1269. End HIV with DOT: Maybe?

Abstract Background Directly observed Therapy (DOT) has proven to be a valuable asset used in ascertaining adherence tuberculosis (TB) medications, methadone, psychiatric medications and HIV medications. Both TB share the need of treatment avoid resistance. However, unlike TB, must taken for life. Argus Community (Argus DOT) provides Observed assist with medication positive patients barriers who are not virally suppressed as long patient is from an affiliated medical provider network which includes St. Barnabas Designated AIDS Center (SBH DAC). Methods SBH DAC started referring have been DOT March 2021 help reach our goal 90% rate (viral load < 200 copies/ml) by end 2021. Those agreed were referred, accepted enrolled Argus. calls daily Monday Friday remind them take their We performed retrospective chart review DAC/Argus see if this intervention improved suppression December there any regards receiving these benefits. Results 18 approached team enroll DOT; those 15 originally program. 3 declined enrollment. Of program, 6 discontinued program none achieved viral suppression. 9 stayed DOT: 8 out copies/ml one 230 2200 copies/ml. 2 achieve 20 (undetectable). Conclusion This small study shows achieving decrease barriers. 50% accepting staying 89% suppression; close needed End Epidemic. did agree or due uncontrolled psychiatric, substance use, nonworking phones distrust Co-located use well in-house personnel Disclosures All Authors: No reported disclosures.