The utilization of treatment and case management services by HIV-infected youth

被引:36
作者
Johnson, RL
Botwinick, G
Sell, RL
Martinez, J
Siciliano, C
Friedman, LB
Dodds, S
Shaw, K
Walker, LE
机构
[1] UMDNJ, New Jersey Med Sch, Dept Pediat, Div Adolescent & Young Adult Med, Newark, NJ 07101 USA
[2] Nova SE Univ, Mailman Segal Inst Childhood Studies, Ft Lauderdale, FL 33314 USA
[3] Columbia Univ, Mailman Sch Publ Hlth, New York, NY USA
[4] Stroger Hosp Cook Cty, Div Adolescent Med, Chicago, IL USA
[5] SafeSpace, New York, NY USA
[6] Univ Miami, Sch Med, Dept Pediat, Div Adolescent Med, Miami, FL USA
[7] Univ Miami, Womens Mental Hlth Programs, Dept Psychiat & Behav Sci, Miami, FL 33152 USA
关键词
adolescent HIV care; comprehensive care for youth; Health Resources and Services Administration; HIV/AIDS; Special Projects of National Significance; youth with HlV/AIDS;
D O I
10.1016/S1054-139X(03)00158-7
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Purpose: This article describes the essential components for effective and comprehensive HIV care for youth who have tested positive and have been linked to HIV treatment. Descriptive profile data are also presented that detail the demographics, risk behaviors and health care barriers of youth served in the five Special Projects of National Significance (SPNS), which focused on adolescents and young adults. Methods: Data presented are from the core multi-site data set, which was standardized across the five youth-oriented SPNS projects. Substance use and mental health symptoms were gathered using the Personal Problem Questionnaire (PPQ) screener, which was an adaptation of the PRIME-MD. In-depth qualitative interviews with enrolled HIV-positive youth were also conducted by several Projects. Results and Conclusions: Medical care alone is not enough and cannot be effective without supportive program components such as flexible scheduling, and a multi-disciplinary team approach that includes assertive case management. Case Managers help enrolled youth with concrete service needs such as housing, emergency financial assistance for food/utilities, transportation, child care, coverage for prescriptions, and public entitlements. They also help isolated youth to connect with a personal support system. Addressing those needs helps to facilitate and reinforce treatment adherence and retention. In addition to other identified needs such as stable housing and transportation, a significant number of enrolled youth self-reported having experienced physical, sexual, and/or emotional abuse in their lives and articulated a need for mental health services. Therefore, effective HIV care for youth must be multi-faceted; it must consist of more than a medical component. (C) Society for Adolescent Medicine, 2003.
引用
收藏
页码:31 / 38
页数:8
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