Appendix H-2

• No responses given

• No responses given

• We are not talking to each other. 22

• It was pretty good how it was. But it's slightly better now. 35
• We have used more psychiatric resources now. 38
• People are a little bit more interested in other services where HIV is being treated. They ask, "what's going on? How do you go about doing…" If we have other problems, we can discuss them with other professionals. We're not the only service. We have other primary doctor. There is a lot more collaboration. 45
• We have full HIV center. It deals with fully formulated services. It has been there for 8-10 years. They have clear guidelines and are well trained. We already do a lot of things. The impact was not as marked. 47
• Some of the other organizations wonder why teens are not coming in for services, but I tell them it's up to the teenagers. 51
• There are somewhat more referrals between agencies. 53
• I think its just personal contact. 94
• There is still a gap between staff so we don't communicate on all of the different things that different staff receive training on. 108
• I take what I learn at work and seek the care and the intervention they (patients) need. 118
• It is difficult to coordinate between service providers. 160
• The nurses know more about the disease process. 162
• More information was given to each provider. 163
• It lets us know how the patient is doing, if the patient is being compliant with the medications, if the counseling is working or helping. It keeps them up-to-date. 167
• After the training we started developing different programs and collaborations with different agencies. 168
• There is better collaboration between the medical and dental departments of the prison. The doctors are more willing to help with the referrals. 184
• When they write contracts, the state makes sure that the agency is made aware of the expectations. 185
• Just having medical professionals and counselors, a range of providers that receive the same information, is a starting point. I mean, we all work together anyway. We should have the same knowledge. I think there's also greater collaboration between professionals. 191
• All of us had to have a certain degree of knowledge beforehand, so it reinforced and renewed education we had previously and gave us new points and information. It reinforced our knowledge base. 203
• The project has tried to make changes, but it’s really up to the providers to do that themselves since they see patients. 237
• I don't really know the overall situation of others in the service system making an effort to collaborate or if they are trying to meet women’s needs. If you don't repeat the process, then nothing will happen. They have to take suggestions. 239
  
  
  

• It helped with networking among other agencies. I had the chance to meet other people doing the same type of work and have used these connections in my work. 1
• If you brought all those health providers together, it would be awesome. Everyone is there for the same reasons. 6
• I’m available. 8
• It’s people getting together to work for a better system. Before, we kept to ourselves, we were isolated. Now, we comply with standards to make the system work throughout. There is more collaboration between the nurses and facilities. But not the doctors yet. 9
• I noticed interns, nurses and primary care providers are much more fine-tuned in with the patient. A nurse is much more able to say, "we've all noticed this," and can talk on same level. 10
• There is more collaboration between departments. 13
• It's a medium positive effect within my own organization. I can't really see how it is on the "outside" but within, it is a positive effect. 14
• It is not quite there, but it is a step in the right direction. 15
• The nurses demand it and are more sure about requesting collaborations. 20
• There was more collaboration among people. 30
• If the hospice staff understands the nature of dementia, they can better discuss patients with their doctors and other service providers. 37
• It increased awareness with the recognition of patients in their practice, of counseling and testing It added to the education and stressed the importance of early referral and consultation with the perinatal center. 46
• It created an open dialogue among service providers and agencies. 48
• The more places there are, the more avenues there are for patients to go to. 57
• We can now help other agencies with their HIV-positive patients. We are more willing to accept referrals from other agencies now. 62
• We now have a bigger referral network available for our clients. 63
• Our agency now has a better understanding and we now feel more comfortable discussing confidential issues. 73
• We have received increased referrals from other agencies. 81
• The nursing staff often goes back to the physicians. I tell everyone I can about the importance of counseling and testing. 83
• Now people can know what it is like to have HIV and how it may feel. 87
• The nursing staff feels more comfortable talking about the delirium of patients, or what they witness as could be delirium, with the providers. 88
• The ones who attended the training have a different mindset and cooperate with each other. A lot of role modeling and listening helped us look at other people and other perspectives. I feel that you have to think about that when working with other agencies because they all have different agendas. 91
• My organization has a good relationship with the health department and is establishing collaborations with infection control specialists. Doctors in the community can call and get information from the health department and specialists when they need to. 92
• You've got people that now know who to collaborate with. 95
• We consult each other more now on HIV/AIDS patients for how to best care for them based on their diagnosis and the stage of the disease. 109
• It improved the dialogue between nurses and myself on mental illness. 111
• It affirmed what they already knew. The new people that had never been introduced to that training finally got it. 131
• I am not sure if there has been more collaboration. I am hopeful though. 133
• Staff conferences are more standard procedures now and there is routine communication between staff regarding patients and testing. 145
• I don’t know why. 151
• More information was given to each provider. 163
• I am more aware of facilities. 176
• There is heightened communication about HIV and especially its impact on pregnant patients in the obstetrics department. Each individual went into the training session with different foundations [in terms of knowledge] about the disease process: but we all have a better understanding of what should be done to lower the risk of transmission. People are more comfortable. This leads to more meaningful dialogue about the patient and management. 180
• It helped because you know people's names, their phone numbers, and departments, so we know how to call them directly. 186
• Whoever is asking knows whom to go to ask questions. 187
• We're able to communicate better about our patients and work together more to come up with solutions to problems. 195
• We are becoming more and more involved. 209
• There is better communication. 212
• We realized the importance of it from our end so we try to establish collaborations. 220
• We're not there yet, in terms of social policy change. 227
• Women’s issues include psychosocial issues too. We must take everything into account. 235
• The population of our affected area is only medium in size, so there isn't a large number of collaborations. 236
• We now have more service agencies that we can collaborate with both in Virginia and in D.C. 241
• The networking with local agencies that we could do at the training. 245
• It is not the minimum positive effect, but it is not the maximum either. It helped but there is still more to learn. 250
  
  
  

• Providers communicate with each other more and there's more cooperation among the staff. 3
• Having a small facility with open communication makes the system work without a crisis occurring. 4
• I am now more likely to open conversation with a patient’s primary care provider about the patient before beginning treatment. 5
• If you brought all those health providers together, it would be awesome. Everyone is
• You come more close and aware of each other. 16
• We formed committees to address protocols and policies. 17
• It will probably make it much better, the communications. In our state, we don't have an infectious disease specialist. We need to interact with people at the university. 24
• We discuss patients in group settings among different types of staff. The trainer gives formal recommendations and referrals/resources. 42
• The training provided pamphlets and phone numbers. Now, we have more resources available to the CPS agency I work out of. 50
• Patients now have somewhere to go, whereas before, we couldn't refer them anywhere. 59
• We now know about all of the other resources we can tap into if we need to for our clients. 60
• We now have closer working relationships with various types of service agencies, especially with the labs. 65
• Our agency understands now the importance of fostering relationships with other agencies. The staff is now more prone to establish these collaborative relationships with other agencies. 67
• The training did an excellent job fostering collaborations among agencies and between providers and youth. It bridged the gap between youth and providers by having a youth panel speak about their needs. A list of participants was given to everyone at the trainings for networking purposes. 89
• The activities and the diversity of the trainings - a few people from here and there – it encouraged networking and the sharing of ideas. 90
• I feel that I can directly contact infectious disease physicians at the medical center for advice when I need it. 100
• The discussion about the services was shared with everybody. 104
• It gave me the additional support to make it happen. That is why when I went to county on her own to suggest it, I had nothing to support me. I went on my gut instinct. Now, because of the training, I had it on paper and was more concrete in my proposal. 105
• It increased the interactions among different staff since we now have regular staff meetings to discuss cases. 112
• Through the educational process, resources and experts were identified. Information packets are available now for practitioners to implement expected standards of care. 114
• It works within an hour. Everyone who is supposed to know, knows right away. 122
• Some providers seemed so open to the trainer. The trainer left herself open for consultation. They seemed grateful for that - to have an outside voice give them insight to what they don't know. The trainer stressed that it was great if they "used" her (ask questions, etc.) But that it was okay also if they didn't. 123
• I learned more about the pharmacological aspects and the new drugs that enter the discussion. 124
• We learned how to provide care with compassion, not to be blatant and rude not to frighten the person or make them feel bad. It greatly depends on how the post-test counselor treats them. They actually do it and are given a rating. It is a process. They give them feedback on how they could have done it better. The staff of the facility that they work for will be there to observe - to watch and see how receptive or non-receptive they are. They want to encourage them to come back whether they are negative or positive. 129
• We have been networking with other institutions for infectious disease consults and follow-ups. 140
• All different staffs work in conjunction with one another; we can't work without each other or without consulting one another. 143
• I liked the way that the project organized and set up the training. For example, they sent me a lot of information before the actual training. So when I came, I knew exactly what they were doing. They were very welcoming and friendly and organized. I used that format in my trainings. I appreciated it and I used it. 153
• I am not being really specific. I am assuming there is ongoing cooperation. 155
• The nurses know more about the disease process. 162
• It lets us know how the patient is doing, if the patient is being compliant with the medications, if the counseling is working or helping. It keeps them up-to-date. 167
• Breaking people up into groups to have people meet during the training was an effective part because we were able to learn about what other agencies/providers do (i.e., care and services they provide to youth). 170
• There is increased collaboration between nurses and doctors. 175
• There is better documentation by me, but the prison is too far from others for more interaction. 179
• If I have questions about protocol, medical questions, I can ask the doctors. We communicate more. 192
• We have access to people who are experts in the field now. Any problems we feel uncomfortable with, we can ask them. We can't shuttle patients so now we have a service link for information. 200
• It increased the communication between providers and nurses. 218
• They have a better perspective about what the needs of women are. 228
• We, the service providers at the training, got to know each other better and about what services we have available to the women. 230
• I see service providers mouthing the right words, but they are not necessarily delivering the services yet. But, now they know that women and their children are a whole new sort. They have new problems and things that they have to figure out. 234
• The system was afraid of the project stealing their clients, but the project has been great! 238
• Staff informs each other of other trainings they know about on HIV/AIDS. 248
  
  
  

• I didn't meet anyone at the training who I didn't already know. 2
• Things changed. There are different personalities an influx of new people. People don't completely use two systems. 11
• There was no effect. 18
• There is no need for it. The incidence of HIV cases here is not high enough. 21
• There was no effect from study. 23
• I did swap phone numbers and would approach others with work-related questions. It wasn't something ongoing, though. If they were to add a follow-up peer contact, it would allow for collaboration, but they didn't. 25
• I didn’t see any establishment of collaborations among service agencies. 32
• We were doing it before. 33
• There is too few staff at our agency to do this. 41
• I haven't shared anything with other people so it hasn't affected anyone but me. 56
• We've always had good interactions between the specialists at our hospital. 61
• There are still no improved interactions because our doctors still don't see their communication as a problem. 70
• There is no control over providers in the penitentiary. 71
• It just hasn't affected it. I don't know why that is the case. 76
• We didn't have any problems communicating with the staff before the training. 80
• There was no outcome. I see a patient and someone else manages them. So I don't see them again until a year or so. As a result, I can’t see the impact or effect. 106
• There was no effect we don't have any HIV patients. 107
• We already had good lines of communication between providers here. 110
• One training can't change everyone's (all the staff) behavior. 115
• I haven't noticed any from my standpoint. 120
• There was no effect from what I have seen. 121
• There was no change. 130
• There are no collaborations between any other agency and us. 134
• We already had good communication between the providers here even before the training. 146
• Services already existed and policies aren't changing any time soon. 171
• There are no HIV-positive patients to have collaborations about. 172
• Providers here interact the same as they always have. 173
• We didn't have problems to start with. We always had good communication. 178
• I have the same answer as before. 181
• I haven't talked to anyone else who has done the study. 182
• Nothing has changed. There is a lack of funds. 189
• I have not seen the collaborations. 190
• I haven't seen any HIV-positive cases to my knowledge. 193
• We're able to communicate better about our patients and work together more to come up with solutions to problems. 195
• There was no effect on the way we deliver care. 198
• Nothing was ever done with it. 222
• The training didn't teach me anything new. 24

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