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OES Invisible Finding The Invisible A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration March 08,

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Presentation on theme: "OES Invisible Finding The Invisible A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration March 08,"— Presentation transcript:

1 OES Invisible Finding The Invisible A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration March 08, 2004 Orin G. Johnson, Training & Technical Assistance Manager – CHAG for the 2004 National STD Conference, Philadelphia, PA. Man

2 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 2 Workshop Rationale Why is there a need for a Best Practices Model for AAMSMs? 1.In the last decade of HIV prevention it has been explained that the population of African-American MSMs have been and remain one of the hardest hit groups in America’s HIV/AIDS [and STD] epidemics.

3 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 3 Workshop Rationale Why is there a need for a Best Practices Model for AAMSMs? 2.While several attempts have been made to access this population for prevention & services current methods that only imitate processes successful in the white gay population do not prove effective or appropriate with African-American Men who have Sex with Men.

4 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 4 Workshop Rationale Why is there a need for a Best Practices Model for AAMSMs? 3.This model attempts to bridge that gap in prevention & services but in a manner that is culturally specific and inclusive of multiple agencies expertise in a way that preserves the unique spirit of the population for which it is designed.

5 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 5 Workshop Goal SO, The overall goal of this workshop is to give its participants a distinct set of knowledge & skills that will help them to engage and more effectively involve targeted community members in the fight against the spread of HIV/AIDS and STDs within familiar surroundings in ways that work best for the individuals they serve and represent.

6 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 6 Workshop Goal Specifically the workshop sets out to: 1.Highlight the state of HIV/AIDS and STD acquisition for African-Americans and the AAMSM populations. 2.Explain the collaborative process and illustrate a model in which such practice can bridge the services among multiple organizations to meet the needs of the African-American MSMs. 3.Advocate the use of a best practices model of HIV/AIDS prevention & services that is culturally specific for African-American men who have sex with men (AAMSM).

7 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 7 Workshop Design Further, this workshop is specifically designed for individuals, groups and/or organizations with a commitment to the needs of: –African American men, –from the ages of either or 25 and older, –who have sex with men, –referred to by the CDC as (MSM, AA/MSM or AA/YMSM), though the community uses other terms And put together in a manner that will reflect & validate the lived experiences of those within the populations targeted for services in response to CDC’s HIV Prevention Strategic Plan through 2005 (page 23).

8 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 8 Learning Objectives By the end of this workshop you will be able to … 1.Explain the impact of HIV/AIDS and STD in the world, on African-Americans & AAMSMs 2.Describe the multiple factors that have acted as barriers to the acquisition of prevention & services for AAMSMs as well as the multiple identities, and issues that exist for AAMSM in the larger African- American community.

9 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 9 Learning Objectives By the end of this workshop you will be able to … 3.Distinguish among the levels of collaboration that exist and the level of collaboration operating within your organization, AND… 4.Identify the current services that could effectively support the African-American MSM population for prevention and/or services in a culturally competent manner.

10 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 10 Learning Objectives By the end of this workshop you will be able to … 5.Create an action plan toward preparing your organization, to contribute to a prevention intervention or service related model in your own community through the use of one or more of a variety of evidence-based behavioral interventions.

11 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 11 Workshop Overview To meet the above goals & objectives this workshop will cover the following topics: 1.Overview of the Epidemic 2.The Impact of Race, Gender Roles, Identity & Sexual Orientation on AAMSMs 3.New Directions for HIV/AIDS-STD Prevention & Services for AAMSMs 4.A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs

12 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 12 Overview of the Epidemic worldwideFACT: Several people worldwide are living with HIV/AIDS at the end of North America 790,000 – 1.2 million Caribbean 350, ,000 Latin America million Western Europe 520,000 – 680,000 North Africa & Middle East 470, ,000 Eastern Europe & Central Asia 1.2 – 1.8 million South & South-East Asia 4.6 – 8.2 million East Asia & Pacific 700, million Sub-Saharan Africa million Australia & New Zealand 12, ,000 Total: million * UNAIDS/WHO, AIDS Epidemic Update, December 2003

13 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 13 Contributing Factors In the US Sexual Trends –Younger Ages for 1 st Sexual experience & Experimentation –More Sexual Partners in Lifetime –Increased use of Drugs & Alcohol prior to Sex Prevailing Attitudes –Belief in HIV Immunity –Sexual Complacency –Persistent Social Myths –Relational Trust Issues –Low Self Esteem Overview of the Epidemic HIV+ Developments –Success of HIV Treatment –More Acceptance HIV+ –Economic benefits associated with HIV+ –Glamorization of HIV Resulting Behaviors –Increased Sexual Practice –Increased # of Sex Partners –Increased Unsafe Sex –Increased Spread of STDs –Increased Spread of HIV

14 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 14 Overview of the Epidemic What groups have CDC Reports named as the most at risk populations*?… –Incarcerated Individuals –Injection Drug Users –Teens (esp. Homeless) –Women & Families –Persons of Color* (African- Americans, Latinos, etc.) –MSMs* (men who have sex with men) * * All at-risk populations are of equal importance though we focus on only 1 of these groups today.

15 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 15 Overview of the Epidemic –Feelings of Hopelessness –Fear of Testing –Fear of Status Disclosure –Transportation to Services –Cultural Relevance of Services* –Multiple Stigmas* What Barriers* do groups face in terms of access to HIV/AIDS- STD Prevention & Services?… * * Individuals apart of any at risk group may be dealing with more than one barrier simultaneously. HIV/AIDS & STD Prevention & Services Barriers BLOCK!

16 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 16 Overview of the Epidemic –Poverty Risk –Substance Abuse –Other Health Disparities –Denial What Barriers* do African- Americans face in relation to HIV/AIDS-STD Prevention & Services?… * * Individuals apart of any at risk group may be dealing with more than one barrier simultaneously.

17 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 17 Overview of the Epidemic FACT: African-Americans are disproportionately affected by HIV/AIDS in the United States: –According to the 2000 Census, African Americans make up 12.3% of the population of the United States. However, they have accounted for 39% of the estimated HIV/AIDS cases diagnosed since the beginning of the epidemic up to the year –By the end of December 2002, more than 185,000 African Americans had died with AIDS. –African Americans also accounted for over 50% of the new HIV diagnoses reported in the US in 2002.

18 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 18 Overview of the Epidemic FACT: African-Americans are disproportionately affected by HIV/AIDS in the United States: –The leading cause of HIV infection among African- American women is heterosexual contact, followed by injection drug use. –62% of children born to HIV-infected mothers were African American. –The leading cause of HIV infection among African- American men is sexual contact with other men, followed by injection drug use and heterosexual contact.

19 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 19 The Impact of Race, Gender Roles, Identity & Sexual Orientation on AAMSMs Race: The influence of race in America has resulted in the following… –A widely felt/known history of race & racism –The importance of religion as a support mechanism for African-Americans –Inconsistent gender bias against the African- American males by all of society –Hyper masculinity as a coping mechanism –Fuel added to the cycle of oppression using African- Americans against others & themselves. Adapted from: Race & Ethnicity a collection, of over forty literary collections on the EServer, consisting of reference material, essays, and other works addressing issues of race and ethnicity in the United States at EServerhttp://eserver.org/race/

20 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 20 The Impact of Race, Gender Roles, Identity & Sexual Orientation on AAMSMs Gender-Role: behaviors deliberate or unconscious that convey a sense of gender to others as male or female; –also referred to as Sex Role or behaviors typical of a particular sex; –a set of behaviors expected of a particular sex that include but are not limited to: Dress Speech Occupation Sexual desire etc. Adapted from: Encarta® World English Dictionary [North American Edition] © & (P) 2002 Microsoft Corporation. All rights reserved.

21 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 21 The Impact of Race, Gender Roles, Identity & Sexual Orientation on AAMSMs Gender Identity: a firm belief in ones own gender; the possession by a person of a conviction of belonging to a particular sex, regardless of whether this corresponds to his or her anatomical sex– not to be confused with sexual orientation. What are types of Gender Identity? –Traditional (male/female) –Cross-dresser –Transvestite* –Transgender* –Transsexual* Source: "Transvestism," “Intersexual” Microsoft® Encarta® Online Encyclopedia © Microsoft Corporation. All Rights Reserved. Source: “Myths about Transsexualism” Source “Extending Transsexual Diagnosis” O’Keefe, Tracie Source: “About Our Transgendered Children” PFLAG Virtual Library

22 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 22 The Impact of Race, Gender Roles, Identity & Sexual Orientation on AAMSMs Sexual Orientation: refers to a person's combined erotic, romantic, & affectionate attraction to: –neither sex – Nonsexual, –either sex – Bisexual, –another sex – Heterosexual, or –the same sex – Homosexual* Note: A persons sexual orientation is not always linked directly to his or her gender, gender role or gender identity. Source: "Heterosexuality," “Homosexuality” “Bisexuality” “Asexuality” Microsoft® Encarta® Online Encyclopedia © Microsoft Corporation. All Rights Reserved.http://encarta.msn.com

23 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 23 The Impact of Race, Gender Roles, Identity & Sexual Orientation on AAMSMs Exclusively Heterosexual, little to no homosexual activity. Mostly heterosexual, only incidental homosexual activity. Frequently heterosexual, but more than incidental homosexual activity. Equally heterosexual and homosexual activity or what is often called Bisexual. Frequently homosexual, but more than incidental heterosexual activity. Mostly homosexual, but only incidental heterosexual activity. Exclusively Homosexual, little to no heterosexual activity. Sexual Expression: Most research suggests that sexual orientation is expressed in society on a continuum. Source: “Master’s & Johnson's research,“ Microsoft® Encarta® Online Encyclopedia © Microsoft Corporation. All Rights Reserved.http://encarta.msn.com

24 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 24 The Impact of Race, Gender Roles, Identity & Sexual Orientation on AAMSMs A ladder of acceptance for today’s AAMSM in his/her communities… –Validation –Tolerance* –Sexism (gender, hetero) –Internalized Phobia (self) –Phobia (gender, homo, race) –Acts of Violence Adapted from: Encarta® World English Dictionary [North American Edition] © & (P) 2002 Microsoft Corporation. All rights reserved.

25 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 25 The Impact of Race, Gender Roles, Identity & Sexual Orientation on AAMSMs “AAMSMs are dealing with multiple conflicting issues in their daily lives that often have negative effects on their sexual behavior. ─Sexual Ambivalence ─Religious Affiliations ─Family Relationships ─Intimate Relationships ─Homophobia (internal & external) ─Lack of community (AA or MSM) ─Cultural & Racial Identities ─Sexual Identity* What are some of the Issues* with which AAMSM struggle? The negative outcomes of these issues can often lead to unprotected sex

26 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 26 The Impact of Race, Gender Roles, Identity & Sexual Orientation on AAMSMs “AAMSMs collectively take varied stances upon how & why they Identify sexually based on the outcome of the issues in their daily lives. ─Homosexual/Gay/Queer ─Bisexual (truth or cover) ─Same Gender Loving ─On the Down Low ─Homo Thugs ─Banjee Boy / B-Boy ─Heterosexual / Straight What are some ways in which AAMSM sexually Identify*? For various political, social, and personal reasons AAMSM adopt one or more of these labels to enhance their own quality of life.

27 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 27 1.AAMSM Programs should make room for clients that are also HIV-positive or IDU to reduce risky sexual and drug use practices; increase access to and use of HIV primary health care; and increase access and adherence to HIV treatments. 2.AAMSM Programs should provide for openly gay and bisexual men & those that may not disclose sexual orientation to reduce their sexual risk- taking behaviors in the context of their heritage. 3.AAMSM Programs should also provide for incarcerated, sex workers or raped/molestation victims that identify as heterosexual but describe past MSM behavior and focus upon their HIV education and sexual risk-taking behaviors “New Strategies must focus upon the known barriers to primary HIV prevention for AAMSM communities” New Directions for HIV/AIDS-STD Prevention & Services for AAMSMs

28 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 28 4.AAMSM Programs should use multi- component, multi-agency efforts to address more needs of AAMSM communities. 5.AAMSM Programs should include Web Based opportunities for those wish to connect privately with others to discuss issues that may impact their lives at any time. 6.AAMSM Programs should Include some form of Advocacy to mobilize clients and get them involved in the discussion of how providers, researchers, and policy-makers adopt prevention/care efforts that do not stigmatize the AAMSM community. “New Strategies MUST engage creative collaborations among individuals, organizations & Government in order to service AAMSMs appropriately.” New Directions for HIV/AIDS-STD Prevention & Services for AAMSMs

29 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 29 New Directions for HIV/AIDS-STD Prevention & Services for AAMSMs The Key Is Collaboration – What Is It? –Community-based collaboration refers to the process by which citizens, agencies, organizations, and businesses make formal, sustained commitments for working together to accomplish a shared vision (Chandler Center for Community Leadership, n.d.). More simply, collaboration involves two or more agencies sharing information and resources to achieve common goals (Iowa State University Extension, 1992). The two key components of these definitions are sharing both information and resources as well as having a shared vision. Adapted from - Parent News: Community Spotlight. Building Community Collaborations to Support Young Children Downloaded from - July 23, 2003http://npin.org/pnews/1997/pnew497/pnew497c.html July 23

30 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 30 New Directions for HIV/AIDS-STD Prevention & Services for AAMSMs Why Should Organizations Collaborate? There have been nine trends identified in society that support the growth of community-based collaborations as follows: –Shift to Community –Redefining Private and Public Roles –Policy Development –New Issues –Citizen Participation –Quality of Life/Wellness –Fragmentation of Services –Focus on Root Causes –Shared Decisions… Adapted from - Parent News: Community Spotlight. Building Community Collaborations to Support Youth Downloaded from - July 23, July 23 & Dwindling Funds Available for HIV/AIDS-STD Prevention and Services Efforts

31 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 31 New Directions for HIV/AIDS-STD Prevention & Services for AAMSMs Levels of Collaboration: A Continuum –Cooperation: Individuals or organizations associating as they accomplish similar but separate & distinct goals. –Coordination: Individuals or organizations working simultaneously but under separate direction, using separate resources to accomplish common goals. –Partnership: Individuals or organizations working together in a side-by-side but under separate direction using separate resources with a shared sense of vision, purpose and commitment to accomplish common goals. –Collaboration: The process of individuals or organizations working together, side-by side with shared resources and leadership responsibilities to jointly plan, implement and evaluate efforts to achieve shared goals. * Adapted from: PARTNERS Collaboration Manual Section 1: Defining Collaboration Downloaded from - July 23, 2003.http://www.azpartners.org/sectionOne01.asp Nissen, L., (2001) Community Collaboration: An Overview of the Literature and Web-Based Resources.

32 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 32 New Directions for HIV/AIDS-STD Prevention & Services for AAMSMs The Advantages: –Effective Program Delivery –Improved professional development –Improved Communication & Program Evaluation –Decreased program/services duplication –Improved Public Image –Improved Needs Assessment –Increased Information & Resources The Challenges: –Turf Protection and Mistrust –Decision-Making Processes –Limited Resources –Attrition (i.e. Dropping Out) –Reduced Participation. –Broad Representation. –Communication: Groups should maintain open and frequent communication so that all individuals and organizations feel included. –Solid Leadership: Groups that engage a facilitator or maintain strong leadership can succeed. Adapted from: PARTNERS Collaboration Manual Section 2: Advantages and Disadvantages of Collaboration downloaded from July 18, 2003.http://www.azpartners.org/sectionTwo02.asp July 18

33 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 33 A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs This Best Practices Model is named The Adinkra Project because… –As Adinkra Symbolism is a visual representation of social thought relating to the history, philosophy and religious beliefs of the Asante peoples of Ghana and Cote' d'Ivoire" (Ivory Coast) so... –This project embodies the social thought that community based organizations, through collaboration must deal with the history, philosophy and religious beliefs associated with HIV/AIDS in African-American MSM communities in order to fight the epidemic in this population successfully.

34 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 34 A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs The Adinkra Project has a dual purpose to: –Encourage the formation of formal, healthy relationships, coordinated efforts, cooperative agreements, partnerships & collaborations among local organizations in the fight against HIV/AIDS-STDs. –Establish a distinct network of community based organizations that will provide the necessary services and resources for African-American MSMs that will effectively prevent the acquisition or transmission of HIV/AIDS and STDs.

35 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 35 A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs The Adinkra Projects target population is the organizations in communities with limited capacities to serve the AAMSM population. –African-American MSM Is defined, for the purposes of this project, as the population of African-American Men who have Sex with Men and so includes those African American men that fall in to one or more of the following 4 categories: Homosexual Men (those in sexual contact with men openly & exclusively) Bisexual Men (those in sexual contact with men and women) Heterosexual Men that under particular circumstance have had or currently engage in some sexual contact with men ( sex workers, those previously incarcerated or rape/molestation victims) and Unidentified Men (those that for political, social or personal reasons simply do not identify sexual orientation though they may have sexual contact with men).

36 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 36 A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs The concept of the Adinkra Project is in four parts… –Part 1: of this initiative is achieved through a collaborative organizational structure in which local organizations form a network of resources through informal coordination planned cooperative agreements, and/or organizational partnerships that results in the connection of AAMSM clients with specific services available as needed from the member organizations that have a demonstrated commitment to the fight against HIV/AIDS.

37 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 37 A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs The concept of the Adinkra Project is in four parts… –Part 2: of this initiative is achieved by planning a multilevel intervention committed to African American themes & perspectives that will provide AAMSM communities with service at these levels: outreach, (environmental, promotional, etc.) individual level, (HIV CTR, case management, etc.) group level (educational sessions, discussion groups), community level interventions (forums, town hall meetings), community building (social activities, support groups), & community awareness (informal & formal marketing campaigns)

38 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 38 A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs The concept of the Adinkra Project is in four parts… –Part 3: of this initiative is achieved with the delivery of high quality services through either the enhancement of preexisting resources or development of new resources at member organizations to insure that services are… focused on HIV prevention & services for HIV + & - persons, based on sound academic research, carefully documented and archived, culturally relevant, appropriate and significant to the diverse population of African-American MSMs using them and reflective of the target population’s experiences.

39 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 39 A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs The concept of the Adinkra Project is in four parts… –Part 4: of this initiative is achieved through the maintenance of all network resources by an elected leadership body (The Adinkra Planning Council) composed of member organization representatives (2 per agency) that will: Review the services available in each organization, Discuss client feedback and experiences with services Receive technical assistance from one another or other entities Stay abreast of the latest trends in reference to HIV prevention, funding, etc. Voice concerns and ideas for the Adinkra Project Share goals and accomplishments of services delivered Gain organizational support from the network

40 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 40 A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs The model needs 6 to 9 organizations to work. The Planning Council The Adinkra Planning Council 1 Outreach Interventions 2 Individual Interventions 3 Group Interventions 4 Community Interventions 8 Evaluation & Assessment 7 Planning Council 5 Community Building Activities 6 Community Awareness & Social Marketing 9 Technical Assistance The tasks for organizations 7-9 can be allocated to one or more of the other six depending on present agency capacity. The Planning Council is the body of organizational representatives that meets regularly to determine the future of the Project Organizations participating in the Adinkra Project are selected based on desire, expertise & experience working with AAMSM populations. The tasks for member organizations 1-6 can be allocated to the agency with the best present capacity for the intervention.

41 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 41 A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs In order for this model to work the Adinkra Planning Council will need the following training initially and regularly… –Organizational Collaboration & Cultural Competency –Community Planning, Mobilization & Leadership Development –Behavior Change Theory & Effective Interventions –Information Dissemination & Social Marketing –Regular Updates on… Human Sexuality - Behavior & Trends HIV/AIDS, STDs & other communicable diseases Substance Use/Abuse & Mental Health

42 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 42 A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs The Adinkra Project has the following possible benefits… –Benefit 1: This intervention affords participating organizations the opportunity to learn through practice how to collaborate at multiple levels with other organizations by allowing them to… Create, maintain or revive old organizational relationships Determine informal cooperative agreements Establish informal coordinated engagements/activities Articulate formal written partnerships for funding Contemplate formal collaborative organizational mergers

43 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 43 A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs The Adinkra Project has the following possible benefits… –Benefit 2: This intervention affords participating organizations the opportunity to improve their grant application & usage practices by allowing them to… focus their organizational efforts more clearly, define potential service contracts for funding more specifically, allocate organizational resources more efficiently, diffuse inter-organizational competition for clients, and demonstrate improved service delivery for the target population.

44 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 44 A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs The Adinkra Project has the following possible benefits… –Benefit 3: This intervention affords participating organizations the opportunity to expand their capacity for HIV services as members of the planning council through … organizational development, technical assistance & training, shared resources & information, collective evaluation & assessment processes, improved organizational relationships preparation for future collaboration in other areas.

45 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 45 A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs The Adinkra Project has the following possible benefits… –Benefit 4: This intervention affords participating organizations the capacity to better recognize and address the needs of the target population through … Increased cultural competence in terms of service delivery & program goals Improved group discussions that focus upon self esteem, male relationships & communication, and African-American sexual & general health Increased client participation due to Interventions that develop a strong positive sense of identity for participants as, African-American, as male and/or as MSM. a more exhaustive prevention experience for African-American MSMs than could be accomplished by organizations individually Organizational access to a population that may have been overlooked or underserved.

46 OES 3/08/2004Finding The Invisible Man: A Best Practices Model for HIV/AIDS-STD Prevention & Services for AAMSMs through Community Collaboration National STD Conference, Philadelphia, PA 46 Resources The following are the specific sources used for this presentation that include related facts sheets, briefs, and commentaries… –Chandler Center for Community Leadership. (n.d.). Community -based collaboration: Community wellness multiplied. URL –Centers for Disease Control “Sexually Transmitted Diseases Treatment Guidelines 2002” –Nissen, L., (2001) Community Collaboration: An Overview of the Literature and Web-Based Resources. –Parent News: Community Spotlight. Building Community Collaborations to Support Young Children Downloaded from - July 23, 2003.http://npin.org/pnews/1997/pnew497/pnew497c.html –PARTNERS Collaboration Manual Section 1: Defining Collaboration Downloaded from - July 23, 2003.http://www.azpartners.org/sectionOne01.asp –PARTNERS Collaboration Manual Section 2: Advantages and Disadvantages of Collaboration downloaded from July 18, 2003.http://www.azpartners.org/sectionTwo02.asp July 18


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