Windy City Media Group Frontpage News
Celebrating 30 Years of Gay Lesbian Bisexual and Trans News
home search facebook twitter join
Gay News Sponsor Windy City Times 2015-08-26
DOWNLOAD ISSUE
About WCMG Publications News Index  Entertainment Features Bars & Clubs Calendar Videos Advertisers OUT! Guide    Marriage


  WINDY CITY TIMES

CORE Center working on HIV/AIDS healthcare
by Erica Demarest, Windy City Times
2012-05-02

facebook twitter pin it del.icio.us stumble upon digg google +1 reddit email


In the mid-1990s, HIV/AIDS treatment in Cook County could best be described as disjointed.

Medical, mental health, pharmaceutical and case management services were housed in different locations; and Chicago's thousands of HIV-positive residents were bounced among city hospitals with limited to no HIV-dedicated space. Privacy concerns were common in cramped corridors, and long walks between services left patients exhausted.

Doctors, city officials and patients began kicking around ideas for an AIDS-specific facility, and concept for the CORE Center was born.

"The goal was to provide comprehensive medical and support services in a single location," said Associate Director Chet Kelly, who joined CORE in 2000 after a long stint with the Illinois Dept. of Public Health ( and prior to that with the Chicago Dept. of Public Health ) .

Operated by the Cook County Health and Hospitals System ( HHS ) and founded by the Cook County Bureau of Health Services and Rush-Presbyterian-St. Luke's Medical Center, the CORE Center was the first comprehensive outpatient facility in the Midwest for people living with AIDS.

It provides a one-stop shop, where clients have access to dental care, medical care, a pharmacy, research trials and case managers. All payments are made on a sliding-scale basis.

In 1994, the fledgling health center set a $25 million fundraising goal and enlisted former Playboy Enterprises CEO Christie Hefner as a project director.

"In the early '80s, [ Playboy ] started to write about AIDS with the goal of countering the scare tactics that were out there about transmission," Hefner told TimeOut Chicago in 2005. " [ Playboy ] historically has been an important force as far as issues related to health and particularly issues that also touch on human sexuality."

Under Hefner's guidance, the CORE Center far surpassed its goal, raising more than $30 million by 1998.

"I'd never really been that involved in a capital campaign, and I think I said yes because I didn't really know how hard it was going to be," Hefner told TimeOut.

"But I did say yes," she continued, "and I was able to put together a board representing people in the business community, the arts community, the public sector and the medical sector. Also, we did something quite innovative, which is put together a community action council … the idea was that the people who were actually going to be the patients ought to have input into how the facility was designed and the kind of programs it would run."

The CORE Center, later renamed the Ruth M. Rothstein CORE Center, opened its doors to the public in October 1998. The four-story, 60,000-square-foot building proved to be as innovative as the facility's programming.

Designed by Ralph Johnson and health architect Jocelyn Lum Frederick, the building was largely a collaborative effort. Members of the community, including doctors and HIV-positive patients, contributed complaints and suggestions.

The result was a sunny, welcoming facility devoid of the meandering hallways and dreary colors often associated with medical centers. Clients had complained about navigation difficulties and privacy concerns; color-coded departments and private enclaves were worked into the design.

"The concept was to provide a light, airy and positive environment," Kelly said.

That environment has changed over the years, constantly adapting to meet the needs of an evolving virus.

When construction on the CORE Center began, Executive Director Kathi Braswell said, bronchoscopies were such a common treatment that an entire room was devoted to the procedure. But by the time CORE opened its doors in 1998, highly active antiretroviral therapies had all but eliminated the need for bronchoscopies. The space was repurposed.

"Over the years, we've done extensive renovations to the building," Kelly said.

These renovations have offered new facilities, greater privacy and additional programming. Recent structural and organizational additions have included a Hepatitis clinic, bilingual clinic and dental center.

One of the most innovative programs the CORE Center has developed is the Continuity Clinic, which targets recently released detainees and prisoners. Clinic physicians work at both the CORE Center and in facilities operated by the Cook County Dept. of Corrections, so that people who are incarcerated can see the same doctors once they've been released from jail.

The transitional assistance makes it easier for patients to adhere to medications and remain in treatment, which could reduce the community viral load.

Today, the CORE Center provides counseling and support services to more than 15,000 people annually. Clients are charged on a sliding-scale basis, and the majority of patients are un- or underinsured.

"We're a safety net facility," Kelly explained.

In 2010, according to HHS data, about 60 percent of patients had no insurance and 37 percent were covered by Medicaid or Medicare.

That same year, 62 percent of clients were Black, 17 percent were Latino and 15 percent were white. The overwhelming majority ( more than 70 percent ) was male. All clients have access to medical care, a pharmacy, peer support, research trials and case managers.

Aurora Pineda, a longtime LGBT activist and CORE Center employee, said case managers provide a necessary link for an often complex web of services.

"We're somewhere in between a mental health provider and an advocate for the client," Pineda said. "The client tells you the truth. He tells you [ in regard to medication ] , 'I'm not taking that crap.' Or, 'Oh I forgot to take this pill.' Or, 'I don't get sick with this pill, so I'll only take this one.' We're like: No, you can't be doing that. Talk to the pharmacist. We tell them where to go … , [ Do you need ] food stamps? Then go talk to this caseworker. We point them to the right direction."

For clients who face homelessness, poverty, transportation issues and language barriers, staying on top of healthcare can be especially challenging.

"I have a lot of clients who can't read well," said the bilingual Pineda, who regularly works with native Spanish speakers. "They'll maybe have a third- or fourth-grade reading level, and then they get those papers from SSI [ Supplemental Security Income ] that are very intimidating."

Helping clients stay connected to care is a chief priority for the CORE Center. It participates in Project IN-CARE, which links men of color to care, and is one of 12 sites across the country to participate in a federally funded project that links, engages and retains HIV-positive women of color to care.

In addition to regular programming for those who are already HIV-positive, the CORE Center offers a weekday walk-in clinic for free HIV testing. Roughly 7,000 to 8,000 people are tested on-site annually.

"Because we do rapid tests," Kelly said, "we're able to directly link people who test positive into follow-up care at the time they get their results."

Clients are able to set up appointments with case managers and doctors.

"We also have peers and mental health professionals available to provide psychological and emotional support," Kelly said, noting that few people request such services. "It doesn't come up a lot, actually. People take bad news quite well, usually."

Moving forward, the CORE Center will continue to focus on meeting clients' needs and participating in research trials.

The medical center participates in the Chicago D-CFAR, a collaboration between Rush University Medical Center, the University of Illinois at Chicago and Cook County Health & Hospitals System.

"It's designed to support early research and various research projects that can then be expanded," Kelly explained. "We support researchers with small grants, so they can start research that they can then use to apply for larger and broader grants [ including those from the National Institutes of Health ] ."

An important push for 2012 will be to further develop the center's state-of-the-art dental facility, which was renovated in mid-2011.

"Access to dental care is very important for persons with HIV," Kelly said. "We recently renovated our dental facility to have the physical space to be able to provide those health services on-site … . Now, we're in the process of securing resources to adequately staff the facility."

To learn more about the CORE Center, visit www.cookcountyhhs.org or www.corecenter.org .


facebook twitter pin it del.icio.us stumble upon digg google +1 reddit email




Windy City Media Group does not approve or necessarily agree with the views posted below.
Please do not post letters to the editor here. Please also be civil in your dialogue.
If you need to be mean, just know that the longer you stay on this page, the more you help us.


  ARTICLES YOU MIGHT LIKE

Homeland Security raids Rentboy.com offices in New York 2015-08-26
ASA forum looks at infertility treatment disparities 2015-08-26
Rauner signs anti-conversion therapy bill 2015-08-20
NIH: Research at crucial point in AIDS pandemic 2015-08-20
Conference to look at HIV and the trans community 2015-08-19
Nat'l Minority Donor Awareness Month: Minorities are 63 percent of waiting list 2015-08-18
AIDS Legal Council holds annual summer benefit 2015-08-18
Chicago researcher among recipients of transgender-health grant 2015-08-16
Howard Brown Health Center designated federally qualified health center 2015-08-14
New England Journal of Medicine: Health costs minimal for trans military 2015-08-12
Proud to Run presents $40,000 to community beneficiaries 2015-08-12
Healthcare decision-making for the LGBTQ community 2015-08-12
Sports briefs: Kickball registration; AIDS Run & Walk; Rodeo 2015-08-12
Conference to look at HIV and the trans community 2015-08-10
Study to examine communication between LGBTs of color, healthcare providers 2015-08-10
City insurance to cover transgender-related health services 2015-08-10
Peller, Rice-Minoso honorary grand marshals 2015-08-09
Survey to assess needs, realities of transgender people with HIV/AIDS 2015-08-06
Women's Health Center to hold 3rd Revolutionary Healthcare Fundraiser 2015-08-05
Mayor Emanuel says city health benefits to cover trans services 2015-08-05
Chicago groups get $3.8M CDC grant for HIV targeted testing program 2015-08-05
SPORTS AIDS Run & Walk; XS Tennis, Lacoste partner 2015-08-05
Webinar discusses latest issues involving women and PrEP 2015-08-04
WNBA Cares joins Bright Pink for Breast Health Awareness Week 2015-08-04
New amfAR report lists state priorities for national HIV/AIDS goals 2015-08-02
Rauner appoints lesbian Oak Park trustee to mental health post 2015-07-31
White House updates federal HIV/AIDS strategies 2015-07-30
New AFC initiative focuses on women of color 2015-07-29
Chicago groups chip in as ADA marks 25 years 2015-07-29
CDC awards $3.8 mill to local agencies for 5 year HIV prevention partnership 2015-07-24
Protestors decry HIV/AIDS cuts 2015-07-22
amfAR launches comprehensive database of planned HIV/AIDS funding 2015-07-22
UIC's Hughes named a University Scholar 2015-07-22
Upcoming: Sports hall of fame; Auction of Jenner torch; AIDS Run & Walk 2015-07-22
Disability pride parade attracts hundreds 2015-07-21
Chicago House awarded comprehensive federal HIV grant 2015-07-17
Man gets 30 years for HIV exposure 2015-07-17
AIDS Run & Walk Chicago to support 36 HIV/AIDS groups 2015-07-17
News briefs: Bisexual health; glbtq.com folds; Same-sex couples get benefits 2015-07-15
National: Gay Catholic move; Jimmy Carter; trans health app 2015-07-14
 



Copyright © 2015 Windy City Media Group. All rights reserved.
Reprint by permission only. PDFs for back issues are downloadable from
our online archives. Single copies of back issues in print form are
available for $4 per issue, older than one month for $6 if available,
by check to the mailing address listed below.

Return postage must accompany all manuscripts, drawings, and
photographs submitted if they are to be returned, and no
responsibility may be assumed for unsolicited materials.
All rights to letters, art and photos sent to Nightspots
(Chicago GLBT Nightlife News) and Windy City Times (a Chicago
Gay and Lesbian News and Feature Publication) will be treated
as unconditionally assigned for publication purposes and as such,
subject to editing and comment. The opinions expressed by the
columnists, cartoonists, letter writers, and commentators are
their own and do not necessarily reflect the position of Nightspots
(Chicago GLBT Nightlife News) and Windy City Times (a Chicago Gay,
Lesbian, Bisexual and Transegender News and Feature Publication).

The appearance of a name, image or photo of a person or group in
Nightspots (Chicago GLBT Nightlife News) and Windy City Times
(a Chicago Gay, Lesbian, Bisexual and Transgender News and Feature
Publication) does not indicate the sexual orientation of such
individuals or groups. While we encourage readers to support the
advertisers who make this newspaper possible, Nightspots (Chicago
GLBT Nightlife News) and Windy City Times (a Chicago Gay, Lesbian
News and Feature Publication) cannot accept responsibility for
any advertising claims or promotions.

 

 

 

TRENDINGBREAKINGPHOTOS

Sponsor
Sponsor
Sponsor
Sponsor


 



Sponsor

About WCMG Publications News Index  Entertainment Features Bars & Clubs Calendar Videos Advertisers OUT! Guide    Marriage



About WCMG      Contact Us      Online Front  Page      Windy City  Times      Nightspots      OUT! Guide     
Identity      BLACKlines      En La Vida      Archives      Subscriptions      Distribution      Windy City Queercast     
Queercast Archives      Advertising  Rates      Deadlines      Advanced Search     
Press  Releases      Event Photos      Join WCMG  Email List      Email Blast     
Upcoming Events      Todays Events      Ongoing Events      Post an Event      Bar Guide      Community Groups      In Memoriam      Outguide Categories      Outguide Advertisers      Search Outguide      Travel      Dining Out      Blogs      Spotlight  Video     
Classifieds      Real Estate      Place a  Classified     

Windy City Media Group produces Windy City Queercast, & publishes Windy City Times,
The Weekly Voice of the Gay, Lesbian, Bisexual and Trans Community,
Nightspots, Out! Resource Guide, and Identity.
5315 N. Clark St. #192, Chicago, IL 60640-2113 • PH (773) 871-7610 • FAX (773) 871-7609.