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Community-Based Multi-Service Programs

Community Service Programs (CSP)

In response to the growing HIV/AIDS epidemic in New York State, the Community Service Programs (CSPs) were established in 1984 to serve as the first community-based organizations dedicated to providing HIV/STD/hepatitis prevention and client services. 

Funding also supports agency capacity which maintains a structure that helps to develop and maintain the availability of regional HIV/STD/hepatitis prevention interventions and client services.  CSP funded agencies are designed to be accessible and responsive to the needs of diverse populations and subpopulations most impacted by HIV/AIDS and STD, and hepatitis.  Through CSP funding, agencies are able to develop, expand and maintain necessary administrative functions that allow stability and limited interruption in the provision of prevention interventions and support services to at risk and vulnerable populations.  Additionally, this model makes it possible for agencies to respond promptly to emerging community needs and/or public health concerns.

CSPs are an important part of the HIV service continuum in New York State. There are fourteen CSPs, each with a continuum of services designed to meet HIV prevention and client service needs of HIV infected and affected individuals.  The services provided by the CSPs include:

  • outreach activities that engage individuals most at risk for HIV/STD/hepatitis, those who are HIV infected and not currently engaged in health care, and those who do not yet know their HIV status;
  • HIV testing, STD screening and referrals to medical care/partner services;
  • comprehensive risk counseling and services, individual and group level interventions that are designed using science or evidence­-based risk reduction strategies, include a skills-building component, and offer support for long-term behavior change;
  • health communication and public information interventions that deliver HIV/STD/hepatitis prevention messages and promote prevention programs and community events to increase awareness, build general support for safe behaviors and support personal risk reduction efforts;
  • community-level interventions that influence community norms, attitudes and practices in support of reducing risk behaviors;
  • case management and support services that assists clients in receiving timely coordinated services including treatment education, housing assistance, transportation, support groups, counseling, legal advocacy, emergency assistance, provision of food/meals; and,
  • referrals and coordination to facilitate access to services not provided directly by the CSP such as medical care.

The overall goal of the CSPs is to provide HIV, STD and hepatitis C related information and prevention interventions that are evidenced based and support HIV infected individuals.  The expected outcomes are to reduce HIV/STD/Hepatitis C incidence; decrease the rate of HIV transmission by HIV infected persons; decrease risky sexual and drug using behaviors among persons at high-risk for acquiring HIV; increase the proportion of HIV infected people who know they are infected and increase the proportion of HIV infected persons who are linked to prevention, partner services and medical care.

CSPs have a regional approach to service delivery through satellite service delivery sites, collaboration with local health units, local governments, businesses, and other community-based organizations.  They are designed to be accessible and responsive to the needs of the diverse populations and subpopulations most impacted by HIV/STD/hepatitis.  CSPs facilitate early access to HIV/STD/hepatitis prevention and the continuum of care for people infected, including those who might not seek services until they become severely ill.

Contact:

Bethsabet Justiniano
Director, Bureau of Community Based Services
Division of HIV/STD/Hepatitis C Prevention
(518) 486-1412
bxj03@health.state.ny.us

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Multiple Service Agencies (MSA)

The AIDS Institute established the Multiple Service Agency (MSA) Initiative in 1992 in response to the disproportionate impact of HIV in New York's communities of color and in recognition of the strong role that community-based agencies have had in successfully reaching those impacted communities.

MSA funding enables existing community-based organizations serving communities of color to expand their service capacity to provide HIV/STD/hepatitis prevention interventions and support services.  MSA funding assists contractors in developing agency infrastructure to support the delivery of HIV prevention and service programs including risk reduction education, peer programs, and case management.  Funding also assists contractors in developing a coordinated community response to the HIV/AIDS-related needs of people of color.

Currently, thirty four MSAs funded agencies provide services to reach African Americans, Hispanics, Asians and Pacific Islanders, Native Americans, Caribbean women, high-risk youth, homeless men and women living on the street or in shelters, men who have sex with men, people who identify as transgender, and other populations that might not readily access the traditional service delivery/care systems.

Services provided by the MSAs include:

  • outreach activities that engage individuals most at risk for HIV, those who are HIV infected and not currently engaged in health care, and those who do not yet know their HIV status;
  • HIV testing, STD screening and medical care/partner services;
  • individual and group level interventions that are designed using science or evidence-based risk reduction strategies, include a skills-building component, and offer support for long-term behavior change;
  • health communication and public information interventions that deliver HIV/STD and hepatitis  prevention messages and promote programs and community events to increase awareness, build general support for safe behaviors, and support personal risk reduction efforts;
  • community level interventions that influence community norms, attitudes, and practices in support of reducing risk behaviors; and
  • program development and capacity-building activities that support the overall organizational structure and directly support the design, implementation, and evaluation of HIV prevention interventions.

The overall goal of MSAs is to provide HIV, STD and hepatitis C related information and prevention interventions that are evidence-based and support HIV infected individuals.  The expected outcomes are to reduce HIV/STD/Hepatitis C incidence; decrease the rate of HIV transmission; decrease risky sexual and drug using behaviors among persons at high-risk for acquiring HIV; increase the proportion of HIV infected people who know they are infected; and increase the proportion of HIV infected persons who are linked to prevention, partner services and medical care.

Contact:

Bethsabet Justiniano
Director, Bureau of Community Based Services
Division of HIV/STD/Hepatitis C Prevention
(518) 486-1412
bxj03@health.state.ny.us

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