Bilingual / Bicultural Care Team

  • PRIORITY POPULATION
    Hispanic and Latinx people with HIV
  • SETTING
    HIV Specialty Clinic
  • LOCATION
    Kansas City, MO
  • INTERVENTION FOCUS
    Retention
  • STUDY PERIOD
    2005-2006

Summary

The Bilingual/Bicultural Care Team includes three Latinx providers: an HIV primary care provider, peer educator, and RWHAP case manager. This team provides comprehensive culturally and linguistically appropriate HIV primary care and services to Hispanic and Latinx people with HIV who speak Spanish as their primary language.

Download the Implementation Guide

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Download the Intervention Summary

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Intervention Outcomes

Client appointments increased from a mean of 2.81 visits per year to 5.30 visits per year.
Clients who met treatment guideline criteria for antiretroviral therapy experienced a 31.5% increase in viral suppression.

Intervention Components

  1. Assess Staff Resources
  2. Secure Stakeholder Buy-in
  3. Engage and Work with Community/Service Partners
  4. Recruit Bilingual and Bicultural Staff
  5. Train Staff and Facilitate Knowledge Exchange
  6. Engage and Retain Latinx People with HIV

Cost Analysis

Total Annual Costs:

$330,621.90

Avg. Cost Per Client:

$3,884.44

Avg. Personnel Cost Per Client:

$2,200

The Bilingual/Bicultural Care Team intervention cost analysis can be found here. You can also use the CIE Cost Calculator to create an estimate for implementing the intervention at your organization.

Challenges & Solutions

Challenge: Limited Provider Availability
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Solution:

Hire bilingual and bicultural providers who are available ≥ 3 days per week.

Challenge: Client Eligibility
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Solution:

Use copayment assistance programs, a sliding payment scale, or discounts to serve people who are ineligible for RWHAP services.

Challenge: Contacting Clients
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Solution:

Develop a data sharing agreement with your local health department so you can cross-check their records for clients’ contact information.

Challenge: Meeting Clients' Behavioral Health Care Needs
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Solution:

Budget to include a bilingual, bicultural mental health care provider on the team or partner with local providers.

Challenge: Timely Receipt of Lab Reports
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Solution:

An in-house lab and phlebotomist can increase processing time.

Publications

Impact of a bilingual/bicultural care team on HIV-related health outcomes
View Here

Resources

Engaging Latinx Community in RW Program Fact Sheet
Click to Download

Example Cost Analysis Tool for Users of Bilingual/Bicultural Care Team Intervention
Click to Download

Trainings

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Videos

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