Theme: Models of Care Year: 2024
Background: A former patient discovered the need for a more adaptive support model for participants from diversified groups. Systemic challenges prevent access to Hepatitis C education and treatment which exacerbates stigma, leading to a decline in health outcomes. The Circle Model seeks to replace change-driven system interventions using innovative methodologies needed to empower them to take charge of their health. We work on the ground with the patients impacted directly, bringing the services necessary into their community, meeting them where they are at.
Description of model of care/intervention: We value the wisdom of community and strive to serve populations who have been most neglected and harmed by current and historical systems. The Circle Model begins with building trust by providing a non-hostile environment where participants are treated with respect and integrity. We provide non-judgmental participatory support, which includes interactive sessions. Through education we utilize innovative methodologies to deliver essential knowledge specific to the key populations we serve.
Effectiveness: The Circle Model has 14 nationwide partner sites. The populations served include PWUD, LGBTQIA+ and TGNCNBI, youth and young adults, pregnant people, and anyone affected.
Results:
1. Participants were advised to follow up with providers.
2. 50+% of the participants were tested for Hep C.
3. 1000+ participants completed our training with a 70% response rate to how stigma affects them.
• Peer – When diagnosed with Hep C, I immediately thought “My fault”, I didn’t feel I deserved treatment and didn’t go for a very long time.
• Staff – I have clients who use drugs & live with HCV. Stigma has convinced them that treatment needs to be “earned”.
Conclusion and next steps:
We continue to engage key populations while actively looking for new partners with the capacity to adopt the Circle Model to increase education, supportive services, and linkage to care.