Medical and Psychosocial Services
The Risk Evaluation Program (REP) is the clinical program of the Adolescent AIDS Program at Children’s Hospital at Montefiore.

REP recognizes that adolescence is a unique stage of the human life cycle and that adolescents who are infected with HIV or who are at-risk for HIV infection have specific healthcare issues and needs.

Through our specialized care, we strive to address the needs of the whole person and offer team based services in a youth-friendly, confidential, and safe environment that empowers our clients to make informed and responsible healthcare choices.

Overview of Clinical Services
• Comprehensive medical and psychosocial care to HIV positive youth ages 13 through 24

• HIV testing and risk reduction counseling to at-risk youth ages 13-21

• Ongoing comprehensive care for lesbian, gay, bisexual, transgender and questioning youth

• New clients can be seen within 24 hours on weekdays

• 24 hour on call coverage is available for registered patients

• Services available in Spanish – Servicios en Espanol

• Medicaid and many health plans accepted

• Sliding scales available

• Additional services include consultancy in Psychiatry, Gynecology, and Bioethics

REP Services For All Youth Ages 13-21
HIV Counseling and Testing:
• Confidential and free

• Youth specific

• Includes individualized risk reduction plans

• Oral fluid testing available (no needles used!)

• STD Screening and Treatment

• Referrals to appropriate services (mental health services and primary care)

• Ongoing supportive care for gay, lesbian, bisexual, transgender and questioning youth, as well as youth on the DL.

Services For HIV Positive Youth Ages 13-24
Medical Care:
• HIV specific monitoring (T-cells & viral load)

• Antiretroviral medications

• Individualized medical adherence plans and support

• Access to clinical trials

• Full Checkups and Lab Tests

• Sexually Transmitted Disease (STD) Screening and Treatment

• Immunizations

• TB screening

• Reproductive Health Care

• Routine PAP smears & gynecological exams

• On site colposcopy

• Birth control available

• Coordinated care with off site Prenatal Clinics

• Acute Care & Hospitalization

• Out patient assessment and treatment of acute medical conditions

• Direct admission to Montefiore Medical Center

• Coordination of care during hospitalization

• Individualized discharge plans

• 24-hour emergency coverage via pager

Comprehensive Mental Health Care:
• Individual, family and couples therapy

• Support groups

• Transitioning group in collaboration with Montefiore’s Adult program

• Psychiatric assessment and treatment

• Case Management

• Assist clients with concrete entitlements and services

• Youth Advisory Board

• Annual Youth Retreat

• Recreational outings (bowling, plays, movies etc.)

• Annual Holiday party and summer picnic

Youth-Friendly HIV Counseling and Testing in New York City
The AAP has built a network of youth-friendly HIV Counseling and Testing sites throughout the city of New York. If you would like to access resources to help you refer a patient or client for youth-friendly HIV testing or care, call the New York Get Tested! Hotline: 718-881-TEST.

These sites provide a range of services to youth including check-ups, general health care, birth control, and HIV counseling and testing. These programs are for all youth—straight, gay, lesbian, bisexual or transgender. All services are completely confidential and many do not require parental consent. Health care services are either free or on a sliding scale and Medicaid as well as many health insurance plans are accepted.

For HIV-positive youth, these healthcare programs provide ongoing medical care including viral load and immune system monitoring, medications, and counseling and support services. The programs also provide help with insurance, housing, education and opportunities to participate in HIV research.

See list of NYC sites.