Case management, as part of Spokane Regional Health District's HIV/STI Services program, is a confidential, client-centered process that links HIV-positive individuals to services to ensure timely, coordinated access to medically appropriate levels of health and supportive services.

HIV/AIDS Case Management offered at Spokane Regional Health District

A team of case managers provides support and referral services to individuals infected with HIV/AIDS/STI, regardless of income. Clients are assisted with referrals to health care specialists, support groups, and help finding medical insurance. Testing available by calling 509-324-1494.

Programs that offer HIV tests which are used to identify individuals who have been infected with the Human Immunodeficiency Virus (HIV) and are at risk for developing AIDS (acquired immune deficiency syndrome) or which are used to measure progression of the disease in people known to be infected. The most common HIV screening test is the enzyme immunoassay (EIA) which most frequently uses peripheral blood drawn from the arm or a finger as a sample, but can also be conducted using serum, oral fluids or urine. Repeatedly reactive EIA tests are confirmed using the Western blot or the immunofluorescence assay (IFA). The most common test that is used to measure disease progression is the PCR (polymeraise chain reaction) or viral load test. Many programs that provide HIV testing also provide pre-testing and post-test counseling which includes information about AIDS/HIV, reducing risks for HIV transmission, emotional support to help the individual deal with the testing process and test results, and information about and referral to other AIDS-related services.

HIV Testing

Programs that provide comprehensive medical services on an inpatient or outpatient basis for people who have symptomatic or asymptomatic HIV infections or a clinical AIDS diagnosis. An HIV diagnosis follows a reactive test for the HIV virus; however, a diagnosis of AIDS is given by a physician only if an individual's CD4 cell count is below 200 or if the individual develops certain opportunistic infections. Given that effective treatment is available for individuals who have been diagnosed with HIV, it is likely that someone who is adherent to treatment will never receive an AIDS diagnosis.

AIDS/HIV Clinics

Programs that identify individuals who have contracted gonorrhea, syphilis, genital herpes or other infections that are spread by sexual contact and diagnose their conditions. The procedure includes visual examinations, blood tests and analyses of discharge or samples taken from lesions.

Sexually Transmitted Infection Screening

Provides information to groups and individuals about STDs.

Sexually Transmitted Infections offered at Clallam County Public Health Services

Provides HEP-C testing and treatment for STD (Sexually Transmitted Diseases).  Information to groups and individuals about STD's HEP-C and HIV/AIDS.

Programs that provide comprehensive preventive, diagnostic and treatment services for people who have contracted gonorrhea, syphilis, genital herpes or another infection that is transmitted by sexual contact. Treatment usually involves an investigation of recent contacts of people who have been infected to stop the spread of the infection .

Sexually Transmitted Infection Treatment

Programs that provide information regarding practices that reduce the risk of an individual contracting an infection, including AIDS, through sexual activity.

Safer Sex Education

Programs that provide counseling services for individuals at risk for contracting or transmitting the HIV virus with the objective of supporting their ability to make behavior changes that will reduce their risk of acquiring or transmitting HIV. Counseling involves a personal risk assessment, development of a personalized action plan and the decision to seek an HIV test. Individuals who have a history of injection drug use, unprotected intercourse or sexual contact, sexual activity at a young age, multiple sex partners, sexually transmitted infection, and/or sex trade work are considered to be at high or increased risk and are targets for prevention counseling.

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HIV/AIDS Case Management offered at Spokane Regional Health District

Sexually Transmitted Infections offered at Clallam County Public Health Services

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HIV/AIDS Case Management offered at Spokane Regional Health District

Sexually Transmitted Infections offered at Clallam County Public Health Services