The IDC patients have access to family physicians, registered nurses, social workers, an addictions counsellor, a psychologist, pharmacists, a dietitian and peer navigators, as well as access to a variety of medical specialist on a referral basis. The IDC also offers various addictions and mental health services.
The clinic’s patients have access to 11 family physicians who are trained in the management of people living with HIV. They offer both HIV and primary care. When patients are initially referred to the IDC, they are assigned to one of the IDC physicians, but they may also see another physician when they come in without an appointment (drop-in).
At the IDC patients can be referred to a variety of medical specialists (nephrology, dermatology, endocrinology, respirology, psychiatry, neurology, addiction medicine, and infectious diesease) on a referral basis.
Nurses offer education on HIV and other sexually transmitted infections; blood work monitoring; anal Pap smears, cervical Pap smears and female breast examinations; sexual health and STI assessments; immunizations and tuberculosis skin tests; wart treatment; wound care; and individualized and non-judgmental HIV education and support services. Nurses also coordinate intensive case management with social workers and physicians.
Social workers provide comprehensive wraparound support services and coordinate intensive case management for the IDC’s patients. They provide addictions counselling and referrals to detox and treatment, adjustment and relationship counselling, crisis intervention, and resource counselling, including support for housing and social assistance applications.
Trained and employed through Positive Living BC, are available in the IDC during clinic hours. They are HIV positive individuals who offer education and support to newly diagnosed patients and others living with HIV. The peer navigators co-facilitate various support groups in the IDC.
Jenn Messina is our clinical Dietitian who is available for booked appointments or drop-ins weekdays (except Wednesdays). She provides patient centred nutrition education through 1:1 appointments, groups and monthly Community Kitchens. Common nutrition themes include: optimizing health and immune system, Ministry nutrition benefits, and nutrition management for high cholesterol, diabetes, weight gain or weight loss.
Hepatitis C Treatment
The IDC has two hepatitis C specialist nurses, who work with infectious disease physicians, to support patients going through HCV treatment. The IDC also provides hepatitis C services to people with co-infections who are not IDC patients. Services include assessing treatment readiness, providing treatment and monitoring blood work and treatment side effects.
This confidential service is available to anyone in the community. If an individual receives a preliminary positive test result, the IDC’s community of care provides the support the patient needs. Confirmatory blood work and other baseline blood work is collected immediately and the patient is offered the services of a peer navigator.
Non-Occupational Post-Exposure Prophylaxis (nPEP)
Through a pilot project with the BCCfE in HIV/AIDS, individuals potentially exposed to HIV through consensual sexual intercourse or needle sharing, are offered Anti-retroviral medications free of charge. Individuals risks for acquiring HIV are assessed, and if indivcated the individual is prescribed 28 days of ARV medication in an attempt to reduce the risk of HIV transmission.
For more information on nPEP: http://www.cfenet.ubc.ca/npep
Intensive Case Management
This service provides highly individualized services to those who experience the most entrenched barriers to care as a way to improve retention and adherence.