Working Together: Interprofessional Care in HIV – Resources for Providers and Patients

Provincial Guidelines

• Primary Care Guidelines for the Management of HIV/AIDS in BC (BC-CfE)
• Antiretroviral (ARV) Treatment of Adult HIV Infection (BC-CfE)
• Occupational and Sexual Assault Post Exposure Prophylaxis (PEP)
• Non-Occupational Post Exposure Prophylaxis (NPEP)
• Pre-Exposure Prophylaxis (PrEP)
• Therapeutic Guidelines for Opportunistic Infections (BC-CfE)
• British Columbia Guidelines for the Care of HIV Positive Pregnant Women & Interventions to Reduce Perinatal Transmission (BC Women’s Hospital & the Oak Tree Clinic)
• HIV Testing Guidelines (BC Centre for Disease Control)
• Best Practice Guidelines: Caring for client who are risk of or are living with HIV/AIDS
  Contains recommendations for practice in the delivery of HIV care for nurses in acute care and community settings, developed by the Canadian Association of Nurses in AIDS Care (CANAC). (PDF document)

Telephone Helplines & Clinical Supports

• REACH Line (Rapid Expert Advice and Consultation for HIV)
  604-681-5748 or 1-800-665-7677 (24/7)
  Call for timely and convenient clinical advice on HIV/AIDS treatment and management. REACH provides consultation services from infectious disease specialists, physicians, and/or pharmacists experienced in HIV management.
• RACE Line (Rapid Access to Consultative Expertise )
  
  604-696-2131 or 1-877-696-2131 (Mon-Fri: 8am to 5pm)
  Call RACE to speak to specialists on a variety of topics for assistance with care planning and patient management.
• Immunodeficiency Clinic (IDC) at St. Paul’s Hospital)
  604-806-8060 (Mon-Thu: 8am-8pm; Fri: 8am-4pm)
  A comprehensive primary care clinic for people living with HIV in BC. The IDC is a collaboration between the BC Centre for Excellence in HIV/AIDS and Providence Health Care. With a focus on addressing the needs of the whole person and reducing the impact of poverty, addictions, mental health, food insecurity and episodic homelessness, the clinic offerers integrated and comprehensive services to patients.
  Services include: HIV primary care and specialist care, nursing, social work, peer navigation, dietician, Hepatitis C treatment, HIV testing, and intensive case management.
• HIV Pharmacy at St. Paul’s Hospital

  1-888-511-6222
  Enroll patients in the HIV Drug Treatment Program. Reach an on-call HIV pharmacist.

• BC-CfE HIV specialist consults- St. Paul’s Hospital

  604-806-8316

• BC-CfE HIV and Hepatitis C clinic- St. Paul’s Hospital

  604-806-8315

• Communicable Disease Nurses (Public Health)

  Vancouver: 604-675-3900
  Central Island: 1-866-770-7798
  North Island: 1-877-887-8835
  South Island: 1-866-665-6626
  Public Health nurses provide support with disclosure, need assessment of services/referrals required, and partner notification.

• STOP HIV Outreach Team – Vancouver
  604-838-1331
  Provide comprehensive, flexible HIV testing, treatment, housing, public health follow-up and education. Services include outreach services, nursing support, physician services, peer support, and intensive case management.
• Cool Aid Clinic- Victoria
  250-385-1466 (Mon, Tue, 9am to 6pm; Wed Thu, 9am to 8pm; Fri, 9am to 3pm; Sat, 10a, to 2pm)
  Services include: Community Health Care Centre.
• Oak Tree Clinic
  604-875-2212 or 1-888-711-3030
  Provides specialized clinical care for women and children living with HIV in BC. Their interdisciplinary clinical team includes physicians (Adult, Pediatric, and Obstetric/ Gynecology), dieticians, outreach workers, nurses, pharmacists, and social workers.
• University of Liverpool HIV Drug Interactions website
  A clinically useful, reliable, comprehensive, up-to-date, evidence-based drug-drug interaction resource, freely available to healthcare workers, patients and researchers.
• Immunodeficiency Clinic- Toronto General Hospital
  Website of the Toronto General Hospital provides great information on HIV medication.
• Prince George AIDS Prevention Program-Northern Health
  Walk in Clinic: 250-564-1727 Walk in Daily 1-6pm
  Outreach Vehicle: 250-960-9777 Mon-Sun 7-11pm

For Patients - Resource Materials

• HIV 101
  HIV resource website created by Northern Health, for people living with HIV and for HIV prevention.
• BC-CfE Primary Care Guidelines- Information for Patients
  Provides a quick overview of HIV and a short introduction to treatment and connection with a physician or other healthcare provider. (Website compatible with mobile devices).
• HIV Care Registry
  Connects HIV-positive individuals with HIV experienced physicians and healthcare providers throughout British Columbia. (Website developed by Positive Living Society of BC).
• HIV Testing Handbook: A Guide to your Rights
  A guide for both patients and providers on the patient’s rights regarding HIV testing created by the BC Civil Liberties Association.
• BC-CfE Patient Information Sheet for Drug Treatment Program
  Provides a description of the HIV Drug Treatment Program at the BC-CfE in a Q&A format. (PDF document).
• CATIE (Canadian Treatment Information Exchange) website
  Provides information and resources on prevention and treatment for HIV and Hepatitis C.
• Positive Living Society of BC- Resources
  A list of online resources for people living with HIV, such as:
  Healthy Living Manual
  Peer Navigator Services
  Living with HIV and Hepatitis C Co-infection
  Dental Resources
  Discharge Planning
  
• YouthCO’s Aboriginal Youth Program
  Short videos produced by YouthCO’s Aboriginal Youth Program.

For Patients - Community Service Organizations (by region)

Vancouver Lower Mainland

• AIDS Vancouver
  604-893-2201 (Vancouver)
  Provides services to people living with HIV such as Case Management, Grocery Program, support programs, educational workshops, peer support, and telephone helpline.
• A Loving Spoonful
  A volunteer driven society providing free, nutritious meals to people living with HIV/AIDS in Greater Vancouver. (Vancouver).
• Oak Tree Clinic
  Oak Tree Clinic for women and families with HIV (Vancouver).
• Heart of Richmond AIDS Society
  A non-profit organization providing services and support for people impacted by HIV/AIDS. (Richmond).
• Health Initiative for Men (HIM)
  Provide support to HIV positive gay men to improve their physical, sexual, social and mental health. (Vancouver).
• Red Road HIV/AIDS Network
  Provide support programs in Education, Treatment & Care, Peer Counseling, Advocacy, and Workshops on HIV/AIDS & Hepatitis C. (North Vancouver).
• Pacific AIDS Network (PAN)
  604-569-1998 (Vancouver)
  A network of HIV community organizations in British Columbia. The membership list includes patient supports and services throughout the province.
• Positive Living Society of BC
  1-800-994-2437 (Vancouver)
  A non-profit member organization of people living with HIV in BC. Links to services and support programs across the province.
• Positive Women’s Network
  1-866-692-3001 (Vancouver)
  Support services for and by HIV-positive women living in British Columbia.
• Wings Housing Society
  Provide housing assistance to people living with HIV/AIDS, including portable housing subsidies throughout British Columbia. (Vancouver).
• YouthCO HIV & Hepatitis C Society of BC
  604-688-1441 (Vancouver)
  Youth leading the HIV and Hepatitis C Movement. Services include case management, community health promotion programs, scholarships, workshops and training.
• Dr. Peter AIDS Foundation
  The Dr. Peter Centre uses an interdisciplinary model of care with programs and services designed to engage people in their health care. With a specific goal of improved adherence to HIV treatment, our focus is on helping our clients improve their overall health, which we achieve through a personalized approach. (Vancouver).
• DTES HIV/IDU Consumers’ Board
  Provide support, treatment information, health referrals for HIV+ persons. Support programs include: Needle Exchange Program and the AIDS Support Group.
• Vancouver Native Health Society
  Provide the Greater Vancouver Aboriginal Community, programs and services to promoter the physical, mental, emotional and spiritual health of individuals. (Greater Vancouver).

Fraser Valley

• Afro-Canadian Positive Network of BC (ACPNET-BC)
  Provide support and culturally- appropriate services to HIV/AIDS diagnosed African refugees and immigrants and their families in the Surrey region. (Surrey).
• Maxxine Wright Community Health Centre
  Support pregnant women or women who have very young children at the time of intake who are also impacted by substance use and/or violence and abuse. Provide a range of women-centred health and social supports. (Surrey).
• The Lower Mainland Purpose Society
  A non-profit-society providing a variety of social, health and educational programs. (New Westminster).
• Positive Living Fraser Valley Society
  Provide support, education and outreach to all those affected by HIV. Hepatitis C, TB and Sexually Transmitted Borne Infections. (Abbotsford).
• Fraser Region Aboriginal Friendship Centre Association (FRAFCA)- Aboriginal “Positive” People Support Program (APPSP)
  Provide one on one support for people living with HIV/AIDS/Hep C. (Surrey).
• Pacific Connections- Pacific Community Resources Society (PCRS)
  A non-for-profit society providing alternate education, employment, addiction counsellings and prevention services, housing support and cultural enrichment for children, youth, adults and families. (Vancouver to Fraser Valley).

Interior

• AIDS Network Kootenay Outreach and Support Society (ANKORS)
  A non-profit society that serves those living with and at the greatest risk of acquiring HIV/AIDS and or HCV. (Nelson, Cranbrook).
• AIDS Society of Kamloops (ASK)
  A local agency providing awareness, education, advocacy, housing, and support related to HIV/AIDS, Hepatitis C, marginalization and persons at risk. (Kamloops).
• Living Positive Resource Centre, Okanagan
  Provide support to people living with HIV, experiencing concerns relating to housing, income, nutrition, access to health care including addiction and mental health services, connections and support networks, and other determinants of health. (Kelowna).
• North Okanagan Youth and Family Services Society, Cammy LaFleur Street Outreach Program
  An outreach program providing education to people who are homeless, drug addicted and/ or suffering with a mental illness.

Vancouver Island

• AIDS Vancouver Island
  1-800-665-2437 (Victoria, Nanaimo, Courtenay, Campbell River, Port Hardy)
  A community-based AIDS Service Organization supporting people living with HIV and Hepatitis C. Services include education, advocacy, Positive Wellness Program, and harm reduction services. Offices across the Island.
• Vancouver Island Persons Living with HIV/AIDS Society (VPWAS)
  1-877-382-7927 or 250-382-7927 (Victoria)
  Services include: Peer support helpline, treatment information, social events, activities, and Positive Living Programs.
• Positive Living BC
  1-800-9947-2437
  A non-profit member organization of people living with HIV in BC. Links to services and support programs across the province.
• Positive Women’s Network
  1-866-692-3001
  Support services for and by HIV-positive women living in British Columbia.
• Pacific AIDS Network (PAN)
  604-569-1998
  A network of HIV community organizations in British Columbia. The membership list includes patient supports and services throughout the province.
• Society of Living Intravenous Drug Users (SOLID)
  Provide support, education and advocacy to better the lives of people who use drugs. (Victoria).
• Tillicum Lelum Aboriginal Friendship Centre
  Strive to improve the quality of life for Aboriginal people living in an urban environment. Provide a HIV/AIDS & STD Support program for individuals living with HIV/AIDS.

Northern

• Blood Ties Four Directions Centre
  Provide HIV/AIDS & Hep C education and information workshops, harm reductions services and counselling.
• Central Interior Native Health Society
  A non-profit organization dedicated to Aboriginal Health. Promote physical, spiritual, emotional and cultural harmony withing all Aboriginal Peoples who reside in North Central British Columbia. (Prince Geroge).
• Positive Living North: No Khēyoh t’sih’en t’sehena Society
  Provides quality support, awareness education, and prevention services to people living with, affected by, and at-risk for HIV/AIDS/HCV.(Prince George, Smithers, Dawson Creek).
• Northern Health Blood
  Borne Pathogen Team (Prince George) – Phone 250-645-6315.
• Prince George New Hope Society
  Bridge the gap in services for sex workers through creating a place of safety and security for womyn to access support services pertinent to their needs. (Prince George).
• Quesnel Tillicum Society
  Provide various services and programs: Fetal Alcohol & Drug Effects Worker, Drug and Alcohol Program, Employment Counselor, Youth Outreach, Needle Exchange Program, Program Director, Family Support, Worker, Tillicum Learning Centre. (Quesnel).

• Care Registry- Positive Living BC
  Designed to connect individuals with HIV care providers in BC. The Registry is for information only and does not recommend, advocate, or endorse any particular service. Search online for care providers by location, services, language, or community.

Forms

• Evidence-Based Preventative Care Checklist For New Immigrants and Refugees
• How to Obtain HIV Medication through Drug Treatment Program
• HIV Drug Treatment Program- Enrolment Form
• HIV Drug Treatment Program- Prescription Request
• HIV Patient Care Flow Sheet- Adult Female
• HIV Patient Care Flow Sheet- Adult Male
• Laboratory Requisition Form-BC
• Laboratory Requisition Form-Outside of BC
• Laboratory Requisition Form, Hepatitis C Resistance Testing

Additional Education & Training Resources for Providers

• Online Course: HIV Diagnosis and Management (BC-CfE)
  10-12 hours of self-directed study online, free of charge. Topics covered range from epidemiology of HIV, HIV testing, primary care (immunizations, baseline tests), ARV treatment, ARV toxicities, opportunistic infections, hepatitis B/C co-infections with HIV, Treatment as Prevention, interprofessional care, and women and HIV.
  Accredited for up to 10 Mainpro-M1 credits for physicians.
• HIV Webinar Learning Series (BC-CfE & Positive Living BC)
  Live interactive learning sessions on issues related to the primary care of HIV-positive patients. Accredited for up to 1.0 Mainpro-M1 credits.
• Intensive Preceptorship program for Family Physicians and Nurse Practitioners (BC-CfE)
  Clinical training and mentorship in HIV for primary care providers. Accredited for up to 10 Mainpro-M1 and 25 Mainpro-C credits.
• Indigenous Cultural Competency Training Program (Provincial Health Services Authority)
  Created by the Provincial Health Services Health Authority in BC, the Indigenous Cultural Competency Training Program is an online accredited program designed to increase knowledge, self-awareness, and skills of those who work both directly and indirectly with Aboriginal people. This program has been accredited for up to 8 Mainpro-C credits and 8 Mainpro-M1 Credits.
• UBC CPD HIV Testing Workshops & Online Course
  A partnership between UBC and Health Authorities, these workshops are delivered regionally, free of cost, and are accredited for Mainpro-C credits for physicians. Check regularly for new workshop locations across B.C.
  Online course is accessible anytime, free of cost, and is accredited for 1.5 Mainpro-M1 credits for physicians.