Reducing Viral Hepatitis Transmission in Persons Experiencing - - PowerPoint PPT Presentation

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Reducing Viral Hepatitis Transmission in Persons Experiencing - - PowerPoint PPT Presentation

Reducing Viral Hepatitis Transmission in Persons Experiencing Incarceration Through Education and Peer-Based Interventions Mandy Altman, MPA, CCHP March 22, 2018 Disclosures - Nothing to disclose Worst-case scenario? Purpose - Learn about


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Reducing Viral Hepatitis Transmission in Persons Experiencing Incarceration Through Education and Peer-Based Interventions

Mandy Altman, MPA, CCHP March 22, 2018

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Disclosures

  • Nothing to disclose
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Worst-case scenario?

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Purpose

  • Learn about viral hepatitis education and peer-based

programs in Washington state prisons and jails.

  • Understand program history, implementation, and

content.

  • Discuss opportunities to incorporate education in

audience facilities.

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Who’s in class?

  • Correctional healthcare providers?
  • Correctional healthcare administrators?
  • Community-based health educators?
  • Researchers?
  • Who else?
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Who I am

  • How I became interested in incarcerated populations
  • HIV/STD Prevention Specialist
  • Illinois DOC
  • Correctional Health Program Manager
  • WA DOC
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HEP

  • Founded in 1993
  • Programs today: Outreach, MCM, Clinic, SAP

, DOC

  • Future
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NHCN

  • Founded in 2010
  • Professional networking, resource sharing
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Our work in WA DOC

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Hep 101

  • Began in 2001
  • Current: 51 in-person, 12 online
  • Class size: 0-100
  • Class time: 1-3 hours
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Hep 101

  • Curriculum:
  • Overview of liver
  • What is viral hepatitis
  • Focus on HCV routes of transmission
  • Safer injection (includes overdose prevention)
  • Safer tattooing
  • Explanation of testing (types, results)
  • DOC-specific resources
  • Basic info for safer/healthier life
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Hep 101

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Project SHIELD

  • Evidence-Based Curriculum
  • Began in 2012
  • Goal: Reduce ID transmission
  • Impact: Empowerment
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Project SHIELD

  • Class size maximum of 12
  • On-site coordinator
  • Six session, spread over 2-3 weeks
  • Participants selected by interview if demand is high
  • Working on program expansion/peer facilitators
  • Student working on evaluation assessment
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Project SHIELD

  • Curriculum:
  • HIV/Viral Hep 101
  • PEER
  • Safer Sex Demo
  • Safer Injection Demo
  • Safer Tattooing
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Which body fluid has the highest risk for spreading HCV?

0% 23% 45% 68% 90% Correct Partially Correct Incorrect Pretest Posttest

Project SHIELD

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What are the three main body fluids that can transmit HBV

0% 20% 40% 60% 80% Correct Partially Correct Incorrect Pretest Posttest

Project SHIELD

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How likely are you to use a new needle the next time you inject drugs?

75% 81% 88% 94% 100% Pretest Posttest 95% 87%

Project SHIELD

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How likely are you to clean your needle before injecting the next time you inject?

75% 81% 88% 94% 100% Pretest Posttest 97% 82%

Project SHIELD

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Our work in county jail

  • Class size 0-25
  • Men’s classes 1 x month
  • Women’s classes 1 x month
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Other Peer Education

  • Programs in Massachusetts, Oregon, New Mexico,

Illinois, Washington

  • Former program in California
  • Current program models?
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Questions?

  • What have you learned?
  • What opportunities are there for programs in your

agency?

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Thank you!

Mandy Altman, MPA, CCHP Correctional Health Program Manager, Hepatitis Education Project Director, National Hepatitis Corrections Network 1621 South Jackson Street, Suite 201 Seattle, WA 98144 mandy@hepeducation.org www.hepeducation.org | www.hcvinprison.org