# Presentation: 830134

## SHAPE            Program[Substance-abuse, HIV/Hepatitis Assessment & Prevention Education]

- Highlights &
- Lessons Learned

## The SHAPE Crew

-      **Barry Collier****	****	****    Annie Brown****	****	****  Bill Barth**

-        **Leigh Bell              Cindy McLaughlin     Dr. Irvin Williams**

## Implementing Evidence-Based Interventions

_**Recruitment & Retention**_
**Target county jail work-release and worker-trustee programs (pre-established relationships)**
**Adapted intake criteria to increase retention: **
**At least 60 days remaining in program**
**Work schedule does not conflict with class days/times**
_**Consistent**_** attendance rewarded with incentives (resource guide, applications, hygiene products, t-shirts, socks, food, chips & chocolate)**
**Post follow-up incentive = store gift cards**

## Implementing EBI’s (Continued)

**Integrating HIV, S/A and Hepatitis Prevention:**
- Course content designed for seamless segway from one topic to the next ...
**Survey          HIV trends/stats**
**VOICES         STDs          Hepatitis**
***SIS *****(communication skills related to S/A situations)          Exit survey**
- Facilitators adapt content delivery to participants focus
- Not too serious to have fun
- Role-play encourages participants to devise actionable RR scenarios
- Connections between prevention topics and participants (or loved ones) continually reinforced

## Evaluation: Client Recruitment & Retention ChallengesBaseline to Post Follow-up ~ Key Elements For Success

** ****Awareness Campaigns**
**- HIV, Hepatitis, S/A billboards & radio ads in target communities**
-  **Locator Forms**
**- Collect relevant information (adapted from tx program): nicknames, hang-outs, SOs/friends names, score sites, family/friend enablers, etc.**

## Evaluation: Client Recruitment & Retention ChallengesBaseline to Post Follow-up ~ Key Elements For Success (continued)

**Target Your Audience: Meet Their Needs**
- - **What do they get out of it, besides information (e.g., good impression with Judge, PD, Community Control, Child Protective Services., etc.)**
**- Do your participants *****really *****have the time to attend?  Who’s most likely to invest the time?**
** **
** ****Testing**
- - **When the idea of *****“results in 20-40 minutes” *****catches on, Rapid HIV testing is a best seller!**
- - **If your program doesn’t provide Hepatitis screening/vaccination or S/A tx...**
* ****Link with***** (don’t refer to) agencies that do [provide rides/bus passes; make the call for them; walk them through talking to someone new].**

**SHAPE UP! Event Volunteers**
**L-R: Ashley, Devyn, Leslie, Cameron (back), Jen, Maika & Reise**

**Poor Dears: It *****must***** be a pain to have parents who work in social services!**

## Evaluation: Client Recruitment & Retention ChallengesBaseline to Post Follow-up ~ Key Elements For Success (continued)

**Outreach**
- - **KNOW YOUR TARGET COMMUNITY ... or don’t attempt to provide services there.  **
- - **Conduct outreach when & where your target groups are accessible.**
- - **Host educational & testing events for your target communities & populations.**
-  **More Testing** **= More Contacts!**

## Evaluation (continued)Lessons Learned: Data Collection and Analysis

- Data Collection CAN Be ...
- Tedious for Facilitators
- Boring Work for Participants
- Easy to Confuse with a bad B-version of *“Ground Hog’s Day”*
- Data Collection SHOULD Be ...
- Fully Explained & Made Relevant to the Participants Lives
- What’s the purpose?
- Why should they tell you about their personal beliefs, actions & attitudes?
- How does their completing a survey benefit them (the community)?
- More Fun Than Root Canal!
- Inject laughter into administering the survey tool whenever possible
- Use the questions to sow thought for later class discussion
- Have an extra facilitator available to help slow readers

## Evaluation (continued)Lessons Learned: Data Collection and Analysis

- Data Collection SHOULD Be (continued) ...
- Incentivized When Possible
- Incentives vary depending on the population
- One group may require gift cards while others will prefer food, bus passes, letters (to judges, PO’s, case managers, etc.), or linkage to other social services
- Data Analysis SHOULD Be ...
- Conducted Routinely to Measure Project Impact
- Are participant scores on prevention topics improving between baseline & exit?
- If so, by how much?  If not, is the problem with the intervention or the implementation?
- Are participants lowering their risks between exit and post follow-up?
- Are erroneous beliefs changing?

## Quality Assurance and Linkages

**Follow-up: Recently Released Persons**
** ****Implementation Year: 6 month follow-ups seriously lagged**
** ****Team & AG analyzed barriers & instituted modifications, including:**
**- Incorporating locator forms into data collection**
**- Expanding number of mailing addresses for reminder cards**
**- Increasing to monthly phone contacts between exit & follow-up**
**- Increasing follow-up incentives**
**Linkage with Community Based Resources**
** ****HIV**
**- LCI has provided HIV T&C and educational services for 15+ years**
**- Established numerous collaborative relationships with HIV-related service organizations (e.g., treatment, housing/care/ medication assistance, etc.)**

## Linkages and Sustainability

**Community Based Resource Linkage **** ****(continued)**
**Hepatitis**
**- LCI has had a long-term relationship with the local CHD, which provides the only “sliding scale fee” Hepatitis program (generally free to indigent/below PL persons) in the local area.  **
**- Bil Barth co-facilitates the only local Hepatitis Support Group with the ECHD Hepatitis Program Coordinator**
** ****Substance Abuse**
**- ****See Organization History: Fact Sheet**
**Sustainability**
**Promotion, promotion, promotion...**
**Will market project final report**
**Currently developing 15-minute program highlights DVD**
**Evaluators seeking to publish project results in journals**
**Local news anchor keen to promote HIV prevention efforts**

**April Class ~ Graduation Party**

## CONTACT INFORMATION

**Project Coordinator:**	**Cindy C. McLaughlin**, 	6425 N. Pensacola Blvd.
- 			MPA, CAPP, IHPLF		Bldg. 1, Suite 5
- 			Special Programs Coordinator	Pensacola, FL  32505
- 						Office: 850-494-7171
- 						Fax: 850-494-7174

**Project Director:**	**Dr. Irvin Williams**, Ph.D., CAP	    1221 W. Lakeview Ave., Bldg. H
- 		Vice President Corporate Diversity	    Pensacola, FL 32501
- 		Director Specialty Services	    Office: 850-469-3552
- 					    Fax: 850-595-1420