Beyond the Pouch DIS in the 21 st

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Beyond the Pouch: DIS in the 21 st Century Dawn Broussard, MPH Sr. Public Health Advisor Chicago Department of Public Health STD/HIV Prevention and Care Program

DIS Roles Defined ~ mid-1960’s n “A new public health professional, the venereal disease investigator, was introduced in the 1940’s. These investigators, in interviewing venereal disease patients, searched out the many sex contacts of each known infection back to the incubation period”.

Oh, the places you’ll go… n n n n Public and Private Hospitals Corrections Drug Treatment Adolescent Programming Outreach Bioterrorism/Emergency Efforts Other HD units

DIS Duties Revisited n n n On-site surveillance STD infection control Case management Formal and informal training of staff Interpret results and recommend treatment HIV/Hepatitis counseling and testing n n n Prevention education Health promotion Specimen collection Movement of individuals (corrections, drug treatment) Liaison between agency and HD Other duties as assigned…

“Indigenous” DIS n n n Hired by agency Trained by health department Dual reporting to agency and HD supervisor Same performance indicators as HD DIS Participate in trainings, staff meetings and chalk talks

Howard Brown Health Center n n n The Midwest’s largest LGBT health center In 2003, reported 28% of MSM syphilis cases in Chicago Approximately 7, 500 clients annually

Advantages to HD and Agency n n Fewer restrictions on how, when and where they work Financial savings n n n Indirect costs, fringe benefits may be less Strengthens ties between HD and agency Expands recruitment opportunities, career ladder for both sides

Advantages n n n Better received by clients Clinical and case management services in same location Perceived as more empathetic, less judgmental Not viewed as “government” interference in personal life Providers encourage clients to see HBHC DIS On-site referrals to social services

A little bit of data… Syphilis Cases Interviewed CDPH Clinic 88% HBHC 95% Cases Interviewed w/in 3 Days 73% 79% Contact Index for MSM Cases 1. 0 Cluster Index 0. 2 0. 1 H&J Rate for P/S/A 14% 9%

Conclusion n n DIS are not relics from another era “Indigenous” DIS can enhance program’s ability to reach specific target populations DIS have a unique skill set that allows them to take on numerous roles DIS continue to provide STD programs with the flexibility needed to respond to changing priorities

Acknowledgements Andrew Delicata Jan Hiland Gus Conda Lisa Varella For More Information: Dawn Broussard Phone: (312) 747 -3447 Email: broussard_dawn@cdph. org

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