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ACCESS PLACE P. A. Update 101 – 15 TH Street East Prince Albert, SK January 31, 2012.

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Presentation on theme: "ACCESS PLACE P. A. Update 101 – 15 TH Street East Prince Albert, SK January 31, 2012."— Presentation transcript:

1 ACCESS PLACE P. A. Update 101 – 15 TH Street East Prince Albert, SK January 31, 2012

2 Services: Sexual Health Clinic Straight to the Point Harm Reduction Program (Needle Exchange) Housing Project 601 North – Drop in Centre

3 Positive Care Program – Hepatitis C support, care and treatment – HIV support, care and treatment – Case Management Community education and outreach

4 Positive Care Program Team: Dr. K. Williams Dr. S. Skinner Dr. K. Stewart Dr. L. Lanoie Dr. V. Parekh Dr. J. Mwana Dr. M. Markentin

5 Marlene Allen- Nurse Manager Chasity Vermette – HIV Outreach Nurse Shelley Crawford – Hep. C Nurse Clinician Barb Bowditch – Case Manager Kathy Hunker- Nurse Practitioner Jacqueline Natomagen – Medical Office Assistant Karen Bear – Housing Coordinator

6 Our Partners in HIV and Hep. C Care: Cooperative Health Center Lab Methadone Assisted Recovery Program Nursing Staff at Prince Albert Correctional Centers

7 Big River First Nation Ahtahkakoop First Nation Numerous other First Nations Communities P. A. Metis Women – Donna Lerat

8 What is Happening:

9 2011 New HIV Cases – Prince Albert Parkland Health Region Note: New HIV statistics are taken from the actual positive lab reports and reporting forms. Data Compiled by Positive Care Program Charts.

10 55 New Cases – January 1 – December 31, 2011

11 Mean age of new clients, by gender (n=55)

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13 Ethnic Origin– New Cases

14 43.6% of New HIV Cases have accessed the Positive Care Program

15 New Cases on Treatment

16 Total Number Of HIV Clients (includes new cases) 265 Client Charts 63 % (148)Active Clients -Regular Contact

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18 73.0 % of Active Clients are Hep. C Positive

19 Initial CD 4 Counts

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22 Overall Picture Male and Female

23 On prophylaxis: 6.1% On Treatment – 58.2 % On treatment obtaining an un-detectable viral load -23.3%

24 A tool we use to monitor HIV Blood-work : Normal Range & TX Started Kaletre Combivir TX Changed Atripla Test Units Dec.18,08Aug 28,10Aug.30 10Sept13,10Nov 8,10Feb. 2, 11June 9,11Oct. 5,11 CD WARNINGDANGERURGENTDANGER WARNING CD 4 % Viral Load 67,206 63, <4000

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26 In 2011 there were: 5 Deaths 6 pregnancies– all on treatment

27 What we see:

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30 Adherence Know thy patient

31 Our study Retrospective chart review, 200 random patients Goal: describe population of methadone clients by examining medical charts for demographic and social characteristics at time of admission

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34 Aboriginal status (n=169) Total = 88.2 % Aboriginal

35 Less than grade 12 education: 76.3 % Methadone vs % Aboriginal vs % general pop

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39 Deaths: Observed/Expected

40 6.8% 21.2% 25.8% 15.5% Woody et al, J Addict Med 2007

41 Psychiatric Comorbidity PTSD Depression, Anxiety Bipolar Disease ADHD Alcohol Related Neurodevelopmental Disorder (ARND)


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