The effort was a partnership with:

• Heart to Hand Inc., a community-based organization
• Greater Baden Medical Services, a Federally Qualified Health Center
• University of Maryland Prevention Research Center
• Prince George’s Hospital – Glenridge Clinic (Dimensions Health System)

IPHI employed five community health workers (CHWs) in PGC who pursued various short-term activities. The CHWs typically worked 6 – 12 months or until program participants were fully engaged in HIV care. Total Health Partners CHWs:

• Found people living with HIV/AIDS (PLWHA) who were not receiving medical care;
• Built peer-based trust and provided information about living with HIV;
• Provided personalized assistance to help PLWHA enter and navigate service systems;
• Supported PLWHA throughout the early part of their care until they became fully engaged in that care; and
• Facilitated linkage to housing and financial wellness training workshops.

The model also incorporated a training series, “My Health, My Life, My Future,” for clients on housing, financial capability, and promotion of mental health and wellness.