health Better Health Today ISSUE 1, 2021
Advancing Health Equity
How shame prevents many from asking for the help they deserve
Take an Active Role in Your Health
Local health care workers explain how
A Modern Way to Shop Vintage Revivals reinvents resale daphealth.org
DESERT AIDS WALK OCTOBER 30, 2021
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hello.
Welcome to the first edition of DAP Health’s new magazine. This publication is a gift to our community. We want to make it easier to find the information you need to live your best life. While we put a great deal of time into publishing content online, we know that many of you are making a greater effort to manage your screen time by unplugging and curling up with a great book or periodical. If you can relate to that kind of self-care, this magazine is for you. We’ve been committed to health care equity since our beginning in 1984. We’ve worked to remove the barriers to underserved communities that keep them from receiving the care they deserve. In this edition, we explore how shame and a deep sense of unworthiness prevent many from asking for help. You’ll find a nod to our history in our story about Les Dames, the drag duo that supported us in our early efforts to combat the AIDS crisis. Before the LGBTQ+ community had economic or political power, drag queens proudly lip-synced for dollars that were then donated to fund our community wellness. Douglas Woodmansee and Marshall Pearcy are two such early heroes, and our new wellness lobby celebrates that history. In the story “Take an Active Role in Your Health,” you’ll learn more about the clinicians serving our community in a story photographed by Mark Davidson. He’s the same photographer who created the images for the dozens of Les Dames posters hanging in our lobby. And we’ve got news to share about Revivals, the resale and new furniture store that has raised more than $1 million a year to help fund the comprehensive care provided at DAP Health. Everyone deserves wellness, and we hope this publication is a tool you can use for better health today. David Brinkman, MBA CEO, DAP Health
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DAP HEALTH 1695 N. Sunrise Way Palm Springs, CA 92262 8 a.m. – 5 p.m. Monday – Friday 760.323.2118 PRESIDENT AND CEO David Brinkman EXECUTIVE EDITOR Director of Brand Marketing Steven Henke CREATIVE DIRECTOR Senior Marketing Manager Dustin Gruber ART DIRECTOR Tes Schaff PHOTOGRAPHER Mark Davidson WRITERS Rob Hopwood Jack Bunting BOARD OF DIRECTORS Patrick Jordan, Chair Lauri Kibby, Vice Chair Fred Drewette, Treasurer Mark Hamilton, Secretary BOARD MEMBERS Patrick Jordan Lauri Kibby Fred Drewette Mark Hamilton Kevin Bass Carolyn Caldwell Ginny Ehrlich Jerry Fogelson Athalie LaPamuk Bertil Lindblad Kyle Mudd Scott Nevins Ann Sheffer ABOUT US DAP Health is an advocacy-based medical and mental health center in Palm Springs, CA that serves more than 9,700 patients. It offers primary care, dentistry, pharmacy and lab services, and free STI testing and treatment. Also available are social services, various support groups, alternative therapies, and other wellness options. The latest HIV care is provided by the largest team of specialized clinicians in the Coachella Valley. This wide array of options enables patients to achieve optimal health. 3
daphealth.org
active we take an
role in your health
Dr. Jill Gover Director of Behavioral Health
6 Advancing Health Equity We explore how shame creates a barrier to asking for the care you need, and how DAP Health is working to remove roadblocks to health equity. 10 Reinventing Resale How one local thrift store is changing the way you shop and give back. 14 Hope Begins With Health A recap of the 27th Annual Steve Chase Humanitarian Awards.
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18 Designing Better Health Artist Trevor Wayne wants more people to get tested for HIV, and he is using his popular storefront to make an impact. 20 Take an Active Role in Your Health Local health care clinicians talk about ways we can get moving again after a year of staying home. 27 Home Means More Now Award-winning interior designer Beau Stinnette shares pro tips on updating your space.
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28 Five Minutes With Dr. Tulika Singh Get to know DAP Health’s Director of Research and Associate Chief Medical Officer. 29 Mental Health Is Health Dr. Jill Gover talks about why we need to normalize asking for help. 31 Five Meditation Tips
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32 Honoring LGBTQ+ History The new Les Dames du Soleil Wellness Space honors a history rooted in health equity, inclusivity, and community collaboration. 37 On the Go with C.J. Tobe A mobile clinic provides health care throughout the valley where it’s needed most. 38 Science Matters How local research is helping our community live better. 5
As we continue to come out of our COVID cocoons, medical and mental health leaders are coming to terms with how many
ADVANCING Health Equity people still need help accessing care. DAP Health is identifying some of the reasons people avoid care, and they might surprise you.
THE SHAME GAME:
ARE YOU AVOIDING THE DOCTOR? IF SO, THE REASON MIGHT BE EMBARRASSMENT By Jack Bunting DAP Health is identifying some reasons people avoid care, and it might surprise you.
codes, visitors were able to go deeper and deeper into the story at each stop.”
One lesson we’ve learned: Shame — not cost or convenience — is causing far too many people to avoid medical and mental care, even when that care is free or low-cost. How someone feels about asking for help can have a real effect on a person’s future — especially if it becomes the reason that person doesn’t go to the doctor or see a therapist when necessary.
“Health equity means that everyone has the opportunity to be healthy based on their needs, not on their ability to pay,” says David Brinkman, the CEO of DAP Health. “It also means no one should feel like an outsider once they come inside to see a doctor or psychologist.
“When we feel ashamed or embarrassed If you’re told by society because of our life over and over again that circumstances, or you’re bad, wrong, inferior we are afraid of and not good enough, then being stigmatized you come to believe it after for seeking services, it will a while,” says Dr. Gover. make it much “And with the inadequacy more difficult comes shame. to access vital resources and get help,” says Dr. Jill Gover, Director of Behavioral Health at DAP Health. “For example, feeling embarrassed over finances might keep you from seeking help, even though DAP Health provides assistance with insurance or MediCal enrollment through Covered California.”
“But getting people to take that first step can be difficult.” Discrimination — against the poor, LGBTQ+ individuals, and racial minorities — also increases the likelihood people will avoid essential care.
To make ongoing health care a reality for more people, it’s worth considering that shame is causing many to avoid medical and mental care. DAP Health sees shame as a threat to everyone’s health equity. In May of 2021, Sunnylands Center & Gardens and DAP Health offered the public an audio and visual storytelling project that examined how shame can prevent people from accessing the health care they need. “The project was the first in a new program at Sunnylands called STORY,” says Michaeleen Gallagher, Director of Education and Environmental Programs at Sunnylands. “In the Health Equity Series, the story evolved as you walked through the gardens. Utilizing text, images, and embedded QR
“If you’re told by society over and over again that you’re bad, wrong, inferior, and not good enough, then you come to believe it after a while,” says Dr. Gover. “And with the inadequacy comes shame. The intersection of oppression and poverty can create feelings of unworthiness, which are barriers to care.”
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Health equity is about speaking truth about racism’s effect on public health and people’s potential. But there’s a lot of room for happy endings. Health equity gives us a path to fix problems that prevent many from accessing the care they need.
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Carl Baker, DAP Health’s Director of Legal and Legislative Affairs
At DAP Health, you’ll be helped by someone who understands what you’ve been through, without you having to spell it out for them. It’s that simple.
To break down these barriers, DAP Health is making it easier for people to ask for help in several important ways. DAP Health has culturally competent doctors and therapists who can see patients from home via telehealth or onsite at the DAP campus. Social services access has also been expanded for help with life essentials during the pandemic.
DAP Health’s dedication to cultural humility has its caregivers leaning in to get to know their patients, instead of assuming a one-size-fits-all approach works. “At DAP Health, you’ll be helped by someone who understands what you’ve been through, without you having to spell it out for them. It’s that simple,” says Carl Baker, DAP Health’s Director of Legal and Legislative Affairs. “And if they don’t look exactly like you, then rest assured they’ve been trained in cultural competence, and they are your ally.”
SHORT FILM
Once people begin getting care at DAP Health, they become part of the family. “Health equity at DAP Health means no one wonders if they belong — they just feel it,” says Brinkman.
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Anthony Velasco, Senior Nurse Practitioner Specialist at DAP Health, posted his Sunnylands board on social media: “Once I was asked if I treat all my patients the same. I don’t. All of my patients are special, and I provide specialized care for each one of them.” #NurseTwitter @AnthonyTheNP
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Just for the Health of it SHOPPING THAT SUPPORTS THE COMMUNITY “Known for reinventing resale by blending and curating new items with thrift ones, Revivals has gained a reputation for discoverability and affordability,” says Steven Henke, Director of Brand Marketing for DAP Health. Revivals stores are part of DAP Health. Both the retail outlets and health center have strong roots in the community. Revivals donates all its profits to DAP Health — more than $1,000,000 annually — so people who need health care can get it.
“Revivals was early to innovate and remains the only thrift store in America with its own brand of affordable new furniture,” Revivals donates all says Dane Koch, Director of its profits to DAP Health Retail for DAP Health. “We buy a different assortment for each store location to reflect the communities we serve.”
Revivals, like DAP Health, was born out of the need to support people living with HIV/AIDS. Its first store was a small space in the back of what was then Desert AIDS Project when it was located on Vella Road in Palm Springs. For 26 years, Revivals has kept pace with DAP 10
Health’s growth. As the health care organization opened its doors wider to welcome more of our neighbors into care, Revivals opened more locations to help fund the work.
About 70 percent of the merchandise at Revivals stores is resale, and 30 percent is new. The chain’s broad community of donors provides a steady supply of resale merchandise. Revivals also features the Mode Furniture brand of new furniture, lighting, and home decor.
“We are a resale store with resale prices, but we operate like a highend retailer,” adds Koch. “Our philosophy is that is that resale doesn’t need to be ugly, messy, or dirty. Every one of our stores is clean, organized, and shopper-friendly. That’s important.”
Revivals was early to innovate and remains the only thrift store in America with its own brand of affordable new furniture.
“Revivals stores are merchandised more like department stores so customers have an elevated shopping experience,” stresses Henke. “We have a unique vibe with broad appeal, from the budgetconscious to the most in-demand interior designers and fashion stylists in the valley. Even those in the film industry – costumers and set designers – can be found browsing and buying at our locations.”
Award-winning designer Beau Stinnette of Foley & Stinnette Interior Design explains how he mixes Revivals finds into the spaces he creates. “Blending vintage with new is a unique way to make a statement where the design says more about my clients and the lives they have led up to now,” he says. “Often clients ask us to combine some of their more cherished items along with the newer collectibles that we have been curating together. And there are times when those items need to be found in order to finesse the look and smooth out the edges. One of my favorite treasure hunt stops is Revivals, where I might find vintage framed art, a colorful piece of glass, or an interesting mid-century lamp. The inventory is ever-changing at Revivals and always full of fun finds from the past and present.” Fashion Stylist Neil Cohen loves using vintage and always finds something from Revivals. “Today it’s all about self-expression, fewer rules for men and women,” he says. “Great style is in ‘the mix.’”
“There’s something interesting and idiosyncratic about vintage clothes, jewelry, and accessories. Like a book, the pieces hold stories that come from people having ‘lived’ a life through the years. Those fashion fairy tales spark my creative imagination when mixing pre-loved pieces with modern ones to create editorial stories. Going into Revivals always gives me a bit of a fashion thrill because I never know what I’ll discover. It’s simply the best place to uncover something uniquely chic, with a one-ofa-kind feeling that I’ll use tonight… or in two years.” — Fashion Stylist Patrick Lopaze “A lot of people, come to Revivals because they want the real deal,” Henke says. “You know, they want that lamp from a certain era, or they want that sofa with the original fabric, or they want that jacket from a specific decade. But many people shop because Revivals is part of the circular economy. The magic really happens behind the scenes where our team of volunteers sorts, prices, and touches every donated item before it comes to our sales floor. Specialized teams work sorting books, vinyl records, jewelry, and clothing. We have our own lamp department that fixes broken items and a separate department that tests
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Just for the health of it Shop. Donate. Care. Support the community you want to create. Every purchase funds comprehensive care at DAP Health.
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The mix of product tends to be reflective of the communities closest to that store. Every store has a different and unique mix of product.
every electronic item we put on the floor — fixing what they can.” Shoppers want to find something unique and get it at the right price. “It’s the thrill of the hunt,” Henke continues. “As they scour Revivals’ shelves and clothing racks, people
slowly make their way down Highway 111, stopping at each of the four stores. “They might be looking for the fourth, missing glass to complete a collection. They may have found something that evokes a memory. Or maybe they see the perfect reading lamp for the living room. The hunt is different for each person. “The mix of product tends to be reflective of the communities closest to that store. So every store has a different and unique mix of product and assortment. We like to say that our donors support the community they want to create.”
F I N D Y O U R S E L F AT R E V I V A L S
Revivals’ new location – in Indio Plaza at the intersection of Monroe and Highway 111 – increases the retail chain’s reach to four stores. The 18,000-square-foot store brings Revivals’ unique mix of products to east valley consumers for the first time. And desert residents and visitors get another location to find that soon-to-be heirloom or rare piece of merchandise they didn’t know they wanted. 13
Hosted by Scott Nevins, TV personality and Out100 honoree, this year’s program aired on NBC Palm Springs as a celebration of the Hope Begins with Health campaign — a $2 million fundraising initiative to propel DAP Health’s frontline work. Nevins, who recently became a DAP Health board member, started the show by chatting with CEO David Brinkman in front of a mural in the new Les Dames du Soleil Lounge. The lounge was recently created as part of a promise to never forget DAP Health’s history. (See story on page 32.) “Tireless humanitarians in high heels represent the story of DAP Health,” Mr. Brinkman says. “It’s grassroots, it’s the LGBTQ+ community and our 14
begins with health
Health equity won at the 27th Annual Steve Chase Humanitarian Awards on May 9. The beloved event was a testament to the healing power of hope, as well as to all DAP Health frontline workers and their tireless commitment to HIV care, COVID relief, and access to ongoing medical and mental health care.
allies combating stigma and discrimination, fighting for health equity with love and fearlessness.”
Brinkman was candid about why the non-profit’s approach to health equity is so essential today, and he included a challenge for everyone listening. “It’s COVID. It’s racism. It’s poverty. Our country needs all partners of all human rights movements to come together, including the LGBTQ+ community, to step up, leverage all our knowledge and assets, and to create health equity — period. It’s our evolution.”
I felt like yet, once again, history was repeating itself and DAP Health was there for the community.
Providing health care based on patient needs rather than their ability to pay is necessary for health equity, and DAP Health’s new logo conveys its commitment to helping more people. “Our new logo conveys modernity, strength, freshness, and an innovative approach to health care — that it should be there for everyone,” Brinkman concluded. This year’s Steve Chase event was a celebration of survival and perseverance. An entire community worked through its fear to ensure medical services remained continuous for patients. “The response of our donors, volunteers, and staff has been to band together,” says Brinkman. “It has been challenging, but beautiful.”
Our country needs all partners of all human rights movements to come together, including the LGBTQ+ community, to step up, leverage all our knowledge and assets, and to create health equity — period. It’s our evolution.
Clockwise, Scott Nevins, TV personality and Out100 honoree, hosted the 27th Annual Steve Chase Humanitarian Awards. DAP Health Board Member Lauri Kibby. Keisha Howardson, known on stage as Keisha D., at The Purple Room in Palm Springs.
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This year’s Chase amplified the Hope Begins with Health campaign, aimed at addressing four areas of need greatly affecting people over the last year, and expected to get worse. DAP Health will: • Increase our reach with HIV prevention, care and advocacy. • Double the amount of mental health care services with more clinicians and a new Behavioral Health Clinic. • Increase new medical health care patients, and offer them services to help with joblessness, food insecurity, and homelessness. • Continue its COVID Clinic and hotline to ensure everyone can access prevention, information, and treatment.
The response of our donors, volunteers, and staff has been to band together,” says Brinkman. “It has been challenging, but beautiful.
Board Chair Patrick Jordan helped everyone remember that funding care is still critical, even if things are different this year. He thanked everyone who donated. “Tonight’s show might be a little different from years past, but the spirit of giving continues to honor the legacy of our event’s namesake, Steve
Chase,” he says. “To everyone who’s donated so far, thank you.” Jordan acknowledged his event co-chairs Lauri Kibby and Kevin Bass.
WATCH SCHA
The spirit of giving continues to honor the legacy of our event’s namesake, Steve Chase.
“The rebranding of DAP Health takes us out of one lane and puts us in multiple lanes and allows us to broaden our reach across the community,” Board Member Lauri Kibby says. “And Hope Begins with Health is a message for the entire Coachella Valley.” Kibby went on to cover an important topic many people don’t talk about — women living with HIV in our valley. “There’s a whole community of women throughout the entire Coachella Valley who are in need of the same services that the men are,” Kibby says. “They need health care, dental care, and mental health support services, and DAP Health provides all of that.”
of her fellow cast members to AIDS as she became the first Deena Jones in Dreamgirls on Broadway, galvanized her to become an activist for ending HIV. She delivered an inspiring combination of “When I First
Women Brought Activism Through Art and Heart
Saw You” and “Listen.” Shoshana Bean captivated the audience with renditions of “With a Little Help From My Friends” and “This Is Me.”
This year’s entertainers tugged at our heartstrings with moving vocal renditions of the classics and powerful sentiments. Sheryl Lee Ralph shared about losing a third
I’m really thrilled and happy to be able to find that fighter inside of me, through the nurses and through the doctors at DAP Health.
Keisha Howardson is known on stage as Keisha D, one of Palm
2020: A Year of Impact More than
3,500
Coronavirus tests completed
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More than
10,000
therapy sessions to help those with depression, anxiety, or other mental health issues
More than
8,000 HIV tests
giving lifesaving, expert guidance to individuals who received a positive diagnosis
More than
3,000
Hepatitis C tests completed
More than
3,500
substance abuse interventions
DAP Health donor Al Jones talks about his support to double the capacity of mental health services.
Springs’ most popular cabaret singers. Besides her family, singing is everything to her. When COVID hit, she became so sick that she had been given a year to live. That was before she became a patient of Dr. Morris, DAP Health’s Chief Medical Officer. From there, the journey of care began. “Dr. Morris said, ‘Trust me, you’re going to be back on stage. I’m going to watch you on stage.’” says Howardson. Keisha D is singing again these days. “I’m really thrilled and happy to be able to find that fighter inside of me, through the nurses and through the doctors at DAP Health,” she says. New Behavioral Health Clinic Serving Double in 2021 Al Jones is a longtime donor and who is supporting our efforts to double the capacity of mental health services at DAP Health with a new
clinic. For him, this is personal. Al’s partner and husband of 26 years, Mark Byrd, passed away after keeping his depression a secret. Help was all around them, but Mr. Byrd’s depression led him to cease his HIV treatment without telling anyone. “Had we known, we would have been able to get him the assistance that he needed,” says Jones. “DAP had the assistance, but we didn’t know.” Debilitating depression in some long–term HIV survivors leads them to stop taking their medication, and the results are often fatal. In the Mark Byrd Behavioral Health Clinic, people will be given the competent care they deserve, thanks to Jones. He also was eager to share his excitement about DAP Health’s Director of Behavioral Health, Dr. Jill Gover. “There’s somebody at DAP Health that you need to be aware of, and that’s Dr. Gover. She’s absolutely
amazing. She’s very sensitive, but moreover, she’s very intuitive,” Jones says. “And that intuitive nature is what’s so important in a therapist. To be able to match a client with the appropriate therapist is really an art that you can’t replicate.” Dr. Gover was brimming with gratitude as she thanked Jones, Partners for Life, and everyone who contributes to DAP Health. “It’s all of these contributions that make it possible for us to do our work here at DAP Health,” she says. “And for that, I’m just enormously grateful.” Al Jones has chosen to name the new mental health clinic in memory of Marc with a generous planned gift in his estate, combined with annual contributions and fundraising efforts.
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I think everyone should get tested because it’s the best way of stopping the spread of HIV,” Wayne says. “It’s also really important to know if you have any health issues because managing them early on will make things much easier.
Photo credit: Greg Gorman
DESIGNING BETTER HEALTH
A CONVERSATION WITH ILLUSTRATOR TREVOR WAYNE
THE TREVOR WAYNE POP ART STORE AND GALLERY SUPPORTS FREE SELF HIV TESTING Artist Trevor Wayne wants more people to get tested for HIV, and he is using his popular storefront to make an impact. The Palm Springs artist has created four pieces of art to promote DAP Health’s free self HIV tests. The test kits can be mailed, or picked up in person at the health center. The tests are a convenient, confidential way for people to determine their HIV status. People interested in a test kit have three options: visiting DAPHealth.org, calling 760.567.2431, or scanning the QR code on advertisements. “I think everyone should get tested because it’s the best way of stopping the spread of HIV,” Wayne says. “It’s also really important to know if you have any health issues because managing them early on will make things much easier.”
Wayne’s artwork, which features doll heads and smiles, carries a simple message: “Free HIV test mailed to you!” DAP Health is using Wayne’s art to promote the test kits on bus shelters and through dating services, online ad networks, social media, and email. “What we want to do is bring more awareness to (the tests) because as of now, 49% of the Coachella Valley has not been tested,” Wayne says.
DAP Health started its free self HIV test program in August 2020. Since then, it has sent out more than 100 kits a month, according to C.J. Tobe, DAP Health’s Director of Community Health. DAP Health follows up with everyone who requests a kit and provides counseling. They also connect people with resources, if needed. Having an artist like Wayne portray self-testing will help combat the stigma around HIV, Tobe says. “It’s really going to be able to get the message out there about knowing your status.” Wayne’s artwork features pop culture themes and items, from horror movies to entertainment icons. “I pretty much just do what I find funny or amusing in the minute and pretty much hope that people get it,” he says.
Wayne, whose art is sold in more than 120 stores, moved from Los Angeles to Palm Springs in 2017. In February 2020 he opened Pop Art! along Palm Canyon Drive. He says it’s an honor to be asked to create artwork for DAP Health. “It makes me feel like I’m a part of the community. It’s kind of nice that they trust my art to talk about such a subject in a way that makes it more approachable.”
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active Take an
role in your health
Dr. Christopher Foltz bikes along the North Lykken Trail in Palm Springs.
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It’s time to Start Moving DAP Health is encouraging people to get off their sofas, change out of their caftans, and take an active role in their health. Many Coachella Valley residents stayed home last year and became less active due to the COVID-19 pandemic. That concerns doctors and clinicians because being sedentary increases the risk of heart disease, obesity, high blood pressure, depression, and anxiety. Every day, these professionals actively partner with their patients to help them achieve their full potential. And that means getting regular exercise. Since DAP Health’s doctors and clinicians also strive to be role models, desert residents may bump into them exercising on the North Lykken Trail, at the Palm Springs Swim Center, or in Ruth Hardy Park. “We invite everyone in the Coachella Valley to partner with us and take an active role in their health because a healthier community is better for everyone,” says Dustin Gruber, DAP Health Senior Marketing Manager. Dr. Christopher Foltz, an internist and infectious disease specialist, says exercise is vital for people who want to be healthy. He tries to work out at least 30 to 60 minutes every day. Foltz used to practice CrossFit, a fitness program that combines aerobic exercise and strength training, but he had to stop when the state ordered gyms to close to help control the spread of COVID-19. Like other Californians, he found other ways to stay active. His workouts now include CrossFit exercises he does on his own, rowing machines, biking, and walking. 21
GET HEALTH CARE
Dr. Christopher Foltz, Dr. Tulika Singh, and Anthony Velasco, NP hike the North Lykken Trail.
“Physical fitness has numerous benefits for preventing diseases,” Foltz says.
well-being, says Dr. Ryan Halquist, a licensed clinical psychologist at DAP Health.
An Active Lifestyle Also Helps People Age Well
When Halquist lived in the Bay Area, he joined the San Francisco Tsunami swim team. When he was in the water, he felt a sense of calm. And the team provided him with a feeling of belonging and family.
As people get older, their bodies won’t remain healthy unless they maintain them, says Dr. Tulika Singh, Director of Research and Associate Chief Medical Officer at DAP Health. One way Singh stays healthy is by running.“I just love running,” she says. “It makes me not only feel physically fit, but also, it’s a meditation for me.” Exercise also is essential for a person’s mental and emotional 22
Halquist now swims as often as he can. “To me, it hits all of the parts of us that need tending to: physical, mental, emotional, and spiritual,” he says. His colleague Anthony Velasco, Senior Nurse Practitioner Specialist, who heads the Transgender Care Program at DAP Health, used to visit
Those who are not physically active but want to be should start with small steps, according to DAP Health clinicians.
Colorado to hike its mountain peaks, and he also enjoys the Coachella Valley’s trails. Before the pandemic, Velasco hiked a lot and practiced hot yoga, which is done in a hot and humid environment. But like many people, Velasco became less active once shutdowns started.
“I think one of the important things that we have to do is to give ourselves some grace and allow us to say, ‘you know, it’s okay that we’re not as active as we used to be, but today’s the day to start being active,’” Velasco says. That’s what he’s doing. Velasco started to walk a few blocks at a time to build up his activity tolerance. He says incremental steps are important. Like Velasco, those who are not physically active should start with small steps, according to DAP Health clinicians.
Dr. Ryan Halquist swims laps at the Palm Springs Swim Center.
I think one of the important things that we have to do is to give ourselves some grace.
Someone who is a couch potato, for example, might start exercising by walking 30 minutes a day, Singh says. When that becomes easy, they can start brisk walking, then light jogging, and then running. Whatever activity a person decides to do, they need to set attainable goals, Halquist says. And people should find activities they can look forward to doing. Consistency is important, says Singh. People need to do something every day, even if it’s for 10 minutes a day. If they make it a habit, it’ll become part of their lifestyle. “Even though it might take some effort to change your lifestyle, especially if you’ve been sedentary for a long time, it is so worth the effort because the quality of your life will improve dramatically,” says Dr. Jill Gover, Director of Behavioral Health.
Dr. Tulika Singh takes the adventurous route up the North Lykken Trail in Palm Springs.
Dr. G says she loves to move. She started dancing when she was young and continues today. West Coast Swing dancing is a favorite way for her to stay active. She also does country western two-step, ballroom, and jazz dance. Another activity she loves is yoga. Not only has it kept her physically in shape, but it helped her deal with the stress of the past year. “All of those things keep me active, and they’re incredibly important
There are many ways people can build movement into their daily routine.
to aging well,” Dr. G says. There are many ways people can build movement into their daily routines, she says. For example, people can walk instead of drive. If they do drive, they can park at the end of the lot and walk to the store. “Those are little tiny ways that we build movement into our day,” Dr. G says. “And that’s what keeps us healthy.” A person doesn’t need to invest a lot of time to reap the benefits of exercise, which is good news for those with busy lives. Even if it’s 10 to 15 minutes, people can carve out some time in their day to exercise, Halquist says. And Everyone Can Afford an Active Lifestyle
There are free and inexpensive resources — free memberships, sponsorships, and social groups that meet for free — available to help people get moving, Halquist says. People can practice yoga, do stretching or aerobic workouts at home, Dr. G says. Other inexpensive ideas include DVD-based workouts and going online.
There are free and inexpensive resources — free memberships, sponsorships, and social groups that meet for free — available to help people get moving.
People can stream Zumba classes online; find workouts on websites like YouTube; download exercise apps to their phones, tablets or TVs; or do a seven-minute high-intensity workout on their phones. “We’re lucky that we live in a digital world and there’s pros and cons to it,” says Singh. “One pro is that there are many programs that are available for free online.” And the Outdoors Always Beckon Those Who Want to Exercise “There are a lot of great hiking places in the Coachella Valley too, and we should take advantage of it,” Velasco says. Halquist says people may need to research and get creative to find options and solutions that work for them. Patients and clients also should talk with their medical clinicians, therapists, medical case managers, or other DAP support staff, he recommends. They may have information or resources of which patients are unaware. Options Exist For Everyone Anthony Velasco, NP, rests to enjoy the scenery after a day of hiking the North Lykken Trail in Palm Springs.
The doctors and clinicians at DAP Health actively partner with patients
to help them achieve their full potential, says Gruber. They welcome all adults, regardless of race, age, sexual orientation, gender identity, or socio-economic status. “As an oppressed and marginalized community, we know what it’s like to be stigmatized and to feel the discrimination around health care,” says Dr. G. “We are really poised to use all of the skills that we developed over the decades to create a space that is truly welcoming and safe for everyone.” Singh says those with disabilities need to talk with their primary care physician or clinician and ask for recommendations. “They can work with your body and your disability and give you good recommendations with you in mind,” she says. People in wheelchairs can do upperbody exercises and those with joint problems can do aqua therapy, Singh says. There are passive exercises people can do while seated, and anyone can do yoga. Someone at risk of falling, for example, can do chair exercises that promote upper body strength and cognitive function, says Velasco. Doctors can help patients deal with any challenges they think they may have, Foltz says. “We do this stuff a lot, and we can definitely gear physical exercise towards pretty much any condition of a person,” he says. Exercise, though, is Only Part of a Healthy Life
Dr. Jill Gover practices yoga at the Ruth Hardy Park labyrinth in Palm Springs.
us settle down, provides balance, and grounds us.
Health also is about making sure a person feels safe at home, has a roof over their head, food on the table, and reliable transportation.
Wellness involves a balance between down time, meditation time, and activity, says Dr. G. Research on groups of healthy, active centenarians around the world who were living independently found they had certain things in common. They ate primarily plant-based diets, moved their bodies daily, had a sense of purpose, and did things that stimulated their minds and kept them socially engaged.
exercise, a healthy diet, sleep, water to stay hydrated, and skin protection from the sun. And she says people need to quit alcohol and smoking.
Singh advises people to know the basics of health, which includes daily
Meditation is important to our mental health, Dr. G says. It helps
Health also is about making sure a person feels safe at home, has a roof over their head, food on the table, and reliable transportation, says Velasco. “What’s great about DAP Health is that we not only provide physical health and mental health,” says Velasco. “It’s also about making sure that we connect you to other DAP Health services and resources and partner with you in addressing those social needs.” 25
Unique Finds. Exclusively Online.
Home Means More Now This sunny yellow, vintage tureen is not only a beautiful serving dish, it would be an eye-catcher sitting out on top of your stove when not in use.
Green is back in and these classic, armless, tufted barstools are great as they are. Even if you recovered them with new fabric you would be saving money! These stools are a quality find at a great price.
revivalsstores.com
We found so many wonderful pieces of art in all mixed styles, mixed mediums, and assorted frame styles. My inclination is to have fun with this art, to gather a variety, and mix them together by creating a tight and clustered display, maybe on a hallway or den wall. Keep it casual and fun!
I love this vintage, layered glass art. There are three layers fixed together on this piece. Adding a lit votive in the center, this inspired glass art could be placed in the center of your dining table for a casual dinner.
Navy and white are always a classic, and this Asianinspired bowl would be perfectly placed anywhere, either with some fresh yellow lemons or some small green moss balls layered inside the bowl.
Foot stools, benches, and ottomans are always easily placed. Sometimes I like to have a piece like this one poking out from under a layered entry table. The bold faux-zebra pattern will draw attention wherever this piece gets placed.
Design Details
Award-winning interior designer Beau Stinnette of Foley & Stinnette Interior Design shares his design tips on how to mix resale and vintage into your home decor.
Minutes with Dr. Tulika Singh Dr. Tulika Singh is the Director of Research and Associate Chief Medical Officer at DAP Health. She is a boardcertified HIV specialist, infectious disease, and internal medicine physician who has been working in HIV care since 2009. Singh was born in India, where she went to medical school. She moved to the United States to enhance her education and completed her residency in Ohio. Her sister moved to Canada, but her mother still lives in India. Before joining DAP Health, Singh completed an infectious disease fellowship in Wisconsin. She then worked at a couple of Michigan Dr. Singh practices balance on a paddle board.
hospitals as a primary care, infectious disease specialist, and an HIV specialist. Since moving to California, Singh has settled into the Palm Springs lifestyle and has made the desert her home. People may be surprised to learn that Singh found her home on HGTV’s “House Hunters” show after moving to the Coachella Valley. Q: How did you get into HIV research? A: I love doing research, it’s my newest passion. During my infectious disease fellowship from 2009 to 2011, I was awarded a prestigious award for my research. Q: What did you want to do when you were young? A: I wanted to be a dermatologist. But I started to see people with infections get better with the
right antimicrobials, and go on to live healthy lives. That’s when my passion shifted toward infectious diseases. Q: Yoga is an integral part of your life. When did you start practicing? A: I started doing yoga in India when I was a toddler. Every morning I would do yoga with my father and sister before going to school. I continue to practice it for flexibility, peace of mind, and its overall health benefits. Q: You travel a lot. Where are your favorite places to visit? A: I love traveling. I go to Mexico a lot, almost every three to four months. I have a timeshare there too, in Cabo. I also like vacationing in Hawaii. In summer, I visit my sister in Toronto. Q: How do you maintain an active lifestyle while traveling? A: I used to travel quite a bit before COVID-19 happened. I was staying at hotels sometimes where there were no gyms or swimming pools. But I continued my lifestyle. I did yoga in my hotel room in the morning or went hiking or completed a seven-minute quick workout on my phone. I got my exercise out of the way, took a shower, and was ready to start my day.
MENTAL HEALTH IS HEALTH Dr. Jill Gover talks about mental health care in the Coachella Valley Mental health care is a significant need across the Coachella Valley.
very difficult and challenging time,” Dr. G says, referring to the pandemic.
In fact, according to a past community assessment, mental health services were identified as the greatest need for the Coachella Valley’s LGBTQ+ community, says Dr. Jill Gover, known as “Dr. G,” a licensed clinical psychologist and the Director of Behavioral Health at DAP Health.
For too many, COVID-19 painfully exposed how important it is to have competent mental health care available.
“Anxiety, depression, and mood disorders are the major issues facing the LGBTQ+ and underserved communities currently. It has been a
To have true wellness, a person needs to have both good mental and physical health, Dr. G says. They are integrated. Someone can’t have one without the other. “Mental health is health,” Dr. G says. “If someone breaks their arm, they go to the doctor,” she explains. “If they’ve got something going on
emotionally, they also need to go to the doctor. It’s what you need to do to stay healthy,” Dr. G says. She strongly advises people to seek out mental health services if they need them. People should not let any stigma around mental health keep them from getting the help they need. “It’s so important for people to reach out and get the help they need when they need it,” she says. Don’t let excuses get in the way of competent mental health care. Clinicians and patients have many options available to help them 29
Get connected to mental health care by calling 760.323.2118. In life-threatening situations, please call 911 or the National Suicide Prevention Lifeline at 800.273.8255.
overcome barriers and make treatment more accessible, Dr. G says. For example, people without reliable transportation can use telehealth for virtual visits. “Wherever patients are, whatever they need, we’re here to provide care and to help them,” Dr. G says.
and licensed clinical social workers who provide compassionate, affirmative LGBTQ+ affirmative care. Dr. G also is excited to announce the opening of the new Marc Byrd Behavioral Health Clinic scheduled for September 2021. The new clinic will allow for additional staffing and expanded psychotherapy services. In addition, a partnership with University of California, Riverside brought psychiatric services back to DAP Health.
Dr. G likes to say that therapy is a gift people give themselves to promote their own well-being during times of stress. She describes it as a journey patients take with their therapist. Mental health
is health, no stigma, no shame. “Patients may start It just takes someone seeing therapy with a lot of negative core you truly where you are in your beliefs that say, own journey to light the way ‘I’m not good out of the darkness. enough.’ Through Come find that someone the therapeutic at DAP Health. process, they develop a new way of looking at themselves and the world.”
“It is such a rewarding thing to witness,” Dr. G says. “And therapy is truly transformational for many people.” DAP Health has a wonderful staff of well-trained clinical psychologists 30
Sometimes it’s difficult for people to reach out for help, especially when they are in a deep depression, highly anxious, or struggling with multiple life issues. Some people may not think they are worthy of help or know where to turn to get it.
“It’s really important to recognize that DAP Health is just one phone call away,” Dr. G says. “Pick up that phone and make that first call. And once you get to the services and start on this wonderful journey that I call therapy, great things will happen.”
5
Meditation
TIPS
If you want to clear your mind, get rid of stress, and find a little inner peace, consider meditation. It can be done anytime, anywhere and is a great way to start or finish the day. That’s because mindfulness helps bring balance to our hectic lives. “A healthy life includes meditation time,” says Dr. Jill Gover “Dr. G,” a licensed clinical psychologist who leads DAP Health’s Behavioral Health department. Down time and rest are as important as physical activity. They keep our lives in balance.
Calm your mind and body with these tips from Dr. Jill Gover
“Meditation is a way of calming the mind, and in our very fast-paced, stressful world, it’s important for us to have moments where we calmly settle down and ground ourselves, and meditation is a marvelous way to do that,” she says. Mindfulness also is good for our physical health. Research suggests meditation can help reduce blood pressure, improve irritable bowel syndrome, and reduce anxiety, depression, and insomnia, according to the National Center for Complementary and Integrative Health.
1
Start by meditating for short periods of time. Long meditations, like an hours-long meditation, would be way too difficult for a beginner.
2
Find a comfortable place to sit when you meditate. It should be quiet and free of distractions.
4 3
Be compassionate and non-judgmental with yourself. Don’t worry about the selftalk in your head. It’s noise. Empty your mind. Imagine your thoughts are like clouds and watch them drift away. Then return your mind to what you were focused on, like your breath.
Don’t worry about sitting still. If you sit in one position for too long, it’ll make you uncomfortable and start to hurt. It’s okay to move around.
5
Start with something simple, like your breath or a simple mantra. Sometimes it’s helpful to play tranquil music or use a recorded guided meditation.
31
s e s e L Da m
HONORING OUR LGBTQ+ HISTORY
du Soleil DAP Health continues to honor its history rooted in health equity, inclusivity, and community collaboration by unveiling a new lobby in its Barbara Keller Love Building, the first of two exhibitions planned this year. Clients and visitors at DAP Health’s Wellness Wing will experience a space that has been transformed to pay homage to the fine art of drag, comedy, and humanitarianism.
To carry on this tradition, DAP Health partnered with Foley & Stinnette Interior Design, well-known across North America for transforming residential and commercial spaces. “Les Dames du Soleil are beautiful and vibrant inside and out, and we wanted the new waiting area to be a reflection of their empowering energy,” says Stinnette. “Bold IS beautiful when curated the right way.”
Now, warm colors, vintage cabaret posters, and a life-size photographic mural of the drag troupe Les Dames du Soleil are reminding everyone about this valley’s rich history of inclusivity and fundraising.
Clients are used to waiting in the area for acupuncture, reiki, massage, and group meetings. It is also where the computer lab is located, used by many for resume building and job searches.
“Steve Chase designed DAP’s first patient reception area, noting the connection between physical surroundings and wellness,” explains David Brinkman, CEO. “Since then, we have continued to create welcoming and vibrant spaces for the community members we serve.”
“I am really pleased with how they changed up the color and decorative scheme of the space,” says John, a DAP Health client. “It’s just brighter, more vibrant, and a real change from the usual medical atmosphere, and I really appreciate it.” For 30 years Les Dames du Soleil helped fund health access in the Coachella Valley, and their brand
of humor and cabaret escapism improved the health of the entire community in an era when gay life was centered in bars, nightclubs, and galas. Douglas Woodmansee and Marshall Pearcy, life partners since 1976, started Les Dames du Soleil using their gift of bringing people out of their shells through laughter. With a revolving cast throughout the years, the troupe helped bring in muchneeded funding to DAP, giving people with HIV (PWH) a chance to access health care, sometimes for the first time. “We were the drag queens for people who don’t like drag queens,” says Douglas. “We won them over with lots of comedy, artful costuming, and always affordable ways to pitch in and help people with HIV.” Whether in a bar for change, or in a convention center with celebrities, Les Dames du Soleil spent decades engaging and delighting a loyal fanbase.
33
Dottie and Maude at Queen of the Desert fundraiser.
to make a difference, whether it happened in a bar or at a gala, and even if you had a day job in medicine. To raise money, “We had big parties,” says Kathy McCauley, founding DAP RN. “And no matter who was coming, I always told them, ‘bring your wallet.’” No matter the venue, audience participation was a regular part of the shows, and as the years went on, people who wouldn’t traditionally consider LGBTQ+ entertainment had become devoted supporters of Les Dames du Soleil.
as n Money w ever the re al reason; “Les Dames du Soleil had a valuable purpose,” says Douglas. “People wanted something to believe in; to enjoy — to laugh at and to cry over.” During the early AIDS crisis, finding that kind of community support was much harder for LGBTQ people. “Our shows struck at the heart of the community, which we realized was an extremely generous and caring one,” he says. “We kept delivering to our fans and our fans loved us for it.” DAP Health has been increasing health equity for the LGBTQ+ people in the Coachella Valley for almost 40 years. This includes meeting health and inclusion needs for people in other categories who face disparities in accessing care, especially due to race, class, and economic circumstance. Building LGBTQ+ health equity has always included restoring the sense of belonging that many people lose because they are different. Due to open as well as cloaked hostilities, it still challenges many people to live authentically without facing isolation. Health experts warn that this is a serious health risk, and that community connection is a valuable antidote. 34
Before There Was Crowdfunding, There Were Les Dames du Soleil Since 1994, they have raised $2 million so that people in the Coachella Valley with HIV can access the care and advocacy everyone deserves. “Les Dames du Soleil gave the audience an avenue to donate money,” says Douglas. “And we gave them a quite a show in return for donating money to DAP.” That support was essential, given the lack of funding for health care, especially for people living with HIV (PWH). “We struggled along on nickels and dimes constantly,” says Ron Christenson, DAP’s founding Treasurer. “Half the time we didn’t have the money to pay the rent — it was really hard.” In a time before accessible health care and LGBTQ+ protections, DAP founders kept carrying on because the suffering that PWH were experiencing in their valley was nothing short of a humanitarian crisis. “The poverty was unimaginable,” says Ron. “People who were dying did not have food, and many could not work, because people were afraid of them.” Fundraising was something that came with the territory if you wanted
“We gave them a cabaret for twoto-three hours,” Marshall says. “The idea was to come in, leave all your troubles behind, have a drink, have fun, and laugh and sing along.” Affordable Giving Can Move Mountains “Les Dames du Soleil was founded on the premise that we wanted to include everyone,” says Marshall. “And by charging low admission rates, we made it so everyone could feel part of the community.”
Les Dames du Soleil had a valuable purpose. People wanted something to believe in; to enjoy — to laugh at and to cry over.
Money was never the real reason; it was about community. People with HIV needed services and medication, and there were people of all income levels locally who wanted to support them. “Everyone was able to participate and give somehow,” says Marshall. “You could take $25 and go to the bar by yourself, have a couple of drinks, and throw the change into the tip jar.” When Les Dames first started, they charged $3 at the door at the bars. Eventually when they started playing the ballrooms, prices went up to $20 and $25. “I wouldn’t let them go any
higher because I said, the idea of Les Dames du Soleil was founded on the premise that we wanted to include everyone. And we wanted everyone in the community to feel part of the community.” “It might not have seemed like a lot of money, but every bit helped,” says Ron Christenson. As fundraising events and venues went bigger in the 2000s, Les Dames du Soleil were in their element as they remained sought after in Palm Springs philanthropy, supporting many Coachella Valley non-profits, including The Center, AAP Food Samaritans, Jewish Family Service of the Desert, and Mizell Center. However, they never stopped entertaining and making appearances at events where folks on a regular salary could show their pride with smaller sum donations. Fans Supported the Cause Tirelessly “What still gets me is the memory of a man who was terminally ill with AIDS, sitting in the audience and holding up a check for us,” says Douglas. “It was to honor the love of his life who had lost the fight himself.” It meant the world to Douglas, because even in this man’s grief and with failing health, he wanted to come to the show, where he knew he was with friends, and he knew he belonged. Everyone was welcome,” says Marshall. Giving Back Worked Both Ways Earlier in the AIDS crisis, Douglas felt an urgent need to make a difference by speaking at support groups for families who had lost loved ones. Despite their grief many families still carried so much homophobia. Expressing it in therapy was part of their journey, but he knew he could not handle the toxicity. Then he saw the magic that was possible with a show, friends, and fundraising — no matter what the venue. “Now this, I can do!” Marshall found a way to feel connected, and it was through using drag and cabaret for the well-being
of people who needed health care and advocacy. Talented Design Team Infused Heart Volunteering his time and expertise for this project came naturally for Beau Stinnette, who together with Dann Foley make up Foley
What still gets me is the memory of a man who was terminally ill with AIDS, sitting in the audience and holding up a check for us. It was to honor the love of his life who had lost the fight himself.
& Stinnette Interior Design. “This project was truly an honor for me in many ways. I have lived in Palm Springs since 1999 and I was a DAP client from 2000 to 2002.” Maude and Dottie, played by Douglas and Marshall, were part of Beau’s memories from his early Palm Springs days, and as the years went by he came to know the incredible impact they were making, and how they shined their bright light on the DAP community. “I needed to be true to the festiveness that’s already happening with these ladies,” says Beau. To do this, Foley & Stinnette used color palettes of red, blue and purple.
“I knew I had to be careful and consider everything as a whole,” he says. “The memorabilia, the mural, the flooring, and the odd shape of the corridor were all part of the new plan.” Foley & Stinnette selected the paint colors, the new Revivals chairs and tables, and the new diamondshaped wall sconces. The mural is a big part of the plan, and it spans almost 15 feet and is hugely colorful, he says. “As people begin to see and use the new space, all eyes will be up, not on the floor.” As if with a cosmic wink, the spirit of HIV awareness and prevention made its way into every detail, even in the name of the paint that was used. Sherwin Williams “Positively Red” was chosen, but Beau had selected the paint color before he knew the actual name. “When I saw ‘SW6871 Positively Red,’ I was elated, and I knew it was all meant to be.” About Foley and Stinnette Interior designers Dann Foley and Beau Stinnette have built a reputation for great style, taste, and quality through their namesake firm Foley & Stinnette Interior Design. For more than 25 years, they have honed their interior design craft with clients in the U.S. and Canada.
it was a b o ut community
It also meant keeping the existing floor, already with a distinctive design and many more years of usefulness left. “We also needed to be bolder than the floor,” says Beau. The floor in the designated corridor is very specific with colors of dark tan and navy blue that run in a swirled pattern. 35
SEXUAL HEALTH
FREE FROM JUDGMENT
DAP Health offers FREE STI testing and treatment, FREE Pre-Exposure Prophylaxis (PrEP), FREE Post-Exposure Prophylaxis (PEP), and FREE HIV and Hep C testing. Walk-in and same day appointments available. Appointments strongly encouraged. 760.992.0492 | DAPHealth.org
A homeless man showed up at DAP Health’s mobile clinic to get clothes and other services. The gentleman came for winter clothes, STI and HIV testing, and hygiene kits. C.J. Tobe, Director of Community Health for DAP Health, watched as he created a jumble with the winter clothes donated by Revivals stores, DAP Health’s retail partner. Tobe then asked if he could help.
“I am so sorry to bother you if I am making a mess and taking a long time,” he said. “My eyes are bad, and I can’t see the size.”
homeless man said. “I am a large and size 36.” “We are in this together,” Tobe said as he searched for the man’s sizes.
“You can take as much time as you need, and I’ll gladly help you find your size if you can tell it to me,” Tobe said. “I have a hearing disability and can’t hear well, so please speak up if you wish.”
This story is about one of the many encounters Tobe has had with DAP Health’s mobile team. “Any time I am able to break away from meetings and join our mobile team in the community, I am reminded how much our services are needed, how much they are appreciated, and how one conversation can change a life.”
“I can’t see, and you can’t hear, looks like we will make a good team,” the
DAP HEALTH’S MOBILE CLINIC SUCCEEDS EVERY TIME IT IS IN THE COMMUNITY We talked with C.J. Tobe about the mobile clinic and its future. Q: How long have you been working with the mobile clinic? A: I have been working with the mobile clinic for almost three years. However, the mobile clinic has been with DAP Health since the onset of the Get Tested Coachella Valley Campaign that launched in 2014. Q: Where do you take the mobile clinic? A: To homeless encampments throughout the Coachella Valley; organizations that support our homeless neighbors, like Well in the Desert, Martha’s Village, the Coachella Valley Rescue Mission, The James O Jessie Unity Center, treatment facilities and recovery centers, health fairs, food distribution sites, and more. Q: Who do you meet when you go out with the mobile clinic? A: We see everyone through the mobile clinic because DAP Health
accepts all people. Period. Typically, the people we see are unable to come to us because one of the many social determinants of health prevents them from seeking services. Q: What is one of the biggest misconceptions about the mobile clinic? A: That it only provides HIV testing. The mobile clinic now offers many more services. Q: What do you hope to achieve with the mobile clinics? A: I hope the mobile clinic is one of many significant ways of addressing health inequities that have been going on for centuries. I hope the mobile clinics represent our commitment to the community members who cannot seek medical services on their own. I hope our compassionate mobile staff reestablish trust in communities that may have been mistreated, stigmatized, or not been heard from for far too long. Q: How would you like to see the mobile clinic evolve? A: I’d like to see the mobile clinic evolve into a robust, stigma-free, compassionate sexual wellness clinic providing testing, treatment, community resources, insurance
enrollment, and linkage to ongoing health care services at the place of the client’s choosing. I want to see the mobile clinic save more lives than it already has by coming to where people are located. I want the community to know that we know they are struggling even though we may not fully understand, and ask them to talk to us, to let us support them on their journey. Q: How did the pandemic impact the work of community health? A: The biggest regret I have is not being able to provide mobile services on a larger scale to the community quicker than we have. The COVID-19 pandemic showed how vital mobile services are and how quickly they may be needed. My impatience may be a flaw, but it drives me to continue improving access to vital services for the community. Q: How do you measure success? A: To me, outside of achieving grant deliverables and internal programmatic goals, the success of the mobile clinic occurs every time it is out in the community because people are receiving food, drinks, and hygiene kits; getting tested; learning their status; getting treated; and connecting to community resources they wouldn’t have before. 37
ACTIVE
RESEARCH STUDIES AT DAP HEALTH Improving health outcomes for people living with HIV worldwide
DAP Health is gaining recognition from the clinical research trials underway at the health center. The results from a clinical research trial that DAP Health conducted were published online in early June by the medical journal ‘AIDS.’ Additionally, the results will be published in the printed journal. Dr. Tulika Singh, Director of Research and Associate Chief Medical Officer at DAP Health, co-authored the published manuscript that reports the study’s findings. “The ViiV Healthcare STAT Study researched if the antiretroviral drug Dovato could be used in a rapid start setting,” says Greg Jackson, the Clinical Research Manager at DAP Health. Study participants began the medication within 14 days of their HIV diagnosis.
We’ve now become a preferred site for ViiV Healthcare’s research because of our successes.
ViiV Healthcare is a London-based pharmaceutical company. Its U.S. headquarters is located in North Carolina’s Research Triangle Park. “We’ve now become a preferred site for ViiV Healthcare’s research because of our successes,” Jackson says. 38
The FDA will look at the data from the STAT study and decide if doctors can prescribe Dovato to people within days of an HIV diagnosis.
DAP Health is studying whether patients can switch their current antiretroviral therapy drug for another, if a long-lasting injectable treatment for HIV can supplant a daily pill.
whether patients can switch their current antiretroviral therapy drug for another, if a long-lasting injectable treatment for HIV can supplant a daily pill, and if screening and treatment of precancerous cells can prevent anal cancer. The most recent study launched by DAP Health was the Biktarvy SWITCH Study, which began in May 2021. Singh and Jackson co-authored the study.
DAP Health recruited 14 adults for the STAT study, Jackson says. That was the third-highest number of participants recruited among the organizations conducting the study. In total, the study had 131 participants. “It has been an exciting honor to be part of the STAT study and being able to contribute to the science and the success of the rapid-start treatment regimen for Dovato,” Singh says. The STAT study, which concluded in 2020, will be presented at the 11th IAS Conference on HIV Science. It was one of several studies underway at DAP Health. Currently, there are three active clinical research trials at the health center. DAP Health is studying Dr. Tulika Singh and Greg Jackson
Participants in the study, which is open to HIV-positive patients aged 65 or older, will be switched from their current antiretroviral therapy to Biktarvy, which combines three HIV medicines into one pill. “With the advent of successful treatment regimens, more than 25% of people with HIV will be over the age of 65 by the year 2030,” Singh says. “We are studying HIV regimens, such as Biktarvy, to determine the benefits to quality of life in patients 65 and older.” Gilead Sciences Inc., a Bay Area biopharmaceutical company, is collaborating with DAP Health in the SWITCH study. DAP Health wants to enroll 50 patients in the study. So far, the health center has enrolled two people in the clinical research trial.“It is a lot of work to find these patients,” Jackson says.
DAP Health also is in the course of the GSK/ViiV SOLAR Study and the ANCHOR Study.
We are evaluating exciting regimens at DAP for safety and efficacy.
The SOLAR study, a global clinical research trial, also is being done in collaboration with ViiV Healthcare. Recruitment for the study ended in June. Patients in the SOLAR study will switch their HIV medication for a long-acting injection, according to ViiV Healthcare. The goal is to develop an HIV treatment that offers patients more convenience, a treatment that is easier to adhere to, and an increased quality of life.
“The treatment of HIV has evolved tremendously over the past three decades, to a point where patients can now get long-acting treatments rather than take a pill once a day,” Singh says. “We are evaluating exciting regimens at DAP for safety and efficacy whereby patients can get an injection once every two months to control their HIV.” The ANCHOR study, which is still accepting patients, is probing the best way to prevent anal cancer among people living with HIV. The National Cancer Institute of the National Institutes of Health is funding the collaborative study. More clinical research studies are in the planning process, says Jackson. Anyone who wants more information about any of DAP Health’s research should contact Greg Jackson at 760.992.0445 or gjackson@daphealth.org.
39
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