• Project Title: UT Southwestern Dallas Family Access Network • Applicant Organization Name: UT Southwestern Medical Center • Address: 5323 Harry Hines Blvd; Dallas, Texas 75390-9020 • Project Director Name: Cora Giddens, MSHM • Contact Phone Numbers (Voice, Fax): 214-648-0860 • Email Address: firstname.lastname@example.org • Website Address: www.utsouthwestern.edu • List all grant program funds requested in the application: $1,191,445.00 The University of Texas Southwestern Medical Center’s (UT Southwestern) Dallas Family Access Network (DFAN) program provides high-quality care for women, infants, children and youth (WICY) affected and infected with HIV. By providing access to family-centered medical care and support services, DFAN ensures coordinated, comprehensive, and culturally and linguistically competent services directly and via contracts and service agreements with HIV outpatient clinics, support services and through and through collaborations with other organizations. DFAN and its partners aligned themselves with the 2020 National HIV/AIDS Strategy for the United States. In this context, DFAN responds to the high burden of HIV infection in the north Texas area with strategies to reduce new HIV infections through improving prevention resources, increasing access to care, and improving the quality of care for patients with HIV/AIDS, with the overarching goal of reducing health disparities. DFAN has served the WICY population for over 30 years. Between 2017 and 2020, the number of WICY living with HIV served by DFAN was 2,860, 3,095 and 3,238 annually, for a total of 9,193. The number of patients served increases each year and has more than doubled since 2015 when we were at 688 patients served. UT Southwestern DFAN currently serves an nine-county region, referred to as the Dallas Eligible Metropolitan Area (EMA) and covers 7,157 square miles, containing over five million residents. The counties are Collin, Dallas, Denton, Ellis Hende
rson, Hunt, Kaufman, Navarro and Rockwall. The prevalence of HIV/AIDS in the Dallas EMA continues to rise and is highest in Dallas, Collin and Denton counties. The priority populations to be served are low income women over the age of 25 with HIV, infants up to two years of age exposed to or with HIV, children ages two to 12 with HIV, and youth ages 13 to 24 with HIV. The priority population is inclusive of transgender women and LGBTQ youth. Key services to be included are: 1.) Support for testing prioritizing high-risk WICY populations, particularly minority cis and transgender women and young men who have sex with men (MSM); 2). Salary support for expert clinicians to provide outpatient care for the HIV-infected and affected WICY populations and for the implementation of a telehealth model targeting primarily rural counties; 3.) Enhance the existing peer navigation model, by incorporating and implementing Peer Linkage and Re-engagement of Women of Color with HIV; 4.) Assess and incorporate strategies from the Building Futures: Supporting Youth Living with HIV Toolkit improve outcomes in transitioning youth from pediatric to adult care, retention and viral suppression; 5.) Provide dental care services; 6.) Assess and screen WICY for impacts of social determinants of health and other social barriers; 7.) Raise awareness about and provide referrals for specific medical and social needs for women with HIV over 55 years of age; 8.) Screen for intimate partner violence (IPV) and refer to emergency housing and PrEP, as appropriate; and 9.) Provide comprehensive gynecological services and transgender care. DFAN did include a supplemental proposal to provide IPV screening and counseling, building upon an Office of Women’s Health grant from 2018 to 2022 focusing on the intersection of IPV and HIV.