RAPID, RAPID Restart & Retention

Ward 86 RAPID Restart of Antiretroviral Treatment (ART) Guidelines (PDF)
Guidelines that outline procedures for evaluating patients at the time of their return to care (or initial presentation) and how long-acting injectable ART is used in RAPID Restart programs.

RAPID Provider Detailing Brochure
Guide on immediate ART initiation at HIV diagnosis and re-engagement in care

RAPID Program Standard Operating Procedures (PDF)
This document provides the medical and public health rationale for RAPID. It serves as a practical guide for the medical, counseling, and care planning components of the citywide RAPID program, and lastly proposes evaluation metrics for RAPID
Journal Publications
- *New* Outcomes of Rapid Restart Among People With Previously Diagnosed HIV at a Safety-Net HIV Clinic in San Francisco. JAIDS Journal of Acquired Immune Deficiency Syndromes 100(3):p 256-264, November 1, 2025.
- Development of a Citywide Rapid Antiretroviral Therapy Initiative in San Francisco. AJPM. 2021 November, Pages S47-S54.
- Decreased Time from HIV Diagnosis to Care, ART Initiation, and Virologic Suppression during the Citywide RAPID Initiative in San Francisco. CID. 2020 May 25.
- RAPID ART: High virologic suppression rates with immediate ART initiation in a vulnerable urban clinic population. AIDS. 2018 December 21.
Injectable ART – Guidance & Protocols

Ward 86 Long-Acting Antiretroviral Treatment (ART) Guidelines (PDF)
Guidance on long-acting injectable cabotegravir/rilpivirine (CAB/RPV LA) and lenacapavir (LEN) for their patients, even for those with adherence challenges and viremia

SFDPH Whole Person Integrated Care (WPIC): Long-Acting Injectable ART & PrEP Protocols (PDF)
Logistical processes and considerations surrounding the use of CAB/RPV, CAB, and LEN. WPIC provides non-traditional primary care, urgent care, and behavioral health clinical services to people experiencing homelessness.

The frontline worker’s role in team-based care/Inyectables de acción prolongada, ARV y PrEP
FLWs should feel confident talking with clients about LAI ART & PrEP as a possible option.

Expand your HIV Toolkit: Cabotegravir and Rilpivirine (CAB/RPV) Essentials and Clinical Guide
This toolkit developed by Pacific AETC includes: 1) Implementation tools such as sample checklists, protocols, and resources available to aid in the implementation of offering CAB/RVP in healthcare settings. 2) Recommendations for patient evaluation, screening, and shared decision making when considering prescribing CAB/RPV.
Injectable ART – Locations around SF & Posters for Clinics

Sites Offering Long-Acting Injectables for HIV prevention & treatment
List of clinics & providers that provide LAIs for PrEP & treatment

Pregunta en tu clínica
Posters for your clinic in Spanish. Has QR Code to the site list developed by GTZ-SF.
Health Access Points (HAPs)

HIV/HCV/STI Services Offered through Health Access Points
List of prevention & treatment services offered in SF through the SFDPH Health Access Points (HAP) model. There are seven HAPs.
People Experiencing Homelessness or Unstable Housing

(Re)connect to HIV care/Conéctese con cuidado médico para VIH
Clinics & CBOs providing linkage and/or services (half-sheet)

Stop the hidden epidemic
Steps to prevent and treat HIV, HCV, and STDs among people experiencing homelessness
Pediatrics & Youth

New recommendations for Infant Feeding
Updated guidance around feeding choice for infants of people living with HIV (2023 presentation)

Healthcare for youth ages 12-24 – Community Health Programs for Youth (CHPY)
List of 10 clinics that
provide a variety of medical services for San Francisco
youth with a special commitment to uninsured, low-income and medically underserved
families



