A Conversation about Youth Access to PrEP. May 31, pm ET
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1 A Conversation about Youth Access to PrEP May 31, pm ET
2 Attendees are in listen-only mode. If you have a question or a technical issue, use the chat box at the lower-right of your screen to chat with the Host. You may also questions to whatworksinyouthhiv@jsi.com after the webinar.
3 The audio is being shared via your computer speakers/headset. If you can t hear the audio, make sure your computer audio is turned on. If you re still having problems, please use the call-in number here: Access Code:
4 WebEx Interface Overview Use chat box for discussion and send questions to the Host. Adjust screen.
5 Introduction to What Works in Youth HIV (WWYH) The WWYH project is operated by JSI Research & Training Institute, Inc., an international public health organization dedicated to improving the health of individuals and communities around the world. WWYH runs through a cooperative agreement awarded by the Department of Health and Human Services (HHS) Office of Adolescent Health with funding from the HHS Secretary s Minority AIDS Initiative Fund.
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7 WWYH Goal Improve the health and well-being of America s adolescents by providing practical and innovative website content that empowers youth-serving providers to meet the needs of youth at highest risk for HIV/AIDS.
8 WWYH Strategies Support and promote interventions and strategies to better integrate HIV prevention focused on youth. Promote evidence-based programs and practices. Connect with training and technical assistance opportunities, including social media and educational campaigns.
9 Webinar Objectives Describe PrEP, how it works for HIV prevention, and who can take it. Discuss common challenges related to youth and PrEP. Describe program strategies for educating youth about PrEP, increasing their access to PrEP, and helping them adhere to PrEP (if desired). Identify one strategy you can apply in your program.
10 Agenda Speaker Introductions The Basics: What is PrEP? Conversation Question #1 Presentation of Strategies Conversation Question #2 Audience Questions
11 Speaker Introductions
12 Meet Dr. Bisola Ojikutu Senior Advisor, JSI Assistant Professor of Medicine, Harvard Medical School Infectious Disease Physician and Researcher, Massachusetts General Hospital and Brigham and Women s Hospital
13 Meet Sabrina Cluesman Assistant Director of Clinical Services for JASMYN, Inc. Jacksonville, FL Supports and leads JASMYN s Sexual Health Clinic, which launched their PrEP Access Project in the Fall of 2016 Licensed Clinical Social Worker
14 Meet Aruna Krishnakumar Director of the Health Outreach to Teens (HOTT) Program at Callen-Lorde Community Health Center, NYC HOTT Program provides comprehensive health services to LGBTQ youth ages Licensed social worker who received training at Columbia University School of Social Work Adjunct lecturer at Silberman School of Social Work, Hunter College CUNY
15 The Basics What is PrEP?
16 HIV Transmission Infection Takes a Series of Steps 1. Exposure 2. Crossing the mucous membrane 3. Infecting immune cells 4. Entering the blood stream 5. Spreading to other parts of the body Over the Course of Days CATIE, 2011
17 HIV Transmission Occurs Over the Course of Several Days Exposure Infect Immune Cells Permanent Infection PrEP Antiretroviral Therapy ART HIV Treatment Antiretroviral Therapy ART
18 ART as Treatment and as PrEP Negative Positive SEX ART as PrEP Risk of infection if exposed ART as Treatment Virus in the blood and risk of transmission
19 Why was Truvada Chosen as PrEP? Combination of two effective HIV medications o Tenofovir o Emtracitabine Blocks HIV replication Taken once per day Low rate of side effects Good penetration in genital and rectal tissue
20 What About Side Effects? Nausea, Headache, Weight Loss Bones Small Decrease Bone Mineral Density No Fractures Kidneys Small Increase in Creatinine Returned to Normal Generally Safe and Well Tolerated
21 Truvada Approved as PrEP in Adolescents in 2018
22 Conversation question #1: What makes youth access to PrEP so challenging? Check the chat box for a link!
23 What makes youth access to PrEP so challenging?
24 Presentation of Strategies
25 JASMYN s project goal is to reduce the number of YMSM and trans women being diagnosed with HIV, by: Strategies Continuing to develop a community plan that cultivates resources, creates education tools, and provides services to make PrEP available to high risk YMSM/trans women Creating a linkage process that will allow youth to access npep in a timely and sex positive approach, in Jacksonville and Northeast Florida
26 Strategies Strategy #1 Strategy #2 Prioritize those with the least access and highest need Offer PrEP Education in all programs, services and social media On-site clinic for direct access (weekly) Daily HIV Testing which includes PrEP screening Strategy #3 Continue to develop community and medical partnerships Lead the community conversation Explore future sustainability models
27 HOTT Program Strategies
28 PrEP Youth Program
29 HOTT Program Strategies Strategy #1 Strategy #2 Open Access Walk-in PrEP Clinic Can get a same day prescription, see a prevention counselor and a medical provider Decreases stigma Separates sexual health from primary care so that anyone can walk in Mobile Health Van Fully-equipped medical vehicle Goes into communities where we know youth hang out Provide low-threshold services o Urgent care o o Sexual health screenings Provide information on PrEP in every case management or provider interaction Strategy #3 Creative Media Fun, youth-friendly PrEP video series Diverse cast Accessible language Reflective of patient population
30 Conversation question #2: What misconceptions do youth have about PrEP? Check the chat box for a link!
31 What misconceptions do youth have about PrEP?
32 Audience Questions
33 Questions? Comments? Attendees are in listen-only mode. If you have a question or a technical issue, use the chat box at the lower-right of your screen to chat with the Host. You may also questions to whatworksinyouthhiv@jsi.com after the webinar.
34 What's Coming Up? Webinar on June 19, 2:00-3:30 PM ET: Don t Waste Your Content: Innovative Ways To Increase Online Engagement Register now at bit.ly/wwyh61918
35 Thank you for joining us! Please complete the webinar evaluation: surveymonkey.com/r/wwyhprep Sign up for our mailing list and access tools, resources, and more at WhatWorksinYouthHIV.org Follow us on Contact us:
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