Oregon

Preceptorship Training Site: Multnomah County HIV Health Services Center

The Multnomah County Health Department’s HIV Health Services Center (HHSC) is an FQHC Ryan White Part C/D Patient Centered Medical Home that annually provides medical, nursing, case management and behavioral health services to over 1300 highly vulnerable persons living with HIV/HCV. Since 1990, HHSC has provided comprehensive, specialized medical care and support services designed to address the chronic, complex needs of low income and uninsured persons living with HIV from early diagnosis to advanced illness (AIDS). All clinical providers and nursing staff are nationally certified in HIV care. The center’s 45 health care professionals and staff include: providers, nurses, medical case managers/social workers, medical assistants, pharmacist, pharmacy technician, eligibility specialist, patient navigators, clinical psychologist and psychiatric nurse practitioners.

Based in Portland Oregon, HHSC services include outpatient medical care (including on-site Hep C treatment and high resolution anoscopy/infrared coagulation), mental health and substance abuse counseling, case management, health education, HIV prevention and risk reduction support, and treatment adherence counseling. HHSC offers on-site chronic disease self management workshops and peer mentoring. Because of the infectious nature of HIV and public health mandates, the clinic integrates HIV prevention messages into all aspects of service delivery. The clinic is supported by an active Client Advisory Board and a well established network of HIV social services providers. HHSC provides community health workers and navigator services for the complex, hard to reach persons living with HIV who struggle with substance use, mental illness and are homeless using a Special Projects of National Significance research grant (SPNS). A trauma informed care model is incorporated into the service delivery and staff education. HHSC providers also provide hepatitis C consultation, assessment and treatment for monoinfected patients in the Multnomah County Health Department Primary Care system.

Services

• On-site preceptorships for doctors, physician assistants, nurse practitioners, nurses, and pharmacists regarding intensive HIV education including High Resolution Anoscopy (HRA). 
• Consultations for persons living with HIV who are incarcerated in the Multnomah County correctional system that includes care coordination, treatment management and discharge planning.