CAP is poised to change more lives than ever with a new mission, a new health center, and a sharpened focus on equity.
Over the past thirty years, CAP has developed significant expertise working in marginalized communities—particularly the LGBTQ+ community—to improve health. We've welcomed people of all races, ethnicities, gender identities, sexual orientations, income levels, and more. And we've seen how these factors can limit the healthcare some populations receive or feel comfortable accessing.
While HIV remains a serious health threat, improved treatment has made it a more manageable chronic condition for those who have access to stable and affordable medical care. Despite significant progress, members of the LGBTQ+ population have been challenged to find culturally affirming healthcare that meets their needs due to factors including stigma, medical providers who don't understand this population's particular needs, low rates of health insurance coverage, and the stress of systematic harassment and discrimination. People who are both LGBTQ+ and members of a racial or ethnic minority feel these pressures even more intensely. This is not right. And it's less than our community deserves.
To that end, we are proud to announce that we have adopted a new mission statement and have launched several new initiatives including:
Opening a new LGBTQ+ Primary Care Health Center
Redoubling our commitment to improve health and social equity for people of all races and ethnicities through the adoption of a new racial equity statement
Putting Trans inclusion at the forefront
Participating in innovative efforts such as the Data Integration Project; and
Addressing domestic violence for people living with HIV.
I am proud of the work that CAP has accomplished this year and am enthusiastic about our new direction. Please join us on this journey.
We support and empower all people with or affected by HIV, reduce stigma, and provide the LGBTQ+ community with compassionate healthcare.
Following a comprehensive two-year planning process, 2016 saw CAP launch its boldest effort yet: a primary care medical practice to meet the needs of Portland's LGBTQ+ community. The new health center will be an integral part of CAP's expanding mission to serve the broader LGBTQ+ community and will remove barriers and improve access to health care for all LGBTQ+ individuals.
The health center will provide a safe, affirming, and non-judgmental space where all members of the LGBTQ+ community can obtain the compassionate health care they need and deserve. In addition to comprehensive primary care, the health center will offer specialized services for the transgender community, HIV and sexually transmitted disease testing, mental health care, and integrated pharmacy services.
The health center will serve the full spectrum of Portland's LGBTQ+ community, from patients with private and employee sponsored health insurance to Medicaid and Medicare clients. For patients without health insurance, we will offer assistance to choose and enroll in a plan that meets their needs. Likewise, the health center will offer a sliding scale and payment assistance for those who don't have the ability to pay. Moreover, we're making special efforts to reach out to communities of color and the transgender population so that all members of the LGBTQ+ community can access quality healthcare services.
OPENS EARLY 2017
People of color, particularly members of the Latinx, Black, and African-American communities are disproportionately impacted by the HIV/AIDS epidemic. Nationally, these groups together constitute a third of our population but account for over 68% of all new diagnoses of HIV infection. To address this disparity, CAP has increased its services offered to communities of color, including more culturally-specific support for African American and Latinx people living with HIV who need assistance accessing medical care and housing as well as providing culturally relevant support groups for communities of color. To ensure that this work continues to be a priority, CAP adopted the following Racial Equity Statement to guide our internal and external work:
Cascade AIDS Project is committed to health and social equity for people of all races and ethnicities. People of color, particularly Hispanics/Latinos, African Americans and African refugees, are disproportionately impacted by the HIV/AIDS epidemic in our community. As the only AIDS Services Organization serving the Portland Metro area and outlying counties, CAP recognizes that it is our responsibility to proactively address the racial disparities in our community.
This means not only providing culturally appropriate outreach and services, but also making intentional efforts to meet the specific needs of people of color infected by or at high risk of contracting HIV. CAP is committed to:
People who identify as trans have been disproportionately impacted by the HIV epidemic and often experience barriers to accessing necessary medical care and supportive services due to discrimination or harassment based on their gender identity and gender expression. That is why in 2016, CAP expanded its employment assistance program to include trans individuals and increased HIV testing and education opportunities to better serve the trans community. Likewise, CAP engaged a consultant to work with staff and leadership to foster a trans inclusive and affirming workplace. To ensure that CAP policies and culture meet the goal of creating a safe and welcoming environment for trans people, a permanent trans inclusion committee was formed with representation of staff at all organizational levels and a multi-year strategic plan is being developed. CAP will continue to prioritize outreach and inclusion to this vital community in the development of the LGBTQ+ health center.
While we've always been certain that stable housing and connection to services boost an HIV-positive person's health, until recently we haven't been able to put a number on it. Now, thanks to new data sharing software and a federally funded demonstration project, we can chart the correlation between the services we offer clients and these clients' medical visits and viral loads.
We can now track whether or not a client is attending medical appointments regularly, taking their medication, and as a result, if their HIV viral load is lower, meaning that their HIV is under control. We are also able to track which programs are the most effective at boosting our clients' health, and how that might differ depending on a person's race or ethnicity or income level, for instance.
Since CAP began monitoring client medical records the data shows that 96.6% of CAP's Ryan White clients saw a medical provider last year and had a viral load lab completed. Most importantly, of those clients, 81.9% are virally suppressed or have their HIV under control and less likely to transmit the disease to another.
In just one year of this program, CAP has surpassed the national 2020 goals for both of these outcome measures! Even better, we were able to meet these goals with no statistically significant differences between genders, races/ethnicities or sexual identity among individuals with the highest barriers of all the people that CAP serves.
Survivors of intimate violence are among the most vulnerable in our community. Unfortunately, it means they are also more likely to contract HIV. Until now, Portland has had no systematic way to screen these individuals for HIV and offer them and their families housing and case management to foster their health and wellbeing while they get back on their feet.
Beginning October 1, 2016, CAP has partnered with Bradley Angle to identify and support people living with HIV and their families. We expect this year about 14 households will receive rent subsidies and referrals to help stabilize their lives. A person's health should not be ignored while they face the many other challenges that come with intimate violence, and CAP's collaboration with Bradley Angle will ensure these families get the help they need.
CAP is first and foremost a community organization. We serve the community, and we rely upon the community to support us. Our fundraising events comprise close to $1.2 million of CAP's budget.
Now in its third year, CAP's Heroes of HIV luncheon honoring community members and corporate partners who have made a significant contribution to the fight against HIV. Our 2015 event honored local drag icon, Darcelle XV, longtime corporate partner, The Standard; and low income housing provider, Income Property Management. Join us again next year on World’s AIDS Day, December 1, 2017.
The 26th Annual Art Auction was huge success! As always, CAP received the generous support of the arts community, including both artists and area gallery owners. Not only was the event stupendously fun, we raised $664,261 to support our work. Save the date for the next Art Auction: April 29, 2017.
AIDS Walk Portland raised nearly $436,594 and showcased incredible community spirit as nearly 5,000 people from all walks of life came together to increase awareness, fight stigma, and educate the community that HIV has not gone away. Please join us for AIDS Walk Portland on Saturday, September 9, 2017.
Housing is healthcare. Having a safe and stable place to live and your basic needs met is a necessary prerequisite to better health outcomes and lowering the rates of future infections.
CAP's Employment Program for Trans Individuals and People Living With HIV*
*Program only operated for 6 months in FY2016
The best way to end the epidemic is to give individuals the tools they need to stay healthy. This includes connecting them to health insurance, educating them about prevention strategies and providing regular opportunities for HIV and STI testing.
Nearly every CAP program is supported and enhanced by volunteers. They help serve clients in areas like the Service Center, Reception, Real Talk and Camp KC. They further prevention efforts in programs such as HIV testing, Speakers Bureau, Pivot and other community clinics. Our special events – the CAP Art Auction, AIDS Walk Portland, Bat 'n Rouge, Heroes of HIV Luncheon, and more – rely on hundreds of volunteers. We love our volunteers and we could not succeed without them.
Member at Large
"CAP has been a critical partner to CareOregon and our members for many years. It's a cornerstone for the missions of both organizations to eliminate health disparities and promote health equity across our community. We're very pleased to provide some of the financial support they need to expand services and make strides toward fulfilling that goal."
- Eric C. Hunter, CEO, CareOregon
|Revenue - July 1, 2015 - June 30, 2016|
|Federal, State & Local Government Contracts||$4,519,637|
|Contributions & Grants||453,440|
|In-kind Contributions of Products & Services||243,094|
|Special Events, net of direct expenses||643,769|
|Expenses--July 1, 2015 - June 30, 2016|
|Housing & Support Services||$3,248,789|
|Prevention & Education Services||1,338,985|
|Advocacy & Public Policy||19,806|
|Management & General||556,876|
|Increase in Net Assets||$56,022|
|Cash and cash equivalents||$835,073|
|Government Contract Payments Receivable||783,233|
|Contributions & Private Grants Receivable||34,028|
|Deposits & Prepaid Expenses||166,763|
|Property & Equipment||1,855,693|
|Liabilities and Net Assets|
|Accounts Payable & Accured Expenses||$211,010|
|Accrued Payroll & Related Expenses||122,394|
|Total Net Assets||$2,358,359|
|Total Liabilities & Net Assets||$4,173,532|
"We applaud [CAP] for [it's] great work to strengthen the lesbian, gay, bisexual, transgender, and queer community in our region."
- Kris Hermanns, CEO, Pride Foundation