Research Findings > CAPS Conferences > 2008 CAPS Conference
2008 CAPS Conference: New Directions in HIV Prevention
Friday, April 18, 2008, 8 am - 5 pm
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.
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- 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.
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- Responding to Layered
Stigma: MSM of Color Living with HIV - Tim 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.
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New Technologies
- Delivering Interventions
for Youth Via Interactive Technologies - Marguerita 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.
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- PalmPal Technology in
Counseling and Testing Settings - Nicolas 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 at www.palmpal.org.
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- A Novel Condom Access
Program for County Jail Prisoners - Kate 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.
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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.
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- 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.
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- 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.
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Current Trends in CAPS Research
- International Research at CAPS - Hong-Ha Truong, Nooshin
Razani, Edwin
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.
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- Collaborative Research with MSM of Color - George
Ayala, Michael
Benjamin, Susan Kegeles,
Michael 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.
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- Capacity Building in Data Use to Inform Program Development
- Janet Myers, Carol
Dawson Rose, Hilary
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.
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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.
