2008 CAPS Conference: New Directions in HIV Prevention

2008 CAPS Conference: New Directions in HIV Prevention

Friday, April 18, 2008, 8 am – 5 pm

The 2008 CAPS Conference was a success. Thank you to everyone who participated, including the wonderful keynote speakers, workshop presenters,Intervention Village exhibitors and the CAPS Community Advisory Board. Special thank you to our co-sponsors: UCSF AIDS Research InstituteCalifornia HIV/STD Prevention Training CenterCalifornia State Office on AIDS, and the City of Berkeley Division of Public Health. Please see below for slides from the presentations and workshops.

Keynote speakers

Workshops

Stigma and Discrimination

  • Stigma in International Settings: The Impact on People Living With and At Risk for HIV - Wayne T. Steward (no slides available)
    Stigma against people living with and at risk for HIV hinders prevention efforts in many countries worldwide. This workshop will describe how stigma has influenced individual experiences–both interpersonally and intrapersonally–and how prejudice and discrimination have affected the delivery of HIV-related services. Discussion will focus on implications for intervention.
  • Effects of Transphobia on Transgender Communities: What’s Really Going On and What Do We Do About It?JoAnne Keatley, Jae Sevelius, Lydia Sausa, James Rouse Iñiguez
    This workshop will examine societal forces, including stigma and discrimination that lead to disproportionate rates of HIV and other negative health outcomes for transgender people. The Center of Excellence for Transgender HIV Prevention will present transgender inclusive language, current issues, epidemiology and specific recommendations for improving HIV prevention and care for transgender communities. Session attendees will have an opportunity to discuss how to apply recommendations and add their own local perspectives.
  • Responding to Layered Stigma: MSM of Color Living with HIVTim Vincent
    This workshop will describe some of the unique characteristics of stigma as it relates to HIV+ men of color who have sex with other men. The impact of stigma from this perspective, on health and wellness, access to care, engagements with providers and community affiliations will be discussed. We will consider recommendations to improve HIV prevention practice for providers, researchers and community members in order to respond to the layers of stigma affecting this community.

New Technologies

  • Delivering Interventions for Youth Via Interactive TechnologiesMarguerita Lightfoot
    This workshop will review the use and evidence for using computer technology for behavior change in adolescents. Nationally, school districts and agencies that serve adolescents at high risk for HIV have initiated HIV prevention programs that have shown substantial positive changes: condom use has increased substantially and youth are informed about HIV and recognize the consequences of HIV. Typically, evidence-based interventions for adolescents are delivered in small groups, based on cognitive-behavioral theory and intervention procedures, and based on relatively intense training of an intervention facilitator guided by a detailed intervention manual. One strategy for decreasing costs of program delivery and increasing acceptability of the intervention is to experiment with ways to deliver interventions, such as using computer technology.
  • PalmPal Technology in Counseling and Testing SettingsNicolas Sheon, Isela Gonzalez, Dale Gluth, Shelley Facente, Noah Carraher
    This workshop will feature the PalmPal developers and collaborating test site coordinators to describe the impact of this technology on HIV test counseling services. The PalmPal system enhances testing services by enabling clients to assess their own risks using a handheld computer prior to talking with the counselor. Counselors no longer fill out a form in front of the client but use the session to develop a client-centered risk reduction plan. We will discuss how we adapted the language and technology of PalmPal to fit the needs of two sites: Magnet and the San Francisco County Jails. More information atwww.palmpal.org.
  • A Novel Condom Access Program for County Jail PrisonersKate Monico Klein, Mary Sylla, Olga Grinstead Reznick
    In this workshop we will review issues related to HIV prevention in prisons, the history of condom availability as a harm reduction intervention for prisoners, and describe our recent project in which we evaluated the impact of placing a condom dispensing machine at San Francisco County Jail. We will discuss our research data including prisoner surveys and interviews, as well as interviews with correctional personnel. This is not a basic workshop on HIV in prisons. We will discuss legal and policy issues regarding HIV prevention in various correctional settings and how applied research can be used in the policy debate regarding appropriate HIV prevention technology in these settings.

Prevention in Community Context

  • Policy to Practice: Prevention in the Baths - Diane Binson, Paul Cotten, Bob Siedle-Khan, William J. Woods (no slides available)
    We will provide a description of the legal and health policy environment in three US cities and the practical prevention outcomes in the bathhouses that operate in those cities. Using quotes from stakeholders (health officials, club managers, patrons, and service providers) we will link the realities of day-to-day prevention activities in the bathhouse to the policies of the three health jurisdictions. Discussion of the outcomes and the implications for policy and programs will follow in an effort to interpret what stakeholders have to say.
  • Research to Program: Pathways to Sustainable HIV Prevention with Women Visitors at San Quentin State Prison - Angela Allen, Megan Comfort, Tara Regan [Please see Science to Community report on the HOME Project]
    In this workshop, we will discuss 1) the background and history of our community collaborative work providing HIV prevention interventions for women visiting incarcerated men, 2) the on-the-ground challenges we faced conducting research right outside prison walls, and 3) how our intervention continued and evolved when the research funding ended. This will be an interactive session with opportunities for participants to problem-solve with each other and to share their own experiences of conducting research and/or providing interventions in institutional or sensitive settings.
  • Ensuring Patient Rights in an Era of Changing Policy: The Impact of CDC-Recommended Routine Testing - Kathleen Clanon, Janet Myers
    Over a year ago, the CDC issued revised recommendations for HIV testing in clinical settings, incorporating testing as part of routine medical care. However, the recommendations still conflict with local law, disrupt established protocols, and present logistical, ethical, and medical conflicts for HIV prevention providers and clinicians. In this session, Dr. Clanon will present the background of this policy change, as well as describe resources to help understand the recommendations. Dr. Myers will present research findings related to the implementation of these recommendations at several sites around the country. There will be an interactive facilitated discussion about the findings and about implementation concerns participants have in their particular sites.

Current Trends in CAPS Research

  • International Research at CAPS - Hong-Ha Truong, Nooshin RazaniEdwin Duncan Charlebois III. Moderator: Jeffrey Mandel
    This panel presents an overview of some of the HIV prevention research currently undertaken by CAPS investigators in international settings.
    • Dr. Truong will discuss her Characterization of Recent HIV-1 Infection at a Mobile VCT Program project, in which HIV-1 seroincidence at a mobile HIV voluntary counseling and testing program was estimated in two Zimbabwean communities and risk factors associated with recent HIV-1 infection were characterized.
    • Dr. Razani will discuss the HIV epidemic in Iran, particularly among intravenous drug users (IDUs), and her work, along with partner Dr. Mohsen Malekinejad, mapping networks and risk behaviors among a respondent driven sample of IDUs.
    Dr. Charlebois will present on his Family Based HIV Voluntary Counseling and Testing at Risk for TB project in Kampala, Uganda, and the importance of utilizing co-location of services, taking advantage of family structure, and focusing on patients with TB to develop a feasible and effective intervention in this high prevalence area.
  • Collaborative Research with MSM of Color - George AyalaMichael Benjamin,Susan KegelesMichael Foster. Moderator: Audrey Bangi
    This panel presents qualitative, needs assessment, and intervention research among various cohorts of men of color who have sex with men (MoCSM).
    • Dr. Ayala will describe his work examining the impact of social discrimination on social networks and sexual risk among MoCSM in Los Angeles and will present the results of an online sexual health needs assessment survey of African American and Latino MSM living in South Los Angeles.
    • Michael Benjamin will describe the first stages of the “Bruthas” intervention project in Oakland (with Dr. Emily Arnold of CAPS) which focuses on non-gay identified African American men who have sex with men and women, including formative research, in-depth individual interviews, and lessons learned.
    • Dr. Michael Foster will present results from a series of in-depth individual interviews and focus groups that he and colleagues conducted with leaders of Black churches about barriers and facilitators of implementing HIV prevention interventions with young Black MSM and Black men, as well as results from focus groups of young Black MSM about their experiences with faith-based institutions.
  • Capacity Building in Data Use to Inform Program Development - Janet Myers,Carol Dawson RoseHilary Spindler, Usma Khan. Moderator: Kevin Khamarko
    Each of these presenters provides technical assistance, capacity building and systems strengthening services in diverse settings. In this session, they will discuss how they assess settings, identify a variety of data sources and collect new information in order to help local providers develop evidence-informed and culturally relevant HIV prevention programs.
    • Dr. Myers will present on The Eastern Caribbean Community Access Project in which she and colleagues provide technical support and capacity building to improve regional, country and programmatic monitoring and evaluation systems.
    • Dr. Dawson Rose will discuss her project working with clinicians to integrate HIV prevention into care in Mozambique.
    • Ms. Kennedy and Ms. Khan will discuss their work with CDC’s Global AIDS Program (GAP), providing TA and capacity building in GAP countries to identify and synthesize data sources available in their countries, looking for trends in HIV prevention, treatment and care in order to inform HIV programs and policies.

Intervention Village

See detailed Intervention Village descriptions.

  • Black Brothers Esteem, San Francisco AIDS Foundation – Tony Bradford, Micah Lubensky
  • Project START and HOME Project, Centerforce – Megan Comfort, Katie Kramer, Tara Regan
  • Enhancing Prevention With Positives Evaluation Center (EPPEC), CAPS – Kimberly Koester
  • Hermanos De Luna Y Sol, Mission Neighborhood Health Center – Vidal Antonio
  • InSpot, Internet Sexuality Information Services, Inc. (ISIS) – Jaime Lebrija
  • Mpowerment, CAPS – John Hamiga, Robert Williams
  • Prevention Outreach With Women Empowering Risk Reduction (POWERR), WORLD – Piper Hyland
  • The Transitions Project, CAPS – Luis Gutierrez-Mock, Jae Sevilius, Paul Cotten


All photographs taken by Karen Shuster and Jennifer Usher.

Last modified: November 2, 2012