Post on 29-Dec-2015
transcript
10 Years of Collaboration on U.S.-Mexico Border
U.S.-Mexico Border Training Center Collaborative
Panelists
Tracee Belzle – Program Manager, Dallas PTC
Mona Bernstein, MPH – Director, Pacific AETC
Nicolé Mandel – Website Manager, AETC NRC
Beth Rutkowski, MPH – Associate Director of
Training, Pacific Southwest ATTC
James Sederberg – Deputy Director, Curry
International TB Center
Evolution of Border-Wide Efforts
Border Feasibility Study and Planning Process: 2002-2003 End of year funding from HRSA to AETCs
UMBAST: 2004-2010 (U.S.-Mexico Border AETC Steering Team) 2 cycles of MAI funding to AETCs
Border FTC Collaborative: 2011-2013 MAI funding for AETCs, TB Centers, RTCs, PTCs,
ATTCs
CollaboratorsNational Partners:•AETC NRC •AETC NEC
Products of CollaborationWebsite: AETCBorderHealth.org
Fact Sheets Tips for Providers Working with Meth Users Tips for HIV Patients Returning to Mexico Antiretroviral Drugs Available in Mexico
Directory HIV Testing and Treatment Resources on the Border (print and online)
Curricula Continuity of Care for Patients Returning to Mexico Engagement in Care on the Border
National Trainings AETC TOTs U.S. ICE
Products of CollaborationConference Presentations, Posters, & Institutes
IAS Meetings: Toronto, Mexico City, Barcelona, Bangkok AGM Meetings: 2010, 2008, 2006 HRSA Border Meetings, Think Tank Binational Health Week Infectious Diseases Workshops
Awards and Citations AETC Leadership Award (Donohoe) Human Rights Watch
Publications Journal of the Association of Nurses in AIDS Care U.S.-Mexico Border Health Commission Newsletter Impacto Transnacional
Training Center Perspectives
Pacific AETC: Mona Bernstein 10 Years of Collaborations on the U.S.-Mexico Border
Curry International TB Center: James Sederberg
Pacific Southwest ATTC: Beth Rutkowski
AETC National Resource Center: Nicolé Mandel
Curry International Tuberculosis CenterCurry International Tuberculosis Center
FTCC/UMBAST CollaborationsFTCC/UMBAST Collaborations
James SederbergJames SederbergDeputy DirectorDeputy Director
Program Collaboration and Program Collaboration and Service Integration (PCSI)Service Integration (PCSI)
• Mechanism for organizing and blending interrelated health issues, Mechanism for organizing and blending interrelated health issues, activities, and prevention strategies to facilitate comprehensive activities, and prevention strategies to facilitate comprehensive delivery of servicesdelivery of services
• Initiated by CDC’s National Center for HIV/AIDS, Viral epatitis, Initiated by CDC’s National Center for HIV/AIDS, Viral epatitis, STD, and TB PreventionSTD, and TB Prevention
• Service delivery strategies begin with training of staffService delivery strategies begin with training of staff• A “win-win” for all if implemented effectivelyA “win-win” for all if implemented effectively
Border Training CollaborationsBorder Training Collaborations
• Treatment of TB, STDs, HIV, Hep C and Substance Abuse on the Treatment of TB, STDs, HIV, Hep C and Substance Abuse on the Border: Keeping Border Patients in Care with Limited ResourcesBorder: Keeping Border Patients in Care with Limited Resources Bisbee, AZ on November 18-19, 2011Bisbee, AZ on November 18-19, 2011 El Centro, CA, June 25-25, 2010El Centro, CA, June 25-25, 2010
• Treatment of TB, STDs, HIV, Hep C and Substance Abuse on the Treatment of TB, STDs, HIV, Hep C and Substance Abuse on the Border: Managing Patients in the Border RegionBorder: Managing Patients in the Border Region Rio Rico, AZ, June 12-13, 2009Rio Rico, AZ, June 12-13, 2009
• Treatment of TB, STDs, HIV, Hep C and Substance Abuse on the Treatment of TB, STDs, HIV, Hep C and Substance Abuse on the Border: Managing the Bi-national PatientBorder: Managing the Bi-national Patient San Ysidro, CA, June 6-7, 2008San Ysidro, CA, June 6-7, 2008
• Treatment of TB, STDs, HIV, Hep C and Substance Abuse Treatment of TB, STDs, HIV, Hep C and Substance Abuse on the Border: Focus on Testingon the Border: Focus on Testing Imperial, CA, June 1-2, 2007Imperial, CA, June 1-2, 2007
Border Training Collaborations (2)Border Training Collaborations (2)
• Addressing the Intersection of Multiple Health Concerns for Addressing the Intersection of Multiple Health Concerns for Migrant Populations: Family Planning, STDs, HIV, TB, and Migrant Populations: Family Planning, STDs, HIV, TB, and Substance AbuseSubstance Abuse Fresno, CA, June 11-12, 2010Fresno, CA, June 11-12, 2010 Yakima, WA, July 9-10, 2010Yakima, WA, July 9-10, 2010 Supplemental MAI funding (CDC)Supplemental MAI funding (CDC)
• HIV, TB, and Meth in 2011: What Border Clinicians Need to KnowHIV, TB, and Meth in 2011: What Border Clinicians Need to Know Sierra Vista, AZ, on May 25, 2011Sierra Vista, AZ, on May 25, 2011
• Assisting HIV-Infected Patients Who Return to Mexico: What Assisting HIV-Infected Patients Who Return to Mexico: What ICE Clinicians Need to KnowICE Clinicians Need to Know
San Diego, CA (phone conference), April 13San Diego, CA (phone conference), April 13
FTC PartnersFTC Partners
• Pacific AIDS Education and Training CenterPacific AIDS Education and Training Center• UCLA AIDS Education and Training CenterUCLA AIDS Education and Training Center• San Francisco AIDS Education and Training CenterSan Francisco AIDS Education and Training Center• Arizona AIDS Education and Training CenterArizona AIDS Education and Training Center• Northwest AIDS Education and Training CenterNorthwest AIDS Education and Training Center• California STD Prevention Training CenterCalifornia STD Prevention Training Center• Pacific Southwest Addition Technology Transfer CenterPacific Southwest Addition Technology Transfer Center• Center for Health TrainingCenter for Health Training• Southeastern HIV/AIDS ConsortiumSoutheastern HIV/AIDS Consortium• Heartland National Tuberculosis CenterHeartland National Tuberculosis Center• Etc…Etc…
Other Collaborative ActivitiesOther Collaborative Activities• TB Prevention in the HIV-infected Patient: Screening, Testing, TB Prevention in the HIV-infected Patient: Screening, Testing,
and Treatment of Latent TB Infectionand Treatment of Latent TB Infection Online enduring product. Both a learning and teaching too. Provides Online enduring product. Both a learning and teaching too. Provides
information on how to screen, test, and treat human immunodeficiency information on how to screen, test, and treat human immunodeficiency virus (HIV)-infected patients for latent tuberculosis infection (LTBI)virus (HIV)-infected patients for latent tuberculosis infection (LTBI)
Faculty include Drs. Tulsky and Leutkemeyer (SF AETC)Faculty include Drs. Tulsky and Leutkemeyer (SF AETC)
Other Collaborative Activities (2)Other Collaborative Activities (2)• Medical consultationMedical consultation
50-year old patient, Mexican national in US, TB/HIV, psychiatric 50-year old patient, Mexican national in US, TB/HIV, psychiatric disordersdisorders
Incarcerated, refusing meds, hospitalized but leaving careIncarcerated, refusing meds, hospitalized but leaving care Huge financial burden on Arizona Department of Health Services Huge financial burden on Arizona Department of Health Services
and/or Arizona Correctionsand/or Arizona Corrections ADHS searched for options and contacted UCLA AETC to help ADHS searched for options and contacted UCLA AETC to help
coordinate:coordinate: Placement into a TB hospital (Heartland in San Antonio)Placement into a TB hospital (Heartland in San Antonio) Funds to support TB, HIV treatmentFunds to support TB, HIV treatment
CITC, Heartland TB Centers, ADHS still working on solutionCITC, Heartland TB Centers, ADHS still working on solution
Pacific Southwest ATTC
Beth Rutkowski, M.P.H.UCLA Integrated Substance Abuse Programs
brutkowski@mednet.ucla.edu
When it all began…May 2004
• Initial topics included:– HIV and Substance Abuse on the Border: A Focus on Methamphetamine Abuse– HIV and Substance Abuse on the Border: A Focus on Women
• Locations included:– CA: San Diego, El Centro– AZ: Nogales– NM: Las Cruces
More Folks got Involved and the Focus was Expanded beyond Meth
• 2006-Present– PAETC, Pacific Southwest ATTC, California STD/HIV
Prevention Training Center, the Francis J. Curry National Tuberculosis Center, etc.
– The Role of Addictions; A Focus on Testing; Managing the Bi-national Patient; Keeping Patients in Care
Most Recently, we have focused on…• Screening, Brief Intervention, and Referral to
Treatment• Health Reform and Integration• NIATx Process Improvement Model (to
increase client access, engagement and retention in SUD treatment)
The Most Powerful Collaboration Yet
The Benefits of Successful Cross-TC Border Collaboration… More Business!• Two Finalized Training Curricula (PPT
presentation, trainer guide, 2-page fact sheet)– Crack Cocaine and HIV– Prescription Opioids
• Two More Curricula in Process (will be finalized by June 2012)– Alcohol and HIV– SUD and Primary Care Integration
FTCC Partnerships: Past and Future
U.S.-Mexico Border Project
Texas
Original Southern Region FTCC Project : TX/OK AETC; Delta AETC, FL PTC, Dallas PTC, TX PTC; Center for
Health Training (RTC)
Then
TX/OK AETC; Dallas, MS, CO PTC; Cardea Services (formally CHT), the RTC; Heartland RTMCC; Gulf Coast ATTC
Now
UMBAST provided us the opportunity to formally and specifically address common training and
capacity issues of providers along the Texas-Mexico border.
UMBAST 2012
UMBAST Meeting January, 2012 | S. Padre Island
FTCC partners participated in-person/phone
Planned inclusion of FTCC partner services in UMBAST “Continuum of Care” curriculum (e.g., substance abuse, family planning, etc.).
Planning of a live, national webinar of updated “Continuum of Care” curriculum.
Initiated planning of potential future cross-collaborative efforts across FTCC partners.
• HIV & Stigma – provided by RTC (Cardea Services) – March 23
• HIV, Stigma, and Prison –provided by RTC (Cardea Services) – March 29
Collaborative Webcasts
• HIV Rapid Testing: A SAMHSA/NIDA Initiative to promote Adoption of an Evidence Based Practice in Substance Abuse Treatment Programs – provided by UT Austin, School of Social Work Research Center – May 3
• Diagnosis & Treatment of Tuberculosis in the HIV Patient – provided by Heartland National TB Center - June 21
Collaborative Webcasts
ARTAS is an individual-level, multi-session, time-limited strategy with the goal of linking recently
diagnosed persons with HIV to medical care soon after receiving their positive test results.
April 19th – 20th & May 24th – El PasoJune 7th – 8th – location TBD
Provided by: Dallas PTC
ARTAS: Anti-Retroviral Treatment & Access to Services
AETCBorderhealth.orgNicolé Mandel
AETC National Resource Center
June 2008
UMBAST Home Online
Program information
Reports Web links Funding
opportunities Border
Resource Directory
Search “Mexico border AIDS”
Border Resource Directory
http://www.AETCBorderHealth.org
Border Directory: The Next Phase
Using New Technology to Develop Collaborative Resources• Google Maps and Calendar
• Allow multiple editors• Mobile friendly• Easy to use• Positions us for geolocation-savvy applications
• AIDS.gov resource widgets
Looking Ahead
• Sharing best practices & faculty across the border
• Expanding use of technology & online training
• Helping border providers with the big health care transitions ahead
• More collaborations (e.g. Migrant Clinicians Network)
Collaboration Best Practices
• Funding helps• Designated coordinator (rotating)• Mission-driven participants• Structured communication• Dedicated Listserv• Annual face-to-face meetings• Shared successes (working on projects, joint
trainings)