XIX International AIDS Conference

MOWS01 Beyond Doctors and Drugs: Adapting Evidence-based, Treatment-as-prevention Interventions to Peer-based, Holistic, Client-centered Services for People Living with HIV
  Community Skills Development
Venue: Mini Room 1
Time: 23.07.2012, 11:00 - 12:30
Language:           English

Level:                  Intermediate

Target audience: Manager/director, Peer educator, Counsellor

Seating limits:    50
Co-Facilitators: Justin Jones, United States
Jen Hecht, United States
The emergence of treatment-as-prevention (TAP) has fostered the development of evidence-informed interventions focused on engagement in medical care and treatment adherence among HIV-positive individuals. The aim of these interventions is to reduce community viral load to a level where sustained declines in new HIV infections can be achieved. Policymakers and funders are introducing new requirements for services directed at people living with HIV (PLHIV) to incorporate TAP objectives into their programmes. This workshop will focus on strategies for adapting TAP interventions into peer-based services using lessons learned from San Francisco AIDS Foundation's Positive Force programme. Through a brief didactic presentation participants will learn the principles of TAP. Then, employing open discussion and small-group work, the workshop will provide participants with immediate, near-term and long-term objectives for successful integration of TAP into holistically oriented services. Participants will also learn how non-treatment specific needs of PLHIV can synergistically work with TAP.


J. Jones, United States
J. Hecht, United States

Overview of treatment as prevention: theory, practice and implications

J. Hecht, United States

The positive force difference: peers, engagement and partnerships

J. Jones, United States
J. Hecht, United States

Small group work

J. Jones, United States

Small group work report back and discussion

J. Jones, United States
J. Hecht, United States

Wrap-up and evaluations

J. Jones, United States
J. Hecht, United States

Powerpoints presentations
Introduction -

The positive force difference: peers, engagement and partnerships -

Rapporteur report

CPC report by Garry Brough

Justin Jones and Jen Hecht from San Francisco AIDS Foundation presented an interactive workshop on their work on the Positive Force program, which aims to address the treatment as prevention agenda in reducing onward transmission and community viral load whilst meeting the wider psychosocial needs of gay men living with HIV.

The Positive Force program uses a client-centered approach, engaging clients at whatever level their particular needs might be - some may access the service as a way of increasing social contacts while others may be looking for specific support on issues such as new diagnosis, anxieties or difficulties with starting or adhering to treatment, or more general health and wellbeing issues. It offers predominantly peer-led support services, but also provides information and support on treatment and living well with HIV via regular physician-led forums. Peer mentoring is central to the program and they link with external providers and other NGOs to offer support in other areas of need (such as housing, primary care, etc).

The workshop included some small group work to explore ideas of what success might be for a client and what elements are needed to get there. There was broad agreement that while indicators such as an undetectable viral load might be a desirable outcome from a clinical or public health perspective, the audience felt that holistic wellbeing was the true mark of success, and that this could only be done by addressing a far wider range of needs than clinical outcomes alone.

Participants cited lack of funding and possible volunteer burnout as barriers for small volunteer-led initiatives, but solutions included linking with regional/ national HIV networks and service organizations or local HIV clinical services to gain validation and recognition, or approaching pharmaceutical companies for funding.  


    The organizers reserve the right to amend the programme.

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