Connecting Resources for Urban Sexual Health (CRUSH)
The overall goal of the CRUSH project is to enhance and extend a response to the local HIV/AIDS epidemic in Alameda County with a set of innovative, evidence-based interventions across the continuum of HIV prevention and care, targeting individuals and communities most vulnerable to HIV. The East Bay AIDS Center, in partnership with the University of California San Francisco's Center for AIDS Prevention Studies, the Gladstone Institutes, and several key community-based organizations, are engaging in a participatory partnership to enhance and implement HIV services which target the East Bay's highest risk population- young men who have sex with men (Y/MSM). Specifically, the CRUSH Project is designed to evaluate a combination of program approaches to address the sexual health care needs of young gay men of color and their sexual partners by enhancing the current program activities of the Downtown Youth Clinic (DYC).
We hypothesize that we can reduce the impact of HIV among Y/MSM by expanding the current DYC services structure in two ways. We intend to expand HIV testing, and linkage to and retention in care for youth who test HIV positive, providing them with intensive risk-reduction counseling and antiretroviral treatment, and thereby ultimately reducing the risk of further HIV transmission. And we intend for the first time to offer a comprehensive combination package of preventive services to HIV-negative youth, including routine accesses to HIV/STI screening and treatment, and access to HIV pre-exposure prophylaxis (PrEP).
Sexually Transmitted Infections
Other: Testing and linkage to care for Y/MSM
Behavioral: Engagement and retention for HIV-positive Y/MSM in care
Other: Engagement and retention for HIV-negative Y/MSM in sexual health services
|Study Design:||Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
|Official Title:||Connecting Resources for Urban Sexual Health|
- The proportion of young men who have sex with men (YMSM) of color who test positive for HIV at partner agencies and the proportion of positive and negative YMSM who are tested for HIV and linked to care on a quarterly and annual basis. [ Time Frame: 1 year ] [ Designated as safety issue: No ]Expanding the investigators currently successful HIV testing strategy—collaborations and systems of referral of new cases of HIV from existing partners—so that referrals are also received for high risk negatives to receive sexual health services. Implementing two new strategies: social network testing and a youth outreach corps working with partner agencies; it is hypothesized that social network testing will increase the proportion of positive test results.
- The proportion of HIV-positive enrolled YMSM who are retained, on therapy, and who have achieved viral suppression within one year of entering care. [ Time Frame: 1 year ] [ Designated as safety issue: No ]Optimizing current HIV care and treatment services at DYC by adding three new components: a patient peer mentoring component, a linkage and retention specialist, and psychosocial support for program staff.
- The proportion of HIV-uninfected YMSM participants who are retained, receive sexually transmitted infection (STI) testing, and receive non-occupational post-exposure-prophylaxis (nPEP) and/or PrEP. [ Time Frame: 1 year ] [ Designated as safety issue: No ]Integrating sexual health services for HIV-uninfected young MSM of color into an HIV care setting, including PrEP, warm-hand offs for high risk negatives, nPEP, risk reduction counseling, frequent HIV and STI testing, and youth-focused programming.
|Study Start Date:||May 2013|
|Estimated Primary Completion Date:||January 2017 (Final data collection date for primary outcome measure)|
Other: Testing and linkage to care for Y/MSM
Please refer to this study by its ClinicalTrials.gov identifier: NCT02183909
|Contact: Jeff Burack, MD||(510) 869-8400||BurackJ@sutterhealth.org|
|Contact: Ife Udoh, PhD||(510) firstname.lastname@example.org|
|United States, California|
|Downtown Youth Clinic||Recruiting|
|Oakland, California, United States, 94609|
|Contact: Ife Udoh, PhD 510-869-8400 email@example.com|
|Contact: Michael D'Arata, FNP, B.Ed 510-869-8486 DarataM@sutterhealth.org|
|Principal Investigator:||Jeff Burack, MD||East Bay AIDS Center (EBAC)|
|Principal Investigator:||Robert Grant, MD, MPH||Gladstone Institutes|
|Principal Investigator:||Janet Myers, PhD||UCSF Center for AIDS Prevention|