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HIV Center for Women and Children

Special Treatment and Research Program (STAR)
is a multi-departmental effort comprising multiple projects within the Departments of Obstetrics and Gynecology, Medicine (Infectious Disease Division), Preventive Medicine & Community Health, and Nursing. The overall goal of the STAR Program is to provide comprehensive and coordinated care, prevention services and research to adults with and at risk for HIV disease. The following STAR Program components are under the Department of Preventive Medicine and Community Health. For further information, call Jack A. DeHovitz, M.D., M.P.H. at (718) 270-1069. Specific program numbers are included as follows:

Patient Care
STAR Health Center
Hepatitis C Screening and Treatment Program
Family-Centered Care Program (FCCP)
Treatment Adherence Services Program (TASP)
Inpatient HIV Adult Services

Mental Health and Psychosocial Support
STAR Mental Health Program

Community Outreach and Education
Adolescent Education Program (AEP)
Teens Helping Each Other (THEO)
Educating People at Risk (EPAR) Project

Professional Education
HIV Clinical Education Initiative (CEI)
AIDS Education and Training Center (AETC)
HIV Clinical Scholars Program
HIV/ID Seminar Series

0 Patient Care
STAR Health Center - SHC provides clinical care and supportive services for HIV positive adults. Care includes full gynecological services, patient education, social work/case management, nutritional counseling, medication adherence counseling, psychiatric consultation, mental health/substance use assessment and ongoing treatment. SHC also has a specialized clinic for people with HIV who are co-infected with hepatitis C. Patients have 24-hour telephone access to health center staff for medical consultation and emergency evaluations for hospital admission. The clinic also provides confidential HIV counseling and testing for adults. The SHC is the ambulatory care site for the University Hospital of Brooklyn's (UHB) Designated AIDS Center, as certified by the New York State Department of Health AIDS Institute. It is funded by Ryan White Title III through the Health Resources and Services Administration (HRSA), Ryan White Title I through Medical and Health Research Association of New York, Inc. (MHRA), Ryan White Title II through the New York State Department of Health (NYS DOH) AIDS Institute, and by University Hospital of Brooklyn.

For appointments call (718) 270-3745.

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00 Hepatitis C Screening and Treatment Program - The Hepatitis C Screening and Treatment Program is a dedicated HCV screening and treatment clinic for co-infected (HIV/HCV) adults within the STAR Health Center (SHC). HIV/HCV co-infected patients are referred to this clinic for further diagnostic assessment, HCV therapy, as well as treatment education and adherence support for themselves and their families. Intensive case management is provided for all patients enrolled in the program. This project is funded by Ryan White Title I through MHRA.

For information call (718) 270-3745/2758.

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0 Family-Centered Care Program (FCCP) -
FCCP provides comprehensive care and supportive services to HIV seropositive men and women with dependent children. Specific services include: family-centered case management; co-located prenatal and HIV primary care for pregnant women; primary HIV care for male caregivers; co-located primary care and GYN/colposcopy services for HIV for female caregivers and; coordination of pediatric care for infected and exposed/indeterminate with the Brooklyn Pediatric AIDS Network (BPAN). Additional services are available through the STAR Health Center (SHC) and University Hospital (e.g., well child pediatric care) and through linkages for ancillary services not available on site. The goal of the FCCP is to provide a comprehensive array of services in the setting of family-centered case management. This project is funded by the NYS Department of Health AIDS Institute through both Ryan White Title I and State funding.

For information call (718) 270-2758.

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0 Treatment Adherence Services Program (TASP) -
The goal of TASP is to strengthen existing state- of the-art HIV treatment adherence (TA) services as standard of care among STAR Health Center patients on highly active antiretroviral therapy (HAART), and to expand the extant program to ensure optimal service delivery to clients in the community. The target population is HIV seropositive adult SHC patients who meet medical guidelines for HAART, those who are at risk for non-adherence to treatment, and HIV seropositive clients of community-based organizations (CBOs) who need HIV primary care and TA services. This includes patients starting HAART, changing their antiretroviral regimen, identified as having difficulty with adherence, or who have a previous history of non-adherence. Program activities include delivery of client-centered TA support services, which are currently part of SHC HIV primary care services; collaboration with CBOs on outreach and referral to TA support services and primary care; and provider education and training on emerging TA information and skills. This program is funded by Ryan White Title I through the New York State Department of Health AIDS Institute.

For information call (718) 270- 1334.

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0 Inpatient HIV Adult Services -
Acutely ill HIV patients followed in the STAR Health Center, referred from outside hospitals, or presenting to the emergency room are cared for by the Inpatient HIV Adult Services team. The team participates in the diagnosis and daily management of patients with a variety of complications. The interdisciplinary team consists of a Nurse Case Manager, Nutritionist, Social Worker, Substance Use Counselor, Prevention/ Education Counselors, and medical staff. Together the team develops a diagnostic evaluation for the common complications of HIV infection and works with patients to help them attain improved health status. The team is part of the HIV Center for Women and Children and University Hospital of Brooklyn's (UHB) Designated AIDS Center, as certified by the New York State Department of Health AIDS Institute.

For appointments call (718) 270-3745.

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Mental Health and Psychosocial Support 00
0 STAR Mental Health Program -
The STAR Mental Health Program, integrated into SHC primary care services, offers full psychosocial assessment, diagnostic evaluation and treatment planning, crisis intervention, ongoing psychotherapy, and substance abuse counseling. Multiple support groups are offered for adults infected and affected by HIV. Groups focus on a variety of topics such as disclosure, gender specific issues, harm reduction and recovery. The program is staffed by a psychiatrist, social workers and substance abuse counselors. It offers referrals for additional services which are not on-site, such as day treatment, inpatient detoxification, methadone maintenance, alcohol day treatment and acupuncture. The program is funded by Ryan White Title II through the New York State Department of Health AIDS Institute and by Ryan White Title I through MHRA.

For information call (718) 270-4054.

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Community Outreach and Education 0
0 Adolescent Education Program (AEP) -
AEP provides education regarding HIV prevention, teen pregnancy, and substance use through skills building and counseling to youth at risk. The program provides age, language and culturally appropriate education to teens to ensure that they receive adequate information regarding prevention as well as medical and social services.

Teens Helping Each Other (THEO), the programıs peer education project, trains at-risk adolescents to become peer educators utilizing improvisational interactive theater learning tools such as games, short skits, songs/raps, plays and videos about HIV-related issues to facilitate discussions. The teens make presentations at schools, churches, and community programs that serve adolescents. The program also provides training to community-based adolescent service providers and facilitates the development of HIV-related services for youth organizations. In October 2003 the program was expanded to increase the AEP = s emphasis on facilitating access to HIV counseling and testing, medical care and social services, and focusing efforts on reaching hard-to-reach youth, including young men who have sex with men (MSM). These services are directly integrated with SUNY Downstate's Ryan White Title III and Title IV funded Health and Education Alternatives for Teens (HEAT) Program, which coordinates a planning process among Brooklyn-based youth service providers to establish additional HIV counseling and testing services for youth. The program is funded by the New York State Department of Health AIDS Institute.

For information call (718) 270-3992/3203.

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00 Educating People at Risk (EPAR) Project -
The goal of the EPAR Project is to identify African-American, Latino and other people of color with HIV who are not in care, assess and address their barriers to care with specific interventions, and facilitate immediate access to medical care and psychosocial services. Program activities include: 1) intensive street outreach in areas where substance users and commercial sex workers congregate; 2) HIV counseling and testing; 3) referrals to medical care, substance use treatment, food pantries, shelters and community-based organizations; 4) follow-up and tracking of health care referrals; and 5) presentations on treatment education at community-based organizations. Integrated into the project is a comprehensive qualitative and quantitative evaluation component under the leadership of the Office of Special Populations of The New York Academy of Medicine. The purpose of the evaluation is to assess clientsı barriers to care and measure the effectiveness of the CBC f unded programs. Funding for this program is provided by the Minority AIDS Initiative/Ryan White Title I through MHRA.
For information call (718) 270-3897.

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Professional Education 00

HIV Clinical Education Initiative (CEI) -
The CEI provides on-site HIV training for health care providers in Brooklyn and Staten Island. The program's mission is to ensure that Brooklyn and Staten Island HIV patients have access to quality treatment from well-informed care providers. CEI meets the HIV-related clinical education needs for community health care clinics, chronic care facilities, and drug treatment facilities. Educational programs are provided through lectures, workshops, case presentations, conferences, preceptorships, telephone consultation, or satellite video conferences. CME credits are available for physicians. Funding for this program is provided by the New York State Department of Health AIDS Institute.

For information call (718) 270-4752.

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AIDS Education and Training Center (AETC) -The AETC provides on-site HIV training for health care providers in Brooklyn, especially targeting Brooklyn-based hospitals. The training population includes physicians, physician assistants, nurse practitioners, nurses, nursing assistants, dentists, dental assistants, and health care support service professionals. For those clinicians who would like experiential training in HIV care, AETC organizes observational preceptorships at the STAR Health Center. Funding for this program is provided by HRSA through a subcontract with Columbia University.

For information call (718) 270-4752.

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HIV Clinical Scholars Program -
The HIV Clinical Scholars Program trains physicians, physician assistants and nurse practitioners in HIV care, research, and HIV-related public health issues. Scholars who complete this two-year fellowship are certified as HIV Specialists by the New York State Department of Health. The STAR Health Center at UHB, the Pediatric/Maternal Center and HEAT Clinics at KCHC, and the STD Clinic at Kings County Hospital Center serve as major clinical training sites for the program. Scholars attend a state-sponsored core lecture series and participate in HIV seminars and journal clubs. Each scholar concentrates on a specific track option such as Urban Health or a Master of Public Health/Public Administration Program. Funding for this program is provided by the New York State Department of Health
AIDS Institute.

For information call (718) 270-4752.

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0 HIV/ID Seminar Series -
The Thursday HIV/ID Seminar Series provides its audience with lectures and workshops on current diagnostic and therapeutic modalities in HIV care, active research on HIV-related diseases and epidemiology, and the psychosocial and policy aspects of HIV prevention and care. At least one seminar each month is devoted to non-HIV infectious disease topics. The target audience is HIV/ID physicians, fellows, mid-level clinicians, nursing staff, and mental health professionals from SUNY Downstate, Kings County Hospital Center, and neighboring hospitals, community health care centers, and community-based organizations.

For information call (718) 270-4752.



FOR REFERRALS CALL 1 888 270-SUNY (7869)

UNIVERSITY HOSPITAL OF BROOKLYN