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Clinic for family services

The purpose of the activity is to educate low income individuals about prevention of alcohol and drugs abuse and HIV infection; and to provide medical services including perineal care and assistance to domestic violence victims.

 Health care educational services

Working in partnership with the county of Los Angeles clinics and the Los Angeles Unified School District, we plan to offer extensive HIV prevention programs that will include a wide variety of outpatient medical services and education outreach services. Our mission will be implemented in the following steps:

Youth opportunities:

We intend to provide age specific programs and developmental services that will offer youth aged 14 to 21 occupational and life skills attainment. The program will provide classroom-based studying and tutoring services. Instruction, as well as employment attainment services, will provide trouble youth with the skills they need to be successful in their career making and join the ranks of the workforce.

We will invite partners to participate in this program, for instance Los Angeles Unified School District, colleges and California Employment Development Department. The program will also include sports activities and imparting athletic technical skills. The sport director of the organization will conduct the programs to help the teenagers acquire sports skills and improve their level of athletic performance rather than become involved in gang activities or drug abuse.

Employment services:

We plan to provide the career seekers with a variety of services that will help them complete a successful job search. The program will offer continuous job quality improvement. We will provide training and education, career counseling, placement and retention and assessment services as well as the use of computers with internet access and all other key resources needed to secure a new position.

We will also develop specific programs for disabled, dislocated, elderly workers and veterans and for this program we will request the support of California Department of Rehabilitation, California Employment Development Department, and various welfare and youth organizations.

Substance abuse program:

We will provide counseling and referrals for individuals with drug addiction and mental health problems. Our program will include services for women who are pregnant, postpartum or parenting. We will involve counselors who will assist individuals in areas of domestic violence, sexual abuse, low self esteem; and provide them with peer support, life skills, health education and parenting instruction.

Child care services:

We will provide care services for children whose mothers undergo medical treatment or educational courses and create the perinatal outreach and education program, insuring that the varied health care needs of each woman and her child will be met either at our foundation or through a referral to another agency providing similar support.

 Prevention of HIV infection

The most important way to prevent HIV infection is the identification of HIV risk behaviors and developing an appropriate and realistic risk reduction plan.

A multitude of demographic, behavioral, social, and cultural factors may place individuals at increased risk for HIV infection. Apart from individuals’ behaviors, it is apparent that some cultural forces, such as homophobia, family loyalty, sexual silence, racism, poverty, violence, and sexual abuse can be core contributors to HIV risk behaviors.

It is important to remember that H in HIV stands for human; and therefore, any human being is susceptible to the virus, although, certain groups are currently at greater risk for HIV at this time.
Testing is important for those who have engaged in activity at any point in their lives that could have exposed them to HIV. Once the test comes back negative, however, they need to re-test, if they have engaged in such type of an activity within the last six months. After that, we will work on the disclosure of the psychosocial issue.

We will hire counselors for development of the protocol for HIV prevention. A single session risk assessment and test disclosure will consist of the following steps:

1. Asses the patient’s readiness to receive his/her results.
2. Retrieve test result, complete appropriate paper work and strategize disclosing the result to the patient.
3. Disclose negative test result; ask the patient if he or she has any questions or concerns regarding the result; follow patient’s lead as to when to disclose; state result in a direct, neutral tone; wait for patient’s response before proceeding.
4. Asses patient’s emotional state and counseling needs.
5. Explore feelings assessment and acknowledge patient’s feelings in response to negative or positive result.
6. Explore information and thoughts:
A. assess patient's understanding of test result and clarify misconceptions;
B. assess the need for re-testing based on window period and recent risk.
7. Explore behavior, reassess patient’s risk reduction step which was disclosure related issues.
8. Evaluate patients who are at greater or lesser risk.
9. Identify sources of support for risk reduction step and assess strength of social support for patients intended risk-reduction step.
10. Revisit referrals from risk assessment; reassess patient's risk reduction step which was discussed earlier in the session.
11. Let the patient know we have confidence in their ability to complete the step.
12. Close the session, but not the door.

Identification of sources of support for the risk reduction step is conducted through emphasizing the importance of the patient discussing with a trusted friend or relative the intention and content of the risk reduction step they developed during the risk assessment. For example, since we may not see the patient again, it might be useful to share the plan to reduce his/her HIV/STD risk which can be accomplished in the following steps:

- Revisit referrals from risk assessment.
- Let the patient know we have confidence in their ability to complete the plan.
- Identify sources of support for disclosure of results, risk reduction steps or any other pertinent patient concerns.
- Discuss collecting a second sample and scheduling an appointment for the confirmatory test.
- Review strategies for coping.
- Present reasons that will encourage patients to return for confirmatory result.
- Provide referral and closure.

Subsequently, post disclosure counseling is provided. HIV counseling and testing has demonstrated remarkable success. A key factor that contributes to its effectiveness is that its design recognizes that behavior change is incremental and is rarely achieved overnight. Traditionally, counseling and testing offers brief counseling intervention, risk assessment and disclosure counseling sessions.

HIV will be tested using the OraQuick Advance Rapid HIV ½ Antibody Test. Disclosure counseling sessions will dwell upon reduction of harm resources, including alcohol, cocaine, crack cocaine, ecstasy, gammahydrybutyrate, heroin, opiates narcotics, poppers and other inhalants, ketamine, LSD, hallucinogens such as marijuana, methadone, mushrooms, psilocybin, speed methamphetamine; as well as decrease of risk of Viagra-caused STDs and opportunistic disease.

 Medical services

We intend to provide low income families, and specifically children, with access to medical services which will include the following specialties: obstetric and gynecology, orthopedics, cardiology, pulmonary, pediatric, rheumatology, otolaryngology, geriatric, care of women, sport medicine, psychiatry, family medicine, gastroenterology and infectious diseases. We will provide care to the patient through various health maintenance approaches. We will evaluate and manage the diseases as well as provide care at the end of incurable patients’ life. Out medical service will be consultations until we receive enough grants for purchasing medical equipment and conducting therapy which can help cure the problem.



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