Structural Interventions Institute

In June 2022, The California Prevention Training Center, CBA Providers’ Network, Denver Prevention Training Center, and San Francisco Department of Public Health convened a two-day institute for staff of health departments, community-based organizations, and other community partners in the western region of the U.S.

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.

View recordings of the institute, below.

Day 1

Welcome & Introduction to Structural Interventions

Aunsha Hall-Everett provides a welcome to the institute and Patrick Piper provides a fundamental understanding of SI.

Download Welcome Slides

Download Introduction to SI Slides

Community Engagement Breakout

Community engagement is essential in developing and implementing structural interventions. Duran Ruteledge discusses the importance of gaining community buy-in for interventions, highlights the “wisdom of crowds”, and provides an opportunity to share experiences.

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Structural Interventions in Action

Matthew Willis explains how the California State Office of AIDS has funded and supported SIs throughout the state, particularly the Ending the HIV Epidemic (EHE) initiative. He focuses on how six counties of the California Consortium implement SI to address the three critical components of SI – acceptability, accessibility, and availability.

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Promoting Cultural Humility through Structural Changes and Institutional Accountability

Creating change at an institutional level to promote cultural humility requires assessing barriers and structures that have created disparities in health outcomes. Tim Vincent highlights one health department’s approach integrating cultural humility by making structural changes in service delivery.

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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, promoting healthy outcomes and increasing client engagement in services.

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Day 2

Deconstructing Organizational Transphobia

Zami Hyemingway explores the negative impact of transphobia on clients who identify as transgender or non-binary persons when they access HIV services. Explore structural strategies and learn to bridge the medical divide for transgender people seeking and accessing services.

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The Modernization of HIV Laws in Nevada; Changing Legislature

Andre Wade provides an overview of how Nevada addressed a structural barrier to HIV services by modernizing its HIV duty to warn laws. Learn how Nevada successfully created awareness and established community and political partnerships to work in collaboration to modernize its HIV laws.

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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 Covid-19. Learn the importance of organizations being able to pivot services delivery models to continue to meet the community’s needs and demands as Covid continues to interrupt services.

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Community Engagement World Café

When policies and programs designed to improve health outcomes are not driven by community interests, efforts remain disconnected from the people they intend to serve. Aunsha Hall-Everett engages participants in a deeper discussion about the various examples of engagement strategies discussed by presenters and how they can be used to maximize structural impact.

Download Community Engagement World Café Slides