Can Peer Support Programs Help Those Living With HIV Thrive?

The City University of New York’s College of Staten Island is among a handful but growing number of colleges that are offering peer advocate training programs to former substance abusers. These certified trainings are enabling vulnerable adults to pursue higher education, acquire skills, and use their experience to not just find employment but also support patients with recovery.

Research, and the evidence from global development campaigns in multiple countries, shows that cash transfers to women can help women to gain more freedom in choosing sexual partners, decrease HIV transmission, and decrease domestic violence. However, the short term cash transfers show proof of short term impact -- for longer term success, greater amounts that allow for greater investment might be necessary.

People with HIV/AIDS don't always know where to go for help or don't feel empowered to return when psychiatrists or doctors seem unwelcoming. Organizations throughout Washington, D.C. are working against perception by providing comprehensive approaches to health care services.

Crossroads for Women, a New Mexico nonprofit, is helping formerly incarcerated women find community, support, and recovery. Using trauma-informed care practices, the program offers a comprehensive list of services like housing, mental health treatment, employment counseling, and substance abuse treatment. Underlying all services is the understanding that no individual is trauma free and that community and relationships are crucial to sustainable recovery.

Two of America’s largest cities, New York City and San Francisco, are working to reduce HIV rates by bringing better health care options closer to the communities and connecting individuals with resources such as insurance and payment methods. Although the two cities are using different approaches, both are seeing early success in fighting against the epidemic.

A German organization called Uber den Tellerrand brings together refugees and locals for a meal handmade by those who migrated from Syria and Iraq. The meal brings people together over a delicious meal, offers authentic food from those countries, and allows those cooking to feel like they are giving back to the community. Another initiative to aid the resettlement process is a program called Start with a Friend (SWAF) pairs locals and newcomers to develop friendships and help refugees better learn the language along the way.

Improving outcomes in addressing HIV requires reducing stigma. In Atlanta, Georgia, faith-based communities are embracing HIV prevention campaigns and courses. Bible Way Ministries provides HIV testing at community events and offers awareness campaigns aimed at reducing stigma. In Philadelphia, Faith in Action similarly recruits religious communities to increase HIV awareness.

DOROT is a non-profit organization that matches seniors with younger adult volunteers for social visits to combat isolation and loneliness and to promote intergenerational friendships. Many of the seniors are widowers and social isolation can lead to negative health consequences. The organization also delivers fresh meals and holds other events, but was unable to operate as usual once the Covid-19 pandemic hit, so DOROT helped seniors set up Zoom for online conferencing. The group has matched 500 seniors with volunteers and advises similar programs across the country. Many pairs have formed deep friendships.

Tennessee Reconnect, which started as a small-scale "mentorship and financial support program", has now been adopted and expanded throughout the state as a way to help adults start or continue higher education. Now in its second year, the program matches applicants with "navigators," adult mentors who understand the specific student's financial and social challenges and helps them navigate the process every step of the way. The program also provides funding to students to pay for coursework and is now looking to expand its operations to jails and prisons.

The Asian Pacific AIDS Intervention Team (APAIT) works to positively impact the quality of life for medically underserved communities — particularly people of color within the LGBTQ+ community. APAIT’s primary focus is helping those with behavioral health challenges, housing insecurity, and who are at risk for HIV/AIDS, but has recently expanded its services to include helping those who are victims of sex trafficking.