1. Engaging Young Black MSM July 30, 2013 For Audio: Dial-in#: 866.394.2346 Participant Code: 397 154 6368#

2. 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 michael@nationalqualitycenter.org Conversation opportunities throughout webinar Agenda

3. 3 For more information: www.incarecampaign.org  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. 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 www.incarecampaign.org  All webinars are recorded - do not use identifying information when asking questions Participation Guidelines For Audio: Dial-in#: 866.394.2346 Participant Code: 397 154 6368#

5. 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 www.incarecampaign.org – “Resources” tabwww.incarecampaign.org For Audio: Dial-in#: 866.394.2346 Participant Code: 397 154 6368# Participation Guidelines

6. 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. 7 Visit www.incarecampaign.org Pop-up Question Yes No Engaging Young Black MSM Is your clinic having a difficult time engaging and retaining young Black MSM?

8. 8 Visit www.incarecampaign.org 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. 9 The Treatment Cascade 20% are unaware of their infection 38% aren’t linked to care

10. Funded under CDC PS11-1113 CANDII, Inc. DBA ACCESS AIDS Care Norfolk, VA Engaging Young Black MSM in HIV Prevention & Testing

11. 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

12. 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

13. 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

14. 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

15. 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

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

17. 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

18. Events

19. Events

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

21. Role Model Stories http://youtu.be/r2PRx8zpjx8 www.life757.org

22. Counseling & Testing # Tested New HIV+ % Pos. % Linked Yr. 110754.67%80% Mid-Yr. 28778.04%57%

23. Personalized Cognitive Counseling # Repeat Testers # PCC Yr. 18729 Mid-Yr. 27213

24. CLEAR--Choosing Life: Empowerment, Action, Results! Evidence-based intervention Individual level intervention ◦HIV+ African American MSM, 16-29 yrs. old or ◦Sexual partner of target population 5 required core sessions 1-2 menu sessions

25. 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

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

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

28. CRCS w/CLEAR # Served # Completed Core % Complete Yr. 121948% Mid-Yr. 2171271% Total282175%

29. 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

30. Condom Distribution # to HR Neg/Unk # to HIV+ # @ CLI Yr. 14677330(2960) Mid-Yr. 214807705(14517)

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

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

36. Phone App Outreach

37. Website

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

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

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

41. Contact Information ACCESS AIDS Care Norfolk, VA Irma Hinkle, M.S.W Programs Director ihinkle@accessaids.org 757-640-0929, ext. 216 Robyn Wilson, M.Ed. Program Manager rwilson@accessaids.org 757-640-0929, ext. 228

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

43. 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. 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. 45 Visit www.incarecampaign.org 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. 46 Campaign Headquarters: National Quality Center (NQC) 90 Church Street, 13 th floor New York, NY 10007 Phone 212-417-4730 Visit Web / Open the Toolkit www.incarecampaign.org - “Partners” tab www.incarecampaign.org Sign up for Partners in+care Network www.incarecampaign.org – “Partners” tab www.incarecampaign.org Join Facebook Send email to incare@NationalQualityCenter.org – “Facebook” in subject line incare@NationalQualityCenter.org Partners in+care Resources