『Charles Martin – CEO of AcadianaCares』のカバーアート

Charles Martin – CEO of AcadianaCares

Charles Martin – CEO of AcadianaCares

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 From a volunteer-run initiative in the 1980s to a regional continuum of care in 2026: On this episode of Discover Lafayette, we sit down with Claude Martin, CEO of AcadianaCares, to talk about what it looks like when a community builds an institution out of necessity, and then keeps rebuilding it for four decades. AcadianaCares began (originally as “Lafayette CARES”) in 1985,during the earliest, scariest years of the HIV/AIDS epidemic, when fear and stigma shut down many traditional systems of response. “CARES” stood for “Concern for AIDS Relief, Education and Support.” Claude remembers those first years in deeply personal terms: “I got involved with this work, HIV work in the early 80s when our community started to get sick.” He describes a time when an HIV diagnosis in Louisiana carried a terrifying prognosis saying, “the life expectancy was about nine months.” The uncertainty felt like a public-health free fall. When we talk about how frightening those early days were, Claude agrees without hesitation: “Very similar to the fear and confusion many of us felt during COVID. Who’s going to get it? and what do we do now?” Claude explains that what became AcadianaCares wasn’t a government-created program; it was community members stepping in when institutions froze. “It was a groundswell of people saying, I have to do something. We have to do something.” For years, it ran on sheer willpower. “We were volunteers, running it out of our houses. We all had full-time jobs.” Claude’s own job then was far from nonprofit administration as he worked as a landscaper. And while the organization was being built, people were dying. Claude doesn’t sanitize that reality. “Sometimes they came to a couple of meetings and then they were in the hospital; within a month they were dead. They were gone.” In those first ten years, he says, “We really were concentrating on helping people to die. We were there.” He describes practical, human-scale solutions built by ordinary people: a hotline routed into volunteers’ homes, partnerships for training, and a “Buddy program” where volunteers went into homes to help with the basic tasks of living: cleaning an apartment, getting to appointments, answering desperate late-night questions from people who felt helpless. From there, the story becomes one of evolution, not away from HIV care, but outward from it. Claude explains that in the early 2000s, AcadianaCares started asking a different question: if HIV is the core mission, what are the destabilizing forces that make people more vulnerable in the first place? In his words: “Mental illness, homelessness, substance abuse are three of the big areas that really do destabilize people’s lives.” That mindset shaped the modern AcadianaCares model: a system designed so that someone can enter through one doorway to have access to housing, clinic, and recovery, and then be “wrapped around” with the rest. The medical reality has changed — and AcadianaCares is trying to reach the whole community Claude also walks us through the medical transformation he’s witnessed across the decades. “The pharmaceutical industry has developed all of these medications so that now life expectancy is open ended.” He explains how viral load suppression changes both individual health and transmission risk. When treatment is working, people are no longer infectious. He points to PrEP as a powerful prevention tool: “PrEP is about 99%” effective in preventing acquisition. The goal he lays out is ambitious and clear: get people living with HIV to an undetectable viral load and get people at risk onto PrEP. “Conceivably, we will get to the point where we have no new infections.” Claude shares the regional scope, then and now. He remembers: “There were 11 people in Lafayette Parish that were living with HIV in 85.” Today, he says, “we have 2000 people that are living with HIV in our region,” with about 75 to 100 new infections every year in the seven parish area. Expansion on the northside: “whole-person care in one place” We also discuss AcadianaCares’ expansion of clinical services on Lafayette’s northside. Claude explains that the clinic model exists because they were seeing people newly diagnosed with HIV struggling to get into care quickly. “We were having a really hard time getting people into care once we found out that they were positive.” So they built a system where patients could be seen and started on care faster. AcadianaCares purchased and renovated Pride Plaza at Willow and Pierce, turning it into a primary care clinic open to the public. The clinic has a staff of 32 in its 8,900 square-foot space offers a full spectrum of primary care and mental health services available to both insured and non-insured patients. Dr. Clinton Young is at the clinic specializing in sleep medicine and complex sleep-related disorders. Moving clinic services into Pride Plaza also...
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