• DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: (512) 533-3000

    E-mail the HIV/STD Program

    E-mail data requests to HIV/STD Program - This email can be used to request data and statistics on HIV, TB, and STDs in Texas. It cannot be used to get treatment or infection history for individuals, or to request information on programs and services. Please do not include any personal, identifying health information in your email such as HIV status, Date of Birth, Social Security Number, etc.

    For treatment/testing history, please contact your local Health Department.

    For information on HIV testing and services available to Persons Living with HIV and AIDS, please contact your local HIV services organization.

15th Texas HIV-STD Conference - 2:30 Wednesday Breakout Sessions

A5: A Structural Intervention Primer, San Antonio Room

Facilitating the behavior change of an individual is a laudable goal, and so too is facilitating a change in social or cultural norms within a group. Yet both of these interventions are labor-intensive and time-consuming. In this time of contracting resources, our industry needs other choices for disease prevention. While controversial, structural interventions seek a different path to prevention through a change in the environment, rather than in the individual.

Todd Logan
Special Projects Coordinator
HIV/STD Comprehensive Services Branch
Department of State Health Services
Austin, Texas

Todd Logan began his career as a social worker in 1984, and worked for better than 10 years in social welfare. In the realm of HIV prevention, he has volunteered for an AIDS Crisis Hotline, been in a buddy program, and provided long-term counseling to newly diagnosed HIV positive gay men all before the introduction of protease inhibitors. He came to DSHS as a trainer, and now is Special Projects Coordinator for all scopes of work, including HIV prevention, Ryan White services, and STD intervention. 

B5: Housing-Based Case Management (Part I), San Marcos Room

This presentation is targeted to staff working with families and individuals with HIV to assist in accessing a range of supportive housing options and to remain stably housed. Building trust, establishing a housing plan, motivating potential tenants, and developing and cultivating referral sources will be discussed. Barriers to successful housing placement are identified, and interventions that will help to diminish or decrease these barriers are presented and practiced. Attention is given to one-on-one interventions between case managers and clients, the elements of housing planning as well as programmatic interventions that can support housing placement and prepare people to take on the rights and responsibilities of tenancy.

Andrea White, M.S.S.W.
Chief Program Officer
Center for Urban Community Services
New York, New York

Andrea White is an Associate Director at Center for Urban Community Services (CUCS) who has worked in human services for over 20 years. She has designed and developed model programs for CUCS including a Transitional Living Community serving homeless mentally ill women and the Times Square Hotel, a 652-unit supportive housing program serving low-income and formerly homeless people, many of whom have HIV/AIDS, mental illness, and/or chemical dependency. White has provided technical assistance, sharing her expertise in all areas of supportive housing, for numerous groups throughout the U.S. and has made presentations at national and international conferences. Using lessons learned from her experiences at the Times Square and the Prince George, she has provided a significant amount of technical assistance to AIDS housing organizations around the country. She has been awarded the American Psychiatric Association's Community Psychiatry Award for Outstanding Contribution to the Field of Community Health and Mental Health and was recently recognized by NYC Voices, a consumer group, for her dedication to housing and advocacy on behalf of people with mental illness. White has also published on issues in housing homeless people and developing supportive services. 

C5: Syphilis Reactor Grid Evaluation: Houston, Texas, Sabine Room

Over the past five years the number of positive syphilis reactors received by the City of Houston Department of Health and Human Services has increased. In 2005 alone, the STD program processed close to 8,000 syphilis reactors. With a steady increase of reported labs, Houston found it necessary to implement a method for evaluating morbidity for the purpose of allocating resources.

The syphilis reactor grid analysis is a tool used to prioritize syphilis interview and follow-up efforts based on local morbidity trends. By summarizing the outcomes of syphilis serologies reported to the Houston STD surveillance program, the effectiveness of the syphilis reactor grid currently in place can be evaluated for future use. Based on the results of this analysis, the STD program can make recommendations for prioritizing surveillance provider follow-up as well as the initiation of patient follow-up.

The analysis of the reactor grid must be conducted with ongoing collaboration between surveillance and field operation staff in order to make the best decisions for the program. To make this analysis as effective as possible the data must be closely scrutinized and evaluated.

The syphilis reactor grid assists STD programs with making program decisions in light of resource shortage. The syphilis reactor grid analysis report is a scientific tool for determining where infectious syphilis cases are occurring and focusing STD efforts to address these cases.

Lupita Thornton
Surveillance Supervisor
Houston Department of Health and Human Services
Houston, Texas

Lupita Thornton has worked for the City of Houston Health and Human Services in HIV/STD Prevention and HIV/STD Surveillance for 18 years. She started as a disease intervention specialist (DIS) before moving on to be a frontline supervisor at several STD clinics providing supervision to DIS. She is currently overseeing all STD surveillance activities as the administrative supervisor with the Bureau of Epidemiology. Her duties also include the oversight of HIV public health follow-up.

Amanda Kubala, M.P.H.
Houston Department of Health and Human Services, STD Surveillance
Houston, Texas

Amanda Kubala has been employed as an epidemiologist with the City of Houston Department of Health and Human Services since 2004. Her primary focus areas include syphilis, chlamydia, and gonorrhea. She is also an active member of Houston's Syphilis Elimination Advisory Committee and the HIV Community Planning Group.

D5: Chlamydia Screening - A Charter School Experience, Trinity B

The Texas Infertility Prevention Project (TIPP), part of the six state Region VI Infertility Project Advisory Committee (RIPAC), was a significant partner in a cooperative effort to screen students in a charter school for chlamydia. RIPAC received a small grant from Gen-Probe to do a pilot screening project for charter high school students. Three Region VI IPP states - Louisiana, New Mexico, and Texas - participated. Nationally, it has been difficult for STD prevention programs to access the secondary school system. Although, this is a population at risk for chlamydia, not surprisingly, there are many barriers to testing and screening programs in high schools. TIPP enlisted a local public health clinic, a local charter high school, and DSHS for this unique project.

This presentation will discuss the detailed process followed to implement a mass screening day for this population, the test results, behavioral data, and the important partnership between business, public health, educators, and students. A successful collaboration can be useful in reducing chlamydia morbidity.

Diane Rainosek, M.S.N.
Nurse Practitioner, Center for Adolescent Medicine
People's Community Clinic
Austin, Texas

Diane Rainosek has a strong background in maternal and child health. She spent several years with the Kaiser Permanente Group in Oakland. She was then awarded a post masters fellowship in adolescent medicine at the Children's Hospital in Cincinnati. She has been a nurse practitioner at People's Community Clinic in Austin for the last ten years.

Jennifer Curtiss, M.Ed.
Texas IPP Coordinator
Center for Health Training
Austin, Texas

Jennifer Curtiss has 10 years of experience the field of HIV, STD, and family planning. She began in HIV case management, testing and counseling, and education and training. In this capacity, she coordinated HIV/STD education in social service agencies for staff and their high-risk clients, developed facilitated workshops for agencies on standard precautions, HIV/STD in their client populations, and healthy sexuality for adolescents. She is currently the Texas Infertility Prevention Project Coordinator providing technical assistance to publicly funded STD and family planning clinics on chlamydia screening, treatment, and counseling.

E5: Estimating Unmet Need for HIV-Related Medical Care, Trinity A

Using the HRSA/HAB definition for unmet need for HIV primary medical care (no evidence of any of viral load testing, CD4 count, or the provision of antiretroviral therapy during a specified 12-month time frame) and linking both surveillance and claims databases, DSHS has estimated unmet medical need for known PLWHA in Texas. DSHS and the Title I grantees in Texas have been using these estimates to guide assessments of barriers to medical care amoung PLWHA. This presentation will briefly describe the methods that were used to make these estimates and will provide detail about populations identified as having an unmet medical need.

This presentation will lead into Session E6, entitled "Assessing and Addressing Unmet Need for HIV-Related Medical Care" which will provide real world examples of how Title I and Title II Planners have used this information to address out of care populations in both rural and urban areas.

Barry Mitchell, M.P.H.
Statistician IV
HIV/STD Epidemiology and Surveillance Branch
Department of State Health Services
Austin, Texas

Barry Mitchell has worked in the public health field in Texas for over 25 years and in HIV/STD epidemiology for over 10 years. He currently works for the DSHS HIV/STD Epidemiology and Surveillance Branch in epidemiologic monitoring.

Ann Robbins, Ph.D.
Manager, Program Improvement Group
HIV/STD Epidemiology and Surveillance Branch
Department of State Health Services
Austin, Texas

Dr. Ann Robbins oversees program evaluation and advanced epidemiologic research focusing on HIV/STD prevention and HIV services programming as the Manager for the Program Improvement Group at DSHS. For the past ten years, she has been coordinating study design and implementation for process and impact/outcome studies associated with these programs.

Michelle Porter, M.P.H.
HIV/STD Epidemiology and Surveillance Branch
Department of State Health Services
Austin, Texas

Michelle Porter received a master of public health from the University of Texas Health Science Center in Houston and has worked in public health since 1999. As an epidemiologist with the Program Improvement Group at DSHS, she has focused on the analysis of HIV services data to be used in epidemiologic profiles, funding reports, unmet need estimates, and establishing and measuring progress towards service goals.

F5: Preparedness and Response Track: Avian Flu: What Is It And What Can Be Done?, Concho Room

If/when a severe influenza pandemic occurs, every aspect of society will change. If the pandemic is 1918 Spanish flu-like in severity, the health care system may have few resources to deal with much more than those ill with influenza. Food and medications may be in short supply. To maximize individual or sector success in managing through a pandemic that may attack in two or three waves over a year requires planning and preparation both individually and collectively. Vulnerable populations are particularly at risk due to particular challenges. Advocacy groups and population leaders will need to collaborate in efforts to ensure special needs are met. This presentation seeks to provide information about the current situation; what is being done in government to prepare; what kinds of responses can be expected for outbreak control and containment; and what can be done at the individual and sector level to prepare.

Cynthia O. Morgan, Ph.D., R.N.
Pandemic Influenza Program Coordinator
Department of State Health Services
Austin, Texas

Dr. Cindy Morgan is the Pandemic Influenza Program Coordinator with the DSHS Strategic Preparedness Group in the Community Preparedness Section. She received a master in nursing administration and doctorate in transcultural nursing from the University of Utah. She has practiced as a public health nurse in San Jose, California, Jefferson County, Colorado, Salt Lake City and Austin. She taught public health nursing at the baccalaureate and masters level at Brigham Young University in Utah and the University of Texas at Austin. She has eight publications in refereed journals and three book chapters to her credit. Her expertise is in community assessment, program planning, health policy, transcultural nursing focusing on American Indians, and qualitative research. She led development of Version 1.0 of the Texas' Pandemic Influenza Plan Operational Guidelines, which is currently going through final review and should be published on the web soon. Her work in pandemic influenza has required developing collaborations with such diverse groups as the poultry industry and animal health agencies, military, and the state Funeral Commission and death care professionals.

G5: HIV Incidence: We're Making Progress (Part II), Pecos Room

See G4 for presentation overview and speaker information.

H5: What Do You Mean, "Call Back Tomorrow?", Ballroom A

The Dallas County Health and Human Services' STD Clinic sees an average of 17,500 clients per year. A pilot screening program was initiated in the STD Clinic in October of 2005 in an effort to improve the number of clients seen on the same day they call for an appointment. A retrospective chart audit revealed clients' reasons for visiting the clinic. Up to 25 percent stated they were having no symptoms and "STD screen" was marked as reason for visit. Using this information, a Fast Track program was developed and implemented where clients fitting specific criteria would be screened for infection without examination by a clinician on their initial visit.

Since its inception, the program has been successful. The clinic's turn away rate has decreased from the hundreds to the teens. Ninety-three percent of clients are seen on the same day they seek services. This is an increase from 63 percent prior to the Fast-Track program. Disease is being found and treated. Of the 1,114 asymptomatic clients screened in this program, nine new cases of HIV have been identified, 24 individuals have tested positive for syphilis, 111 individuals were found to have chlamydia, and 30 gonorrhea.

Barbara Smith, R.N., M.S.N., F.N.P.
Clinic Supervisor
Dallas County Health and Human Services
Dallas, Texas

Barbara Smith has 18 years of hospital clinical experience, six years on the faculty of UT Southwestern Medical School, and four years in a family practice clinical setting. She has served as the STD Clinical Program Manager and Clinic Supervisor for the Dallas County Health & Human Services STD and HIV clinics since December 1997.

Mary R. McLaud, R.N., M.S., F.N.P.-C.
Clinic Supervisor
Dallas County Health and Human Services
Dallas, Texas

Mary McLaud has 20 years of hospital clinical experience. She has worked with HIV providers in the community prior to accepting the position of Nursing Supervisor for the Dallas County Health & Human Services STD Clinic in February 2003.

Steven Wilson, M.D., M.P.H.
Medical Director, STD Division
Dallas County Health and Human Services
Dallas, Texas

Dr. Steven Wilson worked with the Indian Health Service in the early 1990s in both Arizona and Washington. He returned to Texas as Director of Child Health Services and then Director of the STD Division for San Antonio Metro Health Department. He relocated to Dallas and has been employed with Dallas County as the Director of Medical Services for the Juvenile Detention Center and the Bioterrorism Division before taking his present position as Medical Director for the STD Program in February 2006.

I5: Whole Health Initiative in the Gay/Lesbian/Bisexual/Transgender Community, Ballroom B

This presentation will discuss the needs for holistic health education approaches to combat HIV/STD transmission in the Gay/Lesbian/Bisexual/Transgender (GLBT) community. The presenters will explain their program from inception through development. Also, disccusions will summarize new practices and approaches to educate GLBT about all health issues.

Gil A. Flores, II
Director of the John Thomas Gay & Lesbian Community Center
Resource Center of Dallas
Dallas, Texas

Gil Flores is the Associate Executive Director for GLBT Community Services with the Resource Center of Dallas. He has been a member of the Conference Planning Committee for the last eight years. He continues his involvement with the North Central Texas HIV Prevention Planning Coalition and the Dallas Syphilis Elimination Coalition. Flores served on the host committee for the 2006 HIV Prevention Leadership Summit, and is also a past presenter for the Texas HIV/STD Conference and the Oklahoma HIV Conference. Since joining the Resource Center of Dallas in 1992, he has provided sensitivity training on GLBT issues all across the southwest to colleges, universities, businesses, religious groups, and organizations. He provides this training to the Dallas Police Academy and Dallas Fire and Rescue Academy. Flores continues his work in the fields of GLBT issues and HIV/AIDS and STDs.

Chris Wilkie, D.H.S.
Community Health Program Manager
Resource Center of Dallas
Dallas, Texas

Dr. Chris Wilkie is the Community Health Program Manager for the Resource Center of Dallas. He has worked in the field of HIV/AIDS and STDs for more than five years. He has an extremely strong academic background in human sexuality and public health. After completing his graduate work, he went on to complete a nationally recognized board certification as a sexologist through the American College of Sexology. He is also an active member of several community coalitions and planning bodies including, but not limited to, the North Central Texas Community Planning Group, the North Texas Prevention/Services Coalition, and the Dallas County Syphilis Elimination Coalition. Over the past several years he has presented at universities, state conferences, and national conferences.

J5: TX/OK AETC Clinical Track: Principles of HIV Medication Adherence, Wedgewood Room

In order to live longer and maintain a better quality of life, it is essential that patients take their HIV medications as instructed. But, maintaining a medication regimen can be challenging for many reasons including side effects, psychosocial issues, and even cultural barriers. This presentation addresses the challenges of medication adherence, the change that is necessary in order to be adherent, and the commonality of the progression of the disease. This presentation will introduce components of disease and medication education, patient treatment plans, the measurement of adherence, barriers to adherence, and the implementation of the behavioral stages of change.

Deborah Torres
Adherence Case Manager
Parkland Health & Hospital System
Dallas, Texas

Deborah Torres has been working in health care since 1992 as an STD/HIV epidemiologist and a health educator. Presently, she is the Adherence Case Manager for Parkland Health & Hospital System, where she empowers HIV/AIDS patients through disease and medication education to improve quality of life despite their AIDS diagnosis. Torres has been the recipient of two recent awards, including the "2005 Education Healthcare Hero Award" and the "Above and Beyond Award." She was recently invited by the New York City Department of Education to speak on “The Principles of Adherence.”

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Last updated May 22, 2013