PROJECT ABSTRACT SUMMARYFamily Health Centers of San Diego (FHCSD), the tenth largest Federally Qualified Health Center (FQHC) in the nation and the largest provider of comprehensive HIV prevention, outreach, testing, and support services in San Diego County, proposes to continue and enhance our CDC Comprehensive High-Impact HIV Prevention Program for Community-Based Organizations (CBO HIP Program), in partnership with Vista Community Clinic (VCC) and The San Diego Lesbian, Gay, Bisexual and Transgender Community Center (The Center), to improve access to culturally and linguistically competent HIV navigation services, testing, medical care, prevention, and supportive services for men who have sex with men (MSM), with an emphasis on the ethnic and racial minorities local surveillance data identify as most severely and disproportionately affected by the HIV epidemic in our local health jurisdiction, San Diego County. The purpose of this program is to continue and enhance existing CBO HIP strategies that diagnose HIV as early as possible, treat HIV quickly and effectively, prevent new HIV cases, and respond quickly to HIV clusters. This will be achieved through widely available HIV testing in a variety of settings that are accessible and familiar to the target population (TP), integrated HIV and STD screening, culturally and linguistically competent rapid linkage to care through HIV navigation services that provide intensive support throughout the linkage-to-care process for both persons with HIV and high-risk negative (HRN) persons, Personalized Cognitive Counseling for repeat testers, referrals to Partner Services (PS), Stay Connected medication adherence services provided in an FQHC setting, expanded use of Social Network Strategy recruitment and Community PROMISE for HIP behavioral intervention strategies conducted by the TP for the TP, innovative technology supported approaches, condom distribution, linkage and referrals to a host of preventio
n and other essential services provided by project partners and our network of over 400 community partners, and coordination and integration of CBO HIP services with other HIV services in San Diego County through participation in the San Diego County HIV Planning Group. FHCSD?s CBO HIP program proposes to achieve the following performance outcomes by the end of the 5-year project period: Diagnose: Increase the number of persons who are aware of their HIV status to a minimum of 7,500 (1,500 per year) through targeted HIV testing, ensuring that 5,625 (1,125 per year) or 75% of those tested are members of the TP, and increase receipt of integrated HIV and STD screenings, ensuring that a minimum of 5,680 (1,136 per year) or 75% of all HRN clients and clients with HIV receive integrated screenings. Treat: Increase receipt of HIV medical care and Antiretroviral Therapy (ART) among persons with newly diagnosed HIV, ensuring a minimum of 90 (18 per year) or 90% of clients with newly diagnosed HIV are linked to HIV medical care and ART within 30 days of diagnosis; increase receipt of HIV medical care and ART among persons with previously diagnosed HIV by ensuring that a minimum of 55 (11 per year) or 75% of clients with previously diagnosed HIV who are not-in-care are linked to or re-engaged in care within 30 days; and increase access to PS among persons with HIV by ensuring 175 (35 per year) or 100% of clients with HIV are referred to PS. Prevent: Increase access to Pre-Exposure Prophylaxis (PrEP) by ensuring a minimum of 6,660 or 80% (1,332 per year) of HRN clients are referred to PrEP; and increase the availability of condoms by distributing 100,000 (20,000 per year) condoms to persons with HIV and HRN persons.