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A National Program of AIDS Care Projects and Their Cross-Cutting Evaluation: The HRSA SPNS Cooperative Agreements 艾滋病护理项目的国家计划及其交叉评估:HRSA SPNS合作协议
Drugs & society (New York, N.Y.) Pub Date : 2001-02-06 DOI: 10.1300/J023v16n01_02
G. Huba, L. Melchior, A. Panter, V. Brown, T. Larson
{"title":"A National Program of AIDS Care Projects and Their Cross-Cutting Evaluation: The HRSA SPNS Cooperative Agreements","authors":"G. Huba, L. Melchior, A. Panter, V. Brown, T. Larson","doi":"10.1300/J023v16n01_02","DOIUrl":"https://doi.org/10.1300/J023v16n01_02","url":null,"abstract":"SUMMARY As more people in the U.S. seek HIV care, the need has grown for demonstrated service models that address comprehensive needs. The Special Projects of National Significance (SPNS) Innovative Models of HIV Care Initiative funded by the Health Resources and Services Administration (HRSA) is an effort of 27 projects to jointly establish goals, develop common evaluation methods, and produce comparable and measurable outcomes. The projects have different service models, but share the goals of reducing barriers and improving access to quality HIV care. To evaluate the pooled effects of these models, a modular evaluation design (Huba & Melchior, 1995) was adopted. The use of shared evaluation protocols permits evaluation of the entire initiative, as well as the evaluation of project clusters with similar service delivery models.","PeriodicalId":84609,"journal":{"name":"Drugs & society (New York, N.Y.)","volume":"16 1","pages":"29 - 5"},"PeriodicalIF":0.0,"publicationDate":"2001-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J023v16n01_02","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66913547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Lessons Learned in Reducing Barriers to Care: Reflections from the Community Perspective 减少护理障碍的经验教训:从社区角度的思考
Drugs & society (New York, N.Y.) Pub Date : 2001-02-06 DOI: 10.1300/J023v16n01_04
V. Brown, A. Stanton, G. Smereck, S. McDonald, Tracy Gallagher, Eustache Jean-Louis, C. Hughes, J. Kemp, M. Kennedy, D. Brief
{"title":"Lessons Learned in Reducing Barriers to Care: Reflections from the Community Perspective","authors":"V. Brown, A. Stanton, G. Smereck, S. McDonald, Tracy Gallagher, Eustache Jean-Louis, C. Hughes, J. Kemp, M. Kennedy, D. Brief","doi":"10.1300/J023v16n01_04","DOIUrl":"https://doi.org/10.1300/J023v16n01_04","url":null,"abstract":"SUMMARY Six projects targeting individuals traditionally under-served by the HIV care system performed a cross-cutting evaluation of their programs. Using qualitative and quantitative techniques, the programs showed that they had enrolled more than 1,400 individuals living with HIV. At intake, the clients cited numerous barriers they had previously encountered in approaching services. The clients had high levels of drug abuse, very few had earned income, and most were members of ethnic-racial minority groups. The strategies used by these projects for recruiting hard-to-reach, traditionally underserved individuals appear to be effective. Issues in designing and implementing projects in community-based organizations are discussed.","PeriodicalId":84609,"journal":{"name":"Drugs & society (New York, N.Y.)","volume":"16 1","pages":"55 - 74"},"PeriodicalIF":0.0,"publicationDate":"2001-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J023v16n01_04","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66913399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Drug and Alcohol Use Among Boston's Haitian Community: A Hidden Problem Unveiled by CCHER's Enhanced Innovative Case Management Program 波士顿海地社区的毒品和酒精使用:CCHER增强创新案例管理计划揭示的一个隐藏问题
Drugs & society (New York, N.Y.) Pub Date : 2001-02-06 DOI: 10.1300/J023v16n01_07
Eustache Jean-Louis, Jan Walker, G. Apollon, J. Piton, M. Antoine, Alfred Mombeleur, Marc Thelismond, Nicole César
{"title":"Drug and Alcohol Use Among Boston's Haitian Community: A Hidden Problem Unveiled by CCHER's Enhanced Innovative Case Management Program","authors":"Eustache Jean-Louis, Jan Walker, G. Apollon, J. Piton, M. Antoine, Alfred Mombeleur, Marc Thelismond, Nicole César","doi":"10.1300/J023v16n01_07","DOIUrl":"https://doi.org/10.1300/J023v16n01_07","url":null,"abstract":"SUMMARY This article discusses the Enhanced Innovative Case Management Program of CCHER, Inc., a community-based agency serving Boston's immigrant Haitian population living with HIV/AIDS. A psychosocial educational counseling program of 25 topics was created to address psychosocial needs of Haitian HIV consumers. Counseling sessions are one-to-one, in Haitian Creole. A pre-post evaluation design assesses the effectiveness of the curriculum in relation to the objectives of the project. The project has allowed CCHER to identify complex substance abuse issues and as a result has enabled the agency to address substance abuse among Haitians and plan culturally appropriate educational, outreach, and counseling strategies for Haitian substance abusers and community members.","PeriodicalId":84609,"journal":{"name":"Drugs & society (New York, N.Y.)","volume":"16 1","pages":"107 - 122"},"PeriodicalIF":0.0,"publicationDate":"2001-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J023v16n01_07","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66913910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
A Continuum of Care Model for Adolescents Living with HIV: Larkin Street Youth Center 青少年艾滋病毒携带者的连续关怀模式:拉金街青年中心
Drugs & society (New York, N.Y.) Pub Date : 2001-02-06 DOI: 10.1300/J023v16n01_06
M. Kennedy, R. Spingarn, A. Stanton, M. Rotheram-Borus
{"title":"A Continuum of Care Model for Adolescents Living with HIV: Larkin Street Youth Center","authors":"M. Kennedy, R. Spingarn, A. Stanton, M. Rotheram-Borus","doi":"10.1300/J023v16n01_06","DOIUrl":"https://doi.org/10.1300/J023v16n01_06","url":null,"abstract":"SUMMARY Overcoming barriers to delivering care to adolescents living with HIV, Larkin Street Youth Center (LSYC) has developed a comprehensive HIV service delivery program. This model coordinates services for adolescents living with HIV and includes five types of services: outreach, drop-in services, routine health and medical care, dependent care, and residential/caretaking services. Stable housing was made available to youth in two settings: (1) scattered site apartments and single rooms in hotels within a small geographic area; and (2) a residential care facility for disabled adolescents living with HIV. Case reports and summaries of assessments conducted with seven adolescents living with HIV are described. Clinical descriptions, health indices, and improvements in daily routines demonstrate the program's benefits; continued substance use and sexual risk acts demonstrate the need for prolonged assistance for adolescents living with HIV with comorbid disorders.","PeriodicalId":84609,"journal":{"name":"Drugs & society (New York, N.Y.)","volume":"16 1","pages":"105 - 87"},"PeriodicalIF":0.0,"publicationDate":"2001-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J023v16n01_06","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66914212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Integrating and Utilizing Evaluation in Comprehensive HIV Care Programs 在艾滋病综合护理方案中整合和利用评价
Drugs & society (New York, N.Y.) Pub Date : 2001-02-06 DOI: 10.1300/J023v16n01_05
K. Richardson-Nassif, K. Meredith, T. Larson, L. Mundy, L. Melchior
{"title":"Integrating and Utilizing Evaluation in Comprehensive HIV Care Programs","authors":"K. Richardson-Nassif, K. Meredith, T. Larson, L. Mundy, L. Melchior","doi":"10.1300/J023v16n01_05","DOIUrl":"https://doi.org/10.1300/J023v16n01_05","url":null,"abstract":"SUMMARY In healthcare programs for people with HIV/AIDS, the use of evaluation data is often considered to be non-essential to the healthcare delivery system. Three innovative healthcare programs have developed specialized evaluation models within a comprehensive continuum of care. This article describes methodologies for implementing evaluation and uses of evaluation data to improve clinic programs. Data were used to ensure quality of care and that patient needs were being met, patient management, evaluation of program priorities, resource allocation and availability of future funding. It is recommended that programs that wish to implement and utilize program evaluation in clinical settings not only track health outcomes, but obtain patient feedback, monitor program operations and request appropriate resources for this process.","PeriodicalId":84609,"journal":{"name":"Drugs & society (New York, N.Y.)","volume":"23 1","pages":"75 - 86"},"PeriodicalIF":0.0,"publicationDate":"2001-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J023v16n01_05","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66913486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Injection Drug Use (IDU) Related Human Immunodeficiency Virus Infection in Rural Vermont: A Comparison with Non-IDU Related Infections 佛蒙特州农村注射药物使用(IDU)相关人类免疫缺陷病毒感染:与非IDU相关感染的比较
Drugs & society (New York, N.Y.) Pub Date : 2001-02-06 DOI: 10.1300/J023v16n01_13
C. Grace, K. Richardson-Nassif, L. Rolley, D. Kutzko, Kemper Alston, M. Ramundo
{"title":"Injection Drug Use (IDU) Related Human Immunodeficiency Virus Infection in Rural Vermont: A Comparison with Non-IDU Related Infections","authors":"C. Grace, K. Richardson-Nassif, L. Rolley, D. Kutzko, Kemper Alston, M. Ramundo","doi":"10.1300/J023v16n01_13","DOIUrl":"https://doi.org/10.1300/J023v16n01_13","url":null,"abstract":"SUMMARY The epidemic of HIV infection is spreading into rural areas of the United States. Injection drug use (IDU) is contributing to this spread in a manner similar to that of larger urban areas. The purpose of this paper is to assess the extent that IDU contributes to the HIV epidemic in Vermont and to compare this group of patients to others infected by HIV by non-IDU means. Twenty-three percent of 119 HIV-positive patients attending rural clinics in Vermont identified IDU as the most likely route of their HIV infection. Another 25% were infected by heterosexual contact with someone at risk for HIV. The majority of patients reported that they became infected with HIV outside of Vermont. Over 40% of IDU patients were first diagnosed with HIV after moving to Vermont. Proportionately more women and minorities were HIV infected by IDU when compared to men and white non-Hispanic patients. The great majority of IDUs were unemployed and depended on welfare or disability for financial support. All IDUs had either Medicaid or Medicare. Most IDU patients had advanced HIV infection upon presentation, with 56% having AIDS and 74% having CD4 counts less than 500 cells/mm. IDU is having a large impact on the HIV epidemic in Vermont both medically and economically and is contributing to the growing epidemic in rural America.","PeriodicalId":84609,"journal":{"name":"Drugs & society (New York, N.Y.)","volume":"16 1","pages":"223 - 235"},"PeriodicalIF":0.0,"publicationDate":"2001-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J023v16n01_13","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66914084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
The Impact of an Intervention Program for HIV-Positive Women on Well-Being, Substance Use, Physical Symptoms, and Depression 艾滋病毒阳性妇女干预计划对健康、物质使用、身体症状和抑郁的影响
Drugs & society (New York, N.Y.) Pub Date : 2001-02-06 DOI: 10.1300/J023v16n01_09
E. Hockman, M. Andersen, G. Smereck
{"title":"The Impact of an Intervention Program for HIV-Positive Women on Well-Being, Substance Use, Physical Symptoms, and Depression","authors":"E. Hockman, M. Andersen, G. Smereck","doi":"10.1300/J023v16n01_09","DOIUrl":"https://doi.org/10.1300/J023v16n01_09","url":null,"abstract":"SUMMARY The Women's Intervention Program of the Well-Being Institute (WBI) in Detroit, Michigan, was designed to assist HIV-positive women with a history of substance abuse to access primary medical care. The program, based on The Personalized Nursing LIGHT Model, postulates that improved well-being precedes positive change in important areas such as substance use and coping with chronic disease. This evaluative study of 55 participants from intake to first follow-up after six months in the program shows that well-being significantly improved, that substance use declined as well-being improved, that well-being was a significant predictor of ability to cope with living with HIV, and that depression was correlated with physical condition with respect to both status and change.","PeriodicalId":84609,"journal":{"name":"Drugs & society (New York, N.Y.)","volume":"16 1","pages":"145 - 161"},"PeriodicalIF":0.0,"publicationDate":"2001-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J023v16n01_09","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66914130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Issues in Implementing and Evaluating a Managed Care Home Health Care System for HIV/AIDS: Visiting Nurse Association Foundation of Los Angeles 实施和评估管理式家庭保健系统对HIV/AIDS的问题:洛杉矶访问护士协会基金会
Drugs & society (New York, N.Y.) Pub Date : 2001-02-06 DOI: 10.1300/J023v16n01_12
D. Cherin, G. Huba, L. Melchior, Susan Enguídanos, W. J. Simmons, D. Brief
{"title":"Issues in Implementing and Evaluating a Managed Care Home Health Care System for HIV/AIDS: Visiting Nurse Association Foundation of Los Angeles","authors":"D. Cherin, G. Huba, L. Melchior, Susan Enguídanos, W. J. Simmons, D. Brief","doi":"10.1300/J023v16n01_12","DOIUrl":"https://doi.org/10.1300/J023v16n01_12","url":null,"abstract":"SUMMARY Blending curative and palliative orientations to care in the home care services delivery of terminal HIV/AIDS patients produces a cost efficient and patient effective overall model of care. This article characterizes the development, implementation, and evaluation of the Visiting Nurse Association Foundation of Los Angeles' (VNAF-LA) Transprofessional Model of terminal home care. Palliatively trained social workers were made part of the VNAF-LA's regular home care service delivery teams to create a biopsychosocial perspective to pre-hospice terminal care services. This enrollment to routine home care produced significant cost reductions and improved patients' quality of life. In addition, evaluation data were used to develop a cost profile of patient care.","PeriodicalId":84609,"journal":{"name":"Drugs & society (New York, N.Y.)","volume":"16 1","pages":"203 - 222"},"PeriodicalIF":0.0,"publicationDate":"2001-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J023v16n01_12","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66913995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Substance Abuse and Health Services Utilization Among Women in a Comprehensive HIV Program 综合艾滋病毒方案中妇女药物滥用和保健服务利用情况
Drugs & society (New York, N.Y.) Pub Date : 2001-02-06 DOI: 10.1300/J023v16n01_11
K. Meredith, D. Jeffe, V. Fraser, L. Mundy
{"title":"Substance Abuse and Health Services Utilization Among Women in a Comprehensive HIV Program","authors":"K. Meredith, D. Jeffe, V. Fraser, L. Mundy","doi":"10.1300/J023v16n01_11","DOIUrl":"https://doi.org/10.1300/J023v16n01_11","url":null,"abstract":"SUMMARY Substance abuse history and treatment needs were assessed in 308 women at a comprehensive HIV program in St. Louis. We found that 229 (74%) women had a history of substance abuse and 38 (12%) had a history of injection drug use. Only 25 (44%) of 57 women requiring substance abuse treatment at enrollment had received treatment. Adherence with quarterly medical follow-up was associated with highly active antiretroviral therapy (HAART) prescription in 1997 and 1998, but not with need for substance abuse treatment. However, women needing substance abuse treatment were less likely to have been prescribed HAART in 1998. We recommend that providers of medical services to women with HIV conduct formal assessments of substance abuse behaviors among their patients and ensure that treatment needs are adequately addressed within the framework of care. Further examination of the use of HAART in women who are active substance abusers is needed.","PeriodicalId":84609,"journal":{"name":"Drugs & society (New York, N.Y.)","volume":"16 1","pages":"185 - 201"},"PeriodicalIF":0.0,"publicationDate":"2001-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J023v16n01_11","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66914342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Practical Issues in Evaluating a Self-Structured Psychosocial and Medical Support Program for Women with HIV/AIDS: PROTOTYPES WomensLink, a Community-Based Organization 评估感染艾滋病毒/艾滋病的妇女自组织社会心理和医疗支助方案的实际问题:一个以社区为基础的组织——原型WomensLink
Drugs & society (New York, N.Y.) Pub Date : 2001-02-06 DOI: 10.1300/J023v16n01_10
L. Melchior, C. Hughes, V. Brown, G. Huba
{"title":"Practical Issues in Evaluating a Self-Structured Psychosocial and Medical Support Program for Women with HIV/AIDS: PROTOTYPES WomensLink, a Community-Based Organization","authors":"L. Melchior, C. Hughes, V. Brown, G. Huba","doi":"10.1300/J023v16n01_10","DOIUrl":"https://doi.org/10.1300/J023v16n01_10","url":null,"abstract":"SUMMARY PROTOTYPES WomensLink was developed to meet the needs of women living with HIV in greater Los Angeles, California. At the WomensLink drop-in center, women select the program components in which to participate, reflecting their unique medical and psychosocial needs. Although this service model poses a number of challenges to program evaluation, including those related to evaluation design and implementation, it presents new opportunities for successful collaborations between community-based programs and applied researchers. This paper discusses a number of such issues and provides selected evaluation results that demonstrate the success of the WomensLink model in meeting its goals of caring for women living with HIV and their families.","PeriodicalId":84609,"journal":{"name":"Drugs & society (New York, N.Y.)","volume":"16 1","pages":"163 - 184"},"PeriodicalIF":0.0,"publicationDate":"2001-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J023v16n01_10","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66914238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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