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ForwardTaking HIV Care to The Streets: How Street Medicine Meets the Unsheltered Homeless Where They're At
According to the CDC 36,136 people received an HIV diagnosis in the United States and dependent areas in 2021. The annual number of new diagnoses decreased 7% from 2017 to 2021. It is critical for professionals to have current knowledge to provide effective treatment and education for patients. The CDC also states that Kentucky is at high risk for an HIV outbreak if introduced into the drug using population. HIV therapy was previously limited due to lack of treatment options, but more therapy options increase choice for patient treatment and challenges for providers. Screening for drug misuse is critical to the prevention of or early intervention in addiction.
Street Medicine (SM) involves delivering healthcare to unsheltered homeless individuals in their environment, focusing on trust and rapport-building. The philosophy of SM emphasizes addressing social determinants of health to provide comprehensive care to this vulnerable population. SM values establishing long-term relationships with patients to achieve better health outcomes and support their well-being by breaking barriers to care by meeting homeless individuals where they are, providing medical assistance and holistic support and reducing health disparities through targeted outreach, preventive care, mental health services, and substance abuse treatment.
Target Audience
Physicians, physician assistants, advanced practice nurses, nurses, pharmacists, dentists, social workers, health educators and therapists who currently provide or could provide care services to persons living with HIV/AIDS or Hepatitis C.
Learning Objectives
Upon completion of this activity, participants will be able to:
1. Discuss the Philosophy and History of Street Medicine (SM): Review the origins, philosophy, and evolution of the street medicine movement as shared by Jim, recognizing how this approach specifically addresses the unique needs of unsheltered homeless populations.
2. Recognize the Impact of HIV Among Unhoused Populations: Attendees will gain insights into the significant burden of HIV among unhoused populations and understand why addressing this issue is critical for meeting national End the HIV Epidemic (EHE) goals.
3. Explore the Syndemic Approach to HIV Care: Attendees will be introduced to the concept of a syndemic approach, which considers the interaction of HIV with other social and health issues, and how this approach can be effectively applied using the street medicine toolkit to better serve homeless populations with HIV.
4. Describe Operational Models of HIV Street Medicine: The audience will explore various operational models of street medicine tailored to the HIV care of homeless individuals, particularly those models implemented in California, to identify actionable strategies and best practices.
Faculty & Credentials
Tyler B. Evans, MD, MS, MPH, AAHIVS, DTM&H, FIDSA
Chief Executive Officer & Co-Founder
Wellness and Equity Alliance
Scotts Valley, California
James Withers, MD
Medical Director
Pittsburgh Mercy’s Operation Safety Net
Pittsburgh, Pennsylvania
Disclosure Information
All planners, faculty, and others in control of educational content are required to disclose all their financial relationships with ineligible companies within the prior 24 months. An ineligible company is defined as one whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. Financial relationships are relevant if the educational content an individual can control is related to the business lines or products of the ineligible company.
None of the planners, faculty, and others in control of educational content for this educational activity have relevant financial relationship(s) to disclose with ineligible companies.
The material presented in this course represents information obtained from the scientific literature as well as the clinical experiences of the speakers. In some cases, the presentations might include discussion of investigational agents and/or off-label indications for various agents used in clinical practice. Speakers will inform the audience when they are discussing investigational and/or off-label uses.
Content review confirmed that the content was developed in a fair, balanced manner free from commercial bias. Disclosure of a relationship is not intended to suggest or condone commercial bias in any presentation, but it is made to provide participants with information that might be of potential importance to their evaluation of a presentation.
In support of improving patient care, University of Kentucky HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Available Credit
- 0.75 ACPE
In support of improving patient care, UK HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
This knowledge-based activity will award 0.75 contact hour(s) (0.100 CEUs) of continuing pharmacy education credit in states that recognize ACPE providers.
- 0.75 Dentistry / Dental Hygiene (ADA) - University of Kentucky College of Dentistry
University of Kentucky College of Dentistry is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
The University of Kentucky College of Dentistry designates the Sat, 06/01/2024 - 8:00am, activity for 0.75 hour(s) of continuing education credits.
This continuing education activity has been planned and implemented in accordance with the standards of the ADA Continuing Education Recognition Program (ADA CERP) through joint efforts between the University of Kentucky College of Dentistry and UK HealthCare CECentral.
- 0.75 AMA PRA Category 1 Credit™
In support of improving patient care, UK HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
This Enduring activity is designated for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only credit commensurate with the extent of their participation in the activity.
- 0.75 ANCC (UK Healthcare CECentral)
In support of improving patient care, UK HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
The maximum number of hours awarded for this Continuing Nursing Education activity is 0.75 nursing contact hour(s).
- 0.75 ASWB
As a Jointly Accredited Organization, UK HealthCare CECentral is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. UK HealthCare CECentral maintains responsibility for this course.
Social workers completing this course receive 0.75 clinical continuing education credit(s).