Has not disclosed HIV status to Has not disclosed HIV status to Sometimes discloses HIV status Always discloses HIV status to sexual partner(s) and does not sexual partner(s) and requests to sexual partner(s) sexual partner(s) plan to assistance to do so Sexual and Reproductive Demonstrates no understanding Demonstrates minimal knowledge Needs occasional assistance Demonstrates understanding of Health Status of HIV/HCV/STI transmission, of HIV/HCV/STI transmission, and understanding HIV, HCV, STI HIV, HCV, STI transmission, and/or no understanding of minimal understanding of transmission and/or assistance and/or understanding of correlation between HIV correlation between HIV understanding correlation correlation between HIV transmission and viral load transmission and viral load between HIV transmission and transmission and viral load suppression suppression viral load suppression suppression Reports at least 1 STI in the past Reports at 1 STI in the past No history of STI in the past 12 Reports sexual abstinence 6 months 12 months months Engages in transactional sex (e.g. No disclosure of HIV status to Sexual partner(s) currently on for money, drugs, a place to stay, sexual partner(s), but maintains a PrEP etc.) suppressed viral load HIV+ female not on treatment HIV+ female on treatment and is Acuity Score: and pregnant or desires pregnant or desires pregnancy pregnancy Comments (include referrals needed): Intensive Need Moderate Need Basic Need Self Management Area of Functioning (3) (2) (1) (0) Mental Health Clinical diagnosis with no Clinical diagnosis or otherwise Engaged with a mental health current mental health provider, no engaged with a mental health provider and is consistent with No indication of need for clinical pending appointments, no desire provider, but inconsistent with mental health treatment and/or mental health assessment and/or is resistant to seek appointment attendance and/or appointments treatment treatment adherence Currently awaiting treatment or Receives MCM support to make No support needed to make and Referral to a new mental health appointment with mental health and keep appointments with keep appointments with mental professional in the past 6 months professional mental health professional health professional Current Mental Health Moderate challenges with Consistent challenges with Some challenges with adherence to Status adherence to prescribed psychiatric No challenges with adherence to adherence to prescribed prescribed psychiatric medicines medicines or treatment protocol prescribed psychiatric medicines psychiatric medicines or or treatment protocol (occasional (missed doses more than a few or treatment protocol treatment protocol missed doses) times a month)
Sexual and Reproductive Health Status Has not disclosed HIV status to sexual partner(s) and does not plan to Sometimes discloses HIV status to sexual partner(s) Has not disclosed HIV status to sexual partner(s) and requests assistance to do so Always discloses HIV status to sexual partner(s) Demonstrates no understanding of HIV/HCV/STI transmission, and/or no understanding of correlation between HIV transmission and viral load suppression Demonstrates minimal knowledge of HIV/HCV/STI transmission, and minimal understanding of correlation between HIV transmission and viral load suppression Needs occasional assistance understanding HIV, HCV, STI transmission and/or assistance understanding correlation between HIV transmission and viral load suppression Demonstrates understanding of HIV, HCV, STI transmission, and/or understanding of correlation between HIV transmission and viral load suppression Reports at least 1 STI in the past 6 months Reports at 1 STI in the past 12 months No history of STI in the past 12 months Reports sexual abstinence Engages in transactional sex (e.g. for money, drugs, a place to stay, etc.) No disclosure of HIV status to sexual partner(s), but maintains a suppressed viral load Sexual partner(s) currently on PrEP Acuity Score: HIV+ female not on treatment and pregnant or desires pregnancy HIV+ female on treatment and is pregnant or desires pregnancy Comments (include referrals needed): Area of Functioning Intensive Need (3) Moderate Need (2) Basic Need (1) Self Management (0) Mental Health Current Mental Health Status Clinical diagnosis with no current mental health provider, no pending appointments, no desire and/or is resistant to seek treatment Clinical diagnosis or otherwise engaged with a mental health provider, but inconsistent with appointment attendance and/or treatment adherence Engaged with a mental health provider and is consistent with mental health treatment and/or appointments No indication of need for clinical mental health assessment Currently awaiting treatment or appointment with mental health professional Referral to a new mental health professional in the past 6 months Receives MCM support to make and keep appointments with mental health professional No support needed to make and keep appointments with mental health professional Consistent challenges with adherence to prescribed psychiatric medicines or treatment protocol Moderate challenges with adherence to prescribed psychiatric medicines or treatment protocol (missed doses more than a few times a month) Some challenges with adherence to prescribed psychiatric medicines or treatment protocol (occasional missed doses) No challenges with adherence to prescribed psychiatric medicines or treatment protocol
spectrum-manual.docx