Top Banner
10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative
36

10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

Dec 29, 2015

Download

Documents

Irene Stokes
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

10 Years of Collaboration on U.S.-Mexico Border

U.S.-Mexico Border Training Center Collaborative

Page 2: 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

Page 3: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

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

Page 4: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

CollaboratorsNational Partners:•AETC NRC •AETC NEC

Page 5: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

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

Page 6: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

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

Page 7: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

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

Page 8: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

Curry International Tuberculosis CenterCurry International Tuberculosis Center

FTCC/UMBAST CollaborationsFTCC/UMBAST Collaborations

James SederbergJames SederbergDeputy DirectorDeputy Director

Page 9: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

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

Page 10: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

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

Page 11: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

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

Page 12: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

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…

Page 13: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

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)

Page 14: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

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

Page 15: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

Pacific Southwest ATTC

Beth Rutkowski, M.P.H.UCLA Integrated Substance Abuse Programs

[email protected]

Page 16: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

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

Page 17: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

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

Page 18: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

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)

Page 19: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

The Most Powerful Collaboration Yet

Page 20: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

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

Page 21: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

FTCC Partnerships: Past and Future

U.S.-Mexico Border Project

Texas

Page 22: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

Original Southern Region FTCC Project : TX/OK AETC; Delta AETC, FL PTC, Dallas PTC, TX PTC; Center for

Health Training (RTC)

Then

Page 23: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

TX/OK AETC; Dallas, MS, CO PTC; Cardea Services (formally CHT), the RTC; Heartland RTMCC; Gulf Coast ATTC

Now

Page 24: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

UMBAST provided us the opportunity to formally and specifically address common training and

capacity issues of providers along the Texas-Mexico border.

UMBAST 2012

Page 25: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

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.

dphill
May want to move this slide to a 'general overall' section instead of under 'Texas'
Page 26: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

• HIV & Stigma – provided by RTC (Cardea Services) – March 23

• HIV, Stigma, and Prison –provided by RTC (Cardea Services) – March 29

Collaborative Webcasts

Page 27: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

• 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

Page 28: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

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

Page 29: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

AETCBorderhealth.orgNicolé Mandel

AETC National Resource Center

Page 30: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

June 2008

UMBAST Home Online

Program information

Reports Web links Funding

opportunities Border

Resource Directory

Page 31: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

Search “Mexico border AIDS”

Page 32: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

Border Resource Directory

http://www.AETCBorderHealth.org

Page 33: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

Border Directory: The Next Phase

Page 34: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

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

Page 35: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

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)

Page 36: 10 Years of Collaboration on U.S.-Mexico Border U.S.-Mexico Border Training Center Collaborative.

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)