In June 2022 CAPTC and partners convened a two-day institute. The goal was to improve knowledge of how structural interventions operate to address the environmental, social, and economic factors that influence individual risk and protective behaviors.
When policies and programs designed to improve health outcomes are not driven by community interests, concerns, or needs, efforts remain disconnected from the people they intend to serve. Aunsha Hall-Everett engages participants in a deeper discussion about the various examples of community engagement strategies discussed by presenters and how they can be used in their jurisdictions to maximize structural impact.
The NYC Condom Availability Program: Structural Changes During a Pandemic
Jennifer Matsuki and Ilona Charkow highlight how the NYC Condom Availability Program (NYCAP) was able to meet the needs of the community with its condom distribution program during the COVID-19 pandemic. This session also highlights the importance of organizations being able to pivot service delivery models to continue to meet the community’s needs and demands.
The Modernization of HIV Laws in Nevada; Changing Legislature
Andre Wade provides an overview of how the state of Nevada addressed a structural barrier to HIV prevention and care by modernizing its HIV duty to warn laws. HIV criminalization laws, a.k.a. duty to warn, were established across the nation in the early 1990’s as part of the 1990 Ryan White CARE Act – requiring states to certify that they had adequate laws in place to prosecute individuals who knowingly exposed another person to HIV. These outdated and discriminatory laws aided in increasing HIV stigma, hindered disclosure of HIV status, and created barriers to access to HIV prevention and care services.
Zami Hyemingway explores the negative impact of transphobia on clients who identify as transgender or non-binary persons when they access HIV care and prevention, services. Improve your knowledge of organizational transphobia and the ways it is practiced and institutionalized. Explore structural strategies, which incorporate an intersectional approach for naming and combating transphobia within your organization and systems of care, and help to bridge the medical divide for transgender people seeking and accessing services.
Delivering Trauma Informed Care to Reduce Health Disparities in Vulnerable Populations
To examine trauma-informed care as a structural intervention, Shamere Mackenzie highlights the importance of supplying care and support services to vulnerable populations in a trauma-informed manner, further helping to promote healthy outcomes and increase client engagement in care and prevention services. Learn the principles of trauma-informed care and strategies for infusing trauma-informed care into systems of care and prevention.
Cultural Humility through Structural Changes, Institutional Accountability
Creating change at an institutional level to promote cultural humility requires an assessment of barriers and structures that have created disparities in health outcomes for particular communities. Tim Vincent highlights an example of one health department’s approach which effectively integrated cultural humility by making structural changes in their service delivery. This session provides participants with the opportunity to learn and discuss how cultural humility can be institutionalized at a structural level to increase client engagement in their jurisdictions.
Structural Interventions Institute: Community Engagement
Community engagement is essential in developing and implementing structural interventions. Duran Rutledge briefly discusses the importance of gaining community buy-in for interventions, highlighting the “wisdom of crowds” perspective, and provides participants an opportunity to share experiences in engaging communities.
Matthew Willis explains how the California State Office of AIDS has funded and supported structural interventions (SIs) throughout the state, particularly the Ending the HIV Epidemic (EHE) initiative. The session focuses on six of eight counties that make up the California Consortium, implementing SI to address the three critical components of SI – acceptability, accessibility, and availability.
Andrew Miller defines key terminology used within LGBTQ-affirming healthcare, describes components of an LGBTQ-affirming healthcare system, and discusses how to evaluate a healthcare system for LGBTQ- affirming practices and procedures. Andrew is followed by a special message from Admiral Dr. Rachel Levine.
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