One-Stop Shop HIV/AIDS Programs
Since retention in care, adherence to treatment, and disease self-management are all essential parts of HIV
prevention, many rural programs use a one-stop shop approach — providing both prevention and treatment
One-stop shop HIV/AIDS programs may provide:
- Prevention and outreach education
- HIV testing
- Syringe services
- Medical treatment and mental health services
- Psychosocial support
- Case management and care coordination
- Additional services to assist people with insurance, finances, food, housing, legal services, and
Rural community-based organizations implementing HIV prevention and treatment activities in rural communities
offer many of these services — using a one-stop shop approach — to provide a comprehensive support
system for clients.
A key component of the Ending the HIV Epidemic (EHE) initiative is supporting communities to respond rapidly to
HIV outbreaks through prevention and treatment. One-stop
shop programs can be instrumental during HIV and hepatitis C outbreaks, especially in rural areas. These
programs make it easier for people to access needed services and support by limiting the number of locations
they need to travel to. For example, in response to the HIV outbreak in rural Indiana in 2015, local and state
officials developed a one-stop
shop program model to help reduce the transmission of HIV. The Indiana model was comprehensive, including HIV
testing, routine vaccination services, care coordination, improved access to health insurance and healthcare,
substance use disorder treatment referrals, and transportation assistance for accessing healthcare services.
One-stop shop programs assist people living with HIV/AIDS with the entire spectrum of care, often including
services for non-health-related issues and other barriers to care in order to address the needs of their
Examples of Rural One-Stop Shop HIV/AIDS Programs:
Health Services Center (HSC) is a community-based, nonprofit
organization and medical clinic that provides healthcare services, education, and support to people living
with HIV/AIDS and their families in rural communities of eastern Alabama. Case managers at HSC meet with
clients prior to receiving medical care and provide support with HIV treatment, as well as ancillary support
such as assistance with paying utility bills, gaining access to necessary HIV medications, and filling out
applications for disability insurance. HSC is a Ryan White recipient and also provides mental health
services, substance use disorder treatment programs, and prevention education for people living in their
The mission of Chattanooga CARES
(CARES) is to “reach, assist, and support people impacted by HIV, Hepatitis C, and STIs.” The
organization achieves this mission by providing a comprehensive range of services to clients, including HIV
testing, direct healthcare in their Chattanooga Primary Care Center (CPCC), case management, a food and
nutrition program, support groups, transportation, and housing assistance. CARES is a Ryan White Clinic and
Center of Excellence for HIV, providing both primary and specialty health services. In addition, CARES
implements several Centers
for Disease Control and Prevention Evidence-Based Interventions and Best Practices for HIV
Prevention approaches within Chattanooga and surrounding rural counties.
Rural AIDS Action Network (RAAN) offers a range of services and programs to
both prevent transmission and assist in treating existing cases of HIV for rural communities in Minnesota.
The case management program provides education on compliance with treatment instructions, care coordination
for treatment, and referrals to mental health and substance use disorder care. Along with this, RAAN also
offers free HIV/hepatitis C testing, nutrition assistance programs, support groups, benefits counseling, a
syringe exchange program, and assistance with transportation needs.
Southern Tier AIDS Program provides comprehensive HIV/AIDS
services, including a main focus on prevention. Some of the specific services offered through this program
include a syringe exchange program, opioid overdose prevention program, a women's services program, M4
Project (men who have sex with men from communities of color), substance use information and referral
services, and a criminal justice initiative.
Matthew 25 AIDS Services “exists to provide individuals
with high-quality services, support, and treatment of HIV/AIDS infection.” The organization targets
people residing in communities in western Kentucky and southern Indiana. Matthew 25 provides holistic,
patient-centered services including treatment by an HIV specialist, disease education by a trained retention
nurse, consultation with a mental health counselor, and a final meeting with a staff member who discusses
barriers with HIV disease management. Along with these services, Matthew 25 also provides housing assistance
and information about nearby food pantries and offers various local financial assistance services.
Open Aid Alliance is an organization that “hopes to
prevent HIV, hepatitis C and sexually transmitted infections through testing, education, and outreach in
western Montana.” Open Aid Alliance offers free HIV and hepatitis C testing, case management, HIV
education in the local community, free counseling services, housing assistance, and a syringe exchange
program. Community medical services are also available twice a month.
Ursuline Sisters HIV/AIDS
Ministry is a faith-based
organization in Ohio that works with adults and children impacted by HIV/AIDS. They provide comprehensive
health and social support services at three different locations in the Mahoning Valley region. Ursuline
Sisters provides support groups; pastoral visits to homes, hospitals, and prisons; patient advocacy and
support; housing support; a food and household item pantry; and a comprehensive clinical care center. In
addition, the organization has trained peer navigators who serve as patient advocates and provide support
throughout the treatment process. These peer navigators provide translation services and transportation for
people who live far from the Comprehensive Care Center. The peer navigators are also certified to conduct
HIV testing. They travel all over the region to health departments, correctional facilities, substance use
facilities, college campuses, health fairs, local stores, and other locations to conduct testing.
Considerations for Implementation
One-stop shop programs provide many services for people living with HIV under one roof and can be effective in
reducing barriers to retention and adherence. In order to provide comprehensive services and meet diverse needs,
it is essential to build a strong network for the program within the local community. In particular, local
healthcare and social services organizations can provide valuable client referrals.
Since there is a stigma associated with HIV/AIDS in many communities throughout the U.S., organizations will
need to carefully select a location to set up a one-stop shop program — one that will be welcoming to the people
who are using the programs and services. Community buy-in is very important to the success of these
Since this program model integrates different types of services for people who are living with HIV/AIDS,
organizations should promote the importance of teamwork, consider specific staff competencies, and facilitate
training. Cultural and linguistic considerations should always be taken into account; programs will need to make
sure that services and materials are accessible and understandable. When determining an appropriate name for the
organization, some programs have used a non-descript name that does not directly reference HIV.
To learn more about the co-location of services model, see the Rural Services Integration Toolkit.
Resources to Learn More
Care Management Staff and Peers in Medical Clinics: Advancing the HIV Continuum of Care
Slides from the 2020 National Ryan White Conference on HIV Care & Treatment describing a medical community
partnership developed to resolve care gaps and improve patient health outcomes through the co-location of health
home care management by a community-based organization (CBO) within medical clinics. Identifies strategies to
utilize peer navigators and community health workers (CHWs) as a bridge to care through motivational
interviewing and care navigation.
Author(s): Gentes, M., Duke, S., & Hayek, L.
Organization(s): Ryan Health, TargetHIV, Ryan White HIV/AIDS Program