Maximum Assistance Clinic (Max Clinic) is an intervention that provides low-barrier entry to comprehensive and compassionate care for people with HIV who have not consistently reached viral suppression or engaged in HIV care through less intensive outreach, care, and support efforts. Max Clinic providers use client-centered approaches to deliver drop-in primary HIV care and intensive case management for clients experiencing complex barriers, such as substance use disorder, unstable housing, and mental health challenges.
Max Clinic’s care philosophy individualizes treatment goals in accord with client priorities, incorporates a low-barrier approach to substance use disorder treatment, and supports interpersonal relationships between the care team and clients as a key driver of engagement. The clinic collaborates with multiple agencies in the area for coordination of medical care and support services.
Max Clinic Implementation Toolkit Materials
- Max Clinic Toolkit Overview Video: This short video gives a brief overview of the Max Clinic intervention and the resources available for replication and adaptation. Closed captioning is included.
- Max Clinic Implementation Guide: This guide provides activities, tools, and resources for planning and implementing Max Clinic within HIV care and service organizations. It also highlights key findings and lessons learned from implementing Max Clinic in Ryan White HIV/AIDS Program-funded organizations.
- Max Clinic Sample Forms and Handouts: These are editable versions of the sample forms in the Max Clinic Implementation Guide.
- Max Clinic Go Live Worksheet: This practical worksheet helps organizations carry out the intervention’s planning activities and monitor progress in meeting implementation goals.
- Max Clinic Demonstration Video: This video shows a dramatization of delivering the intervention. Closed captioning is included.
- Max Clinic Learning Module: This interactive training module uses videos, knowledge checks, and informational slides to reinforce understanding of the intervention’s core elements.
Contacts
Recipient Contacts
Milo Dorfman, MS
The Fenway Institute
MDorfman@fenwayhealth.org
Janet Myers, PhD, MPH
Division of Prevention Science, University of California, San Francisco (UCSF)
Center for AIDS Prevention Studies (CAPS), UCSF Prevention Research Center
Janet.Myers@UCSF.edu
HRSA Contacts
Tracy L. McClair Sangster, MSPH
Health Scientist, Division of Policy and Data, HIV/AIDS Bureau
Health Resources and Services Administration
U.S. Department of Health and Human Services
tsangster@hrsa.gov
Son Phan, MD, MPH
Health Scientist, Division of Policy and Data, HIV/AIDS Bureau
Health Resources and Services Administration
U.S. Department of Health and Human Services
sphan@hrsa.gov
Funding
Funding Mechanism: Cooperative Agreement
Recipient Organization: Fenway Community Health Center, Inc. (Coordinating Center for Technical Assistance); University of California, San Francisco (Evaluation Center)
Grant number: U90HA42153; U90HA42154
Project Period: August 1, 2021 – July 31, 2026 (with NCE period)
