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

Robert L. Johnson, Geri Botwinick, Randall L. Sell, Jaime Martinez, Carl Siciliano, Lawrence B. Friedman, Sally Dodds, Kimberly Shaw, Lynn E. Walker, Jo L. Sotheran, Douglas Bell

Research output: Contribution to journalArticle

35 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)31-38
Number of pages8
JournalJournal of Adolescent Health
Volume33
Issue number2 SUPPL. 2
DOIs
StatePublished - Aug 1 2003

Keywords

  • Adolescent HIV care
  • Comprehensive care for youth
  • HIV/AIDS
  • Health Resources and Services Administration
  • Special Projects of National Significance
  • Youth with HIV/AIDS

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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    Johnson, R. L., Botwinick, G., Sell, R. L., Martinez, J., Siciliano, C., Friedman, L. B., Dodds, S., Shaw, K., Walker, L. E., Sotheran, J. L., & Bell, D. (2003). The utilization of treatment and case management services by HIV-infected youth. Journal of Adolescent Health, 33(2 SUPPL. 2), 31-38. https://doi.org/10.1016/S1054-139X(03)00158-7