Coordinated Assistance Services and Advocacy (CASA) CASA is a one-stop service center dedicated to people living with HIV/AIDS and their families and offers them a warm and supportive home-like setting to encourage social interaction and the development of peer based support networks. CASAs service delivery strategy is designed to enrich and enhance the quality of life through social interaction, fellowship and mutual support, access to HIV primary medical care, as well as educational opportunities and recreational activities. In collaborative partnership with other HIV service providers, it is CASAs mission to offer a total continuum of care, providing for the needs of our community and each person we serve. CASA currently coordinates and provides over 15 services, including case management, outreach, testing, food services, peer advocacy, mental health counseling, legal, benefits counseling, drug and alcohol counseling, housing information, hygiene products, as well as support and art therapy groups. Over 600 clients and family members access CASA services on a monthly basis. On average, 6 to 7 new HIV positive clients access CASA services each month. Special Projects of National Significance (SPNS) By 2000, CASA was identified as one of the leading and most successful AIDS service providers targeting Latinos in San Diego County. Due to the success of CASA, SYHC was chosen by the Health Resources and Services Administration (HRSA) to be a recipient of a Special Projects of National Significance (SPNS) grant to duplicate the CASA service model at other Community Health Centers in the San Diego and Imperial County areas. In July 2000, the Southern California Border HIV/AIDS Project was initiated, a collaborative effort between San Ysidro Health Center (Lead Community Agency) and the UCSD Center for Community Health/Division of Community Pediatrics (Program Evaluation). Funded by the U.S. Department of Health and Human Services, HRSA, the five-year study (7/2001-6/2005) is one of five border SPNS demonstration projects. The primary purpose of the Southern California Border HIV/AIDS Project is to improve HIV/AIDS outreach, access to testing and primary care services, and cross-border linkages for people who live or work in the San Diego or Imperial County U.S./Mexico border regions. The goals of the program include the ability to increase early detection of HIV in Latino/a population as well as increase access to comprehensive HIV primary care services and enhance the capacity of participating community health centers to provide culturally sensitive care. The project model utilizes four community health centers (CHCs) as service delivery hubs to conduct outreach and coordinate systems of care. Border competent outreach workers and case managers assure that the populations are reached and linked into primary care services. A binational program will be established to connect a Latino/a diagnosed as HIV-positive in San Diego or Imperial counties with a provider in Tijuana or Mexicali if needed, and vice versa. Clinicas de Salud del Pueblo serves as the CHC hub for Imperial County and in San Diego County, San Ysidro Health Center, the lead agency for this project, serves South Bay; Family Health Centers serves Central San Diego; and Vista Community Clinic serves North County. Early Intervention Program (Title III) With the growth of HIV/AIDS support services at SYHC, HRSA acknowledged the need to further support our efforts to develop HIV specialty medical care services and in October of 2000, SYHC became a recipient of HRSA Title III funds for the development of an HIV Early Intervention Program (EIP). SYHCs EIP services include HIV primary care, nurse case management, treatment adherence counseling, nutritional counseling, dental care and access to HIV counseling and testing services. Currently, SYHC offers HIV primary care services 3 days a week, Mondays and Tuesdays from 8-5pm and Fridays from 10-6pm. As patient demand for EIP services increases, SYHC will also increase the availability of EIP clinic days/hours to insure easy access to care. Prevention Assistance Referrals and Action (PARA) In January 2000, SYHC received a grant from the California State Office of AIDS for the development of HIV education and prevention services, targeting populations at high-risk for infection, including women and people of color. With this goal in mind, SYHC developed the PARA Project, currently the primary provider of HIV prevention services targeting Latino Injection Drug Users (IDUs), their sexual partners and their affected family members. The goal of the PARA project is to reduce the risk of HIV transmission among Latino IDUs through individual, group, and community interventions. More than just focusing on outreach activities to achieve its goal, the PARA project is composed of three key components that includes street outreach, participation in a 3-session HIV/STD risk reduction intervention and prevention case management services.