Programming Connection

STOP Outreach Team 

Vancouver STOP Project
Vancouver, British Columbia
2013

Evaluation

Since its inception, the team has kept data on the number of testing clinics it holds, the number of tests conducted, the number of new positives yielded and the number of people living with HIV linked to care. These data are collected to determine the clinics’ effectiveness. Between November 2010 and July 2012, the team performed 1622 tests and diagnosed 33 new clients with HIV. This represents a two percent positivity yield.

The team also tracks the health indicators of clients, including housing and income status, health status and stability, ARV starts, and viral loads to determine if engagement with the team improves health outcomes for clients.

As of February 2013, the team has over engaged 404 HIV-positive clients with intensive case management and antiretroviral adherence support. Eight-nine percent of people referred were linked to an HIV primary care provider when they transitioned from the STOP Outreach Team to a less intensive care setting. In addition, frequent users of the city’s emergency departments (people who used the emergency room more than nine times in six months) experienced a 47 percent decrease in total number of emergency department visits six months after their referral to the STOP Outreach Team when compared to the six months before their referral. This suggests that the team is improving the health outcomes of clients through stronger connections to HIV primary care. Between November 2010 and June 2012, the team also helped 97 clients improve their housing status.

Finally, the team was the subject of the fall 2012 Community Engagement Report, a publication that the Vancouver STOP Project releases quarterly. Based on surveys of and interviews with clients, the report found that the team’s intensive case management and peer support work improved clients’ connection to medical care, nurtured client independence and provided clients a reason to find hope for change in their lives. This comment, by one of the team’s clients, illustrates the effectiveness of the integrated care the team provides: “My doctor, my housing worker, the case managers -- they are connecting together. They see I’ve made a difference to better myself and my health, and I keep pushing, keep fighting for my life. They are helping me, and I push too – I want a long life.”