The focus placed on antiretroviral therapy (ART) adherence, as it relates to people living with HIV (PLWH) who use substances, regularly focuses on substance use as the sole factor which disrupts ART adherence. However, ART adherence is often impacted by structural barriers, factors beyond the person’s control, such as socioeconomic status, systemic healthcare practices, sex and gender identity discrimination, as well as environmental factors (i.e. housing stability).
This intervention, led by Soo Chan Carusone, Casey House, Andrew Eaton, AIDS Committee of Toronto and Bill O’Leary, University of Toronto, promotes the meaningful inclusion of peers when ART is initiated during hospitalization in order to provide support in the days and weeks following hospital discharge. The ART of conversation is focused on the creation of space and opportunity for the sharing of experiences and the provision of support to navigate complex structural barriers.
Following discharge from Casey House a person shared with us what support would be for her,
“Everybody always has a plan for what I should do with my life. That pisses me off. I guess [for support] someone just to really talk with and just get it out just so I know I’m not insane, that I do have legit reasons to be feeling certain ways and that they don’t have to throw me on 30,000 different drugs.”
Watch their Three Minute Thesis video to learn more about their project and how you can support the ART of Conversation:
Click here to view their mindmap to see how this project will develop throughout the flipped workshop.