Transitioning youths into care: Linking identified HIV-infected youth at outreach sites in the community to hospital-based clinics and or community-based health centers

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

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Purpose: To describe and analyze the process of transitioning HIV-infected youths from the point of HIV diagnosis into HIV treatment. Rather than simply offering HIV positive youths a list of referrals, the youth-focused SPNS grantees (AWAC) found it vital that youthS were immediately assisted with linkage to a medical provider. Methods: From February 1997 to December 2000, 107 identified HIV-infected youths from the five adolescent SPNS projects were surveyed on needs and barriers. The time interval between HIV testing and youth linkage to care was also noted. Results: Nine percent of youth reported perceived barriers to accessing health care. Perceived needs were identified as Mental Health (44.9%; n = 48); Alcohol and drug treatment (14%; n = 15); transportation to health care settings (40.2%; n = 43); and housing (46.7%; N = 50). At sites tracking linkage to care, the time of being transitioned into a medical setting ranged from 5 to 55 days (average 26 days). Conclusions: The period of transitioning identified HIV-infected youths into care can be reduced from 1-5 years to as short as 5-55 days. Success with linking these youth to care involves establishing a series of contacts at outreach sites wherein program staff seeks to build trusting relationships with youths, is able to track these youths and identify and address perceived needs.

Original languageEnglish (US)
Pages (from-to)23-30
Number of pages8
JournalJournal of Adolescent Health
Volume33
Issue number2 SUPPL. 2
DOIs
StatePublished - Aug 1 2003
Externally publishedYes

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Community Health Centers
Community Hospital
HIV
Delivery of Health Care
Mental Health
Referral and Consultation

Keywords

  • Adolescents
  • Barriers to care
  • Engagement
  • HIV
  • Stabilization
  • Transitioning into care
  • Youth

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Transitioning youths into care : Linking identified HIV-infected youth at outreach sites in the community to hospital-based clinics and or community-based health centers. / Martinez, Jaime; Bell, Douglas; Dodds, Sally E; Shaw, Kimberly; Siciliano, Carl; Walker, Lynn E.; Sotheran, Jo L.; Sell, Randall L.; Friedman, Lawrence B.; Botwinick, Geri; Johnson, Robert L.

In: Journal of Adolescent Health, Vol. 33, No. 2 SUPPL. 2, 01.08.2003, p. 23-30.

Research output: Contribution to journalArticle

Martinez, J, Bell, D, Dodds, SE, Shaw, K, Siciliano, C, Walker, LE, Sotheran, JL, Sell, RL, Friedman, LB, Botwinick, G & Johnson, RL 2003, 'Transitioning youths into care: Linking identified HIV-infected youth at outreach sites in the community to hospital-based clinics and or community-based health centers', Journal of Adolescent Health, vol. 33, no. 2 SUPPL. 2, pp. 23-30. https://doi.org/10.1016/S1054-139X(03)00159-9
Martinez, Jaime ; Bell, Douglas ; Dodds, Sally E ; Shaw, Kimberly ; Siciliano, Carl ; Walker, Lynn E. ; Sotheran, Jo L. ; Sell, Randall L. ; Friedman, Lawrence B. ; Botwinick, Geri ; Johnson, Robert L. / Transitioning youths into care : Linking identified HIV-infected youth at outreach sites in the community to hospital-based clinics and or community-based health centers. In: Journal of Adolescent Health. 2003 ; Vol. 33, No. 2 SUPPL. 2. pp. 23-30.
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abstract = "Purpose: To describe and analyze the process of transitioning HIV-infected youths from the point of HIV diagnosis into HIV treatment. Rather than simply offering HIV positive youths a list of referrals, the youth-focused SPNS grantees (AWAC) found it vital that youthS were immediately assisted with linkage to a medical provider. Methods: From February 1997 to December 2000, 107 identified HIV-infected youths from the five adolescent SPNS projects were surveyed on needs and barriers. The time interval between HIV testing and youth linkage to care was also noted. Results: Nine percent of youth reported perceived barriers to accessing health care. Perceived needs were identified as Mental Health (44.9{\%}; n = 48); Alcohol and drug treatment (14{\%}; n = 15); transportation to health care settings (40.2{\%}; n = 43); and housing (46.7{\%}; N = 50). At sites tracking linkage to care, the time of being transitioned into a medical setting ranged from 5 to 55 days (average 26 days). Conclusions: The period of transitioning identified HIV-infected youths into care can be reduced from 1-5 years to as short as 5-55 days. Success with linking these youth to care involves establishing a series of contacts at outreach sites wherein program staff seeks to build trusting relationships with youths, is able to track these youths and identify and address perceived needs.",
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