eligible with multiple complex psychosocial and/or health-related needs. The model is designed to serve individuals who may require a longer time investment and who agree to an intensive level of case management service provision. Central to the comprehensive model of case management is service planning, performed in conjunction with a comprehensive assessment and subsequent reassessments of the psychosocial and health care needs of the client and his/her family or close support system. Clients engaged in comprehensive case management will receive frequent contact, follow-up provided in the community and, in some programs, home visitation.

The goal of comprehensive case management is the removal of barriers and the facilitation of client access to, and retention and participation in HIV medical care and treatment leading to improved health outcomes. This is accomplished by attending to the client's needs for concrete services such as health care, entitlements, housing, and nutrition, as well as developing the relationships necessary to assist the client with other issues including substance use, mental health, and domestic violence.

Universal standards were developed through a collaborative process to define case management, describe updated models of case management services, and clarify service expectations and program requirements. AIDS Institute Standards for HIV/AIDS Case Management are available online.

Health Education/Risk Reduction

Health Education/Risk Reduction includes individual or group level activities that provide health education and consumer support to increase optimal consumer health, while decreasing the risk of transmission of HIV. Education and risk reduction services should be structured to enhance the knowledge base, health literacy, and self-efficacy of HIV- infected persons in accessing and maintaining HIV medical services and staying healthy.

Funded Agencies provide education services in any of the following three categories based on need:

  • Advanced Health Education/Risk Reduction Individual or group level activities that identify methods and activities to achieve specific goals and objectives in order to increase consumer health while decreasing risk of transmission.
  • General Health Education/Risk Reduction Individual or group level activities that provide general HIV/AIDS information and risk reduction activities, while motivating consumers to initiate/maintain behavioral change independently.
  • Peer EducationIndividual or group level activities that provide general health information, education and risk reduction support to participants.

Linguistic Services

Linguistic Services include interpretation/translation services provided by qualified interpreters to HIV-positive individuals (including those who are deaf/hard of hearing and non-English speaking individuals) for the purpose of ensuring communication between client and providers while accessing medical and Ryan White fundable support services that have a direct impact on primary medical care.

Medical Transportation

Medical Transportation includes the direct or indirect provision of conveyance services for HIV infected individuals that facilitate access to and retention in medical services and Ryan White fundable support services associated with improving the individual's HIV clinical status. The goal of Medical Transportation is to ensure that transportation does not pose a barrier to the receipt of medical and support services, through the provision of conveyance services for health care and support service appointments. Medical Transportation services are not intended to support emergency ambulance services or supplant services that are currently provided by Medicaid or other transportation programs.

Psychosocial Support

Psychosocial Support is the provision of support and counseling activities to individuals or groups with the purpose of improving medical outcomes. Counseling is a short-term, focused process of assisting HIV infected individuals who are fundamentally psychologically healthy resolve developmental and situational issues.

Treatment Education

Treatment Education is the provision of short-term individual and/or group level activities designed to provide HIV/AIDS treatment information, adherence counseling, monitoring, and other strategies to support client readiness to begin anti-retroviral (ARV) treatment; or maintain maximal adherence to prescribed HIV/AIDS treatment. The goal of Treatment Education is to provide the HIV infected individual the skills that will enable him/her to self-manage their HIV/AIDS related care. Self-management skill development encourages the HIV infected individual to assume responsibility for their health care, while working in partnership with their medical provider.

Contact:

Julie Laden
Assistant Bureau Director
Bureau of Community Support Services
Division of HIV and Hepatitis Health Care
(212) 417-4490
jaa08@health.state.ny.us

or

Heather Duell
Assistant Bureau Director
Bureau of Community Support Services
Division of HIV and Hepatitis Health Care
(518) 486-1323
had01@health.state.ny.us

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Mental Health Initiative

The Bureau of Community Support Services oversees the Mental Health Initiative, which includes the provision of mental health care coordination services and training and technical assistance.  The goal is to assure that persons with HIV/AIDS have access to a range of services that facilitate retention in mental health and primary care and increase medical and psychiatric treatment adherence. Multidisciplinary mental health treatment teams provide an integrated treatment program in which team members share responsibility for the individuals served, and treatment plans are the result of a collaborative effort between team members and clients.  The range of treatment and services is comprehensive and flexible, with home visits and intensive care coordination provided as needed.

The mental health treatment team model is intended to enhance communication of relevant clinical information among providers, help increase adherence to evidence based care and reduce unnecessary hospital stays and emergency room visits.  Effective mental health treatment should assist persons with HIV/AIDS to reduce symptom distress and increase independent functioning, improve performance, and gain access to and retention in health care and support services.

All grant funded programs are expected to comply with AIDS Institute Mental Health Standards of Care as developed by a statewide workgroup composed of AI staff and clinical experts in the fields of mental health, HIV and substance use.  These standards are located online.

Contact:

John Hartigan, L.C.S.W.
Director of Mental Health
Bureau of Community Support Services
Division of HIV and Hepatitis Health Care
(518) 486-1323
jjh02@health.state.ny.us

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Nutrition Initiative

The Bureau of Community Support Services oversees the Nutrition Initiative which supports nutrition interventions that improve, maintain and/or delay the decline of the health status of persons living with HIV/AIDS (PLWHA). The Nutrition Initiative has two components that assist PLWHA to support their nutritional goals: Nutrition Health Education, and Food and Meal Services. Nutrition Health Education improves health outcomes through the identification of nutritional goals and the development of a plan that supports those goals. It provides PLWHA with health and nutrition information that helps them make healthy food and lifestyle choices. Nutrition workshops are facilitated by a culturally-competent Community Nutrition Educator either in group settings or individually, and include HIV/AIDS nutrition related topics and instruction on how to prepare and make appropriate food choices. The Food and Meal services offer nutrient dense, well balanced, and safe meals tailored to the specific dietary needs of PLWHAs. These services can assist in maximizing the benefits of medical interventions and care.

As part of the Nutrition Health Education and Food and Meal program, providers are charged with collaborating with community providers for the benefit of their clients. This helps to improve the quality of life of PLWHA by ensuring access to and retention in medical care and treatment. Leveraging community resources helps to enhance the provision of service delivery, while maximizing access to other nutritional and supportive services. The Community Nutrition Educator also assists clients in identifying community resources that promote self-sufficiency through referrals to other community providers.

The Food and Meal services are comprised of:

  • Home-Delivered Meals (hot and/or frozen) help to maintain or improve the health and well being of home restricted individuals with HIV/AIDS by providing high calorie, high protein, therapeutically tailored meals and snacks. For PLWHA who lack the ability to shop for and prepare food, home-delivered meals fulfill a critical need, often allowing them to remain in the community longer.
  • Congregate Meals are served in community locations fostering access to health care, prevention, and supportive services, while meeting the nutritional needs of PLWHA. Many individuals using the congregate meal programs are indigent, homeless, or in marginal housing which lack kitchen facilities and food preparation equipment.
  • Food Pantry Bags and Food Vouchers allow PLWHA with limited financial resources access to nutritious food. In conjunction with nutrition services, PLWHA are able to increase their levels of independence by preparing meals and making their own food choices.

All funded programs are required to comply with the AIDS Institute Nutrition Health Education and Food and Meal Standards which are located online.

Contact:

Maryland M. Toney, MS
Director, Nutrition Initiative
Division of HIV and Hepatitis Health Care
(212) 417-4490
mmt032@health.state.ny.us

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