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
