1. North Carolina State Bridge Counselor
Dee Simmons
Public Health Advisor

2. SBC & spbc State Bridge Counselor (6)
Special Populations Bridge Counselor (3)

4. What do we do ? Assist in linking newly diagnosed clients into care
Locate, re-engage and link out of care /lost to care clients
Identify and address client barriers to care
Verify Care Status
Make appropriate client referrals

5. Referral Process
North Carolina Electronic Disease Surveillance System (NCEDSS)
Referrals from Disease Intervention Specialist (DIS)
Referrals from SPBC Prison Releasee
Referrals from SBC Regions / SBC Transfer

6. Referral Process CAREWare
Referrals from ID Providers / Network of Care
Referrals from CAREWare Providers

7. Referral process
NC ECHO (North Carolina Engagement in Care Database for HIV Outreach)
8,778 client records (Out of Care)
Ehars (Enhanced HIV/AIDS Reporting System)
HMAP (HIV Medication Assistance Program) formerly ADAP
Medicaid
NCEDSS
CAREWare

8. Barriers to care Stigma Transportation Fear
Lack of Support/Family Care
Denial/Depression
No Insurance/Under Insured
Poverty
Concern about side effects of medication
Job Conflict/Time off Work
Inconveniently located medical services
Substance Abuse
Mental Health
Unstable Housing
Conflicting Urgencies

9. QUESTIONS ?

10. Dee Simmons
CDC Public Health Advisor
Division of Public Health, Communicable Disease Branch
North Carolina Department of Health and Human Service
office line (direct)
, ext. 3142   office