Early Intervention Program (EIP)
The Early Intervention Program (EIP) is a HIV rapid testing site located in the Emergency Department at the University of Cincinnati Medical Center.
EIP seeks to reach those most at –risk for HIV infection and build awareness around this public health crisis. We offer patient-centered HIV Risk Reduction planning, informational materials for overall sexual and behavioral health, as well as, Linkage to HIV Medical Care services if test results indicate (positive for) HIV infection.
EIP also offers walk-in HIV prevention and testing services that are usually available 7 days a week, 24 hours a day. It is best to call ahead to confirm that an EIP counselor is available to test.
Please contact the number below to schedule an appointment or to speak with a counselor: (513)-584-0720
The UC Early Intervention Program is committed to identifying and intervening with populations most at risk for threats to health and well-being at the earliest opportunity, and helping these individuals connect with community resources to improve health outcomes. The EIP provides HIV prevention counseling and testing, as well as screening and intervention services for mental health and substance use disorders.
Since 1998, EIP has provided access to HIV testing for people living in the Hamilton County, Ohio and neighboring regions. EIP offers HIV intervention/prevention counseling, testing, linkage to care and many other services to assist individuals. The Early Intervention Program recently has expanded its services to promote greater testing through community-based organizations.
For information regarding HIV rapid testing and other HIV prevention services, please call 513-584-0720. Calls are returned within 1 business day.
For information regarding Linkage to HIV Medical Care services or HIV+ test results, please contact a Linkage Coordinator at 513-558-8081 or 513-558-8257. Calls are returned within 1 or 2 business days.
Public Health in Emergency Medicine
The Division of Public Health Research is the most recent addition to the research structure of the Department of Emergency Medicine. This formal designation was made in response to the increasing interest of departmental faculty in the investigation of emergency medicine’s potential role in shaping the health of populations rather than simply responding to the acute disease states of individual patients.
Those most at-risk for adverse outcomes from preventable illness are assumed to be least likely to interact with the traditional health system. Unlike outreach programs seeking target populations for intervention in the community, emergency departments passively receive patients in a medical setting where an opportunity for interaction exists.
Emergency departments routinely care for people from every background, socioeconomic group, and health status, and the emergency department is a key component of the health care safety net.
Patients have been shown to accept preventive services and value counseling during emergency visits. The emergency department is therefore increasingly recognized as an ideal location for public health programs.
The Society for Academic Emergency Medicine (SAEM) Public Health and Education Task Force has advanced a rationale for expanding prevention services into the emergency setting.
- EDs already perform some prevention services such as tetanus immunizations. It is unclear why other equally effective practices should not also become standard of care.
- EDs are often the only source of prevention services for a highly vulnerable population without other health care access. Simply using the ED correlates with lack of some preventive services.
- Unexpected circumstances leading to ED encounters often constitute a teachable moment, potentially making prevention interventions even more effective than they would be in other settings. Several ED interventions targeted at high-risk populations have been shown to be effective.
- Unmet prevention needs will result in more ED visits of even higher acuity. In one study, 55% of patients with pneumococcal bacteremia had been seen in the ED within the 72 months prior, and almost all met criteria for vaccination at that time. 10% eventually died during their hospitalization.
Despite the many improvements in public health that could result from expanding the emergency medicine mission, implementing necessary changes remains controversial. The primary barrier is lack of time and resources.
The ways in which emergency departments might endeavor to influence public health are many. While illness prevention is certainly a primary goal, there are many other issues such as bio-surveillance that have recently garnered national attention.
While no accepted classification scheme exists, broad categories might be constructed.
- Patient Education
- Behavioral Counseling
- Disease Prevention
- Injury Prevention
- Behavioral Surveillance
- Disease Surveillance
- Bioterrorism Surveillance
- Linkage to subsequent care
- Health Disparities
- Access to care and safety net issues
With the development of the Division of Public Health in the Department of Emergency Medicine, it became important to recognize the public health implications of other departmental research efforts.