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HomeMy WebLinkAboutResolution - 4168 - Grant Application - TDOH - AIDS Education Coordinatior - 06_10_1993Resolution No. 4168 June 10, 1993 Item #20 RESOLUTION THAT the Mayor of the City of Lubbock BE and is hereby authorized and directed to execute for and on behalf of the City of Lubbock a grant application and associated documents for a Texas Department of Health grant for funding of an AIDS Education Coordinator, attached herewith, which shall be spread upon the minutes of the Council and as spread upon the minutes of this Council shall constitute and be a part of this Resolution as if fully copied herein in detail. Passed by the City Council ATTEST: BIL!114--a �' —,V:i-- etty Jo ns n City Secretary APPROVED AT TO CONTENT: rc� Db-ug oo a Health Di fector APPROVED AS TO FORM: Da'nald G. Vandiver, First Assistant City Attorney DGV:dj res/C/ADSCord I F.i TEXAS DEPAFZMERr OF HEALTH HIV DIVISION APPLICATION FICR FUNDING 1. DATE SUBRIMM: / / 12. DATE RECEIVED BY STATE: / / 3. LEGAL NAME: 4. ADDRESS (city, Cauity, State, and zip Code) : City- of Lubbock Health Department PO Box 2548 Lubbock, Lubbock County 5. APPLICATION PREPARER & TELEPHONE NO.: Texas 79400' Liz Inskip Paulk (806 ) 767 - 2901 , 6. VENDOR I.D. NUMBER (VID) : 7. TYPE OF AGENCY: (enter appropriate letter in box): 0 a. City Health Department f. Private Non -Profit Organization b. Cbunty health Deparbwnt g. Higher Wumtion c. District Health Department h. Indian Tribe d. Ccmmnity-Based Organization i. Other (specify) e. Hospital 8. TYPE OF APPLICATION: CONTIMATION 0 0ONIPKM7VE 9. COUNTIES SERVED BY PROTECT: 10. START DATE END DATE Lubbock County 09 P1 / 93 08 / 31/ 94 11. a. Type name of Representative Authorto sign vied R angston, ayor b. Title: ' AIDS Education Coordinator c. Telephone Number 006 ) 767-2009 d. SignabAf Authori6ld Representative e. Date Signed 06 / 10/ 93 f:\prevent\formtool\funding CITY OF LUBBOCK MEMO TO: Bob Cass, Acting City Manager FROM: Doug Goodman, Public Health Administrator SUBJECT: Agenda Comments for June 10, 1993 City Council Meeting DATE: June 1, 1993 ITEM: Resolution authorizing the Mayor to sign a proposal to the Texas Department of Health for continued grant funding for the AIDS Education Coordinator Program The proposal for $36,078 to the Texas Department of Health (TDH) is for renewal of the grant -funded AIDS Education Coordinator Program. The proposal for continued funding requests $36,078 from the Texas Department of Health to continue reaching high -risk women of child-bearing age and adolescents between 14-18 years of age. The AIDS Education Coordinator Program also is charged with coordinating the HIV/AIDS education in Lubbock County. The Coordinator meets regularly with all the AIDS Educators in the County; matches organizations with appropriate speakers, when requested; and strives to prevent duplication of effort. TDH has funded the AIDS Education Coordinator Program since January, 1990. During the last 18 months, the AIDS Education Coordinator has completed over 300 presentations reaching over 13,000 individuals in Lubbock County. The majority of the 13,000 individuals receiving HIV Education were high -risk women and high - risk adolescents. It is the staff's belief that this is a valuable program which has helped prevent the spread of HIV and which needs to be continued. ATTACHMENT A HIV STATE EDUCATION/PREVENTION PROJECT GRANT PROPOSAL CHECKLIST Ills checklist must be returned with the application. The following is a checklist of items required in completing the proposal. Incomplete proposals will not be considered. Applications without this checklist will be considered incomplete. 1� Title Page Table of Contents i Abstract Budget/Budget Justification Background and Need Capacity of Organization Coordination with Other Agencies Project Objectives (09/01/93 - 08/31/94). X/ Activity Workplan (09/01/93 - 08/31/94). Education Outline Assessment/Evaluation "Other Funding Sources" Form. Other Required Documents and Assurances 1. Confidentiality Statement (Attachment I-1) 2. Concurrence with guidelines for the Local Program Material Review Panel 3. Assurance of Compliance with the HIV Education Grant Program Rules (Attachment I4) 4. Advocate and Promote Statement: (Attachment I-5) 5. Workplace Guidelines Statement: (Attachment I-6) mob. Articles of Incorporation, By -Laws and official recognition by Secretary of State's Office (if applicable) 7. Board of Directors list with Identification of Officers 8. Non -Profit Status Form 501(c)3 9. Letters of Support 10. Appendices Seven copies of your new proposal (one original and six copies). YOUR PROPOSAL WILL NOT BE CONSIDERED IF: Your proposal is RECEIVED by the Texas Department of Health, HIV Division after 5:00 p.m. (CST), June 14, 1993. All the required documents are not included. Signature of individual completing application: Signature: Title: w F70 ax) ze wk Z u 1. DATE SLXMr'I1D: / / 12. DATE RECEIVED BY SPATE: / / ******************************************************************************************* 3. L,DGAL NAME: 4. ADDRESS (City, county, State, and Zip Code): City- of Lubbock Health Department PO Box 2548 Lubbock, 5. APPLICATION PREPARER & TELEPHCNE NO.: Lubbock County Texas 79408 Liz Inskip Paulk (806 ) 767 - 2901 6. VENDOR I. D. NLir M (VID) OD©L�L]OD©00[�0©DI 7. TYPE OF AGENCY: (eater appropriate letter in box): ID a. City Health Department f. Private Non -Profit Organization b. County Health Department g. Higher Elation c. District Health Department h. Indian Tribe d. Community -Based Organization i. Other (specify) e. Hospital S. TYPE OF APPLICATION: 0 © ITIVE Lubbock County 1 09 P / 93 08 / 31/ 94 11. a. Type name of Representative Authorized to sign contract: David R. Langston, Mayor b. Title: " AIDS Education Coordinator c. Telephone Number 606 ) 767-2009 w d. Signature of Authorized Representative f: \prevent\fcrmtool\fundinq e. Date Signed GRANT APPLICATION FOR CITY HEALTH DEPARTMENT AIDS EDUCATION COORDINATOR TABLE OF CONTENTS SUBJECT: Page Number: Abstract 1 Budget/Budget Justification 2 Background & Need 4 Capacity of organization 7 Coordination with Other Agencies 10 Project Objectives, Activity Measures, and Evaluations - Objective 01 12 - Objective 02 12 - Objective 03 13 - objective 14 13 - Objective 05 14 Education Outline 15 "Other Funding Sources" form - Attachment H 18 Other Required Documents and Assurances - Attachment I 19 Appendix A - Letters of Support 31 B - Quarterly Report 32 C - "Safety Dance" pamphlet 33 D - "Condom Sense" pamphlet 34 E - "The Coordinator" newsletter 35 F - Examples of evaluations received 36 G - "Running for Time" pamphlet 37 1 ATTACHMENTI) ABSTRACT NAME of Applicant: Lubbock City Health Department Mailing Address: Lubbock City Health Department, PO Box 2548, Lubbock, TX 79408 Telephone Number. (806) 767-2901 Application Preparer. Public Health Region: Liz Inskip Paulk, M.A. 2 Counties Served: Lubbock State Senatorial District 28 State Representative District: 82,83 Number of Clients to be served: Target population(s) : STD Clinic clients, high -risk women of child-bearing age, high -risk adolescents between 14-18 years of age Project Summary The City of Lubbock Health Department is requesting $36,078 to fund an AIDS Education Coordinator for the city and Lubbock County. We propose the objectives of the grant as the following: to continue to educate the clients of the Health Department's STD Clinic, high -risk women of child-bearing age, high -risk adolescents between 14-18 years of age, and to continue coordination with existing AIDS education programs to prevent duplication of services. The Coordinator has completed over 300 presentations reaching over 13,000 people in the last 18 months. This will be continued by maintaining current community -based contacts in order to reach those at high risk. In addition, coordination with other HIV educators will Personnel 25,300100 continue in order to provide Fringe Benefits 7, 178.00 effective education in the most cost-effective manner. Travel 920.00 Equipment Supplies 450. o0 Contractual Other 890.00 Total Charges _ 34,688.00 Indirect Charges 1, 390.00 Total 36,078.00 2 HIV/AIDS EDUCATION BUDGET JUSTIFICATION A. PERSONNEL: 25,300.00 AIDS Education Coordinator 100% Education This competitively -funded position will continue to initiate HIV educational opportunities in Lubbock County focusing on STD clients, women, and adolecents in coordination with other HIV agencies. This includes a merit increase. B. FRINGE (28%): 7,178.00 FICA: rate x salaries 1,935.00 Insurance:cost per mo x FTEs (Health ins. 2,366 Life ins. 17 Dental ins. 190 Retirement 2,650) 5,223.00 Worker's Comp: rate x salaries 20.00 Unemployment: N/A Total Fringe rate: 28% C. TRAVEL: 920.00 Funds are requested for in -state travel One trip to a 3-day in -state conference 180.00 for transportation 225.00 for accomodation 75.00 per diem 50.00 for registration 530.00 One trip to a 2-day in -state conference 150.00 for transportation 150.00 for accomodation 50.00 per diem 40.00 for registration 390.00 D. SUPPLIES: 450.00 Funds are requested for the purchase of general office supplies: Copy charges (12 x 17.50) 210.00 Office supplies 240.00 E. OTHER: 890.00 Pamphlets & brochures 720.00 Postage costs 180.00 F. TOTAL DIRECT COSTS: 34,688.00 G. INDIRECT COSTS (UGCMS): 1,390.00 H. TOTAL BUDGET: 36,078.00 4 BACKGROUND AND NEED: With grant monies becoming more and more scarce, it is becoming more important that each dollar is spent as efficiently as possible in HIV/AIDS education. To help further this aim, it is vital that educational efforts become more streamlined, reaching not the "worried well", but those who have been shown to be participating in high -risk behaviors. To this end, the Coordinator will continue to focus on the following three populations: STD clinic clients, high -risk women of child-bearing age, and high -risk adolescents between 14-18 years of age. These three groups have been shown to participate in high -risk behavior (such as unprotected sex and/or multiple sex partners) and as such, are considered as being at high -risk for HIV infection Lubbock is located in Lubbock County (pop. 250,000) in West Texas. Characterized by a traditionally conservative atmosphere, it is a city which is very cautious about anything controversial or perceived to be controversial. In addition, it has a strong religious element, and thus HIV programs have to take the community values into consideration and be set up with care. Lubbock fits the nationwide trend of HIV infection and is one of the leader's for teenage pregnancies; however, it has not been until fairly recently that this has been acknowledged as a problem. This denial of any problem has lead to HIV educators to work closely with community leaders and groups in order to succeed at any level. The focus of the Coordinator will be prioritized towards the individuals who are part of the STD client population, either as newly diagnosed or as "repeat" clients. The Health Department's STD Clinic serves over 400 clients a month -- an alarming figure when you consider the documented link of increased risk of HIV with STD occurrence. Nationwide, there are over 1 million cases of gonorrhea and 4 million cases of clamydia. Locally speaking, this translates to over 1000 documented cases of gonorrhea and 2300 cases of clammy here in PHR2. The latest STD statistics suggest that even though people are aware of the risk of HIV, individuals are still having unprotected sex with multiple partners, and it is imperative that people make the link between STDa and increased risk of HIV in order to lower their own risks and those of others. The work begun in the last grant cycle will be continued in order to reach this particular population (i.e. presentations in the waiting room, culturally -specific visual aids, multi -ethnic and bilingual pamphlets, and a changing bulletin board.) This allows for variety in reaching individuals' varying concerns and at the same time, allow different learning techniques to be employed (e.g. tv viewing, reading, personal presentations, and just gazing around). In addition, by linking other agencies' HIV educators, we would help project a unified front to the community in the fight against AIDS. Another focus of the Coordinator will be on high -risk women of child-bearing age, as they (especially women of color) are beginning to be reported as HIV -infected in disproportionately high numbers with HIV infection. In 1988, women made up 6% of total AIDS cases in the US; in 1992, they made up 26% - an increase of 433% in four years. Add to this the fact that women are more at risk for HIV during heterosexual sex, and there leaves little room for doubt that women in this population should be targeted. The Coordinator currently gives presentations at WIC Clinics in Lubbock and the surrounding communities. This will be continued in order to reach some of the WIC clients, 75% of whom are women of color and may be young, single parents who might be otherwise unreachable. In addition, contacts have been established at local high schools for teenaged mothers. [See quarterly report in the appendix.] The third population to be focused upon will be that of young adolescents who are 14-18 years and are considered to be high risk for HIV infection (due to past or current pregnancy, substance abuse, trouble with the law or at home, or dropping out of school). A common characteristic of this particular age -group is that they like to see how "far" they can go in terms of taking risks to "prove" something to their friends or to themselves (e.g. through unprotected sex). Nearly 45% of chlamydia cases in PHR2 and over 30% of all reported cases of gonorrhea in PHR2 occur to youth under 19 years of age; over 20% of all STD Clients at the Health Department are under 17 years old. Other related risks include drug usage (including alcohol) and peer pressure -- a potentially lethal combination. With such a variety of pressures to be dealing with at a particularly trying period of life, teens in this subsection are at risk for HIV. The Coordinator will be targeting them through educational presentations at various youth -focused agencies, as well as continuing with the current contacts already established. [See quarterly report in appendix.] To conclude, since there is no cure, education is the key to any reduction in HIV infection. Effective education depends on coordination, cooperation, and initiative -- all strong components of the AIDS Education Coordinator position. 7 CAPACITY OF THE ORGANIZATION: The City of Lubbock Health Department sees an average of 50,000 clients annually through the provision of a wide range of services, from birth certificates to immunizations to an early intervention Primary Care HIV Clinic. With regard to HIV/AIDS-related services, the Health Department provides a comprehensive "one -stop shopping" for sexually active individuals -- an STD clinic, Family Planning and Maternity services, CTRPN services, HIV/AIDS Education, and La CZinica de Buena Salud (an early intervention primary care HIV Clinic). The Health Department's STD Clinic sees over 400 clients a month, 20% of whom are 17 years old or younger, and current numbers show STD cases to be on the increase in the nation, the state, and in our region. For example, according to the CDC, 12 million Americans will be infected with an STD this year. The CTRPN service (part of our comprehensive care package) is also facing increasing numbers, especially since the well-known link between STDs and HIV was found. our counselor currently sees over 45 clients each week, an increase which necessitated a change from a drop -in schedule to one which is appointment -based. Each aspect of the HIV -related care package provided at the Health Department is closely linked. For example, when HIV/AIDS education is presented (see the outline enclosed], CTRPN information is always given for referrals. Those who come to be tested and are found to be seropositive are referred to the early intervention clinic housed in the same building where clients are provided with the services of a physician, a nurse practitioner, a Wellness Counselor and a Case Manager. Having services centrally located encourages clients to keep E:3 appointments since all the medical -based services are completed in the same location, at the same time. The Health Department is the only agency in our area to provide this type of comprehensive medical care for PWHIV/A's. With the position of AIDS Education Coordinator being housed within the auspices of the City Health Department and the longevity of the position already being established, this position tends to be viewed with more credibility and less controversy -- primarily due to its strong link with the governmental side of a very conservative city. This helps get the message across, based (as it is) primarily on facts and documentation as opposed to emotion and scare tactics. In addition, working with the City enables this position to have a great many more resources to draw upon that could otherwise be unavailable-- contacts with City government, with City officials etc. -- all of whom can add to the credibility (and thus acceptability) to a potentially controversial subject. With this position now having been in place for nearly three years, it has evolved into a strong educational opportunity for our community. We have invested in a large, varied pamphlet & poster library reflecting multi -cultural and bilingual concerns, as well as developing multi -media audio-visual aids such as slides, videos, and overheads to help make presentations more adaptable to the audience in question. In addition to this material back-up, we have developed a large community - based network of contacts who are familiar with what we say, what we do, and how we do it -- this helps enormously as word-of-mouth provides a much better endorsement of our services than any amount of paid 9 advertising. (See Appendix for example evaluation forme from some presentations.) To conclude, I believe that effective education can be a lot cheaper in terms of nearly every cost -- financial, human, as well as others -- and with all this support system in place, and with our community becoming more and more attuned to the preventative nature of this problem, it would be to everyone's benefit for the state to refund the AIDS Education Coordinator position at Lubbock City Health Department. 10 COORDINATION WITH OTHER AGENCIES: HIV/AIDS is much too formidable an opponent for just one person in one position to be able to make a big difference. It is only by joining with others in the same fight that things can be changed, and this is one important aspect of the AIDS Education Coordinator -- to encourage cooperation, collaboration, and complementary roles among the various community -based agencies in the Lubbock area. The past three years have seen changes in our local HIV/AIDS Consortium, but it still remains an important tool to unite the various agencies in our community who are directly or indirectly concerned with the HIV issue. Currently, the Coordinator plays a role in the Consortium leadership by holding a position on the Executive Committee and working closely with representatives from at least six different agencies also on the Committee. The Coordinator also serves on the Education/Prevention Committee and co -organized some of the educational events throughout the past year. For example, she volunteered her time to organize a walk/run to raise awareness and funds for HIV/AIDS. This event involved over four months, preparation, working with at least 90 different people from over 20 different agencies and raising nearly $800. (See appendix.) In addition, the Coordinator worked closely with Catholic Family Services' HIV Educator to promote World AIDS Day, and together, we distributed over 500 red ribbons around the community. Outside the auspices of the HIV Consortium, the Coordinator works with other agencies to provide and increase HIV education and awareness. Coordinating with Catholic Family Services, there have been over 70 presentations to the WIC Clinic clients, reaching over 800 11 women. There have been panel presentations involving educators from South Plains AIDS Resource Center, Lubbock MHMR, and Texas Tech University, as well as collaboration in presenting•a 6-hour workshop on "HIV in the Workplace" for management classes at Texas Tech. There has also been coordination between agencies in scheduling, working and providing materials for local health fairs, from those at an elementary school to the annual Fiestas celebration. Collaboration also occurs in the referral of educational opportunities from one agency to another, in order to take advantage of a more culturally -appropriate educator for the audience in question. For effective education to be received, it is important to try to remove as many barriers as possible, and this removes at least one: not understanding the audience. In addition to actual presentations, the Coordinator also compiles, writes, edits, and publishes a bimonthyl newsletter, The Coordinator. This publication highlights various HIV -related activities happending in the area in order to provided increased communication to reduce duplication of services and also an opportunity for each agency to receive some free publicity for whatever accolades it may have been earned or activity it is organizing. This grant cycle has seen The Coordinator increase in siaze by 33% and double its circulation. The position of the Coordinator plays an important role in the Lubbock community of HIV -related agencies, and will continue to act as such, for the only way to win this battle is to work together with the "3 c's": cooperation, coordination, and colloboration. 12 OBJECTIVE 11: By August 31, 1993, 2500 clients at the City Health Department STD Clinic will have been provided with HIV/AIDS education (transmission, prevention, and availability of CTRPN services). (30% of time) [HERR Rule of Three] Activity Measures: A. Provide and coordinate other agency HIV educator involvement in daily HIV/AIDS presentations at key times throughout the working hours of the clinic (e.g. at the beginning of clinic hours and just before the doctor arrives.) B. Play culturally sensitive HIV/AIDS videos on a television and VCR in the lobby of the STD Clinic between presentations during clinic hours. C. Maintain the availability of culturally -sensitive, bilingual HIV pamphlets in the STD waiting room. D. Maintain a large variety of multi -ethnic and Spanish and English posters in the STD waiting room. E. Maintain a culturally -sensitive HIV/AIDS informational bulletin board in the STD waiting room (to be changed on a routine basis). Evaluation: A. Presenters will complete daily reports on their audience: the numbers, the ethnic composition, and the gender distribution. B. Using the STD log book, it will be possible to keep track of an estimation of approximate numbers of STD clients who were exposed to the HIV information (videos, bulletin boards, etc.) C. Check hours (with assistance from the HIV Counselor, the nursing staff, the DIS) to insure that the videos are playing properly and to take hourly counts of the clients in the waiting room. D. Keep a weekly count of how many and which pamphlets are being removed from the waiting room. Maintain appropriate levels and vary the titles to find the most popular (and therefore the most effective) ones. E. Have clients periodically complete evaluations on presentations. F. Have periodic evaluation by Regional Coordinator and/or supervisor. OBJECTIVE 12: By August 31, 1993, 600 high -risk women of child-bearing age will have been provided with HIV/AIDS education (transmission, prevention, and the availability of CTRPN services). (30% of time) Activity Measures: A. Develop a list of local youth -based organizations focusing on the high -risk population and possible contacts (e.g. local children's home, Project Intercept (high -risk LISD students etc.)) B. Make contact with lead individuals within each organization through direct mail campaign combined with a telephone call follow-up and set up dates for presentations. C. Conduct presentations to high -risk students within these organizations as scheduled by the contact persons and the AIDS Education Coordinator. 13 D. Follow up presentations with thank -you letters along with evaluation forms and SAES. Evaluation: A. Complete reports at the end of each presentation on the composition of the audience: the numbers, the ethnic distribution, and the gender. B. Distribute evaluations to both the audience and/or the agency administration. (If sending the evaluation form with the thank -you letter, enclose an SAE to encourage the return of the form.) C. Have periodic evaluations of presentations by Regional Coordinator and/or supervisor. OBJECTIVE 13: By August 31, 1993, 200 high -risk adolescents between the ages of 14-18 will have been provided with HIV/AIDS educational presentations (transmission, prevention, availability of CTRPM services). (20% of time.) Activity Measures: A. Develop a list of local youth -based organizations focusing on the high -risk population and possible contacts (e.g. local children;s home, Project Intercept [high -risk LISD students]. etc.) B. Make contact with lead individuals within each organization through direct mail campaign combined with a telephone call follow-up and set up dates for presentations. C. Conduct presentations to high -risk students within these organizations as scheduled by the contact persons and the AIDS Education Coordinator. D. Follow up presentations with thank -you letters along with evaluation forms and SAES. Evaluation: A. Complete reports at each presentation of the composition of the audience: the numbers, the ethnic distribution, and gender. B. Distribute evaluations to both the audience and/or the agency administration. (If sending the evaluation form with the thank -you letter, enclose as SAE to encourage the return of the form.) C. Have periodic evaluations of presentations by Regional Coordinator and/or supervisor. OBJECTIVE 14: By August 31, 1993, facilitate 12 coordination/planning contacts with other community HIV educators. (15% of time.) Activity Measures: A. Publish 6 bimonthly issues of The Coordinator and distribute to approximately 100 persons. B. Conduct 6 bimonthly planning meetings. C. Develop a larger mailing list of potential readers for the newsletter, and continue to add new articles to the publication. D. Develop new direct mail campaigns (with telephone follow-up) to coincide with my objective and other agency target populations. 14 E. Coordinate joint projects with other agencies to encourage cooperation between, and to present unity to the community (e.g. seminars, panel presentations, etc.) F. Continue to work closely with the local AIDS Consortium to develop and reach goals. Evaluations: A. Publish six editions of The Coordinator, and document circulation. B. Review the minutes of the Prevention/Education Committee, the bimonthly educator meetings, and the minutes of the HIV/AIDS Consortium. C. See the evaluation forms from the panel presentations. D. Review the presentation referral tracking form. OBJECTIVE IS: By August 31, 1993, the AIDS Education Coordinator will have answered at least 20 requests for HIV/AIDS information and the borrowing of materials. (5% of time.) Activity Measures: A. Keep a record of all informational requests (what type, when, who and telephone number). B. Review the current material, and develop an up -dated list of the AIDS -related literature and videos available for check out from the Health Department and other agencies. C. Develop a up -dated list of all the community agencies, schools, groups, and/or student organizations who might have an interest in HIV - related issues. D. Circulate the resource list to the selected agencies and groups within the community. E. Utilize the newsletter, The Coordinator, as a reference for HIV - related books, HIV -related videos, and the latest HIV/AIDS statistics. F. Distribute relevant new information on HIV issues to local agencies if I believe that they may not have access to it, and to encourage reciprocity. G. Respond to requests for the latest statistics and HIV information within 3 working days. Evaluation: A. Review the records of the Materials Borrowing List for requests of materials and information. B. Have each borrower complete evaluation forms of the materials used. 15 OUTLINE OF HIV/AIDS EDUCATION PRESENTATION: I. INTRODUCTION: - how HIV/AIDS applies to you - definition/explanation of both HIV and AIDS - statistics/projected trends of future numbers II. BASIC BACKGROUND: - various origin theories of HIV/AIDS (but emphasize only theories) - CDC definition of AIDS (including the up-to-date version) - stages of HIV infection III. INTRODUCTION OF IMMUNE SYSTEM: - T-cell and role in the immune system - connection between T-cell and HIV - how HIV multiplies (retrovirus) and moves around the immune system - T-cell exploding - macrophage - clumping IV. ROUTES OF TRANSMISSION: - Sexual - emphasize abstinence/postponing sex - anal, oral, vaginal - Exposure to blood - IDU's - blood transfusions - HCW occupational exposure - Perinatal - risk to child - think about your future V. FURTHER DEVELOPMENT OF EACH ROUTE: Sexual - partner's ex-partner's ex-partner's... care and use of condoms - Needle transmission - treatment, new needles, new needles - Perinatal - know the risks - get prenatal care VI. AIDS -RELATED DISEASES: - PCP (Pneumocystis carinii pneumonia) - KS (Kaposi's Sarcoma) - Candidiasis (yeast infections) etc - known differences between genders 16 VII. UNIVERSAL PRECAUTIONS: - DO apply to: blood, semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, peritoneal fluid, pericardial fluid, amniotic fluid - DO NOT apply to: feces, nasal secretions, sputum, sweat, tears, urine, vomit, breast milk, saliva (unless there is visible blood) VIII. STATISTICS: - Occurrence of AIDS (pediatric & adult) in US - Exponential increase of AIDS in US - 73,000 estimated to be HIV -infected in TX - AIDS and people of color (disproportionately affected) - AIDS and women - Pediatric AIDS (mostly from mothers at -risk) I$. HOW YOU WILL NOT (SET AIDS: - restaurants, toilet seats, hot tubs, mosquitoes - casual contact, kissing (explain saliva enzyme) - donating blood - swimming - water fountains etc. X. EMPHASIZE NEED FOR COMPASSION & EMPATHY FOR PWA'S Xi. SPREAD FACTS, NOT FEAR - empower audience by enlisting their help in campaign through talking about HIV/AIDS with other people, including children %II. BEST DEFENSE IS CORRECT INFORMATION - find out all you can - answer any questions - bring attention to pamphlets & safer sex packets (if applicable) %III. CTRPN INFORMATION: - who should get tested - difference between confidentiality/anonymity - how test works - test location and costs - times and tel. number 17 SPECIFIC INFORMATION RE: HCW'S A) UNIVERSAL PRECAUTIONS AND BODY FLUIDS: - consider all potential body fluids as potentially infective - use barriers routinely B) REASONS: - prevent spread of infection from patient to patient - prevent patient from infection by HCW - protect HCW from infection carried by patient C) PREVENTION OF NEEDLESTICK INJURIES: - do not manually recap needles - do not bend/break needles - don't manipulate needles by hand - put all disposable needles in sharps containers - keep sharps containers close at hand D) WEAR GLOVES: - when touching any body fluid requiring universal precautions E) WEAR GLOVES FROM PHLEBOTOMY WHEN: - HCW has cuts in skin - HCW judges hand contamination w/ blood could occur - doing finger/heelsticks on children or infants - receiving training in phlebotomy F) WEAR MASKS AND PROTECTIVE EYEWEAR: - during procedures likely to generate splashing blood G) WEAR GOWNS: - during procedures likely to generate splashing blood H) IN CASE OF ACCIDENTAL EXPOSURE: - inform source patient of exposure - obtain patient consent for HIV test and do it - if seronegative, no follow-up is necessary - if seropositive, test self immediately for base line - continue testing at 3, 6, 12 week intervals (or according to facility policy) u 18 ATTACHMENT H OTHER FUNDING SOURCES (GRANTS, CONTRACTS, DONATIONS) OVER $ 1,000 EACH FOR SUPPORT OF HIV ACTIVITIES DURING THE REQUESTED FUNDING PERIOD SOURCE OF OTHER FUNDS PURPOSE OF FUNDS AMOUNT Source one Source two Source three Source four Source five Source six (Add other pages if needed.) 19 ATUCIDUM I-1 CONFIDENTIALITY STATEMENT The City of Lubbock Health Department and its employees or subcontractors, if applicable, provide assurance to the Texas Department of Health that: Confidentiality of all records will be maintained. All information obtained in connection with the examination, care, or provision of programs or services to any person covered by the Texas Department of Health HIV/AIDS grant funds shall not be disclosed without the individual's consent except as may be necessary to provide services to him/her, or as may be required by law. Information may be disclosed in statistical or other summary form or for clinical purposes, but only if the identity of the individuals diagnosed or provided care is not disclosed. We are aware that the Communicable Disease Prevention and Control Act provides for both civil and criminal penalties against anyone who violates the confidentiality of persons protected under the Act. Furthermore, all employees and volunteers will be required to sigh a statement of confidentiality assuring compliance with the law. An entity that does not adopt confidentiality guidelines as required by law is not eligible to receive state funds until the guidelines are developed and implemented. Signature of Project Director Signature of Project Director Date Date 20 ATTACHMENT %4 ASSURANCE OF COMPLIANCE with the HIV EDUCATION GRANT PROGRAM RULES By signing and submitting this proposal, the applicant agency certifies that its Project Director and Authorized Business Official have: 1) received a copy of the HIV Education Grant Program Rule; Chapter 98, Subchapter B, Rules & Regulations for the Control of Communicable and Sexually Transmitted Diseases & Reporting of Occupational Diseases, Revised, Texas Department of Health; 2) have read them; 3) accept them; and 4) will comply in all particulars with the rules as set forth. City of Lubbock Health Department Applicant Agency Signature of �Proj�ectDi�rector a.� Jgnafilwee of uthorized B ess Official Date Date 21 ATTACHMENT I-2 ASSURANCE OF COMPLIANCE with the REQUIREMENTS FOR CONTENTS OF AIDS -RELATED WRITTEN MATERIALS, PICTORIALS, AUDIOVISUALS, QUESTIONNAIRES, SURVEY INSTRUMENTS, AND EDUCATIONA SESSIONS, AND ITS PREFACE IN TDH HIV EDUCATION GRANT PROGRAMS By signing and submitting this proposal, the applicant agency certifies that its Project Director and Authorized Business Official: 1) have received a copy of the Requirements for Contents of AIDS -Related Written Materials; Pictorials, Audiovisuals, Questionnaires, Survey Instruments, and Educational Sessions in Centers for Disease Control Assistance Programs, dated January 1991, and its Preface, 2) have read them; 3) accept them; 4) agree to comply with all particulars and specifications set forth; 5) and agree that all specified materials shall be submitted to the program materials review panel and subject to the CDC Basic Principles set forth. Following are the names, occupations, affiliations and addresses of the proposed panel members: (use attachment page if needed.) Name Ray Coulombe Marilyn Mitchell Doug Bergman Jane Tustin Palmira Hays Occupation Affiliation and Address Director, HtV Division MHMR,1220 Broadway #1005, Lubbock X 79401 HIV/AIDS/STD Supervisor LCHD,PO Box 2548,Lubbock'TX 79408 American Health Services Director Red Cross,2201 Ave X, Lubbock,TX 79411 Health Services Coord. LISD,1628 19th,Lubbock,TX 79401 Family Life Service Coord. Catholic Family Service,123 N.Ave bubbeek,TX 79401 City of Lubbock Health Department - AIDS Education Coordinator Applicant Name IK'19 Signature of Project Director Date of Authorized Bus' ess Official Date 22 ATTACHMENT I-S ADVOCATE AND PROMOTE STATEMENT Applicant agency certifies that it does not advocate or promote conduct that violates state law, in compliance with the HIV Services Act, Texas Civil Statutes, Article 4419b-4, as follows: "Grants may not be awarded to an entity or community organization that advocates or promotes conduct that violates state law. This subsection does not prohibit the award of a grant to an entity or community organization that provides accurate information about ways to reduce the risk of exposure to or transmission of HIV." I certify that the City of Lubbock Health Department (name of entity or community organization) does not advocate or promote conduct that violates state law. Signature of Project Director ZgKaature of Authorized Busindss Official Date ,�-/ -53 Date 23 ATTACHMENT I-6 ASSURANCE OF COMPLIANCE with the HIV/AIDS MODEL WORKPLACE GUIDELINES PROVIDERS OF DIRECT CARE, SERVICES, OR PROGRAMS By signing and submitting this proposal, the applicant agency certifies that its Project Director and Authorized Business Official have: 1) received a copy of the HIV/AIDS Model Workplace Guidelines, Providers of Direct Care, Services, or Programs, Amended Final Rules, Texas Board of Health, January 27, 1990; 2) have read them; 3) accept them; and 4) agree to adopt and implement work place policies on HIV/AIDS to include at a minimum: a) the provision of education for employees and clients concerning HIV, its related conditions, and AIDS; b) confidentiality of AIDS and HIV -related and all other medical information for employees, clients, inmates, patients, and residents served by the applicant agency; and c) an anti -discrimination policy assuring all privileges and opportunities for any employee or client with a communicable disease, unless based on accurate scientific information. City of Lubbock Health Department Signature of Project Director �( ' A92 , Date , xure of Authorized BusineX Official Date CITY OF LUBBOCK BOARD OF HEALTH This Board was created by Ordinance 11602, amended by Ordinance 17360 and Ordinance 18358. Term: 3 years. NAME APPOINTED DATE TERM BEGAN DATE TERM ENDS Bartee, Barry,DDS 09/12/91 09/12/91 02/21/94 Dentist 011er, Richard 02/27/92 02/27/92 02/21/95 Engineer SECRETARY Schwede, Gary,DVM 12/13/90 12/31/90 12/31/93 Veterinarian Shadden, Vicki,RN 01/14/88 01/14/88 12/31/90 Nurse 12/13/90 12/31/90 12/31/93 CHAIR Thompson, Ronald 09/12/91 09/12/91 02/21/92 Depot Rest. 02/27/92 02/27/92 02/21/95 VACANT VACANT 11 1 PART CHARTER* Chapter One [BASIC CHARTERt] 1 Art. I. In General, 44 1-4 Art. II. General Powers, If 1-25 Art. II -A. Street Improvements, §§ 1-2 Art. III. Judicial, If 1-10 Art. IV. Initiative; Referendum; Recall, if 1, 2 Art. V. Taxation Generally, §§ 1-4 Art. VI. Occupation Taxes; Licenses, §4 1-7 Art. VII. Finance Generally, 4f 1-9 Art. VIII. Bonds, I4 1-5 Art. IX. Council; Elections; Administration, If 1-31 Art. X. City Manager, If 1-7 Art. XI. Legal Status, §§ 1-6 ARTICLE I. [IN GENERAL] Sec. 1. Corporate name. The City of Lubbock, Lubbock County, Texas, as the boundaries and limits of said City are herein established, or may hereafter be established, shall be a body politic, incorporated un6.er and known by the name and style of the "City of Lubbock," with such powers, rights and duties as hereinafter provided. ` *Editor's note —Ord. No. 4247, § 1 ordered a special election on December 27, 1917, to Japprove Charter amendments. Amendment No. 7 was adopted and reads as follows: "All sections of the Charter of the City of Lubbock which refer or have reference to and now read 'City Commission,' 'Commission,' 'Commissioner,' 'Commissioners,' be amended to hereafter read 'City Council,' 'Council,' `Councilman,' and 'Councilmen,' respectively. The term 'Councilmen' and 'Councilman' shall include females, who shall be known as 'Councilwomen' or 'Councilwom- an.' " The changes necessitated by said amendment have been made. References in the Charter to the "corporation court" and the "recorder" should be read "municipal court" and "judge" respec- tively, pursuant to VTCS Art. 1194 et seq., and particularly Art. 1200gg. Catchlines for sections in the Charter have been placed on one line for purposes of clarity, consistency with the Code of Ordinances and space saving. Also, for the same purposes, a dash [—J in a Charter catchline has been changed to a semicolon [;J. tEditor's note —Ord. No. 9175, adopted Feb. 25, 1988, called a special charter amend- ment election, held May 7, 1988. The electorate approved propositions 1-3, 5, 6, 8-11, as 1 reflected in the Resolution and Order passed by council on May 26, 1988. Such amendments are included herein, indicated by a history note to the date of election following each affected paragraph, and the Charter Comparative Table on page 101 lists the disposition of such 1 amendatory material. Supp. No. 15 CHARTER Ch. 1, Art. II, 11 7504 8-11-77 7903 8-23-79 7557 12- 8-77 7991 2-14-80 7747 10-12-78 8025 4-10-80 7900 8-23-79 8074 8-14-80 Amendment note —The above section 3 was amended by the electors at a special election held January 24, 1967 (effective February 9, 1967) to read as set out above. Prior to amendment 1 said section provided for the extension of the corporation limits whenever the majority of the qualified electors of the territory to be added indicated a desire to be included within the limits of the corporation in the manner provided in Article 781, Chapter 1, Title 22 of the Revised Civil Statutes of the state. See.3A. [Repealed.] Editor's note —Section 3A, providing for alteration and extension of the boundary limits by the City Council, was repealed by the electors at a special election held January 24,1967. Sec. 4. Platting of property. Should any property lying within or adjacent to the city limits, as established by this Charter, be hereafter platted into blocks and lots, the owners of said property shall plat and lay the same off to conform to the streets and alleys abutting on same, and shall file with the City of Lubbock a correct map thereof, and such act or acts performed by said owner or owners of such land is and shall be considered the vote of such owner or owners to place such lands within the city limits of said City of Lubbock, under this Charter and all its requirements; provided, that in no case shall the City of Lubbock be required to pay for any of said streets or alleys, at whatever date opened, but when opened by reason of the platting of said property, at whatever date platted, they shall become, by such act, the property of the City of Lubbock, for use as a public highway. (As amended May 7, 1988) ARTICLE II. [GENERAL POWERS] Sec. 1. Corporate powers generally. The City of Lubbock, made a body politic and corporate by the legal adoption of this Charter, shall have perpetual succession, may use a common seal, may sue and be sued, may contract and be contracted with, plead and be impleaded in all courts and places and in all matters whatever; may take, hold and purchase lands and any character of lands, within or without the city limits as may be needed for the corporate purposes of said city and may sell any real estate or personal property owned by it; perform and render all public services and when deemed expedient, may condemn property for corporate use, and hold, manage and control the same, and shall be subject to all the duties and obligations now pertaining to or incumbent upon said city as a corporation, not in conflict with the provisions of this Charter, and shall enjoy all the rights, immunities, powers, privileges and franchises now possessed by said City and herein conferred and granted. Supp. No. 15 CHARTER Ch.1, Art. II, § 23 Sec. 22. Park and recreation board. The City Council shall by Ordinance create and establish a Park and Recreation Board, and may from time to time delegate all or any part of the general control and supervision of the parks within the City of Lubbock, now or hereafter to be acquired, to said Park and Recreation Board, but the exercise of any such delegated authority shall be subject to the final approval of the City Council. (As amended June 28,1932; Nov. 7,1961) Sec. 23. Peace and good order, police powers; nuisances, control over. Said City shall have the power to define all nuisances, prohibit the same within the City and outside the City limits for a distance of 5,000 feet, to police all parks, grounds, speedways, streets, avenues and alleys owned by said City within or without the City limits; to prohibit the pollution of all sources of water supply of said City and to provide for the protection of watersheds. Inspection of foods. To provide for the inspection of dairies, cows and dairy herds, slaughter pens and slaughterhouses and abattoirs, within or without the City limits, from which meat, milk, but`.er or eggs are furnished to the inhabitants of said City, and to provide for the inspection of meat markets, grocery stores, drugstores, confectioneries, fruit stands, ice cream factories, laun- dries, bottling plants, hotels, restaurants, creameries and bakeries; the source, storage and distri- bution of water, and all other places where food or drinks for human consumption are manufac- tured, handled, sold or exposed for sale, and to regulate and inspect the quality, and sanitary condition of such articles of food and drinks so sold or offered for sale. Sanitation; garbage; liens for costs. To provide for the inspection and regulation of the sanitary condition of all premises and vacant lots within the City limits; for the removal of garbage, night soil, refuse, weeds, trash, unsightly objects and unsanitary vegetation; to provide for the establishing of a lien against the property for any expenses incurred by the City in enforcing this provision, and further, to provide for the making and enforcing of all proper and reasonable regulations for the health and sanitation of said City and its inhabitants. Health department; powers. To provide for a health department and the establishment of rules and regulations protecting the health of the City; the establishment of quarantine stations, pest houses and hospitals and to provide for the adoption of necessary quarantine laws to protect the inhabitants against contagious and infectious diseases. Sanitary sewers; connection by property owners and costs thereof. To provide for the purchase, extension, construction and maintenance of a sanitary sewer system; to require owners of property to connect such property to said sewer, and to provide for charging the cost of such connection to property owners, and the fixing of a lien against the property to cover the cost of such connection. The Commission also may, by ordinance, fix penalties for failure to make such connections. Driving animals on streets. To prohibit or regulate the driving of herds of horses, mules, cattle, hogs, sheep, goats and all herds of domestic animals along or upon the streets, avenues, alleys, parks or public grounds of said City. Supp. No. 15 13 24 ATTACHMENT I.7 HIV/AIDS MODEL WORKPLACE GUIDELINES APPROVED BY THE TEXAS BOARD OF HEALTH DECEMBER 9, 1990 AMENDED FINAL RULES JANUARY 27, 1990 BACKGROUND The 71st Texas Legislature has determined that the creation of workplace guidelines is necessary to assure that the rights and privileges of individuals infected with the Human Immunodeficiency Virus (HIV) are protected. Therefore, the purpose of the model guidelines is to provide a foundation for a uniform approach to dealing with HIV and its related conditions, including AIDS, in the workplace. It is anticipated that this model will be adapted to accommodate the particular needs of each agency/organization. Based on the model guidelines as a minimum, the Texas Legislature has indicated its hope that every Texas employer will establish policies, procedures, protocols, and education programs to help the residents of Texas better understand and cope with the multiple aspects of HIV/AIDS. HIV destroys a person's defenses against infections. These defenses are known as the immune system. Once infected with HIV, a person may remain without symptoms for a long period of time, but is able to infect others through sexual or direct blood contact. As the disease progresses, the immune system can become so weakened that a person may eventually develop life -threatening infections and cancers. AIDS (Acquired Immunodeficiency Syndrome) is the final stage of HIV infection. Current scientific and medical technology has determined that there is no risk of HIV/AIDS transmission in the normal work setting. Routine daily encounters with co-workers and agency clients pose no risk of transmitting the fragile, blood -borne virus. Because modes of transmitting HIV do not involve environmental factors, but rather particular behaviors, HIV/AIDS-infected individuals should noZ only be allowed, but encouraged to remain contributing members of the workforce. As long as they are reasonable able to function in the job duties assigned, their right to continue working is protected by law. To make the workplace as productive as possible, employers are encouraged to devise and 25 implement appropriate personnel policies and procedures based on current policies for individuals with other chronic or potentially limiting medical conditions (e.g., pregnancy, heart conditions). The initiation of HIV education programs are also encouraged to reduce fear and misconceptions about HIV/AIDS. Careful planning by the employer will reflect a commitment to the health and well-being of all employees in the workplace. 26 ATTACHMENT I4 DEVELOPMENT OF HIV/AIDS POLICIES AND EDUCATION PROGRAMS SAFE WORKING ENVIRONMENT Most employers have established health and safety standards by which employees are expected to function Any agency without such written guidelines is encouraged to consider a formal policy —The health and safety policy should address HIV in the workplace, clearly stating that there is no risk of normal workplace exposure to HIV/AIDS. This addition to the policy is most effective if implemented prior to diagnosis of an HIV -infected employee. EMPLOYEE MANAGEMENT The approach and resolution of HIV issues confronted in the workplace will vary according to individual agencies. In dealing with these complex issues, confronted in the workplace will vary according to individual agencies. In dealing with these complex issues, careful attention should be given to: -existing leave policies for management of chronic conditions, -assessment of employee and agency needs, -current scientific information about HIV and its related conditions, and -current laws and regulations regarding HIV/AIDS. Health status of the HIV -infected individual varies from an apparently healthy, normally functioning individual to a critically ill person In the work setting, the major concern will ultimately be whether or not the employee is able to perform job duties in a manner that satisfies organizational job expectations. Most HIV -infected individuals will be able to perform job duties for an extended period before their illnesses interfere with job -related performance. During the asymptomatic period, the employee is not obligated to provide information about his/her HIV status to the employer. An employee may want to share information about his/her HIV -infected status with the employer so that responsible management decisions may be made about: (1) making assignments or reassignments of job duties, (2) evaluating leave policies to assure leave time comparable to other medical conditions, 27 (3) making determinations of possible qualification for disability entitlement, and (4) monitoring the insurance status of the HIV -infected employee to assure continuation of coverage. As with other illnesses, once HIV -related symptoms occur, it is the employee's responsibility to provide medically verified information relating to the ability to be available for or to perform job duties. Based on the federal Privacy Act, the Texas Commission on Human Rights Act, and the Texas Communicable Disease Prevention and Control Act, any medical documentation or information provided by an HIV -infected employee to medical or management personnel must be considered confidential and private information. As such, employers are forbidden by law to disclose this information without the employee's knowledge and consent, except as provided by law [Communicable Disease Prevention And Control Act, Section 9.03, as amended by SB959]. With consent of the HIV -infected employee, or as stipulated, appropriate agency officials such as medical staf& personnel representatives, and/or direct supervisors may be informed. Anyone who has access to confidential information is charged with maintaining strict confidentiality and privacy. It must be emphasized that any strict confidentiality and privacy. It must be emphasized that any individual within an organization who breaches the HIV - infected individual within an organization who breaches the HIV -infected employee's rights has committed a serious offense. This breach may be cause for litigation, resulting in both civil and criminal penalties. Agency officials will also need to carefully assess the agency's personnel policies and procedures which deal with specific employee conduct. Refusal to work with HIV -infected co-workers should be carefully monitored and documented, according to agency standards. Appropriate corrective or disciplinary measures may be implemented. Employee should be advised of the possibility of disciplinary actions for refusing to work with an HIV -infected individual before this circumstance occurs. Providing accurate HIV information to all employees can serve as a basis for a positive work environment. Management is encouraged to document all HIV -related education action and training in employee personnel files. TRAINING OF MANAGEMENT/SUPERVISORY PERSONNEL To effectively address management concerns in the workplace, it is necessary to prepare key staff to deal with HIV -infected employees and general employee concerns about HIV. Therefore, the development and implementation of an HIV training program for managers is encouraged and should include: -current medical information about HIV transmission and prevention -confidentiality and related laws, -personnel management, including relevant policies, 28 -development of staff problem -solving skills, and -a plan for scheduled periodic training. The possibility that management staff may be fearful, misinformed, or have widely varying knowledge about HIV should not be overlooked. In addition to the above information, management should also participate in HIV education efforts geared for all employees. EMPLOYEE ASSISTANCE PROGRAMS Larger agencies may provide or participate in employee assistance programs. Such existing programs may be utilized to: -make referrals for confidential testing/counseling services, -make referrals to local medical and psychosocial services, -provide HIV/AIDS workplace training for managerial/supervisory staff, -serve as a liaison between management and the agency's medical and occupational health programs, -provide the opportunity for counseling for employees who remain fearful of co- workers or clients who may be HIV -positive or who are perceived to be high -risk individuals. Agencies that do not have a formal employee assistance program might give consideration to working with local health departments, social service agencies, Chambers of Commerce and other related providers in order to establish an effective community -based resource/referral system. In many communities, local services are available for people wanting confidential testing/counseling services, assistance for HIV -infected individuals, and for persons who are fearful of HIV/AIDS (See Texas AIDS Community Resource Directory). EMPLOYEE EDUCATION Because of a general lack of understanding about HIV/AIDS and its implications in the workplace, all employers are encouraged to devise and implement HIV education programs for their employees. HIV/AIDS employee education, both verbal and written, should be offered to: -provide basic and accurate information regarding the modes of transmission and prevention of HIV, -reduce fear and misinformation, -help people recognize and avoid personal behaviors that might cause them to become infected, -encourage nondiscrimination, which enable the HIV -infected individual to remain employed as long as physically possible, -help maintain productivity and lawful behavior in the workplace, and -provide continuing education about HIV. 29 Involving labor groups, employee committees, or community resources in formulating educational guidelines, serving on a materials review committee, or determining the depth and scope of program activities should be considered. This collaborative effort will create an opportunity for employee commitment to the HIV education program and reinforce management's sensitivity to health concerns. The manner in which HIV information is provided should vary to help maintain employee interest. Options might include presentations by staff members (medical, personnel, risk management) or local speakers. Audio-visual programs, pamphlets, and in-house newsletters can also provide information in an effective manner. The ideal education plan would include opportunities for each employee to attend a program which allows time for individual employee concerns to be raised and discussed. At a minimum the HN curriculum should include: (a) Modes of Transmission Current scientific research indicates that HIV is transmitted through blood, semen, vaginal fluids, and possibly breastmilk. HIV is transmitted: 1. by sexual contact (anal, vaginal, oral), 2. by sharing needles and syringes, particularly all paraphernalia involved in the use of illegal intravenous drugs, 3. from an infected woman to her baby, either before or during birth, or possibly through breastfeeding, and 4. through contaminated blood or blood products (a very remote possibility since implementation of screening procedures in 1985). (b) Methods of Prevention Sexual Behaviors 1. practice sexual abstinence, 2. maintain a long-term relationship with one uninfected sex partner 3. practice safer sex techniques (use a condom and spermicide), 4. avoid male to male sex, 5. avoid sexual contact with people who have sex for money or drugs, 6. avoid sexual contact with the partners of people who participate in male to male sex, illegal IV drugs, or frequent male or female prostitutes. (c) Behaviors Related to Substance Abuse 1. abstain from using illegal drugs, 2. seek help to overcome substance addictions, 3. avoid sharing needles and syringes, including all paraphernalia involved in the use of illegal intravenous drugs, and 4. use proper techniques to clean needles and syringes if they are shared. 30 An essential part of the methods of prevention is avoiding the use of substances which impair judgment. Impaired judgment can result in any of the high -risk behaviors listed above. These substances include not only intravenous illegal drugs, but also alcohol, cocaine, marijuana, and other substances which diminish the brain's ability to function normally. (dJ Current laws and regulations concerning the rights of an AIDS/HIV-infected individual: 1. the right to confidential medical and personnel files, except as provided by law [Communicable Disease Prevention and Control Act, Section 9.03, as amended by SB959], I— the right to privacy: not divulging information about a person's health or lifestyle without that person's knowledge or consent, except as provided by law [Communicable Disease Prevention And Control Act, Section 9.03, as amended by SB9591, 3. nondiscrimination: providing all privileges and opportunities available to any employee with a communicable disease, unless based on accurate scientific information. (e) Behaviors associated with HIV transmission which are in violation of Texas law: 1. sexual activity between persons of the same sex (Penal Code 21.06, a person commits a criminal "offense" if he engages in deviate sexual intercourse with an individual of the same sex), 2. participation in the use of illegal IV drugs (Chapters 481 and 483, Health and Safety Code, the Communicable Disease Prevention And Control Act, establish a criminal offense for the delivery or use of controlled substances and dangerous drugs, including injectable drugs, without proper medical authorization), 3. participation in sexual activity for money or drugs (Penal Code 43.02, a person commits a criminal offense if the person "offers to engage, agrees to engage or engages in sexual conduct for a fee"). POLICY AND EDUCATION DEVELOPMENT/REVIEW To provide assistance in developing a workplace policy and/or education program, many local, state, and national resources are available. Please refer to the Texas AIDS Community Resource Director for further information or call the Texas Department of Health, Public Health Promotion Division, (512) 458-7405. 31 APPENDIX A Letters of Support ryI A ' METROPOLITAN COMMUNITY CHURCH OF LUBBOCK 5501 34TH STREET, LUBBOCK, TEXAS 79407 (806) 792.5562 THE REVEREND RENAE PHILLIPS, PASTOR Ja May 26, 1993 Mr. Casey Blass Texas Department of Health HIV/AIDS Division Director 1100 W. 49th Street Austin, TX 78756 Dear Mr. Blass, I am writing this letter in support for the grant application to TDH for Elizabeth Inskip Paulk, the AIDS Education Coordinator at the City of Lubbock Health Department. It is important to reach high -risk women and adolescents, and educate them about HIV/AIDS prevention. Ms. Paulk has done a presentation for women in my congregation which was educational as well as informative. 1 have also served as a panelist for educational classes with Ms. Paulk. The work she is doing in this community is important and very necessary. The City of Lubbock Health Department is a member of the Lubbock HIV/AIDS Consortium. I currently serve the Consortium as President. Ms. Paulk was elected as the Secretary and also serves on the Education committee for the Consortium. Her service and insight has been immeasurable. This money will be essential to the Lubbock community as we strive to present HIV/AIDS prevention education. I urge you to provide funding for this position and help fight AIDS in our community. Sincerely, 4?W.gw Reverend Renae Phillips President Lubbock HIV/AIDS Consortium Planned Parenthood Association of Lubbock, Inc. 3821 - 22nd Street Lubbock, Texas 79410 (806) 795-7123 May 24, 1993 Mr. Casey Blass, Director HIV/AIDS Division Texas Department of Health Austin, Texas Dear Mr. Blass: I am delighted to write in support of the very necessary work that is done by the AIDS Education Coordinator with our local City Health Department. As the administrator of an organization which provides family planning, Planned Parenthood has worked very closely with Liz Paulk in this position with our City Health Department. She has been very active in responding to any needs which we have had for educational presentations plus the provision of available literature. I have been with Planned Parenthood for thirteen years, and am indeed aware of the need to reach target groups of special concern in the area of AIDS education - such as teens, STD clients, and high -risk women of child-bearing age. Liz has been a vital presence in this community, working tirelessly above and beyond just educational ventures. She has facilitated health fairs for the community as a whole (in our South Plains Mall), and exhibits for special interest groups, such as the nurses for our Lubbock Independent School District. This position is imperative if we are to continue networking to provide as much information for this community as we possibly can. If you should have any specific questions, please feel free to be in touch with me. Sincerely, -4 In Blackwe Executive Director Mr. Casey Blass Director, HIV/AIDS Division Texas Department of Health 1100 W. 49th Street Austin, TX 78756 Dear Mr. Blass, I am writing this letter in support of the City of Lubbock's application for the position of AIDS Education Coordinator in Public Health Region 2. Since the creation of this position, the AIDS Education Coordinator has worked in conjunction with South Plains AIDS Resource Center on numerous projects, ranging from education to health fairs to a walk/run, as well as working closely on committees linked with the local consortium. On numerous occasions, the AIDS Education Coordinator has provided joint presentations with staff from SPARC, providing the community with accurate, scientifically -based information to high -risk populations, including teens and high -risk women. Through his cooperation, the community has received a message of unity and teamwork among the local agencies involved with HIV/AIDS. I look forward to our continuing cooperation with the AIDS Education Coordinator and recommend continued funding for this osition. incerel , W Da id L. Crader Exe utive Director P.O. Box 6949 • Lubbock, Texas 79493 • (806) 796-7068 • (806) 792-7783 9 FAX 796-0920 L:;hh ck Kr,nm.tl .\Irma! Health %l :r;.tl Kc!.n.l.mon Center Mr. Casey Blass HIV/AIDS Division Texas Department of Health 1100 West 49th Street Austin, Texas May 17, 1993 Dear Mr. Blass, I am writing this letter in support of the City of Lubbock application for the AIDS Education Coordinator. In the short period of time since the creation of this position, the staff in my agency have come to rely upon the services provided by the AIDS Education Coordinator. On numerous occasions, the AIDS Education Coordinator has conducted joint educational presentations with staff from my unit to persons with high -risk behavior. Many of these have been teens and women of childbearing age, the very kind of people who benefit most from the kind of consistant, high -quality education this position provides. The Coordinator has also played an important role in our local Ryan White Consortium. Serving as secretary and editor of the newsletter has helped ensure that the quality of educational efforts in our community remains high. I look forward to our continued alliance with the AIDS Education Coordinator and recommend approval of this application. Sincerely, Ray oulombe Director, AIDS Outreach Services 1210 Texas A enuc • Lubbock, Texas 79.301-4088 806766-0310 An Fy::al Ornomlllitx Fm0lo%er Seeing Cochran. Cro,Hocklo. Luhhock, L:nn ('()Luuie, IREGOVED M a� 171993 L0660CK CJTy HEALTH DEQ1. F7 1 1 S*----r-v1 cuss I rac 123 North Avenue N, Lubbock, Texas 79401 (806) 765-8475 Stshop of Lubbock Michael J. Sheehan May 1 4, 1 `7 :3 Erecuti we Director Mr. Case Blass y Stephen May. AI:BM HIV/AIDS Division Doer. ,4 Directors I Texas Department of Health President Austin, Texas Jefi Kaye Vice-Preeld•nt Rudy Ranpel Dear Mr. Blass, Treasurer ' David Buescher Secretary I am writing in support of the grant application rol.nds Benitez submitted by the Lubbock: City Health Department for the Arlene Brooks Kathy Flores AIDS Education Coordinator- for the City of Lubbock:. Dr. Raiael Garcia Debbie Gons.les Joe Hart This is an important position in the city. The AIDS Dr. Melvin Laski Stall. Lovato Education Coordinator facilitates the coordination of Robert Paikowski Sister Mary HIV educational activities among a mirad of educators Kathleen Beall i n the City. Edwins Thierry Richard Ybarra We have worked closely with the City's Coordinator in the following ways: - participated together in the City -Wide HIV Consortium that has been very effective in the community. - shared HIV presentations at health fairs, community festivals and civic presentations before various groups. - collaborated on the creation of a video tape which attempts to educate about HIV/AIDS. - jointly contributed to newsletters and media articles on the subject of HIV/AIDS. Thank: you for giving serious consideration to your decision towards funding this important position for - the City of Lubbock:. Please feel free to write and/or call me as regards this particular request. �incerely, ��eph n Ha.y, MS xecutive Dire_ .'r f �a a TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER Student Health Services Thompson Hall Lubbock, Texas 79430 (806) 743-2860 May 25, 1993 Mr. Casey Blass, Director HIV/AIDS Division Texas Department of Health Dear Mr. Blass, Liz Inskip Paulk, AIDS Education Coordinator for the City of Lubbock, has been an invaluable resource for our campus HIV/AIDS education and awareness efforts. Liz and I have worked together on several occasions to educate the Texas Tech University campus about HIV/AIDS. I frequently refer campus organizations' requests for HIV -related presentations to Liz and always receive excellent feedback. Liz also plays a vital role in the training of our peer education group called Impact Tech, providing quality HIV information to prepare them to educate others. Liz participates in our annual university health fair, and she is a member of our HIV/AIDS Issues Awareness Committee which is dedicated to providing HIV/AIDS education through awareness activities, special events, and curriculum infusion. Our population of adolescents and young adults are at great risk of contracting HIV because of the high percentage of sexually active individuals. Liz carefully conducts her programming for college students in a way that is upbeat and fun yet captures students' attention and makes them consider the consequences of unprotected sexual activity. Liz has focused much of her campus educational activities on women and HIV. More than half of our student population are women, and an estimated 15 % of these women have already contracted a sexually transmitted disease other than HN. Liz strives to educate these women about the dangers of continuing to An EEO/Affirmative Action Institution have unprotected sex and their increased susceptibility to contracting HIV. Because of Liz's work on our campus and in our community, I urge you to once again fund her efforts. She has become a well-known HIV/AIDS educator because of the quality, audience -appropriate programs she provides, and she is one of the few HIV/AIDS educators who is approved to speak within our public school system. If you need additional information about Liz's activities on the Texas Tech Campus, please let me know. Thank you. Sin rely, Robin Brewton Health Education Coordinator TEXAS TECH U N I V E R S I T YJL Education, Nutrition and Restaurant/Hotel Management Box 41162 Lubbock, TX 79409-1162 (806) 742-3068 FAX (806) 742-3042 May 31, 1993 Mr. Casey Blass Director HIV/AIDS Division Texas Department of Health Dear Mr. Blass: AIDS is an issue I feel very strongly should be included in the college curriculum when appropriate. I have had students develop HIV/AIDS. It is an issue that can only be dealt with through education! Liz Paulk, The AIDS Education Coordinator in Lubbock, has been a tremendous resource to the Restaurant, Hotel and Institutional Management Program. She has worked closely with me in a workshop that I do for my Hospitality Management class. She has a professional demeanor and relates well to the students. Liz is always willing to make herself available to the class. Liz and I are attempting to reach students between the ages of 18 and 25. This is certainly an important time to educate young adults about IN/AIDS. We have worked together for over two years and I have a great deal of admiration and respect for her. The position of AIDS Education Coordinator is of vital importance to Texas Tech University and the Lubbock community in the fight against IN/AIDS. Sincerely, Charlie Adams Instructor/RHIM An EEO/AffirmatiueAction Institution Hospice of Lubbock,,,,,,,,, 8207Hudson Avenue (806) 795-2751 Y 7 1993 P.O. Box 53276 1-800-658-2648 Lubbock, Texas 79453 FAX (806) 795-8464 LUBBOCK CITY HEALTH DEPT. May 14, 1993 TO WHOM IT MAY CONCERN: It has been brought to m underwrites the position for the City of Lubbock fills -will soon expire. renewing the grant. RE: LIZ PAULK y attention that the grant which of the AIDS Education Coordinator Health Department which Liz Paulk The work which Liz does justifies Liz works energetically out in the community as well as with- in the health department, and is available at all hours for educational programs in every area. She is an articulate speaker and communicates effectively with all age groups as well as a wide variety of 7 audiences. Liz works closely with and as an integral part of the AIDS/HIV Consortium of Lubbock and its activities. She serves as a significant re- source person for and interacts with South Plains AIDS Re- source Center (SPARC) which is the lead agency for the Ryan White Grant Funds. She has undertaken a monumental task of publishing a monthly newsletter, The Coordinator, which in- cludes current education material used by persons and agen- cies who are recipients. Liz is inordinately conscientious regarding her responsibilities as the AIDS Education Coordin- ator for the City of Lubbock Health Department. I commend Liz Paulk for her work and its quality amid its diversity, and support the renewal of the grant which funds her position. Respectfully, Lee Battey, .N., C., M.S. Executive Director, Hospice of Lubbock Board, Lubbock AIDS/HIV Consortium TEXAS TEFC_ U N I V E R S I T Y RECEIVED Dean of Students Office Box 45014 Lubbock, TX '9-109-5014 (806) 742-2192 May 19, 1993 Mr. Casey Blass Director HIV/AIDS Division Texas Department of Health Dear Mr. Blass: 1.1993 LUBBOCK CITY HEALTH DEPT. The Dean of Students Office and HIV/AIDS Issues Awareness Committee has worked very closely with the AIDS Education Coordinator - Liz Paulk. This partnership has existed prior to her filling the position to present day and I hope for a long time. Some of the joint activities have been Health Fairs (average - two a year) in which Liz Paulk has always participated in, from coordinator of the event to having a booth in place. In addition we are able to report several hundred of contacts with students in our annual report from her efforts, as well as her continual participation on Tech's HIV/AIDS Issues Awareness Committee. I cannot express my support and/or agreement on the need for Liz Paulks AIDS Education Coordinator position to Texas Tech and the Lubbock community then to say it is imperative that we educate and reach students in Higher Education. It is estimated that one in three people of this age group have an STD and to state that we have women students of child bearing age would be an understatement. The question of at risk is answered for me by knowing the sexual activity levels are high and drug usage in Lubbock is an issue. To personalize this issue regarding high -risk women of child bearing age I must state two examples: I advise a campus organization that had two pregnant members this Spring. One of these chose to have an abortion. I went with this young lady to the clinic, at which I counted half the room (10 people), at the time I was there, to be connected to Tech, ID cards, shirts, keys, books, etc. Secondly, I am a buddy for an HIV positive woman who contracted the disease through IV Drug use. So to me, this target group is not a group, but a set of people who have names, lives, and are a reality to me on a day to day basis. An EEO/Afrmative Action Institution I believe the continued efforts of Liz Paulk, as AIDS Education Coordinator is essential to Lubbock and Texas Tech. There is a grave need for continued long term efforts to diminish the spread of HIV among women, adolescents, and STD clients. I wholeheartedly support the grant provided by Texas Department of Health and hope it will continue. Sincerely, Liz Toombs Assistant to the Dean of Students LUDDULN 1.5.u. ILL:1-8Ub-ebb-1256 .tun U2 V6 V:61 N0.001 P.0-= LUBBOCKW>EPENDEMr SCMOOL DISTR/C1 JANE TUS11N, AN. MSN, CSN 000FORATOR, HEALTH SERVr-ES TELIPWOK 806i766-1972 June 2, 1993 Dear Mr. Blass, I am writing in support of the grant application for the AIDS Education Coordinator for the Lubbock City Health Department. Over the past year, Ms. Paulk has worked closely with the Lubbock Independent School District to ensure accurate, objective and timely information on HIV/AIDS. In October she presented a workshop to counselors, school nurses and homebound teachers. Her program was thought -provoking, challenging and not without humor, as she discussed research trends, treatment and CDC definitions. Each individual in the audience came away with something new. Ms. Paulk also makes herself available to speak to individual campus faculties and parent groups. Knowing the abstinence - based philosophy of our district, she is one of the few speakers allowed to present programs to students in High school Health Classes. She is trusted to present information objectively and honestly within the framework allowed. I have also worked with Ms. Faulk on the AIDS Education Committee sponsored by the Lubbock AIDS/HIV Consortium and the planning committee for the Lubbock Annual Conference on HIV/AIDS. she brings an expertise, fresh perspective, and professional approach to each committee and project. Ms. Paulk assists me greatly in reaching high risk groups as adolescents, with the information they need to make appropriate and safe decisions. Her programs at New Directions, the school district's alternative campus for pregnant students, have been powerful, and hopefully effective. She is available to me or any of the school nurses to answer questions or provide references and statistics. occasionally I have referred teachers and other Lubbock ISD Staff members to her for information and resources. she is always knowledgeable and friendly in her efforts to assist others. MIKE MOSES. EP.D., SUraR napown OMTAICT OFFICES: 1628 19TH STKCT, LUDWCK, TEuos 79401-4895 TEEEPH01* 806/766-1000 (FAX 806r768-1037) `WODuLN l.�.li. TEL:1-806-766-1253 Jun 02 93 9:34 No.002 P.01 — The position of AIDs Education Coordinator has been a very valuable resource to the staff and 30,000 students of the Lubbock Independent School District. Ms. Paulk's personality and professionalism have contributed greatly to the success of osition. in rely, Tusti/ ane M.S� R.N., C.S.N. Coordinator of Health Services, LISD jm 32 APPENDIX B Quarterly Report Date Reed TOH: FORM A Quarter: 1st 2nd 4th i 111V EDUCATION, PREVENTION AND RISK REDUCTION PROJECT QUARTERLY PROGRAMMATIC PROGRESS REPORT I; Lubbock City Health Department Agency Name: C20003Z6 Contract 17o: .. Liz Inskip Paulk "hone. 806 667-,2901 I Prepared By: ( ) Date Prepared: September 04c12__ Dates covered by this report: - J"-- "e 01&-U-21--to: ---August 31, 1992 1. Number .of unduplicated individuals educated this quarter: 2416 (Do not include clients estimated to be reached via public service announcements.) 2. Was there a mtetinq of the Program Materials Review Panel this quart@r? NO (If yes, attach Form C and copies of approved materials.) 3. Is the Daily AIDS/HIV Activity Report (Form D) attached? YES 4. Have there, boon any changes in project staff since last quarter? If yes, please describe: No, there have not been any changes in the project staff this quarter. S. Please provide a brief summary of program duccesses and problems in the specs below: - There continues to be widespread cooperation between the various agencies involved in AIDS education throughout this community - The Coordinator newsletter continues to be utilized as a tool to distribute relevant information on a local and county -wide basis. Circulation is up to over 100 right now, which means it has tripled in size'since January of this year. It has also increased in page numbers by 33%. (See Appendix A.): I have been working on joint projects within the community: a) with the Health Educator at Texas Tech University: a series of condom workshops targeted at first -year college students and to be in place and working in September. b) with the Department of Public Health at Reese AFB: helping them get their own AIDS education program on the ground to increase the amount and availability of HIV/AIDS education to both military personnel and their dependents, to be implemented during the fall months. OBJECTIVE PROGRESS REPORT FORM g Continue this section until all process objectives are :reported. Please type in objective as it appeared in your revised project objectives. Describe activities performed and goals reached towards that objective during this quarter. Use only the space provided. OBJECTIVE 1: % of objective completed to date 1008% % of objective completed this quarter: 732% To provide 50 adolescents between the ages of 14-18 with HIV/AIDS presentations within 12 months as scheduled at youth homes and detention centers. I am currently involved in an on -going project with an LISD group of high -risk students (substance abusers/probation), Project Intercept, and through this program I have reached 25 individuals (12 males, 13 females). In addition, I have presented HIV/AIDS information at a community center summer day camp for teens, reaching 30 high -risk youth:(10 males, 20 females), and coordinated a presentation with another local agency to Big Brothers/Big Sisters to reach 18 youth (10 males, 8 females). I have also been giving presentations to teenagers who are clients at the WIC Clinic (approx. 40 teenagers), and gave information to the teenaged clients at the local Goodwill Industries, reahcing 34 students (17 males, 17 females). In addition, I was also invited to give HIV/AIDS information, as well as teaching risk reduction strategies to a TTU Volleyball camp, reaching over 200 girls between 9-18 years of age.. OBJECTIVE 2: % of objective completed to date 690% % of objective reached this quarter: 274% To provide 35 presentations to 400 women in target population within 12 months as scheduled at day care centers, the Lubbock Community Clinic, and the Women's Health Care Clinic at the City Health Department. Through a cooperative agreement between Catholic Family Services, the City Health Department, and the Lubbock Community Clinic, we have been able to implement an HIV/AIDS education program by talking to clients at the beginning of their required classes. Through this project, I have personally be able to do 36 presentations and to reach nearly 450 people (371 women, 29 men, 40 teens (see obj.l]). I have also been involved in reaching women through a number of other avenues such as Texas Tech groups and organizations (188 women), South Plains College (85 women), Seminars (6 women), and community groups (208 women). I have reached 487 women in this manner. An estimated 20 women per week have been reached at the Women's Health Clinic by showing an HIV/ALDS video. This means that an estimated 240 women have viewed this film this quarter, and although these are not "presentations" per se, there is nowhere else to put these numbers, hence they are here. Name Liz Inskip `Faulk FORM D Month/Year June 1992 t Time on this Project 10-- 0X---- Daily AIDS/HIV Education Activity Report *Instructions: List Presentations or other activity, to whom and wh*rt, and mount of time spent. Date - Activity L - 1. AM: Typed up newsletter mailing labels. Worked on copy for new pamphlet. PM: 1pm: TTU HIV Awareness Committee. Wrote thank you letters and made phone calls. 2. AM: Worked on the Quarterly Report, compling statistics. Returned phone calls. PM: Organized presentation reports and records. 4pm - staff meeting 3. AM: Worked on comDliling information for quarterly report. Worked on presentation schedule. PM: Made safer sex packets. Proofread new condom pamphlet. q. AM: Typed notes from conferences and cross-referenced in filing system PM: 1:30pm: meeting with TTU Health Educator re: safer sex workshops in fall Called up donations from local businesses and wrote letters. 5. AM: Computer training'class (Word I) PM: Compiled Mays presentation statistics and reviewed variety of HIV videos 6. . Weekend . AM: Office work. Had meeting with people about upcoming grant application. PM: Worked on grant application. 5pm - WIC presentation 9. AM: Prepared copies of HIV Consortium agenda. Prepared Educational Report. 11:30am - HIV/AIDS Consortium meeting. Wrote minutes of meeting and mailed. 4pm: staff meeting 1(). AM: 8:30am: presentation at Texas Tech University. Made CTRPN labels for pamphlets PM: Computer training class (Word III) 1 1. AM: Preparation for WIC presentations.9a: WIC. lla: WIC. Returned phone calls. PM: 1pm: Meeting with Catholic Family Services about coordinating WIC presentation schedules. Worked on Quarterly Report. 12. AM: Worked on Quarerly Report. Worked on grant. PM: Designed new referral sheet. Compiled newsletter information. 7pm: presentation at Lubbock Filipino -American Association meeting Name __J4&.jp Paulk _ FOR}I D Month/Year July 1992 ; Time on this PrOJaCt IQU----. Daily AIDS/HIV Education Activity Report *Instructions: List Presentations or other activity, to whom and wh*rt, And amount of tim! spent. DateT Activity 1• AM: Researched: at medical library re: OI's. PM: 12p: Executive meeting (HIV Consortium). Worked on grant application. 2• AM: 8a: TTU Management class presentation. 9:15a: CTPRN results. (Counselor on vaca PM: 12:3p - 4pia: CTPRN testing. 3. AM: No work due to Independence Day holiday �• Weekend �• Weekend 6. AM: Mailed thank you letters. Answered phone calls. PM: 9:30a-4:30p: CTPRN testing and results (Counselor on vacation) •, AM: Worked on HIV Consortium letters re.: upcoming meeting. Mailed them out. PM: Met w/ Individual w/ questions about HIV+ partner. 3p: CTPRN results. • AM: 9a: WIC presentation. 10a: WIC presentation. 10:30a: Meeting with Regional Coordinator re. grant application. PM: 1:30p: meeting with TTU Health Educator re: fall workshops. Work on grant. 9 • AM: Work on ,grant revisions. PM: lla-7p: CTPRN testing. 7:15p: 'fTU Volleyball camp presentation (youth) 10. AM: Caught up with desk work and some projects PM: Made safer sex packets. 11 AM: Weekend PM: Weekend TY� 12. Weekend Lon Name Liz InskipPaulk FOR?! D Month/Year August 1992 �. Time on this Project LO -- Da`ly AIDS/HIV Education Activity Report *Inatructioris: List Presentations or other activity, to whom and whore, and amount of time spent. Date Activity 1. Weekend 2. Weekend 3. AM: Prepare for.presentation. 9:45a: presentation at TTU management class. PM: 1p: TTU HIV Awareness Committee meeting 3p: Meeting re: reviewing AIDS Consorti Bylaws 4. AM: Office work. 9a: WIC presentation. 10a: WIC presentation. Finish publicity poste for Talking:w/Child re: AIDS seminar. PM: Joint presentation w/ Reese. 4p: staff meeting g. AM: Office work (letters, phone calls). 9a: WIC presentation. Research AIDS in child PM: Prepare seminar handouts and press releases. 3p: WIC presentation. 4p: WIC presentation 6. AM: Wrote up Executive Committee minutes and mailed. 10a: presentation at Life Independent Living Center. Pick up door prizes for seminar. PM: Write newsletter reminders. 3p: Interview for City tv channel re: child seminar 7. AM: Reviewed AIDS Consortium bylaws. Made safer sex packets. 10a: WIC presentation PM: 1p: TTU Health class presentation. 3p: WIC presentation. Made phone calls. 8. Weekend 9. Weekend 10.AM: Made initial inquiries into race sponsorship. Prepared handouts for seminar toni PM: 2p: WIC presentation. Worked on content of talk -child seminar. 7-9p: Seminar, open to the public 11.AM: Reorganized pamphlet library. 10a: Presentation to Police Dept. PM: 1:30p: presentation to South Plains College pre -nursing classes. 4p: staff meetin 7:30p: Fuudraising meeting, HIV Consortium. 12'AM' Defensive Driving class PM: 33 APPENDIX C "Safety Dance" pamphlet SEA a D in ;d the �9e s a 1) Condoms are 90-95%. A - Pu effective IF THEY ARE USED befort j CORRECTLY. Learn how to use 8 - Sq� one. Practice beforehand. (tip) 2) Use U.S.-made latex Condon condoms with a water -based to unr lubricant (e.g. KY Jelly). Do C - AIL not use oil -based lubricants lubric (e.g. Vaseline) - they make Never the latex break more easily. lubric 3) Never store condoms in hot D - Af or cold places (e.g. pocket. condor wallet. car). _. so it . E - Nes 34 APPENDIX D "Condom Sense" pamphlet W Z� t4aj; A USER'S GUIDE TO CONDOMS HOW.:TOPut CONDOM' -ON A - Put the condom on an erect penis be the partner. B - Squeeze the air out of the nipple (t condom), and unroll carefully. The condo easy to unroll. (If not, then you might be ui wrong way). C - Always use a water -based lubricant Brand® Jelly, Astroglide•, etc.) Never u lubricants (such as Vaseline®) as this will,, condom. D . After climax, hold on to the rim of before withdrawing from partnerso the c( lost inside. E - Never reuse a condors. One condor one partner. WHERE TO Bt CONDOms Condoms can be bought 6yanyone of c of either sex. Look for them in grocery j stores, convenience stores, gas stations, etc. Before you buy them, check crow the) stored in the store. (If.they are in direct s that -would weaken them,- etc.) Also, r check the expiration date. Condoms can be embarrassing to buy, too important to NOT buy if you are ch sexually active. You should be proud of y to be responsible enough to proieetboth partner. 35 APPENDIX E The Coordinator newsletter The ' Coordiiiator tision, I Volume 3 Number 5 November 1992 1 LOCAL CHURCH FORMS HIV SUPPORT GROUP The AIDS Task Force at First United Methodist Church has announced the formation of a support group for those who are coping with someone who Is HIV -Infected &/or has AIDS. Called "Partners In Care', the group will give encouragement to those church and community members who are coping with caring for someone who Is HIV - infected &10 r h as Al DS. The group will be led by Brian Carr, a psychologist with extensive experience in working with those who are faced with serious physical illness and death. To obtain more information, please call either Brian Carr at 795-3911 or Marisue Smith at 763-4607. There Is no fee, and anyone may attend the meetings. INSIDE THIS ISSUE............ I * Book and Video Reviews * Time Management Tips * Home Health Care for PWAs ... and much more to peruse.... THE LATEST FIGURES... AIDS 167 Alive 72 HIV+ 341 (Good -- 10129192) Thanks to Marilyn Mitchell of the City of Lubbock Health Department COMMUNITY PLANS FOR WORLD AIDS DAY With World AIDS Day not too far off (Dec. 01), the Lubbock HIV/AIDS Consortium has decided to focus Its energies on encouraging Lubbock citizens to wear red ribbons to raise awareness of HIV/AIDS and to remember those who are or have been affected by this epidemic. According to Marcos Martinez of Catholic Family Serices, this is an Invaluable opportunity to educate people across the South Plains about this issue. "The more people we can get to wear the red ribbon the bettor, and this is an effective way to educate... It's cheap and easy, especially If everyone joins in by encouraging their colleagues to wear them on December 01... " Marcos asks that people try to collect their own ribbon from donations or perhaps by buying a few yards. If not, there is some ribbon available for collection from Marcos at CFS. "This is a chance to have high visibility for HIV/AIDS in Lubbock, so it Is Important that we make the most of It by linking in with everyone In the community, as well as the rest of the world for World AIDS Day," Marcos adds. Call Marcos at 785-8476 for more information or for your ribbon. The 1st Annual Running for Time Walk/Run is scheduled for a 9am start on Saturday, November 21, 1992, at McKenzie State Park. According to Liz Inskip Paulk, Chair of the Walk/Run Committee, this event Is hoping to attract about 100-160 participants from all over the community, Including Reese Air Force Base and Texas Tech University. "And the joy of it is that you don't have to be very athletic to join In," Liz added. °We are hoping to have lots of people (including corporate teams) to help out here. Everyone benefits from this type of fundraising...' The run is to raise money for the Lubbock HIV/AIDS Consortium and Its lead agency, SPARC, and Includes distances of a 2 mile walk, 5K (3.1 miles) and a 10K (6.2 miles). Should you need any more Information, please see the attached entry form or call Liz insklp Paulk at 767-2901 or Darrell Strange at 796-7068. For more Information about corporate teams, please see the related article below or call Liz or Darrell. CORPORATE TEAMS NEEDED FOR RUN Any time you are trying to raise money, the more people who join in, the better, and that is the reason why the up -coming Running for Time walk/run is calling for corporate teams to sign up and join In with us. Teams are effective In so many ways: the more $ you raise, the higher your chances of winning the highest pledge amount award; this is Is a unique way to build team spirit among your co-workers; fitter, healthier employees have less absenteeism and higher morale; you will get great PR for your company and for your department; you will be able to help HIV/AIDS on a local level, AND you will get a lot of fun in the process!! Join in with usl This is a great way to start the day and to start a new fitness habit at the same time... Basic pointers for corporate teams: * Teams may have as many members as they like, and each team member must fill out a separate entry form and pay the required entry fee ($10) * You will need a team captain -- please mall/fax their name and number to Liz Paulk (in case we need to contact you as a team). Also, a team name would add to the funs (FAX: 762-6506) * Encourage your team members to be as competitive as possible with the pledges, and you will raise more money. (Good for you and usl) * Check if your company has a matching gift program as this can double the pledge money (& therefore double your chances of winning the "Highest Pledge" awardl &Ieb HIV VIDEO REVIEW 02bo HIV VIDEO REVIEWegn AIDS:TRUTH & CONSEQUENCES. 29 mina, Creative Educational Video.1992. Under $100. Aimed at teenagers and early college years, this comprehensive video packs a lot of information Into about half an hour, and packages It up with MTV-Ilke graphics. It also happens to star local professionals Inthe HIV field: Liz Insklp Paulk (City Health Dept.), Marcos Martinez, Tammy Cook-Foske (City Health Dept.) and Dr. Ann Epstein (TTUHSC). Combining narrative, zappy computer graphics and vignettes, this video Includes bask definitions and transmission facts, the characteristics of good condoms (and the X-rated version even shows how to put a condom on correctly). It also Includes an easy -to -follow explanation of how HIV attacks the Immune system by employing the flashy graphics so even a novice In biology could follow it. Basically, very down-to-earth, vary effective. Two versons are available (condom demo and no condom demo). Available for check-out at the City Health Department - 767-2901 ABOOK Ilia Disenfranchised Grief., Recognizing Hidden Sorrow by Kenneth Doka. (Lexington Books). One of the more outstanding books on grief and bereavement, Doka defines "disenfranchised grief" as grief which stems from a loss which Is not or cannot be openly acknowledged, publicly mourned, or socially accepted due to societal norms. These norms Influence how society def Ines the who, when, where, how, for how long and forwhom people should grieve -- standards which can make the grieving process even harder... Both disenfranchised grief and cumulative grief are of great concern to Doka, and his book deals with avast array of topics: legal and biological survivorship, discrimination Issues, legal unpreparedness, what to do when children and foster parents are Involved, and Doka also offers suggestions of how to develop support sources or enhance those that already exist. The overall message of Doka Is to encourage the reader to probe deeper Into Individual losses, Into Individual situations, and Into how much loss an Individual can endure, and also to reach out to validate each other's losses. Thanks to Lee Battey, Executive Director of Hospice of Lubbock for this edition's book review. NEW CHAIR PLANNING POSSIBLE REFOCUS FOR CONSORTIUM According to Rev. Renae Phillips of Metropolitan Community Church and new Chair of the Lubbock HIV/AIDS Consortium, there's lots of work ahead. Rev. Renae, recently voted In, plans to find out what needs to be done before committing to a plan of action. "1 think the first move will be to sit down with David Crader [Executive Director of SPARC, the Consortium's lead agency], and talk about what he sees the Consortium doing to help his o rganlzatlon," explains Rev. Renae. She adds, "We'd like to share the burden...• Rev. Renae plans to refocus the Consortium, and make It more "task-o rlented". "I'd like to take a critical look at what we, as a Consortium, do and set some goals. There's a lot of work ahead of us, but we have a lot of people who are willing to help. We Just need to get organized a bit more, and then we'd have a better chance of accomplishing those things..." she said. On a personal note, Rev. Renae added "I'm glad for the opportunity to be Chair. I've been working hands-on with AIDS for 3 years now. It Is an Issue for me. Very much so. And this allows me to do something about It In a different way that before... I'm looking forward to the challenge.."* 001)01 SNIPPETS OQCQCj * TDH now has the updated flat of all public health education materials available, Including brochures and posters on subjects from HIV/AIDS to smoking. Contact Public Health Promotion Division, TDH, 1100 W. 49th Street, Austin, TX 78756 or *ail (612) 458-7405. * 'The Round Table% one of NBC's Friday night television programs, recently had one of Its more promiscuous characters have an HIV test because of a high -risk partner and go through the resulting anxiety.The program Is aimed primarily at the 18-34 age group categories, a population who also needs to hear the message most, and apart from a few technical errors, It was basically well done, and the more media coverage for HIV the better! Kudos to NBC Television I o r try IngI * Trying to keep your staff (& yourself) motivated can be one of life's biggest challenges. Just In time Is a new book, Secrets of Motivation: How to Get and Keep Volunteers and Staff/ by 8us Vineyard, and published by Heritage Arts. Approaches all aspects of keeping people motivated from understanding needs and expectations to retention and satisfaction. $8from Heritage Arts, 1807 Paine Ave., Downers Grove, IL 60516. KEEP THAT MONKEY OFF YOUR BACKi With so many things to do, it can be hard to keep the time monkey off your back, but here are some tips for you: - Start by managing your dally schedule. Is what yvuredoing really the best use of your tlme? If not, do something that Is of higher priority. - Make appointments with yourself to work on certain projects —and keep them like you would with a person! - Group similar tasks -- more off lclent that way and no wasting effort. - Take 15 mina at the end of each day to regroup and plan for tomorrow. Make a workable'to do' list of little steps to reach those big goals... And now for the paperwork mountain... - Open mall one piece at a time and near a trashcan or recycling box. Keep It moving (either Into a flle or File 13). - Throw things you will never use or can find from another source. Be ruthloesl - Use hanging 3 manila folders for Ming - hanging flies will separate big topics, wh Ile manila fo Iders will group specific projects. - Use certain color tabs/ll/es to group related materials or projects together -- makes it a lot easler to file and retrieve what you need when you need It... (Also makes your fibs look a lot neater.) BUSY MONTH AHEAD FOR SPARC i HIV CONSORTIUM There are two big social events are coming up to help HIV/AIDS on a local level, according to Darrell Strange, Development Director for SPARC. On November 13 and 14, Art for Humanity III will be held at 'At Your Servlce',1919 50th Street. This is a silent art auction featuring over 40 area artists and covering nearly every genre of art from southwest to abstract. Last year's auction raised over $13,000 for SPARC. It Is being organized by a committee of Michael Schleuse, Brent Hopkins, Casey Cline, and Darrell Strange. The second big event will be the Texas premiere of the AIDS Quilt Songbook 1992, starring barltono William Parker, who has performed with the NY Philharmonic Orchestra among others. This performance will focus on a *cycle' of different songs put together and reminiscent of the patchwork panels of the Quilt. For more Info, call Darrell Strange at SPARC - 796-7068. TO THOSE AFFECTED BY AIDS [This poem was sent to the Health Department by a student who wrote It after having written a paper on HIV/AIDS] Let me salute you... for having the courage to walk a lonely, stigmatized road. May no one else have to go through the suffering and Isolation you feel. Let me hug you... for 1 know no words to ease your pain. And 1 do not understand the destruction occuring within your body. May I encourage youto "hang In there" until a cure Is found. May I pray... That you will find the faith needed To give you peace toward an uncertain to mo rrow. WIII you let us love you as friends... So that when you are no longer able To walk that road... With God's help, we can carry you. TEK Frazier HELPFUL HINTS FOR HOME HEALTH CARE Persons with AIDS who are too sick to care for themselves can have the option of having home health care. In a 2-part series, Sheelagh Pagendarm of L & H Home Health Care gives some home health tips on personal hygiene care: " HYGIENE: When the patient has fever/nigh sweats, bathing Is not only a necesslty, but also a refreshing experience. If the PWA Is strong enough to get to the bath, but not strong enough to stand and shower, then provide a stool or chair for them to sit on. If the PWA Is too weak to get out of bed, L & H Home Health Care will provide Health Aides who will give bed baths to those Individuals. * ORAL HYGIENE: Daily mouth care Is very Important for PWA's to lower the risk of Infection. When thrush (an oral yeast Infection) does occur, more frequent care Is required (Le. every four hours). If toothbrush bristles cause discomfort or bleeding, L & H Home Health care will provide "toothettes", which are sponge -tipped swabs and are much more gentle than bristles. Mouth rinses with warm salt water (one teaspoon per 8-ounce glass) are helpful or use hydrogen peroxide In a 50:50 dilution with warm water. t SHAVING: The use of an electric razor Is recommended as the risk of bleeding Is Increased with regular blade razors. (Thanks to Sheelagh Pagendarm, L & H) smssssssssssssss FUNDING FYI sss$sss$$s$sssssuss$ss$s $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ * Grant seekers are always looking for new sources, so hero Is one of the newest directories: 1992 Corporate and Foundation Grants. This 2-volume set lists over 95,000 grants to non -profits in the US. For more Info, call The Taft Group at 1-800-888-8238. $160.00 (!!) * Confused about grant writing? Call or write the United States Conference of Mayors for a very helpful report on "Proposal Writing for HIV/AIDS Prevention Grants", which, among other things includes an invaluable (and easy -to -follow) section of tips responding to the RFP. Always good for a refresher course... Call (202) 243-7330 for more info. non CALENDAR NOVEMBER 1992 02 - HIV/AIDS Awareness Committee meeting - Dean's Office, TTU - 1 pm. 13, 14 - Art for Humanity III to be held at "At Your Service" (1919 50th). Call SPARC for more info - 796-7068. 19 - AIDS Quilt Songbook, with William Parker. $10 entry fee. Call SPARC for more Info - 798-7068. 21 - Running for Time Walk/Run - McKenzie State Park - 9am. $10 entry fee. Call Liz Inskip Paulk at 767-2901 for more Information. 26 - Thanksgiving Day DECEMBER 1992 01 - World AIDS Day - remember to wear your red ribbonl (See related article) 07 - HIV/AIDS Awareness Committee meeting, Dean's Office, TTU - 1pm 20 - Hanukah 25 - Christmas Day SUPPORT GROUPS AROUND TOWN: PWAS - Thursdays, 3pm. Call SPARC - 796.7068 HIV+ - Thursdays, 6pm. Call SPARC - 796-7068. Family Support Group - Mondays. 8pm (Nov. 02, 16. 30, Dec. 14, 28) Grief Resolution Group: Mondays, 8pm (Nov. 02, 16, 30, Dec. 14, 28) HIV+ Women - Thursdays, 6:30pm (Nov. 12, 26, Dec. 10, 24) "Partners in Care" (support group for caregivers). Call Brian Carr at 795-3911 for more Information. HIV TESTING AROUND TOWN: City of Lubbock Health Department: M 11-3pm; T 11-3pm; Th 11;30a-6:30p. Call M-F 8:30a-10:30a for appt. 767-2953. Anon/Conf. $0-15. SPARC: M 5-6:30p; w 9-11a; Th 5-6:30p; F 12:30p-2p. Anon/Conf. Free. TTU: W 1-4p; F 1-4p. Anon/Conf. Free to Tech students. Fear less, hope more; eat less, chew more; whine less, breathe more; talk less, say more; hate less, love more; and al/ good things are yours. Swedish proverb Please send your organization's news to Liz Insklp Paulk, LCHD, PO Box 2548, Lubbock, Texas 79408 or call 767-2901. This bl-monthly newsletter was produced with funds from the Texas Department of Health, HIV/AIDS Division. Any opinions expressed herein do not necessarily reflect the policies of the Texas Department of Health. Have a good day. HAPPY HOLIDAYS 0i APPENDIX F Examples of evaluations received Rural High School student ( yrj1 /r Rural High School student NO: 35, CLHD EVALUATION FORM In order to ensure that we are serving your educational needs to the best of our ability, please take a few minutes to fill out this evaluation form. When you have completed it, please mail it back to us using the self-addressed stamped envelope enclosed. Thank you in advance for your time and cooperation. 1. Name of your organization or group:/�{���-�1C��o��Sl�, 2. Name of the speaker: br,(RRe V1 QAA L, L 3. Was the speaker on time to give the presentation? If not, who late was he/she? S(e0ke.R Loas e-aRly 4. Was the speaker knowledgeable about the subject? %%Q,R'y 5. Was the speaker offensive in any way? If yes, please be J/ specific. Not (aA Gl` 6. What presentation format(s) did the speaker use? lecture slides question/answ r role-play flip charts other (please specify) -Zj Rkp y%cA 7. What did you find to be the most beneficial from the presentation? !Spo_o_V&Lts ye n eSS Q"'A t%o n e %±y 8. What did you find to be the least beneficial from the �_n presentation? � � .15 'i AJ��� CQOLAQ�Qt t ,(�q 4J T� 9. Please rate the speaker on the following scale. (1 = very poor, 6 = excellent) 1 2 3 4 10. Please list any additional comments that you would like to make about the speaker/presentation: +Lt Con eeRV� S40WIJ tOWxz te. Oce.CZ �QUA� �l.�.csc� 5 LA-Z C ; ,AA_ Thank you for your time. Please remember to mail this! ��Nkf-k-M� NO: 4145 5'2.. CLHD EVALUATION FORM In oze=• t-o ensure that we are serving your educational needs to the mf our ability, please take a few minutes to fill out this ev-v-=.'cation form. When you have completed it, please mail it back �g using the self-addressed stamped envelope enclosed. Thaag in advance for you.:- time and cooperation. 1 - -V3 .rf your organization or group: Texas Tech Univ. Dept. HPER • Health Education Div. 2. Y0wft- of the speaker: Elizabeth I. Paulk 3. ti _ 'ire speaker on time to give the presentation? If not, who zre/she? ON TIME & TOTALLY COOPERATIVE 4' � speaker knowledgeable about the b'ec 9 5. �� �XCELLEN1' - bOTSTANDING GRASP OF SUBJ. --_ speaker offensive in any way. If yes, please be Absolutely not = wesentation format(s) did the speaker use? o t—u� =a --= slides question/answer role-play flip charts =use specify) _ Lect, + slides, + quest. ans. 7' ♦ =-_ - id you find to be the most beneficial from the :.ten? Information + manner of presentation ---"-id you find to be the least beneficial from the pry Totally beneficial . Students liked her 9 • rate the speaker on the following psca!e . (i)er very axcellent) 1 3 4 5 5 -EXCELLENT + 10. �-- =---- list any additional comments that you would like to aw = the speaker/presentation: — =— "right on" in every facet of her presentation. She is sensitive of university -age people, knowledgeable regarding all aspects o - .dative , entertaining, humorous, and totally professional in her Her -English accent is also a "plus". Personally I liked the and. cannot -think of any area of her program where improvement is - -� making her available to uS Paul Knipping, .D "� - or your time. Please remember to mail t isl LIFE-ILC 4514 Englewood Avenue Lubbock, TX 79414 August 6, 1992 CITY OF LUBBOCK HEALTH DEPARTMENT Attention Ms. Liz Paulk Po -Box 2548 Lubbock, TX 79408 Dear Ms. Paulk: We are writing to thank you for the excellent presentation you gave concerning AIDS and the HIV virus. The information you shared was very helpful and informative. In addition, you displayed remarkable sensitivity to our consumers. For example, you took the time to give verbal descriptions of the slides you showed, to our visually impaired consumers and staff. Such effort was greatly appreciated, for it helped us all to reach a deeper understanding of the topic being discussed, which would not have happened if you had not taken the time to do this. We know that you have a very busy schedule as you give presentations throughout the community, concerning AIDS and the HIV virus. So, we really appreciate your taking the time to talk with us on such an important topic. We look forward to continuing our working relationship with you. Again, thanks for coming to talk with us. We hope to have the opportunity of working with you again, in the near future. Sincerely, iW `G LIST NO: 35� CLHD EVALUATION FORM ensure that we are serving your educational needs to our ability, please take a few minutes to fill out tion form. When you have completed it, please mail it using the self-addressed stamped envelope enclosed. n advance for your time and cooperation. your organization or group: the speaker: bC: Rae- vi QAJ L (L. mn st-<; p 7pG uA K ------_---__---_ speaker on time to give the presentation? If not, who /she? Lk-k-'s e--Qpli speaker knowledgeable about the subject? �% qv ---- _____- speaker offensive in any way? If yes, please be J Ud-t' CA Gl` ------ -sentation format(s) did the speaker use? -__-----_-- - slides question/answ r role-play flip charts -e specify) �oRn%cA I 55 ---- 3 you find to be the most beneficial from the pp - ------- - r: you find to be the least beneficial from the �r��uv�, i 5 � 9AA 0 ' COVlC�21' ►n i 0,� J the speaker on the following scale. (1 = very - ----- --- cellent) 3 4 any additional comments that you would like to �zhe speaker/presentation: -- - ----- --------_�rec; C_te, Cmn 0eV\ S60a)V) touYz t2� Oc� t2 �QuSA,- =� `tom_ (' e S S � . T � � Q 12s _a� q uJ 1`4" your time. Please remember to mail this2 LIFE-ILC 4514 Englewood Avenue Lubbock, TX 79414 August 6, 1992 CITY OF LUBBOCK HEALTH DEPARTMENT Attention Ms. Liz Paulk Po -Box 2548 Lubbock, TX 79408 Dear Ms. Paulk: We are writing to thank you for the excellent presentation you gave concerning AIDS and the HIV virus. The information you shared was very helpful and informative. In addition, you displayed remarkable sensitivity to our consumers. For example, you took the time to give verbal descriptions of the slides you showed, to our visually impaired consumers and staff. Such effort was greatly appreciated, for it helped us all to reach a deeper understanding of the topic being discussed, which would not have happened if you had not taken the time to do this. We know that you have a very busy schedule as you give presentations throughout the community, concerning AIDS and the HIV virus. So, we really appreciate your taking the time to talk with us on such an important topic. We look forward to continuing our working relationship with you. Again, thanks for coming to talk with us. We hope to have the opportunity of working with you again, in the near future. Sincerely, _ ,• LIST EN L G57 NO: In order to ensure that we are serving your educational needs to the beat of our ability, please take; a few minutes to fill out this evaluation form. When you have completed it, please mail it back to us using the self-addressed stamped envelope enclosed. Thank you in advance for your time and cooperation. 1. Name of your organization or group: Texas Employment Commission 2. Name of the speaker: Liz Inskip Paulk 3. Was the speaker on time to give the presentation? If not, how late was he/she? She was early with adequate time to set up before the • presentation. 4. Was the speaker knowledgeable about the subject? Liz was VERY knowledgeable about AIDS/HIV. 5. Was the speaker offensive in any way? If yes, please be specific. Liz was not offensive in any way. She handled a sensitive topic very knowledgeably and appropriately. 6. What present formats id the speaker use? (Please circle.) cture s idea estion/answer role-play flip charts other (please specs y) 7. What did you find to be the most beneficial from the presentation? The lecture, which was so informative with statistics and very pertinent information. The outstanding delivery of the material. 8. What did you find to be the least beneficial from the presentation? (TEC) The fact that we were restricted on the time allottment for the training. I regret that we did not have more time to use to ask question 9. Please rate the speaker on the following scale. (1 - very poor, 5 excellent) 1 2 3 4 0 10. Please list any additional comments that you would like to make about the speaker/presentation. (You may use the other side if necessary.) Because Liz presented information in such a professional and informed manner, her delivery kept our employees very attentive. We have had other speakers talk on this topic before, but their presentations were nowhere near the caliber of delivery or with so much valuable information as was that of Liz. We were impressed with her knowledge and statistics regarding the topic as well as with the slides used. The fact that Liz presented the topic as one of responsibility to the individual - rather than the disease as being something that just happens to one - was well received. No moral judgements or criticisms were evident. Instead, Liz presented facts. Very appropriately done. She is an excellent speak, and representative of the city of Lubbock. Thank you for your time. Please remember to mail this! NQ: CLHD EVALUATION FORM In order to ensure that we are serving your educational needs to the best of our ability, please take a few minutes to fill out this evaluation form. When you have completed it, please mail it back to us using the self-addressed stamped envelope enclosed. Thank you in advance for your time and cooperation. 1. Name of your organization or group: 3. Was the speaker on time to give the presentation? If not, who late was he/she? 4. Was the speaker knowledgeable about the subject? ors• 'ac�.a J 5. Was ttho�ee,, speaker offensi�c in any way? If yes, please be specific. Nc'� a , aQ0_., , 6. What presentation format(s) did the speaker use? lecture slides question/answer role-play flip charts other ?. What did you find to be t'.e most beneficial from the presentation? L CM,O pq_� &"Jj S. What did you find to be the least beneficial from the presentation? 9. Please rate the speaker on the following scale. (1 = very poor, 5 = excellent) 1 2 3 4 t5 10. Please list any additional comments that you would like to make about the speaker/presentation: Thank you for your time. Please remember to mail this! m r. • I • f.. . • r• ..., 37 APPENDIX G "Running for Time" pamphlet No: In order to ensure that we are serving your educational needs to the best of our ability, please take, a few minutes to fill out this evaluation form. When you have completed it, please mail it back to us using the self-addressed stamped envelope enclosed. Thank you in advance for your time and cooperation. 1. Name of your organization or group: Texas Employment Commission 2. Name of the speaker: Liz Inskip Paulk 3. Was the speaker on time to give the presentation? If not, how late was he/she? She was early with adequate time to set up before the presentation. 4. Was the speaker knowledgeable about the subject? Liz was VERY knowledgeable about AIDS/HIV. S. Was the speaker offensive in any way? If yes, please be specific. Liz was not offensive in any way. She handled a sensitive topic very knowledgeably and appropriately. 6. aWhtat resent formats id the speaker use? (Please circle.) ure s ides estion/answer role-play flip charts other (please specs y) 7. What did you find to be the most beneficial from the presentation? The lecture, which was so informative with statistics and very pertinent information. The outstanding delivery of the material. S. What did you find to be the least beneficial from the presentation? (TEC) The fact that we were restricted on the time allottment for the training. I regret that we did not have more time to use to ask questions 9. Please rate the speaker on the following scale. (1 - very poor, 5 excellent) 1 2 3 4 0 10. Please list any additional comments that you would like to make about the speaker/presentation. (You may use the other side if necessary.) Because Liz presented information in such a professional and informed manner, her delivery kept our employees very attentive. We have had other speakers talk on this topic before, but their presentations were nowhere near the caliber of delivery or with so much valuable information as was that of Liz. We were impressed with her knowledge and statistics regarding the topic as well as with the slides used. The fact that Liz presented the topic as one of responsibility to the individual - rather than the disease as being something that just happens to one - was well received. No moral judgements or criticisms were evident. Instead, Liz presented facts. Very appropriately done. She is an excellent speaker and representative of the city of Lubbock. Thank you for your time. Please remember to mail this! .W NQ :1 J'Z CLHD EVALUATION FORM t In order to ensure that we are serving your educational needs to the best of our ability, please take a few minutes to fill out this evaluation form. When you have completed it, please mail it back to us using the self-addressed stamped envelope enclosed. Thank you in advance for your time and cooperation. ;F� 1. Name of your organization or group: 2. Name of the speaker: c5uy P"-kj 3. Was the speaker on time to give the presentation? If not, who late was he/she?, �,w ���Z 4. Was the speaker knowledgeable bout the subject? - -• 5. Was th-e : speaker offensi �in any way? If yes, please be specific. Now "� '_U _ 6. What presentation format(s) did the speaker use? lecture slides question/answer role-play flip charts other 7. What did you find to be t'.e most beneficial from the �, presentation? %,, mat Co�N,a2� R% \/ � ���� QLak" S. What did you find to be the least beneficial from the presentation? 9. Please rate the speaker on the following scale. (1 = very poor, 5 = excellent) 1 2 3 4 �- 5 10. Please list any additional comments that you would like to make about the speaker/presentation: rJVv Thank you for your time. Please remember to mail this! m - +• a '. � . f:- _ 37 APPENDIX G "Running for Time" pamphlet w-vvvj nnr a to wdiA wits I I ns. h9bdbv can i nd. Phone: Day j� Age T-Shirt Size: L _(L_ I would like to volunteer to help organize the I plan to walk with friends on a Team. event. Please call me. The name of the Team is: My Team Captain's name is: ❑ Sorry, but I'm unable to pin in this year, but, I want to support the race. Enclosed is my tax- MAL To: RUNNING FOR TIME deductible contribution of $ P.O. BOX 2548 MoNSOAR6 Liz irmb Palk 7e7-2WI Make check payable to: SPARC. _ LUBBOCK TX 79406 Damn Strange 7W7068 Mom_ WAIVER STATEMENT: WOO Tax" Rwnkp Clot, Lubbock MN/AIDS Consortium South Plains AIDS RMowoa GrMa, al ooWMe sparaa d Vw vmd.1M o npbyaw, parNa. or rpresontNMM d the $ante, or any volurdeena shaN not ba raapokrbN tor. erd sW be saved end held hamntess by myaM tom and epakdt any and d obArm and danapss d aweryktnd, br kn)wy to a d"M d any pans+ or pwoorr and for damps to or loss of propary, a" one of or attributed, dreoty or Indlreoty, to Participation In the IYawro ran Taw Wakftm Thb kkdwmky WW audwrkd to and WW be binding on my help. Ispdass, ad"dnWaaom and asslpns. My atpnatwe hereto werllss that Participation in thin warn in Mt ww*/ darpwous and omM maul In body Ir*xy or dud, and that proper plk) 1, training Is nacessary prior to such pw0coatlon. THS ENTRY 18 NOT VALID UNLESS SIGNED BY THE ENTRANT, GUARDIAN, CONSERVATOR, OR PARENT FOR ENTRANTS UNDER 18 YEARS OLD. SVw dm of E. itim f imItura of Quanian (nftota) �j I C4 'i & c d Cc � o U T h O 04 0 z; WW �' 04 — J 0 v J 3 1�