About

Persons experiencing homelessness (unhoused) or home insecurity (underhoused)

Persons who inject or inhale substances

Persons participating in the sex trade

Persons at risk of being lost to follow-up

Client identified within target population is connected with an outreach nurse or worker to initiate intake form completion, and informed consent. A thorough intake includes examination of sexual practices, lifestyle risk factors, and sexual health history.

Point-of-care Testing (POCT) is performed

Immediate treatment, connection to care, and counselling is provided, as required

Confirmatory serology for all tests is completed and sent to the Public Health Ontario Lab

Follow-up is initiated, as required

POCT Blitz or Organized Event

Community Service Hub

Congregate Setting or Shelter

Public Health Clinic

Primary Care Centre

General Outreach

Assess the outreach model of care using the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) Implementation Science Framework

Elicit target population point-of-care testing preferences using a Discrete Choice Experiment

Use mathematical modelling to predict the long-term impact of the test and treat protocol