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Rapid Screening of HIV Reverse Transcriptase and Integrase Inhibitors
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Assessing the Approach to HIV Case Management.

Jiyoung Byun1, Rebecca H Post2, Caren J Frost3

  • 1a Division of Public Health, School of Medicine , University of Utah , Salt Lake City , Utah , USA.

Social Work in Public Health
|April 30, 2019
PubMed
Summary

A tiered approach to HIV case management, assessing client needs, can improve support services. This model categorizes care into maintenance, brief contact, and comprehensive management, enhancing client outcomes.

Keywords:
People living with HIVcase managementprogram evaluationtiered model

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Area of Science:

  • Public Health
  • Healthcare Management
  • Social Work

Background:

  • Case management is crucial for individuals with HIV in the U.S.
  • Despite positive outcomes, clients still encounter challenges in accessing comprehensive care.
  • Utah's Ryan White Part B Program initiated an evaluation to explore improvements.

Purpose of the Study:

  • To assess the feasibility and potential effectiveness of a tiered case management approach for HIV services.
  • To examine how different states define tiers, acuity scales, services, case manager qualifications, and evaluation methods.
  • To propose a model for tiered case management adaptable for state-level implementation.

Main Methods:

  • Review of publicly available materials from eight states.
  • Interviews with health department employees in participating states.
  • Analysis of state-specific definitions, scales, services, qualifications, and evaluation practices.

Main Results:

  • A three-tiered model for case management was developed, incorporating a nine-item acuity assessment.
  • Tiers were defined as: maintenance outreach support services, brief-contact management, and medical/non-medical management.
  • No formal evaluation tools were identified in the reviewed states; areas for annual evaluation were proposed.

Conclusions:

  • A structured, tiered approach to HIV case management can address client needs more effectively.
  • The proposed model provides a framework for states to implement tiered case management.
  • Formal evaluation strategies are recommended to ensure the ongoing effectiveness of tiered case management programs.