Fostering a 'Feeling of Worth' Among Vulnerable HIV Populations: The Role of Linkage to Care Specialists
| Autor: | Casey Schumann, Kimberly A. Koester, Michelle R. Broaddus, Jill Owczarzak |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Counseling
Male 0301 basic medicine medicine.medical_specialty media_common.quotation_subject Emotions Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause Vulnerable Populations Interviews as Topic 03 medical and health sciences Social support Wisconsin 0302 clinical medicine Ambulatory care Nursing Acquired immunodeficiency syndrome (AIDS) medicine Humans Patient Navigation 030212 general & internal medicine Social determinants of health Qualitative Research media_common Motivation business.industry Public Health Environmental and Occupational Health Social Support Case management medicine.disease 030112 virology Patient Discharge Infectious Diseases Feeling Behavioral and Psychosocial Research Family medicine Position (finance) Female business Case Management Program Evaluation Specialization |
| Zdroj: | AIDS Patient Care and STDs. 31:438-446 |
| ISSN: | 1557-7449 1087-2914 |
| Popis: | To address barriers to adequate engagement in medical care among people living with HIV, Wisconsin's AIDS/HIV Program created a new position, the Linkage to Care (LTC) Specialist. Specialists provide intensive, short-term case management and patient navigation services for small caseloads of individuals at high risk of disengaging with medical care. Clients are eligible if they are newly diagnosed with HIV or new to medical care, recently released from incarceration, recently out of care, nonadherent to scheduled medical care visits, or have detectable viral load while in care. Interviews with 30 clients of Specialists were conducted to understand experiences with the program and medical care. Common themes included the ability of Specialists to navigate complex systems of care and support services, the unique role Specialists played in their clients' lives, and the challenges of transitioning out of the program. Although the primary goal of Specialists is to address barriers to medical care, they often adopted a holistic approach that also included housing, financial assistance, and other social determinants of health. Descriptions of the Specialist's role in implementation manuals focus on their functional roles and the services provided. However, clients often discussed the emotional support they received, especially for clients without strong social support networks. Many clients also desired an ongoing relationship with their Specialists even after discharge, but had been able to establish independence and self-efficacy. The LTC Specialists are resource-intensive considering their small caseloads, but fill an important gap in existing, often overtaxed case management systems. |
| Databáze: | OpenAIRE |
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