1 2 Early Identification of Individuals with HIV/AIDS (EIIHA) Legislative References: Ryan White Part B Legislation: “develop a comprehensive plan – ” “describing the estimated number of individuals w ithin the State w ith HIV/AIDS w ho do not know their status ” “describing activities undertaken by the State to find the individuals described in subparagraph (A) and to make such individuals aw are of their status” “describing the manner in w hich the State w ill provide undiagnosed individuals who are made aw are of their status w ith access to medical treatment for their HIV/AIDS” “describing efforts to remove legal barriers, including State law s and regulations, to routine testing” 3 Early Identification of Individuals with HIV/AIDS (EIIHA): The identifying, counseling, testing, informing, and referring of diagnosed and undiagnosed individuals to appropriate services, as well as linking newly diagnosed HIV positive individuals to care. 4 5 6 7 8 9 EIIHA/Unmet Need Cycle & The Cascade Out of Care: Aware (Unmet Need) 62/100 HIV positive individuals are LINKED to care 28/100 HIV positive individuals are VIRAL SUPPRESSED OUTREACH EARLY INTERVENTION SERVICES Counseling & Testing Referral Services Health Literacy/Education Linkage to Care 41/100 HIV positive individuals STAY IN CARE Out of Care: Aware (Unmet Need) & Unaware (EIIHA) CARE & ART 80/100 HIV positive individuals are AWARE of their Status 59/100 HIV positive individuals FALL OUT OF CARE 36/100 HIV positive individuals RECEIVE ART 1 1 Example Key Points of Entry • Health Departments • Emergency Rooms • Substance Abuse Programs • Mental Health Programs • Detention Facilities • STD Clinics • Homeless Shelters • Counseling and Testing Sites • Federally Qualified Health Centers • Private Healthcare Providers • Prevention Programs 1 1 1