Positively Living & Choice Health Network
- Need: To provide care and support to eastern Tennesseans living with HIV/AIDS, disabilities, mental illness, substance use disorder, and/or homelessness.
- Intervention: Positively Living & Choice Health Network provides services like counseling, case management, an HIV/AIDS clinic, and supportive housing.
- Results: The program currently has 85 PrEP clients and in 2016 opened a second clinic to serve 12 more counties.
According to the Tennessee Department of Health, in 2018, there were 18,056 people in the state living with HIV, a rate of 266.6 per 100,000 people.
Positively Living & Choice Health Network provides care and support to those with HIV/AIDS and other vulnerable populations living in a rural 11-county region around urban Knoxville, Tennessee. Originally created as a day center in 1996 for people with HIV/AIDS, the program now serves those with:
- Mental illness
Positively Living & Choice Health Network received a Robert Wood Johnson Foundation grant.
This program provides:
Positively Living & Choice Health Network also offers Project ACT (Awareness. Counseling. Testing.), a prevention program that offers testing for sexually transmitted infections (STIs), HIV, and hepatitis C; navigation services for pre-exposure prophylaxis (PrEP); and harm reduction services, including a syringe service program.
In 2016, the program began a clinic that provides:
- Primary care
- Infectious disease care
- Mental health services
- Telehealth option for rural clients
Positively Living & Choice Health Network has offices in Knoxville, Chattanooga, Memphis, and Upper Cumberland and currently serves nearly 5,000 individuals and families through their medical clinic, client services program, and harm reduction program. For the 2019/2020 fiscal year, the program:
- Served 157 PrEP clients
- Provided 887 HIV tests and 713 hepatitis C tests
- Served 4,668 harm reduction participants
- Provided 16,460 client visits
- Distributed 67,764 naloxone doses
- Provided mental health services to 26 clients
- Helped 94% of clients achieve viral suppression
In 2016, Positively Living & Choice Health Network opened another HIV treatment and prevention clinic in urban Chattanooga to serve southeastern Tennessee (12 more counties). In addition to the above services, this clinic offers Housing Opportunities for Persons with AIDS (HOPWA, a federally funded program) and the Supportive Housing Program, which provides case management and affordable housing (29 apartments) to men with:
- Co-occurring disorders (including HIV/AIDS, mental illness, substance use disorder, and other chronic illnesses)
- History of chronic homelessness
- Low incomes or other financial limitations
Positively Living & Choice Health Network hired a PrEP case manager who focuses on recruitment and connection to services, an HCV coordinator who focuses on testing and outreach, and an outreach coordinator.
HIV and AIDS
Housing and homelessness
People with disabilities
November 13, 2018
Date updated or reviewed
November 5, 2020
Suggested citation: Rural Health Information Hub, 2020. Positively Living & Choice Health Network [online]. Rural Health Information Hub. Available at: https://www.ruralhealthinfo.org/project-examples/1040 [Accessed 20 April 2021]
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