Journal article
The utilization of treatment and case management services by HIV-infected youth
Journal of adolescent health, v 33(2), pp 31-38
2003
PMID: 12888285
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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.
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.
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.
Metrics
Details
- Title
- The utilization of treatment and case management services by HIV-infected youth
- Creators
- Robert L Johnson - Department of Pediatrics, Division of Adolescent and Young Adult Medicine, UMDNJ–New Jersey Medical School, Newark, New Jersey, USA (R.L.J., G.B.)Geri Botwinick - Mailman Segal Institute for Childhood Studies, Nova Southeastern University, Ft. Lauderdale, Florida, USA (K.S.)Randall L Sell - Mailman School of Public Health, Columbia University, New York, New York, USA (R.L.S., J.L.S.)Jaime Martinez - Division of Adolescent Medicine, Stroger Hospital of Cook County, Chicago, Illinois, USA (J.M., D.B.)Carl Siciliano - SafeSpace, New York, New York, USA (C.S., L.E.W.)Lawrence B Friedman - Department of Pediatrics, Division of Adolescent Medicine, University of Miami School of Medicine, Miami, Florida, USA (L.B.F.)Sally Dodds - Department of Psychiatry and Behavioral Sciences, Women’s Mental Health Programs, University of Miami, Miami, Florida, USA (S.D.)Kimberly Shaw - Mailman Segal Institute for Childhood Studies, Nova Southeastern University, Ft. Lauderdale, Florida, USA (K.S.)Lynn E Walker - SafeSpace, New York, New York, USA (C.S., L.E.W.)Jo L Sotheran - Mailman School of Public Health, Columbia University, New York, New York, USA (R.L.S., J.L.S.)Douglas Bell - Division of Adolescent Medicine, Stroger Hospital of Cook County, Chicago, Illinois, USA (J.M., D.B.)
- Publication Details
- Journal of adolescent health, v 33(2), pp 31-38
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000184429200005
- Scopus ID
- 2-s2.0-0043169746
- Other Identifier
- 991014877860104721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics
- Psychology, Developmental
- Public, Environmental & Occupational Health