A System-Level Syndemic Approach to Improve HIV Care and Treatment for People from Racial and Ethnic Minority Groups – Demonstration Systems

The purpose of this program is to support up to five demonstration systems through cooperative agreements for up to four years to design, implement, and participate in the evaluation of a syndemic approach to link and retain people with HIV from racial and ethnic and integrated care. This includes people who are newly diagnosed within the past 12 months or who have previously been diagnosed with HIV but have missed appointments, are not virally suppressed, or have another high-risk factor (e.g. leaving incarceration). This comprehensive and integrated care will include: 1) engagement and retention in primary HIV care; 2) care and treatment for co-occurring and interacting conditions, including mental health and/or substance use conditions; and 3) addressing social determinants of health, including intimate partner violence (IPV), food insecurity, unstable housing, and others. minority groups who are out of care, and at greatest risk of being lost to care, in comprehensive