QUALITY OF CARE

PrEP Implementation

PrEP Implementation for Adults

Implementation Forum, August 26, 2015

Meeting Materials

Presentations

  • Dan O’Connell, Director, NYS DOH AIDS Institute
    Pre-Exposure Prophylaxis (PrEP) Initiatives in New York State: A Brief Overview | View Slides 
  • Demetre Daskalakis, MD, MPH, Assistant Commissioner, Bureau of HIV/AIDS Prevention and Control, NYC DOHMH
    NYC and PrEP | View Slides
  • Kenneth H Mayer, MD, Medical Research Director, Co-Chair, The Fenway Institute
    The Fenway Institute: PrEP Update | View Slides
  • Shona Ruggeri, PrEP Coordinator, Designated AIDS Center, Albany Medical Center
    Overview of Albany Medical Center’s PrEP Program | View Slides
  • Michael Lee, Senior Director of Business Development, Evergreen Health Services
    Evergreen Medical Group, Buffalo, NY: PrEP Program | View Slides
  • Jeffrey M Birnbaum, MD, MPH, Executive Director, HEAT Program, SUNY Downstate Medical Center
    HIV Pre-Exposure Prophylaxis Panel | View Slides
  • Robert Murayama, MD, MPH, Chief Medical Officer, Apicha Community Health Center
    Apicha Community Health Center: PrEP | View Slides
  • Luis Freddy Molano, MD, Vice President of Infectious Diseases and LGBTQ Programs and Services, Community Healthcare Network
    PrEP through the Sexual and Behavioral Health Program | View Slides
  • Michel Ng, NP and Joaquin Aracena, MA, Mount Sinai Hospital
    PrEP Panel | View Slides
  • William M Valenti, MD, Senior Vice President for Organizational Advancement, Co-Founder, and Staff Physician, Trillium Health
    PrEP: An Organizational Initiative | View Slides
  • Peter Meacher, MD, FAAFP, AAHIVS, Chief Medical Officer, Callen-Lorde Community Health Center
    Pre-Exposure Prophylaxis | View Slides

PrEP Implementation for Adolescents

PrEP-for-Adolescents-Image

Welcome

The New York State Department of Health AIDS Institute convened the first statewide forum on adolescent PrEP implementation to bring together stakeholders from across the State to discuss the unique issues associated with providing pre-exposure prophylaxis (PrEP) for adolescents engaged in high-risk behaviors.

The forum invited PrEP providers, public health officials, and community members representing a wide variety of perspectives to contribute insights stemming from their experiences with delivering PrEP services to adolescents in diverse settings. The discussion focused on identifying successes to date; policy issues and clinical practice challenges in delivering PrEP to adolescents; and opportunities for change to expand PrEP for adolescents statewide in support of the NYS End the Epidemic by 2020 Initiative.

Meeting Materials

Speaker Presentations

  • Dan O’Connell, Director, NYS DOH AIDS Institute
    Opening Remarks | View Slides
  • Demetre Daskalakis, MD, MPH, Assistant Commissioner, Bureau of HIV/AIDS Prevention and Control, NYC DOHMH
    Opening Remarks (Dr. Daskalakis did not present slides)
  • Bill Kapogiannis, MD, Adolescent Medicine Trials Network for HIV/AIDS Interventions, National Institutes of Health
    ATN 110: An HIV PrEP Demonstration Project and Phase II Safety Study for Young MSM in the US | View Slides
  • Susan Rosenthal, PhD, ABPP, Director, Division of Child and Adolescent Health, Columbia University Adolescent
    Autonomy and Decision-Making: Implications for Prescribing PrEP | View Slides
  • Lillian Rivera, MPH, The Center for LGBTQ Youth Advocacy and Capacity Building, Hetrick-Martin Institute
    Imagining a Tomorrow with Choices: Mapping a Trajectory for YMSM Access to PrEP Based on the History of Reproductive Justice | View Slides

Panel Discussion: Implementation in an Adolescent PrEP Clinic 

  • Donna Futterman, MD, Adolescent AIDS Program, Children’s Hospital at Montefiore
    View Slides
  • Jeff Birnbaum, MD, Heat Program, SUNY Downstate
    View Slides
  • David Rosenthal, DO, PhD, Center for Young Adult, Adolescent and Pediatric HIV, North Shore-LIJ Medical Group
    View Slides
  • Uri Belkind, MD, MS, Health Outreach to Teens (HOTT), Callen-Lorde
    View Slides

 

Speaker Bios

Uri Belkind, MD, MS, is an Adolescent Medicine physician and pediatrician. Originally from Mexico, he obtained his medical degree, at the Universidad Nacional Autonoma de Mexico. He completed his residency in Pediatrics at Jackson Memorial Hospital, University of Miami, where he served as Chief Resident, and was later accepted as a post-doctoral fellow in Adolescent Medicine at Montefiore Medical Center. Uri is currently the Clinical Director of the Health Outreach to Teens (HOTT) program at Callen-Lorde Community Health Center in New York City, a comprehensive, multi-disciplinary program designed specifically to meet the medical and mental health needs of lesbian, gay, bisexual, transgender, and questioning adolescents and young adults ages 13-24.

Jeffrey Birnbaum, MD, is an Associate Professor of Pediatrics and Public Health at SUNY Downstate Medical Center and currently serves as the Principal Investigator and Executive Director of the Health & Education Alternatives for Teens (“HEAT”) Program. HEAT is the only program of its kind in Brooklyn to offer comprehensive medical and mental health care, supportive services, and access to clinical research for HIV+ and at-risk youth, aged 13 to 24. At HEAT, he has provided medical care to hundreds of HIV+ youth ages 13-24 years since 1992. Dr. Birnbaum is an adolescent medicine specialist and Board certified pediatrician who has devoted most of his professional career working with HIV+ youth. Today, HEAT operates a “one-stop” full service clinic, offering a full range of developmentally appropriate and culturally competent medical, mental health and supportive services that are tailored to meet the special health care needs of young people at very high risk for HIV. In addition to his clinical work at HEAT, he devotes much of his time in community mobilization efforts to identify and engage HIV+ youth in care. He has pioneered efforts in Brooklyn to engage young gay, bisexual male youth and transgender youth in medical care, prevention activities and HIV counseling and testing efforts. Through his efforts, Dr. Birnbaum has provided this particular community of young people in Brooklyn access to health care that lessens the huge health disparities they face. Dr. Birnbaum has also been a pioneer in the realm of transgender health. As a result of his efforts, HEAT operates the only transgender health clinic for youth, ages 13-24 years, in Brooklyn. His advocacy for the rights of transgender youth to be able to access hormonal therapy has been recognized both locally and nationally.

Demetre Daskalakis, MD, MPH, is the Assistant Commissioner of the Bureau of HIV Prevention and Control of the NYC Department of Health and Mental Hygiene. He received his medical education from NYU School of Medicine and completed his residency training in 2003 at Beth Israel Deaconess Medical Center in Boston. He also completed Clinical Infectious Disease fellowships at the Brigham and Women’s | Massachusetts General Hospital combined program. He received his Masters of Public Health from the Harvard School of Public Health. He has been a career-long physician activist in the area of HIV treatment and prevention among LGBT people.

Donna Futterman, MD, is a Professor of Clinical Pediatrics and the Director of the Adolescent AIDS Program at Montefiore in the Bronx New York. Her program was the first in the nation to offer comprehensive care to HIV+ youth and continues as one of the largest. The program is funded by research, clinical, educational and outreach grants. While continuing to serve HIV+ youth, the program has expanded its funding to provide care to at-risk youth, especially LGBT youth offering: care, support, hormones, PEP and PREP. Dr. Futterman is recognized as a local and international advocate for youth (and has written over 80 articles and chapters).

Bill G. Kapogiannis, MD, FAAP, joined the Maternal and Pediatric Infectious Disease Branch (MPIDB) in July 2005. He is a board-certified infectious-disease specialist in both pediatrics and internal medicine. He received his M.D. from the University of Illinois at Chicago College of Medicine and completed a four-year internal medicine/pediatrics residency program at the University of Illinois at Chicago before finishing a combined fellowship training in infectious diseases within the departments of Internal Medicine and Pediatrics at Emory University, Atlanta, Georgia. At the NIH, Dr. Kapogiannis’ research is focused on HIV in adolescents; he is the scientific director of the Adolescent Trials Network for HIV/AIDS Interventions (ATN), which is evaluating biomedical, behavioral, and community level interventions along the entire continuum of care for treatment and management of HIV infection and its complications among youth, as well as the prevention of HIV transmission in the adolescent population, including HIV vaccine, microbicide and pre-exposure prophylaxis (PrEP) studies. He is also the primary NIH Scientific Collaborator on and the IND sponsor of ATN’s Project PrEPare (ATN 110 and ATN 113 PrEP studies among young MSM in the US).

Dan O’Connell is the Director of the New York State Department of Health AIDS Institute. Dan recently celebrated his 30 year anniversary in State service. During his years of service Dan has consistently led efforts to revise and revitalize programming and state laws for HIV, STD, HCV, LGBT health and drug user health. Over the last two years, he has worked with community stakeholders on a process that resulted in a Governor endorsed effort to bring HIV below epidemic levels in NYS by the end of 2020. Dan is an Executive Committee member of the National Alliance of State & Territorial AIDS Directors, chairs the NYS Interagency Task Force on AIDS, and in 2014 received an award from the White House for his work in hepatitis.

Lillian Rivera has a decade’s worth of experience in youth development, and is currently the Director of Advocacy and Capacity Building at the Hetrick-Martin Institute (HMI), the nation’s oldest and largest LGBTQ youth serving agency with sites in New York City and Newark New Jersey. Ms. Rivera has appeared on numerous media outlets including Cristina, CNN en Español and NBC Latino, offering her expertise on best practice in working with LGBTQ youth. She has had articles on her work with LGBTQ youth and her life as a Latina Lesbian Mom published on the Huffington Post and the Feminist Wire. Prior to assuming the role of Director of Advocacy and Capacity Building, Ms. Rivera served as Director of After-School Services, managing the largest direct service area at the Hetrick-Martin Institute. She received her BA in Theatre and MPH from Rutgers University.

David Rosenthal, DO, PhD, is the Medical Director for the Center for Young Adult Adolescent and Pediatric HIV at North Shore-LIJ Health System; his office is in Great Neck, Long Island. The Center for Young Adult, Adolescent and Pediatric HIV has grant funding from the NYS DOH AIDS Institute, HRSA Ryan White Part D, and is also supported by a grant from the CDC. Recently, in addition to focusing on care of adolescents and young adults living with HIV, Dr. Rosenthal has been addressing LGBTQ inclusion in health care, and HIV prevention. He has opened a satellite clinic at Pride for Youth in Long Island providing low threshold medical care including screening for PrEP.

Susan Rosenthal, PhD, ABPP, is the Director of the Division of Child and Adolescent Health and the Vice Chair of Faculty Development within the Department of Pediatrics. Her research focuses on the areas of adolescent health, specifically the promotion of sexual health and vaccine acceptability from a developmental perspective. Her current R01 focuses on adolescent and parents attitudes towards research participation and willingness to participate in reproductive health clinical trials. Dr. Rosenthal also has an interest in the development of leadership skills, the issues in mentoring in diverse relationships, and the use of faculty reviews to promote the growth of the faculty and the department.