Ryan White Funding
description
Transcript of Ryan White Funding
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Ryan White Funding
Annual Needs Assessment
Gina Turley
September 2, 2010
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Annual Needs Assessment
Participant Demographics
August 2010
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Annual Needs Assessment
17 individuals participated in 4 focus groups held in the following locations:
The HomeplaceChannels of Love MinistriesChattanooga CARESSoutheast Tennessee
Development District
*A 5th group was scheduled at The Caring Place, Cleveland, TN, but no one attended.
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Annual Needs Assessment
Focus Groups Gender
8 99 Female
8 Male
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Annual Needs Assessment
3
7 7
01234567
13-20 21-30 31-40 41-50 over50
Focus Groups Age Range of Participants
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Annual Needs Assessment
Focus GroupsRace
1 4
13
4 Caucasian
13 AfricanAmerican1 NativeAmerican
*No one reported their ethnicity as Hispanic.
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Annual Needs Assessment
Focus Groups
Housing
100% of respondents
rent or own their
housing.
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Annual Needs Assessment
Zip Codes Represented: • 30736• 37379• 37402• 37404• 37405• 37406• 37408
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Annual Needs Assessment
Focus Groups Sexual Orientation
12
2 12
12 Straight
2 Gay/Lesbian
2 Bisexual
1 no data
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Annual Needs Assessment
All respondents indicated
English was their preferred
language.
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Annual Needs Assessment
Focus GroupsEmployment Status
2
6
7
1
6 Unemployed
7 Disabled
1 Volunteer
2 Full Time
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Annual Needs Assessment
Focus Groups Education
1
6
3
7
8th Grade orLess
Some HighSchool
High SchoolDegree or GED
Some College
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Annual Needs Assessment
Focus Groups Insurance Coverage
2 6
55
5 Medicaid6 Medicare2 Private 5 None
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Annual Needs Assessment
0
34
10
0
2
4
6
8
10
<1 1 to 4 5 to 9 10 +
Focus Groups Years With Knowledge of HIV/AIDS
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Annual Needs Assessment
2 2
5
2
5
0
1
2
3
4
5
0 1 2 to4
5 to8
9 +
Focus Groups # of Health Care Visits
3
8
32
0
1
2
3
4
5
6
7
8
VeryGood
Good Fair Poor
Focus Groups Current Health Status
*One participant stopped answering questions. Respondent size dropped from 17 to 16.
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Annual Needs Assessment
Focus Groups Taking Combo Antiretroviral
Drugs
No, 3
Yes, 13
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Annual Needs Assessment How Medication Costs are Covered
• 1 Private Insurance• 7 Medicaid• 3 Medicare• 7 AIDS Drug Assistance Program• 3 Ryan White• 4 Self Pay• 1 Safety Net
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Annual Needs Assessment
1
8
6
1
0 2 4 6 8
Less Than 200
200 to 500
Over 500
Unknown
Focus Groups Last CD4 Count
10
5
1
0 5 10
within 3 months
3-6 months
over 6 months
Focus Groups Last CD4 Test
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Annual Needs Assessment
Focus Group Viral Load Tested?
1
15
YesNo
Focus Group Last Viral Load Test
1
5 10
Within 33 to 6More then 6
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Annual Needs Assessment Focus Group
Utilize Ryan White Funds
Yes, 11No, 3
Unsure 2
YesNoUnsure
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Annual Needs Assessment • 10 participants reported they have children.• 4 participants reported no children.• 2 left the section blank. • The children’s ages ranged from:
10 to 36. • One respondent stated her adult child
was HIV+.• None of the participants were
currently pregnant. • Two people noted they took antiviral
drugs during their pregnancies. None of their
children were positive.
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Annual Needs Assessment
Participant Responses
During Focus Group Sessions
August 2010
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Annual Needs Assessment
Services,
Barriers, and
Recommendations
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Annual Needs Assessment Case Management
Education for case managers for when someone would become
eligible to file for Social Security Disability .
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Annual Needs Assessment
Transportation • Evening transportation needed to take
advantage of events, classes and support groups.
• Transportation to the Health Department and the Ryan White program needed.
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Annual Needs Assessment
Dental Care• Mixed reports regarding dental care. • Transportation was an issue for several
respondents • Several respondents reported an
extremely long wait to receive care while others were extremely satisfied and reported a short wait.
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Annual Needs Assessment
Food and Nutrition• Food stamps allocations do not take
into consideration special and more expensive needs of consumers.
• Access to fresh and high quality food.
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Annual Needs Assessment
Food and Nutrition• Specialized classes about nutrition. • Individual meal plans to meet special
nutritional needs. • Individualized family
meal plans to
meet everyone’s
special needs.
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Annual Needs Assessment
Healthcare
Financial assistance for
non-AIDS related medications.
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Annual Needs Assessment
Outreach • Mentorship programs for those newly
diagnosed.
• Prevention and education
targeted to younger
groups 18-20.
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Annual Needs Assessment
Outreach• Large media outlet could provide
prevention campaign and focused on virtual social networks
such as PS3 and
X-Boxes.
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Annual Needs Assessment
Consumer Comments Regarding Outreach
• “Enough with the papers, needs attention grabbing.”
• “(Youth) Seems to know it’s bad to participate in unsafe behaviors but still not protecting themselves.”
• “We are falling apart (i.e. as a support group for each other).”
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Annual Needs Assessment
Medications• Prescriptions limits set at five, should
be increased for those who have multiple disorders or diseases.
• Assistance for large Medicare co-pays and deductibles.
• Education of drug stores on how to process co-pays.
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Annual Needs Assessment
Medications• Financial assistance with vitamins. • Delivery to the home. • Up to date information on new
medications.
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Annual Needs Assessment
Access to physical activities to help with
weight, maintain muscle mass and
stress relief.
Physical Health
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Annual Needs Assessment
Continuity of Care• Better coordination between infectious
disease doctor and primary care doctor.
• Incentives to keep
staff at agencies
and reduce turn over.
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Annual Needs Assessment
Continuity of Care• Newly diagnosed do not
know how to access services.
• Decreases in funding—worried about agencies cutting services.
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Annual Needs Assessment
Holistic Services• Arts and crafts to express self. • A place to relax.
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Annual Needs Assessment
Other Services • Access to legal aid. • Better access to
mental health
services.
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Annual Needs Assessment
Consumer Comments
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Annual Needs Assessment
• “Blessed.”• “Would be dead right now if not for Ryan
White Program.” • “…(caseworker) always calls me right
back.” • “…(Doctor) was in the hospital all the time
checking on me when I was sick.”
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Annual Needs Assessment
• “Christian beliefs at Channel of Love—Meds heal your body, they heal the spirit.”
• “Catholic Charities doing pretty good.” • “Chattanooga Cares is really fast.” • “Very satisfied with services.”
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Annual Needs Assessment
“We need to be proactive in our own lives and our own
health. You have to do it for yourself.”
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Annual Needs Assessment
Any questions or
comments?
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Thank you
for your time!