ANAC2013 Invited Speaker
HIV and Homelessness:
Overview and Observations from a Large Southeastern US HIV Clinic
Robertson Nash, MBA, MSN, ACNP, BC
Clinician at the Vanderbilt Comprehensive Care Clinic
Robertson served as the Medical Director for the Campus for Human Development, Nashville’s second-largest homeless shelter. In that role, he ran the city’s only post-hospitalization respite program for homeless persons.
Robertson is also a pre-doctoral student in Clinical Research at the Vanderbilt University School of Nursing. His research interests are with developing clinic-based interventions to enhance general self-efficacy in socially marginalized populations. Robertson also serves as a member of the division’s Epidemiology/Outcomes research group and he leads the division/clinic’s data management team. He is also a Clinical Care Leader with the Shade Tree Clinic, Vanderbilt Medical School’s student-run free clinic for the underserved.
This program will focus on the Southeastern US it is the poorest region of the country, and also the most socially conservative. Additionally, the HIV epidemic has the highest rates of prevalence and incidence in this region of the country. Many of the risk factors for homelessness, such as domestic violence and abuse, substance abuse, poverty, and social marginalization are also known risk factors for HIV exposure. Persons exposed to either of these epidemics have a markedly greater risk of exposure to the other than do persons in the general population.
An IRB-approved retrospective chart review of self-identified homeless patients at a large southeastern US HIV clinic sheds light on the challenges faced when dealing with these especially fragile patients. During this presentation, we will review these findings and also discuss best practices for achieving success (defined as virologic suppression) in this sub-population of HIV-infected persons.