HIV CARE COORDINATION PROGRAM (CCP)
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HIV CARE COORDINATION PROGRAM (CCP)

  • 06/17/2021

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  • Description:
    The HIV Care Coordination Program (CCP) aims to retain clients in HIV care by offering home- and field-based patient navigation services, coordinating medical and social services, providing support and coaching for medication adherence, and assisting clients with gaining skills and knowledge to maintain a stable health status. Specific intervention components include: 1) outreach for initial case finding and after any missed appointment; 2) case management, including social services and benefits assessments; 3) multidisciplinary care team communication and decision-making via case conferences; 4) patient navigation, including appointment reminders, assistance with scheduling appointments, transportation resources, and accompaniment to primary care visits; 5) ART adherence support, including directly observed therapy for individuals with greatest need; and 6) structured health promotion using a curriculum developed by the Partners in Health and Brigham and Women’s Hospital Prevention and Access to Care and Treatment (PACT) program. Depending on level of need, clients meet weekly, monthly or quarterly with CCP staff.
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