HomeMy WebLinkAboutResolution - 5244 - Grant Application - TDH, HIV Division - HIV Counseling & Testing - 08/22/1996RESOLUTION N0.524,
August 22, 1996
Item 415
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
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, attached herewith, by
and between the City of Lubbock and the Texas Department of Health, HIV Division for HIV
counseling and testing, and any associated documents, which Application 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 this2.2 nd day of . August , 1996.
DAVID R. LANGS-ff CV, MAYOR
ATTEST:
ArnWillard, Interim City Secretary
APPROVED AS TO CONTENT:
1--�)
�" 9'&�
Doug Goo n, Director of Health
and Communtffy Services
APPROVED AS TO FORM:
Dbilald G. Vandiver, First Ass
City Attorney
DGV:da/ccdocs/app-hiv.res
August 12, 1996
RESOLUTION NQ 5244
August 22, 1996
APPLICATION FOR WNDING Item 415
TEXAS DEPARTMENT OF HEALTH
HIV/STD HEALTH RESOURCES DIVISION
DATE RECEIVED BY STATE
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1) LEGAL NAME: City of Lubbock Health
6) ADDRESS: (Sheet Addy ..,PA.B=Nmnbmcity,c=dy.st tk
Department
1Od Zip Code)
2) PAYEE NAME: City of Lubbock
1902 Texas Avenue
P.O. Box 2548
3) PROJECT DIRECTOR AND PHONE NOS:
Lubbock TX 79408
Mary Strange
Lubbock County
a) office No: (806) 767-2939
7) PAYEE ADDRESS: (u t>.
b) FAX No: (806) 762-5506
N/A
4) CONTACT PERSON* AND PHONE NO:
Tammy Foskey
806 767-2953
FINANCIAL OFFICER AND PHONE NO:
8) TAX I.D. NUMBER:
Debra Forte'
1 7 5 6 0 0 0 5 9 0 6
806 767-2015
9) TYPE OF APPLICANT: (enter appropriate letter:) A
a) City Health Depar nerd t) Private Non -Profit Organization
b) County Health Department g) Higher Education
c) District Health Department h) Indian Tribe
d) Community -Based Organization i) Minority Organization .
e H Other
10) TYPE OF APPLICATION ❑ NEW ® CONTINUATION .
11) DESCRIPTIVE TITLE OF PROJECT: 12) REQUESTED FUNDING:
a) Total Charges $40,333.00
HIV PREVENTION COUNSELING AND
b) Indirect Cost 1600.00
PARTNER ELICITATION
c) Total Funding
Requested $41,933.00
13) START DATE END DATE 16) LIST ALL COUNTIES TO BE SERVED:
01/01/97 12/31/98 LUBBOCK
14) EXECUTIVE DIRECTOR OF AGENCY:
Doug Goodman
15) a) NAME OF AUTHORUMD REPRESENTATIVE:
David R. Langston
b) TITLE: Mayor
��LEPHNO: 806 767-2900-
d) sI AUTH RES EN IVE 7) DATE SIGNED:
8 22/96
Ta- v Lan ston;.Ma r
A
Name of Applicant:
City of Lubbock Health Department
Fringe Benefits
$ 8,660.00
Mailing Address:
1902 Texas Avenue (P.O. Box 2548), Lubbock, Texas 79408
Equipment
Contact Person:
Tammy Foskey
$ 50.00
Contractual
Telephone Number:
(806) 767-2953
FAX Number:
(806) 762-5506
Public Health Region:
1
HSDA: -
Lubbock
State Senatorial District: 28
State Representative District:
82-83
List All Counties Served: Lubbock
Congressional District:
84-83
Total Estimated Number to be Served: Total 1600
By Sex: Males 800 Females 800
By Age: Adults over 20 1000 Adolescents 13-20 600 Children under 13
By Race: White (Non -Hispanic) 400 Black (Non -Hispanic) 500 Hispanic 600
Asian/Pacific Islander 100 Unknown
Project Summary: (Narrative overview afthe goal(sN objectivm and activities.)
This proposal to provide prevention counseling and partner elicitation will be client -centered, focused on
producing behavioral changes, prevention -oriented, and directed toward the target groups determined by the
Regional HIV Coalition including MSM's (adolescent, college -aged, of color, anglo, and HIV+); IDU's
(homeless, sex workers, and incarcerated) and UHS's (HIV+, migrants, gang members, and sexual partners of
IDU and/or MSM). The City of Lubbock Health Department's STD Clinic will continue to be used as an HIV
testing site. Other testing sites include Texas Tech University, Lubbock County Jail, Lubbock County Youth
Center, Lubbock County Community Correctional Facility, and the gay club. All clients tested will receive
pre-test counseling. Post-test counseling will be provided to 75% of those tested. 95% of those testing
seropositive will receive post-test counseling, referrals to case management and early intervention services,
and follow-up appointments. Partner elicitation will produce at least one partner for a minimum of 80% of
those testing seropositive.
Collaboration activities include assisting Catholic Family Services with PCPE activities as they provide
education to migrants, adolescents, and female partners of IDU's and MSM's and assisting Inside/Out with
PCPE activities as they provide education to gang members, IDU's, homeless and MSM's of color. Testing
referrals and/or on-site counseling and testing following HIV education presentations will be offered to the
target audiences of these groups when requested.
Prevention of HIV infection is the main focus of all PCPE activities and testing is one realm of prevention.
Referrals for those testing seropositive will be coordinated through the South Plains AIDS Resource Center
(SPARC). Forming a support group for those who are high-risk seronegatives is a goal for the coming year.
Referrals for drug treatment will continue to be made to Lubbock NIfMt and to the AA/NA groups in the
Lubbock and surrounding areas when applicable.
Budget Summary:
Personnel
$ 29,868.00
Fringe Benefits
$ 8,660.00
Travel
$ 1,200.00
Equipment
$ 0.00
Supplies
$ 50.00
Contractual
$ 0.00
Other
S 555.00
Total Direct Costs
40.333.00
Indirect Costs (UGCMS)
$ 1,600.00
Total Requested
S 41,933.00
2
PCPE APPLICATION CHECKLIST
NAME OF APPLICANT: City of Lubbock Health Department
Instrudions: Send all items below with the 1997 application.
PREFATORY DOCUMENTS
XX Application for Funding Form
XX Abstract
XX Application Checklist
XX Table of Contents .
PROJECT NARRATIVE
XX Capacity of the Organization
XX Collaboration with Other Agencies
XX Referral Plan
XX Workplan.
XX Quality Assurance Plan
XX Target Group Chart for Objective l
XX other -Required Objectives
XX Evaluation Plan
BUDGET INFORMATION
XX Key Personnel Form
XX Multiple Funding Sources Form
XX Categorical Budget
ASSURANCES
XX Contractor Assurances 1-10
XX Physician Supervision
ADM mTRATIVE HISTORY CERTIFICATION
XX Administrative History Certification Form
NA Evidence of non-profit status
NA Latest Financial Statement
NA Balance Sheet
NA Letters of Good Standing
NA Other Documentation Requested
OTHER REQUIRED DOCUMENTATION
XX Board of Directors List
NA HUB Good Faith Effort Form
NA Newspaper advertisement of subcontracting opportunity
APPENDICES
Indirect cost rate agreement, if applicable
Other documentation you deem necessary
TABLE OF CONTENTS
Page No.
L
Application for Funding Form
1
11
Abstract
2
IIL
Application Checklist
3
IV.
Table of Contents
4
V.
Capacity of the Organization
5-7
VL
Collaboration with Other Agencies
7-9
VIL
Referral Plan
10-11
VIIL
Workplan
11-16
IX.
Quality Assurance Plan
16-17
X.
Target Group Chart for Objective 1
20-21
XL
Other Required Objectives
17-24
XM
Evaluation Plan
17-24
XHL
Key Personnel Form
25
XIV.
Multiple Funding Sources Form
26
XV.
Categorical Budget
27
XVL
Contractor Assurances
Advocate and Promote
28
Confidentiality
28
Conflict of Interest
28
Workplace Guidelines
29
Debarment and Supervision
29
Lobbying
29-30
Program Fraud Civ Remedies Act
30
Environmental Tobacco Smoke
30-31
Good Standing
31
Assurance of Compliance with Requirements
32
Physician Supervision
33
XVIL
Administrative History Certification Form
34-37
XVIII.
Board of Directors List
33
XIX.
Appendices
A. SPARC letter of collaboration
39
B. Inside/Out letter of collaboration
40
C. Catholic Family Services letter of collaboration
41
D. Lubbock MH11IR letter of collaboration
42
E. Texas Tech University letter of collaboration
43
F. Captain Hollywood letter of collaboration
44
G. Lubbock County Youth Center letter of collaboration
45
H. Lubbock County Community Correctional Facility
letter of collaboration
46
L Lubbock County Jail letter of collaboration
47
J Lubbock A J newspaper article
48
K. City of Lubbock "City Profile" article
49
L. TDH newletter article
50
M. Referral form
51
N. Core Site.Review from TDH
52-66
O. Pregnancy Referral Protocol
67
P. Physician List for Pregnancy referrals
68
Q. Protocol for HIV+ Referrals
69
R. Partner Elicitation/Prenatal Referral (TDH) form
70
S. HIV Risk Assessment
71
T. SPARC letter of referral
72
U. Inside/Out letter of referral
73
V. Catholic Family Services letter of referral
74
W. Lubbock MHMR letter of referral
75
X. Collaborafive/Referral agreements from the City Health Department
76-83
4
CAPACITY OF THE ORGANIZATION
The City of Lubbock has provided HIV testing and counseling to at -risk individuals for the
past seven years. The HIV Counseling and Testing Program has been funded in its entirety
through grants from the Texas Department of Health. The City of Lubbock Health
Department also receives grant monies from the Texas Department of Health to conduct
HIV surveillance. We are the designated reporting agency for the Lubbock Health Service
Delivery Area. This long-standing commitment to the prevention of HIV and AIDS began
in the Health Department's Sexually Transmitted Disease Clinic. In the ensuing years, our
HIV program has grown to include testing and counseling, prevention education, and an
Early Intervention Clinic. The City Health Department also provides an Immunization
Clinic which tracks the immunization status of the clients enrolled in the HIV Early
Intervention Clinic.
The Project Director for the City of Lubbock Health Department's HIV Testing and
Counseling Program is Mary Strange, R.N. Ms. Strange has worked at the Health
Department for the last 16 years. She has held the positions of Clinical Supervisor,
Personal Health Section Coordinator, and, beginning in 1995, of Department Head. Ms.
Strange has supervised all the HIV projects conducted by the Health Department since their
inception. Included in *her responsibilities are managing budgets, supervising personnel,
submitting regular reports, and submitting proposals for continued funding. Ms. Strange
has a B.S. in Nursing and has participated in HIV Counselor Training Courses in 1988,
from TDH, and in 1986 and 1989, from the Fifth Army.
Ms. Tammy Foskey is the HIV Counselor at the City Health Department. She has been
serving in this capacity. since 1990. Ms. Foskey received a Master's Degree in Counseling
in 1989, which provided her with the basic skills necessary to be successful as our HIV
Counselor. Her responsibilities include providing HIV Prevention Counseling and Partner
Elicitation, HIV testing, providing referrals and follow-up counseling to those individuals
testing seropositive, assisting at risk individuals to develop personalized risk reduction
plans, maintaining statistical data used to formulate monthly and quarterly reports, and
assisting in the submission of annual applications for continued funding. Ms. Foskey's
position is fully funded by the TDH grant and is 100% dedicated to PCPE activities. Ms.
Foskey has attended the client -centered, required PCPE training from the Texas
Department of Health. She was trained to draw blood by the Nursing staff at the Health
Department after she joined the staff six years ago.
Although Ms Foskey is not a member of one of the target groups, she is considered by
members of the group to be a peer. Her six years as the HIV Counselor has provided
stability to the program, allowing members of the target groups the opportunity to develop
trusting relationships with Ms. Foskey and the Health Department staff. Ms Foskey has
attended cultural sensitivity training provided by the City of Lubbock and the state Health
department at their annual conference. She has spent time with members of the target
groups learning about their differing cultures. She has learned where they hang-out, what
their main concerns are, and how to provide culturally appropriate prevention messages.
5
--#
Ms. Foskey conducts outreach activities with adolescents who self -identify as MSM, gang
members, and/or incarcerated IDU's at the Lubbock County Youth Center. She provides
out reach activities to homeless IDU's, incarcerated IDU's, and IDU's who are sex workers
at the Lubbock County Community Correctional Facility, in conjunction with Inside/Out
HERR activities, and at the Lubbock County Jail. She reaches out to MSM college
students, as well as, UHS female partners of MSM/IDU at Texas Tech University's Student
Health Clinic. Ms. Foskey provides PCPE activities for at -risk students requesting testing,
students referred by the physicians in the Student Health Clinic, and students referred by
Tech's HIV -education program. Collaboration with Inside/Out has also opened on-site
locations for testing of IDU's in their recovery programs. On-site counseling and testing at
the City's STD clinic also allows Ms. Foskey to provide counseling and testing to members
of every target group identified in the action plan for TDH Region 1.
The City Health Department has four PCPE trained staff members, including clinicians and
one disease intervention specialist. These trained staff members are available to provide
PCPE activities for targeted individuals requesting HIV testing on-site during the times
when Ms. Foskey is providing services off-site.. As of July 1, 1996, HIV testing is being
routinely included in the STD clinical exam. Those individuals who fall into one of the
targeted risk groups, who are undecided about testing, and/or who refuse the HIV test are
routinely referred to the HIV Counselor in order to provide more personalized prevention
messages and to further reassure the client of confidentiality or anonymity..
The City of Lubbock Health Department is accessible by Citibus. The building is located on
a major North/South route as well as a major East/West bus route. This allows access for
people from all over the City. Our HIV program receives administrative support from
various city departments, due to the fact that it is a project of the Health Department. The
$1600 requested in indirect costs does very little to defray the actual cost for the
administrative services received by the project. The PCPE Project receives support from
Budget and Research, Purchasing, Accounting, Personnel, Fleet Services, Communication,
Information Services, City Management, Building Maintenance, and many other
departments. The support services received include proper financial management
assistance, internal audits, purchasing of all supplies, assistance in maintaining proper
personnel records and training, adequate telephones and FAX machines, up-to-date
information services systems, proper supervision and management systems, and so -on. The
ability to draw upon the City organization for all of these supportive features allows the
HIV Counselor the opportunity to focus on providing PCPE activities to members of all the
target populations.
The Health Department's commitment to the prevention of HIV began officially with the
on -set of the disease. Education efforts began early on, as the experts began to understand
the reason for the spread of HIV. As soon as testing became available, the Health
Department began to provide testing through the STD clinic. We were one of the original
HIV Counseling and testing sites funded by the Texas Department of Health. We have
maintained that funding and remained a testing site from that time forward. With an ever-
[ -1
changing face of the epidemic, we have remained on the cutting edge, changing our services
to meet the changing needs of the at -risk populations. Our goal is to continue to lead the
Lubbock community in recognizing at -risk behaviors and in creating prevention measures to
address these behaviors. In the first six months of 1996, Ms. Foskey and the other trained
staff members have provided HIV Counseling and Testing to over 1300 individuals, 5 of
whom tested positive. 83.8% of all individuals tested in this program this year have
returned for post-test counseling, while 100% of all individuals testing positive have
received post-test counseling and a referral for case management services. We believe that,
if continued funding is supplied, we will be able to maintain these high percentages if not
improve them over the next two years.
COLLABORATION WITH OTHER AGENCIES
The City of Lubbock Health Department has many long-term, collaborative relationships
with other health and human services providers within the City of Lubbock. Currently we
are providing counseling and testing for the clients of the following agencies:
Texas Tech University Student Health
Catholic Family Services
Lubbock County Jail
Inside/Out
Lubbock County Community Correctional Facility
Lubbock County Youth Center
Lubbock Health Department STD Clinic
A local gay club
The City's HIV Counselor works closely with Catholic Family Services Minority HIV
educator and Inside/Out's HERR HIV educator, providing testing and referral services
following their education presentations when requested. Inside/Out provides HIV
education to inmates at the Lubbock County Community Correctional Facility once each
month. The City's HIV Counselor attends these monthly presentations and offers inmates
the chance for testing after each presentation, thus tying the state's HERR. money with the
PCPE money. We also work with Inside/Out, testing their clients in various neighborhood
settings each Friday afternoon. Since Inside/Out targets non -identifying MSM's, IDU's and
gang members in certain minority neighborhoods, this provides the City staff with an entry
into these communities that might not otherwise be receptive to a representative of the local
government. Inside/Out's HERR grant provides them with funds to educate high-risk
individuals on a daily basis, providing them with HIV prevention and risk reduction
messages. The HIV Counselor work closely with Inside/Out to ensure that her messages
coincide and support the messages given by Inside/Out. Ms. Foskey goes to Inside/Out's
local office at noon each Monday through Friday in order to provide their clients with a
daily opportunity for testing and counseling. The City's collaboration with Inside/Out is
7
relatively new and has provided a wonderful opportunity to leverage both agency's grants,
providing more services for very little increase in costs.
The Counseling and Testing Services provided to Catholic Family Services in conjunction
with their HIV education grant is provided on a more random basis. CFS targets
predominantly Hispanic individuals who are also members of the migrant community and/or
self -identified gang members. They spend many hours in one-on-one education efforts.
When a client requests testing CFS arranges for a counseling and testing appointment with
Ms. Foskey in a setting that is convenient for the client. Many times that setting is the City
Health Department. The CFS educator often accompanies the client to the testing
appointment in order to provide translation services to the client, if needed. Ms Foskey and
Ms. Reyes of CFS have a good working relationship which enables the counseling and
testing session to proceed naturally, even when Ms. Reyes is translating for Ms. Foskey.
They function well as a team, thus helping the clients to feel comfortable with the process.
The South Plains AIDS Resource Center, better known as SPARC provides HIV education
services through their HERR grant to members of the gay community in Lubbock and the
surrounding counties. They also target sex workers and non -identifying males having sex
with other males. They provide education services to the area WIC clinics located outside
the Lubbock City limits, to residents of the Lubbock Housing Authority and to patients at
Lubbock's Charter Plains Hospital. The SPARC educators will refer individuals to the City
Health Department for testing and counseling, if one of their volunteers cannot be present at
the presentation to provide testing and counseling on-site. SPARC and the City Health
Department have worked in conjunction with each other for the past five years. We have
both provided staff for the HIV Early Intervention Clinic. SPARC receives the HIV
Services grant for Lubbock County and maintains a case management program with some
of those dollars. We refer individuals who are seropositive for HIV to SPARC to receive
case management and for enrollment in an appropriate support group. The City of
Lubbock's grant writer has assisted SPARC with preparing applications for new and
continuing grant funding. SPARC is applying for PCPE funding this year. They are
planning to hire a staff person to conduct counseling and testing in areas of Lubbock
County that are outside the Lubbock City limits and in the other counties in the Lubbock
HSDA. This is a gap in services that is sorely needed and we wholeheartedly support their
application. We will continue to provide PCPE services in the City of Lubbock to our
clientele. The addition of another HIV Counselor in this large 15 County area will enable
all the residents of the HSDA the opportunity for testing and counseling closer to their
homes and yet it will not increase duplication of services. It will allow for a more
structured means of providing back-up services when one person is ill or on vacation.
Lubbock's Regional Mental Health Mental Retardation (MHMR) Agency will continue to
educate and provide HIV Counseling and Testing for their clients. The NUBM staff, which
is funded by grants from both TDH and the Texas Council on Alcohol and Drug Abuse,
provides street outreach services to IDU's, Sex Workers, and individuals who. reside on the
streets. They provide prevention messages and enroll individuals in treatment programs.
The MHN% staff has been very successful in working with a highly specialized target
8
group. They provide education to clients wherever they can be found; on the street, in jails,
in treatment facilities, in halfway houses, etc. The city staff has worked cooperatively with
NJFIlVIR staff for the past seven years. We often refer clients we see in the STD clinic to
MHMR and they refer clients to us. They provide the testing for the vast majority of their
clients, since they are always ready to test someone on the spot,. no matter where the person
is staying. When they locate someone who is HIV positive, they refer the client to the HIV
Early Intervention Clinic located in the Health Department. Their program and ours have
proved to be a nice match in the past. MHMR staff are able to provide intense one-on-one
education, counseling, and testing to individuals who are wary of any governmental
officials. We can follow-up with STD exams and/or HIV testing and counseling if the
clients request it. We do not believe that there has been.a duplication of effort. With
almost 200,000 residents in Lubbock, having two HIV Counselors who both target IDU's
has not proven to be overkill. We do not go out on the streets to target the IDU's. We
work with the IDU's who seek testing at the STD clinic and who are clients of Inside/Out.
We work cooperatively with Lubbock County, providing testing and counseling services to
each of their correctional facilities, Lubbock County Jail, Lubbock County Youth Center,
and Lubbock County Community Correctional. Facility. They allows us access to the
inmate population to provide testing. and counseling when requested by the inmate.
We work closely with the state regional. office which is located in Lubbock. The Regional
Health Director also serves as the Local Health Authority. The cooperation between the
local health department and the state regional office has been superior in all areas of public
health; from mosquito control and environmental health issues to animal control to TB
control programs, immunizations, and HIV prevention. Ms. Foskey and Billie Ray, the
Regional HIV Coordinator, maintain a good working relationship, contacting one another
when either has a question or concern regarding our program.
For f uuther information regarding collaboration, please see our letters of Agreement which
can be found in Appendix A-41. In Appendix L -L, we have included some newspaper
articles regarding our PCPE program which highlights our success and our efforts to
collaborate with the other agencies in town which provide similar services.
N
REFERRAL PLAN
All clients testing seropositive are referred to agencies for the following services:.
STD Screening and Treatment
Tuberculosis Testing and Treatment
Substance Abuse Counseling and Treatment
Family Planning Services
Prenatal Services including treatment to reduce maternal transmission of HIV
Prevention Case Management
Early Intervention Medical Services
Immunization Review and Update
Seropositive clients are referred to other agencies for the following services, if needed:
Support Group
Family Support Group
Food Assistance
Housing Assistance
Transportation
High -Risk Seronegative Clients are either referred or scheduled for a follow-up visit to
maintain ongoing HIV prevention counseling.
A list of referral agencies is maintained and updated by the City of Lubbock HIV
Counselor. The list includes names, addresses, and phone numbers of the agencies.
The referral agencies include:
The City of Lubbock Health Department for: STD Testing and Treatment, TB
Testing and Treatment, Early Intervention Medical Services, Immunization
Review and Update,
The Community Health Center of Lubbock for: Family Planning Services, Prenatal
Services, Housing Assistance, and Transportation Services
South Plains AIDS Resource Center (SPARC) for: Prevention Case Management,
Support Groups, Family Support Groups, Ongoing HIV Prevention Counseling,
Food Assistance, Housing Assistance, and Transportation Services
Lubbock MHMR for: Substance Abuse Counseling and Treatment, Ongoing HIV
Prevention Counseling, Support Groups
10
Inside/Out for: Ongoing HIV Prevention Counseling, Substance Abuse Counseling
and Treatment
Narcotics Anonymous and Alcohol Anonymous for: Ongoing HIV Prevention
Counseling, Substance Abuse Counseling and Treatment
Clients are given addresses and phone numbers for the agency referred to. If possible the
HIV Counselor makes the original appointment for the client. The date and time of the
appointment is given to the client. The HIV Counselor tries. to schedule the appointment
between the date of the current appointment and the date of the follow-up post-test
counseling session for the client. This way the Counselor can learn from the client if they
kept the appointment and the conclusions of the appointment. If the appointment was not
kept, the, HIV Counselor will attempt to determine why it was not kept and take
appropriate action (schedule another appointment, schedule with a different agency, or
schedule another post-test counseling session.) If the referral is for a service provided at
the Health Department, the HIV Counselor will attempt to refer the client to the
appropriate staff member at that point in time. She will then personally escort the client to
the staff person and make the appropriate introductions. If the client must come back at
another time, Ms. Foskey will meet the client in. her office and then introduce them to the
appropriate staff person. All personnel working with any Health Department patient are
required to sign a statement of confidentiality.
All referrals require the use of the HIV Positive Referral Tracking Form.. A copy of the
tracking form can be found in Appendix M. The form includes the client's name and/or
CDC number and where the client was referred. There is a place for the referral conclusion
and the date the conclusion was verified. This form is maintained in the client's record.
The HIV Counselor tracks the referral until appropriate action has been taken and verified.
A copy of the latest Core Site Review conducted by TDH in April 1996, is included in
Appendix N. This review verifies the existence and use of a referral and tracking protocol.
The protocols for referral and tracking, for both seropositive clients and for prenatal clients
are included in Appendix M.O-R.
WORKPLAN
The City Health Department Prevention Counseling/Partner Elicitation Activities will focus
on the target populations identified by the 1996 Region 1 Action Plan as determined by the
Region 1 HIV Planning Coalition and the Texas Department of Health. Specifically these
targeted groups are: men who have sex with men (MSM) who are adolescents, college -
aged, men of color and anglo men; injecting drug users (IDI) who are incarcerated, sex
workers, and/or homeless; and people who have or have had unprotected heterosexual sex
11
(CTHS) and who are migrants, gang members and/or female partners of injecting drug users
and/or female partners of men who have sex with men. The City has targeted all these
groups during past years. During the first six months of 1996, the City's HIV Counselor
has served:
5 MSM - Adolescent
20 MSM - College -Aged
32 MSM - Of Color
36 MSM - Anglo
3 IDU - Homeless
9 IDU -Sex Worker
51 IDU - Incarcerated
1 UHS - Migrant
1 UHS - Gang Member
66 UHS - Female Partner of IDU and MSM
1088 - Other
1312 - TOTAL
From October 1994 through October 1995, the City of Lubbock provided counseling and
testing for 1,941 individuals. Of those tested, 1,628 returned for post-test counseling for a
return rate of 84%. The return rate is very important as it is.an indication of the ability of
the HN Counselor to "connect" with the individuals she is testing. The clients report that
they find the testing experience comfortable, non judgmental, and respectful. These
attributes appear to be the reason so many individuals return for their test results. These
attributes also make it possible for the HN Counselor to overcome many perceived barriers
to service.
These perceived barriers to service include: 1) the lack of a peer providing the testing and
counseling; 2) the location of the primary testing site in a local government building; 3)
number of people sitting in the STD waiting room, and 4) the need to make an appointment
for testing and counseling, if one wants to be seen quickly. All of these perceived barriers
to service have been overcome by time. When the Health Department started conducting
an HIV testing and counseling program, many clients asked to be tested anonymously
and/or off-site. As time has passed and no-one has been identified by Health Department
staff as HIV positive or as having been tested, the confidence level of potential clients has
increased. The high-risk populations have developed. a sense of trust in the Health
Department staff primarily due to a word-of-mouth publicity campaign. As individuals
come in to be tested and are treated- with respect and nonjudgmentally, they relate their
experience to'their peers. Presently, we are finding that we are testing some individuals
who could choose to be tested by peers, but they prefer our system, our location, and our
reputation for maintaining confidentiality.
To increase the number of individuals we are reaching in each specific target group we have
spent the last year adding locations for off-site testing. The Health Department staff plans
to continue to reach out to individuals in their communities rather than waiting for them to
come to us. The HN Counselor will continue working with various agencies in the
12
Lubbock area to collaborate in providing testing after HIV educational presentations.
Those agencies include Inside/Out, Texas Tech University, Catholic Family Services, and
SPARC. The HN Counselor will also provide testing to the incarcerated female trustees at
the Lubbock County Jail and will provide testing at the Lubbock County Youth Center.
Testing will continue to be offered on-site at the Health Department and off-site at Texas
Tech University's Student Health. The HIV Counselor will continue to work with the
management of the adult theaters/bookstore and gay club to provide preventive materials,
testing on-site and/or referral for testing to the City of Lubbock Health Department.
The HIV Counselor will spend a minimum of 10 hours per week providing testing and
counseling to at -risk clients in their own communities, where at -risk behavior occurs, and/or
where the targeted groups congregate. Table 1 identifies each target group, where testing
and counseling will be offered, when it will be offered, which agency, if any, will participate
in the effort, and the HIV Counselor involved in the out -mach effort.
Rapport willbe established with different groups in different ways. With many groups, such
as the men at the gay club, the students at Texas Tech, and the inmates at the Lubbock
County Youth Center and the Lubbock County Jail, the testing and counseling activities will
be a continuation of activities that have been ongoing for several years. With these groups
the continued presence of the HIV Counselor on a regular basis is sufficient to maintain
rapport. Ms. Foskey is accepted as a member or as a support person for members of their
group. She is able to walk into their environment and start up conversations with ease. In
these groups she uses personalized risk reduction messages to encourage testing and
counseling.
With other groups, such as the Inside/Out neighborhoods and migrant farmworkers, Ms.
Foskey collaborates her efforts with those of the HIV educators. The educators spend time
with these individuals on a daily basis establishing rapport and providing ane -on -one
education to the at -risk population. Ms. Foskey's regular visits then allow the educators to
offer on-site testing. Since they vouch for her reliability, she is able to provide counseling
and testing to another target group.
Possible barriers that Ms. Foskey might encounter while providing PCPE activities include
lack of transportation, language barriers, lack of childcare, privacy, and hours of operation.
Staff have planned and worked hard to try to find ways to overcome these barriers.
Transportation should not be a problem, since Ms. Foskey is spending more time doing off-
site testing and counseling. She will meet the individual requesting testing and counseling in
whatever location that is accessible to them, including their own homes. Ms. Foskey is not
fluent in Spanish although she understands it somewhat. She collaborates with Catholic
Family Services to provide some help with translation, as well as other Health Department
staff when testing in the STD clinic. She has worked with these translators enough to
develop a smooth counseling session in spite of the translation time lag.
13
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Lack of childcare is really more of a perceived barrier than a real barrier to testing and
counseling. For clients requesting testing .and counseling at the Health Department, there is
always another staff member available to tend the children while their caregiver is being
counseled. Since Ms. Foskey will schedule her off-site appointments at any time to be
convenient to the client, she will work with them to find a time when the caregiver has
someone else to watch the children or she will bring along a nursing student or another
staff member to watch the children.
Privacy is not an issue for those receiving services at the Health Department. Clients are
only identified by number, not name. They have a separate waiting room from the main
room at the Health Department, with a private entrance. Ms. Foskey has a private office for
counseling and testing. Off-site Ms. Foskey insists on privacy for the PCPE sessions. If a
private place cannot be arranged, she will schedule the client for a visit in another location
which she and the client arrange.
Ms Foskey works 8 until 5 Monday,Tuesday, Wednesday and Friday and 10:45-7:15 on
Thursdays. If those hours are not convenient for the target group, she has permission to
shift her hours to suit the needs of the target group. This is evident in her late night/early
morning testing hours at the gay club.
More details regarding specific activities as they relate to the objectives are found with each
individual objective.
QUALITY ASSURANCE PLAN
In order to maintain the highest Ievel of service available to their patients, the City of
Lubbock Health Department has a client -centered quality assurance program. This program
applies to all projects operating within the Health Department including the HIV Prevention
Counseling/Partner Elicitation Program. The Quality Assurance Program involves
maintaining a long-range plan, writing program objectives for each project on an annual
basis, and participating in regular evaluations. TDH monitors the Health Department, both
for financial responsibility and programmatic responsibility. The Community Health
Accreditation Program (CHAP) , a subsidiary of the National League for Nursing has
conducted an annual evaluation of the Nursing Program for the past three years. During the
last unannounced evaluation, the Health Department passed without any recommendations
for change.
Programs and policies are developed with the patient as top priority. Standards for Care,
such as those developed by the Centers for Disease Control (CDC) and the American
Nurses' Association (ANA) are a critical component of these policies. Client care is
evaluated formally through the use of Case Conferences, Medical Records Audits, and
0 16
Client Satisfaction Surveys. The Client Grievance Policy is explained to each new patient,
providing a method for the consumers to express their specific complaints with the services
provided.
A section of the Quality Assurance Program addresses the need to ensure the quality of the
staff at the Health Department. The quality assurance program covers the application
process, the interview process, staff orientation, annual performance evaluations, and the
provision of continuing education to the staff.
Annual*performance evaluations are required by the personnel policy guidebook for the City
of Lubbock. The evaluations are tied to merit pay increases. Forms are developed by the
City's Human Resources office and all supervisors- are required to attend training.
The staff development policy includes the recognition that. it is important to have employees
who maintain a high degree of knowledge in the field of public. health, clinical proficiency,
and continuing education credits to maintain professional certification. To this end, three
avenues for obtaining continuing education are provided by the department. These avenues
are monthly in-service programs, specific workshops and conferences, and unspecified
funding for individuals, subject to case-by-case approval.
REQUIRED OBJECTIVES, ACTIVITY MEASURES, AND EVALUATION PLANS
PROCESS OBJECTIVE I: By December 31, 1997, the City of Lubbock PCPE program
will provide HIV prevention counseling, according to TDH guidelines, to 1600 persons as
outlined in the Target Group Chart. (See Table 2 for Target Group Chart)
ACTIVITY MEASURES:
A Maintain current STD site for counseling and testing.
1. Document HIV risk assessment in STD chart. (Appendix 5)
2. PCPE trained nursing staff will be available to do on-site counseling and testing for
high-risk individuals when the HIV Counselor is unavailable.
3. Maintain availability of HIV pamphlets in the STD clinic lobby area.
B. Maintain testing site at Texas Tech University (on-site) eight hours a week. (MSM,
IDU, female partners of MSM and/or IDU) (Appendix E)
C. Collaborate with Inside/Out (HERR) to provide testing for individuals (IDU, MSM,
MSM of color, MSM adolescents, gang members) off-site. Referrals will also be made
to the City of Lubbock Health Department when needed. (Appendix B)
D. Collaborate with Catholic Family Services (HERR) to provide testing for individuals
(migrants, homeless, IDU, MSM adolescents, female partners of MSM and/or IDU)
upon request. (Appendix
17
E. Continue to work with the management of adult theaters/bookstores to provide
prevention materials and on-site testing. (MSM, MSM of color)
F. Continue to work with the management of a local gay club to provide on-site testing
and referrals for testing to the City of Lubbock Health Department. (MSM, MSM of
color) (Appendix E)
G. Continue to provide on-site testing for female trustees at the Lubbock County Jail.
(IDU, sex workers, sexual partners of MSM and/or IDU). (Appendix Ia
H. Continue to provide on-site testing to incarcerated individuals at the Lubbock County
Youth Center and the Lubbock County Community Correctional Facility. (IDU,
gang members and high-risk females) (Appendix F_Ga .
EVALUATION OF OBJECTIVE:
Monthly and quarterly reports will indicate the number of individuals receiving prevention
counseling and those individuals being tested for HIV. Number of individuals within
specific target groups receiving pretest counseling and testing will be documented on
monthly and quarterly reports. Counselor will use the state forms to collect data and to
report data.
EVALUATION FORMULA: # prevention counseled and # testing
PROCESS OBJECTIVE II: During the project year, the City of Lubbock Health
Department PCPE program will provide posttest counseling to a minimum of 75% of the
individuals who test for HIV infection.
ACTIVITY MEASURES:
A Due to confidentiality laws, emphasis is placed on the importance of returning for
results in person.
B. Maintain adequate and varied hours for scheduling appointments for results.
C. Posttest counseling is documented.
EVALUATION OF OBJECTIVE:
Monthly and quarterly reports will indicate the percentages of individuals returning for test
results. Counselor will use the state forms to collect data and to report data.
EVALUATION FORMULA: # receiving posttest counseling/# HIV tested x 100
PROCESS OBJECTIVE III: During the project year, 95% of the individuals testing HIV
positive through the City of Lubbock Health Department PCPE program will receive
posttest prevention counseling.
ACTIVITY MEASURES:
18
A. Emphasize the need to obtain test results in person.
B. If confidential testing is selected, obtain locating information to assist in notification of
individual should he/she test seropositive for an HIV infection.
C. Emphasize the confidentiality of results and importance of knowing serostatus to make
important life and health decisions.
19
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EVALUATION OF OBJECTIVE:
Monthly and quarterly reports will indicate the number of individuals testing seropositive
and the number returning for test results that are seropositive. Counselor will use the state
forms to collect data and to report data.
EVALUATION FORMULA: # receiving seropositive results/# testing seropositive
PROCESS OBJECTIVE IV: During the project year, the City of Lubbock Health
Department-PCPE program will successfully link at least 95% of the individuals testing HIV
positive to case management for early intervention.
ACTIVITY MEASURES:
A. A packet of information will be reviewed with the Counselor and given to each person.
B. An appointment will be made at the early intervention clinic located at the City of
Lubbock Health Department.
C. A list of private physicians will also be available for those who are desiring more
confidentiality and anonymity.
D. A follow-up appointment will be scheduled to assess individual's needs and
implementation of further referrals.
E. Referral will be made to the South Plains AIDS Resource Center for social and support
services.
F. Referral to the Immunization clinic for immunization update and TB testing.
EVALUATION OF OBJECTIVE:
A tracking system was developed to provide agencies a method that is consistent in making
appropriate referrals for early intervention medical services, and social and support services.
(Appendix __) Monthly and quarterly reports will document progress towards this
objective. Counselor will use the state forms to collect data and to report data.
EVALUATION FORMULA: # referred for early intervention/# seropositives x 100
PROCESS OBJECTIVE V: During the project year, the City of Lubbock Health
Department PCPE program will elicit at least one sex and/or needle sharing partner, for
health department referral, from 80% of those HIV-positive individuals receiving posttest
prevention counseling.
ACTIVITY MEASURES:
A. Introduce partner elicitation during pretest counseling session.
B. At the time of seropositive posttest counseling session, address the issue of the
importance of notification of partners. If unable to elicit partners at the time, arrange
for a follow-up appointment to discuss this and any other issues.
C. Work with DIS (Disease Intervention Specialist) to arrange follow-up field visit if
necessary.
22
D. All trained HIV Counselors will be trained in Partner Elicitation course offered by TDH.
E. The Wellness Coordinator at the Early. Intervention clinic will also work to elicit names
and re-emphasize the importance of partner notification during the counseling session.
EVALUATION OBJECTIVE:
Monthly and quarterly reports will be the tools for evaluation. The form developed by TDH
will be submitted by the HIV Counselor immediately following a seropositive posttest
counseling session.
EVALUATION FORMULA: # seropositive clients requesting assistance/ # seropositive
clients x 100
PROCESS OBJECTIVE VI: During the project year, 100% of women testing HIV
positive who. are identified as pregnant will be referred for prenatal care.
ACTIVITY MEASURES:
A. Emphasize the importance of returning for test results for the health of the mother and
child.
B. Obtain locating information, if needed, on all pregnant women testing through the City
of Lubbock Health Department for notification of seropositive results.
C. Physician referrals will be made for women testing seropositive and follow-up will be
made by the HIV Counselor to assure that the prenatal appointment(s) is kept.
D. Materials documenting the evidence of AZT in the prevention of HIV in infants will be
made available. Breast feeding and plans for delivery (vaginal or C-section) will also be
discussed and information made available.
E. Partner Elicitation/Prenatal Referral Report Form will be submitted to TDH within 2
working days of the seropositive posttest counseling session.
EVALUATION OF OBJECTIVE:
Monthly and quarterly reports will document the progress. Counselor will use the state
forms to collect data and to report data
EVALUATION FORMULA: # seropositive pregnant women referred for prenatal care/
# seropositive pregnant women
23
PROCESS OBJECTIVE VII: During the project year, the HIV Counselor will
collaborate with other agencies serving high-risk seronegatives to form a support group(s)
to address risk reduction issues in an effort to remain HIV negative.
ACTIVITY MEASURES:
A. Work with SPARC, Lubbock-NMM t, Catholic Family Services, Inside/Out, and the
management of the adult theaters/bookstores and gay club to determine the needs of the
community that remains at high-risk for HIV.
B. Work with Texas Tech University students as volunteers for organizing the format and
publicity of the support group(s).
C. Gather material from other programs in the state that have seronegative support groups
to be used in forming one in the Lubbock area:
EVALUATION OBJECTIVE:
Monthly and quarterly reports will document the progress. Reports will include minutes of
meetings with attendees listed and copies of materials gathered from across the state.
PROCESS OBJECTIVE VIII: During the project year, the HIV counselor will work to
establish relationships with the Neighborhood Associations of the City of Lubbock and the
Health Education section of the City of Lubbock Health Department provide HIV
Education and testing in high-risk neighborhoods (IDU, gang, high-risk females).
ACTIVITY MEASURES:
A. Work with the Health Education section of the City of Lubbock Health Department and
the Neighborhood Associations of the City of Lubbock to determine how the HIV
counselor can assist in providing HIV education and prevention counseling and testing
to those persons at risk for HIV.
B. Organize place and time to be available in specific neighborhoods on a monthly basis to
maintain visibility within the high-risk populations.
EVALUATION OF OBJECTIVE:
Monthly and quarterly reports will document the progress. Reports will include agency
representatives and others who have assisted in the planning and implementation of this
objective.
24
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4 C
HIV PREVENTION COUNSELING AND PARTNER ELICITATION
BUDGET JUSTIFICATION
A PERSONNEL
$29,868.00.
HIV Counselor (Tammy Foskey)
100% FTE for PCPE Activities
2489 /month X 12 months =
$29,868.00
This position will continue to provide
counseling, testing, referral, and
partner elicitation in Lubbock County
for STD clients, female trustees, women
who are partners of men who have sex
with men or use injecting drugs, gang
members, men who have sex with men,
injecting drug users, and others seeking
testing for HIV at the City of Lubbock
Health Department
B. FRINGE (29%)
$8,660.00
FICA: rate x salary
$2,218.00
Insurance: cost per month x FTE's
$6,442.00
(Health ins: 2,613
Life ins. 33
Dental ins. 209
Retirement 3,587
Total Fringe Rate
29%
C. TRAVEL
$1,200.00
Expenses for HIV Counselor to
attend one state conference.
Airfare
$100.00
Hotel @ $55 x 4 days
$220.00
Meals @ $25 x 4 days
$100.00
Car Allowance ($.30/mi. x 2600 mi/yr)
$780.00
D. SUPPLIES $50.00
Funds are requested for the purpose of
general office supplies.
E. OTHER $555.00
Educational Supplies $500.00
Conference Registration $55.00
F. TOTAL DIRECT COSTS. $40,333.00
G.. TOTAL INDIRECT COSTS (UGCMS) . $1,600.00
H. TOTAL BUDGET $41,933.00
27
Texas Department of Health
Bureau of HIV & STD Prevention
I Contractor Assurances
2 June 12, 1996
.3 1. ADVOCATE AND PROMOTE
4 The applicant agency assures that it does not advocate or promote conduct that violates state law, in
5 compliance with the HIV Services Act, Texas Health and Safety Code, Section 85.011, as follows:
6 "Grants may not be awarded to an entity or community organization that advocates or
7 promotes conduct that violates state law. This subsection does not prohibit the award
8 __. _ _ of a grant to an entityor community organization that provides accurate information
9 about ways to reduce the risk of exposure to or transmission of HIV."
10
2. CONFIDENTIALITY
11 The applicant agency and its employees or subcontractors, if applicable, provide assurance to the Texas
12 Department of Health that confidentiality of all records shall be maintained. No information obtained
13 in connection with the examination, care, or provision of programs or services to any person with HIV
14 shall be disclosed without the individual's consent, except as may be required by law, such as for the
15 reporting of communicable diseases. Information may be disclosed in statistical or other summary
16 form, but only if the identity of the individuals diagnosed or provided care is not disclosed.
17 We are aware that the Health and Safety Code, §81.103, provides for both civil and criminal penalties
is against anyone who violates the confidentiality of persons protected under the law. Furthermore, all
19 employees and volunteers who provide direct client care services or handle direct care records wherein
20 they may be informed of a client's HIV status or any other information related to the client's care, are
21 required to sign a statement of confidentiality assuring compliance with the law. An entity that does
22 not adopt a confidentiality policy as required by law is not eligible to receive state fiends until the policy
23 is developed and implemented.
24
3. CONFLICT OF INTEREST
25 The applicant agency and its employees or subcontractors, if applicable, provide assurance to the Texas
26 Department of Health that no person who is an employee, agent, consultant, officer, board member,
27 or elected or appointed official of this agency, and, therefore, in a position to obtain a financial interest
28 or benefit from as activity, or an interest in any contract, subcontract, or agreement with respect
29 thereto, or the proceeds thereunder-, either for himself or herself or for those with whom he or she has
30 family or business ties, during his or her tenure or for one year thereafter shall participate in the
31 decision making process or use inside information with regard to such activity. Furthermore, this
32 agency will adopt procedural rules which require the affected person to withdraw from his or her
33 functions and responsibilities or the decision making process with respect to the specific assisted
34 activity from which they would derive benefit.
28
HIV/STD Form No. 500.001
-1-
-0
Contractor Assurances - _.„
1 4. HN/AIDS MODEL WORKPLACE GUIDELINES FOR PROVIDERS OF DIRECT
2 CARE, SERVICES, OR PROGRAMS
3 The applicant agency assures that its Project Director and Authorized Business Official have:
4 A. received a copy of the HIV/AIDS Model Workplace Guidelines, Providers of Direct Care,
s Services, or Programs, Amended Final Rules, Texas Board of Health, January 27, 1990;
6 B. have read them;
7 C. agree to adopt and implement workplace policies on HN/AIDS to include at a minimum:
s 1) the provision of education for employees and clients concerning HIV, its related
9 conditions, and AIDS;
10 2) confidentiality of AIDS and HIV-related and all other medical information for
11 employees, clients, inmates, patients, and residents served by the applicant agency;
12 and
13 3) an anti -discrimination policy assuring all privileges and opportunities for any employee
14 or client with a communicable disease, unless based on accurate scientific information.
15 5., DEBARMENT AND SUSPENSION
16 The undersigned (authorized official signing for the applicant organization) assures to the best of his
17 or her knowledge and belief, that the applicant, defined as the primary participant in accordance with
1s 45 CFR Part 76, and its principals:
19 A. are not presently debarred, suspended, proposed for debarment, declared ineligible, or
20 voluntarily excluded from covered transactions by any Federal Department or Agency;
21 B. have not within a 3 -year period preceding this proposal been convicted of or had a civil
22 judgment rendered against them for commission of fraud or a criminal offense in connection
23 with obtaining, attempting to obtain, or performing a public (Federal, State, or local)
24 transaction or contract under a public transaction; violation of Federal or State antitrust statutes
25 or commission of embezzlement, then, forgery, bribery, falsification or destruction of records,
26 making false statements, or receiving stolen property;
27 C. are not presently indicted or otherwise criminally or civilly charged by a governmental entity
28 (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (b)
29 of this certification; and
30 D. have not within a 3 -year period preceding this application/proposal had one or more public
31 transactions (Federal, State, or local) terminated for cause or default.
32 Should the applicant not be able to provide this certification, an explanation as to why should be placed
33 after the assurances page in the application package.
34 The applicant agrees by submitting this proposal that it will include, without modification, the clause
35 titled "Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion -Lower
36 Tier Covered Transaction" (Appendix B to 45 CFR Part 76) in all lower tier covered transactions (i.e.,
37 transactions with . subgrantees and/or contractors) and in all solicitations for lower tier covered
38 transactions.
39
6. LOBBYING
40 Title 31, United States Code, Section 1352, entitled "Limitation on use of appropriated funds to
41 influence certain Federal contracting and financial transactions," generally prohibits recipients of
42 Federal grants. and cooperative agreements from using Federal (appropriated) funds for lobbying the
43 Executive or Legislative Branches of the Federal Government in connection with a SPECIFIC grant
44 or cooperative agreement. Section 1352 also requires that each person who requests or receives a
2°
HIV/STD Form No. 500.001 -2-
Contractor Assurances -'-'"
1 Federal grant or cooperative agreement must disclose ' lobbying undertaken with non -Federal (non
-
2 appropriated) funds. These requirements apply to grants and cooperative agreements EXCEEDING
3 $100,000 in total costs (45 CFR Part 93).
4 The undersigned (authorized official signing for the applicant organization) certifies, to'the best of his
5 or her knowledge and belief, that:
6 A. No Federal appropriated funds have been paid or will be paid, by or on behalf of the
7 undersigned, to any person for influencing or attempting to influence an officer or employee
s of any agency, a Member of Congress, an officer or employee of Congress, or an employee
9 of a Member of Congress in connection with the awarding of any Federal contract, the making
10 of 'any Federal grant, the making of any Federal loan, .the entering into of any cooperative
11 agreement, and the extension, continuation, renewal, amendment, or modification of any
12 Federal contract, grant, loan, or cooperative agreement.
13 B. If any funds other than Federally appropriated funds have been paid or will be paid to any
14 person for influencing or attempting to influence an officer or employee of any agent, a
15 Member of Congress, an officer or employee of Congress, or an employee of a Member of
_16 Congress in connection with this Federal contract, grant, loan, or cooperative agreement, _the
17 undersigned shall complete and submit Standard Form -LLL, "Disclosure of Lobbying
18 Activities," in accordance with its instructions. (If needed, Standard Form -LLL, "Disclosure
19 of Lobbying Activities," its instructions, and continuation sheet are included in the Appendices
20 of this application form.)
21 C. The undersigned shall require that the language of this certification be included in the award
22 documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under
23 grants, loans and cooperative agreements) and that all subrecipients shall certify and disclose
24 accordingly.
25 This certification is a material representation of fact upon which reliance was placed when this
26 transaction was made or entered into. Submission of this certification is a prerequisite for making or
27 entering into this transaction imposed by Section 1352, U.S. Code. Any person who fails to file the
28 required certification shall be subject to a civil penalty of not less than $10,000 and not more than
29 $100,000 for each such failure."
30 7. PROGRAM FRAUD CIVIL REMEDIES ACT (PFCRA)
31 The undersigned (authorized official signing for the applicant organization) certifies, to the best of his
32 or her knowledge and belief, that the statements herein are true, accurate, and complete, and agrees
33 to comply with the TDH terms and conditions if an award is issued as a result of this application.
34 Willful provision of false information is a criminal offense (Title 18, U.S. Code, Section 1001). Any
35 person making any false, fictitious, or fraudulent statement may, in addition to other remedies available
36 to the Gover anent, be subject to civil penalties under the Program Fraud Civil Remedies Act of 1986
37 (45 CFR Part 79).
38 8. ENVIRONMENTAL TOBACCO SMOKE
39 Public Law 103-227, also known as the Pro -Children Act of 1994, requires that smoking not be
40permitted in any portion of any indoor facility owned or leased or contracted for by an entity and used
41 routinely or regularly for -the provision of health, day care, early childhood development services,
42 education or library services to children under the age of 18, if the services are funded by Federal
43 programs either directly or through State or local governments, by Federal grant, contract, loan, or
44 loan guarantee. The law also applies to children's services that are provided in indoor facilities that
45 are constructed, operated, or maintained with such Federal funks. The law does not apply to children's
30
HIV/STD Form No. 500.001 -3-
I services provided in .private residences; portions of facilities used for inpatient drug or alcohol
2 treatment; service providers whose sole source of applicable funds is Medicare or Medicaid; or
3 facilities where WIC coupons are redeemed. Failure to comply with the provisions of the law may
a result in the imposition of a civil monetary penalty of $1,000 for each violation and/or the imposition
s of an administrative compliance order on the responsible entity.
6 The contractor assures that the submitting organization will comply with the requirements of the Act
7 and will not allow smoldng within portion of any indoor facility used for the provision of services for
8 children as defined by the Act.
9 The submitting organization further agrees that it will require that the langulge of this certification be
10 included *in any subawards which contain provisions for children's services and that all subrecipients
11 shall certify accordingly.
12
9. GOOD STANDING
13 Applicant agency certifies that it is in good standing with any state/Federal agency that it has a
14 - contracting relationship with and has not had a contract terminated within the last 12 months for
15 deficiencies in contract performance.
16 Applicant certifies that it is, at the time of this application and throughout the application cycle, in good
17 standing with the Texas Department of Health CMH) in regard to current and past TDH contracts.
is Applicant certifies that it has not defaulted on an agreed repayment schedule for amounts owed to the
19 TDH. If funds owed to the TDH have not been repaid, the applicant understands it is ineligible to
20 apply for funds from the TDH until the amounts owed are paid in full.
By signing this form, appricentigrantee agrees to abide by the requirements of the assurances stated herein.
L11'hbock Tjealtbe e t
of MIMS
May id L on
Name 7( 1 e OT p anal
•
• Date 8/22/96
gna e o izea Kreser ive vd R. La ton, Mayor
31
HIV/STD Form No. 500.001 -4-
Texas Department of Health
Bureau of HIV & STD Prevention
1 ASSURANCE OF COMPLIANCE WITH REQUIREMENTS FOR CONTENTS OF
2 AIDS -RELATED WRITTEN MATERIALS, PICTORIALS, AUDIOVISUALS,
3 QUESTIONNAIRES, SURVEY INSTRUMENTS, AND
4 EDUCATIONAL SESSIONS, AND ITS PREFACE
s The applicant agency certifies that its Project Director and Authorized Business Official:
6 have received a copy of the Requirements for Contents of AIDS -Related Written Materials, Pictorials,
7 Audiovisuals, Questionnaires, Survey Instruments, and Educational Sessions in Centers for Disease
8 Control Assistance Programs, dated June, 1992, and its Preface,
9 have read them;
10 accept them;
11 agree to comply with all particulars and specifications set forth; and
12 agree that all specified materials shall be submitted to the local program materials review panel and
13 subject to the CDC Basic Principles set forth.
14 Following are the names, occupations, affiliations and addresses of the proposed panel members: (use
is attachment page if needed.) One member must be an employee of the local health department.
16 Name Occupation Affiliation and Address
17
is
19
-M
Liz Inskip-Paulk HPpii-h peilnatnr City of Lubbock HaaIth nepartmer
1902 Tei;as Ave. Lubbock, TX
Soila Reyes HIV Educator Catholic Family Service
102 Ave.J, Lubbock, TX
Leonard Jarman Mi ni si-.p r/qA rnnnan+1 nPPni-ra1 T iihAnr-Ir r1111rrrh of Christ
Inside Out, 1409 23rd, Lubbock,
Ben Morales Manager Crystal Cinema
1408 N. Ave Y, Lubbock, TX
Dan "rowp1 l NTVFrl�tr-atnr�4P� LR(�gR oC
5513 Brownfield Hwy., Lubbock, i
32
August 22, 1996
x Date
Texas Department of Health
Bureau of HIV & STD Prevention
I ASSURANCE OF COMPLIANCE WITH THE
2 TEXAS HEALTH AND SAFETY CODE
3 SUBCHAPTER D. TESTING PROGRAMS AND COUNSELING
a SEC. 85.085 PHYSICIAN SUPERVISION OF MEDICAL CARE
s By Signing and submitting this form, the applicant agency certifies that its project staff and
6 volunteers are worldng under the standing delegation order. of a licensed practicing physician
7 when providing HIV counseling and testing services as required in part by the Texas Health
s and Safety Code, Sec. 85.085.
9 Citv of Lubbock Health Denartment
to wlicant Akepncy
i
David IfA Langston,
mayty
13 dot
2), -OA
14 Signature of Licensed Physician
is w7(v�;z, LT- �Ynro?
16 License Number
33
Augu.st 22, 1996
Date
Date
ADMINISTRATIVE HISTORY CERTIFICATION
Name of Applicant crrY of u�oc'x
Answer each of the questions and address each of the statements below and attach all
documentation requested. Identify any attached documentation with the applicable question or
statement number in the right hand comer.
1. The .applicant must disclose any existing or potential conflicts of interest relative to the
performance of the requirements of this RFP. Examples -of potential conflicts may include
an existing business or personal relationship between the applicant, its principal, or any
affiliate or subcontractor, with TDH, the participating agencies, or any other entity or person
involved in any way in any project that is the subject of this RFP. Similarly, any personal
or business relationship between the applicant, the principals, or any affiliate or subcontract,
_ with any employee of TDH, a participating agency, or their respective suppliers, must be
disclosed. Any such relationship that might be perceived or represented as a conflict must
be disclosed. Failure to disclose any such relationship may be cause for contract termination
or disqualification of the proposal. If, following a review of this information, it is
determined by TDH that a conflict of interest exists, the offeror may be disqualified from
further consideration for the award of a contract
Does applicant have any existing or potential conflict of interest relative to the performance
of the requirements of this RFP?
o YES El NO
If YES, detail any such relationship(s) that might be perceived or
represented as a conflict. (Attach no more than one additional page.)
2. Have any of the applicant's principal officers been employed by the State of Texas in the
past 24 months?
a YES 0 NO
If YES, indicate her/his name, Social Security number, job title,
agency employed by and separation date in this space below
3. Has the applicant, or any of its principal officers, contracted with TDH during the past 24
months?
h YES .a NO
Administrative History Certification 1
34
-M .
If YES, indicate the contract number(s) and/or any other
information available to identify the contract. Indicate if the
contract(s) is or was on probation, on vendor hold, restricted, or
otherwise subject to any type of sanction. (Attach no more than one
additional page.) Contract Nur er 756005905-97
4. Is the applicant, or any of its principal officers, delinquent on any State, Federal or other
debt?
o YES z NO
If YES, please explain.(Attach no more than one additional page.)
5. Has a State or Federal agency terminated a contract with the applicant within the past two
years for .default or for deficiencies in performance of the contract?.
o YES -b NO
If YES, entity may not apply for these funds.
6. Has a State or Federal agency terminated a contract with the applicant in the last five years
for default or for deficiencies in performance of the contract?
o YES ® NO
If YES, please give details of each event. (Attach no more than one
additional page.)
7. Has the applicant, or any of its principal officers, been debarred, suspended, or otherwise
excluded from or deemed ineligible for participation in Federal assistance programs within
the past five years ?
o YES P- NO
If YES, and applicant is currently debarred, suspended, excluded, or
ineligible, it may not apply for funding. If applicant has been
debarred, suspended, excluded, or deemed ineligible, over the past
five years but is now eligible, please explain. (Attach no more than
one additional page.)
8. Does the applicant owe funds to TDH or has it ever defaulted on an agreed repayment
schedule?
o YES LM NO
If YES, please explain. (Attach no more than one additional page.)
Administrative History Certification 2
35
-
9. Is the applicant a private, non-profit organization?
D YES D NO NOT APPLICABLE M -e City of Lubbock is a not for profit goverTr ent
organization.
If NO, entity may not apply for these funds.
If YES, applicant must include evidence of non-profit status. The
following two documents are presented as evidence of non-profit
status and are attached to this form: (Circle the two included.)
(a) A copy of a currently valid Internal Revenue Service Tax exemption certificate.
(b) A statement from a State taxing body, State Attorney General, or other appropriate
State official certifying that the applicant organization has a non-profit status and that
none of the net earnings accrue to any private shareholders or individuals.
(c) A certified copy of the organization's certificate of incorporation or similar document
if it clearly establishes the non-profit status of the organization. - -
(d) Any of the above proof for a State or National parent organization, and a statement
signed by the parent organization that the applicant organization is a local non-profit
affiliate.
10. Board Information
(a) Applicant has active, involved board as demonstrated. by bylaws, regular meetings
with sufficient attendance, minutes, and clear definition of role?
D YES D NO Wr APPLIMLE
(b) Board demonstrates similar diversity of communities represented?
D YES D NO NOT epucABLE
(b) Board demonstrates diversity in skills available?
D YES D NO NOT APPLSCABLE
(c) Applicant maintains Directors & Officers insurance?
D YES D NO NOT APPL ULE
(d) Applicant has a Board policy and procedures manual?
D YES D NO Wr APPLICABLE
(e) Applicant provices orientation and training on board member responsibilities to new
members?
D YES D NO NOT APPLICABLE
11. Non-profit applicants must be able to demonstrate fiscal solvency. A copy of applicant's
latest financial statement and a balance sheet are attached to this form:
D YES O NO NOT APPLICABLE
(Attach no more than two additional pages.)
12. , Does applicant have personnel policies approved by the governing body which address
Administrative History Certification 3
36
essential issues of personnel management?
m YES o NO
13. Applicant must submit letters of good standing from current grantor agencies. A letter
should be attached for each source of funding shown on the Other Funding Sources Form.
Letters of good standing are attached to this form:
a YES u NO NOT APPLICOLE
14. Applicant had a fiscal audit conducted within the past year? -
0 YES o NO
If NO, what is the date of last fiscal
audit?
15. Applicant contracts with or employs the services of a CPA, accountant, bookkeeping
service or trained financial manager other than the Executive Director.
-i YES o NO
Please explain: The City of Lubbock employs Certified Public
kocmtants in the Accounting Department and contracts with an
outside Certified Public Accountant firm for an-iial audits.
16. Is the applicant a governmental agency?
ra YES o NO
If YES, cite here the authority to contract: The City of Lubbock
City Council and Mayor.
I CERT "T THE`AJ)VE ESW43RA14TION IS TRUE AND CORRECT:
•I / P"t'"'kn,0007d August 22, 1996
Official &avid Rj\LangstDAte
Administrative History Certification 4
37
I:�•'1 1 --II
BOARD MEMBER
COMPANY
BUSINESS ADDRESS
BUSINESS PHONE
Josie Alvarado
Essential Home Health
1313 Broadway Annex'
747-4229
Care
Plaza
Lub TX 79401
Barry Bartee
Dentist in Private
3234 64th Street
792-2311.
Practice
L TX 79413
Richard 011er
Offer Engineering
P.O. Box 53423
799-0075
Lubbock,TX 79453
Gary Schwede
Acres North Veterinary
5201 13th Street
793-2863
Hospital
Lubbock TX 79416
Jane Tustin
L.I.S.D.
1628 19th Street
766-1972
Lubbock, TX 79401
Kelly Waggoner
Norwest Bank
P.O. Box 1241
798-8844
Lubbock, TX 79408
38
r
4pe
ft" M imam
.- _..°
August 77- 1996
_ � r
- Ms.rTanuny Foske-
Lubbock City Health Department
1902 Texas Avenue '
P.O. Box 2548
Lubbock, Texas 29408-9961
Dear Ms. Foske:
I am writing to follow-up on our earlier conversations regarding establishing collaboration
between the City of, Lubbock Health Department• and the South Plains AIDS Resource Center
(SPARC). It is "my ^understanding this is for a. grant request that you "are submitting to"theyTexas
Department of -Health for `HNprevention counselin and testing. _SPARC fully endorses. this _<
collaboration and we are eager to begin the`work South Plains AIDS Resource Center will
collaborate in the following activities-:'
1. Offer --HIV prevention education when appropriate and requested by. the, City 'Health
-Department.
2: Provide an HIV counselor_ to assist with counseling and testing after group presentations within
the City of Lubbock when requested by the Health'Depart ment.
- 3._ Share our resources (e.g.. video tapes, ,reading materials, etc) when appropriate
- 4. Provide and share, when appropriate, information regarding resources available through our
organization to individuals who are found to be HIV+.
- 5. Provide client services to individuals that are found -to be HN seropositive and referred to
SPARC by the City Health Department. -
6. Assist in the planning and implementation ofMV/AIDS activities planned for World AIDS Day
and HIV Awareness Week. -
I anticipate that this collaboration will bring the following advantages to the communities that
we service:
- _
A. We will be"able to reach a larger segment of the Lubbock community since City of Lubbock
Health department provides services to a broad spectrum of the community.
- .2. Individuals whom SPARC personnel educate' about the HIVinfection-and methods of
preventing will have "on-site"'testing available to them immediately after receiving education, a time
they are most likely to be interested in being tested. -
39
P.O. Box 6949 • Lubbock, Texas 79493 • (806) 796-7068 (800) 62757079 • FAX 796-0920
Appendix A
- 3. Avoidance of duplication of services and materials by our organizations.
- 4. Provide an additional mechanism for SPARC to reach the high risk populations with education
and services.
Thank you for this opportunity to collaborate. We look forward to working with your agency
on this project.
Sincerely,
' ��t-�►-- /1 • I�G %%�4. how
Kathryn K. McMahon, Ph.D.
Executive Director
Mloutl
1409 23rd Street • Lubbock, Texas 79405
(806) 744-8633 ♦ FAX (806) 744-8667
August 8, 1996
Texas Department of Health
HIV/STD Health Resources Division
Austin, TX 78756
Appendix B
I am writing this letter of collaboration in relation to the grant request that the City of Lubbock Health
department is'submitting to the Texas Department of Health, requesting funds to provide HIV Prevention
Counseling and Partner Elicitation services in the city of Lubbock. The collaborating activities that we are
willing to offer toward the success of the City of Lubbock Health Department program are as follows:
1. Offer the services of our Community Outreach Specialists to provide HIV Prevention Education
in the communities of Central and East Lubbock.
2. Offer the services of our Community Outreach Specialists to accompany HIV Counselor in
high-risk environments (street corners, alleys, parks, apartment complexes, bars, etc.) for point
of contact HIV education and testing.
3. Offer the services of our facility to provide daily opportunities for on-site HIV Counseling and
Testing during the lunch hour.
4. Offer the services of our Community Outreach Specialists to provide HIV Prevention Education
at the Lubbock County Community Correctional Facility prior to on-site testing by the HIV
Counselor.
5. Offer the services of our Food Pantry and Clothes Closet for Homeless/Indigent among the
at -risk target population contacted by the HIV Counselor
6. Share our resources (Video Tapes, monitor, materials, etc.) when appropriate to assist the HIV
Counselor in providing Counseling and Partner Elicitation and Testing.
7. Offer the bulletin board and agency newsletter to provide additional HIV Prevention Education
to our clientele and the services offered by the City of Lubbock Health Department.
Outcomes of these activities:
-Our clients will become better informed about HIV/AIDS
-Clientele served will have a testing opportunity available that is more accessible to them.
-Clientele of the Central Lubbock Church of Christ Inside Out Program will have knowledge of
another agency in town and the services offered by the City of Lubbock Health Department.
There is an ongoing need for HIV Prevention Counseling and Partner Elicitation for IDUs, High
Risk females, MSM of Color, and Gang members. Please accept this letter of collaboration in a
spi ' of support for this important agency, the City of Lubbock Health Department.
S• Gere ,
I L "
Executive Director, fj
ide Out Program
40
"Real Change Takes Place From The Inside Out"
" Flores
Marftza +bm Offer space for HIV testing and counseling
�
1a when appropriate.
William (Wall» Wein
v�
lrt,a LM Include HIV testing -at CFS presentations,
Stalls L VWO when appropriate.
Marviano Morales
Sister Mary Kathleen Small
Ed""naTheny - Refer and encourage our clients to utilize
the services of City of Lubbock Health
Department which include: TB screening, STD
screening, immunizations and HIV Early
Intervention clinic.
- Share our resources (video tapes, TV, VCR,
materials, etc.) with the City of
Lubbock Health Department, when
appropriate.
2. Outcomes of these activities:
- Our clients will have better opportunities
to be tested for HIV if testing is
carried out "in house".
• Persons that might not be reached by the
City of Lubbock Health Department will be
reached as a result of the City of Lubbock
Health Department staff sharing part of a
MEMBER CFS agenda._
41
Catholic
Charities Y
USA102 Avenue J, Lubbock, Texas 79401 (806) 765-8475 Fax(806)765-8630-55
August 8, 1996
SWW of'b0d`
P&ido Rodriguez
TO WHOM IT MAY CONCERN:
Executive Ste May. `i►cSW
I am writing this letter of
collaboration in
relation to the grant request
that the City of
BOARD OF
DIRECTORS
Lubbock Health Department is
submitting to the
President
Texas Department of Health,
requesting funds
RkftWYbarra
to provide HIV\AIDS services.
Catholic Family
Vice -President
o
Service, Inc. will collaborate with the
Arlene Brooks
Treasurer
following services:
.
Lewis Eggenberger
a Olivae ht
1. Activities:
" Flores
Marftza +bm Offer space for HIV testing and counseling
�
1a when appropriate.
William (Wall» Wein
v�
lrt,a LM Include HIV testing -at CFS presentations,
Stalls L VWO when appropriate.
Marviano Morales
Sister Mary Kathleen Small
Ed""naTheny - Refer and encourage our clients to utilize
the services of City of Lubbock Health
Department which include: TB screening, STD
screening, immunizations and HIV Early
Intervention clinic.
- Share our resources (video tapes, TV, VCR,
materials, etc.) with the City of
Lubbock Health Department, when
appropriate.
2. Outcomes of these activities:
- Our clients will have better opportunities
to be tested for HIV if testing is
carried out "in house".
• Persons that might not be reached by the
City of Lubbock Health Department will be
reached as a result of the City of Lubbock
Health Department staff sharing part of a
MEMBER CFS agenda._
41
Catholic
Charities Y
USA102 Avenue J, Lubbock, Texas 79401 (806) 765-8475 Fax(806)765-8630-55
Appendix C --'
- avoid duplication of spanish materials that
Catholic Family Service has already
developed\purchased and City.of Lubbock
Health Department can use.
Please accept this Letter of Collaboration in
a spirit of support for this important City of
Lubbock Health Department request to your
organization.
Sincerely,.
OStephtn Hay
Executive Director
41-A
aN4HN4R
Lubbock Regional Mental Health
Mental Retardation Center
Texas Department of Health
HIV/STD Health Resources Division
Austin, Texas 78756
To Whom It May Concern:
August 12,1996
Lubbock Regional Mental Health and Mental Retardation is entering into this
Referral Agreement with the City of Lubbock which indicates the referrals that we
will reciprocate for the following:
1. Referrals for TB screening to City of Lubbock Health Department
2. Referrals for STD screening to City of Lubbock Health Department
3. Referrals for immunizations to City of Lubbock Health Department
4. Referrals for HIV prevention counseling and testing when appropriate
(when personnel is unavailable and/or when needed after a small group
presentations) to Lubbock MHMR.
5. City of Lubbock will refer clients who are needing alcohol and/or
drug treatment to Lubbock MHMR.
6. City of Lubbock will make referrals to Lubbock MHMR for HIV
education seminars that meet the target populations as requests are received.
7. City of Lubbock will refer clients seeking additional education on
Bleach and Water cleansing to prevent HIV risk, and other blood-borne
among IDUs to Lubbock MHMR.
8. Lubbock MHMR will refer partner elicitation services to the Disease
Intervention Specialist at the City of Lubbock Health Department.
We will agree to discuss any other referral needs that should develop in the contract
years so that the needs of the community can be met.
Sincerely,
4Na a of Repr senta ve (��-
Lubbock Regional MHMR
42
aiw /4 j ?!L e
Name o Repre entative
City of Lubbock Health Department
P.O. Box 2828 • 1602 10th Street • Lubbock. Texas 79408-2828 806/766-0310
All I:Clual Opportunity Employer Serving Cochran. Croshy, Hockley. Lubbock. Lynn Counties
Appendix E
y
a TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
Student Health Services
Thompson Hall
Lubbock, Texas 79430
(806) 743-2860
Texas Department of Health
HIV/STD Health Resources Division August 7, 1996
Austin, TX 78756
To Whom It May Concern:
I am writing this letter of collaboration in relation to the grant request that the City of Lubbock Health
Department is submitting to the Texas Department of Health, requesting funds to provide HIV prevention
counseling and testing to the MSM (college -aged) and high-risk females. The collaborating activities that
we are willing to offer toward the success of the City of Lubbock Health Department program are as
follows:
1. Provide clerical assistance to make the appointments for HIV testing.
2. Provide office space in an area that is not highly visible or trafficked. This office area allows privacy,
anonymity and confidentiality to those students who are interested in prevention counseling and
testing.
3. Make referrals to the testing services provided on campus when involved in an HIV education
program on campus.
4. Publicize the testing services offered in the University Daily, in the residence halls and within Student
Health Services so that students are aware of the services.
5. Provide an additional trained HIV counselor to provide HIV testing one morning a week to meet the
demand of testing requested.
Outcomes of these activities:
- Students will become better informed about HIV/AIDS.
- Students will have a testing opportunity that is more accessible to them.
- Students will have the opportunity to organize a risk -reduction plan for themselves, with the assistance
of the HIV counselor.
There is an ongoing need for HIV/AIDS education for college -aged MSM, high-risk females and other
students that are at risk due to the increase in sexual experimentation and alcohol/drug use on college
campuses. Please accept this Letter of Collaboration in a spirit of support for the City of Lubbock Health
Department.
Sincerely,
Nam f Agency Representative
43
An EEO /Affirmative Action Institution
__M -
Captain Hollywood
PO Box 6455
Main and X
Lubbock, TX 79493
Texas Department of Health
HIV/STD Health Resources Division August 6, 1996
Austin, TX 78756
To Whom It May Concern:
I am writing this letter of collaboration in relation to the grant request that the City of Lubbock Health
Department is submitting to the Texas Department of Health, requesting funds to provide HIV prevention
counseling and testing to MSM (college -aged, of color and anglo). The collaborating activities that we
are willing to offer toward the success of the City of Lubbock Health Department program are as follows:
1. To provide an area where prevention counseling and testing can occur on a monthly basis.
2. To promote the availability of testing on-site.
3. To make appropriate referrals for testing and/or prevention counseling when needed to the City of
Lubbock Health Department.
4. To post information concerning HIV prevention, transmission, etc. provided by the City of Lubbock
Health Department.
5. To make condoms provided by the City of Lubbock Health Department available to the clientele of the
establishment.
Outcomes of these activities:
- Clientele will become better informed about HIWAIDS.
- Clientele will have a testing opportunity that is more accessible to them.
- Clientele will have a means of protecting themselves against HIV transmission.
There is an ongoing need for HIV/AIDS education for the gay community. Please accept this Letter of
Collaboration in a spirit of support for the City of Lubbock Health Department.
Sincerely,
7-4
Name of Ag ncy iWresentative
44
LUBBOCK COUN'T'Y YOUTH CENTER
2025 North Akron Avenue
Lubbock, Texas 79415
(806) 765-2500
Fax (806) 765-2560
August 9, 1996
Texas Department of Health
HIV/STD Health Resources Division
Austin, Ti 78756
To Whom It May Concern:
ndix G -
I am writing this letter of collaboration in relation to the grant request that the City of Lubbock Health
Department is submitting to the Texas Department of Health, requesting funds to provide HIV/AIDS
prevention counseling and testing to gang members, high risk females, MSM (adolescent) and IDU
(incarcerated). The collaborating activities that we are willing to offer toward the success of the City of
Lubbock Health Department program are as follows:
1. To provide an area where HIV prevention counseling and testing can occur on a monthly basis.
2. To promote the availability of testing on-site for those youth at risk for HIV infection.
3. To make information regarding HIV transmission, prevention, etc. from the City of Lubbock
Health Department available to the incarcerated youth.
Outcomes of these activities:
-Inmates will be better informed about HIV/AIDS.
-Inmates will have the opportunity to organize an HIV risk -reduction plan for themselves, with the
assistance of the HIV counselor.
-Inmates will have a testing opportunity that is more accessible to them.
There is an ongoing need for HIV/AIDS education for our high-risk youth, specifically those with gang
involvement. Please accept this Letter of Collaboration in a spirit of support for the City of Lubbock
Health Department.
Sincerely,
it
Name of Agency Representative
45
JOEL. TFtEvwo MANDY AsHLOCK
CHIEF PROBATION OFFICER ASSISTANT CHIEF Pnaknm OFFICER
TE Appendix H -
LUBBOCK COUNTY COMMUNITY CORRECTIONS FACILITY STEVE RAMPY
3501 NORTH HOLLY AVENUE DIRECTOR
LUBBOCK, TEXAS 79403 JIM HENDERSON
�ocacov' 806 7615-3395 ASSISTANT DIRECTOR
August 7, 1996
Texas Department of Health
HIV/STD Health Resources Division
Austin, TX 78756
To Whom It May Concern: ,
I am writing this letter of collaboration in relation to the grant request that the City of Lubbock
Health Department is submitting to the Texas Department Of Health, requesting funds to
provide HIV prevention counseling and testing to IDU (incarcerated) and other men who have
placed themselves at risk sexually due to their involvement with drugs (MSM, heterosexual).
The collaborating activities that we are willing to offer toward the success of the City of
Lubbock Health Department program are as follows:
1. To provide an area where HIV prevention counseling and testing can occur on a
monthly basis.
2. To promote the availability of testing on-site.
3. To make information concerning HIV prevention, transmission, etc. from the City of
Lubbock Health Department available to the inmates.
Outcomes of these activities:
-Inmates will become better informed about HIV/AIDS.
-Inmates will have the opportunity to organize an HIV risk -reduction plan for themselves, with
the assistance of the HIV Counselor.
-Inmates will have a testing opportunity that is more accessible to them.
There is an ongoing need for HIV/AIDS education in the inmate populations, specifically those
with drug-related offenses. Please accept this Letter of Collaboration in a spirit of support for
the City of Lubbock Health Department.
S/ince /e,am
Py...
Chief Adult Corrections Officer
Ev
D. L. "SONNY" KEESEE
SHERIFF
EARL BARTLEY
CHIEF DEPUTY
DON ADDINGTON
JAIL ADMINISTRATOR
SHERIFF'S OFFICE
L. m o l COUNTY
LUBBOCK, TEXAS
August 12, 1996
Texas Department of Health
HIV/STD Health Resources Divsion
Austin, Tx. 7876
To Whom It May Concern
'-A -
APRXIIMFFICE BOX 10536
TELEPHONE 767-1400
LUBBOCK, TEXAS 79408
FAX#: (806) 767-1453
I am writing this letter of collaboration in relation to the grant request that the City of Lubbock
Health Department is submitting to the Texas Department of Health; requesting funds to provide
HIV/AIDS prevention counseling and testing to IDU (sex workers and incarcerated) and high-
risk women seeking trustee status at the Lubbock County Jail. The collaborating activities that
we are willing to offer toward the success of the City of Lubbock Health Department program
are as follows:
1. To provide an area where HIV prevention counseling can occur on a weekly basis, or as
needed.
2. To make information regarding HIV transmission and prevention available.
3. To provide a private setting, when needed, for post-test seropositive counseling session and
partner elicitation.
Outcomes of these activities:
-Female inmates will be better informed about HIV/AIDS.
-Inmates will have the opportunity to organize an HIV risk -reduction plan for themselves,
with the assistance of the HIV counselor.
-Inmates will have a testing opportunity that is more accessible to them.
There is an on-going need for HIV/AIDS education for the high-risk women, sex workers, and
IDU populations. Please accept this Letter of Collaboration in a spirit of support for the City of
Lubbock Health Department.
Sincerely
O /'4 .
Name of Age y Reltiresentative
Sir?
Pain-, r"efte'r snapQ ,
HIV counseIor iot
By GINA HOWARD
AvalancheJouraal
Tammy Cook-Foskey has made a noble
attempt at turning her drab clinic office
into something a little more homey.
Framed pictures of her young• nieces.
and nephews decorate a small bookcase. A
light blue- Tamp sits next to her wedding
photo, and posters cover much of the wall -
space in her small ofli m at the : City .
Health Department.
Cook-Foskey is the person in Lubbock
County who, -for the past 5v2 years, has
summoned feelings of either rrlrtf or
dread in the people she visits with; She it
the city's HIV counselor, and in 1995 she
was responsible for telling almost 1;800
people whether they were HIV-positive.
Her bright smile and warm voice belie
the tough, emotional job -the has to .do.
The good news, is that of those 1,800 peo-
ple, only five tested positive for the virus
that causes AIDS. Still;, letting someone
know he is positive is a big responsibility.
"Those are never the easy days in my
life," she said.
But her job also can be rewarding.
"I try to deal with the reality of HIV,"
Cook-Foskey said. "It's no longer a death
sentence. They are now living 16 years
really healthy, but they need to know"
how to live with HIV.
The number -if people coming into the
clinic for testing is up this year, she said.
Last year, the clinic averaged about 150
tests a month. This year, it is closer to
230.
Since 1985, 440 people in Lubbock have
tested positive for HN. Almost 200 con-
tracted AIDS. And, of those, 116 1,nve
died. - - If a person wants to get Lusted but can't
come into the clinic — or is afraid to =
then Cook-Foskey doesn't mind making a
house call. Some people worry about who
they might run into at the clinic on the
corner of Texna Avenue and 19th Street,
she said.
"I will meet them wherr-pr they feel
comfortable — at home, in a parking lot,
even once in the Dillard's ladies' depart-
ment," she said.
Doug Goodman, the -city's director of
health and community . services, said
Cook-Foskey is tailormade for her job.
"I can't think of anyone better for doing
the kind of work she is doing," he said.
"She is able to work with people from dif-
ferent lifestyles and make them feel com-
fortable and at ease."
Making clients feel comfortable —
through little things such as giving her of -
Mt PnotdRobert I ft(
Tammy Cook-Foskey has worker
as an HIV counselor for the City
Health Department for more thar
five years.. -.
flee a warm touch — is an important part
of ensuring they come back for their re-
sults. That'4 ^ne of the reasons Cook -Fos -
key draws blood herself. It means one les:
person for the client to hnr- fa talk to
which can be important. e
"Especially when they are worries
about who they arP going to know (at the
clinic). We try to involve as few people a:
possible," she said.
Just .last week, Cook-Foskey hit the
streets of East Lubbock with a local
church group, walking around looking fol
people wanting to be tested "We testes
seven in one hour."
The 32 -year-old counselor grew up it
Maine and earned her master's degree it
counseling from Eastern New Mexico Uni-
versity .in Portales.
She was working in Plainview when
the job in Lubbock opened. Each day, she
makes the one-hour drive from her home
in Olton to Lubbock.. She doesn't have r
choice becauso her husband, Mike, L
Olton's mayor.
It. doesn't matter where the counseling
and testing takes place, she said.
"Many people don't get tested because
they don't want to lose their family and
friends," Cook-Foskey said. `They fear
that no one is going to want to be arounc
them anymoix ."
For more information about AIDS m
HIV, or for a confidential tPAt, call Cook
Foskey at 767-2953 or call (800) 299
AMR
May 3, 1996
Appendix K Pao 3
TAMMY FOSKEY
H1V Counselor Has
Good News for Most
By Adam Richardson, TTU Intern
HIV, the virus that causes
AIDS, is a serious problem in the
United States, and Lubbock is not
immune to the disease.
Tammy Foskey is the Health
Department's HIV Counselor, a
post she has held for five and half
years.
"Some of the positive aspects of
my job are that I get to meet many
different types of people, and most
of the time I get to give them good
news. I try to be as friendly as I
can when they are in my office in.
hopes that they will come back for
their test results." she said.
The good news is that of the
1,780 people Tammy tested last
year for HIV, only five tested
positive. Because of her friendly
manner, she has the highest return
rate in the state of people who
come in for a test and then come
back for the results.
Since 1985. Lubbock has
reported 489 people affected by
the AIDS virus. which is relatively
low compared to the fact that one
in every 250 Texans is HIV
positive.
In addition to testing, Tammy
also helps educate the community
about the dangers and risks
involved with the virus.
"Most of the young people that
I counsel don't know the dangers
associated with HIV," Tammy
said. "They are never taught what
is safe behavior and what is
unsafe."
"Kids are not getting HIV
information and sex education
from the right people", she says.
"Parents must get involved."
According to Tammy, most of
the people affected with AIDS in
Lubbock range in age from 22 to
45. About 30-40% of those con-
tracted the disease from using
contaminated drug needles.
For more information about
AIDS. or for a confidential test.
call Tammy at ext. 2953. Or call
1 -800 -299 -AIDS for additional
information. .
49
Classified
OD: Notices
his sedlon ae tm to CttY.�
Deadline Is 9:00 pm. Friday prior to payday.
pkass Isdt to 23 words. !ring your ads to Public
latormatioo, Room 102, City Nall, or call
Nary Gonzales, ext. 2293. We wig not accept
advertising related to for-prott businesses
such as Amway. Nary Kay, etc.
SILVER-PLATED FLUTE FOR
SALE: Great for beginner, $500.
Call 792-8421 after 4:30. 513
NORDIC TRAK PRO SKI
machine for sale: Sells new for
$600, asking $300. Call 792-8421
after 4:30. 513
OAK CREEK LAKE 3 bedroom, 2
bath mobile home for sale. Sits
under metal cover, 2 bams plus
boat ramp. $65,000. Call John at
765-5273. 414
BASS BOAT FOR SALE: Side-
winder, 35 horsepower, call
Robert after 5 p.m. 762-1984. 414
New &&(B
These nine new employees
went through Orientation on
April 30.
Irene Brooks & Stacy Rolen
Communication Services
Edward Broussard
Library
Richard Casner
City Attorney
Mildred Cox
Transportation
Johnny Garcia
Parks and Rec
Adrienne Long
Human Resources
Florence Searcy
City Secretary
Jean Webb
Aviation
TDH News''
Cominued from page 5
community health clinics and family
practice physician residency programs
in Corpus Christi, El Paso, La Marque,
Laredo, Fort Worth, San Antonio, San
Marcos, Gonzales, Denton, Tyler,
Austin, Amarillo and San Angelo.
Program staff includes director Rick
Danko, nurse consultant Crystal
Wilkinson and health educator Barry
Sharp who provide materials, training
and technical assistance to funded
sites.
The three-year-old program is a
U.S. Department of Health and Human
Services -funded project. Phil Huang,
M.D., heads the Bureau of Chronic
Disease Prevention and Control.
HIV counselor sets records
How do you persuade people who
choose HIV testing to return for post-
test counseling? Ask City of Lubbock
Health Department's Tammy Cook-
Foskey. She blasts the standard 70
percent return tate with a whopping 80
to 95 percent return rate for post-test
counseling.
In January, March, May, June and
November 1995, Cook-Foskey tested
an average of 142 clients a month and
about 127 clients a month returned for
HIV post-test counseling.
Cook-Foskey's supervisor credits
her attitude. "Tammy's attitude is
always upbeat and positive, which is
crucial when you see people on a daily
basis who live a. life of high-risk
behavior. Tammy goes out of her way
to make everyone feel they.are the
most important person of the day. She
takes time to listen to what the client is
%a%m; and allows clients all the time
the% need to ventilate fears or con -
Appendix L
May 1996 TDH Pulse Monitor
l c LL
Lubbock Health Department HIV
counselor Tann, Cook-Foskey gets
an 80 to 95 percent return rate
from her clients for post-test HIV
counseling. About 70 percent is
typical.
terns," says Prevention Manager
Beckie Brawley. Cook-Foskey has
worked as an HIV counselor with the
Lubbock Health Department for nearly
six years.
Clients appreciate her attitude, her
interest in their problems and her
willingness to test at times convenient
for them. Cook-Foskey demonstrates
every day that quality service and
attention to customer needs yields
I
utstanding results, says Brawley.
March of Dimes Birth Defects
Foundation funds health record
Thanks to the generosity of the
March ofDimes Birth Defects Founda-
tion. Texas parents now have a
50
L= • tai lith i i>fai
convenient way to keep track of their
children's immunizations and other
medical and family records. The 16 -
page "My Child's Health Record" was
underwritten with a $50,000 grant
from the March of Dimes Birth
Defects Foundation. Besides immuni-
zation records, the passport -size
booklet has pages devoted to family
history, important baby milestones,
medical history and baby's photo and
thumbprint.
Communications and Special
Health Initiatives director Lynn
Denton and Commissioner David
Smith, M.D., traveled to Corpus
Christi and Houston in March and to
Midland, Amarillo, San Antonio and
Lubbock in April to publicize "My
Child's Health Record." Dallas and
Longview trips are planned for May to
promote the message that if parents of
every child born in the next four years
use the booklet, immunization rates for
2 year olds could improve as much as
25 percent.
Alice White and Jay Fowler of
the Communications and Special
Health Initiatives Division accompa-
nied Denton and Smith to Midland and
Amarillo, and Kathy Clement of the
Bureau of Women and Children went
to Corpus Christi. Gale Morrow and
Bob Crider of the Immunization
Division and Lupe Manduiano
Garcia of the Communications and
Special Health Initiatives Division will
go to San Antonio and Lubbock to
help educate health care professionals
and parents.
The child health record has been a
project of the Immunization Division.
EPSDT Program and Shots Across
Texas. One million copies of the
booklet. in English and Spanish. will
CITY OF LUBBOCK HEALTH DEPARTMENT
REFERRAL
CLIENT NAME/NUMBER(CHART/CDC):
REFERRAL TO:
DATE AND TEVIE
LA CLINICA:
SPARC:
LUBBOCKMHMR:
INSMEAOUT:
PRESBYTERIAN WOMENS CLINIC:
IMMUNIZATION CLINIC:
TB TESTING:
STD CLINIC:
MINA:
PRIVATE PHYSIMN:
COUNSELOR:
OTHER:
TEST SITE LOCATIONAND CODE#:
COUNSELOR AND CODE#:
DATE:
51
Appendix M
David R. Smith, M.D.
Commissioner
Carol S. Daniels
Deputy Commissioner for Programs
Roy Hogan
Deputy Commissioner for Administration
July 16, 1996
may:
Texas Department of Health
Bureau of HN & STD Prevention
1100 West 49th Street
Austin, Texas 78756-9987
(512) 490-2505
Fax N (512) 490-2544
Mr. Doug Goodman, Director
Lubbock Health Department
1902 Texas Avenue
Lubbock, Texas '79405
Re: TDH Document #750005906-97-011
Dear Mr. Goodman:
JUS
29 1996
CITy N��1 r '
rl JEPT
Appendix P1 -M „
HIV/STD Epidemiology Division
(512) 490-2545 - Fax (512) 490-2536
HIV/STD Health Resources Division
(512) 490-2515 - Fax (512) 490-2538
Pharmacy Division
(512) 458-7500 - Fax (512) 458-7489
Thank you and your staff for the assistance provided to the Texas Department of Health, Field Operations
Branch during the Counseling, Testing, Referral and Partner Elicitation (CTRPE) site visit on April 22 and
23, 1996. Enclosed is a copy of the official site visit report.
Ms. Billie Ray, Regional HN Coordinator, and. Mr. Cedric Mitchell, Field Operations Consultant will be
available to work with you and your staff to accomplish any recommendations made during the review. If you
have any questions or concerns, don't hesitate to contact Ms. Ray, at (806) 744-3577 or Mr. Mitchell at (512)
490-2520. Thank you again for the assistance of the staff at thP� phandla 111.,mWwed-n making this
a productive visit.%�--
W e C1,; d, 1>e -r- Gsrr-j n-1 r.n
Please submit a response to this site visit report within the next 45 days detailing corrective action to meet the
recommendations. Mail your response to Ms. Ray at 1109 Kemper, Lubbock, Texas 79403, with a copy to
Mr. Mitchell at the HN/STD Health Resources Division, Texas Department of Health, 1100 W. 49th, Austin,
Texas 78756.
Sincerely,
J Zumbrun, anager
Field Operations Branch
HN/STD Health Resources Divisions
Enclosure
cc: Ms. Billie Ray, HN Coordinator, PHRI
Contract File
52
An Equal Employment Opportunity Employer
Appendix N
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Appendix N
TEXAS DEPARTMENT OF HEALTH
BUREAU OF HIV AND STD PREVENTION
CTRPE PROGRAM REVIEW
DATE OF REVIEW: April, 22 1996
CONTRACTOR: City Of Lubbock Health Department
LOCATION: Lubbock, Texas
COUNTIES SERVED: Lubbock
PERIOD OF CONTRACT: 01/01/96 - 12/31/96
CONTRACT NUMBER: 756000590697-01
CTRPE CONTRACTOR SINCE: Fall 1988
AGENCY DIRECTOR: Mr. Doug Goodman
REGIONAL HIV COORDINATOR: Ms. Billie Ray
REVIEWER(S): Mr. Cedric L. Mitchell III
A. ADMINISTRATIVE
1. HIV COUNSELING AND TESTING REPORT FORMS (SCANNABLE FORMS) ARE
UTILIZED ACCORDING TO TDH GUIDELINES AND INSTRUCTIONS. FORMS ARE
ACCURATELY COMPLETED AND SUBMITTED AS SOON AS THE CLIENT IS POSTTEST
COUNSELED OR THIRTY (30) DAYS FROM THE DATE OF PRETEST COUNSELING IF THE
CLIENT HAS NOT RETURNED FOR POSTTEST COUNSELING.
Yes X No
Comments:
Contractor has utilized scanable forms in an appropriate manner. Forms are accurately completed
and up to date.
59
Appendix N
Recommendations:
2. THE AGENCY HAS A POLICY OF COMPLIANCE WITH THE REQUIREMENTS FOR
CONTENTS OF AIDS -RELATED WRITTEN MATERIALS (STATE CONTRACTS ONLY).
Yes No
Comments: Non- Applicable- Agency has a federal contractual agreement with TDH.
Recommendations:
3. THE AGENCY HAS A POLICY COMPARABLE TO THE TDH HIV MODEL WORKPLACE
GUIDELINES..
Yes_X_ No
Comments: Agency has adopted the TDH HIV model workplace guidelines.
Recommendations:
B. PERSONNEL AND STAFFING
1. THE AGENCY MONITORS COUNSELOR PERFORMANCE AT LEAST MONTHLY FOR MONTHS
1-6 OF EMPLOYMENT, BI -MONTHLY FOR MONTHS 7-12, AND QUARTERLY THEREAFTER.
COUNSELOR EVALUATIONS ARE KEPT ON FILE AND AVAILABLE FOR TDH REVIEW.
NECESSARY CHANGES ARE MADE BY THE HIV PROGRAM TO CORRECT ANY
WEAKNESS/DEFICIENCIES IDENTIFIED.
Yes No X
Continents: Presently there are no current counselor performance evaluations on file that are current.
Recommendations: Quarterly reviews have been completed by the immediate supervisor. However
MEG
Appendix N
there were no reviews on'file within the past 90 days. It is recommended that a performance review
be completed on the. HIV Counselor and kept on file. There will be a records check to follow-up
on this action item.
2. HIV PRETEST AND POSTTEST COUNSELING IS CONDUCTED BY STAFF WHO HAVE
SUCCESSFULLY COMPLETED CTRPE TRAINING AND REQUIRED UPDATES FROM A
COURSE APPROVED BY THE TDH.
Yes . X No
Comments: Tammy Foskey ( HIV/STD Counselor) has completed the 1 and 2 day updates for
CTRPE training. The counselor has also completed the new POPE course, March 28, 1996.
Recommendations:
3. SCANNABLE FORMS OR OTHER HIV RISK ASSESSMENT TOOLS ARE NOT USED TO
DRIVE HIV COUNSELING SESSIONS.
Yes X No
Comments: Scannable forms are not used to drive HIV counseling sessions.
Recommendations:
C. PLANNING AND EVALUATION
1. QUARTERLY. SUMMARY REPORTS ARE SUBMITTED BY THE PROGRAM IN
ACCORDANCE WITH CONTRACTUAL AGREEMENTS.
Yes X No
61
Appendix N
Comments: Quarterly reports are received within the guidelines of the RFP.
Recommendations:
2. CTRPE SERVICES ARE PROVIDED TO THE TARGET POPULATIONS STATED IN THE
PROGRAM'S CONTRACT AND OBJECTIVES.
Yes X No
Comments:. During the site evaluation several counseling sessions were observed separately by
Billie Ray and Cedric Mitchell. The individuals interviewed were all IDU's, only one
target population stated in the programs contract and objectives.
Recommendations: It is recommended that future counseling sessions be observed by the TDH
in non-traditional settings. This will be coordinated through the region by the
Regional Coordinators office. This will eliminate any conflicts in scheduling
and offer any needed assistance by the agency being evaluated.
3. A MINIMUM OVERALL POSTTEST COUNSELING RETURN RATE OF 75 PERCENT AND A
MINIMUM SEROPOSITIVE RETURN RATE OF 85 PERCENT ARE MAINTAINED BY THE
PROGRAM.
Yes X No
Comments: Posttest counseling return rate is 86% for 1995 and 91% for 1996 based upon
information taken from the scannable forms. The seropositive return rate - 80% for 1995 and 1996
100%.
Recommendations:
4. ALL SEROPOSITIVE AND PARTNER ELICITATION/NOTIFICATION ACTMTIES ARE
PERFORMED IN ACCORDANCE WITH THE TDH "HIV SEROPOSITIVE AND PARTNER
NOTIFICATION GUIDELINES." CONTRACTORS SHOULD BE ABLE TO REPORT THE NUMBER
62
Appendix N
OF PARTNER/SEROPOSITIVE NOTIFICATION REQUESTS REFERRED TO THE HEALTH
DEPARTMENT.
Yes X No
Comments: 1 st Qtr positives - 3 Referral to the Health Dept. - 3
Recommendations:
D. CLIENT SERVICES AND REFERRALS
1. HIV COUNSELING AND TESTING SERVICES, INCLUDING OFF-SITE TESTING, ARE OFFERED
AT LOCATIONS THAT ARE CONVENIENT FOR THE MAJORITY OF THE TARGET POPULATIONS.
Yes X No
Comments: The counselor provides off-site counseling and testing to a diverse group of agencies
within the Lubbock area. A list of these agencies are listed in section (F) of the quarterly report.
Those agencies include PASO, Amar-i-luo Area Health nistrint Projea A W-A.of
Oth .*e s 1,-N 5: d e, /C% -t-4 Tf- c,- P% L4 t') i v ars
Ycl .-�!� C'tr� rem'' �,�,1 jh �:c� v��-cl'1 fy C.c..TY► r1't ul"1 i Fy G��r c G is i
Recommendations:
Fc� cr 4' I �' h+ . C c� 1-�►'� I-1 c� ��► ►fv � c-:c� L u l� c/�.- t=.�"-�1
i �x.J
2. CTRPE SERVICES ARE REGULARLY PUBLICIZED/PROMOTED SO THAT POTENTIAL CLIENTS
WILL KNOW WHERE AND WHEN SERVICES ARE AVAILABLE.
Yes X No
Comments: CTRPE services are publicized through a network of collaborative agencies to include
health care providers, community based organizations, bars, etc.
Recommendations:
63
Appendix N
-_.
3. WAITING AREAS HAVE POSTERS, PAMPHLETS AND AUDIOVISUALS THAT PROVIDE CLIENTS
WITH INFORMATION REGARDING HIV/AIDS, STDs, AND OTHER DISEASES FOR WHICH
THEY MAY BE AT RISK. THE EDUCATIONAL MATERIAL PROVIDED IS CULTURALLY
SENSITIVE AND EASILY UNDERSTOOD.
Yes X No
Comments:
Recommendations:
4. CLIENTS HAVE THE OPTION OF TESTING ANONYMOUSLY OR CONFIDENTIALLY.
IDENTIFYING/LOCATING INFORMATION IS OBTAINED FROM CLIENTS WHO TEST
CONFIDENTIALLY.
Yes X No
Comments: The clients choice of testing is repeated to each client in the counseling session. This
assures the client that every possible action is taken to insure their confidentiality is maintained.
Recommendations:
5. Client confidentiality is ensured during the registration process and the counseling
session.
Yes X No
Comments: A numerical system is used for client identification. All counseling sessions are
conducted in private offices.
Recommendations:
6. CLIENT TESTING RECORDS ARE MAINTAINED IN A LOCKED FILING CABINET WITH ACCESS
LIMITED ONLY TO APPROPRIATE COUNSELING STAFF. THESE RECORDS AND FILES,
Appendix N - .
WHETHER CONFIDENTIAL AND/OR ANONYMOUS ARE MAINTAINED AND RELEASED TO
CLIENTS IN A MANNER THAT IS CONSISTENT WITH REGULATIONS SPECIFIED IN THE TDH
"111V SEROLOGIC TESTING AND DOCUMENTATION GUIDELINES."
Yes X No
Comments: Locked filing cabinets for clients files are located in the counselor's office with
accesibility only to the immediate supervisor and the manager of the program.
Recommendations:
HIV COUNSELING
1. EVERY CLIENT IS PROVIDED CULTURALLY SENSITIVE AND EFFECTIVE MV PRETEST AND
POSTTEST COUNSELING BASED ON THE TDH APPROVED MODEL.
Yes X No
Comments:
Recommendations:
2. CONDOMS PROVIDED BY THE TDH ARE GIVEN FREE OF CHARGE (SIX PER CLIENT) ALONG
WITH SAFER SEX EDUCATIONAL INFORMATION/MESSAGES.
Yes X No
Comments:
Recommendations:
REFERRALS
65
Appendix N
1. THE CT"E PROGRAM SUCCESSFULLY COLLABORATES WITH HIV/AIDS, STD, AND
OTHER RELATED PROGRAMS IN THE COMMUNITY (E.G. MWAIDS SERVICE PROVIDERS,
HEALTH DEPARTMENTS, CBO'S, EDUCATIONAL PROVIDERS, ETC.).
Yes . X No
Comments:
Recommendations:
2 THE PROGRAM MAINTAINS DOCUMENTATION REGARDING THEIR SEROPOSITIVE CLIENTS
WHO ARE SUCCESSFULLY LINKED TO EARLY INTERVENTION SERVICES. A SYSTEM IS IN
PLACE FOR REFERRAL OF HIGH RISK SERONEGATIVE CLIENTS TO OTHER SERVICES AS
NEEDED (E.G. STD, TB, SUBSTANCE ABUSE TREATMENT, ETC..
Comments: Appendix B
Counselor uses newly revised forms for this information.
Recommendations:
filename: g:ltoo11o1slctrptoo1.wpd
Rev. 2/5/9
.:
Yes X No
Appendix 0
PREGNANCYPROTOCOL
PREGNANCY TESTING IS AVAILABLE MONDAY, WEDNESDAY AND FRIDAY AT THE
CITY OF LUBBOCK HEALTH DEPARTMENT.
IF THE CLIENT IS PREGNANT:
REFERRALS ARE MADE TO AREA PHYSICIANS (SEE APPENDIX ) FOR PRENATAL
CARE. APPOINTMENT IS MADE FOR THE CLIENT BEFORE THEY LEAVE, IF THE
PHYSICIAN'S OFFICE IS OPEN.
THE SURVEILLANCE DEPARTMENT HAS A SPECIFIC NURSE ASSIGNED TO FOLLOW-UP
ON THE CLIENTS WITH POSITIVE PREGNANCY TEST RESULTS. HER
RESPONSIBILITIES INCLUDE: ASSURING THAT THE CLIENT KEPT HER APPOINTMENT
WITH THE PHYSICIAN, ANSWERING ANY ADDITIONAL QUESTIONS THAT THE
CLIENTS SHOULD HAVE, REINFORCING THE IMPORTANCE OF PRENATAL CARE IF
THE CLIENT SHOULD NOT HAVE KEPT HER APPOINTMENT.
PHYSICIANS ARE PERFORMING HIV TESTING AT THE FIRST PRENATAL VISIT.
IF A WOMAN IS HIV+ AND IS IDENTIFIED BY HER PHYSICIAN AT HER PRENATAL
VISIT, THE PHYSICIAN WILL PROVIDE THE NEEDED CARE OR MAKE A REFERRAL TO
A PHYSICIAN /CLINIC THAT WILL PROVIDE THE PRENATAL CARE.
IF A WOMAN IS IDENTIFIED AS HIV+ AT THE CITY OF LUBBOCK HEALTH
DEPARTMENT AND IS PREGNANT:
-REFERRAL IS MADE TO THE TTUHSC OB/GYN CLINIC AND FOLLOW-UP IS
COMPLETED BY THE HIV COUNSELOR OR
-REFERRAL TO HER PRIVATE PHYSICIAN, IF DESIRED, AND FOLLOW-UP IS
COMPLETED BY THE HIV COUNSELOR
-INFORMATION REGARDING AZT THERAPY TO PREVENT HIV TRANSMISSION TO THE
FETUS AND BREASTFEEDING ARE GIVEN TO THE CLIENT
-FURTHER REFERRALS ARE MADE AS NEEDED AND DESIRED BY THE CLIENT
67
FAMILY PRACTICE PRENATAL CLIIJIC TEXAS OTT HEALTH SCIENCES CENTER
PRESBYTERIAN PRENATAL CLINIC 3RD �� 4TH II+IDIANA
CLINIC '
1318 BROADWAY Appendix P -- ,
765-2611 743-2343
PARKWAY CLINIC
406 MARTIN LUTHER KING BLVD
767-9744
DR MIRO
2424 SOTH ST,STE 301
795-3299
DR •SCOTT
2424 50TH ST, STE 200
792-7115
DR BOTROS
6630 QUAKER, STE 207
793-2971
HEALTH PLUS
7601 QUAKER 79424
793-5444
MINOR EMERGENCY CENTER
SM & IINIVERSM 79413
797-4357
CATHOLIC FAMILY SERVICES
123 N. AVE N.
765-8425
EXPRESS CARE
5705 SLIDE RD. 79414
795-5844
PRIMARY MEDICAL CLINIC
5130 82ND 79424
794-9378
FREEDOM SQUARE CLINIC
130150TH ST.
762-3597
ST MARY FAMILY HEALTH CARE CENTER
6502 SLIDE RD 79424
796-4400
68
DR VARMA
2424 50TH ST, STE 302
791-5537
DR PATEL'
3106 50TH ST.
Y97-2835
DR MCMIIZdAN
6630 QUAKER, SM 207
797-2794
METHODIST CIELDREN
3801 19TH & MEMPMS, STE 111 79410
785-5437
TEXAS TECH HSC FEDI amm
36014TH
743-2330
CHATMAN CONDAUNTTY HEALTH CLINIC
230 S. CEDAR 79404
749-0024
9 TO 9 MEDICAL CLINIC
4410 50TH 79414
793-8555
ST. MARY FAMILY HEALTH CARE CENTER
405 SLIDE RD 79416
796-4410
ST. MARY FAMILY HEALTH CARE CENTER
36201-27
796-4450
Appendix %
ffiV SEROPOSITIVE REFERRAL PROTOCOL
FOR CLIENTS THAT TEST HIV SEROPOSITIVE (REACTIVE EIAx 2 AND REACTIVE WESTERN
BLOT) THE FOLLOWING REFERRALS ARE MADE:
- REFERRAL TO SPARC FOR CASE MANAGEMENT, EARLY INTERVENTION CLINIC
APPOINTMENT, SUPPORT GROUP, FOOD PANTRY, UTILITY/HOUSING ASSISTANCE,
MEDICATION ASSISTANCE, CARE CENTER ACTIVITIES, ETC.
- REFERRALS TO PRIVATE PHYSICIANS IF DESIRED
- REFERRALS TO LUBBOCK IVIS MR, NA/AA AS NEEDED FOR DRUG AND/OR ALCOHOL
TREATMENT AND SUPPORT
- REFERRALS FOR TB SKIN TESTING
- REFERRALS FOR HVIMUNIZATIONS
- REFERRALS TO PRIVATE COUNSELOR IF DESIRED
- IF THE WOMAN IS PREGNANT, REFERRAL IS MADE TO THE TTUHSC OB/GYN CLINIC FOR
PRENATAL CARE
- REFERRAL FOR BIRTH CONTROL, PAP SMEAR, ETC. IF NEEDED
OTHER INFORMATION GIVEN:
NUTRITION INFORMATION
PARTNER ELICITATION (INVOLVEMENT OF DIS WHEN NECESSARY)
-TELLING YOUR PARENTS
-LEGAL RESOURCES
-ADDITIONAL INFORMATION (POSITIVELY AWARE, POZ, LIFETIMES II, ETC.)
REFERRALS ARE MADE AND APPOINTMENTS ARE MADE AS NEEDED FOR THE CLIENT
BEFORE HE/SHE LEAVES THE OFFICE. AN ADDITIONAL APPOINTMENT IS MADE FOR NO
LATER THAN ONE WEEK LATER TO ADDRESS ANY FURTHER QUESTIONS, NEEDS, ETC.
AND TO FOLLOW UP ON REFERRALS THAT WERE MADE.
.•
TEXAS DEPARTMENT OF HEALTH Appendix R
PARTNER ELICITATION / PRENATAL REFERRAL
REPORT FORM
SECTION 1:
1. NAME OF ORGANIZATION:
2. CTS ORGANIZATION NUMBER:
3. DATE OF POSTTEST COUNSELING:
4. POSTTEST COUNSELOR IDENTIFICATION NUMBER:
SECTION 2:
5. CLIENT'S SCANNABLE FORM (CDC) NUMBER:
6. SEX: MALE FEMALE UNKNOWN
* (IF CLIENT IS FEMALE, SEE SECTION 4)
SECTION 3:
7. NUMBER OF PARTNERS ELICITED TO BE NOTIFIED BY A LOCAL OR
STATE STD PROGRAM:
TOTAL
8. NUMBER OF PARTNERS TO BE NOTIFIED BY THE INDEX CLIENT:
TOTAL
SECTION 4:
9. THIS WOMAN IS PREGNANT?
YES NO
10. IF PREGNANT, WAS REFERRED FOR PRE -NATAL CARE?
YES NO.
SECTION 5:
This form must be completed after each positive posttest counseling session and
submitted on a weekly basis to: Texas Department of Health
HIV/STD Health Resources Division
1100 West 49th Street
Austin, TX 78756-3149
Attn: Partner Elicitation
70
Appendix S
S.T.D./HIV HIGH RISK QUESTIONNAIRE
This is a questionnaire to find out if you may need HIV testing as part of your
Sexually Transmitted Disease screening. Your answers will be reviewed by the
clinician in the clinic and kept confidential. Please read and answer each
question to the best of your knowledge.
Circle "Y" for YES; Circle "NA for NO
Y N Have you ever been the victim of a sexual assault or of sexual abuse?
Y N Are you employed in a setting with a risk to HIV exposure?
Y N Have you ever had sex with someone who is HIV positive?
Y N Have you received a blood transfusion or tattoo prior to 1985?
Y. N Have you ever been diagnosed with a sexually transmitted disease such as
gonorrhea, chlamydia, genital warts, syphilis, herpes, etc.
Y N Have you ever used IV drugs?
Y N Have you ever traded sex for drugs and/or money?
Y N Have you ever had sex while under the influence of drugs and/or alcohol?
Y N Have you ever had sex with someone who uses IV drugs?
Y N Have you ever had sex with a male who had sex with a male?
Y N Do you travel and do seasonal work?
Y N Are you or have you ever been homeless?
When do you use condoms? Always _Occasionally _Never
Y N Do you know how to put on a condom correctly?
What risks do you have that are not stated on this questionnaire?
Please list:
When is the last time you had an HIV test? Date?
Y N Would you like to have an HIV test as part of your STD exam today?
71
- - _ . - t _ =.•�" ice« para :�,''..p,ss w+�;F:� ate.,;» •
Y
ta
'August -7, 1996 _ 3 , f i ■ i ° i
,Ms. Tammy Foskey
1902 Texas Ave. `
P.Q. Box 2548
__.
Lubbock, Texas 79408-9961
f
rt
RE: REFERRAL AGREEMENT
Dear Ms. "Foskey
South Plains AIDS Resource e
- 1
-
South Center SPARC) is entering "into this Referral Agreement-�-
with the Lubbock City. Health Department. The agreement indicates the referrals that we will
accept from the'City Health Department�include
(( �•
1. Referrals for HIV -prevention education when -appropriate,,
.,,`�� l :-- .'r` -.� • i s' .' ..e /"'. Tr ~' �.,.-; �-,. , tib_
2. "Referrals for -IHV prevention counseling and testing to individuals at high'risk when '
�.
appropriate (when City Health Department personnel is 6i avai'lable or when an individual from
outside the city limits ofLubboek contacts your organization and it is more.appropriate-for
SPARC to provide the service) _- -.
3". -Referrals to HIV+/PWAs for client services provided by SPARC including case management,
_.
^HIV early intervention health care, housing/utihties assistance, medication" assistance,,support .,
groups, food pantry, care center activities, etc.
- SPARC will refer individuals from within Lubbock f 'r IIV preyentian counseling and/or ` -
testing when appropriate. SPARC will refer individuals for TB and STD screening and for
immunizations to the City Health Department when, appropriate
We will be happy to discuss any other, referral needs that should develop during the -'
contract year. This referral collaboration will ensure that;community needs >pe met: `
Sincerely,
r
o;,`V2,;i�� oe
Kathryn K. McMahon, Ph.D.
Executive Director
72 - -
P.O. Box 6949 • Lubbock, Texas 79493 • (806) 796-7068 (800) 627-7079 • FAX 796-0920
IM11cout
1409 23rd Street ♦ Lubbock, Texas 79405
(806) 744-8633 ♦ FAX (806) 744-8667.
Texas Department of Health
HIV/STD Health Resources Division
Austin, TX 78756
August 8, 1996
To Whom it May Concern:
Appendix U ,
The Central Lubbock Church of Christ Inside/Out program is entering into this referral agreement with
the City of Lubbock Health Department which indicates the referrals that we will accept from the City of
Lubbock Health Department.
1. Referrals for HIV Prevention Education
2. Referrals for Substance Abuse/Addiction Counseling
3. Referrals for Peer Support Groups
4. Referrals for Food Pantry
5. Referrals for Clothing Assistance
We will also refer clients to the City of Lubbock Health Department for services when appropriate.
Sincerely,
Central Lubbock Church of Christ
Inside Out Program
Name of Organization
73
B( .
e9a-X4��
Executive Directo
"Real Change Takes Place From The Inside Out"
Diocese of Lubbock
Bishop of Lubbock
PLiccido Rodriguez
Executive Director
Stephen Hay, ACSW
BOARD OF
DIRECTORS
President
Vice -President
Arlene Brooks
Treasurer
Lewis Eggenberger
Secretary
Alicia Oliva Knight
Kathy Flores
Maritza Gamboa
Joe Garcia
Joe Hart
William (Wally) Klein
Stephen T. Krier
Velma Lara
Stella Lovato
Marciano Morales
Sister Mary Kathleen Small
Edwina Thierry
MEMBER
6.
Catholic
Charities.
USA
ca".
yai�-A
. &Wim, TW's
REFERRAL AGREEMENT
August S, 1996
TO WHOM IT MAY CONCERN:
Appendix V
Catholic Family Service, Inc. is entering into
this Referral Agreement with the City of
Lubbock Health Department. This agreement
indicates the referrals that we will accept
from the City of Lubbock Health Department:
1. referrals for HIV\AIDS education to UHS
migrants, gang and at -risk youth and high risk
women.
2. referrals for presentations in Spanish,
when appropriate.
3. referrals for medications to the Catholic
Family Service Emergency Assistance Program,
when appropriate.
4. referrals to other Catholic Family Service
Programs (Immigration\Naturalization, Family
Counseling, At -Risk Youth Counseling, Thrift
Store, etc.) when appropriate.
Sincerely,
(Dte'-
ph n Hay
Catholic Family -Service, Inc.
74
102 Avenue J, Lubbock, Texas 79401 (806) 765-8475 Fax (806) 765-8630-55
96.
Appendix X
Health Department
City of Lubbock
1902 Texas Avenue
P.O. Boz 2548
Lubbock. Texas 79408-9961
Texas Department of Health
H1V/STD Health Resources Division
Austin, TX 78756
August 7, 1996
To Whom It May Concern:
The City of Lubbock Health Department is entering into this Referral Agreement with the Central
Lubbock Church of Christ Inside/Out program which indicates the referrals that we will accept from the
Inside/Out program.
1. Referrals for TB screening
2. Referrals for HIV Prevention Counseling and testing
3. Referrals for STD screening
4. Referrals for immunizations
5. Referrals for the HIV Early Intervention clinic
We will also refer clients to the Inside/Out program for services when appropriate.
Sincerely,
City of Lubbock Health Department
Name of Organization
76
,o
.�� X -
NameV *rcsentaUve
I � t
City of Lubbock
1902 Texas Avenue
P.O. Box 2548
Lubbock, Texas 79408-9961
Texas Department of Health
HIV/STD Health Resources Division
Austin, TX 78756
August 7, 1996
To Whom It May Concern:
Appendix X
Health Department
The City of Lubbock Health Department is entering into this Referral Agreement with the Catholic Family
Services, Inc. (CFS) HIV/AIDS Education Prevention Program which indicates the referrals that we will
accept from the CFS HIV/AIDS Education Program:
1. Referrals for TB screening
2. Referrals for HIV Prevention Counseling and testing
3. Referrals for STD screening
4. Referrals for immunizations
5. Referrals for the HIV Early Intervention clinic
We will also refer clients to the CFS HIWAIDS Education Project for services when appropriate.
Sincerely,
City of Lubbock Health Department 'q
_
Name of Organization NameVP4brtsentifive
77
y7 r
Appendix X
Health Department
City of Lubbock
1902 Texas Avenue
P.O. Boz 2548
Lubbock, Texas 79408-9961
Texas Department of Health
HIV/STD Health Resources Division August 7, 1996
Austin, TX 78756
To Whom It May Concern:
I am writing this letter of collaboration in relation to the grant request that Catholic Family Service, Inc.
is submitting to the Texas Department of Health, requesting funis to provide HIV/AIDS prevention
education services to UHS Migrant Farmworkers, UHS Gang members and UHS High Risk Females. The
collaborating activities and outcomes that we are willing to offer toward the success of the Catholic
Family Service Program are as follows:
Offer space for group and/or one to one presentations on HIWAIDS.
- Encourage our clients to cooperate with HIWAIDS educator for one-to-one sessions,
group sessions, etc.
- Share our resources (video tapes, materials, TV, VCR, etc.) when appropriate, to assist the
HIV/AIDS educator in providing educational services to our clients.
2. Offer our bulletin board in the STD Clinical area lobby to provide additional education to our clientele
on the services offered by CFS and/or HIV -specific material that is relevant to the clientele served.
3. Offer the services of our HIV Counselor to provide on-site testing in Lubbock county, when needed
and/or to provide a location to make referrals to when providing HIV Education in Lubbock county.
Outcomes of these activities:
- Our clients will become better informed about HIV/AIDS.
- Clients will benefit from the use of up-to-date information via video tapes which are presented in a
medium that many people like, that is, watching a video on TV. The discussion following the video will
help to clear up any additional questions that might arise after viewing the video.
- Clientele of the City of Lubbock Health Department will have knowledge of another agency in town and
the services offered by Catholic Family Services.
There is an ongoing need for HIV/AIDS education for migrants, gang members and high risk women.
Please accept this Letter of Collaboration in a spirit of support for this important Catholic Family Service,
Inc.
Sincerely,
Name of Ag6ncy Representative
78
Appendix X --W -
Health Department
City of Lubbock
1902 Texas Avenue
P.O. Box 2549
Lubbock. Texas 7940e-9961
Texas Department of Health
HIV/STD Health Resources Division August 7, 1996
Austin, TX 78756
I am writing this letter of collaboration in relation to the grant request that the Central Lubbock Church of
Christ Inside/Out program is submitting to the Texas Department of Health, requesting funds to provide
HN/AIDS prevention education services to MSM of color, UHS gang members, UHS High Risk females,
and IDU (incarcerated, sex workers and homeless). The collaborating activities that we are willing to
offer toward the success of the Inside/Out program are as follows:
1. Offer the services of our Hi V counselor to provide on-site testing at Inside/Out through the lunch hour
Monday through Friday.
2. Offer the services of our HN counselor to provide on-site testing when the HIVeducators are providing
outreach activities in the community of Lubbock. '
3. Offer the services of our HN counselor to provide on-site testing at the Lubbock. County Community
Correctional Facility after the HIVeducator has given a small group presentation to the inmates of the
facility.
4. Share our resources (video tapes, materials, etc.) when appropriate to assist the HIVeducator in
providing HIVprevention.
5. Offer the bulletin board in the STD Clinic lobby to provide additional education to our clientele on the
services offered by Inside/Out and/or HIV -specific material that is relevant to the clientele served.
Outcomes of these activities:
- Our clients will become better informed about HN/AIDS.
- Clientele served will have a testing opportunity available that is more accessible to them.
- Clientele of the City of Lubbock Health Department will have knowledge of another agency in town and
the services offered by the Central Lubbock Church of Christ Inside/Out program.
There is an ongoing need for HN/AIDS education for IDUs, High Risk females and MSM of color and
gang members. Please accept this Letter of Collaboration in a spirit of support for this important agency,
Inside/Out.
Sincerely,
R'lifFill,
'i
fly"VotIgmi
79
City of Lubbock
1902 Texas Avenue
P.O. Boz 2546
Lubbock, Texas 7940e-9961
Texas Department of Health
HIV/STD Health Resources Division
Austin, TX 78756
To Whom It May Concern:
August 7, 1996
Appendix X
Health Department
I am writing this letter of collaboration in relation to the grant request that the South Plains AIDS
Resource Center is submitting to the Texas Department of Health, requesting funds for HIV Prevention
Education and Testing for MSM (adolescent, of color, college -aged and anglo), for those men who are
non -identifying MSM, and those who are seeking sex for money. The collaborating activities and
outcomes that we are willing to offer toward the success of SPARCs programs are as follows:
1. Provide an HIV counselor to assist with testing needs after a small group presentation within the
City of Lubbock.
2. Share our resources (video tapes, materials, etc.) when appropriate to assist the HIV educator in
providing I V prevention.
3. Offer the bulletin board in the STD Clinic lobby to provide additional education to our clientele on
the services offered by SPARC and/or HIV -specific material that is relevant to the clientele served.
4. Assist in the organization of a support group for high-risk seronegative persons (MSM)
5. Assist in the planning and implementation of HIWAIDS activities planned for World AIDS Day
(December 1) and HIV Awareness Week (October).
6. Provide an HIV counselor, as needed, to assist with Testing Marathons.
Outcomes:
- Community will see that cooperation exists between agencies in the City of Lubbock in providing HIV
education and prevention counseling and testing.
- Clientele of the City of Lubbock Health Department will have knowledge of another agency in town and
the services offered by SPARC.
- HIV counseling will able to be offered to additional persons due to the number of available counselors.
- High risk seronegative MSM will. have additional support to maintain their negative status.
- Increased visibility in the community when specific HIV/AIDS activities are planned.
There is an ongoing need for HIV/AIDS education and testing for MSM and sex workers, especially in the
surrounding counties that make up the 15 county Health District. Please accept this Letter of
Collaboration in a spirit of support for this important agency, SPARC.
Sincerely,
Name of Agericy Representative
City of Lubbock
1902 Texas Avenue
P.O. Box 2546
Lubbock, Texas 7940e-9961
Texas Department of Health
HIV/STD Health Resources Division
Austin, TX 78756
To Whom It May Concern:
August 7, 1996
Appendix X
Health Department
The City of Lubbock Health Department is entering into this Referral Agreement with the South Plains
AIDS Resource Center (SPARC) which indicates the referrals that we will accept from SPARC:
1. Referrals for TB screening
2. Referrals for STD screening
3. Referrals for HIV prevention counseling and testing when appropriate (when personnel is unavailable
and/or when a Lubbock agency is requesting testing in coordination with a small group presentation
given by the HIV Educator of SPARC)
4. Referrals for immunizations
The City of Lubbock Health Department will refer HIV seropositive clients to SPARC for case
management, appointments for the Early Intervention clinic, support groups, medication and assistance
with SSI, Disability, Medicaid and Medicare forms. The City of Lubbock Health Department will make
referrals to SPARC for HIV Education seminars that meet the target populations as requests are received.
The City of Lubbock Health Department will refer persons outside of Lubbock county requesting
education seminars and/or HIV prevention counseling to SPARC when appropriate. The City of Lubbock
Health Department will also refer persons seeking additional information on HIV/AIDS research trials,
etc. to SPARC if funding is received from the National Library of Medicine to organize a computer link to
the latest HIV/AIDS related material.
We will agree to discuss any other referral needs that should develop in the contract. year so that the needs
of the community can be met.
Sincerely,
City of Lubbock Health Department
Name of Organization Name of Represenfive
81
Appendix X M
/
Health / Department
City of Lubbock
1902 Texas Avenue
P.O. Boz 2548
Lubbock. Texas 79408-9961
Texas Department of Health
HIV/STD Health Resources Division
Austin, TX 78756
To Whom It May Concern:
The City of Lubbock Health Department is entering into this Referral Agreement with Lubbock Mental
Health and Mental Retardation (IV MR) which indicates the referrals that we will accept from MHMIL
1. Referrals for TB screening
2. Referrals for STD screening
3. Referrals for immunizations
4. Referrals for HIV prevention counseling and testing when appropriate (when personnel is unavailable
and/or when needed after a small group presentation)
• The City of Lubbock Health Department will refer clients who are needing alcohol and/or drug
treatment to Lubbock WIME .
• The City of Lubbock Health Department will make referrals to Lubbock MHIAR for HIV education
seminars that meet the target populations as requests are received.
• The City of Lubbock Health Department will refer clients seeking additional education on Bleach and
Water cleansing to prevent HIV risk, and other blood-borne infections among IDUs.
We will agree to discuss any other referral needs that should develop in the contract year so that the needs
of the community can be met.
Sincerely,
City of Lubbock Health Department
Name of Organization
82
Name of R6preseniatrve
City of Lubbock
1902 Texas Avenue
P.O. Boz 2546
Lubbock. Texas 79406-9961
Texas Department of Health
HIV/STD Health Resources Division
Austin, TX 78756
To Whom It May Concern:
August 9, 1996
Appendix X
Health Department
I am writing this letter of collaboration in relation to the grant request that Lubbock A*DvM is submitting
to the Texas Department of Health, requesting funds for IRV Prevention counseling and testing for IDU
(incarcerated, sex workers, homeless) and others at high risk for IRV due to their alcohol and/or drug use.
The collaborating activities and outcomes that we are willing to offer toward the success of Lubbock
hO VIR's programs are as follows:
Share our resources (video tapes, materials, etc.) when appropriate to assist with HIV education and
prevention counseling.
2. Accept referrals for prevention counseling and testing when appropriate.
Offer the bulletin board in the STD Clinic lobby to provide additional education to our clientele on
the services offered by Lubbock 11MM'and/or HIV -specific material that is relevant to the clientele
served.
Outcomes:
-Community will see that cooperation exists between agencies in the City of Lubbock in providing HIV
education and prevention counseling and testing.
-Clientele of the City of Lubbock Health Department will have knowledge of another agency in town and
the services offered by Lubbock W&R
-Clients will be better informed about HIV/AIDS and the relationship between drug use and HIV.
There is an ongoing need for HN/AIDS education and testing for IDUs, especially those who are
incarcerated and are sex workers. Please accept this Letter of Collaboration in a spirit of support for this
important agency, Lubbock MEML
Sincerely,
Name of Age cy Representative
83
GRANT PROPOSAL EVALUATION FORM
Page 1
1. Is this grant: New Continuing XX
Number of
Years 7
2. Is a match required? Yes Nc XX
If yes: Percentage Amount
Is it: In-kind OR Cash
Source
3. Are there any indirect costs, i.e. building use, computer time, administrative
supervision, associated with the grant? Yes XX No
If yes, please list the estimated
costs. Building Use Computer Time
Administrative Time = $1,600
4. If there are indirect costs, are they reimbursed by the grant?
Yes XX No
PercentageL 4%
5. Are audit costs reimbursed? Yes No XX
Percentage
6. What are the audit requirements for this grant? Texas Department of Health's Grants Management
Division performs on-site reviews of erantees and provides technical assistance on fiscal matters The on-
site review consists of a review of internal controls verification that re orted eKpenses mTjgpprly
imported. and evaluation of compliance with contract terms and government mgplatio4s.
7. Can this grant be renewed? Yes XX No
If yes, how many times? As long as funds are made available from
the State and the Federal Government
What are the terms of renewal? See Above
8. Does the grant require the City to gradually assume the cost of the program?
Yes No XX
Ifyes, what is the timetable?
iih
GRANT PROPOSAL EVALUATION FORM
Page 2
Please address whether other agencies are currently administering similar programs and whether any
other agencies are available to administer this program. UHMR provides one-on-one street outreach
counseling and testing for HIV to their clients SPARC is appl .nng for this grant to provide testing and
counseling to at -risk populations outside of Lubbock County. .This program is offered by other agencies -
however, there are limited agencies which provide education, testing prevention counseling and risk
reduction at anaffordable rate to the citizens of Lubbock. The Ci of Lubbock Health Department not
Q& focuses on homosexuals but also heterosexuals teens college students incarcerated persons (teens
and adults) gangs and high-risk females through outreach activities
10. For the "Current Year". Please identify how expenditures are to be made in the following categories
and how the program will be funded. If the grant is for an on-going program, pleases project revenue
and expenditures for future years. If the grant is for one year, show any on-going costs to the City, such
as the cost of maintenance on equipment purchased by the grant.
Capital
TOTAL EXPENDITURES $41,933
I;i�1/�`tTj��
Federal Grant 0
State Grant $41,933
Local Match 0
Other 0
TOTAL REVENUE $41,933
11. Pleases list the number and title (s) of personnel funded by this grant: 1 HIV Counselor
12. Please list any new positions to be added:
40
None
CURRENT FUTURE YEARS
YEAR
1997 19 19 19 19
EXPENDITURES
Personnel
$38,528
Full Time Salary
$29,868
TMRS
$ 3,587
Social Security
$ 2,218
Health
$ 2,613
Life
$ 33
Dental
$ 209
Supplies
$ 50
Maintenance
$ 0
Other(travel, educ. supplies
and indirect costs)
$ 3,355
Capital
TOTAL EXPENDITURES $41,933
I;i�1/�`tTj��
Federal Grant 0
State Grant $41,933
Local Match 0
Other 0
TOTAL REVENUE $41,933
11. Pleases list the number and title (s) of personnel funded by this grant: 1 HIV Counselor
12. Please list any new positions to be added:
40
None
GRANT PROPOSAL EVALUATION FORM
Page 3
13. Please list any capital items to be purchased: None
14. Please discuss how this program will impact current employee allocation and utilization and whether it
will have a long-term financial or manpower impact. Attach additional pages if needed.
As this program has been in existence for 7 years, the impact will come if it is not funded. If that is the
case, one staff person will lose her job and 4 others will have to add HIV testing and counseling to their
other responsibilities in the STD Clinic. Due to the down -sizing of the Health Department persons at
risk for HIV would not be given adequate risk reduction and prevention counseling; to encourage
behavior change to reduce or eliminate their risk. HIV infection rates would continue to climb and tax
dollars would increase due to the cost to treat HIV- infected individuals. Prevention of HIV infection is
the goal of the Health Department and the money received from the Texas Department of Health will
serve to increase awareness of HIV and protection from HIV for persons at risk.
15. In narrative form, pleases provide a brief description of the program, including the need which will be
addressed, the goals and objectives of the program, the target population to be served, and any other
significant aspects of the application. Attach additional pages if needed.
This proposal to provide prevention counseling and partner elicitation will be client -centered, focused on
producing behavioral changes, prevention -oriented, and directed toward the target groups determined by
the Regional HIV Coalition including Men who have Sex with other Men (Subcategories: adolescent,
college -aged, of color, anglo, and HIV+); Intravenous Drug User's (Subcategories: homeless, sex
workers, and incarcerated) and people who have Unprotected Heterosexual Sex (Subcategories: HIV+,
migrants, gang members, and sexual partners of IDU and/or MSM). The City of Lubbock Health
Department's STD Clinic will continue to be used as an HIV testing site. Other testing sites include
Texas Tech University, Lubbock County Jail, Lubbock County Youth Center, Lubbock County
Community Correctional Facility, and the gay club. All clients tested will receive pre-test counseling.
Post-test counseling will be provided to 75% of those tested as the goal of the Texas Department of
Health; however, the City of Lubbock HIV Counselor has been consistent in providing post-test
counseling to 85-95% of those persons who are tested. 95% of those testing seropositive will receive
post-test counseling, referrals to case management and early intervention services, and follow-up
appointments. Partner elicitation will produce at least one partner for a minimum of 80% of those
testing seropositive.
Collaboration activities include assisting Catholic Family Services with Prevention Counseling and
Partner Elicitation (PCPE) activities as they provide education to migrants, adolescents, and female
partners of IDU's and MSM's and assisting Inside/Out with PCPE activities as they provide education to
gang members, IDU's, homeless and MSM's of color. Testing referrals and/or on-site counseling and
testing following HIV education presentations will be offered to the target audiences of these groups
when requested.
Prevention of HIV infection is the main focus of all PCPE activities and testing is one realm of
prevention. Referrals for those testing seropositive will be coordinated through the South Plains AIDS
Resource Center (SPARC). Forming a support group for those who are high-risk seronegatives is a goal
for the coming year. Referrals for drug treatment will continue to be made to Lubbock MH11It and to
the AA/NA groups in the Lubbock and surrounding areas when applicable.
41
IRWAIDS REPORTED 1993-1996
1993:
AIDS
250
HIV
366
1994:
AIDS
278
HIV
394
1995:
AIDS
297
HIV
428
1996:
AIDS
308
HIV
442
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42
GRANT PROPOSAL EVALUATION FORM
Page 1
1. Is this grant: New
Continuing XX
Number of
Years 7
2. Is a match required? Yes
No XX
If Yes: Percentage
Amount
Is it: In-kind
OR Cash
Source
Are there any indirect costs, i.e. building use, computer time, administrative
supervision, associated with the grant? Yes XX No
Myes, please list the estimated
costs. Building Use, Computer Time.
Administrative Time = $1600
4. If there are indirect costs, are they reimbursed by the grant?
Yes XX
Percentage 40/6
5. Are audit costs reimbursed?
Yes
Percentage
No
No XX
6. What are the audit requirements for this grant? Texas Department of Health's Grants Management
Division performs on-site reviews of Wntees and provides technical assistance on fiscal matters. The on-
site review consists of a review of internal controls verification that reported expenses areproper1v
supported and evaluation of ggWhance with contract terms and government regulations.
7. Can this grant be renewed? Yes XX No
If yes, how many times? As lona as funds are made available from
the State and the Federal Government.
What are the terms of renewal? See Above
8. Does the grant require the City to gradually assume the cost of the program?
Hyes, what is the timetable? Yes No XX
39
GRANT PROPOSAL EVALUATION FORM
Page 2
9. Please address whether other agencies are currently administering similar programs and whether any
other agencies are available to administer this program. WMt provides one-on-one street outreach,
counseling and testing for HIV to their clients SPARC is applving for thisar�nt to provide testing and
counseling to at-risk populations outside of Lubbock County This program is offered by other agencies
however, there are limited agencies which provide education testing_ prevention counseling and risk
reduction at an affordable rate to the citizens of Lubbock. The City of Lubbock Health Department not
g& focuses on homosexuals but also heterosexuals, teens. college students. incarcerated persons (teens
and adults). gangs and high-risk females through outreach activities.
10. For the "Current Year". Please identify how expenditures are to be made in the following categories
and how the program will be funded. If the grant is for an on-going program, pleases project revenue
and expenditures for future years. H the grant is for one year, show any on-going costs to the City, such
as the cost of maintenance on equipment purchased by the grant.
Capital
TOTAL EXPENDITURES $41,933
REVENUE
Federal Grant 0
State Grant $41,933
Local Match 0
Other 0
TOTAL REVENUE $41,933
11- Pleases list the number and title (s) of personnel funded by this grant: 1 HIV Counselor
12. Please list any new positions to be added:
r1��
None
CURRENT FUTURE YEARS
YEAR
1997 19 19 19 19
EXPENDITURES
Personnel
$38,528
Full Time Salary
$29,868
TMRS
$ 3,587
Social Security
$ 2,218
Health
$ 2,613
Life
$ 33
Dental
$ 209
Supplies
$ 50
Maintenance
$ 0
Other(travel, educ. supplies
and indirect costs)
$ 3,355
Capital
TOTAL EXPENDITURES $41,933
REVENUE
Federal Grant 0
State Grant $41,933
Local Match 0
Other 0
TOTAL REVENUE $41,933
11- Pleases list the number and title (s) of personnel funded by this grant: 1 HIV Counselor
12. Please list any new positions to be added:
r1��
None
GRANT PROPOSAL EVALUATION FORM
Page 3
13. Please list any capital items to be purchased: None
14. Please discuss how this program will impact current employee allocation and utilization and whether it
will have a long-term financial or manpower impact. Attach additional pages if needed.
As this program has been in existence for 7 years, the impact will come if it is not funded. If that is the
case, one staff person will lose her job and 4 others will have to add HIV testing and counseling to their
other responsibilities in the STD Clinic. Due to the down -sizing of the Health Department persons at
risk for HIV would not be given adequate risk reduction and prevention counseling to encourage
behavior change to reduce or eliminate their risk HIV infection rates would continue to climb and tax
dollars would increase due to the cost to treat HIV infected individuals. Prevention of HIV infection is
the goal of the Health Department and the money received from the Texas Department of Health will
serve to increase awareness of HIV and protection from HIV for persons at risk
15. In narrative form, pleases provide a brief description of the program, including the need which will be
addressed, the goals and objectives of the program, the target population to be served, and any other
significant aspects of the application. Attach additional pages if needed.
This proposal to provide prevention counseling and partner elicitation will be client -centered, focused on
producing behavioral changes, prevention -oriented, and directed toward the target groups determined by
the Regional HIV Coalition including Men who have Sex with other Men (Subcategories: adolescent,
college -aged, of color, anglo, and MV+); Intravenous Drug User's (Subcategories: homeless, sex
workers, and incarcerated) and people who have Unprotected Heterosexual Sex (Subcategories: HIV+,
migrants, gang members, and sexual partners of IDU and/or MSM). The City of Lubbock Health
Department's STD Clinic will continue to be used as an HN testing site. Other testing sites include
Texas Tech University, Lubbock County Jail, Lubbock County Youth Center, Lubbock County
Community Correctional Facility, and the gay club. All clients tested will receive pre-test counseling.
Posttest counseling will be provided to 75% of those tested as the goal of the Texas Department of
Health; however, the City of Lubbock HIV Counselor has been consistent in providing post-test
counseling to 85-95% of those persons who are tested. 95% of those testing seropositive will receive
post-test counseling, referrals to case management and early intervention services, and follow-up
appointments. Partner elicitation will produce at least one partner for a minimum of 800% of those
testing seropositive.
Collaboration activities include assisting Catholic Family Services with Prevention Counseling and
Partner Elicitation (PCPE) activities as they provide education to migrants, adolescents, and female
partners of IDU's and MSM's and assisting Inside/Out with PCPE activities as they provide education to
gang members, IDU's, homeless and MSM's of color. Testing referrals and/or on-site counseling and
testing following HIV education presentations will be offered to the target audiences of these groups
when requested.
Prevention of HIV infection is the main focus of all PCPE activities and testing is one realm of
prevention. Referrals for those testing seropositive will be coordinated through the South Plains AIDS
Resource Center (SPARC). Forming a support group for those who are high-risk seronegatives is a goal
for the coming year. Referrals for drug treatment will continue to be made to Lubbock WNR and to
the AA/NA groups in the Lubbock and surrounding areas when applicable.
41
HIV/AIDS REPORTED 1993-1996
1993:
AIDS
250
HN
366
1994:
AIDS
278
HN
394
1995:
AIDS
297
HN
428
1996:
AIDS
308
HN
442
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