Community Care

• Professional Case management
• Resources linking
• Advocacy

• Direct service contact count of 1,717 people
• 1,459 cases with simple needs or advisory
• There are 258 cases with multiple needs constituting 15% of the total cases.
• 75.9% of the shortage in multiple-need cases has been fulfilled; therefore, these cases are closed.
• Gender ration is 9 :1.
• The age distribution is as follows:
• 31-50 years old make up the majority at 65.5%, and those aged 51 and above at 25.6%.
• Analyzed by addiction status, PLWHA or not, non-opioid addicts constitute the largest group at 37.19%( PLWHA at 41.9% and non-PLWHA at 1.2%), followed by non-opioid substance users at 31.0%, and non-substance users at 24.0%.
• If analyzed by HIV status, non-PLWHA individuals constitute the secondary  service population at 1.6%, which includes family members of individual with a substance use issue.
• Out of 9 advocacy cases, 7 are related medical right petition incidents and the remaining 2 pertain to housing right violation petition cases

Financial Aid

Life, Medical ,Housing and others(including referrals)

• 667 times of financial aid have been provide; provisions aid constitute the majority at 41.1%, followed by life aid at 38.4% and medical aid at 8.6%.
• 87% of financial demands have been alleviated or solved.
• Total Amount: NTD 1,599,286

Counseling

Telephone consultation, Counseling Sessions, Consultation, Advisory, Greeting and Care

Through means such as phones and other contact media , 7,169 counseling services has been provided. Additionally, there have been 3,737 counseling sessions.

Occupational Guidance

Employment Advisory, job matching, work-for-relief programs, referrals

148 times of occupational guidance has been provided.

Of these, 80.8% have started working after our service ;furthermore ,51.9% of them have secured steady jobs.

Referral

Housing, financial, employment and other referral services

62 referrals have been provided. Of these, financial referrals constitute the majority at 55%, followed by psychological counseling at 13%.

Short-term Housing

• Housing
• Nutrition Supplies
• Emotional Support
• Health Management
• Employment Consulting
• Life Skill Training
• Leisure Activities

We provided housing services for 42 people, 104 times. Among these, 9 individuals received halfway housing assistance 37 times , while 33 people received rental housing assistance 67 times.

Among all the cased of moving out, 50% move out because their lease has ended, followed by 33% due to other housing sources and 17% because they can be self-sufficient.

Senior PLWHA

• We targeted PLWHA aged 45 and above with simple or multiple services ,offering  specialized case management , social resource linkage, counseling as well as greetings and care.

We have served a total of 164 individuals. Among them, male constitute 82%, while females make up 18%. The primary needs are related to financial requirements and interpersonal support, followed by the occupational needs. The corresponding interventions are prioritized as follows: the most prevalent is support system network, followed by resources provision and advisory services.

Female PLWHA

We targeted female PLWHA  with simple or multiple services ,offering  specialized case management , social resource linkage, counseling as well as greetings and care.

Additionally, we organize groups and empowerment camp exclusively for female PLWHA.

We have served a total of 43 female PLWHA, with 8 being new member.

The age distribution is as follows : 41-50 years old make up the majority at 39.5%, followed by 51-60 years old at 25.5%; The primary source of  cases is self-referral, accounting for 62.79%, followed by referrals from medical and public health sources. The addiction status is divided equally between opioid addicts and non-addicts. In terms of needs, the highest priority is basic life needs at 46.42%, followed by support networks at 29.4%. The corresponding interventions are prioritized as follows:  the most prevalent is support network at 60.5%, followed by advisory services at 14.9% and resources provision at 12.6%.

We have organized 9 groups with a total participation of 88 people.

Additionally, we conducted 1 empowerment camp with 13 participants.

We have also established 4 LINE groups and communities, with a total membership of 57 people

Outreach

Services in hospitals, housed of clients or other places

We have provided a total of 254 outreach services. Due to the impact of the pandemic, the quantity of outreach services has been reduced. We have adapted by developing diverse and flexible working models, such as utilizing communication software effectively.

Telephone and Internet consultation

Advisory through telephone, LINE App and Email

Phone services: 1,038 times.

Internet services: 2,419 times

HIV Test

Providing Anonymous HIV Test

We have provided 61 HIV test services at offices in Taipei, Taichung and Hualien.

Medication pickup service

Assist Taiwanese PLWHA residing abroad in adhering to Antiretroviral Therapy(ART)

A total of 56 PLWHA, accounting for 479 instances, were assisted in receiving medication abroad due to the inability to return to Taiwan for stable medication and treatment amid the COVID-19 pandemic.

We have served 20 foreign cases, offering a total of 301 services. Among these cases, 5 received financial support for medical and life expenses, totaling NTD $63,000.

Community Center

Support, leisure, socializing event

We provide vis-à-vis services for 800 participants.

Workshops

Topics includes: Medical, Adaptation, Serodiscordant couples, Intimacy and coming out etc.

We arranged 16 workshops for a total of 210 participants in Taipei, Taichung, Hualien and Taitung covering topics such as COVID-19 information , psychology, new medication knowledge, health maintenance, infectious decease control and self-exploration.

Support Groups

• Newly diagnosed support group
• Drug anonymous harm reduction group (DAHR/DA/D-talk) for opioid & non-opioid DUs
• Support group in Taoyuan
• Level 3-4 Harm Reduction Advocacy Group
• Social Dialogue Platform
• Middle Age Support Group
• Family support group
• etc.

• 12 sessions of Newly diagnosed support group; 56 participants.
• 76 sessions of DAs; 482 participants.
• 8 sessions of Level 3-4 Harm Reduction Advocacy Group collaborating with Addiction Prevention Divsion ; 84 participants
• 5 sessions of Social Dialogue Platform; 72 participants
• 26 sessions of Middle Age Support Groups; 349participants.
• 4 session of Family Support group; 37 participants.

Leisure/

Growth Activities

• Festival feasts
• Tours
• Personal growth courses
• Sister Lin story-telling
• Chem-sex recovery growing workshop
• Yoga
• Etc.

• 94 Leisure Activities ;862 participants.
• 12 growth support groups/workshop; 199 participants

Internet

Service

• Online Support Group
• LINE app Group

• 11 sessions of online support group; 141 participants
• All the LINE groups combined, there are 934 people in total

Prison Visits and

Consultation

Individual/group/correspondence counseling and visits and Scientific Evidence Group

• Individual counseling: 7 people;
• Group counseling: 17 sessions, 148 participants;
• Scientific Evidence Group: 30 groups; 239 people;
• Correspondence support: 97 times.

Online Courses

To enhance service effectiveness, digital courses are planned to be developed across nine major areas, addressing physiological well-being, injury prevention, trauma management, self and emotional care, interpersonal relationships, family education, sexual well-being, Chaolu courses, and social resources (including seven therapeutic community facilities, the Legal Aid Foundation, employment service stations, rehabilitation protection associations, and long-term care resources). These courses aim not only to address immediate needs in community service cases but also to provide knowledge and perspective broadening for incarcerated individuals in correctional facilities.

• Physiological:
• Addiction-related Brain Damage, Common Physiological Co-morbidities, Sleep Disorders, Nutritional Rehabilitation Physiology, Common Diseases of Aging, Simple Rehabilitation to Delay Degeneration, Nutritional Intake for Healthy Aging - a total of 7 videos, 8.5 hours.
• Harm Reduction:
• Understanding Harm Reduction, Substance Use Management (Emergency Response to Substance Overdose, Polypharmacy Awareness), Harm Reduction in Tobacco and Alcohol Use, Opioid Harm Reduction, Non-Opioid Harm Reduction, Emerging Substance Harm Reduction, Motivational Interviewing, Decisional Balance, Stages of Change, Identifying Risk and Protective Factors, Twelve Steps, Mindfulness (Introduction and Advanced) - a total of 13 videos, 21 hours.
• Trauma:
• Trauma Awareness/Recognition and Coping, Syndemic theory - a total of 2 videos, 5 hours.
• Self and Emotion:
• Self-awareness, Self-affirmation, Self-reflection Practice, Stress Adjustment, Impulse Control, Facing Loss in Life, Emotional Blackmail - a total of 7 videos, 7 hours.
• Interpersonal Relationships:
• Interpersonal Relationships, Intimate Relationships, Nonviolent Communication, congruent Communication - a total of 4 videos, 5 hours.
• Family Education:
• Understanding Harm Reduction, Establishing Boundaries, Dealing with Mentally Disturbed Family Members, Handling Violence, Settling One's Mind and Body, Intimate Violence - a total of 6 videos, 6 hours.
• Sexual Well-being:
• Increasing Sexual Pleasure without Substance Use, Enhancing Positive Sexual Interactions, Gender Equality, Body Boundaries - a total of 4 videos, 4 hours.
• Chaolu  introduction
• Horticultural Therapy, Music Therapy, Adventure Education, Aerosol Therapy, Addiction Brain Circuitry, Animal Healing Therapy - a total of 6 videos, 5.5 hours.
• Social Resources:
• Understanding Future Clinics, Therapeutic Community – Jia Lao Village, Therapeutic Community - Libertas, Therapeutic Community - Operation Dawn, Therapeutic Community –The House of Christ’s Love, Peer Sharing of Rehabilitation and Employment Resources, Psychologist's Healing Journey, Introduction to Rehabilitation Resources - a total of 8 videos, 6.5 hours.
• Service Introduction:
• Understanding Rehabilitation Resources, Understanding Rehabilitation and Employment Resources, Legal Aid Foundation, Long-term Care Resources - a total of 4 videos, 3 hours.
• Total of 61 instructional videos.

Chaolu   Therapeutic Community

• Group session(Harm reduction, Spiritual etc.)
• vocational rehabilitation

• 93 Advisories
• 54 Assessments
• 38 cases intake
• 553 sessions of agricultural labor, group courses, etc., a total of 3,931 times.
• 3,902 consulting services; 69 counseling sessions
• 182 individuals benefits from Outreach services
• 3 family relationship empowerment camps, with a total of 115 participants.
• 3 Cultivate Your Mind Power camp, with a total of 31 participants.
• 19 cases were positively closed, 8 cases were closed negatively

Substance

users’ family support plan

Beginning with mitigating the harm caused by substance use on the body, mind, and spirit, we offer services to help individuals and families reconnect with society and regain stability.

• A total of 56 clients are served
• 930 advisories
• 356 Vis-à-vis/home visits
• 1,969 times of phone/text/social media services
• 118 financial aid cases (NTD 315,733 in total)
• 115 provision aid cases
• 71 cases of social welfare consulting; 219 cases of connecting social welfare and 45 referrals/contact/connect to related resources
• 29 family group sessions with a total of 254 participants
• 26 sessions of prison transition guidance with a total of 188 participants
• 2 sessions of family maintenance events with a total of 70 participants
• 10 educational advocacy (benefiting 697,043 participants);
• 8 sessions of training ( including group supervision, closing case meeting, case study and seminars) with a total of 153 participants
• 5 sessions of Changhua Family support group

Hualian Harm Reduction Center

• Hualian Rehabilitation Family Community Care
• Hualien and Taitung Substance Abuse Family Services
• Tribal Community Advocacy

• 30 cases of case management with a total of 67 home/ Vis-à-vis visits, 73 telephone visits and 1,667 visits on online platform
• 39 financial aid cases with a total of NTD 80,445
• 13 referral services
• 18 counseling services
• Family Group Activities, 2 sessions, 10 events, 79 participants.
• 2 Hualien Chemsex peer empowerment camps with a total of 20 participants
• 1 session of family maintenance events with a total of 15 participants
• A total of 10 sessions were held for lectures on various topics, with 102 participants in attendance.
• 3 sessions of leisure activity group with 48 participants
• 8 Advocacies benefiting 145 people

Staff Members Training and Supervision System

On Job Training

Helper Workshops and various training courses

Our staff has participated in 92 on-the-job training sessions, totaling 307.47 hours.

We provide 3 in-service staff with undergraduate courses ,amounting to a total of 163 hours.

Supervision

• Individual/group supervision
• Counseling
• Trauma awareness knowledge and skills

• Individual/Group Supervision: 40 sessions
• Case discussion/Study: 119 sessions
• Counseling: 10 clients with a total of 48 hours.
• Trauma awareness knowledge and skills: 3 sessions totaling 36 hours.

Intern Guiding and training

Enhancing professional skills and enriching knowledge and techniques in issues related to HIV/AIDS and drug abuse

7 College students are on internship

Volunteers Recruitment and Training

Volunteers Recruiting, training, supervising, service-learning

• 4 Recruits with 29 participants
• 10 members on service-learning; 12 hours in total.

Publication of promotional materials

Education

• General public Promotion
• service providers Promotion
• Outreach service- setting up a stall

• General public: 129 sessions, 8,982 participants
• Service providers: 289 sessions, 7,231 participants
• Setting up 7 stalls; 27,100 reaches.

Publication

Publishing brochures, e-books & articles

• Publishing the book “Practicing Harm Reduction Psychotherapy: An Alternative Approach to Addictions(2nd Edition)”
• 1 International Seminar Journal Article
• Over 30,000 copies of promotional materials;
• 68 e-books with the total view of  196,048

Public Relations and Concept Promotion

Social Media Promotion

• Facebook Fan Page and Website
• Plus Radio PLWHA Radio Station
• Instagram
• LINE@
• Social Communication Platform where people could ask questions about HIV/AIDS and PLWHA would respond

• Website:94,292 visitors;241,769 views
• Instagram:1,451 followers
• Facebook Fan Page: 11,000 followers
• 5 series of programs on Plus Radio PLWHA Radio Station

Media report

• Bazaar
• Reporting about TLA
• Engaging in social conversation and cooperation.

• Bazaar: Disease Equality Canvas Bag(Black), LINE Sticker
• TLA reports has been released on over 15 local media.

Further exploring the issue

• Taiwan PLWHA community care action (Advocacy) White Paper
• Judicial rehabilitation should include diverse interventions such as therapeutic community
• PLWHA  current living quality and condition survey

TLA served as the author and committee member for the white paper, exploring stigmatization issues related to PrEP and U=U and proposing solutions.

We also visited HIV-related organizations and therapeutic communities in Australia to gain insights into foreign service experiences and working models.

International

Interaction

• ViiV Asia-Pacific HIV White Paper
• Visiting Australia PLWHA and Substance Addiction  Community Care and therapeutic community

• Exploring stigma related to youth services, PrEP, and U=U in various countries, discussing challenges and solutions
• examining the impact of the COVID-19 pandemic on PLWHA, and
• investigating each country's progress toward the three 90s targets.

Collaborative Research Project Beyond the Association

• A Study on the  interactive  Impact of Adversity, Psychological Distress, and Protective Factors among PLWHA
• Assessment of the Impact of COVID-19 Preventive Knowledge, Attitudes, and Behaviors on HIV Risk Factors.
• Care Burden, Quality of Life, and Social Support Networks for Families of Individuals with Substance Addiction.
• Blame on Disease? Hiv-Related Stigma and Its Resistance through Social Intervention. ” Forum on HIV Destigmatization: Sharing Educational Concepts and Practical Experiences in Community”

• Exploring the Relevance and  Protective Factors  of the Interconnected Experiences of Adversity and Psychological Distress among  PLWHA :Examining the Interpretations of 'Adversity Interaction' and 'Psychological Distress' by  PLWHA  and Caregivers.
• Investigating Health Literacy in High-Risk Communities: A Response to COVID-19 and Understanding Risk Assessment and Coping Strategies in These Communities.
• Examining the Life Experiences and Needs of Family Caregivers of Individuals with Substance Addiction: Providing Concrete Recommendations for Practical Work and Policy Directions.
• Invitation from Professor Shu-Man Pan of National Taiwan Normal University to Collaborate with Various HIV NPOs in Taiwan: Sharing Practical Experiences in HIV Work.

Alliance

• HIV Positive Alliance Legacy Camp  “ Listen: the sound of I(sounds like the Chinese for love)”
• Taiwan Alliance of Patients' Organizations

• There are three parts in Legacy Camp: Aging Imagination workshop, story transition : “Island Bar” Performance ; Coexisting with HIV/AIDS Chatroom.
• Our organization was selected as a member of the Taiwan HIV/AIDS Patient Organization (TAPO) Board for the third term, with Cheng-Lung ,Chen serving as the representative. We maintain a collaborative and friendly relationship with other alliance member organizations, working together to advocate for patients in Taiwan across various health conditions.

Information System Development

Including offices in Taipei, Taichung, ,Hualien and therapeutic community system

During the COVID-19 pandemic, responding to the need for remote work, we adjusted internal networks and equipment, facilitating colleagues to work from home.

The construction of the therapeutic community system has been completed.

Lourdes 25, Thriving with me, Witnessing for love, Cultivating positive strength

“A Journey back to the Wishing tree, Flourishing with love in the storm”:A Documentary on life support for PLWHA

Fundraising for Extending  Filming of “A Journey back to the Wishing tree, Flourishing with love in the storm”:A Documentary on life support for PLWHA. Promoting the Elimination of HIV Stigma and Advocating for Legal and Social Alignment with Scientific Treatment.

In 2002, TLA took its members on a trip to Qingjing for the first time, providing a therapeutic escape. This journey allowed the separately coursing hearts to slowly converge into a river. Under the trees on the grassy hillside, they made wishes and agreed to return in 10 years to confirm their realizations. The common wish of PLWHA was to “live well”.

In the autumn of the 20th year, 63 individuals returned to Qingjing Farm to revisit the tree of memories, witnessing the milestone of the 20th anniversary of the Lourdes Support Group.

The documentary, “A Journey back to the Wishing tree : Taiwan PLWHA Support Group's Twenty-Year Journey,” is promoted on major social media platforms.

Taiwan HIV/AIDS community care action (advocacy) White Paper

Organizing both internal and external focus groups, and conducting discussions on several key topics, including women, middle-aged and elderly individuals, Chemsex, diverse ethnicities of  PLWHA , their quality of life, and decriminalization

Conducted a total of 13 sessions with 78 participants in both internal and external focus groups. Throughout these sessions, we observed the profound impact of stigma on individuals who internalize it, as well as how societal discrimination leads to various life challenges and rights deprivation for PLWHA. TLA has compiled a white paper report, outlining plans for the extended and deepened development of services. This opportunity is also utilized to make relevant appeals.

(A)Middle-aged and Elderly (Long-term Care)

(B)Female

(C) MSM(Men who have sex with men)／LGBTQIA+

(D)Harm Reduction on Substance Addiction

(E)Specific Service Recipients

(F)Online Service

(G) Enhance Professional Services

A0. With a third-level prevention and care mindset, the goal is to manage aging health, slow down high-risk and sub-symptomatic conditions, and ensure that those with comorbidities can receive relevant care resources appropriately, avoiding elderly isolation and achieving a good end of life.

A1. Integration with Long-Term Care 2.0: Friendly resources for nursing, day care, and support spots.

A2. Provide correct HIV, gender equality, and harm reduction education for long-term care personnel.

A3. Develop career choices in long-term care for PLWHA (People Living With HIV/AIDS).

A4. Establish the Northern, Central, and Eastern AIDS Long-Term Care Community Resource Case Management Center.

A5. Build an AIDS long-term care mutual assistance network.

A6. Regularly visit and accompany elderly cases.

A7. Palliative care and end-of-life services.

B0. The goal is to promote the holistic development and uphold the autonomy and rights of women；

B1. Keep organizing female mutual empowerment assistance and self-help education,as well as relevant camps

B2. Specifically formulating concrete action tasks for gender equality aspects such as
a) bodily autonomy,
b) personal safety,
c) social participation,
d) division of caregiving tasks, and
e) self-practice.

B3. In sex health education, particularly for general females (non-PLWHA), especially young females, enhance the concept of self-protection.

B4.Enhance and maintain autonomy

C0. Promote the overall well-being and safeguard the physical and mental health, as well as the basic rights, of gay and sexual minority communities.

C1. Addressing issues related to a) sexual orientation identity,

b) social isolation, and

c) past life trauma, actively cultivate service providers with the ability regarding ① trauma-informed and ② harm reduction.；

C2.
Assist those affected by chem-sex in their journey towards recovery and reintegration.

Advocate for mental health promotion services in LGBTQ+ health centers, encouraging individuals in the community to receive a) strong support, b) foster positive self-identity, c) promote sexual health culture, d) implement universal preventive principles, and e) promote U=U, PrEP & PEP.；

C4. Continuously organize supportive and growth-oriented groups such as New Friends, aiming to empower individuals towards achieving mutual support and self-help.

D0. Implement practical harm reduction strategies and diverse intervention services to assist individuals with substance use disorders and their families in achieving early recovery and reintegrating into society

D1. Continue providing counseling services within correctional facilities.

D2.Connect with associated support resources

D3. Assist with ex-offender rehabilitation

D4. Provide services for families of individuals struggling with addiction, including support groups and activities for maintenance and connection.

D5. Organize empowerment camps for families affected by addiction, facilitating mutual understanding between individuals struggling with substance abuse and their families. This aims to empower family members to become essential supporters and recovery partners in the journey toward rehabilitation.

D6. Collaborate with other organizations providing HIV or addiction-related services within relevant networks.

D7. Establish cooperative platforms that offer integrated resources and information to individuals struggling with substance abuse and their families

D8. Create a community environment conducive to the reintegration of individuals dealing with addiction

E0. Provide services ensuring fair access to essential resources for those with relatively limited resources, based on humanitarian principles and resource equity.

E1. Assist foreigner PLWHA living in Taiwan to access affordable treatment medications.；

E2. Enhance the accessibility of treatment medications.

E3. Review the current regulatory framework and advocate for timely amendments.

E4. Establish affordable methods for acquiring medications.

E5. Recognizing the challenges faced by rural areas or different ethnic groups in accessing information, actively conduct relevant workshops in remote areas.

E6. Develop diverse outreach services.

F0. In response to the COVID-19 pandemic, the importance of online information and service has been heightened.

F1. Building on past experiences with message boards, instant messaging, dedicated websites, health management apps, etc., continuously evolve and develop relevant online counseling or information services.

F2. Adapting to the rapid changes in the digital era, provide innovative online services tailored to the characteristics of the user base.

F3. Connect with information platforms in the network to become an extension of tangible services for the HIV/AIDS and addiction community care.

F4. Implement the spirit and concept of sustainable services under the SDGs, reflecting in the institutional image and across all service aspects.

G1. In response to the intertwined trauma experiences or suffering complexities of PLWHA or struggling with addiction, actively cultivate the service team's ability in trauma-informed care and grief counseling.

G2. When addressing complex issues such as MSM or PLWHA involved in drug use,

a)compile existing practical experiences,

b) develop evidence-based discussions,

c) promote harm reduction methodologies to community workers,

d) collectively learn how to respond to drug use or complex trauma aftermath.

G3. Facing generational gaps, gender inequality, cultural diversity, and individuals who have experienced political or power-related trauma in the past, the cultivation of treatment knowledge and skills needs continuous improvement.

G4. Facilitate interdisciplinary dialogue and collaboration, connecting resources from various sectors to promote the sustainable development of services.