About East Bay Advanced Care-Sutter Bay Hospitals-Oakland, California

Founded in 1987, EBAC is a department of the private non-profit 501(c) 3 Alta Bates Summit Medical Center, dedicated to the care and treatment of people living with HIV and AIDS. EBAC conducts a broad range of research and demonstration projects designed to better serve the most vulnerable and underserved Californians with, or at high risk for, HIV. EBAC is the largest HIV care provider in the East Bay, one of the largest in Northern California, and the only full-time hospital-based HIV primary care center in Alameda County. EBAC provides a comprehensive continuum of high-quality treatment and support services to all clients regardless of their income status, insurance, or ability to pay. EBAC offers a seamless continuum of culturally competent services focused on addressing the needs of the whole person.

Website: East Bay Advanced Care

Adapted Model of Care:, A Youth-Focused Behavioral Health Case Management Intervention

Intervention Service Area: Oakland Transitional Grant Area of Alameda and Contra Costa Counties, the two most easternmost counties of the San Francisco Bay Area

Intervention: Based on HIV outcome data for Black Men who have Sex with Men (BMSM) in the region and the needs of their current client base, EBAC will implement E.R.A.S.E (Eradicating Racism and Striving for Excellence in HIV Care) with existing EBAC BMSM clients, ages 18-65, delivering intensive case management weekly for 2 months, then monthly for a total of 18 months. The goal of the intervention is to improve and increase retention and overall mental and physical health outcomes for difficult to reach and retain existing HIV-positive patients. The intervention will include the following strategies:

• Create stigma-free BMSM-specific space within EBAC: the space, designed by and for BMSM, will operate as the E.R.A.S.E program office, hang out space, and waiting room for BMSM patients. It will be a de-medicalized care space designed to shift perceived power relationships and decrease barriers to accessing needed services.
• Reduce structural barriers for BMSM to access care: E.R.A.S.E will be designed to function as “a clinic without walls” where clients are able to drop-in anytime, visit with the BMSM Case Managers, receive wrap-around support services and see providers in same-day appointments. Other approaches include 24/7 access to support and transportation passes so clients are able to make it to their appointments.
• Provide direct linking to integrated wrap-around services: EBAC is able to offer a wide array of medical, mental health, and social services all in-house, including primary and specialty medical care, lab, pharmacy, mental health and substance services, benefits enrollment, housing vouchers, social work, and other support services. Case Managers will be able to do “warm hand-offs” (face-to-face introductions) when linking clients to needed services.