As of February 2023, The Stepping Stones Program has
recruited 38 participants, 79% of whom were referred by
VOASELA's RWHAP. All clients have been retained in the
program; however, one client passed away while enrolled.
All clients completed baseline assessments, baseline
acuity assessments, and service plans. Participant
assessment completion is illustrated in Figure 1.
Patient Navigators have completed 1,050 encounters with
the participants with an average of 28 encounters per
participant. Twelve of the twenty (60%) participants
enrolled for 12 months completed all six educational
sessions and sixteen (80%) completed at least five.
The Peer Facilitator has completed 229 individual
sessions with participants, 39 group education sessions,
and 10 support groups. On average, there were 3
participants per group education session and each
participant attended an average of three classes. Thirty
percent of the participants enrolled for 12 months
completed all six peer educational sessions; an equal
percentage chose not to attend any of these sessions.
Twenty-one of the 38 participants attended at least one
peer support group. Of those who attended at least one
peer support group, participants attended an average of
three support groups with a range of 1-6. Client
engagement is illustrated in Figure 2.
One-hundred and one adherence packages have been sent,
with all clients receiving at least one. Six participants
have received gas vouchers and 22 have received food
assistance to meet their assessed needs as part of the
Red Carpet Experience. All clients have received
assistance with appointments including reminders and/or
All Stepping Stones-VOASELA implementation staff (7) were
trained in Human Subjects Research, HIPAA, Enhanced
Patient Navigation for Women of Color Intervention,
Motivational Interviewing, Trauma Informed Care, Cultural
Humility and Implicit Bias, Trans-Equity, and Mental
Health First Aid.