montana hiv integration project in big sky country

MONTANAMONTANA

HIV INTEGRATION PROJECT

IN BIG SKY COUNTRY

Title X Coverage by Montana Town

Title X Clinic

Title X Satellite Clinic

Helena

Great Falls

Kalispell

Polson

Browning Libby

Thompson Falls

Missoula

Havre Malta

Sidney

Glendive

Miles City Baker

Broadus

Billings

Lewistown

Bozeman

Dillon

Butte

DeerLodge

Anaconda Hamilton

Columbia Falls

Eureka

Glasgow

Troy

15 Sites Across the State15 Sites Across the State

4 Planned Parenthood Clinics

• Billings

• Helen

• Great Falls• Missoula

6 HIV Prevention Sites6 HIV Prevention Sites

• Bozeman

• Butte

• Glendive

• Kalispell

• Lewistown

• Polson

5 Family Planning Clinics5 Family Planning Clinics

• Dillon

• Hamilton

• Havre

• Libby

• Miles City

IMPACTS on TESTINGIMPACTS on TESTING

• Year 1 – 1,435 total tests– 550 rapid tests – 38%– 885 serum tests – 62%

• Year 2 – 2,176 total tests - 52% increase– 1,350 rapid tests – 62%– 826 serum tests – 38%

Impacts on TestingImpacts on Testing

• Year 3 - 2,384 tests (est)• Rapid tests – 66%

• Serum tests – 34 %

Impacts on TrainingImpacts on TrainingYear 1Year 1

• Training attendance• 136 hours of training available• 52 staff attended at least one of these trainings• 552 total staff training hours

• Topics• ABC Skills Building• Cultural Competency• Age Appropriateness• HIV Prevention Skills Building

Year 2 TrainingYear 2 Training

• Training attendance• 69 hours of training available• 58 staff attended at least one of these trainings• 924 total staff training hours

• Topics• ABC Skills Building• Cultural Competency• Age Appropriateness• HIV Prevention, Risk Assessment Skills Building• HIV & Meth Use

Year 3 TrainingYear 3 Training

• One Quarter’s Data• 12 hours training available• 12 staff attended at least one of the trainings• 72 total staff training hours

• Topics• Cultural Competency• Age Appropriateness• HIV Prevention Skills Building• Current Topics in Women & HIV

Clinic CommentsClinic Comments

• Planned Parenthood Sites

• Attracted younger clients; more gay men• Testing numbers increased• Ability to provide sliding scale fee• Integration = normalizing HIV testing• Increase in training and networking opportunities• Moving into rapid testing

Family Planning SitesFamily Planning Sites

• Noticed no change in numbers, clients

• Best = able to offer the test for free

Combo Sites (HIV/FP)Combo Sites (HIV/FP)

• Increased testing numbers

• Normalization, attitudinal changes

• All said that this funding was essential to providing this service on a sliding fee scale or free.