Year - Black Coalition for AIDS Prevention

Page created by Dawn Hansen
 
CONTINUE READING
Year - Black Coalition for AIDS Prevention
[Year]
Year - Black Coalition for AIDS Prevention
The Black Coalition for AIDS Prevention (Black CAP) has worked for 26 years to curb the HIV
epidemic in Toronto's African, Caribbean and Black (ACB) communities. The largest service
provider of its kind in Canada, we are a community of outreach experts, support specialist and
activists, dedicated to improving health outcomes for ACB people who are living with and affected
by HIV. The mission of Black CAP is to:

      Reduce the spread of HIV infection within Toronto’s ACB communities
      Enhance the quality of life of people living with, or affected by, HIV or AIDS

HIV is spreading quickly in Toronto’s ACB communities and we believe that our work is more
important than ever. Our work is guided by our motto, 'Because All Black Peoples’ Lives Are
Important', which serves as a reminder that ACB people are at especially high risk and are at even
greater risk of experiencing negative outcomes when they are not connected to care and services.

At this time, ACB people account for almost one-fourth of all new HIV infections in Ontario; in the
early nineties we made up only one-tenth of new HIV infections. Issues of HIV related stigma and
discrimination, homophobia, anti-Black racism, immigration, poverty, and barriers to social
inclusion also continue to make our work harder.

Black CAP 2014/15 Annual Report                                                                       2
Board members
Trevor Gray – Chair
Cecile Peterkin – Vice-Chair, Chair – Events Committee
Andrew Campbell – Treasurer
Alex Mason – Secretary
Wesley Watson – Co-Chair Fund Development Committee
Maureen Owino
Adedapo Fabunmi – Co-Chair Communications Committee
Alex Mason
David Lewis (resigned October 2014)
Monique Habbib
Joanne Gaskin
Janaya Khan – Co-Chair MEPA Committee
Cherese Reemaul (resigned November 2014)
Lounanjio O’Sullivan (joined January 2015)
Mandy Miles (joined January 2015)

Staff
Abigail Oduneye – Harm Reduction Coordinator
Alena Peters – Administrative Assistant (resigned December 2014)
Amanda Parke – Outreach Coordinator
Andre Hermanstyne – Harm Reduction Coordinator
Andrew Persaud – Harm Reduction Peer Educator
Anthony Nnaji – Volunteer Coordinator
Antoney Baccas – MSM Outreach Coordinator (on leave as of March 2015)
Cindy Jolly – Support Coordinator
Clorine McNeish-Weir – Women’s Peer Support Coordinator
Craig Cromwell – Refugee Settlement Coordinator
Elliot Imalele – Administrative Assistant
Emerencia Nkemchia – Receptionist
Floyd French – MSM Peer Educator
Francine Burke – Financial and Administrative Coordinator
Garfield Durrant – MSM Prevention Coordinator
Geoff McIntosh – Fundraising Officer
Hope Ramsay – Program Manager
Ido Edeh – Intake Coordinator
Jalila Muhammad – Employment Counsellor
Jeard Strachan – MSM Outreach Coordinator
Keith Cunningham – Outreach Coordinator (resigned May 2015)
Kemar Brown – PHA Settlement Coordinator
Ken Jemmott – Network/Systems Administrator
Lena Soje – LGBT Settlement Coordinator
Mary Yehdego – Prevention Coordinator
Rose Njeri – Women’s Support Coordinator (on leave as of January 2015)
Sem Teklemariam – Women’s Support Coordinator
Shannon Thomas Ryan – Executive Director

Black CAP 2014/15 Annual Report                                          3
Chair and Executive Director’s Report
Dear friends,

Black CAP’s work to address HIV in Toronto’s African, Caribbean and Black communities
continues to shift as we develop new approaches to prevention, support and outreach. We work in
a rapidly changing sector and over the last year we’ve worked to address issues such as the
emergence of new prevention technologies including PrEP, an increasingly mobilized Black
community, the increasingly complex support needs of our clients and an aging community of
people who are living with HIV. In light of these changes we’ve also worked to maintain our
relevance and responsiveness to the shifting needs of our community.

In a year that saw the emergence of the Black Lives Matter movement, our motto “Because all
Black Peoples’ Lives are Important” seems more relevant and urgent than ever. Our motto is
reflective of the commitment of Black CAP’s Board and staff as we work to ensure that Black CAP
has a real impact in the lives of Black people living with, or at risk for, HIV in Toronto. Over the last
year Black CAP has accomplished a lot and this annual report gives you a snapshot of our work in
2014/15. Details about our programs and services are provided later in this report and will give
you a fuller sense of the work of program staff and our volunteers.

Black CAP works to ensure that our strategic plan guides the work of the agency and in 2014/15
we worked hard to bring this plan to life. The Board has worked to fulfill its role in providing
governance leadership and in supporting staff and volunteers to manage the operational activities
within the agency. As you may recall, our 2011-2015 Strategic Plan is divided into four strategic
directions. We’ve divided our report to reflect these directions and below are some highlights.

Solidify Our Base
Improving Programs and Services for Vulnerable Populations and Strengthening Operations
     The Board was quite focused on improving its governance capacity over the year. This
       included a review of policies, an updating of the Board manual, the development of new
       Board evaluation tools and the creation of a new code of conduct. This work allowed us to
       ensure that the Board is efficient in its oversight of the agency’s work. In addition, the
       Board significantly expanded the role of Committees and recruited a number of new
       volunteers to play roles in relation to fundraising, event planning, MEPA1 and
       communications.
     In early 2015, Black CAP initiated a project to develop a new health resource for Black gay
       and bisexual men (Black MSM). This resource, developed in collaboration with the Gay
       Men’s Sexual Health Alliance, will support Black MSM to connect to relevant services and

1   MEPA: The meaningful engagement of people living with HIV or AIDS.
Black CAP 2014/15 Annual Report                                                                        4
supports in the Toronto/GTA region and raise awareness of current trends and issues
       impacting sexual health, HIV risk and overall health among Black MSM. The development
       phase included a survey of almost 150 Black gay and bisexual men in Toronto and this data
       will be used to publicly launch a resource in late-2015.
      Staff participated in a broad range of training over the year to increase their capacity to
       deliver programs and services. Training included anti-racism and anti-oppression (AR/AO),
       boundaries training, emotional first aid, human trafficking and exploitation and others.
      Black CAP and Dr. Lance McCready of the University of Toronto were awarded a CIHR
       Catalyst Grant to convene a team of researchers and partner agencies to assess what is
       known about the vulnerabilities, risks and HIV-related health behaviours of newcomer and
       refugee African, Caribbean, and Black MSM. The project will result in a review of the
       feasibility of existing resources and programs for Black MSM and the design and
       development of a new program to reduce vulnerability to HIV.
      Black CAP moved to 20 Victoria Street five years ago and our existing lease comes to an end
       in early 2016. As a result, we’ve been in negotiations with the landlord over the past
       several months to sign a new lease. The lease is now signed and we now plan to be in this
       location until 2026.

Enhance Our Visibility
Building Awareness of Black CAP’s Work
    In the Fall of 2014 the Board determined that the communications needs of Black CAP are
       quite complex and require more focus. Shortly thereafter, the Board launched a
       Communications Committee that provides overall strategic advice and direction in the
       development of the agency's communication processes, policies and planning. The
       Committee is planning to conduct a communications audit of the agency in the coming
       months.
    Black CAP continued to build its presence on social media. This included significant growth
       in likes on Facebook and followers on Twitter and the creation of two successful Facebook
       groups connected to our Harm Reduction and Socialite 411 programs.
    Black CAP launched a new website that included all new content. This site allows Black CAP
       to increase its visibility and communicate its work in better ways. In addition, a number of
       other communications materials were updated over the year; this included a new agency
       pamphlet.

Invest in MEPA and Achieving Equity
Working Towards Inclusion
    Over the year, the agency’s MEPA Committee continued its work. MEPA stands for the
       meaningful engagement of people living with HIV or AIDS and the goal of this Committee is
       to provide guidance on how to continuously improve the operationalization of MEPA and
       principles at all levels. The Committee is working to develop a workplan that will include a
       number of activities to increase Black CAP’s commitment to MEPA.
    Black CAP also expanded programming to meet the needs of its clients who are living with
       HIV or AIDS. For instance, earlier this year we established a new support group for HIV
       positive women who are aging. The role of this group is to create a safe space where HIV
       positive women who are above 50 years old can come together and discuss common issues
       and support each other.

Black CAP 2014/15 Annual Report                                                                   5
   The agency continued its work to achieve equity and inclusion. Two examples of this
       include a focus on training at the Board and staff levels. Both groups attended full day
       trainings on anti-oppression to ensure that the Black CAP environment is inclusive.
      Black CAP held its fourth annual Black Women Moving Forward Event earlier this year.
       This event was created to inspire and empower Black HIV positive and LGBTQ women, and
       to honour their contributions and accomplishments in their life journey. The event
       recognizes women who have demonstrated positive change in the community or have
       shown personal leadership in the following categories: Education, Volunteering,
       Leadership, Commitment, Personal Growth, Mentorship and Resiliency.

Diversify and Increase Our Revenues
Securing New Resources
    In November 2014, the agency hired its first part-time fundraising staff. This staff allowed
       Black CAP to begin a process to develop additional capacity for fundraising.
    Black CAP’s Fund Development Committee was also especially busy over the year. The
       Committee oversaw the development of a new agency-wide fundraising strategy that
       includes a number of goals. These include a focus on the development of a monthly giving
       program, tools to allow for the successful delivery of fundraising events, donor recognition
       and others.

Black CAP’s existing strategic plan will come to an end in early 2016. Over the coming months the
staff and Board will work to assess our progress against this plan and to lay the foundation for the
development of a new 2016 to 2021 strategic plan that takes us into the next decade. We look
forward to engaging our clients, staff, volunteers and membership in this process.

The Board and management would also like to offer thanks to all Board members, staff and
volunteers who work at Black CAP. Your energy and dedication have a real impact in our
community. We would also like to thank those who are no longer working with us. Over the last
year two Board members submitted resignations and the seats were filled by two community
members. We would like to thank departing Board members David Lewis and Cherese Reemaul
for playing an important role on the Board. We would also like to thank our auditor Thomas
Kriens of Kriens-Larose and Associates and our accountant Sylvia Draper-Fernandez for their
excellent work in monitoring Black CAP’s finances.

Finally, we hope this report gives you a sense of our work over the past year. We look forward to
supporting our clients and community in the coming year and we hope you will join us in
accomplishing new successes.

On behalf of the Board and staff of Black CAP,

Trevor Gray                         Shannon Thomas Ryan
Board Chair                         Executive Director

Black CAP 2014/15 Annual Report                                                                     6
Our Services at a Glance
Black CAP remains indebted to the dedicated team of staff members who have served in our
programs over the past fiscal year. I want to personally thank and congratulate everyone on
another year of great accomplishments, both professionally and personally.

As the saying goes, a picture is worth a thousand words. I will therefore use pictorial
representation to share some accomplishments of our Support; Outreach, Prevention and Harm
Reduction teams. Here is some information from the Outreach, Prevention and Harm Reduction
teams:

                                                             Over the past three years we have seen a
           Number of                                          steady increase in the number of
          Presentations                                       workshops delivered. This diagram to
                                                              the left depicts the number o workshops
 80                        65
             54
                                              70              conducted in each of the past three (3)
 60                                                           fiscal years
 40                                                          Workshops provide a great opportunity
 20                                                           to reach ACB adults and youth. In 2014-
  0                                                           2015, the seventy workshops were
          2012 - 2013 2013 - 2014 2014 - 2015                 delivered to 1,159 participants including
   Figure 1: Number of Presentations delivered
                                                              at-risk youth and adults, people who use
                                                              substance, healthcare providers,
                                                              educators and clergy personnel

We will now turn our attention to some information on the profile of our service users.

                                                                               A total of 582 clients were
  400                                      361                                  served in 2014-2015.
  350                                                                          Of the 361 females; 42
  300                                                                           were new PHAs and 72
  250                                   221                                     were new LGBTQ
  200                                                        Male              Of the 221 males, 43 were
                          137                                                   new PHAs and 137 were
  150                                                        Female
                                72                                              new LGBTQ
  100                                                        Family/Other
             43 42                                 41                          Another 41 persons who
   50                8                                                          were either family
      0                                                                         members, or who didn’t
            New PHA      New LGBTQ       Total                                  identify their gender were
                                        Clients
                                        Served
                                                                                served, with 8 of these
                                                                                being new PHAs
                     Figure 2: Clients Served in 2014-2015

The Support team continues to work on delivering high quality service in every aspect of the work.
More than ever, we have seen a vast increase in the number of new clients served, especially
among our refugee population. We served approximately twice times the number of LGBTQ
clients (209) to PHAs (93), but we are very encouraged about the fact that there were 93 new
PHAs this year.

Black CAP 2014/15 Annual Report                                                                               7
Another important aspect of our work is the financial assistance we provide to clients. Over the
past three years we have distributed approximately $45,000.00 to 465 clients with 131 clients
receiving approximately $15,000 in assistance in 2014-2015 in the form of direct funds, food
vouchers, transportation, etc.

I must also thank our Volunteer, Administrative and Fundraising teams who have contributed
significantly to the successes this year. I encourage you to read the reports prepared by each of
our staff, as this will give you great insight into what they’ve been up to over the year.

Of course, all this could not be accomplished without the great donors and partners we have had. I
would like to specially acknowledge and thank the following agencies who have contributed
tirelessly to our work: ACCHO, APAA, PASAN, WHIWH, CAAT, Fred Victor Centre, Fife House,
Francoqueer, Toronto Public Health and the Teresa Group.

As we embark on another year, we anticipate that we will face our challenges with resilience and
continue to work with full determination to positively impact the lives of those living with, and at
risk for, HIV. We know that the fight isn`t over as yet, but we continue to make a difference in the
lives of those we serve; doing so one client at a time.

In unity, strength and hope for better days ahead.

Hope Ramsay
Program Manager

Black CAP 2014/15 Annual Report                                                                        8
Our Programs In the Words of Our Staff
Below are short summaries of our programs written by our program and front-line staff.

Client Intake Program
As the King of Hearts told Alice in Wonderland, the best course is usually to begin at the beginning.
This advice is appropriate for our work with new clients, which begins with a good intake and
screening that will aid in creating a case record and proper documentation. The intake process at
Black CAP is essential to us because this is the stage where we screen and determine if an
individual is eligible for our services/programs and also this is the stage where the client gets to
meet with a staff formally.

We understand that most of our clients are not immediately open to discussing their sexual
orientation or HIV status, so, in conducting an intake/screening, we break the ice by making the
client feel welcome and comfortable and not asking the tough questions at the beginning of an
intake. The intake is not just taking basic details such as the name, contact number, date of birth,
etc. of clients; it also provides adequate information that will assist every client as each has a
unique and different case.

On a daily basis, we see clients who want an intake and over the year, we conducted 289 new
intakes. We often hear feedback from clients such as: “I feel at home when I come to Black CAP
because no one is judging or discriminating against me”; “The environment at Black CAP is friendly,
warm, welcoming and different”; “Black CAP has helped me know my community”; “Black CAP has
helped me accept myself and not feel ashamed regardless of my HIV status or sexuality”. Sometimes
we also get complaints, recommendations or suggestions from clients and we take all these
openly and positively because it helps us get better, do better, and strive to provide quality
services in ACB communities.

Ido Edeh
Intake Coordinator

PHA and LGBT Settlement Program
The PHA and LGBTQ Settlement program is a vital part of the Support Department at Black
CAP. This program is specific to PHA and LGBTQ convention refugees and the goal of the program
is to assist clients by working from a client-centered approach to allow them to reach their full
potential as newcomers to Canada. Clients and staff work together to identify the goals and their
needs. The goals can be both short and/or long term. Their focus is not just settlement, but also
integration into the Canadian society. Staff members review barriers that prohibit these goals such
as HIV stigma, homophobia, past trauma, and the idea of being their authentic self in Canada after
having lived a life where they had to hide their true identities to conform to societal standards.

This program also encourages clients to use their strengths and resilience to accomplish their
goals, for instance this year more than half of our clients returned to school. Clients are no longer
just looking for a job but focusing on long term career plans. The settlement program significantly
exceeded its targets in relation to subsequent visits in 2014/15. At year end we supported 106
PHA and LGBTQ convention refugees and achieved 126% (1209/960) of our target for subsequent
client visits.

Black CAP 2014/15 Annual Report                                                                        9
We see the impact the PHA and LGBTQ Settlement Program is making every day. For example, we
often see the difference it makes when a client comes into the organization requesting assistance
with filling out an application, or attending a support group for the first time. Giving people a
sense of belonging or the motivation to achieve short and long-term goals creates real pride in the
work we do. It’s also a good feeling when the people accessing the services take the time to say
thank you and show appreciation for the assistance they receive. While we get paid for the work
we do, a simple thank you and words of kindness from those we help, is the biggest payment we
could ever ask for.

We continuously receive e mails and clients returning to the agency to say “Thank you for the
support because they don’t know how they would have made it thus far without Black CAP”. Clients
also send in follow up emails of their progress based on the discussions that takes place during
our one-on-one assessments. They have reported on how much they were able to accomplish
since having an assessment and the chance to put their short and long term goals in place. We
have had clients expressed that without the information received from us they were not able to
find out where or how to go about getting things done. For instance, a client who received support
told us that she was “reuniting with my kids after waiting for a long time not knowing if I would
ever see them again thanks to Black CAP”. Clients have also expressed how happy and grateful
they are for our Fall into Winter/Spring into Summer clothing drives. They have said things such
as “ Thanks to Black CAP having a this drive because they come here when its winter and not having
any thing appropriate for the weather until they get to our clothing drive. “I had one outfit only for
the longest time and thanks to this clothing drive I can change outfits all the time now”.

Kemar Brown                                 Lena Soje
PHA Settlement Coordinator                  LGBT Support Coordinator

Harm Reduction Program
The Harm Reduction Program continues to expand and we have identified a number of successes
in the past year. Services we provide include community outreach, youth and adult workshops,
capacity building workshops for service providers, training for new program volunteers, student
placement opportunities and referrals. Our services are delivered across the city; this includes the
downtown core, Rexdale and Scarborough. Over the year, the program has conducted 340
outreach shifts, recorded 1,238 interactions and distributed 59,822 harm reduction resources
including condoms, pipes and needle kits reaching over 8,000 community members. We also
conducted 15 training sessions for 54 new program volunteers on conducting outreach safely. We
have held 22 drop-in sessions which were attended by 358 community members. Topics for the
drop-in include harm reduction and associated issues, documentaries and current events that are
pertinent to people within our community. We have conducted 687 workshops attended by 1,122
participants. In the course of the year the Harm Reduction program delivered 7 workshops to
students at Centennial College.

On February 3, 2015 the Harm Reduction program facebook page was created. We currently have
a total of 327 likes, to date we have made a total of 201 posts with 11,981 reaches. We have also
connected with a number of international harm reduction organizations including Harm
Reduction Coalition located in the U.S.A, Harm Reduction Victoria located in Australia, Harm
Reduction for Alcohol located in U.S.A, European Harm Reduction Network, Eurasian Harm
Reduction Network (EHRN), West Africa Commission on Drugs, New Zealand Drug Foundation,
European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) and others.

Black CAP 2014/15 Annual Report                                                                    10
We held two major outreach events this year; Sunfest and Snowfest at Moss Park during summer
and winter respectively. The objectives of these events are to educate members of the community,
raise awareness and increase knowledge on harm reduction, HIV transmission and testing,
provide information and increase accessibility to harm reduction programs and services through
collaboration with community partners and to identify trends through the analysis of data from
surveys. We also encourage members of the community to get tested for HIV. From the two events,
22 people got Point of Care Testing (POCT). The events were attended by 635 community
members reaching a total of 1,435 people through social media, electronic and other publicity
platforms. The survey was completed by 475 individuals. For Sunfest 2014, the trends identified
were published in the city epidemiological update in December 2014.

Below are testimonies from two of our program participants who attend our drop-in and
participate in outreach and other program activities:
    “I come here for the company, I feel safe here, before this I never knew what Black CAP was all
       about and now I consider Black CAP a second home, the drop in is something to look forward
       to.”
    “What I love about this drop in is you get a chance to meet friends, interconnect. One thing I
       like is the connection, meeting different groups. I also like the food that is provided, and to sit
       down and watch a movie and explain what life is all about in regards to other cultures and
       what’s happening and going on.”

Abigail Oduneye, Andre Hermanstyne and Andrew Persaud
Harm Reduction Program Coordinators

Community Outreach Program
The Community Outreach Program is the people’s eyes and ears in the ACB (Africian, Caribbean
and Black) Community that we serve. Our mission is to increase the knowledge and awareness of
behaviors that place people at risk of HIV and other sexually transmitted infections, promote and
distribute information on prevention and sexual health messages and also debunking stigma and
discrimination with a vision that through this the rate of new infections and levels of HIV stigma
will decrease. We do so through street outreach at barbershops, community events, bars, and
clubs, workshops, and other spaces where condoms and resources are distributed and
conversations are carried out in a safe environment.

The Community Outreach Program continues its streak of success by constant referrals from
community partners to the extent that we are unable to meet all requests for venues both within
and outside of our catchment areas, and also by a vast increase in new partners such as Spice
Youth Initiative Annual Sports and Health Day, Grenada Education Fund Comedy Nights, Black
Action Defense Committee INC, East Metro Community Centre, and the Rexdale NAP
(Neighbourhood Action Partnership). In these spaces we’ve managed to distribute over 50,000
condoms and 10,000 resources resulting in outreach to more than 20,000 persons.

At a recent presentation done in collaboration with Toronto Public Health we received the
following feedback: “We really appreciate the time you took to help us learn more about Black CAP
and the services that you provided in your presentation at our Education Day in June”. We are very
grateful to be working in these communities and look forward to a long partnership that serves
our community.

Amanda Lisa Parke, Andrew Persaud
Black CAP 2014/15 Annual Report                                                                        11
Community Outreach Program Coordinators

Prevention Program
Black CAP’s Prevention Program continues to provide education on HIV and AIDS, STI risk, sexual
health and healthy relationships to members of the ACB community, service providers, schools
within the TDSB/TCDSB and various correctional/institutional health fairs. The program has
effectively collaborated with other providers to improve services for all ACB people infected and
affected by HIV. This work has been done through advocacy, delivery of roughly 50 workshops
and presentations for about 1,000 participants. We participated in a number of prison fairs that
each had roughly 100 participants with whom I connected. I also participated in networks and
committees such as the Ontario Agencies Serving Positive Youth (OASPY) and the African
Caribbean Council on HIV and AIDS in Ontario (ACCHO).

Mary Yehdego
Prevention Coordinator

Volunteer Program
The Volunteer Program is responsible for the recruitment, training, placement and recognition of
agency volunteers. The Program also provides support to program areas in the utilization and
support of volunteers within the agency, and during community events such as Pride, Afro-fest,
Caribana, Jambana, etc. During this fiscal year, more than 260 volunteers contributed 4,575 hours
of service to Black CAP, this equals the contribution of approximately 2.5 full time staff. Volunteers
were busy doing some of the following:

      Board and Committee volunteers established strategic direction for the agency, developed
       policies, monitored the finances, and ensured a level of accountability to the community,
       members and clients.
      36 volunteers provided essential administrative support to help with office duties and daily
       reception coverage.
      116 volunteers conducted outreach activities to raise awareness about the HIV/STIs in
       bathhouses, clubs and other public spaces, supported clients by providing them with
       practical support, and assisted with HIV education and prevention workshops. Because of
       their generosity and dedication, Black, African and Caribbean communities, have become
       more cognizant about the issues surrounding HIV and AIDS.
      Volunteers prepared and distributed over 60,000 condom packs and harm reduction kits
       during street outreach and community events like Pride, Caribana, Afro-fest, Snow-fest, etc.
      Volunteers planned and executed fundraising initiatives like Joyful Giving and generated
       more than $8,000.
      Over the year we improved volunteer retention, and met their needs by providing them
       with meaningful assignments, work experience, employment referrals and appropriate
       recognition.

Anthony Nnaji
Volunteer Program Coordinator

Men’s Outreach Program
The MSM Outreach Program’s overall aim is to empower Black gay, bisexual, queer, questioning,
trans and other men who have sex with men (MSM). This is achieved through four main objectives
Black CAP 2014/15 Annual Report                                                              12
that include: increasing knowledge and awareness of HIV or AIDS and sexually transmitted
infections in the African, Caribbean and Black (ACB) MSM community; promoting the importance
of testing and knowing your HIV status; increasing access to culturally relevant information and
resources that promote sexual health through bathhouse, club, street and online outreach, and
workshops; and creating safer space through groups that raises awareness about HIV and AIDS
related stigma and discrimination, homophobia, racism and other social challenges.

The program delivers a number of groups which includes Socialite 411 (16-29 year old BMSM
youths); Pepper Pot (over 29 year old BMSM) and MSM Poz (HIV Positive BMSM). These bi-weekly
and monthly groups facilitate conversations, education and empowerment of BMSM in safe spaces.
Over the year we delivered 34 workshops with a total of 513 participants.

The MSM Outreach Program actively seeks and maintains partnerships with bathhouses, clubs and
entertainment promoters. These partnerships made possible the distribution of over 8,000
condoms with over 10,000 brief and significant contacts with people during World Pride 2014. It
also enabled us to distribute 16,000 condoms and information resources to 9,000 people at clubs,
parties and bathhouses. By year end we completed 56 bathhouse shift and 30 party events. In
addition, the program impacted over 7,500 Black MSM through social media such as Facebook,
Adam4adam, whatsapp and through the Socialite 411 and Pepper Pot groups. In the words of one
program participant, “I learn that I love being who I am … it’s [Socialite] an important outlet for
LGBTQ persons to exchange ideas towards a common goal of tolerance.”

Jeard Strachan, Antoney Baccas and Floyd French
MSM Outreach Coordinator and Peer Educator

Men’s Prevention Program
Through its campaigns and interventions, Black CAP’s Men’s Prevention Program aims to provide
Black men who have sex with men (Black MSM) in Toronto with effective and culturally
appropriate messages about HIV prevention. The increase of risky behaviour was reported to be
associated with treatment optimism and cART fatigue, as well as improved quality of life of HIV-
infected MSM. Negotiated safety trends such as strategic positioning, serosorting, and withdrawal
are increasingly reported, but these are not necessarily effective risk reduction strategies. These
trends pose new challenges for the Men’s Prevention Program especially for HIV and STI
prevention, requiring an evolution of interventions such as the Many Men, Many Voices (3MV) to
remain effective. Moreover, barriers to services still exist in many places, including homophobia,
stigma, policy barriers, insensitivity or lack of awareness among health care providers. Black MSM
who engage in substance use further put themselves at risk, through sharing of needles or
compromised judgement leading to risky sexual behaviour. These factors pose challenges for
behavioural and psychosocial interventions and highlight the need for innovative solutions. Public
health initiatives grounded in epidemiological trends that focus on behavioural prevention are
considered central to efforts to reduce STI and HIV transmission.

Testing is essential as prevention starts with knowing your status, new evidence shows the
effectiveness of Pre-exposure Prophylaxis (PrEP) in prevention of the transmission of HIV among
MSM as part of a comprehensive package of prevention services including monthly HIV testing,
condom provision, and management of other STIs. Although there are still many challenges and
questions regarding the use of PrEP as a prevention tool, it is expected that behavioural
interventions will include at minimum combinations of PrEP with combination behavioural
strategies in the future. Our Men’s Prevention Program recognizes there is no single solution to
Black CAP 2014/15 Annual Report                                                                  13
HIV and STI prevention, a comprehensive approach of combination prevention strategies will
continue to be essential in the future. What seems clear is that the expertise of community as a
whole is needed in order to develop effective HIV/STI interventions for BMSM, and research needs
to be driven by planning imperatives. Overall our recommendations for future work include the
importance of developing and evaluating behavioural HIV/STI prevention interventions for BMSM
using controlled designs and relevant programme content, as well as dissemination of evaluations
showing negative and positive results.

Garfield Durrant
Men’s Prevention Program Coordinator

Support Program
Black CAP’s Support Program takes pride in continuing to provide services to our most valued
PHA clients. This program provides practical supports to our clients who need personal or
financial assistance. Between March 2014 and April 2015 the support department has added over
75 new PHA members to the Black CAP family. Hence, we continue to provide support to our
newly diagnosed members through support groups and one-on-one interactions as this epidemic
continues to prevail in our Black communities. At the moment, we deliver two support groups for
people living with HIV; Long Term Survivors (LTS) and Social Determinant of Health (SDH) both
held once a month. The Long Term Survivors (LTS) is a group for individuals living with HIV for
over ten years and has an average of 15 persons in monthly attendance. The Social Determinant of
Health (SDH) is a group for individuals who are newly diagnosed and provides a supportive
environment to discuss feelings about closure, health care, sex, dating and other relevant issues.
The SDH group has an average monthly attendance of about 15 participants.

We continue empowering our clients by asking them to take leadership roles in support groups.
What is more significant is that some of our members sit on the Black CAP MEPA Committee;
thereby allowing the voices of PHAs to be heard in decision making within our organization. To
highlight the achievements of the Support Program here are quotes from two of our members who
said it perfectly about the services they received: “I have received an overwhelming amount of
assistance from the support department than I ever expected. I am so thankful to meet my case
worker and the other case workers of the Black CAP team for all the good things they have done for
me and others”; “Some of the topics at the support groups have undoubtedly given the members
renewed hope and happiness, through the constant updates provided of the ever evolving epidemic.
More so, it serves as a forum where members obtained strength to help alleviate the gloomy
loneliness of coping with the stigma and the numerous challenges in our individual lives; brought on
by our affliction and side effects of some of the medications”.

Cindy Jolly
Support Coordinator

Women’s Support Program
Black CAP Women’s Support Program provides comprehensive support services to African
Caribbean and Black (ACB) HIV positive women to address their complex care and support needs
through increased access to relevant supportive programming such as: case management, home
and hospital visits, culturally and linguistically appropriate counseling, service access navigation
and support groups. In this reporting period the Women’s Support Program conducted 50
comprehensive case management sessions, more than 200 drop-in services and over 550 one-on-
one sessions. Over 350 referrals were made to different HIV care and support services such as:
housing, immigration, medical care, food and financial assistance, as well as 43 hospital and home
Black CAP 2014/15 Annual Report                                                                   14
visits. Most of our case management implementation focuses on connecting clients with different
HIV care services and maintaining clients in the care. We also assisted newcomer HIV positive
women to connect with HIV specialists and we work closely with Toronto General Hospital and St
Michael’s Hospital to make this process faster. One of our clients shared that: “I came to Canada
with one week of ART medication supply I was living in shelter and I had no idea what to do; I was so
stressed. I told the shelter worker about my situation and the shelter worker referred me to Black
CAP. Thanks to Black CAP staff, I was able to connect with HIV specialist at Toronto General Hospital
and got my medication before my one week supply ended”.

The program also delivers two women’s support groups, which include the Community Kitchen
and the 50+ groups. The Community Kitchen is a monthly support group that takes place every
third Thursday of the month and it is open to all ACB women living with HIV, including trans
women. On average, 15 to 20 women attend this group each month. The group provides
opportunities for ACB HIV positive women to learn, socialize and cook nutritious meals together.
We cook our own meals together and we eat together! We also bring guest speakers to talk about
topics such as the nutritional value of the food and health related issues such as: self care,
emotional health, physical health, nutrition, physical exercise, financial management, etc.

The 50+ group is for ACB HIV positive women age 50 and older. As we are facing increasing
number of people aging with HIV, Black CAP started the 50+ group in April 2015, to help respond
to complex needs of older HIV positive people. The group also includes guest speakers on aging
related health issues such as: cancer, high blood pressure and cardio vascular diseases. In
collaboration with the Toronto Public Health Chronic Disease and Injury Prevention program we
have conducted four sessions on breast cancer prevention and screening, colon cancer prevention
and screening, diabetes and physical exercise.

Sem Teklemariam
Women’s Support Coordinator

Refugee Settlement Program
The Refugee Settlement Program is in its third year now at Black CAP and the demand for services
continues to grow. This Program falls under the Support Department and focuses on the specific
settlement, immigration and health care needs of refugee claimants, failed claimants and those
who are without immigration status. Over the year the program supported 289 new clients and
provided 922 follow-up sessions. The needs of refugees are particularly complex and we support
our clients in the areas of housing, employment, legal matters, medical care, social service
connections, financial support, advocacy, sexual health, finding safe spaces, volunteering, faith-
based support, assistance completing government applications, refugee hearing preparation and a
variety of other areas as they arise. Black CAP is able to address the majority of these needs on site.
Where necessary we continue to partner with other agencies to ensure our client’s needs are fully
met.

The Refugee Settlement Program is also actively involved in a number of networks and
committees both locally and provincially. Having a seat at these tables has been a good networking
opportunity for Black CAP as it ensures that the concerns of newcomer ACB communities living
with, or affected by, HIV or AIDS, as well as people who identify as LGBTQ are represented at the
decision making level. Adequate funding for this well needed and increasingly in demand program
continues to be a concern as the staff and program resources are struggling to keep up with the
high demand for services.
Black CAP 2014/15 Annual Report                                                                  15
Craig Cromwell
Refugee Settlement Program Coordinator
Development Program
Black CAP now has a development department! A development department raises money but in
addition provides related services, including prospect research, database management, gift
recording and processing, accounting, special-events planning and oversight, and donor relations.
Most HIV or AIDS non profit organization raise a significant amount of their funds through
fundraising. This has not been the case for Black CAP as we have relied mainly on funding by
government agencies and grants from foundations.

Black CAP saw this as an opportunity and hired its first development professional. The first task
was to map out a strategy. We have created a one year strategy with modest goals that we are
currently actively working towards. The next step was to create capacity so that the development
department can run smoothly and efficiently. To this end we have acquired a donor database that
will allow us to organize and communicate with our donors and potential donors much better
than in the past. We have created marketing materials and revamped the donor portion of the
website and we plan to add much more to the website. We will continue to expand and refine our
strategies and capacity but we are ready to raise funds and the sky is the limit!

Geoff McIntosh
Development Officer

Kazi Career Planning and Employment Program
The Kazi: Career Planning and Employment Program is an integral part of Black CAP’s services to
Black people living with HIV and AIDS and the Black LGBTQ community. Kazi means 'work' in
Swahili, and it is reflective of our goal to help participants find work that has psychological,
emotional and financial benefits. The program has assisted over 300 clients and provides intake,
assessments and practical assistance. During these sessions the client’s barriers to employment
are discussed; interventions are targeted at entering and retaining employment and cover pre-
employment activities such as employment preparedness, résumé building, cover letter writing,
interview skills, job search skills and career exploration. In discussing employment preparedness
with the client, information is given in regards to interpersonal skills, educational options,
Canadian work culture and accommodations in the work place, rights in the workplace, while
assessing if the client is truly ready for work. Options are explored and individual goal plans are
developed. Assistance is also given in preparing work and study permits, OSAP applications, and
sourcing funding for education. Clients benefit by having relevant information to make better
decisions about achieving their employment goals and have an action plan to follow.

The Program also delivers the Journey to Employment 6-day workshop series. It is offered three
times a year and has served over 135 participants during its 4 years. Participants learn in an
interactive safe environment with their peers to gain information and in regards to, Canadian
work culture, identifying skills interest and values, job search, networking and goal setting, OW
and ODSP while working, education and applying for post secondary school, Ontario Human
Rights, rights in the workplace, disabilities in the workplace/ accommodations at work. At the end
of the workshop each participant should have a desired career direction, résumé, cover letter and
have experienced taking part in a practice interview and a participant certificate. Newcomers will
benefit by having information and resources to make informed decisions and will be better
equipped in entering the labour market. The next Kazi workshop series will be held in October.

Black CAP 2014/15 Annual Report                                                                  16
Jalila Muhammad
Employment Counsellor

The African and Caribbean Council on HIV/AIDS in Ontario (ACCHO) provides leadership in the
response to HIV and AIDS in Ontario’s African, Caribbean and Black (ACB) communities. ACCHO is
a provincial coalition of organizations and individuals committed to HIV prevention, education,
advocacy, policy, research, treatment, care and support for ACB communities. With our members,
we strive to reduce the incidence of HIV among ACB people in Ontario, and to improve the quality
of life for those living with and affected by HIV or AIDS through the implementation of the Ontario
HIV or AIDS Strategy for African, Caribbean and Black Communities, 2013-2018 (the ACB
Strategy).

In the 2014-2015 fiscal year, we continued to promote the ACB Strategy, which provides a
framework for the response to HIV or AIDS in ACB communities in Ontario in the areas of
prevention, education, policy, health promotion, care, support and research. We also continued to
work with the HIV & AIDS Legal Clinic Ontario (HACLO) to promote the special report, Our Voices:
HIV, Race and the Criminal Law, increasing understanding of the impact of the criminalization of
HIV non-disclosure on Ontario’s ACB communities. In total, we held two (2) workshops in Peel
and Durham regions to build the capacity of service providers who engage members of ACB
communities throughout Ontario. We also delivered six (6) presentations throughout the
province on topics ranging from the ACB Strategy to Our Voices.

ACCHO has been part of the research project “Promoting & Owning Empowerment & Resilience
among African, Caribbean & Black Youth in Windsor”, which concluded in spring 2015. A series of
factsheets on ‘Snapshot of Sexual Experiences of African, Caribbean, Black & Mixed Youth’, ‘HIV
Stigma & Knowledge’, ‘Risky Sex among African, Caribbean, Black & Mixed Youth’, ‘Condom Use’,
‘HIV Testing’ and ‘Police Contact’ are available in English and French on the ACCHO website.

Most importantly, ACCHO has begun work to create a new provincial campaign to address HIV-
related stigma within faith and spiritual communities. Through this campaign, we hope to achieve:

   Increased awareness, knowledge and understanding of the effects of HIV-related stigma within
    faith-based and spiritual communities.
   Increased access to easy-to-understand scientific HIV-related information within faith-based
    and spiritual communities.
   Increased commitment of faith-based and spiritual communities to respond to HIV-related
    issues, including HIV-related stigma.
   Increased capacity of Strategy Workers and faith-based and spiritual communities to build and
    maintain effective partnerships with each other.

We look forward to sharing much more about the campaign in next year’s annual report. All of
ACCHO’s achievements would not have been possible without the hard work and support of our
Black CAP 2014/15 Annual Report                                                              17
staff, Council members, committee members, partners, volunteers, and, most importantly, the
community. For that we thank you. Please visit our website (www.accho.ca) to access all of the
resources mentioned in this report and more.

Financial Summary
This summary includes a condensed version of our 2014/15 Audited Financial Statement for the
fiscal year ending March 31, 2015.
                                                                  2015           2014
                                                                    $              $

                                         ASSETS
CURRENT
  Grants receivable                                              45,996           37,925
  Accounts receivable                                            41,806           39,172
  Prepaid expenses                                                2,660           14,546
 Government remittances receivable                               44,178           59,748

                                                                134,640          151,391

EQUIPMENT                                                        70,811           77,794

                                                                205,451          229,185

                                       LIABILITIES

CURRENT
   Bank indebtedness                                             28,675           73,584
   Accounts payable and accrued liabilities                      26,095           19,066
   Due to Ontario Ministry of Health and
       Long-Term Care                                            169,697         172,253
   Government remittances                                        13,501          12,643
   Deferred contributions related
payable
   to equipment                                                   6,319            6,319

                                                                244,287         283,865

DEFERRED CONTRIBUTIONS                                           37,127           32,990

DEFERRED CONTRIBUTIONS
    RELATED TO EQUIPMENT                                         13,280           19,699

                                                                294,694         336,554

                                NET ASSETS (DEFICIENCY)

Black CAP 2014/15 Annual Report                                                                  18
UNRESTRICTED NET ASSETS (DEFICIENCY)                            (89,243)       (107,369)

                                                                205,451        229,185
                                          Black CAP    ACCHO       Total          Total
                                            2015       2015        2015           2014
                                              $          $           $              $

REVENUES
 Ontario Ministry of Health
 and Long-Term Care                      557,321      680,494   1,237,815    1,313,616
 Ontario Ministry of Citizenship
 and Immigration                          52,474         -          52,474      57,723
 Citizenship and Immigration Canada      106,805         -         106,805     104,327
 City of Toronto                         258,661         -        258,661      218,043
Recoveries and
other grants                              86,928      21,591      108,519     143,912
 Public Health Agency of Canada           84,918         -          84,918      84,915
 MAC AIDS                                 64,066         -          64,066      85,020
 Donations                                21,867         -          21,867      17,660

                                        1,233,040     702,085    1,935,125   2,025,216

EXPENSES
 Human resources                         933,678      379,005   1,312,683    1,229,052
 Program and workshops                   105,015      139,430      244,445      368,997
 Office administration                  (117,601)     107,576     (10,025)       21,289
 Professional fees                        34,253       31,087       65,340       51,804
 Rent                                    206,962         -         206,962      228,599
 Communications campaign                  18,129         -          18,129       25,775
 Volunteer activities and development      6,016         -           6,016        5,644
 Emergency funding to
   people with HIV or AIDS                 9,898         -          9,898      15,346
 Resource development                     11,864       42,786       54,650      20,600
 Advertising and promotion                 1,618          300        1,918       3,204
 Amortization                              6,983         -           6,983      63,939

                                        1,216,815     700,184    1,916,999   2,034,249

   Excess (deficiency) of revenues
     over expenses for the year           16,225        1,901       18,126      (9,033)

Black CAP 2014/15 Annual Report                                                            19
Funders
Our funders allow us to meet our mission and deliver programming. We would like to thank the
following government, corporate, and foundation funders for their generous support:

      Ministry of Health and Long-Term Care – AIDS Bureau
      Citizenship and Immigration Canada
      Public Health Agency of Canada – AIDS Community Action Program
      City of Toronto – Toronto Urban Health Fund
      Ministry of Citizenship and Immigration – Newcomer Settlement Program
      MAC AIDS International
      Toronto Circle of Care
      Gay Men’s Sexual Health Alliance
      Canadian Institutes of Health Research

Other funders and corporate donors:

      Adobe Consulting Services
      Be Hot Yoga Toronto
      Black Lives Matter: Toronto Coalition
      Blockorama
      Canadian Staff Union, Ontario Solidarity Fund
      Casey House
      Courtyard Marriott
      Dr. Kevin Russelo & Associates
      Espartel Investments Limited
      McDonalds
      Metropolitan Community Church
      Mortgage Alliance
      Oxford Properties
      PricewaterhouseCoopers
      Ramada Plaza Toronto
      RDI Construction
      Sheridan Students Union
      T J Reliable Service
      TD Bank Group
      The Face Shop
      The Little Elves Foundation
      United Way Ottawa
      University of Toronto
      Workers Action Centre
      York University

Black CAP 2014/15 Annual Report                                                                20
Donors
Our donors allow us to increase support services for clients who are living with HIV or AIDS and
provide direct financial support for the basics of life such as food, transportation, housing and
medical care. We would like to thank the following donors for their generous support between
April 1, 2014 and March 31, 2015:

Aidas Vaidila                      Jessica Moniz                       Neil Armstrong
Aina-Nia Ayo'dele                  Jill Andrew                         Nigel D'Cruz
Alex Mason                         Joanne Gaskin                       Obim Okongwa
Alfred John                        John Roeleveld                      Pastor Grace-Sandy
Amanda Parke                       Joy Hermanstyne                     Paul McQuillan
Andrew Campbell                    Junior Harrison                     Philip Wong
Angela Robertson                   Karen Proctor                       Phyllis Waugh
Anne Marie DiCenso                 Kaschka Watson                      Precious Maseko
Barbara Wilker-Frey                Keith Ronit                         Randy Williams
Beth Jordan                        Ken Jemmott                         Ricardo Goldson
Brian Huskins                      Kevin Lowe                          Richard Glaze
Carlton James                      Kevin Ormsby                        Robin Silverman
Carol Douglas                      Kevin Russelo                       Roland Beggs
Cecile Peterkin                    Kevin Keilback                      Ron Rosenes
Christia Hui                       Kevin Lowe                          Sarah Easterbrook
Clementina Went                    Kimahli Powell                      Scott Thompson
Clorine McNeish-Weir               Komi Olaf                           Seema Opal
Debbie Douglas                     Lance McCready                      Shani Robertson
Dixon Graham                       Leah Teklemariam                    Shannon Ryan
Dionne Falconer                    Lena Soje                           Stephanie Moothu
Edna Smith-Bowes                   Leonard Edwards                     Suzanne Palermo
Elizabeth Jordan                   Louise Clarke                       Sylvain Duhamel
Elvis Tjijorokisa                  Marie Genereux                      Thomas Falujo
Fanta Ongoiba                      Marlon Cunningham                   Trisha Hilton
Gareth Henry                       Marsha Seow                         Trevor Gray
Glen Moses Cameron                 Mary Galipeau                       Trisha Mitchell
Hope Ramsay                        Mary Yehdego                        Valérie Pierre-Pierre
Ido Edeh                           Michael Gibbs                       Vernon Russell
Janice Figov                       Michael Went                        Wesley Watson
Jefferson Darrel                   Michael Joseph                      William Sitzer
Jerome Walcott                     Mona Loutfy                         Winston Brooks

Black CAP 2014/15 Annual Report                                                                 21
The Year Ahead
As we enter our 27th year there is so much that Black CAP wants to accomplish and we look
forward to building on our successes. In the coming year we plan to accomplish the following:

      As noted above, Black CAP will engage in a strategic planning process in early 2016. This
       plan will guide the work of the agency over the next five years.
      Most importantly we look forward to building on the role of the MEPA Committee;
       especially as it relates to program planning and development and questions of PHA
       representation at the agency’s governance level.
      Our goals are to build on the successes of the Fundraising Committee and to reach other
       long-term goals such as establishing a monthly giving program. We also have the goal to
       sustain a full-time Fundraising Staff.
      The Board will review the agency’s financial controls and procedures in the coming
       months.
      We will work with ACCHO to implement a faith-based outreach and prevention strategy to
       address HIV stigma in faith-based spaces and to conduct prevention education.
      We’ll work with APAA and the WeSpeak project to support the development of research
       and programming for heterosexual men who are living with HIV and AIDS.
      With a new major grant from the MAC AIDS Fund, Black CAP will launch a new program to
       address the mental health and substance use needs of Black MSM. The program will launch
       in early 2016.
      In the coming months, the Governance Committee will work to support the Black CAP
       Board in meeting its governance obligations. The governance Committee’s primary role is
       to oversee and enhance board organization, procedures and performance.
      Black CAP will continue our focus on assessing the quality of our programming and
       identifying opportunities for improvement. In the coming months, we are planning to
       conduct a structured review of our MSM Outreach Program to ensure its relevance and
       increase its effectiveness in reaching MSM.
      We hope to expand our focus on research in collaboration with academics. This will
       include research in the area of vulnerability of newcomers to Canada and the vulnerability
       of young women living with, or at risk for, HIV.
      We will work to update our Human Resources (HR) policies, this includes the creation of a
       new staff code of conduct, develop modified timesheets and implement new staff
       recognition activities.

We would again like to thank our staff and volunteers for their amazing work over the past year.
As a team we’ve reached thousands of vulnerable and at-risk people and have changed the
conditions of their lives and provided much needed support. This will continue in the coming year
and we look forward to reporting the results of this work at our next Annual General Meeting.
Black CAP 2014/15 Annual Report   23
You can also read