Engaging Young Black MSM July 30, 2013 For Audio: Dial-in#: Participant Code: #

2  Welcome & Overview- 5 mins  Engaging Young Black MSM, 30 mins  Panel Discussion on Engagement, 20 mins  Wrap-up & Evaluation, 5 mins Michael Hager in+care Campaign Manager National Quality Center New York, NY Conversation opportunities throughout webinar Agenda

3 For more information:  This Partners in+care webinar is offered as part of the in+care Campaign.  The in+care Campaign is a national effort to improve retention in HIV care.  Webinars are one of many Partners in+care activities designed to engage people living with HIV/AIDS and their allies in the in+care Campaign. Welcome & Overview

4  This is a “public event.” If you have confidentiality concerns:  Your names appear on-line in the list of webinar registrants -consider just listening to the audio or to viewing the webinar at a later time, after it is posted at  All webinars are recorded - do not use identifying information when asking questions Participation Guidelines For Audio: Dial-in#: Participant Code: #

5  Actively participate and write your questions into the chat area during the presentation; we will also have a “pop up” question exercise, and will pause for conversation during the webinar  Do not put us on hold  Mute your line if you are not speaking (press *6, to unmute your line press #6)  The slides and recording of this and other Partners in+care webinars are available for playback and group presentations at – “Resources” tabwww.incarecampaign.org For Audio: Dial-in#: Participant Code: # Participation Guidelines

6 Learning Objectives At the end of this webinar you will know:  Methods to engage marginalized communities to support retention  How testing and prevention dovetails with linkage and retention

7 Visit Pop-up Question Yes No Engaging Young Black MSM Is your clinic having a difficult time engaging and retaining young Black MSM?

8 Visit Pop-up Question Yes No I don’t know Engaging Young Black MSM Do you think linkage and retention begins with testing and prevention?

9 The Treatment Cascade 20% are unaware of their infection 38% aren’t linked to care

Funded under CDC PS CANDII, Inc. DBA ACCESS AIDS Care Norfolk, VA Engaging Young Black MSM in HIV Prevention & Testing

Community Needs Lack of Self-Efficacy re: condom usage Low perception of risk Social isolation leads to need for love and companionship (even if risky) Lack of social support for positive health behaviors

Community Needs Coping with stigma from intersecting identities ◦As an African American ◦As an African American male ◦As an African American gay/bi male ◦As an HIV+ African American gay/bi male

LIFE’s Vision Encourage young black men to protect themselves and always practice safer sex to stop the spread of HIV/AIDS Encourage young black men to be comfortable with being gay or bi or being HIV+ and to know that it’s ok to be who you are Encourage the discussion of safer sex and HIV prevention as a regular thing in the community

Interventions Enhanced HIV Testing with PCC ◦Rapid HIV Testing ◦Personalized Cognitive Counseling (if eligible) Community PROMISE ◦Role Model Stories ◦Peer Advocates CRCS with CLEAR ◦5 Core Sessions ◦At least one menu domain

Our Approach Build community with peers to reduce feelings of isolation and stress ◦Create safe space ◦Community mobilization events Teach and reinforce sexual health to community members ◦Counseling & Testing (w/PCC) ◦LIFE Stories ◦Peer advocates

Our Approach Affirm identity as African American gay and bisexual men and offset negative messages ◦LIFE Stories ◦CLEAR

Events Tribute Night—Feb. ‘12 Hit List Ball—June ‘12 Family Reunion Kiki Ball—Aug.’12 World AIDS Day Ball—Dec. ‘12 Tribute Night—Feb. ‘13 Movie Night: Paris is Burning—Feb. ‘13 Website Launch Party—Apr. ‘13 Sexual Education Workshop—May ‘13

Events

Events

Incorporate HIV Prevention into Events Increase access to rapid HIV testing Normalize HIV testing behavior Role model story distribution Role model/Peer advocate recruitment

Role Model Stories

Counseling & Testing # Tested New HIV+ % Pos. % Linked Yr %80% Mid-Yr %57%

Personalized Cognitive Counseling # Repeat Testers # PCC Yr Mid-Yr

CLEAR--Choosing Life: Empowerment, Action, Results! Evidence-based intervention Individual level intervention ◦HIV+ African American MSM, yrs. old or ◦Sexual partner of target population 5 required core sessions 1-2 menu sessions

Core Sessions 1: Getting to Know Each Other 2: Creating a Vision for the Future 3: Stressors and SMART Problem- Solving 4: Exploring Different Types of Communication 5: Putting it All Together

Menu Sessions Sexual Risk Substance Use Risk Health care and Self care Adherence Disclosure Stigma

Wrap Up Session Discuss maintenance strategies Reflect on intervention experience Closure Incentive

CRCS w/CLEAR # Served # Completed Core % Complete Yr % Mid-Yr % Total282175%

CLEAR Menu Sessions Out of 26 clients served ◦31%--Disclosure ◦23%--Health care & Self care ◦19%--Substance Use Risk ◦15%--Sexual Risk ◦8%--Stigma ◦4%--Adherence

Condom Distribution # to HR Neg/Unk # to HIV+ CLI Yr (2960) Mid-Yr (14517)

Unique Strategies Special Testing Incentives ◦Ultimate Dinner Date ◦Testing World AIDS Day Ball ◦Marsha Ambrosia Concert Meet & Greet Social Media/Website ◦Facebook ◦Grindr/Jack’d ◦LIFE757 Website

Facebook Stats 241 Likes 260 Reached this week 10 People talking about this

Phone App Outreach

Website

Next Steps Social Marketing Campaigns ◦HIV Testing ◦Condom Usage Xtra LoveGlove

View his videos on the ACCESS AIDS Care YouTube Channel Or “Friend” Him

NHTD 2013 About 50 people 11 Tested for Gonorrhea/ Chlamydia 13 Tested for Syphilis 3 HIV

Contact Information ACCESS AIDS Care Norfolk, VA Irma Hinkle, M.S.W Programs Director , ext. 216 Robyn Wilson, M.Ed. Program Manager , ext. 228

42 Engaging Young Black MSM Panel Discussion - Introduction Irma Hinkle, M.S.W. Programs Director ACCESS AIDS Care Norfolk, VA Robyn Wilson Program Manager ACCESS AIDS Care Norfolk, VA

43 Let us know your experiences in the chat room! How can we improve retention by focusing on the left side of the Treatment Cascade? Speaking from Experience: Engaging Young Black MSM

44 Let us know your experiences in the chat room! What is the most important lesson learned from engaging the communities you seek to serve? Speaking from Experience: Engaging Young Black MSM

45 Visit Pop-up Question More likely than before I watched this program No more or less likely than before I watched this program Less likely than before I watched this program Adapting to our Success How likely are you to reevaluate the way you address engaging young Black MSM?

46 Campaign Headquarters: National Quality Center (NQC) 90 Church Street, 13 th floor New York, NY Phone Visit Web / Open the Toolkit - “Partners” tab Sign up for Partners in+care Network – “Partners” tab Join Facebook Send to – “Facebook” in subject line Partners in+care Resources