2019 Annual Commission Meeting

Dr. Raphael Landovitz, Co-Director of CHIPTS

November 14th, 2019- The theme of this year’s Annual Commission meeting was, “Renewed Opportunities & Collaborations in Times of Urgency to End the HIV Epidemic.” Stakeholders from the region presented upcoming initiatives to end the epidemic, highlighting specific projects funded by the NIH in response to the official state of emergency declared by the national government. Presentations were given by Mario Perez of the Division of HIV and STD Programs (DHSP), Britt Skaathun from the UCSD School of Medicine, Marisa Ramos from the California Department of Public Health, CDR Michelle Sandoval- Rosario from PACE Region 9, and LCDR Jose Antonio Oritz also from PACE Region 9. Raphael Landovitz from UCLA’s Center for HIV Identification, Prevention, and Treatments Service (CHIPTS) also presented, noting overviews of the center’s three key initiatives:

  1. Regional Response to HIV Eradication Efforts in Southern CA Counties
    Project leads: Steven Shoptaw, PhD, and Uyen Kao, MPH
    EtHE pillar: Respond
    Goal: To identify the infrastructure, resources, and capacity building needs to support regional coordination among LAC and other CA counties.
  2. Use of technology-based pre-exposure prophylaxis (PrEP) services to improve uptake, adherence, and persistence among young men who have sex with men (YMSM) and young transgender (YTG) persons of color
    Project leads: Ronald A. Brooks, PhD and Dilara Uskup, PhD
    EtHE pillar: Protect
    Goal: To assess how technology-based delivery systems can potentially enhance PrEP uptake, adherence, and persistence among key populations for LAC.
  3.  Preparing for long-acting injectable treatment for HIV in Los Angeles
    Project leads: Raphael Landovitz, MD, MSc and David Goodman-Meza, MD
    EtHE pillar: Treat
    Goal: To understand the barriers to and facilitators of successful implementation of long-acting injectable (LAI) antiretroviral therapy (ART) as part of a strategy to optimize viral suppression for LAC.

Public health leaders and community partners further shared insights and perspectives on how to end the HIV epidemic, including Barbara Ferrer and Jeffrey Gunzenhauser of the Los Angeles County Department of Public Health, and Louise McCarthy from Community Clinics Association of Los Angeles County. The meeting concluded with breakout sessions dedicated to creating an effective and responsive community planning structure.

Information provided in the meeting’s packet (including agenda, speaker bios,and presentation summary) alongside presentation slides are available for download below. Videos of each presenter are available on our YouTube channel, and linked at the bottom of this page. Check out our mini gallery from the meeting on our CHIPTS Facebook page.

 

 

See below for presentation materials.

2019 Annual Commission Meeting - Agenda

 

2019 Annual Commission Meeting - Program

 

2019 Annual Commission Meeting - Slides

 

Through Positive Eyes: Storytelling Exhibit at UCLA’s Fowler Museum

This post was originally published on fowler.ucla.edu. You can view and download the press released document here: Through Positive Eyes Exhibition at the Fowler Museum (2019-20) - Summary

THROUGH POSITIVE EYES 
SEPTEMBER 15, 2019–FEBRUARY 16, 2020

To help end the stigma around HIV/AIDS and empower people from around the world who are living with the virus, a new exhibition at the Fowler Museum at UCLA will highlight the stories
and images of HIV-positive individuals and their perspectives on the epidemic. The exhibition is co-curated by David Gere, UCLA Professor of World Arts and Cultures, who, with photographer Gideon Mendel, co-founded Through Positive Eyes, which is an art project and an exhibition created in collaboration with people living with HIV/AIDS.

Launched in 2007 by UCLA’s Art & Global Health Center, Through Positive Eyes puts cameras in the hands of the people most deeply affected by HIV to create personal photo essays. Entering
its 12th year of intensive photography workshops, regional public exhibitions, and now, a touring global exhibition, the endeavor coalesces around one core tenet: a belief that challenging stigma
against people living with HIV/AIDS is the most effective method for combating the epidemic.

There will be a range of artivist in-gallery performances happening through October 6, 2019–February 16, 2020. Please see a summary of the exhibit’s schedule below and check out the exhibit’s website here for further details. We strongly encourage you to attend and show support.

SCHEDULE
Wednesdays 5–8:00pm
Beginning at 5pm, and on the hour thereafter. Last performance begins at 7:00pm.
Oct. 16, 23, 30
Nov. 6, 13, 20
Dec. 4, 11, 18
Jan. 8, 15, 22, 29
Feb. 5, 12

Sundays 1-4:00pm
Beginning at 1pm, and on the hour thereafter. Last performance begins at 3:00pm.
Oct. 6, 13, 20, 27
Nov. 3, 10, 17, 24
Dec. 1, 8, 15, 22, 29
Jan. 5, 12, 19, 26
Feb. 2, 9, 16

CHIPTS at APHA 2019

CHIPTS recently presented at the American Public Health Association (APHA) Annual Meeting and Expo in Philadelphia, PA from November 2nd-6th, 2019. The APHA Annual Meeting and Expo is where public health professionals convene, learn, network and engage with peers. The conference aims to strengthen the profession of public health, share the latest research and information, promote best practices and advocate for public health issues and policies grounded in research. This year’s theme was, “Creating the Healthiest Nation: For science. For action. For health.”

The CHIPTS community was well represented at the event. Please check out our Facebook page and view our photo gallery here to view some captured highlights!

MMWR: Racial/Ethnic and Age Group Differences in Opioid and Synthetic Opioid–Involved Overdose Deaths Among Adults

This report originally appeared on cdc.gov. To view the full report, click here. Additionally, you can find the original report for download here: MMWR: Racial/Ethnic and Age Group Differences in Opioid and Synthetic Opioid–Involved Overdose Deaths Among Adults Aged 18 Years in Metropolitan Areas

On November 1st, the Office of the Assistant Secretary for Health and the Centers for Disease Control and Prevention released a new Morbidity and Mortality Weekly Report (MMWR) article highlighting differences in U.S. opioid death rates by demographic and geographic characteristics.

Following is a brief summary of the article, “Racial/Ethnic and Age Group Differences in Opioid and Synthetic Opioid–Involved Overdose Deaths Among Adults Aged ≥18 Years in Metropolitan Areas — United States, 2015–2017.”

Summary
What is already known about this topic?

Opioid-involved overdose death rates in the United States differ by demographic and geographic characteristics. Illicitly manufactured fentanyl and fentanyl analogs have fueled recent increases in opioid-involved overdose deaths. In 2017, synthetic opioids were involved in nearly 60% of opioid-involved overdose deaths; however, the level of involvement by racial/ethnic age groups in metropolitan areas has not been explored.

What is added by this report?

From 2015 to 2017, nearly all racial/ethnic groups and age groups experienced significant increases in opioid-involved and synthetic opioid–involved overdose death rates, particularly blacks aged 45–54 years (from 19.3 to 41.9 per 100,000) and 55–64 years (from 21.8 to 42.7) in large central metro areas. The increased involvement of synthetic opioids in overdose deaths is changing the demographics of the opioid overdose epidemic.

What are the implications for public health practice?

Culturally competent interventions are needed to target populations at risk; these interventions include increasing awareness about synthetic opioids in the drug supply and expanding evidence-based interventions, such as naloxone distribution and medication-assisted treatment.

Read the full report. 

 

CHIPTS New CAB Co-Chairs Share Their Vision for the New Year (2019-2020)

CHIPTS welcomed our newly elected CHIPTS Community Advisory Board Co-Chairs, Dahlia Ferlito and Chassity Griffin, to the position on Friday, October 18th, 2019 for the 2019-2020 year. Dahlia, who was re-elected for a third term, and Chassity both have a great wealth of experience and vision that will direct the CAB in reaching its full potential. The CHIPTS CAB has long been a place of collaboration and discussion between our researchers and the communities affected by HIV. The goal of this advisory group is to ensure the research, dissemination, and activities conducted by CHIPTS researchers are relevant and meaningful to the lives of the diverse communities we serve.

Dahlia and Chassity each shared their thoughts on leading this board together for the upcoming year:

Dahlia hopes to continue building synergy within the CAB and to develop projects that bring about change for people affected by HIV in Los Angeles and beyond. With the CAB being an active team of members possessing a tremendous amount of expertise in various content areas, she is excited for the possibilities in harnessing the Board’s collective power to support research initiatives and translate knowledge acquired through research to communities in an accessible and meaningful way.

Chassity echoed similar sentiments. She has a set the primary intention to lead the CAB in their efforts to continue driving meaningful activities serving communities affected by HIV. To this end, her goal is to facilitate a space where the CAB can translate their ideas into supporting the development of research at CHIPTS, and also translate those ideas into initiatives that will have the greatest impact for the populations being served. Lastly, Chasity aims to collaboratively work with Dahlia, encouraging the CAB to bring value based contributions that will ultimately help improve the lives and health outcomes of at-risk and affected populations.

Both Co-Chairs are looking forward to continue guiding the CAB in a progressive direction, helping to create awareness, provide feedback to investigators, and effectively disseminate research information to target communities.

We are so excited to have them on board this year!

Methods Seminar- Karen L. Fortuna, PhD on Co-Designing Mental Health Smartphone Apps with People with Serious Mental Illness to Impact Population Health

Image result for karen l. fortuna

Karen L. Fortuna, PhD, MSW
Assistant Professor of Psychiatry
Geisel School of Medicine
Dartmouth College

Friday, October 25, 10:00am-11:00am

The proliferation of digital mental health has the potential to redesign clinical and research practices. Digital mental health will continue to grow rapidly and could have a large impact on population health. However, despite millions of dollars to develop digital mental health interventions and evidence for their efficacy and effectiveness, intervention uptake in real-world settings is limited. On average, it takes 17 years for research findings to be implemented into practice. Not surprisingly, estimates suggest that between 90-75% of all individuals are not receiving care supported by a scientific evidence base. The lack of uptake can be explained by the difficulties associated with translating research into practice in combination with the absence of consideration to scalability during early intervention research development phases. Traditionally, early intervention research development phases have remained separate from scalability considerations embedded within the implementation research phases, and even require different expertise; however, there is a burgeoning consensus that scalability consideration should be included during early research development phases.

This presentation discussed the advancing role of peer support specialists (i.e., people with a lived experience of a mental health condition) in co-designing in digital mental health interventions with a focus on implementation and potential mechanisms that act as barriers and facilitators to scaling up digital mental health intervention—including (1) ethical considerations in technology development and service users’ acceptability of digital products and (2) the advancement of user-centered design to include community-engaged research with vulnerable populations.

The CHIPTS’ Methods Core hosts a monthly seminar series, which are one-hour workshops on research and statistical methods.  The seminars are open to HIV researchers, faculty, students, and community. To see previous seminars, check out the Methods Seminar tag or you can find seminar videos on our Youtube Channel! This series is hosted by the Center for HIV Identification, Prevention, and Treatment Services (CHIPTS) and made possible by funds from the National Institute of Mental Health (MH058107).

CHIPTS Recognizes and Affirms The 1619 Project

“America was not yet America, but this was the moment it began. No aspect of the country that would be formed here has been untouched by the 250 years of slavery that followed. On the 400th anniversary of this fateful moment, it is finally time to tell our story truthfully.” – The 1619 Project, New York Times

Original Artwork by Adam Pendelton, The 1619 Project, The New York Times. August 18, 2019.

On August 20th, 2019, The New York Times launched The 1619 Project, an acknowledgement of the 400th anniversary of the arrival of Africans in America, hence the beginning of American slavery. By presenting the year 1619 as our nation’s rightful birth year, this major initiative aims to re-frame our history, urging us to recognize the role(s) of slavery and the contributions of black Americans within the narratives we share as a country. Containing a series of essays reflecting the dynamics of everyday American life and a unique collection of original literary works from contemporary black writers, the project dissects the many systems rooted in slavery and its aftermath, including mass incarceration, police brutality, and health inequity.

This anniversary has significance for public health, as racial inequalities persist amidst significant health disparities. At the same time, the urgency for public health systems to address these complexities remains. At a moment in US history when the role of government in healthcare is controversial, envisioning 1619 to 2019 as 400 years of inequality will be a crucial step for health care providers, researchers, and community partners. This reflection within public health forums can bring substantial benefits in establishing anti-racist and health equitable methods responsive to structural racism’s consequential influence.

Essay by Nikole Hannah-Jones, Creator of The 1619 Project, The New York Times. August 18, 2019.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Therefore, CHIPTS acknowledges and affirms The 1619 Project, and works to integrate similar anti-racist paradigms within  our mission to promote collaborative research, foster networking, and support capacity building among communities and agency partners in efforts to eliminate new HIV infections and health disparities among key populations with HIV-associated comorbidities. In our current work, CHIPTS is directly addressing this intention with the upcoming conference, “Addressing Medical Mistrust in Black Communities: Implications for HIV and other Conditions”. This forum aims to improve understanding of the historical foundations of medical mistrust in black communities, dissect its effects on health care behaviors, and discuss necessary system level changes in a manner that encourages healthcare engagement and improves health outcomes. It will occur Tuesday, November 19th from 8AM-1PM. All are welcome to attend.

Lastly, we encourage you to read the original 1619 Project article published by The New York Times Magazine. To learn more about 1619’s dynamic relationship to public health, please also see, “400 Years of Inequality Since Jamestown of 1619” from AJPH History.

The PDF Versions of both articles are available for download below.

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Steve Shoptaw, director of the UCLA Center for HIV Identification, Prevention and Treatment Services

UCLA receives $395,000 from NIH for HIV prevention and treatment

This article originally appeared on newroom.ucla.edu. The PDF is also available for download below. 

UCLA’s Center for HIV Identification, Prevention and Treatment Services has received $395,000 from the National Institutes of Health for AIDS prevention, treatment and response to outbreaks.

Three, one-year grants, awarded by the NIH’s National Institute of Mental Health, will support research to prevent new HIV transmissions, treat people living with HIV, and respond to potential outbreaks of the disease.

“These funds will gather findings to guide future projects that when implemented, will measurably reduce HIV transmission and improve health for those living with HIV/AIDS , especially for those also living with mental health and substance use disorders,” said Steve Shoptaw, director of the Center for HIV Identification, Prevention and Treatment Services. “These grants will not only provide us with the opportunity to collect pilot data, but to engage community and agency partners, leading to more innovative and collaborative science that are needed to end the HIV epidemic.”

The funding stems from President Donald J. Trump’s stated aim to end the HIV epidemic in the U.S. in the next 10 years. The president’s program, “Ending the HIV Epidemic: A Plan for America,” aims to reduce new HIV infections by 75% in five years and by at least 90% in 10 years.

The three funded projects are as follows:

  • A regional response to HIV eradication efforts in Southern California counties, led by Shoptaw, a professor of family medicine and of psychiatry and biobehavioral sciences at the David Geffen School of Medicine at UCLA. Under this project, UCLA will collaborate with health departments and residents living with or at risk for HIV in Los Angeles, Orange, Riverside and San Bernardino counties.
  • Another project, led by Ronald Brooks, an assistant professor of family medicine at the medical school, will assess the feasibility of using apps, tele-health, text messaging and other digital technologies to encourage the use of PrEP, or pre-exposure prophylaxis, among men who have sex with men and transgender women of color.
  • The third project will lay the groundwork for the rollout of long-lasting, injectable anti-retroviral treatment, a therapy under consideration for marketing approval by the U.S. Food and Drug Administration and expected to become commercially available soon. Dr. Raphael Landovitz, professor of medicine in division of infectious diseases, is leading this project.
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Colloquium: “Impact of HIV/AIDS in the Latinx Community”

October 10th, 2019- This month’s commission meeting featured a panel focused on the impacts of HIV/AIDS in the Latinx Community. Our panelists included  Jose Vasquez from APLA’s HIVE Program, Johanna Padilla from the Los Angeles LGBT and Trans Wellness Center,  Thelma Garcia from East Los Angeles Women’s Center, and Commissioner Carlos Moreno. The panel was moderated by Jorge Diaz.

The discussion provided insight into the experiences of Latinx/Latino Indigenous narratives, with major objectives to highlight the urgency of the HIV/AIDS epidemic within these community spaces and present deeper understandings to the issues faced. Challenges were expressed regarding the unique barriers of language, cultural/spiritual stigmas, knowledge of prevention and treatment services, and fear. Greater solutions were also noted, including a call for more trauma-informed services, compassion from providers, education of youth and cis/het populations, and more visible identity-specific support systems. Overall, the conversation was intersectional, inclusive, and non-monolithic.

You can find the flyer available for download below as well as the full video of the panel (also available on Youtube).

Impact of HIV/AIDS in Latinx Communities - Flyer

 

CHIPTS hosts a monthly HIV Research and Community Colloquia Series in collaboration with the Los Angeles County Commission on HIV to highlight current issues and conversations surrounding HIV. Click here for past lectures and check out the events page for more information on future Colloquia presentations!

Spotlight: Ian Holloway

Ian W. Holloway, PhD, LCSW, MPH is a licensed clinical social worker and an Associate Professor of Social Welfare in the UCLA Luskin School of Public Affairs. His applied behavioral health research examines the contextual factors that contribute to health disparities among sexual and gender minority populations. He is particularly interested in how social media and new technologies can be harnessed for health promotion and disease prevention. Ian is also a member of the CHIPTS Policy Impact Core and Director of the Southern California HIV/AIDS Policy Research Center, an interdisciplinary center which brings the most relevant and timely evidence to bear on California’s efforts to develop and maintain efficient, cost-effective, and accessible programs and services to people living with or at risk for HIV/AIDS.

After completing his undergraduate degree at the University of California, San Diego, Ian moved to New York City and began volunteering at Gay Men’s Health Crisis (GMHC), one of the oldest AIDS service organizations in the country.  As a member of the GMHC hotline staff, Ian developed a passion for serving his community, which prompted him to enter a dual master’s degree program in social work and public health at Columbia University.  This is where he gained his clinical training to work with gay and bisexual men struggling with a range of challenges, including substance use, depression and anxiety, HIV stigma, and body image issues. It was during this time that Ian became fascinated with research and the potential to develop and test interventions that could have a broad impact on gay men’s health.  Ian moved to Los Angeles to begin a PhD program in social work at the University of Southern California.  After graduating in 2012, he joined the faculty at UCLA.

Ian’s ongoing projects focus on understanding and addressing sexual and gender minority health disparities. In collaboration with colleagues from USC, Ian is conducting one of the first Department of Defense-funded studies focused on the mental health needs of active duty LGBT military personnel. He is presently Co-PI, along with Ayako Miyashita Ochoa of the LINX LA Study, a community-based initiative designed to test a mobile-app intervention to increase HIV treatment engagement for African American sexual minority men. In addition, Ian and his collaborators from the Los Angeles LGBT Center are funded by the California Tobacco Related Disease Research Program to study the trajectories of tobacco and cannabis use among diverse sexual and gender minority people living in California in order to inform future intervention programs.

Ian recently received an Avenir Award from the National Institute on Drug Abuse to develop a social media tool designed to offer highly personalized health information to prevent substance abuse and HIV infection among gay men.  He and his team built a library of nearly 12,000 data points made up of text phrases and emojis that correlate with offline health behaviors. His Avenir Award will be used to create a machine-learning system that will monitor social media interactions with participants’ consent, then send customized health reminders and other alerts via instant message.

In his spare time, Ian enjoys traveling with his husband, Felipe, and their two daughters. This summer their family spent a week in Mexico City where they enjoyed playing in Chapultepec Park, trying new restaurants, and visiting the pyramids at Teotihuacan. Their next trip to Bogotá, Colombia is slated for Spring, 2020.

Each month, we’re featuring a member of our CHIPTS family and their work! To see past spotlights, check them out on the spotlights page  and make sure to check back to see who we feature next!