The State Opioid Response (SOR) Grant, HIV/Viral Hepatitis Service Integration project is a collaborative initiative by the Pennsylvania Department of Drug and Alcohol Programs and the Pennsylvania Department of Health, which aims to increase awareness of and expand access to HIV and viral hepatitis services in facilities treating persons with substance use disorder.
The SOR project provides drug and alcohol treatment professionals with the resources, knowledge and technical assistance needed to implement DDAP’s policies related to HIV and viral hepatitis prevention, treatment, and care.
For information about health resources in your area, visit the SOR online resource directory or the HIV and Hepatitis Services Map
Our referral materials provide comprehensive information on care providers who offer HIV and viral hepatitis services including: screening, testing, medical care, prevention, PrEP and vaccines.
MAP
A list of places that offer medical care for HIV, viral hepatitis, and PrEP for HIV prevention across the state of Pennsylvania in map format.
A list of places that offer medical care for HIV, viral hepatitis, and PrEP for HIV prevention across the state of Pennsylvania in a google spreadsheet.
Provider Referral Guide & Best Practices Manual
This guide offers practical and applicable information for drug and alcohol providers seeking guidance in offering health information, support and referrals to medical care for HIV, hepatitis B and C, PrEP for HIV prevention and vaccines for prevention of hepatitis A and B.
Table of Contents:
Executive Summary ……………………………………………………………………………………………..5-6
Opportunities for Integration …………………………………………………………………………..……..7
Opt-Out Testing ………………………………………………………………………………………..…………… 8
Viral Hepatitis …………………………………………………………………………………..……………… 9-44
Hepatitis and the Liver …………………………………………………………..……………….. 11
Hepatitis A and Hepatitis B ……………………………………………..…………………. 13-24
About Hepatitis A and B ………………………………………………………………..15
Hepatitis A background ………………………………………………….……………..16
Vaccination for Hepatitis A ………………………………………………….………..17
Hepatitis B Background ……………………………………………………….………..18
Hepatitis B Transmission B ………………………………………………….…………19
Hepatitis B Testing ……………………………………………………………….………..20
Vaccination for Hepatitis B ………………………………………………….…………21
On-Site Vaccine Provision ………………………………………………….…………..22
Hepatitis B Treatment ………………………………………………….………………..23
Hepatitis B and Pregnancy ……………….………………………………….………..24
Hepatitis C ……………………………………………………………………………………...……24-44
Hepatitis C Basics ………………………………………………….……………………….27
Hepatitis C Care Continuum ………………………………………………….………..28
Hepatitis C Transmission ………………………………………………….……………..29
Hepatitis C Testing ………..………………………………………………….………..30-33
Hepatitis C and Pregnancy ………………………………………………….…………..34
Hepatitis C Treatment ………………………………………………….……….……35-37
Long Term Monitoring ………………………………………………….…………………38
Reinfection and Prevention ………………………………………………….…………39
Models for Service Integration…………………………………………….……..40-44
Human Immunodeficiency Virus (HIV) ……………………………………….………… 45-55
HIV Basics ………………………………………………….……………………………………47
HIV Transmission ………………………………………………….…………………………48
The Life Cycle of HIV ………………………………………………….……………………49
HIV Testing ………………………………………………….…………….……………...50-52
HIV Treatment ………………………………………………….………………………53-55
Pre-Exposure Prophylaxis (PrEP) ………………………………………………….……….57-63
About PrEP………………………………………………….……………………………..59-60
How to Access PrEP………………………………………………….…………………….61
Providing PrEP Education ………………………………………………….……………62
Post Exposure Prophylaxis (PEP) ……………………………………………….……63
Appendices ………………………………………………….…………………………………………………..65-116
Appendix 1: Referral Workflow ………………………………………………….………………..69
Appendix 2: Best Practices for Referrals to Care ………….……….………………..71-72
Appendix 3: Frequently Asked Questions About Opt-Out Testing ………..…75-78
Appendix 4: A Script for Providing Opt-Out Testing …………………………………79-84
Appendix 5: Discussing Hepatitis A and B Vaccines ………………………………………87
Appendix 6: Hepatitis C Testing ……………………………………………………………….89-90
Appendix 7: Preparing for an Appointment for Hepatitis C Care ..…………….91-92
Appendix 8: HCV Med Adherence …………………………………………………………………93
Appendix 9: Financial Assistance for HCV ………………………..……………………………95
Appendix 10: HIV Appointment Preparation ……………..…………………………..99-100
Appendix 11: HIV Medication Adherence ……………………………………………………101
Appendix 12: Basics of Providing PrEP Education ………………………………………..105
Appendix 13: Preparing for a Medical Appointment for PrEP …….………..106-107
Appendix 14: Paying for PrEP ……………………………………………………………………..109
Appendix 15: Finding a Medical Provider and Health Resources ………………..113
Appendix 16: Navigating Insurance …………………………………………………………….114
Appendix 17: Managing Billing and Reimbursement Considerations ……115-116
Citations ………………………………………………………………………………………………………….117-123
