Minnesota HIV Strategy Krissie Guerard, MS STD/HIV/TB Section Manager, MDH Chuck Peterson Executive Director Clare Housing Matt Toburen Public Policy Director, Minnesota AIDS Project webpage http://www.health.state.mn.us/divs/idepc/diseases/hiv/strategy/index.html
Agenda About the Strategy What has been done HIV Housing Plan Next Steps http://www.health.state.mn.us/divs/idepc/diseases/hiv/strategy/index.html
HIV Prevalence 3/28/2018 3
Profile of HIV in Minnesota One new HIV infection reported nearly every day In 2016, 290 new cases of HIV were reported in MN 340 331 320 300 292 314 301 307 294 290 280 260 2010 2011 2012 2013 2014 2015 2016 New HIV Diagnoses
Profile of HIV in Minnesota As of December 31, 2016, 8,554* persons are assumed alive and living in Minnesota with HIV/AIDS 4,575 living with HIV infection (non-aids) 3,979 living with AIDS This number includes 2,064 persons who were first reported with HIV or AIDS elsewhere and subsequently moved to Minnesota This number excludes 1,332 persons who were first reported with HIV or AIDS in Minnesota and subsequently moved out of the state Data Source: Minnesota HIV/AIDS Surveillance System
Profile of HIV in Minnesota 3/28/2018 6
Why now? National HIV/AIDS Strategy MN Plan To End AIDS Legislation SF847 (Dibble/Franke) Government and Community Leadership
Why now? National HIV/AIDS Strategy Five-year plan that details principles, priorities, and actions to guide our collective national response to the HIV epidemic
Why now? National HIV/AIDS Strategy Vision The United States will become a place where new HIV infections are rare and when they do occur, every person regardless of age, gender, race/ethnicity, sexual orientation, gender identity or socio-economic circumstance, will have unfettered access to high quality, lifeextending care, free from stigma and discrimination. https://www.aids.gov/federal-resources/national-hiv-aids-strategy/nhas-update.pdf
Why now? National HIV/AIDS Strategy https://www.aids.gov/federal-resources/national-hiv-aids-strategy/nhas-update.pdf
Why now? MN Plan To End AIDS Legislation SF847 (Dibble/Franke) Directs MDH/DHS and community stakeholders to: Develop a strategic plan to achieve the goals of the National HIV/AIDS Strategy Reduce New HIV Infections by 75% Deliver a report to the legislature by January 2018
What have we done? Purpose Vision Goals & Strategies Focus Groups
Purpose of the Strategy The plan, called the Minnesota HIV Strategy (the Strategy), will provide a roadmap for coordinating efforts and resources to address HIV and lead towards the ultimate goal of eliminating HIV/AIDS in the state. All aspects of the Strategy are viewed through a health equity lens. 3/28/2018 13
Vision The vision of the Strategy is that by 2025, Minnesota will be a state where new HIV diagnoses are rare and all people living with HIV and those at high risk of HIV infection will have access to high quality health care and resources they need to live long healthy lives, free from stigma and discrimination.
Goals 1. Prevent new HIV infections 2. Reduce HIV-related health disparities and promote health equity 3. Increase retention in care for PLWH 4. Ensure stable housing for PLWH and those at high risk for HIV infection 5. Achieve a more coordinated statewide response to HIV 3/28/2018 15
Focus groups To learn from perspectives and opinions of participants To collect rich qualitative data through direct interaction between facilitators and participants To ensure MN HIV strategy priority recommendations are in line with the community needs To provide PLWH, high risk populations, Healthcare Professionals, Tribal Nations and government employees have their voices heard in the planning process of the MN HIV strategy 3/28/2018 16
Focus Groups Logistic June 29-September 19 8 regions Metropolitan (Burnsville; Brooklyn Park; Minneapolis ; St Paul; Roseville; W. St Paul; ) NE: Duluth WC: Mahnomen (White Earth) C ( St Cloud; Mille Lacs) NW: Moorhead; Bemidji SC (Mankato) SW (Worthington) SE (Rochester) Key Informant Interviews 3/28/2018 17
Focus Group and Key Informant Interview Findings 3/28/2018 18
3/28/2018 Prevention Education, Training & Testing
HIV Care Services 3/28/2018 20
Resources and Services 3/28/2018 21
Advocacy 3/28/2018 22
Statewide HIV Housing Plan Vision By 2025, all people living with HIV have access to permanent affordable housing that respects the life they want to live. 3/28/2018 23
Housing Need Total Ryan White Clients Served 4288 Total Clients that indicated a housing status 3475 Unstable 418 1100 people Living With HIV in 2016 were in unstable/temporary housing. Temporary 678 Stable/Permanent 2805 0 500 1000 1500 2000 2500 3000 3500 4000 4500 5000 3/28/2018 24
Working in Tandem with the Minnesota HIV Strategy Goals Housing Units: Increase the supply of safe and affordable quality housing units for all people living with HIV throughout Minnesota Housing Stability: Ensure people living with HIV have access to the necessary support services to achieve long-term stability to maintain their desired housing Reliable, Useful Data: Promote the availability of reliable and useful data to inform decision-making, strategy development, and program accountability for PLWH and in particular, for traditionally underserved groups Sustainability: Build sustainable resources to create HIV specific affordable housing units and supportive services 3/28/2018 25
Why HIV Specific Housing Need - Persons living with HIV/AIDS are significantly more vulnerable to becoming homeless during their lifetime. HIV Prevention - Housing stabilization can lead to reduced risk behaviors and transmission. Improved treatment adherence - Homeless persons living with HIV/AIDS provided housing supports achieve improved medication adherence and health outcomes. 3/28/2018 26
Why HIV Specific Housing Reduction in HIV transmission - Stably housed people living with HIV/AIDS demonstrate reduced viral loads resulting in reductions in HIV transmission. Cost savings - Homeless or unstably housed persons living with HIV/AIDS are more frequent users of high-cost hospital-based emergency or inpatient services, shelters, and criminal justice systems. Discrimination and stigma - HIV/AIDS-related stigma and discrimination add to barriers and disparities in access to appropriate housing and care along with adherence to HIV treatment. 3/28/2018 27
Next Steps
Next Steps Facilitated Workshops Purpose Strategically collect information to develop tactics and action plans from the strategies developed in phase one of the Statewide HIV Strategy Wilder Foundation 7 Greater MN 8 Metro Area White Earth Conference Plans still in the works to reach more Tribal Nations 3/28/2018 29
Next Steps Fiscal Analysis Implementation Plan Evaluation Plan 3/28/2018 30
Questions & Thank you krissie.guerard@state.mn.us 651.201.4007 chuck.peterson@clarehousing.org 612-236-9521 matt.toburen@mnaidsproject.org 612-373-2461 http://www.health.state.mn.us/divs/idepc/diseases/hiv/strategy/index.html 3/28/2018 31