Episode Details

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