HIV Prevention Service Provider Survey 2014

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1 Respondent Demographics This survey will help the Florida HIV Prevention Planning Group (PPG) establish the resources and unmet needs of the communities we serve. Please take a few minutes to complete the survey to the best of your knowledge. The PPG thanks you in advance for your assistance. 1. What is your gender? Female Male Transgender Male Transgender Female 2. Please describe your race (Check All that Apply) White Black Asian American Indian or Alaskan Native Native Hawaiian or Pacific Islander 3. Are you Hispanic or Latino? Yes No Page 1

2 4. Describe your primary role within your agency? Physician Physician Assistant Nurse Practitioner Nurse Psychologist Social Worker Substance Abuse Professional Health Educator Counselor Case Manager Outreach Worker Peer Navigator/Educator Prevention Specialist Executive Director/Administrator Program Coordinator/Manager Receptionist/Secretary Advocate Board Member 5. How long have you worked at your agency? Less than 1 year 1 to 4 years More than 4, but less than 10 years 10 years or more * 6. Do you provide direct medical care? Yes No Unsure Page 2

3 7. If you are a direct medical care provider, do you consider yourself to be an HIV specialist? Yes No Not Applicable * 8. Do you provide HIV prevention services? Yes No Unsure 9. About how long have you been providing care or services to people living with HIV? (type N/A if you do not provide direct services) 5 6 Page 3

4 Agency Information Please complete the next section regarding the agency where you work. 10. What is the name of the agency? 11. Which of the following best describes your agency? Is your agency a federally qualified health center? Yes No Unsure 13. Please select the area in which your agency provides services. (Check All that Apply) Area 1 Area 6 Area 11B Area 2A Area 7 Area 12 Area 2B Area 8 Area 14 Area 3/13 Area 9 Area 15 Area 4 Area 10 Area 5 Area 11A 14. Does your agency target services to people living with HIV/AIDS? Yes No 15. Does your agency target services to people at risk of acquiring HIV? Yes No Page 4

5 16. Please select the population(s) that best represent(s) your clients. (Check All that Apply) Transgender Male Male Female to Female Transgender Female to Male White/Caucasian Black/African American/African Caribbean Hispanic/Latino Asian American Indian or Alaskan Native Native Hawaiian or Pacific Islander 17. Please select the age(s) of the populations served by your agency. (Check All that Apply) All Ages Under 13 Years Old Years Old Years Old Years Old Years Old 65 and older 18. Please select any special sub populations served by your agency. (Check all that apply) Homeless Substance Users Immigrants (documented and undocumented) Youth Incarcerated/Formerly Incarcerated Men who have Sex with Men (MSM) People with Disabilities Co occurring Mental Health and Substance Abuse People with Mental Health Illness Injection Drug Users Sex Industry Workers Hepatitis Clients Domestic Violence Survivors Co Morbidity Clients (2 or more infections) Page 5

6 19. Is your agency funded to provide HIV prevention services? Yes No Unsure 20. Please indicate your funding sources for HIV prevention services. (Check all that apply) Centers for Disease Control and Prevention (CDC) Direct Funding Health Resources and Service Administration (HRSA)/Ryan White Florida Department of Health (DOH) Private Donations Private Grant Funds/ Foundations City or County Funding Substance Abuse and Mental Health Services Administration (SAMHSA) Florida Department of Children and Families (DCF) Other (please specify if not applicable) 21. How many years has your agency provided HIV prevention services? 6 Page 6

7 Services Please complete this section regarding the services provided by your agency. 22. Does your agency offer any of the following services? (Check all that apply) HIV Counseling and Testing Services Sexually Transmitted Infection (STI) Testing Clinic Based HIV Treatment Education and Adherence Community Based HIV Treatment Education Clinic Based Medical Case Management for People Living with HIV/AIDS (PLWHA) Primary HIV Medical Care Community Based Medical Case Management for People Living with HIV/AIDS (PLWHA) Community Based Case Management for Persons at Risk for HIV Non Medical Case Management for People Living with HIV/AIDS (PLWHA) Peer Programs Support Group for People Living with HIV/AIDS (PLWHA) Behavioral Interventions for People Living with HIV/AIDS (PLWHA) Condom Distribution Substance Abuse Services Mental Health Services Health Education and Risk Reduction Social Marketing/Community Mobilization Family Planning Services Domestic Violence Services Field Outreach Information and Referral Services Other Social or Support Services Other Health Related Services Hepatitis Services Behavioral Interventions for Persons at Risk for HIV HIV Partner Services Screening/Assessment for HIV and other Sexually Transmitted Infection (STI) risk Page 7

8 23. For each statement, please answer accordingly. Strongly Agree Neutral Disagree Strongly Not Agree Disagree Applicable As a provider, I have a clear understanding of High Impact Prevention. As a provider, I have a clear understanding of targeted HIV testing for HIV prevention and care efforts. As a provider, I have a clear understanding of Pre Exposure Prophylaxis (PrEP) for HIV prevention. As a provider, I have a clear understanding of Post Exposure Prophylaxis (PEP) for HIV prevention. As a provider, I have a clear understanding of the use of anti retroviral therapy for HIV prevention. As a provider, I have a clear understanding of prevention for positives services. As a provider, I have a clear understanding of how to incorporate prevention for positives services into my organization/work. As a provider, I have a clear understanding of condom distribution programs. As a provider, I am comfortable providing linkage to care and treatment. As a provider, I am comfortable educating persons at the time of their HIV diagnosis about the benefits of HIV medical care for improving personal health. As a provider, I am comfortable educating persons at the time of their HIV diagnosis about preventing HIV transmission. As a provider, I am comfortable providing interventions to improve retention in and re engagement to care As a provider, I feel comfortable offering referal services to HIV testing providers, community based HIV prevention providers, HIV care providers, case managers, and health departments. As a provider, I feel comfortable discussing risky behaviors (unprotected sex, multiple sex partners, same sex sexual behaviors, intravenous drug use, etc.) with my clients. As a provider, I have an important role in educating clients on risky behaviors and their consequences. As a provider, I am comfortable working with diverse Page 8

9 populations. As a provider, I am comfortable providing services to diverse populations of men who have sex with men (MSM). 24. Choose the response that best reflects activites within your organization. None or About half of almost none the time of the time All or almost Not Applicable all of the time About how often do you ask patients/clients if they are sexually active? About how often do you talk about safer sex with patients/clients? About how often do you ask patients/clients about sexual satisfaction? About how often do you ask patients/clients about using injection drugs or sharing needles? At staff meetings, we discuss efforts to address HIV risk and prevention among our patients/clients. 25. What strategies have you used, or should be used, to successfully identify people with HIV/AIDS who are unaware of their status? What strategies have you used, or should be used, to successfully link and retain HIV positive persons in care? 5 6 Page 9

10 27. Choose the response that best corresponds to the degree to which you agree or disagree with the following statements. Strongly Strongly Not Disagree Neutral Agree Disagree Agree Applicable Our clinic has written procedures for HIV prevention counseling with HIV positive patients Specialists trained in HIV prevention counseling are more appropriate for delivering HIV prevention services to HIV positive patients/clients than are primary care providers. Staff at our clinic routinely screen HIV positive patients/clients to determine their current risk of transmitting HIV to others. No matter how much you counsel some patients/clients with HIV, they are still going to infect others. Information, fliers and pamphlets about HIV and HIV transmission are readily available at our organization. Our organization has the resources to make referrals for HIV positive patients/clients who cannot resolve personal barriers to reducing risk. Page 10

11 Barriers to Providing HIV Prevention Services Please complete this section regarding barriers at the organizational and community level. 28. What are the top three barriers that your organization faced when providing services to people living with or at risk for acquiring HIV/AIDS? (With one being the greatest barrier) One Two Three Inadequate funding resources Lack of substance abuse and/or mental health facilities Stigma, mainly related to homosexuality Stigma, mainly related to HIV status Stigma, mainly related to illicit drug use. Lack of affordable housing and/or shelter facilities Inadequate transportation HIV messages are outdated/inappropriate for intended audiences Location of services (distance or accessibility) Mistrust of the medical system/providers Staff capacity Cultural and/or language barriers Page 11

12 29. What are the top three barriers your organization faced when trying to find people with HIV/AIDS who are unaware of their status? (With one being the greatest barrier) One Two Three Surrounding communities are unaware of services offered Poor communication tools Stigma, mainly related to homosexuality Stigma, mainly related to HIV status Stigma, mainly related to illicit drug use Clients not ready to receive HIV test results/address health care Clients disenfranchised from medical care system Inadequate referral system and/or resources Clients do not understand HIV testing HIV messages are outdated and/or inappropriate for intended audiences Limited resources for HIV testing Partner Services are underutilized Inadequate transportation Location of services (distance of accessibility) Mistrust of the medical system/providers Staff Capacity Cultural and/or language barriers Page 12

13 30. What are the top three barriers your organization faced in linking and retaining HIV positive individuals in HIV medical care? (With one being the greatest barrier ) One Two Three Clients unaware of services offered Clients are afraid to disclose HIV status Stigma, mainly related to HIV status Stigma, mainly related to homophobia Stigma, mainly related to illicit drug use Clients not ready to address health care Cultural and/or language barriers Staff Capacity Clients disenfranchised from medical care system Clients distrust the medical care system Substance abuse/mental health issues HIV messages are outdated and/or inappropriate for intended audiences Partner Services are underutilized Lack of understanding of benefits of medical care Location of services (distance and accessibility) Transportation Page 13

14 31. Listed below are some common barriers that clients face when accessing services. Based on your experiences during the past year, please answer accordingly. Strongly Agree Neutral Disagree Strongly Not Agree Disagree Applicable Our clients have difficulties keeping their appointments. Our clients have difficulties getting transportation to our organization. Our clients have difficulties accessing services due to the location of our organization. Our clients have difficulties accessing services due to hours of our organization. Our clients have difficulties accessing services due to family and/or childcare needs. Our clients have difficulties accessing services due to substance abuse issues. Our clients have difficulties accessing services due to mental health issues. Our clients are reluctant to seek services due to financial barriers. Our clients are unsure of how to navigate the care system. Our clients have difficulties remaining engaged in care because they do not understand the risk of waiting to get into care. Our clients are reluctant to demand treatment services once diagnosed as HIV positive. Our clients are reluctant to seek services due to stigma and/or fear of disclosing HIV status. Our clients are reluctant to seek services due to homophobia. Our clients do not seek services because HIV care and treatment is not a priority for them. Our clients do not seek services because they are not aware of where to find services. Our clients do not seek services because they are not ready to deal with their status. Our clients trust me as a provider. Page 14

15 32. In your opinion, what are the three most important unmet needs for HIV prevention services in your area? (With one being the greatest unmet need) One Two Three HIV Counseling and Testing Services Clinic Based HIV Treatment Education and Adherence Community Based HIV Treatment Education Clinic Based Medical Case Management for PLWHA Community Based Medical Case Management for PLWHA Community Based Case Management for Persons at Risk for HIV Primary HIV Medical Care Peer Programs Support Groups for PLWHA Behavioral Interventions for PLWHA Behavioral Interventions for Persons at Risk for HIV HIV Partner Services Screening/Assessment for HIV Transmission Risk Behaviors and Sexually Transmitted Diseases STD Testing Condom Distribution Substance Abuse Services Mental Health Services Health Education and Risk Reduction Social Marketing/Community Mobilization Family Planning Services Domestic Violence Services Field Outreach Online Outreach Information and Referral Services Other Social or Support Services Other Health Related Services Page 15

16 33. Which of the following training topics or technical assistance areas would help you to better serve clients living with or at risk of acquiring HIV/AIDS? (Check All that Apply) Linkage to and Retention in Care Substance Abuse Behavioral Risk Screening Mental Health Partner Services Behavioral Interventions ART for HIV Prevention Social Marketing Adherence to ART Outreach STD Services Domestic Violence Reproductive Health Care Condom Distribution Health Literacy Fiscal Management HIV and Co morbidities Grant Writing Peer Navigation Outreach and Recruitment Cultural Competency Motivational Interviewing HIV Testing And Counseling Social Networks HIV Partner Services Recruiting Hard to Reach Populations Ryan White Page 16

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