{"id":33999,"date":"2024-05-24T07:00:10","date_gmt":"2024-05-24T07:00:10","guid":{"rendered":"https:\/\/updates-www.mccdn.io\/vitals\/?p=33999"},"modified":"2024-09-05T21:10:33","modified_gmt":"2024-09-05T21:10:33","slug":"entre-hermanos-brings-trust-into-lgbtq-care","status":"publish","type":"post","link":"https:\/\/updates-www.mccdn.io\/vitals\/entre-hermanos-brings-trust-into-lgbtq-care\/","title":{"rendered":"Entre Hermanos brings trust into LGBTQ+ care","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

Leer en espa\u00f1ol<\/a><\/p>\n

Nearly 40 years ago, a group of Seattle friends came together to create a support network for those feeling the impact of the HIV epidemic.<\/p>\n

Fast-forward to today: They\u2019re known as Entre Hermanos<\/a>, and their mission \u2014 to promote the health of the Latino lesbian, gay, bisexual, transgender and questioning (LGBTQ+) community \u2014 has spread not just city- or statewide, but globally.<\/p>\n

The key to Entre Hermanos\u2019 success is a culturally based approach to disease prevention, education, support services, advocacy and community building.<\/p>\n

\u201cMost of our Latino community are immigrants. It\u2019s well known that if you change your environment or where you live, there\u2019s a shock,\u201d explains Martha Zuniga, Entre Hermanos deputy director. \u201cWe try to keep the cultural part within our care and services, create a sense of family and a place where you can feel safe and express yourself.\u201d<\/p>\n

Part of that mission means understanding clients need more than just health care support. People\u2019s priorities are food, housing and keeping their family together \u2014 then they start thinking about themselves and health care, Zuniga says.<\/p>\n

\u201cWhen people see themselves reflected in the culture of our space, it builds a sense of trust and comfort. They know when speaking to someone on our team that they share a cultural understanding or very similar life experiences.\u201d<\/p><\/blockquote>\n

Entre Hermanos provides support across all those key areas, including HIV prevention and education (how and where to receive medication, medical follow-up and testing), connection to food, housing and transportation services, and immigration support through an in-house legal team.<\/p>\n

Through these wraparound services, Entre Hermanos reaches more than 7,000 people annually. This includes 1,000 who receive direct intervention through sexually transmitted infection (STI) testing, pre-exposure prophylaxis (PrEP) navigation and HIV medical case management, and 6,000 who receive free condoms through outreach efforts, says Edgar Longoria, Entre Hermanos executive director.<\/p>\n

Medical case managers currently support 200 individuals, and the legal team has more than 90 active cases.<\/p>\n

Growing the reach of Entre Hermanos<\/strong><\/h2>\n

Recognizing these needs expand far beyond King County, Entre Hermanos is expanding to other areas of the state, including the Yakima community.<\/p>\n

\u201cReaching Yakima has been a dream of ours for a long time,\u201d Zuniga says. \u201cWe have people coming and driving from Yakima, the Tri-Cities, Spokane and Wenatchee to get services here because on that side of the state, there\u2019s nothing similar for them.\u201d<\/p>\n

As of the 2022 census, Hispanic- or Latino-identifying people accounted for almost 53 percent of the Yakima County population, with the vast majority listing Spanish as their first language.<\/p>\n

Many may also speak a language other than English or Spanish, as they\u2019ve come from Cuba, Nicaragua, Chile or Colombia, Zuniga adds.<\/p>\n

During the COVID-19 pandemic, critical information was available in English and Spanish, but so many people were missed, she says. With the support of the Washington State Department of Health (DOH), Entre Hermanos produced informative videos in numerous languages to ensure everyone had access.<\/p>\n

Finding support and services in your language is important because things can easily get lost in translation, explains Eduardo Esparza, a Yakima-based nonmedical case manager with Entre Hermanos.<\/p>\n

\u201cI have clients who will call me because the pharmacy tells them they can\u2019t fill their medication. What they think is, \u2018They don\u2019t want to give me my medication,\u2019 instead of understanding their coverage is expired,\u201d Esparza says. \u201cSo that\u2019s when I make some calls to let their medical case manager know what the situation may be so we can address it to solve the problem.\u201d<\/p>\n

Yakima has some resources, but Spanish language may not be an option, he explains. And if people do find providers who speak Spanish, the way services are provided may not reflect their culture, Zuniga adds. Trust may be missing as a result.<\/p>\n

Culture is the basis for trust<\/strong><\/h2>\n

\u201cWhen people see themselves reflected in the culture of our space, it builds a sense of trust and comfort,\u201d explains Longoria. \u201cThey know when speaking to someone on our team that they share a cultural understanding or very similar life experiences.\u201d<\/p>\n

Working with case managers who carry that cultural connection also helps build confidence and understanding of treatment, explains Alejandra Grillo-Roa, Entre Hermanos prevention and care program manager.<\/p>\n

\u201cWe\u2019ll never ask immigration status or charge for our services. It\u2019s free and confidential and it\u2019s all done with love,\u201d Grillo-Roa says. \u201cThey don\u2019t need an interpreter to express how they feel, which, if they\u2019re in crisis, it\u2019s important they don\u2019t have to talk through someone else.\u201d<\/p>\n

Entre Hermanos helps clients sign up for all the HIV coverage they\u2019re eligible for with DOH, then schedules their first primary care appointment at a trusted clinic, Grillo-Roa explains. HIV case managers may accompany clients to their first appointment and follow up to ensure they understood everything.<\/p>\n

The PrEP navigation program is one of Entre Hermanos\u2019 most utilized \u2014 the team connects clients with financial assistance for their medication and gender-affirming care and supports them through name changes and hormone or surgical treatments.<\/p>\n

\u201cWe want to make sure there\u2019s no lapse in what they need,\u201d Grillo-Roa says. \u201cWe don\u2019t have a timeline for how long they stay with us. We\u2019ve had clients for 11 years, and some who need more services and work with a nonmedical case manager as well, while others become more independent and just check in with us.\u201d \"Three<\/p>\n

Regardless of how much support clients need, Esparza sees his most important role as being a safe person to come to.<\/p>\n

\u201cI also work part-time at a retail store and sometimes I get to interact with the community, and they\u2019ll tell me or ask me about my work at Entre Hermanos,\u201d he says. \u201cThey start opening up and telling me about their orientation and if we have stuff to help.\u201d<\/p>\n

Once a month, Esparza refills his supply of condoms to have on hand when people in the community ask for help. They\u2019re expensive in the store, and many people may be reluctant to go to Entre Hermanos in person because it could raise questions about their sexual orientation, he explains.<\/p>\n

\u201cIn rural areas there\u2019s definitely a lack of visibility,\u201d Longoria adds. \u201cWe know why people are hesitant to be out and proud in small communities, but we bring that sense of community and acceptance with our services. That\u2019s something you can\u2019t replace.\u201d<\/p>\n

Leading the change<\/strong><\/h2>\n

In addition to providing critical support services and connection, Entre Hermanos is a leader in advocacy and building a better future for the next generation.<\/p>\n

\u201cOur visibility is really important, but our needs are also very similar to other large communities and organizations,\u201d Longoria says. \u201cMore recently we\u2019ve been focused on our coalition efforts.\u201d<\/p>\n

Entre Hermanos works closely with various city and state commissions focused on LGBTQ+, Latino and immigrant issues, and has a presence at many rallies, health fairs and community events.<\/p>\n

\u201cThankfully, in Washington we have a lot of support through partners, funders and donors, which makes a big difference,\u201d Longoria adds. \u201cBut we also recognize that the work we do here, in large part due to social media and the internet, reaches places we never thought it would.\u201d<\/p>\n

People in Central America are resharing Entre Hermanos\u2019 posts and thanking them, he says. Grillo-Roa adds they\u2019ve had new clients come in who heard about their program before moving to the United States.<\/p>\n

Whether it\u2019s through traditional channels like the website and social media, or peer support groups, community events or podcasts, it\u2019s important to continue growing awareness, Grillo-Roa says.<\/p>\n

It takes time to build that trust, especially in a new community. She hopes people find them and know they\u2019re a safe place, free of judgment.<\/p>\n

\u201cPartnering for healing and a healthy future\u201d is MultiCare\u2019s mission, and it inspires us to form connections that help improve the quality of life for our communities. Community organizations all around us are doing amazing work, and we\u2019re inspired and excited to support that work.<\/em><\/p>\n

Stories from our Community<\/em><\/strong> is an ongoing series conceived to dive into some of these organizations*, bring their stories to life and spread the word about how they are making our communities better.<\/em><\/p>\n

*Some of the organizations profiled in this series are recipients of <\/em>MultiCare\u2019s Community Partnership Fund<\/em><\/a>, which awards funds to nonprofit organizations working on initiatives, programs and projects that improve our community.<\/em><\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

Leer en espa\u00f1ol Nearly 40 years ago, a group of Seattle friends came together to create a support network for those feeling the impact of the HIV epidemic. Fast-forward to today: They\u2019re known as Entre Hermanos, and their mission \u2014 to promote the health of the Latino lesbian, gay, bisexual, transgender and questioning (LGBTQ+) community […]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":115,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[15,155,143],"tags":[],"class_list":["post-33999","post","type-post","status-publish","format-standard","hentry","category-community","category-health-equity","category-community-stories"],"acf":[],"yoast_head":"\nEntre Hermanos brings trust into LGBTQ+ care - MultiCare Vitals<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/updates-www.mccdn.io\/vitals\/entre-hermanos-brings-trust-into-lgbtq-care\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Entre Hermanos brings trust into LGBTQ+ care - MultiCare Vitals\" \/>\n<meta property=\"og:description\" content=\"Seattle nonprofit Entre Hermanos works to promote the health of the Latino LGBTQ+ community. 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