Linkage and engagement in care among African-American

heterosexual men in an urban setting

Derek E. Spencer, MS, CRNP

HUB & SPOKE MODEL

THE JACQUES Initiative: A Comprehensive Continuum of Care for HIV Outreach, Testing, Linkage to

Care, Medical Care and Treatment Support

Mignano, J.L. & Spencer, D.E. HIV Testing in Non-Traditional Settings. Workshop presentation at the United States Conference on AIDS, Chicago, Illinois, November 2011. Mignano, J.L. & Spencer, D.E. The JACQUES Initiative Comprehensive Testing and Outreach Model. Abstract and poster presented at the 2010 Ryan White Grantee Meeting/13th Annual Clinical Update, Washington D.C., August 23-26, 2010. Poster Number RYP 629.

JI’s Client Demographics as of December 31, 2011 & Baltimore City HIV incidence data, 2009

Category Baltimore City (%)* JI primary care program (%)

JI adherence program (%)

Gender Males 63.0% 64.5% 65%Females 36.8% 34.6% 35%Transgender -- 0.81% 0Race Black 85.5% 89.5% 93%White 10.3% 8.0% 6%Hispanic 1.8% 1.1% 0Other 2.4% (all other races) 1.3% (African) 1% (all other races)Age 20-30 24.1% 23.7% 11.4%31-50 49.7% 53.5% 56.1%>50 23.5% 22.9% 32.3% 372 274

Comparison of Linkage to care for 1st and 2nd Primary Medical Care (PMC) Appointment, FY2011 (as of December 31, 2011) for Connect 2 Care versus Overall

Part A Outreach Program

Outreach venue #1st appointments attended (%)

2nd appointments attended (%)

C2C 84.4% 97.5%

Part A Outreach* 58.1% 78.0%

*includes C2C, 11E, ED Testing, Project SHALEM (Phases 1 and 2) and JI/IHV

Retention in care, 2008-2012

The mission of the JACQUES Initiative (J.I.) program is to provide a holistic care delivery model that provides

long-term treatment success for urban populations infected with HIV.

Our focus is to decrease the morbidity and mortality associated with HIV illness through care delivery

while providing early intervention services through activities such as testing, outreach and linkage to

care. We are committed to providing a “safe place” for our

clients through delivered services and providing access to clinical research for all. We accomplish this

mission through the Journey To Wellness.