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
