The Graying of HIV/AIDS: Community 

Resources for the Aging Network 

Ad min· tt' ion on Aging 
Agenda

• The Graying of HIV: Implications 

 for Community Programs

• Local Program Highlight: Promotion of HIV 

Testing, Education & Access to Care 

Through Community Collaboration

• Overview of HRSA’s AIDS Education & 

Training Centers (AETCs)

• HIV Prevention & Services Locator

• AoA Older Adults & HIV/AIDS Toolkit

• Q & A 2 
Presenters

• Dr. Charles Emlet, Professor of Social Work, University 

of Washington | Tacoma & affiliate faculty with the 

University of Washington Center for AIDS Research

Joan DeVaughn, Healthy Aging Project Director, 

Area Agency on Aging of Palm Beach (PSA9, FL)

Diana Travieso Palow, HIV Education Branch Chief, 

Division of Training and Technical Assistance, 

HIV/AIDS Bureau, HRSA

Aisha Moore, Communications Director, AIDS.gov 

Carol Crecy, Director, Office of Outreach and 

Consumer Information, AoA

•

•

•

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Administration on Aging (AoA)

Older Adults & HIV/AIDS Toolkit

HIV: Know the Risks. Get the Facts. 

ASA Kathy Greenlee Introduces Toolkit on 

HIV/AIDS for the Aging Network 

(1 min 30 seconds)

http://www.youtube.com/watch?v=UiUPA2ya54c

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The Graying of HIV: Implications for 

Community Programs

Presented by

Charles A. Emlet, Ph.D., MSW

University of Washington | Tacoma
Growing Population of Older Adults 

Living with HIV Disease

• Dramatic increase in those 50+ living with 

HIV disease in the United States

– Newly infected older adults

– Long term survivors

• HAART Effectiveness

• Estimates are by 2015 50% of those with HIV 

disease in the U.S. will be 50+ (Justice, 2010) 

6 
Estimated Number of Persons Living with 

HIV/AIDS Age 50+ in the U.S. 2004-20081

50000

100000

150000

200000

250000

2004 2005 2006 2007 2008

50+

1 CDC (2011) HIV/AIDS Surveillance Report V 21 Table 15b 

*Table is showing an increase in HIV/AIDS among people 50+ from 2004 -2008. 7 
HIV AAA Study in Washington State1 

• Methods:

– Survey of the 13 AAAs in Washington

– 36 item instrument administered on-line

• Pilot tested with a AAA director and Case 

Management Supervisor outside WA

– Data collected over two months in 2008 with 

reminders sent by the W4A

– 100% response rate

1Supported by the University of Washington Center for AIDS Research 

(NIH grant P30 AI027757). 8 
Survey Results

Indicator Percentage

Serving Older Adults with HIV is consistent with agency 

mission

SA 33.3 

A 58.3 

SD 8.3 

Currently interact with AIDS Service Organizations (ASO) 

Collaboration with ASOs needs improvement

58.3

60.0

Experience working with people living with HIV 60+

Extensive 

Moderate

Limited

No experiences

8.3

0.0

66.6

25.0

Personnel Receives Training in HIV 63.6

Agency Desires More Information on Aging and HIV 84.6

More Information In The Form of:

Written Material

Consultation

Inservice Training

86.6

30.8

61.5

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Discussion

• Majority of AAA believe serving older adult

impacted by HIV is within mission

• Majority believe collaborations with AIDS

Service Organizations needs strengthening

– ASOs have less consistent coverage

nationally

• More information and training is needed

and wanted

• Toolkit provides needed information to

providers

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Promotion of HIV/AIDS Testing, Education, and Access to 

Care to Medically Underserved, High-Risk Seniors Through 

Community Collaboration

Presented by

Joan DeVaughn

Area Agency on Aging of Palm Beach/Treasure Coast 

(PSA 9, FL) 
Statistics 

Palm Beach County, FL

 Nearly 28% of the population in PBC is 60+ (over 360,000

seniors)

 Heterosexual men/women 50 + are the fastest-growing

demographic for new HIV infections

 South FL ranks the 3rd highest out of 50 states in cumulative

reported HIV/AIDS cases

 1 in 4 of county’s new HIV cases is age 50+

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Healthy Aging OAA Title III D Outreach 

Palm Beach County, FL 

• Focus on medically underserved, high-risk adults 60+

• Concentration at faith-based sites and low-income housing

communities in underserved communities

• Collaboration with community health center which provides

medical staff and HIV/AIDS counselor

• Activities include health screenings (blood pressure, blood

glucose, hearing, and HIV/AIDS testing), disease information,

health education, health counseling, promotion of evidencebased workshops, and health access referrals

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Older PLWHA: Care & Treatment

Presented by

Diana Travieso Palow, MPH, MS, RN, 

HIV Education Branch Chief

AIDS Education and Training Centers (AETC) 
“The Graying of HIV”

HRSA CARE ACTION, February 2009

http://hab.hrsa.gov/newspublications/careactionnewsletter/february2009.pdf

15 

• Recognition by HRSA HAB: increasing prevalence of

older PLWHA as an issue of growing concern

• What are best practices for caring for older PLWHA?

• Do different cohorts of older PLWHAs have different

clinical needs?

• As the training arm for Ryan White grantee community,

AETCs continue to provide education and training on

this topic to target audience of clinicians
AETC Mission: Provide HIV Clinical 

Training for Providers 

• AETC program is clinical training 

component of the Ryan White 

HIV/AIDS Program

• Program Goal: Increase number

of educated and motivated 

providers to diagnose and treat 

people living with HIV 

• From July 2009 – June 2010 AETCs 

delivered 50,613 hours of training 

to 67,586 healthcare providers 

during 18,632 training events 

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17 

Al DS Education and Training Centers 

Regional and Local 

Northwest Midwest Al DS 

AETC MountainPlains AETC 

Training and Education 

Center (MATEC) 

, . .. -._ ... 

Pacific AETC 

New England AETC 

New York/ 

New Jersey AETC 

Pennsylvania/ 

MidAtlantic AETC 

Southeast Al DS 

Training and Education 

Center (SEA TEC) 

Florida/ 

Caribbean AETC 

Texas/ 

Oklahoma AETC Delta Region AETC 

National Centers 

AETC National Resource Center 

AETC National Center for HIV Care in Minority Communities

AETC National Evaluation Center 

AETC National Multicultural Center 

National HIV/AIDS Clinicians' 

Consultation Center 
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AIDS Education and Training Centers

• 11 regional centers with 130 local performance sites 

covering all 50 states and U.S. territories 

• Focus on training clinicians: 

• Physicians

• Nurses

Nurse practitioners

Physician assistants

Pharmacists

Oral health professionals

•

•

•

•

• 20% of training targets other members of health 

care team, e.g., case managers, social workers, 

mental health care workers, etc. 
AETC Training Topics

19 

Over 40 training topics routinely presented by AETCs 

(additional topics as requested or driven by changes in 

the HIV epidemic or HIV clinical management).

Types of Training

– Level I: Didactic

Level II: Skills Building

Level III: Clinical Training

Level IV: Group Clinical Consultation

Level V: Technical Assistance

–

–

–

–
AETC and TA Work of Note Re: Older PLWHA

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• AETC National Resource Center 

― Multiple resources for trainers and clinicians

― Curricula, slide sets, guidelines, etc

• New England AIDS Education and Training 

Center (NEAETC)

― Annual well attended conference 

• TARGET Center

― Technical assistance for Ryan White Community

― Archived presentations

― http://www.careacttarget.org/index.asp 
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AAHIVM: Recommendation Treatment

Strategies

• Collaboration:

―American Academy of HIV Medicine

AIDS Community Research Initiative of 

America

American Geriatrics Society

―

―

• Disseminated through AETC network as 

resource for training, education, and 

technical assistance to clinicians caring for 

older PLWHA
Contact Information

22 

Diana Travieso Palow, MPH, MS, RN

Chief, HIV Education Branch

Division of Training and Technical Assistance

HIV/AIDS Bureau/HRSA

Phone: 301/443-4405

dpalow@hrsa.gov
HIV Prevention & Services Locator

Presented by

Aisha Moore, MPH CHES

AIDS.gov, Communications Director

aimoore@jsi.com http://www.aids.gov 
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Locators
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It’s Local 
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29 29
30 30

It’s Mobile
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 

http://locator.AIDS.gov Widget 

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It’s Anywhere
Search Select Services

Share or Embed Provide Feedback

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It’s Social

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AoA Older Adults and HIV/AIDS Toolkit

HIV: Know the RISKS. Get the FACTS.

Presented by

Carol Crecy

Director, Office of Outreach and Consumer Information

Administration on Aging
If You Think Your Too Old to Worry 

About HIV/AIDS, Think Again

• In 2009, men & women 50+ accounted for:

– 17% of all diagnoses of HIV infection

– 23% of all AIDS diagnoses

• Over 1 million Americans are living with HIV 

and the number is growing 

• By 2015 half of the people living with HIV will 

be 50+ 

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How to Access the 

Older Adults and HIV/AIDS Toolkit

HIV: Know the RISKS. Get the FACTS

Visit http://www.aoa.gov 

Click this button

on the right-hand slide of the homepage

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40 

HIV: Know the Risks. Get the Facts. 

Video (5 mins) 

http://www.youtube.com/watch?v=mm_O6Rn1U-M

HIV: Know the Risks. Get the Facts. 

Toolkit Video
Fact Sheet & Customizable 

PowerPoint Template

41 
Toolkit Poster Series

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Questions? 

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Resources

• AoA Older Adults & HIV/AIDS 

– http://go.usa.gov/ngp 

• http://www.AIDS.gov

• AETC National Resource Center

– http://www.aidsetc.org

• Area Agency on Aging of Palm Beach

– http://www.YourAgingResourceCenter.org

• National HIV/AIDS and Aging Awareness

– http://www.NHAAAD.org 

• National Resource Center on LGBT Aging HIV and Aging 

Resources

– http://www.lgbtagingcenter.org/resources/index.cfm?s

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