# data[].attributes.headline
Some barriers: financial (not one of 5 provinces that covers PrEP), finding clinicians, potential side effects/misinformation or concerns about getting on the medication

# data[].attributes.subject
Some barriers: financial (not one of 5 provinces that covers PrEP), finding clinicians, potential side effects/misinformation or concerns about getting on the medication

# data[].attributes.body
What is the definition of pre-counselling? Clarity around whose turf is that?

# data[].attributes.headline
How are clinicians connected to case workers and people who receive PrEP? What are those connections and how can we amplify them? 

# data[].attributes.subject
How are clinicians connected to case workers and people who receive PrEP? What are those connections and how can we amplify them? 

# data[].attributes.headline
Importance of linking PrEP quickly and with least barriers

# data[].attributes.subject
Importance of linking PrEP quickly and with least barriers

# data[].attributes.body
1. BRAINSTORM TASK-SHIFTING IDEAS. EACH "IDEA" GETS ONE CARD.

2. WRITE COMMENTS IN THE COMMENT SECTION OF EACH IDEA.

3. EACH "CONCERN" GETS A CARD.

4. EACH "SOLUTION" GETS A CARD.

5. ARRANGE THE CARDS TO CREATE A SUMMARY OF YOUR GROUP DISCUSSION.

6. DECIDE WHICH IDEA(S) ARE GOING TO BE PRESENTED ON FRIDAY TO THE REST OF THE GROUP.

# data[].attributes.headline
IDEA : PrEP System Navigation (Referrals, Financing)

# data[].attributes.subject
IDEA : PrEP System Navigation (Referrals, Financing)

# data[].attributes.headline
IDEA : PrEP vending machine/Safer sex/use supplies

# data[].attributes.subject
IDEA : PrEP vending machine/Safer sex/use supplies

# data[].attributes.body
Training/"certification" for people to learn how to have those conversations around risk?

More widespread campaigns about PrEP

# data[].attributes.body
Have an online, ongoing webinar so that people could continuously be trained?

# data[].attributes.body
Community workers doing follow-up with clients around PrEP

E.g., TPH asking clients if they want to be contacted by CWs

# data[].attributes.body
Work with HQ to implement these solutions/promote PrEP/perform follow-ups

# data[].attributes.body
Don't want to duplicate already existing services (Maple Leaf, the PrEP Clinic) but might want to increase connections

# data[].attributes.headline
"PADLET LOT" : SOMETHING TO BE DISCUSSED FURTHER

# data[].attributes.subject
"PADLET LOT" : SOMETHING TO BE DISCUSSED FURTHER

# data[].attributes.headline
IDEA : Freddie or other online service (through HQ)

# data[].attributes.subject
IDEA : Freddie or other online service (through HQ)

# data[].attributes.body
Online access and reduced rates
Potential partnerships with  pharmacies
Freddie provides lots of funding for PrEP to decrease price
People are aware of PrEP but have not accessed it (do not think they are at risk)

# data[].attributes.body
Kidney tests, HIV tests, there is an irreducibly medical moment. Where would CWs fit along that cascade?

# data[].attributes.body
Uptake of PrEP in Ontario is still low. Many do not perceive themselves to be at risk even if "objectively" at risk. Lots that happens before we get to doctor's door.

# data[].attributes.body
Whose turf is this? Discussion around side effects, for example. Could CWs take on that role?

# data[].attributes.body
Similar service might require some subsidization

# data[].attributes.body
How do you identify and make people realize that they might be at risk?

How do you have that conversation without making people feel bad?

# data[].attributes.body
Lots of training already happening (from GMSH for example) but there is a lot of turnover in the field and trainings not ongoing

Various levels of understanding

# data[].attributes.body
Difficulty with follow-up and readiness for PrEP

How do we link people between for example TPH and CWs, or other clinicians and CWs

# data[].attributes.headline
"IF THERE WAS AN IDEAL TASK-SHIFTING INITIATIVE RE: PrEP AND/OR SYSTEM NAVIGATION, WHAT WOULD IT BE?"

# data[].attributes.subject
"IF THERE WAS AN IDEAL TASK-SHIFTING INITIATIVE RE: PrEP AND/OR SYSTEM NAVIGATION, WHAT WOULD IT BE?"

# data[].attributes.body
What are some ideas for task-shifting mental health services? How can supervision/training support this?
Some findings from the SHIFT study have been pre-prepared below. New ideas can be generated by taking an "IDEA" card (below), writing on it, and including it with others.
Add any concerns/solutions/opportunities/challenges associated with each idea by taking a corresponding card (below) and adding it to the idea(s) as you see fit.
Keep in mind: feasibility, cost, resources, barriers, attitudes, and anything else you find important in consideration of each idea.
Once all ideas are posted, begin the process of identifying one specific idea you think is most implementable, given the above criteria, as a group.
Remember, anything goes! Feel free to be creative with how these ideas are represented, expressed, and shown below.