montana hiv integration project in big sky country
TRANSCRIPT
MONTANAMONTANA
HIV INTEGRATION PROJECT
IN BIG SKY COUNTRY
Title X Coverage by Montana Town
Title X Clinic
Title X Satellite Clinic
Helena
Great Falls
Kalispell
Polson
Browning Libby
Thompson Falls
Missoula
Havre Malta
Sidney
Glendive
Miles City Baker
Broadus
Billings
Lewistown
Bozeman
Dillon
Butte
DeerLodge
Anaconda Hamilton
Columbia Falls
Eureka
Glasgow
Troy
15 Sites Across the State15 Sites Across the State
4 Planned Parenthood Clinics
• Billings
• Helen
• Great Falls• Missoula
6 HIV Prevention Sites6 HIV Prevention Sites
• Bozeman
• Butte
• Glendive
• Kalispell
• Lewistown
• Polson
5 Family Planning Clinics5 Family Planning Clinics
• Dillon
• Hamilton
• Havre
• Libby
• Miles City
IMPACTS on TESTINGIMPACTS on TESTING
• Year 1 – 1,435 total tests– 550 rapid tests – 38%– 885 serum tests – 62%
• Year 2 – 2,176 total tests - 52% increase– 1,350 rapid tests – 62%– 826 serum tests – 38%
Impacts on TestingImpacts on Testing
• Year 3 - 2,384 tests (est)• Rapid tests – 66%
• Serum tests – 34 %
Impacts on TrainingImpacts on TrainingYear 1Year 1
• Training attendance• 136 hours of training available• 52 staff attended at least one of these trainings• 552 total staff training hours
• Topics• ABC Skills Building• Cultural Competency• Age Appropriateness• HIV Prevention Skills Building
Year 2 TrainingYear 2 Training
• Training attendance• 69 hours of training available• 58 staff attended at least one of these trainings• 924 total staff training hours
• Topics• ABC Skills Building• Cultural Competency• Age Appropriateness• HIV Prevention, Risk Assessment Skills Building• HIV & Meth Use
Year 3 TrainingYear 3 Training
• One Quarter’s Data• 12 hours training available• 12 staff attended at least one of the trainings• 72 total staff training hours
• Topics• Cultural Competency• Age Appropriateness• HIV Prevention Skills Building• Current Topics in Women & HIV
Clinic CommentsClinic Comments
• Planned Parenthood Sites
• Attracted younger clients; more gay men• Testing numbers increased• Ability to provide sliding scale fee• Integration = normalizing HIV testing• Increase in training and networking opportunities• Moving into rapid testing
Family Planning SitesFamily Planning Sites
• Noticed no change in numbers, clients
• Best = able to offer the test for free
Combo Sites (HIV/FP)Combo Sites (HIV/FP)
• Increased testing numbers
• Normalization, attitudinal changes
• All said that this funding was essential to providing this service on a sliding fee scale or free.