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HIV prevention case management: current practice and future directions

D W Purcell1, A S DeGroff, R J Wolitski

  • 1Behavioral Intervention Branch, Centers for Disease Control and Prevention, National Center for HIV, STD, and TB Prevention, Atlanta, GA 30333, USA. dhp8@cdc.gov

Health & Social Work
|December 3, 1998
PubMed
Summary

Prevention case management (PCM) for HIV combines risk reduction and case management. A CDC study found significant program variations in services and populations served among funded organizations.

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Area of Science:

  • Public Health
  • HIV/AIDS Prevention
  • Health Services Research

Background:

  • Prevention Case Management (PCM) for HIV emerged in the early 1990s.
  • PCM integrates individual HIV risk-reduction interventions with case management.
  • It aims to reduce HIV transmission and improve health outcomes for affected individuals.

Purpose of the Study:

  • To understand the current practices of Prevention Case Management (PCM) for HIV.
  • To identify variations in PCM program structures, services, and target populations.
  • To assess the implementation of PCM by community-based organizations funded by the CDC.

Main Methods:

  • Qualitative study involving interviews with staff from 25 community-based organizations (CBOs).
  • Site visits were conducted at seven of these CBOs to observe PCM practices.

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  • Data collection focused on program structure, service delivery, and client demographics.

    • Main Results:

    • Significant diversity was observed in the operational structures of PCM programs.
    • A wide range of services were offered, tailored to different client needs.
    • Most programs (80%) served both HIV-seropositive and HIV-seronegative individuals.
    • Considerable variation existed in the specific populations targeted by PCM interventions.

    Conclusions:

    • Prevention Case Management (PCM) for HIV is implemented with substantial variability across different organizations.
    • The adaptability of PCM allows it to serve diverse populations, including both positive and negative individuals.
    • Further research may be needed to identify best practices and optimize PCM effectiveness.